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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