4464 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:
Size: Account Deposit: --
Reader No.• — Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. / Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAOAN SEWER 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:
t G` rilU3ti ii3v.�® ¢its
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By j Misc. Charges:
Date of Insp.: ` /' Total:
Insp.: — r Date Paid:
Oct,18. 2013 9:02AM Crest Exteriors 651-463-8095 P. 33
Use BLUE or BLACK Ink
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ermit Fee: v
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3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5676 j staff:
Fax: (651)675.5694 1 I
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
` Unit
Date: Site Address:
(2 ✓ n~r\o~mcn QiMe, (2.
r" Name: Phone:
RC) n* '-7 C f d C,~ r
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ity I Zip:
':.O new' Address /C ~
s ' Applicant is: _ Owner V Contractor
Description of work: rlX )
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Construction Cost: Multi-Family Building: (Yes _ / No
y ? Company: mQ~~ X10.` ~ Contact: YY~O 7V~X x^t ~
Address: ~ n >t XY me r ~Ef /VE 19 ge 28 wily-:~
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o State: rnrQ Zip: i=; c-,y 1 Phone:(9 1
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'c•.x --llr.. License P f )C 2-u0 Z Lrl b 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 simllar plan based on a master plan?
_Yes ZNo If yes, date and address of master plan.
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer & Water Contractor: phone:
zNOTEs'P7~` s -u 'po i gs iocii em n s "it:'a co s/ d 'fo ` e utilid(n(orm $ia ; ; oil ns:of
a on ma ®.c ea o p l o .
w cc..0 e, a. t E ; a: w . ro .
CALL BEFORE YOU DIG. C211 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. tom.gooherstateonecall.ora
I hereby acknowledge that lhis 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 wllhout 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 160
days of permit Issuance.
x X
Applicant's Printed Name Applicants Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use---_---_- I
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wk'S v 1
° fiahr I Permit 0~ I
Ea I )
City of Ea
Permit Fee: l Q I
3830 Pilot Knob Road I 1~ I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3Z211 el Site Address: - G s/I/~✓cri~ Unit
Name: f ei ' ! 11srt.l Phone: ~~1® eP
Resident/
Owner Address /City /Zip: Arptt :!r'''"~f~.'.at
Applicant is: Owner Contractor
a Description of work:
Type of Work
Construction Cost: Multi-Family Building: (Yes / No )
Company: UAAh ! ~r a ntact: I? r'_. ,
Address: ' ` ant i f 57 City: ✓ G
Contractor State: ,**V Zip: g 'f Phone:
642-
License .2 2W, Lead Certificate /!dam - ? 1 -
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:
R-OfE: 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.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.
xJr tl t ~t 1 0 S-G / ,
Applicant's Printed Name Applicant's'Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
4Sri~6r j Permit V
City of Ea.
Permit Fee:
3830 Pilot Knob Road
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: 6 Ciit/sl//~NC~12/v 4-Unit Unit M
Name: f'* I fi"-!~ AAJ/. Phone: eP/. J
Resident/
Owner Address/City/Zip:
42
Applicant is: Owner Contractor
Description of work:
Type of Work ~Construction Cost: G-5 Multi-Family Building: (Yes / No )
- , ~ r • . r t t S Fla ~'rd ~,r~c°
Company: U ~D+uS~ k e ~ a► ~ $ ~t~ ~ ~ Contact: / s a ~ ~r""~ ~ ~,4^
,,211 -5
Contractor Address: r > r? r.~ 5 city:
State: F% Zip: Phone: ` 1
License .G- Lead Certificate IV,4-7 - 3 7 r
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:
x
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: m
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.goaherstateonecall.org
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
days of permit issuance.
P
xr tLio~r w °1 ,1
Applicant's Printed Name Applicant's -ign ure
Page 1 of 3