2249 Mahogany Way1
? CASH RECEIPT
?.
CITY OF EAGAN •
3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122 •
DATE ? Y . 19C7D . .
7° ry ? "1???,tn?
AMOUNT $ ?/ /'?/`•?
`f u ? l.tiJ
8 DOLLARS
? CASH )(CHECK
C (?(?/? VYhite--PaYm ?PY
6 J (j y Yelbw-POStirg Copy
Pink-Flle GOpy
Thank You
BY
CITY OF EAGAN As 17$4 1
3830 Pilot KAob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
Receipt #
. SF DWCi/G/1R Est. value :1679000 Date MARCf'l 28 19 90
Site Ad doess -
Lot 7 Block
Parcel No.
Name ..,..N .... ..........? ,...?..?ti
Address 436-7316
City AFTON Phone
1 hereby acknowlege that I have read this application and state that the
information is correcl and agree to comply with all applicable State of
Minnesota Slatutes and Ciry ol Eagan Ordinances.
Signature ot Permitee j ?
A Building Permit is issued lo: MORGAN "vStOM HOMES .
on the express condition that all work shall be dona in accordance with all
applicable State of Minnesota Statules,,and City of Eagan Ordinances.
Building Official ?s ?? •
?
M-l
FEFS
R-1
; W4•00
Bldg. Permit 73.50
Surcharge
52300
Plan Review
100000
SAC, Ciry
SAC, MCWCC 6M'00
waterConn 62g400
90.00
Water Meler
30•00
Acct. Deposil
30'00
S/w Permit .50
S/W Surcharge -
25Y.00
Treatment PI
Permit No. Permit Holder Date Talephone #
WATER
SEWER
PLUMBING ? Q O
H.V.A.C.
ELECTRIC
Inspsction Date Insp. Comments
F??ingS 1 yo CJe
Foundation Q
Framing Q
Rooling
Rough Plbg. •l -`?
Rough Hig.
Isul.
Fireplace
Final Htg.
Final Plbg.
Consl Meter Pibg. Inspedor - Notity Plum6er
Engr./Plan
Bldg. Final
Deck Ftq.
Deck Final
Well
Pr. Disp.
• MECHANICAI PERMIT
CITY OF EAGAN
3630 PILOT ISNOB ROAD, EAGAN, MN 55122
rT PRICE PMONE: 450-8100
I Site Address
y Name
? Addre
c City _
? Name
c Addre
o City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outlets #
omer
PERMIT #
RECEIPT #
DATE: -
? ; 4' ' z BLDQ. TYPE WORK DE?,,RIPTION
ie?/S'?? R? New
n"_ r
Mult Add-on
f, ;> * A /.,. , Comm. Reparc '?
Phone Other
?
FEES
RES. HVAC 0-100 M BTU - $24.00
qDDfflONAI 50 M BTU - 6.00
Phone ~': '75 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
COMOAlINO FEE -1% OF CONTFtACT FEE
M BTU APT. BLDGS. -COMM. RATE APPLIES
M BTU TOWNHOUSE 8 CONDOS- RES. RATE APPLIES
M BTU MIlNMUM RESIDENTIAL FEE - ALL ADD-ON 8 ?
REMODELS - 12.00
M BTU
MINIMUM COMMERCIAL FEE - ?
20.00
CFM STATE SURCHARGE PER PERMIT - .50
u (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
PERMIT FEE:
SIGNATURE OF PERMITTEE
?C.
?" ?
TOTAL: FOR CITY OF EAGAN
' CITY OF EAGAN PERMIT#-,
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PRICE PHONE 4548100 DATE: __,?
Site Address
Lot ?.2--
Name
A
Addre
? City ?
Name
'c Addre
8 cay -
e^
dLDG.ITYt WVttKUtJ.I:IyY'll1
Res. New V?
SeGSub
Mult. Add-on
Comm. Repair
?? O[h
Phone
Phone
FEES
COMM./IND. FEE - 1% OF CONTRACT FEE
: APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.INDJFEE $20.00
STATE SURCHARGE PER PERMIT .50
;(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE)
FOR: CITY OF EAGAN
?
y
?
er ,
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO? FIXTURES
Water Closet - $3.00 TOTAL
9
$
?ii Batlt Tubs - $3.00 _
??
3 Lavatory - $3.00 9_ '
? Shower - $3.00
T Kitchen Sink-$3.00 j
UrinaVBidet - $3.00
? Laundry Tray - $3.00
- ?
T Floor Drains - $1.50
7-
?
Water Heater - $1.50 i
/ Whirlpool - $3.00
_ Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIn
Softener - $5.00
Well - $10.00 ?
Private Disp. - $10.00
-
?
R_ Rough Openings - $1.50 ?
_ U. G. Sprinkler System -$12.00 i
PERMIT FEE: ?5
STATES S/C: 1
50
'
DATE: 04/26/90
2249 HAHOGANY WAY
'RE:
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public 4orks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL-PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
4 •• 1 •?
DATE
RE: 2249 MAHOGANY WAY
04/26/90
x
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL-PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
contirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. 'i
• • • 7
(gtrttfiratt af (Orrupttnry
Citp of eagan
EFpttl'tI11Pttt Af ]Wbittp A1SpP[Y111k[
I '!
This Cenificate issued pursuant to the requiremenu of Sectian 306 of the Uniform Building
Cade certifying that at the time of issuance this structure was in compliance with the various
ordinances of !he City regulating building constructton or use. For the following.•
Use ClasificatlonSF DW/GAR ?? / &dg. PErmit No. 17? 1
paupan.y 7),pe ?lri1 Zooiog District PDA I 'Iype Cons[ Vn
Oxverof8uildingMW3AN CUSM IKM Addre,s 12860 ?H sT. S.- AFT(N
ewlai,g,Aaaress 2249 ?WAY L?l;ry L7 B I. OAK ?'...IFF 1 Sf
? j.
D..: J[lM 13, 1990 Building Olficial ?
POST IN A CONSPICUOUS PLACE ?
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
I :
?
I PERMIT SUBTYPE:
i r l-l a: l?i ?
APPLICANT:
TYPE OF WORK:
t T1'(?Fli'lr'M
Wf) BF DRltl)M`;)
?, i:. . . ! r.; , . ...
I r1'.t; q ?: i i t,Ea
??;e 061?K ie fi fiFf'f11kAT4= €-'fRMTi 1".y wrcr0ipes? F4}t7 AP4Y t t IFMt?tM1i OR tt FCT'Fil'C:i!! Ili'i>I
Permit No. Permit Holder Date Telephone a
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROU6H
PLUMBING
? j,-
AAg
PLBG
AIR TEST
ROUGH
HEATING
A/lB
GAS SVC
TEST
INSUL
GYPBOAAD
FIREPLACE
FIREPLACE
AIR TEST
FINALPL$G
"b 7
FINALHTG
ORSAT
TEST
BLDG FINAL
BSMTR.I.
BSMTFINAL
v
DECK FTG
DECK FINAL
?
- ?-'
?
t/9?1
JFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATEU4/ ['
3830 P', t Knob Rd. iz&
Eagan,Pl 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # ?
DA7E ,. „??25/90 ISSUE DATE B.P. RECEIPT DATE !
r- - PRV - BOOSTER PUMP
o m,
SITE ADDRESS 2249 MAHOCAHY WAY PERMIT REQUESI
LOT 7 BLOCK 1 SEC/SUB OAK CLIFF 1ST
d % SEWER X WATER
APPLICANT:
COMM/IND ?L
_ T.
ZIP ` - ?? ? --X- NEW - EXISTING
Lawn Sprinkler Meters are to be Installei
'LUMBER: pAtMA 1'LiMDING Ahead of Domestic Meters on Water Line
1DDRESS: 373 COLLEBN DR Credit VWI,'/ NQTIbe,?ven for Deduct Meter:
;ITY, STATE VADNIIIS HBIGH'f3, MN ZIP 55127 7'`j /?? •=?? ?_
? raan?? v vv.. ..... .... . ?.
?? f ! EAGAN ORDINA CES
E ZIP f 1fn?yr
SIGNATURE WHEN METER ISSUED
LLOW TWO VI/ORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORI
RMITS, CONTACT ENGINEERING DEPL
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 3/28/90
O/FoFICE USE ONLY
METER #????b a 7-? PERMIT DATE 04/26/90
CHIP # D I 6 3 SISD PERMIT # '? 113-?'4
METER SIZE B.P. RECEIPT #
ISSUEDATE B.P.RECEIPTDATE03 25 9U
_ PRV - BOOSTER PUMP
SITE ADDRESS 2249 MAHOGANY WAY
LOT ' BLOCK 4 SEC/SUB CAK CLIFF tST
PHONE: PERMIT REQUESTED
APPUCANT:
ADDRESS:
CITY, STATE ZIP ?
X SEWER R WATER - T
- COMM/IND --X- RESIDEN'
X NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
PLUMBER: PAI.MA PT.UMnING Ahead of Domesjic Meters on Water Line.
ADDRESS: 373 COLLEEN D& Credit WIlL NgT/.be given for Deduct Meters.
CITY, STATE VADIVAIS HEIGIiTS, 14Sd ZIP 55127
PHONE: 426-1333
I AGREE T(?COMP'tY H CITY OF
' EAGAN ORDINAfVCES
OWNER:
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE L?OWV TWOWORAG DAYS FOR PROCESSING. CALI 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
,?(
CITY OF EAGAN Remarks
Addition OAK CLIFF ADDITION Lot 7 Blk 1 Parcel 10 53550 070 01
Owner Street 2247-49 Mahogany Way State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. -1 1981 250.88 25.09 10
STREET RESTOR.
GRADING
SAN SEW TRUNK ?qq 1973 104.12 6.94 15
SEWE LATERAL s'ILI 541.76 54.18 10
WATERMAIN K
WATER LATERAL
WATER AREA R 161.31 10.75 1$
STORMSEW TRK u0 1979 350.52 17.53 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN N2 17641
3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55721
PHONE: 454-8100 ?/
BUILDING PERMIT Receipt # L E'
To be used for - SF DWG/GAR Est. Va1ue $147 , 000 Date MARCH 28 1990
Site Adrlress 2249 MAAOGANF WAi
Lot _Z_ Block -L_ SeclSub. OAK CLIFF 1ST OFFICE USE ONLY
Parcel No. oocuPancy R=3 M-1 FEF_S
PD R
1
Zoning -
W MORGAN CUSTOM HOMES
Name (ACtual)Const S/
ri BIdg.Permil 804•?0
o Address 12860 40TH ST S (Allowable) .
__
1lxi-- 73.50
City AFTON Phone 436-7916 # oi stodes - surcharge 523
00
Plan Review .
Length 701
o Name SA? Depth 1 Cit
SAC 100•?0
=
¢
O Address S.F. Total -
- y
, 600
00
U SAC, MCWCC .
? City Phone S.F. Footprints -
t
C
W l10
699
On Site Sewage _ er
onn
a _
F
? W Name On Site Well W
M 90.00
?? -, AddresS Mwccsystem -
XX- ater
eter 30
00
¢ AccL Deposit .
'r
aw City Phone cicywaier xv_
30
00
PRV Required _ SM/ Permit .
I hereby acknowlege that I have r ad this applation and state that the Boosler Pump - SiW Surcharge • 50
information is Correct and agre o ply h all,applicable State of Z$Z
00
Minnesota Statutes and City of in es/
[ 7reatment PI .
Si nature of Permitee
9 APPROVALS
Road Unit
355.00
A Building Permit is issued to: MORG ^ Planner - park Ded.
on ihe express condition that all work shall be d e in accordance with all Council
applicable Stale of Minnesota Statut ?and City of Eagan Ordinances. Bldg. Otf. _ Copies
Building Ofticial
Variance
-
TOTAL
$3 ,483 . 00
?
5/a/5o 911:17
17004 °0
Request Date Fire No. gh-in Inspection
p
' ?? Reqm d?
es J No ? Ready Now ill Notify Inspector
When Re9dy?
I 0 licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet Bo: or Route No.) City
P d
l
/
TO 11 f/? -/,
Sedion No. Township Name or No. Range No. County
Occupant(PRINT) Phone No.
/Ii D !2 <
Power Supplier Atldress
Electrical Coniractor (Company Name) Contrador§ License No.
ZC z
Mailing Address (Comractor or Owner Making Installation)
r ?
? ZI T j
Aulhori d Sign Wre (Contr ctOrlOwner Making Installa[ion) Phone Num
ber
? (,
T0 ? ? ? -3
MINNESO7A STATE 136AHD OF ELEC?CITV THIS INSPECTION REQUEST WILL NOT
Grlgga-Mltlway Bldg. - Room 5-173 BE ACCEP7ED BY7HE STATE BOARD
1621 Unlverslty Are., 51. Paul, MN 55104 UNLES5 PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
Sl
,?/RQ REQUEST FOR ELECTRICAL INSPECTION
0,- See insiructions for completing [his form on back oi yellow copy.
? 17004 "X" Befow Work Covered by This Aequest
94BV
x
?
'? ??..?..
ew dd Rep. Typeof8uilding AppliancesWired EquipmentWir,84
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building DFyer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specity) Contrector's Remarks.
Compute Inspection Fee Below: J;Z 6-5r, • g,? ?
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps Y, 0p 0 to 100 Amps c p
Transformers Above 200 Amps Above Amps
Si9nS Inspector's Use Only: 7
? TO l
Irrigation Booms ( ?•?.Z,
Special Inspection
J?
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 NTHS.
I, the Electrical Inspector, hereby Rough-in
. Date ? 2G ??
/
certify that the above inspection has
been made. F;nai Oate /? l
OFFICE USE ONLY
This requesl voitl 18 monihs from
CITY OF CAGFlN
CASH:I:LRa J5 TLf.MINAl_ N0: 6:LB
nATEe 006/97 7IMF„ 1403^33
IDd
NAhiEw FRFDE:RICF. 1 PYGHt
3210 9001 2243 MAHOGANY 50.04
205 9001 rry.249 itAHOGANY 0.50
To+.a.l Feceipt Amouni:a 50.50
Ck(]B44F.12
U5k:R iDt 1AN
CITY,OF EAGAN
3630 Pft Knob Road
Eagan, Minnesota 55122-1897
(612) 681=,4675
SITE ADDRESS:
PERMIT PERMIT TYPE:
Permit Number:
Date Issued:
2249 MAHOGANY WAY
LOT: 7 BLOCK: 1
OAK CLIFF
P.I.N.: 10-53550--070-01
DESCRIPTION:
. t
?
?- ?
(NO BEDROOMS)
ermit Type BASEMENT FINISH
4?k% Type AITERA7ItlN
e ? 434 ALT. RESTpENTIAL
? ?.
P0 ?k ?'?nT'{? K? ?OV?
BUILqING
031275
12/16J97
REMARKS:
A SEPARATE PERMIT TS REQUIRED FOR ANY PLUMBIN6 OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Tntal Fee
CONTRACTOR:
w
.
i-:
< =>T h e ?^ e
- a rr ? axm
?St?a?tut
$50.@0
$.50
$50.50
OWNER: - Applicant -
DYCK FRED
2249 MAHOGANY WAY
EAGAN MN 55122
(612)$82-8323
aa?Ci '? l?an r S ^F'? ?, yar ? fi?3? h1? w tis
Nita f/PERMITEE SIGNATURE - ISSUED BY. 51 ?? U?
1.21h997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4jD"bl o
CITY OF EAGAN
3830 PILO7 KNOB RD - 55122
B81 -4675
New Construdion Reauiremerrts RemodeUReoair Reauirements
? 3 registered sde suneys ? 2 copies of plan
? 2 copies oi plans (inGude beam & window s¢es; poured fnd. design; ete.) ? 2 sRe surveys (exteriar additions & dedcs)
? 1 energy wlculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan N lot platted after 7/1/93
required: _ Yes No ?DATE: L1R? 74,7 CONSTRUCTION COST:
? DESCRIPTION OF WORK:
STREET ADDRESS: Z z 1 CZ
LOT ? BLOCK SUBD./P.I.D. #:
PROPERTY
OWNER
?
V, CONTRACTOR
Name: 1U y Gk, r?e-d Phone #: _ 9W2-43 ?
lA6T RR6T
Street Add
. Z Z?¢ q
City: ?--
Company:
Street Address:
City:
ARCHITECT/ Company:
ENGINEER
Name:
Street Address:
City:
Sewer & water licer•ced plumber (new construction only):
and lot change arc iequested once permit is issued.
State: Zip:
I hereby acknowledge that I have read this application and state that the information is corcect
State of Minnesota Statutes and Ciry of Eagan Ordinances. .,u..`
?ignature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
- Yes - No _ Not Requ
State:l.?W Zip: S---T-/ -,> z
State:
Phone #:
License #:
Zip:
Phone #:
Registration #:
Penalty applies when address change
agree to comply with all applicable
OFFICE USE ONLY
BUILDING PERMIT TYPE
.? 4k.
! ' • , ?`Y
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging X1?16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex o 15 Deck
WURK TYPE
0 31 New ,zr"33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building Aq?;?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
TotaL•
• ??:
?
% SAC . ?711_
SAC Units ` ?
' -••......?.-_.<...:. ?
MCIWS System ?
City Water ?
Fire 5prinklered
PRV
Booster Pump
Census Code. < <
SAC Code ?
Census Bldg 1
Census Unit ?
Engineering Variance
Valuation: $
r • , y
i - ?
() 0 *
gJ4•D0+
73•501-
523 • 00+
2 )082 • 50+
? 31 483•00*+
804•00+
'73 • 50+
523•00+
2' 032 ° 50+
3, :+83 • 00*+
?. ;
y
1990 BUILDING PERMIT APPLICATION
/ ql OF EAGAN
?? ?%
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - &-STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: sED SA?,,- Valuation
Site Address 22?? X16Cpny WGu?
Lot 7 Block I -r?
Parcel/Sub 04
Owner fo G4A kd l`eL,
Address %44 pppn4rjiL
City/Zip Code ?1n °??Htt&_?al
Phone
GLI
Contractor M VYY4 4" ( 0-7 (0
Address
City/Zip Code hlN0o aQ ?
Phone L( 7 tJ --711?
Arch./Engr. ?01n ??(J ?"J?J
Address -7
City/Zip Code v ? G1 u ?
Phone # 777` 02210
17q
_1
Date:
14 7, oM ?
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE ONLY
R-3 Mft
PD R-l
v-N
V-N
33'
On site sewage_
On site well
MWCC System ?
City water yPRV
Booster Pump _
APPROVALS
Planner
Council ,
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
804,00
ry 3,So
sz3,00
100000
l0c
?E2?00
D OJ
3D,
3t?,2?D
2rS 00
35Sip`?
TOTAL ? . ,?;:
.. ?
VA LuAi1d?
GAQaCm c
? 2 6 X Zy C. 2N X 1,5s 43Lo
gs MT
29x44- 127
(? -
?y t-I =- Z4 ?
I300 )c I 4 - 16 2Loo
Is-c' :FL.00GZ 8sv? . : 13 v?
Zx? ? N
Zx S?T.
?-?-
13'?a x SI = (,834n
ZtJD FLOpp,
z Y <6
???z ? ?2 = CzI
9 94 xst= 5069?
I LI 45 q 4
r
,
r.
. f
? j ;wner
'ite Addr-ss -71Z•Ll C1
;ontracter
u?vNE50TA STaTE E:IEF;,'t CODE rALCU? aTFONS
BAScD ON CHAPTER 5 Gc THE
M0 _4L EVcRGY CODE - L:?83 EDITLON
Adop:iun EL*ec[ive 1/1/34
-Ic
OCAhvi Vv°t
Phone ra to?
Phane -1*71?_151
iuilding Classiricat?on: Type Al (Single Fa^?ily 3 Ouplex)_c?Type A2 (Residential
(3 stories ar.less Ic`(E?AL INFORiMAT?GN
(Other)
i. Building Perimeter /6rO Lpi • ft.
(Over 3.staries).
?. riail height (qround to eave) - 9 f4.
- 2
3. 1. x 2. (above) gross wal i a_rea. I F?9 Co ft-
4. Building dimensions (L) 44 x(41) Z9 ft.Z roof & floor araa.
i.. SGuar2 .*'co_ area of rim joist - F1oor joist size !2 x/?
/m x Per4me[er = Rim joist area = ?33 ft2
12
6. r-locrs -Area 3z 4 i7 ?z? = 7Z
Thickness r 3/4 in. U ractor o6o9
Type ct Construction STECL Perimete r -7z?7-A-L"-5? . ft.
r':anufacturer
7. ;otal door's perimeter ? . ft
S. ldir,dows: Manuf3ctJrer State approveu S
u fdctor . 4`? ,
TYPE SIZF r^,?EA (F?.2; :`lU?4EER OF TC'Ai. r;,ET 2.
EACH UNITS
tv-\ ZU?±S - Z )?.-7 5?
t? z?¢s - ? -??9 /? l?2•>°;
i7oQ-o 7, 3Z-
r? Ze-d4.r -?, ZZ.?C. l LZ--7 (v
Z??? -3 -7 ( i7.0 -7
q. -G`_al rt.2 GldSS Z!S
Fireplace ar2a: ',dii?n x heicht = ? x ??, ' = 32- - Ft Z`
2 ...
11 . =.cpcs2d Fou^dation: Feiyht x ?ariTe*er ;cPB x Ft.
• il'?! c?iGir 07 Tu(S FOP,M IS REQUIR?? FOR ALi ilcd Ci;iISTaUCTION, MAJOR nc:'•IODELING AC;O BUILDI:'!GS BEING
'.?=E:?cc Ei?;c=G'f , 0?-c? T?!:?:; Tn" i? iVIi•iAL C2nE .?LLG:•!.^:`IC=" IS USED.
` .? .
'i2. Framing area = 10% of gross wa11 area.
13. Gross wal l area ?O91o ` 2
t.
z
Window area A U windovi5 =
-7,1 g ft, ,?1 U x A =
Rim jo'st area a 133 ft.2 U rir joist = ?oZ U x A =
2
Door area A 7 Z- 21t. U door area = -oL;,q U x A = 4.gb
2
Fireplace area A 3Z ft .
U rirepl3C° _ • ??F U x A =
I z8
Exoosed foundatio n a ? oy `t. 9
` U foundation =
.I D
U x
A
=
2
Framing are3 A !?,S ft. U`raring area = . Id U x A =
Net wall area A /3; SZ, ft. U wall = -o4 U x A =
(133) TO i r.L . . . . . . . . . . U x A = Z-8
i4. Gross wall area x 0.11 (A-1 single family g duoiex = a]iowable U x A/Code
(13. ahcve) .
x 0.23 (r1-2 other residential)
:c .23 (Other buildings)
x .Z? (Over ; storie;) ?.
BTUH Must be larger than
A x U Code
• I( = Zo$.s? -°F. 13E above I bc? •z=
. ___
15. Ceiling r"raming area (Af) =_quais 10t o` ce-i'lina area ,Z?' ? or the same as)
;-r1, urOSS ceiling area =(L) 1-4- x(',J; Z? _ ?Z?(o ft.2
i56 Joist area (af) = 10° ceiltng area = ( 7-1Co `t,2
iSC. PJe* ceilinc area (.4c) (15A - 15B) = j ( 4 8 . ?- ft.2
U ceiling x k C_ - oz x 77
.??
U framing x A f= . oz' x f Zl -Co
:,;D. -0T?.L U x = . ...... ..................................
6. Ceiling area (15A) x 0.026 (A-l single `amiiy & ^uplex - code al]owable U x A
x O.C33 (A-2 other residzntiai)
- -? x 0.06 (other)
6'UH ,4ust be larger than 150 (above)
a!15.;1 (2"7C,, x U(coce)= -c-?ZLo 0 F. • (or the same as)
3 3,(-7 > 25 .SI : , oGc. .
U cnd ? val?,e: cbtained `-o?n r)a., ', 3 and 4
.
?. .. ?
41ALL
ScCTION
R TOTaL_ Z I . ,a4
STLI
SECTION
2,YD 'd?,LL
SECTIOiv
?r
R I-4
JQIST
'J ''NLUE CAICULArICNS
R 'J:LUE
Inside air f;Im
Interior wa11
Cnsulation
19 0
Shea[hing 3
-S
Siding pyLv".-j
Guts(de air film ,17
Inside a'tr film .68
[ntarior aail
scud R= 4.38
Sheachir.3
Siding
Outside air filn ,17
8 TOTAL
Insidz air :?lm
Interior va11 -45
insu?acion ??''rI • °
Sheathing - ?
G:Ct2rLOZ W321 z,C)
overing
ExLzrior air iilm R = .17
4 TCTAL Z Z.-)
I??Erior air fi_n
;asula?ion
? i ir.ch soft xood
neathin3
'YCe!'?Or N311 :.OVi
,-\'tC: _Or air i:l;i1
R TOTaL
. ? wuai n
U 7AlUE
1Wa11) U = 1 ? ?
tZ , 6 `,
(Fraraing) U= R =
t4
(Wall ) U = 1
R - ?
? -
?- .oa
?. ?
R=1.82 (^im
Joist)
•?3
I"I
:7CPr10: .11. fil'I
'.Si113:1OP ?. a.
a un",'ation
ccecior air `_"i:n R= .17
-C,sr
.Dos.2d 310cc
1
U=R= , oZ
1
(Fdn. ? !1 = R = . I a
. ?
y .
:
CciLINr, :4I7H VENTED A-TT_C SPACE ABO'lE
x 'lrLUc R 'lF,LUE
?
FtiAMI?!G CEILING
? 0.61 Air rilm 0.61
s
InSUIdt10f1
Z4 4
i
?3s
Joist
,
.?5 I Ceiling . sf
0.61 Air film 0
61
.
? •o? Totai R 14 S. -; 3
1
?o?i U = R .oZ
FL.a 7 RcoF oR ca
R 'lalue
'MI"!G
0.61
0.17
THEGRAL CEILING
R VALUc'
CcILING
Inside air film 0.61
C e i i i na-
'
tud
In
on
>
o
ng
on
Built-
up roof
Outside air fiin .17
Total R
T
_ u
R
Jindow infiltration .5 cfm/lineal r"oot of crack
?esidential door infiltratien 0.5 cfm/squar2 foo= or door and minimum code requirement
lon-residential door infilrra*.ion 11.0 cf?/lineal =;,ot cf crack
Jb 12" corcret=_ biock no irsulation =.47 R 2,1
!b 12" concrece blec:< insulated cores =.26 R 3.8
15 12" liyiitweichi block =.32 R 3.?
:b
12" light;tieignt block insulated cores =.12 R 3.3
J sinole glass = 1.13; witn storm windo•.v .54
J double glass = .55 ?--
! triple glass = .41
'-.il exter4 or walls and ceilings imust have a vapor barrier (0.10 pe;-m r:ax.).
;apor barrier rust be cn t^e inside (neaied side) or wa'i.
ra?.cr barriers oi the pol,vo*neiene thin film, have no R value.
/
CITY USE ONLY
?I L ? 8L RECEIPT #: T
SUBD. RECEIPTDATE_
1997 PLUM$llvs P£R161IT (R£SIDENTIAL)
CITY OF E4fii4A
3$30 PII.OT KAOB fiD
EA&AN, MN 55122
(61E) 6$1-4675
Please complete for: ? single family dweilings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x 1
Water Closet 3.00 x I = ?-Pr
Bath Tub 3.00 x • _
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener " for dwellings under construdion 5.00 x =
Water Softener ' for existing dwelling 20.00 X =
U.G. Spdnkler ` for dwelling under const. 3.00 =
U.G. Spdnklef " for existing dwelling 20.00 =
Alterati0n5 ' to existing residence 20.00
Water Tum Around 20.00 =
Private Disposal System ' Dak Cry iic. 75.00
(new and refurbished systems)
Private Disposal Systems `Abandonment 20.00 =
STATE SURCHARGE ? D .50
TOTAL ?
-- ----------------- -- ° ------ --- - - -------------- ---- - ---------------- ---- -------------------------- --------- - ----- -------------------- -- ----- -
1 he2by adcnowledge that I have read this application, state that the information is correct, and agree to compy with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notify the property ovmer that the City of Eagan assumea no liability for any damages caused by the City during its
nortnal operational and maintenance activities to the facilities coqstructed under this pertnit within City property/right-of-way/easement.
SITE ADDRESS:
OWNER NAME:
?
d
INSTALLER NAME: 2 -4? TELEPHONE #:
STREET ADDRESS: ? 9al't S Ir. AA? A-)-?? Lk
cirir:
STATE: Uv?. ZIP: l a
SIGNATURE OF
CD/FORMS/PIBG PERMIT (RESIDENTIAL) 1997
30 .So.
?IQ 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
1O
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 Please complete for modifications to existing residential dwellings.
?`
I l
( !
Date v /
Site Street Address aU 1-tg M sA ?ao G A my 2rJAY Unit #
Property Owner FJRE D b-m.Y K Telephone #( 6S 1) 88 2- 83 23
Contractor SA?-Zzl? P.G&W&=x/G , L LC Telephone #( 952) y47- 50,z S
Address 6549 147 T''sT t.u City ?SiNViqG C State JWlU Zip SS 31
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_WaterTurnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
_ new _ repiacement
? Lawn Irrigation _RPZ ?PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing 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 the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
NQ'rN'Q4 ?/d?ILPr
Applicant's Pr nted Name Appli nt's Si ature
?
2007RESIDENTIAL BUILDING rERMtT ArrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmclion Renuiremeats
3 regislered sile surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas
(20% maximum lol coverage allowed)
t Soils Report if proposed building is lo be placed an dislurbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 capies of Tree Preservation Plan 'rf lot plalted after 7l1193
Rim Joist Dehail Options selection sheet (buildings with 3 or less units)
Minnegasw mechanical venGlation torm
RemodellReoair Reouiremenls
2 copies of plan showing footings, beams, joists
1 sel of Energy Caiculafions for heated additions
1 sile survey tor additions 8 decks
Addition - indicate if on-site septic system
?
O(fice Use Onlv
Cert of Survey Recd Y _ N
Soils Reporf _ Y _ N
Tree Pres Plan Recd _ Y _ N_
Tree Pres Required Y _ N
Orrsite Seplic System _ Y _ N
Plans are considered public information unless you state thev are trade secret and the reason
Date _aC)?7
Site Address p° r?
mQ hOqp Construction Cost 7 0,DO6• Dd
ri/ y Lt/cy? Unit/Ste #
Description of Work Rd l, 0_?? Cr PQ?- 1408'?
MuIH-Family Bldg _ Y <\-N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Fr eG? to YG k Telephone # ( 65? IQ 2"3
Contractor JQ C? ??11-y l.°dP,r,__S'
Address
State / rv tqd
Zip -? City ?an/
Telephone #(?"t )H d- ' f bO
COMPLETE THIS AREA ONLY IF CGNSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy COde Category
• Residential Ventilation Cate or 1 Worksheet .
(J submission lype) 9 y New Energy Code Worksheet
Submitled Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone # (
Telephone # (
Telephone # (
1 hereby apply for a Residential Building 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 the State of MN
Statutes; 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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
-----
Applicant's Printed Nam App icanl t's Signature
kvflOSe .
?tVG1?J6EfiING
C OM pA N'Y, I(V C.
CQNSULTIN(3? iNC3INEERS
PINNNERS and I.AND S'URVEYQ(?S
eANDY MOR6AN
# 2g3¢. o/
5?c ss
,P46E 7/
?¦ IUUU EA9T 1481h BiflEET, 8URN6YIL.LE, MINMEBOTA 6633J PH 48Z-3000
Gertificate oi SLiI'vey
&dc,e /, oAK
Leyal DeSCriptioii : i-nT 7
OAKDTA CD[JNTY, M/NNESOTA
( 955, v) DENOTES EXISTING ELEVATION
(958.0) UENOTES PROPOSED ELEVATION
--d INUICATES UIRECTION OP SURFACE DRAINAGF-
958• 33 = FINISI-IEU UAnA(aE PLUOR ELEVATION
950.6z = BASEMENT FLOOR ELEVATION
958, b6= TOP OF BLOCK ELEVATION
(97-9.0) /V 82°49,04" 1?5 ?930.0)
*9, o; 65. 5S
SC11LE : 1 11 _ ',.Dl
DRA/NAGE ANU
UTIL/TY EMENT /4-,.,`
LoT 7 ?
? I
-?o' F.2arvT 8v?l??N6
?_?
??(
7t
Dgr
DdiB
EAGAN ENGIRiEER%NG DEPT
,
c ?
o,? /
? ?? v? ?? /
9 ,
? (S
?s>
r` /
b?
?o
,
I
r
G _ 9p ?o
. R= 295, ?g
149
y _ GYqY
15
I ?
'?-
? ?
?w
O \ll
R1 .
C ?J
C9S 8.8)
?959 %1
? 3o,
( liereby ceriily ?hut tliis is a true and correct repiesentafivn of a tract oF land as shown
atid described hereon. As piepaieJ by me on iliis Z10day ot MAeC1 ,19 y? .
__???????• i<?/? Minn, Rey. No. 16M5-
IT ?'
,f)
26. po r?
?9,?y6E ? ?vo??o z2..
? o
-'6• SO ??
1(9s.o ,,.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113588
Date Issued:09/05/2013
Permit Category:ePermit
Site Address: 2249 Mahogany Way
Lot:7 Block: 1 Addition: Oak Cliff
PID:10-53550-01-070
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Lisa Nyberg
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Frederick J Dyck
2249 Mahogany Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117380
Date Issued:10/17/2013
Permit Category:ePermit
Site Address: 2249 Mahogany Way
Lot:7 Block: 1 Addition: Oak Cliff
PID:10-53550-01-070
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Frederick J Dyck
2249 Mahogany Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120023
Date Issued:01/10/2014
Permit Category:ePermit
Site Address: 2249 Mahogany Way
Lot:7 Block: 1 Addition: Oak Cliff
PID:10-53550-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Frederick J Dyck
2249 Mahogany Way
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA120507
Date Issued:02/18/2014
Permit Category:ePermit
Site Address: 2249 Mahogany Way
Lot:7 Block: 1 Addition: Oak Cliff
PID:10-53550-01-070
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Christopher Karels
2249 Mahogany Way
Eagan MN 55122
(952) 457-1328
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176254
Date Issued:05/09/2022
Permit Category:ePermit
Site Address: 2249 Mahogany Way
Lot:7 Block: 1 Addition: Oak Cliff
PID:10-53550-01-070
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Christoher & Carrie Tste Karels
2249 Mahogany Way
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature