4390 Cinnamon Ridge Tr
Use BLUE or BLACK Ink
For Office Used
I ~ I
7 Vivo i Permit S I
City of Eap Q
Permit Fee: -
3830 Pilot Knob Road I I
I
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: I
ON
2009 MECHANICAL PERMIT
/~A~PPLLICATTIn I
(
Date: Site Address: -1 J"1 ~Q l l l I~~~IJlC I rai I
Tenant:
00
Suite RESIDENT / OWNER Name: S Phone: ~'7111D" (~l O L 1 I
Address / City / Zip: V Pinnn moy) Mae Id, 60aay) M
' GQ
CONTRACTOR Name: ~ O rn Q m RK Q c 1" I n( License ~ @11 'I
AddreCs~s: i; otoo 1j1 C'MWI rTu K)
City: tiJr(^C~ I IA& It ~ State: MAJ Zip:
Phone: Contact Person:
TYPE OF WORK New 'X- Replacement Additional Alteration Demolition
Pescripti' n of-work, _w s11.1 l l Lam air OZnd i wer
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.
RESIDENTIAL COMMERCIAL
PERMIT TYPE _ Furnace _ New Construction _ Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger Gas _ Exterior HVAC Unit
Heat Pump _ Under/ Above ground Tank L__ 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) $ 5~D 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.goaherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or n nces 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 n start without a per th t the work will be in accordance
with the approved plan inthegcase ofwork which requires a review and approval of plans.
x l JtenI hi s DVe ry x
Applicant's Printed Name App s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground - Rough in -Air Test -Gas Service Test -In-floor Heat -Final
- Exterior HVAC Screening, inspection
(grr#ttiratP nf (Orrupttnry
titp of (Eagan
Ep}1g2'wtmt Df wltitdltlg 3wPttiDtt
This CertWate issued pursuant to the requirements of Section 306 of the Uniform Btulding
Code certijying that a[ the time of issuance this structure was in compliance with [he variaus
ordinances af the Crty regulating building canstructron or use. For the following:
u,, cl.,,jr?aon 1/2 AIP & CAR Bia& term;t No. I47(,i;
Occum-Y TYPe R3 Zooing Distria fu Type Cons LVti
owner or auwaing Addrm 462L. BukdingAddrett ??ty
1S i',..
s
•y,
D.a: -
Bwlding OtFicial
POST IN A CONSPICUOUS PIACE
?-?-'-"
I
.. . _ y
BUILDING PERMIT
To be used for '- % •' -}-' ?/' ?'?•?
Lot 5 Block I
CITY OF EAGAN a ? -? ? ? ?
? Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Receipt
Est. Velue Date A P:'.'+ i. 4 ,19
a
W
Z
0
Address
City _
Signature of Permittee
Phone
Phone
Phone
a read this application and state that the
! to comply with all applicable State of
Norkshall be done in accordance with all
tatutes and City ot Eagan Ordinances.
On Site Sewaqe ?
MWCC System
On 3ite Well
City Water X
-y-
PRV Required '
8ooster Pump
APPROVALS
Engr./Assess.
Planner
Cou ncil
Bidg. Off.
Variance
Occupancy g'-3
Zoning
(Actuaq Const
(Allowable)
* of Storiea
Length 541
Depth
S.F. Total
Footprint S.F.
FE£S
Permit ?? •'F'
Surcharge 17 • ? "'
Plan Review "??•?"
SAC,City ry ?•''
SAC, MWCC ''r
Water Meter 67. :'•
Road Unit 37S-01
Treatment P1 2116.11!'1
Parks
TOTAL •? ? L 14 . '?
. Permit No. Permlt Holder Oata ToIephono
Plumbing '/,A
H.V.A.C.
Electric
Softener
Inapection Data Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. ;??_?t ? • ? ,v . ? ?
Rough Htg. r?-
Isul. 4,7,74
??.
Fireplace
Final Htg. SY11:('e
Final Plbg.
Bldg. Final 5'-2,5-_(j
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
? Y •
PLUMBING PERMR
CtTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
Site Add,ress
Lot - Block
m Name
.9 Address
c City Phone
? Name
3 Addre
p Ci1Y -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMtJM - 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
PERMIT #
RECEIPT # -
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. ? New -k
Mult Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
. Lavatory - $3•00
' Shower - $3.00
Kitchen Sink - $3.00
Unnal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
PERMIT #
• . • MECHANICAL PERMIT RECEIPT ;
' CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r
CONTRACT PRICE: 00.00 PHONE:454-8100
? Site Ad?!ess 4_1`-U (;inilamSri Rd. T7cai1 BLDG. TYPE
Lot J Block ?Rec/Sub Res. X
1lrnandable i?eatin and A/C Mult
? Name Comm.
Address 2619 Coon Raipide Blvd.
? r i? C:oUII ltapids phnnP 757-5040 Othe?
Name Lacnmen gomes
c Address 4620 'J• 77t1
o ciry
TYPE OF WORK
Forced Air 75,000
M BTU
Boiler M BTU
Unit Heater ' M BTU
Air Cond. ? M BTU
Vent 3• bath, 1 drqer CFM
Gas Piping Outlets # 1
Other
FEE
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES
HVAC 0-100 M BTU
-$24
00
t lOk .
ADDITIONAL 50 M BTU .
- 6.00
0755 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT)
- 1
50 EA
24.00
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES .
.
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT
50 S/C IF PERMIT PRICE GOES
(ADD $ - .50
1. 5? .
BEYOND $1,000)
25.50
?'`r r' \ ? i •
i ,
.50 SIGNATURE OF PERMITTEE s
;)r
FOR: CITY OF EAGAN
fgjex#i#tratt af Orrupttnry
titp of Cagan
Dp??? ? Buttamg JWpMan
Thrs Certiftcate issued pursuant co !he requirernents of Section 306 of the Uniform Building
Code certt;jying that at the time of rssuance lhrs structure was in compliarrce with the various
ordinances of !he City regulating building construction or use. For the following.•
u. I12i$/GAR mag. N.,?it rro. 14769
Occup-rTm R3 Zonma Dnma FD 'IYve conu.
Owner of Buddiog 7•ACH14AN EFOnM pddrm 4620 9• 771H Srs 'IDM
BuMn Add= 4392_ C'IIRWM RIDCE IltAII?,,?ity IS, B 1, CIIK&IN RIIM 6IH
JANI]ARY 13, 1989
Huilding OKciaI
POST IN A CONSPICUOUS PLACE
? 3830
BUILDING PERMIT
To be used for 11
?
Parcel No.
W rvame _
= Address_
0
City _
¢
.o Name_
? ? Address _
c Citv-
5ignature ot Permittee _
A Building Permit is issued ta
on the express condition that
applicable 5tate of Minnesoti
Building Official
CITY OF EAGAN ?
>b Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
Receipt #
Est. Value ` : ' "' • Date ? "+ = ? ?+ • ,19
v?rn.c vac vnr.v
On SRe Sewage Occupancy k:-- 3
I
MWCC System 2oning
On 5ite Well (Actual) Const
Ciry Water (Allowable) ,
PRV Required ? of Stories ?
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
Phone APPROVALS
, Engr./Assess.
Planner
Phone Council
Bldg. Off.
j read this application and state that the Variance
a to comply with all applicable State of
Ordinances.
9fRlit
ircharge ? • ?
an Revfew
4C,City
'':•?''
4C, MWCC
'aterConn.
'ater Meter
Dad Unit
'eatment P1
arks
DTAL
• Permit No. Pormlt Holder Date Telephone #
Plumbing
r
H.V.AC.
Electric
Softener
Inspectlon Date Insp. Comments
Footings I 5 '?
Footings II
Foundation
Framing 1 ? ?
Roofing
Rough Plbg. ?_?
Rough Htg. . d
Isul. ?.
Fireplace
Final Htg. -sj
Final Plbg.
Bldg. Final
Cert. OCC.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMlT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN ,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ? '
TRACT PRICE: PHONE 454-8100
Site AcLciress
Lot ? Biock
m Name
? Address
? ciry
? Name
- SeclSub
_ Phone -
Phone
BLDG. TYPE WORK DESCRIPT'ION
Res. ? New
Mult Add-on
Comm. Repair
Other
FEES
COMM/IND FEE - 1%OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMt1M - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinalJBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL:
TOTAL
?
` ' .
Site Addrgss
Lot Block
m Name
? Addre
c City _
Name
c Addre
O CitY -
PERMIT #
MECHANICAL PERMIT RECEIPT # `
CITY OF EAGAN 1988
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
$3200.00 PHONE: 454-8100
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater
Air Cond. M BTU
- ? M BTU
Vent CFM
Gas Piping Outlets # `
Other
FEE:
S/C:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. A New
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIT) - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 COMDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - -50
(ADQ $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
SC ?
.5(}r 4 `
SIGNATURE OF PERMITTEE
. i30
FOR: CITY OF EAGAN
t .. ITIf OF EAGAN Permit No:_ Date:
30 PEA KAOti Road Meter No: `{d 0 laL' 'VO Size:
0. Box 21199 Reader No: Vga g` g aate:
gan, MN 55121
Owner. ,ac!-man liros.
SiteAddress: 1a99? Cinnaunon Rdp '?'r L' "] Cinr. Rdg 6 r?
oi,...,,,e,. ?C & K Pl?i?binr
Conn. Chg: 5.5 G. 007)d VV HkA34AJ%?A9•
Acct Dep: 15 d)ij,nd ainrcinrt ??II ????tWhM 1-
Permit Fee: i' ' --^, i 1`?C -?S ??
Surcharge: a ree o c ply wRh the Clty oi Eaga ?
7r. Plant "''':D??1 IiQFn ??
.
Meter. -
Misc.:
WATER SERVICE PERMIT
3''
?
3830 PiJoCgnob Road B/P No: ?2516 Date:
P.O. Box k1199
Eagan, IIIN 55121
.....___ :? . -.?.;. "ros.
SiteAddress: `',;` R;-?inrtaman Rdg Tr
MWCC: 550.04 pc' 2oning*
City Chg: !.)1' 0 () T.j No. of Units:
Acct Dep: 1•' S. OO
10
(13 r'
nc, I agrse to comply wlth the City of Eagan
• Permit Fee: .
5'? -
,, Ordinances.
,,
'
Surcharge: . ?
Misc.: BY
SEWER SERVICE PERMIT
l)
CITY OF EAGAN
b R °4i'
?8t?
Permit No:
4,6O l aa a.S Size: S? g o C/S
d
N
3830 Nlot Kno oa
Meter
o:
P.O. Box 21199 Reader No: LLP ?7 9 -57 Date:
Eagan, MN 55121
Owner.
Site Address: `'ac'.?m2t-i ;?ros.
4390 CinnamoT, nd3-, '''i- ? -;nnar.?on
Plumber
1 -
COr1n. Chg: njl ?? q3? `?•'
Aigaing C3 ?d. o
Acct De ?
?
`
'
?
Permit F e: . V
?? '
r
i?
`?
11I•. F
Surcharg? ,
'Ag/sdtA?Ph? rrith the CHy °f Eagsn
Tr. Plant -''? ?++ ???¦?? ?fcinances.
1
Meter. r.?
BY
Misc.:
WATER SERVICE PERMIT
,,
?CAN Permit No: ! "i ' Date:
; tob Rpad Meter No: Size:
7" Reader No: Date:
55121
:,ac:?.~ian rros.
5 B1 Clnn:men RdO
nn. Chg: 550• 00dA Zoning: '
;t. Dep: 1 S• 0ftA No. of Units: ?
•mit Fee: 10. OOvV
,charge: • S0?''e I agres lo complr wRh the Clty ol
Plant 204.0np,`'• Ordinances.
This request void ???/??'i e7 oY•?CO
18 mpnths from J •
D 014 0 1.5
liequest Date, Fi e No. Rough•in Inspectw
p? Required? ?Ready Nuw gWill Notifv In5Pec-
3 - ? ? -9p @Yes ?No tor When ReadY
? Licensed Electrical Contractor I hereby request inspecfion o1 above
? Owner electrical work installed at:
Street Address, Boz or Route No. City
`390 PilNN?snn?J PiOGg 1r2??G 460?
ecUOn o. Township Name or No. Range No. County
kG r/0,
Occupant IPRINTI Phone No.
Zfl?r?in E?.c?rHE-+cs ?'93-D7sS
Power Supplier Address
gxa .t,f rc r,v ic. fi?usT i.?drr>.•.•
Electrical Contractor (Company Name) Contrar.tor's License No.
I-VP'-srE,Ac- f??cm _-,e- Of/a7ti,(--3
Mailin0 Address IContractor or Owner Maki ng Instailation)
,2116
Authorized Signature (Contraclor/Owner Ma king Installation) Phone Number
- ??
,fV
o - 3S?s'
MINNESOTA STATE BOARD OF EUCTRICITY THIS INSPECTION REQUEST WILL NOT
Grigga-Midway Bldq. - Room N-191 BE ACCEPTED BY THE STATE BOARO
1821 Universitv Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTlON ? EB-00001-06
, See instructions for completinq this form on betk of Vellow copy.
p g4 O 15 "X"' Below Work Covered by Thrs Request
irvewI,4dd Rep. Tyoe o( Bwlding? ADPlinnces Wirod Equivmenl Wired
M r Fea rServiceEnlronceSize h Fee Feeders/Subfeeders # Fee Circuits
2- 0 to 200 Am s 0 to 30 Am s L? 0 to 30 Am s
Above 200 qm )5 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_Am s
Trans#ormers Irrigation Boorris .5-4? Partial Other Fee
Signs 5peciaiinspection oD
S ?O TO Remi rks ft/I
Rough-in r Date
? I,theEe a
-/ - Inapectar, hereby
certi(y lhet the tfbove
Final ? insDection has been
-de.
,. FUND 09JECT
I I I I s?:?
0
l?(J?
s?
?
210
01-3 Bldg. Permit
01-3422 Plan Check ?L
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2I55 Surcharge L.?
'l?}3860 Road Unit
20--2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt. --?`-
20-3716 Water Meter (_r
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 5ewer Conn. ??
If-3855 Park Ded.
TOTAL
Lr.
?ThiS request void
18 months from Q??/? ? / • 1 , • ? / ?1? ? ?? O j
D Q1j4n16 /,5
Request Date ., F re No. RouAh-in Inspectio? D Ready Now9Will Notifv InsDec-
° RP? Yes ?Na tor When Ready
3 -
3-?fr8'
? Licensed Electrical Cojitracmr 1 hereby request inspection of ebove
elactrical work installed at:
wner
City
Street Address, Box or Route No.
Al
ecUOn o. Township Name or No. Range No. Countv
/9"*--i) ?
OccuGant (PRINT) Phone No.
2f?i C /?" 6 2. kdl 3 ' .lJ 7S `'?r
Power Supplier Address
c-
D D .!-C f 771
? 7? I/?.! (r ?'7i?J
'
Electrical Contractor ICompany Namel s License No.
Contractor
e?p 7
/?I?'S TF.L- td[ ?C ? / ?
Mailing Address IContractor or Owner Making Instailation)
F
/ So Slkl/P_111?
i ?
,7 f
Authorized Signature (Contractor/Owner Maki ng Installationl Phone Number
?
n?i ocnucc'i wn L ndnT
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-MidwaV Bldg. ^ Noom N-191
1821 Universitv Ave.. St. Paul, MN 55104
Phone(612)642-0800
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL lNSPECTION Es-ooooi'os
__ ? See instructions loF completinq this fwm on back of yellow CoCY• ???
D `? 4 p 16 "X" Below Work Covered 6y This Request
Ar1d ReD• Type o1 Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtin,y Fixtures
Apt. Bui Iding Dryer Electrii: Heatin
Commercial Bldy. Fumace Sf lo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Otner pe<:i v Otvl
t
er uec
ompute lnspectron Fee Be/ow
# Fee ServiceEntranceSixe tt feeders/5ubfeeders i7 Fee Circurtg
j. - U to 200 Am s D to 30 Am s 7-1 ? 0 tn 30 Am s
Above 200 q?n??s q 31 to 100 Amps 31 to 100 Arn S
Swimming Pool Above 100_Am s Above 1[lO-Am)s
Transtormers Irrigation Boorr?s ?O Partiaf ee
Signs special
Inspection
$
Rema?ks 5o TOT rw R . Oo
- .?
Rough-in Da e I I, the Lll
Inspector, hereby
certify that the above
Final ?te inspection has been
cJ• "? /'?i+ made.
rAis request vold 18 months from
? . CASH RECEIPT ' i
CITY OF EAGAN
3830 PILOT KNOB ROAD
:
EAGAN, MINNESOTA 55122 ,
i ?.
' '• ' ? { ?s ?-
DATE
?
$ ? -r
AMOUNT
?
g, D4LLARS
im
0 CASH p CHECK
i
f4" ? 4- 1 (
.n ?
FUND OBJECT
i
Thank You
BY
S
Q V ?
1?
Vt-t
.
gLDG. PERMIT N0.
, .
.= i : , ,?G ` (?, ? r"; ? <? ?.,
,, I
01-4 dg• --- Permit ^
321 0 B1
01-3422 Plan Check ?S
01-3445 Surch./Adm.
:J
01-3446 SAC/Adm.
?
01-2155 Suzcharge ? ?.
Payers Ca
-Posu"9c r?f 3860 Road Unit ?
fie coPY
20-227 S SAC -. ?
20-3865 Water Conn.
20-3868 Water Trmt•
20_3716 Water Meter
20-2252 Acct• DeP•
20-3713 Water Permit
20-3743 Sewer Permit ._, c _..
79-3866 Sewer Conn.
g(-3855 Park Ded.
?
?
(
-? TOTAL - ?
flUP/FOR SALE UNIT CITY OF EAGAN No
-
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 14768
BUILDING PERMIT PHONE: 454-8100 Receipt # z -a
?
Tobeusedfor 1/2 DUP/GAR Est.Value $55,000 Date APRIL 4 ,1988
Site Address 4390 CINNAMON RIDGE TRAIL
Lot 5 Block 1 Sec/Su6. CINNAMON RIDGE 6T
Parcel No.
w Name Z1CHMAN SROTHERS
z Address 4620 W. 77TH ST #104
o City EDINA Phone 893-0755
,o Name SAME
? Q Address
? City Phone
a
w W Name SAME
f
i? Address
? w Grty Phone
I here6y acknowledge that I have read this apphcation and state that the
information is correct antl agree to comply wrth all applicable State of
Mmnesota Statutes and C/dy ot?Eag?an ?Ordinances.
Signature of Permittee
A Building Permi[ is issued to: ZACHMAN BROS.
on the ezpress contlihon that all work shall be done i n accordance wd h all
apphcable S[ate of AMmnesota Sfatutes and C?d"y?of Eagan Ordinances.
BuildingOfficiaL6L0?'I?/?/ --
. ?
OFFICE USE ONLY
On Site Sewage - Occupancy R-3
MWCC System X Zoning PD
On Site Well (Actual) Const Vn
Ciry Water X (Allowable) Vn
PRV Requiretl X # of Stories
Booster Pump Length 54'
Depth 22 '
S.F Total
Footprint S.F.
APPROVALS. FEES
Engr/Assess. _ Permit 3.94..40
Planner Surcharge .27-5(1
Council _ PlanReview 197-00
Bldg. Off SA0. Ciry 100 _ 00
Vanance _ SAC,MWCC Srj.Q,Ap-.
Water Conn. 5 S.Q-0Q_
Water Meter 6.7?0-
Road Unit 32-&.GO _
Treatment P7 2()4-00--
Parks
TOTAL 2,414.50
DUP/; ox-sAiE uNIT CITY OF EAGAN N2 14769
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMI ?j C
51
T Receipt# t7
4
To be used for 1/2 DUP/GAR Est. Value $55,000 Date APRIL 4. ,19 88
Site Address 4392 CINNAMON RIDGE TRAIL OFFICE USE OMLY
Lot 5 Block 1 Sec/Sub.CINNAMON RIDGE 6TH OnSlteSewage _ Occupancy R-3
MWCC System x Zoning pn
Pafcel No
OnSiteWefl (ACtual)Const
x Name ZACHMAN BROTHERS City Water ? x (Allowable)
W AddreSS 4620 W. 77TH ST #104 PRVRequired x #ofStories
;
°
City EDINA Phone 893-0755 Booster Pump Length
- 54'
Dapth 221
p Name SAME S.F.TOtal
,
? a Address Footprint S.F.
? City Phone qPPROVALS FEES
? W Name 5AME Engr./ASSess. Permit 394.00
?
Z Planner Surcharge 27.50
i
-
0 Z Address Council Plan Review 197.00
x w
a City PhOne
Bldg. Off.
SAC, City
LQ •0 00
I hereby acknowled9e that I have read this application and state that the Variance SAC, MWCC 520-00
mformation is wrrect and a9ree to comply with all app6cable State of Water Conn. 550_ 00
?nan es
Minnesota Statutes and C?ty of Eagan Ord
Water Meter
67 _00
Signature ot Permrtte
e
?
RoadUnit
325 nn
A Bwlding Permit is issued lo: ZACHP7t1N $ROS. Treatment P1 ZQ_LF.,_QQ_
on the express cond ition that all work shall be done m accordance with al I
Parks
applicable Siate of mnesota Statu[es and Ciry of Eagan Ordmances.
TOTAL 2?414.50
BuAtlingOlfiaal__
C .
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS L # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
r
To Be Used For: '?Valuation:
Site Address CI . vrr,.?QV.,L V.."
Tro.. SSc?vo-
? ? ?
Lot ? Block On site sewage_ Occupancy lz- 3
Parcel/Sub
Owner
Address
City/Zip Code
? . ? Date:
MWCC system Zoning PD
On site well Actual Const V-N
City water Allowable y- N
PRV required c? If of stories
Booster Pump Length S H
Phone ?) --? - [)"7`5? I APPROVALS
Contractor _
Address
City/Zip Code
Phone
Arch./Engr. <jAm-F AC &3?atx
?
Address
City/Zip Code
Engr/Assess
Planner
Council
Bldg. Off.
Variance
Depth e?•.7 ?
S.F. Total
Footprint S.F.
FEES
Permit 39q.
?
Sureharge a 7, s0
Plan Review 19 7, oa
SAC, City I ,p
SAC, MWCC ' O 00
Water Conn 4 d.OJ
Water Meter , Oa
Road Unit $,00
Treatment P1 O .d *
Parks
Copies
TOTAL -21d
Phone ll
VA L. LA, N-7% O?J
?4QA(s6 F . .
? ? . .
18X Zo='3GOX ly= Sb4o
BsrAZ'
2 2x 34 = r1 u g X i 3= 972LI
H o%&5e-
.3U xZ3%z= '75°I
`l
g21 X yy? y pzzal
s
S49Y3
h
- /
? 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
f
Lt 1G
i
J
,
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CEATIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
ZS DESIRED. NO CfiANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS ?# OF UNITS
INCLUDE 2 SETS OF PLANSp CERTIFICATE OE SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[•MEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
J
To Be Used For: Valuation: Date: 3 1,1 Site Address OFFICE USE ONLY
Lot ? Block ? TrDy` P ? On site sewage_ Oceupancy Iz' ?
Parcel/Sub l a nQro r? L-eCB?"
Owner "cljn
Address y6.u W. 1<'4- -'4-457
MWCC system J/
On site well
City water ?
PRV required _
Booster Pump _
City/Zip Code Y(Vvl1Q ??1l) Phone 29 --? - IAPPROVALS
Contractor
Address
City/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone ll
Engr/Assess
Planner
Council
Bldg. Off. 4? 7
Variance
2oning P D
Actual Const V-N
Allowable v- N
!1 of stories
Length 5L1`-
Depth
S.F. Total
Footprint S.F.
FEES
Permit
Sureharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
8,71, 00
2,
19 7? o0
ioo,ao
''S OOD
O Oa
00
00
.0 o:
?
x
?
I
t .
.?.."'_'_' "......"' " ..._. _._. •? . ._ ... . _ ._._. ?.._. .."_ ...'_".._ ._ __'
E!.ERGY F:;:n,UIR'r-;•;rIJ7S
?r,?S tnrl '?1 4n r,•- ?l.a,?l ' .i ?? ? -?? ,i . -,?? t, ;"e' j _: _'a "•?'" _'_.,S
EXTERIOR Ft(VELUPF Ati'Er,SE "U" CO;,;?UTkTIO'J
n;:';ER 7_ f-) G N`f i i'J i?-.S ?-i`! r
517E ADDRESS LoT 5 _3
C4ti'I PJaCTOR GATE PNU?eE
Gateriaine -v,crking square footage of each.
1. Total exposed wall area ..... sq. ft. x_ .185 = Z? 9•_ q?
2. Total roof/ceiling area ..... 2 $ sq. ft. x .04 = 3 7. / Z
Total e>:posed ;aall area above floor = ?as• 5-2
b. Total door area ................................... 37. u z
c. Total sliding glass door area .................... q o.0 2
d. Total fireplace wall area ........................ -
e. Total wall framing area (average 10%) ............. 9 0. 6-5-
f. Total net wall area above floor ............... g/ S- o Z
(?
°1(!
337
g. Total .
rim joist area ..
:
................. 94 . S
? z t;v3U1,i1E0 FLG:1 FOR TuC,?CUr:?UEK 4 oo, co
a. Total walT window area ........................... `J 6, S 9
Total c=x?:.sed {oundation area = 46. G'
(/o) (GG 7)
. Total foundation window area ..................... <3
. Total net foundation area above grade ............ g G. G 9
Determine " U" va]ue of each wall segment.
a. 9O". 5-9 xlluli
b. 3?• 82- X "U" . 137 =
c. 40 .0 z X "u'l ,SS =
ns;tK d.- _ --' X [lUll
S. / S
22 , o/
I e,qd , SS x?-U-1 , oS 1 = 7_ 3 3
f. s rs.o2 X„u„ a5-3 = 13, i9
9. yf - S Xiiu„ ,049 = 4, 0/3
pp XIIUII , 057 = Z o. G D
i. 4c . 6 J g"p° . S?g =
3 .......................:......'..............Total =
]f item 13 is the sanz as, or tess than item 01, you
2 h!:•AF 1.GOQ5 (4.3)
2 G , 9W-
I77• ? _
y - ,/oy ISS
ve Ret Lhe inten
. ' ?? . . .
- •- - - .. . .._. . .- --, _. . . _ .. .. ,_. .. -
Total e>:posed roof/ceiling area
j. Total skyliyfit area ... ...... ......... . .. __
k. Total reof/ceiling fra.ning area (averaoe 10q)...._ 9 2_ 8 -
l. Total net irsulated roof/ceiling area ...........
c 3 S_zJ-
Determine "U" value for each roof/ceiling segrent.
J d X ituii a
. •^_
k. Xtiull , a 3z
1. ?35,2 X liusi , qZL
4 ..........................................Tota1
-- ? --
= 2 .. y 7
- ,
If total of a4 is the same as, or less than R2, you
2 MCAR 1.6005 (4.3.2.2) )
intent of
Alternate Buiiding Envelope Design
7o utiTize tht tota] envelope system r;,ethod, the values established by the
sum of items r3 and i4 shall not be greater than the sum of items al and n2.
1. + 2. _
3_ + 4. _
_ . ? ?.
%: 2l;ti
, l 1
.s"Vi:LUL
0.C.
'05 VIF:J
)Y !;A1_1.
7
aAsxc WAJ L
c' r? I Pli =.?A L
F J_00?
• 1 a
r'OUNDAT?ON - e e
i?IA LL
.
r,ix rzTM o 68
1
.<
z , i:--- -
? t, ?? sinn E o a r a---------- - -
----
-- u. vz,
r_ 3
S??' JoiLlsUUa
v.?b
° 4 ?! 4"?? i L-? ??.?s???:e1Ji •? P.I'? ?n n
T -
7
`
5 Har3DOara siaing
b
// .0
ci 5 t.xrF,11_2B-6J.x??J M--- a
`n TOiAI.
nR1
7 INTF_RIOi AIR FIJ_1S ____ __ O,b$
? 8 Psurn Bcard
Gx, 0.45
r 9 , 11_D0
_
? 10
r? 11 7116" `.aaJ?hna?i Cirli-,?
? -- fl,fi7
--
? l2 AIR FJTM
EXT?RYOR 07-1
Ln _
-- - .-TUfAL R `
j 7
_ __
n 053
,.? 13 JNTERIOR AIR FILkt _ _
Ot6?
14 =
3a-•j
r_jction fit Tnci -tjnn 1Q
?
0 15 _
.
1Y" soYtuooa f 3/4" Foam QQI•bb
t, 16 711fi"_hamrth.DB_Ld n 67
L) 17 :e!X'i'L.RIOR AT.R FIJlt - O.ly
c.? 'fOTAL R
0.049
?
IS IhT=RIOR ATR FIL`Q -
0,69
c
0 19
+ 20 '$3.o )red co
-
cu 21 EXTE.RIOR AIR FIL'd
0.
17
?n TOTAL R_ )
.73
"U" 0.578
? 1u-W07-60 Ff ODR IN
? INrEo0c AIR fllN . ? 2-
? 6 ° F1EEIM/i55 lSHTT ---- ? _oo
GYP BD -- -.<<--9
v) EJ(TE/i IDR AIP, F!!N . 17
_ R 2o•7g
' (i . o s
?
G 22 IiVTERIOR AZR FIIM 0.92
° 23 ;t-" Frirtion fi? ll.q(1
24 " o hn r fl?7
25 EXTe..RIOR AIR FII14 lT
TOTAL R 12 7 fZ
°11° (1.7R9
.?
?
0 26 EXT-?r IOR AIR FI1-4 (STZLL
'
" 0.61
'
? 2.7 nl tin n u1d i
70
on • ' z7 (1(1
4
u 2? o yp um b r
v? 24 J.?T=RIOR AIR FIL'1 _ B
TOTAL R 38.98
"U" 0.026
??', fi_'?N?Nt ({ = 31, 06
4 = .o3-t
30 EXiFRIOR AIR FIL*i 0.17
31
32
33 .
34 A R SPACE ST LL
0 35
; 36
ru 37 NE:R OR A R FI 2i
cn • ?U?kZ R _ _
Hedlu'nd
Lond Surwren
Engineering
Clvll Enpinters
Services
Land Planners
9201 East 9loominqron Frasway
8bominqton, Mtnrrsota 35420
Pnone: 688-0289
? suMe#orifs G'ert?,f "tcate
JAWAfZ BOOK 6$ PAGE JOB N0. e*R _ 5-
SURVEY FOR: Zachman Brothers
DESGRIBEO AS: Lot 5, Block 1, CINNAhiON RIDGE 6th PROPOSED ELEVATIONS
ADDITION, City of Eagan, Dakota roo ot Founaarion . 42z.1
County, Ttinnesota and reserving GoraQeFioor = qzz•3
easements of record. easemenr Fioor . 919.5
Approx. Sawer Sxvice Elsv. .
Provosed Elevotions . Q
Existinq Elavatione
DrainaQe Direetions ? .....?
Danores Oftset Stake ? O
BENCHMARK:
Saw. Say,iar -ToP
Cinna-oti
E?av. _? za -4'L
MIN. SETBACK REOIREMENTS
W N69°39?94"w F * -zio,
a 32.00 , (?V? ? 4? f0 9 L2.2
v I ?
J10 ?y ? , ? qxz ? YI
? ., 921•B ? >
?'r /42? ? _ ? I R S ?
? f
?M
`°
?
a ° s ?E ?? .b •.?'' `y ?`I-? So
9Z_ 0.3 °• ??Y naD
q'c?.t p I2S.24 97
qt_.I -? N88°ob'OS?'E
1 r• -7- 4
I hanby conify thaf this survey, plan o? nport was prepared by ma or undar ny dinet
supervision and that Iom o duly Registered Land Surveyor unAer thelaMS of tAe
Stote of M i nnesota .
Date: 2 /25 /g8
iren, license
143T6
CITY OF EAGAN
APPLICATION FOR PERMiT
SEWER AND/OR WATER CONNECTION
*TO'J.'G': PA)MTP' OF kM AT TSME OF
AePxscrazorr noFS Nom oONsxn=
APPR0VAL OF PER[YIIT.
iNSPEcriort oF sEWER AND/Ot %kTEt ;
rntSraT.ramrOK, WIIS, NOT BE SCFED- *
ULID UNi'II. PERMIT HAS BFaI - *
APPRWID.
•
*
r
r
I P ease Print
? 1) PROPERTY ADDRESS: L439O T?G, I
( LEGAL DESCRIPTION: ?
i . Lot B ock Subdivision or Tax Parcel ID
IF EXISTING SPRL'CISJRE, DATE OF ORIGINAL BLILDING PEE2MIT ISSUANCE: '
: ; , Mon ear}
PRESFSTf TANING/PROPOSID LSE: •
? COVERCZAL/REPAIL/OFFICE n R-1 SIIVGLE"FAMILY
Q I'STRIAL _a-R-2 DLPLEX (ZWO Units)
INSTITUTIONAL/GOVFItiZENT Fl R-3 TOWNiOUSE, (Three + Units) ( L}nits)
. ? R-4 APAR7TEN'P/CONIDOMINILfi1 ( Un.its)
21
4) ?• " • i?- ?
NMAE'-2a(1'1 Y1nG"
? aDDxESS:_ y626 w -)7A, C-F Si? 1??f
cITY, s'raTE, zIP: 4 d ln.-? F... r. S3 `+3 S
PxorE: 893-0 -? SS- •
;
?•5) n v r• • ?• m • a• • ??
"NNECTION ZU' CITSt SE.'F?2 WCON[7LTION Zq CITY WATER Ui4IER . .
? .
? 6) ?? • • r -pLEASE HOLD APPROVID PEItMIT FOR PICK-UP BY ONE OF ABOVE .---' -- -
pT.FnSE MAIL APPRCNID PERMIT
3, 4, ABOVE
e one)
. FOR -CITY USE ONLY . PERMIT # ISSUED
f Z
Pd w/Bldg. Permit FEES:
$ $ ?Q • 5 `-' SEWER PERMIT (INCLUDE SURCHARGE)
?$ S WATER PERMIT (INCI,UDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ??•Q? ACCQUNT DEPGSIT - SEWER
d ? d ?S
$ $ ACCOONT DEPOSIT - WATER
$ S SU • CJa $ WAC
$ U-0 $ S
C
A
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNIC SEWER ASSESSMENT
$ $ • T.ATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ ? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$- f?7I , D O $ p21 ' U O' TOTAL ,
k ? ? ? ? ?? 7 y ?
kr;L?;1PT # RE(:EIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CbNDITIONS:
APPROVED BY: /SC?_,A-,ell
TITLE:
DATE: ??,? ??
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
P10W,: PAYMF'KT" OF FEE AT TIME OF
APPISCAIZON DOFS Nt7T CO11Si'IZLTiE
APPROVAL OF PII2141T.
P ease Print
1) PROPERTY ADDRESS: (43C{Z C,?ro...-.o,.. 'iZ.ctqe TrS.I •-
LEGAL DESCRIPTION: "
_ Lot B ock Su ivision or Tax Parce ID )
IE' EXISI'ING SIRL'CILR2E, DATE OF ORIGINAL BL?ILDING PERMIT ISSCANCE: '
Mon Year) PRESEDTP ZONING/PROPOSID USE:
0 COr24ERCIAL/RETAIL/OFFICE Q R-1 SINGLE FAMILY
0 iND'STRIAL R-2 DLPLEX (ltap L?nits)
? INSTIZLTMfIONAL/GOVIItiMi' ? R-3 TOWPIIiOIISE (Three + Units) ( t?nits)
. q R-4 APARTMF,NT/CONIDOMINIUM ( Units)
2) ?
NAME:
ADDRESS:
CITY. STATE. ZIP:
PHONE:
3) • N r. ?• NAMFor City Use .
?:- C?? ? 1 Plumbers License:
ADDRESS: Active
?
CITY, STATE, ZIP: F7cpired
. Not recorded
PHONE: MASTER LICENSE# M 10 Q`k
Sta Inltial
4) 109-c&XV71NNO,
i?•
iVF+ivIE:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
5 Y• ' 1 M: •'?I' : ? • D? ' ?1i '
I! • ?CONNECrION 16 CITY SEMR 1?f CONNECTIDN M CITY WATER ? O??R .
•,?Y _
6) ? n . .. ? i.
7)
:PLF.ASE HOLD ApPROVID PERMIT FM PICK-LP BY ONE OF AHOVE
?PLEASE MAIL APPROVID PERMIT? 2. 3. 4. ABOVE
• "?Circle one)
Ll - I I - P 0
IIVSPDG`PION OF SEWT2 ADID/OR WA'I£R
INSTALLATIONS WICL AIOT BE SCHED-
ULID ONrIL PII2PIIT HAS BEEN
APPRC7VID.
. FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ lU ' SEWER PERMIT (INCLUDE SURCHARGE)
$ ?
S r
j WATER PERMIT (INCLLDE SURCHARGE)
$ ? 7`o,o $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ j5-,00 ACCOUNT DEPGSIT - SEWER
o ?r
$ $ (1-0 ACCOUNT DEPOSIT - WATER
$ ,`J"5?6 •rro $ wAC
$_ ?O a 0,66 S sAC .
$ $ TRONK WATER ASSESSMENT ,
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONR SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S I •OU $
TOTAL
. . ?e2.?1 ? , : ly(' 2?
kr,CE1P'1' RECEIPT
DOES IITILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PE RMIT FOR WORK WITHIN POBLIC
ROADWAY" MLST BE I SSOED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE •
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
?l ? CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
i15 ?) C)
Date /,?q I 1 e?.5?/?
Site Street Address /- .5' y/J e Unit #
$-5-y7
Property Owner 64 Telephone # 0'a".9) ?,?'f-;Er 97
Cpntractor (73 N/l Y> /YJA2 Z?1 Telephone #(%? h?? S= 7n'O
Address "/ ?% E Z.S Ih Wfl i3 City Gl/s/U.SJ//1 L?_ State Ll Zip ?S'S`33
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener andior water
heater at the same time. !f vou are insfapina oRIY a water soffener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic Sysfem Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
X Water Softener _ Water Heater $ 75.00
_ new 7)< replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will 6e in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Ap i ant's Printed Nam ApplicanYs Signature
Use BLUE or BLACK Ink
r
I For Office Use
I
I DZ4
City of EaEd
I vs~
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
- - - - - - - - - - - - -
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name Pf 5T1~ >rLQ ..P Naap6s Phone-go. 151- ZG 6
Resident/
Owner Address / City / Zip: Z/_1,/01
Applicant is: Owner contractor
Type of Work Description of work: 00(1-Yl ~
Construction Cost: 7'7 90 Multi-Family Building: (Yesx / No )
Company Oa Contact: L, rr'h&0
Contractor Address: P. 0 li;®)e City: GLg~nkdu
State: _ Zip: S 661t,:7 Phone: -6 5-1-6
License #:99 46 `z) 9 9 10 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 _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 they 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.goaherstateonecall.oro
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.
terio k authorized by a building permit issued in accordance with ota S to ilding Code must be completed within 180
of pe issuance.
x x
A plican i Printed Name Applicant's Signature
l 1"~ S Brow) Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158577
Date Issued:10/21/2019
Permit Category:ePermit
Site Address: 4390 Cinnamon Ridge Tr
Lot:052 Block: 01 Addition: Cinnamon Ridge 6th
PID:10-17405-01-052
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Khalid Hussein
4390 Cinnamon Ridge Tr
Eagan MN 55122
(952) 846-8588
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature