3954 Mica TrCITY OF EAGAN
K e P,4'
Remarks * C@ddl GZ+ove Acauisi ti on
Lot 1..4 Blk ].a Parcel 10 16704 100 7 A
Street 3954 MiC8 'lYdil State Ea9an• MN 55122
Improvement Date Amount Annual Years Payment Receipt ' Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ?. 1967 100.00 29.20 20 Pa
SEWERLATERAL 1967 484.00
WATERMAIN
* WATER LATERAL 1972 607.00 24.28 Paid
WATER AREA
STORM SEW TRK Z1j 1974 70.00 4.66 1$ Pa d
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PEH.
SAC 200.00 716 4-8-68
PARK
%v a
?
3 2 /p /D ?2d(nn- P.5 le°
Fequest Date Fire No. Rough-in Inspection
Requiretl?
_fl Reatly Now ? Will Notity Inspector
n Reatl
?
T Wh
S ? = Ves o y
e
IVlicensed contractor p owner here6y request inspection of above elecirical work at:
Job Aoaress SVeeL 6ox or Foute Na.i Pry
-395y
Section No. Township Name or No. Range No. Counry
Ocouoant(PqINT) Phone No.
L
hl Y r?, W oDS Y1IL r
Power SuODlier Atldress
Eiecvical ConVactor (COmOany Name) Contrac[or5 License No.
z?4'
-
kn&ikk G-? ? z,
cAo
Mailing Atltlress (Comracbr or Owner Making Installaiion)
SGoS Z76k LC, /
[S
SSY17
Amhorrzea Signamre (COn:raqooOwne: Makinq mstallauon) Pbone Num?er ? z? •• 696?
MINNESOTA STATE BOARD OF ELECTRIQTV ` THIS MSPECTION REQUEST W ILL NOT
Griqqs-MlOway Bltlg. - Raom S-173 C BE hCCEPTED BY TME STATE BO/+RO
1821 University Ave.. St. Veul. MN 55104 . ?1 UNLESS??pqOPER INSPECTION FEE IS
Phone(61R)6<t-O800 ENGLOSED.
?7/4/? J REQUEST FOR ELECTRICAL INSPECTION ??Y _y?E?o?yoo??
? T ? See insVUCOOns lor rqmpleiing this fann on baok of yallow copy.
L G''dY
X" Below Work Covered by This Request "vi
ew Adtl Rep, ? TypeofBuilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Olher (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
0!M1er (sV???Y) Conlraclo:'s Remarks
Campute Inspection Fee Below:
N Other Fee # ServiceEniranceSize I Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs inspeclors Use Only: TOTAL
IrrigationBooms Z0,5v
Special Inspection
AlarmiCommunication THIS INSTALLATION MAY BE ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, Ihe Electrical Inspector.. hereby Rouqn-pn oaie
cehify that ihe above inspection has
been made. F;,,ai oaie ?
OFFICE USE JNLY / WWI
This request nitl 18 months Imm
EAGAN TOWNSHtP
BUILDING PERMIT
J
Owne: .....i.
..._......__.........-_"------------"-'
Address (Presen!)
Suildex ....
Addseas .................
DE5CRIPTI0IQ
N° 1751
£agan Townahip
Town Hall
ae:e ...?/-.P.!..G.s...''...................
Siorias To Se Used For Fron! Depfh Heighf Esi. Cosf Permi! Fee Remarka
Slseel. Aoad or ofher Deacripiion of Location Lo! Block Addition or Tsaet
.10'd/I !d
2- A, _ .
dJh.
! ro i
This pesmit does not aui6orize !he use of sireeis, roads, alleys or sidewalks nos does if give !he owner or his agen!
!he siqh! Yo creale enp situafion which is a nuisance or which presenfs a hazard !o !he heallh, safefy, convenienee and
general welfare !o anyone in !he tommunilp.
THIS PERMIT MUST BEA KEPT ON THE PREMISE WFIILE THE WORK IS IN PROGAE58. ti
This is to eer2ifp. ...............has Parmiasioa Yo ezect a.... ?.'--"_'... ........ ..0-0`.`.?- c_-'-upon
!he above descrihed premise subjec! !o !he provisiona of !he Building Osdinance far Eag?hip adop2ed Apsil 11,
1855
/`..-?.'..-w. .."-........ Per ....---.-.......? .............
- '--._.._...-- - -. ..- - - - - --?-----.'-'. _..
? hairman of Tnwn Soasd Building Inspeclor
L'. B
EAGAN TOWNSHIP
BUILDING PERMIT
Ownec ......??.1l..eeL:v?..{...-6!i'.::!:?-_t.--. ..................
Address (Presenl) r ---:_. -_ . . .
. -....---..----........
Bailder .._------------------------- ..........._....."................_......_.........._..........
Addreas ............. .................................................................................
Slories To Be. Used For Fron! Depih Height Esl. Cos! - Permil Ft
? /
N°
£agan Township
Town Hall
1501
Daie -?........ G c- .
-... . _ . .....
Sireex, xoaa or oiner uescription oi i.ocarion i.0 7 islock Atldifion or Traci
+l. . J / ? C '^ Y!
C? /O
This pezmit does not aufhorize the use of cireets, roads, alleys or does if. give the ownar or his agenl
the righf !o ereaie anp-sifuafion which is a nuisance oz which precenis a haaard !o the healih, safety, convenienceand
ganeral welfare !o anyone in the communify..
THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGAESS. .
This is fo cerfifp. !hal.---................ ..........has permission. !o ereet a....r...5-?.'_.::t? __.?.?`....?.'-'.. ` ' ......upon
_{ .
the ebove dgscrihed psemise subjee2 !o the provisiona oiihe Building Ordinance foz £aga?Township adopi€d ... April 11,
1955.
"',zor- ell;elel .
...................................................... _ ....................._..-----..__. Per ..------....... _
......... ......----......-------.Q.s...p....
Chairman of Tnwg Soard Buildin Ins ector
a r>
_' \
i"a MEcsaxtcat, rMLMrr (xEsmExTIu,)
CI1Y OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
to 7 (612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII,Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT.
,ATEW CONSTRUCTION
? ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24,00
ADDTTIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUlvt i @ $3.0o EpcH)
ADD-ON/REMODEL (Exls'rIlVG CoNSTRUC.T[oN) $ 20.00
STATE SURCHARGE .50
2-G2u'cr-tiGhst?
TOTAL Zo,,s-o
STI'E ADDRESS:
OWNER NAME: al- &Ain y?a??.++?.?TELEPHONE #:
INSTALLER: ?.,???L,? 4!f,-y?e_
ADDREss:
CITY: --?'?-? STATE: ? ZIP CODE:
TELEPHONE #: `1?z-yd6S'
SI A OF RMITTEE
PLEASE COMPLETE FOR ALL C011MERCIAI,/INDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.,Y BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIl2ED FOR EACH DWELLING UNIT.
DATE: CONTRACT PRICf?: $
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF:?MMIAFEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCIIARGE
TOTAL
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF F'EE.
$
STI'E ADDRF.SS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (WROVEMENTS ONLl')
INSTALLER:
ADDRESS:
CTTY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECAANICAL PERMIT (COMIIEERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTIG,"d
ADD-ON A/C
? ADD-ON FURNACE
/.??f7< ?n/lYf? ?/3Z9Wy
DATE ?T2_y? ? TuDr?6o?5?.?6
FEES
HVAC: 0-106 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MWIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTING CONSTxUCi'[ON) $ 15.00
STATE SURCHARGE
TOTAL
.50
lpsi ?.rr- yh.¢i 'L-
SITE ADDRE55: 3oS4j,
OWNER NAME: ?i//(?/ W?i£s'Ss?cut TELEPHONE #: Ys.t -".f7
INSTALLER: t,/??,?z_,-,/ /pi63 ADDRESS: /?'.T.S- .?'??'r.?i?.?
CTTY: STATE: /'?'?? ZIP CODE: /y?
TELEPHONE #: Z 6
?
S E OF PERM E
1993 MECHANICAL PERMTT (RESIDENTIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 MECHANICAL PERMIT (COMIVVIERCIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COA?vvIERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULT'I-FAMILY BUILDINGS WI-EN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INT'ERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACT PRICE: $
1% OF P,'117RM FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PE2M1'f FEE.
TOTAL $
SIT'E ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLl)
INSTALLER:
ADDRESS:
CTI'I'.
TELEPHONE
STA
ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
EAGAN TOWNuHIP
3795 Pilot Knob Road
St. Paul, Minne.ota 55111
Telephone 454-5242
PERMIT r0R 5$WER SERVICE CONt3ECTI0N
DATE: April 8, 1968
OWNER Cedar Grove Const. Co.
PLUNIBER Steins
NUMBER 143
Address Lot 109 Blk lO,CG 5
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUZLDING
Industriall Comnerciall Residential j Multiple Dwelling I No, of units
x
Location of Connectiona:
Connection Charge
Permit Fee 7•50 PCI•
SYreet Repairs
Total
Inspected by:
DaCe
Remarks•
Bq
Chief Inspector
in constderation of the issue and delivery to me of the above permit, I
hereby agree to do ehe proposed work in accordance with the ruies and
regulations of Eagan Towmship, Dakota County, Minnesota
By
Please notify when ready for inspection and connection and befoxe any portion
of the work is covered.
-city of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, 5R. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 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 properiy owners in Cedar Grove No. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
Block 3, Lots 1-11 11
Block 4, Lots 1-16 16
BloCk 5, Lots 1-25 25
Block 6, Lots 1-22 22
Block 7, Lots 1-25 25
Block 8, Lots 1-5 5
Block 9, Lots 1-2 2
Block 10, Lots 1-23 23
BloCk 11, Lots 1-14 14
Block 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
The Ciry is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
gi, vu %Q'_?1n?e
Edward J. irsc t
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
1?o k? I 2007 RESIDENTIAL BUTLDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constructian Reouirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed ams
(20% mazimum lot coverage allowed)
7 Soils Report if proposed buildirig is ta be placed on disturbstl soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted aRer 711193
Rim Joist Detail Options selecEon sheet (buildings wiN 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoair Reauirements
2 copies of plan showing foo6ngs, beems, joisLs
1 set of Energy Calculations forheated additlons
1 site survey for additions & decks
AddNon - indicate if an-sfte sep6c system
Offwe Use Onlv
Cert ofSurveyReod _Y _N
Soils Report _ Y _ N
Tree Pres PWn Reoi _ Y _ N.
Sree Pres Require] _ Y _ N
Onaite5ep6c.System _Y _N
Plans are considered public information unless vou state they are trade secret and the reason.
Date ?) 6 / I `/
Site Address 3 J 5 / 0 -7
?? N'1 "c c ConsYruction Coet g -?
Tr? ? J L< s? r-. UnitlSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ?n r 5 5 ru/ Telephone #( )
ContraMor &45 4?c.,n d_ ?n c.
Address I$'? ,
?l?
State j..?
?f RY Q
L J1J
Zip SS /l ?i n
City
Telephone #( f.s/ )`/S'o?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
• ResitlenUal Ventiladon Category 1 Worksheet
(Jsubmissiontype) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Wofksheet
Submittetl
In the last 12 months, has the City of Eagan issued a perrnit 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 aclrnowledge 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 wark which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebolpergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
DeSC1'iptiOn: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Foorings (new bldg)
_ Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test Final
Insula[ion
Appraved By:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Au/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
øú÷
ÿþ
ýüü û ûúþ
ùüüï÷õ
õöî
ß
ô
ýüõ
ýüûúù÷éìõüúù
÷úù÷éìãéìÞùï
ùäü
õüõôóôðüù
òÿ
ýñüø
ïùîïïñüïûïí ëÿééùÿþëëïÿ
ü
ùíõëëùëí
õûïêñüûéÿëïïí
øçóæçí
íô
ôù
ýüÿèüçóæçí
í
èüóþ
í
óò
õñð
ùù
ãé÷éëïå÷
÷õüÞ ó
ôåú
ýîéåã ÿåã
áà
ó
ô
ûéÿ îùùëïÿïùéùùûý
ëåýüõë ÿðí
ùùì
üýÿü
Cllyof Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5875
Fax: (651) 675-5694 •
Use BLUE or BLACK Ink
i
Permit x:
b On"
remit Fee: j'' -V
Date Received: } -' 0
LStaf
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: [ d'ti 31' I' Site Address: 010AA(243 Y l-51 jr VI.6 .1A -t E
.a n
RESIDENTI OWNER 'Name:j��,,�Q p P 'Lt) _ c-t,P-'�iiI�,
Addroes / City /Zip: � cici �r� � . At m
Tenant:
• Sults tf:
CONTRACTOR
Nanie:,MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50TM ST EAST City .: INVER GROVE IIGTS•
Stater • MN • Zip: 55.(77. Phone: 65.1 •.:•.•41:-2241
Contact BILL.MILB`•j . Email:
TYPE OF WORK
PERMIT TYPE
RESIDENTIAL FEES:
355.00 Mlnlmum Water Heater, Water Softener, or Water Heaterrust Softener (includes 35.00 State Surcharge) •
$35.00.Lawn Irrigation (Inclddes 35.00 State Surcharge)
555.00 Add Plumbing Fixtures, Septic System Pbandonment, Water Turnaround' (Includes 55.00 State Surcharge)
'Water Turnaround (add 5166.00Ifa5/8' meter Is required) • •
5105.00 Septic System °
p yst iL (310.00 per u built) (Indudas County fee and 55.00 Stats Surcharge)
585.00 Flre Repair (replace loomed out appliances, ductwork, etc.) (Includes 55.00 State Surcharge)
TOTAL. FEES 3 ((20
Nev•
• ,Replacement _ Repair _ Rebuild
Descrtptlon of n/or1i:
RESIDENTIAL
Water Heater
Lawn Irrlgat n (__ RPZ /PVB)
Septic System •
•New •
_Abandonment
Modify Space _ Work
ater Softener
Add Plumbing Fixtures L_ Main / _ Lower Level)
Water Turnaround
1
CALL, BEFORE YOU DIG. Call Gopher State One Call at (631) 454.0002 for protection against underground utility damage.
CaII 49 hours before you Intend to dig to Melva locates of underground utltltles.• www.0ooherstateonecall.org
I hereby adurorrfedge that this ireprm.tton Is complete and accurate: filet the work wtl be In oordormanes wfth the ordinance, and codes of the City of
Eagan; that I understand this Is not a permit. but only an application fora permit, and work Is not to start without a permit; that the work WI be le
accordance with the approved pian In the cue ct work which requires a nNew and apprw}lo(p ens.
x K v 1 /l ►i44 rill"b Q19-11---..1--
•
/9 --m• Applicant's Printed Name
Appllcants•S Ipnaturs
E .. al el:• �. �IYFv Y(
FOR OJ ?+ ji
�r 4 r; w:', ,z, "f' )f�t$,v ' .
Its it
eV a9Y. epi: 2P -.03-94.9,111t rrsl?,I
s. �.. .:
)4:M0
yl.i°rli“(fd„,t
r x"t;
�
r iyi',4VW
ll• t
.:•',ji' .if��A Awy
�;d'=' A
Y'/ ly;•�'0
4 �'
1 5
s ;.
' rr
�
�1 ,
I
.��..•.1��
504
vi. �•N M
•
1MY ''
r,
•
%( AFf/� 1!4u vil}yY1:YI ffil�' 1'1�, AtIft' :,:4,V.A V.1'/I.
«Y 1'/I.•�j0
- r. > x y,,•. j1�
1,;'4,1 r t 1 I' 1, lYA.
i. 1 i
J
Y WM'1
t,y 1
•i?
;,1
1 i ° n� '*, r ni s'n%,; 1, 4!'t� , ,
I � �Y11.
4�: >.it 1010'411,1%.1A
t l.� 2(�'§g 4 �. ,%.1A
.. .. �IG,7G: �. •� aSai;, A
, i •4r `7 .*- Irr/ 0%,
Ib �', 1 � i�
k,'” r r ,��r ,
._.,or,.:•o'.c+:.:�'.:.�.�-•��r,.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114804
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 3954 Mica Tr
Lot:10 Block: 10 Addition: Cedar Grove 5th
PID:10-16704-10-100
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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 -
Carlos M Cerros
3954 Mica Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature