4410 Cinnamon Ridge Cir CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: _ No. of Units:
Owner:
Address:
Site Address: _
Plumber: _
Meter No.: Connection Charge: fit
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. / Misc. Charges:
Total:
By Paid:
Date of Insp.: 3 6 c p. 3 Ins
p..
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
B y Misc. Charges:
Date of Insp.: Total:
Insp.• Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112753
Date Issued:08/22/2013
Permit Category:ePermit
Site Address: 4410 Cinnamon Ridge Cir
Lot:051 Block: 05 Addition: Cinnamon Ridge 3rd
PID:10-17402-05-051
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Tiffany Kline
4000 Winnetka Ave N Suite 100
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 -
Simon P Ngo
1458 Texas Ave S
St Louis Park MN 55426
(952) 457-0365
Total Comfort Heating & Cooling
4000 Winnetka Ave. N #100
Golden Valley MN 55427
(763) 383-8383
Applicant/Permitee: Signature Issued By: Signature
Oct,18, 2013 8:58AM Crest Exteriors 651-463-8095 P. 9
Use BLUE or 13LACK Ink
I For office Use I 1
1
Permlt
City of Eato~ I ~l
Permit Fee: ~ j
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received: 1
Phone: (651) 676-5675 1 I
1 Stat(: I
Fax; (661) 675-5694 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION.
Date: Site Address: O Unit
Name: Phone:
esldentl~`'
Address I City I ZIP'
Applicant is: _Owner Z Contractor
Description of work:
+T . e of
Con6tructlon Cost: Multi-Family Building: (Yes I No
Company: r.l e_``~ rnQ\~~fl .Contact:
Address:
x p . f .a r.~` 1 Phone: I /Z 2-Z
y, State: Zip.
License # ZAP ZZL4 6 Lead Certificate
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 Y/No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone;
.:YP L `n.• -of
.;(VQTB: Plans a ' sup o e"'tg= bin t a cp "s' de :eo1 Co;tie
ro~ a-c s/ e p ns- a • o~►~~peI~: nY,o~
if.
CALL BEFORE YOU DJG. Coll Gopher Slate One Call at (651) 464.0002 for protection against underground ul lity damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.gopheretateonecall W
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 permll, and work Is not to start wilhoul a permit; that the work will be in
accordance with the approved plan In the case of work whlch requires a review and approval of plans.
Exlerlorwork authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
X
X Appllcant's Signature
Applicant's Printed Name Page I of 3
Use BLUE or BLACK Ink
~~F,._ For Office Use
p j Permit
City of Eat4 I Permit Fee: 1
I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
L - - - - - - - -
2014 RESIDENTIAL BUILD~iING PERMIT APPLICATION
Date: Site Address: G%G /ivN ) //z g/, Y~ Unit
Name: r i- Phone:
Resident/ ~
Address / City /Zip: (W.t ~ ),c A I' ?VX S
Owner
,22 Applicant is: Owner Contractor `
Type of Work Description of work: 1 ti /LS
Construction Cost: Z~ qo (D Multi-Family Building: (Yes C/ No )
Company:- hl c A N tW..1/f~ntact:
Address:.e;.: City: 00, 0AP f`y N 5"
Contractor
State: .#4V Zip: t~ V Phone: ~ P/ S4 042
License 21 2,' Lead Certificate 104-7- - 37 1 - l
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 maybe 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.gopherstateonecall.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.
X
Applicant's Printed Name Applicant' Signature w..._.._
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
i I ~0 l /1
Permit I
City of Ear I
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: 3AOx
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
L. - - - - - - - - -
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: % ~iit/•~ 9>vt~ `72 Unit
Name:' Phone: C J -34?1 k3
Resident/Y~
Owner Address/ City/ Zip: Fig=
Applicant is: Owner Contractor r
Type of Work Description of work:
Construction Cost: 7.5 Multi-Family Building: (Yes / No )
Company: tTi'Aa I-t/N' ontact:
Contractor Address: l IA ~ AVI 's& 2'o city: M.A. /Vs " ,r-
State: Zip: 't~-° Phone:
License M l( ~ 62- 2.4 0 Lead Certificate /V 4-7 37 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.gooherstateonecali.orci
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 compI i in 180
days of permit
t. issuance.
r C !
Applicant's Printed Name Applicant's ign
Page 1 of 3