1745 Cochrane Ave. CITY dF EAGAN
3830 Pilot Knob RQad?P.,O. Box 21-199, Eagan, MM 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt#
To be used for Est. Value Date
Site Address FFICI
Lot Block Sec/Sub. ' • On SRe Sewage
MWCC Syatem
Parcel No. Oo Site We11
m Name City Water
W PRV Required
z Address
o Booster Pump
City Phone
¢ Name
.o
? Q Address
P City Phone
City Phone
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.
5ignature of Permittee _
A Buitding Permit is issued to:
on the express condition that all work shal I be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS
Engr./Assess.
Council
Bldg. Off.
Variance
1 .1'7 c:
87
UccupanCy
Zoning
(Actual) Const
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Plan Review
SAC, Ciry
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
• Permit No. Parmit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection oate Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofin
9 ?
Rough Plbg.
Rough Htg.
Isul.
Fireplace ?t ? •/ $ Fr
Final Htg.
Final Plbg.
Bldg. Final pt ??
Cert.Occ. '
?
Temp. LP f?d+q' . ??J?v9C. ?
Deck Ftg.
Deck Ffnal
Well
Pr. Disp. '
?
CITY OF EAGAN Remarks
Addition CIMAR GRfJVE 10 Lot 3 Blk 1 Pascel
owner 5treet 1745 CoCh_rane Avenu? StateESiq3I1, MN 55122
rh, $'-eo, ti,,, , .
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 85.50 3.42 25 Paid
* SEWER LATERAL & Stub 1974 1,708.10 341.62 5 P8iC1
WATERMAIN
* WATER LATERAL &_ StLi}J 1974 S
WATER AREA
STORM SEW TRK
* STORM SEW LAT 1974 5
CURB & GUTTER
SIDEWALK
STREET LIGNT
WATER CONN. 324. QQ 8675 8-1-73
BUILDING PER,
saC 375.00 B-1-73
PARK
' CITY OF EAGAN
? 3830 Pilot Knob Road .
? Eagan, Minnesota 55122-1897
? (612) 681-4675
, SITE ADDRESS:
i?tyt; ??'V E 10 TF!
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
? .. i. . .
E4r. PArH
!2r RlI.4'r cl1wmtJ,
INSPECTION D . DA
Permit No. Permit Holder Data T¢Igphone #
ELECTRIC
PLUMBING
HVAC
Inapectian Date Insp. Comments
FOOTINGS
FOUNO
FRAMING i
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBpARD
FIREPLACE
FIREPLACE
AIR 7E5T
FINAL PLBG
FINAL HTG
ORSAT
TEST ?
BLOG FINAL I
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
J
Vr«gE oF E?UN SEWER SERVICE PERMIT
3795 Pibt Knob Rood PERMIT NO.: 2051
Eo4oe, MN 55122 DATE: $11/73
Zoning: -?? i No. of Units: 1
Owner: Cedar Grave Construction Ca.
Site Addr
Plumber:
S
iagr.. to eomplr rvith Na Villoy* ef Ea9oa Connection Charge? 7 5.00 pd 8 / 1 / 7 3
Ordinewen. Account Depoeito
Permit Fee: 1 ' p
Surchazge: ' p
By: Misc. Charges:
Date of Iasp.: Total:
Inep.: Date Pald:
r.....?. _.._.,... _, , _ ..... .. .., . _....._
JIL4ARE OF EAQAN ?. __ _ . _
WATER SERVICE PERMIT
3795 Pilor Knob Road PERMIT NO.: 1261
Eoqan,MH 55122 DATE: 8-1'73
Zoning: No. of Units: 1
owner: Cedar Grove Con etruction Co.
Address:
sice nddrees:/745 Cochrane 3- 10 ? ,s??
Plumber: Saint8 IAC.
00 gd $I?73
320
Meter No.: •
Connection Charge
Size: Account Deposit:
10.00 pd $7173--
Reader No.: Permit Fee:
$?r3-
I ogme to eompir with tM Villoye of Eoyaw Surc6arge:
Q.dinoneas. Misc. Charges:
Total:
gy Date Paid:
Date of Inep.: Insp.:
This request void
18 months from
Owner
Contractor
or
MINNESOTA STATE BOARO OF EIECTRICITY
C+rig9s-Midway Bldv. - Room N-191
1821 Universitv Ave.. St. Paul, MN 65104
Phone (612) 642-0800
? zt</
L"R.ady Now ill Noufy Inspec-
t r When Ready
I hereby request inapection ol abova
elactrical work inslallad at:
THIS INSPECTION REQUEST WIIL N(
BE ACCEPTED BV THE STATE BOARC
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
/?,3,8-17 REQUEST FOR ELECTRICAL INSPECTION
? EB-00007-06
? See inatructlons (or completing this torm on back of ysllow copy, u ?7
. 9
U -i-ro 3 "X" 8elow Work Covered by lhis Request
FVVMA,?dj Rep. TYPe of 8uildin0
Home A
Pvliances Wirad
Ran
Equipmenl Wired
Duplex ge Temporary Service
Apt. Building Water Heater
Dryer Lightin,y Fixtures
ffi
CommerCial Bldy.
FurnaCe Electni; Heat?n
?nclustrial Bldg.
Air Conditioner Silo Unloader
Farm
Othr.r peci y Bulk Milk Tank
Other ISPer.?tyl
? er ueci y ther
Orher
10Mni,r1.- anf:.,.,
/e /6 7 o 4 63,15 a /
c'ErJA2 G X'ovE w-'/0
PILLA(rE OF F1lGtiN
3795 Pilot Rnob ttoad
Eagan, Iviinneaota 55122
PECtiaT N0._ 371
The Village of Eagan hereby grants to Cedar Grove Construction Co.
o£ 7343 Coecord 731vd. E., South St. Paul
a PI.L"rTBIIdG Permit £or: (Owner) sssme
! 745 Cochrane
atI44e-Sa=_ llYn-e. ?? 10-8- , pursuant to application dated 7/23/73
Fee Paid: $60.00 dated this lst
. a c -
day of Aagust ? 19 73
Building Inspector
Niechanical Permits:
Bid Total:
i
3 -I -io
c. G.
.
_
VILi.AGE Oh' l:AGk1V
3795 Pilot Knob Noad
Eagan, IvIinnesota 55122
PIIRNIIT N0. 390
The Village of Eagan hereby grants to Cedar Greve Ccxistruction Co.
o£ 7343 Concord Blvd. E., South St. Paul
a ilEATT;:G Permit £or: (Owner) eame
1745 Cochrane 7- -, 1741 Aeerwood Dr. 10=
at 1742 Sartell Ave. 25-10-8 1 pllrsuant to application dated 3/23/73
Fee Paid: $60.00 dated this 18r daq of August ? 1973
.5 s c
Building Inspector
rlechanical Permits:
Bid Total:
?
EAGAN TOWNSHIP
BUILDING PERMIT
,//`-?.... .?-.".?..?:Q?.- ....
owoa: .......
Address (PresenY) .... 1irA...:._..?:...... :/-.E-`c?: ? ................----
Builder
Address .....
DESCRIPTION
v
N° 3091
Eagan Townahip
Town Hall
5---
Dale ..... ""'^--°°°...?..-?
Sto:ies To Be Used For FronS Deplh Heigbi Es2. Cos2 Permif Fee Remarks
A7 S?'r fSS. S /o 1.rsu4
or
/7 Y 5" ??-,?-,•?-- I 3 I / I 1`?e io
This pexmit does not aufhorise the uae of slseels, roads, alleys os sidewalks aor does it give the owner or his egen!
the rightlo creale anp ai2uaiion whiah is a nu3sance os whieh presanis a haaard !o ihe heelih, safelp, eonvenieaoe and
general welfare !o anyone in the eommunifp.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRE S.
This is to certifp, fhal.....-srx?.. ??`-tr. .... .........permission !o erect a..... ..._-_-.-._- -.-._. C..?.:." ....... ........._upon
the above desaribed premisa subjeet io the provieiom of the Buildixg Ordinanee for Eagaa ownship adop ed Apr[1 11.
1955. /n 9
"........
--'---........----....----.Q...... ?
.....----........---
'-'-•-----°-`°......---?`'?--_-°---f./..E---"- ----------- - - - ............. Per .................................. .
Chairman of nwn Board Building Inspacior .?
e_
16
?a5,fTI
L BL CITY USE ONLY RECEIPT #: ?
SUBD. DATE: ? ?? /n
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction
Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Replace furnace and air conditioner
Date: 7-30-95
FEES
? iVlinimum Fee: Hcid-oniriemodei (exisiing residence oniy) $ 20.G0
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL $20.50
SITE ADDRESS: 1745 Cochrane Ave
OWNER NAME: Robert Levesque PHONE #: 452-2188
INSTALLER NAME' Fredrickson Heating & Air Conditioning, Inc.
STREET ADDRESS: 3650 xennebec Dr.,#1
CI7Y: Eagan STATE: rN ZIP: 5s»2-i nn'i
PHONE #: ( 612 1 452-2775
L?-=
FPF-R1MiTTLE?,r %
?0?0 /?G
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF encaN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeUReoair Reauirements
? 9 registered site surveys ? 2 copies W plan
• 2 copies of plans (inGude beam & window s¢es; poured fnd. design; etc.) ? 2 aRe surveys (exlerior additions 8 dedcs)
• 1 energy calwlations ? 7 energy celwladons iw heatetl adtlkions
? 3 copies W tree preservation plan H lot plaMed eRer 711183
requiretl: _Yes _ No DATE: -7 • a a • 9-1 CONSTRUCTION COST: S L1,5LA I - ?
DESCRIPTION OF WORK:
STREET ADDRESS:
OL T ? BLOCK
PROPERTY Name: t-GVESG?UE?RpBERT Phone#: ??-c')VRg
owNeR u., ..,.
Street Address: I ? L15 LO (t+RML?- PtJ?, •
City: T---AC PrN State: tA N)_ Zip:5sl aQ ^
CONTRACTOR
ARCHITECTI
ENGINEER
Company: P,S??PA- B
AA-ADERfi? Phone #: 5-7 I''-7 %1 lo
Street Address: License #: S)M'AnLaBL
City: F-R1D? State: ?MN Zip: 'a o1
Company: P,?JA-
Name:
Phone #:
Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licer.qed plumber (new construction ony): . Penalty applies when address change
and lot change am ?equested once permit is issued.
I hereby acknowledge that I have read this appiication and sfate that the information is or ct and agree to ?mply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 0
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes ` No _ Not Required
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
851-881•4675
New Conetruetion NeauhemaMs
• 3 registered stte surveys showing sq. H. ot bt, sq. ft of house; an0 all roofed areas
(20% ma)dmum bt coverage albwed)
• 2 copies ol plan showing beam & window sizes; pouretl found design, etc.)
• 1 sat ol Energy Cakulaibns
• 3 copies of Trea Preservstbn Pmn B lot pletled afler 711/93
• Rim Jolst Deteil Optbns Seledbn sheet (bMgs wilh 3 or less uMs)
Z;=Z
DATE
7as
HemodeVReoeh Reauirememe
• 2 copies ot plan
. 1 S6t 0f Efl8f9y C81CUIdU0f15 fOf hBBtBd BddICU115
• lsttesurveyforeXlerioradd'Alons&decks
• Ind'rate ii home served by sepib syslem for additlons
VALUATION
SITEADDRESS ( q"45 COC(-? E P-(42 MULTI-FAMILYBLDG)<Y _ N
NPE OF WORK Te_kR- ~r' F F P-Z -124a CA`zw,cFIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT ktt?j
STREETADDRESS _?b5 Cq?Bwo4c ?-,# Xn( Crry ?L01)a Awa?STATE 1ur-'ZIP
TELEPHONE i5?- CELL PHONE # I? ta? 6;'&9"?(r0`F FAX a?4Sa)qaS-? -? ?
??
PROPERTIf OWNER TELEPHONE # ?05 ySa- -2 114-B
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA1'EGORY 1 MINNESOTA RULFS 7672
(J submiasion type) • Residential VentilaGon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewedwater Conhactor:
_ Water Softener ?
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this applicatlon, state that the infor ition is corre t, a d agree to comply
wiTh all applicabie State of Minnesota Statutes and City of Eagan Or '
Signalure o} Applicant
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
/Y3 (c
1987 BUILDING PERHIT
SINGLE FAMILY DWELLINGS
On Site Sewage
MWCC System
On Site Well
City Water
INCLiIDE 2 SETS OF PLANS, 3 CfiRTIFICATES OF SORVEY, 1 SET OF ENERGY CALCOLATIOHS
AiOTE: ADDRESSES FOR CORNfiR LOTS - CONTRACTOR/HOMEOIiNER MUST DESIGNATE WHICH ADDRESS
IS DFSIRED. NO CH6NGfiS WILL BE ALLONED ONCfi BUILDING PfiRMIT IS ISSUED.
MOLTIPLE DWELLINGS - RESIDENTI9L RENT6L ONITS FOR SALE 0MS
INCLUDE 2 SETS OF PLANS, CERTIFICATS OF SDRVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OE SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For:
Site Address UGKILAJ
Lot 3 Block ? l '
Parcel/Sub o
?
Valuation: 45m+ooo Date:
Owner T'Qgjz?x Uwj'-LSC?l?
Address l-l y-s c4C.*?ft44 r
Cityl2ip Code i?YA,GA.J MA ?5511 ZI
Phone g94-- 4oQ'7 9pPROVAf 4
Contractor
Address [5no'l
City/Zip Code
Phone (?Qq (?4 - z,9 t /
Arch./Engr.
Address
City/Zip Code
Phone ll
- CITY OF
&•o ocT ?& g 1661'
_ oecupancy R-3
_ Zoning
_ Type of Const
_ (Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
FBBS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Couneil
Bldg Off
APC
Variance
Permit
Surcharge
Plan Review
SAC, City
SAC, MFTCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
328,5-0
25.00
5?Ti,7
`
i
10/30/87 - REFGNDED PLAN REVIEWCITY OF EAGAN NO 14367
FEE - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 ^? ?I
Receipt #
Tobeusedfor k'?RE DAMAGE Est Value $50,000 Date OCTO$ER 29 19 87
SiteAddress 1745 WCHRANE AVE
Lot 3 Block 1 Sec/Sub. CEDAR GROVE lOTH
Parcel No.
alName ROBERT LEVESQUE
? Address SAME
° City Phone_ 894-4007
o Name RODAN CUSTOM SERVICES INC
?Q Address 1509 SARGENT AVE
? City ST PAUL phane 696-2913
UQ
W W
?z
sa
U2
aW
Name
City
I hereby acknowledge th I have reatl thi aDPlication an state that the
informa4on is correct nd a9 to con p pli ble State of
MinnesotaStaNtesan a nOd n
Signature of Permittee
A Bwlding Permit is issued to R(1?AN ('IiST(1M SER CES_
on the express condition ! hat al I work shal I be done in accordance wrth all
applicable State of Mmnesola tatutes and Ci /,?,+??o,f Eagan Ortlinances
Budding ORicial ? 1/?-Y-L.de-
.-?
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System _ 2oning
On Site Well _ (ACtuap Const
City Water - (Allowa6le)
PRV Required _ # of Stories
BoosterPump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 328.$0
Planner Surcharge 25.00
Council Plan Review ?:-2S'
eldg Off SAQ City
Variance SAC,MWCC
Water Conn.
Water Meter
Road Unrt
Treatment P1
Parks 7
? $353.50
5
?J
'
5
TOTA '
-?
-
-
?
MASTER CARD
OWNER
STRUCTUR: AND r
LAND USED AS X6' y..3 rO i&) ?
Permit I
No. ?
Issued Issued To
Contractor Owner
BUILDING 3D
PLUMBING
v
CESSPOOL - SEPTIC TANK
WELL
EIECTRICAL
HEATING 3 D
GAS INSTALLING
SANITARY SEWER
OTHER ?
?-
4141
OTHER
Items Approved
(Initial)
Date '
Remarks
Disiance From Well
FOOTING
? SEPTIC
FOUNDATION i
CESSPOOL
FRAMING ,6^I ? TILE FIELD FT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING ?d ' I b•
WELL
SANITARY SEWER 2,3
Violaiions Noted
on Batk
COMMENTS:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16709-030-01
PERMIT
PERMITTYPE: auiLozHG
Permit Number: 030514
Date Issued: 0 7/ 2 4 J 9 7
1745 COCHRANE AVE
LOT: 3 BLOCK: 1
CEDAR GROVE 10TH
DESCRIPTION: a E P La c E
Buildi-mg Permit Type
8uild3ng?'iJqrk Type
?Census Ccd
\
? +...??t' ?9iMiN' F- ' h?l'?`4•r,+
~~3 ??`lt ?il V
i?
'r
VALUATION
WINDOWS
5F (MISC.)
REPAIR
434 ALT. RESIDENTIAL
"??tE 814 ftfv rA
EIN
f?
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
arz-
s`Y"ag
C':t
$5,000
$99.75
$2.50
$102.25
CONTRACTOR: -
RENEWAL BY ANDERSEN
?
'?00 BUERKLE
WrIITE BEAR LAKE MN
(,512) 430-7255
Rpplicanc - ai. LiU
p ?J??
15717816 2004063 ?LFV??OUE JR ROBER7
1745 COCHRANE AVE
55110 EAGAN MN
(612)452-2188
I
I hereby aGkn4wlardge t.tiAt I"k?awe r-ead t?n;tt ?;tat;? tha:t?;:,1,th,e I
information is correct `bnd ;ayvee td comp`ly,w'ith all appli?aable State Mn. ?
Statutes and City of Eagan Ordinances. ?
r ;
?: ......_,,...,,, ,.: -.,.?_.._w "_ ? ?.:....?... ..,i _..__, .;?,?.. . _ _,,.,?... . . ? . ,. . _. .t..?
APPLICANT/PERMITEE SIGNATURE ISSUED B : GNATURE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115367
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 1745 Cochrane Ave
Lot:3 Block: 1 Addition: Cedar Grove 10th
PID:10-16709-01-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Gail Levesque
1745 Cochrane Ave
Eagan MN 55122
(612) 201-1779
Barnhouse Exteriors Llc
7308 Aspen Lane
Suite 154
Brooklyn Park MN 55428
(763) 670-8729
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177077
Date Issued:06/14/2022
Permit Category:ePermit
Site Address: 1745 Cochrane Ave
Lot:3 Block: 1 Addition: Cedar Grove 10th
PID:10-16709-01-030
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Gail Levesque
1745 Cochrane
Saint Paul MN 55122--174
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature