4047 Beaver Dam RdCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA093095
Date Issued: 03/17/2010
Permit Category: ePermit
Site Address: 4047 Beaver Dam Rd
Lot: 40 Block: 01 Addition: Diffley Commons
PID: 10-20450-400-01
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Sidney Tverberg
4047 Beaver Dam Rd
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
Date:
City of Ea afl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6754694
Tenant
Use BLUE or BLACK Ink
EIMMIUM
Permit it: /D-7)
Permit Fee: 6 D" -=.
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
4,3 -I). Site Address: �4 ►,�1i1 t vnw
RESIDENT / OWNER
t
Suits 0:
Name: I. 1 �. �Y ' �. �. Phone:(p — -- 1
Address/Cly/Zip: ''D' a' :`� �:J L' ✓�, in
CONtRACTOR
Name:..MILBERT COMPANY INC.dba CULLIGAN W TER
Address: 1801 501B ST EAST City W.
INVER GROVE'UGTS
State: MN Zip: 55.077. Phone: 65.1 .::451;-2241
Contact BII.L.MILBE:; .
Email:
TYPE OF WORK
PERMIT TYPE
_ New .Replacement — Repair _ Rebuild _ Modify Space Work In.RO.W.
Descrlptlon of work:
REEIDENTIAL
Water Heater
Lawn Irrigation L._ RPZ / PVB)
Septic System
New
Abandonment
,Water Softener
Add Plumbing Fixtures L. Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater mg Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (inchides 55.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $5.00 State Surcharge)
'Water Tumaround (add $188.00 if a 5/8' meter is required)
$105.00 Septic System Mei ($10.00 per as built) (incudes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes 55.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Cali Gopher State One 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.000herstateonecall.org
1 hereby acknowledge that this Inf vmatlan 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 riot a permit but only- an application for a permit, and work Is not to start without a permlk that the work will be In
accordance with approved at aed plan In the case work which requires review and approval o f pla
•
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Applic nt's Printed Nam'. •
x
Appl
is
(411
aturs
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 9-1 8-91
OFFICE USE ONLY
METER # PERMIT DATE 12/04/91
CHIP # PERMIT # 12414
METER SIZE B.P. RECEIPT # C 15423
ISSUE DATE B P RECEIPT DATE 09/17/91
_ PRV — BOOSTER PUMP
SITE ADDRESS 4047 Beaver Dam Road
LOT an ..BLOCK 1 SEC/SUB DIFFLEY COMMONS
APPLICANT: The Rottlund Co
5201 East River Rd.
ADDRESS:
CITY, STATE
PHONE.
PLUMBER:
ADDRESS:
CITY, STATE
PHONE:
OWNER:
ADDRESS:
CITY, STATE
PHO
Fridley, MN
(612) 571-0304
ZIP
55421
Valley Plumbing
610 Creek Lane
Jordan, MN ZIP
(612) 492-2121
55352
The Rottlund Co.
5201 East River Rd.
Fridley, MN ZIP 55421
(612) 571-0304
PERMIT REQUESTED
X SEWER X WATER TAPS
COMM/IND X RESIDENTIAL
X NEW EXISTING
Lawn Sprinkler ' Meters are to be Installed
Ahe: • of Domestic Meters on Water Line.
CrILL NOT be •' en for Deduct Meters.
1 AGRE TO C M ' LY WITH CITY OF
EAGAN ORDI A ES
SIGNATURE WHEN METER ISSUED
PLEASE LL O KIN
ORG YS FORPROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
05/0612014 09:39 Les Jones Roofing, Inc.
41,Ib6City otBap
3830 Pilot Knob Road
Eagan MN 65122
Phone: (661) 675-5676
Fax: (651) 676-5694
Date: Z19
(FAX)9528817009 P.0021011
Use BLUE or BLACK Ink
For Office Use
Permit ft; s: 'ti
Permit Fee:
Date Received:
Staff
91;
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
T Site Address: 1404cy047 '10671 `ioSS- BE.44/04. AM ki)AD Unit 0:
Name: yo P2oP42TY 4eE tAle-. Phone: 657 -_,6 -,s -z/ ?9'i
Address / City / Zip: Ro., Bo )4 212 rc / jji r v1r 44" 6S57 ?4
Applicant Is: Owner x Contractor
Description of work: gbili3OPS. %Wet 711.4e --S / 0C -"P
Construction Coat: $ Tr, 2‘0. 3
Multi -Family Building: (Yes X / No J
Company: I5- /11E3 ROOffst/,6 Ave.. Contact Char. �Q-ruDazro�
Address: girl W. $O r SrR'r. City: ,Br.Ogad-auefrrea/t/
State: _Nin! Zip: J,412D — Phone: 952 - 76 7 - ,28/9
License #: '57p Lead Certificate 0: 4'4-i `eo 9'J,? -/
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 Eagan Issued a permit for a similar plan based on a master plan?
Yes No If yes, date end address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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CALL BEFORE YOU DIG. Call Gopher Stat. Ono Call at (661) 484.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utIllUes. ywnrw.noaheretateonecall.orq
I hereby acknowledge that thle 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 thie le not a permit. but only an application for a permit. end work Is not to start without a permit; that the work will be In
accordance with the approved plan to the case of work which requires a review and approval of plane.
Exterior work authorized by e building permit leeu.d In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x c/i-eAS 4A10672s O/
Applicant's Printed Name
xm .,.
Applicant's Signature
Page 1 of 3
05/21/2014 10:19 Les Jones Roofing, Inc. (fAX)9528817009 P.0111011
1111016City otBaaQa�n
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 676-5676
Fax: (651) 675-5694
Use BLUE or BLACK Iflk
For Office Use
Permit #:
Permit Fee:
Date Received;
Staff.
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0, 9 / Site Address: 4042 1-1041 '4o5j, Y05S & 4VEIL DIM RAD Unit #:
i''';'!".1',�` �0•iw „
,M; a,�. � /�?,; :',
• i�' :. ;; .1g''',
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o 667- Yrz/ f9.4/11
Name: yp PeoPa2ry C�.& 6 /VG. Phone:
,
Address / City / Zip: p o• 6o k 212 5 /NvEgt Ciz-ov4oh 44' 63-2479
Applicant Is: Owner _X__ Contractor
r '•Y 4'�f' - , `j
(', IiRh 4' � �I:
'l .•�� +
Description of work: REMo Vt •• 41V0 4 1 OM E c ► I,& V £2M'4-
Construction Cost: *-2°j /34' r Multi -Family Building: (Yes A /No. )
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Company: 1 5 7'A/ R 2AAlE- /NC. Contact: cw s �Q-ivD472sod
i
Address: 91/ IN. ') 771 sib City: "Goa?c 'A6-T0A/
MAIzip: ,r 4'2D Phone: 975 1- 76 7 - a8/7
State: }c�i p
License #: k_91, D Lead Certificate #: ,v4r `/o g 7.Q - 1
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
.Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Iesued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. CaII 48 hours
before you Intend to dig to receive locates of underground utilities. www.aooheratateonecall,org
1 hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances end codes of the City of
Eagan; that I understand this Is not a permit, 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 the Case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Ieeued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x CN-k,S 4AID SCA/
Applicants Printed Name
x
Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157949
Date Issued:09/17/2019
Permit Category:ePermit
Site Address: 4047 Beaver Dam Rd
Lot:40 Block: 01 Addition: Diffley Commons
PID:10-20450-01-400
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Magdalene Mau
25 Inner Dr
St Paul MN 55116
(612) 425-5284
Appliance Connections Inc
12850 Chestnut Blvd
Shakopee MN 55379
(952) 445-4803
Applicant/Permitee: Signature Issued By: Signature