Loading...
1713 Deerwood Dr CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 4448 PHONE: 4548100 BUILDING PERMIT Receipt {# , To be used for :? • Date ` 19 Site Address Erect ? Occupancy Lot Block 1 {v Sec/Sub. " Alter ? Zoning Parcel # _ Repair ? Fire Zone _ E l ? of Const T arge n . ype W Name Move E] # Stories Z 3 Address > ,., 1,4 Demolish ? Front ^i it. r_... Il?l_ 11 f17'2 v^ri? Grade fl Depth h ft. o Name ?.ri i.c?nsL ?. .• ,.._ ..... ..r,..,._._ Address ? • ?_? ° ` +' ` ??"1 1 _ Assessment U ~ Cit Ph Water & Sew. one y Police t- ? FW Name Fire ? Address Eng. u <W City Phone Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with o!l applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee Permit _ Surcharge Plan check t. SAC Water Conn.: ` v V Woter Meter "r) Total ) 1 • r) Q A Building Permit is issued to: Bah 1_ s on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eason Ordinances. Building Official - Permit # Deft Imed pe ndflse Plumbing q -g- G ?/--is/ - 77 ,!? -? , Mechanical o e- ii- - 7 7 , INSPECTIONS DATE INSP. Rough-In Find Footings Date Insp. Date Insp. Foundation Plumbing /?2 d ' S Frame/ins. //-,gyp-?) /y J) Mechanical - f 7,7 Final ' - -1 7? z3 Remarks: CITY OF EAGAN 3745 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Date: November 14, 1977 Site Address: 1-7-1 ' -nerwood Drive Lot Block 10 Sub/Sec. CG 8 I Nome '.c'= en Bahes filcir for • c Address City Phone: Name Motz Plumbing & Heating Co. Address c190 - 150th St. West "c•g?tnittrt 5?r)?Q E v e 0 V Nc 956 Receipt No.: Single Residential Y. Multi Res., Comm./Ind. New/Alter./Repair new Cost of Installation Permit Fee Surcharge City Phone: I Total ` r n s Permit is issued on the express condition that all work shall be done in accordance with all applicable State of nnesota Statutes and City of Eagan Ordinances. 20.00 50 Building Official Date: _ Site Address: 1713 Deerwood Drive Lot 3 Block 1_G Sub/Sec. _CIG `; n Nome Wren Bahes Bldr. Address C City Phone: Suburban Heating Name ress 2050 White Bear Itve. P ., e 0 V V Ci Pau! ?5101'1 _ Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. Receipt No.: 08136 Single Residential x Multi Res., Comm./Ind. New/Alter./Repair. Cost of Installation 20.00 Permit Fee Surcharge 51 'o. Total done in accordance with all applicable State of e CITY OF EA"N 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 It HEATING PERMIT No. =? November 22, 1977 Building Official CITY OF EAGAN Remarks Sold For Taxes Addition Cedar Grove 8 Lot 3 Blk owns 4 -1. Street 1713 Deer wood Dr. Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. V-1 DD 1975 615.21 3.52 10 65 ,? ,Lb 7 STREET RESTOR. GRADING DD 97 620.dl' 52,08 10 ee t-547 7 SAN SEW TRUNK 1970 125.0 0 5.00 25 Paid ?? bss' yot # SEWER LATERAL 1 1539.10 07.82 Paid WATERMAIN # WATER LATERAL 1 WATER AREA ??$ 1977 160-0 0 6 15 149 34 0 04 6 39 A 9-6-77 . . - STORM SEW TRK # STORM SEW LAT 1974 5 CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. " SAC q 7-1. 00 701 L, 5?,. 77 PARK CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.,. Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: _ Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner: Address Site Address: Plumber: I agree to comply with the City-of Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: _ Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: This request void 18 months from Date of this Request 7 1 4173 I, as ? Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Rou No. Z 7/__ -7 "nr i I'D t? ,f? a Section Township Range Which is occupied by Is a roughin inspecti equired on this job? No ? Yes 0\ Ready Now ? Will Call Power Supplier Address Electrical Contractor Contractor's License No.?? Mailing Address Authorized STATE BOARD COPY Minnesota State Board of Electricity 1 R54 University Ave., St. Paul, Minn. 55104-Phone 645-7703 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST 417 3 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace ? oader ? Industrial Bldg. ? ? ? Air Conditioner Ik k Tank ? Farm ? ? ? LList t , Other ? ? ? o HeiersI e COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. Above 200 Amps. 31 to 100 Amperes Above l00 Amps. 31 to 100 Amperes Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs S cial Ins ction Minimum fee $5. 9Kr Remarks TOTAL FEE ' I, the Electrical Inspector, here V i e ection has bean moo. (Rough-in) Date --/-7-77 /- (Final) v Date This request void 18 months from c el??st( -?4d unc'l2 EAGAN TOWNSHIP BUILDING PERMIT No Owner ° 'f'<- ` ----..... ------- ........... ......d...?' ................ .? ... ........... Address Address (Present) ....... £-'e......_iE-.'.:..:.... Builder ................... ............_.----................ Address .... ............................................................... '------ - --- DESCRIPTION 2931 Eagan Township Town Hall Dale .... 1?.... al--j7.7z.......:. Stories To Be Used For -Front Depth Height Est. Cos! Permit Fee Remarks 1 %G d e ?u CJ . B 8, C'T yy? C? LOCATION d i(. - Street, Road or other Description of Location I Lo! Block Addition or Tract 1) 3, 9 i S/ 6 J .71 `?, / v i' i:z, i 5, I /0 C c? Y? r (?. This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to eerrifY, that ......?.,zt,r..:.-?.:?':`.._...R..._.......has permission to erect a..... ..G :............. the, above described premise subject to the provisions of the Building Ordinance for Eagan To ship ado fed April 11, 1955. ?. ?..? ...............Ch--:-.................----..?.`.-'--- ....?`:..... Per ....---°-'----...°".?'..... -...........--"---............-'---...----...-°°............ Building Inspector Y? 0 . CITY OF EAGAN • 3795 Pilot Knob Road Eagan, MN 55122 No 4448 PHONE: 454-8100 BUILDING, PERMIT APPLICATION 37,000-00 Receipt # 2NXRRRxRR To be used for Single family/a araae Date_ A/o 19-7-7- Site Address 171 3 Deerwood Dr. Erect C Occupancy T Lot-3 Black 10 Sec/Sub. CG 8-- -- Alter ? Zoning_ R1 Parcel # Repair ? Fire Zone 3 Enlarge ? Type of Const. V rc N,me T Ora n F Rahl c Move ? # Stories J Address144 5 Salem Church Rd. #409 Demolish ? Front 64 ft, rit. IVG 33af s_Phone451- 4022 work Grade ? Depth 2F ft. Fees Permit 1-0-8-rII0---_ Surcharge Plan check SAC Water Conn. . 00 Water Meter . 6 n .0_0 Total 89.,5-0-- A Building Permit is issued to: _ on the express condition that all work shall be done in accordance wit)y all g'y igdble State of Minnesota Statutes and City of Eagan Ordinances. Name Kolstad Const 4:3:3'U3uc "Pp'.'... Z G 4 Rob rt Trail G6 Assessment -- 3 Address 4 S & W IVG Hats Phone-457-4147 City ew. ater Police Police Name Fire Address- ? u Eng. z City Phone < Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable State of Minnesota Statutes n City of Eagan Or ncg . APC Signature of Permittee - Building Official t3a ..1 ni? . . .. . "o 41zl Date - BUILDING PEFIAIT APPLICATIO'_4 L LOT BLOCK DITIOid ?P Q (- ( )?d?, ? Q % :CE & SECTION NUMBER IF MIPLATTED ?DL' S;, J?Or PAS ?tn,ER? n.:'Zsa A41 COI TRACTCR,? L9?DRESS q n accuPANCx - USE l C•.,r_? d?Q?? J? Q? I 4 5 I -?10? 2? - work TELEPHONE NO. 4? 5-/1 /??Ja m? TELEPHONE 110 Notes Include site plan, building plans, and energy calculations orith ih1.r. application Signed T(0/n G ?JWf l?L OFFICE USE _ 7ALUATIO111 11MTZR iIETER 2TJILDING PER14IT FEE IT TRCHI`.RGE FEE PWM CFECK FEE PARK DEDICATION? FEE y75.12 .?00 Gas n?? _. q OVIER ?J ^Pcrr..i s: "SST:SSArMT CLERK BUILDING DEPT. POLICE DEPT._ _mgR & SETTER DEPT. FIIM MPT. PARK DEPT. RESIDENTIAL BUILDING PERMIT APPLICATION ?' . CITY OF EAGAN U 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) I set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet(bldgs with 3 or less units) DATE SITE ADDRESS /-7/3 TYPE OF WORK -':3 Se!,v,a s MULTI-FAMILY BLDG _Y _N _ FIREPLACE(S) _ 0X 1 - 2 APPLICANT Jrr1t?S `?JaAT? ce, 7Z, STREET ADDRESS / 7 / 3 I?eGJZ csJ®a? h ?-' CITY E c ?sry STATENd'LIP ;5] Z- y TELEPHONE # lrS/- /sZ 39S/CELL PHONE # FAX # PROPERTY OWNER TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 lIRt1?NFSK7T? 1S 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted MAY tteyt Ene gx orksheet Submitted Energy Envelope Calculations Submitted U 88 LL N By ??' Plumbing Contractor: Phone _____ Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: Phone # Phone # Fee: $70.00 -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant ------------------------------------------°•-----°•------ - - °-------- - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Remodel/Repair Requirements C- • 2 copies of plan i set of Energy Calculations for heated additions _ V l site survey for exterior additions & decks Indicate 9 home served by septic system for additions 00 VALUATION oz:?Ia Air Conditioning Hcat Recovery System OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of - plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N Approved By T Z- , Building Inspector --------------- - -- - - - ----- --------- - ------------------- - ---- - - - - - - - -- - - - - loon C., o ) 9 ? x '-/ o = 7, ?- 11o ? 20 Pool 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 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 ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Jt Occupancy r t- MC/ES System Census Code Zoning City Water SAC Units 01 Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const VA-) 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 X Final _ _ - Windows (new/replacement) Insulation - Retaining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other (O-)WG ? 30 Accesso'ryBldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi 2-000 "7!1WND Total k l I I i 21.2._, :V.n7733. 1,1 GO'J..LC i 6J_° < _ I .1 /7/3 De-we FkANl rr- 4t 6-6 2?I MATTSON/MACDONALD INC. STRUCTURAL ENGINEERS 1516 WEST LAKE STREET #102 MINNEAPOLIS MN 55408 (612) 827-7825 FAX (612) 927-0805 FAX TRANSMITTAL To: John-David Construction From V. Patrick Jeffrey Attn: Greg QueN Pagex 2 Fax: 651-454-7007 Date: 8/19r402 Re: 1713 Deerwood Drive CC: [Click here and typs name] ? urgent CI For ReWew D Please Comment D Please Reply D Please Recydo 0 comments, S _ i t _ iCCI. 'M, C" -!-c MATTSON/MACDONALD INC. August 16, 2002 STRUCTURAL ENGINEERS 1516 WEST LAKE STREET ;Y102 MINNEAPOLIS MN 55408 (612) 827.7825 FAX (612) 827-0805 Greg Quehl John-David Construction 2001 University Avenue SE Minneapolis, MN 55414 :L , oc? CID- Re: 1713 Deerwood Drive Eagan, MN Dear Greg: As you requested, we have reviewer the beam size for the above referenced project. The beam is ;panning 12'-0" between supports with a •0" cantilever. The canttlevet!is supporting a point load from the ridge beam. The beam size needed to support this load is 3 - 200. Please follow the guidelines shown in the UBC for connecting the plies together. Please call if you have any questions concerning the above. Sincerely, MattsonJMacdonald?Incc v ? ( OvD V. Patrick Jeffrey, P. E. MN Registration No. 41317 (ieto234oa) MEMORANDUM Date: May 21, 2002 To: All MN Building Officials and Inspectors ?+? ? r ego z?i From: Roger Axel, C.B.O., Uniformity Committee Co-Chair RE: Plastic and Composite Decking Materials The Uniformity Committee.recently voted unanimously to approve the accompanying list as a starting point for deter(Tning acceptance of plastic and composite decking materials. The basis for acceptance of a particular product should be that the decking material has an Evaluation Report recognized by one of the model codes. The decking material must be installed according to the conditions of use noted in the report. Most of the Evaluation Service reports reference ASTM testing that address criterion such as: • Nail and screw withdrawal. • Shear, compression, and tension. • Moisture absorption. • Flexure and allowable deflections. • . Modulus of elasticity and rupture. • Thermal expansion. • Hardness. • Abrasion resistance. • Accelerated weathering. By requiring the Evaluation Report for the product to be used, at time of permit application, the code official will be able to avoid potential problems with correction orders to remove non-complying materials. The Committee is encouraging code officials to notify me of any new decking products that they come across during plan review or field inspections. I will then add the product to the master list as either an approved or unapproved decking material. I am planning on updating this list on a quarterly basis. Roger Axel, C.B.O. Plan Check Engineer City of Bloomington, MN 55431 OFFICE: 952-563-8960 FAX: 952-563-8949 E-MAIL: raxel@ci.bloomington.mn.us ?r a Dream Deck DuraBord Ecoboard Ecodeck Eon Decking System Epoch Decking Epoch Evergrain Decking Evernew Everx Extruded Wood Products E-Z Deck Fiberon Decking ForeverDeck GeoDeck Gorilla Deck ITS Recycled Decking MacLumber MikronWood Decking Milldrll ium Lumber 7T Thermal Industries Pittsburgh, PA Recycled Plastics Marketing American Ecoboard Farmingdale, NY Environmental Bldg. Products Highlands Ranch, CO CPI Plastics Group Ontario, Canada Eco-Products Boulder, CO Epoch Composite Products Lamar. MO Certainteed Corp. Valley Forge, PA Quality Wood Treating Co. Prairie du Chien, WI Pultronex (Corp. Fiber Comoposites, LLC New London, NC Plastic Lumber Yard Ambler, PA Kadant Composites, Inc. Bedford, MA Homeland Vinyl Products Birmingham, AL American Recycled Plastics Inc Palm Bay, FL MacLumber of South Carolina, Inc Bamberg,SC Mikron Industries Kent, WA BJM Industr leg Kittanning, PA r. BOCA ER 97-55 None None None None None NER-630 ICBO ER-5963 NER-605 None None SBCCI ER 2129 BOCA ER 21-67 None None None None SBCCI ER 2004 None None OT CEDAR C?Ro?t? NO ? _ !?l? DEERI??CO? D4?iyE? 13.4 16? -13`0 _ 9o.r _w LO m co n PERMIT City of Eagan Permit Type:Building Permit Number:EA116460 Date Issued:10/08/2013 Permit Category:ePermit Site Address: 1713 Deerwood Dr Lot:3 Block: 10 Addition: Cedar Grove 8th PID:10-16707-10-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - 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 by law in ALL single family homes . Matt Pietruszewski 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 - James S Lasser 1713 Deerwood Dr Eagan MN 55122 Rybak Brothers Construction Llc 2206 East 117th Street Burnsville MN 55337 (952) 405-8871 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r_________________ I For Office Use . � I � . , 1 �a-`��a- � � �lt� 0� ���aIl , Pe�m�t#: , , �u� i � Permit Fee: � � I 3830 Pilot Knob Road � Eagan MN 55122 � Date Received: � Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I �-----------------I 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �a'�a'5��� Site Address: �7� � �•�2_!"����d �� Tenant: Suite#: Resident/Qwner Name: Phone: ` Address/City/Zip: : Name: � `�� �1W'�LbG��= ]�ili«. License#: �.��0�-"°�I- Contractor: Address: �.�5� � �' �'7`� 5T�w city: �� ��"'�-� State: M� Zip: �°3�� Phone: �17���S—�l�9 `= Contact: �1��� �`e`'`'n�� Email: { fu�6�lri �� � � C�`( Type Of WOI'k —New _Replacement _Repair _Rebuild _Modify Space _Work in R.O.W. � o F �-.es r�+-r�- l�A,-a� -w�S�e.r �W J',�l r�a�`' 3f w+-1�e,fa�- Description of work: � �'/ Y RESIDENTIAL jWater Heater Water Softener Lawn Irrigation�RPZ/_PVB) Permit Type Septic System Add Plumbing Fixtures�Main/_Lower Level) New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic SVStem Abandonment, Water Turnaround'`(includes$5.00 State Surcharge) `Water Turnaround (add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built) (includes County fee and$5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for pro#ection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org 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 wiil be in accordance with the approved plan in the case of work which requires a review and approval of plans. � x ��`��� C���j X �t� l `� Applicant's Printed Name ApplicanYs Signature FOR OFFICE USE Reviewed By: Date: Required lnspections:' Under Ground Rough-ln Air Test Gas Test Final Meter Related Items: ` Meter Size Radio Read Manometer Staff: PERMIT Clty Of Eagall Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA131762 Eagan,MN 55122 � ' Date Issued: 07/07/2015 (651)675-5675 www.ci.eagan.mn.us l ': � , LL �� Site Address: 1713 Deerwood Dr Lot: 3 Block: 10 Addition: Cedar Grove 8th PID: 10-16707-10-030 Use: Description: Sub Type: Single Fam Construction Type: Work Type: Day Care Inspection Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: Latisha Porter 612-239-1189 Fee Summary' Day Care Inspection $50.00 1221.4216 TotaL• $50.00 Contractor: �WriCI': - Applicant - JONAH PORTER 1713 Deerwood Dr Eagan MN 55122 I hereby aclrnowledge 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. � Applicant/Permitee: Signature Issued By: Signature