4072 Beaver Dam RdRESIDENT / OWNER
Name:t aoper ' A PE l,UG Phone: 45I-- .5-5-‘1" 9? /9
Address / City / Zip: P.O. Box 2(2.5 (Nva & got/6 (,11is M Ss-o1(
Applicant is: Owner )( Contractor
TYPE OF WORK
Description of work: //0 /4NO gent- 94 haF
Construction Cost if 21, DC) Multi- Family Building: (Yes /No )
CONTRACTOR
Name: 13E1 r= >LTt'T (pg2 lk A - I NT. CO/Z. P License #: 26,2 // // 3/
Address: 705 W. 6 STnE City: /V(t,fiffeAFOLLJ
State: MN Zip: 5 9 Phone: 62 12 — t g(al - ‘ 2 LI 3
PA
Contact: - Gt,' L N. Email: I Gf 7 , - c Ai - Co nit
f1
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 fora 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:
Tenant:
City o[Etan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicant's Printed Name
Applicant's Signature
For OflceUse
Permit # 16 7 &3
Permit Fee: Z6
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
4070, (1072, Nol' ko 6 80101 DA g
Site Address: MO 1992 I994 ''' I `$ 9 /A at&- ,t/G/EZ.D 2T'
Use BLUE or BLACK Ink
Suite #:
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.clopherstateonecall.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 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.
d/e6e /c ,i/v-a6�.f0,1,7
X
Page 1 of 2
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 12/20/91
3830 Pilot Knob Rd.
Eagan, MN 55122 -1897 CHIP # PERMIT # 12455
METER SIZE B.P. RECEIPT # C 016574
DATE 2 -17 °91 ISSUE DATE B.P. RECEIPT DATE 12 /20/91
PRV __ BOOSTER PUMP
4070 4072 4074 4076 BEAVER DAM RD
SITE ADDRESS 1990 1992 1994 1996 GLENFIELD CT PERMIT REQUESTED
LOT __BLOCK SEC /SUB Di f f 1 ey Commons
_L— SEWER_ WATER TAPS
APPLICANT: The Rottlund Co Inc _
ADDRESS: 521)1 F. River Road COMM /IND _RESIDENTIAL
CITY, STATE Fridley. Mn. ZIP 55421 X NEW EXISTING
PHONE. 571 - 0304
Lawn Sprinkler Meters are to be Installed
PLUMBER: Val 1 ey Plumbing Ahead of Domestic Meters on Water Line.
ADDRESS: 610 Creek Lane Cr +' ILL NOT be given for Deduct Meters.
CITY, STATE Jordan, Mn. ZIP 55352
PHONE: 492 - 2121
I AGREE 0 COMP V W H CITY OF
OWNER: The Rott l and Cc. Tnr.: EAGAN ORDINANCES
ADDRESS: 5201 E. River Road
CITY, STATE Fridley, Mn ZIP55421
P NE: 571 -0304 SIGNATURE WHEN METER ISSUED
A W O RKI G DAYS IA PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM
SEW R PERMITS, CONTACT ENGINEERING DEPT.
06/17/2014 15:05 Les Jones Roofing, Inc. �AK�528817009 P.008l020
Use BLUE or BLACK Ink
i For oni�a us� i
. � i Permit#: � 1�� I
Clty of �a�aIl � Permlt Fee: ��� �
3830 Pllot Knob Road � �
Eagan MN 6612z j Date Reoalved: �
Phone:(661)675-667'S I 1
�ax:(651)675�5684 I Steff: i
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2014 RESIDENTIAL BUIL.DING PERMIT APPLICATION
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€:'� '° '" Ucense 1#: lo�D Lead Certlflcate#_ �[l,�� �f O� 7.�-/
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ff the project is exempf from lead certlflcation, please explain why: (see Page 3 for additional info�mation)
COMPLETE THIS AREA ONI.Y IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the Clty of Eagan(ssued a permit for a simllar plan based on a master plan?
Yee ^No If yes,dete and address of ineeter plan:
Llcensed Plumber; Phone:
Mechanical Contractor: Phone:
3ewer&Water Contractor: Phone:
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CALL BEFORE YOU DIG, C�II Gopher State Ona Cell at(661)d64-0002 for protedlon agalnst underground udlily dama�. Call A8 houro
befare you inle�d to dlg lo recelva locatas of�derground utl�itlea, www.go�herslateonecall.aro
I hereby acknowledge that thls Informallon Is complete and accurete;thet the work wlll be In conformance wlth ihe ordlnences end codes of lhe City of
Eagan;that I understand this Is npt a permll, but only an appNcatlon far a permlt, and work Is not to start wllhout a pertnit;thet Ihe wwic wlll be in
acCOrdance wllh the approved plen In the ceiee o(work which requlres a revlew and approval of plans.
Extarlorwork euthorizad by e bullding p9rmlt Issuad in eccordanco with the Mlnnesote Stata Buliding Code must be completod wlthln 180
daya of parmlt IssuanCe.
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AppllcanYa Printed Name AppilcanYs Slgnature
Page 1 ot 3
02t19/2014 12:33 Les Jones Roofing, Inc. �Ni�528817009 P.0081020
Use BLU�or BI.ACK Ink
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City of Ea�an � � permlt Fee: �� 1• ���
3830 Pllot Knob Road FEB � g 2�14
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Eagan MN b6122 j Date Recelved: j
Phone:(681)676-687b I �
Fax:(651)676•668e! . 1 Staft: I
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2014 I�ES�DENTIAL BUILDING PERM17 APPLICAI'ION �.-~�
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Date: �9 � SIEe Address: 9 i 9 Co Unit#:
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`}�;� '��' n�.�°,,;;u.�+'r,`°+�: Llcenee#: �[i�'"�o� Lead Certlflcate#: ,�J,41� 4`O 3 7.7 —/
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If the project is exempt from lead certlflcatlon, pleese explein why: (see.Page 3 for additionel information)
COMPI.ET�TH1S AREA ONLY IF CONSTRUCTINC A�U,J,�D1NG
In the last 12 months,has the City of Eagan IsBUed a permit tor a elmllar plan baeed on a maeter plan?
� _Yee ,_„_No If yes,date and eddress of master plan:
Llceneed Plumber. Phone:
Mechanlcal Contractor: Phone:
Sewer&Water Contractor: Phona:
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CALL BEFOR�YOU DIG. Cell Oopher State One Call et(651)434•000x tor qrotectlon apeinet underpround utility damage. Call 48 houre
before you Intend to dlg to recelve locatee of unde�ground uGllUes. www.000nereteteonecau.oro '
I nereby acknowledge Ihat thla Intotmallon le complele and accurete;IhOt the work wlll be In conformance wtth(he ordlnances and codea of the Cily of
6e�en; that I underetand thle le not a permlt, but only en applicellon tor a permlt,and work la not to elaK wilhoul a permit; that lhe wo�k vu111 be In
accordence with the approved plen In the caee of work whlch requlres a revlew and epproval o/plane.
Exterlor work authonc�ed by a bullding permlt Issued In accordance with the Mlnn�sota State Bullding Code must ba complated within 180
days of permlt laeuance.
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Appllcant's printed Name Applicant's Signature
Pege 1 of S
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179447
Date Issued:10/05/2022
Permit Category:ePermit
Site Address: 4072 Beaver Dam Rd
Lot:054 Block: 04 Addition: Diffley Commons
PID:10-20450-04-054
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Ly Trang Nhat Truong
4072 Beaver Dam Rd
Eagan MN 55122
(612) 229-7212
Paul Bunyon Plumbing Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179573
Date Issued:10/11/2022
Permit Category:ePermit
Site Address: 4072 Beaver Dam Rd
Lot:054 Block: 04 Addition: Diffley Commons
PID:10-20450-04-054
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Maria M Lidstone
4072 Beaver Dam Rd
Eagan MN 55122
(612) 229-7212
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature