4363 Metcalf Dr Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
I I
Permit
City of Eano~dn I I
I U
I Permit Fee: Q ~ I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 31 ` 1 Z
Phone: (651) 675-5675 _ I l
Fax: (651) 675-5694 I Staff: I
2012 MECHANICAL PERMIT APPLICATION
Date: 12 ' Site Address: 5~ I Z Z
Tenant: C~IIv(,~~~ t Y/( t1 Suite
RESIDENT /OWNER Name: ~U s -t'n Sir Phone: (i
Address /City /Zip: q-& cv::~ Z z-
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
New Re`pl``acement Additional Alteration Demolition
TYPE OF WORK Description of work: ~ yi,v _ _
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
~rnace New Construction _ Interior Improvement
PERMIT TYPE Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x I%
$60.00 Minimum (includes State Surcharge) _ $ Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee - $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.orq
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.
x AryY^) x Axuq- YA,
Applicant's Printed Name Applicant' ignature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
CITY OF EAGAN Remarks
Addition RivPr ui lls Lot z elk 4 Parcel 10 64400 020 04
Owner Lt' ?'? 1 ?? Ui? A- ??'. Street 4363 ME±tc al f pr 5tate Eacxan,N1N 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA
STORM SEW TRK
? STORM 5EW LAT 1476
CUR9 & GUTTER
SiDEWALK
STREET UGHT ?, .-3 _ 1980 - " 13.56 5 _ • C0087$9 7-17-$4
-
WATER CONN, Qlj
BUILDING PER.
5AC Do
PARK 4 A
----
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: ,.
3830 Pilot Knob Road Permit Number: ,
Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675
SITE ADDRESS:
APPLICANT:
-1
I
-I ,3 W ft:Al F" 00 AHf: i' 1FR 1400F1N6 rn
I; ?'•%t ?? II I! r? ? 1 ii i.? . ?}t.ct
PERMIT SUBTXPE: TYPE OF WORK:
??? .?? . ; f E ? ???, ? . ,? :v ?:? ? ?,??;
Permlt Holder Date Telephone #
SEWER/
WATER
PLUMBING
HVAC
Inspectlon Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
V
FOUGH
P4UMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CANDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
. `'""'+'"'?a'F°9?? ? Y . . , . r . . ? , . _ • ,x
? CITY OF EAGAN Wp 18210
j 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDIIG PERMIT PHONE: 454-8100 Receipt #
To be used for DECx Est. Value $1'00() Date 3ULY 31 19 90
Site Ad
ess -?W? ?`?W W? ?
I OFFICE USE ONLY
LOt BIOCk SBC/SUb.
PSfC81 NO. Occupancy - FEES
DOE 8 ClUtOL FORD Zon1ig - 25.00
W Name (Actual) Const _ Bidg. Permit
O Addfess (Allowable) - Surchar
e ? ?
EAGAN g
City
Phone # of Stories *?y
Plan Review
length
s? ?
? ? Name Depth snc, city
;? Address S.F. Total - S
C
M
w
c
? ,
A
c
c
City Phone S.F. Footprints -
Water Conn
On Site Sewage _
?
? W
Name
On Site Well
- Water Meter
=
?
AddreSS Mwcc s st?,
y
-
?
<W
City PhOn@
Cicywater Acct, Deposit
-
S/W Permit
PRV Required _
I hereby acknowlege that I have read this application and state that the Boosler PumP - SMl 5urcharge
intormation is carrect and agree to comply with all applicable State o(
Minnesota Slatutes and City ol Eagan Ordinances, Treaimeni PI
Signature of Permitee ? APPROYALS Road Unit
A Building Permit is issued to: ?? ??WL FORD Planner - park Ded.
an the express condition that all work shall be done in accordance with all Council
applicable State ot Minnesota Statutes and City ot Eagan Ordinances. gldy_ pff, _ C0p'e$
25
50
,
Building Official Variance .
- TOTAL
:.:. _ -- °--
Permit No. Permlt Holdsr Date Teleplwne #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspeetion Date Msp. Comments
Footings I
Foundation
Framing
Hoafirg
Rough Plbg.
Rough hllg-
Isul.
Fveplace
Rnal Htg.
Fnal Plbg.
Const. Meter Pibg. Inspecya - Noti(y Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Detk Final
Well
Pr. Disp.
CITY OF EAGAN NO 18,210
y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 /6
/
I
?
BUILDING PERMIT ?
Receipt # ?? IS _
Q
To be used tor DECK Est. value $1, 000 Date JULY 31 ,l9-9Q_
Site Address 4363 METCALF DR
Lot Z Block 4 Sec/Sub. RIVER HILLS 9T oFFicE USE oNLv
PefCEI NO. Occupancy - FEES
Zoning -
W Neme BOB & CAROL FOR? (ACtual)Const - BIdg.Permil 25.00
; Addfess 4363 METCALF DR (Albwable) - Surchar
e •SO
0 Cit EAGAN phone 894--7416
y soistories g
16, Plan Review
Length
a Name SAME oepm 1.91 snc, City
,
00 Addfess S.f.TOtal -
?<
?
City PhOfIQ
S.F. Foolprints - SAC, MCWCC
S H'aler Conn
On Site
ewage _
W w Name On Site Well - Water Melar
i
?
Address MWCCS stem
Y -
0 Acct. Deposil
aw City Phone Cilywater -
S/W Permil
PqV Required _
I hereby acknowlege that I have read Ihis application and state Ihat the Booster Pump - SM' Surcharge
information is coffecl and agree to comply with all applicable State of
Minnesota Statules and City ot Eaga
n Ordinance Treatment PI
e
SignaWre of Parmifee ?? APPROVALS Road Unit
BOB OR CAROL FORD
A Building Permil is issued to:
%a""ar -
Park Ded.
on the express condition Ihat all work shall be tlone in accordance with all Council
appliwble State ol Minnesota Statutes and City of Eagan Ordinances. Bldg. Olt. _ CoPies
BuildingOfficial_? 14 stl?f??l Vanance - TOTAL 25.50
- CITY of EAGAN
BUILDING PERMIT
Ownex WZNDSOR DEV. CORP.
................... ..........................................................................
Addrece (PI08BT2) ...4660 W. 77th St., Edina
........... ............................................... ......... """...-
Builder WINDSOR DEV. CORP.
...... . .............................. ................................ . .................
a,...55435 831-0717
Addreu ......_4660 W. ...Ed........................
.................... . . DESCR2PTIOIQ
P' I q V,
N°_ 4145
3785 Piloi Knob Road
Eagan, Minnesoia 55122
454-8100
11/18/76
Dale ...............................
Sloriea To Ba Used For Fron! Depih Heighl Eel. Coa! Permi! Fee Aama:ks
S/F Dwlg & Gar 50' 34' 47,000 I 123.5 s/c Jj ,Sv
or
4363 Metcalf Drive
?-
2 I 4 I River Hills 9th
This permit does noi auihorize the use of slseets, roadn, alleps or sidewalks nos doee it give !6e oaaes or Lis sgent
the righ2lo ereate aay sifuation which is a nuisaaae or which presenls a hasard fo the heellh, aafety, eonvenienes and
ganesel welfase !o enpoae in the communify.
THIS P£RMIT MUST BE REPT ON THE PAEMISE WHILE THE WORK I3IN PAOGAESB.
T6is is !o eertifY, ihal.Windsor.jLfe.y....Corp .............haspermiseion !o erect a...._S/F .... Dwl .
. g ........ & ..... G .. a . r ............_upen
....................
the above described premi subjeci io !he provisions of all applicable Ordinances for !h ? p of Eagen
. ?!?."--'--" ....... ??__
.
...?.. . . . . " Y' _ ... ..._... Per
..................... r?.?L .........................................
or SufldInq Inspeetor
Ma
CITY OF EAGAN
3795'Pilot Knob Road
Eat-an,. Mi.nneaota 55122
PERMST NO.: 838
ri'he City of Eagan hereby grante to RaY N. welter HeaLing Oo.
•
of _ 4637 Chlcego ?. ,
, aBU_= Permit fors (Ownar) ' i wiadwi Dsv. i
?ab 4363 Melcalf p pursuant to application dated 3L Z/27/76
Fee Yaids $40.00 dated.thie..3 day of Jaanarp ? 19 79 ,
1.00 s.c
Building Inspector
Mechanical Permita: •
Eid Totcl:
-- 2 -4 411 y'-t!/
CITY OF Er,GAN
3795'Pilot Knob Road
Fagrsn,, Minnesota 55122
PERMZT N0. : 756
Phe City of Eagan hereby grants to Thompson Plumbinq Co.
of 12201 Minnetonka Blvd.
a PLtrM9ING Permit for: (Owner) fJindsor Dev. Corp.
2'55 Clark Coart
a" 4 r- Metcalf *±r. , pureuant to application dated 11/1E/76
Yilled:
Fes i$idcac $40.00 da(-.o3.this 19 day of ?'ovemF.er , 19 71?.
1.00 s/c Statement it1030
Building Inspector
P:echar=ca1 Permi;s:
Sid 1^uial:
SEWER SERVIC efgRMIT
VILL'f0E OF EA(iAN
3795 Pilot Knob Raad PEAMIT NO.: - 11/19/ 7 6
Eagon, MN S5124 DATE:
Zoning: RT - No. of Units: 1- -
owner: windsor Dev. Cor .
Address:
4363
Metcalf Dr. L2 84 RH 9th
SiteAddress: Plumbinq Ca•
Plumber: Thom s on
100.00 pd
1/18/76 N4636 350.00 pd
I ayna to eompy wifh the Vi1Mge of Eogon Connection Chazge: ?
OrdinanCes Account Depos(ta 1 ea ?
1
Permit Fee: e ?
surcnarge:
3y, Misc. Chazges:
-)ate of Inep.: Total:
Date Paid:
nap.:
WATER SERVICE
YILLAGE OF EAGAN 2090ERMIT
PERMIT NO.: /19/76
3795 Pilot Knob Road DpTE. - 11 .
Eogan,MN S51I2 No. of Units: 1
zoning: ?indeor Dev. Corp-
Owner:
Address: 1 F nr I LL ny ?° 9t*
Si[e Address: 4363 N - -- -
plu„tget1 Thafmp?s--o-n Plumbing Co• ZO5.00 pd ?
Meter No.!? Connection Charge: `
Account Ueposit --
sze:---.?-- 10-.00 Lilledl?,
er No.:_'? ?---- permit Fee: , 50 billed y
II a9 comply wiM the Villaga o1 Eogan Surcharge: 60. 00 pd-metez
Misc. Charges:
in nces.
Total:
By K Da[e Paid: .
Dace of InsP.: Insp-:
??-
. 3?-
?;.???.?LLf-
tI
W-?
7 '
? d
?
.. ....
' ----
--
ii
CITY USE ONLY
LOT ? BL ? f PERMIT #: a 7$ g
?"?? c? iM
SUBD. 1 IIrIY Hi( l S 1 y,? RECEIPT #: .
. RECEIPT DATE:
2000 MECHANICAL PERMIT (RESIDENTIAL)
Date: l - q _l/O
Complete this secrion onlv if you are installir.g HVAC in a single family dwelling, townhome or condo under
conshvction and not owner/occuoied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surchazge .50
Total $
Complete this section onlv if you are remodeline. adding to, or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair. ?
_ New _ Alteration _ Repair _ Other
? Furnace _ Air conditioning
_ Air exchanger _ Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for rnspections
SITE ADDRESS: ?-310 NI V+Ca11' 1/( •
OWNERNAME: V]m 4s IIGI 1912 7 G{-GI PHONE #: io5l - p(yd? -5??
I'] ,,/ / PHONE #: ? (AREA CODE)
INS"CALLER NAME:W DY J I?,l?!f?S fG/
PiI?S `\0?7-
?+ ?l Ie
STREET ADDRESS:wq ?J D W IU(D ? J?' vU I Tc I o (AREA CODB)
?,0
crrr: P-pnje Vot I lP,?J STATE:Mtj_ ZIP: ?5/0-4
CITY OF EAGAN
3830 PIIAT KNOS RD
EAGAN EMI 55122
651-681-4675
sT?r?
L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT #:
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMRCIAL)
CITY OF EAGAN
3830 PILOT RNOB RD
EAGAN, MN 55122
651-681-4675
Piease complete for. all commerciaUindustrial buildings
muRi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK TYPE: New construction _ Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When insta!ling/removing underground tank, call 651-681-4675 jor inspection by fire marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minimum fee
? Contract price: $ x 1%= S (Bue Fee)
? State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL a
------- - --- - ------ - ----------- - -------- - -- - --- - -- - ---------- - ----- - - - -
5ITE ADDRESS:
OWNERNAME: PHONE #: -
(AREA CODE)
TENANT NAME ([IvviPROVEMENTS ONLI):
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME: ,
INSTALLER: ,
ADDRESS: PHONE #: -
(AREA CODE)
CITY: STATE: ZIP:
CITY USE ONLY
SIGNATURE OF PERMIT'CEB
0.21
CI'Iy USE ONLY
PERMTT #: RECEIPT DATE:
WISIDERTIAL MECH"Clki. PMIT APPLICATION
crrYoF $nsAx
3930 Pnor axos sn
f.aiHA1Y MlY 55122
651-681-4675
Please wmplete for: ? single famfly dwellings
townhomes and condos when pertnits are required for each unit
Date: C3 1
srre a,ooRess: L4 fC'CL I ? Dr- •
S?nc?b cHu-rc?.
OWNER NAME: ?:YC'itf7-GS ? Vy_,?IcCYI TELEPHONE #: ?j,-Bqel'-)
' (AREA CODE)
INSTALLER NAME: TELEPHONE #: 05.a I -
(AREA CODE)
STREETADDRESS: ( 0:1 9 -0-- 1 Q'p
CITY: Q. r STATE: Mr-I ZIP:
Place a eheck mark next to the nermit work tvoe
New residential dwelling unit under constructionand not owner/occupied $ 70.00
? Add-on, modification or alteration to existina dwelling unit $ 50.00
• fumace replacement
• air exchanger
• air conditioner
• other
NaWre of work: Le`)1 dl TiSf..i_I_1 A
t "1nI,) ) 5rC
State Surcha e $ .50
S
???
Total •-
r n [f?? " ?
Reminder: Call for inspecrians.
II 'L?' II,
?.(?71n-,1 ?J ? IA?Ul1VOodl?
SIGAAtTfiRE-OFPERMITTEE
Updated 1/01
CITY USE ONLY
PERMIT #:
APPROVED BY:
INSPECTOR
RECEIPT DATE:
COMMFACU4L MECHlEN1Cl4I. PFIbIIT A"LICATiON
C1TY OF E46iakN
3$30 PILOT KNOB !iD
KA&M. bilv 55'18E
65 ]-6$1-4675
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
STl'E ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONL1):
PHONE #:
(AREA CODE)
WAS THERE A PREVIOUS TENANT IN TAIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP;
WORK T'YPE: New consGuction
_ Interior Improvement
_ Processed Piping
SpecifyNature
_ Install U.G. Tank
Remove U.G. Tank
When installing/removing underground tank, call 651-6814675 for inspecdon by Fire Marshal and
Plumbing linspector.
Fees: 1% of conhact price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contractprice: $ xl%=$
State surcharge
TOTAL
$
(Base Fee)
calculate at $.50 for each $1,000 B se Fee
SIGNATURE OF PERMITTEE
Updated 1/Ol
PERMIT
CITX OF EAGAN
-3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
4363 P9ETCALF IJR
LpT: t B LIiCK: 4
k7:VfR NTLLS 9TH
I'..I.N.: 7.0-64400-020-09
PERMITTYPE: B ua ?D I NCl
Permit Number: 034089
Date Issued: 11J20/ 98
DESCRIPTION:
T.O. 6 REROQr
Bk3iid3fl.q?--[?ermit Tvpe S70RM DAMAGE
euilcling Woi-k Type REPAIft
;"Census Cptie ?434 ALT. RESIDEN7IAL
n_
2 ??t F
??'?? 1?:7???Fi-?`? Jf+ ?'?- ?1= i
REMARKS:
FEE SUMMARY:
CONTRACTOR: - flppiieant - sT. I_1e, OWNER:
ADFTTER ROOFING CO 10.60:3326 201441.34 FORD CARDL
22428 CHIPPENDALE UNI'1" A 4363 METCALF' DR
FARMINGTON MN 55024 FHCAN PIN 55122
(612) 460-3326 (551)894-7416
T hereby acknowledge thaC I have read this applieatian and st:aCa that t:he
information is correct and ayree ta campJ.y with aSl appl3catale SLate o'F Mn.
? StstuCes and CiCV ofi Eaq.a:n Qrdi.nances.. . I
APPLICANT/PERMITEE SIGNATUFE
h..u..9 lio
ISSUEDeY:51G A7URE
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
/? p n 3830 PII.OT KNOB RD - 55122 1 l_ a Q-q ?
??
l?`? e81-4675
New Construction Reauirements RemodaUReoair ReGUirements
? 3 registered ske surveys
• 2 copies of plans (include beam & window sizes; poured fnd. design; etc.)
• t energy plculations
? 3 wpies of tree preservation plan H lot platted after 7/1/93
required: _Yas No
DATE:
,
DESCRIPTION OF WORK:
?
? 2 copies of plan
• 2 site surveys (exterior additians & decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; ? OJ? . ??
,. _ _ ._ 19 _ _ /STO k'rn
STREETADDRESS: 'J Cn:5 /e• k Cr1-9-/l/ .,
LOT: a BLOCK: '-A SUBD./P.I.D. #: k?Vf ( IAI Is
iE ??e
Name: e ]) o.L.1 Phone
PROPERTY Last First
OWNER
Street Address: j n
C? ?Z_ F
City State: /?/ y._ Zip: 55-/1? -r?-
Company: ? beo'Lte-& ) &X-7%AAb_ Cob i Phone g: AS9_.?7 / ? `7 bD ???
?
CONTRACTOR
sy
l ?y ?/
# ?01?Y? -->2L
Li
Sh?eet Addtess: c?v cense
City ? m) !V (3 77 ) 1V State: 1///U Zip: Q
ARCHITECT/
ENGINEER Company: Phone #:
Name: Registration #:
Street Address:
City State: Zip:
Sewer & water licensed plumber (new construction ony):
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the i
State of Minnesota Statutes and City of Eagan,Ordinances.
Signature of Appiicant:
Penalty applies when address chanc
correct and agree to compry with all applicat
0
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
NOV :- 0 ?:;98
Tree Preservation Plan Received _ Yes - No - Not
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition 0 OS 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
[J 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
? 11 Apt./Lodging
? 12 Multi Repair/Rem.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 36 Move
? 37 Demoliiion
? 16 Basement Finish
0 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
Basement sq. ft. MC/WS System
_ Main Ievei sq. ft. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Foatprint sq. ft. SAC Code
Census Bldg
Census Unit
Building Engineering Variance
Valuation: $
% SAC
SAC Units
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGI'STERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIQNS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIOhS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP SY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
X To Be Used For: ec' Valuation: 1DOC) Date: 7-3 U- yrd
Site Address -/7j/d„j fMGrCa(;?`
Lot 2 Block y
Parcel/Sub RfVe-+r 4111.$ I1--11 Aml?,,J
?-
.? Owner aV? ?°cx r -1- vAddress4'??3 17??e&,(..t
City/Zip Code &? e4 fa
Phone 7-47V/({
? Contractor
Address
Gity/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
FEES
Occupancy
Zoning n
Actual Const Sldg. Permit
'Allowable Surcharge 1570
# of stories Plan Review
Length SAC, City
Depth 12' SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_
I S/W Permit
On site well S/W Surcharge
_
IMWCC System Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Bldg. Off.
Variance
r
)
0
7s'
It
l
20
s o' ,
.
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E A4AM MM.
riE W - _
DEC K
F 854-7C-1r
?
FO I2 0
l7 12 .
(
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OWN?i2S :
130i3 ? CARo1. FoR0
, 93?3 METCqtF oR.
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10
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T121PPLE Z Xso aEAM I a' oUr Fec
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TRIPPLE
ZYo° aVIC-'r l3Y NOJSTON GoNSTRUcT+
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2x10 :1cIST5 L14KErOtCG mJl/ 5s*49
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CO?, Plt?:C:'UR l-?>__?.?.??12.,? - q? )_ TELEPHOi?T: i17. _ g 3 i-
AllP?k.:iS °
I;ot^_- Iuclu(Y? :>Jt;e p1zn, hui7.6in? plar.s, and energy calcula±:io:s -v:itl: i:.his
anplicacion
Sicrned
OFFICE USE
eAz,vrr,. xo::
sAc
P:z': t'}:R C013Fi'C^SO`'t?
'eJATER 1:,.'iER
su:i;.Dzr.G FPPJ:iT7' F_,L
^u 7itC.Fa7F.CrE 1':?E
PI;l1S: Ci:,.C7{ FFsE
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APP4.OJALS :
A55ESSi=T CLERK eAUILDIidG DEPT. POLIC% DPiT. :?
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•:1'1mE2 & EL'snR DEPT. FI?M BEPT. PIjRK DEPT._
0
WINDSOR
November 16, 1976
NOV 17 1978
City of Eagan
3795 Pilot Knob Road
Eagan, MN 55123
Attention: ?ale Peterson
Dear Mr. Peterson:
Enclosed £ind a check in the amount of $1076.50 for bvilding permit
fees, svrcharge, SAC, sewertrvnk, water connection and meter on:
Lot 2 Block 4 River Hills 9th Addition,.43F3-Metcalf Drive
C?
n
u
This home wi12 be a Mode1,75-30 Elevation A and wi11 include
a rear walkout, full basement family room and a 4th bedroom.
A1location of funds is on the check stub. Proposed plot plan is
enclosed.
Thank yov for your cooperation in this matter.
Sincerely yours, SO
9oo v
WINDSOR DEVELOPMENT CORPORATION
U\aVN'-
Warren R. Anderson
Vice President
WRA/jb
Enclosure
I
Z;6,600 $0152,56)
;r A 9' o a
`
11A
SUITE 192, 4660 WEST 77TH STREET, EDINA, MINNESOTA 55435 • PHONE (612) 831-0717
MASTER CARD
4363 Metcalf Drive L2 S4 RH 9th
OWNER WINDSOR OEV. CORP.
STRUCTURE AND
IAND usEO AS S/F Dwelling & Garage
Permit
No.
issued Issued To
Coniractor Owner
BUiLDiNG 4145 11/18/7 WZNDSOR DEV. COR ..
PLUMBING co.
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
OiHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING
FOUNDATION SEPTIC
CESSPOOL
FRAMING ? TILE FIELD FT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIEID
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
? NON{OMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
11 NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEAIED
DATE OF REINSPECTION
CE RTI FI CATI ON - I certify that I have carefully inspected the ahove in which I have no interest preunt or prospective, and that I hava reported herein
all significant conditions ob:erved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvaments relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR
COMMENTS:
?, ? ?
77574
2007RESIDENTIAL BUILDING rERMiT arrLicazzorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWCGOn Reauirements
3 registered sile surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20 % maximum lot coverege allowed)
7 Soils Report H pmposed building is to be placed on disturbed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
7 sel of Energy Calculations
3 copies of Tree Preservation Plan if lot platted aher 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
RemodeVFteoair Reouirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated addilions
1 sAe survey for addNOns 6 decks
Adddion - indicate if on-sfle septic system
/30, m
Cw"
Office Use.Oniv
Cert ofSurvey'Rectl. Y°. . N
SoilsRepod.'- _Y _N
TreePres.PlariRecd _Y _N_
Tree Pms Required _Y _N
Oo-site5eptlcSysiem _Y _N
Minnegasm mechanipl venlilation form
&Wa d s 3
Plans are cansidered public information unless vou state thev are trade secret and the reason.
Date (')'-! /67_ Construction Cost 10 ona
Site Address ? At.-r_t? cA1? .,` Unit/Ste #
Description of Work 'v26-?
Multi-Family Bldg _ Y g N Fireplace(s) t!?- 0 _ 1 _ 2
Property Owner ?/dct, o Telephone #(?? ) 33c ?Q 7
Contractor
Address e.Ee rnon City Rfel T?-
State Zip Telephone # ( LS7) 3
L,:n, eQi,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventiiation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted - Submitted • Energy Envelope Calailations Su6mitted In the last 12 months, has ihe 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_ - rr Telephone #(
Dl1
Mechanical Contractor Inl Telephone #(
APR 3 0 2UU7--
Sewer/Water Contractor Telephone # (
T herehv annlv for a Residential Ruildin¢ Permit and acknowledee that the inform
is complete and
e;
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 ofplans.
1 _?? Ll*dl?y
ApplicanYs Printed N
Applicant's Signature
DO NOT WRITE BELOW THIS LINE '
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 07 OS-plex
? OB 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
DesCfiption: Water Damage
Valuation 306?9
Plan Review
100% or _
IV
Census Code ?3y
SAC Units
# of Units
# of Bldgs
Type of Const
? 13 16-plex
? 16 Fireplace
? 17 Garage
A 18 Deck
? 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
? 25 Miscellaneous
30 Accessory Bldg
31 EM. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement O 38 Demolish Interior ? 44 Siding
? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (EnNre Bldg) - Give PCA handout to applieant Yes
Occupancy /Z -3 MCES System ?-
25% Code Edition -ZaV ZNG
Zoning R-! City Water
Stories Booster Pump -
Sq. Ft. h ??( PRV ?
Length Fire Sprinklered
widm 3 y
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation ?
Approved By: _
?
Base Fee
Surcharge
Pfan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wa(1
Building Inspector
O
' C.I'F y O$° C14 v?I'M
BLJl4.DiNG PERMIT 3795 Pilo3 Knoh Aoad
? Eagan. Minnesofa 55122
° S. OR . DEV. CORP.. .........................
IND.
W--- .
_
....
Ownas --...-- °' ............................. ........
4660 W. Z7th .... St.., E ina
Add:ase (P 454-8100
......
resent) '................... .. _ ......... 11/18/76
V . CORP . ..................
WINDSOR DE . Date ...._........................
Huildec ...... ...... ...... .....................Edina ...55435 831-0717
....
W 77th St .....................
46 60 ..............................r.................
......
? Addsasa ....... :....
DESCAIPTION Aemarks
Es
To Se Used Fo: Fron! I DepSh Heigh! l. Cos! I permit a
Bloxies 13 3. OOI
S/F Dwlg & Gar 50?
s?LOCATION Addiiion os TreM
r
I I B?a?k I-?-"?-
ot ofhec Descsiplion of Locaiion Loi
I 9th
gl=e0=, goad 2 4 RiVeY Hi11S
4363 Metcalf Drive
This permii does no! sufhorize !he use of sfreeis. roada, a13eYs ar sidewalka nor doea it give !ha ownet oe hts eQea
ihe zighi !o create any situation whiah is a nuisanee oc which presenfs a hasard !o Yha healih, cetelY• eoavenience and
genesal welfare fo anyone in fhe communify. $/._
F ?W ..l...g. • & Gdt........... ^yppr
. ? ............
THI5 PEAMIT MUST BW K?as ?N ?v p CoM ?E_ WHihas pe misOo Klos TB°p 80 .....,
ihe :d?ances for th ?i q of Eagan
This is !o ceriify. thai......_.?.-_ -
eck io Yhe pxovisions of all applicable O
above descxibed premi sub7 ,
....
Nia-?inf, C--??.?..... i/..:.........------------ ........................
? , •.? :., :,.? ? ?' Pez ....-- ' ' Bulldin9 Inspeetos
J...........:?1`3G
PdO..........
.-• _ _
.__..._....--'_...........
Mayor
Zo-? ?' -- - -
?
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Use BLUE or BLACK Ink
-
I For OfFice Use 1
1 Permit
City of Eajan R
Ecv4E® I Permit Fee: I
I
3830 Pilot Knob Road I
Q~2 I
I
1 '2 Z
9 -I
Eagan MN 55122 FEd 2 I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5684 1 staff: Z I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date' Site Address: Unit
Name: M "V) t"✓) t Moo Phone: f U J 0/
y
RESIDENT / /I~p
OWNER Address / City / Zip: Aj -3
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ~Nj ~dvYI'lQ VGA- 16V1 I
Construction Cost: Multi-Family Building: (Yes / No Y-)
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)
e ' C4WrRA-w- ox Uls,T ' 0 27
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 the 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 yqu intend to dig to receive locates of underground utilities. www.aor)herstateonecall.ora
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 uildi Code m be com within 180
days of permit issue
x a l ~~'l 9, x
Applicant's ranted Name Ap icant's Signature
Page 1 of 3
NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3-Season) - Storm Damage
'.drslngle Family Garage Porch (4-Season) - Exterior Alteration (Single Family)
Multi _ Deck Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi)
01 of Piex Lower level Pool _ Miscellaneous
_ Accessory Building
WORK TYPES
New ` Interior Improvement Siding - Demolish Building*
_ Addition Move Building _ Reroof T Demolish Interior
Alteration _ Fire Repair Windows - Demolish Foundation
Replace Repair Egress Window - Water Damage
Retaining Wall Vemolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation / em Occupancy e -12 MCES System -
Plan Review Code Edition 7, a-2 SAC Units -
(25%___,100%-Z) Zoning / City Water
Census Code Stories Booster Pump
# of Units / Square Feet - PRV
# of Buildings / Length - Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation _,Je HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: _,_„Ice & Water Final Pool: _Footings Air/Gas Tests _----Final
Framing _ Siding: Stucco Lath Stone Lath ,_,-,,,,Brick
Fireplace: Rough In Air Test _ ,-Final Windows
Insulation Final
Retaining Wall: Footings Backfill
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: AO, , Building Inspector
RESIDENTIAL FEES 7/0
01 & du OI ~y oZa
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
,
for Office Use I
{
I Permit* Z
Cit of EaEd
Permit Fee: V I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received: L- Z~'~Z I
I
Phone: (651) 675-5675 I staff. j
Fax: (651) 675-5694 !
2012 RESIDENTIAL PLUMBING
-PERMIT APPLICATION
Date: Q N Site Address: 'o U ~ 1 ~ nn t ka R ~ ~
Tenant: om
Suite
RESIDENT / OWNER Name: V\afA Ily1 AZ Am~ V\ 1 Phone: li! ~ X 1 J8 I -
Address/ City /Zip: ` % b mutA+ 5751)-z
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK - New _ Replacement - Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Water Softener
PERMIT TYPE Lawn Irrigation (r RPZ PVB)
Add Plumbing Fixtures Main / Lower Level)
Septic System
New Water Turnaround
_ Abandonment
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.oro
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 o start witho a it; that the work will be in
accordance ith the a roved plan in the case of work which requires a review and approval of
x 02 a~ x
Applicants Printed Name Ap cant's ftnatureV
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154583
Date Issued:04/02/2019
Permit Category:ePermit
Site Address: 4363 Metcalf Dr
Lot:2 Block: 4 Addition: River Hills 9th
PID:10-64400-04-020
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Amedeo B Minutolo
4363 Metcalf Dr
Eagan MN 55121
(651) 398-1269
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178747
Date Issued:08/31/2022
Permit Category:ePermit
Site Address: 4363 Metcalf Dr
Lot:2 Block: 4 Addition: River Hills 9th
PID:10-64400-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Amedeo B & Stacy Minutolo
4363 Metcalf Dr
Eagan MN 55122
(651) 398-1269
Viking Contractors Llc
7760 France Ave S
Edina MN 55435
(612) 567-5522
Applicant/Permitee: Signature Issued By: Signature