4461 Cinnamon Ridge Cir
Use BLUE or BLACK Ink
2010 ^-For---Office-U-se
18 ~ ~J I
~ j Permit
Cat yo f EaV an
Permit Fee: r r
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received• ' l ~ j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i Staff:
2010 RESIDENTIAL BUILDING P MIT APPLICATIOb) C
Date. Site Address: 7~ C G~
Tenant: //L~ G G✓ ld~ Suite
RESIDENT/OWNER Name: a y✓ Phone: 6 (lz
G I1/ ~Yvn / .
Address /City/Zip:
Applicant is: Owner ntractor
TYPE OF WORK Description of work: /J
a
Construction Cost: ~~~U • ~ 4 Multi-Family Building: (Yes No )
CONTRACTOR Name: / License _/6
Address: i City:
State: /:A17✓ Zip: S~~f~fl Phone: _ ~7` - ~IQG
Contact WE Email: <
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.popherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in confo ce with the ordinances and codes of the City of
Eagan; that I understand this is nit a permit, but only an application for a permit, and work is n t Astahout a permit; that the work will be in
accorda th the approv pl , in the case of work which requires a review and approval o pla s.
Applicant's Printed Warne Ap nt's Sign ture
Page 1 of 2
J / !"Y
Sal it a`l~fll~<C"~ r~~ DO NOT WRITE BELOW THIS LINE J J
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of - Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- 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 ? Oo0 Occupancy L?j C- JL MCES System -
Plan Review Code Edition 2,p®2 SAC Units
(25%_ 100%-Zr Zoning PD City Water
Census Code AX 2y 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 / No C.O. Required
Foundation _ZV 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 _ Backfill _ 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 ' 00
TOTAL
Page 2 of 2
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121
PHONE: 454-8100
eUILDING 'ERMIT Raceipt #
i :?)F, TTNJ", i7')P'.t: 44,?:v? :,r',.J-i.? 22
a
?- ?? v-'--- ^-'-
Lot ? 81ack ' Sec/Sub.
Psresl No,
L'r - r: .,. .
Name
Addn
City .
I
Name
ul Addre
1- City .
t'
?.,W Name
AddrE
W City .
Erect LXJ
Remodel ?
Repair ?
Enlarge ?
Mo,e O
Demollsh ?
Grade ?
Instell ?
Oca,per?cy Fk ''
Zoning -?4
T'ype of Contt. V
No. Stories
Length
Depth
Sq. Ft.
Assessment
Water a Sew.
Pol ice
Fin
Eno.
Planrer
Co 1
Pem+it
Surcharye
Plan Review } sAC .? I
?
Woter Conn.
Woter AMter
unti Rood Unit . `?
I htreby acknowltdg* thot I haw road this application ond stote thof Bldg. Off. `' 1 1'.R / i; ? • ?,
tM inlormution is torrect and o9ree fo canply wifh oll upplicabb APC Total
Stah of Minnosota Stotutes ond City of Eaqen Ordinonc4:.
Var. Date
Siynotun of Pennitt«
, r i '..,f •t
I? Buildin4 P.err,+t 1s isu,.d ro: ? , on tM exp..s eandieion tho,
oll work shall be done in acoadanu with all opplimble Stan af Mlnnesoto Stotutes ond City of Ewan O?dinancas.
BWtdinp Offkiol " .
Pomit No. Pwmh Holdw TNs hone it
m
Plumbinq,
( P13 om
ommumem?
19kSO9
H.VA.C.
E???+c Z Go ? . o d
Sohom.
Inepection Dste Insp. OthN
Footin¢ &0
Foundation
Framinq ?
Rootiny
Rouph Plbp.
uave
Rouqh HVA
C ''
Inwlation
FinalPlbp. s
77
Final HVAC
Finsl
WaMr Dose?ibe lvcation:
Mlbil
SovNr
Pr. Ditp.
Rnipt ` ' MECHANICAL PERMIT Permit No.
CITY OF EACsAN
Fw ;j
YFfll /n rwmbend 4ucw S/C •
rype w P?'int IaglWy TaL
1. Dw 6- IiJ-f's:i 2. Instollrtion Cost •' '' '
4461 Cirina,;:(l . -';"I t.;;^ ;.ircle .
3. Job Addrast LotBlk. Tnct ?
4, pwnar JeVries 8uildc-rs ,
5. ContractOr Phone 934-08:'•'
8, qddma ?7':?: `
7. City ?orv+n?iSS,,. State Zip
8. Building Type: Raidentisl :O Commercisl O Institutionsl ?
9. Work Desaiption: New M Add O Alter ? Repair ?
10. Desaiba Twi r, Fusl Type _ -ts c<i :
? 11.
No•
' Equiponpi 8TU - M. Ea.
Foroed Air % • ? ??? • No•
? Euuioment CFM
Ai
H
d
i
r
Mf9. ?' •l t^ Y• 7? I? r
nq:
an
l
B°ilers
Mfy. Mach. Exhsun
Unit Fleater
MfQ. Oiher
Air Cond.
mt9.
Gn, Pipiny Outhtt
12. 1 hrroby certify that the abova iniormstion is true and aorrect, and I aprw to
oomply with aII ordinanoes and codes poverniny this typa of work.
Signed' for
Rouph Fiml
Inspections: Date Insp. Dste Insp.
This is your permlt when numberod and approved.
Approved CITY OF EAt3AN 464-8100
ROaipt
PL11M81NG PERMIT
CITY OF EA(3AN
Pwmit No.
Fw
SJC
. TOL .
Fill in numDerod *aceK
Type or Print kyibly
1. Date 2. Installation Cost
3. Job Addrass Lot ' Blk.
4. Owner
6. Contrsctor
.
Tract .f
Phone
8. Addross :; ?' ? c: c.
?
7. City State Zip -
8. Building Type: Residential El Commercial ? Institutional O
9. Work Description: New El" Add ? Alter ? Repair ?
10. Describe
11.
Nc Fixtures
Water Goset No. Fixtures
Cess
o
l/Dr
i
fiald
Bath tubs p
o
a
n
Se
tic T
k
Lavatory p
an
Softne
ShOwer r
W e t !
Kitchen Sink
Ufln81/BifjBt (}ther
Laundry Tray
Floor Droins
Drinkiny Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that tha above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Siqned : " fw
Rou9h F iaal
Inspections: Date Insp. Date In:p.
This is your permit when numberod snd appr4ved,
Approvad CITY OF EAGAN 464-8100
Site Addroq - . . .. .. . _ . ,_ ? .
Lot Block seclsub. _s I ' 314 It 1. DG
Parcel No.
r Name
? Add ress 6 4
Crty
t? Name
Addreaa
? City
Neme
1 hercby xknowledpe thot 1 haw reod tt+is cl
tFfe inlormotion is torrect and ogree to ton
Stah of Minnesoto Stotutas and City of Ea
Siqnoture of PtrmiftN
A Buildirq Permit is issuod fo:
dl work shotl be done in aCCO?darce with all
ond state thut
Repair ? Type of Contt.
Enlsrge ? No. Storia _
Move ? Length
Dsmolish ? Depch
Grade ? Sq. Ft.
Install ?
Assessment
Woter 3 Sew.
Police
Fin
E++0•
Planrwr
CounNl
Bldg. Otf. 4 I 2 2 Ib5
APC
Var. Date
27r
3s
Surcharye
Plan Review - '
SAC `j - !,
Water Ca+n. - - ?
Woter Meb?
Rood Unit
Total
on the exptess Candifion fhat
ond City of Eoqan Ordinonces.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eayan, MN 55121 .?
PHONE:45481D0
eU1LDING rERMIT Rece+pt #
P9r11ft No. Pwmit Ho1dK Drq TNe hone it
?unibtng • c- z 3 ? 5? S
H.v.n.c. o S
ENcMe Aze
Softwwr
liapsetian Date Intp. OMw
Footin¢ " Aof
Foundation ? W
Framiny -7 s
Roo(Inp
Rouyh PI6y. t
Rouyh HVA
Inwlstion
Final P16¢
Finsl HVAC ?
Finat
Cwt/Oac. /S C G 1 ? -
wmr Dewi6e loestion:
Wsll
SorNr
Pr. Disp.
Roaipt MECHANICAL PERMIT Pennit No.
CITY OF EAGAN
FM
F1lI /n numberrd Wscac S/C
Typs or Print /egib/y TOL
1. Date -1 '- 2. Instsllation Cost 3A46=; "inr,arm R1d?7p Circle, ,
3. Job Address LotBik:-f Tract a. owner ?PVries Bui iders
5. Conuactor "`eri t HVC. I n C. Phona
6. Addreas :; 10 Wes t 79 t h Steeet
7. City State !4;; Zip
8. Building Type: Residential U
9. Work Description: New Q
Commercial ? Institutionel ?
Add O Alter ? Repair O
i 10. Descxibe T,?4in Hnrrie FuelType ;vat. gd5
1 11•
No• F.gujpmetlt BTU - M. Ea.
Forad Air No.
I Eauipment CFM
'
Mfg. ?'af^riei' Air Handlinq:
Boilers
Mfg. Mech. Exhau:t
Unit Heater
Mfy,
Other
j? Air Cond.
Mfg. ''a ''rt e f
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinanoes and codes governing this type of work.
Signed' for
Rou¢t Final
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Reaipx . , PWMBING PERMIT Pormit No.
CITY OF EAGAN FM ?
Fi!l !n rwmbsrod Wocat 8IC
' Type ar Print Myibly ToL
1. Date 2. Installation Cost '
i
i
3. Job Address - ;- '--'Lot Blk. , i Tract
4. Owner t l -..? .. r I
6. Contractor f Phone
- i
6. Addre:s
7. City - State Zip '
8. Building Type: Residential 'O Commercial O Institutionat ?
9. Work Description: New'O Add D Alter O Repair ?
10. Describe
11.
No,
' Fixtures
Water Closet No. Fixtures
o
Cess
l/Dr
infield
? Bath tubs p
o
a
Septic Tank
LavatOry nner
S
Shower o
Well
Kitchen Sink
Urinal/Bidet Othe
'
Laundry Tray r
? Floor Drains
Drinkiny Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I ayrae to
oomply with all ordinances and codes governing this type of work.
Signed : for
HouOh Final
Inspactions: Date Insp. Date Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 46"100
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN Lot 3 131k 4 Parcel 10-17402-030-04
owner Street 4461 & 4463 CIRiNAMON RIDGE CAte EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 910 23 -5 2. 44 C0102 8-1 -$
STREET RESTOR. F
GRADING
,
SANSEWTRUNK 1973 105.,22 6.8 ? 15 13.69 C01025a 8-13-85
• SEWER LATERAL
r
$
q, 5a
g0
2591.60
C 0102
-1 - 5
WATERMAIN
* WATER LATERAL 1 HS
WATER AREA Zbl 1973 ' 131.44 8.76 15 17.56 Q010252 ?-1 -8
* Services 085
STORM SEW TRK 1979 381.69 19.08 248.13 C01025 8-1-$5
• STORM SEW LAT l?gr}5 ?
CURB & GUTTER
SIDEWALK 031- a
STFEET LIGHT 0 2
WATER CONN, 500.00
n
n
HUILDING PER.
sAC 525.00
PARK
..yrr . ..-. . . .... ?r r .-,y.•:,vl•F=...s}1r-. , . . _, ... , ... ? __ . . .?. . . ..-.- r.r.- . .,
CITY OF EAGAN ' 82i g
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?.
PHONE: 454-8100
BUILDING PERMIT Receipt #
DECK ?_. .._. $1.000 AUGUSi 1 90
- --- -
Site A8ess
1 ---------- ------ ------
?
OFFICE USE ONLY
"
Block
Lot Sec/Sub.
Parcel No. occuPe"cy - FEes ,
5
THOMAS
M A R Z?i? - $2
.00
Name (,qctuyl) Const _
- Bldg. Permit -
W SANZ .90
o AddfeSS (a1O1Nab1e) - Surcharge
City Phone # ot srories .?.i
Plan Feview
ISAM Lengih
p Name Deplh SAC, City
,
?i Address S.F. Total - SAC
MCWCC
¢ Clty Phone S.F. Footprints ,
-
S Water Conn
ewage
On Site _
?
W W
Name
On Site Well
- Water Meter
z
AddreSS MWCC S stem
y
-
acct. Deposil
a W
City
Phone Ciry
Water
_
S/W Permit
PRV Required -
I hereby acknowlege Ihat I have read this application and slate that the Booscer Pump - gryV Surcharge
intormalion is correct and agres to comply with all applicable State ol
Minnesota Statutes and City of Ea gan Ordinances. 7reatment PI
Signature of Permitee
APPROVALS
Road Unit
A Building Permit is issued lo: ??,?
THON" Plenner - park Oed.
on the express condition that all work shall be done in accordance with all Gouncil
applicable State ol Minnesota Sta tutes and City of Eagan Ordinances. gldg, pry. _ Copies
Building Official Vanance - TOTAL
?.? . .._ . ...... . . .....
Pe?mN No. Permit Holder DaM Telephone #
WATER
SEWER
PLUMBING
H.VAC.
ELECTRIC
Inspfttion Date Insp. Comments
Footirgs I
Foundation .
Framing
Roofing ,
ROUgh Pibg.
Rou9h Ftt9•
Isul.
Fireplace
Final Hig.
Fnal Plbg.
Canst. Meter Plbg. Inspeclor - Notify Plumber
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Wel4
Pr. Disp.
Esgan, MN 55121
Zonirg: _
pwrwr; DeVriea Bldrs
Addross:
5itr AddreW 4461 Cinnamon F
Plumber. _?••_o^.? J,jn n^,
Meter Pb.:
51=e.
Reader No.:
1a9ree to wmPlp wkb Hw Citr ef Lspm
Ordiwenetl.
ey _
Dote of
DATE:
No. of Unita: ? ?dii}-Iex
I
Comection Charge: xVU. UU u
AcCOUnY Depoait: 15.00
Pertnit Fee: 10.00
Sumhorpe: 5t1
Mtsc. Ct+orpes: 1''.2 . 00 nd
Total: 63.00 r±etcr
Dote Puid:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Road 6103
P. O. 8ox 21199 PERMIT NO.:
Eagan, MN 55121 pA7E; _ 4-24-85
Zoning: _ R2 No, of Units: ? c'111nl ex
Owner: DeVries Bldrs
Address:
Site Address: 4463 Cinnamon Ri djze Circle L3 B4 Cinn Ridge 3
Plumber. Blayloc c?Plumbing C ompany
Meter No.: Connection Chorfle: 500.00 pd
Stse: 'Q'Yi 17t'& Acaount Deposit: 15.00
ReadeTNo.: 16 L 219 7-!5--l Permit Fee: 10.00
I aqrse fo wmply wifh !he Ciry of Eayan Surchorge: .
Mtsc. Charges: 132.00 pd
T'otal; 63.00 nd met(
gy Date Paid:
Uote of Irup.: (nep,;
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road 7292
P. O. Bo:z 21199 PERMIT NO.:
Eagan, MN 5512? pA?; / -:'G - 95
Zoniny: R No. of Units:
??r, e ries E_drs
Add?ess:
5ite ??: Cinnamaa cige Circ e 3 B izn t_ ge
Plumber. Faq oc P tm ing atpany
. . . .
1 prw h eanply willi !Iw Qhr of Espn
OrJimnaa.
BY
Dote of Irop.:
Conn.ctton G1horpa: 425.00 pd
Aaoount Dsposit: 15.00
ParmR FN: 10.00
Surcho.pe: . St..
Miac. C}wrpm
Totol:
Doft Poid:
CIT1 EAGAN
3830, dot Knob Road
WATER SERVICE PERMR
P. O. 8ox 21199 PERMIT NO.:
Eagan, MN 55121 D^TE: 4- -' +- F?
Zoning: DeVries Bldrs
Owner; No, of Unirs: _ ?? c ?plex
/lddross:
Site Addrm: 0 Cinnamon P,idge Circle L3 R4 Cinn Rid c 3
Plumber. i?y aC P?. ing Cor:ra11v
Metsr No.: Connectian Cha?pe: 500.00 pci
Site: 15
0n)
1l
D
.
tcouM
eposit:
Reoder No.: Permit Fee: 10.00
I was to a.oy w116 eis Cihr of Epr¦ Surcharye: .50
Oediee.w. Mtsc. Charyes: _ 132.40 pd
By
Date of I?np.:
3830 Pilot Knob Raad
P. O. Box 21199
Eagan, MN 56121
Zontng: __ R2
pwner. DeVri
Addrcas:
5ite Add,e= 4461
Plumber. B1aylo
Meter No.: _L GI o. -.+ aw- . Connecfion Chorge: _ SUO. 00 Ad
Stu: I?cca,nr Depostt: 15.00
Reodsr No.• ,fC L ?7 ? 3 Permit Fee: 10.00
: 1.?n? to oerPl?r w1tA ti? Cihr ef Eayen Surcho?ye: .50
Ordi"O""'' , Mlsc. Chnrfles: _ 132.00 vd
???? ?J n/? Totcl: __ 6 00 pd mete
By Dote Paid:
Dote of Insp.: ? 5- Intp.:
L 2b/
10111"00 te e0014lp wNh fM Clhr ef Eases
OrdiMOep.
Totai:
Doft Poid:
VERMIT NO.: 6102
pATE: 4-24-85
. No. of Untts: ? c??,l ?x
SEWER SERVICE PERMIT
PERMIT NO.: ? ^ n 1
DATE: 4-2 4-- •°- -7
No. of Units: '
'?,oo pd
ConrMttlon Qar?pe: 42J
AQDOIJM DlpC1It: , • ?PefRlit Fm: . . t,
$UfCh0rge: • : ••
Misc. Chorpss;
Totd:
CITY OF EAGAN Np 18215
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 n "1
BUILDING PERMIT Receipt
To be used for DECK Est Value $1, 000 Date AUGUST 1 1 g 90
Site Address 4461 CINNAMON RIDGE CIRCLE
Lot 031 glock 4 Sec/Sub. CINNAMON RIDG
Parcel No
.
Name THOMAS M AHARTZ JR
w
; Address SAME
° City Phone $$4-8854
o Name SAME 882-0348
ga Address
? City Phone
Name _
Address
City -
Phone
I hereby acknowlege that-I-have read Ihis application and.state ihal the
mformanon is corcec nd gree lo comply with al la pl?cabis State of
Minnesota Stawtes nd C' i?EaganQr5?inaneBa?"
SgnatureoiPermite
A 6uilding Permil is issued to: THOMAS M AH W,TR
on the express condition that all work shall 6e dona in accortlance wilh all
applicable State of Mmnesota ^Sca tes and Ciry ol gan irdinances.
8mlding Official ? n??' - ?
? --r
OFFICE USE ONLY
RD
Occupancy - FEE S
Zonin9 - $25.00
(ACNap Cons( - Bldg Permil
(Allowa6le) - Surcharge • 50
# ol5tones
Length 19, Plan Review
oeP+n 12 snc, cny
S.F Tatal - SAC, MCWCC
S F. Footpnnts -
On Sile Sewega - Water CAnn
On Sile Well _ Waler Meler
MWCCSystem _
ncct oePOSit
Qty water -
PRV Reqwred _ SNJ Permit
BOOSter Pump - SNJ Sumharge
Treatment PI
APPHOVALS Road Unit
Plannar - park Ded.
Council
BIdg.OH. _ Copies
25.50
Variance - TOTAL
". CITYOFEAGAN N2 10120
- 3830 Pilot Kiwb Road P.O. Box 21-199, Eagan, MN 55127
PNONE: 4548100 /p
BUILDING PERMIT Receipt #
Ta M mnd fa 'S OF TWIN HOM$6,yal„e $49,000 pOfe APRIL 22 lq 85
siteqddrese 4463 CINNAMON RIDGE CIR
Lot 3 9lxk 4 ?ec/sub. CINN RIDGE 3
Parcal No.
¦ Name DEVRIES BLDRS
? qddress 7564 MARINER DR
City MAI'LE GRV PhOne 420-4685
Name SAME
` Address
? City Phone
Name GAGE
Address; BOONE AVE
City BROOKLYN P{Gnone
1 hercby ockrowladpa thot I Aave rood this eppliweion ond stote thot
fhe Inlormotion is torrecf anA1L19ree to comDly with all aOPlicoble
Staro of Minnesoto Srorures &dl Citv of Eqyan Ordiqances„ .
erwt tx occ,pancr xs
Remodel ? 2oning R4
Repair ? Type of Conft, V
Enlarge ? No.Storia
neo" ? Lengtn 24
oemoiisn ? Depth 38
Grade ? Sq, ft.
Instail ?
Aoawah iea
Assessment
Woter 6 Sew.
Police
Firo
Eno•
Plonror
Council
81dg.Off, 4 22 $5
APC
Var. Date
Permit y L/ 8. J V
Surchurpa 24.50
Plan Review 139, 2 rj
SHC 5?s --? 0
Water Conn. 5100 - 0
Woror Meter 6-1- ? 0
Rood Unit 280.00
T.P. 132.00
7oeel $1,942.25
A Buflding Cermit la issued M: nFVRTi:G ST.nRS on Me emprest cadltlon Ihot
dl wrk shall be doro in aemrdm+ce with uil o' ble Srote of Mi om Stotu? _ tes ond City uf Eapan Ordinoriees.
Builcbnp OfllGal "L-
????
. CiTY OF EAGAN
3830 Pflot Krwb Rosd, P.O. Box 27-199, Eagan, MN 55121 N o
PHONE: 4548100 51??
BUILDING PERMIT Recelpt #
Te 6e awd im k OF TWIN HON% ya1Ue $49,000 pota APRIL 22?
sitenddrea 4461 CINNAMON RIDGE CIR
Lot 3 Bloek 4 sec/Sub. CINN RIDGE 3
Pereel No.
? I Neme ••nvr.in? ni,vico
Addresa 7564 MARINER DR
C;ty MAPLE GRV phone 420-4685
? Name SAME
Su
Addrpa
? CitY Phone
? Neme GAGE
Z
z?
Address OONE AVE
B
?W City BROOKLYN PyPhone
1 hercbY ock+awledqa fhat I hove rood this aPPlicahon ond stare that
the inlormotion is mrrett and;ayree to tAmply with all opplicabla
Stata of Mmnewm Staturos aFld Lity n5f Ea'gan vOytl(?,rSoFs.
Sipnoturc of Permittae N.- ?.?y0..??
w Building Permit Iz issuad to: DEVRIES BLDRS
all work sMll be doro in occordance with oll opyt{Eable Sta. ote f Mif
i
Buildirq Offkiol ?? •L:.•
10119
85
Erect ,? Oaupancy R3
Remodel ? Zoning R ?
Rapeir ? Type W Conrt. V
Enlarge ? No. Storiea _
Move ? Langch ?
Demolish ? Depth 3$
Grade ? Sq. Ft.
Install ?
AyOrovah Fesl
Assassmenr Partnit 278.50
warer a Sew. su.cFargs 24 . SD
Police Plan Review 139 _ 2 S
Firo SAC 525.00
Enp. Woter Conn. 500-Q 0
Plcnner Woter Mehr 63 o
Couneil Road Unit 990 . np
eida.on. 4 1 85 T.P. 132.00
APC Total MW2 -M
Var. Date
_ on ths axpresf eonditlon thot
ond Ciy of Eayan Ordinorxas.
W,d n^ 51 (0Y9
W Licensed Eleclncal Conbactor
? Owner •
Siree[ qAdress, eox or Houfe No.
4461 C.Innamon Ridae
i
I Eayan ?
O pantIPRINT)
DeVries Builders
Power Suppher
Address
Dakota ELectric 4300 22
EI ctrical Cnnvac[or ICompany Namel
Contemporary Electric INc
MaihnB Address (Con[ractor or Owner MakinB ?nstatlabon)
6810 Hemlock Lane, Maple Grove, MN 5536
4uMor[red Signa[ure IContrz.tof/Owner Making Inshnllavon)
A
^`^?ur p STATE BOAqD OF Elbt?li
Griggs-Midway Bltlg. - qoom N-1?.7?
1821 University Ave., St. Paul, MN 55104
PMnre (612I29].2111
511 q(g5
55024
424-4232
THIS INSPECTION REQUEST WILL NOT
BE ACCEPiED BY THE STATE gpppp
UNLE$5 ppppER INSfECT10N FEE IS
EMCLQSEO.
t/q REQUEST FOR ELECTRICAL INSPECTION EB-°°°°''°4
V y( ' See instructions lor comoletinq this form on Eack of Yellaw eopy. '
98316 5 2 ??X?? BeloW Work Covered by 7his Request
add Reo. Typ¢ 01 Bmltline Aoolancea wir.d Epuipmeni Nir¢d
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt.Bwldmq Drym ElecVfcHeaLn
Commercial Bldy. Furnace Sifo Unluader
Industnal Bldg. Air Condrtioner Bulk Milk Tank
Farm Orher ueulv -
rEir ISw>cih)
thm Suef-ifv Otherni nnSA Othe,
CO/IJO!/I8 //]SDECLI00 FP.P. BPIOW p Fee ServiceEnimn40AInips Fee FanAers/SUbfeeaers N Fee U¢wts
10.0 0 ta 200 Amp 0 to 30 Am s fif) 0 to 30 An.
Above 200 31 to 100 Amps 37 to 100 q
Swmming Po Above 100_Amps
rnp?
Above 100_A
Transtormers Irrigation Boorts Sol Partial-'Other Fee
Signs Specfal Inspecuon $ TOTAVFfE
pemarks 47.50 / / y ?
Wirina nf naw flnnhla?,innalsn.?/in. Gar.an I"?
fiouBh-in ?ate
. Ne Elec[?ical
? - ? -H I?oector. ne.aby
canih t?t ?he above
1 Finai / Dslr ???v? ?s been
o -..? b'l .?m-
thb repuqt vON 19 momhs trom
I hareby repuest insoectiov ol above
eleceriwl work inscalled aL
.?-., ..
Tnis ?
?'"660(?-
3111 (JCj
Sv
et Address, Boz or Boute No.
e ?iw
`
/
ecLOn o. Township Nanro or No. 0.inge No. Cwy
Oc pant ?PRINT) ?one No.
.2?v? v?
Pnwer Supplier Address
Bec[rical Conhactor IGOmpeny Namel Cootracmr's Gcen .
Contemporary Electric, Inc. 0419167
Madinp AdJress ICon[rac[or or Owner Makinp Instaila[ioal
6000 Bass Lake Road # 201 Crystal, MN 55429
Auth ized $?g?uture (COnhactor purner Maki'q Iretalla[iml Phwc NunoEer
Ale? 535-8029
/pINNE$OTA STATE BOA11D OF?jtc?n?CIT'
Griyps-Yidwey Bldu- - Roan 0f181
1821 UniversitY Ave., St. Peul, MN ?1 W
Plnne 1812) 2972111
THIS 1lL4PECTION REQUFST wILL NOT
9E ACCEPIED BP 7HE STA7E BOARO
UNIESS PROPER IM5IECTON FEE LS
ENCI.OSED.
5 boti REQUEST FOR ELECTRICAL INSPECTION Ee-ooooiu4
D ' S. insLUelima for campleting this 1vm m haek of, yollow eopY- V0169
14274 "'X"" Below Work Covered by This Request N Fee ServiceEM2meSixa p Fea Faeders/5ubfaeders # fe¢ Gmui[s
j U to 200 Anos 0 to 30 q s 0 to 30 An?pS
Above 200 Amls 31 to 100 Amps 31 tn lOD Auq?
Swimming Pool Above 100_M??; Above 100_A-ryn
Transrormers Irrigation Boorrs Panial."Otlcer Fee
Jigns SpeciallnspeCtfon
Remerc S/O•lJ? TOTAL ??'?
T?^ni nn ...
Rough-in Da?e
?_ ryb Elec
( 4epecbr. herebY
ml?il?r [bi tie abpVe
Final
' i?cpectim Ms been
I :y
31
nw ??.aa ie ?uuo rrom
Uc,censeo tiec?nw? ?.oncrac?or 1 hembY reqwsi inspeclion of above
? Owner eleetricel ruk imialled ar
TAis request wutl
18 hf 5'&y y S -1 y?5
rn?pn wm ??py? /
0? ?? I.Jq ? I/?? /•ni Ql?n.'It ?f1 Ra
Nequest Date Fire No. Fiouph-in InsV Gon
May b, 19t's5 ??/ fe?'
' ??ndy Now CZW?II No?ity InsPeo
?n?
[?
e.s ClNn 1or When Ready
rM .
v? ?"=••-+ ??ec?ncai ?,onvaclor I hereby, request msOeelion of above
? Owner ......1 ...?.???r ....
Street Atldress, Fiaz or Noute No. Cilv
4463 Cinnamon Rid e Crcle
I Ea an
ecuon o. TownsOio Name or N
. Range No. County
ea an Dakota
Occupant (PflINT) Phorie Nn.
DeVries duilders 424-2611
Power suPal,e, AtlAress 55024
Dakota Electric 4300 - 220th St. W. Farmin ton, MN
Electncal Conlractor (Company Name) ConhacWr's License No.
CUntem orar Electric Inc. 0419167
tdiihng AAAress (Conhactor or Owner Making InstailaLOnl
6810 Hemlock lane, Maple Grove, MN 55369
Authorrzed SiBnature IConhacto Owner Making InstallatioN Phone Number
424-4232
7Yrii-t.l'OTp STATE BOANU OF ELEqTR1yffY
Griggs-Midway Bldg. - qoom N-19f?/
1621 Universiry Ave_, SL Paul, MN 55104
Phone (612) 297-2111
IMIS INSPECTION REQUEST WILL NpT
BE ACCEPiED BY THE STqTE 90ARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
5 ?(le l, Q REQUEST FOR ELECTRICAL INSPECTiON Ee-ooooi-a
+ If Sea mshuc4ons lor completiniIi Ihis Twm on beck o1 yellow, copy. (,C
931653 "X" Be/ow Wark Coveied by'This Request
Add
Rep.
Type oI Bui"in9
ApOliancas WireA .
Epuipmenl Wir¢A
Home X Ranye Temporary Service
Duplex Water Heater Lighting Pixtures
Apt. 8wlding Dryer ElecVic Heabn
Commerual Bldg. Fumace Silo Unloader
?ndustnal BIAg. Afr Cnnditioner Bulk M,Ik Tank
Farm Other Per..ry D1ShW sher Oth?. ?Sneciiy)
tMr Spec:ify ther isposa o?her
# ? Fee V ServicaEnnanceSize q Fne Feeders/Subteetlwrs p Fee Circmta
1 u.uq o to Z00 Amps 0 to 30 qmu- 11?f- ?4QI--I. ?O zn Arnp?s
Above 200 qmps __ _ 37 to 700 qmos _!! 4, U U 61 tn 100- A,,,, ?
Swi
S 47 .5 TOTAL FE '
AiF-Ck)
//_-)_
f 5?04
? I.theEle?al
nspectoq hereby
Final ., r _ ^ p
?? cendv that the abuve
PeCtiOn hes Gaen
?dB.
renue.,t •ma
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED }?ITH TEIE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
)/2 pF 'rW i I4 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuat3on: q-`,,UQO 00 Date: 7
Site Address:
EaST VZ oF
Lot: 3 Block ? Seet/Sub
Parcel Il ? .3?
,
Owner 6/,? (3-" Q.c
Address ? 5 G L/ )1? Qq.
City/Zip Code &,a.& /? 5?36 5
u /
Phone ?ao cfc, ?
Contractor Sz..?
Address -
City/Zip Code
Phone ?
Arch./Engr. zug?-?
Address e"
City/Zip Code
?
Phone l1
6?OFFICE USE ONLY
Erect Occupancy
Remodel Zoning
Repair Type of Const
_
Enlarge ll of Stories
Move Length
Demolish Depth
Grade Sq Ft
APPROVAi.S
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off? Parks
APC Treatment P
Variance
TOTAL
?
?
Z18..5?
.m
74'-
139 zs
e?
525' -
500. ??
W?• p
I "3 2 -!?
?,a.as
. ,
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
k V2 o F rw I N 1 SET OF ENERGY CALCULATIONS
-
To Be Used For: Valuation: w Date:
I G7 n
Site Address:
wES'T ILotocr 3 Block Sect/Sub ?yv.•?
Parcel 11 R3 4*--
Owner
Address 7,?-L
City/Zip Code ? (?.C
Phone 4dz L-fC, p?
Contractor lz???
Address
City/Zip Code ^
?
Phone
Arch./Engr.
Address '?Q}
City/Zip Code ?? ?•
-_v
Phone #
,(? _OFFICE USE ONLY
C,:.?Il.?
Erect X Occupancy V'3
Remodel Zoning {Z'Q
Repair Type of Const Q
Enlarge Ik of Stories
Move _ Length ?
Demolish Depth 3g
Grade Sq Ft
eavonvet c
Assessments Permit Z-lt3•?
Water/Sewer Surcharge Z¢ 5D
Police Plan Heview u
Fire SAC 52.5.°O
Engr Water Conn 5p0.°-°
Planner Water Meter fo3.=
Council Road Unit
Bldg Off = Parks
APC Treatment Pl
Variance
TOT6L J?ya . a.Y
C d1 L'?f`I N H. H E D L U N D 7726 Morpan Avenus soum
? RkhfieId,Minneaota 55423
Lan,d Surveyor Civfl Enqineer Phone : 866-2323
surver?ortis Certilitirate
JOB N0.
SURVEY fOR:
OESGRIBED AS:
John DeVries
Lot 3, Block 4,
Ilennepin county,
CINNAD'.ON RIDCE 3RD APDITION, City of Eagan,
Alinnesota and reserving easements of record.
925.1 588'07'35"'w
- - fps.?c
?
.i I J
•
?
'? ^ 9zS. 4a 9zS7 `? N
N
O 00I m Z4?
25to? \ 1? p
N
`(aar ??nar
:..L?-i •' _ za I 24' _ ,__ r_ , ..r-
? 9zi,4
7 .00 ??-
s
?
u a?'ox' za"e
CINNAMbN R1D6E
a
M
CIRC LE
Top of FounJeeson * 9 23. ?
asemsne
B
.?
Floor = 3
C+arsge F/oer: 9Z2.7
Proposed Elevs*tons O
EXisttny E/evat'iens
3)raina9s Direc-ttons ?
Denotes Lot. Corner 0
2m
CERTIFICATE OF SURVEY
I hereby cerfify fhat on q41c135 I surveyed the property described above and thot
fhe above plot is a correct representation of said survey.
Calvin H. Hedlund, Minn. Req. No. 5942
-!
? -
i
7
2/84
CITY
OF EAGAN
4E[
a
w
APPLICATIODI FOR PERA4IT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRINi) ?
i? PROPEFrIY ADDRESS:
LEGAL nrsCubrzcv:
•• ? ?4-s? ? J ?3 `
_
(Lot/Block/Subdivisicn or Tax Pzscel I.D. Nurner)
? l: S?RL'CT..T"itE, DATT' 0_°ORSGi'.Ai.i uiII.DL`:G I
PR7Sr-`..': ::^:Ml;1:/P??OPOSM L'SE: ? Z-1 Si;GLE rptiffLY .
R-2 C?JPL...z'Y (?S%'O L??Zm5)
? R-3 'ICI.,.-Z\lHrtlSE ('?'F=- + L^IZTS) f LNI?S)
? r-1 tiryR?"*TM'`"P/M1X;i•SIIU:1 ( UDIITS)
? CCi-TMtE°CLAI,/RE:JI,/Or:ICEE
? INDCSTRSr1L
? 0TSTI:L"PIO:VAI./GCV=l?TXE`
2) ApPISC?-.\T ?(PLEASE PRINI).
ADD4ESS:
CZT"I, STATE, ZIP_
PHONE: `I
3) PLL:.1?B-M ? p EdSE PRiNT)
r?:.?lwUloC?! ?l?--ir,h?r? ?r???n? FOR CITY USE ONLY
ADDRESS: `77I ` U- (J'?- PLUH?ERS LICE4SE:
Active
CITY' STATE, ZIP: L/ d ? f'?? 5 -3
PHO:IE: PLUNBER LILENSE t1
N lcY. ?C/?c, ? Expired
? Not ? Hecord
ati lnlttd
4) pCY--7,rowr/Cr;?ER (PLEASE FRJNf )
- ?,?: ?- ?;
r? Zd
ADDRESS:
CITY, STA'I'G, ZIP: 0)61I
?
PHO^]E:
5) PIpIG*,TE WFIZCH PERhffT IS BEINC; RF.Q[TESTID:
ION 'In CITY Sc'?rIE.4
g.=N,%IONL 'IO CITY :VATER
E] OTETER (PLEASE DESC2IBE)
6) ll:DIG..:: C::c.: •
? PLy'aSE E?OID APPP.OVm PERmST FOR PICi:-G'r BY QNE OF ABOVE
?PI.ElSE :AIL APPRqVED PE.P,:•lIT TYJ 1,/2) 3, 4 FIBOVE
(Circle one)
7) SICaTC.'RE: DATE•
FOR C I TY U S E ON:,Y '' '•
PEDMIT " ISSUED
FEES: $ ?O.'Sd SE:"iLR nEB}1IT (I`ICL:;L'E SURCH?3GE)
$ /o. oS-d WATER PERMIT (INCL'JDE SURCHARGc)
$ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ 5E'.JER TAP
$ /.S. e-d =CcOi;_._ ..?0S7_
$ ACCOUNT DFPO5IT - VTATER
$ ? ? . &--o WAC
$ SAC
$ TRGVK WATER ASSLSS:QE21T
$ TRliNK SEWER ASSESSME:IT
$ LATERAL BENEFIT/TRUNK SE:?ER
$ LATERAL BENEFIT/TRUNK [VATER
$ ?'?O?• °`d OTHER '
$ TOTAL
$ _ .?D ell, a? ArICU:QT PAID/RECEI?T
,,
DOES UTSLZTY CONN ECTION REQUIR£ EXCAVATION IN PUBLIC RIGi-iT OF WAY?
YES IF YES, TH EN A"PERMIT FOR WORK WITHIN
? PURLIC ROA DWAY" MUST BE ISSUED BY THE
NO ENGINEERIN G DIVISIO[V. LIST AS A CONDI-
TI061.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED SY:
TI.LE:?L??- C1?EJ
DATE: F,Sf
Me 60--M w? ? m:mwvm?m Wcmmp?mw
?r?+ w ? wr ?i! ws? w.a ?t? r4 ?i? ??? ?c? ? ? se ?i? ?t? ?rt? it s?+ w ?.
1
? z/84
CITY Or EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPEF?'I'Y ADDRESS :
I.EGaL DESCRI?YPIC:V:
(I,ot/Block/SuCdivision or Tax Parcel I.D. NiurDer)
? 7'r' ?-{Z:='=:G S?'?S.`C17-ME, DaTEE: 0F Ci2T,Gi TAL rUI?.Dl":`:G =-'=1 ISSUA\G.:
e
P.==54.•;• ?,••7T?,':/P'?OPOSc.? ? R-1 S=,=- FPYSLY
?I R-2 GUP,...t"{ ('Iti:'O UNITS)
? R-3 TC7.,:'I,1?C[JSE ('IYn•..'?'? + L:IZTS) ( WITS)
? R-4 r1P=x'NT/CCi17Ci-!ISII;,tii ( Wi ITS)
? CCiNiE.°.CZ?L/RE;AII,/OFF'I?
? MCL'S'PtiIAI,
? NST=IO:IAL/GGVE?L`2\'T
2y APPLI= (PL/E?ASc PRIIiI) rrPhie
"
'l
L
'
:
1
tcYn
7
r?C? ln fiN?l
ADDRESS: ?. - (
CTI'Y, STITE, ZIP: t- l
)3
-
PHO.IE:
3) PLu-sm P EASE PRINTJ NAME:
Ot? FOR CITY USE OYLY
fi,
? c, ?
ADDZESS: j? - L aL /e PUJ}BERS LICEtiSE:
- Active
CITY, STATE, ZIP: (' ' h r I Espired
PHONE• Ta?'Y`n ?/?
• PLLMBER LICENSE N ? / Q No ecord
arr tnttia
4) 00:.°i,'???$VT/OzIF.E2 ' IPLEAS Rf:lO
ru?: . e.???'i?> « "e,eS
ADoREss:
crrY, sTATe, zzP:
PHONE:
5) IIVDIG",TE LVFIICH PERhLiT IS BEIhG REQUESTID:
NNECPION 'IO CITY SaiER
CODI:VFX.TICN 'IO CITY S4ATER
? Cl^iEEt (PLT'lySE DFSCF2ZIIE)
6) L^:DiG,= C::c.:
PL°ASE f?OID APPROVID pER."^.IT FOR PICF:-L'P BY ONE OF IIBGUE
PI.EASE :*'?1IL APPRbVm PEP= T'J 1? 3, 4 AEL7VE
, (Circle one)
7) sIc7.TuRE:
DATE:
MR?! aililVes s i a!?e.a?ra ! S r+f nr.ss-??r i f? r??si:a a s f? wl? ?lfa! ? a 1It ?:eaFsa?a? r
FOR C I TY U 5 E ON;,Y
PERHIT " ISSUED
F°ESe $ p-?r- d
$
$
$
$
$
$
$
S V??? ? k1
S
$
S
S
SE.^lGP. ?'E3MrT (INCL..:)_- JUP.C,!;?.P.GL)
WATER PERP1T_T (IiICiuDc. .^-.iiRCFArZGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:9ER T?,P
AC^OUNT DFPOSIT - PIAT.°_!2
wac
SPC
T3liVK WAT°R ASSESS2!E:1T
TRli:1K SEWER ASSLuJME.1T
LATERAL SEAiEFIT/TRUNK SE:IE4
LATE:LAL BENEFIT/TRUNK NATER
OTHER
$ TOTAL
$ cS?OSL `? AAIOIItiT PAID;RECEI?T
DOES UTILITY CONNECTION REQUIRE EXCaVATION ZN PUBLIC RIGHT OF WAY?
L, YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PURLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGILVEERING DIVISIO[V. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TZ;LE: -40e=6 e?yf/
DATE : ?L -2-
2eam=*srM:MW 06?0 §cW§W0csw_4W sR
1990 BUILDING PERMZT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUI.ATIONS 1 SET OF ENERGY CALCS
# OF RF.NTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN GOMPLETED.
PERMIT MUST SHOkT A LICENSED PLUMBER.
r/ dgL s o F&cn
To Be Used For: Valuation: Date:
Site Address (,-lnliv%d/YlUlv K1pG&
G-i QcL •'-
Lot Q,?L Block Oil•_
Parcel/Sub 1.,V.,pBAyA 'RiA41L, _541
r
Dwner
AddressTW 0NN.9mVro Kr?GG?- Cj/2?LQ._
City/Zip Code V /YI/J 5$?/ ?-
c-? Cl&.i 3-z?(.)
Phone !/) -0 3
e..
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
FEES
Occupancy
Zoning
Actual Const Sldg. Permit 2-5,O ?
Allowable Surcharge . SD
# of stories Plan Review
Length 12, SAC, City
Depth SAC, MWCC
S.F. Total Water Conn
?Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner. TOTAL c7 S 1-5 (J
Council l
Bldg. Off.
Variance
C ?? L i/ ! N H. H E D L U N D 7726 Morpan Arenue SoutA
' RlchfieId,Minnesota 55423
Land Surveyor Civil Enqineer Phone :866-2523 .
surveyoro(s eertifixte ?
h.
JOB N0. "
SURVEY FOR= John DeVries
DESGRIBED A5: Lot 3, Block 4, CINNAT!ON RIDGE 3RD ADDITION, City of Eagan."
Hennepin county, Afinnesota and reserving easements of record.
\ 9L5y/ `'t ?.
)25.1 583007'35"w To
of Fownd.irrons
P
1W Basemane Floor :923.1
Ca?'sge Fleet: 92-2.7
w p 92 8 zS7 I`A
- proposed Eltva*Iont
.
u, H Z4?
1 r
?
p 10I p
Exis-etn9
u z,--
z s-r o? ?
? ?
Kes 3)raina9s D,rsc-tions
?o??+4rQ t- -
'i opQ5 5+4
Corner O
Dsnotes Lot .. ?
i
11 N. 1 . , 4
M?
4 ? A H
tG ? ';'t..`?, -•
^.
? ???? • 24 I ?t 1
? 1 ? •/- ^'
'.L0 xz.
9zz,a ? _?
„
.
In
920.47 7 00 Y
h
CINNAMON 7117GE C1RCLE
CERTIFICATE OF SUR VEY
I Aereby ceriify fhot on 9-1101?35 I surveyeC ihe property described above and that
the oCove plot is a cor rect representotion of said survey.
Caivin H. Hedlund, Minn. Req. No. 5942
RESIDENTIAL BUILDING
d Permit Application
City Of Eagan
3830 Pilot I{uob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenis RemodeUReoair Reaui2ments OKce Use OnN
3 registered sile surveys showing sq. ft of lot sq. ft. af house; and all roofed areas 2 copias of plan CeA of Survey Rectl _ Y_ N
(20%maximum bt coverage allowed) 1 set of Energy Calculations for heated addAOns Tree Pres Plan Racd _Y _ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Reqd _ Y_ N
7setofEnergyCalcuhations Atldition - Indreafeif onsitesepticsysfem Oo-site5epticSystem _Y _N
3 mpies of Tree Preservation Plan'rf lot platted aNer 7l1193
Rim Joist Dehail Options selection sheet (bldgs with 3 or less unik
Date P l a f3 / 03 tr_
Construction Co
st
4 rntWA.qavN ?: n A
Site Address ` /?
`r?2?-k-P L° 3a ,':Jy- UniUSte #
L o 2> J , B C? -3
Description of Work ???-?-2 0? R&/'cct5r- #-b?,R
Multi-Faroily Bldg AY _ N Fireplace(s) _ 0_ 1 _ 2
Properfy Owner A1/0P.!2A 2AcH ft2 i P-s Telephone #(CS/
Contractor 06?cC'pTKA-L- Dc S' a ?c--
Address Q q$ ,?- [4t,;j--0-' ?:T Gv'C X ?
f City ,t1,r?n I,t? l G-U-CT
State Zip Telephone # 33 ^r3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Ru1es 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) 5ubmitted Submitted
• Energy Envelope Calculations Submitted
113?'s
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/Wpter Contractor
Telephone #(
Telephone # (
I hereby apply far a Residential Building Perxnit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval Z-4A
s. Apphcant's Pnnted Name Applicant's Signature
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permi[s are required for each unit
Date 4_ / )-r / 6 s_
Site Address Ctyloolewekq 9 . Unit #
Property Owner A/}F; Jz?Z, Telephone #(&So p?"'-0 J
Contractor
STANAARD HEATING & AIR CQNDITIONING C0.
Street Address 410WEST LAKE STREET C'y
MINNEAPOLIS, MN 55408-2998
State 612_82426-56 Zip
Telephane# ( )
Bond #: Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to existing dwelling unit
furnace _Additional ? Replacement $_ 30.00
air exchanger
/X11, airconditioner _New )(Replacement
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes• that I understand this is not a
permit, but only an application for a permit, and work is not to staR without a ermit; that the or w Il in accordance with the
appn ed plan in the ca wo k which requires a review and approval of p n ?
Applicant's Print$d Name
Applicant's
`L 3 2005
?I
Use BLUE or BLACK Ink
I For ~~ffice Use
4 I ?090
Permit#: p~
V J
City of Earn
I
~ Permit Fee: <50 6t>
I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 40
Phone: (651) 675-5675 I
Fax: (651) 675-5694 l Staff:® I
/ 2010 MECHANICAL PERMIT APPLICATION
Date:/ Site Address:
Tenant: Suite
RESIDENT/ OWNER Name: a_'_Vty+ 1 6S lyll~ ~Pghone:
Address / City / Zip: b /t`Yvvl~iyvNr+~-~ t Q t
CONTRACTOR. Name: License
Address: tl,~ 230 City:
Statel ' /-L_ Zip: Phone: I-//Z q ✓-0
Contact: Email: clec%.. h~no1('c GL1. G a~ /'Y►
TYPE OF WORK i New Replacement Additional Alteration Demolition
Description of work: /_&V_
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction - Interior Improvement
Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
- Heat Pump Under / Above ground Tank Install / _ Remove)
When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge increases by $.50 for each Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a *rmit; that the work 'll be in accordance
wi the approved pla in the case of work which requires a review and approval of plans.
X7 r~ ~y a~ 6 x
Applicant's Printed Name A plicant's ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough In -Air Test -Gas Service Test -In-floor I leat --Final
Exterior HVAC Screening Inspection
Use BLUE or BLACK Ink
For Office Ube
F~ I ~I I
City of Eqd~ I Permit ~
1 Permit Fee: 17(J I
1
3830 Pilot Knob Road
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1 Staff:
Fax: (651) 675-5694
2010 RESIDENTIAL PLUMBING PERMIT A712 TION
! 47 ~ l D 1 / -fV'n A~'h CvV_z
Date: Site Address:
Tenant: Suite
-7 z
RESIDENT / OWNER Name: 2is P" Phone:
Address / City / Zip: &6 / / C~
CONTRACTOR Name: lLicense 6 V?a P/7-1-
Address: f!~ ~3 0 CAL City:
State: Ak Zip: 5W Phone: C~ / 2 / 2-30
eu t1ct:~L~ Cb
Contact: 74elr r'1 Email: Q~Al(g
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 Add Plumbing Fixtures
RPZ / PVB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
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 $166.00 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.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start t a permit; that the work will be in
a ante with the appro d plan in the case of work which requires a review and ap of plans,
x
x
pplicant s Prm ed Name A plica 's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections:' Under Ground Rough-In _Air Test Gas Test Final
Oct.18. 2013 9:02AM Crest Exteriors 651-463-8095 P. 30
Use BLUE or BLACK Ink
For Office Use
City of EaMID ! Permit # I
~J 1 1
3830 Pilot Knob Road Permit Fee: I
Eagan MN 611122 Dale Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-8694 1 Staff: 1
I 1
2013 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I Site Address: Unit#:
Name:
phone:
O er Address City / zip: f~ ICY\
\
Applicant Is, `Owner ✓ Contractor
Z contractor
Description of work:
*Y,- t
a Y~ Construction Cost: Muld-Family Building: (Yes / No
Company: Contact: LLR_e 7{il(_~YY1Ca
z1~ r~ f~~jfe
M v G p Address
o 2ity:
•r•= Stele: _ Zip: Phone: (91?
( 2
License Uo 2 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 ZNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOTE=; ....,~._A • - ~ w
8n ~suppo Ifig° o lrl`~e "t6" < oils" 'consi era
7~ti1'c Into b pet 0 Po' i ns. of
T . afro b~of ss o 0 o t>ry a o / :ry
s ~E"' o e ~l a -to
nG . .l' , i1..sec s. <
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 464-0002 for protection against underground utlilty damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. herslaleon I
1 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 thle Is not a permit, but only an appilcallon 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 or plans.
Exterior work authorizad by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x
Applicant's Printed Name Applicant's Signature
Page 1 or3
Use BLUE or BLACK Ink
For Office Use
R 0~ I
Win Permit I I
City of Eap
Permit Fee: - I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I j
Fax: (651) 675-5694 ; Staff: na~
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3Z2 5~ Site Address: el(lLe ( Unit
Name: &6ZAZ4' "Or,'~ { 6"rr4e Phone: gg~j.
Resident! 1
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: 5/ /0-f
Type of Work
1 Construction Cost: Multi-Family Building: (Yes / No )
I Company: . rU " 'g.4v1t'eT ontact:
Address: tf"~ St '4`9 o city: '4/r. d
Contractor ,~~A
State: Zip: Phone: f*2_ -3 /
License Lead Certificate /VA7- 3 l - r
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 theit 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 gooherstateonecall.or-
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x or Applicant's Printed Name Applicant' Signature
Page 1 of S
Use BLUE or BLACK Ink
I For Office Use
Permit 0
I
City of Ea
Ra~ I a.
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
2014 RESIDENTIAL JBUILDING PERMIT APPLICATION
Date: ell Site Address: G/ E Unit
F , (K / f Rd t~, . '7r l , L. Phone: e!.f 0;2 1~
&Aem~
Resident/
teYl`t J° ` --tea f^ w f~
Owner Address /City / Zip: 92
Applicant is: Owner Contractor s
Type of Work Description of work:
Construction Cost Multi-Family Building: (Yes / No )
A r w S 1V l_-.1s~ Y*~... ~ V
Company: f ~ 1,AV,I` s" ontact: "44°,
Contractor Address: r' r ` r 7"? S City: r_.4 ftiJSSS" l
State: i) Zip: Phone: 642- 3V _T4 404'>
License 4~ .G- Lead Certificate /V14-7-- 37 /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer $ Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Buildin Code must be comple in
days of permit issuance.
X -V r f Z e .~1 le / x
Applicant's Printed Name Applicant's S gna _
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168131
Date Issued:04/12/2021
Permit Category:ePermit
Site Address: 4461 Cinnamon Ridge Cir
Lot:000 Block: 004 Addition: Cinnamon Ridge 3rd
PID:10-17402-04-031
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Ashley A Fadlallah
4461 Cinnamon Ridge Cir
Eagan MN 55122
Noah Acquisitions Llc
5718 International Pkwy
Brooklyn Park MN 55428
(612) 822-5292
Applicant/Permitee: Signature Issued By: Signature