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1749 Drake DrThis requestum old I1-q 1H months tra l l ` J / 113f O ^t Aw\gI`o. i /- ?i A 1 F QdHX 3 f "A 3q1 a2 '10,00 Request DSie w Fire No. R ough-in Inspection Requi red? ®Ready Now ? Will No lify. Inspec- D d f `?,J Yes No ? Or:Nhyn Ready Licensed Electrical Contractor 1 hereby request inspection of above ? Owner electrical work installed at: Street Address, Be. or Route No. Y City 6+,-Y action No. Township Name or No. Range No. County //// 04Wo,?;? OccupanI (PRINT) S /-<z/ii -A -rAc Phone No. Power Suprplier Address ,17144- 4- .?/e JU EI trical Contractor (C.,notiny Namely Contractor's I conse No. Mailing Address (Contractor or Owner Making Instailationl 1,335, o/7'/ 1 % - e A,e Authorize iflnature ontrac 7 wnor Making Installati n) Phone umber 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 86104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ea-00001.04 ' See instructions for completing this form on back of Yellow copy. '? [? X" Below Work Covered by This Request 3Ct-? ZZ i Rep. Tvoe of Rtoldina Aooliances Wired Equipment Wired 1 Water ectric Industrial Bldg. Air Conditioner Bulk Milk Tank Farm 0th kSpeuty Omer IS pertivl e Fee Service Entrance Size a Fee Feeders/Subfeeders q Fee Circuits 0 to 200 Amu 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps 31 to 100 Am Swimming Pool Above 100Amps Above I00_Amps Transformers Irrigation booms Partial/Other Fee Signs Special Inspection S DJ?? Remarks L FE S?Lf /o-2S} 40- IJCCtrica 1 Ina pector, hereby Final a certify that the above n j", 1 7/ matle chon has been REQUEST FOR ELECTRICAL INSPECTION See instructions for completing this form on back of yellow copy. M1 1' X" Below Work Covered by This Request 0 Eg-O0007-04 3a-7 zz Nim Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures ' Apt. Building Dryer Electric Hea[in Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci v Other ISpuc:ifyl or Spec, Y Other Othe, Compute Insaection Fee Below If Fee Service Entrance Size It Fee Feeders/Subfeeders N Fee Circuits .bo 0 to 200 AMPS 110 094P 0 to 30 Amps 0 to 30 Amos Above 200 Amps rV 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Amps Transformers Irrigation Booms Partial,'Other Fee Signs Special Inspection $ F Remarks i EE ?tr?.e, This request void I l-? 18 months from A 1 S754 03. Ma((*rd 2 34'7ZZ park. 3 r `(7,0i, Request Date Fire No. Rod -in Inspection Req uned? Notity Inspec- -]Ready -]Ready Now a l ` Exycs ?No When Ready tol Licensed Electrical Contractor I hereby request inspection of above ? Owner electrical work installed at: Street Add ess, Box or Route No. l )T 5 0 pre af, City i?:A6- ecti on No. Township Name or No. Range No. County I I eoee4 Occupant WRINT) Z f - Art V.;o Ate. Phone No. Power Sup ier Addre s ,0 4&c rp- )5 s Electrical ontractor (Company?pamel eleJa? via Contractor's License No. A-cl f 2 Mailing Address IContractor or Owner Making Installation) .. U?la l?> L3 35 f 4 " A l 1 1 e?w Auth rued Signature (Contract Owner Making Installatiorf) Phone N mber G.3 Z- /o 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 56104 UNLESS PROPER INSPECTION FEE IS Phones (6121297-2111 ENCLOSED. CITY OF EAGAN }? 7795 Pilot Knob Road Eagan, MN 55122 NO e 8617 PHONE: 454.8100 BUILDING PERMIT Receipt # /S To be used for SF DWG/GAR Est. Value $136,000 Date October 27 1983 Site Address 1749 Drake Drive Erect R-3 Occupancy 13 2 Mallard Park 3rd Lot Block Sec/Sub. Alter ? Zoning R-1 Parcel # 10-47252-130-02 Repair ? Fire Zone NA Steph-An Homes Enlarge ? Type of Const. V a Nome Move ? # Stories z Address 14340 Pilot Knob Road Demolish ? Length 60 Ci Apple Valley phi 423-1179 Grade ? Depth 55 Sg. Ft.- Owner Name Approvals Fees p OOU Address Address Assessment Permit Water $ Sew. Surcharge 68.00 Phone City Police Plan check 261.50 wW Name Fire SAC 525.00 O Address Eng. Water Conn. 450.00 G <W City Phone Planner Water Meter 60"00 Council Rood Unit 250.00_ I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $2137.50 State of Minnesota Statutes and City of Eagan Ordinances. - Signature of Permittee A Building Permit is issued to: Steph-An Homes _ all work shall be done in accordance with all ap iWbia m', on the express condition than and City of Eagan Ordinances. Building Official BUILDING PERMIT APPLICATION OF EAGAN 1? P + l) e?_ sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For SF bW%jGC-Y- Valuation Date /0-2S-$"3 ,ZZ Site Address: 1-7 q Ct b r,0.i4 L V` t' V ?-- Lot 13 Block Sec. /Sub.l 0A0,oa Nr? 3''5rrect Parcel #: 10 - 7 S ?:2 - / 30 - b :;Z Alter Owner: .Ly i SIP - A _ A Q Y.A Enlarge Address: 143,g0 P('Lo-} k0ofo P- City/Zip Code: &p PIL VO,IE+ OFFICE USE ONLY Occupancy Zoning Fire Zone Type of Const. Move # Stories ' Dettolish Front 410 ft. Grade Depth IS-3' ft. Phone #: 3 - l y APPROVALS FEES Contractor: D t? n ?C- Address: City/Zip Code: Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: -CL'? W1 A-k 0.M-' 0 F e??eek_ Cd €ek 2 335 Assessments Water/Ses rer Police Fire Eng. _ Planner Council Bldg. 0. APC Permit ?2 Z ¢9- Surcharge (o ? Plan Check.ice SAC S o'?S m3 Water Conn. ysp SO Water Meter (ob Pv- Road Unit 5-per? TO'T'AL v(? a -I ' 4 C7 f1n Lti fe4aT ?- P Vta t 1 c 1 L A 73" ?e3by 5~ 3 ° ?K 13S- d y33 96 S ?3 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 7 DATE 19 R! C EI V ED __17 AMOUNT Is & DOLLARS loo ? CASH ? CHECK FOR Th k1 ou l? . BY White-Payers Copy Yellow-Posting Copy Pink-File Copy BUILDING PERMIT Af, T. " .....a t... SF DWG f GAF1" CITY OF EAGAN `E Pilot Knob Road Eagan, MN 55122 1 PHONES 454-8100 Receipt # Est. Value $136,000 pate 19 Site A res 1/41 LraKe Drive -Mallard ar r Lot Block Sec/Sub. Parcel * 10-47252-130-02 W Name - - -- - W 14340 Pilot Knob Road 3 Address o City Apple Valley Phone 423-1175 Name Owne: u0 U Address t- r:... sue--- 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. Signature of Permittee E'pCl?•r^;. A Building Permit is issued to: all work shall be done in accordance with all Building Official Erect ? Occupancy R-3 Alter ? Zoning R- Repair ? Fire Zone Enlarge ? Type of Const. Move ? * Stories Demolish ? Length_ N- Grade n Depth -" So. Ft. r bbcanrnc.n Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit JLJ. VV 66. UU Surcharge Plan check 0 SAC Water Conn. 450.00 Water Meter 69.90 Rood Unit Total 9 ` on the express condition thav and City of Eagan Ordinances. Permit No. Permit Holder I Misc. Permit No. I Holder Plumbing H.V.A.C. .4, 11 Inspection Date I Insp. A Other Foundation Framing Pibg. ' insulation U)- ] Z # ai td N I Final HVAC 1 Bje Final water Well Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. I • CITY OF EAGAN Fee - ? Fill in numbered spaces S/C I Type or Print legibly T ot. 1. Date 2. Installation Cost 3. Job Address ' 7 , - Blk. Tract L 4, Owner ''' - r s!mnn tomes, Inc. 5. Contractor 'lwe Neatinc* z; P./C Inc. Phone 6. Address 7. City State r Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 'Fuel Type 11. No. Equipment BTU • M. Ea. Forced , No. 7 Equipment CFM Ai dli H Mfg. r an ng: Boilers ' Mfg. Mech. Exhaust Unit Heater Mfg. Othe 1 Air Cond.T,c'"nnx Yf16-41 J- r ' n,l Mfg. 1 Gas, Piping Outlets Furrer::, 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : y for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. a 6 r } CITY OF EAGAN r.' Fee If Fill in numbered spaces S/C Type or Print legibly Tot. 1. DatlQ/31133 2. Installation Cost 1749 Drake Dr 3. Job Address LotBlk. Tract 4. Owner wensmann Fumes - Steph-An 5. Contractor Wenzel Mech. Phone 452-1565 ti. Address 3600 Kennebec Or 7. City Eagan State Mn zip 55122 8. Building Type: Residential KI 9. Work Description: New 12 10. Describe 11. Commercial ? Institutionat ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other water Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition Mallard Park Third Addition Lot Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 981 2 539.69 5 539.71 A013397 1-4-84 STREET RESTOR. GRADING SAN SEW TRUNK A ?/ i .-G ZZJ. . ez'4' * SEWER LATERAL 1981 3412.34 682-A7 5 682,50- A013397 1-4-AA WATERMAIN *WATER LATERAL 1981 WATER AREA "'? • f STORM SEW TRK 1981 467.74 93.55 5 93.58 A013397 1-4-84 *STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT ROAD I 250.00 3 578 10-27-83 WATER CONN. 450.00 11 11 BUILDING PER. 8617 SAC 525.00 PARK CiTv 3830 P. O. B Eagan PF EAGAN Pilot Knob Road WATER SERVICE PERMIT ox 21199 PERMIT NO.. 51G9 , MN 55121 DATE: Zoning. E 1 No. of Units: 1 Owner: - glen :,anr I me -q Address: Site Address: 1749 Drake Drive L1? U^ '-tallard Park 3rd Plumber: Wenzel Meth Meter No.: Connection Charge; 450.00 Dd Size: Account Deposit: Reader No.: Permit Fee: 1 «. (10 pd 1 Tree to amply whir a* City of so", Surcharge: . 50 *sd ordiee Misc. Charges: 60.00 Dd '!Teter Total: 6 Y Date of Insp.: Dote Paid: ,- rY it EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 Zoning: F 1 DATE: 1 ^! - i T - : ; Owner: 1.enSmann Homes No. of Units: 1 Address: Site Address: `IRak6 Drfve I.1 _.. R)' 6fa r r ....a fa wpb whit as City of Eagan of Insp.: Connection Charge: Aaoount Deposit: _ Permit Fee: Surcharge: Misc. Chat Total: Doh Pow: .5 08 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements O R 0`se.Onk 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joists G'eft ofSmyey {Capp a ? ! (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks 7 eePresROUlied"i Y '_N 1 set of Energy Calculations Addition - indicate it on-site septic system On'sd SeghQ,Systein nY v 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form Date'(//2, /_0(.0 Construction Cos 15 ? M 7 Site Address 11-" Lra g e 1yrI IX? ?&?Q yl TWN) SS-1 -,7-2, Unit/Ste # Description of Work lk ?i 1dew l RIA1S_iR g4lKfi no V f}QW,yLW • Multi-Family Bldg _ Y X N Fireplace(s) _ 0 - I _ 2 " Property Owner W I t Telephone # 1? f) ysy'2 7 7 C u 's Contractor n e: Address y" City tA, '• State /"11J Zip Sr j--61 4 Telephone#(16 77 L J;-:?o.UP COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i Energy Code Category Minnesota Rules 7670 Cateizorv 1 _ Minnesota. kWs,7672 ' -- _-_ _ • Residential Ventilation Category 1 Worksheet New Ene a;Code W rksheet' i (J submission type) fgy'; h Submitted Submitted 1111) 1' • Energy Envelope Calculations Submitted 1 ?1 or- In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? 1 - Y - N It yes, date and address of master plan: I:-'7. -- Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application fora 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 Fal of pl Unnl?iflJl?- Applicant's Printed me Applicant's Signature w w DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alf- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Descrlotlon: Water Damage_Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock Footings (deck) _ Final/C.O. Footings (addition) _ Final/No C.O. Foundation _ HVAC Drain Tile _ Other Roof _ Ice & Water Final _ Pool Ftgs Air/G Framing Stucco Lath Siding Fireplace _ R.I. Air Test _ Final _ _ Windows Insulation _ _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total as Tests _ Final Stone Lath Brick 55(p_2 ? I S RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 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 8 window saes; poured found design, etc.( 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711/93 • Rim Joist Detail options selection sheet (bldgs with 3 or less units) DATE ` ` I Z SITE ADDRESS TYPE OF WORK A215 f APPLICANT A S (,vy?, MULTI-FAMILY BLDG _Y -(. N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRESS I? Z %4 7 Afico A TELEPHONE # 9$7..707-6557 CELL PHONE # RemodelfReoair Requirements 2 copies of plan • 1 set of Energy Calculations for heated additions t site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION ZJq??? f& STATE*A' j ZIP1 FAX #q52% &'6' '7>?-4l0 PROPERTY OWNER 1? [ l owV.? TELEPHONE# C51 - 41S t4 'c'Zf $' COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO'CA RULES -670 CATEGORY i _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Phone # - Plumbing system includes: _ Water Softener Lawn Sprinkl r1 Fg''e4? 00 Water Heater _ No. of R.I. Bx No. of Baths S E P 2 0 2002 P j Mechanical Contractor: Phon # NICChamiCal system includes: Air Conditioning By = =SSafl.00 Heat Recovery Systcu, Sewer/Water Contractor: Phone # -------------------------------------------------------------------------------------------------------------------------- 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 rd/i?nyyon?c Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 9/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 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 ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PGA 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) _ FinaLiC.O. - Footings (deck) _ FinaL'No CO. - Footings (addition) _ Plumbing _ Foundation _ HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ft2s _ AiriGas Tests _ Final - Framing _ Siding _ Stucco - Stone - Fireplace - R.I. -Air Test - Final _ Windows (new'replacement) Insulation Retaining Wall Approved By 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 Total Building Inspector itarl?58 5 ?? 2 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. 1. of lot, sq. 3. of house: and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam S window sizes; poured found desgn, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 711!93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE SITE ADDRESS ppj TYPE OF WWWWWW61 -l$-o2 APPLICANT AP- STREET ADDRESS Ill TELEPHONE # 957-707(9f57 CELL PHONE # MULTI-FAMILY BLDG _Y CAN FIREPLACE(S) _ 0 _ I - 2 STATE,r?ZIP rr3?>l FAX# //??" S2!Uf*I' c? "cJ&40 PROPERTY OWNER 0 4)01^WS TELEPHONE# t051'-1fSgJ?T ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 C:1"r1:G0RY I MINNESO'T'A RULL•'S 7672 (vr submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: Mcch:ulical s% stein includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System 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. `???/ 11 Signature of Applicant (I?f, fW-??(1/CfVI.D -------' ----------------------- ----------------------------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths S RemodellReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION tf t A? Fee: $90.00 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Parch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 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 ? 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) _ Finab'C.O. _ Footings (deck) _ Final/Yo 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. -Aix Test - Final - Windows (new/replacement) Insulation - Retaining Wall Approved By 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 Building Inspector Total 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3gg33 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Reauiremenh Remodel/Reoalr Reaulrements > 3 registered site moneys showing sq. fl. of lot, sq. R. of house 2 copies of plan and gU roofed areas (20% mmdmum lot coverage allowed) 1 set of energy calculations for heated additions > 2 copies of plans (show beam & window sizes; poured fnd. design; etc.) 1 site survey for exterior additions & decks > 1 set of energy calculations > 3 copies of hoe preserv on plan Mot platted after 7/1/93 DATE: ?r CONSTRUCTION COST: edZDDO DESCRIPTION OF WORK: , /?D4 SAD l3?SlD? S(//YI//I?IJ/YI/1) , STREET ADDRESS: - LOT:-4L BLOCK: SUBD./P.I.D. Mallard Park J Name: ?? ?3/LL at CGLGiF/V Phone #: 1eTl ?{ 7 7 PROPERTY Last /Q First OWNER Sheet Address: / l 7L/ J / di0 t?'f ' KC-- 61 City State: 'R?Yly Zfp: 5, z Z Company ?N/l°?,Q(f9? slG1?Y? Phone #: Iola 378-Z3?SJ (area code) CONTRACTOR Sheet Address: /i 7 1,1 0010 License # Exp. i? city ?l G/a State: f'?1N Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Address: Registration #: City State: Zip: SewertweAef licensed plumber (N installing sewerlwater): Phone #: I hereby acknowledge that I have read this application, state that the Information b correct, and agree to comply with a0 applicable State of Mfine;ota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No MAR 13 Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi ? 02 SF Dwelling ? 08 06-piex ? 17 Garage ? 22 Pomh/Addn. (4-sea.) ? 33 Ext. Aft - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Prbg Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" e' 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee YrMl N,` Surcharge Plan Review License MC/ES SAC a.:!. City SAC Water Conn. Water Meter Acct. Deposit 2aC: )riiai 1.r14 r7fif,i:f[ z,F:. i.9...r5 S/INPemlit r-,; 0C) S/W Surcharge ,. Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC ;:: .Clap .I AN A- 0 ADQfM/?7y ! b oe A k _pie, r/ HEAT I oEa 7G?? 2 X __ Total Btu Input I All whu mi? LF I_ .t.; y Room Loth 'Wth. Ht. Fl. PO Ne. Wbin iEnl No. of Llrwl ll. Zi rn wletn HMyn, P of ofn(. I If of Crock q, 11. No. of rm of pN Z ?- Llr I y x' ( ') 7 #90 8 haWrl0pd ..... ur.f. 77 I Ht. v - coo - r W /Ooem l 5 1 /d Cool. 6T7_ ldoo BTU lilunbn Windows oom ?38 /C>2 ndow. 2 118 elNnuon WlDoaf 118 0ocrf 1.filtmi.n 5/Doo m 71 O00n 71 W.O W X Ew. WMI X . 1.p a Doom , 3 / Q? GbN a Doan r a ''7 w E.o Wall a 7 ? ?7 O LZ Nkt E.p. Well ? 1 _ ._ L_ l 4 wll.q - 4 e 2 3 G01ry 10 X 1-7 Ti u _ A y low 3 a 7 10 Fbw ' 1 5 'otel Btu. O TotM Btu. 1 FI 7-1 ) ? 2. Room Loth '• Wth. Ht. Fl. ! 1 I? ? N Roan Loth. ° Wth. ? Ht. ' . No. . Wbth f I Nklyll M No. of I b . Linnllt. of creek Ank q It N04 Widtn of pitu, Hkgn1 -of No.ol 1 b Of t Lioliffil of acct ree q. N. . o / t? 3 Co o . . l l L.t .4 r L t d 3 L6b Ooem oom /d Coo. BTU /doom COO ' BTU mbluktien Wlndpwf 0orf 381 SIO InBltrAdun Window. 3e OZ Inlilunwn W/Doom t t 8 In101,011on w/Door 118 71 IMi4rktbn 5/Doom 3 L 71 L 17 Z In/ihnJon S/Ooon E.p. Wal Glwa0oorf ?? EW. Wall GbbaDeon G, 0 Hot ENI. Well / O 1 ? - 70 Nn E.p. Well - ? G:I:ne 4 a S 3 Csirp 2 3 B fba 3 6 7 10 fbor Totelst.. Tobl Btu. (i J l;) ?FI Room Lath.fy' Ht. FI. 0 GAL ??? R-..1. Loh,. ?Wth. Ht . No. WWtn f " Hklenl of Mlf No. of ligh b LlrwMlf. al cmk Aro ll q No. WMtn 01 Nays Okrlk No. of of k q o " 2 y p lD O t . . f Z ?L G ? f 'L?d ZI ,doer. /aoen -U 1 Cl. w BTU /doer CON. BTU /doom mfilvnbn Windows 38 / Inliltmnan Wlnaow, J !lC 118 Innnrmnn wrooea tta Innnmtion wloeon f ? Z 71 Inlihmtion 5/Deon 77 Inl Otmlien B/DOem WJII E.O E.P. WM1 TTG . GNH a Doaf 7 3 Gbb a doom ? Q n a Q/? Nn E.O. WMI Z B Nkl Esp. Wal (i? ? ' V ?V 4 1 B Gilirq B 7 ? Gtllrte Floc 7 105 Ffoor 10 Tour e.u. S TOW Btu. '1T r No. I ,n MID Addfams Plan # DaN MEAT LOSS CALCULATIONS Total Btu Input + An wlndowa A doom we waahwanWPad V= IM p. 17 ' Wth. 12 19". Ht. FI. Room Loth, Wth. Nt. WidlIt H. 1 No. of L1n.W16 fall'. r.. No. of qn. ol_F.ru I u of cock .lU / 111 1 -)_ 4 T 0111111 f I /q 1 i1 ,Itgden W,r,dow. !rltr.bbn W/DOOM r,nrHion 5/Doors a. Wdt i.n a Dove rt 9 W. Wall Eli, !ov mW Bw. X Co BTU p In111nUOn WIr4Ow1 aB rt H. II 18 I nfillnlion 1111/boon 71 Innhntlen Va.. GI.u a Daen Not E W. WWI X l 7 U ?( 24 3? _ 73tOB ` Roan I Lath. Wth. H (] COMM - Fber Total Of-. No. width of Height of ka.of 1 " LIMLIrI. of cnct An. p, M ry ? /coon 7doon C.I. BTU ,IiltrHion WiMPw. 38 0 Z rtllmtion W1Daon 118 n;tvnion 510oen 71 W. Well X .w.6 Door loo IH EW. WWI 4 7 l 2? :si!,rq ` I 'f k 1 2' oB 7 3106 total Btu. No. I , I G.1. 4 J B ?W a...rw I 1 afn_ 1 • Wth. No. WWth of .Imht W No.o 1 h Lk" t of onct n. .ft. z7 2 ,man !coon COO. BTV - Inflltntlon WIMa.. 38 76 L InfIIVHIOn W/Doors /la IMiltntlon 370oPr. 7l ExP. W.II I Zo GM,& Doers NH EW. Well g ' 4, 1{ " I3b Gillnp I k l? ,B O Floor 3 -B Yowl Btu. , er, Leth. -b "Wth. Z7 Y. Ht. 9 'v'I? FI. I of U.WfI. Attu fo. of cruet p. lt. No. RI ...... ??u . ? ya ? zt I ? ! y:r t Noon /d,P„ cow. eru Moon, - Coo. BTV nlilv.tiOn Window ?. aB 02 lnfiltr.non Window. _71 2 38 nlJ m kioo W/Oov, 118 mfinrnion W1000111 l/8 Mdn.tion S,000n 71 Inllhraion SlDoon 71 EW well ?'7 EW, WWI ,[ /J G ?... d Dow. ,? 3 d No? ca.. a Otwn L 1 Net E W. W611 ! ^ 6r.. 46 7 1 17S NH E W. Wall I/V S G11ip (?. ?ZZ 4 2 n 1 3 {.?? C•IIInp 3 Ftorn 7 106 Floor Total aw. Told Btu. _ Addem Plan # Dow #IO HEAT LOBS CALCULATIONS _,Vnee Total Btu Input I All windows & dom am wamhatmr4VO _j •!A-?U C? ' R Darn L9lh.,,3 S ' 'Wth. 6 Ht. Ft. Roam Loth. "Wth. Ht. ' W41n Of pry H•Vht of 'ema No, of 1 h UruMft. of cod Area 10. It. No. Width of pan, "eight of pane No. el 1 U Url•Y 1. of cmk 1N .h. Iduon !down fdoon Coal. BTU /door Cod. BTU ,h.nbn W?ndwl 3L?! T O /6 I??( t InllHnaonwlMNw1 i 'Jnuro• WlDOwI 118 Inliltretfan W/Door 11B Idu•lion BfDoon 71 Inlltlntlon 6/Doom 71 .4 WNI EW. WeII off a Dowt 38-48 Gloat a Dens .. n E eP. WMI 70A 1 4s ? Net E W. Well 4 n''^E =4 3 5 C•ilim =4 oe' X f to " 2 > B rrz0 Flow a mN Btu. C, L3 Total am. _ Ft. Raom Loth. "Wth. Ht. Ft. Room LoM. «Wth. « Ht. No. Width of H• 1 d pd?a N,.ol 1 [e LImMN. OI eneY Am p, if. o. Width 01 ene Haight of ono No. 11 hu LIn 6 01 check 1w1 , h, fdoen tdoorn /chain, Coal. BTU /degas CaN. BTU I:IVetbn Wlrpow• 38 Inllltmlon Wlndowl 36 rhrnion w/boon 118 InlOUnlon W/Oow• r1B 1nn•iion SlDoon 71 Inlutmion Bf0oon 71 ?4.WMI Exp. Wall •w 6 Doan 38'48 Clete a Door SB'4$ HEW.WMI 4 67 NitEW.W-11 4 0 .. HY,p 4 5 2 3 C•lling 24 . ich, _ _ 7 10 7 /0 Fbor 3 6 041 at.. Total 8iu. Ft. R11om Lath. "Wth. Ht. Ft. Room Lath. «Wth « Ht ' Ha. wdth of php Ifalglit of • No. of li H Lln•Mft. o1 cmu Am p, fl. No. Width at pama Haight e of Itery No. 01 1 n nealh. d eneY p.h. -- IOOpI Ido,, ldoon Coal, BTU Coal. BTU libmgn Wi'alowl 38 Inllltrnlon Window. fill'... W/Oows 118 Idiltrstion W/OO 1B 1 ?11rHlon BlOoon 71 Inliltmion 5/Doom 71 .4. Wen E.P. Wall i•H a Oowl 38-48 G4N A Dow. H EW. Wall 8 7 4 a. Net EW.WNI 6 LB •Ili'q 2 4 B C•ilir ?B bur 7 t05 Floor 7 1 VIM BI V. Twei aw. ?f ry COOLING LOAD SHEET Date: Name Address M Desian Conditions: Outside : Drv Bulb 99: Wet Bulb 75 Inside: Orv Bulb 78; Wet Bulb 88 ITEM DIMENSIONS AREA SQ. FT. U TD SENSIBLE HEAT LATENT HEAT CONDUCTION HEAT GAINS Exterior wall, gross - - -- -- Exterior glese Z S -- Exterior wall, not eo?jol ti i18 r? -' Total walls and windows .17 11 Floor .08 11 -- Ceiling or roof NO 01 at l) A 1 ? - EXCESS SOLAR GAINS West WALLS (dIreadon faced) / Lf 3 ?-/ 0 ?! 13 awl 003 ?{ o 2-7- -- Roof 160 ft- 4 -- West GLASS (direadon faced) S (,r y - kj 7 Z 3 Skylights .55 118 BODY HEAT GAINS Sensible No. of people x 226 ? 3 rF) Latent No. of people x&N ( S v rU EQUIPMENT HEAT GAINS 3600 STU Electric motors HP x -INF- -- Infiltration - Sensible 1.085 x CFM x 11 Z Z Infiltration- Latent !o X ?3, 1 X CMF x.6 7 x 30 TOTAL HEAT GAIN (SENSIBLE) 1 Z -- TOTAL HEAT GAIN (LATENT) TOTAL HEAT GAIN BTU PER HR ?I TONNAGE EQUIVALENT OF COOLING LOAD Tons *102 7? 4? 7C? 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomesleondos when permits are required for each unit Date Site Address Unit# Property Owner ?f'"'D ! -0 [ (i ( Telephone # (k Contractor BURNSViLLE HEATING & A/C, INC. urnsw a ar way Street Address Suite 120 City State umsville, MN 55337 Zi Tele hone # (7J ?% ?d®? p p ( Bond#: Expires: -7 The Applicant is Owner Contractor Other Fire repair (replace burned o ut appliances, ductwork, etc.) $ 90.00 This fee applies when extensive mechanical repairs are made to a building. Add-on or alteration to existing dwelling unit $ 50.00 Y furnace -Additional Replacement _ New 7 _ air exchanger air conditioner heat pump other State Surcharge $ .50 Total $ ?- S U I hereby apply for a Residential Mechanical permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the hanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pe it; th t the work bfttga?cl?*F approved plan in the case of work which requires a review and approval of plans. ?," S" o f ?i 2 1 2007 Applicant's Printed Name Applicant's Signature a T r \ O V? a'd dp h `U U M of 1 ?1 r? i ?S 4 • arr,7 92 \ ?3 lr?'°?? ? 8 S 'r =f \ P aoy,E Ara. 1y? F?rL 1a.\0y Gh ? ? 1 N '{ O E??7r N 1 93j ? ?o 937 7 / ? ?? 1011 fIhD?IL1MEK'C 11 ?Y OF?GtZt p?'tnt-t _ L.o-r t3 t %L_.oc.rr-- Z % M/.l.l-AR.D PAR1L-. TU%CD /?DDtTtpf-i DAIC.r,T1,. GoVNTY?':. 14?(N NEfIOTJt. I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date 10, er /8,/983 p?/? ?? rl LeRoy HK Bohlen ?• Registered Land Surveyor-Vo- 10'95 6 'o '^ r r m 1 I ?j 1LL I N %s , • {c t / Ad ? da ? I . I I ,y 1L= , _ j U Q M?? jE L r l1~ ~D. NOY 06~ I For Office Us I ~ LU11.7 I I o 1 Ea Permit1 ll I Permit F• 1 3830 Pilot Knob Road i I Eagan MN 55122 Date Received: 1 I J Lv Phone: (651) 675-5675h I I Fax: (651) 675-5694 I Staff: 2009 RESIDENTIAL BUILDING PE MIT APPLICATION Date: ' Site Address: 1 / ~-f Tenant: Suite RESIDENT/ OWNER Name: aj Phone qSq-3 Address / City / Zip:/ `7 ~GGc ce,,✓ ~j 'oZ Applicant is: Owner Contractor TYPE OF WORK Description of work: M ~ vv Construction Cost: J , b Multi-Family Building: (Yes / No CONTRACTOR Name: ~ License "7q e Address: ` -7 4 a City: /yt-p State: M/,)• Zip: J~~ d l Phone(!a51 7 k a C~ to Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A W BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet. New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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 classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 perm' ; that the work will be in accordance with the approved plan i he case of work which requires a review and approv tans. X '(44 X Applicant's Printed ame Applican Signature Page 1 of 3 PERMIT City of Eagan Permit Type: Plumbing 3830 Pilot Knob Rd Permit Number: EA089659 Eagan, MN 55122 . Date Issued: 06/12/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 1749 Drake Dr Lot: 13 Block: 2 Addition: Mallard Park 3rd PID 10-47252-130-02 Use Description: Sub Type: e - Underground Sprinklers Work Type: New Description: New Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: 12/10/09 Permit closed without required inspection(s). Letter sent to applicant on 12/10/09. (pf) Dan Clough 3880 Willowwood St Fee Summary: PL - Permit Fee (Res Modifications) $30.00 0801.4087 Surcharge-Fixed $0.50 9001.2195 Total: 530.50 Contractor: - Applicant - Owner: Preferred Plumbing William H Powers 6400 High Point Trail 1749 Drake Dr Prior Lake MN 55372 Eagan MN 55122 (952) 447-5761 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA112883 Date Issued:08/26/2013 Permit Category:ePermit Site Address: 1749 Drake Dr Lot:13 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-130 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Nicole Flattum 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 - William H Powers 1749 Drake Dr Eagan MN 55122 (651) 454-3857 Storm Guard Restoration 1355 Geneva Avenue North, Suite 201 Oakdale MN 55128 (651) 738-1698 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154937 Date Issued:04/18/2019 Permit Category:ePermit Site Address: 1749 Drake Dr Lot:13 Block: 2 Addition: Mallard Park 3rd PID:10-47252-02-130 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 - William H Powers 1749 Drake Dr Eagan MN 55122 (651) 309-1114 Estate Claim Services Llc 6701 Penn Ave S, Suite 201B Richfield MN 55423 (651) 309-1114 Applicant/Permitee: Signature Issued By: Signature