3856 Cinnabar Dr
Use BLUE or BLACK Ink
For Office Use I
I I
Permit
I
alt of EaEdn 1 C1 61~_
I ~ CC I
Permit Fee: 5J • I
3830 Pilot Knob Road 1 1
Eagan MN 55122 1 Date Received:
Phone: 651 675-5675 1 I
I
Fax: (651) 675-5694 Staff---------
INFLOW & NFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: ~F 5_~'
CIl?h e90-
Tenant: hh 94(/j7nGi`'Ih Suite
Name: [Jon q A
noId y11 i Phone: G/ f z /a
RESIDENT / OWNER
Address/ City/ Zip: YFS- P C/114,gAgy' Ak.
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK iL Sump Pump Repair Repair
Other: Other:
Description of work: ! J J~
DESCRIPTION
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $_55. oD
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.ciopherstateoneGall.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.
x J"o hn lullmar x j_
Applicant's Printed Name Applica is Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In Final
?
' CITY OF EAGAN
? 3795 Pilot Kno6 Road Eagen, MN 55122 N2 4269
. PHON E: 464-8100
BUILDING PERMIT Receipt # L' ? .6
To be wed for ' Date 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. -- Alter Q Zoning
Parcel # Repair ? Fire Zone _
Enlarge ? Type of Const.
0: Nome Move ? # Stories
Z Address Demolish ? Front 'i ft.
? Cit Phone Grade ? Depth iE' ft.
?...........?. Fee.
o Name ?o'.teascn tne.
OU Address
Name _
Address
Assessment _
Woter & Sew
Pol ice
Fire
Eng.
Plcnner -
Council -
Permit = •!? ? _
5urcharge ? '? • ??'
Plon check
SAC
Water Conn.
Water Meter
I hereby acknowledge that I have read this application and state that Bidg. Off.
the informotion is corract and agree to comply with all applicable 891.5
Stote of Minnesota Statutes and City of Eogan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition that
oll work sholl be done in occordonce with oll applicable State of Minnesota Statutes and City of EoSan Ordinonces.
Building Official -
PsnnM # pate Iwwd PoewNfN
Plumbing o? -??- 77 .e
Mechanical
INSPECTIONS DATE INSP. RoupMln Finai
Footings Dote Inep. Dote Irup.
Foundotion
? Plumbing ?
Frome/ins. Nlechonical
Finol b ?3 '? ?
Rerrarks:
Dote:
May 25, 1977
PERMIT
4 Site Addreu: "?' `' ?-' C''
Lot Block Sub/Sec. - `" fT 9
Name '?ollefson Builders
; Addreu ` 749 Davenport
O
City - r1n Phone:
Namekzarickson rieating & A1C Co
?
? (1 Addres?3.
City Phone:
This Permit is issued on the express condition thot all work sholl be
Minnesota Statutes and City of Eagan Ordinances.
? CITY OF EAGAId
3795 Pilot Knob Road
Eogon, Minnesoto 55122
P6ona: 454-8100
HEATING
No. ?
Recei pt No.:
Single
Residential
Muiti Res., Comm./Ind. I
New/Alter./Repair. Cost of Installotion
20.00
Permit Fee
' Surchorge
'1(} _ ?in
TOtOI
done in accordnnce with oll applicable State of
Building Official
CITY OF EAGAN
:
, 3795 Pilot Knob Road
± Eagan, Minncsota 55122
Phone: 4548100
PERMIT
Date: - 20 ? I '? i 1
Site Address: 3,q5`.
lot 'I Block - Sub/Sec. -
INome - -
No. 8"l4
Receipt No.:
5ingle
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Installation
City '' `731 Phone: _ Permit Fee
` Name enz-kyan Pluntbinq _c ,tinq Inc:. Surcharge
? Address 14745 5o. lmbert 77ai1
e
a
V City . _. . ? ?.a :.. ? . Phone: Totol . - ,
This Permit is issued on the express condition that all work shall be done in accordance with ail applicable State of
Minnesota Statutes and City of Ecgan Ordinonces.
Building Official
3795
CIT1f OF EAGAN
POet Kno6 Rood Eagan, MN 35122
PHCNE: 454-8100
BUILDING PERMIT APPLICATION
N°_ 5224
Receipt
To b, ww fm fenOe & staimmixig aqp?oi„e 6,500. Da te 5-16 , 1979
sire Addrm 3856 Cinnabar Drive Erecr gl o«upancy M
Lot 4 Block 1 Sec/Sub. Cedar Grow #9 Alter p Zoning RL
Pomal # Repair ? Fire Zone
E
l T
f C
t
n
orge p ype o
ons
.
aWr 1+iome Nlr •& M'CS . A13Y1 S11VC.'Y' Move ? # Stories
? Address 3856 Cinriabar I7rivie Demolish p Front ft.
,...?ag an Grode n Deoeh ft.
Nam 5t. C7o].X POOl R?(V1V1•
Address 13481 N. 60th St.r2et Assessment
? G StillWatPx Pho? 439-4476 Water & Sew.
Police
.W N? Fim
r
?z
Address Eng.
a W Citv Phone Planner
Fee•
Permit L4. VV
Surcharge 3.50
Plan check
SAC
Water Conn.
Wuter Meter
Council
I hereby acknowledge thet I have read this opplicatian cnd state that gldg, pff,
the informotion is corcect ond agree to comply with all applicoble APC Totol 27 • 50
State of Minnesota StaYutes ond City of Eogon Ordinc?ces.
Sipnoturo of Permittea '&? Ti _ ,?as? ' ---•?--??-? ?
A Bulldinfl Permic is issued to: St. CmlX POOl on the express condition fhot
all work shull be done in cccondcnce with all appiiwble State )of-Mimesoto Statutes ond Ciy of Eayan Ordinances.
Buildinp Officiol
cirY oF EAGAN
3795 Pilot Knob Road Ea9an, MN 55123 N2 5224
PHONE: 454-8100
BUILDING PERMIT Receipr #
To bs wed for Est. Volue Date ? 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoning
parcel ?. Repair ? Fire Zone
Enlorge ? Type of Const.
W Nnme Move ? # Stories
3 Address Demolish ? Frant ft.
° Ci Phone Grade ? Depth ft.
01 Nome
o
u? Addre
? r:..,
Name _
Address
Assessment _
Wcter & Sew.
Police
Fire
Eng.
Planner
Council
Fees
Permit .
Surcherge
Plan check
SAC
Water Conn.
Water Meter
I hereby acknowledge that I have read this applicotion and stote that Bldg. Off.
the infortnation is correct and agree to comply with aIl applicoble APC Total
Stote of Minnesota Statutes and City of Eagan Ordinances.
,
5fgnature of Permittee
A Building Permit is issued to: on the express condition that
pll work shull be done in occordonce with all applicable 5tate of Minnesota Stotutes ond City of Eagan Ordinances.
Buitding Officiel
N.
Perwk # peft lawd tomIMN
Plumbing
Mechanicol
49
INSPECTIONS DATE INSP. Rouph-In Finol
Footings Dafe Inep. Data Inap.
Foundotion Plumbing
Frame/ins. Mechanical
Finol ?
Remarks:
FAECHANICAL PERMIT
CITY OF EAGAN
pQ 3830 PILOT KNOB ROAD, EAGAN, MN 55121
PHONE: 454-8100
Site Address
Lot Block
m Name _
?g Address
c City _
? Name ?'?u? rc "
c ' l l IG 4
Address
p City
TYPE OF WORK
Forced Air ??o , OOU M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
" ,, %? J - • y?-r.t. , .k..c?CJ- FEE
? ! G
S/C:
TOTAL:
Res.
Mult
Comm.
Other
BLDG. TYPE
PERMIT # ? Gn 7?
RECEIPT # DATE: WORK DESCRIPTION
New
Add-on "
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 BTU
ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
$24.00
6.00
12.00
6.00
1.50 EA.
- 140.00
- 20.00
.50
BEYOND $1,000.00)
•" SIGNATURE OF PERMITTE `
FOR: CIN OF EAGAN
BUILDING PERMIT &
To be used for
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Est. Value ??,OW
Site Address
Lat " Block 1 Sec/Sub. CF.QAR GROV° WM-
Parcel No.
W Name ? V... ,.. r.:.R. .
o Address 3$? CjNH`°'P DR
City FAW Phone
, o Name M-ETRO EIMNIT 1uJIt.DBRS
0Q Address q?l J?s A? q
? City al.QlktlNCSO?` Phone 888'-8-31,15
Address
CIty -
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: ?`cTRO SUPil: LT t;' I Wt:E`s
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building
OFFICE USE ONLY
1949
pccupancy - FEES
Zoniag . ?
(Ac1ual) Const - Bidg. PermR 11' • ' `k
(Allowable) - Surcharge
# of Stories -
Length Z L? Plan Review
Depth 12 ' SAC, City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ 1Nater Conn
On Sile Well - Weter Meter
MWCC System -
City Water
- Acct. Deposit
PRV Required _ S/W Permit
Booster Pump - g,ryy gurcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded.
Council -
Copies 3. C:Ci
&dg. Off. - 96. j l)
VarianCe - TOTAL
Permk No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
inspsctfon Date Insp. Commente
Footings I
Foundation
Framing `
Roofing - ? - ?^-
Rough Plbg.
Rough Hig.
Isul.
Fireplace
Final Htg.
Final Pibg.
Const. Meter Plbg. Inspector - Notify Piumber
Engr./Plan
eldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Rema
Addition r-F.1]AR r_unVE #9 Lot 4 aik 1 Parcel 10 16706 040 Ol
Owner Wa.'fr(,, 1-010 6?Street 3856 CiriA3ball' Dr3v@ State E19AI1, NIlQ 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 39? 197,9 10,15-45 103-95 1049.25 C003485 -14-77
STREET RESTOR.
GRADING
5AN SEW TRUNK -10 1968 55.16 1.83 30 9-29-77
* SEWERLATERAL 1975 1,289.38 257.87 515.77 A 04732 9-29-77
I*Wat. Lat, Stubs, Ar. 1975
WATERMAIN S
WATER LATERAL
WATER AREA
STORM SEW TRK 1976 279.12 55.82 5 167.48 004732 9-29-77
S70RM SEW LAT
CURB & GUTTER
5lDEWALK
S7REET LIGHT
WATER CONN. 230.00 #05658 4-14-77
BUILDING PER.
sAC 475.00 #Ob 4-14-77
PAR K
? V CITY OF EAGAN
? 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
. . . , .;tt . iV
I tINF3 liltl_1N1. 09
i PERMIT SUBTYPE:
I I ilT 1 Nii
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
H111 t f? 1 MCi
i?'?1FiCTH
04 ! :' r J ??tt
e+a - W we
4 E3( r, - APPLICANT:
TYPE OF WORK:
)tl!? 1 114
??r+nr-tMr;?
---------------
PermR Mo. Partnit Holder Date TeNQhone A
ELECTRIC
PLUMBING
HVAC
inspectlon Date Inap. Commente
FOOTiNGS
FOUND
FRAMINO
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TES7
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
WATER SERVICE PERMIT
^
t EAGAN
31 Pilot Knob Road PERMIT NO.:
MN 55122
E DATE:
agan, _
Z of Units:
No
oning: .
Qwner: ` -
Address:
Site Address: ?
Plumber. '
Meter No.: Connection Charge:
Size• Account Deposit:
-
Reader No.: PermiY Fee:
I agree to compfq with the City of Eagan Surcharge:
Ordinunces. Mix. Charges:
Totol:
gy Date Paid:
Date of Insp
;: EAGAN SEWER SERVICE PERMIT
3795 Pilot Keo6 Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner. • ' -
Address:
5ite Address: ?-
Plumber: - --
1 ogree to eompty with the City of Eogoe
Ordinunses.
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Totol:
Date Poid:
Q..
Date of Insp.:
This request void 18 months 1
Date of t ' Request?
I I, as icensed EleCtri Cc
cal wiring installed at:
Street Address or Rou o. .
Sectic3w ? Townstup _
Which is occupied by?
Is a roughin inspection require
Power Supplier?/24?
Electrical ContractorKENE
Mailing Address 13813
Authorized Signature Gi
No ?
Minnesota State Board of
1954 University Ave., St. Paul, Minn. 5
REQUEST F8R ELECTRICA
CHECK BELOW WORK COVERED BY TH
Type of Building New Add. Rep. ??k ,
Home ? ? Range
Duplex ? ? Water Heat
Apt. B1dg. ? ? ? Dryer
Commercial Bldg. ? ? ? Furnace
Industrial Bldg. ? ? ? Air Conditi
Farm ? ? -I List ji
FEE
I, the Electrical Inspector, hereby
(Raugh-in)
(Finai)
This request void 18 months from
-?OG71s`/
O 77455
F request inspection of the above electri-
nge County
f Occupant)
Ready Now ? Will Call)K
ss
C Contractor's License A3JL47
BURNSV[LLE
r Making Thls Installation)
Phone No. 43?-5036
-- - _?
. ;h •
?'d?? ?l?
?
O 77455
Check Equipment Wired Fot
Temporary Wiring
Lighting Fixtures
Electric Heating ?
3ilo Unloader ?
Bulk Milk Tank ?
FEE
crrr oF EAcnN
3795 Pilof Knob Read Eagan, MN 53122 N? 4 z 6 9
PHONE: 454-8100
BUILDING PERMIT APPLICATION $37,000 Receipt # 5658 _
7o ba ueed for Siing. Fam, Dwlg, 3 Garg. pOLe April 14, 1 q 77
Site Address 38.56 CinnabaT Dr_ Erect [5 Occupancy 7
Lot 4 B lock 1 Sec/Sub. CG 9 Alter ? Zoning R1
Parcel # - Repair ? Fire Zone _
Enlar
e ? T
pe of Const
g y
.
? Name Charlie BTOwn Move ? # Srories
3 Address Demolish ? Front 4$ ff.
? Cit Phone Griode ? Depth 46 ft.
o NOTe Tollefson Bldrs.. Inc. Avorovals Fees
r
?5 Address ,,,, e a E 454-6873
`y'? ?Ck'-
Name _
Address
1 hereby acknowledge that I have read this aOPlication and stote that
the information is correct ond ogree to comply with all applicable
$tote of Minnesota Statktes and 9ty of Eaga Ordinonces.n
Signature af Permittee 1 L?
A Building Permit is iss d to:
ali work shall be don 17,'acca
Assessment _
Water & Sew.
Police -
Fire
Eng.
Planner -
Council _
Bldg. Off. -
APC
_
Permit 106,00
Surchorge 18,50
Plon check
snc 475.00
Woter Conn. Z30.00
WaterMeter 60,00
Tarai 891.50
Lefson BLaTS.v?"',- on the express condition that
,pppLLable Stalo/of Minnesota Statutes and City of Eagan Ordinances.
Building Official L'L?'1
CITY OF EAGAN
' 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
DECK 8
To be used for 3-SEASON PORCH Est. Value $7 . 000
Site Address 3856 CINNABAR DR
Lot 4 Block 1 SeGSub. CEDAR GROVE 9TH
Parcel No.
W Name JULI
o Address 3856
City EAGAN
N4 16358
? /(079
19 89
Phone
o Name METRO SUMMIT BUILDE S
,
?Q Address 9401 7AMES AVE S
¢ City BLOOMINGTON Phone 80 8-8095
?
wffi
Name
w
? ; Address
aw City Phone
I hereby acknowlege that I have read this application nd state that the
mformaM1On is correct and agree to comply with all a plicable State ot
Minnesota Statutes and ry of Eagan Ordmances
Signalure of Permitee
A Buildmg PertnR is i ed to METRO SUMMIT BOILDERS
on the ezpress condition ihat all work shall be done in accordance with all
apphcable State of Minnesota Statules and Ciry of Eagan Ordinances.
8uilding Official
OFFICE USE ONLY
Occupancy - FEES
Zonmg -
(Actual) Const _ Bldg. Permit 90.00
(Allowable) - Surcharge 3.50
# afStones -
Langlh Plan Review
Depih SAQ Qty
S F. iotal - SAC, MCwCC
S.F Fampnnts -
On Sile Sewage _ Waler Conn
On Sne Well - Water Meter
MWCCSystem -
Acd. Deposit
City Water -
PRV Reqmred _ SM/ Permit
eooster Pump - g/yy Surcharge
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Council
Cop1es
3.00
BIdq.OH. _
96.50
Vanante - TOTAL
S (Bad
?i?"r? ? n? ?fk> i¢
T.
'?i` 7 - 14s;5 /:?, S-7
-w cs m vo.
MESSAGE
.Q?
?/y A
-f n //.,n.?. 77?-
Date Signed
REPLY
1? [i!
Date Signed
WllsonJones 107e
MEOPY?sOt "NQ RETAIN WHITE COPY, RETURN PINK COPY
vxw.co w ua.
o;vis,
This renuest void 18 months from ri,-/
Date of this Request:?'- 7? , P 6 3 5?J6
1, as O Licensed Electrical Contractor ? Owner, do hereby request inspection of the above etectri-
cal wiring installed at:
Street Address or Route No. _ 3y ?Ze CG/L-ft ee'/"c !?- Ci[
Section TownsFup Range County
Which is occupied by
Is a roughin inspection required on this job? No ? Yes 9?-` Ready Now ? Will Calt ?
Power Supplier
Electncal Contractor-44i / f `Lf e'
(CO pany Nan
Mailing Address . ? 6'-0 ?
ect cal Conti
AuthorizedSignature
(EldcCfltal flontTeLytor or Ow
CJ J AN BIW?? (OPT
Minnesota State Board of Electricity
19G4 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK ('nvFRFn nv Tuic uPnr,ceT
370 z
Contractor's License No. 7
?/ Phone No. ? ?5Z?
'? kin9 Thi Ingtallapipn)
This iFispectian request will nat 6e accepted 6y the
',State Board unlass proper inspection fee is enclosed. ?r-l ca,
-P G2GaG
Type of Building
New Add.
Rep. -- ---- --- __.,.
Cpck Appliances W'ved For u v., v v wa
Check Equipment Wi[ed For
Home
Duplex ?
? ?
? ?
? Range
W ? Tempoiary Wiring ?
atex Heater ? Lighting Fix[ures ?
ApL Bldg. ? ? ? pryer ? Electric Neatmg ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
lndusttial Bldg. ? ? ? Air Conditionet ? Bulk Milk Tank ?
Farm ? ? ? List ) L
ist
)
Other ? ? ? Others}
Here ) p
}
e
ery
H
l Y?
r
t t IrvSYEC170N FEE
Remazks
o co
1 to
I TOTAL FEE
?
I, the Electrical Inspector, hereJxyC, tifyyFr,?t,tfie above inspection has beeri m ?ade, ?
(RouBh-in) l a?. ?% ?„?- !11 Date
(Final) g/ = nl Date ?.. a7"7- 7 S.
This request void 18 months from - t
?`?
"y
Th,s reQUest void?/?/dq
18 nwnths fmm J /
? ? ?7
D 6 8 4 9 1 ,C..W j,
Renuest pate ' Fre
_
! No. NOUnh??2Ins?VCr/,tion
?
Yes
? ?Ready Nuw
-
??I Notrty Inspec
[nr When Readv
Licensed Eleclncal Con[ractor I hereby request ins pecUOn of ebove
elecincal work umstalled at'
Sheet A ss, eoz or Fo e o.? c
?
ecuan o. Township Nume or No. Cou t ?
c Uant / NWTI D
O Ph e
?
C)
Power Supplier Address
Electncal C n[rar r Comu.?nY Nam Cnnhz?m?'S Licen?e No./?
19 L?
Mailinp AdJress ICOnttactor or wner Makin Inst '11 ation)
Au[ onz d igp n[racmr O er Mzking Ir,IaLnnl
/L ? i ? ?? _ .
V......_.?-? Phy?tC N.mb¢r
Jf / s? ? il
C% W
MINNESOTA STATE BOARD OF ELEC ICI Y
Griggs-Midway Bldg. - qoom N-191
1821 Universotv Ave.. Si. Paul. MN 041
Phone (612) 642-0800
BE ACCEPTEO aY THE STATE BOARD
UNLESS PNOFER INSPECTION FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ' EB-00007-06
, Sae instructmns lor comoleting fhis form on bnck of yellow copv.
n, .?j R Q? 1 "X" Below Work Covered by 7his Request
Add Fep. Type ot 9uiltloe '1aCliances Wiretl Equipment Wved
Home Aange Temporaiy Service
Duplex Water Heater LiGhting Fixtures
Apt Bwlding Dryei Electnc Heatm
Commercial Bldg Fumace 91o Unloader
Industnal Bldg. Air CondiYioner Bulk Milk Tank
Farm oin m oe?.?N iner Isno-ivl
? er Su?ufv Oiher ????•r
N , Fea Service EntrenceSize tt Fee FaxOers/Subfeeders k F.e Cvcmts
0 to 200 qm s 0 to 30 Amps 0 tn 30 An s
'
Ahove 200 q?npy 31 to 100 Amps 37 to lU0
Am s
Swimming Pool Above 100-Amps Above 100_AmpS
Transtormers IrtigaLon Booms Parbal, Other P
Signs Speual In ection ? S TOTAL F ?
Re
flouah-in ?'??e I, che Elecerical
Inspectoq he?ehy
ertily thet fha above
c
Final
? ^ / r
??/I(fJ ?`????/
.?
nspecvon has been
?ea.
TMB repuesl voitl 18 monlhs Irom ? ?' -- " - - , -°F-
L
? • ' Date : ? 77
` BUIL'J2eiG PF.RPIIT P.F'PLICATIO?
LO: y Bi.OCK r ADDTTIO:I
---T'-- ?
PelF>CEL & SECTIOII IIIUSiI3ER IF UiSPLATTED ?
11DD?2FSS OF PARCEL
7,O:I?i,iG R--/ OCCUPPIVCY J' USE Ae
LSTL`,iATED COST
/l/ TELuPY.OIdE NO.
,
nrnre,cc ""-^- .
AllI)RESS
r,0.. CZ C°,-r,'
T3ote ? Inclu3e si.te plan, building plan;
application
X OT-1?ICE U5E
W?7ZSa•I011: 3 7.
sr_c .?L7.?, oa
t3AdI-Ma co.r,asc.aoai o? 3 0• o a
s»TSx t9rTSa G n- o0
AUILDING PERfdIT FEE
MUxcxAr.cE rrE / g•
._-,- 5 e
-
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F. C. 3ACIC9014. MIryA oTA RcGISTMT10N. NO. 3600
CITY OF EAGAN '5nclude 2 sets of plans,
1
BUILDLNG PERMIT APPLICATION site plan w/elevations 6
1 set of energy calculations.
7",'"C "o ? p
To be used for ! C t) Valuation 6 5Lo
Site Address 3 ?? S 6 ,?v11A<.Lictir D T
Lat ? 81ock Sec./Sub. Cecl¢r t,??P #? Erect
Parcel U Alter
Repair
Owner: /AAan?/"lrs. Al )GR a! rvP.Y` Enlarge
Address: .? g56 C,,1?ja0°r
G r.? /' •
Phone Ik: '
Con[ractor: , -f _ (? 'r n c ?c pO c) ?
Address: 1.3 ?1 F'C I N. ?Of h 5't.
S f; //wc,_4e e. 4`1 N
Phone 11: 4Z3 9 - q Ll 76
Arch/Eng.:
Address:
Date .54 G /7 c?
OFFICE USE ONLY
Occupancy
Zoning Q.-f
Fire Zone
Type of Const. /
6 Stories
Fron[ ft.
Depth ft.
Move
Demolish
Grade
Approvals Fees Assessment
Hater/Sewer
Police_
Eng.
Planner
Council
B1dg. Off. ?
APC
Permi[ ?9 10
Surcharge ? 3 ?-?-
Plan Check
SAC
Water Conn.
Water Meter
Road Unit
? y
Phone #: TOTAL
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1989 B1ILDING PENIIT 9PPLIC9TION - CTTY OF EAGAN
3INGLE FAMILY DWELLINGS I ? 56 1
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSFS FO& CORNER LOTS - CONTRACTOR/HOMEOIiNSR MUST DESIGNATE WASCH ADDRFS5
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BLIILDING PERMIT IS I3SDED.
M[JLTIPLE DWELLTNGS ESNT9L ONITS FOR 3ALfi ONITS t OF UNITS
INCLUDE 2 SETS OF P[,ANS, CERTIFICATE OF SURVEY - CHECH WITH BLDG. DEPT.9 1 SET OF ENERGY
CALCiJLATIONS
CONAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
3- sERSok P::? P-cri
To Be Used For:4ND DEGK Valuations
1000 - Date:
Site Address ??? Cly/?Y??L147Q.JIJC,
OFFICE
Lot d Bloek I_
Parcel/Sub ?PPjfrx 16nr4', Q Al
Owner JQ DL/ h 11_ /1,j /?/
Address J ?'S6 A/
City/Zip Code ?i?}4&
Phone
Contractor /h,LTfP,6 SUMM;t &;ZiKS
Address qZU1jt'j/y1,4S .41i ..?
City/Zip Code /'??0%v?}?,[?j0?? /?I/?•
Phone gp p ` ?O/ ?
Arch./Engr.
Occupancy 1,
Zoning
Aetual Const
Allowable
# of stories
Length poqc.ri 12'
Depth i2f
S.F. Total
Footprint S.F.
PkEL< if xii
On site-sewage
On site well _
MWCC System _
City water _
PRV required _
Booster Pump _
9PPROVALS
Planner _
Couneil
Bldg. Dff. z1
Variance
Address
City/2ip Code
FEF3
Bldg. Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acet. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
TOTAL
OD
3 ,So
3. o0
Ql.•?i0
Phone #
NOTE: Sexer & Water Permit fees and aecouat degosit fees xill be ineluded in the building
permit fee. ProQessing time for seWer and water permits is tvo daya onee a licenaed
plumber has applied for a permit at City fiall.
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- city of eagan
MEMO
T0: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 9(18 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 9 Addition.
Block 1, Lots 1-13 13
BloCk 2, Lots 1-5 5
18
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
Edward J. scht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
PERMIT ? CITY.OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: BuzLozNG
Permit Number: 031878
Date Issued: 0 q/ 2 7/ g g
SITE ADDRESS:
3856 CTNNABAR DR
LOT: 4 BLOCK: 1
CEDAR GROVE #9
P.I.N.: 10-16708-040-01
DESCRIPTION:
?-? (ROOFING)
Building_,,Permit Type
r,Bwilding;Wqrk Type
r°'"Ce?nsus ?Cpde=."?.,
l ?F
/
f
'v. . . ';. . ' 'S. •
SF (MISC.)
REPAIR
434 ALT. RE5IDENTIAL
??r?4"uF31i'7R ?'x :fr'p1'"F Ij+?:aif}( j
ti? ?..Af?7 '1
REMARKS:
FEE SUMMARY:
VALUATION $1e600
Base Fee $51.25
Surcharge $.80
Total Fee $52.05
CONTRACTOR:
OWNER: - Applicant -
LIENAU JUOT7H
3856 CINNABAR DR
EACrAN MN 55122
(612)688-6654
I 1, hereby aaknowledge` that I; ha'.ve, read th1s,'a,pp'33o'4iCia0 a?rtd ttat6 Oat"CMig
inPormaCion is correct and agree to comply,with dll appl`icable State ofi Ptn.
8tafute`s and CYtye,of` Eagen°rirdlna°rioes.?
?1a?,n R???,ll ??
APPLICANT/PERMITEE SIGNATl1RE IS ED EOY. SI NAT RE
I . -_
Sim 998 BUILDING PERMIT APPLICATION (RESIDENTIAL) S.51 Off
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Conshuction Reauirements
? 3 registered site surveys
• 2 copias of plans (inGude beam 8 window sizes; paured fid. design; etc.)
? 7 energy calculatlons
? 3 copies of tree preservation plan 'rf lot platted after 711193
required: _ Yes _ No
DATE: (?ti2Y.t.Q 0-7,! G G' 8'
DESCRIPTION OF WORK:
RemodeUReoair Repuirements
? 2 copies of plan
? 2 site surveys (exterior addi[ians & decks)
? 1 energy calculations for heated add@ions
CONSTRUCTION COST;?JS??.? ?I6 0a./
STREET ADDRESS: ? PS 6 01 n n& b A-9. ?-?K-
LOT: BLOCK: SUBD./P.I.D. #: C. l jhlny, -O
. ,
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: ! +'Yl Phone 6ro S ?I
I,ast Firs[
StreetAddress: l'J(,o u ? ?fw? ??- • _
City State: ?Xl Zip:
Company: '4? ?a &-C? Phone #:
Street Address:
City
Company:_
Nazne:
Stree[ Address:
City
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penally appiies when address chang
I hereby acknowledge that I have read this application and state that the iniortnation is cortect and agree to comply wRh all appiicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No _, Not
License #
State: Zip:
Phone #:
Registration #: _
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-piex ? 14 Fireplace
? 05 SF Misc. ? 10 = plex O 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq, ft.
Building
,. ?
M ?.e
a ?
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering
Variance
?
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
5/ a.s
-0
Total: 5 a :o s
,;..
% sAC
SAC Units I . i
--r
00
Valuation: $ 1?en
City of Eagan
Cash Receipt
Receipt Date 12/29/2009
Receipt Number 156433
DAYCARE INSPECTION
3856 CINNABAR DR
1221.4216 50.00
DAYCARE INSPECTION
Total Receipt Amount 50.00
110249 9:14:54
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114124
Date Issued:09/11/2013
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
(952) 212-4738
Csc Exteriors
8444 Pillsbury Ave S
Bloomington MN 55420
(612) 767-6301
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA130679
Date Issued:05/08/2015
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: 1 I6'
Tenant:
RECEIVED
JAN 2 tl Z018
Use BLUE or BLACK Ink
For Office Use
Permit #:) t3 48-7/O
Permit Fee: (190 '' (90
Date Received 22) — itt
Staff
47
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
/ /J
Site Address: 3g�(tei
Name:
Address / City / Zip:
Nane: Hilbert Corrtpany Inc dba Culligan Water
J
Suite #:
Phone: 6'.5-1"'i' j 1*- 0141
Address: 11801 50th St East
State: Mn Zip; 55077 Phone: 651-451-224T
Contact: William R Milbert
Email:
License#: WC641376.
City: Inver Grove Hgts. ,
_ New Replacement _ Repair
Description of work:
RESIDENTIAL
Rebuild
Modify Space _Work in R.O.W.
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) % /�
TOTAL FEES $ (D - r O 0
Water Heater
Lawn Irrigation (__ RPZ / _ PVB)
Septic System
New
_Abandonment
Water Softener
Add Plumbing Fixtures (___ Main / Lower Level)
Water Turnaround
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.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 approve plan inthe case of work which requires a review and approval of plans.
X it)d105111/1
Applicant's Printed Name
JahaL7(—
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146056
Date Issued:10/05/2017
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
(651) 414-9419
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153073
Date Issued:11/19/2018
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA158702
Date Issued:10/28/2019
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Garage Heater
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164025
Date Issued:09/17/2020
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
(651) 414-9419
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169684
Date Issued:06/04/2021
Permit Category:ePermit
Site Address: 3856 Cinnabar Dr
Lot:4 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-040
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
John W Ballman
3856 Cinnabar Dr
Eagan MN 55122
Csc Remodelers
8444 Pillsbury Ave S
Bloomington MN 55420
(612) 767-6301
Applicant/Permitee: Signature Issued By: Signature