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4466 Cinnamon Ridge Tr eUILDING PERMIT To M wod far $4y,000 Name Address \. ? , / i, ? ? . .? 1 hereby acknowtedqe thot I how rsad this opplication ond state thot tM inlormotion is cor?ed and agree to comply with oll applicobl• Stats of Minnesata Stctutes or+d City of Eoqan Ordinances. Siqnotun of PemwftN A Buildinq Permit is issued to: oll work sholl be dorw in ctaordoncs with oll oppliooble State of Mii Buildieq Offlcial CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 10534 aeceipt ? Erect L.1 Occupency Remodel ? Zoning Repair ? Type of Const. Additlon ? No. Stories Move ? Length , Demoli8h ? Depth . Int Impr. ? Sq, Ft. Install ? Approvols FNs Assessment Permit Water a Sew. SurCharge Poliu Plsn Reviaw ? Fin SAC ?• Enp. Water Conn. ? Plonner Water Meter Council 7 • • ' Road Unit ° ? ? ' • U G Bldg. Off. ? : Tr. PL APC Parks Var. Date C i ap sa , Total on tM expnss caditian IF+w wta Statutes ond City of Ecqan Ordinonces. J site nddren Lot BloCk Sec/Sub. Parcel No. Pamit No. Pwmk Holdkr Dob TNephons Plumbinp ? `? ? -? kY ??.? r? HNA.C. g 1.?;,.?-? r! z I;? Ebetrlc Softmor Inqwetion Data Imp. OthN Footings I ? Footings II Foundatlon ? Freming Vy, 4L) RooHny Rough Plby. Rouyh Htg. Insul. Finplace Final Htg. Finel Plby. ?., Flnei Cert/Occ. Water ??i? Location: ' Ws?? n . Ssw?r Pr. Diap. ,- Roaipt - MECHANICAL PERMI7 Permit No. ' CITY OF EAGAN FN ? ' Fill in numbered apescss S/C ? Type or Print laglWy Tot 1. Dste Z. Inataltation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Addrou 7. City ; State - •'i Zip 8. Building Type: Residential O Commercial O Institutional ? 8. Work Description: New E3 Add ? Altar ? Repair ? 10. Describe Fuel Type 11. No• Eauinment 8TU - M. Ea. Forced Air No. Eouiament CFM Air Handlin : AAfg. g Boilars Mfg. Mech. Exhau:t Unit Heater Mfg. Other ' Air Cond. Mfy, ' Gas, P'iping 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. Sign°d' for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt " PLUMBING PERMIT CITY OF EAGAN Permit No. Fea Ir3- g Fill in numbsred spaces S/C Type or Print /egib/y TaL - 1. Date f- J'5 2. Installation Cost 3. Job Address Blk. ,1 Tract r , 4. Owner ? _ ??' ? ? y ? ; .?? , _ .`;k' - : . 5. Contractor Phone ._?• ,: ? :> .? f? c . ? 6. Address ?o?G G ??/ ?--, . .,.c_,. ?i • .?.% ? 7. City -V,? State ? - 2ip ? - 4- , l'- 8. Building Type: Residential G3 Commercial C) Institutional D 9. Work Description: New 0 Add ? Alter ? Repair ? I 10. Describe I 11. No. - Fixtures Water Closet No. Fixtures Cesspool/Drainfield ? Bath tubs Septic Tank Lavatory Softner Shov+rer 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.ordinan?Ces and codes Overning this tYpe of work. Signed: ' ? for Rou F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 . . CITY OF EAGAN 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt # TO M wwa fer - T?'y .r . ?101`}tFfst_ Value 016 f)„te SiteAddreaa ?,s•??`i`::i kIDGE TR Lot elock SeclSub. C I tiN Ra nGIr 4 ' " Phone Erect I.3 Occupency Remodel ? 2oning Repair ? Type of Conat. Addition ? No. Stories Move ? Length = t Demolish ? Depth Int. Impr. ? Sq. Ft. Name r Address Ww Neme x? Address H(?L?I?' , F.?.; <w City ilOitLXN 1 hereby acknowledge thot I have reod this applicotion ond stote that the inlormation is corred and ogree to comply with cll applicWe Stata of Minnesota Stotutes ond City of Eq9on Ordinonce;. Sipnaturo of Pertnifta BLnRs /? Building Pertnit Is issyed tp: oll work shall be done in cccordcnte with oU 6pplitable Stote ? Assessrnent Permit 276.50 Woter 3 Sew. Surcharge /4• 50 Poliu Plan Review J 4•25 Fin sAC y'd" 5. 0 0 Eng. water conn. 500.00 Planner Water Meter 63.00 -)8U Oc Counc+l 7 /l 5/6 Raad Unit ?` • 0 O Bldg. Off. Tr. PI. APC Parks Var. Date Copies - ' 4T' Z 5' Total on the exprast conditlon that ,sob_ Srotutes ond Gty oi Eoqon Ordinontes. Plum6in9 " lI r o, 1 Sr H.VA.C. tr. Iw -) '' 1?-, I Irepsction Dats I Insp. I Other I Faotings 11 Htg. Well '! I Roaipt WIECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type w Print leglbly T? 1. Date ? ?r2. Installation Cost 3. Job AdcM'ess ,??" ''• Lot - 8fk. Traci 4. Owner 5. Contractor ` • Phon , e 8. Address ? ° • 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Descriptian: New ? Add ? Alter ? Repair ? 10. Describe 11. Fuel Type No• ! Eauioment BTU - M. Ea. Forcxd Air ' No. Equipment CFM Air Handlin : ' Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Air Cond, ? Other Mfg. , Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes qoverrting this type of work, 5igned : J` ' for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Fill in numbered s,paces Type oi Print legibJy Permit Na Fse s/c Tot 1. Date J-J 2. Installation Cost ? ??? t ?Ge? -tT ? - 'e • -' .• . : ,,ff?_? 3. Job Addreu ? Lot Blk. • Tract 4. Owner 5. Contractor !`.-?% .T 2?.?r-c :: .-?•- ° Phone 6. Address 7. City -c State ZiP 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New [A Add ? Alter O Repair ? 10. Describe I 1 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield ' Bath tubs Septic Tank Lavatory $oftner Shovuer Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray ? Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for . / Rouyh f inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-6100 CITY OF EAGAN Addition -TNNAMON Tn ,F 4TH Lot 2 U,k I Parcel 10 17403 020 01 ' Owner46'?..??+•?'y?`•??i;?, -yStreet?(??=.g?-('.-???namor? -Ririo?aState_ Eag3ri, MN 55122 Trai 1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 15 674.81 13 4• 97 5 63 STREET RESTOR. GRADING SAN SEW TRUNK 1973 1 7. 3 3 .16 15 C7--ZA -?s * SEWER LATERAL 19 5 1889.71 377.95 7 10,5 WATERMAIN * WATER LATERAL 1985 . J WATERAREA 1973 1 1. 1 ,a,73•?Y5 '"-103.)? -aGkS STORM 5EW TRK 1979 12--?7 73 25.64 20 3 3,2-5 e - ? c 9j L", STORM SEW LAT CURB & GUTTER a J.Z-Q V 62 SIOEWALK STREET LIGHT (p ? Road Un t 280.00 54199 811185 WATER CONN. 500.00 11 ql BUILDING PER. 10694 10695 of sac 525.00 " " PAR K ' GITY OF EAGAN WATER 3830 Pilot Knob Road SERVICE PERMIT P. O. Boki 21199 PERMIT NO.: Eagany MN 55121 DATE: Zantnfl: No. of Units: Owrwr: AddYQfS: i ? Site /lddrcss: .- Plumbar: AAeter No.: a8 [ ' . r , Connec tion Charpe: Size: ?---- ACtOUfit 4Cposit: Raad?r Na._ Permit Fee: . ` I aOrM M eawphr whh !Iw Citr ef Eassw Surcharge: Ordimenam Mtsc. Gwrpes: - . _ :. - Totoi: ? -?? Dato Paid: Date of I nsp.: I ?v.. J7/ 3 ,5 .? ?• • ?nVM1Y 3830 Pilot Knob Road P. O. Bex 21199 Edgan, MN 55121 Zonirg: Owrrr. _ Add?ess: Site Address: 4 '1E 3 ,-, Plumber. ? .?.OC k t 1 ; ? ? MM h oeewhr wki tw Clyr Oi Eap¦ OrdiMaoa. By Date of Irup.: Insp.: SEWER SERVICE PERMIT PERMIT NO.: ? D11TE: - No. of Untts: Connsction Chorpe; ?^- ACCOUnt Deposit: :-Y7' Pimiit Fss: - Surcharpa: - Misc. Cha?pes; - Totcl: - Dioh Paid: ? ITY OF EAGAN WATER SERVICE PERMIT ?J Pibt,.Kno6 Road ' . 0. Box 2 i 19S - PERMIT NO.: agan, MN 55121 S DATE: ` ?in9: - - No. of Units: rESr i L? :5ite AddreBS: 1? .?Plumber. 7 _ . _ -, . , . . _ . r Metar No. •? ? k ; Connection CF?or?e: ' ! + ' ' Siza: h Accaurrt Depos(t: _.• . , Reod@ No.. Permit Fee: ' I yr» h aomply wkk Iw Ckr of Eove¦ Surcharye: , ? Crdieawor. Misc. Chorges: Totcl: ? ey 'L ' Date Paid: r ? f ? Date of 1 OWT - 3 fj--S lrap.: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Krwb Road P. O. Box 21199 PERMIT NO.: Eagan, MN 551Zi DATE: Zonir?p: No. of Units: Qwnsr, - Addrcas: ? Site Address: Piumber: 1 yne te eempip wilb !iM Cily ef Ropw Gonnection Chorye: .. ' Ordtmewqr. Acaourrt Deposit: Permlt Fee: Surthonye: ` gr Mix. Choroes: Qate of Inip.: Total: Insp.: Date Paid: ? This ,e4uest Void y (Z? 18 mpnths frorn W09721 ?. Request Late V fcensed E4actrical C oniractor ] Owner R; + "eO' IUReady Now ? Yes ? No I 1 hereby request inspection of above electrical work installad at: R1S InsRec- -°?••?• •?• lownsnip rvame or No. - -Z i - I - Range No. Cour Oc upant (PRINT) Phone No. ae x'? ?. -57?11- a4? i/ Pow Supplier ? ? ?/? ,?iC/C. Address ?.6 ?- 'G" 5?30 Rae vi?; Electral Contractor ICompany Name1 Cuntractors License No. Mailing Address ( ntractor o wner akin In e s ailation) c? ? 4-1-e l)-,-7. Autho ized Signature IContractor Owner Making Installationl Phane Number 3? INNESOTq STATE 80ARD OF ELEC THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 7827 University Ave., St. Paul, MN 56104 UNLESS PROPER INSPECTION FEE IS Phone 1612) 297.2111 ENCLOSEO. REQUEST FOR ELECTRIGAL INSPECTION EB-00001-04 I ' See instructions for Completi ng tnis form on back of yellow copy. ? ??? ? x Be?ow Work?)overed 6v Th;s RernjPCt This reques[ void ? 1LZ/ ? Is Iag 18 months trorrr yV 097219 L /5 + J2 Reques[ Date Fire No. Rouph-in2 lnspection ?peady Now ?Will Notifv Inspec ? - 'IS? fiequired ?No tor When Ready j?Ces U?Licensed Eiectrical Contractor I Itereby request inspaction o1 above n Owner electrical work installed at: Street Address. B or Route No. CityCP ? ection o. 7ownship Name or No. Range No. Coun Oc/?cupanY (PRINT) Q /vT !/h? 1??iLC??.?vc.r //?/7 ?oi) N O(7 Po r Supplier / 1 ,4-?? ress 43av Elec ical iracto 1Company Namel Contractor's License No. Mailsn Address ?CAntractor or (Ywner Making In tailationl ? C ?/ q Authori? ?d SiAnature (Contractor/Owner Ma ing Installation) /,F-»?tY_a ?_- Phone Number MINNESOTA STATE BOAHD OF ELE060CITY (3riggs-Midwev Bldg. - Room N-191 1821 University Ave., St. Paul, MN 56104 Phone (812) 297-2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTEO BY THE STATE 80AHD UNLESS PROPER INSPECTION.FEE IS ENCLOSEO. rC ? REQUEST FOR ELECTRICAL IAISPECTION ?"'• EB-00001-04 ?7 See inatructions 1or completing this form on back of vellow copY• 0972j?8 ••v•• n.,f,.... w...1. ..,A 1,?, Thic Gnniiacf „ qdci Rep•• •v TVpe ot Bullding Appliances Wired Equipmeot Wi*ed Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Comrnercial Bldg. Furnace Silo Unloader Industrial Bldg. Farm Air Conditioner Other Peci v Bulk Milk Tank ther (Sver;ify) t.r peci y OthCr 01her p Fee ServiceEntranceSize N Fee Feedars/Subfaeders # Fee Circuits ? U to 200 Am ps Above 200 Amps 0 to 30 Am s 31 to 100 Amps V? 0 to 30 Am 31 to 100 A s Swimmin Pool Transformers Above 100-Am s Irrigation Booms Above 100_Amps Partial•'Other Fee Signs Special Inspection S OTA L FE fr.Q7 V RouAh-in _ , the Electrical ?/. h Inspector, hereby :? tily that the above Final r ?'?1e , -Zpection has been d y? ma e. ThYS roqu9S1 VOio 7amom[w u- L/ - - --- - - " CITY OF EAGAN N° 10 6 9 5 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55721 PHONE: 4548100 BUILDING PERMIT rteceipt # ? Te M uwd far 1/2 TWIN HOMEEn yalue $49,000 pate AUGUST 1 1985 SiteAddrese 4468 CINNAMON RIDGE TR Lot 2 el«k 1 See/Suh. CINN RZDGE 4 Pereel No. W INIM, DEVRIES BLDRS ? nddms 7564 MARINER City MAPLE GRV pnone 420-4685 }? I Name _ g? naam: 1- r.irv _ Phone Name GAGE o,ld,,,, BOONE AVE City BROOKLYN IiiNone 1 hereby ocknowledqe thce 1 haw rcod this application and stote thot fhe inlormotion is correN apdlpgree,to wmply wifh all apPlicubls Srofe of Minrrosom Srotutea(¢no Ciry of Eogon Qr4imnca5, A Buildinq Pennir Is issued ro: DEVRIES BLDRS oll work shall be dons in accordanee with I 'licobla Staro Mii Buiidinp OHkial ?-c' Erect 12 Occupancy R3 Remodel ? 2oning R4 Repair ? Type of Conft. V Addition ? No. Stories Move ? Length 24 Demolish ? Depth 64 Int Impc ? Sq. Ft, Ins[all ED Apyrovals Foas Asseument Permit 27$ • 5( warer&Sew. surcnaree 24.5( Police Plan Review 139 z `- Fin SqC 525.0( e,p. wete. conn. 500 . 0( Pionner WeterMeter 63.0( - 290.0( CAUncil Roed Unit BIdg.Off. 7/25/85 Tr.PI. 132.0( APC Parks Var. Date Coplas rotal $1,942.2` on tha sxpress torditlon Ihal i4toW Stotutes ond Clry o{ Eaqon Ordinances. :A BUILDING PERMIT CITY OF EAGAN N° 10694 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 ?2 TWIN HOME Receipf # $49,000 Date AUGUST 1 19 85 SiteAddreu 4466 CINNAMON RIDGE TR Lo< Z Block 1 sec/sub. CINN RIDGE 4 Percel No. 6 INam, DEVRIES BLDRS ? 7564 MARINER DR ? ?i??gMAPLE GRVpnone 420-4685 Zo Neme _ ?? Addresa ~ Cirv - SAME Phone Name GAGE qdd,eas_BOONE AVE city BROOKi.vN PLihone I hereby ackrrowledge that 1 how rcod this oDPlication ond stote fhot the intormotion is torrect ond ?jee tn comply wifh all opplicobla Sioro of Minnesota Statutes4 SI d?xith o( aQan O i? onces. ??? Siqnotum of PertniMes A Buildinq Parmit Is issued ro: DEVRIES BLDRS dl work shall be dorm In acmrdnnee withsalrtlpp?i abla Stme of ir Buildirq OffiNol ?,./U!_ EreCt 12 Occupency Hemodel ? 2oning R4 Repeir ? Type of Const. V Additlon ? No. Storiq Move ? Length 24 Demolish ? Depth 64 Int. ImOr. ? Sq, Ft. Install ? Apprmab Aas Assessment Water 8 Sew. Poiite Fira Eng• wonrror Countil BIdg.Off. 7 25 8 APC Var. Date Permlt S 278•50 Surcnerge 24.50 Plan Review 139. 2 5 SAC 525, 0 water conn. 5 0 0. 0 0 water Meter 63 _ 00 RoadUnit 280.00 rc Pi. 132.00 Perks COplea - - - - T T?1u1 T ,3T2 . 2 S _ on fhs expro0 cordltlan Ihot and City o5 Eapan Ordinoncea r 1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN NOTE: ALL COHTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS ? CERTIFICATES OF SURVEY T SET OF ENERGY CALCULATIONS ? To Be Used For; ?...?_ r Valuation: ?1'-b Date• 712t4 s- S- Site Address: OFFICE USE ONLY EAST ?'z aF Lot; ? Block 1 Sect/Sub y? Erect K parcel It ? owner L/A„LA? r7y(.??n . Address '? S`t,? ?/ Y1•l,.?l?,?.,?,.?.,, ,? City/Zip Code ylat? 4? 5'S7 3 IV y Phone v-La YCo0P'? Contractor ? Address City/Zip Code Phone Arch./Engr. ? Address ? CP, City/Zip Code ?.•,,? ?? Remodel ? Repair Addition ? Move Demolish Int.Impr. _ Install _ Occupancy R-3 Zoning -4 Type of Const SZ # of Staries Length Depth Sq Ft APPROVALS FEES Assessments Permit ? 2l8 Water/Sewer ? Surcharge Z!}.2 Police ? Plan Review = zz; Fire SAC 525,=' Engr Water Conn =.2 Planner Water Meter Council Roa Unit Zgp,"-' Bldg Off 7M? reatment Pl 13Z, = APC Parks Variance Copies TOTAL ?a , a S Phone p / ? 7985 Bl1ILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTR6CTOR5 HUST BE LICENSED YfITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY %Z T?-1lhl 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: ? 41 =. ` Date • 7 t L/d'S' Site Address: qU(off ??• '~`"?""l OFFICE USE ONLY WeST i2 0 F Lot: 02 Block I Sect/Sub Parcel 0 ' Owner 'Lo-C L'?Lc..ey aua • - ? Address '7S (? y 1City/Zip Code {wr??Qa -? S',;-3 6 g Phone `7',1o c/?. ?S Contractor Address City/Zip Code Phone Arch./Engr, " Address City/Zip Code Erect ? Occupancy k?-3 Remodel , Zoning Repair , Type of Const S? Addition p of Stories Move , Length Z Demolish , Depth Int.Impr. _ Sq Ft Install APPROVALS FEES Assessments Permit 00 sn " - Water/Sewer Surcharge Z4,5' Police Plan Review ='ff Fire SAC 525.? Engr Water Conn Planner Water Meter Council Road Unit Bldg Off ? Tr?Tnent Pl -2? z - APC Parks Variance Copies 1'OTAL Phone,p ( C.!' L''I N H. H E D L U N D 7728 Moraan Awnw South RicAfltld,Mineesota 68423 5.ane Surv*yor Civtl Enqineer Phone :666-262E cate " Surve#or`s Certifi XX<40r JOB N0. SURVEY FOR: John De1'ries QESCRIBED AS: Lot 2, Bloclc 7-, CIMVAP`ON RIDGE 4th P.DLITION, Citv of Eagan, Dakota County, P•]inneosta and reserving easerients of record. 9 31.0 .7 - . ?? rl ? 1.? • ? ?n a ? o .Z \. ?^ } 92 , _ ? O z4,o 23-6 23-(0 _I? Z -2Z,- ,.??? r (r= ^ s it- -Foyer N - ? N ?p?QS'r4Ki5 I ? 1 _ SC. ?JC \ \ ?? Top of Poundations = 9z?•S Garage Ploor = 92-4'5- Basement Ploor = 9z3 Proposed Llevations O Existing Llevations - 9 3a, c? '---- Drainage P,irections? A. O'Denotes Lot Corners O L' G /iT 10[?i'StN'I eS I 4 ? ar Q Ll4??9 ' I 7t ? LC ' ?.?0 ? ?2-tl 1C Mf 6 7 O ?r IV 89°56'2 W --- 2? N ? ? _ _ CERTIFICATE 7F SURVEY I Aereby certify fAot on 7/ 22 / 85 I surveyed ihe property described obove ond thaf ihe obove plot is o correct represeetafion of soid surve`? . ? n Calvin H. Hedlund. Minn. Re4 No. 5942 1 CC 2/84 d ^ ? ' CITY Or EAGAN APPLICATION FOR PERNIIT SEWER AND/OR WATER CONNECTIODI (PLEASE PRINT) PROpERTY ADoREss: TFr,ar. DESCRS_°T'ZCN: (Lot/Blocx/Hucaivision or Tax Parcel I.D. Nu°'Tr) ? IF -?:IS'_=:G S?'aLCi''ME , DATEE Oti' ORIGi IAL u;Ii.DP:G °.i:'ST ISS?:?,\:G: PR=SL':' --^`]Z;r,/P=nPOS? ? R-1 SM:GL: FPtiffLY . 9? R-2 DUPL...z'Y ('ITiO C,T?ITS) ; ? R-3 'ICl.v7N14CiJSE ('?= = li`TITS) ( Wi I"_'S) ? R-4 APAR'-'„="rICC:SJCi'SiIL?I ( [JiiITJ) ? CLlVi'-fERCSAI./RF?,':AII,/OFFIC ? I1'DL'STRTAI, ? NSTI2'L'TIO:V.AL/GGVE,Ri`nY&?,'Z' 2) APPLIC ?"P (PLEASE PftINi) ? ? ? ?OC` ? / [[ ['-!n b V7 L! l n ADDRESS: ( n CITY, STA'IE, zIP: ? °. q-1 Aj Pxo.E: '7,53/ j? pIU?IBER AIAI IE: (PLEASE PRINT) ? FOR CITY lISE ONLY PDDRESS: ? PLUHBERS CE4SE: Active CITY, STATE, ZIP: Expired PHOiVE: PLUNBER LICEYSE # Not f Retord ? ai lnltla 4) QQ,'[,'PAl?]'j`/CfyyER ' kYLtA F'H1rIT) ru?r? _)!- Yk, i? S l de S A.nnREss: 7SLr f'h LL v, e' k"- .Ok-'- r r/c, cri^:, s=, zzP: I?'1 Kl .DI e ??o ??? dl) ??i .SS3C? PFiONE: 5) IDIDIG"?TE L4HICH P T IS SEItiG REOUESTID: P-CCDINECTION 'Ib CITY SE7i7ER CON.VECTZOy 'Ib CITl' 14ATE:? dit;FR (PLrASE DFSCF2IBE) 6) L":DIC?,TZ C.:c.: ? PL-7%SE F?OLD APPRWID PER.'?LLT FOR PZCF-LP BY ONE OF AEGVE ?PLFiISE ,•*'rLIL rIPPROVED PEP:•lIT TJ 1, CL; 3, 4 P,F,0VE (Circle one) ?. 7) SICnT[."F2E: /?t.K?G7.c l I DATE: " R mam.Au? m =?:a m F O R C I T Y PERMIT °- ISSUED F°ES: $ $ $ 5 S $ Uz^ $ zS ? $ `)0D"'. $ 5-? vv $ $ $ $ s $ .? j cv U 5 E ON;,Y a l?t ?!ils}ls?? fq a I?s?st?};sK?ca? t 5E;^iE4 nE4MT_T (I`ICL:;DE SURC4?P.Gc) WATER PERP1IT (INCLUDE SiiRC`IARGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:vER TAP ACCOUNT D.F,POSIT - PIATER WAC SAC TRliVK 44ATER ASSESSh1E.1T TRliNK SESdER ASSESSMENT LATERAL BENEFIT/TRUNK SE?•:ER LATERAL BENEFIT/TRUNK WATER OTHER y-7u;? TOTAL AI°IOU:QT PAID/RECEIPT ;_.?j DOES UTILZTY CONNECTION REQUIRE EXCAVATZON IN PUBLIC RIGHT OF WAY? ?IF YES, THEN n"PERMIT FOR `r70RK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY TYE ? NO ENGINEERING DIV.SION. LIST AS A CONDI- TION. SUSJECT TO THE FOLLOWING CONDITZONS: APPROVED SY: TI:LE: DAT°: ? - - - ?5-/ c-? , C 3? • ? i 2/84 CITY Ot EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTIOr1 (PIEASE PRIHT) 1} PROPE.RTY ADDRESS: C1- jf: t.FrAr oescRIpricN: ? (Ir?t/Block Subaivision o Tax rarcel I.D_ Ntnnbe ) c ? i: _;IS^_:G S?'CP=?E, DAT:' 0° Oi2TG^IAL rtiIi..^,I::G I P.?.SL.T 7I;?:/pi?pppS"0 C'S: O? 1 Si?;GL: FPNSLY . ? R-2 DUP= (T%O L".VITS) ? R 3 ZCI.,.1iFCtJSE (=,EZ + L^]ZTS) ! Wi Z'^S) p tZ-4 A??n'I"T-`7I'/CC:1]0-'-SIICiM ( (JVIT_J) ? CCL 1..CZU/RElAIi,/Or ? IC:: Q :l%mJST?,Tai, Q LVSTI;L'PZONAL/GGV???P?7 2} APpTTG?-V'T ?PLEASE PRiNi) rra??: l/4 v?oC -?1u, PDDRESS: '- ( -k /e <So. crrY, smaIE, zzP: ?G A , e'/ ?7 ?tl 3 PHO'NE: 3) pM,SEP. (PLEASE PAINi) FOR CITY USE ONLY NAME : i / 17 P.DD.4ESSc . CC?Yi?L?, C?? ? i PLUMBERSJ?YCEYSE: Attive ? CITY, STATE, ZIP• - 0 Espired PHOiVE: PLIJ.NBEA LICENSE # Not o Record ar t 4) =mP,iy^P/C7.;itII2 NA "?: /?G! C ,/? /? E L ?n ?YItAS Nft1q 'q ? F--S ADDRESS: CITY, STATE, ZZP: IC' 6le-- A) /7 ) PI i0*IE : 5) NDIGATE MIICH PEPMZT IS BEINC REQUESTID: CbNNECI'ION TO CITY SEFr1ER COIS.VECPION 'IO CZTY UATER diETER (PLF115E DFSCRIBE) 6) I:DLG..? C.+E: • ? PI.EASE f?OLD P,PPROVID PER.'?LiT FOR PZCi:-UP BY ONE OF ABCVE PLE?tiSE b*',?LL APP?20VID PEP-%IZT 'PJ 1 2? 3, 4 AEOVE (Ci cle one) 7) <x'? nATE: -/S ?S !?laal'iR1l.iJ? i L!l?:f?f? fr i AAi?# i i s?sa:i:?a 1!!!!lflrl?lTY 0 fe?i??ia.?/ ? \ F PEFMIT '-` ISSUED C I TY U S E ON:,Y F°ES: $ $ $ $ $ $ I SlC?r $ $ ?z C? cTz $ j?J-cv 5 $ $ $ $ $ J % n r7 S°:'iER PE?tM7T (I`ICLGDE SURCtiaP.GE) WATER PERP4IT (INCiUDc Sli?CfIAr`ZGc) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:dER TAP ACCOUNT D.F,POSIT - P7AT°R WAC SAC TRliVK WATER ASSc.SS24ET1T TRli.QK SES4ER ASSESSMENT LATE:tAL SENEFIT/TRUNK SE.-7ER LATERAL BENEFIT/TR?U/IVK WATER OTHER TOTAL AMOU:7T PAID/RECEIPT 4 J-: dC, DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ? Y,ES IF YES, THEN A"PERMIT FOR 'AORK WITHIN ? PUBLZC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVZSION. LIST AS A CONDI- TION. SUSJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TI:Lc: DATr: RESIDENTIAL BUILDING Permit Application City Of Eagan /-?-7 c}, 3830 Pilot Knob Road, Eagan MN 55122 V ??`° I Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reauiremants RemodeUReoa'v Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq ft of fwuse; and alt rooted areas 2 copies of plan Cert of Survey Recd Y_ N (20%mazimum lotcoverage allowed) 1 set af Energy Calculations for heated additions Tree P2s Plan Recd Y_ N 2 topies of plan showing 6eam & window sizes; poured found design, etc. 1 sile survey (or addiGOns 8 decks Tree Pres Not Reqd Y_ N 1 setof Energy Calculations Addrtron -indicate ilon•sRe sep6csystem On-site SepGc System _Y _ N 3 copies of Tree Preservation Plan rf lot plattetl atter 711193 Rim Joist Detail Op6on5 selectbn sheet (bldgs wiU 3 or less units Dat? /?_ /? Construction Cost ?ZCJU ? GLJ Site Address ?YGG el'„iA/aUt a,\ R'O? 'TVz4' ? Unit/Ste # Description of Work Tevvz- (jp-P ^ 222au ?(= Multi-FamilyBldg 25, Y _ N Fireplace(s) _ 0_ 1 _ 2 Properh Owner Iv ? Cu Telephone #( ) Contractor CO n1CC-0Q7t.A-4,(, b-e S i"ti r- I-V'L5?4- - ? aaaress ciry r-,qqe v6-qeS --? State /4 /? Zip <-S-/ L`" Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 EnOrgy Cqde Category • Residential VenGlaGOn Category 1 Wwksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Caiculations Submitted -- ?I?) Have you previously constructed a building in Eagan with a similar plan2 Y N If so, 2 plan review fee applies. ? J?Ji- _7 1 2003 Licensed Plumber Mechanical Contractor Sewer/Water Contractor Teleyone # ( -- --- 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 ofplans. !7 ??b-• ? ?7.Y? ,? ?? Applicant's Printed Name Applicant's Signature RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knab Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 's `?I,oO JAY.??AUO?Q3 New ConsWdian Reauirements Remodel7Reoair Reawrements Office Use Onh 3 registe2d sile surveys showing sq. ft. of b4 sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Racd (20%mazimum tot mverage allowed) 1 set of Energy Calculations farheated additions Tree Pres Plan Recd 2 copies W plan showing beam & window s¢es; paured found desgn, etc. 1 site survey for addifions 8 decks Tree Pres Not Reqd 7 set of Energy Calwlations Add'rfion - mdicafe i(on-srte sepG"c sys[em _ Onsite 5ep6c System 3 copies of Tree 7reservatlon Plan if bt platted after 711193 Rim Joist Delail Opfions seleclion sheet (bldgs with 3 or less units DateC?j / ?-/ ConstructionCast Si[eAddress 4446A (i4yA2,yh,cn (?)`a•o 7'KALc UniUSte # Cor,tkLj 7v(-K_7 ? Description of Work Multi-Family Bldg X Y_ N Fireplace(s) ?z 0 _ 1 _ 2 Property Owner Telephone # ( ?sj) 'j?C/ Z - ' /G ?•, ~/ Contractor Address City State Zip Telephone tl { ) COMPLETE THIS AREA ONLY IF CC Energy Code Category - Minnesota Rules 7670 Cateeorv 1 • Residential VenUlatlon Category 1 ? (J submission type) Submitted • Energy Envelope Calculations Sub Licensed Plumber Mechanical Contractor Sewer/Water Contractor A NEW BUILDING MAY 0 6 2003 ? 4C7e1e_.^ ? °--. ? Telephone #( Telephone #( Code Worksheet I hereby apply £or 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 5tate 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. ?4't R-Z LZA ? 6 fZ.G?'?0:?Sal.? ApplicanYs Printed Name cJ' Ci App ' ant's Signature Sub Types ? 01 Foundation E3 02 SF Dwelling ? 03 Ot of _ plex ? 04 02-plex ? 05 03-plex ? 06 04plex Work Types ? 31 New 116- 32 Addition ? 33 Alterafion ? 34 Replacement ? 20 Paol ? 21 Porch (3-sea.) ? 22 PorchlAddn.(4-sea.) ? 23 Porch (screen/gazebo) ? 24 Storm Damage ? 25 Miscellaneous ?. ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. A1t - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding ? 36 Move Bldg. O 42 Demolish (Foundation) O 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windaws/Doors 'Demalition (Entire 81dg) • Give PGA haedaut to appllwnt Valuation 21 o C9V Occupancy Census Code `1 Zoning SAC Units Stories Nbr. of Units Sq. Ft. Nbr. of Bldgs Length .r Type of Const Y 1?.1 Width Footings (new bldg) ? Foo[ings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Watac Final _ Framing _ Fireplace _ R.I. _ Au Test _ Final Insulation l2 3 U?.? _ MC/ES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS FinaUC.O. 4( FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ A'vlGas Tests _ _ Siding Stucco Stone _ Windows (new/replacement) _ Retaining Wall Approved By L- , Building Inspector Base Fee Surcharge plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total OFFICE USE ONLY ? 07 05-plex ? 13 16-plex ? OS 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex `? ` 18 Deck 0 17 10-plex O 19 Lower Level ? 12 12-plex Plbg_Y or_ N 0 '70' t.0O ? 1 N H. W E D L U N D »ZS Moraan nwAuO soutn _ RlchfleId.Mlneesofo 86423 ,urveyor Clvll Enqinesr PAOM : 668-2623 survew`s G'ertlf "?cate 8C116, P,4-N4 oA/ A04 • 7Q , Joe No. SURVEY FOR: John De1'ries DESCRIBED AS: Lot 2, Rloc]< 1, CINNM'ON RIDGC 4th !`.DDITION, City of Eagan, Dakota County, P•linneosta and reserving easements of record. Top of Poundations = 92v.S ?9' 3J,p 5 • .? ? . ti' a 1- ? ? + 923. ?') ?`.?CY T ? N I ? 5t4Ki1 I I 10 'Q I ? (?4Y I$ I Z . 1 \ `? O -j 71 1 ?f0 H ? 611.7 I ? ? Garage Ploor = 924.5 Basement Ploor = 9z3,4- Proposed Elevations O Existing Llevations - 930,0 ?- Drainage P,irections-+ A. "Denotes Lot Corners O ?- 5' J h 7(? ? stvA.' es I K O ?Z2.1 Q M --- z ; ? CERTIFICATE 7F SURVEY I hereby certify fhot on 7/ 22 / BS I surveyed the property described oDove ond thot ` the ubove plat is a correct represenfofion of sald surv? Galvin H. Hedlund. Minn. Rsq. No. 5942 ?M1N H. HEDLUND 'urveyor Clvil Enpineer 7726 Morpan Avenut South RIcAtIeid, Mfnnesota 65423 Phone : 866-2623 JOB NO. 9`0 SURVEY FOR: John DeVries QESCRIBED AS: Lot 2, Bloc]c 1, CINNAA'ON ItID(;E 4th ADDITION, Citv of I:agan, Dakota County P•linneosta and reserving ease:,?eiits of record. ? Top of T'oundations = 9z(P,5- Garage Ploor = ") 2 4, 5 Basement Ploor = 9 z 3,4- Proposed Elevations O .7 . ?. IpfQ 5t4K'd 1 i ? 9\> i9 I?Z .fRp• SA (Me or?s eertii ll . ? ? I 1 a n, : ?r?--- . + 923, -1° 2q o? 23-? ? ?- - -2z- ,l(o caFt ? N 5 it - -Fo'/er ? ' SC 5C 1 , U4r ? `(aar? .?? ?N ? ?8 \ra? 17 t z z z .i ?° 6 7 ? . \SzI _9 I .? Existing Elevations -- 9 30, v -? Drainage P.irections-+ , A. °De;iotes Lot Corners O L4 Li (*a . 5 t4IZ e S C)i a ? , . k M Q ;N z, CERTIFICATE 7F SURVEY I herebq certify that on 7/ 22 / 85 I aurveyed ihe property described obove ond that the above plot is a correct representation of said survey. Calvin H. Hedlund, Minn. Req. No. 6942 : ,,.?,r.r...?.?..?._?.. 10/15/2013 13:30 6123818601 CITIES MANAGEMENT PAGE 16/17 I ;("or 9Pf1ce'ilse I I t►~l0~ I City of I Psrmll . 1 I Kermit Fee: 3830 Pilot Knob Road I 'g i Eagan MN 56122 Dale Received: D 516 Phone: (651) 675-5676 j =ax: (651) 675-5694 Staff; _ I I I ~2y0-~08 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ✓ Site Address: ` u no` o t-) VU0 0 ✓ Tenant: Suite RESIDENT / OWNER Name: Phone: Address/ City / Zip: p ,Ci~h Yn Applicant is: _owner Contractor R.Dt TYPE OF WORK Description ofworl(:\Lb V-dDP Construction Cost; _0c) Multi-Family Building: (Yes- No CONTRACTOR Name: License M. _&2 M 9,9't-Y) Address:/ City: nlI 'S`` n ~Staate, Zip: Phone: 1~~~ Contact Person:tV t` pC/ I t IM COIIt1PLf=- T E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7570 Category I _ Minnesota Rules 7672 I-nerCoy Core Residential Ventilation Category 9 Worksheet New Energy Coda Worksheet CategoNy Submitted Submitted (d submission , pe) Energy Envelope Calculafions Submitted In the 1eSC'l2 months, has the City of Edrgall issueci a permit for a similar plan based on i masher plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Waxer Contractor: Phone: A107 M, Plans and suppotfing documents that you submit are considered to be public iniFotmation" portions of the information may be classffled as non-public if you provide specific reasons that would permit the City to conclude that they are trade sacmts. 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 Cagan: 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 ,ccordance with the approved plan In tho easo of work which requires. a review and approval of plans. /U 16 Applicant's Printed Name , A Iicant: s Sig ature Page 1 of 9 Use BLUE or BLACK Ink For Office Use City of E an I Permit I E I Permit Fee: I 3830 Pilot Knob Road j I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 ' Fax: (651) 675-5694 1 Staff: V - - - - - - - 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: la G 6~~iv~~~►/' ~l~ L Unit Name: s.n c41 C '.I' - Phone: Resident/ 6;*1~ r 0 5'/f Owner Address /City /Zip: t Applicant is: Owner Contractor ~M Type of Work Description of work: i X/~~ I ~✓~S Construction Cost: Multi-Family Building: (Ye / No ) A• I S r)~i~ 1'~~ t. Company: GlN, - 6>' ~ Am-, ae., S t 1ty,` e 1 ntact: ,YY/ ILI,S""~" Contractor Address:i r" .a rfi? x'77 r'` ' Ste"City: State: ® Zip: g0.0-1 Phone:. 4?/ 442 License oC 4 Lead Certificate /Vim - 7 - t If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 goaherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x ~t t~t~4 r Applicant's Printed Name Applicant' ignature Page 1 of 3 Use BLUE or BLACK Ink For Office Use I I 5-3 e I Permit I City of Egan 1 ~ ~ ~ Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 i Date Received: 2219 Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: I L - - - - - - - - - - - - - - - - J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date- 31-VI 41 Site Address: L Unit Name: 4Z to ° f! 4 Phone: e/. -321- p Resident/ Owner Address / City / Zip: J,P , r P . 'st; T r s.,~;'W, ;I Applicant is: Owner Contractor Description of work: Type of Work Construction Cost: l 7-S Multi-Family Building: (Yes / No ) Company: G w c A.) 1,990,0 ontact: *:R o Contractor Address:_& Ste' 2ro city: Mme le* , State: r~ Zip:.,,.. Phone: 4042-34F/ 1 `t License a~ + -G- Lead Certificate /V/>7-- 37 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: _ NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they 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 Bull ing Code must be completed within 1 days of permit issuance. Applicant's Printed Name Applicant's Signature Page 1 of 3