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4408 Cinnamon Ridge Cir• CITY OF EAGAN 3850 Pilot Knob Road, P.O. Box 21-199, Esgie, MN 55121 ,. ; PHONE: 4548100 6UILDING PERMIT i 'N Recelpt * 549, •? ~ ? ..` i0..1 N : I L?G F; C i 1 Ereet L;l Occ.vPencY r._ i Site Addr,Mt , C. i "Y!! 3 l Remodsl ? Zoning lot b, B ack Rapeir ? Type of Conrt. ? Pwcel No. Enlsrge ? No. Storias Move ? Langth Name Dsmotifh ? Depth ; c ? Add?ft s Grade ? Sq. Ft. Citv Phone .• `' i: - Instell ? Nsme Addrus ? Citv Phone Name I hereby otknowledge that 1 havt road this opplitotion ond stote fhat tM inlormotion it oorrecf ond ogree to comply with all applicable Stah of Minnesota Srotutes ond City of Eogan Ordinonua $ipnoturv of PonnittN A 9uildirq Permit Is issusd to: dl work shall be dont in ocaordonct with oll oppliooble SMte of Mit 8uildirq Offi[fol Assessrr+ent Water 3 Stw. Poliu Fin E+W Ptaruw Cowncil 81dg. Off. APC Var. Date Pe?mir ' c i a. 7jv Surchorqt 14 .50 Plan Review 13 .+ . ` a 0 S/1C Woter Com. Wcter Meter ? Rood Unit Total on tM oxpnst tadiHan thot Stotutes ond City oi Eoqan Ordlnar+as. Permit No. Pwmk Hokbr Dm Tels hon* iF Pi°"'bi"0 5,)!o / ` s- sd?' - s,zqo H.VA.C. Ekctrfc Soft,n.. Inwoction Date Insp. Othw Footinqs Foundation Fnmino Roofing Ro,gh olbg. Rough HVA Inwlation Finai Plbo. ? Finsl HVAC 7 Final ? CwtlOoe. ,? ,f ? ? ?? v? Wat?r Wmibs Location: YWII Sower W. Dhp. CITY OF EAGAN : 3830 Pilot Knob Rosd, P.O. Box 21•199, Eagsn, MN 55121 PHONE: 4548100 BUILDING 'ERMIT Rece+ot # . Sits Adckaa Lot Block Percel No. ?G Name Addnal ? City Name uZ Addreu ?W citv p Sigrwtun of PemwffN A 8uildinq Permit is issued ro: all woric sfwll bt dorw in o000 Bnildirq Offitial rood this applicotion ond stote that gree to comply with oll appliwble Gry of Eoqon O?dinonces. Ersct 13 Occupsncy Remalel ? Zoninq _q Hapeir ? Type of Const. Enlarge ? No. Storiet Move ? Length . Osrnolish ? Depth Grade ? Sq. Ft. llsssssrnenr Woter 3 Saw. Poliu Fln Eng• Plonnwr Council Bldg. Off. 4 lZ 85 APC Var. Date with oll cppliooble Stote of Minnesota Sfotufes Permir Q c r a . ;0v Surchorqw 24, ?0 Plsn 139, yAC 525.00 . 0 WOtEf COM ? Woter Meter fi-l..-? 0 Rood Unit 2 S A_ A Q T..p. 132.00 Tocal $1 . 94 2. 2 S on tM expros eandition ehot y of Eapon Ordinonas. PKmft No. PKmk Holder DeM Tele hone ? wumb:ng 5--) 6,;?- offmonimmse- s•) T H.V.A.C. 15 ,.,.7t- L v ?- Eloctdc 3i Go,.#.? a ? ?I? y, soft«wf Inspection Dste Insp. Other Footin¢ Foundation ? Framinq ? Rooff ny Roud+ Plb4 Rough HVAC Inwl,einn r Final Plbp. Finsl HVAC Final Cwt/Oae. ? Water Ofte?ibe Loeation: NNII Sovwr Pr. ?ap. Reoeipt V ? pAECHANICAL PERMIT Permit No. ` CITY OF EAGAN r; Fee • Fi!l rn numbered spaca S/C Type or Prin[ legiMy Tot. 1. Date 2. Inatallation Cost T 3. Job Address - Lot Blk. ' Tract 4. Owner ? ? • % - ? 5. Contractor Phone 8. Addreu 7. City State Zip 7 ? B. 8uilding Type: Residential El 9. Work Description: New 0 Commercial O Institutional ? Add ? Alter ? Repair ? ? 10. Describe ' -' Fuel Type - ? ? E 11. No. Equ'oment 8TU • M. Ea. Forced Air - ' No. Eouiament GFM Ai H Mfg. r andling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond. Other Mfg. '. / Gas, Piping Outleta 12. 1 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. Siqned : for Rouyh F fnsl )nspections: Date Insp. Date Insp. This is your parmit when numbered and approved. Approved CITY OF EAOAN 464-8100 Reoeipt ? PLUMBING PERMIT CITY OF EAGAN Permit No. Fee Fill In numbered spacea S/C Type w Prin[ legibly Tot. 1. Date ' 2. Installation Cost 3. Job Address Lot Blk. Tract • 4. Owner 5. Contractor Phone - ? 6. Address ??'2'e G 7, City ? State Zip - ? 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New O 10. Describe 11. Add O Alter O Repair ? No, Fixtures Water Closet No. Fixtures infield Cess o l/D Bath tubs p ra o Se ti T k ' Lavatory p c an Softner Shower Well Kitchen Sink Urinal/Bidet Othe ? Laundry Tray r Floor Drains Drinking Ftn. ' Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed for ? Rou9h Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,6100 Radipt MECHANICAL PERMIT Permit No. CITY OF EAGAN y ? Fes FiU in numbered spacas S/C TYpe or Print legibly Tot ' F 1. Date ' 2. Installation Cost ' 3. Job Address Lot Blk. , Tract 4. Owner 5. Contractor Phone 6. Address i . 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New 0 Add O Alter O Repair ? 10. Describe Fuel Type 1 11• No. EQuipment STU - M. Ea. Forced Air No. EQUiament CFM Ai H Mfg. r andling: Bailers 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 oomply with all ordinances and codes governing this type of work. Signsd : for Rough Final Inspectiona: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . r R8C@Ipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered spaces Type or Prini /egibiy l _ i?- Permit No. ? Fes S/C Tot , - 1. Oate 2. Installation Cost 3. Job Address Lot Blk. Tract ' 4. Owner 5. Cantractor , Phone ' 6. Address 7. City State Zip s?--- $. Building Type: Residential Commercial ? Institutional 0 8. Work Description: New 47 Add ? Alter ? Repair ? 10. Describe 11. No. ' Fixtures Water Closet No. Fixtures i Cess o l/D fi ld Bath tubs p ra n e o $e ti T k ? Lavatory p an c $ f Shower tner o W ll Kitchen Sink e Urinal/Bidet h O Laundry Tray er t Floor Drains Drinking Ftn. ? Slop Sink Gas Piping Outlets . 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordin ces and codes governing this type of work. Signed: ?? for ' RoUgh Final InSpeCtions: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN - - -- - o.. Additio?n Cinnlmnn Ridge 3rd Loc 052 gik 05 Parcel /0 1r7*40.2. Owner&l -?'+-c?A?-,s+2 -Street 440$ Cinnamon RidQe Circle state Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 990 1995 5711 - 40 15.68 5 Paid under ori inal arc 1 STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA rr ?? ? ii n STORM SEW TRK 407 1979 190-84 9.54 90 STORM SEW LAT CUFB & GUTTER ' SIDEWALK STREET LIGHT Road Unit $280.00 50832 4 12 85 RATER CONN. 500.00 SUILDING PER. SAC PARRC CITY OF EAGAN Addicion_Cinnamo?441gg 3rd Lot 051, eik 05 Parcel 10471g? ?a15. Owner-Z-„w,,.g?AStreet 4?410 Ci nnamon R i dgP Ci imiep F.agan MN 55122 Q-¢-tt'? . Improvement Date Amount Annual Years Payment Fieceipt Date STREET SURF. $90 198 STREET RESTOR. GRADING - 5AN SEW TRUNK SEWER LATERAL n n n ?? ii WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK 5TREET LIGHT Roc1d UIllt $280.00 50832 4/12/85 WATER CONN. 500.00 BUILDING PER. 10068-10069 sAC 525.00 PARK OF EAGAN Remarks Lot S Rik Owner Street Improvement Date Amount Annual Years '%?' Payment Receip Date STREET SURF. 1 1156.810 231.36 5 925-44 CO 47 $-$-$ STREET RESTOR. GRADING 5AN SEW TRUNK 1 C010 8-$-$5 * SEWER LATERAL c? 3q:- 50 647.90 5 1. Ej0 C010547 8-8-85 n WATER LATERAL ?8 WATER AREA 7 3 1 1 1-7,56 C010 8-8-$ ? Services x 1985 STORM SEW TRK 4 01 1 248.13 C010 $-$-$? - ? STORM SEW LAT x 1985 CURB & GUTTER SIDEWALK STFiEET LIGHT WATER CONN. ?UILDING S'AC P ' OF EAGAN Pilot Knob Road Box 21199 n_ MN 55121 WATER SERVICE PERMIT PERMIT NO.: DATE: dunler. _ No. of Units: DeVries Bldrs Add,ess; 4410 Cinnaraon Ris],.ze Circle LS B5 Citan Ridge 3 IL_r. i.o. ve - ir No.: Cannection Charge: 5p0.00 pd Accourn Deposit: ?i5. ')0 kr ryo.: Permit Fee: 10 . 11`10 roe to eaevh? wilh Mw Cih ef Ewn Surcharga: • 50 Mlsc. Charqes: • P ?osw. ,.. p:n e t e r Total: Dote Paid: ? of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilet Xnob Road 6117 P, O. Box 21199 PERMIT NO.: 4-25-85 Eagan, MN 55121 DATE: ? ' Zon;ng; R2 ex ? dup No, of Units: DeO i s 111-d'r p - s N„er; Mdress: ' Slta Address: 441n Cinn mo inn Riflga 3_ n RidgP i rcle T 5 R5 ( plumbeT; sssavsocK rsuusus???? nneter No.: ? 516 9.5' / / ?_- Size: ' Reoder o.. L 1mgm to oomVh wifU Hie Citr ef Epe¦ Ordiuo C By " )-- 02A9 Oate of ls?sp.: 7 Ca??ction p,a,ge; 900.00 pd Acoount Deposit: 15.00 - Permit Fee: 10.00 Surc.harge: ?0 132 Misc. Chcroes: .00 pd 63-.00 Total: p mete pote Paid: Insp.: CITY OF EAGAN SEWER SERYICE PERMR 3830 Rilot Knob Road 7--,! )1 P. O. Box 21799 PERMIT NO. c ; : - - Eagan MN 55127 . DATE: . , R ?- a Znning: No. aF Units: ? ua _x Owner. DeVt'188 LiiArs - j Address: ; Site Address• Cinnazon Rid ge rClt'. ., . inxl t dRe 7 Plumber. olayloCh P"tui??• _ f '_' 4--I2--J 3 .:s 7? '.l' . i'7 -'7 1 rgne eo oemoy wi& tM Cihr ef Eagsa Conneetion Charps: 425.:10 pd Oediwnea. ' /lccouM Depesit: i ??(i? r k Permlt Fee: Surdharpe; By Misc. Charpex Date of Insp.: Total: Insp.: Doft Poid: PERMIT 3A Pilot Knob Road v. Box 21199 gan, MN 55121 -•--- ? - No.: Render No.. 1 pm te aanrlp wilb tM Cirr of !y?¦ N? OnamemaM. By Date of I nsp.: PERMIT NO.: 6116 DNTE: - _ No. of Unitr. ?i dup7 Connectlon Chorye: Acoourrt Deposit: _ Permit Fee: Surcharge: Misc. Choryes: _ Total: Data Paid: 0 _ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 61 16 P: O. Box 21199 PERMIT NO.: Eagan, MN 55121 D^TE: 4-25-85 Zon(no: R2 No. of Unirs: ''i duplex f pw,w: DeVries Bldrs ? /lddrosx ±Site Addrowr 4408 Cinnamon Rid Qe Circle LS BS Cinn Rid e?3 Plumber. Blaylock Plumbing Co. Meter Noa 3S6 lS/ D'J' Connecrion qarge; 500.00 vd Size: `' Aooount Deposit: 15.00 Reode No.: a ?L ?•?' ? n_ q permit Fee: 10 . 00 I Nm 10 oanpy wh6 era Citr oi Ee"w Surcharpe: .50 p,di¦. . , Misc, Charoov 132.00 vd rotal: 63 _ nn nd mPte By Dor. Poid: Dote o Insp.: Insp : . CITY OF EAGAN SEVYER SERVICE PERMIT 38's0 Pilot Knob Road - P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zdlirlp: No. of Units: ' Ow". I Add.ess: Site Address: Plumber: I.'n. eo e0H46 with Hm CRy ef E.". Connection Gwroe: 4'-5 • J?? ?? j ? 1 Ormrenam Acoount Depodt: .., , ? VA. Psrmit FM: ? Surtfiorye: s ? By Mfsc. Chorpes: ? Dote of Irop.: 7ald: , Insp.: Qotr Poid: I ?. • CITY OF EAGAN (v° 10 0 6 9 3830 Pilot Knob Road, P O Box 21-199 Eagan, MN 55127 PHONE:4548100 BUILDIN(i PERMIT R«eiw # OF TWIN HOME Siuaddram 4410 CINNAMON RIDGE CIR Loc 5 el«k 5 ?ec/Sub. CINN RIDGE 3RD Parcel No. 9,000 W I Neme DEVRIES BLDRS ? Address 7564 I ER DR citY MAPLE GRVPhone 420-4685 Sff I Name S?E U Addresa ?9 1- City Phone Nama GAGE Addms OONE AVE NO City BROOKLYN vghone erect fB occuvency R3 Remodel ? 2oning R4 Repair ? Type of Const. v Enlarge ? No. Stories Move ? Length 2¢ Oemolish ? Depth 3$ Grade ? Sq. Pt. Assessment Waror 6 $ew. Polfce Flrs Erp. Plonnar Council Pem+it r Surchorgs 24.50 Pian Review 139.25 5AC 525.00 Wotar Conn. 5 0 0. 0 0 Water Meter 63,.Q 0 Rnad Unit 280-00 I hercby ackrowledga that 1 ho ad rhi: aoni+cotion ona :mra n,ar eids. ?. 4/12/85 IT. P. 132 . 00 the intormotion fs correcf a ee fo comDly with ull aOPlicoble APC ? Total $1,942.25 State of Minnetoto Stotutes ry 1 Eogan Or 'rances. ? j Var. Date Sfprwturo of Permittee A Buildino Pem.it Is Issued ro: DEVRIES BLDRS m the axpmn conditlon lhal oll work shall be dons in accordance with all a 'cable Stofe qF"Mrnnesota Stmute? ard City of Eaqan Ordirqneea Buildinp OHkiol e ? 4 CITY OF EAGAN ?J? 1 O O C 8 ' ` 3630 Pitot Knob Road, P.O. Boz 21-189, Eagen, MN 55121 PHONE: 4545700 BUILDING PERMIT Receipt # o ? Te M uwd Mr 'g OF TWIN HOI& yalue $49,000 pafe APRIL 12 , 1985 siteAddr?u 4408CINNAMON RIDGE CIR Lot 81ock 5 SeclSub. CTNN RTnrF. Parcal No. ? Name DEVRIES BLDRS ? Address ?RINER DR City MAPLE GRV phorie 420-4685 Nsme SAME ? Addtas City Phone W Name GAGE _? p?? BOONE AVE NO ?W City BROOKLYN PI(none Erect EX ocwpancy R3 Remodel ? Zoning Repair ? l'ype of Conrt. Enlarge ? No. Storin Move ? Length 24 Demolish ? Oepth 38 Grede ? Sq. Ft. Install O Apqo.ols Faea Assessment Water 8 Sew. Polica Fin Enp. Olonner Council SiQrwture of Permittes "`-'? ? el'Jo? Permit r c i u.?.. I hercby ackrrowladga thaf 1 have raod fhis application und state that gidy, pry, 4/12 /g the inlormotion is eorrect 9ree to wmply with ell applicable A? State of Minnesota Statutes Citw,o4 Eoqan rdinnnces. Var. Date Surchorya 24.50 Plan Review 139.25 SAC 525.00 Worer Conn. 5 0 0. 0 0 Woter Meter _63.+9 0 Road Unit 280 _ 00 T.p_ 132.00 Total S1 .942.25 A Buildfnq Permit it issued to: vEVAiES BLDRS pn the ezpross conditlon thol oll work shall be dora in aemrdonce with oll jjiq)licoble Sr of in soto Stotutm and Cfty of EcOan Ordirwncsa Buildirq Offlcial p l 4,a? This request voitl i? (0 ? L' q 5/rV(? ? Request Date I Fve No. xoapp-?n cu.... I?Ready Now W WdI NoLdv Inspec-I u retl. lor When qeady may ti 19ts5 ?1C Ye? ?Nin R Licensed Eleclncal Contractor 1 Mreby requast insDection oi abova n?o??.ica1 work installed et ? .,....?. Crty Street AddFess, eox or RoWe No. 4410 Cinnamon Rid e Circle ectmn o. Township Name ar No. Ranpe No. Counry ea an Dakota Occupant (PflINT) Phone No. DeVries Builders - Power SupDlier A?feu 55024 Dakota ELectric 4300 - i ' s L?ce se No. Electncal Lon[ractor (Companv Na?) Comractor COntemporary Electric, Inc. 0419 M.iding AdJress lCOnvac[or or Owner A1akias? I?raila?ioN 6810 Hemlock Lane Ma le Grove ? Authonzed Sig^amre (Conhact ? r Making Iretalla?iunl Phone Nvmber 424-4232 ? _,,... _,,« W, Af`NNESOTA STATE BOAIiD OF ELE? BE ACCEPTEO BY THE STqTE BOARD Griggs-Midway Bid9. - Ro?? N-19 UNLESS PftOPER INSPECTION FEE IS 1821 UniversitV Ava.. St Paul, MN 55104 ENCLOSED. Phona 1612) 297-2711 5? ?, Cr p REQUEST FOR ELECTRICAL INSPECTION Eg-1O?1 -? 1/??j C ' See i?truetions (or rnmwleting this idm on beek ot Yel low copv. ?? ?l ?? R?l '?i .'r1 q ""X" " Below Wnrk Covered by This Fequest U ...? Fdtl ..,.. ReP _ TVPe ot BwlEing Home APOlianeeaNired X ?n9e Equiamenl WireA Temporary Service Duplex Water Heater Lightiny Fixmres Apt. Buildmc? Dryer Electnc Hea[in Commercial Bldg. Furnace Silo Unlu.?der Industnal Bldg. x Ai? Corditioner Bulk Milk Tank Farm Other ItiV??r.rtVl t r ISpecrtV Ot p O?hi:r 6om p pute rnn Faa yecum.. cc oc?.?.. Sarvice EntrenrceSize # Fee FeeAers/Subteatlers H Fea - Circu?ts U? 0 to 200 Am 5 0 to 30 Am 0 to 30 An! ?s . Above 200 qm 31 to 100 Amps 31 to 100 A s Swinuning Pool V Above 100-Amps Above 100-Amps " Transiormers Ivigation Boort.s " Other Fee PdrUal- Sfgns Special Inspec!ion g TOTAL FEE? 47.5 /,?.vcl wirin or n meEle?y??l? Fouen-In L 7 Insoacbr, hereby certdy lhat the above np} e-.? mspecbon has been Final nuaae. Tnwrepuestvmatnmomm na?" LlA?< - i Th,S.reqorst voitl 516 yq months imm ? ? RMUest D'ate May &, 1985 FirP No. ] Licensed Electncal Convartnr ] Owner unovergity q?e., SL Paul. MN 55104 Phone (612) 297_2111 L? NOT B ? E qCCEPTEDBY THE tUVEST STqTE BOAD UNLE55 PqOPER INSPECTIQN FEE IS ENCIOSED. ?L(7 REQUEST FOR ELECTRICAL INSPECTIOIU Es-00001 4a ' See instrue[,ons lor comp?etirp this larm on baek of yellow copy. /?? D 316 5 8 ,•X.. BeloW Wnrk Cnvn:ad h,. Th... o,.,...,._. 4 Y Il (/l(te .4 Ad BeD. TvPe oi Bmltlmg .._, _._.. Apohancee 1lired .,. ?1 ?IU? Eduipment Wired Home Range Temporary Scrvice Duplex APt. 8ui iii[i9 Water Heater D Lightiny Fixtures Commercial Bidy. ryer Fumace Electnc Heatin Industnal Bldg. Air Conditioner SJo Unloeder Farm x OtliNr Specify Buik Milk Tank Oiher Ispac?fvl f Mr Sucoifv Ot er Othm ompute lnspection Fee Belaw u ServiceEn[mnce5iza p 0 m 200 A m s pAa Faetlers/SUbfeeders N Fee c,•=. n Above 200 qm ;s 0 to 30 qm s 37 to 100 qmps 34 . 0 to 30 qm Swimming Pool 31 tu 100 Transiormeis Above 100_Amps Irngation Boorc?s si gns ns pecial Ins ect er Fee Rernr.k? p ion ? Q/-1' r,p1UlAr'VFEE ? f TIMS Rpuesl voW the Elecnical Inspecwr, Neroby ( Date certify that the above pec[ion hes baen O? O ?da. 5/l?(85 ?7•Da ._ „ E)ReatlY Ni,w)UWill NnLfV InsPei N. 'or When Reatly I hereby repuast irspeclion of above electrical work installad at C?? L 1? I N H. H E D L U N D 7728 Morpan Avenus soutn Rfohfleld,MfnnasoTa 35423 Land Surveyor qvti Enqinesr Phone : 866-2323 survRord' eertifixte JOB NO. SURVEY FOR: John DeVries DESCRIBED AS: Lot 5, Block 5, CINNAA".ON RIDCE 3RD A?PITION, City of Eagan, Hennepin county, A7innesota and reservinF easements of record. MAx. ?wPIE- Ia7o Top of Foundat' =9ZZ. I Garage Floor 92z, / Basement Floor =9zZ.4- Proposed Elevations O ? Existing Elevations - ( Drainage Directions--r ? J Denotes Lot Corner O ? _ o CINNAMON RID E C/lRCL(E o, N5y'44" ? f 3.00 30 , .? i8A ?•??? 2 I a4 1 ?? 1 iTu?N 30 pC N \ \ \ rl (o'mSt4Ke$ Iv'?SYUK S ? 2 S or 8p M b M \ tlz ?? O 92?,7 q.g ? z7,7 ? QO ? O N I $ a 2 P4I z _? 585.3o•o4"W 9i7,! I z ? , V -? ? ao .• ? L' CERTIFICATE OF SURVEY I hereby certify thof on g/ lQ'8G I surveyed ihe property described above ond ihot the above piat is a correct representation of soid survey. Calvin H. Hedlund, Minn. Req. No. 5942 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACI'ORS NUST BE LICENSED itITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1/Z OF ?(VME ?WIH 1'1 1 SET OF - ENERGY CALCULATIONS To Be Used For: A."" Valuation: _4 1 Li2'7. ' Date: Site Address: c,c/ae OFFICE USE ONLY _ Fa.sT 1/2- oF , , ? " / Lot: ? Block ? Sect/Sub ? Erect X Occupancy ?Z-3 Remodel Zoning Q-4 Parcel p Repair _ Type of Const ? Owner (I Enlarge 11 of Stories / Move _ Length 2-4 Demolish Depth 35 Address Grade Sq Ft City/Zip Code , o -------------- -------------------- Phone rr- 9PPROVALS Contractor Assessments Permit ? Water/Sewer Surcharge sO Z -? Address Police Plan Review 139 Z? Fire SAC City/Zip Code ? Engr Water Conn ? m Planner Water Meter (03 °` Phone - Council Road Unit Hldg Off ? [?_ arks Arch./Engr. APC reatment Pl 732.°? Address ?. CQ,. ? Variance TOTAL ?? ??• a $? City/Zip Code c-:n.J?Q,,_ Phone 11 ,. r BUILDING PERNIT APPLICATION - CITY UF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY ?2oF rWl?-4 Op,Me: 1 SET OF ENERGY CALCULATIONS To Se Used For: Valuation: ? ? 4?f,cx)U. - Date: v lo d'.sJ Si te Add r e ss : 'Ic/sp 94, ? WEST 1/2oF ui-t. C-1 pe)e- Lot: ? Block S? Sect/Sub 3RO Parcel 11 Owner & (/" Address -75-C. U ?•,,,,,,a ,(x?. City/Zip Code 9 Phone ycto y6 yS? Contractor ? _ . Address r? City/Zip Code -- Phone ^ Arch./Engr. Address 0? A? k - City/Zip Code .? ?? - QFFICE USE ONLY Erect x Occupancy 2-3 Remodel _ Zoning [Z-4 Repair _ Type of Const ? Enlarge ll of Stories _ Move Length Z4 _ Demolish Depth 38 Grade Sq Ft APPROVALS Assessments Permit 278. 9= Water/Sewer Surcharge =. 5b Police Plan Review 13q. LS Fire SAC 5Z5 °-° Engr Water Conn 5Cp. °-' Planner Water Meter (p3 Council Road Unit Bldg Off1q? Parks APC Treatment Pl 772. = Variance TOTAL Phone # 1 ?? •?3 ?i ? 2/84 ? CITY OF EAGAN APPLICATION FOR PERNIIT SEWER AND/OR WATER CONNECTION (PLEASE PRINi) 1) PRoDERr! ADDRZS3s: L ?,24,7 19 m n ZEGAL DES=?YPICy_ (Ir?t/Blocic/Su?ciivision or Tax Parcel I.D. Ntrr?er) i u-`,zST_:c s-'mcc"- naTE or oRIcuLu. BU2ZDr:c issu,?,.N?.: P.`Sr."NP ::^`m"r,/n?OPOS''?J" US': ? R-1 Siy,= FT?YSLY . 0 R-2 DU?L--{ (T,ip L?IITS) 0 R-3 'iCf.1,-2,U-?CUGE ('!'f-REE + MN7ZT5) { L?IZmS) ? cc-4 APZ?.2?'t?'T/CC2?-LrP1IL?I ( Wi ITS ) ? CClmA%ERCrAL/RE:AII,/OFF= Q ?.'CIIST= Q NSTI;LTIO:]AL/GGVE^'E-El,^r 2) pppj,T='?r (PLEASE_P_RiNL)--- ?-lE: ?vlo?Plun-,nr - ?---?-- Jy/- ?-- - - --- _ PDDRESS ! ? ? ? : ? w - I/ Pv CZTY, ST,-,:'y', ZIP: 41C Il f, P?d l' lllJ PfiONE: 3) FLL:ffiER rAME: SE PHINT), /? ( / ? FOR CITY USE 09LY CC , ?,n/- ? AA W rDDRESS• • , PLVHBEPS LICEYSF: ` Ac[ive CITY, $TA'Ir., ZIP: Expired PHQNE' _ p C ? ??? ? PLU,MBER LILENSE # Q Nat of Retord TE-a initia 't) CX.tiI;Ylu?Pl'/CT.vi••E:i2 IYLCN?L?ini? ruArtE: /?,r E? u i lcl??2 ? aDDREss : CIT'!, ST;TE, ZZP: PHONE: ? 5) IINI7IGtTE ;$fICH PER%IIT IS BEING REQUESTFD: &CO:INEC.TION TO CITY SEWER cCr"=zoN TO czTr waTER ? diIFR (PLFASE DF_SCRIBE) 6) R?IDIG= C::i: • ? PLyA-SE E?OID APPPOVID Pgg,+1IT FYJR PICFi-(3P BY ONE-OF ASGVE PLEASE ?%*AIL APP PROVF? ,%LIT-TJ 1,( 2- 3 4, AIBC7i/E ? j? ---- ? ?- - --(C-irele-one_ C7/ ) 7) SIGZ-ATCRE: /l_?t--?7?-?% ? -? ///piYlC?c?'y"ZlC?? DATE: 410-?.? M! mA:rl?_A! i S lm:4?! i I7tii?iO M If i Iiiii :i a 1t !! ?lfryllsylFJ? S i lAwi?1? 2 F 0 R PE??MIT " ISSUED C I T Y U 5 E O N;, Y F°ES : $ /O• S v $ $ cO S ? $ S $ $ i $ $ $ $ $ $ SE."+ER P"3MIT (I",C:,:;DE JURCH?RGL) WATE? PEPSIIT (Ii7CLUDE SIIRCHA2GE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SESJE4 TAP ACCOUNT DFpOSIT - WATER WAC SP.C TRliNK WATER ASSESSiAE:1T TRtiNK SES•7ER ASSESS:IEDIT LATERAL BENEFIT/TRUNK SE?•:ER LATE?2AL BENEFIT/TRUNK TVAT°R OTHER $ TOTAL $ .?aG•?u P.MOL':QT PAID/REC°IPT ? S?SC1 DOES UTILZTY CON[VECTION REQUIRE EXCAVATION IN PUSLIC RIGi-IT OF WAY? ? YES IF YES, THEN ii "PERMIT FOR 'AORK WITHIN FUBLIC ROADWAY" itilUST RE ZSSUfD BY THE ' NO E'tVGINEERID]G DIVISION. LIST AS A CONDI- TION_ SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED TI:LE: DAT°: ? a?+ls w ? s? !? ?? ? ?l? wJ? l? ? /e iJ4 ws? R? ?k? f! ?wi? ?}?1 R? ?E ? ?! s?ll ?a.a fF? 1F sl? ? ? !._ ' . ' 2/84 I 1 r.ti CITY Or EAGAN A PPLZCATION FOR PERb'IIT SEWER AND/OR WATER CONNECTIODi (PLEASE PRINi) i> PROpEIRTY aeDREss: 19 r))T ??d tCq i L a ? t.Frar DES?RIPTICy: ? (Lot/Blcck/Su:division or Tax Parcel I.D. Nt.ur?er) ' ic STPI;C^M, DAZ:' 0F OiZTGi IAI, riiII.D211:G PRFS47?' LS: ? R-1 SZ;GLE rA'JSLY ? 1Z-2 DUPL...?"; (?A'0 L'PIZTS ) 0? 3 ZC{,,-1\FC{.1cg (mrm.?-i(J:1ITS) ( Wi 7^'S) ? R-4 AFARYIEN'P/COiDG:'lIi`IILni1 ( CNITJ) ? CCfMME,4CI]mI,/RE;AII,/0FFICr: p mcusnrAi II I:asTTTU?rzoaAL/covMn^r 2) Appj,jC-7??,^T N? ?`' ? A ? (PIEAJE PRINT) b • :? U o? u m , '0 rnqi ? ADD:tESS: SU , ??- - - CTTY, ST?1T?.'. ZIP: PxoNE: 3} pj,j,rmgzo NAME: ?!? /' (PLE?_s/??, P/R(NT) < ?{ fOR CITY USE ONLY P,DuRES57 i ? PUJHBERS LICE4SE: = Attive CITY, STATE, ZIP: Expired PfiO?]E: n????n PLUMBER LICENSE N Q Not of Record a?t Initla 'tl ? tr?cpu, NANtE: E?__? aIDnREss: c- IY1f12 ?I1J?I' CITY, STATE, ZIP: mya?lr? ?i;?r;?i? /'rll1 • SS°3G ?7 Pho>rE: ? 5} TNpZG*,T'E WyICH PE1Z•IIT IS BEING RFFC)IJESTEp: r?2( CGNNECPION 'ID CITY 5a1ER QODINECPION 'IO CITY ATATER ?O?E'.ER (PT.FASE DESCRIBE) o) LauLI.;.C. v.'+C.: 7) SICz-Amm: f PL--:?SE f?OZD APPRCJVM PER.',LIT FOR PICi:-UP BY O.IE OF AEdl/E ? PLEASE b^.aIL APPRpVEp PER.?LiT 'PJ 1, ?'3, 4 FIBOVE? '- - --(Circle one)"- DATE: ? _}. • . . ? ?! /? O1?il1lA:f? ir @ l?.afl? ! i i'ltiii?i#1? ? i i?ii?i:? a lt !t!flsY'l?J?! i 1S ? i0Flga11 [ FOR C I TY U S E ON;,Y Pc?MIT °- ISSUED F°ES: $ $ $ S $ 1???.?S?;iEB n?R?'1T_T (I`ICLCD? SU°C?:aRGc) $ $ $ $ J C>f7 . /? $ $ S $ $ WATER PERP4IT (IiICL'JDE SliRCHArZGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE?dER TAP AC^OUNT DFPnSIT - 47AT°_R WAC SAC TRUNK 6VATER ASSESS:?E.1T TRU:1K SEWER r;SSESSMENT LATEP,-AL BENEFIT/TRUNK SE?•:ER LATERAL BENEFIT/TRUNK WATER OTHER ' $ TOTAL $ AMOUti'T PAI?/REC°IPT DOES UTILITY CONNECTION REQUIRE EXC?.VATION IN PUBLIC RIGrIT OF WAY? L YES IF YES, THEN ii "PERMIT FOR WORK WITHZN PUBLIC ROADWAY" MUST B? ISSI'EU BY THE ?NO ENGZNEERIr1G DIVZSION_ LIST AS A CONDI- TIO[V. SliBJECT TO THE FOLLOWING CONDITIONS: ' APPROVED BY: TZTLE: DATE : 7/ twrw??e???s?.c?+aMUM ME= w= w017M w"N WL?+wE?PR M:M Wkm RaWt= ses?PW RancM weWrw? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 New Constructlon BeaulremeMs • 3 regisleretl s0a surveys shaxing sq. fl. M lat, sq. fl. of house; and ?II roofed areas (20% maximum bt coverage albwea) • 2 copies ai plan showing baam 8 window sizes; pouretl fourM tlesign, etc.) • 1setWEnergyCakulatbns • 3 copias Of Tree Preservation Plan J bt platteG elter 7/1193 • Rim Joisl Deteil Options a9lectbn sheet (bidgs wlM 3 or IeSS unNS) DATE .?/ ZC91c-z BemodeVHeoaU Requirements . 2 copies W plan ? O • lsetofEnergyCa1CU18ti0nsforheatedadd'Abns • 1 silesurveylorextefioraddalons&tlecks . Indirate M Mme aerved by septic systemtor addAbns ?- VALUATION f 2"d fj O -,:)- t SITE ADDRESS ??- I 10 [r„K??? JZ,-r(SP Ci-K I-e MULTI-FAMILY BLD6 3.'Y _ N NPE OF WORK D?soY r`?ep,,?r 1" FIREPLACE(S) ,?0 _ 1 _ 2 APPLICANT k'\Y-S .A- fi >, STREET ADDRESS 14 (-lIO Cd"?V.ae.,o.- V1,zIg Crwc (i CITY ES?u,. STATE M!?/ ZIP S"SrL t TELEPHONE #6?-I -s?',(2-i 7c,-/ CELL PHONE # 6 sl -ra -S vj FAX # - PROPERNOWNER I1(y("7*4PV ?''?•+3`*s:'^^p?- TELEPHONE#65'_i-9-sr1-1705/ COMPLETE THIS SECTION FOR °NEW• RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI ?,W54R&?S'94 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • nIvI?1s?gyot WwksF?eet T U LUUL . Energy Envelope Calculations Submitted Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: Mechanicalsystem includes: Sewer/Water Confractor: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Lawn Sprinkler No. of R.I. Baths Phone # Phone A Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this applicatlon, state that ihe information is correct and agree to comply wiTh all appllcable State of Minnesota Statutes and City of Eagan Ordinances. SignafureofApplicanf -...... _......_._._----------............ _......... _ .....__.?.. OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ upaacaa aroz PERMIT #: -.?z g- ?/ CITY USE ONLY RECEIPT DATE: /j f 11?/6 Z 2008 RES1DENT[AL lYl£CHA1VICAL PERMIT APPIICATIOIV crrY oF Ene,yiv 3$30 PILOT KNOB {{D f.Ak6RN bIN 55122 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: 0-1)- SITE ADDRESS: 4410 by)V-Ia'YYI 0y) k OWNER NAME: IVU Y+pch (S-V- TELEPHONE #: C I p? a"?C? a. INSTALLER NAME: TELEPHONE #: 60SXQJ-3J STREET ADDRESS: )d? l 1 m ? CITY: elj ?' k0""'" "- STATE: I y(tv ZIP: aA` f Place a check mark next to the permit work type Add-on, modification or alteration to existin dwelling unit $ 30.00 • furnace replacement . air exchanger • air conditioner ? r- ? r7 ?? • other Lr n ,?,;1n,? ? 14? IJ 1_ 12002 Nature of work:?v I"CJ r 1? ru - ------ ? State Surchar e $ .50 7otal S ? .Jrb UAY1n fu Ld SIGNATURE ERMITTEE I/02 -70003 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmple[e for. single family dweliings &[ownhomes/condos when permits aze required for each uni[ Date 7 / ocs?_ / QS Site Address qya<? C(ti.U,4M6,Cj KiQCpp C(iQCk Unit # Property Owner /)') Di(1 IQ?lE-- T ?I?d/t Telephone # ( &51 Cootractor AQ(J//19- Street Address City /Y]O (I u T State /n /l) - Zip cj cJ?Q &p Telephone # ( (OS? ) c7QD' 8 (?a ?2_ Bond Expires: The Applicant is _ Owner ? Contractor _ Other Add-on or alteration to existiog dwelling unit $ 30.00 il. furnace _Additi r° onal ?Replacement air exchanger ? air conditioner _New XReplacement other State Surcharge $ .50 Totsl $ 3oso I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accwate; that the work will be in conFormance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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. _ ,1?13E.T Lv L f (t nms Applicant's Printed Name Ap icanYs Signature Oct.18 2013 8:58AM Crest Exteriors 651-463-8095 P. 7 Use BLUE or BLACK Ink ~ ForOfflceUs ~ I /I j Permit: I Permit Fee. I City o~ Wan I 0 i I 3830 Pilot Knob Road Date Received: I Eagan MN 55122 I Phone: (651) 676-5676 15taf. Fax- (651) 676-5894 I - 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date; -J Site Address; ~v ) Unit , . Name: Phone: :v= ;Res nU- - ~ er Address/ ON/ Zip: Applicant is: Owner V Contfactor Description of work: r K ` ~ , " Construction Cost: Mutt-Family Building: (Yes ~ I No ~ • ^'~~''e ~ ~ ~ Contact: rn\~~ .r:~. Company: Address: qty' ' Z. 1 2. °I state, Zip: Phone: b9 I 'Z 2 U Lead Certificate License It If 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 of Eagan Issued a permit for a simllar plan based on a master plan? Yes ZNo If yes, dale and address of mastefplan; Licensed Plumber; Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: "-o sl e' fo be'" tC.InfoXfnad9on Porto s;iif 0 =<P/ sand support`s g'' dc'- s s . - .1- e.in~o/~a on,►.►1a abe cf~ss.f a o f s sat` at►vWd pefTP*'sC . o ` 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.ggpherstat onacall.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 1 understand this Is not a permit but only an applIcallon for a permit, and work I5 not to start without a pemtil; (hat the work will be in accordance with the approved plan In the case of work which requires a review and approval of plans. pxlarior work authorized by a building permit Issued In accordance with the Minnesota Stale Building Code must be completed within 180 days of permit Issuance, x x Applicant's Printed Name Applicant's Signature Page 1 of 3 Use BLUE or BLACK Ink ~~F,._ For Office Use p j Permit City of Eat4 I Permit Fee: 1 I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I L - - - - - - - - 2014 RESIDENTIAL BUILD~iING PERMIT APPLICATION Date: Site Address: G%G /ivN ) //z g/, Y~ Unit Name: r i- Phone: Resident/ ~ Address / City /Zip: (W.t ~ ),c A I' ?VX S Owner ,22 Applicant is: Owner Contractor ` Type of Work Description of work: 1 ti /LS Construction Cost: Z~ qo (D Multi-Family Building: (Yes C/ No ) Company:- hl c A N tW..1/f~ntact: Address:.e;.: City: 00, 0AP f`y N 5" Contractor State: .#4V Zip: t~ V Phone: ~ P/ S4 042 License 21 2,' Lead Certificate 104-7- - 37 1 - l If 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 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: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe 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.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 Applicant's Printed Name Applicant' Signature w..._.._ Page 1 of 3 Use BLUE or BLACK Ink ~d For Office Use ° Permit City of Emu I Permit Fee: 3830 Pilot Knob Road j ( I Eagan MN 55122 I Date Received: I I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 6i fI t 57 r-,r E Unit Name: Phone: P Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: S Multi-Family Building: (Yes / No ) ,a r .ft. I IFFY ~11r'~'d<`w"-t~^,;•' Company: CJ1-0hlStreV) ef's~ntact: r Contractor Address: ; 61 yy 5 o City: ~4•p. /V f f" State: Zip: Phone: ~ License 69}} aZ- ir° Lead Certificate 114,47-- 37 i If 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 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: _ 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.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 Buil ust be complet in 180 days of permit issuance. Applicant's Printed Name App igna ure Page 1 of 3