4621 Stonecliffe Dr ~ ~ W ~ ~-t ~ a--I O
~ , ~ RESIDENTIAL
` I'~ ~ BUILDING PERMIT APPLICATION $ 60ZZ., Iq- ~~10,~Bp
~ ~ (J n # ~~,t~ 3830 P 6I51-6814675 55122 ~ ~~O.t/~I109~~_?Ap
r~ ` 7 V 9l ~v1
Q~~.#~ ~ -a- 0. ~q0~-
NewConstmctionRenuiremelR§ ~emodellReoairRenuirements 9 50 N rp
• 3 regis[ered site surveys showing sq. R. of IoL sq. fl. of house; and all mofed areas • 2 copies of plan
(20% mazimum lotcoverage albwe~ . 1 setof Ene~gy Calculations for heated addi6q~ ~IQ2 • I~
• 2 copies of plan showing beam 8 wiMOw sizes; poured found desgn, etc.) . t site survey kr exlerior additions & decks (/J
1 set of E~ergy Cal~vWtions
• 3 copies of Tree Preserva6on Plan if lot platted after 7l1193 f,,~ ~l ~al I y/~ ~./~fo ~O I
• RimJoist~etailOpfionsselectionsheet(bldgswith3oriessunits) Ly g~ pjnel,Ce PQSS ~ fd~'~~0~ 7 r
i~,rP ~
DATE - ~ VALUATION(EXCLUDINGLAND)~
O9Jr
JOB SITE ADDRESS ~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER
TYPE OF WORK SF~ FIREPLACE(5) X YES _ NO
APPLICANT ~~~C~ ~GMa,T/fKi@,T,rN~ PHONE # ~53~
~
~'1 ~-/.;3 /
PAGER # CELL PHONE # FAX # 9`J~Z~~I'73~9 /3/
I
NEW RESIDENTIAL BUILDING ONLY - FILI OUT COMPLET
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 D LC r" ~`I
(check one) - Residential Ventilation Category 1 Worksheet Submitted ~
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672 By ~
- New Energy Code Worksheet Submitted
Plumbing Contractor: 1~ ~Q~f~ Phone 95~~ ~~S`~~1
Plwnbing Systcm Includes: Water Soltencr I:awia 5prinkler Fee: 590.00
Water Healer No. of R.I. Baths
~TO. oF Baths
~ MechanicalContractor: ~iC~iv~f/!J//[(~I~ Pho~e# 95s~ y~s-~{s92.
i`~Ic:cli.u~ic,d Syste~u Includes: Air Condiuoning Pee: 570.00
; Hcat Recovery System
i n ~ a e1 ~t
~ Sewer/Water Contractor: Phone # ~ S a.~ O~~~T~7 g
i
I
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicpble State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant ~/1F ?V~f.~/~"!~`r•~
9s~~•~sl9-
3 07'~
Certificates of Survey Received ~ Tree Preservation Plan Received _ Not Required
Updated ~/Ot
OFFICE USE ONLY , °
,
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
~ 02 SF Dwelling ? 08 D6-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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 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 ? 46 Windows/Doors
? 34 Replacement `Oemolition (Entire Bldg only) - Give PCA handout to applicant
~
Valuation o~50 /`~J/J!~ Occupancy MC/ES System
Census Code ~ Zoning /Q- 1 City Water 1~v~
SAC Units ~ Stories a Booster Pump
Nbr. of Units / Sq. Ft. PRV ~
~ u ~
Nbr. of Bldgs Length 7~ Y Fire Sprinklered
Type of Const s'N Width ~j ,~G
REQUIRED INSPECTIONS
~ Footings(new bldg) ~ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) ~ Plumbing
~ Founda[ion HVAC
~G Drain Tile
Roof [ce & Water Final Other
Framing Pool Ftgs AirlGas Tests Final
~ Fireplace ~ R.I. ~ A'u Test _ Final _ Siding Stucco Stone
fr Insulation _ Windows (new/replacement)
7`
Approved By~, Building Inspector
~
ease Fee S
Surcharge l gp 3~ t S= 078 Sy,j
Plan Review
MC/ES SAC /yJ~,p,U L E r/~ L
c~ty s,vc i pao ~esy ~ ~U.3, 6 3''~ =
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant ~ L~~~ L o~
l$ S 3 kS la 5~ yS~
Plumbing Permit
Mechanical Permit ~
License Search G~~~G ~G, y
Copies 7yy~i6 ~ ~
ome~ a~lq S~/
Total
Addless 4621 Stonecliffe Drive Zlp 5512Z
IAt 2 Bi1C 5 SUtI Pinetree Pa~c 2nd Ad~iiti~n
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector: '2
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of r f test caps from the plumbing system end the shut-off of water supply to
the outside lawn faucet before fieeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ~
_ ~ ' RESIDENTIAL ~c..~ ~
BUILDIN P MIT APPLI ATI N
~ G ER C 0
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Consiruction Reauirementa RemadallReoairReauirements
. 3 registered sile suneys showing sq. R. o( lot, sq. tt. of house; and all roofed areas 2 copies of plan
(20%maximum lot coverage aAOwed) . 1 setaf Energy Calculations (orheated addiGons
• 2 copies of plan showing beam 8 windaw skes, poured fuu~ design, etc.) . 1 sAe survey (or extenor addihons 8 decks
• 1 set of Eneryy CalculaGons . Indicate if home served by seD~c system for add'Aions
• 3 copies of Tree Preservalian Plan d lol platted after 7/1193
• Rim Jaist Detail Ophor~s selecdon sheet (bidgs wAh 3 or less unds~
DATE ~ I VALUATION ~ 1 ~ ~ •
SITEADDRESS ~T~~~\ S~~ ~I 1 I~'~~ C~'C~~ MULTI-FAMILYBLDG _Y _N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~ ~ ~fl~~~'
STREET ADDRESS _ 49 SOqth OW88S0 BIVU.
LittleCanada,l~'I55117 CITY STATE_ZIP
Te~ePHONe#_ ~~~~,~~~~~~t_ , Fax# (ra~1~F~S~3--~53"7`~
PROPERTYOWNER G~~'~~~~~ TELEPHONE# ~S1 ~~J~~ -~i~
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATGGORY I MINNESOTA RULES 7672
submission lype) • Residential Ventilation Category t Worksheet Su6mitted . New Energy Code Worksheet Submitted
• EnergyEnvelope Calculations Submitted
Piumbing Contraetor: Phone #
Plumbing system includes: _ Water Softener _ Iawn Spnnkler Fee: $90.00
Water Heater No. of R.I. Baths ,"~",`1
No. of Baths -~'i ^ i~ ~ y~,; ~
,
- ~ ~.i i
'i
t' `
MechanicalContractor. Phone# ~,'~1C: ~ ~
Mechanical system includes: Air Conditioning ~~l Fee: $70.Of~
Heat Recovcry System u
BY~
Sewer/Water Contractor. Phone #
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 Ordin s.
Signafure of Applicant L~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Reqwred _
Updated 4l02
OFFICE USE ONLY ~ ~ .
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 3D Accessory Bldg
? 02 SF Dwelling ~ OS O6-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 Ent. Alt - SF
? 04 02-plex 0 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 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 ? 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u 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
. r
MNcheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
MNcheck Software Version 3.0
Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRLTCTION TYPE: Single Family
DATE: 3-21-2001
DATE OF PLANS: 03-06-O1
TITLE: WAKEFIELD 'C'
PROJECT INFORMATION:
LAO RESIDENCE
4621 STONECLIFFE DRIVE
STONECLIFFE
COMPANY INFORMATION:
LUNDGREN BROTHERS CONSTRUCTION
NOTES:
SIDE LOOKOUT, 9' FOUNDATION, 2' BUMP TO LAUNDRY/ MUDROOM/ BEDROOM
2&33, JACK AND JILL BATH, SITTING ROOM, MUDROOM ENTRY GARAGE TO SIDE,
2' BUMP TO GARAGE REAR.
COMPLIANCE: PASSES
Required UA = 570
Your Home = 515
9.7% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value
CEILINGS 1970 44.0 0.0
WALLS: Wood Frame, 16" O.C. 91 19.0 2.0
WALLS: Wood Frame, 16" O.C. 188 12.0 2.0
WALLS: Wood Frame, 16" O.C. 1262 19.0 2.0
WALLS: Wood Frame, 16" O.C. 187 12.0 2.0
WALLS: Wood Frame, 16" O.C. 1293 19.0 2.0
BSMT: Conc. 9.0' ht/8.6' bg/8.6' insul 126 10.0 0.0
GLAZING: Windows or poors, Above Grade 60 0.350
GLAZING: Windows or poors, Above Grade 450 0.350 1
GLAZING: Windows or poors, Above Grade 215 0.350
DOORS 56 0.350
FLOORS: Over Outside Air 17 30.0 0.0
FLOORS: Over Unconditioned Space 116 30.0 0.0
HVAC EQUIPMENT: Furnace, 90.0 AFUE
- - - -
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
, /
Builder/Designer / ~p'~ J Date'gj 2
LOT SURVEY CHECKLIST FOR RESI~ENTIAL
' BUILDING PERMIT APPLICATION
PROPERTYLEGAL: L_z+~` ~(Dp~' ~,~e~' PasS ~n~/Jcl~i/y,
DATEOFSURVEY: 3-Ik- O~
~ LATEST REVISION:
~
2
a
~ DOCUMENTSTANDARDS
~
~L ~ O
O ~
C~l~ n n . Registered Land Surveyor signature and company
? • 8uilding Permit Applicant
C~~ ? . Legal description
fui 0 ? . Address
? . North arrow and scale
19~ p? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? • Directional drainage arrows with slopelgradient °/a
f~~ ? • Proposed/existing sewer and water services & invert elevation
Q' ? ? • Street name
? • Driveway
C~' ,[7 ? • Lot Square Footage
~ ? ? . Lot Coverage
ELEVATIONS
/ Existin
~ ~ • Sewer service (or Prapased)
~ ? • Property corners
~Y/ . Top of curb at the driveway and property line extensions
LY • Elevat'rons of any existing adjacent homes
. Adequate footing depth of shuctures due to adjacent utility trenches
/ Proposed
p' ~i ? • Garage floor
~7~~ G • First floor
i~a~'/ ? ? • Lowest exposed elevation (walkouUwindow)
Vr ? ? • Property corners
? . Front and rear of home at the foundation
PONDING AREA fif aoolicablel
? ? • Easement line
? [a~ ? . NWL
? C~ ~ • HWL
? Ge~u • Pond # designation
? C~ ? • Emergency Overflow Elevafion
/ DIMENSIONS
[a'/ ~ ? . Lot Iines/Bearings & dimensions
~f ,n I"I • Right-of-way and street width (to back of curb)
fl • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
~ (i.e. all structures requiring permanent footings)
rl • Show all easements of record and any City utilities within those easements
? C~ • Setbacks of proposed structure and sideyard setback of adjacent existing structures
n . Retaining wall requirements, if any
Reviewed: _ `9=- / - lJ ~
Nam ~ !l I Date
REVISIONS BY
• evised Giades RS ~
\ \ 30 75 0 15 30 60
~
S SCALEIN FEET
po~o~~ ~~~~o~~~ ~
~
~ \ o
~
~o ~
+ I 19e,'I Ol o N a~~ LEGEND ~
9y~~ e~A ~ 11 ~ :
^ ~1 N~"~ OS DENOTES SANITARY MANHOLE ~
ZO.G'I 19 ~ ` O~Q ~'L' ~ ~ DENOTES CATCH BASIN ~ ~
f,,,,T 166 ~9 ' 0~ S DENOTES SANITARY SEWER
/ S ~ ~ ~ ~J1' ~ Of ~ \ W ~ i
f+ C~ L E 0.y9~" ~45:
0 ~ W ~ N S 1 W DENOTES WAiERM/UN (y F
/ G
~ 20.5 Y ST DENOTES STORM SEWER a~
~ y2~ N^~ ~ DENOTES STORM MANHOLE
~62 ~ I / ~ > N ~ ~
y9~1 / / ~ EG. MlELI ~ "
~ ~ I
X 25.5 12 g44.3 d
~
l9 0, / tD o ~ I v SETBACKS
~g6 / \ 0 N V~o ~ 44.~ 5 ~
~ / ~ Z ~ o ~ I
~ _ _ MIN. FRONT YARD SETBACK = 30' ~~y~ ~
~ / 2 cmi r ° 1 J N MIN. SIDE YARD SETBACK = 5' (GARAGE), 10' (DWELLING) ~
~`ti C o \ I• w O MIN. REAR YARD SETBACK = 15' a
~ M / sas.a ~a ~o I p f ; ~
N~ DRAINAGE & UTILITY rn oA~ w'~` O W Ir q L L O F F S E
T I R O N S A R E M E A
S U R E D T
O H U N D R E D
T H S f~ °Eg~
//d EASEMENT ~ ~ 39 75 t I O W N I OF A FOOT AND CAN BE USED AS BENCHMARKS.
~ 943.7X s I
~
U
j 941.3 il c„ i
C - - - - - - - - DENOTESIRON
~NI~ ~ -~I- ~ W ~ b ~ MONUMENT }
f,~i 1~,~ X OOO.O DENOTES EXISTING
g~~~2 • 9 4 0. 4 2 7. 5 3 ~ J ELEVATIDN ~ ~
X 9 5 8. 8 5• ~ 9 3 9. ~O~.O~
C X X • DENOTESPROPOSED ~ O
~9~Ja.7~ Ngg°2g~27"E 178.7V B4Q•8 ~9at.7 ~939.Q~ ELEVATION Q'i ~
DENOTES DIRECTION N O W'Z ~j
2~ 34 OF SURFACE DRAINAGE i--i 2
~~aT 6O DENOTES SANITARY Q~ W ~
~~'2 ~ 9~'~ SEWER SERVICE ELEVAT~ON V~
~i 13
~ A TITLE OPINION WAS NOT FURNISHED TO THE SURVEYOR U~ A~--i ~
~(j'(~~,'~ ~'~!i NOR WAS A SPECIFIC TITLE SEARCH FOR THE EXISTENCE OR rL ~ z O a
I ~ "'4 I'~- ~~4ILf '1_ I I NON-EXISTENCE OF RECORDED OR UNRECOR~ED ~ d r~ U
.;4 ` //"1 EASEMENTS CONDUCTED BY THE SURVEYOR AS PART OF W a
. I~=~Ci I~~ niis suRVer. V
- ~
.K l I hereby certify ihat this is a true and correct represenhatlon
t~ ' T V~' of a surve of the boundaries of:
. ~ z, . . f.-T* ^R~~4~
'CY I.?:~~
:~T, y
?t" ir
LOT 2, BLOCK 5, PINETREE PASS 2ND ADDITION
~ DAKOTA COUNTY, MINNESOTA DRAWN
And the location of all bulldings, 'rf any, ihereon, and all visible RS
5~~~~\ encroachments, if eny, hom or on said land. As surveyed by CHECKED
ApR n m 4th day of March, 2001.^ DRM
PROPOSED TOP OF FOUNDATION ELEVATION= 947.5 ~ ~ j~ A V DATE
PROPOSED GARAGE FLOOR ELEVATION= 946.5 LOT AREA = 14,150 S.F. / C ~~~^.y~~~ sna~oi
PROPOSED LOWEST FLOOR ELEVATION= 938.5 ROOF AREA = 2,599 S.F. ~ ~ ~r~ SCALE
LOOKOUTELEVATION= gq~_g LOTAREA%=18.36% ASSHOWN
Daniel R. McGibbon
Licensed Land Surveyor, Minn. Lic. No. 18883 JOB NO.
5402-686
JUL-23-2001 08~34 RUTOhY~7EG BUIL7ING CCIMP. P.YJ1/Uc
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City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4621 Stonecliffe Dr
Lot: 2 Block: 5 Addition: Pinetree Pass 2nd
PID:10- 57661- 020 -05
Use:
Description:
Sub Type: e- Reroof & Siding
Work Type: Reroof & Siding
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 6,000.00
Contractor:
Topside
6140 Morgan Ct
Minneapolis MN 55419
(612) 869 -1177
PERMIT
City of Eaan
Reroof: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar.
Siding: When installing ventilated soffit material, remove existing material (ie: debris that could block vents) and take steps
to ensure maximum ventilation to attic. Call for final inspection after installation.
Robert Olson
BL - Base Fee $6K
Surcharge - Based on Valuation $6K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Owner:
$132.75
$3.00
$135.75
Suon C Lao
4621 Stonecliffe Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801.4085
9001.2195
Issued By: Signature
Building
EA084891
08/04/2008
ePermit
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA107764
Date Issued:10/26/2012
Permit Category:ePermit
Site Address: 4621 Stonecliffe Dr
Lot:2 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-020
Use:
Description:
Sub Type:e - Water Heater
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
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 -
Suon C Lao
4621 Stonecliffe Dr
Eagan MN 55121
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178923
Date Issued:09/09/2022
Permit Category:ePermit
Site Address: 4621 Stonecliffe Dr
Lot:2 Block: 5 Addition: Pinetree Pass 2nd
PID:10-57661-05-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Suon C & Hak Meng Lao
4621 Stonecliffe Dr
Eagan MN 55122--279
Pcs Residential
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature