1751 Crestridge Lane" CITY OF EAGAN N2 17114
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100 ?t 1101D
BUILOfNG PERMIT Receipt u ?/`?
DECK &
TobeusedFOr 3-SEASON PORCH Est.Value $8,000 Date SEP 28 , 19$2
Site Address 1751 CRESTRIDCF. LN
Lot 4 Block _2 SeGSub. RID E VT W A R a
Parcel No.
w Name PAUL GLEASON
37: Address 1751 CRESTRIDGE LN
° City EAGAN Phone 454-4453
,o Name PANELCRAFT
ou
Address 311__NF.LL7NG AVE S
City MPI.S Phone 771_6628
ww Name
r
Address
<w City Phone
I hereby acknowlege that I have read this application and stale that the
informalion is correct and agrea lo comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A euilding Permit is issued to: PANELCRAFT
on the express condition that all work shall be done in accortlance with all
applicable Stale of Minnesota Statutes and City of Eagan Ortlinances.
Building Olficial
OFFICE USE ONLY
Occupancy --
2oning -
n
(ACtuei) Co
sl
p
?
(Allowablef?? q??.?
IGAl4
k O15tories
Length JX-7
DepIM1 Decks 13x16
S.F. Total 12X12
S.F. Footprints -
On Sile Sewage _
On Site Well _
MWCC System _
City Water _
PRV Requirad _
BoaSter Pump -
APPROVALS
Plannar _
Council _.
BIdg.Off. _
Variance -
Bldg. Permit
Surcharge
Plan Review
SAQ Ciry
SAC,MCWCC
Waler Conn
Waler Meter
Acct Deposit
5/W Permit
SiW Surcharqe
Trealment PI
Road Unit
Park Ded.
Copies
TOTAL
FEFS
ino.no
4_np
i04.00
, ..`
/
?
BUILDING P
... • -' . . 1'.'f- , :-?. - _ _. . _ i'l,,FF_*,e 'c.e- ..frr.rwero- ...
CITY OF EAGAN At 17114
3830 Pilot lCnob Road, P.Q. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ;
Receipt #
To be used for 3-SEASON tORCH Est. Value ;B,UOQ Date SEP Z S „ 19$?
Site Address 1751 CRESTRiD6E LN
Lot 4 Block 2 Sec/Sub.RIDGE YILni ACRBS OFFICE USE ONLY
Parcel No. accupancy - FeFS ?
Zoning _
W Name pAUL GLEASON (Actuaq Const Bldg. Permit 100.00 i
; Address 1751 CREST?tIDGE LtJ (Albwabl?? l2:14 '
S
h
??•? ?
° CitY ?? Phone 454--4453 # of Stories urc
arge
70 Plan Review
o Name 1'ANELCRAF'F Length
p??h Doeks 13x16 sAC
city
ou
U Address 3118 SN$LLING AVE S S.F. Total 12x12 ,
?
City Mp? Phone 721-6628
S.F. Footpnnts
- MCwCC
SAC,
Wa1er Conn
On Sile Sewage _
F W Name On Site Well - W
ter M
ter
a
e
=Z AddreSS MWCC System _
grZ
<W
Clty PhOfl@
City Water Acct. Deposit
S/W P
i
PRV Required
_ ?
erm
l
I hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge
information is correct and agree to comply with all applicable State oi ?
Minnesota Statutes and City of Eagan Ordinances. Treatmenl PI j
Signature of Permitee APPR04ALS Road Unit
A Building Permit is issued to: gAMLCRA" Planner - park Ded.
on the express condition that all work shall be done in accordance with all Councii -_ ?
applicable State of Minnesota StaWtes and Ciry of Eagan Ordinances. Bldg. Off. _ Copies j
104.00
4
Bufldfng OfhCial Variance - TOTAL
l
Permil No. Permit Holder Date Telephone #
WATER
SEwER
PLUMBING
H.V.A.C. ? o?-? o o/-eY' Se
ELECTRIC
O
Inspection Date Insp. Comments
Footirgs I ?0?7
Foundation
Framing I 1
Roofing
Rough Plbg.
Fiough Htg.
1sul.
Freplace
Final Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Ergr.lPlan
Bldg. Final
Deck Ftg.
DeCk Final G
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition Ridge View Acres Lot 4 Bik 2 Parcel 10 64000 040 02
Owner L1 `(0.: ? Street 1751 Crestridge Lane State Eagan, MN 55122
Improuement Date Amount Annual Years Payment Receipt Date
STREETSURF. 7 1977 1418.20 141.82 lU 1418.20 C002336 9-16-76
STREET RESTOR.
GRADING
SAN SEW TRUNK D
SEWERLATERAL
WATERMAIN
*WATER IATEfiAL
WATER AREA P&id ith water onnection 51 76
STORM 5EW TRK ? L 1983 561.00 37.40 15
?STORMSEWLAT rbl 2 1.20 150.06 ZO PAID
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. $320.00 3006 5-24-76
BUILDING PER. #3945 3006 5-24-76
sAC 3006 5-24-76
PARK
Eagan Township
Dakota Countp, Minnesota
Applicatioa for Bailding Permit
Tppe of building or work coatemplaied. Circle correct descriptions.
Resideniial Commercial IndusYrial
Euild Enlargs Alles Repair
Loca2ion
oZ
Owner
Contracior
Other ...............................................................
Inatall'a Move Wreck Other...........
or
Address
Address
PEAMIT NO.v.1.._#4?.._.
Date;??-?•-•?/._.???-•-•-
The undersigned hereby makes apnlication for a permi! !o
? . do work as herein speeified, agxeeing 2o do all work in sirict
Toial fee collected. accordaace with ihe i ing osdinance adopted April 11, 1955
by 3he Eagan Tcwas ip o Zi of Supervisors.
Permit fees are ao! ?
refundable.
------•---•--••-•.....•••--• -•-•••••••--------• ... ... ..................•- .._.__...-- -----..
5igned
_.•I
Address
CO RECTI0N NOTiCE
2/"P.S L Y/ (79 (o
Owner/Agent Add
Ordinance Nos. and Corrections - Correct By
DATE: 2-1y 76/
Site
/ (}ti
?
For reinspection t
Eagan Dept. of Inspection In5p6Ctof:
3795 Pilot Knoh Rd.
Eagan, Minnesota 55122
464-87 00 DOpt.: _
CITY of EAGAN
BUILDING PERMIT
Ownar ..rl.Irl.ki1
Addrau (presea!)
Builder
Addraes
DfiSCRIPTION
. ,. v
N4 3945
3785 Pi1oY Knab Raad
Eaqan. Minnesota 55122
454-8100
Dat. . i??...?..?,f..1?7..G
?
6toziec To e Uaed For Froni DeP=h Haighi Est. Cos! ' esmi! Fea Aemarks
l / z?-
' / LOCATION --?T4'1 8!lBBI, ROeQ oT 0I118i DBECiiDHOn of Loe9Sloa I LO! P 1S10CY I „ AqQtilop OII TlaCI
/??vr I -? I -?2- I /"Ave? act?
This pesmif does aot eufhorize the use of sireets, roads, elleps os sidewalka nos doea it give the ownas or h[s e9sa!
the righ! !o craate anp situation whieh is a nvisance or which presenls a hasasd !o the health, safetp, eoaveaiance aad
geaeral waltare fo anyoae in the communify.
THIS PERMIT MUST BE T ON THF??? 7R,EIM? SE WHILE YHE WORK I6 IN PAOG 8
This !e 3o aezlify, l6at--,?.7.!C!?......(.../..N l? . ................. has perai ' erec! a... ..?.. ... ....?L??'.l...,_upea
the above described p e subjec! Yo the provisions of all app ' a le Ordinan es fo ik?' gI Eagan ?
?..-°??-
....._..--°-..c..?...?........-- -?-°-°------ Y- ................................... ...: Per ... ... L??-4%F%:L... ........................
. ....... ... . ........... . .
_ or ? SuAding Inapxtor
O?-
U,'euJ ?qcv?s
czTY oF Eac.0
3795 Pilct TCnoh Road
Eagn-n, :+i_rneoetd 5'1-122
FERvff i' P70 . ;
698
The City o£ Eag,:n hereby graiits to Project Plumbing Co.
ef 9743 Hwnboldt Ave. So. Mpls. 55431
a P1umiBinq Permit for: (Owner) Marine Dev.
at 1751 Crestridge Lane , pursuant to application dated !. 7/2/76
ree Paid: _ $20.00 dated this 9
.50
day oF July , 19_ 76
Liuilding Ir:spectdv
Meehanical Permits:
Bid Tcta.l:
a--
ot
CITY OF EI1G11N
3795 Pilet Knob Foad
Eagan, N?innesota 55122
PERNLTT NO.: 863
The City of Eagan hereby gra.nts to Ray N. Saelter Fieating Co.
o£ 1Npls.
a Heating Permit for: (Owner) Ffarn'P r t-r.' f3cp
at 6751 (xestridge Lane , pursuant to application dated .?-
Fee Paid: $20.00 dated this 15 day of ;n,jy .. 19 7,5_:
.50 s/c
$uilding Inspector
Mechanical Permits:
Bid Total:
REQUEST FOR ELECTRICAL INSPECTION ?
EKI0J0
??
?
/'? ?/??q q (? See instmdions for completing Ihi@ brm on back of yellow copy.
I r Pl / LL LL TS X°BBIOW Wnik Cnvwrad hv Thic RcnucM - K'TSJ? ?
Add ing A EquipmentWired_'
porary Service
dric Heating
F &Building her (Specify)
l
ConVacWrS Remarks:
Compute Inspection Fee Belaw.-
# Other Fee # ServiceEnlranceSiie Fee # Circuits/Feeders Fee
Swimming Pool D to 200 AmpS O l0 100 Amps
Transformers
Signs A6ove 200 _ Amps A6ove 100 _ qmps
Inspector5 U. Only: TOTAL -
Irrigation Booms Tj
?O 5
Special Inspection ?
Alarm/Communication
O[her Fee
I, the Electrical Inspector, here6y
certify that the above inspection has
been made. Rouyn,n
FOw ? oate /
`d ';?? 0
..
?
OFFICE USE ONLV
This request voitl iB manihs Irom
?
/// As??
ue a
v2 4 4 8,?
/0/o?s,
-ire No. V Roug?-in lnspection
equjretl? ? Reetly Now I Notiy Inspec?or
s ? No Nfien Reatly?
I li-ensed contractor ? owner hereby request inspection of above ele ical work af:
bb Pqaress (Street, Box or Rcy[e No.) '
?7 r? / ?--?}--? '., CiN_
I/ / /?0., V , .,7...,
Or No.
No.
- y 5/S?
No.
MINNESOTA STATE BOApD OF ELECTpIGfry
ariggs'Midway Bltlg. - Room S773
1841 UnivmONy Ave., SL Paul, MN 55106
Phom (612) gly.OBpp .
THIS INSPECTION qEQt1EST WILL NOT
BE ACCEP7E0 BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCIASED.
nLLaaE -0:.EA6AN WATER SERVICE PERMIT
3795 Pilof Knob Road PERMIT NO.: 2014
Eogan,MN 551I2 DATE: 719176
Zoning: Rl No. of Units: 1
Owner: maYhfe DOV.
Address:
Sice nddress: 1751 Crestrldqe In. S2 Rd ev. Ac.
Plumber: _PYOj@CL_P,],
MM 168_
90
Meter No.cL 00_pd_
Connectlon Charge:1f,g. 01D
--pd_
Size: Account Deposit:
Xk?ader No.:,Z Permit Fee: 10.00 pd
I ag e?T
omp wifh }he Village of Eagon Surcharge: .50 pd
?
?^an? ? ;7 Misc. Charges: 60.00 pd
Total:
By Date Paid:
Date of Insp.: Insp,;
YILI!!OE 9F ER04N SEWER SERVICE PERMIT
3795PilotKnobRood PERMITNO.: 2 766
Eoyon. MN 55127 DATE: 7/9/76
Zoning: RI No. oF Units: 1
Owner: - Marinp peV
Addresa:
SiteAddress: 1751 lYnstrida r an rA B 2 R4dg@ Ac
Plumber: Project Plumbing Co .
5/24/76 #3006 100.00 pd
1 agrea to comply wifh fM Villaga oF Eogen Connec[ion Charap0.00 pd
Ordinoncas. Account Deposit:
Permit Fee: _ P
-
--
-
' p
cT
Surcharge: 50
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
.. •
SINGLE FAMILY DWELLINGS
1989 BIIILDIBG PERMIT APPLZCATION
CTTY OF E9GAN
JMOI.TIPLE DWELLINGS
2 3EfS OF PL9NS 2 3ET3 OF PLiN3
3 REGISTERED STTE SIIROEYS HEGI3T6AED 3ITE 30RVEYS -
1 SET OF ENEAGY CALCS. (CHECg iTITH BLDG DIV.)
1 SET OF ENERGY CALC3.
?ATLTIPLE DWELLINGS AEDITAL DNITS FOE SALE IINITS
A% l0u•(i U+
4•OU=
tu4•uu,
2 SETS OF AHCHIiECT(TRAL
& STBIICTQRAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF EIQSRGY C9LC3.
t OF ONITS
gOTEr ADDRESSFS FOE CORNER LOT3 - COATRACTOR/SOMEOWNER M03T DESIGN9TE YHICH dDDRFSS
IS DESIRED. NO CfiANGES WILL BE ALLOiiED ONCE BIIILDING PERMIT I3 I33IIED..
SEWER 3 WATER PERMIT FEES !ND ACCOIINT DEP03IT FliES WILL BE INCLDDSD HITH THE HIIILDING
PERMIT FEE. PAOCFSSING TIME FOR SEWER 9ND WATER PERMTIS IS TWO DAYS ONCE A PERMIT B95
BEEN COMPLETED INDICATING 6 LICEN3ED PL[AMffiER.
PENALTY 9PPLIFS WHEN: PERMTT IS NOT PAID FOR IN S9ME MONTH TT IS RECiTE3TED.
LOT CAANGE SS EEQUE3TED ONCE PERMIT IS ISSt1ED.
SEP 2 5 1989
To Be Used For: 35-e7ls*e^' Ualuation: 14 04g) Date: r2
Site Address 1767 c,&TT.2r0hE G,,ll
Lot 1-i Bloek 2-
Pareel/Sub '?lc-(-cJ
Owner Ppl?G-?oCGr11???
Address !7 ?'I (2??T2lD?iL Gsf/
City/Zip Code
Phone
Contraetor
Address 34 >A125766tW6
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
55vD0 -
Occupaney
2oning
Aetual Const
Allowable
8 of stories
Length Pr-e-Kg
Depth
S.F. Total
Footprint S.F.
Pc2cry ; IiXly
On site sewage
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
APPROPALS
Planner _
Couneil
Bldg. Off.
Varianee
FEES
Bldg. Permit
Surcharge
Plan Review
SACt City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road IInit
Park Ded.
Copies
SUBTOT9L
Penalty
TOT9L
1C?b. oa
y,co
10777
Phone #
CERTIFICATE OF SURVEY
?
L xsu' u[-
LANDSURVEYORS
i1nl;
91•8 1
I 1
i ?
I
) n?
ii
i
V\
?
i
(/?!a15j o
/Oi.
Survey for: MARNIE DEVBLOPMENT
iinw
tifl`.</f%:1.??!7ro?;i:`r^r?.:??,..rr.'.f.•;?'? !
i?
i?
Y
? `.
`, ?D'C.l?` Z•;.?_'_. \' .
N .
i7?
".
?.
co"&W, Pue.
' 871:1 nuvnr.r aveNUE 50utli
HBF 10M
bSa?U
e'
•, ?? ?a7?L,' ??c
?•,
•,<
? 1? `?[??•c
C,PE:`> T ,?J/lJGE LANE
h i i iLP.'.y: A
Deacription: 7rr/"' iO!>'
Lot at, Block 2, RIDGE VIEW ACRES
We hereby certify that this ia a true anfl correct repreaentation of a survey
bf the boundariea of the land above flescribed and of the location of all
buildings, if any, thereon and all visible encroachments, if any, from or
on said land. Dated this 21st day of May, 1976.
I Propoeed gArage floor / 'I.-" ^
?? • , _?a._
b r ?
Y
nneoo eg s°7a on . o.
L
---- ?
MASTER CARD
LocarioN C3?1" f 175 ? Ral9nlletf)
OWNER
STRUCTUR: AND
LAND USED AS
Permit I
No. ?
i
Issued Issued Ta
Contracfor Owner
BUILDING
PLUMBING
7-p->6
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTAILING
SANITARY SEWER
OiHER
OTHER I I
Approved
Items (Initial)
Date Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING ? TILE FIELD FT.
FINAL
ELECTRICAL
.
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELp
PLUMBING
? - -t
WELI
SANITARY SEWER
- 9 .3 24 ,.JR..f
/ C
Violations Noted
on Back
COMMENTS:
i ?
7 ?
Dt1Ti; .J ' - 7 K
EU:ILPitTG PEtTUT 1:'r:'i;ICAaIO'* ?i?OK
?
LetBlr:ol.Aili'tic:i ?
Parcel and secticn munber
Stre.t (A a Numbz;r---/ ?,? s -°--- ---
Owner 2ddrevu ifQ9 12 Q?•[Try'7d __
Develcp,)r Lr`?,??0P/ A?,irass ??
_? .t///
Zone-Ordin2,r.ce #,2
Lot Size
h
Total area
Plattecl?Zleq f lir.p?.atted
Bui1d.`.r:g Size X Total
Occuganav?c / iL _
Type of ccnstr?a.c.tion
Setbaeks; Street sl.des
'r Sidcs
Rear
ParkirPo To'wa1 area
Park_in; area setoacF:s:
Stroat side Rear
Landscapa app:°cval
Total
area
?
s O ??C "
spaces ?,2.5'
?' Qe
•T.,-.
required
Bond
sG
Special Assessmeats:
sAc chargP @ $uSo.oo
Water areas ?
Assessed Ur.assessed
If assesGedc Conn--ctlon charUa
I£ ur.asseEs ed: Corneoti on charge
Lot di-isinna
kcic_itional assessments needed
Lateralsa
AS^u°552d I%Tdaiver of heasin,v, a
V zDeaEri
?
Asscssment clk ?;A .
Water 4 Secae, Dept
Not needed
Not assessed
Not nseded
Auil3ing Dept
Police Dept Fire Dept (C .o-?m & Ind anly)
2006 RESIDENTIAL BUILDING rExMrr arrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Gonstrudion ReouiremenLs
3 registered sAe surveys showing sq. ft of fot, sq. ft of house; and all roofed areas
(20°k maximum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 setof Energy Calculations
3 copies of T2e Preservation Plan'rf bt ptalfed atter 711193 Rim Joist Detail Opflrns selection sheet (buildings witlh 3 orless unrfs)
Mirmegasw mechanipl venidalion form
RemodeVReoair Reauiremenfs
2 copies of plan showing footings, beams, joists
1 set of Eneyy Calculations fm heated additions
7 sife survey for additiwu & deuks
Adddion - indicafe Bon-sife sep6c system
?0 ,zJ
Offe:e?lJse'OnW
t.
CettoFSuveyRec3 %Y 'N
TteePresPlaRbtecd '1' ? 1?.
TreB Pres R `uirei "Y °- N
e9
Oo-Sde Seytic?5ystem =Yt M
Date Construction Cost #
Site Address ?-7 5-t e-5? /
Q Unit/Ste #
Description of Wwk I Vl
Multi-Family Bldg Fireplace(s) _ 0? 1 _ 2
Property Ownerit ° ?AN y 64OG )U t? Telephone #(() SJ )??' ?) 3?
? )'KA
A/
lc
Contracto r 1 Y
?,
b
Address"77(Ob Cify Cn
State Zip ?Sd ? ) Telephone fr N!J-'i?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A BdEW BUILDING
- Minnesota Rutes 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code CategOry . Residential Venfilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the lasf 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # [
I hereby apply for a Residential Building.Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and eodes of the City of Eagan and the State of MN
Statutes; 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 appro plan in the case of work which requires a reaiew and
approval of plans.
?
Applicant's Printed Name ApplicanP ignatur
SHEE'T 10? 6
? PAdG ANO C/7KOL 6LEA.SGA)
1751 CRESTRlD?E LRNE
Ep6Aitl9 j'1.t/_
- 45'l-445'3
z9'ro' '
Ls?yp7 , nl i y i
a3tsJaYd b3bN ! I ? i `
A 4?'
? 3FrTO t?n?6
NaT To ScALE
?
DcrST_ HOHE
?
47'
-3vTO L NG
NeTT*SCA
FRONT
r-NTR y
•
p .
LOCATION ON SITE ??
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117133
Date Issued:10/15/2013
Permit Category:ePermit
Site Address: 1751 Crestridge Lane
Lot:4 Block: 2 Addition: Ridge View Acres
PID:10-64000-02-040
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 .
Patrick Swanson
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 -
Steven Skoglund
1751 Crestridge Lane
Eagan MN 55122
Trinity Exteriors Inc
4204 Park Glen Rd
Minneapolis MN 55416
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127827
Date Issued:10/15/2014
Permit Category:ePermit
Site Address: 1751 Crestridge Lane
Lot:4 Block: 2 Addition: Ridge View Acres
PID:10-64000-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Steven Skoglund
1751 Crestridge Lane
Eagan MN 55122
(651) 454-6131
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature