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 $
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?" - ?-
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