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4456 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: i age to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Dote of Insp.: insp.• CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pirot 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: Dote of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink For Office Use City of Eap j Permit I O(~ _ I Permit Fee: 3830 Pilot Knob Road I j / I 1 Eagan MN 55122 I Date Received: 3 `r Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2014 RESIDENTIAL BUILDING PERMIT /APPLICATION Date: -3 Site Address: Unit j,f„°. GI Name: _4~ -Phone: Residentl Owner Address/City/Zip:,/ eo f<t5J" e,- Applicant is: Owner Contractor r. fF r' Type of Work Description of work: Construction Cost: 2, 6,®69 Multi-Family Building: (Yes / No ) Company: 44',0, ~Dx3S~"at Ai-0,V S 1, P_V'feT=kntact: / o 4 4 tIr . < Z/,-- Address:,, ^ spit 'sI/ t . S Cl City: Contractor State: Zip: Phone: License Ael* 4~ .G-2-4 0 Lead Certificate Iy,4-- 3721;)--/ 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 i 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.gooherstateonecall.oro 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. p x fit! r 1.1~ t r+~"Ri"k s .~C Applicant's Printed Name ~ppl~ ignature Page 1 of 3 Use BLUE or BLACK Ink For Office Use I W I Permit CI Permit Fee:l I- I I 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: F Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: .3 Site Address: ~6 f ti c_rTt2,,4-/e_ Unit Name:, a'a- y Phone: ~1"" Resident! Owner Address/ City/ Zip: " Applicant is: Owner X Contractor Type of Work !Description of work: ~ Construction Cost: Multi-Family Building: (Yes / No ) Company: k3 G!-a daJ $ vi'G:1rs ontact: / 0 e- '40-W ~r~t a ~ a Address: 21i°0 City: .0 / N---re// Contractor State: f Zip: Phone: 642- -?4 License 44- P~ FJ Lead Certificate IVY- 3 ? 9 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: 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.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 withi days of permit issuance. x t~tl l t L t R• eat 0A C-c Applicant's Printed Name Applicant's Sign-at Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149833 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 4456 Cinnamon Ridge Tr Lot:052 Block: 01 Addition: Cinnamon Ridge 4th PID:10-17403-01-052 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Aska J Nyamiaka 4456 Cinnamon Ridge Tr Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature