4494 Oak Pond RdCASH RECEIPT
?..,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MI F' % ESOTA 55122
19
I $ lt=.- I %)
& DOLLARS
+oo
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BY ' ?
BLDG. PERMIT ti0.
.)c?:.d? l?ur?
• ' f?a_
01-3210,' Bldg. Permi*_
01-3422 Plan Check
01-3445 Surch./ndm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 Sewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
_ -,
1 ..?
?f
,.!
TOTAL
' 3830 Pilot Knob R dl P.O. Bo 2G-?1 9, Eagan, MN 55121 N2 13312
PHONE: 454-8100
BUILDING PERMiT Receipt #
To be used 1or SF D1IGIGAR Est Value $79,00 0 pate MAkCH 6 19 87
Site Address 4494 OAK POND RD Erqct C? Occupancy R3
Lot 5 Block 2 Sec/Sub. FAWtd RIDGE 2ND Remodel ? Zoning R1
Parcel No. Repair ? Type of Const y
Addition ? No. Stories
KP
YLANfl tiOMES Move ? Length 54
a Name -
= 14450 BLiRNSV1LLE P1CWY Demolish ? Depth 4B
3 Address I
I ?
°
C
$' VII.LE
894'2636 nt
mpr S Ft
Q
ity Phone Install ?
o Name SAI'?E APProvala
=
0 ? address Assessment
~ City Phone Weter $ Sew.
W
hALLQI; I5T
N Police
mi
= ame - Fire
uo Address En
`W City 8I.11i:TN phone 831-1875 Planner
Permit I
Surcharge
Plan Revie
Water Conn. 311?• ?
Water Meter 67.00
Council Road Unit 305.00
I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. 180.00
information is correct and agree to comply with all appliCeble State of
Minnesota Statutes and City of Eagan Ordinances. APC Perks
Signature of Permittee -IL, e •.,.=. Var. Date COpie
Total ' .
A Building Permit is issued to: KEYLAND HOMES on the exp?ess condition that
all work shall be done in accordance with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official __ r?
' Psrmil No. PormN Holder Dats TN"phons k
PlumWny ?`?G '/ • J` ''' ?-c?t J a= 7
H.V.K.C. ? •? _ ?? ?G- b^ ?
Elsctric tJ 7
Softeoer
Inspection Dm4 Insp. CommMb
FooHnys 1
Footinys II
Foundatlon
Frmiiny -C--/ -Y'7 47
RooHny
Rouqh Piby.
RouqA Hlq. ?
Insul. 01,; R•? 7 G v1 '
Finpiace
Final Hty. ? [^?p
FinN Plbp.
&dp. Ffnal
Cert.Oca ,s
Deck Fta.
Deck F?mq.
WsM
Pr. Dbp.
' PERMIT #
+' • ' ,
MECHANICAL PERMIT RECEIPT # ?
CITY oF EACAN ,,,? r' 6 r c 7
3830 PILOT KNOB RQAD, EAGAN, MN 55121 DATE: {
CT PRICE: PHONE: 454-8100
Site Address ' `
Lot Block
y Name
Addre?
? City t
? Name
c Addre:
p3 City !
TYPE OF WORK
Forced Alr
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
ro A'? ?P% `a BLDG. TYPE WORK DESCRIPTION
_ Sec/Sub
Res. X New
? Mult Add-on
Comm.
?'y7- I/ ? ? Repair
Phone J. ? pther
2 S M BTU
M BTU
M BTU
M BTU
CFM
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
FOR: CITY OF EAGAN
??104WW-qrT?ty
, , .. ,
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Address !
Lot Block Sec/Sub
m Name
? Address
c City Phone
? Name
3 Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOIVD $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
RECEIPT # ?
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ' New
Mult Add-on
Comm. Repair
Other
NO. FIXTURES
Water Closet - $3.00 TOTAL
$
y
?Bath Tubs - $3•00
Larratory - $3.00 ?
Shower - $3.00
/_Kitchen Sink - $3.00
Urinal/Bidet - $3.00
1_Laundry Tray - $3.00
/ Floor Drains - $1.50
_,?_Water Heater - $1.50
_Z?_Whirlpool - $3.00
LGas Piping Outlets - $1.50
So(tener - $5.00
Well - $10.00
Private Disp. - $10.00
?Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
CITY OF EQGQN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
S1TE ADDRESS:
4 t11 M?,? f? I li?i! . 141?
PERMIT SUBTYPE:
i i -;' i;
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
E11lli ?:. .
i
TYPE OF WORK:
I11 `.f 1': 1 I' i 1 4 1 {.}
I f nit 1' 3.Wt;',
If lNftl
t,f l4Ai?t
i f{F1M ? Ni.,
fl ':# F'ANA fF !'P I? AiI l 1'. Irt Ui! I frt-li t iJli raN'( I I! t, ll'l 1! l11 t11 +l.'P
rrlr t r?? r N??
0, . 1 ? .
Weesl 2' 4I19 4
N ? W
! I?1- t Y ! N? 1. 1!I)F C? 1
?
J
Permit No. Permft Holder Date 7elephone N
S/W
PLUMBING
HVAC
ELECT
ELECTRIC
Inspection Date Insp. Commenta
Footings I
.?
Foundation
Framing
t
Roofing
Rough Plbg.
Rough Htg.
IsuL
Freplace
Final Htg.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Pian
81dg. Final
t'; ? ,? s
Deck Ftg. 4)24 IN fA
Deck Final
Well
Pr. Disp.
P
1 V . •
(gtr#if iratr uf Orrupanry
titp of (Eagan
PppMYf3ttPlt1 IIf l1ttbUto Ju}1Ptftit[
Thrs Certifuale issueod pursuant to the requirements of Secteon 306 of ihe Uniforrn Buelding
Code certifying that a1 the time of issrrance this structure was in compliance with the various
ordinances of ihe City regulating building construction or use. For the foTlowing.•
Ux LLstiCKaGOn ?DWG/CeHMS. PEtmil No. y y 1?
Occupancy Type • 2012ing Diatritt Type Conu.
Owoer o[ &uldiag Addresv
BuldingAddrca ?+?s?+ ?:? ?'si: Lomuty ..`. _ "., ?. . . . , , .
Datt: ; t'U'
Bwldmg Offioal
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN SEWER SERVICE PERMIT
3830 PNot Knob Roa-d.'
P.O. Box 21199 RERMIT NO:
Eagan, MN 55121 DATE:
Zoning: RI Y No. of Units:
eytsr.c. :`o*?es
Owner. y
Address:
44134 a . on a .,Z Pawn. ., 6--,e
Site Address:
Plumber.
1 agree ta comply wRh !hs Cky of Eagan
41
OMinances.
Connectlon Charge: r' 5. Oupc'
Account Deposit: t ? • O`lpd
Permit Fee: 10• 00po
Surcharge: • 5?pe,
Misc. Charges:
Total:
gawu .idge II
?mber C llechuvlic2l
nn. Chg: r. ?Gpd " Zoning: 1-
ct Dep: ?- 5°000
No. of Units: i
mit Fee: M s
•charge: I agree to compfy with the Cit
of Ea
an
'"?'?
' y
g
Plant -
• Ordinances.
ter.
WATER SERVICE PERMIT
II T Y OF EAGAN . Permit No: Dat? ` 14-' `
30 Pilost'Knob Road Meter No: 3g-? ?4 ?o gize: -- " o7
O. Box 21199 Reader No: Q??-3? Date:
gan; MN 53421
Owner.
Site Address;
E:oad L5 J3
?onn. Chg: 525. ii0pc j??:
cct.De : I5.00d
ermit F e:
• ?p$ ?,1C.
urcharge:
?r. Plant ? ??n??rr
eter.
isc.: gY
WATER SERVICE PERMIT
wlth the Cify of Eagan
ciTV oF E?GnN
No
13 312
3830 Pilot Knob Ho _
ad, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
.. ' qeceipt g c y
To be used for SF DWG/GAR est. Value $ 79 ,000 Date MARCH 6 ??87
Site Atldress 4494 OAK POND RD Erect L? Occupancy R3
Lot 5 elock Z Sec/Sub. FAWN RIDGE 2ND Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. \i.
Addition ? No. Stories
a Name KEYLAND HOMES Move ? Len9th 54
?
3 14450 BIIRNSVILLE PKWY Demolish ? Depth-•a
Address I
? S
°
?ity B'VILLEPhone 894-2636 nt.lmPr
QFt
Install ?
o Name SAME Approvala Feea
? a Address ASSe3Sm2nt Permit $ 430.00
a
ciry Phone
Water & Sew.
Surcharge 39.50
Police Plan Review 215.00
? W Name HALLQUIST Fire SAC 625.00
uo
' Address Eng. Water Conn. 525.00
5 Ciry BLMGTN phone 831-1875 Planner Water Meter 67.00
I hereby acknowledge that I have read this applicatlon and state that the
information is correct and agree to comply with all applica6le State of
Minnesota Statutes and City Eagan Ortlinan e.
Signature of Permittee
iCEYLAt HOMES
A 6uilding Permit is issued to:
all work shall be done in accordance with all applicaWt65tate of Minnesa
Building
Council
Bldg. Off.
Var. Date
Road Unit 305.00
Tr. PI. 150.00
Copies??
r,.#?i ?Pcs3o?•?0
on the express conCition thet
Cily of Eagan Ordinances.
a
4j.?J-le 7
1.3
"X" Below Work Covered by 7his Request
Adtl ReD. Tyoe oi Builtlinp Apolioncea Wired Equlumenl Wired
Home Range Temporary Service
Duple.x aier Heater Lightin, Fiztures
Apt. BuilAing Dryer _ Electric HeaLn
Commercial Bidg. umace Silo Unloader
Industrial BIAg. Air Corxlitioner Buik Milk Tank
Farm oinei oec, v 1ner ISneutyl
t r peci y t er Other
Compute lnspection Fee Below
N ae ServieaEntraneeSize q Fae Fextlers/SubFeeders M Fee Circuits
.? ?Z, 0 to 200 Amps 0 to 30 Am s YW, 0 tn 30 Am
Above 200 qmps 31 to 100 Amps 31 ta 100 A s
Swimmin Pool Above 100-Am s
# Above 100_Am ?
TransiormeB rn ation Boorr?s Partial.'Other F
Signs SUecial Inspection
5
' -
TOTAL
?
Nemarks - , ?
?
?
FEE4
wooah_;n , .. `-%y?7
1. tn, ¢?e«ncei
Inepectoq he?eby
Finel p?ia certify Net the above
/ yS inspection Pias bean
REQUEST FON ELECTRICAL INSPECTION es-ooaoi-os
, See insNUCtions for comp181im this to.m on eack m vauow oovv.
!hb repuest roltl 18 montM irom
This roquest voitl
te rtpnths trqom )
C 7 2,1 L 3
7/ J--O -:2-
'???
Reques5 j}3tq.-. Fire No. Poughd InsVection
Reqwred7
ONeady Nuw [Z}WN1-No?ify InsPec-
?, ?? es ?NO tor When Neady
r ns¢d.Electri`al Conlractor 1 hereby ra4uest insDection of above
? Owner electrical work instellad at:
Street Atl ress, eox or floule N
?O A
? /
?
/ C ity
ti4
(-
C
ecUOn o. Township Name o, No. flange o. County ?
OccupantlPRINTI /
C Phone No.
Gower $upplier -? AdCress
%
Elecvical Co v ctor Mompany Namel Comrar.tor' License No.
Meiline dJress IContrector or Owner Makine Instail uonl -
? S • l - ,.? .?
Authorizetl Sig e(Con a i Owner Me inB Installpi 1 Phone Number
LtiL ?
MINNESOTq?TpTE BOA71D OF ELECIFICiTY TMIS INSPECTION flEQUEST WILL NOT
Gripqa•Midwey Bltlq: ? floom N•791 BE ACCEPTED BY THE STA7E BOAPD
UNLESS PPOVEP INSPECTION FEE IS
7827 Unirereitv Ave.. St. Paul, MN 55704
v?...e ia»% aeznann ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ???, es.oooqmoe
? See Inslmctions for cortpleling Ihis iorm on back of yellow copy.
.?.;?
??10 ? 91 X" 8elow Work Covered by This Request ?,
ew Atltl Rep. TypeoBUilding AppliancesWired EquipmentWirad
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Othea.(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (sVecity) Co roct S jiemeMS?
?
Compute lnspection Fee Below:
# Other Fee # ServiceEniranceSize Fea # Cirouits/Feeders Fee
Swimming POOI 0 to 200 Amps 0 to 700 Amps
Transformers AbOVe 200 _ Amps Above 100 _ Amps
Signs
Irrigation Booms
Special Inspection inspec?or nry. J OTA?/. S'?
`?
'
Aiarm/COmmunication THIS INSTALLATION MAY BE ORDE D DISC PI ECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in
! oata
certify that the above inspection has
been made. Finai oa?e .y
OFFICE USE ONLY
Thii request voia 18 monIDS Irum
9 ?
? °?
?a? . _
?
Requ st Da e
? ?,`. '
a? ? Fire No. Roogn-in
Requirea7 n
L?.R'?atly Now ? Will NoNty Inspeclor
? W
R
tl
7
, ? Ye5 , o nen
ea
y
I? licensed contractor E) owner fiereby request inspection of above electrical work at:
Job AtlEress ($Vcet Bov or Raule Na.I
L , . ? . Ciry
?
L?, .
?Z
Section o. Townshl0 Name or No. Renge No. Counry ?
Occv/pant(PRINT) -
,? Phone No. r'
C
Pa e?rSu?P/ff?er * ? qetlre /? ?.y
Elecvical Gonvacror (Company Namel ;- Conc amor§ License No.
M i ing qatlre?s1s ICOmranor or Owner Making Instellati n
V
Aut zge SignaWre ICOnh Ror ner M I
? Inslallation, Ppone N Oer
W
r`
;
-a
MINNESOTA $TATE BOARD OF ELECTPICITY THIS INSPECTION REQUEST WILL NOT
Grlgga-Mltlwey BIEg. - Raom 5-113 BE ACCEPTED BY THE STATE BOARD
1831 Univeralty Ave.. 9L Paul. MN 55100 IINLE$5 PFOPEF INSPECTION FEE I5.
Phona (612) 802-0800 ENCIOSED.
Repueslfale
?` Fire N0. fiaugh.ln Inpg cM1On uiretl
(VOUmu ca Inspeclor whgnreeEy) Inspection Other Than RauBh-In
0 qeatlyNOw ? WiIINatHylnspeclor
? Ves ? No Oale Raad
licensed contractor ? owner hereby request inspection of above eledrical work at:
ob A tlra 1Vx o ufe NL
Seclion No. T ' Nam or Range No. C
'
tM
Occupant(Pql Tj ,
L-YNN Ph e N a
Pawer Supplier Adaress
ConM cense N?_
J? V ?
M li q qCm ss 'CO clor or In tallation)
i Y !
¢ea Sis vre Gomr I ta tio
P?
r 1 N
V
MINNESOTA STATE 60APD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mltlway Bldg. - Room 5493 BE ACCEPTED BY THE STATE BOARD
18I1 University Ave.. St. Peul. MN 55106 UNLES$ PROPEF INSPEC710N FEE IS
Phona (612) 642-0800 ENCLOSEO.
??0/
RE?UEST FOR ELECTRICAL INSPECTION
S<`insVUCns for compieting this lorm on Eeck ot yellow wpy 6,552 "X" Below Work Covered by This Request
e Adtl Rap. 7ypeotBuilding AppliancesWired EquipmentWiretl
Home Range Temporary ServiCe
Duplex Water Heater EleCtric Heating
Apt Building Dryer Load Management
Comm.llndustrial Furnace Other (SpeCily)
Farm Air Conditioner O
Otner(speciry) ConVacror's Remarks.
Compute Irtspecfion Fee Below: ? n n
# Other Fee ? ServiceEnlranceSize Fee # ClrcuitslFee ers F e
Swimming Pool 0 to 200 Amps o to 100 nmps -?
Transformers Above 200 - Amps Move 100 _ Amps
$iyn5 Inspector5 Use Only, f ITQIAL.
Irrigation Booms NO
Special Inspection ? ?/O
AiarmiCommunication THIS INSTAILATION MAV DE bNNE?7EQ IF NOT
her Fee
Ot COMPIETED WITHIN 1 S.
I, the Electrical Inspector, hereby
certify ihat the above inspection has
been made. RougO-in , Dace •?? ?
Final ete ^Z
wi7f
Oii1CE USE ONIY
IThis repuest voia 18 months Irom
nov 14 2007 10:46FM HP LRSERJET FA%
e; , -
2007 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3930 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please completa £or: single family dweltings & WwnhomesJcondos when penuits are requ'ved for each unit
p.2
Date 16
Site Addreae /C p Unh #
Property Owner 1el -z /L! .q .? C CJ Telep6one # (,(,r(
' ? ? j ?
Contracfor ? S '-
Streat Address /V! A/ Cib' %14 f_ t..) -j! j/j/ 4 /,%T C?
Skate ?11 (y , Zip 5-$?1a Telepdonc# ((iS'I ) ?r'rf ? '0?l?01 Ca
Bond #• Eapires:
The Appticant k _ Owner = ConVactor _ Other
Fira repair (replace buroed out appliauccs, duMwork, etc.) $ 90.60
This fee appliea when extensive mechanical repairs are matle to a buifding.
Add-on or alteretion tv existing dwelling unit s 50:00
?f
umace _Additional _Replacement ^ New
air exchangpx ?
? air conditioner
heat pump
other
State Surcharge $ .50
TOf9T c "ca
s
[ hercby appty for a Rcsidential Mechanical Permit and acknowledge that the information is complete and accurate; that the work wi(I
be in confoimance with the ordinances and cades of the C:hy of Eagan and with ihe Mechanical Codes; that I understand this is noY a
permit, but only an applicazion for a permrt, and work is not to slatt without a permit; that Ihe work will be in accordance with the
approved ptan in the case of work which requires a reviow and approva[ of ptans.
?
-?r
ApplicanYs Printed Name l/ ApplicanYs Signature
IVov 14 2007 10:46AM HP LRSERJET FRX
p. 1
AapenA:.
908 S.LY
54. 25
FOrBSiLa?., .
651-902.:. ,f..
As,
?.
, b .
,?F?i'?' \ pL(
? M t?
?
4" s-/ -Q?a
?r T 9sfc Fv ?
??1 RESIDENTIAL
537 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremente
• 3 registerad site surveys showing sq. fl. af lot, sq. R. of house; aM all roofed areas
(20% masimum lot caverage ailowed)
. 2 capies at plan stwwing 6eam & window sizes; poured found desigq etc.)
• lsetatEnergyCalculatlons
• 3 capies of Tree Preservatian Plan ii lol platted after 711193
• Rim Joist Defail Options selection sheet (bldgs with 3 ot less unds)
DATE
SITE ADC
TYPE OF
-?3- 02
APPLICANT IO/?q / 1 h? C
qo t-1 H[
ULTI-FAMILY BLDG Y N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET ADDRESS -Da W<S-1' 1) E? S4" CITY ??oe?++?+c?- STATE eJ/ ZIP
TELEPHONE # 9S2- g8?-QOSS' CELL PHONE # G/,2-3a6- FAX #(7s2- 019/' 3/l/ 2
PROPERTYOWNER Cl+N1 fh0 ?7 6 TELEPHONE# GS/-2 64' ! 9V
---------- ------ ------------------------ ----------°°--------------------------------°-------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CA'I'F.GORY 1 MINNF.SO"fA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanica] system includes:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Fee: $90.00
, ? ? ? nn ? D Fee: $70.00
?hlol n?
e ? 2002
--------------°--°°'----------°°--._._...------------------------ -°- ? - ?r --------------------
I hereby acknowledge that I have read ihis application, state that the in`formation is correct, and agree to comply
/
with all applicable State of Minnesota Statutes and City of Eagan Orlinces.
Signafure of ApplicantJ
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
iz4a?5
RemadeVReoair Reauirements
• 2 capies of plan
• 1 set of Energy Calwlafions for heated additiom
. 7 site survey for exterior addilions 8 decks
. Indicate if hame served 6y septic system for additiore
l ?aD °O
VALUATION '
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updaled 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 38 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AReration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 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 Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundafion HVAC
Drain Tile Other
RooF _ Ice & W ater _ Final _ Poo1 _ Ftgs _ Air/Gas Tests _ Final
_ Fratning _ Siding Stucco Stvne
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
I
? CITYbF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
j p?g /ap
411?
BUILDING
?
023935
06/20/94
SITE ADDRESS:
P.I.N.: 10-25801-050-02
4494 OAK PONO RD
LOT: 5 BLOCK: 2
FAWN RIDGE 2ND
DESCRIPTION:
" 11-_ (DECK INCLUDED)
Building'-Permit Type SF PORCM
Suilding Work Type NEW
\
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V
REMARKS:
A SEPARATE PERMIT IS REQUIRED POR ANY ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
3urcharge
Total Fee
$90.00
$3.50
$93.50
$7,000
CONTRACTOR: - Applicant - ST. LIC. OWNER:
FIRST LANOMARK BLDR5 16993135 0001992 SCHRODEN LYNN
611 SNELLING AVE S 4494 OAK POND RD
ST PAUL MN 55116 EflGAN MN 55122
(612) 699-3135 (612)686-9224
I hereby acknowledge that I have read this
information is correct and agree to comply
? Statutes and City of Eagan Ordinances.
APPLICP,NT/PERMITEE SIGNATURE
application and state that the
with alI applicable State of Mn.
I
,-n aIn wr,L I?
ISSUED BYI SIG TURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS:
LOT:
4494 pAK PONQ RD
FAWN RIDGE 2ND
PERMIT SUBTYPE:
SF PORCH
IFOOTTNGS
IFINAL
APPLICANT:
5 BLOCK: Z
FIRST LANOMARK BLORS
(612) 699-3135
TYPE OF WORK:
DESCRSP7SON
FRAMING
REMARKS: A SEPARATE PERMIT I5 REqUIRED FDR ANY ELECTRICAL WORK
? .
BUILDING
023935
@6/20/94
NEW
CDECK INCLUDED
7
? . _ ?
` I %51994
??
CITY OF EAGAN
BUILDING PERMIT APPLICATION
681-4675
? b . _?D
SINGLE & MULTI-FAMILY 2 sets of plans, sWs rveys, 1 copy of energy
calcs.
? L ;.' 6 i994
COMMERCIAL 2 sets of archite tural & structural plans, 1 set of
specifications, 1 a=nfnmmmv- s.
Pen altyapplies: 1) when permit is typed, but not picked up by last working day of month
F
which request is made, 2) address is changed or 3) lot change is requested once permit
issued.
Date Valuation of work ??i, /S19 U
Site Address: L4 4 Q4 ^- ,nQfG eovt.,a
?STREET SUITE #
Tenant Name: (commercial only)
LOT _? BLOCK ? SUBD.
1,k P.I.D. #
?
? JJ?
Descri tion of work: 1
The applicant is: ? Owner Contractor ? Other (Describe)
Name QDrt. dcant'3 Phone ? 22
Property LAST ^^a•,FIRST
"?2#''ti'll
Owner "
Address NN!? ?I_ pX}e- t
OW.
STREET STE #
City State _M*A/w) 2ip SS/ZO-
Company ; Sd'' Phone r 3 ?
Contractor Address S1UP,llikA. License #Exp.
City 124 State 'M irV? Zip _C!r'
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
orrect and a9ree to comply with all applicable State of Minnesota Statutes and City of
anOrdinances.
Ea'
[
ignature of Applicant: r
v
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
p 04 SF Porch
? 05 SF MisC.
WORK TYPE
0 31 New
? 32 Addition
OFFICE USE ONLY
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 06 Duplex
0 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
-nI .. Y
,- .
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
.w ? _q»?,
y ? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? 5ite
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
1:1 Footing
,O Final
MWCC 3ystem
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code cl_, -
SAC Code ?
Census Bldg
Census Unit o
Assessments
ID Framing Q Insulation
? Oraintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuatim: $
' c%?-' ? ? ?s- 3S,?n
5AC %
SAC Units
Sc
I hereby eertify thnt this ie a t:ue•and correct n preeentition et a tract ot
land as sho+m'and deacribed heraon.• Ae preparad by mn on thia day of
19 67 .
RC v,sQd 3/3/87 ?„??.1 r+oose n ? / .
NuSE ??•X ?.'(? l ?'?`? Hinn. Eea. Ho. 1360b
/ 4 31 2www
?
1987 BQILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IPCLDDE 2 SETS OF PLANS, 3
OF SORQEY, 1 SST OF ENERGY C9LCOLATIOHS
:
BOTE: ADDRESSES FOfl CORNBH LOYS - CONYRACTOR/HOMEOANEE FIOST DESIGHATE iiHICH ADDRESS
IS DESIRID. NO CH9NGES WILL BE ALLOiIED ONCS BIIILDING PERMIT IS ISSQSD.
HOLTIPLE DTdIE[.LINGS - RFSIDENTI9L RENT9I. DPITS FOR SALE OHI?5
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECg iiITH BLDG. DEPT.,
1 SET OF ENERGY CAI,CDLATIONS
GONMERCIAL
INCLUDF 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIF7'.CATIONS 9ND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND'
To Be Used For• r Val E1on•.Date:
Site Address !?-Y ?(
- ? OFFICS OSE oNLx
T
Lot ? Block On Site Sewage_ Oceupancy ?Z 3
MWCC System ? Zoning ?•I
Parcel/Sub On Site Well Type of Const
City Water ? (Aetual) .?L
Owner F? (A1lowable) 'tT
# of Stories
Address 0-1 Length S¢
Depth Q-g
City/Zip Code 3- ?7 S.F. Total
print S.F.
Foot
Phone
Z?j ?
9PPROVAI.S
?
Contractor
Address
? Assessments Permit q"?•
Water/Sewer Surcharge
Police Plan Review 215.
Fire SAC, City IOD.
City/Zip Code Engr SAC, MWCC 72 S.
Planner Water Conn 525.
Phone Council Water Meter (0'7.
? Bldg Off Road Unit 305.
Mch./Engr. APC Treatment P1
Variance Parks
Address Copies
Ly.4, TOTAL 2. -9 P?t cS?
City/Zip
j ?
Phone # ZZ
coo
20 x22 =
q-4?c? x ( 2 - ?5 Zdv
,
7a 4&4--
%
OWNER:
SITE ADDRESS:
, ..
EXTERIOR ENVELOPIi AVf.kAGf "II" I;OMf'11TAT1UtJ
,.3yiv-?
i'nrl :_.. . _1-.30=?7_--------
Pi;nri[-:
CONTRAGTOR: IiCg?fjGr,rl WOrnc?S
Determine workiny square footaqe oF each
l. Total exposed wall area..... -7y-f_--------
2. Total roof/ceiliny area......ft. x__026
Total exposed wall arna abovc flocm=
a. Total wall window area ....................................... ....
b. Total door area .............................................. ....
c. Total sliding ylass door area ................................ ....
d. Total fireplace wall area .................................... .... --
e. Total wall framing area (average 10,,:) ........................ .... ` d•???_
f. 7ota1 rim joist area ......................................... .... /fin
g•axtenet wall area above floor ................................. .... -_? L,?.
h. _ r.JEY wakl area aboue floor...r-r.au]I..??:i?];;......? ....... .....
----
•
?. area a&rve floor...Grc%.2I...>.?r. ?._ ...:......... .....
j. frame wall area 8t POl1TlCk3tlOll.
7ota1 exposed foimclatiun area=
k. Total foundation window area ....................... -
----------
?_
l. Total net foundation area above gr•a<le ..............
Determine "u" value of each wall segmenC
(e.g. window, (loor, each sepnr•aLe wail section)
a. X ?? ? ?,.._ -. ???.-- •-
b. 4H ` K „u„--=-?---
c . q a x ?-
d. ^ X llul.
e. X I??. -?.?-°!8
f. ?F;c7 X liu., ,n(!
9• X 11U,1 4 9, .;37
h. 5I L!. Fi X „u??_ `-/, '_
; . 5 -?, a x „U„
.i .
.°?ig: Ln-
X „u,,
k. X 111J11_.?__.
?
X ??U?_._ { --' /01--2 ---
3 . .................................Tbtzal '_
If item N3 is the same
as, or less than item
N1, yuu have met the
intent of SBC 6006 (C)i
IS:trrior Envelopc Average "U" Computation Paqe 2 of 4
Tobal exposed roof/cc.iling area = loly tzn)
m. Total skyliyht area .............. ........... --
n. Total roof/ceiling fzaming area (avcr.aqc 10?)... ?a<?,,q
o. Total net insulated roof/ceilinq .irca...........
; Determine "U" value for each roof/ceiling segment
M. X "U" _
n. a ..Ull ,OoZ ^_ = 3, 0C7
o. i/03,;:Z X „U„ oa y1.0
4 ........................... Total = a ?.q(n
:f total cf #4 is the seune as, or less t:han N2, you have met the inCent of
SHC 60Q6 ;c) 1.
Alternate Buildinq Envelope Design
To utilize the total envelope systern method, the values established by tlie s:im of
items i13 and 44 shall not be qreater than the sum of items fll and #2. .
1. =s o O , I '7 + 2.
3. ::e7.-?. LE7 + 4.
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. . . ,
.... ? .--------- .. ...._,.....,..
GOLD COPY PERMIT RELEASE FORM
PERMIT l1 ?C_m jG
nnnRrss
?e?
?
PICKED UP BY _?''?" '
G ?- '6z ?7,-? ?-?.-, _ai-
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
?R-1 SINGLE FAMILY
Q R-2 DL'PLEX (1%.o Onits)
? R-3 7UWNIOUSE (Three + Units) ( Onits)
Q R-4 APARZME[JP/CODIDOMINIOM ( Units)
trlease rri t?
1) PROPERTY ADDRESS: o?? ?,«?
LEGAL DESCRIPTION: ,
Lot Block Subdivision or Tax Parcel ID
IE' EXISTING STRCCILTRE, DATE OF ORIGINAL HLILDING pERMIT ISSL'ANCE: '
? (Nbn YearT
PRE'SENr ZONING/PROPOSID C'SE:
Q CONP'1ERCIAL/REfAIL/OFFICE
? INIIJCSTRI}1I,
INSTITL'TIONAL/GOVERNMUV'P
2) ?
NAM:
P,DDRESS:
CITY. STATE. ZIP:
-- PI-IONE:
3) • ?: ?• Du1ME:
ADDRESS:
i CITY. STATE, ZIP:
PHONE:
4) ??r •;.? r„??i??
NAME:
ADDRESS:
CIT1', STATE, ZIP:
PHONE:
N
73l? MASTII2 LICENSE#
*ATE: PAYMEtqr OF FF.6 AT TIME OF
aPrricATzoN DOEs Nom ooNs^riTUTE
APPRCn7AL OF PE[tNSLT.
?sPn?oN oF sEWM Arm/ox MMM
nNSTALLTTOrs wIIa. rxrr sE saHED-
UIM UNPII, PEE2MIT AAS BEQN
APPROVID.
?
Active
Expired
Na+" ? recorded
StaTr Initial
5) ? r• i •?• : a • o? - ??
CONNEC'TION T0 CITY SEWII2 6?80NDIDCfION TO CITY WATER rl OTfER
6) " ' •?" Ea"'PLSASE HOLD APPROVFD PERMIT EY)R PIQC-UP BY ONE OF ABOVE --'- -- '-
? P;ZASE AP ROVID PEf2MZT TO 1, 2, 3. 4. AHOVE :
(Circle one) 7) r ^ u• ' ..' ?-? .?. ? ZS .e ?2
- -?
. FOR CITY USE ONLY
PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ $ /o•S -D SEWER PERMIT (INCLUDE SORCHARGE)
$ $ /64' S 0 WATER PERMIT (INCLUDE SURCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSZDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ U 7J ACCOLNT DEPOSIT - SEWER
$ S /c-j • C1? ACCOIINT DEPOSIT - WATER
$ ? 0'D $ WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ ` $ OTHER:
ToTrw
/ 3 3- 7d c?r? 3 :
RECEIPT RECEZPT #-
DOES OTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
CITY USE ONLY 7e 9I?4
L ? BL ? ? RECEIPT#:
SUBD. J? c? DATE:_'L
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 551::2
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :< _
Floor Drain 3.00 :< _
Gas Piping Outlet ' mintmum - 1 3.00 x =
Rough Openings 1.50 :< _
Water Softener 5.00 x
Private Disposal ' Dakota Cty. lieense 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Tum Around 20.00
STATE SURCHARGE
?OTAL
.50 S o
SITE ADDRESS: ?? 9W'e +fe'vd AOO
OWNER
INSTALLER NAME: &4Gn'3i"??
STREET
A?
CITY: 10???lG
STATE/?/? ZIP: -:33 ?2,g
PHONE #: ( 6/Z 3r?r
- ? ?
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OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. ? all commercial/industrial buildings.
w multi-family buildings when separate permits are pgt required for each dwelling
unit.
^vnTE:
C vivTnr'1CT FrZiCi.::
YJvRK TYPE: hEW CGlJSTRUCTlOti ADC ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER3 TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RE5UL7 IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of RemS fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TC7Ti1L
SITE ADDRESS
TENANT NAME:
OWNER NAME:
INSTALLER: -
ADDRESS: _
cirr
PHONE #:
STE. #
SIGNATURE:
OFFICE USE ONLY
METER SIZE: " DATE:
STATE: ZIP:
APPLICANT
INSPECTOR:
aosE K?y?,o
ENGINEfti1NG CONSUl71N6 EN(31HEfAS
PIAHHE95 nnd LAHD l?llF1VEY0!!S
COMPRNY, (NC.
1000 Gt57 1461h STRFET, BpRHSYILLE, ?IINHES07A 55337 PH 432'3000 i
CerZzj?i cczZe ?Su?Ye c? ?,.,aOal .17e.tcrfp?Zart; /-oT S, 6LOCK Z, FAwN R106E Z/VO ADOlTlaV, ;
' DAKOTA CouNTY, MlNNESOTA
sc
I har.by cnrtify that thia ia a t:ue and correct reprteentation ot a tract of
land as shovn'and deecribed heraan.• Ae prnparad by me ort this Z` 'a&Y at
19 87 . .
3
Rtvl sQ-d 313187 «k"5cd ??sE n^ (? .
Re??sed ?14i?7 Fj,??a
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108682
Date Issued:12/31/2012
Permit Category:ePermit
Site Address: 4494 Oak Pond Rd
Lot:5 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-050
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Mitzi A Dimarco
4494 Oak Pond Rd
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144375
Date Issued:07/24/2017
Permit Category:ePermit
Site Address: 4494 Oak Pond Rd
Lot:5 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Timothy Vonitter
4494 Oak Pond Rd
Eagan MN 55123
(651) 338-8394
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176370
Date Issued:05/13/2022
Permit Category:ePermit
Site Address: 4494 Oak Pond Rd
Lot:5 Block: 2 Addition: Fawn Ridge 2nd
PID:10-25801-02-050
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Timothy & Heather Ann Vonitter
4494 Oak Pond Rd
Eagan MN 55123
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature