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EA186177 - Building - Siding - Issued Date 08/21/2023 PERMIT City of Eagan + ® � p Permit Type: Building 3830 Pilot Knob Rd ®�+;®+ ®�;.�, Permit Number: EA186177 Eagan, MN 55122 EAGAN (651)675-5675 www.cityofeagan.com * E R 1 8 6 1 7 7 Date Issued: 8/21/2023 Site Address: 1964 Beaver Dam Ct Lot: 065 Block: 1 Addition: Meadowlands 1st PID:10-48050-01-065 Use: * 10 4 8 0 S 0 01 - 06S * Description: Sub Type: Siding Construction Type: Work Type: Repair Description: Census Code: 434- Residential Additions,Alterations Occupancy: Zoning: Square Feet: 0 Comments: Fee Summary: BL-Base Fee $133.15 0801.4085 Valuation: 5,000.00 Surcharge-Based on Valuation $2.50 9001.2195 Total: $135.65 Contractor: Owner: - Applicant - Martin Delacruz 1964 Beaver Dam Ct Eagan MN 55122-222 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. Applicant/Permitee: Signature Issued By: Signature © --------------------� For Office Use a, 1 I Building Permit#: I II 1 I S&W Permit#: 1 EAGAN I I Permit Fee: I..�►..� I r f I Date Received: d�� t 1 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 1 FAX: (651)675-5694 1 Date Issued: buildinginspections(cDcityofeaoan.com I--------------------- RESIDENTIAL BUILDING PERMIT APPLICATION Date: �`R .13_Site Address: JA0 (2,0utp- DM c/-- Unit#: Applicant is: Iv Owner ❑ Contractor Name: /�/� ciri h 01— IckZ- Cry Homeowner Address: 1q ,4(4 seaVc,,' OK M Gf, City: � State: Zip: ;0^ Phone: -1Email: Description of work: S/tQ A J4 Type of Work Construction Cost: , . SOO. O o Type of building: WeSingle Family ❑ Townhome, of units ❑ Twin Home Company: Contact: Building Address: City: Contractor State: Zip: Phone: Email: License#: Expiration Date: Sewer& Company: Contact: Water Contractor ` Address: City: Required for State: Zip: Phone: Email: new construction License#: Expiration Date: understand that Plumbing, Mechanical, and Fire Suppression work require separate applications. 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. CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.orq for protection against underground utility damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities. 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 Al-A*4Lq Ie tQ C YVZ x Applicant's Printed Name Applicant's Signature