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. ) 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