4414 Cinnamon Ridge Tr. c
f ' '
, CiTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
8111LDING PERMIT PHONE: 454-8100 Reu;px #
To be waill fe. F.. v..i.. '.?.'J' r?._ ...
Site Addrees
Lot Block SeclSub.
Parcel No.
? Name
? Address
City Phone
Name
? Addresa
1- Citv Phn.,e
I hereby acknowledps thot 1 have reod this application cnd state thot
the infotmation Is correct and ogree to comply with oll upplicoble
Stote of Minnesoto Stotutes ond City of Eagan Ordinances.
Siynaturo of Permittee
i:
h Building Pertnit is iuued to: oll work sholl be done in occordance with nll opplicable Stote of Min
8uildinp pificiol
Erect U Occupency
Remodel ? 2oning
Repair ? Type of Const.
AdditiOn ? No. Stories
Move ? Lenath
Demolfsh ? Depth
Int Impr. ? Sq, Ft
/lsseumenf Permit
Wofer b $ew. Surcharge
Police Plan Raview
Fir* SAC
Erg. Water Conn.
Plonner Water Meter
Countil Road Unit
Bldg. Off. Tc PL
APC Parks
Var. Date C?ies
Total '
ar+ the exprcss condition Ihai
soto Stotutes ond City of Eaqon Ordinpntes.
Pwmit No. Permk Holdw Dou Tslsphona #
Plumbinp I /J
. ?? t?
5
H.V.A.C. Ze?? VAe. ? a yG
ENctric
) i.-T) ?l
,
, .- ,
r?-
• • /? AM16
8oftsmr
Inspection Dab Insp. Other
Footings 1
Footings II
Foundetlon ',Z,( 45 - zza be
Framing d y ?
Roofing • ,
Rouqh Plbg• -97dln . 3 - ?/
Rouyh Htp. ?
Insul.
•
Finplace MOT Q,&x0
Finsl Htq.
Final Plby. ~]- ?
Finsl D.S, Ca., ,Hs 5? L? cait
CArvoCG.
Wsbr Oowibe Location:
Wsll
Sawer
Pr. Disp.
, - ? y
P
ERMIT #
/
RECEIPT
DATE
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
+
FEE
5/C
TOTAL --? ? e 612
1. Bldg. Type: Res _,?L Comm Inst 2. New/?( Add Alter Repair
3. Total Bid Price 4. JobAdlress ? (i,t?'?L6<Dz?- ?•?? ?`?? ??<_
Lot ? Block ? Sec Owner
6. Contractor
7. Contractor
- 01-100,000
nnuuiriL;A r fUNSiAL i tHA i iUNS -$1 p.oo minimum fee
HEATING VENTILATING HOT WATER STEAM ? AIR COND.
?fR PIPING PROCESSED PIPING
RES. GAS PIPING OUTLETS -$1.50 TANKS: AIR HAND. EQUIP.
L.P UNDERGROUND RtFRIG.
OTHER
COMM./IND. RATErM?OF TOTAL,-JO14PRt6E PWS $.50 STATE SURCHARGE FOR EACH 1 00 QF FEE.
Signed for ' f ?;
l
, .
? Approved Inspections: Date
Rough Insp. Date
Final Insp.
Receipt PLUMBING PERMIT
CITY OF EAGAN
Permit No.
Fee
fill in numbered spaces S/C ?
Type or Print /egib/y Tot. ?
1. Date 2. Installation Cost ?
3. Job Address JLot ? Blk. Tract
/„ `•`• _ ?
4. Owner ?cu`ry • •' 4
5. Contractor Phone
? ? •. f -*..? ii.. ,
6. Address
7. City -State Zip
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter O Repair ?
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures ?
Cesspool/Drainfield
Bath tubs 5eptic Tank
Lavatory $oftner
Shower Well
? Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed: for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
, CITY OF EAGAN No
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
sU1LDING rERMIT Receipt
To be asoill fo, 1/2 DUP & GAR Est Value $49, 000 D,,! NOVEMBER
SiteAddress 4416 CINNAMON RIDGE TR
Lot 7 Block 1 SII/sub. CINN RIDGE 5TH
Parcel No.
a Name 1JnVn1r.0 DLUtt.7 1L4L
? Address 7564 MARINER DR
Citv MAPLE GRV phone 420-4685
Name SAME
V? Address
City Phone
11282
85
Erect l.-X Occupancy 1( .3
Remodel ? 2oning R4
Repair ? Type of Const. V
Additlon ? Mo. Stories
Move ? Length 24
Oemolish ? Depth 64
Int Impr. ? Sq, Ft.
Install O
Aporovols feei
Assessment _
Water S Sew.
Permh S 278.50
surcnarge 2 4. S 0
Plan Review 13 9_ 2 5
SAC 525.00
Water Conn 5 0 0. 0 0
water Meter 63.00
Rosd Unit 280.00
rr. PL 132 . 00
Police
?W Name W. GAGE Fin
?? Address BOONE AVE Eng
?W City BROOKLYN PyAhone Plonner
Council
I hereby acknowledge thot I have read this oppiication ond sfute that gldg. Off. 11I Z ?
the inlormation is correct ond ogree to comply with oll opplicoble
Stnte of Minnesota Sfotutes on?ity of fogon Ordinon?as. APC
J l / L ?/ ., . h Var. Date
Sipncturo of Permittea
lu Bullding Permit Is issued to: DEVRIES BLDRS
Bufldinq Offlciat Parks
oll work shall be done in aooordarxe witn7r=
I Copies ??2 5
Total ?
on fM express conditbn fhao
ond City of Eopon Ordinontes.
' CITY OF EAGAN ? 112$ 2
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55 121
PHONE:4548100 - ,
dU1LDING rERMIT Receipt
To Mwed for Est. Volue . Oot e , 19
Site Addren ' Erect Q Occupancy
Remodel
Lot 0 Block Sec/Sub.
? Zoning
Repair
Parcel No ? Type of Const.
.
Addition ? No. Siories
Move
99 W Name D
li
h ?
? Length
emo
s
? Addrass I
t I
r
? pepth
.
n
mp
City Phone Install
? Sq, Ft.
' Approrols fees
t Neme
?i Addreaa Assessment Permit
o- City Phone Water a Sew. Surcharqe
Goe Police Pten Revlew
?W N?e Firo SAC
?? Address ? En9. Water Conn '. ?? :• . ., *.
? W City ' Phone Plonner Water Meter c? C tJ
Council Road Unit )i% . .•
I hereby acknowledge thot I have reod this cpplicaflon ond sfate that gldg. Off. L r,' ci Tr. PI.
fhe inforrtwfion is oorrect and ogree to comply with oll oppliccble APC
Stoto of Minnesota Stotutes and City of Eogon Ordinonces. Parks
Var. Date Copies
Sipnatura of Permiftae ?-' •
Total
A Bulldinq Pertnit Is issued to: on the exp?eas condiTlon Ihai
all work shofl be dona in occordonce with oll opplicoble State of Minnesoto Statutes and City of Eapon O?dinances.
9uildinp Offkiol
r-- .
Permit No. PKmk Holdw Drb Telephone it
'M°mbf^o ?- ? 1
H.VA.C. ' ??L.c? °? a rL
Ebetric ,+.' y_? . ??,;;,_ ' ?' ,
'
-ort ?' `? 3 d!o •
SoftKnr
In"ction Datt Insp. Other
Footings 1
Footings II
Foundatlon
Framing o.B
Roofiny
Rouyh Plbg• A! -12
Htq. a?
Insul.
Finplaca
Final Htg.
Ftnal Plhy. - -?6 ,
Final
C Oca
W?K Desaibe Loestion:
Well
Swrer
P?. Disp.
PERMIT# ? CITY OF EAGAN FEE •???-? n
? U? MECHANICAL PERMIT 5iC
RECEIPT # 454-8100
rn MINIMUM RESIDENTIAL FEE - $1p.00 + $.50 TOTAL
DATE i to"?- MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res ? Comm Inst 2. New ? Add Alter Repair
3. Total Bid Price 4. Job Address
?
Lot? Block ? Sec 5. Owner -Z? ?
21*? l/ : C
s. concractor
{Name? ? r ? (Street} (City) (Zip)
RESIDENTIAL HEAT?NG - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COoLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFiCATIONS/ALTERATIONS -$10.00 minimum fee
? HEATING VENTILATING HOT WATER STEAM AIR CDND.
61R PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUjL-tTS -$1.50 TANKS: L.P. UNDERGROUND OTHER
COMM./IND.
Signed: _
Approved
7. Contractor Phone # s_,?-G;
0 STATE SUJRCHARGE FOR EACH s1,000 OF FEE.
for
Date Rough
4f . 6
_ Date
Final Insp.
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egib/y
1. Date 't :? 2. Installation Cost
3. Job Address tot Blk. Tract
4. Owner
5. Contractor Phone i? J_ - l
i
6. Address _:%_-7 C .
7. City State Zip
8. Building Type: Residential ?
9. Work Description: New Q
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter O Repair O
Na. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
Lavatory 5oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
Floor Drains
Drinking Ftn.
-J- --
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 454-8100
Parmit No. ?
Fea
S/C
Tot.
CITY OF EAGAN WATEt SERVICE PERMIT
3830 Pilot "oh Road 6984
P. O.-Bor• 21199 PERMIT Np.:
Eayan, MN 55P-1 Di1TE: -` - '
Zonirg: _ No. of Urjts:
pwner, DeVries Bldrs.
Sft /lddnss: 4414 1:1.nn /??'t?10?! . Cinn Pc.g .. t
Plumber. ? lav o C k P ; iOC3
Metsr No.: .TS 5( .00 pd
s,ze:
Reodsr .: ? • i Fee: t; . Jl pc.
I pme h ow* w1a fIN ?r of Eqpn Suroharpe: . n
oraomO~' Mlac. Charnes: - 132 . u0 pd TF
Total: meter
By Dote Paid:
Date of Insp.. Irup.:
a- y - ?
CITY OF EAGAN
3830 Pilot Knob Road
1Mmh?r
OrIIM.e?.
P. Q. Bo-. ;1199 PERMIT NO.:
Eegan, MN 55121 p^?;
?1?: ' No. of Units:
Owrwr: -
??ddross: -
Site -JW,? ' . -
?m ' '''. 1 .l . T.-)f< <
L
Plurnber. •
By
Do?a of Irqp.:
Conrwtticn Chonpe:
Acoount Deposlt; _
PlITI1n rN:
Surdwrpe:
Misc. Chorpm
._,
Totol: ?
DoN Poid:
? -- .
wMir N? CNy of Eo"w
CITY OF EAGA1J WATU SERVICE PERMR
3830 Pilot I%-nob Rosd ..
P. O:'Box 21199 PERMIT NO.:
Eayan, MN 5?tZ1 DATE: `?"?
Zontrq• _ ~ No. of Units: D l2Ldla v
Ownsr:
Addrosr.
_ _
Si» llddro•s. 4 " G _i. r4W , ? • :.? :
Plumbor. Ltl ???? • P1_,.?. -
&Anrp
MeHr No f
I°r{
Cohn
??_
-,
.f
;
.
, .
,
?
Reoder No.: Q lU . ?IOP?.
?YWL
1"F" [e oerwlp wkb Hr ? .
yu?aharoes . 50p,'
o?l...ew.. :
mp
Iwsc. Ciwrpss: 32.50r,:.
TotaL• 6 3- _' .i ?.+ • ^ ? , i =.
8y
l Dare Paid:
Date of I . ol Irop.:
02 - 5<- f?6
CITY OF EAGAN SEVyER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 pATE;
ZO^i^D: No. of Units:
Owrnr.
llddress:
Site /lddrou: - ` t
Plurnber.
I41111ne ft Mwwly wieb 1w Cihr oi hpe
. ' Ol+IMIION.
Bv _
Connectlon Chorge:
I,OODIXIt Qlpmn:
Pem+it Fee:
Surdwrpe:
MiK. Chorgs:
Total:
Dcb Pald:
DaM of Irup.:
This request void ,
Ij months (r
0827 , I a-1 -K
L -) /'S e.//_ /n)
RFquest Date
. Fire No. Rouph-Vn Insper.tion
Required?
?Ready Nuw ?`Wiil Not?fv InsPec-
Yes ? No tor When Ready
?Lfcensed Electrical Contractor (o//? I hereby request inspection of above r/' ? V?
I"1 n IIi-ob A/ wlwrtrirel wnrk installed et:
Street Address, ox or Route No. Cit '
ection o. Township Name or No. Range o. Co nt
Oc pant (PRINT) Phone No. . /
Pa er upplier
? Address
-0??e,oa'?
EI ncal Contractor ICompany Namel Contractor s License .
M iling AddreContract r or Owner
/? king Instailatfonl
Authorized Signature (Contrac ur Owner Makiny Installationl Phone Number
"" 3z--
NESOTA STATE BOARD O?ycca.TRICITY BE ACCEPTE?IBY THE STATE'BOARD
riegs-Midwey Bldg. - Roq6r'Fl 191 UNLESS PROPER INSPECTION FEE IS
1821 Univarsity Ave.. St. {Saul, MN 55104 ENCIOSED.
Phone (612) 297-2111
?
W.... REQUEST F OR ELECTRICAL INSPECTIUN E8-0?1-0
See instructions for completirq this form on back oi yellow coPV• ?12 X' Below Work Covered by This Request
W?red pment Wired
voe o1 Building j qnptiancxs
I, the E
InsDec'
certify
S?
Insp9c
made.
6
has
CITY OF EAGAN N° 112$ 1
3630 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721
BUILDING PERMIT PHONE: 454-8100
2eceipt # 7
Te M wad iar 1/2 DUP & GAREst. Val?e $49, 000 Dhe NOVEMBER 12 19 SS
SiteAddrecs 4414 CINNAMON RIDGE TR
LotZslockI -sec/sub. CINN RZDGE STH
Parcel No.
W Name DEVRIES BLDRS INC
? Address 7564 MARINER DR
City MAPLE GRV phone 420-4685
O Name SAME
OU Address
? City Phane
GW Name W. GAGE
? Address RnnNE AVF.
0
<Zi
?
City BROl1KLYN PICanone
I hereby ackrwwledge that I have read rhis opvlicntion and stote that
the informolion is wrrecf ond o ree to comply wifh oll opplicoble
Stota of Minnewta Statutes o rty oFEoga)n Ord`Jirpnces.
Sipnoture of Pertnittee ?Ly.....? /'YS ?(.%
A Buiidiny Pem,ir i: cssued to: DEVRIES BLDRS INC
oll work sholl be done in acwrdonce with oll opplica de Stah of Mim
BWldinp OfHcfol -e ?o
Erect El Ocwpancy R
Remodel ? Zoning R4
Repair ? Type of Const. V
ACd"Rion ? No. Stories
Move ? Length 24
Demollsh ? Oepth (4
Int Impr. ? Sq. Ft.
Install ?
ApOrorals Faes
Asussment Permit $ 278 . 50
Water 8 Sew. Surcharge 24 . 54
Police Plan Review 139s 25
Fire SAC 525 .00
En0• WaterConn. 500.00
Planner WaterMeter 63 .00
Council iioad Unit 280.00
BIdg.Off. 11 ZZ $ Tr.PI. 132.O4
APC Parks
Var. Date Copies ,
roiai $1,942 .25
on tha exprcss cordiNon lho+
i rn Sr utes and Ciry of Ecqan Ordinancea.
This request void (? ?4? /???
16 nwnths from (? r?d1
?;< v? Q \
l _ 0827
Rx<?ust Da[e Fire No. Rauph-in InspecUOn ?J
Hepu retl? E]Reatly NuwkjWill Nobfy Inspnr
pZ ,Kjyes ? No Ior When ReadY
00icensed Elec[rical ConUactoe I hereAy request insVecOOn uf above /
? Owner alectrical work mslalled et -ei
5veet Aadeess, eo or Foute No.
4 C
evtion o. Township Name m No. Fa e No. Cu nt
?
Oi: vpant (PqINTI P?ho/ne
nwer SuuV ?er Address
'
Ele ir.al ConVactor (COmvany Name) Contractor's License No,
• / '1
MaJin dJres ontractor r Owne, Makinp InsWllauonl
i
Authonzetl 5i0nature (COntr LmrIOwner Making n::tallatmn) Phnne Number
t
?\ ?
'y?.L-r
? •
MIN6IESOTA STATE BOAftD OF?CTPIGTY
Gnggs-Midwey elde• - Room 1
1821 Umvarsity Ave., St. Paul, MN 55104
Phone 16121 2974111
IHIS IN]Y[1:11UN X[LLUtJI WILL rvUl
eE qCCEPTED BY THE STATE BOAND
l1NLE55 PqOPEN INSPECTiON FEE IS
ENCLOSED.
5 ^? REQUEST FOR ELECTRICAL INSPECTION . EB-°°°o'-°°
See inshuctions for comDleLng (his form on back ol vellow copy. /
p 272 Below Work Cnvered by 7his Request IDwg<
qdd ReO. TVpa of Bwlding ADpImntm Wued Equipment Wired
Home Range Temporary Seroice
Duplex Water HealE Lighbny Fixtures
Apt. Buildinq Drye.r Electnc Heabn
Commerciai Bidg. Fumace Silo Unloader
Industrial Bldy. Au Conditmner Bulk Milk Tank
Farm olnr, tsoeciiv -tnPr ?SUCC,fv1
thear Spcufy Other Oin?r
N F•- e ServiceEntranceSize n Fee FynAers/SuMeetlets u Fee Urcwts
0 to 200 Am 5 0 to 30 Am s oto 30 Am os
Above 200 qmpy 31 to 100 Antps 31 to 100 Fm s
Swimming Pool Above 100-Amp1 Above 100_E1m s
Transiormers Irngation Booms Pcrtial-Othei Fee_
Signs Specialinspection 5 ? 1?
TOTAL FE
1
Pemarks ?'? . • d ? / ?. ? ?
/
??(f fj' - Y L v
D ?? the Electncali
U ? A S Inspecto?+herab,
at, ty th t th
___, .. . . _ .
inal
-f '7. S'0,6 / / l(/
.
. ?
?
1985 BUILDING PERFIIT APPLICATION - CITY OF EAGAN
NOTE; 9L1. CONTRACTORS MUST BE LICENSED iiZTH TNE CITY OF EAGAN
COl41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCT'URAL PLANS, 1 SET OF
SPECIFZCATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,OOD LANDSCAPE BOND
7L
To Be Used For: ?-- Valuation:
Site Address 2U/</
Lot -7. Block ,L
Parcel/Sub 2,. ? _ "
ONner Aa- ?iu.ee /yQ..k,, 6j,c,
Address _7g-(,q L,a? S,.
City/Zip Code ??.& ?? Sr. 69
Phone yda ?/k PS-
Contractor 4n=?
Address
City/Zip Cqde
Phone
Arch./Engr, ?,,.r, Z!6?x
Address _ aa= a.,$
City/Zip Code
?
Phone 8
SINGLE FAMILY DHELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIF'ICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Lcfpce> Date: i0-z79-.4'5'-
Erect X Occupancy
Remodel ? Zoning
Repair ? Type of Const
Addition # of Stories
Move ? Length
Demolish ^ Depth
Int.Impr, _ Sq Ft
Install
APPROVALS FEES
eI
Assessments Permit
Water/Sewer ? Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment Pl
APC Parks
Variance Copies
TOTAL
? S-
?-
/
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lNST BE LICENSED WITN THE CZTY OF EAGAN
COt41ERCIAL
INCLIJDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: ?
SINGLE FAMILY D4IELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
'1 SET OF ENERGY CALCULATIONS
Valuation: 49,octD Date: i?-aq-8f
Site Address G(yf?,
Lot -7 Block /
Parcel/Sub
Owner SA-
Address 27-k y
City/Zip Code
Phone y,2Q y c P s'
Contractor ?„?
Address
City/Zip Code
Phone
Arch./Engr, (,i , Atom
Address 'Ox? 0..q-
City/Zip Code ?Ll...,-? /-'a..,Q
Phone I!
Erect Y?
Remodel ?
Repair ?
Addition
Move ?
Demolish "
Int.Impr. _
Install ?
APPROVALS
Occupancy
2oning
Type of Const
11 of Stories
Length
Depth Sq Ft
FEES
Assessments
- Permit
Water/Sewer '
^ Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off / y- Treatment P1
APC Parks
Variance Copies
TOTAL
5D
J?
,
Hedlund
LonA Surveyon
Engineering
Clvll Enpineen
Services
Lond Plonnera
7714 Morpan Arenuo South
RkOt1eId,Mlnnesoto 66423
Pnone:868-2023
? sinevor`s eertilixte
- JOB N0.
StJRVEY FOR: John DeVries
QESGRIBEO AS: Lot 7, Block 1, CINNA1dON RIDGE 5T1I ADPITION, City of Eagan,
Dakota County, P"innesota, and reserving easements of record.
N7'o5 2,Za' 6
?s.?
?
TOP OF FOUNDATIQN =. _.'OIZI. Z
BASEIAENT FLOOA = 9Zo.8.
GARAGE FLOOR = _ 91,80 .
PROPOS[D ELEVATIONS Q
EXISTING ELEVATIONS
DRAINAGE DIRECTION V
DENOTES LOT CORNEA o
W Cy
65.04
?
z
Z-1 yqt8
CINNAMON IDGE TRAIL
CERTIFICATE OF SURVEY
I Aereby certify thof on 11/ I / 85 I surveyed ihe properir described above and thot
the obove plot is a correct representotion of sald survey.
4aZ...,.-7y.?.??
Calvln N. Medlund, Minn. Rep, Na 5942
1
ti
2/84
!
EL CITY OF EAGAN
`
IM
APPLICAT20,1 FOR PERMIT
! SEWER AND/OR WATER CONNECTIODi
(PLEASE PRIHi)
1) PF.OPII7?Y ACDRESS:
A?')"1 r %
6
r.FraI. DESCaSP'PZC:7: c?
(LOt/Block/Su:aivisicn or Tax Parcel I.D. N=ber)
STRi:C^':'tE, De3T 0F Oc2T.GIZAL uiILCL`:G =.?:=. ISS.;;?.NG:
pprcLm ::...7L:4;/P?'!OPpS'`?J' C'S: R-1 Si:CZE ^F-}r,n,y
?
R-2 DU2L.`?C ('?::'O L'::I-'S)
? rZ-3 'ICI.,,?,NFC{JSE (m= + L':7IT5) ( LNl?TS)
? R-a wzTs)
? CCi•n1ERCLAL/E2E-1AII./Cr:IC
Q mCliSi-.=
? L\TSTI=SO:IAL/GGV"t.2_*--AE?;T
2) AT?PLSi? V'T LEASi PRliii)
/
k
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v
? Ir.t41y,b; ??(? ?r
ADDSeSS: V-1L Ale- ?c
cr=^-7, sra:7, zzP: • - ?c
, ?
? ? ? /cl ?l ?? ? ??5?? ?
G
PEiO-NE:
3) P=,P-ER, ?PLE„Sc PRINI) FOR CITY I1SE
O8LY
NPA+1E: ? ,
/ PLUNB ICE4SE•
ATi=cESS:
Attive
CIiI, ST'?.TE, ZIP; Q Ex i d
PHOVE: N?i:?.
PLUMBER LICEVSE N of Record
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NAME:
ADDRESS:
CITY, ST?.'IE, 2IP:
PFiaIE:
5) INpIG,TE ;•IEiICH PERi-lIT IS BEING REEY?TJESTLD:
t?CG:+iVEC.TION TO CITY SDiER
?CCN:?=ZG.1 T17 CITY hTATEF2
? 0-71ER (PI.Z'LSE DFSCRIBE)
6) I",:DIG,-," C:.ic -
. ? PMASE E?OID r1PPP,OVm PER.'"ST FYJR PICK-L? SY CNE OF ABGVE
? PIE? :*'.IL APP?fNID P?_?IIT SO 1. 3. 4 ABOVE
? (Circle one)
73 SZC:AYL.'R^c: DATE:
F 0 R C I T Y U S E O N:. Y
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rcES : $ ?if9 rGr
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S4AT°R PEiL"SI'T (IiiCi.,UD=. Si;3C'r.ARGE)
WATER METER/COPFER::OrZN/CL'TS_7° R;A0E,R
WATER TAP (ZNCLCCE COR?CRnT1Q:] S^OP)
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WATER TREATTSEATT PLA:\TT SLBCf?.1RGE
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a."•oUNm 9azDi??????:
_n
D0:5 UTILITY C02:,7ECTION REQUIRE EXCaVATION IN pUSLIC RIGriT OF SvAy?
?. Y°S IF YES, THE:I n"PERh1IT FOR W0RK :VIT??IV
PUBLIC ROADWAY" MUST BE ISSGED By mvE
NO ENGI:VEERING DIVISION. LIST AS A CONDI-
TION. •
SLLJECT TO TEiE FOLL0WI.IG CONDITIOIQS:
APPROVED BY:
TI:LE:
DAT°:
0400-r vml?m MM sn
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CITY OF EAGAN
APPLICATION FOR PERMIT SEWEE2 ADID/OR WATII2 CONNECTION
1) PROPII2TY ADDRFSS: y'
T•FY;AT• DFSCRIPTION:
PRESENT ZONING/PROPOSID LSE: R-1 SINGLE FAMILY
R-2 DCPLEX (2? C'nits)
R-3 TOWNiO0SE (Three + Cnits) ( Lnits)
R-4 APARTMENT/CONIDOMINICM ( L'nits )
COb'MERCIAL/RETAIL/OFFICE
IAIDCSTRIAL
INSTI'IUTIONAL/GOVII2NMENP
IF EXISTING STRCCT[.'RE, DATE OF ORIGZNAL H[)ILDING PERMIT ISSC'ANCE:
(Nbnth Year)
2) ?
NAAE:
ADDRESS:
CZTY, STATE, ZIP:
PHONE:
3) • i: ?+• For City Ose
rAME:
Plimibers Licenst
AI)DRESS : lG Q
tive
CITY, STATE, ZIP: R j PHONE: MASTER LICIIVSE nitial
4) • • i:?• ? I i? ° Y> ,; ?
rArE: 'd1.y (/111?
ADDRESS:
CITY, STATE. ZIP:
PHONE: 49
5)
Io Y • 7i• 1 '?E 71?
?COiVbII?CTION 7t7 CITY SESVER -
Q OTHII2 (Please Describe)
6) u • i
? PI.EASE HOLD APPROVID PERMffT FOR PICK-L'P BY ONE OF ABOVE
? PLEASE MAIL APPROVID PERNIIT ? 1,? 3, 4, ABOVE
(Circle one)
? CONNECTION TC) CITY WATER
F 0 R C I T Y U S E O N L Y
PE°NIT y ISSUED
FEES: $ / SC
S /v -SU
$ cj
$
S
$ /.5
$ ?J,UG
$
?cv.? o 0
$ S -,r s;uU
$
S
$
$
$
$
? V/`j. Gu
SE:'fGn PEB\1Ty (INCL::DE Sli2C::2RGE)
WATER PERPIIT (IlICLVDL SliRCHARGE)
WeITER METER/COPPERAORN/OUTSID: REe.DER
WATER TAP (INCLUDE CORPORATION STOP)
S::GER :AP
=c?cU_:•r
AC^OUNT DrPOSIT - F7ATER
WHC
SP.C
TRuNK WAT°R ASSESS:?E:IT
TRu27K SEWER ySSESS:-iEJiT
LATER:yL Ht.NEFIT/TRUiIK SL?'.TR
L.'-1Tc:2tlL BEbIEFIT/TRU.IK WATz'R
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AitilOU\T PAID/qECEI?T # S7?`?7
DOES UTSLITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THE:I n"PERMIT FOR WORK WITHIN
PUBLIC R0ADWAY" MUST BE ISSUED BY THE
Q NO ENGZNEERIDIG DZVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOI•LOWING CONDITIONS:
APPROVED BY:
TI':LE:
DATE : _ 1G /9
t
5- 7 C) -7 S RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reawrements RamodeUReoair Reauirements OHce Use Oniv
3 registered site surveys showirg sq. ft nf lot, sq. N. of house; and all roo(ed areas 2 mpies of plan CeA of Survey Recd
(20%maximum lotcoverege allaxed) 1 setof Energy Calculations for heated additions Tree Pres Plan Recd
2 copies o( plan sfwwing heam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Nol Reqd
1 set of Energy Calcula6ons Add'Rian - indicafe ff on-sde septk system _ On-site Septic System
3 copies of Tree Preservation Plan if lot platled after 711/93
Rim Joist Defail Oplions selection sheet (bldgs with 3 or less unAs
D
at / j_ s
Construction Cost
Site Add ss Unit/Ste #
Description of Work
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner A2 / K,A- Telep6one#4S/
Contractor
Address S ?D City ,?,o/r, l/?--! ?-e ?i
--rr-?
State Zip ? Telephone #(t'jS? ) KSJ '2 3 577
?i 13_-7rS
'COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pernvt, but only an application for a pernut, and wark is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
app ?Or/
Applicant's Printed Name ApplicanYs Signature
10/15/2013 13:30 6123818601 CITIES MANAGEMENT PAGE 03/17
1 /1 ;
r
~("A "IrC,~~1:-) ~
For Office use I
; Pormlt ► ► ltna City of No ~
Permit Fee: '
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 5
Phone: (651) 675-5675 I l
FaX: (651) 675-5694 1 Staff: I
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: . I Site Address: ~li in n 1 1 l I &
1 Alf, 0
Tenant: 4j
Y I) Suite
RESIDENT i OWNER Name., V).1 Phone:
Address /Citylzip: u. I,._. 0-1,,. Y 1'~ C~(-T A q'-I l0 t"1VirLVLIVVIrt
Applicant Is: _ Owner Z Contractor .
r
TYPE OF WORK Description of work: Construction Cost: A' Multi-Family Bullding: (Yes I~ ~l No
CONTRACTOR Name: -(Att j E\~1GI Il b License 9:
r Il 1~ 1 ~7`` Y V \ I h
Address:1`-
C ity: 1V State: I -1- L\L Zip:
Phone: J ~ Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Catectory 1 Minnesota Rules 7677
Energy Code . Residentlal Ventilation Cateqory 1 Worksheet New Energy Code Woftheel
Category Submitted Submiticd
(4 submission type) A Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
_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 the are trade secrets.
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 underRtand this Is not a permit, but only an application for, a permit, and work Is not to start without a permit; that tho work will be in
nccord:mer- with the approved plan in thm case of work which requiror a rcvirw and approval of plaam.
x try-- S.
Applicant's Printed Name A lice s Sig tune
Page 1 of 3 ~
Use BLUE or BLACK Ink
I
For Office Use
I~
Permit non
Clay of EaEa~
I Permit Fee: 1 I
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received:
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: j =w ~i9 C- Unit
Name: iaez/' Phone: P4
Resident!
Owner Address / City / Zip:
Applicant is: Owner Contractor r
Type of Work Description of work: /V>
Construction Cost: Multi-Family Building: (Yes / No )
. ~s f
Company: r4- A3 c r", d41 $ R,Y'i'!,.T ontact: o 4 ,s y i'e,;),
City: /V.5
Contractor Address: t
State: oWoOV Zip:.` Phone: 4~/Z-3P/ '94404P
License ~ G.- Lead Certificate 1141>7- -17 9 I - /
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 maybe classified as non-public if you provide specific reasons that would permit the City to E
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed w' 1 1t-1 `
days of permit issuance.
xttR- r r. x
Applicant's Printed Name an s na ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165729
Date Issued:11/17/2020
Permit Category:ePermit
Site Address: 4414 Cinnamon Ridge Tr
Lot:072 Block: 01 Addition: Cinnamon Ridge 5th
PID:10-17404-01-072
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Atul K Shroff
4414 Cinnamon Ridge Trl
Eagan MN 55122--238
(651) 417-5004
Lakes Plumbing And Heating Inc
17503 NE Lever Street
Andover MN 55304
(651) 248-5380
Applicant/Permitee: Signature Issued By: Signature