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780 Bridle Ridge RdCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 780 Bridle Ridge Rd Lot: 1 Block: 4 Addition: The Oaks of Bridgewater 1st PID:10- 75835- 010 -04 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: If there is no ice protection inspec acceptable in lieu of inspections. Fee Summary: Valuation: 3,000.00 Contractor: Hometown Restoration 7308 Aspen Ln N #110 Brooklyn Park MN 55428 (763) 494 -8695 BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: on prior to final, you must meet inspector with ladder and flat bar. Pictures are not Owner: Jeffrey Johnson 780 Bridle Ridge Rd Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 $90.00 Building EA080818 11/01/2007 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature i CIT'Y OF EAGAN 3830 Pilot Knob Raad Eagan, Minnesota 55123 (612) 681-4675 JcTTo RD r TYPE: SITE ADDRESS: qgo PERMIT $UBTYPE: APPLICANT: ? [J ?.??_. ?,;., E? f E?:; f ,. ? .. ? TYPE OF WORK: 0f ?..i / '` ! f';,?.I l t?i?? ? _ - I!,.i!if I!•I? ? i T Il . I . . . . ? ? ? ?? ?: . . , . . . . .. . . .. . . . .. ? . ?fi ? . ? . ? Permft No. F'ermit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC r 6v ELECTRIC Inspection Date Insp. Comments Footings I 3 "-7 ?- ? •- =?? Foundation Framing 1 /S 3 1 ?2 Roofing Raugh Plbg. 22 _ O Rough Fttg. -G,-9 I5ul. Freplace Final Htg. ! Orsat Test Fnal Pibg. Plbg. Inspector- Natify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. // j Deck Final Weli Pr. Disp. ? iS r , ? ? „ ,..,.. .; ? Wertificate nf Cccupanc? (ft? ?? Wagan 'Zqartmeut o? 13uiCbiug 3n4pcctian This Certicate issued pursaeant to the requirements af the Uniform &tilding Code certifying that at the itme of issuarrce fhis structure was in campliance with the variaus arrlurances of the Ciry mgulating huilding consrruction or use. For the foIlowing: UseQassificatian? SF M B[dg_ Pecmii No_ Oocupancy Type R3fllI Zoning DesuK.y Ri Type Const. VN OwnerofBuildingJEF'-' JO'NSON Ad&css3480 COLFVBW DRs rS?''+AN Suilding Add[ess 780 BRM -= FDM Locality1+leB4, IIE QAM OF ?' 1?i" 1 ?.' ? -; ? . ??;r,...•?-?'• 41/ Date- . i ?`J Buildiug ic al Address 780 sxDLE ?tIDGE xono Zip 5512 3 L.ot' ` t Blk 4 Sub nHE onxs oF sRmGWArIIt THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: w Yes No Inspector: Final grade (6" from siding) ? Permanent steps (garage) l? Permanent steps (main enhy) t? Permanentdriveway ? Permanent gas v ? Sod/Seeded grass TraiUcurb damage Porch Basement finish j? Deck (/ • Please verify with the builder Ute removal of roof test caps from the plumbing system and the shut-off of wacer supply to the outside lawn faucet before freeze potential exists. Cortad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? Whice - City Copy Yellow - Resident Copy Pink - Contractor Copy ? ? C-1 aa& ep est Date fire No Rough-in Inap on fleqmretl? ? Ready Now ?II Nonty Inspector n R P Wh tl Vee C? No e ea y Iglicensed coniractor p owner hereby request inspection of above electrical work at: Joh Adtlress (Sireel. Box or RoutB N I ? Qry Section No Township Name or No Renge No. CouMpy??1 L?G?/ OccupantlPRINTI -zl,"e * ??ldrs nr? Phone No. Power Supplrer Oce lri e57c? Atltlress ? Elecmcal ConVador ICompany Name) /?' ? ?` ?^ fqmrador'S L¢anse No ?c7 , c Mailing Adtlress fCOnVeclor or Ownar Making Inst lel i l ? ; - R a e ?rP' e . r ?,^? P/1 S tf`/ ? Authonzea SS^atm (C ha i0wnerMaki talla n) Phone Numher MINNESOTA ATE BOARD OF ELECTRICI THIS INSPECTION REOUEST WILL NOT Griggy-Mitlway Bltlg. - Roem S173 BE ACCEPiED BY THE STATE BOARD 1821 University Ava.. S6 Peul. MN 55100 UNLESS PPOPER INSPECTIDN FEE IS Phona(613)642-OB00 ENCLOSEO 15C?y REQUEST FOR ELECTRICAL INSPECTION ?^?'??,"? n EB ??-00001- B'/ // ? See mshuctions for complenng this form on back of yellow copy "?'C6c.,z l _ ?. , ?'X" Below Work Covered by This Request ?•?,•' e Atltl, ep. 7ypeofemlding ApphencesWired EquipmemWired Home Range Temporary Service Duplex Water Heater Elec[dc Heating Apt. Building Dryer Other-i(Specify) Comm./Industrial Fumace Farm Air Condi4oner Other(syeciy) Conhacmr5 Ramarks. Compufe Inspectian Fee BelOw: # Other fea # SarvicaEnlrenceSize Fee # Circuits/Feeders Fea Swimming Pool 0 t 00 mps 0 to 100 Amps r$- Translormers Above 200 _ Amps Amps SIgnS Inspector5 Uso Only TAL?1 Irriqahon Booms ?V ?• Speciallnspection ? v Alarm/Communication THIS INSTALLATION MAY BE ORDER SCONNECTED IF NOT Other Fae COMPLETED WITHIN 78 MO r? I, the Electrical Inspector, hereby Rouyni ` r oa!O certify that the above inspection has been made. F,nei oa OFFICE U&E ONLY =^? TNS request wiE 18 months Irom C? PERMIT C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: eurLDiNG Permit Number: 0 2 2 3 9 9 Date Issued: 10 / 2 9/ 9 3 SITE ADDRESS: P.I.N.: 10-75835-610-04 780 BRIDLE RIDGE RD LOT: 1 BLOCK: 4 7HE OAKS pF 8RID6EWATER DESCRIPTION: 143:ft Permit Type SF OWG I8sng rk Type r NEW 6B'C 06?C4?a.r7 13 R-3 M-1 Congtriaati,bn fi pe V-N ?s+ttirtg ?? R-1 Bua..Lct,i:n,g terygth: 80 9ui1d3.vhg, W.idth 36 REMARKS: S& W PLBR - GENE JOHNSDN EXCAVATIN6 FEE SUMMARY: Base Fee Plan Review Surcharge SAC 5AC % SAC Units Subtotal VALUqTION $912.50 $593.13 $89.00 $750.00 100 $2,344.63 $178,000 MISCELLANEOUS $1x744.50 Total Fes $4,989.13 CONTRACTOR: OWNER' - Hppllcani - JQHNSON? JEFFREY 3480 GOLFVIEW DR EAGAN MN 55123 (612)6$8-9887 1112 I hereby ackno,wledge Ch.aC T hve re;ax?!.tFtls zpp,j4aat1 a3i? i,nfnrinatio.n is cor,rect ahd, agIree t:o -ejompi,y r?ith• Statutes and City q'f E,a-gari Urd'inaric?'esm I- APPLI T/PERMITEE SIGNATURE ISSUE BY: TUFE • . . __ _ _ __ _ _ 1..._. _. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: Bu x Lo i N G 3830 Pilot Knob Road Permit Number: 022399 Eagan, Minnesota 55123 Date Issued: 10 / 2 9/ 9 3 (612) 681-4675 SITE ADDRESS: Lor : i B L 0 C K: 4 APPLICANT: . 780 BRIDIE RIDGE RD ,70HN50N .7EFFREY 7HE QAKS OF BRIDGEWATER (612) 688-9887 PERMIT SUBTYPE: SF DWG TYPE OF WORK: NEW INSPECTION FOOTINGS „ . FOUNDATION . FRAMING RQOFING INSULATION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINRL REMARKS: S& W PLBR - GENE JOHNSON EXCAVATING --t7 P.EAC14YATE _ ;_=Z,??????? CITY OF EAC;AN PERMIT '? `- 993 BUILDING PERMIT 2 0 1993 681-4675 41-4 ? APPLICATION ? 4 01q. ?? ?_evv), /d4 SINGLE 6 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. , l COh1MERCiAL ural 6 structural plans, 1 set of 2 sets of architecti specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but"not picked up by tast working day of awnth• in which request is made, 2) address is changied or 3} lot change 1s requested once permit is issued. Date 1'G //9 / f 3 Val ation of work _..,? OQ? ? l Site Address:7?r? Ar,'??P ? f(aa STREEi I? iUISE M Tenant Name: (commercial only) ' IAT _L BLOCK y SUBDau? r? f - Ni P.I.D. N Descri tion of work: e rzt4?,/ v?eiv Ccu'jTvu-A11 i The applicant is: Owner ? Contractor C1 Other (oescribe) Name?o 4wc,-t/ ?le . f,r Phone CQcV-&-Pd??7 Property «:, F,RST , Owner Address3J-fi SiREET ITE 9 City t'-asaZi _ State Zip SS/Z3 ComPany?? Phone ? df-k? `tJ' 7 C011tf8Ct0r Address3y(rCi C?d?F?,ruv{?r //Z License dG Exp?L3/ City e??7???? d State Zip ? ' Phone 77`/- 7 S 7? Company 1Z2L? Architect/ ?g __ Name Registration /???a Address S i ? City State Zip 5 ?/1/7 / Sewer 6 water licensed plumber X L . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this ap?lication and state that the information is correct and agree to comply with all applicab.e State of Minnesota Statutes and City of Eagan Ordinances. 5lgnature of Applicant: / ?? ? u OFFICE USE ONLY BUILDiNG PERMIT TYPE ? 01 foundation ? 02 Sf Dwg. 03 SF Addition p 04 SF Porch O 05 SF Misc, ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 11 Apt./Lodging Q 16,Basement Finish O 12 Multi. Misc. ? 13 6arage/Accessory O 14 Fireplace O 15 Oeck WORK TYPE %31 New O 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish O 36 Move GENERAL INFORMATION 0 17 Swim Pool f] 18 Coam./Ind. ? 29 Comm./Ind. Mfsc. O 20 Public facility O 21 Miscellaneous , ,. o 37 oemoXf:n Const. (Actual) v- N Basement sq. ft. MWCC System yeEs (A1lowable) v_tii lst F1. sq. ft. City Water ? U8C Occupancy 2onin I P;Lj kA 2nd F1. sq. ft. total Sq Ft PRY Required Booster Pump g # of Storles . . Footprint Sq. ft. Fire Sprinkl er Length On-site well Census Code ? Depth 36' On-site sewage SAC Code APPROVALS 1 ? Planning Building Assessments fngineering Yariance REOrUIRED IN SPECTIONS ' ? Site O Footi ng ? framing ? Insulation D Wallboard ? Final ? Draintile ? fireplace Permit Fee Surcharge Plan Review license MWCC 5AC 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 I Yalwtim: S I 1 S1vOO ?A? ? 3g? 34=1365 N x /6 ? (6Ha aoY2?C 12yL = cZS? gg?-r, lo?y ? 6= - yAx2% = I I% R-C y rzlz_- ?112 i ?rZG ? IS% I I sr ! +.12(s rt Sqi `1llr6114 ?b?5 Z Zi)39p Vv ? 5Sxy2'?- 6 3.? szx J rl ?? S? 39? 1 Z uK) it I t `I-' 16/28i93 67:55 BURYEYOR'8 CURTI BRiLDLF` ? r ? $ ZV gAC,ry;TlON 2 Z 112.62 NW. 5LO25" W -6------ - DENOTE5 PROP05ED SURFACE DRAINAGE O DENOTES IRON MONUMEN7 SET 0 DENOTES IRON MONUMENT FOUND XOQQA DENOTES IXISTING EIEVATIaN (ppp,p) DENO7ES PRDPDSED ELEVATION ? .r JEFF JOHNSON fta ?.,._ 1 2M W SCALE:1 INCFI = 30 ? PaoPOSEO anR+aE ?o? = d 98, / FM PROPOBED LOWEST FLOOR - L'9 S• J FEE'f PRdPOSED TOP OF BLOCK_ 078 FEEf WE F1EREBY CERTIFY TO JEFP JOMNSON THA7 THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNpAR1ES OF: Lot I, B lnck 41 ?HEOAKS dF BRIDGEWATER iST ADDITION,,eccoMhg to tha recadOd plut thenof, Dnkotp Couniy, Minnesota, IT OOES NOT PURPQRT TO SHOW IMPROVEAAEN'I'$ OR ENCROACtBuldVTS, EXCEPT AS SHOWN• AS BURYEVED BY ME OR UNRER MY DIRECT SUPERVISIOIV THIS24 TN DAY OF SEPT. .188;i• R. HILL. INC. ;`o%? C ? JQHN C.LARSON,lANO SURVEYOR MINiVESOTA LftENSE NUMBER 18828 James R. Hill, inc. PLANNERS / ENGINEERS ! SURVEYORS Zypp W. CTY. RD. 42 *BURNSVILIE, MId. 6$337 9 612-890•8044 C?%F, g=91%. ' ' 1 612 890 6244 30-28-93 06=01AM P002 #30 LOT BURVEY CHECRLIBT FOR RESZDENTIAL ? BUILDINa PERMIT APPLICATION m U W ¢ PROPERTY LE6AL: ? D te of eurvey: I?OCUMENT BTANDARDB ?rv? ?Q/ 27/ 9_S @"0 0 • Registered Land Surveyor signature and company p'? ? • Suilding Permit Applicant 0 ? • Legal description 0 0r 0 • Address r ? 0 • North arrow and bar scale 0?? ? - House type (rambler, walkout, split w/o, split entry, lookout, etc.) 0 • Directional drainage arrows with slope/gradient ?. 0 9? 0 • Proposed/existing sewer and water services 9? 0 ? • 5treet name 0?0 0 • Driveway ELEVATIONB Existina 0 0"?0 • Sewer service D? ? ? • Lot corners p? ? 0 • Top of curb at the driveway 0-?p ? • Elevations of any existing adjacent homes PioDOSed ? ? ? • Garage floor ? ? p : First floor ? ? Lowest exposed elevation (walkout/window) ?/ p ? • Property corners ? 0 0 • Front and rear of home at the foundation PONDING AREAS (if apDlicable) 0 fd 0 • Easement line ? ? ? • NWL 0 ? • HwL p ? • Pond # designation 0 V0 • Emergency Overflow Elevation DI23ENSIONB 0 ? • Lot lines V?? • Riqht-of-way and street width (to back of curb) ?? 0 • Proposed home dimensions including any proposed decks, overhangs greater than 21, porches, etc. (i.e. all structures requiring permanent footings) ?p ? • Show all easements of record and any City utilities within those easements ?p • Setbacks of proposed structure and setback of adjacent existing ho ?. ? • Retain n ements, if any Reviewed : -20 N e / D te October 1992 , ENERGY CONSERYATION SUPPIEMENT TO BUtLOlNG PERMIT APPL1CATlUN ' • ' PLANNING I4Np 1NSPECTION DEPARTMENi ' ' , . . • ?. ? . . . ?? ". . , i. ? 4 . . ? . ' ' . . . U LOCATION . t1ER(S)-? . - -. • ' - ? ?„ ,{? ? PNONE tITRACTOR • ' ? ' PNONE • •,; -'; . , Determine The Total Exposed,Wall Area. As Follaws: • •' .1. Total wall, window area 2. Total door?area . . ..::?' : ". • .. ?? , • - - _ ' ??-?'?"` '?;' ;' . 3. Total sliding glass door.area ' . ?[? • ... 4. Total _ fireplace walt ar.ea • -= '?• . - ' - Y ' ?_- - . • ; - - - -_?-? :5. Total w ill .framing area'(avg. iox) '3?? ...... , f. 6. Total net wall area,above'floor ?• •'' ? 3997l 7. . Total ? . -, . ;: . . rim 3otst. aXea ''`• ' j 2p,pa ` . -- : _;,;:: . r , ., ? ... . •, ? . . . Subto tal: Total. exposed wall area abqve floor ° . . .?.?,??•t?CJ ` ,, . . ' ' 8. Total • ? • - -• :, ?-, • • • - foundatian window area • • t.?s? /9-6o Y-C- - '• r . ... . . . . . . .. . . .9. Total . f9undatlonframin9 area (avg. 10%) ' c?rr 19-yelv? • .. . .10. Total net foundation areaabove grade 4::? p ' .' ' . Subto . • • . tal: Total'exposed.foundalion area.• ' • ? ? . . GR1410 TOTAL EXPOSED WALL: MEA:. '.. . . _ _,•,36/? Muitiply The Grand Total_Exposed Wall Area x.lf ? Item I J Oetermine The Total Exposed:Roof/Ceiling Area As Follows: 11. Total . "jA:.. ..... ?' . ' skylight area : •; . • • ??-----?• _ • 12. Total • :? ' ,? ;; . • • I roof/ceiling framing area..' . 13t Total net insulated raof/ceiling.area •'/?D? • GRAND TOTAC EXPOSED ROOF/CEILING AREA', Multiply The Grand Total Exposed Roof/Ceiling Area x.90 ': Item II ? ? 7? • . , ? . . i , . . • • ?. • • . . ' • ,, . • ' , • r;: . . . ; : . ._. ' ...._..._.:...... •,. •i ._....... . . • . . . . ._. Uctermine The "U" Yalue Of Each Segment'(1-10) And Muttlply By The Area hs FolloMS: x.liull - z.. x .?,?. ,,52?: • 3P,?z . , • 3. .. . y'? x „u., il 1,2 n ? a. . .. . x..?,,. ? --- . . 5. x-°up oG q . ?;',.;2g 6. _ ;z3?T?1 x"nun. S19-1 29- ? 7..,._ 322!v x. pup t b3 2 :?• x"u". ? - . . , g. ¦ux ' . • ? ' ,--------- --?._, '_ . ¦ -- ''- . 10. X. ' ?' "V" `???7 •?., ?2r?? ?'-? Add 1-10 Far }otal uall Seyments ? • . . ' . ? Item tII Uetermine The "U" 1'alue Of Each Seginent (11-13) And Mul[iply By 7he Area as follows: -• . . - -- . .....,_... . . . ,. , . -. 11. "-'T•• x ? 12. . -?-! ?x •Un_ -? ? - t...?sz.! . ? ¦ l f? .. - _... _ _ .. .---- - r. 13. Add 11-13 For Total. Roof/Ceiling Segments "....¦ Item tY If Item No. 11I is the same.as. or.less thanItem No. I, yau have met the intent of State Building Code 6006(c)2. • ' ... . [f Item No. 1V is the same as, or less than [tem No. 11. yau have,met the ir?tent of 5[ate Building Code 6006(c)1t-. r • . ndd [cem No. 't Item ?No. ti _3???0 ¦ Y3S,yL Add I tem No. [ I 1 •.[ tem'No. lY . . If tlie sum of Items Ilt and IV are less than Items I and H. you have met tlie intent of the code for total envelope systen." . ? , .. . . . . • ••,' .. : ? .. , ? / ? Q ? ? • . . ' ? • . ' grtature . . • . ? . . . . : ., , . . ?? ,•'' . . / Date ? • ' ? ? ?. : / ' ' . . . . , l??t . ? . • . . i' . . . • , ? . ... . . .._. . __._..-.::.. . ?.. .... . . . • PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH iTN1T. NO. FIXTURES EACH TOTAL O? SHOWER 3.00 ? WATER CLOSET 3.00 _L_ k3ATTH TT,? 3eC1C, ?Z LAVATORY 3.00 _1 KITCHEN SINK 3.00 ? LAUNDRY TRAY 3.00 00 HOT TUB/SPA 3.00 _L WATER HEATER 3.00 ? ? GAS PIPIIVG OUTLET •?? - i 3.00 Co .? - ROUGH OPENINGS 1.50 i WATER SOFTENER 5.00 5.°° PRNATE DISP. • ner.cxy. uc 15.00 U.G. SPRINKI.ER • eome unda cous. 3.00 ALTERATIOIVS • a edsiing 15.00 WATER TURN AROUND 15.00 STTE OWN'ER INST STATE SURCHARGE .50 TOTAL: ??• 50 .ADDxESS:`II 14 bakffii S* &`jE U CIT'Y: CCl I/L.Q , STATE: ZIP CODE: G??1 PHONE #: ((OIZ ) 7781- - 4?79a PLUMBING PERMIT (RESIDENT7AL) CITY OF EAGAN 3830 PII,OT KNOB RD E??GAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ? NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE /- 7-S'y FEES HVAC: 0.100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ $3.00 EACH) ? fv/? Co ADD-ON/REMODEL (ExisTING CoNSTRUCrION) $ 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: - OWNER NAME:_u INSTALLER: ?ve ADDRFSS- WSS TELEPHONE #: NC CITY: ?/5? STATE: ??--- ZIP CODE:---?75? TELEPHONE #: SIG URE OF PERMITTEE 1994 MECIiANICAL PERMIT (RESIDENTIAL), CITY OF EAGAN ' 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 , PERMIT City of Eagan Permit Type:Building Permit Number:EA163312 Date Issued:08/26/2020 Permit Category:ePermit Site Address: 780 Bridle Ridge Rd Lot:1 Block: 4 Addition: The Oaks Of Bridgewater 1st PID:10-75835-04-010 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jeffrey Johnson 780 Bridle Ridge Rd Eagan MN 55123 (651) 688-9887 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature