4426 Cinnamon Ridge Tr?
.? ? ?`'""'•"'?`' , CITY OF EAGAN 4" ?
' 3830 Pilot Krab Road, P.O. Box 21•199, Eayan, MN 55121
PHONE: 454-8100
dU1LDING fERMIT , Receipt #
;i?` Name Sl1!'.
u? Address
1- Cirv ahnnn
Name
Erect
Remodel
Repair
Addkfan
Move
Demolish
Int Impr.
Assessment
Woter S Sew.
Police
Firo
E??p.
Plonner
?
0
0
0
0
Type of Const.
No. Stories
Length
Depth
Sq. Ft.
--- .50 '
Permit 21.50
5uroharye tS9 2 5
Plen Revfew 525T OU
sAC 566.00
Water Conn 65.00
wacer Meter -2-6-6- 00
Council _111121 SRoed Unit ??. o 0
I hereby ocknowledye that 1 have reod this opplicotion ond stote thot gld9, p{f. Tr. PL
the information is correct ond ogree to comply with oll applicoble A?
Stoh of Minnewro Stotutes ond Ciry of Eogon Ordinances. Parke
c?
Sl?ature of Permittee Var. Oate Copies -?r79-er2• 25 Total
A Building Permit Is iuwd to: +?F.,V:IE? 1...: ?.?f' on the exprcss caditlan that
oll wo?k shall be done in occordonca with all oppliwble Stote of Minnesoto Srotutes and City oF Eaqon Ordlnances.
Buildlnp Otfidal
? Name 7:?V?.iF?? . BLil??S IjdC
? A?? 7564 ;?lAT;Irl?l'. DR
City MAPLrE rl-RVFhone 420-46854
, Pe?mit No. Pmnit Holdw Daw TeIephone #
Pi"iny )--e- v , s - I
H.,VA.C. /3 L
ENetrie
SoftN++r
Inspection Dote insp. Othar
Footinps 1 ? •
FooUnys II
FoundeUon
FraminQ ?
Roofinq
Rouyh Plbp. r?- - .?• d
Rouyh Ht9.
Insul.
Firoplecs
Final Htg.
Flnal Plbp.
Flnal c„n f ?c• ?4 1'
r.AA/OCC.
W?? D!lCIIb6 LOCi[IOfl:
w.n
Sewsr
Pr. Dlsp.
e . • y, v ?? r
PERMIT # CITY OF EAGAN FEE ' ? Jr U
a MECHANICAL PERMIT ?-
RECEIPT # o ? 454-8100 SJC -? ?
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 +$.SO
1. Bldg. Type: Res.? Comm Inst 2. Newk- Add Alter Repair
3. Total Bip Price /L 4. Job Address 'T zei,2 L??,C !Lz-?-
` ? .
Lot Block Sec L,4-?L? 5. Owner
6. Contractor A
(Name // (Stree? (City) (Zip)
7. Contractor Phone # ?4? ?
RESIDENTIAL HEATING - 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 -$113.00 minimum tee
? HEATING VENTILATING HOT WATER STEAM AIR COND.
•- AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RCFRIG.
X HES. GAS PIPING OUTLETS -$1.50 TANKS: L.P. UNDERGROUND OTHER
?
COMM./IND. RAT?,.-1%pF TOTA 810PikICE PIUS $.50 STATE SUACHARGE FOR EACF151,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
Rewipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
i? .
Fill in numbered spaces S/C
Type a Print /egib/y Tot.
1. Date 2. Installation Cost L
Blk. Tract
3. Job Address ILa- '`
4. Owner
:
5. Contractor Phone
, c .
6. Address ?.i .JG /L??_•? ._ -?_J ?i ? i,_
7. CitY State -i Zip
8. Building Type: Residential 0 Commercial ? Institutional ?
9. Work Description: New 13 Add O Alter O Repair O
I 10. Describe
[ 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
$ha W!.'r W e I I
' 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
comply with all ocdinances and codes governing this type of work.
i
Signed : r 14 - for
' Rouqh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN 11290
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
eU1LDING ?ERM1T RKe,w # -
DL1P 8
$49,000
Site Addreu +-' Erect LJ Occupartcy
Lot Block ' Sec/Sub. Remodel ? 2oning
Parcel No.
? Name ' ut.:?' / .
Address •
City Phone
fg
u?
?
Name
Addreas
City Phone
?Vi1W N811'i@
r ?
``Zi? Address
? W City phone
1 hercby ocknowtedqe that I hove reod this applicntion ond state tFwt
fhe inlormotion is torrect ond ogree fo tomply with oll applitable
State of Minnesotc Statutes and Ciry of Ec9cn Ordirances.
Slynoture of Pem+iftee
_)I•,`,1. ? , .
A Bulldiny Permit Is issued to: .- •_ all work shall be done in acoordonte with oll opplicable State of Mir
Repair ? Type of Conct.
Addition ? No. Sto?iet
Move ? Length
Demolish ? Depth
Int Impr. ? Sq, Ft.
Install ?
Approrals Feas
/lssessment
Water b Sew.
Police
Firs
Enp.
Plonner
Council
Bldg. Off.
APC
V D
Permlt ? ` ' • 'v
Surcha?ye 'A • 5 0
Plen Review ? = ; .25
SAC :.. 5. O O
Water Conn. J0 0. 0 0
water nneter 6 3.00
Roed Unit 13 c - 0 C
Tr.PI. .1.32.i:?
Parka
ar. ate CopieB
I Total
on the express condltion thai -
-soto Stotutes and City of Eapon Ordir?ances.
• Pwmit No. PWmit Holder Dsta Tslsphone tt
???ing
H,VA.C.
ENceNc , ? - ?l ?t ? ,?° ?_ . ,, ? ,-1 j ? ? ? ??
M ?? 3db .
$oftNNr
InspeMion Date lasp. Othn
Footings 1
Footings II
Foundatlon
Framinp
RooHng
Rouqh Plbg. N?
t:t2LYl?t/ 1i-a1- ,?s .
Rough Htg.
Inwl.
Finplace
Finsl Htg.
Final Plby. ,? -
Final (' ' pS ce.., i,ot Lec•7' 1?
Cert/Occ. fs, - `os-
W?K Desc?i6e LoeatiOn:
1No11
Sswor
Pr. OIsP.
" (IJl1?11
•
PERMIT # CITY OF EAGAN FEE ? S U
MECHANICAL PERMIT s (J
RECEIPT ? 454-8100
-2j- (-3 MINIMUM RESIDENTIAL FEE - $10.00 + $.50 S,C ,
,
TOTAL ?
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
`
r
l
1. Bldg. Type: Res
_ Comm Inst 2. New
Add
_ Alter Repair
3. Total Bid Price
4. Job Address
a
?? e4if-, 7 ?
I
4
?
-
Block
Lot
Sec
5. Owner
? ?
6. Contractor /``?/(f
(Name) ,/ (Street) (Giry) (Zip)
7. Contractor Phone # Z???' -
RESIDENTIAL HEATING - 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
MODI ? ATIONS/ALTfRATIONS -$10.00 minimum fee C=
__2AEATING VENTILATING HOT WATER STEAM ? AIR COND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND.
for
OF FEE.
Approved , Inspections: Date Rough Insp. Date Final Insp.
'
PLUMBING PERMIT
Receipt Permit No.
CITY OF EAGAN -
Fee
Fi!l rn numbered spaces S/C
Type or Print legibly Tot. .
1. Date 2. Instailation Cost
3. Job Address Lott Blk. Tract
'
4. Owner
- .. _
5. Contractor Phone
-;
6. Address ? ? ~ ? ? 4 /•'?
7. City _ State Zip >
8. Building Type: Residential O Commercial ? In stitutional ?
9. Work Description: New 0 Add O Alter ? Repair O
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower yvell
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
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
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Kcwb Road 6490
P. O. Box 2119C PERMIT NO.:
Eagen, MN 55171 DATE: y?. ?-??
a,,. , 1 r-.-{
Zoning: No. of Untts:
Dwner, - _ i T'
Mdresa:
Sta Mdress• •- (; C 1::ria?:en R A r. _' : 1 n r t. <{ )-
Plumber. '.av]_oc'• pl,?m?:i:i^.
Met?r No.. ? 7 D ? ? ?: `> ( ) . 717,
Sizr " oc./ a? ?1};,,t?'S _. . t p',
Reods No.: b.f 11? 4 SS
1 qm !e ooa* ?
_.- „ i! V t:7l Ti;
40tol:
gY Dote Paid:
Dote of Insp.: Irap.:
q- ZN- 86
CITY OF EAGAN Sl1AIER SERVICE PERMR
3830 Pilot Knob Road
P. U. Box 21199 PERMIT NO.:
Eagan, MN 55121 O/1TE:
Zoning: No. of Unitt:
Owrrr.
Address: -
Sih /lddross: i . ? ? ` •
µ l l l -,,:,C::
?lcu..?' : : •- 1 .. ` - ?.
Plumber. ^1.t3vlcr_?: ^iuCb;_tb
'' -_, - , • ?, - ,. , _.?
N? ti M=If wM6 tlw CMf? of ylrn Connsctlon Corys:
?IMwp/. ACODWIL Dl?f:
1 Peemit Fee:
Sureharpr:
y Misc. Char?
ct? of Insp.:
c Total:
risp.:
1 Dor* Poid:
m
CITY OF EAGAN WATER SERVICE PERMIT
3830 P41ot Knob Rosd F,,) 1
P. O. Box 21199 PERMIT NO.:
Eagan, MPJ 55521 DATE: i 1-- 27-? s
Zoning: No. of Units: Pu ?71 ?x
Ownsr• JeVri.zs - l?ars .
Addnss:
Sir. Mdr+•w. 'Cinnano
':1 a 10 4..P1t;?tb t
PlurWr J1til1t1BS
?,n ?all ln?'?
,
.
Metar No.: 3 ?7 SSo I G
OME
ItLEPH 5. 00y.2
R?,r ?vo.:C?1N65SS?D?nit1 RF?.., eO:LH 10.00p:3
1G/rN te wMh 1M Ci1Y of l?"n Surcharps: . St',n?
Mist. Chorpef:
?
? Totol: 4-
,
By Dote Paid:
i
Dote of Insp.: Irnp•:
u- zy - a?
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, '.tN 55121 DATE:
Zoning: No. of Units:
Ownor:
/lddress:
?:i_?s:;i•,?r: ::?_,_? ,, _ .
'Stte Addross:
n?'?1iri inc
Plumbsr: 7,1 ( 1
1oMm 1v ewnly w116 00 CRY of yl?n
OrdiMnOM.
Connection Chamr.
Acaount DePosit:
Pennk FM: '
Surchorp+:
ey
Dote of Inap.:
Misc. Choqss: ?
Totol:
Date Pold:
This request void
1B months from %
? 0 8 7 343
Reqvest Date Fire No. Rough- inInspection
.. Ranuirarl? I-IReadv Nuw rAWiII NOlify. li
licenAed Elec[rical Contractor Gl??y I hereby request inspection of
Owner ? electrical work installed at:
O
Street Address, Box r Route No. Cit
ecUOn o. Township Mame or o. Range No. Co
!
Occu nt I INT)
? Phoi No.
?
Pow Suppl?er Address
/ Jv`u
Oxjo- Ax .p/ K?ll •
I ncal ontractor (Company Namel Contr?ctnrs License No.
Maili Addrr Owner M king Instailatio
G `U
Authori7ed Signature IContracror Owner Making Installationl
J Phq
ny?umper./'777
/
. _-
MINNOTA STATE BDARD y? ELECTRICITY
Grig Midwey Bldg. - (iooji?N-191
7821 University Ave., St. Paul, MN 55104
Phone (612) 297-2171
IFIIJ IIVJYCI.IIVFV MtLLUGJI IIYILI. rvUI
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
?/ 1 REQUEST FOR ELECTRICAL INSPECTION EB-O?Ot-04
A ? ' See instructions lor completing thia form on beck of yellow coDY•
v r) r] r41 '-X"' Below Work Covered by This Request
?
Add
'eD•
Type o1 8uilding
APPliences Wirsd
EquiUmBnt Wiied
Home Range Temp>rary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryef Electrie Heatin
Commercial 81dy. Furnace Silo Unluader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm
Other pec? y
Qther ISuer.ityl
tMr uccify ther Oth?r
!'nainjrta Incnnrtinn 1-aa HpMw
# Fee Service EntranceSize p fee Feeders/Subfeeders ? Fee Circuits
U to 200 Am ps 0 to 30 Am s 0 tn 30 Am
Above 200 Arn )s 31 to 100 Amps 31 to 100 Am •
Swinvning Pool Above 100_ Am s Above 100-Am s
Transtormers Irrigation Booms Partial Other Fee
Signs Special Inspection $ ?
TOTAL F?
Remarks ?'?
Rough-in ""fe-? ?'- - I, the Elec?ioerl?
C! `
+.?-a' Inspeclor, hereby
- certify that the e
Final • : . Dlale L inspection h een
made.
Thls requeat rold 18 montM from ?• ? C? , T,
CITY OF EAGAN , N° 1 12 9 0
., ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100 7Y?3
BUILDING PERMIT /
Receipf #
re ye used for 1/2 DUP & GAREsr. Value $49, 000 Date NOVEMBER 12 19 85
Sitenddress 4428 CINNAMON RIDGE TR
Lot 4 glock 1 sec/Sub. CINN RIDGE STH
Percel No.
9 Name DEVRIES BLDRS INC
Z Address 7564 MARINER DR
? City MAPLE GRV Phone 420-46 5
0
?u
u?
?
Name _
Address
SAME
Phone
W Na_ W. GAGE
i? [Addmrels BOONE AVE
?W City $ROOKT.VN P1%one
1 hereby ockrrowledge ihot I have read this opplication and stote thof
the informotion is correcf and gree to comply with oll opplicobla
Stota of M?nnesoto Statutes n Ciry of Eogon Odin nce?.?
SiOnafure of Permittee hl -ti
A Building Permit Is issued to: DEVRIES BLDRS INC
all xrork zhall be done in acmrdance wirh oll app}icable Sta , of ii
Ered KI Occupancy R3
Remodel ? Zoning RI
Repalr ? Type of Const. V
Additlon ? No.Stories
Move ? Length 24
Demolish ? Depth 64
Int Impr. ? Sq. Ft.
Install ?
AOVrorola Faas
Assessment Permit +? L18•:)V
Wotet85ew. Surcharge 24.50
Poiice PlanRevlew 139.75
Firc SAC 525.00
Erg. WatarConn. 500.00
Planner WaterMeter 63.00
Council Road Unft 280. ? 0
BIdg.Off. 11/12I8 Tr.PI. 132.00
APC Parks
Var. Date Copiea
7aai $1 942.25
on ths express condiNOn Ihot
rowta $tatutes ond Ciry of Eaqen Ordinances.
Buildinp Oflicial
?
CITY OF EAGAN
N_ 11289
- 3830 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55721
C??y
BUILDING PERMIT PHONE: 4548100 aeceiPr # / ?
To 6s wad kr l/z DUP & GAREst. Volue $49,000 Dafe NOVEMBER 12 ?q 85
Sireqddress 4426 CINNAMON RIDGE TR Erect j7 occupancy
-
Lot4_ Block_.1Sec/Sub. CINN RIDGE STH Remodel ? Zoninq R4
Parcel No. Repalr ? Type of Const. V
Additlon ? Na.Stories
a nlame DEVRIES BLDRS INC Move
li
h ?
? Length 24
Z
Address 7564 MARINER DR Demo
s
tl
l
? Depth (>4
? n
mpr. Sq.Ft.
City MAPLE GRV phone 420-4685 Install ?
°C SAME ADVrovals Faet
Z
s? Address
? City Phone
GW
w Name W. GAGE
i? Address BOONE AVE
?W City BROOKLYN PKphone
o Name
I hereby acknowledge thot I hove read this o0vlication ond stare that
the inlormotion is correcf ond ree to GomDly wifh oll aDPlicable
Stote of Minnesom Statutes o City ? Eo_gon Ord)rw?es.
Sipnafure of Pertniftee ?4'Xe?o
A Bullding Pertnit is iuued to: DEVRIES BLDRS INC
oll work sholl be done in accordance with all ooolicobb State of inr
Asxssment _
Water 8 Sew.
Police _
Fire
Enq.
Plonner _
Council _
BIdg.Off. 11 IZ $
APC
Var. Date
Permlt $ 278.50
Surcharge 24 _ SD
Plen Revlew 1 3 9. 2 S
snc 525.00
Water Conn. 500.00
WaterMeter 63.00
RoedUnit 2$0.00
r..rt 132.00
Parks
I Copies
Total $1, 942.25
_ on tM ezDress conditlon Ihot
and City of Engon Ordirwncec
Buildino Officiol xv +0 /2_. ?a.
irl
Thrs rr.9uest voitl 1^? ?J ??
18 man[hs (rom Q ? ? ( -6
0 082734 L'`? I;, ?r .= 5 ?l ?
Re.qu st Date Fire No. Fouph-i InsVeclinn
Re
u red?
q '?
?Ready Now ^/ill NoUiY Insp¢c-
/
. 4'?h?0 ? _ 'W
?i
4tt'es ?No tor When ReaGY
L.j`ticensed Electrical ConUncmr I heraby request inspection of abuve Z
?Owne, plectncalworkinstalledat:
St,e.( Address, B. r Route No.
?
? .?L?ZO?T.s?/'Y? L
ecuon o. Township N;unc or No. anfle No. C nt ?
Or, upan[ IPflINTI Phonn No.
ow S??pvliEr
??
Adtlress
T?v V Q?
/
?sC1 ' LO??
Ele wal Contrannr IGOmUeny Nome
^ ?c
t Contrac(oe's 1_roense No.
5?/9?
. 1a 7
Mailin9 4ddress Contrec[or r Owne Mnking Inataila?
lU .
Authorieetl SiAnamre ICOntracmr Owner Makmy Insmllnbonl Phnm. Num/b?
?Y-??-? L
MINNOTq STATE BOAND
ELECTNICITY
Grig Mitlway Bide. - Roo N491
1821 University Ave., St. Paul, MN 55104
Phone (812) 297-2111
THIS INSPECTION HEQUEST WILI NOT
8E ACCEPTED BY THE STAif 90AftD
l1NLESS PROPEft INSPECTION FEE IS
ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-na klft Sea instruc4ons fnr com0lefing this form on beck of yellow copy. W
(?
p l l l1 ? 1 3 "X" Below Work Cov"ered by This Requesi b.l m 5
Nee Hdt1 POp. TypB Of BmltlinP APPIinnCee wirea Eqwpmenl Wired
Home Range Temporary Service
Duplex Water Heater Lightmy Fixtwes
Apt. Bwlduiq Dryer 4.0 Electnc Heatin
Cominercial Bidp Furnace Silo Unloader
Industrial Bldg. Air CpndiLOner Bulk Milk Tank
Farm O'hv. neu v ?ihrr(sncr.rtV)
t er Isueuty OMer ptn'?r
l.ulflp(!tC IA50@C(lOA tP.P IfF/OW
M Fee ServwaEntrenc Fnxders/SubteeAers # Fne Cvcmts
0 to 200 qm 0 to 30 qm y 0 to 30 Am>g
Abode 200
Ampsl Amps 31 to 100 qm s
Swimming Poo V Above 100_Amps A6ove 700_Amps
Transiormers frrigation Booms PartiaL'Other Fee
Signs Special Inspection S ? /\
Rerrarks TOTAL FEE? ? /
( t1-LRlad/?
nal
P
Inspector, heroby
certify [hxt the ebova
IfISpeCtl011 h35 tiB$GL?
rrede. ?pp
This request voltl 18 months Irom
/m' ry
7985 BUZLDING PER1fIT APPLICATiON - CITY OF EAGAN
AOTE: ALL CONTRAC?OBS NUST BE LICENSED ilITH TNE CITY OF EAGAtI
COl41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
8 STRUCTURAL PLANS, 1 SET OF
SPECIEICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OE' PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: A,.,e.t Valuation: 4W,COC? Date; /o-a -y-es,
Site Address q'4 2(,
Lot y Block r
Parcel/Sub ? "?'
?wocs?--? ? S
Owner Jki vvh
Ad d r es s 'z S'L y
City/Zip Code j S 3 e.
Phone
Contractor
Address
City/Zip Code
Phone 1
Arch./Engr. (,'r,
Z
Address &'.,` (1......?
City/Zfp Code
Erect ?C
Remodel '
Repair '
Addition ?
Move ,
Demolish ?
Int.Impr. ?
Install ?
Occupancy
Zoning
Type of Const
ll of Stories
Length
Depth
Sq Ft
3
APPROVALS
FEES
Assessments Permit
Water/Sewer " Sureharge Z •
Police Plan Review 1'?q.L5
Fire SAC 525,
Engr Water Conn SCO
Planner Water Meter 3,
Council Road Unit Zgp.
Bldg Offl - ?- Treatment Pl ?'32,
APC Parks
Variance Copies
TOTAL
Phone II
1985 BUILDIHG PERNIT APPLICATZON - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN
COFQIERCIAL SINGLE FAMILY DMELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCT'URAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: 9444-?= Valuation: 49,000 Date: /a -)-9 - p'r-
Site Address ci q a0c"
Lot 4 Block 1
Parcel/Sub 5???,? ?'?'?'Cl,.Q.R.,,. •
?
Oi+ner
Address 7T 6 N Yt? [un •
City/Zip Code 5} 3G S
Phone ?!d D 46
Contractor -w-
Address
City/Zip Code
Phone
Arch./Engr. (,Qi.
Address
City/Zip Code
Erect k
Remodel ?
Repair
Addition ?
Move ?
Demolish
Int.Impr. ?
Install ?
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments
? Permit
Water/Sewer Surcharge
Police '- Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off? Treatment P1
APC Parks
Variance Copies
TOTAL
G
.Rl
Phone !I
H'editind Engineering Services 7714 Morpan Arenue 8outh
RICD11Nd,M1nnesoto 66423
LanO Surveyors Clvll Enqineers Land Plonners Phone :666-2523
= surver?or`s ecailkate
?
- JOB N0.
SURVEY FOR: John DeVries
GESCRIBED AS: Lot 4, Block 1, CUdNtWOTJ RIDOE STH (1PDITION, City of F:agan,
Dakota County, Trinnesota, and reserving easements of record.
+???,? 1 589° 591 6?E I
. 9Z .1 52.6&-937-0
_
ciDGE MDN
Db
TR I L_ 0 A
?n N88o0055"E
(o?? ? 5O 3
23.73 ?
V ?
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i4 -e \ r ? tn Z O
Z :
O' Q• I `
N ` 6 ? p
TQP OF FOUNDATIQN • 923• Z.
BASEAAENT FLOOR =. 92Z,$
GAFAGE FLOOR = 92Q. O
So PROPO S[D ELEVATIQNS Q
EXISTINGELtVATIONS
ADRAINAGE DIRECTION-"
?
5??I
L DENOTES LOT CORNER o
II0.60 /V $9°59 46" W I
I Aareby certify ihor on f! / 1/ 85 I surveyed the property descriDed above ond fhat
tha above plot is a correct representation of sald aurvey.
?j ?,?u?.. ?D • T-D..¢.bvwv""L
Calvin H. Hedlund. Minn. Req. Na 5942
• i • • ? ? • i o ? ? i?• • u r. ?. . ?.
• 91' s • a? • ? ? • • • • ?1• • • 71? • 1 1 1 71 • ? ;
•? u r
CITY OF EAGAN
APPLICATION FOR PERNIIT SEWEE2 ADID/OR V7ATER CONNECTION
1) PROPERTY ADDRESS:
r•HZ;Ar. DFSCaIPTION:
or
IF EXISTING STRti'CT[JRE, DATE OF ORIGINAL BI7ILDING PERNffT ISSC?ANCE:
(Nbnth Year)
PRESENT ZONING/PROPOSID USE: ,R-1 SINGLE FAMILY
R-2 DCPLEX ('IWO Onits)
R-3 'IC)WNHO[.'SE (Three + C?nits ) ( Onits )
R-4 APARTMENT/COAIDOMINIL'M ( Lnits)
COMMEEtCIAL/RETAIL/OFFICE
IDID[:STRIAL
INSTITUTIONAL/GOVERRYIENT
2)
NF1ME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) ' r.a•
NAME:
ADDRESS: t' -
CITY, STATE, ZIP: `
PHONE: MASTII2 LI(ENSE #
CITY, STATE,
For Citv L'se
Pliunbers ' censi
Acti
L? red
t Recor,
Staf nitial '
6)
? PLFASE HOLD APPROVID PERNIIT FOR PIQC-[!P BY ONE OF ABOVE
? PLE.ASE MAIL AP OVID PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
5) i? o? •?• : • y? -ivvb
CONNECTION TO CITY SEWER ?CONNECTION 'IC) CITY WATII2 '
Q OTHER (Please Describe)
F 0 R C I T Y U S E O N L Y •
PE2MIT °- ISSUED FEES:
$ -
s S_'".:LR D,r?.,RMTT (I`1Cu..-`L JL'-C :?RGL)
$ /? SV SQaT°R PER:tIT (SiiCi.UDE SliRC:iAc2Gc.)
WaTER METER/COPPERHORN/OL'TSIDE READER
$ WAT..r.R TAP (INCLUDE CORPOcZATZON STOP)
$ 5:.::LF TA?
$_
+S ACCOli%
NT D.F.PCISIT - ['IATrR
$ '?CJU. vr? WtiC
+S $JC
$ T3u?7K [VAT°R ASSESS:+.E.:T
$ TBii?7{ SL:VLR ASSESS}iE?iT
+S LAiZRa:, L Bt.\T[.FZT/TRU:?K :?'.-.R
$ L?.Tc,Ra L BENEFIT/TRU.:K :VAT_°j
$ W
T
A
ER T REATMENT PLANT SURCHARGE
$ OTHER:
$ TOT ;L
$ AM7U\T PAID; REC°IPT ,1, 5,70 ,?7
DOES UTILITY CON.IECiION REQUIP.E EXCAVATION ZN PUBLIC RIGHT OF WAY?
YES IF YES, THEy ,y "•PERb1IT FOR 410R!: WITHIN
PUBLIC ROADWAY" yUST BE ISSUED BY TY.E
Q NO ENGINEERIDIG DIV:SION. LIST AS A COYDI-
TION.
S[JEJECT TO THE FOI,LOS4IN, CONDITIONS:
APPROVED SY:
TITLE:
DATE:
• I • • • S • i O) W • ia?• . u ?. ?. . ?.
•?• ? • w." $3 1 %?:em 1161 • • w- ?•e+a?? ? ?i ? • •
CITY OF EAGAN
APPLICATION FY)R PIItI-IIT SEWEFt APID/OR WATER CONNF.CTION
1) PROPERTY ADDRFSS: tI q'a
T•FY;AT• DESCRIPTION:
or
.
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSC'A[1CE:
(Nbnth Year)
PRESENT ZONING/PROPOSID DSE: R-1 SINGLE FAMILY
? R-2 DL'PLEX ('IWo Lnits )
R-3 7OWDIIIOL'SE (Three + Units) ( Units)
R-4 APARTME[Pf/CObIDOMIN2L'M ( Units )
COMh1ERCIAL/RETAIL/OFFICE
IDIDL'STRIAL
INSTIZL'TIONAL/G0VII2NMENT
2)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) • c?•
NAM q For City Ose
:
Pltunbers s
?
ADDRESS: 1/0 • Ac ' e
CITY, STATE, ZIP: II'L Cf ired
PHONE: ? MASTII2 LICE[VSE Not Recor
Inltial
4) . ,. ,?. "
'
°
NAME. /Z{
11
116 ,t
x? 6& '?o
A?DRFSS: 7 5 ?? C?f4?
CITY, STATE, ZIP:
-
PHONE: I:Ao ?
5) n • a • ?• : • o• ?
/COiJN4:CTZON TO CITY SEWER *CONNECTION TO CITY 47ATEEt
? OTfER (Please Describe)
6)
? PLEASE HOLD APPROVID PERMIT FOR PI?C?K-C'P BY ONE OF ABOVE
PLF.ASE MAIL OVED PERMIT TO 1J`/?l,) 3, 4, PBOVE
• (Circle one)
7) a???'??1L ?Z-Cl??i? L.L
F O R
PEDMIT " ISSUED
I T Y U S E O N
F°ES: $
$
$
S
S
$
$ ? / ? v4J
$
SLLGrzJ
_
S ?
c,2? UU
$
$
$
$
$
Y
SE:'iLB PE3•.1ri (I_`k.Li:iE SURCH?RGE)
WATER PZ:2?lI- (Ii7CL'uDE SuRCFIArTGc)
%ft
WATER METER/COPPERHORN/OUTSID: REi,DER
WATER TAP (IyCLL'DE CORPORATIODI STOP)
S: ivE4 TA? nCcoi;::'^ .,zroS27 - ac:.?3
ACCOlitiT DEPOSIT - WATER
S4r`,C
SP C
TRuVK WATER aSSESS:?E.dT
TRu:di: S?SvER iSSE5S2•I°:iT
LnT:.^-,.`iL BENic,FIT/TRUDIK SE?::R
LA: c.RAL SENE: IT/TRU:IiC WATER
WATER TREAT:fENT PLANT SURCHARGE
OTHER:
$ TOTAL
Ab10L'tT PrIIDjRECEIPT $ ?
$
DOES UTILITY CONNECTION REQUZRE EXC.IVATION IN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN A"PEZMIT FOR WORK WITFIIN
PUBLIC ROe\DWAY" MUST SE ISSUED BY THE
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUSJECT TO THE FOLLOGTING CONDITIONS:
APPROVED BY;
TI':LE:
DATE:
Ik n ? CITY USE ONLY
L Bwie RECEIPT#:
ijV, ?
SUBD. ? RECEIPT DATE: H1100
PERMIT k
2000 PLUM$INfi PEitMIT (MIDENTI!!L)
crrYoF E?snx
3830 Paor Kxos gn
£AHAN, b!N 55122
651-e81-4673
Please complete for: ? single family dwellings
a townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
EACH
TOTAL
rixi urces
Alterations to existing dwelling - minimum fee
Describe:
$ 30.00
Bath tub $ 3.00 x =
= $
$
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x $
Hot tub/s a 3.00 X = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x - $
S8 (IC S St@rl'1 newlrefurblshed • re ulres MPC Ile. 75.00 % = $
Se tiC S Stem aCandonment 30.00 X = $
RpZ new InsWllatlonlre airlrebuild 30.00 X = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under rounds rinkler irdwellin isunderconswction 3.00 x = $
Under round s rinkler If exlstln dweflin 30.00 x = $
Watercloset 3.00
00
3 x
x = $ 3-C)
W ater heater . = $
Water softener if aweutn underconsauction 5.00 x = $
Water softener if exiatln dweuin 30.00 x _ $
Waterturnaround 30.00 x - -
> > 50
$
State SurChar e .50 --> --- --•- .
§
Total
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----•-----•-----...---•------•----••--...... ........... ......••-------------------------------------------- ----•---••-•.....••---•.
.in.fw..ma..
.6.on is corcect, and agree W comply with all appiicable C1ry of Eagan ordinances.
I hereby acknowledge that I have read this applicadon, sWte Nat the.
It is the applieanPs responsibility W noUfy the properry ow^er lhat Ihe City of Eagan assumes no liability for any damages causad by the City during its nortnal
operalional and maintenance activlUes [o tha fa_cilitias consWded under Nis permit within City propertylrigbtaf-way/easement.
SITE ADDRESS: _
i
OWNER NAME: : _
INSTALLER NAME:
FINN, KEVIN
4428 CINNAMON RIDGE TRAIL
EAGAN, MN 55121
(651) 934-5569 _
STREET ADDRESS:
TELEPHONE #:
(AREA CODE)
CITY: 29Qt 1111a(a1.i[:i02?n e?4?8A,i STATE: ZIP:
MINNEAPOL18, MN 55408
SIGNATURE OF PERMITTEE
TELEPHONE #:
- (AREA CODE)
RESIDENTIAL BUILDING
?,? ( OS7 Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 0 651-675-5675 FAX # 651-675-5694
f$q.-s
New Cons4uctlon Reauirements RemodeVReoair Reauirements Office Use Onlv
3 regislered s'rte surveys showirg sq. ft of lot, sq. fi. of house; and all roofed areas 2 copies of pWn CeR of Survey Recd _ Y_ N
(20% mazimum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y _N
2 copies ol plan shaxing beam & window sizes; poured found design, etc. 1 site survey for addifions & decks Tree Pres Reqd _ Y_ N
lsetofEnergyCalculations Add'rfion - indkate'rfon-sdesepficsystem On-siteSepticSystem _Y _N
3 copies of Tree Pmservation PWn'rf lot platted after 711/93
Rim Joist Defail Opdons selection sheet (bldgs with 3 or less unfts
Date d 1 /?z
SiteAddress l?0 S Construction Cost n 22 Z5 Ud
UniUSte #
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?/1??? '?-' ?1 ??J( ? Telephone #
Contractor I va (,J?
Address
State 1 U 5?OU714 1-6 1..
PI Zip City G C?/l
5?5/ Z,.3 Telep6one # 6i' 5/ ) ¢SZ ` ?' 7 g
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
• Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculatlons Submitted
Have you previousiy constructed a
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Pernut and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of ?lans.
?
ApplicanYs Printed Name
in Eagan with a similar plan? _ Y
(--r4
Applicant's Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements Remadel7Reoair Reauirements Office Use OnN
3 registered sile surveys showing sq. ft. of IaC sq. R of house; end all roofed areas 2 apies o( pWn Cert ot Survey Reotl _Y _ N
(20% maximum bt coverage all(ywed) 1 set of Energy Cakulations for healed addNOns Tree Pres Pian Recd _Y _ N
2 capies of plan showing beam & window sizes, poured found design, etc. 1 sde survey for addNOre & decks Tree Pres Reqd _ Y _ N
7 set of Energy Calala6ons Addition • irMicak ilon-site septic system Onsite Septic System _ Y _ N
3 capies of Tree Preservation Plen'rf lot platted aRer 7l1193
Rim Jolst Detail Options seledion sheet (Wdgs witli 3 or less uni6
Date
L? l
SiteAddress
30 l??3 Construction Cost f Z3z? "??
+Z6 ClONMod 8 LbCo? Unit/Ste #
Descriptlon of Work 1C-? ?? /?'VA^? E ? I U US? ND li?Al? `^
Multi-Faroily Bldg N Nireplace(s) _ 0_ 1 _ 2
Property Owner ???(E- Telephone
Contractor ?J--? 1 L L-`JGe(, 1 `06Y [ "fCa C-a
Address
State ???a SoU ( R t-?L-L6 6P, City EAG
y V Zip '95 123 Telephane #(6p ) 1-52--4--7
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category M"nnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
(J submission rype) • Residendal VentilaGon Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
. Energy Envelope Calculafions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
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 ardinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
e??DD mezE'p,
Applicanl's Printed Name
U
Applicant s Signattue
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122 ..? S
Telephone # 651-675-5675 FAX # 651-675-5694
.
New Consiruction Reauirements RemodeVReoair Reauiremenls OF 0
3 registered site surveys shaxing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan eed _ Y_ N
(20% maximum lot coverage aflowed) 7setofEnergyCalcuWtlonsforheatedaddi6ons TreePresPlanRecd ' _Y _N.
2 copies of plan showing beam & window s¢es; poured (ound design, alc. i sde survey foradditions & decks Tree Pres Required _Y _ N
tsetofEnergyCalwlatlons Addifion - indiceterlon-sitesepGCSystem On-siteSepGcSyslem _Y _N
3 copies of Tree Preservatbn Plan if lat platted afler 711193
Rim Jaist Detail Options selectlon sheet (buBdings wilh 3 or less unils)
4
Date S/ 1 0 6r ?UQ
Construction Cost,
Site Address tYqZ ?r Ci Ionamo,l Unit/Ste #
E /'111J
Description of Work MA,
Multi-Family Bldg _ Y_ N Fireplace(s) j 0 _ 1 _ 2
PropertyOwner Z eY'e)'Y)7li;,? ?p.Ul AN77?Ci Telephone#((,g-/ ) 2)E-OL03
s
Contracror i
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv t Minnesota Rules 7672
Energy Code Category . Residential Venlilalion Category 1 Worksheal • New Energy Code Worksheel
(4 submissiontype) Submilted Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # ( )
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of NIN
Statutes; I understand this is not a permit, but only an application for a pertnit, 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. FF) ? ? ? n m ?
-{- 7 }
?l C?.f-Q.?? G In ?C,UWn?G
ApplicanYs Printed Name
Signature
UI .
n? n,?AV i n 7005
. D
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? OS 03-plex ? 11 10-plex I? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N O 25 Miscellaneous
Work Types d cq/S
? 31 New / ?
? 32 Adddion j ?
9 33 Alteration ? ?
? 34 Replacement
Valuation OLP o
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
35 Int Improvement ? 38 Demalish Interior
36 Move Building ? 42 Demolish Foundation
37 Demolish Building' ? 43 Reraof
"Demolition (Entlre Bldg) - Giva PCA handout to applicant
`L 3 MCES S
t
Occupancy ys
em
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Finaf
__)( Framing
Fireplace _ R.I. _ Air Test _ Final
V Insula[ion
7t
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 Windows/Doors
REQUIREDINSPECTIONS
Final/C.O.
?C Final/No C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tesu
_ Siding _ Stucco _ Stone _ Brick
W indows
_ Retaining Wall
Approved By: i
I , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
G?C- ?•n?ti 3 j?""
)? Da J
), 0"
10/15/2013 13:30 6123818601 CITIES MANAGEMENT PAGE 06/17
I /I Y01010(.))
CA rrCtD
I
I 'For Office use
City 0~ Permit#: _ Ralf i ,a5 l
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: S j
Phone, (651) 675-5675 1 I
Fax: (651) 675-5694 i Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Data: SiteAddres-s: ILK/ Cinnn n L &_j
Tenant:
t t Suite 0:
RESIDENT I OWNER Name: ~iknN Phone:
Address/ City/ zip: !-t L-lY L
/C ~~~~ml l `L~ "Z
Applicant is: Owner 'y Contractor k)Lm_t) IVA 0-)
TYPE OF WORK Description of work: V'V I~V~) P
Construction Cost:~ V Multi-Family Building: (Yes ~i No
CONTRACTOR Name: V` Q.,J ~nw' IUIVLU/ License
WE
Address: ~0~ ~]l/'1 1 ll 1 lUl_ Clttt 1 L~ V
City: State; Imm Zip: '154 ~ b
Phone: \ Z OI~y V Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code Residential Ventilation Category 1 worksheet New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) * Energy Envelopo Calculations Submitted
in f:he 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
tho informatlon may be classified as non-publfc 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 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
'ccordence wlth the approved plan in the case of wodc which requires a review and approval of plans.
Applicant's Printed Name A icant's Sig atur i -I
Page 1 of 3
Use BLUE or BLACK Ink
~ I
For Office Use n t-------
I i 11~ I
4~s*~ Permit#: 5
I
1
City of Ea a I
I Permit Fee: 17~ ~
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff:
I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -31311 Address Unit
Name: a d.l Phone: ~G
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor °
Type of Work Description of work: r IN ~c rc1'~~~
Construction Cost: ` 2-13 Multi-Family Building: (Yes / No )
- -
Company: G- N er e-"'!v £ itv I ontact: yet' r!
Contractor Address:, City: M,011 S'
State: W ~ Zip: Phone: .2
License 02 6 2- 2-1Lead Certificate /1V-7- 37 )'p
-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public ff you provide specific reasons that would permit the City to
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.goaherstateonecall.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 within 180
days of permit issuance.
x Mfr tC%ar S" a`k f x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175221
Date Issued:03/21/2022
Permit Category:ePermit
Site Address: 4426 Cinnamon Ridge Tr
Lot:041 Block: 01 Addition: Cinnamon Ridge 5th
PID:10-17404-01-041
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Opendoor Propertytrust I
410 Scottsdale Rd N Ste 1600
Tempe AZ 85281
(612) 227-8748
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature