4308 Sun Cliff RdDate:
Tenant:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Cash
r
Use BLUE or BLACK Ink
For Office
Permit#: 99gd--
permit
Fee: P 55' 00
INFLOIA1,8y INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Site Address:
Suite #:
Name: /9/14-e5 /lJ ° 4- Phone: ,c‘'(.
Address / City / Zip: / P? &,
Name: 5"-e.// License #:
Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope)
Sump Pump Repair
Other:
Description of work: e-e(c&' i< r/
SEWER & WATER (Outside the building envelope)
Repair
Other:
4-eJd t dg;a
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 I/I 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.gopherstateonecall.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.
Applicant's Signature
®R OFFICE USE
equirecl Inspections Under Grountl Rough -In
~ CITY OF EAGAN WATER SERVICE PERMR '
! 3830 Pilot Knob Road 7_-. 5 ;
! P. C Bnx 2119(1 PERMIT NO.: ,
,
~ Esgan, MN 55?21 DATE: I
i
Zonlrg: No. of Units: I
f pwrwr. ?:e, iand Iic mes
f Addrm: i
;
. Siti Addnss:43~iQ. Scin Cliff '~oad ? ~ r~? ~,un Cliff 2
~ Rurnber. C Yechanical
f
~ Size: v t 15. 70I
Raode~ No.: 10. 00 d '
E ~~to meopyWuh~y ~ IRIAS tC• .50nd 1
~
. za~5G,00p 7-1-' ~
I Oriiw~wa~. 63 . 50pd met e r
~ L~~ ~
By Dote Peid: !
Date of Insp.: Imp.: .
t
~ CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Krwb Road
P. O. BQx 211W PERMIT NO.:
Esqan, MN 55121 pATE;
ZO^i^Q: Na of Units:
Owntr:
llddross:
Site Addr&st f
Plwnber:
M*Mr No.: Connection Chargo:
Siu: Acoourit peposit:
Reoder No.: Permit Fee:
I Niw b sNEiy wi16 !y Gti of bNe Surchwfls: ~
O"111110001w. Misc. Chorpm
Totol:
BY Date Poid: ~
OaM of Insp.: Insp.:
~ CITY OF EAGAN SEWER SERVECE PERMIT
3830 Pilot Knob Road
P. O. Bax 21199 PERMIT NO.:
Eagan,, MN 55121 pATE:
Zoni^0' No. of Units:
Owrwr. .
Mdress:
Site /lddrem ' - -
Plumber.
I Mm te eo~rph wiN IiN Ciy of iyo¦ C.onrnction Qhape; -
OrliOaM. Account Depodt,
Pbmdt Fee:
Surrlwr+po:
BY JlAisc. Chorgm
Date of Irop.: Total:
Insp.: Doft Pbid:
~ CASH RECEIPT ~
. • CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
RtG61VtD
F/~qM
AMpUNT $ 17
Ac DOLLARS ~i
~oo I
? CASH CHECK
FOR
Ft1N0 CObE AIAOUNT
I
~ i
i
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
• t~~ CITY OF EAGAN i1~J~~
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be wed tor SF DWG/GAR Est value $ 6 7, 000 Date FEfiRi9ARY 12 19-ak
Site Address 4308 SUN CLIFF RD Erect ? X Occupancy R3
Lot 5 Block 3 Sec/Sub. St?N CLIFF 2IvD Remodei ? Zoning R~
Parcel No. Repair ? Type oi Const
Addition ? No. Stories
KEYE.ANU HOMFS Move ? Length 47
W Name
= Demolish ? DePth 48
4 W 17 RD
o Addr ST
ess Int. Impr. ? Sq. Ft
ci~, .30RDP,Npnone 435-3323 Install 0
o Name SAPIE Approvals Fees
Address Assessment Permit 334. O l~
City Phone Water & Sew. Surcharge 3. SO
~ 167.00
a NALLQUIST 3 ASSOC Police Plan Review F W Name Fire SAC 575 . 00
Address Eng. Water Conn. 500 . 00
<W City I'h1T~~ Phone Planner Water Meter 63. 54
Council Road Unit 290.00
I hereby acknowledge that I have read this appl ication and state that the EMdg. Off~~ Tr. PI. 156.00
information is correct and agre to comply with all applicable State of
Minnesota Statutes and Ciry o~~agan Ordinances_ APC ParkS
' ~ 0 Var. Date Copies
~ Signature of Permittee-I~ , 119 . O G
K YLAND HOMF.S Total
A Building Permit is issued to: on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official t . ~ -
;x
Pormit No. Psmdt Haldw Ode TNephvne It
Plumbin9 7 6'lv
4:VA.C. G ~3
Eloctft
sanen.r
Impeetion Dab Inap. Commenb
Footinqs I
Footinps II
Foundafbn
Fnminy ~ 1., )
Rooflny
Hou9h Plbq. l~~ g ?
Rouyh Htq. A~f
Insul.
a
Finptace
Flnal Htp.
Final Plby.
81dp. Ffnal
Iced.Oec. t~
Deck Ftq. ,
Deck Frmp.
WeII
Pr. Dhp.
PERMIT CITY OF ERGAN FEE
/ PLUMBING PERMIT
RECEIPT 454-8100 S/C
_ R./ MINIMUM RESIDENTIAL FEE - =10.00 + 11.50 TOTAL y, 5-0
DATE MINIMUM COMMERCIAL FEE - $20.00 + $•50
1. Bldg. Type: Res Comm Inst 2. New ~ Add Alter Repair
3. Total Bid Price 4. Job Address y3c C/,v ce ~ Ffz
~o
Lot ff Block ~ Sec ~ 5. Owner
6. Contractor
(Name) (StreeU (CiN) (ziP)
7. Contractor Phone #
NO. FIXTURES NO. FIXTURE3 NO. FIXTURES
_LWater Closet - $3.00 --L-Leundry Tray - $3.00 -Well - $10.00 ~
~ Bath Tubs -$3.00 ~ Floor Drains -$1.50 Private Disp Syst -$10.00
! Lavatory - $3.00 ! Water Heater - $1.50 =Rough Openings w/o
-Shower - $3.00 -Whirlpool - $3.00 Fixtures - $1.50
! Kitchen Sink -$3.00 / Gas Piping Outlets -$1.50
-Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND, RATE - 1% OF TOrJ?L ID PRICE PIUS $.50 STATE SURCHARGE FOR EACH =1,000 OF FEE.
~
Signed: ~ for
Approved Inspections: Date Rough Insp. Date Finel Insp.
. . , .
PER
MIT # CITY OF EAGAN FEE
MECHANICAL PERMIT 2*A-' ~
RECEIPT 454-8100 S/C ' "
MINIMUM RESIDENTIAL FEE - s10.00 + $.50 TOTAL 6UO
DATE 3 1' g MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bidg. Type: Res -K Comm Inst 2. New _X___ Add Alter Repair
3. Total Bid Price 1,7 00 ~ 4,Job Address 44'3D 9i~ v~C•i
Lot Block Sec ~C~r+ A& Owner Vh~5
~
G'
6. Contractor 11401 IVQYMei.,AQ lC. l4el i ,or ~ 3
~.,-7L
~:~v !'~2
(Name) yy ~ S,, (Street) (City) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee
~ HEATING VENTILATING HOT WATER STEAM AIR COND.
e1R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
J- RES. GAS PIPING OUTLETS - $1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IN . RAT - 1% F T~O AL BID PRICE PLUS $•50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: ~ for
Approved Inspections: Date Rough Insp. Date Final insp.
Th s request vo'd 3_ (p 6 3~ ~
1 manths trom
~ 014742C, L&'fu
Hequest Dale Prte No. RouPh-in I c[wn
a 6 Reqw E]
Heady Now ill Nolify Insane-
I y Ves ?No Ior When Heady
icens d EI ncal Contractor I herebV reVUest insOaction o} above
? Owner electrical work instelled at:
Sireet AdJdress, Boz or R e No. Gn
(.J
dO h, ' C! L i?
ecbon o. Townshi0 N me or No Ranpe o. C..ntV_V
~N7
Occupan[ INT) Phonc No.
Powe' $upp er AAdress '
~
Electncal Co Ir ctor (Company Name) Contractor' Li nse j
~it/n/~••~~ C eG / e?~ ` l°~O
MailinB'A~Sf ess (Convactor or Own r Makmg I ~ailationl
J~ S, ~GA
AuMoraed Si Nre ICo rec dOwner Maki I avoN Pho Number '
MINN q STATE - AND OF ELE CITY THIS INSPEGTION REQUEST WILL NOT
Grie9 -MiAwav BI Poom N-191 BE ACCEPTED BV THE STATE BOAND
7621 Uaiversity Ave., St Paul. MN 65706 UNLESS PROPEN INSPECTION FEE IS .
Phone (612) 297.2111 , -ENCLOSED.
-~5,16-k4 REQUEST FOR ELECTRICAL INSPECTION es-ooooi-oa
ee insiructions for comoleting this form on back of Yellow coay. ` 033~
~~a ~S '"X' Below Work Covered by This Request
Atl Neo. Type of Bmidmg Appliances Wi,etl Equioment Wired
Home nge Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Elec[nc Heaun
Commercial Bldy. Fumace Silo Unloeder
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Other Deci v Orher ISOerit,l
tier Uecily ther Othe,
ompute lnspectron Fee Below
M' ee Service EntranceSize p Fee Faetlers/Sabfeedars b Fae Clrcwts
07 ~Jp 0 to200qm s 0 to30qm s !i0 Oto30Am s
Above 200 qmps 37 io 700 qmps 31 to 100 q y
Swimming Pool Above 100_Am s Abave 700_Am)s
Transiormers Irrigation eooms i Pdrbal'Other Fee
Signs Special lnspec[ion TOTAL FEE
Aemarks a
flouBh-in ~ D
I, the Elactncal
Insoactoq he.eby
certdv that the abova
Rnal D,ite ~7 mspe een
~ ri A` m e.
thisraQUestvoltllBmontOSirom -
CITY OF EAGAN N2 11518
. ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 S/c,7
BUILDING PERMIT PHONE: 454-8100 Receipt u
7obeuaedlor SF DWG/GAR Est.Value $67.000 Date FEBRUARY 12 ,1986
4308 SUN CLIFF RD R3
Site Address Erect ~ Occupancy
Lot 6 Block 3 Sec/Sub. SUN CLIFF 2ND Remodel ? Zoning $1
Parcel No. Repair ? Type of Const v.
Addition ? No. Stories
W Name KEYLAND HOMES Move ? Len9th 49
z 3471 W 173RD ST Demolish ? oepth48
o Address Intlmpc ? Sq FL
Ciry JORDAN phone 435-3323 Install ?
a SAME APProvals Fees
o Name
$a Address Assessment Permit 33 .00
~ Ciry phone Water & Sew. Surcharg~50
Police Plan Review167.00
~W Name HALLQOIST & ASSOC Fire SAC 575.00
¢i nddressBLMTN 831-1875 Eng. waterConn. 500.00
a W City pnone Planner Water Meter 63 . 50
Council fload Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 2/5/86 rr. Pi. 156.00
mformation is correct and agr to comply with all applicable State of
Minnesota Statutes and City ` a
Si gan Or nce . APC ParkS
9nature of Permittee din Var Date Copies__$T_1_.00
Tofal
KEY AND HOMES
A Building Permit is issued to: on the express condition that
all work shall 6e done in accordance with all applic le State of Mi es Statutes and City of Eagan Ordinances.
Building Oflicial .
A
CITY OF EAGAN Remarks D,) U/J/.T6, 3~ eZ
Addition SUN CLIFF 2nd Lot 6 eik 3 Parcel 10 72976 060 03
Owner Street 4308 Sun (:liff Ronri State Eg$an. MN 55122
Improvement Date Amount Annual Years Kj PaYment Receipt Date
STREETSURF.
STREET RESTOR. 4-QW107 1986 13-- 431.51 5
GRADING )S,s3
SAN SEW TRUNK 1970 48.64 1.95 25 1`I "
SEWERLATEFiAL * 19$5 265.6 53.12 5
SEWER LATERAL 999 1986 829.62 165.92 5
WATERMAIN
WATERLATERAL 1000 6 942.60 18& $P; 5 Leg~B WATER AREA 62 g 'I 1986 57.88 11.58 5
STORM SEW TRK 1971 161.72 $,0 20
STORM SEW LAT *
S W SERVICE 1005 1986 808.77 161.75 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
STORM SEW LAT 1006 1986 610.14 122.03 5
WATER CONN.
BUILDING PER.
SAC
PARK
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
D 3830 Pilot Knob Road, Eagan MN 55122 O n~
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion ReauiremenGs RemodeVReoarz Reauiremen(s OFfice lk'e bnlv
3 registered site surveys showing sq. fl, of lot, sq. R of house; and all roofed areas 2 copies of plan CertoFSdrley Recd: `"'"~Y: _~1
(20h maximum bt cwerage ellaved) 1 sel of Energy CalculaLons for heated adddions ireE:PresPlan Recd-_.Y, "_N.
2 copies of pian showmg beam & wmdow sizes, poured found design, etc 1 site survey for adddions & decks TrCe PYO Re4uirr60;%
lsetofEnergyCalalafions Addition - indicate'rfoo-sAesepficsystem OnsileSeptieSyStetn :Y:N
3 copies of Tree Preservation Plan if lot plafled afler 711f93
Rim Joist Detail OpUons selechon shcet (61dgs wAh 3 w lea units
Date Construction Cost q, ame -
Site Address L-f '3a Unit/Ste #
Description of Work Sk x~a ~ ~om~
Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0 _ 1 _ 2
Property Owner PFl-~- Telephone #((oS t)IfS-`- 94 fr~
Contractor /-I-A S~ 5 a~ S ~oo m
Address A d Cle-c}-1k-c-5 ~ City
State tixi Zip Telephone # ((S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies.
Licensed Plumber Telephone ?
Mechanical Contractor Telephone D
Sewer/WaterContractor Telephone#( ~
I hereby apply for a Residential Building Permit and acknowledge that the inform ' 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.
~ a- a~ L--, 'S t.} ni -i~) o uC H£ R 1~
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 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 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Add'Rion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Au Tes[ _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Pertnit & Suroharge
Treatment Plant
License Search
Copies
Other
Total
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
CITY OF EAGAN
CASHIER: JS e TERMINAL NO: 010
DATE: 08/25/00 TIME: 13:57:57
ID: ~
NAME: REMODEL-PRO, INC
3210 9001 4308 SUN CLF RD 60.00
2155 9001 4308 SUN CLF RD 0.50
~
Total Receipt Amount: 60.50
CR136503
USER ID: JAN
• 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) swsb
CITY OF EAGAN
42-"~ ~ 1~1b 3830 PILOT KNOB RD - 55122
651-681-4875 cQ~ltd pf J21
New ConehueXan RaaWrements Remotlel/Raoalr Reaufremenh HM
? 3 reglatered sIfe wrveYa ahowing aq. lt. of bt, aq. ft. of houae 2 copies of plan
and ~ rooled areas (20% maxlmum bt eovemae albwedl 1 set of energy cdculaMOns tor heafed addlHOns
> 2 coplea of plana (ahow betan & wintlow sizes; poured (nd. dealgn; efc.) 1 site wrvey fa exterlor pdtllHons & daeka
? 1 set of anergy cdculaXons
> 3 coplea of hae p servaHOn plan II lot plaHed alter 7/1/93
DATE: c' 1 zz/ v~ CONSTRUCTION COST: 1~"G 600O. 00
DESCRIPTION OF WORK: 12Uc-/c_ tJU7_49,4-2 G</)4 t tS ee~u'~?~ t/Cc~iC
STREETADDRESS: 113-5~$ sUN CL,'/~= K J,
LOT: v BLOCK: ~ SUBD./P.I.D. UP Cf, t 2b
Name: C/~~ ~ C'~/r2/S • Phone u: 6~ y8`S~
PROPERfY Last flmt
OWNER 5~,~ o
Sheet Address:
Cly State: /~j /U ZIP: -4 ~ u
companv: Zevu ogeG phone 4~ S"/ 7161 S`~7 S 7
(area code)
coNreacroe Sheef Address: (oa73 /'~i/~L ucenr
iea 2L 9774 E.1P.
City State: ~N Zip:
ARCHITECT/
ENGINEER Company: Name:
TeleQhone Y: (
Sheet Address: ReglstraNon
Cly Sfate: vP:
Sewedwater licensed plumber fif installina sewerlwaterl: Phone
I hereby acknowledge ihat I have read this appikalion, slafe ttwt tjC wtton k c rtecf, and agree fo comply wHh all applicable StatE
of Minnesota Statutes and City o( Eagan Ordirwncea
Signalure of Ap_
D
OFFICE ~v~ 2000 REMODEL-PRO, INC
6273 Tahoe Ptace
Certificates of Survey Received Yes No WoOdbuty, MN 65125
•(877) 357-3016/ Uo# 20197726
Tree Preservation Plan Received _ Yes _ No _ Home Remodellnp SpeCialists
OFFICE USE ONLY "
BUILDING PERMIT SUBNPES
? 01 Foundation O 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Fxt. Alt - Muw
? 02 SF Dweliing ? OS 06-plex ? 17 Garage ? 22 Poroh/Addn. (4-sea.) ? 33 Ext. Ak - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ><-19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 70-plex Pibg York_ N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg.
WORK TYPE
? 31 New 0 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
,-T' 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0 # of Stories S9• ft•
No. of Units 0 Length sq. ft.
No. of Buildings t Width Footprint sq. ft.
Const. (Actual) 8asement sq. ft. Census Code
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS IN5PECTIONS
? StuccolStone
APPROVALS
Planning Building Ec~ Engineering Variance
Permit Fee Valuation: $ ~aUUf~"u
Surcharge ,
Plan Review '
License
MC/ES SAC '
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
C~'sC+R"~ :S=ri•
9sf!7 00,16F
Tdt~h:3 bi}.9 ,~~utlhont~!
,..`.y.'°< `~:~aJ18E0w•;:. -
SACUrtrts„n~l3han~.? a~•~CFI
% SAC
,
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED {iITH TtIE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
~sl,~y - b'I,000
To Be Used For: Valuation: ~Date: ~
-Z
Site Address: 1~~6 9 ~ OFFICE USE ONLY
Lot: ~ Block J Sect/Sub Erect y Occupancy ~•3
Remodel _ Zoning
Parcel $ -J' Repair Type of Const $L
Enlarge 11 of Stories
Owner O'71,P_VMove _ Length /J Demolish Depth ~
Address 7, -~~3,~r~%.5, t Grade _ Sq Ft
City/Zip Code 'T-q'S'-°l •
Phone APPROVALS
Contractor Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC 515.
City/Zip Code Engr Water Conn 500,
Planner Water Meter
Phone Council Road Unit Zq o.
Bldg Off2- Parks
Arch./Engr. +,~~APC Treatment Pl 1 SCo. '
Address Variance
TOTAL
City/Zip Code ~f~~t----
Phone N
I .
= lo~a x 5~ = c~o32o
2CD x40
~F9d x ~z = Sz~~ .
ox22-_
: _ (00 k e) - 800
1o
z. > ,
- -
43oe
C. R. WINDEN ~ ASSOCIATES, INC.
tAwc suevcroRs r.t 645•3646
#381 EUSTIi fL, if. ?AUL, MINN, s010•
FOR; KEY-LAND HOMES
Scale: 1' = 30'
O Denotes Iron
Q Monument
Q
0 ~ Drol
"no9e U~i%i!y Ea.zsrnend
N87`30'29"W n
~ J 4 0125.00
a pP~~
'6. r n - _ - -T - o -
LL za.a H
O ~
~ a :so W
J o " ~ I 0 =
LJ l9 z~.~ y u ~ O d1
I ~
20 v r
b N
i °N ~x l00
I ~ ~ 0. .
z 1 0 243 ~ Z
, L ~ 10
i ~I J~D
~ ~
„ e
NOTE: 125.v0 sb ~9a
o Denotes liooden Stake
Propoaed Garage Floor E1.= 910.0
(404.7) Denotes Proposed
Finished Ground E1.
E Deno[es Direction
Of Surface Drainage ,
Vertical Datum - N.G.V.D. 1929
Lot 6, S1oCk 3, SUN CLIFF SECOND
ADDITION, Dakota County, Minnesota
WE NERE&Y CERi1fY TMAT THIS li A TRUE AND CORRECi tE?RESENTATION OF ASURVEC OF TME
DWNDARIES OF iMf IAND AWVE OFSCRISEC ANO OF THE IOCATION OF Atl WILDINGS, If ANY,
TMEREON, AND Alt VISIBIE ENCROACMMENTS, II ANV, fROM OR ON fA10 lANO.
OanJ IAis 186 ~~y OF Qefober A.D. tVFS C• R. ASSOCIATES, INC.
w a 4&. •~rr~r, MinMNN RNiNnI{M IM. 772C
~
~ • ~ . : uuu ~ .,~''i:~~' 't . ~!L_~i 'if4h:• 7 ~
_ EXTF.RIOit ENVr.Loi1l nur.unrr coMi 1iTn~R(pt~~
. , . . r~,~5 ~ .
!~.~~,r. ~•~r:. ,t
OWNER: nnrr:
-
SITE ADDRE55:
ruoNe •
CONTRACTOR:~~~Q~~
Determine worY.ing square foot.a9e of ear.h
1. 7ota1 exposed wall area.....ij1.1q-sq. ft, x.11
2. Total roof/ce111ny area..... ~Q4p scl, ft, x_02G
Total exposed wall area albve 1'loor=_ 17~~_
a, Total wall window area
b. Total door area .
c. Total sllding glass dooi• area.. ~ ~
d. Total fireplace wall area........................... ~
' e. TotA1 wall framing area (average lON)......... • ~
f. Total rim joist area.. _ ,~2,
g. net viall area above floor........ . L
h. l wall area above floor...... T-
i. wall area a6ave floor.... ~
J. fra e wall area et founcfation ~
Total exposed foundation area= _LXQ__ ,
k. Total foundntlon window area.. ,r
1. Tatal net foundalion area above grade .............._~e ~o
Determine "u" value of eacli wall segment
(e,g, window, (loor, each separate wall section) •
a.X llul,_ ~ z 7~ •
.
t, .
b. 38 x „v • 31 - . .
• . ' C. 4o x „u,.
-
d. x „u„ ~
,
e, x
r._-Lj2c- X „U„ 04-°~. 5
9•_~315 z °u.1 •aS o
h. X Hull _
1. X lout, ~ .
J. x „U„ ,
If item IJ is the son.
k' X"uis_ as, or less.than item
ll, you havn met,the
X Intent of SOC.6006 (p
' •-----fo(o _ C2$---"----.
5'3
3 . .................................tu~a~
rior Cnvplopo nvoingo "U" Coinput.~Cion rnge 2 oP 4
! . . . .
7'ol•al expossed rooE/ceiling area
M. 7bta1 skyli.glit nren
n.'Total rooE/ceilinq•framing are~~'(nvCi~qC•lOR)...
o. Totai net insulaled rooP/cciling iiren........... p sy_-
+ DeterminQ "U" valuo foc eacli roof/cafling segment
M. _ x e.u,.
h. ~Va{ X uUn 2 S
o. x „U„ oL ~ . .
~ : . Tbtex ~ _ ZI•2r
If tol•al 'of rya is the sume as, or less t:linn p2, you have ineC the inl•ent of
SHr 6006 ,(c) 1.
'
Alternata Buildinq F.nve]ope Desiqn '
I. .
7b uk111za the total enyelope'system matliod, 1he values esL•ablisheQ by tlte sum of items 03 and 44 ahell not be qreatez l•Iian tha stun of itema ql and'U2.
.
' z• •1• z. _ 2,7 = Z37.S . . . , .
+ n.
I . .
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. i
~ . ' . . . .
~ •
i - . ' •
.
~
. , •
I'qq~f Th'u
. t7Al.b f~Cr,•I'Jt~u9 '
'Ct Uc~~ ~yt of r~~aqu~ wa11 nrcn foc
caimlrucllun Cun~;lrn~:tlr,n Ii-Vti1w1
- 1. , ,...kiv~n~..
' 11111~.~~~i',_t~l.!•-1!~m
_
~ a. ,3.~'ia~:hc~: ~~.~li_~~.~~„~j
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ALL , . ~ 6. F:r.lcriur nlr [ilm U.l'1
,_r I Zo~27
F1U. I1 7'GNVJ[i1 OF (NcJU~.
• FINtf~ WALL 1. Inti•cl~.r ~ir :Ilm ' 0.611
' ..i ' • 4. a~~~s~2~,e._.._._____.__.~3,n
. _
fD.llAb...
: .G!Z.
FIC. 12
, • 1. ]~itr.i iur nli,_1'ilm 0.611
L ~ z. _1N.Ss.iL.....3?~'8 , "----_._..J3.P. . .
~ _Qj _.ZlL/.t?.__._ -l.$~I
J
40
1~: al . "_'_~_Q 5. ~---5 tprN . . . ----•.__...~._..(o.Z
F:xl•crfor eir f,tlm
p_].7
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' .r ~ ~ • n~~ ca i ~ z
~;:I'~), v V~
c, ~ "~n u ._....~._..--0 • D`t .
~ ;<il.a. _ ~'k •
1TICt1 C~...°,~ ___.........____47 ~ ~ . . .
L ~ ' ~t . •
l d. • •a: ..__.__,_.__,-E~ . ~ n, I_L".~oaNG•. .'EC..~ 2~
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etc: 114 r l+~
1) • I ~ .
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(Il
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Un•17:: indLcntc tyoe. "!t" vallm. deiAlt antl
. . i~
PLAN ~k 33z!; .
LtN E.4 L FT, ,E,~posEo w~4LL
3LOGI~~I~~ z(v+ 9o -t Zcp.~4o= 137"
~ .
~C..u£E i~ r32 ~ •
'-ULL I~i; r32 ~
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=
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.
~x.P'oSEb wA LL AR.EA
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,
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w Dx1s 1~ ~ D oozs
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S Z' I., 3$
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, 'I . . Z~ ¦ 55
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: • Lry~• coi,structiori n'V.
1. • Intcriar air lilm
~ 2• GY ~3D , c~
Il~(!'r; 1~~~--_ • .-49
4. Extcrl.or air [ilia (gTotal 0•
. . • `\~1 `~J . . . . ~ . ` ~ ' .02 .
• ' . . ~ ' ~ F~+~t 6; , . • .
~ Y. Intorlor air f.ilm 0.61
sn[ed Heat flov
. ' ~ • °p • s• ~~`11,I5uL~ 38 3'S ~
. . . • 4. l:xleciv. ,+.il; Lilia sti
• . . ~ ' • - . Total 2. r G~D,~s
r=c. os' • ~ •
, . • ~ • ' , ' , • . . . ~ : ' ~ .U = . OZ.~,,
' - ' ~ • coA. yrAc'vcri m~.`,. . . • .
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1. Insida air filin 0.61
lez
r
' • ' ' • 3, • ' •
. , .
S. ouC.idc.air. Eilm ~ 0..17
Total
. ~ 1 2 3 q.. , .~.r-~•-. ~ • • ~ , ~ ~
1. Tnsido air li1M 0:61
Y.ecC flov up • ~•vented • ' 3- ' ' • ~
. . • . 4.
. ' • ~ , ~ . • ' ' 5. Outsidc air filin 0.17
• , ,lTG. 16. . ' ~ . . . : Total
; . . • ~
• 3 ~ rOs 1. Tnsldi: air Pilm 0.61
• ~ , , 2. •
. ~•~.t SLU•~.. • . . .
t.P,~,~~~~..;;~,..,~,
~ ~',r~ / 5. OuCsldc air Eilm 0.17
Total
< 1 ~ . • ~ . . . . . . ~
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' ; . . . , • ~ • . . .
. H0:7-M:T2D• . . : No_tc: Uso ndditional sheets if more spacn !
M.~ • . mecelcd for details and ealculations,
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ED) • ~ Y CITY OF EAGAN
APPLICATION FOR PERMiT SEWER AAID/OR FATER CONNEJCTION
(Please Print)
1) PROPERTY ADDRFSS:
T_FY_AT, DESQ2IPTION: L,r7 lvL "=.-_S~a.~C.LParcel .F-~
(Lot~ ock Subdivision or Tax I.D. Number) IF EXISTING STRL'CZ[]RE, DATE OF ORIGINAL &JILDING PEf2NIIT ISSL'ANCE: F1- '
(Nbnth Ye )
PRESENT ZONING/PROPOSID DSE: R-1 SINGLE FAMILY ,
R-2 DL'PLEX ('Itvo Onits)
R-3 'IbWNII-IOC'SE (Three + C'nits) ( Units) -
R-4 APARTMENT/CONIDOMINIL'M ( Units )
COMMEE2CIAL/RETAIL/OFFICE
IbIDC'STRIAL
INSTITUTIONAL/GOVER1PvfNT
2) NPr1E:
ADDRFSS:
CITY, STATE, ZIP: ~OrT~~?_,,/f~ie.°~? i 5' ajy
PHONE:
3) • r~' For City Ose
NAM' Plimibers Licens(
ADDRESS: f~c_S ~ i'yl7.Ls~• L= Active
CITY, STATE, ZIP: ~~f•~.c j,y~,;~.~~ t'g'?jg' O Expired
PHONE: MASTER LICENSE # C= Mt Recar(
Staff' Initial
4) • ~ • r a•
NAME: ~/9iy/ e %1S lJil/d1, G~.cr7
ADDRESS :
CITY, STATE, ZIP:
PHONE:
5) n • a• • •
~ CONNECTION TO CITY SEWIIt CVCONAECTION TO CITY WATII2
p OTHER (Please Describe)
6) i~ • ~ i
? PLFASE HOLD APPROVID PERMIT FOR PICK-t'P BY ONE OF ABOVE
~ PLEASE MAIL APPROVED PII2MIT T0 1, 2, dD4, ABJVE
(Circle one)
FOR C I T Y U SE ON;,Y
PE?LMIT " ISSUED
F°ES: $ SSi•iEB PEB31rT (INCLi:D_E SU?C :?RGE)
WATER PERP4IT (INCiUDE SliRCHAi2GE)
$ 5-1) ' WATER METER/COPPEBHORN/OOTSIDE READcR
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP .
$ -C~Qti_:•3' .,..?GSI_ - n_.?~
$ ACCOUNT D.F.POSIT - 47ATER
$ ~%S C: Crt~ WAC
$ 75 o zI SPC
$ TRG'NK L4ATER ASSESSi4E:IT
$ TRli2JK SEWER aSSESSMEAIT
$ LATEP.IL SEDIEFIT/TRUDIK SE:'--R
$ LATERAL BENEFIT/TRUNK I4ATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ ADSOU::T PAID/RECEI2T
7s,S(j
DOES UTILZTY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR 'AORK WITHIN
PUBLIC ROADWAY" MUST BE ZSSUED BY THE
~ NO ENGINEERING D NISZON. LIST AS A CONDZ-
TION.
SUBJECT TO THE FOI.LOWING CONDITIONS: APPROVED BY:
TI"LE: ~
DATE:
~rs.sa
51739 PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
TeIepfione # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Towtlhomes and Condos when permits are required for each unit
Date
CARR,
Slt¢ Addl'¢S5 PATRICK
4308 SUNCLIFF ROAD Utllt #
EAGAN, MN 55122
(651) 456-9485
Property Owner _ Telephone # ( )
Contractor 7,B-LOM PLUMBING o
Address £327-4033 citY
V State M1~~.-.
I IFppnl l cenvo Tetephone iF
( )
The Applicant is _ Owner X Contractor _ Other
Septic System New Refurbished 5ubmit 2 sets of plans and MPC license $ 100.00
Includes Counly fee. Additlonal a>nsultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other:
~n
_ RPZ _ new installation _ repair _ rebuild JA N 2 30.00
$
_ Lawn irrigatiott system • -
Water softener
_ _ Water heater $ 15.00
~ replacement additional
State Surcharge $ 50
Total $ f 5 .
I hereby apply for a Residential Plumbing Pernut and aclmowledge that the information is complete and accurate; that the work will
be m conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I undarstand this is not a
permit, but only an application for a pernnt, and work is not to start without a permrt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
Jeff- Qe(b10YY,,
Applicant's Printed Name Applic nt's Signature
PERMIT # ~ ~ ':~-L I RECEIPT DATE:
2002 RYESIDENTjAL P~,....U~BING '~ERMrr APPIJCATION
CITY Of @x4fiAN
3$30 {+ILOT KNOB RD
HEFHAN, diN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irtigation system
SITE ADDRESS.
OWNER NAME:: TELEPHONE#A o.S I~1(
(AREA CODE)
1-dLQ I o ~
INSTALLER NAME(\l. I~X~V 071141[17Q DOJA~C~ELEPHONE #:--1
STREET ADDRESS: 5-I 7-i PA~ ( ~ (AREA CODE)
I I
CITY: STATE: ZIP: T-
_ 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
. MODIFICATIONIALTERATION TO EXISTING QWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, exduding water softeners and water heaters. . 50:00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 518" meter if needed -$118)
Othec ~ -
_ RPZ: new installation/repaiNrebuild 30.00
_ lawn irrigation system
ReplacemenUadditional: '~L water soitener _ water heater $ 15.00
State Surcharge $ 50
Total $
I herebyadcnowledge that I have read this application, statethatthe information is corred, and agree to complywith all applica6le Ciryof Eagan ordinances It
is the applicanYs responsibility to notify the propertyowner that the City of Eagan assum s no liability f any damages caused by the City during its normal
operational and maintenance activRies to the §cilities wnstructed under this permit vith n C~y prope j+g t-of- yleas ent.
~
V%V
SIGN TURE OF PERMITTEE 1102
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use I
Permit
non
City of Ea a
I Permit Fee: I
~o
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: ~`,"~I10j~S (it/ P~ -GAL Phone:
Resident/ l Q
Address /City /Zip: L/ Owner
Applicant is: Owner Contractor
~~14e Z::~ Ai a U
Type of Work Description of work: l5 M a y 4-
Construction Cost:. 0,0 . U Multi-Family Building: (Yes / No )
Company: Contact:
Contractor Address: City:
i
State: Zip: Phone:
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. `Portions of
the information may, be classified as non-public if you provide specific reasons that would permit the City to
conclude that they, are trade secrets.
11 1 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.gopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X-7 4§1-es x
Applicant's Printed Name Ap 'c nt's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r I
? I For Office Use
a # City of Eayn I Permit a25s
I~d Q~ I
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 I
Phone: (651) 675-5675 I Date Received: _
Fax: (651) 675-5694 j Staff: Z
I
L -----------------I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: -.2 G Site Address:,-( J 0 C~ S U /U I I 'EE
Tenant: / Suite
- Name:.~~ j/// l Aj ..0,c ~i fL Phone: f0,!C2" 93 -`j g
Resident/Owner
Address / City / Zip: y 3 o S S y/yc,
Name: License
Address: L30 8' 514,vg, City: JE,efi/9dLJ
Contractor
State: M/'V Zip: SS%ZZ Phone: (p F Contact: Email:
New -,X Replacement Additional Alteration Demolition
Type of Work Description of work: R 42ae, r- • U N,~f
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
- Furnace New Construction Interior Improvement
Permit Type < Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
a -
Heat Pump Under/Above ground Tank L- Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal = $ Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge = $ d TOTAL FEE
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
Applicant's Printed Name icant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: n Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177244
Date Issued:06/22/2022
Permit Category:ePermit
Site Address: 4308 Sun Cliff Rd
Lot:6 Block: 3 Addition: Sun Cliff 2nd
PID:10-72976-03-060
Use:
Description:
Sub Type:Furnace & Air Conditioner
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
James D Weger
4308 Sun Cliff Rd
Eagan MN 55122--226
(651) 278-2739
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature