The URL can be used to link to this page

4431 Cinnamon Ridge Cir Jan, 3. 2011 3:10PM No, 9439 P. 2 Use SLUE or BLACK Ink For Office Use City of Eajan I j Permit Pemtd Fee. I 3830 Pilot Knob Road Bate Recei . 1 Eagan MN 55122 ~v >r C 11 vec, Phone: (651) 676-6676 Fax: (651) 676-6694 staff: - , 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ~ Date: Site Address: 4414 . Tenant: Suite M. RESIDENT /OWNER Name: `~'`_`)~?1?iPc Phone' Address / City / Zip: ~ ~ s rv1~A 411C)►v ~~d~~ f1r,_r Applicant is, Owner Contractor TYPE OF WORK Description of wark: Construction Cost tom Multi-Family Building: (Yes / No CONTRACTOR Name; Q .P .a)ca = ,i ,IQ ~ License i1 A ca ( z .Ul Address: au,-=T(-3 f)n i City: 5 ►1 6f7 ty State: Zip: ~ Phone: , c I ~.5~ 5J t C Contact: (Y 't 6)-elke- i .3 Email: {l i Cheflel- L.1 6-lz t"--44 eay) 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 L __No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor- Phone: Sewer & Water Contractor: Phone: NOM" 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.gopherstateoneeall.org 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 I not to start without apermit; that the work will be in ac with the approved plan In the case of work which requires a review and approval of. Vans. cordan x h. x -1A , V-6 ems.., Appli nt's Printed Name Applic nt's;Signatu Page 1 of 2 Jan, 1 2011 3:10PM No, 9439 P. 3 C/-/-) 0/1 ~f~ 0 1 Q- c q7&& ~ DO NOT WRITE BELOW TH18 LINE SUB TYPES _ Foundation - Fireplace - Porch (3-Season) T Storm Damage Single Family Garage Porch (4-Season) - Exterior Alteration (Single Family) _ Multi - Deck - Porch (ScreenlGazebolPergala) - Exterior Alteration (Multi) _ 01 of Plex Lower Level _ Pool Miscellaneous - Accessory Building -WORK TYPES 1a,; - New _ Interior Improvement Siding - Demolish Building' Addition - Move Building _ Reroof - Demolish Interior Alteration Fire Repair Windows - Demolish Foundation Replace - Repair Egress Window - Water Damage _ Retaining Wall `Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation Occupancy MCES System - Plan Review Code Edition P4AV%)7 SAC Units (25%_,100% zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final 1 No C.O. Required Foundations HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath Brick Fireplace: -Rough In Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backflll - Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 ? , . CITY OF EAGAN .: 10031 ? 3830 Pila Knob Road, P.O. Box 21-199. Epan, MN 55121 PHONE: 454-8100 BUILDING PERMIT RruiPt # To w swa foe T Est. Volue Dare . ? 19 Site Addrea ' t? ` - ?•: ?? ?`i ??; j1 . . 1 J ? , i? ?. :''. Erect ? Occupency - - + \•-? Remodel ? 2oning Lot Blxk ? Sec/Sub. -' ` F `' Parcel No. Repair ? Type of Const, i Enlerge ? Na. Stories ? Move ? Length = W Name ?„ Demoliah ? Depth r?'= ; Addrecs - •'t''t? - i..: ;? Grade ? Sq. Ft. , U City v Phone Instell O , t Name APOrovalt foos A?? llssesunent Permit ' ?? City Phone Woter a Sew. Surcharpe - ` ? Poliu Plan Review ? Name Fin SAC _= Address , , •• Enp. Water Conn. ? .; . ?? W CitY ?hone Plonrrr Woter Meter Ccuncil Rood Unit ( hercby ack?wwfedye that 1 hove read this opplicotion ond storo thof Bidg. Off. 4` 3 j?`' 1- ?? .•' the information is correct ond ogree to comply with oll opplicable APC Totel Stota of Minnesoto Stotuta: and City of Eaqan Ordinoncas. - Var. Dete Sipnotum of Permittes , . . A Buildinq Permit is issued to: on the exprcss conditlon Ihat oll work sholl be done in ocoordanc* with all opplicoble Stote of Minnesoto Stotutes ond City of Eapon Ordinonces. I Buildir?p Offlciol ? - ? Pwmit Na. Pwmit Holdw Date Telephone # PIumWnY k g `! U H.v.a.c. tyu 4 . g 93 • o Z ekwtric , v - ?? Softenwr Inspection Date Insp. Oth*r Footinp - 9' Foundation Framiny Roofiny Rouph Plbp. .y . Rouph HVAC l S ? Inwlnia, ? • 9 - 8? ??e?' LO, Find Plbq. . J Final HVAC * yf,?. -? ?? ? Finsl s? CMt/006' Water Describe location: Yilell Sewar Pr. Dhp. Rsceipt PLUMBING PERMIT CITY OF EAGAN Permit No: Fee Fill in numbered spaces S/C Type or Prin[ legib/Y Tot _ 1. Date -;7 ? 5! 2. Installation Cost 3. Job Address Lot B4:4 Tract` ?. ? ? c 4. Owner 5. Contractor -? Phone ? ? -/( - ' 6. Address c G o:/?[,4 •, .-:o << cr?? .//C ? 7. City State !/%c, - - Zip 'I 8. Building Type: Residential Commercial ? Institutional ? ? 9. Work Description: New ? Add ? Alter ? Repair ? ? 10. Describe ? 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield ' Bath tubs p $e tic Tank % Lavatory p Softner ShoWer Well Kitchen Sink Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Ftn. f Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinancet and codes Aoverning this type of work. f Signed : for ' RouphPinal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reaipt ' - AL PERMI7 EAGAN Permit No. - / Fm rL % fill in numbered spaces S/C ' TYpe w Prin[ legibly ToL 1. Uate 2. Installation Coat _ . ,i - - - 3. Job Address 4Q*7 G i nriamer, Lot Bllt. Tract l ? 4. Owner !-'/eVrieS 3u# ic'•2t's - 5. Contractor ?i?ri t }?V C, .t;t. Phone "''?-???,:? I 6. Address 530 west 79th Street r: Ha Y?„ ?•-,.`, D p 7. Cty State ., 6?. Z? J 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Desa'iption: New t] Add O Alter ? Repair ? 10. Oesaibe T',On ii0fi1-, FuelType ;iai:. WIS ? 11. Na• Equioment BTU - M. Ea. Forced Air ' - No. Equiument CFM Ai H Mfg. r andling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other ? Air Cond. - ' Mtg, Gas, Piping Outleta 1 12. I hereby oartify that the above information is true and correct, and I agree to comply with a{I ordinances and codea govarning thia type of work. Signed : for Rouyh Finel (nspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 cIrr oF EAGaN -W -R 3830 Pilot Knob Road, P.O. Box 21•198, Eaysn, MN 55121 PHONE: 454-8100 dUILDiNG PERMiT Receia T_ ?. ....A {.. ='• i' i1, l .i . 19 sire aaaren R 'sci - Lot ?t Bloek ' Sec/Sub. Parcel No. Neme - - ? Addresa City Phone Name . u? Addrest Citv Phone I hereby acknowledge thot 1 have reod this cpplicotion and state thot the information ls torrect and ogree to comply with atl applicObk Stats of Minnesota Statutes end City of Eaflan O?dinonces., -' • 5ipnotum of Pertninee • A Buildinq Penmif Is issued fo: all woric sholl be done in occordonce wlth oll opplioobl• State of Mir 8uildinp Offkiol Erect U OcwpsncY i.. Remodel ? Zoning ` Repair ? Type of Const. j Enlarge ? No. Stories Move ? Length ' Oemolish ? Depth Grade ? Sq. Ft. Inatall ? Assessment Water b Sew. Police Fln En0• Plonner Council ? Blde. Off. ` - APC Ver. Date Pertnit Surthorqe P1an Review. ` SAC Water Conn. Rood Unit Total on the express CondiNon tho+ i Stotutes ond City of Eopon Ordinoncea. Permit No. Ps?mk Holder Daft Telephone # Piumbhp ? ( 5-4 g W H.VA.C. a ' ?K/i.?J? '5Ivi? E»etria A(q Softow Inwection Dab Insp. Othor Footinps Foundstion Framiny Rooting Rouqh Plbp. ? S . Rough HVAC I Inwlstion S? Final Plb? zah- HVAC Final Final ? 9../ CKt/Ooc. W?r Wscribe Locstion: YVsll S?w?r Pr. D'ap. Repipt . MECHANICAL PERMIT Permit No. CITY OF EAGAN Fes Ffll in nermbened spacet S/C TYpe w Print leglbly Tot -----=r- 1. Data - 2. Installation Cost ?;`- - 3. Job Address C i itl13?'w.: ? Lot Blk??_ Tract 4.Owner '?':?`'?P5 Builders 5. Contractor i'•1e1^ft NYC. IoC. Phone ??'???::'f• ?} g, Address 'A0 Nest 79tts Street 7. City State NlrtfieSOtd Zip 8. Building Type: Residential L? Commercial O Institutional O 9. Work Oescription: New 9 Add ? Alter O Repair ? 10. Descxibe 1?ri r?}C•r?F Fuel Type Nii t. ?,:t ; 11. No. _ F,AUipment BTU - M. Es. Forced Air I` ' I l -?r No. Eauioment CFM Ai Mfg. r Handliny: Boilers Mfg. Mech. Exhauat Unit Heater Mfg. Othe Air Cond. r Mfg. ? r j r,, Gas, Piping Outlets 12. I hereby csrtify that the above information is true and oorrect, and I agree to comply with all ordinances and codes governing this type of work. Siyned : for Rouyh F inal Inspections: Oate Insp. Date Inap. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Roceipt PLUMBING PERMIT CITY OF EAGAN fill rn »umbered spaces Type or Print /eyibly 1. Date - 2. Installation Cost ? 3. Job Address f??? ? =Y LoC Tract ? 4. Owner 5. Contractor Phone 6. Address 7. CitV State / . Zip - 8. Building Type: Residential O Commercial ? Institutional O 9. Work Description: New O Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ces ainfield ool/D Bath tubs sp r Se tic Tank Lavatory p Softne Shower r We I I ? 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 oomply with all ordinpnces and codes governing this type of work. Signed : for - Rough f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 I Permit No., Frs • ? S/C Tot ? CITY OF EAGAN Remarks Addition CINNAMON Ridge 3rd ADDN. Lot Pt • $ B,k 4 Parcel 10 17402 0$1 04 7L. Owner Street 4431 Cinnamon Ridge CT'State Eagan, MN 55122 lil 160 - $ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ].C 5 ?'7 •?,d• 115.68 5 STREET RESTOR. GRADING SAN SEW TRUNK 1973 51 »11 ? 3•41 15 * SEWER LATERAL 19 5 l 19 • 75 - 323 • 5 WATERMAIN WATER LATERAL WATER AREA 401 1973 • 4.39 15 STORM SEW TRK 1979 . 9• 55 20 ? STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 280.00 50624 4 4 85 WATER CONN. 500.00 BUILDIfVG PER. s,ac 525.00 PARK CITY OF EAGAN Remarks Addition C..INNAMaN RZnCE 3RII ADDN. Lot Pt $ aik 1+ Parcel 10 17402 0$2 04 Owner Street 4433 Cinnamon Ridge Cr,,,te Eagan, MN 55122 I1??L.. O/ 'aPA'' - $?Ss Improvement Date Amount Annual Years Payment Receipt ?Date STREETSURF. 19 S 57•40 11568 • STREET RESTOR. GRADING SAN SEW TRUNK 1973 51 . 11 ? 3.41 15 ? SEWER LATERAL 1985 1019 • 75 . 323 • g5 WATERMAIN WATER LATERAL WATER AREA ? 1973 F •72 ` 4, • 39 5 STORM SEW TRK 1979 90 . 5 9.55 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. ,1003 3 10032 SAC . 9253-00 PARK Y OF EAGAN Remarks LOZwner ?t?o CINNAMON RIDGE 3RD ADDN Street 4431 I 10-17402-080-04 EAGAN MN 5512. Improvement Date Amount Annual Years ? Payment Rece' Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1973 . 22 6.81 1$ 69 SEWER LATERAL 647.90 WATERMAIN WATER LATERAL k 1989 5L WATER AREA 1973 131.44 8 15 y? x 1985 STORM SEW TRK 1979 381.69 19 .08 STORM SEW LAT K 1985 CURB & GUTTER SIDEWALK STREET LIGHT / WATER CONN 8UILDIN ER. SA C RK i-'CUSc ^cA71NG T=----i REC:.R.^, AcoREss T. ,=L"oR suBuRS? OCCJPANT OwNE4 HEAT LOSS DA _?'? ?4TG. INS-. . SCLD 3Y Setti7?.s ',?e! f-F'Ti a?}' ? l? e?rt1 INS TALL-E7 3Y =:ecsrical 'Moric 3y Gas L:ne 8y -''OE OF HEA; GA X FA,&/-;JW S'EAM SPACT-4TR. UNI-HTR. OTHER r:tas ?101? Pllat ilo" Pllat T1Ei" L.yf. Crf OFf ` . Praswn 3~s c? P?K?at C02 '? 4° 1aq?t CFti ?+at• OZ? :=clc Tamp. Psraar .' YA = GAS DE?1GN . C:NYER510N uaK? !,?aKE OF BURNER uOQ?? iteiviu ? gt Mods1 Dso.-Z' r- gapJ0& 4-1 Max. BTU Rarin9 INPUT MA1CE OF FURNACE Modal . rnuTCro < LI I CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P.O,$ox..21'J99 PERMIT NO.: Eagan, MN 55121 DATE: i Zoninp: No. of Units: , t4 duplex Owne,. Je'Jriea B1drs /lddrcss: ? Site /hddreas: 4433 Cinnanon i.f'? .-;a C:Lr,_1?_ 3,1, Cinn ri_??,e 3 Plumber Ijavlocf:. Meter No.: Conneetion Charqe: 500.00 gd- 5ize: Acoour,t Depostt: 15.00 Reader No.: PeRnit Fee: 10.00 1 agrw !o aompy wilh fke Gry of Eeyan Surchorge: .50) :s j; oranonam Mlsc. Choroes: 132,00 pcl r? Totoi • By Dato Paid: +i Date of Insp.: Inap.: ? CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot K_-nat Raad Box 21199 - P O PERMIT NO.: . . MN 55127 Eagan DATE: , Zoning - Na. of Units: dup le-' Owner. .. eVY1eS 4.L+11..; : ress: i . :.- ? I VIte Addrcss: 44332 - I'?4 C:i?r? Riclze P umber: l ? ? ? . j`Meter No.: ?.jj R y y`? ? 6 Cpnme??on? ,('cF+arge: 3 0 Siu: -'i?CaSunf l?eposff: 15.00 »d _ Reader o.: L a ??6-3 Permit Fee: I.00 y?C! - , 1 ym h eomply wkii tiw City eE Eegen Surchorge: a'diM11CM. MiSC. ChUfQBS: 11).0?.1 P..j Total: F ? • `'?' ?:i _ ? g Dor• Paid: ? y I Date of Insp.: InsP-: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road , _..; P. O. Box 21199 PERMIT NO.: Eagan, MN 55127 DATE: '' Zoning: " No. of Units: 'z d uplet . - ' • Ownlr. ;eJrl.eg Bldrs ? ^MfCSS: Site Address: '-=+33 C.innsmon R3.da e C{rcie 7,3 L•.if Cxn.? s :, « Plumber: J^._/i ?i.?•J -.4. '?1 a,??i • S? •' ? f .one ro sosoy wieh Nh. ckr oF Eayoa w,nectlw, ae.ge: ff25.0/? 'J IJ:: +s7'? { _ . Ordinawem /ltcount Deposit: 15.00 , Permit Fee: 10.00 pd ; Surcharpe: By Mise. Chorpes: . ? Dote of Insp.: Total: I nsp.. Uate Paid: . OF EAGAN Pilot Knob Road C.... -s? ?nn , WATER SERVICE PERMIT PERMIT NO.: F '; ( ' ? DATE: <'t -• 11- 3 5 ? No. of Un+ts• ? dunlex DeVtiea Bldrs ? No.. to oa51* Mkb 1`e My af E."n Cannectian Chprye: I).(?U Fad Acaoanr Deposlr: 15 . 0 0 p,l Permlt Fee: • '20 LI'l Surchorge: .50 Mtsc. Chwrpes: _ 132.00 nd Totol: ---- 63.00 tn s; Trct•?r Date Paid: CITY OF EAGAN WATER SERVE 3$30 Pilot Knob Road CE PERMIT P. O. Box 2115?- • PERMIT NO.: Eagan, MN 55121 DATE: 2onirg _ .?. No. of Untts: Owner. D eVt:i e s ress: , ° SiM Address: L8 i' /a Cinn iUR1b!'f: p,?lJ?' {- ? S Eti leter No. 3-?sK?`? ? ' Ghorge: ' 50). 00 5ize: -r f_X t? I???R -:: +r t= Ac3u'nf t posit: 1 S. 00 ji?' Recder No.: Permit Fee: 101.00 oC ? qm to oamPy +nqli the Cihr of Ea9bn Surchorge: Sn Pti M1ac. Chorpea: - 132.00 g? ? Totol: _ 63.00 p ?et?r BY Dote Paid: Dnte of Insp.: AA1 - I rnp.: I - - .. ? CITY OF EAGAN 7 3830 Pilot Knob Road sMyER SERVICE P ERMIT ? P. O. Box 21199 PERMIT NO : Eagan, MN 551;1 . Zoning; Di1TE: ? r eg r? Owner: A No. of Unth: - uP ex ddress; Site Add?ess: nr.amon J?C YC C' nn . ? Q e Plumber. . ° . rID7 . _...,..-, P ?some to ompy w1m a@ ph of Eotos Ordinenees. Connectton CFwrpe: 425.00 pd Account Deposit: P Pemdt Fae: • p BY $urcharDe: • '• A Dote of I Misc. (horfles,; ?" Total: Insp.: Dob Pokl: ey Qote of Insp.: n !' ,_„ ,• CITY OF EAGAN `NO 10 0 3 2 3830 Pilot Knrob Road, P.O. Box 21-199, Eagan, MN 55721 " PHONE: 454-8700 ? BUILDING PERMIT RKeiPt # Te M wed Ier h TWIN HOME Esr. Value $49, 000 pOfe APRIL 3 l 85 SiteAddresa 4431 CINNAMON RIDGE CIR Erect gl Occupancy R3 Lot 8 elock 4 sec/Sub. CINN RIDGE 3 Remodel ? Zoning R4 Repeir ? Type of Const. v Percel No. Enlarge ? Na. Stories DEVRIES BLDRS Move ? Length W Neme Uemolish ? Depth 64 ? pdd,fts 7564 MARINER DR Grede ? Sy.Ft. Citv MAPLE GRV phone 420-4685 _install ? }? Name SAME O? u Addresa 1- City Phone GW icity N?fe GAGE s BOONE AVE Addres ? ?W BROOKLYN PyAone I Mreby a[krowledge thot I haw read fhis application ond stote that fhe inlormolion is correcf a ogree to tomply with oll opplicobls Stota o4 Minnesota $totutes an CI ?f Eagnn rdino s. Sipnoturc of Permiftea ?" . A eutidinq Permtr is issued ro: DEVRIES BLDRS oll work sholl be done in accordarKe with ol??u plicabls Sfute of Mir Buildlnp Oftlciol - Assessment Woter S Sew. Police Firo Erp. Plonmr Councll Bidg. Off. Q 3$ rJ APC Var. Date Pef111i1 G/ O. J V SurcMrqa 24.50 Plan Review 139.25 SAC 525.00 Water Conn. 500.00 Woter Meter 63..00 Road Uni! 280_00 T.P. 132.00 Total $1 42_ 5 on iha expreu condiNOn Iho+ Statutes and Ciry of Eayan Ordinancea. CITY OF EAGAN r) ° 10 0 3 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55721 PHONE:4548100 BUILDING PERMIT Receipt # Te M wed Ier ? TWIN HOME Est, yalue $49,000 pote APRIL 3 jy 85 4433 CINNAMON RIDGE CIR Erect E{ occupency R3 SiteAddr?ce CINN RIDGE 3R Lot Block 4 Sec/Suh D Remodel ? Zoning R4 . Repair ? Type of Const. V Parcel No . Enlarge ? No. Stories DEVRIES BLDRS Move ? Length 24 1 Neme Demolish ? • Depth 64 Z Address 564 MARINER DR Grade ? Sq. Ft. ? Citv MAPLE GRV phone 420-4685 Install _ ? SAME o rlama Vu Address I- City Phone Name GAGE Address ROONB AVE - City BROOKLYN Pjfhone 1 hereby ackrowledpe tFwt I have reod this nDDlicetion ond stote that fhe iniormation is correcf an gree to comply with all opplicoble Stota o4 Minrototo Stotutes n Cif?'of Epgan Ord?ho .nceSy^ Sipnoturc of Permittea ---.+? Yti. ?C.?revY\ A Building Permlr Is issued ro: DEVRIES BLDRS all work sholl be done in accordance with aIJ-ppplicobla/Sfoi"f Mir Assessment _ Woter d $ew. Police - Firo Enp. Planner _ Counctl _ Permit • 5 0 SurchorQe 24.50 plen q8V1eW 139.25 SqC 525.00 Woter Conn. 500.00 WoterMeter 63.00 Rood Unit 280.00 BIdg.Off. 4 3 85 IT.P. 132.00 APC Total $1,942.25 Ver. Oete on the express conditlon thai nesoto Stotutes and City af Eupan Ordinoncea. Buildirp OHINoI This request wia 18 ?.sr.6`?" ! ? 7 ? Nequest Date Fire Na_ _?_^?CJ ough-?zlnspecHo?l ?Reatly Now Yes ? No ? , / ?( U - 5 ill Notiry Inspec- ?or When ReaAy ? Licrnsed Electncal Contractor ? Owner 1 hereb r y apues[ i?pa[ion oi above elecbical work i'bia11M at Sv¢et qddress, Boa w Roote Na. Citv 431 (;innamon Rid e(:ircle Ea an e??on o. Trnvnship Name or No. pange No. County E n Dakota Occupant (PqINT) eVries Buidlers Mono, N. 424-2611 Wvrer SuPalia Address akota Electric 4300 - 220th St. W. Farmington, MN Elecvi?l Connactor ICwnpany Namel Convactor's License No. ontemporary Electric, Inc. 0419167 ?????e Atldress IConttactw or Ow?rer Making Iretailatfon? 610 Hemlock Lane Ma le Grove, MN 55365 Autl?wized Sigwtu?e ?ConVanw? er Making Installation) Phone N?m?p¢? 424-4232 sIwrE eoaxo or E Icm r1110s_NiAwey B10g. - Ropm N-1911 1821 University Ave_, S2. Peul, YN 55109 Phone 16121 2972117 I hi5 INSPECTION NEQUEST Y11LL NOT BE ACCEPfED BY iHE STATE BOAND UNLFSS PROPEN IMSPECTION FEE IS ENCLOSEO. REQUEST FOR ELECTWCAL INSPECTIOPI dilk EB-°°°°'A" ' see natn.c.oons Im mm / plerM 1h:s fvm m haek of yellaw capy. 5 0 14967 "X" 8e/ow Work Covered by This Request ? r b $" p Fee ServiceE?rceenceSile p Fee Feetlers?5ubteeders p Fee Circuits U to 200 Am s 0 to 30 Am 0 to 30 qm Above 200 qmps 31 to 100 A?ripS r M 31 ta 100 Affq? Swimming Pool Above 100_Amps A6ove 100_A Transformefs irtigation 8oorts i l ) V Partial, `Other Pee my?s apecial mspecuon S47.50 TOTRL FEE- 1 Re?rks ' ! Wirina nf nnunla hiinnalrn.i ( L?7-o?v RoupA-in /__? Da?e 1 a Elec[?ical ?^ ? Impector, h9raby Final 7 On?e 7 CBrtiry thst fhe ahm'e ?ron nns eae. ?an ma? vao inma?vanwn Thfs reQUest wid 1rmnthsfr-,n L h Nequest Date Fire No. Ibueh-m Insp¢cUo 4-fs-85 'rM? ?Ready Now Well Nm?4y Inspec- N ?Yes ?NO [or p/I'n (tca?Y Eqicensed EI¢ctrical Conhactor I h"gp? retpro,sf fnspecfion of abovg ? Owner electncal wak 1rts1alled at Street Address, 0ox or Pouie No. City 4433 Cinnamon Rid e Circle Ea an ection o. Townshi0 Name or Na. {Innge No. Coeartly Ea(4an Dakota Occupan[IRiINT) Phone Mo_ UeVries Buidlers 424-2611 Power SupOlia Address Dakota Electric 4300 - 22 Elechical Convar.tor lCo?ny Name) CanEracior s License No. COntemporary Electric, Inc. 0419167 Mailirp Address ICOnvactor or Ownar Makirig I?tailationl 6a1u Hemlock Lane Maple Grove, Mn 55369 Auth ized SignaWre (CmhaCtw/O'r Illaki.g I?m?iatiun) Phane Nnmb¢r 424-4232 rINNE$OTA STpTE BOAIN bF EIEGICIT1r Griggs-YidwpY Bldg- - Ibom N-191 1821 University Ava_. St Paul, NN 55106 Phoris (6121 297.2111 THIS INSPECTION REQUEST WRL NOT BE ACCEPiE6 6r THE SiATE &Y0.flD UNLESS PROVER CNSPECTION FEE IS Ewccoseo. ?{ REQUEST FOR ELECTRICAL IMSPECTION Ea-ouoot_a ' S. i?retr-lions for coo?leti?p this fnrm m peck of yeFFOw copY. B 14 9 6 8 X. &,ow wak Cove,ed 6v Thic Ronrieci HdJ ltling Appliaass Ni.aO E¢uiortcnx WirM Range ?rary Servie:e Water Heater tiny Fs;ctures UApt g Dry¢f tnC Heatin eldg. Furrace UnEc?adec ; idg. Air Crditioner MpIk Tank Bulk washer • (S?':H? v x othe. - i r r • Fee ServiceEnhancOSize p Fqe Feednm/SUl.foe.e.. n c.._ .-. -_ - "•••I° `. '? '+mps I 4. U U sl to 1211 Am Swinming Pool AMvP 700 A..,o? ,......._ ,.,.. ?.._._. • _____ ____'._._..,,.. rina nf riniihlA hiin?,>>„ll7 ?/. 5 4?•50 7OTp?l--F!E- ) xo?n-i„ ? Oa1e @ 1.5p E[ec2 ?I ? ( ospe'cabr Aereby Firdl LQrt?ty tAgf the a 6ova f?t..?{f VB?tim hT5 Leen 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS l4UST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY '/Zc)F TW lN I?pME 1 SET OF ENERGY CALCULATIONS To Be Used For: Qt? Valuation: 4'j,0Q7-' Date: 'f-3-J?-!?- Site Address: yy; l C,,,? (Pnj?,_G.,1G OFFICE USE ONLY N?7t i '/2 oF 14-Yij Lot: Q' Block ? Sect/Sub R Erect ? Occupancy ?-3 Remodel _ Zoning Parcel I1 Repair _ Type of Const ? Enlarge # of Stories Owner Move _ Length 14- Demolish Depth 61+ Address ?e r??/ ?,,,,,,,...? ?,• Grade Sq Ft City/Zip Code ?..11i .?.+? ST3 6 4 ---------------------------------- Phone Uaotr(, ?-s- Contractor ?&, . Address -+ City/Zip Code Phone ? Arch./Engr. _ /L? Ad d r e ss Q.,le 0, City/Zip Code PO.qj. Phone 1! APPROVALS Assessments Permit -Z-76 Water/Sewer Surcharge 'LQ-.5= Police Plan Review 13q. Fire SAC rE:a-S. Engr Water Conn 50o,m Planner Water Meter (03 °-° Council Road Unit Bldg OffILfZgy Parks APC Treatment Pl 132• =? Variance TOTAL 3? `4 9?a, c,,) 1985 BUILDING PERFIIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS hUST BE LICENSED WI?H THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY %z oF TWtti 7 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: 41,OM -00 Date: Site Address: 4(433 ?OrZ-49 OFFICE USE ONLY ?Au7rk ?Z oF „ ' , 3R0 Lot: ? B1ock ? Sect/Sub Erect X Occupancy Remodel _ Zoning ? Parcel ll ? Repair Type of Const '$L I Enlarge ll of Stories Owner Move _ Length (J Demol3sh Depth (y4 Address 756?/ hc,u.,,,,,,. [Q, • Grade Sq Ft City/Zip Code 5'5-j6 Phone c(c kr Contractor Address City/Zip Code ? Phone r- City/Zip Code evvunvet c Arch./Engr. ? Address Assessments Permit 2-?S 5° Water/Sewer Surcharge Z 4 SO Police Plan Review 139 _zs Fire SAC 525 110 Engr Water Conn 500,00 Planner Water Meter !n3- Council Road Unit Bldg Off Parks APC Treatment P1 132-°- Variance TOTAL Phone 0 f C A'L V 3'N H H E D L UND 772e Morqan Avenue soufn . ? Richtield,Minnesora 55423 ' Land! Surveyor Qvll Engineer Phoae : 866-2523 ? ?urvc?or`? G'crtif?cate ? 4''A JOB N0. SURVEY FOR: Jotui llc\'rics DESCRIBED AS: Lot 8, B]och 4, CINti:1,1:Oti RIDGI: 5I2D ADDI'['lON, City of Ea€an, Dakota County, ' A9innesota and reservin, easements oi record. ? i ,3 ? I a ? m •? o PI W z 9 \ \ NpRTN i "+ 3°, l ? ?!?'(??t4KP5 ?'? y2<',61 \ h \00 I 05 a? Top of Foandalion - 9Z3• 3 le? Boaemenc Floor: 9Z-0.2 p \ / io?CJS7oKe5 (?`aray? Floor - 9ZZ.9 ? ? ry \ 55 ?q ?7 proposed Elev4%ti0115 Q N • ?? ? i ?, E:xistin9 Elev..clens ? ? / a°'? /?,??' Dratnu5e D?recttons i I 9PO.9 ? 52. ? G ? - S . y Dendtes Lot Corner ? GlNNAMON ? ? ?, • , ? . ' CERTIFICATE OF SURVEY z 2 hereby certify ihat on 311$ lg? I surveyed the property described above ond ihat i the above plat is a correct representation of said survey; . / ? Caivin H. Hedlund, Minn. Reg. No. 5942 ?? . .-. ? I 2/ 8 4 i "d CITY OF EAGAN ? ? 11t APPLICATION FOR PERMIT • SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHT) 1) PROPERTY ADDRESS: ?/ y-??? ('r%C•c/'1 ? l?'1 r/I ? ?Q `i ? ?i?tl i L t,Frar• DESGRIpTIC:V: (Lot/Block/Subciivision or Tax Parcel I.D. Ntmber) IF x":L':'_:G S'?7,UC7-T:2E, DAT' D° 0RIG1-,IAL riiILCL:G F=%?ST. ISSU2,.,:C7--: e PRESL,'I' -=IIiT,/PppPpSEJ C'S: ?R-1 SiJ;GLE r^P!4ILY _ , R-2 DUPLE{ ('I:tiO UNITS) ? R-3 'ICWTII?GYISE (?'F_p. '. + L^IITS) ( Wi ITS) ? R-4 AFAit?_`TM '` ] T / CC2?Ci.LT`7rL'?i ( LTi?iITSi ? - , ?. n ? CCStii??RCI.'-1L? nc.iAIZ?OFf'ICE ? I1DliS714J-AL ? INsT =zc.AL/Gc=Z=r 2) ApPI,IcnNT ? , I (PLE,' PRI?Y1) t?: J?5 ?p UlO ? K Y0/U lr, ? ?/1 (o ADDRESS: " ? crlY, sraTE, zrn: ??C ?l ?, r' Ic? R) PFIONE: 3) P??MER NAME: PLEASE PRINT) ? FOR CITY USE ONLY ADDRESS: ? _ ? (,ZKj PlI1X RS LICEYSE: Active CITY, STATE, ZIP; ? Q Expired PHOiVE: aicn PLUMBEA LICENSE N No?f?Record ? ni[ia 4) OCC[JPANT/a'R,IER %? lp,IPLEAS PRiN J NF1ME: .l/Z`? // L!? ? ?/A E!?s' AwoxESS: ? r?l r\?'? ?,N k'_ 7c'r v(-- czTY, sTATE, zzP: OW PHONE: , 5} 6) ICIDZG=1E 0:1E: 7) 5I(M,,*NTtigE: DATE: INDIG'1TE LVHZCH P IS SEING REQUESTID: CODINECi'ION 'IY] CITY SEWER CO N ,ION 'Iq CITY YIATEFt 7- ? diEIE12 (PLFASE DFSCItIBE) ? PIEaSE fiOID APPRCJVm PEF2,'?LIT FOR PICI:-G'P BY ONE OF d1POVE ?PIEASE 61AIL APPRCn/ED PE2bLLT 'IC] 1,r,2 3, 4 F1BWE , /j (Circle one) F 0 R C I T Y U S E O N L Y ' • PERMIT .°- ISSUED F°ES: $ $ $ lp.? •t-J S S $ $ $ ?e-d, ?•-d S V_ 7?6-_R?J S $ S S S.F.,:"lER °ARMrT (ntCL'..CE .iUDCHAR.riL) WATER PEF2f4IT (INCL'JDE SliRCHARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE',JER TAP =r"Oi;:Yr .=GSI= ACCOUNT DF.PC152T - PIATER wac SP.C TRG'NK WATER ASSESSi•IE:IT TRli:]K SEWER ASSESSMEA]T LATERAL BENEFIT/TRUNK SETHER LATERrIL BENEFIT/TRUNK WATER OTHER ' $ TOTAL $ 1/o.Q ALMOUNT PAID/RECEIPT $ ?,47"O7,VFJ DOES UTSLITY CONNECTION REQUZRE EXCAVATION IN PUSLIC RIGHT OF WAY? ? YES IF YES, THEN A"PERMIT FOR 'AORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING D?V:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLO[9ING CONDITIONS: APPROVED BY: TITLE: DATE : 02 G? b w?Ad W"N wc= +a NkM NO== wM w s_" ww w.4W MtM w10ig Wrso w:= Nt M fn Wi8 wi.4= ScIM /a sM w? iY • .. ,?-. 2164 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROPEKi1' ADDRESS : LFGAL DESCRIPTICN: S'-m,[.'CZ'-ME, DATE 0`_' ORIGZLTaL uiII.DI::G P?_?ST ISSvrI?:('y..: PRESLT --.^.:1I:r,/P°.OPOSJ C'S: ? R-1 S2?,QE :P_tiIILY ?R-2 CUPL...{ ('IStiD (Ti?1ITS) ? R-3 TGi,RM41Cv,cF (mc?c„_„f-o. + li`TZTS) ( WI^_'S) ? c-.} P,i-: RT"1=`:'P/CC:S)Ci-]P.`7IL-S ( iJ\ITSi p CQ%^iE?CL?L/F.E'_'AZI?CFFZCE Q 3;CC STP-L'Z ? NSTI':?TICN4L/GGV?'?.PTMSE?,7 '---'=?- . ;aL[na' ktr;rl ? ALDRESS: d)UC Sa. , CTT`_', STATE, ZI"r: A S'i ? P1:GNE: 3) PL[,:ffiEP, (PLEast vetNi) flFu? : r,DDrEss: CZTY. STATE, ZIP: P(fO:dE: PL'U46cR L(LEN,,E d ? .. . (PLCd:?Fry 1'NI.'ll ) 4) OLC7.;?At1T/r1.JffE2 NFti?: ???LL < ? PLDRG;S: ?ra/'1 L CIT!, STA'Zti, ZIP: /?Af?Ie 6'6.'?e M.tI PEn>!E: FON CITY l1St l7NLT PUJP RS IICEVSE: Accive C1 E:pired Q Not o Record a ! nit;a 5) IPIDIC:,'iT. WfiICii E'EFI-fIT IS BEINC; RLXIUES'I'm: W, INr•.crzo>a 7n czrr sLw0a coI,rrEr:zey TO c17l KXzER [] di'!UM (PLG'1SE DESCl7IIIE) ? PLG^,SE 1!01D APPRUJEIJ P!'12'VLIT FOR PICF:-TJ'P BY ONE OF A[3Cl'E ?PX.'?T h??LI. MPRC7'JID F'!?Z:LLT 'I'l? 1,? 3, 4 ABOVE ?? (Circie one) 7) szcaI.,-RE: DATE : . WsAs?,Ms sasar?rEas? ?seuqiiotl+? r •t_. « ? FOR C ITY U SE ONi,Y --? ?' ? • PEPMIT 4 ISSUED FEES: $ $ ?a.•?? S S $ $ $ u-l-?e-a - .-'.° $ vG'o7 ??/?d $ $ $ ?- $ j S SEWER P°TLMTT (I`1CLGDE SUP.CHARGE) WATER PERNIIT (INCL'JDE SURCFIARGc) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLODE CORPORATION STOP) SE:9ER TAP GSi? ACCOUNT DvPOSIT - PIATER wiiC SAC TRUVK WAT°R ASSESS?4E\T TRii:]K SEWER ASSESS:•lENT ---' ? _ " ---- ??, E.A:'FPAL $E';E.-^ITJT:iJ:;ri °i:IER LATERAL BENEFIT/TRUNK WATER OTHEF. ' TOTAL AIMOL'NT PAID; REC°I2T 0 ?So 7 9/ DOES UT2LITY CONNECTION REQUIRE EXC,aVATION IN PUBLZC RIGiiT OF WAY? ? YES IF YES, THEN A"PERMIT FOR :+)ORK WITHIN ? PUBLIC ROADWAY" M(15T BE iSSUED SY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TfiE FOLLOWING CONDITZONS: APPROVED BY: TITLE: ,/.zo ? DAT°: ¦aws?rsw?s??w?.?w??w?ws?awr?w.+wsMw???s?w.aw??s???R??c?w??? ? PERMIT# RECEIPT DATE: ?? l?l05?0`?i15?a EOOE RESIDEPTIAL PLUM$INfi PERM1T APPI1CATION ` CITY OF EA6M 3830 Pv.or [cNos sn I:kfiAP, MA bb7EE 651-681-4675 V'tMAR Please complete for: single family dwellings, townhomes and condos when permits are required for ea backflow preventer for irrigation system ^ I ?PhI Q.IYI M 0 4J . 1 C' ? . SITE ADDRESS: ? r 8y - - OWNER NAME: : ?1 lC1lL /-?? TELEPHONE #: LF)J_0-7d I (AREA CODE) INSTALLER NAME: ??????? TELEPHONE #: asa, 4'Z\-9Ce? (AREn CODE) STREETADDRESS: f! 12TIi Hopluns, MN CITY: STATE: ZIP: _ SEPTIC SYSTEM, new/refurBished (requires lwo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ A6andonment of septic system. _ Water turnaround - existing dwelling unit (+ 518" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacementladditional: _ water softener ? water heater $ 15.00 \ StateSurcharge r?n? $ .50 ? Total $ I hereby adcnowledge that I have read this appliration, state that the information is correcl, and agree to complywith all applicable Cityof Eagan ordinances. It is ihe applicanYs responsibility to notify the property owner that the City of Eagan assumyflabili for any damages cau sed 6y the Ciry during its normal operational and maintenance activities to the Nacilities constructed under this permit withrtylright-of-way/easement. SIG' MI EE 1102 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan ? 4 U C? ?y 3830 Pilot Knob Road, Eagan MN 55122 p? q.aS l Telephone # 651-675-5675 FAX # 651-675-5694 ? New Construction Reauiremenls RemodeUReoair Reauirements I? 3 registered site surveys showing sq. R of lot, sq. ft. of house, and all ruofed areas 2 wpies of plan g (20% ma?cimum lot coverege allaved) 1 set oi Energy Calculations for heated additions ?9'?i ? - 2 copies of plan showing beam & windowsizes; poured found design, etc. 1 site survey for adtlitbns & decks ?????,isetofEnergyCalculations Add'rtion-indicateifon-sifesep6'csysfam 3 copies of Tree Preservation Plan if lot platted after 711l93 Rim Joist Defail Opfions seledion sheet (bldgs vrith 3 or less uniLs Date,4&0 /-4z 5", SiteAddress ?IK33-- D{ Construction Cost ?J? • 00 31 ?/i?N/-?r.v16Y,/ ??? e,'2C-(f Unit/Ste # Description of Work ?? n Multi-Family Bldg V-?Y _ N Fireplace(s) _ 0 _ 1' _ 2 I? Property Owner _S Telephone # ( ) Contractor L( Address p S&S/5 State Mti,/ ? City Ld t Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEiN BUILDING - Minnesota. Rules 9670 Cateeorv 1 Minnesota Rules 7672 Enefgy Code Cat2gory , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet (4 submissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previousiy constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the informati n is complete and that the work will be in conformance with the ardinances and codes of the City of e? Statutes; I understand this is not a permit, but only an application far 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 ofplans. G,' '?- ApplicanYs Prin ed Name ApplicanYs Signa e `? ?tt?SS } 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please wmplete for: single family dwellings & townhomes/condos when penni[s are mquired for each unit nace /D /1.2, / O s' Site Address 7 y3 / Unit # Property Owner IRt 9ct4/ U-1 Telephone #40/A ) 7AO-6YO 1F Contractor .sd Gv?il 5 / ?? // E cLf h ? /?/? ?L. Street Address lQ'g"gd - City State MIS.. Zip Telephone #(?'I SS? ) S T?r/-o't y-?3 Bond #: Expires: The Appficant is _ Owner ? Contrac[or _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additio nal -xReplacement air exchanger airconditioner _New _Replacement other State Surcharge $ 50 Total $ 3 v -5-D I hereby apply for a Residential Mechanical Pernut and acknowledge that the inforntation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernrit, but only an applicalion for a pemvt, and work is not to start without a pemtit; that the work will be in accordance with the approved plan in the case oFwork wliich requires a review and approval of plans. r--- -- - _, . rt A ApplicanYs Printed Name Applicant's Signature ', Use BLUE or BLACK Ink For Office Use :I City of Eantd,Il Permit I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: ~2 I Phone: (651) 675-5675 I I I Staff. Fax: (651) 675-5694 L 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION L Date: I,,.-7-ucl Site Address: t~31 ~tr~rG-nog 'Zl.&l -C C•rLli.t- Tenant: Suite RESIDENT / OWNER Name: nth ~ raw Phone: 612- 3k2 Cf x-17 Address/ City /Zip: L13 C r r ti. ZAgc V1_n 5S r z CONTRACTOR Name: ~Z w saa hce . License t Sfo4 - 17~- Address: 3 City: QC- S State: tti,4 Zip: Ste( 6 Phone: In Z- ~'tZ I✓ 'L-~"'i, Contact Person: U~ eb TYPE OF WORK New -Replacement Repair Rebuild - Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation I -Add Plumbing Fixtures L_ RPZ / PVB) ( Main /'--Lower Level) Septic System Water Turnaround New Abandonment P S k~~.r St-r RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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.Qoi)herstateonecall.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 application for a permit, and work is not to start without a permit that the work will be in acco ance with the approved plan in the of work which requires a review and approva 7ofplans. x 1 ~4~ hyh Y1 V~ ~ ~7 ~ x Applicant's Printe ame Applicant's Signa e FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA075916 Eagan, MN 55122 . Date Issued: 11/16/2006 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4431 Cinnamon Ridge Cir Lot: 082 Block: 4 Addition: Cinnamon Ridge 3rd PID 10-17402-082-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required Bat tery operated types are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Tim Schenk Elder-Jon es Building Permit Service 1120 East 80th Street, Ste. #211 Bloomington, M N 55420 952-345-6040 Fee Summary: BL - Base Fee $2K $69.00 0801.4085 Surcharge - Based on Valuation $2K $1.00 9001.2195 Valuation: 2,000.00 Total: $70.00 Contractor: -Applicant - Owner: Renewal Andersen Genet B Mekuria 1920 County Road C West 4431 Cinnamon Ridge Cir Roseville MN 55113 Eagan MN 55122-2393 (651) 264-4777 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature Oct-18. 2013 9:OOAM Crest Exteriors 651-463-8095 P. 18 Use BLUE or BLACK Ink l For Office Use j Permit a: 41b"ll' 1 City of Eantan Permit Fee. V J 3830 Pilot Knob Road Eagan MN 66122 Dale Received: Phone: (661) 676-6676 I I Fax: (661) 676-5694 1 staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _ 0' 1 7 -1 Site Address: cinnamxy) UnIE i7: Name: c Phone: ;,Resident/: I n Address/ City/ Zip: l~ o; Applicant is: Owner ZContractor 17 f; Description of work: ~r ccrl~ a;ti:5. Construction Cost: ?~V~) Multi-Family Building: (Yes /No _J Company: u, MwV-)ytn_0_X 0? contact o ~I Address: ►~'~~NE L11)Iity:p Slate: A, Zip: f~ Phone: I 1 ~Z5 _1 License M 2, 2 , J w ~ ! V Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? Yes ,/No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: U 0m ° ic.Lffodrio~.~at,~.R '~:,,,t,gFro f. obi e nio~/ dif a de err a aE:yty'fo plermi~alie C gyp, CQ ~p w~2v^:i?'k•. n'i .•~cliic• _nt%:l~a'A"<°nV_YA~Y 8 9i. QVyC/.9 _•l.. CALL BEFORE YOU DIG. Call Gopher Slate One Call at (1351) 4540002 for protection agalnsl underground utility damage. Cell 46 hours before you Intend to dig to receive locate~$ of underground Willies. www.oouherslaleonecall orci 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 (or a permit, and work Is not to start wilhoul 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 100 days of permit Issuance. x x Applicant's Printed Name Applicant's Signature Page 1 of 3