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4046 Rahn RdDate: Tenant: City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Nez.k A-.3 a C < +'Vt`fk U--tu‘A• Q CL V 0.4, r Use BLUE or BLACK Ink Permit ` 70 i.► Permit Fee: Date Received: INFLOW & INFILTRATION PERMIT APPLIC Plumbing / Sewer & Water Site Address: "'`7 Q �-- Suite #: RESIDENT / OWNER Name: 0 L C P t t4'G'n..7 Q t'L-,- Phone: Address / City / Zip: X--4.._ CONTRACTOR Name: TAli Rc. L 6f.- License #: 5-r['k'[ k I � �� vu Po- '� ` O•1''�-"A t G. City: /ltr: l al' o, 04.5 Address: 7O '� ,q� " r / tr rt f e�, State: y Zip: 3t - 5 Phone: CQ f^ T ,1 "t '- 1 ? ` Contact: D / -v e.-- Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) ><Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: / \ � d t s tv G.. S i`' t�- r 1 $c_ T� I•-4 "0-e av «1.. Cy.tifogai 4 c FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ * *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq I 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 work 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. ()Atm) f4Aec,wil Applicant's Printed Name 411,7 x p Applicant's Sig #re CITY OF EAGAN Remarks * Cedar Qrove Acquisition Addition CEDAR GROVE #5 Lot 13 Blk 4- Parcel 10 16704 130 04 Owner ?-t-'? `± '•i cy Street 4046 Etahn ROad State_Eagc3n , MN 55122 ??, y/' ".'e, Improvement Date , Amount Annual Years Payment Receipt Date STREET SURF. 1967 450.00 45.00 10 Paid STREET RESTOR. GRADING SAN SEW TRUNK * SEWERLATERAL 1972 1,304.00 52.16 25 Pdld WATERMAIN WATER LATERAL 1972 WATER AREA STORM SEW TRK 1970 70.00 3.50 20 Paid STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. sac 200.00 452 10-25- 7 PAR K CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Site Address _ Lot Block Parcel No. 4 Receipt # Est. Value Date ,19 R D '?R!J1/E STii Sec/Sub. c Name & 0. W 3 Address 0 City Phone ' a .o Name ? ` Address s- City Phone yVj W Name _ Z Address ? City Phone eW OFFICE USE ONLY On Site Sewage _ OCCUpanCy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. APPROVALS FEES Assessments _ Permit Water/Sewer _ SurCharge Police _ Plan Review Fire SAC, City Engr. _ SAC, MWCC Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationiscoRectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature of Permittee TOTAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. Building Official i37r Permit No. Permit Holder Dats Talephone ? Plumbing H.V.AC. Electric Softener Inspection Date Insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final Cert. Occ. Temp. LP Deck Ftg. Deck Frmg. Well Pr. Disp. EAGANTOWNSHIP BUILDING PERMIT , ?,? ??,.?:??-: owne: ?- -----? ---.,? ??--- --- .......................................... ?--• Address (P=eseni) -•..?`...-•-?-?'•-----°-.....-••••-•-•-....._!i`_................. Builder ................ At:'•* -•••----••.....••-•---------•-•• .............•---•-•--.. Addrass .---•••-•-••-••-••--••-••-• ................•--•-•--•-••••-.......-•--•-........_.... DESCRIPTION N° 2549 Eagan Township -, Town Hall Date ...... ??/ /.7/ • ........................... 5tories To Be Used For Front Depth Height Est. Cosi ' Pesmi! Fee Remarks ,•i..s-e?''?- ?- c.= '-?2_ ? 7- 0-0 i t' W LOCATION Stzeet, Road or oiher Description of Location I Lo! Block Addition or Trac! ? 1,3 ? This permii does not suthorize the use of streets, roads, elleys or sidewalks nor does it give the owner os his agent i the right to create any si2ua2ion which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare 2o anpone in 2he communilp. ! THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS.? This is to certify, tha3_.:%?`:L ='_______ _ __ ___ _ ._..._..has permission to ...... _upod !he above described premise subjec! lo lhprovisions of !he Building Ordinance for Eagan Townshi ado ed April 11, 1955. ........................... ??-••••?'••--•./...?...?._B::?:-:--•••-•.... Per ._...._........_..._.!?:`?:`..__....,?.?.........'? Chairma of Tnwn oard Buildin Ins ector CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Elt3fLDING PERMIT PH ON E: 454-8100 Receipt # ,., 4 - To be used for DECK Est. Value $1, 000 Date JUNE 10 Site Address 404 Lot 13 Block 4 Parcel No. ,19 87 RAHN RD Sec/Sub. CEDAR GROVE STH rc Name KATHY DRAIZON &_0. PITTINGER z Address SAME ? City Phone 452-4155 OFFICE USE ONLY On Site Sewage _ Occupancy MWCC System _ Zoning On Site Well _ Type of Const City Water _ (Actual) (Allowable) # of Stories Length Depth S.F. Total o STZCKS & STONES DESIGN Name Footprint S.F. ?a Address 2716 W 45TH ST APPROVALS FEES ? City MPLS Phone 920-2400 Assessments _ Permit $20.50 F WatedSewer _ Surcharge .50 yVj W Name Police _ Plan Review _ ? Address Fire _ SAC, City v Engt _ SAC, MWCC a W City Phone Planner _ Water Conn. Council _ Water Meter I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit thattheinformationisCOrrectandagreetocomplywithallapplicable APC _ TreatmentPl State of Minnesota Statutes and City of Eagan Ordpan es. Variance _ Parks . Signature of Permittee Copies TOTAL 1. 00 A Building Permit is iss ed to: ICKS & st es design on the express condition that all work shall be done in accordance with all applicable State o innesota Statu andCity of Eagan Ordinances. Building Official -46 N_ 13760 '539 EAGAN TOWN S H I P BUILDING PERMIT owner •-•1 •:..----c!..:•::............................. ,Address (Presen!) ?JA, ---• .... ?:-:Y?r =' -f---- Builder ---.-----..lLac..x.=-?....................... ---.- -..--.-•--••---• ................... Address .......................... ------------ ------------------------- ---.................. .......... DESCRIPTION N° 1839 Eagan Township Town Hall Date ''P/f-?-/-? ....----•-•-•----- -....-•--• .............. 53ories To Be Used For Fron! Depth Heigh! Est. Cos! Permit Fee Remarks {A ` ? ' /'.d'O'7"i_ s 6O• ? ?Ci/ ..?LrC,?l. ?.?.i?... w?- ? l`-?? N'?-- Jct LOCATION S2ree2, Road or olher Descripiion of Location I Loi Block I Addilion or Trac! This permit dces nof suihorize the use of sireels, roads, alleys or sidewalks nor does it give the owner or his agen! the right to create any si2uation which is a nuisance or which presenis a hazard 2o the heallh, safety, conrenience and general welfare !o anyone in the communiiy. THIS PERMIT MUST BE KEPT ON?THE PREMISE WHILE THE WORK IS IN PROGRESS. , This is !o certif y, ihat -•-? _e.._..---..__.has permission to erect a_... ? ? -----alc_..-- -`---••••--•----..._..??._. .-._ ? <-x^----`•rt ::L.<- ?----.....upon the above described premise subjeci io the provisions of the Building Ordinance for Eagan 'ownship adod April 11, 1955. ----••--•••.?1.,}`-??...••--•- ............................. Per ------------- -----?.? - ......... ??`"?.?-r__ ? r•...---...-•----•-?--.•°-?---.... ( C irman o? T?n Board Buildinq Inspector 4'?j. ?il?" 1 MEMO city af eagan TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to inform your department to bagin to invoice the energy costs at the singie family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. Block 1, Lots 1-22 22 Block 2, Lots 1-19 19 Block 3, Lots 1-11 11 Block 4, Lots 1-16 16 Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, Lots 1-25 25 Block 8, Lots 1-5 5 Block 9, Lots 1-2 , 2 Block 10, Lots 1-23 23 Block 11, Lots 1-14 14 Block 12, Lots 1-9 g Block 13, Lots 1-15 _ 15 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. `{-?''/,vu ? ?a I / Edward J. Xrscfit - - Sr. Engineering Technician cc: Mike Foertsch EJK/je 0 ? . .? 1987 BUILDING PERMIT APPLICATION -?CITY OF EAGgN ' SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFIC9TSS OF SQRVEY, 1 SET;fOF ENERGY CALCULATIONS NOTE: lDDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MIIST DESIGNiTE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE iL.LOWED ONCE BIIILDING PERMIT IS ISSIIED. MULTIPLE DWELLINGS - RESIDENTTAL RENTAL IINITS FOR SgL.E DNI?S INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCI9L INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS; 1 SET OF SPECIFICATIONS AND 1 SET OF , ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND (5 To Be Used For: -be-c Valuation: (1 D Site Address OFFI Lot ?3 Block On Site Sewage ' MWCC System Parcel/Sub On Site WeII I) 1 /?j City Water Owner {??C1i_?Tn,'?/?/u.? ? V(l ?Cy"??? i?Tlr1? ? Address -40-161 f2c,l?ir_19 r City/Zip Code Phone APPROVlLS Contractor L. ' Assessments ? Address 7-7((o UJ Water/Sewer Police Fire City/Zip Code ??l ??i S^5?`f(U ^(f-11 Engr -? Planner ' Phone 2Couneil j' Bldg Off Arch. /Engr. APC Address Variance City/Zip Code Date: _ IISE Oceupancy Zoning Type of Const (Actual) (Allowable) # of Stories Length Depth ? S.F. Total Footprint S.F. FEFS ? Permit ?• -' Sureharge ,iE? Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Onit Treatment Pl Parks Copies TOTAL ?. • 3-10 Phone v 7 ? ? '. ? _ ./??" .._ _ _ ?. ., -µ,a'?. ?'4m.uw .?Fn ?n..._. ?.ix..iv....:..:.. ..a._-%.': . . .....ew:..:+... _'. _ _ _'. _. . . . - ?- ? ? ? ? c ? ? ? ti U? ? `? ? ? L. ? Y ?? ? ? . V `V/?? \ ? s ? ? r ? ?_ !i ? {? /? ? ?? ?,, ? '? ??? ? N ,? y.., ? i ?' ? i ,a ,? ' __?._??.,?.?Y? - ?r;X??:?+? ? ? ? \ + .?.>,.. .. ..,.-a=;w..m,r_.?.w.s ? ' , ?,,....n....a..?,,.??.,.,,e..?.?.?< ??:w.,...;.,..,?-w.-..,.o ....?..J..,,.?.......?,.s.,»-__.??.?.?_:..,.e.??,?o.. -?-.?.,, , .. _ . _....._.....e,,._- - .a...=::-*?.._.?:,.y„ " _..-..?.-..?..,.-*«?..e...?..,r..?„„, -_ ? ? ? VJ MASTER CARD ? LOCATI ON y0 ?? /.? -y - S-0 Permit No. Issued Issued To Contractor Owner BUIIDING PLUMBING 7-t -?-? - CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALUNG SANITARY SEWER OTHER OTHER • Approved Items (Initial) Date Remarks Distance From Well FGOTING SFPTIC I FOUNDATION • • 7 CESSPOOL FRAMING • ,? ? ? TILE FIELD FT. FINAL ? ELECTRICAL , DEPTH HEATING ! OF WELL GAS INSTALLATION SEPT(C TANK CESSPOOL DRAINFIELD . PLUM81M1tG WELL SANITARY SEWER Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF CBSERVED VIOLA4TIONS ? PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONST.n,UCTION AT THIS INSPECTION a NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: F NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REIPISPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions oL•served to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR COMMENTS: DATE • . 23 EAGrN xocqNsxxp 3795 P31vt Knob P.oad St. Paul, Minnesota 55I11 Telephone 454-5242 PERMTT FOR SEWER SERVTCE COiVNECTiON DATE : ? v OWNER:('4,71R2/ PLUMBER R''ilM'SER .12 / 4? Address TYPE OF PIPE DESCRIPTTON OF BUILAING Industriall Commercia3( Residential Location of Conneceions: Multiple Dwelling I No. of units Connection Charge -h-4,? CID Permit Fee StreeC Repairs Tota 1 Inspectied by: Date Remarks: By Criief TixspecCor In consideration af the issue and delivery to me of the above permit, I hexeby agree to do Che proposed work in accordance with the ruies and regulations of $agan Tocroship, Dalcota County, Miranesota gy ... Please notify when ready for ittspection and connecCian atid before any porC*larz of the work is covered. ??17 1 r ? i?'?L iNSURANCE CORPORATION ---- I3A.TE s January 10, 1975 City of Eagan 3795 Pilot Knob Road Eagan, Minnesota . vu?,.i. .r.. . Northwestern Financia! Cenier 7900 Xerxes Avenue, Sor::h Bloomington, Minnesota 55431 (612) 835-1881 FILE N0. M rnh? PLI?.tawE FI1VD ENCL05EA qUti CHE;CK 7N TH'C AMOUNfi OF ? 1,1 44 . 36 FOR PAYNIMW IN FULL OF assessments due and payable on Lot 13, Block 4, Cedar Grove No. 5 4046 Rahn Road, Eagan, Minn. . Buyer - Schomaker _ THANK YOU. SINCERELY, Janice Anderson Title �City afbtu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 For Use Permit #: Permit Fee: Date Received: Staff: 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: s28'0g( Site Address: 40111-4, f -t t it- Lb -Lib J Tenant: Suite #: RESIDENT / OWNER Name: NG12 en Phone: 661- 4-52- -- ii'i 55 Address / City / Zip: 41) i+ to - Ie-etkvt, ietiLet,C �GI� ✓. a& f h. Js i a c3> CONTRACTOR Name: ly,i}/LIIL_ Zt ice-' J of h .AU -License #: o. ''l q 3-7 P»i AVAddress: 7i y ` , City: .. , r e &C Zip: ` -2.3 Phone: 01 � r_ 104 -OM 2- Contact Person: f '' TYPE OF WORK New 7( Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. _ _ Description of work:,11.4174-411- t'Uiz — Vi -I it 1 RESIDENTIAL Water Heater Water Softener iuiu j "i'u%� . 5 1 ��� 5(1Ut Level) PERMIT TYPE Lawn Irrigation Add Plumbing Fixtures ( RPZ / PVB) ( Main _ Lower — Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water (includes $.50 State Fixtures, Septic (add $165.00 if New ($10.00 per Softener, or Water Heater and Softener (includes $.50 State Surcharge) $.50 State Surcharge) TOTAL FEES $ $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace Surcharge) System Abandonment, Water Turnaround* (includes a 5/8" meter is required) as built) (includes County fee and $.50 State Surcharge) ductwork, etc.) (includes $.50 State Surcharge) burned out appliances, I 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 work is not to start without a permit; that the work will be in a >. dance with the approved plan in the case of work which requires a review and approval of plans. s Printed Name s Signature Required Inspections: Under Ground Rough -In ,_;,Air Test __Gas Test _,._Final City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4046 Rahn Rd Lot: 13 Block: 4 Addition: Cedar Grove 5th PID:10- 16704 - 130 -04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445 -2840 Fee Summary: Total: Contractor: Apple Lake Heating & Air Conditioning 207 150th Street West Apple Valley MN 55124 (952) 431 -4328 ME - Permit Fee (Replacements) Surcharge -Fixed Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Owner: K H Drazen 4046 Rahn Rd Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: $50.00 0801.4088 $0.50 9001.2195 $50.50 Mechanical EA091021 09/03/2009 ePermit I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA116274 Date Issued:10/04/2013 Permit Category:ePermit Site Address: 4046 Rahn Rd Lot:13 Block: 4 Addition: Cedar Grove 5th PID:10-16704-04-130 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Brook will call back to swap to a new address 10-4-13 ag Please print pictures of ice and water protection and leave on site. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - K H Drazen 4046 Rahn Rd Eagan MN 55122 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA176155 Date Issued:05/03/2022 Permit Category:ePermit Site Address: 4046 Rahn Rd Lot:13 Block: 4 Addition: Cedar Grove 5th PID:10-16704-04-130 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 - O Pittenger 4046 Rahn Rd Saint Paul MN 55122--286 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-7052 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA177754 Date Issued:07/18/2022 Permit Category:ePermit Site Address: 4046 Rahn Rd Lot:13 Block: 4 Addition: Cedar Grove 5th PID:10-16704-04-130 Use: Description: Sub Type:Water Softener Work Type:Replace Description: 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 - O Pittenger 4046 Rahn Rd Saint Paul MN 55122--286 (651) 452-4155 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature