4613 Cambridge DrCITY C-%EAGAN
3v95 'Pilot Knob Rood
Eagan, MN 55122
Zoning: Ri
Owner, •1oSCLx. :`'''! lZI:T CC
Address:
Site Address• Lry Ca r;<<3r idRe
Plumber:
Meter No.:
Size:
Reoder No.:
1 agres to comply with fha City of Eagan
Ordinaecas.
By
Dote of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
Connection Chorga: 420•0f) '
Account Deposit:
Permit Fee:
Surchcrge:
Misc. Chorges
Totel:
Date Paid:
Insp.:
cITr ? EAGaN SEWER SERYICE PERMIT
3795 Pilot Kno6 Roed PERMIT NO.: - - -
Eogon, MN 55122 QATE:
Zoning: T. No. of Units:
Owner: 1`'1.9,.1eT ?tJY.'l St w"•,r_g .F - -
Address:
i ? , ?
Site Address: -..7. r s-•, -,
Plumber: ia ?"
, .. _. ..1-, . . ? . .
I ngree to wmply With the City of Eagan Connection Chdrge: 4 2 5•????
Ordinances. Account Qeposit:
Permit Fee: ;- .
Surcharge: " -
By Misc. Charges:
Date of Insp.: Total:
Insp.: Qote Paid:
715 2
BUILDING PERMIT
#
Site Address - /, ' 1 ^ ! "_.,- 4 :ri (a- ? T-
r
Lot Block Sec/Su ?'• .I i`
Parcel #
oc Name .,-
W
_
? Address
°C Name -
0
OU Address
Name _
Address
I hereby acknowledge that I have read this application ond state that
the information is correct and agree to comply wlth oll oppliCahle
5tate of Minnesota Statutes ond City of Eogon Ordinontes.
Sipnature of Pertnittee
A Buiiding Permit is issued to: '
oll work shall be done in acaordorxe with all
Buildinp Officfol
Erect ? Oceupancy
Alter ? Zoning
Repair Q Flre Zone
Enlorge ? Type of Const.
Move 0 # Stories
Demolish p Length
Grode ? Depth Sq. Ft.
Aporovois Feos
Assessment
Woter 8 5ew.
Police
Fire
Eng.
Plonner
Countfl
Bldg. Off.
APC
Permir
Surchorge
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Total
_ on tha express conditlon that
City of Eaqan Ordinonces.
Permit No. Parmit Holder Micc. Permit No. Holder
Plumbing R 7`l?
H.V.A.C. le ?I-la ?Z
w.u
Water
Disp.
Srrvar
Eiectric
Inspection Date Insp. Other
Foatings 3--Z?
Foundation
Freming
Rouph Plbg. _ Z
A
J+
Rouyh HVAC
Inwlation '
Finel Plby.
Final HVAC
Finai dffi
.
yvater Deserihe Location:
VYell
Sewsr .
Pr. oisp.
Receipt
MECHANICAL PERMIT
CITY OF EAGAN
r? Fi!l in numbered spaces
Type or Prini legibly
1. Date 2. Installation Cost
3. Job Address' Lot Blk.
4. Owner
Permit No. -
Fee
S!C '
Tot. ?
5. Contractor Phone `
6. Address
7. City State Zip
8. Building Type: Residential Cl Commercial ? Institutional ?
9. Work Description: New C;7 Add ? Alter ? Repair ?
I 90. Describe
1 11.
Type '
No. F.quioment BTU - M. Ea.
Forced Air No. Enuiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
Gas, Piping Outlets
12. ( hereby certify that the above information is true and correct, and 1 agree to
camply with all ordinances and codes governing this type of work.
Signed : for
Rough Finel
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt - PLUMBIING PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print legibly T
ot.
1. Date 2. Installatian Cast
3. Job Address ' Lot 81k Tract
.
4. Owner ?
5. Contractor Phone
6. Address
7. CitY State 2ip
8. Building Type: Residential 0 Commercial ? lnstitutional ?
9. Work Qescription: New C7 Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Clpset No. Fixtures
Cesspoo1/Drainfield
Bath tubs tic Tank
Se
Lavatary p
Softner
Shower Wel l
Kitchen Sink
UrinallBidet Qther
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets ?
12. I hereby certify that the above information is true and correct, and I agree tn
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Appraved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Rddition _ BEACON HILL ADDITION f3 Lot 28 sIk 4 Parcel 10 13500 280 04
owner 1?P11?1 (,by?- street 461-5'Cambridge Drive State F.agan, MN 55122
1-5 0-Lancas.ter Lane
Improvement Date Amount Annual Years Payment Receipt Oate
STREETSURF. 1982 1848.67 205.41 9 1643.27 A011131 6-3-82
STREET RESTOR.
GRADING $? 1982 537.84 59.76 9 478.08
SAN SEW TRUNK ? 976 135.97 9.06 iS 72.55
*SEWER LATERAL 1982 3182.83 353.65 9 2829.19
WATERMAIN
*1NATER LATERAL 1982 9
WATER AREA 1982 202.00 22.44 9 179.56 " "
* Stubs 1982 g
STORM SEW TRK ?r 1982 367.77 40.86 9 326.91
*STORM 5EW LAT 19$2 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 240.00 #29366 3-26-82
WATER CONN. 420. OO
8UILDING PER. 7152
sac 525.00
PARK
BUILDING PERMIT
CITY OF EAGAN
7795 Pilat Kneb Roed Eegan, MN 65122
PHONli 454-6100
Site Address 4613 Cgb1daQE DriVe
Lot ZS Block 4 Sec/Sub.- Beacon Hill
Pa,cei # 10 13500 280 04T
-
W IN,rn, Josenh M_ Miller Cnnst.
Z Addross 14115 GuthY'ie Ave,,
9 _ A-1- fL11_- _• LCG LlG9
p Name QdA,e7'
0
?? Addrau
1, riw. o?.....?
Neme _
Address
I hereby ocknowledge thot 1 hove read this upplication and stute ihat
the inlormotion is correct nnd ogree to comply with all opplicoble
StaM of Minnesoto $fotutes and Ciry of Eogan Ordirances.
N? 7152
Receipt # 2??
erecr ?
' oauponq. R-3
, -
Alter ? Zoning ?
Repair ? Fire Zone
Enlarge ? TvPe ofi Comi. V
Move ? # Srories
oemorsn ? Lenqth 41 ,
Grode ? Depth 45 Sq. Ft.-
Apprmob Fees
115sessment _
WaMr & Sew.
Police -
Fira
Erq.
Plannet _
CounNl -
Bidg. Off. _
APC
Permit
SurcFarge 23•00
Plan check.1 '49 "Sn
SnC 525_(1)
Woter Conn420_.QO_
W ater Meter 6() - nn
Rwd Unit 940_n0
Totol $1665.50
Siqnoture of Permittee - I
A Buflding Permit is issued ro: `7082ph ?:112L t, on tha exprcss condition thnl
oll work sholl be done in accardance with cll aDR?a Stp ewta Statutes ond City of Euyan Ordinonces.
Buildinp Official ? ?
?\
\\`??XA \? \\l\?? ??\`•, ?'••? ,.. ;; ? : ?i?? 4i
;
?ttitdittg .?tts?rrtitmt
'?Tbii?Ceitititatc: ittutd }rxrrWttt fo lbt; rty2uremi?ut of Sution 306 of tix Uni/orm: Ba?ilding
``' Codr nriifjirsg t5,at ru dx sime of.ir.sr'uiuq-tbu'utiuesure was'in comf&ance witb tix oarioui ,?
ordinaxuri o f thc City regulaeing bai/diag ?oiutriatioa er'rur:,'For rbe f ollowing.•-
/ =v - , ''? • - ; y-
-?
_ tin CIm11e?Ym ' ? J? DINBiAb Panmt No. \ Z1rJ? "?\: \\
R=-V' NIl
By:
.,_.?........._„_... ??. .'.;5 `:?` .,
LZg??3y?6?co????? 3b3a3
, iO?fV /d?bb
Request Daia Hre No. Rnuph-in Inspecuon
flenu?reA2
?Ves No
[-]HOatly Now?Will Noufy hisper
Ior When Reatl4
n Licensed Electncal ConVactor
;aOwner
1 hereby request insOection oi above
electncal work mstalled aC . SVddress, 8on or Foute No. Crty
46 vYl p E a A U £ &464
ecban o. Township Name: or No. Ranye No. (;ounty
0 ?=?+PaPFINT) '??' -
? N ? ?S'?-16 ?Z
Power Supplier
14?A Cv, CD ?46', Address
Electn al Cnmractor iCompanv Namel
WYI?'? Contraclor.s l.mense No.
Madin9 .4ddres5.IContrac[or or Owner
3 C'Q1rfi2a OGE MakmB Inslailationl
Ul,
Authonz tl ienature IConVacmr Owner Mabne Ins[allationl . Pho'pCe N?umber
'?J(J ( C/
MINNESOTA STATE BOARD OF EIECTHICIiY ' THIS INSPECTION pEQUEST WIIL NOT
C+,,9es•M,dwey Bldg. - Noom N•191 BE ACCEPTED BY THE STATE BOAPO
1821 UnivarsrtV Ave., St Paul, MN 55104 UNLESS PPOPER INSPECTION FEE IS ow___ 1a111 '4z1111 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION ,r; es-ooooi-os
?7 s,? Q r'? ee mshmppn5 lor complBting this form un hack o1 Vellow copy.
