4469 Cinnamon Ridge Cir CITY OF EAGAN WATER SERVICE PERMIT
383GPilot 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: r Account Deposit:
Reader No.• Permit Fee:
I agree to comply wi the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
B Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
383 Pilot Knob Road
P. O. Box 21199 PERMIT NO.•
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Dote of Insp.: Total:
Insp.• Dote Paid:
Oct. 18. 2013 9:03AM Crest Exteriors 651-463-8095 P. 36
Use BLUE or BLACK Ink
For Office Use iPermit M
City of Eagan
1 1
3930 Pilot Knob Road PermdFee.
Eagan MN 55122 Date Received: ;
Phone: (661) 675-5676 I t
Fax: (661) 675-5684 1 Staff: 1
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V° 1-7 -1 _ Site Address: Unlto:
Name: R 0\0\n ~ P S
Phone:
eslcie vt L
1O_ nat:' Address I City! Zip: '
Applicant Is; Owner ✓ Contractor
e Of _ .O Description of work: R~ r(`X7"C
' Construction Cosl: _ Multi-Family Building: (Yes No
Company. CContact:
o^ rac t2 Address. 21 bb ity:
- . f _
(9 ZZt
State, Y1 RJ Zip: 1 Phone: 1 2 Z
t` ~7~" License 2n 2 U Lead Certificate
If the project Is exempt from lead certification, please explain why. (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY 15 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 ZNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
~NOTE'~P as and: y s'
su porn otu at• o b 7t:a "'co~ .l ed tide; ubiic•info at on: ort ors of
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CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Cell 48 hours
before you Intend to dig to receive locales of underground utilities. www.aopherstateonecall.oro
1 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 permlt, and work Is not to start vdlhout 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 Slate Building Code must be completed within 180
days of permit Issuance.
X x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
--For-- Of---Use----------I
I fice
fiG 14. I
°a~y,r I Permit I
City of Ea
Ed I Permit Fee: l
I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: -1
Phone: (651) 675-5675 l j
Fax: (651) 675-5694 1 Staff: 06
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 Site Address: 'Alel_7- 6 Unit
Name: dr'.'` Phone: tf• pe
Resident/
_ u2
Owner Address / City / Zip: o r r "~'__'~,1 7 $Applicant is: Owner Contractor r zpc~
Description of work: 5~zl ~V~
Type of Work
Construction Cost: Multi-Family Building: (Yes / No )
- . A• r ttt "'Ve o.
Company l /w. G- GD+~~S r" ena ~'ff ~rfP'e Contact: /.R .•,o~° a'~ r
Address: %r1 f3ft . 57 City: M alko "All /V-5-ry/
Contractor
State: Zip: Y Phone: ,2_
License 4el* 4 .2 2-V Lead Certificate /V14_7 - 3 7 t - t
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:
- mm
- - - - -
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.ooaherstateonecall.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 w ~
Applicant's Printed Name Apphcanfss' gna a page 1 of 3
I
Use BLUE or BLACK Ink
1 For Office Use
I I ~pt~j I
I Permit ! " 7 I
inaft
City of EaV
I Permit Fee: l fl ~ ~ I
3830 Pilot Knob Road j
~1 ►
Eagan MN 55122 I Date Received: I
Phone: (651) 675-5675 1 j
Fax: (651) 675-5694 1 Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: e<IV1114~otc~
Name: i,,Gr r %.vri wT, 'r
Resident/ °P
Owner Address/ City/Zip:, r r~-s' ~ es~"N~ ,..Applicant is: Owner X Contractor ~ •
t"o
Description of work:
Type of Work
I Construction Co 7 ' Multi-Family Building: (Yes / No
Company: K3 a 1J titvf• ! z ontact Y e r~
Contractor Address:; city:
State: Zip: + Phone: +
3 7 - C
License V o Lead Certificate /1/19-7-
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 gopherstateonecali.oro
1 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 B i Code must be complete
days of permit issuance. /
xr Ztoo~l . l x
Applicant's Printed Name Appli 's gna ure
Page 1 of 3