4420 Cinnamon Ridge Tr 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:
1 agree to comply with tire City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: /O Insp.:
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:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Use BLUE or BLACK Ink
s I For Office Use
a#~hr."~' I Permit l, lJ non City of Ea~d I
I Permit Fee: I
I I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:, 3 /3 Site Address: 7 y~~'-7 G• ~~~a✓ / Af o4` Unit
74
Name: 6e6_ f / ,4411-44R t ' 4.° Phone: 'Pe
Resident/
Owner Address/ City/ Zip:'. ti ~P"< r , , - .".~t +~L t~►rlr'1
Applicant is: Owner Contractor
Type of Work Description of work: /V:2
Construction Cost: Multi-Family Building: (Yes / No )
Company: G- ~aNs~ eft6 StEKr/r'!-.T ntact: 1: ,o
Address: fr' S 0 City: _ C'.~r j11/
Contractor
State: Zip: If : Phone: 4642- -3,?/ License Ae, ( aZ- 41Lead Certificate /11414-7" 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 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.oEg
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 YV f
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City Of Eagall Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA124390
Eagan,MN 55122 , Date Issued: 06/30/2014
(651)675-5675
www.ci.eagan.mn.us l O LL ��
Site Address: 4420 Cinnamon Ridge Tr
Lot: 061 Block: O1 Addition: Cinnamon Ridge Sth
PID: 10-17404-01-061
Use:
Description:
Sub Type: Single Fam Construction Type:
Work Type: Day Care Inspection
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary: Day Care Inspection $50.00 1221.4216
Tota�: �so.00
Contractor: Owner: - Applicant -
Hashi Mohamoud
4420 Cinnamon Ridge Tr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
�
Applicant/Permitee: Signature Issued By: Signature
Dec 04 2015 02:05PM HP FaxPerfection Heating 6517773252 page 3
Use BLUE or BLACK Ink
� Forofficeuse ---------I
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C��� O! ����� i Per►nit#: � o� 7 p� I
3830 Pi101 Knob ROad � Permit Fee: ' d� j
Eagan MN 55122 � I
Phone:(651)6�5-5675 � Date Received: �
Fax:(651�675-5694 I �
� Staff: �
L----------------�
2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2)sets of plans with all commercial applications.
" ) �
Date: ' �� SiteAddress: ��� ,�(.' �r:•�'..•:�r-; �!
� �.t�'�,� iG c;���n,„' /
,: ,
Tenant: ` � �. '� �?• i `���. .. � •� Suite#:
<RBSId � Name:���i C��,� �(,����0�'1,� :� Phone, ` . -�
@11�'/Q.W11p� . � (,�"I 'S'�,;':� 7�f":1 i :
� ` Address/City/Zip: L° � r _ ^�
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�n �
Name: j�e r, �r�,�.,; -��� �.1,,� ^;;�. � j� license�:�►F��C'�.`�i j,"�,
` ' Address: �%'Z("=�(�t;�„�L:v� ��i�ti..:� City: '� [�;7�
� . �ontt��tor,
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State: ��_Zip: S� (v`� Phone: (.�'.� 't ?� ) ��: �(..+
_ _ Contact:�c;U.�;�t ,� .��:..� Email: �4:, �.rc�• c• i ., �
o �M
` New �ReplacemenE Additional Alteration Demolition
;;�:;<, pe `q. .� , � �- �
Yf�p�o�f Work scription of worlc: � � � c�,,,; r. - �,
� N(�T� Ro�f rii'mcunted a�d.�t�und°�ounted mec�ani�aF equi�msnl�is::r�i�uired:td be$�nee�i�tl�liy����<";;
.y ` f �ode Rlsase c,onfae[the M�'chanicat.Jns�cfor�`oi�.`inforni$tinn oe peririitfod�cr�i�i�ng�a�t}�e�ii�:,�y:'�
.,.
RESIDENT/AL COMMERC/AL
�Furnace New Construction _Interior Improvement
� AirConditione� InstallPi n Procsssed
�:' Permit Type : — — � s
_Air Exchanger Gas _Exterior HVAC Unit
`.r'<._:.:;;:<;:.;;;":r";,.,>`,.r_,.;.i.;;; _Heat Pump UndeNAbo e u T n
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RESlDENTIA�FEES
$60.00 Minimum Add or alteralion to an existing unif,includes Siate Surcharge
�,.�
�100.00 Residential New, includes State Surc�arge =$_�C�:.-'. _TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
s74.00 Underground tenk installatioMremoval =$ Permit Fee
Surcharge=Contract Value x$0.0005 ' � Surcharge
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
I hereby adcnowledge that this information is oomplete and accurate;that the work will be in confyrmange with the ordinances a�d codes of the City of
Eagan;that I understand this is not a permit,but only an application for a permil,and work is not-t6�staA withot�a permit;thatihe work wili be in accordance
with the approvad plan in the case of work which requires a review and approval of plans. j � ;,!
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Applicant's PrinEed Name pplicant's8i f
,�
�'l�l�QFFICE USE �•:F:�,.
4 < � ' , } .<.,'�,
Rer�ulrErd`1n�,p�ci�p�s � ` ; Rewewed By , �►�,�� � � ;
., • : ;: : : f , � ,�-` :
� l�bde�gmanii Rou,ghln, , 'Air Tes� ._..,_Gas 5en��ce Test �'in iloor I��ex Firial : .•• W'�/�t�;:,,'c�eehtF�,�;<;,:_::f`.-;
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139042
Date Issued:10/05/2016
Permit Category:ePermit
Site Address: 4420 Cinnamon Ridge Tr
Lot:061 Block: 01 Addition: Cinnamon Ridge 5th
PID:10-17404-01-061
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 -
Hashi Mohamoud
4420 Cinnamon Ridge Tr
Eagan MN 55122
(651) 354-0687
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature