4717 Oak Way
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA094278
Date Issued: 06/04/2010
OR Permit Category: ePermit
41 it~ of E3
E
Site Address: 4717 Oak Way
Lot: 003 Block: 002 Addition: Vienna Woods
PID:10-81950-030-02
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: Garage
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: 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.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Capstone Bros Contracting Inc Adam N Bock
216 North River Ridge Cirle 4717 Oak WaN
Burnsville NIN 55337 Eagan NIN 55122
(92)882-8888
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
?CASH RECEIPT ?
y CITY OF EAGAN
3830 PILOT KNOB ROAD
EAOAN. MINNESOTA 55122
19
FROM .'
f? .?` A ir+i O U N T
I
?
a ooLLAws
' oo
? CASH ? CHECK
cow
Thank You
str , r
White-Peyars Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
, EAQAN, MINNESOTA 55122
DATE 19 -
REC EI V ED
FROM
AMOUNT $ I
& D0I,LAR!
7oo
E] CASH [3-6HECK
FOR
. . '? .,_. ? ? . ..
Fl7ND CODE pMOUNT
Thank You
eY ? .
7 14.1-
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMI'T NO.
' ??f C ... ??, n `? . . • .
?% , _.' , .?' •
01-3210 Bldg. Permj
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Cann.
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,
TOTAL
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
. EAGAN, MINNESOTA 55122
OATE 19
. ,/
neeeiveo ?
FROM.
AMOUNT $ I ,
E] CASH F-1
FOR
717 ( GC /G-<
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank Yau ?
CITY OF EAGAN Remarks
Addition p???N-A WOgDc Lot 3 eik 2 Parcel 10 81950 030 02
Owner street 4717 Clak Vy.Rv state Eagan F MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF.?1? Im . 1981
? . 28 10
STREET RESTQR.
GRAQING 587. 7 58.77 10
SAN SEW TRUNK 73 129.78 8.65 15
* SEWER LATERAL •_'r'
*
WATERMAIN
* WATER LATERAL
,t WATER AREA
* STORM SEW TRK
* STORM SEW LAT
CURH & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARIG
? - ? PERMIT # '
. ' • , MECHANICAL PERMIT RECEIPT # Y ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 2? ???
CONTRACT PRICE: $4350. 00 PHONE: 454-8100
Sec/Sub
m IName Metl"0 t51"OS
?s Address 2710 Sal em
? citi St. Louis Park
Name _
c Address
O C'tY -
TYPE OF WORK
Forced Air 65,000 M BTU
Boiler M BTU
Unit Heater M BTU
2 2 Ton
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL:
26.00 II
BLDG. TYPE WORK DESCRIPTION
Res. ? New X
Mult Add-on
Comm. Repair
otner
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)
::F??
FOR: CITY OF EAGAN
, ., .
Site Addr ss '{' // /
Lot ?_ Block
? Name
? Addre
c City _
Name
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
I "
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.40) i
.;a,?.,. .. : ? n•F .Jr x ...
PERMIT q
RECEIPT #
DATE: ?
)R: CITY OF EAGAN
BLDG.TYPE
Res. ?
M ult.
Comm.
Other
WORK DESCRIPTION
New ??
Add-on
Repair
PLBG. ONLY - COMPLETE THE
--.,,ZWater Closet - $3.00
__a?.Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
14Kilchen Sink - $3.00
.11rin,31113ide, - $3.00
Laundry Tray - $3.00
Floor Drains - $1.:50
Water Heater - $1.50
Whiripool - $3.00
=Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.60
Well - $10.00
Private Disp. - $10.00
Rou h Openings - $1 50
TO L
! S-0
G
9 •
FEE: S v
STATE S/C: IS U
GRAND TOTAL: ?, "-Z
REACTIVATE FOR DECK / 3/24/88 CITY OF EAGAN
PL?t!N A'?1' RTVZEWED 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?% ?
AMERIC /631-0450 13145
PHONE 454 8100
? BUILdING PERMIT Receipt # T? ,
;;:rilldGEst.Value
To be used for - $t33, UUO Date JAIVUAiZY 27 ,19 t?7
Site Address 4 717 OAK. SVAY Erect 13 Occupancy 23
VIENN
Lot 3 Block Z Sec/Sub A Yr'OODS Remodel ? Zoning Ri
.
Parcel No. Repair ? Type of Const y
Addition ? Na. Stories
a Name i+UME; ti=0lVSTitUCTIOtV INC Move ? l.ength 50
; Address 320 Bi2UySFiICK P1VE SO Demolish ?
? Depth 48
a
City i-1PLS phone 452-8349 Int Impr.
Instan
O Sq. Ft.
= o Name SAME 8 Z 7- 8171 Approvi
0? Address Assessment _
? Ciry Pnone Water & Sew.
LU W Name
? ?z-y Address
< W Ciry Phone
I hereby acknowledge that I have read
information is correct and agree to ca
Minnesota Statutes and City oi Eagan
Signafure of Perminee , -
A Building Permit is issued to: ...1. "
ali work shall be done in accordance with all
Building Official
Police
Fire
Eng.
Planner
Council
>n and state that the Bld Off.-
applicable State of 9'
APC
Var. Date-
Permit rS 444 . UQ
Surcharge 41 _ S CJ
Plan Review222.? 00
SAC 625.00
Water Conn.52.5? 00
Water Meter _6.7 . 0 0
Road Unit 3 0 5 -$fl
Tr.PI. 130.00
Parks
Copie ? . 5 0
Ti.l.? 1
RUCTiON INC
on the express condition that
State oi Minnesota Slatutes and City of Eagan Ordinances.
.s.r
Pe?mM No. ParmN Holdor Date ToIMhpne k
PlumWnq
H.V.A.C.
Electric
,?' ? ?
Lc . c.?'L?'?y ' . <•?(,? ,;F .
,,04 ?
?'?/f G`C ?
SoMener
Impselion Date linp. Commenb
Footlnys l ?
Foodnqsll
Foundetlon
Framinp
?
RoWiny
I
Rough Plbg.
Rouyh Hty . U - -
Insul. D
Firoplace
FMM Mty.
Flnal Pibp.
Bldq. Flntl ? • ??
CM. Occ.
Deek Fty.
Dock Frmp. 117
WNI
Pr. Dbp.
- r-
I
? • F t
Oler#i#trttte af (Orruvanrg
titp of (eagan
19nurtmrnt uf lIuilbing Jtmprrtinn
This Certificate issued pursuanl to the requirementr of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with tJae various
ordinances of the City regulating building construction or use. For the foUowrng.•
use cbsomaon ? Blag. Pennu rb. 13145
Occuprncy Type Zoniog Disirict '1}'ye Const. v
POST IN A CONSPICUOUS PLACE
Daa:
BuOding Otfcial -
i SEWER SERVICE PERMIT
Road , ? "I f) r
MN 55121 DATE: '
Rl No. oi Units: 1
Hume Const. _
ms; 4717 Oak Wa - L3 T2 Vienr,n [tioods
"'ov :iessia
OpCl
1 - - B?fore l'• icomPlY ?h t??f,P, en s. s. nnr?
REQUIPED
of Insp.:
Date
CITY OF EAGAN Permit No: Date:
3830 Pifot Knab Road Meter No: 3 7 G? 1? 5z Size: i'l"A
P.Q. Bbx 27199 Reader No:C?? Date:
Eagan, MN 35121
'
Owner. ]..:e C,Ot15t.
!/I/ Ua `- 1' aY _, _, V enna ?,;oo s
Site Address:
5'S.U?J 1 . ?• ,1? ,"?
nn. Chg: - ,??,] ?'?
cct Dep: ie ?-
rmit Fee_ " ?Ce v. tCNIC
urcharge: - GAS tC.
r? ?`_ I a tc? with the C of Ea an
? ? 9
. Plant 1 `- ?`? Dri
eter. ?
;.,
? I
isc.: r ' By
WATER SERVICE PERMIT ?
,
i SEWER SERVICE PERMIT
Road
PERMIT NO.: ,... ; ;
g512? 1 DA7 t:
No. of Units:
comPly wKh ft Gty of Faya^
BY
pate of Insp.:
Insp.:
3830 Pilot Knob Road Meter No: _
P.O. Box 21199 Reader Na
Eagan, MN 55121
_ •!._.e ::ortst.
Size:
Date:
Site Address:
Plumber m ess an 777 ng
5:'_ 5. OOp,!
Conn. Chg: Zoning:
Acct Dep: . lup No. of Units:
•.UMP
Permit Fea
Surcharge: ' l F," 1 agree to comply with the CHy of Eagan
Tr. Plant ? FC Ordinancea.
Meter. 67 • CQ d
nn?ce- • 20-00 p 9 n„
Connection Charge: 52S
?`.
Account Deposit: 15. QOp 10. OCn?:?
Permk Fee:
Surcharge:
Misa Charges: 1,D. llnrd °enaltv
Total:
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13145
,
• PHONE: 454-8100
BUILDING PERMIT rteceiptp Z?,S 7
To6eusedlor SF DWG/GAR Est.value $$3,000 pyte JANUARY 27 1987
SiteAddress 4717 OAK WAY Erect 99 Occupancy R3
Loc 3 eiock 2 secisub. VZENNA WOODS Remodel ? zonin9 RI
Parcel No.
mW I Name HUME CONSTRUCTION INC
o Address 320 BRUNSWICK AVE SO
City MPLS Phone 452-8349
o I Name SAME 827-$171
0 a Address
a
City Phone
Repair ? Type of Const y
Addition ? No. Stories
Move ? Length S0
Oemolish ? Depth 48
Int. lmpr. ? Sq. Ft
Install ?
Approvals Fees
Assessment_
Water 8 Sew.
Permit S 444.0(
Surcharge 41 _ 5(
Plan Review222.0 (
SAC 625_0(
Water Con n. 5-95, 0 C
Water Meter6iZ 0 (
Road Unit 305.0(
Tr. PI. 180.0(
Parks
CopiesW 5 ?
r...?r
Police
W W Name Fire
?
? c Address En
9-
z
a W Ciry Phone Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?dg.Off.
information is correct and a ree to comply with all applicable State of
Minnesota Statutes and Ci f Eagan Or in/ay s. APC
Signature of Permitte ?.--??{[ •-+? Var. Date
A Building Permit is issued
all work shall be done in ac
v
Building Official
iUM% tONSTRUCTION INC an the express condition thet
with all applifieple State ot Minrlqsota Statutes and Ciry of Eagan Ordinances.
-e?
This rnquest void
1H month5 /rom C ?816 91 4??
7I/v2 O
-,;e-s/7 o 0
I Req4,est pa,t? '
-? ? Fire No. RouPh-in 7 Inspeclion
amred ?
Ready Nuw ?Will No?ity, Insoer
?or Wh
q
j ?as ?No en
entlY
• .._ _ __ .- _- _ .__ .. . . . .__.
? Licensed Electtical Conunctor I hereEy request insoection ol ebova
? Owner electrical work installed ac:
Svae[ Address, Boa or floute No.
14 j C'
ecuon o. Townsniv ame or o. RanOe No. Cowrty
Occup' nt (Pa HINT) Phone No.
Power Suppliet Atldress
Elect cal Coniractor (Companv Name) . Coatractor's licens No.
Mailin Oess (COntrac=or or Owner Ma ing Instaliation)
X?_ 1
V U
Y 1?{ lb[.J
Aut rjzed $i9nature IConiracmr Ownar MakinB Installationl Ph!j.n.Numbar ^?O
LlL
MINNESOTA STATE BOARD OF ELECTflIGITY I THIS INSPECTION qEQUEST WIIL NOT
Grippe-Midwey Bldp. - Noom N•181 BE ACCEVTED BV TME STATE BOAHD
7821 Univeraltv Ave.. St. Paul. MN 65104 UNLESS PPOPE0. INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION #rk ea-oooai-os
? See instructions for completinp this larm on beek oi yellow copy. 711
4
?= Q ycz q I "X" Below Work Covered by 7his Request
JNwMAAdl NeG.I Tyoe of Builtlinq 1 Aooliunces Wired i EQUiumeM Wired I
p Fes ServiceEnvancaSize q Fee Feeders/Subfeeders k Fee Cimuits
0 to 200 Am s 0 to 30 qm s ? 0 tn 30 Am
ga.
Above 200 qmF? 31 to 100 Amps 31 to 100 Amps
Swinvning Pool Above 100-Am s Above 100_Am s
Transiormer5 Irrigation Booms PartialOther Fee
I L I Signs ISpecial Inspection ?s7 1? l7'?.TOTAL PEE?7 ?J J
Bemnrks ?j i??
the ElecVical I
C?._ ? Inspecbr, hereby
/ /! V ?ertify thet the above
final
Dme ^'?? inapeclion hes been
? lJ ?de.
Tnla reQuest valtl 18
3
• t ?
OV1Gi 1WL
/3/ S
MOST BB LICENSSD iiITH THE CITY OF EAGAN
3ffiGLE F9lIILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DflMLINGS - H&SIDENTIAL RENTAL iffiITS FOR SALfi ONITS
INCLUDE 2 SETS OF PLANS, CEHTIFICATE OF SDRVSY - CHECB iTITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
C0M4lERCIAI:
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOPID
?3, Uo0
To se ose/a For: valuat3on: J'?-nate:
Site Add s?l?Q,q,.( W,jy ? OFFICB USE ONLY
Lot 3 Block 2..
Pareel/Sub r/Mjt/,q/,8 {i1/OOG.S
iVL .
Owner l7 U`?lG LQ'V1712U6/0i1
Address ?Zo ,&Uit,51V/64f /QI/F, ?-'
City/Zip Code
Phone
Contraetor gUmo!?-
Address ,,?-ZOO aLOpiY!1,V67a? /QI/? .
City/Zip Code ??LS• ?/?? s??? ?
Phone 8(-] I
Mch./Engr. kcV?? ??f kVrAG-
Address 'r>2019 pi,?lj?'1(1?JCGZ'OtJ A1?
City/Zip Code ypL& -W/J • 9S-4 11
Phone # 92w]- ?(-71
Erect v Occupancy ?.3
Remodel _ Zoning (Z•I
Repair _ Type of Const SG
Addition # of Stories
_
Move Length 50
_
Demolish _ Depth 49
Int.Impr. Sq Ft
Install
6PPROVAI.S FEBS
Assessments Permit
Water/Sewer Surcharge 4 ?,so
Police Plan Review
Fire SAC L,ZS•
Engr Water Conn S ZE_
Planner Water Meter
Couneil Road Unit
Bldg Off Treatment Pl l30-
APC Parks
Varianee Copies _
SOTAL
AOTE: ADDRESSSS FOR CORNfiB LOTS - CONTRACTOR/HOlIEOiiNEH MUST DESIG89TE AHICH ADDRESS
IS DESIRSD. NO CH9NGES WILL BS ALLOTiED ONCE BIIILDING PERMIT IS ISSQED.
l 2 x 2 z- ' Z? 4- x S8 =
Z4 X?O = ?8o x I z =
c?r -7'? z
1?3?2
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oZ7o¢-
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'k7NO1NEERINO IlMinneapoli;MmnuwlabbY.fd ,
SouthOffice 89P8510,` ` .
Ciuil & Mwieipaf Enginaeiing 6 SoY T¢?ting ? Lond SurusyinH 0 ???P?M^II 1101 ClIfI Roed
, . Bu(nsville,? Mlnnesote? 66337..;'
Mortgage Loan Survey, for ?4unti? 64;QGT?ZX.TIOt`1
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his is a true aed?correct representation of a survey of ?the-boundaries of'the'land above?"?described-?and'of the,
tion of all 6uildings, if any, thereon,'and all visible en5roacbments,'?if,any, from or on ?said land. Thisisurvey'is.;?
e ooly in connacJion?witho mortgage'loan now'being placed?on?ehe';property andno?lia6ility(irassumed..,
>pt to the holder'-of such mortgage?or any other inTeresf acquired?by.the renson of?such?mortgage.?''It is'? ..,
.....,..a n..a n..rend no. m..n,,ments hnvr been ulaced for the uurpose oF.eseablishinq lot lines or boundary
?, JI i f
rxa•Lr?ior? Ej%1vL1o?>e r,vErAGE. "u" CortiPUTHTIOr:
7 - --•
1 E ti{ i
-
:E ADll:?£SS
?Tf2ACTOR DAT£ z-r,?"??PljONE
term:ne uor7cing square footage cf each_
'i'otal exposed wa11 area sq. ft. x
'1'otal roof/ceiling area ?sc
lOrdl i1COr,/CdnL. arEa . . Sq
_L1• ±-
11
-
ft. x .02b
--- -:?? ? ?
-- ? ? -
ft. x .05 =
Total Ex?)osec? 1•;a12 Area T.bove iloor
a_ Total uail w ;r,cou area _ . . _ . . - • ' --
b- Toz al Dccr area _ . . _ . . _ . . • • - ---- -- 21
?s? ----
c_ motal sl:dir.c cla s? door area ------
d_ !otal iireplace ..-all zrca . . . - - • - --- ----
e. Tot ai %,,ail fra?;:-Irc area (average 10-,;)
-?1_?----
r_ mctal net wal 11 area a:Dov2 f loor
0. lOt-c1 f1m jO1Si, aLGc . . . . _ . _ .
? ?
TGtci E?;pOScC : OL'P...^.c.C1Cn C'c
-
---??"' ?-----
}?_ 1Gtc7 fOL'nCct10: t.'l;ldOw Lrtr''(:
.LOLal ;1'._'t LGi:'''.Cdt1GI1 diE' d dIJOVL' C]=aCJe • _ ??}/??___
'_teL";:tlnL' "U" Vd1LG Oi edCh ti'211 segment_
,c • `
L x ?? U " --=-"`z?--
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b.
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c u
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d . ? X
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x " U "
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7
'i'otai Er.posed i,oo1. /Cei?in<3 Rre,3 ----? J'?1?----
'1'o::al s}:yiigh'L area . . _ . _ . _ . _ .
1'otal flat rooi/ceiling framin9 area :?;•,?.
Total net insited flat roof/ceiling area
Total vauit roofJceiling framing area-10%
Total net inslted vault rcof/ceiling area
ne "U" value ior each roof/ceiling segment.
7 - X „ U ?, ._.. _
x ., U. ------ ? --- _
----
1 x ., U.,
---'-? .-rs? _? -- ---- ' d?----
m x „ U
n ----?------- x .?U,? ----------- ^
?----
_L???=? ----
-
---
TO T 71 . L ---
?--- y/, 9-? ---?
11 ;:5 is tne same as, or less thar itein r'2, you have met the
of SHC 6006 (c) 1:
i'oLal r>:posed I'ioor/Cant_ kreas
'i'o?a 3 iloo./cant_ frar.iing arez {avrc_ 10%)
Toz?al net insLlated loor/cant. arta
ine "ii" value ior each floor/cant_ secment.
o >:
--- ?? ll,? . D lo
--
?
p
- { ? ` ` -- --- ' ?-?- - -- f' ?-y?----
Tci;: r,
ai o= -6 is tne same as, or less than ;3, you have met the
Oi SBC p006 (C) J_
1;LTERE BUIi,D'ItiG ENVELOPE D£SIGI`
lize tne total er.velope sys:em method, the values established
sum of items 1.9, n5 and n6 shali not be greater than the sum
MS 71! 1:2. IIJid jJ_
?? ''? • ' i? - t
?
:? •
Tc ta1:;xposed Pia 11 A: .-a Abovc I'1 oor ----? I
a_ '1'o*al wa21 uindo?., area
b_ Total door area - - • - - - • - - - - . .
C. Total slid ing glass docr area
a. ToLal fize place ual' area
e_ Total wall framing area {avrg_ 10010) .. .
Total net i-iall area above fioor _ ?
22?
g. Totai rim joisL area • - • • • - - - - - --L
-
Total Exposed Foundation Area
i'o?al Foundation lvtindo%4 Area
!btal Net coundation ;,rea 1:bove Grade
?inine "U" value oi eacl, ?.?all s.egrrent.
? - -
-- ??
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U ?? f
,? ?
-
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---
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1988 BUZLDING PERMIT - CITY OF EAGAN
APPLIC
? ?
SINGLE FAMILY DWELLINGS ..
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COANER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS
ll OF UNITS
INCLUDE 2 SETS. OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.;-
- 1 SET OF ENERGY CALCULATIONS
CO[•AERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY'CALCULATIONS
To Be Used For: Valuation: ?_a?? Date: 3?/ U?
Site Address ???? Q1q? (?}fQ
Lot 15 Block ?--
Parcel/Sub lJ ?wns-? Lje-T?
Owner 6?c???? ?7l t??5
Address
City/Zip Code u6Ga0 P'
Phone ? ,7a (o G04
Contractor
Address
City/Zip Code K05£.?I 1/4, / klIJ, '-Q917
Phone n 3? ?n'7? b
Arch./Engr.
Address
City/Zip Code
jCJOO
On site sewage
M4ICC, system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
Engr-/Assess
Planner
Council
Bldg. Off.
Variance
Occupancy
Zoning
Actual Const
Allowable
lF of stories
Length_ .
Depth
S.F. Total
Footprint S.F.
FEES
Permit ?
Sureharge
Plan Review
4?ZZ SAC, City
SACp MWCC
Water Conn ..
Water Meter
Road Unit
Treatment P1
Parks
Copies /
TOTAL
Phone ll
CITY OF EAGAN
APPLICA710N FOR PERMIT
SEWER ANDlOR WATER CONNECTION
DUrPK: PAYMFTIr OF FFE AT TSME OF
APPLICAMON DOES NOr CONSTITM
APPROVAL OF PERb1IT.
?
ixsrnczzoN oF SEM= nrro/OR WAM ?
TN4`PATT.ATTONS WIIS. NdP SE SCZIm- '
vLm UN'rM PERNIIT HAS aM ;
APPROVID. >
x,.xxxxx,.xxx,.x,.x,.x,.xx,.?x?f????==xxxx
P ease Print
1) PROPERTY ADORESS: ???" (/(Jj?Y L?7?? •.
LEGAL DESCRIPTION: ? Z 111F'NjV4 /^/?PS -
%.,uciaiocx/ouDalviszon or TaX Parcel ID #)
IF E7QSTING S'IRL'G'i[IRE, DATE OF ORIGINAL BL?ILDING.Pf12MIT ISSL'ANC'.E: 11,17/ ?
PRFSENf ZpNING/pROPOSID L'SE:
Q COIMRCZAL/REI'AIL/OFFICE
Q IAIDL'STRZAL
C] INSTI'IL'TIONALjGZvERNMENT
SINGLE FAMILY
f-I R-2 DL'PLEX (Zt,.o Onits)
0 R-3 TqWNiO0SE (Three + Units) ( Units)
C] R-4 APART=/CONDOMINIUNI ( t7nits)
2) ?
NAM:
ADDRESS:
CZTY, STATE, ZIP:
PHQNE:
3) u
rAME:
' ADDRES$:
i CIT1', STATE, 22P:
PHONE:
.'q.ne?G? ' / u &--17. `2W?!II
MASTER LICE[VVSE#
SNG,
rlwiwers L1CEIlSE:
ACt].V2
Expired
Not recorded
Sta Ir11t1a1
4) ??• • • ? i?•
nAev]E: GE?-? -? 0l An3? FHrL?N?S
_ AwDxFSS:- ?J17 044-r 6.v"f`7
CITY, STATE, ZIP: ?i9?/? '?/!//.?. .?-/Z Z
PHONE: _ '02? ? ` ? ZGI .
a• ?J.A• : a • a? - a?
CONNECfION T0 CITY SEWII2 ?j CONNE(,TION TO CZTY WATII2 Q pTf-II12 '
6) ? •' • i? PLEASE HOLD APPRpVFD PERMIT Et?R PICK-UP BY O[? OF ABC7VE
WPLEASE MAIL APPROVID PERMIT TC) 1, 2, 3, 4, ABOVE
(Circle one) ??
7) 13?//?'??
? .-. - - / . ?:TGS7+?
?
FOR CITY USE ONLY
PERMIT # ISSUED
Y, S-z/S
Pd w/Bldg. Permit FEES:
$ $ /fJ'S-Z)
$ $ /e) • ?J
,
$ $
$ $
$ $
$ $
$ $ / ?• ? ?
$ a?ZS $
$ /0 Z S ? O Z? $
$ $
$ $
$ $
$ $
$ iko . o o $
$ $
s 13 77,61-b $
?l-av
?< 2 s 7 7/4( Vf?
RECEIPT RECEIPT
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLODE SL'RCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLLiDE CORPORATION STOP)
SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCOLNT DEPOSIT - WATER
WAC
SAC
TRLNK WATER ASSESSMENT
TRDNK SEWER ASSESSMENT
LATERAL BENEFIT/TRCNK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER :
TOTAL ? 5 Y S-
DOES UTILITY CONNECTION REQCIRE EXCAVATION IN P(JBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSL'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWI[QG CbND2TI0N5:
APPROVED BY:
TITLE:
DATE:
,
leoggo RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeUReoair Reauirements Office Use Onlv
3 registe2d site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copias of plan CaA of Survey Recd
(200h maximum lot coverege aliowed) 1 set of Energy Calculations for heated atldifions Tree Pres Plan Recd
2 copies ot plan showing beam & window sizes; poured found design, etc. 1 site survey for addifions & decks Tree Pres Not Reqd
1 set of Enetgy Calculations Atlditi0n - indicetC ilOnsde septic syStem _ On-SitC Sep6c System
3 copies ot Tree Pmservation Plan if lot platted after 711/93
Rim Joist Detail OpGons selecfion sheet (bldgs wBh 3 or less units
Date C/ / 6ZI / (5 3 ConstructionCost lla?acr)`
Site Address ?01 2 ?? CI UniUSte #
Descriptian of Work fh 5 1 d 4L- .S' (ili o C- f I/in )'If F-i ]^ laC YG! CJQ.S
Lt
/ Tft h
6F,Y
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ? 1
?
2
Property Owner 44 ('i VyI ? C7 L' k Telephone # (657)
- ?
Contractor
aaaress 3?S??f1J, ?{/AJ?? /3 cny ? crr
h
??r?' p.
State Zip p
?
Telephone#(?
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateaorv 1
• Residential Ventilation Category.1 Worksheet
(4 submissiontype) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
Telephone # (
Mechanical Contractor Fr2 SII(? /? ?G?i"/ ? 't-/rf?1?1 e Telephone # ?'S? )
Sewer/Water Contractor
41epp °l e? 4
I hereby apply for a Residential Building Permit and acknowledgdat the informarion is'complete and accurate;
that the work will be in conformance with the ordinances and co??s=of Yh?-City of'?gan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
&///?? C? AC)cSA/,
A4"?
ApplicanYs Printed Name Applicant's Signatur
?
Sub Types
OFFICE USE ONLY
? 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 EM. 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 (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)* ? 43 Remof ? 46 Windows/Doors
? 34 RepleCement 'Demolkion (Entire Bldg) - 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
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ 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
City SAC
Utility Connection Charge
5&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
'?-OtOz
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmdion Reauiremenls
RemodeVReoair Reauiremenis ._._...
0'e_e Oplv
3 registered site surveys showing sq. tl. of lot, sq. R. of hause; and all roofed areas 2 copies of plan Cea# otSuney:ftecd ._ Y?M1I
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heafed additions Ttee PtesPlan Recd _Y _M
2 copies of plan shaxing beam & windav sizes; poured Pound desgn, etc. 1 site survey for additions & decks Tfe€ Pfes F?eqyu?r,[ ,,,; Y T N
isetofEnergyCalculations Addition - indicate'rfonsitesepticsysfem Dn-siteSepBeSysiem _.Y.....,N:
3 copies ol Tree Preservation Plan if lot platted aRer 7/1193
Rim Joist Detail Options selection sheet (buiicings with 3 or less units)
Date 0'?- I 3 I')o G Construction Cost
Site Address Q Unit/Ste #
tt
Description of Wo
Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1_ 2
Property Owner C Telephone # (fl? ?? P3 7, G
?--vi C.
Contractor CL u
Addre 2 r City
State ?? Zip Telephone #(?S4 ?n /• 5? uC/
? . ?
COMPLETE THIS AREA ONLY IF C
Energy Code Category - MiIltlesota Rules 7670 Cateeon
(J su6mission type) • Residential Ventilation Category
Submitted
. Energy Envelope Cakulations S
In the last 12 months, has ihe City of Eagan issued a permit for sic
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
based on a rpaster plan6
Telephone #[
Telephone #( )
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accwate;
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
hat the work will be in accordance with the ap p an i he case w which requires a review and
appro of plans. ?1 ??"? (? -
A NEW BUILDING
I?
I( New Energy Cade Worksheet
? Submitted
? ? 2005 i
OFFICE USE ONLY
Sub Types
? 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 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4sea_) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
O 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior O 44 Siding
? 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 RePlaCemOnt •Uemoli[ion (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 1009'0 or 25%
Census Cade Zaning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_ Footings(new hldg) FinaUC.O.
_ FooUngs(deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundalion HVAC
_ Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. AirTest Final Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
Use BLUE or BLACK Ink
~ For Qffi~ 1
by Ol Eaja 1 I
Permit*
C I
~ Lily n Imo/
I I
Permit Fee:
3830 Pilot Knob Road l
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 i ~ o I
Fax: (651) 675-5694 I Staff- - - - -
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: -7 7t 7 OQ lC wqy
Tenant: Suite
RESIDENT / OWNER Name: atq N1 ~GI'~'~! Phone: (c/," 730" C3 y7
Address /City/ Zip: l OCA W a
CONTRACTOR Name: ~ 121"fryILicense#: ~YoS~P~r
Address: ✓~`Y d'a7i dI f'S~ / St City: SG?~~e e
State: 1-1/4) zip: T~S 3 ? ~ Phone:
Contact. vrSc)." Email:
TYPE OF WORK _New _K- Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / r PVB) Main - Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45440002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and worts is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Z~~~Ke 3~hnsavl X
Applicant's Printed Na Applicants Signature
FOR OFFICE USE Reviewed By. Date:
Required Inspections: Under Ground -Rough-in Air Test rGas Test rFinal
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118631
Date Issued:11/05/2013
Permit Category:ePermit
Site Address: 4717 Oak Way
Lot:003 Block: 002 Addition: Vienna Woods
PID:10-81950-02-030
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 .
Kurt Jusczak
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 -
Adam N Bock
4717 Oak Way
Eagan MN 55122
(612) 237-0616
Capstone Bros Contracting Inc
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882-8888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121072
Date Issued:03/12/2014
Permit Category:ePermit
Site Address: 4717 Oak Way
Lot:003 Block: 002 Addition: Vienna Woods
PID:10-81950-02-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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: 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 -
Adam N Bock
4717 Oak Way
Eagan MN 55122
Capstone Bros Contracting Inc
216 North River Ridge Cirle
Burnsville MN 55337
(952) 882-8888
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149626
Date Issued:05/31/2018
Permit Category:ePermit
Site Address: 4717 Oak Way
Lot:003 Block: 002 Addition: Vienna Woods
PID:10-81950-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Adam N Bock
4717 Oak Way
Eagan MN 55122
Royal Plumbing
23310 Canby Ave
Faribault MN 55021
(507) 202-1969
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA151788
Date Issued:09/12/2018
Permit Category:ePermit
Site Address: 4717 Oak Way
Lot:003 Block: 002 Addition: Vienna Woods
PID:10-81950-02-030
Use:
Description:
Sub Type:Residential
Work Type:Underground Sprinkler System
Description:PVB
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - RPZ/PVB/Lawn Irrigation $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 -
Adam N Bock
4717 Oak Way
Eagan MN 55122
(612) 730-6347
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166368
Date Issued:01/05/2021
Permit Category:ePermit
Site Address: 4717 Oak Way
Lot:003 Block: 002 Addition: Vienna Woods
PID:10-81950-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Adam N Bock
4717 Oak Way
Eagan MN 55122
(612) 730-6347
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature