4067 Beaver Dam RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Plumbing
EA081245
11/26/2007
ePermit
Site Address: 4067 Beaver Dam Rd
Lot: 34 Block: 01 Addition: Diffley Commons
PID:10-20450-340-01
Use:
Description:
Sub Type: e - Fixtures
Work Type: Replacement
Description: Main Floor
Meter Size Meter Type
Manufacturer
Serial Number Remote Number
Line Size
Comments:
matthew huntington
15230 carrousel way
rosemount, mn 55068
Fee Summary:
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
$50.00 0801.4087
$0.50 9001.2195
Total:
$50.50
Contractor:
Matthew Daniels
15230 Carousel Way
Rosemount MN 55068
(651) 423-3730
- Applicant -
Owner:
Linell Santella
4067 Beaver Dam Rd
Eagan MN 55122-2100
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA103064
Date Issued: 02/21/2012
Permit Category: ePermit
Site Address: 4067 Beaver Dam Rd
Lot: 34 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-340
Use:
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Replace
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Kara Benson
9533 - 367th Street
North Branch, MN 55056
651-674-1766
Fee Summary:
Valuation: 500.00
BL - Base Fee $500
$40.00
Surcharge - Based on Valuation $500 $0.50
0801.4085
9001.2195
Total: $40.50
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Linell Santella
4067 Beaver Dam Rd
Eagan MN 55122--210
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
05-18-'12 11:56 FROM-Andersencorp 651-264-4079
re
new
BY ANDERSEN
al
NEW OPENINGS OR ALTERING OPENING WIDTH CRITERIA:
SPAN OF NEW HEADER
TRUSSES OR HAND FRAMED
TYPE OF MATERIAL FOR NEW HEADER 1114 X 1114 LiL M iw -t EV
NUMBER OF SUPPORT STUDS AT EACH END OF HEADER
NUMBER OF KING STUDS AT EACH END OF KgAbert
T-094 P0001/0001 F-731
Line// on ,I/a
T.wfA)636C
L100, boofYI
`Road
r
Tu55E3
trim or support stud/studs
king atudtsWds
LOCATION OF HEADER (i.e. gaj,te end wall, or other) J �i
HEADER SUPPORTS WHAT? (Le.1 roof * 1 tioor) rDD# &WOv , .
SPAN OF EXISTING STRUCTURE AFFECTING HEADER i_,
EXISTING CONSTRUCTION DETAILS (Gay. 2x4, 2x6) 1x h
,int le -c- 4 r
07/11/2012 10:42 Les Jones Roofing, Inc. (FAX)9528817009 P.0031004
City of Baal
Date:
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 676-6676
Fax (661) 676-5694
Use BLUE or BLACK ink
I
For Office Use //��
Permit #: / Up377
Permit Fee: C 's
Date Received: (Z , / 2 -
Staff: Staff.
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
J
CC
Vie /.3 Sits Address: W0,97 'toga _13e -Ave -7L b4 i 20A-0 Unit #:
OWNER
Name: 990 P/toPEYLTY C,4/2..e7 /A/e, Phone: to S7 - 557/ - f gv9
Address / City / Zip: P. 0' Box 2 t 2S () yfL L•rx..p f�a�d7es lid As" 7G
Applicant is: • Owner SC. Contractor
TYRE O.F WORKDescription
of work: Rwove mo trrPG*a- DErcORA'i1tg e,f u 0
Construction Cost: t Wag, Multi -Family Building: (Yes / No
OdNTRAGF
r
Company: L. E5 I N ES P Qpf rel G 1 Ny Contact r iALS
Address: qy( W. lel rl City: iGUOM/b1-DN
State: MAI '11 D Zip: 55 Phone: f57.2 - 117/- 22 y/
/
: I0S4GC 3/1t /If Lead Certificate #: ,,e1/Afr- t,o372-/ 57a8'/1.f
License #'
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional Information)
In the last 12 months,
If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A VIEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes _No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone: •
Phone:
Phone:
NOM Plant . d*t ppordoff;' . ouinenfs.•fha' •yoils bm-ake.00nside'redifo•berpublla nfo ,ailon; ``e Ions of
ths,Itiformatton maybe-olassified •asanon•p U .Ilc if ygwprpvlde speaifio reasons+fhat wouldpennit'the•Clty-to
.. , a ‘9.p4T91'01bnildoy'alzttl idittasaatss _ ..
CALL BEFORE YOU DIG. Cali Gopher State One Cali at (861) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dlg to receive locates of underground utilities. yrww.aonherstateonecall.ora
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 1 understand thls 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 caseof work which requires a review and approval of plans.
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
GsfinSo�
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
05/06/2014 09:39 Les Jones Roofing, Inc.
*City of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 676-6676
Fax: (661) 676-6694
(FAX)9528817009 P.003/011
Use BLUE or BLACK Ink
For Office use
Permit #:
Permit Fee:
Date Received:
Staff:
1 VD 4 k
,aSOier 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: . f /9 Site Address: 41) 4oG3, 400 4.0/ EreoWED ia.4rt R44-) Unit 0:
J
r Y ;, 'i ,,
h�.
- •_e ,,,ir `'r •
e, r"r3�'0�;'°
t ,'' 1 `°
Name:
Address
Applicant
yo P2oP42rY . 4r?.Et LNG. Phone: 65!— 57.92/- 99`/9
/ City / Zip: o- Bok 24a S /NvE�.. &k i 7446,0T ! 6' 249
Is: Owner X Contractor
tik✓` I r`
g
,� , y
;
Description
Construction
of work: jekUilllMr. Adel,ERGdTi.+G. 0e)/c.
/� ,/
Cost: rp74 079` 2-2Multi-FamilyBuilding: (Yes x / No _ ) . •
y,
fiii ',,:,,„ ` •te'`
y~`, , y°'
�•. ,�� ` i :'' �::.�
r ru ,i 01 ., k i .
1 w al•
,i:, ,,'4,6 .1I1..,,,,":,,i
Company:
Addreee:
State:
License
A65 7 '33 f oeflN� /NG Contact G'ii,4w SO
iea s -,uZAJ
9/ / IN, gem' i'T/Lzz'Y City: ,1GdOr4<.trerMil/
Md Zip: frie27 Phone: 95 — 76, 7" 0819
#: 6561) Lead Certificate #: ,1147— 4°0 S7�7 - /
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional Information)
In the last 12 months,
_Yes _Jo If
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
COMPLETE
has the
yes. date
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIN9
City of Eagan issued a permit for a similar plan based on a master plan?
and address of master plan:
Phone:
Phone:
Phone:
:� tt/I
a ����� rijp �.�r���A
gra } ii . „,,V1, a ,',
a i�4yj/
��
o,�'Jojn�Yd�
r'r�
I I y, ` 1 I 1i
(Lt; � � 0 . ,c1'4,a / �� �1 ,; a,� /1�,� . c(a � �a ��o .�pe��oX �;�a d���/���' ,��Ao I 4�-f ��J.� ,�o ,���A .�o
T. 7 i 7 e 1' 'r�� } ABY !f
.1; ,a ,..4.a ;' ° �r r .gray �a i � � �+ -'sir` , ,. � o .>��:' � rto
CALL BEFORE YOU DIG. Cell Gopher State One Ca1I at (661) 454-0002 for protection spinet underground utility damage. CaII 48 hours
before you Intend to dig to receive locates of underground utilities. w nv.000herstateonecpll.orq
I hereby acknowledge that this Information Is complete and accurate; that the work will be In conformance with the ordinances end 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x GlfkiS #441DE72Soo
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
05121/2014 10:19 Les Jones Roofing, Inc. (FAX)$528817009 P.0101011
1111!Pa° City of Eaaall
Date:
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 6755675
Fax; (651) 675-5694
Use BLUE or BLACK Ink
For Office Usa �
Permit #: C Z%%`_'1(p
Permit Fee: �O
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
a //9 /# Site Address: 4/x..41.4 .400 401 9 4v At/t t R_pA-p Unit #:
C:.jJ.' ;';r.•.uiv `tc� .-'R .%
;�;,Cs.+z; `t ,' 1ja';:
if, i ;' (`u'I, � A
"a,°9 ,,..l« ^ :.,^
-.
Name: o PeOPetrY C.AEr tNG, Phone: 6s7- ryz/• 194/9
Address / City I Zip: 'Po. Box 212 5 /M14 2- -,v✓a Iieh /(4' 51J-474
Applicant Is: Owner x Contractor
•9�''
• ' :� T` ;4�1
- , N. `' fr '
DescDescription of work: I�EMD WND pM
��
Construction Cost $ 20 550. Multi -Family Building: (Yes A / No �
w'°'1117,c
' ..aka. til !F 4, ',C r, ": �,Ver
✓4,„ , ' .,, a.•
if4i4' y.t . u•
'° ' ":''�°apY= '
.'' ';.-u.,:,,r 1.-•.;tiX Al;;F s
' ''.k .'".,',4.4.17.�;:,:9 i, `;
/NG Contact: LE,!/2a s �rVOFJ�
Company: AES ,T ,v s ALZ?ffi 1�~ sOAJ
Address: 1'1I W. jO .4777 City: utiLr7Zol✓
State: kW Zip: ff .'2D Phone: 95-A- 7(, 7 -_�8/7
License #: i6reD Lead Certificate #: AlA-T LID 3 VR - /
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Iseued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
y� 1X1 rot L'w a. T,v f v.r � � �`n_. - .1n,: s.
:;`) �,P],A0s't'%j` 0 ' ' ih) a 1141.0 tifti4 , ellab � 6"i /' i( g: ' l 0143>13s :011:10.0 ! 0 4045.
its��i,�, i'/inf4"c S�nlafipit lYl'a !i_9'T;cj �afff�ealwe44rr hn- y4i (��'.'yp,quipeol'r��id igpk 1 ks�ottn, rikwduiik ' !( `1.pito 1'
•:'- :.L' c1 1;�`:! r. -s ..r °i'.. i "M,,i.,l iiit�,y. •:I..k ..141E 7»4" }c.Qn.Q a b?XRT•'v�iJ,..yd.,rF9i.AI•.f "ACS �.*1.lc .>1164'..?....,: o*A �3.:, '�. tial l�'a,„i;•i.54,'''.'4 ',
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.aoohsrstateonecell.orQ
1 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_
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance,
x C tM,1s fe<MDa2SCij
Applicant's Printed Name
GAG -014( ("4"
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Plumbing
Permit Number: EA148819
Date Issued: 04/24/2018
Permit Category: ePermit
Site Address: 4067 Beaver Dam Rd
Lot: 34 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-340
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
- Applicant -
Owner:
Linell Santella
4067 Beaver Dam Rd
Eagan MN 55122--210
(612) 237-9434
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
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Mechanical
Permit Number: EA148820
Date Issued: 04/24/2018
Permit Category: ePermit
Site Address: 4067 Beaver Dam Rd
Lot: 34 Block: 01 Addition: Diffley Commons
PID: 10-20450-01-340
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:
ME - Permit Fee (Replacements) $59.00
Surcharge -Fixed $1.00
0801.4088
9001.2195
Total: $60.00
Contractor:
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
- Applicant -
Owner:
Linell Santella
4067 Beaver Dam Rd
Eagan MN 55122--210
(612) 237-9434
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
EAGA
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-56
bu i ld inni nspectionsCdJ.citvofeaga n. com
ECEnsfiE
A1k3 0 4 202
For Office uu
Permit#: 112i3 s C�
Permit Fee: �r� •• 6
Date Received:
Staff:
2020 RESIDENTIAL BUILDI _ SIT APPLICATION
Date: 08/04/20 Site Address: 4067 Beaver Dam Rd
Unit#:
Name: Linell Santella Phone: 612-237-4934
Address / City / zip: 4067 Beaver Dam Rd, Eagan,55122
Applicant is: Owner � Contractor
Description of work: Bathroom Remodel
Construction Cost: 7,000
fiD Oicnc_ci
Multi -Family Building: (Yesy / No )
Company: Great Lakes Window & Siding Contact: Derek
Address: 14690 Galaxie Ave City: Apple Valley
state: MN zip: 55124 Phone: 952-891-340i Email: derek.glwsco@gmail.com
License # BC060427 Lead Certificate #: NAT-23297-3
If the protect is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan. Issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
Phone:
Fire Suppression Contractor
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
webslte at .citvofeagan.com/subscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Cali 48 hours before you
intend to dig to receive locates of underground utilities. www.00pherstateoriecall.orq
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 pl
x Derek Brouillet
Applicant's Printed Name
x
Applicant' = gnature
DO NOT WRITE BELOW THIS LINE
4i060 &MI&QZ b
SUB TYPES
Foundation
Single Family
4 Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25°l0_ 100%
i'
Census Code
# of Units
# of Buildings
Type of Construction
_ Fireplace
Garage
Deck
Lower Level
— Porch (3-Season) _
Porch (4-Season) _
Porch (ScreenlGazebolPergola) _
Pool
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Reviewed By:
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
'Demolition of entire building — give PCA handout to applicant
MCES System
0 SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: Footings Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
(5i9i1r
yt bsoti
2a'
Page 2 of 3
To: +16516755694 a 1 of 1
0 Aug 21, 2020 15:04 (UTC -05) From: WWW. FAX PLUS (ma ry )
At
leMolt MN$Q,.
le& 16$04441mok Mx Pm) Po.asaa
lAtt
11:4550Staagiiill"
t Pis dekitalwa t
I P6400" ,11,,, I
I Poraittsur ,.,._..6. o - 06
I 0400 Paosiopt „„ , „ f
1 f
td.
RESIDENTIAL PLURIBI1413 PERMIT APPUCATION
'Wel BEAVER DAM RD
SAL* AS MOVE
PLUMONG
IRS CANE SW
55316
TROY
612 237 4934
Mow ir
PM 083078
ST ki1C4AEL
, city
763 286 994 f
Midas
TROYADMIS5601GMAILCOM
Neu lievelcsinint Rept Mod* licess wan in
Oseeelpliest SHOWER TO SHOWER REIPACENENT
etapaele
Taitiuse Weft HOOP
flimitudVAllter MONK
Mire driberry
...mill* Spina
New _aeoromment
IMMUDINTIAL vens
1 10644 Warr wow woo Stittarist. cm Wallet Heater mg Soar (includes State Sumba
WM Lamm Motion 00111, sone Surctiorge)
SWIM New Wink adding or minppng (adrittes Stale Surcharge)
Sig* **edit Adiendanntent
SIMS NM Roadie** NS 4Xolecie4 WM Sulam Pima)
Sinai Nater So* Spam **Wes Cam*/ be end MaieSuitharge)
IOW Coimeding its. City Wier from + taw for Meru and WSW RIK* Read $MO
"Smair 6 %OAK AMMO 11,4110041 totr connecian charges
- Caltdailiwatob Oast:all at 06114114111111sarpoidba arkikuti
IWO MOW WOW froldloPPOPIe Wan Poet isai„azi.
leillabotip siellis ea eiroloseti PrilfkoPsii Cpy poppepol oodosups
VOW" .10,00114110 iret IND 01 anplil. OW ODOMII. ihp pot sdl
mow I iologotaiiiks is oar swot WI Pret SPOialiggi Aza * pima ard4Parit
IPXOPINPPIAPIP/110108010 POPP ow otos* Ph* aqui,* a mow mil
Larra Mtalloop ir"WW:1
Add Phorniping risers (Niern I ..,, caw 011496
IANCVlion,
„ Calitioniott 10 C:ily Waly fpret IAA*
tor
Am) *wept ciii+e Nowi ret.
ly
up km au mod updros am Poo Oitil
*et res Oninspeps and tom et Pop Cry or
*en ladhcrul s pima Pup itsp 100. lug te
WORK TO BE PERFORMED:
_ .
SHOWER TO SHOWER Intl new tir ain lot .•.•-)r-.A.;!wi-,1
AO* Vail* fr.kr St'Ll3Vitt fixture Ptc.rocIe littA i1141.4
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171899
Date Issued:09/07/2021
Permit Category:ePermit
Site Address: 4067 Beaver Dam Rd
Lot:34 Block: 01 Addition: Diffley Commons
PID:10-20450-01-340
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Linell Santella
4067 Beaver Dam Rd
Eagan MN 55122--210
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature