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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 t l i l i l d e ec r work nsta le at: ca Street Add?re7ss. Box or R?oJute No. 'l ? / CitV ? ?S 7 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 ° i ? 4 . 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 IOIFnC: Goruri AZC.4: S5: 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 . : .,: , . . - - - :..._-r- ?.?-•_ - . . _- . ???g3 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 u{? 1FR`^1c�, ti"y,�f''�'�.j'{ l6rt trf,5�,.n �jiL�t+{'d�tl"{jit.;15 i 'i)1'�{7;f; 9 q1t.{r+ ,-},S4t� if--V .Fr#perr'':it!`'�.:+�.. 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