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
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4
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9
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a
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- - - -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
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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
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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
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