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1625 Boardwalk
PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA093398 Date Issued: 04/09/2010 OR Permit Category: ePermit 41~ it~ of E3 E Site Address: 1625 Boardwalk Lot: 31 Block: 2 Addition: Hampton Heights PID: 10-31900-310-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zoning: Square Feet: 0 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. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Home Depot At Home Services Erik E Nelson 6561\1endelssolm Ave. N 1625 Boardwalk Golden Vallev 1\1N 55427 Eaganl\1N 55122--123 (763) 42-8826 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Parcel Files Cover Sheet Unique ID: 1917 1625 Boardwalk 103190031002 INSPECTION RECORD CITY OF EAGAIV PERMIT TIME: rz u l r 01141(,, 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123, Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT; t1AMVION PERMIT SUBTYPE: TYPE OF WORK. H W> f M f N 1 1 N V44 A LTV 14 9 31+1 rt)11~1-1 11~ +"'l F'sft 1 11"dr~1 ~ a Pt.l ARJ~ '.!'TW;€311Ul f M 1', Ah'I1x'1'L1tf1~~1 li t t°!<' AN1°1 11 M NIrii> rt; ~ S 1 I;TR.ICA) WfjR i~t s Id ISM p"d *)Go k pea -V/1/ mil?? ~QL.•2~[-~ ~~"v~! i ueWAU3 't$UOJ - t 'mod •~d f~.d 1fl D '~W Phi 4, Q •1m uowv=xi k f WAG uowwlft* A"PH Wamd '"I pond 1 CITY OF EAGAN WATER SERVICE PERMIT 383O~b Road 8281 - P.O. x 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: ~ No. of Units: Owner: Frontier Midwest Address: : oar ws _"ton Heights Site Addess Plumber tar PlumbinVi ss _3 16 Meter No.: 7, Ueloft U165-', 15.00p d e~ ize: Read r No..°7 ~°O,LIE E5 r L" a e s 0. i? pd agree to comply w theL~r'9el 156 . (?0 d TP Ordinan Misc. Charges: P Total: 63. Qpd meter By Date Paid: Date of Insp.: g,•7 Insp.: clrY of EAGAN WATER SERVICE PERMIT ` 3836 Pilot Knob Road P.O. Box 21199 PERMIT NO.: 8281 - Eagan, MN 5512`1 DATE: 12"17_86 Zoning: ' R1 No. of Units: Owner: FrOntlEr If: d st Address: SiteAddess: 1625 lima walk L31 B2 camPton Heights Plumber: Star Plumbing Meter No.: Connection Charge: 5()0.0QPd Size: Account Deposit: 15-06d Reader No.: Permit Fee: 10• QOnd 1 agree to comply with the City of Eagan Surcharge: -0 Ordinances. Misc. Charges: 156 - 0O Total: 63.50 meter By Date Paid: Date of insp., insp.; r clnr of eaGaN SEWER SERVICE PERMIT 3830 Pilot Knob Road P.O. Box 21199 PERMIT NO.: 9432 _ Eagan, MN 55121 DATE: Zoning: Rl No. of Units: 1 Owner: Frontier Midwest Address: Site Address: Boardwalk L31 B2 Tams tort Heights Plumber: Star Plumbing 12-17-'36 69144 100.00pd agree to comply with the City of Eagan Connection Charge: 475 -10od Ordinances. Account Deposit: 1 - nCl Permit Fee: 10 onpd Surcharge: 50pd By Misc. Charges: Date of Insp.: Total:: Insp.: Date Paid:' BLDG, . RMI_T_ 01-3210 Bldg, Permit 01-3422 Plan Check 01-3445 Surch. /Adn:, 01-3446 SAC/Adm,y 01-2155 Surcharge J 17-3860 Road Unit_ 20-2275 SAC 20-3865 Water `Cann, 20-3868 Water Trmt. 20-3716..-Water Meter 3 v 20-2252 Acct. Dep. G v G 20- ' r Permit fp 20-3743 Sewer permit 79-3866 Sewer Conn. f rev 11-3855 Park Ded. TOTAL/S3` 680 CI OF EAGA~. t~0 r M3 3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt If To be used far SF DWG/GAIL Est. Value $ 64 r 000 Date DECEMBER 16 19 86 Site Address 1625 BOARDWALK Erect ~ Occupancy ' R3 31 Block 2 Sec/Sub. HAHPTON `'S Remodel ❑ Zoning R Lot Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories W Name FRONTIER COMPANIES Move ❑ Length 40 3908 SIBLEY 6 HWY o BLDG aAemolish 1:1 Depth 47 o Address "lint. Impr. ❑ Sq. Ft City EAGsAN Phone 454-0433 Install ❑ i m 0 Name SA Approvals Fees ~ Address Assessment Permit $ 325.00 City Phone Water & Sew. Surcharge 32 • 00 Police Plan Review-k4,2 .50 Name Fire SAC 575.00 5 8 Address 500 * fl0 Eng. Water Conn. IC W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 1.2/16/ 6Tr. Pi. 156+00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Parks Signature of Permitter Var._Date Copies $2,r,1000 ,y Total A Building Permit is issued to: a•' NTIER COMPANIES on the express condition that all work shall be done in accordance with all a0licable State of Minnesota Statutes and City of Eagan Ordinances. Building Official E Permit No. Permit Holder Data Telephone # Plumbing Electric r _ J 7D U Softener Inspection Date Insp. Comments Footings 1 If Footings II Foundation Framing { Roofing ~ Rough Plbg. cl - -S~ - i Rough Htg. Insul. A14.1 Fireplace Final Htg. Final Plbg. Sidg. Final Cod. Occ. Deck Fig. /3 7 G O/I/2 ? cv^'3 a '~7 Deck Frmg. ✓f111~ R+~o+Jf Well Pr. Disp. Trrl, if-irate of Mrrupttury Citp of eagan Rpportmml of'Nuiibing Inopprthm This Certificate issued pursuant to the requirements of Section 306 of the (Inform Building Code certifyft that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Use classification CIF DW11GAR Bldg. Permit No. 12981 - Occupancy Type '3 Zoning District Type Const. Owner of Building FMTER TEy Address -1SM 1 HW j D Building Address 1625 BCAT Locality L31a TQ, loll V WOM - Date: MARM 25, 14876 Building Official POST IN A CONSPICUOUS PLACE u, CITY OF EAGAN 1 a 3830 Pilot Knob Road, P.O. Box 21-199, Eagan;, MN 55121 fff PHONE: 454-8100 BUILDING-PERMIT Receipt To be used for BA9"w:'TM Est. Value $1,5.A) Date NOV 5' ,19 1* Site Address 1525 BOARLWAIZ OFFICE USE ONLY Block Sec/Sub. ) •t' Df" "2 _ ` On Site Sewage Occupancy Lot MWCC System _ Zoning Parcel NO. On Site Well (Actual) Const ' Name VIOL. tiA,S City Water (Allowable) w PRV Required # of Stories z Address 1625 pr iA4" 1.1LK 3 Booster Pump Length o City. Phone Depth c NameS.F. Total Footprint S.F. o a Address City Phone APPROVALS FEES oc Engr./Assess. Permit Name LL U) Planner Surcharge z Address m w City Phone Council Plan Review 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 Urvr{ J `r A Building Permit is issued to. _ Treatment P1 on the express conditioAthat all work shall be done in accordance with all parks applicable State of Moesota Statutes and City of Eagan Ordinances. TOTAL ,00 Building Official _ _ Permit No. Permit Holder Date Telephone # Plumbing /11-1) H.V.A.C. Electric - .liY( ~5 GAG Softener Inspection Date Insp. Comments Footings Footings II Foundation Framing Z" S S ~.5 / quo . i. 41 Roofing Rough Plbg. Rough Htg. Isul. f~ S Fireplace Final Htg.~~ _ a Final Plbg• 2- 4,; Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. .s r / Jr. PERMIT # • MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 1/2j/87 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: $1700.00 PHONE: 454-8100 Site Addres BoaRMIR BLDG. TYPE WORK DESCRIPTION Lot 3 Block Sec/Sub Res. X New X D Name 'WENZEL MECHANICAL Mult Add-on ° Address 3600 Kennbec Drive Comm. Repair S City Eagan Phone 452-1565 Other Name FRONTIER COMPANIES FEES c Address Sib ey Memorial Hwy. RES. HVAC 0-100 M BTU -$24.00 p City Eagan phone 454-043 ADDITIONAL 50 M BTU 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 80,000 24.00 GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE r Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 r Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1 1.50 ,000.00) Gas Piping Outlets # Other R FEE: 25.50 S/C: • 50 SIGNATURE OF PERMITTEE TOTAL: $26.00 FOR: CITY OF EAGAN CASH RECEIPT CITY XOF EA AN 3830 P160T KNIPB ROAD EAGAN, M INN ESOTA 551,22 ~ ~ fry 19 ' w ,i & -DOLLARS ` n CASH 4E~K 274 f -..S.UND CODE AMOUNT i Thank You 6 9 14 Y White-Payers COPY Yellow-Posting Copy Pink-File Copy CITY OF EAGAN 0 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 12981 PHONE: 454-8100 1 BUILDING PERMIT Receipt# To be used for SF DWG/GAR Est. Value $64,000 Date DECEMBER 16 19 86 Site Address 1625 BOARDWALK Erect C Occupancy R3 Lot 31 Block 2 Sec/Sub. HAMPTON HTS Remodel ❑ Zoning R1 Parcel No. Repair ❑ Type of Const. V Addition ❑ No. Stories W Name FRONTIER COMPANIES Move ❑ Length 40 z 3908 S I BLEY MEM HWY, BLDG E Demolish El Depth 47- R: Address Int. Impr. El Sq. Ft. City EAGAN Phone 454-0433 Install ❑ o Name SAME Approvals Fees Address Assessment Permit $ 3 2 5 0 0 City Phone Water & Sew. Surcharge 32.00 Police Plan Review 162.50 F W Name Fire SAC 575.00 0 0 Address Eng. Water Conn. 500.00 a W City Phone Planner Water Meter 63.50 Council Road Unit 290. 0 0 Ihereby acknowledge that Ihave read this application andstatethatthe Bldg-Off. 12/16/$6Tr.Pl. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinance APC Parks Signature of Permittee Var. Date Copies Total $2,104.00 A Building Permit is issued to: F TIER COMPANIES on the express condition that all work shall be done in accordance with al licable Stat of to Statutes a d City of Eagan Ordinances. Building Official This request fr void / - , / C 18 months from C 8 n 0 7 5 F7.) Request Ante Fire No. Rough-in Ins pection / ` 's o X Require Ready Now Notifv Inspec- ~ fV) s No or When Ready Qi-t1"censed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, Box or oute No. City )626 G- ction No. Township Name or No. Range No. County D Occupant (PRINT) Phone No. 12) rJI~U~S / 141D, IV- 0 lzl~ Address r Electrical Contractor (Company Name) -,Contractor's License No. Ma r "jj4,1jraEtjW ;flRing Installation) Autho ized ~9n t re r LL~~ NOCKIANEallation) Phone Number PP VALLEY, Wi 55I24 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs Midway Bldg. -Room N-191_ BE ACCEPTED BY THE STATE BOARD 1821 University Ave.. St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL: INSPECTION e6-06001-05 II, See instructions for completing this form on back of yellow copy. / )--7 C -80075 ""X Below Work Covered by This Request Now A Rep. Type of Building Appliances Wired Equipment Wired ,od Home Range Temporary Service Duplex Water Heater fighting Fixtures Apt. Building D yer Electric Heating Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other Spey fy) t er specify Other Other Compute Inspection Fee Below N Fee Service EntrancaSize # Fee Feeders /Subfeeders" # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200,Amps' 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100`Amps Above 100 Amps Transtormers Irrigation Booms ' Partial, Other Fee Signs Special Inspection TOT L j Remarks t Rough-in Date 1. th real Inspector, hereby certifv that the above Final t Date inspection has been n ~ , . ~ ~~J~ made. This request void 18 months from 0-18% - 6 7 Request Date 9 ' Fire No. Rou -tn Inspectio equired I ection t Than Rough-In (Ynu m t call inspector when ready) ReadWill Notify Inspector ad~i I ❑ licensed contractor owner hereby request inspection of above electrical work at: Job Address (Street. Box or R/olute No.) City Z Q W Section No. Township Name or No. Range No. County Occupant (PRINT) C & V y~& Ul Phone W Power Supplier Address a Electrical Contractor (Company Name) 7-170es License No. Mailing Address (Contractor or Owner Making Installation) Author' S nature (Contra caner Maki tailation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY II 11 IIIII I {i{{JJ';I THIS INSPECTION REQUEST WILL NOT Griggs-Midway nivesiity Ave., St. Room 1821 U IS Paul, MN 55104 UNLESS SEDOPER INSPECTIONFOEE Phone (612) 642-0800 111 11 111 Ilttt 9 111111 111 111 1 t ! I REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 5Home ~ See instructions for completing this form on back of yellow copy. W" Below Work Covered by This Request Ne Add Reof Building Appliances Wired Equipment Wired Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner L 1 Other (specify) Contractor's Remarks: ~/f ~ Copp L~.1~41~ " Compute Inspection Fee Below: 14,01 # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MA LBEED r D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 1, the Electrical Inspector, hereby Rough-in Date, certify that the above inspection has Final / oat/ been made. ~ OFFICE USE ONLY This request void 18 months from T This 18 his request void,/~j1/p~ months from E 14029 Request Date ire No. R ugh-in Inspection Required? ~Ready Now Will Notify, Inspec- p~ (/•o`t-+!'9,Yes No for When n Ready ❑ Licensed Eldtrical Contractor 1 hereby request inspection of above Owner electrical work installed at: Street Address, Box or Route No. C ity L ecum~ o. Township Name or No. Range No. County A- Occupant (PRINT) Phone No. U AC& t1 Z_Lo -©30 A Power Supplier dress LAG S,So G Electrical Contractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Aut ized Signat e (Contractor/Owner Making Installation) Phone Number MINNESOTA STATE BOARD Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION PEE IS 1821 University Ave., St, Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION Ea-ooool-os ~ ~e instructions for completing this form on back of yellow copy. y E- 14029 :"K Below Work Covered by This Request New Arid Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service OLtPlex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unioader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Specify) i er Specify Other Other ompute Inspection Fee Below a Fee Service Entrance Size is Fee Feeders/Subfeeders f# Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 A Ms Swimming Pool Above 100_ Amps Above 100_Amps Transformers Irrigation Booms Partial, Other Fee Signs Special Inspection g!~ TOTAL F t j arks Cwt tSlYl~ ~l S ~ ~L Rough-in t Date 1, the Electrical All Inspector, hereby certify that the above Final ate nspection has been made. This request void 18 months from IL/ VASSOLLO t STAFFORD 1986 BUILDING PERMIT APPLICATION CITY OF EAGAN` NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1 SET OF 1. SET OF ENERGY CALCULATIONS ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND co4t0C3'e> To Be Used For: Single Family Valuation: Date:9-26-86 Site Address 1625 Boardwalk OFFICE USE ONLY Lot 31 Block 2 Erect ✓ Occupancy 3 Remodel Zoning 9.1 Parcel/Sub Hampton Heights Repair Type of Constr Addition # of Stories` Owner Vassallo, Vincent & Jennifer Move Length 40 Demolish Depth Address 1121 Hamline Ave. N. 424 Int.Impr. Sq Ft Install City/Zip Code St. Paul, MN. 55108 Phone 644-2643 APPROVALS FEES Contractor FRONTIER COMPANIES Assessments Permit 325. w8 Sibley Memorial Highway - Bid g Water/Sewer Surcharge 37-. Address Emil, MN 55122 Police Plan Review k G Z: 5" Fire SAC S-15 . City/Zip Code Engr Water Conn Sc o Planner Water Meter (03 Phone 454-0433 Council Road Unit 29 Q Bldg Off Treatment Pl I(~. Arch./Engr. APC Parks Variance Copies Address TOTAL 77-01<4 City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. SIGMA HOUSE CERTIFICATE FOR: AVEY1 ANNNNNI$hbl BUILDERS HOMELAND DEVELOPERS REALTORS SERVICES 3908 Sibley Memorial Highway :FRONTIER COMPANIES Eagan, Minnesota 55122 Phone: (612) 452-3077 M ODEL:. ST4F t=oRO COD ,CAL~a I =40 --X T-,rIM T~' X I. w t..U-f I 123Q U) 3. 0,90 '50 60 1 .0 5.0 q'i ~YO` T N~ 19.0 47 h_ -f p C/....._s~.. -A {~IAC[',x qA 4, 6& N ty ~ry Z_ 6$ .._P ~A ►~M x -LEGEND PROPOSED 6ARA6E FLOOR ELEVATION= 85,0 0 Denotes Iron Monument PROPOSED Top of Block ELEVATION- 85(63 0 Denotes Woad Hub Set PROPOSED BASEMENT FLOOR ELEVATION- 853.0 x 6'11`0 Denotes Existing Spot Elevation ETE. Verify all floor heights with Final House Plans. (AS~W Denotes Proposed Spot Elevation ,,,.,-Denotes Drainage Direction qiy~ (fir IF IGAT IpV- l hereby certify that this survey, plan or report PROPERTY DESCRIPTION- was prepared by me or under my direct supervision LOT '61 ,BLOCK 2 and that I am a duly Registered Lard Surveyor the laws of the State of Minnesota. ands according to the recorded plat thereof; Date: qw [ t-r'u'. C*KO'(A County, Minnesota Wayne D. Cordes, Minn. Reg. No. 14675 ;:T7-3r0S ERVE' OPr AVCR;"s: 11" (MMI-11-A"ION . OATr 01M SITc AOORESS: MONE: CONTRACTOR: ~fZcyr•3'C't Oe termi ne working square fac cage (:f each 1. Total exposed wall area..... sq. ft. x .1I f d 2. Total roof/ceiling area.... ;r. ft. X .026 Total exposed wall area above rl no r%-_ a. Total wall window area r b. Total door area car... c. Total sliding glass door area ? - d. Total fireplace wall area e Total wall framing area (average 10-) e{ f. Total rim joist area. Z g• ner wall area above fiaar...Z ~ .GEC :w h. wall area above floor i. wall area above floor j. frame wa 1 i area a: ct:rzda~cn . . Total exposed foundation area= r k. Total foundation window area........ 1. Total net foundation area above grade r- Determine "u" value of each wall s_umcnt (e.g. window, door, each separate-wall seCtion) • a• 1 Z S X „LIN ; • b. 4 ? X ISU,. 4S _ f <5 .C. X NUN r- • d. 8 X "u" ..S E , ;r e, (~'fi d S X "U" UL~ I S• ~ r r g. X "U" • h. X i• X "U" _ .j. X nun _ t~ If item 13 isth X "U" _ as. or less than 11, you, have met 1 • S X "U" (S _ 75 intent of SRC-6a .a .................................Total _ go Z a.,; a Total acj:c zcd roof/cci.linq araa C( iG in. Tocal skylight area n. Total roaf/cci:.inc; drami.ng area (average lOt) 1 Oi , Co a . To tal ne c Ln,sula cmd roof/e zq area. . Determine "U" value for each root/ceiling segment i M. X "v" (0 f CO z' '4 a.► 4 Total s I= total of u4 IS the same as, or less than 92,-you have met the intent of SbC 6006 (c) 1. Alternate Building Cnvelooe oesign To atil:iza the total envelope 'system mat-'lad, the values established by the s'.~ of ite -i 423 cad #4 Shall not be great`- than the sum of itcms u1 and V'22. 1. Z I Co . U~-( + 2. J-4 E _ , S 3. 1 ca 67-1 + 4.-ZO, 7.3 P l r L.r u L FT, SXPoscp `N,4LL B Lo G K., ; G S t \N, 0~< < ;=U LL t 30 = t~ SGZ. FT, Q5c1~ ~ WA LL AZEh Cos X , S - Z• g 1,30 X S, Ta -tA L. . 1 5~q. 5 ..5 F-f- , o D G Q. 5~ t✓i Lt1.1~ j v lto w DW5 LEI l~ ooQS ='.4z sql lam: cp 3rw zo(3o' ~ _ : _ ~t~Ti o Dt~ , g Za G a ~ - Z 5 _ OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-plex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt -Multi ❑ 03 01 of _ piex ❑ 09 07-piex ❑ 17 Garage p 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 Deck p 23 Porch (screened) ❑ 36 Multi ❑ 05 03-piex ❑ ` 11 10-piex ❑ 19 Lower Level O 24 Storm Damage ❑ 06 04-piex ❑ 12 12-plex Plbg_Y or _N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 int Improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish (Bldg)* ❑ 43 Reroof O 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV_ Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Final./C.O. Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation 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) Insulation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review - - MC/ES SAC . 71, City SAG Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL -4f- g151 S BUILDING PERMIT APPLICATION CITY Of EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 1 f New Construction Reaulrements RemodeBR r Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks' 1 set of Energy Calculations . Indicate if hone served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3`or less units) DATE VALUATION 7 17 5Z). JOB SITE DDRESS IF MULTI-FAMILY BU G HOW MANY ITS PROPERTY OWNS TYPE OF WORK FIREPLACE(S) - 0 _ 1 _ 2 APPLICANT PHONE# 9_1-cg0~ ADDRESS ZIPCODE PAGER # CELL PHONE # FAX NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted , MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Y Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I APR 11200 All above information must be submitted prior to processing of application. LCIBY I hereby acknowledge that I have read this application, state that the information is t, a nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant cam'~ Certificates of Survey Received _ Tree Preservation Plan Received Not Required Updated 2002; ~ A- CITY r EAGAN PERMIT -I C 3830 Pilot Knob Road PERMIT TYPE: BUILDING Permit Number: Eagan, Minnesota 55123 024518 (612) 681-4675 Date Issued: 09/19/94 SITE ADDRESS: 1625 BOARDWALK LOT: 31 BLOCK: 2 HAMPTON HEIGHTS P.I.N.: 10-31900-310--02 DESCRIPTION: I Building Permit Type BASEMENT FINISH Blailding Work Type ALTERATION REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 COPIES 1.00 Surcharge .50 Total Fee $36.50 Subtotal $35.50 CONTRACTOR: OWNER: - Applicant VASSALLO VINCE 1625 BOARDWALK EAGAN MN 55122 (612)688-0308 I hereby acknowledge that I have read this application and state than the information is correct and agree to comply with all applicable State of Mn. Statutes and Cite of Eagan Ordinances.. Akla glid APPLICANT/PERMITEE SIGNATURE ISSUED B : SIG AT R INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 024518 Eagan, Minnesota 55123 Date Issued: 09/19/94 (612) 681-4675 SITE ADDRESS: LOT: 31 BLOCK: 2 APPLICANT: 1625 BOARDWALK VASSALLO VINCE HAMPTON HEIGHTS (612) 688-0308 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL (REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F L- CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15903 PHONE:454-$100 BUILDING PERMIT 'Receipt To be used for BASEMENT Est. Value $1,500 Date NOV 25 ,1988 Site Address 1625 BOARDWALK OFFICE USE ONLY Lot 31 Block 2 Sec/Sub. HAMPTON HEIGHTS On Site Sewage Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Const cc Name VINCE VASSALLO City Water (Allowable) w PRV Required * of Stories z Address 1625 BOARDWALK 3 Booster Pump Length o City EAGAN Phone 688-0308 Depth ac Name SAME S.F. Total 0 Footprint S.F. oa Address City Phone APPROVALS FEES ~a Engr./Assess._ Permit 34.00 UW Name ~ z Planner Surcharge 1.00 c. Address Q w City Phone Council Plan Review Ix - Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ree to com with all applicable State of Water Conn. information is correct and Minnesota Statutes and C' f Eagan Hance a'g - Water Meter Signature of Permittee Road Unit A Building Permit is issued to:_ VINCE VASSALLOTreatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks TOTAL _ 35.00 Building Official CITY OF EAGAN P,AYM U'OF FEE AT TIME OF APPLICATION DOES NOT CUNSTrn= >f APPROVAL OF PFWIIT.* APPLICATION FOR PERMIT • Ir6PDCTION OF SEinM AND/Cat MTER E mrsa.►'t'TONS WTILL NOT BE SEWER AND/OR WATER CONNECTION tmm UNTIL PERMIT HAS BEEN x - i APPROVED. ~ x• ->f **it*•le*it~rir~r~lrirsr~tyr~ir~iryt~rityrir~•itir***~r~r9t,A•dt (Please Print l) PROPERTY ADDRESS: 1625 Boardwalk, Eagan, MN. 55121 - LEGAL DESCRIPTION: Lot 31 Block 2 Hampton Heights, (Lot/Block/Subdivision or Tax Parcel ID ) IF EXISTING STRU'C'TURE, DATE OF ORIGINAL.BUILDING PERMIT ISSUANCE: Non Year PRESENT ZONING/PROPOSED USE: Q COIRCIAL/Rr7TAIL/OFFICE, R-1 SINGLE FAMILY INXISTRIAL' Q DUPLEX ( Two Units) Q INSTITUTIONAL/GQVERINT Q R-3 TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIM... _ f Units) r 2) U'i4(81 da NAME: FRONTIER 14IDWESTHOMES CORPORATION ADDRESS: 3908 Sibley Memorial Highway Bldg. E CITY, STATE, ZIP: Eagan, MN.' 55122 PHONE:. 454-0433 - 3) u 1: 81• For City Use NAME: 'STAR PLUMING Plumbers License: ADDRESS: 1018 Mound Springs Terrace Active Expired CITY, STATE, ZIP: Bloomington, MN.' :55420 Not recorded PHONE: 884-4149 MASTER LICENSE# 3329 St 4) • 18P NAME: VASSALLO, VINCENT & JENNIFER ' ADDRESS: 1121 Hamline Ave. N. #24 CITY, STATE, ZIP: St. Paul, MN. 55108 PHONE: 644-2643 WIF1 X CONNEX,TION TOE CITY SEWER CONNECTION TO CITY WATER Q OTHER 6) 3 • r phEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - - Q PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE (Circle one) 7) r. r• . • '1' • Y' 1: • • ' • • • I' . • • " ~ 181• I• Y81• • 81• • DI• • • 1 K *A 61!J1 InN--lawl FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES $ $ SEWER PERMIT (INCLUDE SURCHARGE) $ /~r5 $ WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER s $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER $O • C $ WAC $ $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TAUNK SEWER ASSESSMENT $ $ LATERAL: BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER. $ ~ $ WATER,.-TREATMENT PLANT SURCHARGE $ $ TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE-EXCAVATION IN PUBLIC RIGHT OF WAY? YES -IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY MUST BE-ISSUED BY THE ENGINEERING NO DIVISLON. LIST-AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: f TITLE: DATE: /.p CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION, 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, co y of energy calcs. COMMERCIAL 2 sets of architectural & str cUwa1 _p.1JLns,_1 se of specifications, 1 copy of energy . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date / -9 / Valuation of work Site Address: ,L4~ STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD, P . I . D . # Im'' Description of work: jJ(r6- O A) &JT The applicant is: ~q Owner ❑ Contractor ❑ Other (Describe) Name y4.55A U,6 UJA) C& Phone 6V-0309 Property LAST FIRST Owner Address 6~~ B~f/iCdw~F~~ STREET STE # City State ,le~e4 Z ip S:r0 a Company Phone Contractor Address License # Exp. City State Zip /architect/ Company Phone Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply w'th all applicable State of Minnesota Statutes and City of Eagan Ordinances. s Signature of Applicant: OFFICE USE ONLY , * . BUILDING PERMIT TYPE t. y..ea At> E3 01 Foundation 0 06 Duplex ❑ 11 Apt./Lodging 16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-flex ❑ 12 Multi. Misc. 0 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-flex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comma/Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add'l. ❑ 15 Deck ❑ 20 Public Facility ❑ 21 Miscellaneous WORK TYPE ❑ 31 New OM' 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y3y Depth On--site sewage SAC Code of Census Bldg , APPROVALS Census Unit a Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ❑ Framing Iff Insulation ❑ Wallboard (3 Final ❑ Draintile ❑ Fireplace Permit Fee vetuation: $ Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY .D CLINGS INCLUDE 2 SETS OF ANS, 3 CERTIFICATES SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO ANGES WI BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTA ITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, ERT KATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCU IONS COMMERCIAL INCLUDE 2 TS OF ARCHITECTURAL & TRUCTURAL PLANS, 1 SET SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS A)1-5 14 1 A) 6- To Be Used For: 64 56 ~ , Al Valuation: Date: N-W 19U/ Site Address .4,,7 s OFFICE USE ONLY Lot ~ Block_ On site sewage Occupancy Parcel/Sub MWCC system Zoning TF~ On site well Actual Const .~mFn City water Allowable Owner U b c- 0 ASSALLO PRV required # of stories Booster Pump Length Address 16~:57 &hK't'Iu) 4Lk Depth S.F. Total City/Zip Code L-46- $S~~ a Footprint S.F. Phone &Y-9 -030 8 APPROVALS FEES Contractor ~S C L~ Engr/Assess Permit 00 Planner Surcharge ~,7D Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL r;7 City/Zip Code Phone # 2010-04-30 09:57 3> 651975 5694 P 212 ur Use, or BLACK Ink For Office Use 1 Permit / 3 / ~ I c~ ~ City ofEaa~ I Permit Fee: 3830 Pilot Knob Road 1 t Eagan MN 55122 1 Date Received: I 1 Phone: (651) 676-5675 1 staff: Fax: (651) 675-5694 2010 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Dote: ~G) Site Address: _I Ua ~ .(L r0 CCU L Tenant: Suite RESIDENT 1 OWNER Name: Phone: Address 1 ir' 1 Li CONTRACTOR Name: I"; A kA 121 1\fl~ License tt ~ .3 _Q Address: c~.. (~~_,V1 City: i State. M zip, SCL2,5_ a Phone: Contact: C G)Y i Email: TYPE OF WORK 7~- New _ Replacement _ Repair Rebuild _ Modify Space -Work in R.O.W. Descri tion of work: /Va v ' C`• cyh PERMIT TYPE RESIDENTIAL _ Water Heater Water Softener Lawn Irrigation _ Add Plumbing Fixtures L_ RPZ / _;lL PVS) Main Lower Level) _ Septic System _ Water Turnaround _ New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water {seater and Softener (includes $50 State Surcharge) $30.50 Lawn Irrigation (includes $,50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $166.00 if a 50 meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ CALL.. BEFORE YOU DIG. Call Gopher State One Call at (651) 45440002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. I hereby acknowledge that this information is complete and accurate; that the work Wit be in conformance with the vrdinanc es 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 acoordan a with the approved plan in the case of work wnreh requires a review and approval of plans. X ~-Osm t&fs x .L. G Applicant's Printed Name Appiica ignat re i FOR OFFICE USE Reviewed By: Date: Requlrcd Inapcotion3: Under Ground Rough-In ,Air Test _pab Twbt Fit idl C ,qtr AN. PERMIT City of Eagan Permit Type: Building Eagan. Permit Number: EA096420 Date Issued: 10/12/2010 OR Permit Category: ePermit 41 it~ of E3 E Site Address: 1625 Boardwalk Lot: 31 Block: 2 Addition: Hampton Heights PID: 10-31900-310-02 Use: Description: Sub Type: e-Windows iDoors Construction Type: Work Type: Windows Doors-New ; Replacement Description: House Census Code: 434- Occupancy : Zoning: Square Feet: 0 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. Fee Summary: BL - Base Fee S3K $88.50 0801.4085 Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195 Total: $90.00 Contractor: - Applicant - Owner: Home Depot At Home Services Erik E Nelson 6561\1endelssolm Ave. N 1625 Boardwalk Golden Vallev 1\1N 55427 Eaganl\1N 55122--123 (763) 42-8826 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA119556 Date Issued:12/05/2013 Permit Category:ePermit Site Address: 1625 Boardwalk Lot:31 Block: 2 Addition: Hampton Heights PID:10-31900-02-310 Use: Description: Sub Type:Residential Work Type:Alteration Description:Fixtures Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:gas to stove Mike Schiltz P.o. Box 22172 Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 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 - Ronald F Kline 1625 Boardwalk Eagan MN 55122 (651) 983-6120 Hessian Plumbing Services Box 22172 Eagan MN 55122 (651) 681-8252 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA157910 Date Issued:09/16/2019 Permit Category:ePermit Site Address: 1625 Boardwalk Lot:31 Block: 2 Addition: Hampton Heights PID:10-31900-02-310 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 - Jonathan Bengtson 1625 Boardwalk Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169743 Date Issued:06/08/2021 Permit Category:ePermit Site Address: 1625 Boardwalk Lot:31 Block: 2 Addition: Hampton Heights PID:10-31900-02-310 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: 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. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to 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: 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 - Jonathan & Kelsey Bengtson 1625 Boardwalk Eagan MN 55122 Jato Roofing And Remodeling Llc 12527 Central Ave NE Ste 181 Blaine MN 55434 (763) 290-1888 Applicant/Permitee: Signature Issued By: Signature