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611 Sally CirPERMIT City of Eagan Permit Type:Building Permit Number:EA169867 Date Issued:06/14/2021 Permit Category:ePermit Site Address: 611 Sally Cir Lot:1 Block: 2 Addition: Selmark PID:10-67100-02-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. We encourage you to retain an electronic copy of photos until the project passes a final inspection. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any 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 - Oleksandr Bayuk 611 Sally Cir Eagan MN 55121--230 Applicant/Permitee: Signature Issued By: Signature 05/17/2011 14:13 9522558142 411111' City of Eapli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651);675-5675 Fax: (651) 675-5694 ABLE RESTORATION GRO PAGE 03103 Use BLUE or BLACK Ink WO?Permit it: Permit fee: 0 70.0 0 I l Date Rgcelved: 5')0--11 t sta 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5/t/ J 1 t Site Address: &I 1 5 p-c-cy C4 . Unit #: RESIDENT / OWNER TYPE OF WORK Name: O k 41,.14 GA (O {� Phone: I 61 -- y' 2-0 Address / City / Zip: GP 1 , S e -6 -Pt -f-3 , M t.J SS 12 - Applicant is: Owner V,Contractor Description of work: p. - Construction Cost: ', 2.00 CONTRACTOR Multi -Family Building: (Yes Company:. L 0-est-DA/lc-now ( r antact: 5-r6 �] Address: 17-l% kitofQ AOE 4 03 City: LA -Ceti 11,x. State: i\A z 555 'i Phone: 01'52- Si - SAO License #: 106 1 2-32 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yee No If yes, data and address of master plan: Licensed Plumber: Mechanical Contractor Sewer & Water Contractor: ...r,.u, ¢sS9:�• :i�•I, { '+ioi17..1�1','i ::frliC'fuQill�'�.i•f/"���•/{,,•,`.iypity1l�•. 14}1: �yM]tfi�Tp5M 4•r':i��•'1•7rul! §a�•ly/�.l,,iy�,,.rctiv'.' .. ,4am_,;.: tV a ,t.d3tti .�, . I�li 1Y .0.0"..I5.tiY�1F;i1'7,k :..,•i rr��a CALL BEFORE YOU DIG. Call Gopher State One CaII at (651)454 -Oen for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of undergroundutilities. ao.h--tateonecall.o Phone: Phone: Phone: I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and o k is not to start without a perriit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv:'1 1 f plans. x 1 - Applicant's Printed Name Appli is Signature Page 1 of 3 CITY OF EAGAN 379b P11ot Knob Rood Eogan, MN 55122 N~ 5 8 2 9 PHONE: 454-8100 BUILDING PERMIT Receipt # To b~ used fer Est. Value Date , 19 Site Address _ Erect p Occupancy Lot 81ock Sec/Sub. ~ ~ ~ ~ `i' ~ ~ ° Alter ? Zoni ng Parcel # Repair ? Fire Zone Enlarge ? Type of Const, W Nome Move ? Stories Z Address Demolish ? Front ft. 3 ~ Grode ? Depth ft. Ci Phone °C Name Appro~al~ Fees 0 Address Assessment Permit t' Ci Phone Woter & Sew. Surchorge Police Plan check ~W Nome F W Fi re SAC Address Eng. Woter Conn. <W Ci Phone Planner Water Meter Council Road Unit I hereby acknowledge that I hove reod this applicution and stote that g~~. pff_ - the information is correct and agree to comply with all applicable State of Minnesota Stotutes cnd City of Eagan Ordinonces. APC Total Signature of Permittee A Buildir~g Permit is issued to: on the express condition thot all work sholl be done in accordance with oll applicable State of Minnesoto Statutes and City of Eagan Ordinonces. Building Offitial P~rn~k # paf~ Iawd PeralftM Plumbiny Mechanical 1~r J . ~l~_ ~ sZ~ G~ 07.~/.~.a,J ~ INSPECTIDNS DATE INSP. Rough-In firal Footings =o?~-~ Date ~n:o. Dare lnsn• Foundation Plumbing ' Frome/ins. ~~aC~ Mechonicol Finol /a p Remarks: . . CITY OF EAGAN a. ! . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 ~ ~ y~ BUILDING PERMIT Receipt # ~ ~ To be used for ~~L Est. Value ;1 z~~`~ Date JiriY 3 , ~g7°9 Site Address 6 ~ i ~~1.LY CI & Lot -l_ Block ~ Sec/Sub. ~T.a~AYK OFFICE USE ONLY P8~C21 NO. Occupancy - FEES Zoning - W Name ~C`~1JL (Actuaq Const - Bldg. Permit 13b • i:rG o Address 611 SALLY CIR iallowable) - Surcharge d-~ City ~C+w~ Phone 4S1-SbI2 # ot stories - Lengm ~t Plan Review 6$•~ Zo Name ALI~-AME~tICI?."i F:~CftbATIOld oep~n ~ SAC, Ciry Address 91 ZS1 Ol.n CBQAk A118 S.F. Total = City ~~IN~~ Phone 8S4~-Sl~S4 S.F. Footprints SAC. MCwcc On Site Sewage _ Water Conn ~ W W Name On Site Well - Water Meter AddfeSS MWCC System _ Acct. Deposit a W City Pho?le Ciry Water - PRV Required S!W Pemtit I hereby acknowlege that I have read this application and stats that the Booster Pump - S.NV Surcharge information is correct and agree to comply with all applicapYe State of Minnesota Statutes and City of Eagan Ordinances: Treatmeni Pi Signature of Permitee APPROVALS Road Unit ALL-A?t~~ICAt7 R~C~iF~1TI0FI Planner - ParkDed. A Building Permit is issued to: on the express condition that all work shall be done in accordance with all Council ~ applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. g~~. pf~. _ Copies Variance - TOTAL 31~`~•~ Building Official Permit No. Permit Holder Date Tekphone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC ~O c LL!OC~~c-2 ~ 0 ~ C- Inspection Date Insp. Comments F~~~~g ~ ~ F fr~ 7 - Foundation Framing Rooflrg Rough Plbg. ~ m9• Isul. Fireplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - Nociiy Plumber Engr.lPlan Bldg. Final Deck Flg. Deck Final w~i Pr. Disp. .ZO ~ CITY OF EAGAN Remarks Addition sEIM~1RK ADDI ION ~ot 1 R~k 2 Parcel 10 6'j140 O10 02 Owner ~af ~ 1 Street 611 Sally Circle State E'ag~~ ~ 55122 ~ ~r ~ 1~ ~DC~Pi Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1,C~'TD 5.~Q 2.12 Z~j Paid * SEWERLATERAL 19 1 OO~OO 11 • 1 Paid WATERMAIN WATER LATERAL 19'T l~j WATER AREA STORM SEW TRK 1984 42 .0~ 2g.3 1 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ~UILDING PER. SAC OZ 12-1 2 PARK ' ~G~ This request void ~Q,~j~,~~o~- G~ C~c~::{+- , - aa-~S ] 8 months from " ~ Date of this Request Z~"D~ Fire IVo. ~ " ~ v v~`~ l, as ? Licensed Electrical Contractor~Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route Na. r~ ~~L! i/ ~i ~r f e City~~ a^~ Section Township Range County cw Which is occupied by ~/ce N/Q_ r ~ ~aC~i ~ (Nams of Occupant) Is a roughin inspection required on t.his job? No'BT Yes O Ready Now ? Will Call ~ Power Supplier Address Electrical Contractor Contractor's License No. (Company Name) Mailing Address lactrl Con or or Owner Makln9 This Installatlon) Authorized Signature Phone No. - Z (Electrical Contnetor o wnar Ma ny This Installation) STATE ~O/~RD CQpY This i~spection reqaest will not be eccepted by the Stata Board unless praper inspxtion fee is endosad. ` minn~esoia sraY nogra ot e~ectr~city _ _ Gri s Midwa Bld Room N781 ~a~ S~ EB-00001-02 782~ University Ave.. St. Paul, Minn. 55704 - Phone 297-2171 REQUEST FOR ELECTRICAL INSPECTION S 66529 CHECK BELOW WORK COVERED BY THIS REQUEST Type of 8uilding New Add. Rep, ~heck Appliances Wued For Check Equipment Wired For Home ? ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighdng Fixtures ? Apt. Bldg. ? Dryer ? Electric Heating ? , Commemial Bldg. ? ? ? Fumace ? Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditione~ ? Bulk Milk Tank ? pList pList Fazm O ? ? ~{eie15~ Heiers~ Other COMPUTE [NSPECTION FEE BELOW Service Entrance Size: n Fee Feeders&Subfeeders: x Fee Circuits: u Fce 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eies 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remo[eControlCirc. Partialorolherfee S' ns Special Inspection Minimum fee 55.00 . DO Remarks Q~OC' TOTALFEE ~j~C` U I, the Electrical Inspector, hereby certify that the a pection has been made. (Rough-in) Date (Final) Date r/f ~ This request void 18 months from This request void 18 months from ~~/O ( r Date of th5s Request ~ a-~o . 3 7~ 7 5 I, as C~3'~censed Electrical Contra~r/ Owner, do h reb\~~i~}~pe~tj'on of the above electri- cal wiring installed at: a• UGL'C • Street Address or Route No. lfl c~~~~~ Section Township Range County Which is occupied by ~ p~j~ G Jt~C~ (Name ot Occupant) Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier n%. S. Address . X?'I? ~Ci X l,ve ~ I ~ ~ ~ ~p 37~5/ Electrical Contractor_, - 1 ri ~ Contractor's cense No. _ (COm any Name) Mailing Address ~¢G-d I< al ntractor o e~ Making This Installatlo Authorized Signature Phone No. 2~ SZ'~ J (Elect Ical ntractof or Owner Making 7hls Insta11at1on) o~ 'p D ~+Q~~ This inspection request will not be accepted by ffie State Board unlas proper inspectian fee is endosed. Minnesota State Board of Electricity ~ G~~ g 1954 University Ave., St. Paul, Minn. 55104-Phone 645•7703 ~ ~ R~QUEST FOR ELECTRICAI INSPECTION CH~CK ~:LOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. p~e~g Appliances Wired Fo~ Checlc Equipment Wi[ed Fox Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? WaterH tet ? LightingFixmtes ? Apt. Bldg. ? Dryer - Electric Heating 0 Commemial Btdg. Fuma ~ Silo Unloader ? Industrial Bldg. ? Air C itio ~ Bulk Milk Tank ? Fazm ? ? ~ List List Othet ~ ~ ~ ~~hers Oiheis~ ere flere COMPUTE INSPECTION FEE BELOW Service Entrance Size: u Fee Feeders&Subteedets: # Fee Cucuits: # Feo ~y 0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres ~ 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Tiansformeis RemoteControlCire. Partialorotherfee Signs Special Ins ction Minimum fee 55.0 Rem~azC~~ 5e2'~aice ewTN.A/KP esnd.~~`T TOTALFE S"7? I, the Electrical Inspe~ tor, hereby certify that the above inspection has been ma e. (Rough-in)'" D.tate (Final) • r llate J - 1 - This request void 18 months from This request void ~//p/!J 4 ~ h~~~~ 18 months fmm / 6/ 7 ~ °D 3370 ~ ~~v Ran~~est Oate Fire No. Rouph-in InsVer.tion He4wred? ~Reatly Nu Will Notily Inspec- ~1~"-"Q ?Yes No ~o~ When (ieady Licensed ElecVical ConVactor I hareby request ins0ection ot above wner electrical work installetl aL Sveet ddre's, Bon Foute Ci/~~Y ~ GYC ~ Z Zw ecuon o. Towns~ip Na or Na. RAnBe Nn. CAounty 4.C ~ Occupnn (PFINT) Phone No. ~ Power SuD ~~er AdAress Elechi`~~`I Con raaor ICOm a y Namel / Contracm~'s License No. ~JO I.U r ~ ~l +T,~ ~lt Ltr ~ - 9 MaflinB //1~dJress IC~o+ntractor or Ownar Making Instailationl ~ W J (0.,f ~~'ti r Auth nature (Cont tor~0; aking Installationl Phone Number 5~3 S S~ THIS INSPECTION AEQU[ST WI L NOT MIN OTA STATE BOAPD OF ELECTPICITV Gr' s-Midway Bldg. - Room N•191 BE ACGEPTED BV THE STATE BOAPD 1821 Universitv Ava.. SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone1672)602-0600 ENCLOSED. v~~c~ ~9 REQUEST FOR ELECTRICAL INSPECTION ee-goonoo^i-oqs / See instrvctions tor campleting this form on back of yellow copy. ~j / 3 3 1 o X" Be/ow Wark Covered by lhis Request Adtl BeP. ~ Type ol Boiltlin0 APOliancm Wirad Eqvipmen~ WireA ~ Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Buildinc~ Drye~ Electric He2un Commercial Bldg. Rimace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm ' nn Oiner ISnen(y1 t n.r SU~a Y ther Oth~~r ompute lnspection Fee 8elow N Fee ServiceEntrenceSize H Fee Feeders~5uhleeders N Fee Circuits U to 200 qm s 0 ro 30 Am s 0 tn 30 Am s Above P00 qmps 31 to 700 qmps 31 to 100 qm s . . Swimming Pool Above 100_Amps Above 100_F+mps Translormer5 Irrigation Boorc~s Partial.~OtheaFee Signs Special Inspection ~ Remarks . D' OTAL EE-`O(~~ L1 floueh-in ~J ( Ai I. the EI ' l 6 Inspeclor, hereby certify thnt the ahove Final e ^}E/ inspection hes been o made. e ~Marequeslro1C18moninsirom . ~ ~j PERMIT # l O~ RECEIPT DATE: ~002 f~,SIDENTI~L PLUM~IN6 ~EliMIT ~~P~'LiC~kTION CI1'Y OF BAfiRN 3$SO PILOT KNOB RD i:we~x, a~uu 551 EQ 65t-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irtigation system SITE ADDRESS: ~l ~ I~ Vl I Y~C b C. - OWNER NAME: ~(.l~'1/'~ U TELEPHONE ~A~ cooE~S~ ~G~S Z INSTALLER NAME: r1 • t' ~ ~l P~iV4~~ ~IC~ TELEPHONE ~OS t- 3l~- ~34'v STREET ADDRESS: ~~7IO~IO Do D~ Q,(~ (AREA CODE) CITY: GUpIG~~YI STATE: M N ZIP: I Z SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLtNG UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. Water turnaround - e~sting dweliing unit 5/8" meter if needed -$118) Other: RPZ: new installationlrepair/rebuild D~ ~ $ 30.00 - 0 5 2002 u _ lawn irrigation system ReplacemenUadditional: _ water softener 1 water heater $ 15.00 State Suroharge $ 50 Total $ S~- I hereby acknowledge that I have read this application, statethatthe information is correct, and agrea to complywith atl applicable Ciryof Eagan ordinances. It is the applicanPs responsibilityto notify the property owner that the City of Eagan assume no liability for any damages caused by the City during its normal operetional and maintenance activities to the §cildies wnstructed under this permR Ci~ property/r' ~h -of-w yl asement. i S -TURE OF PERMITI'EE 1/02 ' T~ CITY of EAGAN N~_° -330~ BUILDING PERMIT J~ ~ ~ 3795 PiloY Kaob Road Owner Ea9aa Mianesoia 55122 Addrea (Hreaen!) ...~..~~....:~~......_~.~.'c'.~:....~..~...-.' 454-8100 Sufider y`"°....' ~ ~ S- 7 ~ a........ . Dale Addeess .........................................~`J/~•~•° DESCRIPTION Biories To Be Used Fos Fron! Deplh HaSgh! Esl. Cos! armit Fsa Rsms k~ - a~l~/ a~! / e-c~ !~e-o %u~"'~ ,Ac~C ~ a. ov. le~ ~s-- „a,~'~-,~~.,,~ ° LOCATION 7-Pr .~~Y" Slreel, Aoad ox olher Deaeripiion o! Loaalion I Lot Slock Addition or Trad I ~ ~ ~-~rnc~.,~ This permi! doas ao! aulhorise !he use of slreels, roads. alleys or sidawalks nor does il give !he owaes or 6ia agea! the righ! !o ereale any sifuaHon which is e nuisanae os whieh presenis a heaard fo 1he heallh, safely, eonvenience aad ganaral melfara !o anpoae in ihe eommuniiy. THIS PERMIT MUST BE KEPT ON QT~,HE PREMISE WHILE THE WORK IS IN PROGAESS. This is !o eerrifp. lhat....~!"='~.`..~.---l..'^"..~`:'" ..........................has permisaion !o eree! a........---~t.^..:L._ ....._..............._npen fhe above described premise subjecf !o fhe provisions of all applicable Ordinances for the Cifp of a~ Per ............................_..F.~•-l`::,'~r,S.,_,.,,0~_> . Ma or A7 Suilding Inapecior d~ ~ ' ~ MASTER CARD ~o~AT~oN 6 ~ I ! I~ S/mc,~~ ~ OWNER STRUCTURE AND LAND USED AS 4 ~Q Q(~/b/~ ~ ~ r ' ~ , Issued To Permii No. Issued Coniractor Owner BUILDING ~30~L ;,-7~_~ PLUMBING CESSPOOI - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER ~ I OTHER I OTHER I Approved Items (Initial) Date Remarks Distance From Well FOOTING ~j-~,- SEPTIC FOUNDATION CESSPOOL FRAMING ~ TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATWG OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD ~ PLUMBING WELL SANITARY SEWER ~_z ~ Violations Noted I on Back COMMENTS: . r ~ a COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPIIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOU7 DELAY. ITEMIZED AND DESCRIBED AS fOLLOWS: ? REIrtSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED ~ ~ CE RTI FICATION - I cettify that I have carefully inspected the above in which I have no interes[ present or prospective, and that I have reportetl herein all significant condixions observed to be at variance with ordinances of the Town of Eagan, approved Olans and specifications, and any spaciflc require- ments fo~ off-site improvaments relating to the property inspacted. ~ ALL IMPROVEMENTS ACCEPTAB~Y COMPLETED BUILDING INSPECTOR DATE COMMENTS: I ~ , EAGHN TO~JNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE; Decenber 28, 1972 p~gER 1267 OWNER: Marell Construction Addrese 611 Sally Circle a `~~Irnq,~~L PLUMBER Thompson Plwnbin~ Co. TYPE OF PIPE heav,y cast ixon DESCRIPTION OF BUIIDING Industrial Co~ercial Reaidentiel Multiple Dwelling No. of units ~ Location of Connections: Connection Charg~ 240.00 pd 12/18/72 Permit Fee10.00 pd 12/28/72 ~ 72 Street Repairs Total Inspected by: Date Remarka• By Chief Inspector In consideration of the issue and d'eliverq to me of the above permit, I ~ hereby agree Co do the proposed work in accordance with the rules and regulations of Eagaa To~mship, Dakota County, Mianeaota Sy Thompson Plumbine Co. Pleaee notify when ready for inapection and connection a~l before any portioa of the work is covered. , . EAGAtd 1~OWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERt4IT FOR WATER SERVICS CONNECTION Date: December 28, 1972 Number; 1100 ~1.QJrnQ2r~ Billing Name: Marell Construction Co. Site Address: 611 Sa11~Circle Owner: same Billing Address Yl~ber: Thompson Plumbing Co. Location of Connection Meter Size~ /P Connection Chg~9n_n~ 1p~18/72 ~c e'Kfo Meter No~~ Pexmit Fee ~n„pf], ~r' ";?g~72 Meter Reading Meter Dep. •50 pd 12/28/72 Meter Sealed: Yes Add'1 Chg. ~c ~<<--<<~ NO Total Chg. ~ ~ ~ Inspected hy Date Building is a: Remarka: Residence ~ . . F 1:; " Y/~:~`~~ 1 • t2ultiple xo, un~c$ INirnUFcs~::.~` i~d:;~;''.L!L~ i.i~i~~i3. Commercial Industrial Bq: Other Chief Inspector In consideratioa of the issue and delivery to me of the above permit, I hereby agree to do tt~e propos~ work in accordaace with the rules and regt~latioas of Bagan Township, Dakota ounty, Mi BY~~\/S~ o vC ' Thompson pl~nbing Co. Please notify the above office when ready for inspectlon and connection. CITY OF EAGAN N~ 1673~I . t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721 PHONE: 454-8100 A q~i7 pI BUILDING PERMIT Receipt # /X ~ Tobeusedfor POOL Est.va~ue $12,000 oate JULY 5 ,~g89 Site Address 611 SAi.LY CIR Lot Block Sec/Sub. SRi.MARK OFFICE USE ONIY PefCel N0. ~i Oaupancy _ FEES 2oning W Nam2 DAN & SANDY ~BOCHE (AcNal) Const - Bldg. Permit 136.00 o Address 611 SALLY CIR (Allowable) - Surcharge 6_00 City EAGAN Phone 451-5612 x o~ s~odes - Length 1$! Plan Review 68.00 , o Name ALL-AMRRIGLiN RFGRFATION oepm 3S1' snc, c~ry ~p AddreSS 9129 OLD CEDAR AVE s.F.7aal - SAC, MCWCC • City Rr.00~-7'~__ Phone R54-5454 s.F. Foo~Pr~ms - On Sile Sewage - ~Nater Gonn ~ w W Name O~ Sile Well - Water Meler AddfBSS MWCCSystem - A~~ Depasit aw City Phone cirywa~er - PfiV Required _ SIW Permit I hereby acknowlege that I have read ihis applicalion and sta that [he Booster Pump - SRN Surcharge infortnation is correct and agree to comply with all applic e Stale of Minnesota StaNtes antl Ciry o a9a di~e Treatment PI Signature of Permitee / APPROVALS q~d Uni7 A Building Permit is issued to: ALL-AMERI RECREATION Planner - park Ded. on ihe express condition that all work shall be done in accordance with all Council - applicable State ot Minnesota Statutes 'and City of Eagan Ordinances. Bldg. On. _ Copias Building Otlicial ~~~1,~`~ Vanance - TOTAL Z 10.00 , . . t ~ 1989 BIIILDIPG PERMTT APPLIClTION CITY OF EIGAN 14~(3~1 SINGLE FAMILY DiiELLINGS lDLTIPLB DiIELLINCS CO['6'lERCIAL 2 3ET3 OF PLANS 2 3ETS OF pLINS 2 SSTS OF IACHIiECTf1RAL 3~GISTfiAED STTE SURVEYS BEGIST6RED 3IlE 3QAVESS - 8 SiHOCfQA1L PLiNB 1 SET OF 86ERGY CALCS. (C~CH AITH BLDG DIV.) 1 SS!' OF SPECIPICATIONS 1 SE! OF F1iSAGI C11.C3. 1 SE! OF E9E8GZ C`I.C3. MITLTIPLE DiiELLINGS AEHTOL ONITS F08 3ALE DNITS 1 OF ~NITS iOTEt 1DDRFS3FS FOH CORNBR LdlS - C08TAACfOH/HOI~OIiNER !~S! DFSI(iBAiE iiHICB iDDRESS I3 DESIAED. 80 C8INGFS iiILt BE 1LLDWED ~iCE BUII.DIIIG PERFiIT IS Z3SQED.. 3EiiER 8 itATEF PERMIT FEFS l1QD 1CCOOAT DEPOBIT T6ES iiII.L HS IACLODED UTfH TBE HOILDINf1 PERHIT FEE. PROCFSSING TII~ FOA SEiiEfl AAD IiATER PEAliIi3 25 TWO DAYS ONCE A PEAMIT H1S HEEN COl~LETED INDIClTING A LICENSED PLOl~ER. PENALTY APPLIES ifHENt PEIiMIT IS NOT PAID FOR IN SAHE MONTA IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. $O ~11-~/PC~~A•V'~J ~ / To Be Used For: ~2z~19 ,~'~vL Valuation: fJOO. Date: ~o~'~/f~% Site Address si9LG'y' C."'..Jr~. OFFICE 05S OHLT Lot ~ Block 7~ Occupancy F~ 1A Zoning l 3 ~ Parcel/Sub ~~JyyiYnnn.~l Aetual Const Bldg. PermiL Alloxable Surcharge ~o O~mer ,~r'~ E~-~i!/!'1' BtJl~f%~ ~ of atories ~ Plan Aeview ~ Length !8 - 3AC~ Citq ~ Address ~~~1./~' C'T-?' Depth SAC, MWCC S.F. Total ilater Conn City/Zip Code ~,r~G'.~5:[/ ~s`/~7/ Footprint S.F. Nater Meter acet. Deposit Phone 4~'s~-.~, S~ ~"S6/Z On aite aewage 3/H Permit On aite xell 5/Yi 5urcharge Contractor fJ~~ f'dr?~~~1!'i.`~f/~.~~'~ • MiICC Syatem _ Treat~ent Pl. City vater _ Hoad Onit Rddress j'/~~ i~L.d C.',~./~~ h',(0~,~. PRO required _ fark Ded. Booster P~p _ Copies City/Zip Code _A_l. ni;dl9r,.c/ITOs~/ s~T~T~ lPPAOYAIS Penaltq Phone ~~5s -_SSzSS~ Ylanner _ TO'fAL Zt o Couneil lrch./Engr.. Hldg. Off. Varianee Address ~ ; City/Zip Code Phone I i . • . , - u~n - w ~ h ~i~6•Uil+ ti ? ' E•~~u+ . , t- , (~g•DUr L1~•UU* ~ ~~y~ ~ (o C'z . _ , , ~~7q.y4 MINNESOTA VALLEV OTA~yq~ \ i~~~ SURVEYORS 6t ENGINEERS CQRP. <i f a~* N y y C ~ W 1)qi[.ItTM1v[11Y(1W1N W~MfvILL1.WMMl3Gt~ Wl1 ~ P` j„ -.W ~ 3'~: FYO~S EN~r . n... nern~ YORS E~' Certiticate of Survey for: ~~A/ .~PG<_"LB.GUN! . ALIrAMEF'iTCAN RcCR~ATIC Ii 9133 Ced~ Avenue So th 1 Mile South of Met Sta ium , Comer af Old Shakopee Rd. 6 Ced r Av, ~ r SALLY C/-~rCLE Bloominqton, Minnesota 542G /P2. 4/ 854 - 5454 ~ O Q ° 1--- ~h ~ ~ h• ~ ~4s . ,~~~~~Sp~4 ~ o Pio,oesed o ~ I. ~ //J I ~n\~ HOdJC ~ '•Z Lp Q~ pp ~ f~ n~~ s.s> . s. _-r`'.. ~ h ~ ~"1 l] ~•i~ ~ ~ ~ ~ -c_~ r ~ R~V1EW~~ 'z RQ ~c ~ ` ` " ~t - ~ ~ .r;1,'.v~;~` ^ ~ 9Y ~ . ~E ~9 ~ I e$~ h i3a. 90 . ~ I 0 A C~'1ZLY~~tP W FG G ~ ° ~ Y r.v.rYi9Lt 6' H1csy ~vOnG ir/a,~/- CL~'~/~BG~2' ! I ~~`i~-'.~ ~iJOd.~ /at7/ ~ ~ ~ La; i nLC~c~c z s~ia~nwc D/~N ~~~si9N~Y ,~s'ocHf ~ j d</ ~r~9t~y rr.4. • _ ~ ki9G'~yrr/, ~it/ O~'r:'nr. . . .C~-Jr..~..f . / ~~'T~'9/ '~lP-+~v~ .,j~ I h~.~b~ ~~r~i~~ ~ne~ ~A;~ i. ~ vv. .nd es..~s1 .q.o~n~aN~w M~ABl~01 ~ ~~~~~ly $YfYtrOi/ d• ~ur.~r ~1 ~F• Y~~nOm~r~ d~h~ sbo I~~a~ib~ M~~~ FA~~~t!?f [O~ •n~ N ~•a.~:~n d.4 bul:.p~ ~Arr~~w~ ~w~ ~11 N~i\I~ '~'y, - r-' R L S •nirseahm~n~~, il ~n~~ I.~m r ~n ~~~tl bw~. ' ~ ' .~...Y.~ e~ „~._~.r.~ NA?fTbfl il.o. ~flaa. Re~. No. Q293 ~ . ? EAGAN TOWNSHIP BUILDING PERMIT N° 2$99 ~ Owne: _...~~:Q....._~"~'..------° Ea9en Townahip Address (presen!) U.7....°.. D.....~ Gi^:r~ Town HaA . . Buildes . Da:e ----/f 1--7_'2:......:__. Address DESCRIPTION Slozies To Be Used For Froni Depth Heighi Esi. Cos! PermiY Fee Aemarka ~ ~ 3~.G~ a6 I /8"i~ y•o-~I ~c~ .~--~-,-~.~-r-~`~°- LOCATION / . o-n SireeL Road os oiher DeseripSion of Locaiion I Lo! Block Addifion or Trae! ~o ~i.i~c~ ~tJc~`' I / ~'J l This pe:mi! doea no! aulhorize ihe use of streele, roads, alleys or aidewalke aor does i! give !he ownez ox hSa agent !be righ! fo areate anp siluation whiah is e nuisanee os whieh presents a haaard !o ihe healih, eafely, conveaieaea and general welfare fo anpone in !he community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PAOGA SS. ThSs is to cerlflp. Yhai..--~^-~"'~~!_-.~4r!~"`r..~............hes permisaion !o ereof a....- . . . . . . . . . . upoo - - . . . !he above deseribed premise subjec! !o fhe provisions o! fhe Building Ordinanca fox Eagaa Township dopled April 11, 1955. ra~ ........._...............k~~?.......~.._.-~-~:°.':^'-.'.... . - Chau ° ~ Suildin Im aelor G3 ~ ~ ` ~ ~ S~/m0.~,,~ VILLAGE OI' 13AGA1V 3795 Pilot Knob itoad Eagan, I~iinn~sota 55122 PEEdii~LTT NO.~~q The Village of Eagan hereby grants to ~ N_ Welter HehtinQ .~`o.__ of _ j~637 Chicago Ave.; Mals. 551~07 a HEAIZNQ Permit fors (Owner) gg~e],1 COnBt2votian a+ 611 Sa114 CirCle ~ pursuant to application dated 1/15/7~ Fee Paids $pp,pp dated this 17th day of J~y~yr ~ 19~~~~', .50 s/o ~ Building Inspector ~ Niachanical Permits; Bid Tota1: ' /O CQJ/CG a/O O~- ~~i~~~ ~ ~'ILLAGE OI' r'.(~CAtd 3195 Pilot Knob B,oad Eagan, I~iinn=sota 55122 3~ T~~~sN0l~bing r,o.. I~o. The Village of Eagan h~y ~tmm~batRba Elvd., Minnetonka SK31i3 i o£ Marel~!:wSStruotlo~ 33~4 Donaict ave., ~ y~t e s~3 a Permit fcr: (Owner) i2/28/72 at ~100.OU , purg~~t to applica~io~nbc~ated 7~ Fee Paid: dated this day of ~ 19 Buildir.g Inspecto-r ' l~iechani.cal Permits: ~iid Total: ~ a~~~ a~C~TA~q MINNESOTA VALIEY ~7q-y~ =F~ 4~, SURVEYORS & ENGINEERS CORP. $ L . i:~ '@.. < N ~4~'~~~Yl N ~1~..y~ C x/ ~IOWF~I]iHAVENUE3011iM BURrv5V1LLf,MIMHF50i~ SSll9 G'}~~:~~~~~+~~ PL_ ~ PFo.~.. 996]~0 /2.Ug.~'?~'h C'y~ ~~G `YO/t~.E~ Certiticate uf Survey i'or : ~E- /~BAUM • ~ C~ll s',4LL~' ~/FrCiE ~ ;n'; /2~ 4/ _ - . Q ~ ~ ~ o! ,C~ tla~~j~ ~5 . . ~ ~ 3A. b > ' _QS . - - I , o ProFased ~ - . ~ . ~ ~ .p I _ ~ Hause . . ~ ~ I 38.6 ] ~ ~ ~ . ~ ~ ~~}`v~ ro O/-oina e E Ufi/i`y Ec~sement s N ~ h , ~ I i3~ 9n I - 0! ~ ~ ~ ~ LOT. 1 3I,OCY Z 55I.MARK + i ~ n.~~. ~ _ - ~nP%:q~'.r G-'~'r' ,.?O~iL;i>;,ol,l. ZlzCf i n.,.br,.•~uY ~no~ .e~,„o ~.~e ~~a .o...<~ ..P..,~,,,,~io„ Mlaoeeo~a Valley Survayoro & , o s~..,y e~ ~n. ba.,~a.,.~., o~ ~na ~no.. da~ailb~d land~ EOQ~DlQ~9 Co/r}~ '~7/~ and e/ rb low~ton o1 ail b~ildinya~ ~hereon, und all vuible by ~ ~~"~~.G• ~(0,.<1~mr.~ S •oarm<hmants~ il en~, bo~m a e.~ ~~1d Innd. n. ~~..ay.a s~m. r~:s_d~yof yn~embr,- •.o, iv%L ~b11nn. Reg. No. 9293 MASTER CARD LOCATION ~ ~ ' OWNER STRUCTURE AND LAND USED AS O?8 x'~ ~ Issued To Permit No. Issued Contractor Owner BUILDING ~J `{4Q ~L I -n,_l~u-{_ PLUMBING ~ (jrJ ~ CESSPOOL - SEPTIC TANK WELL ELECTRICAL ~ HEATING tA,`/ ~ 1/~ GAS INSTALLING SANITARY SEWER ~ ~~b7 OTHER , ~n OTHER Approved Items (Initial) Date Remarks Distance from Well FOOTING ~ SEPTIC FOUNDATION ~ CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HEATING ~ ~ ~ ~ OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAWPIELD PLUMBING e _ O.~ S .1 . ~j~~I ' ~L WELI SANITARY SEWER ~ ---l~c p ~ i Viola}ions Noted Back COMMENTS: COMPLIANCE INSPECTION R,EPORTS TO BE USEO ONIY IN 6VENT OF OBSERVEG VIOLATIONS PERMIT NO. DATE OF INSPECTION ~ CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE . ? NON-COMPLIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION - I certify that I have carefully inspected the a6wa in which I have no interest present or prospective, and that I have reported herein all significant conditions oLmrved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site imprwements rela2ing to the property inspected. ? ALL IMPROVEMENTS ACCEPTABIY COMPLETED BIJILOING INSPECTOR DATE COMMENTS: CITY OF EAGAN 3795 Pilof Kno6 Road Eogon, MN 55122 N~ 5829 ' PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt .}p ~ !G° To be u~ed far AdditiOn Est. Value 11~000.00 pore May 22 , ~q $0 Site nddress 611 Sally Circle R3 Erect ? Occuponcy ~.ot 1 eiock 2 Sec/Sub. Selmark Addition Alter ? zoo~~9 Rl pa~~ Repair ? Fire Zone III Enlarge ~ Type of Const. V w Name D2I1 $OChB Move ? Stories Z Address S~e Demolish Front 19 ft. ~ Ci Eagan,MN phone 454-3652 Grade ? Depth ft. ~ No~ RolariCl H88S ~ AOP~ovols Fees zG Rte 1~ Box 1030 Assessment Permit ~h_00 Addrea 5.50 Shakope2 ~MN p`~~`~79 445-4742 Woter 8 Sew Surclmrge Ci Police Plan check 1~.~~ ,~~'„w Nome S~e Fire ~ SAC r- Address Eng. Woter Conn. Q~ p phane Planner Water Meter Council Road Unit I hereby acknowledge that 1 have reod this applicotion und state that g~dg. Off. ~ the information is correct and agree to comply with all appiicable 59. 50 State of Minne~to Statutes and/~City of Eagan Ordinances. AP~ TWaI Signature of Permittee ~ ~ A Building Permit is issued to: ROY . d H3.35 on the express condition that all work shall be done in ocmrdance with~ I~ppl ble S 6te f MinnesoM Statutes ond City of Eagun Ordinnnces. Building Official ~ ~ -~-~(6~_ _,y r~`~~ ~ITy EAGAi~7 Include 2 sets of plans, 1 site plan w/elevations & . ' BUILDING PERNLiT APPLICATIOfI 1 set of energy calculations. Zb`Be Used For/l(~C1` ~ c fl _ Valuation ~~DU Date 5 /~U Site Address C~ ~ OFFICE USE ONLY Lot Block Sec./Sub. Erect Oocupancy Parcel Alter Zoning /t'/ Repair Fire Zone .3 Owner: A) ~ tj c~\ P ~hlarge ~'I~P~ of Const. Nbve # Stories Address: (9 ( ( ~ ~ ~ ~P Dsrolish Front ) 9 £t. City/ZiP Codec T . Grade Depth /f ft. P~~ Sy-3 s 1 1I~^,, APPItOVAIS ~S Contractor: ~~41A d FtWW-S ~~s~n~ Permit `Y~~ ?aater/Se,aer Surcharge 3' Acldress: (Q~ I v~ / 03r~ Police Plan Check 8~ City/Zip Code: ~ ~La(C~o(~,p~ic~ SS~7~J Fire aw ter Conn. Phone `r~~~ ~/7 ~r Water Meter Council Road Unit Arch./Eng.: (~~Oc~~ Bldg. Off. Address: ~ City/Zip Cocle: ~ 'I+DTAL ~ Phone ' ~ ~ K n . ^ _ _ I I) ~ , J~ .e4`r r~c+-~ / ~ ~k~~ ~ ~~s _ ozyXa`0 f>~ 3 y ~S6 ~ ~~~a~, - :S ~b5 I , - S~c,SU~wl~Q ~ ~~ja~s ~ ~ ~ _ - . ~ . , ~~l - ~ ~ o£ . S• g~,, , ~C x$~' ` , h ~ a!"h! \ . . '15 j . . _ _ . ' . ~ s l _ _ ~ - . ~ h•~, . . ~ ~~3 . : a~~~~-J '~1 I ~ 11 ~J ~ai~-~o~ N~t ~ _ . ~a~ apz'~ ~j c^~0~ „--e ~ . ' ; . . . ~ti~~ : }Sod h~h . i ~'OI~ ; " . . ' _ W tic~~y(. . ~ . h . . . . . . . _ _ . _ . OIJ~~' Y~V _ . . . . . . . . .'I . ; : - ~ n~X~ I ~ ~b~ . . ~S ~ ~ \ i.l~ / ~~Cl ,r S~S1"\1: ~0~~~ ~ 1 pJ~ . . . ~ ~a ~~o~ hxz ~ ~id ~,lti/~ n1S I~x"~ , ~ . J'ai ~t'1 . I°~? 11!:"+J~ . ~1'~ ~ ~/S'_ . P''~ "~°'~,~nSU~z'~IS'~ , ~i ~ a ~ ~.~~}v,}-I vr}°°~.c"'~ ~ ~C i. S~'~'~ Ss'~ ~.h~ U~_~ I' t'9 - ~2a~~~ -~c+o ~ S~an ~~j~~t~'! ~~X"rl/~~~{.~Ij ~ ~ J iiQi J~J'~"M'~$v~ p~,~,~~ - ' 3 ~ . p ~"'2):C~ 3~1~1_S ~ Scv ~ nl ~.Iaj~S1 SS»~Qii2q1~ . . 5a~~iv~S~~~~'~~ ~~'a~ 1°S G~1~ ' ~~T~~~ -~I ~ SS ~ ~ T~ ~ ~ ~ ~ . S~ nS~i'7S , - ~ ' . ~~~~?3 ! --a>>.~r-~- ~ 11 ~ 1 I ~ v~ s. ~ S-Q 3~ M~ c~l~'-~~~ avl7o~. ,C~ .a ~S ~ ~'41- „9 ~ h~caadp ~ag,o~o~8 'av+o~-~ M~~.Si~ i ~I ~ i ~ ~g i i~ ~ r~'(~ , ~~p +~'3 laai-~ , ' co~ :~`~aG~ ~now a~ g'T I ; Q.~,. ; -6 . _ . . . . . - - - - . . . ~ ~ ~ ' 1 ~ . . . . . . . ~ . vJ ~9 _ ~ A ~ flw . . y - _ g orE _ { o Q _ . . . ~ ` m _ . ~ ~ cti.~ . . , r~b ~3 p~Zb~~ ~8Q ' ~~,~~.~t j 5 Iv L # v~1~~b3 a'Y' ~~d~~i~ o_ ' ~^OSnpa4 ~ , ~ e+~a~ ~~~J! ~ ~I ~a11bS' l~`'~ ~'~°~~~'1.~.-~'~~~~~~~rll'F th6~~''4~`~I'J - ~°'S~ a~~oc7 c~a~Ci , . . . > . ~ ~ ~ - - _ _ ~ ~ pC ! ~ ~ ;I $i ~ i i ~ ~1 _ i `T" . ~ I ~ ~ , 4,~,~a ` ~C , ~ . .._._..~~....__.R..~.. - ~ ~~~~j~ j~ ~ .          øü þ  ý þýý  üûúîû ú     ùýý îúúù ü  ô ß ÿ  þý÷  üûúùø ñ ôûùø  ÷ôùø ÷ö õô ó öõò ø    û ñ  û ñ ððìûø ù ï üîû ô í   øôë    ô îûô     ô  ú ô êé  ôööø  ý éôéô   ý  ø êñ éôé  ø  é ô   ê ñ ôú è   ô  ô ô îûô úù ö  é ù ê  í æääêäêðä öù  üûô ô  æê ê  ç û ýê  õô ÷ óò øø  ò  ö  ô ì  ô ùû  ñûùò ñ÷ ßü ùñô ò ë þ  ãó ÝßÜßðð  ô úù ö    ë ô   øø       éô  ôô   ô  øùö  øø ú ü   éã  ü û  ñùéþ  ìô  ê øø õ ô  ü ûô  û ùü ûô PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108684 Date Issued:01/02/2013 Permit Category:ePermit Site Address: 611 Sally Cir Lot:1 Block: 2 Addition: Selmark PID:10-67100-02-010 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 CRAIG ANGELL 12253 NICOLLET AVE. S. Valuation: 2,450.00 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Oleksandr Bayuk 611 Sally Cir Eagan MN 55121--230 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA131319 Date Issued:06/15/2015 Permit Category:ePermit Site Address: 611 Sally Cir Lot:1 Block: 2 Addition: Selmark PID:10-67100-02-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Oleksandr Bayuk 611 Sally Cir Eagan MN 55121--230 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature