4072 Cinnabar DrCITY OF EAGAN
Additi G 7 Lot 8 Bik 10 Parcel 11 16600 080 10
Owner, ?/? `? ? j« Street 4072 13]1.I1x1aba]e D]Cive State EagBn, I+lN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 571 1970 5$.L$ 2.08 38 PSld
*SEWER LATERAL 1971 20
WATERMAIN
*WATER LATERAL f? 1971 1,615.00 80.75 20 PS
WATER AREA
*STORM SEW TRK 1971 20
STORM SEW LAT
CURB & GUTTER "
SIDEWALK `
STREET LIGHT
WATER CONN. 300.00 6154 7-26-72
BUILDING PER.
sac 260.00 6154 7-26-72
PARK
?
N
CITY QF EAGAN
3830 Pilot Knob Road
Eaqan, Minnesota 55123
WORD
PERMIT TYPE:
Permit Number:
Date Issued:
H?? ? ? i? t Nr,
e fi / 1ik 1 9'3
SITE ADDRESS: , ol .
. t t t?Idr:Aft r?k
+ i ill i,;;fi',;! I I!
PERMIT SUBTYPE:
., ;
R B t- n r r; : 1 0 APPLICANT:
TYPE OF WORK:
IN A tt `i
r, i 1 1
IIf I I I I rrN :; I I I; I +vAi
Permit No. Permit Hoider Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footingsl
Foundation
Framing
Roofing
Rough Pibg.
Rnugh Htg.
Isul.
Firepiace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Noti(y Plumber
Const. Meter
EngrJPlan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
- ? EAGAN TOWNSHIP
BUILDING PERMIT
owoe: ------- ,...... /?-?--'.-?--.j-?°-..`-?.- -
Address (Preseni) .".........,,?¢...• /f?-S_-__........_.......
Buildes ............
Address
DESCRIPTION
N° 2'790
Eagan Township
Towa Hall
................
Date ._ ? _`? .. .-- " -- ?- ? -- -?-?---
6tories To Be Used Fos Fxon! Depth HeighS Esl. Cos! Permi! Fee Remarks
LOCATION ?t 7. '_
Sireei, Road or oih-
Q
or
-7 S &, /o?°-.."` `7
140
Thia permit does not auihorise ffie use of si=eets, roads, alleys or sidewalks nor does it give ffie owaer or his agen!
the zight to area3e anp sifuafion which is a nuisance or whiah presenls a hasasd !a the health, safefy, aonvenienee end
ganara] welfare to anpone in the communify.
THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRES$.
This is !o cerlify, lhai.... .--!5;t-..?--haspesmissian !o erecia._j ... . ........... ........... ..... ._.--upon
the ebove described psemise suhfacf !o the provisiana of the 8uilding Qtdinence fos Eagan Townahip ado 2ed Apxil 11,
1855.
---- ---- - --- - -- -„?................ --?............... Per -- -....- 1............. .... ....................... ............. -.--..................
Chairman of Tnwn Soard Building Inspectoz
16r 45
c. C, >
TOW1V OF EAGAN
3795 Pilot Xnob P.oad
gagan, Plinnesota 55121
PERMIT N0. 11
The Board of Supervisors hereby grants toC6dat" GE'CYe QcfaigtlvnLim (30o
of 731+3 cancoxt slvd. Bast. soutr. St. Piul 55076
a
at 1
Permit
D1C'ivd
?/21/`j2
Fee PaiU• $60+00 Dated this
. 8 C
pursuant Ca application dated
26fi.h day of Ju.7_V , 19JL.
Building Inspector
?
rv. ?
J '/
I • C.C. 7
TOWN OP EAGAN
3795 Pilot Knob P.oad
Eagan, Minnesota 55121
PERl`fIT N0. 97ry
The Board of Supervisors hereby grants to Cedar Grava l'.nnatv,.QtjM Go,
of 7343 Cancord IIlvq. FAst, South St.j?aul 5507K
aHFATrM Permit for: (Owner) Cadar G-rova Construatio¢a•Co.
4072 Cimiabar Ir. 8-1Q 1870 Jad9 La. 2-51
ae 1850 aerle Le. 7..5 L-G ¢7 , pursuant to application dated
7/21/72
Fee Paid: $60,00 Dated this F,Y.h day of 19,721-.
L50 B/0
Bui.lding Inspector
?
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS /-JNJO /A.xt.Ss
Permit
No.
Issued Issued To
Con}ractor Owner
BUILDING ?
PWMBING 1410
CESSPOOL - SEPTIC TANK
WEIL ? .
EIECTRICAL
HEATING
GAS INSTACLWG
SANITARY SEWER
OTHER
O7HER ? i
?
Items Approved
(Initial)
Date
Remarks
Distance From Well
? OOTING -?s •7 SEPTIC
FOUNDATION '7 zS-7 CESSPOOL
PRAMING TILE FIELD FT.
FINAL
ELECTRICAL
P
H
HEATING ?y DE
T
OF WELI
GAS INSTALLATION
SEPTIC TANK
CESSPOOI
DRAINFIELD
PLUMBING ? ,' Z -2
WE« 30 -
SANITARY SEWER
-1 - Z
Violations Noted
on Back
COMMENTS.
8 -l0 -7
EAGfaN TOWNSHIP
3795 Piloe Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S&lER SSRVICS CONNECTION
DATE:u, /,,l 1 k4 „c;2i IT7 r-- NL4IBER 1060
OWNER.(I r*
?tM 12 J'LSJAddress'°1??Q\,?'1F?P.?Q.'?' 1c3?
PLUMBER?, JZC) TYPE OF PIPE
DESCRIPTZON OF BOILUING
Industriall Commerciail Residential I Multiple Dwelling I No, of units
Location of Connections:
Connection Charge260.00 pd 7/26/72
Permit Fee 10.00 pd 7/26/72
.50 p 7 s/c
Street Repairs
Total
Inspected bq:
DaCe
Remarks•
By
Chief InspecCOr
In consideratioa af the issue end delivery to me of the above permit, I
hereby agree eo do tfie proposed work in accordance with the ruies and
regulations of Sagan lbsanship, Dakota County, Minn a
By t?i
L4,,4 L"-LIL
Please aotify when ready for inspection and connection aad before aay portion
of the work is covered.
g-lo -7
,
EAGFN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT E'aR WATER SL+RVICE CONNHCTION
- Ihl'1
Billi g Neme 1 Site Addrese:)4D-7a
Owner: CCr COh'Z?^ Billing Address F?
?} a?,1? ?'11n?•
Pltmber: ? so
Location of Connection Meter Size Coanection Chg. 300.00 pd 7/26/72
Meter No. Permit Fee 10.00 7/26/72
.35 pd 7/26/72 s/c
Meter Reading Meter Dep.
Meter Sealed: YealAdd'l Chg.
NO i1bta1 Chg.
Building is a:
Residence xx
i4ultiple Ko, Unita
Commercial
industrial
Other
Inspected by
Date
Remarks:
B9: Chief Inspector
In conaideration of the isaue ancl delivery to me of the above permit, I
herehy agree to do ttv proposed work ia accordance with the rules and
regulatioas of Eagan Township, Dako«- ^^..^t•, '"'^^°°^"'
Please notify the above office when ready for inepection and connection.
J 57539/,g
Request Date
Fue No Rough-in Inspec?ion
Requveyv ?qead Now
G Yes No Y ?'?4?I Na?Ry Ins
peqor
Wnen qeady?
Ilicensed contractor ? owner hereby reque5t inspection of a6ove electrical work at
Job Atldress (SVee?, gox or Route No 7
h? 07 Z ?- c?ry
Setlron No Township Name or
'Z ? Range No Counry
Occupant(pRINT)
?7 z3
Phane N.
PowPr Sppplrpr
a ?. Atltlress
Q L • ?
Elecv¢al Contractor (COm/ppny Nama)
? Q / nirector& License Na
?i-I7I-rc Q
Matling qtldrass (COnbactor or Owner
' m9 Installat1W
Au / Signa(u?lCOntract 4' C? ? ?
ner Ma,
79 Installaoo,
?
hone Number
`?K 4
MINNESOTq STq?E BOqqO OF ELECTRIqTy - ? ? ? • `? ? ?J
Griggy.Midway Bltlg - poom 5473 THIS INSPECTION REOUEST WILL NOT
1821 UniversTy pve., Sf Paul MN SSIOA
Phone (613) 642-0800 BE ACCEPTEp BY THE STATE BpqqpIS
UNlESS PqOPER INSPECTION fEE
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION --
J 57539 ? See insimcirons lor compleling thrs form on back of yellow copy EB Q0001-OB
'X"Below Work Covered byThrs Request
lew?'-ddT^P?? Tvnentau:..,. T
Comm /Industrial
Farm
QIhB( (6?J8CI?y?
Campute lnspechon Fee Below* Other Fee
Swimminq Poal -
BDOrt15
I, the Electrical Inspecto b
certity that Ihe above inspechon has
been made.
)FFICE USE ONLV
his request voitl 11 months imm
iwater Heater
Dryer
Fmnace
Av Condmone
9CIOf9 R2mdfl(9
Service Enirance5ize Fee
to 200 Amps
iove 200 _ qmps
r's use onlv
QrCmis/Feetler Fee
fo 100 Amps
G /,S' S?
THIS INS7ALLATION MAy BE pq pED DISCONNECTED IF NOT
COMPLETED WI7HIN 18 MONTHc
'??? // •?L.
? CITtY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16706-080-10
4072
LOT:
CEDAR
PERMIT cA
PERMITTYPE: 6 -o-4UILDING
Permit Number: 021711
Date Issued: 0 8 J 1 b/ 9 3
CINNABRR DR
8 BLOCK: 10
GROVE 7TH
DESCRIPTION:
B,u3ldinq?_Permit Type
Building Work Type
?-`Building Length
- -DECK
euilding Width`Z
l ?
?
? l
ry
? ?..?
NEW
10
12
REMARKS:
FEE SUMMARY:
Base Fee $25.00
3urcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - ++pp11canL -
FORSLIN MARY
4072 CINNABAR DR
EA6AN MN
(612)456-1718
I hereby acknbwledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
?/?/(,w? V • `????V-G??/V
ADPLICANTIPERMITEE SIGNATURE
AOUA fwi f,? ? Yh
ISSUED : GNATU E
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(672) 681-4675
SITEADDRESS: LoT: s BLOCK: 10 APPLICANT:
4072 CINNABAR OR FORSLIN MARY
CEDAR GROVE 7TH (612) 456-1718
PERMIT SUBTYPE:
DECK
TYPE OF WORK:
NEW
BUILDING
021711
08/16/93
1- -1
REACTIVATE _
Pf7iMIT ?TC E ? V E 0
AUG 10 1993
cinr oF EAcaN
1993 BUILDING PERMIT
681-4675
APPLICATION
?a s --SINGLE & MULT1-FAMILY 2 sets of plans, 3 registered slte surveys, l copy of energy
calcs.
COFNtERCIAI 2 sets of architectura7 5 structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last rrorking day of month-
in which request is made, Z) address is changed or 3) lot thange fs requested once permit
is issued.
Oate ? / /O / Yaluatian of work Irl)UO-OD
)A)19JW
O 72 61A
V
_
Site Address: -
i
fiREEi fUITE 2
enant Name: (commercial only)
IAT L S1ACK ___ S[TBD. ?c?a?' Gro,?e A Y.I.D. N
?N .
Descri tion of work:
The applicant is: Owner ? Contractor ? Other (Describe)
Name F-t7fL5ji.o Phone
Property «ST FIRST tA.;Z /q14?Gts
O
l
wner
e-
4672 ?/Nk)&66f
-
Address
STREET iTE Y
City ?-_a_C9iwj State 11P SS?da
Company Phone
Contractor Address License # Exp:
City State 2iP
Lompany Phone
Architect/
Engineer Name Registration
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with alt applicable State of Minnesota Statutes and City of
Eagan Ordinances. ? ./ 9.
t ff'L ??, /
Signature of Appl icant:
oFFice u5t UnLT
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 01 4-Plex
? OB 8-Plex
? 09 l2-Plex
? 10 Multi. Add'1.
WORK TYPE
t
?
? 11 Apt./Lodgin9
? 12 Nulti. Misc.
O 13 Garage/Accessory
? 14 Fireplace '-
P 15 Deck
? 16 Basement Finish
? 17 Swim Pool
0 18 Coam./Ind.
? 14 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
?31 New ? 33 Alterations p 35 Tenant finish 0 37 Demolish
32 Addition O 34 Repair O 36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWLC System
Allowable) lst F1. sq. ft. City Water
UBC Sccupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pum p
f of 5tories
Length Footprint Sq. ft.
? On-site well Fire Sprinkl
Census Code er
?3
Depth ? On-site sewage 5AC Code
f
APPROVALS 'o
Planning Building Assessments
Engineering Variance
REOUIRED IN SPECTIONS
? 5ite fiEFooting ? framing ? Insulation
? Wallboard % Final ? Draintile ? Fireplace
Permit Fee 25.00 r.iuacia,:
Surcharge ? O
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Mlater Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
'g (0 1`-l5f
2007RESIDE1oTTIAL SUYIlI3Il`dG pE? ?PLIenTioN
' City Of Eagan
3530 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAI{ # 654-675-5694
New Con56urAan ReauiremenLS RemodellReoair Reauiremenfs Olfice tJse Onlv
3 registered site surveys shovring sq. R of lol, sq. ft of hause; and all roofed areas 2 mpies of plan showing footlngs, beams, joisis Cert M Survey Reod _ Y_ N
(200/o mazimumlotmveregeallowed) isetMEnergyCal epoR _Y _N
1 Sals Report if proposed bu?dmg Is to be pla;sd on disWr6ed soil 1 site survey for ad ? rns Plan Recd _ Y_ N,
3ep ysfem res Required _ Y_ N
Add
2 mpies of plan showing beam & window sizes; poured found design, eta 'Non - inQicate i
1 set of Energy Calculafions Seotic Systam _ Y_ N
3 copies of Tree Preservation Pian if lot plaHed aflcv 711193 S E P 1 6 2008
Rim Joist Detali Op6ons selection sheet (6uildings with 3 or less unifs)
Minnegasco mechanical ven6latian form
8
Nanc are cdnsEC9sced aub6uc ?:?formataars urtess v«ca s4ate Yy Erg rrs5e sen1marad the eeasan.
Date oq l15 / onstrustion Cost
? O C
Site Address ?
'7 (? / a 'r C.-?in !7 a RXr(,r ay. Unit/Ste #
Descriptiou of Work
Multi-Family Sidg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Qwner
erk
P r /?'
Telephooe # ((?'/g
y
rop
d O
Coatractor
Address ' City BWLYNWnfts;
State nr rntunumTetephone # ( )
?r
COMPLETE TH6S AREA mNLY BF COPES4RUCTINC, A alEUV BlJILDOEdG
- Minnesota Rules 7670 Cateeorv 1 Minnasota Ru1es 7672
Energy Code Category , Residendal Ventllation Category 1 Workshest • New Energy Code Worksheet
(4 submissiontype) Su6mitted Submitted
• Energy Envelope Calculaflons Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
licensed Plumber
Mechanical Contractor
SewerlWater Contractor
I herebv annlv for a Residential Buildine Pennit and
Telephone # (
Telephone #(
Telephone # (
that the information is complete and accurat,
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
approva? f plans.
P
ApplicanYs Printed Na e ApplicanYs Signaturef
952 854 8502
Jul 13 07 02:37a Carolyn
;':??,?'.;
? ?i?.;? :
?°" City of EaRn
3830 Pilot Kno6 Raad
E.agan MN 55122
Phone:(651) 675-5675
Fax: (651) 6755694
952-854-8502
p.l
? Fa Olficc Use I
? Pe"ii u: ! ?? I
? Pemi
j Dato Received: _. ... .- ?
I ?
? SWfh
-----------
2ow 2008 FiESi[3ENTi IQ?L BUiLDiM1Fr' PERMiT aPFLfCRTOON
F Y Sitekddress: .v ?a v.?.iwa??.- .? •' -
Sulte
- DEN7 ! OWNER Name: ? w? Pnonc: ???
WJ#V
nddress/CitylZip:_, ? •n? ?... - ••-•-
AppliCant is' _ Ownor ??ntractor
TYPE OF WORK pescripdon of work: ? zf?-
I -il Construction Cost: _. #0500D Muni-Pamify Buiiding: (Ycs No /Lj
C0147RACTOR Namc: ., Limn ,e
Addres>=., ?OfA9iYN11A1FAVF_?__._ _ -C„y: _ sWonIWcron, rm ssazo .-Sta,e: ?_--
Phone:ly/yv?•?? Cordact Per50n:., ' -
COhRPLEfE THIS AREA ONLY IF CONSTRUCTitJG A NEW BUILDING
Minnenota Ruiet 7670 CatesaorL1 Minncspta Rules 7672
Energy Code ? • Rasidomial Ventilatton Catagory 1 Wwk:heel • New Ericr9Y Cade workshoct
C3te9ory Submitletl Su6miilr.d
(4 5ubmission type) • Enorgy Envelopo CaIMaliort Submided
In the last 72 montbs. has the Ciry of Eagan issued a permit for a simPar plan based on a mastar plan7
_Yes _No N ycs, datc 3fd adtlres° of maslor plan: ?,. .. -- -
Licensed Plumber: PhOne: --
1Aeebanical COntractoY: _... .. Phone: _,... . _.. -- ••--
Sewer & Water Contractor. _,. .. PhOne' -- "
NOTE: Plarts and supporting dacuments that you submit are considered Lo be public in?ormation. Portfons of
ihe inior'm8tion may be Classirrierl ss noirpublic if you proyide speGifie reasons lhBt would pe/mit the Cify to
i herehy ack0oV0ed9e tnaf tnis Inlormaoon is eompecte and accurate; that mo work vriil ho in contormanr.r, wim Me ord;nances and codec o1 the Gty o!
Eagan; Nat i undcrstand thig is rbt a ptxmq, hul only an npplication lor a pemiil and wo.k is not lo mtan witMut a pcrmn; that Ihc vrork wiA 6e m
imq rice wrth tho oved Pt' in Ihc ca:s d tvoAt whlCh ro4ui(0.; 1 reNew a11d 0 I ol plof1?.?
x
? ,
Applicant's Printetl Name _ /// A aM1YS MSig re
?? •f? ?? ? i of 3
rI?1L. ?
? - --
AUG!23120131FP,1 12:37 P~ City of Eagan FAX 1b). 651-975-5694 P.001/001
Use BLUE or BLACK Ink
410~ I For Office Usett 1
I ' 1~~ I
City of Way ; Permit 1
I I
1 I
3830 Pilot Knob Road Pemtlt Fee: 1 t
l:agafi MN 55122 ~ Date Received: 1 I
Phone: (651) 675-5675 I
Fax: (651) 575-5694
i
I Staff. l
_
2093 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ' Unit #
Name: A ! t 0, In
1~/r V Y S ` 11~ Phone:
R~esidef~t! /I l~ r~
ovme F Address i City / Zip; ` l
Applicant is: _ owner Contractor
Type of Work --l-
Description of work: y mu
° -V=k ~
Construction Cost: a Multi-Family Building: (Yes f No
Company:'~X
2 a i ll
C1
Contractor Address: I L _S.Qt aVi91Zd~r City: _ e/
State: `V Zip: hone: /
S i ka s
T
License t1: Lead Certificates:
in 14
It the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the city or 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.
NOTE: Plans and suppbrtrny locum-ents f#atybuxubmh are coslaideAW Eo b6-Pub/ Iic lntbra)afion, Pontyt~
the fnformadon maybe classlffed as Aon~ltlrtrtafc rf you provide afteefffc reasons thm would perr iM thecontfudita that the are trade secrets.
CALL BEFORE YOU DIG. Call 001111er State One Call at (661) 464.0002 for protectlon against underground utility damage. Cap 48 hours
before you intend to dig to receive locates of underground utilities, www oopherstateonecall 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
Fagan; that I understand this is not a permit, but only an applicatlon 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 bullding permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
X
Applicahez Printed Name x
Applicant's Signature
Page 1 of 3
d but a outs auto ut;Cl.laul d
Oct. 20. 2014 10: 58AM No, 1546 P. 2 �
Use BLUE or BLACK Ink
�_-___
--__^^����....� I
� For Offwe Uae I
� � j� `'f�� I
Clty of�a�a� � Permit#: < < ;
� �� ,
� Permil Fee: I
3830 Pilot Khob Road � ,� � f �
Eagan MN 55122 � Oale ReceivAtl: �
Phone;(651) 675-5675 � statt: j
Fax; (651)675-5694 ►__________ ______�
2014 R�SIDENTIAL PLUMBING PERMIT APPLICATION
Date: / (Jl � Site Address: �V �2 �j ��n 1 �� �� !1J�
Tenant: Suite#:
Resident/Owner Neme: Phone:
Address/City/zip: `G U�� ����� b�- �r .
Name: C�J ����1��'n�� License#:_ `Y l.� t�"�� � 2
COtltfaCtOf Address: � U� (. 'V• � 61? �\ • City: l��-U �l �
State:�_Zip: � Phone: �� � -� v J� � Z� �
Contacf: � a( b Jl 0�� Emall: 1�1C���
Type of Wvrk —New �Replacement Ftepair `Rebuild _Modify Space _Work In R.O.W.
Descrlptlon ofwork: �Yl�'7f�t(� nP.c,� 1,.��� �1Qa'7Cn/ � �1 �k"IT�"C.S
RESIDENTIAI.
X Water Heater
_Waler Softener
_Lawn Irrlgalion(_RPZ/�PVB)
Permit Type �Add Plumbing Fixlures(�Main/��' ,Lower Level)
_Septic System
New . _Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60,00 Water Heater,Water Softener,or Water Heater and Softener(incfudes$5.0o State Surcharge)
$60.00 Lawn Irrigation(includes$5.00 minimum Slate Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Tufnar0und=(includes$5.00 Slate Surcharge)
'Water Turnaround(add$200.00 if a 5/8"meter Is requlred)
$115�00 SepflC SvStem New($10.00 per as built)(Includes CounEy fee and$5.00 State Surcharge) ��
TOTAL FEES$ �
CALL BEFORE YOU DIG. Call Qapher State One Call at(651)454-0002 for protectlon agalnst underground uliliry damage,
Call 49 hours before you intend to dig lo receive locetes of underground ulilities. www.gophersla4eonecall.ora
I hereby ecknowledge tnat this Informalion is complefe and accurate;lhat the work wlll be In conformance wllh Ihe ordlnances and codes of lhe Ci(y of
�agan; Ihat I undersland Ihis is not a permil,bul only an applicallon for a permll, and work Is not to starl wilnoul a permiL lhat the work will be In
eccordance wlth the approved plan In Ihe Cese o�worK which requires a review and approval ot
x_ \..�1� y� Y ril�� _., x
Appllcant's rinted Name Applic nt's Signature
FA,R OFFICE USE Reviewed,�By: Date:
a
Required InspecEions: Under Ground Rough4ln Alr Test Gas Test �: : Final
Mete�Releted ltems: Mefer Size Radlo Read Staff:
Use BLUE or BLACK Ink
r----------------i
I For Office Use �
I ,�'/
��� O{'�� �� � Permit#:� ����/��� i
� 1 � � «<
3830 Pilot Knob Road � Permit Fee: ��' �� I
Eagan MN 55122 j �
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � � I
� Staff:
�-----------------� I
2015 MECHANICAL PERMIT APPLICATION I''
❑ Please submit two(2)sets of plans with all commercial applications.
Date: � / ' � Site ddress: -I�C�� Z-- ���'t'��"���Z- ��
Tenant: � ' ���✓ti �� � Suite#: '��
� � � � `� Name: �� Phone: ��� �3/����-.3 �
` R8Si�1e��r�r1�`` - �
Address/ 't /Zip: `7 0� � ��vU,��(�a�� /�,n _. '
; Name: ��.. � � � ' l� �' �' License#:
� Address: �L u'� / /��U i��;C� ( ./� City: �f��v�'�'� �
C�t�r�L#�t"
State:�Zip: `>,5�3� Phone: �.��� �% Z — �' 73'Z..
(, ,�p-- / ,�
���: Contact: ��"— �-Q��N�mail: �J(�?-� ` �21G(.�/��.c�G��c.•�i ' -�
�New Replacement �Additional Alteration Demolition
� �Typ$p��y�{Q�.. ���, :. Description of work: � G� - 6� "
� �� �, ��. > � _
t��T�:R��af�eaun����n�!�s�u�ted��i�l���equ���nt,`��re��3€�tc�be s����cl bp�r .
". : G�rde. A��e,c+�c#i�te�!lecs�a�i�ial..l�sp+s�tc�r f�ir'i�f�ir�z�n�i�per��t�tl st�a�r�g��i��;
RES/DENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
'' Air Conditioner Install Piping Processed
; P�1'!1'##'����?�.,, . —
Air Exchanger Gas Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank �Install/_Remove)
Other �G�'�
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum, includes State Surcharge
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is GREATER than$2,010, Surcharge=Contract Value x$0.0005 -$ Surcharge'
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conf rmance 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 t art 'tho 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 plan ,
x ✓� �^-'� ���~.. �r': � ',
X
Applicant's Printed Name plicYanYs Signature
_., �
��'JI������US� � , ��
°F�eg�i�e�Lrt���+rs��ras �f' e�ri�wed�r Daf�h�--=
�Und�rc�rc���td �tiu�h ln : �ir l"e�t ��s��rvic�'7��, ' i�i�caor M��t, ,;�,,,,%.�r�: �i4C���n��
EAGAN
March 26, 2020
CHAD HARRINGTON
3010 LUNAR LN
EAGAN MN 55121
RE: WORK WITHOUT A PERMIT
Dear Mr. Harrington:
The City of Eagan received a complaint about possible work being done with out a permit at your property
located at 4072 Cinnabar Dr.
Our records indicate that the required permit was not issued for this work. Inspections are necessary to
ensure that any work done meets all life safety requirements of state and local codes.
Please call 651-675-5675 to inquire about when a permit is required and the submittal requirements for
obtaining a permit. Please respond within 10 days of this notice. If, for some reason,your records indicate
that there was a permit or the described work was not done, please let us know.
Thank you in advance for your anticipated cooperation in this matter. Please do not hesitate to call if you
have any questions or concerns.
Si erely,
4.
Je f Whvr
Inspections Department
cc: Dale Schoeppner, Chief Building Official
MAYOR I MIKE MAGUIRE COUNCIL MEMBERS I PAUL BAKKEN, CYNDEE FIELDS, GARY HANSEN, MEG TILLEY CITYOFEAGAN.COM
CITY ADMINISTRATOR I DAVID M. OSBERG MUNICIPAL CENTER 13830 PILOT KNOB ROAD, EAGAN, MN 55122-1810
MAIN: (651) 675-5000 HEARING IMPAIRED: (651) 454-8535 MAINTENANCE: (651) 675-5300 UTILITIES: (651) 675-5200
GAG 7 A c ,.ONid 0/1/1/ 1)R
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MAR 31 1020
Construction and Remediation
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3010 Lunar Lane • Eagan, MN 55121 • 651-994-6844 • 1-877-737-2227 • www.capitalcityremediation.com