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4111 Beaver Dam RdCity of Eagan Eagan, PERMIT City of Eaan Permit Type: Building Permit Number: EA097321 Date Issued: 12/08/2010 Permit Category: ePermit Site Address: 4111 Beaver Dam Rd Lot: 24 Block: 01 Addition: Diffley Commons PID: 10-20450-240-01 Use: Description: Sub Type: e-Windows/Doors Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434 - Zoning: Square Feet: 0 Construction Type: Occupancy: Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 3,000.00 BL - Base Fee $3K $88.50 Surcharge - Based on Valuation $3K $1.50 0801.4085 9001.2195 Total: $90.00 Contractor: Crew2 Inc 2650 Minnehaha Ave Minneapolis MN 55406 (612) 276-1680 - Applicant - Owner: Thedens Linda G Revocable Family Trust 4111 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 ER & WATER PERMIT F`EAGAN PilotKrtob Rd. ,'MN 6 122-1897 METER.::# ' PEtrt CFitP #"' PERMIT. B.P. RECEIPT # G`' 017717 BP RECEIPT DATE '03/10/42 SITE ADDRESS 41.1 `' Dam c s► `L®7 4 �•ALOCK 1 SE uB D-ifQ].eY APPLICANT: Th., 8ott Co ADDRESS: 1 PL..�@itagr, CITY, STATE ZIP PHONE. 571 PLUMBER: ADDRESS: 6)0, CITE', STATE J � r zw PHONE: 2— ". OWNER: ADDRE a� 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 41110111" City of ft 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink i For Office Use Permit#: p2 5 Permit Fee: (OO ^ 00 Date Received: 1\ J 11 1 Staff: 2014 MECHANICAL PERMIT APPLICATION ❑ Please+submit two (2) sets of plans with all commercial applications. Date: 1 1) J 1) /q Site Address: Li / �eeeeatlae 7 s !i Tenant: Suite #: J Resident/Own' Name: L(, -t (Y\ il-•caflC Q> Phone: c52.0- / - S-730 Address / City / Zip: Name: Address: AIR MECHANICAL INC 16411 Aberdeen Street NE 4 State: Zip: Ham Lake, MN 553 04e: Contact: ( z l New Replacement Description of work: License #: rn ei, c5)22 - City: Email: V efa 0- L dart/ TE:'Re mounted and round mo n ode. Please costa t the Mechaniici. RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other Additional Alteration Mac ie icat uipment pector forinformationl on p PVC. Demolition eerie ng COMMERCIAL _ New Construction _ Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)O ,��,//'� $100.00 Residential New (includes $5.00 State Surcharge) = $ lel/ , TOTAL FEE COMMERCIAL FEES $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal *If contract value is LESS than $10,010, Surcharge = $5.00 **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 _ $ Permit Fee = $ Surcharge* TOTAL FEE =$ 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. x&ea,t, Arw2e1 Applicant's Printed Name x fr' / 4040 Ap • cant's Signature