1936 Covington Lane_ -o
' CiTY OF EAGAN ?N?
3830 Pilat K?w6 Road, P.O. Box 21•199, Eagan, MN 55121 !?
BUILDING . 10 3 5 0
PHONE:4548100 ? 4
PERMIT ReceiPt ik
Ta 6e, wed fer SF DWG/GAR Esf. Volue $57, 000 oarP JUNE 5 19 85
SiteAddreu 1936 COVINGTON LN Erect I$ Occupancy R3
14 elock3-Sec/Sub. BERKSHIRE PONDS Remodel ? Zoninq Rl
l.ot
Percel No.
c
90
u
Na,;1e OL-BERG CONST
Addrets 6400 131ST ST CT
City APPLE VAL phone 432-9079
Nama SAME
Address
Name _
Address
Phone
Phone
Repair ? Type of Const i7
Additlon ? No. Stories
Move ? Lengtn 43
Demolish ? Depth 47
Int Impc ? Sq, Ft.
Install O
Apyrorala Feet
Assessment _
Water 6 Sew.
Police -
Firc
Enq.
Plonrwr _
C.ouneil _
Permit $ 304 00
Surcharge?R S0
Plan Review 152 -n O
SAC 525.00
WeterConn 500.00
WaterMeter 63.00
RoadUnit 280.00
I hereby acknowledge thct I have rcad this application and stote that Bidg. Off. Tr. PI. 132. 00
the inlormotion is torrect and agree fo comply with oll applicabla A? perks
Smta of Minnesota Staturos andGity of Eqgpn «? Orpirwn
d 1 Ver. Date Copies
Slanaturo of PermiMee $1,984.50
OL-BERG CONST Totel
A Building Permie Is issued to: on the expresf conditlon Ihat
all work shall be dona in accordance with all oppliIIIISIBie Stm of nne ta Sjqtute: ond Ciy o7 Euqan Ordinoncea.
Bufldlrq Officlol
,
-s
PERMIT
? r. _ .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
$57,000
i _? ?a .? •? J v
Receipt #
Site Addreas I i,td Erect d+ Ocwpancy ?
lot Block Sec/Sub c Fiemodel ? Zoning J.
,
Parce! Na.
Repair
?
Type of Const.
'•.'
Addition ? No. Stories
• - '. ?.
?
. ' Move ? Length
Name
Z ?
" Demolish ? Depth
Address •
t Int. Impr. ? Sq. Ft.
City Phone Install ?
C
? O , -
Name ? +'• ^YYrv?v?s rKs
qddress Assessment Permlt ` 31?4. QQ •
?- City Phone Water b Sew. Surcharge ??- 0
Police Plan Review 3'?• v 4'
, ?
? W Name
Firo -
SAC
_?
u
= A?? Eny. Water Conn. 0 • uo
?'
?U
i
tr City Phone Plonner Water Meter
`'
o o
"To
k
h Council
'
` Road Unit
•
0 0
?' 2
ercby ac
I
nowledga thot I hove read rhis opplicotion ond sture thet ?
Bldg. Off. «/ -•,
? Tr. PI.
•
ths information Is torcect ond ogree to tomply with oll opplicoble
Stcte of Minnesota Stotutes ond Gty of Eaqcn Ordiranus. APC parks
Siqnotun of Permittas Var. Date Copies
7'
^
Cf
A Buildinq Permif Is issued to: TOtfll
on tM express car?dition tlwt
oll work shell be done in accordance with all appliaoble State of Minnesota Statutes and City o? Eeqon Ordirwnces.
Buildine Offieial , - 1 -.
J9M6S
118M
:uot itao? aq!?oq ?ol?M
"
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* auoydalal qtd HPMH MWJDd 'oN IlWubd
Recsipt MECHANICAL PERMIT
CITY OF EAGAN
fill in numbered spaces
TYPe a Print /egiWy
Permit No. ; ? •
Feo
S/C ?
?
Tot ?
1. Date 2. Installation Cost
3. Job Address Lot Blk. ' Trsct
4. Owner '
5. Contractor Phone 6. Address i `• ? "?- ?' ? - , ?
7. CitY ` State • ? Zip
8. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New 0 Add ? Alter ?
10. Describe
11.
Repair ?
TYPe ?
No, Eg,inment BTU - M. Ea.
Forced Air No. EQUiament CFM
Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
?
Unit Neater
Mfg.
Air Cond. Other
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above informetion is true and correct, and I agree to A
comply with all ordinances and codes governing this type of work. ?
Signed : for
Rouyh Finel
Inspections: Date Inap. Date Insp.
This is your permit when numbered and approved. ?
Approved CITY OF EAGAN 464-8100
. ?,
Repipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
Fil1 in numbered s,paces S/C ?
Type or Prin[ legibly Tot
1. Date 2. Installation Cost
' , 6 c t? ? ?.h2•E,t- ?
3. JobAddress '-*-Jf,i ? Lot ? fBlk. Tract 1Pr.=?•'!'? I
'-
4. Owner ???- 1 5. Contractor Phone - '
6. Address - 7. City 41 State 2ip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New,O Add ? Alter ? Repair ?
10. Describe '' ; ?,? ` • ' ` ' ! • l;
11.
No.
i
? Fixtures
Water Closet No. Fixtures
C
l/D
i
fi
ld
Bath tubs esspoo
ra
n
e
ti
T
S
k
l lavatory ep
c
an
ft
r
S
? ShoWer ne
o
ll
W
_L
--
? Kitchen Sink
Urinal/Bidet
Laundry Tray e
Other
Floor Drains
-"V Drinking Ftn.
°
! 51ap Sink
Gas Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
comply with all ordin?nces and codes governing this tYpe of work.
Signed : _-
for
Rouyh Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAtV Remarks
Addition BERKSHIRE PONDS Lot 14 B1k 3 parcel 10 13750 140 03
owner Street 1936 Covington Lane scate
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, g7 1982 239.09 23.91 LO C 0 // Fi' )-. l.2 - S-kS
STREET R ESTOR, Q0 f/1/0
GRADING
SAN SEW TRUNK 1$2 176.04 11.74 15 117, C' C> l/ U Z
SEWER LATERAL 141 2 57,24 3.$2 15 19.117 (2 (n / O L L- - ?
* .88 . 53 O, e D / U z L_ -4-)-
WATERMAIN 105" 14$2 46.09 3.Q7 15
* WATER LATERAL 1999
WATERAREA 17(.04 11.74 15 L'0 114,16 Z /-.Z
STORMSEWTRK 117 1985 03 25-67 15 ?1OZ
STaRM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN. n u
BUILDING PER.
SAC 525.00
PARK
CITY OF EAGAN WpTR SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21799 PERMIT NO.: _
Eag;?, MW *5121 DATE: Zonirq: No. of Units: i
Ovner: =Berz? tor s r -
:tiddross: '
5:1s Addra• i ^' %i ;' 0 v4 u ttj 14 B3 lier;.
Plumbsr:
Meter No.. ?- Corane?ttion Charoe:
Size• - Kcaount Depostt: _
Parmit Fee:
1 pwe !e aeapllr wMh ilw Gh of Eo"¦ Surd+arflie:
OrliNsaM. Misc. CFxarpes: -
gy ' 9rJ?c? t ,.?
Date of Insp.: 10-
Totol:
Dote Paid:
CITY OF EAGAN
3830 Pilot Krwb Road
P. O. Box 21199
Eagan, MN 55121
Ionirg:
SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Ownsr:
Addross: -
Site Addross:
Plumber:
I ym !o eanpy wiA tlw CMr af Eaw¦ CannectTon Chorpe: -
ordl..he... Accoune Deposir:
ParmR Fee.
Surcharpe:
Bv Misc. Charges:
af Insp.: Total: _.
Dots Paid:
This request void
wmonths from (? y
or
-$5
?,.
or
- . ?.?.,....?? -, t
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs_Midwey gldg. - Room N-197 BE QCCEPTED BV THE STA7'E BOARD
1827 University qve., St, Paul, MN 55104
Phone (612) 297.2111 UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION „r. Ea-oooo1 .oa
f
? See instructions for compteting this fwm on beck of yellow copy.
assi 1 ; .,X" Below Work Cavered bv This Reouest
tadd Rep. Type of Building Appliances Nlired Equipment Wjr@d
Home nge Temporary Service
Duplex ter Heater Lightin
y Fixtures
Apt. Bui Iding yer ,
Electric Heatfn
Commerciai Bldg. rnace
$ Si lo Unloader
Industrial'Bldg. Air
Conditioner Bulk Milk Tank
F81'rYt her peci y .ther (Sner.ify)
[ Pr ISucci y er
Other
OR 7R!!/ B ?RC nnrYinn F?? 0..1».. M Fee ServiceEntranceSize K Fee FeederslSubfeeders # Fee Circuits
.? 0 to 20? qm S 0 to 30 Am s 0 tn 30 Am s
Aboue 200 Am 31 to 100 Amps 31 to 100 Amps
Swimmin Poo? Above 100_Amps Above 100
Amps
Transformers
Si Irrigation Boorcis d _
Partial,'Other Fee
gns Special Inspection -` -?
Rem arks $ TOTAL t
EE yrpJ
V 1 Z.1
9ough-in ? Date r -_-
, the Electrical
_
?- Inspector, hereby
?inal _ p 1e certify that the ahove
? ?, f1 `? inspection has 6een
This r ?j ? ?de.
equest vold 18 months from
LJ Qwner I nereby request inspection of above
electrical work instelled at:
Street Ad11ess, Box or Route No
.._.._ ??..??o c?t
7d
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
To Be Used For: 5jG,(, FoJeVj)&,Ljv}jlaluation:
Site Address: ?? 3 6 G D v?t;,?/ b`I' u? L AaJ?
13E+? ?'SJ17f?F
Lot: _L?L Block Sect/Sub ?
Parcel N
Owner _('G CIiA/i5T
Address 6 1?61) ]? )-5TS7 (-l'
City/Zip Code W12ff,!5 ? 14L-1_ F?1 `J S 7r?.?
Phone ??a .. ?t)-7?
Contractor ,C::7v41V1-E
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone !F
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
57,DOU. - Date:
OFFICE USE ONLY
Erect X- OecUpancy ?-3
Remodel _ Zoning
Repair _ Type of Const ?
Enlarge It of Stories
Move Length
Demolish
Depth ?
-
Grade Sq Ft
APPROYALS
Assessments
Permit :o
3 04.?
Water/Sewer Surcharge Z$.-
Police P1an Review 1 5 Z'°=
Fire SAC 5Z5 .?-
Engr Water Conn 5jo. ?
Planner Water Meter
Council Road Unit y y.V
Bldg Offb- _? Parks
APC Treatment P1 ?.%
Varianee
I
TOTAL l O
2? K38= `?SZ7 XSq-= S I,3oo
`?'? ?C 2? ? 4?Z X I I - Sog 2 '
SCo 3 S2
. BcA,- ze PAe-c 4s
/AOBE fONSULTiN3 ENt31NEER5
ENGINEEAING PLANHEpS nnd LAND fURVEYORS
COMPANY, INC.
1000 EAST 1461A STREET, BURNSVILLE, MINHESOTA 53337 PH 432-3000
4c
LgQal X`ascripgforc: 1-07 ia gL-oc,c 3, amFucsnwz
? MIKINESOTA.
ry3_?
30' FOONT 3JILDI0b
a?
"l0 SN
? \ ?
Pweg, aaGor,? c.our?,-v,
NORTH
54ALE: I"_30'
.
v
p
C?40A i D&10YL^'S EkI ST) uL. ELai A7lur.1
C 44d4 ) DENdTES FRDPaSEP ELE\/ATIOAJ
O•?- WDI(ATES pIK.EGTtOi.l OF SURFA[E ?
DRAII.fpl/t
F1k1'SMEO &e¢A&c a..oorz ?vnTrof4 = q4c.-33 ' .
?/
?? tiQ 1
s
Vor ?4 ?• ? r?(, •`•
1 • `-
\
cptiA
:a
., ?
,
I hereby ceMify that this is a true and correct repr?esentation of a tract of
land as shown' and deacribed hereon.. As preparad by ma on this ISnl day of
19 85 .
\
; Ninn. 1teg. 1to. s?
,
?
* ..,.' .
0'riiQ` i
SITE ADD3ES5
E?:?'ERIOR E::VE'.C:Z AVFftAGE "L' ` C01'?JTA?i0::
CONTRACTOH DATZ Pii0P1E
Deternine orarking scuare footaoe of each.
1. Total exposed wall 2rea ... /: °'%. r? 6Q. ft. R.19 =/. /
2. Total roof/ce311ng area ... sq. ft. x.04 -?
Total exposed aall are2 above floor =/,??yp,o
a. Total wall vrinZc:•r 2rea .. . . .. .. . .. . . . . . /,??• 5/
b. Total door 2^ea ....................... .v/.°•
c. Total sliding glass are2 ..............
. . ?7
d. Total fir=place vTall 2^ea .............. C'?
e. Total wall framin„ 2rec (sve^age lOx) ,,, /,;,p
f. Total net r,all zrea above floor ........
i
/_w = V.
S. Total rim joist arez .................. F
Total exposed PG1.^.dation area =
h. Total foun3ation window area .......... D
i. Total zet foundaticn area >bove g^ade
Determine 'U` v21ue of e2ch wall segment.
a. x
b. g <<U r, . t• yI = . h
c. '.:.? X "U:
D. ? g llU:!
e. X t.U„ .42 _ ..??. 3
f. .?3 J X ,:U': ,G
g • X „U.. ,OS? = Y•S
h. 6 a X U' ? = a
i. X nU? ? r.V: q
3 ............................................. Totzi -
If Sten #3 is tne sa.-ne as, or less than item fll, you have met the
intent of SBC 6005(c)2.
C-L/
.
T .; .
,
Total exposed roof/ceiling area
J. :otal skylight area ........... ... r^
k. Total roaf/ceiling framino 2rea (average 2Gh ,vr?,?
1. lotal net insulated roo:/ceilir.C area ......... s?g„2
Determine "U; value for each rooi/ceiling segment.
X .,U;,
k. i9,P X ':U"
X
4 .........................................To;,al
If total of ?'!4 is the same as, o^ less than ?'2, you have mei the
intent of SBC 6006(c)1. . ? -
(=3 /C
Alternate Buiiding Envelope Desi ;n 6 f-c
To uti-ize the total envelcpe syster metho3, the values established
by the sum of items #3 and H4 sh211 nct be greater than the sur.:.o:
itens '>'1 and i;2.
1. 3-?/, / + 2, _ -'' G- G
3•?? .J ? y + u. J7, D = ?316. ?/
.`
R
? CITY USE ONLY l?`
L ? BL RECEIPT '?
SUBD. ???f,7QdG?ce? ?? DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
_ New construction _x Add-on furnace replace existing ~
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 8-21-95
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL $2o.5o
SfTE ADDRESS: 1936 Covington Laae
OWNER NAME: Mickie & Trudy Taylor PHONE #: 681-8407
INSTALLER NAME: Frer7riokcon HPatinq F Air Conditinnin8. Tnn.
STREET ADDRESS: 3650 Kennebec Dr.,#1
CITY: Eagan STATE:
m ZIP: 55122-1003
PHONE #: ( 612 ) 452-2775 ? .
? ??
Z- S-?
1 '
?
?r .
?
2/64
' CITY
OF EAGAN
llltl 11PPLZCAT2^vN FOR PERb1IT
SEWER AND/OR WATER CONNECTIOr1
(PLEASE PRIHi)
1) PPOPE.q?Y ACDP.ESS =
=aI.DE..IPTICV: LU'1' )Li 'g(-?p- K-i??? P (
k)0
,
(Lct/Block/Su:caivisicn or Ta;t ?arcel I.D_ N=.,?2r)
? ?=.:.:IS='=:G S?^;i;C^`;'v. , Dal^_-. 0° Cit?Gi T.ai, uiZT_:l`:G
?
?-"_= =?••'
" I
-
PPESL'? ?;??.Ti?C•/^7'.?:QS'_^''.J ..C'r.': 11 ?,?
.
t L?1 ?-1 Si.C,'I j FA
.
Ll R-2 DLP=C (?`.-.'O LNiS)
? iZ-3 'iC?th-c:rv,c? ('!'F'?? + T::i:S)
? .,-4 Liui=Si
? CCi'!?11?;:CI-1.L/R_.AiT?CF'_-ZCE
- ? 1\?i.Jrl?'_L
y.$T T n?-..rn„.a r .,?nrr?r•
? ....,IGJ"?+:..?.?
Z) AP?7wi:-,1' (PL'tASE ?Blfii)
w ??? ?' l rr-??
" aceREss:
, cri^r, s:;=, zzP:
PHONE:
3) PLL: uE? NP
? IE: lPl`cdSE PRLYT)
(' L ???'Q,? FOA CITY USE G4lY
PDDRESS:
PL?JMBERS IC:%SE:
? Ac[ive
CITY,.STATE, ZIP: 6P'? L-,6 V7G Z.L.E j Exp'red
- PHO:VE: '?'H?'c".
C p"7C.? PLUMBER LICEPlSE I N of Rec d
v ***
LYf1l?.:
ADDRESS:
CITY, STATE, ZIP:
PfiO^rE:
tYLGAJL NH1fil)
5) n`1DZC1".17 :'IHICH PEFL'-SI IS BEItiG gFF:??(TEST?D:
,..,., /CC.;.IF.CTION 'IO CI2^I SE7riER
'Ih CITY IVATER
? dilE2 (PIZ',SE DESCRIIIE)
6) IZXIG+:: C:LL.:
?PT- =?,S; I?OLD APPRWID PER"1IT FOR PICii-LP BY C:IE OF ASGL'E
MAIL APPROVED P&'°:•LiT TJ 1, 2, 3, 4ABorv'E •
(Circle one)
7) szc:A7.-R: : _ •? c . ?, ?? p ?_ 7--)5'45-
DA... •
M4 Olai?MlsJS]? 111? al?a?a? n[r+??isi??ai? rs s?is?a:aa s rlfa?OS?a y???:??
F 0 R C I T Y U 5 E O N L Y
P7-n"Im " ISSUED
crES : $ j0. S D
S /?/-? cJ
S
$
$
$
$
$
$
$
$
S
$ /??? o U
$'?.?co nca•:iTT jAor^c;..,-
r a.......: VG)
W-`?T`.=R PE:L"lT_i {iIiCLUDE uU.^-,C°ARGL)
WATER METER/COPFERHORN/OUTSID° REi,GER
WATER TAp (INCLUD° CORPORATIQN STCP)
SE;vc:2 i AP
ACCOiitT DF.PC'SIT - WATER
W:yC
SAC
TRU?IR WATER A55: S5:?E:iT
TBli.`7K Sc::cR ySSESS?iE?iT
Ll.TE?,aL BEivEFZT/T2U2IK SEi•:ER
LATERaL BEVtFIT/TP.U.`:i: WATER
WATER TREATTfENT PLANT ST7RCHARGE
OTHER: _
TOTAL
r?MOLNT PAID/RECEI2T R 5 iC ?? /
DOES UTZLITY CONUECTION REQUZP,E EXCaVATION IN PUSLIC RIGHT OF LJAY?
YES SF YES, THEN H"PER6IZT FOR :•]DRK WITHIN
PUBLIC ROADWAY" MUST BE ISSUE? BY THE
?? . ENGINEERIDIG ? N:SION
TION. LIST AS A CONDI-
.
SliEJECT TO THE FOLLOSJIDIG CONDITIONS:
APPROVED BY:
TI.Lc:
DATE:
? ?•1? ?i? ?e ? s? E? ?t ? ? ?i? wJ? 4 ? w ?y?1 wl? ?N? ?t? w ? i? s? ?t? +E ? sa ?i? wa ?rt? >a si? ? ?
2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
%W CI,Y oF ?GAN
3830 PILOT KNOB RD - 55122
?I 7Sb ?? `?a??1-I 651-881-4875
GJr '? c7? -
> 3 regisferetl slte wrveys ahowlnp aq.1L o1 lot, sq. R. ol house
antl go rooted areas (40% mmdmum bt coveraae allowem
D 2 coples ol plrnq (show beam a wlntlow sizes; pouretl fntl. design; etcJ
a tsei of enerpy cdculaHons
> 3 coples of fiee preservaMOn? p.llan il lot plalted alfer 7/1l93
DATE: ._5` J-ov
DESCRIPtION OF WORK:
P
pu?1!:taeL:! X1l'1llill?Fj
2 coples W plan
1 set W energy cdculaflons for heated addidons
1 aite wrvey fa exAeAOr addfNOns 8 decks
?o.
corisrnucrioN cosr: 3 6 ? a
lt`
STREET ADDRESS: ?413 ? COU ,? L-a H`e
LOT: _R_ BLOCK: SUBD./P.I.D. #: gI111' PODLS
Name: Le Vt `Q Ui t?f CD Phone If: (? N 7-- S6 S 7
PROPERTY taat Flrst
OWNER ?
Sfreef Address: ? 9`2
Gy State: A'yt zip:
. company: 00ee 77ff 7VP 66Phone q: & )% 3
(area code)
COMRACTOR
Street Addreas: 91-2-D G Y Pa cJ cLu-e c° llcense # ?2OOS 202 iExp, a/
CHy \ `-c?T l7wc?e SFate: ''7 Zip: ? r?
ARCHIiECT/ Name:
ENGINEER Company:
Telephone #: ( )
Sheei Addreas: RegishaHon #:
Clty
Sewerlwater licensed plumber
I hereby ockrawledye fhaf I have read Ihis applicaNon, sAote lhat the
of Minnesofa Stalutes and Cily ol Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
State:
Phone #:
Lp:
and agree to comply wHh ad applicable Sfate
Tree Preservation Plan Received _ Yes - No - Not Required
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144088
Date Issued:07/12/2017
Permit Category:ePermit
Site Address: 1936 Covington Lane
Lot:14 Block: 3 Addition: Berkshire Ponds
PID:10-13750-03-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Leonard J Cavino
1936 Covington Lane
Eagan MN 55122
(914) 960-7980
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature