4605 Manor DrCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100
BUILDING PERMIT Receipt #
To Ge used for !'- IDWGIGA]t
Est. Value ; ? 7 ,QpQ
Site Address 4005 AL"i:, ;P• :'d ti
Lot 2 Block ? Sec/Sub. ••A:1: -+iKR' R `}id_
Parcel No.
Q Name MICHAEL Pt:TRBS
W
3 Address ?' , ;:. ED1C 345
? Ciry 6AVAC' Phone_ 44C-...i771
4'
O Name _
.
o Q Address
? City_
rs
"W
WW
Name
?
Address
V
Q W=
City Phone
I hereby ackno,#ledge 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 Ciry of Eagan OrdjnancpsA
Signature ot Permlttee
A`Building Permit is issued to:_ t?'
op the express condition that atl work shall be done in accordance with all
appticable State of Minnesota 5tatutes rd City of Eagan Ordinances.
Building Ohicial
Date :i....:.7' ''G 19 r""
OFFICE USE ONLY
On 5ite Sewage Occupancy 2-
MWCC System _X Zoning U,-1
On Site Well (Actual) Conat V-;3
City Water (Allowable) bi_
PRV Required " # of Stories
Booster Pump Length 5a
Depth tC,
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
S-A82-DO
IR _ 5a
141 _ fftt
][N]_cX
-51.1-O..?fl
--5 -5 0- r?
-f3?3
?
$+57_ St
? CASH REC6PI S
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE -• ??? I ?g r
RECPNOM ? 1 ` ' - -- -
AMOUNT $
& DOLLARS
,oo
O CASH La CHECK
i
f -
?
FUND
?
Thank You
BY
aMOUNr
?
?
C
?
,
r
Whi[o--PayeB Copy
Yelbw PosUng Copy
Pink-File C.opy
CITY OF EAGAN
. . .,
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To b@rwapd for "
Site Ad
Lot _
Est. Va1ue + :7
Date ,19
OFFIC E USE ONLY
On Sfte Sewaye Occupancy
MWCC System Zoning ?
On Site Well (Actual) Conat
City Water ' (AllowaWe)
PRV Required #t of StoNea
Booster Pump Length
Depth
S.F. Total
Footprfnt S.F.
Parcel No.
a Name l"'
; Address ° City Phone °C
0 Name
? ? Address
? City Phone
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. ?
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
FEES
Engr./Assess. Permit ? 14 -
Planner Surcharge
Council Plan Review ?
Bldg. Off. SAC, Ciry !
Variance SAC, MWCC
Water Conn.
Water Meter ?
Road Unit
Treatment P1
Parks
TOTAL
Permlt No. Psrmit Holder Date Talephone ?t
Plumbing >
LrJ - '/?4 69
H.V.A.C. /O
???? ?:??
lICG-?? .
?
6r
9 i sI
Electric '7f7
Softener
Inspsction Date Inap. Comments
Footings I {
Footings II
Foundation
Framing .zc
Roofing ?-
Rough Plbg.
Rough Htg. ?4 lrg fj j UG ?e/G? ?rJ
IsuL
Fireplace `
Final Htg. . .y1' ?
Final Plbg.
Bldg. Final
?i d
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
;.
Ttxtif iraft uf (Orrupttnry
Citp of (eagan
loqmrtatrttt of lutlaing jW.pprtinn
This Certificale issued pursuant 1o the requirements of Sectlon 306 of the Uniform Building
Code certifying that at the tinre of rssuanee this sftcture was in compliance with dre various
ordincrnces of the City regulating 6uilding construction or use. For 1he fallowing.
ux annfitw. SF UCIGAR Bft. Pcnn;t No. 15531
omupancy T?pe , R/M I zoning auma ?? T?1. c.ma vm
oww or Maing MVIK PEIPRS Add? P. 0. 5(K 34 5, SAUACE
BuMing nm« %„-nx7R DFNE L-alky L2, B I, MAIM IAKE
n.tv. CEMMER 1, 1988
Budding Olficial
POST IN A CONSPICUOUS PLACE
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHnwF• esa.nIon
Site Address %r ?-- - j1!4- y.,!C 14
Lot Block ? SeciSub
m Name
? Address ? y 5
c City Phone
? Name
3 Address
p City
FEES
COMM/IND FEE - 196 DF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDEMTIAL FEE - $12.00
MINIMUM - COMMIIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 S/C IF PERMIT PRICE GOES
PERMIT #
RECEIPT #
dATE:
BLDG. TYPE WORK DESCRIPTION
Res. X New N,-
Mult. Add-on
Comm. Repair
Qther
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
?Water Closet - $3.00 $
- Bath Tubs - $3.00 ' i_Lavatory - $3.00 -
Shower - $3.00
/ Kitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00 '
_LFloor Drains - $1.50
_...L-Water Heater - $1 SO 1 ? ,'
Whirlpool - $3.00
-/-Gas Piping Outlets - $1.50 ? • ' '
(MINIMUM - 1 PER PERMIn
Softener - $5.00
well - $10.00
Private Disp. - $10.00
2 Rough Openings - $1.50 i!
- ;2y
SIGNMURE OF PERMITTEE ` II FEE: r'
STATE S/C: .=' ?
FOFi: CITY OF EAGAN GRAND TOTAL• -b
7 , , . .
Block ' Sec/Sub
Name -
m Address '
c Ciry
Name
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
Other
M BTU
M BTU
M BTU
M 8TU
CFM
FEE:
5/ C:
TOTAL•
PERMIT #
MECHANICAL PERMIT RECEIPT # ?-
CITY OF EAGAN
' KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office Use Only:
BLDG. TYPE WORK DESCRIPTION
Res. X- New
M ult Add-on
U Comm. Repair
Other
FEES
BTU
OUTLETS (MINIMUM - 1 PER
M/IND FEE - 1°ib OF CONTRA
ai nr.c - r.nRnnn ROTF APP
IL.,
- $24.00 ?
- 6.00 - 1.50 EA.
tvvvrvnvvoc a vvivuvQ - nw. nn i Q nrrl-ir-o
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADO $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) .
SIGNATURE OF PEAMITTEE
FOR: CITY OF EAGAN
. .?l?. . ' . . Vv"??as?' 1?'Y .. f? ,'9L+f' .!' - .
R" _x . ? .. . ' " . . . . . , . _ ..
+_ . . CITY OF EAGAN 42 1775 1
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHON E : 454-8100
BUILDING PERMIT
Receipt #
To be uSed for DECK Est. Value $1 s000 Date APR 23 , ? g 90
Site Address 4645 HANOR DR
Lot Z Block 1 Sec/Sub. ?OR IA1CE OFFICE USE ONLY
PaCC@I N0. Occupancy - FEES
Zoning _
W Name G?' & ?? T?? (ACtual)Const _ Bldg. Permit 25•?
Address 4?S ??R DR 1/ulowabie? - ?
o City EACAN Phone 454-5760 # oi siories Surcharge •
22M Plan Rewew
Lenglh
o Name SAM Depth ? SAC
Ciry
Z ,
O
e Addfess S.F. Tolal -
U SAC, MCWCC
? CII}I Phone S.F. Footpnr,is -
V?later Conn
N
On Site Sewage
_
F W Name On Site well - W
ter Mete
r
a
's ? Address MWCC System _
Acct. oeposit
< W City Phone City Water
P
PfiV Required _ S1W
ermit
I hereby acknowlege that I have read ihis appiication and state that the Booster Pump - S/yy Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City/ ol Eagan (kdiaenees. Treatmern PI
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: 'r'?? ?R DAWN TAMMN Planner - pgrk Ded.
on the express condition that all work shall be done in accordance with all Council 1.?
applicable State of Minnesota Statutes and Ci1y of Eagan Ordinances. gl?, pff. _ Copies
Building Oflicial
Varkvnce
- TOTAL
26.50
Permit No. Permk Holder Date Telephone #
WATER
SEWER •
PLUMBING
H.VA.C.
ELECTqIC
Inspection Date Insp. Comments
Footings I
Foundalion
Fremirg
Roofing
Rough Plbg.
Rou9h Htg.
Isul.
Fueplace
Final Htg.
Fnal Pibg.
Const. Meter Plbg. Inspector - Notity Plumber
Engr.lPlan
Bldg. Final
Deck Ftg. - 3
Deck Final
weli
Pr. Disp.
GTY OF EAGAN Permit No: Date:
3830 Pilot,Knob Road Meter No: Size: 4
P.O. Box 21199 Reader No:? Date:
Eagan, MN 55121
Owner. =? gic Mirr+or Inc.
Site Address: Z=60y Mano 1?riv I? M, 'lotnor :.ake
Plumber ?> a Sid Pl inbtnor
Conn. Chg: ??u up-a Zoning _
Acct Dep: +'' ?J,J-- ; No. of Units:
Permit Fee:
Surcharge: 50^rd 1 agres to comply with the City of Eagan
Tr. Plant Ordinances.
Meter. D_
Misc.:
WATER SERVECE PERMIT
P.O. Box 21199
Eagan, MN 55121
2 B1
Owner.
Site Address:
plumber: r
No. of Units:
1 agree to compty with the City oi Eagan
Ordinances.
MISC.: -; nr.0T'TT>?T) By
nnwcc: S 50 . t?Opd
city cn9: '
.. pc,
Acct. Dep:
. . _ p:.
Permit Fee:
Surcharge: ?
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Bor21199
Eagan, MN 55121
Site Addi
Plumber.
SEWER SERVICE PERMIT
Permit Na ""2$ Date: 9-I 6-88
Meter No: Size:
Conn. Chg: 55,G $20Pd
Acct Dep: L? .1npd
Permit Fee: L c. ? -?
Surcharge:
Tr. Plant
Meter. 4 ' "` ?'• - -
Zoning: -
No. of Units:
Date:
1 agree to comply with the City of
Ordinances.
ey
CASH RECEIPT •
CITY OF EAGAN
. . 3830 PILOT KNO ROAD GAN, MINNESOT 55122 - 44T
DATE ,9
xECervEn .
FPOY
AMOUNT $
Ia
? CASH -0 CHECK
DOLLARS
wn
FUND OBJECT AM NT
O a '- a'U
V 00
G 6J
/
Thank Y
.?
BY
NO 87415 WhnI,PayersCapy
Yelbw-POSting Copy
Pink-Re Copy
7
L BLDG. PERMIT NO. I !S
f --? I 0, 0,(2 5 -? ?
M ano.?
_
01-3210 Bldg. Permit `-r
01-3422 PlanCheck C'C)
01-3445 Surch./Adm. -T-7
?
01-3g46
SAC/Adm. ?
? 01-2155 surcharge 3? ?3
. 75-3860 Road Unit --:)LS ?)c
?
20-2275
SAC
JC i
? 20-3865 Water Conn. `- ) OU
20-3868
Water Trmt. 'I
? 20-3716 WaterMeter
4n 20-2252 Acct. Dep.
? 20-3713 Water Permit
20-3743 Sewer Permit
79-3866
28-3855 Sewer Conn.
Park Ded. I o
'
.
TOTAL ?, J
CItY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PN ON E: 454-8100
BUILDING PERMIT
To be used for SF DWG/GAR est Value $77 , 000
N_ 15531
Receipt # IE (c Cl J ;?)
Date AUGUST 29 ,19--m_
SiteAddress 4605 MANOR DRIVE
Lot Z Block 1 Sec/Sub. MANOR LAKE ADDN.
Parcel No,
z Name MICHAEL PETERS
w
3 AddressP.O. BOX 345
0 Ciry SAVAGE Phone 440-6771
a Name SAME
0
? Q Address
i City Phone
w W
w Name
F
i? Address
a W City Phone
I hereby acknowledge that I have read this applwation and state that the
information is correct and agree to comply with all aOPhcable State of
Minnesota Statutes and Ciry of Eagan Oronanqee'i
Signature of Permittee 4((f/?
A Building Permit is issued to -1411rA(AL-g.Fy'FggS
ontheexpressconditio hatallworkshallbedoneinaccordancewithall
apphcable State of Mi ne ota Stat?nd City of Eagan Ordmances.
Building Official_
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 f M-1
MWCC System X Zoning R-1
On Site Well _ (Ac[uap Canst V-N
Ciry Waler _X (Allowable) V_N
PRV Required # oi Stories
Booster Pump _ LengM 51
Depth 40
S.F. Total
Footprmt S.F.
APPROVALS FEES
Engr./ASSess Permit "-a2-QO
Planner Surcharge 38.,50
Councii Planaeview 241.00
Bldg. ON. SAQ Ciry -LOQ..QO
Variance SAC, MWCC 5 50 .IlO
WaterConn _$jQ-QQ
Water Meter _(yZ,.QQ
Road Unit _-US.,.QQ
Treatment P7 --2e4-.GO
Parks
TOTAL $251`7 S_O
BUILDING PERMIT
To be usBd for DECK
Site Address 4605 MANOR DR
Lot 2_ Block -3- SeGSub. MANOR LAKE
Parcel No.
w Name GREGG & DAWN TAMMEN
; Address 4605 MANOR DR
° City EAGAN Phone 454-5760
a Name _
g? Address
City _
Name _
Address
CIty -
Phone
I hereby acknowlege that I have read this application and state ihat tha
inbrmahon is correct and agree lo comply with all applica6le State of
Minnesota Statules and City ( Eagan
Signature of Permitee
A Buildmg Permit is issued to: ffPqGG OR DAWN TAMMEN
on ihe express condillon that all work shall be tlone m accordance wilh all
applica6le Slate ot Mj?inQne??s,o,tapS1aWgtes andY1C?il1y of Eagan Ordinances.
Building Otticial ?4211A'! ?.L1
Phone
CITY OF EAGAN ND 17751
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700 ,?y ?''l
Receipt # L - )
Est.Value $1,000 Date APR 23 , 19 90
Occupancy
Zoning
(ACtuaq Const
(Allowable)
x of stories
Lenglh
Depth
S.F. Tolal
S F FootpriNs
On Site Sewage
On Sita Well
MWCC System
City WatBr
PfiV Requiretl
Booster Pump
APPROVALS
Planner
Councn
Bldg OH.
Variance
OFFICE USE ONLY
22u12
lOXB
eld9 Permit
Sumharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Waler Meler
Acct. Deposit
S/W Permil
S/W Surcharge
Treatment PI
Road Unn
Park Ded
copias
TOTAL
FEFS
25.00
.50
1.00
26.50
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
u
See i?s?mcUUns tor completrna this brm on beck ol Vellow copy. C
X" Be/ow Work Covered by Ihis Request
E 13997-
N-V AA? fleD Type ot BwlOing Applmncna WveE Eqwurinen1 WveA
Hume Range Temporary Service
Duplex Water Heater Liqhtiny Fixlures
Apt. BwlAfnq Dryer Electric Heabn
Convnercial Bldy. Fumace Silo Unloader
InAustnal Bldg Afr Conditioner Bulk MiIk Tank
Fdfm Othei Onr.i y .ihor ISpn?nlyl
t cr uocifY Oth.r O,h,r
Computelnspecuon Fee Be/ow
M Ee arviceENranceSae F Feeders/Svbfextlers in Fen Cvcwts
to 200 Amps 0 to 30 qmps 0 tn 30 Am s
Above 200 qmps illOrl 31 to 100 Amps 31 to 700 Am s
Swinvning Pool Above 100-Am 5 Ahove 100_<1mps
Transrormers IrngaLOn Booms Partial, Other Fee
Signs Special Inspection S'/ryi TOTAL FEE
HertNrks
Hough-in
I Dnte , the Electn
wl
r ?
` ?7
d ?e
Inspec[or, reby
CBfl1Iy l?IH1 [?1B TVOVB
Fnal ?^?e - specbon has Ceen
O _ ? meda.
Tlris repueal voiC 19 moniha Imm
This repuest vond g?a y?g? ??,'f6 ?
_
E ?13997-
Reauest U2te
-?
7-? Fire Plp, Houph-in Insper.?ion
Reqw d>
[311eady Nuw?W?ll Nnuty InsPer
ror Wh
fl
d
s ?No en
ea
y
Licensed Elecvir.al Conlractor , I hereby reQUest insoection o} above
? Owner elactrical work installed et'
Sveet Atldress. Box or Foute No.
44? S M141LId Q- Q?- Gcv
?? G ?/?
ecuon o. Township Name or No.
K-id T Z Range o. County
.d l-).eo
Occupant IPRWTI
121•tl?--?? li Phone No.
-'/?Vo 6771
Powe SuoPiiar
,?o ?-
b Adtl ess
rdAJ
Ele trical CnnVactor ICompany Name)
?i?G?,? CLccT,??G Conhnr,lor's L.icense No.
OYo G 3
Ma4linp AdJress IC9n1caclor or Owner MakinH Instailauonl
0 r Making Instailatiunl
Contr or/ Phonu Number
?
;
de? 3S7 -a
MTiJNES&A STATE BOAND OF ELECTHICI7/ THIS INSPEGTION REQUEST WILL NOT
Griges•Mitlway eldg. - Room N-791 BE ACCEPTED BY THE STqTE 90AHO
UNLESS PROVEH INSPECTION FEE IS
1821 Univarsitv Ave.. SL Pxul. MN 55104
Phonel6121642-0940 ENCLOSED.
?
.
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN y
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEY, 1 SET OF ENERGY CALCULATIONS NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESISED. HO CHANGES WILL HE SI,LOWED ONCE flUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT9L UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECB WITH HLDG. DEPT.t '
1 SET OF ENERGY CALCULATIONS
COhAiERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS;
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Jzj. Valuation: ? Date:
Site Address ?d
Lot o Block ?
Parcel/Sub ?
Owner vz>..f.eoe f/?
Address ?Acr-I'l ?3 ys
City/Zip Code J S 3,r)$
Phone ?/4/0 6-9 9/
Contractor ?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
-r
i/
OFFICE OSE ONLY
On site sewage Occupancy 3 1u1-? MWCC system ? Zoning ?- -I
On site well Actual Const V-N
City water Allowable V-N
PRV required 1c # of stories
Booster Pump _ Length 53? Depth y0'
S.F. Total
Footprint S.F.
APPROVALS
Engr/Assess
Planner
Council
Bldg. Off . "?T??-g ji
Variance
FEES
Permit 4SZ,60
Sureharge 36,SD
Plan Review Zy /,ov
SAC, City 1O C).
SAC, MWCC S.SD, DD
Water Conn SSD, Og
Water Meter b?,Ua
U
Road Unit 3 7s, 00
Treatment P l Z by , W
Parks
Copies
TOTAL -??o
!//-t c u.a -T7 oN
. - " OIZ44?,a&57
zN X Zz ? s z8
s73 u l?I= ?OZ2
5 S wvT
??' x Z6 ? 16 ? y
? X ?3 = Gs
! a?J 5 X 13 = I?J b 2. '7
House-
_$s m-r . r o-? ?
bSX `t`i
'16 19?
'f-
PETERS, PRICE & SAMSON
LAND SURVEYORS. LTD.
12400 PRINCETON AVENUE SOUTH, SAVAGE, MINNESOTA 55378 • 612-890-9201
Certlticate Of Survey For Mike Peters
CL/FF iqpqD
7
%.0
*
/It _ .??
? ?m r-, "VED
$
----_._?-0- 68
'%FiC;F4r,} j;: `
-? _ szzo d=,
`"'• cJ 9237
O -
? O
5rORA/NA
GEILA7D- ?1---??
1y?UT/L/TY Y EASEMENT
I ?
? 2
I j
3 I I
szeao
MO) . 3
I1600 929.0 9290
= 9c'?4T0 26.0 ga0 - - ? `
70 I ? o
o Proposed ? O I i
o i p Houss i Gmape I a
a ?
I ? 27 92Q2? ? .
. ? f925l3!
??.__ DEPT.
• 93/.04
----L-j j 928.91
Q o ? ? Q
? M 5L----------?5
uJ?
0
93Q3 qz? ? 928.6
E?'e?aAN 8 ? -
REVIEWEf7 85.00
r4i N 89°24 ?47"E r?
q•r -3:p M
L-?A-rE MANOR DRIVE 92771S)promsedsfreelpiode
LEGEND
o Denotes imn mc»ument sel
DESCRIPTIOIV • Denotes irm mcrwmmf lound
Lof 2 B/ock/ X 9ii1 Denoles exisfing e%votion
' rslt # Denotes proposed e%volion
MANOR LAKE AODITION Beqrings we assumed
Dokoia Couniy, Minnesoto
We hereby eertlry ttiat thle It a true an0 correct repreeentatbn ot a aurvey M the boundarfea of the above Gescribed lend, erW of the Ixetbn of all
buildinga thereon, and all vlsiWe encropchmeMe, If arry, irom ar on sald lantl.
Ae suneyetl bY us lhis dey of 19 _
Minneeola Licensa No
/
? IT3vn i
MINNESOYA""STATE`!E:IERCY-CODE"CALCULATIONS
s^'A;'BASED Ov! r,HnPTER -5 OF"THE
MO -ENERGY'CODE - 1983 £DITION
AdZpA,i?,yn,EEfective-1'hl'/84 ?
)wne r
;ite Addres
.
Phone ?/Y0oql ^ ro
:ontractor 1Z4r-V1.e;Q ? Pho
:uilding Classification: Type A1 (Single Family 8 Duplex) Type A2 (Residential
(3 stories or ess
(Other
3ENERAL INFORMATION
Building Perlmeter AU?y ft.
?. Wall height (ground to eave) ft.
2
3. 1. x 2. (above) grass wall arga /.4Zf ft.
(Over 3 stories)
7. Building dimensions (L) 2(_ (r x (W) C-I`? /,i= AIGc^ ft.Z roof I floar area
5. Square fcot area of rim joist - Floor j oist size (2 x/o
-' ? )
-`
2
? x Perimeter = Rim
st area
ioi
ft
-12
6. Doors - Arec 37- 7
Thickness 3 v in. U7actor
Type of Construction Perimete r 3Y ft.
Manufacturer
,.?-,?-,- C
?
1. Total door's perimeter 3 7. 7Y, ft
8. Windows: Manufacturer A?'i- State approved
U factor . 52 e ,7/7
TYPE STZE AREA (F:.2) NUMBER OF TOTAL FEET 2
cqrH UNITS
aVV0 1333 . 11-2 1?? 6.F4?
-7, ii
- Pn
,.24/3a / . 7 =z . o?
Ve 8 . ?.,, Z. ? ? 7 _
A- /ro x?- f - 3 s ?1 / ? .? . .Y ?;•
_
y Total ft.2 Glass 117•3> 8" 35, S7
J-klireplace area: Width x heiaht = a = Ft•2
2
11 , Exposed' foundatian: Height x Perimeter x ??y = 96 Ft.
:)P1?LETION OF THIS fORM IS REQUIRED FOR ALL NEW COPJSTRUCTIO'J, MAJOR REMODELIN6 ANO BUILDINGS BEING
11VED 'dHERE ENER6Y, OTHER THAN THE MINIMAL COOE AI.LOWANCE. IS USED.
12,' Framing area = 10% of gross wall area.
13. Gross wal l area / 8'_,?'/
//7• 3 3
Window area A 3 5• h'S ft.Z
Rim joist area A ft,
_ z
Door area A
3? ? ZX `
2t., 2
-F-irepkace-ama-A- f- 2
Exposed foundation A 96 ?? f*.. 1)
Framing area A /'VrZ . 'n.= rt. 2
Net wal l area A /.2 7 S- b? `t
f'
.r 2
„
, 5a bl,pf
0 windows = •5/'7 'JxA
U rim Joist = IpV U X p= L??D
„ J'.door area U.,x,A
U fireplace = U x a=
U foundation =?O S U Y A=-7, 6P 5'
U frani na area On U x A= // , 'j (?
'J wall = •OS U x A _ •75
(110: 737AL . . . . . . . . . . U x a = l70•7?
;4. Gross wall are x 0.11 -1 single family ; du;;Fx = allowable U x d/Code
(13. above) .
x 0.23 (A-2 other residentia'.;
x .23 (Dther buildings;
X .28 (Qver 3 stor;e.}
? /??'?
x U Ccde
??6? 6TUH Must
13B be larger than
above
15. Ceiling framing area (Af) equals 10°: of r:;ljnq ;rea ( or the same asJ
:SA. Gross ceiling pre3 = (L) C) If /rJ x !w) ZC- ¢ //GV ft.2
58 Joist area (Af) = 10", ceiling area // O ft.Z
i5C. Net ceilinc are a (AC) (15A - 158) = 9 GID ft.2
U cei 1 i ng x p c= 9 9 C7 x ? O,,?S _= t?2 C/, 7 `ti
U framing x A p= ?/Q x_ , D'_Sc? = 3•'?v
;50. 70TAL U x A ........................................
:6. Ceiling area (15 x 0.026 (A sinc,le `amil/ 3 Cuplex - code a1iowable U x A
x 0.033 (A-2 other r25ide^;ial)
x 0.06 (other)
BTUH Must be larger than 150 (above)
A f15.a) //C?'c2 x U code =? o? (or the same as)
NOTE: Use U and A values abta9ned `••om ,)ps !, 3 and 4.
.2
41ALL
SECTION
7 .'-?L'IE CrLCULuTiUNS 1 1- - --
VALUE U 'JALUE ?
Instde atr film .68
tnier:or wa:1 (1Ja11) l = R .
!asu:a[iun
Sheathink
Sidinq
v'utsidP air film .17
e rorAL . 0 5
a i ?.ro 'T Inside air f:1m 58
STUD ?5 Inta:ior :rsil
SECTION ?T y3c? 4" s=ud k= 4,38 (Ftaming)U = F =
Shea[hing
Siding
Outside air tiln .17
.?
a ': DTAL , a 5?
2ND UALL
SEC2'I'?[r
Inside air Eitm R= .68
LnCetior wail
1
Lnsulat:on ('dall ? : = R =
Sheath4ng ?
Extetior 431I :overing
ExCerior air filr;, n =,li
R TOTAL
8LM
.IDIST
.( 5r !n[erior air Ci ir 3= .63
scla:.ion
ir.ch soft +oud R=1.88 ?Rim U = R =
? JO15L)
6-OOSheathing
t
j•I : Exterior wall covrring
Er[erior air film R= ,17
d9/ R TOTAL ? OL/
I\' I
i
lntwrior ai- Eilm R= .6F
/p.h'Z Lnsuls.[or. 1
10J ? :2 Founda:ion (fdn.) U = R =
? i /'7 Erterior air :iln R=_.17
? -
LI ?? \z'd /
s TOThL
?
{I I ? {XF1U52A 3LUCK
\,•V:? r,rade .i.
/S66
CE:LIUr WITH VENTED nTTIC 5?ACE ABOVE
R YALUE R 'lFIUE
fRAMING CEILING
r..
0.61 Air Film 0.61
??R 6,9`a Insuiation oo
e-I •?,`Y Joist
Ceilina • Sc?
O.E1 Air Film 0.61
33p5 Total
t
?03o u=a
a 5 y - 7 1Z
,C z_<S
F!.4T ROOF OR CATHEDRAL UILIMG
R Va ue R `lALUE
FR:MING CEILING
? 0.61
? ??..
?
0.17
Inside air film 0.61
Ceiiing _
Joist (stud)
Insulation
Air spate
Racf de:king
Insulation
Built-up roof
Outside air film 0.17
Total
U
R
R
dindow infiltraticn .5 cfm/lineal foot of crack
?esidential door infiltration 0.5 cfm/squar2 foot or deer and mininur code requirement
?on-residential door infiltration 11.0 cf;n/lineal ,°oct of crack
)b 12" concrete block no insulation =.47 R 2.1
!b 12" concrete block insulated cores =.26 R 3.8
1S 12" liylit:aeiohL b1oCk =.32 R 3.1
;b 12" lightweight block insulated cores =.12 4 8.3
J single glass = 1.13; with storn window .54
1 dou6le glass = .55
J triple glass = .41
;il exterior walls and ceilings must have a vapor barrier (0.10 perm ir:ax.).
:apor barrier must 6e on the inside (heated side) of wa'i.
,apor barriers of the polyethelene Lhin film have no R value.
4.
?
?
.: •
?..
t1iNiMUH "U" VALUL AND •R-FACTOK AT ROOF, l1ALL. RIlI AND COKCttLY'L LLOCK ? _•
iypc A.1 8v11dln9 y?-??lw 4equlr tt
• - . 197! Gedt ,
. b [ltinent Metre bd 19& CoOe
• wa Try Nlnnesote)
' rooryce111nqs O.a
/loors rner ' 0.026
unAeatta s0aet 0.08
O.OS
Mlnimw R Valws tor Celllny,p4ll, and tloor Sections of
l
, Type A-1 eulldlnqs i r .
.• . ?•? ??. .. I Ceillnys Nalls lloors qindova S1l0iny Glaaa Doon poor=
I fl) , (2) (7) Sse See
• ?t*{ Not• S Se?
20 2p Nou t
?o • , • . . .
? . NOtta CO ?aDt• • . .
I,' ? • •' (1) Ceflinqs vAfch most em et the lolloving ccltaria aatistr
.
/.• S , . • t a roquiremant3 •
'. : •
?
'
,;:.,.' ••
•
A. R-38 throuqhout the sntlre eoilin9,
?'
•'? 9
?? ??
?
'• ;j
, 6. II a poetlon ol tAe eeSllnq {s ltsa than R-]!, the
.. • lnsulaelon !n th? rawlnder a[ the e?lllnq mvsc be lneraaseE to
?
'•. ' rleld an everall ewraq• ther?al ruLsunee ot noc lua chsn
?
:
?; • ' • R-70 uslnq Che Lollovinq eQvation, .
. . . : . Ar . (Ap - Al) I (Ao/70 - Al/Ill) •
' lC • ' . ' vhore: •
_R velue of tfia insulstton !n tAe reeeindar •
?
': ? ' o! tAe ceiliny.
.
A
- t
ul
L
A
'
?
_
.
o
o
?rea o
t
e eeiling,
It
. .
'• • ' A1 - erea o( ths telltng vith less tAan R-78.
. . . , R1 - R valua oi tAa ceillnq vhfcA ts less than
R-7B. • •
C. uha.e eLc ?rrwi is ine Verimetet et tAs eeiling yrevenes
installation of insulation to tull depch, cAe tnzulation in the
dCraft = faCed remaiedes ol tAe eeilinq oust De inereased co reduce the overall
'?
,
. eeilinq Aeat loss to no .ore tban 1( R-78 hsd been iascalled
-+ insulation
papei
h
A
A
,
roug
e
OUt t
e •ncire eeillnq,
?
side t
h
t
, .
o-
ea
(2) ror cne insulaced eavis ot op•
, y que vall and ris jo[ats, Lut
. not laundaclon valls.
(]) ror the lnsulated eavier o[ lloors ot Auted spacea over
unAested speees. ' . .
(4) Ma:imua glaas eres aar not esceed 12 psreent ol the •rea ot
. ? ' ezterior walla not includiny [ovndstion valls. All vindovs ahall
•
? ? . „ A M doubie qlazed or Aave stona vindova,
• ?(S) Naslsus qlasa area eay,not e=ceed ten pereenc of tAa ares ot
?
? • •
dA '
' • ezterioC.valla, not lncludinq [oundstion vslls, vhen • aliding
9laas door [s fnasalled. All qlass sAalf G Eouble qlased or
D
°
O
, . havs stors vindovs.
. . (6) A 1-3/4 lnCh meul faced door srstem vitA an lnsulated core
providinq an A velue equal to or qreacer eAan 3.0 or a
. • eonventionsl door and stom door. xll pri.ary doors wust Aava
? dureble veetAerstriyDin9• ' .
-
?. FoundaHOn wll Insulatton_ /Tht 1984 code toeclfl-
i a • . l ' cafly redutres oundat on ra lnsulaUOn rAere noor: .eo.e ene founa,cion
°
?
r+ll are not In:u Nted. Ettner tne IoundaNan .ust ngre N-10 tnsut+tton
V I . ap011eE Irom tAe top of the founOrtlon to tAt frost ltne Or 0.-5 1nfuLN011
? pn • a001fed orer the tntlr! W11. NOtC tAat LAt R valu! SpK1f1ld 11 f0r th!
. . • ? . In1uLNon n?teHal only. ?
'
C)
.
.
"• S1aD-on- radt floors. ihe repufred tAerwal resfs[ante of the 1nsu1s-
, Non aroun t e De?necer o/ ArateC and unnated /IOOrs are iDecl(1ed In
? , . TaDIe 5-1. The Insulatton ¦ust e¦tend do+.n.ard Irm the too of tne s1a0 to
the Irost llne or dowmard to tne Eottow of the s1a0 tnen nvrliontally
beneath It Ior in e0uiralent Olftance. Thlf re0uircwtnt 'In the 1984 Code
76 ? ?? I
10
• C
s
ent+ca1 to the 1978 caEe. D L
5
?-
- n
? .. .
.
.
. _
Floors o Vac unheated spaces nust have minimum R-factor oF R-20 (tuc.l•-under garages).
:loors_o ver outdoor air (ovcrhangs) nusC liave a r.ninimum P.-fne[or of R-39. ?.: .,
S
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
.
;NM: ?._
; nprLtcarI?. _
; srilvre x+erRcrnL v. --
.
; INsesrzaa oF sEVM Acn/ox WmTx ;;
; IntsrHU,Axxas; wIIa, Nvr sE scmUtEn ;
t!'NPIL PERbIIT HAS 8IIN APPRCNID. ?
etett+efr+eaix++eaf?t?t?fiyw+*+wyr?+wt+
oF eclqcin
fPLEASE PRINT
1) PROPII2TY ADDRESS:
or
L
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PE T ISSUANCE:
Mont Year
PRESENT ZONING/PROPUSID LSE:
Q CONA7ERCIAL/REI'AIL/OFFICE
Q INDUSTT.IAL
Q INSTI7i'TICNAL/GOVE[2Ia9ENT
2) ? nArE:
(-VJ4--1 SINGLE FAMILY
? R-2 DUPLEX (3tao C'nits)
? R-3 TOWNhIOUSE (Three + C?nits) ( Units)
Q R-4 APARTMENT/CODIDOMINICM ( Lnits)
ADDRESS: ZV/? U
r
CITY, STATE, 2IP: ,5'3-37.q
PHONE: I`/'.41 pp
3) KMQ? NAM_ Z,,q,
ADDRESS: ki
G
CITY, STATE, ZIP: 6
PHONE: IL
MASTII2 LICENSE #?p,???7{7? C
4)
NAME: e- 162
ADDRESS: A a
CITY, STATE, ZIP:
PHONE:
?timiUers Lacense:
I? Active
Expired
Not recordec
St Initia
S) s m a?• .? ??
Q:ASQN[9ECTION TO CITY SEWER CONNECTION TO CITY WATER O(YI'fER
6)
??+*?****.,*********,r**********??***+****+?*******??***„*******************,r******,r*«**+************;
,t >
THE GOID COPY OF 7HE PIItNffT WIIS, BE SETIP DIRDCIZY TO PUBLIC WORICS 70 FACILITATE MErER PICK-UP. .*k PLEASE ALTAW 'iFlO MRKING DAYS FOR PROCFSSING. SOMEONE FROM 74M CITY WILL CONi'ALT
YOU IF 4gERE
* ARE ANY PROBLEMS.
??******+*r**?****+***,?*****?r+******r+**??****?+?*+***,t***:******************?****?+?+?**+?*****,?
FOR CITY USE ONLY
PERMIT # ISSUED
? ? 1 CG
Pd w/Bldg. Permit
It
s
s ?7, cr--2)
S
FEES:
$ /O •5?
s /D •.?
S
c
?
. _
,
,-
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLDDE SL'RCHARGE)
WATER METER/COPPERI30RN/OC'TSIDE READER
WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ 167l0-7) ACCOUNT DEPOSIT - SEWER
$ $ ACCOI.'NT DEPOSIT - WATER
$ SS ? ? $ wAc
$ / S sAc
$ $ TRCNK WATER ASSESSMENT
$ $ TRCNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
s ?;2o erz) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 7/ -0 Z1 $ 0-0 TOTAL
f 9 7 (-?/ r
RECEIPT RECEIPT
DOES DTILITY CONNECTION REQLIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC'BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : q116 /6 P
I
1990 BUILDING PERIIIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BL13G. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BtTT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
n'OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COPSPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: DIF.C'4- Valuation: / C) OV Date:
Site Address
(00S-?7Wi?0z d'.
v
OFFICE USE
ONLY
Lot ? $lock ? FEES
Occupancy
? Q Zoning
Y?
Parcel/Sub I A
ANGfZ L,l?kKE /-4???01? Actual Const Bldg. Permit
/??j Allowable Surcharge
Owner V'F?'.?'q ?
q,yhyr'vcli # of stories Plan Review
j j Length qQ )0 2 SAC, City
Address ?/?(%j ?/?','+? !(y,G'• Depth /O X Sf SAC, MWCC
S.F. Total Water Conn
City%Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone Lf ?v -,j 7(pU On site sewage S/W Permit
_
On site well S/W Surcharge
Contractor ?
to'? _
MWCC System Treatment P1.
_
City water Road Unit
Address i`V, o N
i PRV Park Ded.
Booster Pump _ Copies ?
City/Zip Code SIIBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off. ){,
Variance
Address
City/Zip Code
Phone #
PETERS, PRICE & SAMSON
LAND SURVEYORS. LTD.
"12400 PRINCETON AVENLIE SOUTH, SAVAGE, MINNESOTA 55378 • 612-890•9201
Certiflcate Of Survey For H1ike Peteis
CL/FF ,qpq p
R=2939 79
.? 922.0 46=10,39140"
85. 23 923.7
o _
? o
5 ?aRAINAGE?JaD-'-"?j----??
TIUTY EASEMENT'
J Iinll? ? k 2 i ,
/ _ 30
928.40
924.p 7' 92.9 0 --- T %.? ? ?
y' ro 26.0 ?o1
2 t ? f ?o I i hj ?.
l1 ih
Proposed
/l,?' O I ? Hause i Gompe Z I ?
? I 27, p
??•j i ? l92951 I9292 ?
rS1? ? 26. ?- -I 928.91
• 93/.04 ?6.00 .8 93I37 -- - /6, ?
? I I O
O p
?°n $?----------?5 ?°n
O
. ff30.3 ? ? 92R6
85.00
?i N 99°24 ?4T"E r?
MANOR DRIVE _,927Lw P,opose,Sfioo Q,ode
LEGEND
o Denotes rron manument set
DESCRIPT/ON 0 Denotes irav mawment found
Lot 2,B/ock/ X 9111 Denoies existing e%vafion
MANOR LAKE ADOIT/ON (911.1) Deno% propased e%valion
- Beatings are ossumed
Dokoto County, Minnesoto
We hereby certlfy that thls Is a trua end Correct repreaeMatlon oi a aurvey of the bounderias of the aDove described land, end of the Ixation of ell
buildings thereon, arM all visible encroachmenta. Ii eny, Irom or on saW IanA.
As surveyed by us thle day ol 18 _ L.S.
Minnesota License No.
2006 RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date v /
Site Street Address 144aN r i-, Unit #
Property Owner 0 Ztih Telephone # ( ?,v) q ) ? q 7
Contractor %,Q I J
>n c , Telephone # ( 651) l Q" 74 H
t
Address w. City F-,JYA??d yk State //?A Zip
The Appficant is: _ Owner Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee inGudes instaliation of a water softener and/or water
heater at the same time. ff you are Installing onlv a wafer softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge y .50
Total g 13-.5-6
I hereby apply for a Residential Plumbing Permit and acknowledge that the informatipn is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
AaA Ktw\ds,_-?k 11?, 9411A
ApplicanYs Prinied Name ApplicanYs 8ignature
May. 02 2006 03:29FM
YOL1R LUGO ? FATRIOT PLUM9ING
YuUR FAX hIQ. : 6514533994
N0. OTHER FRCSIMILc STRR"f TIME USauE T1t9E h1GDE PRGES RESULT
01 95249524692779 May. 02 03:26PM 00'20 SNP 06 NO DOCIJMENT
TD TLtl2N OFF REPORT, PRESS ' MFJv'U' #04.
THEN SELECT OFF BY L15ING '+' OR
FO2 FRX RDVFlNTRGE RSSISTqNCE, PLERSE CALL 1-809-HELP-FRX C435-7329J.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA110485
Date Issued:05/14/2013
Permit Category:ePermit
Site Address: 4605 Manor Dr
Lot:2 Block: 1 Addition: Manor Lake
PID:10-47275-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Dean G Mealey
4605 Manor Dr
Eagan MN 55123
Window Concepts MN
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152380
Date Issued:10/12/2018
Permit Category:ePermit
Site Address: 4605 Manor Dr
Lot:2 Block: 1 Addition: Manor Lake
PID:10-47275-01-020
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.
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 -
Dean G Mealey
4605 Manor Dr
Eagan MN 55123
(651) 452-5497
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature