4425 Cinnamon Ridge Cir
.' CITY OF EAGAN ` 992 0
3830 Pilot Knob Rosd, P.O. Box 21•199. Esps n, MN 55121
PHONE:454-8100 1
eU1LDING rERMIT r aece+Pt #
.
Te w w"d fa # ?F 11774 90.,,, ?Est. Volue ? ? ? ? ?' r' ?
4ate ; .,
.
Site Addreu 4425 , F; CT w Erect
Remod
' .
2 ' •.
?
ll ?
Occupancy
Zoni n
q
I
' .T f ) G `. . ? ;;
Lot BIcek.-Sec/Sub.
Repair
I ? g
Type o f Conn.
Parcel No.
Enlarge i ? No. Storias
Move a Length
W Na^e Demolis
7564 h ? Depth
:
Addre?i
?
; . . Grade I
-1
?
Sq. Ft.
r.. . r
.
L, ;1
City Phone Install
?
SAM il- Ap
Name aorob ENs
Address Assessi ment Permit
24
?
City Phone Woter IS Sew. SurcFwrqe
:-
J
Polia ? Plan Review
iO
Name Fire 511C
_u Addresa Enp. Water Conn.
f
? W City ?.
{ T " Pho?e -5? i?? Plannd
r
Woter Meter . J
Count?l Road Unit
?I hereby ocknowled9e thot I have reod this opplication ond state thot Bld
m ff
g,
fhe informotion is correCf ond ogree to camply with all applicabl*
A? I .
Total -? i'' ? 1• '
Stcto of Minnesotc Stotutes and City of Ea9on Ordinanus.
Var. ,
e
?
Slpncture of Permittea
A Buildiny Pe?mif Is issued to: ' ". . on the txpress Conditlon that
all work shotl be done in accordante with o11 epplicable State of Mlnnesota 9t atutes ond City of Eoqm O?dinonces.
Buildinp Offlcfol
_ I
PKmit No. Permk Holder Dato Telephone ?
PIumWng -r Le o' S 5 d ?V
H.VA.C.
electric ?
r 4-
C Ui o r6?-,-
3l ,?? 1?
ci-b
sacw..
Intpeetion Dsta Insp. Other
Faotlnit 3 Z?
Foundation ?/.
Framiny 11461 1j /t
Roofiny _ i, r.
Rouyh Plby. 61
Rouph HVAC _
I fllYln1011
Finsl P1bp.
Final HVAC ? s Lp 6-?? ,
Final yZ (,v
c.rwo«. 2(. b S
wKftr Daseribs Loettion:
YYa
ll
'Swwr
L
Pr, Disp.
Racefpt
? -• - - -- - -- --- Fae
' Fill in numbered spaces S/C
Type or Prini /egibly Tot.
1. Date 2. Installation Cost
3. Job Address Loi Blk. ? Tract
4. Owner ' 5. Contractor
6. Addreu
7, City State Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New C7 Add 0 Alter ? Repair ?
? 10. Oascribe Fuel Type
No, Enuiort ent 9TU - M. Ea.
Forced Air No. EQUiament CFM
Air Handling: -
Mfg,
Boilers h
Mfg, Mech. Ex
aust
?
Unit Heater
Mfg. Other
Air Cond.
Mfg. Y
Gas, P'iping 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
Rough F inal
Inspect+ons: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Receipt 1
r r
PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fer
S/C •
fill in numbered spaces
Type or Print /egibly
1. Date - ? 2. Installation Cost
3. Job Address
4. Owner
5. Contractor
Tot. I
. I
?T?act
Phone ?`,? .-`' • i =
6. Address
7. CitY ' - ? - r State - Zip ?
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Wark Description: New E) Add ? Alter ? Repair ?
I 10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
8ath tubs Septic Tank
- - _
Lavatory Softner
Shower W e l l
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby oertify 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
Rough " Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
' 3830 Pilot Knob Rosd, P.O. Box 21-199.
PMONE: 454-8100
RUILDING PERMIT
Tw L. r.J i. "- (,P 'ii:`, 1 h r
SiteAddrest 4427 Lot Block ' Sec/Sub.
Percel No.
a; Name DEVRIES HLC:R3 134G
? Addre?s. , 54 t1Ai?'r' ? ? Ol?
City Phone
?9 Name
?? Addreas
Citv Phone
Name Fin
Addres; Eny.
City :` ROc7.K1. . ,*' ?' ?hone y 5 - (J .c 6 Plon
1 hercby ocknowtadqa thot I hove reod this application and stote thot Bldp
the iniormotian is oorrect and a9ree to comply with all applicable APC
Stote of Minnesoto Stotutes and City of Eagan Ordinonces.
Var.
Sipnoturo of Permittes
iiV..
/1 8uilding Pertnit is issued to:
oll work sholl be done in accordance with oll applicoble Stote of Minrwsoto
6uildirq OFfidal
_ .;..e
RecNpt • #
L7 occupnncy _
? Zoning ,
? Type of Const. •
? No. Stories
? Length
? Depth ?
o S,. Ft.
?
rols hea
ment Pennit
a Sew.
' . _3U,
Surcharos
Plan Review , .. 2 S '
SAC 00
Water Conn. U
,r Worer Meter '? i_ t) 0
II Rood Unit - 6 0
)ff. :.' .: . . Ci ?
rotal . i 5 ?
on tM exprcss corxlitlo.? tha+
crd Gty of Eapon Ordinontat.
Pwmit No. Pomk HoldN Dab Tale hone #
Plumbing ? L
H.vAi.c. ? '1'lu?
Ebewe n7" - e D(k , 3/
Softemr
Inspection Data Insp. Other
Footinys
??'
Foundation -? - ? ?
Fnminq
Rooflng _ ?
Rouyh Plbo. ?? L
- 4
Rouqh HVAC
Inwlstion ?r
Final Plbg.
Final HVAC
F,n.l y1 w?
c..:locc. r 1<< 1k)
Wster Wtc?i6e Locstion:
YWII
Sevver
Pr. Dbp.
Reoeipt _ MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN -
Fti
fill in numbered spaces S/C
Type or Prini legr'bly Tot. - '
1. Date 2. Installation Cost
3. Job Address i- Lot ? Blk. Troct
J
4. Owner
5. Contractor VPhone 8. Addres:
7. CitY ' State 2ip I
8. Building Type: Residential ? Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Desaibe Fuel TYPB a
11.
No. Epujpment BTU - M. Ea.
Forced Air ? No. Equioment CFM
Air Handlin
:
Mfy. . y
Boilen
Mf9• Mech. Exhaust
Unit Heater
mf9. Other
Air Cond. .
Mfp. .
f Gas, Piping Outlett
12. I hereby certify that the above information is true and correct, and I agree to
aomply with all ordinanoes and codes governing this type of work.
?ig^°d ' for
Rouyh Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CtTY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Psrmit No. ?
CITY OF EAGAN Fee
Fill in numbered s,paces S/C
Type or Print /egib/y Tot.
1. Date '-` 2. Installation Cost
,
3. Job Address Bik. !T Tract
- ti
4. Owner
5. Contractor
Phone
6. Address C -z' i
7. City s = ._1 -do-t_r State Zip - ? " -? ?-- j
8. Building Type: Residential 13 Commercial O Institutional O
9. Work Description: New CD Add ? Alter O Repair ?
I 10. Describe
I 11,
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Baih tubs $eptic Tank
L.avdtOry Softner '
Shewer---------- -------- 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 correci, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
RouyFl F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
t. 3830 Pilat Knab Road, P.O. Box 21-199, Eagan, iIIN 55121 5 -3o 2 7 ?
PHONE:454-8100
BUILDINC?,,PERMIT Receipt f#
? '
To be uselfor DEC[ Est. Value ii oOflO
Date
.iUM .
2S , ?gQL_ ?
Site Address 4423 CIMl1AlKE MIDGE CIR
•
`• ` ?
Lot ?Z Block
4
Sec/Sut?
. ;
OFFIC
E U5E ONLY
I
.
-
P3fC@I NO, Occupancy - FEES ?
W ? ? ??
Name - Zoning
(Actual) Const -
_ r
Bldg. Permit
o Address "25Y RIDIZ CYR (Aibwable)
-
City L4W Phone 844-7282
# ot siories Surchar9e
? Plan Review
s?? ?8?? ?
o
Z Name Depth W
?
SAC. City
U
04 Address S,F. Total
- ?
SAC, MCWCC ^
City Phone S.F. Footprints -
On Site Sewag - Water Conn ?
r-
W W
? w
Name
On Site Well
i
_
Water Meter
0?
a W Address
City PhOne MWCG
System
Ciry Water -
_
Acct. Deposit :J
J
PRV Required _ S/W Permit ?
I hereby acknowiege that I have read this appiication and state that the
information is correct and agree to comply with all applicable State of Booster Pump - SNV Surcharge
Minnesota Statutes and City of Eagan Ordinances. ?
Treatment PI
Signature of Permitee ' ?'. ' APPROVALS
Road Unit ?
?
A Buiiding Permit is issued to: T!t(!C T pGOYEP
Planner
- '
Park Ded. ?
on the express condition that all work shall be done in accordance with all
li
a
abl
St
t
f Mi
t
S Council 1. ?
'
pp
c
e
a
e o
nneso
a
tatutes and City of Eagan Ordinances. g?, ph. _ Copies
Building Otficial ?? Variance - TOTAL '?T•?
,..r?
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation •
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPian
Btdg. Final
Dedc Ftg.
Dedc Final
Well
Pr. Disp.
CITY OF EAGAN
Addition Cinnamon Ridge 3
Owner
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW I.AT
CURB & GUTTER
SIDEWALK
STREET LIGHT
I
RQacl ' i
WATER CONN.
9UILDING PER.
SAC 525-00
PAR K
CITY OF EAGAM Remarks
Addition ('i nnamnn RZ..d,-Re _3rri Lot Pt.^?. BIk?4 Parcei 10 17402 091 OL.
Owner Street 4?27 iririaI'riori idgp (;r State 'Fagat'1, MN 55122
Improvement Date Amount Annual Years Fayment Reeeipt Date
STREET SUFi F. F ! .
STREET RESTOR. i
GRADING
SAN SEW TRUNK
SEWER I.ATEFAL ?
WATERMAIN
UVATER LATERAL
WA7ER AREA '
STORM SEW TRK
STORM SEW LAT i
?
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER C N, 500.00
SUILDING PER. ,
sac ' 525.00
PARK ?
I
Y OF EAGAN Remarks
Additio CINAfAMON RIDGE 3RD ADDN I
Owner Street 4427 &
A1Z. «J
RIDGE
O9/ v. 9 I - je
Improvement Date Amount Annual Years Payment Recei Date
STREET SURF. 925-44 CO
STREET RESTOR.
GRADING ?
r
5AN SEW TRUNK 1973 22 6. gl 15 ]. ?i9 (',0102 --8
ie SEWER LATERAL 869 985 N3-U 647 . 90 5 orgoi
WATERMAIN
*WATER LATERAL 1985
WATER AREA 1973 131.44 8. 1.6
* Services 1985
STORM SEW TRK 1979 381.69 19.08 248.13
? STORM SEW LAT x 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
1.000-
WATER CONN. 500.00
n
n
BUILDIN R. 9920,9921
Sp? 525.00
PA-R K
` I
c.1T i ?jr E,s` 62.c,fi,
WA
3830 Pilot Knob Road M
P. O. tiox 91199 PERMIT
Eagan, MN 55127
• ?
_
Zaninp: DATE: _
No. of l
Ownfr: `c',? r iPs 5' ] d s n
Addmss: --
SJte Address; 4425 Cinna:non Ziu ee Cir
Plumber: J.r-?- a ? -
Meter No.: Connecti
Siza: Account
Reoder No.: Permit F
I Nrw fo oe1111111111111pip wllk IIN City ef hgrm Surchorg
OAiwener, M ,.,.
By
Date of Insp.:
P.
Road
tsc.
Totoi:
Dore
PERMIT
DATE: _
No. of 1
t
Charge: _ 520.00 Pd
eposit:
13 2. 02nd
a
2X
Slte Addresa
}
?lumber: ?
Meter No.: y 7 y/D - J. Conrk, ctia
Size:
Reader .2n 7¢ S Permit FeE
1 p?w to eeMplq wiili tbs Gh of Eape Su?chorge:
ordl"O?'
•
% Miac. Choi
TotoL -
N
BY ?--GK?
J` Dota Poid:
Date of Insp.: - ! ? Ine. •
CITY OF EAGAN SEWER
3830 pilot Knob Road
, P. O. Box 21199 PERMIT
i Eagan, MN 55121 p^TE. _
' Zoning:
, No. of U
Owner: o „ r_ie s Inc
Address:
to vanpb wkh Hn C*r of Eegas
of Insp,;
; _ 500.00 pd
??s(t:? i 5 _ Il 0 PC,_
- 132. 20 pd
PERMIT
B4
Cormection ?horpe: 4 2 5 - L2-24
A«our+t De t:
Pe?mit Fee:?
Surcho?pe:
-
Misc. ChnrQ;
Totai;
DoM Pald:
ra
I
?I
Road
No.:
No..
fo oomply wob fw Cihr ef EsPe
i
MiATER 5O1irCE PERMR
PERMIT NO.t
D11TE:
No. of Units: , aup:
Connection
llaoount De
Permit Fee:
5u?chorqe:
11Alsc. Chon
Total: _
Dots Roid:
iF L?.cH,j
Pito "?Cnob Road ?,rwyER s??VICE P?itMre
:1189 PERMIT N0.7
o. ?rIN 55121 DATE:
[Zo
V: ??2 No. of Units? suplea
:%eVries
lddrcsi: V'27 ('iiL:amnr 1tij CC ? r F{ n
?1'?
UmbaF:
?
r No. _.3 Lf ? ?j17 N//
Connection dw
rye:
D
d
Siu: I t
Acoow+t P d
Reodsr .: ?
:
Permit Fee: '
L ?.,71) pd
- lo eo?yl?r wNb tw Gtp of Eosew Surchorpe: . Sr)
OdlMwas. ` Mtsc. Chorpes: 132.00
Total: ? rl? On a:l-....d e r
By Date Pold:
Dore of tnsp.: I,W,.
TY OF EAGAN SEWER SEitVICE PERNIIT
130 Pilot Knub Road
0. Box 21199 PERMIT NO.: ^ ? 1-
igan, MN 55121 DATE: I
"i^g' RZ No. of Unlts: (iupley
rnar. ?eVttes Bl:lre Ir??
ldress:
e Addross: ,';• - i: .,c?? :tidge CizCle ii_!l r4 :'isis: Ridoa z,
r rl$vzock rlum
2--2-15 49730
M oem* NMb 60 Cky ai Eapw
of Insp.:
Ca,,,ecttan Chw,p.; 425.00 pd
Acoount Dspoeit: .? Z .00_Pc1
Pemdt Fee: a 1")• 00 Ai
Surchame: F'-
Mise. Chorpes}
Tatd:
DoM Pald:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PHONE: 4548100
BUILDING PERMIT
Te y, ,ed {,,, '^f OF TWIN HOM16. Volue $49, 000
MN55721 N? 9920
:elpt # ?a??---
4425 CINNAMON RIDGE CIR erect I ?.I Occupancy Rj
SiteAddress
9 CINN RIDGE 3R
4 D Remod al ? Zoning R4
Lot Block
Sec/Sub. Repair ? TyOe of Const. V
Parcel No
.
Enlerg
?
No. Stories
DEVRIES BLDRS INC Move I ? Length
? Name
MAR NER DR Demoli sh ? Depth
? Add Grade ? Sq. Ft.
Ci;y E ? V Phone __._424-2611 _ Install ?
0
f?
s?
Name _
Address
City -
Name WM GAGE Fire
Address Enp.
City BROOKLYN $?C 533-5026 Plon
I hercby ackiwwledge tFwt I hava read this oOPlicahon and stete thaf gidy,
eha inlormofion is correct and ee to comply with oll applicoble A?
Stote of Minrowta Storutea a iry o'f E gan irwnces ?
Var.
SfpnMUre of Pertnittea ??
A Bullding Permit Iz issued to: DEVRIES BLDRS INC
oll work sholl 6e done in accordante with plitoble ote f Minnesota
Buildlrq Oflicial ?
SAME
Prerals " Feas - ., .
nent
& Sew. Permit 278.50
surchnrga 24 _ 50
Plan Review 139.2$
SqC 525 _ 00
Woter Conn. --5 0.0..-0 0
r warer Meeer 63- 0 0
I Road Unit 2241-0 0
?ff. 2 20 8 `I'.P. 132.00
Total S1 .949_95
_ on the axprcu condltlon thal
ond Giry of Eaqan Ordirwnce11.
CITY OF EAGAN Np 19327
3830 Pilot Knob Road, P.O. Box 21-199, Ea an, MN 55121
PHONE: 454-8100
BUILDING PERMIT R I
ceipt #
L%
1`? ?`f
?l
7o be used for DECK Est. Value $1 , 000 I Date JUN 25 , 1991
Site Address 4425 CINNAMON RIDGE CIR
Lot 092 Block 4 Sec/SubCiNPIAMON RIDGE 3R OFFICE USE ONLY
Parcel No. occuPa cy - FeEs
I
=
Name THUC T NGUYEN Zoning
(ACtual)
Const
Bldq
Permil
25.00
w
3 Address 4425 CINNAMON RIDGE CIR (quowatil e) _
_ .
50
° City EAGAN Phone 894-72$2 smsto ies surcnarqe _
12 1 Plan Review
Length
o Name SAME ?
Dapth 16 ? SAC
C
t
i
g?
Address
SF Tote
o
l
_ ,
i
y
SAC, MCWCC
City PhOnB S.F. Fo tprmts _
I W
On Site
Sewage atBrConn
uW Name on siie weo
- WeterMeter
AddreSS MwCC System
i _
A
D
i
?
aw
Clty PhOf18
CiryWater
_ cM.
epos
t
PRV Reqmred - SAN Permil
I hereby acknowlege that I have read this application and state that the Booster Pump - SNJ Suroharge
informahon is correct and agree to comply with all applicable State of ?
Minnesota Statutes antl City oi Eag
an Ordinances. Treatment PI
\
SignaWre of Permitee APPROIVALS Road Unrt
A Building Permit is issued to: THUC T NGUYEN Plannar - park Oed.
on the ezpress Condilion thal all work shall be tlone m accordance with all
l
l Councdl 1
50
icab
app
e SWte ol Mmnesota Statutes and City ol Eaqan Ortlinances. &dg.Ofl _ CoDies .
Building Otticial ' 1N1q4PLA ?11 Variance
1 - TOTAL 27.00
- : " CITY OF EAGAP
3830 Pilot Km6 Road, P.O. 8ox 21-79
PHONE: 4548100
BUILDING PERMIT
Te M wed fe. ?'z OF TWIN HOMIJg. Value $49, 00
SiteAddress 4427 CINNAMON RIDGE CIR
Lot 9 Block 4 Sec/sue. CINN RIDGE 3
Percel No.
? IMame DEVRIES BLDRS INC
? Address 7564 MARINER DR
A ,.__. MAPLE 6RV 424-2617
?t Name $AME
? Address
City Phone
Name WM GAGE
i? Address
?W City BROOKLYN PjAhame 533-5026
I hercby acknowledge thaf I hove reod this upplicaeion ond stote that
fhe iniormation is correcf a ogree to comply with oll opplicobla
$tota of Minnewte Stotutes of ogan 0 i nce
d Ciry
?
a
?r"
Siqnoture of Permittee '
'
A Building Permit Is issued to: DEVRIES BLDRS INC
011 work sFwll be dorx in accordunce with all oppL e Stafe of mrv
8uildinq OfNcial
N° 9921
Eagan, MN 55121
Receipt #
W Ocwpancy R3
? ZOning R4
? Type of Const. iX
? No. Staries ?
? Langtn 24
? oeptn 64
? Sq. Ft.
?
& Sew.
ort. 2f2n/u!
Date
` - Fass - _ , ..
Permit 27 .50
Swchorga 24.50
Plan Review-12-9,25
SAC 525 _ 00
Wnter Conn. `?1 OSL- 00
Wnter Mefer 63._00
Rood Unir 2Rn 00
T.P_ 132.-00
Total $'1 --9X'2*'r25
on tha express eondiHOn OMl
Statutes end City of Eopan Ordimnces.
1
This r¢ques[ wid
monpths irom l1 T (J , ? .
flequest Da„te/ (y' Fre No. qeoqugheidllnspeckie? []Ready Nuw jMWill NoLfy. InsPec-
3'l IJ - D S IQIYes ? 1iIu eo. when neanv
? Gcensed Elecvfcal Conhactor 1 herebV reqJest inspecHOn of abov¢
n 1,,e, electncel work installad at
Sirr.et Atldress, Box or Route No. City
4425 Cinnamon Ridye Circle Eagan
ecLOn Township Name or No. Rang¢ No. County
Eagan Dakota
Occupant IMINT) Phone No.
424-2611
DeVries BUilders
Powu SuppGer Address
Dakota Electric 4300 - 22 1th St. W. Farmington
Electrical Conhacmr (Company Name) Contractor*s License No.
Contemporary Electric, Inc. 0415767
MailiW Address ICoMractor or Owner Making Ins[aila[foN
6000 Bass Lake Road, # 201, Cr stal MN 55429
AuthwizeA SiB?iure IConVactor/Owne Maki ng Installatinnl Phone Numh¢r
535-8029
,'NINNFSOTA STATE BOAflU OF ELECTRI T
Griggs-Yidwey Hidg. - floom N•181
1821 UniversrtyAve.. St Paul. MN 56104
Phone 16121 297-2111
8E ACCEPiED 8Y THE STAIE•BOARD
11NLESS PPOPER INSPECT{ON FEE IS
ENCLOSED.
v REQUEST FOR ELECTRICAL INSPECT10111 Ea-°°°°i?°
' See instructio.s tor completing Shis fmm m I ck ot yellow copv.
? 14953 "X" Below Work Covered by This Request ? d U J
Add Aeo- Typ¢ of 9uittlmg AOpliances airW I EVuiOmen[ Wired
l l 1 1 industrial 81Aa. 1 I Air CondRioner I 1 I eu4k Milk Tank I
M Fea ServiceEntrance5iie tt Fee Peeders/Subfee?ers p Fee Cv<mts
0 to 200 pm s 0 to 30 qm is .5. oa O to 30 Am s
Above 200 qin??y 37 to 100 qmps Oej 31 to 100 Amp,
Swimming Pool Above 100-Ampr; Above 100_An4ts
Traosiortners Irngation Booms Partial-'Other Fee
/ `
18is request void663?V
mon hs /r m
o ? ? ,? ? Z-
3185
t( 7 . UZ)
Request Date
3-18-85
1 Fre No.
1 Rouph-in Inspetiion
fleqwred?
?Yes (X]NO v Inspec-
?Ilead Now ? W?11 Nntify.
tor When Neatly
L_I4ce.sed ElecVical Contracmr I harebr dequest insvection of above
? Owner elecvical work instailed ai:
Sveet AALress, Boz oa Rou[e No. Cny
4427 CInnamon RIdge Circle Eagan
ecLOn o. Township Name or No. Range No. Cdunty
Eagan Dakota
Oc?upnnt(PNINT) Phone No.
DeVries Builders 424-2691
%wer Supplier Atltlress
DaKOta Electric, Inc. 4300 - 220th St. W. Farmin ton
ElecVical Convacmr (Company Name) Cmvacmr s License No.
Contem orar Electric Inc. 0419167
Ma?line AdJress IConvac[or or Owner Making Instailationl
6000 Bass Lake Road # 201, Crystai, MN 55429
Aut?on ed Signature (Convactor/Owner Makmg I?tallaLOnl PM1One Number
535-bU29
MNyNE50TA STqTE eOAFD OY6?TqICITY
Griggs-Midway Bidg. - qoom? 191
7827 Umvers.tv Ave., SL Paul, MN 55104
Phona (612) 297-2111
5 p,3 lf 6 REQUEST FOR ELECTRICAL INSPECTION
' See insbuctions tor completin9 this lorm on bnet of yellaw cupy,
a (?5q
a1'/?iJ?4 "k" Below Work Coksr!+d bv Ihis Reour_c?
THIS INSPECTION REQUEST WILI NOT
BE AGCEPlEU BY THE STqTE BOARD
UNLESS PROPEN INSPECTION FEE IS
EMCLQSEO.
Ada BeD. Typa of Builtling Aooliancea MireO E
quipnaant WireA
Home Range TerrMrary Service
Duplex Water Heater Lighting Fixtures
APt. Building Dryer
Electrfc Heatm
Commercial Bld
g.. Furnace Si!o Unloader
Industnal Bldg. qir Conditioner Bulk Milk Tnnk
Farm OinPr Sceurv Onn.:r ISOeci fvl
tM1er Sneuy Other
O?her
ompute InspecGOn Fee Be/ow
p Pee ServiceEntranceSize p Fee F¢eders/Svbf¢¢ders N F¢e Gvcwts
0 to200qm s Oto30A O030Am s
Above 200 qmps 37 to 100 qmps 31 to 100 AnVs
Swimmin Pool q6ove 100?Amps A6ove Aff"
Transtormers
S Irrigation Boofre; Partfal.'Other Fee
i gnS Spec [a I Inspec! ion
pMY 5 47.5 TOTAL FEE '_
ny of new home j f?
HouBh-in Yl --/
Date
I,IheElectncal
g ?nspector, heraby
F)nal pare cedily that thg above
-? ? ?1 r1 mpection has baen
e Y cL! /?'? ?ae.
ihb reduest volG 18 montlre irom ;_
_ EB-00001-W
36
?-(?5
n
NOTE: ALL CONTRACTORS
?- bF TLjIi-t NaMe-
To Be Used For; Veir.bJ_ Valuation:
Q4Z?j CIUNAM?N ?1Dlr? G2GLC
Site Address:
WoR.--Q+ k2 oF
Lot: J( Block y Sect/Sub(j;,Me..... E
IZ? d ? 'i K?f
Parcel /k ? F
Owner E
?I/rias ??s 1 ?
Address *) j"G V /*e ?l . . i JQ,,` Gr:
City/Zip Code /keple- C-A-a,e j'k„N ?-
3"5"3a 1
iiITH TRE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENEftGY CALCULATIONS
S- Date:
? Occupaney
1 ` Zoning P--
, Type of Const S[
e y # of Stories
Length Z-4
sh _ Depth (o q.
_ Sq Ft
Contraetor ?o,,, _ APPRbVALS
Address
City/Zip Code
As
Phane 8Y.t y a?G Fi
1/ En
Arch,/Engr (,v,,,, Cou
? Bld
Address APC
Phane # Var
S?3 S'G2?
f\ f e- % ) !1 T`
y?-? +?%I?
5 43 4 yt15?
4 1 a q 4 ZtS?'
?ssments Permit 5?
?r/Sewer
? Surcharge sD
ce Plan Review 13q, ?S
SAC 525, °°
Water Conn 500 °-°
er
l Water Meter 623. `=
Road Unit
o££ a vF ) Parks
r r Treatment Pl 732.
ance I ,/
( ?
i ?r?. ( } ?/ ? ?
f
?
NOTE: ALL CONTRACTORS
To Be Used For: ?/2oF rui^i ?oME, Valuation:
Site Address: 442'1 6(Ntil,4MON P-Ip(:3E6
"20u'rH ?ZnP LfuNA.rqo?
Lot: ? Block 4 Sect/Sub2ioc? 3° Ei
Ri
Parcel # Ri
Ouner MoN
Den
Address Gre
City/Zip Code
Contractor APF
Address Ass
Wat
City/Zip Code pal
Fir
Phone d Eng
Pla
Arch./Engr Cou
Bld
Address APC
Var
Phone S
! HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF S URVEY
1 SET OF ENERGY CALCULA TIONS
? 2E? Date:
-EOFFICE USE ONLY
t x Occupancy -L-3
del _ Zoning 2-4
ir ? Type of Const SC
rge _ 9 of Stories
_ Length Z4-
Lish _ Depth ?
'- _ Sq Ft
?ssments Permit 2-18 So
?r/Sewer
- Surcharge
' Z4.5o
lce Plan Review 25
1
SAC 52 . °
I Water Conn 0
ner Water Meter ?%
cil Road Unit 2S0 °
Off Parks
Treatment P1 1")2 "-'
ance
TOfAI. ?j
? ? S`
C A L V I N H. H E D L U N D 1 772e Morqan aven?a soutn ?
. Rlchlield,Minnesota 55423
Land Surveyor Clvtl En9inoer i Phone : 866-2523
.? surv?yor`s G'?t?t?fie ate
' JOB N0.
SURVEY FOR: John Devrics
DESCRIBED AS: Lot 9, 131ock 4, Ci\NMiO\' 12IllGE 3I'.ll ADlll'I'ION, City oC Lagan, llakota County,
Alinnesota, and reserving, easements of record.
Top of 1'oundati = Zz,o
Glarage Floor -9Z /.6 ..
13asemcnt iloor = 9 r8.8
I
Iroposed Elevationsp
N48032'35'E 1'x:isti.ng Llevati.ons--
81, o0
91z.2 Drainage Directions -+
`, y s ? gp? 1
!•' ^ ?
?
10'D Sy-uKeS
1-(-
?
I
I
L-
??
I
\ Lev?l? N
°
\
? I
7 -?
° J
47.0 ?
/
y 20 - "'-)
CERTIFICATE OF SURVEY
I hereby certify ihot on Z/19 /o°S I surveyed
the above plat is a correct representotion af soid :
Denotes Lot Corners O
°'O sr?,?ce S
9/ 7
?
ihe properiy described above and that
j rve .
alvin H. Hedtund, Minn. Reg. No. 5942
9
1991 BUILDING PERMIT APPLICATION II
CsOt
r II
SINGLE FAPSILY DWELLINGS 1MULTIPLE DWELLINGS COMMERCIAL
11
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS p 6 STRUCTUFrAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SP$CIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 1 SET dF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
h
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY L?ST WQRKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT'IS ISSUED. '
I
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST,DESIGNATE WHICH APDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
II
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS AEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. 11
To Be Used For: 'PE0441, Valuation:
Site Address E}?? Qaj,lr,{F1cMoie,dDG r <-C i2
Lot ? Block D 7
i
e?H,?+?nui ?o? 3?roI
Parcel/Sub
Owner A1671A`/C= 4) 3 T 1-t l.1 C? -('
Address !44Z?- C-iAJNJiMU1-j KinCrt c.t2
City/Zip Code Lf1 6/4/-? , 1\-(A1 S'CJZ2..
Phone g y4 - -M P 2
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
h•2?-
Date:
OFFICE USE ONLY
FEESiI
Otjupancy ?
Bldg. Permit Z5, oc.
,
'L'omng Surcharge 11 ,
Actual Const Plan Revie'W
Allowable SAC, Cit
II
# of stories SAC, MWCC
Length Water Conni.
Depth Water Meter
S.F. Total Acct. Depdsit
FootpYint S.F. S/w Permi?'
i S/W Surcharge
On site sewage_ Treatment'?1.
On site well Road Unitll
MWCC System Park Ded.
_
City water i?
Trail Ded:',
PRV _ Copies 11 1 1yU
Booster Pump
SUBTOTAL
APPROVALS Penalty ';i
Planner Lot Chango
Council TOTAL oJ
Bldg. Off. ?I
Variance
r " II
agrees that all work shall he done in?laccordance with
(Signature of Contractor) , 11
all applicable State of Minnesota Statutes and City of Eagan Ordinances. ?I
I?
r
JOB NO.
SURVEY FOR: John DeVries
DESCRIBED AS: PARCEL A:
That part of Lot 9, Elock 4, CIMJM1
Dakota County, Flinnesota, lying northeasterlv of a
easterly line of said Lot 9 distant 42.10.feet sout
corner thereof to a point on the northwesterly line
westerly from the nrost northerly corner thereof, an
PARCEL I3:
That part of l.ot 9, Block 4, CINNAA?
Dakota Coimty, Minnesota, lying southwesterly of a
easterlv line of said Lot 9 distant 42.10 i-eet sout
corner thereof to a point on the northwesterly line
westerly from the ntost northerly corner thereof, an
cranrIcwre or LvcAiiuN V+ NI+'iL'UW
IherOby tortl(y thut an 3- 12-85 . ?-
I madt uourvvy uf I4e i•?vr1?.nTul 1H+
bulld{ug on 16o ubnv? p0Y; -fly
and thal tho focwlimi uf b?!{(I Fl41IYluy if
eernclly .bwrn on rho o6bor (p?ia?r. ?
N 48 °32'? 5 "E
44.97 ?Tj:
\
if'qRCEL B
-_.--
o? 9zI.'?
I ` ? sa l,
I \
I^1 4a
' I J '14
\\18•
I Z/
RID(tE 3RD ADPITION, City of Eagan,
ne drawn from a point on the south-
esterly from:Yhe most:easterly,
i- said Lot 9 distant 36.03 feet soutn-
reserving easements of record.
V RIDCT: 3RIl ADDITION, City of Eagan,
ine drawn from a point on the south-
westerlv from the most easterly
of said l.ot 9 distant 36.03 feet south-
rescrving easements of record.
Top of Foundations = 9Zz.o
Ga I age Floor = 9 Z/• 6
Balement Floor
Prllposed Elevationsp
I.00 Existing Glevations -
PARCfL f A
14
?
SZi-3 It
. ? I•
vel\ ` I
v
n ?
5
9/ t. 2
? .•
? •`'' ? `'
Drainage Directions -
Denotes Lot Corners O
+ i
.?
rz' I
-_J
?2.10
is•= '?t?'_ -
24•C oe?ve.?? az?vE
qt0.41
i ?89.44 5 9°,
// 9zo Sv
C
9/9, 77
Ln
CLE
f19•7
CERTIFICATE OF SURVEY ?
I hareby certify that on 2/19 /g S I surveyed ihe property described above and that
ihe above plotis o correct representotion of sold surve ?
11 Z_-^:-r
Calviin H. Hedlund, Mino. Rep. No. 5942
I
2/84
CITY Ot EAG
4EEE7"
? N
I
APPLICATION FOR
PERP4IT
SEWER ANDJOR WATER CI ONNECTZON
(PLEASE PRINT)
1) PROPEFYL'Y ADDRESS: C?1A.5' IURF'm /o C{°It°.
-
I
r t?
r.Frar DESGtt2PTIC:V: ?7? 67 BoC 1(?/fl1h(qrd I-iL? I
(Lct/Block/Subdivisicn or T Parcel Z.D. ? tunher)
? .7"r E:IS='=:G S='??L'CPTRE, DAT :' O° On?Gi^.Ai. :iiILDIi: ? rEF:"ST ISSU?NC.:
PRESL:'P ",••1Z:F:/PT?OPOSED C'S: ? R-1 SLNGLLL rPMSLY
? `tl'2 rJTJPL..?: MO L'1,:ITS)
R-3 TC
v?T_CIISE (TI?=- + II:IITS) ! LNITS)
1
? R-4 APARZSE?v'T/CO?S??lINIL?1 (
? Wi ITS)
Q CC01?..'R
CLai,/F2F,TAII,/OFF2CE-
? L1.'DliSTRIAL
? StiSTI'1=IO:]AL/GGVERr=;T
2) APPI,IG?UI' (PLEAS@ PRIN
?
?
? ? ?
?
? i)
NAh?:
L?
OL
?Cc ii-
? /1 6
ADDRESS: f7 /,- I =?,
J
CTTY, STA'I'.?], ZIP: 0?A/
PHOLNE:
3) PLL;'IBE.°, LEASE PRIN
/
rrAME
?
`
k T) FOR CITY USE ONLY
:
L?7 ?i ce
/ /li n, b.•u
- c
AnoREss: --L/?`4_ H?''t PLUHBEFS LTCEYSE:
Active
CITY, STATE, ZIP: ?IC fd Eapired
IdASit
PHQ?. PLUMBER LIC ?
NSE Q Not of Record
a nitia
4) OCC[T°ADIT/C7QhIER ? (?ASE PRiN
NAME' )
ADDRESS:
CITY, STATE, ZIP:
PHONE: ? jy - ?IdI O.'? I
5) INDICIITE W[-IICIi P T IS SEING REQUESTEO:
?GbNNECPION 'IO CITY SDlER
wNNEC:zov Tn czTY waTER
CI"i[T.ER (PLFASE DESCRIBE)
6) ItdDIG;':E C.ZE:
El PI.E-ASE HDID APPROVID PER.MI' ? FOR PICFC-UP BY ONE OF ABOVE
? PIEASE MAIL APPRpVID PER`LI T 'IO 1, 2, 3, 4 ASCIVE
(Circle one)
71 sia ?.?-?: J?'?oa?
:
I
?*a ar+?.,iw?? ? sr a?ca:aau ar ?a ni v:asro a? s s rF?.ss:r a a.c ereuu?:ar,..r.ir ? re rctue aaacsasr s
F 0 R C I T Y U S E O N:. Y ,
PERMIT '-` ISSUED
F°ES: $ / -D SE;vER P.T?jB!NTT (2`IC?.rUDE SUP.CHaRGE)
$ ..1 .S~d WATER PERP4IT (I-NICiIIDE SLiRC:IAc2GE)
$ WATER METER/COPPERHOAN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SESJER TAP
$
$ i /'s'- °-? ACCOi1NT DF,POSIT - GIATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSP-?E:VT
$ TRG:IK SEWER ASSESSME.iT
$ LATERaL SENEFIT/TRUNK SE;9ER
$ LATERAL BENEFIT/TRUNK WAT°R
$ /,-,7-?• a`=d OTHEP,
$ TOTAL
+S P.I?IOLT:VT PAID/RECEIPT ;LSIf
DOES UTILITY CONN ECTION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
C? YES IF YES, THEN A"PERMIT FOR W0RK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVZSIO[V. LIST AS A CONDI-
TION.
SUEJECT TO TfiE FOLL0WING CONDITIONS:
,
APPROVED BY: c?-ee_a
T I : LE :
?
DATE:
1
r-•, ?? 2/ S 4
i CITY Or EAGAN
APPLICATION FOR iPERMIT
• SEWER AND/OR WATER CONNECTIODT
(PLEASE PRIHT)
1) PFtOPEPPY ADDRESS: ??? 7 ("/1i)1ij t}al ij-0 "0- 0 I t"
T.FraT DESCuprzov: Lpy- q
(Lot/Block/SuLdivislo or TaxiParcel I.D. N, r)
? IF x";IS:'':G ST4L'CP'RE, DATr: 0F OI2IG7NAAL E.iILDI::GI r=:?s. ISSU?NC.:
PRESc-'`.T z,^,•7I;T;/nRpppSE!:) L'S:: O R-1 SZN
GLr", r2%.MILY
i
P R-2 DIJP7i..'Y ('P.%O LTIITS)
? R-3 TCF.,:?C{JSE (?'fm-EE + L^TITS) ( Wi I'_^S)
? R-4 APblRTlf?'TI'/Cf;i'3X.D1PinJ14 ? Wi ITS%
Q CCT.nffT2CLu/RF.TAII?OFFICZ
? L\MGS .T=tSAI,
? L'?ISTI'ZLIPIO.IAL/GGVE.4??L1'T
2) AppLI= (PLF?SE PRINi J
rAME:
AnDREss: =??/ - e/
crrY, sTATE, zzP:
PHONE:
3) piumBER PLEASE_PRlNT)
rAME: ,%5'X/v /o(,r 6,, IZJ6 e)
FOR CITY USE ONLY
ADDRESS: PLUMB,ERS LICEYSE:
CITY, STATE, ZIP: Active
Ezpired
MA? "m
PHONE: PLUMBER LILFNSE # Not of Re ord
/
o?
a niti=a
q) pCcUppNT/a,ZTER
NAME
')
: ?iL1 ?0 / L YXI c.}
?
AwoREss: s _ c
CITY, STATE, ZIP:
PxorrE: k7 ?/ - I? ?'?'S { I
5) INpIG'1TE 117f-IICH PF.RNLIT IS BEING RFQ(JESTID:
t CODINECPION TO CITY SES^7ER
? CONNDCPION TO CITY WATER
? O'[IER (PL,EASE DESCRIBE)
6) ILdDI= C:E:
I
?
PL:?SE F?OID APPRWID PERMIT FOR PICI:-UP BY ONE OF AB(7VE
PLF.'1SE b*'.c1IL APPRWm pgt;•tIT
? TJ 1, 2,?f 4 11BpVE
? (Circle one)
7) szczzzvm: 'IL? ,
I ".? ,??,?,?Pe2tia?: ??
.u '
? Rolil?wfl?s:f? rl Q Eo?.?tf? ?! ?tnsv.asi? af i? ?s?sa:a:a? a a f?at??r?ai? ? ???s=ocssr ?
FOR C I TY U S E ON:,Y PE2MIT ° ISSUED
FEES: $ / Q ,!s`D
$
$
$
$
$
$
$
$
$
$
$
S
SE:^iE4 ncR117T (I_`ICL::DE SURC`.:?RGc.)
WATEi2 PERI"[IT (IIvTCiUDE SIIRCHAc2GE)
WATER METER/COPPERHORN/OUTSID° READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;dEF TAP
=CCCi;:i'^ ?.=.?CSI= - 0-:,=3
ACCOUNT DFpOSIT - 47ATER
wac
SP.C
TRU'NK WATER ASSESSiQENT
TRli\K SE61ER ASSESSMENT
LATERAL BENEFIT/TRUNR SED:E4
LATEtZrIL BENEFIT/TRUNK WATER
OTHER
$ TOTAL
$ AIvSOLT:VT PAID/RECEZPT # s p
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
C] YES IF YES, THEN A"PERMIT FOR Tr10RK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DZVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:???
TI:LE:'e-', GJ_,oo
DAT°: --.P--?q._CP5-?
maiJ+ m!m mm;mw4m Mkmml w?m /EW 1! w/! w?:m
L D 6 ?l BL ? CITY USE ONLY
SUBD. GNLN?Lf.(?7v e1 '
1998 PLUNBING PERMIT
CITY OF EAG
3830 PILOT KNf
EAGP.N, PMI 55
(612) 681-4i
Please complete for. ? single family dwellings
? townhomes and condos when permits are reqi
? 6ackflow preventer for underground sprinkler;
---------------------------------------------------------
FIXTURES ---------
EACH
Shower 3.00
Water Closet 3.00
Bath Tub 3.00
Lavatory 3.00
Kitchen Sink 3.00
Laundry Tray 3.00
ot Tub/S a 3.00
Water Heate 3.00
Floor rain 3.00
Gas Piping Outlet ` minimum -1 3.00
Rough Openings 1.50
Water Softener ' for dwellings under construction 5.00
Water Softener ` ror axis[ing dwellinp 20.00
U.G. SpflflklEf "fordwell(ngunderconst. 3.00
U.G. Sprinkler ' for existing dwelling 20.00
Alterations ` to existing residence 20.00
Water Turn Around 20.00
Private Disposal System * MPC iic. 75.00
(new and refurbished systems)
Private Disposal Systems "Abandonment 20.00
RPZ (new installation only) 20.00
-- ---- --°'---'-----------' - - - -----
I here6y acknowledge thal I have read this applica6on, stste that the information is corre
It is the applicanYS responsibility to noti(y the properry owner that the City of Eagan a
normal operational and maintenance activtties to the facilities construded under this {
SITEADDRESS: 0'O21?1- eA'l_ _?dL
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
'DQ G4?sv./ ,
CITY: /J?-/?f?i
SIGNATURE
RECEIPTq?1vz0 ? ?
RECEIPT DATE: ? ?IV 7
IDENTIAL)
RD
for each unit
# TOTAL
x =
x =
x =
x =
x =
x =
x
x =
x =
x =
x =
x =
x =
STATE SURCHARGE .500
TOTAL 17LIV ?
?, snd agree to comply with sll applics6le City of Eagan ordinences.
?`sumes no liability for any damages caused by the City dunng its
Irtnit within Ciry property/right-of-wayleasement.
TELEPHONE #: G'.J"'J7'
^? ZIP:
CD/PERMIT FORMS/FiPLBG PERMIT (RES) - 1998
Oct.18. 2013 8:59AM Crest Exteriors 651-463-8095 P. 16
Use BLUE or BLACK Ink
I For t)tflea Use
I I
1
Wan I Permit
City of I ~~I
I Pemtll Fee: i
3930 Pilot Knob Road 1 l
Eagan MN 66122 1 Dale Received:
Phone: (661) 675-5676 1 j
Staff'.
Fax: (661) 675-5694 I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: '-5 Site Address: 44 2-5 J_ e_ (2AY- Unit M.
Name: Phone:
O V er : Address / City / zip,
Applicant is: Owner V Contractor
Description of work:
Construction Cost: Mulll+amily Building: (Yes / No
Company: Contact:
Address: ity:
c or Z zz
State: rO zip: Gc' 1 r S _ Phone:
M.~ r.
Y.
License M Z~ 2 U Lead Certificate M
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional infomlalion)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a elmllar plan based on a master plan?
,_Yes ZNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone;
:Qv~ i"n of
16n
NOTE;; Vs a '&'Tppo tl ` ~d '""tee S~ y"" `.:s m ` cons d eat ~o'•us- u tic into It,
o i a ns t:wodd:pe 1 ~i elC :~o
e:ir~f~r o ; r~►a r ,e ,cl a K-
; ; ,"•:;r,~:..cc0/1C N Je'.. a 9 ,:Sfie. trail :Sec ets;
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 464.0002 for protection against underground utility damage. Cal 48 hours
before you intend to dig to receive locates of underground utilities, wAw aooherslaleonecall,ora
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 application for a permit, and work Is not to start without a permit; Thal the work will be in
accordance with the approved pion In the case of work which requires a revlow 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 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153577
Date Issued:01/03/2019
Permit Category:ePermit
Site Address: 4425 Cinnamon Ridge Cir
Lot:092 Block: 04 Addition: Cinnamon Ridge 3rd
PID:10-17402-04-092
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Gregory J Klingler
17348 Galle Ct
Lakeville MN 55044
(952) 905-6186
Crown Drain Cleaning Service
7875 E River Rd, Apt. 117
Fridley MN 55432
(763) 516-5754
Applicant/Permitee: Signature Issued By: Signature