4458 Cinnamon Ridge Tr
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA082825
Eagan, MN 55122 . Date Issued: 05/01/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4458 Cinnamon Ridge Tr
Lot: 41 Block: 1 Addition: Cinnamon Ridge 4th
PID 10-17403-041-01
Use
Description:
Sub Type: e - Water Heater
Work Type: Replacement
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Mike Skaja
2090 County Road 42 W.
Burnsville, MN 55337
Fee Summary: PL - Permit Fee (WS &/or WH) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Tony's Appliance Dwyane Harris
2090 County Road 42 West 4458 Cinnamon Ridge Tr
Burnsville MN 55337 Eagan MN 55122
(952) 435-2442
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
, . CITY OF EAGAN
3830 Pila Knob Rosd, P.O. Box 21-199, Eagse, MN 55121
PHONE: 454-8100
dUiLDING IPERMIT Re«ia #
To M wed iee ?- ?Est. Voiue :• y . U pote • 106$ g
9r'
Sits Address ; . Erect Ot Occupan cy
Lot + Bixk Remodel ? Zonin9 -
Repair ? Type of Conrt.
Parcel No. Addition ? No. Stories
Move ? Length : ..
W Nsme
. ? Demolish ? Depth
? Address • Int Impr. ? Sq. Ft.
City Phone Install ?
? ApKevak FHa
Name
A'j A?? Assessment Permit •
City Phone Woter b Sew. Surcharye . Q
Poliu Plan Revfew -5
??
Neme
W
Fim .
SAC - 2 11 . a ()
.
11 Addresi Enp. Water Conn :u U . 0 CI
cW City Phone Plonner Water Meter ?uV
Countil Road UNt 2bV• 00
1 hercby ocknowledqe fhat I hew rcod this opplication and stote that 81dg. Off. Tr. PL j-> ?• r?;
the inlormotion is torred ond o9ree to comply with oll opplicoble
Stare of Minnesoro Srotute: ond City of Ee9an Ordinonces A? Parks
.
Var. Date
?pi?
noturo of Prm+ittN
? ?•
Total
A Buildirg Pertnit Is iuwd to: ' on the exprett cOnditlon tho?
olI work sholl be donw in acco?donce with all oppliooble Stote of Mirxwsota Stotutes and City o3 Eaqen Ordinonces.
BWldirq Offidol _
Pamit No. PKmk Holdw Doq TeIephone *
Plumbiny C"-- C 1- ? r `.1 6 g
H.VA.C.
Ebct?ic ,
1,
<1 ? ?
Soitww
Irtspoction Dab Insp. OMw
Footfngsl Y'
Footings 11
Foundatlon y,
Framing /
Roofin9
Rouph Plbg.
ROYgh Htg.
Imul. 9 g? ?
Ffnplacs
Final Htg. 'clw
Final Plbg.
n p
C L ?
L ??l? Loestion:
Roaipt MECHANICAL PERMIT Parmit No.
CITY OF EAGAN
Fee
FIlI ir? numberod spacea S/C
TYpe ar Print leg/Wy Tot. -
1. Data 2. Installation Cost
3. Job Addrsss Lot-Blk.' Tract
4. Owner ' . ? .,?? ,•? ? -f
5. Contractor Phone
B. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutional O
9. Work Description: New-?M Add O Alter ? Repair ?
10. Describe Fuel Type /V C1
11.
No. EQuwglrmnt BTU - M. Ea.
ForcedAir No. Equioment CFM
Air Handlin
:
•
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond. ?1 • . ? ?
Mfg.
Gas, Piping Outlets
12. I hereby cartify that the above intormation is true and correct, and I agree to
compty with all ordinances and.0des governing this type Qf work.
SignOd•
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt '
?11 .3 1,
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egib/y
Permit No.
Fw
S/C
Tot `
1. Date ? ?• 2. Installation Cost
3. Job Address Traci ?
? i
4. OWfl@f
Phone - ) ?-?
5. Contractor
-• t
6. Address 7. GitY State Zip.. y =? _
8. Building Type: Residential ? Cammercial O Institutional O
9. Work Description: New ? Add ? Alter ? Repair ?
' 10. Describe
1 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. 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinance and codes gov;etning this type of work.
Signed : ? w for
- Rough ? Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and apProved.
Approved _ CITY OF EAGAN 464-8100
eU1LDfNG PERMIT
T• re r..a f« l<7
Site Addrees 4460 C
Lot -4 Block
Parcel No.
W Name DEVR]
? Address 7564
_ MADi.F rL
?
?
I ?W
I I ??
f <
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121
PHONE: 454-8100
Phone
?
? 1 hereby ackrowlsdqs thot 1 haw read this opplication ond state thot
the information Is wrrect ond ogree to comply with oll applicabl*
Srctt of Minnesoto Stotutes ond Ciry of Ea9on Ordinorxes.
Sfynoturo of Permittes '
A euildinq Psm+It Is iuued to: Db`VR2BS BLDRg
? oll work sholl be dorw in accordonu with oil appliwble Stote of Mir
Bufldinq Off kial . ?_
., :l
0 5n
ReceipR ?
Erect L?} Occupaney R3
?emodel zoning Re
epair ? Type of Const. v
Addition ? No. Stories
Move ? Length 24
Demolish ? Depth 6+
Int Impr. ? $q, Ft.
Install ?
Assessrtnent
Water & $ew.
Police
Fin
Enp.
Planner
CounNl
Bldg. Off. 71Z 5/
APC
Var. Date
Permit # 778-50
Surcharge 24 - 50
Plan Review 3 O- Z s
SAC S2S-QQ
water conn. snn _ 00
weter Mete? 1_ 04
R08d Unit 2 8(1- 00
Tr.PI. 132_00
Parks
Copies
Total 1, 9 42 . Z S
Pwmit No. Pwmit Ho1dK Data TeIeDhone ?
PlumbinY ? ?-) l f,
H.VA.C. (P
rvtAla
E??? ?-??-; ?, i - l';:,.. y v ---?
sofea».
Itapeetion Dala Insp. Oth*r
Footinys I
Footings II
Foundation
Framiny /
Roof)n9
Rough Plby.
Rouyh Htg. ,
Insul.
Firoplsa
Finsl Htg. 0 ?
Final Plbg.
Flnal VIA;
Cawocc. ? ? ? <?
Wn.. Dewib. Loc.tion:
WNI
8ewer
Pr. Disp.
Rowipt MECHANICAL PERMIT Pennit No.
CITY OF EAGAN *-,FN ? -
FiIJ in numbsred *aces S/C
? TYPe or Piint lepibly Tot .'
., - .
1. Date 2. Installation Cott
3. Job Address ? ';?" u ? • , f? , ? l:ot r Blk. ' Tract _r
4. Owner
?
6. Contractor Phone
B. Addrou
7. City
8. Building Type: Residential
9. Work Description: New (,7
State Zip
Commercial ? Institutional ?
Add ? Alter O Repair ?
x
10. Describe Fuel Type
11.
No.
? Equipment STU - M. Ea.
Forced Air No,_ Equiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
?
Unit Heater
Mfy. Other
Air Cond. "-
Mfg.
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and q9des governing this type of work.
Signed :
for ' ?..
Rough Flnal
Inapections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
Rewipt PLUMBING PERMIT Parmit No.
CITY OF EAGAN FN
FiJI in numbered spaces S/C
TyPe or Print /egib/y Tot '
/
1. Date ?--' 2. Installat+on Cost _ •
3. Job Address `.' Lot Blk. Tract
, ?= t.i
• ?j ? i
4. Owner
5.
Phone _ i
6. Address
7. City /: State :•'/,?' 2ip ?_ : '? • ?---- ?
8. Building Type: Residential ?
9. Work Descriptian: New O
I 10. Describe
I 11.
,; i]
No.
-? Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
J Lavatory Softner
Shower Well
' Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinance and codes go rning this type of work.
Signed :
for
Rough f Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Commercial ? Institutional ?
Add 11 Alter ? Repair ?
CITY OF EAGAN Remarks
Addition NNAM T Lot L+. 81k 1 Parcel 10 17403 01a0 01
Owner Street--"r18?6.Q Cj ntaA1Qi1a]_ r' State Eagan, MN 55122
Trail
Improvement Date Annual Years Payment Receipt Date
STREET SURF. Q 19 ?J 131+• 97 5 .?rI. S'!F C- IO.?2 ?I ?(o t?S-
STREET RESTOR.
GRADING
P
SAN SEW TRUNK 973 9•?- 1-5 19.JJ ?_' -/'?32?
SEWER LATERAL 377 • 95 5 /cj/?• '- / d j-1 ?
WATERMAIN
WATER LATERAL 5
WATER AREA 1973 17 . 5 11•77 15 ,? ?, 5i C - /0302F ?--L -.QS
STORM SEW TRK 79 512.73 25. L{. 20 _I •„ZS C- / O ' --?
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R d
WATER CONN. it
BUILDING PER, n Ir
SAC t? n
PARK
CITY pF EAGAN WATER SERVICE PCRMIT
3830 PFlbit Knob Road
P. O. Box 2119! PERMIT NO.:
EaQen, MN 56121 - - ;?
DATE:
ZoninQ•
,t
Owner. 2
llddress:
51M Address• t ' ; 71i.;, z ? :is.rCi '1 ?72. ;r'i
PlU1YIbOr:
Meter No
.:
. ConnectFon Q?orge: ?,-
,,
'
Sfze: , Account Deposit:
Readsr No.: D?i /!7 H / D71; Pertnit Fce:
I piw to aomply wieh !M Cihr of Eoya¦ SUrchorye: • J`'
'
OrdiM?e?a. • ?r?ix-? ?",
Misc. Charpas: --_
Torol•
BY ` Dote Paid:
Dote of Insp.f/ v Irup.
y / 3?Y 6-
CITY OF EAGAN
' 3830 Pifat Krtob Road
? P. o. BoX 21199
EaQan, MN 55121
ionlnp:
Ownsr:
` Addnss:
5ite Aoddress:
Plumber:
Iasm te eow?oly wllh !Ir Ciep of Eagan
Oidlnanas.
By
Date of Insp.:
Connectlon Charge: I:-' • : t+1-' -?
Accoum Deposit:
Pormit Fu: -
Surcharpe:
Misc. Charpes:
Totoi:
Diote Pa1d:
SEWER SERVICE PERMIT
PERMIT NO.:
O11TE:
No. of Units:
? CITY OF EAGAN WATER SERVICE PERMR
S830 Pfct Knob Road
? P. O. Box 21788 _ PERMIT NO.: _
; Epgan, MN 5512T DATE:
Zaninp: No. of UMts:
?
Owrwr;
Addrom
/lddross:
?
? Plumber. - --- ' _ . _
? Mater No.• 3 s'.! Connadian C?+e7rge: l.
? size: i/ Reu ?
Acwu? De t:
No.: U (p /7? !V 10 ;(.S
h aawolF wilh tfN Cihr eE b4es
j 3rFS
CITY OF EAGAN
3830 'Dilot Knob Road
P. O. Box 21199
Eagan, MN 55123
Zoning:
OwrNr: J
lldd?ess:
$ite Address:
Mumber.
. .. :? t
1 yrw te eeeiolp wtl6 tlw Cih of looee
OriiMnoa.
?? .
Pe+mit Fee:
Surcha?fle:
Misc. CFarpes: .
Totol: • '
Date Poid:
Irop.:
SEWER SERVICE PERMIT
PERMIT NO.:
DAl'E:
Wo. of Unitx
Connection Q+onpe:
Account Daposit: _
Pam?it Fee:
Surdwrpe:
gY Misc. Chorpes: -
Date of Irsp.: 7otai:
I nap.: bote Patd:
-
:L
Th?s fP" P.P vofd
18
r
---
- - -----. _. .
195
W0972 14
`
Reryuast Date
f Fire No. Rough-in Inspec
R q ired?
OReady Now?dWill Notity.lnspec-
1'es ? No tor When Readv
icensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street Address, Box or Route No. City
ection o. Township Name or No. Range No. r&y
/
upant (PRINT) P h o n e No.
?
Pu p ier
?? Address
y?oo a j5
aoz??? ?
Electrical Co ractor ICompany Namel Contrac r's License NIV
? Q ?
Mai ing Address JTC
Owner king I tilt)
!
&K
9
-1
ontr
or/Owner M ing ns Ilation) Ph
ne N
umber
5?0'1
-
3
AINNESOTA STATE 60ARD Of EIECT
Griggs-MidweV Bldg. - Room N-19
1821 University Ave., St. Paul, N 55104
Phone 1632ti 297-2111
THIS INSPECTION REQUEST WIl' BE ACCEPTEO BY THE STATF
UNLESS PROPER INSPECT'
EI`1CLOSED.
L./I REQUEST FOR ELECTRICAL INSPECTION Ee-c ?-
?J See instructions for compieting thia form on back of Vellow copy.
X " Belo z? o a7i14 ? ??t5 ?? ?
' vered by This Request
AAd Re . T
V Ype of 8uilding Appliances Wired Equipmen[ Wved
Home Range Tempnrary Service
Duplex Water Heater Light;n,y Fixtures
Apt. Building Dryer Electric Heatni
Commercial Bidg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm OtnP? peci v er (Specify)
t er pecify Ot er Oth-r
l.nlTlf)IS[E fl1S6PCFInR tpp HPlnw
1i Fee ServiceEMrenceSiie N Fee Feeders/Subfeeders i4 Fee Circuits
,?- U to 200 Am s 0 to 30 Am s 0 -q60-'r" 0 to 30 Am s
Above 20i-Amps 31 to 100 Amps
ff-j
.?
31 to 100 Am s
Swinxning Pool Above 100_Am s Ahove 100-Amps
Transformers Irrigation Boorris Partial Other Fee
Signs Special Inspection $
Rema s -
I'? ??. - ._ _ ? l ?/ .
• TOT L FE
,?, .-zr? ..,'1
?.-.. ? . -- -T --..
lough-in ?
I, the Electri
Insp ctor, hereby
tify that the above
:inal r fl? 'nspection has been
a
made.
'his reauest void 18 montha Trom
This request void 5y ? z-v a 15 ii5
18 months (rcm
W0?721F ? '! _ ?o
Request Oate fire No. Roqu fe??lnspeclton ?Ready Now ?W?II Nolity Inspec-
? tor When Ready
es ? No
icensed Electrical Contractor 1 hereby request inspection of above
.....1 -...L -tallwll AS:
LJ Vwner -
City
Street Address, Bo or Route No. ?
ection o. ownship Name or Mo. H nge o. Co
I
T cu/Dant (PRINT) Phone No.
Pq?r Su lier Address
?
Ele ical C ntractor (Company Name
Cont r.tor's Licens o.
MailinA AdJres lContr r or O Makin Instailati nl
?? 611
Authorized ignawre (Contractor/Owne akg
00, stalla) Phone Number
ya -ya3
-ocrnnnl aF(IUEST WILI NOT
,KNNESOTA STATE BDARO OF ELECTNICITY
Griegs-MidweY gldg. - Room N-191
1827 University Ave., St. Paul, MN 55704
Phone 1612) 297.2117
BE ACCEPTEO 6Y THE STATE BOARD
UNLESS PNOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-oooo1 -G+
097
2J insiructions for completing this fam on back of yellow copy.
, S 5 ee
?
"X"' Below Wo rk overed by Thrs Request
Add Rep. Type ot Bullding
me Appliances Wired
Range Equipment mrea
Tem?rary Service
uplex
!
Water Heater
Lightin,y F?xtures
Building
Apt. Dryer Electnc Heatin
ommercial Bldg. Furnace Si!o Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Olhr.r Pec, y Other ISU?'?+ty1
Farm
Other
t.r SUCCi V t er
l.U[l
# 1F1U(C I/N
F PCLL#vn r cc
ServiceEntrenceSize M
Fee
feeders/Subfeeders
M
Fee
Circwts
ee 0 to 200 Am s 0 to 30 Am s 0 ? 0 tn 30 Am s
Above 200 Am ps 31 to 100 Amps ? 31 to 106 Am s
Swimmin Pool Above 100-Am Above 100-Am 5
ation Boorc-s
I
i Partial Other Fee
Transiormers g
rr
c...
...,.Lo . Signs
. _ _
I Specialinspection S
OTAI?EE?
//I/.?SZJ -?
u
Rough-in D'ite I, the Electrical
InSDector, hereby
!$L,K - that the above
Di11e inspection has been
Final
r ..r 3 ?de.
Tnla flqueat row ?o ??n..?.?p •?..•?•
CITY OF EAGAN nJ? 10 6 8 9
" 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548700 ? BUILDING PERMIT Receiar #
Te M ord iar 1,12 TWIN Y.OMEEt, Value $49.000 pafe AUGUST 1 1 q 85
SiteAddress 4460 CINNAMON RIDGE TP, Erecc 5a occupency R3
CINNAMON RIDGE
Lot 4 Block 1 SeclSub 4 Remodel ? Zoning R4
. Repair ? Type of Conrt. V
Parcel No.
Addition ? No..Storia
DEVRIES BLDRS Move ? Length Zg
5 Name
7564 M1IRINER DR Demolish ? Depth
64
Addresa InL Impr. ? sy Ft
City MAPLE GRV phone 420-4685 Instan O
? Name $AMF ApOrovalt Feas
°u§
r
Addreee
Phone
PW I Name GAGE
xr, qdd,e,e BOONE AVE NO
iW Citv BROOKLYN I}$one
Assessment _
WoMr d Saw.
Police -
Firc
?IIO9
Pnnar _
Council _
I hereby ackrawledga that I haw reod this upplicohon ond atate that Bldg. Off. 7 Z 5 8 5
the informotion is correct an ree to wmply with oll applico6la APC
$fots o4 Minnesoto $fafufw Ci ? f Ea9on Ordinances.
$Ipnaturo of Permittee &_ /I.. Var. Dete
G XJ?.?C?'
Permlt 27$•5C
Surcharge 24.5C
Plan Review 139.2 E
SAC 525,0C
Water Cann. 50..0 - 0 C
Water Meter 6-4 - oc
RoadUnit 280.0C
Tr.PI. LU-OC
Parks
copies 1,942.2
TMeI
A Buildirg Permit Is isswd M: LnvxlB? on ti» axpreas eadiHOn 1hot
all work sholl be dona fn aeeordonca w' all a ixbls St6te ot Ja Stmutet ond Ciry of Eepon Ordlnancea
Bulldirq Offidal ' ? J
, CITY OF EAGAN N? 106 H H
' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT 2eceivt #
Te M aud fer 1/2 TWIN HOMEEst. Volue $49, 000 pOfe AUGUST 1 jy 85
SiteAddreae 4458 CINNAMON RIDGE TR
Lot_4 Black l Sec/5ub. CTNN RTDC.F. 4
Pereel No.
x Nerne DEVRIES BLDRS
? Addrees 7564 MARINER DR
cicyMAPLE GRV Phone 420-4685
Name SAME
su
Addre7a
1- Cfty Phone
Neme lati?n
qdd,ess BOONE AVE
Ckr BROOKLYN PKpha„a
I hereEy ocknowledge fhat I hava reod this epplication ond stote that
the inlormotion is [orrect a oqree to wmply with all opDlicoble
$tote of Minnesoto $totutas City of,`Eoflon rdi?anca
Siynotum of PermiMea ?^"
A Buildinq Permie Is lssued ro: DEVR'''IES BLDRS
all work shall be done in xcordance ?pplifabls 5 ro o Mir
BuilNnp Officiol
Erect Q{ Otwpancy R3
Remodel ? Zoning R4
Repeir ? Type of Const. V
Addition ? Na. Storim
Move ? Langth 24
oemolish ? oepth 64
Int. Impr, ? Sq, Ft.
Install ?
ADWOrals Feet
Assessment Permit $ 278.50
Wafer 8 Sew. Surcharge 24 . 50
Pollu Plen Revlew 139- 2 5
Firo SAC 575-00
Enq. Water Conn. 0
Plannet WaterMeter ----63--00
Countil RoadUnlt 280-00
BIdg.Off. 7I25/8 S Tr.PL 132_00
APC Parks
Var. Date Copies
Total $1 ? 949 25
on ths exprosf eonditlon thot
xwro Stofutes and Ciy of Eapon Ordinonces.
. /
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS MUST BE LICENSED 4fITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
'/Z TWI" 1 SET OF ENERGY CALCULATIONS
00
To Be Used For: Valuation: 41,OO0, ? Date: 711-z/4'-
Site
EPsT IP2 oF
Lot :
Address: OFFICE USE ONLY
q B1ock / Sect/Sub q L?&' Erect K
Parcel 0
Owner & VA,t,,,
Address 7S(. y h:a,,.,,,_,;,
City/Zip Code LL,4? tz, ?3(<y
Phone LrJ quer
Contractor 4?
Address
City/Zip Code
Phone
Arch./Engr. ?
Address 6„? CY.,.L.
City/Zip Code " , P-4 _
Remodel ?
Repair _
Addition
Move
Demolish ?
Int.Impr. _
Install _
APPROVALS
Occupancy
Zoning
Type of Const
I! 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 Off7j reatment Pl
APC Parks
Variance Copies
TOTAL
R-3
?- 4
.?_
?
zi V' SU
7-4zs
(39,_
52s. "-
500 • °'
92
IBC)-
=a-as
Phone,U
• :. ?_ . ._ -
1985 B[IILDING PERMIT APPLICATION - CITY OF EAGAN
HOTE: ALL CONTRACTORS NUST BE LICENSED 41ITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
Twl" 7 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 49,coo. m` Date: 'U4-Site Address; t/(4 Go ?..,... '(A.? OFFZCE USE ONLY
WEST '/2 or-
Lot: ? B1ock ( Sect/Sub ? Erect Occupancy R-3
Remodel Zoning -4
Parcel !/ Repair Type of Const
n , Addition ? # of Stories
Owner ,42 Move _ Length
Demolish Depth !o?
Address h-µ.??,,?, ,(Q.,. Int.Impr. _ Sq Ft
Install
City/Zip Code S) 3(.5 ----------- ----------------------
Phone 4-/14 c? F-g"
Contractor 15;61?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
APPROVALS FEES
Assessments Permit 1-778 ?0
Water/Sewer ? Sureharge 7-4.5-°
Police ? Plan fteview 133 zs
Fire SAC 525 . 'o
Engr Water Conn 5c? '=°
Planner Water Meter
Council Road Unit Zgp••°
Bldg Off Treatment Pl 1 32
APC Parks
Variance Copies
toTU. ?a . a s
Phone 0
C A?C Y I N H. H E D L U N D 7?26 Moraon Awnue SaMA
RlchfleId,M1nnesMO 66423
Lond Surreyor Clvll Enqlneer Phone : 968-2523
I%r survqor`s eertiliate
JOB N0.
SURVEY FOR: John DeVries
QESGRIBED AS: Lot 4, Block 1, CINNADION RIDGE 4TH ADDITION, City of Eagan,
Dakota County, btinnesota and reserving easements of record.
Top of Foundations =9Z8•o Existing Elevations
Garage Floor =9Z?'O Drainage Directions-
Basement Floor =92¢'9 Denotes Lot Corners O
Proposed Elevations O
.?
0 9z8,o 585°45'E
.
e?„ ? //o.BS I 93-_°_
.
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CERTIFICATE 7F SURVEY
I hereby ceriify thaf on ?/22/ 65 I surveyed ihe property describe0 obove and that
the cbove plat is a correcf represeofotion of aaid survey?
Calvin H. Hedlund. Minn. Req. No. 5942
r
?
tL?
- - ? ,?pwonE ;
? NaQ tsy
--
IFOQMEp o - -
- - ? N lo<t7??? -
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT
OF MONTH IN WHICH REQUEST IS MADE. e
_ LOT CHANGE IS REQUESTED ONCE PERMIT,,yI':
COMMERCIAL
2 SETS OF ARCHITECTURAL
& ST,WJCTURAL PLANS
1 SETi///OF SPECIFICATIONS
1 SET OF ENERGY CALCS
/
i/
CCKED UP BY LAST WORKING DAY
ISSUED.
NOTE: ADDRESSES FOR COAI?? LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES\,WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEW\ `& WATER PERMITS IS TWQIDAYS ONCE A ?A62g?$$1l?
PERMIT MtJST SHOW A LICENSPLUMBER. V L5 v?
?
?
, i .?? 1 a ?o
,
To Be Used For: P? Va\tion:? Dat
Site Address "114/1v
Lot ? Block
rf
Parcel/Sub
Oerner fjE2Tvn/
Address yZ"
City/Zip Code
Phone G /1? - P9 v -
Gontractor
Address
OFFICE
Zoning \.
Actual Const
A1lowable \?\
# of stories??
Length ?
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City wateK _
PRV
Booster Pump _
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
,TY`eatment Pl.
Road Unit
Copies, .OU
City/Zip Code .. ,? 5-5/2z
? APPROVALS
Phone /0 - ?y y" - Planner
Council
Arch./Engr. Sc/
Bldg. Off.
Variance
Address vv Go -I
City/Zip Code L? ?j?? SS/2-Z
Phone # G />-
Penal
TOTAL
h
?
• ' CITY OF EAGAN
OFFICE INFORMATION MEMO
TQ
?Ruce- DATE
(5
- )S-`l? TIME
FROM ?? ?n
?r?7? I ` \ . OF
PHONE NO. RECEIVEDBV
H W85 heYe to see you W I II Call again
Please tall Returnetl your call
ACTION REMARKS/MESSAGES
Review antl see me
?'aeviewandcommant
Prepare reply tor my sig.
Re01y antl se, n_ C1me copy
'?? 1LJ
For y0ur aPProval ?
Fm-your-Informatlon--?
For s(ghatuYe
As we tll5cusseG .
A5 you requMtetl Take ePPfopflate actlon
Notify staft
FILE 0 DISPOSE El OVER
' PHOTOCOPV.
ONE SIDE ONLV COLLATE
Np,OFCOPIES HEA?TOHEAD STAPIE
I DATE NEEDED HEAD TO F007 (Other)
TYPING:
fiOUGHDRAFT RUSH
DATENEEDED SINGLESPACE FINALCOPV
--- -- --? ...? DOUBLE SPACE CARBONS-
-__'
S P E E D MESSAGE
,o
ZE RTDN E. WA QP1 S a+?J
14 L4 E70CI14NAMon1Rlb6-E T,AIL
FROM
EAc,E Met TNEr2E / 5 f} 23' ncEP SANiTARV SLwE2,4S
SNOW 14 oF1 T HE GF-RU FIc-AZ t PERNR'PS R aEZ-K wuLA
_B& - 8U+L,T 70 THE S iDE OF YDUR Hnri1 E. 1 ANt kE'71ah'NiNG-
_ YouR F7LAN S . A L5 o. P GEASE CAU /F Xodf A.4v45: AN?
; >.?E? 770/?S - ?/S?/ - $10 ? ,
SIGNED
o vnaonwnes. iae9 ?aE /M G?GH?? ? ?Q NS??TID?/'N?QL? ST DATE
WlleonJanas•c.meni...
r.uoe w .s n. aaase owR.
sueJECr DE=-E.K PE-RnStz- APPLtC-ATIc7tJ -
I
As PER OUg PHOtiIE CZ")NI/EvSAT10/lJ oN FRim,4y'
.
C'ALVIN H. HEDLUND
Lond Surwyor CIrU Enqineor
7128 Morpan ar.nu• soufn
R1eAfI*Id,Minn*6ef4 66125
Pnone :886-2023
Smmcwrtfs Lrtilkatc
'4e JOB N0.
SURVEY FOR: John DeVries
DESCRIBED AS: Lot 4, Block i, CINNAPiON RIDGE 41'H ADDITION, City of Eagan,
Dakota County, 6linnesota and reserving easements of record.
T•op of Poundations =9z8.o
Garage Floor =976'0
Basement Floor = 9Z¢'9
Proposed Elevations p
e
?--._
" o ?`---
L7a?sr fo F.+`----?+?f
saa. ssw? ?
2q - r°
- Zy
.,+ ?P
y. b ?'j
1
? KKe5 I 3
?? ¢
? N A
91 .'1
?
_ -
i t
? / •'
? SO 1
h
I 4
?
?
"
?
9t8.o ?
5t.oo
Existing Elevations
Drainage Directions?
Denotes Lot Corners p
QRC poc? E D
? DECK
/ 9 3o.p
71
`-
n t
I I o's) 5t4KeS
G
1
Y Q .1?
? a
N
YZ3 ¢
40 ¢?.
{
I ` o ', S -ACERTIFICATE 7F SURVEY ?
I hereby cerfifr ihot on 7/'t2 / 65 I surveyad the property AetcriDed above ond that
ihe oEove plat ls a eorrect representation of sold aurvey? A??^'
6?"'"""?
? Calvln H. Hedlund, Mine. Rap. No. 5942
j • .
2/84
CITY OF EAGAN
AP°LICATION FOR PERri1IT
SEWER AND/OR WATER CONNECTIOr1
(PLEt+SE PRINT)
1) PROPEIrTY ADDRESS: . Lj C?
r.Frar• DESC2IPTICJI: ?. / i
c?L'1
1
1?
.
?
(Ict/Block/Su:ciivisicn cir Tax Parcel Z.D. i]tu. r) ?
-^_..iISTI::i, S'?'2L=RE . DAT:; 0F GR:Gi IAL ui2:.llL`:G :.?=;11T ISSZ:<`-::G.:
.:=.. _-., e_ ,
PPEESL"P --.^.:IrrVP?OPpS=--) C'S': O R-1 SiNGL?. FFYSLY .
? R-2 CL"Pi.W{ (?S%'0 U.:ITJ)
?
R-3 TCit'?.?I:'USE ('I7i-r-= + II:IITS) ( WImS)
? R-4 AtA.i'2'.ED7T/CO:ZJU'S4'2LM ( IJINITS)
? CC1tinL?:.°.CL?L/RE"•ASL,/OE'FI?'
Q ?e?s? uat.
? INsTZTU-rzo:vJU/ccvE?RI=-T
2) APPLI= PLEasE PaiNr)
i
`
? .
l?, ?tii h;,/ h ?
I
ADDRESS: ,_ I
-
? `I?G??•
CTTY, STAT:.', ZIP: /
'
Pxo-NE:
3) pEZ7_IBER
NF4"? : PLEaSE PHSNi) FOR CITY USE ONLY
ADDRESS:
??a ?? LIC:4SE:
PLUH9Active
CITY, STATE, ZIP: Expired
PHONE: ?j L n
PLUMBER LICENSE N L u? Not o Retord
r- ni[ia
4) OCC[JP.1u?]T/CT.'d?1 IEF2
NF1NfE:
ADDRESS:
CIT'_', STA'I'E, ZZP:
PFiONE :
5} INplCsATE SVHZCH PER.tilIT IS BEING RE?UESTID:
?iCO..TVECrION TU CITY SEiriER
COCNZB?-TICN TV CITY SVATER
i
? G::1ER (PI.EASE DESCRIBE)
6) I:DIG,.:. C;:L: ? Pi.::ASE F?OLD APPRpVID PERMIT FOR PICiC-[,'c BY ONE (DF ABCSIE
PLEtiSE :-''1IL APPR(nIID PEFMT T''J 1, ?O 3, 4 AE(717E
(Circle one)
7) SZ?ZNIL-RE: DATE:
M4 W4iK1Uw?.?i1 sa ?.ftar ? s r+t?:as?aii +q
F O R C I T Y
PE2MIT " ISSUED
F°ES: $
+S
$ $
S
$ f J c-o
$
$ )V
$
$
$
$
G7l s
S E O N:,Y
' ' ..4 .
a?4 rwir.,nlr?qfy?-i a! yc sf ?c+?ar •
. • '.
SEi":G.D. nERMT'i SU`,?.?HAp.r'iG)
WATER PERMrT (INCL'uDE StiRCHA2GE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;dER TAP
Ir?Cl":?=' 7.,:OSI= - c_. .=3
ACCOIINT DF.POSIT - GIATER
WAC
SP.C
TRUNK WATER ASSESSifE:IT
TRli:1K SEIdER ASSESS:IE:IT
LATr.RAL BENEFIT/TRUNK SE;IER
LATE?2AL BENEFZT/TRU^IK jIIAT°R
OTHER
TOTAL
AI•IOUNT PAID/RECEIPT ,a, J--?-60)
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi3T OF WAY?
YES IF YES, THEN .'v "PERMIT FOR 'r70R?t WITHZN
PUBLIC ROADWAY" PAUST BE ISSUED BY THE
d N0 ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SliSJECT TO TF3E FOLLQS9ZNG CONDITZONS:
APPROVED BY:
TITLE:
DATE: ?V,1?3G'
? w? ?rs .? ??e ?w ?e? rt ?? ? w? w s?a ws? w?+ wt? w?w? ? w:? we ? sa fi+ w? ?c? ?c fr w?
1
2/84
CITY Or EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIOTI
(PLEASE PRINT)
1) PROnERTY aDOREss: /J fT/7) 0rJ ?1A r?- -_A
r.rrar, DESCRI°TICN: ?
a.,...-r
i?` ( C ? LClI'
(Lo ??
,
/Block/ uk?,divisicn Tax Pascei I.D. P= r)
ST.°.I;CI'UR:., DAT?.' OG' 02T_Gi^.T,aI, ciiIi.DLT:G =?-_•?ST ISS::?J:G=.:
-•, _-,
PRESL:T ::.^,`7r1vr;/P?,OPOS-'?.? IIS: ? R-1 SZ;GLE FPNILY .
?L R-2 DUPi,...{ (T•:O U.IITS)
? cZ-3 7C:t1i'u-',Cilcg ('I'I'?= + LNITS) ! UNS"_'S)
? R-4 ar-a.?r??r/cc??.•tr?r?i ? L-NzTs;
? CCl%n1E°CLAI./F2EI'AI7,/OF'FIC
? a"CUs-mu?r.
? ZasTZ?,?zo:v,ar,/ccvZRN: -z\:T
2) APPLSC?V'T ?PliASE PftIliI)
ADDRESS:
CTI'Y. ST?'1T:.'. ZIP: I? ai '
?A
i
PHONM:
3) PLL:'[BE.°, (PLEASE PR14T) , FOR CITY USE ONLY
?ME
ADDRESS: t
Q.C L ?Z pLUuB IIC:NSE:
Actxve
CITY, STATE, ZIP: Expired
PAO:VE: lHa:n ???? ?
PLU,MBER LICENSE H (? Not a, "Record
a , inicia
4) OCCUPANP/C7.4I,IER "j ? t YL??Jt YN,1 v I),?
NAME: tfPZlf'li/ ?CrCe-f-"
ADDRE55: /J7 -I ,c I 4
czT^r, STATE, zzP: 1L---_ 6,?o?i? it,/s
,
PfiO:VE:
S) INpIG'1TE WtIZCH PERti IS BEING RE?UFSTLD:
CLrRVECPION 'IO CITY SESriEfZ
CON?PION 'IU CITY SVATER
Cl"iE4ER (PLEr'15E DF.SCRIBE)
6) INDIG,' ?' C:s.: •
E3 PI.EaSE F?OLD APPRpVID PER'v1IT FYJR PZCi:-L'r BY ONE OF AB(MIE
+?PLFASE :•tAIL APPROVED PER%LLT TYJ 1 2; 3, 4 AB7E
/19 (Ci:cle one)
7) SIazA'I[.'RE: ) DATE: f'I=S tYs
. t. : 6 •
?! ?! a+L;1lfYJS i? i Q!l??ta? s1 s r+t?sas?af.?/ ? s ??s?a:?a ?t l.e?iFJ?tw?a sl s ?s ?Ses+iaa s
FOR C I TY U S E ON:,Y •
PE2'NZT °- ISSUED
_1
F°Es: $ 571?
$ ??J S ?
$
$ --
S
$
$
$
$ _J?J?na
$
$
$
$
$
$ Jr/??
S°:^iE .°, ??En _*.?r?; ?Ci ??^Rr.,?-
(I_I :;D? SU.o,?..rn)
WAT:R PERh4IT (INCiuDE SliRCHAi2GE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;vEB :AP
AC^OUNT D.F,PpSIT - VIAT°_R
WAC
SAC
TRliNK SVATER ASSESSiQE.ST
TRliiQK SEWER ASSESSbIENT
Le;Ti,RAL SE:IEFIT/TRUNK SE;•:ER
LATE?2AL SENEFIT/TRUNK WATER
OTHER ?'(._T
4lXc.P?mno??
( 4 !7 G!i'r1 ? C? ?J
?
TOTAL
AMOL'NT PAIDjRECEI?T 4 5i56ni
DO£S i1TILITY CONNECTION REQUIRE EXCaVATZON ZN PUBLIC RIGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR 'RORK WITHIN
PUBLIC ROADWAY" MUST BE ISSL'ED BY THE
NO ENGINEERZNG DIVZSION_ LIST AS A CONDI-
TION.
SUBJECT TO TISE FOLLQWING CONDITZONS:
APPROVED SY:
TI:LE:
DATE : G? d
w wmf?m wfG w_+ FtAWw W-_M
??? ?t? ?t ? ia ?? ?? irt? w ?? w ?
6 r3 ?;?
S-6 _' S-
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilat Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Constnuaion Reauirements
3 registered site surveys showug sq. tL of bf, sq. R W house; and all roofed areas
(20% maximum bt caverage allowed)
2 capies of plan showing beam fl window s¢es; poured found design, elc.
1 set af Energy Calalations
3 copies of Tree PreservaUan PYan i( lot platted after 711/93
Rim Jaist Dehail Options selection sheet (bldgs with 3 or less unib
RemodeVReoair Reauirements
2 wpies o( pian
1 set of Eneigy Calculations for heated addNOns
1 site survey for additlons 8 decks
Addifron - indicate ifar-site septic system
Office Use OnN
Cert of Survey Recd _ Y_ N
Tree Pres Plan Recd _ Y_ N
Tree Pres Reqd _Y _ N
On-site Septic 5ystem _Y _ N
/..5-n0
Date ? / ? / Construction Cost 1 ?
p
SiteAddress Guh?.awAouX I?i ?Ke rr, Unit/Ste #
Description of Work ttf?
Multi-Family Bldg Fireplace(s) _ 1 _ 2
Property Owner rP ?k 4 C ? ll ( ? TelePtiooe #
Contractor Y,) e ?k 4 1 Cv?p ?l S
Address E City
l -k2 Z(-
State 4? NL z
Zip ?>$ f? Telephone # (?S T ) ? ?? • (? Z??
?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesop Rules 7670 Cateeorv 1 Minnesota Rules 7472
En2fgy COde CetCgory , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted SubmiKetl
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Con}ractor
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 Ciry 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.
Q??e ? ?l rcC,o ???
AppiicanYs Printed Name
ApplicanYs Signature
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
?-a' .? ? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,$g4:1S
New ConstrucUon Reauiremenis RemodeVReoair Reouirements Office Use OnN
3 registemd site surveys showing sq. R of IoL sq. R of house; and ?II roofed areas 2 copies af plan Cert of Survey Recd _ Y_ N
(20% mazimum bt coverage albwed) 1 set of Eneqy Calculations for heated addidons Tree Pres Plan Reoi _ Y_ N
2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site suney fw additions 8 decks Tree Pres Reqd _ Y_ N
lsetofEnefgyCalalatlons AddRion-indicafeifon-sitesepticsysfem Or-siteSepticSystem _Y _N
3 copies af Tree Preservation Plan if bt platled after 7/1/93
R"un Jo'st Detatl Options selection sheet (bldgs wiN 3 or less unils
Dateac-C / Z-5 l G?
SiteAddress ?"Ts-p Q1'/1VA'M07 a 0 ConstruMion /Cost -'2 ?eoU - GV
3-P r77Z41?E- l (WL ,CteA a*#niUSte #
Description of Work T?`7?L- OAc 22!2?c ir
Multi-Family Bldg V?Y _ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 1 JG( HyJQ 4RIM%S Telep6one #( )
Contractor QTy?C' L?'JTa n25i qh/
Address
State
Zip Y' Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(4 submission rype) Submitted Submifted
• Energy Envelope Calwlatlans Submitted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone #(
Telephone #(
Telephone #(
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 plans.
----?)ON / /:ZXG-7-5C_
ApplicanYs Printed Name
Applicant's Signature
<. . .
CINNAMON ffiDGE TRAIL (PAGE 2 OF 6)
4422/4424 7017404 05001
4426/4428 10 17404 040 01
4430/4432 10 17404 030 01
4434/4436 10 17404 020 01
4438/ 10 17404 01101
4440 01201
4442/4444 10 17403 08001
4446/ 10 17403 07201
4448 07101
4450/4452 10 17403 06001
4454/4456 10 17403 05001
4458/ 10 17403 04101
4460 04201
4462/4464 10 17403 03001
4466/4468 10 17403 02001
4470/ 1017403 01101
4472 01201
4474/ 10 17400 20400
4474B 203 00
4476/ 10 17400 198 00
4476B 197 00
4478/ 10 17400 202 00
4478B 201 00
8
Use BLUE or BLACK Ink
For Office Use
Permit glG'(•' I
City of Eagan I Permit Fee:
3830 Pilot Knob Road I T I
I Date Received:
Eagan MN 55122 a~~E1V a
Phone: (651) 675-5675 E I I
Staff:
Fax: (651) 675-5694 App U 4 2012 1 I
----------------J
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: rltn~') l~t~eel~r,~ Phone: 6a ~7 Jr 64
RESIDENT 1
OWNER Address/ City/ Zip: ? A 0, Id
Applicant is: Owner __z Contractor
TYPE OF WORK Description of work: ! " J ( /dot 5- l_ CZ
Construction Cost: Slay c b Multi-Family Building: (Yes / No )L)
Company: L040 llk ~'YIG Contact: al R 1~i1
CONTRACTOR Address: 1-17L [o City
State: Oj Zip: Phone: 6 ~ / -
License Lead Certificate q~ A71-17, 70
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 is 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: Phon
Sewer &Water Contractor: Phone:
NOTE: Platys and supporOV docwnents that you submit we considered to be ptfbgc inforWadon. Portions of"
the information maybe classltfed as non-public if y€►tt ptp ple specitie reasons matt WOW pen7d the Cfty,40
conclude that Cite are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive locates of underground utilities. www.oooherstateonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuaince.
xe~l X lJi /l f ti x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Jo 5ac
Use BLUE or BLACK Ink
F-----------------
For Office Use l
; Permit O J ;
City of Eataii I
Permit Fee:
3830 Pilot Knob Road c~
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1
1 Staff:
Fax: (651) 675-5694 I 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Jr V lk Site Address: `tY,Sg (Y hQpCr- ~~(f~e l1't~C Unit
Name: Phone:
RESIDENT /
OWNER Address / City / Zip: iu[~wV> L~Ly
Applicant is: Owner Contractor
T, y WOR Description of work: J Y/d I Ql~~ 1 R~ ~C P~ 1 e (/tG J(,~J1
PE OF K
Construction Cost: Multi-Family Building: (Yes / No
Company: Contact:
Address: 77 City: 14e'r,
CONTRACTOR
State: Zip: Phone:
License C`O Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No if yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting dneuments that you submNaM considerod to be puW Wonna061m Poevons
the informadon maybe classified as non-public if you pooviA[e? speciflc t tom' ' rritd- r>Wt fhe y to
eonclude that the 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.aooherstateonecall.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.
(a "d x 4~;_
Applicant's Printed Name Applic nt' Signature
Page 1 of 3
Use BLUE or BLACK Ink
- - - - - - - - - - - - - - - -
4 N11
( Permit
tl~ to i
t ~ I
City
of E
3830 Pilot Knob Road j Permit Fee: j
iy
Eagan MN 55122 I Date Received: t
Phone: (657) 675-5675 1 i
Fax; (851) 675=5694 I stath t
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:, i Sit. Address:
_ ..44_~i ►1n~~ (.~f
Tenant: suite lf:
RESIDENT IOWNER Narrle: _ v\M Ild,(`F fie phone; ~P1a ~4(01~
AddroesICity IZip; 3io
r
CONTRACTOR Narrte:.WLBERT COMPANY INC.dba CULLIGAN WATER
Address: 180150T" ST EAST city, .'IINM GROVE'liG`!'S.
State: MN Ztp; 55.077' Phone. 65.1 :4St-2241
Contact: BILL.MILBE~Pff . Email;
TYPE OF WORK _ New Replacement _Repair _ Rebulld _ Modly Space _ Work kt.R.O.W.
Descri tlon vvlork;,
PERMIT TYPE RE~1DE1VTIA*L
Water Heater .Water Softener
Lawn Irrlgatlpn I` RPZ PV8) Add Plumbing Fbduros if Main I _ 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 Inigatlon (Includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtutes, Septic System Abandonment, WaterTumaround• (includes $5.00 State Surcharge)
*Water Turnaround (apd $166.00 Ka 515" meter Is required)
$105.00 Septic System X4 ($10.00 per as built) (Includes County fee and $5.00 State Surcharge)
195.00 Fire Repair (replace bumel out appliances, ductwork, eta) pncludes $5.00 State Surcharge)
TOTAL FEES = --tl
CALL BEFORE YOU Dfd Call Gopher State One Call at (631) 454-0002 for protectieon agalnet underground uOy damage.
Call 45 Hours before you intend to dig to receive locates of underground utilities: www.oooherstateonecatl.oro
I hereby acknowledge that this kf~metlon N oompiets end accurate: last the wm}t wM be in oordormwm with the ordlnonces and codes of Ihi Cky sf
Eagan; that 1 understand this b a permit, but ony'an appllcidon'tor a permR, and work Is rcpt to start without a pgrmlb that the work will be In
sowdance th the apprmd pia the coos of work whkfi requires a,revlew and approval d pi. s:
x
Appllcant'a Printed Name ppli t's, ignature
•
~.:Q R y
10/15/2013 13:30 6123818601 CITIES MANAGEMENT PAGE 14/17
I
l F'o~ Office Use
►a
C1t of Eapi ; Permit
I I
I Permit Fee;
3530 Pilot Knob Road I y~ ~'j l
Eagan MN 55122 Cate Received; W Y'
Phone: (661) 675-5675 t t
Fax: (651) 675-5694 i staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date' Site Address; t 'M~Mon edak'
Tenant: Suite
RESIDENT I OWNER Name: Phone:
Address/ City /Zip. _ /l { tt tam6~ awlvi,
Applicant is: Owner Contractor
TYPE OF WORK Description of work:. V-OV
Construction Cost: - O Q Multi-Family Building: (Yevl z/ No
CON'i'R/1CT0R Name:_VItkS ~~~~~L~j~,License#.~i
Address: E ti 9~L 2.'Y1 0
'
City, _ tt1V t b~~11 44 nn'' AA -----~Stante: Mp 1 - Zip: ~,C.~-"[_►~_
Phone: Contact Person: 1~! V-'C/ ` 6MAS
COMPLETE THIS AREA ONLY IF CONSTRUCTING A. NEW BUILDING
Minnesota Rules 7670 Cate orV 'I _ Minnesota Rules 7672
Energy Code Residential Ventilation Csategory 1 Worksheet New Energy Code Worksheet
Caterg<-ry Submitted submitted
submission type) Energy Fnvelope 091cldalions Submitted
In the task i2 months, has the City of Eagan issued a permit: for a ; irnilar plan 1 aa-d on a master plan?
_____Yes „No If yes, date and address of master plan;
Licensed Plumber: Phone:
nAerhanlcal Contractor: Phone:
Sewer & Water Contractor: Phone:
i
NOTE: Plans anc/ supporting documents that you submit are considered to he public friforrnation. Portions of
the information may be classified as non-public if yorr provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is completo find 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 worlt will be in
occordence with the approved plan in the ccasc orworlt which requires a review and approval or plans.
Applicant's Printed Name A !loan s Sig Lure
Page 7 of 3
Use BLUE or BLACK Ink
For Office Use
yy~~ I
br j Permit j d U g
I ~ I
City Eap
Permit Fee: lU
I
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 - - - - - - - - - - - - - - - J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date Site Address: S~ "WWlt 6 V ? 1< G 'Z1X44tL Unit
Name: r r-I-~rgf' VIWAWIV1,07 Phone: 4 fe
Resident/ „
Address / City / Zip: , -,_"JrAI
Owner
Applicant is: Owner Contractor
Type of Work Description of work: l
Construction Cost: Multi-Family Building: (Yes ' / No )
Company: 4. kv c ;iDAa 1 stV'r`!LT~ontact: o e° it
Address:. ?Jr eW1 City: if ~1~~
Contractor
State: - Zip: Phone: 3 Sa
/
License ~ 6 Lead Certificate IV,4-7 - :r 7 1 - f
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 if you provide specific reasons that would permit the City to
i 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.gopherstateonecall.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.
Exteriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be comple dwithiQ 180
days of permit issuance.
x i;ot- x ~ Applicant's Printed Name plc , is Signatur
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
I W I
Permit
CI Permit Fee:l I-
I I
3830 Pilot Knob Road I I
Eagan MN 55122 i Date Received: F
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: .3 Site Address: ~6 f ti c_rTt2,,4-/e_ Unit
Name:, a'a- y Phone: ~1""
Resident!
Owner Address/ City/ Zip: "
Applicant is: Owner X Contractor
Type of Work !Description of work: ~
Construction Cost: Multi-Family Building: (Yes / No )
Company: k3 G!-a daJ $ vi'G:1rs ontact: / 0 e- '40-W ~r~t a ~ a
Address: 21i°0 City: .0 / N---re//
Contractor
State: f Zip: Phone: 642- -?4
License 44- P~ FJ Lead Certificate IVY- 3 ? 9 1, -
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 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed withi
days of permit issuance.
x t~tl l t L t R• eat 0A C-c
Applicant's Printed Name Applicant's Sign-at
Page 1 of 3
Use BLUE or BLACK Ink
y;r>'.::' ~ For Office Uise I
Permit 1 l U 1 ;
City of EaEd I Permit Fee: '3
I
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ~I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: l
I
1..----------------J
2014 RESIDENTIAL BUILDING 'PERMIT APPLICATION
Date: Site Address: Unit
Name: _ -"da C " ~~dvs./AyaT I.~.l• li Phone: a r -?4?l" z4 Pe
Resident)
Owner Address/ City/ Zip: G e -1, 9 rf' ."Rte ~11~r r- Ag 5 .S
Applicant is: Owner X Contractor r
Type of Work Description of work: le lll~e I 7~- A1*6 0-0
7
Construction Cost: Multi-Family Building: (Yes No )
of 4. 0~-
Company: 1-0 dy ~$r.tfIntact:
Contractor Address: ~t S: Al S$' R city: T, . ~-11Vs-I'V,
State: zip: Phone: 4042- 3.
License s;Z 6 2- 4'?- 410 Lead Certificate /V,47- °2
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 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed wit
days of permit issuance.
P+J
xt
Applicant's Printed Name Applicants re
Page 1 of 3
`t
� ��W�°��
' Use BLUE or BLACK ir�k
�-----------------
� For Office Use �
• ������ � Pertnit#: ��� �" / �
City of �a�aIl �uN , � [U''f I permit Fee: /�/ • �� �
3830 Pilot Knob Road � _/ �� ,/�
Eagan MN 55122 ��• l� � Date Received: '7�j
Phone:(651)675-5675 � I i
Fax:(651)675-5694 � S�ff� �
I I
V����������������J
� 2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 06-13-2014 site Address: �58 &4460 Cinnamon Ridge Trail. Eagan, MN 55122 Unit#:
' Name: Cinnamon Ridge Twin Home Association Pnone: (651)334-0322
� ���� ����� �� 4458 & 4460 Cinnamon Rid e Trail. Ea an, MN 55122
�
Address/City/Zip: g 9
Applicant is: Owner X Contractor
"���e���►��k �
�es���Pt�o�of Wo�k: Tear off Siding and Replace with new Siding.
Construction Cost: $�335.20 Multi-Family Building:(Yes /No
—)
compa�y: Custom Remodelers, Inc. �ntact:
.
474 A ollo Drive
. . Lino Lakes
�Ontfsl�0� Address: p City.
state: M N zip; 55O�4 Phone: �651)784-2646 Email:
. CR001748 . NAT 27064-1
License#. Lead Certificate#.
If the project is exempt�from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
�11bT���j� �c�"�
. . _
� �> �,.�.s� , a ''"°, m _
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. .
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d
. . ,
� .
� r���
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.aonherstateonecall.om
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 witt�out 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 Minne ota State B ' ing Code must be completed within 180
� days of permit issuance.
X Karli Anderson
Applicant's Printed Name p licant's Si ure
Page 1 of 3
,,
/� � ��-�
' , DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Enterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New Interior Improvement ✓ Siding Demolish Building*
_ Addition _ Move Building Reroof _ Demolish Interior
Alteration Fire Repair a Windows Demolish Foundation
❑✓ Replace �Repair a Egress Window _ Water Damage
_ Retaining Wall •Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_10G%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Width
. REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
y Footings(Addition) Final!No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Walt:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
� Utility Connection Charge
S8W Permit&Surcharge
'� Treatment Plant
Copies
TOTAL
, Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152943
Date Issued:11/09/2018
Permit Category:ePermit
Site Address: 4458 Cinnamon Ridge Tr
Lot:041 Block: 01 Addition: Cinnamon Ridge 4th
PID:10-17403-01-041
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Amy Swenson
4458 Cinnamon Ridge Trl
Eagan MN 55122--238
(612) 275-5466
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174957
Date Issued:03/03/2022
Permit Category:ePermit
Site Address: 4458 Cinnamon Ridge Tr
Lot:041 Block: 01 Addition: Cinnamon Ridge 4th
PID:10-17403-01-041
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Amy Swenson
4458 Cinnamon Ridge Trl
Eagan MN 55122--238
(612) 275-5466
Total Home Solutions Llc
1008 Prospect Pt Rd
Jordan MN 55352
(952) 207-6995
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175348
Date Issued:03/30/2022
Permit Category:ePermit
Site Address: 4458 Cinnamon Ridge Tr
Lot:041 Block: 01 Addition: Cinnamon Ridge 4th
PID:10-17403-01-041
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 -
Amy Swenson
4458 Cinnamon Ridge Trl
Eagan MN 55122--238
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179533
Date Issued:10/10/2022
Permit Category:ePermit
Site Address: 4458 Cinnamon Ridge Tr
Lot:041 Block: 01 Addition: Cinnamon Ridge 4th
PID:10-17403-01-041
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Amy Ramnarine
4458 Cinnamon Ridge Trl
Eagan MN 55122
(612) 275-5466
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature