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4115 Beaver Dam RdCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA093201 Date Issued: 03/25/2010 Permit Category: ePermit Site Address: 4115 Beaver Dam Rd Lot: 22 Block: 01 Addition: Diffley Commons PID: 10-20450-220-01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, 952-445-2840 CRAIG ANGELL 12253 NICOLLET AVE. S. Fee Summary: Valuation: 2,246.00 ME - Permit Fee (Replacements) $50.00 Surcharge -Fixed $0.50 0801.4088 9001.2195 Total: $50.50 Contractor: Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 - Applicant - Owner: William J Rebholz 4115 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 07/11/2012 10:42 Les Jones Roofing, Inc. (FA))9528817009 P.002/004 4* City of Eatall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use Permit*: / o 9-1 Permit Fee: / y 7C Date Recelved: 7- (I (Z Stell: 7 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Cq V" /5 Site Address: 4102 `� (WS- BEA -V)2- D/M ROAD j Unit#: • R sVENT / oWN Name: So P2nPOZTY C tr, INC,Phone: 651— 553/ -' 291 Address / City / Zip: P, O. S 2i as- (N V G� �t/E , M4 5 V7 ro Applicant Is: Owner �S Contractor . typever.woRK Description of work: Re -move AtU,D ICEPGA-GM n tIE IMM D Construction Cost: 4: LO,plp,° Multi -Family Building: (Yes / No ____) CONTRA °'TOR • Company: LE5 I N ES R oOFtNG Contact: J S sLuc- Address: qy( W. &#41 9771 -torr City: 2GDOi?2<N(9TVN State: MAI 55 -WO Phone: f5.2�. g8/. ;2q/ ,//_Zip: License #: l�s(0 3/3t IPI Lead Certificate #: ..i4T 61037.2-/ S/zii"J, s' 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 issued 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: - NOM Pfau..einfitilitokadink400lithents thaffouf ibild.0aY:e considered`>tbt e,pulAWnfor'matibtl: Po tins el tl oinfonnallon,marbe olaasifiedms non-public 1, youxpr'oiilde►specific reasons that woulddpermibthe,4itylb c1;s>!nchide•thot:fluaatolnokcsec► f . • CALL BEFORE YOU DIG. CaU Gopher State One Call at (681) 454-0002 for protection against underground utility damage. Cao 48 hours before you Intend to dig to receive locates of underground utilities. www.cwoheratateonecall.orn 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 1 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 issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. G uR's <l K D ep.soaJ Applicant's Printed Name Applicant's Signature Page 1 of 3 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 ONLY PERMIT DA PERMIT # 12605 B P REE IPT # C 017717 B.P. RECEIPT DATE 03/10/92 �» PRV — BOOSTER, PUMP..° 03/18/92 SITE ADDRESS 4115 Beaver LOT 22 BLOCK —1 _SEC/SUB_ APPLICANT. T jQ ,Rr t 1 and ADDRESS: 5201 E. TI 'y 4 CITY, STATE Fridley, 571-0304 PHONE - ZIP °' 1 PLUMBER: Valle. y nurfibi ADDRESS: 61 Q E'rppk T.Ano :CITY, STATE vl . Jordan., MN. 492-2121 OWNER: The Rot t1 AtIEgiESS. C201R. CITY, STATE Pridl y, M 571 -0304 TAPS RESIDENTIAL _ :EXISTING rinkier Meters. are to be tnstatied Domestic Meters on Water Line. L NOT be ani fer Deduct Meters. ZIP 552 i' ZIP 55421 05/06/2014 09:40 Les Jones Roofing, Inc. 416* City of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (661) 676-6675 Fax: (661) 676-6694 2S V3 2014 RESIDENTIAL BUILDING PERMIT APPLICATION (FAX)9528817009 P.0061011 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: Date; z//c'//y Site Address: 410 j `1/r/, W1 YU 9 BE»v6J _ O.., 20 ,4 p Unit #: t ` %. ' a1 ` rl 1' $ , ° ti :4 `.. A...0", �t.. `+'Y'' ' , 'l1 'k7 Name: r90 PeoPd r/ G /'.e l 4... Phone: 65w' -- FS-?/- ?7,-/I t Address / City / Zip: RID- Bost 21,2 5 04/1,672C_Ovz 26 /lam/ 6Y`' 94 Applicant is: Owner X Contractor ' ) .. y°� ,; a. Description of workiGffJliE /�..1/ F 64, Construction Cost $ W, 1, 4/.J Multi -Family Building: (Yee x / No ) fir, °`�' .' 4 Ir. B 3, u `°:1 , 6' � 4'n ' � J "" t : Company: A1-5 ,7 t/63 ,Ri F,V6- /Air -Contact: Chiles s ii-vDE72so,J Address: 1 Clt Go a�r�� 7 � W, gelThi "r ��%� y: f_ _i__ State: Mi) zip: f e2O Phone: 9'SA Ira 7 — c?819 License #: 65-6P Lead Certificate #: ,f),4T LI0 3 ? — / If the protect 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 and address of master plan: Licensed Plumber: Phone- Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ... c. �-+c yvl Cirf'.. ' .n 1, h �. � 1 �.7.•� . *cC'h � - her f, r '.y : `r 1 7i.m'T 'T "F q°!' ,' 'y h ' e� i i y��� 1 !7, c o�oiv l o . o s ��r� '''i_ i l ^ r ale si r, -- 3 � ro ; zo�/ o a o 1.']'; of - T.,;) -r1 e d�,.TZ.4- -, { � L �.T �,.A _� l�, � � �'I, ). 1 (1 1y 1� la �� Y t �i�Y{f.. I BZ= °�QI i "�4 �1 ,ol e ` o p : Y o l' o o el a 1 ���a�':r j a,; • . y T i cY of 1,6 111 -���� ��jj � t� I��, it' �'� i �- �` A �'�'4. � �� /Ps 9 . 10 I , 1!c,,,r 1- rtT:, l- < ,M. ,t� . 1.ea : f 1* , ?c am CALL BEFORE YOU DIG. Call Gopher State One Catl at (661) 464-0002 for protecUon against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.00raherstaleonecall.org I hereby acknowledge that this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 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 issued in accordance with the Minnesota state Building Code must be completed within 180 days of permit leeuance. x Cimis 441D6720N' Applicant's Printed Name Applicant's Signature Page 1 of 3 05/21/2014 10:18 Les Jones Roofing, Inc. TA)!)9528817009 P.007/011 44,111'`City otPaaau Date: 3830 Pilot Knob Road Eagan MN 55122 Phone; (661) 676-5675 Fax: (651) 675-5694 Use BLUE or BLACK kik For Office Use Permit ft: Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address:41/1l fl 7Jv Wh < Eq+�6d 120.E Unit#: Nems: y0 i° CPe2TY -4-t? E WC - Address / City / Zip: C - Address/City/Zip: 'Rd. Bok 2125 Applicant is: Owner X Contractor Phone: $,s -ll. ?. 'q grs-/kit/ 6T'24 Description of work: Sem our- Awe Al) Construction Cost 23i.-153, gritIng 12441446e7) S30/Alb'' Multi -Family Building: (Yes / No ) Company:.ES 172,4/63'RGIOFsAUT; /AJG Contact Ciwats 4s iso Address: 9 1 W 8d 7 Srizr City: 14A h State: MA/ Zip: .1.5-4120 Phone: 95A - 0?8/7 License #: 4.5701) Lead Certificate #: _&41 yes g 7? - / If the project is exempt from lead certification, please explain why: (see Page 3 fof 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 Ryes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor: Phone: 41.4004:-.. la -WA; 440#604041Mildit BellO,.�i/Stela,�vlESO Siff fa tiO►(l� ' rill y rti.. � ��t�if/ O@ i 0.0471-PWORIO"hair10;'? CALL BEFORE YOU DIG. Cali Gopher State Ono Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground uUlitles• www.aooherstateonecall.orq 1 hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances and codas 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 end approval of plans. 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 diets ANDERsd,A/ Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176570 Date Issued:05/23/2022 Permit Category:ePermit Site Address: 4115 Beaver Dam Rd Lot:22 Block: 01 Addition: Diffley Commons PID:10-20450-01-220 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater 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: 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 - Barbara R Arth 4115 Beaver Dam Rd Eagan MN 55122 Tony's Appliance Inc. 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature