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City of Epp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 13 Co
Permit Fee:
Date Received: 13
Staff: .813
2013 COMMERCIAL BUILDING PERMIT APPLICATION
Date: q-5- Site Address: .3ai)slami3onix,ofia,aitod3lgD
Tenant Name: VZ°C* Eif e- ant is: New / Existing) Suite #:
Name:
Former Tenant:
Phone:
Property Owner
Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: -7/ 53q t
Contractor
Name: L..--Ce...tjt
Ete LI
Address:
State: /fj: Zip:
Contact: „;
Phone:
License #: pfv,
City:
Email: t
Name: Registration #:
Address: City:
ArchitectiEngineer
State:
Contact Person:
Zip: Phone:
Email:
Licensed plumber installing new sewer/water service: 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.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.
1 I UV- V1/7)
Applicant's Printed Name
x
kip ant's Si nature
Page 1 of 3
ow)@ 5e
pc2A-RY)3 0.9e)ror Ofrice Use
Permit#:Cityof Permit Fee: _
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date Received:
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 9.-A
AN U -6o
Date: a"— /
Tenant: 5 A vki
RESIDENT / OWNER
TYPE OF WORK
CONTRACTOR
Name: `) t V'OL ye ; V\
Address / City / Zip: g.'11.)
�+!
Applicant is: Owner Contractor
Suite #:
Phone: V61?3 55
Description of work:
Construction Cost:
Multi -Family Building: (Yes
Name: �'jie.3 f Lam'- License #: id
Address: 2- 2-3 92_ CAi 'e'i c/a /e 117,4e 14)
City: FA/ 71.7
Phone: o6/ ' 21a) G,/ 8/ I Contact Person:
/No__Y
State: Zip: 5.45e:�
$ // /74ef?17/829d6 �S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
New Energy Code Worksheet
Submitted
Energy Code
Category
(1 submission type)
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:
Phone:
Licensed Plumber:
Mechanical Contractor:
Minnesota Rules 7670 Category 1
• Residential Ventilation Category 1 Worksheet
Submitted
® Energy Envelope Calculations Submitted
Phone:
Phone:
Sewer & Water Contractor:
NOTE: Plans` and supporting document ts. thayou submit are considered to be: public information: Portions of
the information may be classified as non-publ c �f youtprovide specific reasons that would permit the City to
conclude theyare,trade"secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be b in nrk of rrnance to start wthe ithout th ordinances perms; tndt the wofkhe City of
aE
in
Eagan; that I understand this is not a permit, but only an application forpermit,
ficcordance with the approved plan in the case of work which requires a review and approval of plans.
„d ui-ftZ x i or) A'
Applicant's Signature
x
Applicant's Printed Name
Page 1 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA137007
Date Issued: 06/10/2016
Permit Category: ePermit
Site Address: 2210 Rocky Rapids Way
Lot: 103 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID: 10-22426-04-103
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater & 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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Dean's Professional Plumbing
7400 Kirkwood Court N
Maple Grove MN 55369
(763) 428-1321
- Applicant -
Owner:
Shiva M Anderson
2210 Rocky Rapids Way
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature
Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA177126
Date Issued:06/16/2022
Permit Category:ePermit
Site Address: 2210 Rocky Rapids Way
Lot:103 Block: 04 Addition: Eagan Heights Townhomes 2nd
PID:10-22426-04-103
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
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 -
Shiva M Anderson
2210 Rocky Rapids Way
Eagan MN 55122--194
Nrh Plumbing Inc
6320 Highway 10 NW
Anoka MN 55303
(612) 900-7728
Applicant/Permitee: Signature Issued By: Signature