4455 Cinnamon Ridge CirCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4455 Cinnamon Ridge Cir
Lot: 41 Block: 4 Addition: Cinnamon Ridge 3rd
PID:10- 17402 - 041 -04
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments:
Fee Summary:
Contractor:
Midland Heating
413 West 60th Street
Minneapolis MN 55419
(612) 869 -3213
PERMIT
City of Eaan
5/6/09 Per Brian at Midland Heating, he has left 3 messages for the homeowner to call us to schedule an inspection.
Homeowner has not responded. pf
Questions regarding electrical permit requirements should be d
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
ected to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Owner:
Mark R Muck
9091 Altman Ct
Inver Grove Heights MN 55077
Issued By: Signature
Mechanical
EA085119
08/08/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
lot
Percel No. _
i Name _
Address
r?:...
Nane _
adaresa
zoning :
Type of Const.
Mo. Stories
Length 1
Depth :i
5q. Ft.
ecl5un. ?
Repeir ?
Enlerge ?
Move ?
Demolfah D
Grade ?
Phone Instatl ?
Name
Addresa
I hereby ocknowtedge that I how road this opplicetion ond stote thct
the inlormotion is torred ond ogrea to comply with otl opplicoble
Stoh of Minnesoto Stotutes and City of Ea9an Ordinonms.
Siynoturo of Pem+ifta
A Buildinp Permit is issued to:
oll work sholt be done in occordontt with oll opplicoble State of MIi
Bufldieq Officiot
/lssessment
Woter a Sew.
Poliu
Fire
En9•
Plonrer
Council
Bldg. Off..3,` `
APC
Var. Date
Permit
surct,orp.
Plan Reviaw.
SAC
Water Conn.
Woter Metar
Raad Unit -
? uG
Total 2r,
_ an tF+a expren conditbn tha+
Gty of Eopon Ordinoncas.
. CITY OF EAGAN : 99.;43
3830 Pila Knob Road, P.O. Box 21•199, Espan, MN 55121
PHONE: 454-8100
aU1LDIN0 IPERMIT RKeia #
Pamit No. Pwmit Holdn Date T?lephone #
P?unibing r 5 , ?? ,? Sg?,5 ? 6
H.VA.C.
e°Kiric Cc ?-c avc ?l a I? ? y? crZ?
soita».
Irqp?ction Dan insp. OthK
Footinqt - 5
Foundation 14
Frsminp
ROOfIng
Rouyh PIlq. C/ -
Rouph HVAC
ins,latia,
Final Plbp.
? ?
E f D?scribe Location:
l
Receipt
iICAL PERMIT Pormit No.
OF EAGAN
Fm
umbered apacas S/C •
Date 2. Instellation
3. Job Address
4. Owner
5. Contractor Phone
8. Address ?
7. City State Zip
8. Building Type: Residential ? Commerciel 0 Institutional O
9. Work Desc.ription: New P.l Add ? Alter ? Repair ?
10. Describe ' -_ Fuel Type
1 11•
I .
No.
r EquQffient BTU - M. Ea.
Forced Air No. EQUiament CFM
Ai
H
'
Mfg, r
andling:
Boilera
Mfg, Mech. Exhaust
"
Unit Heater
Mfg. Other
Air Cond.
Mfg. . ' ,
Gas, Piping Outlets
12, t 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
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Tot
1 - fS
f
./
?
?
?
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y ?
----?
??e c ?
i"{ F?/?-ar ??? ?f
`
V
4 ) P?J
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan. MN 55121
)y,a
PHONE: 4548100
SUILDING rERMIT RKeiPt #
Te w weA ie? 'j eti 7i+d i Est. Volue pate
A;•iCii
l:l ,^?;;
Site Address Erect ? Occupency
'
Lot Block 4 SeclSub Remodel ?
2oning
•-
. Repair ? Type of Const.
Parcel No
. Enlerge ? No. Stories
r ? ? r>
v • Move ? Length
a
r, Name .
Demolish
?
Depth
f+
; Address ' t?. ?± •i ' ? ?_ i i' , T ?i • Grade ? Ft
Sq
? .
.
City Phone Inatall O
Name -
Address
City Phone
Assessrnent
wace. a kw.
PoUce
Fin
Enp.
Pionner
Council
Bldg. Off. -I
APC
Var. Dete _
feq
Name
City
1 hercby acknowledye that 1 how reod this application ond stote that
the information Is correct ond ogree fo comply with oll applicable
Stota of Minnesota Stotutes and City of Eagan Ordinances.
Sipnoture of Permittee
A Buildinq Permit is issued to: all work sholl be done in occor+dance with oll opplicable State of Mii
Buildlnp Ofiiciol
Pemnit 1 t{ . 5 U
SurcFarge )4 • S r'
Plsn Review
SAC
Wahr Conn.
Woter Meter
Rood Unit
Total
on tFto exprest oondiNon thoi
ond Gity of Eapon Ordinances.
PKmit No. Pwmit Holda Data Teiephone ?t
Plu^bi^g 5a a
H.YA.C.
Ebeafe f• ?
SoftWW
Irnpection Date Insp. Othw
Footings .,dim
FoundKion -8$
Frsminp
RooHny
Rouyh Plby.
Rouqh HVA
Z s ?
If1lUlitlOfl Wg `ix I,,
l
Final Plbp. ? ,?, •
Final HVAC
Final
C?rt/Ooe. 01
'
Wat?r ??i? Location:
YII?II
S?rNr
Pr. Oi?p. ?
asaeipt MECHANICAL
CITY OF EA
? Fill in numben
Type or PriM ,
1. Date ? 2.Installation
3. Job Addresa <1 ?; i 1 Pi , ;.RIU r
4. Owner
Psrmit No.
Fes
? S/C
Tot
?Tract
?
5. Contractor 14L'r, T0 _ Phona - ?
6. Address
Y , ,,,- ?.5?P!1 SLatQ Zip
7. Cit ? ' .
8. Building Type: Residential Cn Commercial O Institutional ?
9. Work Description: New E2 Add ? Alter 0 Repair ?
10. Descxihe ?F: i -i X . , Fuel Type j•? _ .
11.
No•
` EquipmenL 8TU - M. Ea.
Forced Air No. Equiament CFM
Mfg. , , , .. Air Handling:
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg, Othe
Z
Air Cond. r
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 aQree 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 454-6100
R"pt PLUMBING PERMIT
CITY OF EAGAN
FiII in numbered spacea
TYPe or Print /egiblY
1. Date t2. Installation Cost
7 - f • ; -y
3. Job Address Lot . ? Blk.,
?
4. Owner
5. Contractor
6. Addrass
Penmit No. '
FN
S/C •
Tot
Tract
,
Phone _?- ts ?+'F? % G
7. City ? . State tip ? -? S. Building Type: Residential 'Q
9. Work Description: New ?
Commercial D Institutional ?
Add O Alter ? Rspeir O
10. Descrihe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Septic Tank
l.avatory 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
oomply with all ordinances and coqes governing this type of work.
Signed : ' •? ?- r
- for
? Rough ? Final
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4644100
CITY OF EAGAN Remarks
Additfon CINNAMON RIDGE 3RD ADDN Lot 4 elk 4 Parcel 10-17402 040 04
owner Street 4455 $ 4457 CINNAMUN RIDGE Ate EAGAN MN 55122
Improvement Date Amount Annual Years y?jr Payment Receipt Date
STREETSURF. J 1156. 8-0 - 231,36 ._ 6-11-$
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973
W 6 - 81 1 13. 11 11
? SEWER LATERAL 3239
50 p
7
0 2 1.(?O if if
. .
?
WATERMAIN
* WATER LATERAL 1985-
WATER AREA ? 17.56 it If
* Services F 1985'
STORM SEW TRK qAl 1979 381.69 19.08 20 248..13
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER COMN.
n
n
BUILOING PER.
SAC 925,00
PARK
Cil tf ..r EAuwi
3830 Pilot knob Road
P. O. Box 21199
Eagan, MN 55121
Zonirg: 2
Owrnr. iel'? iFS i',i:rs
Addeess:
SkeAddrem 4 G" 5(' inaamon r. J
Plumber. ' -
Meftf NO.:
StZe:
Reodtr No..
Iegme te eewplp wNlr !M Cihr of lpaw
OrdiMaam
By
DcM of I rup.:
CoflflsCtiOrt C1fOrqs: ` '' ' r -
1 ?• i ?? ?(?
ACOOUflt DBposit: _
Pem+it Fee: _5?? ,
Surcharye: Mlac. CF,o?oes: 132 . 0 pd
Total: ?i? !}0 , nPrgr
Dote Poid:
Irap.:
d WATER SERVICE PERMIT
Road
PERMIT NC
? D/?TE: ', .
No. af Units: - '
rr?.a •
f,6ih Address: -{x?-i?}'1- 4- Q?i xt? ?#f?4rcle I 4 '. nrtF.idge j
?
umber. ,..' _ ,;=. "1u r;?;
r^
r No.: Cornection Qsorpe: -i00 .00
5 xe: ?•?' ?? A?Wnt Deposlt:
Reader No.. .0 5?L Pem,ir F«:
?.n.. ft e000* W" er. c.rti ef c.w. sura,ame: •`!' ??
OdINSOM. Mfsc. Charpas: 1? 2. nn ,.C"
TotaL• ?'? ? t' n
' •-, •, ? e r
BY Dah Paid:
Date of I nso.: ?11J -7 / ? . ? 1-
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp; Owner. -'t'-`'t18h Bldrs
Address:
5ire Add#CSS: 'i nnamo rj ..r, f
Plumber. _ ?la•,?.ocY n1,.,
i? ",.a to oanpb .?N6 t6. C$r ef E.Se¦
10rdJneeme,
i BY
Date of Irup.:
M
?-
WA7ER SNRV ICE PERMIT
PERMIT NO.: 6101r
DATE: , , ,
k- nun ex
_ No. of Units: `
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: ' .._ `17 ,
No. of Unrts: 71 u w eY
Conriectlan C1w,p,; 112 5. 0;; , ?
?
Acootn+t Oieposlt: i ? 00
Peimit FN: 2 0 0 0 c:
Su?cFwrpe:
Misc. CMrgm
Tatoi;
Dotr Pold:
CtYY OF EAGAN
3830 Pilot Knob Road
[?
Bo
P
21199 WATH! SERVICE
PERMIT NO.: PERMIT
.
.
x
Eagan, 14N 55121 DATE:
e..,nirg: No. of Units: UP Ex
pwner; ieLries Bldre
Addresa:
Sit, /1ddrm: 4457 Cinnamon Ridg e Circle L4 B4 Cinn Ridre 3
Ptuwber: rj vtbo ci_ ..: i? i n-
Mehr No.: Connectt«+ (a+orqe: 500.00 ^ d
15.0c)
Stze: Acoourrt Deposit:
Reodsr No.: Pennit Fee: 11.00
.50 -•'
1oom to oe?plll wNh !M Ciep of Eqyr¦ Sur+charge:
Orah"Rem Misc. Chorpas: 132.00 Pd
Tatal: f 3_ ?0 nA r np-..*.er
By Dat. Roid:
Dote of Insp.: Imp.:
CITY OF EAGAi1t
3830 Pilflt Knoh Road
P. t ,x 21199
Er?gu.., MN . 55121 ? ??
za,rnp: ,
i)eV riey
OWmr:
mss: '.''
0 its Addrcss: 445ReiCIbli113zitlft' K'
c?c)
Plu
mber.
?ter No.: Y 7 Al / 8
ze• ? rf
R?r ?4..? 6-!? L „?d 7.sC-
1ofm !o eompy wN6 tiw CMy oF lmyp¦
By Aw-
Dore of Insp.:
m
iiNA:r..% :rir[V' :E .-ckh1i[
PERMIT NC
DATE: ?' '
No. of Units: 'z cl
in
3
Connactian Chorpe: 5 U U. U U A d
/uoount De
oslc
p
:
Pe?mit Fee:
Su?choroe: . ) pd
M?se. CFwrpes: 13 2. 00 v ii
TotaL• 61-f' t1 ; arl m;srer
DaM Poid:
CITY OF EAGAN $EyyER SERVICE PERMIT
3830 Pilot Knob Road
. p. O. Bux 21799 PERMrT NO.: tagan, MN 55T DATE. .
? Zanirp; No. of Units: •! ::1 t: ?
Owner: _ e`Jriee Lt_„r ;
{ Mdress:
Site Add,
Piumber.
? M? fO ?Ml? wkb Ir. Cihr ei Eooe. Ca+mecttan Chargo: 42'52•?'
ordi..wa.. Aeeount apoWr: _ l
PermR Fee:
B? Surchorpe;
Dote of Insp.: M1tc. Chorpes;
Insp.: Totol:
OnM Poid:
' CITY OF EAGAN (vo 9 9 4 4
? . ` 3830 Pilot Knrob Road, P.O. Box 21•199, Eagan, MN 55127
PHONE:454-8100 g ?
BUILDING PERMIT RaceiDt # --2-
wwed 1e, h OF TWIN HOME
49.000
Sitenddraw 4457 CINNAMON RIDGE CIR
Lat 4 elock 4 SeclSuh. CINN RIDGE 3
Parcel No.
W IN,,m, DEVRIES BLDRS
= Address 7564 MARINER DR
9 c;iy MAPLE GRV pnone 420-4685
c
0
Zu
VSy
r
Neme $AMR
Address
City -
Neme GAGE
Address BOONE AVE
City BROOKLYN P1/hone 533-5026
Erect Ll OccuPaney xi
Remodel ? Zoning R4
Repair ? Type of Const. V
Enlarge ? No. Stories
Move ? Length 2 4
Demolish ? Depth 64
Grade ? Sq. Ft.
Install ?
Approvols Feas
Asussment _
Water & Sew.
Police _
Pire
Enp.
Plonner _
CounNl _
Pefmit '7 L/ U.J V
Surchorqe 24.50
plan pehaw 139.25
SAC 525.00
Woter Conn. 5 0 0. 0 0
Water Meter 63.00
Rood Unit29f) - 00
I hereby ockrwwladge thof 1 have read this apDlicafion and sfofe ihat gld9. Off. 3/6/85 IT_. P. 132.00
the inlormotion is corretf ond o9ree fo comply with oll opplicuble 2
State of Minnewro $rotutes prQ City of Eag, on O uwn_ ces. ? APC Total S1.942. 5
/?j Var. Date
Sipnafura of Permittee ???•% -?•?aC, Yv?? ?+?
A Building Vermit Is issued to: DEVRIES BLDRS on the axpress torditlon 1hot
oll work shall be done in occordance with opplicable 5 oM o Minnesofo Statufn and City of Enpan Ordirwnces.
Bulldiny Officiol
?
CITY OF EAGAN 9443
.? ° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Reuiot # ?
te 6o umd fa, 1/2 nF TWIN HGMVolue $49,000 Date MARCH 7 . 19-B$_
Siteaddrett 4455 CINNAMON RIDGE CIR
lot 4 elock 4 S+c/Sub. CINN RIDGE 3
Parcel Na.
Name DEVRIES BLDRS
Address 7564 MARINER DR
city MAPLE GRV pnone 420-4685
tg I Name $AME
s? Addresa
1- Citv Phone
Name t-Ht?rAddress Rh(1NF. AVF
City BBj)(1KT.VN PTmhone F33-902fi
Erect L]Q Occupancy iC.i
Remodel ? Zoning R4
Repair ? Type of Const. _7
Enlarge ? No. Stories
Move ? Length 24
Demolish ? oepth 64
<Grede ? SV. Ft.
Install ?
Apvrevola fess
Assessmenf
Water & Sew.
Police
Firs
Enp.
Plonner
cAuncl
Permit c i o.pv
Surchorpe 24.50
Ptan Reuiew 139.25
5qC $25.00
Water Conn. 500, 0
Woter Meter 63-D 0
Roae unit 2Rn _ n0
1 hereby acknowledge thot I Mve read this applicatron and sfore thut gldg. Off. 3 6 85 ' T. P. 132 . 00
the {nlormation Is corred and ogree to comply with all opDlicoble APC I Total 51 .942.25
State of Minnewm Srotute nyaq d G4y oi Eago Ory rdinences. Var. Date
V 1 O ? n . 1
Sipnoture o+ Pertnittee 501?.?+??.? i•+C...-Wv?`t
A Bullding Pemit is iuued to: DEVRIES BLDRS on ths express condieion that
oll work zhall be done In occordonce with o"ppliwble to oF Minnesota Statutes and Ciry of Eayon Ordironces.
Buildin0 Official
i,ALusN• H. HEDLUND
Land Surveyor Civil Engineer
7726 Morqan Avenue South
Richlield,Minnesota 55423
Phone : 866-2523
SURVEY FOR- Jo}m P.eVries
DESCRIBED AS: Lot 4, ]tloch 4, CI\[QM!ON RID('E 3rc1 ANDITION, City of Iiagan, Pakotn County,
Dtinnesotu and reseiving casements of record.
93 /
11
/I
$S?3 /
? I
32 ? ?
y (ON
?
-6 r? n
I^
W rl- Z3\\???? ?
I
L? • N I ??
L F r
00
? o
? o Ln
I
?
?
92 f. $
N
\ \ N
5'c
\_ il
9 Z33
c i
I I
4µ1 ?.f
°oZ' 24"' E
9zz.°
?3 .
v
N
?
?
Top of TouMdation
?
w
$asoment 'Floor = 42.0.9
Gn%Se Flaor , 923,4-
? Proposed Elevatton5 C:::?
EXi5tln9 EI--Ya'C1on5
?io'05sr4ke5 DrQtnoye Direcrtons -
(
?
?enrrtas,Lot Cerne? O
. .?-? ..'
_,
9zZ 3
\\\
4 _ -
m C/NNAtv1o4 RlDGE--C?
-------- ?
O :?1
z-
CERTIFICATE OF SURVEY
I hereby certify ihat on 2/2?5/85 I surveyed ihe properiy described obove and ihat
ihe above plat is a correct representation of said survey.
(?/ =?Y..l?.^-?rlT • ?'?°.rL?t.G.t.?.,t '`..
Calvin H. Hedlund, Minn. Reg. No. 5942
This ... '--- ve,a
mon?_ w,
o y o 3 y ()
?„? ?' _ _? 3 3 / a? ? ??
R t Date Fire No. NouPh-?n?InSPecM1On ?R.AdV Now rV+ W?11 NnufV Inspec-
1?1
etlues mred lor When Ready
I3 18 85 7Y ?"
1] Licensed Electncal Contnctor I hareby reques? insOacM1On of above
electrical work installed at
? Owner
City
Street Address. Box o, Route No.
4455 Cinnamon Ridge Circle Eagan
DeVries Builders
Power Suppliet
Dakota Electric
EI¢cuical Conhacmr IComDany Namel
Contemporary Electric, Inc.
MaflinB Atldress ICantracror or Owner Makim
6000 Bass Lake Road # 2U1 C
, Autharized S?g?ature ICoMractor Owncr Ma4
YlFINESOTA STATE BOAND OF EIECTRICII
(i ppy-YidweY Bldg. - Room N-191 !?
lUl University Ave.. St Paul, MN 55104
phome (M21 297-2117
Dakota
Phone No.
424-2611
Atldress
4300 - 220th St. W. farmington
04191,67L..,.,e No.
1. MN 55429
THIS INSPECTION RE4UEST WILL NOT
BE ACCEPTED 8Y THE STA7E BOApD
UNLESS PpOPER INSPECTION FEE IS
ENCLOSED.
- EB-40001-04
• ? REQUEST FOR ELECTRICAL INSPECTION
? U/ ,? ? Sea iratructians lor compla?im this form on back of yellow cuOY.
m?ll u
D14956 "x*' ee,oW Work Covered by This Request ?
W. d E9.iPmenI Wi,ed
AppliancO
Add paD TYDe 1 B Itl B T S. C ?
O Utllo
Ik Milk
/tC mapma.v.. , c.. ......,.. d Fee Circ
Fee ServieeEnt?anceSixe R Fee Feeders?5u?feeders
1) to30A s 11 0 to30A
0 m 20U Amps q? ?pp
io
5 47.
of new home
Daie 1. tM1e leeb ca1
Inspectoq M1e eby
W • ? ???'A, certlfV [het thB abaVB
IIC ?I . - DNI?
spection nes esen
?rede.
Thre request wnd
. ,
Re.quest Date Fre No. flouuh-?iedn? l pection ??.dy N?,Gy.Wi?? No1dV ??sOC??-
???
3-1t5-fS5 ?res ?Ne co.wn??rre?av
lmenseA Electncnl Conlracmr I heraEY Faauest inspectfon ot above
a? .vnrk ifu411ed at:
Lf Owner -"-- ----
SVeet Address, Boz or Foute No.
4457 CInnamon Rid9e Circle
ecbun o. Townsh,p Name or No. Range No.
Ea9an
???Y
Eagan
Gaontv
Dakota
OccuoAn[ (PRINT) Phom No.
424-2611
DeVries Builders
Power Sunuiier AtlOress
4300 - 220th St. W. Farmington, MN
Dakota Electric
Electncal Conhactor (Company Name) CmVactm s License No.
0419167
Contem orar Electric, INc.
Mailing AAJress IContracror or Owner Makinp Instailauonl
6000 Bass Lake Road # 201 Cr stal, MN 55429
Authonzed Sipnature IConVactOrlOwne Mak?ng Installaifon) ?? N?
?
-6U29
535
tunc 1usKCT10N PEQUEST WILL NOT
M?NNESOTA STATE eOARD OF ELECTIIIGL'?'
Griges-Midway Bldg. - poom N-791 ?
1821 UniversaY AVe., St. Paul, MN 5510A
Phone 16121 297-2111
BE ACCEPTEO BY TME SIAIE uVnnu
UNLESS PMMR INSPECTION FEE IS
ENCIOSEU.
60;? REQUEST FOR ELECTRICAL INSPECTION EB"00001 -04
' ? See instrucbons for romoleLng this Torm on hack ot Yellwr coDY-
,14 9 5 7 "X" BeloW Work Coverer/ by This Request
Add Rep- T e of Bu'Idn9 ' APPlia?rces Wirsd ' E9uiwment Wire•) ?
?f u.,..,o Ran. Teninorarv Service ?
cial
al B
Electr
.,.,.
p ..r...., .....
Fee r.,,._._......, _.,._..
SarvmeEnirance5ize
k
Fee
Feeders/SVbfeeders
#
Fee
Grcuiis
U to 200 qm s 0 to 30 A s 0 to 30 Am s
Above 200 qm ?s 31 to 100 Amps 31 to 100 A rril)s
Swimming Pool Above 100_Am{r.; Above 100-Amps
Transiormers Irngation Boorts Partial.'Other Fee
wy,s o,'„O.,:,..,, s 47.5G Tor F
M71% of new home (/-/7_ucr
flouph-in Date }-Ne Hab«ical
L
I?pecbr.?ereby
certiry [het [he above
Final ? DartP inspectnon has been
>- 6-? maaa.
TnNrequeatvmaitlmom. nom --
:'fAs:w1N- H. HEDLUND
Land Surveyor Civil Engineer
7726 Morqan Avenue Souih
Rlch/ield,Minnesotu 55423
Phone:866-2523
SURVEY FOR: Jo}ui P.eVrics
DESCRIBED AS: Lot 4, Itlock 4, CI\VM'ON RID(T 3rd ADDITIOV, City
Minnesotu Lincl i•eserving easemcnts of r•ecord.
a ?
I y
r '
0
?
?
9zz.? ?.
m CINNAtvtoN 'RfDGE.
- - - - - - - - ? \ C?-
Ir 3v
CERTIFICATE OF SURVEY ' I hereby certify ihar on 2/ZS/89 2 surveyed ihe property described above and ihot
the above plat is a correct representation of soid survey.
-?::1?.?.,_.?_-,?,?• 7??..J???..? ?`
Colvin H. Hedlund, Minn. Reg. No. 5942
o• *
2r;s•s+
2L.;?
ij9•25+
=25• +
SCO• +
63• +
280• +
132 - +
1?94=•25*
Top p{ Toundstion a 92-4.0
$..s?ment F/oo/ = *4 2_0.9
Cnrege -r/oor - ') 2.3.40
Proposed EleVatlon5 <:::?>
EX}sz?ny E)?Ynt1oP1S
DrQ?.+oye D?rec-e:ons -
])en«tas. Let Corner O
io'Q SYaKZ S
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CEftTIFICATES OF SURVEY
? 1 SET OF ENERGY CALCULATIONS
oF Th'iN I-?oME
To Be Used For: ? ..? Valuation: , 41,000• - Date:
{ Site Address: Z1445'S OFFICE USE ONLY
1-1 EhT ?z bF '¢-341'
Lot: ? Block c4 Sect/Sub CiF?C-' Erect ? Occupancy I2-3'
Remodel _ Zoning (2- 4
Parcel !1 Repair _ Type of Const ?
Enlarge It of Stories
Owner Move Length Z6r
Demolish Depth (o?}
Address 7s L U Grade _ Sq Ft
City/Zip Code
-? 34L S ------------- ---------------- ------
Phone yao yr?s-r- APPROVALS
Contractor Sq ? ? Assessments Permit 2?8 So
Water/Sewer Surcharge 24.50
Address .? Police Plan Review zs
` Fire SAC 525, =
City/Zip Code Engr Water Conn Spp,?
Planner Water Meter to 3.°=
Phone ? Council Road Unit ZgO. m
Bldg Of ?
Arch./Engr. 6,eZ? -? APC Treatment Pl ?32-=
Address ida?= ,q Variance
c,[.'
TOTAL
9
City/Zip Code ?,eayrf?y?v /-Z9??C
Phone Il S33 So a?
Gf}aQfl(eLr / N fikdN "
? ? ? 7 A
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NUTE: ALL CONTRACTORS NUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
' 1 SET OF ENERGY CALCULATIONS
?2of Tu?N I-or,? ?
To Be Used For: Valuation: 41,p6p-- Date:
Site Address: 4?4S'7 OFFICE USE ONLY
Co.qT %Z oF /4-w
Lot: ? Block Sect/Sub Erect
? Remodel _
Parcel /I Repair
//; Enlarge
Owner ,?1Lt Move
Demolish
Address 7,q-C, c! }ns....M.a- ,?, • Grade
City/Zip Code S3'3b15 ---°--------
Phone yaoy?,?s APPROYALS
Contractor $e¢n41:-
Address
City/Zip Code
Phone -
Arch./Engr.
Address 6sv,.e, a,,,r,,
City/Zip Code Ainno?
Phone 41 rq3?vvs2y
Occupancy R-3
Zoning R-4
Type of Const Q
If of Stories
Length
Depth &, q,
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Offj Parks
APC Treatment P1
Variance
TOTAL
Zl8 SD
24• S"
1??9 zs
SZS , `-°
Soop
(03. ?°
L&O. `-"
132' -
I ?qA a s?
?n?9-.QP1G^C Ii?? /`i&d.?f-
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? I
2/84
CITY OF EAGAV
APPLICATION FOR PERMIT
• SEWER AND/OR WATER CONNECTZODT
(PLEASE PRIHT)
1) PROP'?.'iYPY ADDRE55: ?SS ?ll 1" Y11 J'L - ?? ?('
r.srar. DFSCRiPricv: Zlar K1 C11 11.111 rr C) o ?r e, ' sT7
(Lro t/Block/.,ubdivisicn or Tax Parcel I.D. N, )
! S'i' STRL'CS?.^."tE, DATv' 0_° ORT.G2IF1L 'ciiILDL:G Pu;?ST ISSI:rNG::
PPWSL'" ::.•••Il:vr:/PT-!OPOSED L'Sc: ? R-1 SD,GLc. F7LmmY .
? R-2 DUPL.,.{ ('IS%'O LT]ITS)
. ? t2-3 nl`:1ilZ-T.C(-'CE (T-_.^"':.. 1 L7?R1S) ? TJNlmS)
? R-4 AFAR:CTEVT/CCiIDQtiIIiIIL`d ( Wi I'•_'J)
? COL`^t1ER=,I,/F2ETAII,/CFFIC::
p iz\'DL'ST2IAL
? 1,NISTI'i'[,'TIO:VAL/GGVE.Ri?L?E2%'T
2) APPISG:IT l LEASE PRIHi)
I
?
?
-
La)h;,UF? C
ADDRESS:
CI'I^l, STATPI, ZIP: ? 1(` liI11 ) v`S ? c) 3
PxoNE:
3) PLL;?IBER
NI?ME: LEASE PRINTJ
` - ? `i
?i/al? 0 =
, "
'
`
FOR CITY USE aNLY
,
il
)i
)
i
_
ADDRESS• ?
T?r7
- at,L PLIIHBERS IICEYSE:
Active
CITY, STATE, ZIP: (L? N r??? ZL ?? 0 Expired
PHQ?. ?i7f?i:?
S?? 2 PLUMBER IICENSE N Q Not of Record
a nitia
.
q) OCCUpANT/Orv-NER -? (PL AS€ PNI4T)
t?a .??' 1) 6 ( r i c? ?c. o ?-)
taDOREss: ?'?--
cri^l, sTaTE, zzP: h?ia?)le ??f?o?' -e-
?
Pxorre:
5) INDIG'YI'G W[-IZCH PERMIT ZS BEI[VG REQUESTED:
CbNNECTION 'PO CITY SL•U7ER
Q7NNECPION 'IC) CITY WATER
E] CI'i'[FR (PI.L'ASE DFSCf2ZBE)
6) P.:DIG;7Z CNE:
E] PLM.SE F?OID APPRCn/ID PERMLLT FOR PICI:-UP BY ONE OF A&NE
? PLEIISE p*AIL APPROVED PERMIT M 1, 2, 31; 4 P,BOt7E
(Circle one)
7) SI(T.'aTL72E: )-al1F?='?'i fQc"2? DATE:
.,,
"W-45UR/6A:mmw Mlm??m
F 0 R C I T Y U S E O N;, Y
PERMIT ° ISSUED
FEES: $
$ / A _S_Q
$ lo ?', ?--o '
$
$
$
$
$
$
$
$
S
$ SE:IER ?'ERMrT (I`ICL::DE SU'l:?RG2)
S
WATER PER111IT (Ii7CL'JDE SURCE?AcZGn)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;vER TAP
.._-Gi:::'?' =?GS1_ _" - --:.
AC^OUNT DEPOSIT - V7ATzR
WAC
SP.C
TRliD7K WATER ASSESSMENT
TRuNK SESdER ASSESSbIE.iT
LATERAL BENEFIT/TRUNK SES•7ER
LATERAL BENEFIT/TRUNK WATER
OTHER '
TOTAL
AMOL':VTT PAID/REC°IPT R ,?L-v/-lod D
DOES UTILITY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR 'r70RK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERZNG DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TfiE FOLLOWING CONDITIONS:
APPROVED BY; 47,e 4-0
TSTLE:
DAT°:
! i/? !}M MMiN !M /tm 4 mkf? mmoA wma-J! slfn vq?w akw!t q1jmv mHm WL40 M4 a l! Mie o1.4m Rm !k i?m m m
, 1
2/84
? CITY Or EAGAN
'f•?
APPLICATION FOR PERP4IT
• SEWER AND/OR WATER CONNECTIODi
(PLEASE PAINi)
?
1) PROPII717 ADDRESS: /
Siz /?
C
i Ir'
-
r.Frar DE..CRSP'PICV : Ll r
ie. jp 0 1? (
(Lot/Block/Subdivlsion or Tax Parcel I.D. N', er)
? I"r S'IRLTCT!Ji2E , DA'IE 0 _° OR?GuIAL 'cii1L7I`G ISSZ;?_NG:
PPFSL.'= Z.^.:I2:7,/Px?OPOSr'71) L'S: ? R-1 SINGL: rPYSLY .
? R-2 DUPL..t": (n,;p LTIITS)
R-3 TCfQ?FCiJcg ('Pf_F'.? + L'NITS) ( LNI'_'S)
? R-4 AP=EN"P/CC_=CiSIILiq ( UtiITS1
Q CCltiIi'?SE.:CIAL/RE^.AII,/OFFIC::
? I?i.'DL'ST2TAL
? INSTI`I'L'TIC`NAL/GOUE.4L?l?=7
2) APPLICaV'T
NAME ? / r-(- LEASE PAIN[)
-
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O
: I C
joE'
e
oqrt4?tl li)
ADDRESS: L ti" /kC' ??n
crrY. srME, zIP: )`C° lc-i /)l n)
PxoNE:
3) PLunma
ru
r?: ASE PRiNT) FOR CITY USE ONLY
ADDRESS:
-- L LZL. ' PLUHBERS LICEYSE:
?
Activ
CITY, STATE, ZIP: e
Expired
PHONE:
MA? I L`?
,S_j ? PLUMBER LICENSE
? Not of Record
at nitia
4) OCCUPANT/c7.vTIE2
NAME:
ADDRESS:
CITY, STA'PE, ZIP:
PHONE:
?PNl1ii lf
2F 1/ kYLtAS u
R9sl-
5) INDIGATE W[-IICH P T IS BEINC; REQUESTID:
Cl?INECrION TJ CITY SES^TER
N Nf7':ION 'I'O CITY NATEft
,
fco)
? C7'i'fIE2 (PLL•'115E DF.SCRIBE)
6) L•"JDiGii.T?. C:IE:
? PLE?SE F?OID APPRO/ED PERMIT f'OR PICF-UP BY ONE OF ABWE
?PI£ASE :,*AIL APPROVED PER,iZT 70 1. 2.n 4 ABOVE
/. (Circle one)
71 SICLaTG'RE: •
?Y
J-C?p?,MzfJ DATE: ?3 7?0iP?
,
MR?R RilaqRrJSi? ??1 s!la:a? !?al?tnFase?# #t is of ?eFSa.i:l? a l?! l??:?wi??! f? re saa+Fas.?? r
,y
FOR C I T Y U S E ON:,Y
PER^1IT '-` 255UED
F°ES: $
$
$
$
$
$
$
$
$
S
$
$
$
SE'riEB PEB>?T_T (I`ICLi;DE SU°CHaRCE)
WATER PERT'[IT (INCLi]DE -,liRCHARGE)
WATER PIETER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:4ER TAP
=CCCi;:i'_^ ,.?GSI= - c-:.E3
ACCOUNT D.F,POSIT - WAT°R
WAC
SPC
TRUNK 64ATER ASSESSi^.ENT
TRli:IK SEL4ER ASSESSMENT
LATEF2AL BENEFIT/TRUNK SE:?:ER
LATERAL BENEFIT/TRUNK WATER
OTHER '
$ TOTAL
+S AMOU;VT PAID/RECEI?T
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLZC RIGiiT OF WAY?
YES IF YES, THEN P. "PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERZNG DIVZSION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLL06JING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
me ss+ wn rw?m ok"
? CITY USE ONLY
L ? BL
SUBD.
/ y?5---?
RECEIPT #: ? .^1 7
RECEIPT DATE: ? ! T '
PERMIT # 3r;8Z I
1999 PLUM$INfi PERMTT (REStDENTiAL)
CI'fY oF SAfiRN
3830 Pu.or xxos gn
E4fiAN. MN 55122
(651)6$1-4675
Please wmplete for: 9 single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in oUtlet ' minimum-1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Wat et 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ----
State Surchar e 50 --> ----> ----> $ 50
TOtal --> --? ----> °--> S 3D. 1?./J
Reminder: Call for inspections of alteretions, i.e. water heaters, water softeners, etc.
--------------------------------------------------• -------------------------------------------•---------------------- -------------
I hereby acknowledge that I have read this appliption, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanCs responsibility to notify the property owner that the Ciry of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: yy.?J`
OWNER NAME: : Af}n/ oPC.dCr,CTZ TELEPHONE #: &?'rl
(AREA CODE)
INSTALLER NAME: / DG?3? ?GUm{f/.dL TELEPHONE #:
(AREA CODE)
STREET ADDRESS: G?na6.u pGZ
CITY:
?
3:f?W
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4875
wew consauMlon Beaulremants
• 3 ragisterad site surveys showmg sq. tt. of lot, sq, fl. of house; and gll rooted areas
(20% msxrcnum bt covarage allowed)
• 2 copies of plan showing beam 8 window saes; poured founC design, etc.)
. 1 set ot Energy Calculatbns
• 3 copies of Tree Preservatbn Plan il lot platte0 after 1/1199
. RimJoe OetailOptlonsselectionsheel(bklgswdh 3 or less units)
DATE
SITE ADDRESS
NPE OF
APPLICANT 0/ e `l
r
MULTI-FAMILY BLDG _ Y _ N
VALUATION
FIREPLACE(S) >- 0 _ 1 _ 2
? ?o =
,?? 1Y14o
S7?
STREET ADDRESS 4I 1I S 7 C>>'! hGa'Yk9y1 J( )dV_ Gr CIN STATE/YI,?Z ZIP S S/ ??
TELEPHONE # ?2_W2193&??CELL PHONE # W)i FAX #
PROPERTY OWNER XP k? ?"'11 e(J? ''7 &)00r"?ZCH 10 TEIEPHONE # LP5 l'W2 ` 1?'/3 S
----------- ------- ----------------------------------- ----°---° °-------------------°--------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RUI,ES 7670 CATEGORY 1 MINNF.SOTA RULES 7672
(4 submission type) • Residential VenUlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Piumbing Conhactor:
Plumbing system includes:
Mechanical Confractor:
Mechanical system includes:
Sewer/Water Conhactor:
_ Water Softener _
_ Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
Phone M
????
FA ??
Ph 3 0 2?02
2
I hereby acknowledge that I have read this appllcation, state that the inforrr
wlth all applicable State of Minnesota Statutes and City of Eagan Or 'n ce
Signature of Applicanf
,
......... --...... ---._......_------------°°_._._..'--
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
NemodeVReoafr Reauhememe
• 2 wpias of plan
• 1sMOfEnergyCalculati0ns10rheatedadaAiOns
• 1 site survey for exterbr adOAbns & decks
• Indlcate R home served hy septic system for addttbns
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
correct and agree to comply
Not Required _
Updated 4/02
OFFICE USE ONLY
O 01 Foundation
0 02 SF Dwelling
0 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
*, 32 Addkion
O 33 Akeration
? 34 Replacement
? 20 Pool
? 21 Porch (3sea.)
? 22 PorchlAddn. (4sea.)
? 23 Porch (screened)
? 24 Storm Damage
O 25 Miscellaneous
.,
? 30 Accessory Bldg
? 31 Exl. Alt - Multi
? 33 Ext. Alt - SF
? 36 Muki
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reraof ? 46 Windows/Doors
*Demolttion (Entire Bldg only) - Give PCA handout to applicant
Valuation 9n., (2CN Occupancy a MC/ES System
Census Code ?L? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const I I A..) Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings (deck) Y FinaVNo C.O.
Footings (addition) T Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Finai _ Pool _ Ftgs _ AidGas Tests _
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
surcnar9e
Plan Review
MC/ES SAC
City SAC
Water Supply & Storege
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 07 OSplex O 13 16-plex
? OS OB-plex O 16 Fireplace
? 09 07-plex ? 77 Garege
0 10 08-plex 3K18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or _ N
r)KL4_ 2101A' 1 -70 `.
?-C?`f'7 ? 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consbuc[ion Reauiremenis RemodeVFieoair Reauirements Office Use OnN
3 reg'stered site surveys showing sq. ft. of lot sq. N. of house; and all roofed areas 2 wpies of plan Cert of Survey ReW _ Y_ N
(20% maximum lot coverage allowed) 1 set of Eneqy Calculations for heated addNOns Tree Pres Plan Recd _ Y_ N,
2 oopies of plan showing beam & window sizes; poured fouM design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N
isetofEnergyCalculations AdtlRion-indicateilonsitesepticsysfam On-sReSepticSystem _Y _N
3 copies of Tree PreservaGon Plan'rf lot platted afler 7/1/93
Rim Joist Deteil Options selecGon sheet (bidgs with 3 or less units
DateAK l3CI Construction Costa
SiteAddress W Yrf-y?S?7 0jA/?l/474tp)? AO, ^/)op& e( /LC'l-P Unit/Ste #
Description of Work Opr- aryzao
"
Multi-Famil ldg /
Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner
r Telephone # ( )
Contractor ws /eWnl? P ' q ?
Address ? ? "' pQ,?r- City -Q YQj. tL4
State M/J ? Zip,s?[ ;--Y Telephone # "'-? ?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy COde Category . ResidenGal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ 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 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 pemut, but only an application for a pemut, and work is not to start without a
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
a
ApplicanYs P nted Name Applicant's Signature
Oct-18. 2013 9:01AM Crest Exteriors 651-463-8095 P. 21
Use BLUE or BLACK Ink
For Office Use
j Permit qq'
City of Eagan I I
3630 Pilot Knob Road Permit Fee: v
Eagan MN 66122 Date Received:
Phone: (661) 675.5676 i I
Fax; (651) 675.5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date; tJ J Site Address: ) Unit
; Name: Merl V Z 0
" . Phone:
a entJ ~ 5 ~ nr~ °W10 er j. Address / City / Zip: Imi ROW,.
Applicant is: Owner V ."Contractor
Description of work:
Paz# r; Construction Cost: 3c~C z
Multi-Family Building: (Yes i / No ~
4,•
Company: \Y1 YlC?~ Contact
Address: o 21h_1:)X01" y S4 NE cS? i f 2A ity: MP l t
State: 1"y Zlp: / I '?-j Phone: 1' ' Z
r License ~Q L C Lead Certificate f{:
If the project is exempt from lead certification, please explain why. (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a simllar plan based on a master plan?
,-Yes ZNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor; Phone:
471TE4f s' d s tit c i fons: of
o ma
s ns dpe o
g.: ,are ,•a ec
CA BEFORE YOU DIG. Call Gopher State One Call at (661) 464-0002 for prolecUon against underground utility, damage. Call 48 hours
before you Intend to dig to receive locales of underground utilities. www.eophersjateonecali.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 Clty 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 permil; 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 authori2ed by a building permit Issued In accordance with the Minnesota State Building Coda must be completed within 180
days of permit Issuance.
X x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
~ I
Permit VY
inan
City of Ea Ed I • ~
I Permit Fee: I
3830 Pilot Knob Road j l f I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675 00
Fax: (651) 675-5694 1 Staff:
I - - - - - - - - - - - - - - - J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: S ir✓~yL Unit
Name: d tft~~~ r r Phone:
Resident!
Owner [Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost S Multi-Family Building: (Yes / No )
Company: G~.t✓~ Caws c'e~~ ~~f~''s ontact: / t r r . ` ~;t
, . l T l1/ S` ~s
Address: 2, t $7`3 City:
Contractor
State: OV Zip: / r 2-"/0 Phone:
License ~ d-, Lead Certificate /V,4-W-
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 jrou submit are considered to be public information. Portions of 1
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.ool3herstateonecall.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 is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within
days of permit issuance.
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167937
Date Issued:04/05/2021
Permit Category:ePermit
Site Address: 4455 Cinnamon Ridge Cir
Lot:041 Block: 04 Addition: Cinnamon Ridge 3rd
PID:10-17402-04-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Macario L & Flora A Menoza
4455 Cinnamon Ridge Cir
Eagan MN 55122
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature