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4485 Cinnamon Ridge Tr Use BLUE or BLACK Ink I Far ~~ibe#Se Permit #:1G' City of Eajan Permit Fee: ! 3830 Pilot Knob Road I 1 Eagan MN 55122 j Date Received: Phone: (651) 675-5675 i staff: Fax: (651) 675-5694 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: W2 Site Address: ~'/~t//✓ilflylOs✓,relbW_ M,41,-_ 964;#1r /)0.,AlZ Tenant: Suits I / r RESIDENT / OWNER Name: /t//e15;ry £ 11~~Ui~~/lVA4M 44,eeM Phone: 6sf 9 33 -01 u Address / City / Zip: -t-e0. - 41W,,Vr4o!'Ioi✓ ~ >E Ti-/L 4600AW Applicant is: Owner X Contractor TYPE OF WORK Description of work: IV 1 GK / Wfi✓Axd "F` ~02~f~~1Jf/✓T Construction Cost: Z-0 ?cc, O C Mufti-Family Building: (Yes / No CONTRACTOR Name: -e01-90 Al C/¢/~~i1/T/1✓,~it/G License zez 308 778 Address: 42q 4M -'5~4 A49. city: UDSc~✓ State: W/ Zip: 5,*01.6 Phone: 45W 4 7®" -4270 Contact: L1041lr Email: COC6v2 ~/l7CElST. ~t!><T 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 ind`onnation. Portions of the nformation may be classified as non-public if you provide specific reasons that wouid 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.oooherstateonecall.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. ~,n r Q ! Applicant's Printed Name Applicant's nature D ~ ~ [E n ~ v ~ Page 1 of 2 ~J JUN 2 3 2010 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair Windows _ Demolish Foundation Replace _ Repair _ 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%- 100%z Zoning ~a City Water Census Code Stories Booster Pump # of Units Square Feet 7~,( PRV # of Buildings Length 13 =G" Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: T Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath +Brick Fireplace: -Rough in Air Test -Final Windows Insulation Retaining Wall: _ Footings Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES /O Base Fee 75- Surcharge Plan Review ?6 xl MCES SAC City SAC Gv'~i'''~t✓S©(l0 Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 C A L V N H. H E D L U N D 7726 Morgan Avenue South Cn a O W ~C((p6- Richfield, Minnesota 55423 Land Surveyor Civil Engineer vv Phone : 866-2523 l JOB N0~- f SURVEY FOR: John DeVrics I DESCRIBED AS'- Lot I, B1ock 4, CTNNAATON T:TTXTT 31ZT) MDTTTON, City of Fagan, Dakota County, Minnesota and reserving ensements ol' ►•ccoi-d. 1 t i o Top of Founda-e ion ~,Lh0 $asemenr Fioor = 92-3.7 Gara9a Moor = 9Z~, 4- qti Proposc~l e~/atf ons oR ~ ~ EX iS'Cin~ tr lav'atioh5 `v yg PCDr y Draina~e Direet~ons o Denotes Lot Corner O L~ ~ I o 'd Sf~, Ke5 (L t. t ba ~ln~ pG in Vb 0 Q o rr n hG N 0 1 / i ~ raj. ~~p• / J \ Q ~f o i N Z 922.3 I sa8°o735~"Vi+' I 3 0 ! EAGAN REVIEWED BY• CERTIFICATE OF SURVEY I hereby certify that on 2 /28 /85 I surveyed i1jW1jcra,pe..rjy._ described above and that the above plot is a correct representation of said survey' ~"TI'ONS DIVISION Calvin H. Hedlund, Minn. Reg. No. 5942 Site Addrea Lot Parcel No. _ ? Name ? Addre ; 1n'tp Name Addrea b I hereby uckrwwledqe thot I haw rood this opplication and ths intormation is torrect ond ogree fo compiy with oll Stoto of Minnewto Statutes ond Ciry of Eo9on 0?dinonc Sipnoturo of Permittee N Bufldinq Permif is issued to: oll work sholl be done in occordonte with oll oppliooble Sf Buildlnp Offidal Repeir ? Enlarge ? Move ? Demolish ? Grade ? Instali ? Type of Const. ti No. Siwies Lenpth - ? Depth Sa. Ft. f; . Assessment Water & 5ew. Poliu Fin En9. Plonner Council Bldg. Off. APC Var. Date _ Permit . ' SurcFwrpe Plan Review eAr `0 WOLlr C011f1. 'l lj V. V Y Watar AAeter - 0 0 Road Unit ?0 13`.UU Total $]. , 9 4 2. 2 S ., _ on tht axpress tadition thw of Minnesoto Stotutes ond Ciry of Eopan Ordinonces. CITY OF EAGAN 9964 3830 Pilot Knob Rosd, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 4548100 ? dUILDING PERMIT Receia # Pwmit No. Pennit Holder Date Tsle hon! it wunibinw u64 If -1 1; g?_ r H.VA.C. gy, L g z? Electric - , s Softemr InWection Date Insp. Other Footinyt Foundation Fnminy Rootlny Rouqh PI6q. Rouph HVA c Inwlation ? Finsl Plbq. Final HVAC Final Cert/Oac. Wour DosniM Location: ? Mil a q 1 gs S.w., Pr. Dhp. Reaipt MECHANICAL PERMIT Psrmit No. U! CITY OF EAGAN FM Fill ln numbered spacss S/C ? Type os Prini legibly ToL ? ? 1. Date 2. Instellatian Cost i 3. Job Address _'i' ?r • Lot ' Blk. Tract 4. Owner DeVri'.'s :+ai lUers I ? 5. Convactor '"e ri t NY C, I nC. Phone s. Address 530 West 79th Street 7. City ChanhassL;i 5tate -j5n0s01.e Z;p -:: :--1I7 8. Building Type: Residential O 9. Work Description: New t] Commercial O Institutional ? Add ? Alter ? Repair O 10. Desaibe Tr!'in hon*e FuelType _ddt. ca5 11. No. 1 Equinment BTU • M. Ea. Forced Air No• Enuiament CFM Ai H i Mfg. r andl ng: Boilers Mfg. Mech. Exhauct Unit Heater Mfg. Otfier ? ' Air Co Rd. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I aqree to comply with all ordinances and codes gorrerning this type of work. Signed ' for Rouph Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464,8100 . ,. ? Roosipt PLUMBING PERMIT Perinit No. CITY OF EAGAN FN fill in numbered;pscas S/C Type or Print legibly Tot 1. Date ?-' 2. Installation Cost 3. Job Address 4. Owner 5. Contractor ? . , BlC ? Tract ? Phone 6. Address t ? J 7. City ? State Zip ?• ` ? ? 8. Building Type: Residential M 9. Work Description: New 0 I 10. Describe I 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. - Fixtures Water Closet No. Fixtures Cess ai oollD field Bath tubs p r n $e ti T k Lavatory p an c Softne Shower r Well Kitchen Sirtk Urinal/Bidet Other ? Laundry Tray Floor Drains Drinking Ftn. Slop Sink Ges Piping Outlsts 12. 1 hereby certify that the above information is true and correct, and I ayree to oomply with all ordinances and codes governing this type of work. Signed : ' for Fiouytr Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 . ` ' eU1LDING PERMIT Te b* wed fer 1 ? F' Site Addreat r" Lot ' Block Parcel No. ? Neme W 'F ? Address m . r^ CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 454-8100 Reuipt Name --?--- ---- Address City _ Phone - Nsme ., , .. , Add ress r City -'T• Pnone I hercby ockrowledye thot I have the informotion is torrect and a Stote of Minnesota $totutea and Sipnoture of Permittae A Bulidiny Permir is iuued to: _ oll work shall be dons in ocoordai BWidinp Offtciol fh1i OpplICOti0n Ond to comply with oll wirh all npplicable Stofe Erect ? Oowpency Remafel ? Zoning Repair ? Type of Conat. Enierge ? No. Storiea Move ? Length ?• Demollsh ? Depth - Grede ? Sq. Ft. in,tan o Appeorols Eees Assessment Woter 6 Sew. Police Fin En0. Plonner Council ` BIdg.Off. -'?T APC Permit Surchorpe Plan Review ? 3 J • 2 ; SAC Water Conn. =_ ?-!--'' Woter Meter r'• - t? ?? Rood Unit ?• ' • i_1? Total on tM expreas condition ihot arbd City of Eapon Ordlnanus. n .'l . r, ' PKmk No. Pwmit Holdw Dab TeIephone at Plumbinp 5 a I 1 V r a- u 0 H.VA.C. L U U Ll//4/• 9.3 -OL? ?. EMctNe J? r 7U 1n..0Y?-? ?: ' 1 "I U -S ?1 ? - CTZ Softener Irqpaetion Dste Insp. Othw Footin9t Foundation -?` Frsminy Roofing Rouph Plbp. 5/. Rouph HVAC Inwlation l b/ Final Plbs. Final HVAC Finsl .? Grt/Oac. ? w.a. Dese.ibs Loeaeion: VINII 5eror P?. DaP. . Reaipt CITY OF ? Permit No. I Fes ? fill in numbered spacsr S/C I Type os Print /egidly ToL 1. Date 2. Installation Cast 3. Job Address Lot ? Blk.' . Tract 4. Owner veY'•1ec RLfll'.i?sS 5. Contractor '='ri t HY? , I Phone S. nddress :sJ Wes t 7''t'i -itreec 7. City Cn3nhaS,z?-! State Zip ,i -' 8. Building Type: Rssidentiat 'Q Commercial ? Institutional 0 9. Work Description: New 0 Add ? Alter 0 Repair ? 10. Dascxibe ? ? ? ?i• ??;.' Fuel Type ' ! ? . . 11. No, ? Eauioment BTU - M. Es. Forced Air No. EQUioment CFM Ai H ? ., Mfg. r andling: BO1lers Mfg, Mech. Exhaust Unit Heater Mfg, Othe Alr Cond. r 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 governing this type of work. Signed' for Fiouyh F Iaal Inspectiona: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 -? , Rowipt - - ° 'PWMBING PERMIT Ptrmif.No. CITY OF EAGAN FN • Fill i» numberod sPacet S/C Type or Prinr lepibly Tot. ? 1. Date 2. Installation Cost ? 3. JOt1 AddrBSt ? ? r' •- `?t r? ,?' ?ik. t E 4TfaCt ' i: 4. Owner 5. Contractor d J?T ff.51 %7 G B. Address » G'U -r.? .,, _ •? et,r: : ,/ ? 7. City State 2ip ? 8. Building Type: Residential E] Commercial ? Institutional 0 9. Work Oescription: New 6 Add ? Alter ? Repair ? 10. Describe 11. No. ? Fixtures Water Closet No. Fixtures Cftspppl/prainfield / Bath tubs Septic Tan k % Lavatory Softner Shower Well Kitchen 5ink 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 ordinances and codes governing this type of work. Signsd : . for Rou¢f f insl Inspactions: Date Insp. Date Inap. This is your permit when numberod and approved. Approved CITY OF EAGAN 454-8100 I CITY OF EAGAN Remarks Addition CINNAMON RIDGE 3RD ADDN Lot 1 elk 4 Parcel 10-17402-010-04 ? Owner Street 4485 & 4487 CINNAMON RIDGE T?te EAGAN MN 55122 Improvement Amount Annual Years Payment Receipt Date STREETSURF. Q 8 31, 925.44 C0100 -11-$5 STREET RESTOR. r " GRADING SAN SEW TRUNK lgd 1973 102.22 6.81 15 13 • 9 ?SEWER LATERAL e8 x1985 50 . 39 ? ?j0 2 1. ? ? , , WATERMAIN * WATER LATERAL X 1}HS ? WATER AREA 1973 131.44 8.76 15 17.56 11 * t 1 85 STORM SEW TRK 1979 381. 69 19.08 20 248.13 ? STORM SEW LAT n IM_ CURB & GUTTER SIDEWALK STREET LIGHT 280.00 50137 3 14 85 WATER CONN. 500.00 BUILDING PER. 99 9965 sac 5 PARK UF EAGAN WpTER SERVICE PERMIT Pilot Knab Road @rx 21199 PERMIT NC , . , MN 55121 DATE: - I: No. of Unifs. . Sir. Add?ess: _; $ .ftt?d??sr ,? ? ct? I l?'6t! I tle? ; : ; :: i ua ? id ge 3 Plumber: C'r, ti' 'Mater No. 7 2 ?on Cho?e: SOC? f?0 pd tize: a G 1.? b ?? Npoait: ? ,? pd Reoder No.: Pertnrt Fee: 10.00 pd 1 pm- te ee?ol?r wiel? eA? Cihr of Eev¦ Surcho?ge: .50 I7" OrdiMna?c? , Miac. Chorpes: 132 '10 P; TotaL• By -r--r-?--tT r pote Pnid: CITY OF EAGAN SLNVER SERVICE PERMIT 3830 Pilot Knob Rnad P. O. Bux 21199 PERMIT NO.: Eagan, MN 55121 dATE: Zoninp: No. of Units: Owner. Det'ries Bldra Address: 1:ic ? 51tQ Addrltf: n _T ,i T;/: ('1,1" 7 Plumber. I pew to eenyly wilh tV CNq of 4ws Ordlnances. 1?•/.?1'/ , Conrnctlon Oarpe: Account Depo:it: Permk Fea: 0(? •;; a $YlCI10rgo: Mise. U+onpm Totol: eo eo.rh NMh t1w Cihr of lmyer OFEAGAN Cohnoqtwi4Chorga: 500.00 nd /?CODU/tt QB?f: - I r . t,i, '?'1d, Parmit Fee: `'- SYI'CItOfge: Miac. Chorpes: Total: mUrPr Dats Poid: Irop.. Pilot Knob Road ppRMIT NO.: BOx 21199 i, MN 55121 pATE: No. of Unita: I d up Site /lddrcss: 4485 Cinnamon Fcidpe ir Li -,• I== -zn-°e ' - - - - - 1" 1.`:--'._. .i .. .. 425.00 0 to so PIr wllli tlw G!1? of lyen Conrnctlon Chorce: Baaa. Acaount Deposit: 1 5 _ ?fl Pormft Fee: i n_nn Surcharps: Misc. Charpes: -- of Irop.: Totol: This requw t wid6b'1 (?' 'BT""9?'9 T L i aq U t,.. y'7- C° Request Qate _8_LG OJ Fire No. RoupA-?n I?pec - ired? ? p-ZL; Now ?11 Notify Inspec- or Wh R ]Yes ?No en Oady ?j Licensed Electrical Contractw 1 harasr tiywst :ospaction of abova ? L Owne'? elsctrical rark insiallsd st= Street Address, Box or Route No. City 44o5 Cinnamon Ridye Circle agan ctoon M. Township Nama or No. Eagan nge No. County akota Occupant (PRINT) eVries Buidlers Phone No. 424-2611 Power SuPPlier Address aicota ELectric 4300-220th St. W. Farmington, MN Electrical Contractor (CdrpaM IVartm) Cantractnr's License No. ontemporary Electric, Inc. 0419167 Mailiny Address (Contractor w Owner Yakinp Instailation) 6810 Hemlock Lane Ma le Grove, MN 55365 ASignature (Contra Owner Makirp Ins[allation) Ph- N'bw 424-4232 ?IINNESOTA STATE lOAND Of qyea.iRlClTr Griqgs-Midwey Bldp. - Rodn N791 7e27 Univwsity Ave., SL Paul, YN 56101 Plnor 1G121 287.2111 THIS INSPECTION REQUEST wILL NOT BE ACCEPiED B1/ THE 5TA7E COARD UMLESS PIIOPEl1 INSPECTION FEE IS ENCLp3Ep. REQIJEST FOR BECTRICAL INSTECTION Es-ooom -04 , See imtrretians ior cowpbtiro this forw m hsck of Nllar eopr. 4 9 6 9 ••x'* ?i? work Covened by Thrs Request Gq-16-t,' 4) dd Rap. Typ. 01 Buildin9 Appliencq wired Equipment Wired I Fee ServiceEMrance Siza A Fes Feedews/$ubfasden • Fss Circuits 1U.00 0tp 200 AnVs 0 to 30 0 to 30 Anys Above 200 Am - 31 to 100 Ar?s 31 to 100 An%M Swimming Pool Above 100_ Above 100_A ffPs Transfomiers Irrigation Boorrs Partial Other Fee aig?s SpecAai Inspemon TOT? p?.? S 47.5 W1Y'iflo nf riniihla himralnw G?7'? Rouph-in Date uhe - I T ' InsDaafnr. hsrsbr r[ifr ilrt the above Final iqpeetion Irs 6asn NEa.. - .we r.auest .ow 10.?,M.,fom CITY OF EAGAN N_ 9965 ' 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 PHONE: 454-8100 SU/37 BUILDING PERMIT Recelpt # Ts 6e wed for z OF TWIN HOMFEst. Value $49, 000 Date M ARC'H 7"1 , 19-115_ 4487 CINNAMON RIDGE TR Erect X7 Occupency R3 SlteAddreu CINN RIDGA 4 1 3 Remodel ? Zoning R4 Sec/Sub. Blook Lot Repair ? Type of Const. Percel No. Enlarge ? Na. Staries MO"e ? ?"¢tn 24 DEVRIES BLDRS INC W Name Demolish 0 Depth 64 ? Address 7564 MARINER DR Grade ? Sq. Ft. City MAPLE GRV phonB 420-4685 ( H) instaii ? z o SAME 424-2611 Name Approva6 Fen , u Assessment Pertnit r Phone tW Nme GAGE PLANNING & DESIGN ? AVE ? Address i tu=i City RRpOKL•VN Plfihone Water d Sew. Police - Fire Erq. Plonner _ Councfl _ S I here6y ackrawledge tFwt 1 have reod this oDVlicotion ond stote thot Bldg. Off. 3/8/8 the fntormotion is cOrrecf and ogrea to comply with oll aDDlicable A? Staro of Minnesotu Sfatutes ar d-'City of E n irwnce Vaa Date _ Sipneturc of Perminee A Building Pemit Is issuedG(6:? ? all work shall be done in accordonce with all Surcharpa 24 - r'- 0 Plan Review 1 '49-? 5 sAc 525 _np Wafer Conn. S f) 0 ? 0 Woter Meter-6,3..-00 Road Unit?_,..,,Q-n-sO T.P. i32 _np Total C l? 942 25 _ on tha axpress wnditlon 1Ml and Ciry of Eapan Ordinances. Buildirq Offlcial CITY OF EAGAN N! 9 9 6 4 3830 P'I K h R ad P O B 21 799 Ea an MN 55127 - ? ot no o ., ox • g, PHONE: 4548700 ? /? BUILDING PERMIT e Recelpf # Te M uwd hr ?'z OF TWIN HOMEEd, Volue $49,000 Date _ MARCH 13 , 1985 4485 CINNAMON RIDGE TR Erect f$ Occupancy R3 Sitenddresa 1 4 CINN RIDGE 3 Remodet ? 2oning R4 elock Lot Sec/Sub. Repair ? Type of Const. y Parcel No ? . Enlerge No. Storiea Move ? l.engtn 24 6 Name DEVRIES BLDRS INC Demolish ? Depth z Address 7564 MARINER DR Grade ? Sq. Ft. 64 C;ty M APLE G RV pnone 420-4685 (H) _ Instau ? Aemeva6 Fees ? Name SALyE 424-2611 ?? Addreas 1- City Phone I-W Name GAGE PLANNING & DES ?,-, Address BOONE AVE ? W lCity BROOKLYN PFKone I hereby acknowledge thot 1 Mve reod this apDlicotion ond stote that tha inlormotion is correcf ard ogree fo comply with all applica6le Stata of Minrxwru Statut 11'o73d City of Eagan Ordimnces. Sipnature of Pennittee ' A Buliding Permit is I to: _ DEVRIES BL RS Il oll work sholl be dona in xmrdunce with all opplicoble?5 of Mii Buildinp O4ficlol Assessment Woter 8 $ew. Polite fire EIo Pner Council BIdg.Off. ?1A%AS APC Vec Date Permif ? r L/U.JV Surcharqe Z 4 . $ 0 Plan Review 1 3 9- Z S SAC 575 _ 00 Woter Conn..500--.? 0 Woter Meter (;3 ? 0 Rood Unit 22n n p T.P. 132.00 Total $1 _949_25 _ on tho express conditlon that and City of Eapon Ordinances. rh;s request witl ll? oInT,970? y '/,) -g5 t/-) „ rl Requesl Dal¢ 4-8-85 Fire No. RoupAin Irespecti ired? u . • v ?ReaAV Nor?rLl Will Noti/Y InsPec- ? ?j.e. ?„o ? lor When ReaAy Ui ucereetl tlecinwl GonVacmr 1 herebY reVtiast inspection o1 aEove LJ O.ner elecVipl wQk imm11ed at Streei Aad.ess, eox w Rouie No. City 487 Cinnamon Ridye Circle Eagan cLOn Townshl0 Name ur Nn. Ranm o. Caunry Eagan Dakota Occupant (PRINT) Rhore No. eVr;es Builders 424-2611 Powei SuPDlia Atldress Gakota electric 4300 - 220th St. W. Farmin ton, MN Electnral Contrac[or (Compaery Namc) Conlractor"s License No, COntem orary ElectriC, Inc. X8kX?882 0415167 ?q AtlAress ICont2ctor w Owner YakiM Irebi Wtion) 6810 Nemlock Lane, Maple Grove, MN 55369 Au?h rzed SiBMture ( ontrector?Owmr Makinp I?Tallation) Phone N?mib¢r 424-4232 /111NIVE$OTA $TpTE gpp?F ElFC7RIC1iY Gri?s-Midrey Bldg. - pn N-181 1821 University Ave.. M. Pa.l. YN 5510C Phone f612) 297-2171 TNIS INSPECTION REQUEST MILL NOT BE ACCEPfED BY 7ME STATE BOpRD UNIESS PRpPER INSPECTION FEE IS ENCLOSED. 61, REQUEST FON ELECTRICAL INSPECTION E?0°°°'-O4 ? See ivstruetio? for ?-mpbting?his fum m 6ae4 0* wil. 0 RAQ 7 n "X" Below Work Coveied by This Fequest ? hdd Rsp. • Troe of Building AppliaKaaMirad Eauipment Wired Horne panye Teiryporary Service Duplex Water Heater Lighting Pixmres Apt. Building Dryer Electric Heattn Cormnercial Bldg. X Furnace Silo Unioader Irdi?sttial Bldg. Air Cadrtioner Bulk Mflk Tank Fam, o1"r• °CC- shwashe otne, Js?c;a) iLerar yec'ty Otlrer D15 O$ 1 Other Com • pu[e Ins fea pection hee fielow ServiceEMrancaSize # Fee Feetle?s?Subleede?s M Fee Cfmwts 1J.00 ?Zpp Amps. p 00 Am - A6ove 2 0to30A 31 ta 100 A?s ? • Q Otn30Am 31 to 1 W Arrips A Svrimming Pool Trarstormers Above 100_llmps ?R?9at?a^ ?'S -Dt Above 100- ? Partial'Other Fee SiyS Speciallnspection g 47 5( TOTAL,FEE ? p?..? 1.1?..:??. ..L .J....L...1 L....?1..... . -'l//? / 1.j /tiU ...y ..?....,.. D e ? ppuph-in ? y? 1. tlre Electre?al ? ? ? ? 1?¢pactor,'l?ereby rtilv tM1et the nbova Final y? D-/? _ irtpec[ion has bcen 42 ` ( ! mode. 111s1qWlvoial8monoenwn v +-" _" - • ?^ ..? 1985 BUILDING PERMIT APPI:ICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LZCENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: l?2 oF TWii.! HoME Valuation: ? Date: a 02 7, d'S Site Addr ess: 4 48? i / C-INNAP^UN ?-IpGeOFFICE USE ONLY NoR-TI'Y %Z oF ??.,,_(l•*Q'? Lot: / Block y Seet/Sub 3,,.?. Erect ? Occupancy (L-3 Remodel Zoning (L-¢ Pareel ?l Repair Type of Const SL Enlarge lt of Stories Owner /? C-' Move Length 2-4 ?emolish Depth -Co? Address mAk,?EP- pQ. Grade Sq Ft C i t y/ Z i p Cod e /h `+? Lc- G,eJVLr S`C" 3 (,9 ------------- ---------------- ------ Phone ctQ y 4 yS- ??{> APPROVALS Contractor f) C-' UR115 Address San,C?, City/Zip Code _- Phone - Arch./Engr. GAGt QCql,LA,uc i 0175'6J Address /?ouA?E City/Zip Code /jQc,qLt?„? Ps},EK -? Phone 0 Assessments Permit Water/Sewer Sureharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council ?ad Unit Bldg Off_ Parks APC ?- Treatment P Variance TOTAL Z.l a. SC, 24. !i-o ig zs 5 ZS. S' ? _o Co3. °? 280. °° 132. °? ?CALV!N H. HEDLUND Land Surveyor Clvil Engineer 7726 Morqan Avenue South Rlchfield,Minnesoto 55423 Phone:866-2623 SURVEY FOR: John lleVrics DESCRIBED AS: l.ot 1, Rlock 4, CT1'NAPYIN RTiXT 3R11 ADDT'CT(lN, C:ity oC iiaF;an, Dakota County, P4inncsotu ancl rescrviilg c;iscmcnts ol' rccoi•d. i / / ti?? i v ?V ? 0 Q 2 U 30 k ti n 0 / t . » r , ?• r h I O A 41 ^? ?v i -c , 8 ,J I 1? ? StpKeS ? 0 4 / - sas`o-r 35 I ti Top of' Foundart ?on = 9 z?. S $..sem,t Floor = 92-3.7 [^,QrQ9e Tloor = 9Z?,4 Proposed E:lev`nstons ? Exrs?irly Eie.ratrons -- ?ratna?e Direcci ons - 4-- D??+otes Lot Corner O ? to'? 57oKe5 - / _ ?O Vto ? a M \ 0 a Z = ? ?n ? U ? -?,' ? ?,• CERTIFICATE OF SURVEY I hereby certify ihat on 2/28 /$S i surveyed the property described above and that the above plat is a correcf representation of said survey. ' Calvin H. Hedlund, Minn. Req. No. 5942 ,.. 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COM'lRACTORS HUST BE LICENSED ifITH TFIE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF S[1RVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: I /ZoF'rWlN?6pqp_ Valuation: 4q,OW Date: Site Address: s? 4A 61 CINIJAMON ZpGF14'?- OFFICE USE ONLY 5''iQ 'f7-} I/z oF UNNaMOQ Lot: ? Block 4 Sect/Sub"-1bGC 3 RP Erect Y- Occupancy ? Remodel Zoning g-4 Parcel p Repair _ Type of Const ? Enlarge /1 of Stories Owner Move _ Length L4- Demolish Depth _ (Dg- Address Grade Sq Ft City/Zip Code -_______ Contractor APPROYALS Address City/Zip Code Phone 0 Areh./Engr _ Address Phone 4 Assessments Permit Water/Sewer Surcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council R ad Unit ? Bldg Off arks APC ; Treatment P1 Variance iOTAL 2?8.50 ? 2s S 25. ?= (03 °-° 2g0.°= 132. ?.?a•aS or ., CAL.u-IN H. HEDLUND Land Surveyor Clvil Engineer 7726 MorQan Avenue South Richfleld,Minnesofa 55423 Phone : 866-2523 SURVEY FOR- Jolin lleVrics DESCRIBED A5: i,ot l, lilock h, CTNTNMON i211xT 31T MPTTTON, City oC Pngan, Dakota County, i4linncsota ancl rescrving cnscwcnts ol' rccord. ? 41 L A z 0 ? Z Z U 30 qvy?0 ? ? sas°o7 1 35)'vii, Top of Foundnt ron - 9 ZCe. S $aseme?T Floov' = 9Z3.7 "Floor = 9Z??4 Ga?4g? • o'& St4Ke5 . -, -; -- _- 2 a 'o m z ? 0 YI ? ? [ { i CERTIFICATE OF SURVEY I hereby certify that on 2/25/$5 I surveyed ihe property described above and that ihe nbove plot is a correct representation of soid survey. ' Calvin H. Hedlund, Minn. Reg. No. 5942 ? Proposed EleV°rt1on5 Ex;s.t;ng E,ev/nttons Draina9e Dtrec<tons De.notes Lot Corner 30 ? ?, i 2/84 CITY OF EAGA:] APPLICATIO.I FOR PERMZT lu t • SES4ER AND/OR WATER CONNECTZODI I (PLEASE PPIHi) i) PROPII7I1' ADDRESS: y? ?lk?S7 r.FrAr oESCRIMCv: rc t- i..hke h? 11h 0,tj e. -RQ?,? r?o; t-; oJ (Int/Bloctc/Subclivision or Tax Parcel I.D. NL-r.ber) STRCCPTiE. DAT.x,' 0F OR:GM-1ItL uiILCMI:G P?:•'IT ISS??.NC?.: PDESE,"P Z^:7rM/PpOPOSr.'T> liSc: ? R-1 SINGL: FP^9II.Y . -2 CUPL?; (`ISCO CTIITS) ?R ? 3'iC7.,RNECLSE ('!= + L^IZTS) ( Wi I'"S) ? R-d AcAR'L`1?1?T/CG`?G-+S.IIL':1 ( Wi STS) ? COMVEPCI]AI,/RF.':AIZ,/OFFIC`: ? 11MUST.4IAL. ? NSTI:'LTICJIAL/GGVE.Ri?l?t&NT 2) APPLI= (PLEAJE PRINi) ? M /?/ bi C u h ? n: h D M J9A J ,; tDnREss: UtL CITY, 5"PAT:t, ZIP: PHOLNE: 3) PLU1BER PLEASE PFINT} FOA CITY USE OHLY nkME: r?o?-,b;,>>..- (?ir4d RA T? ADDRESSa PLU RS LICE45E: Active ' CITY. STATE, ZIP: C' /C4 Expired -T?ifliSiE PHONE: PWMBER LICE4SE N •??I?/ ? Q Not of Record a nitia c) OcCuParrr/a,•mm ruuME: ADDRESS: PHOVE: 5) 6) Ir.'DIG,:L' C:E: CITY, STAT'E, ZIP: INDIGNTE SVFiICH PERMIT IS BEZNG REI2UESTID: CCDSIECPION 'I`J CITY SE7WER CONNEC:IQN TO CITY SqATGR diIFR (PLL•'ASE DF.SCRIIIE) ? PLE.-ASE F?OIIJ 1PPROVm PERNLIT EbR PICF:-L'P BY ONE OF ABOVE ? PIFi1SE :*AIL APPRCJVED PER:•tIT T`'J 1, 2, 3, 4 AFiC7VE (Circle one) 7) SIMTA'IVRE: DATE: ,:-?) 07 f-?S ?lRa:?+YlfeJasisel?:a?aal?sr.+t?caa?:a?sls/irFSii:aaatltwirif.+A14}ly??.rs?? •'-0'? ^ , • F 0 R C I T Y U S E O N L Y ? PERMIT °- ISSUED FEES: $ ip.....rd $_ in-- $ / ? •--o $ $ S $ $ $ $ /?3-.7- r=tJ SETriER ?'ERMTT (I`ICL-=E SUP,C???RGE) WATER PERMIT (IL7CL'JDc SiiRCHArZGE) WATER METER/COPPERHORN/OUTSIDE READER WATER TAP (INCLUDE CORPORATION STOP) SE:dER TAP ACCOUNT DFPOSIT - G7ATER WAC SAC TRtiNK 4QATER ASSESSi4E:IT TRGNK SEIaER ASSESSMEDIT LATERAL BEDIEFIT/TRUNK SE:•IER LATERrIL BENEFIT/TRUNK LVATER OTHER ' $ TOTAL $ APlOC,':VT PAID/qECEZ?T 0&1 DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGi-IT OF WAY? ? YES IF YES, THEN A"PERMIT FOR *AORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED SY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOS9ING CONDITIONS: 10.1 APPROVED BY; TITLE: DATr: ilc=w8*,10 0&M0QlWwWl=M wsG w:Ww*WwlWjlN Mww.a+*MsaW?W w_airtWwE"+w? , j •, . 2 / 8 4 CITY Or EAGAN APPLICATION FOR PERMIT • SEWER AND/OR WATER CONNECTIODi (PLEASE PRINT) 1) PROPEYIv ADDRESS: F1 /'Yl Oh TFf;aT. DESC?upricv: L, ? ' / c6'; ? , ?5?0(? ? Y?i /U lL? W 4? 1/ /2. ?? ? ok, (LOt/Bl k/SuLclivisicn or TaY Parcel I.D.' Ntuber) ? 7F S?'RCCI'f; 2E, DA'IE 0° 02?GuIAL 'ciiILDI::G ?Z7_?ST ISS.:ANG.: - PP°SL'P ?"^:IP;i;/p?OPOSED US: ? R-1 Si1;GILL cAYSLY g R-2 DU= ('IY%O UNITS) ? R-3 Tav?II?CIIGE (7'f'9. ?': + L^IITS) ( IN. ITS) ? R-4 AcAR'I"TF'?T/CCiIDG''S]ILitiI ( UVIT;) ? COi-n'IERCLAI,/REfAIZ,/OF'E'ICE Q r.'OL'STi2IAL Q T:ISTITL'TIO.1A1/C0VEP`ME.'NT 2) APPLIG ?W (PLEASE PR1Ni) Lr b,',66 ?? ?? ADDRESS: cri^r, sr.-TE, zzP: 4) /1,1 PHOiNE: 3? P??,?? NAME: P,LEASE PRINi) lau I?C u rn bi`v E( i n rf?) ?AN FOR CITY OSE ONLY PSJDRESS: i ? I k e= ?E' PLUMBERS LICEHSE: Active ? CITY, STATE, ZIP: ir F' XC1)]/o Expired PHONE: 'FfTiSitP. PLUMBER LICENSE N Nat af Recard a t nitia 4) OC.LCTPANT/U.^INEI2 NFiME: P.pDRESS: 5) a) amzCA? c:!E: CITY, STA'IE, ZIP: PHONE: INDICATE W[iICH PERNLiT IS SEING REQUESTID: ? CODINECPION 'I"J CITY SE47II2 coNNECIzov TO czTY waTER ? aITx (PLrAsE nFSCFUBE) ? PI.EASE f?OLD APPRC7VID PIIL',UT FOR PICfC-UP BY OIVE OF AB(NE ?PLEASE 6+AIL APPROVED PER:'-LLT TO 1, 2, 3„ 4 ABOt/E i; (Circle one) 7) SIQdr1'IL72E: /? IC-L-laL/?7<J c??l-n 414<1_1') - ?1iQ?/f?d DATE: MR Oeaa?:rwse?vj.rraE?:aa.:aar.ar..s:? •- ?.• •" ,?' ??s ar s Erssaa:? a s?uc?:a?errai ? a re ?aasssa? ? F 0 PEF2MIT y ISSUED C I T Y U S E O N L Y F°ES: $ /o• ,f - -d 5°:4ER nERMTT (I`ICL::D: SURCci?RGc) $ /D..f-d WATER PERP1IT (INCLi]DE SliRCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SE;dER TAP $ "'--° ACCOUNT D.F.ppSIT - 67ATER S vr?`-+ • ?-'? WAC $ SP C $ TRiJNK 4JATER ASSESSi1EtiT $ TRli:IK SEIdER ASSESSD7ENT $ LATERAL BENEFIT/TRUNK SE:•IE4 $ LATERrIL BENEFIT/TRUNK WATER $ OTHER ' $ TOTAL $ AI"IOUNT PAID/RECEIPT DOES UTILITY CONN ECTION REQUIRE EXCAVATION IN PUBLIC RIGcIT OF WAY? ? YES IF YES, THEN A"PERMIT FOR WORK WITHIN ? PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISZON. LIST AS A CONDI- TION. SUBJECT TO THE FOLL064ING CONDITIONS: .01 APPROVED / DATE: .e sso me-Am Immim.cw ocm w ul?w vw?m paw w a??m w" mt+ wt_m w lm7w a?m w.a wE asa jm?a R.a raaia sw w m ?? RESIDENTIAL BUILDING Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemodeVReoair ReauiremenLs 3 regislered sde surveys showing sq. ft of lot, sq, ft of house; and all roofed areas 2 copies of plan 120% maximum lol coverage allaved) 1 set of Energy Calcula6ons for healed add'Nons 2 copies of plan showing beam & wirMOw sizes; poured (ound design, etc. 7 site survey for addNOns & decks 1 set of Eneyy Cakuladons AddRion - mdicate ifar•sife sep6b system 3 apies of Tree P2servation Plan if lot platted aRer 7/1/93 Rim Joisl Detail Options selection sheet (bldgs wBh 3 or less unRs O(fice Use Onlv CeR of Survey Recd Tree Pres PWn Reod Tree Pres Not Reqd _ On-site Sephc System T66-1 0 0 ? ? ?O Date 4- / 2 / 03 Coruction Cost • ? ? SiteAddress 414$5- CildrfR/"oj V% 9 6E ]'VAtL IIniUS te J?I h?Gq ' ? Description of Work gooF S1flNGLE C l!5 TC . ? I Multi-Family Bldg ? Y _ N Fireplace(s) ? 0 _ 1 _ 2 i /? l-- Property Owner Fh1"ON`1 koNY / PI ?- A?JfAK Telephone#(6SI) 1 ?95?s90? I Contractar ? I Address Ciry I State Zip Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Su6mitted • Energy Envelope Calculations Submitled Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( ?=- ApplicanYs ' ature ?ne.#(= -, , ?? ? '- ?F ? I hereby apply for a Residential Building Permit and acknowledge that ' ahon 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 IvL\ Statutes; I understand tttis 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. &-rf+ot4Y D. jAj4iaK Applicant's Printed Name RESIDENTIAL BUILDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 NewConsWclionReauiremenfs RemadeUReoairReauiremenLS OffuzUseOnlv 3 registered site surveys showing sq. ft of lot sq. it of house; and all roofed areas 2 wpies of plan Cert of Survey Rerd (20°h maximum lol coverage allowsd) 1 set of Enef9y Cakulations for heated addi6ons Tree Pres Plan Recd 2 copies of plan shaxing beam & window sizes; poured found desgn, etc. 1 srte survey for addifians 8 decks _Tree Pres Not Reqd 1 set of Eneigy Calculations Add'dion - rndicate i1 arsde septk syffiem _ OnsRe Septic System 3 mpies of Tree Preserva6on Plan if lot platted atter 711193 Rim Joist Detail Options selection sheet (bklgs witli 3 or less uniGs Date Lt / I Site Address /03 y!yQ 7 (:! Construction Cost 0 N/Vi}M0'.1 7ie? If? UniUSte # Description of Work voor S+i) G s 1 Multi-Family Bldg ? Y-)k N ?. 1 Fireplace(s) p 0_ 1 _ 2 ProperryOwner ? Telephone#(6si) ;p r?22' (09(02 Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Mianesota Rules 7672 Energy COde C2tegory . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( ) ??PAA;• 0 ? 20?,??? ? I hereby appiy for a Residential Building Permit and aclmowledge th tHe information is c, lete and accurate; that the work will be in conformance with the ordinances and codes Bfi the City of Eagan d the State of MN Statutes; I understand this is not a permit, but only an application for a pe?t; is t to start without a pernvt; that the work will be in accordance with the approved plan in the case of work whic r quires a review and approval of plans. A S I-TJA, - Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan, Permit Number: EA093801 Date Issued: 05/05/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4485 Cinnamon Ridge Tr Lot: 011 Block: 04 Addition: Cinnamon Ridae 3rd PID: 10- 17402-011-04 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $0.50 9001.2195 Total: $50.50 Contractor: - Applicant - Owner: Boldt, Bob hristi Garcia 4310 Trenton Tr 4485 Cinnamon Ridge Tr Eagan MN 55123 Eagan MN 55122 (651) 454-7760 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Oct.18. 2013 8:57AM Crest Exteriors 651-463-8095 P. 4 Use BLUE or BLACK Ink For Officelfse~---~- I j Permit C I ~ Permit Fee: I City of Eatan I~. 3830 Pilot Knob Road Date Received: I Eagan MN 56122 I I Phone: (651) 676-5676 1 I I Staff: Fax', (851) 676-6694 I 2013 RESIDENTIAL. BUILDING PERMIT APPLICATION • Date: Site Address; Unit 1f Name: Y Phone: s d- ' . tfi L4 _ 1_Yly~ - Ica - yl eh: Address / City / Zip: _ Applicant is: owner Contractor Description of work: 8 Or < O Multi-Family Building: (Yes No __J Construction Cost, tact: CJ ii Company: kn Z Address: Jv City: a o • I 1 22 Zip: Phone: State: License Z-ZH O Lead Certificate It: -ZU 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 permlt for a similar plan based on a master plan? Yes Zt4o If yes, date and address of master plan: Llcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: ,Po n -1 • _ .,r.. -=a•:1.,. 6~ . ~d-t-~• ~ ° ~ infor(natlo(~n o . rd i . o ting,` a to GTE' la' •f n o a to +6e s a l I~ s f so stha ou d p.Qrm~t .G P., U CAL BEFO E,YO DIG. Call Gopher Stale One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locales of underground utilities. o he Leone Il.or I hereby acknowledge that this Informetlon is complete and accurate; that the work will be in conformence 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 160 days of permit issuance. X X Applicant's Signature Applicant's Printed Name Page 1 of 3 Use BLUE or BLACK Ink For Office Use Q Cityof n Permit Ed Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j I I Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: 1 1 I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: &7i/tivY.glW4" aC d Unit Date: Name: e,w~r `Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor r Description of work: ) Gf ~N 'Lip C_ Type of Work Construction Cost: d U Multi-Family Building: (Yes l(le- No ) "Aye Company: 4- CANS titr-d R,ey S$it V1,! 'E contact: Contractor Address: . r~r i f;a ST`S?' city: 41s, SS" f State: 0,1.1 Zip: Ot Phone: b License Z 6 a 2-,'l Lead Certificate IV,4W - 3 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.oopherstateonecall.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. Applicant's Printed Name App icant's Si nature Page 1 of 3 Use BLUE or BLACK Ink y,ti~ I For Office Use I G~ I q I Permit J I City of Ea Ed I Permit Fee: I V I 3830 Pilot Knob Road j ` J y I Eagan MN 55122 i Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: - - - - - - - - - - - - - - - - J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~lyS%✓~~/~v+rv r Unit Name: ZA4 o -`C Phone: Resident/ Owner Zip:-92 ~Fr_ r rV/fk~F~9rt7 :I/1,5'"f Applicant is: Owner Contractor Description of work: 1 ZT~~`v Type of Work Construction Cost: ~J Multi-Family Building: (Yes / No ) Company: !rl r r ~N ~l AZAa C, 'EKV'#' =.kontact: e ,rrr a~ Contractor Address: rot M 1 City: '7,;)1,~ f I'Q r,V1 State: oOW*AJ Zip:: 7_ r~ J Phone: License ~ 6 +i- 2--410 Lead Certificate /M!~- 27 5l' 1 --k - l 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.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 wit the Minnesota State Bu' ding Code must be comple days of permit issuance. ` Applicant's Printed Name Applicant ure Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA154019 Date Issued:02/11/2019 Permit Category:ePermit Site Address: 4485 Cinnamon Ridge Tr Lot:011 Block: 04 Addition: Cinnamon Ridge 3rd PID:10-17402-04-011 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: 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 - Dustin L Kerr 4485 Cinnamon Ridge Tr Eagan MN 55122 (952) 484-6913 Budget Exteriors 8017 Nicollet Avenue South Bloomington MN 55420 (952) 887-1613 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA161358 Date Issued:05/20/2020 Permit Category:ePermit Site Address: 4485 Cinnamon Ridge Tr Lot:011 Block: 04 Addition: Cinnamon Ridge 3rd PID:10-17402-04-011 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: 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 - Dustin L Kerr 4485 Cinnamon Ridge Tr Eagan MN 55122 (952) 484-6913 Budget Exteriors 8017 Nicollet Avenue South Bloomington MN 55420 (952) 887-1613 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162366 Date Issued:07/10/2020 Permit Category:ePermit Site Address: 4485 Cinnamon Ridge Tr Lot:011 Block: 04 Addition: Cinnamon Ridge 3rd PID:10-17402-04-011 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Dustin L Kerr 4485 Cinnamon Ridge Tr Eagan MN 55122 (952) 484-6913 Budget Exteriors 8017 Nicollet Avenue South Bloomington MN 55420 (952) 887-1613 Applicant/Permitee: Signature Issued By: Signature