4416 Cinnamon Ridge Tr CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot KFiob 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:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: / ` k/ insp.•
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot snob 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.• Dote Paid:
Use BLUE or BLACK Ink
I
For Office Use
I~
Permit non
Clay of EaEa~
I Permit Fee: 1 I
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: j =w ~i9 C- Unit
Name: iaez/' Phone: P4
Resident!
Owner Address / City / Zip:
Applicant is: Owner Contractor r
Type of Work Description of work: /V>
Construction Cost: Multi-Family Building: (Yes / No )
. ~s f
Company: r4- A3 c r", d41 $ R,Y'i'!,.T ontact: o 4 ,s y i'e,;),
City: /V.5
Contractor Address: t
State: oWoOV Zip:.` Phone: 4~/Z-3P/ '94404P
License ~ G.- Lead Certificate 1141>7- -17 9 I - /
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 E
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 w' 1 1t-1 `
days of permit issuance.
xttR- r r. x
Applicant's Printed Name an s na ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146790
Date Issued:11/14/2017
Permit Category:ePermit
Site Address: 4416 Cinnamon Ridge Tr
Lot:071 Block: 01 Addition: Cinnamon Ridge 5th
PID:10-17404-01-071
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Jared N Omboi
4416 Cinnamon Ridge Tr
Eagan MN 55122
(651) 503-0795
Home Depot USA dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
r For Office Use•
,
: a ; : Permit#: /-56/1/ L/
EAGAN
•••� ••r Permit Fee; l -
Date Received:
3830 PILOT KNOB ROAD 1 EAGAN, MN 55122-1810
(651)675-56751 TDD:(651)454-8535 1 FAX:(651)675-5694 yam:
buildinginspectIonsacitygfeaoan.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
—'
Name: 0^4-61/4-• 0'",_�'I 0+ Phone: aS/- `V 3~ 079 5-
Address/City/Zip: W/C C'vteta I 1a / /'o C kh.,
Ap•licant is: Owner . Contractor J
Description of work: �Q' —5/
Construction Cost:// D ODO.-�� Multi-Family Building:((Yes X /No __
Company: Gt' C• Contact: ZCI ,C w."-Ac'
Address:/10/ G L. / iC�i ' w 7 City: Ifi t rpt 3 t) 1 t e
State: M/VZip: .55./37 Phone: QZ W!' 6f7?Email: c ckc eciiltSrd("q .
License#: RC fed�'� Lead Certificate#: A 4 5`272C- J
If the project is exempt from lead certification, please explain why:
iftt r it ,moo 7
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?
Yea No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an small update on the Clty's
website at www.cttvofeaaan.com/subscdbe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Cods must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher Stab One Call at(631)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.agoherstateonecall.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 the frond pl In the(case of work which requires a review and approval of plans
X /l r
Applicant' rinted Name Appilca Signature