3147 Jurdy Ct NCITY OF EAGAN Remarks
Addition Donn ood Addn. Lot 17 eik 1
,? .
Owne !'? Street 3147 NO. Jur? Ct.
21
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ' .?c. 1
GRADING
5AN SEW TRUNK 1970 2.80 2.51 2 40.21 A006525 8-17-78
*SEWERLATERAL 1975 22 8.7 --'4-55.75 5 455.78 A006525 8-17-78
WATERMAIN
# WATER LATERAL & Stub 19`j
-? WATER AREA 1
* STORM SEW TRK 1975
* STORM SEW LAT 1975
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. , - -
BUILDING PER.
sac 500.00 8995 2-7-78
PARK
^ • CITY OF EAGAN
3795 Pilot Knob Road
Eogan, Minaesota 55122
Phona: 454-8100
DoYe: f? 1978
PLUMBING
PERMIT
No. ! ') 2 8
Receipt No.:
Single I
Residentiol Y
Multi Res., Comm./Ind. I
Site Address: r-'OL2"t _
_ ywo oc?
Lot ' Block Sub/Sec. r n
-
Name
llefson Builders
Address 316 Holyake Ave.
City ?pple Valley Phone:
New/Alter./Repoir. Cost of Installation
Permit Fee
Nomerrri'"'RYan Plumbing & HeEtin_-. suKho??
?
? ? t,J '
Address c,_ ^obert Trail
?
;nnesoto C' Phone: Toto l
s Permit is issued on the express condition that all work shall be done in accordonce with all applicable Stote of
Statutes and City of Eagon Ordinances.
new
20.00
Buildiny Officiol
? . . . cirir oF EAGAN
3796 Pilot Knob Reed
Eogan, Minnesota 55122
Phone: 454-8100
- PERMIT
Date: ;X.' C h 29 1
Site Address• ,TrXd%' Cc','arf.
Lot Block Sub/Sec.
No.
• ? , ?;
Receipt No.:
Single
Residentiol
Muiti Res., Comm./Ind. I
Na^'ke New/Alter
/ Repol r
.
.
;
Nddress
Cost of Installotion
O
City 'a ?- ? •' Phone: Permit Fee
Name ? ` - Surchorge
.
?
Address
?
City Phone:
Totol
This Permit is issued on the express condition ihQt all work shall be
Minnesota Stotutes and City of Eagan Ordinonces. done in accordante with oll opplicable $tate of
? 8uilding Officiol
, • cirY oF EAGAN
3795 Pilot Knob Road Eagaw, MN 55122 N2 4652
PHONE: 454-8100
?4U uG?w?. ?955
BUILDING PERMIT - ' i Receipt #
b Carg,-, i'eb. 7, 73
Site Address .31.141 ;vo6 juray 4L.
Lot 17 Block 1 SeclSub. Domywood
Porcel # LO 20960 170 01
W Name
3 Addre
o :!
°C Name _
Zo
0' Address
Name _
Address
'roiiPfs^n aiatg Ered e Occupanty
I hereby ucknowledge thot I hove read this opplication ond state thot
the informution is correct and agree to comply with oll npplicoble
5tate of Minnesota Statutes cnd City of Eagon Ordinonces.
Signoture of Permittee - " ' ' ?-
Alter ? Zoning k ?
Repair ? Fire Zone 3
Enlorge ? Type of Const.
Move ? .# Stories
Demolish ? Front _ 40 ft.
Grode ? Depth 48 ft.
Assessment -
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Qff. _
APC
Permit
Surchorge 20•1,!)
Plnn check ?
$AC `i(?f?, 00
Water Conn. Y`' 0
?
WaterMeter 60•00
Torol '' 2 3. 50
A Building Permit is issued to: on the express tondition that
oll work shall be done in-accordance with all applicable State of Minnesota Statutes and City of Eagon Ordinances.
Building Official
PumM # QaN Iswod PuwNtN
Plumbing 1 0"z
Mechunical
INSPECTIONS DATE INSP.
RoupF-ln
Firal
Footings Dote Insp. pate leup.
Foundation Plumbing - ?•/ ? -171'
Frame/ins. Mechanical -')- 7 ?
Finol Z7-7
?,, i rq r ( /0 r ? D lw? ?0
Remorks: / '??r
4leC e-jcL df T ? n o?/r? ??r-O
l/s ' Yj?l Ifl/ llq/
.. _ :? . , .. ,.., . . , . . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN,55121
PHONE:454-8100
BUILDING PERMIT Receipt #
To be used for PMH Est. Value $4,000 Date .1 = 27 . 19-A9--
Site Address 3147 N JURDY CT N
Lot i Block 1 SeciSub. DOMIYWOOD OFFIC E USE ONLY
Parcel No. occuPancy - Fees
Zoning
cc Name GWPM JUMMMBa (Actual) Const Bldg. Permit ?,oo
'"
3 3147 .luROY cr H
Address
Iwiowabie) -
- a.oo
Q CitY ?+''? PhOne 432?? # of Stories 5urcharge
?y
Plan Review
Length -
o Name ?ItCH LIVItIG. IliC Depth m snc
cit
o'~'
Oa
Address 1903 HIGli1.AITD VIEN AYE
S.F. Total
- ,
y
lr
Clty ??OVITJI Phone 894'7762
S.F. Footprinis
- SAC, MCWCC
t
C
W
On Site Sewage _ er
a
onn
F
W W Name On Site Well W
M
t
w _
ater
er
e
?z Address MWCCSystem -
i W City Phone City Water _ Acc1. Deposit
S
PRV Required _ rW Permit _
I hereby acknowlege ihat I have read this application and state that the Booster Pump - SrW Surcharge
informatfon is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
PO= LIVI1rG
TNC Planner
,
A Building Permit is issued to: - Park Ded.
on the express condition ihat all work shall be done in accordance with all Council 1.00
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies
67.00
Building Ofticial
1 ? _ Variance - TOTAL _
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PlUM81NG
H.VA.C.
ELECTRIC
Inspection Date Insp. Comments
Fvotings I
Foundation
Framing
Roofiuxg
ROUgh Plbg.
Rough Htg.
Isul.
FirCpl3ce
Final Htg.
Fnal Plbg.
Consl. Meter Plbg. Inspector -Notily Plum6er
Engr./Plan
Bldg. Final
Deck Ftg.
Beek Final
weli
Pr. Disp.
OF EAGAN
Pilot Keob Rood
n, MN 55122
ig: _
,r. - - -.
ess:
Address: ber: _
s¢ to eompiy with the City of Eogan
nancss.
of Insp.: -
D.00 T)d
Connection Charc
Account Deposit;
Permit Fee: -
Surcharge: --
Misc. Chorges: -
Toto I:
Date Poid: -
No.:
to eonipiq with the Ciryr of Eagan
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
WATER SERVICE PERMIT
Connection Charge:
Account Deposit: _
Permit Fee:
Surchorge: ?.-
Misc. Charges: ?
Total:
Date Poid:
I nsp..
r.
cirir oF eacaN
e ' 9793 Pllot Kna6 Road Eagan, MN 55122
PHONL: 4548100
BUILDING PERMIT APPLICATION $40t000. Receipt # _
r_ " ..__. ._. SF Dwlg. d Gargta ?._.._ 1_._ Feb
Site Address j
17 1
Ct
Lot Block Sec/Sub.
Parcel # 10 20960 170 Ol
z Nome Tollefson Bldrs.,
? Add ss 13816 Holyoke Ln
_. repp e a ey 454-6873
?-
p Name _
?
i? Address
Name _
Addrew
?
N° 4652
8995
7• 10 78
Erect 5a Omuponcy I
Alter ? Zoning _ R 1
Repair p fire Zone - 3
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 46 ft.
Grade ? Depth 4$ ft.
Approvob F¢es
Assessment _
Woter & Sew.
Police -
Fire
Eng.
Plonner -
Council -
Permit
Surchorge 20.00
Plon check
SAC 500.00
Water Conn. 230.00
Water Meter 60.00
1 hereby acknowledge thot I have read this opplicotion and state thot Bidg. Off.
the information is correct a agree ro comply with oil opplicoble 925.50
State of Mlnnewta Statute 8nd City of EaganJO/{d inonces. APC Totol
Signature of Permittee A« 'C?? ? v a-?-0
A Building Permit is issue to: Tollefson Bldrs, on the express oondition that
oll work sholl be done i accordance?wi h ail oppliwble State ot Minnesota Statutes ond City of Eogan Ordinanees.
Building Official v!• t e.?? -
s
d -
BUILDING PERMIT
To 6e used tor PORCH
CITY OF EAGAN
3830 Pilot Knob Road, P.O. 8ox 21-199, Eagan, MN 55121
PHONE: 454-81 DO
Est
$4,000
Site Address 3147 N JURDY CT N
Lot 17 Block 1 Sec/Sub. DONNYWOOD
Parcel No.
w Name GEORGE .i iNCRA rFR
o Address 3147 JURDY CT N
City EAGAN Phone 4 -RSbp
olName - PORCH LIVING. INC
8 ? Address 1903 HIGHLAND VIEW AVE
iP City BURNSVILLE Phone 894-7762
?
ww Name
Address
iW City Phone I hereby acknowleqe that I have read this application and state Ihat ihe
iniormation is correct and agree to comply with all applicable State ot
Minnesota Statules and City f Eagan Qrdin/an s.
Signature of Permilee X???'?+? i
A Building Permit isissuedto: rG& LIVING, INC
on the ezpress condition that all work shall be tlone in accortlance with all
applicaGle Slate of Minnesota Statutes and City of_Eagan Ordinances.
Building Olficial
N° 16856
Receipt # c . ?? 1 's-F
Dale .TIR.Y 77 . 19Ag
OFFICE USE ONLY
Octupancy - FEFS
Zaning -
(Actual) Consl - Bldg. Permit 64. nn
(Allowable) - Sumharge 2 _ nn
# olStones -
Lenglh 13 ' Plan Review
Deplh 12' SAQ Cily
S.F. TaWI - SAC, MCWCC
S.F. Foolprints _
On Site Sewage _ Water Conn
On Sile Well - waler Meter
MWCC System -
Acct. Deposit
City Water _
PRV Required _ SIW Permil
Booster Pump - 5/W Surcharge
Treatmen[ PI
APPROVALS Road Unit
Planner - park Ded.
Council -- 1
00
BItlg.Olf. .
_ Copies
Variance - 70TAL 67.00
This r8quest void 18 months from 1,
4
Date ?of tW Request ?P 67853
1, as ldd'Licensed Electrical Contractor 0 Owner, do hereby request mspection of the above electri-
cal wiring installed at:
Street Address oi
Section
Which is occupiei
Is a roughin inspf '
Power Supplier ? Address
Electrical Contractor UC' 1ILC?,?/a Contractor's License No. _
13813 MI?,Company Nam?]?
Mailing Address ??H DR I,; G A34,t2
Authorized Signature--="-:!?!'
(Electrical
SIM MQQD OpT
. Pfio`ne No.
Making This Installalion)
This impection request will natVace the
Stste Board unless proper inspectian ?e`e is end'osed.
Minnesota State 8oard ot tlectricity
7954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
. REQUEST FOR ELECTRICAL INSPECTfON
CHECK SELOW WOAK COVERED BY THIS REQUEST
P 67853
U e of Building New Add. Rep. Check Appliances Wimd Fm Check Equipment W¢ed For
Home
Duplex
Apt. Bldg.
Commereial Bldg.
Indus[rial Bldg.
Fum .? ?
?
? ?
??
?? ?
?
?
?
? Range
Wate[Lggter
Fu[
Drye[?dtti
ir er
Lis[ ?
?
,5. Temporary Wuing
LightingPixtuies
Electxic Heating
Silo Unloader
Eulk Milk Tank
Lis[ ??
?
?
?
Other o o ? ?ehers?
1 OHeiers?
COMPUTE INSPECTION FEE BELOW
Seevice Enttance Size: # Fee Feedecs& Subfeedeia: # Fee Circuita: # Fee
0 to 100 Am s. to 30 Am eres 0 to 30 Am eres
101 to 200 Amps. to 100 Amperes 31 to 100 Am eres
Above 200_Amps. ++ ove 100 Amps. A6ove lO?Amps.
TransTormers
ontrolCir
c.
Remote,
Signs cial lns ection Minimum fee E5.00
Remazks TOTAL FEE ?,(? ?
I, the Electrical Inspector, hereby ce?rf'`j that t o?e inspection has been made.
(Rough•in)_ //vG e ? Date ? ?
(Final) Date „ [ 2- 7
This request void 18 months from '
SINGLE FAMILY DWELLINGS
2 3ETS OF PI.Al15
3 REGISTERED SITE SORVEYS
1 SET OF EERGS CALC3.
1989 B11I1.DING PEAMIT iPPLICliION
CITY OF EIGAN
!lULiIPLE DWELLINGS COM@'IERCIAL
2 S£TS OF PLlNS
BEGI3iSHED SIlB 3UftVE23 -
(CUCH YIiS BLDG DIV.)
1 SET OF Fa6AGI ClL.C3.
::1LTIPLE DiiELLINGS AERT9L DNITS FOR SALE ONITS f OF W1ITS
iOTEt IDDRFS3E4 FOfl CORNER LOS3 - COATRACfOA/HOlEOWNEA MST DESIGBATE YHICH 1DDHESS
IS DFSIRED. 80 CHANGFS FILL BE lLLOiIED ONCE BUILDING PEAMIT 13 I33IIED..
3EfiER 3 WATSR PERMIT FEES lAD 1CCODNI' DEPOSIT !&$4 UII.L 8fi INCLDDED 11ITH TBE BUILDINfi
PERHIT FEE. PHbCF.43ING TIME POR SEWEA L1QD iilTER PERMTIS I3 TiiO DAYS ONCE ! PERMIT HAS
BEEN COMPLETED IADIClTING l LICENSED PLUlMER.
PENALTY APPLIES WHENs PEEiMIT IS NOT PAID FOR IN SAME MONTH IT ZS REQUESTED.
' LOT CAANGE IS REQUESTED DNCE PERMIT IS ISSUED.
'jUL Z t 1989
To Be Used For: ,.,C.i62L4 P47rC?h, Yaluation: ?w Date: Z/ --F9
Site Address 31qj?TuA46,t?-?, HcoD- OFFICE 0.SB ONLY
Lot I Ti 81ock ?
Parcel/Sub ON N 1,t.7r?
Owner rv.t.e4-4,c 111W
Address City/Zip CodeF&4j SS Z/
Phone ySL- $S6 a
Contraetor 07Y.? ?iZin ??' I
Address 1 d3 6i' ? ?w xv,--
City/Zip Code un?i
Phone yy?' 776'1,-
Arch./Engr. ` ?"Aa-?
Address 5 np ?
Citq/Zip Code S74?f
Phone 1! S A-ni 6
Occupaney
Zoning
Aetual Const
Alloti+able
1 of atories
Length 13 -
Depth ' Z
S.F. Total
Footprint S.F.
On site eewage
On aite xell _
MWCC 3yatem _
City water _
PAV required _
Hooster Pump _
2 SETS OF IRCHI2ECfUAAL
i SiEUCfURAL PLANS
1 38T OF SPECIFICSTIONS
1 SET OF EAEBG2 CiLC3.
FFRC
Bldg. Permit 6y*00
Sureharge .e n
Plan Reviev
SAC, Citq
SAC, MWCC
ilater Conn
Water Heter
lcet. Deposit
S/H Permit
S/W Surcharge
Treatment P1.
Aoad Unit
Park Ded.
Copies /, 00
SUBTOTAL
Penalty
?0llL
Council
Bldg. Off.
Variance
183-IOA-1
o=.1o???
06KGoN
w..r?.:. ?'?' •• , . F
01 MIyN"QTA
'r QITY 0/ YIm"""Ln ? ' J f
•?{ ?T ??a ? ?
0
aCtTt(Ntd1a ? ? +: `
y?
? . a-?'. ??'}' ?=' •;a?? ?
r
a " •`-?-r?'°'1
. , a:Eq.sa r? aK+
? ,?-?- . . . . . . .
o ', -• ` '
i . ' ? ., , a • . .. ? ?q ?r : ?\ y ??, ,.. .
„f . -.' ? / i' \ Q ?.?:? ?? ??} •
`, • ?.: ,
25
?` .
I pRpKFY CiRTItY TNAT TX[ wWYR 1* A TIIYi ANO ODRR[CT PLAT q/ A8UpV[Y 9W'
.. . .., ? , . . " t . `? ,
Log 17,81ock 1.DOqoyWood,
;Dakot• ConaCy.Minovaots.
22ad. Dec. 1
Ai sORV[YLO MY M[ THIL-------,Ay CW-----A.D.-
Havisad Jan. 17th. 1978
?
?
/ , .
r • `??? . 'Ut^ti -
. . _ . j,.
nAxF
/
BUILDING PERb1IT`APPLICATION
?
Include 2 ects oE pJane, 1 site plan w/elevations and 1 set of energy'calculations.
To be used for
Site Address:3/?/ lv0
Lot Block YSaec.e/SSub.
valuation h?d ?C? • 4r?
Parcel Number /p ?U9G0 /70 Dl
? "? ? ?or?;N?tz'Od ??
Owner -7-o /le -As o rJ `/3 id ; ,NP ie 5
Psidress /.-q 8 i/e 11A noo
,)_
Contractor
Address /,'?jRi/?
m C) .
Arch./Eng.
Address
Telephone 'Sv-6 e 7.3
Telephone
Telephone
OFFICE USE
Erect
Alter
Repair
F'nlarge
Nbve
flemolish
Grade
Occupancy r
Zoning iQ L
Fire Zone
Type of Const.
# of Stories
Front
nepth
OFFZCE USE
Date of Aaoroval & Initial
Assessment //• /? J/?717s[
47ater/Sewer Police
Fire
E7ig .
Planner
Council
Bldg. Off.
A.P.C. _
FEES
9145
Pezmit
Surcharge ? O
Plan Check
SAC '90
6?ater Conn.
t7ater rfeter /O• ?
TOTAL
/
IM1 ?:
? ?
Tollefaon Buildera Inc.
y . . '?
?
I•
II
I?? I
'n
183-10A-/
•??" 7/' Or.10777
F. C. JACKSON
LAND BURVEYOR
R[O UND6R GWe OI BTAT6 O? MINN[fOTA
?
lIC[Nf[D QY ORDINANC[ OP CITY 0/ YINMiArOLIS
\
5618 EAS7 SSTH TREET 5541I 7E7'3484
oO a vor's QCaHticatt
{
,.
• t' ?
•? rrn:r
. i
?
/r?- 1 ? . ??'? ___ - _ Ii. ?'L?. ?.7_: Y41•..?f
a ? w
ea l ?o
:?• v a ?r
V'i .. c? {? I •?? ` , ^ Q
/n • ? \ ,^\ ,??
? ~ + \ ?
I XBR[DV CERTI'Y TNAT TXK AlOV[ 1N A TpU[ AND ODRR[GT PLAT OF A$URV[Y W
•\
?
Lot 17,Black 1,Dannywood,
Dakola CounCy,Minoeaota.
22nd. Dec. 1917
A8 6UHVfYiD SY Mt THIi-----DAY OF- _ A.D.
Reviaed Jan. 17th. 1978
sicr+e, '
F. C. J CKSON. MINN[cois
/
?
?Y
i, No. 9600
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KN08 RD - 55122
(651) 681-4675 t sr
New Construction Reavirements
• 3 registered site surveys
? 2 copies of plans (include beam 8 window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted aRer 7l11/93
required: _ Yes _ No
DATE:
DESCRIPTION OF W
STREET ADDRESS:
LOT: 1 1-1
RemodeVReoair Reauirements
? 2 copies ot plan
? 1 site surveys (exterior add'Rions 8 dedcs)
? 7 energy calculations far heated additions
CONSTRUCTION COST:
BLOCK: I SUBD./P.I.D. #: UOVA Vl ?,. WCSU&)
Name:J(&t p2.9Y?y?_ Phone #:
PROPERTI' L t First
OWNER
St
t Add
ree
ress:
City State: Zip : S ? y 1
?J 2 i
Company: Phone#:
CONTRACTOR
Street Address:'/ License # Exp.
City ? State:
? Zip:
s 2
5 v
ARCHITECT/
ENG[NEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction only): _
change and lot change is requested once permit is issued.
Penalty applies when address
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. "
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107368
Date Issued:10/09/2012
Permit Category:ePermit
Site Address: 3147 Jurdy Ct N
Lot:17 Block: 1 Addition: Donnywood
PID:10-20960-01-170
Use:
Description:
Sub Type:e-Windows/Doors
Work Type:Windows/Doors
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:JoAnne Burr
990 Lone Oak Road Ste. 114
Eagan, MN 55121
651-905-0105
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Joshua C Antonson
3147 Jurdy Ct N
Eagan MN 55122
Window Concepts MN
990 Lone Oak Rd #114
Eagan MN 55121
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129014
Date Issued:12/26/2014
Permit Category:ePermit
Site Address: 3147 Jurdy Ct N
Lot:17 Block: 1 Addition: Donnywood
PID:10-20960-01-170
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Joshua C Antonson
3147 Jurdy Ct N
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163482
Date Issued:09/02/2020
Permit Category:ePermit
Site Address: 3147 Jurdy Ct N
Lot:17 Block: 1 Addition: Donnywood
PID:10-20960-01-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 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 -
Joshua C Antonson
3147 Jurdy Ct N
Eagan MN 55122
Experienced Builders Llc
463 5th Ave N, Apt. 3
Bayport MN 55003
(651) 285-6702
Applicant/Permitee: Signature Issued By: Signature