1874 Gold TrCITY OF EAGAN Remarks Sew & wtr permits, Seur & wtr con, pd. 5-9-69
Addition Cedar Grove #6 Lot 9 Bik 3 Parcei 1 o16705 090 03
Owner « Street 1874 Gold Trail 5tate Eagan+MN 55122
?.D Dee a
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. '
STREET RESTOR.
GRADING
SAN SEW TRUNK c f? 196$ 92. 3 • Q$ 30 Paid
* SEWER LATERAL 1970 1472.00 ZO PBid
WATERMAIN
* WATER LATERAL 1970 20
WATER AREA
.,g STORM SEW TRK 1970 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 200OO 140 -12-6
BUILDING PER.
sAC 20000 1409 -12-6
PARK
---, --- i
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? 1 i • ? V?- J. 1'? / i1 n'' R"1 f? '" L.7
SITE ADDRESS: ? „ r , ?, ??, ? r, ?? ?. • APPLICANT:
. . , .. ;?;,
I I 1«?t; f,kuv1 N46--r,s0061
1-
L
I I tli?Mr,
?
?
PERMIT SUBTYPE: TYPE OF WORK:
M F j?;1 iI RM 11AMA(3E .
I
?
Permit Holder Date Telephone M
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING o 2p.IA
6 ?D NO p?
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
•
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLUG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
corroucriwrv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
RESIDENTIAL
BUILDING PERMIT APPLICATION
?qu57 CITY OF EAGAN ?_N q9, p S
3830 PILOT KNOB RD - 55122
651-681-4675
New Conatruction Reauirements RemodellReoair Reauirements
. 3 registered site surveys showirg sq. k. of lot, sq. ft ol house; and all raakd areas • 2 copies of plan
(20%mazimum lot coverage allowed) . 1 set of Energy Calculations (or heated additbns
• 2 copies otplan showing 6eam & windrnvsizes; poured found design, etc.) • 1 site survey forexterioradditions 8 decks
• tseto(EnergyCalalalians . IndicaleifhomeservedbysepticsystemforaddiGons
• 3 ropies of Tree Preservation Plan'rf lot platted aRer 711193
• Rim Jaist Detail Options seledion sheel (61dgs with 3 or less uni4s)
DATE / / ?2? _ C)`
JOB SITE ADDRESS / Q-J U- G d ? c!
O
VALUATION 7 E00 If MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER 6 0I f ? - :CCX c-, /'1 i(c_?
TYPE OF WORK e/dG/C DrAi i4 h7 t FIREPLACE(S) _ 0_ 1_ 2
APPLICANT G r? Cv l' C/ 20 PHONE#
ADDRESS S?/ r-A (i4 61!. /"t4,1 ZIPCODE?
PAGER # CELL PHONE # C/ Z- 0SO-E FAX # ??Z `Ol-Z9S?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted''
- Energy Envelope Calculations Submitted I) N?V a?6 aoo? L
MINNESOTA RULES 7672 I
- New Energy Code Worksheet Submitted
BY--?--?-
Plumbing Contractor: Phone #:
Plumbing System Includes: Water Softencr Iawn Sprinklcr Fee: $90.00
_ Water Heater _ No. of R.I. Badis
_ No. of 13aths
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conclitioning
Heat Recovery System
Phone #
Phone #
ree:
$70A0
All above information must be submitted prior to processing of application.
I hereby ocknowledge 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.
Signature of Appllcant ecle-< /
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
"CITY of EAGAN
BUILDINC3 PERMIT
OWOBt ........??.......(.:... .L.?...?.....'?.?- ....................."'"'
Addseu (PresenS) .117-11 -'-"?"""'_s? .............
Builder
Addreae
DESCAIPTION
? ?,
N4 3286
3795 PiloY Knob Road
Eagaa Minnesoia 55122
454-8300
-7
Dale ......................................
To Be Usad Fos Fson! Daplh Heigh! Eal. Coe! Permi! Fee Aamuke
7 G2?-.?''r„ ?--?,>•?.?- ?? ? .SS???`?_ F? C.?
LOCATION 99--o' zf?&-=A 'A ."
Slreel, Aaad ar olher Deseriplion ot Localion I Lo! I alock I aaaixton or Tract
1 / .? ?c?.L.-.. A? la
This permii does nof avthoriza the u:e of slseefs, roads, alleya or sidewalks noz does it give the owner ot Lis agea!
the righiSO creale any siluafion which is a auisance or whiah precenls a hezard !o the heallh, safefp, eoaveatencs and
geeeral welfare !a anyoae in the communily.
THIS PEAMIT MUST BE KEPT ON THE .PREMISE WHILE THE WORK IS IN PROGRESB.
Thia is fo ee=litY. !hal----_ ............. haapermisaion fo ereet a.... ??.'.:?.??......... .". :`:.._npoe
the above described premise subjec3 to 2he provisions af all applicable Ordinances for ihe Ciip oi Eegan.
? ??
_--------------..f._'d:_:......Sl......_._.a'(?.yy.tcv.-.-° ............................... Per ---....--.._l >??.?."?-'------°-'----.._...................--'--°..__..................
MXyor Building Inspeclos
?
EAGAN TOWNSHIP
BUILDING PERMIT
Owner _d? . ... .p.../rY-/r..-"--`-....._t...cT' ----v„c? .-...--......
Addresf (Preseni) -...d?..--'-`8r4.......... p...............
-'-
Builder ------------------------------- --------- ......... ........ ..._.._.............--.-"...
Addrass ---- ---------° ...........................------..........._...........--...._......
N° 2011
Eagan Township
Town Hall
Dale _r<!.d'A..
7 5-
v To Be Used For F:oni Depth Iieighl I £s!. Cos! •Pexmi! Fee Remarlcs
V LOCATION
Sireef. Road or oihez 17escrlpnon oi Locanoa I Vox I nwcx I aaawon os -rracx
This permit does not aulhorize the use oi slreeis, roads, alleys or sidewalks fior does it giva the owner or his egent
the sighifo creale anp siluafion which ic a nuisanae or whieh presenis a hasard 2o the heallh, safety, eonvenieace and
general welfare !a anyone in the eommunify.
THIS PERMIT MUST BE KEPT ON TqH?E PREMI/S?EWH.?IL-E THE WORK IS IN PROGAEyg S.?
?J • ...... .... ........
This is fo ceriify, that....permission fo ereef aSs*!.`.-? : ............ ...
the above described premise subject !o the provisions of the Buildinq Ordinance for Eagan "Township a opled Ap..upon
ril 13,
/?
1955. t-2e..
............. ..........(?-..............-'--........ Per ...._ ....? i< ...pa?-r..?? -'_._4,?.._.........._..._.
/ Ch ?rman of Tnwn Boerd Building Inspeclor
Q . R?.
9-,3-,6
VILLAGE OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesota $5122
PERMIT NO.: 499
The Village of Eagan hereby grants to Farl E. 8ermann
of 1874 Gold Trail, Ea_aan 55122
a HEP,TING Permit for: (Owner) same
at same - addition , pursuant to application dated 5/14/74 ,
Fee Paid; SS•Qp dated this 14th day of May , 79 74 .
.50 s/c
Building Inspector
itechanical Permits:
Bid Tot,-1;
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWelion Reauirements
• 3 registered sde surveys showing sq. N. of lol, sq. ft of house; and all roofed areas
(20°k maximum lot coverage allowed)
• 2 copies of plan showiig beam 8 window sizes; poured found design, etc.)
• 7 set of Energy Calculations
• 3 copM of Trea Preservation Plan if lot platted aNer 7/1193
• Rim Jcisl DeWil Options selection sheet (bldgs with 3 or less unils)
DATE (O'-? '07i
`?0_c?()
RemodeVReoair Reauirements
• 2 coples of plan
• 1 set of Energy Calculations for heated addilions
• 7 site survey for entenoradditions & decks
. Indicale if home served 6y septic system for addNons
VALUATION ???Y? • ?
SITEADDRESS????nrd TYafl MULTI-FAMILYBLDG _Y :!?'N
TYPE OF
APPLICANT
FIREPLACE(S) _ 0 ?1 _ 2
STREET ADDRESS _?? W• I'EU,IIr I? CITY IICSTATF'? ZIP 3'?
TELEPHONE #qC77--Fb'Q1ri% CELL PHONE # FAX #
PROPERTYOWNER Q,Ie. ?'Y1LlIYV1?(?'1Pr TELEPHONE# 1OGJI ?g'a?]?S)
COMPLETE FOR -NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RiILES 7670 CA'I'E, GORY 1 MINNESOTA RLII,ES 7672
(d submission type) • Residential Venfila6on Category t Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculahons Submitted
Plumbing Contractor: _
Plumbing system includes:
Mechanicai Contractor:
Mechanical systcm includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
;•,- .
ree: $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 uin af ces.
n ?
?
?
Signature of Applicant
OFFICE USE
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ WaLer SofLencr _
_ Water Heater
-- ?`;c. of Baths
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Condiaoning
Heat Recovery System
Updated 4/02
FERMIT
CITV OF EAGAN
366 Filot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BurLoitvG
Permit Number: 033180
Date Issued: m 9/04/ 9 s
SITE ADDRESS:
P.I.N.: 10-16705-090-03
1874 GOLD TR
LOT: 9 BLOCK: 3
CEDAR GROVE #&
DESCRIPTION:
ReROOF/sroRm
8?r31dinc?_Permat 7ype
Wuilding 0 rk Type
,-?ensus Code434
%' .
i
...}. •,la. . . ,
~ ?a 4 ?
Y d (f
pAMAGE
STORM DfiMAGE
REPAIR
ALT. RESIDENTIAL
t c?. ? .- r
,;?
4
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S
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i ?
•
i
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. .... ?'?._,.c.. i.? 3
r a...?/m*.'211z'?
REMARKS:
FEE SUMMARY:
CONTRACTOR: -
TOP GUN
10736 NORMANDHLE
BLOOMINGTON MN
(612) 346-8000
Applicant - ST. LIC
13468000 2012821
BI.VD
55437
OWNER:
SCHUMACHER
1574 GOLD
EAGAN
(651)688-2781
DALE
TR
MN 65122
I hereby acknowledge that I heue read this application and state that tha
ini`ormation is correct and agree to comply with all applicable State of Mn.
Statutes and City a'F Eagan Ordinancers. L _
APPLICANT/PERMITEE SIGNATURE
ISS BV. SIGNATURE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
,J 3830 PII.OT RNOB RD - 55122
681.4675
New Construction Reauirements RemodeVReuav Reauirements
? 3 registered srte surveys
• 2 copies of pfans (inGude beam & window saes; poured fnd. design; etc.)
? 1 energy wlculations
? 3 wpies oi Vee preservation plan iF bt platted aRer 7!11/93
required: _ Yes _ No
DATE: `7 -7-
? 2 copies ot plan
? 2 site surveys (erterior addkione & decks)
? t energy wlwlations for heated addRions
CONSTRUCTION COST; 71 CJU(/- ?
DESCRIPTION OF WORK:
STREET ADDRESS: 14 T`1 UU169 / VL1Y 4 _
LOT: ?BLOCK: ' SUBD./P.I.D.#: C?Sb??IJ? ?YO lJ? ? S?
Name: )CbumQrbPr I ha te Phone #: (J,/(} O"" ??(1 I
PROPERTY 1-est Fu°st
OWNER StreetAddress: I? I 7 11-?Wl 29cz
City ?? 4! State: Zip: S?
Company: ??'?LJ? ,L(! I ? - Phone #: ;?Y(O! U(1( J( )
CoNTR,.CTOR n`n l/
Street Address: License #
City ?( I I II Y I State: I Zip: 5?5q,-37_
ARCHITECT/
ENGINEER Company: Phone #: _
Name: Registration #:
/ Street Address:
Ciry State:
Sewer 8 water licensed piumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to camply with all applicabl
State of Minnesota Statutes and City ot Eagan Ordinances.
Signature of Applicant: A,w,Q?/J
' OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
, .?
EAGF.N TOWNSHIP
3795 Pilot Rnob Rosd
St. Paul, Mianeaota 55111
Telephone 454-5242
PEMaT FOR WATER SERVICE CONNECTION
Date: '7'la4hp'7
Billing Name:C'?GJ7/i`".I?DUeC'?D/I5T
Owner: ?. A. 6 .
Plumber: f'/64
Cl?
NO I Total Chg.
Building is a:
Residence X
Multiple No. Units
Commercial
IadusCrial
Other
Number•, 27; / ^'-? - 4
Site Address: A/u
'-?
Bi11in?Address?7393
C7o?G?D.2o
Meter Size Gonnection uhg. 210.00 nd.
Meter Noj Permie Fee 7•50 ?.
Meter Reading,,/,ioo Meter Dep.
Meter Sealed: Yes Add'1 Chg.
Inspected by
Date
Remarks:
By:
Chief Iaspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Sagaa Township, Dakota County, Minnesota.
By: ????????'J1.G'•
Please notify the above office when ready for inspection and connectian.
, •°•
EAGE14 TOWNSHIP
:795 Pilot Knob Road
St. Paul, Minne:,ota 55111
Telephone 454-5242
PERMIT I'OR SEWER SSRVICE COtdNECTIOri
DATE• May 9, 1969
OWNEP,: _ rArla,- r_,-n.,a r.n„ar,-_
PLUMBER Stein Inc.
OF BUILDING
Industriall Commerciall Residential ` Multiple Dwelling I No, of units
+ I X I I One
Location of Connections:
Inspected by:
Date
Remarka:
NUMBER 396 .,
Addreas 1874 Gold Trail 7-3""(o
TYPB OF PIPE Cast Iron
Conaection Charge 200.00 pd.
Permit Fee 7.50 pd.
Street Repairs
ToCal
By.
Chief Inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tocroship, Aakota County, Minnesota
By. Ste' lumb n Co
Flease notify when ready for inspection and connection and before any portion
of the work is covered.
Z16 f- ? ?llle 3
;
vp?
I U+ ,
?o+
1
,I
1
a6?
1---- - 4¢' --- !
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
Permit
No.
Issued Issued To
ConTractor Owner
BUILDING
PLUMBI NG J;?rg
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING ?. 9q
GAS INSTALLING
SANITARY SEWER I
OTHER I
O7HER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING I( TILE fIELD FT.
FINAL
ELECTRICAL
HEATWG
9,.7?• ?
, DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WEII
SANITARY SEWER
?
Violations Noted
on Batk
COMMENTS:
d*.
51
city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLiNG CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECH
DATE: AUGUST 25, 1993
SUBJECT: STREETLIGHT ENERGY COSTS
CEDAR GROVE NO. 6(141 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 6 Addition
as listed below:
Block 1, Lots 1 1
Block 2, Lots 1-8 8
Block 3, Lots 1-18 18
Block 4, Lots 1-11 11
Block 5, Lois 1-9 9
Block 6, Lots 1-53 53
(Lots 54 through 61, Block 6, shouid not
be billed at this time)
Block 7, Lots 1-12 12
Block 8, Lots 1-18 1$
Block 9, Lots 1-11 11
TOTAL 141
The City is currently being bilied by Dakota Electric for streetlighting in the above listed
subdivision.
J
Ed Kirsehi ?
Sr. Engineering Tech
cc: Mike Foertsch, Asst. City Eng.
EK/je
CITY USE ONLY
PERY[IT #: RECEIPT DATE:
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Cff7lOF E4fil4N
3930 PILOT KNOB RD
EA6AN lf1V 55122
651-6$1-4675
l
Date: (' ? a
SiTE ADDRESS:
fi£SIDENTIAL M£CH"CAL PEfiM1T APPLICATION
UWNERNAME: 5,611 ?mns' hRS TELEPHONE#: 667I j?g$ 278-?
, (AREA CODE)
INSTALLER NAME: ??T(`(t?V\,LQ UL?nU °?? TELEPHONE #: %Sa- 79,YD005-
,T (AREA CODE)
STREET ADDRESS: i c? 41?i ii-y10CQ'Q_ Nk.) S•
CITY: Jccjnr STATE: KA KD ZIP:
_ ...:a . .L i..
riace 4 t411C4.R Ilial n ucna w uc
New residential dwelling unit under constructionand not ownedoccupied ? 70.00
.? Add-on, modification or alteration to existin dwelling unit $ 50.00
_lacement
• urnace rep
_____
• air exchanger
? • air conditioner
• other
Nature of work: r 11O."'At°
State Surchar e ? YI
- .50
[?
Total ?UN 1! CU ? ?
Reminder: Call jor inspections.
By--- ?
.
SIG ' T E OF PGRINITTEE
Upda[ed L/01
This request void
18 months from
Date of is Request U Fire No. ? ?"???
1, as Licensed Ele cal ntractor Owner, do hereby request inspection of the above electri-
cal wiring installed ,
Street Address or Route No.
Section Township
Which is occupied by
Is a roughin inspection required on
Power Supplier
Electrical Contractor nmnarr.x V.r rr?r1RrC nNQaUr's L c, ense No. _
Mailing Address ??`?bN?NNOCK LANE
APPEE or w k' I tallatlon)
i
Authorized Signature I`h
pne No.
(Elxtrica pMX'di Ihs I
????? ??Q??? ?Q?? This inspection request will not he accepted by the
State Board unless proper inspection fee is enclosed.
Minnesota State BoarA of Electricih/ Griggs Midway Bldg. - Room N191 ? EB-00001-02
1821 Universiry Ave., St. Paul. Minn. 55104 - Phone 297-2111
CHECK BEE OA4 WORKOCOVEREDTBY'THIS EQ EST'ON ? O? S 7 3 5 5 6
Type of Butlding New Add. Rep. Check Applinnces Wrted Fox Check Fquipment W'ved Foi
Home
Duplex
Apt. Bldg. •
Commercial Bldg. ?
?
0
? ?
?
?
? ?
El
?
? Range ?
ter ?
Wap
Dr
?? Temporaxy Wiring ?
Lighting Fistutes ?
Electric Heating ?
Silo UNoadet ?
Industrial Bldg.
Fxrm ?
? ?
? ?
? er
rndil
U C?
List ) Bu1k Milk Tank ?
List
)
Othe[ ? ? ? }
?ehe?sl }
Herer5l
COMPUTE INSPECTION FEE BEIAW
Service Entrance Size: it Fee Feedera&Subfeede[a: # Fee Ci[cuits: # Fce
0 to 100 AmPS. 0 to 30 Am eres 0 to 30 Am eres
101 to 200 Am s. 31 to 100 Am eres 31 to 100 Am res
Above 200 Amps.
! Above 100 Amps.
I Above lO_Amps.
Transformecs I RemoteControlCirc.
I Paztialorotherfee
Si ns 1 1 Special ins ction Minimum fee S5.00
Remaiks
TOTALFEE
I, the Electrical Inspector, hereby certify that the above inspection has been made. ( Q' .120?
(Roughan) Date
(Final) Date . -7- 3r - [7
This request void `?18 months from ,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116245
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 1874 Gold Tr
Lot:9 Block: 3 Addition: Cedar Grove 6th
PID:10-16705-03-090
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 .
Barbara Bessent
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 -
Susan A Mesch
1874 Gold Tr
Eagan MN 55122
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA118898
Date Issued:11/12/2013
Permit Category:ePermit
Site Address: 1874 Gold Tr
Lot:9 Block: 3 Addition: Cedar Grove 6th
PID:10-16705-03-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Renae Frienwald
2200 Hwy 13 W
Burnsville, MN 55337
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Susan A Mesch
1874 Gold Tr
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature