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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 -------------i For Office Use I Building Permit#: I S&W Permit#: l,,EAGAN 1 \ I Permit Fee: I I I I 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' q State: Zip: Phone: l ac Description of work Iil V-A— S t 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: �cagC� C in f1�CtC1wr 20'7 State: Zip:S���� Phone: ? I Email: I� t License#: 2& � O Ex iration Date: 2 Sewer'A Company: Contact: water ��AtltraCtor Address: City: RegUiddfat State: Zip: Phone: Email: ncttan.. 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. X ' l ` lV X App icant's Printed Name App icant's Si4fiature