4056 Beaver Dam RdRESIDENT / OWNER
Name: / 0 PRO PC3TI CARE IN C. . Phone: (o S l - .5 99V9
Address / City / Zip: Po. &w Zi z s (Nve -g 6/Love 47667 - 5 i AN 55026
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: REMOVE .4 A/D //Ep4R - SfN /N( tp g
Construction Cost: i$ .21 O 60 Multi-Family Building: � y g: (Yes / No )
CONTRACTOR
Name: BFI f XTEg -In/'? Mfg /JUT: CDIep License #: o?d e11/3/
Address: q05 14. 60 ' SflZE Y City: Mr wibW a-1S
State: MN Zip: syqo Phone: 612 - 861' 6g
Contact: PA-a. L - M . Email: /h > t bat ) . 60/11
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.
Date:
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
ce
Permit #:
Permit Fee:
Date Received:
Staff:
/00/ 641
Use BLUE or BLACK Ink
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
4051/ yos4 4os8 v' 864 -vft DA-44 /Logo
/0/ /ID Site Address: / / 941 /9 /y ti- / 9 /6 G COURT'
Tenant:
Suite #:
CALL BEFORE YOU DIG. Call 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.gopherstateonecall.orq
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 I understand this is not a permit, but only an application for a permit, and work is not •_ <_,.. without a permit; that the work will be in
accordance with the approved plan in the case of ork which requires a review and approval of
X GMe r s a 72 So
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 12/04/91
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12415
METER SIZE B.P. RECEIPT # C 15423
ISSUE DATE B.P. RECEIPT DATE 09/17/91
DATE 9 - 18 - 91
PRV_ BOOSTER PUMP
4054 4056 4058 4060 BEAVER DAM RD
SITE ADDRESS iathriaxxAgl 1910 1912 1914 1916 C4FNFTRID CT PERMIT REQUESTED
LOT 1 BLOCK 2 SEC /SUB DIFFLEY COMMONS
_X_ L_ WATER TAPS
APPLICANT: The Rottlund Co.
ADDRESS: 5201 East River Rd. COMM /IND .X__ RESIDENTIAL
CITY, STATE Fridley MN ZIP 55421 X NEW EXISTING
PHONE: (612) 571 -0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Valley P 1 umb i ng d o f Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane =•'t WILL NOT . • gken for Deduct Meters.
CITY, STATE Jordan, MN ZIP 55352 , 0
PHONE: ( 612) 492 - 2121 �'(,(�
AGREE T C s MPLY WITH CITY OF
OWNER: The Rottlund Co. EAGAN O' sINANCES
ADDRESS: 5201 East River Rd.
CITY, STATE Fridley, MN ZIP 55352
PHO E: (612) 571 - 0304 SIGNATURE WHEN METER ISSUED
E, W ` K � -9/
PL L O ORKING DAY FOR R &EBBING. CALL 454-3220 FOR INSPECT ONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. re u> r a . f
06117/2014 15:04 Les Jones Roofing,Inc. �AX�528817009 P.002t020
Use BLUE or BLACK(nk
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3830 Pllot Knob Roed � �
�agan MN 55122 � Dele Received: �
Phone:(661)6yG-6676 I I
Fax:(651)676-669a I Staff: I
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2014 RESIDENTIAL BUILDING P�RMIT APPLICATION
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'`���;s:��;`;r�';::;"=�r;�' �;ia� L1ce�se#; �.��oD Lead Certlflcate#: .U.4T YD 3 9�--/
If the project is exempf from lead certiflcatlon, please explain why: (see page 3 for addltional information)
COMPLET�THIS AREA ONLY 1F CONSTRUCTING A NEW BUILDING
(n the(ast 12 months,has the Cl�y of Eagan leeued a permlt for a sim(lar plan based on a master plan?
�Yea �No If yes,date and address of masher plan:
Llcensed Plumbe�: Phvne:
Mechanlcai Contractor: Phone:
8ewer&Water Contractor: Phone:
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CALL BEFOR�YOD UIG. Call(3opher 3tate One Call et(661)464-0002 for protectlon agalnst underoround utlllly damage. Call 48 hoerre
before you intend to dig to recelve lOCales ot underpround uillltlee. www.aaoherslstaonecall.org
I hereby acknowledge lhet lhlc IMormallon le compl6te end ECCUrete;fhat the wOrk wil►be In conformance with lhe ardlnanaas and codes of lhe Clty ol
Eagan;thet 1 undarstend lhls Is not e pemtil, but only en 6pplicetlon for e permlt, end work Is not lo start wllhout o potmlt;that Ihe wotk wlll be I�
accordance with the approved plan in►he ceae of worh wl,lch requires e review and epprovel of plans.
Exlarlor work authorizad by a butlding permlt laeued ln eCCOrdance wlth the Mlnnesota 3tata eutiding Codo must ba complotad wlthln 180
days oi parmit 186udnCe.
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Applicant's Printed Name Appiicant's Signature
Pege 1 of 8
02/19/2014 12:31 Les Jones Roofing,Inc. �A�9528817009 P.0021020
� Use BIUE or BLACK Ink
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. ' � j Pemtit#: ����� j
C�ty of�a�a� � Pertnit Fee: ���- �
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3830 Pllot Knvb Road � ' �
Eagan MN 56122 � oete Received: �
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION �
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'� ��� � ' �' a��s� ��; 'a� Construction Cost: 38 ,5—' 3. Multi-Family Bullding:(Yes x /No�
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If the project is exempf from lead certlflcatlon,please explain why:(see Page 3 for addltlonal Ir�formation)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 manths,has the Clty of�agan Issued a penntt fvr a slmlla�plan based on a master plan?
� _Yes tVo If yea,date and eddress of maeter ptan:
Ltceneed Plumber: Phone:
Mechanlcal Contractor: Phone:
� ,
SeWer&Water Contracto�: Phone:
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CALL BEFORE YOU DIG. Call Gophcr 9tete Ono Call at(661)A64-0002 for protecllon egalnst unde�ound uU�ty demage. Cell 48 hours
before you In►end to dIp to recelve locetes of underpround uGlltlee.
1 hereby acknowledae that thle Informetlon le complete end accurate;that 1he work wlll be In conformance wl�the ord�nences end codes of the Clty of
Eegan;that I underetand tnle Is not a permlt,but only an appllcat�on for e permll, and work Ie not to start wilhout a permlt; that the woric wlll ba In
eccofdenCe wllh Ute epproved plen In lhe csae of wortc whlCh requlre9 a rBWew e�d�pprovel of plens.
Exterlorwork authortzed by e bullding pennit Isaued 1n accordence wlth the Mlnneaota Stete Bullding Code must ba completed wlthln 180
deys of permlt 19sua�ca.
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Appllcant's Printed Name Appllcant's Slgnature
� Page 1.of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154914
Date Issued:04/18/2019
Permit Category:ePermit
Site Address: 4056 Beaver Dam Rd 2
Lot:002 Block: 04 Addition: Diffley Commons
PID:10-20450-04-002
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Shashank Sharma
4056 Beaver Dam Rd
Eagan MN 55122
Metro Heating & Cooling
1220 Cope Ave E
St. Paul MN 55109
(651) 294-7798
Applicant/Permitee: Signature Issued By: Signature