1384 Michelle Dr.BSM9:UtdW1 & nFK4ACE 12/04/91.
Bte,W M394C- 686-.9440 CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
RF•AC7-TVAIE HR 1E.R-PIAN Rea'IEED 6/ 16/qpHONE: 454-8100
BUIIDING PERMIT LyAVE 0 2ND DEaC. 7/27/92 Receipt #__,..
To be used for sp DUC'+1GAR Est. Value $124s000 nata .TUN
Site Address 1354 MICHEii.s
Lot 4_ Block 2- Sec/Sub.
Parcel No.
W Name L.UMWD IVUI= LNG
? Address 21151
0 City Romm Phone 428-2300
=o Name _I
$Q Address -
? City
Q W Name
Address _
grz
c W
Clty
I hereby acknowlege
information is correct
A BuYldmg Permit is issue
on the express condition
applicable State of Min
Building Ofticial
have read this application and state that the
3gree to comply with all applicable State ol
all
*-RI
.c.
OFFICE USE ONLY
Occupancy a-3,41 FEES
2oning R- i
? : 7Z6•(?
(Aaual) Const - Bldg. Permit
(alowable) YIL 62.00
- surcnarge
# of Stories 470.?
Length aj,_ Plan Review
D@Pth S?- SAC. City 100.00
S.F. Total - 650.00
SAC, MCWCC
S.F. Foolprints -
bw•oo
On Site Sewage _ Water Conn
On Si1e well Water Meter 415000
Mwcc sysce„ XX 30.00
City Water XJL_ Aoct" Dep°Sit
???
PRV Required ?_ SMI Permit
Booster Pump - $IV1I Surcherge 276.00
370.00
Treatmenl PI
APPROVALS qpad Unit
Planner - park Ded.
Council _
BIdg.Olf. _ Copies
;3 , "9 o 50
Variance - TOTAL
-` Permit No. Permit Holder Date Telephone #
WATER
? ? ? .
PLU
H.v.n.c. ?' i 7ri / 5?J7 a??2i
ELECTRIC • 7 G ?
Inspsctlon Date Insp. Commsr+ts
Footings I
Founda6on
Framing
Roof ing
flough Plbg.
Rough Htg.
Isul.
Fireplace ?- ,?f ? Z J s
Final Htg. aa d l?'9'
Orstat Test
Final Plbg. Plbg. Inspecta - Notity Plumber
Consi. Meter. ? V-C.
EngrJPlan /1 Cw ? A ?4T •1?? l? ? L ` s
Bldg. Final ?I
Dedc Ftg. 7?./
Dedc Final
weu
Pr. Disp. Q ?? G
('? [-? ? ?(J EC? nJ i
? ?a -Y? .?l .-?ooa?«???-?? ? ?? • ??' ?%IV
.. `?y??r7?,?`? . - , . : . '? ----•,.. e. ' _... ??y ? ti'C.'`. i -^r++i
f;.?
?'?,'?'?! 4?/'? 31 ?' ? ' .
?a I?/W92
(grr#if tra#r .af (Orrupury _ (Litp of (Eagan
Erpwlmrat uf Nui[ding ittsptrtian
This Cerrifiarte issued pursuaxt to Me nequiremerstr of Section 306 ojihe Uniform Bullding `
Code cemfying lhat a1 rlre linre of issuance tJus strtrcture wws in cnmplianee with the various ordinaxoes of lhe City regulaling buildutg construction or use For the foQowing.
tbe Oodfiatioa SE IAC?Cl?° HWg. tl?mit t?o. I q 17(] .?
o?.?y rya R ?? z"ang o,,? R 1 rya coor VN
oW,a of sudding T,FCM UMq_nE - Add,= 71151 .lt"M MTT 7 F5 DR.,,_$Q¢?$ ?
eugaing AAemn ! 3% b4jQlUAZ DFIUE Lomar T4, R?, BTERN vat 7]?v
8/22/91
• POST 1N A CONSPlCUpUS PIACE
SEWER & WATER P.ERMR
CITY OF EAGAN
3830 Pibt Knob Rd.
Eagan, MN 551 22-1 897
oaTE JTI 5, 1991
SITE ADORESS 1384 MIUHBLLB DR2VB
LOT 4 BLOCK _SECJSUB
APPLICANT:.
ADDRESS: _
CITY, STATE
PHONE: _
OFFICE USE dNLY
METER # yq!j qd ? 6 a PERMIT DATE
cHIP # o i.5l o a? PERMIT # 49?70- 1
METER SIZE t' u B.P. RECEIPT # C 1 37
ISSUE DATE B.P. RECEIPT DATE 0 6 j' (' '
? x PRV - BOOSTER PUMP
H1DDEN VALLE3
ZIP
PLUMBER: SAUSER PLUMSING
ADDRESS: 100 THIRD ST
CITY, STATE i q' N^.T('u "?3 ZIP PHONE:
PERMIT REQUESTED
x SEWER x WATER _ TAPS
- COMAA/IND y RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
OWNER: LAGF.NI? HdtlES 1N?: EAGAN ORDINANCES
ADDRESS: 21151 .tOhN M? LI.r•.s rIn Iv"
CITY, STATE `kOGERS ZIP 5`,374
PHONE: 418""2300 SIGNATURE WHEN METER ISSUED
PLEASE ALL,OW TWO WORKING DAYS FOR PROCESSIkG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMfTS, CONTACT EMGINEERINC DEPT.
?ti/i
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd. METER #
Eagan, MN 55122-1897 CHIP #
METER SIZE -
J li N E 5, 1991 ISSUE DATE -
DATE
'I` ''CH:L[.L
SITE ADDRESS 3 ?5
DB1VE
LOT `° BLOCK '? SEC/SUB R 1DDEN P, G
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: _
bf-S/A4
PERMIT # `• 9+10- 12100
B.P. RECEIPT # C 13776
B.P. RECEIPT DATE "6; 05/91
Rx pRV - BOOSTER PUMP
ZIP
PLUMBER: ;: AUBF:R PLUM$ING
AQDRESS: 1(}0 THIKD ST
CITY,STATE =ARMINC:70N M61 ZIP
PHONE: 463-743=:
{_`.GENC 40114ES 1P1C.
OWNER:
,
ADDRESS: 21151 h, .9 ;" "
CITY, STATE ZIP
PHONE: `
OFFICE USE ONLY
PERMIT DATE
PERMR REQUESTED
R SEWER A WATER _ TAPS
- COMM/IND f RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Instaffed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR IMSPECTIONS. FOR STORM
SEWEA PERMITS, CONTACT ENCyINEERING DEPT.
• INSPECTION RECORD
CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road , Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , „ l
i it 1iR
PERMIT SUBTYPE:
4 1111 1111C t, APPLICANT:
TYPE OF WORK:
"LII
F
._ . - a ..-. . . ., . - . . ,.
? , . . . _ : . ... . ..
------- ------- ------------------
Permit No. Permlt Holder Dffie Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspactor - Notity Plumber
Const. Meter
Engr./Pian
Bldg. Final
Deck Ftg.
Decic Final D
? ,?c? iy.?XxS
Well
Pr. Disp.
..•
Address: 1384 NIrHEL.T.F Dru? Lot q Blk 2 Sec/Sub H]J)DEN pATSF.V
These items were/were not complete at the tiroe of the final inspection.
te: 8I22I91 Yes No
Final grade (6" from siding) vl?
Permanent steps - garage W__?
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas ?
Sod/seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the ramoval of roof tast caps from the plumbing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. ?
wccn[oxrtx
White - City copy Ye11ow - Resident copy Pink.- Contractor copy
CITY OF EAGAN Np A9170
? 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHONE:454-6100 Receipt # C?- / (
? ? ? p
Tobeusedtor SF DWG/GAR Est.Value $124,000 Date JUNE 5 1y 91
Site Address 1384 MICHELLE DRIVE
Lot 4 Block Z Sec/Sub. HIDDEN VALLEY
Parcel No.
w IName LEGEND HOMES INC
? Address
City ROGERS Phone 428-2300
?? Name SAMF. I
? Address
m
`- City Phone
?Q
? W Name
m,? Address
aw City Phone
1 hereby acknowlege that I have read this application and state that the
infortnation is correct and agrelo comply with applicable State of
Minnesola Statutes and Ciry of 89an Ortlin?ar(?,e5f(.
SignaNre of Pertnifee7fa `??'??Y-L{
_\ v
A Building Permit is issued to: LL?GEND HQME INC
on the ezpress condition at all work shall e d73ne iS n accordance wilh all
applicable State of Min ota Statutes a i1y of Eagan Ortlinances.
Buildinq Official
OFFICE USE ONLV
R-3'Ml
Occupancy FEE S
Zoning R-1 ? 72?+.00
(AC1ua1)Const VI! BItlg.Permil
(Allowable) VQ- 62.00
Surcharge
# ol stohes 470.00
Length 63_ Plan Review
Depih 57 SAQCity 100.00
S.F. rotal
- 650.00
SAC,MCWCC
S.F. Foolprints - 660.00
On Site Sewage _ Water Conn
On Sile Well - Wafer Meler 95.00
eewCC System xX 30.00
City Waler Xx_ Accl' DePOS1t
30.00
PPV Required XX- S/W Permit
BoosterPump - S/WSurcharga 276.00
370.00
Treatment PI
APPROVALS Road Unit
Plannar - park Dad.
Council _
BIdg.ON. _ Copies
*3,467_sn
,.,
Veriance - TOTAL
REQUEST FOR ELECTRICAL INSPECTION
i See inslmcimrs lor completinq [nis lorm on back ol yellow mpy.
QA'? Q n q _ - "X" Selow Work Covered by This Request
ee-ooom-ae
X,
. ti,i's:avf
ew Atld Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCiric Hea}ing
I Apt. Building Dryer Other (Specify)
Comm./Indusirial Furnace
Farm Air Conditioner
OtM1er (spearyl Comreoror's Remarks-
I
Compute Inspection Fee Below:
# Other ee
F # ServiceEnlranceSize Fee Circuits/Feedars Fee
? Swimming Pool 0 to 200 Amps to 100 Amps
Transformers Above 200 _ Amps ove 100 Amps
SignS Inspecmrs Use Only. TOTAL
Irrigation Booms ?O•
' g???' ?`J N I S sU
C.? .
Special Inspection
Alarm/Communication THIS WSTALLATION MAY 8E ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN:IB..IjAONT f
I, the Electricallnspector, hereby Rouqn-'n ?; oaie
certifythattheaboveinspectionhas
been made. F;nai ? Date ?
OFFICE USE JNLY
Tnis repuest voitl i6 mon:bs from
47
? ao
'?
p C)1933 v '
Request Dale Fire No.
? ??? ?Q ilougM1-in Inspection
fiequrea?
Now G Will NaGry InspeAOr
YFeatly When
Featl
?
/ es C No y
Ixicensed contractor ? owner hereby request inspection ot above electrical work at:
JobAtlares?reel.6oxW j?o??E ?R) u?
3
? ciN' ?i i ^? ^?
l`7a
Section No- Township Name or No. Range No. Counnry
Occupanl(PPINT] Phone No.
Paw¢? Suppliel ? Adtll866
Elecvicsl Comractor ICompany Name,
???,?1G /??ok?
sO/l vrcE Gonlractor's License No
? a 96-?
MaJing Aedress (CO trador or Ownee MekEny InPstallation)
``=
3?? CO?I.+iDCG 5/
Authoriz S,q,rmture iGOnlrecl rrOVe r M' Inq Ins1allanon? Phona Number
MINNESOTA STATE BOAPp OF ELECTPICItY THIS INSPEGTION REQUEST WILL NOT
Grlggs-Mitlway Bidg. - Room S-173 BE ACCEPTED BY THE STATE BOARO
1821 University Av¢., SL Vdul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-O800 ENGLOSED.
y??/?/ REOUEST FOR ELECTRICAL lNSPECTION
/ ? See insVUCtions mr compleling IM1is form on back oi yellow copy.
1 "X" Below Work Covered by Thrs Request
EB00001-06
ew Add Rep. TypeolBuiltling AppliancesWired EquipmeniWired
Home Range ? Temporary Service
Duplez er Heater Electric Heating
Apt. Building Dryer - Other (Specity)
Comm.ilndustrial F nace
Farm Aif Contlitioner ?
otner isuacifyl Contraalor's Remaeks:
Compute (nspection Fee Below: /e, ?
# Olher Fee N ServiceEniranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps ? ' 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
Signs InsOector's Use oniy. TOTAI Q
Irrigation8ooms ? ?9?
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. '
I, the Electrical Inspector, hereby RO09n-i° oaie ,
certify ihat the above inspection has
been made. F,,,ai
?
OFFICE USE ONLY
This request voitl 18 months from ?
p 43409
Repoest Date Fire No. Rou in Inspaclion
Requiretl?
? Reatly Now ill Notity Inspector
? 2o - R' '=Yes E/IPo When Ready?
Ilicensed contractor ?vKowner hereby request inspection of above electrical work at:
Job AaGress (SVeet. Bax of Foote No.) Ciry
t e z r- 1EN&P1W__
Section No. Township Name or No. Range No. Counry
2 TR
OccupantiPRINT)
DA\) Phone No.
Power Sopplier Atlcress
Betlricel Com.raclor ICOmpany Namei Comractor's License No.
Maihng Adtlress ICOni or Owner Makmq Installation)
3ISy M?=CNEt,L E DR VE
/utn eo SignaN ? ICOnvact rOwner Maki nstallaron1 Phone Number
Z-6ir56-qytie
MINN S TA STATE BOARD OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggn-MiOway Bldg. - Hoom 5473 6E ACCEPTED 6Y THE STATE BOARD
1821 University Ave.. SL Paul. MN 55100 - UNLE55 PROPER INSPECitON FEE IS
Phone (612) 602-OBOD ENCLOSED.
60q5 /s 0
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date_??
Site Street Address :Ez Unit #
Property Owner ? Telephone # (rorA_4?
purl ? a % a. s-32
Contractor Telephone
Address Cit State? Zip ,
7 40 Tredale p4-t4, Qv; le_ S6
The Applicant is: _ Owner kContractor _Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Othec I
-
? Water Softener _ Water Heater $ 15.00
replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuitd $ 30.00
State Surcharge $ .50
Total
2? ?,.5-4-2
$/
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved pian in
the event a plan is re uired to be reviewed and approved. ?
- ? ?
Appli nYs Prin ed me plicanYs ' at re
191
;7
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsWction RaouiremaMs
• 3 registe2d site wrveys shovring sq. ft. of IoL sq. ft. of house; and ail moled areas
(20% maximum lot coverage allowed)
• 2 copies of plan shoxnryg beam & wmdow sizes; poured found desgn, etc.}
• 1 sel of Energy CalcWafions
• 3 copies of Tree Preservation Plan rf lot plaGed after 711193
. Rim Joist Delail OpUans selec0on sheet (bldgs with 3 or less unils)
DATE lr, - 20 - O ?
RemodeVRaoair Reauiremenb
. 2 copies ot plan
• 1 set of Eneigy Calculations tw heated additions
• 1 site survey for extenor additions & decks
. IiMicate if home served 6y septic system for adGitions
?
VALUATION /D , `7 4
SITE ADDRESS ! 3E-4 7'? ? C h e Il P i? P 5f ('J MULTI-FAMILY BLDG _Y _ N
TYPE OF WORK 2e Cac,r, FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
v
STREETADDRESS 15Q --'?9 + d'. CITY ' r M t STATEr4c-? ZIP 5537?
TELEPHONE #L/y7 ' 75b'7 CELL PHONE #61a-685- 733'3 FAX #
PROPERTY OWNER C, fc? IL A r-. r?-. C-N N TELEPHONE # 65 f - i?E / - 9 y 50
-------------------- -------- ---------------------------------------------------- ---------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATLGORY 1 MINNESOTA RliL.ES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Ener9y Code Worksheet Submitted
• Energy Envelope Calculadons Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
114echanical system includes:
Sewer/Water Contractor.
_ .tir Conditioning
Heat Recovery Sys[em
I hereby acknowledge that I have read ihis application, state that the
with all applicable State of Minnesota Statutes and Ciry of Eagan Orc
5lgnafure of Applicant
Phone #
Fee: $90.00
Fee: $70.00
- :?ttrr ?-o-?e?--?
correct, and agre comply
OFFiCE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone # .
I.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Upda[ed 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex 0 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 14 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundafion HV9C
Drain Tile Other
Roof _ Ice & Water _ Fina! _ Pool _ Ftgs _ Au/GasTestr _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Suppiy & Storage
5&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT CYA?
CITY CSF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 218 4 4
(612) 681-4675 Date Issued: 08 J31 J93
SITE ADDRESS:
1384 MICHELIE DR
LOT: 4 BLOCK: 2
HIDDEN VALLEY
P.I.N.: 10-32900-040-02
DESCRIPTION:
t ?_._.
B?t3ldii?i?'._Permit 7ype DECK
B?uilding Wbrk Type ADDITION
'UBC Occwpancy?,1 R-3
/ Building LengtPr`c, 43
/ Building Width 43
/ i
? r
\
?
y- ?
. : ? >--•.. r_", CJ
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
lotal Fee $25.50
CONTRACTOR:
OWNER: - APPlicant -
MOENCH DAVE
1384 MICHELLE OR
EAGAN MN 55123
(612)686-9440
I I hereby acknowleat i have raad this applicatidn and state that the I
information is coand agree to comply with all applicable State of Mn.
St tes and City gan Ordinances.
L ?
t L"(
AERMITEE SIG NATURE ISSUED BV. 59to
REACTjVATE
PER??f'i .
CITY OF EAGAN
1993 BUILDING PERMIT 1?. !, ION
681-4675 . .....
A14i Z U
SINGLE 3 MUL7I-FAMILY 2 sets of plans, 3 registered site sur ?`-l?o?y energy
calcs.
COMMERCIAL 2 sets of architecturat 6 structural plans, 1 set of
specifications. 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month-
in which request is made, 2) address is chaoged or 3) lot change i.s requested once permit
is issued.
Date /'23 Valuation of work ?
Site Address: ?3<6`'1 ?'ut?C 4{? LLE
tiNEET . iU1TE y
Tenant Name: (commercial only)
IAT ? BIACK ?- SUBD. [ATODEV UkL`E Y.I.D. M
Descri tion of work:_AA
7he applicant is: Owner O Contractor 0 Other (Deceribe)
A J? Phone LSs6 -4 `f`lo
lA
Q
Name IhnR A)c
Property LAST FIRST
Qwner pddress 13911-1 NIZG(4 1=LL£ ?P
STNEET [TE i
State Z1P /Z
City
Company Phone
C017tfeCtOr Address License N Exp.
City State Zip
Company Phone
Architect!
Name Registratlon /
Engineer
Address
City State ZiP
Sewer & water licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
1 hereby acknowledge that I have read this application and state that the information is
correct and agree to comply/G"1 h alapp?icable St?te of Minnesota Statutes and City of "
r. n..a: 11 ? 1
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 foundation
? 02 Sf Dwg.
O 03 5F Addition
? 04 SF Porch
? 05 Sf Misc.
WORK TYPE
? 31 New
1& 32 Addition
? 11 Apt./Lodging
? 12 Multi. Misc.-
? 13 Garage /Acce s sory
0 14 Fireplace
W15 Deck
O 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBL Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
i of 5tories Footprint Sq. ft.
length ? On-site well
Depth On-site sewage
APPROVALS
Planning Buildin
Engineering 4ariance
REDUIRED INSPECTIONS
? Site ? Footing
O Wallboard O Final
? Framing
? Draintile
_y3y
/
6 .
? Insulation
? Fireplace
? 06 Duplex
? 07 4-Plex
? OB 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
O 33 Alterations
? 34 Repair
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAL
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/N Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
I SAC %
SAC Units
?
? L Uo I v.lmtim:
?ro
.
? 16 Basement Finish
? 17 Swim Pool ,
O 18 Coam./Ind.
? 19 CoWm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous"
O 37 Demolish
MWCC System
City Water
PRV Required
Booster PumP
fire Sprinkler
Census Code
SAC Lode
Assessments
,.,
LOT SURVEYS COMPANY INC. INVOICENO. 29510
? F, B. N0. 527-5.6
WND 811RVEYOR3 SCALE 1" . io'
o Dsiwlee Iron Mmumsnt
R6CI81'ERBO UNDER LAW9 OP STATE OP MINN?OTA o p"otes Wood Hub Set
7601 • 7ard Avenue Noelh 580809a For Excwation OnIY
Minnnpolb,Mlwnseu6642B x000.0 Denotas EMittlrp ElevMian
LE?i? tAT?S O Denolef ProPOeed Elevotion
'*IIl'UpIJ01s r4- oenotes surtace Drainooa
Property located in Section 22, PA3.2 PmpoaeC To0 0l Black
Tmmshio 27, Renga 23, Ilakota AL2,7 propoaed Goroqe flom
Caimty. Minnesota
455•z? Pmpoaad Lowaet Floor
,? - iyoe oe 8uildiny - F„ I l C3n ee?.
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, /9/70 1991 B UILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMII4ERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER ]ATS - CDNTRACTOR/HOMEOWNER MUST DESTGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUEA.
PROCESSING TIME FOR SEWER fi WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: SFD Valuation: Date: 3U 1M%':??(`? o
Site Address 13?? m«t4?.LLE
Lot ? Block Z
Parcel/Sub -ii11717ta vAL..I.&
Owner YYIOEIJC!4
Address
City/Zip Code
Phone
Contractor L&:,-ENl? -AOm?-S I pj`L
Address ZI??( -6ktJ IV11LLE5 ?bg •
City/Zip Code ?COL.-L2S . VY? K) -%37`I
Phone q-2`d - 2 3 dd
Arch./Engr. L,q V-Sn0 -1yvn*-l`?SI(r t-) bTu7i l"O
Address 3R2 S ?/' OL U2•
City/Zip Code QK- W1o 55y43
OFFICE USE ONLY
FEES
Occupancy R -3 M^1 Bldg. Permit 1? 241,0 O
Zoning Surcharge ?
Actual Const 'Otil Plan Review 4 o vJ
Allowable `/-N SAC, City ODioC
# of stories SAC, MWCC 63arU0
Length ?- Water Conn. D,LJ0
Depth Water Meter , U0
S.F. Total Acct. Deposit ^.SD,&) J
Footprint S.F. S/w Permit 3o,6 O
S/W Surcharge , 5-4*1
On site sewage_ Treatment P1. 2 6?00
On site well Road Unit ?
MWCC System ? Park Ded.
City water ? Trail Ded.
PRV Copies
Booster Pump _
SOBTDTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off.
Vartance
Phone # "Z-
C41 agrees that all work shall be done in accordance with
'gn ture of Contractor)
all applicsble State of Minnesota Statutes and City of Eagan Ordinances.
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Cities Diaital Qualitv Control
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CITY OF BUILDING DEPAP,TMENT
EXTERIOP. EWELOPE AVERaGE "U" COMPUTA'TION
One or twu tamily dwel'_ing
Owner
al1 ocnec r/
C??n[cactc+r ' ' SiCe addr ss 1-OT y? Fla?l?z ??-pq?--7?
- ? llaCe 1(?L) `' " Phone
LIVEaL F':, l)F
EXPOSED LJALL
OPAQUE WALL CONSTRL'CTION "U" value x area
Reference Trom .4n( /j L.Li-zn "U"
____ai[atched?e?ets? -
WI,IDOWS: "C" value x area
Ft. above grade
TOTAL EXPOSED WALL AREA SQ. FT.
PL.aN YUMSER
x sq. ft. _ L(U) (A)
x sq._ft. , i (U) (A)
x sq. ft. - -? -(U)(A)
x sq. fc. (U)(A)
x sq. ft. ? j (U) (A)
Hake S tvpe r?t ... "U" 4 L. x sq. ft.
"U"- r sq. ft.
x sq. ft.
DOORS: "ti" value x ar<,
.4HKB S CVDe 'k, 'lUll Y S({. EC.
" - /-- --
sq.
it.
sq. t[.
C-1LClii.:;iED
AvErtaGL
lti) (a) . ' .
iOT
aIS
aeEA
A:.L0[;:18iE .! 1 or iess Cor l"n _'iami'_v dwellin gs
:1VEPL\i;r "C" .'3 or less :ur ali othe: buildings
300F:'C-ILLSG:
'COT?.I. ARE<a: sa. it.
fta:erence s sq. ft.
L x sq. [[.
a-za?ctiej shaz[s -
r
x
sq.
[c.
C:1L.CLZATcD
AVERdG. "L _ (G) l.yi TOT _1LS
' .1RE.A 7,A-
AI.LOWd"aLE .03,ior ven[ila[ed roofs
AVERAGE °U" .OS .or all other construc[ion
EXTOScD FLUi?R
TOT2J. AREA
-- sq . f c .
ReTerence from i-L? - U
atia[cnec shee[s
CALCULATED
aVERAGE "U" _ (U) (A) I, I-1 V
a£c:A 7? ;
.?LLOW.\ BL E
F.BFRAGL "U" .OS rOR ,1LL CONSTRU CI'ION
p (II)(A)
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TOTALS
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670RKSHEET A S
PLAN YUMi R ?U' ZY'?
DATE r?L17qU
ROOMI??jIE-Q ,1REA "U" "UA" "UDT" BTU/fiR
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WALL TOTALS: YJT( 7.4? ? SS,`Id
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TOTAL RM. HEAT LOSS: BTU/HR
AREA I lU?? I "UA''
W.1LL TOTALS:
¢`'-`
7? c?-Z
L1,; `E1
ZG? ?UU
"li 2" I BTII/HR
TOTAI. RM. HEAT LOSS: STU/HR
WA1.L SEC'I'IOR -
VOTE. USE 1.5u OF OPAQLIE 4+'ALL AREA FOR
FRA4F CCNSTRUCTIOF
CONSI'RL'CT I0N
PAGF.
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FIG. I71 PLAN VIEF
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FIG #5 Tmw
WORKSHEET 0 4
PLPu`t NUMB$R
DATE I Z i `1 V
ROOM/
\ ARF-A 'lU?l "UA" "UDT" BTU/HR
?C1.OF I Z?\ 1 I, c ` J'?` !i t' Z 3. L4 , L'U0 Z- L
LC.'A!!r ? 1 Z?' r" ` t , ? tJ ?
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WALL TOTA'.S:
l.l. l /L, L)
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TOTAI. R,`f. HEAT LOSS: BTU/HR
/ L ?-' J
2??2
uAREA "ull IluA?? "U T" B"CU/HR
t' Z Z_ 2
-7 Z
w,4
-7 -2_< Z.
w.u.i ToTat.s: q?
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TOTAI. M. HEAT LOSS: BTU/HR
•`I Y' .J
ptA-.0 nIu??r»?z. i; Z
VnTr v
Ar A\-fi Lo-oY, `5UMMARj
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WORKSHEE'f 4 ?
PLAN NUMBER Zr-I
DATE /f ILII'?T-`
ROOM/ AREA "II" "UA" "UAT" BTU/HR
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WALL TOTALS :
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TOTAL iZ`t. HEAT LOSS: BTU/HR
4-v =? Z
1 +,j.1
ROOPt/ ??„/??:.:: r= 1ItEA Ull "liA" "U T" 3Tti/H3
Z
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WAI.L TOTr1I.$: ?' i ?
TOTAL RPt. HEAT LOSS: BTU/HR
z 17Z
WORKSHEET li L
Pta.v xuxaFt
DATE //.ZI Q U
ROOM/'? AREA ?ltJll „UA" „U0T" BTU/HR
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WALL TOTALS: 4# b• 4-2,
/A
F
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TOTAL !L`S. HEAT LOSS: BTU/HR
V73-1
ft00M/ -TDtA-; kRE?. "U UA ,.U T" BTUIHR
f?'C.•L h LL, ? r 'v ?Z c-G ? 1 %¢;•-? i ? ,?:? ? c,
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WAI.L TOTALS: GZCZC ?Lt`Y
1: ? ?.?- F• ? I G h f- ?. ;? 7 5? L G? -
TOTAL RPt. AEAT LOSS: BTU/HR
4?,is
LOT SURVEYS COMPANY INCe INVOICE NO. 29510
? F. B. NO. 527-5.6
LAND BURVEYORfi SCAIE I" = Zo'
o Denotes Iron Monument
REGISTERED UNDER LAW$ OF STATE OF MINNESOTA p Denotes Wood Hub Set
7601 • 73rd Aveaue North 660-8095 for Excavation Oniy
Lg,GM HOMES Minneapolie, Minaesota 56428 z000.0 Denotes ExisTinq Elevation
O Denotes Proposed Elevation
Ompp? ?Ptftftm* ml*? Denotes Surface Drainage
Property located in Section 22, e63,2 Proposed Top of elock
Township 27, Range 23, Dakota X 2,7 Proposed Garage Fioor
Coimty, Minnesota
55,Z proposed Lowest Floor
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Lot 4, Block 2. HIDDIN VALLEY
The only wesmants shown aro from plats of record w Informatlon provided by
cllent.
Np hereby certlfy that thla ts atrue and corteet representation of a survey of the
bounderias of the rbova dsacAbod land end the location of WI bufldinps and vir
ible encrcachments, it any, from or on eald kuW.
Survsyed by us this 21 st dgy of MaY 18 91
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p r??°RE PURED
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$igned
Milton E. Hylond, mn. Reg. No. 20262
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PER.MIT !i_ ??/70
REACTIVATE _
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CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
? RFC,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested ance ermit is issued.
Date Valuation of work 'ar------'f
Site Address: R-I M'LCNE 1 E D vE
STREET . SUITE /
Tenant Name: (comnercial only)
IAT BLOCK ? SIIBD„??•Qlen
v /. J P.I.D. k
-DF Descri tion of work: e- /L
The applicant is: EKowner ? Contractor ? Other coes«rne?
Name. MDE Il1 C lk DAV E Phone &SSk"'TYkD
Property LAST ?,RST
Owner Address 13 ky N1Zc E+F LLE
STREET STE N
City FJ?UAO State mu Zip S?J12?
Company Phone
Contractor Address License Exp.
City _ State Zip
Company Phone
ArchitecU
Engineer Name egistratian.#
Address
City State Zip
Sewer 8 water licensed plumber . Processing time far
sewer & Nater permits is two days once area has een approved.
I hereby acknowledge that I have read this applicati and state that the information is
correct and agree to comply ith al applicable 5ta f Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
O 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
? 31 New
? 32 Addition
OFFICE USE ONLY
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
O 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
GENERAL.INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
Pr15 Deck
? 35 Tenant Finish
0 36 Move
?
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy li-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster PumP
?t of Stories Footprint Sq. ft. Fire Sprinkler
Length iz T On-site well Census Code
Depth ro' On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance • , _
REGIUIRED INSPECTIONS
? Site 0'footing O Framing ? Insulation
O Nallboard I?rFinal ?.Draintile • ? Fireplace
Permit Fee N!G v,i,,,t;,,,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Nater Meter .
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC %
SAC Units
LOT SURVEYS COMPANY, INC. F BONO NO' S2755o6
LAND BURVEYOBB
R6GIBT6RED UNDER LAW9 OP STATE OF MINN760T
7801 • 79M Awoue Nath
Le?,m ? Minne?paliu, Mlmewh 66488
,?lt[G¢gDC6 ?PL'?i?
property loceted in Section 22,
Tmmship 27, RanHe 23. Dakota
CowtY. MiMesa[8
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o penotes Iron Monumant
? O UMOfN Wood Hub 5et
680?t0YD Fu E:twation Ony
a000.0 Denotu Existinp Elevalion
O Oenofeo Pmpoaed Elevation
E- Denote! Suf}ace Drainapa
e43,2 Propoeed To0 ot Bloek
X2.7 proposed 6araqa Floor
R55,y Proposad Lowatl Floor
- Type of Builtlinq -
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nr wW w.mam srown o nan Ww oi rocare «mtaimsnon omvwm M
Gbnt.
N111W W'anNY Mtlmh uobusrW mneetMymNdbllC^ ola rurqof iM
ea,na.n.. a ur.ea+. eraiesa um.na me aoaum m ali ewwero.ua w.
ION ?nciea?menl..ll rry.lran wm eY04na
$WvnvOb/Wtllb.2i3t?EWO1 MeY 19 91
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Miltm E. Hyland, inn.l 0262
UNDERGROUND SPi2INKLER SYSTEM
PLUMBING PERMIT
Date: Permit #
Date
Receipt # C
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
X Existing residential: $15.50 (Plumbing permit not required if backflow preventor was
previously installed).
_ ResidenYial developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit, WAC, and water treatment
plant fees.
130 Miche.lie ?,)r "
(Address to be sprinklered)
nieowne lumber: aix :1 N
Phone #: ? 1?6 -R v Y p
Street Address: 7 3$`1___&!" L •
City, State, Zip: ?, Mn? SSil?;
Owner Name: ?a?e BN.a•-w? `
Street Address: SAn'?E " " -
Phone #: '- '
Irrigation Contractor:
Phone #:
hmiL
I here acknowledge that I hav ead this application and state that the information is
corr ct a d agr e to comply wi I applicaUle City of Eagan Ordinances
Ow NV- (Z '
cc: Engineering Department
CITY OF EAGAN
3830 PILOT RNOB &OAD
, EAGAN, MN 55122
PHONE: (612) 454 8100
MCIMIGAMM
ADD-ON MINIMUM $15.00
_75,otO HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
FEES
OWNER NAME: _ L Q q eya ? ?°
PLEASE COMPLETE THIS PORTION FOR ALL COhAfERCIAL/INDUSTRIAL BUILDZNGS,
AYARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING IINIT.
SITE ADDRESS: 13k,'1- A,cJe1/C' Dr,vQ
LOT: h/ BLOCK X- SUBD. ?
INSTALLER: //,, ??aN a..ol Ro<?e_,
ADDRESS: '2/Z(o - Z-"d //C-e•
CITY: _Adk2 ZIP: -5?5-3d3
PHONE #: ZI Z- 7- z- 3 Z I
____________________________________
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR :
ZIP:
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECEIPT #?
DATE:
SUBTOTAL: $ Z7•pO
STATE SURCHARGE: .50
TOTAL: $
SIGNATURE OF PERMITTEE
$
( S I GNATIJRE )
CITY OF EAGAN
CITY OF Ee1GAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT
DATE: /
PLEASB COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WOAK DESCRIPTION
NEW CONST _
ADD ON
REPAIR _
F/NiSf-? bAs?l?u1"
-`orUeT Xootdl
OWNER NAME: AlJ MOE/U G?
SITE ADDRESS: 13F5q M?CN?LL? ???JF
LOT:?__ BLOCK IW SUB
INSTALLER: DRoP I?DEIIfG??
SUBTOTAL
ST. SURCHARGE
TOTAL
TOTAL
$ .15 D 4
.50
a
$ 15 '
09MB(ERC_PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
ADD-ON MINIMiJM 15.00
? SHOWER 3.00
? WATER CLOSET 3.00
BATH TUB 3.00
( LAVATORY 3.00
_ KITCHEN SINK 3.00
, LAUNDRY TRAY 3.00
_ HOT TUB/SPA 3.00
_ WATER HEATER 3.00
_ FIAOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
L OTHER-SZNIL _
? WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
ADDRESS: l7JM MTC?z/ja
CITY: P AC-AAI ZIP: ??/2?
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
. < EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
DATE :
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDQS WFIEN PERMITS ARE REQUIRED FOR EACH UNIT.
----
------------------------ ---------------------------
WORK DESCRIPTION --- -----------------------
CDMPLETE THE FOLLOWING:
? N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
AD? ON ( SHOWER 3.00 3.°O
REPAIR Z WATER CLOSET 3.00 6.00
? BATH TOB 3.00 3,•°
'1_
, OWNER NAME: ?? `1eN? /T°mQ 5 ?
/ LAVATORY
KITCHEN SINK 3.00 b °o
3.00 3•00
,?q I J
? 3?y -/''/«-`?I/?
SIT£ ADDR / LAUNDRY TRAY
HOT TUB/SPA 3.00 3.°O
3.00
`
LOT:_? BLOCK ? SUBD. ? WATER HEATER
FLOOR DRAIN 3.00 3•00
3.00 3•°°
IIVSTALLER: GAS PIPING OUT.
(MINIMUM - 1)
3.00 3•n•
ADDRESS : z-?O? 3 ROUGH OPENINGS
OTHER 1.50 ?/.';O
CITy; Zip; Nj S 3? 3
_ WATER SOFTENER
PRIVATE DISP. 5.00
15.00
JJ
PHONE #• ! ?7 `Z3Z? U.G. SPRINKLER
SUBTOTAL 3.00
$ ? -7 .?
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: eo
S
COMFIERCTE(L?`iNI7USTRIAL < PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
----
-------------
-° -----------------------------------------------
CONTRACT PRICE: ---- ----------
FEES
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
18 OF CONTRACT FEE.
STATE SURCNARGE - $.50 FOR
EACH $1,000 DF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
1991 1FIERiMIlT
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
HULTIPLE DWELLINGS
C0MRCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCIIIATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WEiEN: TYPIN6 OF PERMIT IS REQUESTED, BUT NOT PZCKED IIP BY ZAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
??.I,TALU MG:+1.W / cAl Ft i2E'F-AC6
To Be Used For: FIN15H $?l-7+'iF1?ll' Valuation: Date: ?oU, Zv, f94 {
Site Address MZCNELLf na E
Lot q Block ?
Parcel/Suh -g)JAom 1 )l^„ ?
owner 'NJ k A. OVl oENL 11
Address 13g'1 Miri46GC.F
City/Zip Code e A 6-}"}1v
Phone
Contractor Se L?
Address 4?A, m 17--
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUHTOTAL
Penalty
Lot Change
TOTAL
APPROVALS _
Planner
Council
Bldg. OfQ5 / ?-3
Variance
Sewer/Water Licensed Contr.
agrees that all woYk shall be done in accordance with
(Signature of Contractor)
all appltcable State of Minnesota Statutes and City of Eagan Ordinances.
- - - fu??-
.
tLtt?-o cOCLQ-
t?o
?
?.?
?
?.,..?
? .
P???cI?. ? • V
REACTIUATE
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MUITI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date _ (o / lIL-/ q 7?_ Yaluation of work 2W,00
5ite Address: 13M (kMC„?FLLE_ hP
STREET SUITE M
Tenant Name: (commercial only)
IAT ? BIACK._? SUSD.??_. P.I.D. iF
Descri tion of work: -pe C..
The applicant is: Owner ? Contractor ? Other (Describe)
Name M()tdUCA U)F Phone 1?g?-4qqf7
Property LRS, FIRST
Owner '
Address I
3?y 1?»c #+g'Lt.F- .?
STREE7 STE R
City F1N6AN State 1k b Zip
Company Phone
Contractor Address License q Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber Processing time for
sewer 6 water permits is two days once area has een approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable StA4 of Minnesota btatutes and City of
Eagan Ordinances.
o
Signature of Applicant: _ J
"'Irjc
OFFICE USE ONLY
BUiLDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwg. ? 07 4-Plex
? 03 SF Addition ? 08 8-Piex
? 04 SF Porch ? 09 12-Plex
? 05 SF Misc. O 10 Multi. Add'1
WORK TYPE
f3l Nea O 33 Alterations
32 Addition ? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
O 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
/V°15 Deck
? 35 Tenant Finish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst Fl. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length -To-r On-site well
Depth ; /_ On-site sewage
?-
APPROVALS
Planning Building
Engineering Variance
REGIUIRED INSPECTIONS
? Site Footing
O Wallboard tFinal
O Framing
? Draintile
-sw
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
Ci.ty SAC
Water Conn.
Nater Meter ,
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Cop ies ?
Other
Total:
S
::.
O 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind. .
? 19 Comm./Ind. Misc.
O 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
MWCC System
City.Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
3AC Code
Assessments
SAC %
SAC Units
INVOICE NO. 29510 `
LOT SURVEYS COMPANY, INC. F. S. NO. 527-5.6
I.AND S[JRVEYOR$ SCALE 1" = Za' %-
o Oenotes iron Monument .
REGISTERED UNDER LAWS OF STATE OF M1NNE$OTA p Denotes Wood Hub Set
7601 • 73cd Avenue North 560-3098 For Ezcavation Only
Minneapolia, Mimaota 65428 z000.0 Denotes Existing Elevaiion
LE?ID HO?S O Denotes Proposed Elevatian
ftL'{1eiJQr? (In;{fiR* 4? Denotes Surface Drainaqe
)63 2 Proposed Top of Block
Property located in Soction 22,
Township 27. Range 23, Dakota SG 2.7 Proposed Garage Floor
Coimty, Minnesota
5 51Proposed Lowesl Floor
..:
Type of Building -
Fo ( ( (3a-,, ev-?. e?.?
wa i puu+-
\ '
?
10 4v
? F<a
/ \ ` q\
? ?u i'?? ol M O ti
? ?? ?,• 4
9b\
d ?
,
\?\ A41 3 ? •
?.47
?? \ y:•' 2 <, tY ? e
? . "? .
t ? 6v
?
?,?°??i ?? ?a
\ ? ??` ?'•_
?. ?.
S\ ??4
4 \?
\
\
g61e9
Q¢?Q???GCy
.- f
\? .
?• .
^\ \
y` ? ?c,,?• !
v ?
.
o ?
?yo.0
?
Q4 .
\
?
w
?
\ \
` e2
? JEa?m¢rt?
Lot 4o Hlock 2, HIDDPN VALLEY
?
? Fcnea. .-n I?na
. x
`- - - 6Z, oo -
TM only wsewsonlt ehown are ham plats ol record a Inlortnatlon provided by
ellent.
Ws hsraby cNlify MW Mis Is a tiue and ooffset repreaentaUon o1 a survey of the ''`
bourWariea ol lhs above deacAbed land and the locatlon ot WI buildinys end vla-
Ibls oncrwchmsnle, ff anY? from a on said hwod• 3igned -
SuNayedbyuemis 21st dayot May 19 91 Milton E. Hyland, Reg. No. 20262
z
-x-
-4 (aqI
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomeslcondos when permits aze required for each unit
#30. sa
?ate I D / r / 05
Site Address [ J?'l fYI i GhP f l Dy- Unit #
Property Owner
?- Telephone # ( jpSl ) 'z.-5 "rJ - 3LP? D
Contractor
Street Address 9 ?? ? ?+ ?? ,• ? City
State M? Zip ? Telephone# A?2 ) O? -??d?
Bond #• Espires:
The Applicant is _ Owner ? Conh2ctor _ Other
Add-oo or alteration to existing dwelling unit $ 30.00
? furnace _Additional ?Replacement _ New
air exchanger
air conditioner
heat pump
? other Yl,ltrmiA ?or
State Surcharge $ 50
Total $
I hereby apply for a Residential Mechanical Pemu[ and aclawwledge that the information is complete and accuiate; tLat the work will
be in conformance with the ordinazices and codes of the City of Eagan and with the Mechanical Codes; tUat I understand this is not a
pemut, but only an application for a permi; and work is not to start without a pernut; tttat the work will be in accordance with the
apprmed plan in the case of work wlrich requires a review and approval of plans.
J Cnn, A-e.- S1-??b nn
,
Applicant's Printed Name Appli a t's Signatike
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaUindusftial buildings
multi-family buildings when separate pertttits are no[ required for eech dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephoue # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Conffactor _ Other
Work Type
_ New Construction _ Underground Tank _ Install _Remove "*see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
**When installing/removing underground tank, caN for inspection by Flre Marshal and Plumbfng lnspecfor
PeiNlt FC¢9: $70.50 Underground tank installation/removal
$50.50 M'mimum (includes State Surckurge)
or
ConVact Value $ x 1% _ $ Permit Fee
$ State Surcharge
If emut fce is less than S1,IX10, add $.SD
If perniit fee is more than $1,0110, surcharge
is $.50 for every $1,000owed.
$ Total Fee
1 hereby apply Yor a Commercial Mechanical Pemut aud acknowledge that the informauon is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; tLat I understand this is
not a pernut 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.
Applicant's Printed Name ApplicanYs Siguature
APPrm'ec1 BY: Inspector Date:
Required Inspections: _ U. G. _ R.I. _ Air Test - Gas Service Test - Infloor Heat - Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1384 Michelle Dr
Lot: 4 Block: 2 Addition: Hidden Valley
PID:10- 32900 - 040 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Construction Type:
Occupancy:
Owner:
Gregory R Kamman
1384 Michelle Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA084796
07/30/2008
ePermit
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1384 Michelle Dr
Lot: 4 Block: 2 Addition: Hidden Valley
PID:10- 32900 - 040 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
e- Fireplace
Gas Fireplace (new)
Contractor:
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 633 -2561
Improvements to the home may requ
concealing.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
e smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
Carbon monoxide detectors are required by law in ALL single family homes.
Owner:
Gregory R Kamman
1384 Michelle Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091559
10/12/2009
ePermit
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111599
Date Issued:07/02/2013
Permit Category:ePermit
Site Address: 1384 Michelle Dr
Lot:4 Block: 2 Addition: Hidden Valley
PID:10-32900-02-040
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.
Andrea Preusse
4145 Sibley Memorial Hwy
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Gregory R Kamman
1384 Michelle Dr
Eagan MN 55123
(651) 681-9490 X0
Wenzel Heating & Air Conditioning
4145 Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117437
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 1384 Michelle Dr
Lot:4 Block: 2 Addition: Hidden Valley
PID:10-32900-02-040
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 .
Laura Gillespie
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 -
Gregory R Kamman
1384 Michelle Dr
Eagan MN 55123
Able Restoration Group Inc.
17316 Kenyon Avenue, Suite 103
Lakeville MN 55044
(952) 378-5000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138651
Date Issued:09/12/2016
Permit Category:ePermit
Site Address: 1384 Michelle Dr
Lot:4 Block: 2 Addition: Hidden Valley
PID:10-32900-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Gregory R Kamman
1384 Michelle Dr
Eagan MN 55123
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160861
Date Issued:04/20/2020
Permit Category:ePermit
Site Address: 1384 Michelle Dr
Lot:4 Block: 2 Addition: Hidden Valley
PID:10-32900-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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:
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 -
Jason Oday
1384 Michelle Dr
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA169192
Date Issued:05/18/2021
Permit Category:ePermit
Site Address: 1384 Michelle Dr
Lot:4 Block: 2 Addition: Hidden Valley
PID:10-32900-02-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Kevin Golden & Mackenzie Marais Sienko
1384 Michelle Dr
Eagan MN 55123
(651) 895-0182
Bonfe's Plumbing & Heating
455 Hardman Ave
South St. Paul MN 55075
(651) 228-7140
Applicant/Permitee: Signature Issued By: Signature