3966 Palisade WayCITY OF EAGAN Femarks Wt.r COri, tXl. Ori 10-26-72
Additio Cedar Grove #8 Lot 6 Blk $ Parcel 10 16707 060 08
owne,JAanj.r.i?> b 7n,227 Street 3966 Palisade Way state Eagan,Nmr 55122
Improvement Date Amount Annual Years Payment Receipt Date
STflEET SURF.
STR E ET R ESTOR.
GRADING
SAN SEW TRUNK ?7Ls 1970 125,00 5,00 25 Paid
* SEWER LATERAL y?a,y 1974 1539.10 P3j.Cl
WATEFMAIN
* WATER LATERAL 1 97
WATER AREA
?- STORM SEW TRK ?
-k' STORM SEW LAT 1974
CUfl6 & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. OO-OO 6651 10-9q-72
9UILDING PER.
snc 2.00 6651 1-2 - 2
PARK
CITY OF EAGAN A? 5??
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1
BUILDING PERMIT PHONE: 454-8100 Receipt # :1
8 6
To be used tor GAftAGE Est. value $8,0 00 Date AUGUST 27 19
Site Address 3966 PALISADE WAY Erect ff Occupancy
Lot 6 Blo ck 8 5ec/Sub. CL-nAR L•RO VF, d Remodel ? Zoning
Parcel No. Repair ? Type oi Const Vn
Addition 12 No. Stories
a Name
= 7AVIii 4ALUMUk-d
5
;?!- Move
Demolish ?
? Length
Depth 2 Q
o Address
Ci AI
,
456-0900
Ph Int Impr. ?
? Sq. Ft
ry one Install
Approvala
¢ c?4E
Z o Name
? ¢ Address Assessment
~ citv Pnone Water & Sew.
UW
W W
?Z
?z
4W
Police
Fire _
Eng.
Planner
Permit ''""'''
Surcharge '
Plan Review
Water Conn.
Water Meter
Council Road Unit
f hereby acknowledge that I have read this application and state thatthe Bfdg. Off. 8/2 2/8 6Tr. PI.
information is correct and a ree to comply ' all applicable State of
Minnesota Statutes and C+ty?agan Or n?ces: APC Parks
Signature of Permitt?e Var. Date Copies $ -.SC
, - Total
A Building Permit is issued to: DA1TI1Y Wf'1I,U11"17 on the express condition that
all work shall be done in accordance with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building
PwmN No. PenNt Holdsr Dafa Tdophone #
PlumWny
H.V.A.C.
electtic -?IWIY 7
soften..
InspecNon Oafe linp. Comme?t?
Footlnys t
r
FooNnas II
FoundaUon
Fnminy
oJ
Roorin9
Rouph Plbp.
Rouqh Hty.
Insul.
Fk*placs
Flnal Mlg.
Flnal Plbp.
&dy. Final i?-' /? G a
Cett.Oce. r <
D*ck Ftp.
D*ck Frmy.
WMI
Pr. Dhp.
This requesl void
16 months (mm ? •
C 4 4 3 9 8 16. 13gY1?,AA
Request Date
I Fve No. ReQphe?n.lnspcr.tion ?Reatly Nuw Will Notify, Insaer
?Nio ior When Peady
El Licensetl Elacirical Contractor i herebY requesl inspaction of above
P'Owner electrical work installed aL
Street Address, Box or Route No.
' CitV
J
3q
b6 a?is ? w? ?Gt1-nT rv?I
ection o. Townshi0 Name orNo. Range o. County '
a4-15b CQa? F:r??rE A kQ,-?v-
OccopantlPfllNTI
e ?t?v?19'i-1?/vt Phone No.
S'? -09?b
Pawei Sulier Atld?ess
iJ-kalA 6Lirr2..
tri
cal Convactor iCOmpanv Name1
Elac Comracmr's License No.
'
r
N,'R
Mailin0 Address IConVactor or Owner Makin9 Installationl
A iz gnat re (nv Ownar Makiny InsWlla[ion)
1 Phone, Number
s'Z -0g ?
MINNES STATE BOARD O IECTRIGITY THIS INSPECTION NEQUEST WILL NOT
Griges-Midway Bldg. - floom N-191 BE ACGEPTED 9Y THE STATE BOARD
182MN 55104 ' UNLESS PPOPEN INSPECTION FEE IS
t UniversitV Ave., 5t. Paul. ENCLOSED.
nh..... 16121 297211 t
/ •? Y??V??VIY ?" ..
? y/17 ? Sae inatruetions lo. comoheting Ihis form on beck o/ vellow copy.
t--44_1 9 8 "'K"' Be/ow Work Covered by lhis Request
Equiyment Wired
ectriC
umace
(UfQS
q Fee Sarvice EntranceSiza p Fee Fende,s/SUbfeedera N Fee Circuits
0 to 200 Am s 0[0 30 qm s 0 tn 30 Am s
Above 200 qmpy 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Hoorris Partial,'Other
a;W?s
$2Q ?I TOTAL
1. tne Elecviwi
lnspector, hereby
certily that tha above
Final le inspection hes been
?D??.L ?aa.
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN ss,2, N- 12525
PFIONE:454-8100 ? o y
BUILD!NG PERMIT Receiptu ? ?
E
7o be uaed for
GARAGE Est value
$ 8 r ? ? ? Date
AUGUST 2 7
? g 8 6
SiteAddress 3966 PALISADE WAY Erect ? Occupancy Ml
Lot 6 elock 8 Sec/Sub. CEDAR GROVE 8 Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. VT?
. Addition ? No. Stories
W Name DAVID WALDMAN Move ?
li
h ?
D Len9th
D
th
Z ?
3 Address S?E emo
s
Int.lmpr. ? ep
Sq. Ft.
° Ciry 456-0900
Phone Install ?
o Name SAME
? a Address
?
City
Phone
??
F W
Name
_z
? ?-y Address
i W City Phone
Assessment _
Water & Sew.
Police _
Fire
Eng.
Planner_
Council _
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B?d9
information is correct and a?gre?e to comply h all applicable State of
Minnesota Statutes and?fiyJ{fpagqn O maS?es? APC-
Signature of
Permit vvo..,?
Surcharge 4.00
Plan Review
Water Conn.
Water Meter
Road Unit
Tr. PI.
Parks
Copies
Tota? $ ? Z • $ ?
A Building Permit is issuf%d to: `"'v i" n"?""""" on the express conditlon that
all work shall be done in accordance with all applicable State - Min ? sot tat s Ta d C. s, iry of Eagan Ordinances.
Building Official ?c_/ D.u?G.?l'??
1 ' i J
EAGAN TOWNSHIP
BUILDING PERMIT N? 2874
Ownes ._'_. u---,.e .:a'.......... ?
/??? " ?°-/-° ?,'.---°-°?°-- Eagen Township
Addrese ipresen!) "
.7.,?r..1?....!rY.-4!?4f(,.....,,a_.,, .,_ Town Hall
Builder ............................................. --._.------------ ..................... ...........
Dale
Add7ase 2J-- - ......a.°-?1-?----7°---..L.---'
............._......---........._.._...---........----........._....---..........._......_ -
DESCAIPTION
Stories To Be Used For Froni
-- Depih Heigh! Est. Cosi ermi! Fee Aamasks
I ;
's
o:
or
?
V-„Ta I J 1 ia .r
This permii doea not euthorise the vae of sfreals, roads, alleya or sidewalks aoe does it give lhe?ownes os Lis syent
the righi to ereale anp ailuation which is e auiaence os whieh presenls a hasard !o the health, safetp, eoaveaiaace and
ganeral weltaxe !o aapone ia the eommunilp.
THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS.
Thts is !o cerfitp. !hal......... hopermiuion to eree! a_...?. ...._.. ....... .....
?-...--• _- . ........_upoa
the above described premisa subjee! !o the provieiona ot the Suilding Oxdinanee for Eagan Township a oplad Apri] 11.
1955.
........_.._..---......'.w"-•?--?J.`':ci::T...----........._.... Per ............._M.^?.:.......Qc_
•
-
Chairman oi Tnwn Board Suildinp lespecloz --^--....---°---.....
?> z les
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
,
Date: LLO
?
Description of Work: _ Construct new fireplace _Gas _Masonry
? Install gas insert onlv
Other
A[terations to existing
Install zas fine on/v
7ob address: Lj- 4?(
Lot: b Block: ?
- ? J
Subdivision/P.I.D. #: LAC1L?--f ? ?U `e.
Applicant (circle one only): Owner onlract Permit Fee: $60.50
Name: ?g (, Y"PY' I (712) Phone #:
PROPERTY Last First n
O1VNER /y/'?
Street Address: , 2 '7 (? /.Y 1-A
City ?? /j? /? State: Zip:
Company: _El?' p-C JQ &VnfiC ??"Ahon(? #:
? (area code)
?
FIREPLACE ? ? +
INSTALLER Sheet Address: ??
City (A ? ? ? `?( ! P . State ___-7- Zip:
Company: Phone #:
(area code)
GAS LINE
INSTALLER Street Address: r
City State: Zip:
? 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 d City o Eagan Or 'nanc s.
c ?
?
Signa re
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 39 Gas Line
? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concea]ing.
? 41 Wood Stove
?
MACTF.R ! ARiI
STRUCTURE AND
LAND USED AS
`
Permit
No.
Issued Issued To
Coniractor Owner
BUILDING
PLUMBING ?' ? ?If
?
?
/ w _ •? ?i
?-f?
CESSPOOL - SEPTIC TANK
WELL
ELECTRICAL
HEATING 7
GAS INSTALLING
SANITARY SEWER
OTHER /D? .J
OTHER I I
Items Approved
(Initial)
Date
Remarks
Distance From WeII
FOOTING
fOUNDATION SEPTIC
CESSPOOI
FftAMING ?1??3• ?y TILE FIELD fT.
FINAL
ELECTRICAL
HE.4TING DEPTH
OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PlUMBWG 7
WEIL
SANITARY SEWER 4 N f?. j' ?J
Violations Noted
on Back
COMMENTS:
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
a NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
1:1 ACCEPTABIE SU85TITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYEO BY CONDITIONS BEYOND
CONTROL.
AND DESCRIBED AS FOlLOWS:
? REINSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CE RTI FICATION - I cettify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 hava reported herein
all significant conditions otserved to be at variance.with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
mena for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
UILDING INSPECTOR OATE
?? ?a
(a -ff -37
EAGAN 20WNSHIP
3795 Pilot Knob Rosd
St. Paul, Minneaota 55111
Telephone 454-5242
PERMIT F(1R WATER SERVICE CONNECTION
Date• Number• im ?
Billing Name. i Site Addresslw?
Owner: Billing Addreaa1 •'3 C r' ?
Pltzmber:
Conuection
Building is a:
Residence XX
P3ultiple So, Units
Commercial
Industrial
Other
ize
0/25/72
Meter No. lPermit Fee 10.00 pd 10/25/72
:T6 pd-T6/25/72 s/c
Meter Reading Meter Dep.
Meter Sealed: Yea_ IAdd'1 Chg.
NO iTotal Chg.
Inspected by
Date
Remarka:
By:
Chief Inspector
In consideration of the issue and delivery to me of the abwe permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of Eagan Townahip, Dakota County, Minaeso a.
By: QDRO-lk-e3 I?z- •
1("C?/!
Please notify the above office when ready for inspection and connecCion.
CS7Y OF E.AGAN
CASHIEFi: JS TEfiMINAL N0t 007
DATE: 12/17/33 TIME: 12e24;22
IU:
NAMEc ALLIE? FLkESIDE TNC.
3210 3001 3366 F'ALI5ADE W 60.00
2155 9001 3366 PAIISADE W 0.50
?
To+,a1 fieceipt Amount: E0.50
GR12:1.342
l1SER ILi: JAN
?-- S'-g
EAGAN TOWNSHIP
:795 Pilot Knob Road
St, Paul, Minnenota 55111
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: NUMBER 11$4
Address?3q( n ? ?-e W(?/
TYPE OF PIPE ???y,?LL?? 7
--\, (??,-.?J''????,,.? ??T'-'
DESCRIEZION OF BUITDING
Industrial( Commerciall Residentiel I Multiple Dwelling I No, of units
Lacation of Connections:
Cannection Charge260.00 pd 10/25/72.
Permit Fee 10.00 pd 10/25/72
.36 pd 10 2 /72 s/c
Stxeet Repairs
Total
Inspected by
DaCe
Remarks •
sy
Chief Inspector
In consideration of the issue arni delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Tormship, Dakota County, Minne ota
B
Please notify when ready for inspection and connection and before any porCion
ot the work is covered.
'015
7986 BQILDING PBRltIT APPLIC9?ION - CITY OF SAG9N
NOYE: gL[. COATRACTORS MUST Bfi LICENSED iiITH THE CITY OF EAGAN
SIAGLE FAIffLY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS
MOLTIPLS DiiBLL1NGS - EESIDENTIAL RENTAL i1NITS F08 SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SORQSY - CHECg WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTUHAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND ?
601? q3) 2-1
??s+4
To Be Used For: - Valuation: ? Date: _
Site Address OFFICE IISE OAIL.Y
Lot _.ta Block Erect _ Occupancy
?t
6
P
l/S Remodel
R
i Zoning /
T
f C
t -=
arce
u epa
r ype o
ons
nt
??
J Addition ? # of Stories
? /-}t
Owner ;? ?x cti- Move Length
_
Demolish Depth ?C7
Address SA'Vti^- C Int.Impr. _ Sq Ft
Install
City/Zip Code ?s)22-
Phone y S?o - Jy o? APPR09AIS FSHS
-
Contractor
Assessments
Permit
?
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Offjr-? Treatment P1
Arch./Engr. ?tLl'1" APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone 0
NOTE: ADDRESSBS FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MIIST DE3IGNATE pHICH ADDRESS
IS DESIRED. NO CHANGES WML BE ALLOiiED ONCS BIIILDING PEHIMIIT IS ISSiISD.
Z?/ -Cio = '58 C) ac?ao - c7A rvr?
/bX lb ? /66 x boo - Grz.k
? a
???O 6"'15
+
11 E? CTTY U"' L'At;AY Ir C?SHIE'R ?$ '? 7L-",RMZPAL, PdG1y 02E1 ,
A?1? 5 09/30/99. 'flMl' 9:2 a34 g3t]
"? {•IEUR?^
THflMd§S Q.
I??.CI S(l.Lt! 396E, RALiSADE W" 97.2` -
9('1fJ7 436E;,.?'tbl S?iA11'? 2..00
+I??? ?.. . ... .. , , . ... .
:'fotal RerjiF,+ fUwa+.tn•1,; , 99:25
C?:?.1'7?r1.F, .... a;•... . . ' ..
l?k Ir": JAN ,
"
:k•,x?k?F*;%?F*? ?K??**?k***?I:?k*?? ??k?7k1?k* ?R?k*7K??*
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
?
NeW Conshuctlon ReaulremeMs
D 9 regislered afle suneys showing sq. H. of bt, sq. H. of house
and alI roofed areas (207, maximum lof eoveraae allowed)
D 2 coples of plans (ihow beam a window sizes; poured fnd. design; efc.)
> 1 set of energy calculallons
? 3 eopies of hee presenaHon plan M IW plaHed affer 7/1/99
DATE: (?- ? ( - q l
DESCRIPTIONOfWORK: fekk0v{ OICI SkinilrS G?
Name: 7L QUr Qr I ?"xks Phone#: GS?I "651I ' $704-
last F6at
?
7
STREEfADDRE55: 3 Q(o (? ??l??sGG?'? v wc^)/
LOT: L BLOCK: S SUBD./P.I.D. #: \ 9-& ok V G)Y ()\! --Q
PROPERTY
OWNER
Sfreet
66 PalIs
CONTRACTOR
ARCHITECT/
ENGINEER
City ?G 4y k State: /L 1V Zip: 5S?12
Street
Ciiy
Remodel/Reoair ReauiremenTs o - r -1
2 copies oi plan
1 set ot energy caiculaflons iw heaied addHfona
1 sRe wrvey lor exfeMor addHions a decW
CONSTRUCTION COST:
" r-C) e C-
Stote:
Company: Name:
Telephone #: area code ( )
Sfree't
CMy
State:
Sewer S water Iicensed plumber (reaulred for new conshucflon onlv):
Zip:
Zfp:
PenalFy appiies when address ehange and lot change is requested once permR Is Issued.
I hereby aeknowledge thcf I have read this applica8on, sfafe that the InformaHon fs canect, and agree to comply wfth all applicabl
Sta1e of Mlnnesota Statutes and Cify of Eagan Ordinances. 17 r-? ,--0
Signalure of AppllcanY.
OFFICE USE ONLY
Phone #:
(area code)
RegisiraHon #:
Ucense # Exp.
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ?,6 l
o?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-piex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
0 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 i of _ plex ? 08 6-plex ? 13 i 6-piex ? 18 Deck II ? 23 Porch (screened)
? 04 2-plex O 09 7-plex ? 14 Apartments O 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ,? 25 Miscellaneous
P.l•L?;ir'?T?
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Wndows/Doors
? 33 Aiteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) O 42 Reroof p
• Give PCA handout to applicant for demolition permit ?
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ,
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
07
d-
99.
Census Code?SAC Code
No. of UnRs I
No. of Bldgs I
MC/ES System
City Water
Booster Puma
PRV
Fire Sprinkler?ed
_ Engineering Variance
i
'I
Valuation: $
SAC Units
% SAC
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115748
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 3966 Palisade Way
Lot:6 Block: 8 Addition: Cedar Grove 8th
PID:10-16707-08-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
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 -
Thomas R Theurer
3966 Palisade Way
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
Date:
Clly otEapp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
E;
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177898
Date Issued:07/25/2022
Permit Category:ePermit
Site Address: 3966 Palisade Way
Lot:6 Block: 8 Addition: Cedar Grove 8th
PID:10-16707-08-060
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 -
Thomas R & Mona M Theurer
3966 Palisade Way
Saint Paul MN 55122--174
(651) 245-9321
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature