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4047 Albany Cir
7 J. Permit NO MW T At WATER SEWER PLUMBING ?(/ ' H.V.A.C. 8 J'/? 51 5`9 -/ ELECTRIC Q C /? ?+ v Inspection Date tnep. QWMU*Aft Footings I e, Foundation ,?- Framing Rooting P 3 c ape Rough Plbg. Rdugh Htg. 2") bs, / Isul. ® U Fireplace u Final Htg. o Final Plbg. Const. Meter Ptbg. Inspector - Notify Plumber Engr./Plan Bldg. Final 028 Deck Ftg. Deck Final Well Pr. Disp. Address: 4047 ALBANY CIRCLE Lot 8 Blk 3 Sec/Sub HILLS OF STONEBRTDCE 3RD These items were/were not complete at the time of the final inspection. 5/28/91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry f V Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch t/r Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze, potential exists. NEME0" White - City copy Yellow - Resident copy Pink.- Contractor copy 33599 Request Date Fire No. ? R67h-in Inspection 49 Required? eady Now ? Will Notify Inspector ? Yes ? No When Ready? I Ve'ficensed contractor E3 owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City 4617 Section No. Township Name or No. Range No. County Occupan PRINT Phone No. Power S j?tier Address Electrical tractor (Company Name) Contractor's License No. Ue, )- I - Mailing Address (Contractor or Owner Making Installation) A &1 - Authorized Signature (Contra or O nerMaking Inst lation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. -- Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? Ste instructions for completing this form on back of yellow copy. F q (1 "X" Below Work Covered by This Request ??es EB-00001-08 3'/oD3/a.2 ew Add ep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Ab Amps Signs Inspector's Use Only: OTAL Irrigation Booms (J G /?'? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final Da a ?4G OFFICE USE ONLY This request void 18 months from 33593 Request Date Fire No. ou h-in Inspection equired? ? Ready Now ;!Mil! Notify Inspector Z z 0'-g ' Yes El No When Ready? I Jiicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City c 0 4 `I Section No. Township Name or Range No. County Occupa t (PRINT) Phone No. Power Sup tier Address Electrical Contractor (Company Name) Contractork License No. Mailing Address (Contractor or Owner Making Installation) Authorized Signature (Contracto Owne aking Installati ) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY U THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 3/flv REQUEST FOR ELECTRICAL INSPECTION ? Sipcs for completing this form on back of yellow copy. H 3-35 9 3 `X" Below Work Covered by This Request EB-00001-08 /00-3/.2- New Arid Rep: TypeofBuilding Appliances Wired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to ps 1 14 4Y. Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: ?j - TOTAL Irrigation Booms er co (p Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MO HS. I, the Electrical Inspector, hereby Rough-in to ll certify that the above inspection has been made. Final h ?? e OFFICE USE ONLY This request void 18 months from CITY OF EAGAN N° 18698 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 464-8100 f11 ( J J „ BUILING PERMIT Receipt # yty To be used flat SF 1W(/GAR Est. Value $143,0 00 Date FEB 5 199 _ Site Address 4047 ALBANY CIR OFFICE 11 5 ONLY Lot 8 Block 3 Sec/Sub. HILLS 01 Parcel No. STONEBRIDGE 3RD R Occupancy -3 I 1 FE ES i Z PD =I R cc Name THE ROTTLW4D_ CO INC on ng (Aetuat)Const .. _ -3L--N dldg. Permit -IJAM4 c Address 5201 E RIVER RD (Allowable) V-N surcharge . City FRIDLEY Phone 571-0304 # of Stories th 561 Plan Review, L' ' w. Name SAME Leng Depth 541 SAC. City vQ Address S.F. Total -- sAC MCWCC .. r city Phone S.F. Footprints , Si O S Water Conn ewage n te Name On Site Well ?-- Water Meter 9Q Address MWCC System X 3O Qn Acct. Deposit City Phone City Water i d PRV R SJW Permit 3f3 ©n re equ I hereby ackngwtege that I have read this application and estate that the Booster Pump S/W Surcharge :; - 50 information is t on'ect and a to comply with a applicable State of Minnesota Statutes and city of agars S. Treatment Pt Signature of Permltee APPROVALS Road Unit 370.00 . A Building Permit is issued to, THE ROTTLUND' CO .INC Planner Park Ded: on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Suiilding Official ,`8 1 , .1J Variance TOTAL t 58 •OO CITY OF AN. MEE 3830 P no d, Eagan, MN 55122-9897 CHIP U SO ONLY' .. ,, R ?e . PERMIT DATE- O2 " 91 .'PERMIT# L I.1IQ MET IZ•E ;B.PRECEIPT # -?.Q' _1 K IS ATE s : B.-P. RECEIPT DATE 2 DATE - PRA. BOOSTER PUMP SITE ADDRESS 4047 Albamy Circle PERMIT REQUESc`TED LOT -8--BLOCK 3 SEC/SUB Hi I IS o f SEWER WATER = TAPS APPLICANT: The Rc tt LI!n Cc F ? , ADDRESS: 520.1 E Ri,VAt o.$ . COMMIIND ,RESIDENT IAL CITY, STATE I -• ' ZIP X21: X- 'NEW 'EXISTING' 5`1-03t3+;? PHONE: Lawn Sprinkler.Meters. are, to be thstalled PLUMBER: _ Y& 1oy j?jiim&%i Ahead of Domestic-Meters on Water ADDRESS: 61.0 Creek J;;?7 Cry :WILL NOTbe'-giverifor Deductmeters. ' CITY, STATE Joi?dan, Me- ZIP ,RHONE: 492-21 1 A R{EE TO COMPLY WITH CITY t F ', OWNER:' The u,+- tl,w4 _TT -- -:` EAGAN ORDINANCES i <,. ADDRESS: S201_E River $Wad CITY, STATE id1eye ZIP I PHONE: 571. NATUF E WHEN META ISSUED Pl ? ,'ALL( HIV TWIG /f?F N?G? 'S df OC aING. CALF 454-5220 FOR INSPECTIONS. FOR` STORM: SEWER PERMITS, CONTACT ENGINEERIN G DEPT. . -: • NAY ^: ,'.. "• _ i .. .,.i®., ..u. ....?",.. S:?ni.M.:... ,,, , . I91..... 1'1,.r?.1:'.?.,x'_ ° , { ' yy •q s. 1, .i?n. J... i - . ......t! SEWER IVIINTERPERMIT CIT'o GAN 3830 Piq+?no d. Eagan, MN 55122=1897 DATE OFFICE USE ONLY METER # PERMIT DATE 02/07/91 CHIP # PERMIT # 11799 METER SIZE B.P. RECEIPT # C 12lb ISSUE DATE B.P. RECEIPT DATE 02 06 91 PRV __ BOOSTER PUMP SITE ADDRESS d7 A.b%ny Circle LOT. BLOCK 3 SEC/SUB Hills Of Sty , 3 APPLICANT: The *attl d Co. I=. ADDRESS: 51101 IL R.i CITY, STATE Iris '+ 1 . PHONE: 571--0 ZIP 55421 PLUMBER: WlW P1Ud#ng ADDRESS: -610 L CITY,.STATE J01*011110 t Ill. ZIP 2 PHONE: 492-2121 OWNER: __230 3' The . . ADDRESS`. 5201 i t - giver > CITY, STATE J.d.,_.:_ ZIP2 PHONE: 571-0403 PERMIT REQUESTED ! SEWER X- WATER TAPS;' COMM/IND RESIDENTIAL Z NEW EXISTING Lawn Sprinkler Meters are to be Installed -` Ahead of Domestic Meters on Water Line. Cre WILL NOT be given for Deduct Meters: I AGREE TO COMPLY WITH CITY OF EARN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOftw- SEWER PERMITS, CONTACT ENGINEERING DEPT. DATE: FEB 7, 1991 4047 ALBANY CIE (THE ROTTLUND CO INC) X Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works, Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance, WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. REQUIRED BY LAW. p941S$ice ait aw copy pe your misterplumb rsAlicense forPOLiCY. C y oL Eagan. Secretary, Building Inspections"Dept. 1991 B ILDING PE I APPLICATION CITY OF EAGAN SIMLE FA , MULTIPLE SWELLINGS C0N Al 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF,AwAITECTLWAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) I SET OF SPECIFICA'T'IONS 1 SET OF ENERGY CALCULATIONS I SET OP ENERGY CALLS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEAT: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY lAS WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/}iOMEOWNER MUST CH DESIRED. NQ 2MGES LL WE O U V M \ --7 L'3 U PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS 01 PERMIT HAS ,B fiETM; PERMIT MUST SHOW A LICENSED PLUMBER. 'JAN 0 1991 To Be Used For: g Valuation: +*-' Site Address 0?- OFFICE USE ONLY 3? 0 Lot Block 3 Occupancy Bldg. Permiti Zoning Suharge Parcel/Sub f.?Ea___ Actual Cons t" Plan R Allowable SAC, City t4h, 44. Owner # of stories SAC, Mid w Length Water Conn. O - Address 5Z<--q C'. rW j Depth Water Meter A00 S.F. Total Acct. Dept ti City/Zip Code Footprint S.F. SfwPermit. S/W Sureharg : Phone On site sewage Treatment Pt e On site well Road Unit Contractor MWCC System Park Ded. City water _ Trail Ded. Address PRV Copies Booster Pump City/Zip Code SUBTOTAL APPROVALS Penalty Phone Planner Lot Change _ Council TOTAL Arch./Engr. Bldg. Off. Variance Address City/Zip Code .,, Phone _.? agrees that all work shall be done in acct'ce with (Signs ure of Contractor) all applicable State of Minnesota Statutes and City of Eagan ordinances. VALAAALA, CaA,tZ,o+c?? Z2, x1Li= g2.8 XL 9920 eo*A X30,=:`1X51 3'?? x Z = I Li 5Co 2X?g 3 G Y h /4 3 xs? 2422 Entertxriw Orin Mendota Hekps, MN 1120 ?, ?' t.lii+el eRAWEVOa1et • etwt? IGtirHt+EERS _-..ss:-. - -=--x= ._-? n?Elr n LA140PLANNERS • LANDSCAPE ^*CFwTEess g* 9 (612) 681-191-4 Cwtifir..ats of #"Y fo : T R07710N0 CO. I 1 I MIA 37 g,4A 7w asp; ? ?,. C7 ?.. ..?? ta'? Date E??? ? CI?gE I rl'G I3p? gar. at Denofes xisfinn Elevatuy s P fl ? ec? E/?vafno, s Low / f/o r Ekvr tia ! o ." ____-.- arnvte pr 'ot/i/I [a5emwd 7o-p of (Ixk r1 .j ------- Denof s na e low Arrow Hertt'i1 s s*otwi one 7ed 0 C rr tics `l #4 LOT s r 8LOCW 3 1,11/ 1 c STOWBRID6C,30 ? DAKOri CWMTY, M WAIMTA hereby eeMON that thh n»VrY• pi.•" of retort wos operaxd by r under my direct stl"avioiktn aN rf Ow 19m d#raty Rs c?red Am d rireyi,r under the tam of the State of Rti Weted rhle? daay of P? Rpm A 1. ag_'?L .. . 1QU' I/Li V tfr". k1 }' ?f ?T tOlff /? # ._"' _ 40 I«: t. 14 rmt e+ t tt. *aldsm+! .t. xp. ,fig " ' " ?`i ?'r%??' E AVERAGE U EXTERIOR ENVFI,C)1 COMP ITATO)!t OWN ER SITE ADDRESS L LL F lb t* CONTRACTOR .1 ND 4-0. DATE i PF Determin vorkini square footar: e of each. 1• Total exposed wall area .. 2 sq. ft. x 0.11 2. Total roof/ce'iling area sq. a, ,,. .. ft. C.'026 z ";4 Total exposed v ai l area above floor =7?'' , ; a. Total wall, windov area • .. • • ..... • .. .......... . b. Total door area ........... .... ... ........... 71 c. Total sliding glass door area ... ... .. 4 ........... d. Total fireplace wall area ,..• . ..... ... e. Total wail framing area (average lop).. ..... .... f. Total net vial area above floor .. . ..... ......... • B• Total rim joist area ...... .... ... .•..•...... 4344 Total exposed foundation area = 7-A h. Total foundation window area . •-• . i. Total net foundation area iibove grade ._..........? Y Determine "U" value of each wall segment. ` • a. • 4. Stun ( r f.. AaL ,, G- ` x ,tuft 3 , ti C . L7 d. x *tuft t"?r r e ttUtt 0,06 4 t TO 1 _ nut: 01045 ??jj t?? n •rttri LP Lr 7' 1A ` t •^. r If item '13 is the same as, or less th:tn if-cm, // I, you have met the 4Intent of SBC 6006(c)2. - A 1 V .G? G 647N. 1• o-u1'ic AlF R 77W'-;?-q X tN uLA11 Oyu GAP Nom' r..? w ?«??? . LU X( ' luo I r5 PAP F3LR4. -7. M f5 A 0,04 0 Row '00 ?iw -,140,4 * t 7 30 ` ?..?. /-? "^' ice'. '•i`n.?+M? yp 74 6 i CITY OF EAGAN 5 l FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & +P..ii 7.w%ti TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ..----------------------- ------------------------------------------ ------------ WORK DESCRIPTION FEES NEV CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 N BTU 6.00 GAS OUTLETS MINI1 3,00 ez - ? 0 C, OF I PER P NTIT' OWNER NAME : ,V (1 w1j 1 t i - n T . SUBTOTAL: $ . 00 SITE ADDRESS: " 7(D I Aaw, dirc(e.. STATE SURCHARGE: .50 ®??d LOT: BLOCK 3 SUBD./??? I TOTAL: $ , INSTALLER: P.AvtN . ADDRESS: OWN ? MN 52 SICNAT RE OF PE ITT CITY: ZIP: PHONE #: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUS1AL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------ -.- ... ------------------------------------------- ............E 4,,. ...,..W...,....... CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR SITE ADDRESS: - EACH $1,000 OF PERMIT FEE, PROCESSED PIPING - $25.00 LOT: BLOCK SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% ADDRESS : STATE SURCHARGE $ CITY: ZIP: TOTAL: PHONE #: "(SIGNATURE) FOR: CITY OF EAGAN RECEIPT # /44 DATE: CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # DATE: / PLEASE COMPLETE { P.., UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. - ---.---- ----_--. -- -------------- -------------------_---- - -------------------------- WORK DESCRIPTION - COMPLETE THE FOLLOWING : NO. FIXTURES EA. TOTAL NEW CONST ADD =0N MINI" 15.00 _ ADD ON SHOWER 3.00 -1,, - REPAIR WATER CLOSET 3.00 a BATH TUB 3.00 (4 LAVATORY 3.00 OWNER NAME: du y KITCHEN SINK 3.40 3- „-, _t.. LAUNDRY TRAY 3.00 SITE ADDRESS:--?49 -1 HOT TUB/SPA 3.00 - ? WATER HEATER 3.00 LOT: G d BLOCK SI BD FLOOR. DRAIN 3.00 3 GAS PIPING OUT. INSTALLER: ,A (MINIMUM - 1) 3.00 ROUGH OPENINOS 1.5) ,. ADDRESS : (0 ? ± i L it ?...•? _ OTHER WATER SOFTENER 5.00 CITY: ZIP: _ 5 S5 _____ PRIVATE DISP`. 15.00 U. C . SPRINKLER 3.00 1r f PHONE #: 4 q?' _a ` SUBTOTAL ST. SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS ANTS MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UN IT. -------------------------------------------- / --------M..--------- ----- ---------.? CONTRACT PRICE: FEES OWNER NAME: 1% OF CONTRACT FEE. STATE SURCHARGE -$.50 R SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK SUED. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS : STATE STJRCH CE $. CITY: ZI P: TOTAL: $ PHONE #: (SIGNATURE) FOR: CITY OF EAGAN ?-- PERMIT # RECEIPT DATE: R E S E T'IAL PLUMBING P 4 IT rP'P AT' f CITY OF l lAlli 8630 PILOT KNOB EA6AK. MN 55122 651-661-4675 Please complete for: > single family dauel ings A townhomes and condos when permits are required for each twit backflow preventer for irrigation system SITE ADDRESS: a'f t 4 , y OWNER NAME:: 77 ,( TELEPHONE (AREA CODE) INSTALLER NAMETELEPHON8#;a 4 77 ? { REA C?it? STREET ADDRESS: 7 540 CITY: STATE: ZAP,' Place a check mark next to the ermi't work type New residential dwelling unit under construction and not owner/occupied $ `': lg Add-on, modification or alteration to existin dwelling unit, including: $t1 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: J Y d ?i? Septic System, new/refurbished - • Includes County & Consulting Inspector fees • requires MPC license State Surcharge Total ;' . 1 Reminder. Be sure to schedule inspections of alterations, i.e. water h tere, water t> ifl4W$ Gt . I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with altapplicasble City of Ern ordinWoes. It Is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by Me 014y during its norrnal operational and maintenance activities to the facilities constructed under this permit within City pro 'ght-of-wail em SIGNATURE OF PERMITTE ïû ø÷ ýüüûúùøùøöö õûûüüúú ëãàæ þúãú ãíîîí ã ë ýü ÿþýü ÷õáúøúÿýü ÷úýü÷õáú öõáüó úüàÿ øÿøã åÿü Þ òÿúû óüúçóññóúòÿúóúþúóé æúõõüæúæúó ü üéøæúæüæúé øúþóèúúúòÿúþõæóñóé ûêãÜêëëé ë é ë ôõ ÿúñú ÝÿêãÜêé î éíî Ýÿã é óò ñð üü ÷õ÷úÜ úþÿóúðúÛðú ííñçÙã âþøú ö é ÿðö ðöíã ïìââ â ñúþõñ ñçúñüüññæúóúúúóüõñüüþ æð ÿøæåúé üüá úó ÿú ÿ ÿú PERMIT City of Eagan Permit Type:Building Permit Number:EA117135 Date Issued:10/15/2013 Permit Category:ePermit Site Address: 4047 Albany Cir Lot:8 Block: 3 Addition: Hills Of Stonebridge 3rd PID:10-32992-03-080 Use: Description: Sub Type:Reroof & Siding 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Mark G Myran 4047 Albany Cir Eagan MN 55123 (651) 675-0242 Window World AKA Probuilt America 2211 11th Ave E, #130 N St. Paul MN 55109 (651) 770-5570 Applicant/Permitee: Signature Issued By: Signature