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4191 Beaver Dam RdCity of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fr4cs Permit# 9 /qt/iv Permit Fee: yi Z� Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: tb) (Z)t(> PPSite Address: 41 "7( SEA vEJL OA -M ?QAT) anittant Tenant: Suite #: RESIDENT / OWNER Name: CO G A%) k( 4&e/lA ?NT Phone: Address / City / Zip: b`133 CITY 0 PKAA1v. EOE ►1?At 12A6- ,u It( -S 3 4 L Applicant is: Owner Contractor TYPE OF WORK Description of work: kr-A1OVE AN (€1:, 66 eth/1/DOb-JS Construction Cost: tt ZVO�.---- Multi -Family Building: (Yes / No ) CONTRACTOR Name: Jif EXrELt oT lel. at IUT, cap License #: a 6 z u(1 3( Address: 65 V., Goist SM6Yr City: , tNWe»(714 3 / AAA) A) Zip: 5-51115 Phone: G' i Z. - %1- 6213 Contact: 1/c2 (J M Email: RA:C1.> e -t K.Gtn . (.:Om COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public If you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Cali Gopher State Onel Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.Qopherstateonecall.org I hereby acknowledge that this informatio is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a rmit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in th case of work which requires a review and approval o - - ns C'_,,ts rs)2sC7 Applicant's Printed Name x Applicant's Signature Page 1 of 2 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4191 Beaver Dam Rd Lot: 4 Block: 01 Addition: Diffley Commons PID:10- 20450- 040 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437 -0338 Quesetions regarding elec 952- 445 -2840 Geoffrey Smith 122 West Third Street ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: Leann Lehmann 4191 Beaver Dam Rd Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA092014 11/13/2009 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State 651 437 9745 12/10/2009 THU 14:22 FAX 651 437 9745 HALEY COMFORT SYSTEMS N ce WU/ wt.. cp Ct CC Cr An 41 LU Iii 0 I r- I CE UT V' I I•••• Ct Et et cs_c_ ■••!..4' Cm. —J N M (4 CI OJ In -I 0.1 II I r I f Eck a I CD co p I (Si els I al I p e. cyf E_&sc(A.,J Z001/001 05/0612014 09:42 Les Jones Roofing, Inc. (FAX)9528817009 P.011 1011 Use BLUE or BLACK Ink 1 For Office j Permit City of Eagan l Permit Fee, 3830 Pilot Knob Road l Eagan MN 66122 I Date Rscelved. jig Phone: (661) 675-6676 I I Fax: (651) 676-6694 1 staff. 15. 1 Z2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date-. SlteAddress: y/S? `t/7! S"'1 Ale--"6-k 4)Xm ?oA Unit fl: 'I'Ma Name: ~_o P9OPE72Ty G4 E , 6 NC.. Phone: 57- 5Y- 9y 4/~ Address I City / Zip: O• i30 212 5 ,p NI Applicant is: Owner Contractor Description of work: gAire o/- AV-d 1 ~✓G.~~ rP 9 sf: '4'1 Construction Cost Multi-Femlly Building: (Yes x / No S. Company: AE5 .7ONd3 RQQ gaz~ fiVG Contact C~l.Qt s /~,VDEs72s0~ 12.Address: 911 W. eD s°rY city: &Qazu.vGTbA✓ State: MIJ Zip: JJ Phone: 9,5"R - 76 7 - a8/9 ,M CM1b" dI 4 ° License N. Lead Certificate .U,4T `f p - If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Egan Issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 41 CALL BEPORLe YOU DIG. Call Gopher state one call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.goaharstateonecall.org I hereby acknowledge that this Information Is complete end accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; Oat I understand this Is not a permit, but only an application for a permit, and work la not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exteriorwork authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 160 daye of permit Issuance. x_ G1¢45 fti 0000-od x . . Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:17 Les Jones Roofing, Inc. ffAX)9528817009 P.002/011 Date: C!ty of Eap 3630 Pilot Knob Road Eagan MN 66122 Phone: (651) 675.6676 Fax: (661) 676-5694 Use BLUE or BLACK Ink For Office Use Permit#: ' 22,13c Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION -fir, 44/ Site Address: 1#87,'lr ?/, 4,4/9 5 ,?`/ 49 &-AA/cxt. WA -M 2340 units: ,Y' r ''M ' :,' , 4. R"` `dl1 • yd 01+11;k''' - r • i 4..• ti `4"ic a;; ' „ ;y` Name: yo PeoPa2Ty G4?.6 t Ne... Phone: 457- 51-c/- ff'7421'-, r ,// Address / City / Zip: 10- BOX 212 . //'fl_ ezr--o%d Ali 03-4) 24 Applicant le: Owner X Contractor y , $r�atr 4,,,,! ti p. ,� •:I; . 1 's:., • ^� , "'�! Description of work: R?Mov6 A,wO Rd°P'- 4. 50416- 4441 /44119)S/O/Nlir' Construction Cost .-4;' A -gi i Multi -Family Building: (Yes X / No .• ...yn"1l e z+)rkf A, ,w5 • ;..'''x': .;: ' ' , ,,;,+�iitrF '7 ., ` I N " - •:,r;�'' , ;, �s�;;k :; .' ,,, ' ;.• Company: 4 3 ,ThN53 A wzr- five Contact G/�l�t i �or�so AV Address: 9'tt w. go"' inzz r- city: to�au ler_J-ae/ State: AV Zip: f$'20 Phone: 9$ - 76 7- X819 License #. 45-64 Lead Certificate #: .(.) 7- `t O 3 V - / .! _"„,0', ,7 If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Began issued a permit for a similar plan based on a master plan? yes, date and address of master plan: " _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: ' %in ftbg h". Otikltkif tig L 0 % -°!dOi'e > QLD/ diff i O; TAIIQf4 ' Ute"triffYYi fpnil:etgilActo. bier ,0149 •> (.14,4*,* $ N6volitd e ,titroito t ill?t 3'4 a1r,tyA ti • g1 g•.,W9.A: 1`dC:.,J.iiuC :%• .„.„,, ?7. •+ CALL BEFORE YOU DIG. Call Gopher State One Cali at (861) 454-0002 for protection against underground utility damage. CaII 48 hours before you Intend to dig to receive locates of underground utilities. m w.aooherstateonecallsorq 1 hereby acknowledge that thls Information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; that I understand this Is not a permit. but only an application for a permit, and work le not to start without a permit; that the work will be in accordance with the approved plan In the case of work which requires a review and approval of plane. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must bo completed within 180 days of permit Issuance. x C/f,2iS 444D6720'0d Applicant's Printed Name x Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA133243 Date Issued:09/30/2015 Permit Category:ePermit Site Address: 4191 Beaver Dam Rd Lot:4 Block: 01 Addition: Diffley Commons PID:10-20450-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John A Kujawski 4191 Beaver Dam Rd Eagan MN 55122 (651) 457-1414 Appliance Installers Of Mn 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA179219 Date Issued:09/26/2022 Permit Category:ePermit Site Address: 4191 Beaver Dam Rd Lot:4 Block: 01 Addition: Diffley Commons PID:10-20450-01-040 Use: Description: Sub Type:Water Softener Work Type:Replace Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Noel Kujawski 4191 Beaver Dam Rd Eagan MN 55122 (651) 457-1414 Milbert Company (culligan) 1801 50th St E Inver Grove Heights MN 55077 (651) 451-2241 Applicant/Permitee: Signature Issued By: Signature