1852 Pumice PtKNUTSON MORTGAGE DETACH AND RETAIN THIS STATEMENT
THE •ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED BELOW.
AND FINANCIAL CORPORATION IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT DESIRED.
+ j } MINNEAPOLIS, MINN. 55401
9-1-70 70 1305 Sewer & Water Lateral & Storm Sewer 1,705.44
23/2/CG7
Pike, Donald ##12616
/ mt
CITY OF EAGAN Remarks
Addition Lot 23 Blk 2 Parcel 7 A 167A6 23A 02
Owner Street 1852 PUA11Ce POlrit State EaQan• MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1970 58.18 2.08 28 Paid
* SEWER LATERAL ],<j']j 20
WATERMAIN
* WATERLATERAL (?L 1971 1,615.00 80.75 20 Paid
WATER AREA
* STORM SEW TRK ? 1971 o
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 2268 4-6-70
BUILDING PER.
sac 200.00 2268 4-6-00
PARK
TOWN OF EAGAN
3795 Pilot Knob Rcad
St: Paul i Ntinn. 551 11
PERMIT NO.s 9
The Board of Supervisors hereby grants to fl?aar Or-ve cQ??tmction Coo
nf7343 Gor,eord. Bl_vd. E., So. 5t. Pacal a Neasting
Permit for: (Owner) Cedax Grove Const. Ga. ? at 1552 Pumite Po7.nt 23-2-7
pursuant to application dated April 20 1970 -.
Fee Paid: "'2Q•?a .____ Dated this 6th day cf Apxil , 1970
?Building Inspeetor ? ? w
TOWN OF EAGAN
3795 Pilot Ki1ob Rcad
St. Paixl., Minn. 55111
PERMIT NO.: 90 ,
The Board of Supervisors hereby grants to C??,!ir !?rnv^ Ccnatrueti?on Co.
f1f 7YF3 . .;I?.".?.._..:4e??'(? Y.I.e , Joo P:)ta P.F`a.-41 $ pll?Y.^?i`.'.nq.._.._....?..._ ?..?._?....?..?..?.?_P._?....??.
Permit for: (awn.er) Cedsi._ Grove ConetrucLien QX, 191--2 'hm? icp poa.nt _?_3-P-7
-,_,_, pursuant to application dated ±??''?-?- 21 1,070 __.
Fee Paid: ?^O.^00 Dated this 6+al day bf ?or11 , 19Lo.. " A
?-lBuilding Inspeetor -- ~ «r
EAGAN TOWNSHIP
BUILDING PERMIT
owner ..••-..?1r-?..??? ?'=-?`•-- - x ----- eo •.
• ..... - - ------- -----.....•-._....------
Address (presen!) __.??`.?:j--•-??:x-:?'::4_ .... /--z'-•e -. e:•-.._.
Builder ........4?-. . ...__/...?::1:Y.-?---•?-`•'•?`===a?•--:-
--•••-...•• --•
Address ..•-••••-•-••-•.....--••-••••••••-----•.....-•-•••••-•••-••••--••---•-••-••••...._......-•••--
DESCRIPTION
11T° 2201
Eagan Township
Town Hall
Dale .... /./1 /.............................
5to;ies To Be Used For FronS Depih Heigh! Est. Cos! Permit Fee
- Remarks
? •5?,??,.-,?e? v?-t-??
/l %'?? o---?-' /l? °_" -?z.?-..«--c ? ?L?- ?.?. ?/??`:
LOCATION
Sireel, Road or other Descripiion of Localion I Lo! Block Addition or Trac!
?-,c..c? L?,•?,,.,,,.?,, .Jt..w- ?.17 0 -- /'7.70
.q69 - hRV i ,x '4?1t'L- d;-. 2
'.! ? `3 - i 1 Is1 v -....-..-? ?,r I S C'`'``'`-" y- 7
This permit does not authorize the use of siree2s, roads, alleys or sidewalks nor does it give the owner or his agent
the :ight to cres2e any situalion which is a nuisance or which presents a hazard to the heal2h, safely, convenience and
general welfare !o anyone in the community.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. .
y, •?.`,?:°.c-••--•:•--..has permission to erect a._?_?.•••-'•-=••..??:?_i
This, is !o certif ihal---<•-• ..............•• •• •-- z, ...... - ..................... upon
the above described premise subject io the provisions of the Building Ordinance for EagarY Township dopied April 11,
1855.
......................... . .._ . .. ..
of Tnwn Board Building Inspec2or
, ?13
.?;
?
??G`
H 6???
4as
?
Request Date Fire No. Rough-in Inspection
Required?
? Ready Now
lWill Notify Inspector
itine 1992 ? Yes r No When Ready?
I? licensed contractor Ll owner hereby request inspection of above electrical at:
Job Address (Street, Box or Route No:) itY
I_ 2 as1cE Po1C1t ]b aCI ?
Section No. Township Name or No. Range No. County
LS A F?
Occupant (PRINT) Phone Na
1.onald 1* Pi.ke 454 6571
Power Supplier - " Address ' - •
E?akota Electra.c Associatio 00 220tb West Fara?i ton Mn.
Electrical Contractor (Company Name) Contractor's License No.
Mailing Add ss 7ntractor or Owner Ma ' Qon)
Authori d Sig t (Contr r/ ner Inst 7 one Number MINfiESO'15t STATE BOpR¢ OF EL CTRICITY ? THIS INSPECTION REQUEST WILL NOT
Grlggs-Midway Bldg. -- Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Unlversity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCIOSED.
/! REQUEST FOR ELECTRICAL INSPECTION
this torm on back of yellow copy
? huctions tor com
letin
? eg-ooooi-os
H 675 6 .
p
g
"X" Be/ow Work Covered by This Request
ew Add Rep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer X Other (Specify)
Comm./Industrial ' Fumace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
eyele? servi"?k+'?"a «4 ,p??r A/C an,,}
41Compute Inspection Fee Be/ow; ????li?nta1 el'??tric beat
# Other Fee # Service Entrance Size Fee • # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS Inspector's Use Only:
? TOTAL
Irrigation Booms lv.. ?,5.,5()
Speciai Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final o
OFFICE USE ONLY a `
This request void 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
? 3830 PILOT KNOB RD, EACAN MN 55122
3
651-681-4675
New Construction Reauirements RemodeURenair Reauirements ?-6? ,?-?
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of pian showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options setection sheet (bidgs with 3 or less units)
?
DATE VALUATION
SITE ADDRESS I?SA PitryZr'C.P MULTI-FAMILY BLDG _Y C?. N
TYPE OF WORK S t'? (kt9 I6M, 5c- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ? e- / Dy,
STREET ADDRESS 7- AJeCo 11?1?' ?.5+ CITY ?oritSvdCa STATEAZA)ZIP SS' ?;Z
TELEPHONE # f5g???o?-s??s9 CELL PHONE #
FAX #(°l?A S'as- K$' 4 6
PROPERTY OWNER 7?>{'1ald TELEPHONE #665701s y_if'; 5'W
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(d submission type) • Residential Ventilation Category 1 Worksheet Submitted ?
• Energy Envelope Calculations Submitted ?
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery System
Phone #
Phone #
3w?56e'r4y Cod'' Wark H t Submitted
AUG 0 2 2002 ;
Fee: $90.00
Fee: $70.00
--------------------------------------------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Si nature of A Iicant .
?
9 PP eq ?_
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
OFFICE USE ONLY
Water Softener _
Water Heater ?
No. of Baths
Phone # gy.
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs
7ype of Const
Occupancy
Zoning
Stories
Sq. Ft.
Length
W idth
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED 1NSPECTIONS
_ Footings (new bldg) FinaUC.O. _ Footings (deck) ! FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof T Ice & Water _ Final _ Pool _ Ftgs ` Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
` Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ;
0 12 12-plex Pibg_Y or _ N ? 25 Miscelianeous
'
? 35 Int Improvement ? 38 Qemolish (Interior) ? 44 Siding
0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 DemoGsh (Bldg)* 0 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant '
Approved By
Building Inspecto"r
-------------------------
", PERMIT #
RECEIPT DATE:
2002 USIDENTIAL PLUbIBINC PEftMIT APPLICATION
crrY oF EAaArr
3$30 PILOT KNOB itD
KAfiAlv, MN 55188
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation systerr?
l_.;1,,,
SITE ADDRESS: (Y?IC? ?Oti ?
1-1
OWNER NAME PI Kt, Dov) aM TELEPHONE #: (:,EN lfj4 ^ bCJ? 1
(AREA CODE)
INSTALLER NAME: Wp, Pi F,>eworks TELEPHONE #: C0JI ?J4340
STREET ADDRESS: 5670 t D0Aa RcU (AREA CODE)
CITY: STATE: M N ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
7JU RPZ: new installation/repair/rebuild 4 ZOOZ $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener 1 water heater $ 15.00
State Surcharge $ .50
1560
Total $
I hereby acknowledge that I have read this application, state that the information is correct, and agr t ly ' all applicable Cityoffagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no li ili f ages ed by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within Ci q p r ay/ ement.
a.ry ;
SIGf?VATURE OF PERMITT,EE 1/02
,/ ?
p - I
EAGF.N TOWNSHIP
3795 PiloC Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date: ?Z4
f
Bi l ling Name: &&I, /l,?u( ..,? ,
Owner:
Plumber;<Z2&?, tion of Connection
Number: 419 d3
site Address:1gr'i??,,,,?
Billing AddressA5*,3 4?4Ze?Q
06. JY, Uauo
J .'.?.?,y,,,??,
?SO 7v^?
er
4/6/70
Connection Chg.
Meter No,? I Permit Fee 10.00 pd 4/6/70
Meter Reading ,Meter Dep.
Meter Sealed: Yes lAdd'1 Chg.
NO iTotal Chg.
Building is a:
Residence XX
14ultiple Lo. Units
Commercial ?
Industria 1
Other
Inspected by
Date
Remarks:
By:
Chief inspector
In consideratioa of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the ruies and
re$ulations of Eagan Township, Dakota County, Mianesota.
By : e ??r?ir.rr?f ? (rL2?d?? ? ?
---?----
- /)-?, I-/, & 64at "
Please aotify the above office when ready for inspection and connection.
i ,?. I
EAGAN TOWNSHTP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454•5242
PERMIT FOR SEWER SERVICE CONNECTiON
571
DATE: NUM$ER
4
OWNER:geA?_ - & Address 1 fl vS? 1/ _ ,. ? ?PLUMBER??2.c,2 •,Ch-t,CJ_ TYPE OF PIPE ( d.?L
DESCRIPTION OF BUILD ING
Industriall Commerciall Residential I Multiple Dwelling ! No, of units
xx
Location of Connections:
Conaection Charge 200.00 pd 4/6/70
Permit Fee 10.00 pd 4/6/70
Street Repairs
Tota 1
Iaspected by:
DaCe
Remarks•
By???I
? Please notify when ready for inspection and connection and before any portion
of the work is covered.
By
Chief Inspector
In consideration of the issue and delivery to me of the above perm3.t, I
hereby agree eo do the proposed worlt in accordance with the rules and
regulations of Eagan Totmship, Dakota-County, Minnesota
MUNICIPALITY OF: Egan Township ,
3795 Pilot Knob Road
St. Paul, Minnesota 55111
'
RE: 25/2 Cedar Grove No. 7,[- 23/2 Cedar _ Grove No. 7,,
?22/2 Cedar
.
Grove No, 7 each 1 t
Enclosed please find check in the amouDt of 12705e44 / ?or
payment of special assessments on the property described above.
Please refer to our file no. DI3648 when returning receipt.
D136942 D13577
Thank you,
MIDWEST TITLE GUARANTEE COMPANY
J,1g'"1IST Ti7[E
211 East Third Stre2t
kj&Sjj_RGS,. NIINNESOTA 55C33
L - By Donna Klotz
<
? yV
i??
Merrnit -- i'do. ' issued i cors:eaeficar I Owner
- - -?-?--- _ _ __ -
BUILDIfJG
aAM e
?-
RLIJMBING ?
CESSPOOL - SEPTIC T6AR1K ?? ? ? ' ;
El FCTRICAL
- --- - ? ?_.___--- j ' -
MEATIPdG ? I
GAS INSTALllNC
sANiT,aRr sEvvER
OTHER
OTNER
AppP9'd'k't7` ! i
? I4ems (BraiSiai) Da9e !
(=QQT1lV a/3 -,2- `7 21,) i
FOUNDATIOPJ
-----??I-?°°s-_ ^.?
70 I
?-
FRA6MIIVG ;
F!NAL.
ELECTRlCAL
?
NtATING -
' I
GAS INSTAfLATiON
SEPTIC TANK
--
- i
CESSPC?9L
- I ?
?
DRAINFIELD -
PI.U/V16INC ! !
°7 qm6-, 2V i?
I
?
S,4fJITARY SEVdER
_ ??a----?
-
-
i
?
?
9 I i
CQMMENTS:
Remarks DisPance Erorn 4Ve99'
$E€'TIC
CESSPoOL
TILE FBELl7 FT.
DEPTH
OF WELL
4°°solations iVoted
ors Back
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112996
Date Issued:08/28/2013
Permit Category:ePermit
Site Address: 1852 Pumice Pt
Lot:23 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-230
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 .
Randy Bradach
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 -
Donald E Pike
1852 Pumice Pt
Eagan MN 55122
Bradach Roofing, Siding & Seamless Gutters Inc
18267 Italy Ave
Lakeville MN 55044
(952) 892-6015
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152699
Date Issued:10/26/2018
Permit Category:ePermit
Site Address: 1852 Pumice Pt
Lot:23 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-230
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 -
Donald E Pike
1852 Pumice Pt
Eagan MN 55122
(612) 430-1498
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166793
Date Issued:02/04/2021
Permit Category:ePermit
Site Address: 1852 Pumice Pt
Lot:23 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-230
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Maryknoll Llc
161 Marie Ave E
West Saint Paul MN 55118
Elias Plumbing
17081
Encina Path
Farmington MN 55024
(612) 210-4081
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167975
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 1852 Pumice Pt
Lot:23 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-230
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 -
Maryknoll Llc
161 Marie Ave E
West Saint Paul MN 55118
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173334
Date Issued:11/08/2021
Permit Category:ePermit
Site Address: 1852 Pumice Pt
Lot:23 Block: 2 Addition: Cedar Grove 7th
PID:10-16706-02-230
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Bridget E Fitzgerald
1852 Pumice Pt
Eagan MN 55122
Haferman Water Conditioning
12142 12th Ave.
Burnsville MN 55337
(952) 894-4040
Applicant/Permitee: Signature Issued By: Signature