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3895 Cinnabar Dr?- , CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 56122 N2 4378 PHONE: 4549100 BUILDING PERMIT , . , . Receipt # To be usad for Dote , 19 5ite Address Erect ? Occupancy - Lot Block Sec/Sub. Alter ? Zoning Pa??l # Repair ? Fire Zone Enlarge ? Type of Const. ? W Name ` y Move ? # Stories = Address O Demolish ? Front ft. Cit Phone Grade ? Depth ft. p Name rir-`' •? Approvois Fees 0U Assessment _ -- Permit u? Address Woter & Sew, 22.00 - Surcharge - Ci Phone k Police Plan chec - W W Name Fire SAC ? i(9 Address Eng. Water Conn. ?-???•?3?-? ?w a Cit Phone --__-- Planner Woter Meter Council _ I hereby acknowledge thot I have read this application ond stote that gldg. Off. - the information is correct and ogree to comply with all applicable APC $tate of Minnesota Statutes and City of Eagon Ordinonces. Signature of Permittee ? A Building Permit is issued to: all work shall be done in acca ' ?.`J(i Totol on the express condition that all applicoble State of Minnesota Starutes ond City of EaSon Ordinances. Building Official -- - Pwwk # OaM IamMd PwmilFN Plumbin9 Mechanical INSPECTIONS DATE INSP, R???n Finol Footings Date Insp. Dcte InW. Foundation Plumbing - -2 2 Framelins. Methanicol - > Fincl ? 77 Remarks: cirY oF EAc,aN 3795 Pilot Knob Rood Eogon, Minnesota 55122 ` Phone: 454-8100 - _,: ? .,?_ ,.??• PERMIT No. n,vc;ust 23, 1977 Receipt No.: 07 16° Date: " 5ingle Site Address: Residential Lot Block ? Sub/Sec. Multi Res., Comm./Ind. I ?, ?'; ' f:tiOl'1 ?•il??_':1.?t ,?•% Name " New /Alter./ Repair ' . ? Address Cost of Installution Ciry '-»le Valley phone; permit Fee 2r. n-? Y'rec:xicksori Heating .,, A/c ? Name Surcharqe "?'? 'v,:?u Pue Mi_ve Address ' ? City'- Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all opplicable Stote of Minnesota Stututes ond City of Eagan Ordinances. Building Officiol r . CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT Dnte: Auqust 29, 1971 Site Address: 3895 Cinnabar Drive Lot Block Sub/Sec. Name - - ¦ ; Address O n.?:j:?le Va11ey Ciry Phone: r enz-P.yan Pi:lmbinq ? iiLating T:,.::. ame - P Address go. T?O')er'-- . _-ai ' `e 0 City Phone: This Permit is iuued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinonces. No. )0J 'J.71 Receipt No.: Single Residentiol Multi Res., Comm./Ind. I nC,•4 New /Alter./ Repair Cost of Installution 20.00 Permit Fee Surcharge , , 5.-, Total done in accordonce with oll upplicable State of Building CITY OF EAGAN Remarks Addition EnAR GROVE #9 Lot 13 Bik 1 Parcel 10 16708 130 Ol Owner , - '? - Street 3895 C3.1'lnalbaY' Drive State P-agsrip_MN 55122 2° Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1035.45 C003514 10-13-77 STREET RESTOR. GRADING SAN SEW TRUNK Q 1968 55.16 36.86 C003514 10-15-77 f SEWERLATERAL 1975 28 515.77 C003514 10-15-77 *Wat. Lat Stuhs Ar. 1975 WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 3 1976 279.12 55.82 167.48 C003514 10-15-77 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. dp 1/17 77 9UILDING PER. SAC 1,1117 PARK -_? Receipt MECHANICAL PERMIT Permit No. ? I CITY OF EAGAN Fee ? -- ' fill in numbered spaces S/C TyQe or Prini leglb/y Tot. 1. Date 2. Instailation Cosi 3. Job Address ' Lot, ' Blk. Tract 4. Owner 5. Contractor Phone I 6. Address .i 7. City State Zip 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New ? Add ? Alier ? Repair ? 10. Describe Fuel Type 11. No. Equioment 8TU - M. Ea. Forced Air No. Equiament CFM Air Handlin : Mf9• 'T 7 (oq ? 7 g Boilers ?-iJ SSo TrAC' ? Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ??? ?s?/?- WATER SERVICE PERMIT PERMIT NO.: DATF• ' . No. of Units: Address: f'7.ru'u'ibaz D7C: . _ _ .` . •. 1 . , -..t , 1 ...,'r ber: . - r No.: Connection Charge: Acrnunt Deposit: er No.: Permit Fee: ee to eomply with the City of Eogan Surcharge: ianees. Misc. Charges: Totol: _ _ Dote Paid: of I nsp.: I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 8795 Pifat Kno6 Road PERMIT N0. Eu9on, MN 55122 DATE ___ Zcning: No. of Units Qwner: _ Address: _ Site Address: Plumber: _ I agree to oomply with t6e City of Eogan Connection Chorge: 4 Ordinaneea. Account Deposit; Permit Fee: Surcharge: By Misc. Chorges: Date of Insp.: Totol: Insp.:-- _ Dote Paid: k This request void 18 months from r 7s47`7 L/31 FS ?1 C'E,1Ck,? Gc" `-l ?Q-;t 3? _ lb.oo Henuest Date Fire No. Rouph-in Insper.lion Required? Ready Now ? Wiil Nnufv hnsoer.-. ? pyeF Inr When Ready E])(Licensed Electrical Contractor I hereby request inspection oi a6ove ? Owner electrical work installed at: Street Address, 8ox or Route No. C-tv 3°95 Cinn4abar ;a an er.tion o. Township Name or No. Rangc No. Cnunry Dako ta. Oc(;uGdnt (PRINT) Phone No. John i'var_ick 454-5774 Power Supplier Address Electrical Contractor ICompany Name) Contractor's License No. ?ROSSOw IriC . ???PR R Mailing Address (Contractor or Owner Making Instailation) F.0 .'3ox 254 Lake Elmo, rin. 55042 Aut zed nature lContractor Owner Making Installationl Phone Number 77o-5o4F . MINNESOTA STATE BOARD OF ELECTRICITY Griqgs-Midway Bldg. - Room N-191 1821 UniversitY AYe•. St. Paul, MN 65764 Phone (612) 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? >J T 7? 4 ' 7 ' See instructions tor completing this form on back of yellow copy, 'Y" Rol.,?.? IA/nrL ('niiornrl hv Thic RaniiACf Ne. Add ReP. Type of Building Appliances Wired Equipment Wired X Home Range Temporary Service Duplex Water Heater Uyhting Fixtures Apt. Building Dryer Electric Neatin Commercial Bldg_ Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank FFfrm Other SpeGi v Other ISuecify) thr.r ISPecify Other Othitr u .r,. .. Fee ?. ServiceEntranceSiZe # eeders ?I Fe Circuits 0 to 1 UO Arn ps U to 30 Am s 101to 200 Amps ps =31to 31 to lU0 Am Above 200 Amps Amps Above 100_Amps Transtormers l Circ. Partial Ot Signs ction $? •? OTAL FE Renkirks ? - Rouph-in D71e 1, the Electrical Inspector, heraby certily that the above F,iia I - Dr??Li1e inspection has bean r ? 7?? ?? This request void 18 months fiom EB-00001-03 /? This request void 18 months from Date of his Request_ 171' P L4L4 I, as1?'censed Electrical Contractor OOwner, do hereby request inspection of the above electd- cal winng installed at: Street ?1d ress or Ro SecU'on 1 To s1 Which is occupied by_ Is a roughin Power Supplier this job? No O Electrical ContractKLKa- xl? f Company 14tailir?g Aadress _ 13813 H I G H D R I Authorized Signature G?,RYEKENDI (Electrlcai contractor or STATE BOARD C( Minnesota State B 1954 University Ave., 5t. Paul, REQUEST FOR ELEC I, the Electrical Inspector, hereby (Final) This request Yes? Ready Now ? Will Call s? lress Ax?'l l.c(o 7e?l '?_ Contractor's Licensef,Np N3?? ? r ?,,.) -7 e- -V iI 1?TS-1--A ?3 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN rl 3830 PILOT KNOB RD - 55122 ?- v 651-681-4675 New Conatruction ReauframeMs • 3 registered sHe surveys showing sq. ft. of lot, sq. fl. of housa; anE all roofed areas (20% mazimum lot wverage allowed) • 2 copies of plan showing 6eam 8 window sizes; paured found design, etc.) • lsetofEmrgyCalculaUons • 3 copies of T2e Preservation Plan if lat platted after 711193 . Rim Joist Delail OpGans selectian shcet (bldgs wAh 3 or less units) s a9 01 DATE 2a '0,/ VALUATION 03000. O O JOB SITE ADDRESS 39 9S ? i? n o?cyN .O,/'i v c IF MULTI-FAMILY BUILDING, HOW,MANY UNITS? PROPERTY TYPE OF APPLICANT ADDRE55 3499,5' Ci ri n m/a- ZIPCODE 6_S122 PAGER # PHONE# C,57-6'e/- 9as? FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Ener9y Code category _ MINNESOTA RULFS 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: Mechanical Contractor: _ Mechanical System Includes: Sewer/Water Contractor. All above information must be submitted prior to processing of application. Phone # I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Stgnature of Applicant CELL PHONE # _ Water Softener Water Heater _ No. of Baths FIREPLACE(S) ? 0 _ 1 _ 2 Phone # Fee: $90.00 RemodaVReoairReauirememt r • 2 copies af plan •. 1 set of Energy CaiculaUons for heated additions • 1 site survey for exterior additions & decks • Indicate rf home servad by septic system tor additions Phone Iawn Sprinkler No. of R.I. Baths _ Air Condiaoning e: $70.0( _ Heat Recovcry System n? I`., ??TT lul Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex W18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn.(4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ?? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg anly) - Give PCA handaut to applicant Valuation ? c?ODO Occupancy n /?- ? MC/ES System Census Code `/,? Zoning City Water SAC Units ? Stories Booster Pump Nbr. of Units ? Sq. Ft. PRV Nbr. of Bidgs / Length Fire Sprinklered Type of Const Width ? _ Other _ Pool _ Ftgs _ AidGas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By LAd , Building Inspector REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) ? FinaUNo C.O. Footings (addition) Foundation Drain Tile Roof Ice & Water Final Framing Fueplace _ R.I. _ Air Test _ Final Insulation Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Pertnit & Surcharge Treatment Plant Plumbing Pertnit Mechanical Permit License Search Copies Other FinaUC.O. , _ Plumbing HVAC Total cirr oF encaN 3795 Pilee Knob Road Eagon, MN $5142 PHONE: 4548700 BUILDING PERMIT APPLICATION $44,000. Receipt # 1? N4 4378 6417 To be ueed for Sino_ Fwm tk:l$ d rare Date June 17, 19 77 Site Address 3895 Cinttabar Dr. Erect In Occupancy I Lot 13 Block 1 Sec/Sub. CG 9 Alter ? Zoning Rl Porcel # Repair ? Fire Zone _ Enlarge ? Type of Const. V z Name John Evanick Move ? # Stories 3 Address 16297 Gannon AVE. pemolish ? Front 58 ft. ° City Rose mount Phone 442-3R71_ Gmde ? Depth 44 fr. p Name • -- -- - - ? Assessment o i.n nka Address 13816 Hnl _ V? ? t 8 S ?N Cit APPle Valley phone 454-6873 er ew. a w w? Name - Police - Fi rZ re ?6 Address Eng. aw Cit Phone Planner _ Council - 1 hereby ocknowledge that I have read this application and state that gldg. Off. _ the information is correct and agree to tomply with all opplicable State of Minnesoto Statutes and City of Eagon Ordinonces. APC Feea Permit 125_50 SurcKarge L-?D Plan check _-4-75.op SAC Water Cann. 230( Water Meter 60.00 7otol 912.50 Signature of Permittee I A Building Perrnit is issued to: Tollefson BLdLS, on the exPress condition fhat all xrork shall be dane in acc0rdance wikh 11 plicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officiol -- . . ?? . .. . Date: -- BUII,DII?G PiiRM2T P.?'PLSCF.TIO_T LOT . 7=Y BLOCK ? P.J7TTIQ.7 /? (., e' clG Pe3I'CEL & SECTSO?1 LNiL3ER IF UiTPLATTED T,DllRESS CF PARCEL ?,OA?b;G /e_j 1 BST'LAA.iED COu^S USE ae7_r?s.^._ ?)?Jn) E/ftn l ? ? K xEr.arxotaE i\*o. 4z 3?2 - 7 A7uFE5S ) ? ? ? ? (?G n) h /y h P - /< ? ?t 1 rm U l.( n? COi 11T2ACTO1 or, te_ I IC) IIC'';?.C?t a i TEI.EFTIOSdE :10. l?,??L?- ADrX1E,s ?:3g?ca ,I?F A-_ 71 Ir 11rj/ -413a-a71o , . _ ` T1ote: Include sa.te plan, building plans, and energy calculati ons riith thi.s application ecl Si r g . • U^??TCi; IISE , VFiT1f?1Z1it . ? UFC 75. nQ ? , t?.ITL"l Co:rmC^IOaT InTrR =Ma Lo . oa 13ULL6IAIG PTRIdIT FEE ? Et7ACIiP,RGE FLE.' a?T 'a7 rLik:: c::r.cx F-rr PAR-Tt DEDICflTIOi? FrE OT::;.R (J1/J TOTAL* RFPP.OV."T S: A£S2;uS;lE::7 CLF.t.iC BUILDIidG DSPT. POLICE DRPT Y7A'_'SR & Sw,tia DPPT. FI?L DEPT. PFIRIC DEPT. Tjllcf*hon Buildere,Inc. Or. 10664 -" • - - - ?.i?3jg 17ti_07A r. c..JAGKSUN uwn sunveroa R[GISTiR6D UNDBR LAWf p? STAT[ 0I MINN[fOTA UUNB[D tV OROINANCB OP CITY Or MINN[A?OLIi 9816 EA$T 83TH STREET 727-3484 *ULbtZ10C'9 Ct[t((l[dI[ /32.8¢ SCALE: 1": 3C' a Denotea Iron :L-)n. .? ? nU I y? M ? ti - -- +n -- -- y 2? I r, Ga N 30,-; , ro "Vase'l 0 d wC-//,'n9 4 /20. 0 9 If `y a ? 3o I i k? i - - - -1 i I HHRfilY CENTIFY THAT TN[ ABOVH IB A TRII! AND OORRHCT RAT W A SURVK OP Lot 13 Block 1, Cedar Grove Na. 9. Dakota Coun[y, Hinaceota. AS SURVEYED SY ME TMIS-SCh _DAY OF- ?y-A.D._1977 2/.,' \ ? ? 1 F. C. JI(CKSON. MiNH[toiA ? C' ? v ? No. 3E00 UNDERGROUND SPRINKLER SYSTFIVI PLUMBING PERMIT Date: ? ' / / -qI Permit # Date /?'//4A/ Receipt # D J?E7 _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. ? E.avsting residenrial: $15.50 (Plumbing permit not required if back[low preventor was / previously installed). _ Res:dential develo mtnts: Fee to be deaermined by building inspections department. May require payment of water permit, lumbin permit, WAC, and water treatment plant fees. ?,/? ?gti{„ 3l3 -CJ Cri +1 KA ku r" J?fI GAC- (Address to be sprinklered) Homeowner/Plumber: Phone #: Street Address: City, State, Zip: Owner Name: U°C 5treet Address: C4?yA`r.l/' i??-- Phone #: Irrigation Contractor: ll? G-SG(?DTLo I1 Lrl I9a?sLu?P Phone #: S/S-9'Z /-?& bca ?'/ 130 c- ?C ?10 ?re? .e1., 1e r I hereby aclmowledge that I have read this spplica6on and state that the information is co ct and agree to comply with all applicahle City of Eagan Ordinances cc: Engineering Department gbt city of eagan MEMO TO: 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 Ciry is currently being billed by Dakota Electric for streetlighting in the above listed subdivision. Edward J. K scht Sr. Engineering Technician cc: Mike Foertsch EJK/je 1999 BUILDING PERMIT APPLICATION iRESIDENTIAtI --CITY OF EAGAN `L 3830 PILOT KNOB RD • 55122 ,3 ? I I ?J 651-681-4675 Hew Constmction Reautrements D S regidered ske suneys showing sq. ff, ol lof, sq. N. of houae and gU roofed meas (20% maxlmum lot coveraae allowed) D 2 eoples of plans (show beam a window s(zes; poured Md. tlesign; Mc.) ? 1 set oF energy calculatfons ? 3 copies of hee preservatlon plan H lof plalted after 711/93 DATE: 6" ) / l ? 9 DESCRIPTION OF WORK: STREET ADDRESS: --S fS `/S LOT: A3- BLOCK: SUBD./P.I.D. #: Name: J'/i jGfl r. 1?o.n ds Phone #: 66'S?9 ?f/- `5?.2 S/ lasl Fint PROPERTY OWNER Street Address: 39 95 n qba? ?i? i?? City e Stafe• Zip: SS/ .2 a Comc:a^y;__ Phone #: (area code) CONTRACTOR Street Adc City _ ARCHITECT/ ENGINEER Company:, license # Exp. Remodel/Reoah Reauirements 2 copies ot pian C''O""-4) ?Oat 'ofr 1 set of energy calculaHons for heaFed addMiona 1 sihe suney for enterlor addRions 8 decks CONSTRUCTtON COST: S? ?O ?3_ C7 0 State: Name: Tetephone #: area eode ( ) Street Address: RaglstraNon #: City Sewer 8 water Ilcensed plumher (reauired for new corishuction onlvl: State: Penalfy applies when address change and lot change is requesfed once permff is isaued. Zip: Zip: I hereby acknowledge that I have read this appiication, sfate thaf the Inforrtaflon Is conect, and agree to comply wifh all apptlcabf Stafe of M(nnesota Statutes cnd Clty of Eagan Ordlnances. Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: OFFICE USE QI Yes _ No Yes No ? BUILDING PERMIT TYPE ! ? 01 Foundation ? 06 4-plex 21 Porch (3-sea.) D 02 SF Dwelling ? 07 5-Plex 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex i 23 Porch (screened) ? 04 2-plex ? 09 7-Plex C 1 24 Storm Damage ? 05 3-plex ? 10 8-Plex 25 Miscellaneous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 ? 33 Alteration ? 37 ? 34 Repair 0 38 GENIERAL INFORMATION Const. (Actual) ? (Allowable) ? UBC Occupancy 2 • 3 Zoning ?l # of Stories Length Width APPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/VN Permit S/VN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: - SAC Unit`s °/a SAC ? Tt I I I. i i _ .? I t"i;', I' f12 Tenantf ?:,=,ci; Move BI Demolis'? Demolis ' Give R , Base ` Main I I "''"'!.;'1. f.V I ling/SoffitslFascia ndows/Doors e Repair i _ Foot? .... ,. ,... ?r?.:?,:, . . ,.??.. :??',•? ..:?Y. .:o•. , . , .??;.- . ,, ,.?r;ts;t:l :•I:so,: ? ? I I I Building Engineering Variance valuation: $ ??LY r ., uuiieers,Inc. Ur. 10664 ' ? t - - • .1.?'? 176-67A F. C. JACKSON ? uwo aunveron SCALE: 1"_ 30' R[OIfT[RLD UND[R LAW{ 0/ {TAT[ 0/ MINNfAOTA a Denotee Iron 4OII. UCWND fN ONOINANCi pr CIT' 0/ YIMNfAPpLIG 7616 BAST 337M STRHET ].7-3lit}4 btTbqM'B C[Ctit1I8tC I o? ; \ t Mf ? ? 1 y /20. O I N6R[sY C[pTIRY T11AT TNl AOOVt 16 A TRU[ AMD ODRR[CT PLAT OI A BURYtY O' Lot 13 Block l, Cedar Grove p?( Daknta County, Mlnneeota. BY ? DATE TNI?-?SIh__DAV I-MaY A.D.- AS SURVtY[D OY II[ 0 ? / 32. 8 ¢ -- ?n -- Li P? Ga N 0 3o I ?ro ?ose d dw?/%hf a 4-4 3o I I ? a ? C? J 12WGM ROUED (19 'I ? i Q ?1 R N ro ? .'i JV"' ? I - -- , ? „? ?--• i .?? ? ? a i - - ' I -- - - - - a . ? ? 7 , ' i ,--- , , - - - - , - ? - --- I - - ? -, ? ? I ? - i - ' ; , ? , ??G N , ' E ; ? I - I I ? F i I DATE ? i? w w., c iois EI Pt.I .- , . A ,pF OA E. ; -- - ? ? . - I ? - - - - 1 ? ; ! I ?. ? I i - ? 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each uni[ Date ( 0' / 1(5 / Site Address ?2z s: (fj?/vn/?vC _7N? I, JI-G. Unit # ?- Property Owner C5 24eJ Q_.iVL IJ/ j?j Telephone #(6WI -'Iql9 Contractor Pt(o"N?rL CkJ"X l+ + StreetAddress <Z 7`7 4!7# ? City :fWyM 6fwi State Zip ? Telephone # (496? ) C?cS'" ??' ( Bond ??A Ea ires: C ?6s1 - °ZQg-6? p The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional X-Replacement DEC , 2G04 I _ air exchanger ? _ airconditioner other _New _ Replacement gY ? -? =?- State Surcharge $ .50 Total $ ? Q . 5 I hereby apply for a Residenrial Mechanical Pernvt and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordivances and codes of the City of Eagan and with the Mectianical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start wiffiout a pemvt; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. // „ ApplicanYs Printed Name ApplicanYs Si?ature l/ 5,1 RESIDENTJAL 53RP,.75 BUILDING PERfNIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 657-881-4675 New Construction Reouirements RemodellReoair Reouiremenls • 3 registered site surveys showing sq R. of lot, sq. ft, of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage albwed) • 1 set o( Energy Calculatioris for heated additions . 2 copies W plan showing beam & window s¢es; poured found design, etc.) . 1 site survey for extenor additions & decks • 1 set of Energy Calculations • Indicate it home served by septic system Por additions . 3 copies of Tree Preserva6on Plan d bt platted after 7/1193 . Rim Joist Detail Options seledion sheet (61dgs wilh 3 or less units) DATE IJ??S0.t?7-03 VALUAiION ?Sr?IS?O? SITE ADDRESS 3'%95 jnAokW ?Df iu,L _ MULTI-FAMILY BLDG _ Y _ N TYPE OF WO APPUCANT STREET ADDRESS TELEPHONE # RENtiWAI. BY ANUF.RSEK 1920 couNTY xonn °c^ wESr ROSE JILL$, MN 55113 LICENCb 420130983 ` 'IREPLACE(S) _ 0 _ 1 _ 2 'Y STATE ZIP ? FAX # PROPERTY OWNER Tnr,.rr,o.S M:tCI-?Cll TELEPHONE# (OSh (oBI "qa.Sl COMPLETE FOR KNEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULLS 7670 CA'IEGORY 1 MINNESOTA RULES 7672 (4 submission type) • Residentlal Ventilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Submitted • Energy Envelope Calculatlons Submitted Plumbing Contractor: ___ Plumbing system nicludes: Mechanical Contractor: Meehanical system inclttdes: Sewer/Water Contractor: _ Air Condilionirg _ Heal Recovery System I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Orc Signature of Appiicant OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Balhs _ Phone # Iawn Sprinkler No. of R,I.13aths Phone # Phone # ree: $90.00 Fee: $70.00 is correct, and agree to comply I ti Certificates of Survey Received - Tree Preservation Plan Received - Not ??•viY?•1 auv ic.ov caa toJ Dll ?i400 xan?snnt, nr enunx?tsn • ?. . . re al xrmnaw JfdiO 7• wol 3836 Pilcrt?ob goad E&an. imN 55122 To wi+am re May concem: Eldcx Iones is saIorized to pttII WtUng p?its por Rwewel b5` Andeisean_ piease aUow Bidcr Joncs to ptm+ide this S?rvic:c forus in Hagart. 'I1tin anthorizetion ia valid for any to date theCitybeyond 6I6101; watil a?ewal by Andrssen m?ap? paP?g1Y tgvolaas it in wttdng - I rcquest this authorizalion bc ac??*&tpeffitjonsly, aa to not delsy m die proec?ssi?tg of ovr baiiding Pca?t? amy faxthcr. Plcaac caII mc lf thcte aro eny queattons..1 can bn oontacted at 763-502-4706_ Your immqdiate attcation to fts mattcr fs a?dnc?etarr?_ Sinoeioly> ?tvnd R Rau cistallation Manager Ranowal by Andcvsen Corpotation Karn-F7cier Tnnea 0 MY??°""'?? Wuus Received Time Jun. 1. 111P4d PERMIT City of Eagan Permit Type:Building Permit Number:EA113908 Date Issued:09/09/2013 Permit Category:ePermit Site Address: 3895 Cinnabar Dr Lot:13 Block: 1 Addition: Cedar Grove 9th PID:10-16708-01-130 Use: Description: Sub Type:Reroof & Siding 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. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Jeremiah C Morgan 3895 Cinnabar Dr Eagan MN 55122 Csc Exteriors 8444 Pillsbury Ave S Bloomington MN 55420 (612) 767-6301 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink � � r-----------------+ - I For Office Use � � � Permit#: � � � �� (�IS��,- Clty of ����� � � � � � � Permit Fee: ������ ���� 3830 Pilot Knob Road � --7 Eagan MN 55122 RECEIVED � Date Received: �� /"� � Phone: (651)675-5675 � � Fax: (651)675-5694 OCT O , 10,� i Staff: i 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: '�V �` � � �°���Site Address: � � �� ��N�����- �'J'�- ' Unit#: Name: �'�-� ���-c''�`'�"� Phone: R��i Cl�r�� �v,.� ,A-�✓+.s. �, � (j�j��;� Address/City/Zip: � � 5 f C� Applicant is: Owner �Contractor " . . . . .. . w �� ' Description of work:��G /�d�'`�� lG�3�}�'C - �f� ."';�'`"� ' )a nD i fip� �'y�e �f�c�rk � Construction Cost:� �-�b R `� Multi-Family Building.'(Yes /No� Company: �%�i'-I ^'���-„'�L�s� L"1'L' Contact: b j�'',� ��'3-' �� SG�'" �.:.,. Address: ��1 �� U�`iZ'�I'L�. Y.J� - City: �"tl�G=v��t,c: - CQt1��1+�Q1` : State:�`""`Zip: ����`/ Phone:��� �7�c � ��S'Email: C���.-t� �II�C�.�,-, ��i91L• Gr� � License#:r7 f - ���'3, Lead Certificate#: 1 � ��`-L — ��0? y . If the project is exempt from lead certification, please explain why: . �-j�----7'+7��=e"�--=--TT7'�" ` �(JIt,7" /Al "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? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppres5ion Contr�ctor: e • • n � Phone: ' 1V�3T�r pians a�ri"sc���orl�ng do�cr�e�#s;t��#,�au ss�b��t't ar�ci���retl tv l�p�i����i�fa���`�n: Ptr�ott�vf t�re�rr�cirr��rr r»a�y�e c�as���:d a�nonM/�tr�bt�y#'yor�pra����ec���r�o�s�a�u�rr��d�er��ti�Gi�r to : ; .: c��l�de f�i�t th� are't���c�°�ts. . , 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 within 180 days of permit issuance. x '"�"��'�'�,�,`��°� ,,.I f�.•vG,'�'�cs� ' X Applic rinted Name Applica 's Signature Page 1 of 3 :S`�CJ� � �/i,�.A�i�-�, L.D+�t DO NOT WRITE BELOW THIS LINE / � .�� .�� SUB TYPES � � Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family) ,� Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building'` � Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window ' _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation ��_ Occupancy ,�—/ MCES System — Plan Review Code Edition Q+� '� SAC Units (25%_ 100%,� Zoning —/ City Water '' Census Code !��r{ Stories / Booster Pump — #of Units / Square Feet yj PRV — #of Buildings � Length L,l=��' Fire Suppression Required �" Type of Construction _� Width /O'•d �, REQUIRED INSPECTIONS ', Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings�(Addition) Final/No C.O. Required Foundation � HVAC_Gas Service Test Gas Line Air Test Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile i Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows II Sheathing Retaining WaIL_Footings_ Backfill_Final �I Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls ����_,,,.f Erosion Control ,_�..�- Other: � Reviewed By: -� - , Building Inspector RESIDENTIAL FEES � ' %�-° l /�'J � �5' T11' 1�oa�r�:�►+ � 7G , ,�_ 3 Y�d Base Fee /p_.� �i Surcharge Plan Review C, ? �� MCES SAC City SAC Utility Connection Charge S8�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 T�ll�f�on Buildera,Irsc. '�' Or. 14bb�i .� .` _ . . ,�` 17y-E,7A . F'. C. .JACI�'� ON ���..�� �, w�ta sur:v�roR SGAL�: 1''r 3C' Rf.lil�TaREd Ul�[DER LAWS pF STAT[ Of MINMtlWTA � pa�gtea Iron M.�t1� UC[i�18=D ttf ORDIlUNC� p► CtTY OR MDiN*ArOL1i a8�a E�sr aaTM srRs�r 727»34�4 �butbt�or'� 4Cntf#ica�tt , � . � - r3z.e¢ 3�� � � ` —_ .yy .—__ --- y ~a t r1 E � � � � 1 � � ti � � 2�- � � � o ' V �' �,1 ' %G u lC /o' �` �, �i8 w � , ! � � � W JS�;9i ri�eirt .` �''i� �� • t/.a4�I�• R�s�'� � � a ,� � � � � 20 30 � � � � � � � q` � � yr,,� � Pr �vo.se a/ � � i. + ' �. � d r✓r,l',/,y' ti y� 1 Q� � �\�,� � .�D � � � � ¢� E �� � , � � � � _._. _ _ .�_.� � ; --- �zo.o _�- 1 tl6Rfi�Y CF.ttTll►Y TIi11T TII[ I►BOY6 1! A TRI�R AMD QpRR6CT P�AT OR A $UILYt1f C�F Lat I3 Slock 1, Cad�r G�ave Na. 9. ,.�, , , i,j Dakota Couaty, Kiaaaeata. s,.�, � �� ,�.,7.�„ : � � . 4.. � � ,.�' . ' � �� :�_._ ..�� . __..�_.,..____�-____.�.�.�._. . ,: _ _.__. �1_0/��l-��` _...___ .,�, ♦ �' { , .. .< � .. .. � � d L.d 3}t?i9W F�w'S��t�4,.�ii��t?� AS SURVEYEp QY ME THtB 25th _owy � M,ay- ,.0.�1977 / � � # �lOTiB ,.r�./' j ti / � F, C. .J CiCSON. MlMM[tQ�lt IRTMTIOIi. No. 3d00 t�.