1327 St Andrew BlvdPERMIT
City of Eagan Permit Type:Building
Permit Number:EA128507
Date Issued:11/17/2014
Permit Category:ePermit
Site Address: 1327 St Andrew Blvd
Lot:9 Block: 2 Addition: Fairway Hills
PID:10-25600-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Karen L Kryzer
1327 St Andrew Blvd
Eagan MN 55123--215
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 J. ))
AMOUNT $ di
& DOLLARS
too
? CASH yCl CHECK
r
BY White-Pay- COPY
C , ; t Yellow ng Copy
Pink-File Copy
Thank You t
,BLDG. PERMIT NO.
01-3210 Bldg` Permit
01-3422 Plan Check
01-3445 Surch./Adm.
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
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
6;X3 100
0
TOTAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT
To be used for Est. Value "f
Receipt
153156
Date _;t Lf 20 ,19 ".
Site Address 1 `,T ANDREW BLV,i OFFICE USE ONLY
' .,1RWAY
Lot Block Sec/Sub On Site Sewage Occupancy
. MWCC System Zoning t`"1
Parcel No. V-N
On Site Well (Actual) Const
m Name WYELOYMl:.NT t hP City Water A (Allowable) V-N
z Address P U BOX 21-217 PRV Required # of Stories
n
0 EAGAN Phone
city Booster Pump Length
?
- Depth
0
S -it., F
S.F. Total
0 Q tress
r, dress
Footprint S.F.
City Phone APPROVALS FEES
w
Name Engr./Assess. Permit ??`?•LU
4 UU
F i Planner Surcharge
Address 00
U z Council Plan Review •
am City Phone Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
• information is correct and agree to comply with all applicable State of Water Conn. r' 10 00
Minnesota Statutes and City of Eagan Ordinances. Water Meter 67. f}0
Signature of Permittee Road Unit )2 5. 04
A Building Permit is issued to: Treatment P1 7k.00
on the express condition that all work shal I be done in accordance with all
Parks
applicable Mate of Minnesota Statutes and City of Eagan Ordinances.
TOTAL );4. 0
Building Official
' CITY OF EAGAN
-3881D Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt #
To be used for IF 1iWC./,fAR Est. Value '981,M
Site Address HIM)
Lot Block Sec/Sub.
Parcel No.
o Name _
c, a Address
r City Phone
Address
City -
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.
Signature of Permittee
A Building Permit is issued to:
on`tlZe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Date ' ,19 .
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning.
On Site Well (Actual) Const
City Water (Allowable)
PRV Required * of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
Permit No. Permit Holder Date Telephone
Plumbing ` /) 9'?
H.V.AC. G;v? Cn /Y. c?
Electric
Softener
Inspection Date Insp. Comments
I ??
II
on
j
lbg. -Z_
Htg.
tg. 5r,/ c
S O
Final Htg_
Final Plbg. -8
Bldg. Final
Cert. Occ,
Occ.
Temp. LP Tiy ?lyo 40- C Q
Deck Ftg. Z- fr ?O 2
Deck Final
Well
Pr. Disp.
?• A
Trrtt#trat•e of (Orruvaury
Citp of (Eagan
Mrpar#mrnt of ikUbtng JWtrtt m
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.-
Use Cl..f.tioo SF DJVW Bldg. Permit No. Z: •'
O-PaaY TYPE R3/M+ Zoning DWrict Type Coost.
0 wnerofBw1dingIdIT,T7' ('.`Y. 3F, O?~ 4DIr i.e."?? F.'! ?1 '? , .?L!,!J
Building Addrem I1 121,` y am .'.[ il ? Loatityl ;? ? ?iRtilAY + I t S_ ' _
Building OT=al
POST IN A CONSPICUOUS PLACE
PERMIT #r
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 / J
Site Address r `•{ ?/i
Lot Block Sec/Sub
..
Name
a?
Address
City Phone
Name x GI
C Address
p City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE -$12.00
MINIMUM - COMM/IND FEE -$20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. y New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00
r Bath Tubs - 53.00
2 Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
1 Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
ZGas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - 510.00
Private Disp. - $10.00
Rough openings - $1.50
FEE:
STATE SIC:
GRAND TOTAL
Block
MECHANICAL PERMIT RECEI
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100
BLDG.TYPE
1e1 1 Res.
1 -,1
Name Muft.
m Comm.
Address Other
y
c City Phone "
Name
c Address
p City Phone
TYPE OF WORK r '
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent, CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL-
RES.HVAC
ADDITIONAL
(RES. HVAC
WORK DESCRIPTION
New
Add-on
Repair
$24.00
6.00
1.50 EA.
APT. BLDGS.
IF
- nw. MIN 1 C ^r- r- uC.7
=E - ALL ADD-ON $
REMODELS -
12.00
'EE - 20.00
PERMIT - .50
SIGNATURE OF PERMITTEE
CITY OF EAGAN Permit No: Date: -?- F
3830 Pilot Knob Road Meter No: Zl LD 4 3 9 7 7 Size: sca r? &cX
P.O. Box 21199 Reader No:' 'Ad /12 9/2 4? 24 Date:
Eagan, MN 55121
Conn. Chg: _ --55 0.00 did Zoning: ? L
Acct. Dep: IS _ n(F (± No. of Units: 1
Permit Fee: I ;' _ ?10pd
Surcharge: 5Q d 1 agree to comply with the City of Eagan
Tr. Plant _ 0Qyd Ordinances.
Meter. 061,11
Misc.: By
WATER SERVICE PER 6W
CITY OF EAGAN Permit No: - - Date: `
3830 Pilot Knob Road BI P No: 858 3 ? Date:
P.O. Box 21199
Eagan, MN 55121 `
Burr Oak 111dra.
Site Address: 1327 St. And"M Blvd 11 ? rn i,-a TH ;
Plumber. Imo'.-e Side Flumb g
MWCC: _ S 50.00ri
City Chg: Too . nTse
Acct Dep: 15. lc,
j• P
Permit Fee:
.
Surcharge: . , .e
Zoning, 1
No. of Units:
I agree to comply with the City of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No:
3830 Pilot Knob Road Meter No:
P.O. Box 21199 Reader No:
Eagan, MN 5510.1
Fee:
Date- -
Size:
Date.
I agree to comply with the City of Eagan
Ordinances.
WATER SERVICE PERMIT
Conn. Chg: Zoning
Acct Dep: - 0;' No. of Units:
This request void 17
18 months from
E 41289L96,;2 Revues Dat Fire No. Fj gh-in Inspection
g` wrcd? ?
eNO
es ?Ready Now ill Nou ly, Insper
for When Ready
y
?L'Censed Electrical Contractor I hereby request inspection of above
Owner electrical work installed et:
Street Address. Box or Route No. City
/-4.27 , (z F
ecuon o. Township Name or No.
I
Range No.
County
Occupant (PRINT)
6a^ Da e Phone No.
yS2 -X90
Power - Supplier
a6 I.p ?'4_ G t Q t)F'h l C Address
/'?4IAV"v ? tRe(?
Electrical Con actor IC tpa ny Name)
ys ne
?
/y
?
f Cnnt actors License No.
5?/(
/O
e ez
?
.
e
aR o
Mailing A?.d-d?ress (Contractor or °ver Making Installation) //
U (LSVk{'1P ,R.1 ?S:s
r.2gOV l.o `Koh Ll Q%
Authoriz ature 1 r?Owner Making In allatioN Phone Number- ?/
?/
MINNESOTA STATE BOA F ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwav Bldg. oom N•191 BE ACCEPTED BY THE STATE BOARD
1821 University Av St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
oe....m rat?t wea.nann ENCLOSED.
r ,l orb
E 41289
REQUEST FOR ELECTRICAL INSPECTION
See instructions for completing this form on back of Yellow copy
"X" Below Work Covered by This Request
G moo'
-:59"70
Ney, AdJ 4apf TYpe of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Floating
Commercial g.
Bld Furnace Silo Unloader
Industrial Bldg. 14 Air Conditioner Bulk Milk Tank
Farm Cher pnu y 00'er ISpocilyl
t ar Sugci fy Other Ot hpi
Compute Inspection Fee Below
p Fee Service Entrance Size ft Pee FeedersrSubleedere M Fee Circuits
JoC.&O 0 to 200 Amps 0 to 30 Amps 2 3b 0 to 30 Amps
Above 200 Amps 31 to 100 Amps j) 31 to 100 Amps
Swimming Pool Above 100 -Amps Above 100_Amps
Transformers Irrigation Booms Partial' ee
Signs Special Inspection
S
//'P
TO
Remarks
/ 61.50 yy
?
!/J/iV?
Rough-in °l O`? I, t ical
' Inspector, hereby
Final le2'. inspection has been^
"is request void 18 months Irom
p RESIDENTIAL ?S
BUILDING PERMIT APPLICATION
i7 CITY OF 90kW':, an ut
„fs .-1>n a . „ :-? • ?,? ,y..3830,PILOT KNOB RD,t Afi rMIN 55122
'I.a. ,F 851 881-4675 !
•
x. ;^: h a t - _., I.P a, :f±:?.) • ' .; , ,-r T(1 fit' ..7 'a , > Y1 -
Now Dons VucllonReaukements (F t RemodeMleoalr Reoukemema - ?.
• 3 registered 'sUe surveys showing sq. ft of 1A sq. fl. of Aouss; and ill rooted areas P coarse of plan "t `? ^3"c -., ?s C=
(2g96ma>drnumlot coverage alawed) axa,tt;...:x 1 :! v; , 1.setofEnergy Cakulatimsfortussled additions • 2 copies of plan showing beam & window sizes; poured found design etc.) ..! 1 site survey for exlerar eddebns & deck
• i 9 copset of Energy ies opies of Tree Tree Preservation Calculations
'
Plan r lot platted after 711/93 ? t^_ .. '" " ` ' IndiceleIhome served bys"opgcsystemforadditions
• RIM hint Detail Options selection sheet (bags with 3 or less unhs)
DATE, --
_ ? VALUATION, 77i S yD 1
SITE ADDRESS 130 /7?d er/y? MULTI-FAMILY BLDG Y N
TYPE OF WORK ?sF?
FIREPLACE(S) _ 0
APPLICANT. ..
STREET ADDRESS ?I7EYJ / ?? CITY t ay STATEWWZIPSS) W1
TELEPHONE # 763--<f/ t'y3i# CELL PHONE # FAX #
PROPERTY OWNER TELEPHONE# row`/- S?S?/ y??`7
---------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR"NEWee RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheef Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor.
Plumbing system includes:
Mechanical Contractor: _
Mechanical system includes:
Sewer/Water Contractor:
Phone #
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 Ordinances._
Signature of Applicant 6l/
OFFICE USE ONLY
_ Water Softener
Water Heater
No. of Baths
Phone #
Phone # _
Lawn Sprinkler .
No. of R.I. Baths
Air Conditioning
Heat Recovery System
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
f 1
S S S RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft, of lot, sq. R. of house; and all rooled areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE S•?1x1. Oa
1(3 ?)'J-
RemodellReoair Requirements
• 2 copies of plan
• 1 set of Energy Calculations for heated additions
• l site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION ?t a 10 1
SITE ADDRESS I?Ja cS • Ri?JIAA? ??13d. MULTI-FAMILY BLDG -Y >QN
TYPE OF WORK"??,r' a R LJ.J14h1VM FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT
STREET ADDRESS I Renewal By Andersen, Inc. -STATE ZIP
1920 County Road "C" West I
TELEPHONE #09• DW i'4711-CELL i Roseville, MN 55113 c C
PROPERTY OWNER ?Ojk xL K t?1?2?C TELEPHONE# CRSI'?I?L•?Ip
,D c? 1
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NIINNE.SOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(d submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Water Softener
Water Heater
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fee: 570.00
--------------------------------------------------------------------------------------------------------------------------
1 hereby acknowledge that I have read this application, state ;ka- is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of EaSignature of ApplicOFFICE USE ONLY
Phone #
Laren Sprinkler
No. of R.I. Baths
Phone #
Fee: $90.00
Certificates of Survey Received - Tree Preservation Plan Received - Not Required
Updated x102
r
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ?' 37 Demolish (Bldg)" ? 43 Reroof 0 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
- Footings (new bldg) _ Final,'C.O.
- Footings (deck) Final/No C.O.
Footings (addition) _
_ Plumbing
- Foundation _ HVAC
_ Drain Tile Other
Roof - 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
Approved By , Building Inspector
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
••°• • • ?•, •.,. •uu 'A. au rnA, 1 04 oil -4400 LWMVFAL Dr`A'VISr. AIN
re al
June 7, 2001
City of Eagan
3836 Pilot Snob Road
Eagan, MN 55122
TO Whom It May Concern:
Elder Jones is authorized to pull building permits for Renewal by Andersen. Please allow
Elder Jones to provide this service for us in Eagan. 'Mia authorization is valid for any
date beyond 6/6101: until a kenewal by Andersen mom eaprnseiy revokes it in writing
to the City-
I fcgnest this authorization be accepted expeditiously, as to not delay in the processing of
our building posmits any further. Flcasc can tae If there are any questions. I can be
contacted at 763-502-4706.
Your immediate attention to this matter is appreciatecL
Sincerely,
and R. Rau
tistallation Manager
Renewal by Andersen Corporation
CO.: Ksrn-Fries Tnneq
"(/7
WMYH Dam MAL
"101"'0"•bn. n? a10a
WUUZ/UO
Received Time Jun. 7. I.o7pM
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
t
*NOTE: PA1NDU OF FEE AT TIME OF
* APPLICATION DOES NOT CON-
STIIVTE APPROVAL OF PER6IIT. $
? INSPECTION OF SEWER AND/OR WATER
i INSTALLATIONS WILL NOT BE Smo= .*„
ONPIL PERMIT HAS BEEN APPROVED. *t,
dtV sxxrtxxrtrtfttstt++ttttttttrtrtxrtffeefffftx
of eag an
(PLEASE PRINT
1) PROPERTY ADDRESS: 44a 7 15 ZLZO
LEGAL DESCRIPTION:
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(month/Year)
PRESENT ZONING/PROPOSED USE:
Q COnIERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
Q. INSTITLTIONAL/GOVERIz ENT
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
2)NAME: cs i C
ADDRESS: .?.24?,,Z 9 cif i? FI?iF
CITY, STATE, ZIP:
PHONE:
3) NAME: SFT?2
i ?
ADDRESS:
CITY, STATE, ZIP:
PHONE: yL
II
?. MASTER LICENSE # efl6 q721776
Active
Expired
Not recorded
Sta 1-771
4)
NAME: A{/ ?r z.,5 A4-- 66c.Ldc4-S
ADDRESS :
CITY, STATE, ZIP:
PHONE:
5)
6)
ION TO CITY NNECTION TO CITY WATER a OTHER
*
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC WORKS TO FACILITATE METER PICK-UP. y
*+ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM Tm CITY WILL CONTACT YOU IF THERE * ARE ANY PROBLEMS. +
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit
FEES:
$
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
• CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
ewe
AMOUNT $ ! a G
M
? CASH ? CHECK
DOLLARS
on /p? 7 i
FUND OBJECT AMOUNT
00
(G C.U
-
Thank You
BY
N° 86303 e"?Pos? 9Copy
Pink-File Copy
CITY OF EAGAN N_ 15 3 6 6
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 454.8100 Q 9
BUILDING PERMIT Receipt# (1
To be used for SF DWG/GAR Est. Value $98,000 Date .1lil.Y 20 ,19FIR_
Site Address 1327
Lot 9 Block 2
Parcel No.
Sec/Sub. FAIRWAY
a I Name WHITEHORSE DEVELOPMENT CORP
3 Address P 0 SOX 21-217
o City EAGAN Phone 452-2906
o Name_
u< Address
City_
w
2
u
z
W
Name
Address
City
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 O?rdiCnan es.?I
Signature of Permittee [i.2C•?/ •C..o?
A Building Permit is issued to. WHITEHORS DEV
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official!J,211fiA I "k
OFFICE USE ONLY
On Site Sewage Occupancy R-3 M-1
MWCC System X Zoning R-1
On Site Well (Actual) Const V-N
City Water X (Allowable) V-N
PRV Required # of Stories
Booster Pump Length
Depth 50'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess._ Permit 566.00
Planner Surcharge 49.00
Council Plan Review 283.00
Bldg. Off. SAC. City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550. 0
Water Meter _61 00
Road Unit 395. flll_
Treatment P1 204.00
Parks
TOTAL 2,694.00
. ,e
1988 BUILDING PERMIT APPLICATION - CITY OF AN ^
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: single family Valuation: 6989 e9- Date: 18 July 1988
Site Address 1327 St. Andrew Blvd.
Lot 9 Block 2
Parcel/Sub Fairway Hills I
Owner Whitehorse Developrent Corp.
Address P.O. Box 21-217
City/Zip Code Faun, M. 55121
Phone 452-2906
Contractor same
Address
City/Zip Code
Phone
Arch./Engr. Russell Plan Design
Address 4940 Viking Drive
City/Zip Code Edina
Phone # 835-5970
98, oov OFFICE USE ONLY
On site sewage- Occupancy P'-3 M -I
MWCC system ? Zoning 1~-I
On site well Actual Const V- N
City water ? Allowable V-N
PRV required A of stories
Booster Pump Length 4 $
Depth 5D
S.F. Total
Footprint S.F .
APPROVALS FEES
Engr/Assess Permit 66,00
Planner Surcharge .00
Council Plan Review
Bldg. Off. ?71ZOSAC, City yFS-00
IDD.o[D
Variance SAC, MWCC 5-SO-0
Water Conn SSD.DO
Water Meter
C?
67,0
Road Unit 3 ZS,?
Treatment P l 2 ,0
t3
Parks
Copies
" TOTAL a
MOvEL
OAVLEAFIr
UAL AAT1aN
GARAGE ?
2'4x20 4go x,4c ?7ZV
2z,? m-r
46K y8:_- 13Vy
Z. 7? Zy ? SIB
141 ru x ,3. r 8382
H_ IA -
?mT = 1 y??l
7x iy
I9-77 x 4l- ?l 2_`12 ..
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SURVEYOR'S CERTIFICATE
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C.S.A.H. NO. 32 (CLIFF
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BURR OAK BUILDERS
ROAD)
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ST. ANDREW B
By.
Date 7 0
?----- DENOTES PROPOSED SURFACE DRAINAGE EAGAIV ? "? -
't. O ' DENOTES IRON MONUMENT SET 6EdtNlQdGkI?TG3?EP?EET'
• DENOTES IRON MONUMENT FOUND PROPOSED` GARAGE FLOOR - to xb•y FEET
XOOO.O DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR- 10194 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -/OZb'7 FEET
WE HEREBY CERTIFY TO BURR OAK BUILDERS THAT THIS IS A TRUE AND CORRECT
y REPRESENTATION, OF;A SURVEY OF THE BOUNDARIES OF:
Lot° 9,
Block 2, FAIRWAY HILLS, according to the recorded
plot thereof, Dakota County, Minnesota. "
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS I ITH DAY OF J U LY , 1988.
SIGNED: JA L, INC..
BY:
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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MN, 56431 9 612-884-3029
COMM. NO.
Planning Design Inc.
1611 Highway 10 N.E.
Minneapolis, MN 554+2
612-784-1920
Minnesota State Energy Code Calculations
Based on Chapter 5 of the Model Energy Code
1983 Edition -- Adapted 1/1/84
Owner: BRUNNER COMM. NO: 86631
Site Address:
Contractor: BURR OAK BUILDERS Phone:
Bldg. Class: Al Al for Single Family/Duple;:
A2, residential <: stories
Over _ stories
Other
GENERAL INFORMATION
Note: The section designations ("Section A", "Section B" etc.) are for
convenience in calculations only, and are not related from one set of
calculations below to the next.
1. Bldg. Walls Perimeter Wall heights, = Area
ground to eave
Section A : 1'.'0 14.12 - 1694.4
Section B : 56 8.83 = 494.48
Section C . ii 0 = 0
Section D : U U 0
Gross Wall Area
= 2188.88
2. Building dimensions Floor or
Ceiling
Length x Width = Area
Section A 48 24 = 1152
Section B : 27 2 54
Section C 0 0 - o
Section D 4 0 4
Total floor or ceiling area = 1246
3. Rim Joist Perimeter = 176
Floor joist by (8", 14", 12" or 16")): 14
Rim Joist Area = 146.6666
4. Doors
Area: 37.8 Thickness (inches): 0
Perimeter (feet): ii
Type of construction:
5. Total door's perimeter: O
6. Windows
i?
i
Vianu'Fac"turer":
State approved:
..type
BASEMENT UNTI-
CASEMENI
CASEMENT
CASEMENT'
CASEMENT
CASEMENT
Type
8. Patio Door:
9. Atrium:
10. Fireplace area
Width:
Total Sq Ft
11. Exposed Foundation
Height area A:
Sq Ft area A
Exposed Foundation
Height area Q
Sq Ft area P
12
Bross wall area
minus.
Winslow area
Patio door area
Atrium area
Rim joist area
Door area
Fireplace area
Exposed Found.
Framing area
equals
Totals for net wall:
U factor: 0.52
YES
Height x Length .. Number Total
(inches) (inches) of glass SgFt
units
).4 27 2 5.25
36 20 4 20
40 20 _ 16.67
60 20 7 58.33
4p 24 4 26.67
48 24 4 32
0 O O Ct
U ll
(:) 0 C) O
Ct C) 0 f)
4) 0 0 C)
0 0 1) 0
0 Ct „ C,
7. Window glass area (Sg Ft) 158.92
Height x Length x Number = Total
(feet) (feet) units SgFt
6.175
0 3
0 2
0 41.1
u
0
r) Height: 0
0.67 Perimeter area A: 148
99.16
0
0 Perimeter area T1: 0
SgFt U factor U M A
2188.88
158.92 0.52 82.64
41.1 0.47 19.32
0 0 Ct
146.66666667 0.041 6.01
37.8 0.14 5.29
O 0 0
99.16 0.14 13.88
218.888 0.095 20.79
1466. _4533.3:3
0.043 63. 91
A
l'
Totals for gross wall area:
* Framing area is 10% of gross wall area
13. Gross wall area r, factor- below = U x A per code
211.84
F=actor is .11 for A-1 single family & duple:;
..= for A-2 and other residential
.23 for other buildings
.28 for over stories
Factor is: 0.11
BTU)f _ 240.7768 MUST BE > OR = 211.84
(calculated above)
14. Gross ceiling area = 1206
15. Ceiling framing ar ea (10% of ceiling area) 120.6
16. Joist Area (10% of ceiling area) == 120.6
17. Met ceiling area ( Gross cei1. area - Joist area) -- 1085.-1
18. U ceiling: 0.021 x Net cei l . area = 22.7934
19. U framing: 0.024 m Joist area = 2.8944
20. Total of item 18 x item 19 = 25.6878
21. Gross ceiling area x factor below = U x A per code
Factor- is .026 for A--1 single family & duplex
.03 for A-2 and other- residential
.06 for other buildings
Factor is: 0.026
NTUH -- 31.356 MUST HE > OR = 25.6878
(calculated above)
t 1 S RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
??b a,
New Construction Requirements Remodel/Repair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan _ Carl of Survey Rood
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pros Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations Addih'on - indicatefon-site septic system -On-site Septic System
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bidgs with 3 or lass units
Date __q_ I l O? Construction Cost c:1V V
Site Address 82-7 5,L. !4n?_ ) yl yd . Unit/Ste #
Description of Work ! n Jl iW ergo ?J(l y?i ) ?, Y t 6v 1 t 7 'Y?
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 2
Property Owner 042a --T efl(K./1 KrvZM Telephone#( I)
FIRSI
OE HEARTH & HOME
,
Contractor 3850 W HWY ia
Address BURBSVILLE MR 55337 City
State L I C #2009001 1 Zip Telephone #
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cate¢ory 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calcutions S U
Licensed Plumber
Mechanical Contractor SEP 2 ,
Sewer/Water Contractor
A NEW BUILDING
_ Minnesota Rules 7672
New Energy Code Worksheet
Submitted
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
?Qm N:jT2Gen52M
Applicant's Print 6d Name Applicant' Signa e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof _ 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
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
?oa8(p
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permits are required for each unit
Date 0 15-
Site Address L3a -7 SF PrK3D OEW 8 (vl) Unit #
Property Owner k PrR W KR Y ? Telephone # (6Sl ) q "l -'1 S a 9
Contractor {?{?(((?
Street Address
a ?OCp I IrT/-^
S 1 ?Cj t I l ?J _
City
t?QS?' Q ?Q LU t
State 1 F l Iy Zip Telephone # ((??) - ggc7 ?o
Bond Expires:
The Applicant is Owner Contractor Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace -Additional -Replacement
_ air exchanger
air conditioner New Replacement
other
State Surcharge $ .50
Total $ c?G t70
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
?? t??.LfralmS \ ? ,3 ?"q,
Applicant's Printed Name A> /p icant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is Owner Contractor Other
Work Type
New Construction - Underground Tank _Install -Remove "see below
Interior Improvement - Install Piping - Processed -Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permit Fees: $70.50 Underground tank installation/removal
$50.50 Mlnimam (includes State Surcharge)
or
Contract Value $ x 1% Permit Fee
• If emit fee is $1,000 or less, add $50 => $ State Surcharge
If ep rmit fee is over $1,000, add $50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
Applicant's Printed Name
Applicant's Signature
Approved By: , Inspector Date:
2006 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
'S )is.F!:?o
Date l 1 / 06 A
l-y? /
Site Street Address 30? C t / 1/Ire G1)S ki ?U Unit #
Property Owner 4ar)c Jef L zer Telephone # ((l) `f S?' o2
Contractor _ Of h PCVVD(1-_-S Telephone # (65)) 3bG-J 1q O
Address 36-1c) 6Ddel Rd - city 4 Cc State Z? N Zip 515(X
The Applicant Is: _ Owner 'K-- Contractor -Other
Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing only a water softener and/or water-
heater, do not complete this section; move to the next section and check the i
appliance(s) you are installing. - ' '
-Septic System Abandonment C-? 2 P
-Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
-
Water Softener Water Heater $ 15.00
_
new replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ 1 5v
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
S of ?h L4,14 0(Ph
Applicant's Printed Name Applicants Signature
/5 5a
RESIDENT OWNER
Name: E 1.- 2- Phone: r�;
Address City Zip: 7 ,2 7 5J, AA, 0{2t L
Applicant is: Owner
Contractor
TYPE OF WORK
Description of work: 1 c f i i\S$ I vntZ^ i A.C4- r,�.
Construction Cost: 9 7 Multi- Family Building: (Yes No
CONTRACTOR
Name: (2.r Fi i 06 ti' y va.`7N i`kim License r; `i /2060
Address: Z 7 t .9 r o� i v t l r
City: Sk`u�; t State: itl,, Zip: 5 5 3
Phone: 4, c7 6 /C'1 Contact Person: /)_.c.- Z" n /c_v, G
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer Water Contractor:
Phone:
NOTE; Plans and supporting documents that you submit
the information may be classified as non public if
conclude that
are considered to be public information. Portions of
you provide specific reasons that would permit the City to
they are trade secrets.
City of Eagan
Date: AS zicy Site Address: 32..7 57, v-i Ira t= !'jry /46: Axt
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
kr-1 i2( f KRc f ZeFf
Use BLUE or BLACK Ink
r
For Office Us
Permit
Permit Fee: f C DC: (/"1/
i
Date Received:
Staff:
Suite
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.bopherstateonecall.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.
x evyn
Applicant'i Printed Name
x
Applicant's Sig'na
Page 1 of 3
City of Eagan
PERMIT
4111' C!ty
of
Eaaan
Permit Category:
Permit Type:
Permit Number:
Date Issued:
Permit Type:
Permit Number:
Date Issued:
Mechanical
EA106676
09/05/2012
ePermit
Site Address: 1327 St Andrew Blvd
Lot: 9 Block: 2
PID: 10-25600-02-090
Use:
Addition: Fairway Hills
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Beth Janohosky
207 150th Street W.
Fee Summary:
ME - Permit Fee (Replacements)
Surcharge -Fixed
$55.00
$5.00
0801.4088
9001.2195
Total:
$60.00
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
- Applicant -
Owner:
Karen L Kryzer
1327 St Andrew Blvd
Eagan MN 55123--215
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.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117426
Date Issued:10/18/2013
Permit Category:ePermit
Site Address: 1327 St Andrew Blvd
Lot:9 Block: 2 Addition: Fairway Hills
PID:10-25600-02-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
Karen L Kryzer
1327 St Andrew Blvd
Eagan MN 55123--215
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature