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743 Hackmore DrCITY OF EAGAN Remarks Addition Saddlehorn Lot 5 etk 2 Parcel 50 6 Owner Street 743 Hackmore4.i&a-UcAE. State Eagan, NIN 55123 411?1 ) a L•i I, Improvement Date Amount Annual Years Payment Receipt Date STREET SURP. Imp 1981 1944.00 97. 20 20 STREET RESTOR. -f 76 1981 1210.00 60.50 24 GRADING SANSEWTRUNK _4-kgr 19$1 Z$Q. O 14.00 ZQ *SEWER LATERAL ,S 1981 3 167.98 20 WATERMAIN 'FWATER LATERAL WATER AREA 1981 280.00 4.0 ZO STORM SEW TRK STORM 5EW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 13UILDING PER. SAC PARK MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EA(iAN. MN ( Lot f m Name ? Addre c City _ Name c Addre ? City ? TYPE OF WORK Forced Air Boiler Unit Haater Air Cond. Vent Gas Piping Outlets # Other I M BTU M BTU M BTU M BTU ? CFM FEE S/C: TOTAL: ! ] w-, 11 BLDl3. TYPE Res. ?- Mult Comm. Other PERMIT # = RECEIPT # ? DATE WORK OESCRIPTION New Add-on Repair FEES REB. HVAC 0-100 M BTU ADDITIONAL 50 M BTU (RES. HVAC INCLUDES AIC ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMlT) COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLII MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 - $24.00 - 6.00 1.50 EA. - 12.00 Cities Di ital ualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. lk a EAGAN TOWNSHIP BUILDING PERMIT N° 1940 Ownes _.................................................... Eagan Township ? Address (Presen2) --..?- .!',- :.:l......"------- ,....1 ..:..............---. Town Hall ? Builder .................. -°'------ ........................--------......---- -------' Dale "-.../.?1""'........... Address ........ .......................... ............................................... ....-DESCRIPTION SSOries To Be Used Far Fron! Dep2h Heighf Esl. Cos1 Permi! Fee Aemarlcs I :! LOCATION Sireel, Road or oihes Deneslpf1on of Locarion I Lo2 iSlock ACattlon Or "lraei ?- This pesmif doas aot avlhorise the use of sireeis, raads, alleps os sidewelks nor does it give the owner or his agea! the righ! !o creale any siluaSion whieh is a nuisance or which presenfs a hazard !o the heallh, safefp, convenienee and general welfaxa !o aapone in the communilp. THIS PERMIT MUST BE KEPT ON TIiE PREMISE WHILE THE WORK IS IN PROGRESS. eer2ifp, ihai ...... .....:. .... . .............. permusion !o erec! a ....._?e:?.----------.-.--.--_---.:.... p ?T Thts is !o .!:=`/-=?-??-'- °-.--.has . - ?' ? . • ................_u on the above deseribed premise subjec! !o the provisiona of the Building Ordinance for Eagan?Township/adopled April 11, 1855. , . _ u' 9 p........_.'...".......... ....... .................. ............?... !-'-'-'°'-'---.. ..:..----.....°"-----. Per .........--'-------`--/:G..?:;."... l_;:_'.d. _ %.°.G.?,. ?. Ch ? "'airman 't Town Boerd ? Idin Ins eclos I ?-, RESIDENTIAL BUILDING PERMIT APPLICATION 3830 PILOT NNOB RDEAGAN MN 55122 651-681-4675 New ConstruCtion Reauirements • 3 registerea sne surveys showing sq Y. of l06 sq R of house; and all roofed areas (20%maximum lot coverage alloweG) • 2 romes of plan showmg beam 3 windcw saes. poured found desgq atc ) • 1 set of Eneryy Calcula[rons • 1 copies of Tree Preservatwn Plan if iot platted after 711193 . Rim Joist Getail Options selecqon sheet (bidgs with 3 or less umts) DATE o2 RemodellReoair Renuirements • 2 copies of plan • 7 set of Energy Caiculanons fcr hea[etl atlditions • t srte survey for zx:erior adddians 8 decrts . Indicate f home szrved oy septw system br addmons VALUATION SITE ADDRESS 7y?? H/}C/< MQ,Qt t9K MULTI-FAMILY BLDG Y 9N TYPE OF WORK ? aBF/it/ G- FIREPLACE(S) ?-'0 _ 1_ 2 APPLICANT /o STREET ADDRESS Lr CITY STATE I"WZIP-STZ22 TELEPHONE # 4-5? f?8b VYY_-?CELL PHONE # ?37 ? ZF-31 7 I FAX # PROPERTYOWNER J ?01J T(3 TELEPHONE# 6-'?6 YY3??' ----------------------------------------------------------------------------------------------- COMPLETE THI$ SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ VfVVFS07-.1 R('I,ES 7570 CV"f1:GORY l N[IS\L•SO"l'.A R['L1;5 7872 (J submisswn type) . Residenfial VenUlafion Ca[egory 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted • Energy Emelope Calculatlons Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcch.uiir.il svstcm include?: Sewer/Water Contrector: A;r conaiuon;n, Heal Rccovcn' S}slcm -----------•-------------------------°----------....._..--------------------- I hereby acknowledge that i have read ihis application, siate that the inf with all applicable State of Minnesota Statufes and City of Eagan O? Signature of Applicanf Phone n Lawn Sprin;ler No. of R.I. Baths Phone # P'ee: 590.00 sio.oo ?e ?l'JC 1 $ 2002 agree to comply OFFICE USE OtiLY _ Water SoFtener Water Heater No. of Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reqwred _ Updated 4102 OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF [7welling ? 08 06-plex ? 16 Fveplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? Oa 02-plex ? 70 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 1 D-plex ? 19 Lower Level ? 24 Storm Damage Q 06 04-p{ex ? 12 12-plex Plbg_Y or_ N Cl 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handaut to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaL C.O. _ Footings(deck) FinaUtio C.O. _ Faonngs (addition) _ Plumbing _ Foundation HV?.C _ Drain Tile Other Roof _ Ice & Water _ F inal _ Pool _ F[gs _ Air.%Gas Tests _ Emal _ Framing _ Sidmg Stucco Srone _ Fireplace _ R.I. _ Air Test _ Final _ W indows (new/replacement) _ Insulation _ Retaimng Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC Ciry SAC Water Supply & Storage S&W Permit & Surcharge Treatmen[ Plant Plumbing Permit Mechanical Permd License Search Building Inspector Copies Other Total PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES F4CH TOTAL SHOWER WATER CLOSET BATH TUB LAVATORY KITCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • minimum - ROUGH OPENINGS WATER SOFTENER -FtCl V H.1 E "li1Ji . • llakL'ry. lic. . U.G. SPRINKLER • 6ome under ?nat. ALTERATIUNS • to aristing WATER TURN AROUND STATESURCHARGE TOTAL: 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 1$.Q0 15.00 .50 15.50 SITE ADDRFSS: 743 HACKMORE DR OWNER NAME: JnMes INGRAM INSTALLER: sAME ADDRF.?S: CpI'y; EAGAN STATE: MN ZIP CODE: 5517? PHONE #: ( 612) 688-0625 ? ? ..TGNATURE OF ERMITTEE y iy cl'3 414 1993 PLUMBING PERNIIT (RESIDEIV1zAL) C11Y OF EAGAN 3830 PIIAT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMNiERCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PFRMTTS ARE NOT REQUIl2ED FOR EACH DWELLING UNTT. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: FEE: 1% OF CONTRACT FEE. STATE SURCIIARCE $.50 FOR EACH $1,000 OF p?]Vf?' FEE MINdMUM FEE: $ 25.00 . CONTRACT PRICE X 1% STATE SURCHARGE TOTAL SITE ADDRESS: $ $ TENANT NAME: STE # OWNER NAME: INSTALLER: ADDRESS: CITY: PHONE #: STATE: ZIP CODE: FOR: CITY OF EAGAN APPLICANT 1993 PLUMBING PERMTf (CONII4IERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 c .• SAC Date Receipt # \ Account deposit ` Sewer permit and Subtotal + Subtotal + Sewer & water connection charges ** (Plumbing permit required) SAC Date previously paid Receipt # ? Water connection Date previously paid Receipt # Q Account deposit ? Sewer & water permit and surcharge ? u I Water meter Treatment plant fee Subtotal ? o) 3? + tap, if applicabie 4I Total ** (Plumbing permit required) ? $ 850.00 paid 695.00 15.00 50.50 105.00 324.00 $1,18950 30.00 100.50 105.00 324.00 1104.50 Note: Homeowner may acquire plumbing permit only if actually doing the work themselves. If plumbing contractor is hfred to pertorm the work, then the permit mmst be applied for by a licensed plumber. OFFICE USE ONLY PRV No. of taps Yes Property owner JIM zNCUAM No Telephone no Assessments No Address Date 15.00 Account deposi 50.50 Water permit & Water meter $915.50 Treatment plant 688-0625 743 HACKMORE DR Waiver llILp Lot 5 Blk ? Sect saDDLE HORN CITY OF EAGAN 1993 SEWER & WATER CONNECTION CHARGES EXISTING RESIDENTIAL PROPERTIES P I D # 10-65800-050-02 t AS OF: 03/31/1993 PROPERTY ID: 10-65800-050-02 S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD 100566 STREETS 1980 20 8.0000 1944.00 0.00 0.00 PP 100567 S/W LATS 1980 20 8.0000 3359.51 0.00 0.00 PP 100568 SEWER TRK 1980 20 8.0000 280.00 0.00 0.00 PP 100569 WATER AREA 1980 20 8.0000 280.00 0.00 0.00 PP 100570 GRADING 1980 20 8.0000 1210.00 0.00 0.00 PP 102208 SSTK 597 1991 10 8.5000 840.00 84.00 672.00 102264 STLT 619 1992 03 6.5000 156.40 52.13 104.27 ------ SiJNIMARY OF LEVIED 996.40 136.13 776.27 ****** 1993 P&I CERTIFIED 213.94 ------ SUMMARY OF DEFERRED 0.00 0.00 0.00 ------ SUPMARY OF PENDING 0.00 0.00 0.00 ------ SUMMARY OF CLOSED 7073.51 Press ENTER; or F1, F4, F5, F7, F8 # r WAIVER OF HEARING N0. 411 SPECIAL ASSESSMENT AUTHORIZATION I/We hereby request and authorize the City of Eagan, MN (Dakota Co.) to assess the following described property owned hy me/us: Lot 5 Block 2. Saddlehorn Addition for the benefit received from the following improvements: ITEM AMOUNT Normal Sanitary Sewer & Water Permit Hookup Fees $2,104.50 TOTAL $ 2.104.50 to be spread over 5 years at an annual interest rate of 7.5% against any remaining unpaid balances. You may pay any portion of these special assessments within thirty (30) days of signing the Waiver without interest at the Eagan Municipal Center. If you pay after the thirty (30) day period, interest will be charged from the signing date to December 31st of the current year. The undersigned, for themselves, their successors and assigns, hereby consent to further, hereby waive notice of any and objections to any technical defects in assessments, and further waive the right assessments made pursuant to this agreemen heirs, executors, administrators, the levy of these assessments, and all hearings necessary, and waive any proceedings related to these to object to or appeal from these t. Dated: 111W mes Ingram cv ? ? ??_?rLLT Brenda Ingram .A '7?? ? r ?'?JUUE A. KAUFMANBOOM STATE OF / i i i?rin-?O-?f-? ) y Notary PuCUaAAinnesota ) S S Dakota COUnty ) My Comm. Exp.101095 COUNTY OF ?4Qi7 On this ?=f day of OAA?, 19j3, before me a Notary Public within and for said County, personally appeared ,&,e?jo /?..s`-?c??a^- u^?1-T°a? f^br°?^? to me personally known to be the person5 described in and who executed the foregoing instrument and acknowledged that. 167 executed the same as free act and deed. /l . !. . _ Notary Publi ---------------------------------------------- - ------------------------------ FOR CITY USE ONLY Reviewed: Eagan Public W ks Department :ity oF eagan MUNICIPAL CENTFR 3830 PILOT KNOB ROAD EAGAN, MINNESOiA 55122-1897 PHONE: (612) 661-4600 FAX: (JUIl'V?; 1992 MAINTENANCE FACILITY 3507 COACHMAN POINT EAGAN, MINNESOTA 55122 PHONE: (612) 681-4300 FAX: (612) 681-4360 THOMASEGAN Mayor PATRIqA AWADA PAMEIA McCREA TIM PAWLENTY THEODORE WACHTER Councll Members JIM INGRAM 743 HACKMORE DRIVE EAGAN MN 55123 Re: Dear Mr. Ingram: THOMAS HEDGES Clry Atlminlnslmror EUGENE VAN OVERBEKE CIN qerk I was asked by City Councilmember Tim Pawlenty to review the City's policy and associated costs for the connection of an existing residence to the City's sanitary sewer system. It is my understanding that it is your desire to properly abandon a septic tank and hook up to the sanitary sewer main as it exists on Hackmore Drive. I have reviewed the questions that City Councilmember Pawlenty passed on to this office that include: "Can a property owner hook up to the sanitary sewer main without a licensed plumber?"; "What are the rules and statutory guidelines for hooking up to the City sanitary sewer system?"; and "What are the hook-up charges and any other expenses the City requires for this type of connection?" I have reviewed these questions with the appropriate staff and want to provide the following information relating to the aforementioned questions. Your first question regarding the necessity to use a licensed plumber is only required for new construction. According to Chief Building Official Doug Reid, you can install your own water and sewer connections since both the water and sanitary sewer stubs are to your property line, which is the case and further that the use of correct materials, proper trenching and compaction are required. Since your property is located in the high pressure system, you will be required to install a pressure release valve. I have also researched connection charges and the cost for a sewer connection to an existing residential property is $830.50. The breakdown for those charges are as follows: SAC $800.00 ($700 to MWCC &$l00 to the City of Eagan) Account Deposit 15.00 Sewer Permit & Surcharge 15.50 Subtotal $830.50 THE LONE OAK TREE ... THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV Equal Opportunity/Affirmative Action Employer JIM INGRAM JUNE 5, 1992 PAGE TWO If you are planning to connect to the City's water supply system, that charge is $1,116. I would be happy to provide a detailed cost accounting of the water connection charge if you are planning to proceed with both sewer and water. According to our records, the charges that were quoted to you on July 18, 1989 were $700.50 for sewer connection and $936 for water connection. There are no outstandinq assessments to be levied for your water and sewer connection. The only outstanding assessment you have is for storm sewer trunk that was levied in 1991 at a total cost of $840. That charge is being levied on your property tax with an annual principal of $84 and interest at S?$ for the next ten years. If you would like to proceed with the sanitary sewer and/or water main connection, please contact our Building Inspections Division at any time. If you need any additional information, please feel free to contact this office. Sincerely, Thomas L. Hedges City Administrator cc: City Councilmember Tim Pawlenty Douq Reid, Chief Building Official TLH/vmd y "O ? ? A7Z S /? C/Oi' ?ld-?-/ -? /../??'7?? ?'Z. 7G/3 1442 `' . C-U-;:-7t /C, a o ? , ? ? v ? ?4 A ck y/'?oYc- ?? MASTER CARD LOCATION OWNER /rn , Qim s7leQ SiRUCTURE AND LAND USED AS S?/C?(`/,?ryq Permit No. Issued Issued To Contractor Owner 6UILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS WSTALLING SANITARY SEWER OTHER I OTHER I Approved Items (Ini}ial) Dafe Remarks Distance From Well FGOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL T ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION $EPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER .ON^'?'Jd Violations Noted on Back COMMENTS: .!ti A COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL 8E DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATI ON - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments tor off-siie improvements relafing to [he prnperty inspected. F] ALL IMPROVEMENTS ACCEPTABLY COMPLETED Bt11LDING INSPECTOR 15, WELL PERMIT DAKOTA COUNTY ENVIRONMENTAL MANAGEMENT DEPARTMENT WATER AND LAND MANAGEMENT SECTION 14955 Galaxie Avenue, Apple Valley, MN 55124 (612) 891-701 1 Permit No. 94-9185 Unique # H54405 WHEREAS, the NON-TRANSFERABLE PERMITTEE/DBA: Sampson Brothers Well Comany ISSUED TO: 02088 ADDRESS: 1628 Duluth St REVIEWED BY:Luehrs St. Paul, MN 55106 has submitted a permit application, has paid the sum of $111.00 dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to seal the Well described herein: An abandoned well with a casing diameter of 4 inches, depth of 155 feet, and completed in Unconsolidated Sediments, will be permanently sealed. The well shall be cleaned of equipment and debris, disinfected, neat cement grouted and terminated at least two feet below grade. THE WELL IS LOCATED IN THE MUNICIPALITY OF EAGAN AS FOLLOWS: WELL LOCATION PROPERTY OWNER & ADDRESS WELL OWNER & ADDRESS 743 Hackmore Dr James Ingram James Ingra[n 743 Hackmore Dr 743 Hackmore Di Eagan, MN 55123 Eagan, MN 55123 NOW, THEREFORE, Samoson Brothers Well Comany is hereby permitted and authorized to seal the well described and located above for a period of one year from the date of this permic. Sealing of this we11 is subject to all provisions of Dakota County Ordinance 114, the Minnesota Wells and Borings Code and any conditions attached on the reverse side of this permit. Given under my hand Monday, July 25, 1994 sor L[# [OOd Wtl49:80 96-SZ-LO i60LI68Zt9 _ - ;?.,i?1 •?f -. ssse-x `--- MUNTCIPAL NOTICE OF WEUL PERMIT APPLICATZON pAROTA COZ7NTY ENVIRONMSNTAL MANAGSMENT D&PARTMENT WATER AND LAND MANAGBMENT 3ECTION 14955 Galaxie Avenue Weet, Apple Valley, NQR 55124 Tel (612) 891-7011 Fax (612) 891-7031 DATE; July 25, 44 T0: Tom Colbert/Wayne 9chwanz FROM: Water and Land Management RE: Well Permit #: 94-9165 Muniaipality : Eagan Fax #: (612) 681-9612 Well Type: Sealing Raviewer : Luehra NOTICE: The Water and Land Management Section of the Dakota County Environmental Management Department has received the following permit application for the well deecribed. if you require futher review of the application or if you have any quesCions or concerne about it, contact the Environmental Specialiat listed above or our offioe at (612) 891-7011. If there is no response E.rom your affice within 24 HOURS (excluding weekends and holidays), we will assume that you have no objectiona to the issuanae of the permit. Please note that permit ieauance is always conditioned on the permit applicant'a obaervance of and comp].iance with all appl.icable laws and codes. A aopy of the well permit will be forwardad to ypur office when cvmpleted. WBLL CONTRACTOR INFORMATION: Samp son SroChers well Comany Application RecBtvedt 07/21/94 Antiaipated Drilling/Sealing Date iE known: Time: . LOCATION OF WHLL: PLS Coordinates i(, ', W, U, Sec 25, Town 27 , Range 23 Well Location 743 Hackmore Dr Property Owner James Ingram Well Owner James Ingram PID Number - - - WELL INFORMA' Diameter Caeing depth Total depth SWL Aquifer CION: 4 155 155 132 Unconeolidated Sediments COMMENT3: 3`Jtld TE0LT68ZT9:XtiJ 3Shl-w 1J10>Iti9:QI 90:60 76. 931LO PERMIT City of Eagan Permit Type:Building Permit Number:EA177704 Date Issued:07/14/2022 Permit Category:ePermit Site Address: 743 Hackmore Dr Lot:5 Block: 2 Addition: Saddle Horn PID:10-65800-02-050 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. 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. When a weather barrier is installed or Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Daniel J Moehnke 743 Hackmore Dr Eagan MN 55123 Applicant/Permitee: Signature Issued By: Signature