4649 Summit Pass Address `7 y7 .s G( ~v1 M GT ~/1~5,5 Zip 5512 3
I.ot -3 Blk ~ Sub ~ZN F~T iL N P A- 5 5
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 3 2~ Yes No Inspedor:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) X
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test pps fiom the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or instalGag underground sprinklet system. ~
Whi[e • City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL BUILDING
~a~ Permit Application ,h
City Of Eagan v
3830 Pilot Knob Road, Eagan MN 55122 h~'? -
Telep6one # 651-675-5675 FAX # 651-675-5694 a IZ~f d3
f
New Construction Reauiremen~ RemodeVReoair Reauirements OR~ce Use OnN
3 registered sAe surveys shaxirg sq. ft o( lot, sq. ft ot house; and all rwfed areas 2 copies af plan Cert of Survey Recd _ Y_ N
(20% mauimum lot mverage allowed) 1 set o( Eneigy Calalations for heated additions Tree Pres Ptan ReW _ Y_ N
2 copies of plan shaxing beam 8 window sizes; poured tound design, etc. 1 site survey tar additions & decle Tree Pres Reqd _ Y_ N
lsetofEneyyCalculations Addition-indreetei/on-sifesepticsystem On-siteSepticSyslem _Y _N
3 copies af Trce Preservatlon Plan i11ot plalled aHer 7l1193
Rim Joist Detail Options selection sheet (bldgs wflh 3 or less un~s
/
Date / 2 ~ / 43 Construction Cost ~ B~
Site Address 7(0 ~ 7 f~5 UniUSte #
Description of Work ~/~}5lrlKlnJ~ '('I^~! Slc~
- ~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0~ 1 _ 2
Property Owner J~ Telephone ~i G~'i ~ B'~7
i
Contractor ~~6R'rL{5 /~SP~'~"`- ~t~
Address ~~3l~ ~[zyJ6~ ~b~ C~~y ~,~piL ~ij~
State _/~/'/J Zip 5537~- Telephone#(g$y) zaU-'-f3/o
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(+1 submission typej Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~
Sewer/WaterContractor Telephone#~ )
~
!
I hereby apply for a Residential Building Permit and acknowledge that the informationBy te;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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 work which requires a review and
approval of plans.
n{ .~N.~~
pplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
5ub Types
? 01 Foundation ? 07 05-plex ? 13 1Eplex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex &7 19 Lower L/evel ? 24 Storm Damage
? 06 04plex ? 12 12-plex PIbgY Yor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
~ 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applleant
Valuation I~ 2'U D v Occupancy ~c- ~7 MGES System
Census Code ~f 3~ Zoning City Water
SAC Units r' Stories Booster Pump
Nbr. of Units 0 Sq. Ft. PRV
Nbr. of Bidgs / Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) j~ FinaUNo C.O.
_ Footings (addirion) ~ Plumbing
_ Foundation X HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final
~ Framing _ Siding Stucco Stone
~ Fireplace _ R.I. _ Air Test Final Windows (new/replacement)
~Insularion _ Reffiining Wall
~~-s~~~3
Approved By J7 P , Building Inspector
Base Fee ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Sii9 e~d;°55 $,~(.fi 'I-_~V ! Ot ~ BIGCk ~ SUbd ~Z~~
On Apr~i 15, 2000 the tiiinnesota Energy Code, Category I 6uilding Re~uirements for insulation proiecacn, a~r
tigh~ness. and ventiiation, was adop~ed As a result, the Ciry of Eagan is requirin~ inat lne folinwing iniormation be
submitted prior to issuarce oi a Certificatz of Cccupancy.
This sWCture: is construcfed 1o mezl minimum requiremenls of the Mn Energy Code, Chapter 7070
OR
_ Th~s structure: will 6e constructed Io mes[ more restrichve requir2ments of Chapt2rs 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MO~EL BTU'S VENTING TYPE
Water Heater ~ 5
Furnace R o C
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MOOEL CFM's YES wo
Kiichen kitchen
Bathrcom 1 I
S
Bafhroom 2 e
x
Bathroom 3 ~Z ~ ~ ~ arsn X
Bathroom 4
Other
VENTING
FiREPLACE S LOCATION GAS wooa MANUFACTURER MODEL BTU'S OIHECT qrrnos
G O
MAKE-UP AIR MO~EL TYPE CFM's
V~n~ M~ta a. o Co ~ a. o e ~o 0
I herehy acknowiedge that the above information is correct and agree ro comply with the Minnesota Energy Code and Ciry of Eagan
requirements.
1.f7 /o-R-~~ /
S gn re , Date
- i - ~~t.l.O~Ti'7~' r. _ . _ .
, . . .
Company Name
' This form is the responsibiliry o( the General Contractor.
`f77~-3 ~,k P~I I w-~~~13-a. g,~ s,~3~.s9
„ ~ {e~~s5~"~ RESIDENTIAL
~r ~~70~ ~ °BUILDING PERMIT APPLICATION M'~ ~ 70,So
~P Ll Jr/V~ CtTY OP EAGAN Qp 9D•50
3830 PILOT KNOB RD - 55122
651-681-4675 ~ ,sq
/
New Canstruction Reuui ents RemadeVReoair Requirements / ~U ~5 Uj
• 3 registered site surveys showing sq. ft. o( lot, sq. h. ot house; and ali roofed areas • 2 croµes ot plan ~ ~'`'~ln
(20% manimum lo[ coverage allowed) p . 1 set of Energy Calculations for heated additions MR.
. 2 copies of plan showing 6eam & window s¢es; poured Found design, etc.) YC-~{- ~Q~~ . 1 site survey tor exlenor addi~ions & decks
• i set of Energy Calcufations T
. 3 wpies of Tree Preservafion Plan if lot platted aRx 711i43 f`l ry/,,,
. Rim Joist Detail Oplions seleclion sheet (bldgs with 3 or less unils)
DATE ~ D'~^/Z' VALUATION (EXCLUDING IAND) c~~~n~ a 8D
JOB SITE ADDRESS w ~~,d
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? ~~O
PROPERTY OWNER
TYPE OF WORK S~~ FIREPLACE(5) ~ YES _ NO
APPLICANT ~ PHONE# q5~~'~7~v I23/
PAGER # CELL PHONE # FAX # 952- `~73 ~
I NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COIU~~LET.EI.Y
~ ~
Energy Code Category ~ MINNESOTA RUL~S 7670 CATEGORY 1~,~ ~ ~I I
(check one) - Residential Ventilation Category 1 Worksheet Submi~ter~C-T 0~ I p i
- Energy Envelope Calculations Submitted ~p, f L.J
MINNESOTARULES7672 ~-r•~~
~ . OV y-=
- New Energy Code Warksheet Submitted
Plumbing Contractor: C~CL~n.dL~l1J~(6~.~.~/~iYL~' Phone ~ ~J~-7
Phimbinp System Includes: _ ~Vater Softener _ I,awn Sprinkler ce: S90•00
Watcr Heater No. oF R1. Baths
No. oF 13aths-
.
Mechanical Contractor: r~K.WlLdC~/! ~~~iPiC.i'l~ Pho~e # '7 5~ 7 T'S"~ 9e~
~4cchanic.~l Systc~n Includcs: _ Air Condi[ionin~ Pce: Si0.00
_ Hcat Recovcry Systcnl
Sewer/WaterContractor: ~~TW! / Phone# qr.Z.~ OO ~~~I
i
All a6ove information must be suhmitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and ogree to comply with
oll appiicable State of Minnesota Statutes and City of Eogan Ordinances. ,
Signature of Applicant ~j({.K
~s3~a~9-3o7y~
Certificates of Survey Received ~ Tree Preservation Plan Received _ Not Required
~ Updated 1!0'I ~
I
OFFICE USE ONLY ~
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
~ 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 ExL Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 ~4-pfex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
~ 31 New ? 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Additlon ? 36 Move Bldg. ~ ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Aiteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
o~_
Valuation ~7l3(~ ~ Occupancy ~-3 MC/ES System
Census Code ~D ~ Zoning n- ( City Water
SAC Units ~ Stories o~ Booster Pump
Nbr. of Units Sq. Ft. as~ r PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const `V- Width
REQUIRED INSPECTIONS
X Footin~s (new bldg) ~ FinaUC.O.
_ Footings (deck) FinaLNa C.O.
Footings (addirion) _ Plumbing
~ Foundation _ HVAC
Drain Tile
Roof ~ Ice & Water ~ Final Other
~ Framing Pool Ftgs Air~Gas Tests Final
~ Fireplace ~ R.I. ~ Air Tes[ ~ Final _ Siding S[ucco Stone
~ Insulation _ Windows (new/replacement)
Approved By Building Inspector
Base Fee
Surcharge ,(~,~$EM ~„~T UN ~ f ~~-t ~d"~D
Plan Review ~ o^ ` a~, G ~ ~
MC/ES SAC f~~ Y S~ ~ I
c~tY sac /i'1 /~r ti/ o~,ie -l 7`f
WaterSupply&Storage ~ s Y. oe ~ ~o~
S&W Permit & Surcharge r Sr.
Treatment Plant r o~2 L
Plumbing Permit V ~ o0
Mechanical Permit / 3 q X sy' ~ 7 s~ ~
License Search
Copies a~
Other ~3~ S F ^ /b, ~ I ~ ~ ~
Total
, , ~~~j~ 3aZ
i i
NINcheck COMPLIANCE REPORT ~ ~
Minnesota Energy Code ~ Permit # ~
hIIlcheck So£tware Version 3.0 ~ ~
~ ~
~ Checked by/Date ~
~ ~
COUNTY: Dakota
STATS: Minneaota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 9-25-2001
DATE OF PLANS: 9-27-01
TITLE: Hampton "C~~
PROJECT INFORMATION:
Nelsan Residence
4649 Summit Pass
Stonecliffe
COMPANY INFORMATION:
Lundgren Sros. Constructian
NOTES:
Side Lookout
COMPLIANCE: PASSES
Required UA = 732
Your Home = 586
20.0'k Better Than Code
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value UA
_ _
CEILINGS 2062 44.0 0.0 56
WALLS: Wood Frame, 16" O.C. 171 19.0 2.0 10
WALLS: Wood Frame, 16" O.C. 1486 19.0 2.0 83
WALLS: Wood Frame, 16" O.C. 1551 19.0 2.0 87
WALLS: Wood Frame, 16" O.C. 204 12.0 2.0 16
WALLS: Wood Frame, 16" O.C. 214 12.0 2.0 16
SSMT: Conc. 9.0' ht/B.5' bg/9.0' insul 1467 10.0 0.0 89
GLAZING: Windows or poors, Above Grade 57 0.350 20
GLA2ING: Windowa or poors, Above Grade 352 0.350 123
GLAZING: Windows or poors, Above Grade 214 0.350 75
FLOORS: Over Unconditioned Space 303 30.0 0.0 1o
FLOORS: Over Outside Air 20 30.0 0.0 1
HVAC EQUIPMENT: Furnace, 90.0 AFUE
COMPLIANCE STATEMENT: The praposed building design descri6ed here ia
consistent with the building pla s, specificatione, and other calculations
submitted with the permit appl tion. The proposed buildir~g has been
designed to meet the requireme t of e Minnesota Energy Code.
Builder/Designer Date~_
~ ` LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPER7YLEGAL: ~~T S' !~/~o~' / ~NF~~Ee> PqsS ,~-fk
DATE OF SURVEY: ~.-'a_~-c;
LATEST REVISION:
d
w
c
m
v DOCUMENTSTANDARDS
v
O i ¢
Qf/ • Reg~tered Land Surveyor sgnature and company
~L/ ? ? • Building PertnitApplicant
S~ ? ? • Legal description
0 ? • Address
~i/ • North arrow and scale
W/?? . House type (rambler, walkout, spiit wlo, split enhy, lookout, etc.)
[f • Directional drainage arrows wdh slope/gradient °k
tc~ • Proposedlexisting sewer and water services 8 invert elevation
La~/ a ? • SVeetname
C~ ? ? • Driveway
ra~ ? ? . Lot Square Footage
? ? . Lot Coverage
[a" ~ ? • Benchmark
ELEVATIONS
/ Existina
? ? • Sewer service (or Proposed)
~ ? ? • Property comers
r3~ • Top of curb at the driveway and property line eutensions
~ ~ ? • Eievations of any existing adjacent homes
. Adequate footing depth of sVUCtures due to adjacent utilRy henches
? ~ ? • Waterways (pond, sVeam, etc.)
Pro~osed
? ? • Garage tiaor
~7 ? ? . First floor
~ ? ? • Lowest exposed elevation (walkouVwindow)
~ ? 0 • Property comers
? • Front and rear of home at the foundation
PONDING AREA (if aoolicablel
? ? . Easement line
? 5~/ ? • NWL
? 0 ? • HWL
? ? . Pond # designation
? [A~ a • Emergency Overflow Elevation
DIMENSIONS
? • Lot IineslBearings & dimensions
N~' . Rght-of-way and street width (to back of curb)
? • Proposed home dimensions including any propased decks, overhangs greater than 2', porches, etc.
(i.e. all structu2s requiring pertnanent footings)
ta~n ? • Show all easements of record and any Crty utilities wRhin those easements
C3~ • Setbacks of proposed structu2 and sideyard sefback of adjacent existing structures
[~U ? • Retaining wall requirements, if any
Reviewed: c _ ..C./ ~
l.~r~'"
Name ! Date
: REVISiONS BY
.
~ OCT 0 ~ REC'D
~ 30 15 0 15 30 60
w ;
= ~ ~ T'3{~ ~ ~~a ~ SCALE IN FEET
, ~ ~ ~ 1~~ ~ i~, Cr, ' ~~l
~ : ~y ~i+~ .,,i/ '
: ~ LEGEND
_ I : :3atc~~ ~a , : 5~ Cy,j $
~ iu.').~d]l~i.:..l~~YG~~l..~~uL°SlS'~'+~`.~.,~`'l, .3~ Z' :
~ QS DENOTES SANITARY MANHOLE ~ N
~ ~ 2 NI ~ / ~ DENOTES ITYpRANT 2° i°
I L (S11 ( ~ DENOTES CATCH BASIN ~
~ S DENOTES SANITARY SEWER ~
1 W DENOTES WATERMAIN ~ Q
' I ST DENOTES STORM SEWER W a
~ , " EXISi1NG ~ o
' I NWSE ~..y ~ OO DENOTES STORM MANHOLE
9 a2 G z I~ ~ X 9 3 9. g i S~' DENOTE$ STORM APRON W a
( 9 5 6. t) N89°19 27 E 158.86 (936.0) ~ 7
xm
55.00 438 6 29.61 43~. 935 3 ~'J~ ~ ~
95c 7 93ft.7n E ~
S II) ~ N
' N ~=33~ 4X ~ 23 S pp ~ ~ Proposed Top of Foundotion Elevotion= 940.0
; Z S~ J N'~' 10 ~ ~ y Proposed Gorage Floor Elevotion= 939.0
I t;~i',~ Pro osed Lowest Floor Elevot~on= 931.3 s~
; O ' UKAINAGE & UTILITY W ~ ~P P ,,c. ,tl.
I ~ to i ~.1.~.~.
3 ~ EASEMENT I FPLC ~ D j~,~, ,ya,:-~= ~ ?1-{ ;
~ ~ ~ h~
4 s.e~ 6 ~ 1
N / ~ 27.5 p m r~ ~~:~~',";~~.i 11 ~?'t's~€(~ ~ I ~ rt
~ ~ ° . ~i-~ - NY~ . ~ ~
N W N pv ~~jl,~;=" '.4" j;~;,. ~ O DBnOf88 Iron MOnumen~ ti~~~ ~~o
- N , ~ ~ p o 8 _5=~ + 000.0 Denotes Existing Elevation ~
_ (,a ~ ~ v „ ~o IX9355 ~ ~ +(000.0) Denotes Proposed Elevotion
~ ( x tn ~n ~ ` O \ tt
Denotes D~rect~on of Surface
; n 4 t~`~ ~ I -/1 ~ C Droinoge
~ ti A W I~ W ~J~V.O
o srooP N 0 Denotes Sonitory Sewer Se~vice ~
~p I '~w"" x° y o _f ~ I rn ~ p S ~z \ Elevotion ~
~ I ~,c N 'o 0
p I c,, ~ N:, N~ \ tJ S MAINTAIN MINIMUM 2% SLOPE TO ~ ~
- O ~ ~ Iti LOOKOUT WALL I v'~ ~ ~ ~i
x 31 x3.5a7 ACCOMODATE POSITIVE DRAINAGE
= 5~ - - - - ~ ~934~ - - - ~to ~ ~ ~OGqZ~
~ gsso ~ 55.00 °3L.'c 54 10 yS7~ ALL OFFSET IRONS ARE MEASURED ~ W W ° W
3s.~s ~9319~ TO HUNDREDTHS OF A FOOT AND CAN ~ Q~~~
_ (953.3) Ngg~19~27 E 183.80 BE USED AS BENCHMARKS. Q a~ ~
, U l..l q z
~ I $/LT CLC \ A title opinion wos not furnished to the surveyor nor was o ~ a z ~ U
specific title seorch for the existence or non-existence o(
recorded or unrecorded eosements conducted by the surveyor W a
tM ,t os part of this survey. U
~ `r .
- I hereby certify thot this is o true ond correct representation
~ ~?~o~~ r, ~D of o survey of the boundories of:
~ LOT 3, BLOCK 1, PINETREE PASS 5TH ADDITION
DAKOTA COUNN, MINNESOTA ~RANRJ
And the locotion of ali buildings, if any, thereon, and oll visible RS
S~~ACKS encroochments, if any, from or on sa~d lond. As surveyed by CHECKED
; LOT AREA=14,353 S.F. 's 25th day of Sep ember, 2001. DRM
, MIN. FRONT YARD SETBACK = 30' ROOF AREA=2,567 S.F. • c 9/Y6/01
I, MIN. SIDE YARD SETBACK = LOT AREA ~-17.9 .u~OQ /JC-V`~U~~ A~
- - - - - - - - - - _ r ~
5- (GARAGE); 10'^(DWELLIN~)- - " - - - - - ' T J AS sHOWN~_.
- MIN. REAR YARD SETBACK = 15' Doniel R. McGibbon
~icensed Lond Surveyor, Minn. ~~c. No. 18883 JOB N0.
- 5402-672
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4649 Summit Pass
Lot: 3 Block: 1 Addition: Pinetree Pass 5th
PID:10- 57664- 030 -01
Use:
Description:
Sub Type:
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Schmidt Roofing
13401 County Road 5
Burnsville MN 55337
(952) 888 -4889
e- Reroof & Siding Construction Type:
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Schmidt Roofing
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$132.75
$3.00
$135.75
Owner:
Scott A Nelson
4649 Summit Pass
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
Issued By: Signature
Building
EA085804
09/04/2008
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169663
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 4649 Summit Pass
Lot:3 Block: 1 Addition: Pinetree Pass 5th
PID:10-57664-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Henry & Sue Huang
4649 Summit Pass
Eagan MN 55122
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature