2256 Mahogany Way
Use BLUE or BLACK Ink
~
For Oflice Use
1 t
G X
Permit Cam, i
MY of Ealan
3830 Pilot Knob Road V Q I Permit Fee:
Eagan MN 55122
Phone: (651) 675--5675 1 Date Received:
Fax: (651) 6754694 1 stair: l
11 2010 MECHANICAL PERMIT APPLICATION
Date: l J~ y, Site Address: Z r~ QaCk
LU
Tenant: Suite p;
RESIDENT /OWNERme~ Phone:l ~`z 1
Address I City
/zip 1G( ~f LQ J
icense
CONTRACTOR Name:'
Address: -city: ~
h-y1 Zgy' n .1~~ ~v.
Zip: Phoe
Contact X y(~ EmaiF
III TYPE OF WORK New Replacement Additional Alteration Demolition
77~~
Description of work-
. ~
NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City
Code. Pase contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE IDEN77AL COMMERCIAL
X Furnace - New Construction Interior Improvement
- Air Conditioner - Install Piping Processed
- NrExchanger Glas F derior HVAC Unit
Heat Pump Under I Above ground tank Install f _ Remove)
" When instaBirrgtremoving flank(s), cog for inspection by Fire
Marshal and Plume l 1 or
iRESIDEN77AL FEES.
$55.00 Mi fmutn Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (replace burned out appliances, ductwork, eta) (includes $5.00 State Surcharge) $ TOTAL FEE.
CIMIMEMAL FEES.
$75.00 Underground tank instatlationlremoval OR Contract Value $ X11%
$55.00 Mkdm= (f dudes State Surcharge)
- if the Permit fig is tons than. 310,010, surcharge is $ 5.llo $ Permit Fee
- If the Permit E. is s $40,8110, surcharge increases by $.50 for each $1,000 permit Fee = $ Surcharge
(e. a. $10,010411,010 Permit Fee requires s $ 5-50 surcharge).
= $ TOTAL FEE
CALL B,EFFORE Y M. Call Q"tw State One Call at 051) 454-0002 for protection against underground utlitty damage. Cali 48 hours
before you Intend to dig to recelve RwAfts of underground utilities. www.oooherstateoneca0.orc
t 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 1 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
Applicant's nkerf Name A &s g lure
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In Air Test -Gas Service Test In-floor Heat Final
Exterior HVAC Screening Inspection
CASH RECEIPT ?s
, CITY OF EAGAN
J
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
' DATE ' - 19
'
Rtq[I V ED
FROM
: AMOUNT $ I
6 ooLLARS
?oo
0 CASH Q CHECK
FOR
BY
n A
White-PaYers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. P$RMIT N0.
I _
' 01-3210"+/?S1d
, Permi
' ?
g.
t
. 01-3422 Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
,
U
TOTAL 9
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19 _
REC EI V ED
FROM
AMOUNT $
& OOLLARS
1 oo
? CASH Q CHECK
r
?
vow ' k-. . _ ? ? . •
7-
:
- _._. ... . , ? ? ?? . . _ ,_ ? . ,_ - ? ?,_
FUND COOE pMOUNT
I
Thank You
B Y r-?k r--f
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN
, t 3830 Pilot Knob R d, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT r? ?. Receipt#
To be used for ?Est. Value Date ,19
SiteAddress -'t ?•A+,0C•Ak+Y 'vAY
I ' Lot Block Sec/Sub.
, Parcel No.
UAl: GLI FF
c Name
W
; Address
° City Phone
On Site Sewage _
MWCC System _
On Site Well _
City Water ?
.o Name ?--s?7- 388-///s
? i Addcess APPROVALS
? Ciry " Phone Assessmenis
Occupancy
Zoning
Type of Const
(ACtual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint SF.
FEES ,
Permit
Weter/Sewer Surcharge
pj W Neme Police _ Plan Review
? z
_-
?
Address Fire SAC, City
-
u
aW
City Phone Engc
Planner SAC, MWCC
_ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg Off. _ Road Unit
thattheinFormationiscorrectandagreetocomplywithallapplicable APC _ TreatmenlPl
State of Minneaota Statutes and City of Eagan Ordinances. Variance _ Parks
Co
ies
Signature of Permittee p
7o7AL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with aiiaPplicable State of Minnesota Statutes and City of Eagan Ordinancea
Building Official
. Permlt No. Psrmit Holder Data Tslaphona X
Plumbing
H.v.ac.
Electric ,/ - ?/S87
Softener
Inspection Date Insp. Comments
Footings I s ?
Footings II
Foundation ;
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul. ?y
Fireplace
Finai Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ?ff.? C'n
Temp.LP
DeCk Ftg.
Deck Frmg.
Well
Pr. Disp.
Site
CITY
? 3830 PILOT KNOB I
Q- PHOh
m Name ?
m Address
c City rSL..,1Cn 1? Phone g.?7- V
Name `
? Address p
'
p Ciry `C-.
Phone
J
TYPE OF WORK
Forced Air M BTU
Boiler M BTU R
Unit Heater M BTU
Air Cond. M BTU
Vent CFM $
Gas Piping Outlets #
Other (k
FEE: .
S/C: _
TOTAL• 4-
- " r.a r . . . .
PERMIT # >'?? A
:AL PERMIT
FFAGAN RECEIPT # -' ,
AD, EAGAN, MN 55122 DATE: /-Q 31"
454-8100 ?
BLDG. TYPE WORK DESCRIPTION
Res. New )c-
Mult ? Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 7 PER PERMin - 1.50 EA.
COMFA/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - 50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
' ?--- ^ `i
, I,ce'".:??A
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
, .
, . . .. . . . . . . _ . ... ,. ? . . .. ., ...,:?:a .,. . . - . .
Site Address ?.
Lot . ;?_ B
m Name
'i Address 4 lL - << c City ). Phone
? Name
3 Address 226 ?Wg-4?'i, t' -
O Cib 6 Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
PERMITTEE
PLUMBING PERMIT
CITV OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454•8100
PERMIT # 'S 7fi -?2
RECEIPT q
DATE: ^ h ? ?
BLDG. TYPE WORK DESCRIPTION
Res. x New X-
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING
NO. FIXTURES TOTAL
Water Closet - $3.00 $
y -
:tBath Tubs - $3.00 L '
4LLavatory - $3.00
J-Shower - $3.00 - "
I Kitchen Sink - $3.00 ?
-Urinal/Bidet - 5300
J_Laundry Tray - $3.00
_LFloor Drains - $1.50
f Water Heater - $1.50 ' _Whirlpool - $3.00
1 Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
-Sottener - $5.00
-WeII - S10.00
_Private Disp. - $10.00
_Rough Openings - $1.50
FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL: '
?
INSPECTION RECORD T .
CITY OF EAGAN PERMIT TYPE: ?' •
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675
? : ? ? ? ?• • . : c. . ?:; ? ?
SITEADDRESS: APPLICANT:
• ,,, :i????r',tdv ?.in,
PERMIT SUBTYPE: TYPE OF WORK:
? . ; Nfift
:! & Rl - httllfM
INSPECTION .• • D•
I F
?
------- --- -- - -
?
J
Y
Per mit Holder Date TeMphone M
SEWER/
WATER
PLUMBING
HVAC
Inapeetlon Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFINQ C:" '
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OFSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
MElER
FLUSH
MAINS
CANDUCTIVITV
TEST
HVDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
? ....
s
?o.ti?.?I . an a
• J
-t?o
C'o // G c_t, o/?, S
on
(trrtifirafr n# (Orritpttury
, , ???„ :°? , ?• ., r.,,,? ? , •j
Thrs Cenifrcate issued pursuant to the requiremenu of Section 306 of the Uniform Building
Code certrfying thar at the time of issuance this structure was in complrarrce with the various
ordinances of the City regulating buildrng construction or use. For the following.•
U?0.?,;a, Sr DWG/GAR BWg.ft,m;,No. 13F2 2
OtcuWecY'lyPe R 3 ;'B
2onin8 Disuict Type Coret.
GWWofRum EMMYC0 HOMI? S Add? i30U BI 'T
ne % ingAddreat ^cr-?`t!+,)v?.'?1?V? l+a'i' L?hry : ?, $,)
Build . . .. DltC. ;:i;'-111'l[i'd\ 1U. 11
Mj611g OffiCLl---'
POST IN A CONSPICUOUS PUCE
/.
a.
3.
y
HV ' [R
tT3.I.I0D1H OOEat
fitIm 7IAL1 EB .S.I
caei .aI 309am
/76 KS e- /!u r?a su?,p ?.o,.?r
5
rc -?a - 2 4 n?Ya/ ? wa//
.
RAD\DwQ 12 '
e x , --
2HMOH ODYtlM3, . „
YAW Yf7ADOHAM a2SS . ,
„ ,•_A ?. ._ ' _. .k' . . . ,.
??•; ?=--?- ?
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Boz 211 ^9
Eagan, MN 55121
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Plant_
Meter. _
5?
Permit No: Date:
Meter No: Size:
Reader No: Date:
R1
No. of Units:
1 agree to comply with the CHy ot Eagan
Ordinances.
By
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3630 Pilot Knob Road
' P.O. Box 2119$ PERMIT NO.:
`'-9-Q 7
? Eagao, M1??121 DA7E: ?
' Zoninb: ft No. of Units: I l
?
Eamyco Eioaes
Owner
,
.
? Address:
SiteAddress:-'2J6' ahoRanv Wa 9 L2 25 na'c Cli ff
? Plumber. MII=tY '8 Pltlmb 1aR
? 5 _2r--87 74002 100;00F-d
I 1 agree to compy wNh the Cky ot Eagan Connection Charge: 5:! r' 0t1{,x'
Ordinances. Account Deposit: 15 An{?d
Permit Fee: ? ?' OJ€d
? Surcharge:
! gy Misa Charges:
? Date of Insp.: Total:
I? Insp : Date Peid:
?
?_ . A
-
CITY OF EAGAN PermR No: - Date:
3830 Pilqt Kaob Road Meter Na o7cZ S1Ze; r" ocf{
P.O. Fox 21199 Reader No: 4. &;2 T? /. -41 Date:
Eagan, MN 55721
Owner. o•,cs
SiteAddrefte. 2256 Flal; L< ;s5 ()a_. C._;_ff
Plumber
Conn. Chg:
Acct Dep:_
Permit Fee:
Surcharge:
Tr. Plant-
Meter. _
525.
?yliitt5 ?`-?
96kwly,yith the Cffy of Eagan
WATER SERVICE PERMIT
¦
CITY OF EAGAN Remarks
Addition OAK CLIFF ADDITION Lot Z elk 5 Parcel 10 53550 020 05
Owner Street-2Z$6 MlhogaIIy WSy State
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1981 250.88 25.09 10
STREET RESTOR.
GRADING
SAN SEW TRUNK ?7 1973 104.12 6.94 15
SEWER ATERAL 19$1 541.76 54.18 10
WATERMAIN
WATER LATERAL
WATER AREA ? 1982 161,31 10.75 15
STORMSEW TRK 1979 350.52 17.53 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN N0- 13 6 2 2
3830 Pilot K nob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
.--1
? I cx?)Z
-
'-
B UILDING PERMIT Receipt # t
To be use`d for SF DWG/GAR Est. Value $103,000 Date MAY 13 1987
Site A4dress 2256 MAHOGANY WAY OFFICE USE ONIY
Lot 2 Block 5 Sec/Sub . OAK CLIFF e ?- ?
nCY R3
MWCC Sy tem Z
onng R 1
ParoBl NO. On Site Well Type of Const v
City Water
X (ACtuaq
_
m Name EMMYCQ HOMES (Allowable) V
W Address 14300 NICOLLET CT # of stories
Length
56
o City B' VILLE Phone 892-1738 Depth 39
Total
S
F
.
.
, p Name SAMF Footprint S.F.
?a Address APPROVALS FEES
P City Phone Assessments _ Permit $ 512.50
FCC WateUSewer _ Surcharge 57 _ S0
yVj W NBme Police _ Plan Review ? 5f, ? 5
?i
x -
Address Fire
- SAC,City lnn_np
5
?? Engr. _ SAC,MWCC 57
.O0
aW City Phone Planner _ WaterConn. 525.00
Council _ Water Meter Fi 7_ n0
I hereby acknowledge that I have read this application and state eldg. Off. _ Road Unit 305.00
thattheinformationiscort andagreeto pl it Ilapplicable APC _ TreatmentPl 1Rn-np
State of Minnesota Stat t s nd 'ty of? n r n nces. Variance _ Parks
\ Copies
Signature of Permittee 7o7AL ?25
A Building Permit is issued to: EMMYCO HOMES on the express condition that
all work shall be done in accordance with ali applicableState of Minn?e ta Statutes and City of Eagan Ordinances.
BuildingOfficial --
This request.aio'M
? mnihs 10 8 /_: v a
Request Date
I Fire No, ReQgh-.dn,)F'nspection ?Ready Now y?J,,,•••'iII Noti}y Inspec-
?No . "' [or When Ready
?Licensed Electrical Contractor 1 hereby request inspection of above
? Owner electrical work inslalled at:
Street Address, Box or Route No. . City
A . Q /Y P"-'
ection o.
I
Township Name or .
Range No
County ?r
6??--
Occupant (PflINT) Phone No.
F /" d c7"r2-t c,-j-
Power Sup lier ` Address
IA- .3cro 2
Electri Contrac or Company Name) Conlractor's License No.
M oMractor or Owner Makinp Instailevory1?
O? ? Z C) S?
Authorize Signature (Contract Owner Ma in nstallation) Phone Number '
-
MINNESOTA STpTE BOARD OF ELELTflIL'1TY BE ACCEPTED'BY THE STATE BOAHD T
Grigga-Midway Bidg. - Room N-191 UNLESS PpOPEH INSPEC71pN FEE IS
1821 Universitv Ave.. St. Paul, MN 56104
Phone 16121 6420ES00 ENCIOSED.
7//.?/g )- `-REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
- ? See inseructions tor tomDleting this form on back of vallow copy. 7s-S ,5/e)
C n 1? Op "'J(" Below Work Covered by lhis Request .
Nw4AddI Rap. Type ot Buildiog . ADOliancea Wired . EquiVnient Wirea ?
Duplex Water Heater Lightin,y Fixtures
Apt. Building , Dryer Electnc Heatin
Commercial Bldg. • Fumace Silo Unloader
Industrial Bldq. 7C Air Conditioner Bulk Milk Tank
Farm
11 Fee SerVlCe EntrBnCeSize q Fee' Feeders/5uhfeeders # Fee Circuits
r 0 to200Am s 0 to30qm s -? 0 tn30Am s
Above 200 qmpy 31 to 100 Arnps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am s
TransformerS Irngation Booms Partial.'Other Fee
Signs Special Inspection $
TOTAL FE?J
Rerterks
,^
Hough-in ? Date "
I,the Elect
cal
7?. T Inspector, hertft
I Gerlit
thet tha Abov
Finel
r
Dw?
. y
a
inspection has been
mede.
Thh repueat volA 18 months }rom
1??-[ lQ g PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date f? l/ b? l 0.3
Site Address 2??v /;?'7ahQ2ari'?
, U nit #
/ ?
Property Owner ?i/D/YJ yS A/? //Cf S
Telephone #( GS/
' s2 ?3
)F95
Contractor ?? (' 0.1 Y\ 0 C O Cl? ? umb t n?
Address s.h V City Ln-k-d v 1
State dV/7 • Zip J??? y 7 Telephone #(°I?) 099
The Applicant is Owner Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Esisting Dwelling Unit, Including $ 50
00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water tumaround (+ 5l8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild
$ 30.00
_ Lawn irrigation system
Water softener ater heater
_ $ 15.00
-v-'?replacement _ additional
._
?
' ?
•, i?ii f ; .
State Surcharge J
i - - .50
?
Total J' ? d
k? Y • - - -- - - ---
I hereby apply for a Residential Plumbing Pernut and acknowledge that the information is complete and accurate; that the work will
be in conforxnance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pernut, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
`?an? ??eer?b?erq
ApplicanYs Printed Name °--- App ant's Signature
11
'CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(651) 681-4675
PERMIT TYPE: Bu zLo r NG
Permit Number: 033822
Date Issued: 10/ 27 / 9 $
SITE ADDRESS:
P.I.N.: 10-53550-029--05
2256 MAMCIGAMY WflY
IOT: 2 BLOCK: 5
OAK GLIFF
DESCRIPTION:
T.D. & RERqQF
Bu4'i€li'_rtt'?'°?Permit Type STORM DAMAGE
84ildirrg kJt3j?k TYpe REPAIR
(?e nsus= C ade 434 AL7. f2ESIDEN7IAl.
?" ..
" n
y'u2
.y
REMARKS:
a3t
.m?a;.?°t" ???. '?y)'y? ;?`?t? ?.?
?i
FEE SUMMARY:
CONTRACTOR: - Applicant - ST, LIC. OWNER:
RTGHT WAY RQQFTNG 18530049 00039999 pSERS T'HOMAS
1200 E. 79TH ST 2256 MAHOGANY WAY
BLQOMTNGTON MN 55425 EAGAN MN 55122
(512) 853-0049 (651)552-3952
T hereby acknnwledge that I hava: read' tha.s applscatian and state that the
infcsrmaticsn is ccarrect a»d agree to cprrtply t'ith a1l applacable $ta?? of Mnf
StaGutes and Csty Of Eagan Ord°xnances.
APPLICANT/PERMITEE SIGNATURE I ED BY: SIGNATUR
PERMIT
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
-:4- 3830 PII.OT KNOB RD - 55122
681-4675 d
New Consiruction Requirements
? 3 registered site surveys
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.)
? 1 energy calculations
? 3 copies of Vee presenation plan H lot platted after 711193
required: _ Yes _ No
DATE: I O?' ( LI-q?
RemodeURepair Revuirements
? 2 copies of plan
? 2 site surveys (exterior additions & decks)
? 1 energy calculatians for heated additions
CONSTRUCTION COST; "rJ?,Oq-Q?+
DESCRIPTIaN OF WORK: -f7)(I Q10+o rm numa c-4..
STREET ADDRESS: Odcao MO_Yll?4GN14 tjCI.U _
LOT: ? BLOCK: ? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: O IL.r, 7 h? aS Phone #: SSZ-''? SZ,
Last ? irn
Street Address:
Ciry E?Qt A A0 State: iM Y1 Zip: SSI aa
Company:
Sueet Address: I R I G H T-1N A Y R 0 0 F I N G
-7 1200 E.79th Street
City
Company:_
Name:
Street Address:
City
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Penalty applies when address chanc
i hereby acknowledge that I have read this application and state that the informa6on is coRect and agree to comply with ail appiicat
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: CO,_P$A ^ ---
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No
(612)853-0049
State:
Not Required
Phone #:
License # 0b3?!- L? 4
Zip:
Phone
Registration
_ Zip: ,
, P
13LZ
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CBRTIFICATES OF SQRVEY, 1 SET OF ENERGY C9LCOLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MDST DESIGAATE iJHICH ADDRESS
I5 DESIRED, NO CH6NGE5 WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSDED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UFIITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CIiECK FTITH BLDG. DEPT., --
1 SET OF ENERGY CALCULATIONS
COTMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCOLATIONS,
$29000 LANDSCAPE BOND
, ex?
I0 3
,. co
To Be Used For: j Valuation: Date:
Site Address _.?5-G, ?}`]v?,?10 ?t ?r1 q OFF'
_
Lot Q-- Block On Site Sewage_
MWCC System ?
Pareel/Sub QA(L {',?? •?- On Site Well
? City Water 7
Owner T?r? \.? 1°C'?lr-a
Address
City/Zip Code
? Phone eP(,??, •- C7 / l?
Contraetor
Address
?
14. 3-0 o
City/Zip Code .4,??& 4,, K{'3'
Phone o3O
Arch./Engr.
Addresa
City/Zip Code
Phone #
9PPROoAL.S
Assessments
Water/Sewer
Poliee
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
USE
Occupaney __}G?13
Zoning
Type of Const
(Actual)
(Allowable)
# of Stories
Length ?Co
Depth 39
S.F. Total
Footprint S.F.
FEES
Permit ?i z L"
Surcharge S ( , 5-
Plan Review 2s6fl.
SAC, City I00
SAC, MWCC 52S
Water Conn
Water Meter (0'7.
Road Unit 30?-
Treatment Pl 60.
Parks
Copies
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---? Denotes surface drainage
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G4P. CdIP. trLt"Y. • 956. 6D
I hereby certify that this is a true and correct representation of a survey of File No.
the boundaries of the above described land and ot the location of all building:,
S4Q8
DEMARS - GABRIEL if any, thereon, an d all visible encroachment:, if any, from or on said iand.
LAND SUgb.VEYORB, INC.
f A ig87
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W Book - Page
3030 Merbor Lana No. As surveyed by me ,
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Plymouth MN 55441
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e Yrin
1) PRQPERTY ADDRESS:
LEGAL DESCRIPTION:
D10'CE: PAYMFTTP OF FEE AT TIME OF
APPLIcATIoN noFS Nar eaNSTzTUTE
APPROVAL OF PII2NIIT.
ZNSPEICTION OF SEWQt APID/OQt YIATIIt
aSrAr._ramrpNS WIIZ N02 gE SCHED-
ULED UN'i'IL PII2MIT AAS BF.EN
APPxovFn. , Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRL'L.'ILME, DATE OF ORIGINAL $L?ILDINIG pERMiT ISSOAAICE: '
PRESENT ZONING/pROP05ID L?SE: (Nbn Year)
Q CU17ERCIAL/RETAIL/OFFICE
Q INIDL'STRIAL
n INSTIZiiTIONAL/GOVERIZENT
CITY OF EAGAN
APPLlCATION FOR PERMIT
, '.
SEWER AND/OR WATER CONNECTION
? R-1 SINGLE FAMILY '
? R-2 DLPLEX (7tao Lnits)
R-3 ZUWNHOt?SE (Three + Units ) ( LTnits )
R-4 APARTNI?,'iVT/CODIDUMIDIIUM ( Units )
2) F??
N
ADDR
CITY. STATE,
PHONE:dL-.?,?7
3) u i: ?•
N1aME
?
,
ADDRESS: G'T?Z
CITY. STATE, ZIP:?
PHONE: f 5 7 2 S-f MASTIIt LICENSE# ? 9,;2?
4) •.ky•:.? ?.rui'??-,? ' " .
NAME:
_ ADDRESS: CITY, STATE, ZIP: '
PHONE:
Plumbers License:
? Active
EScpired
Not recorded
Sta Initial
-5) ' g : ? • ?? - ??
. .? CONNECI'ION TO CITY SEMM p? CpNNECpION TO CITY WATEF2 ? OTFIER '
6)
• • i' ?
p
r r• u• C?'?
?
PLEASE HOLD APPROVFD PEF2MIT FOR PICK-UP SY ONE OF ABOVE
PLEASE MAIL APPROVID PFIZMIT TO 1, 2, 3, 4, ABOVE
? ,?1 ? • ? (Circle one)
:-FOR CITY USE ONLY
PERMIT # ISSUED
y i-o V
Pd w/Sldg. Permit FEES:
$ $ /Z5-S?
$ $
$ ?7•? $
?
SEWER PERMIT (INCLL1DE SURCHARGE)
WATER PERMIT (INCLLDE SURCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ / ?-D ? ACCOUNT DEPOSIT - SEWER
$ $ ACCQLNT DEP05IT - WATER
,
$ t)- z $ WAC
$ ?ZS -?t) $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER ?
$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S _ 73 $ TOTAL
7V"3
RECEIPT RECF;IPT
?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PLBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIOIV5:
APPROVED BY:
TITLE:
DATE :
I
. x
PLiTMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Faxnily Dwellings
Townhomes and Condos when pernuts are required for each unit
$/ /S , s-D
Date --3
Site Address p g o n •1 `? ?' 'J Unit #
Property Owner Telephone #((aSh
Contractor
Hesstan Plumbing Services, Inc.
Address City
State Eegan, MN 55122-0172 Zip Telephone #(
The Applicant is _ Owner ? hactor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelting Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
_ Other. S c? -? -t r1 Q- f- f e? ?e C-Q-
_ RPZ _ new installation _ repair _ rebuild
$
30.00
_ Lawn irrigation system
G/Water softener Water heater
p 15 ",
?? .
???
$
15.00
r'r eplacement
1
•
?.?" 1
?
additional
_
j-y
?
_
n
?
I F
U
State Surcharge -- - - _? "
6)'--- - $ .50
Total $ ?z
I hereby apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work wnll
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an applicarion 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.
mIKE ScHrL-TZ , - ?X
Applicant's Printed Name A plicanYs Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139029
Date Issued:10/05/2016
Permit Category:ePermit
Site Address: 2256 Mahogany Way
Lot:2 Block: 5 Addition: Oak Cliff
PID:10-53550-05-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Thomas Diers
2256 Mahogany Way
Eagan MN 55122
(651) 895-5243
Pro Tech Restoration Inc
1248 Edmonson Ave NE
Monticello MN 55362
(651) 776-8324
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152825
Date Issued:11/02/2018
Permit Category:ePermit
Site Address: 2256 Mahogany Way
Lot:2 Block: 5 Addition: Oak Cliff
PID:10-53550-05-020
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 -
Thomas Diers
2256 Mahogany Way
Eagan MN 55122
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(651) 633-2561
Applicant/Permitee: Signature Issued By: Signature
019-01-17 1ff0:22 AM (CST) To: +1 651-675-5694 ttFr��om: +1 612-827-7951 C) Page 1/1
I
c /1'
ed t (sot J i For Office 7 i r&
1
\,_,. , - , - 1 ' ' ' \ I Pennit fit
,,,... 4.-,.. ,A,. • �,: A
V \�` � ,� •� \ � E Permit dee; (Li 11P
� yr;i
`.:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 �, i Date Received:
(651)875-5675 I TOD (651)454-8535 I FAX:{651)67$5694 i
b Silt:irigin5'mict!`.„.:�Sr�. ofeman.C..'�tii t Staff:
2019 RESIDENTIAL PLUMisiNG PERMIT APPI ICA'(ION
l3atO 1116f2019 Site Address:2256 MAHOGANY WAY
Tenant DONNA®IERS Suite#:
j Name: DONNA DIERS _..� 651-895-5243.
i t ttkflittt i if'::: Phone:
i Address/city!zip;2256 MAHOGANY WAY EAGAN, MN 55122
t ,_.: TIM'S QUALITY PLUMBING License#: PC 643755
iVame.
1.
�:'. :: : :: i 225 COUNTY ROAD 81OSSEO
COlit oir<;
i Address: City.
MN 55369 612-827-7951
I::::. :: :;: State: ztP= Phone: ,
I
: :. il!!il contact RACHEL HIGGINS Email: SPEEDYPLUMBING@COMCAST.NET t
New Replacement Repair Rebuild —Modify Space _Work in RO.W.a Wo31d —
REPLACE WATER HEATER
..................:...... Description of work;
I
...............
.................:..
Water Heater
•:.1ili 5:;::iss >;>:::`::_::>:<::c 1 Water Softener 1
. Lawn
;:.;::.:;::. :.;:.;:., Irrigation( .Rl'Z/!•PVB) +
: : :;':::: :::>:::>'r Septic System I�._ Add Plumbing Fixtures(Main I Lower Level)
` i i
New
Water Turnaround
::._.: z
W
g
Abe
ndonme
nt
RESIDENTIAL.FEES.
i $60.03 Water Heater,Water Softener,or Water Heater,and Softener(includes State Surcharge) ---
. ) 1
.vaU t.e: Irrigation(includes State Surcharge) �''�`
I
$80.00 Add Plumbing Fixtures,Seotic System Abandonment,Water Turnaround`(includes State to-charge)
*Water Turnaround(add$280.00 if a 3/4"meter is required)
$"5 OO Santa Syste3n New(includes County fee and State Surcharge) TOTAL FES$6f).Qt i
'au.i, 3RD...t} Dl Call Gopher State One Cali at(651)454-0002 for protection against underground utility d`•�',�-'� rrurs before you e
sad to ill to remeive locates of underground utilities. . 5':a:�ptie 'rim onecall.ein w
You-*nay subscribe to receive an electronic notification frown the City of proposed ordinances by signing up for an email update on the CitY''s
website sit„v�c<:%ts,,'_ art.eo rfsu+seta ,:
laves y a•-krzwied e that this information is complete and accurate;that the work will be in conforrmmance>with the ordinances end codes of the City of
tea. ^.;that!timerstar d`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
a,:0.:Na W^ :the approved plan in the case of work which requires a review and appro 0 - i .ns.
XI-1=L I-41GGINS x ,0,'i ---` f .r
. ft's Printed Name Applicant' Signature
<. ' •:�'K�•. ,��: ':;::_is??::`5'i 3i:; :;`.i ???i i:>:'i :ti's» <Gi::ii':? :::.:.: .
,'..:;a::S3i:ii£ii:tis ::>::::>::><_:>::« >:::<:>>::>:z:<::::>;< :;:;<:;:::''...:;�:.,:==>::<:<:::>:::
.• .��31!�l+d?8�::�3. :,:.-_.-......._...._......__........:. .:,::.: .::.::::::::::.lig ::...,,:..:....
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