4394 Cinnamon Ridge Tr(Itr#iftrafe uf Mrrupanry
titp of eagatt
loppr#ttTPItY n# inlDirig jwertint[
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying thal at the tinie of irsuance rhis strucrure was in compliance wrth the various
ordinances of the Ciry regulating building construclion or use. For the following.
uwcIA=fkMfiM 1i 2 DUP/C¢tit Nds. Panift ro. 14865
Occup-rTyx -- R3 - /M 1--___zo!n.ingDish-im PD.__- .,?M-C.0nu:- ...Vn
gwlding pddroffi 'A" iv W^_' 1T'Ai l l.owity 1.4 , B ( s CiMWO'
Bailding oi D,u: v*.IIE -,t
POST IN A CONSPICUOUS PLACE
? CITY OF EAGAN
z 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan; MN 55121
• PHO N E: 454-8100
BUILDING PERMIT Receipt ?
To be used for Est. Value '. Date A 19
4
Parcel
CINNAN0111, R1t= TR
R j On SMe Sewape Occupancy
MWCC System ? Zoning
On SRe Well (Actual) Conat
City Water ?i (Allowable)
PRY Required h * of Stories
Boostbr Pump Length
Depth
S.F. Total
Footprint S.F.
Phone
City Phone
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.
Signature of Permittee
A Building Permit is issued to: a."' '` `?' T i? :.f• '
on the express condition that all work shall be done in accordance with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review
Bldg. OH. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
- ,
398.00
s ,
j ? ?.,
Pormit No. Permit Holder Date Telephone #
Plumbing
H.V.AC.
Electric
Softener
Inapection Date Insp. COmments
Footingsl ,?l ..
Footings II
Foundation
Framing 6,6 ?
Roofing
Rough Pibg.
•
Rough Htg. 2 ?
Isul. '
Fireplace
Final Htg. ze??
Final Plbg.
81dg. Final ?
CiBlt OCC.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
PERMIT
? I`MECHANICAL PERMIT
' CITY OF EAGAN RECEI
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
:ONTRACTPRICE: ?30010•00 PHONE:454-5100
BLDG.TYPE
Res. r
Mult
Comm.
Other
? Narr
?o Addi
c Ciry
IName Lacnman nvmes
c Address 4620 Wear_ 77th St. ?104
p Ciry F-dins Phone 893-0755
TYPE OF WORK
Forced Air 75+001) M BTU
Boiler M BTU
Unit Heater M BTU
AIr C011d. "4 00(} M BTU
Vent 1 bath fan CFM
Gas Piping Outlets #metQr to furnace
Other
FEE:
S/C:
?3
WORK DESCRIPTION
New V
Add-on
Repair
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 PEkMI'n - 1.50 EA.
COMM/IND FEE - 19'o OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
50 '
50 ' irywt ? ?
SCiNATURE OF PERMITTEE "?-'00
FOR:
-?
PERMIT # - - " '
PLUMBING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB RQAD, EAGAN, MN 55122 DATE: ?
f CONTRACT PRICE: PHONE^ 454-5100 _
Lot
? Name _
? Addres5
c City _
? ....,.,.. _
c Address
p CitY -
-?.
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
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
PERMITTEE
BLDG. TYPE WORK DESCRIPTION
Res. X New
Mult. Add-on
Comm. Repair
h
Ot
er
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
- Water Closet - $3.00 S
? Bath Tubs - $3.00
? Lavatory - 53.00
? Shower - $3.00 -'
? Kitchen Sink - $&00 3
Urinal/Bidet - S3.00
? Laundry Tray - $3.00
J_Floor Drains - $1.50
1 Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: ?•`'
sTare sic: .
GRAND TOTAL• ? ? ?
(9tr#ifiratt uf (10rrupanry
Citp of (eagan
MP}tMl"bitPllf Df ld[Nng jttH}tpl'ttmt
Thrs Certificate issued pursuant ta the requirernenu of Section 306 of rhe Uniform Buildrng
Code certifyiag tha[aJ the time of issuance this structure was in compliance with the various
ordinances oj rhe City regulating building construction or use. For the fo[lo wing.•
uw cumirbmdm ewg. tenrn No.
Occw-y Tym T.-Zoning °wnC` CAnf`' .J.r•' .
Owrwr of Bw7ding ° Addrm
E)C:: ]T:r, I _, ,, i:..
? naa? 4 3:h t:
?w ?
I = ty
.IULY 1. 1988
POST IN A CONSPICUOUS PIACE
CITY OF EAGAN
'
•
?^?-? ?' 3$30 Pilot Knob Road, P.O. Box 21 • 199, Eagan, MN 55 121
PHON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ? Est. Value ?{ •' ?'' Date ,19
Site Address °"' ' • OFFICE USE ONLY
Lot Block Sec/Sub.
` - On SRe Sewage Occupancy
MWCC System Zoning
Parcel No.
A
On Site Well (
ctual) Const
a Name Ciry Water (Alloweble)
z Address PRV Required ? of Stories
p _ -•"i- ,.: ] ,'•;
City Phone Booster Pump Length
Depth
Name S.F. Total
, p
? 4 Addre3S Footprint S.F.
? City Phone APPROVALS FEES
.
U W Name Engr./Assess. Permit `
? Z
_
Address Planner Surcharge
? ?
.
` W
City Phone
Council
Plan Review .
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC .'
information is conect and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit '
A Building Permit is issued to: Treatment P1
on the express condition that all work shall be done in accordance with all
P
k
applicable State of Minnesota Statutes and City of Eagan Ordinances. ar
s
TOTAL `
8uilding Off icial___ _
. Parmit No. Parmit Holder Date Talephone #
Pluinbing
?
H.M.A.C.
Electric : C4
c? -
Softener
Inspection Data Insp. COmlllents
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. b?
Rough Htg. s.
Isul.
Fireplace
Final Htg. 7 ? ?0
Final Plbg.
Bldg. Final
cert. occ. 7 ? ?p
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. , PERMIT # - ? . ?. ' ? •, , MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN „tAv is, 19P9
3830 PILOT KNOB ROAD, EAGAN, MM 55122 DATE:
CONTRACTPRICE 715E30.00 PHONE:454-8100
Site Address 43? i; Cinnamin Rid e Trail
BLDG. TYPE WORK DESCRIP?ION
Lot ' Block S?ec/Sub , Res. ? New -??
. ? .. t_
Name epan ^ e eat ng an Mult Add-on
m oon p 8 . v . Comm. Repair
c Addres?,oGn' p g 757-5040 Other
c City Phone
FEES
ZBCa IDSII O*1lC•.8
Name RES. HVAC 0-100 M BTU -$24.00
a? . W?Bt 77th St. 10 ADDITIONAL 50 M BTU - 6.00
c Address , INCLU 0 Ciry I:aiaa PhoneB9 -0755 CONSTRUGTI N) DES A/C ON NEW
GAS OUTLETS (MINIMUM - 1 PER PEkMI'n - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air 75='?r?'3 Nl gTU 24.00 APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-QN 8
Unit Heater M BTU $ REMODELS - 12.00
Air Cond• M BTU $ MINIMUM COMMERCIAL FEE - 20.00
Vent, 1?t.L- "i d r?? CFM ? STATE SURCHARGE PER PERMIT - .50
PERMIT PRICE GOES
Gas Piping Outlets #meter to f u r r.i ce $ 1.50 E aND $1000)
Other $ ?
FEE: 25.50 i ''ti7?`''t ? ?? i " ? ? - ( ,?y'? •?
. S/C: .50 SIGNATURE OF PERMITTEE •
TOTAL: 26' 00
FOR: CITY OF EAGAN
VP
CONTRACT PRICE:
Site Address ', `' ,?' . hnaTOl1 R7i
Lot Block ?
,
, - ?.-
?
, i R t1G .
Name n a n:.? r? tcj
?
?
?I ?ne a
ss F?
Addre
c Ciry R?Cl?for . Phone1? ,-, '- 5
Name 7achman
c Address 4620 f"? 7 7th 5t
o City Edi na Pnone3°3-0175
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RE5IDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
..?1
..-
CITY OF EAGA?f
SeGlSub Res. New ?
PERMIT #
PLUMBINC PERMIT jc ?t? ry /
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? PHONE: 454-8100
?? r`? '? BLDG. TYPE WORK DE$CRIPTION
' -?- Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE F OLLOWING:
NO. FIXTURES
. TOTAL
Water Closet - $3.00
,T
$
Bath Tubs - $3.00 J
? Lavatory - $3.00
Shower - $3.00
? KitChert Sink - $3.00
UrinallBidet - $3.00
' Laundry Tray - $3.00 -
' Floor Drains - $1.50 ? ?'-
' Water Heater - $1.50 ? ?
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5.00
Well - $10.00
Private Oisp. - $10.00
Rough Openings - $1.50 '
FEE:
STATE S/C: :
GRAND TOTAI:
CITY OF EAGAN Permit No: 9521 Date: ?, !' ''y
3830 Oilol Khob Road Meter No: Size: Sl '? oe?
P.4,. 8ox 21199 Reader No: d?? G? 9 7 7 Date: ?
Eagan, MN 55121
Owner. •a An Bros
SitBAddress:_ 439Fi Cinnamnn Ri.;g#- Tr 74 Ri inn Pr3g 6th
M.._- .. . - -. - -
Conn. Chg: rs5f?0ijQpd' Zoning: _ l
Acct Dep;? -,+ •L iit;ils No. of Units: ?
Permii Fea
? ` G.
9? .
Surchar ' r;' `' agree to comply with the City ol Eagan
Tr. Plant,? •?'^?'f :'-„ ,
? 9rdinances.
Meter. ' - -- - BL,
Misc.: -
r?? .?I11 IN?M..
WATER SERVICE PERMIT
JnJu r?ut Icno[i Road Meter No: _
P.O. Box 21199 Reader No:
Eagan, MN 55121
Owner:
Site Ad
CITY OF EAGAN
383111 Pilot Knob ROad
RO.'Box 21199
EagBn, MN 55121
Owner. `
Site Address:
MWCC: 5 'V'j• 00Fd
City Chg: 00Txe
Acct. Dep: ' ? • ??'1
Permit Fee: °
Surcharge: -
Zoning•
?
No. of Units:
I agree to comply with the Clty of Eagan
Ordinances.
By
SEWER SERVICE PERMIT
Date: 4-29-9 ?' CITY OF EAGAN Permit No: Datet -
Size: ~ ?? o/ 3830 Rilot Knob Road g/p Na; Date:
P O. Box 21199
Date: - 8-9 Eagar,; MN 55121
n....,,...
URe Tr L4 B1 CinnP.d^ ,t
Plumber__ , ?, k P7 ?n,bir
Conn. Chg: - • '??" ;?
Acct Dep: a^ Zoning:
No. of Units: I
Permit Fe? ( lo:;i? U l n
Surcharg
Tagree lo comply with ihe City of Eagan
Tr. Plant % -' - ' rdinances.
Meter.
Misc.: gy
T
WATER SERVICE PERMIT
Site Address:
Plumber.
MWCC: _-5 i ,?,. f,;•i,. Zoning• ;
City Chg: No. of Units:
Acct. Dep: I agree to comply wlth the City of Eagan
Permit Fee: f. , I Ordlnances.
Surcharge:
Misc.: gY
SEWER SERVICI
Permit No: " Date:
B/P No: Date: ?
6th
Li i Y ur cAuN?N
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
,'lh1. 1%
& DOLLARS
'00
? CHECK
vun;om,-Pay- caor
Yellow--Posting coar
Pink-File Copy
BLDG.
?Z ?.; ,. ' .
01-321b? Bld'g 4er?mit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge _
-;??3860 Road Unit _
20-2275 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
79-3866 5ewer Conn.
';??3855 Park Ded. _
TOTAL
U
v
??0-17
iL
CITY OF EAGAN rj° 14 8 6 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
?;D 3n
BUILDING PERMIT PH O N E: 454-8100 Receipt u /
Tobeusedtor 1/2 DUP/GAR EstValue $56,000 Date APRZL 21 ,1988
Site Address 4394 CINNAMON RIDGE TR
Lot 4'=81ock 1 Sec/Sub.CINNAMON RIDGE 6T
Parcel No.
m Name ZACHMAN BROTHERS
w
Address
4620 W
77TH ST #104
° City EDINA phone 893-0755
,o Name SAME
?a Address
P City Phone
W w
F¢ Name
fw
i ?
Address
I
u
z
¢W
a
City Phone
I hereby acknowledge that I have read this application and tate that Ihe
mlormation is correct and agree om ly wrth a icable State of
Mmnesota Statutes and City >a"gan di /
Signature of Permittee
a °-
A Bmlding Permit is issued to:_ZA1C}I_MAN-B$QT1iER$-_
on ihe express cond ition that all work s hall be done in accordance with all
applicable State of innesota Stat4tyesand City of Eagan Ordinances.
BuJdingOfficial ?' p
1?.
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MWCCSystem X Zoning PD
On Site Well _ (Actual) Const V-N
Ciry Water X (Allowable) V-N
PRV Required X # of Staries
BoosterPump _ Length 24'
Depth 501
S.F. Total
Footprint S.P,
APPROVALS FEES
Engr./Assess. Permit 398.00
Planner Surcharge --2j"Q
Council PlanReview -149.M
Bldg OfL SAQ City _100- _QO
Vanance SAC,MWGC -55.0.nn
WaterConn. _550_._00
Water Meter _47._pQ
Road Unit _325._00
Treatment P 1 204.00
Parks
421.00
2
TOTAL ,
CITY OF EAGAN Na 14 8 6 6
• 3830 Pilot Knob Road, P.O. Box 21-7 99; Eagan, MN 55121
PHONE:454•8700 'J
BUILDING PERMIT Receipt#
To be used for 1/2 DUP/GAR Est. Value $56,000 Date APRIL 21 ,1988
SiteAddress 4396 CINNAMON RIDGE TR OFFICE USE ONLY
Lot 4 Block 1 Sec/Sub.CINNAMON RIDGE 6T On Stte Sewaqe _ Occupancy R-3 M-1
MWCCSystem X Zoning PD
Parcel No. V-N
On Sita well _ (ACtual) Const
ZACIIMAN BROTHERS Cirywater X (Allowable) V-N
a Name
3 Address 4620 W 77TH ST #104 PRVRequired X #ofstorles
c Ciry EDINA phone 893-0755 eooster Pump _ Length 24'
Depth 501
o Name SAME S.F.7otal
,
?a Address FootprintS.F.
: City Phone pppROVALS FEES
'"a
uw
Name Engr./Assess. Permit 398.00
? i
Planner
Surcharge
28.0
O
-
s Address
Council
PlanReview
199.00
aw City PhOn2 Bldg.Off. SAC,CiTy 100.0
Q
I hereby acknowledge thaf I have read this applicaUOn antl state ihat the Variance SAC, MWCC _550. 00
informahon is correct and agree to co ith all applicable te of Water Conn.
p
550.0
Mmnesota Statutes and City of n Ordina es. %
waterMeter
67.00
Signature of Permitlee Roatl Und _325 L0
A Building Permit is issued to: ZACHMAN BROTHERS Treatment P7 204.00
on the express condition that all work shall be done in accordance with all
Parks
applicable S[ate of Minneso,a? Statyt?n?City of Eagan Ordinances.
{}?
BuildingOfficial_J,QU[1-.. /A I
TOTAL 2,421.eo
? v
This repuest vmA?`' ?J
1 S mnnths from nOl?/??
E 2 5 0 l1
LRequest Date
Fire No.
RouPh-in InsUCC?wn
R¢qmred? '
v
E]Heatly NowxWill Nnuly Inspec-
5- x ' giv xYes ?N LLrWh R tl
Licensed EleClncal Conlractm
1 herebV request mspec[ion of above
?awner
elecvical work mstelletl at
Street AdAress, Boz or Route No. ?Ly
.
+ D 6 . '( I c.- ?
ect on o. Townshrp Name or No, qanpe No Caunly
O T77-
Or.copnnt (PqINT) Phune No.
ZAc ? ?93 _o s- r
Pow¢r Supplier Address
Ko ?t c i ? A.?.?p•!
Electur.al Convacmr ICOmpany Namel Cnnhar,tor's Lwense No.
/19A-sv?? ?s?o?'zo a 8?3
Maihnp A Jrpss (ConVactor or Owner Making Insiailation)
-
Authonzed Signature ICOntracmr/Owner Making nstall ionl Phone. Number
MINNESOTA STATE BOAHU OF EIEAtRIGIiY
Gnggs.Midway Bldg. - Room Nd91
1821 Universitv Ave.. St. Pnul, MN 55104
Phone (612) 642-0800
THIS INSPECTIDN REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOAND
UNLESS PPOPEN INSGECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
? See mstrucqons (or complnbng this lorm on back ol ?' EB-00001-06
??? 5 8 0 ye1law ? S?? 171
"X" Below Wark Covered by Ihis Request
pao. Tvo ot Building
I I I ?- Acoi w d
?ommercial Bldy.
Industrial Bldg.
Farm
? _ Su?u y
Inspeciion Fee Below
=b,-
Swimming Pool
repueal voiE 18 montib trom
urnaCe Si!n Un
ir Condi(ioner Bulk M,
bi
arsiauoieetlers p ppe
?3Uqm s Om:
to l0U Amps - 31 to
ove 100_. A.».,. ..?_
?S`I3S0
te
re I, tha ?,??
=? Inspecbr, h¢reby
certitY fhat the above
Se?? insoeetion has been
meae.
?NC? REQUEST FOR ELECTRICAL INSPECTION Ee-ooaoi-os
Ii, Sae msGUC4ons tar compleling lhis larm on beck ol Vellow ca0v? ? ???-;,/
7 C'7 Q "X" Below Work Covered by 7his Request
LS L ? 1 ?Y
Add Aep. Type ol Bwld?np Ap0liontea Wnatl u?u?+e?? Wued
Home Range Scrvice
Teil
Duplex Water Heater y Fiatwes
Apt Bwldin? Dryei $
c Neatin
Commercla? Bldy. Furndce
loader
Industnal Bldg. Au Conditioner ilk Tank
IM1v, $OPCi Y Sl?culY:
Farm
t 5r ucufY p Fee EAbove ce5iza tt Fee Faxders/SvMeeders %iiij
Cucuits
s 0 to 30 qm s
mps 31 to 100 A mps
Above 100E1m s mP?
aLOn Booms ee
Special Inspecbon TAL
07
RouBh"^ /?? 1. ine Electri
hBreby
Inspeclo1,
certdY that tM1e above
U 1e inspection has been
final
1
-?
a
ThM repuest voia ie monnu ......
This reqaesl voitl ?/?1??
?
lA nwnths (rom c"
E 2579 ?
he?,lnsVecb l ?Re:atlY Now WiII Nouly Insoec-
Request Date Frte No. !R;o2
? ' ?N ?Inr When ReadY
'es
Lioensed Electrical ConVactnr 1 heraby repuest insPecUOn of ebove
eleclrical work installed et
? _...._.
S[reet AdAress, Box or Route No. ?
?
G C ity
Or
•
N
Townsh,p ame or No. R?nye
ecuon o.
ryn?ty
Cou
y
(/,??Cfl 7')9'
Phone No.
Occupant (PPINT)
JAI Tlf fill
3 -O. SS
Pawer SupOlier AAdress
•?>
KG 1Xt concr.,?,o,•s L.oense No.
Elec?ncal CoMractor lCOmoanY Namel
S -3
o o
? r?? `
g !/f-sPt
r.
Madme AOJress lCOmractor or Owner Makmg Installat?on)
Auffioneed Sig? wre IConhactor?Owner Mak?nB InstaliaLOnl
t?L _ i-/ D D Phnne Number
?r4o - 3 s S 5r
THIS INSPECTION REQUEST WlLl NOT
MINNES TA STqTE BOAflU Of E TflICITY eE ACGEPiEO 0Y THE SiATE BOARD
Grig9s-Midwey Bld9• - poom N-191 UNLESS PROPER INSPECTION FEE IS
1821 Umversrtv Ave.. St Vaul, MN 55104 ENCLOSED
Phone (612) 642-0800
1988 BUILDING PEAMIT APPLICATION - CITY OF EAGAN
-P-- I?? ?20-"
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OE ENERGY CALCULATIONS
NOTEs ADDRESSES F08 COANER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS ?# OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SQRVEY - CHECK WITA BLDG. DEPT.,
1 SET OF ENE[iGY CALCUC.ATIONS
CO[•MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS
To Be Used For:'MyL?es4.! , Valuation: ??S?ate: ApJ
p
Site Address OFFICE USE ONLY
= ?- 56 oou "
Lot ? Block On site sewage_ Oecupaney (Z-.3 ?"1-1
Pareel/Sub tulmmnn 10.1 C0441
Owner 1?01KmcI..
Address() LJ.'1-jq-A 51-426y
City/Zip Code i IC. F my,
Phone 823 - 07?
Contractor + /? Ac-,
Address oo vs?'
City/Zip Code
Phone
Arch./Engr. 4
Address
City/Zip Code
Phone 4
MWCC system _ 2oning PD
On site well Actual Const V-N
City water ? Allowable y-"-
PRV required = # of stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 398. DO
Planner Surcharge ZR,Op
Council Plan Review
U
199,0
Bldg. Off. SAC, City 100.60
Variance SAC, MWCC 5 SO , 00
Water Conn O,Gb
Water Meter [?i7 . Ln
Road Unit Uu
? Treatment Pl Zoy , vn
Parks
Copies ?
TOTAL
1988 HIIILDING PERMIT APPLICATION - CITY OF EAGAN '
SINGLE EAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEYp 1 SET OF ENERGY CALCULA2IONS
-. 4I
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/SOMEOWNER MUSR DESIGNATE WHIC$ ADDRESS
IS DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS ? 6 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.0
1 SET OF SNERGY CALCULATZONS ,
COMASERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:MUi Cr.L_ Val ?E
uation: e: p
Site Address OFFICE USE ONLY
-r S? oov"
Lot L Bloek
Parcel/Sub
Owner `?UJ.Kmo. .. ItrY1V?A.n,rS
, Addressv"t(p?U I.l?,
City/Zip Code rVi `,ni
Phone 8/3 ? ?7 rJTJ
?-Contractor ' ? - a
t:% Address ? vi?l
: City/Zip Code,
'Phone ... ,.
Arch./Engr. Soer*,C, ?s A$
Address
, City/21p Code °
?
Phone 4 _.. , - , . ...
F:£:LJt'`?S'?..? `:t??r?4'n .:.4'e- ' r:(?1•`?j??J'`??J?• i.'?'ys?!??.. ?e+`f:?"??;?y
._.t N".:c ._ • ... m.._. _... 'i`!1.
.,. L
On site sewage Oceupancy
MdJCC system ? Zoning pp
On site well Actual Const Y-N
City water ? Allowable WN
PRV required ? # of stories
Booster Pnmp _ Length T'T
Depth I . Sb'- o."
S.F. Total
Footprint S.F.
-_i:,• - ;,:.
,,.: r:
APPROVALS t'• FEES
: u .
Engr/Assess rtPermit
Planner :Surcharge = 2 g , 00
Council ' Plan Review . , pv
Bldg. Off. :;"`SAC, City ; Oo. o0
Variance '? ;; jSAC, MWCC i: ?', , p -
:...,,... ;.:;
Water Conn J o?;..
,Water Meter 67:00'•
. ?:
i _.: Road Unit 25 O?
,k'?.Treatment Pl pi./;oo ' ?r • : Parks
?Copies TOTAL
!v? .v..?t
J., °?3L
?
•+.i",?.. . ?tva,'s?r'..>,,...._..:.. <i;:-::+r....-:k?.......?!:'?Ff?'?....?X?
.,:V; . .
'•L,'._ ';s .nt; ?'::.a.i* . y? r:.N''?. .w . ?:}•.. ?y.i?v r?,s+°n °.•y;x'rvr.li?Yxeri'LtRa:. ar'7+'iu,y"'N ?.?a? Ti r,?
...?'.?y!;.::.,a,s-',i:'M?":.. ,.. ..?,.?+° . .... .. -. . . . .'+f' t?T'?v"??,. .-a.?x,i,.r:',•..".':.?.i'.?.`?'.`9.i'?yf,'t?3.;_'>.:}'Ftt?7?G: _, ? .
':).??•? ?~`^;
'.,1:.... • .
VAL uq? N (?) tit
GA R-' AGIE ; Its X 20 = 360 X? u= SO4-lu
NouSE ', 23?/?? 34 = '?qy
?I x 5'/? .= z 2
_?--
?ZI X 62 = So9o2
SS9yZ
?'?z K L 7 ?( I 3
--??_-
s5 H?S
Ron Hrueger S ? AIIIIIIIIIIIIIIIIIr
AssDciates,.1"C; ?mll!I11111111111'
wammu?
8090 N'allace Roaa mmm?
(812) 934.4242 CERTIFICATE
'den Prairie, Minnesota 55346
OF
SURVEY
Engineering
Land Surveying
Landscape Architecture
Planning
Survey for. ZAul-44 MAk1 1320 Z Cn n-, ST . I Job No. $Z56 Bk. "?Pg. Y6
4; P)
929.8
Q
Q
r
93Z.3
AGAIV
VIEWED
5DM
?G D- -
yy:?.>>il
D9T? 14 - I P - A"?
PomVo REQUIRED
PRoposep ELEV.QT/oN5 XXX - OeNo7'ES EXI57/NG ELEVAT/o/J
LOyu65T FLa?2 - J/S- S ?EQ' ? ?XXX? - DENOTE S P2oPOSEO E4EY,q71v11
G?ARACaE FC.oo,e- 922.5 ?r - Oc'NoTES D11,76C7101,1 C?a FLOW Toi? oF FouNv,q-r/oN- 922•g oF SURFAcE pRA/NAG;E .
IHEFEBYCERTIFYTHATTHISISATRUEANDCORRECTREPRESENTATIONOFTHE80UNDARIESOF L-OT y. gLOCIC 1
GINNI?,-Wl011 (ZlD6r--- 4r..ML A.6U D4 A C T,MINNESOTA.
SURVEYED BY ME THIS J97N DAY OF APP-iL 19 $a , RONALD L. RUEGER
CT4TF RFRICTRGTIftnl r.1n --
Si:rr 1,DOia:SS
El:'ICRiOR E::V2::.01'E AVCRnGE "U" CGt11'U'in'PIOII
Cai 4/ -1
3 9 1-- v-- -1-.3 y 6
aaMav TnAi(_ ?
CO!J.^FLICTOR Zp.? /? /taS DnTE PFiotre g 93 - 0 7SS
Detezmine working square footage of each.
1. Total er.poscd wall area ..... IfZ'/-37 sq. ft. X
2. Total roof/cciling area ..... $ 2? sq. ft. X•G2C - I z?• 3??
A. Total wall window area ......................... 9-7'3
B. Total 6oor area ................................ 3 7• $` _
C. Total sliciing glass door area .................. -
b. Total firenlace wall area ......................
E. Total wa-ll framiny area (averaye io%) ...... .. .... l a/• (;9
F. Total Rim joist arca............... •••••••-••-- y7
G'. ToL-al fict wa21 area above iloor.••••••••'•••
GZ " " C/}nlT 4a, r
Total ex?oseo foundation area -? 9 S- '
H. Total fcur.3ation uirdo.: arca ................... _
T. Tot31 r.et £oatir3ation area above grade............ ys" X.
Deteizmine "U" value of each wall segment.
a. S7. 3 g ..U- ¢7 = 4 /.D 3 .
b. 3 7- g x?-v^ ./9 7 = ?- / Z
c. X "U" _
d. X "U" _
X ..U" , o S = $.(3
f. l4¢•9? x „U" , o?g? = G -¢c
g. 9150; Z/ a .,u- , dg77 ? ¢3" CS
a "U., . . O?J/ _ ?. Z S
x "U„ G 2r3G
3 ............... I...?3.3?.........Total =C // 3 •
II ilrm +,3 is t:ic sin:a ns, or less thln il-em il), yOu L:ire n:at the intcut of
: !iC GUOt: (c) 2.
Total c>:poscd roof/cciling area = g-L
J. Total >kyliolit arca ................................ 5- 9 5-
k. Tot:l roof/ccilir.g £rlmi.nq a:ca (average 101}...... 91• S O
1. Toial net insulnCCd roof/ceiling area .............. .7 3 3. SS
Determir.e "U" value for each roof/ceilin, s::gm•?nt.
j. S? 9 S- x„u,l
k. s r . ? >: .,U,.
i. ? 33, Ss_x .,u„
Z•
'g
, 02 c °?
' a .....................................Tot'xi = Z3, 9 2 ? 2/•'?5`
If total of °4 is the sar.e as, or less than #2, you h_ve 1*et the intent of
SBC 6006(c)i.
Altern3te rluildir.y^ Envelope Desiyn
To n,`.ilize the total envelope system r.:ethod, thc walurs cqtabiished
svn or iters r3 arn Ey shnli 7.Ot be grcater tho-n the sun ot it?..s ; i ancl P2.
+ 2. ?2•
?
z
3. ? ?i3• ?+4. 3.y? - 137.?s
.? _' • '
. ?
. ??
/;?-,?
r
..? •-----•- ? -
c Pd lteac flow
? ?-- u p
FIG. n5
..FIG. ?6 .
3 h
}:0:;-\'ii::1 zD
? . Tr.nL
r? ... ..?
5 n
???? ?
Conr:Lrur.Cion (U-,c fo[ Itr_m L) 1:=V;i]nc
]. Inlcr.ior iir film 0.61
2. 57$a Gyp. &Dard ? 9
3. ?? z-i? - --- - -
CeLru7ose
q, T:>:Ccricr .iir fi lm (::t:i] 1) __? OZl
Total ¢1, V
u=
CLG. FRAFf!t:G(ITse for Item K)
1.
2. Intcrior nir
5/8" G,yp.
- - film_
Board
- 0.61
.69
3. incii^s soft wood 3 1z" 4.38
9. Inchcs insul above franing `z-
S, nir Film LJ
•
1.
-
Interior air
film 'fi3t?l
U ° 37. 9_
i02G -
0_61 "
2. • •
3.
4. Exterior air FiZm (still) 0.61
, Total
0.61
2.
•• --?
3.
A.
5. Oute;idc air fil:n 0.17
Tolal
1.'?lc: l?_:c a:13iLSonil ::hccts if maru ?i?: cc is
inr drtnil:: and ralc111:1tioii.^..
.
v
Ieat :loc, up en[ed
r • - _ --- --__-- __-'
-r
_ ' ?,I.t.,::?-r ; t?.•:s
?. • ?__ __
,urn for
fcoii:.ll'UCC1Gf1
• -- ?- ^
L•
k' I G. 1} 1 .TOI'V T L'11 OF
2'F:IufE WnLL
FIG. 92
:sl
IGTI
?
Cnn::Crnct ion I:-Viluc
1. 7ILtS1_ior r?ir fi)m_ 0.60
2, 2„ GVp. &oard. ,43
?--- ?
3. 3z ?nchcs sofr. ,.??or?
4? Thermax Sheathing -6.00
S. 'Irib" Hardboard Siding
6. F.xlcrior. iir film = 0.77
' T'otal 12.35
U = .08
1.
2.
3. Intcrior air film
Z " Gyp._Pnard _ ---
R- 13 Fiberglass Eatts 0.68
-_ .45
13.00
4. Thermax Sheat}iing 6.00
5. 7/ ib" fiardboard Siding .6Z
6. )ixtcrior air filn 0.17
1. `------- Total
U =
7ntcrioY air film 20.97
.0477
0.63
z, R- 13 Fiberglass Hatts 13_00
3, Rim Jst. Sof1'twood
- 1.88
q. 3T4" Thermax Sheathin
g 6.00
5, 7 1" Hardboard Siding .67
o. Exterior air fil:n 0•17
1.
2,
• ;, Total 22.40
u = .0446
Intcrior air film 0.68
- Thermax Sheathing 10.00
Conc. 1.11
• 4.
5.
' G. Extcrior %ir film 0.17
Tctal
. . U = 11.96
.0836
----- ?O ? ?
.-i-j
?c ? . •
?h•.'?'; `. -- ;
? " • ( • ??/ //r
? •_? -1
_:..r
'
SLTII Oti C!LADE
• _?[= ??T lr? K . ? _ . ?? _ . . ` - :
r'
, r • , \
? I(((-( ? -• ?' ? , a?. ,• • 11? -_?
/!1 ? • ', ' . ' • './(???t
F7G. VA ` ?. •'? • , ' ? ???
. ?n ? •. o ? ?ii =
•- ? •_ - ?
-• ? -? -?-=? ? ; ; ???
? /rr??l ? /ir
CITY OF EAGAN
^TOTW,: PAYMh:W OF FF? AT TIINE OF *
r,PPIZcATIoiu ooFS Nar coNSTzTUTE *
APPROVAL OF PERPffT. *
APPLICATION FOR PERMIT
? INSPF]GTION oF SE.FM APID/OR FIICER ,*f
? ipSTAr.ramrONS wiLL NOT BE ScHED- *
SEWER.AND/OR WATER CONNECTION ?.ULED UNTIL PERMT BAs Bm *
- . .. ..... ., . . * ArPROVID.
... . ?
. ,. ..
.. ., . .
. .. * , . ?
., ..
..
..., .
_., :.:.? .. ._ _>.... .. , .
. _.._??... ?w.......,_.? .,..: ... ...y.. .. , »_ . ... .. ,. _.. _ . _ ._ . x
...?...? ..?:;?w*?._. ._ . r
*??***,r**x***x*******r#********?**,r*
P ease Print
1 J PROPERTY ADDRESS : 4396 C1 Y111dmOn Rl dge Trdi l -
LEGAL DESCRIPTION: -
Lot Block Subdivision or Tax Farcel In
IF EXISTING STRt-'CIt)RE, DATE OF ORIGINAL HL'ILDIN^v PERMLT ISSCAN('E:
P12ESENP ZONING/pROPOSID USE: (A7on Year}
COMA7EFtCIAL/REPAIL/OFFICE
0 IPIDC'STRIAL
? INSTI2LrI`IONAL/GpVERNAENT
2)
Q R-1 SINGLE FAMILY
? R-2,DDPLEX (ZWo Onits)
? R-3 7C)WNiOL?SE (Three + Units) ( Units)
p R-4 APARTMW/CONIDOMINIUM ( Units)
NA?E: K and K Heating and,Plumbing, Inc. .
ADDaESS: 6011 Lone Oak Road -
CITY, STATE, ZIP: Rockford, MN 55373
PHONE: 477-5505
3) c?• -
NAME: Same as # 2
ADDRF.SS:
CITY, STATE, 2IP:
PHONE:
MASTER LICCENSE# M2099
r.Lurners i.icense:
Active
Ecpired
Not recorded
. Sta£f Inltial
4) ??• • i?• ---
Ne,i-2:: Zachman Brothers Inc.
_ AnnRESS: 4620 tdest 77th Street suite 104
i CITY. STATE. ZiP: Edina, MN 55435
PHONE: 893-0755 •
•5) :? ? r• • ?• : ? • a? ??
? C0N[18(.?'ION 70 CITY SEWER La CONNDCPION 'il7 CITY WATIIt Q OTf?R
6) ?? • • i a PLFASE HOLD ApPROVID PERNIIT F'OR P/I?CK-L?P BY ONE OF AHOVE
? PLEASE MAIL APPROVID PERMIT Zt? 1.{ 2) 3, 4. AHOVE
(Ci'fcle one)
7) u r. r• •- ?(?ly? ??Y?1(?2? ??- 4-25-88
FOR CITY USE ONLY
PERMIT # ISSCED '
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ S ? DS ? WATER PERMIT (INCLODE SLRCHARGE)
$ ? T /J O $ WATER METER/COPPERHORN/OC'TSIDE READER'
$ $ WATER TAP (INCLC'DE CORPORATION STOP),
$ $ SEWER TAP v' $ ACCOUNT DEPGSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
s S s fl ' o-0 $ WAC '
s $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ • LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
s $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
`T
S
1,e 0 ' 5-1• e"
/
/ $ TOTAL
O ? -3 0?,3 2-6 ? .
xECh1P7' i?
? xECEIPT
DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PLBLIC
Q
NO ROADWAY" MUST BE ISSCED BY THE ENGINEERING
DIVISION
LIST AS A COND
ON
. .
ITI
SCBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*107.4:: PAYMFTTC OF FEE AT TIlM:.
APPf.TcATIoN noES rx.rr omsrridi
APPROVAL OF PETttqT.
?
Il15PF7CPION OF SES?R ADD/Cd2 HAT
ru<,^mnr.raTrONS WIIS. NOT ffi ?
UI.ID UNPIlL PERMIT HiS HFEN
APPRC7VFD.
* . :r *=
?
***x************* ?+r
****#***?rs?#*
t_L, j
" P ease Print
,
?•?;Y!;:
`
'
1)
sv; °. PROPERTY ADDRESS: 4394 Cinnamon Ridge Trail •
.<?:?;•-.>.
?s%
LEGAL DESCRIPTION: 1g
'?. Lot B ock Sub ivision or Tax Parcel
i . . ' ' ID
l
- g' EX¢STING STRC'C![JRE, DATS OF pRIGINAL B[!II,DIN:, PERMIT ISSL'ANCE: • _ . f ?
'E I-bn Year
PRFSEBTP ZONING/PROPOSID LSE:
_
.q •
;- [I CONA7ERCZAL/REi'AIL/O.t'FICE ? R-1. SIN,,I,fi FAMILY
-
T
;? . ?
!w IDIDCSTRIAL
Q ? R-2 DL?PLEX (1Wo Cfiits)
• ?{,? {'F
. INSTITL?TIONAL/GOVERi?p ? R-3 ?IX.?SE (Three + Units) ( thiits)
:"'•'
`:
?'F. ,
Y
^'iJ; \"''
?
. [j R-4 APARTmENP/COmCX+IIDIILfi1 v
( Units
NAME=K and K Haat'ina and Plumbina Inc.
-
ADDRESS: 6011 Lone Oak Road - -
*??
CITX. STATE, ZIP:Rockford
MN 55373
.
?PHONE: 612-477-5505
r' ,3) I
'?: ?• For C.ity Use
?
;;?,•:t' NAME.
Same as # 2 Plwnbexs Liaes?se'
s;,?1i.
ACtlVe
ADDRESS:
. .
? rfTn
C2rtR? 11/ T ?L11LI 41G:
}.?
y'):.:_,
??y`L?
7 .; I
!y; ? PHONE: MASZ'ER LICE?TSE# M2099
;? 4),
;??: •. • i?• .
• ,.,?„3?::'?
::.
;
..:•.
:
`? ; Neatrc: Zachman Brothers ?
;
:
? _' ADDRESS: 4620 West 77th Street Suite 104
.
. .t{:•.:::
CITY, STATE, ZTP: Edina, MN 55435 '.e4 •r,:
PH0NE: 612-893-0755 • ' ;,,';;;
. . . .'I.:;• ;T:i?'.
=j:'., S?
y ?? M: ' 71' C D • 0? 7f . , . ' .
' -,'J..c j:Yi"?;•
Z
CON[7LTION 4t7 CITY SEWER ? CONI7CPION RC) CITY WATER ? ' ,?sa....
0'MEMR
i,.. 6)
! ---•-- ="?
?? •' ? r [? PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE
PLEASE MAIL APPROVF9 PERMIT TO 1, ? 3, 4, ABOVE
i .:`•=' .;
. ;..
• .. :
;?<{
' ? ` 7 )
- r
, /? ? ? • ?C le bne)
?? 4-25-88 I
" ' 1' ' ??-?1/1 • ( ?--C.60LZ9C1??5?- ?
? ' • `f" • Y' IC ? ' • ? • ?' •? • ? ' ? 71• . 1? 7i' • ?1' ? • 71• • ' ?? • ? ? '.
f?;, • h M• D. ? ?1.!• 'tlD/ 1 11 ?I ? •• 31' •? •? :Cr?Y?"
?;;..i?, ? • ' - "
??
-_ __ '. _ ... ...
,? ..... ___ .__.... -
°; <, ?
fi?.: F? . .
FOR CITY i0
' . . .
USE ONLY
..\ .
. . ? ? ? . '
..
5ERMIT # ISSUED .
'
> ,
.
' ?
..,,,
•
>d w/Bldg. Permit FEES:
>` • ? S /O - ? 0
SEWER PERMIT (INCLUDE SURCHARGE) <.
WATER PERMIT (INCLUDE SLRCHARGE,).'„';?
WATER METER/COPPERHORN/OL'TSIDE READER; ,?
>'??:?-r=;`.:?• ?? • ? $ WATER TAP (INCLUDE CORPORATION STOP).";',,
SEWER TAP
>=:?::,.' ?: , '' . y • ?4j ? (? j? ACCOUNT DEPOSIT - SEWER '.;L,
. , . , • ? , ' ? -. '. 7?,
ACCOUNT DEPOSIT - WATER ,
?
' .??a • ??
?' $ WAC ?
i ? .SAD 0-0 $ SAC
?? • $ TRUt9K WATER ASSESSMENT
TRUNK SEWER ASSESSMENT
>'??. ' ' ' $• LATERAL BENEFIT/TRDNK SEWER
;:li, i?.. ; . ? , .. ' ? ..? .r.,r'jT.:M.:•.'Ija?P_:
LATERAL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
?.? $ . • OTHER: ' ? ... . i;
?A`i: ?/ r? -7 .
>? 'f "/' /??L? C7
$ s-/` 0"?Zi ? i • . . ? ? ii.il?
TOTAL
5
/
:;:kECEIPT kECEI T-
t.y` _. . . . . ' . . . ' T .
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN P[JBLIC RIGHT OF WAY?
'??`•?`.f`I ?--^? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PIBLIC
L
ROADWAY" MUST BE ISSUED SY THE ENGINEERING 1,. ::•:
;c;;^,.;,•;;;?;, ? NO DIVISION. LIST AS A CONDITION.
.. .. . i a, rts . .
F.'.•,;..,.1.':.. : ..:r . i ?. . . . .. .. . , ; , .:'i?:.':.':r!i?.
SUBJECT TO,THE FOLLOWING CDNDITIONS: " ' °1?: . . , .: . ? ' . , ' ' ' ' • . ' . - . -:b ?,
i
APPROVED BY:
?O-ZlJ?j
TITLE: ?
DATE I:
I
•?i
PERMIT# q p RECEIPTDATE:
RSIDEP17Ad. PLUM$IftCi PE"Tf Aff LICATIOft
crrY oF EasM
3$30 PIUT KAOB iiD
EAsaA. Mx 55122
651-681-4675
Please complete for:
? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for ircigation system
SITE ADDRESS: ?? LQ C? fl C\Q(Y'?`OY?. ?_ ? C? •,??a/?'? SSI Z.Z
OW NER NAME: : TELEPHONE #: CJ 1 Z _? t I
c„? NIV-T (AREA CODE)
\ ??."7'?l_ `` n
INSTALLER NAME: TELEPHONE #: rJ0-T
STREET ADDRESS: t?[U? S?- l.J (AREA CODE)
CITY: STATE: fr\t'-j ZIP: S CQd
Place a eheek mark nart tn the errmit work tvoe
New residential dwelling unit under construction and not ownerloccupied $ 90.00
Add-on, modification or alteration to existina dwelling unit, including: 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround ?
La?
? ?t4
?
,
_
Nature of work: "?
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
r
r
T
l
t - ---
??
$?"
o
a -
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water gotteners, etc:
luL;
I herebyacknowledge that I have read this application, state that ihe informatlon is correct, and agree to complywith aUapplicable Ciryof Eagan c
i
is the applicant's responsibility to nody we property owner that we City of Eagan assumes no liability for any damagas?aused by the Cityduri
operationai and maintenance activities to the facilifies constructed under ihis pemiit wW. City property/dght;, -vv?ay/easement,,?/
`
SIGNATURE OF PERMITTEE
Updated 1/01
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ø
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ü
Üãö
õ
ü õ
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ó
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ñ
ï
ö
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ööîü î
ø
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For Office Use I(-6_
` t : : /...‘":-. 9---<:00 E AG A N
a!' i ; �r° :::: -
Date
._..,
�..� .... Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinoinsoections(c�citvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 Site Address: "l J I q c i nf,Q.tron / / / / Tr I Unit#:
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// Name: 1 ►l 6 BlA,t Phone:
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e a% Address/City/Zip: 023°111 U
P i naot(Am eilti,e Tr I
(;,'/'�%,i/'/ / // Applicant is: Owner Contractor
// ®� i"/ ,�, ,' Description of work: he r a piaCt sat i en 1/1 kr- Lfitex
, ; Construction Cost: 2��� Multi-Family Building: (Yes X /No )
%%/%/// Company: Dantvit4
p y: Ave csth Contact:
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// Baypprt R S 201
% Address: 1•e40 v,MN 55426 City:
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i
/�// / State: Zip: Phone: Email: OY4-r0.f. ,
1 . ' '///%//,,,„,
/ '
/�,, /, License#: uo Lead Certificate#:ART-Fill L .
If the project is exempt from lead certification, please explain why:
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:
IFire Suppression Contractor: Phone: I
4'7
"Tr
.77
a0 �.9 s /ra e a o a ..,y,., y 9 ', kp _ �yf %��.'`®/ ,�//////
9� c G z a x� 0 x x e ¢ or77 S
ii.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
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.qopherstateonecall.orq
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 ork is not to start without a permit; that the work will be in
accordance withtthe approved plan in the case of work which requires a review and appro f plans.
Applicant's Printed Name Appli ant's Signature
P-tirrn,`‘ 4 ER l b 252°1- pw 1 'r're. \P-I• sti v"