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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 �---------�-------_� � �or Offlce Usa � , ' j Permlt#: � v�� ✓ _ j I � ` I C��� 0 ���� � Permlt Fee: �J °� I 3830 Pllot Knob Roed � � �agan MN 55122 � Dele Received: � Phone:(661)6yG-6676 I I Fax:(651)676-669a I Staff: I ' � I �.�.....r.r..��.`.�.���.----�.J 2014 RESIDENTIAL BUILDING P�RMIT APPLICATION i 9�0-i R/Z-/9�y-/91G �r.suF�a�0 Gat��T Date: �/!7� ��( SlteAddress: tiuSH-4osG- 4ass- yoEr, l3�,su� oaa, ►�os►� Unit#: �';,;:;'','.;�::i��s;,: •:I:.,`,:.... ' ". .e", �i.;�e«!1 '�`: �%�, :�u� .:•�;:�>:>��'� y Phona: 6 Ss"� 94'�� ::;���;��1�,�s;;�'�-�ti,.,�; •.... Neme: o P�coP�2ry ��t-�?,&. cnrc.. . Sl-- .,�,. .�,,. � . �a��,:''�:�e�,l,d����%'::;�:��. J�:.,.',�.�.1. M1i. , � . ..' :f'v,'. ;;�,,;,��;..;�y�,n�r-�,.:`:;,;; Address/Clly/Zlp: Po. �ok 2�z 5 /Nv�C�v�a �ttr�. �/----� �� .�i i'�;i2, �. �� C� ',. ,1..�.7,:J':%i(.��:::� ,Jr;c•i �h:-S ,.�+ �:;i, ";ri°5J�',�;:.;i ,`"';�,�"; „ `, �'"`:,• Appllcant Is: Owner X Contractor �:,\�,��� 'Y..��:� :'I.�. .. .} °'4�r �`�iiS: ..r.,.:s��`:'g:''v.'.•`Q1�1;;r;�f�i, ;:;'?; i�%},•";J���:`! pn,'.y:y.'.!y�';^'; r y ` ���t r� .r �� Y:t S ln t 4. . ' �:,� s i�'� Descrlpdon oiwork: /QFitlov� ,¢,yo �6o�AC� ��Dii✓h, ,±�r �'�o.�:�,1�s�lr�,�; ,���i�µ .4��f1�..•(,;,.`,1'. '.!rs;:`��>�°-;��'=;:;�����;�,;;�<<y Const�uction Cost: �2W 449��s Multl-Family Building: (Yes x /No�, :I"'.^�f/:;4J..'.,K.."•);�\�.. •.�Yhr.'. ;'� �'° •�!��,� `���1,:� Company: �E5 �T'an/63 R�FI.✓lr /�vG Conteck Gs�i2�r s f�-�vo�2.so�/ ,;;, -r.��,:,;,T ��.,�';;�,�;_,��°;;�,:;,•; qwna�i�;.,•.,•Ar�v(�J• .. .:1.���-'�"�'� . ,iV'��S'.l'���''''"::').��:',i�:'�;..\._ . ',,4`� . -r��"`'� Add�ess•.9`l/ lN. d' �Y" �aM� .✓ >`'f�'` :���� 0� R�-7" City: _.v�_ �r�;;;`�:di��t-r'a�X�;t�`;°�_ --- - - ' � .�1.�,���4;'�,14��D�:i?�' ��: ;'���,`���:t:�,`�r'��;::�,'�"'`;� Stete: A tn/ Zip: ,f.'��f 2D Phone: S'S�— 9rv 7-0?8/9 F����"in�'?�i'.,�yr, '��t i�-:Q j. ':%'�f:.t�'.1: ������c �.+\;,%ti1r�,f: ., !4'' 't�ye:...:.dF,::a:,' .��,i;; ��4i�'�'�;!fil�,.'. •.: .. .'i:.�1ti"l;t:,�:. . '`���;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: ���I . � �. . .�.Ii.l'..iJ'\' �vi':�...� �.: ' _ _ � �U.y. .�..� ... •�. `•'�� � � '�" ;� S� !�` tl `'�b 61� �`��11Mfi:�OL�;�S ���}�?' �.+•.S�� f�!Or .8.t., �v�� T �'i:' � �'�: . yy ,.... : � �� '.,. �„,. �.� ._.h.f�� ..��'R' ,. ,�'., � !t�. ,;.�[!. ,��'i�. _, :, ;ib;�kl.¢Ja'�'i� ��` , olt.s,'°� f '�_. a;;i�� ,��.�f,::.p �; ,.i.ei;- r,...� :.n� ,„��,,���.h��� .0.8'. -.v', �`.�^: I. :�ro� s.,.� r.� 7: :'h., ..�.�;.i � ��'; ��I'� �`oi��� � �,c.'ia��t e' �����,� �'�' f ,t '.o�i(�r v.d� � !� � ��.,,�X���,� ,s �t�, :� 4r��� ' ,�, �� d� b=;� k ,�. �� 1 ���p�¢��f��'��:4�n�ft�ra��WO�1�tj�e 1� l�i� ��f�'�� Y .�.n: ,;�y A .� .t .S etiF .r F ",�.Y.� dt �; ,r,� � 1� r ,� � �, .o• � ..t. ' .i�l`q; ,\�i .i��:� •"t�.�l�\.J :::iu ;;%i7,,,iti +�e�. 7, . P.�{ ..r2�1,. �v,. .1. i :�,l,kr E,y',t.r.r, 1 G .,r,�.ay.;h,n'? ,.� Y �fY,,s+: �;��: "r1',c, "�J y�r 'c 1 �..n!..;• l,.. 5�;��Q t,i.i��1.,1.:G•�.",'.�,��'..,.:,., .,.y�.�,p.: i� �G�e.;��i''t n., .�0��3 ��aiL� ��i�ir'•.�':�. :�2`; `C!�"ca ��.. �' � (7C. �L'�de.t'S �'!; �F„a �;��, i� ���n x.:�..�.�er � .� ._ � , �.: .<..;.;�.. .,...;. .n.�. i, . ,,,... ,......J`�u: i,,.•;:ti.,,�. •,,;:.,...4.,.•�;C>�lrr�Ll�l .�li�i �.. ..�. @ ,�;-,�, .,. a�.:;, ,f��a.�.: .ai�.., ,r�-��, . . .., .,.,.,, .... „• . . . ... ;: ..._.__ , . , , . _. .. .. .. ... _;;�:� ..,.;.`;. ,;�::. 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. x G/�Rrs l�MD6T25'O,V x ����` .G���c�-�r 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 � i Forofflcouse---------� . ' � j Pemtit#: ����� j C�ty of�a�a� � Pertnit Fee: ���- � R�cEivEa � 3830 Pllot Knvb Road � ' � Eagan MN 56122 � oete Received: � Pt►one:css��s�s.�e7s �'E81 9 20i� � � Fax:�s���sr��ss9a , � S�n� � i i ������.�.......���.-.—���J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION � /� 19 io, �q�2, �9�y, r9�6 ��✓�i� Gv��er Date: � % � Slte Addres9:tiOS�NDS� OS8 4/Obo E 1� Q Unit it: � t s �i ',.r� :'u'tr}, �,�y!' �`��r�f,} i^-0, <;�`.r� �� `��>i ',.. � �;►:•.,, Nanie. yo P2oPQ2rY �A,zE �nr�. Phone: �s�- s.s�! y'4y� �J�}Y�.+�s'��ri,��' ��� ' . ;�t:`�'�';OW`�@r�'/���.��.�";< Addrees/Ctty I Zip: �O. BO k 212 5 �NVE32 lzttov� �� �N b"'S� 7lp �;rat:��.x!�ti3,:r>>wc,l�Y'.r�:�''.� � ',j 1:, F� y q��tr . �: ������'���,������;;���"'°;�� � Appitcsnt Is: Owner X Contrector ��'1 ��'�� Y, r�R'�,`�t....>i.9'1"f.:ryyp.w�•{�, •�'• '•�.>,��."y' c':;,, ^: ti� ;^� �.�� '''4�=� �,�� �r.,M Deecrlptlon oPwork: �C/�1,0 l�� F�N,D /��Y�L�4-�G� /2oOl� � ,�,.,�p1�1`�Q�i,W,4Q�i���N, '� ��� � ' �' a��s� ��; 'a� Construction Cost: 38 ,5—' 3. Multi-Family Bullding:(Yes x /No� �.. -�r��, :��,��,. :�,:. . ��.��YOd.�������?K2i��l; �<�li�.��.�f1�a':�. . �~ �9 �om en �E'S N�3 .v �'":,��i,.?��g�'���'''�}, ` �,�`;��'�' p Y= �lJ RGiDFl�/6- / G Contact:Gat�Pr s �D�2-to� a�;$� �`� ir..,a914'`C �.i •�Cy'.� ���., ,( _7 �����'�::1:�� : � . ��,g���, ,:, �� �;�.�� Address: 9Kl w. �d s�-a.�-r c��►: ,B�o�,��/ �� ��q�iti�c��;;�,, `v,�sa��:.�.r i,.a r� �!''i.,r, /� �I . y�Q,"='-i�,e,,(..�:�^,r.� 9'1}y� � StQte�� ��ZIp: �J ��� Phona: 9'S.�— ��0 7"���I �.i��."T� .a '{•. 1„f.����1FF D . :�.�!I � � 0�:�!" '•� �'��� '����°6�.a�r.; � �'�''' "4'�`�i�a�`��`^%-!�� �2�; Llcense#� �r/o� Lesd Certlficate#: .1/A-� �Q� ��—/ �4ra.A ''s�w t?'�,.��� a� If the project is exempf from lead certlflcatlon,please explain why:(see Page 3 for addltlonal Ir�formation) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 manths,has the Clty of�agan Issued a penntt fvr a slmlla�plan based on a master plan? � _Yes tVo If yea,date and eddress of maeter ptan: Ltceneed Plumber: Phone: Mechanlcal Contractor: Phone: � , SeWer&Water Contracto�: Phone: `' "?'�' �������Pb`�' 'op[� X�l� t�, �' '.s;i�' i�;a R"' ��,'e�'a1'' �.: e�•,. '�"�;a � �id�i' :P'"�,. ��� �-r � j �� ..:�� ..��', ; .b �' _� ,. �,,. ��. �r. ..� ��� ��'.,;P I►'�.��'�., �, ,,� �.. ��;;��'��,,iJt�o- �fi.�?n�;�y:k';;r.o��s�l,f�a��a :�t1�!���;`��Ak�°�Q��.P.��i c��� ��,,x.. ,<. �, � �� �.a� �'�.��� ��:��, - �. �, x � , �$ rm � d' �,. �•- �� � :� � � a a� A . . .. � ,� �... ��. Ty } . . '�rtf`l''•�'4�R ,e�.. �, �:1 �� ��.- • '7W'� �'r•l� .!R � �..:5� , . � � r � [y ,�,.. . . j , . i�� .� �.j rr� .r �e �9 . :'J�',�, a,+� ''�.'a,<• 4 b� y :r K.. •.1J1. 1� .�u. .�... ti. !.i"a r (),.;1�'�\i :l.�o� _ �,Jfr �". �d�iJ~ ��c �j-��r'4 `'bt��� ijS' . . .,...., r ..,. .....�._ .,.. ,�k;.. ,,.,.. . .� C C� ..�$_.,v�. ,- .���� ..Y` �,N� ��� } .... 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. x GFhiQIS f�A��E/�5'O�,CY X (7� "�� •�!G�G������ 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