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4448 Cinnamon Ridge TrRESIDENT /OWNER N ame: }, Y)ci P one: 6 1 1/1 — y 0 JJ Address / City / Zip: r _ // /� / 9 00110 m ei() lZl V In, /N �+ �� CONTRACTOR Name: __ _ 1�1 h I r L icense - #:. Address: 1gD4 VC1 E , ' 111 1 *reel ' 1QS r 1 State: 1 f t fl Zip: 5L Phone: F +31 `T11 M1 e [ p(� Contact: \� k / � /rte^ 1 1 IUU 1 Email: onetou1 v W it . ( ► r TYPE OF WORK New .4_ Replacement of work 9 1 tt(l Additional Alteration Demolition Description fl V�� T vl i Y i t NOTE = R of mounted and fro Cod ,Please contact the nd mounted miechanica equ j ettt Is in o e sc reoned ►y City :; Mec hanical I for ra ( n In permi d screeniin ®_ , • PERMIT TYPE RESIDENTIAL urnace it Conditioner COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) /removing tank(s), call for inspection by Fire Plumbing Inspector Other _ ** When installing Marshal and RESIDENTIAL FEES: $55.00 Minimum Add -on fi c � or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) �) $5.00 State Surcharge) $ V TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation /removal OR Contract State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee Fee requires a $ 5.50 surcharge) Value $ x 1% _ $ Permit Fee - If the Permit Fee is Tess than = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010 - $11,010 Permit _ $ TOTAL FEE Date: City of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Tenant: Apple a t s rented ame 8 I' 2011 MECHA Site Address: " I ! S s 9 Fo€af El Permit #: /0 �f ? I 0 5I Permit Fee: Staff: KCAL PERMIT ATION APPLI c ► HY►�1 mr� y�►d�ge TYGti Use BLUE or BLACK Ink Date Received: Suite #: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility - damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq 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 accordance with th a ved plan i the @IUYnAOI V '\ e of work which requires a review and approval of plans.' \ x 11 x lib 1 . 14 &4 J App ca i r>fatu'e PERMIT Permit Type: Plumbing City of Eagan Permit Number: EA105500 Date Issued: 07/17/2012 Permit Category: ePermit Site Address: 4448 Cinnamon Ridge Tr Lot: 072 Block: 01 Addition: Cinnamon Ridge 4th PID: 10-17403-01-072 Use: Description: Sub Type: e - Water Heater Work Type: New Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Josh McGuire Comments: 1424 3rd St N Minneapolis, MN 55411 612-604-4285 PL - Permit Fee (WS &/or WH) $55.00 0801.4087 Fee Summary: Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: Owner: - Applicant - Benjamin Franklin Plumbing Jeffrey P Stebbins 1424 N 3rd St. 13263 Cedar Ridge Lane Minneapolis MN 55411 Lindstrom MN 55045 (612) 604-4285 X61 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. Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.-0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: _ No. of Units: Owner: - — — Address: Site Address: Plumber: — Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I ogres to comply with tha City of Eagan Surcharge: Ordinanea. Misc. Charges: I . • Total: B L Date Paid: Date of Insp.: E" F6` I nsp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road F. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: Owner: No. of Units: Address: Site Address: Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: By Surcharge: Misc. Charges: Date of Insp.: I nsp.: Total: Date Paid: 02/15/2013 MON 15:22 FAX 612 522 5405 Al' S master Plumbimg ld003/004 CYCoO City ofEakin, M 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 POt g5a $5() Use BLUE or BLACK Ink For Office Use %�t �j /� permit*: I V 5 Permit Fee: /0� Dale Received:,Q –11 – 3 Ste 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date9' Id ^I. ) Site Address; /-41–) 4 I n S %• f� Tenant: Suite #: tl II Iirla; ::.' '' ii egi�1eritlOvlfn�t� •" I �#I ", .:...,. '... •• • • Name: R�l.�t I 5��� : k• L/L. LO/Lia Phone. � Address I City I Zip: a I. �.• ILC � T� � � �� n 51-. 11 I� �'1hikill 'S'f]ltt I l'i lit,1 rl`lit ;;j4�1 ';I;;II i��i; h! iii -• ''''il• .. .:: .. iItYl of ri�Ci or. .,r, ,:• A I'�11;toti „ii111iliriiO4;iG k i.'�I ; s;u 11 Name: dba ee mfn F Plumbing License #: ►`(� 3 14243rdStN Mlnneopelis Mt 55.111 Address. City: �'�Q State: Zip: Phone: OB. ,?0)C3 5; 1a Conte r O.%/ I _Ii ♦ Email: bat I - Ill /_ Lam/ /A d - I • w' I,:�sl f. i l�I l i I,:" t'x��e iI i ilt .." "' Of of Wotk,;,�+i, ,p,: ,, ; ,, — New 4I• eplacement _ Repair Description of work: _ Rebuild _ Modify Space Work in R.O.W. — 1"' Ail ill 11,. IIr, ilrl;;Peflmlt ,:iAdd n Ivv r i,�i IIIc; ;ii II I ;lllp �,II Ii; II,IIIpiil til;1,1,a 1 ,"� r, ;,I Type' ;C°," RESIDENTIAL Water Heater Water Softener Plumbing Fixtures ( Main /_ Lower Level) Lawn Irrigation (— RPZ / PVB) Septic System -- Water Turnaround —New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) • 'Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.gooherstateonecalioro 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 accordance with the approved plan in the case of work which requires a review and approypl of pl$gs. x CrOShlun Applicant's Pbted Name x A Ip scan s Signature 'FOR OFFIICE, USE, Required'Inspectionsc'Under.arounl pl,l ;.1:!IIl�'lli�;h;r� c• . " Rt avri��e��w�iei?dI'�iB Iyl�� i::I ,if�I�'6dri,lj'tNiI1 iIl3iiirl�itl�11� ;17i 13� �i��id"��;' ,'•. :. . • t:" . 1.,I",N1 I" i III(�," ;".; I �;�:•.: •:D..aI lty eti "'� fII ,I,aI•i�b, i+I n �„ )' t!hqt ll+iS;Pl l lI ll-itti Il r WI! • augnr t011101 +Lr'evXCtlllias es., il'Ii1i�iI I•',`Pi4f+��It:l Use BLUE or BLACK Ink Y l For Office Use ¢ I Permit I City of Eap I Permit Fee: I 3830 Pilot Knob Road 17 ' Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 1.. - - - - - - - - - - - - - - - - J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: y ;/✓/t/ siir](% r` rr L--- Unit Name: `r:.~ Phone: Resident/ f / ~ ~~kw"I f' f. Owner Address / City / Zip: ; , Applicant is: Owner Contractor Description of work: 51 W1 A.-I 5 V ~'4f Type of Work I Construction Cost: 4 3, C ecf~) Multi-Family Building: (Yes / No ) r-W . P+. 171 ' Company: i4.E f Ae- Ou3.~" A ee M ~ I A.tfp'! ~ ontact: I Contractor Address:,. S7 city: a✓/,, . t~J„5~3''`~/, State: fU Zip: / Phone: ' License 4 e, a2W0 Lead Certificate M /V$T - 3 a9~ i a - If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 if 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.gooherstateonecall.org 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 accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. xr Z L" t er°! . 5- Applicant's Printed Name Applicant's Signa ure _ , Page 1 of 3