4320 Orion LaneCITY OF EAGAN
.2795 Pilot Knob Road
Eagan, MN $5124
Zoning:
Owner: ,
Address:
Site Address: .? ,--.,?---
Plumber: '?
I ogroe to eomply witfi the City of Eugan
Ordinanees.
BV -
Date of Insp.:
I nsp..
? Pilot Knob Rood
n, MN 35122
euder No.: _
cgree to eomplp wiHh Nhe City of Eagae
of Insp.:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Connettion Charge:
Account Deposit:
Permit Fee: , .
Surcharge: .
Misc. Chorges:
TOtOI:
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Connection Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Totol:
Dote Poid:
._.- -...,? crnr oF EAG?N -
' 379S Pilef Kaob Rood Eogas, MN 85122 N2 5002
' PHONE: 454-8100
• BUILDING PERMIT ReceiPr .# __-
7 s•.
To be aed for Est, Value Date ? 19
,
Site Address Erecf Occupancy
Lot Block Sec/Sub. Alter ? Zoning ?
-?
Porcel #, Repair ? Fire Zone `r
Enlarge ? Type of Const. '
W Name ' Move ? # Stories
? q??? Demolish ? Front
-I-. ?j e?--- 4"4-001 Grade ? Depth ft.
c' Name
0
u? ??
r- r-:..,
Nama _
Address
Assessment _
Woter & Sew.
? Poliu
Fire
Eng.
Planner
Council
ond stote that gldg. Off. _
,afl^applicable APC _
Permif
.?
Surcharge
Plan check
SAC
Water Conn.
Water Meter
I hereby acknowledge thot I have read ihis
the informotion is correct und ogree to c
State of Minnesota Statutes and City of
Signoture of Permittee " -,
A Building Permit is issued to:
all work shall be done in acco
Building Offitial
.
. 'r
Total ',; ti;, -
on the express condition thnt
of Minnesota Stotutes and City of Eagan Ordinances.
PawM # Dab laued
Plumbin9 I i- s f ?-t 3 - U 1.
Mechanical / f- 7
ku-bi
INSPECTIONS DATE INSP.
Rough-In
Find
Footings ? Date Irap. Dote Insp.
Foundotion Plumbing - -
Frome/ iru. Mechonica I
Final ?
/ - o?! 7 ???? ?
Remorks:
?, - !Jj - ?
O ? ,/J? ?? Q?r,r• ?ut•?.?v
? ?
. CITY OF EAGAN
, 3795 Pilot Knob Road
Eagan, Minnesota 55122
• Phone: 454-8100
1•??'? x PERMIT
U-l4-78
Date:
Site Address: 4 324 fh-ian Iw-n
2 F T 2.
Lot Block Sub/Sec. _.?
Name R. C. W1tt CaMtru...-ti037 Cb.
W. Cb. Tk3. (7
c Address
3
0
City Phone:
Na Skbllraeltl F!bci.
.
? Address '?9l1 6411.be ?"?x' ' ?.1p711x.
0
Ciry ? Phone:
This Permit is issued on the express tondition that all work sholl be
Minnesota Statutes and City of Eagan Ordinances.
Caw"raQQ m ta!V
No.
1346
1'-' 37 4
Receipt No.:
Single I
Residentiol X
Multi Res., Comm./Ind. I
New/Alter./Repoir.
Cost of Installotion
20.00
Permit Fee
• 5n
Surchorge
Toto I
done in occordonce with all opplico6le Stote of
Building Officiol
CITY OF EAGAN
3795 Pilot Knob Road
Eoyon, Minnesote 55122
Plwne: 454-8100
J7iUMDx' PERMIT
Dote: 11-13-76
Site Address:
Lot
4 320 Crirn Lane
Block Z 5ub/Sec.
WP 2
R. C. Wj.tt 03nSt. OD.
Name
W. Cr 11d. C.
e° Address
?
City St. ''aul Phone: 4"V, _r:f 'll
Nome ViZlaae P1t1mfiiTxT & Ilentirtcr
.
Address 203r0 St.
g
e
Ciry Phone:
This Permit is issued on the express condition thot all work shall be
Minnesota Statutes and City of Eagan Ordinances.
No.
U6$
Receipt No.:
Single I
Residential X
Multi Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
20.04
Permit Fee
Surc}wrge
5
?!? . ?,n
Total
done in occordnnce with oll applicable State of
Building Official
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
19
RtCtlVtO
FROM
AMOUNT $ I
DOLLARS
1 oo
E] CASH E] CHECK
FOR
r\Thank You
1?y BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition WILDERNESS PARK 2Nf1 annrTTC1N Lot 9 Bik ? Parcel 10 84251 09n 02
Owner street 4320 Orion Lane State Eagan, MN• 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 15 ..4. 11 20 84.82 A009655 11-13-80
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 1979 631.00 63.10 10 441.70 A009655 11-13-80
STORM SEW TRK 1979
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit Ch . 75.00 11938 10-2-78
WATERCQNN. 250.00 11938 10-2-75
BUILDING PER. #S OZ
SAC 11938 1 -2-7$
PARK
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
;,10 oFi I otv r AtwF Nfak 1:??N Fre7or lw6
t s I i 1I1 i'_'Mt 'j5., NAf3k ,"Nl.i HEl@-- 3<10N
PERMIT SUBTYPE: TYPE OF WORK:
, ; PniR
4 Kttt)F IN?)
Pertntt No. I Parmit Holder I Dste I Telophone #
ELECTRIC
PLUMBING
HVAC
In4pectlon
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
85MT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Minnesota State Board of Electricity
;,F,94 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOftK COVERED BY TH[S REQUEST
P 71717
Type ot Budding New Add. Rep. Ch¢¢k pppliances Wved For Check Fquipment Wired Foi
Home ? ? Range ? Tempoiary Wiring ?
Duplex ? ? ? Watei Heater ? Lighting Fixtures ?
ApL Bldg. ? ? ? Dryet ? Elec[tic Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? ? Air Conditionei ? Bulk M0k Tank ?
Farm ? ? ? L
ist List )
Othec
?
?
? p
Heh }
Hehe13l
COMPUTE INSPECTION FEE BEL
Sewice Enhance Size: # Fee F ers& t ee Cucuits: # Fee
0 to 100 Am s. 0 to 30 Am res 0 to 30 Am eres
10 1 to 200 Am s. Oa 31 to 100 Amperes 31 to 100 Am eres
Above 200 Amps. Above 100 Amps. Above 100 Am s.
Tronsfotmers RemoteControlCicc. Paz[ialototherfee
Signs S ciallnspection Minimum fee
Remarks TOTAL ECi/,o .Od
(Final) _
This request
cirr oF E?cnN
9793 Pilat Kneb ReadEogsn, MN 55122 N° 5102
? PHONFt 4548700
dBUILDING PERMIT APPLICATION Receipt # ? -
Te 6e used for SF Dwlg. Est. Volue 45,000. pate 10=2 19 78
5ire Address 4320 Orion Lane Ered f2f Occuvonry 1
Lot 9 Block 2 Sec/Sub. WP Z Alter ? Zontng R1
Parcel # Repoir ? Fire Zone 3
R. C. Witt COnst. CO. Enlarge ? Type of Const. V
rc Name Move ? # Stories
z Address 80 W. Co. Rd. C 65 n.
Demolish ? Front _
Ci St. Paul phone 484-0601 Grade ? Depth 31 k.
Same Approvola _ Feee
o Name
i?r
Addre
Nome
1 hereby acknowled9e that I have read this
the informetion is correct ond agree ro c
Stote of Minnesota SMtutpepnd City of ,
Signoture of PermitFer
A Building Permit i w
nll work shnll be one in
ation and state that
with all applicoble
of
Assessment _
Woter & Sew.
Police -
Fire
Eng.
Planner -
Cauncil -
Bldg. Off. _
APG
Permit `°O."v.
Surcharge 22.50
Plan check
Snc 500.00
Wafer Conn.250.00
WaterMerer 60.00
:oad Unit 75.00
7oral 1,035.50
v v on the expreu wndition thut
and City of Eogan Ordirances.
Buildirg Official
m4.request void 18 months from
/a <? /?p
Date of t ' Request_ / '1. / -7 ' 125Z r 71717
I, as icensed Electrical ontract r? Owner, do hereby request inspection of the above electri-
cal wiring installed at: L? ?? ?? P)-
Street Address or Route No. ?-3 Z S%City'2?-F'J1cJ
Section Township
Which is occupied by
ls a roughin inspection required on this job? No ?
Range County
Yes CD-' Ready Now O'?' Will Call ?
Power Supplier // -./,) -rA F, .Q' C.- Address -A A"/
? - ?3?? g3
Electrical Contractor??'?0/h?i 57) A'? Contractor's License No._
(COmpany Name/) ?
MailingAddress?.3 S 1?,QM.0 < R.. 5,= f.t7
Authorized
qr
No.
(????? ????? ???? This inspection request will not be aceepted 6y the
?? 0 State Board unless proper inspection fee is enclosed.
PERMITq 45 3M9
RECEIPT DATE: S" I? -o I
U.SID£1VT1AL PLUM$INf PERMiT APPLICAT10N
crrYoFEAsM
3$30 PILOT KNOB RD
fr4HAN, MN 551 EE
651-6$1-4675
Please complete for: > single family dwellings
i townhomes and condo, when permits are required for each unit
? backflow pre.enter for irrigation system
SITEADDRESS: -/3_2(-' ?/'i-U/,7
OWNER NAME:,5-e-?? TELEPHONE #: OS?
(AREA CODE)
INSTALLER NAME:?2"te-/I/I?US .?yr?CLELEPHONE #:
STREETADDRESS: (AREACODE)
CITY: oi' ' STATE:
Place a check mark next to the aermit work tvue
ziP: 5-s .3 3/
New re;idential dweHiny unii under construction and not owneNoccupied $ 90.00
? Add-on, modification or alteration to exlstinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system '
• waterturnaround -'
Natureofwork:`-??????? ?e-°? ??-??' ?ie°-?C?
' Septic System, new(refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge 50
Total
I? MAY 16 20 ?
]1 •_s`°
Reminder: Be sure to schedule inspections of alterations, i.e. water 1?aters, water softeners; etc.
I hereby acknowledge Uial I have read this application, slate that the information is correct, and agree to comply wilh all applicable City of Eagan ordinances. It
is the applicanPS responsibility to nolify the property owner that the Cityof Eagan assumes6ility for any damages caused by the Citydurinq its normal
operalional and maintenance activities lo the facililies constructed under this permit w' n C property/right-of-way/ea ent.
SIGNATUR PERMITTEE
Updated 1l01
tp / CITY USE ONLY
PERMIT #: qSo(Z 9(
p RECEIPT DATE:
_ TELEPHONE #: 95Q "/,31- 70°R
(AREA CODE)
RESIDENTii4L MECEAeNICAL PEMIT APPLICATION
crrY oF EnsJU
S$SO PILOT KNOB RD
fAfiAA MA 55122
651-681-4675
Please complete for: ^r single family dwellings
townhomes and condos when permits are required for each
Date: 0S1 ) 0 / C 1
SITE ADDRESS: N3,9U Orl D h La.n e?
OWNERNAME: S"te-Ve _Trr)qru.nd TELEPHONE#: (aSf N5J1- 3809
(AREA CODE)
INSTALLER NAME: _ Wohlers Southside Htg & A/C, Inc.
6950 West 146th Street, Suite 106
STREET ADDRESS: _ Apple Valley, MN 55124
CITY:
Place a check mark next to the oermit work tvoe
ZIP:
_ New residential dwelling unit under constructionand not owner/occupied ? 70.00
? Add-on, modification or alteration to existin dwelling unit s 50.00
• furnace replacement
• air exchanger
• air conditioner ?
• other
Natureofwork: J'eplGi.Cc.,° tLCYnCiI'e. '.YP,D1QCP_ a.i P[nvidihO V
State Surchar e $ 50
L
Total
O
$ 50.
Rwriinder: Call for inspectiais.
Aat,v? K- ll1OGL.2U42--
SIGNATURE OF PERMITTEE
-D
Updated 1 01
CITY USE ONLY
PERMIT #:
APPROVED BY:
RECEIPT DATE:
INSPECTOR
COMMEiCULl. MECElkNlCAl. PERM1T APPL1CAT10N
CTCY oF KAsAN
3$30 PILOT KNOB fiD
EAsM,M1v 55122
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OVJl\TER 'NTAME: PHONE #: -
(.4REA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TEri'ANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY":
WORK TYPE:
A'ew construction Instal] L.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify h'ature of Work
WGen instal[ing/removing underground tank, call 651-681-4675 for ii:spectioi: 6y Fire Marshnl anrl
P[umbii:g Iinspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Conhactprice: $ xl%=$ (BaseFee)
State surcharge calculate at $.50 for each S 1,000 Base Fee
TOTAL
SIGNATURE OF PERMITTEE
PHONE#: -
(AREA CODE)
STATE:
ZIP:
lipdated 1/01
. •' , s _.
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84251-090-02
PERMIT
4320 ORSON LANE
LOT: 9 BLOCKs 2
WILDERNESS pARK 2ND
PERMITTYPE: auxLozNG
Permit Number: 028912
Date Issued: 0 9/ 2 5/ 9 6
DESCRIPTION:
(ROOFING)
Bea'ilding'?.P?ermit Type
guild'ing Wfsr,k Type
;°Census Cdde 'i
?_ , ?.
';4
". t fl x •
SF (MISC.) REPAIR
434 AL7. RESIDENTIAL
t
5 !}j :k11
;ff
KS
FEE SUMMARY:
VALUATION
Base Fee
Surcharge.
7ota1 Fee
$87.25
$2.00
$89.25
$4,000
CONTRACTOR: - Applicant - sT. I.zc. OWNER:
HORIZON ROOFING 18903900 20012795 SMGRUND STEVE
1333 LARC INDUSTRIAL BLVD 4320 ORION LN
BURNSVIILE MN 55337 EAGAN MN 55123
(612) 890-3900 (612)454-3809
I hereby ecknowledge tliat 2`have reed tMi•s a,pplioati,an.and state that the
information is correct and agret$ to comply uith a11 appl.ieable State of Mn.
9tatutss and .
City of Eagari Ord3nanc'es.°
APPLICANT/PERMITEE SIGNATURE
N n ku?`.rLI m.?1-
'ISSU_DB :SI ATU?-?
j . ?? • f'-?
yN„ti(Yk)$:R%U;OF:1?:1
C7.7Y Oc '-61(aAj-0
C6;SHT.ERC y TF.i;i•§:i:NA... n!Je 72
LA'f[:c 09/25/96 7:Lid::2 15,;36a08
iD .
n!FlME;; I-IOIiII:I)t! E:XT'c`G'.:CJI1S I_.L_f.:
3210 9001 4320 C?R'.i:0N I...ANF' Ei'i oii?.`i
205 9001 4320 fJ6':I:pN L.C:TlI_. 2101.)
":ntal. P?t=crrip+, Am;.:runte (3`.3,.i'r25
CRt764 £?`.16
USEli :I:CI: P!ANI:Y
:?)„?x nMA::S,W<:'FYF?'Xt;M1?'Y?:??:YX%kXS?'MM%k?(?:iKik'Mk;??F>k?F:kYF?'r.Yf.)KW
GITY OF EAGAN
4-69/1 3830 PILOT KNOB RD - 55722
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
RemodeVRepair Reauirements
? 9 repistered eite aurveys
? 2 copies oi plans (indude beam d window saes; poured fid. design; etc.)
? t energy calalallona .
? 3 copies of tree preservation plan H loi platted after 717/93
requGed: _ Yes _ No
/
? 2 copies of plan
? 2 sde surveys (exterior edtli[ions 8 dedcs)
? 7 energy celculatlons for heated additions
DATE: 92!(??9 ?0 CONSTR
DESCRIPTION OF WORK: ? `e G 'J ?
? q.??S
COST:
STREET ADDRESS: ?0)y/?'? ZGfu? V
LOT Q BLOCK ? SUBD./P.I.D. #: W)'MML 1A• )nk
PROPERTY Name: 34o - 0/ Phone #: `lJ -3 g 0 ?
OWNER ""
StreetAddress, y??? ??/(W Ca/LL
City: State: 7?4J Zip. 5 S/`? 3
CONTRACTOR Company: /7/V/2CV7 ?l ?07"ir?q Phone #:
Street Address: A?33 ?/??C l?d• ?VL cense #•
Ciry: State: 7,e? Zip• SS33 Z
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #-
S:raet P.dd,sss• -
City: State: Zip•
Sewer 8 water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read Mis application and state that the information is correct and agree to comply with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OPFICE USE ONLY
Certificates of Survey Received
_ Yes
No
Tree Preservation Pian Received Yes No
BUILDING PERMIT TYPE
OFFICE USE ONLY
*P*1
.?
a 01 Foundation o 06 Duplex a 11 Apt./Lodging o 16 Basement Finish
0 02 SF Dwelting ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex a 14 Fireplace o 21 Miscellaneous
n 05 SF Misc. 0 10 _ ptex o 15 Deck
WORK TYPE
0 31 New a 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const (Actuat)
(ABowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Pianning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
8uilding
Engineering
AlIC/W3 System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
iWater Conn.
Water Meter
Acct. Deposit
SAN Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Traits Ded.
Other
Copies
Total:
Valuation: $
°k SAC
SAC Units
? ? . . . .,
?--
nr+xE ?f 6?-e54 IVY?
BUILDING PF•13MIT APPISCAT.IOPI
Zncludt 2 sets of plans, 1 site plan w/elenations and 1 eet of enerqy calculations.
To be used foz5?e h?
Valuatibn ?m-?-" ^-
site ndaresr:Gr;S c? L4rvt? 2-OJ?A n flA2r'?1n.
I(ocK,Z.
Lot Block See. Sub,
owner ?)U u S o
Address
Parcel Numbtr
Telephone / o - 2!& ,? /-
ContYactor ff.c ('1S ! , C(? •
Address K? lD rc IZ c? C St 4 u L-
-51) 5c` - ?? (c 0 1 '
Arch./IIng.
Address
Etect y-Q S _
Alter
Repair
Enlarge
Nmve
nemolish
Grade
Telephone
Telephone
OFFICE USE
Occupancy /
2oning , .
Fire Zone
Type of Const.
# of Stories
Front ? S
Depth 3 /
OFFZCE USE
Date of Approval & Znitial
i
Assessment ? -
Water/Sevrer
Police
Fire
Eng-
P1anTyer
povncil
Bldg. Off.
A.P.C. ?
FEES
Pezmit ?a8
Surcharge
Pian Check
SAC ?j2?O
Water Conn. ?SYJ ?
Plater Meter
--" e.. ..i ??-
? VO
? ??'? ,? ., ,
??7 2
- - ----------------
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142387
Date Issued:05/01/2017
Permit Category:ePermit
Site Address: 4320 Orion Lane
Lot:009 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-090
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 -
Steven Imgrund
4320 Orion Lane
Eagan MN 55123
(651) 454-3809
T J Exteriors Inc
16150 Dutoit Rd
Carver MN 55315
(952) 448-4312
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152433
Date Issued:10/15/2018
Permit Category:ePermit
Site Address: 4320 Orion Lane
Lot:009 Block: 002 Addition: Wilderness Park 2nd
PID:10-84251-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, 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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Steven Imgrund
4320 Orion Lane
Eagan MN 55123
(612) 695-6232
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature