4539 Hay Lake Rd S WATER SERVICE PERMIT
F EAGAN T NO.:
37' • .tAnob Rood DATE:
Ec,gan, MN 55122 _ AT. Units:
ZoDing:
Owner:
Address:
Site Address:
Plumber: Connection Charge:
Meter No.: -- Account Deposit: - - - - --
Size: permit Fee:
Reader No.: Surcharge:
I agree to comply with the City of Eagan
Misc. Charges:
Ordinances. Total:
By #4 I _ Dote Paid:
/ - -- . — Le Insp.:
Date of Insp.:
IF EAGAN SEWER SERVICE PERMIT
. fhot Knob Road
Eason, MN 55122 PERMIT NO.:
DATE:
Zonin
9 :'
Owner: No. of • Units:
Address: — Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances.
Account Deposit:
Permit Fee:
By Surcharge
D Misc. Charges:
Date of Ins
p.:
I nsp.:
Total:
Date Paid
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121368
Date Issued:03/27/2014
Permit Category:ePermit
Site Address: 4539 Hay Lake Rd S
Lot:031 Block: 02 Addition: Overhill Farm 1st
PID:10-56150-02-031
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 .
Gary Robideau
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 -
John R Foster
625 2nd Ave W
Kalispell MT 59901
Professional Exteriors Inc.
3158 Viking Blvd NE
Wyoming MN 55092
(763) 434-1500
Applicant/Permitee: Signature Issued By: Signature