4408 Cinnamon Ridge Tr CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
P.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner
Site Address:
Plumber
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter: 0P P�
Misc.: _ By 14.4.2.1 4.3.4.-
WATER SERVICE PE
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CITY OF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
" P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:.
Plumber:
MWCC: Zoning
City Chg: No. of Units:
Acct. Dep. I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
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Use BLUE or BLACK Ink
I For Office Use I
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City of Eava l /a
I Permit Fee; ~~lLl {
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received: l
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Phone; (651) 675-5675 i
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Fax: (651) 675-5694 Staff _ }
2014 RESIDENTIAL BU DING PERMIT APPLICATION
Data: f Site Address. "AA r + ~n~ Unit:
i :rne ~'S~L W rt.2u,~£r9 ezc~u r1rC Phone:
Resident!
Owner Andress / City I Zipq{~ L4H cyo
Applicant is Owner- Contractcr
Type of Work ;Description of work: __i_ i' Yl_
Construction Cost: ID, DOO Multi-Famify Building: (Yes ~ l No )
i
Company: Y. ~xie r j o if s Contact:
Contractor Address: 1 A2jd 5T 'ot)w City:
4 State: M±A Zip: Ki401 Phone:?& :66 ~ail: 9~' h
M
license : Lead Certificate
If the project is exempt from teach certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lost 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 informatio Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
- _ . a.,_ - . _
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..-!
I hereby acknowledge that this in€onnation is complete and accurate; that the work wil I 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 penri,t, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the cue of wont 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_ . X 6CJ/Z 61-0 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166539
Date Issued:01/19/2021
Permit Category:ePermit
Site Address: 4408 Cinnamon Ridge Tr
Lot:012 Block: 01 Addition: Cinnamon Ridge 6th
PID:10-17405-01-012
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 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 -
Williams C & Julie E Kleiner
17183 Jordan Ct
Lakeville MN 55044
(612) 751-4603
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature