4064 Magnetite PtINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '"" '"' "'`'
I 3830 Pilot Knob Road Permit Number. 6R •' ?' s''}`i ,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: I,. Fr t uI r
. 0 Ari i r I i i r r
; i•??f. 1,1;i:?;t ,itt PERMIT SUBTYPE:
APPLICANT:
TYPE OF WORK:
Of Sr. rr r r r<<IN
ItF'111 1
rai ra
(Ilf 7ACHEt)1
INSPECTION
;i,:.. D, .
,. .A
? kt_Mart?;5.I q r?.E'PARAtF1't 1 :rorf 11 ', FrP ullrkt rI I?EM WIVY tt f`1? ts{s, 1k 1 1.30 14 t
Parmtt No. Permit Holder Date Telephone K
ELECTRIC
PLUMBING
HVAC
Inapectlon Date Inap. Comments
FOOTINGS
('(
FOUND
FRAMMG 4
aT7
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
NEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTCa
ORSAT
TEST
BLDG FINAL ?A? ?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks
Addition CF1)AR QRDVF. 47 Lot ].Fi Rlk S Parcel ln 1670F+ 160 0.5
Owner Street 4064 MaUiletite Point State EaQan• MPI 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 58.18 2.08 28 Paid
X SEWERLATERAL 1971 ZO
WATERMAIN
* WATER LATERAL 1971 1,615.00 80.7$ 20 Paid
WATER AREA Lg . 400
* STORM SEW TRK 131 1971 ZO
STOFM SEW LAT
CURB & GUTTEfl
SIDEWALK
STREET LIGHT
WATERCONN, 160.00 3096 6-3-76
BUILDING PER.
sac 450.00 3096 6-3-76
PARK
YILLAeE OF EAGAN WATER SERVI%6ERMIT
-
3793 Pilot Knob Rood PERMIT NO.: 119r.16
Eagan, MN 55122 DATE:
2oning: RI No. of Units: ?
Owner: (?Igl?pa-o„o.t.,
Address: ?? -'?57
Site Address: 1}06¢_p?,.ypgtj t- *t n^^?
Plumber. Wenzel Plumbing
MWr-IVox'?-!1?? Connection Chazge: 160.00 Pd
Size: Y Account Deposit:
Reader No.: ? -6o? a. !?? 4Z Permit Fee:
1 o? to cJo" pl wif6 tbe Villoge of Eayan Surcharge:
Ordl'6a?c's.?/ Misc. Charges: 60.00 pd
Total:
?
J (v B
?
sy
Ls. i ?.
g f Date Paid:
Date of Insp
: Insp.:
.
-
YILLAOE OF EAOAN SEWER SERVICE PERMIT
3795 P'ilotKnobRoad PERMITNO.: 2768
Eaqan, MN 55122 DATE: 7/9/76
Zonfng: RI No. of Unite: 1
Owner: - Melroy Const C o
Addmes:
Site Addrees: 4064 Macrnetite L6 B5 CG 7
Plumber: Wenzel PlumThbng
6/3/76 #3096 100.00 pd
I oyne to eomplr with the Vllbye of Eayon Connection Chazge: 350,00 pd
Ordinenen. Accoun[ Deposit:
Permit Fee: 10.00 pd
Surchazge: .50 pd
8y: Misa Chazgee:
Date of Inep.: Total:
Insp.: Date Peid:
. ` °
! M ,•
,
Eagan Township
Dakoia Counig, Minnesota
Applacation for Bnaldiug Permit
Type of building or work contemplated. Circle correct descriations.
Ls de ntial Cammercial IndusYrial Othex .............................
d_ Enlarge Alter Repair InsYall Move Wreck
Dimensions ......................... ...................... Coel------
De4ails or remarks............................................................................
Location
PERMIT NO.`.... ?......?..
Dafe __._....
Number SYreeY Setween what cross sfreeis I Sizo EsY. ValuaYion
I 1 I
Lo! Bloclc Addiiian Rearrangement or TracY
l L7 ? C. _° MY -
Owner --`" =----t7t:w ...... ?--------- ..---------------°--••-.
con:r8c:a??I?-? ----?- .?...??--'--- -..... -----°----
----------•
?
$................................
ToYal fee collected.
Permit fees are not
refundable.
Address .......
Address ..
The undersigned hereby makes apnlication for a permit !o
do work as herein speciffied, agreeing Yo do all worlc in siricY
accordance wiih the building ordinance adopted April 11, 1955
hp the Eagan Township 8oard of Supervisors.
r -
....---- ?-'...-`Z-- ?'?...-- -? `-?-?--?--?=-?---- ----- ------------- .-------..
Signed
?
y
CITY of EAGAN
BUILDING PERMIT
owne: ....-- ? ........... ........(?4911??:..... .. . ... . .............
Address (PresealY.•••... ... ?..r..?....__... ... .. ....................
suiiae: ..................... ,a_,.?^ ...................................................
Address ......_..---••• ...................••.................................--.•--...................
. ;,
N0- 3963
3795 Pilot Knob Aoad
Eagan. Minnesola 55122
454-8100
a8:. ?.'J.'??-.......... _.......
6toriea To Used For Fron! Deplh Heighf Eel. Cos! Pesmi! Fea Rsmasks
I D?O? - q3?
// /
3ireet. Road or other Description of Localion I /
Lo! v u
Block
Additioa o: Trae!
-?o d 4 :X" ?a ? /e< s 7
This permit does noi 'su orize the use of streets, xoads, alleps or sidewalks nor does ii give 3ht/owner or his agen!
the righ! !o create enp si! ation which is a nuisance or which presenSS a hazard !o the health, safelp, eoaveniencs aad
general welfare !o anpone in the communitp.
THIS PERMIT MUST BE E T THE g?r?, EMII?SE--WHILE THE WORK IS IN PAOG E
This is !o certify, lhatn?l,?t?? ..._.?%P?.?1...-i........has permission !o erect a. •-•. _ ... .1?... ...... '.:.L-•-•.._upoa
the above described pre ise subygc3 he provisions of all applicablces far ! Cof Eagan
.................. Pes ... ..... .__ . .: -• ----- - I ........
Huflding Impector
\
oei6-1 nc, 1 1?1?d kjnc??e- -?r-? c&11?i
EAGAN TOWNSHIP Ll-?
BUILDING PERMIT N? 2927
--- ---
Ownee ---•_?--... --------- .... -----°•••• Eagan Township
Address (preaent) ' ... Towa Hall
....... ......:--...-.-??----.--.............
Builder ...................... -............................................................. ............ Dale __. i R ::1-9- 7 2-
...
Addreas ................................... ..........................................
.......................
--
nFCruTOTrnV
Slories To Be Used For Fron! Depth Heigh! Est. Cos! Permi! Fee Remarks
LOGATION `+J?s p4<e
-•_••••••••??:`:.`..?..'.?.`'`:.?..•_?-•-------°•-------- 4•-:•--?.... •••-••• p ? Per ..................... l'`^""........??
•• •• ••• .......................•••-......
SuildinQ Ieupeclo?0
This permit doea aot aushorize the use oi atreela, roada, alleys or sidewalks nor does it give the ownes or his ayon!
the righ! !o create any situation whieh is a auismce or which presants a hazard !o the health, safetp, eonvsnienes and
geaeral weliars !o anpone in the community.
THIS PEAMIT MUST SE KEPT ON TliE PRE ISE WHILE THE WORK IS IN PAOGRESS.
This is to cerlifp. 3hal....??----- ??.has permissioa !o ereet a--?. •"°--"••`---'-'??J•••-??.?..---? ?•- . . upoa
the above described premiae subjeci !o the provisions of the Building Ordinance tor Eagan Tbwnahip adbpted April 11,
1955.
4
CITY OF i.AG.aN
370;5 Pilot Ifnob Road
Eagr_'1, ML_r,neseta 55122
FIM"P,IT PT0 ? ; 854
The City of Eaoan hereby g;?a;its to Mill City Heating Co^
af
ilnns 8 16th Ave. No., 55441
a_ raP-amiuc, Permit for: (Owner) Mel-ROY
at _964 Maanetite Pt. , pursuan-11 to application dated 60,'28/76 `
Fee Paid: S20.00 daLed this 30 daf oF _ June ; i:_ 76 .50 s/c
Building Ir_spector
iRechanical Permits:
Bic: To ta.1 e
?
CTTY OF iAGn:V C 6 7
3795 rilot ISnob Road
E;?;t?n ? Iy:' _r,n2:teta 5'j122
'r',?,?„U'1' P1:? a . 695
The City of Eagan hereby ?---r^:its te Wenzel Plumbing & HeBting_Inc,
of 3600 Kennebec Drive, Eagan
PLCttIDING Per•mit for: (Owner)
Melroy Construction
1746 Davenport &
a? `?0 4?Iagnitite Point , pursuant to applicaticn dated 6125 76 _?_
?40.00 dUted this 29 d ,-,:f of _ June I`' 76 _- ,
1.00 s/c
Uuilding Ine,F;2ctor
i`!i2Cl:2i71Ccil PBY'R:1tS:
?:? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.s 10-15706-160-05
PERMIT
4064 MAGNE7TTE PT
LOTs 16 BLCICK: 5
CEDAR GRQVE 7`1"H
PERMIT TYPE:
Permit Number:
Date issued:
L'R.0*7S85
qi1/9s
suzLorNG
026358
@9(Q8J95
DESCRIPTION:
(DETACHED)
Bulr"g-, PQrmit Type GARRGE/ACCESSORY
B?a,.1Cl.tphg,:,?€?rk Type NEW
4?4
?F zj 141 T 41, ywF
i'!:
- ^_ .
REMAR?AF2ATE PERMIT T5 REQUIRED FOR ANY ELECTF2TCflL WORK
FEE SUMMARY:
VALUATION $10,000
Base Fee $162.25
5ureharge $5.00
Total Fee $167.25
CONTRACTOR:
APPLICANT/PERMITEE SIGNATURE
OWNER: - Appiic;ant -
PHTLLIF'S BFtUCE
4064 MAGNETITE PT
EAGAN MN 55122
(612)688-0691
?M ? ikX_l.t.t-I I11?
ISSD B : SIG TURE -?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: BuIL D I N G
3830 Pilot Knob Road Permit Number: 026358
Eagan, Minnesota 55122-1897 Date Issued: 09/0$/95
(612) 681-4675
SITE ADDRESS: . . L p 7? ;- 16 s LQ G K; 5 APPLICANT:
4064 MflGNETI7E P7 PNILLTPS BRUCE
CEpAR GROVE 7TH (612) 685-0691
PERMIT SyBTYPE: TYPE OF WORK:
GARAGE ACCESSORY NEW
DESCRIPTION (DETACHF_D)
? - ?? -
d
?
?i ?''???? ,11.?. ^ .. . ? ?
F2EMARKSa A SEPflF2ATE PERMST IS REQUIRED FpR ANY ELECTRTCflL WORK
?
?.
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
, 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
4 1 4?41 z
co,j?i 9.1
? 8 rogistered site surveys ? 2 copies of plan
? 2 copiea of plans (indude beam 8 window sizes; pomed fid. design; etc.) ? 2 aite surveys (exterior addrdons & dedcs)
? 1 energy calculations ? i energy calculatlons tor heated additions
0 3 copiea of Uee proaerva6on plan if lot platted after 7H/93
required: _ Yes _ No
DATE. g,?a??Is- CONSTRUCTION COST:
DESCRIPTION OF WORK: ????i9?E
STREET ADDRESS: q>? ???VC--T)rC Poiv i
LOT BLOCK SUBD./P.I.D.
PROPERTY Name: PhiLt lps g/ t) c [ Phone #: 6 (?7? `0 6
OWNER '"°' '"'•
Street Address• yO6` IletioF771- 107-
City: C4nt'-) State: dMrJ Zip:
coWMcTOR Company: S,?r T Phone #:
Street Address: License #•
City: State: Zip•
ARCHITECTI Company: SEc-F Phone #'
ENGINEER
Name: Registration #•
Street Address,
City: State: Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lat
change are requested once permit is issued.
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 Applicant _a? E A
OFFICE USE ONLY RE((s,° E? Uv ED
Certificates of Survey Received _ Yes _ No AU6 3 1 1995
Tree Preservation Plan Received _ Yes _ No __
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex
n 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o pg 8-plex
a 04 SF Porch ? 09 12-plex
n 05 SF Misc. 0 10 = plex
WORK TYPE
,0'31 New o 33 Alterations
? 32 Addition o 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
0 11 Apt./Lodging o
0 12 Multi .Repair/Rem. ?
? 13 GaragelAccessory ?
? 14 Fireplace ?
0 15 Deck
0 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
. ? ?.3
•,? ' -?
a
seS.,
?.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC1WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. V3£s
SAC Code ? l
Census Bldg
Census Unit c1
Engineering
Variance
Permit Fee Valuation: $ tIoi °o° ?
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
z? ;, ?,'? ' & 7 Z 4 x /6 = ?7, -'/of3
96 SAC
SAC Units
I I I
?
i
u
rl I. ? _
? 7(4 ?
I ? ; I fqE
Iii!
? I
,
I i if ?I I (
?.
/ I
1
I
C::f.1''l CJF F.:i''iGAN
CA ;H.Cl:hs 7; "1'1:.?',:M.[A!AL h0: 935
Pr'1TEn 08/27/9.`3 T1:i1E: ; C)' (:J 9. 4Q6
ILi ;
NAP'iF';: A13f:-i'L:3ihi:l:'TS
320 9001 36d06 1..AN(E'J:C!c.W T 03.25
ZJ.55 c)C;f:}'. 3606 I_.A':F'e!:Cs:N T hofJ
300 `i;}'i'JCIt 4064 Mr'Sf:=,NF...f':C'f f' 97.25
2155 9001 4064 M,hi:,N;.Y:1:'T 1P Fl,(_1(:)
f17tal RE?t:e:lpi: AI:IU(1YYi;,S 256.50
rF,.:L 1600,
l.1SF:'R :!:[+w :!AN
??'(.3'CXS.r?i4:?:"k?'F'SY,tik;X'k,::i;`,',L)?(Y„i1 ? i;C?:3Y?`:;ik.%t`:C5X34Y,tYl•Y`.Yp>?Y?.i?`l?X(
?
) 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ?
3830 PILOT KNOB RD - 55122
651-681-4675 '
New Construction ReauUemeMs 44306
D 3 regislered sfte surveys showing sq. B. of lot, sq. ff. of house
and all roofed oreas (20% maximum lot coveraae allowed)
D 2 coples of pians (show beam 8 window sizes; poured fnd. design; efc.)
D t set of energy calculations
? 3 copies of hee preservafion plan 9 lot plaited affer 7/1/93
DATE:
DESCRIPTION Of 1
STREET ADDRESS:
Remodel/Reeair Reauirements
2 coples of plan
1 set of energy calculatlons for heated addifions
1 sHe survey tor exterior additions & decks
LOT: ? lo BLOCK: ? SUBD./P.I.D. #:
Name: Ph IlI Bruce Phone #: (?IJ-??`?C'?CT r
PROPERTY I.nst First
OWNER Street Address: LoA 14 MQGY)P471-ky In.?
City ?dQ 1? State: Zip: -?.? ???
Company: -&Yw?'lC?f1 J5UII4IfI3 C-WTO'ZOfSphone#: 41D, ?D7-Eaol'?9_
(area code)
CONTRACTOR StreetAddress: 19a147 N ICQ1k?&e 5e1 • license # 93Exp. Z20:0
cit,, _gurnsui II e State: Zip: t??337 .
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Stredt Address: Registration #:
City State: Zip:
Sewer 8 water Iicensed plumber (required for new construcilon oniv):
Penalty applies when address change and lot change is requested once permR is issued.
I heieby acknowledge that I have read this application, state that fhe Information h correct, and agree to comply wfth all applicabl
Statke of Minnesota Statutes and City ot Eagan Ordinances.
, 5lgnature of Applicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No - ?
Tree Preservation Plan Received _ Yes _ No _ Not Required
l?
CONSTRUCTION COST: 36%chic-ni
MASTER CARD
LOCATION
OWNER
STRUCTURE AND `/,1 I
LAND USED AS sm? y
'
PermiT
No. ?
Issued
- Issued To
ContracTOr IOwner
BUILDING ?
PLUMBING
?v- LV-
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL I
HEATING
S! SZ?
W
GAS IN57ALLING ? - .
SANITARY SEWER i
OTHER I I
I
07HER I
Items
i Approved I
(Initial) I Date
;
Remarks
DisTance From Well
-- i
FOOTING
SEPTIC
FOUNDATION ?
CESSPOOL
FRAMING
FINAL
ELECTRICAL TILE FIELD FT.
HEATING DEPTH
OF WELL
GAS INSTALLATION
i
SEPTIC TANK l
CESSPOOL
DRAINFIELD
PLUMBING
WELL
I
SANITARY SEWER ?
-- ?
?
/
Violations Noted
on Back
COMMENTS:
;?7
?'7
?-?,
n ? I? -
'OV
. . ?
,.
w .3 9&3
DATZo '
?? ---"? -'-_._-
?-- '-? np i CiT
??1?CLL?; iutx P?aiPi r7. :,'Sj
?,CK
Let13ioclt Adtiwtio;t
Paicel ar.d seetiori rnar?'aer
5treat h??l' Num'? 4?
?r
Ot;azer Yl??,? ?4ddress '',-:7_(?
Develcpa.r AddreGs -me-ae
Zcne--Ord.inzr.ce #.2
Lot S}ze
X
Tots.l area
Platted Lrnpl_atted
Bu.ilcl?g S3ze X ?l0-,.al area
Oc c??ar..cv
`ryr2 Cf iGi?ul:ii7.C i?10iT - ---
SECbacksa
;-
S:,rRst sides
Szdas
Park=ga Tota.1 arGa
Parr7.ng area s-?tbaekse
StY'e°'' S:'tCiB RC'a.Y'
SIdes
Landscapa approval , Bond requyred
SpE?^ial Assess.?entse ??
S: C aharge ? @ $450.00 = IS?
ldater areaa
Assessed
L assessede Cornection charga
I.f irnasssssed: Con-nection chat--e
Lot diTrisiono
kdditional assessments needed
Not
Lateral.s a
Assessed Not assessed
I
T,aai-ver of hearingo
N--eded Not needed
Assessment clk .? IJater & Setiaer DEpt,? F3uilding Dept
t'1.°aS'
r
ToLal spaces
Ur.assessed /
..?_ f? a
Police Dept Fire Dept (Conm u I.nd only)
?.
.-
o? ?-
?.-?.
A G R E E E N T
THIS AGREEMENT dated this 111r.9 day of4erky; 19801,
by and
between Gary E. Westling and Francis Westling,`called WESTLINGS,
and the City of Eagan, called EAGAN; ,."_
WHEREAS, EAGAN wishes to install a sanitary sewer line from
the Art Rahn Addition to cross the east side lot of the WESTLING
property, which sanitary sewer line shall be located entirely
within the existing five (5) foot utility easement located adjacent
to the east line of the WESTLING property being Lot 16..?1,?_
Cedar Grove No. 7, Dakota Count_y_,_Minnesota.;__and,
?_. -- --- --
WHEREAS, to facilitate the construction of said sanitary
sewer line, EAGAN wishes to acquire a temporary construction
easement upon the WESTLING property;
NOW, THEREFORE, for in consideration of the mutual covenants
herein contained the parties agree as folZows:
1. EAGAN and its contractors wi11 install a sanitary sewer
line over and across the WESTLING property within the five foot
permanent utility easement along the east property line of the
WESTLING property and the WESTLINGS will grant a temporary con-
struction easement across the east 12 feet of said Lot 16, Block 5,
subject to the conditions of this Agreement.
2. EAGAN will save, hold harmless and indemnify the WESTLINGS
„ y.
from any and all injuries, damages, actions, causes of actions, claims,
suits, judgments, costs, expenses, attorney's fees and liabilities,
of whatsoever nature,.arising in any manner from the construction
of said sanitary sewer line and/or the temporary construction ease-
ment herein granted or arising from any woric or thing whatsoever
done in, on or about the WESTLING property or arising from any
-1-
B +?
? V
. Ea'a••?r
accident, injury or damage, however caused, to any person or
property on account of the laying maintenance, repair, failure
to repair, renewal, use or existence of said 'sanitary sewer line,
I
including any defect, imperfection, breakingor leaking of same.
3. This Agreement shall be binding c3n and inure to the
benefit of the parties hereto, any and all subsequent purchasers,•,
contract vendees, fee owners, assignees and tenants of said Lot 16,
Block 5, Cedar Grove No. 7, Dakota County, Minnesota, and the heirs,
administrators, personal representatives, executors, successors and
assigns of each and all of the foregoing.
4< EAGAN shall return the WESTLING property to a condition
substantially similar to the condition which existed prior to the
granting of said easement.
5. EAGAN and contractor will permit the hole over pipe between
the Albani and WESTLING houses to be open no longer than one week
from the start of construction to completion of construction unless
weather conditions do not permit and E:9GA'N.will.provide:.safety
barriers around the open hole at all ti.mes.
6. EAGAN shall replace all sod removed for construction within
two weeks from the start of construction by EAGAN's contractors.
7. Al1 existing trees shall be removed if possible and replaced
but in any event EAGAN will replace all damaged trees with comparab
trees.
8. In further consideration herein, EAGAN shall p y to
WESTLINGS the sum ofbNlF "",6/4N, Fll?t ?A?$O ?NO N??es 1>011i
. ,
upon the execution of this Agreement.
9. Any dispute arising out of or connected with this Agreement,
shall be arbitrated under the rules of the American Arbitration Associat
WITNESS our hands and seals on the date above written.
CITY OF EAGAN
BY; `
' n
ATTES T :
?
"GARY ?.WESTLING
FRANCIS WESfiLING
-2-
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179115
Date Issued:09/19/2022
Permit Category:ePermit
Site Address: 4064 Magnetite Pt
Lot:16 Block: 5 Addition: Cedar Grove 7th
PID:10-16706-05-160
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Sarah Jene Phillips
1150 105th St E
Inver Grove Heights MN 55077
Applicant/Permitee: Signature Issued By: Signature