1750 Forssa Way
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA089023
Eagan, MN 55122 . Date Issued: 05/04/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1750 Forssa Way
Lot: 15 Block: 13 Addition: Ridgecliffe 1st
PID 10-63980-150-13
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Insert
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary- BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Fireside Hearth & Home Kip A Carver
20802 Kensington Blvd 1750 Forssa Way
Lakeville MN 55044 Eagan MN 55122
(952) 985-6675
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
4
F • 3795 Nlot
BUILDING PERMIT
wG/f;A??
OF EAGAN
eod Eo9an, MN 55122 ,s
Es 454-8100
Receipt
Site /Wdreu - '
Lvt Block Sec/Sub.
Parcel #
ne Name sori i cim,:,-'
W
; Addrcss ,- -xxcl
b r:w. ? _ . . l . ., ._ . . . o?..__ ry •' - 7 ) 3 7
°C Name
0
Addre;
Nome
I hereby ocknowledge thot I hove read this applicotion and state that
the information is correct ond ogree to tomply with all upplicable
State of Minnesota Statutes and City of Eogan Ordinances.
Siqnoture of Permittee
A Building Permit is issued to:
oll work shotl be done in accordonce with oll epplicable Stote of Mir
Buildlnfl Offitiol
Ercct Occuponcy
Alter ? Zoning
Repolr ? Fire Zone
Enlurye ? Type of Const.
Move p # Stories
Demolish ? Length
6rode Q Depth Sq. Ft.
AvDr ovals Faes
Assessment
Woter & Sew.
Police
Fire
Planner _
Councii _
Bldg. Off
APC -
Permit
Surchorge
Plon check ?? ?•?O
SAC
Water Conn.
Water Meter 60 •
Road Unit
Totol
on the express condition thnt
y of Eogan Ordinonces.
Parmit No. Permit Holder Miac. Permit No. Holder
Plumbing ?Q? (4) LAZLC 10 _/Z.$'z
(
H.V.A.C. ?j?? lr???? I??1Q
w.u
Disp.
Sewer
Electric
WoS?ZS2 f2-i3-tlZ
Inspection DaM Insp. Other
Footin9s
Foundation
Framinp
Rouph Plbq.
Rouph HVAC ,?,7t W
Inwlation
Final Plbp, `r
Final HVAC
Final 1y ??
Wabr Dewibe LoCation:
Vlfell , .,
Sewer
'
Pr. Disp.
Receipt PLUMBING PERMIT Psrmit No.
CITY OF EAGAN Fee . ,
FiH in numbered spaces S/C '
Type or Prini legiWy ?-
Tot a
1. Date`'- 2, Installation Cost
?
3. Job Address1750 F01"SSd 'ri3.y Lot Blk. `-' Tract'
4. Owner `?r"ln ThOmpSu
5. Contractor 1"'nze1 Mechanical Phone µ`??-1565
s. Address 3600 Kennebec Dr
7. City
E9gan
8. Building Type: Residential L5
9. Work Description: New U
10. Describe
11.
State i-iinn Zip 55121
Commercial O Institutional ?
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
tic T
nk
Lavatory p
a
Soft
e
Shower n
r
Wel l
Kitchen Sink
Urinal/Bidet Othe
-
? Laundry Tray r
' Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Recelpt - MECHANICAL PERMIT Permit No,
CITY OF EAGAN
Fee -
Fill in numbered spaces S/C . 51"
Type or Print legib/y Tot. ''0. rC
1. Date 2. Installation Cost
3. Job Address '?5C Lot ? Blk. Tract
4. Owner - -' ' 5. Contractor ' Phone
6. Address 4637 Chic . , _
7. City State 2'1• Zip
8. Building Type: Residential 0 Commerciai ? Institutional ?
9. Work Description: New G7 Add ? Alter ? Repair O
10. Describe .-_~U3tr 11 - arcec. Fuel Type
11,
No. Equinment B TU - M. Ea.
Forced Air IVo. Equipment CFM
Ai
H
li
Mfg. r
and
ng:
Boilers
Mfg. Mech. Exhaust ?
Unit Heater
Mfg. Other
Air Cond. ,
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved C1TY OF EAGAN 454-8100
CiTY OF EAGAN Aemarks
Additfon Ridgecliff First Addn. Lot 15 Qlk 13 parcel#10 639$0 150 13
Owner Street 1750 FoY'ssa Way State Eagan, MN 55122
Improvement Dete Amount Annual Years Peyment Recaipt Qate
STREE7 SUfi F.
STREET RESTQH.
GRADING
SAN SEW TRUNK -MV 1982 298.08 5 298.08 CQ 7616 12-2 -81
SEWERIATERAL 1982 1305.42 S 1305.42 -
WATERMAIN
WATERLATERAL 19$2 1260.79 5 1260.79 6
WATER AREA 19$2 298.08 9
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81
STORMSEWLAT 1982 955.45 5 955.45 C007616 12-23-81
Services 1982 637.75 5 637.75 C007616 12-23-81
& GUTTER
S{DEWALK
STREET LICaHT
ROAD UNIT 240 4
WATER CONN. 420.00
BUIIOING PER. 7541
SAC 00 n n
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: "" i?' N'?
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(812) 681-4675
SITE ADDRESS: APPLICANT:
;.
? ::?,: ? t i t r? i•• ? i?? i.} ;<t;?t ??? ;?;
PERMIT SUBTYPE:
TYPE OF WORK:
NF W
(3 ,f=q5flPl)
O!:: ', r}t Y P 7 i ON
I I , r 1 t4 ti r?-,
II ,!tit
t-RaM I Ni,
I rA RK -, :A Sf`P ARA'tE F'f'RMIT 1 5 itt=V?!lRE, 0 (=(1R ANY EI,.F CfP11;R1 1411 Rk
Permit Mo. Partnit Holder Date Telephorre 1t
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
11-7
l'VI/2,
ROOFING
HOUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PL8t3
FINAL HTG
ORSAT
TEST
BLOG FINAI i/- L G- 4? !+-W5
O(!? /1,.r 9? S4 ' !{,
BSMT R.I.
BSMT FINAL
DECK FfG
DECK F{NAL
?
- - - - `^i-? INSPECTION RECO1tD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Pess?i+t 1Vumber: ~` t?'• `'
Eagan, Minnesota 55122-1897 pate Issued: ts t t?•' '? :, •
(612) 681-4675
!n?- r.+>w- ? a
1s, F?t.or,?;: ta
1116141 WAY 1M111AN1
( 6f:' 1 ta!; A 0044)
SITE ADDRESS:
' - ! !'J;SssR WAV
1 I1oif 1..1_ i r tk- 1ST
L
PERMIT SUBTYPE: TYPE OF WORK:
. AtH
.F ?r 1 e ; 1 t:"d I ?? fk vf i?EJrlf
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
L
ROUGH
PLUMBING
.
PLBG AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSA7
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSN
MAINS
GONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSM7 FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3795 Pllar Kneb Road
Eo4an, MN 56122
Zoning:
Owner, r?T2'LIl T'fiomp8o'
Address:
Site Address: ' ''r:'~ sa S•?,
Plumber: , • - ,
32099
1 a to
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: ?
20J,Ot} pd
q? wn+plp wiffi f6m Ckp of Ea9an Connection Cha?pe:
Ordinanosr. Account Deposlt: _
Permit Fee:
Surchorpe:
B
y Misc. Charges: _
Date of Insp.:
I Totcl:
nsp.:
Qate Paid:
OF EAGAN
Pilot Knob Read
MW 55122
Address:
' 750 PQr??? '
Ne-
M aompip wi16 Ibe Cily of Eeqaw
of Insp.:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
S k 1 Q i+A 11-7 4 494
Connection Charye: . . ! 0
Account Deposit:
Percnit Fee:
Surcharge:
Mlsc. Chorges:
Totnl:
Dote Poid:
This request void ?}.
is ?„onu,s r'om
UU 053752
Request 0 te
q ? (-
`
I Fire No. Houph-rn Inspeci.on
fle?yired, ? ?( '
Heady NowlSl Wi11 Nob(y Inspec-
Io
Wh
R
??
L
c1-- Kj?YCV ? No r
en
\
eady
?censeA Elec[rical Contractor 1 hereby request mspection nf above
Owner electrical work installed al'
Sveet AAAress, Bux or flaute No. Crty
MaN
girction o. Townsbip Namc or o. ange No. Coun
ty
^
OccupantlPRINTI Phone No.
Wiri ^h'bM&o(? FhSr? 5
Power Supplier ' Adtlress
? ?t
.1tfC21?1?
Electrical Cnnvactor ICompany Namel Comractor?s License No.
z
'LS
R3?
Br--? &Ltm-Lc -
s
M, iling AdJress (Con[racmr or Owner MakinP Installation)
i. CL1fF" 0•
Author¢ed Signa[ e 1 nvactodOwner Makinp InstailabuN Phonx Nurn
ber
G /
f7?.1 r7?s
8 w
MINNESOTA'STATE e0AP0 OF ELECTRICITV THIS INSPECTION HEQUEST WILI NOT
Griggs-Midwav BId9• - Room N•181 eE ACCEPTEO 6Y THE STqTE BOARD 1821 UniversitY A".. St Paul, MN 56104 UNLESS PFOPEN INSPECTION FEE IS
.,. _ ,-.,,- .,.,. ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
' See inatructwns for comDlebng [hia form on back of Veliow copy.
m "'J(?" Below`WD/a72by Thrs Request
Ee-00001-Oq
iJ~
.33`4 ;z -?
AAA Rap. TyVe ol Builtlind Applmnces Wrted Equipment Wired
Home rl( Ranqe Temporaiy Service
Duplex
Apt. BuilAm?
Commercial Bidg. Water Heater
Dryer
Furnace Lightiny Fixtures
Electnc HeaLn
Silo Unloader
Industnal Bldg. Air ConArtioner BWk Milk Tank
Farm otner veni v othei fsuccirv)
-17113e-FFS pow Y Othar Oihm '
Serv,ce
V?" U to LVU Am ?s 0 to 30 Am 5 U to 30 Am s
Above 200 q???i?s 31 to l0U Amps 31 to 700 Amos
on
aigns apeciai inspecciun
V T
Remarks 53?S^
Hough-in -'-' -• ; ? . Date I l
, nca
?sone.eey
carLt
that the ab
Final y
ove
inspec<ion has been
mede.
ini.c rweuesl void 18months Irom
This reques[ vnid tZ- /
18 mon[hs (rom
w 053740
[313eady NiinNhll NuN.fY l??sl
P'C tor When Reatly
ULicensed Electncal ConVactor 1 herebV request inspection ot above ?
tiawner alectncal work instelled at
S[ree1 Address, Box or Roule Na. Citv
I 7 S-G `c? G"
von o. Township Name or No. e Ae No. Counry
pWIA
OccuPA?ntp(P?RINT)?y? ?p ?!{
ot'T? ? F??11 N.S? '"_'y"` Phone No.
Puwer Suppher
? Address
'?RMINt,Tfh?
Elec[ncal CnnVactor(Company Name) Comractor's License No.
?zs -z
8??? Ei4CTP4(-
wner Making Installavonl
ess ICOm
r
acto
r
or O
Mailin9
AdJr
(
?
?
?
f
M
7
1 I C. ?I 1 ?"c.?'?y
Authoneed ie?awre oMr tor Owner Makin9 Installauon) Phone Numbvr
LI Sr F3 13, ?d?liF-F? ?s? 3-
?o .,
?
MINNESOTA STATE BOAPO OF ELECTRICITV THIS
Grie9s-Midwev Bltlg. - Hoom N497 BE ACICEPTEONSPECTION REQUEST WILL NOT
6Y THE STATE BOAPO
1821 University Ave.. St. Peul, MN 65104 UNLE55 PNOPEN INSPECTION FEE IS
,,, 1-1 - -, ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
, See inattuctions tor comple[in8 this torm on back o} yellow copV.
""X'" Belowo d7k`cdveFer7 by This Request
y EB-00001-04
w:
3 7>?>1$U
pdd flep. Type of auilaing aooii a.ces Wi.aa Eq-lmaepe^:?.ed
Home IZ& Range Temporary Scrvice
Duplex Water Heater LiyhLny Fiztures
Apt. Bwldmq Dryer Electnc HeaLn
Commercial Bldy. Furnace Silo Unloader
InAustnal BIAy. Air Condihoner Bulk Milk Tenl<
Farm iner peufy tnor fSUecifvl
[ er ueci y Other Oihi:e
Campute Inspectlon Fee Below
k Fea ServiceEntrenceSize A Fee feetlers/Subieeders k Fee Cvewti
lQ, U to 200 Am s 0 to 30 Am s 20.10 0 cn 30 Am s
Above 200 qmps 31 to 100 Ainps 31 to 100 A s
Swimming Pool A6ove 100_Am s Above 100_Am s
Tranytormers Irrigation F3ooms Partial:Other Fee
Signs Special Inspection
8 30
90
T
?
Aemarks . L FEE
? A •O? l
flough-in
?1? ?• ???? ? Lf ^/? I, tha acvmal
spector, heroby
i Final carttfy that the nbove
inspecdon hes heen
made.
This raaueaf void 18 montns imm
ciTr oF EAc,AN
7795 PItaR Kno6 Reed 6gan, MN 55142
PHON[: 454-8100
BUILDING PERMIT
Te M used for SF DFRi/GAR Ert. Value S60r00
Sire address1750 Foresa Way (Plan 42-R)
Lot 15 BI«k 13 5ec/5„y, Ridaecliffe lat
porcei # 10 63980 150 13
W Name Or_'in 7h=pVOn HOfies
? Addrcss 1712 HOpkinB Cr089ioad
v..i.e eewcw eAA_-ie1e
g Nome ?n?
?
ou Address
? ??.., w..,...
Nome _
Mdress
I hereby ockrwwledge thot I have read this opplication ond state that
the information is wrrect and o9ree to wmply with all opplicable
Stota of Minnewta $totutes and Ciry of Eagan Ordironces.
RecNpf #
N° 7541
Erect It OccupancY R-3
Alter ? Zoning fPnl R_t
Repoir ? Fire Zone T'A
Enlarpe p Type of Const. V
Mova 0 # Storias
Demolish ? LengthST2_
Grade ? Depth25_Sq. Ft.-
Aoorwab Faee
Assessment _
Water & Sew.
Police _
Fire
Enp.
Plonner _
Council _
Bldg. Off. -
APC -
Pertnit Z+4•vv
SurcMrge 30.00
Plan check I56-50
SAC 525.00
Warer Conn. 420.00
WoterMeter 80•00
Rood Unit 240.00
7otof $1744.50
Sipnoture of Permittee I
A Building Permir Is issued to: OrYiII Thompson HomBB on tM express condiTbn thm
all work shall be done in accordonce with oll opv?? e State o & Statute of Eoqan Ordinancea.
Buildirp Officiol „
(grrtifira#t vf (Orrupttnry
Citp uf (Eagan
Or}rarfinent o# BuilDitcg Insprrtiun
Tbir Cnti(itau iaued partwtru ro the nquirrnunu of Srrtion 306 0( the Uniform Building
Codr ratifying that ot the time of itctrarar thu ttruaurt war in rarrsplranre witb the vanawt
wdinaruet o f the Citr rrgulating bui/ding rortrirurtion or uJr. For the f ollouring:
?cwdfi? SF DWG/GAR gWyhmitNo. 7541
0--warTrw R3 TYPC?? V Frozoa NA zonftu.? PB) Rl
a?„dDwt?gOrrin Thompson „an,.,1712 Hopkins Crsrd. Mtka.
1750 Forssa Way L.,Lot lS.Block 13 Ridgecl_if
m lst
I?rO? ?,
e.wfto ww January 28., 1983
SP-
IOiI I. /. CMII. MC.
Ounea -
?? ?? y? ? CITY
a' OF EAC?.N Include 2 sets of plans,
. d? -'-'- 1 site plan w/e levations s
BUILDIDu; PEEMIT APPLiCATION 1 set of energy calculations.
-
cj? Pc? ? CoaC` '%r/ ' 0-0-0
w
'Ib Be Used For ??o-- Valuation Date ?a p?•? 6, ? q 8A
Site Address: l'150 'Fotss4 Wky_(-N% tot.) OFFICE USE ONLY ?
Lot _.]S Block Sec./Sub. ? %A ,
e Erect ;!- Occlpancy
Parcel #: ?(J ?D3?Yi'U (? ?? tr t Alter Zon.ing RI /f'/JL
Repair Fire Zone 4
Enlarge Zype of Const. ?
Oamer: _
Nb # Stories
ve
Pddress: Demolish Front (o? ft.
Grade • Depth ft.
City/Zip Code:
Phone #: APPROUALS FEES
Contractor: (1RRIN TN(IAAPCnnI unnncc
Adclress: a Division of U. S. Home Corporation
_ 1712 1 ,....K,. ,.eRE)SSROAE)-
City/Zip COde• MINNE70NKA, MINN. 55143
Phone #: 5q q- 7 333
Arch. /Eng. :
Pddress:
City/Zip Code:
Phone #:
Assessments Perntit
Water/Se„er Surcharge , ?'
Police Plan Check si??d
Fire i 5AC
En4 •
water conn.
.yao ?
Planner Water Meter
council Roaa onit a yo
Bldg. Off.
IT=
APC _
?TAL ? ? -7 '? S0
PERMIT
CIT;Y OF EAGAN
?3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOING
031081
11/07/97
SITE ADDRESS:
1750 FORSSA WAY
LOT: 15 BLOCK: 13
RIDGECLIFFE iST
P.I.N.: 10-63980-150-13
DESCRIPTION:
(3-SEASON)
g`uilding'°-E?ermit 7ype
Building WorlS Type
Censa's Ca¢,e ?m
.''
" • _ "?
?
-c i1?a _ ? .vie3'_i.n1•
4?A fj
SF PORCH
NEW
434 AIT. RE5IpENTIAI
.'. j
v? ?''. ??iV'? sZ ??,?? ¢'?? a ? ??4 ?r{s SY?? ''.?> ??! ?s?m.a ge i• f':.'? ??a;gt
?! '•a:,?? ` ? ? ;.? -,.?, ?.? ,"s ti::' % ?:[ `?'°Yc:: ? . . -,??-? ?:::r ?. ? ? J
REMARKS:
A SEPRRATE PERMIT IS REQUIRED FQR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Lic. Search Fee
Total Fee
$137.25
$4.00
$5.00
$146.25
$8,000
CONTRACTOR: - qpplicant - ST. LIC OWNER:
RONCOR CONS7 CO' 1888557$ 0002337 CARVER KIP
19740 LYNDALE AVE S 1750 FORSSA WAY
Be6.OOMTNGTON MN 55420 EAGAN MN
(612) 888-5578
? I hereby acknowledge that"T have re-ad thzs a?pp.lzca.tion iind state'that ttre
information is correct and agree to comqly,aith all applicable StaCe ot Mn.
StatuCes ohd City Qf EagaR Or.dinanlc:es. F_
??j er?.f_?
APPLICANT/PEFMITEE SIGNATUFE `
?S? M 1r, ?G'° ?`-.,-?p?
`_
1997 BUILDING PERMITAPPL1CATlON (RESIDENTIAL) '?14'19
31001 CiTY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements Remodel/Repair Reauirements
? 3 registered ske surveys ? 2 wpies af pian
? 2 copies of plans (include beam 8 window s¢es; poured fid. design; etc.) ? 2 site surveys (exterior additions 8 tlecfcs)
? 1 energy wlculations ? 1 energy calcul2tions for heated additlans
? 3 wpies of tree preservation plan i( lot platted after 711/93 ?(7C?
requirBd: _ Y25 _ No 1`3 1
DATE: II - ol-q! CONSTRUCTION COST: ^
DESCRIPTION OF WORK P 0
STREET ADDRESS:
LOT BLOCK
13 r-
-11 SUBD./P.I.D. #:
`?J c-'?-1 5 0 ?
PROPER7Y Name: C-/-1rQU-m &n 4"6dc?A phone#:
OWNER Fl.S.
Street
?
A L4J A
City: 15A6140 State:
CONTRACTOR Company: O)j ? c3 Vecc> iV -i ?
Zip:
Phone #:
5lb 5-5518
5treet Address: ?
? 7 yD ), y
+''d 10 j I e
X4 Loicense #: a3 3 r7
City: .
115 ""-
State:
bl v`-'- Zip: -f5 a C5
ARCHfTECT/ Company:
ENGINEER
Name:
Phone #:
Registration #:
Street Address:
City:
Sewer & water lice-r•-ed plumber (new construction oniy):
and lot change arc iequested once permit is issued.
Penaity appfies when address chanoe
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicabl-e
State of Minnesota Statutes and City of Eagan Ordinances. ???? r"'` ?
Signature of Applicant: 4
OFFICE USE ONLY
Tree Preservation Plan Received - Yes _ No _ Not Req State: Zip:
Certifcates of Survey Received _ Yes _ No
=ire
BUILDING PERMIT TYPE
OFFICE USE ONLY
4 ?
?. ,• ? ;; ??r
? 01 Foundation ? 06 Dupiex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
.0 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility
.e' 04 SF Porch o 09 92-plex ? 14 Fireplace o 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex a 15 Deck
WORK TYPE 3 ???0^r
0 31 New ? 33 Alterations o 36 Move
0"'32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4 3,q
Depth Footprint sq. ft. SAC Code o 1
Census Bldg J
Census Unit O
APPROVALS
Planning Building /4 F3 Engineering Variance
Pertnit Fee
Surcharge
Pian fteview
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ o? oo• -'
:?, ScA?N pen'rae-ld-
) 4 x,1! _ 19 tr r? 1-4 d= -7,0 4 0_-
% SAC
SAC Units
1750
? C. R. WINDEN 3 ASSOCIATES, INC. {
lANO SURVEYORS T*l 646•3646
FOR: 1381 EUSTIS ST., 5T. PAUI, MINN. 65108
U. S. HOME CORPORATION
l?
op??
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g , ? O Denotes Iron
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0Yer nnS a-? ? C 3a
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Lot 15, Block 13,Ridgecliffe First
Addition, Dakota County, Minnesota.
WE HERE6Y CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TME
BOUNDARIES OF TME LAND A60VE DfSCR16E0 AND Of TME IOCATION OF ALl lUIIDINGS, If ANY,
TMEREON, AND ALL VISIBLE ENCROACHMENTS, If ANY, FROM OR ON SAID LAND
Dalad rhis 57N day oF SE2f A.D. 1982
C. R. WINDEN d, ASSOCIATES, INC.
b,
Survaror, Minnewm Ropinraiion No 1'7Z4-
PERMIT
, CI'PY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
suzLozNs
033039
08/27j98
SITE ADDRESS:
P.T.N.: 10-63980-150-13
1750 FORSSA WAY
LOT: 15 BLOCK: 13
RTD6ECLSFFE 1ST
DESCRIPTION:
T.O. ?p & RERoaF/srnRm
B u;3?°'n'i???',Permit Type STORM DAMA6E
. Bdi.ltF3n,i47brk T.YPe REPAIR
;;4"reni;iis cgfle""'":"'434 AL7. RESIDENTIAL
?
Z-
.a . _ -
.i:= ,.._ " •` " ?tr,.-s 4
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REMARKS:
FEE SUMMARY:
CONTRACTOR: -- Applicant - S7. I.IC. QWNER:
RIGHT WAY ROOFING 18530049 00039999 KIP CARVER
1200 E. 79TH ST 1750 FORS3A WAY
BLOtlMTNGTON MN 55425 EAGAN MN 65122
(612) 853-0045 (651)452-5142
° I hsrsEty ai?I?,?1nw.??¢?-? '?f?at Z Mave. read .th?s ,a:Pp.l??a?abn eiTd, st-at?. Cii at°tfro? .
infiorm??x4?,_3s correct and=?sgt?e??= to corhplY wzth e11 :app_1??cak1??
_vSCatutas zi`n# 'C3r
ty oF Ea ga et,-
J
?l
APPLICANT/PERMITEE SIGNATURE ISSLIED 8Y' SIGNATURE
• 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EACiAN
3830 PII,OT KNOBRD - 55122
681-4675 9
New Construetion Reauirements RemodeVReoair Reouiremants
? 3 registered sfte surveys
? 2 copies of plana (InGutle beam 8 window sizea; poured fnG. Cesign; etc.)
? t energy calculations
• 3 copies of tree praservation plan 'rf IM platted after 711193
required: _Yes __--No
DATE: ??'Ra •
? 2 aopies of plan
? 2 site surveys (ezta?or addrtions & decks)
? 1 eneryy calculations tor heated addkions
CONSTRUCTION COST; ?-/S 7R . b°
DESCRIPI ION OF WORK: 9 [ o P-(Z c'7?C1PfN1 no?p
STREET ADDRESS:
I?50
Fo
LOT: BLOCK: ? SUBD./P.I.D. #:
Nazne: t'z p C r. 2 Vr e- Phone #: KS a- S/ 4?
PROPERTY 1.ast First
OWNER
StreetAddress: 'C'wm'rs?? lt2{tl 5"R elwe.`
City i?QCo tatil State: v\r.\ u_S Zip:
Company: Phone #: F; $?- o(n
CONTRACTOR
Sh?eet Address: / ?- ? i License #
CiTy :P;:2? State: $_ ^/?r.S Zip: 4.,Ls:
ARCHITECT/
ENGINEER
Street Address:
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penaity applies when address chang
I hereby acknowledge that i have read this appliqtion and state that the infortnation is cortect and agree to comply with all appiicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes
_ No
Tree Preservation Plan Received _ Yes - No
( :S?
Phone #:
Registration
State: Zip:
?
a (g r _?-
r---- ? ,
i
Not Reauir?ed--- - _ - ---_-. ''
1750
rog , ASP* ? C. R. WINDEN 3 ASSOCIATES, INC.
!?? LAND SURVEYORS T*l 643•3646
FOR:, ? 1381 EUSTIS SL, ST. PAUI# MINN. 55108
U. S. HOME CORPORATION
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O Denotes Iron
Lot 15, Block 13,Ridgecliffe First
Addition, Dakota County, Minnesota.
WE MEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPpESENTATION OF A SURVEY OF THE
BOUNDARIES OF iFiE IAND A60VE DESCRI6ED AND OF THE LOCATION OF AlL lUILDINGS, IF ANY,
TMEREON, AND Alt VISIBLE ENCROACHMENTS, IF ANY, fROM OR ON SAID LAND.
Daiad rhis 157A' doy of SPnT_A.D. IVSZ
C. R. WINOEN 3 ASSOCIATES, INC.
bY dz,-? .? ?i.-?
Surwyor, Mienesola Rapipmtion No. 1?ZL
NT3S19
G. M. STtWFlItT TPxU55
925 YAP4KEE DOODLE ROAD ?
ST. PAUL, MN 55121
?.?._..._....W..?.r...?..________._---_ -- --
LUMBER SPEC1FiCRTIONS M???/ # s 9cr?
TOP CHORO 21C4 •2 DENSE KD 50. PINE
BOT CHORD 2X4 e2 KD 50. PINE
F12
1JEBS 2X4 STRNpRRD GRRDE D.F.L.
N01Es LOLR7E INTEFI-PRNEL SFLILE$ RT 1/4
PRNEL LENGiH +/- 12 INCHES FROM
EITHER ENO OF THE PANFI INOICR7E0.
NOTE: TRUSS MUST BE CLEARLY MARKED ?URING
FABRICATION TO INSURE PROPER PLACE-
MENT OVER INTERNAL BEARING LOCATIONS
OR CANTILEVERS DURING FIELD ERECTION,
TRUSS h1AY NOT BE TURNED END-FOR-h'ND.
I HEREEY CERUH tHli 1Hi5 PLAN, SPELIRCAIION, OR
RCF.)di YhiS FffPq2ED BY ME Cfi UNDER f!Y DikECf
Sl'PER?,P?N A';) 1Nki 1 FM A DULY PEGISiFkED
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iIUNICIPA!.ITY OF
EXI'ERiOR ENVELOPE AVERAGE "U° COMPUTATION
OWNER
?pt-
SITE AllURESS
CONTRACTOR
DATE
PHONE
Determine Norking square foo[age of each.
?S9S•?9
.z3?(?:a? ??.?
?`
1. Tot ?.?.p?,??,
al exposed Wall area -------- sq. f[. ??• V
x t "'--:T
101oS
2. Tot al roof/ceiling area ------- Q4VT sq. ft, x •OGf-= ?r
q2•L
GO TO lJORK SNEET, CALCULATIONS SHALL BE SHO'.%N
Total exposed wall area above floor
a. Total c+all window area w/slidiog glass door ----- 4&?
b. Total metal door area -------------------------- 1-I,g
c_ Total wood door w/combination door arna ------- 20
d,
Total
rim joist area ------- -------------- ---- Q
r;`i ~- ?3•?{
Total exposed foundation area (unstripped) ?bnLl ?a .44
e_ Total foundation windo•.+s unstripped area ------ s
f_
Total
net unstripped foundation area ---------- ?{?
? °d ?'3•'q'{
Zto'S
Total exposed foundation area (stripped)
g. Total foundation cvindows (stripped area) ----- ? 5?•L
Z
h.
Total
net stripped foundation area above grade -- n
?
??CZQ.pp
?{?r92'1•08
Regular Wall Area (Gross wall area less a- h) -
?? ZZq ?$
i. Total framino area in regular wall ------ -------- -i 9 2•,
I
j. het regular uall area ------------------------- ?'f'? ?3'{•3?
"U" Value of each wall seoment
a.??7(7• Vf "fo-`-' ' X 'lUl.
x „u..
C. 2o X „ull , loco
03.1q -?-r X „u.l , os\
e.
x
u,?
.55 =
2.'lS
f. ? 4? X ,.U.. -42. ss
g.51•(i2 ??3.(o x .,u„
h. X ..u.. _
co'-I -+t-r1
i X "u.. ,085 7.58----
.
Z3
,
x ..U.. _ , 055 4ybI
0515 ? 1?.3a
----------------------Total = ?? 1 231.bq
3. ------ - ------
IE item 113 is the same as, or less than item 01, you have met [he in[ertt
of SBC 6006(c)2.
per-I
Total eaposed roof/celling arca
Total gross roof/ceiling area
k. Total skylight area --------------- 0
1. Total roof/ceiling framing area (average 6'/.) 1?"-????•?
m. To[al net insulated roof/ceiling area ------ a"&-t"
Determine "U" value for each roof/ceiling segmen[.
k. X "U" _
1. L3. ` •??' X%.. ?R-7
m. Ib01. ??'C'T"?" X„U., . 02S -?-4--f?$ ZS. 63
4. ----------------------------------Total = ? Z[i• s
If total of #4 is the same as, or less than 9k2, you have met the intent
of SBC 6006 (c) 1.
To utilized the total envelope systen method, the values esCablished by
the sum of items Ji3 and 114 shall not be greater than the sum of items
#1 and 112.
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t) 28X&e = 1`1.6
C) MEiAL Doo2
1) 3°x(,, = 20
n) RIM jaiST _ --
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-- KE? FoUaDATtotil_ _A?L-A _ ?ST(ZIPP?d?
'180. St•to2 = 22 ?
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1? n2;.?2 93.13
vlzll e.08 n-?+ = r?s6 -?-6 t- 6+'Tt „M?o;iF
1\:on $?;e£+i ?= 7?4l'mfi' c ++?'f+
D . AV FA - - - - -
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TO: LOR'VA OLSO[V, LTPILITY IIILLICIG CT,L;P.f:
•°?J DAL,E PEPERSON, QHIII' BUILDIN(-, OiPICIAL
BILS, BRANCH, SUPERINPIIVDIlVT OF PUBISC WORKS
F'ROM: THOh1AS A. COLBERT, DIRECTOR OF PiJBLIC WORKS
DATE: NOVESIBER 17, 1981
RE: RIIXTCLI=- 15T ADDITION - SE[%'ER AND WATER CONNF,CTIONS
On September 10, 1981, a num was distributecl listing several lots in
the Ridgecliffe lst Addition which would not be issued sew2r and water
r-exmits lmtil sanitary sewer service had been made available. Because
it is not anticipated that gravity sanitary sewer will be available to
provide service to the affected lots until July/August of 1982, Orrin
Thonipson Hoires has agreed to install a tecrporary lift station from Man-
hole No. 37 to the 4" service line for Lot 8, Block 9, Ridcecliffe lst
Addition. Attached to this memn is a copy of the letter we received
from Orrin Thompson Homes whereby they indicate that they will perfosm
the installation, maintenance and liahility of this temorary lift sta-
tion/forcs main sanitarg sewer until such time gravity sanitaxy sewer
can be extended across the future I-35E during the spring of 1982. There-
£ore, with this temporary system being installed and mauztainecl by Orrin
Thonpson Hares, the terporan+ hold on se:aer and water permi.ts and occu-
pancy for the following lots has nav been lifted:
Lots 1-9, Block 7
Lots 1-6, Block 8
Lots 1-7, Block 9
Lots 18-23, Block 9
Lots 10-16, Block 10
Lots 1-10, Block 5
Lots 1-4, Block 6
Lots 1-6, Block 12
Lots 1-17, Block 13
This temporaxy sanitaxy force main will still not provide service to
the following lots:
Lot 1, Block 8
Lots 1& 2, Block 9
Lots 18-23, Blodc 9
Lots 11-17, Block 10
Therefore, the restrictions as referenced in my previous nnnn will still
apply to these lots.
These lots are referenced on the attached map for your information. If
any problems arise pertaining to sanitaiy sewer availability, back-ups,
etc., please refer those calls directly to Orrin Thoupson Homes for the
proper resolution. If vou have any ciuestions to this release of the re-
striction on the building and sewer/water permits, please mntact m.
Please insure that all personnel in your departrcent are aware of thes2
restrictions.
TAC/jach
cc - Bob Carlson, Orrin Thcspson Homs
w
T0: UJRNA OLSON, LTPILITY BILISNC', C[,EFtK
DALE PEI'ERSON, Q-IIEF BUILDING OFFICIAL
BIIS, BRANQ-I, SUPERINTIIVpEN'P OF PUBLIC WORKS
FROD1: THOiyAS A. COI.BERT, DIRECS'OR OF P[TBLIC WORKS ak\/
DATE: NOVENIDER 18, 1981
RE: RIDGECLIFFE 1ST ADDITION - SES+IER AND WATER CQVNECTION RESTRICTIONS
On November 17, 1981, a irnim was forwarded listing several lots within the
Ridgecliffe lst Addition that had restrictions placed on the issuance of
any sewer, water or occuoancy pen-nits due to the unavailability of sanitary
sewer. There appeared to have been a duplication of lots that were refer-
enced for future restrictions as corrpared to those whose restsictions had
been listed. Please be aware that the follawing lots only will have re-
strictions placed on the issuance of sewer, water or occupancy permits:
Iot 1, Block 8
Lots 1& 2, Block 9
Iots 18-23, Block 9
Lots 11-17, Block 10
Please insure that these referenced lots are not granted any permits that
would allas their occupancy or use of the sanitary sewer system.
Please insure that all personnel are made aware of this crorrection as stated
1T1 th15 IR=SCD _
TAC/jach
cc - Bob Carlson, Orrin Thapson Hoffes
L ?Sig131 P-C(
'IU: IJJmA CILSCN, VPIIS'PY IIIIS.II4G (SF..'TtK
BUIlDL'VC INSPDCPIIN DEPAFMM=
BIIS, BRANQi, SUPERLYTF2IDfNT CF HIDLIC iVORKS
FfYYd: 7-ICN%S A. WISEftP, DIRECPOR OF P[.BLIC WORKS dtC-?
. DATE: SEPTIIMIDIIt 10, 1981 .
1E= RID=.ffPE LST ADDITIIN
Because the follaaing list of lots in Ridqecliffe lst Additicn does
not have gravity sewer outlet at this tire, the following prooe-
dures will be initiated imtil further notice:
VfILPfY BILLING
No water turn-cns will be allowed prior to 8-1-82 or tmtil scwer
is available in these areas. -
BUIZDLNG L`ZSPELTICN
Building pezmits can be issued for these lots, but the bui.ldez
should be infozr.ed at time of peanit issuanoe (per:iaps startping
the building pezmit with "NO OCS.'CPA?*ICY PRIOR 'Il7 8-1-82 OP. UNTIL
SEWTR IS AVALTABLE") the restrictions ai sevres availability.
N1ALN'lT-NANCE DEPP=tENP
See both utility billing and bui.lding inspecticn above.
The lots with these restrictions are as follows:
Lc7i5 1-9, BI,OCc 7
- LC1I5 1-6, BIOCIC 8
LC7IS 1-7 BLC''C 9
LORr 18-23 BLQCR 9
Lc7I5 10-16 BLOCK 10
IL7fS 1-10 BLOCK 5
IpI5 1-4 BLOCK 6
LOIS 1-6 BIlJCfc 12
Lc7Ir 1-17 BLOaC 13
and are also indicated on the attached maps. .
jac
RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ??
New ConsWCtion Reauirements RemodeVReoair Requirements OKce Use Onlv
3 registe2d site surveys shaxing sq. R of bt, sq. ft of house; and all roofed areas 2 copies of plan CeA of Survey Recd _Y _ N
(20%maximum lot coverage allowed) 1 setof Energy Galculations for heated additions Trce Pres Plan Real _Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additbns 8 decks Tree Pres Reqd _ Y_ N
1 set of Eneigy Calwlations AddiUon - indicete it on-site sepfic sysfem On-sife Septlc System _ Y_ N
3 copies of Tree Preservation Plan if lol platled afler 711/93
Rim Joist Delail Optlons selection shcet (bidgs witti 3 or less units
Date 150/ ? Construction Cost D Q ?
Site Address UnitlSte #
Description of Work l?e?IQG2 (?pV1GV-L°te Ca
o OYl mm e y
l
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner K f ip CQ y` ve f Telephone
SELA ROOFING & REMODELING, INC.
Contractor
Address ST. LOUIS PARK, MN 55416 City
State ID #0001050 ZiP Telephone # (C- (p
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category , Resldential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with
fee applies.
Licensed Plumber
_ Y _ N If so, 25% plan review
va T e?one #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work wil] 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.
??'o?C3 ? ?? ? F
Applicant's Pn ted Name Applicant's Signature
Use BLUE or BLACK Ink
For Office Use I
I 2-7 Z I
City of Ea~dfl Permit v
I
Permit Fee: I
3830 Pilot Knob Road I / I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff- - - - - - - - - J
INFLOW INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: v site Address:
Tenant: y it _T4_a~
Suite
F Name: Phone: ~ `.-2 -
RESIDENT /OWNER
Address /City/Zip:
Name: -2- License
CONTRACTOR Address: City:
State: Zip: Phone: (~0 7 f• `7 2~ l~~
Contact: Email:
PL BING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: C ` (cwt
DESCRIPTION
aCICISc4e ,rime
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeauan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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._qopherstateonecall.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 permit, and work is not to start without a
permi ; that the orkk will be in accordance with the approved plan in the case rork h r quires a review and approval of plans.
x t
x
Appli nt's Printed Name Ap s Signa ure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159676
Date Issued:01/08/2020
Permit Category:ePermit
Site Address: 1750 Forssa Way
Lot:15 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
John Maretll
1750 Forssa Way
Eagan MN 55122
(651) 214-2347
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162026
Date Issued:06/23/2020
Permit Category:ePermit
Site Address: 1750 Forssa Way
Lot:15 Block: 13 Addition: Ridgecliffe 1st
PID:10-63980-13-150
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
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 -
John Martell
1750 Forssa Way
Eagan MN 55122
(651) 214-2347
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature