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1925 Turquoise Tr ...T,r._ . . _ . - .t - - --;7, . . ~ . : • ~ S ~;i ' : . - ' ~ • : . . CITY.OF EAGAN r r~ e3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Y ' ' PH0NE:454-8100 ! BUILDING PERMIT Receipt , ;.To be used for ; iTg Est. Value ° 1. i Ut' Date ~ 31 ,19 Site Address 19k5 TG KQi'Q I`.~, G 1 Jt OFFICE USE ONLY Lot 1~~ Block Sec/Sub. C~.Z1Aji GROVE STF On Site 5ewaqe Occupancy MWCC 3yatem 2oning Parcel No. On Site well (Accual) Const c Name $Ple1IN L GtK)r City Weter (Allowable) Z Address tQ3 il'RQ-1',',I'qE TR PRV Required s of Stories ~ City LA1'A1' Phone 452-301)7 BoosterPump length Depth .o Name S.F. Total °L ~ ~ Address Footprint S.F. a City Phone APPROVALS FEES ~a Engr./Assess. Permit W Name ~ Z Planner Surcharge 1 • ~n Address i W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is conect and agree to comply with all applicable State of Water Conn. Minnesote Statutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Buildinp Permit is iasued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances_ Parks _77_ Building Official TOTAL lrrnR No. Pwmlt Moldkr Doft TeNplwM ~ P%Mi¦M iLYJ1C. Ebdft Sai~er I..P.don o.a imp. Comments Faffaw I Faningsll , Faundation Frarning ct! Rough Plba f'; ~ o~ a Ccfiay, Rough Htg a. S C o lt~~ u Isul ' Fi?eplace Final Htp. Final Plbg. Bidg. Final ' Cert Ooc. TemR LP Deck Ftg I Deck Fknl Well Pc DisQ CITY OF EAGAN Remarks * Ced37C G V A iaition Additio CEDiAR GROVE #5 Lot 15 Rlk 2 Parcel 10 16704 150 02 OwnerJ_X- r k'~ ' C+'; Street 1925 Turtiwise Trail State ~ani MN 55122 ?,Jr., Improvement Date Amount Annual Years %4/ Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK L 1967 100.00 5.00 20 P3id SEWERLATERAL 196 515.00 25.70 20 r_doj CO 1-4-84 WATERMAIN * WATERLATERAL 1972 607.00 24.28 25 291.36 C008824 1-4-84 WATER AREA STORM SEW TRK -j 1970 70.00 3.50 ZO 17.50 C008824 1-4-54 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN, 13UILDING PER. #3 Z sac 200.00 452 10-25-67 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 . Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: .A • 1 ~ ~ - - - - - - - - - - - - - - - - - - - - wrmR No. P.rmit Mow.r o.t. T.l.pnoes N S/1N PLUMBING HVAC ELECTRIC ELECTRIC Insp~dfon Dmm Insp. Comm~nts Footings I Foundation Framing RoofirV Rough Plbg. Fiough Htg. Isul. Flreplece Fmel FMg. Orsat Test Final Pibg. Pbp. Inspeclor - Notfly Plumber Const. Meter EnOrJPian 81dg. Final Dock Ftg. Deck Fnal y ~~yy Well Pr. Disp. EAGAN TOWNSHIP N° 1644 BUILDING PERMIT Ownet b....-~--~.~...i!._~...f~.-<._........:._..4r.a..- - _:._..C:~~e=----'-" Eagan Township Address (present) ...~.......~ir._...........~?~.a<.r.r^- • Town Hall Buildar I -!r...?.:t.s~:-5-- Date - Address DESCRIPTION Siories To Se Used Fcr Froni Dep1h Heighf Esf. Cos! Permii Fee Aemarks - LOCATION Sireei, Road or oiher Descripiion of Location Lo! P•lock ' Addiiion or Trac2 -7 S ~I z r y Thia permit does noi auihorise the use of slreefs, roads, alleps or sid~alks nor does it give ihaowner or his agenf the righf fo ereate anp situafion which is a nuisance or which presenis a haza:d fo the healih, safely, eonvenience and general welfare fo enyone in the community. THIS PEAMIT MUST BE KEPT ON THE PREMISE WHILE THE WOAK IS IN PROGR£S5. This ie fo cerfify, ihaf... -.:.....h_~...:...... 6 has permission !o erecf a.... upon the ebove dFSCribed premise subject fo the provisions of the Building Ordinance for Eagan Township adopfed April 11. 1955. n s r A J ......................._~-~4~..-......~c.~.~'--...---... Per n~ 2{----- --!'CC Cfiairmen of nwn4Bo~d Building Inspeetor ..i~ " CITY of EAGAN N°- 3712 BUILDING PERMIT / 3795 Pilo1 Knob Road OWne! .....)7a, ...,,/,2 ~...~-66 ~ Eegan, Minnesoia 55122 Addrecs (P=esenl) ..~.I~.~.....~7 <<-~.°.`.~`:....~.:....... 454-8100 Buildar ...../.l~.e-e ......d..~:`.".:..~..~.......---..............---~--.......... . . _ J~ 7 Dete ..,,'J/iyl Addresa S . - ~ DESCAIPTION Sior~ea To Be Uead Fos Fron! Deplh Haigh! Eel. Cos! Permit Fea Aemarlcs ~'7`~z I LOCATION Slreel, Road or olher Descripifoe oi Locelion I Lo! Sloek Addflion or Trae! This perroii doea no2 aufhorize the ase ot sfreels, roeds, alleys or cidewalks nor doec it give the ownar os hls sgent the right fo cseete anp aiiuation which is a nuisanee or whieh presenis a hazard !o ffie health, safelp, eonvaaienq and general welfare fo enpone in the communily. THIS PERMIT MUST 8£ KEPT ON TI3E PREMSSE WHILE THE WORK IS IN PROGRESS. This is fo cexlify, lheS....~.Q~/,.,~.~4 2...-/...~0".`:`c~.- ...................hesparmiuion !o aree! a.....~:~.~t~ j2...^:~-~........._upoa the above descri6ed prem'iSe subjecf io ihe provisions of all applicable Ordinances for fhe Cily of Eagan ~ ..~1.~.[.......(I.".'C.....~.r............................. Per k&:~'Q:~...lG..- Mayor ~ Buildinp Impaclor ,/3 CITY OF EAGAN N? 1 5 0 9 0 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt #_J~l O b 4 I p-75 ROOFING & To be used for SKYLIGHTS Est. Value $1,100 Date MAY 31 Site Address 1925 TURQGOISE TR OFFICE USE ONLV Lot 15 Block Z Sec/Sub. CEDAR GROVE STH OnSiteSewage _ Occupancy MWCCSystem _ Zoning ParCelNO. OnSiteWell _ (AcluaryConst e Name BRIAN L GOOR Ciry Water _ (Allowable) w PRV Reqwred a ol S[ories zAddress 1925 TfiRQUOISE TR - 3 Booster Pump _ Length o Ciry EAGAN Phane 452-8065 Depth , p Name S.F.Total ~ a Address Footprint S.F. : Ciry Phone AppROVALS FEES w W Name Engr./ASSess. Permit 26.00 ri Planner Surcharge 1.00 x- Address ui Council PlanReview aw City Phone Bltlg. Oft. SAC, City I hereby acknowledge that I have read this application and state that ihe Variance SAC, MWCC inlormetion is correct and agree to comply with all a pli ble State of Water Conn Minnesota StaWtes an f Eagan Ordinances. Water Meter Signature of Permitfee Roatl Unit A Bwlding Permrt is issued to: Treatment P1 on ihe express condiLOn that all work shal I he done m accordance with al I app6cable State of Minnesota Statutes and City of Eagan Ordinances Parks Builtling Official! 1S{~~~~ ~AW_I_~ ~~~Yl~ 1 "YhA 70TAL 27•00 } ~ EAGAN TOWNSHIP 3795 Pilot Knob P.oad St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: Sept. 28, 1967 NUMBER 17 OWPIER: Jandric H omes Address Lat 15--Block 2 &lf- PLUMBER Steins, Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUI7A ING Industrial Commercial Residential Multiple Dwelling No. of units X Location of Connections: Connection Charge Permit Fee Street Repairs Total $7.50 Inspected by; Date _ Remarks• By. Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree Co do the proposed work in accordanre with the rules and regulations of Eagan Toxanship, Dakota County, Minnesota By Stei~ns,~.Inc. c1- P?.ease nor.t.fy when ready for inapection and connactien a=,d before any po:t9.o:l of the c*ork is covered. , At-37/Z • MELROY CONSTRUCTION, INC. Contracting • Home BuiZding • Remodeling ROY ZEVEPINO MEL CORDES HOUTE 1 7378 CAHIIL AVENUE PRESCOTT, WI9C. 54021 INVEq GROVE HEIOHT9. MIHN. 65075 1 - 17151 262.5755 , (e12) 431.2157 / i 0 y 1 ~ ~ ~ , tl ~E--- 38 / ~3, ' MASTER CARD LOCAT_~__/ ~_~--50 ~ OWNER ~ Jo A N Al k + t"e~ STRUCTURE AND ~ 9 J~,~ LAND USED AS Q S Issued Ta Permit No. Issued Contracfor Owner BUILDING AIWO 1-1 PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL ` HEATING GAS INSiALLING SANITARY SEWER OTHER OTHER Approved Items (Inifial) Data Remarks Disfance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL DEPTH HE.4TING OF WEIL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WEII SANITARY SEWER Violations Noted on Back COMMENTS: 1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 15040 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTORJHOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MIJLTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS A OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT., 1 SET OE ENERGY CALCULATIONS CONAIERCIAL INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: (,~Iff Valuation: r,'-~7~ 'rn I Date: crcT LifeS - Site Address ICi Tlm^*„ 9n;r,~ - ~/O~ - OFFICE USE ONLY C Lot ~ S Block ~ On site sewage_ Occupancy MWCC system _ Zoning Parcel/Sub On site well Actual Const City water Allowable Owner PRV required # of storles Booster Pump Length Address Depth L S.F. Total City/Zip Code ~-CLC;4z,1, MA) .~C122 Footprint S.F. Phone `~;`U(;2 s APPROVALS FEES Contractor Engr/Assess Permit Planner Surcharge - Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies I TOTAL Q1 City/Zip Code J Phone # 'MEMO -city of eagan TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN DATE: AUGUST 23, 1993 SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 LOTS) This memo is to inform your department to begin to invoice the energy costs at the single family rate effective August 1, 1993 to the property owners in Cedar Grove No. 5 Addition. Block 1, Lots 1-22 22 Block 2, Lots 1-19 19 BloCk 3, Lots 1-11 11 Block 4, Lots 1-16 16 Block 5, Lots 1-25 25 Block 6, Lots 1-22 22 Block 7, Lots 1-25 25 BloCk 8, Lots 1-5 5 Block 9, Lots 1-2 2 Block 10, Lots 1-23 23 BloCk 11, LOts 1-14 • 14 BloCk 12, Lots 1-9 9 Block 13, Lots 1-15 15 208 The City is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. ~"'2t:14^Q-&A2, , Z Edward J.1 irscht Sr. Engineering Technician Cc: Mike Foertsch EJK/je ~ ~ CITY OF EAGAN PERM'iT 3830 Pilot Knob Road PERMITTYPE: BuiLozNs Eagan, Minnesota 55123 Permit Number: 0 2 4 3 7 7 (612) 681-4675 Date Issued: 0 8/ 15 J 9 4 SITE ADDRESS: 1925 TURQUOISE TR LOT: 15 BLOCK: 2 CEDAR GROVE 5TH P.I.N.: 10-16704-150-02 DESCRIPTION: ' B'uilding-Permit Type DECK Building Wor \ Type NEW i i ~ , REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - qpplicant - GOOR BRZAN 1925 TURQUOISE TR EAGAN MN 55122 (612)452-8065 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 Mn. - Statutes and City ofi Eagan Ordinances. J Ej, t~~ rn~ PPIICAD /PE91 I7 E IGNATURE ISSUED : BYTIGINIXTURE " INSPECTION RECORD CITYOFEAGAN PERMITTYPE: euiLoiNc 3830 Pilot Knob Road Permit Number: 0 2 4 3 7 7 Eagan, Minnesota 55123 Date Issued: 0 8/ 15 / 9 4 (612) 681-4675 SITEADDRESS: Lor: 15 BLOCK: 2 APPLICANT: 1925 TURQUOISE TR GOOR BRIHN CEDAR GROVE 5TH (612) 452-8065 PERMIT SUBTYPE: TYPE OF WORK: DECK NEW INSPECTION D. . FOOTINGS FINAL ~ ~ / ' CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ~ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit surveys, copy o energy calcs. N;;u i 1 199~ COMMERCIAL 2 sets of architectural & structu 1_plans,_1_i~t.Af specifications, 1 copy of energy c . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ? / /0 / f` Valuation of work Site Address: 112S TUAQODiSF T2~(_ STREET SUITE M Tenant Name: (commercial only) LOT -JL BLOCK ~ SUBD. P.I.D. # Descri tion of work: r D" The applicant is: ? Owner ? Contractor ? Other (Describe) Name _GDO/Z '13 rZLn Phone Property LAST FIRST Owner Address ~q;;~'5 T~~~DysE Tr_jF~L- STREET STE # City F66c 6J State Y'j Zip S~I22- Company Phone Co ntractor Address License # Exp. City State Zip Architect/ Company Phone Engineer Name Registration # Address " City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. ' I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable St Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicant: V?` ~ ~ 000 ~ - . A.f i1 ~ ~ ~ ~ ; '~7 `~s ~ ; ' g5 90 - 3 4r a ay L t i ~ ~a? 5 4, ~ 5 ti~ ER ' = , -V~ • r;;.~ 4.~ ~ ' > 17 , i S o'!" i lj -L 1'1 ~ ~ , $y2 s ,~i? ~ ' _ ~ M ~ d'O ` : ~a 10. ~ jw A#~A$ ~ !'L . o~' `'T' g'1 ' ~•y'~ ~ 94 + Z / ~ / loe ,~.~t A.3Z" ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWchon Reouirements RemodellReoair Reawremenls Oifce Use Onlv 3 registered site surveys showing sq. ft of lot, sq, ft. of house, and all roofed areas 2 copies ol plan Cert bf Survey Recd Y_ N (20°/, maximum lot coverage allowetl) 7 setof Energy Calcula6ons for heated addrtions Tree Pres plan Recd _ Y_ N. 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addillons & tlecks Tree Pres Required Y N t set of Energy Calculations Addrfion - indicate domsRe sephc sysfem On-sde Sep6c System _ Y_ N 3 copies of Tree PreservaGon Plan if lot platted after 771193 Rim Joist Delail Options seledion sheet (bldgs with 3 or less units Date _ t /1-1 / 001 Construction Cost ~ a-a, oq a. o0 Sife Address I a a.s TUrQ Un (Se ?YLL I~ UniUSte ti a an N i aa DescriptionofWork Re,-roo4' ay,~"'S 3-T ablRe-oicle lGla''S Alvml'num/ WIY1j6v4i; 14ulti-Family Bldg _ Y X N Fireplace(s) _ 0x 1 _ 2 Property Owner grio.n Ipaf'iC~a v Ubr Telephone k(~o~j( Sc~ -~tP~ Contracror (ad!ar Vall~e•-I E,-krlor S Address ~-1 C) 0 L-Yl NL City 1310~ 11Q- State B N Zip 58Li H Cl Telephone #(16'~j) ! Ju -,4a" I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Venhlalion Category t Worksheet . New Energy Code Worksheel (4 submissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( V) I'.n IC 1I ' Mechanical Contractor Telephone ) Sewer/Water Contractor uu Telephone ) I 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. J erUvt «,L Applicant's Printed Name A plicanYs Si ature PERMIT City of Eagan Permit Type:Building Permit Number:EA117212 Date Issued:10/16/2013 Permit Category:ePermit Site Address: 1925 Turquoise Tr Lot:15 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-150 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 by law in ALL single family homes . Ann Spreeman 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 - Brian Goor 1925 Turquoise Tr Eagan MN 55122 (651) 452-8065 Minnesota Window Siding 8609 Lyndale Ave S #207 Bloomington MN 55420 (952) 888-9904 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122521 Date Issued:05/12/2014 Permit Category:ePermit Site Address: 1925 Turquoise Tr Lot:15 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-150 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. Bob Boldt 4310 Trenton Tr 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 - Brian Goor 1925 Turquoise Tr Eagan MN 55122 (651) 452-8065 Robert Boldt Hvac 4310 Trenton Tr Eagan MN 55123 (651) 454-7760 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132275 Date Issued:08/04/2015 Permit Category:ePermit Site Address: 1925 Turquoise Tr Lot:15 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Brian Goor 1925 Turquoise Tr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA145744 Date Issued:09/22/2017 Permit Category:ePermit Site Address: 1925 Turquoise Tr Lot:15 Block: 2 Addition: Cedar Grove 5th PID:10-16704-02-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Brian Goor 1925 Turquoise Tr Eagan MN 55122 (651) 246-8387 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature