4448 Cinnamon Ridge TrRESIDENT /OWNER
N ame:
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Address / City
/ Zip:
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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 #:
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II
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Name: R�l.�t I 5���
: k• L/L. LO/Lia
Phone.
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Address I City I Zip: a I. �.• ILC
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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/
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t'x��e
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of Wotk,;,�+i,
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— New 4I• eplacement _ Repair
Description of work:
_ Rebuild _ Modify Space Work in R.O.W.
—
1"' Ail ill
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ilrl;;Peflmlt
,:iAdd
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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