4370 Cinnamon Ridge Tr• i
T.er#i#iratt uf Orrupanry
Citp of (eagan
19rwammf of Iudding 3wrriimt
This Certifrcale rssued pursuant to the reqrrirements of Seclioa 306 of the Uniform Building
Code certifyrng.t7rat at the trme of issuance this structure was in compliance with the various
orriinances of the City regulating building construction or use. For the jollowing.•
t'?`
u,e clawifinrion 1 << G& sldg. Ftrmit tvo. !•. t. :,-
O-m«y 7'ype P•3 Zooiag Diarict E-D Type Comt
ovner of eugdiog ZAQI?l ??;.r,??r•p.; naa= 4621) W 77111 H„aa?aaa? ??, T.tU,
p„c JIM 24, 1987
Bwlding Offidal
POST IN A CONSPICUOUS PLACE
----..--,.---- _ .
CITY OF EAGAN ? n
: .; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 r` ? l3 04 5
BUILDING PERMIT PHONE: 454-8100
:: I I
I
Receipt # .
-
Tobeusedlor 1/2 UUF' &G[kAt.Value ?SO,ODU Date DLCEMBER 30 19 66
SiteAddress.t372 CINN11f-A0?3 rZ1LGE Tl2 Erect EX Occupancy R3
Lot 10 Block 1 Sec/Sub. t-I1TJriAM0N R IDGE Remodel ? 2oning 13 il
Parcel No. 6'I'H Repair ? Type ot Const. Va
Addftion ? Stories
No
.
Name ZhcH:-1AN BROTHERS Move ? l.ength 22
= 4Ci2Q `?+1 77TY ST.
?1?4 Demolish ? Depth 54
o Address -
City Ei)I `?A Ph ?
one 893-0755 Int Impr. ?
Install ? Sq. Ft
o Name SAMF. ? Approvi
=
? a Address Assessment _
~ City Phone Weter & Sew.
?
?
? W Police
Name Fire
? p Address E
a=
< W ng.
Ciry Phone Planner
.,,?....,? Bld Off. iA1Zy/c
all appli cabJe $tate of APC
? Var. Date
..
I
Permit $ 283.00
Surcharge 2 5 • 4 0 Plan Review 141.50
'
SAC 575.001
Water Conn. 500 . 001
Water Meter 63.50
Road Unit 290 . 00''
ST, oi I56.00I
.U01
A Building Permit is issued to: °^`?"`-'r"• u??v a.aas..v on the express condition that
all work shall be done in accordance with all applicable State o( Minnesota Statutes and City of Eagan Qrdinances.
Building Official , ?" c`?
PormN Mo. PermN M ddar D1ib TNephoM N
Plumbiny O all"
H.V.A:C:
r'?
El.cteie C ? Gl
Son?,K
K
linpecfbn Date Irqp. C qnmenq
Footlnqs 1
Foodngsll
Foundatlon
Framinp ia !v ??j ?- l7
Roofiny
Rough Plbp.
Rouyh Hfy.
IMUI.
Finplacs
FMN Mly.
Flnal Plbp. ?
Bldq. Flnal a yJ? .7 e, f?.
c.rt. oee.
Dxk Fty.
Dtclc Frmy.
WMI
Pr. Dbp.
` PERMIT
? '. MECHANICAL PERMIT RECEIPT #? y 77?'
CITY OF EAGAN ,7anuar
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: v 1987
COMRACT PRICE: $1500.00 PHONE:454-8100
Site Address 43721 Cinnamin Rid e gLpG. TYPE WORK DESGRIPTION
Lot Block .?._ Sec/Sub
' ; c, l ? -' Res. New ?
? Name DP endable Ht & A C Mult Add-on
? Address 2619 Coon Ra ida Blvd .
R
i
C
epa
r
omm.
c Ciry ?on Ranids Phone 75 7 -5'?40 O
ther
Name Zachrnan Home s FEES
c Address 4620 W. 77th St., Suite ??10 RES. HVAC 0-100 M BTU -$24.00
? C?ty Edina Phone 893-??755 ADDITIONAI 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONRL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air 50,000 M BTU 24.00 COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIQENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent 1 bsth CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # meter to
furnace
1.50
,Q00.00)
BEYOND $1
O
ther
'5.50
FEE
S/C: .50 SIGNATURE OF PERMRTEE ?.
TOTAL• 26.00
FOR: CITY OF EAGAN
Site Address
I .,.
m Name _
? Address -
c City
L Name
3 Address
O CitY
,
PERMIT #
PLUMBING PERMIT RECEIPT # -
CITY OF EAGAM -
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ?'L r
PHONE: 454-8100
11 BLDG. TYPE WORK DESCRIPTION
_ Sec/Sub
Res. P-- New ?
Mult Add-on
Comm. Repair
Phone ' Other
FEES
COMM/IND FEE - 146 OF CONTRACT FEE
MINIMiJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR CITY OF EAGAN
NO. FIXTURES TOTAL
' Water Cioset - $3.00
?
`
Bath Tubs - $3.00
' Lavatory - $3.00 '
Shower - $3.00
I Kitchen Sink - $3.00 -
Urinal/Bidet - $3.00
? Laundry Tray - $3.00 ? r
? Floor Drains - $1.50
L Water Heater - $1.50
Whirlpool - $3.00 _
I Gas Piping Dutlets - $1.50 ? •
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
y •
FEE `
STATE SYC: '
GRAND TOTAL•
.?
(Etr#i#tratt of Orrupttury
Citp of Cagan
iorprtmrttt a# imlbmg jn,eprrtimt
This Cerliftcate issued pursuant to the requirenrenu of Seclian 306 of the Uniform Building
Code certifying that a1 the time of issuance this structure was in compliance with the warious
ordinances of the City regulating building construction or use. For the following.•
ux classir,puoo 1/2 IU/GA.R 8ldg. Rrmit No. I 3(Y,: ;
oocup.ncy Type R3 zoeiog Ui,aia pr-) Type Coast. ;;
owna orMa;m 7ACIM BRCYL?1ITS Addfm 46:'il w 771H 5T, EDIIVA
Bwld,ig Add,= ? ;IVVl?,Y: RTM; ?T; ?iky L10, B 1, CIIIIlVAt ix+T RFIDGF 6'tA
24, 19867
Bwlding Olficial
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN •.
" ?3830 Pllot Knob Road, P.O. Box 21-189, Eagan, MN 55121 ?'` •- 13044
PHONE:454-8100
BUILDING PERMIT Rece;pt #
Tobeusedtor 1/2 DUP & cJdrEstvalue $50,000 Date JECi14cBFR 30
Site Address `< 3 7 0 C I iv NAi ^.17 A -?IUG k: TR Erect CIC Occupancy
Lot 12 Block 1 5ec/Sub. C1NIJA11i0N RIUGE Remodel ? Zoning ?1-1
Parcel No. b T! i Repair ? Type of Const. y
Addition ? No. Stories
?.n•ii Move ? Len h Z?
= Name ZACHi,:A:ti B?'_t?L•'RS Demolish O Dep
3 nddress 4620 ? 77TH ST., 4104 sd
o Int. Impr. ? Sq. Ft .
C;ry i:D INA Phone $93-0755 i„staii ?
o Name ?a?aE ApprovaFS Fess
?°, a Address Asses5ment Permit ? 263 • 0 Q
~ City Phone Water & Sew. Surcharge 25.00
Police Plan Review1.41• 50
? a
w
I.- Z
Name Fire
SAC 5 7 5. 00
_E5
V Address
Eng.
Water Conn. 500.00
< W City Phone Planner Water Meter 63.50
2yU Oq
Council Road Unit •
I hereby acknowledge that I have read.lhis'application and state thatthe Bldg. Off. 11/29/ 6fr. PI. 156. Od
information is correct and agree ta comply with al4spplipable 5tate Of
Minnesota Statutes and City of Eagan Ordinances. , APC Parks
Signature or Perminee Var. Date COpi@S
Total $2, 039 . JQ
A Building Permit is issued to: 2ACHNfAid BROTHERS on me express condltion that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official . ? •_ ? - - - - ---- _ -_ _ - - - -- ' - _ - ---- - - ?
- Pormn Ho. PKmk HoWa Date TNephone M
Plumbley
21 i ? ,
v;?f??
H.v:n.d. 0 '
f f
--ZY7
Eweaic
76
y-
_110 7 Y
?1 fS vC-'
scn«wr
Inspeetlon DNe Imp. CommeMs
Footlnysl
Footlnysll
Foundatbn
Fnming
ilooNny
Rouyh Plby. I747
Rouph Htp.
Insul.
Flnplees
Flnal Htg.
Final Plbp.
Bidq. Flnd G zy C• W.
Cerl. Occ.
Deck Ftp.
Doek Frmg. ?- oZ 7' 7,?
Well
Pr. Dhp.
, . .
• ?• , PERMIT #
MECHANi CAL PERMIT RECEIPT #
CITY OF EAGAN
Jauuary 8 1987
3830 PILOT KNOB RO ,
AD, EAGAN, MN 55121 DATE
CONTRACT PR ICE $1500.00 PHONE: 454-8100
Site Address 4 370 Cinnamin Rild e BLDG. TYPE WORK DESCRIPTION
Lot %?- Block ?
ec/Sub
?
w x
N
R
es.
e
m Name Add-
M
l
Address 2619 Coon Ra ide Blvd. t
on
u
•
R
? C?y Coon Rapids phone 757-5 040 ?
e ir
?em.
Name Z achman Homes FEES
S
i
4620 W
77th St t
#10
c Address u
e
.
. RES. HVAC 0-100 M BTU -$24.00
0 Ci? Ed ina Phone s93- (1755 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forcetl Air 50,000 M BTU 24•00 COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent ? 1 Bath CFM (ADD $50 S/C IF PERMIT PRICE GOES
O
D
Gas Piping OuNets # fieter to furnac2
1.50 N
$1
,000.00)
BEY
Other
FEE 2 i. 5 )
50
SIGNATURE OF PERM97EE ?
S/C: .
TOTAL• ` f' . 0)
'
FOR: CITY OF EAGAN
,:5e v v. ,,. . - ,
tT
. , PERMIT #
' • . PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 QATE:
CONTRACT PRICE PHONE 454-8100
? Name
.q Addre
c Ciiy ?
- Name _
3 Address
O City ;
Sec/Sub
T cr
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMf1M - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
J
PERMITTEE
FOR: GTY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New ?
Mult Add-on
Comm. Repair
Other
1(0. FIXTURES
? TOTAL
?P
-Water Closet - $3.00
_.t_, S
I Bath Tubs - $3.00 •=
=Lavatory - $3.00 ?
? Shower - $3.00
?Kitchen Sink - $3.00
,
Unnal/Bidet - $3.00
I Laundry Tray - $3.00
I Floor Drains - $1.50
__L__Water Heater - $1.50
Whirlpool - $3.00
I-Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE '
STATE S/G: r.
GRAND TOTAL: ' ? • ? ?
. -- -;?,
ITY OF EAGAN
130 Pilo3 Knob Road • `
0. Box 21199
mgan, MN 55121 _
No.;
No.:
to comply with the City of Eagan
Date of Insp.:
WATER SERVICE PERMIT
PERMIT NO.: $384
No. of Units:
Connection Charge:
Account Deposit: -
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
A GAN WATER SERVI CE PERMIT
K nob Road F 304
1 _ ...,x •t11 99 PERMIT NO :
Ebgan, MN 55121 ' 6ATE:
Zoning: R2 No. of Units: DU21ex ?
Ownar. Zachman iiros.
Address: '
SiteAddess: 4372 Cinnamon Ridge Trai7. L10 B1 Cirtn Pdg 6th
Plumber: K & K P lumb in
Meter No.: ction Charge: 50Q • OOpd
Size: 'qZ".' ?dC;t
Wneputbosn: 15.00d
p
Reader No.: ??q 44 E-IC- 10 . OOpd
I agree to co mply wNh tA1 an Surcha . 5t7 d
Ordlnances. r% r 1 ? T 56. 00 d TP
ey
Date of Insp.:
CITY OF EAGAN
3830 Ptlot Knob Road
P.O. Box 21199
Eagan, MN 55121
Address:
to comply wNh the City ot Esgan
of Insp.:
? Total: • t.p r:?eter
? Date Paid:
SEWER SERVICE PERMIT
PERMiT NO.: ` ?
DATE: 1 ` -
No. of Units: !'uPlex 1 1
100.04pd j
Connection Charge; 475 00ad- .?
Account Deposli: 15- QQ2d-
Permit Fee: 1C.00 d
Surcharge:
Misc. Charges:
Total: ?
Date Paid: {
?
CITY OF EAGAN ?. YVATER SERVICE PERMIT
3830 Pilot IEnob Ro8s1
P.O. Box 21199 PERMIT Na.:
Eagan, MN 55121 DATE:
Zoning: 'j1p ' No. of Units: Du°leX
Qwner: 'ac?liman 3zos.
' Address:
SfteAddess:. 437c.? C1.unawn 7;<'q
c Trail L:,'? ^I
Cin'n Rdp, 6t1.
; Plumber: K F: ?; plumbinz
i Meter No.: Connection Charge: 500-OQpd
I Size: Account Deposit: i 5•()Opd
Reader No.: Permit Fee: LQ ,oop`!
I agres to comply with the Cfty of Eagan Surcharge: • S0pd
Ordfnances. Misc. Charges: 156•OaPa TP
? ?6P,d neter.
Total:
? By Date Paid:
? Date of Insp.: Insp.:-
EAGAN 1NATER SERVICE PERMIT
,..:2 Knob Road 8383
J. BQx 21159 - PERMIT NO.; _
-,
gan, MN 55121 DATE: p ex
2uning: TR2 No. of Units:
I OWner Zachman Bros.
Address: -
Site Addess:
i Plumbec -
Meter No.: -
i Size: s „
j Reader No.:
i I agree to comply wfth the Clty tAl
Ordinances. -11? -, / R
Date of Insp.: Ina
CITY OF EAGAM SEWER SERVICE PERMIT
3830 Pi!Ot KnOb Roed ??, cr t
P.O. Box 21199 PERMIT NO.: ?
Eagan, MN 55121 DATE: Zoning: No. of Units: ??Plex
Owner. ".7ach;aan Bros.
Address: -• -.. _ ., _,... _, ... .., ,.,
Site Address:
Plumber. _
I agres to campip wlth Ihe CMyr of Eagan
Ordlnances.
BY
Date of Insp.:
Cannection Charge: 4 1 -) • UURC
Account Deposit: 5 d
Permit Fee: P),'?fy
Surcharge:
Misc. Charges:
Total:
Insp.: Date Paid:
...-_-._-?-?-- - - -
CASH RECEIPT
? -
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
? EAGAN, MINNESOTA 55122
?? _ •
DATE ?, ? 19
w¢ce?vEO ? ' , , ? ? . .
pROM
AMOUNT
0 CASH ?;CHECK
4
BLDG. PERMIT ti0. ,'Jd???+_15'?)? '
? `-. i! ' : -".-t=,1:,ii•''f' - 7..! ? ,?j•' .. ` ;I
1 `
01-3210 f Bldg. Permi*_
01-3422 Plan Check
01-3445 Surch.lndm.
01-3446 SAC/Adm. 0
01-2155 Surcharge
? - 17-3860 Road [3nit ? `?'?
r-.-
Bv 20-2275 SAC 0
'White-Payers Cc ,? ?
Yellow-Posting 20-3865 Water Conn. ?: G', '
Pink-File CoPY --
20-3868 Water Trmt. =-
20-3716 Water Meter ? c=~ •' '-/ -
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
. ?:.
79-3866 Sewer Conn.
11-3855 Park Ded.
I
,
Thank You
, 3830 Pilot Knob Ro dl P.O. B x 2G-A1 9, Eagan, MN 55121'Y 2 13044
PHONE: 454-8100
BUILDING PERMIT Receipi N
7obeueedfor 1/2 DUP & gaL'Est.Value $50,000 pate DECEMBER 30 1986
Sitenddress 4370 CINNAMON RIDGE TR Erect IN occupancy R3
Lot 10 Block 1 Sec/Su6 CINNAMON RIDGE Remodel ? Zoning PD
Parcel No fiTH Repair ? Type of Const V
Addition ? No. Stories
w Name ZACHMAN BROTHERS Move ? Length 22
; Address 4620 W 77TH ST. ,#104 oemolish ? Depth Sd
I Ciry EDINA phone 893-0755 InstallPr ? SQ F}
o Name SAMF. APProvals Fees
i
$Q Address Assessment Permit $ 2$3.01
` Ciry pnone Water 8 Sew. Surcharge 25.01
? Q Police Plan Review 141.51
Fw Name Fire SAC 575.01
? Address
Q?
Eng.
WaterConn.
500.01
a w city phone Planner Water Meter 63 . 51
Council Road Unit 290. 01
Iherebyacknowledgethatlhavere isap licationd?[ at at e gldg.Off. 12/29/8 Tr.PI. 156.01
mformation is correct and agre o comply rthap Vi6a I S e of
Minnesota Statutes and Ciry Ea9an O inances APC Parks
Var. Date Copies
Signature of Permittee Total $2.034.0
A Building Permit is issued toZACHMAN BROTHERS on the express condition that
all work shall be done in accordance with all applicable te of Minne ta Sta tes and City o( Eagan Ordinances.
Building Official
..J
BUILDING PERMIT
Receipt # ? d
7obeusedlor 1/2 DUP & GAEEstvalue $50,000 Date DECEMBER 30 1g86
SiteAddress-43Z2 CINNAMON RIDGE TR Erect occupancy R3
Lot 10 Block 1 Sec/Sub.CINNAMON RIDGE Remodel ? Zoning pn
Parcel No 6TH Repair ? Type of Const up
. Addition ? No. S[ories
w Name ZACHMAN BROTHERS Move ? Length 99
z -
4620
W 77TH ST.
#104
Demolish
?
Depth5r
o Address
EDINA
Cit ?
phone 893-0755 Int Impr.
i
t
ll ?
? Sq. Ft
y na
a
°C
o SAME
nlame
=
$ ? Address
? Ciry phone
?a
w W
Name
?
? ? Address
a w Ciry Phone
Iherebyacknowledgethatlhavere information is correct and a9r o co
Minnesota Statutes and C' of Eagan
Si9nature of
CITY OF EAGAN
- 13045
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121Np
PHONE: 454-8100 / a j i/
all
state
Assessment_
Water & Sew.
Police -
Fire
Eng.
Planner
Council
Bldg. Off. 12 /29 /8
APC
Var. Date
Permit $ 283.00
Surcharge 25.00
Plan Feview 141.50
SAC 575.00
Water Conn. 500.00
WaterMeter 63.50
RoadUnit 290.00
Tr. PI. 156.00
Copies
Total $2.034.00
A Building Permit is issued to: ?nr.caiv nnv innno on the express condition that
all work shall be done in accordance with all applicable S of Minnesot?'Stal?tes?and Ciry of Eagan Ordinances.
Building Oflicial
n
70 ? l / --
ihis rnauest wid n?U?ff' 7
18 nt
mohs irom
f,- -7CC1 ? ??i /I ' ?_u_. I.'`-`' '$G??1G'c•'
i• .•-•c.i ?.-
Feques: Uate' Fne No. R quved>I?sOecUOn ?Reatly NuwiWiIl NoUry Insoeo-
ro
Wh
R
d
???
?as ?No r
en
ea
V
A Lmensad EIecVicel ConVactor 1 haroby re0ueat inspection 01 aoova
wnrk ineullad Bu
V ?w??nr
Street Address, Box or Route No.
???y
-?3 70 - -/3 5? ght,51112^j
ection o- Townshi0 Name or No. anga o. Countyl
OccuuantlPRINTI Phone No.
Nm ,?ica5 . ?.r? sY2 ? 8 9:3 - 0 7 5S
Power SuDVlier Address ?
U??KOYlf ?LfC77?i ? i.tJd
'
s Liconsa No.
Electncal Convacmr IComOe,,Y Nemal Convactor
o a 7 ??Z-3
a.llauon) ?/ q??
Jress ICOnVactor or Owne9r Making I/nlst
MaJmg Ad
?
?
)
j'?/??
/u??? ? ?% f' /7? L c..JO•
Authonzetl Sip^eWre (COntractor/Owner Makin6 I stalla on)
? Phone NumOer
?
Zz-
j
?d'3S S
s¢ u ncnucer wu I WM
MINpEb{7TA STATE BOARD OF IVECTBICITY BE ACCEPTEO BY THE STAiE BOAXD
Gripps•MiEwey 91dp. - Aoom N•191 UNLESS PFOPEN INSPECTION FEE IS
1821 Univereitv Ava.. St. Paul, MN 657DC ENCLOSED.
Phone (612) 642-0800
?ic;/y7 REQUEST FOR ELECTRICAL INSPECTION EB-00001-05
1 See ins4uctione for completin0 IhIe torm on beck of Vellow eopv.
((' 7 C C 1-? "X" Belaw Work Covered by 7his Request
"
New hdd Rep. Typa of Bwltlme APPtiancee Wired Equipmenl Wved
Home Range Temporary Service
Duple.x Water Heater Lightin Fixtures
Apt. BwlAing Dryer Electnc He2tin
Commercial Bldg. Fumace Silo Unlodde.r
Industrial BIAg. Air Conditioner 8ulk Milk Tenk
Farm ot r veci v ?her ISpec,tyl
t.r ueci Y t er Oth¢r
ompu[e /nspection fee Below
p Fee ServwaEntrence5ixe p
0 to 200 Am s
Above 200 qmps
Swimmin Pool
Fee
0 to 3
FendA100-A-
31 to
Abov
Fee
,,'? --
'
C?rwita
0 to 30 Am.
31 to 100 A s
Above 1D0_Am 5
'
Trensiormers Irriga a
D ParLal,
Othe,Fee
Signs Special Inspec[ion $ S? TOTAL FEE
f W,
RouBh-in Date 17 I. the Eleci cal___ .
• I^sDectoq ?ereby
Q cartilV thet tha above
D'nle inaOecUOn hea Ceen
tk ? marea.
rhltreQUestroWlBmonlMirom
• _ P • + / D ?
?
1985 BUILDING PERRIT APPLICATION - CITY OF EAGAN
? NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COHMERCIAL
•
•
To Be Used
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUGTURAL PLANS, 1 ScT OF
SPECIFICATIOtdS AND 1 SET OF
ENERGY CALCULATIOiJS
$2,000 LA;;DSCAPE BOND L n ?
r
Site Address
SINGLE FANILY DkELLIHGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
./Ooo
uation• ,o
Lot _10 Block l
Parcel/Sub /] /Yr ` ?
Owner ??(rjyYl `+'Yl??
Address jl&C)6
City/Zip Code -7"Y
Phone
Contractor ^
Address
City/Zip Code
Phone
?
Arch./Engr.
Address '
City/2ip Code
Phone 0
.
?
# .
Date : ro
Erect ? Occupancy r?
Remodel Zoning
Repair T Type of Const
Addition 0 of Stories
Move ^ Length
Demolish T Depth
Int.Impr. Sq Ft ?
Install
APPROYALS FEES
Assessments Permit 253
Water/Sewer Surcharge "-
Police ? Plan Revieu Sv
Fire SAC S Z6
v
Engr Water Conn ?
Planner Water Meter ? D
Council Road Unit ?
'=rV
Bldg Off ?2-198G Treatment Pl
APC Parks
Variance Copies
TOTAL ( f
S_
?
/
7985 BUILDTNG PERMIT APPLICATIOH - CITY OF EAGAN
HOTE: ALL CONTRACTORS HUST BE LICENSED IiITH THE CITY OF EAGbN
C0.'iNERCIAL
IP:CLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIOIJS'
$2,000 LANDSCAPE BOND
a
To 6e Used For:
pLSX
SINGLE FAHILY DGTELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
ion• ?SBdo
Site Address ."/ -j70 -1 (-. ?y
?-
Lot j Block
Parcel/Sub
Owner /(),G'1(1/YTf?'1 ??.'+'Yt2ls
Address (ZJ. 77??
City/Zip Code EJ)//A T />1n
Phone
Contractor
Address
City/2ip Code
r
Phone
Arch./Engr. ??/?F • ?,? '??OtJ?
Address '
City/Zip Code
CE U
Erect ?
Remodel 1
Repair 1
Addition
Nove ?
Demolish ?
Int.Impr. T
Install ?
Date :
Occupancy
Zoning
Type of Const
0 of Stories
Length
Depth
Sq Ft
3
P?
APPROYALS FEES
Assessments
? Permit
Water/SeNer Surcharge
Police T Plan Reviea
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Offn-7p-S4 Treatment P1
APC Parks
Variance Copies
TOTAL
$3
Phone 0
EXtERIOk ENVELOPE AVERAGE "U" COMPIITATION
001ER' (Per Unit) #84274
SITE ADORE55:
CONTRACTOR: Jim Zachman OATC: 12/18/86 PNDNE:
DETERHINE NORKINC, SQUARE FOOtAGE OF EACH:
1. TOTAL EXPOSEd uALL AREA,,,,,,,, 842,9 s ft "U" 11
q x 4 . 92,7z
2. 7oTaL ROOF/CEILING aREA,,,,,,,, 804.5 sq ft x 'lU"
3. TOTAL EXPOSED WALL AREA CALCULA710N5:
Total exposed aall -•
area above fioor,,,,,,,,
751,9
sq
ft ,_
?
?
a) Tota1 wa11 wtndow area:
, 4lazed...... 70 s4 ft x "U" .39 « 27.3
qlazed,,,,,, XXXXX ' sq ft x "U" XXXRX = XXXXX .
b) Total door area ,,,,,,, 37 sq ft x "tl" ,07 ? 2 Sq
c) Total sltdlnq qlass door area:
qlazed...... ` 42 sq ft x "U" .39 e 16.38
qlazed...... XXXXX Sq ft x "U" XXX%X XXXRX
d) Totat fireplace wall area XX%XX sq ft x "U" XXXXX . XXXXX
e) 7ota1 wall framinq area
(Averaae 109)........... 60 s4 ft x "U" .08 a 4.$
f) Total net wa11 area above
floor (Insulated)....... 542.9 sq fc z "U" .OS = 27,2
q) TotaT rim }oist area...... 48 sq ft x .04 1,92
Total foundatlon
area (Exposed).......... 43 sq ft
h) Total foundatlon
wlndow area ............. XXXXX Sq ft x "U" XXXXX ° XXX%X
i) Total net fourtdatton
area above qrade...,.... 43 sq ft x "U" .08 = 3.5
3' T QTAL a) thru I) = g3.69
If item 03 fs the same as, or less than ftem P1, you have met the lntent of
2 TiCAR 1.16008 A and 0.
Page 1
A. TornL exPOSEO aooF/ceiLIrir, caccutarrnrrs:
Total exposed
roof/celllnq area.... .... 804•5
j) Total skyliaht area......, XXXXX
k) Total roof/cellinq framing
area (Averaoe 1n9,),..,., 80.5
I) Totai net Insulated
sq ft
sq ft x"U" XXXXX e XxXXX
sq ft x "U" .026 . 2.09
roof/ceilinq area..,.... 724•0 sq ft x"U" .022 . 15.93
4. ? TOTAL J) thru 1) 18.02
If total of #4 is the same as, or less than N2, you have met the-intent of
2"ICAR 1.16008 A and 0.
A17ERNATE RUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values esta611shed by the sum
of items N3 and N4 sha1) not be grea[er than the sum of items N1 and d2.
1. + 7, a
3. + 4. _
t E R T I F 1 C 0. T 1 0 N
I hereby certify that I have calculated the "U" factors and "R"
values hereln and that the AuilAinq here descr(heA meets or exceeds the State
of Mfnnesota Enerqy f.onservation Act.
(Siqna ure ',,I
12/18/86
(Date)
Pagr_ 2
liedlund Engineering Services 9W Ewt&oominqmnFrNrery
?ftion. mkm"ata sbao
LOeJ iwvtrmo Clvll EnylnNrs Lond Plonners Phonr 698-0268
? sur?ver?or?s Gert?,f "wte
BOOK _ PAGE _
_ - joe ao. B6 - 545
SURVEY FOR. Zachman Brothers
????D AS: Lot 10, Block 1, CINrIAMGN RIDGE Pth P,PPITION, City of Eagan,
Dakota 'County, A4innesota and reserving easements of record.
TOP OF FOUNDATION =920.5
GARAGE FLOOR =920.1
BASEMENT FLOOR = 9i1.3
SEWER SERVICE ELEV. = N11a
PROPOSED ELEVATIONS : O
EXISTING ELEVATIONS :
DRAINAGE DIRECTIONS : -?-
DENOTES LOT CORNERS : 0
DENOTES OFFSET STAIiE: o
F
4GPv
TA?
c- `
?
? -?
? _ u+
/ 1 Nn
?r e (
R p E
?
.?
?
?
U
?
ti
,rR Ai ?
CERTIFICATE OF SURVEY c
I Iereqr urtify thot on iZ / iv 186 I wrveyed the property deacribod above and thot
the obovt plot is a wrnct representation of wid wrvey. ,
'D04L,-4?-?.---
ran, Llcenae Fb.143T6
AMO ooz
so+4 3OM i/ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?-(_-? 5
cirr oF eacan ? u-? 3-acJ
3830 PILOT KNOB RD • 55122
? 651-681-4675
r ROc'WfsmOOts
D J reoslared tlfe wrveyt showlrg aq. R d bt, tq. R. 01 twuee
and ¢j{ roofed areab (20% mmdmum bf covemae alloweH)
D 2 eoWes of dcm (show beam & whdow gzea: Puired fnd. deslpn: etc.)
n 1 fet of enerpy cdculadona
D 3 ooplet of hee prewrvalbn plan M bt platled ofler 7/1/93
DATE: l O -1 `I - GO
DESCRIPTION OF WORK:
2 eopfea of plai
1 set of eneryy cdadaMa'ia for heatetl atltllMau
i fHe ww6y for exteAOr admHons & decks
CONS1RUCilON COST:
.1 zsac0.°o
1LA- C Md- O N
C ?W LaSPECSroN
yTREET ,e,ppPESS: 4110 CINNAMON R10G'1 E T R. ?
LOT: BLOCK: U ? SUBDJP.I.D. M: LVl V? ta '.nv?v)
PROPERTY
OWNER
CONTRACTOR
ARCHIiECT/
ENGINEER
Name: JEFE t DEQBNE AMaSS Phone #: (05\ ' R40- P,220
las+ am
Sheef Address: 4310 G1N1.1 AMON a\O(_?£ TR
CNy E.AC%AW Stafe: MN 21p: 55?Z?
Company: W 1 N OOvJ L%t E Phone #: 7G3 4Z 5- 222 1
(area code)
Sheet Address: k400 Sal N,AV E. N•" 4 (00 License # zoo 34z.58' Ezp.
Clty 19Roo0.10i PnrzK State: ttiw ztp: 554L45
Company: Name:
Telephone #: ( )
Sheet Address: Regkhuilon ?:
City
Stafe:
Sewer/water licensed plumber (if Installina sewerhvater): Phone #:
Lp:
I hereby aeknowledpe ttfaf I have recd Mis apWicaHon, afate that 1he IntomwMon is corteet. and agree to comPlY ?rMh ap apPlicable StaFe
of Minnesoto Statutes and CiFy of Eagan Ordlnances.
Sfpnalure of
CertifiCates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
No
_ No - Not Required
0 2000
? ---
? xxxxs?xxxxxzxxxxxs?tnrx??s*ff
_ CITY OF EAGAiV * ?CATT ° ? ,,;
APPROVAL ?' PF3tt?IIT. ° .' `
APPLICATION FOR PERMIT * INSP ?? ? ? ??; ?
r.ra'r30N5 F7II.I, NOR' BEF9C
SEWER AND/OR WATER CONNECTION UNTa PEwT HAs EN20^"
``?• ,*F APP?3VF?. ' :?
'?****,r***** r **#*:*,t*r,ttt*#?nti
, P ease Print
'1) PROPERTY ADDRESS:
. LEGAL DESCRIPTION: --?,
_ Lot Biock Su division or Tax Parce ID
, . g. EMSTING ST12C{,'IURE, DATE OF ORIGINpS, BUILDING PIItMIT ISSCTANCE:
Mon ear
' PRESEKf 7ANING/PROP0.SID OSE• ,
? =xti02CIAL/REPA2L/0FFICE 0 R-1 SINGLE FAMILY
0 IML'STRIAL ? R-2 DLTLEX (Tao L?nits)
0 ,INSTI2SJTIONAL/G?'p ? R-3 TOWMOC?SE (Three + Units) ( [kut
. p R-4 APARTMENP/COAIDOMINICT! ( Unit
.; 2)
, .?... NAME: -
ADDFtESS:
sr. CITY. STATE, ZIP:
? . :
PxorE:_ 2q 3 - 0 '7 5'S`
: yM
?"?.?±`,' 3) • i: a• NAME: For
Pltimibers I
ADDRESS: lob L( 'Acti:N
' CITY, STP.TE, ZIP:
koc,(?o 2c?' U19k? ? 5373 rbt Y
w
PxorE: 47 7- c?Svs . rAsTEa 'r,xcErrss# ?j? ad 9 9 ?g?;
..:;.:, - - . .
i?-
'`"
ADDRFSS: . . .;"„s
?. . ?a
CITYr STATE, ZIP:
?ONE:
,ry:5)' ?? r• ' ?• : a • a ?? , .ry.a ',.
,:- . [Zc] CONrgxCTioN TO cxTSr sEMa ? corsmcrzoN To cxxY waxER p OTfEa
6), i? • • ? PLEASE HOLD APPROVID PERMIT FC)R P CK-C?P BY ONE QF ABOVE ......
PLEASE MAIL APPROVID PERMIT TO lc Q, pBp? 1 one)
i? ? ?- ? ?-a3=9.7
FOR CITY USE ONLY
PERMIT # ISSOED '
Pd w/Bldg. Permit FEES:
$ $ /? - S2 SEWER PERMIT (INCLUDE SURCHARGE )
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAF (INCLUDE CORPORATION STOP)
$ $ SEWER TAP I
$ $ 15- !J D ACCOUNT DEPGSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ GI D O. Cl-U $ WAC '
$ 5 7 S-' U U $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRC'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ I S ?P 6- d $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ 7 2- 6? 4- ` S?' $ r7 ?• ???' TOTAL
Rr;CElPT kEC IPT
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK 64ITHIN PDBLIC
Q ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE :
r7
CITY OF EAGAN
' APPLICATION FOR PERMIT
'
SEWER AND/OR WATER CONNECTION
? .
.
NCY.I'F': PAYMF:W' OF FEE 14'PYT]
AerrscAMCa DOEs WT aoNM
AePRovar, oF pMIrmr.
1.?
IIdSPF]CPION OF SENM AND?!
ZtlSmarramrON3 FTni. NOT EE':
IJLID MM PMffT HPyS'"BWUO
APPROVFD. PROPERTY ADDRESS: 3 a 1??
LEGAL DE$CRIPTION: j -
" Lot B ock Su ivision.or Tax Parce ID
„- .
,. IF EXISTING STRL'CiVRE, DATE OF ORIGINAL BUILDING PERMLT ISSCANCE: .
NC ' .
I; -TM-n-tFl7Tt
PRFSEDIP 7ANING/PROPOSID PSE: ;,
?
?V' Ga4ZRCZAi,/REPAIL/0FFICE R; 1 SINGLE FAMILY
INIDC'STRIAL ? R-2 DLPLEX (ltao tinits)
INSTITUTI???GOVERNMENT ? R-3 TUWNHOL?SE (Three + Units) ( t
;,.
.
Q
R=4
APARZMEN'P/CONIDOMIDIIUNl ( t
t?• ? -
NAM: 7.q-p?
?: :.. .
aoDxESS: YI C,.) 77 ?`- T, ?IUS?
CITy, STATE, ZIP:
PHONE:
•?'
rrArE: K+K I-AT6? ?s
piuaa
AMREss: (o
vri )a,?r- ?vdlt lo?dl ' . A
:... . 'crrsr; srATE, zxP:- X 0 R et _ ?s 3
PxorE: 4? 7 - SS O.? . MASTII2 LICENSE# ??o a C'7
=? . ADDRESS:
. •CITY/ SlATE, Z1Ci
t1JONr•i
..?
r
• .. ? CONNECTION DD CI11' sEWIIt CONNFX,TION TO CI`PY F41TER
u fli
?
? ong:R-.
i) . '? ' •?` [? PIEASE HOLD AppgOVID PEE2hffT EY)R PICK-OP BY ONE QF ABpVE
` PLEASE MFLiL APPRWE7) PEFtMIT TO 1, 2, q. pH(7vE
(Circ e.one)
I , i- 0'7
FOR CITY USE 4NLY_._,
PERMIT # ISSUED
Pd w/B1'dg. Permit FEBS:
$ $ JD S? SEWER PERMIT (INCLUDE SURCHARGE)
$ WATER PERMIT (INCLL'DE SLRCHARGE) .
S /i% 3" S-6 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?S U ?J ACCCLNT DEPGSIT - SEWER
$ $
?-?- ACCOL'NT DEPOSIT - WATER
S ['C o - ? G 9 wAC
- $ S 7S `uTQ $ SAC
$ $ TRONK WATER ASSESSMENT
$ .$ TRQNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
` $ ' U?? $ WATER TREATMENT PLANT SLRCHARGE
, $ $ OTHER:
$ 112- ?I Y' S? d $ '? ? D U TOTAL
-?a Z 3 ?
. RECBIPT ? HECEIPT #
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
,. Q YES IF YES, THEN A"PERMIT FOR WORK LdITHIN PUBLIC
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
. SOBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
-lo5gH
2005 RESIDENTIAL MECHA1vICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete £or. single family dwellings & townhomes/condos when permits are required for each unit
DateL19 */0 6
?
SiteAddress .?/T'D ;nna.m on F e_ uoit#
o r 1'I S
1
,0 #( )
l
6
T
Property Owner
i 4 Y
1 ep
one
e
Contractor Aaal `
? +
Street Address 0210/^/ S ?. W. City as e mo 17
I ' Zi
6
506 Tele
hane # O 9d &
State
\ I?l p q
, p
(L
Bond #: Expires:
The Applicant is _ Owner X Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
? airconditioner ,New ? Replacement
other
State Surc6arge $ 50
$ 0' 60
Total
I hereby apply for a Residential Mechanical Permit and acknowledge tt{at the information is complete and accurate; that the work will
he 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 woxk 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 approq"-
Applicant% ?^`I ncv .SeVerson Pnnted Name App 'canY ? gnature
-) q -7
2007RESIDENTIAL BUILDING PExMiT arrLicnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW chon Reawrements
3 registered site surveys showmq sq, k of lot, sq. tt of house; and all roofed areas
(20%maximum lot coverege allowed)
1 Soils RepaA'rf proposed 6uildmg is to be placed on daWNed sdl
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 mpies of Tree PreservaGon Plan if lot platted aker 711193
Pom Joist DeWil ODhms selechon sheet (bu7dings with 3 or less units)
Mnnegazco mechanipl ventilafion fam
i 3 5 . 76-
RemodeYReoair Reouirements Office Use Onlv
2 copies of plan shovnng footinqs, heams, joists Cert of Suivey Red - _ Y_ N
1 selofEnergyCalculafionsfwheatedaddi6ons ShcsReport - =Y _N
1 site survey far additions 8 decks Tree Pres Plan Recd _Y _ N.
Addifion-imGcateilan-sifesepficsystem TreePres'ReqErireA - Y N
On,siteSep4c5ystem _Y _N
Pians are considered nu6lic information unless vou state thev are trade secret and the reason.
Date_?/ C"? ConstructiooCost od o
Site Address 113-2fJ G- '1 r) u .y .. /?. '?Y? ?
v t ??.1 Unit/Ste #
Description of Work
Multi-Family Bidg Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owuer / /C/', il S` Telephone # (66
Contractor / ? ( r d de
Address L/ y f? e? 1G i`r` &6A City ? i,, ?i/?
State Fa.<; c. n/ Zip M 14,/ Telephone #(G1 }) V `C,0 4°1
,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv ] _ Minnesota Rules 7672
Energy Code Category . Residential VenUlalion Category 1 Worksheet • New Energy Code Worksheet
(d su6mission type) Submiried Submitted
. Energy Envelope Calculations Submitted
In the last 12 monThs, has The City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
&/reL. ? ,(z,4 L''-
ApplicanYs Printed Name
Telephone #{
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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.
L
C
Applicant's Signature
? C
?
?1;714
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouiremenls
3 registered site surveys showing sq. ft. of lot, sq R of house; and all roofed areas
(20Yo maximum lot coversge aRaved)
1 SoNS RepoR if proposed building's ro be pWced on disWrbed sdl
2 copies of plan sharing beam 8 vnndow slzes, poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan d lot plalted aNer 711193
Rim Joist DMail Optlons sdection sheet (buadin9s with 3 or less unifs)
Minnegasco mediankal ventilation fafm
13v - 7?
RemodeVRepair ReQUirements Office Use OnN
2copiesMplanshowingfootlngs,beams,joists CertofSurveyRecd _Y _N
lsetofEnergyCaiculahonsforheatedaddtions SoilsReport _Y _N
7 site survey fwaddi6ons 8 decks Tree Prz; Plan Recd _ Y_ N.
AddifPon-mdicafeifomsifesepficsystem TreePresRequired _Y _N
On-siteSep6cS/stem _Y _N
Plans are considered ubiic information unless ou state the are trade secret and the reason.
Date Cl l? l? Construction Cost 9.190660
I;
Site Address _? ? c ? •7 Oq.r.an ?4 P. ? ?G . I UniUSte # I
?
Description of Work Tirur n•C L!Q C - F( oc ? A ? C?•? /i't'? 1"[e. -?5, t? ?- -_
Multi-Family Bldg ?<_ Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owuer kZ l/'; e 410 r1 S Telephone #
r
n/?%
Contractor Q
D ?c'--rc+cyP
lr zJ
(
/?
?
Address ! /?il n
S/cly!e_ ?L1_ }--.
(-t?c?c•/V
? City
State L c,6 It ,n/ I/ Ol (n/ Zip Telephoue # (Ad. ) L2,111' T19
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Resitlential Ventilation Calegory 7 Worksheet • New Energy Code Worksheet
(J1 submission rype) Submitted Submitted
. Energy Envelope Calculations Submitted
In the lasT 12 monihs, has the Ciry of Eagan issued a permit for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of masier plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Aesidential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a 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
appreval ofplans.
A plicant's Printed Name ApplicanYs Signature
Use BLUE or BLACK Ink
For Office Use I
I I
I Permit t02-440
1
City of Eajan 1 Permit Fee: ✓ j
3830 Pilot Knob Road i 1
Eagan MN 55122 i Date Received: ~2 I /11
Phone: (651) 675-5675 I Staff-
Fax: (651) 675-5694 I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing I Sewer & Water
Date Z Site Address•
Tenant: Suite
Name: Phone: ~6 1
RESIDENT / OWNER
Address / City / Zip: a]
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair `
Other: ' iI (5 Other:
( t
Description of work: .5c,(. IMF G & 1
DESCRIPTION
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
4
list of contractors
reimbursement, two quotes from qualified contractors must accompany this application. A
can be found by visiting www.citvofeaaan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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 1 understand this is not a permit, but only an application far a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wo ich requires a view and roval of plans.
x h') e x
Applicants Pirinted Name A pI nts nature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: `Under Ground -Rough-In -Final
k
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA124808
Date Issued:07/11/2014
Permit Category:ePermit
Site Address: 4370 Cinnamon Ridge Tr
Lot:101 Block: 01 Addition: Cinnamon Ridge 6th
PID:10-17405-01-101
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Daniel Thelen
21034 Chippendale Ave.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
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 -
Amy M Vogel
4370 Cinnamon Ridge Tr
Eagan MN 55122
Farmington Plumbing & Heating
21034 Chippendale Ave
Farmington MN 55024
(651) 463-7824
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA124809
Date Issued:07/11/2014
Permit Category:ePermit
Site Address: 4370 Cinnamon Ridge Tr
Lot:101 Block: 01 Addition: Cinnamon Ridge 6th
PID:10-17405-01-101
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.
Daniel Thelen
21034 Chippendale Ave.
Farmington, MN 55024
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 -
Amy M Vogel
4370 Cinnamon Ridge Tr
Eagan MN 55122
Farmington Plumbing & Heating
21034 Chippendale Ave
Farmington MN 55024
(651) 463-7824
Applicant/Permitee: Signature Issued By: Signature