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3972 Cinnabar Dr Use BLUE or BLACK Ink Ilse----------, ~ For E3ffiee 7~r~! City Olf Lajan Permit I Permit Fee: ~SO V 3830 Pilot Knob Road I Eagan MN 55122 i atj (651) 675-5675 I Phone: Fax: (651)675-5694 I INFLOW & I ILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: -7-2--7-11 Site Address: J I ~i(/O~ ✓-rf L,,F 6`~ i Z Tenant: Suite C6✓PPhone: 6 5I ~ S'q Z yQ S Name: 4 y C 3 6~N ©16 RESIDENT / OWNER Address / City / Zip: . -7 9 t 4-14 VL, M"tj -5 S LL Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair tt' Other- i czb / N S 1 be ~W j Other. DESCRIPTION Description of work: LOl. / /}C~~ 4Q FEES $66.001 Each (includes $5.00 State Surcharge) (Rev-6-30-10) TOTAL FEE; *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.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 of work which requires a review and approval of plans. X y.icr >~2~~/l x Applicants Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final CITY OF EAGAN Addition CEDAR QtOVE #5 Lot 5 Blk 8 Parcel 10 16704 0$0 08 Ownerj Street 3972 CirillBlbar Drive State Eagan, MN 55122 J Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 3 1967 100.00 5.00 20 Paid SEWERLATERAL 1967 493.00 24.65 20 P • WATEAMAIN * WATER LATERAL 9']Z 607.00 24.28 2 WATER AREA STORM SEW TRK 1974 70.00 4.66 15 37.38 A008886 2 20 SO STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC 200.00 - PARK EAGAN TOWNSHIP BUILDING PERMIT Ownas '-_...«:-yfc3r_..X?_!?re_.-?•7^-?....?-k.-,:?.:.???..?m. Addrecs (Preseni) .../.f.?!s'...._#, ..r...................... ...--- Buildei ... __......... ............ ._ _._...... ...... ._ Addzees .__........................... ...... ..................... ------ ------ _------- .---.. DESCRIPTION N° 1833 Eagan Township Town Hall Date 5lozieo To Se Used For Froni Depih Heighi Est. Cos! ?Permit Fee Remarks _ -------------- ----- -- ---- LOCATION Sireet, Aoad ot other Descripiion of Locafion I Lo! Block Addition or Traat___ This yermit does nof au2ho:ize the use of slreels, roads, alleys or sidew'alks-noi-does it give the owaer or his ageni the right fo creafe anp siluafion which is a nuisance or which presenis a hazard !o the Feallh, safety, convenienee and general welfare !o anyoae in the communify. THIS PERMIT MUST BE KEPT ON THE PAEMISE WHILE THE WORK IS IN PROGRESS. This is !o cerlifY, ihal.... &-F...-e<..... ?..-.-.'.- - 4-y,?.has permission !o ereci a..... f up --' `-. ....Q.?t•--? i on ,? the above described premise subjecf fo She provisions of the Building Ordinance for Eagan wnship adopSfd" April 11, 1955. .... ...... ........ -----.. ----...-------. Per .... _ ........_f<......_. ... -,. ?. . .. ....... .... Chair an of Tnwn Board -11 . uildinq In ..pector i , (j, EAGAN TOtis°NSHIP .3795 Pilot Xr.ab P.oad St. Paul, Minnesota 55111 Telephonn 454-5242 PERMIT I'0$ SE47ER SERVICE CONNECTION DATE: rf ?CJC1 no OWNER ???L2Ld?ti PLLIMBER?t?7J c Ar2C_ NIUP1B.^sR Pddxesss_5-?•,S ?/ ?,? Gi?s?.r?i9 ?? TYPE OF PIPE .,/'.h,ry/ .) DESCRIPTION OF BUIIAIAIG IcxlusCriail Commerciall Residentisi I Multiple Dwelling I No, of units LccaCicn of Connections: Connection Charge oZ? . ? Permit Fee 1 Street Repairs ToCa 1 7 Inspected by: DaCe Remarks By. Cfiief Inspector Zn consideration of the fssue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota BY?.srrtJ, PJ'?rt?. ?' 2Please notify when ready for inspection and connection and 6efore any portioa o£ the work is covered. 4b? MEMO -ciiy of eagan TO: DIANE DOWNS, UTILITY BILLING CLERK FROM: ED KIRSCHT, 5R. 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 enargy 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 Block 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 City is currently being bilted by Dakota EleCtric for streetlighting in the above listed subdivision. Edward J. irsc t Sr. Engineering Technician cc: Mike Foertsch EJK/je PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTT. NEW CONSTRUCTION x ADD-ON A/C x ADD-ON FURNACE - replace FIREPLACE INSERT DATE July 25, 1994 FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExIsTirrG coNSTxUCrioN) $ 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: 3972 Cinnabar Dr. OWNER NAME: arian & Coleen maserini TELEPHONE #: 454-2985 INST.AI,L.ER: FREDRICKSON HEATING & AIR CONDITIDNING, INC. ADDRESS: 3650 xennebec nr., #101 CITY: Ea9an STATE: MN ZIP CODE: 55122-1003 TELEPHONE #: 454-2775 SIGNATURE OF PERMITTEE 1994 MECHANICAL PERNIIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 651-681-4675 ? Reauiremenh ?i U U p ? ? 2 copiea ot plan DATE: ?-?- (50 CONSTRUCTION COST: ? d?G oO DESCRIPTION OF WORK: f L00 11? IJ jl "16 Gt JO If mvNi-famlly bldg., how marry uelh? IidDlCATE THE FOLLOWIfdG EQUIPRAEPlT TO BE &EPU4CED APoD BY WHOPA: _ Plumbing _ Nomeowner or Contracfor Name _ Mechanical _ Homeowner Qr Contractor Name "Note: If somebody oiher ihan the homeowner is performing plumbing or mechanical work, ihey must apply for appropriate permit. Only licensed plumbing coniractor or homeowner may complete plumbing work. STREEf ADDRESS: J 27 ? C/ N N?¢ ? 14 A. IJ ? Lor. (AG a 0 ,l -? BLOCK: ? SUBD./P.I.D. #: Name:A)) PROPERTY lasf Firaf OWNER Ni9 B Sheet Addreaa: cxy r- A e„ A r) sra?e: M fo nP: -6-T/ a? Comparry: :5.0 ` CONTRACTOR Sheet Ct1y State: I hereby acknowledga fhaf I have read lhis applleaNon, ataFe lhat fhe InformaNon ia correet, and agree to eomply wilh all applieable StaFe of Minneaofa Siahdea and Cily of Eagon Ordinances. Slgnalure c,L(y„ „ w '7/41rz? . of ApPlicanf: Phone #: (area code) Ueense 9 Zip: _ 'riUb - I RESIDENTIAL `j? f ? BUILDING PERMIT APPLICATION 3830 PILOT KNOB RDEAGAN MN 55122 '"71• 651-681•4675 New Construttion Reauiremenis RamadeUReuair Reauirements • 3 registered sde surveys showing sq. ft. of lot sq. fl. ot house; and all roofed areas • 2 copies of plan (20% mscimum lot coverage allaved) . 1 set of Energy CalcWations for heated additbis • 2 copies o( plan showing beam & window sizes; poured found desgn, etc.) . i site survey for exterior additions & decks • 1 sel ol Eneryy Calculations . IMicate rf home served 6y septic system for addrtions • 3 copies of Tree Preservation Plan if lot plaked after 7N193 • Rim Joist Detail Oplions selechon sheet (bldgs with 3 arless units) DATE 10 ^?( ' 02 _ Water Softener _ Water Heater _ No. oF Bazhs SITE ADDRESS MULTI-FAMILY BLDG _ Y -7:;- N TYPE OF WORKP-e .?j ,-'dc FIREPLACE(S) 0 1 2 _ _ _ APPLICANT A C3 C ? TnO ' STREETADDRESS IaoZ ?? Iyle'Co `l2¢ 4Vf' S, CITY80/'rtst/.'llp STATE/'71/U ZIPS533'tz- TELEPHONE #(Rga???l?iS9 CELL PHONE # FAX # C9s'a-)8VK- 9 &4 6 PROPERTYOWNERG/?ec?t??r.??yr /U?mce.r'h-c, TELEPHONE#C6SlI1l10 S^.DW ,z --------------------------------------------°------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFSOTA RiJLFS 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submissian type) Plumbing Contractor: ____ Plumbing system includes: Mechanical Contractor: Meckianictil sys•tem includes: Sewer/Water Contractor: Phone # Phone # Fce: $70.00 I hereby acknowledge that I have read this appiication, state that ihe information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances/.hk- Signafure of Applicant /6 OFFICE USE ONLY • Residentiai Venfilation Category 1 Worksheet Submitled . Energy Envalope CalculaGons Submitted Phone # VALUATION$ "T" ` g;? • New Energy Code Worksheel5ubmitted _ L.awn Sprinkler _ No, of R.I. Baths _ Air Condiuoning Heat Recovery Systcm Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 us, = cr BLACK ink l For Office Liza i i i l 50% Permit 4- i i 5 a l Permit Fes: l 3830 Pilot Knob Road l t Gate Received, 31.' ~3 l Eag n tIN 55122 t Phone: (651) 675-5675 Fax: (651) 575-5694 i Staff. f 2013 RESIDENTIAL R.UILDNG E MiT APPLICATION Date: Site Address' Unit# Dame`i~%~~ ~l1JC,u.ri/~ r Phone: Res J Address I City J Zip: Applicant is: Owner __~L Conractor Description of work: - t ""`r1 cL Type of "vo: Construction Cost: Nluiti-Fam, ily Building: (Yes ! No ) Company: f'S&e!?4 C,IJm7# ewV G ° , i17'^ContacL cleS'.SIc, ~f`t~kSyrt i Address: .L V tr / t "JS ZaA City: f'"C~gc Contractor / State: -A AL zip: 3y~ Phone: License # _ l 4 0. Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY I CONSTRUCTING A NEW oUiLDIN{ In the last 12 months, has the City of Eagan issued a permit for a similar plait based on a master plan? l Yes No If yes, date and address of master plan: x Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8F Water Contractor: 'hone. NO i E: Flags and suppor^tfng tfocurnerts that yo i s tt are co islur~'red to v~> ~3tt~Pic ir~t~r~rrr:atiotr. potltons of j the information =y be clan f,,le es no p bt,r9^ provkia; .'peciftr re~7sur%~ thatwould Fermat the City to ~ . CALL BEFORE YOU DiG. Call Gopher State One Cali at oi6 S) 454H0 ' r protection against underground utility damage. Cali 48 hours before you intend to dig to receive locz-ites of underground utilitias. I hereby acknowledge that this information is complete and accurate; i 3t the worts 11 be in conformance with the ordinances and codes of the City of Eagan; that l 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 wrath the approved plan in the case of worts which requires a review and approvai of plans. Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X Je,5,51-CC, ! G!~-~J G x Applicant's Printed Name Ap ant's Signal re rage 1 of 3