4020 Pennsylvania AveConn. Chg' S 5n n0nd
Acct Dep: I 5 OnDti
Permit Fee: 1(1 00?d
SurCharge: 50nd
Tr. Plant _ , ,
Meter.
Misc:
i Pilot Knob Road
Box 21199
an. MN 55121
Date: 6- ` _ : .
Size: Date: fLuk,
Site Address: 4 uc? p rc,,,s..
Plumber. Star Plutabi.n'
Site
Permit Na. °" Daie: 6'24'$`?
Meter No: SiZe:
RGader No: Date:
Conn. Chg: SS^ M?t Zoning: ii
Acct Dep: IS 00id No. of Units:
Permit Fee: ln aftd
5ftd I agree to comply with the Ciry
Surcharge:
Tr. Plant . Ordinances.
Meter.
0.00
. By
W ATER SERVICE PERMIT _
CITY DF EAGd1N Permit No: I 74 Date: 6-24-2"
3830 Pilot Knob Road 8/P No: Date: 6--2$_$8
P.O. BOX 21199 r;
Eagan, MN 55121 -
Owner:
Permit Na: O
Meter No:
Reader No:
Zoning: -
No. of Units:
I agree to com with the City of Eagsn
Ordina ces.
r
By
WATER SERVICE PERMIT
CITY AF fAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
SiteAddress: 4020 i.19 RA St-94ffnr.i p!-rn
Plumber. Star Plumbi:.s;
MwCC: S 50, Onpd
City Chg:
Acct. Dep:
Permit Fee: '
Surcharge:
No. of Units:
I agree ta comply with the Cfty of Eaysn
Ordinances.
By
SEWER SERVICE PERMIT
CITY OF EAGAN
3830 Pfiot Knob Raad, P.O. Box 21-199, Eagan, MN 55
121 . ?,
PHON E: 454-8100 ?
BUILDING PERMIT Receipt # --
To be used for - f 0'" l?A`, Est. Value ~ 3 5, O(`l Date J??N?' 2%
,19 3?
Site AddrBSS 44''2`3 1'f'.`+"YL : t', w:i'i i'. OFFICE USE ONLY
1" fi `'`1e,rFtWD ?'L
Hti` OnSiteSewege Occupancy r•-a/i -?
.
.
Lot Block SecJSub.
MWCC 5ystem k
Zoning
P-1
Parcel No. ll A
l V-S
On Site We (
ctua
) Const
x Name FtiU;vT1Lr. P';I:.:uE.''i'f H(1hES Citywater x (Allowable) V-N
z
Address '9U[ C;?(;A"? r?LH DR PRV R@quired of Stories
9
4?
o EAGAh 45?-C v33
City Phone Booster Pump Length 370
Depth
p Name SAp1B S.F.7otal
,
o u Addre55 Footprint S.F.
? City Phane APPROVALS FEES
434.00
? a
"W N?me Engr./A96ess. Permit 32
50
F Z Ptanner Surcharge .
?. Address
'
Council
Plan Review 217.00
` W City
PhOne Bldg. Oft. SAC, City 100• 00
I hereby acknowledge that 1 have read this application and state that the Variance SAC, MWCC 550•00
5?
?
information is correct end agree to comply with all applicable State of Water Conn. •
MMnesota Statutes and City of Eagan Ordinances.
Water Meter ?]??
Signature of Permlttee 16 . Road Unit 325•00
Fk(;VT.c:i, AlDIVE57 l1t?t•:ES
Ailding Permit is issued to:
Treatment P1 104.00
on t e express condition that all work shall be done in accordance with all
Parks •
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ' .
TOTAL
Bui{ding OMicial
.,.r-- . .
' CITY OF EAGAN •• -?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for "k Est. Value Date ,19
Site Address `?`?? =''' {?``''., f'y?• OFFICE USE ONLY
Lot ' Block " Sec/Sub. P(Wp PLALL On Site Sewege pocupancy k-3/ib-7
Parcel No. MWCC System
i Zoning
t
V??
On S
te Well (ActuaqCons
a Name
CltyWat6? X
(Allowabl9)
4-•.i
z
W Address • ? PRV Required k ? of Stories
+
O • 5?1•-(?l•.", .1
City Phone Booster Pump Length
Depth
a Name S.F. Total
,
? ? Address Footprint S.F,
I.- Ciry Phone APPROVALS FEES
?
44
?
? a Engr./Assess. Permit •l
+
Ly W Name ??p
W
z Planner Surcharge
i Address 217.W
a
Q Z Council Plan Review
W City PhOne 100.00
` Bldg. Off. SAG, City
5510'00
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ??U ? ??
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signatureof Permittee Road Unit 3`'' • W
:;: ? ? .?,.,:.:,T ?,;• ;-?
' 2t cl0
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
Parks
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
?T?
?
Building Official TOTAL
. Parmit No. Psrmit Holdsr Dst* Telephons X
Plumbing
'. 6
H.V.AC. '211?
?
Electric S21313
- S-
'?Sa •SD
Softener
Inspection Date Insp. Comrtfents
Footings I 6a
Footings II
Foundation
Framing ? ?A LY ?, • ?B.'&,?' ?
Roofing
r
Rough Plbg.
7,
Rough Htg.
Isul.
Fireplace
Final Htg. ?
Final Plbg_
Bldg. Final
Cert.Occ.
/
Temp. LP
Deck Ftg.
DeCk Final
Well
Pr. Disp.
(Etrtifiraft nf Mrruvanry
titp of (tagan
ErprtmrnY of lwbing 3mwFritnn
This Certificate issued pursuant to !ke requirenienu of Section 306 of tlie Urufarm Building
Code certifying thar at the ttrrle of rssuance this struciure was in compliance wrth the various
ordinances of tiie Cuy regulating building construclron or use. For the following.•
u. 5'r 175KlGAR Mk Nrm;, No. 15272
pxypaocy Type Q3 /M i Zoamg pistria ? 1 TypX Caw.
?
Building Addreu
anEm S. 19M
Dtte: s
Bwlmng OtCKUI
POST IN A CONSPICUOUS PLACE
. , . . .l,=' .. . .
. • - PLUMBING PERMIT
CITY OF EAGAN
3830 PiLOT KN08 ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 454-8100
Site Address "y/) i U 4 "Y/i//l/J )
Lot J 7 ,; Block - -? Sec
% n
Name
? Address -
c City Phone
? Name _
3 Address
p City
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPL.IES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. yNew ?Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NR FIXTURES TOTAL
Water Closet -$3 00 $
?•? ?
/ Bath Tubs - $3.00
?Lavatory - S3.00
Shower - $3.00
=Kitchen Sink - $3.00 ? • 10
Urinal/Bidet - $3.00
7 Laundry Tray - $3.00 4,620
-7-Floor Drains - $1.50 1150
7--Water Heater - S1.50
Whirlpool - $3.00
ZGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Pnvate Disp. - $10.00
?Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: -?
CONTRACTI
.
Site Address
_ 'r ,_
Lot 1
Block
? Name,'_ -Nxcj t/rRr
? Addr$ss r
?
c Clty
c Name
Address
o C;ty
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
MECHANICAL PERMIT RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _
PHONE: 454-8100
Sec/Sub
BLDG. TYPE
Res.
Muit
Comm.
Other
WORK DESgRJPTION
New ? Add-on
Repair
Phone
U ocX` M BTU
M BTU
M BTU
M BTU
CFM
FEE: 1 ? 5L
?L
S/C: TOTAL:
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEF1rAM - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BUILDING PERMIT
7o be used for DECK
CITY OF EQGAN ?0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 '
Receipt #
s1r000
Site Address 4020 PEMiSYLVANtA AVE
Lot 14 Block b Sec/Sub STAFPORD PLACB
Parcel No.
W Name Sk1E?tRI 8 tlEHDI TAHMiI
? Address 4020 PEMN8Y1.VANIA AVE
° City EAG" Phone 688-'8675
o Name s0ln'E[EbtN DECKS
o? Address 4315-D C1.L2lSbN CIA
U? City EACAN Phone 688-6352
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with_allla Iicable State o(
Minnesota Statutes and City,of Eagan Ordinandes.
Signdture of Permitee
A Building Permit is issued to: SOUTli15RI'1 DLCKS ?
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
8uilding Official
17741
Date APR 19 ? g90
OFFICE USE ONLY
Occupancy - FEES
Zoning -
(ACtuaqConsl - BIdg.Permit 25•00
(Allowable) - Surcharge • 50
# of Stories
Length 13 ' Plan Review
Depth 19, SAC, City
S.F. Total - SAC, MCWCG
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meler
MWCC System -
Ciry Water
_ Acct. Oeposit
PRV Required _ 5NV Permit
Booster Pump - g/yy Surcharge
Treatment PI
APPROVALS Rpad Und
Planner - park Ded.
Council -- 1.30
BIdg.Off. _ Copies
27.00
Variance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.VA.C.
ELECTRIC
Inspection Oate Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Fnal Plbg.
Const. Meter Plbg. Inspector- Nolify Plumber
EngrlPlan
Bidg. Final
Z L, O l'?3 -/? J hO f Y'Q??
f
g4
Disp.
CITY OF EAGAN NO 1774 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE:454-8100 ? ?2?y?
BUILDING PERMIT 1
Receipt # ?? V
To be used for DECK Est. value $1, 000 Date APR 19 , i 990
Site Address 4020 PENNSYLVANIA AVE
Lat 19 Block 6 Sec/Sub STAFFORD PLACE
Parcel No.
Ic IName SHERRI & MEFIDI TAHAMI
o Address 4020 PENNSYLVANIA AVE
City EAGAN Phone 688-8675
?F Name SOUTHERN DECKS I
$¢ Address 4315-B CLEMSON CIR
? City EAGAN Phone 688-6352
Name _
Address
City _
Phone
I hereby acknowlege ihat I have reatl Ihis application and state that the
information is correct and agree to compy-wi I a plicable State o(
Minnesota StaWte and Cof Eagan Ordi anbe.sq
/
Signature ot Permitee ?
A Buiiding Permit is issued to: SOUTHERN DECKS
on the express condition that all work shall be done in accordance '
applicable State of Minnesota Statutes and City ol Eagan Ordinances.
Building Oflicial
Occupancy
Zoning
(Actual) Const
(Albwable)
s or srories
Lengtb
Depth
S.F. Total
S.F. Footprinis
On Sita Sewage
on sae wen
MWCC Syslem
Ciry Water
PRV Required
Boostar Pump
APPROVALS
Planner
Cauncil
Bldg. Off.
VarianCe
OfFICE USE ONLY
13'
12
FEES
Bldg. Permit
Surcharge
Plan Review
SAQ Ciiy
SAC,MCWCC
Water Conn
Waler Mefer
Acct. Deposit
SM/ Permit
SNJ Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
1.50
27.00
BLDG. PERMIT NO.
L-..ui- I°i (?) I L) S-{ 0..k-Ao rC-1
01-3210 Bldg. Permit
? 01-3422 Plan Check
013445 •Surch./Adm.
j 01-3446 SAC/Adm.
01-2155 Surcharge
75-3860 Road Unit
20-2275 SAC
? 20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
?
Q 20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
-.2 1 -7 10 O
S S?
3z 2? 3
Oo
S ?I y S ?
S 5U Oo
o 0
L,-i o0
L v vo
I o 0 oCti
TOTAL -2_L 5 3 0
CASH 'AECEIP,
? CITY 00 6AGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55722
?
Lrl _ ??,
onTE -,g
c..
AMOUNT ?$
& DOLLARS ,
?a
? CASH " CHECK : . -
li't'
FUND OBJECT UNT
?ld.??.?.. ? 9 ll t Ct t'' ..'
Thank You
sv
whft--Pa,? COPY
vela..-v?l" awr
w"-FUa com
-L u I Ei 3z /9 tq,,l
99S<I8"
$jJrPO
Ra uesl Data ' FireNo. Rough-in Inspeclion
Require
tl?
? Reatly Now ? Will Notify In9peclor
? ?
?g 0 ? W?en Peatly?
Icensed contrector O owner hereby request inspection of above lectrical work at:
J01) ress (Sheet, Box a Route lTx? Ciry
S
S' n No. Township ama or No. Rarge No. Cour?ty
Occu (P?Ni1
1
'
U
Power Supplier Atltlress
E I nhact (COqi 46 fq cto 5- a
?
Maili E tt r or Making Ins1allBtio )
Autlwiietl iqnetu{e CoNrac,/ Wrlp? ?j' g Instatlation)
11
f• 1\%d J l Y
¦ A
I V ? 1 ,
V?J\
V?a%LJY`?
NINNESO?F ?ATE BOABO OF ELECTqIC
GrlggrNlaway BMg. - Room S7]3
1821 Univeralty Ave., 51. Paul, MN SStOi
Vlwne (812) 692-0B00
THIS INSPECTION flE0UE5T WILL NOT
BE ACCEPTED Bv THE STATE BOARD
UNLESS PFOPEfl INSPECTION FEE IS
ENCLOSED.
? neOUEST FOR ELECTRICAL INSPECTION eaooooi-oe
? See instmcti0ns tor wmpleting Mis lorm on back oi yeilow copy. ? 9
H.1 07 6 3 "X" Beb,??Work Covered 6y This Request
ew Add Rep. TypeotBuilding AppliancesWiretl EquipmentWiretl
_ Home Range 7emporary Service
Duplez Water Heater Electric Heeting
Apt. Building Dryer Other (Specify)
Comm./Industrial ' Furnace
Farm ir Conditionar
OIOer(specity) onrac?or§ Remark5:
Compufe Inspec6on Fee Below: ?
8 Other Fee # Service nira Ize Fee # Circuks/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
hansformers Above 200 _ Amps A _ Amps
Signs Inspectar5 use only:
?. TOTAL
Irriqation eooms ?
- j
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Othar Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
i Rough-in oere
cert
ty that the above inspection has
been made. F;,,ai
`
OFFICE USE ONLV
Tnis request wid 18 montns irom
, r 85?i'sa--
E 28373 Ll9 /36 S
Requ Date
.
? Fire No. fl u -in In pection
R 'r
?Ready Nuw I NotiSy Inspec-
?
7
? (? 0• es ?NO ???r When fleadv
A+-dG-nsetl ElecVical Gontractor ' I hereby reauest insDection of above
? Owner electrical work installed at:
51 e Aetlr , BQx or Ro e No. ?
U City
eciwn o.
? Town Ip Name m No.
44 ange No. Covmy
Oc nt fPH
? r Phone No.
S
0.'03
Power 5 li r Address
Electrical ConVacfor lCompany Name) onrt:?r.t r's License No.
O
Wil
1ri4540=PENIVOCKeLM$ in nstailatioN
LA
a
i
,
AEtEan r LtbiyctWNqtitligAkstallationI
i•?ir r , Nftlir
MINNESOTA STqTE BOAPD OF ELECTpICITY THIS INSPECTION HEQUEST WILL NOT
Griggs-Midwey Bldg. - Room N-197 BE ACCEPTED BV THE STATE BOAXD
1821 Universitv Ava.. 5t. Vaul, MN 55104 UNLE55 PNOPEN INSPECTION FEE IS
n ?___?c.a?.nnnonn ENCLOSEU.
._,.ucsT FOR ELECTHICAL INSPECTION ee-ooooi-os
Sea instructions " for completinB ?his form on beck o? vellow copy. s?
Il, ,Ysy
E 2 H 3 7 3 "X" Be/ow Work Covered by Ihrs Request
nn- lReo. Tvae ot eu;iaine Aoaliencea wina Eq.?ume., wi.ed
Home Fange Temporary $ervice
Duplex Water Heater iny Fixtures
Apt. BuilAing ry r
D Electrie Heatin
Commercial Bldg. mace Silo Unbader
InAustrial Bldg. Air Conditioner Bulk Milk Tank
Farm otner per., v OtnerlSUC,.?ivl
L P,f SUCVI y O1 Cf 01hl'!
OSD?CIIO/) FPF BFIOW
p Fee ServiceEntreneeSixe tt Fae Fendees/Subfeeders ? Circuits
0 to 200 qm s 0 to 30 qm s tn 30 Am s
Above 200 qinps 31 to 100 Ainps 1 to 100 Am s
. Swinvning Pool Above 100-Am s Above 100_AmP?
Transiormers Irrigation Boort?s Partiale
Signs I I ISpecial inspection
I Final
oq haieby
thet Ne above
ion has been
mb repuast voltl 18
********************************#******
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 667
DATE: 09/18/00 TIME: 13:01:53
ID:
NAME: FIRESIDE CORNER
3210 9001 4020 PNSYVNA AV 60.00
2155 9001 4020 PNSYVNA AV 0.50
Total Receipt Amount: 60.50
CR137355
USER ID: JAN
2000 FIREPLACE PERMtT APPLICATION
CITY OF EAGAN
`` - 3830 PILOT KNOB ROAD - 55122
651 681-4675
1
Date: ??
??- 0/
Description of Work: t,*? ConsWct dew fireplace vGas _Masonry
_ Inshall gas insert onlv
Other
Job address: `7'// /7( /
-?--?
Lot: II Block:
Applicant (cirole one only):
Subdivision/P.I.D.#:
Owner Contractor
? •?°i'
Alteratiars to existing
Install pas line onlv
aki-I
Permit Fee: 860.50
Name: OJT'? I u?hDit7CLCil
PROPERTY Last First
OWNER
Street Address:
/ /
Phone #: ??? az /
City State: Zip: ??/A 3
Company: 0-k pQ S I?j e?d?{?I Phone #:
?-7 (area code)
FIREPLACE ?
INSTALLER StreetAddress:
ciry VLY' ?n S J t' 11 P, s?: nr ZiP: ?Y3
? ?-?- ??
Company: P6one #:
(area code)
GAS LINE
INSTALLER SVeet Address:
City
State:
Zip:
I hereby acknowledge that I have read this applicarion and state that the information is correct and agree to
comply with all applicable State of Minnesota Statute d City o Ea Or inanc s.
? ? .
Signature
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 16 Fireplace
WORK TYPE
? 31 New
O 32 Addition
? 33 Alterations ? 39 Gas Line
? 34 Repair ? 40 Gas Insert
GENERAL INFORMATION
Census Cade 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
? 41 Wood Stove
CITY OF EAGAN No 152] Z
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
? C 1 --'sO
BUILDING PERMIT PHONE:454-6100
Receipt # )
Tobeusedtor sf DWG /GAR Est.Value $65,000 Date NNE 28 ,19$$
Site Address 4020 PENNSYLVANIA AVE
Lot 19 81ock 6 Sec/Sub. STAFFORD' PLACE
Parcel No,
a Name FRONTIER MIDWEST HOMES
; Address 3902 CEDARVALE DR
° City EAGAN Phone 454-0433
.o Name SAME
? a Address
i- City Phone
r
ww w Name_
F
Address
aW CitY_
I hereby acknowledge that I have read 1 is application and state that the
information is correct and agree to mply wit I applicable State of
Minnesota Statutes and City of Ordina es.
Signature o( Permittee 5-?
A euilding Permit is issuetl to: FRONTIER MIDWFs$-T_I10MF.R
on ihe express condition thaf all work shall be done in accortlance with all
applicable State of Minnesota Statu[es and City of Eagan Ordinances.
Builtling ONicial_-a04J1AAAj
OFFICE USE ONLY
on slte sewege _ occupancy R-3/M-
MWCCSystem _R Zoning R-1
On Site Well _ (Actual) Const V-N
City Water _.%_ (Allowable) V-N
PRV Required ?[_ # of Storles
Booster Pump _ Length 481
Depth 371
S.F. To[al
Footprint S.F.
APPROVAIS FEES
Engc/ASSess. Permit _ 434.00
Planner Surcharge _ 32.50
Council PlanReview 217.00
Bldg. Off. SAC, City _ 100.00
Variance SAC,MWCC 5$0.00
Water Conn. 550.00
Water Meter _4] 90
Road Unit _-12 5 -DO
Treatment P1 _294-00
Perks
TOTAL 2,479.50
?
On site sewage_ Oceupancy ?3 M-1
MWCC system ? Zoning R-I
On site well Actual Const V.N
City water ? Allowable V-N
PRV required ? lk of stories
Booster Pump Length N-T+
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY LWELLINGS ' ? 7sri !L
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR COANER LOTS - CONTHACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDNESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS U OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORYEY - CHECK WITH BLDG. DEPT.9
1 SET OF ENERGY CALCULATIONS
COtRMERCIAL
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: NF(,v 61V57',PUC77&}1(laluation: 442/r4416"O? Date: 0 &9,O /g `
Site Address ?k aO PeN IJ S)/ L(/RN /,q OFFICE USE ONLY
Gs No ,
Lot 19 Block &
Parcel/Sub JrnFFOP-b ?AC.E.
i
OwnerNuNflMMIF Mf kDT, I A1i?NMi ?
gNE2P-S L ` ?NN OSRLCN
Address 7&p0 ?f??nlni 1114ENUE SottTfl
City/Zip Code-Rici+i0L_4 /VIn/ 554a`
Phone '&o (a - 91;? 9-U I APPROV9LS
Contraetor Frontier Midwest Homes Corp. I Engr/Assess
Planner
Address3902 Cedarvale Drive Couneil
Bldg. OPf.
City/Zip Code Eagan, Minnesota 55122 Varianee
Phone 454{57i33
Arch./Engr. Phillins Plan Service
Address Apple Va11ev,Mn55124
£1 tgF3#?-Cede 14530 Pennock Ave.
?
? Y
Depth
S.F. Total
Footprint S.F.
FEES
Permit 14314.00
Sureharge ' 32,
SO
Plan Review 21 n.o0
7623SAC, City Ioo.oo
SAC, MwCC 550100
Water Conn D.oo
Water Meter (07 Lb
8oad Unit 325,DD
Treatment Pl o ,a0
Parks
Copies
I DXFORt?Ll r11oo[L TOTAL -q-k-Y-71 sd
Phone # 432-2044
r ..
sumeyor`s G'ett?j'?cate
SURVEY FOR: ='.ontier ;tidiaest Homes Corp.
DESCRIBED AS: I,ot 19, 31ock 6, STAFFOP.D PLACE, Citv of E?aan, Dakota
!:n:-nty, P?innes.-;t:i anrl ;-ese°,?,in^ easemen f record.
P.R.V. REQUIR?b
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l.oPROPOSED ELEVATIONS
r0Y Ot' fOYfldCfi011 s863.¢
GO?ope Floor s6b3.0
BuNnrnf fleer . abo.z
Apprrea. Sewmr Suvin Owr. a a^ ?"
Propose0 ENvations ? O
Exaulno Eleratiom .
Droinap• Dfreetions ? ....?r
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BENCHMARK+
T.IV, NYO. L. N.W. Cc..r?P Lo+ Elw. - 9i.?. s4
MIM. SETBACK REOIREMENT3
Fronf - ?,O Ha" SIOe -
Rear - ts Gara" Sift -'-
y?°-a
SCALE: 1 Inch a 30 ftef
/fEDLIlND
PJenning Engineedng Sunreying
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x una?. i.r aa.et .w..wsion ma nkor 7 aw e wn ?+.ab+.ne BSR- 329
LaM swv„s uMw tM aw o1 tM aroN oe Ytaa•wre. BooK
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PAGE
f1o.14378
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' - ' E.YTc'it?Cn E?I'JE:OP£ H'rRAGE "U" LOMP!JTP.TiON
, OYlNcR Ostlund, Sheri Lynn & Tahami, Muhammad Mehdi
2x(o
SITE ADDRESS 4020 Pennsvlvania Avenne. EaQan, MN
CONTRACTOR (2(lp N'.y?kER DA iE S 8- PHONE 454-0433
Deter,nine working square faotage afi each.
7. Total exposed wa71 ares ...... ( 851,Z S sq. ft. x .11 a Z.ct1,
2. Total roaf/cziling area .... `d'$O sq. ft. "x C. Total exaased wa1T area a6ove floor = I
a. Total wa11 windaw area .......................... tl •
b. Total door ares ................................. 39.Ct;z
c. Tatal slicina gizss dcor arza ................... y;L
d. l'Otdl f7T'Epizce wa77 area ....... ........... L+8
.....
e. Total wall framing area {averagelOA)' . ..... : 1251
f. Tota', ne=.wei3 area above fiaor .... 214b......
g. Total rim ?oist ar-ca ............................ t Z8.5
Total exposzd faundaticn area =
h. Total fioundaiion windPw area.....................
1. Toal net foundaticn area zbove grade ........... y
Det=rrcine "U" volue or each waT7 sec?zent.
a. I15 X "ll" .3Z = 3d.t6
5 (oZ g ??U" ??(S = 1 -7.S2
139
c. ya X ,?U" 1 .EF'z
d. L4g Xl.Ull .? = 1-I 4 28
e. 1, $5.73 X "U" .0-7 _ 13
`. 1-300.14 X wUll .D34 = 9.Kz
9• 1 ZS.S X"U"
h. X "U" _
i._[rs4-l.7S X"U"
3 ....................................... Total
If item B3 is the same as, or less than item 11, you have met the intent
of SBC 6006(c)2.
.,
Total exposed reof/ceilina are= = $ ?
Total gro55 rcof/ceiling are3 = .
. j. Total skylight area .......................
?-
k. 7ota1 roof/ceiling framing area .............
1. Tntal net insuTate3 roof/ceiling area......: --74 2-
Det=rnine "U" value ror e=ch ro-of/ceiling seen:eat.
J•
X nuu
k. gg x"u" °--L?-
1. 2.. X "U"
4 ..................................Tota1
If totaT cf 414 is the same as, or less t5an f2, you have met the intznt af
S8C G006(c};.
To utiiized the total envelape system nethod, the values.established 6y the
sum of itaars 03 and #4 shall not be gre:ter than the sum of i:ems 11 and ;2.
+ z. z.2.S$ = 2a7 ,17 -
s. 1(,o(o.44 (v = a. 1(o.? 1 = 153.17
MAT33IALS
E)c:e.i^r Ai.
S idins, Mat er:31
Sheathi35W Th~*
Insul? i on
Shaetzock ,$tg'
Interior Aia
Studs
Rim
Conc. Blks.
T'iera. 32sistance "grr
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?ATI o DRS e
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1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
M1OTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSIIED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COh1PLETED.
PERMIT PNST SHOW A LIGENSED PLUMBER.
To Be Used For: Valuation: Date: '11191
y0a`'O
Site Address ???J?!1??(yQhj? _ OFFICE USE ONLY
Iq
Lot ( l Block ? FEES
Parcel/Sub STAF?Qj) T)LACIGE7-
Ocane r S4-RR 1 1- t-lEH L7\ ?'f?1--lAI?I I
?ICr21?
nddress
City/Zip Code ut"?
Phone lp?-Jgjlp??
Contractor ?J?4 rj(--CA1<5
Address Lia15 (-?. C1_?'I??f C1R•
City/2ip Code Lt?'S,[y'l 55??Z
Phone U?7?? " tQ?SZ
Arch./Engr. a4C1Z 5C"1????CR
Address ??Z-j ?_ ,QS AJ?6VC
City/Zip Code
Occupancy
Zoning
Actual Const Bldg. Permit 02S'Go
Allowable Surcharge i?
i# of stories Plan Review
Length )3' SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well _ 5/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV Patk ?ed.
Booster Pump _ Copies 44ro-
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
B1dg. Off
Variance
Phone #
.- ? Smmqor as Cert Wte
SURVEY FQR; -170jltier t'ridivest liomes Corp.
DESCRIBED AS: I,ot 11i, Block 6, g•pAFFORD PI.ACE, City oE E-,nan, nak,>ta
an;l reser.in ? c,isemen f record.
P.R.V. REQUIRtb
1 aS6•?
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3?
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F,4i c«.J ?Jore•. 'y?
PROPOSED ELEVATIONS
Top of FounAa?foe . 8ts. +
G0/p" fl00f ? 6b3.o
eON11N/11 FIOOf • 36o.t
aPVrOII. $eMw $MYkG EloV. o
Proposetl Elevations
Eaistinp ElwaNom .
Dranup• Directbns , ...?-?
Dmotes Ofbet SJab ? p
/iEDLUND
P/anning EngrneBring ,guiy",W
as. ?r?r? ,., ? r..r.u. rwo
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.oo s
,
V.
42? oR
ZQ.?
as? S '
N
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SCALE: 11naA a 30 Feet
35
,eEpI -.?;_--
?u t) '0Z
BENC A?K:
T.N, HYO, L. N.VI, Cor::'P Lo+Elw.: 96?.9q
NIN. SETBpCK REOIREMENTS
Front - 3o Maw SIM -
Rear - 15 Go?oqe Slde - ;
I nonsr wnry nat tW wrv+r, nwn x nport rw YrKa/N M ,w
w
or onMf or A4ftt rqrNGlan Wq /Ma1 i om o aury peaisuna
Lmd Surv"w un"r tpe 1ow sl tlr 9tate of Waaosate.
Oap: z%s
D.
J08 N0. +
BBR- 329
BOOK
PAGE
APFLICATION FOR PERMIT
i
..
.............
,
N01E: PAYMERL OF FEE AT 1'IME OF
.
; AePLxcrazoN ooES Nar croN- ;
? STI1Vi8 APPR(fJAL OF PEPFIIT. :
?
f INSPFZTION OF SE4Ei A[3)/OR FUA1fR •
; irsrr,LLATioHS WUL r,oT aE SCEDRED ;
? [TlPIL PII2MIT HAS H@7 APPRWID. ?
•fs.::tt+:?:?irs?:rrte?:r3?yr.rrr?txr:?w?+
SEWER AND/OR WATER CONNECTION
dtV oF eagan
PLEASE PRINT
1) rxoPSaz^r rWxEss: yoao P,,,NSyl-vAroi,9 AdENUE
T.FI;AT DFSCRIPTION: . . . LoT .1.9 -1&_oC_l!a STAFF0,20 PLAGF-
on or •rax r
IF EXISTING STRLCTORE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mon Year
PRFSENT ZONING/PROPOSID USE:
Q COMP79EEEtCIAL/RETAIL/OFFICE
Q INIDL?STRIAL
? INSTIT[.rPIONAL/GOVII2NMENT
I71 R-1 SIIvGT,E FAMILY
? R-2 DUPLEX ('Tvn L'nits)
? R-3 TOWNHOOSE (Three +.Units)
Q R-4 APARTMENT/COPIDOMINIUM
( Units)
( . Onits)
z) ? rAME: f,e0Nnc,2 Mibu_)FSr -tfomas Co,ePo,ei?noN
ADDxEss: ?9oa 0,4DFheV.4Lg -?),eiVE
CITY, STATE, ZIP: EA6R N, M nl 551 a a-
rxorrE: 45U -04 33
/? For City Lse
3) • u:?: NAME: r L u. M 31 N 6 Plwnbers License:
ADDRESS: /()/ g 1Nt o t.uv D S(?R! N6 S TC,Pp4C.E Active
s Fxpired
CITY, STATE, ZIP: `BLooM.i.N.GTDNj /V(.N 554DO Not recorded
PxorE: 88LJ - c1 i Llq MASTER LICENSE # 33 a°J Sta inLal
4)
NAME: MuµAMMA[> NIEF+bI'TqNflMI_ HwJ SNE,eP-J Ly,vIV
rDnRFSS: 7Lo600 _PEivN AviZtiuF_ So(-Lrf-r 0a-43
ciTY, STATE, z2P: _RiG/-/F1!-=Z_D, NI N` 554-23
PxorrE: 8(o(v - 9a9a.
QSTZunfD
5)
? CONI?CrION TO CITY SEWER ? CONNECTION TO CITY WATII2 OOTI3ER
6)
D/e
**??+,+*+*:.,+*?********??******?*******?********?**,r******?,r******,r??«??????,.???xxxxxxx,.xxxxx,.x-
*
,*k THE GOID COPY OF THE PII2MIT WILL BE SIIdP DIRDC7Z,Y TD PC?BISC WORKS 1U FACILITATE M6TEI2 PICK-C?P.
PLEASE ALTAW ZF10 WORKING DAYS FOR PROCFSSING. SOPIDONE FROM TfIE CITY WILL CONfALT YOL' IF TFIERE
* ARE ANY PROBLEMIS.
FOR CITY.USE ONLY PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ WATER PERMIT (INCLDDE SORCHARGE)
$ 7'cr-z) $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $
WAC
$ SAC
$ $ . TRONK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUIVK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ l? L Z ? a $
TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK FIITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION ISSL?ED BY THE ENGINEERING
. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: ?/?if ZPV
, • Whala Nouso W carkshaet
c?.,mw.wn?.??a?.l ?j z?2 YYI { wz,?1 ?aawn
l'nr SIW 2iP TMrWwM NumWr
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•1VM1p??
v3 TI 0 ,
??C}p? ' ° •y,c'' • ON:D/4T Q -
GROSS WALL ,3Q /,3 p .
DOORS & WINDOWS ITio4 A a YI' ' --- A?.?r?. °•__ • ?COOUNG ?- rd.:,..
' ?' ,'L
'r.eiow " . ' '?i?fiii a w''•.
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.?6 CEILING o ?1 0
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Y 1O % ldhu Y
x
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x &T x
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SUB-TOTqL BTUH L0 S lpw t0*ij
x ADJUSTIAENT iACTCR (TiW? C! • . .
S. ? V 1 10TAL YTUN LGSS
1EOP a 300 BTUM GAIN °"?+
?
APPUANCES BTUM o0
32W
SU&70TAL 6T1H GAIN Iroom wm" )
" O1JCT LOSS/GAIN FAC70R (TiCN F)
: SUB•TOTI?L BTUN (SuwfbN GdM - - .
MOI6TURE REMOVAL Nu6 wul x 1.3)
? TOTAL BTUM LOSS/GAIN
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wVUmV-uNN/NRwINOWY* r. .
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wrarr ?wr??ur wwuur
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114342
Date Issued:09/13/2013
Permit Category:ePermit
Site Address: 4020 Pennsylvania Ave
Lot:19 Block: 6 Addition: Stafford Place
PID:10-72500-06-190
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 .
Don Schutte
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 -
Jennifer L Eisen
4020 Pennsylvania Ave
Eagan MN 55123
(651) 442-8809
Minnesota Roofing Remodeling Inc
10425 93rd Ave N
Maple Grove MN 55369
(763) 208-7819
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120213
Date Issued:01/27/2014
Permit Category:ePermit
Site Address: 4020 Pennsylvania Ave
Lot:19 Block: 6 Addition: Stafford Place
PID:10-72500-06-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Stephanie Vought
3451 W Burnsville Parkway Suite 120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer L Eisen
4020 Pennsylvania Ave
Eagan MN 55123
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA123497
Date Issued:06/09/2014
Permit Category:ePermit
Site Address: 4020 Pennsylvania Ave
Lot:19 Block: 6 Addition: Stafford Place
PID:10-72500-06-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer L Eisen
4020 Pennsylvania Ave
Eagan MN 55123
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA124723
Date Issued:07/09/2014
Permit Category:ePermit
Site Address: 4020 Pennsylvania Ave
Lot:19 Block: 6 Addition: Stafford Place
PID:10-72500-06-190
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Gina Bresnahan
3451 W Burnsville Pkwy #120
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer L Eisen
4020 Pennsylvania Ave
Eagan MN 55123
(651) 442-8809
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157802
Date Issued:09/09/2019
Permit Category:ePermit
Site Address: 4020 Pennsylvania Ave
Lot:19 Block: 6 Addition: Stafford Place
PID:10-72500-06-190
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jennifer L Eisen
4020 Pennsylvania Ave
Eagan MN 55123
(216) 978-0559
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature