1937 Jade LaneTHOMP$ON PLUMBIN6 DETACH AND RETAIN THIS STATEMENT
TF1E ATTACHED CNECK 16 IN PAYMENT OF REMS OEBCRIBED 6HLOW.
COMPANY* INC. IF NOT CORR£CT PLEASE NOTIFY UB PROMPTI.Y. NO RECEIPT DEBIRED.
MINNETONKA, MINN. 55343
1925 Jade Lane ::?.??•
1937 Jade Lane
Account 130-Permits
Accoant 130-Permits
?
20.00
40.00
60.00
CITY OF EAGAN
Addition APPELBATJM+ KEN
Lot 8 Blk
state EaKan • MK 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. fs 1972 922.0 92.20 10 Pald
STREET RESTOR.
GRADING
SAN SEW TRUNK
*SEWER LATERAL 1971 20
WATERMAIN
*WATERLATERAL 1971 1697.5c 84.8 20 Paid
WATER AREA 8@C water C027i1. Paid 3752 6-28- 1
*STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200
BUILDING PER.
sac 200.0 3752 -28- 1
PARK
mmnesota state noara ot eiectriciry
Griggs Midway Bldg. - Room N791 ? EQ-00001-02
1821 Universiry Ave., St. Paul. Minn. 55104 - Phone 297-2111
CHECK BELOW WORK COVE EDTBYITH S REQU ST INSPECTION a7 "? T 31?mp2p
O
Type ot Building New Add. Rep. Check Appliances Wired For Check Fquipment Wired For
Home ? ? ? Range ? Tempoxary Wving ?
Duplex ? ? ? Waler Heatet ? LighUng Fixtures ?
Apt. Bldg. ? ? ? Dryei ? Electric Heating ?
Commexcial Bldg. ? ? ? Pumace ? Silo Unloader ?
Industrial Bldg. El ? ? Ait Conditioner El Bulk Milk Tank ?
Farm ? ? ? List List
Other
?
?
? Others?
Here ) Others?
Here 7
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: x Fpr- Feedecs$Subfeeders: it Fee Circuits: # Fee
0 to 100 AmPS. 0 to 30 Am eres 0 to 30 Am eres
101 ro 200 Amps. 31 to 100 Am eres 31 ro 100 Am eres
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Controt Circ. Partial or other fee
Signs S ciallns ection Mi mu fe
Remarks /
?' Z?L c j t,e
TOTAL FE
I, the Electrical Inspector, hereby certity that the above inspection has been made.
(Rough-in) Date
(Final) 714,-3 Date
This request void -?
18 months hom
Q ,.r.v%, G % !aj i L?;
This request void'? ?, h?
18 months &om ?
Date o t4is 'Request- = Fire No. T 3182°
1, as icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
/?? ?
Street Address or Route No. ? ? -??_Cit =? ?c?'?
Section Township? Range County
Which is occupied by
Is a roughin inspection required on this job? No ? Yes ? Ready Now.Ia' Will Call ?
PowerSupplier??tiKn Address !'?:/.??I,.?a f?.?.
-?-.?= fy
ElectricalContractor U?? ?rt 7- /?t'('-f"/>Cont ctor's L?iEen§eQK?1-
Mailing Address :7 -1sl f, ? r'
(Electrlae on c r Owne,MakingTMl installatlon)
Authorized Signature W ?.,r Phone No. z-
ectrical Contrac!p or JwrSei Making Tnis Instellationj
?(? ? j!n? lJ ?(? ?O 8o ?? ?( ??? This inspection reqaest will not he accepted by the
CJ \S State Board unlesspraper inspection fee is enclosed.
EAGAN TOWNSHtP
BUILDING PERMIT
,
O wne: ......... ......... .... :................. ....................... _.........-°.----
Address (Presanf) ....rar.?.. ..g?!.:G.'........---...'--
Buildex .......... 9&^e^?......'.:f.! .:............`/.........................----.........---
/
Addreu ..............................................................................................
N° 2449
Eagen Towaship
Town Hall
s?/8?>
Dale ...... ...... ....?..••••---••_--........
?
Sloriee To Be Ueed For Fron! Depih Heigh! Esl. Cos! ' Permi! Fee Remarks
TION
Sxrees, Aoea or otner Defcripsion os LoCaxlon I Lot 13loc6 Adaiflon or Tsaet
This permit does aot auShorise the use of slreele, raadt, alleys or sidewalke nor does it give the ownar or h!s agen!
the sigh! !o create any situation whiah is a nuisance or which presenTs a hazard !o the heellh, sefetq, eoavenienca aad
generel weltare !o anpoae in the eommuniiy.
THIS PERMIT MUST BE EPT ON THE PAEMISE WHILE THE WORK IS IN PROG ESS.
This is !o cerfify. !hal.. - °......... ................................. .hes permisaion !o ereet a.-- -°°-- . . ............... ._ ._.. ........ _upoa
the above deaeribed premise su ee! fo the provisions ot the Building Ordinanee for Ea a Townshipted April 11,
1955
..................... -'-......'_"' ' -' ./(??Qt<..^.s:r--...." _.............. Per ---------.....M...'.^.:S:C...... _.... .
....... -°-° ......................
Chai?an of Tnwn Boazd ,?Huildin Im eetor
8
EAGAIV TOWNSHIP
BUILDING PERMIT
Ownea --- J -----""v ?.C24x?k,.....................
- /
Address (P sen!) -._.. q...4wt....
?--------'----
Suilder _....?:l,?i?f.?`:s:? ...---- ....----------------------------- ....................... _..
Address ......
N° 3130
Eagan Township
Town Fiall
Da2e -tiYk:l...?f...l..L...7?°`°..
/
5fosies To He Used For Fzon! Deplh Heighf Esl. Cos!
30¢ IV Per_?-Fee
? m.?I Remar a
0 t /
S2reel, Aoad or ofher Descripiion of Location I Lo! I B1ock I Addiiion or Trae!
This permi2 doed noi aulhoriae the use of streels, roads, ellays or sidewalks nor doea it give !6e owner or his agen}
the =igh! !o creale anp situation which is a nuisance or whieh presen2s a hasard !o the heallh, safefy, convenienea aad
ganezal weifare !a anpone in the commuxufy.
THIS PEAMIT MUST BE KEPT ON?J THE PREMISE WHILE THE WOAK IS IN PROGRESS.
Thls Ss fo cerfifp. !ha!_..... SFn---------- ............................ has Permission !o ereet a.......... .p}/.1T a6..?? .?............--.---•°--npoa
the above described ?semise suLjeet !o the provisions of the Building Ordinanee for E9§ nship adoplad Apsi! 11,
1955. /' // `??
0 ' / ? ??-`--"°°-...........- - -?.---. Per
....-__-.-..._ .._..... .... .°- `- - --._. ....---_....._ ....:.......'- -' ............ -•----....-°'----
Cha' an of Tnwn Soazd Suilding Iaspealor
3 -1 k-., A a
TOWN OF EAGAPI
3795 Pilot Ynob Road
Eagan, i,innesota 55121
PERMIT N0. 3.28
The Board of Supervisors hereby grants to Ray N. Welter Meating Co.
of 4637 Chicaeo Avenue South, Mpls. 55407
a N.AT x. Permit for: (Owner) Sally Company
at 1937 Jade Lane, Eagan 55122 , pursuant to application dated
7/21/77
Fee Paid: _$20.00 Dated this 23rdday of July s 197 1
.50 S/C
Euilding Inspector
V '
TOTdId OF EAGATd
3795 Pilot Pnob ^,oad
St. Paul, Tiinn. 55111
PEP,NIIT N0,146
*.A1
Thompson Plumbing
The Board of Supervisors hereby grants to _
Minnetonka, P4d. 55343
of e
um ng a y .
Permit for: (Oc,mer) at
1037 a e ane?
, pursuant to application dated
ugust 10, 1971
-` 20. 11 AugusE 1
Fee Paid: .50 atc Dated this day of , 197_
Building Ins ector
-JLA5S'?6 2006 RESIDENTIAL BUILDING pExNr1T arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction ReQUiremenis
3 registered sde surveys shaving sq. ft. (xf lot, sq. ft of house; and all roofed areas
(20% maximum lot cove2ge allowed)
1 Soils Report M proposed building is to be placed on disturbed soil
2 copies of plan showing beam 8 window sizes; pouretl found design, etc.
1 set of Energy Calalations
3 copies of Tree Preservation Plan if lot plaried afler 711193
Rim Joist DehaJ Op6ons selection sheet (6uildings wtlh 3 w less units)
Minnegasco mechanical ventila6on fortn
RemodeVFieoair Reauirements
2 copies of plan showing footlngs, beams, jois45
1 sef of Eneyy Calculations for heated addAions
1 si[e survey for additbns 8 decks
Adddion -indicate if onsde sepfic system
4-m °o
office use a?ro
CertofSurveyRecd.` _YN
SoilsReport ., _Y _N
TreePresPlanRecd._ ` ?_Y _N.
Tree Pres Required -_Y_N
On-siteSepticSys[em•.• _Y_N
??9
Date ? / ? l ZGYX-> Construction Cost Z 35-0
Site Address 113 7 -rlaQ?? UniUS[e #
Description of Work `c, 6w --,f' 4t"11-1
Multi-Family Bldg _ Y LC N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 3 ieEY ic Telephone #((oS1 ) q S 2?
Contractor 4m cG Reu ? ?(.(Ri 4 ?? ? '? l? ? ??`? ?? ? ?c?c
Address `73 5`9 7! 0t2+ CitY
State M A/. Zip !?;5 5-7 7_ Telephone # ( °/S1) ? V,9 - / 3 8 Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672.
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Woiicsheet
(4 su6missiontype) Submitted Submitted
• 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?
_ 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 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 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. ApplicanYs Printed Name Applicant's ignature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4 I$?. LS
New ConsWCUOn Reauirements RemodeVReoairRenuirements OKce Use Oniv
3 registered sde surveys showirg sq, iL oi lot, sq. ft. of house; and all roofed areas 2 copies of plan CeA oi Survey Recd
(200/o maximum lot coverege allaved) 1 set of Eneqy Calculalions (or heated additions Tree Pres PWn Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addNOns & decks Tree Pres Nat Reqd
1 sel ot Energy CalwWtlons Add'd'ron - irMicffie il ar-site septic sysfem _ On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 717193
Rim Joist Defail Options selection sheet (hidgs wiN 3 or less uni45
Date -7 l/y, l!73
Site Address / 93 ? J ac% L,,.,/' n A
Construction Cost 7
UnitlSte #
Description o[ Work
Multi-Family Bldg _ Y7k N Fireplace(s) _ 0 _ 1
Property Owner ? eo ,/-/ Telep6one #(651-) 56 pb
Coatractor
Address q3?
State ?/
(? di firJ G?-J
? Ci[y /?.
!? yev?'
Zip ??Sa Telephone # /
(?7 ) 47?_
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv I
(J submission rype) • Residential Ventllation Calegory 1 Worksheet
Submitted
• Energy Envelope CalculaGOns Submitted
Licensed Plumber 11 I' c', '- I'? ? I I I
Mechanical Contractor I . ? .,
Sewer/Water Contractor ?..
L? - --?-_- -=1
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Telephone #(
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 perrnit, 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 pl in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name ApplicanYs Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION n ?Q ?S
CITY OF EAGAN L
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWCtlon Reauiremente
• 3 regislered site surveys shawing sq. fl, of lot, sq. R. of house; aM all roofed areas
(20%maximum lol coverage allowed)
• 2 copies of plan showing beam & window saes; poured fouM design, etc J
• 1 set of Enerpy Calculations
• 3 copies of Tree PreservaEOn Plan'rf IM platted after 717193
• Rim Joist Detail Optians aelection sheet (bldgs with 3 or less uniGa)
DATE (D ? ? j2-
SITE ADC
TYPE OF
APPLICANT
STREET ADDRESS
TELEPHONE #' I'
? r J aXELL PHONE #
ULTI-PAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
? ?P STATE.fLZ_ziP ?56325-
FAX S-/
PROPERTYOWNER CC3T1 U TELEPHONE# 7T,2`S4'Zlo
---------------------°--'---------°-----°---------°----------------°------------------°--
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.ES 7670 CA1'EGORY 1 MINNESOTA RUI,ES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
P1umUing systetn includcs:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery Systcm
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Or(
Signature of Applicant
Fee: $90.00
Phone #
Fee: $70.00
Phone #
--------------------°----------°
is correct, and agree to comply
OFFICE USE ONLY
Water Softener
_ Water Heater
_ No. of Baths
_ Phone # .
Lawn Sprinkler
No. of R.I. Battis
RemodellReoair Reauirements
• 2 copies of plan
• t set of Eneyy Cafculations for healed additbns
• isilesurveyforexterioraddiUons&decks
. Indicate if home served by septlc system for add'Aions
VALUATION / 2)11 r qD
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
EAGAN 1,OWNSHIP
:795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SF?1ER SERVICE CONNECTION
DATE: June 29. 1971
OWNER•Sallv Co.
PLUMBER
NOMSER 814
Addtess1937 Jade Lane Lot 8, ,?. ?7¢aA?Gf(?
TYPS OF PIPE
DESCRIPTION OF BUIIUING
Industriall Commerciall Residential I Multiple Dwelling I No, of un£Cs
X
Location of Connectiona:
Connection Chargegpnn_nn iid 6/29/71
Permit Fee $10.00 pd 8//10/71
SCreet Repairs
Total
Inspected by:
Date
Remarka•
By.
Chief Inspector
In consideration of the issue aad deliverp to me of the above pexmit, I
hereby agree to do rhe proposed work in accordance with the rules and
regulatione of Hagan Township, Dakota County, Minnesota
Sy
Pleaee notify when ready for inapection and connection and before any portion
of the work is covered.
EAGFN TOWNSHIP.
3795 Pilot Rnob Rosd
St. Pau1, Mianesota 55111
Telephone 454-5242
/
i
/
PERMIT FOR WATER SERVICE CONNECTION
Date:June 29. 1971 Number: 697
Billing Name:Sallv Co. Site Address:1937 Jnd T. n r,nt
Owner:
Plumber:
DID NOT PAY $60.00 FOR METER
? l O .-v 919?? ?
Building is a:
Residence X
t3ultiple ieo, Utti
Commercial
Industrial
Other
Billing F,ddress
Meter Size-OX Connection Chg*200,00 pd 6/29/71
? p_:5,?.3>7oa
Meter No.aiSa?'ai < Permit Fee 10.00 d 8/10/71
Yeter Reading Meter Dep. ?? -'//L/7/
Meter Sealed: Yes_ Add'1 Chg.
NO ' Total Chg.
Inspected by
Date
Remarka;
$25.00 ,EIriJPLJMIN EEE. rroR
VfOPROPERLY iNS7ALLfD iYiETERS.
Hy:
Chief InspecCOr
In consideration of the iesue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the iules and
regulations of Sagan Township, Dakota County, Mianesota.
By:
Please notify the above office when ready for inspection and connection.
MASTER CARD
• LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Con}ractor Owner
BUILDING 711 -f sM e
PLUMBING /giv
-0'
CESSPOOL - SEPTIC TANK I
WELL
ELECTRICAL
HEATING ? -
GAS INSTALLING I
SANITARY SEWER
OTHER ? I
OTHER ? I
•
•
Items Approved
(Initial)
Date
Remarks
Distance From Well
FUOTING ?`J-? ?^? ti •
? SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE PIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK
CE55700L
DRAINfIELD
PLUMBING
WEIL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
? ?/
Wpnelbaiua Or. 9755 ? '? qel 5?
F. C. JACKSON
LAND SURVEYOR
NtOIYTER60 UNDBR LAWB Ow YTAT[ OF MINNt/OTA
LICtNi[D CY OROINANC[ OF CITY OF MINX[A!'DL16
3816 EAST SSTM 9TREET PA. 4-4881 I
*UCbCpOT'g QL[Ltifl[$tt
? I I
X
C
E
? ? 3B.7S N i
/o I
` ? F.-oposea
? ?we//in9
N
?F /O
h
Sca/c : /°= 30'
? M I a .U-r. ;Y< - -`ran
1 ia l -t_ J
-- /on.a - -
1 MlRHBY CGRTIPY TMAT TX[ AsOV[ I@ A TRUt ANO 00llRtCT R11T OI A SURV['/ O/
Lot 8 Ulook 1, Ken rLppelbsum pddition.
llukota Crn:nty,tL•niiesota.
SubJect to an easemont for Storn SaRer over the
Vlest 10 foet thoreoS.
AS BURVEY6O BY ME THIS-__2rtIL_ DAY W-APu1-1-1.p. 1971
F. C. JACK50N, MINNe&
I
.? ( n ? •.«-..._
? -_
OT/UTION, NO. 3800
?'f.?R. fP?? . N T 9. C?! . • 4??_i . - .
rr? a???zw WORK ORDER ?/15 Z? ,
PHONE#
NAME
JOB ADDRESS
BLpG CODE AREA
,..?on Z
?---? i CONTRACTPATE SIZE_.,, __----
SALESMAN aIB?J?1'4?
.R
[J Add'n FO OFFICE USE ONLY
O Value ??- J06 # S-vV
{? ME ST?Q\.l
. CONTflACTOR
? TVPe Const FCL
CONTRACT#????- S
S 03'7
' Slab: ? ln?Y Sussel SUSSEL JOB
- _ i
? BY Owner Approx.
2STARTINGSPOINTSONLY
S.P.L. o2C7 8 g•• ? -
R.P. L
'
Alley
House ., . o
?
T O`?_ F. Street LnM,
• Other Q?? _
? G• ? 1+? ? '
.. S4uare W ith_
i '
,'
? ? ?p 1?
Lj9jA
?q`d Rem. - BV `A2.?-
A' ? ?'3?? N 5r BP ? ?o ?.
Q.G-Ba9 Mix
,12`A s u
? dg?Q Grade Point
1pr
? ? .. - .... , , ' ._.`. . _
O H Dr. Offset ?,•. i ? i
?S D Location
??? locks OBy OWner DBV SussLl
Windows
Ezisting9ara9e: ji
? ?
DctachedQAttechtld Yus ?
Size of existin9!--x
7174
Existing9aragewill be:
nd?. f
? Left as is
? Converted to L.S. ? ev owner ?i , n ?• ???9 `? ; ?; ..? r ,._?
?RemovedBY:? OwnerLl p?ul.?..?C ,xSe ?'"O"''?1 . ?.Oft'S??I?`?' .? ? ,rJ' •._i..
Su:sel Cl
Junk Must Be Removed By Ownei vp?,
, A
? p..o Wf '/
Specify other removal Y Su - r_ I
?
SBI Of OWf10f -trees, 6ushes, ett.
O Show aPprox. dist. garage to i
house aod all prop. lines-.. Stakesvisible- C1Yes?No
?
i i
Survey available - ? Yes ? No
Special instructions from i
? ?
??
_ ? .
owner.'
I
i
.-
? ?
?.
L_4iRffLr.1 ic
?-
-
PAR70FCDNSR?CT#_? •"- '-_ ?
? ?
CITY USE OrILI'
PERMIT #: RECEIPT DATE:
ii£SIDENTIAL MECHcNICAI. P£ltMTf APPLICi4TION
crrYoF EhsnA
3830 Paor xivos sn
f.A6kA H1Y S51 E8
651-6$1-4675
Please complete for: ? single family dwellings
to nhomes and condos when permits are required for each unit
Date: 1?1" ? 0 '
SITE ADDRESS: 1 l J 1 Q 4'-k l U. I N • I ' I?-?-
OWNER NAME: ? ??a? TELEPHONE #: (?5I ?j Z-S?9 ?
(AREA CODE)
INSTALLER NAME: 3.?h l..rCJ? TELEPHONE #: (06I 4 ?
(AREA CODE)
STREET ADDRESS: ?D lQ S I??J?~ ?? • ?• , ?- Q • ? J-1?5
CITY: STATE: 1'Y\?j ZIP:
Place a check mark next to the nermit work tvt)e
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
. other
?- .
Nature of work:
State Surchar e $ 50
Total
Renrinder: Call for inspections.
Updated 1 /O1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA127984
Date Issued:10/22/2014
Permit Category:ePermit
Site Address: 1937 Jade Lane
Lot:8 Block: 1 Addition: Ken Applebaum
PID:10-11700-01-080
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
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 -
Knott Seurer
1937 Jade Lane
Eagan MN 55121--210
All Sons Exteriors Inc
P.O. Box 146
Lakeville MN 55044
(952) 469-5221
Applicant/Permitee: Signature Issued By: Signature