4401 Cinnamon Ridge Trf
ciTY oF EaGaN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
4 n n i
eUILDING PERMIT Reu+pt #
Site Addreat
Lot Block sec/Sub. '
Parcel No.
K Name _
? Addreas
p Nane .' .t:
Addrest
Citv Phone
Nsme ? .
1 hereby otknowtedfle that 1 how reod rhis opplitotion ond store thot
tM informofion is correct ond ogree to comply with oll applicable
Stofe of Mine+esota Stntutea ond City of Ea9an Ordinontes.
Sfpnoturo of Permittes
Erect 0 Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Enlarge ? No. Stwies
Move ? Langth
Demolish ? Depth
Grade ? Sq. Ft.
Assessment
Water 3 Sew.
Pol fca
Fin
Enp.
Plonnsr
Council
Bldg. Off.
APC
Var. Date
Vertnit "
Surchorge
3
Plan Review.
SAC '
Woter Conn.
Woter Meter
Rood Unft -
Total
h Buildinp Parm1t is issued to: y .. o^ tM eVress oa+ditb^ that
a!I work sholl be done in accordonu with oll npplicoble State of Minnesota Statutes and Gry of Eopon Ordinanas.
Bufldinp Official
Pwmit No. PKmit Holdw DaH TaI9phone #
Plumbinq ?J4 ? S
H.VA.C.
ENetrie l? I' O0
8oftaNr
Irapwion Dan Insp. OthK
Footinps ? /+Q
Foundstion
Framin9
Roofinq
Rouyh Pibp. (,??
Rouqh HVA G ?? ? rq ?6-?/ •
Inwlatroe G /143' ,?v •
Final Plb¢
Final HVAC
Final
Grt/Ooc.
Wmr Doscribe Lotation:
MII
SavNr
Pr. Dbp.
.- R
eviLoiNG PERMIT
- • - - TWIN
aeceivt #
$49i000 ..?_ f ic1L 1e '? 5
4?I tl J?: , f, r;, Erect
Site Adclreks
4 " Remodel
Lot
Block Sec/Sub.
Repair
Parcel No.
Enlarge
?
1
Name - --
.,.
Addre;s,,-2,', Move
Demolish
Grade
I her+eby ocknowledye that I hove rend this opplicotion ond srote that
tM inlormotion fs correct ond ogree to wmply wifh oll opplicable
Stote of Minnesoto Stotutes ond City of Eapon Ordinancas. ?
. . ?
Siqnoture of Permittee
.? , -- -
I? Bulldinp Permit Is issued to:
oll work sholl be dorw in xcordonce with all appliwble Stote of Mir
Buildinp Officiol
CITY OF EAGAN
MN 55121
?l-o- 10020
3830 Ptlot Knob Rosd, P.O. Box 21-199, Eagan,
PHONE:4548100 ?(o L] oca,pencv
? Zoning
? Type of Const. `!
? No. Stories
? Langth
a ? t.
Nssesunent
Woter a Sew.
Polite
Fire
Erg.
Pla+ner
Countil ?r_
BIdg.Off. '
APC
Var. Date
Permit
Surcharge _ . . . J
Plan Review^
SAC , . u
Water Conn.
.,.. . ....
Rocd Unit
Total
on the expross conditlon Iha+
Statutes ond City of Eapon Ordinantes.
Mrmk No. Psrmit HoldK Qtb Tele ho
no #
u?,i?
?
?; 10
0? s
?l s
5g d
H.VA.C. 14
l9 J
7 '??'?
ElsetNc Ot 04 T 7. (SO
Softenw
Irwection Date Insp. Other
Footinips
Foundation
Frami
np
Roofiny V
Rou¢i Plbp
Rouyh HVA 5,
Inwlation i
Final Plbp.
Final HVAC '
Final
Cwt/OCC.
wmr Dhcri6e Loatfon:
VYell
So"r
Pr. Dbp.
CITY UF EAGAN Remarks
Addition CINNAMON RIDGE 3RD ADDN Lot 13 Rlk 4 Parcei 10-17402-130-04 y?
Owner Street 4403 & 4401 CINNAMON RIDGE TAte EAGAN MN 55122
Improvement Date Annual Years Payment Receipt Date
STREETSURF. 0 925 • 1+4 C01041 6-2 -8
STREET RESTOR.
GRADING
r
SAN SEW TRUNK 1973 6.81 15 13 • 9 11
* SEWER LATERAL
?
1$ 3239.50 647.90 5 25 1• 0
WATERMAIN
* WATER LATERAL x 1985
WATER AREA 1973 131 .44 8.76 15 17 • 5
* rv c 1985
STORM SEW TRK 1979 381.69 19.08 20 24 .13
*STORMSEWLAT x 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. 10 9&I0020
sAC 525.00
PARK
Jo?sff ?r?t e ?Zpo.t.
Cf?it[. ?ott•v•f Mtt7 f?MN
AS !?!E
?lI/16Lf, 13t?! .ts Al
Atf> ? ?`? ? tf?
?
?
S ?
? s << 0
i
a r
? .y << ???c
?
' CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
M Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
,.
SITE ADDRESS: r : ., APPUCANT: .
; ,.,, ; ?r?Wpwur? kt(???f ?t. ,,?;? , ???:? ? r?i
? I IJ1?i"?II???J i I f???k :i??(1 ?„ ?. „?•I rr. ::1
PERMIT SUBTYPE:
lif; i ? NO,•.
TYPE OF WORK:
F I NAI
F
L
?
?
Penmk No. PermR Holdar O?te • Telephone i
ELECTRIC
PLUMBING
HVAC
InspecNon Dab insp. Commenb
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBIN(i
PLBG
AIR TEST
FOUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FlNAL
DECK FTG ' 1Z
DECK FINAL liS. C]S
1
r-
.. 111 ??t ;.?uAn,
3830 Pilot Knob Road
P. d. Box 25199
Eegan, MN 55121
Za?irq: '
ayner. lnVri c
Size:
Reoder No.: 1 yrw to amoly wltb l6t C.itY of uyen
OI'dIM110M.
WA'EER SFRYiCE PFRMY
PERMIT NO.: ?
DAT'E:
. No. of Units: dttn].eX
Connsction Charpe: Sn n_ n o pd_
6cpou?tAeppait: 15.00 p d
Permit Fee: 10•00 pd
Surcharps: ' O D `I
Misc. CFarpes: 132.00 Rd
Totol:
Dote Paid:
ctrv oF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road 7'?49
, P. O. Box 21199 PERMIT NO.:
? Eagan, MN 5? `?1?1 ??:
Zoninp; No. of Units: uP
?.
Owner. Je. ea .; t.rs
? Address:
+ , rnat.ion iti;•e ?.:irc e r+ Ci.nn
Stte Addross:
' PlumbRr:
' 4- 2-?,? =) •
?
? 1 p? to aomoyr wN6 tM Cthr ef 90900 Conrnction G+arpr 425.0
I Ordiaenaa. AccouM Deposit: 15.C
? Permk Fee: 10.C
? .5
Surcharpe:
gy Misc. Chorpes:
Dote of Insp.: Totol:
tnsp.: Dote Poid:
JF i..?...r.r,: WA'!ER bER1r1CE POIVIR
3830 Pilot Knob Road
Box 21199
O
P PERMIT NO.:
.
.
MAw 55121
Eagan DATE:
,
?
; -
No. of UMts: U?
- .
?
-
- •
r
.w
.
". •a
?
.
?Add
reas: ? '' ? '
itt
B L
Ci ?
-j
•
lumber
r No.: Cowectian CFwr9e:
.
5
.??.
S/ a IL t, G Af ?-. `k ?" L_
Si U AdAu opbAt: ?
ze:
aer No.• . m??- a° 7 y?
r? ??ir F?: 1 c, . o o ,:; <;
¦
f E
C rdharge:
S .50
oyr
Nq o
1 yrM te oowsPlp MrNh 1he u •
ordtw.nw?. Misc. Charoes: ,?,
i z?, r ?,,;
f? ?
/? Totai: '; z li1 i ,.? ,-,P rer
?
o.. ? [.c.Xw,?.iCY Date Poid:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ;
5121 DATE:
Eagan, MN 5
Zoninp: Fa No. of Units: i.i duplex
DF`!rics :.l•'.r3
O
wr»r:
llddrcss:
Site Address: 4101 Cinr_a-ian 'i.doe ('ircl.e L13 T',:';_
Cir.aRiQe 3
::iaylvck Pib?
Plumber:
4-:?-85 5059F _ pd
.
425.10 pd
I ym to osMohr wuh th. CRY of ENo. Connsctton Goroe: 00 Pa
15
o.ri..nces. Account Deposit: .
10.00 pd
Pem+it Fae:
• 5Q p d
Surchargo:
gy Misc. Chorpes:
Dote of Irnp.: Totol:
1 nsp.: Doh Poid:
• CITY OF EAGAN
- 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
? PHONE: 4548100
BUILDING PERMIT Receipt
T. ysioid U, i OF TWIN HOMFst Val.e +549 ,000 cwe APRIL
simaddren 4403 CINNAMON RIDGE TR
Lot 13 Block 4 Sec/sub. CINN RIDGE 3RD
Percel No.
g, Neme DEVRIES BLDRS
Z Addrass 7564 MARINER DR
? city MAPLE GRV pnone 894-6805
0
Z
°V
ul
1-
Neme SAME
Address
City _
Phone
FW I Name WILLIAM GAGE DESIGNER
xZ-,u Address BOONE AVE
?W City BROOKLYN $gone _
I hereby ocknowladge that I have reod this applicohon and sfote that
the inlormotion is correct an4/ooree fo wmply with oll applicoble
State of Minnesoro Stoturos ?cyCfry oPEagpn Ojdi?ar?ces? ,
Sipnoture of PertniHee ??ilw-.X M /?Va ?Y
A BuUdiny Permir is iss„ed ro: DEVRIES BLDRS
oll work shcll be done in xcordonce with cll a li ble Sfat o.ir
(y0- 10020
o06
85
Erect IN Ocwpency R3
Remodel ? Zoning R4
Repair ? Typa of Const. V
Enlerge ? . No. Stories
Move ? Length 24
Demolish ? Devth 64
Grade ? Sq. Ft.
Instell ?
Aoworols Faea
Assessmenf _
Water & Sew.
Police -
Fire
Enp.
Planner -
Council _
Bldg. Off. 3/ 6/ R 5
APC
Var. Date
Permit ? G / a _ ? U
Surchorpe 24 - 50
Plan Reviaw 1 99 7$
II SAC 525.00
? Woter Co,,,, 500.00
? Woter Meter 6 3_ 0 0
Raod Unit 280.00
T.P. 132.00
i Taai $1, 942.25
on the exprcss wndiHOn thai
Statutes ard Ciry of Eayan Ordimnces.
Buildirp Officiol
CITY OF EAGAN No- 10 019
. 3830 Pila Krrob poad, P.O. Boz 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8700 11AN:eicr # ?ao
T. y. wsd (er '°'i OF TWIN HOM&.yoim $49, 000 pote APRIL 2 19 85
She Addmas 4401 CINNAMON RIDGE TR Ereet 0 .Oavpanq R3
Lot 13 gl«k 4 Sec/sub. CINId RIDGE RD Remadel ? Zotdny R4
Repeir ? Type of Conrt. V
Parcel No.
Enlarye ? No. Storias
DEVRIES SLDRS Ma'e ? l.argth 24
i IName 7564 MARINER DR ?olish ? Daptn 64
? Address Grade ? Sq. FL
Citv MAPLE GRV Pnone 894-6805 Install ?
`
F
wame SAME
Na„e WILLIAM GAGE DESIGNER
qdd,,, BOONE AVE
cay BROOKLYN Pigo„a
Permit $ 278. S O
So,d,,,g, 24. 50
PIm Re%iew 139.Z5
5qC 525_00
Wahr Conn. 5.00, 0
watN nnero. 6'1 _ n o
Rood Urot 2R n_ 00
/lgesvneM
woMr a Saw.
Pallce
Firo
Eno•
Planror
Cauncil
I hereby «knowiedys +rat I rwMe Rae this appiiwnm ond srore thar Bld9. Off. 3/ 6/85 I T,. P. 132.0
0
the inlomwtion iz correct o ree to c«ndY with oll appIicable APC Tmal $1 _ 9 4 2_ 2 5
--.----
Stata of MinnesoM $totutea Ciry`o( EaQan j irw ? Var. Data
?
Sipnatwe of Peimiltea
A BWldinp Vermit is isuxd to: DEVRIES BLDRS on t1» eHpen oordltlan thm
dl work sFall be done in amrdance with oll appljoobb Store qrgMywsotn Statuta and Ciy of Eapon Ordinanrot
Bulidinp Offidd
.
0Olz'R-l
BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ?2DF TW fN ?6M5 Valuation: 49,Ofk?.S? Date: a-0741 Yf r-
Site Address: 440I IANNAMON KILYaE Tg. , OFFICE USE ONLY
Or c l? 9-,%X
Lot: ? Block ? Seet/Sub Erect ? Occupancy
Remodel Zoning
Parcel Ik _
Repair Type of Const
_
Enlarge U of Stories
Owner CC-' ? i ?-S (3 L,p/Z Move Length
Demolish Depth
Address y? q,@iu?2 Grade _ Sq Ft
Sss6s
City/Zip Code M AOi E G Ru va' /h A,) ------------- ---------------
Phone ?
? f rjcl APPROVALS
Contractor 5,4 Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone
Arch./Engr.
Address
Council Road Unit
Bldg Off Parks
Cq6c pc?kcNz-A APC Treatment P.
Variance
{1L6r-
City/Zip Code /3Rw1[1-y.r/ pa2i<
TOTAL
?- 4
Z-1_
(-4-
l 3?. 25
5vo. `"-
?3 . `?
280.m
l??a,as
Phone ll
. : ,'M . / e)-vC=2-o
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED ilITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ??2nF '(wiN NoME Valuation: 1,QC°J, ILp Date:
Site Address: 4403 CINNAMON glXiE 'Tp-, OFFICE USE ONLY
5a1?+1/7. or- GIkNAMoN
Lot: 13 glock g' Sect/SubCOOE 3R= Erect ? Occupancy (Z-3
Remodel 2oning V- 4-
Parcel # ? Repair ? Type of Const ST
Enlarge # of Stories
Owner Move _ Length ?
Demolish Depth (PA
Address Grade , Sq Ft
City/Zip Code ? ---------------- ----------°--°-
Contractor ACe iZG6o ir?l.o APPROVALS
Address Assessments Permit
Water/Sewer Surcharge 24,'a
City/Zip Code Police Plan Review 13q.?
Fire SAC 525,°-°
Phone U Engr Water Conn SoO.
Planner Water Meter (0300
Arch./Engr Council Road Unit ?,oO
Bldg Off,3 arks
Address APC Treatment Pl 132' °=
Variance c
Phone If =OiAL J)
7 ?a?aS-
'CALVIN H. HEDLUND
Lond Surveyor Civil En9inter
9609 Girord Avenue Soutn
Bloominqton,Minnssora 55431
Phone: 8 B 8-2080
SURVEY FOR: Jolm DeVries
OESCRIBED A5: Lot 13, 131ock 4, CINN,'UpN PID(T 3RD !1i)DITTON, City of Eagan, Pakota
Couilty, A1innesota cmd reserving easements ot record.
?
\
i Top of Foundn-cion _ 917.¢
' r
•- `" j8 28 Zo "\ '` Base??nt Fioor = 914-•3
??V =j Z6.S R Car49e Floorr `j/7.?
Ptoposad EleVnrtionS 4=>
Exisci..y Erevacrons ----
'o `r'- Dra;naye Drrecc?ons -
Denotes Lot Corner O
N
.?
o V IU,C?) ?}qlc¢c
? ? ? • 47g -?
V) 00 \ `
/ --
x?
, r •
10/ z? ? ( ? / ? \ q+?9
? L
? ??• / ?{s o \? •
lo'? 5ta s
?-
'?
a GIN??PVJ\
CERTIFICATE OF SURVEY
I hereby certify that on //L`I>lnS I surveyed the property described aDova ond thot
the above plat is a co-rect representotion oT soid surve,
Calvin H. Wedlund, Minn. Req. No. 5942
''i
?
i 2/84
CZTY Or EAGAN
APPLICATION FOR PERMZT
• SEWER AND/OR WATER CONNECTIODT
(PLEASE PNINT)
?i 1) PROPEKI'Y ADDRESS:
? 1= D S PTICN: Cf 1T ?
(Lot/Block/Subclivisicn or Tax Parcel I.D. Nlm.iber)
' .S'r' 5'?'Pl'CTr^.2E, DAT:.' 0F ORIGuIAL 'u;2I.DP:G Pf:?_IT. ISSZ;?.:C?:
-e.r,
P.iZF.SENP -_^:]P•F:/PpOP05ED IISE: O R-1 SL;GL: FPM.ILY
?R-2 GUP7?{ ('ITti UIIITS)
R-3 1CI.,:i'??C{JSE (TI?.°.= + li:IITS) ( Wi ITS)
? R-1 A2:uZ'T=I'/CC29,II`]IUi9 ( L7PiITS)
Q CCM_?.T?CLAI./REfAII,/OrFICE
Q ItiT?tiSl. T
Q LVSTI:L'TIOJIAL/GGVE.RNM&%T
2) APPI,ICLV,P (PLEASE PftIY()
r?r?: _?/?t/ /?C° P/c( rii b r/1 C-, n?ikalr/
ADDRESS: ?X "3/ - C/
CIT1, ?ATE, ZzP: id
PHOLNE: 96 j '- ?7 S? /
3) pLUffiER
NPME: PlEASEP 1T)
R 0 (?o FOR CITY USE ONf.Y
ADDFtESS:
-7 -7 - PL(1F18ERS LICEHSE:
Active
CITY, STATE, ZIP: !,? h d Expired
PHONE: (? ?p 7 MA? I
p ? - /<Sc7/ PLUMBEA LICENSE # Not af Record
SEa fTn?it3'af-
4) OCC[7P71NI•/a?T[,IEF2 j? (PLEASE PHIN )
NAME: -!? G L?? ! E' S G( l I?C' ?-?
ADDRESS: JJ MAI?. j n F P2v-) /(/L,
cri^r, sraTe, ZIP: /'h pi GA? od?. 4Y) n i S53 ("Z
PHONE:
6) If1DIG= C.E:
5)
INDIC= LVHICH PEEMIT IS BEING RfQUESTID:
19CONNECrION TO CITY SEWER
CONNECPION 'IO CZTY S+TATEft
? C/"iEiER (PLL'ASE DFSCRIBE)
? PL.EA.SE HOID APPR(NF.Q PMNLiT FOR PICf:-UP BY ONE OF AB(NE
F PLFASE b*AIL APPROVm PER?LIT TO 1, C
) 3, 4 AHOVE
(Circle one)
? naxE:
?F-71 4-cz .1-l
7) siCZ,=RE:
!Wa140LAVrJY s i ea ?cY:aar.a ae s RROias?.? ai s rsa?ss?:ia a[ r.eati?.as?.? ?" a,s Rs a ?
.
3
? I
•
F 0 R C I T Y U 5 E O N L Y
PERMIT '' ISSUED
FEES: $ ? xd.y d c;
Sz`?roiER nc ? Bn1._T_T (I_ICL•uDE SU?C
?RGE)
.
.
$ 1 D.'??'d WATER PERf4IT (INCL'JDE SliRCHAi2GE)
$ WATER METER/COPPERHORN/OUTSIDE REr',DER
$ WATER TAP (ZNCLUDE CORPORATIOU STOP)
$ SE'dER TA?
$ ld!. `-d =CCOC_:^ ..:.?GSL - a_:.?3
$ ACCOUNT D-POSIT - G7AT°R
$ WAC
$ SAC
$ TRliVK SPATER ASSESSidENT
$ TRIi:IK SEWER ASSESSME:iT
$ LATERAL BENEFIT/TRUNK SE?4ER
$ LATERAL BENEFIT/TRUNK WATER
$ OTHER '
$ TOTAL
$ ed AhSOU:VT PAID/RECEIPT ? r o 75P/
DOES UTILITY CONNECTION REQUIRE E XCAVATION ZN PUBLIC RIGcIT OF WAY?
? YES IF YES, THEN A"PERMIT FOR TAORK WITHIN
-/ PUBLIC ROADWAY" MUST BE ISSUED SY THE
NO ENGINEERINC DIVISION. L.IST AS A CONDS-
TION.
SUEJECT TO TEIE FOLLOSJING CONDITIONS:
APPROVED BY:
TITLE: e-?
DATr: 8?6r
•Ns?"Ws IMMAG MUw Wc=0a Wkw w:M w =w 0?:ft wsg 9lU+ MWrt W:M wsq 8%?=w*Wse MJWw.a ?=MftsjW
w ?
1
2/ 8 4
?
CITY OF EAGAN
APPLICATION FOR PEILMIT
• SEWER AND/OR WATER CONNECTIOPi
(PLEASE PPINi)
1) PROPEFYPY ADDRESS: Y TJ Ct_ 'rl o ? Cj L
LEf'ylL D ?IPTICN: f, CfI 7 c
(Lo t/Block/Si;Y-?d.ivisicn or TaY rarcel I.D. vunner)
S'?'FL'=E, I7AlT:: OF ORT.Gi II1L .=ii2I.DP:G r=:-1IT ISS?;?-NG::
p.°rSL:P --.`.IP:?;/PT?OPOSED IIS:: ? R-1 SiiGI.: FP_y1ILY
?r R-2 DiJPI,--{ ('ISdO C,TIITS)
0 R-3 'ICU1II?C[;SE (I'I%=E- + II:IITS) ( UNI'"S)
? tZ-4 APi?r?T1EN-1T/CCi'Ma'ullM,1 ? WI=j)
[3 C9•2,1EE?CI]AL/RE:AII,/OFFIC::
? L1'DL'STRSAL
? LNSTPTL'TIOJ7AL/Cx?^UE.Ri?^E...'T
2) APPLT_C-:LNT
rAME IPLEA?E PRIiViJ
[3/ta
l a
k Pl
l-
b
?
: y
cc i
lrr (b
c
,
o
ADDRESS: or -SC'
CITY, STAT:7, ZIP:
PHOiNE:
.
3) P???ET, PLEASE PRiNT) FOR CITY l1SE OHIY
NAASE
:
ADDRESS_ n L
PLIINBERS IICEYSE:
Attive
CITY, STATE, ZZP: Q Expired
PHONE: MA?itR
PlUMBER LICEYSE NI--- N t Recard
?
a nitia
4) OCC[J?F1N'r/(7%;NEI2 Cr ?E• ,( IPLEI? PR14T1
p? (?S fic?i/cle? S
ADDxESS:
CTTY, STATE. ZIP: 'l 6iL_O 64f th ;7
PHONE:
6) ICdDIG,':E C:+E:
? PLEaSE F?OID APPRWm PERMIT FOR PICF:-UP BY ONE OF ABCNE
?PLEFISE bAIL APPRWED PER.?LiT Tb 1, ? 3, 4 ABOVE
(Circle one)
7) SIr*,A 'IL'RE: .L 2-ZGPiyL) DATE: / -/U --?J
5}
INDICIITE tJHICH PERNLIT IS BEING REnUESTID:
? QOrINE(.TZON TO CITY 5E?,7ER
? CONNECTION 'Ib CITY S9ATEFt
? diI;FR (PLF'E DESCRIBE)
??! ?lili?lfef.ie i? ?? s! lagall? ! s I.?tv.'ai??.d M i f?ss.i:? a at 1we?tsF??a ? r 11e ?sist?e'ar e
FOR C I T Y U S E ON;,Y
PERMIT °- ISSUED
rr.
"•.S: $
, tJ- --,5- °
SEWER D°RMTT (I`ICL::D-= SU°CH2
RGE)
.
$ ??? 5- &?, WATER PEPD1IT (IL7CiuDE SliRCHARGc,)
$
WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLODE CORPORATION STOP)
$ SE'.dER TAP
$
$ ACCOUNT D,F,POSIT - PIATER
$ WAC
$ ??"oZ?i s-tJ SP.C
$ TRU'VK SVATER ASSESSi4E:IT
$ TRliDIK SEtdER ASSESSt?E:7T
$ LATERAL BENEFIT/TRUNK SE:•7ER
$ LATERrIL BENEFIT/TRU.IK WATER
$ OTHER '
$ TOTAL
$ AMOU:QT PAIDjREC°IPT
DOES UTZLITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR 'AORK WITHZN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERING DIVZSION., LIST AS A CONDI-
TIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY; c?e-p
TZTLE:,-Ie??e
DAT° : --,/_
us s== ms+?MAN sksncm namuwtm
w?w?wwR++?aw????car4?ss??Ranc?ws?w?
PERMIT ???????
? CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: s u z? o z N ?
Eagan, Minnesota 55122-1897 Permit Number: 0 2 6 S 0 7
(612) 681-4675 Date Issued: 10 / 17 / 95
SITE ADDRESS:
4401 CINNAMON RIDGE `I"R
LOT: 13 BLOCK: 4
CINNAMON RIDGE 3RD
P.I.N.: 10-17402-131-0q
DESCRIPTION:
r.?. . .
8.?i?.ldin?P}?"__Parmit T.ype QECK
?uildinc? l.fqrk Type NEW
` ?.
I
„. `?;, " .. ,,s'
,, \ ,
} .
Y` .
' v _. ? / ....
/. . _ . ? f ? v . _ ?' ?.. ? . ? ' ?
'r .. . ?'?4, ...._- , .. .. ??:. .. ??.
?'. _ ._? ? .. . -._. .. ...
. cE` ..
REMARKS:
FEE SUMMARY:
8ase Fee $30.00
5urcharge .50
Tota1 Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
YOUNG Af?LENE
4401 CINNpMON RIDGE TR
EAGAN MN 55122
(512)594-9678
? T hereby aokc?rswledge T.ha? S-rW'ave read ?hts'?pP1£?aCi4?f ef?d staGe th?t CF€?
inform?tion is correct and agree to comply with all applicable State of Mn.
Statr?tes and Gity o? ?ac?an Urdinances.
? ?1 ?
7LICANT/P JITEE SIGNATU(?E ISS?D BY?I?UI?I1?E? ??"?-
? ? ' - - _ _ -
INSPECTION RECORD
CITY OF EAGAN PERMITTYPE: surLoiNs
3830 Pilot Knob Road Permit Number: 0 2 6 5 0 7
Eagan, Minnesota 55122-1897 Date Issued: 10 J17 /95
(612) 681-4675
SITEADDRESS: . I. . ` -1 40z-a 31- APPLICANT:
LOT: 13 BLUCK: 4
4401 CTNNAMON RID6E Tft YOUNG ARLENE
CINNAMON RTDGE 3RD (612) 894-9678
PERMIT SUBTYPE: TYPE OF WORK:
pECK NEW
INSPECTION D• . ..
FOOTING5 FINAL
? ? ? _ ?
CITY OF EAGAN
IL401 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-d675
?3??'0
41b"Q,il,;{E1E^v
Cal?l??.t !.7-IL
? 3 regislered site wrveys ? 2 eoPies oi plan
? 2 copia of plans (indutle beam & window saes; powed Pod. Aesign; etc.) ? 2 sfle surveys (exterior addkions 8 deGcs)
? 1 energy calalations ? 1 onergy ealculadons for heated add'dions
? 3 copies oi tree proaenation plen iF b4 plaCed eRer 717/93
required: _ Yes _ No
DATE: 1 0,_4,r CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: LI ?/ U I C ?`n r 4vno h ?? ??c I r"Q lI
LOT _11_ BLOCK _? SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
'Tr le,v?? '?•Name:__Ls_?_? Phone #: S I'f `1 6 2d
vuu. rwa* . ` 1
Street
Alo
City: ? 4 n I? State:
Company:
Street Address:
Zip: S-S / 2°C
Phone #:
License #:
City: State: Zip•
ARCHITECTI Company:
ENGINEER
Name:
Phone #•
Registration #•
Street Address,
City:
Sewer & water licensed plumber:
change are requested once pertnit is issued.
State: Zip:
Penalty applies when address change and lot
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. ^ /? n
Signature of Applipnt:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
? , C IL; ? V ? L)j
ocT a 4 1995
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT
TYPE ,? .. . ?,? ..- ? .
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaiNRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory o 20 Pubiic Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. 0 10 = plex .2'-15 Deck
WORK TYPE
?31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main leve l sq. ft. CRy Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code o i
Census Bldg i
Census Unit o
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ /Zoo c
Surcharge
Plan Review
License
MCM/S SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Total:
°h SAC
SAC Units
? -J?-x-
.
F C-v-" L- ¢-
?
?_ I '
I
r
?
- ? ?-
?. . .
_ ,? .. . .
`.
I?
\
1 ?`? S ?
?n
?..
?
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
0 3830 PIL 51.6g1.q6R5 - 55122 * y / C?
o !V l
Reaulremenri
? D(0-0 0
? 2 coples of plan
/ 11-
DATE: CONSTRUCTION COST: Ml,1 `FK ,lr iGL? S
DESCRIPTION OF WORK: 1?0R=k Q ? ?? & I g , [?'? ?? ?i- /If mulfl-famlry bld 1 how ? any units?
INDICATE THE FOLLOWIFfG EAUIPMEPdT TO BE REPLACED AND BY WHOPA: -rk4_.?o L,0 Ck b(,k?j T v r ?
_ Plumbing Homeowner cZr Contractor Name
? Mechanical ? Homeowner gI Conhacior Name
"Note: If somebody other than the homeowner is performing plumbing or mechanical work, they must apply for appropriate
permit. Only Ilcensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT:
BLOCK:
Name: \/ D lit, ?1Gt AY I 'e- h.L- Phone #:
PROPERTY Last Flnt
OWNER O-
Sfreet Address:ff C-f n Y)Gc krt
Clty State:
Company: Phone #:
(area code)
CONTRACTOR
Sheef Address: License ii _
Cify Sfate: Zip:
I hereby acknowledge that I have read thisapplication, state that the Information is correct, and agresto comply with all applicable State
of Minnesota Stalutes and Cily of Eagan Ordinances.
Signature of Applicant:
zip:
! et?-d d co??e, CV?e6i?kd (0?
S? .
?J ? ? ?l-O-rr?. ?"
I/Y?iO- ArtCtv5&n, +ea4r (9?,,-t
r? -
kaiC ULJsidt
dvy / ° ck)
'( n S wL ct?-1-21 c9-i,.T/ s h?e e+ ra a- ,]??I vr-, "o, d
PCl-A
S h.2,e,t ra dr.
L -?-o ?
+6??k,o
OAV"-
j
? OG-zo
?
? n S pi 64t& &-)-4
?
e,V,e6i,?Gcd b ? `?..e.
v4f3, ?
GI kI1 ocGc,1
7 n s w???e.
? CtA ro-,
s htd' rO cGt. to ? n S4u,l y??
Q?,?-
? . .
I
kS ??p„- ? ka?? D?+S1 ?
I?" -
"} aL ? S, COv..e,-
t cya+,-J? M,.tj s k,.et+
s ho (z) dt. 'o n s4u,l I.?,j J-
r,?e,edo *-o I? t n s fu4td .
Q??-
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 4 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
9 rs. s0
Date ,?_ L4_t / 63
SiteAddress '-443 N}'1n7m/)/g &iQc? trl Unit#
Property Owuer U/)100 /Jld kl Telephone # ('?7`
Contractor ? /2 a/,pCG4lD/j?5
Address 371 ? Ootly City ?,(,p(?Qd
State M}) Zip Telephone #
The Applicant is _ Owner ? Contrac[or _ Other
Septic System New _ Refurbished Submit 2 se5 of plans and MPC license $ 100.00
InGudes County fee. Additional oonsultant fees may apply.
Alterations To Esisting Dwelling Unit, Including $ 50.00
_ Adding fictures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
Water turnaround (+ 5/8" meter if needed -$121.00)
other: ?f -?' 1.
ir rebuild
i
t
ll
ti
RPZ
new
ns
a
on _ repa
a
- - - ?i I
?
u $ 30.00
_ Lawn irrigation system -
-
a., -
_ Water softener 1[ Water heater
J? $ 15.00
_ replacement _ additional
$ .50
State Surcharge
Total $
I hereby apply for a Residenrial Plumbing Permit and aclmowledge that the informatlon is complete ana accurate; tnat tne worx wui
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a permit, and work is not to start without a peraut; that the work will be in accordance wi[h the
approved plan in the case of work which requires a review and approval of plans.
laml`e Siahw A= jw/
ApplicanYs Printed N e Ap 'cant's Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Kuob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
1
?-76 pa
New Consiruction Reauiremenq RemodeUfieoair Reauirements OKce Use Onlv
3 registered site surveys showirg sq. ft o( lot, sq. fL of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverege allowed) 1 set ot Eneqy Calculations for heated additions Tree Pres Plan Real
2 copies of plan showing beam & window sizes, poured found design, etc. t si[e survey for additbns 8 decks Tree Pres Not Reqd
lsetofEnergyCalculalions Add'dion - indicatel(on-siteseptksystem _On-sileSepGcSystem
3 copies of Tree Preserva6on Plan if lot platled aRer 711193
Rim Jolst Detail Options selection sheet (bldgs with 3 orless uniLs
Date ___?__/ 3_ /03 Construction Cost
Site Address h 0.o-, Br.. qTv-? UniUSte #
Description of Work Z `
LY4
-
? 4
Multi-Family Bldg 2C Y_
doN Fireplace(s) ? 0 2
Property Owner Y V LW Telephone #(??I )?y? y?P ??
Contractor `
Address City
State ip Telephone # ( )
/
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy e Category - Minnesota Rules 7670 Categorv 1
. Residential Ventilatlon Category 1 Worksheet
(4 submissi pe) Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor.
Code Worksheet
#f )_ _
I hereby apply for a R5?sidential Building Permit and acknowledg at the information is complete and accurate;
that the work will be'in conformance with the ordinances and codes he City of Eagan and the State of MN
Statutes; I understand tlus is not a permit, but only an application for a pe d work is not to start without a
permit; that t?e work will be in accordance with the approved plan in the case of wor 'ch requires a review and
approval oolans.
ApplicanYs Printed Name Applicant's Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan -% ?? •?
(o ? 3830 Pilot Knob Road, Eagan M1V 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruction fteauiramenis RemodeUReoair Reauiremenfs Office Use OnN
3 registered site surveys showirorog sq ft. of lot, sq. ft of house; and all roofed areas 2 wpies of plan _ Cert of Survey Rectl
(20% maximum lot coverage allowed) 1 set W Energy Calculations for heated addiUons Tree Pres Plan Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addi6ons & decks _ Tree Pres Not Reqd
1 set ot Eneigy Calculafions AddiNon - indiCafe i( on-site septic system _ Onsde 5eptic System
3 wpies ot Tree Preservation Plan if lot platted aker 7/1193
Rim Joist Detail OpUons selection sheet (hldgs with 3 or less units
Date I /? / 03 Construction Cost ? ot
Site Address 0 C;nna a-
?
DescripYier. of Work
Multi-Family Bldg Z( Y_ N Fireplace(s) X 0 _ 1 _ 2
Property Owner Nnna Lyrn? R6k Telephone # (6JI ) _ Ua'&aU a
Contractor z w1NA L-I)n NQk '-- KV,*W d'I W^It`?? J1?1?('?S
Address City
State Zip Telephone ft ( )
COMPLETE TIiIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minuesota Rules 7672
Energy Code Category , Residential VentilaGon Category 1 Worksheet , • New Energy Code Worksheet
(4 submission type) Submitted Submittetl
• Energy Envelope Calculations Submitted
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( J_
77
T te ?hQne ?
? i???
I hereby apply for a Residential Building Permit and acknowledge that the information is_co ete and accurate;
that the work will be in conformance with the ardinances and codes odie=C-ifp'6f"Eagan and the State of NIN
Statutes; I understand this is not a pernut, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accardance with the approved plan in the case of work which requires a review and
approval ofplans.
?or1nc? L??nn f? vo
Applicant's rinted Name Applicant's Signature
02/05/:
? ?" M ?
1 ri
Seq
?fimepwa
11:56 5633593718
PA6E 02
JG? Gg?
2007 RESIDENTULBUII,DING PERMI'C APPLICATION
C[ty OtEagaa
3830 Pllot Kneb Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-6755694
scqft avin shmirabodrgg.w.?.iow+ c.Raaffwra.ee _r _h
n btooverep? ?wnC) 1 andEnayr CekWeOOm M MeYC OCEltloro 9W Repal _ Y_ N
pmPosed EuINhV M b 6e dwe4 on dleWrbsE leM 7 elb mrver br eLEIIbM 6 OeUtt T"IMRr Rw ftaad _ Y_ N,
9hminy hmm 6 MMav a17M; poiM bUM de7lgn, aC. AEEfEbn- IiGlcero d onMe xptlc+ystem TMPip pAq6aA _ Y,_N
JkWetlom OnaR3l"IkBYeMm _r _N
Mm W?n k bt oletmA Mer71183
rNOWOn Mee1 InuMmnOe WN 9 a Ma udb)
vlnYtatlon brm
Dete
SiteAdd J 5
,ein yH0/
?a an / a7
dtaman R62Y9
AJti 5S! CeeatractlanCost 3167851
P ?Tra.i.0 Un1USh I!
Descripti a orwert Re p/a-Ceme za`- Gch/taCaw?
MaHI-F I "Y Bldg _ XX N Flroplsce(e) _ 0 _ 1 ,_ 2
1P?oper Owae, Qh &/le OaAa-P ?a?,C / Z-Sj 1fekprooe p ( (!5/ )8 ?l ?f- 9!0 78
Conen r LnD
.wa
Sp ea /355
?A SD"' St S&. qaD
Zlp ??LP cuy (,v,DFS Yyidinc-s
Telephooe p (?? 359' / 7&9
COMPI.ETE THIS AREA QNLY IF (`rONSTR{1PrT1lIQ AMM BU{LDINO
me coae c.?egory - tvli?esom aukx 7670 c.auaN I _ tK;m?esom Rul? 76n
(J leaion rype) • HaoManliW vaMBation Cate9ory I workel?eet • New Envyy Cada wakeneel
SuYxnMleA Submitla0
• Enaryy Emebpa Cakuletlons 9uGmNlad
In the
z;of Controctor Zuu7 Telephone #( )
12 monihs, has the City of Eagan issuad a pertnil fOr o similm plan based on o most0r plan$
Y _ N if yes, dpte and address of mCSter plan:
Plumber__.__.?.! ? E ?, I =. ',I \V/ I? ,
? ? Telephone 1i ( ?_
u FC ,
Confractor
that
permii;
Telephone # {
spply for a Residentiai Buildiag Pemnit and acknowiedge that the information is complete and accurste;
work wi11 be in conformance with the ordinances and codes af the City o#' Eagaa and the State of MN
I undeistand this is not a peanit, but oaly an application for a permit, and wark is not to stwt without a
hat tAe work will be in accordance with the approved plaa in the se of work which requires a review and
I of plans. b /1 ?,(?,?
??
< <v O td`aUs
it's Printcd Name Applicant' ignature
,
?
0*0 C1ty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (657) 6755675
Fax: (651) 675-5694
2008 MECFiAN6CAL PERMIT APPLI
Date: Site Address: 44D
Tenant:
- -----------------
I Fo: Gffir,s Ust ?
? Permit #:
? Pertnit Fee:
? Date Received:
I ?
? StaffG ?
`-----------------?
c?
J?
Suite #:
RESIDENT 1 OWNER Name: Phone b
Address / Ciry / Zip: 'S-AVl? -
CONTRACTOR Name: RIIRNSVILI F HFATIN6 & AIC INC license #:
3451 W. Bumsville Par?way
nddress:
City: BumSVille, MN 55337 State: zip:
Phone: RS p p?4 OOo ?- C
t
P
?U-'t
on
act
erson:
?
TYPE OF WORK _ New C Replacement _ Additional _ Alteration _ Demolition
Description of work:
NOTE: Both roof mounted an ground mo fed mechanical epuipment is required to
be screened by City Code. Please contact fhe Mechanlce! lnspecfor or one of the
Planners for iniormation on ermitteal screenin methods.
PERMIT TYPE RESlDENTlAL
urnace COMMERCIAL
- New Construction - Interior Improvement
Air Conditioner _ Install Piping _ Processed
Air Exchanger
- _ Gas Exterior HVAC Unit
HVAC units must be screened
_ Heat Pump Under / Above ground Tank L Install / Remove)
Other When installing/removing hank(s), call for inspectlon 6y Fire
Marshal and Plumbin Ins ctor
RESlDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FIf2 fEpaif (replace bumed out appliances, duchvork, etc.) (includes $.50 State Surcharge)
$ .S? • SU TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x 1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Perrnit Fee is less than $1,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge inaeases by $.50 for each =$ Stata Surcharge
$1,000 Permit Fee (i.e. a$1,OD1-$2,000 Permit Fee requires a$1.00 surcharge).
$ TOTAL FEE
1 ho,eoy aucnuwieuye mat mis mrarmanon is compiete antl accura[e; that the work will be in confortnance with fhe ortlinances antl codes of the City of Eagan; that
I understand this is not a permit, 6ut only an appllcation for a permit, and work is not to start without a it; that the work will 'n accordanca vnth the approved
plan in the case of work whi res a review and approval of plans.
X WW.^ ? 0 ? X
ApplicanYs Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspectlons: Under Ground Rough In Air Test Gas Service Test In-ftoor Heat Final
Oct,18. 2013 8:57AM Crest Exteriors 651-463-8095 P. 2
Use BLUE or BLACK Ink
For Office Use / I
I
I
Permit
city of Eap I
1 Permit Fee..
I I
3830 Pilot Knob Road ; Dale Received: I
Eagan MN 66122
Phone: (661) 6753676 1 I
I Staff: t
Fax: (651) 676-5894 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Res~113rtt/ ~ ~ .
Ofuner Address ! City I Zip:
,;•,~.y:;; : Applicant is: Owner Contractor
Description of work:
Multi-Family Building: (Yes No
Construction Cost:
sad. =ir Company: 1- I e. J Main 1 tact: X - -tc
Yr Address: SUM TC
_
- State: Y Lv Zip: Phone:
License ir, -Z ZZ~I O 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 Z No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
RP 9' d fo'i ub /c lrifor a ron. Porfl
tt` e. onslcl8 ; - ;...,ifig s of
IyOTE: Pia s, nd su orfli7"" oia' . s`fs't ou:su gq-
2..
a'be c ass r n oou(Perli~f>t 0-
0 e r n h;~;.:
e'Inform at
cdcl Q. a a re fade.efe s,:
CALL BEFORE YO DIG. Call Gopher State one Call at (851) 464.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dlg to receive locales of underground u0lfties. www ao hersiate necall.ora
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.
Exterlor work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 1 Bo
days of permit Issuance.
X x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128538
Date Issued:11/18/2014
Permit Category:ePermit
Site Address: 4401 Cinnamon Ridge Tr
Lot:131 Block: 04 Addition: Cinnamon Ridge 3rd
PID:10-17402-04-131
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.
Deb Larson
8815 209th St
Lakeville, MN 55044
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 -
Arlene C Young
4401 Cinnamon Ridge Tr
Eagan MN 55122
(651) 894-7678
Drain Pro Plumbing
8815 - 209th Street W
Lakeville MN 55044
(952) 469-6999
Applicant/Permitee: Signature Issued By: Signature