T " ?`
/ U
N" Belaw Work Covered by This Request 36323
Ne% Adtl Hep. Type of Building Appliin Wiretl EquiVment Wited
Home Range Temporary Service
Duplex Water Heater Lighting Fixtwes
Apt. Building Dryer Electric HeaLn
Commercial BIAg. Furnace Silo Unloader
Industnal Bldg. Air ConAi[ioner Bulk Milk Tank
Farm Other ueufy ther (Sper,ilv)
ther Ueufy Ot e, Other
Cnmpute Mspectian Fee Belaw p Fee ServiceEntranceSize p Fea Feeders/SUhtentlnrs # Fee Circuits
0 to 100 Am s 0 to 30 Am s 0 to 30 Am
701 to 200 Amps 31 to 100 Amps W 31 to 700 Am
Above 200 qmps Above 100_Amps Above 100_AmPs
Transtormers Remote Contml Grc • Partial-'Other Fee
Signs Speciallnspection '
$ ilfokf,
OTAL
Ferruirks
? `w?+Y?in IN.W i 1M4Nn cC
? E
/. ?
N`?
fiovgh-in Da[e ?, the Elechical
Inspector, hereby
certify thet the above
Fnal ( «'?? inspec4on has been
mede.
This reauest voitl 18 monihs from
RES[DENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reauirements RemodeVReoairReaui2menb Office Use OnW
3 registered srte surveys showing sq. R of lot sq. R of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(2096 maximum lot coverage allowed) 1 sel of Eneyy Ca1cuW6ans for heated additions 7ree Pres Plan ReW
2 copies of plan showing heam 8 windaw sizes; poured found design, eta 1 site survey tor a44NOns 8 decks Tree Pres Not Reqd
1 sel of Eneryy CalcuWlions Addition -mdlcete donsde sepfk system _Omsite Sepic System
3 copies of Tree Preservafion Plan iF lot platted after 711193
Rim Joist Defail Optbns selection sheet (bklgs wilh 3 or less uniL4
Date L_
Site Address Q rYl 1JY) ?i1 Coostrucdon Cost 1
G?, V V UniUSte #
Description af Work J? 6 1?
Multi-Family Bidg _ Y N Fireplace(s) _ 0_ 1 _ 2
Property Owner t()G v-,\ S G n d-?Ora Telephone #( )
Contracror l ) Q? ?
p
,.
Address ??1 l?}1?4 ?? C•1 ??. I
State I? ?• ,,p
?
?l..l I,+ City ?(? Vl
Zip ? Telephone #(?l ) Gv> •Q) 6 S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catezorv 1 _ Minnesota Rules 7672
Energy Code Category . ResldenGal VenGlation Calegory 1 Worksheet • New Energy Code WoAcsheet
(J submission type) Submitted Submitted
• Ener9y Envelope Calculafions Submiued
?.. ?----
;
iicensed Piumber P? I ;. •? ? ? ' Telephone #(
nnechanical Controctor AK 2 1 2N9 I J Telephone #(
-
L.
Sewer/Water Contractor Telephone # (
I hereby apply for a Residential Building Permit and acknowledge 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 staR without a
permit; that the work will be in accordance with the approved plan in the case o£ work which requires a review and
approva] of plans.
?»,?n ? tal? ?e??21hv&
0&dz .-? Sa
ApplicanYs Printed Name Applicant's Signature
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ??,Q?
??i ???""6
3830 PILOT KNOB RD - 55122 (J
657•681•4675
New Conshuction ReauiremeMs Remodel/Reoalr ReautremeMs ????
? 3 regtstered sHe surveys showing aq. tf, of lot, sq. H. ot house 2 copies of plan
and ?II rooled arens (20% maximum lof coveraae allowed) 7 se1 of energy colculattona ior heated additions
? 2 copies ot plans (show beam 8 wtndow sixes; poured fnd. design; etc.) 1 affe survey for exterior addNions a decks
7 sH of energy calculations ,
> 3 copies of }ree preservatlon plan H lot plaRed aHer 7/7/93
DATE: CONSTRUCTION COST: 4501. 1Z
DESCRIPTION OF WORK: ieC;Cy ariCL LQ - Ycj
STREETADDRESS: FtIP1 2 ( 7irnt'?YICXO?P IW1i14
LOT: a? BLOCK: ? SUBD./P.I.D.#: 60-?-C-d
Name: VoV'd PPI-Pr Phone #: C5C3Lo
PROPERTY tast First
OWNER 4?I? ? a
Street Address: hrl[Y n0 DfLU_o_
City E ar) State: ? f1 • Zip: ?f, ) Oa
Company: m1d,lCe5t" ?LYY??Py-nd Phone#: u 1-?;L I IzAC'r
(area code)
CONTRACTOR
Street Address: lUUti C. G i F? RCl _ License # 2UW`133(0 up.
City :B1L'Y1SUd.u_ State: fYlt`1 • Zip: S533'7
ARCHITECT/
ENGINEER
Telephone #: area code (
Street
City
Sewer & water licensed plumber (reauired for new construction onlvl:
? Name:
Registration
State: Zip:
Penalty applies when address change and lot change is requested once permif Is issued.
1 hereby acknowledge that I have read thls application, state that the informafion Is conect, and agree to comply with aIl applicaWe
Stote oi Minnesoto Sttrtutes and Clty of Eagan Ordinanees.
Signature of Applicant: l IaLcati RCAAO%?Klqc?_
Certificates of Survey Received _ Yes
Tree Preservation Pian Received Yes
OFFICE USE ONLY REC?°Ei'VED
- No JUL r 1 1999
! No ^ Not Required By:
. ? ?
CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT ApPLICATION 1 set of energy ca7.cul.ations.
To Be Used For N Valuation Date 2/25/82
Site AddYess: 4613 Cambrid¢e OFFICE USE OHI,Y'
Lot 28Block 4Sec./Sub. Beacon Hill :Erect Occ?anCy
Parcel #: 10 ('35(? z Fso t7 ? rlter zoning
Repair Fire Zone
OWner: ,)oseoh M. Miller Const Inc Enlarge _TYAe °f Const.
?- Nbve # Stories
Address: 14115 Guthrie Ave. So. Delmlish Front ft.
? -
f' City/Zip COde: Anvle Vallev 55124 Grdde Depth ft.
Phone #: 454-4753 p,ppROVALg F.EES
CAntraCtAr: Same • -- ?
Address:
City/2ip Code:
Phore #:
Psch. /ESng. :
Address:
City/Zip Code:
Phone #:
Assessments Pesmit o?;
Water/Sewer Surcharqe
Police Plan Check -3
Fire SAC
Eng. Water Conn.
Planrer Water Meter ? c
Council Road Unit 9Y0
Bldg. Off,
APC
WTAL ? ?Q ?? ?
. , .. . . ?fylCe-itificate Por: ?
- Centex Homee Midwest Inc.
? 8601 Darnell Road
Eden Prairie, Mn. 55344
2-25-82
xouse t,ocation For: DELMAR SCHWANZ
Joe Miller Construction IL,,,NO?URVEVOR
14115 Guthrie p.VC. Reqiftara0Un0arLa?O1Th*5lAteofMinnuota
Apple Valle, MN 55124
207a 746TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 66088
SURVEVOR'S CERTIFICATE
Hk: 58/9
yIAN* 89og4
PHONE 81$ 453-7789
?? ? - _ --?- T-
o L R?.ICP, STER
m
Q15 ? i oo. o'i 5
; h14 o
?
,N f
N I
0
? I
?
1?' I
0 I
0
I
L Pt Nr-- \
o , s.`
m \
89° 4c.' 2.4" E 46.9;o ?
QoPt.P=9li.9
rM, 1-
v??''
., _ ..
0
? h
g?5
-- - - -
? o
N
k°-5 g9°38?3Z? E 130.
a'+"' rov s v. _ 97.2.3
-ilir I Denotes eicisting elevation
!95 Denotes propoaed elevation
Li
O S
?
1 ,?o=p_. ?p h ?f
' y? •? q1b.b .y' q'j3, 8
10 q'IR1 0 u
7ovz?.9?r.y 3D
SC?1e ? 1 inc,l? = 30
I hereby certify that this is a true and correct representation oP I,ot 28,
Block 4, BEACON HILLS, according to the recorQed plat thereof, Dakota
County, Minnesota.
February 3, 1981 Proposed Garage Floor ?97a •
Proposed Top oP Block ???¢ •
Proposed Basement Floor 9 4,.
Benchmark: Top hydrant at Yeb 3041-Blk. 3 Elevation- 976.27 ft.
Revised to ahow propoaed house as ataked Feb. 25, 1982. rr f
? i
' /
MINNESOTA REGIST ATION N0.8625
Certificate Pors
' Centex Homea Midwest Inc.
8601 Darnell Road
EQen Prairie, Mn. 55344
2-25-82
xouse Location For: DELMAR H. SCHWANZ
Joe Miller Construction LqNDSURVEVON
, 14115 GAthTi2 AV2. RpislarNUnOVLiwsofThe ftatg of M??n4*00
App le V$1?8?/ ?7 TM?pEET W. - BOX M ROSEMOUNT, MINN880TA S60N
zris
SURVEYOR'S CERTIPICATE
Hk: 58/9
flAN"689af4
pNONE 612123-1709
Y
I._ F? IJ C Ik ST ER L.. R?..I e.
q15 y ?oo, oz s 642)° 44o' 7-4" E a6.'? ?\
a
?• ° - .- -. ?, ??i ?' ? ' ?
.9 CII
5I ? -??,? }. ?.?' ? ?
?N I ?? 1?irZP=17?-
Q I 1 .?. ?q7 •1 ?I I?`.? ? ?
--t
W?
0 8
? , W Z
' o ..
. o ? ?..?, ~•?? ° ? (Tr I? a'(
I '-?•. ?" ?
` / •o _ ._. Q ? I
I ??'f Io
?
4X q93? Q / y
k?? S "036-3L"E 130.Off:+ 3V
q?MToP I. P= 99s.3 7eP Keg 9?'/. y ?
-f s i Denotes existinq elevation S CqIQ ^' s%hC?
9??? Denotes proposed elevation '
ey BEACON HILL4,taccording tte tl?t d x'ecorrect eorded plata thareof, n Dakoat 28,
Block4
' County, Minnesota.
Proposed GaraBe Floor q •
February 3, 1981
Proposed Top oP Block ??._„ ?'?_---•
Propoaed Basement F1oor 9 4,Z .
Benchmark: Top hydrant at peb 30,j.B1k. 3 Elevation-'9 6.2y ft.
Revised to atiow propoaed riouse as ataked Feb. 250 1982.? ?. ?
j,
,
MINNESOTA RECa1ST A710N NQ.8625
5 `
S^ t ?
+? ? ,..,%t•???f
'i.?? , ? .?? ?? , .. . • ' ' .
DEVELOPER'S CERTIFICATION
Lot: 2b
Block:At
Subdivision: 90AC?'?, JJtj,,(-
This is to certify tha± ? %M M445r- ??SN-Ulc*4
has compZied wi*_h the Seller's requirements necessary to obtain
Scl'•_er's approval for a building permit.
.
This Approval is by Seller only. Builder must comply with all
city requiremez*_s and must secure his own building permit.
A:proved by Seller, Sienr_a Corporation:
By
t ora gc
Accc.?p±ed by P,uyer:
By-
. 6 ?jr?CVj6j...
:.?
;T
?w
4940 Vking Drive
Peruagon Office Park
Minneapolis
MN 55435
1612) 835-2808
"` (07 ( PLiTMBING (RESIDENTIAL)
Permit Application
City Of Esgan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemvts are required for each unit
k-s-'-sv
D
t
a
e
Site Address rv- Unit #
Property Owner 09,Au /e-J Telephone #
Contractor H P PIPFwORKS
370 DODD ROAD
Address
AAN 561?'i
FJ1fs/W City
.
j?l' ? 1340
State
Zip Telephone# ( ) _
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit z sets of pians and MPC license $ 100.00
Includes County fee. Additional wnsultant fees may apply. '
Alterations To Exisdng Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/g^ meter if needed -$121.00)
Other.
_
_ RPZ _ new installation _ repair _ re6uild $ 30.00
_ Lawn irrigation system
? Water softener _ Water 6eater $ 15.00
P replacement _ additional
50
$
State Surcharge ? .
nn M
?
Total ? LI U J
I
$ 26
? ?.
I
I hereby apply for a Residential Plumbing Pemrit and acirnowledgeMt the *n£^r"'?''°B-ie-u'om?lete and accurate; that the work will
be in conformauce with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand flus is not a
perxnit, but only an application for a pernut, and work is not to start without a pemvt; that the wofl will 6e in accordance with the
approv?? n in the a e of work w3uch requires a review and approval of plans
Applicant's r ted Natl? Applicant's ' ture
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA150308
Date Issued:06/28/2018
Permit Category:ePermit
Site Address: 4613 Cambridge Dr
Lot:28 Block: 4 Addition: Beacon Hill
PID:10-13500-04-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Michael Corcoran
4613 Cambridge Dr
Eagan MN 55122
Golden Valley Heating & Air
5182 West Broadway
Crystal MN 55429
(763) 535-2000
Applicant/Permitee: Signature Issued By: Signature