3954 Cinnabar Dr
Use BLUE or BLACK Ink
r
For Office Use
I I Permit#: q%30 11
I 1
City of Eau 1
1 Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Re rd:
Phone: (651) 675-5675 cm~5
~D
1 Staff: 1
Fax: (651) 675-5694 L____ _________1
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: 7 Site Address: ~~%S _?%~i/✓ll~.
Tenant: Suite
RESIDENT / OWNER Name: Phone: 6fI " 07 S WY/
Address/ City/ Zip: Sy y lifi~ L ~L in~J - V
Name: 5(i ejj License CSC n
CONTRACTOR Address: f 3 j3WAit 4-t)Q- .S^ City: [/A~, r~A
State: A Zip: J~/vt 7 Phone:
Contact: Email l _/ASS ~l✓
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other. Other:
DESCRIPTION Description of work:
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 5J *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.citvofeagan.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.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 work which requi s a review and approval of plans.
xx
ppl Applicant's Printed N me A cant s ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
BUILDING PERMIT
CITY OF EAGAN
3795 Pilot Knob Road Eogan, MN 55122
PHONE: 454-8100
44 010(? Receipt #
Police
Fire
Eng.
Planner
Councii
Bldg. Off. _
APC -
? •
To be used for GSXBge Dote ;?3'il 124 ? 19 .'
Site Address 3954 Cinnahsr I?r, - Erect ? Occupancy,
Lotf Block 8 Sec/Sub. cc 5 Alter ? Zoning -
Parcel # Repair ? Fice Zone _
Enlarge ? Type of Const.
s
W Name ??? Move ? # Stories
a
O Addres s ??54?,'4y?pk- ?i-? Demolish ? Front ft.
City Phone 4•4•1?h!S Grade ? Depth ft.
o N +4PProrols Fees
? ame
Zo? i tS v'..+ :1°L• ' Assessment Permit ?Address
v? <:.
P Water & Sew. 5urtharge y
4..,..e ? ..
Name _
Address
I hereby ackrrowledge that I have read this aF
the informotion is correct ond agree to corr
Stete of Minnesoto Statutes and City of Eo.
Signature of Permittee -
A Building Permit is issued to:
all work shall be done in aecordonce with all
Building Offitial
ond
all
N° 4267
5634
Plon theck
SAC
Woter Conn. _
Water Meter
2t?;
Toiol
on the express condition that
of Minn=sota Statutes ond City of Eacan Ordinances.
PanrA # Dafe laued PwsltfM
Plumbing
Mechonicol
INSPECTIONS DATE INSP. Rough-In Finol
Faotings Date Irmp. Date Inap.
Foundution Plumbing
Frome/ins. Mechanical
Finol T???
CITY OF EAGAN Remarks * Cedar Glov@ ACqu1Sit3A
Addition CEDAR GR(JVE #5 Lot 2 Blk 8 Parcel 10 16704 020 OS
owner???',s? (?)w4 rStreet 3954 Cinnabar Drive State Eagan• MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK Z 1967 100.00 5.00 20 Paid
SEWERLATERAL 31, 1967 493.00 24.65 20 Paid
WATERMAIN
* WATERLATERAL 1972 607.00 24.28 25 388.48 09 3/4/80
WATER AREA
STORM SEW TRK 1974 70.00 4.66 15 37.38 A008909 3 4 80
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 200.00 452 10-25-67
PARK
EAGAN TOWNSHIP
BUILDING PERMIT
Owner ....."''!":.. __ ?:,,:..?-•--- G -•-----..
/? --••-----
Address (Presen!) ?_....?.:•-••V. .__'.e-^"'?--•---•••••••••......-•--•-•
Builder ....... ---•-----••••-•••--•-•----•-•-••••••••--•---•-•-••••••••----•-•----•-•-•---------
Address
N° 1616
Eagan Townahip
Town Hall
Da:e __ ......
-•-•-- -------t-----•---•-
Slories To Be Used For Froni Depth Height Est. Cos2 Permi2 Fee Remarks
4V/ 0
f/ LOCATION
or
,-Z_ y-
/
This permit does not sutho:ize the use of s3reets, roads, alleps or sidewalks
the righ2 !o create any sifuaiion which is a nuisance or which presenis a hasazd
general vreIfare to anyone in the communiYp. •
THIS PERMIT MUST BE KEP O!? THE PR?E4 MISE WHILE THE WORI£ IS IN
This is to certifp, lhnt .-•-.- ................. has permissioa io erec!
•:•• .. ..........................
the above described premise subject to the provisions of the Building Ordinance
1955
nor does it give the ownez oz his agent
!o the heallh, safely, convenience and
PROGRESS. ,
a...... P•• ?c-..-! • upon
..... • •- .......... -----•? .'. .
for Eagan To nship adople8" April 11,
. - •-- ,- ••••.?.?1..a
--••-°--•.._. C...s • .?"-•,.r"---------------- Per ----...?-?---•-?--`-•.----•-?:: •--•-....•--•-•---------•-•-°
......._ •-- J P
Chairn of-Tnwn Board Buildin Ins ector
G 4c
. GTY OF EAGAN
3794 Pilof Knob Road Eagan, MN 55122 N2 4267
PHONE: 4548100
BUILDING PERMIT APPLICATION $4,000, Reteipt # 5634 _
To be used for Garage pare April 12, , 19 77
Site Address 3954 Cinnabar Dr. Erea n p«„cancv •T
Lotz Block $ Sec/Sub. CC' S Alter ? Zoning Rl
Parcel # Repair ? Fire Zone _
Enlorge ? Type of Const.
z Name Tom Ginthet Move ? # Stories
w
3 Address 39.54' ,?6r p . Demolish ? Front - ft.
? -. F.,,,.... i.?i. oocn Gmde fl DeDth ft.
p Name SllSSEl CO.
zl- 1850 Como Ave.
0? Address
? r.,, S. au oti- 649U0331
Name _
Address
1 hereby acknowledge that I have reod this application ond state
the information is correct ond agree to comply with all oppli?
State of Minnesota Statutes aryl City o? Fqgan ?Qrdinance/sJ
Signoture of Permittee ? ?e -
A Building Permit is iss/? ed to: sel
oll work sholl be donefjrr'accord, nce it all
Assessment -
Woter & Sew.
Police _
Fire
Eng.
Planner -
Council -
Bldg. Off. _
APC
Feea
Permit -----
Surcharg?
Plan check
SAC
Water Conn. --
Water Meter
!?. 30
Total -
on the express condition thot
of Minnesota Statutes ond City of Eogan Ordinances.
Building Official ,X 1/
v ?-N
P" 44u7
Aate: J / , // ;;7/
BUILDItIG PERMIT P.PPLICATIO_d
BLOCK CJ Ai7DTTI0r1
??ai2CEL & SECTIOtJ tdUilHER IF U13?I,:4n,'TED
nDllRESS OF
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uOr7T;?G +C I dCCUPA3QCY (L USE <° `
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P:STL.'iRi:e:D CO:,'
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A3DWESS •P?t'14 COediP.ACTOR i'EI,EPHOTM :10. ?,?i ,J33/
AUURF`..uS s d - Zrr /v`-p' ?-
3dote- Include =ate plan, buildiag plans, and energy calculations mith this
apnlication
Signed
,:70 OFP'2Cr USE
7 1LU1i20t3 4--r222
SP,C
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C)?A'nER ?•fEi"E.R
svzr,narrc PEP,LIIT FEH' g ?
SUFcCHARGE F; fi ?- ?
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PP.It& DEUIC11TIpf,.? rEE
OTH ;R
TOTF:L*
APPROV2iT,S.
ASSES&HE'.'T CLERi< BUILDING DEPT. POLICE DEPT.
"TA:'ER & M1EZZ D.,Ps. EI?2E DEPT. PAZTC DEPT.
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JtOWO,f?-[,BuS,buSn^°,etc ?
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:;pe?:al im;:.:c;?onsfion,
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MEMO
_ city of eagan
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 5(208 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. 5 Addition.
Block 1, Lots 1-22 22
Block 2, Lots 1-19 19
Block 3, Lots 1-11 11
Block 4, Lots 1-16 16
Block 5, Lots 1-25 25
Block 6, Lots 1-22 22
Block 7, Lots 1-25 25
BIoCk 8, Lots 1-5 5
Block 9, Lots 1-2 2
Block 10, Lots 1-23 23
BloCk 11, Lots 1-14 14
BloCk 12, Lots 1-9 9
Block 13, Lots 1-15 15
208
The Ciry is currently being billed by Dakota Electric for sVeetlighting in the above listed
subdivision.
1 t/27_ ?%Q-
Edward J. r?sc t?
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
PERMIT
- CITY"JF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 028761
(612) 681-4675 Date Issued: 0 9/ 0 5/ 9 6
SITE ADDRESS:
3954 CINNABAR DR
LOT: 2 BLOCK: 8
CEDAR GROVE #5
P.I.N.: 10-16704-020-08
DESCRIPTION:
(ROOFING)
?uilding>uPermit Type
f A?Buil?ding ?44ork Type
f I Census Code -
? ?4-
?
?
C.ip.: . . ,
?
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
t? ?E
a,
ti='•'-o"v ... __. . .?
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
5urcharge
Total Fee
$40.25
$.60
$40.85
$1,200
CONTRACTOR:
OWNER: - Applicant -
GRUBER REINOLD
3954 CINNABAR DR
EA6AN MN 55122
(612)686-0850
?
I hereby acknowledge that I have read this
znfiormation is corrset and agree ttr compiy
Statutes and City nrfi Eagan Ordinances.,
APPLICANUPERMITEE SIGNATURE
application and state that the
with aLl applioable 5tate'af Mn.
?N P, RJJ ?m1?
IS E . 1 TURE ?-
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122 It 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I 581-4675
? 3 regislared s8e surveys ? 2 cropies of plan
? 2 eopbs ot plane (indude beam 8 window sizes; poured Ind. desfgn; etc.) ? 2 eke surveys (exteAor sddkions & decks)
? 1 energy eakulalione ? 1 energy calwlations Mr heated additions
? 9 copke M Uee preservatlon plen M bl plotted after 711/93
mquhed: _ Yes _ No t?- I(UO f'l" t? ? r1
DATE: CONSTRi3 TION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: u' ?1"Lur ia •
LOT IBLOCK ? SUBD.lP.I.D. #: _
PROPERTY Name: GfukZ°d Wir)OW _ Phone #: (61912)
OWNER
• sAiso o M"
nnaMr Dr
Street Address
Ciry: C`tG1Cl?`l State: MN Zip' ssr a a
coN7tu?cTOR Company: " Phone #: -
5treet Address: License #,
City: State: Zip•
ARCNiTECTf Company: Phone #:
ENGINEER
Name: Registration #
Street Address,
Ciry: State: Zip:
Sewer & water licensed piumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I here6y acknowtedge that I have read this application and state that the information is correct and agree to comply with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of ApplicaM:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Pfan Received _ Yes _ No
Use BLUE or BLACK Ink
For Office Use I
Permit l
City of EaVaR (Ob7
Permit Fee. I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: '3 0-'
Unit
Name: E M~ ` rt CZ 41,1 i~ Phone: J 3
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: i L+ ( kz) ® `o Multi-Family Building: (Yes / No
CEO 2$
I Company: \2 4-G75-J-- Contact: kA
I
Contractor Address: 5~ ( ~t City: L 1~
State: M14 Zip: '515 LI Phone: 9 `j
- „License ,J LLB y-~ 4 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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:
t Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.ora
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 s kA C ",_Z)
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
uei 13 2016
Use BLUE or BLACK Ink
For Office Use
Permit #: l' ,3 c2 D V'
Permit Fee: (PO
Date Received: i° , 13-1 S
Staff:
1
2016 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial�applications.
Date:
Date: 4) i'—/(f Site Address: s 3991 (".. f V7 iici,
Tenant: D4 rCi
Name:
Suite #:
e Phone: eel 9 866
Address / City / Zip: 3%39 / 0I v( 34 is \) o
J
Name: ?CC' C \A\\ c i '\Q 0 \ A CiA License #:
Address: .SU ltie�5.1 Y1k, '--)\-City: e��e4
State: 0 Zip: /6.3/6 Phone: 9') c c: f
Contact: % e `Cf C� Email:
New X Replacement AdditionalAlteration Demolition
Description of work:
RESIDENTIAL
Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under/Above ground Tank l— Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
ed
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal, includes State Surcharge
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
I hereby acknowledge that this information is complete and accurate; that the work will
Eagan; that I understand this is not a permit, but only an application for a permit, and
with the apprpved plan in the case of work which requires a review and approval of pl
x
Applicant's Printe
Contract Value $ x .01
=$
=$
_$
in co
is not
Permit Fee
Surcharge
TOTAL FEE
ance with the ordinances and codes of the City of
out a permit; that the work will be in accordance