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4609 Manor DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ., . , i ! If I I :M T H r Iti'1-(*I At'E CTION RECORD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: (t?i.'1 ?l?lvl ',1+ar TYPE OF WORK: .!t 1: ! I' { i 1-il f I NF1 1 itli I E 1? I H+ H:'43i:?t7 0AilG 19 iFiflN I f 1kFf 1 A( I fNCI iff11"1? ? ? ParmK No. PermK HoMer Date Telephone • SfVH PLUMBING G- HVAC ELECTRIC 40V ELECTRIC Inspection Dab insp. Commmft Footings I Foundation Framing Rooflng Rough Plbg. • Z?'" ? R-0 R9• Isul. FTeplaoe - Q_ Final Ht9• ? Orsat Test Fnal Plbg, C 5- ,J,71 Ll H' Plbp. inspector - Notity Plumber Const. Meter EngrJPlan Bldg. Final oeck Ftg. Deck Final Well Pr. Disp. ? CASH RECEIPT ? t GITY OF •EAGAN ., ? q 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 DATE 9? nece? l t C.t.c? c.? AMOUNT S / ?? ! U nni i sac C 4314 ??,, ?? Copy Thank You " ? BY ? SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE "LL:'0TL SITE AQDRESS ' LOT - BLOCK ,' SEC/SUB OFFICE USE ONLY METER # - CHIP # - METER SIZE ISSUE DATE ? v ^ q? lv? , , . -r PERMIT DATE j 1/a J A9 PERMfT # 11069 B.P. RECEIPT # ^ 474 3?B.P. RECEIPT DATE xX pRV - BOOSTER PUMP PERMIT REQUESTED ? SEWER .L? WATER _ TAPS - COMMIIND X_ RESIDENTIAL APPLICANT: ADDRESS:• CITY, STATE PHONE: ? t PLUMBER: ADDRESS: CITY, STATE 21P PHONE: OWNER: ADDRESS: CITY, STATE ZIP PHONE: X-NEW _ EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PEiilY11TS, CONTACT ENGIMEERING DEPT. SEWER 8 WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE /b --2 6- '9? ??l1c?l SITE ADDRESS t Mn-k-kd V4 I LOT _a__BLOCK _I.SEC/SUB OFFlCE USE ONLY METER # #ICA!l 9?Z PERMR DATE 1 1/ 2/ 89 cNiP# 43 i.s3dc PERMIT# 11054 METER SIZE A'd C- B.P. RECEIPT # C 4384 ISSUE DATE ?' 910 B.P. RECEIPT DATE 10/ 31 /$9 APPLICANT: --7-A,4 e c?6 S 1 ADDRESS: ? 2 7 1? Ga r ?t e c' w y? CITY, STATE ZIP `7,772 PHONE: PLUMBER: 14 r ? ADDRESS: j(9')_:- 1,6 r ; iN,x c 1 „4 ;: CfTY, STATE Aa *i, - I L? ZIP PHONE: -,'`yn '4`16si OWNER: L, i 541 ADDRESS: I2'7 2_ ?a r ? q v.' y CITY, STATE ? ZIP ` PHONE: ? PRV _ BOOSTER PUMP PERMIT REGIUESTED X SEWER XWATER _ TAPS - COMAA/IND X_ RESIDENTIAL x- NEW _ EXISTING Lawn Sprinkler Meters are to be Instalied Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. FN O COMPLY OF DINANCES ? SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM ? SEINER PERMITS, CONTACT ENGINEEpING DEPT. ;; % _ % CITY OF EAGAN ?O 17253 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIAIG PERMIT PHONE: 454-8100 Receipt # ?- To be`",used?or SF D4dG/GAR Est. Value 3az sa00 Date OC't' 31 , 19 89 Lot 3 Block Parcel No. W Name o Addre Phone o Name SAME Address '- City Phone ?J { Address OFFICE USE ONLY f hereby acknowlege that 1 have read this application and state that the intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan drdinances. Occupancy R-3 M-1 FEES ? Zoning ?'' 1 (Actuaq Const VN Bldg. Permit 55$•00 (Allowable) V-N . 41.00 `a # of Stories Length 60, Depth 33' S.F. Total _ S.F. Foolprints - On Site Sewage - On Site Well MWCC System xx City Water xx PRV Required ? Boaster Pump _ Signature of Permitee APPAOVALS A auilding Permrt is issued to: TODD TOLi.EFS(M CONSr Planner _ on the express condition that atl work shalt be done in accordance wrth all Council - applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Building Ofticial ' Variance _ 1 Sec/Sub. SurcMarge Plan Review 279 • C* ? SAC, City Yoo•oo ? SAC, MCWCC S7 S.OO ' Water Conn 584.00 ? 90'90 Water Meter ? 30•? AccL Deposii , 20'00 ? S:W Permit S/W Surcharge 1'00 1 1 TreatmentPl 228•00 340•00 1 Road Und Park Ded. Copies ' TOTAL 2,842. Permit No_ Permit Hotder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ? . rr ELECTRIC Inspectfon Date Insp. Comments Footings 1 t/ Foundation Framing Roofing Rou9hPlbg. Rougn Hty. is„i. /- z 3 so t?s Fireplace Final Htg. ? y Final Plbg. Const. Meter Plbg. Inspector- Notify Plumber Engr./Plan Bldg. Final ll-) D Deck Ftg. Deck Fnal weu Pr. Disp. tu (Itr#i#ir?tt uf Orrupttnry titp of (Eagan Eppmfnuni o# luilding Inaper#inn This Cerl)Icate issued pursuant to the requirements of Section 306 of the Uniforrn Building Code certifying that at tJre time of issuance this structure was in can,pliance with the various ordinances of the City regulating 6uilding construction or use. For the following: ux ckusoom IZF ?',[f' ". Pmnk rb. 17253 Occup-r TYx R3/M1 zw* Mu;a Rl Tya conn. VN o,w ?c emg TmD Ia,LF•E'90DT omT. Am. 12725 GAMER WAY, APPfE VALM suMnBnmrem 4609 MAMR DRIVE Lcc,iay L3, Bd, MAMft TAT Deu POST IN A CONSPICUOUS PLACE . PLUMBING P CITY OF EL CONTRACT 3830 PILaT KNOB ROAD, PRICE PNONE 454 Site Ad*ss U ?'w0 Lot Rigr_k ?, , Sgr/Si,h _ Add c (;ky ? I Address ? City Phone FEES COMM./IND. FEE -1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDO- RES. RATE APLLIES MINIMUM - RESIDENTIAL FEE $12.00 MINIMUM - COMM.IND./FEE $20.00 STATE SURCHARGE PER PERMIT .50 (ADD $,50S/C PER EACH $t,gQO OF PERNIkT FEE) Fcr OffiF? PERMIT # ? ? MN 55122 RECEIPT?t DATE: ?? Res. New_ Muit. Add-on Comm. Repair. Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N!L Q FIXTURES Water Cioset - $3.00 $ OTOl T eat, rubs - s3.00 ? ? Layecory - $3.00 Shower - $3.00 T Kitchen Sink - $3.00 UrinaVBidet - $3.00 T Laundry Tray - $3.00 - 3 - Zv? S T Floor Drains - $1.50 - ?C) 1 ? Water Heater - $1.50 i Whirlpod - $3.00 ~x Gas Piping Outlets - $1.eFueAucy -7.Tzr-- ? (MINIMUM -1 PER PERM1'T') ; Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ? Rough Openings - $1.50 U. G. Sprinkler System - $12.00 PERMIT FEE: ? ? STATES S/C: r? GRAND TOTAL: ???? • ? ; :'/ 11-1 ? • ' MECHANICAL PERMIT PERMIT # CITY OF EAGAN RECEIPT # ` -? ?- 3830 PILOT KNOB ROAD, EACiAN, MN 55122 CONTRACT PRICE: PHONE: 454-8100 DATE: - Site Address BLDG. TYPE WORK DESCAIPTION Lot Block E Sec/Sub 'f Res. New ? ? Name ' -,,, Mult Add-on °-' Address Comm. Repair •, Other c City. L Phone ` T- FEES L NBme ? I. •//: -% S.r RES. HVAC 0-100 M BTU -$24.00 c Address ADDfTIONAL 50 M BTU - 6.00 O City -?;?.,? PhOn@ '._1 / (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) TYPE OF WORK GAS OUTLETS (MINIMUM -1 PER PERM17) - 1.50 EA. ? COMIiAAHD FEE - 196 OF CONTRACT FEE Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES ? Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADaON & REMODELS - 12.00 Air COnd. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Outlets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE) Other , PERMrT FEE: ? SIGNATURE OF PERMITTEE S/C: TOTAL: ` FOR: CITY OF EAGAN DATE: 11/2/89 RE: 4609 MANOR DR1VE, L3, S1, MANOR LAKE r xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CAIL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ? Your Sewer & Water Permit for the above property cannot be completed for the following • reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupangy altowed until further notice. ; COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEfORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRiC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, 8uilding lnspections Dept. DATE: 11/2/89 ? ,,,l RE: 4609 l+lANOB DR1V8, L3, Dl. MANOR LAKE xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following •reasons: ? ? Your 5ewer & Water Permit for the above property has been completed, but the meter cannot be Issued or occupancy allowed until further notice. COM111ERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuanoe. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLlCY. Secretary, Building Inspections Dept. CITY OF EAGAN N2 17253 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-8100 ?p J 1??? BUILDING PERMIT Receipt i1 ci 7 Tobeusedtor SF DWG/GAR Est Value $82,000 Date OCT 31 , 1 g_8R_ Site Address _ 460q MANOR DR LOt 3 BIOCk 1 52C/SUb. MANOR LAKE OFFICE USE ONLY ParC01 No. Oaupancy R- 3_'1L-1 FEES R 1 Zoning - w Name TODD TOLLEFSON CONSTRUCTION (qctuap Const V-t`1 eld Permn 558.00 g. AddreSS 12725 GARNER WAY (Allowable) V-N 0 City APPLE VALLEY phone 431-4436 aotStones Surcharge 41.00 ' Pl R 279 00 Length --fiQ an eview . ?0 Name SE1ME Dapth 33' SAQC I 1?(2 OO i Address S.F.Total _ - i y . 575 SAC MCWCC .00 ? City Phone S.F. Foolprinis - , 580 00 On See Sewage Water Conn . w w Name On Sde Well 90 00 W E - water Metar . = ACl(JfBSS MWCC System xx qcet De osd 30.00 <W City Phone cirywater ? . p 20 00 PRV Reqwred X SNJ Permit . I hereby acknowlege that I have read this applicaUOn and state Ihat the i Booster Pump - SrW Sumharge 1.00 nformation is correct and agree to comply wilh all apphcable State of Mmnesola StatNes and City of Eagan OrdiS. Treatment PI 228.00 Signature of Permitee , APPROVALS Road Unit 340.00 A Buildmg Permn is issued to. TODD TOLLEFSON CONST Plenner - park Ded. on ihe ezpress condrtion that all work shall be done in accordance wrth all Council app6cable Slate of Minnesota Stamtes and Cny of EIagan Ordinances. Bldg. DII. Copies ? BuiltlingOHicial ?- Variance - TOTAL 2.842.00 i/?gj15o?` C? 13,274 REOUEST FOR ELECTRICAL INSPECTION ? See mstructmns for cOmpleLng Uis lorm on back oi yellow copy "X" Be/ow Work Covered by This Request Ea.oooo,-o, ??,.? 9.,5?'c Ra?i? e FMd Rep TypeofBUiltling AppliancesWired EquipmentWVed Home Range Temporary Service Duplex Wate Heater Electnc Heating Apt 8wlding Other (Specify) Comm.llndustrial urnace Farm Au Condinoner Other (sDed,h') ConVactor's Remerks' Compute Inspecfion Fee Bei # Oiher Pee # iceEnlranceSrze Fe # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps • Transformers Above 200 _ Amps Above 100 _ Amps + Si9ns inspemors Use Only. i TOTAL Irrigahon Booms Special Inspechon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-in Date cenify that the above inspection has been made. F,,,ai oate OiFICE USE ONLY This reques[ void 18 months Irom 3274 ,? FDate Fire N4 qugh-in Inspection Reqwretl'+ specror tly+ sed confractor ? owner hereby request inspection of above electrical work at: Job AtlOress (SVeel. Box or Route No ) Ciry ? t Sei No. 1ownsM1i ame or N. Range No Counry OccupanllPRl IS/ Phone No 74W 6 Power Sop liar qtltlress Elecv a Co cmr (COmpany Name) CpnVaUor' m N D inress (ConVacror or Owner Ma kmg Inst auon) G F ._. Au!honze0 Sig aWralCo ctor/Owner nstallaVOn? Ppone Nu er ?- MINNESOVTE BOAqO OF?PCECTRICRY THIS INSPECTION REOUEST WILL NOT Griggs-MIretty Bltlg. - Room 5-173 8E ACCEPTED 6V TNE STATE BOARD 1821 Unlv y Ave., SI. Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS Phone(612)692-0800 ENCIOSED Request 0ale Fire No. Roughm Inspection eqwred'+ ? Reatly Now ? W?II Notiy Inspeclar Yes G No When R9etlyR I'4icensed contrector f]owner hereby iequest inspection of a6ove electncal work at: Job Atltlreu (SVeel. Box or RoWe No I ? 60 a-N'42 L> ?. , Qry 6 4 "l .? Secpon No Township Name or No Range No Counry ?y U•?- iCv fi.a Occupant (PRINT) btFn? ?ocK Phone No POwer $upPlier ivSP AOOress Elecvwal C r clor (GOnpany Nama) ? ? Gontracmr's Lmense No C? Do ?sa Mailing Atltlress ICOnhacmr or Owner Making Installation, 1672-1 u<.eQ AW nwnonzea Sig ure i m?acmnOwn a'+ing instanationj ? Prione NvmDer - S- / fi3 MINNESSTA STATE 80ARD OF ELECTflICITY THIS INSPECTION REOUEST WILL NOT Grlgga-Mitlway Bldg. - Hoom 5473 BE ACCEPTED BY THE STATE 80ARD 1821 Umversity qve, St. Vevl, MN 55104 UNLESS PFOPEF MSPECTION FEE IS Plwne(612) 642-0800 ENCLOSED G? REQUEST'rl ICAL INSPECTION ? 21402 See inaVUCUOns for complenng tnis lorm on oeck o1 yellow copy ?L "X" Below Work Covered by This Request E p-000p01-OB S?g?ys? /?Od-? ?C.Bwn ew Adtl Rep i TypeoButlding ApplianceSWved EquipmentWvetl p Home Ranga Tempoiary Service Duplex Water Heater EleGnc Heating Apt Bmlding Dryer 01her-(Specity) Comm.llndustnal Fumace Farm Air CondiOOner Olher (syecilyl CaMractors Remarks 1AUF _,6-5? "P04b, _aa7? Compute Inspection Fee Below: ? Other Fee # ServiceEntranceS'rze Fee # CvcwtsiFeetlers Pee Swimmmg Pool 0 to 200 Amps 0 to 100 Amps Z nsformers Above 200 _ Amps Abov 100 _ Amps nS Inspecmr's Vse Only ? OTAL s? irrigation Booms ??. ??? 34 Special Inspection Alarm/COmmumcaUOn THIS INSTALLATION MAV BE ORDE ONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT L the Electrical Inspectoc hereby Rou9n-in i oaia cerhry that the above insPection has been made. Fnal oare OFFICE USE ONLV This request voitl 1B months Imm CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Datelssued: ;. 1 ? SITE ADDRESS: lqT? 4C, bC! hiR'rtOR OR IIllil(li2 I fii(1PERMIT SUBTYPE: Bfl5FMEN? FTNLSFi ? ? LIJ(',; , APPLICANT: Cl;SANOV(1 L'01'':; I (612) 44f4 -61 3 }' TYPE OF WORK: ?FSf.;t7P7 CCi? :1 0 H I`q I; N E W ' 'Tlet (" Ri_1 I i%! r. Itnl_I; INSPECTION f P.^,MTR!G .. • P71VA1 .A i-IkEPLAfF ? . . - . . . . :? ? . ' ,. . , .. . . ? , . . _ . PERMIT ? CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: sti , i 11 Eagan, Minnesota 55123 Permit Number. (612) 681-4675 Date Issued: SITE ADDRESS: 060() MANOQ Dli LC!T: 3 BLOCK: MANUR LRKF f'_l.R. ] 0 - n/ 2?b-0 30 -0 1 DESCRIPTION: FIRFPLACE -,. ?j i'd + nSr.,, P(3 r m i ti 'I Y P r' ?., ?u ; t<i,i e<t? t??b ' r^k,.. r y p ,-, 2?; Uceupancy? ? }..,.? ? 1 INCLUDEU E?AS" M`iNT hlidrFii MELJ R--? V r p a? csgcim REMARKS: FEE SUMMARY: F;aso roo ;urchcrqs lic. , .rc.li foCa l f .$ss.u0 $.S0 Ie i40 .'iU CONTRACTOR: App> i cen t. - s r . ?_ [ c . OWNER: CA5f1NOVl1 CC)NST, JOHN R 14905188 g009861 30CY Dl1": 11 ; 9 g rR r'{SNWOOD I:IR 9LN9 MABIOR UR PR1'OP. LI11Cr hIN 553 72 1- AGA\ MN 55t?4 (617) 1q0 h188 (612)6ri 77`i7 I Y::EJj dr,l[IInWI'; d QI2 th?d: 1," IrFdV^ P4,`;£F '.Nl ,€IQp i^ i^ ?n,+,r.s . , 'c ?. ..nd „qr . . t, r-1in y o1 t; i.c_. :it'y ? .li J,. 't-,r. ;f „- i IAtiA &oq j II1ii APPLICAM/PERMITEE SIGNATURE ISSUED . GNA RE REACTIVATE - JR??7FVVE CITY OF EAGAN ??0.5? PERMIT ?- 1993 BUILDING PERMIT APPLICATION ??j APR 681-4675 - - - - - - - - - SINGLE & MULTI-FAMILY - - - - 2 sets of plans, 3 registered site surveys, 1 copy af energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot thange is requested once permit is issued. Date - 6? / 0 / Valuation of work Site Address: 1-1'\ av\Or STREET SUITE N Tenant Name: (commercial only) LOT A_ SIAC& _L t SIIBD. ? I P.I.D. N Gr10't ? R.e _ _ Descri tion of work: %s?n{. ?n,s? ?Fr-c The appl icant i s: 0 Qwner EPCnntractor ? Other tcas«+se> Name K C)G?? _ Phone 6SG- Z7a7 Property U5T FtRST OWnEf Address ? ?a STREET STE Y City State Vl1v\ 2;p JrSI?-3 Company Co^S?. Phone qy o-S! 1543 C011tf8CtOf Address S?4'?_ L> rc?.'hu=bJ License # 4t'351 Exp.? City Pr:nr' ??2--- State 11A k? ZiP ss3724 Lompany Phone Architect/ Engineer Name Registration M Address City State ZiP Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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 Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundatian ? 06 Duplex ? 11 Apt./Lodging ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. O 03 SF Addition ? 08 8-Plex ? 13 Garage/Actessory O 04 Sf Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE fsZ 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION ?. ? . mi ` .2 ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish Const. (Actual) Basement sa. ft. MWCC System *AM (Allowable) lst F1. sq. ft. City Water ftm UBC Occupancy ? 2nd F1. sq, ft. PRV Required Zoning Sq. Ft. total Booster Pump i of Stories Footprint Sq. ft. fire Sprinkler Length On-site well Census Code y 3 ?/ Depth On-site sewage SAC Code s b/d ?s APPROVALS K 0 a rtsKS - Planning Building Assessments Engineering Variance REQUIRED IN SPECTIONS qLso F'IMpL,qCE ? Site O Footing fLFraming ? Insulation 0 Wallboard §kFinal ? Draintile )CFireplace Permit Fee 3, Oa vrw.t;a+: 8 Surcharge Plan Review License MWCC 5AC City 5AC Water Lonn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 1989 H[JILDIHG PERMTT APPLICATION CITY OF BAGAN MQLTIPLE DWELLINGS C024fERCIAL 2 SET3 OF PLANS 3 REGISTEAED SITE SIIRV 1 SET OF F.NERGY C6LC5. 2 SETS OF YLANS EEGISTBAED SITE SORPEYS - (CHECE WTPH BLDG DIO.) 1 SSf OF EHSRGY C9LC3. 2 SETS OF ARCHI3ECTIIRAL & BTEDCTORAL PLANS 1 SST OF 5PECIFICATIONS 1 SET OF ENERGY CALCS. AENTAL DNITS FOH SALE IINTTS ? OF ONIT3 ltOTEs ADDRESSE4 FOH CORNER LOTS - CONTRACTOR/HOMEOWNER MQST DESIGHATE i1HICH lDDRE55 I3 DFSIRED. NO CHANGFS ilILL BE 9LLOflED ONCE HOZLDING PERMIT IS ISSOED.R SEftER 6 i19TER PERHIT FEES AND ACCOONT DEPQSIT F6E3 WII.L 8& I1QCLiJDED WITH THE BOILDING PERMIT FEE. PROCESSING TIME FOR SEWER AND W9TER PEAMTTS IS TWO DAYS ONCE A PEAMIT H93 BEEH CAMPLETED INDICISING A I.ICENSED PLUMBER. PEIQALTY APPLIFS FIHEN: PEEMIT IS NOT PAID FOR IN S9ME MDNTH IT IS RE4UESTED. LOT CH9NGE IS HEQOESTED ONGE PERMIT I3 ISSIIED. L!pS7 2 6 1989 To Be Used For: valuation: &2 , DoO? Date: io - a 6 - g? Site Address i OffFICE 031 hA'Gl -4 /?,? ?? ?' Lot ? Block " Dceupancy R-3 M-1 Zoning TZ-I Parcel/Suh M?I D O Aetual Const V-N - Allowable V-N Owne ?I # of stories Length d ? Address Coariner Wv' Depth 327- ? S.F. Total r? City/Zip Code rtos .T lf_ Vajle. ' Footprint S.F. Phone ?.a, I- t /q 3(o On site sewage On site well Contraetor T//P-FNLe Cou5,?m MWCC System ? ?k City water ? Address 12'1 7S Cnaruer Wy PRV required ? Booster Pump City/Zip Code l,r' ku. _ APPROV9LS Phone Planner _ 1/1 ? i -f k Couneil `{J?(o/ Off Bld - Arch./Engir . WttVi c a - <S ke 9 ?i_ . g. 7 2 ttl Variance Address ? D W? ' 51, ?-ye 0'7/0 ? V City/Zip Code CA aLA 5 ev%- . Phone A 93y -f?yyD FEF.4 Bldg. Permit JJ 8'aD Surcharge 0 Plan Review Da SAC, City 00,00 SAC, MWCC 59S.00 Water Conn ,00 Water Meter 90,00 $ect. Deposit 30,00 S/W Permit ? 5/W Sureharge 1,00 Treatment P1. 2 ,Oo Road Unit 3 oiaD Park Ded. Copies SIIBTUTAL Penalty TOTAL 7.ZT( ?s?? vA 1..uAT, o N ;r -------?_.? ; ZW x2 Z? ? r9Zo'"" ,t3srrlr ?7- 2 X I2 33 l 122xf?f ? IS'?o? H c) u5e ssmr -- 1 x26 m 1122 2 c? ll 44 6 XSc?_ 5'lyao ? 02? 8 CERTIFICATE OF co. t?wY. No. 3Z CL.I FF Roqp ?S3 GEOI T GAT@O ? ?AKOTA ?--?l?_ 109.54 co. ? ? ? O Ki2931.7y 0= -Z.o • , _ _ __ Q c; ? ? ' 4 IS ? O T 3 L . I 6LOc K- l ? 4r?1, ? ! I ? ? 9 ? I Z?' 9zG• 0 92`4 U1 ; ? FuTURE . ? p ? ` FIREpUa?E- O r v ' , ? \ ' 9L9•6 ? 9Z9•9 I Z ?9L9.'1 d 38_83 ? x? ?? PRoPOaEO 8.2 GAR. HoUSE N Il.4l ? 93 9W4 I ? _?L 4= 1? `ll?I 93°'-7 q° L - - - m ? ° 0 9"s h_ SURVEY Elevations shown are existing grades and arc city daCUm. Arrows denote proposed direction of surface water runoff. Contractor and or builder to vcriFy a11 proposed grades and grade the 3 lot so that the surface wa[er will not pond nr create drainage problems for [his lot or adjoining lots. Qy; M Proposed top of foundation =?%32.U V 0 - 0 Proposed garage floor = 911.7 1 Proposed basement E1onr = 92$.8 Proposed grade at front of house and garage = 931.3 ' 8 - 48.?3 a o.? R_yVq'q4 NB9°ZA '4-7- E. 930+0-1 _?2.z9.:i5 aa,p ?Y CU2?6 Prupused grade at rear of house at rear walk out = 928.1 r.? L - n ?r ? $y ? Dats --`°"- EAGA`tV r ? ?CI??EEEjT??- Mp"NOR CAR1VE I hereby certify that this is a correct representation of a survey of: Lot 3, Block 1, MANOR LAKE ADDITION, Dakota County, Minnesota, according to the recorded plat thereof, and [hat this survey and certificate was prepared by me or under my direct supervision and that I am a duly registered land surveyor under [h laws uf he State of Minnesota. Dated: Uctober 25, 1989 _ Cene L. Jacobson, r Keg. No. 7734 DR. BY: GLJ SCALE - I"= 30' O OENOTES IRON MON. - BEARINGS' ARE?AS`UfI?.Dd?t?T'GM• J PREPARED FOR: JACOBSON SURVEYORS Todd Tollefson 12725 Garner Way Apple Va11ey, P4J 55124 LAKEVILLE, MN 55044 PHONE - 469-4328 t24-(- G ExTL'2toa Etivr_i.oP-E.nvr_RnrE °u? coMrurnrroN. Nri ER ; :2 -r?o_-.------- ------ nn 11- :--- ? - I "7 -FS9 S?T'C :;DDRESS: LOI ?J ?LOr? I PF!ON`: CONTR.7CTCR: mfFN oo,„ L_4E PLAN # fOb'7-70 Determine working square fnoiage of each ft 11 = 0 S's- 3 'G l I ll area d . sa . gCoz I!E x. - i. Tota ..... wa expose . _ l area i'in f t? sy. ft. x.026 = 30,1S 2. Toza ..••. g /ce roo Total exposed wall area above floor=_ _(f." Z-z_ ?I(4? z.. a. Total wall windcw area .......... ................... ............ .. ................ ............ .. 3 iC b. Total door area................. ... l s door area l lidi ................... ............ .. te y.FS c. Tota ... as ng g s rea ll l ......... . . ............ 2o .. d. Total ....... a ace wa f,rep ..... .. . ea (average i 10%) .............. ............ .. Z e. Total ng ar wall fram ° i .......... ............ .. f. Total st area ............ rim jo ..... .... e floor b .................. ............ .. /C-/ g. net .... ov wall area a . e floor b l ................ . ............ .. h. .... ov area a wal . . i. wall area aoove floor.... ................... ............ .. j. rrame wall area at =oi-?-ndat_on Tetal exposed foundation area= -7 l, S- k. Tota1 fiovndation window area ...... ..........••••.• I 1. Total net foundaiicn area a6ove grade .............. 7/, 4" De'ermine "u" value of each wall segment (e.g. window, cfoor, each separate wail section) X llull , `f :?-- = S 'Z,`Z a. _ b. X 'lull X 'lJll , y 2 II 177 ° - - - - ?. 3 c? x u,l 3 e. I CA2 ?- x ??d" _ X [lull g, /=/ x ??ull h. X liJii _ ?- X ?lull _ - J - X Iluil _ - f. , x 'lull _ "ul, 0,17 3 . ..................... ..... ... .... Total If item n3 is the ! as, or less than i1 ;`1, you have met tl intent of SSC 6006 ^otal exposed r.oof/cei.lin9 area ?oc_1 skyl:.giit zrea ............................ •- --- _runicg area (:rierage 102) . .. ( 1 ? ' ' . . .^.CL _"OCS/CL'111:1<J area... . ...... 1d43?/ . Determir.e "U" valce `or each roof/ceiling segment . ?. X U,? ... IIS,% a -U„ J. !D 1 3. V 1?i ........................... ?btal = Z 3t(? 'o-a1 c- =_ is the scme as, or less 1:han 112, you have met the intenL o° . 50::5 ;c? ? . , . Altzrnate ^nuilding Enve7.ope Desiqn _ ,20 -_ze -:,e coczl er.velooe'system method, the values estzblished by the s.ua of _ ? e---s =3 z.d shzll .^.ot h2 creaLer than the sum of items ul ar.d n2. . . . .. 2.. Zc)S'?° y - a 2. 3d?13 = ???Co?O • L07 + 4. ?31 (Gy = zi? ?J r7f pL/-'i ? I60?'70 * r i?vE=?. ?'?"'OSEll Y]ALL 3iOC:<: 3 FS ? S` f 3;. + 2. Co -h /(4- 33 ?- Z?, 4 I/ - -70 ?N.o.: ? y Y 3' i U'T?, 2 : ` I?t"?? CE: Cy R24: * 5Q L'??°. EXPOSED WALL AREA ? BLCC'K: / y3 x .5 = ?/. S :2? E- . `jo X s = 3s-? W.C. y x 8= -L7L?L c.( .?) X g ?ij?_,T 2; X H = =?-'?°LACF " s- 3 0 X i = ?YS 1qC, c6,S ^ SQU =2 = EX-POSED CEILIN6 if" iffl -ZY3? S:`6 1(j 4 s ? g ( ; 3 S t ?3 D -? PP.TIO DOORS f 1' 6 ° = 37-.'4 _(?`t, 8 ? BASEl= UNTI'S ?-- \1??Z wou ».Z-xxi5 N,-''t?: USe ??c, Cicpaque wall orea (?r' fvame ccx?s`Y?AG? tU(? WLL Fz(. 4?l Pfy4r+E WnLi TG. #2 ? o --- - - ------ ?, _..._ _ -- ? _-•-- . . . / ? I ? - -? .? I ? 1 U • ? _..._._..w O WhLL . R= VALt7E CONSTRUCTION-- FRAMING - ' 1, INT'ERIOR AIR FILM 0.68 2. 172" 3. 5 1/2 SOFT WOD 6.87 4. 5. ID G .8 6. EXTERIOR R IIM 0.17 TMAL _ .8 U= .09 A1EI' 1. ?NTtR7?? ?P FILM 0.6$ 3. ' .45 3. 4. 25/32 SHEA G 2.06 5. IDING .6 6. R 0.17 u= .o4 l. INTERIOR AIR FILM 0.68 7. 6 INSUL. 1 .oa 3, x1 JOIST 4. 25/82 S 5. SSDING .61 6. >nMOR AS FILM 0.17- U= .04 BIACK 1. 2. 3. 4. 5. 6. INTERIOR AIR Fiild 0.66 , PROTECTIVE BARRIER TOTAL R= 7.1 U= .14 SLAS ON GRA?E ? '- ° p }`?\? ? I I I ? r?!:G 4t3 S a r 3., , . f?( ftt pi.G. 11 f ?7 f N 7 !C ? • ? , ? ' • , n ??? S• ° ? ? /lr _ {f/ - IN ?? NOTE: INDICATE TYPE, "R" VAIIJE. DE.'PTIi AN PLACEhff'.NP OF INSULATIOPii. , ROOP-CEILING ? CON STR U CT I ON R-VALZE y 1. INTERIOR AIR FTT M 2 5/8" GYP BD --fl-?- SR ? . ?? nn -¢ -. 3. INSULATTON 4. EXTERI 45.80 `IEN,?, -- U - .02 o FRAME A 1. INTERIOR AIR FILM `? HEAT ??7 UP 2 3. NSULATION , q, IOR AIR FIL"1 0 61_ 'P?40 .15 FIG. #5 U = 0.024 CONSTRUCTION 1, INSIDE AIR FILM ?-4--?-- 2. 3. 4. S. DE AIR FILM ??? U J I r 'TAT FLOW UP u VENTED FRAME 1. INSIDE AIR FILM. • 0.61 2. 3. 4. 5• OU S U = FTG. #,6 0 7, INSIDE AIR FILM 2. 3. 4. 5, R FILM 0.17 T'OTAL U = . NOTE: USE ADAZTIONAL SHfEfS ZF MOkE SPACE IS NEEDED FOR DEI'AILS AND CALCULATIONS- FIG. 97 IVWIV-VLtvl" - I ' HTAT FLOW L1 iiP .- WALL SECTIONS t3OTE: USE 10$ OF OPAQUE WALL AREA FOR . FRAME CONSTRUCTION BASIC WALL f ? ?----_--? I FIG. #1 TOPVIEW OF FRAME WALL fl i FIG. #2 I ? SEALER i ? f D ? d u •'n 0 n'• ? r n • • ?? • ? „'-_? • --_ , ------ (i) ..9 -- ? ---? -- / /i BRICK FIRE PLACE CONSTRUCTION R-VAI.UE '1. INTERIOR AIR FILM 0.68 2. RE BIAC 3. 4. AIR SPACE •68 5. A RI .1 6. OR AIx FI .1 TOTAL 2.75 U = .36 1. INTERIOR ASR FIIM 0.68 2. 3. 4. 5. 6. OR R 1. INTERIOR AIR FILM TOT 0.68 2, ' 3. 4. 5. 6. EXTERIOR AIR FILM 0.17 1. INTERIOR AIR FIIM Tull? 0.68 2. 3. 4. 5. 6. EXTERIOR AIR FILM 0.1 , TOTAL - SLAB ON GRADE FZ6. #3 r V ? 74- . FIG. #4 1l? ? t ? I ???l? NOTE: INDICATE TYPE „R" VALUF, DEPT'H AND PLACIIMEN'T OF INSULA ON PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTI'S ARE REQUIItED FOR EACH UNIT. NO. ( SHOWER WATER CLOSET BATH TUB I..AVATORY KTTCHEN SINK LAUNDRY TRAY HOT TUB/SPA WATER HEATER FLOOR DRAIN GAS PIPING OUTLET • mia;mm - ROUGH OPENINGS WATERSOFTENER PRIVATE DISP. • vaILpy. uc. U.G. SPRINKLER • noroe maer ooMt ALTERATIONS • to ctistin8 WATER TURN AROUND STATE SURCHARGE TOTAL: EACH TOTAL 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 1.50 5.00 15.00 3.00 15.00 i5. vv ? 15.00 .SO 5, S c SITE ADDRFSS: '/ 6 0 c7 110 /3 t? » n/? OWNER INST ADDRESS: =5 6 vI CITY: 1lc ? ?ti re(? _) STATE: l'Lt n'? ? ZII' CODE: -?--5-9" -7? PHONE #: (G, 12) S G RE OF PERMITTEE PLUMBING PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PII,OT KNOB RD EAGAN MN 55122 (612) 681-4675 ?---------------- i FDWVr"?' ? ? Pertnit#: I t ? Permit Fee: ? Date Received: I I ? Staff: L ---------------- 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ?? Site Address: 4? AalnOr Dr, Tenant: Suite #: RESIDENT / OWNER Name: D?in lo ? Phone: - J/ Address I City 1 Zip: CONTRACTOR Name: License ?? I 1 0' 24 Address: Champion City: 3670 Dodd Rd. #100 State: Zip: ragan, 123-1339 Phone: Contact Person: l TYPE OF WORK _ New kReplacemenc _ Repair _ Rebuild _ Mod'rfy Space _ Work in R.O.W. Description of work: PERM17 TYPE RESIDENT1At VWaterHeater _WaterSoftener Lawn Irrigation _Add Plumbing Fixtures q? ? RPZ ! _ PVB) ? Main _ Lower Level) _ Septic System _ Water Turnaround ,N ?at New Abandonment RESfDENTlAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge) 'Water Turnaround (add $136.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ ? ? C f I hereby acknowledge that this informaGon is complete and accurate; that the work will be m cflnformanCe wtth the ordinances and cAdes of the ity o Eagan; [hat 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 acwrdance wdh the approved pl/an in the case of work which requires a review and approval of plans. x ? ? Q/?? cS LJ ?t? ?? AppIM's Printed Name Applican#' ?..?w FOR OPF.ICE USE..-Requiredlnspections:.,, UniierGraund: ? ?5?i 3? City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4609 Manor Dr Lot: 3 Block: 1 Addition: Manor Lake PID:10- 47275- 030 -01 Use: Description: Sub Type: e- Reroof Work Type: Replace Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Scott Ims Construction 1705 Allison Drive Northfield MN 55057 (507) 663 -9033 If there is no ice protection inspec acceptable in lieu of inspections. PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K Total: Applicant/Permitee: Signature - Applicant - Construction Type: Occupancy: Permit expired without required inspections. 4/27/2009 CE $90.00 Owner: Daniel L Bock 4609 Manor Dr Eagan MN 55123 Permit Type: Permit Number: Date Issued: Permit Category: Building EA087074 10/24/2008 ePermit on prior to final, you must meet inspector with ladder and flat bar. Pictures are not $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Use BLUE or BLACK Ink For Office Use j Permit / I City of EaRafl D I I I Permit Fee: i 3830 Pilot Knob Road I Eagan MN 55122 I S % I I Phone: (651) 675-5675 I Date Received: / I Fax: (651) 675-5694 I I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name:_q/~ c~Resident/ Phone: bv-~~'~-~~ Owner Address / City / Zip: L/ e) r/ of -1) r / fib Applicant is: .z Owner Contractor Type of Work Description of work: Construction Cost: Multi-Family Building: (Yes / No Company: Contact: Contractor Address: City: State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: ! NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.goDherstateonecall.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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. App cil ants rented Name x Applicants 'Signature Page 1 of 3 Use BLUE or BLACK Ink For Office Use ) y I Permit I ! City of EaRan o~~ I Permit Fee. I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: I -T, C Phone: V S 7 0 3,2 Resident/ Owner Address / City / Zip: 0 r- r i ri J a C` rn / /10 N/ Si a Applicant is: Owner Contractor Type of Work Description of work: r' Lt,' L Construction Cost: L G Multi-Family Building: (Yes / No ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 daysa of permit issuance. EO C L Applicant's Printed Name A cant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA170799 Date Issued:07/19/2021 Permit Category:ePermit Site Address: 4609 Manor Dr Lot:3 Block: 1 Addition: Manor Lake PID:10-47275-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Tristi Wilson 4609 Manor Dr Eagan MN 55123 A Team Construction Inc 13743 Aberdeen St NE Ham Lake MN 55304 (763) 710-9955 Applicant/Permitee: Signature Issued By: Signature