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4539 Cinnamon Ridge Tr(gtr#ifiraft uf (Orrupttnry :. titp of (tagan MPpart11tPltf of llttlbtltg AWPtYtitri Tbis Crrri f icatc issxed petrnrarrt w rbc rroremeKU of Satien 306 o f tix i3ni f orm BWlding Codc urti f ring that at tfx time o f itmanu tbi.r Jtrnaass wrts iot cmn plianu with tIx varnm srdnranaa o f tlx CitY ngwlating brildixg cowrauien ar xte. For the f ollowing: unchMA"M SF DWG/GAR mmq, rwoc No, 7174 ooww,,7 1YF R3 Typemmmcea Vn rue =nn-- NA -Zoe?sormee -RI - ki?nz-ail 2nd Dab: June 4, 1982 CW__ rar* M w aGOMeuas ruM ?Dooes 4e? ,0 ` . . s- t _ . . . . _ , .. _, . . . ? CIT1? OF EAGAN ' 3793 ?ilet Keob Road Eogan, MN 55123 . PHONEs 454-8100 BUILDING PERMIT To w wed for Est. Value Receipt # Date , 19 51te Address Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Porcel # Repoir 0 Fire Zone Enlorye p Type of Const. W Na^'e Move p # Stories ; Addross Demolfah ? Length ? r:.., a.,,.._ Grade n Death Sa. Ft. a: O NG1ri! PLVYroVaIs u? /lddress ~ Cit p?? Assessment Woter & Sew. uCK Police WW Name ?z Fin uC, Address Enp. <'Z" Ci PF?one Planner I hereby acknowledge that I have reod this applicotion ond state thot Council the intormotion is correct ond ogree to tomply with oll applicCble gld9, p{{. State of Minnesota Statutes and City of Eogan Ordinantes. ^PC Sipnature of Permittee A Building Pertnif fs issued to: ali work shall be done in occordonca with ull opplicabla Bulldir?p Officiol Permit Surchorge Plon check SAC Woter Conn. Woter Meter Rood Unit Totol on the ezpress tondition that ond C1ty of Eagen Ordinonces. Parmit No. Psrmit Holder Mise. Pe?mit No. Holder Plumbing .Z l??¢- ? H.V.A.C. Wall Watar ' . Disp. S?wer . El?ctric (,,,? f 3? s) G r a? -( I FS'Z Irapection Date Insp. pther Footings - Foundetion Froming ? `. ?6 Rouyh Plbp. S RouQh HVA Insulstion Find PI64 - ?• 2 • Fiml HVAC Final Waur ? bacribo Location: YVall Sevrar - • Pr. Dhp. ? ' ClTY OF EA??NAMON RIDGE 2ND Remarks- CI Addition Lot 'btk 1 Parcel 10-1 owner street 45. CINN91ON RIDGLlTRAIL State ' t , , hr' <<-_ Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 926.93 C0084 6 - _6 STREET RESTOR. GRADING 1 4 2 S 4 3. 9 S 268•-44 C0081+36 5-3-83 SAN SEW TRUNK q 1973 85 . 38 5.69 15 Zg • 5 A011152 -- 2 ? SEWERLATERAL 2330•32 C008436 -3-83 * WATERMAIN 1984 $ WATER LATERAL WATER AREA "Ipl 1973 109.78 7.32 15 36.61 STORM SEW TRK ?(Q 1979 318.80 15.94 20 • xSTORM SEW LAT 1984 5 ? CURB & GUTTER ' SIDEWALK STREET LIGHT ROAD UNIT 240.00 #29579 4-12-82 WATERCONN. 420.00 11 11 BUILDING PER. 7174 sac 525.00 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. `' •' 6 '' 9 N Eagan, Minnesota 55122-1897 Date Issued: 'I / I ''/ql' I (612) 681-4675 SITE ADDRESS: j„, ; I rJNAMrI N R t i( t u 1 It?' PERAAIT SUBTYPE: ? APPLICANT: r TYPE OF WORK: . -II IN I I Hi{ ? 'Itifth '. A Sf F'Af F ti11 i ftt' 11 1=.t11t APiY VI tlMF.i 1 PtO.; t)R f I. F' 1- 1 1+' I I !ii bJu I µ ? ? ? 5?1?I?a0 1 Permit No. Permlt Molder Date Telephone N ELEGTRIC E 9 819 9 PLUMBING / HVAC Inspeetlon DaU Inap. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL CiYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. 4? BSMT FINAL DECK FfC3 DECK FINAL NO 0 f aw- OF EAGAN Pilot Knob Ruad , MN 55122 ,. WATER SERVECE PERMIT PERMIT NO.: DATE: Na. of Units: ,1011 ,.?-. ?•,. 7 + L . , .?. . . . ; ;cs Connection Chorge: Account Deposit: rvo.: to tomply with tha Ciey af Eogan CITY OF EAGAM 3795 Pilot Knob Road Eagan, MN 53122 7,,.,. Owner: ''achman ??omes Address: r^r Site Address: n Plumber: I ngree ro eompy wbh the Citr of Engan Ordinanees. By Date of insp.: Permit Fee: Surchnrge: Misc. Charges: Total: n.,+o Pnirl• SEWER SERVICE PERMIT PERMIT NO.: DATE: i No. of Units: Tr L 14 B Connettion (;hOrge: Account Deposit: _ Permit Fee: Surcharge: MisG. Chnrges: - Totol: 00 p0989 Re uest a Fire Na F ugh -In Inspection Required Inspe ion Other Than ELough-in , 7 ta (You call insp Yes II Notify tnspector ector?v hen ready) ? Ready Now An4o ? No Dale Read I? licensed contractor &wner hereby request inspection of above electrical work at: Job Address (Street. Bo Fioute No.) Ciry g Secdon Na. Township Name or No. ?J j Range No. County Ocqapant (PRIN /\,CJv? ezQ Lk Phone No. Power Supplier Address dor (Company Name) Eledric Contractor's License No. ^ co- 0 wh W/i Ao Mailing Address (Contractor or Owner Making Installation) V Authorized Si ure ntract wn aking In ation) Phone Number MINNESOTA STATE BOARd F ELECTRICITY II I I II I I I II I THIS INSPECTION REQUEST WILL NOT E 80 RD A BE ACCEPTED BY THE S Grioas-Mldwev Bidq. • Room 5-128 i T T c ? REQUEST FOR ELECTRICAL INSPECTION EB-00001-09 See instructions for completing this form on Uack ol yellow copy. "K" Below Work Covered by This Request Ne A d Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specity) ConVactor's Remark t7--??'? Compute Inspection Fee Below: # Other Fee # Service Entrance 5ize Fee # Circuits/Feeders Fee Swimmin Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Am s Signs Inspecror's Use Only T Irrigation Booms S ecial Inspection Alarm/Communication THIS INSTALLATION MAY BE pRDERE DISCONNECTED lF NOT Other Fee COMPLETED WITHiN 18 M S. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in , F"Mi Uo j ` Date Dat ? OFFICE USE ONLY This request void 18 montM1s from 0 , 0 0 5 8 6 0 8 1 iid al Fiequest Dete Fire N. „ V' Rough-In Inspedlon Raq '.tl InspacHOn Other Than Foaqh-In (Vou must cell Inspedor hen r¢atly) T ? ?? s qeatl Now ? WIII No?lfy Inspector 11 e B RBdtly Ilicensed contractor ? owner hereby request inspection of above electrical work at Job Fatlress iStreat 6nx or Routo No.j City 4?> 3 cl Clti h.ol- ji? 1177 Seclion No. Township Name or No_ Faoge No- CoLmty Dakota 0c0 Phorne No. PpwerSupplier Atltlress Dakota Electric Assoc. Farmington ElecMCal Contrctor (COmpany Name) ConhacioYS Llcense No daie rranKe twnc ?nc . lCiqybMe aane,?`?'° e?'aYP6y M!N 55724 AulhotlzeJ Si atur (COnVaclor/Ownei' Making Inslallation_ ) Phona Nu i-s3sa IfIII oIU Illll.plll IIIII plll IIIII IIIII II?I IN? THis iNSPeenoN aeouesT wiLL Nor uc cralc annao REQUEST FOR ELEC7RICAL INSPECTION ,'": ", 'C„ EB-00001-09 O O?? ? See mstmetions lor oompleting P?ts form on paok ot yellow copy. ? , 608 "X" Below,?YOrk Cnvered by This Reques! ef Ne? Add Rep Type of Building Appliances Wirad ? compute Irrspection Fee eelow. CYCLED AlR 14_ ? ?# Other Fee Swimmin Pool # Service Enirance Size Fee k Circuits/Feeders Fp Transformers () to 200 Amps 0 to 700 Amps SignS A6ove 200_Amps Inspaciors Use Onry: 100 _qmps Irrigation Booms 0d TOTAL ' 'q d Special Inspection _ Alarm/Communication Other Fee TNIS INSTALLATION MAY BE O CONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby R0O9n-i,, De1B certi(y that the a6ove inspection has been made. Finei o z /ZV j OFFICE USE ONLY J Tfns r5quasl void 18 momhs Irom 2b He Used For Site Pcic'sess: CITY OF EAGAN Inciude 2 sets oi plars, 1 site plan w/elevations 5 SUILpIVG PERNLLT APPLIQTLWN 1 set oi er.ergy calculaticns. (?' ?? 4?Valuation - Date d?l?p11E_ Mr(. 0AA4T. oFFice vsF oV-r Lot -4-- Block I_ Sec./Sub.v Parcel r: l y 0 ? (qG eI7..eS2 Owner: Am Pddress: City/Zip Code: (D f\(1 l1, A U Y f l1'? ? Fhone ;: It 37''rIScZ71 Contractor: ' Pddress: Gity/Zip Code: - Phone r: Arcn./Ehg.: Pddress: City/Zio Code: Phone i 3 Erect Occupancy /[- Alter Zoning Repair Fire Zor.e EnZarge 4ype of Const. _ hbve # Stories t Dennlish Front _ 2 ft. Grade Depth ,S"&, ft. APPRDVALS FE'_S Assessrrents Permit water/Sewer Surcnarce ? Polic- Plan Check Fire SAC • y Ehg. Wates Conn. ?17 rl ° Planner ?- Water N`ieter / Council ?- ? --?? Road Unit " Bldg. Off. - APC mraL l' )V1,2,Z5 ? CITY OF EAGAN N° 7174 9795 Pilof Nnob Rmd Eegan, MN $4141 - ' iHONHs 454-8100 BUILDING PERMIT Receipt # _ a?1sT Te 6e wad fer $F DWIGM Est. Volue $47r000 Dote Apr3-1 12 _ 19 82 Site Address 4539 CLrn»on Ridge Tra Erect QQ R 3 Occuponcy - Lot 14 Block 1 Sec/Sub. C'rfflaMM?ge 2nd Alter ? Zonirg ?? Parcel # 10 17401 140 Ol Repair ? Fire Zone ? Name ? H=e8 • ?C • Enlarqe ? Ivlove ? Type of Const- ?` Storie ?ilt Z ? Address 7760 Mi.tchell Road Demplish ? L-eflgth 4 « Fden PraiYie ph. 937-9520 G.ade ? Depth 56 5q. Ft.- p Name omt+t' ApProvals Fees ? Address Assessment. Permit 7(i?1- 5(1 ? " ?' Water 8 Sew. Surchorga 21.50 Ci Phone Police Plan check 1-34-75 ? NOf^Q Fire SAC 525.00. Address ' Enp. Water Conn.424- 110 <W CI Phone Planner WaterMeter 60-()() Council Road Unit 94n.nn I here6y uckrwwledge that I hove read this opplication and state tFwt Bldg. Off. the inlormntion is correct ard agree to comply with all applicable AP? Tma? $1672.75 $tofa of Minnesoto $tatutes and City of Eogan Ordirances. SiBnature of Pertninee A Building Permit Is issued ro: on the e:preu condition thar all work shall be done in accordance wlt oll applicable f Min o utes ond Ciry of Eopcn Ordirwnces. Buildinp Officiol ,??6? ` bALVIN H. HEDLUND t ' i.and surveror Cfvn Enylneer ? SURVEY f0 7,achman H a DESCRiBED?iS:Lot 14 Block 1, CINNAMOIQ RID surve?o ?s ec \Pako County, Minneeota, end 9389 30 1 I° Q 10 . ac ? W ? d ? I 30 Top of Foundation = '14 I 4 66sement Floor = 9 Gersye Floo'r+ 9 41-0 Proposed Elevahionn, O Exisfing Eleva?lon5 Drainar Ote-ection --'? Denotes Lo4 Corner O 93B. N SL.ATER_ ROAt? + 937.4 ?RTIFICATE OF SURVEY L hereby eertify thar on 31301$7- I surveyed tAe property described Obova ond thor the obove plot is o correcf represenfafion of sald wrvey. y 61 mw7726 MORGAN AVE. SO. ?- MINNEAPOLIS, MINN. 55423 PHONE NO. 866- 2523 _ JOB N0. 3L 82-24 2ND ADDITION. City of F:aqan, aervir?g easements of rAe-nr.d. ? ln DRAINA6E AMb U7ILITy CASdMENT N . ? rA 'd O Ln 06 t0 1 ? 10 O ~ ? N i $4akx5 9 O 3p + ? / / $ ? ? " ? u o? r t' / t ? ? 6 ? ? ? ?+`l? l N I Z? ` S 9: I S+0.kes ''? vR` ? io / Cp ?' - - - - -? ?o ?•? 938.6 48.17 $ Calvin H. Hedlund, Mine. Rep, No. 5942 3830 PILIOT KN B RDN 55122 IC4901995 BUILDING PERMIT APPLICATION RESIDENTIAL 681-4675 ( , New Construdion ReQ uire n= RemodeVReoair Reauirements ? 3 registered stte surveys + ycopieg a} Plan ? 2 eopies of plans (indude beam 8 window aizes; poured fid. design; etcJ ? 2 aRe surveys (exlerior edditions 8 dedcs) ? 7 energy Calwlations ? 1 energy calculatlons for heated additions ? 3 copies of tree praservation plan if lot plattatl after 7/1/93 required: _ Yes No DATE: 1011095 CONSTRUCTION COST: DESCRIPTION OF WORK: -GASLWIEtJ! Ci N1 I SN 0nl!> STREET r1DDRESS: 53 t n1N A Onl f t C? TfZA. LO? ? 9?O CK SUBDJP.l.D. *: „ n JOt?- PROPERTY Name: I ? Mp?? ??.AG6-1t< ?O?I Phone#c`??_? '?U3 OWNER ?* FI^s* StreetAddress: 45-39 Ci NnJAMOO-j Z.p6C Tr,A,L City: C k G D..j State: MNJ Zip: 55-1ZZ- CONTRAC70R Company: Phone #: 5treet Address: City: State: ARCHITECT/ Company: ENGINEER Name: License #: Zip. Phone #- Registration #• Streei City: State: Zip: Sewer & water licensed plumber change are requested once permit is issued. I hereby acknowledge that I have read this application and state that thi applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received Yes No Penalty applies when address change and lot ITY C 3830 p oOF EAGAN Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT U-MO PERMITTYPE: aurLoiNe Permit tVumber: 0 2 6 6 9 0 Date Issued: i l/ 15 / 9 5 SITE ADDRESS: P.I.N.: 10-17401-140-01 4539 CINNAMON RSOGE 7R LOT: 14 BLOCK: 1 CINNAMON RIDGE 2Np DESCRIPTION: BIfiPtlirtc??,perrnit 7ype ,FS,uilcfirag; Vt'"a;r_k T y p e ?r ?? k? e y 3i • . ? ;`?'2 i-- $35.00 $.59 $35.50 9f A ?? x t? ?"" , e L`a! c x WF+€ 'r eC+m 9 REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY Pl.UM9ING OR ELECTRICAL WORK FEE SUMMARY: Base Fee Surcharge Total Fee CONTRACTOR: Z horeb) ? S4forma! ? ;Statutes BASEMEN7 FINISH AL7ERATTON OWNER: - Applicent - REZACHEK RON 4539 CINNAMON RID6E TR EAGAN MN 55122 (612)895-1037 acicrrowledge that Z have reatl thi.s 'appi2icatian antle statey thiarY tht orr fs'corr'sct end agree,to coitiply wi:?Ch ,@11 appkicab,le wt,ate "taf M and-City of,Eag'an.-Ordinai'nees. 5' .-.,.? _.? . . ?.? ..,... ..?? .... ? t ? e. . _ ...... ?.. a ? . . , x'6-.- o _ E ; ,j /9(1 Fr ? ..i)t;ft ? I II.LY'" -???- ISSUED BY: IGNPW?URE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (672) 681-4675 SITEADDRESS:P'I'N.: 1e-17401-140-e1 pppLICANT: LOT: 14 BLOCK: 1 4539 CINNAMON RIDOE TR REZACMEK CINNAMON RIOGE 2ND (612) 895-1037 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH BUTLDING 026690 11/15/95 RON AL7ERA7IpN INSPECTION FRAMING .. . INSUlA7IQN ,A ROUGH IN PLBG FINAL REMARKS: A SEPARATE PERMIT IS REpUIRED FqR ANY PLUMBING OR ELECTRICAL WORK % [ . a e YP' . f e o Vn f"§ ,. J' ... _ _... ._. a. ....x , v. " ? - 2? . . .?i ? 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3--?-? -? 3830 PILOT 55122 4675 New ConsfrucHon ReavGemenh A 3 regbtered sHe surveys showing sq. fl. of lot sq. M. of house and,gQ rooted areai (20% maximum lot coveraae olbwed) ? 2 cople: ot plans (show beam 6 window sizes; poured fnd. design; elc.) > 1 sef of energy cakulaNons ? S coples W hee preservatbn plan d lot plaHed aRer 7/1 /93 DATE: &I -q_f ^ DESCRIPTION Of WORK: Ne - STREET ADDRESS: Remodel/Reoah Reauhemenh 4 copie: ot plan 1 sel ot energy calculaHons for heated addiHons 1 sBe aurvey for exFeAor addiNons a decks CONSTRUCTION COST: - ?U IOT: ?A BLOCK: I SUBD./P.I.D. #:a C- c Vl Vl C vo, 0 v, a PROPERTY OWNER Name::-4ZG.GK(.4t ?&Y'\ Phone#: IaSI"89 5-'05 -7 Lasf fhst Sheet Ci1y L a J? State: iip; 551 ZZ te #: (area code) CONTRACTOR ARCHITECT/ ENGINEER City Telephone #: area code ( ) Name: Sheet Address: Regishatfon #: City State: Sewer S wafer Iicensed plumber (reauhed for new conshuetion onlv): PenaNy appiles when address change and lot change Is requested once permit is issved. Zip: Zip: I hereby acknowledge that I have read this application, atate fhat Ihe informafion h conecf, nnd agree to comply wMh all applicabl Stafe of Minnesota Sfatufes and Cly of Eagan Ordinances. ??C ?i'/?'? 1 \ _ Signature of Applicant nalA OFFICE USE ONLY ? Certificates of Survey Received _ Yes _ No IAAY 4 I State: License # Exp. 'iA Tree Preservation Plan Received _ Yes _ No _ Not R f---- -- - - - - uired I I CITYLSE ONLY L BL / RECEIPT #: ?I(050 SUBD. DATE: /A` 9 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please comptete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH rI.Q, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink ,?. 3.00 x = Laundry Tray Hot Tub/Spa 3.00 3.00 x = x = '? Water Heater ? 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal ' Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler * home under const. ' 3.00 = Alterations to existing 20.00 Water Turn Around 20.00 STATE SURCHARGE .50 S?_ TOTAL aD SITE OWN INSTALLER STREETADDRESS: 4531 nwNR>`?"i 96? IXA'(- CITY: EA6k1'j STATE: 5-51 Z2- PHONE #: (G IZ ) ?°IS 1D37 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) q cirv oF EAcari , 1 O ? v ?76R 3830 PILOT KNOB RD - 55922 1 (? 651•681-4875 d,@w CaruhucHon Reaulremenh Remodel/Reoalr ReailremenM a 9 reylstered sIte wrveya alwwiny sq. K d bt, sq. fl. ol house and g] roofed areas (20X maximisn bt covemae allowed) a 2 coples o1 plans (ahow beam & wlndow aizes; poured Ind. design; e1cJ ? 1 set of anergy calculatlons > 3 coples of Iree preaervallon ptan If lot plaMed afler 7/1 /93 DATE: "{ ` I _ w DESCRIPTION OF WORK: STREET ADDRESS: 'I J.)`7 l_. vAVl G YViciVt 1 LOT: 19 BLOCK: I SUBD./P.I.D. #: 2 coplea of pian 1 Eef ol energy calCUlotions far heated adc68om 1 site wney for exferbr addlNOns & decks CONSTRUCTION COST: J 1 Name: 1,22QCheK --KOY1 d-cJ(j, PROPERTY I.ast Ftrst OWNER Sheet Address:?? ?A c ;Y\ Y1GMUY\ ciN -Ec:oc,n srare: () t'4 ?i1 vp; s Sl2Z U Company: Phone #: _ (area code) COMRAC' - i ARCHITEC ENGINEER Sewedwatei I hereby ac of Minnesol I *******:rx?****?**********,?,r**?*****:r,r** ; CITY OF EAGAN CASHIER: JS TERMINAL N0: 665 DATE: 09/06/00 TIME: 10:57:57 _ NamA: ID: . ? NAME: RON OR JODI REZACHECK ? 3210 9001 4539 CNNMN RDG 2155 9001 4539 CNNMN RDG ? Total Receipt Amount: CR137098 USER ID: JAN CeRiflcates Tree Preservation Plan Received _ Yes _ No _ RegishaHon If: 69.00 1.00 70 . 00 Phone#: CoSI -v IS--1037 }?? \ ucense # Zlp: Up: Phone M. is conec}, and cgree to comply wiMh ad applioable State ;LA k2s.hU[ - Not Required PERMIT# S-:5O -j RECEIPT DATE: 2002 RESIDENTIAI. i'I.UMBINC PE#i16IIT ALF'PLiCAT[ON C17'Y OF EAfiRN S$SO PILOT KN08 RD EA6AN, MN 55122 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: INSTALLER NAME: STREET ADDRESS: single family dwellings, townhomes and condos when pertnits are required for each unit, backflow preventer for irrigation system S CITY: f?,UPA UM STATE: 14"l ?l ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit (+ 5!8" meter if needed -$118) Other: _ RPZ: new installationlrepair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener ? water heater ---?, ? T9 $ 15.00 JUL 1 9 2002 50 state surcnarge $ ?- - ?" - ?- S yo $l " rotal - I hereby acknowledge that I have read this application, statethatthe information is correcl, and agree to compl with all applicable Ciryof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assume ?+ liability for any ma e raused by the City during its normal operational and maintenance activities to the §cilities construded under this permR ' hi ity qropertyhig t- !?si e. ? l[J 51 NA URE OF PERMITTEE 1/02 R?zc?nr.hi k. ??Y? TEL PHONE#:"1(??4(6 (AR CODE) RESIDENT OWNER Name: 3' z_ C3..G.h Phone: 6,57_ R5,5 -/O3 7 Address City Zip: 6-5 &,,..i JV,t/ 32.7 2, CONTRACTOR Name: v, t 14e.; 14-4 _4/ ac. License Address: )(,,,cob. j e-h� 2 e AroD4 CA City: 4 J j b t i- -c-Ke_ Y State: liJh� Zip: i; 5 7 Phone:9, L7 t 0 Contact Person: C"'e`_V 1- l i C-C TYPE OF WORK New X Replacement Additional Alteration Demolition Description of work: NOTE: Roof mounted and ground mounted Code. Please contact the Mechanical mechanical equipment is required to be screened by City Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement t` Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under Above ground Tank Install Remove) Other **When installing /removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add -on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $.50 State Surcharge) TOTAL FEE $90.50 Fire repair (replace COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation /removal OR State Surcharge) surcharge is $.50. increases by $.50 for each $2,000 Permit Fee requires a $1.00 surcharge). Contract Value x 1% Permit Fee If Permit Fee is less than $1,000, Surcharge If Permit Fee is $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001 TOTAL FEE City of Eaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 MECHANICAL PERMIT APPLICATION Date: i:�A Site Address: /S3 l.- :t c� c 5c Tenant: d Applicant's Printed Name r Use BLUE or BLACK Ink For Office USe r� Permit 7 4 7 Permit Fee: U Date Received: 5 0 Staff: (c L Suite CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 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. Under Ground FOR OFFICE USE Required Inspections: Date: In -floor' Heat Final Reviewed By: Rough In Air Test _Gas Service Test Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA138121 Date Issued:08/10/2016 Permit Category:ePermit Site Address: 4539 Cinnamon Ridge Tr Lot:14 Block: 1 Addition: Cinnamon Ridge 2nd PID:10-17401-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Jodi K Rezachek 4539 Cinnamon Ridge Tr Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature