4073 Cinnabar Dr To: P8g® 2 of 13 2013-10-15 15:33:18 (CaMT) 17344060105 From: ".-.y Pack
flee BLUE or BLACK Ink.
An, - _ 1 For Office Use -
-vv
4 X33
Y I Permit.#:
Permit Fee:. t►-
of E aR
3830 Pilot Knob Road Date Received I s i
Eagan IVIN 55122
Phone:(651)675-5675 I I
Fax: (651) 675-5694 I Staff:
I .
J
20 3 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address. 4°~ ~dq/t~lADptif p- @ Untt#
Name. Phone 17~ QN 1 01
Resident!
Owner Address City /Zip: 1 w o rv &r
' Applicant is Owner Contractor _r
:pfn+~ ra !mod , ,
Description of work
Type of Work
ZQQ Multi Family Buckling (Yes ! No!KLJ
Construction `Cost
t
Company. ~~.oa+ {~ol~dl Contact:
ID
Address: 1050 11~~
Contractor..._.
State: Zip; Phone=. y
License Lead Certificate #
additionalm...formation)
P -
If the pro!ect is exempt from lead certi~ication, please, ex lain why: (9 see Pa e V or
COMPLETE THIS .AREA t?R4LY IF CCNSTR4ICTING A NEW UILDING ,
5 In the last 12. months, hilts the city of Eagan'i'ssuad a permit.fgr! A similar plan based on a master plan?
Yes _No If yes, date and address of master plan: s
t
G Licensed Plumber: Phone:
r
Mechanical Contractor: Phone: r
Sewer & Water Contractor Phone
w m._.... Mn .
NC77E: Plans and supportfny documents :that you submit are considered to be public information Portions of
theinformation may be classified as nen publr'c r`f you provide specific reasons that would permit the City to
conclude that they are trade secrets.
_c ,.,....u _ m.4. ws
ours
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Gall 48h
before.you intend _to dig to receive locates of underground utthties. ws±nNgooherstateanecalt.org
1 hereby acknowledge that this information is complete and accurate; that the worts: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 fora permit, and work is not .to start without o permit that the work will he in
accordance with the approved plan in the. case of work which requires a. review and approval of plans. .
Exterior work authorized by a bpi ding permit issued in accordance with the Minnesota State Buitdrng Code must be completed within :180
days of permit issuance.
X All x~`°.....,~
App icant's Print 4d Name y Appfcants Signature.
Page :1 . of 3
CITY OF EAGAN Remarks
Addition_.-.CFIIAR G1zc1VF. 47 Lot 25 Bik 5 Parcel 1it 16g08 250 tI5
Owner ?ok", °f 4tn. L? Stree 4073 Clslridb3= L1Iive State F.aqan p MN 55122
a.
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
* SEWER LATERAL 1971
WATERMAIN
* WATER LATERAL IIZ 1971 1,615.00 80.75 20 Paid
WATER AREA
A STORM SEW TRK 13 1971 20
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATERCONN. 260.00 3527 5-12-71
BUILDING PER.
sAC 200.00 3527 5-12-71
PARK
.- -iy EAGAN TOWNSHIP
BUILDING PERMIT
owa.: L----- -/W.Y-C...---.L:N.y.?.?1c .......................
? •
Addreac (p=asen:) ........... 7.?..Y.3......?.-.?.?C!Cr..G:
Builder ......................................'---._...
Addreu .....................................................................................
DESCRIPTION
N° 2442
Eagan Townahip
Town Hall
Dele _.l.fl!?`.?.._1.?+.1..`1.1?........,
Sloxias
- To AR, Used or
?- Fron!
-- Depih Haighi Esl. Cos! Permi!
Fee
Remarke
s.4y
?? G r " ?I ???
LOCATION
Sneet, noea or o=ner uescription oi Location I Lot Sloek Addifion or Trae2
s i q
??7 is perini! does aot avlhorise the use of slreels, roads, alleys or aid ka Aor does?i! g?'lve fha owner or Lts agant
the :ight So ereafe anp sifuafion which is e nuisenae or whieh presenls a hazard 2o the healih, eafefp, eonvexienae and
ganezal welfare !o anpane in the communify.
THIS PERMIT MUST S/g/ PT!ON THE PREME WHILE THE WORK IS IN PROGRE,?S($r. ,
--......
ThiB ia fo eerlify. !hal.(,,L S?!!4'?"? (??f!? ...has permission !o ereci "-14 :4 , ._._..upon
the above dascri6ed premise subjet! !o the provisions o! the Buildininance for Eagea Townshi adopfed April 13.
1855.
. 1,;4L.....l.6.:44_4;j.')........... ?_ ...................... Pex .....? .....................................
Chaizman of Tnwn Baerd Building Inspeefos
,?2
c° < <
TOWN OF EAGAtd
3795 Pilot Pnob :toad
St. Paul, Minn. 55111
pEP,MIT NO. 109
The Board of Supervisors hereby grants to Cedar Grove Conatxuctien
Ce, of 7343 Concosd i31vd E South St. Paul 55075 8
HEt.TI:IG Permit for: (Owner) Cedar Grova Conatruction et
4066, 40350 40b19 4073, and 3996 Cinnabar Drive -- 9-10t 22-5V 23-5,
25-5 of CG '7 anU 2-O oP CG 0 , pursuant to application dated
1971
r-...,
7 i.
?ra'???'sto,0soo £t
''ar::cniHi'lr??. of , b. .?: , . . .._ ?
' ti , ?r??,:.,???? a?'' c3 _ ' ,• n:
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J
TOWN OF EAGAId
3745 Pilot i'nob :oad
St. Faul, Minn. 55111
PEP,MIT M. 114
The Board of Supervisors hereby grants to Cedas Czmve ConmtinStlsn
of 7343 ra,,..-.a niyA_ n s.uch St Pau 55075 a
py mtI RTiIiC Permit for: (Owner;Gedar_Grsve Conatruetion at
40S$, 4AS-S,-48rf-,10 40739 3996 Cinnabar Drive -- 9-Ht 23?% 11-3r 25-5 of
cc 47 . nn 25F9- ef CG ;5, , pursuant to application dated
tjA*„
Fee Paid: Dated this 2th day of tisy , 1971_.
8uilding Iaspector
4/
. ' y }
CITY of EAGAN
BUILDING PERMIT
Ownes ......) .. .........::`?......J.?yv! J .............................. .........
..........
..--'-° .....................................................
Addracs (presen!) .
?
Buildar ........1.`..'.: .......... ?J"`c.'?
.. ................_.........----......?..7. ................... ...
Addreu ... /0 / 0./ -....
......................................................... _........, e
DESCAIPTION
N4 3781
3795 Pilot Knob Aoad
Eagan, Mianesola 55122 `
454-8100
Dals l4'?.3?'-75-
.. .. ...........""........
Slosiec To Be Uced Fox Fson! Dap2h Heighf I Esl. Coa! esmi! Fsa Aemulu
-
<--?
5lie02, ROdd Of Oth@i DBSCllpliOn Of LOCdIiOn I LOI lSIOCk ACQiIi00 OS TlGC!
This permit doea not aulhorise the use ot slseeis, roeds, alleyc or sidawalks aor doee it give the ownes or htr agee!
the righ! !o ereate anp sifualion whieh is a nuisanee os whieh preseals a hazard !o the 6ea1lh, safelq, convealeace aad
general welfare !o anpone in the communilp.
THIS PERMIT MUST BE.,BE$T ON THE P$.FMISE WHILE THE WORR IS IN PROGRE$S. '
This is !o eertiip. !hal---r•--f?`...?r-`-- Permbsion !o erect a......... ? -?-?- p
.......................... has ........ .........-?---.........--.._n oa
the above described premise subject io the provisions of all applieable Ordinanees for !ke Cilp of Eagan.
................... ...... ........................... pa: ....... .............. 4? ..": e ...._....?.-_`.........?-.?
? • ............................
...---........._.._IvIaY..or BuUdiay Impeetor
le '
L?
y6 1
MASTER CARD
•
LOCATION
OWNER
STRUCTURE AND ?••*- ? ^?f•
IAND USED AS
? S ?
Permrt I
I No.
_ Issued Issued To
_ Coniracior Owner
BUILDWG
PLUMBING
CESSPOOL - SEPTIC TANK I
WELL
ELECTRICAL - I
'
I
HEATWG ?
GAS INSTALLING -
SANITARY SEWER 771 I
OTHER / ? J I
O7HER j ?
?
0
kems Approved
(Initial) I
Date Remarks
Disfance From WeN
FGOTING SEPTIC
FOUNDATION
FqAMING CESSPOOL
TILE FIELD FT.
FINAL
ELECTRICAL _
HEATING
6-. •
W
DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER G? %,? J Gl f ???1 '?
-
Violations Nofed
on Back
COMMENTS: ?
EAGFN TOWNSHIP
3795 Pilot Kttob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SERVICE CONNECTION
Date: Mav 10. 1971 Number: ?c 611
25-5-7
Billing Name: Cedar Grove Const. Co. Site Address: 4073 Cinnabar Drive
Owaer• Same
Plumber: Stein, Inc.
of Connection I Meter
NO iTotal Chg.
Building is a:
Residence X=
24ultiple ffio. Units
Commercial
industrial
Other
5/12/71
Meter No. lPexmit Fee 10.00 od 5/12/71
Meter Reading iMeter Dep.
Meter Sealed: Yes lAdd'1 Chg.
Inspected by
Date
Remarks:
Billing Address 7343 Goncord Blvd. E.
South St. Paul, Minn.
55075
L( LLEC i,iETERS.
$9: Chief Iaspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do ttie proposed work in accordance w1[h the rules aad
regulations of Eagan Township, Dakota County, Minaesota.
By: CEDAR GROVE CONSTAUCTION COMPANY
Please aotify the above office when ready for inepection and connection.
Y
EAGliN TjUtdNSHIP
3795 Pilot Krtob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SEF7ER.SERVICE CONNECTION
DATE: Mav 10, 1971
OWNER: Cedar Grove Const. Co.
PLUMBER Stein, Inc,
NLMgg 771
(Lot 25, Block 5, Cedar Grove #7)
Address 4073 Cinnabar Drive
TYPE OF PIPE Cast Iron
DESCRIPTION OF BUIIDING
Industriall Commercial( Residetttial I Multiple Dwelling I No, of units
Location of Connections:
Connection Charge 200.00 Ad 5/12/71
Permit Pee 10.00 pd 5/12/71
Street Repairs
Total
Iaspected by:
Date
Remarks•
By
Chief InspecCOr
In consideration of the issue atnd delivery to me of the above permit, I
hereby agree eo do the proposed work in accordance with the ruies and
regulations of Eagan Township, Dakota County, M3nnesota
$y CEDAR GROVE CONSTRUCTION COMPANY
t
Please aotify when ready for iaspection and connection asui before aay p rtion
of the work is covered.
MASTER CARD
LOCATION
OWNER
STRUCTURE AND
LAND USED AS
1
Permit
No.
Issued Issued To
Coniractor Owner
BUILDIN6
PLUMBING
CESSPOOL - SEP7IC TANK
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER
O7HER
OTHER
Items Approved
(Initiap
Date
Remarks
Distance From Well
FGOTWG SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Nofed
on 8ack
COMMENTS:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConsVUCtlon paaulromeMs
• $registeretl site surveys showv?g sq. tt. of lot, aq. N. of house; antl ? roofed areas
'vi
(20% meximumbtcoveregeallowed)
• 2 copies W Dlan showing beem & wintlow sizes; poured lountl tlesgn, etc.)
• 159t 0f 51BI'gyCeICUI0ti0t1S
• 3 copies of Tree Preservation Plan H bt platled afler 711/93
• R'un Jois[ Deteil Optlons 5eleclron Sheat (hWgs wAh 3 or less unils)
DATE _) ?-q -o Z
Q-U ()71 ?
HemodeUHeoalr Heaulrements
. 2 Copies ol plan
• 1 set ol Energy Calculations for heated addttans
• 1 sae survey for exlerlor a0dflbns & decks
• IMipte H hane servetl by septic syslem for add'Aions
VALUATION
SITE ADDRESS 'AO 73 (f,:noVQALr Pr. MULTI-FAMILY BLDG _Y t-N
TYPE OF WORK 5','d:n4 FIREPLACE(S) _ 0_ 1_ 2
APPtICANT 46 c 1,20L
STREET ADDRESS Va `/ ix it/,'cd4-f?4ve S• CITy (3j?'?sr-/CeSTATE?ZIP S?3 3?
TELEPHONE # C9sa) 7-0 -b9s?9 CELL PHONE #
FAX# ( 4S'a)S'op'- -e ffq d
PROPERTYOWNER 904e?L TELfPHONE# (69-1)1 SC61
COMPLETE THIS SECTION POR uNEW,, RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Venfilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculetions Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanical Conhacfor:
Mechanical system includes:
SeweNYVater Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone #
Fee: $70.00
Phone # ' J
-°-------------------------------------------°°...-------------°------°----------------=---°----------------°--°--
I hereby acknowledge that"( have read this application, staTe mat the informatlon is correci, and agree to comply
with all applicable State of Minnesota Statutes nnd City of Eagan Ordinances.?1
Signafure of Applicant KJ?m "j bJV A,-h
?. OFFICE USE ONLY
Phone #
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
? RESIDENTIAL BUII.DING
Permit Application ?
City Of Eagan
-? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
New Construction Reouiremenis ftemodel/ReoairReauiraments Oifice Use OnN
3 registe2d site surveys showing sq. ft. of lot, sq. ft ot house; and all rooted areas 2 Copies of plan Ced of Survey Recd
(200/o maximum lot coverage allowed) 1 set of Eneyy Calculations for heated addNOns Tree Pres Plan Reoi
2 copies of plan showing beam & wintlow sizes; poured found desgn, etc 1 site survey for addifions & decks Tree Pres Not Reqd
1 set of Energy Calcula6ons Atld'NOn - indicafe flon-site septk sysfem _ On-site Sepfic System
3 wpies of Tree Pmservation Plan if lot platted a@er 711/93
Rim Joist Detail Opdons selection sheet (bldgs wtlh 3 or less unHs
Date 3 , a ? /70
Site Address ?P l3 &i U kd.9U br Construction Cost $ ,5, ? , dQ_
IIniUSte #
Description of Work-Teoy Vlti Wk p(3cs9R
Multi-Family Bldg _ Y t N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner _4savt,k,, Wtv?lo, Telephone#((prj` A54" 1'ZX?(
Con[rac[or ! K?
X
?
?
'
IAddre?ss?2?y l N ycWUt fbQ? QSAA
State IYUV City ?&_?
ZipL$5"'33'7 Telephone#(??ZO?'(0q,!3'A
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residenhal Venhlation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted SubmiMed
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
12 i
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the informatiofl-'is compTd-e-anil- accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
i)Lr,S4e?'er
Applicant's Printed Name
Applicant's Signature
To: Page 2 of S, 20'13-0a-23 '16:'1 1: SO (GMT) '1X344680105 From: Harvey Pack
Use BLUE or I IrACK Ink
For Office115e t
permit D 1
=1 T 25
Permit Fee. i
l
. l
3830 Pilot Knob load Date Rer,eived: 1
Eagan MN 55122
Phcsne:. (651) 675-5675 I Staff: t
FaxAGIS
2013 R I E TI L.` UIL I PER IT PP CIC3
ro-1 Unit
Date: site Address NfJ
„fig IS?ssl~t Phone:
f_dame'
E'2 rfC$eYfi A
d
On t Address Citylzp~ t-.f.~~,1 (L?~!
i A Contractor
pplicant is owner
_ _ w..
i Description afwork: Type of Work
Construction Cost: . _ Multi Family Building (Yes 1 too,
_ a.. .R{ S Q ernt~ Contact: ! r
t~
Company
Address:
Contractor
1 \ Phone. t~
:CIO Zip: F
'License Lead Gertefacate #
If the project is exempt from lead oerttfication, please explain catty (see Page 3 fior additional information)
{ _ _ t
COMPLETE THIS AREA ONLYIF CONSTRUCTING A N-E-W~13 IL DING
3 in the last 32 manths, has the City of {vegan issued a permit for a similar plan based on a roaster pian? t
- Yes No If yes, date and address of master plan:
Licensed Plumber: 9'horee;
Phone:
Mechanical Contractor:
$ Sewer Water Contractor Phone
HOTE: Plans and supportirg document's that you submit are considered to be public information Portions cif
the itiforn7ai' on may be classified as more-public it you providle SPecific rva5an,5 that would perrnrt~ t4~o City to
conclude >`ha>t ffrey are trade secrets ~ ..w
CALL I3EI=0RE ~1C211 ®ICs. Call Gopher Efate One Call at (651).454-0002 for protection against underground utility damage. Gail 48 hours
before you :intend to dig to resr eive.locates of underground utilities, vLi w:go hersta1' eca.ll 'r
I hereby acknowledge that this information is complete and accurate; that the work will bean conformance with the ordinances and codes of the City of
Eagan; that t 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
accyrdarnce with the approved plan in the case of work which requires a revirsw.and, approval of plans.
Exterior work authorized by a building peersrit issued in accordance with the Minnesota State auilding Code must be completed within 180
days of permit issuance.
ApplicanVa Pri ted Larne Applicant's Signature
Page.11of Z.