4420 Cinnamon Ridge Cir
. CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21•199, Eagsi
PHONE: 454-8100
SUILDING ?ERMIT F
To M wnd isr .;? W. Volue
5 ite Addreu Erect
`?; Remodi
Lot 81ock Sec/Sub. - -
Parcel No. Repair
Enlarge
Move
Name _
? Address
,.:---
Name , ,.
? Addresa
Citv Phone
Address
City
I hereby ocknowtedfla thot 1 haw rec
the intormotion is tOrrect ond ogre
State of Minnesoto Stotutes and Ci
Siqnoturc of Permift@* _
A Bu1lAinfl Permit is issued to:
pll work sholl bt done in occordonce
Bufldinp Offitlcl
Grade
f
N r 9945
MN 55121
:eipt ?
U Occupency
? Zoning _
? Type of Const.
? No. Storiee
? Length
a oepth
? Sq, Ft.
O
Woter b Sew.
Police
Ffro
Enp.
Council
this epplicotion and state thot gldg. 01
to comply with oll applicoble A?
of Eoqon Ordinonces,
. . Var. Da+
ith oll opplicable 5tate of Mlnrusota Stc
Permit
Surdarge 4 0
Plan Review ' S
SAC 0
Woter Com. ? 0
Woter Meter ' V
RooA Unit
Total ? ] .
on ths express conditlon thot
y of Ecgon Ordinoncas.
Pormit No. Pwmit HoNMr Do" Tele hone #
P???ing ??5? ? , a ?r, ?-Y-? - 5 _.??
H.VA.C.
Ewct.ia ? r?-
soft«w.
InWedion Dm nsp Other
Footin¢
Foundation - .? I
Fnmi
na
? ..? .? ?
Roof Inp
170
Rough Plbp. :
Rouph HVAC 1 f??;? ?/ 70 ? o S P O??
?nsukd;on y_
Final Plbp. 139
Finsl HVAC
Final (v $
Grt/Oac.
Water Dose?ibs Loestion:
MWII
Snwr
Pi. Disp.
T cIrr
Fill in r
1. Date 2.
3. Job Address - 4. Ovmer i
5. Conuactor
6. Addross 1
AL PERMIT Pernnit No.
EAGAN ?
Fes
rened s?aaces S/C 1
,
nt legrWy Tot
on Cost
t Blk. Tract
Phone
S. Buiiding Type: Residential El Commercial O Institutionel O
9. Work Desaiption: New O Add ? Alter ? Repair ?
10. Descrihe I" Fuel Type
I 11.
No.
- Epijjpfmni BTU - M. Ea.
?
Forced Air No. Equiument CFM
Air Handlin
:
?
Mfg. g
BO1len
Mfg. Mech. Exhaust
Unit Heatar
Mfg. ' Other
Air Cond. • '
`
Mfg.
Gsi, Piping Outlets
,
12. I hereby certify that the above
comply with all ordinanoes an
Signed :
Rouyh
Insaections: Oate In
I This is your permit when num
information is true and correct, and I apree to
d codes governing this type of work.
for
Final
ap. Dete Insp.
bared and approved.
CITY OF EAGAN 464-8100
,
J
BUILDINa PERM1T
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, I
PHONE: 454-8100
9
#
Site Add'ep ? ? Erect E3 OcCUpancy
Lot Block L Sec/Sub. Rertwdel ? Zoning
Parcel No. ? Repair ? Type of ConK. j?
Enlerge ? No. Storiet
Move ? Length ?
? Name Demolish ? Depth
? Address , Grade ? Sq. Ft.
Citv Phone Irutall O
Name
Addreas
I hercby ocknowledpe thot I haw reod this opplicatan ond stcte thot
the inlormotion is torrect and ogree to tomply with oll opplicabl*
Stete of Minnesoto Stotutes ond Gty of Eagan Ordinanus.
Sfpnotwe of Penr+ittes
A Buildiny Pern?it Is iuued fo:
dl work sholl be dorN in
Bufldinq Offidal
Assessrr?ent Permit
Water b Sew. Su?tho?9e
Poliu Plan Review
Fin S11C
Enp. Water Conn.
Planner Water AAeter
Countil Rood Unit
Bldg. Off.
APC Total '
Var. Date
on fhe expreis tonditlon Iha1
or+d City of Engan Ordinonat.
ocoo?dante with all oppllcoble Stote of Mir
Pwmit No. Pwmk HoldW Deb Talephone #
Plumbinp ( L Q pl 'e
H.v:a.c. . 2
El.ctric
Soitswr
Inspection Date Insp. Other
Footinqt
Foundstion -?l e4tr k)
Fnmina
Rooilnq
Rou9h Pltq.
Rouph HVA P,??e G1 ? S e !/d0
?nsulnion
Final PIlp. ?.
Final HVAC (,V
Finsl y Cv a
c..voco. ?I v ?{ Z •
wate. Doseribr Location:
rwn
Sowsr
W. D'ap.
Racsipt
- ii t.
) - (.)
MECHANICAL
CITY OF Ep
Pennit No.
Fw
S/C
? I YP8 or rrmr regiay ? Tft .
1. Date 2. Instailation Cost ?c , ? - ? •
3. JobAddresa ??'+i?h • lot Blk. Tract
4. Owner
5. Contractor Phone ' Z? -' •
8. Address
R
7. ?ty .,-ah?i:_.. State Zip ?
8. Building Type: Residential 'C1 Commercial ? Institutional ?
9. Work Descxiption: New O- Add O Alter CI Repair ?
10. Descxibe !`: : n 'tl(, '= Fuel Type
11.
No. Equinment 8TU - M. Es.
Foroed Air ? ` • ' No.
-? Eouiament CFM
Air Handlin
:
Mfg. g
Boilera E
Mfp. Mech.
xhaust
Unit Heater
Mfg. Other
Air Cond. • . ,
Mfg. erri
Gas, P'iping Outlets
12. I hereby certify that the above infwmation is true and correct, and 1 agree to
oomply with all ordinances and codes governing this type of work.
Signed : for
Rouph Finel
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt ' PLUMBING PERMIT
f CITY OF EAGAN
/ Parmit No.
Fee ~
Fi!l rn numbered spaces S/C
Type or Prini /egib/y Tot. •
1. Date 2 Installation Cost
3. Job Address - - ? ?• • Ldt Blk. Tract
4. Owner
5. Contractor =r Phone - i : - `
- t
6. Address 'r L ?
- p?
7. CILy SL82@ ZI 1
8. Building Type: Residential CI' Commercial ? Institutional O
9. Work Description: New 0 Add ? After O Repair ?
I 10.
1 11
DBS??ibe
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
f Bath tubs Septic Tank
Lavatory Softner
' Shower Well
Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
? 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 ordinances and codes governing this type of work.
Signed :
for
. Rouyh Final
Inspections: Date Insp. Date Insp. ?
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition Ci nnamon Ri r3gP 3rd L
Owner 42.944, 4 444 - r- cI -_ Street 442?
C
122
Improvement y Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER IATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
STREET LIGHT
WATER CdNN.
13UILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition Cinnarnon Ridge 3rd Lot pt • 4 B,k5
Orw?ner ?l1) S.LI.?Y, =?-?;4 str?t 4422 Cinnamon Ridge C:
/1 1?? w w?. /QhLw / il-Tf4i ,,/„ 1. - -
lWnprovement Date Amount ? Annuai Years Payment Receipt Date
STREETSURF. S@2 T'1. inal arcel fOT' T'8V OUS aSS2S ments
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
Y OF EAGAN Remarks
Additio CINNAMON RIDGE 3RD ADDN Lot
Owner Street 4420 & 4
A/. --
Improvement
Date
Amount -
Annual
Years
Payment
Recei
Date
STREET SUR F.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 . 22 6.81 15 Ej If "
*SEWER LATERAL ? 1985 323 : k 0 647.90 5
WATERMAIN
*WATER LATERAL
WATER AREA Z,OI 1973 131.44 8. is 1 . 6
* x
STORM SEW TRK 1979 381.69 19.08 2$.1
* STORM SEW LAT rc 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT ?qo
7/85
WATER CONN,
BUILDIN R.
SAC
P K
vl . T ..r tAUt+?ti
3830 Pilot Knab Road
P. O. Box 21199
Eagan, M1g 55121
?-
PERMIT
D/1TE: .
. No. of
Address:
Nn_ •
to ?o?yl? wllb IM Ciyr of /e"u
of Irxp..
Connedion
Aooount Q
Pertnit Fee
Surctwrgs:
Misc. Chor
Total: _
Dote Paid:
V?'7- v oi ta?AbA ::,?iElk ;?,.yi6.r Pfik?'w1f
°-lot Knob Road
K21199 PERMIT NQ. ;)^?
o,MN-55121 DATE: ^o:
No. of Untts: er.
:?e b' r :i.e.s
??ross: 44 2 ,rw? .' LtcIC'%+R5i I.i B5 ('inn Ridre '
•
r No.: 3 - - 6) ? ??; 5)0.C10
Si e: tl?,posit: 1 S 10 r' ?
RaodW No.. -1) ?4 Permit Fee:
?
1oNw te os?vy? wiA Ke Cihr of bp¦ Su?chnrge?
?
7ga,e IWac. Cl+arpas: nd
Total: u'? _??l 0 n ri m t t.-, r
BY Dote Paid.
Dote of Insp.: Iryp,•
? - - - ------- ----- _-__ _-
CITY OF EAGAN SEyyR SM
3830 Pilot I:noh Road
P. O. Box ;'i199 PERMIT 040.: _
Eagan, MN 55121 DATE:
Zo^i^0: No. of Uhits: _
i awner ? . _.
Addrcss:
? ?? 41,2 .. ?,-+
Address:
? Plurnber. ' . . : ?: ? ? • . ?
1 pm N earpllr wilb !M CiRy of syow Camedlon Chorqs:
Ordimnow Ncoour+t Depo:it: _
Permit
PERMR
BY Misc.
Dote of Inap.: Totoi:
d 19l.: -K ..kk .?? : t?a111A'
PERMIT NO.:
, ,.
DATE:
No. of Units: •.:nZex
es Blc? rs
/lddross:
No..
Reoder No..
? som t'0 GM* witi 11w Cihr .1 go.w
OrakleeeM.
By __
Date of Irap,;
e;' b (e . EA a. .: .
3830 °%lot. Knob Road
P. 0 x ?1199
Esgan, MN 55121
ZoninD:
Owner,
WS+te Addrom 1 `, i
umber: _ ,?'k1
br No..
$Ize: .1/'g?/?- - •i. _ _
CnnnecHa, G,orQe; _ S O p, O Q p,?
Aocour,c oepostt: I5.00 nc;
Pe?mit Fee; 10.00
Surchorge: , .5 ?1 n d
Misc. Chorpes; 132. JO pd
Total:
Dato Paid:
inop,•
r: ,ftt ", S?kifICk Pot11AIT
PERMIT NO 0
DATE: -' ?
No. of Units: duD'.` Px
w
ChorQe: 5 0 0.00
Reodsi No.: Q?.?? 5F n ItOW41boPosit: 15.0( - P-
I Nr.e te ao.rb wi& ti. C+h of f.?o., Pem,It Fee: 10 . 00
O? 5u"ch°rfls: d
1VIIsc. CJ,u?oss: 1 32. 00 Id
By Totol: i f 1 .r
DOtE Of If1fp.: DOtA POjd:
77 i^wP.:
? CITY OF EAGAN
? 3830 Pilot Knob Road
, P. O. Box 21199
Eagan, MN 55121
Zoninp; ------
Owror: ,Fyr. it?
r'1ddress:
Stte Addreu: 4+2 C
Pfumber: _ li-ray
SEINER SERViCE PEnmrr
PERMIT NO.:
DATE; .'r
No. of Unita: duple?-
nR
1M Cpyof E6100
ey ___?
Date of Irqp,;
Corn+sceton ChafQe; 425. 00 d
ACCOUnr Deaos+t: 15.00
a
P`&rmit Fee: 1o C 0 ?1
Surdbrgo; . S ;
Miac. CMroes:
Totol;
Doft Pbid:
_ _ - - -- -?
CITY OF EAGAN N! 9946
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 LAwl
BUILDING PERMIT
OF TWIN HOM]
ReceiDf #
49.000 oare MARCH 7_ _ 1905
sttenddreas 4422 CINNAMON RIDGE CIR
Lot4-Block 5 src/sub. rTNN RTD. . 3
Percel No.
W
?
Name DEVRIES BLDRS
Pho„B 420-4685
o Name S?E
t
? Addreu
? City Phone
?W Name HIILLIAM GAGE
4,-? Address BOONE AVE
:W City BROOKLYN CR&e 533-5026
I hereby ocknowledqe that I have read this opDlication and state that
the inlormation is correct and o9ree to com0ly with all applicoble
Stato of Mmnewm Srotutes nd ?ty of Eagc Ordinonw .
Sipnafurc of Permittee ?
w euudino Permie is issued ro: DEVRIES BLDRS
ull work sholl be done in acmrdonce with all aDP1ieepia Staro o(`RIR
Erect bCl Otcupanty R.1 '
Remodel ? Zoning R4
Repeir ? Typa of Conct. y
Enlarge ? No. Stories
Mave ? length 24
Demolish ? Depth 64
Grede ? Sq. Ft.
Instell ?
Aowovols ian
Asussment
Water 8 Sew.
Police
Fi.e
Erp.
Plonnar
Councll
Pertni[ 2 c i o.? v
Surchorga 24.50
Plan Review 139.25
5qC 525.00
Water Conn. .500,? 0
Woror AAeter 63-? 0
Rond Unit 7R0 _ O0
BIdg.Off. 3/6/85 IT.P, 132.00
APC Total ?'1 .942.25
Vau Date
on the exlmss conditlon Ohat
Reaqto Statutes ord Gty ot Eopon Ordinances.
Buildinq Official
. ? CITY OF EAGAN y° 9 9 4 5
`? ' • 3830 PiIM Knob Road P.O. Box 21-799, Eagan, MN 55121
PHONE:4548100 ( a
BUILDING PERMIT Receipr #! ?
Te bt wad iee z OF TWIN HOMffst. Value $49, 000 Dote MARCH 7 , jq 85
SiteAddreu 4420 CINNAMON RIDGE CIR
Lot 4 Block 5 SeclSuh: CINN RIDGE 3
Percel No.
W INM. DEVRIES BLDRS
? Address 7564 MARINER DR
c;ty MAPLE GRV Pnone 420-4685
Erect It Occupancy R3
Remodel ? Zoning R6
Repair ? Type of Const.
Enlerge ? No. Stories
Move
? ?
Length
Demolish ? Devth 64
Grade ? Sq. Ft.
Install ?
Avo•ovols Fen
}G Name SAME
g Addreu
? City Phone
?W Name WILLIAM GAGE
x-Z Address BOONE AVE
iW City BROOKLYN CT?,e 533-5026
I hercby ocknowledge thot 1 Mve read this oD0liwtion and stota that
the inlormotion is correct ond o e fo wmply with oll oppl,coble
State of Minnewfa $totules an ty cf Eagan O inonce .
1
Sipnoture of Permittee A Building Permit Is issued to: !
oll work shall be done In accordance
Asaessment _
Weter & Sew.
Pollce _
Fire
EIa
Pner _
Council
Bidg. Off. 3/6/$ 5
APC
Var. Date
Permit S 2/ 25 . 7 U
SurcFwrga 2 4- 5 0
Plan Review 1-19- 95
SAC 575 _ 00
Worer Conn. ';0.00 0
Water Meter -63?0 0
Road Unil -24)_,00
T.P. is2_no
Total $3-1949 95
an ehe exprea conditbn thot
Statutez ond City of Eayon Ordinoncea
Buildfnp Officiol
Thre requesl wid 50 3q 0 31aa l?s
18 `?^[ s rom
o I ??J2
Heques[ ?ate
Fire No.
pouBh-nn tnspecU ?-
??" ? Nequne.l? []ReaOy Now ?fW.ll Notify Inspec-
l`a
fidyes Q No tor 1Nwn ?p?pY
? ucenseU Electncal Conhactor I ryereby raquest iospection ot above
? Owner ...-
Street Address, Box or floute No.
!
ection o_ 7owre io Namc or No. Nange No. Cp??? y
Or.cu n[ (PRINT) ?. pF
w
ne N.
l
/
Pow SupOlner Atldress
t
Electrical Contractor (COnpany Name? Cmhacmr's License No
04 .
Mailina Addres
(Contrdct w Owner Making Ir?
ilationl
S
AuMorizetl SigMture ( onrrac[orIOwner Making I2stallatiunl Phone NuMCr
mntSOTq y7pTE BpARp OF ELECiRIQlYI
'c-MidwaY Bldp- - Ibom N-191
wersity Ave., St Peul, MN 5510C
. ` 297-2111
I hI5 INSPECTION REOUFSr MLL NOT
BE ACCEPfEO B? iHE SrAiE Bppqp
UNLESS PROPEq 1llSiFCTON iEE LS
ENCLOSEO.
G??3 c{0 REQUEST FOR ELECTHICAL INSPECTIOPI Es°°°°'?.
I? , S. inr.h?ecia?s fa campleting this fam w Cact of Yellor eoDY-
I ?5 I a Qri 7 "X" Be/ow Wcrk Covered by This Request Ido tl
(.om
p pMe ms
Fee pecuun ree ne.Uw
Selvice Entmme Size
p
Fee
Feetlars/SvDieeders
N
Fee
Qrcmrs
??p Zpp qm 0 to 30 A ' .D 0 to 30
Above 200 AmES 31 to 100 Ar`ps . O Q 31 to lOQ A '
Swimmirg Pool Above t00! AmPs Ab°Ve tU0-A
'
Transiormers Irtigation BooRS i.$d Other Fee
Partial•
"9'? - -- - > ? TOTRL FEE
flem?Iks I / ( q 2..04
RouBh-m ( I Oate , tne E's6o1
I l.s?tcx. k.eb„
cen:h IMx the above
l /
Fin U 1e!
[ +M1CO??im has besn
a
i ?
rmAe.
tld???va?oinmonvnm.?. -
This raryuest wid /?
18 '""?nt/h+s[fJ??? opn rp.?J 3 yI /o q 31 ?a 185
103 1?F i?. 1 /
Reauest Date `? / ? , C1 i _
J --?i -? / . L1 U
3-16-85 Fire No. Rnugh_'- Impe".
?4."a> ?x?w na.,Xjwiii Noul
l.
-
K] Lmensed El..cr.irn? r......?.-.,.. ?
Yes ? No ??
w
tw qh¢I pe.dy
? Owner Ihereer reouest abovw
..e..
$veet AAdress, Box or floute No. -_
• ?M_ ••0? ?W a•?
City
420 CInnamon Ridye Circle
e
U Eayan
c
On o. Townsh,0 Name e or No.
Rarge No.
CaniY
Ea an
Occupam IPltINT) Dakot
eVries tluilders N°.
424-2611
Powe,r $uppIier Add CSS
akota ELectric 4300- 220tn St. W..Farmington
Electncal Contractor ?Co?npany Namel
Cmtracfnr"s Licens¢ ryo
ontem orar Electric, Inc. _
0419767
Mailinp AtlJress (Con?ractor m pyn?e? 1laking Inslaplatian)
UUO Bass Lake Road 2U1 Cr stal MN 5 429
A
ufion,ed $igna[ure (Conttactw/ON.??q? ?k?? ?o? N'e ?
535-8U29
NFCnrw ? / tw
Grie9s-MidwaY elA9. - Iban N-197
1821 Un?veraity Ave., St. Pau1, NN 551
Phona (8121 297-2711
R?. ? ?un n[l11lFSi WILL MOT
eE ACGEPIED 811ryE STpTE gpqpp
UNlE55 ppppEp IN51EC770M FEE IS
ENCLOSED.
5(?3 y 6 REQUEST FOR H.ECTWCAL INSPECTION EB-000???
? See i?truetims for mmpbti?y th:s Tvm m bck of wilo? capr.
B14955 ..X.. Be/ow Work Covered by This Requesl
fi"woaJnep.j TVpe of BuiMirq ' ApplianimeswirW ? EauiponrentAiicd ?
Bulk
M Fee ServiceEntra?aSize
? Feeders/Subleeders # Fec Circuifs
? to 200 Am 0 to 30 A O tn M
Above 200 qmD, 37 m 700 A?rys 31 to 100 A
Swinming Pool qhove 7pp- Abov¢ i00_Anps
Transtormers Imgation Bootrs Partfal/OUier Fee
?•?•= a{RCiai mS?ICCLOn
'"?'"? 5 47.50 rorar?l
?irinq of new home /. / -7_,,,, j
Roueh-in ?
e
1?¢roctar_ MrebY
7nal
? mnih Met the abor.
??
(/
C
p? y¢
/ R7-f'l '?tim has beon
.
`
.
+ c.P' mde'
,
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONiR9CTORS NUST BE LICENSED {1ITH THE CITY OF EAGAN
I INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: I/2 oF 7ww (-)crt6 valuation: Date:
..r,
Site Address: 4420 CINNAMON ?QbE GI2,--LG OFFICE USE ONLY
1/2.oF ciuNaMCN
Lot. 4- Block Sect/Sub2ioGe Erect ?C Occupancy Q•3
Parcel U
Owner KdZ
Address
City/Zip Code
Contractor _
Address
City/Zip Code
Phone 0
Arch./Engr _
Address
Phone #
del _ Zoning 2-4
ir _ Type of Const Tr
rge U of Stories
_ Length 24
lish _ Depth (04
e _ Sq Ft
- - - ----------
---
Assessments Permit
Wate'r/Sewer Surcharge
Police Plan Review
Firel SAC
Engr? Water Conn
Planner Water Meter
Council Road Unit
B1dgI0f Parks
APC Treatment P1
Variance
rorAL
218. S'
Z so
525. °?
oo.
(03 m
280. °-°
,
NOTE: ALL CUNTRACTORS tlOST BE
To Be Used For: '?2;.OF •'rj.jIrJ "p- Valuation:
Site Address: Q-?ZZ l_..INNPMON 46ECIRLt,,?"
We-5T 1/2 oF
Lot: ? Block ? Seet/Sub 3.r„Q Er
Parcel IF
owner Dc= 4/2i &--s 13 cPO2 •
Address y /?l qR,,,.C-x
City/Zip Code piApc,;7- ?,poor P.? ?3t-9
- CITY OF
WITH THE CITY OE EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
coo - M- Date: c}-.711fisr
OFFICE USE ONLY
t x Oceupancy 2-3
del _ Zoning 12 -Q-
ir Type of Const --I;t:
rge # of Stories
Length Z4
lish Depth (04
e ? Sq Ft
-------------------------------
Phone y,to Y6kt APPROVALS
l
Contraetor Asse
ssments Permit 2"1?'j,_50
Watej r/Sewer Surcharge 24, 50
Address Poli'ce Plan Review 13q.zs
Firel SAC
City(2ip Code Engrll Water Conn
Planner IJater Meter °O
Phone - CounI cil Road Unit
j ?O =
Bldg
Off3 rks
Arch./Engr, W J?<«o.,-? ( .g.4LC APC I Treatment Pl ?2 =
Variance
Address Ros u?' /}c.L' TOTAL
City/Zip Code 132oa?«yw ???, ?=?
Phone 0
QF?UG LLhAP?I?LL FpR -(DNG 4 DIAI-
l23UChfo?i? PI-bNE
/C,` A L V i N H. H E D L U N D »ZS Morqan Avenue so?fn
Rlchfield,Minnesota 55423
Land Surveyor Civil Engineer Phone : 866-2523
/.r?I?f ?.'fi / •'t ?A"?'??'
? JOB NO.
SURVEY FOR- John DeVries
DESCRIBED AS: Lot 4, B]ock S, CIMvMPN RIPCE 3I2n ADDTTION, City oC Fagan, Dakota County,
Dlinnesota micl rescrving casemcnts ol" recorcl.
Ton of Poundations =9-.6 Existing Hlevcitions--
Gnrno'e Ploor = 9zo.Z Drainage Directions -
Basement Floor = 9i?,5 Denotes Lot Corners O
Pronosed Dlevations p ?
? .
? - c r7:?cL E
? ??? , 5- - - o
91sn
N89'059'46"W 9/7.7
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?O?' ? 6y. D5 ? •48'3 " ? 37.00
/'?? ?h' ? 0 9iy,9 9i9,?1 /r4 '
/G?? S
a 1.'
? 1?$?? ?? ?`-,4r Ca? M W 17 ?o??s-ruKeS
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,.? yzc/ 58r,030'0 4"w I
, , i ?• ? i
?
CERTIFICATE OF SURVEY '
I hereby certify ihat on 2/2?)/bS I surveyed the property described obove and ihat
the above plat is a correct representation of soid survey.
4'4.._...?
Calv n H. Hedlund, Minn_ Reg. Nf o R. 5942 ............ "00"*
?
?.. i ? 2/84
CITY Or EAGA?N
I }
Il1l APPLZCATION FOR iPERMIT
• SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPEFZT?' ADDRESS:
r•FrAr, DESCRiPTIC:V _ ? ?? p %bi1 YYi (1 ri
(Int/Block/ ubciivision'or Tax Parcel I.D_ imber)
I I'r' WiIS'"=:G S'?'?,L'C^?T.tE, DAT' O° OiZTGuIAL uiILDI::G P:-?_,TIT ISSU?NCE:
PRWSENT. :.n?IIi,T,/PROPOSn IIS: O R-1 SINGLE FP-MILY
? R-2 DUPL--{ (7%0 UrIITS)
0 R-3 TG?o.1iII-ICUSE (Tf'_R. W+ L':12TS) ( U.IZ?'S)
? R-4 r1FA?T:-?7T/CCi'SJCi.!IP1ZL`?S ( UVZT_J)
Q CClVASQ?CLAL/RE:AII,/Or'FIC::
? INDliSTRSAL
? NST=ICVAI,/GG=IME."P
2) AFPLIC=?NP PLEASE PR1HT)
ruu-IE: ?lrt m(????? C?orr?u?f?nl?/
ADDRESS: -A [- e Se. .
CTTY, STATE, ZIP: ?, (?,1? I_-?j '( k)3
PHONE: "C
3)
pjZ,^,.tg?? LEASE PHIHT)
?
?omA
L
FOR CITY USE OHLY
H
y
ADDRESS: - '/
? ?- ?- Ue
114 PLUNBF.RS LICEYSE:
[7`
. j Active
CITY, STATE, ZIP_ / : '?5 Expired
PHONE: it.
?Gj - /,Cj:a PLUMBER LICENISE N Not f Record
a nitia
4) OC.'CrJ?AN'r/a,r,]ER
NANF: 7 (PLEASE PRINT),
P? t?u ir?? S
ADDRESS: fi1 190140t? 4j
CIT'L, STA'IE, ZIP: 6p-0Je )) Ir _?.5?? `
PHOrE: y?/- G;?GiS I
5) PIDIG",TE MIICH PERMZT IS BEING RDQLJESTID:
CY]NNECfION TJ CITY SE39ER
?,...
6) IS:DIG,':'E C2E:
l?v+ri?16„y1Viv 1V l.lll YYHlf:it
d71EF2 (PI.CASE DESCRIBE)
? PL°ASE f?OID APPRUVID PERMLT FOR PZCIi-GP BY ONE OF AB('VE
? PIFASE D*AIL APPRaVID PIILKIT I10 1, 2 3, 4 AHOVE
? I (Circle one)
7) si?Tv?: !?"G??FZ??"C/??r /2?4fic?4J- oaTE:
MR gla+?aRfrssy??a?c?ea . ' ='" . •..
?ra! ?a ??tsaare?.?l a? as ?r a?sa?:a a? fRlrr?!s?? m-v?Y Ys ?s i?a?csa'a e
FOR C I T Y U S E ON;,Y
PERNIIT .°- ISSUED
FEES: $ io..g-a
$
$ lsa? ?-d
$
$
$
$
?r ----
$
$
$
S
S
S
S
$
SEWER PEB?1T_T (I`ICL?D: SU°CzaRGE)
WATER PERPIIT (INCL'JDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSZDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:dE4 TAP
=CCOti::"_' :=-.rSIT - .?3
ACCOUNT D.F,POSIT - VIATE3
WAC
SPC
TRCiNK WATER ASSESSMENT
TRliNK SESdER ASSESSbSE.IT
LATERAL BENEFIT/TRUNK SE:':ER
LATERrIL BENEFIT/TRUNK I4ATER
OTHER
TOTAL
AMOU:QT PAID/RECEIPT # dog
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
C] YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIV:SION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOS4ING CONDZTIONS:
APPROVED BY; c2f ec-,v
TITLE:.4e
DAT° :
=?w imm Meoun wt:mwmwmotm up"" w.aw%?W w??W"q 0&-= wO= seW," w.aPcWwsM NM M
I
2/84
CITY Or EAGAN
APPLICATION FOR PEfLMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINT)
1) PROPERTY AI)DRE55: l//11 %(I l6'l1D/'V ?/ Cd L z' i ('O? I
r_Frar• DESCRIPTICN: LO f? ,yjlOtx?; 5? ---`' (J/
(Lot/B1ock/Subdivisicn or Tax Parcel I.D. N` r)
I EFS'?'RL'CP^.ZE, DAT--- Ot' OR:GI,IAL cuILSJI^:G PEP.'ST ISSUr`G.:
FP.E•SL.': :.: %'II2r'/P!?OPOS=" L'SEE: ?R-1 SLNGL : FP_^?LiLY
? R-2 DLJPT-{ (7ti0 L1NITS)
0 Et 3'IG{v1V7-?CYT?E (Tf?4?::. + UAIITS) { QiVITS)
C] R-4 APAR=?'?7T/CC?ZCn`LryILti1 ( Wi ITS)
? CGYn1EF2Ci?L/F2t.':AIL,/OFFICE
? ?1?Tis1.??'.T
? NSTI'i",'TIONAL/GGVE.T2TL%?.'T
2) APPIScn.N4' LEASE Pat,vr)
7
MV'IE_ t>l+??lo? ? /uV?, b;/06 (n
AnDREss:
Cl'I^l. STATE, ZIP:
PHOINE: tJ?n%- ??-al I
3) PEumBER PLEASE PflINi?J
NALME: )34Wl?K Clo FOR CITY I1SE (INLY
ADCRESS: ? ,? I ' Lj ?• ?
? p
? PLUytBERS LICE4SE:
?
. .
,
, I r I
CITY, STATE. 2IP: Active
Expired
Si ?
PHO?: ?G.I-?,? ?I PLUMBER LICENSE N Not of Record
3
a ni ia
q) pCCUppNr/OPzT.ER ?EASE PRINTJ
NAME
D
?
?/
:
?
?
,E>? «,r??c?s
ADoREss:
CITY, STATr-, ZIP:
PHONE: ? t/- I?rPQ?
5} INpZ= S+II-]ICH PFS3h1IT IS BEINC; REQUESTID;
CODIDIECI'ION TO CITY SETr1ER I
cocvnrEC;zerr 2n czTr waTEz
? ?4TR (PLS•'115E DESCRIBE) I
6) INDIG; ?" C.dE:
? PI.EASE f?OID RPPRWID PER,tiLiT FOR PICI:-UP BY ONE OF P,BWE
? PIFIA.SE :*AiL APPROVID PERMT 'P'J 1, 2,03, 4 ASOVE
(Circle one)
7)
SICZAIL'2E: ?
DATE:
S -1)
?-??
MO IROIi+R/4ssl?IeilY:a?l??fta/ltq? ••o" •.• •
?. .
F O R
PERMIT '-` ISSUED
I T Y U S E O N:. Y
F°ES: $ ia .S'v
$ ZLlIr'd
$
S
$
$ /•?; +-•-?1
$
$
S
S
$
$
SE;^iER nER,1rT (I`ICL::D? SU°CH?RGE}
WATER PERAIIT (Ir;CiII?E SIIRCHAr2GE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLODE CORPORATION STDP)
SE:4ER TAP
ACCOUNT DFPOSIT - 47ATER
wAc
SAC
TRliNK WATER ASSESS.-1E:IT
TRti:IK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SE:VER
LATERAL BENEFIT/TRUNK WATER
OTHER '
S
TOTAL
ANl0U:VTT PAID/RECEIPT 4
DOES UTILITY CONNECTION REQUZRE EXCAVATZON IN PUBLIC RIGiiT OF WAY?
C] YES IF YES, THEN n"PERMIT FOR *AORK WITHIN
? PUBLIC ROADWAY" MUST BE ZSSUED BY THE
NO ENGINEERING DIVZSION. LIST AS A CONDI-
TION.
SUSJECT TO THE FOLLOSJING CONDITIONS:
APPROVED BY:
TI:LE: ?u?6J
DATE : ? -2 9 _
w 10! rrJM W! Wfe Wtw Mt=lW=/4 W?=N wAM NI1:M/F Wia W_MRa !kjjplR siN MM
RESIDENTIAL BUII:DING
i
Permit Applicat
ou
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConstrucGon Reauiremenis RemodeVReoairReauirements Office Use Onlv
3 registered site survays shaxing sq. ft. of lot, sq. fL of house; and all roofed areas 2 copies of plan Ced of Survey Reod _ Y_ N
(200h mazimum bt coverage allaxed) 1 set of EnergyiCalculations for heated additions Tree Pres Plan Recd _Y _ N
2 topies of plan showing beam & wiiWow sizes; poured found desgn, etc. 7 site survey fo? addiGons & decks Tme Pres Reqd Y_ N
7setofEneqyCalculations Adddion - indicafeNon-silesepficsystem OnsiteSeptlcSystem _Y _N
3 copies of Tree Preservation Plan if lot platted atter 711/93 ?
Rim Joisl Detail OpUons selecfion sheet (bldgs wBh 3 or less units
Date V 3 ?4- ?-?-? Construction Cost
Site Address ?60 2 01'.z/NlAvt ?h UniUSte #
Description of Work 7E-71C Gr? ??aU?`
Multi-Family Bldg ?Y _ N Fireplace(s) 1 0
? _ 1 _ 2
Property Owner e(???:/?J ?!?'?lL S I
I
Telephone #(61?"/
Contractor e0 u4L Destq?
Address S?J- PS? City 7419701e Uat-
State Zip sSI/ Telephoneti(1?-5?-)
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1
• Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
. Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
? ???? 'iS n1
3ri?? I IlYl9 l? IN ?'I
SCP G 4 2CC3
Telephone
so, 25% plan review
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and 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.
/4o rL Reu?
ApplicanYs Printed Name
Applicant's Signature
Oct,18, 2013 8:59AM Crest Exteriors 651-463-8095 P. 13
Use BLUE or BLACK Ink
FOr Office Use J ^ _ I
I
• ~ l~ I
j Penn llli:
City of Eap Permit Fee: V~
I
3630 Pilot Knob Road Dale Received: I
Eagan MN 66122
Phone; (661) 676,5676 i I
Fax: (661) 675-5694 1
2013 J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0.11-1 ~5 Site Address; Unit
Name: r 1 Phone:
gr.• Address ! City / Zip;
.0 n
Applicant Is: - Owner Contractor
Description ofwork:
Construction Cost: Multi-Family Building: (Yes No
-'•s X1Q``~Contact: `~`(11Y3.
-rVX IS
»~•.s Company:
l~~j
Address: Ity:
~A A/C lit-e-280 MPIS
R nt.
Stater Zip Phone; (91 'Z
2.. License -1- 2 Z ~ 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 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 y/No If yes, dale and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor Phone:
Sewer & Water Contractor: Phone:
8.3s eu c a io rQ s of
TBs'pl u
t o jn ess s acF. d.p~ 1 fhe C ` `o
al s A
< cz^ J::• f.... ~.o,..•. a 6.s90-FORS,
•
.ea c • 9 ~Ce.
CALL 13EFORE YOU DIG, Call Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Cell 49 hours
before you Intend to dig to receive locates of underground utilities. wyw.goPheEggWggecaILpM
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; Thal 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 100
days of permlt Issuance.
x x
Applleanf s Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
J -1
Permit#:
I
City of Ea Ed~a
I Permit Fee: 1
I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: 1
Phone: (651) 675-5675 I I
1
Fax: (651) 675-5694 I Staff:
1 I
- - - - - - - - - -
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
~A 11111 Site Address: gL./nit
Date: 3 el
_ -t
Name: ti w'-~' :::,s°f - Phone:
Resident)
92
Owner Address /City/Zip:
Applicant is: Owner Contractor
Description of work: S C ` 5 `~'~~25
Type of Work
Construction Cost: Multi-Family Building: (Yes / No )
. I•s. 1 r Jr t Ai/► 7 ?rALa'''r lU t'~-..~
Company: tjete'% ~ G- +v F^1v T.i,+,fe' ontact: /
Address: ~,t 57 City:
Contractor
State: Zip: / ` Z Phone: 642- 16' , sr
License ~ ? 2.2-4,10 Lead Certificate /V4'= 3 7
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.qopherstateonggall.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 0-----
days of permit issuance.
x k/r Lztsk e ,r` x
Applicant's Printed Name Applicant's Signatu _
Page 1 of 3
Use BLUE or BLACK Ink
-ffi--ce - Use---------- - I
For O
I
F« j Permit I V j
City of Eap I l
I Permit Fee: ~ I
3830 Pilot Knob Road I 3 l I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 X-3 Site Address: r'ee~ r- Unit
Name: -Q::-Phone:~.3~'
Resident/
r 5~S _f
Owner Address /City /Zip: 2. P=
Applicant is: Owner Contractor
j Description of work:
Type of Work : 11
Construction Cost: -74 4~3 Multi-Family Building: (Yes / No )
Company: 4- N t r"` Al titVP'!!L s ontact:
® T 5•~ _
~
l Address: rrr _S& City:
Contractor
I State: J' Zip: Phone: 642- / -
License .off s?- G*- Lead Certificate /V q.;r- 3 1
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 I
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.gooherstateonecall.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 B must be comp) within 180
days of permit issuance.
f
Applicant's Printed Name Applicant's S gnature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131213
Date Issued:06/08/2015
Permit Category:ePermit
Site Address: 4420 Cinnamon Ridge Cir
Lot:041 Block: 05 Addition: Cinnamon Ridge 3rd
PID:10-17402-05-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Minh Le
4420 Cinnamon Ridge Cir
Eagan MN 55122
(651) 399-4334
Blue Sky Mechanical Llc
41531 237th Ave
Le Center MN 56057
(612) 756-2255
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK ink
--------------,
� For Office Use 1
� l �
�b �l �' , i Permit#: I
� � � Pertr�FQe: 'W I
3830 Pilot Knob Road � — �
Eagan MN 55122 � Date Received�! `�� I
Phone: (651)675-5675 �
Fax: (651)675-5684 JUL 2 7 Z015 ; s�a�:S ,
�����������������J
2015 RESIDENTIAL PLUM$ING PERMIT APPLICATION
Date: �"�ZD�,�S SiteAddress: '�l�Z� �.��Y1GJ�-Yf'1-C�''1 R�1_C�t� C 1�!'C.�-e �
Tenant: N����' 1 � Suite#:
Name: Phone: �51 3�q— �3 3y
Address/City/Zip:
Name: �d �� '� 1 " " License#: ��.P� �2--- ��'1
Addr+ess: "� City: ��)�� �
State:�Zip: ��2 Phone: �Z �� '�L" �3� 1
Contad: � Email:
_New _Repiacement _Repair _Rebuild _Modity Space _Work in R.O.W.
Description of work:
RESIDENTIAL
�Water Heater
Lawn Irrigation(_RPZ/_PVB) —�—Water Softener
Septic System Add Plumbing Fixtures�Main/_Lower Level)
New Water Tumaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, o Water Heater and Softener( cludes$5.00 State Surcharge)
$60.00 Lawn irrigation(inciudes$5.00 minimum State urcharge '
$60.00 Add Plumbing Fixtures, Seotic Svstem Abandonment,Water Tumaround"(includes$5.00 State Surcharge) '
'Water Tumaround(add$200.00 if a 5/8"meter is required)
$115.00 SeDtic System New($10.00 per as built)(indudes County fee and$5.00 State Surcharge) �b
TOTAL FEES$ •
CALL BEFORE YOU DfG. 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.ao�herstateonecall.om
I hereby acknowledge that this information is complete and accurate;that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an applicatlon for a permit, a�work is not to start without a pertnit;that the work will be in
accordanoe with the approved plan in the case of wak which requires a review and approva of plans. �
x V � x
App canY rinted Name Appli s Si ture
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA139839
Date Issued:11/10/2016
Permit Category:ePermit
Site Address: 4420 Cinnamon Ridge Cir
Lot:041 Block: 05 Addition: Cinnamon Ridge 3rd
PID:10-17402-05-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Minh Le
4420 Cinnamon Ridge Cir
Eagan MN 55122
(651) 399-4334
Haley Comfort Systems
122 3rd St W
Hastings MN 55033
(651) 437-0338
Applicant/Permitee: Signature Issued By: Signature