1502 Deerwood BendPLiJMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122 ?
Telephone # 651-675-5675 FAX # 651-675-5674
Pleaze complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date e'3
Site Address PN Unit #
Property Owner Telephone #
?
Contractor
Address City 44h?4 2
State /-„a??? Zip llnl) Telephone #
The Applicant is _ Owner X Conhactor _ Other
Septic System New x Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system _ _ - -?
i ??l
? Watersoftener _ Waterheater I` ? t`,' Z 7?^^? ?
$
15.00
4k replacement _ additional
?i
$ .50
State Surcharge
Total $
I hereby apply for a Residential Plum6ing Pemut and acknowledge that the information is complete and accurate; that the work wilt
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a pernnt, and work is not to start without a pernut; that the work will be in accordance with the
approved pl rhe case of work which requires a review and approval of plans.
a'l
P.e A"'Z' a, 'L/ 'L4)
pplicanPs rin ed Name pplicant's Sigi -
Siteaddress: /? ?4%,'0OG1 /?e? Lota3 Block 1 Subd. Wunds?u?.?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This shucture: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
This structure: will be constructed to meet more resVic6ve requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater x ? ? Sw.?,? ?? ? o? w,?
Furnace
°rye NA
\1112A"r 32 /-/ /1-/6-10 ° ,L`?ws
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
ves no
Kitchen A kitchen
Bathroom 1
Bathroom 2
Bathroom 3
Bathroom 4
Other
FIREPLACE S
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
oiRECi AThroS
IVA
MAKE-UP AIR MODEL TYPE CFM's
ny
I hereby acknowledge that the above informa6on is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
-?? a/yln3
SignaturhGJ-., Data
CompanyName
` This form is the responsibility of the General Contractor.
U ?- I ?
? Lu??fio?v.l2aDE IAL 5?87?
?g BUILDING PERMIT APPLICATION . t?p
g I CITY OF EAGAN M? 5q$19
?
610 3830 PILOT KNOB RD - 55122 5 O
651-681-4675 ee ?jy??0 q0 •
NewConaWetlonReauiremanb RemodeVReuairReauiremenb 1 / (^/(' 7?
• 3 registered site suneys showirg sq. ft. of l04 sq. ft. of Muse; and all rooled ereas • 2 copies W plan ??
(20% rrexlmum lot coverage allowed) . 1 set of Eneryy Calculatans for heated additions
• 2 copies of plan showing 6eam & window s¢es; poured found design, etc.) • 7 sfle survey for exterior additions 8 decks
• 1 set of Energy Calculatlons . Indicate it home served 6y septic system for additions
• 3 wpies of Trea Presenation Plan if lot platted afler 711193
• Rim Joisl Detail Optlons selection sheet (bldgs with 3 or less uniGs) L. a 3 d ol ? 8 I f W ??.
-oa tQ? 3 43 Z ?
DATE $ ? VALUATION 19 JOB SITE
a
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
1?E
0 0_1 5 2
(0aO
cooe 5 5 D 4¢
a5a- Bqa-?9oo
?j (3"rr'rv'(-- Dav2 S-i-2G-er
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _x 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 Conhactor. ? GZ ?'+ Phone #: -I(0 3 42% 123 3
Plumbing System Includes: Water Softener _ Lawn Sprinkler P'ee: $90.00
y Water Healer ? No. of R.I. Baths
a. No, of Baths
Mechanical Contractor. Lon+-VO ? I -cd Phone # 4(c 0 -6 6 aa,
Mechanical System Indudes: Y Air Conditioning ree: $70.00
_ Heat Recovery System
Sewer/Water Contractor. wef)ze,/ Phone # ??J ? 4?? ?' ? 5? 5
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that 14e information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga Qdinances.
Signature of Applicard '
Certificates of Survey Received !' \ Tree Preservation Plan Received Not Required _
Updated 2002
?
PROPERTY OWNER /U LU -TO1'1 n 5pn II Ill AU.G _
OFFICE USE ONLY
,
? 01 FoundaNon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
l'O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt- Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
;K 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
x 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 ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entlre Bldg only) - Give PCA handout to appllcant
V ?? ? C
Valuation Occupancy MC/ES System
Census Code -ka2-- Zoning ?
%?-
i? City Water
SAC Units Stories ? Booster Pump
?
Nbr. of Units Sq. Ft. /? 17 PRV
Nbr. of Bldgs Length ??i Fire Sprinklered
Type of Const W idth '1 `I ?
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addirion) _ Plumbing
? Foundation _ HVAC
Dnin Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tesu _ Final
? Framing _ Siding ,- S c Stone
Fiteplace _ R,I. _ Air Test _ Final Windows (new rep acement)
? Insulation ? Retaining Wall
Approved By?? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
00
r
? ? ?
q 10/ C) 7 G
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNCheck Software Version 3.0
Permit #
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-2-2002
DATE OF PLANS: 08/02/02
PROJECT INFORMATION:
Woodstone 24
Lot 24
1502 Deerwood Bend
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 436
Your Home = 408
6.4% Better Than Code
Area or Cavity Cont. Glazing/DOOr
Perimeter R-Value R-Value U-Value UA
CEILINGS 1558 44.0 0.0 42
CEILINGS: Raised Truas 432 38.0 0.0 11
WALLS: Wood Frame, 16" O.C. 2600 19.0 2.0 146
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 736 10.0 0.0 117
GLAZING: Windows or poors, Above Grade 227 0.350 79
DOORS 38 0.350 13
HVAC EQUIPMENT: Furnace, 80.0 AFUE
------------ - -------------------- - -------------------- - - - --------------- - -
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit applicat' n. The proposed building has been
designed to meet th requ em s o the Minnesota Energy Code.
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CERTIFICA TE OF SUR VE'Y
F(JiL
M. W. JOHNSON CONSTR UCTION
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35 e..x7 ALL HOUSE DIMENSIONS ARE TO
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BENCHMARK? ?TNH WE$T END STONEWOOD LANE = 888.36
LOT 23 1502 DEERWODD BEND
PROPOSEO GARAGE FLOOR ELEV =876.3
PROPOSED TOP OF BLOCK ELEV: 877.3
PROPOSED BASEMENT FLOOR ELEV: 869.3
LOT 24 1500 DEERWOOD BEND
PROPDSED GARAGE FLODR ELEV =875.6
PROPOSED TOP OF BLOC ELEV -877
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LOT 23 AREA = 3750 SQ. FT.
HSE AREA = 1317 SQ. FT.
LOT 24 AREA = 3750 SQ. FT.
HSE AREA = 1377 SQ. FT.
SEWER SVC LOT 23 = 865.0 (PER PLAN)
SEWER SVC LOT 24 = 865.0 (PER PLAN)
PROPERTY DESCRIPTION:
LOTS 23 & 24, BLOCK 1, WOODSTONE TOWNHOMES.
CITY OF EAGAN, DAKOTA COUNTY, MINNESOTA.
K •3 DENOTES PROPOSED DRAINAGE DIRECTU
PROPOSED BASEMENT FLOOR ELEV =869.3 ODOXD DENOTES PROPOSED ELEVATION
OOOXO DENOTES EJ(ISTING ELEVATION
? DENOTES (SPIKE/NAIL)
• DENOTES FOl1ND IRON PIPE MONUMENT
4 DENOTES SERVICE LOCATION
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY OIRECT SUPERVISION AND THAT I AM A DULY REGISITERED LAND gohlen
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA. 5urveying & EngirieCPing
8-5-?Z 31462 Foliage Avenue 3173e 200rd Street W.
DATE• Northfield, MN 55057 B E Snvagei9
MN 55378
REVISED 8-12-02 LEROY H. HLEN, LAND SURVEYOR phone: (507) 645-7768 Phone: 52) 895-9212
MINNESOTA LICENSE N0. 10795 Fax: (507) 645-7799 Faz: (952) 895-9259
9-562-02s FILENAME: O S fl cer .
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1"=30'
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LOT SURVEY CHECKLIST FOR RESIDENT IAL
BUILDING PERMIT APPLICATION
PROPERTY LEGAL: L?'CS -?3:1 ;2 `F ?ID c, < / 2t+acVs 7d1c1 11,,4,1?1S
DATE OF SURVEY: . P S' 6 2
LATEST REVISION: -z
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v
DOCUMENTS7ANDARDS
Y a
O z °v
¢
J
/? _ • Registered Land Surveyor signature and company
- Building Permit Applicant
?y ? L • Legal description
• Address
• North arrow and scale
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lk
ii
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k
• out, e
c.)
ouse Type (rambler, wa
t w/o, split entry,
oo
out, sp
• Directional drainage arrows with slope/gradient °/a
? - . Proposed/existing sewer and water services & invert elevation
? ?
? ? ,? • Street name
D
i
_ • r
veway
V/ ? ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existin°
/
?l E _ • Sewer service (or Proposed)
? ? • Property comers
• Top of curb at the driveway and property line extensions
5 7/
, •
• Elevations of any existing adjacent homes
Adequate footing depth of structures due to adjacent utility trenches
• Waterways (pond, stream, etc.)
Prooosed
V . G = . Garage floor
' 17 -• Basement floor
? , J • Lowest exposed elevation (walkouUwindow)
?/ ? _ • Property corners
!E? ?_ . Front and rear of home at the foundation
PONDING AREA (if applicsble)
? ? , • Easement line
? ?-/ . NWL
7 ? G • HWL
m ?J • Pond # designation
0 iT? _ • Emergency Overtlow Elevation
DIMENSIONS
'? ? - • Lot Iines/Bearings & dimensions
I? ?_ . Right-of-way and street width (to back of curb)
L? ?: :- • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
'f ?-, . Show all easements of record and any City utilities within those easements ???i _ • Setbacks of proposed structure and sideyarcl setback of adjacent existing structures
?? _ • Retaining wall requirements, if any
Reviewed:
Name
9--
OK
Aaron Perkins 651-493-0706 p.2
Use BLUE or BLACK Ink
I For Of c UseT--------
I
n I
j Permit v 7 I
City of Dian I
I Permit Fee: I
3830 Pilot Knob Road j
Eagan MN 55122 I Date Received:
Phone: (651) 675-6675 1 staff: j
Fax: (651) 675-5694 I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 61V I ~ Site Address: l -sM/ ~ S tea 0eeY-Woad 9 AA Unit
Name: Phone:
RESIDENT I
Address / Cd'Y 1 Z ~2 e'rw°°d l
i OWNER p:
i
Applicant is Owner Contractor s..
l
} TYPE OF WORK Description of work: xc- o -r artA
Construction Cost: V Multi-Family Building: (Yes /No Company: YVoy%Je_r- ,1 Home CA; ( AsLg Contact: ~*.coy% P6, kins
Address: 4196 L-fn d a Lane City: Ci rc-la Pi h es
CONTRACTOR
y State: zip: 550)14 Phone: 7 tt 3- -7 5' ` 3373
! 1533
License 6~ ( 83 Lead Certificate NAT-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
m~`~wM~yiCOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
k
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes -No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone: _
-NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be clasSifed as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground ubl'rties. www.aopherstateonecall.oro
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authored by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x a r`o n ~2Y' K i tf1 x
Appli nYs Printed Name Appl" nt's Signature
Page 1 of 3
City of Eapil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use /� ([
Permit#: /
l I ✓` I+)
Permit Fee: I (e149•3
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: / i 10fj d :71:71i)/LF,- /10 Phone: 7c- -7%S o7-67�
'
Address / City / Zip: / 0 Isre)d- ; t c,11� 1C 5-.j ( 2-1—
--'�
Applicant is: Owner Contractor
Type of Work
Description of work: ei-k &h -r
Construction Cost: 1 ? 00 0 Multi -Family Building: (Yes / No )
ContractorAddress:
Company: i ' .4 / / r z .0 ' ontact: 43'pt 3wk-
�Q 0 ��C Sb���� City: (//ynte i
,
State:2( Zip: S� �q 7 Phone: 763` �(�._ C1oif vvt s
License #: 6 7 �, Lead Certificate #: 0 16"-S-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of per issuance.
Applant's
' 's Printed Name Appfica s
Page 1 of 3
City of Evil
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: D v g. /
Permit Fee:
Date Received: q1,� 4 //i
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
Resident/
Owner
Name.//00 ��ji (/ Phone:(,) / - 7757: -PP
l
Address / City / zip: /,AGO - (S." -C2--- J; (,,hoc ' Ld 677
Applicant is: Owner -t--''' Contractor
Type of Work
Description of work: .A,/ . it a Y. 0 . r:
Construction Cos / 000 Multi -Family Builds.: (Yes / No )
ContractorOf/146°111
Company: . .. g l "iY ntact: a- 0 `A
Address: 3c0D W t 6-kA0 �c� . 0.` —e, ,Ltt \
State: .A/L A.) Zip: ,47(1/11 ) Phone: 7 .3 -S-S-0- otis
License #: Jp o%? Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State =uilding Code must be completed within 180
days of permit issuance.
CFS (,L�
Appli ant's Printed Name
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139274
Date Issued:10/17/2016
Permit Category:ePermit
Site Address: 1502 Deerwood Bend
Lot:23 Block: 1 Addition: Woodstone Townhomes
PID:10-84900-01-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Arlen K Harmoning
1502 Deerwood Bend
Eagan MN 55122
(701) 220-1349
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
Ricardo X. Cervantes,Director
CITY OF SAINT PAUL 375 Jackson Street,Suite 220 Telephone: 651-266-8989
Christopher B. Coleman,Mayor St Paul,Minnesota 55101-1806 Facsimile: 651-266-9124
41IkWeb: www.stpaul.gov/dsi
MUM
FUEL BURNING EQUIPMENT TEST RECORD
(Use separate form for each appliance)
ADDRESS: 1502 deerwood bend,Eagan MN 55122 P,t Azi/i7" /3%Z. 74i
OWNER:Men Harmoning DATE:Oct 13,2016
Type of Heat:
❑Gravity Air LI Forced Air ❑Gravity Hot Water ❑ Forced Hot Water
❑Steam ❑Unit Heater ❑Space Heater ❑Other:
Type of Fuel: O Gas ❑Oil ❑Other:
Gas Design Conversion
Make of Burner: Serial: 1608268600
Model: Model:AMVC960603BNAA
Serial: Max BTU Rating:60000
Input: Make of Furnace:Amana
Equipment Venting Type: ❑Atmospheric l Induced Fan LI Other:
Total BTU input of all vented gas appliances per chimney: N/A
Type of Chimney: ❑Masonry ❑Class B El Other:
Type of Liner: l I None ❑Metal ❑Clay Tile
Vent Connector or Exhaust Material: ❑Type-C ❑Type-B O Plastic
Combustion Air Supply Required? O Yes LI No Installed? 0 Yes ❑No
Safety&Operating Control Tests: Yes No Fuel Analysis/Flue Gas Analysis: Yes No
Pilot/Flame Safeguard Operating Properly ✓ Vents properly without spillage V
Limit(s)Operating Properly ✓ Flame stays inside/Doesn't roll out ✓
Operator(s)Operating Properly ✓ Burner lights smoothly ✓
Low Water Cut-off Operating Properly ✓
All Controls Operating Properly ✓
Combustion Analysis Visual Inspection Yes No
Stack Temperature 96 °F/Net Fuel Piping System-Okay? ✓
Oxygen 7 % Vent Systems:Drafthood, ✓
Carbon Dioxide 8 % Connector,Vent Chimney-Okay? ✓
Carbon Monoxide 10 PPM Heating Unit-Okay? V
Look At The Total Heating System Before You Leave: Yes No
Does the system operate safely and properly? ✓
COMMENTS:
Name of Licensed Contractor: Bonfe Address: 1502 deerwood bend,Eagan MN
Phone:
55122
Person Doing the Test(Print):Matt Signature: 'Vi‘,`\
City of Saint Paul Certificate of Competency Number:
!"
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