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4594 Cinnamon Ridge TrCity of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4594 Cinnamon Ridge Tr Lot: 011 Block: 01 Addition: Cinnamon Ridge PID:10- 17400 - 011 -01 Use: Description: Sub Type: e - Furnace Work Type: New Description: Furnace Comments: Fee Summary: Contractor: Sedgwick Heating & Air 8910 Wentworth Ave S Minneapolis MN 55420 (952) 881 -7739 Quesetions regarding elec 952- 445 -2840 Crystal Gemuenden 8910 Wentworth Ave S ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: cal permit requirements should be directed to Mark Anderson, State Elec - Applicant - Owner: David C Schiesher 4594 Cinnamon Ridge Tr Eagan MN 55122 $50.00 0801.4088 $0.50 9001.2195 $50.50 Issued By: Signature Mechanical EA082903 05/06/2008 ePermit cal Inspector, I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State (gtr#i#irtttit of (Orr??aury Citp of (Cagan 'Mp,pw#mmt o# SuilDing buVrrtion Tbis Cereificatc i.ctxed pxr.rxant so tbc nquiremeats of Satime 306 of tbc Unifons Brrilding Code aserfriRg that at the time a f isnramrt ibia structusr waf in corxpliarue witb the variow ordiAaxcu o f the City ngulating barlding coxrtrxctiox or xse. For the fo!louing: up Cbmiacidw 1/2 DUPLEX & GAR w4P""N. 7404 Ooo,r.s'hve R3 7YPC.p,.um V F+n, NA t,:qpwk, (PD) R2 n. tl _ Tzail lst eM.ww ona.t sn na._ October 22, 1982 IOT IM • COlIYICLqM AdCI , a ? BUILDING PERMIT CITY OF EAGAN 379! PIlot Knob Roa/ Eayan, MN 56122 rHONE: 454-8100 Lot Block Sec/Sub. ' f Porcel # ' oc Nane W ? /lddress C' . ^ . . . °C Noma 0 ?? Address r- Name _ Mdress I hereby ocknowledge that 1 have read this opplicotion and stote that the information is correct and ogree to comply with oil opplicuble Stote of Minnesota Statutes and Gty of Eogon Ordinonces. Sipnature of Permittee /1 Building Pertnit is iuued to: oll work sholl be done in occordonce with all opplicable State of Mlr Receipt # 'i0 r.-ii ? ? Erctt Q Octupanq /11ter ? Zoninfl Repair ? Firo Zone Eninrpa p Type of Const. Move p # Stories Demolish ? Length Gr+ade ? Depth Sq. Ft. Approva 1s Fees Assessmenr _ Woter b Sew. Police Fire Eny. Vlonner Councll Bldg. Off. - APC Permit Surchargs Plan check 5^C Water Conn. Woter Meter Road Unit Totol on the express wndition thm Statutes ond Ciry of Eayan Ordinonces. Buildinq Permit No. Parmit Holdar Mise. Permit Na. Holder Plumbinp a? *0,1-v?1/? H.V.A.C. 3 13 C.t?e (,r 8-(2-?z w.u .n. w Disp. Ssvrtr eleccric w131`7-1 ?rexE E(EC, -t-8?Z Intpection Dete InsP• Other Footingt Foundstion FraminQ .. ? F[ouph Pibp. Rauph HVA Inwlation Final Plbp. Final HVAC 4 V. ? Final ? Water . Desa?ibe Location: Ylhll ? Sewsr Pr. Dbp. ? Raceipt MECHANICAL PERMIT Permit No. _T CITY OF EAGAN - Fee -?• Fill in numbered spaces S/C .: ? Type or Print legib/y • Tot 1. Date 2. Installation Cost ' - ` • ' - r '.'1.'._ 3. Job Address 574 ` 2!'llli " r /Lot-Blk. ? Tract i 4. Owner P1 :I.?L_.:? ? . 5. Contractor ? • Phone 825-6867 6. Address 7. City _ ' State i. Zip 5` wur; 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New l? Add ? Alter ? Repair ? 10. Describe -n !FuelType 1 11• No. ?uinment STU - M. Ea. •?C, ? Forced Air -r' No. Equiament CFM Ai H dli ? _ Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 1 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 Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee _ fill in numbered speces S/C Type or Prlnt /egiWy T?. 1. Date "'r •? 2. Installation Cost 3. Job Address Ti,lue -rail Lot I Blk. 1 Tract' 1.'' :" 4. Owner 'mchmAn Fiomes, InC. 5. Contractor .`arque Flu.•nJ.inr. Phone 136-5761 6. Address 2197 Oakgzeen Ave. ?30. 7. City ?'ti l lwa ter 8. Building Type: Residential Cl 9. Work Description: New El I 10. Describe 1 11. State Zip 5; 1 `' ' Commercial ? Institutional ? Add ? Alter ? Repair O No. ' Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Sofiner Shower Well Kitchen Sink UrinallBidet 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 Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 (Itrtittrtttt of Orrupanry Citp of (eagatt ?pubmrnf of Suilbino Inaptrtimt 7'bis Cc?ti ficatc irtxd pxs.rrraru m tbc scquirmmt of Sation 306 of tix Urri for+u Brrilding Cak crrh f ying tbat at tix tiru a f is.aramt tbis strxcture wat ix cma pliana urith tbc variens ordirraacet o f t/x City tegulatixg bxilding conttrrrcction or ure. Fw tbc f ollowing: & GAR ,,,,, ..,,,,.,,d 7405 Trail y; I_ _ October 6, 1982 rO" ? w coMMlC90u8 M.GC[ u.5.. . . ? BUILDiNG PERMIT cinr oF EAG?N 3795 Nlet Knob Rood Eoyon, Mli 55122 PHONEs 454-8100 ' . Receipt # GA? Fc? vnl,i„ . , nno Site /Wdreu Lot Paroel # - t r 3 Erect ? , ?.. Alter ? Repoir ? ? Enlcrpe ? Occuponcy ? Zoning Fire Zone Type of Const. ,1k Stories Length W Name , Move p ? Address ? Demolish ? [itv ' PF,n..n 0 r ' Grade ? a' Ncme _ =,8 u? Address ?- -:.., Nome _ Address I hereby ockrwwledge that I hove read this application ond stare that the inlormotion is correct and ogree to comply wiih oll applicable 5tote of Minnesoto Statutes ond City of Eogan Ordinonces. Sfpnoturo of Permittee /1 Building Permit is issued to: oll work sholl be done in accordonce with all Buildinp Officiol 81ock Sec/Sub. Assessment Permit Woter 8 Sew. $urchorpe Police Plan check Firo SAC Enp. Water Conn. Plcnner Woter Meter Council Road Unit Bldg. Off. APC Total ` on the expmss condition thai xiesotn Stctutea ond Ciry oF Eopan Ordinances. Pbrmit No. Parmit Holder Misc. Parmit No. Holder Plumbing 300 MpL U-L ?-f-KC, ?135 ?vEl?? ???Z? Well Water Disp. Swar electric 1j 13(`7`7 roatF E (EC• •z-?Z Irapedion Dtft Insp. Othar Footinqt Foundation Fnminy Rouph Pibp. Rouph HVAC ? ? Inwlation ` : Finat Plb¢ • Fin•! HVAC . \ Final 0. r Wour Dw"ibe Location: YYell ? S?wer , . Pr. DNP. • Receipt PLUMBING PERMIT Permit No. ' CITY OP EAGAN Fee . Fill in numbered spaces S/C TyPe or Print /egibly " ; . . , Tot. i. pate ? 2. Installation Cost 3. Job Address ` ra1l Lot Blk. 1 Tract c' 1: t 4. Owner 5. Contractor '•araue Piurnhi:-;- Phpne ;7r- 1 6. Address leen ;tve. 7. City tillwater State ' 111 Zip 7150; _ 8. Building Type: Residential El Commercial ? Institutional 11 9. Work Description: New 0 Add ? Alter 0 Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs 5eptic Tank Lavatory Softner Shower Wel l Kitchen Sink Urinal/Bidet Other Laundry 7ray Floor Drains Drinking Ftn. - Stop 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. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reveipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fse fill in numbered spaces S/C .,? ?Type or Prini /egibly ' Tot. 1. Date - 2. Installation Cost ??? ? •" 3. Job Address +1596' ?L-L'v?-m- -= LotBlk. Tract 4. Owner 5. Contractor Phone • 6. Address 463 i' . ::1 c , _ _ve . . 7. City "Z??• State Zip 8. Building Type: Residential 0 9. Work Description: New ID Commercial ? Institutional ? Add ? Alter ? Repair ? I 10. Describe= = - - - - - ' ? ' - ' Fuel Type 1 11. No. ? E.quinment BTU - M. Ea. Forced Ai??, No. EQUipment CFM Ai Handlin : Mfg. g r Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. 1 Gas, Piping Outtets 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 Rough Ffnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8700 CITY OF EAGAN Remarks Addition CINNAMON RIDGE Lat Pt of 1 Rik 1 percei 10-17400-011-01 Ownerhonal(u- ?1?d Ytzlld. "treat 459?+ CINNAMON RIDGE TR State '?''? ? 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1984 794.51 158.90 STREET RESTOR. ' GRAOING 1984 230.09 46.02 5 SANSEWTRUNK 16.91 A011485 10-4-82 * SEWERLATERAL 1984 1997.42 399.4$ $ * WATERMAIN 1984 $ WATER LATERAL WATERAREA 401 1974 --65-05 4-34 1 21.70 A011485 10-4-82 * Services 1984 5 STORMSEWTRK 7 1979 188.9-1 9.45 20 151.15 A011485 10-4-82 * STORM SEW LAT 1984 5 CURB & GUTTER SIDEWALK STREET LIGNT R4AD UIIT 240.00 31093 -2 -82 WATER CONN. 420.00 6UILOING PER. SAC n n PARK CITY OF EAGAN Remarks MN 55122 .r _ A;47-0.-4 . ; . , b )h . 55 A.c% Improvement Date ount Annual Years Payment Receipt Date STREETSURF, 1984 .51 158.90 S STAEET RESTOR. r GRADING 1984 2.3 .09 46 .02 5 SANSEWTRUNK 0.61 3.3 1 16.91 A011485 10-4-82 * SEWER LATERAL 1984 1997.42 399.48 5 * WATERMAIN 1984 S 1M1fATER LATERAL WATERAREA 6.0 4.34 1 21.70 A011485 10-4-$2 * Services 1984 5 STORMSEWTRK lgTg 188.93 .4 20 151.15 A011485 10-4-82 * STORM SEW LAT 1984 $ CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 420.00 ?? ?o 13UILDING PER. SAC n to PARK PERMIT # J S`f ? MECHANICAL PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 4 L CONTRACT PRICE PHONE: 454-8100 Site Address ? ? ^ •` '?- BLDG. TYPE WORK DESCRIPTION Lot? Block ? SeclSub Z -, , R h N ew es. m Name ? Mult Add-on - Address 2- i C R r omm. epa C Clry?'`JPKr-JI" L- Phone Other Name ? '? ?3' 4 6 FEES c Address -1) ZV6L R" RES. HVAC 0-100 M BTU -$24.00 - p City Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK ' GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 - Unit Heater M BTU MINIMUM - COMMIIND FEE - 20.00 -Air Cond. ? M BTU - STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRIGE GOES ' Vent CFM BEYOND $1,000. Gas Piping Outlets # - Other ? / j FEE d - J ?GN TURE OF P E S/G: TOTAL• ? FOR: CITY OF EAGAN ciTY oF EAaaN WATER SERVICE PERMIT 3795 Pi1M Knob Road PERMIT NO.: Eagrin, MN 55122 DATE: ` - ? iLr Zoning: No. of Units: Owner. -'-?chmaII 1Tarues Address: Site Address: rjn.^.ar.?on Plumber. Meter No.: Size: Recder No.: 1 a9roe to comply wilh ths Citp of Eagan Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: - Total: Date Paid: 1',id n e I CITY OF EAGAN SEWER SERVICE PERMIT 3793 Pllot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: ?oning: No. of Units: ' Owner: ? Address: Site Address. 0?_', rj,,,.,.. .,- J,'vE TZ' L1 T.• tn F.it'Se I Plumber: r T 'll' , : ' , . . .07 rc I ayree to comply whh t6a Ciry of Eagon Connection Charoe: 2`0 pri Ordinonees. Atcount Deposlt: Permlt Fee: Surcharge: By Misc. Charpes: Date of Insp.: TMaI: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eaqan, MN S512Z °/ 1 4/ `' '? ZonirYj: '' ?Tt Owner. ZSCitrnan • Address: Ske Address: Plumber. ? DATE: No. of Units: I Meter No.: Connection Chorge: " Size: Accaunt Deposit: Reoder No.: Permit Fee: I egroe M comply wifh Nw Citr of Eagan Surcharge: Ordlnanees. Misc. Chorges: Total: BY Dote Paid: Date of Insp.: Insp ; , CITY OF EAGAN EYVER SERVICE PERMIt 9795 Pilct Knob Road PERMIT NO.: Eayan, MN 63122 DATE: Zont-ip: No. of Units: Owner. /lddress: Site Address: n {ftt i ?. - Plumber I ogrea to comply wilh Nhe Citr oi Eagon Connection Chctge: Ordinaneer. Account Deposit: Permit Fee: 5urtiwrge: Bv Misc Chorpes: . Dote of Insp.: To}al; Insp.: Dote Paid: S Thls renuast wid ( irom ? - f ? -' pk' momhs ?-- 0 y , ? Reque,st ?ate Fire No. pouph-in insVection ? Rxqoired? Reatly Now Q Will Notity Insuec- - ? ??es No tor When Peatlv LicenseA Elecviwl Convactor I heraby request insoection of ebove Q Owner elechicel work installad et Sve t Atldress, eoz or Route No. I CGtv ? .? ? Township Name or No. Range N. C- untY . 7? , - `}(--? ? ??,JWIG? ? "" Ocr.u a t IPNIMI Phone No. ?? Power plier Address Ele ical o tractm (Compane1 Coptrac,mr's Licen e No. M-ling qdJresW-L55 Owner Makine Instailationl Cl- a". ?>ri ve ?r n 5'v( ( j-e Aut r- ed Signawre ICOnna r/Ow . Makin Installation) Pho N er 7 - 71?5 MINNESOTA $7pT&fgdARELECTqICITV Griggs•Mitlway Bltlg. - H N-791 1821 llnivarsity Aye., St. Paul, MN 55104 Phone (612) 297-2111 TNIS INSPECTION NEQUEST WILL NOT eE ACCEPTEO BY THE STATE BOARD UNLESS PqOPEH INSPECTION FEE IS ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION es-ooooi.oa ' See instructions tor completing ihis torm on back of yellow copy. 8elow Work Covered by 7his Request Add,fleD. Typa 01 Builtling Appliantee WirBE EquipmBnt Wi?ed Home Range Temporary Service Duplex Water H¢ater Ligh[iny Pixtures Apt. Buildinc? Dryer Elec[ric Heatin Commercial Bldy. Furnace Silo Unloader Industrial BIAy. Air Conditioner eulk Milk Tank Farm Othtrr neufy other (Stleclfy7 7 t_r Specity Ot er Other # iea .ServiceEnlrancaSize # • Fee Feeders/Sobteatlers N Fee rcuits ? U to 200 qmps 0 to 30 qm s Am s Above 200 qm"s 31 tu 100 Amps 0 q s W Swimming Pool Above 100_Amps Am s b).vp 00 Transio rmers Irrigation E3ooms _ Partial%Other Fee Signs Speciallnspection Rerr?rks S J v TOTA G.oa RouBh-in .. . . Da?e I, [he ' Insoectoq hereby Final p? ie e rt i?y the? ?he above s p ection has been ,,,ea .. ?. .d..._....._,. ., --'.,_ •--- e. - SEDGWICK HEATING & AIR CONDITIONING CO. resTRe?c"oan JOBNO. O?V 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 ADDRESS ?`-+ / q C ? VI L, ??• ?11 OCCUPANT (f SOLDBV MAKE LCr Invy SERIAL NO..,3:17tcl i 1 lI G 7 12 THEFiMOSTAT? VALVE 11, UD _ LIMIT ?:: i X'C-? LIMIT SETTING I ? J V FAN SETTING - I 1 PILOTNPE 1 4 S -Z IGNITIONMOOEL PILOTTIMING 4?L PRESSURE PERCENT COz ?s ?,?? INPUTCFH pERCENTOs ?v STACKTEMP. S PERCENTCO FORM235(flEV 11/99) CI7Y OWNER SC1 {S INSTALLED BY MODEL 69 AU " 43R " ' ND INPUT (Q (00"0 O VENT SIZE c? NPE OF LINER LINER 512E FILTERS: SIZE NUMBER WIRING TEST TAG LIGHTING INST. DATE TESTEO COMPANYTESTING L? NAME OF TESTER FOFMDISTRIBU . IT FILE YELLOWCOPY - CITY p . •/,? CITY OF EACAN Inc?u3e 2 sefis oP pla.,s, IfkS?) ?? ?? 1 site plan ai/eleva+-?.cns & BUILDIVG PERMIT PP?CATION 1 sec of er:erqy calcula;ions. , ?-- ? o d '1 //S?Pz Tb Be Lsecl For VaZvation ' pate Site PcPsess: LL5q(? ,,, OFFTCE IiSEE G\TLY? Int ((A) Block _J__ Sec./Sub_ ,p,... Erect x, Occupancl, Parcel 10 ( `( y 0? b10 cD l at?4 R ter zonins. (PIf . Onrner: Zachman Homes, Inc. pddXess: 7760 Mitchell Rd City/Zip ?: Eden Prairie, Mn. 55344 e?ur Fire Zoee Enlarge ` Type of Const. Move r Stories -?' .Ler-olish Front ay' ft_ Grade Deoth y ,j ft_ Phone 937-qs2n APPFQVALS F'E:-::S CARtraCtO£: G,3,,,p ac ahove Pcldress: City/Zip Coce: Phor,e ?r; ArciZ-/Ihg.: same as above Fddress: Cibf/zin ca3A. _' ----- ---- +:, .. ? _ _ Asseswents ' Pernit R ater/Sewyr Surcn3-ca Police Plan Cneck ?- Fire SAC ?- Eng.. Sdater Ccnn. jLpa A?0- PTann.er _ Water P'ater Council P,aad Unit 4110 ? Bldg. Off. A°c -7 F. Sa . ? .• ?j ? ? ? ? 0 ?CITY OF F.ACt11V • . (SV Inciuce 2 s2ts of pl?-.-s, 1 site p1Gn w/eleva'-=cas & BUILDTVG PERNLiT AP°LICATIO??: 1 set of er.ergy calculason-s. tb Be (:secl For ?. Valuafion 4? pQ --? Date t l? &2. _ Site Pd:iress: OE'FICE USE C?ZY Iot j Bloclc sec./sub. Occupancy . / ct X 3 }- _ ? ? ' ter Zoni.ng ?d Parcel y: ?0 i 700 C16 a? ?. . Repair Fire Zone - , Inc Zachman xomes ?ipe of Cons''. Eiil.arge ? . , Own2r' _ Dbve " Stories Pddress: ' 7760 N[itchell itd. Decrolish Front ?y ft. Grade Depth y?'G ft. City/Zia COde: Eden Prairie, Mn. 55344 PhO.^e ' 937-9520 APPROVACS FEES CAntractOC: same as above Pddress: City/Zip Coder Phone '; : Arch_/E'tq.: same as above Mdress: City/Zio Code_ Phone :• Assesscrents _e Permit ,QZ3- ^ P:ater/Szweer Surcnarce ,2 3 ?- Poli? Plan Check _ ? z Fire SAC " S2S °- gnq, Water Conn. y,zo = Planr.er idater TMeter Ge ?'- Council Road Unit 9,11d `=L Bldg_ Off. APC 1U'TAL ? 0-5F(D CiTY OF EAGAN _ 9793 Pllet Kno6 Rood Eegen, MN S5121 ND 7405 •? . vHONt: asaeioo BUILDSNG P.ERMIT 2eceipt Te ba wad Ferl/2 DtlPI EX & GAR Esf. Value $34,000 Dore Jua.Y 27 19 $Z Sire Addreu_ 4596 Cinn eIIlOn R1.dQe 12'ail (Unit A) Emcr gj Occuponcy R-3 Lot 1 BI«k 1 See/Sub.CinnemOn R3dge lst qlrer ? Zoning (PD) R'2 parcel # 10 17400 010 Ol Repoir ? Fire Zone NA V Enlarye [] Type af Const. aa W Nome ZdC2'W8i1 HODIE9. IlIC. Move ? # Stories z qddrcn 7760 Mit chell RoZtd Demolish ? Length24 q Ed en Prairie pF,o„e 937-9520 Grode ? DepthA4'_3" Sq. Ft.- p ?? Addren Assessment _ Ci Phone Water 8 Sew. Police _ W Nome Z Fire Addross Eng <W CI PhOIIO , Planner _ Councll - I hereby acknowledge thot I have reod this ap0lication ond stote that Bldg. Off. _ the inlormation is correct and ogreeto wmply with all opplicoble Stote ot Minnesoro Starutes and City o4 Eugon Ordinances. Name OwneY' ADVrovala Foea AP? Signoture of Pertnittea A Building Permit is issued to: all work shall be done in accordance with 8u71dirg Offlcial ? Permit 211.00 $urchorge 17•00 Plan check 105.$0 , SAC 525.00 Warer Conn.420.00 Water Meter 60.00 Road Unit 240.00 Total 51579.50 _ on tha exprea condition thni ond City of Eogan Ordinences. BUILDING Pf.RMIT N° 7404 Receipt # 31b? To M uud fer 1/2 DUPLEX & GAREst. Value $46, 000 Dare Julv 27 I 9-a2- Siro Address 4594 CinnaMpn Rida Tr831 (n B) Erect Occupancy R-3 Lor 1 B lock 1 Sec/Sub. Cinna8lon Rldae 1 Alrer ? Zoninq (F'D) R-2 Parcel # 10 17400 010 Ol Repalr ? Fire Zone NA V Eniarge ? Type of Const. w Name ZachIDdri Homes. Inc. Move ? # Stories z Address 7760 MitChell Rd. Demolish ? Length 24 Ci Eden Prairie pF,o„e 937-9520 Grode p DepthCV6° Sq. Ft.- a Neme Own@I Approvals Faes ZV °u? H Nome I hereby ackmwledge that I have read this opplicotion and state thot the intormotion is correct ond ogree to comply with oll cpplicoble $tate of Minnesoto Statutes ond City of Eagan Ordinunces. Slgnotum of Permittee A Building Permit Is issued to: _ all work shall be done in ocwrdonce cirr oF E?cnN 3795 Pikf Knob Raod 6gen, MN 55121 PHONE: 431-6100 Assessment - Wafer 8 Sew. Police - Fire Erp. Planner _ Council _ Bidg. Off. _ APC Permit 403.vU Surchorge 23.00 Plan check 132.50 SAC 525.00 Water Conn.420.00 WaterMeter 60•00 Rood Unit 240 _ nn Total $1 6C.S 5(1 _ on fha exprea condition thnl and Cify of Eogan Ordinontes. Building Official Qj? ? C'in n 7 This reauest void L. - ? 17 ? SO 18 m . onths from , 82`i ? ?- S ? r?4 Date of this Request Vk L. \- 3? 7?) . ire No. I, as 6YY.icensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Fu r->` Street Add:ess or Route No. • Section Township Range County T3n1140 Which is occupied by t Is a roughin inspection required on this job? NoW' Yes ? Ready Now ? Will Call O Power Supplie: Cbcl k0 0. E(: i1' w r` c Address w? 3?-?`• fO1^J: rJIt^-? 9l?? A.gr?.?..? Contractor's License N b?y °? Electrical Contractor (Campany Nam/e) ? p ?, • Mailing Address ? U?c3k S(o ati•c.-.v i? ?•.a.•^?+-? ` (Electrical Con or Owner Making Thls Installatlon) Authorized Signature & Phone No. (Electrical Controcmr o OwI?ner Maklag Tstallation) (?'?/? g? ?? n?? ??? J,F This inspection request will not be accepted hy the c?9 (.? b=+1 ? State Board unless proper inspectian fee is endased. Minnesota State Board o/ ElecUicity gg.00001-02 ? Griggs Midway Bldg. - Room N191 1821.Ilniversity Ave., St. Paul Minn. 55104 - PMne 297-2111 REQUEST FOR ELECTRICAL INSPECTION S ??j g27 -11 CHECSCBrLUwwVtcxUJvcn R Add cuu. +...?,.?.????. liances W'ved For Check A Check Equipment W'ved Fo? Type of 8uilding . New ep. pp Home ? ? ? Itange ? Tempo:ary Wiring ? Duplex ? ? ? N'alec Heater ? Lighting Fixluxes E3 Apt Bldg. ? ? ? Dryer ? ElecVic Neating ? . Commercial Bldg. ?0 ? 1'umace 0 Silo Unloade? k Indus[rial Bldg. ? ? ?-' " -A¢Condidoner - - 0 ? Mil an XT Bulk List Fazm - List " O[hers? Rthezs? Othei ? ? ? Here ) eie (;UMI'U 1 C 1ltlbrCl, l lvl N r cn n+:+.v.. FcedersBcSubfeeders: F # F" # ?. vc Fce Secvice E ce Size: # ce res m 0 to 3 0 ]00 s. 0 to 30 Am res 101 to 0 Amps. 31 ta 100 Am eres 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Am s. Remote Contro l Ciic. Paztial or other fee _ Transformeis - ' Special Inspution Minimum fee $S - Signs Remarks S 1 Q N TOTAL FE /1• J 8 3 I, the ElecUal/lnspector, hereby (Final) This request void 18 months from ihas been m?a? ..o.? Date 7-o -??- ? ThizrE,urz,?od qlz L41 /3lr 31??0 r ep-u,ns o-o;,, I 7 ?'d 1 a'1 77 ??oo flequest Date " Fi:e No. Rougn- in InsU?r,Y•on , o?? ? DReatly Now?W?ll Nntity Insne?s- t Wh R ? L ee ? No or en eadY ZN -icensed Elecirical Con[ractor I hereby request inspnction of aAuve n pv:ner Alechical work i istalled -ac $Lieet Addrass, Box nr.Rou No. ?l ?I V.5 9( Nnr' RIA GA-T2A 14. ? v Cd,O n/ edion o. Tnwnchip Name or No. flanqr. No. Co nty A OccuVantlPfllNT) ?? Phone No. ??_ s z Po i SuPPlier C AAdros ' 1C P 1 ? a '%j ? ?'v?Q } any Name l Electricai Coniracior ICo{? Comractur's License No. ? ? ( ? :Y V ? Y ? Mallmg Adtlress (Contraotor or Owna, Makinp Insmlla ion) G SS?32 ? , 3d v ? ? ?6??0 Aut ized Signaturo (C?et wner MakinB Inst IaGOnI P une Nwnbe.? / ( MINNESOTA STKIE BOARD OF ELEC,TflICITY Grie9s-Midwev Bldg. - Room Nd91 1821 Universitv Ava.. St Paul, MN 55104 Phane (612) 297-2111 i ms irvsrte i wrv ncu.es' rvnu rvu i BE ,1CCEPTEO BY THE STATE BOAflD LINLESS PflOPEH INSPECTION iEE IS ENCLOSEO. REQUEST FOR ELECTRICAL INSPECTION ee-noooi.e:i M13177 III,, p/, Ree insvur.tlons for comVletiny thls tcrn arr bnck ot vellow copY. ""X"".Relnw lNnrk i?.'nvered bv This Renunst 31? I v N Atld Fep. Typ. ot 9uildinq Appliances WireA Equipment Wired Home fl.mge Temporary Servic5 Duplex Water Heater Liyhtiny fixtures Apt. BuiWing Dryer [lectric Haatln Commcrcial Bldg. Fumace Silc Unluader Inclusvial6ldy. /?IrCondltioner - eulkMilkTank Farm Other SuF?.?-T V? Other (SDecily) therlSUCCifY' Other O?he: # Feo ServiceEntrancaSiz9 # Foo fa??Ae?s?Subf?F?tlers N Fee Clrcuits V? 0 to 100,qr$ 0 to 30 qn?ps C1 to 30 Am s ?. 10 200? /?fnps 31 to 1 UC Amps 31 ±n 100 Am s Abova100_-Amps Abovc100_AmPs TrartS"?r_m s Remote Con[rol Circ. P2rYial-'Other Fee U SYns Speciai Inspec[ion $ 2S' TOTA Ro ...r,ks Hau9h'"' SuRC14 A 6- 7s ?a rical V pectoq hereby rtify tMat the abovo Final ?°??' pecY n hns bnen , Tnis reuuest voitl 18 mon[ns hom P*YON H. HEDLUNMP W7726 MORCAN AVE. SO: MINNEAPOLIS, MINN. 55413 Land Surveyor Civn Enqinser PHONE NO. 866-2523 surve?or`s G'ert?, f "rc?te J08 N0. 36z- 51JRVEY FOR: 2achman '-iomes DESGRIBED AS'• Lot 1, Block 1, CINNAMON RIDGF„ City of Eagan, Dakota County, `Qinnesota and reserving easements of record. INorttN ( 30 964.4 L.:,-i- C- 00 I O + ? a o 5•_ i t u v 4- $ ? 4i O7 ? 4- ? ?--- - I I 971s ?3".:_ ? ? - - - - ? E4'l i )0 6assw StaY°S r m 2t ? I - (,u ? ?LxA2 24'?h C d ? ?ly ? H I ?„h.o W > ?l ? Q ? tll 'J YV 97z.f-- so - GAR u > ? Q 14 969.8 C174.8 Q O ? U- LL ? U ? M Citviv'AMON RioGE TRRiL 9 5 CER7IFICATE Of SURVEY I hareby cmr4ilY that on 7-Z-8,1 Z surveyed the pfoperty described aDove and thot the obova piot ia a correcf represenfation ot said survey. ??i.??--?-- I?'?• ?? Colvin H. Hedlund, Minn. Reg. No. 5942 ------- ----? 1 1 ? ? ? ? , i i 9?7s ? - ? I \ I ? 1?0 S}dkPS I ? 000 _ ! ? _ _ ? ? 76.s I I ?--------J :V d' ?v ?i .,;? \: ;., ,., :, ,., o? P e, 2?„ F ? ________'__;.,_______'___? I I ??O ,. ; ? a . ? i, , ?i? i ? ? ? ? `? ? "_ "^_"'.____ ? ? , . xm ?? ?I r ? /I_ __._- -, -.'"_",'_"__ _ - ___"- . o°u^ ? . ' _'__ "'__ ' , ? ? - "? I ? I ,?, r=.> >zz : ; • ' :, '? i ??'J s , a A? °. I ? __ -OR,uNACE ANO UAL?TY CAStMFNT ACCfi,4DING ? . f1? ti ??????. ? ? i0 IYE PiAT OF fiNNA.40N Rfp?--? ? c ? ? f? a ? ?? a?, ? - - - - -i--- - - - l - --- i? ; ? - ? ? ? ? `p LO ,?,, so,.?°.' r.« '??? ? -.NwfF (inC 3Fw i?'iP{?C Cn.aau?7 ia? ia? ?. aro?x r, ? ? ? T?riry?h ] rl J%e. F ?.n. r: n dy pNNALpN i:OLE ? d?(%p' PVG ii/.redr.Y ia' ; I ? ? O ?A? T ? y . ? ? 'Y_ i 1, _ _ vtI a; ?; ti , Y a? . _ - - -? - -- -_ ? ::- ? a ' ?' '` - ? ? ? s ? Iei2" ? ; ?- S , rr ? u r o . : ° i ?, U ?? F'YG e? '? ( I i o- 2 2 [o ? ;,. ? ' c? ? Ti_? ? ?N? _ V•?I r?? z G . 4 _ . ?y ; ? , ? ; , ` ? G? . a ? ---- -- ? ; --- ---- ? _. 3 'r . ?. ?O ? ? . _._._.__ ??------ -?- -/S? ??: I I Qwas7" -Craxrhe T L ? ? (vun-NnJ'u:5e"w) , (P:A'-53??{9?$ ?? • ySQ? ? ; 6 ? a . ?? c 5 ? P . ;? ? 1Y ,I^ > , ? y -- N89J/ 9 W --- )0519 ? ------? fnA? 6 .. ? « ?p a?? ,( f?ta?es% 7a ?.ac,e ?O NC ?"G I e ?'}?C4 4' ?OI..I'a U!?S CLII?'F ROAD ? COUNTY ST_ATE AiD HIGHW4Y <\'0. 3? _?T_ ?-?Pmenc - PnpnW Pole Present La61e • C?nEWC ? ++?Propozed ab3c - Con4?it /?--/? Fresenc - Proq?sed Cihte Pedesty; ?'t??rOn? hia Y..?lfrcaozMG,.+Crete 1?K{ ( 8/?•rQ?'? 2C0j f.?? `?75 SEe 3? -i- 2? (? 23 _?,.masrty llne W2St. ? ? ? -o- ? CY.A?HIC SGi1.F: 5 SCAIF. 1 I?.i:F.T AAPLIU7IOM TO PL1iE T7EP!If.)NE ? aLAMT ax THE PROPERT7 OF -. ? 1Hnnesou State Highw? &$u5 ` ??ryPp,K°7/r W.mir7patlty ? E Telephone Lxm?,any ExchingpSR?CM.vRU ? ]ab Nub¢r/Lnew 5?si:maar X?ar -- ? prir.t_of?,'.Scal?e ?" O1tC'?-/(a-P/ En4r. f'Mr•sF?c? . -+;!?e:r ?1in: +?v?v? _..._,,,, INFORMATION ABOVE EASEMENT RIW # R1SMA745 The undersigned Grantor(s) for and in consideration of One Dollar ($'[.CO) and other good and valUable consideration, the reoeipt whereof is hereby acknowledged, do hereby grant and convey unto Qwest Corporation, a Delaware Corporatian, hereafter referred to as "Grantee", whose addcess is 1801 Califomia St Suite 5100 Denver CO 80202, its successors, assigns, lessees, licensees, and agents a perpetUal easement to construct, reconstruct, modify, change, add to, operate, maintain, and remove such telecommunications facilities, electrical facilities and gas facilities, and appurtenances, rtrom time to time, as Grantee may require upon, over, under and across the foilowing described Iand situated in the County of DAKOTA , Sfate of MINNESOTA , which the Grantor owns or in which the Grantor has any interest, to wit: SEE EXHIBIT A ATTACHED HERETO AND BY THiS REFERENCE MADE A PART HEREOF. Grantor further conveYs to Grantee the following incidental rights: (1) A temporary right-of-way to be used during all periods of construction, reconstruction, reinforcement, repair and removal upon a strip of land 5 feeY wide on the Soulh side of, and a strip of tand 5 feet wide on the EAST side of said easemenf. (2) The right of ingress and egress cver and aoross the lands ot Grantor to and from the above-described property and the right to clear and keep cleared all trees and otfier obstructions as may be necessary for the Grantee's use and enjoyment of the easement area.. Grantee shall indemnify Grantor for all damages caused fo Grantor as a result of Grantee's negiigent exercise of the rights and privileges herein granted. Grantee shall have no responsibifity tor pre-existing environmental Contamination or liabilities. Grantor reserves the right to occupy, use and r.ultivate said easement for 2l1 purposes not inconsistenf witfi the rights herein granted. Grantor covenants that he/shelthey islare the fee simple owner of said land or in which the Grantor has any interest and will warrant and defend titte io the land against all cl2ims. Grantor heYeby covenants that no excavalion, buifding, struc[ure or obsiruction wilf be constructed, erected, built or permitted on said easement area and no change will be made by grading or otherwise to the surface or subsurface of the easement area or to the ground immediately adjacent to the easement area. The rights, conditions and provisions of this easement shall inure to Ehe benefii oi and be binding upon the heirs, executors, administrators, successors and assigns of the respective parties hereto. Page 1 of 2 3 l;iJ .?J;v'O\ .;'.n:i 1;?[? trrtiai RECORDING INFORMATION ABOVE y Any claim, confroversy or dispute arising ouf of lhis Agreement shall be settled by arbitration in accordance with the applicahle ndes of the American Arbitration Association, and judgment upon the award rendered by fhe arbitrator may 6e entered in any court having jurisdiction thereof. The arbitration shall he conducted in the county where the property is located, Dated this _day of 20 0/_. DAVID C. SCHIESHER Grantor (Offcial name of company or Corporation) Grantor Grantor (lndividual Acknowledgmeni) STATE OF MINNESOTA ) ' }ss COUNTY OF The foregoing instrument was acknowledged before me this ? day of 20¢4, by cipr- $'ay. MAUAEEN p, pEr.,t2AI! ; Y ` ?;r,wrv??r?soa 2 wmnr5sroxp?y?si.,?-,? ? Natary Public /f My commission expires _ -/ 3/-?7a PARAMOUNT DESIGNS INC 1020 E 146T" ST, SUITE 130 BURNSV3LLE, MN 55337 BY kts [SEAL] Aftest Secretary of Corporation (Corporate Acknowledgmenf) STATE OF MINNESOTA } )ss COUNTY OF } The foregoing instrumenf was acknowledgad before me this day of , 20_, by of a Corporation, on behalf of the corporation. [SFAL] Notary Public ? My commission expires: R/W# R11MA745 Jo6# R11MA745 Exchange BURNSVILLE County DAKOTA '/. Section SW Seclion 30 TownshEp 027 Range 23 _ P2ge 2 Of 2 rxxxT;YT a PROPER'T"4' DESCffiPTION (A135TT2pC'L) PLAT: CINN.AMUN RfDGI; E,OT I 6LK 1 P[DS 10-07400-01i-0] FASEMF,hT DESCRIPTION LXCEPT FOR A RIGHT OF ACCESS, GRANTEE'S EASGMENT RIGHTS FOR ADOVE GROLTND FACILITIES SHALL BE LIMITED TO A 5.00 POOT BY 15.00 FOOT PAItCEL TN THE NORiHW$S1CORN'ER OF SAID LOT 1. THi=, tiAST 15,00 PEgT OF THE WEST 25.00 FEET' OF TIi& SOUTH 8.00 PEE"f OFTHG NORTH 13.00 Ftir? OF IAT 1 BLOCK 1 CIN?IAMON RIDGE ADDSTION GIL4N'CEE SHAI.,L ALSO HpVE THE RIGHT TO PI.ACF AND MAIN'I'AIN U'NDETiGROUND CABLES AND FACILITTES IN ALL OF THE Al30VE DESCRIBED PROPERTY LYING EASTERLY OF THF ABOVE GROUND EASGMEN'C. ATTACHED CE2TIFICATE OF SURVEY DESCRII3ES SAID EASEMEN"C .AND IS A PART OF'TFIE RECO(tDBll INFORMATION i 3 "7?_ ,?997'O _ ,. _'?5'.:. (0 J' V li\ N aJ (p V' i ? R /PiAl-NB.9'U5d'W? . !r'80'{0'1) W ? 9 . N99:p59"W 1f,5.]8 e.; ?e ? f ?fi A __? y ?•?r CLIFF ROAD ::,; .. ?r,•.,= ?„ ,,:? ?e.?,ur, .,,,?.:; ?? ??, o,?? COI'NTI' S'T,4TE AID KIGHWAY N0 3' ' ?, ?H V6NOv RpGC. . n_ebr??, e/L I L! tl o 6s a repoi p t ?? o a c y a n k e rrth ' ' AROYOScD U71LJrY 1'A5EMEM by m Re, ry?'e f supcr.^sion o.d fhat i? ?„y - - a` ?he 91 i lll pi-til " b AN . Slq/5. A c c I Ity p-CO.. p An?C aSJ.ts! a e e ,n_ :rfn. a afa e,. 5L9 / , i 'hi . 2599 I t M rvN e C t ; t) ? e nl 18I k f1M 1Mr ?/ ?L ?L{-?'l (?'?+,? 4 ? _ k P/ pi C ! /. a'. !hn 0/ llre ?? wn;- _ ?/- / i Ale? xl .. Ci/ - Oc? r.?..w. lmmr.<h V P,=GY .. ? Il r'n. ,..rkru C?vl). A/i.nev.ol0. e I(?Tl_ 01 -?. __t oc c.:Y.O i_,c.. Yfle:.•.. .-,_ TNIS SURVfY MADF CERTIFICATv OF SURVEY EXCtustV£[Y FoR: JOEL T ANEZ Ok'EST COMMUNICA;lON PARAMDUNI D£ACNS, lNC. OF PART L/?VT I, BLOCK 1, 334J L1h'GLY COURT NOATi/ 1020 EAST 146TH STRECi CINNAMON RIDGE CITY OF EAGAN P.O ? B°X 14' SUIIF J30 L4k7 £LMO, MN 55f62 9URNSVILLE, MN 55337 ' ' (6531) 777-002s CP°I „""745 DAKOTA COUNTY, MINNESOTA fnQ ..d5 __ ---- ,?-- - - --{ ? l_ .: ?- I ?m I - ? ? I • ?, ?i ul J' 1 T ? • • '°p0 ??z, >z2 -? ?----- ---- ,_;-- T ??- B.<INACE AxL UP(iN FASTMFNI A_^LY;RNNC ? nfCrm? ?, . EQ?r + IO M[ P:AI OY CIM%r'aNOJi RIOG4-- i E 4 ? b3LP.+„p _ tg (P(Al=M9YS_P'Fd' ? IWOOj ?-NwL` .tr tot ; v-? i. i ?m. n rr nyn cr.vxeucv Hrncs ' I 589'37'30"E 15.00n i.•-_ ---------Y_- I i 'el ? is.oo _ -T?-- o v) ,re . L V1 I I : \_ I ?' S °n smo ±. ? o ? ?-PROPOSEO 071L?lY 5 iI) •'- ?+?_? su fASENENi'__?. 7 ?_z e o ? 6`? nm .? i a° i w 2: i i i O i qI GRAPHiC SCALE ? -T ' Y-----Y$.CO _ J. . ? 0 2{ _. , --'.? ---- --- - --- ` r .. NB9'37'30"W 15.00 c i mmommL-- ? ' '_____""_?o-..___"....._ SCALE 11T! -. 5 £EET ? ? ? V x ? ? ? U ?q?)e( 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?70,-If New Construdfon Reauiremenis RemodeUFteoair Reauiremenis _..._ __........... Offite?3?lse?Oti7? 3 regislered sile surveys showing sq. M. o( bt, sq. ft. of hause; and all roofed areas 2 wpies of plan Cerf oF Su?v?y Recd :???'i .? N. (20%maximumbtcoverageallowed) lsetofEnergyCalculationsforheatedadditions Fre6PresPienE?LCtl i?_Y _N 2 copies of plan shaxing 6eam 8 window sizes; poured found design, etc. 1 site survey for addilions & decks 7ree prieSRequrzed Y,,,,,Fl. 1 set of Energy Calculations qdd'rtion - indlcete Aonsde septic system 9n-sde SEpGeSysteOt ?_ Y_N; 3 copies ot Tree Preservatian Plan if lot platled afler 711193 Rim Joist Detail Optiorrs selection sheet (buildings with 3 or less unils) Date Const ction Cost ?/ , Site Address Uuit/Ste # ' YYl/.V ? Description of Work ^? 6 m?- Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2 Property Owner Telephone # ((oS'( Contractor 0,001700 1-7 naaress 55! a ? ? 9?t> city ?? State s o liv? Zip Telephone #(`]? , 5--? 7' 7 7Y.5- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Cade Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations SubmiNed Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN 5tatutes; 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 an in the case of work which requires a review and approval of plans. ?0 6 c ? 7",s. o) x? Applicant's Printed Name Apph ant's Signature Date: City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink r -, For Office Use Permit #: I I t '0-° Permit Fee: I (0 (0'' °.5. - Date $Date Received: (I 1)1 /13 Staff: �hJ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Resident/ Owner Name:r, C�lill! e &i I ( Phone: (0a - gll -2%71 r Address/City/Zip: L/59L/ C/4/11,4/1•1017elcli� T:rei( Applicant is: Owner )( Contractor `J Type of Work Description of work: S'/C//' /Y0d C Construction Cost: 4f© Multi -Family Building: (Y s / No Contractor Il�`` L� Company: pp c�CP( 12pnt�( �vt3 ((nShuc.�'iOnContact: (r✓ / ( aL c,,,e&_.- tie Address: /3 71J (-.5"-e)/ City: OW geklird/Zaj State: `kiZip: 5"VU/ 7 Phone: 7/5 .- L//,9 7 -0.7 Fl ‘-/License #: I CID 3 I 9 62 LI Lead Certificate #: If the project is exempt 0 S }` from lead certification, please explain why: (see Page 3 for additional information) 7g In the last 12 months, Yes No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may 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.qopherstateonecall.orq 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 1�r i L L L Ke-( Applicant's Printed Name Applicant's Signature Page 1 of 3 PERM City of Eagan #111Permit Type: Mechanical 3830 Pilot Knob Rd Permit Number: EA141147 Eagan,MN 55122 Date Issued: 02/22/2017 Q City 0IT(I (]T1llll Permit Category:/UI Site Address: 4594 Cinnamon Ridge Tr Lot: 011 Block: 01 Addition: Cinnamon Ridge PID: 10-17400-01-011 Use: Description: Sub Type: Residential Work Type: Replace Description: Furnace Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector,Mark Anderson at (952)445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota Fee Summary: ME-Permit Fee(Replacements) $59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Genz Ryan Plumbing&Heating Connie M Wall 2200 West Highway 13 4594 Cinnamon Ridge Tr Burnsville MN 55337 Eagan MN 55122--330 (952)767-1000 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature