3414 Eagan Oaks CtCity of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Pemiit Fee: 3'7 `% ` 9✓
Date Received:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
RESIDENT /
OWNER
Name: Eo.'..bi OA. k6 IOWA I.c:PwK,, 0.5 5 ki , Phone: 4 t Z- ZZ 4- o'1301
Address/City/Zip: 34( It1 5`4 NI 3`>!1C E d,.,kS G. -I-.
Applicant is: Owner A Contractor
TYPE OF WORK
Description of work:I e.o.v d4: / f,Lro 04
Construction Cost: Z6, G 0 0 = Multi -Family Building: (Yes X /No )
CONTRACTOR
ZiCJ
Company: Itg4 KD(...kei Contact: per1b3.►1 itl /ibJhf
Address: 1163 1 ' .Jr /U E City: ,glo�,,'N� `J
State: /VI/) Zip: 53-1-43`i Phone: 6 tZ--ZZ-1*Octo`'i
License #: Z 0 l 3 6 143$ Lead Certificate #:
Does this project require Lead Remediation? 0 Yes Eit No (see Page 3 for additional information)
If no, please explain:
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
1 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 >gJ`t ay\ 1/11 /, kt-
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA127667
Date Issued: 10/10/2014
Permit Category: ePermit
Site Address: 3414 Eagan Oaks Ct
Lot: 18 Block: 01 Addition: Eagan Oaks 2nd
PID: 10-22461-01-180
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:
PL - Permit Fee (WS &/or WH) $55.00
Surcharge -Fixed $5.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
- Applicant -
Owner:
Alexksandr Shimko
3414 Eagan Oaks Ct
Eagan MN 55123
(651) 900-3852
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
411°
CityofEaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5/25/2016 Site Address: S I LI- etc, ctn. 0 (,JCS Unit #:
Name: Eagan Oaks Town Home Assn/sh6n, (O Phone: 952-238-1121
Resident/
Owner
Type of Work
J
Address / City / Zip: c/o Personal Touch PO Box 5233 Hopkins, MN 55343
Applicant is: Owner 1( Contractor
Description of work: Garage door replacement
Construction Cost: $1,152.64
Contractor
Company: Custom Door Sales, Inc
Multi -Family Building: (Yes / No
Contact: Amy Egan
Address: 5005 Hillsboro Ave N
City: New Hope
State: MN Zip: 55428 Phone: 763-535-0042 Email: aegan@customdoorsales.com
License #:
Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Mechanical Contractor:
Phone:
Phone:
Sewer & Water Contractor: Phone:
Phone:
Fire Suppression Contractor:
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. www.uooherstateonecall.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 Buildin . ust be completed within 180
days of permit issuance.
x
Applicants Printbd Name
Page 1 of 3