4438 Cinnamon Ridge Trf ;V
r
eUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
Reuipr #
Site Addreas
Name
( hereby acknowiedge thot I hove reod this opplicorion ond stnte that
fhs informotion is aorrect and agree to comply with oll opplicable
Sfote of Minnesoto Stotutes ond City of Eogan Ordinonces.
Sipnoture of Permittee
A Buildin9 Pertnir Is issutd to:
all work sholl be done in occordonce with all opplioobls Stote of Min
BWldinp Officiol
Occu pancy
Zoning
Type of Const.
No. Stories
Length
Depth
Sq. Ft. y
Nssessment Permit
?
Woter & Sew. Surcherge ta
Police Plan Review
Fire SAC
Enp. Water Conn.
Plonner Weter Meter ;
Councii Road Unit
Bidg. Off. . Tr. PI. ' v
APC
Var. Date
I t.oples , ?`
Total
on tM txpross condition Ihol
ond City of Eopon Drdlmnces.
Lot 91ock ' SecJSub. ' Remodel LJ
arcel No. Repair ?
P
Addkion ?
Move ?
Z Name Demolish ?
? Address Int Impc ?
r:+., o?....,. __._ri
Pormk No. PKmit Holdn DoU Telephone #
???ing. L-9-0? 5 599-5 5d
H.VA.C. C(
EMcWo
Sotten°r // ' S
Irapoetion Date Insp. Other
Footinqa I
Footln9s 11
Foundatlon ,Y/`
Framiny
Roofing /. n
Rough Plbg. ?
Rough Htg.
Insul.
Firoplsee
Find Hty.
Final Pibq. -? Y-8'
Final
Cert/Occ.
Watsr ??ibe Locstion:
WNI
Ssw??
Pr. Dl?p.
PERMIT #
RECEIPT #
DATE -
CITY OF EAGAN
MECHANICAL PERMIT
454-8100
MINIMUM RE3IDEHTIAL FEE -:10.00 + $•50
MINIMUM COMMERCIAL FEE -;20.00 + $.50
1. Bldg. Type: Res Comm
3. Total Bid Price G
Lot_j Block Sec _
6. Contractor Z.
(Name)
7. Contractor Phone #
Inst 2. New )( Add
FEE
S/C
TOTAL
Alter
? 5. Owner ?•? r
(Street) (City) (Zip)
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 traction -$6.00
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee 1
! -
? HEATING VENTILATING HOT WATER STEAM COND,
?AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RtFRIG.
? RES. GAS PIPING OUTJeETS -$1. 0?-1, TANKS: L.P. UNDERGROUND OTHER
COMM./IND. RATE ?1!*O.F__TO PRICE PLUS $.50 STATE SU5r44ARGE FOR EACH s11,900,OF FEE.
Signed: ? for???
Approved Inspections: Date Rough Insp. Date Final Insp.
Receipt ' ?•! -. PWMBING PERMIT Permit No.
CITY OF EAGAN
Fee
fill in numbered spaces S/C +
Type or Print legibly Tot
.
1. Date 2. Installation Cost
3. Job Address <:? `•, - Lot Blk. T Tract
?-,
4. Owner
. Phone
5. Contractor -
F
6. Address 3; a1 t' , , ,
7. City State Zip
8. Building Type: Residential El Commercial ? Institutional 0
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11.
No, Fixtures
Water Closet No, Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel 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 ordinances and codes governing this type of work.
Signed : j : - for
Rough Final
Inspections: Date Insp. , Date Insp.
This is your permit when numbered and approved.
Approved CITY QF EAGAN 454-8100
CITY OF EAGAN ' 'j r2j v
3830 Pilot Knob Rosd. P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100 . . ? ; .?
BUILDING ?ERMIT RK?ipt #
To M w"d fw Est. Volue •'?6 1 Date
Site Addrest Eract ? Occupancy
Remodel ? 2oning
Lot ? Block Sec/Sub.
Parcel No. Repair ? Type of Conat.
Addition ? No. Stories
. Move ? Length
Z Name Demolish ? Qepth
? Address Int Impr. ? Sq, Ft.
City Phone Install ?
Name
Addre
Citv
Name
Addreu ;
City :>: - , - i ?hone
1 hereby ocknowfedye tFwt 1 have reod this opplication ond srote that
the in}ormofion is torrect and ogree to comply with cll oppliccble
Stab of Minnesoto Statutes ond City of Eagon Ordirwnces.
Sipnature of Permittee
N Building Permit Is issuad to:
all worlc shall 6e done in xcordonte with
Buildinp Officiol
Assessment
Water & Sew.
POlICQ
Fire
Enp.
Plonner
Council
Bldg. Off.
Permit ? ? - Surcharge
Plan Revfew
SAC
Water Conn. - Water Meter 1.
Road Unit r,
?Tr.PI ? A ='-?U
APC I Parks
Var. Oate Cop+es
Toeal ' a+ tM exprcss conditian thai
soto Statutes ond City of Eayon Ordinonces.
Pamit No. Pwmit Hoklw Dats Tolephona it
Ptumbfna (? i??'? C 9 U
H.VA.C. •? 7,11 i
Electrie
?
0'%. ?? 3 ? •
sofcow
Im?ction Date Other
Footinps I
Footings II
Foundatlon
Fr?mfny I
Rooflnp
Rou9h Plbg.
Rouyh Htg.
Insul.
Flroplsce
Final Htg. aQ w
Flnal Plby.
Flnal
C4rt/Occ. (
Water D?tc?ibo Loeation:
WNI
Snver
Pr. Dlsp.
PERnnir #' '? - CITY OF EAGAN FEE '
?
f(? b 3 ? MEGHANICAL PERMIT
RECEIPT # ? j 454-8100 S/C
? / ?, / MINIMUM RfSIDENTIAL FEE - $10.00 + $.50 TOTAL ?^?r ad
DATE t? ?'?? M+MfMt1M COMMERCIAL FEE -$20.00 + $.50
1. Bldg. Type: Res ? Comm Inst 2.
Alter Repair
Lot ? Block ? Sec ? n r-? P__? 6(a g ? 5. Owne?? f?'?•'??"
/? ff T
6. Contractor
(Name) ??? ` (Street} (Ciry) (2ip)
7. Contractor Phone # t?
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.Oo. Each additiona150,000 8TlJ's or traction -$6.DD
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00
MODIFICATIONS/ALTERATIbNS -$10.00 minimum fee
? HEATING VENTILATING HOT WATER STEAM CK AIR COND.
IR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GRS PIPfNG OPTLETS -$1.5Q 7AfViCS: LP. UNDERGROUND OTHER
COMM./IND.
$1,000 OF FEE.
for '-----
t
Approved Inspections: Date Rough lnsp. Data Final Insp.
"?
Receipt PLUMBING PERMIT Permit Na
CITY OF EAGAN ?
Fee
fill in numbered spaces S/C
Type or Print legibly Tot. {
. I
1. Date 2. Installation Cost
3. Job Address Lot ? Blk. Tract i
1
4. Owner ?
5. Contractor Phone ?
6. Address
7. City State Zip '
8. Building Type: Residential 1?7 Commercial O Institutional ?
9. Work Description: New 0 Add 0 Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures ?I
Cesspool/Drainfield
Bath tubs I
Septic Tank
Lavatory Softner ?
Shower Well
Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
i Floor Drains I
?
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 : ? j ' ' for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
SEDGINICK HEATING & AIR CONDITIONIN
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881
ADORESS ?y38 C?"????`'??? ???+e. ?r•orL
OCCUPANT 044 rK SVI ya e-1r'
SOLDBY NJ?!???Jpl?e."1
MAKE ?Q M n d?c
5ERIAL MQ. ? O ?? ? ? ?G 9? r
G CO. HEATING JOB NO. 9
-sooo TEST RECORD
CITY ?/? 91'? N
OWMEF SR m C?
IMSTALLED BY
MODEL G 90 t4H-34 {9- 070
INPUT ?f?117 vV U 6714 Z
j1
THERMOSTAT ?9 fag'63 VENT SI2E
VALVE TYPE OF L
LIMIT LINER SIZE
LIMIT SETTING
IGNITION MdOEL
PILOT TIMING
?
PRESSURE PERCENT COZ
INPUT CFH PERCENT O2 <*'?
07
STACK TEMP. 1 PERCENT CA
FORM 235 (REV. 11189)
WIRING
?
LIGHTING INST.
DATE TESTED
COMPANYTESTING ?
NAME OF
NUMBER
FORM DI5TRIBUTION: WHITE COPY- J06 FlLE YELLOW COPY - CITY
CITY OF EArAN WATBt SERVICE PERM
3830 PJia: ;'-nob iioad -
P. O. Box 21189 PERMR NC.:
Eaysn, MN 5??1 DATE: ?
Zanirp• _ ? ` No. of Unlts: - • ? . .
Owrer: •:' I' 1 cs:. G r S.
Addrori:
Site ?m? Cznnamon g r inn . ct
Plumber: ilavIocl: P timbic;?
t_ I . ?_ pa
Maer No.: G 6? 1 ion Cha?ge:
Slu: 6'1L.&.A_ Deposlt: 15_ • 0- P
1 .gr.e ro oe.p1?r whU
OaimsnaM. „
8y ?
Dote of I rup.:
ED Pf/ l: LA
Dote Paid:
CITY OF EAGON SEVyE1t SERy1CE PERMR
3830 Pilut Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE
Zoninp: No. of Units:
Owner.
llddross:
Sita Address:
Plumber:
1 NeM h eon* wM6 Iie CNy of Mpw ConnwcNon Charge: .
Ordimeea. Atoourn Depait:
Pam?Ft Fos:
Surdwe+pr
By Mtsc. Charo.s:
Dah of Insp.: Totai:
Irop.: Dats Poid:
W i Y Ur tncaAr- WATER SERVICE PERM
3830 Pllot Knob Road
P. O. E3ox't'1199 PERMIT NO.: .
Eagan, MN 55121 D/?TE: - - Zoninp: . '2 No. of Units: up ' e:-
Ar...... D eV.- 2E:S B _ _iI'g .
te eom}lp MNb flw Gry
By ?.
Dote of
9-
• CITY OF EAGAN SEIAIER SERVICE PERMR
? 3830 Pilc?t Knob Rosd
P. O. Box 21199 PERMIT NO.:
'Eagan, MN 55121 DATE:
Zonirg: . . No. of Units: A. Owrwr.
'Addrcss:
5ite Mdress:
Plumber:
I NmNoil w*b fV Cky ef spe¦ Connectian Charpe: n dr'd
AdlNeaa. llooownt Depo:ir
Peemlt FM: .
Surcharys:
:?By Mlic. Choryes:
DaM of Insp.: Torol:
.Irap.: Dote Pa1d:
Addrcss: r 1?c'_? _.: ?
This request void
m L????
8 onths from f d 5
082739
Request Date
S? Fire No. Rough-in Inspection
Required?
eady Nuw, 9w, Notify Inspec-
?. s ? No ? r n jrd y
?..?ce??snv uecincai tontractor L/ i / v ? i ? ?
1 hereby request inspection oi above
? Owner [J i ll? electrical work installed at:
?
Street AdOress, 8? or Route Nq.
i _r? A
. . _ ?
^^iivrv 7A STATE BOARD m?NELECTRICITY
Grigg -Midway Bidg. - Roo•191
1821 University Ave., St. Paul, MN 55104
Phone (6121 297_2111
I `l'O'' )' - /
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
REQUEST FOR ELECTRICAL iNSPECTION EB-00001-04
7 ? Sea instructians for com0leting this form on back of vellow copy. ?
B J9 ""X" Below Wcrk Covered by Thrs Request
AAd Rep. Type of Building ADClitlntea Wired Eauioment WirwA
k
# F6e ServiceEntrenceSize b Fee Feeders /Subfeede rs N Fee Circuits
0 to200Amps 0 to30qm s 0 to30Am
Above 200 Am ps 31 to 100 qmps 31 to 100 Am -
Swimming Pool Above 100_Amps Above 100_Am s
Transtormers Irrigation Boorris Partfal Other Fee
a"' 1 I I'peciai inspecuon ? $? ?1`0 ?
. J_ . r y?f) n..?l TOTAL
I, the EI trica
Inspector, reby
certify that the abov
insper.tion has been
made. -
7.13 0
rnts yo.a ? A D. I ?
18 ma'?rths (rcm ? t 0
0 092744
4- 1 a -l??ESy
? / 13.
Rentmst Date Fre No. ftouph-i Insnocuon ,?,(??
Rey red? ?Reatly Nuw I]?Will Nolify Inspec-
- ?'es ?No T ??r When Ready
R Licensad Elactncal Contrnllor I hereby ?aquest inspeclion ot above -
Ownet elBCtncal work in5tallad et.
Svee?[/A?ddlress, ox or Route No, ?'t /
7-
ecLOn o. Township Name or No. Nange Nn. Cnunt
.
zzilx-?
Occ ant JPRWT7 hnne No.
Power $upplie!r ? J/?7f
/??.I.l.% ?C?uc?? Addr ss O-ZY
.??D ? ?r?? ?LTW
EI nca ConVavtor ICompany Namel f C?l??tractor's Li/cenSe No
? i
MaJmB /addr ss Contra tor or Own?e/r?MakinP /Ins?tailauonl
ure IC?aMOr Owner Mflkin9 InStalla?ion)
t raeL?u LNA,C9 Phone ?N/umber
!?Y •
b1NNE50TA STATE BOAPO OF EL ITY
G 99s-Midway Bldg. - Room N
1921 Universny Avx.. Sp P , MN 61100
Phone 16121 297_2111
THIS INSPECTION REQUEST WILL NOT
BE AGCEPTED BY THE STATE BOAND
UNLESS PROPEfl INSPECTION FEE IS
ENCLOSED.
/ REQUEST FOR ELECTRICAL INSPECTION
Sea instructwns tor comoleiing this form on back ol Vellow cooV-
b "X" Below Work Covered by Thrs Request
EB-00001-04
?lh ( las'
NissI
Addl
Rao.
rvva ot euiieina
Aaoluancs9 Wrzea rt4
E9??iument Wired
Home Ranyc Temporary Service
Duplex Water Heater LiyhUny Fixtures
Apt. Bwlding Dryer tlectnc Heatin
Commercial Bldy. Fumace Silo UnloaJe.r
Industrial Bldg. Air ConAitioner Bulk Milk Tenk
Farm
Othei IPeafy
Other ISUC?.ily)
,iher Lcatyi 01hcr 0 the,
......
M .?.........,,
Fee r.,_.._....... __'_"'
Service EntranceSixe
4
Fee
Fexders/5uhteadars
b
Fce
Ci?cwts
0 to 200 qm s 0 to 30 Am s
0 tn 30 Am ?s
Above 200 Amps 31 to 100 qmps ,p 31 to 100 Am s
Swimming Pool Ahove 700_Amps -Above 100-Ainps
Transrormers Irrigation Booms Partial'Other Fee
S, ns Speciel Inspecnon ?
(
?r
'
S 7pTAL FEE
AertNrks /
/
? q
/
/
`? ?`?
/
flough-m OA[
B I
I, the Elec ?ncal
. InsOector, h?rabq
certdV thnt the above
Final u ??'-
?- Knspection has been
medu.
This reQUest voitl 18 monNS irom
Request Date Fire No Rough-m Insp LOn
epuiretl'+
P
?pqeadY Now `
?
] Will Notily InsPector
?p
S?? 2? T Z ? Yes , No H'hen Reatly>
I? licensed contractor O owner hereby request inspection of above electrical work at:
doE Atltlress ISLi,reet Box or aoute Na r
e
'
T ?'ry
? ? I\ x
!/'
Senion No Towns?ip Name ar No Rarge N ??^7
?
Occupant(PRINT) Plwne N.
/
L Q 1' ' \ C..? '
Power SuO6 Mtlress
DQ ?' o?
Eiectrmal GonVacror ?GOnparty Name) ConVactor§ Lcense No
O?? ?? Q l GaI?O ?
Matlmg Atltlress (COnpactor or Owner nq InstallaVOn)
4c &
AtT
(
wa
f?.
L a
_
c
NutM1O?rz aWre IGOnIracloNOwne king Insla ion)
?-?.. ?,?..._
? Ph e Number
_ _2_3-
?a 8
MINNESOTA STPTE BOAPD OF ELECTqIGITY ? THIS WSPECTION REOUEST WILL NOT
Gtlggs-Midway Bidg. - Room S173 . BE ACCEPTEO 8V THE STATE BOARD
1031 UNVerstly Ave., SL PauL MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-OB00 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
J ? See mstmctions for compiaeng tMS lorm on back ot yellow copy
"X" Below Work Covered by This Request
e Atld? Rep TypeolBwiding AppliancesWired EqmpmentWrted
Home Fange Temporary Service
Duplex `Nater Heater Elec[nc Heating
Apt. Bwlding Dryer Other (Speciy)
I Comm./Industrial Fumace F ? P'
Farm Av Conditioner
DIM1er(syecdo Conlractor8 Remarks.
Compute lnspechon Fee Below:
0 Olher Fee # ServiceEnhanceSrze Fee # Circwis/Feeders Fee
Swimming Pool D io 200 Amps 0 to 10o Amps
TranSfofiner5 AboVe 200 _ Amps Above 100 _ Amps
SignS Inspecror5 Use Only. TOTAL
?
Irngation Booms -?
Speaal Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in oafe
cenify that the above inspechon has
been made. Final Date
?
OFFICE USE ONLV
This requeW vaid 18 mOnihs imm
This ren11est voidy$ ?
18 nwn?hs (rom
? 082740
??
flequest L'ata
S Fre No. Rouph-in IngU?`cUOn'/
F qairtrd/
es ?NO ,.y???
?Readv Now ?i `?uil NoUfy Inspec-
tni When Reatly
W?j Licensetl Ele.ctncol Contractur I heraby repuest insDPctian ot nbov?°Ty 7. 54DJ
? Owner electncal work mstalled at •
Stree[ Address, Bo or floute No.
'7wo Ciiy
ecuon o. Township Name or No. Rangy Nu. C
o
Oc panc (PRINT)
M Phone No.
1
Power Supplier
? qdGy
•? / 4?
E ctnc I Conhactnr (ComD.nY Name) CunVartor's Lirense N.
MaJing AdJ ss (Contrec- o
ro/r ?Owner, aking Insta{'lau il
?
?
.V Q"vW Q ?-?-, N'
Authonzed Sienature (COnv c[or/Dwne r Makrtip Installatmn) Pbone Namber
MINNESO,? STATE BOAND OF Ee?iICTRICITV
Gnggs-MVdwey Bldg. - flaom Nbgi
1821 University Ava.. St. Peul, MN 55100
Phone (612) 297-2111
THIS INSPECTION flEQUEST WILL NOT
BE ACCEPTED BY THE STqTE BOARD l1NLESS PROPER INSPECTION FEE I$
ENCLOSED.
5 gr REQUEST FOR ELECiRICAL INSPECTION « EB-00001.04
p AM, 4
See instructions lor completing Ifrrs form on back of yellow copv.
"X" Below Work Covererr .* y 7hrs Request ?
1 Z,
f .Ko"
c.dd nea Tvoe ot Bwiaing aoolianc•ewirae Equiomenr wi.eJ
Home Range Temporary Scrvice
Dupiex Water Heater Liyhtiny Fiztures
Apt. Bwlding Dryer Electric Heahn
Commerclal Bldg. Furnace Silo Unloader
Industrial 01dy. Air Conditioner Bulk Milk Tank
Fann oihri penW Other Isuer.ifvl
t n,r SPer,ify ONUr pther
C.O/DDUI@ 1.750@CtIOl1 FPP RPlOW
p Fee ServiceEntranceSae tt Fae Fr,e.ders/Subteeders p Fee Cncurts
0 to 200 qm s 0 to 30 qm s 0 to 30 Am>s
Ahove 200 qir.py 37 to 100 Amps 31 to 100 Am s
Swirnmin Pool Atwve 100_Amps Above 100_Amps
Transiormeis IrrigaLOn Booms Partial-'Other Fee
Signs SPecial InSpectron
"
Remarks TOTA i EF E
?
floudh-in
111t I ?
? 0.? !?
j •y?
51
?
1011" , ?he Elactncal/
Inspe?br{her oby
cer\ily that the above
inspection has been
mede
TbiS leQUesl vOltl 16 TOnIDe trom
?? ? V
`' ??1?' sy
.• CITY Of EAGAN N° 1 12 8 6
3630 Pilot Knob Road, P.O. Box 21•799, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100
Receipt $ ( ? ?? 7
Te be wed {or 1/2 DUP & GAREst. Value 549, 000 NOVEMBER 12 a 85
SiteAddresc 4440 CINNAMON RIDGE TR
Lo< 1 Block 1 sec/sub. CINN RIDGE STH
Parcel Na.
W I Name DEVRIES BLDRS INC
? Address 7564 MARINER DR
City MAPLE GRV phone 420-46 5
g Name _
?y Address
F- City _
Phane
Name W CAGE.
Address -$8ONk` AUE
City Bj49AFJ.YN---QICPhone
I hereby acknowledge thot I have read lhis apDlicotion ond siote thaf
the In(ormofion is mrrect and o ee to wmDly with oll opplicoble
SfaM of Minnetoto Stafutes on ity of' Engon Ordirpnces, _
?
Sipnoture of PermiMee M- F-9?.•-?f??"
A Building Fermit Is issued ro: DEVRIES BLDRS C
ali work shall be done in occordance with o?ll?o/p? iplic?able? Sroh a Mir
Bulldinp OfHcial ??Cxi•f?C.?L i
Erect QL Occupency K.i
Remotlel ? Zoning R4
flepair ? Typa of Conat. V
Addition ? No. Stories
Mova ? Length 24
Oemolisn ? oepth 64
Int Impr. ? Sq. Ft.
Install ?
ADWOrob Fees
Assessment Permit +S 278.50
Woter 8 Sew. Suicharge 24 . 54
Police PlanReview 139.25
Fire sac 525.00
En0• Water Conn. 500.. 00
Planrxr WaterMeter 63,00
Council Road Unit 980 _ 00
BIdg.Off. 11IZ $ Tr.PL 132_00
APC Parks
Vaa Dete Copies
2 5
rotat
on the exprees Cord7Hon Ihos
6qt4,$tatutes and City ol Eayon Ordinances.
-,, CITY OF EAGAN N°_ 1 12 8 5
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
??(J` ?1
BUILDING PERMIT PHONE: 454•8100 Receipt # ? ?
Te M wed Mr 1/2 DUP & GAIkst. Vojue $49,000 p„tp NOVEMBER 12 l0 85
SiteAddress 4438 CINNAMON RIDGE TR
Lot_L_Block 1 sec/Sub. CINN RIDGE STH
Parcel No.
5 IN,,, DEVRIES BLDRS INC
z Address 7564 MARINER DR
City MAPLE GRV php.e 420-4685
Z? Name _
s? Address
City -
Phone
Name W. GAGE
Address BOONE AVF.
City RROnKT.VN Plkhone
Erect Ix Occupancy RS
Remodel ? Zoning R4
Repair ? Type of Const. V
Additlon ? No.Stories
Move ? Length ZQ
Demolish ? Depth 64
Int Impr. ? gq, Ft,
Instell ?
AOYrovals Faes
Assessment
Water & $ew.
Police
Fira
Eny.
Plonner
Council
Bldg. Off. 1 1/12 /$
APC
Var. Oate
permit - $ 278.50
surcnarge 24.50
Plen Revlew 139 ,2 S
snc 525.00
WeterConn. 500.00
WaterMeter 63.00
RoadUnit 280.O0
rr. Pl. 132 . 00
Parks
i hereby aCknowtedge fhat I have read this opplication ond siafe fhat
the informotion Is correcf ond ogr fo comply wilh oll oppliwble
Stote of Minnewto Statutes and i of Eogan Ordirqn s?.
$ipnature of Permiftee -?? ? I
A euclding Pe.mit Is issued to: DEVRIES BLDRS INC
all work sholl be done in accordcnce with oll-epplicobfb Stote of Minel
f Copies
Totai $1,942.25
_ on the expreu canditlon Ihoi
and Ciry oi Eopan Ordinances.
Buildinp Offlciol
. '1 112 ?is
7985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED ifITH THE CITY OF EAGAN
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1'SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BO_???n
?- "?'"'3"
To Be Used For•
SINGLE FAMZLY DiiELLIHGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Valuation: 49,00O Date: La-as-P-r'
Site Address yy3V "?T
ni?
o
Lot Block
Parcel/Sub
Owner 4
Address 7 S6
City/Zip Code S'Sg&y
Phone %2 o yL
Contractor ?
Address
City/Zip Code
Phone
Arch./Engr. ?&vs=
Address ?.,..? 011e.
City/Zip Code ????
!/
Phone 11
Erect X
? Occupancy
Remodel Zoning 2.¢
Repair _ Type of Const -?
Addition !i of Stories
Move , Length 44
Demolish Depth Co4
,
Int.Impr. Sq Ft
Install
APPROYALS FEES
Assessments Permit
Water/Sewer Surcharge
74.
Police ' Plan Review 1'i9•
Fire SAC 525,
Engr Water Conn Sco.
Planner Water Meter (o
Council Road Unit 280.
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
a.s-
1985 BUILDIAG PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED YITH THE CITY OF EAGAN
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BON
To Be Used For• a??
SINGLE FAlIILY DHELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIF'ICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Valuation • 41q,CC0 Date • /a -29- &S-
Site Address clNqO Ct? C?P,hn 1?2
Lot / Block n- d-.
,?.?^r?
Parcel/Sub SL?. Q.Q.Lti.
Owner /?•-c. -
Address ? SG y rvts-k-?a L1h •
City/Zip Code 'A*? 5-s314
?
Phone 414 o ?3'-
Contractor cl?_.
Address
City/Zip Code
Phone
Arch./Engr. ?
Address a-o-r..A f?.....t;
City/Zip Code Qj=-X? 104.,.k .
Erect ?
Remodel ?
Repair
Addition
Move ?
Demolish ?
Int.Impr. ?
Install ?
APPROYALS
Occupancy
Zoning
Type of Const
ll 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 /-%L z? Treatment Pl
APC Parks
Varianee Copies
I TOTAL
.m
r
Phone 11
Hedlund Engineering
Land Survoyors Glvll Enqineers
Services
Land Plannsrs
7714 Morpoa Arenue South
RItMiHd,Mlnnewta 65423
Phone:668-2823
? survellvr`s eertifixte
_ JOB N0.
SURVEY FOR: •John De\'ri es
QESCRIBED AS: I.ot 1, Block 1, CiNNFlP+Oid RIDGE STII AnDITIOPd, City of Eagan,
Dakota County, P+innesota, and reservin'o easement so frecord.
i q_180 _
30
J
a
W
W
O
KI ?
O
Q ?
Vi 30
91(,.V
Q?NNAMON R?D6E 7'RA1
? 84.0 --- Un
N880 00155E
W W
-7
1,4 i
?
Y•?
_
I
I , ' S GAR. GAR -9
'W
I \ ??
-' I
zz zz '
I r 2ba . 2391p-' ?w
i j / I?-fa??GANY I
L --- ??- --1
?a'°---
? TOP OF FOUNOA710N ¦ 949.7
BASEMENT FLOOR = 9 i%3
Q GARPCL FLOOR = 91(P.5
PROFn; r.r, r.
p/ :?-.I_F_VATIONS O
?
EXISTING ELEL'ATIONS
•j°v,ot. DRAINAGEDIRECTION -i?
DENOTES LOT CORNER o
0
M
?
? 84.00 N89°56'z8" W
I
I
CERTIFICATE OF SURVEY
I Aereby certify that on l/ / 1 185 I surveyed ihe property described above and ihaf
the aDove plot is a correct representotion of sald survey.
-7-K. -a?
Colrln N. Medlund, Minn. ReQ. Na 5942 .
PII2SONS: REQL'IRING• ADDITIONAL COPIFS WILL SE-CHARGED A$20:00? FEE T0 CO
CITY OF EAGAN APPLICATION FOR PERNIIT SESER ADID/OR WATII2 CODZECTION
DRf1DFRTV ailT1AFCC•
IF EXISTING STRL'CTL'RE, DATE OF ORIGINAL
(Month Year)
PRESENT ZONiNG/PROPOSID [.'SE: R-1 SINGLE FAMILY
R-2 DC'PLEX (7t,o L'nits)
R-3 TOWNII-IOC'SE (Three + C'nits) ( Onits)
R-4 APARTMENP/CONIDOMINIL'M ( Cnits)
COMMERCIAL/RETAIL/OFFICE
IbIDUSTf2IAL
INSTI'ILTIONAL/GOVIItNMENT
NAME: 1?, ? ?
?DREss: --7- 7 _? V- L
CITY, STATE, ZIP: 4
PHONE:
3) • r?•
NAME:
P,DDRESS: - ?
L-
CITY, STATE, ZIP:
PHONE: r?r MASTII2 LICENSE # o?Illq6? m
4) • • ?• --?
NAME:
ADDREss:
CITY, STATE, ZIP: J O d- " Y.E
PHONE: 0?IL - b ? 0
5)
?:V['TION TU CITY SEWER
Q OTflER (Please Describe)
r
For CitV Dse
??Acti
O red
t Recor
St f iti
?CONNECTION TO CITY WATII2
6) u • • i
? PLEASE HOLD APPROVID PERNffT FOR PICK-L'P BY ONE OF ABOVE
? Pi,EASE MAIL PRO\7fD PERMZT TO 1, 2, 3, 4, ABOVE
? (Circle one)
7)
F 0 R C I T Y U 5 E O N L Y
PrRNiT '-` ISSUED
?
F°Es : S- /p , -S,(-)
$ /()•s-v
$ $
S
$
S / ?`U t1
$
?$ S?t?;vu
$
$
$
$
s .3.5. _U.
$
$
$ ?U
SE:•icD nE4MT_T (INCLJDL JUP'.C :ARGLJ
S9ATER PE.-U4IT (IPICLuDE SliRC::ARGE)
Wr\TER METER/COPPERHORN/OUTSZD: READER
WATER TAP (INCLUDE CORPORATIOJ7 STOP)
S::PcF TA P
AC^CliNT DrPOSIT - V]ATER
w„c
SPC
TRii?IK WATER ASSc55i?E:dT
T4ii;dK SE:'7ER ASSc.SSi•1°:IT
L'nTE?.aL SE:IEFIT/TRUNK SE[:?R
LA: c.RAL BENEFIT/TRU:]K ?JAT°D
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
A!".OUST PAID/REC°I?T n ,s
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
L, YES ZF YES, THEN r'i "PERMIT FOR TiqORK WITHZN
PUBLIC ROr1DWAY" MUST BE ISSUED BY TY.E
? NO ENGI.IEERING DIV:SION. LIST AS A CONDI-
TION.
SL:BJECT TO TfiE FOI.LOWL,IG CONDITIONS:
APPROVED BY:
TZ:LE:
DATr:
• ?1' • 1 ¦ • • • ? • 1 • ' 0 171• ? I? /• ?1• • ?1•
' ?I' 1 • ?• • ? ? • • ? • ' 71? ? 1 1 1 ?1 ? •
•? 1 •
CITY OF EAGAN
APPLICATION FDR PERMIT SEWEEt ADID/OR WATEE2 CONNECTION
1) PROPII2TY ADDRFSS:
T•FGAT• DESCRIPTION:
or
IF EXISTING STRCC7[.'RE, DATE OF ORIGINAL BLILDING PERMIT ISSL'ANCE:
(NYon Year)
PRESENT ZONING/PROPOSID CSE: R-1 SINGLE FAMILY
R-2 DL'PLEX (74.o C'nits)
R-3 TOWI?II-IOCSE (Three + L?nits) ( Units)
R-4 APARTMENT/CODIDOMINIL'M ( Units )
COD'A7EE2CIAL/RETAIL/OFFICE
INIDL'STRIAL
INSTI'IS'TIONAL/GOVERNvIENT
2) r... , ? . ?- .
Q OTfiII2 (Please DescriUe)
MASTIIt LICIIVSE #
Recor
6) i? • •
? PI.EASE HOLD APPROVID PII2MIIT FOR PI?CK-LP BY ONE OF AHOVE
PLEASE MAIL APPROVED PERMIT ? 1, 121) 3, 9, ABiDVE
? L? (Circle one)
7) ? ? L-a
For City C'se
Plinnbers Licens
5) i? r•?• ? • o-• ??
CONNSCTION TO CITY SEWER ;CONNSCTION TO CITY WATIIt
_ _ .; . . .
FOR C I T Y U S E ONi,Y
PE2NIT °- ISS[JED
E=_=
F°ES: $--r?t? ?
?
$ S 6? .?U
S
5
$ _ / `l'', G73
$ /S a--ll
$ S'DG ?-,)
$
S
$
S
$
$
?GSE"siG.D. PERMTT (I?JCLJLL JU.R.C.:;?.RGc)
WATER PETUtIT (IiICLliDE SliRCHARG',)
WATER METER/COPPERHORN/OUTSIDE READER
WAT°R TAP (INCLUDE CORPORATIOJI STOP)
S::•iER TAD
: CCOU_:r Z..?cs'- - ..-'-.=3
?_ _
ACCOliNT DEPOSIT - PIAT°R
wac
SPC
T?ttiVK IVATER ASSESS:?E::T
TRti:Ji{ SE;7ER aSSE55ME:iT
L`n:E?.AL BEidEFIT/TRU`IK SE:•i: R
LATcRAL BE:VEFIT/TRU:1K 117AT_°R
WATER TREATMENT PLANT SURCHARGE
OTHER: _
TOT?L
AM0UtT PAID; RECEI?T ,'lr
DOES UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
L, YES IF YES, THEN n"PERMIT FOR 'AORK WITHIN
PUBLIC ROADWAY" MUST BE ZSSUED BY THE
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SLTEJECT TO THE FOILOWING CONDZTIONS:
APPROVED BY:
TITLE:
DAT_°:
CITY USE ONLY I,, ry/1
L O I? BL r?h RECEIPT #:
SUBD. Y\V\ N?. `? ? RECEIPT DATE' -? ?
PERMIT# 1 -I
1999 PLUM$uNH PEftMTf (RESIDE18TtAL)
crrY oF EAfiAN
/ 3$30 PILOT KNOS RD
EA&AN. MN 55122
(651)691-4675
Please complete for: > single family dwellings
? townhomes and condos when permils are required for each unit
? backflow preventer for underground sprinklersystem
fiXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum - 1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ ?
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total --> --> --__> ....> $ 30
?
Reminder: Call for inspectfons of alterations, i.e. water heaters, water softeners, etc.
----• - ------ •-------- --- - • - --- - • - ----------------- ------------------------------------------------------- ------ --- ------- ------------
I hereby acknowledge that I have read this applica6on, state fhat the information is covect, and agree to wmply with all applicable City of Eagan ordinances.
It is the applicanPs responsibiliry to notify the property owner that the City of Eagan assumes no liability for any damages caused by fhe Ciry during its
normal operational and maintenance activities to the facilities wnstructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: 7 7 T61
OWNER NAME: : SCtt/n 74Z- TELEPHONE #: G?
(AREA CODE)
INSTALLER NAME: TELEPHONE #: IOCz S'?/ dSS"S`
STREETADDRESS: 1(z119 (AREA CODE)
CITY: STATE: ZIP:
SIGNATURE 0E6ITTEE
?p 5?0J PLUMBING (RESIDENTIAL)
u Permit Application ? !S•?
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pernvts are required for each unit
Date SNYDER,MARK
4438 CINNAMON RIDGE TRAIL
Site Address EAGAN, MN 55122 Unit #
(651) 882-5195
Property Owner Telephone # ( )
Contractor NORBLOM PLtJMBINt3 COo
(612) 827-4033
Address City
S.
State
ip Telephone # ( )
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC iicense $ 100.00
Includes County fee. Additlonal consullant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures 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:
_ RPZ _ new installa6on _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water sottener x Water heater $ 15.00
x replacement _ additlonal
,
?
?`C
?
li
StateSurcharge ')CL3
nnr,
IIS
1
ll? n.. I?. SO
Total u g
I hereby apply For a Residential Plumbing Pernut and aclrnowledge that the in complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pemvt, 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.
Applicant's Printed Name nt's Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,4 1i3.7s'
New Construction Reaui2menb RemodelAteoair Reauirements OKce Use Onlv
3 regmtered site surveys showirg sq. fL of lot sq. ft of house; and ali roofed areas 2 oopes of plan Cert of Survey Recd
(20% mazimum lot coverage allowed) 1 sel ot Energy CalculaUons for heated additions Tree Pres Plan Recd
2 copies of plan showing beam 6 window sizes; poured found design, etc. 1 site survey for addi6ons & decks Tree Pres Not Reqd
1 set of Energy Calalations Addifion • Wicate if on-sde septlc system _ On-site Sep6c 5ystem
3 copies of Tree P2servaUon Plan if lot platted aNer 711193
Rim Joist Detail Options selecGon sheet (bldgs witli 3 or less uniLs
DateA? .', l30 l PW3_ S
Construction Cost U •OU
Site Address #V3 8'- YY,/o G'niNAn orl R.,O LiE ?TCd 't UuidSte #
Description of Work T"'L GFF R& ccjr
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner `nAI ScN T?. N?/ U Telephone#((e.f/
Dta-
Contractor CEpTK r"4_ ipc- V 4n.
Address 4/F9 r'/Y,?-"? bT Ctty
?
State M ti/ ` Zip ,Cn,2Telephone # OS-2 ) ?f
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventllation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Suhmitted Su6mitted
• Energy Envelope Calculatlons Submitted
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 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.
/10/Y/ iA:?? Kse ? ? (. _/
ApplicanYs Printed Name Applicant's Signature
? ? 5c7
2005 RESIDENTIAL MEC,HANICAL PERMTT APPLICATION
? ??11p City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when peanits are reqmred for each unit
Date -0_ / / 0,5'
Site Address Unit #
Property Owner Telephone # ( )
Contracmr " aCDMWnuEqXgyG & AIp CpNDRIQ""^'P U f?
8910 W r Ave S
Street Address ?
r?
City
State (952) 881-9000 Zip Telephone # ( )
Bond Eapires:
The Applicant is _ Owner ? ConVac[or _ Other
Add-0n or alteration to existing dwelling unit ??j & p Y?.-Q'7Q $ 30.00
? furnace _Additional Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $ M,4d
I hereby apply for a Residential Mechanical Permit and aclmowledge that the information is complete and accurate; tttat the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pernrit, but only an application for a permit, and work is not to s[art without a permit; that the work will be in accordance with Ihe
approved plan in the case of work which requires a review and approval of plans. ?
1
SED6WICK HEATING b AIR CONDRIOWRG LLC 11 '
ApplicanYs P t g&jhep Vz '' Applicant's Signature -
Minneapc,,.,, MN 55420
(952) 881-9000
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10/15/2013 13:30 6123818601 CITIES MANAGEMENT PAGE 09/17
e
i dot bfflce t:fse •p~
city of Eg,d! Permit ► I ~ 1 00
3830 Pilot Knob Road Permit Fee: I
I
Eagan MN 55122 Date Received*
Phone: (651) 675-5675
Fax: (651 ) 675-5694 1 staff: 1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
^
Date: ro Site Address: 40-'-,R Unnanf~.Q.Pdn- _
Tenant: IJ~J\V 4l/I , 1\It~ Suite 9:
RESIDENT / OWNED Name; Phone:
Address /City /Zip: 144+0 6M U O
Applicant is: -Owner ContractorJ~-
TYPE OF WORD: Description of work: ~y'~ D`
Construction Cost; MOD Multi-Family Building: (Yes• z/ No
CONTRACTOR Name: C~1'~I ,S {V `1/l~h 'V~1J11+ License
r
Address:
City: ,V 1 S State: yV I { V Zip;
Phone: UU,:_~p`~ Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaort l Minnesota Rules 7672
Gnei,Ay Cod.-: Residential Ventilation Category 1 Worksheet ~ New Energy Code Worksheet
Category submitted Submitted
N sul3ty ission type) Energy Envelope Calculations Submitted
In the IasC; 1/, months, has I.-he City of Eagan issued a permit for a : h'nilar plan based on a master plan?
..Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 9.. Water Contractor: Phone:
AIOrE. Plans and sUppo►-ting documents that you submit are considered to be public information. Portloi of
the information may be classified as non-public if you provide specific reasons that would permit the Crdy to
conclude that the sera trade secrets.
I hereby acknowledge that this informatlon is complete and accurate; that the work will be in conformance with the ordlnences and codes of the City of
Eagan; that i understand this is not a permit, but only an Applicatlon For a permit, and work is not fo start without a permit; that the work will be. in
r,ccordenco with the approve-A plan in the cn^r.. ofwvorkf+whhiich requires a review and approv I of plans.
Applicant's Printed Name J
licant's Si ature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
x I i Ea
Permit City ""Rd I Permit Fee:
3830 Pilot Knob Road j f I
Eagan MN 55122 I Date Received: q /
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 -3 Site Address: G9 ~t/t.tt✓ ~`/G- Unit
Name: 111 ~ z 4r y fr l s Phone:
Resident/ ~
/Zip: ~r P~ ` ,tt i1Y)J~.i~"_$~ .
C?wner Address/City
Applicant is: Owner Contractor
Type of Work ( Description of work:
t Construction Cost: 7J' Multi-Family Building: (Yes / No )
Company: ~ ~ . ~Ns+ G ~-a A tit r'G ~Ontact: I3 Of ®
Contractor Address: t ~ i ~T`•►' City: J C'°s J-P11b-611 14 /
State: Zip: Phone: / -?4 9C
.F i - l
License a2, VO Lead Certificate IlAt4'_ 3 7 t~
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:
NQi-E: Plans and supporting documents that you submit are considered to be public information. Portions of t
the information maybe classified as non-public if 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.oopherstateonecall.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.
80
Exterior work authorized by a building permit issued in accord:7Z:X5;;:
days of permit issuance. /
xr t ~tR o
Applicant's Printed Name Applicants jnaure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA137073
Date Issued:06/14/2016
Permit Category:ePermit
Site Address: 4438 Cinnamon Ridge Tr
Lot:011 Block: 01 Addition: Cinnamon Ridge 5th
PID:10-17404-01-011
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
David T Moody
4438 Cinnamon Ridge Tr
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA159390
Date Issued:12/13/2019
Permit Category:ePermit
Site Address: 4438 Cinnamon Ridge Tr
Lot:011 Block: 01 Addition: Cinnamon Ridge 5th
PID:10-17404-01-011
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David T Moody
4438 Cinnamon Ridge Tr
Eagan MN 55122
(612) 759-1318
Custom Remodelers
474 Apollo Dr
Lino Lakes MN 55014
(651) 784-2646
Applicant/Permitee: Signature Issued By: Signature
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3830 PILOT KNOB ROAD I EAGAN, /a MN 55122-1810 Date Received: '�O -//q
(651)675-5675 t TDD: (651)454-8535 l FAX:(651)675-56 r EKED
Email:buildinginspections(a�cityofeaoan.com .,.� Staff
Commercial Plan Submittal: eplansa,cityofeagan.com L
DEC 202019
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 12/17/19 Site Address: 4438 Cinnamon Ridge Trail
Tenant: Suite#:
Name:
David Moody
Phone: 612-759-1318
Resident/Owner
Address/City/zip: 4438 Cinnamon Ridge Trail
Name: Metro heating & Cooling, LLC License#. MB005327
1220 Cope Avenue E Maplewood
Contractor } Address: City:
State: MN Zip: 55109 Phone: 651-294-7798
Contact: Carley Email: invoices@metroheating.com
-, RESIDENTIAL
-
6/a s
y� E Furnace
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Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New ✓ Replacement Additional Alteration Demolition
Type of Work Replace existing furnace
1 Description of work:
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit,includes State Surcharge 60.00
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update
on the City's website at www.cityofeagan.com/subscribe.
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 tart without a permit; that
the work will be in accordance with the approved plan in the case of work which require revi nd a val of plans.
Carley Ferrie X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final