4454 Cinnamon Ridge Tr
Use BLUE or BLACK Ink
1-----------------,
I for Ofhcce Ilse I
I I
City of Eaflan I Permit
Permit Fee: I
3830 Pilot Knob Road I
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 i I
Staff:
I
Fax: (651) 675-5694 I - - - - - - - - - - - - - - - -
2011 RESIDENTI' /ALG~P~LUMBING PERMIT APPLICATION
Date: ' I I Site A dress: ✓ -1 ~I~I nG~I~Y~(SY)' I~
Tenant: S Suite
RESIDENT / OWNER Name:. Phone: (E~-' 7q l -(Q
Address / City / Zip: ~hQ 641A
CONTRACTOR Name: License
Appliance Connections Inc
Address: City:
1313 'uv °t (di
State: S i'' 3F9
Contact: 952-445-4810:
TYPE OF WORK - New X Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
v~ Water Heater Water Softener
Water
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L- Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.gopherstateonecall.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.
J
x- z xa ~J
Applicants Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In _Air Test Gas Test Final
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - - - ,
1 For Office USA
I Permit L` ! O0 O
n I
City 0 EaEdn y ~c~
I Permit Fee. I
3830 Pilot Knob Road I I
Eagan MN 55122 REC:FItil D 1 Date Received:
Phone: (651) 675-5675 1 Staff: 1
Fax: (651) 675-5694 L----------------
JAN 10 2011
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: [ `t"!q-t~ Oifiramm &VV l v/~l
Tenant: Vhdivq m 6y S Suite
RESIDENT / OWNER Name: I l 6(5 Phone: &5-1 -7 ~ -7 i q / n l
Address /'City / Zip: Gnnamw 1~idm TV,'] ""r
CONTRACTOR Name: License
r+r~ect'Ons tnC Address: City:
r
State: z hak0 p ee 5WR9
Contact: 952-4454Mi3
TYPE OF WORK -New ),-Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L_ Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _
TOTAL FEES $
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.gopherstateonecall.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 appro plan in the case of work which requires a review and approv plans.
x x
Applicant's Printed Name Appl nt's Signature
FOR OFFICE USE Reviewed By: Dater
Required Inspections: Under Ground Rough-In _Air Test Gas Test _ Final
i
CITY OF EAGAN 1 O6$ 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _
PHONE: 4548100
BUILDING PERMIT Receipt #
T. b, YYd FAI :.-}V1N fLLJV ::, Fd Vnluw 9, GUO nnfa A?t..'. V !)
Site Addreu 4z 4 5" .. ..'?`'?MO[V FtID?.rE r„ : Erect ?+ Occupancy
Lot -' Block ? sec/Sub. Remodel ? Zoning ;. Y
Parcel No Repair ? Type of Const.
. Addition ? No. Storiea
_ k ?? 11 1?.•?.S
??'?7?F'?
Move
?
Length
i'.4
?
Name
W , L -,t, ,
_ E P?l.?? , s. ir:
. ?. L7
:..
Z Demolish ? Depth 6.?
.
.
Address
? Int. Impc ? Sq. Ft.
City ?Phone ? ? ? ? ? ' ? Install ?
Name GAGE
BOOiVE Ai7E NO
Sipnaturc af Permittae
A 8uildinq Permit is issued to: i;""%
oll work sholl be done in accordance with
Bufldinp Officiol
Stote
'rv.
ASSessment
Woter a Sew.
Police
Firo
Enq.
Ptonner
Counci(
Bldg. Off. "';'' E: 8 5
APC
Var. Date
an
nesota Statutes ond City o',
Permit ? 1 o • .3'•i
Surcharge 24.50
Plan Review L39.23
sac 5.0a
water conR 5- c D. 00
Water Meter {3 30 ^ CO
Road Unit ' 8 V - 0 0
0
Tr. PI.
Parks
Copies
Total , .. . . `?
th* expnss condition thoi
Eoqan Ord1r?onces.
Permit No. Pwmit Holdsr Dtb Telophone
Plumbinp
wV.a,.C.
EMctrle
i
Sottenw
Irwection Date Insp. Other
Footings I ?
FootFngs II
Foundation
Framing
Roofing ?
Rough Pibg.
Rough Htg.
Insul.
Fireplace
Finsl Htg.
Final Plby.
Final
C.?t/oce. I al ?
Water Dossuibe Loeation:
Well
Sewer
Pr. Disp.
Receipt PLUMBING PERMIT Psrmit No.
CITY OF EAGAN
/ Fm
fill in numbered spece? S/C
Type or Prin! Iegib/Y Tot .
1. Date 2. Installation Cost
. • , .
3. Job Address Lot 91k. 'Q T acty '
,??~ •
4. Owner
5. Contractor Phone
6. Address
7. CitY State Zip
$. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New 0 Add O Alter O Repair ?
I 10.
1 11
Descri be
No.
? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
j Bath tubs
Septic Tank
- Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
% Laundry Tray
/ Floor Drains
Drinking Ftn.
Slop Sink
! Gas Piping Outlets
12. ( hereby certify that the above information is true and correct, and I agree to
comply with dll ordinanCes and Coos governing this type of work.
Signed : for
.? Rorgh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
ROaipt .- ? MECHANICAL PERMIT Ponnit No.
CITY OF EAGAN ?
FN
, f Fill in numbsrad spacw S/C
Type or Print /eglb/Y - ?
Tot
1. Date 2. Installation Cast
3. Job Address ? Lot Blk. Tract
4. Owner
b. Conuactor Phone 8. Address
7. City ' State Zip
8. Building Type: Residential El Commercial O Institutional 13
9. Work Description: New Q Add ? Alter ? Repair ?
10. Descri6e • Fuel Type - I
11.
No,
' F.nuiwmpL STU - M. Ea.
Forced Air No.
? Eauiament CfM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Afr Cund.
Mfg.
Gas, Pipiny 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 464-8100
I
r .
• „
BUILDINa PERMIT
CITY OF EAGAN 10682
3830 Pilot Krab Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:454-8100 ' To M goi f01P 0M 16. Value ? 4`.
Site Addrea .i "• ? ( ? ` (UN iz) 1)(. ; T?'
Lot Bixk- ?ec/Sub. CTN''d it;I. I(
Parcel No.
? Narr',e ..?k:,'J f,l:)..?.ti
; Address
b City Phone
Nmr?e
Address
? Citv Phone
I heroby ocknowledps thot I hove reod this application ond stote thot
ihe inlormation is torred ae+d oyree to comply with all opplicoble
Stah of Minnasoto Stotutss and City of Eogon Ordinonces.
Siynctun of PemwttN • ,
)7'rT'j. rS
A BuildinQ Ptnnif Is issuad to:
dl work sholl be dorw in accadanu with oll oppliwbls Stote of Mir
Buildinp Officid
Receipt #
O C,
' Date
19
Erect a+ Occupency
Remodel ? Zoning i 4
Repair ? Type of Const. ;t
Addition ? No. Storiet
Move ? Length .'. ? ?
Demolish ? Depth ? 64
Int Impr. ? 5q, Ft.
Install ?
Appeorals iool
Assessment Permit ?? 7 • 5 0
Water & Sew. Surcharqe 24 .5?
Poliu Plan Revfew ?9? 2
Fin SAC 525. U L'
Enp. Water Conn. 500. 0 G
Plonner Water Meter 63.00
Countil Road Unit ? 8?• v?.
Bldg. Off. Tr. PI.
APC Parka
Var. Date C?ies
F
!442
. ..
Total
on tFN exprass corditlan ihor
xsota Stotutes ond City ot Eoqon Ordinonces.
Pwmk No. Pwmk HoWe? Daq Tdephone ?
Piwnbinq l -
H.v.n?.c. l y 2- ?? .t ??.? I b S"
EMctria ?•? ? "? i ??..?,_? ?: :? ?? ?i? ? 7 ` '
./
Softenwr
InWeetion Date Insp. Other
Footinga I ? w
Footings 11
Foundation
Framing 7? v
RooHnq
Rough Plbg.
Rough Htg. S3
Insul. 1 p
Flroplsce
Final Hty.
Final Plbq.
Final
CwvOcc.
Watar ?ibe Loestfon:
WNI
Sswor
Pr. Dlsp.
Receipt PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
TYpe or Print /egibly
.i
1. Date 2. Installation Cost
3. Job Address Lot ? blk.
4. Owner
5. Contractor
Pormit No. -
Fse
S/C
Tot
_ Tract `
Phone a?????r??
6. Address c>7.? G t, •C??r.? .. ? - ?°"• -' -
7. C12y State ZIp ?.r •?
8. Building Type: Residential 0 Commercial ? Institutional ?
8. Work Description: New CA" Add O Alter 11 Repair O
f 10. Describe
1 11.
No,
? Fixtures
Water Closet No. Fixtures
Cesspool/Orainfield
' Bath tubs Septic Tank
Lavatory Softner
?ower Well
Kitchen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets li
12. 1 hereby certity that ihe above information is true and correct, and I agree to
comply with all ordinances aco des g ning this type of work.
?
Signed : - for
R6uyh ? Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reaipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN
FM 7
Fill in numberod spaces S/C ?
Type a+r Prin[ leplblY ?
Tot ?
1. Date 2. Installation Coat 1
- I
K i
3. Job Address ' Lot Blk. Tract
4. Ownor
5. Contractor ? ? - T '% ?, ?' _ Phone
- - ?
B. Addrass , `i " ?, i''• ' , . -
7. City State ' Zip
,
I
8. Building Type: Residential Cl Commercial O Institutional ? ?
9. Work Description: New 0 Add 0 Alter O Repeir ?
10. Descxibe -- Fuel Type
11.
No.
?
? FqujnmeBL BTU - M. Ea.
Forced Air No.
%' Eauiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfg. Other
Air Cond.
Mfg. '
Gas, Piping Outlets
,
12. 1 hereby cartify that the above informetion 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 464-8100
CITY OF EAGAN Remarks
Addition , lCINNAMON RIDCzE 4TH Lot r2 slk 7 Parcel 7 0?7403 050 nl
Street_445_*-56 G121rla1Tioi7 -RidEeState E'agari, MN 55122
Trail
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. `TS$ S C??I.?. • $1 13LF -97 ?J3?I: X'? ' /CS3??I c!
STREET RESTOR.
GRADING
SAN SEW TRUNK 1973 13 33 9.16 15 ?s C-?o ,;2 -7 9- -ys
* SEWERLATERAL 1985 1 7. 377•95 5 >Af. 7(o '7 Cl'd (I • _S
WATERMAIN
* WATER LATERAL 1985 5
WATER AREA 19 7 3 1 6.56 11 . ? ---Z3. 55 C-/0 J ?2 9
STORM SEW TRK 1979 : 2•73 25• 61}. 20 333• 25 C - 1Ci.3?-r1 y
STORM SEW LAT
Vc, D l- O K-
CURB & GUTTER ?Z 0 Z
SIDEWALK 1 3 /O
STREET LIGHT /
WATER CONN. 11 f'
BUILOING PER. 81
11
0689
SAC -1
- n tr
PARK
, . . . .,? ,
71-
CITY OF EAGAN ,
• + 3830 Pilat Knob Road, P.O. Box 21-199, Eagan, MN 55121
0 ` PHONE: 454-8100 --,.-- ??-
BUIjVDING PERM17 Receipt #
T,. ?.. ,.,.,.., ?,.. nsrr_v W... d2 e . _ e4
Site Address 4476 CIIilIMO11 &IDfs"E '1'R
Lot OSl Block 1 Sec/SutCYUNAWN giDQ bT
Parcel No.
W Name DAVID J ROB$xl'$
o Address "? CINNIIMON RIDCS 'CR
City ZAGA-N Phone 840-4051
Z o Name BAL?
gQ Address
Name _
Address
CItY _
I have read this application and state that the
agree to comply with all applicable State of
all
OFFICE USE ONLY I
I
Occupancy M-Z FEES I
Zoning ?
(ActuaqConst _ BIdg.Permit 25•00
(Allowable) - Surcharge .50
# of Stories
Length 150 Plan Review I
Deplh SAC, City
S.F. Total
S.F. Faatprinfs -
? SAC, MCWCC I
II
On Site Sewage _ Water Conn i
On 5ile Well ? Water Meter I
MWCC System ? i
City Water ` Acct. Deposit
PRV Required - S/W Permit I
Booster Pump ? S/W Surcharge
Treatment PI I
APVROVALS
Road Unit
Plartner ? Park Ded.
Council '50
BIdg.Off. _ Copies
Variance ? TOTAL 26.00
Permit No. PermR Holder Date Telephone #
WATER
SEWER
PLIAIABING
H.V.A.C.
ELECTRIC
Inapection Date lnsp. Comments
Footings I
Foundaiion .
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg_
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Final
Well
Pr. Oisp.
CITY.OF EAGAN
3836! Pib* Knob Road
P. O. Box 21199
? Esgan, MN 55121
li Zoninp:. lxvl _.'_5 Ii r' .
? Ownsr: _
Addnas:
? r?.; . . •
? Sih Address:
n w ! .;. ?
Plurnber. - -
Mrtrr No. -?
1 Siu: jiZe " 4,4' - r
I rtooae. ro.: o?t W/.Y 6 7
1elm !e eNwpip wM6 tM CNq af Lyps
? OriiMnou.
/ l
BY ? ?•?-•?•-? ?s'# ? •
Dote of Ir?sp.Y ?
?/3
CITY OF :AGAN
WATER SERVICE PERIWT 3830 Pildi Kaob Road
P. O. Bc ..1199
PERMIT NO.:
. Esgan, MN 55121
DATE: Zoninp:
. No. of Unita: - _
' Owm ,
r
.
yiM?wLI Addrar.
?
?rf?.?={??'?'titpS • Sft Add!lSt:
,,.?.
Plumber.
WATO SERVICE PERMIT
PERMtT NO.:
DATE:
No. of Units:
leS ?
.?Cir •
Maftr No.:-? uorrwcrpa.. w...ow
Con
Size: sfi, ""Z-i t
m°ou?^?f?t!' Reoder No.. L p?
Psrtnit Fee: I Mrv* to cesoy wo ?j of yrw SurcharQe:
surc+,arqe: odle., ? n, -{?l 9?O Z Misc. cha?ws: -
Mfac. Charpea: ; ?(,c ? / 7otal:
Total:
Date Paid:
Dota Poid: -
m
CITY OF EAGAN SEWER SERVICE PERMR
3830 Pilot Knob Road
P. O. BcR 21199 PERMIT NO.: .
Eag ;n, MN 55121 p^TE;
Zoninp: No. of Units:
Owner.
Address:
?
Sits Address:
- ??' • ,c ,
__, ,, ? i • -
Ptumber.
. -v.
w,{
I MnO N eww1ip wNi? eW G!p Of fslow Canrnct(an (}?orpe;
orahm10m Acoount Deposit:
PeR111f FNI
Sur+cFwrpe:
;Y AAisc. Chorpas:
OE IflSp.:
TOfOl:
Daft POW:
y ? ?
e of Irup.. ImR:
? CITY OF EAGAN SEWU fBVM PERM
3830 Pilot Xnob Rwd
P. U. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirop: IVo. of Unih:
Owrwr.
Addross:
Sitt Address: ? A , •i- ??' ': _ ' _ ;in.
Plumber:
1 Niw M eePly w116 !M Cilp of wpw Conrnctlon Chaege: 5.
Oeilmmem /lcoount Deposit: 3 y_ Q!'k?d
PeRnlt FN:
Surchorpe:
R.
DGf! Of Ifqp.:
Misc. Gfonpes:
T01'Ol:
Insp.: Dioft Paid:
This reouest vofd
18 rt+r???MS }rom % t ? ?
WU9721 ??) C4 ?.? -V
q1S19ti
y v. 0 G
Requess Date Fire No. Roqgh?JlnspectiOn ?Ready NowWill Notify Inspec-
. Yes ?No tor When Ready
-
?ceased Electncal Contractor I bereby request inspection ol above
Owner electrical work installed at:
Sn.e/et Address, Box r Route No.
/ ? • . C C'ty ?
ection n. Township Name or No. Range N_ Co n
O cuGant IPRINTI Phone No.
4:
ow r Supplier
. Address ?lu•
`
?
el?
16W ?
EI tncal Contractor lCompany Namel Contractor"s cense No.
Mailinp Add s lContr tor r O`? n Instaflationl
Authori ed ignature (Contraclor Owner Making In tailationl
I Phone Numb/er
,
,
J
MNVNESOTA STATE 80ARD OP ELECTR
Griggs-Midway Bldg. - Room N.191
1821 UniversitY Ave., St. Paul, MN 55104
PFwne (6121 297_2111
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENC LOSED_
? i?? REQUEST FOR ELECTRICAL INSPECTION E8-00001 •Oq
r
See instructions lor completirg this fwm on back of Yellow copv.
?? ?
w 0972) 2 ?l5lg5
"X" Belnw Work Covered bv Tho, Reauest
Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Ligf,tiny Fixtures
Apt. Building Dryer Electnc Heatin
Commercial Bldg. Furnace Silo Unloader
Indiistrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Pecify Other ISpec+fyl
t r,r ISueci y Other Other
p Fee •ServiceEntrnnteSiza h Fee Faedars/Su6feaders b Fee Circuits
0 to200Am s 0 to30Am s 4 lg?- Otn 30Am s
Above 200 qm s 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100-Am s Above 100-Am s
Transrormers Irrigation Boorris Pariial Other Fee
Signs Special Inspection $ pTAL FEE
R e r s• i ?? ?
Roueh-in O e
? /J
I, the Electr
Inspector, hereby
cerlifV that the above
Final r %`;t
? inspection has been
mede.
This reQuest void 18 months from
This request void 1/
18 m`onths from
w n q 79'I 1 ?,
`l y • o °
Renuest Date Fire No.
tion'•
Rouph-in Insper,
ired?
?Ready Nuw?Vill N[?tifv InsPec-
??Zd??? Yes ?No lor When Ready
4?icensed Electrical Contrictnr 1 hereby request fnspection of abov9
n(),,,,,,u, electrical work installed at:
Street Address, Box or Route No.
i
. City
ect?on o. Township Name or No. ange No . C n y
/
rit (PRINT) ?/0 Q.?[?/ Phone Nn.
M
poycer Su plier Address
Elec icai C tractor (Company Name Contra . or's Ucen No.
. ?
Mailing AdJress Contr ctor O?? ak?ng Instailatl 1
C D ? t?
Authoriz eo Sfqnature (Contractor/Ow r ak? g stallatiun) hune Num6er
? yay y ??
MIRNESOTA STATE BOARD OF ELE?
Griggs-Midway Bldg. - Room N-19
1621 University Ave., St. Peul, MN 55104
Phone (612) 297_2117
IMIS INSF'tl:IlUN IttLLUtJI ri1lL NUI
BE ACCEPTED BV THE STATE BOARD
UNLESS PROPER INSPECTION PEE IS
ENCIOSED.
-? ? REQUEST FOR ELECTRICAL INSPECTION M EB-00001-04
See instruclions for completing this form on back of Yellow copY. %04115r f5
"X ! 99 Zr4 13
Be ow overed by This Request
New Add Rep. Type ot Building Applinncas Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightln,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unluader
Industnal Bldg. Air Conditioner Bulk Milk Tank
Farm ocner Peci v iner i5ue,.,fv!
t r,r Suecify Other Othc-i
t.uni(iucC 1f1Sue(:c10ij ree rserow
++ Fee Service Entrance5ize n Fee Feeders/Subteeders tt Fee Circuits
? U to 200 qm ps 0 to 30 Am s 0 .? 0 to 30 An± 5
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swinvnin Pool Above 100_Am s Above 100_Am)s
Transformers Irrigation Boorns PEirtial Other Fee
Signs Special Inspection g
R emar k/.
/! TOTAL FE
K.
Rough-in e I, tha Electrical
• ??/?? I SpeCtOr, heraby
certify thet the above
Final inspection hes been
j ? made.
7Ais request vofd 18 months from
CITY OF EAGAN
° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DECK Est. Value $1, 000 Date ?
N°_ -19099
1? S`?5 4S-
1991
Site Address 4456 CINNAMON RIDGE TR
Lot 051 glock 1 Sec/SubCiNNAMON RIDGE 4T OFFICE USE ONLV
P8fC01 NO. Occupancy M-Z FEES
Zonin9
w DAVID J ROBERTS
Name (pclual)COnst - Bldg Permit 25.00
3 Address 4456 CINNAMON RIDGE TR (Allowabla) - 50
° City EAG? phone 890-4051 xmsiorias Surchar e
9 .
994 4149 15, Plan Review
- Lenglh
F Name SAME DeDth $' SAC
CiIy
=
a
O AddfeSS S.F. Total - ,
u SAC, MCWCC
? City PhOf10 S.F. Foolpnnis -
Water Conn
On Sne Sewage _
r
ww
Name
OnSiteWell
W
t
M
i
t?
AddfesS
MWCC Syslem -
- a
er
a
er
iw
City PhOn@
CityWater
- pccL Deposil
PRV Reqwred _ S/W Permit
1 here6y acknowlege that 1 have read this application and state that the Booster Pump - grW Suroharge
mformation is correc[ and aqree to comply with all applicable State of
Minnesota Statutes and ity o
f E
agan Ordinances. 7reatment PI
?
/
Signelure of Pertnitee L +I APPROVALS Road Unit
A Building Permit is issued to: DAVID J ROBERTS Planner - Park Oed
on iha express condition that all work shall be done in accordance with all Council - .50
applicable Siate of Mmnesota Statutes and Ciry
o1 Eagan Ordinances. gi?. pn Copies
? I
Building Ofliual Ikl fl .Oi I? 1 rn/ I Variance - TO7AL 26.00
CITY OF EAGAN N°_ 10 6 8 2
3830 Pilot Knah Road, P.O. Box 27-199, Eagan, MN 55121
PNONE: 4548100 5ZI170
9UILDINfs PERMIT Rece+vt ;rk
To M awd fer 1/2 TWIN HOMEEt, yalue $49,000 pafe AUGOST 1 ?Q 85
4456 CINNAMON RIDGE TR erect EN ocoupenay R3
SitaAddreeo
CINN RIDGE 4
La 5
elock 1 Sec/Sub Remodei ? Zoning R4
_
. Repair ? Type of Const. ?7
Percel No. Add'Aion ? No. Storia
& Name DEVRIES BLDRS Move ? Length 24
D
li
h ? D
h 64
w
z Addreca 7564 MARINER DR ema
s
ept
I
t l
?
City MAPLE GRV pnone 420-4685 n
mpc
Sq. Ft.
Instau ?
SAME
O AYwa'eb F•n
Name
o
u A??
Assessment Permit - 5?
u? CitY Phone Woter 3$ew. Surcharge 24.5(
? Polke Plan RaWew 139 . 2`
Gw Name GAGE Ffn SqC 525.0(
q? q??y BOONE AVE NO Enp, waterconn ?0(
?W City BROOKLYN PYphone Dlonner waterMeter 63.0f
Council RoedUnit 280.0(
1 herebY ackrqwladge that I haw rcod this opplication and state fFwf Bldg. Off. 7/2S/S S Tc PI. 13 Z. O(
1he informofion is eorrect and ea to wmPly wirh oll uPplicobls A?
k
Stnte of Minrxsota Stotutes o iry o? Eoypn Ord'n ces, Par
s
Ver. Date Copiw
Siywruro of Pa+nittee rotal $1, 9 4 2. 2`
DEVRIES BLDRS
A Bullding Dermit Is isswd to: on the exDroW conditbn Ihat
dl work sholl be done in acmrdonce wif oll a tiobls State of nne Statutes ord City oF Enpan Ordirancas.
Buildirq Offldal ?
CITY OF EAGAN N°_ 'I O 6$ 1
3830 Pilot Knro6 Road, P 0 Box 27•199 Eagan MN 55127
PHONE: 4548100
BUILDING PERMIT eeceipr AF ?
T. M awd !er 1/2 TWIN HOMEEst. Value $49.000 pO1e AUGUST 1 1985
SlteAddress 4454 CINNAMON RIDGE TR Erea CK Oacupancy R3
S CINN RIDGE 4
Lot Bixk 1 Sec/Su6 Remodel ? Zoninq R4
.
Parcel No qepair ? Type of Const. V
.
AtlditiOn ?
No. Stories
DEVRIES BLDRS Move ? Lanyth 24
W
= Name
7564 MARINER DR Demoliah ? Depth 64
Address Int
lm
r
? g
p
? .
p
. q,
t.
City MAPLE GRV phone 420-4685 Install ?
?
SAME
Neme
AvPrmwls
i"s
?u
Adtlrasa
? City Phone
?W Ne,,,e GAGE
_? A?? BOONE AVE NO
,W City BROOKLYN PKphone
I hereby ackmwledgs that I have read this opplicntion and state that
the inlormotion is torreCt and ee fo comply with oll opplicebla
Sfota of Minnesota Stotutes' Eagon rdirancea.
Sipnoturo of Pe'miffea a o"f k`
^ Buiidirg Permie is issued ro: DEVRIES BLDRS
all work sholl he done in accordanca wifh ? plic ?Ii Sta1e of ?
Buildirq OFficiol
Assessmenf -
Water & Sew.
Polica -
Firo
Erp.
Planner _
Council _
Bldg. Off. 7 2 5 $ 5
APC
Ver. Dete
Permfl ? 27t5 - DV
Surcheree 24 _ 50
Plan Heview 13 9 - 2 S
SAC 525.00
water conn. 500.00
waterMeter 63.00 00
RoadUnit ?oo
Tr. PI.
Perke
I Copies
rotal $1, 942.25
_ on tha exoma cadirron thot
ond City oS Eoqan Ordironeaf.
/
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED YIITH THE CITY aF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SES OF ENERGY CALCULATIONS
To Be Used For: Valuation: Date:
-
Site Address; ?T . OFFICE USE ONLY
WtST ?iZ op
Lot: $? Block ? SectlSub ? Erect x
Parcel ll r-
Owner 644.
Address 75`fo t( yy"• A.
City/Zip Code $T7 6 S
Phone
Contractor ?a.,...,2..
Address
City/Zip Code
Phone
Arch./Engr.
v'
Address
City/Zip Code
Phone.U
Remodel ?
Repair
Addition ?
Move _
Demolish
Int.Impr.
Install
occupancy R-3
Zoning F- <t
Type of Const Iz
u of Stories _
Length 24
Depth 04
Sq Ft
APPROVALS FEES
Assessments Permit
Water/Sewer ? Surcharge
Police Plan Review =z
Fire SAC SZS. °-°
Engr Water Conn Soo.U'
Planner Water Meter
Council Road Unit 2go. °=
Bldg Off?7 ?- re ent Pl ?'5Z,°°
APC Parks
Variance Copies
zoru. 14 J a a ?
t
* L!J
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED 4lITH THE CITY aF EAGAN
INCI,UDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
'l2 T4JIrJ. 1 SET OF ENERGY CALCULATIONS
n
To Be Used For: Valuation: 9QM-00 " Date; '7 ,1a d0'f
Site Address: S{. OFFICE USE ONLY
EAST "2 Of'
Lot: S' Block ? Sect/Sub C/ ? Erect X
Parcel ll -
Owner ,O(e, &eA ,
Address 7 S (o /n.en? A '
City/Zip Code 5`S 36.5
Phone
Contractar ?
Address
City/2ip Code
Phone
Arch./Engr. ?
Address ?r, Qw }?q,
City/Zip Code ?,?,,.k Pk•
Remodel
Repair ^
Addition
Move +
Demalish
Int,Impr. _
Install _
Occupancy aR - -3
Zaning
Type of Const ?
# of Stories
I,ength
Depth
Sq Ft
APPROVALS FEES
Assessments Permit
Water/Sewer ? Surcharge
Police ? Plan Review ? 25
Fire SAC 5 ZS,pO
Engr Water Conn spo, =
Planner Water Meter ta3. ?
Council R Unit
Bldg Off z eatment P1 1 32. =
APC Parks
Variance Copies
TOTAL ! Q C(.? a J
Phone I
C A L V'I N H. H E D L U N D »2g M?uraan Avenue South
RlehflNd,Minnowto aasxa
Land Surveyor Civll Enqinter Phone: 986-2613
Surve?oror G'ert?f "?cate
JOB N0.
SURVEY FOR- John DeVries
QESCRIBED AS:Lot 5, Block 1, CINNAPION RIDCE 4TI1 ADDITION, City of Eagan,
Dakota County, Minnesota and reserving easements of record.
Top of Foundations =9? °
Carage Floor = 9z6,0
Bnsement Floor =924•9
Proposed Elevations d
24-.° 58905914L"E Existing Elevations--
113_77 ' Li.7
N or N-- j-?-a' Drainage Directions-+
92s,s ?'
zZZ so Denotes Lot Corners0
t m
%`. JN Spi, r Fo e? \
+ 0•
y Ke ? Sc n
lo'?sta S ' . ?\\ lo•[s) S+qKei O
I J\4 N C'kY?, ? I / Z
18 ?
I 9LS; ?8
1 ? 25.7 -
N A 7AI I
a.
4?Nw \s
I
I
N89056'2$W 1 Q 0?.?
9t8.v
9zs.' S2.oc Z \
? I
CERTIFICATE 7F SURVEY
I hereby certify fhot on 7/22/ 85 I survayed the propeny described above ond that
ihe obove plot is o correct representotion of said survey.
Calvin H. Hedlund, Minn. Req. No. 5942
- 1
2/84
4EIN CITY Or EAGAN
%
APPLICATION FOR PERNIIT
SEWER AND/OR WATER CONNECTION
(PLEASE PHINT)
PPOpErrY AwoRFss:
rFrAr• DESCRiprTcv_
? ?Y !c-'NGC,(t7.? l C R,
t/BI /S'Wbd1V1S1CR OY' `PaX PdtC2]. 'l.D. 171A^.J2 ) ?
? ir W:IE=:G 5'?'RL'C.'PM, DAT;' Oz' ORIGl^.IAL =iiII.DL"G =-= ISSU?::C?:
i'S': ? R-1 SitiGLc FP.MiLY .
?(-R-2 DTJPL...t"{ (T:O LT?ITS)
? R-3 ZG?SNHCUSE (2'f1-1= + L':IITS) ( tNI^5)
? R-4 F?F?iZT?"+2'??..?!•]rln.?il ? Tl'1iIT_j)
? CCi,nTff?CZAI./RE*'?AII,/OF:'IC::
Q L?.?UST2IAL
Q LNSTI:G'rIO111AL/G^vV??HENT
Z) AppLr= ,r(.eLEASE PRl'iNT)
?
?DRES5: 7?. , - tl?.?? 12L-L to
c=1, s=, zzP: r,
Pxovm: ?C'? 9- ?SS3 l
3) P=,.Em NA?E PIEASE PRINT) , FOR CITY USE OBLY
.
ADDRESS: I
PLUHBERS ICE45E:
? Active
CITY, STA'i'E, ZIP: Expired
PHOiVE; aicr.
PLUMBEA LICENSE i1 C Not o Record
?r lni[ta
4) IYLGASt PNljl )
ADDRESS: 15 , Dk-) r ?`c :.
czn', szaTE, zzP: ?h 0 U le- ?c. de
PxoNE:
5} IP7pIG,'I'E ;VyICH PERti T ZS BEING RfQUESTID:
- corINecrzou TO czTY sEVrER
- COCNfCfZO:] 'Ib CITY TtiTATEIt
Cl"iE1ER (PLPASE D.SCRZIIE)
6) I:DIG= C.:i: ,
? PL°.-k-SE fiOID APPRWED PER.''?LLT FOR PICi:-I7P BY ONE OF '1BGVE
? PI.EASE ?*'.?IIL APP PER.?lIT T'J 1, 2, 3, 4 ABOVE
? <J? f ?(Circle one)
7) szcaT,-?: ?
iAzE:
??lolaLawwRa i? ril ala:a?ea! ?a el?r-+ra.aa al/ ? 1i?f.ia?:?a a! re+r?:r?J? ??? isie?l?ykr r
.
F 0 R C I T Y
E O N L Y
PE2MIT = ZSSUED
F°Es: $ /G ')2
$ /G' S'2?
$
?
S
5
$ J S-dz?
$
$ ??v «
$
?o?S t?a
S
$
S
$
$ ?,J?,2 ? .
S
DOES UTILITY CONNECTIO[V REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY?
YES IF YES, THEN n"PERMIT FOR 'RORK WITHIN
,?/ PUBLIC ROADWAY" MUST BE ISSUED BY THE
?X NO ENGINEERING DIVZSIO[V. LIST AS A CONDI-
« TION.
SUBJECT TO THE FOLLOWIyG CONDITIONS:
APPROVED BY:
TI.LE:
E',-L.. ^D PEBMT_ ?• ^
.r'^. (I.lC...:T "'nLn JU?C4?RGL)
WATER PERP4IT (Ii7CiiiDE -. .u3CEiAcZGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE:vER TAP
=CCOC:??' .=OSI= -
ACCOUNT DEPOSIT - PiATER
WAC
SAC
TRliNK WATER ASSESS:•?E:]T
TRli:QK SEIdER ASSESSME:IT
LATERAL BENEFIT/TRUNK SE;•:ER
LATERAL BEVEFIT/TRUNK l4ATrR
OTHER '
TOTAL
ArICU:vT PAID/RECEI?T n 53c0
DAT° : _p
j3fj' _
me aJww?ml
w ? i.? !f? ?c? re ?!/? ? l? ? /! si4 !H? ?!? O?t? /f ?li? ??i? ?t? ?4 ? se ?i?l Ra ?t? /4 sl? w ?
1
2/84
i
CITY Ot EAGAN
APPLICATION FOR PERii?IIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRIHi)
1) PROP= ADDF2E55: 1- ??, N/U /'?'I C3iv Pl ?'? l?-A?
r.?rai, DESC?przcv: ???
( t/Block/ ubdivision or Tax Parcel I.D. N ')
G S?'RCCILT:tE, DAT_. 0_° Oi2TGi TAL uiI:D?:G ==_=Si IS.j'i;`r\C::
PPE-S= Z:':7I.r,/PT?OPOSED C'S: ? R-1 5'i.1',GL: rPYSLY
/
R-2 DUP7?.'Y (7NO UIIITS)
)4
13 R-3 'IC,?,.-vB?CLGE + L^.IITS) { WI'-rQ)
? R-4 APAR71ENT/CC.T)Ci-1I`IIL'24 ( Wi ITS)
p CaMEIIERCLAL/RE:AIL,/OF:'ICc:
Q Zli'DliSi-RIA.L
Q NSTI'I'L'TIO.IAL/GGVE.RIU?'NP
2) APaT?-= (PlEASE PR17ii)
?
?
NFV•4E: dJlfll?
C? ? ??Gt rrth,i?6
OM?A?I?
ADDRESS: T-
c
CITY, ST?1T?.'. ZIP: ? E'? )'ln), >.-S ?/?-3
PFONE: RG ??- ?r 3 /
3) P???M NANE (PLEASE PRINT) FOR CI1Y USE ONLY
-
ADDRESS:
-? ???.]Q CL'1??4? ' PL?HBERS CICEHSE:
?
5? tive
CITY, STATE, ZIP: = Expired
PHONEa ai:n
PLUMBER LILENSE N ?r Not P Record
at ?niti?
4) OCCUPAL??/CrJiER ? / IYLCAJk i!?_ YN?Y??C?r
rAME:
a,DoREss:
crrY, STA'IE., zzP_ 1219aIr_ (T??&le- T,52?7
PHO*rE-
S) INplCT,TE MiICH PTCNN£C.TION IS BEZIVG REnUESTID:
'In CITY SF,WER
6Q7NDIFX.'PION 'IO CITY S4ATEFZ
? dilIER (PLLASE DESCRZIIE)
? PI,::ASE f?OId APPP,OVm PER`^.IT FOR PICi:-V'P BY OPIE OF NWVE
?PI.EASE :•'AIL APPROVED pER:•LIT 'PJ 1, I1; 3, 4 PTi(TJE
(Circle one)
7) SIG,--%TL'F2E: A'?". L1,,j DATE: ? ?S -y?
? R o1+1,Mfe.m i? i sa E?:aau a? ?t ? a s?e?# a? r? ? s?cr-a:a a? ?a??s?,r a a? t ss?g?ga? ?
0 R C I
PE?Z+1IT " ISSi7ED
Y U S E ON;,Y
F°ES: $_ /O; JZ'
$ S ?
$
$
S
$
$ $
$ S`d0
$
S
S
$
$ ij%D Ov
s
$
SE:^iER L'ERMrT (I`.iCL:;D: SU°C?i?RGc.)
WATER PERMZT (INCL'JDE SliRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;dEF TAP
=CcOi;::''_' ....?GSI: -
ACCOUNT D.F,POSIT - WAT°R
WAC
SPC
TR(iVK WATER ASSESS.-SE:dT
TRliNK SEWER ASSESSME:iT
LATERAL BEVEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER ?
OTHER
TOTAL
Ah1OL'NT PAID/RECEIPT ,a, S2"Zd
DOES UTILITY CON:]ECTION REQUIRE EXCAVATION ZN PUBLIC RIG:3T OF WAY?
? YES IF YES, THEN n"PERMIT FOR 'r70RK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISIO[V, LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI:LE:
DAT°: _ Gf.30
? • 1991 BUI ??PQZ?AICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COP44ERCIAL
2 SETS OF PLANS 2 SETS OF PI.ANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# DF RENTAL UNITS
_# OF FOR SAI.E UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
- rr'e gu,tr' -
To Be Used For: Q-edK ' Valuation: AfloCC. Date: s 22
Site Address yYSb Ci nna++.or terc?
Lot Q?j/1 Block 01
Parcel/Sub C I NN4w? o,1 nkr (TE 14T7+ armn,
Owner $Q yo-t? p?vl0 T ?'u?jpr?'f
Address 4
Ilel? ?ir,,.,?i••,o..??or'?.?
City/Zip Code Ca,9qH ?r sSi2?
Phone '?PO
Contractor
Address
City/Zip Code
Phone a70 - vllS, ?G9u c//S/e
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE tISE ONLY
FEES
Occupancy M'Z Bldg. Permit ?s, o0
Zoning Surcharge •St]
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length 1S? Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage _ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV Copies ..5O
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lot Change
Council TOTAL 2$,40V
Bldg. Off
Variance
??„Zt! IR" agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
CAIVIN H. HEDLUhj ``"Sy fE
LanO Surreror Clrll Enpineer
Survetors G'ert?j"?cate
7726 Morqan Aronuo SWth
plchlleItl,MInM11ota 65423
inooe:866-262b
JOB N0.
SURVEY FOR: John (1eVries DESCRIBED A5 PARCI:I, A:
That part of Lot 5, Block 1, CIKNAP'OK RID('F: 4'CH ADPITIQN, City
of FaFan, DakMa County, Fiinnesota, lvinp, westerly of ? line drawn from a
point on the north line of said I.ot 5 dis[ant 47.02 fcet east of the north-
iaest corner thercof [o n point on the southwestcrlNline of said I.ot 5
distant 27.4n {ect east oi the southwest corner thereof as measured along
said aouthrvc,terlv linc, and rescrvinF, casements of record.
I',11? f,l:l, A: '
1'hat part of Lot S, Rloch 1, ciunnVOra RiDfP. 4TH AMI7'I0N, City
of lapan, Dakota Countv, Ptinnesnta, lving easterly of a]ine dral.m fror a
point'on the north ltne of said Lot 5 distant 47.02 feet east of the north-
wcst corncr thcreof to a point on the southo-!esterly line of said I.ot 5
distant ?7.4(l feet east of the southwest corner thereof as measured alonp
said cout},westerlv line,and reserring easements of record.
9L4,u
?
•,J .-
z
?,
s
I f
?A
'Iop of 1'oundations =?z8?
Cet'agC FIOOi = 926,?
Ilacement iloor =yZ¢ ?
Proposed Glcvations d
Lxisting E1_evations-
__, y
o
? V ???i ?(e d e n?t O
? I
\ ti
_ ?,5 L\\
\? J
Drainagc Directions-+
Pcnotes Lot Corners0
z
E9
) I
-74..? 9't?3? \?, 50 ?P: 4•y 6' V
D' 9 c-
PO o' s ? .
?
? Na?•s?•za 9za;, O ~
? ,. ,) ; -., I
L ? ? - I
/
fEtTIFICATE OF SURVEY
I hereby certily thet on 7/Zt/ BS I surveyad rhe properry OeserlEeE above and that
tne aDOVe plor is a corred representoNon of solA aurvey, , - _
'itit.(.Gi1 .7et"?
H. HeElunA, Minn. Rea No. 5941
CITY USE ONLY
LOT BL I PERMIT#:
SUBD. C? V\VLQ ,(?O vi RECEIPT #:
RECEIPT DATE:
$ 30.00
6.00
2000 M£CHANIClEL PERM1T (RES1DENTIi4L)
crrY oF snsAu
3930 Paor xxoa sn
fr46AN EiN 55122
Da[e: la,?(Occ) 651-681-4675
Complete this secrion onlv if you aze installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-1O0 N n T U
ADDITIONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
Total $
Complete this section onlv if you are remodelinp, adding to, or reDlacinP an existing single-family dwelling,
' cownhome, or condo. Please indicate if it is a new rtem, alteration, or replacement.
t _ New
Fumace
_ Air exchanger
Reminder: Cal! for final inspection.
SITE ADDRESS: 7 `1,7 Y
--'?'Replacement
Other
_ Air conditioning
Other
Fee
State Surchazge
Total
$ 30.00
$ 30.50
A
OWNERNAME: POl' F'/Ca ??C•J - - - PHONE#: CvSI $9 Ca`VU.?.2
(AREA CODE)
INSTALLER NAMb: Bl9f(LC,L,( I,l,c "C?C??'LC? ?g(C PHONE #: C2l gL - gc! Y-C;CCG-
t,,
STREET ADDR.ESS: I. aL?(,? ? ? O CSo lA LQ.rl C.g- H--) (AREA CODE)
CIT'Y: OOIA )Clp- Q. STATE: LikJ ZIP: c'SS 37?
,. /J un, T5 ?D
?-A '-? 0
SIGNA
597h r RESIDENTIAL BUILDING
? ? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
4I13.77 ?_
New Construdion Reauirements RemodeAReoair Reauiremenls Office Use Onlv
3 registered site surveys showing sq. ft ot lot, sq. ft ol house, and all roofed areas 2 copies of plan _ Cert of Survey Recd
(20% mazimum lotcoverage allaxed) 1 set af Eneryy Calculations for heated addi6ons Tree Pres Plan Recd
2 copies of plan showNg 6eam 8 window sizes; poured found desgn, atc. 1 siM survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calculations Addifion - irtditate d wi-sTe sep6c system _ On-site Septic System
3 copies of Tree Preserva6on Plan rf lot platted after 711193
Rim Joisl Defail Options selecUon sheet (bldgs with 3 or less untrs
Date 4 H Construction Cos[
Site Address ' Unit/Ste #
Description of Work L R6d.1-
Multi-Family Bldg ? Y _ N Fireplace(s) _ 0_ 1 _ 2
Property Owner Q Telephone # ( )
Contractor 01.4 L[ e ? K-
Address Cit
State G- N Zip Telephon
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢ocv 1 _ Minnesota Rules 7672
Energy Code Category , Residenlial Ventilation Category 1 Waksheet • New Energy Code Worksheet
(J submission type) Submitled Submitted
iVJ
? `1 1
Licensed Plumber Telephone #(
jul?
Mechanical Contractor Telephone #(
Sewer/WaterContractor 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 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.
Applicant's Prited Name ApplicanYs Signature
RESIDENTIAL BUILDING
Permit Application
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
?t Telep6one # 651-675-5675 FAX # 651-675-5694
,I S(o - -1 '?
New ConsWCtion Reouirements RemadellReoair Reauirements Office Use Onlv
3 registered site surveys showing sq, fl, af lot, sq ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y_ N
(20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additians Tree Pres Plan Recd _Y _ N
2 copies of plan showing beam & window sizes; poured found tlesign, etc. i sfte survey for additlons & decks Tree Pres Reqd _ Y_ N
7 sel of Energy Calculalrons Addition - i/Mkate AonsRe septk sysfem On-site Septic System _ Y_ N
3 copies of Tree P2servation Plan if lot platled afler7/1193
Rim Joist Oelail Oplions seledion sheet (bldgs with 3 or less unils
Date (l
Site Address Construction Cost 60
Unit/Ste #
Description of Work R -r-
Multi-Family Bldg ? Y_ N Fireplace(s) ? 0 2
PropertyOwner lryo V j = Q '?-)oVyXWlbClC/?? Telephone3W ) 3p- Ci(O_ Z
Contractor ?e L +
Address
State CitY
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that th? information is complet and accurate;
that the work will be in conformance with the ordinances and codes of t1?yCity of Eaey4n_artd_t State of MN
Statutes; I understand this is not a permit, but only an application for a permrt, 3work 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.
fn)oao
Applicant's Printed Name
Applicant's 3ignature
/ „ ? ? L? RESIDENTIAL BUILDING
??? Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremenis RemodeltFteoair Reauirements Offica Use Onlv
3 registered site surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copm of plan CeA of Survey Recd _ Y_ N
(20 % maximum lot coverage allowed) 1 set of Energy Calculations far healed additbns Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam 8 window skes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Reqd _ Y_ N
1 set of Eneryy Calculalions AddiNon - indicafe if on-sife sephc system On-stte Seplic Syslem _ Y_ N
3 wpies of Tree Preservation Plan'rf lot platted after 717193
Rim Joist Defail Options selectbn sheet (61dgs with 3 orless units Date J 1 / 13 l? Construction Cost i'nQ'TPi, a L 1 ?'??+?
Site Address ???Co C? n a R o0oa r?E'o t Uniuste #
Description of Work er-v ,> c+JaY p- Yearo de m&j
Multi-Family Bldg ?,C Y_ N Fireplace(s) >C 0_ 1 _ 2
Property Owner bp u(!\ ']' Telephone k( 9s? ) 89o YaS/
Contractor -S'e z?
Address City
State Zip Telephone # ( )
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
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies. _
Licensed Plumber
? T ? I fl Telephone #(
Mechanical Contractor
Sewer/ W ater 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 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.
L IQ-e/ iO 7? R04Qr7.I' ? F?`?r"`^'?
Applicant's Printed Name Applicant's ignature
10/15/2013 13:30 6123818601 CITIES MANAGEMENT PAGE 13/17
yq'.';~'f P
r-
111T of Eann FiirOffice Use ~A Yl oJt Permit 1) 05
I Permit Fee: ( • 25
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone; (651) 675-5675 I I
Fax: (651) 675-5694 staff:
')-2,008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date b J ELM~~]
Site Address:
Tenant: suite
RESIDENT /OWNER Name: ~ 1 )I OS~ Phone:
Address !City /Zip: nn arno-a.
Applicant is: Owner Contractor
TYPE OF WORK Description of work: ~~yykD P
Construction Cost: VQ Multi-Family Building: (Yes' Z1 No
CONTRACTOR Name: _V `bs ty ~nu ~ License M : W Z2-
Address: & 23 l )
City: n1V 1 p~' I Z State: 1&LZip: 1b
Phone: Ur`~' U{~ J~~ /y ~f p 1 O 1
Contact Person;
C,'CA IPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rues 7672
Energy Code Residential Ventilation Category t worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) Energy Envelope Calculations Submitted
In 'rhe last,12 months, has the City of Eagan issued a permit for a similar plait based on a master plan?
_Yes ___,No If yes, date and address of master plan:
Licensed Plumber: Phone.
{lnechdnicat Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE-: Plans and supporting documents that you submit are considered to he public information. Portions of
the information may be classified as non-public iF ydu provide specific reasons that Would permit the city to
conclude that they are trade secrets.
I hereby acknowledge that this Information is complete end accurate; that the work will be In confommnce with the ordinances and codes of the Oily of
Eagan; that I understand this is not a permit, bait only an application for a permit, and work is not to start without a permit; that the work will be in
necordanc`e with thm Rppmved plan In the cosy of work which requiree. :i roview and approval of ans.
Applicant's Printed Name A rcant's Sian.ure
Page 9 of 3
Use BLUE or BLACK Ink
For Office Use
City of Eap j Permit I O(~ _ I
Permit Fee:
3830 Pilot Knob Road I j / I
1
Eagan MN 55122 I Date Received: 3 `r
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
2014 RESIDENTIAL BUILDING PERMIT /APPLICATION
Date: -3 Site Address: Unit
j,f„°. GI
Name: _4~ -Phone:
Residentl
Owner Address/City/Zip:,/ eo f<t5J" e,-
Applicant is: Owner Contractor
r. fF r'
Type of Work Description of work:
Construction Cost: 2, 6,®69 Multi-Family Building: (Yes / No )
Company: 44',0, ~Dx3S~"at Ai-0,V S 1, P_V'feT=kntact: / o 4 4 tIr . < Z/,--
Address:,, ^ spit 'sI/ t . S Cl City:
Contractor
State: Zip: Phone:
License Ael* 4~ .G-2-4 0 Lead Certificate Iy,4-- 3721;)--/
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 i
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.
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.oro
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. p
x fit! r 1.1~ t r+~"Ri"k s .~C
Applicant's Printed Name ~ppl~ ignature
Page 1 of 3