4616 Cambridge Dr
CITY OF EAGAN WATER 5ERVICE PERMIT
3745 P91or Knob Raad PERMIT NO.:
'Eagan, MN 55122 DATE: ?
Zoning; _ No. of Units:
Owner:
Address:
_
Site Address:
LY'! „^ .,t
??c.r.?r "?'•iI7..'
Plumber: _
Meter No.: Connection Churge:
Size: Actount Depasit:
Reoder No.: Permit Fee:
1 agree to eomply with the City of Eagan Surcharge:
Ordinonces. Misc. Charges:
Total:
By Dote Paid:
Date of Insp.: Insp.:
aTr oF eAGaN SEWER SERVICE PERMIT
37,95: F:bt Knob Road PERMIT NO.:
? •
Edgan, MN 55122 • DATE: -
Zoning: No. of Uni#s: Owner:
Address:
Site Address:
Plumber:
1 agree to eomply wit6 the City oF Ecgan Connection Charge: '
Ordinonres. Account Deposit:
By
Date of Insp.:
Permit Fee:
Surcharge:
Misc. Charges:
TotaL•
date Poid:
4 ?
. S ? f.
BUIlQING PERMIT
Site Address 7 `, f7 a71`t , "t`=. r;.
Lot Bloek SecfSu
PQrnel # 1.'`1 2.3 5'`)',^
m NGme
Z
3
Address
D
`
Ci Phor
a Nome
0
U
? Address
? Ci Phor
?a
WW
?-W
Name
x? Address
I hereby acknowiedge thot I hove read thi
the informotion is correct and ngree to
State af Minnesota 5tatutes nnd City of
Signatare of Permifitee
A Building Permit is issued to:
all wark shall 6e done in accordonce with
Building Officiol
;irr aF
:nob Road
PHOt1E: +
tion and
vith all
gan, MN 55122 N2 6704
IDO
Receipt
#
, _-
Date - 14 .
,
- Erect p, Occupancy
Alter ? Zoning -
Repair ? Fire Zone
? Eniarge ? Type of Const.
- Move ? # Stories
_ Demolish .p Front ft.
Grade ? Depth fY.
?vacaa? i ic? r?
Water & Sew.
Police
B?dg. Off.
Fees
Permit
Surcharge
Plan check r!'?• =j?
SAC
Water Conn. 33> - 27
Water Meter ?''1 • `?' '
Road Unit
APC I Totol --?
on the express condition that
nesota Statutes and City of Eagan Ordinances.
,
Permif # Doh Ipued PenMkt64
Plumbing
Mechanical p-.dz-qe
INSPECT1pN5 DATE INSP. Rough-In finol
Footings (? - Z3 Date InsR. Date Insp.
Foundation
ram ins_
?
> _ -, ;
_ Plumbing
Mechanicol
?-
Final
Remarks:
CITY OF EAGAN Remarks
aad;r;on BEACON HILL ADDITIaN Lot 13 Blk 2 Parcel 10 13500 130 02
Owner X4t"L?!U}? ? DeE?ya K0JI d ? 5creec 4616 Cambrid_.ge Drive scate Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
I Sl'REETSURF. 1982 1848.67 205.41 9 1643.27 A010800 12-15-81
S7REET RESTOR.
GRADING 1982 537.84 59.76 9 478.08 A010800 12-15-81
SAN SEW TRUNK ?U 1 7 135.97. 9 15 72• 55 A010800 12-15-81
SEWER LATERAL rl? 1982 3182.83. 353.65 9 829, J.9 A010800 12-15-81
WATERMAIN
? WATER LATERAL 1982 9
WATERAREA 05V 1982 202.00 22.44 9 179.56 A010800 12-15-51
* Stubs 1982 9
STORMSEW TRK 1982 367.77 40.86 9 326.91 A010800 12-15-81
* STORM SEW LAT 1982 g
CURB & GUTTER
SIDEWALK
STREET LIGHT
Ro , 25921 6-8-81
WATER CONN. ? 25021 6-8-$1 I
BUILDING PER. 6704
sAC 525.00 25021 6-8-81
PARK
(grr#ifirttft v# Orrupttnrp
Citp of Cagan
Er,pbxfmrni nf Builbing 3nnprdimt
Tbir Cntificate iarutd purtrutnt to tbe requirrmrnu of Settion 306 of the Uniform BuiWing
Codc a+tifpng tixti at thr timt oj irauanre thit rtructurc war in rompliattte witb the variour
ordinarscctoftheCityngulatingbuildrngronn+urtionorurr. Fortbcfollouang:
u:a.mrK.am SF DWG/GAi2 Bld&PemtitNo. 6704
amwKrlva R3 *rwc? V FiRz? MN z?wwt.« Rl
o,,.„dB„a,o„ Josenh Miller Consx,,,.n 14115 Guthrie Ave., Armle
leyx-"- BY.
1055p- D,u: July 31, 1981
?J?T IM ? COMYICVw9 IYC[
?N
RESIDENTIAL BUILDING
Permit Applicatioo
City Of Eagao _C) 0
? C] s C? l 3830 Pilot Knob Road, Eagan Mn 55122
? ? Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodeVReoairReouirements Offce Usa Onlv
3 registered site surveys showing sq. R of lol, sq. k. of house; and all mafed areas 2 wpies of plan Cen of Survey Recd
(20%maximum lot coverage allaved) 1 set of Energy Calculations torheated addihons Tree Pres Plan Recd
2 copies of plan showing 6eam & window sizes: Doured found design, etc. 1 site survey for addiLOns & decks Tree Pres Not Reqd
1 set of Energy Cakulaflons Add'rtion • indicafe iforr-site septic sysfem _ On3ite 5epfic System
3 copies of Tree P25ervatlon Plan A lol platted after 717/93
Rim Joisl Derail OpUons seleqion sheet (61dgs with 3 or less units
Date Construction Cost
Site Address 1{(v ((p L° fi-f17B/P ?? [TL` Q R UniUSte #
Description of Work ??'?'jO?C E K( S7"/NCr /} /? ? aU1L P N L!n/ D?c-K
Multi-Family Bldg N Fireplace(s) _ 0_? _ 2
Propert,yOwner Dtn /4?'2 O "ek'" Telephone#((p50) 40S-07_2
Contractor ?
Address CitY
5tate Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rulzs 7670 Cateeorv 1 Minnesota Rules 7672
Eneryy Code Category . Residen6al Ventilation Category t Waksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope 0alculatic,9aSd:?%A
-'?? CG ;A Vl '? \
Licensed Plumber Telephone #(
u
Mechanical Contractor `' ?UN Telephone #(
y.
Sewer/Water Contractor a Telephone # (
I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
i7n.- A We.?er ?..(7 fzlb?
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
I
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of_ plex O 09 07-plex O 17 Garage O 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ?44 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex plbg_Y or, N? 25 Miscellaneous
Work Types
eld 31 New ? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacertient 'Demolitlon (Entire Bldg) - Give PCA handout to applicant ,
Valuation Occupancy MC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump ,
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED I NSPECTIONS
Footings (new bidg)
? FinaUC.O.
Footings (deck) ? FinaUNo C.O.
_ Footings (addikon) _ plumbing
_ Foundation HVpC
_ Drain Tile ptheI
Roof ` Ice & Water _ Final Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review -
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r40?P
AT
C)
R V
EAGAN
- REVI ?
2 _!3
? CITY OF EAGAN
V ' 3795 PiIM Knob Road Eo9an, MN 53722 N! 6704
PHONE: 454-8100
BUILDING PERMIT APPLtCATION RQceiPt #a`/
To be uaed for SF DV9G/GAR Est. Value 50.00 0 Dote -Ti me g , 19-m- _
Site Addreu 4616 CBIDbi'idPe Di'ioe Erect [I Occupanq R3
Lot ?3 Block 9_ $ec/Sub. Bep pcm Ai l l n Alter ? Zoning N?
parcel # 10 13500 130 02 Repair ? Fire Zone Ha
l
E e of Const
n
T
n
arge ? .
yp
rc Name Soaevh Miller ()0218t. , Zi1C. µove ? # Stories
? Address 13015 Cedar Ane. SO. Demolish ? Front 4.71 6^ ft.
Apple ValleT Gmde ? Depth 44 ft.
Ci
hne
? N Qqpngr Avvroral._ Feas
z
ri
°uS?
?
ame _
Address
Name _
Address
I hereby acknowledge that I huve read this opplication ond state that
the information is mrrect and ogree to comply with all npplicable
State of Minnewta Statutes and City of Eagan Ordinances.
Assessment _
Woter & Sew.
Polite _
Fire
Eng.
Planner _
Council _
Bldg. Off. -
APC
Pertnit 1[tU 2U
SurChorge 2,5- M-
Plan check 70-25
SAC S?.? .?5 - 00
Water Conn. 3,35 - QII_
WoterMeter An_nn
Road Unit 1,$5 ..(N]_
Torul 1340 75--
Signoture of Permittee 1
A Building Permit is issued to: J08CAh Ui118T COIIBt on fhe express wndition that
all work shall be done in occorclance with all aoolir,dmle State of Minnewta Stotutes and Ciy of Eagan Ordinances.
Building Officfol
t?
?, . "S• ?? _-? ',
CI'I1' OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
. Bi7TLDING PMIIT APPLICATION 1 set of energy calculations.
Yb Be Used Fbr New Home - Sin¢le Valuation oTj Date 6/2/81
Site Pddress: 4616 CambridRe Drive EaQan MN OFFICE USE OHI,y
IAt 13 Block 2 Sec./SUb. Beacon Hills Erect
Parcel #: 10 l3 ?o U 130 (? ?- Alter ?? 3
Q,Jiier• JOSEPH M. MILLER CONST,, INC.
pddrggg; 13015 Cedar Avenue, So.
City/Zip Code: Apple Vallep, MN 55124
Phone #:
Contractor: SartE
Pddress:
City/Zip Code:
Phone #:
Pxch./Eng.:
Pddress:
REpair Fire Zone
Enlaxge _ Type of Oonst.
Nbve # Stories
Demolish Front
Grade Depth 'yy ft.
APPROVALS FF'F ,c
Assessments Permit
Water/Sewer Surcharye
Poliae pian Chejc)c - -rp qw
Fire' SAC
Ehg. Water Conn. 2:9
Planner Water Meter
Council Road Unit
Bldg. Off.
APC
City/Zip Oode:
Phone #:
.'Certifiaate for:
, ,iow. Miller Cot?atruction plan No. 90031
13e15 Cedar Ave+ so.
,c..App2e Va11ey,.Kn.
DELMAR H. SCHWANZ
,I LANDSVRVEYOA
Rp6brW UntlN Laws of Tha SbU o/ Mmnssob
2B7! -46TM STREET W. - BOX M RDSEMOUNT, MINNESOTA 86089 PHONE 672 123-1789
? SURVEYOR'S CERTIFICATE
30 ?
14 .00 5 8Q 38 324 E
N 3?0 _ ¢6.
10
' LU 3 F - C,?-
Z o a (r?
, ?
• N ?ziuf ? ^ ? Z4. ?3 \/
? , , ? 0
?
22.0
1? I ??af£ ? o? /? ?
t:i ?n ?. I M
Q N
? I 24. 3:
973.3 I ? ? I? -'
n
? N la ?-?---
Q p v?o3 .o
a
9`izy 140.00
i
v D ira nageJ& utility
?
0
V)
? easement y
--- ?4.
Top of Blxk _
( Garage Floor q7G•?
? L Basement Floor
3??notes proposed finished Brade
? Denotes set xood hub and tack
I hereby certify that this is a true and correct representation of Lot 13,
Blook 2, BEACON HILIS, according to the recorded plat thereof, Dakota
Countg. l9lnneaota.
Benchmark: Top hydrant at end Beaoon Hill Court
Februsry 2, 1981 Elevation - 963•13 ft.
Revlaed to shox proposed house June 2. 1981.
'!{?',• ' EXTI:itTUlt L'•NVI:I:oPI's AVCItA-GC "U" COMI-6T71TIUN
• •--
SITE TDURFwcS: ?_?_ _ ?IIONE:
c;oi4TR+cT-+R:
Determinc vorking square,footaqe of esch
1. Tot:a] cxtwsod N:+ll ar(ia...... !?'13 s9• ft. x .17 a_3d1•41
2. To.71 roaf/c;eilin9 area ... ...eq• ft. x .05 a ?•?
lbtal exposed wall area above floar - 1-rl 1
a. Tntul wall window area .................................
..tnl. ctccir. sraa .......................................
.._ ?
c. 9;a^a door area .........................
S
d. 7bta1 tirQplace wali area .............................
e. Tolal faall frvniny arca (averaqe 10%) ..................
f. Total zim joisL area ..................................
g. u&Z_ wall area above flour .......................... ,
h. r ..........................
i. w . .......................... .
j. ..........................
^?ot<il expose3 foundation area
?
k. 'pola] Eo,u:clatfon windnw area ........................... ?
1. Taral nr.t foundation area above grade .................
DcCermine "C"
(e.?. windcw, value of each wall ae,qment
door, each separate wall section)
a ,q x "U"
.
X
„U„ .
.55 =
?.?2-
C ??•(o x „u„ ? 42,
.
a. ' x
f. X flu.? ? Q-?V
J e?A
X ?lull r.C! L_. _ _ g5 3
_ __
? flU., _
? '' x .
----•- "u'l -
-?_?__
-
- ,
----
?' - X
------- "u" °
?.r?_
X ,U --- _ ?
a _ ,41_ .z
. Torat -
?. ---AD_.
231, I
y? item It3 ic thc 3??mn
dr'les: Lhatt itrm iI1, y
)Iavp mpt thi• intent af
:;H,^, GLOfi (c) 2.
, - bct;•rior Envclopc Averagc "U" ComputaL•ion
. ?' ..
. Tul<il exposed roof/coiling area = q -7
m. 7bta1 skyliqlit arca ............................ ---?-
?_
n. 9btal roof/coi ] i nrt fr,jminq arr.i ( avcr.aqc 1011)...
o. Total net in::ulatcd roof/cciling arca...........
lletermine "U" value for each roof/ceiling segment
page 2 ox a
? X
n. ?7. ?; ?lu,l 4.8
.
x „u„
A ........................... 7bta1
If total of p4 is tlie s:une as, or less than 112, you have eet the intent of
gHr 6006 (c) l.
AltcrnaL•c Duilding FnvcloPe Design
To ucilize the total envelope'system method, the values estabiiahad by the s'am of
flems 03 and.44 shall not be greater than the sum of itewe N1 and N2.
i. 301 •41 + s. 41 I
3. 231. + 4. 31 - ?_(oZ. I
,
_ . •,: •
3/
• - ? • PLAu 900-
? UME,,AL FT, Ex.posEp WALL
Z4-? 3 5-4z4+ sf
35f 24'4
2?-f-
4,0, ,
?
'°Ul...L( ? z5.S+3(o?-r,4+Ib+3Ep
V L.. LZ. 4'
I R_ER'...AC.E ? ?f \• ?JI?? r
SKj5oSEC5 WAL.L
? Lo?c. ; ? zq K S=(?,
.
K S= 5 2?
W .0 . ; X $ = is7'7
I:ULL I k g
FuLl?2% kS=
=aE4pc5p-i) CSL.ELICf
V ? A
f
'vU Dw"S L] ? Doo?z_5 t?
.. ,
-'`H4 1 - 4 g, - _I
(
I?hT( o"
DR-S ?i
Z4 ?= r++-a ; i l -4B .
.
I Z3.9 FS M4 U IJ r+5 L1
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
! 3830 Pilot Kuob Road, Eagan MN 55122
?4 U??a Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremen4s RemodellReaair Reauirements
3 registered site surveys showing sq. ft of Io1 sq. fl, o( house; and all roofed areas 2 copies of plan
(20% maximum lotcoverage alloared) t set of Energy Calculations for heated addiUons
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns & decks ?l
1 set W Energy Cakulations Addrtion - ind'rcafe i(on-afte sepfk system _
3 oapies of Tree Preservalion Plan 'rf lot platted aker 711193
Rim Joist Detail Options selection sheel (bidgs with 3 or less units
Date ?/ /
Site Address
0 y
Ar46 644M ?
Construction Cost ? a? O,
NA04i D R UniUSte #
Description of Work T AKC-OFF A mp ft0PLAed5 Vilj?"&V
Multi-Family Bldg _ Y_X N Fireplace(s) _ 0 _X 1 _ 2
Property Owner D K QN t Y[ C ??r Telephone ti (/,f) 70 S
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Rasidential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) 5ubmitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the inf atio " ?^^",?°*° °°•'•! accurate;
that the work will be in conformance with the ordinances and codes of the Ci y o agan and the State of MN
Statutes; I understand this is not a permi4, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
LwC ltr
Applicant's Printed Name
.?-?---
ApplicanYs Signature
?-----use ------------
? Foi Otfice I
City 0f LLLiLLn j Permit li
; Permit Fee: I ?7 • ?S ?
3830 Pilot Knob Road
E8g8n MN 55122 Date Received: ? j
? one: (651) 675-? ?i stan: ? 17 ?? i
ax:(694 i i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
nate: la D SiteAddress: `YUJIb ( Dll6E'!R4IQ6-6- PLUL;
Tenant:
sune #:
RESIDENT/OWNER Name:.?A,VE t(?q ,QGL l,(? _ Phone: &51"1V05,_Oa9s
Address / City / 2ip: A`{? 16 0fl/?131ela(rC- ??10,/UC
Applicant is: _ Owner _5L-Contractor
TYPEOFWORK Descrip5onofwork: ?Et? Ipr rlr lA i 7'1Y1) i?(N0UloS (L) G?[(5r1? S
Conshuction Cost: ? D ?166 ' Multi-Famdy 8uilding: (Yes _/ No ?
CONTRACTOR Name: 0OuN 06IUtQF}C. 4tt11-1x-::P" Tit,O License#:
Address: 710 `y6)k)z) /"1(/E/1:UE /LCci-ff-
S5(-I ,;7
51 GV Zi
)
b
p:
State:
.L
City: i X
Phone: /? ? ? ? ? ? - 6 #21 Conhct Person: I-,4f /? ? ?&vUT7-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residenlial VeMilation Category t Worksheet • New Energy Code Worksheet
CBtegOry Submitted Submitted
(4 Submisslon type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on e master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporling documents that you submlt are considered to be public information. Porifons of
the lnformation may be classified as non-publ(c !f you prov(de speclilc reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that Mis informetion is complete and accurate; that the work will be in conformance wiM the ordinances and codes of the City of
Eagan; Ihffi I understand this is not a permq but only an applica4on for a permit, and vrork is not to start without a permR; that ihe work will be in
accordance wiih the approved plan in the case ot vmrk which requires a review arM approval of plans.
x 6,1w Y e(,-r/q/ -- x u ?
AppllcanYs Printed Name Appli nt s Sig re
Page 1 of/?g,, ?
U
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146604
Date Issued:11/02/2017
Permit Category:ePermit
Site Address: 4616 Cambridge Dr
Lot:13 Block: 2 Addition: Beacon Hill
PID:10-13500-02-130
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
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 -
Duane A Weber
4616 Cambridge Dr
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173586
Date Issued:11/18/2021
Permit Category:ePermit
Site Address: 4616 Cambridge Dr
Lot:13 Block: 2 Addition: Beacon Hill
PID:10-13500-02-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
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 -
Duane A & Carol L Weber
4616 Cambridge Dr
Eagan MN 55122--270
(651) 587-1598
Aspen Exteriors Inc
14245 St. Francis Blvd
Suite 101
Anoka MN 55303
(763) 277-8869
Applicant/Permitee: Signature Issued By: Signature