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1778 Turquoise Tr cirY oF EAGAN 3795 Pi1N Kaob Reod Eagoe, Mf1 55122 PHONE: 454-8100 BUILDING 4ERMIT Receipt # To be wed for Est. Value Date 19 Site Address Erect p Octuponty Lot Block Sec/5ub. Alrer ? Zoning Porce1 # Repoir ? Fire 2one Eniarge [J Type oF Const. W C a Noma Move ? # Stories =3 Address Demolish ? Length b Ci phone ; Grode ? Depth 5q. Ft. o Name _ Approrals Faes Addrass Assessment Permit ~ Clt - Phone i Water 8 Sew. 5urcharqe F Police Plon check ~W Name Fire SAC FW Address Enq. Water Conn. <W Ci Phone Plannar Woter Meter Countil Rood Unit I hereby acknowledge thot I have read this npplication and stofe that gldg. Off, fhe intormation is correct and ngree to tomply with all opplicoble 5tota of Minnesota Statutes and City of Eagon drdinances. APC Totol Sfpnnture of Permittee 11 Bullding Permit fs issued to: on the express condition thni all work sholl be done in accordance with oll opplicable Stafe of Mlnnesota Stotutes ond City of Eaqan Ordinoncea. Build+nQ Offlciol Permit No. Permit Holder Misc. Permit No. Holder [H. lumbing V. A.C. Well ater Disp. Sewer Electric InspeMion Date Insp. Other Footings Foundatipn Framinp .s ~ Rough Plbg. Rough HVAC Insulation Final Pibg. Final HVAC Final wa"r Dsscribe Location: VYell Sewer Pr. Disp. T~^~' r'n . . . . . . , . . , . . . . . PERMIT # ~ , - MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 For Office Use Only: Site AddrBSS Trail BLDG. TYPE WORK DESCRIPTION Lot Block t_ SeGl~Sub Res. YY New r" - Mult Add-on ~ Name F Comm. Repair ~c Address Other c Ciry Ragan Phone - MoLnim FEES ~ Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone "7 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK .1~ 12~J~ qp Mg~DGS. FE COMM. RA E APPLIES EE Forced Air M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - ,50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other FEE: l2.!J .50 SIG E S/C: ~ TOTAL• ~ 2•~'~ FOR: CITY OF EAGAN . . - . ~ CITY OF EAGAN 'if 1753 1 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 P H O M E: 454-8100 BUILDING PERMIT Receipt # To be used for btE-ROOFING Est. Value $6,200 Date 21g 20 , 1990-- ~ Site Address 1776 TVROtODISE 'fR l Lot 3 BloCk 7 Sec/Sub. CEDAR GROVE 6T~i OFFICE USE ONLY j Parcel No. Occupancy - FEES j ; Zoning W Name ~~D~ (ACtuaq Const - Bldg. Permit ~ 1 778 TU[tQW28E 1'R ~ ; Address (AlbWable) - Surcharge 3.50 a ° City FIAGAN Phone 452-2521 # ot stones Length _ Plan Review a Name pANELCRAn oeain - snc, ciiy ~ Address 3118 SHELLIi~1G AVE S S.F. Toial - ~ ~ City HFLS Phone 721-6628 S.F. Foolprints _ SAC, MCWCC 3 On Site Sewage _ Water Conn ~ W W Name On Si1e Well - Wa1er Meler ~ - _Z AddfeSS MwCC System - AccL Deposit < W City Phone c~ry wa~e~ - ; PRV Required _ S/W Permit ~ I hereby acknowlege that I have read this application and state that the Booster Pump - SrW Surcharge ~ information is correct and agree to comply with all applicable State of ~ Minnesota Statutes and City of Eagan Ordinances. Treatment PI j ~ Signature of Permitea "f:f2 APPROVALS • < ~ - Road Unit ~i,~,`jU~? ' Planner ~ A Building Permit is issued to: p - Park Ded. on ihe express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and Cfty pf Eagan Ordinances. Bldg. Otf. _ Copies ~ Building OHiCial ' ~ - Variance - TOTAL 93.50 ; ~ Permit No. Permit Holder Date Telephone ~ WATER SEWER PLUM8ING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framirg Roofing Rouqh Plbg. Rough Htg. Isul. Freptace Fnal Hlg. Final P1bg Const. Meter Pibg. Inspector - Notify Plumber Engr.IPlan Bldg. Fnal 2- Z~' ~ C. !i a ~h . Ca I/!X /h Deck Ftg. T~y i C ~lt Deck Final well Pr. Disp. CITY OF EAGAN Remarks $ew & WtY' per?nits and wtr COYlt1. pd. Ori T 1-1 Addition Cedar Grove #b Lot 3 Rik 7 Parcel 10 16705 030 07 Owner~~+2-"`'~-~`~-+« Street 1778 'I'LircluQiSB 'I'I'311 5tate Ea$an~MN 55122 7h Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STF EET RESTOR. GRADING SAN SEW TRUNK # SEWER LATERAL . WATERMAIN * WATER LATERAL 1970 ZO WATER AREA STORM SEW TRK 1970 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 200•00 1072 11-2o-68 PER. sac 200.00 1072 11-20-68 PAR K EAGAN TOWNSHIP BUILDING PERMIT N? 1887 Eagan Township Town Hall Addrecsi (Pretanf) Builder c"'~"""-` ~ ~ fS_ ~ . Dale - .1..l.../_..._. ..._.F Address i DESCRIPTION ~ Siorias i 1'o Be Used For Front Depfh Haighi Esi. Cos! Permif Fee Aemazks e`• /o • LOCATION D ~ ytya ~ 5ireal, Road or o2hei Descripiion af Locafion I Lo! Block Addilion or Traci YZ This pqrmit does aot aulhoriae the use of slreels, xoads, alleys oz ew ks ndr does if give the ownez or hie aqent fhe sigtl! !o ereefe any situetion which is a nuisenae or which presenis a hazard fo the healih, safelp, convenienee and , genatal welfare !o anpone in the eommunifp. ~ THIS P AMIT MUST BE KEPGT, ONq THE PREMISE WHILE THE WORK IS IN PROGRES?S. / This Ss io cerlifY, iha!_..._.Sn. hes permission !o erect a--.--r~--~S._.. vP ~ - ~K-r' - on the aboOve described premisa subjec! !o the provisions of the Building Ordinance for Eagan Townah(p adopied p°ril 11, 1955. ~ ~tta°--'-- - Per ~ . "'c,` . . +li. 1 Ch rman of Tnwn Soard ~ Suilding Ispecfor . 4. 6 . , cirr oF Uc,AN . 9795 Ptlet Kneb Rmd Eagan, MN 55142 N~ 74G9 PNONEs 454-8100 - BUILDING PERMIT Receipt # Te M wad fe. 3 SEASON PORCH Eyt, yalm $4, 500 pme August 25 1 q' 82 Site Address 1778 Tur~uoise Trail Erect R-3 ? Occuponcy Lot 3 Bixk 7 Sec/Sub. Cedar GroFe 6 Alrer ? Zorring R-1 parcel # 10 16705 030 07 Rapuir ? Ffre Zone NA Enlarpe [H Type of Const. Vn ac Name FrBttk MddunR Move ? # Srories W z Addreu - 1778 Turauoise Trail pemolisl, ? Length.l4_ Ci Eaaan 55122 pho„e 452-2521 Groea ? Depth_2S1_Sq. Ft.- o Nome David Schweich Const. Avvrorols fee. qddntsy RDUtO I Assessment Permit 50.50 cit Webster 55088 pF,o„e 461-3483 Woter 8 Sew. Surchor9e 2•50 Police Plan check ~ Nome Fire $AC ~3 Addreu . Enp. Water Conn. <W Ci Phone Planner Woter Meter - Council Rood Unit 1 hereby acknowledge thot I have read this applicotion ond stote that gldg. Off. the inlormation is correct and ree to ply with cll applicable APC Totol 553.00 Sfota of Minnewta $tatutes a City of ga Or rances. SiBnature of Pertnittee ~ A Building Permit is issued to: DaVid SChHieCh T19t. on the expreu rnndition 1hnt ali work sholl be done in occordance with olI o~pp}~)wb~le ~State of/M/,n nTesota ~Stotutes ond City of Eapan Ordirwnces. Buildlnp Offtclol /LJ'~u-e~ ~~q(oq CITY OE' EAGAN Inc1u3e 2 sets of plans, ~ 1 site plan w/elevations & ' BUILDTNG PERNIIT APPLICATION 1 set of energy calculations. To Be Used For !~'G.PC l7~ Valuation nate ~d6 Site Address 177rf TiJfA)0/_S~TiQ QFFICE USE ONLY Iot ~ 81ock -7 Sec./Sub. C,40-i' 6OVE Erect Occupancy ~3 Parcel t0 l~`COS O-~o 0"'j Alter Zoning Repair Fire Zone Qvmer: /l7/Y vU4/,f Ehlarget,7'y~e of Const. ~ Address: j7 7orl 771.P tl v/S~~ Mve # Stories Demlish _ Fro City/Zip Code: ~ Grade Depth ft. Phone ~2.~a- f APPR(7VAIS FEES Contractor: /,,J~ G~/ /C17~ Dr?S~ Assessnents Permit Water/Sewer Surcharge Address: police Plan Check ' City/Zip Code: Fire SAC Phone Eng• Water Conn. . Planner Water Meter Council Road Unit Arch'/*Eng'0, Bldg. Off. Address : AFC City/Zip Code: Phone # : TOTAL .A , CITY OF EAGAN ND 17531 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' BUILDING PERMIT PHONE: 454-8100 Feceipt # C, Le LI 0 ~ 7o be used tor RE-ROOFING Est. vawe $6, 200 oate FEB 20 , 1990 Site Address 1778 TUROUOISE TR Lal 3 Biock 7 SeGSub. CEDAR GROVE 6TH OFFICE USE ONLY PBfC@l NO. Occupancy - FEFS Zoning _ m Name FRANK MEDUNA (nctuap Const Bldg. Permrt 90.00 W 1778 TUR UOISE TR o Address 4 (Allowable) - Suroharge 3.50 City EAGAN Phone 452-2521 e oi siorie: - Plan Review Lenqth _ , o Name PANEL.CRAFT Deplh - SAC, City ~a Address 3118 N . . .TN A . S.F.Total - ~ City MPLS Phone 721-6628 S.P. Foolprints _ SAC, MCWCC ewage _ Water Conn On Site S Name On Sita Well - Water Melar MWCC 5 stem AfJCJf85S Y qccl Deposit City Phone aiy water - Fi-ii PRV Required - SM/ Permit I hereby acknowlege ihat I have read this application and state thal ihe Boosier Pump - SM1 Surcharga inlormation is correcl and agree lo comply with all applicable Slale ol Minnesota Statutes and Ciry of Eagan Ordinances. 7reatmenl PI SignaWreolPermilee ~ APPROVALS poadUnit A Building Permit is issued to: PANELCRAFT Planner - park Ded, on ihe express contlition ihal all work shall be done in accordance with all Council applicahle State of Minnesota Statutes and City ot Eagan Ordinances. Bldg. Olt. _ Copies ~ Variance - TOTAL 93.50 Building Official ~ i ' BRG!?vT TOLINS'tLP 3795 :ilot :Cnob P.oad St, Paul, 22innesota 55111 Telephone 454-5242 PER'-iIIT PQR SL•WER SERVICE CDNNECTiOP2 DATE• /-d~/G J~ Nt1NiBER 250 OT]NEP, F.3dress . • PLUMBEit TYPE OF PIP,°. i d&ay ' DESCRIPTION OF BUILDING Industrial Commercial Residential Multip2e Dwelling ho. of units Locatioa of Connections: Conn_ction Charge -Z Permit Fee 7.50 Street Repairs . Tota1 ' Inspected by: Date I Remarks• By Chief Inspector ~ In consideratioa of the issue and delivery to me of the ahove permit, T hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Toc•rnsh3p, Dakota County, innesota ay Please notify when ready for inspection and connection and before aay portion of the e7ork is covered. . , - _ _ ` - ~ ' - ~_,,;;~i EAGGN 1OWNSHIP 3795 Pilot Knob Road St. Paul, iiinnesota 55111 Telephone 454-5242 PERI'IIT FOR WATER SERVICE CONNECTION Date: Number 176 1 • Billing Name: Site Address: 3-;- Owaer• Billing Fddress Plimmber: • Locatioa of Counectioa Meter Size Connection Chg. Meter No. " Pexmit Fee 7•50 Meter Reading Meter Dep. Meter Sealed: Yes Add'1 Chg. NO Total Chg. ' Inspected by ~ Date Building is e: Remarks; ~ P.esidencet2ultiple Lyo. Units _ Commercial Iadustxial $y° Chief Inspector ~ Other i In consideration of the issue and delivery to me of the abave permit, I hereby agree to do tle proposed work in accordance with the rules and regulations of 8agan Townahip, Dekota County, Minnesota. BY e Q..S` ~ ~ Please aotify the above office when ready for Scwpection and connection. I. 1990 BUILDING PERMIT APPLICATION CITY OF EACAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WDRKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. -TZ~y;£ eFF /h~u . To Be Used For: 6vre/27 Valuation: (~Z GD Date: ~~aQ 19c Site Address 1"77 Ti/,2[1Ud15G' Jh, OFFICE USE ONLY Lot .3 Block 11 FEES Occupancy Zoning Parcel/Sub i,an(io ~XM12i v";~~v Actual Const Bldg. Permit 4CCn Allowable Surcharge 10 Owner rASJ/U/L I-IC-OU/?<9 # of stories Plan Review Length SAC, City Address 073 7-~'k'Q(J61S Depth SAC, MWCC ' S.F. Total Water Conn City/Zip Code E-Af,/9zcJ hy SSizz- Footprint S.F. Water Meter ~ Acct. ?eposit Phone 45Z z`~ z i On site sewage_ S/W Permit On site well S/W Surcharge C o n t r a c t o r Cx.'7- MWCC System _ Treatment Pl. City water _ Road Unit Address ?~~JSSiUCCG/.?o 1?~l.= so PRV _ Park Ded. Booster Pwnp _ Copies City/Zip Code fTn[~ v SUBTOTAL APPROVALS Penalty Phone ~~2 / d(~Z 8 Planner _ TOTAL ~ Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # MEMO 4~> -city of eagan TO: DI/tNE dOWMS, UTIL(TY BILLING CLERK FROIVI: ED KIRSCHT, SR. ENGINEERIRtG TECt[ DATE: AUGUST 25, 1993 SUBJECT: STREETLIGHT ENERGY COSTS CEDAR GROVE NO. 6(141 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition as listed below: Block 1, Lots 1 1 Block 2, Lots 1-8 $ Block 3, Lots 1-18 18 Block 4, Lots 1-1 1 11 Block 5, Lots 1-9 9 Block 6, Lots 1-53 53 (Lots 54 through 61, Block 6, should not be billed at this time) Block 7, Lots 1-12 72 Block 8, Lots 1-18 18 Block 9, Lots 1-11 11 TOTAL 141 The City is currently being bilfed by Dakota Electric for streetiighting in the above listed subdivision. Ed Kirscht Sr. Engineering Tech cc: Nlike Foertsch, Asst. Gity Eng. EK/je CITY USE ONLY ~ B~ ~ RECEIPT ~ SUBD. Ce.l.l.l^ GrbJ2 ~ RECEIPTDATE: PERMIT# 2000 PLUNBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT FQIOS RD EAGPN, MN 55122 651-681-4675 Please complete for: D single family dwellings ? townhomes and condos when permits are required for each unit 9 backflow preventer for underground sprinkler system FIXTURES EAGH N TOTAL Alterations to existing dwelling - minimum fee $ 30.00 Describe: Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum -1 3.00 x = $ Hottub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x = $ Septic S stem newlrefurbished `requlres MPC lic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ newinstallationlrepair/rebuild 30.00 X = $ Rough openin 1.50 x = $ Shower 3.00 x = $ Underground 5pfinklef if dwelling is under construction 3.00 X = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener I} dwelling under consVUttion 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water turnaround 30.00 x _ $ State Surcharge 50 $ 50 Tctal Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. 1 hereby acknowledge that I have read this appliwtion, state that the information is corted, and agree to comply with all appliwble City of Eagan ordinances. It is the applicanYs responsibil@y to notify the property owner that the City of Eagan assumes no liabllity for any damages caused by the Cdy during ds normal operational and maintenance activkies to the facilities constructed under this permk w@hin Ciry property/right-of-way/easement. SITE ADDRESS: MEDUNA, FRANK 1778 TURQUOISE TRAIL OWNER NAME: : EAGAN, MN 55122 TELEPHONE (651) 452-2521 (AREA CODE) INSTALLER NAM . TELEPHONE (AREA CODE) STREET ADDRESS' NORBLOM PLUMBINQ C0. y 1 JI =L'.. CITY: ~~e5 eq~i~an~ vF~ Sot"°'. STATE: ZIP: MINNEAPOLIS. MN 55408 u SIGNATURE OF RMITTEE 2004 RESIDENTIAL BTJILDING PERNIIT AYYLICATION City OfEagan Uc, 3830 Pilat Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConskuUbnRewire menh RemodeVReoairReauiremenis ' a 3 regtsle2d sile surveys showing sq. tt M lot sq.1l of house; and aJj rookd araas 2 copies M plan (20% msdmum lot crnerage allowed) 1 sel of Eneigy Calwlations for heated additlons TreBAaaPfaq°ll~d.~,~~' 2 copies of plan sharMg beam & windaw s¢es; poured found design, etc. 1 sile survey tor add'Nons 8 decks ~WIPIESF4'oulrgd~~~ Y~ 7 set of Eneagy Cakulations Addltlon -1rMicate d on-sGe sepfic sysfem ao 3 copies of Tree Preservatlon Plan K lot platted atter 711193 Rim Joist Defall Optlons selectlon sheet (Eldgs wtlh 3 or less unid Date 7O`Z~__ , Constructlon Cost 02 O o. r~ ) Site Address UniUSte # Description of Work 46 i' r, rd~ Mu1N-Family Bldg _ Y,4N Flreplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ( ) Contractor vG7/1 ^ Address ISZ6 City Cg State Zip Telephone # ( 95.1) ';~q~1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1'vlinnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy CAde Category , ResidenUal Venfilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculatiore Submltted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumberr Telephone ) Mechanical Contractor Telephone Sewer/WaterConfractor Telephone#( ) qMM4 I hereby apply for a Residential Building Permit and acknowledge that the informarion 13~c_o lete ; that the work will be in conformance with the ordinances and codes of the City of Eagan an e tate of MN 5tatutes; I understand this is not a permit, but only an application for a permit, and work is not to start out a pernut; that the work will be in accordance with the approved plan in the c e of work which req ' s a re ew and approval of plans. ~ " ApplicanYs ' ted Name ApplicanYs Si ture r PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA107233 Date Issued:10/02/2012 Permit Category:ePermit Site Address: 1778 Turquoise Tr Lot:3 Block: 7 Addition: Cedar Grove 6th PID:10-16705-07-030 Use: Description: Sub Type:e - Furnace Work Type:New Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Ashley Orman 130 Plymouth Ave N Valuation: 2,599.00 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 - Sean Nagel 1778 Turquoise Tr Eagan MN 55122 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA119867 Date Issued:12/30/2013 Permit Category:ePermit Site Address: 1778 Turquoise Tr Lot:3 Block: 7 Addition: Cedar Grove 6th PID:10-16705-07-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Sean Nagel 1778 Turquoise Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature