EA187599 - Building - Siding - Issued Date 10/19/2023 PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd `�' ® ® Permit Number: EA187599
EAGAN
®®�® ®®
Eagan, MN 55122 ``®' "-°
(651)675-5675 111111111111 IN 111111,
www.cityofeagan.com * E R 1 8 7 S 9 9
Date Issued: 10/19/2023
Site Address: 4349 Beaver Dam Rd
Lot: 22 Block: 3 Addition: Meadowlands 1st
PID:10-48050-03-220
Use: * 10 4 8 0 S 0 03 - 220
Description:
Sub Type: Siding Construction Type:
Work Type: Replace
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 -
Christine Catherine Fredlund
4349 Beaver Dam Rd
Eagan MN 55122
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
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For Office Use
I Building Permit#: I
S&W Permit#:
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Permit Fee:
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Date Received: I
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 I I
651 675-5675 FAX: 651 675-5694 I
( ) � ( ) Date Issued:
buildinginspections@cityofeagan.com I————————---———————————
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: -1 / 1JMAyekGIG� (� Unit#:
Applicant is: Owner ❑ Contractor
Name:
Hdmaowner Address: 1, �1 epi! ver- dJ d,oa 2� City: � 1 C'
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State: Zip:
Phone: l ac
Description of work Iil V-A—
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Typeof
work' Construction Cost:
Type of building, Single Family ❑ Townhome, of units El Twin Home
" Company: VnmoS Ae�,�� r n act:�G�1
Building Address: 01W h aC City:
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State: Zip:S���� Phone: ? I Email: I� t
License#: 2& � O Ex iration Date: 2
Sewer'A Company: Contact:
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��AtltraCtor Address: City:
RegUiddfat State: Zip: Phone: Email:
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License#: Expiration Date:
understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NO Et,Plans and suppor#int� oce�ments that youusubmit are:corialdered tube public°lnformatlon Portions ofthe
I'fo rrrtatlorr rnay be.clas�ifled a Hort-liubilc if y6u`provide pocific reasons that would permit the Gy cdh,61ud6 that they
aretrade secrets.'
CALL BEFORE YOU DIG. Contact Gopher State One Call at(651)454-0002 or www.gopherstateonecall.org 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 f plans.
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App icant's Printed Name App icant's Si4fiature