4106 Baffin Bay S - Permit Refund .
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Make Check Payable to: Dan Martchev
4106 Baffin Bay S
Eagan, MN 55123
Permit#:131873
Receipt Date: 7/21/2015
Site Address: 4106 Baffin Bay S ',
Reason For Refund: �ancelled Job �
TYPE OF REFUND
Buildin Permit Base Fee 0801.4085 $40.00
Construction Meter Dep
Refund 9220.2254 $
Curb Box De osit Refund 9220.2253 $
Fire Su ression Permit 0801.4096 $
Mechanical Permit 0801.4088 $
Plan Review Fee 0720.4222 $
Plumbin Permit 0801.4087 $
SAC MCES 9220.2275 $
SAC Cit 9379.4681 $
SAC Admin 0801.4246 $
Sewer Permit 6201.4532 $
Surchar e 0801.6480 $ 0.50
Treatment Plant 6101.4685 $
Water Permit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Su I & Stora e 6101.4680 $
Co ies 0201.4230 $
Total $40.50
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
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July 21, 2015
I NATURE DATE
•
1 o a a�
Mike Maguire
Mayor
Paul Bakken
Cyndee Fields
Gary Hansen
Meg Tilley July 21, 2015
Council Members
Dave Osberg Dan Martchev
City Administrator 4106 Baffin Bay S
Eagan MN 55123
RE: Refund for Building Permit#131873
4106 Baffin Bay S
Dear Mr. Martchev,
Municipal Center
3830 Pilot Knob Road This letter is in follow up to your request of a full refund for a window/door permit at
Eagan, nnN s5122-isio 4106 Baffin Bay S in Eagan. Per your request, we have cancelled permit#131873 and
651.675.5000 phone are refunding the permit fee amount of$40.50 under a separate cover.
651.675.5012 fax
651.454.8535 TDD ' If y0U IIaV@ a11y qU@StI011S abOUt tI1@ 1'@fUfld OP tI11S I@tt@C', please contact me at (651)
`675-5671.
Sincerely,
Maintenance Facility
3501 Coachman Point -� •��
Eagan, MN 55122
Peggy F�ck
651.675.5300 phone guilding Inspections
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
The Lone Oak Tree
The symbol of
strength and growth
in our community.
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd ' Permit Number: EA131873
Eagan,�1�v 55122 , ' ' Date Issued: 07/13/2015
(651)675-5675 �
www.ci.eagan.mn.us � � � ��
Site Address: 4106 Baffin Bay S
Lot: 6 Block: 3 Addition: Hills of Stonebridge Plat 2
PID: 10-32991-03-060
Use:
Description:
Sub Type: Windows/Doors Construction Type:
Wark Type: Replace
Description: Patio Door
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments' Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota
� State Building Code).Improvements to the home require smoke detectors in all bedrooms.If the door or window opening
is altered or you are installing Bay or Bow windows,please call for a framing inspection.Call for final inspection after
installation.
Fee Summary: BL-Base Fee $40.00 0801.4085
Valuation: 500.00
Surcharge-Based on Valuation $0.50 9001.2195
TotaL• $40.50
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Contractor: Owner: - Applicant -
Dan I Martchev
4106 Baffin Bay S
Eagan MN 55123
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.
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Applicant/Permitee: Signature Issued By: Signature