4462 Cinnamon Ridge Cir
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eapn, MN 55121
PHONE: 454-8100
eUILDING PERMIT
c
RIi?GE
OOG
Receipt #
n_._
Erset ? Ocaupency
Remodel ? Zoning
Hepair ? Type of Contt.
Enlarge ? No. Stories
Move ? Length
Demolish ? Depth
Grade ? Sq. Ft.
Assessment
Water & Sew.
Poliu
Fin
En0•
Plonewr
CouncH
Bldg. Off.
APC
Ver. Date
IY8R1Q
I hereby ockrowledqe that I how rood this opplicotion and state thot
tFr intormotion is torrect and ogree to comply with oll applicubl*
Stah of Minnmta Stotutes ond City of Eoqan Ordinoncss.
Siqnoturc of PermittN
Pemut c? l
SurcF+crge
Wan Review
SAC
Woter Conn.
Woter Meter
Road Unit
Total
A Buildinq Pennit Is isswd fo: „ ?,••: on tM expteis oordifion thp+
oll worc sholl be dorw in occordanco with all eppliooble Sfate of Minnesota Stotutes ond City of Eopan Ordinonas.
Buildfnp Oifidd
Lot BloCk _r.oclSUb. •' • •"` -
Parcel No.
Pwmit No. Pwnk Holdw OaN Tels hone
?umbing ?
c
?. P'
5a u
H.VA.C. kJ2? ( ( 0 " -5 y -O S 2:E.
E»ct.ia ? - 5 0
.
Saft.m.
Impsetion Dsa Insp. OMer
Footinp
Foundst{on
Framinq
Rooflng
Rou9h vl1q. -30 • ..5?7 4 - ? -
Roug+ HVA
Inwbtion 3
Final Plbq.
Final HVAC
ZL-flL
Final
c.?voa. (,? 6 ( L
Water D"eribe Loertion:
MYsll
SmMr
Pr. Disp.
Reaipt+;? ")`f ` pAECHANICAL PERMIT Permit Na
CITY OF EAGAN
Fse
ly ,
? Fill in numherod spaces S/C
Type w Prfnt /egibly Tot
1. Date 2. Installation Cost
- - ?-
, X:: f
3. Job Address lot 81k. ". ? Tract I
4. Qwner ? ? ? • ?
5. Contractor t ' Phone '
B. Address
?
7. City State Zip . ? . ?
8. Building Type: Residential M Commercial ? Institutional O
9. Work Description: New E] Add ? Alter ? Repair ?
I 10. Describe ? y,1 , ' ? ` ` fuel Type - "
E »•
No. Equipment BTU - M. Ea.
Forced Air No. EQUioment CfM
Ai
H
li
Mfg. r
and
ng:
Boilers Mech
Exhaust
Mfg. .
Unit Heater
Mfg. Other
Air Cond.
Mfg. . . . .
Gas, P'iping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
Redipt r _
PLUMBING PERMIT Permit No.
CITY OF EAGAN
%
? } - FN
13-?? fill in numberod spaces S/C
Type or Prim Jegibly Tot
1. Date -' ?- 4?• 2. Installation Cost
3. Job Address - " l.ot -OIk. ? Tract
4. Owner
5.
Phone
6. Addmss ..?? ? t
7. C.Ity St82@ . Zlp '
8. Building Type: Residential El Commercisl O Institutional O
9. Work Description: New Ij Add ? Alter ? Repair ?
10. Describe
11.
No.
? Fixtures
Water Closet No. Fixtures
Cesa
ool/Drainfietd
' Bath tubs p
Septie Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Othar
Laundry Tray
Floor Drains
Drinkiny Ftn.
Slop Sink
Ges Piping Outlets
12. I hereby certify that the above inforrtwtion is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : e -
, for
' Rouo Final
Inspections: Date I Insp. Date Insp.
This is your permit when numbered and ,pproved.
Approved CITY OF EAGAN 4646100
CITY OF EAGAN
3830 Pilot Knob Road, P:O. Box 21-199, Esgan, MN 55121
PHONE: 454-8100
BUILDINCs PERMIT Reuivt #
Ts VUMd fsr 0 .., f l. 19 1
. 1C .?, . E.reCt U' OCCUpanCY i . .
Site Addreu
Lot Block ?/Sub.
Remodel
?
Zoning
T
Repair ? ype of Conn.
Parcel No. Enlsrge ? No. Stories
Mave ? Length 2,'
W Name
. Damolish ? aepth - t;
? Address _
:
-C Grade ? Sq. Ft.
. ib
tilJ
citY Phone
Install
o _
A Name _
?? Addreu
r- Citv _
City
I hereby ockrowledfla thot I hove read this opplicction and stote that
the information is correct und og?ee to comply with oll applicable
Stoto of Minrwsoto Stctutes and City of Eaqon Ordinancss
Stpnotun of Pemnittss
A Buildinq Permit I: isswd to: oll work shall be done in atoordonu with all appliaoble State of Mir
eWidino offWol
Woter 6 Sew.
PoNu
Fin
EnG•
Plonrrr
Cow+cll
Bldg. Off. 4: 5
APC
Var. Dste
Permit , b . ' . ? ,
Surchorpe
• `r
Pian Review.
5/1G
Woter Conn.
Woter Meter
Rood Unit
iotal ? •, ?, .
an fhs exprest ca+dition that
Stctutes and City of Eapon Ordinanus.
Pwmk No. Permlt Holde? Dow Tale hone *
-P
rEb?ctc
Intpe
etion Oate
Insp.
Othw
F??inip Y-?G-45 b?
Foundstion
Fnminq
Roofing
Rouoh Plby. . -1 d • - tJ
Rouph HVAC
insui.tion 3
Final Plbp. ?
Final HVAC . .??
Final
Grt/Ooc. ?? ? (
Wahr Desai6e Loeation:
VYsll
Server
Pr. Disp.
? r ) ? •
Rowipt ';, r, ) PLUMBING PERMIT Pnmit No.
CITY OF EAGAN
FM ,
Fi!! ln numbend 4orcet S/C
TyPe or Arlnt /egib/y Tot. ,
. j
1. Date 2. Installation Cost ;
3. Job Address Iet. Blk. ? -- Tract , a
? -,--r_
?
4. Owner ZI
6. Contractor
Phone
B. Address .y ? l ?
7. City ;?• . - State tip
8. Building Type: Residential ? Commercial ? Institutional O ?
.?
9. Work Desaiption: New f] Add ? Alter O Repair ? ?
d
,
10. Describe ?
11.
No•
? Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
8eth tubs p
SeptiC Tank
Lavato?y Softner
Shower Wel I
/ Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
Floor Drains
Drinkinp Ftn.
Slop Sink
Gas Piping Outleu
E
12. 1 heroby cartify that the above information is true and correct, and I agree to
oomply with all wdinances and codes governiny thia type of work.
Signed : for
? Rouyh Finsl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4544100
Rawipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fes
` Fill in numbered spaces S/C
TYPB or Print legibly Tot
1. Date 2. Instaliation Cost 3. Job Address ,- LotBlk. Tract '
4. Owner r
;.,
5. Contractor Phone
6. Address _ _ -?•' ?• %' ;'. ' ? ? _ -'i • d
7. City State Z; p
8. Building Type: Residential fA Commercial ? Institutional O
9. Work Description: New ZI Add ? Alter ? Repair O
1 10. Descxibe ' Fuel Type
1 11.
No•
? EquiRmeui STU - M. Ea.
Forced Air No.
% EQUiament CFM
Mfg, Air Handling:
Boilers
Mfg. _Mech. Exhaust
Unit Heater
Mfg. Q
h
t_
Air Cond. ' er
t
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with alt ordinances and codes governing this type of work.
Signed :
for
Rouyh Final
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4544100
CITY OF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN
.,..._..- ..----- 4462 t
it 2 Blk 5 Parcel 10-17402-020-05
4464 CINNAMON RIDGE Ate EAGAN MIV 55122
Improvement Date Amount Annual Years Paymant Receipt Date
STREETSURF. 925-44 C010413 6-2 -$
STREET RESTOR.
GRADING
SAN SEW TRUNK 1 13. 9
SEWER LATERAL 39.50 64 .90 , 2591 • 0
WATERMAIN
* WATER LATERAL ti 1985
WATER AREA lhl 1973 131.44 8.76 15 17 • 5
* Services ? 1985
STORM SEW TRK 1979 381. 69 9.08 20 24 .13
* STORM 5EW LAT x 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
$280.00 51050 4 22 85
WATER CONN, 500.00
BUILOING PER. 10121,10122
SAC 92-9-00
PAR K
Ad
No..
No.:
te comp}r wkfi !1w Ckx of Eows
ConnectionChorge: 5no,0() pd
15.00
Accour,t DePostr:
10.0n
Permit fee: , rl f^I
Surcharge:
132.00 pd
M?? Charggs.
TotoL• 61.00 vd meteT
Date Puid:
. CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 6104
P. O. Bex 21199 PERMIT NO.:
4-24-85
Eagan, MN 55127 pqTE;
Zoning: R2 No. of Units: ,
pwner: DeVries Bldrs
Addrcss:
Site Address: 4464 Cin
B ay ock P umbing C,ompany
Plumber
Meter No.: ? S 4 Gonnection Charge: 5 nn _ fl(1 pd_
siZe; 9/8't Account Depostt: 15.00
Reader No.: L ? 0 Pem+it Fee: 10.00
. 50
1 o9ree M eompip wilh the Citp oi Eeqan Surchorge:
O?dinewen.
?
?
? ? M1sc. Chorges: 1
Total: f 32.00 pd
-13-nn mPrp
g
?
-
Y
- - Date Poid:
Date of lnsp.: ?y-?
? L 7 - Insp.-
CITY OF EAGAN
SEWER SERVICE P 1
ERMIT ?
,
3830 Pilot ' ; nob Road ?
P. O. Bo:. [1199 PERMIT NO.:
?,-?4-?5
Eagan, MN 551 ?TE:
s ,.ip ex_
Zoninp: Na. of Units:
e x ea BldFs
Owner:
??dreu' 4404 naamon , pe Circ e L.'. 745 Cinn i ae
slcs Adare?; y { . _ ?
,_ y 1
Plusnber:
?
100. p
I .'wee to osephr wkb e60 eih? ef Eosv. connecdw, aorpe: 4 25: oo d i
Acoount Deposit:
I?4 PerRlit Fee:
5urrhargs: •
I
' g Misc. CM?ges:
y
Date of Irup.: TotaL• ? I
Insp.: Date Poid:
?
----
OF EAGAN WATER SERVICE PERMIT
Pilot Knob Road `+
Box 21199 PERMIT NO.:
%, MN 55121 DATE: `,` •? ``?'
i
g; No. of Unlts:
CtTY OF EAGAN 1NATER SERVICE P ERMIT
3830 Pilot A nob Road r
Box 21
P
O .9
1 pERMIT NO.:
.
.
MN 5
Eagan .
5121 l?_2??_r5
DATE:
,
Zoning: 2 No. of Units: dunlex
p
,ner !;eVries T?1:;rs
N
.
Address:
Site Address:
4462 Cinnamon
-
RId .e Circle LZ is7
Cir.n Rid e
3
l-3? .oc P umL• n
? g omnany
Plumber: 00 pd
500
Meter No.: Connectlon Charqe: .
i nc,)
No..
h Cww* vrilU 11» Cit]? of Eawn
Accounr Qeposit: J • ,
Permk Fee:
r?
SUfC}lOfg6: ?
Misc. Charges: I32.00 vd _-
Tornl: 63.00 nd meter
Date Poid
Inap.:-
CITY OF EAGAN VIIATER SERVICE PERIIAR
3830 Pifot Knob Ftoad 6105
P. O. Box 211,'19 - PERMIT NQ.:
Eagan, MN 55121 pqtE: 4-24-85
Za,;ng; R2 No. of Units:
pN,ner; DeVriep Bl drs -
Add?ess:
Stte Nddress: 4462 Cinnamon Rldge Circle L2 B Gtnn Ridee -3
Plumber: Blaylock Plumbing Company
Meter No.: 3? 9 a? 5? 7 conr,ecc:«, a,o?9e: 500.00 pd
51ze: '' Account Deposir: 15.00
1l) ?. ??
Reader No.: 7 Permit Fee: 10 . 00
, 50
1 agme !o eoMPh? witb !tN Cier of EeVa¦ Surchorge:
Grdlseneea. Misc. Charfles: 132. 00 pd
? Totol: _ 63. 00 pd mete
By Dote Paid:
Dofe of Insp.: "r 1nsP.:
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road 7294
P. O. Box 21198 PERMIT NQ.:
Eagan, MN 551V DATE:
Zonirg: No. of Units: % up e7c
??r: ve ries rs
Address:
S?te Address: 446Z naamon Ridee rc e_, 7 • ge
ay OC isLt ng ompails*
Plumber:
I lofdf h OOIIII* Wmb !h! Coy Of E/gO¦
Oraimnep.
By
Date of Irup.:
y ,. . . vv ?u
COf111QLti01f dIGMl: 4 2 5 • ? v nd --77 777
At,COUrK DEpoait:
Partnit Fee: ?
Surdwrpr '
Misc. CFar9es:
Total:
DoN Peid:
, CITY OF EAGAN No 10122
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548700
BUILDINd PERMIT Receipt #
Te M wd 1w h OF TWIN HOM$n,yalm $49,000 Dote APRSi. 22
SinAddren 4464 CINNAMON RIDGE CIR Erect Ck Ocwpanev R3
Lot 2 Blxk 5 ?ec/Sub. CINN RIDGF. 3 Remadel ? Zoning R4
Percel No. Repair ? Type of Conet. V
Enlarge ? No. Storiea
DEVRIES BLDRS Mrne ? Length 24
= Name ?RINER DR Demolish ? Depth 3$
Address Grade ? Sq. Ft.
6 City MAPLF GRV phone 420-4685 Install ?
ApOrsvs6 Faas
? nlame SAME
sy
Addrem
Assezsment _
?
City
Phone
Water S Sew.
Police _
Name GAGE Fire
?
z
Atldreas BOONE AVE NO
Enp
u?
aW
cltv BR
OOKLY
N 2111hone .
Planner
_
CounNl _
Permit J G/ ti _'x U
Surchorga 74 _ 50
Plan Reviaw 13 9- 75
SAC S95 _ hQ
Water Conn. Snn . nQ
Water Meter c -4 0
Road Unit ?_n .,n Q
1 hereby ocknowlad9e thnt I haw rcod this apPlicotion and sroro that Bldg. Off. 4/19 /8 S T.. P. 1 3 2_ 0 n
tha inlormotion is Correct and ree fo Comply wifh all applico6le APC Total ?l ?Q7 ?S
Stata of Minnewta Stntutes u Ciry of Eogan Ordyyy' wwwnces. .
C 1 _ ?Var. Date
Sipnoturo o4 Permittaa , ?? --? ??
A 8ulldinfl Perm+t I: lsswd ro: DEVRIES BLDRS on fha axpro^.4 corditlon tha+
all wrk aholl be done in accordcnee with oll appliobla Sfatq/orf9linnesofa Statutes ond Gfy ot Eopan Grdinances.
Buildirq Ofliciol T.NESL YJ-1^•-?'L
'CV
CITY OF EAGAN N ° 10 121
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MIV 55121
FISUILDING PNONE:4548700 PERMIT Receipt # (
? Ts 6o mW fer ''`i OF TWIN HOMIfst. Va1ue $49, 000 pete APRIL 22 . 19 85
SiteAddreae 4462 CINNAMON RIDGE CIR
Lot 2 61oek 5 cWsub. CINN RIDGE 3
Parcel No.
a ?.lame DEVRIES BLDRS
Z address 7564 MARINER
9 City MAPLE GRV phone 420-4685
; I Name SAME
V? Address
? City Phone
Name GAGE
AddmE BOONE AVE
City BROOKLYN PAone
Ereet XJ Occupency H3
Remodel ? Zoning R4
Repeir ? l'ype af Conrt. 17
Enlarge ? No. Storiea
Move ? Length 24
Demolish ? DeDth 3$
Grade ? Sq. Ft.
Install ?
Anororak Hq
Assesunent _
Water 3 $ew.
Poifce _
Fire
Enp.
Plonnsr _
Council _
Permif +' z 1 0 • ? v
SurcharQe 24.50
Plan Review 139.25
5pC 525.00
Wnter Conn. 500.00
Water Meter _61, 00
Rood Unit 78n-00
1 hercbY acknawledga thot 1 ha mad this ePDlication ond stote thct BId9. ?. 4/ 1 9/8 S I T. P. 132. 0 0
fM inlormafion is correcf an o ree to comply wlth oll upplicobla qPC Total S1 .942 _25
Smh of Minnewm Stnturos hd Cihy of? Enyan JO i on .
Ver. Dett
Sipnatum of Peemittee
w euildlnq Permit Is issued ro: DEVRIES BLDRS m the pxproy coriditip? thai
nll work sholl be dona In accordance with all oppijso¢le Stote pilGynnetota Srotutes and CiN of Ecpan Ordinoncei.
Buildfrg Officiol
Thns reauest wid (L-915
18 ' . hs.
o ?? ?`?4 La A? rA,. t4, _?, y;'.,,(.3
Repuest Dete
dy b; 1985 Rre No. pMug?h-,n Inspe?
pw?aav Na..?(wili Naviv mso?-
[]?es ?No lor Wlen peatIY
"ucensen tiec[ncal Contracmr I hereby reques[ inspection of ebove
? Owner eleclncal wak iRStalled al:
Slreet Address, eoz or Rau1e No. Cdy
4462 Cinnamon Ridge CIrcle Ea an
ecuon o. 7??ship Name or No. Rang¢ No. Caunry
Ea an Dakota
Or.cupant IHIINTI Pooce No.
UeVries Builders 424-2611
ro., sunolie, naa.ess 55024
Uakota Electric Inc. 430D - 2 th S
Elechicitl Coahactor (Catwany Name) Conttar.mr's License No.
Contem orar Electric Inc. 0419167
Mailing Address IContractor or Owrer Mlaking Insiailatmnl
6810 Hemlock Lane, Maple Grove, MN 55369
Author zeA S?grature ICOnVactor/Owner AMking Iretallation) Phone N?mbcr
424-4232
gMNFSOTp STATE 60ARD OF ElE
Griygs-MidwnY Bldp. - Room N-19
1821 University Ave., St. Paul, YN 55106
Phong 16121 2972111
TMIS INSPECTIOM 6EQUEST NILL NOT
6E ACGEPiED BY THE STA7E 90AND
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
FEQUEST FOR ELECTRICAL INSPECTION EB-00001-0+
, Sea instrue[ions /or completing Nis torm on beck ot yellow copy.
,? • ? C
??R"" Below Work Covered by This Reqaest 5- ( )
2316,54
M Fee ServiceEntrancaSize k Fee Fxxde,s/SUGfeaders p Fee Circuits
. U 0 to 200 qm 0 to 30 Am s 1 0 to 30 A
m
Above 200 qmps 31 to 700 qny?s 31 to lOQ q
Swinen?'g Pool
I Above 100_Amps A6ove 1 00_Ampn
Tra?formers Irrigation eoorttic Partial'Other Fee
?.yU apeciai mspecuun /
Remaiks 5 Q???j(j TOTQL,FE
W1P111U nf naw rinuhlo nnnr.alni.i in Gn..on (t17`?
Rouph-io - - - - - Oa[e . ?
?
the Becv?
'r.al
?i[1 Ir?.speetw_ h¢r¢Dy
Final
O
n
te mndy Oa? [hp abpve
a
. p??im has hesn
vmde
'
......w..w......
Th's.eque=t Vo,d 5r (. Y 9
-18 °TIhH "1? L ;? !)q lAn ,. L` 1A.'1
5
'C 1 . n U
flequest Datr. Fire No. Rough-?n Ins r.tmn
A?
fe`'>
??adY NowTlWill Notfly, InsOec-
May b, 1985 ?
,;
es No ?f???r When Reatlv
UXicensetl Elec[rical Coniractor I hereby reques[ inspeeGOn of above
? Owner electncal wwk irstalleA ac
Street AAdress, Box nr Houre No. Gry
4464 Cinnamon Ridge CIrcle Ea an
ction o.
Township Name or No.
Han9e No.
County
I Eayan Dakota
Oceupant (PRINT) Phone Nu.
ueVries Builders 424-2611
P.we. suooile, Address 55024
Dakota Electric, Inc. 4300 - 220th St. W. Farmin ton MN
Electncal Convactm (Company Name) Conhacmr's License No.
Contemporary Electric, Inc. 041y167
Mailing AAdress IConvar.tor or Owner Makine ??sLN1?KON
6810 nemlock Lane Ma le Gr 55369
Author eA Sipnamre (COnvactor/0 ner Makmg Installa[mnl
Phone Nwmb¢r
1 424-4232
tlYNNE$pTA STATE BOAPp OP ELE THIS INSPECTION PEUUEST WILL NOT
Gripgs-Yidway Bldg. - Room 10-1 1 BE ACCEPiEO 6Y TME STATE BOARD
1821 University Ave., SL Paul, MN 56104 UNLE55 PROPEN INSPEC110N FEE IS
pb. 1612) 297_2111 ENCLOSED.
5i ? y?1 REQUEST FOR ELECTRICAL INSPECTION Ee-ooom-w
r ' See instructions (or comoleting this ivm un back of yellow copy. ?' ?? I??
? 316 5 5 ?•x?? BeloW Work Cove=s=;y This Request
ade xeo. ryue of euimin¢ anoIionces air.a Eauiwoent wi.ea
Home Range Temporary Service
Duplex Water Heater Lightiny Fiztures
Apt Bwlding Dryer EfectncHeatvj
Commercial 81dg. Fumace Silo Unlo7e,
industrial Bidy. Air Conditioner Bufk Milk Tank
Farm Other Deulv ?1Sh Othee 15?r.rtv)
ilmr Suerrtv x O?her Ornir
LUlqUUI@ IASOBC(lUAYF? ffP/OW
Y Fea Service Enbanca5ize k Fee Faeders?5uhfeetlers N Fee Cvcu??s
? 1U.0 ? to 200 qm s 0 to 30 qm 5 11 33.0 0 tn 3Q Am s
Above 200 Amps 31 to 100 qin?s Q, Q 31 to 100 Am
Swinuning Pool qbpye 100_Amps qryo?e 1pp_Am
Transformers Irrigation Boort,s Partial Other Fee
°n9°b Jpeciallntipection 5 %
Q.J.rj0
] TOTAL FEE l'
p1r1114 of new douhle hunnalnw in Fannn ///''U/
RouYn-in • ?
1, Ahe Elec el
/ hKpqctar, heraby
fina? '
? «, ,? a ha.a
insoectiw, has been
maAe.
iwwmpuescre.a iamonnmirom
r
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS ?IUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
%Z R T
D F TWII,4 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: ?
49,000, Date: G/--r?-6T
Site Address: "6.?. 0vbFFICE USE ONLY
P-PS T ?? ? ? CL?
Lot. 2 Block ? Sect/Sub Erect ? Oceupancy
Remodel Zoning
Parcel Ik - ?? Repair Type of Const
Enlarge ll of Stories
Owner ?,,t? Move _ Length
? Demolish Depth
Address Grade _ Sq Ft
City/Zip Code h?, g, ?? sr3??
??
Phone
Contractor
Address ^
City/Zip Code
Phone I
Arch./Engr. ?.
Address 0?
City/Zip Code 62_.,,r4ti u..,.ll,
Phone 11
APPROYALS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off PjO Parks
APC Treatment P.
Variance
TOTAL
K-4
I;z
IM-_
35
?
Zia_
'L4 s'
13q xs
(fl3. °?
280. °?
l ?? eo
- ? ? L
?7 a C3-"
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED MIITH THE CITY OF EAGAN
t /zoF Twi?-f
To Be Used For: Valuation
Site Address:
W?ZT
Lot: O?- Block 5 Sect/Sub Erect
3 _ Remodel
Parcel I1 ? Repair
Enlarge
Owner Move
Demolish
Address -7 S-(d Grade
,
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CALCULATIONS
49,000. o• Date:
&4') OFFICE USE ONLY
X Occupancy -3
_ Zoning ?-4
Type of Const
p of Stories
_ Length 'L4
_ Depth '36
_ Sq Ft
City/Zip Code ?.e--?V1 5'-S-3 65r - ------------------------- -------
Phone Ya1 0 V 6 8"1-
Contractor -,JL?,
Address -
City/Zip Code ?
Phone --
Arch./Engr.
c
Address
City/Zip Code
APPROVALS
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off !9- Parks
APC Treatment P1
Variance
TOTAL
Z18. ?
24 yD
zs
13 -
525, °?
?
500, '
280._
°=
/,; `a.1-s-
Phone #
C,AL i/ I N"H. H E D L U N D 7726 Morqan Avsnua soufn
' Rlchi(eld,Minnesoto 55423
' Land Surveyor Civfl Enqinear Phone :866-2523
surve#nr1's G'ert?,?icate
X31r<r JOB N0.
SURVEY FOR: John DeVries
DESGRtBED AS: Lot 2, Block S, CINNAMON RIl)GF. 3RD ADDITION, City of Eagan,
Flennepin county, Alinnesota and reserving easements of record.
'I'op Of Foundation =9z3?? Denotes Lot Corner O
Garage Floor =92z•7
Basement Ploor= 923.1
Proposed Elevations<f:>
Existing F.levations -
Drainage Directions --.-
? Y?
H,
\ •
9/9.7
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n? 9ZZ.4? 48 921,4 ?qD
p? I 24 24 - I h ?.
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17 zr. ? 9z0.
70- o o: - -
°- _ o
M ' -
CINNAMON 1?1DGE CIRCLE M
CERTIFICATE OF SURVEY
2 hereby certify thot on I surveyed ihe property described obove ond ihot
the obove plat is a correct representotion of said survey.
? -- /'i, ? ?., ?Q-•
Calvin N. Hedlund, Minn. Req. No. 5942
2/84
CZTY OF EAGAN
NNI APPLZCATION FOR PERMIT
SEWER AND/OR WATER CONNECTIOrI
(PIEASE PRIHT)
PRopERTY- ADoRESs: V4 h;?
r.Fr=+L D°..?G21IPT?CV ? a ,?? 7 _ ? `
(Lot/Block/Su?division or Ta?t rarcel I.D. N?sn;_tier)
$T:-'I:CTL7T-, DAT Oc GtZTGi 1AL LUILD-L"..ri _=ITi
P.mrS?'?' ?^`]T?F:/P?OPGS-'?J C'S`-?': ? R-1 SIN= FPMSLY '
`? R-2 DUPI,?{ ('IZiO L?IITS )
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PY.ONE: 4-
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rrP.?: 77 (?+S PF1YT)
f f? ?0 C? '? fOR CITY USE ONLY
AGDRESS: ? PLIyNBERS LICE4SE:
CZTY, STFITE, ZIP:
? ??IC- /ij Active
E:pired
P?ONE- . (- p
/' /??ySj? PLI196ER LILENSE tl Not ocord
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arr nitia
4) =,,'oj1=/LY?ijE(t I YLGAS PNIYi)
- NF?ME: _
AJDRESS:
czTY, sTATE, zzP:
PHoNE:
5) IIZpZMTE WI-]ICH PERtilIT IS BEINC; REQUESTI:D:
CDIiVF.CPION TO CITY SF7rIER
OCCC) C d?VE?I'ION 'IO CZTY S4ATER
? di'[IER (PLCASE D.SCF2IBE)
6) L":DIG,::. C:u.: •
?PIZ:%SE E?OZD APPR(7VID PERMiT FOR PICF:-G'P BY ONE OF AEQVE
fi/PI.??SE ?*AIL APP? PER.?lIT TJ 1. 4 3. 4 Afi(7VE
? ? (Circle one)
7) SIC.?T[.: DATE: ? ??5??
M! O!
F 0 R
PE4_MIT " ISSiJED
I TY U S E ON:,Y
F°ES: $ ?-d
$
$
$
5
$
$
$
$
$
$
$
$
$ S
C..?.:"iLR ?'ERMrT (I,tCLUDE JUP..r..::lFCGL)
WATER PERP1IT (INCL'JDE SliRC:iARGE)
WATER METER/COPPERHORN/OUTSIDE READiB
WATER TAP (INCLUDE CORPORATION STOP)
SE:vER TAP
ArCOC_iT _,_?GSI=
ACCOUNT DrPOSIT - WAT°R
j'ttiC
SAC
TRliNK NATER ASSESSiMENT
TRuNK SES4ER ASSESS:iE:iT
LATE?1' L BEDiEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK SVAT°R
OTHER '
TOTAL
AMOGT:vT PAID/qECx'IPT n 7
DOES UTILZTY CONNECTION REQUZRE EXCr1VATION IN PUBLIC RZGiiT OF WRY?
? YES IF YES, THEN n"PERMIT FOR 'AORK WITHIN
? PUBLIC ROADWAY" MUST SE ISSL'£D BY THE
NO ENGINEERZNG DIVZSIO[V. LZST AS A CONDI-
TION.
SUBJECT TO THE FOLLOS4ING CONDITIONS:
APPROVED BY;
/
DAT°:
Ma
al? ?s w? i? ?+? ??+? s? ?s w ? w ?-J? ?ei? ?k? ?t? /F ?wi? ??i? ?c? wF ? sa ?i? ?a.a ?c? l! aJ? ? ?
2/84
CITY Or EAGAN
?
tlpl APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRIHT)
1) PRO?ER'PY ADDRESS: ?? e& - l= /nntk Y1'1 04'L) P ?i? ?? /?f Ni ?
r.FraI, DESGRItiP2CV: e-,IR "-? `
(Io t/Block/SU:,uivision or Tat Parcel I.D. Ntiuc*2r)
S'I'.^-.CC71-':2E, Dr1TEE 0_° OR?GuLAL `n;II.DL:G °ZZ_=?
PD'-SL.'" ::.^,`]T.T-/P?OPCS:TJ C'S: ? R-1 SL?= rP_•IILY
?R-2 GUPI._.tY (?:ip L^?I^_S)
? R-3 'IC?t?C=- + L':IITS) ( rj-,7jmc)
? R-4 AFA.2'!„?:T/CC_7?C:-.S`IILtil ( LtiITS)
p CQm1ME?CZaI./Rf.'I'"-uT:,/OiICE
Q 'CUSi.'tiL?L
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AcD-REss: ? A/,,' Sou ??l-, T
CTT'_', S.AT:.', ZIP: A t L F'1
PsoNE: 81 J1
3) pj,r.!B?o
NAME: EASE PRINi)
C?ly
lo
? /
-p
h FOR CITY t1SE ONLY
,
u
(
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hc
PLUMBERS LIC.4SE:
? A
ti
CITY, STATE, ZIP:
i(; c
ve
Expired
PHONE: ?'IH??="•
PLUNBEA LICENSE N Q Not of Reeord
3t1 lnt:id
til n , lrLc rctr?l 1 p
?'?: e.1 /?C i P' ? t1/ C' 1GR ??
ADnREss: 251 iZ !/Yl Fi
czT^r, sTATE, zzP: ??nlr' ??n?dN /??nl •?5?3L 7
Pf;oNE:
S) INDICATE [VHICH PERf-lIT IS BEZ\G REQUESTID:
CC:VNBCrION 1C) CITY SETr]ER
CaN:QI:CPION '1C) CITY SVATEFt
? CfnER (PITASE DFSCftIBE)
6) It:DIG,:: C::i: .
? PL`ASE f?OID r1PPRUVID PER.'?LiT FOR PICi:-[JTP BY ONE OF ABGVE
? PLEASE :-*'rLiL APPROVm PERtilIT 'PJ 1, 2., 3, 4AE(7VE
(Circle one)
7) sz=-1,M-Rr-: Da2r:
..
??! OlallilVfJO! i a l?:gar1? !?a!'ft?a?i?i? i If s?sii:? a lR la?FJ?F.?11r?J?! 1? It I? isCSsa?a? t
F 0 R C I T Y
PEFMIT °- ISSUED
?
Frrs' +S 10. ?`d
$
S
S
$
$
$
$
$
S
$
S
s
1'?e- o--o
ti?is?•.? ?d
U S E O N L Y
SEi^iER nERMIT (I`1CL-=E jUP.Ct1ARGG)
WAT£R PERP1IT (INCL'uDE SiiRC:?ARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;vEF TAP
_r-?,
i::i'S
ACCOUNT D.F,ppSIT - UTATER
WAC
SP.C
TRUNK WATER ASSESSi4E;1T
TRli:1K SEjdER ASSESSMEDIT
LATERAL SENEFIT/TRUNK SE?•:EB
LATERr1L BENEFIT/TRUNK j9AT°R
OTHER '
S
TOTAL
Aty'.OUNT PAID/RECEI?T # v?- so ? 7
DOES UTILZTY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
L, YES IF YES, THEN A"PERMIT FOR 'AORK WITAIN
? PURLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TEiE FOLLOWING CONDITIONS:
APPROVED BY: ::,*e N._p
TZ:LE: ?41,ej- e_Z.,EJ
DATE:
046"+ W? MM sM sa Oft= Ba WzMW ? w ? w ss? ?ef? w.40MMw Wid NsOR w:4= WWW sa IMiO Ot+0 PcMMs" w M
45311
2006 RESIDENTIAL MECHANICAI. PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephooe # 651-675-5675
Pleese complete for: single family dwellings & townhomes/condos when permits are reqwred for each unit
-yr 3o.so
Date 09 / 27 / 06
SiteAddress 4462 Cinnamon P.id¢ e Circle Unit#
Property Owner N ? i k e F i x Telep6one #( 9 5 2) 8 9 1- 4 3 6 1
Contractor Apple-Lake Heatin g & Air ConditioninQ, Inc.
StreetAddress 207 L. County P.oad 42 City Apple Palley
5tste Piinnesota yip 55124 Telephone#( 9 5 2 ) 431-4328
Bond69579111 Eapires: 9/29/07
The Applicant is _ Owner _X Contractor _ Other
Addoo or alteratioo to eaistoig dwelliog unit $ 30.00
X fumace _Add'Rional X Replacement _ New
air exchanger
air condRioner
heat pump Si T l 9
ather
State Surcharge ' $ .50
Total g 30.50
I lereby apply fot a Residential Mec}auical Pernnit and acknowledge ihat tLe infocmation is camplebe and awurate; that flte work will
be in confmmance wifh ihe ordioances and codes of the City of Eagan and with the Mechanicel Codes; that I uudersfand Uvs is not a
permit, but only an application for a peimit, and work is not W statt without a petmi[; ihat Uee work will be in accordance with the
approved plan in the case of work which requ'ves a review and approval of plans. (\ (\
Beth A. Janohosky ?
Applicant's Printed Name ApplicanCs Signature
-q 53i Z
2oo6 RESIDENTIAL MECHANICAL rERnuT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleese complete for: sinpJa famity dwellings &. mumhomes/condos when pemrits are required for each unit
443a.so
Date 09 ? 27 ? 06
3iteAddress 4464 Cinnamon Ridge Circle Uni t#
Property Owner M i k e F i x Telephone #5 2 ) 8 9 1- 4 3 61
Coetractar Apple-Lake Heating & Air Conditioning, Inc.
StreetAddress 207 W. County Road 42 Clh, Apple Valley
State Minnesota zip 55124 Telephone#( 95? 431-4328
good69579111 EgpireB; 9/29/07
The Applicaut is _ Owner X Contractor _ Other
Add-on or alterotion to existing dwelling unk $ 30.00
__jL fumace _Additional X Replacement _ New
air exchanger
air conditioner
heat pump OU 9
other
5tate Surcharge $ .50
Total $ 30 . 50
I hereby apply for a Residential MecUanical Permit and acknowledge ttwt the infoimetion is compiete and accurate; that Uie 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
pe[mit, but only an application fot a petmit, and work is not to sdatt withoirt a pennit; that the work will be in accordance with the
apprwed plan in the case of work wluch tequires a review and approval of plans. ?.? N
Beth A. Janohosky ?
Applicant's Printed Name Applicant's
L BL G
SUBD. C '
CITY USE ONLY (p
?? RECEIPT#.
RECEIPT DATE: -5 -1' ' O
PERMIT# J s l?
2000 PLtJbMING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT HI708 RD
EAGAN, t+Ai 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and oondos when pertnits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas pipin outlet ' minimum -1 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavato 3.00 x = $
Septic System new/refurbished 'requlres MPC lic. 75.00 X = $
Septic System abandonment 30.00 x = $
RPZ new installationlrepairlrebuiW 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler rf dwelling is under wnstruction 3.00 x = $
Underground sprinkler iFexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x $
Water softener if dxreliing under constructlon 5.00 x = $
Water softener ff existing dwelling 30.00 x = $
Water tumaround 30.00 x $
State Surcharge .50 -> -> -> $ .50
Total -> -> -> ---> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------------------------------------------------------?--------------------------• ----------------------• •-----------------
I hereby acknowledge that I have 2ad this appiication, state that the intormation is cortect, and agree to compy with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notiTy the property owner that the City of Eagan assumes no Iia6ility for any damagas caused by the City during its
normal operetional and maintenence activfies to the facilities constructed under this pertnit wRhin City property/right-of-way/easemant.
SITE ADDRESS:
OWNER NAME: :/G£/? 11?'O?lZfa" " TELEPHONE #: CGS ? ??? d ? ? 7
(AREA CODE)
INSTALLER NAME: TELEPHONE #: ( ; ?/ J 7,_(
STREET ADDRESS: -7-ye- (AREA CODE)
CITY: /?/?Uul7-211`? STATE: w? ZIP: T7J7Z?
?
SIGNATURE OF ERMITTEE
Oct.18. 2013 9:02AM Crest Exteriors 651-463-8095 P. 31
Use BLUE or BLACK Ink
For Office Use
I
I
~ Permit
~ I
City of EaEa Permit Fee:
3830 Pilot Knob Road j
Eagan MN 65122 I Dale Received:
Phone: (651) 675-5675
I
Fax: (651) 675-5694 I 1 ,...Staf:
I
2013 J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0' 1- J 1 Site Address: - Ud G. Unit
Name:12n, KR, Phone,
j' Address / Clty I Zip: l_.1
r• - Applicant is: Owner Contractor
Description ofwoiic R _
i pe o
(fir
Construction Cost: Multi-Family Building: (Yes / No
" Z 7-J~
'S`am Company: Contact: \
WPM-.. Address: E' Ity:~
r:I;.: Z
r~? +`:..s • State: T~ Zip: GC1 Ll 1 Pi Phone: zz ( ~
License C Z~0 2 L / 6 Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a simllar plan based on a master plan?
_Yes ZNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOT sjlp aAs"ndsupport! g o me "~tzii-l ' t.' ;co sid`''ed t' ti®! _!I& J lfdrin on, P` rtl of
to a Tea as-1,
; a :af& ra• e; acre s,
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 46 hours
before you Intend to dig to receive locates of underground u011ues. www.gopheralateonecall-oi
I hereby acknowledge that this Informatlon 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 permll; that the work will be In
accordance with the approved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 100
days of permit Issuance,
x x
Applicant's Printed Name Applicant's Signature
Page 1 Of 3
Use BLUE or BLACK Ink
For Office Use---_---_- I
I
wk'S v 1
° fiahr I Permit 0~ I
Ea I )
City of Ea
Permit Fee: l Q I
3830 Pilot Knob Road I 1~ I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I 1
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3Z211 el Site Address: - G s/I/~✓cri~ Unit
Name: f ei ' ! 11srt.l Phone: ~~1® eP
Resident/
Owner Address /City /Zip: Arptt :!r'''"~f~.'.at
Applicant is: Owner Contractor
a Description of work:
Type of Work
Construction Cost: Multi-Family Building: (Yes / No )
Company: UAAh ! ~r a ntact: I? r'_. ,
Address: ' ` ant i f 57 City: ✓ G
Contractor State: ,**V Zip: g 'f Phone:
642-
License .2 2W, Lead Certificate /!dam - ? 1 -
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:
R-OfE: 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.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 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.
xJr tl t ~t 1 0 S-G / ,
Applicant's Printed Name Applicant's'Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use 1
City ofa ~ i Permit #:0
non I Permit Fee:
3830 Pilot Knob Road '
1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 1 j
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Name:- Phone:
Resident/ OWner Address / City / Zip: ~J : r' "7 xst1 r, 42
a
Applicant is: Owner X Contractor
r
Type of Work Description of work:
Construction Cost: A ! 7_~> Multi-Family Building: (Yes / No )
"Ve
Company: rJ t Al 'E.A.LP~ntact: /~r
Address:., 57City: /e . ?d 1 ~/f
Contractor State: 40V Zip: Phone: 3,~/ 14 404CP
License Lead Certificate /VAq- - 3 7 / 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:
I 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 gopherstateongggLora
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 Bu' Code must be completed within 18
days of permit issuance.
x1rLR A hca i nature
Applicant's Printed Name pp
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131446
Date Issued:06/19/2015
Permit Category:ePermit
Site Address: 4462 Cinnamon Ridge Cir
Lot:021 Block: 05 Addition: Cinnamon Ridge 3rd
PID:10-17402-05-021
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Michael J Fix
4464 Cinnamon Ridge Cir
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature