4590 Cinnamon Ridge Tr CITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: - ` No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: _ Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By s1 Dote Paid:
Dat of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eaga'h, MN 55122 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:
Date of Insp.• Total:
Insp.: Dote Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122493
Date Issued:05/09/2014
Permit Category:ePermit
Site Address: 4590 Cinnamon Ridge Tr
Lot:021 Block: 1 Addition: Cinnamon Ridge
PID:10-17400-01-021
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
James Pahl
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 -
Jamie C Delong
4590 Cinnamon Ridge Tr
Eagan MN 55122
(763) 772-6902
Pahl Exteriors
1960 Cliff Lake Rd
#129-189
Eagan MN 55122
(952) 451-1018
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
' i For Office Use ��� i
CIt�� � Permit#: � �
Of ���I�Il 5 i, I Permit Fee: ' v � �
3830 Pilot Knob Road ��'trt � � ````'� I I
Eagan MN 55122 j Date Received: �
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff: 1
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2015 RESIDENTIAL BUILDING PERMIT APPLICATION �� '
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Date: Site Address: `���d Ci.v�v'�.�t�.�.1 '����,+�iL� Unit#. �
Name:-�G�,�,..4� � �v\�i Phone��" �7� '��-rC2
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:,� Applicant is: Owner �Contractor
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:��' ���� � ; Description of wyo,��lc:�t�-=�c-�=�^-r�r���=-� ; i'r�1r 5� F-�f( �i'�'��'�-�^s, �'�,Fa�� //0-5 C�S�,, � �'����
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Construction Cost: ���,�C�'`� Mufti-Family Building: {Yes /No�
° Company: /-� ���.,�..c�, �v�-�s`�,-u���-�_.,� Contact: ��'�
��lt�t�#:�T ;.,x; Address: ���"5 �`'�.c��;�..-..;a<�� '�-.%� City: ��--'�� 5�-�'�\
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'` State:�`-��---'Zip: �'X-���Phone.�`—�'�'���mail: ✓'�v'�CX--��e_.vvt_�.. ��v1
{. License#: �C=��v�� Lead Certi�cate#: �a-�— ����j--�
If the project is exempt from lead certification, please explain why:
�
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:
Fire Suppression Contractor: Phone:
`N�TER#f��s���T st�t��3����rn�t��}��'+��'�#��t��+�s�'��'a����b!���a�r�t�rb� �'���}�' r
t�t�rtifa�a�r c�a,�r��l��f��ta�r�����t�tr��'e���r�s+���r�'�r+��i���������
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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.qopherstateonecall.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 perrnit; that the work will be in
accordance with the approved plan in the case of woric 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.
<'"s._.`
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Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
10/19/2015 03:22 FAX 6512929929 Schadegg Mechanical C�0001/0001
Use BLUE or BLACK Ink
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� For Oific�Use �
�t� Of�g n I Pertnit#: � i
6 1 Q�ll I ,�v� �
3830 Pilot Knob Road � Permit Fee:
Eagan MN 55122 j I
Phone: (657)675-5675 i Date Reoeived: �
Fax:(651)675�694 � Stafr �
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date- I���a"�L� SiteAddress: �5�� �r1i�tQ•rYlph RtdC(i �YA.u'
Tenant: �G•NM� �l°,�pV1. Suibe#-
;�. •.. ::,':. . .. . ;.. :.: Narne: �� �G�.Dvl.O► Phone:
`-l�esiden#/Owner :,
• ' Address/City 1 Zip: 0 ��ut r14.1�✓W vl I I�
' Name: K 6 M,�,GI�►�1,j G�,� License#:
� COt��aC'to� ::... Address: SZ.� UCOV►YL�i�( �Y�'�tlC Ciiy: 1"�0 t1�7 V 6 C(.J
� State:�zip: S��12 Phone: le�l -33�^350 9
� ��p
: Contact: I � Qu Gf'' Email: "f" �bU C(� CQ�+�G�.yt��
New �Replacement Additional Altera6on Demolition
� .'Type of YNork '' Descripfion of work: -�u f rl 4,Cx
.. ...... . .... ...
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OTE:Roof mouobed and ground mounbed mecfienical equipinent is.�+equihed:to tie screeAed tiyCity
Code::�:Please.conh��t:.t4�e Mechanieal lnspectorfor:i�#ontlation on permilted:screening.melhodsc_:.::
RESIDENTIAt COMMERC/AL
' �Furnace New Construdion ,Interior Improvement
' _Air Conditioner Install Pi in
Pet'mit TYPe. — P� 9 _Processed
_Air Exchanger Gas _Exterior HVAC Unit
_Heat Pump UndeNAbove round Tank
g �Instail/_Remove)
_Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,indudes State Surcharge �
$100.00 Residential New,includes State Surdia�ge =$ �o� � TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$70.00 Underground tank installatioNremoval =$ Permit Fee
_$ Surcharge
Surcharge=Contrad Value x$0.0005
if the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE
I hereby adcnowledge that this infortnation is compiete and accurete; that the work will be in conformance with the ordinances and codes ofi the City of
Eagan;that I understand this is oot a permit,but only an application for a permit,and wodc is not Eo start without a pertnit;that the wo�ic wi11 be in aeoordance
with the approved plan in the case of work which requires a review and approvai of plans. �j,(.�r [�j{� ��.1 �+f
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Applican s Printed me Applic 's Signature
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�Requirei�lnspections:, . .. , . "': . � Reviewed Byc`.�.`I; ,__ �.: � `Date:..:
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Un..ergtound' : � Rough In ' Air:Test Gas..Seniice Te.st ln 11oor H'ea#:: ':: `' Fi�al � .` HVAC Scre�ni�ag.