1261 Dunberry Lane CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE: —_
No. of Units:
Owner. - -- Address: — Site Address: _
Plumber:
Meter No.• __ Connection Charge:
Size: _ Account Deposit:
Reader No.: Permit Fee:
1 agree to comply with the City of Eagan Surcharge: -- — __
Ordinances. Misc. Charges:
j Total:
By — -i. Gate Paid: — — —
Date of Insp.• (o - 0" Of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 'Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
— No. of Units:
Owner:
Address: - -_ - -- — — — —
Site Address: Plumber: -- - -� - - -- —
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit: __ --
Permit Fee:
B Surcharge: —_
y Misc. Charges:
Date of Insp.:
-- Total:
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118953
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 1261 Dunberry Lane
Lot:3 Block: 02 Addition: Ches Mar 5th
PID:10-17104-02-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Scott Bailey
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Scott A Bailey
1259 Dunberry Lane
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature