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4243 Sequoia Dr CITY OF EAGAN Remarks SeW & WtI' PeM1,t,S & COriri Chg. pd. 02] 4-22-69 Addition Evergreen Park Lot 6 Blk ~ Parcel 10 24880 060 01 Owner Street 4243 Sequoia Dr. , state Eagan.,Ml3 55122 Improvement Date Amount Annual Years payment Receipt Date STREET SURF. STREET RESTOR. • GRADING 5AN SEW TRUNK 944- 1973 175•00 8.75 20 Paid SEWER LATERAL 1974 0.00 48.00 5 Paid WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK 5TREET LIGHT WATER CONN. 210.00 ~ -22-6 BUILDING PER. SAC PARK CITY OF EAGAN 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PH ON E: 454-81 a0 BUILDING PERMIT , Receipt# To be used for Est. Value Date ,19 Site Address OFFICE USE ONLY t::::F{~N.t.!•': Lot Block Sec/Sub rA.. OnSiteSewege Occupancy . MWCC System Zoning Parcel No. On Site Well (Actual) Const ac Name Ciry Water (Allowable) W PRW Required # of StOries o Address Booster Pump Length City Phone Oepth , p Name S.F. Total ~ ` Address Footprint S.F. ~ City Phone APPROVALS FEES ~ a Engr./Assess. Permit ' ~ W Name W W f Planner Surcharge _ = Address ~~7 Council Plan Review `W City Phone Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota Statutes and City of Eagan Ordinances. . Water Meter Signature of Permittee Road Unit A Building Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all ~~8 applicable State of Minnesota Statules and City of Eagan Ordinances. TOTAL Building Official Permlt No. Permit liolder Date Telsphone ~k Plumbing H.V.A.C. Electric Softener Inspectlon Date Insp. Comments Footings I V1 7 ~ Footings II Foundation Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. ,.'j 2004 RESIDEIVTIAL BUII.DING PERMIT APPLICATION City Of Eagan ~ 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 -Z~ Nexr Construction Reaufre~nanh RemodeVReuair Reouirements 3 regMeaed sb surveys shawing aq. ft of bt, s9. Rd house: and ajl ruM areas 2 mp'ies o( plen l (20%neftm lot coverege allowed) I set of Enmgy Calculations for healed addifbns 2 capies of Wan slmng 6eam & window shea; pou2d found design, eir. i site survey for additiOns 8dmks 1 set of Eneigy GalwWiitms Addftlon • inducete f ort-sde aepfk syatem , S copies ofTree PreservaUon Phn ff IaQ platfed abr7/1193 RiM Joisf Uelall OpBons seleciion sheet (bkigs wBh 3 w less unb Date /CO r Consteaction Cost SiteAddress 4`~ Untt/Ste # Description of Work Multi-Familq Bldg _ Y ~N I+Sreplace(s) _ 0 /1 _ 2 Property Owner M~Telephone #(Cp~X L^2. Contractor Address City ` State 7dp Telephone # ( ) - COMPLETE THIS AREA ONLY IF CONSTRUCTIN6 A NEW BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category ,Residentiai Ventilatlon 6ategory 7 Worksheet • New Energy Code Woiksheet (4 submisslontype) Suhmitted Submil[ed . Energy Envelope Calwlatibns SubmiUed Have you prevtously constructed a building in Eagan with a similar plan? _ Y _ N If so; -25% plan review fee-applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( ) Sewer/Water Contractor Telephone # ~ ) I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and cades of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an applicadon for a permit, and work is not to start withaut a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. r ApplicanYs Printed Narne Applicant's Signature , OFFICE USE ONLY ` ~ II Sub Types II p ? 01 Foundation ? 07 05-plex ? 73 76-plex 0 20 Pool I~ ? 30 Accessory Bldg ? 02 SF Dwellin§ ? 08 06-qlex ? 16 Fireplace O 27 Porch (3-sei.) [3 31 Ect. Alt - Mutti ll 0 03 01 of= plex ? 08 07-plex ? 17 Garege ~I ? 22 Porch/Addn. (4.sea.) 0 33 Ext. A[t - SF ? 04 02-plex ? tU OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) O 86 MuIU Ajlisc. ? 05 03-plex O 71 10-plez ? 79 Lower Level , ? 24 Storm Damage ~ ? OB 04-plex ? 72 12-plex Plbg_Yor_N O 25 Miscellaneous Work Types ? 37 New ? 35 Irtt ImprovemeM ?38 Demolish Interior ~O 44 Siding i ' ? 32 Addition ? 36 Move Building 42 Demolish Foundgtion ? 45 Fire Repeir +II ? 33 Alteration O 37 Demolish Building" O 43 Reroaf - ~ O 46 WindowslDoors , L] 34 Replecement 'Demolitlon (Entire Bldg) -l3ive PCA handout to applicant P Valuation 4CL42 Occupancy A'3 MCES System u Census Corle -4l 34 Zoning -~R= City Water 6 rl 5AC UniYS Stories Booster Rump # of Units " Sq. Ft. ~ PRV # of Bidgs Length Fire Sprinklered ' i Type of Const 111LL Width . REQUIRED INSPECTIONS I II Footings (new bldg) FinaUC.O. K ~ Rootings (deck) ~ FinaUNb C_O. Footings (addition) _ Plumbiug ~ _ Foundation, HVAC ~ _ Drain Tile pth¢r Roof _ Ice Fi Water Final _ Fbol Ftgs _ Air/Gas Tests Fina! _ Framing 3iding Smcco Stone Brick p _ Pereplace R:I. Air Test~ Final VJindows _ Insulation - - - - Ri'laining Wall I~ Approved By: Buildiag Inspector Base Fee =a J--------- - , II-____ Suroharge Plan Review ~ MC/ES SAC 0 City SAC UtilifyConneetion Charge 5&W Permit & Surcharge I ~ Treatment Piant ~ License,Search g ~ IIIII d Copieg Other - , ~ Totai li il 4 I~~ ! ~ I I. - - - - - - - i ~ I ! I p ~ ~ , . . ~ di .I, I ~ 1 1 , I !I i;l ;~j ~r . ~ ~ ~ I 6 , ' 1987 BIIILDING/PERMIT ZAPPLICANION ~CITY OF E6GAN SINGLE FAMILY DWELLINGS INCLIIDE 2 SETS OF PLANS, 3 CfiRTIFICATES OF S08VEY, 1 SfiT OF ENERGY CALCOf.ATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOANER MUST DESIGHATfi BHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCS BQILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RFSIDENTIAL RENTAL iRdITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS . COAMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: 5000 Date: ffgD SEP $ 0 19$I - Site Address J~ OFFICE OSE ONLY Lot t=' Block ~ On Site Sewage_ Occupancy 9\-1 / MWCC System Zoning R•3 Parcel/Sub On Site Well Type of Const City Water (Actual) V-(J , Ownee.'e~ L~• ~~C~/~-~ (Allowable) v.til IF of Stories Address Length ~3 / Depth 2 y ' City/Zip CodeL~ S.F. Total Footprint S.F. Phone APPROV6I.S FEES Contractor Assessments Permit sa,s~ Water/Sewer Surcharge Z,So Address Police " Plan Review Fire SAC, City City/Zip Code Engr SAC, MWCC Planner Water Conn Phone Council Water Meter Bldg Off Road Unit Arch./Engr. APC Treatment P1 Variance ~-IS-RS Parks Address Copies . SO TOT9L G I S~ City/Zip Code Phone # p >h ~ ' i U-~'~ 2"`' b3 L_ y~ ~ ~ . /Yx~Y = 336 x/ - . CITY OF EAGAN N2 14 2 6 7 • 9830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-81d0 ~ 3c~ .r'JS BUILDING PERMIT ' Receipt# Tobeusedfor GARAGE Est.Value $5,000 Date OCTOBER 7 1y 87 Site Address 4243 SEQUOIA DR OFFICE USE ONLY Lot 6 Block 1 SeGSub. EVERGREEN PARK OnSiteSewage _ Occupancy MWCC System _ Zoning Parcel No. On Site Well _ (Actual) Const m Name JAMES L DELGRECO Cirywater _ (allowable) 3 Adtlress SAME PRV Required _ # ot Stories 13' 0 City Phone 452-1778 BoosterPUmp _ Lenglh Z4~ Depth , a Name SAME 920-1657 (W) S.F.TOtal ~ a Address Footpiint S.F. i City Phone APPROVALS FEES W Engr./Assess. Permit $ 58.50 W ~ i Name Planner Surcharga 2.50 i- Address u~ City Phone Council PlanReview ¢W a 81dg. Off. SAC, City I herebyacknowled at I h e read thi pli atio a d state that the Variance SAC, MWCC information is corr ct and agr to co w' h a plicable State of Water Conn. MinnasotaStatute ndCity ,A' a ~Water Meter Signature of Permittee Road Unit A euilding Permit is iss ALto'---JAMES L DELGRECO Treatment P7 ontheezpressconditi hatallworkshallbetloneinaccoidancewithall ~CoPy~ _5~ appliCa6le State of Minnes Statutes and City t Eagan Building Oflicial_ TOTAL $_61-.-50 w ti I, i. i i i I~ I IT I ~~~i i. ~ I yp ~I ~ I~y I i I~. I 1I; I i I r, . ~ - - - - - - _ __I - - i3o c: i~ ~ / CITY OF BAGAN SOBJBCT: VARIANCE APPLICANT: JAMES DEL GRSCO LOCATION: (_IAT 6t BIACR 1t SVERGRESN PARR ADDITION EXISTING ZONING: R-1 DATS OF PIIBLIC HSARING: SBPTEMBER 15* 1987 DATE OF RSPORT: SEPTffiMBSR 9, 1987 RSPORTSD BY: PLANNING DEPARTMENT APPLICATION: An application has been submitted requesting a 12' side yard variance that would allow a garage to be situated 18' from the side property line along Sigfrid Street at 4243 Sequoia Drive (Lot 6, Block 1, Evergreen Park Addition). PLANNBR COMMSNTS: The purpose for the 12' variance is to allow the homeowner to build an additional stall on the south end of the existing garage. This 14' addition will allow for increased off- street parking and storage. The new stall would be 18' from Sigfrid Street, thus the need for the 12' variance. , . i a ; LOT(S, ,BLOCK l- ~ Z~--~ ~ t~iy" 60~ 1 ~ a I ,I ,t/ovSE N ~ I VN ~.I ~ a~ V I ~ ~oPE~Y Lin/~ V2 ` s~ t~VOI A . 116 r . . I I.. • , , ~ r ~ i . , _ , - ~ ~ , . ~ ~ i - - - - ' - , . . " - . I . ~ ~ . ' • . RE . , jT A 1 1 . i ~~i.. /n .'.C . 1 ~ : . . , . 777 . • . , . . . , _ ~ . . . , ti.,. [ ~e _ , ~ . . . . . . , 46 ' . _ - ' ~ a ~I ~ - X:keF _ c ',,y ~ ZF ~ f a ; . .rm r rx .,x, - . ~ ~ - . , . ~ - , ' . . . . ~ . . . - . , . . . . .1 ~ . . ..:.r _ . . . , , - . . . : . . . ~ . . . : ~ . . . - i.::'•.. ; . . EAGAN TOWNSHIP BUILDING PERMIT 2413 Owner 47-1 Ea9aa Townshiy Address (precen!) ....~'.'~-x*.-.~~!!-.._~ ~ n?l Town Hall Buildet I ' nate ......_~.~../..7.1 Aaa:e.s DESCRIPTION Sfories To Be Uaed Fos Fron2 Deplh Heigh! Esl. Cos! Permit Fee Remaske J , 3 84 as'~ .24, e-s-e 3/,o~o f° /.Cvt $i9 /L' 9 3a ~ a aX.~~~t.t' ,os,~CCe~ 2_ LOCATION ~ Sireel, Road r ofher Deacripiion oi Loeaifon I Lo! Block Addition or Trae! V~ This permit does aot autho=ise the uae of slreels, raads. alleys or sidewalks aor doea it gfve !he owner or his agen! !he righlto ereale any situation whiah ia a nuisance or which pzesents a hazard to !he heailh, sefety, eoavenienee and genaral welfare !o enpone in i6e eommunifp. THIS PERMIT MUST SE REPT ON THE PREMISE WHILE THE WOAK IS IN PAOG ESS. This is !o eerfify. lhai...w!~"'.°... permission !o ereeY a.. . - upon !he above desezibed premisa subjec! !o !he provisioas ot !he Buildiag Ozdinanee fo= Eagan Township adopled April 11. 1855. ....-'P" Pez ........-----_......f.'.`:'.""' Chairman oE Tnwn Boasd . Suilding Ina aetor .g5 EAGAN TOWNSHIP BUILDING PERMIT N° 1965 Owaex ...--°s44 . . Ea9an Townahip Address (Present) 5~.3..''...d4ir ":.<.00, Towa Hall Builder 0 . / ~ . . Address Dale DESCRIPTION Siories To Sa Used For Fronf DepSh FIeigh! Esi. Cosi P~ermif -FeeI Remazks - I 0 3-~' ~L LOCATION Slseet, Road or olher Descripiion of Location I Lo! Block Addifion or Trae! ,;Z y;/3 This permit dces aoY a4lhoriae the use of sireels, roads, alleys or sidewalks nor does it give the owner or his agea! the sigh!!o eseale any silvaYion whieh is a nuisance or which presenls a hasasd fo the healih, safely, conveaianee and general welfare !o anpone in the communilp. THIS PERMIT MUST BE KEPT ON THE PREMIS£ WHILE THE WORK IS IN PROGRESS. This is to cerfi4p, lhai._./~.^.-ti :--:..._~r.cr.<~` has perroiseion !o erecY a_ oa ' ' - - • ' •"""'--uP the above deseribed premise subjee! !o the provisions oi the Building Oxdinance for Eagf(n Township dapled Apsil 11. 1955. • r ..4---`-r•---.._................ Per ......--~-~`-°°---Y-°•=----~"-+-- = Ch rmaa of Tnwn B'gard Building Inspecior -Itfoytl, ` 1 ~ . , . . . . . . . PQAL: ~ A.tl~ /'!C~~ _ _ . ~ ' - ~ . . ~ . . . . . . . , ' ~ . . . . ~ . . . . , . " IdANSON. CONSTRUCTIOWCO; • ,530 JUNCTION LANE . ST. PAUI.,MfNN.551I8. . 3~. M ~1- ' ' ' . . . N . . , - ~ • bb . ' " . : . . . , EAGAN TOWNSHIP 3795 Pilot Knob Rosd St. Paul, Minneaota 55111 Telephone 454-5242 PER14IT FOR WATER SERVICE CONNSCTION Date: April 22, 1969 Number: 267 omea, Inc. Billing Name• Hanson Construction Co. Site Address: 4243 Sequoia, Eve qr en Park Owner: Hanson Homes. Ine. Billing Addreas Pltmmber: Wiereke Trenchina Location of Connection Meter Size Connection Chg. 210.00. ,p_~-r, tzt~ f '~p Meter No. Permit Fee 7•50 id• 0- ~ 71 S496 Meter Reading Meter Dep. i~ Meter Sealed: Yes Add'1 Chg. NO Total Chg. Inspected by Date Buildiag is a: Remarke: Residence__Z_ t3ultiple To, Unita Commercial Industrial Hy: Other Chief Inspector In conaideration of the issue and delivery to me of the above permit, I hereby agree to do Lte propoaed work in accordance with the rules aad regulatioas of 8agan Towaship, Dakota Count , MianeaoCa. By: Wier Trenching Co. Rosemount, Minnesota Please notify the above office when ready for inspecCion aad connection. . , EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Mianesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICS CONNECTiON DATE: April 227 1969 pUMBg,g 389 OWNER: Hanaon xom 4. T*+ . Addrese 4243 Sequoia. Evergreen Park ' PLVMDC1w Wl PrPkP mrPnchyne~ TYPS OF PIPE Heaw cast iron DESCRIPTION OF BUIIDING Induetrial Commercial Reaidential MulCiple Dwelling No, of uaita % Location of Connectione: Conaection Charge -0' Permit Fee 7.50 pd. SCreet Repaira Total Inapected by: DaCe Remarka• Sy Chief Inapector In consideration of the issue attd deliverq to me of the above pexmito I hereby agree to do Che proposed work in accordance with the rules and reguletions of Eagan Towmship, Dakota County, Minaeaota Rorzer Wliereke Wiereke Trenching oaemoun , . XMS Pleaee notify when ready for.inapection and connection aad before any portion of the woxk ia covered.      ñû    þ ÿ þ ý ýüüû úùòù      øûûüü  þøçý ßÿ þ   ìëëß   ýü   üûúùø÷  ó áôûùø÷  óùø÷ ó á áê ÷  ñ   ÷âû ô ûô ììåû÷ ø Ûþ üðû  ö  ñ÷ ñ  ñ  ðû ñ    ú ñèæ  þ  ÷ þý ææ ñþ  ü ÷ èô ææ ÷  æ   è ô úñç      ðû úø þ æ ñøñ è   ö éìãéèëèìë ÷ø  üû þ   Ý û éìãéèîèî Ý û ìýè  öúõ ú  ôó ÷÷  ñ  ÿç æ ä æ  úø ìë  Üßììü ðû   â þ ÿ þ  ë ïíëßë   úø   þ     ÷÷      æñ    þ ñ÷ø   ÷÷ ú ü   æ   ü û  ôøæÿ þ å  è ÷÷ á ñ üþ û û øüþ û 401' City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: Jz-- •� 13 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: ItO-f5 v o;, INFLOW & INFILTRATION PERMIT APPLICATION A Plumbing / Sewer & Water J Site Address: S 0 c, c'c`I ` 1_ Tenant: Suite #: P b'1 Phone:Z5/-L7 L- 2.94.l„) 4-v1 m -' .% Name: Pre /`t Address: License #: X38 Q iVk._ (1/1 'IS s )SSA ,13 444111A-4-) C—PCV s cL State: /nil Zip: 5 -L -1--S3 Phone: /-- b913 x/04 Contact: Ve...e1L pttb Email: PLUMBING (Within the building envelope) Sump Pump Repair Other: vi kr) kr) Laivti0 )u - SEWER & WATER (Outside the building envelope) Repair Other: Description of work: Py yot y' LL soy v FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ v` w *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of woryh requires a review and approval of plans. Applicant's Printed Name FOR OFFICE U. Required Inspectic PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA135882 Date Issued:04/11/2016 Permit Category:ePermit Site Address: 4243 Sequoia Dr Lot:6 Block: 1 Addition: Evergreen Park PID:10-24880-01-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 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 - Jennifer L Melbye 4243 Sequoia Dr Eagan MN 55122--182 Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169035 Date Issued:05/12/2021 Permit Category:ePermit Site Address: 4243 Sequoia Dr Lot:6 Block: 1 Addition: Evergreen Park PID:10-24880-01-060 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. 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 - Jennifer Lynn Kozar 4243 Sequoia Dr Eagan MN 55122 (612) 616-0442 The Roof Guys 7630 145th Street, Suite 110 Apple Valley MN 55124 (952) 997-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176465 Date Issued:05/17/2022 Permit Category:ePermit Site Address: 4243 Sequoia Dr Lot:6 Block: 1 Addition: Evergreen Park PID:10-24880-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Patrick F Connelly 4243 Sequoia Dr Eagan MN 55122 The Window Store Inc 2924 Anthony Lane Suite 115 Minneapolis MN 55418 (612) 353-5780 Applicant/Permitee: Signature Issued By: Signature