2241 Mahogany Way
Use BLUE or BLACK Ink
A y 4 V For Office Use
'bit of Ea aIl Permit*:
1 Permit Fee:
c~~ 1
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 i staff:
Fax: (651) 675-5694 1 I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 14` 1'9 Site Address: 7-2-41 MA HO 6#7"y u ...,Ay
Tenant: ANN # AAJ Sati Suite
RESIDENT i OWNER Name: Atiti r7 tiSoti Phone: 6 12 - 3S'3 74-01
Address i City i zip: 22-4( M89 tNaG A n'? 14,-'AY
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 5! )A-, G -
Construction Cost: 411,000 Multi-Family Building: (Yes ! No
CONTRACTOR Name: EEd A~ .~MQRaV6Mt~~li ense Zd~ 3S / 41*
Address: AW Q l9KBk4oieE u-'& I city: 6-A,6 RX-"
State: MN Zip: ss / 2 2 Phone: 1o
Contact: S L~f/t/ L}/G/US Email:
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 t'f 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance 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 i no ithoutape ; that the work will be in
accordance with the approved plan in the case of work which requires a review and app:A7p,
Al L a~S
x 5l~
Y x
Applicant's Printed Name Applicant's Sl nature
Page 1 of 2
BUILDING PERMIT
10 81 'le
Receipt # .
To M wed /er 1/2 TtiVIN HO '' st. Volue , Date ' i ;"? . 19 •i
Site Address Erect Q Occupancy ?
_
Lot Block Sec/Sub Remodel ? Zoning
. Repair ? Type of Const.
Parcel No.
Addition ? No. Stories
N
^ Move ? Length
Z a
e
"
- Demolish ? Depth
I Address
' Int Impc ?
Sq. Ft.
City Phone Install ?
t Name
?? Address
F- City Phone
rc
? W Name
x? Address
u
?W City Phone
Assessment _
Water S Sew.
Police
Fire
Enp.
Plonner
Council
I hereby acknowledye that I have read this appliwtion and srote that Bldg. Off.
fha inlormafion is rnrrect and ogree to wmply with oll applicoble APC
State of Minnewta Stotutes and City of Eopon Ordinonces.
Vac Date
A Buildin9 Permif Is is3ued ta ?Fees
Sipnafure of Permittea ' =' • .: '
Pertnit U
Surcharge l1 U '
Plan Review ' . Ju 1
SAC J O r
?' ''• ? 1 Q,i
Weter Conrt
Water Meter ' % 0
Road Unit { ?
Tr.PI. 1) 0 J
Parks
Copies j
Total I I
_ on the txpress condition Ihal
all work sFwll be done in accordance with all cpplicable Stote of Minnewto Statutes ond City of Eopan Ordinances.
Buildinp Officiol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100
Pwmit No. Permit Holder Dnb Tslaphone it
Plumbinp •? ?? ?' ? ? C ? ?
N.VA.C.
Ebceric
Soitsmr
Iropsction Date Insp. Other
Footlnps 1 g 14kbC W
Footinys II
Foundation
Fnming
Roofiny ° q s (,?
Rouyh Plby.
Rou9h Ht9. z1-?+-o
InsuL
Flroplac? /C (,J?
Flr:sl Htg.
Flnal PIbO• 4 -
Flnal
eaz ?
Cert/Occ.
Wffisr awia Loeetion:
E
p.
Dis
Reaipt MECHANICAL PEFiMIT
CITY OF EA(iAN
Fiq in numbened apacec
' TYPB or Print /egiNY
i ,
7. Date 2. Installation Cost
•- ?_j ' t? . =? v; Y ' -
3. Job Address Lot Blk.
4. Owner • - ,: ,-
i
Tract ? r ?
r ! r-.. -; ,'4{•,
5. Contractor •. 2 _N.\: Phone" _
R _
8. Addrc;s.
7. City State _ Zip ;-'
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New ? Add O Alter 0 Repair ?
10. Desaibe Fuel Type - + `? - -
11.
No. Equinment BTU - M. Ea.
Forced Air No. Eauipment CFM
Ai
H
dli
:
Mfg. r
an
ng
_ Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg. .'
Gas, Piping Outlets
12. i hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F{nal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4645100
?
Permit No.-? '
Fw ._?
S/C
ToL • . .
Receipt ' PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fes
fill in numbered spaces S/C ?
Type or Print /egibly Tot
.
1. Date 2. Installation Cost
?
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor a
Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
I 11
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
Kitchen Sink
Urinal/Bidet Other `
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN SEWER SERVKN PERMR
3830 Pilof Knob Road
P. O. Box 21199 PERMIT NO.:
Eagar?, MN 55121 DATE:
Zoninp: No. of Units:
r. ,
OWMI.
Address:
Site Address:
Plumber:
1 pnt fe oae* wia W Gy of [aoss Conneeflon Chorpe: ?
O?dinenau. Accourrt Deposit:
PermM Fes:
Surcharpa:
BY Misc. Charyes:
Dote of Insp.: Tmol:
Insp.: Dote Paid:
' CITY OF EAGAN WATER S
3830 P ERVICE PERMIT
ilot ?;nob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MiN 55121 DATE:
1
Zoniny: .
No. of Units:
- n-h
Owner:
Address:
•,a.1oG3:?ti ,?-
Sire Addren: 2241
-
- - -
Plumber: ""±a?ute ?'lutnbing,
Motar N0.: Connection Charge: -
Slu: Account Deposlt:
Reoder No.: Permit Fee:
.. I soMe 10 C0111* NiIlI1 !IM City OE EOgs A SUICF10fgB:
AdlsenoM. Miae. Charpas:
TaoL•
BY Dats Poid:
Date of Insp.: Insp„
CiTY oF EaGAN WATER SERVICE PERMIT
3830 Pilot Knob Road -
' -?;.
P..O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: -. i- ,
2onirg No. of Units:
Owrer:
i Addross:
? Site Address:
PlUIBbBr:
Meter No
: D
.S C
i
Ch
.
-
size: . " " on
orgs:,
onnact
Account Deposit:
15.00pd
Rende No.: to m!Vc20 1 3 Pertnit Fee: 10.00 pd
i 1 prN M aamPlp wilh 1M pry oi laysn Surchorge: . 50Fd
oIJiMOCM.
Mix. Charyes: ?f?;o "nn
-
,,
'
?
? Torol: c.'? . ?. ,,,
` -
By ?-?`
?
f.? Dots Paid:
Dnta of Insp.: / 5 ? inep.:
CITY OF EAGAN N?
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. PHONE: 454•8100 ,_,
BUILDING PERMIT Receipt # ?
Te' 6e wed !er 1/2 TWIN HOMEEst. Val,e $80, OOO p?tp AUGUST 19
Site Addrase 2241 MAAOGANY WAY
Lot 5 Block 1 Sec/Sub. OAK CLIFF
Parcel No.
? Name DEVELOPERS CONSTRUCTION
1101 CLIFF RD
? Address
City BURNSVILLEphone 890-6194
0 Name SAME
=
?? Address
r- City Phone
ee
W Name
F?
„
?? Address
tW City Phone
10814
85
Erect R) Occupancy R3
Remodel ? Zoning PD
Repair ? Type of Const. V
Addition ? Na. Stories
Move ? Length 46
Demolish ? Depth 34
Int.lmpc ? Sq, Ft.
Install ?
Approvala Feet
Assessment _
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Permit $ 373.00
Surcharge 40.00
PlanReview 186.50
sAC 525.00
WaterConn. 500.00
WaterMeter 63.00
RoadUnit 2A0_00
rr. Pi. 132.00
Parks
I hereby atknowledge that I have read this application and stote that Bldg. Off. H/LS/HS
the in(ormofion is correct o gree to compl with all applicoble APC
Stote of Minnesoto Statute c City of E n Ordinances.
, Var. Date Copies
Sipnoture of Permitte Total $2.099.50
h Building Permit Is i?ued to: DEVELOPER CONSTRUCTION on the express conditian iha+
oll work sholl be done in accordance„with oil apDVcaSY"tate of Minnesota Stotutes and City of Eagon Ordimnces.
Buildinq Officiol
?/ _? b--1 REQUEST FOR ELECTRICAL INSPECTION „ es-ooooi.cw
..?:
??l
See instructions for completing this form on back ot yellow copy. /
c 0 7 0 8 9? ""X" " Below Work Covered by Thrs Request 16 Iq (?j/
Nov4 Addl Ae
p. Type of Builtling . A'pplianees Wired Equipmenl Wired
Home Range Temporary Service
Duplex Water Heater Lfghtin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unfoader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other peci y Other ISVecify)
t.r pecify Ot er D
Other
Compute lnspectron Fee Below
N Fee Service Entrance5ize p Fee Feeders/5ubfeeders H Pee Circuits
/L U to 200 Am s 0 to 30 Am s 4 to 30 Am s
Above 200 Amps' 31 to 100 Amps U? 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms SD Partial:'Other Fee
Signs Special Inspection g? j
-- T
?`
Rema r ks ? OTAL FE?
,
,-- . a r..l
u
I, tha EI ctrical
f ?? ,? Inspector, e?eby
Qy tify that the above
Final Date inspeetion has been
mda.
This repuest void
es void 5? o? ? ? o J t I?j?
,tl rtronths from 3
P,D,, n7nQaq L-5 g r c) ,.rc- ue,? u
RequeSt•' te'v y Fire No. Rough-in Inspect?
Reqwred?
Ready Nuw?Will Notify. Inspec-
[3
?
v ?No . tor When Ready
2KLicenSed EleCtrical Conlractor I M1ereby requestinspection ot above
? Ownar
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work
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at:
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Street Add?re7ss. Box or R?oJute No.
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1 6
C! /1 Q llf2 C etq2.-
ecUOn o. Township Name or No, ange No. Counry
Or,cupant (PRWT) ?
Lewsf
I
? Phone No.
c
ed?
l
Power Suppiier / Addrecs
Eiectr'c81 Cont[actor (Company Name)
?? Contractor's License No.
3
Mailln0 Address IContractor or Owner M/ak?ing Instailation)
.. '`7
/
Author'yd SiBnature (Coniractor/Ow er Making Installation)
?
. Phone Number
F
1
1
?SSS
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.
MINNESOTA STATE/BOAflD OP ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway 81dg. - Room N-191 ? BE AGCEPTED BY THE STATE BOARD
1821 University Ave., St. Peul, MN 65104 UNIESS PflOPER INSPECTION FEE IS
Phone I6721297-2117 ENCLOSED.
.
Ilti?
CITY Or^ EAGAN
APPLICATION FOR PERT-1IT
SEWER AND/OR WATER CON:IECTIOAT
2/84
1) PP.OPEfrI'1' AL'D?.FSS:
r.FraL, D:SmIPTT_CV:
Dai;. O° CRT_GuAL r-,u'ILUIi:G ISSUANC?.:
PR=SL::'
i'S: 2v-1 SZ;Gi,. :A.HILY
?d R-2 DL-tLL....?{ ML'mITS)
? R-3 'PC:,.-,\TC±TCg L"JITS) ( CNI'_S)
0 i 4 [JTiI_S)
p CCi?nIE.°.Ci?L/RETAII,/OF'?'I?
? Itii'DliSTPIAL
O L%7STI7,'TIO??IAI,/GGV'R:N?=; r
ZJ Ai?Pi.IG iYT
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CIi"_'. S--':: ', ZIP: r/Ll d+.` u.?S/ lrvl ; fii 67 '
PF.O*: Lj ?7 ?.? tf ?l S? CS?
S
? 3) PLC •T$?? (PLEaSE PRINT)
i jqp:.!E; FOR CITY USE,?O4LY
t`,?CRES5: PLUMBERS lI ,'S :
, Lf
CITY, STA'', ZTP; tive
Espir d
PF.CM: Q of Rec,ord
PLUMBEA LICENSE #
4) «-CL?PAjPi/C.?'i..TF?, b (PLEASE PRINi)
NAME= I? G r
I ADDRESS:
crfr, sraTr., zip: ?:,? ?4 ?, .? c i y Ly -
c
PFiC}JtE: _
5) INDIMTE Wt-IICH PER:1LT IS BEItiG REQUESTI:D:
?CG"'I:QECrIC:V T17 CITY SUiER
ET`CC1NTr_;IGN` 'Ib CITY WATER -
" ? OTfEM (PLEA._?' DFSCRIBE)
6) C:.F.:
? P:?ASE F?OID r1pPR(7VIID PER.'?LLT FOR PICK-I1P BY 0:1E OF ABpV$ .
L`l rLF?sSE -'AIL APPROVID PER:?LLT 'P'J 1. ? 30 9 ABUVE
(Circle one)
.?-? •. . - - > . .
7) SIazATL'RE:
DATE'
(PCEASE PRINi)
?! R Olal?lllJ7 i? i71 ne !lasea? at ?sa At sa? aRa?-r aA s s??aa :? ?.?t f? wt?rtrs-.?? ?1 s rt ! L•`s sciar
F O R C I T Y U S E O N L Y a
PE^`".IT a ISSUED
FEES: $ SE:LR °DRMTT (I`ICLJLZ JU°CHaRGL)
$ WATER PERP1r' (IiICL'uDE SliRCHARGE)
$ L'.3 ov WATER METER/COPPERHORN/OUTSZDE READ: 3
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SE:vER TAp
ACCOtiNT DEPOSIT - VIATER
$ ?"UU. v G WAC
$ o o SAC
$ TRGb]K WATER ASSESSi?E2iT
$ TRli:1K SEj•7ER ASSE55;•iE.IT
$ LP,TEP.AL BE:;EFIT/TRUNK SE:'ER
$ LATERAL BENEFIT/TRUNK t4ATER
$ ?5Q u?
WATER TREATMEIQT PLANT SLTRCHARGE
$ OTHER:
$ TOTAL
, $ AP-IOLtiT PAID/RECiIPT 9 53k-:?S-
DOES UTILITY CONUECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN n"PERMZT FOR WORK WITHIN
PiJBLIC ROADWAY" MUST BE ISSUED BY THE
Q NO ENGZNEERZNG DIVISION. LIST AS A CONDI-
TION.
SliBJECT TO THE FOLLOWING CONDITIONS:
..'
APPROVED BY:
TZT LE:
DATE: - < 027 5
sif ltf+ R.a P"iw 00 Win WON VtW wF M st Wi@ Gt+0 Irt lW /E s" M M
. : .,: , .
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2006 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
,3a -?60
Date 7 / 3 1 / b?
Site Address Unit #
Property Owner r? Telephone #
Contractor ?Yu
ANGELL AIRF
?
,
.
12253 Nicoilet Avenue South
5treet Adaress BUfTISViIle? MN 55337 ? City
? e eTl phone: 952-746-5200 °
state faX: 952-746-5202 Zip Telephone #( )
d #: ?
B ?+ 6? Expires:
? G! d 6
.
on ,
The Applicant is _ Owner L__?Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional ZReplacem ent _ New
air exchanger
air conditioner
heat pump
other
.50
$
State Surcharge D CC?C??M
AUG 0 2 2006 $ 3?.s a
Total
I hereby apply for a Residential 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 I undersiand 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.
O?
Applicant's Printed Name Applicant's Signature
Use BLUE or BLACK Ink
• For Office Use G
Cityof Ea] llRECEIVEDPermit#:Permit Fee: &b ,o
b
3830 Pilot Knob Road DEC 2 0 2017 •
Eagan MN 55122 Date Received: /.03 4-6 ✓C
Phone: (651) 675-5675
Fax: (651 • - .94 Staff:
.J
2017 : ' SIDENTIAL PLUMBING PERMIT APPLICATION
Date: t)'°I' *) Site Address: .„:; ` f�� 11� j MO d2
Tenant: : ` '1�1�t, 1 �� vv
'',��Vii,, isi�c�A� ,r7�i#k,i �� � .,r Suite#:
tr11;0., ,14.
� .� ® Name: �� i► Y _�.A� r i, Pf A % A yh- e:_ ____ ____ _
1t1�1 %3tr ( Address/Clt /ZI f --i
E ,)71
ms Y P �I.�lirjl 1 C aI- Ili i
isr,.,{'g ii` 'r'triis Y } Name: Y U 1��1Js�'V � ��, agmr. .r , r I
loil'4r Fi�'t }}Q• ,� Address: �� f. City:�C Y \Y� 1 G r( C
1-„,, If'N I:t a�s,C ri)?�.t„�1,IP, 14`
0:: `g j'' '``'4)r:'.'t �a j State: Y 1 0 . Zip: . �n Phone: l�'` �� 1���'l (
�,,,44h
Nol
••
.4,t
li { Contact: •4. , r 1 t' �1�t'v, Email: �I a l�ld L Ai' (&?
a '
, 31 ' 1'i�i�y1 New _Replacement Repair Rebuild Modify Space Work In R.O.W.
1#A ,00='0 0 Riiii„, -- �— p
,„„„,,,..„,,,,,,,,„A t{B+;<e�}a(, Description of work:
Prlr .. 141111. QQtt `c 'RESIDENTIAL
),$4,r i, t t. __Water Heater
} i �i,4 Water Softener
It, !•im ., �'i;i tt Lawn Irrigation( RPZ/ PVB) —
vtilt:, :s Add Fixtures
t::14, ,G ir t}
r,.1, , , , —Septic System Plumbing ( Main/ Lower Level)
i�' 1 y ii
+ { t ��{:rti New Water Turnaround
Oil 1, tl4f
,:: i;f �i ltli l . , iso:
? a.,r{rh .crit ;:f>,: i : _Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround (add $280.00 If a 3/4”meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES $
I
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 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
acc h
rdaancee wlthe approved plan in the case o rk whi requires a review and approval of plans.
/1/(27vt________
x 4. xImit..
,�2-
A I
Applicant's Name Applicant's Signature
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