3076 Timberwood CtINSPECTION RECORD
C1 OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ! ,.
SITE ADDRESS: r APPLICANT:
• I
i bii,; 10 i IrMANN /I 011
I LAU1 F. ) ?,?tl ti Il i
PERMIT SUBTYPE:
TYPE OF WORK:
T
INSPECTION TYPE DATE INSP
R. INSPECTION TYPE DATE INSPTR.
r' ;i• !i? I I Pit,
!i :' I 1 rl?i I'I i?r {
rll 1'? - i I NAI
r Rt.MA10F -, 1N1:1,11HUS 301.11 3080 108
t,1 ill HP :X1111, III l7 P-1 [if;
rill 11111Nt;
0;'()*3 4
1011 J /96
1 [MM' Frill
Pwmft No. Psrmn Holder Dste Telephone #
ELECTRIC
PLUMBIN
HVAC
Inspeetlon Date Insp. Comments
FOOTINGS
[
?
FOUND lC?gl
A
KD ??
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL lI?
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Cities Digital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
-
Serial # 8 5-6 9, 3,0
Chip # t) -7 ! ? 6R SY
Permit#
Address: :?6-76 -r _ ? -
1 AGREE TO COMPLY WITH CITY OF EAGAN
ORDINANCES
Signature:
LQr,On ?b
313-323 ® °? ° SE ONLY This request rad IS months from validafion dote printed in th
?jis? ,.
7179 TU?S?
_ 3
? ?
PLEASE PRINT OR TYPE j, /, a
Request DaJ Rough-m ,nrpeaion required? Y ? No Inspection Other T n Rough-in ? Ready Naw ill Call
fYou must roll tha irupedar wh ready) Dote Rend,
I, licensed contractor ? owner hereby request inspection of the above electrical work at:
1 drew tred, Ba,, or Route No) Cq Zip Cade
Im
Se on No. Township Nome or No. Range No Fire No Coro
mo Phone o.
Power it
est Address r
EI nml omrodor ( omparq Nome
i' Commcmr Ott a
l N
Pro 567? Molter bc. No. (Plant Elgin Onlyt
Moilin
3933 g Address (Controdor or Owner Pedann.ng Insmllanon)
W. ?c
M55378
v
Au (Co dory er Mormi trismllan ) 1,J I Phone No.
89Y 3,33
EB-0000IZT66%95 AE ARDCGPY-SfE INSTRUc-nONS ON BACK OF YELLOW CO"
II I it II II I II I II III I II III II REQUEST FOR ELECTRICAL INSPECTION Minnesota State Board of Electricity
1821 UniwersitAve., Rm. S- 28 St. Paul, MN 55104
s U 3 1 3 3 2 3 8 s Phone (612) 642-0800 9 ('
Home DupleR Apt. Bldg. Other. New Addn
Commercial Industrial Farm Remod Re air
- Air Cond. Htg. Equip. Wafer Htr.
7 Load Mgmt. Other:
Dryer Range Elec. Heat 1 Tem . Service
'X' above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee
Other Fee # Service Enhance size Fee # Circuits/Feeders
Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Q
Street Ltg./Traffic Sig. Above 200 Amps Above _100-Amps _
Transformer/Generator INSPECTOR'S USE ONLY TOTAL
Sign/Outline Ltg, Xfmr A/cr ?*? itif-?9) ?
Alarm/Remote Control '
Swimming Pool I hereby cem that 1 ins eaed ele 1 1 n described herein on the dams seal
Irrigation Boom Rosgh-In aarc
Special lnspecion /
Investigative Fee Final Dare` /
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
313 3 22
- 16 Z ?E NLY This request mid 18 months from x hdafion dak primed m this bog.
//// Y/ GT/
C ?
PLEASE PRINT OR TYPE J /
Request Data _ ? Rough+n invp-.a. requlredt es ? No
h
t
Y
ll
d Inspernon Olhe
O
z
R
d n Rough-In: Q Ready Now I Call
? ou must ca
e
ropecror en rea
(
t
y) o
e
ea
y:
I, licensed contractor ? owner hereby request inspection of the above electrical work at.
JA6}dd a eet, Box, or o I
n Gry Zip Code
S aki
No Township ame or No. Raige No. Fire No. County
Rant ? ? Phoae a _ 8'3-3
Pow pI r ?--s Addres
Eledriml Contraaor (Company No
P
1
A C troctor Josm%jV
e)is cAoo Me,*, Lc No (Plan, Elmo. Orly)
lContronor or er Perfoalnsbll hoot
h,
1
/?
.S
M
I
\
55378
4
?
A
3M \
l
,
U
Auto ig nhaaor r Padormin Insmllano Ph
4a?-33-B
E8-00001A-106/95 ATE BOARD COPY-SEE INSTRUCTIONS ON BACK OF YELLOW COPY
II II II I I I II I I II I I I I I I II III Minnneso a Stat BoearR n Elec A8t I PauP MNT55104
1821 * 0 3 '„ 3 3 2 2 0* Phone (612) 642-0800 l
ome Duplex Apt. Bldg. Other: " New Addn
Commercial Industrial m; I
Remod
Re air
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other.
Dyer Range Elec. Heat Tem . Service
"X' above the wort: covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Erdrance Sae Fee # Circuits/Feeders
Fee
Mobile Home Park Stall 0 to 200 Amps
1
1W10
0
0 to 100 Amps
Y
Street Ltg./Froffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'SUSE ONL?ga TOTAY
Sign/Outline Ltg. Xfmr.
Alarm/Remote Control
Swimming Pool I hercb cent Ihm ed dm elednml insbllofion deadbed herein an Poe dams s
Irrigation Boom Rough-In Da.Z
Special Inspecion
Ell
-
Investigative Fee Final
n
Dam/1 /gT
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
313 - 3 2 0 ®
PLEASE PRINT OR TYPE
iii th,, G ???
DFF USE DN . hi, eq aid B man n, from ahdanan do % printed
q Q
Request Do* Rough in ,n,P ton requireda Yu No
(You muss wll the impeaor wh n ready) Inspection Olher Than Rovgh-In. ? Ready Now ill Call
Date Ready
I, license contractor ? owner hereby request inspection of the above electrical work at:
1 „ (5tny, Bo,, or Route No City / Z, Code
$enion No Township Nam. or No Range No Fire No. County
6
t
VAmos Phone No ?3
???
Po Sup ie Addres,
Elennml onnacmr (Cora ny Na el /?
gl? ?+ Contractor /b eenn?, -4 1
CA W OI 1 Man., Uc No. (Plant Elect Only)
Mai ing Address (Convoaor or Owner Performing Insipllanon) Sn MI V 5,53 78
Au gnaw Own rPerfarm Inal anon) P89hone No.y-93.3
EB-ODODIA-lO 6/95 TATE BOARD COPY- SEE INSTRUCTIONS ON BACK OF YELLOW COPY
82 t.I PauP MNT O l/ e? kl
III I II IIII I II II II I i II II I I III QUEST U to tat ? a Rmof Se18 3
55104
* 0 3 1 3 3 2 0 4* Phone (612) Bat-OSM //R
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Htg Equip. Water Htr. Load Mgmt. Other:
Dryer Range Elec. Heat Tem Service
'X' above the work covered by this request. Enter remarks in this space and on the bock of the white copy only.
it,
Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park Stall 0 to 20O Amps 0 to 100 Amps Y
Street Ltg./Traffic Sig. Above 200 _ Amps Above 100-Amps
Transformer/Generator INSPECTOR'S USE ONE L Ir /ro /? TOTAL ?d
Sign/Outline Ltg. Xfmr. ,/'o G
Alarm/Remote Control
Swimming Pool I hereby coat that I ins en elecm I msiallotlon described herein on the dales .toted
Irrigation Boom Rough-In Dore
Special Inspection
Investigative Fee final G to
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
313 - 3 21 7X Y This request void IB months from validation date printed in ?x
?e5
Y
: /
?
& Tj &
PLEASE PRINT OR TYPE
Request Dote Rough-in :.
pedian no inmid? es ? No
Inspecnon 04, on Rough-in ? Ready No.. ill Call
(You meaox the inspector whe ready) Date Ready:
I, licensed con ractor ? owner hereby request inspection of the above electrical work at:
to es 1, Box, or Route N ) Ciry Zip Cade
'if: V LW 7p-/
Swoon No Township Name or No. Range No firs, No. V
'4 0 52'A ?p
8 3
Power up r Address
Elmoncol Contmdor (Company Name)
Fs L_ e lec:?r Conlmdor .
CI?Cb nro Q.
1`/ Master Uc No. (Plan Elea Only)
Meling Address (Connector or Omer Performs Insmllanon)
3 PY? Su
P MN 55378
od (Co "dor or r e arming I smll on) Phone No.
e911-3333
EB-0000JA-10 6/95 a ?TE BOARD COPY. SEE INSTRUCTIONS ON BACK OF YELLOW COPY
?I IIhI?I I IP7I I? I LI ?II III?I REQUEST FOR ELECTRICAL INSPECTION 44 A0
F Glil Minnesota State Board of Electricity '?04t'
1821 University Ave., Rm. 1 8, St. Paul, MN 55104
0 3 1 3 3 2 L 2 s Phone (612) 642-0800/?j4
)-tome Duplex Apt.8ldg. Other: New Addn
Commercial Industrial Farm Remod Repair
Air Cond. Equip. Water Htr. Load Mgml. Other:
Dryer Range Elec. Heat Tem . Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate Inspection Fee - Thrs pedion Req wdl not be accepted wdhouf the correct fee
Other Fee # Service Enhance Size Fee # Circuils/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps I 'd 0 to 100 Amps
Street Lig./Traffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECTOR'S USE ONLY.
TOTA,.5
Sign/Outline Ltg. Xfmr. CG
Alarm/Remote Control
9
4
Swimming Pool I hereb cern that I
?.Inaal s?allanon dorribed herein o? she dares rased
11d
Irngotion Boom Ita„9h.b, Dme! C
Special Inspection L
Investigative Fee Final
THIS INSTALLATION MAY BE ORDERED DISCO D WITHIN 18 MONTHS.
SITE ADDRESS 3 01 ? I)M IMAli7( L 1 1 Unit #
Permit # of
L Q BI - Sect./Sub. jildo i)mid, 1 An4y,
P#?r?3a3 Xx;, ° &.j ////n, ?s,?Vr'
INSPECTION INSPECTOR DATE COMMENTS
G!-6
tll? o dS- 6
T,?i/"- l1? 9-z-97
nl3 2-IF-17
Fri A3 G- is <7
.? U,? 9?t397
0 v?-? v?.?. • ?'. ?' 30 alb
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS J 09-l',0161001 I Unit #
Permit # )- D- '
L 0f BI Sect./Sub.
lf,,00-31A-q,?o 44e A,-.I 101h& -?r3scro
INSPECTION INSPECTOR DATE COMMENTS
f?? .ice. -
;.. 461 >-3o y
, A?
1NSU
F=r Tm lS/97
e'.i- [r. ??7YWJ&?1 SUL.
«' a yaa-%7
L
91 o ON C atu?¢ /v 3er97
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS <9 0 ? 0 1111 bIJ Wf U Unit #
Permit # J-(f o 5 4
L B Sect./Sub.AI?JVULn ???. ?y b141L
INSPECTION INSPECTOR DATE COMMENTS
l!-6 0 ? ?
g.
bo-
FP l -/["-9'
941
/ ?-
INSPECTION INSPECTOR DATE COMMENTS
SITE ADDRESS 300 1A N106A If Unit #
Permit # o 3 `?
L 0 B Sect./Sub. - rl hm tylt WWI l -gh,12
t°1)?121 ,ial ? -ee o ?/?/4to S8
INSPECTION INSPECTOR DATE COMMENTS
u-? ?3-
-av tl r•
/Z
WFS A10
134 z•/D-q7
-?-2617 (w8 i41ve y oA of /,4 Iwt
INSPECTION INSPECTOR DATE COMMENTS
. .I _ I
Wertificate of cccuvauc? f
Wt? of Wagan
Meparhncut of znithinq anapcction
This Certificate issued pursuant to the requirements 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 Clsssifmuan: 4-P= n/?l Bldg Peonn No 2%34
(lccvlwry Type R3/ u I Tuning Disma PD Typo Cnnsl yI
O. rof Building AL HER- AI OOIIST Adds 535 SINE RU P>2MM HTS
Budding AAErm 3076 TDMMM OOURT ?j,,Lq BI TDOMOOD MUM
AIM ,a 0 6 3082 TR4 OOM
POST IN A CONSPICUOUS PLACE
'? i.S??S?rry4ry?S:Y:t.S?lf SFMA?M1`?:cY,c>X;X:R:?rc^c;;c>k°sY<mae%aa?k;X?c;,c?i?;;cz;
CITY 01= EAGAN
CA9SYTER S TERMINAL- N0: 30
rATT:: 10/1096 TIME; 000 4
f
10
NAME: COTTAGE HOMESTEADS
P25h 9001 3076 TTMT+F_'I WCOD 1.:3;905.38
Tat l RjVC'nt A'iaRn. ..
CF'OL-°?iah
I ,_, 101 NANCY
CITY OF EAGAN
+3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
$360,000
REMARKS:
INCLUDES 3078 3080 3082 TIMBERWOOD CT
S & W PI RR - RrHFRFR PI Rr,
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
i
4-PLEX
NEW
R-3 U-1
V-N
PO
90
119
1
104 3 & 4 - FAMILY
II
$2,187.25
$1,093.63
$180.00
$3,600.00
100
4
$7,060.88
cwI4
BUILDING
029034
10/11/96
CITY SAC
WAC
S & W PERMIT
S & W SURCHARGE
TREATMENT, PLANT
ROAD UNIT,;
Total Fee,
CONTRACTOR:
HERRMANN CONST, AL
535 STONE RD
MENDOTA HEIGHTS MN
(612) 681-8373
- Applicant - ST. LIC
16818373 0002616
55120
$13,905.38
AL HERRMANN CONST
535'„ STONE RD
MENDOTA HEIGHTS MN
(612)681-8373
55120
I hereby acknowledge that I have read this
information is correct and agree to comply
Statut As and Ci of Eagan Ordinances.
.
L- o/ ? ? A, , ?LL I -
APP (CANT/ E SIGN U E
PERMIT'
PERMIT TYPE:
Permit Number:
Date Issued:
3076 TIMBERWOOD CT
LOT: 9 BLOCK: 1
TIMBERWOOD VILLAGE I
Building_Permit Type
,Building Work Type
'UBC Occupancy
Construction Type
Zoning -
Building Length
Building Width j
Building stories
i
-C .sus Code
P ? ?r
application and state that the
with all applicable State of Mn.
J
ISSUED B SIGNATUR
$400.00
$3,040.00
$100.00
$.50
$1,584.00
$1.720.00
14034 CITY OF EAGAN 4
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements
Remodel/Repair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured find. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree presg? ation plan K lot platted after 7/1193
required: Yes _ No
DATE: _ _1011(c? I CONSTRUCTION COST: 'NO .0MC
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK
SUBD./P.I.D. #:
PROPERTY Name: Phone #:
OWNER WT r'""
Street Address:
City: State: Zip:
CONTRACTOR Company: l
IrNlVN"1,h,,0 oT Phone
WY-/`/53
Street Ad ress: ` License #:
City: Q- V -S State: ?JL Zip:
SS 1zc?
(
A
ARCHITECT/ Company: L Y
C) U j 5 ? 1? SS D G Phone #: 4 Z`(-
ENGINEER
Name: Registration #:
?
'°
?
?
Street Address ?
PVrv \?r
?
?
City:
State: Ofi, jL,,. Zip: S.S 369
Sewer 8 water licensed plumber: I, re r' \-'` CA Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is Corr ct?n agre to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No OCT 0 7 1996 9661 10 130
Tree Preservation Plan Received Yes No
OFFICE USE ONLY r:
y
BUILD ING PERMIT TYPE x
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling
ft^ 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 `
SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
moo' 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
VN Basement sq. ft. MC/WS System ?-
/-T Main level sq. ft. 5-9 i 4/ City Water
A 3 / too , a sq. ft. /Pp 0 Fire Sprinklered
P: sq. ft. PRV
1 sq. ft. Booster Pump
90 sq. ft. Census Code. /o
1!9 Footprint sq. ft. SAC Code Q 3
Census Bldg y
-
Census Unit ?7
Building
Engineering
Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/WS SAC 3 6 00 i ooy CI/
City SAC
Water Conn. 3 ? V') 9?9 y
Water Meter /02
Acct. Deposit 3 0
SM Permit 1159
S/W Surcharge .S"o
Treatment Pl. 15Py 3)Gr?/
Road Unit J/ V9
?
Park Ded. p G ; c oE
Trails Ded. a t
p/,
Other /
Copies
Total:
23.5 i i y% /d?0/e 30odd
,3
z 7,sy 7 l 97.5
77O?y? = ??,L)
1Cr,:
% SAC 04 - ' 9
SAC Units
?Gad ?. - ') w9
? g.?9 Sz?.3Z
HOUSE STAKING / SITE PLAN
FOR: AL HERRMANN CONSTRUCTION
LEGAL DESCRIPTION: LOT 9, BLOCK 1, TIMBERWOOD VILLAGE, DAKOTA COUNTY, MINNESOTA.
HOME FOR:
LEGEND
¦ - Denotes wood hub set
• - Denotes iron pipe set
`O - Denotes iron pipe found
/ - Denotes direction of flow
x966.5 - Denotes existing elevation
S
DRAINAGE 87'53'18E - -- -
66.19 899
__ DRAi_ -AND UTILITY j e99 8
'
EASEMENT PER PLAT
i_.
E 6s--1 --- - -
?-
I
ut ? N \
XISTING
SERVICES yo
905.0
33 0 5 33 / • _ __ _
12.67
N
21.50 10 00 0
J V I-r l
F q?? F4
c0 °o 11
3
EE ¢
w
m
z?
e
°n
5.9%
90].5
r. 5
IDE MALL ?'
o!
COO
?
°
o
Z.
?D
m ` a 12
nn
I.:
43 DO
905.0
6.4%_
-? o
4 9%_
11
33 'ZI
NORTH
O 30
-tI
-u m"
SCALE IN FEET
CO LOT 8
Q i VACANT
N
iV
L A G A N
REVIEWER
tAGAI\
REV y r
910 0
I 2.3
1'
I 902.0
D
I , ?
.?
°
ZO ?
o
II '
/
1 a
U
iU GJ CD
p
1
I 1 I a
cn o rp y
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T'
-
i N i J
B-B 32 FT z
LOT 10 I I 1 1 ?
w
VACANT I m O i1
I
Z n
?I
r
y T'1 ,
?' I Z
W L
• A O !J
M ,
Q3 :
O
-,0- 0
i >
1
Y
i' o
" a
o,Y i 20 1 ?f a
15910.2
/,/,3 59
y 900.7
C5
I [x] I
I
I
I
01
01
Q I I
I
f
&
O
6
10
9as5 - Denotes proposed elevation
+9es .s - Denotes proposed elevation
varying from development plan
sse.s - As built elevation
PROPOSED
CURB LOT 6
VACANT
8-B 28 FT
-WYE INV
895.5 -
900 9
S_8.9'53'53"E `
\ 66.-74-.._--- -- 9a1.az _ s7¢'S¢'Sp;
4g. 4s E
i'
i
I
I I 899 8 ,? ?--"?
x
BB9.6 ? ?
DEVELOPMENT PLAN PROPOSED AS BUILT VARIANCE
House Type - SLAB SLAB
Bsmt. Floor Elev. - N/A N/A
Garage Floor Elev. - 904.5 904.5
Entry Floor Elev. - 905.5 905.5
Tap of Foundation -
Walk-out Elev. - N/A N/A
Look-out Elev. -
1 + z 91>a s\
N89'55'18"W 188.05
X910.0__
TOWERVIEW ROAD
NOTE: ALL IRONS SHOWN HEREON AS SET, WILL BE SET AT TIME OF FINAL BUILDING STAKING
REVISED 10-11-96 BLDG FOOTPRINT AND OFFSE
SETBACKS REQUIRED PROVIDED VARIANCE
Front -- 30 30.4
Side Garage -
House -
Rear -
As built information shot on:
By
PROJECT NUMBER 94162
I hereby ce Aify that this survey, plan, or report was
prepared by me or under my direct supervision and that planners
I am o duly Registered s Land Surveyor under the laws OI6 Earnests
of the a f MIOMMoJt ""JJJn/ o t' Surveyors
??"? lL l of • AArcheologists
REVIEWED FOR CONFORMANCE WITH APPROVED PUNS
1 further certify that the proposed building floor elevations
and the proposed site elevations shown on this survey are
In accordance with the grading plans approved by the
city engineer for this subdivision, unless noted as a
variance above.
7290 Hemlock Lae, Snits 390, Ma le 0ro7e, llieneautA 55369-5592
a t Reg. No. Data V Z 9 Telephone: (612)!24-5505 Pax: (612)421-5622 By
P.E., Reg. No.
1° n aU
33
e J
a
N ?
to
M ?
6 1I 3
F re
zm
m
1 ?D
o
m
°
n
4.00 DIM. AP
(NOT TO CENTF
N ? DO
Ln J
C
0
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W
re
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1.33
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
U
l? 2`J
6-'?? ?
???? 13
fY ? ?
tam ?
tD---Cl ?
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
Existing
? • Sewer service (or Proposed)
? ?
a,
? • Property comers
/
? ? • Top of curb at the driveway
• Elevations of any existing adjacent homes
Proposed
- /
? ?
• Garage floor
m--_? ? First floor
9--'13 ? • Lowest exposed elevation (walkouttwindow)
? • Property comers
? • Front and rear of home at the foundation
PONDING AREA (if applicable)
? [7? Easement line
? ??-'? • NWL
? G-,? • HWL
? Ek • Pond # designation
? ? • Emergency Overflow Elevation
DIMENSIONS
o?? ? • Lot lines/Bearings & dimensions
? • Right-of-way and street width (to back of curb)
? ? Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
? ? • Show all easements of record and any City utilities within those easements
D/o ??
?
l' 0 •
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
i
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requiremen ny
Reviewed: / - /(5/ 7 / i
January 1996
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( TYP.)
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SEE VICE (TYP)
F.FIE.=
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RVICE (TYP
ELEV=
895.5 t_
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AINING WALL
,.- C."i'1` = f'. ,r`F,f\! DOS,^,
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' W N K
" In 0.40%
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PVC (SDP 35)
240,00"
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PUS=G. C:: 7 Ri:D
URING IT SHOULD VERIFY THE
r K 0,-l;.iw T ION ON THE SITE.
W
1+00 .. 2+00 .
3+00.
G1 CITY USE ONLY
L / BL ? nn/nJ RECEIPT#:
SUBD 77' tX?A l>y RECEIPT DATE:
v
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675 I
Please complete for: single family dwellings
townhomes and condos when permits are required for each unit
backflow preventer for underground sprinkler system ,
FIXTURES EACH N TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
9ath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x II =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x d =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x I =
Water Softener *for dwellings under construction 5.00 x =
Water Softener *for existing dwelling 20.00 x d =
U.G. Sprinkler ' for dwelling under eonst. 3.00
U.G. Sprinkler ' for existing dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' Dak Cry lie. 75.00 =
(new and refurbished systems)
Private Disposal Systems' Abandonment 20.00 =
STATE SURCHARGE li .50
TOTAL za sv
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City
of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any
damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within
City propenyldghtof-way/easement. 1?
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET AQDRES:
CITY:
?K?/
r
?a
SIGNATURE OF PERMITTEE
I
CITY USE ONLY
L 9BL?
SUBD. i/t/yr C n?L/
O
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are
DATE J /0/' 719
for each unit
FIXTURES
EACH
dQ I
TOTAL
Shower 3.00 x 9 S "D
Water Closet 3.00 x -24• vr7
Bath Tub 3.00 x -
Lavatory 3.00 x
Kitchen Sink 3.00 x &-a
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 :c =
Water Heater 3.00
Floor Drain 3.00 x ?•+-gip
Gas Piping Outlet ' minimum - t 3.00 x
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE 5g
TOTAL N
SITE ADDRESS: So 7l
OWNER NAME: .4
INSTALLER NAME: Z
STREET ADDRESS:-
-_i/ ') 4019,
CITY: :4 J4 Po%sC STATE: J-1/ i_ ZIP:
PHONE #: (6 12) t427 - 76XO
OFFICE USE ONLY ?pJ`?S?y
L BL RECEIPT #:
SUBD. DATE 1017 7 S?
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: • all commercialtindustrial buildings.
multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REOUIRED7 _ YES - NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
SIGNATURE:
OFFICE USE ONLY
METER SIZE: DATE:
STE. #
STATE: ZIP.
APPLICANT
_ INSPECTOR:
CITY USE ONLY 11
L BL / RECiIPT #:
SUBD. L d BC DATE:
I
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are requi Pd for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
E
? Minimum Fee: Add-on/Remodel (existing residence only) $
? HVAC: 0-100 M BTU L/ X 240 961. 6r"o
Additional 50 M BTU 6!00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge
TOTAL
SITE
OWNER NAME: A/ e'?Y"C[h
INSTALLER
STREET
1/ 1 k=_Q1
CITY: (e4 4'D 0 y 1 /( STATE: M)V ZIP:
PHONE #: ( 4/1 ) 4.27- 74ec) ".2 // /)/-) ?? 1
?.
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are = required
for each dwelling unit.
DATE:
WORK TYPE:
CONTRACT PRICE:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee Qr 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of pgnmA fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
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cliv
my: 110
. LFrI?;";riil I''i. ursrrtr,:•,
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1
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
-4 30.5d
Date Z.-1 / os-_
Site Address 9 T ? MVXV" ?GL`1Q CI: U
nit #
I
Property Owner zu\ l IxY?QIh Telephone # ( (0(k ) 6 I
1105- 3-1N
I
Contractor :P?oM
1fJl?l
?enj q9 nc ?? ro, W
,?
J
Street Address Cam' ?G, ?LDnC (?1 PV\- A-m- City
State rn?
Zip cGS 0)- Telephone # ( (p51? ) laa=-` 611
r ,
Bond #: [yL% h?q Expires:
I
'I
The Applicant is Owner Contractor Other
1j
Add-on or alteration to existing dwelling unit
furnace -Additional Replacement
_ air exchanger
= air conditioner -New -Replacement
other $ 30.00
State Surcharge I $ .50
Total I
11 ((---?rte
$Jv
1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Code
permit, but only an application for a permit, and work is not to start without a permit; that the work
approved plan in the case of work which requires a review and approval of plans.
? DriV..L h u.U&Ilo wl 1, I`(1 4 . cJ
d accurate; that the work will
that 1 understand this is not a
ill be in accordance with the
Applicant's Printed Flame Applicant s Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercialiindustrial 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: 570.50 underground tank installation/mmoval
550.50 Minimum (includes State Surcharge)
or
Contract Value $ x I% = $ Permit Fee
• If eP rmi[ fee is $1,000 or less, add $.50 a $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every S1,000 permit fee $ Total Fee
1 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 1 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
Use BLUE or BLACK Ink
�--------
---------�
� For Office Use t
� � Z `� I
� Permit#. � •J� ✓� I
�lt� Of ���I�Il � ��,/�`- �
� Permit Fee: �,�� I
3830 Pilot Knob Road i �
� Date Received: �
Eagan MN 55122 � �
Phone: (651}675-5675 � sta�: j
Fax: (651)fi75-5694 `________________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ��� �� Site Addr9ess: �V�� �/���f��� �G%t�tJ"'I
Tenant: Suite#:
IVame: �C�J Yl{�. l V �lN�G.(/1..... Phone: �l ``������L�
ResidentJOwner —I
Address/City/Zip: ���� �/� t ��lG/t
(� . ,� �/J� ��- �
Name: `� � � _License#:!��/�'��115�� l
�Ott�l'8C#Of. Address: ( C,ity: Y�� (.PiCt/�
��� State:,��Zip: �>J (�/ � Phone:_������'���i��
Contact: U� ' �h G– Email: �CG� ��
TypS af WOt'k —New _Replacement _Repair _Rebuild _AAodify Space _Wark in R.O.W.
Description of work:
' RE�ENTIAL
Water Heater
Water Softener
Lawn lrrigation�RPZ t_PVB}
P@1'111it Type Add Plumt�ing Fixtures(_Main!_Lawer Level}
Septic System
New Water Tumaround
Abandonment
RESIDENTIAL FEES:
�60.00 Water Heater,Water Softener, or Water Heater and Softener(includes�5.t)0 State Surcharge)
$60.00 Lawn Irrigatian(includes�5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround"(includes�5.00 State Surcharge)
''Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.00 Septic Svstem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) ��
TOTAL FEES$,�
CALL BEF4RE YOU DIG. Call Gopher State One Call at(651j 454-0002 for prote:ction against underground utitity damage.
Call 48 hours befare you intend to dig to receive locates of underground utilities. WWW.qO��herstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in confomiance with the ordinances and c es of the City of
Eagan; that I understand this is not a permit, but onty an application for a permit, and work is noi,to start wi hout a per�t; tha e work will be in
accordance with the app oved plan in the case of wrork which requires a review arxl approval of plans.�
t;, \
� �� � �
X ` � X ' l/
Applicant's Printed Name can s Si��nature
FOR OFFICE USE I�eviewed By: aate:� '.
Required Inspec#ions: Under Geound Rough-In Air Te�.t Gas Test . F'ina!
Meter Related Items: M�ter Size Radio Read' N#anameter__, �taff:
�
Use B�uE or BIACK Ittk C �
� FDr OIlie.�a t�a�--------M
. , ��j �- ;
�ty OfF��� ; ��� �
� Pemi,it Fee: ��� �JO r
383o Pilot Knob Rosd � ��
�a�f��{6�122 � Date F�etved: I
Pl�onll:�(867}675-66t6
�3tx:r8�1)675�dfBd94 1 Staff; (
I I
� . . . .a��...���w.i.rr�.�.��..��. �J
L �_,�.�— �
28'I5 RE�lC3EI�11'IAL. BUILQING PEl�11A1T APPI.ICAT1{JN �,�
[3��e: 1�,��,f�.� &ft�llddrass: D p 7$' O tt �- �i M.d Cr.,wa,,,�"Cr�n��
c
f�'9�� Nama:�,v�►�.G�. ��.1 b v�,s'�► � 1���e S�,n. �t..�,r�'"`Pttone:f0 S� '" 7.�� ''S���
�;r
� 14dciress/Cily 1 Z'ip: c� � ...�r► �t{. k e�a�� /�'�/✓ �.��e�
I�F�icaM is: 4wner ,�Contr�t
Type+o�'WO�c ��°r'of vw�c:�2 �' r�d d �
. Ca�s[rucdon�o�� �40 Mul�-Famay Buiiding:(Yes 1 No_�
c�m�:��14�,,:f��� C.��s+����:s�,�, co�c�-.�a.s�.... ,M� c�.Z1�'
ContracEor Addtes8' 3�Sti S � C�+-'��,� s� f:�, c;�►: _�`r:o t �-a.��
State:/�_,�:.�_��`?a�_.__ P#�o�ne:b l.�-S A 1•�S'�"���or.P re I:a��:�Y��ct,t�r�z�k�..
_ t+>_
I.k�t�ae#: ��� t� (_._..,.,. ___,Lsad CeKtE'ica�e#:�:�'"3i���$"'t 3— a O � f��
If the projet��exempt f�am taad caettflcation,ple�se e�lain why:
Ct)MPLETE 1HIS AREA C1NLY fF Ct3NSTRUCTII�EG A N�YI�BUILtNl�Its
In tha mst 1�mor�ths�has the City of Eagare ts�ued�pernuit far a sim�ar pian�sed on a masd�r pMn?
Yes No if yeS,date and aticlress t�masHer pla�
Lit�e�ed Plutnber. Pitone:
M�eci��tcai t.onfraci�ar: Phorre•
Sawer 8�Watar Contracbar; Phone• .
Fi�►Suppre�ion Contra�ctar: p�,�:
N07�:P/ans and�rrppa�Nr�g.docr��.th�rt�u stabrn�t aro r.�»�sf�to bs pubil4�J»�a�6tor� 'P4�s o#
U�s tr�fiorr»�a�an rrrsy b��eti�t�onl.�ud�c h',+�w Pr+�v�de�I�t�a�r�s��'wautd�parnttt.�Cftjt#o
caycltndl��t a,�►tr:tde�aear�. ,
�se�R��or+r�You Dio. c,�i a�,wrsta�a on.cau ac�as�ti a�o�2 ea�o�,a�ur�a�una u��r a�. c,�4s r�a
k�fia�e Yau h�r,d ta d'�g ta rat:+ei►+e iocatas a�u�dergrotu�d ub�ties. wy�•IIQp.h�r�tateorsecee_ora
r here�r�e fl�ec this Infi�nn�tica is cdt�eRe$na ec�tu�ate;that the worlc wwiN tfe in conFarna�x�,�n ihe cttd�nanceg a�!aodes af uie c�y of
Eagen;tfwt i �th�is rmt A permQt,b�onty an appiication fo�'�permk�and wark is not�a s�rt r�ithout a Pe�rni�that�e wotk w�(!se U►
ac�onwdance wdh tlte apDrovsQ E'�in#he c�a8�wo�k viAYctt�qui�s readew arKi appnavml of prliar�,
F�c�orias wcrlc authoe�d by a buNdlnp p�prmit irrsurd in�as w#h ifw Il��rwse�ta St�s Building Code must bo compi�tad wi�in 180
dt�rs ot Per�Nt h�auenrsr.
x .�a:�`c,�. 1�'�: cJl�.�s ,� �.-�
Appltcani's P��ed Nam� caM`s Sigtiat�u+e
Page i of 3
Reliabuilders 952-226-5514 p.2
Use BLUE or BLACK Ink
For Office Use �'/I �( /��(
Permit#:41‘11r° City o Ea au Permit Fee: 1 61
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675
Fax:(651)675-5694 Staff.
J
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6-1-17Site Address: 3076, 3078, 3080 & 3082 Timberwood Court
Unit#:
Name: Advanced Innovative Management Phone: 651-739-5544 I
Resident/ 1303 Geneva Ave. N. Oakdale, MN 55128
I Owner Address f City I Zip: t
i Applicant is: Owner X Contractor
Description of work: remove and replace hail damaged metals from roof. I
Type of Work i
Construction Cost 10,000.00 Multi-Family Building:(Yes /No ) f
l company: Reliabuilders Construction, Inc. Contact Jason Michels
ii
IAddress: 3351 Griggs St. S.W. City: Lake
L Contractor "
MN Zip: 55372 612-581-6255 jason@relia-builders.com 1
x State: Phone: Email:
BC650191 R-1-30358-13-00160 `
I License#: Lead Certificate#:
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
i In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan'? I
i Yes No If yes,date and address of master plan: I
I
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone: I
t
1Sewer 8 Water Contractor: Phone: I
i
i Fire Suppression 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 the are trade secrets.
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. wnow.aooherstateonecall.oat
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.
xJason Michels x q1L-.
Applicant's Printed Name Ap cant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143913
Date Issued:07/03/2017
Permit Category:ePermit
Site Address: 3076 Timberwood Ct
Lot:036 Block: 02 Addition: Timberwood Village
PID:10-76800-02-036
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Exchanger
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Tai T Tran
3076 Timberwood Ct
Eagan MN 55121
(860) 301-3644
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature