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2102 Cliffhill Lane WOO W{LVG VI EPLJ1Vrk 111K - - - - - - - - - - - - - - - - - For Office Use C]~ O f Ea I j~I Permit o 9~j j ~(.(11 I 3830 Pilot Knob Road AUG 06wn Permit Fee: 9e) Eagan MN 55122 j Date Received: R-5-40 Phone: (651) 675-5675 i Staff: /n& Fax: (651) 675-5694 1 I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: _7 L1. AD Site Address: g 1 d 01 Tenant: Suite RESIDENT / OWNER Name: a,4 A:&~) Phone:4,57)1-71 :a 41gS Address / City / Zip: 'p-lb h a 4 • 6:51-1 012 Applicant is: Owner _)4/_ Contractor TYPE OF WORK Description of work: q~ Mx xt utt_'. d ZG~ n6 - op Construction Cost: ~t (_)o • Multi-Family Building: (Yes ! No , CONTRACTOR Name: ~ )&Iv t CZLe4.> ' ~u License 7 Address: q7 t/ a~4~ City: (1 671(a44-a-) State: Zip: Phone: Contact: Email: 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.gopherstateoneca)l.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 approvi n i n the case of work which requires a review and approval of tans. x x L)C"x' Applicant's Printe Name Applicant's i nature Page 1 of 2 . ? cirr oF EAGn?N . 3795 Pilot Kno6 Road Fagon, MN 55122 N2 6544 - PHONE; 4548100 _ BUILDING PERMIT Receipt # - ? Te be uwd for Est. Volue Date 19 Site /1ddress - Erect ? Occupancy Lot Block 5ec/Sub. Alter ? Zoning Repair p Fire Zone Porcel # E l T f Con t nrge ? n ype o . s W Nome ,-`"•t'-t:: .-'; `."-' ? - Move ? # Stories 3 Address ; 7? ' :i = Demolish p Front ft. ; -"'d17'?.r , Grode ? Depth ft. Approvob Fees °C Nome o , OU /lddress Assessment Permit Water & Sew. Surcharge ? C1 Phone Police Plon check Name Fire SAC Address Eng. Water Conn. L Ci Phone Planner Woter Meter Council Rood Unit I hereby ocknowledpe that ( hove read this application cnd state that gldg. Off. the information is correct ond cgree to comply with all applicable P T t l State of Minnesota Statutes and City of Eogan Ordinances. C A o a Signoture of Permittee A Building Permlt is issued to: on the express condition that oll work shall be done in occordonce with all cpplicable State of Minnesoto Stotutes and Ciry of Eagon Ordincnces. Building Official 10? PenaM # DaM Iwaed PMSifhe Plumbing Me hqnicul ?iz-.lL INSPECTfONS DATE INSP. Rough-In Final Footing5 Ovte Insp. Date Insp. F dation Plumbing k Af ? Frome/ins. - Mecfanic I Finol I ? Remorks: p-?-., ;C? ?-7'?? Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Pill in numbered spaces S/C Type or Print legibly Tot. ----?-- 1. Date 2. Installation Cost 3. Job Address ' Lot Blk. Tract 4. Owner ' [orne 5. Contractor Phone - 6. Address 7. City ' - ' . State Zip 8. Building Type: Residential El Commercial ? Institutional ? 9. Work Description: New 9- Add ? Alier O Repair ? I 10. Qescribe 1 11 Type No, Eauinment STU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. O Air Cpnd. ther Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and codes governing this type of work. Signed : for . Rough Flnal Inspections: Date Insp. Date Insp. This.is your permit when numbered and approved. Xpproved CITY OF EAGAN 454-8100 Receipt 1. Date I 3. Job Address PLUMBIN6 PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibJy _2. Installation Cost , . Lot Blk. I 4. Owner ,drm I?kxres Permit No. Fee S/C Tot. Tract 5. Contractor .-d t '1iC• " :.-='.{r Phone 6. Address 23 `-? 7 -' W 7. City _ State Zip 8. Building Type: Residential 0 Commercial ? Institutional ? I 9. Work Description: New 13 Add ? Alter ? Repair ? I 10. Describe I 11 No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs S i T k Lavatory ept c an f 5 Shower tner o W ll Kitchen Sink e Urinal/Bidet h O Laundry Tray er t Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets i 12. I hereby certify that the above information is true and correct, and I agree to i comply with all ordinances and codes governing this type of work. Signed : , for Rough Final •Inspections: Date Insp. Date Insp. This js your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 1 ,. PERMIT # PLUMBING PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE: 9/Z?1'' I8a ' PRICE: PHONE: 454-8100 ? Site Address ? Name ?o Addre: c Cityj BLDG. TY?_ Res. Mult. Comm. RES. PLBG. ONLY - COM NO. FIXTURI Water Closet - $3.00 Bath Tubs - $3.00 Lavatory - $3.00 Shower - $3.00 Kitchen Sink - $100 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 WORK OESCRIPTION N ew Add-on Repair ? Name 3 Addre 0 CitY - Phone ? COMM/IND FEE - 1°r6 OF CONTRACT FEE ? APT. BLDGS - COMM RATE RPPLIES ' TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 , MINIMUM - COMM/IND FEE - $20.00 j STATE SURCHARGE PER PERMIT - .50 ?(ADD $.50 S/C IF PERMIT PRICE GOES ? r.,.,. ? .. ,,..., .,.,, PERMITTEE ? FOR CITY OF EAGAN . TOTAL S (MINIMUM - 1 PER PERMIT) ?Softener - $5.00 Well - S10.00 Private Oisp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: CITY OF EAGAN Remarks Addition Cedar Cli.ff Addiriott Loc q-- -eik Parcel M i66nn (l? Ownerl?.:i1.' ? ` Street_2102 Cliff'1ii11 _Lane State Ea¢ani NIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 1496.30 299.2 5 --1496.30 -- STREET RESTOR. GRADING 2 1981 A0102 5AN SEW TRUNK 105,6 5 7-.0 j A010279 6-9-81 SEWER LATERAL c , ao 3a.8i WATERMAIN * WATER LATERAL WATER AREA 9 94 3 6 p 6-9-81 ; , STORM SEW TRK S ? a, 08 A010279 6-9-81 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 23816 3-20-81 WATER CONN. 335.00 23816 3-20-81 BUILDING PEFi. 6544 SAC PARK f CASH RECEIPT CtTY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 R£CRI V ED ' FRp,? AMOUNT $ I ? & ooLuws ,aa ? CASH ? CHECK Row r J 9 / i FuNO cooe AMOUNT I, Thank You ` --- ?? B Y White-Payers CoPY Yellow-Pottir?p COpy Pink-Filo Copy to eanply wifh fhe City of Eagon ? ? W a W V ? W vf p ? ? Z j F? ~ O ~° a p Z I ? 0 0 c9 °e N Q Y W ? Z O 1 ? ? a ? L c 'c u? Q?vo Q N ? cs? 8 I` I I a ° ? Lv v s ?o ,. a a0, c r `o v a C ? t •• 0 U < I ? s ? eu w O ? V a ? s ? 3 .b n y p O w $j C W < A ? ? Y ` 2 N -0, C o i ?,a?inoc_o mo SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Accounf Deposit: _ Permit Fee: $urchorge: Misc. Chorges: Total: Date Paid: Date of Insp.: "rInsp-: 8y . . This rer,uest void X?1, U? s`, C-- 18 months from Date of this Request 4-2-8 1 Fire No. T"9O86 I, as ? Licensed Electrical Contractor 0 Owner, do hereby request inspection o f the a bove e lectri- cal wiring installed at: Street Address or Route No. 2103, Cliffhill CityEagan Section Township Range County rj;q A Which is occupied by ZAchman Homes (Name of OccuDant) Is a roughin inspection required on this job? No D Yes P Ready Now ? Will Call ? Power Supplier Address , • Electrical Contractor Contractor's License No. 39778 (Company ame) Mailing Address 4120 t 1 bntra (Dw • kin stallatlon) Authorized Signature_Ke; th R HPSli Phone No. 566-860o (Electrical Contractor or Ownar Making Thls Installatlon) STATE BOARD COPY T? insPection request will not be accepted hy the State Board unless proper impection fee is endosed Minnesota State Board of Electricity - Room N191 Bld id Eg_00001-02 ? g. way Griggs M ' University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REaUEST FOR ELECTRICAL INSPECTION v n-vcncr? uv TL11C DF(lI1FCT T29086 1- IYCLIt13 E LVw WVM%.VYL,l\ Type of Building New Add. Rep. LLL• Q?eck Appliances Wired For CEquipment Wired For Home 9 ? ? Range ? Wiring ? ? Duplex ? ? ? Water Heater ? ixtures ? Apt. Bldg. ? ? ? Dryer ? eating ? Commercial Bldg. ? ? ? Furnace ? det ? Industrial Bldg. ? ? ? ? ? ? Air Conditioner L?t ? Tank Fazm others Other ? _ i,?r•^VT r.rc nL'i l1tV _ ,l, 111J1V CDG D (,UM]rLJ jt 11VJYI' LLV T* Circuita: F ? Fa Service Entrance Size: Fee Feedera&Subfeeders: ?k ee 7 14 01 0 to 100 Am s. I. , 0 0 to 30 Am res 0 to 30 Am eres . 101 to 200 Amps. 31 to 100 Am res 31 to 100 Am res Abov s. Above 100 Amps. Above 100 Amps. Trans s Remote Con trol Circ. Partial or other fee Si ns S cial lns ction Minimum fee $5.00 Remark .? _ TOTAL F E???SO 22 00 I, the Electrical Inspector, hereby certify (Final) This request void 18 months from been ?te - Date ?' CALVIN H. HEDLUND f Lana Survayor CIvII Enpinsar 9609 OirarA Avenua SouTh Bloominqton,Minnswta 55431 Phone : 8 8 8-2080 survewr?s eertljicate ' JOB N0. «O7 SURYEY FOR: Zachman Homea DESCRIBED AS: LOt 9. 81ock 5, CEDAR CLIFF,,City of Eagan, Dakota County, Minnesota, arid reserving'easementa of record. 900.0 75.00 900.0 ?-- ----? I ? I • ? I I 1° LA? I0 ` 894:Z. 99?2 ? --r 36-\ lo'p stakes ? SRARWoOO ? '? ? IO?DStakcS . ti \>plf1-:4°"le`. N ..GAR? 9 L_v ?-' L•' I 0 d.?ve L_:.i !-? ? - ? -- ---? 8`16.4 7 .00 897.2 .5 0 0 M co Top af Founda};on: 899.9 8aaemenv Floor = 846.7 Garaye Floor = 894.5 Prepoaed Elevatlon5 O E r ia+in9 Elevations - Denotcs Draina9e -* S s. eLe&- 8g9 896.6, CLI FFy(LL Lqy./E t 896.4 CERTIFICA7E OF SURVEY I hereby certify that on 2-20-g1 I surveyed fhe property described obove and ihat the above platis a correct representation of soid survey. 4 44'? cs?) Calvia H. Hedlund, Minn. Req. No. 5942 CITY OF EAGAN Inclule 2 sets of plans, 1 site plan w/elevations & BiJILDING PERMiT APPLICATION 1 set of energy calculations. Zb se used For va tion ??2,4v r nate I3 -/L)"911 Site Ptidress OFFICE USE ONLY wt 7 filocx ? sec. ,aU I -?"Erect ; _ occupancy Pazcel Alter Zanin4 Repair Fire Zone OwTier: IIilan3e _ Type of Const. Nbve # Stories Address Denlish Front ft. City/Zi Grade Depth ?y ft. Phore I Contractor: Pddress: City/Zip Code: Phoxie # : Arch./Eng. Address: City/Zip Code: Phone #: ?dater/Sewer Surcharge Polioe Plan Check Fire SAC Sa.s ? g1q, Water Conn. Planner Water Meter /.? Council Road Unit /5?r Bldg. Off. APC / ? ys? OD •mmAL JC ? ? ? ? J O l? ti CITY OF EAGAN 3795 Pilot Kno6 Rond Eagan, MN 55114 N! 6544 _- ` PHONE: 454-8100 BUILDING PERMIT APPLICATION ReceiPt # To be used for SF DW/GAR Est. Value 39,000 Date 3-20 19 $1 , _ _ Slfe Address 711712 1 i ffFi 11 T.n _ _ Erect 30 Occuponcy R3 Lot 9 Block 5 Sec/Sub. Cedar Cllff 1 Alter ? Zoning Rl Percel # 10 16600 090 05 Repair ? Fire Zone NA V Enlorge ? Type of Const. a Name ZdCtll0dil Ho[LS Iri _ Move ? .'? Stories ; Address 7760 1,41tChell Rd. Demolish ? Front 56. tt. b CI Ed n Prairie phone. 937-9520 Grade ? Depth 24 ft. p Name ApDrovols Feea z? ?? Addreu ? CiN - ?w Nome _ ?w _? Address 1 hereby ocknowledge that I have reod this opplication ond state that the informafion is torrecf and ogree to comply with oll applicoble State of Minnesota Srotutes and City of Eagan Ordinances. Assessnt 3-11-Rl Woter & Sew. Police Fire Eng. Planner Council Bldg. Off. APC permit 113. UU Surcharge 19.5? Plon check 56.50 snc 525.00 Water Conn. 335. 00 Water Meter 60.00 Road Unit 185. 0? Total 1 f 294. 00 Signoture of Permittee I A Building Permit is issued to: ZdC]'1iIlaI1 H[ICI2S IriC. on the express condition that oll work shall be done in aec?o un/ce th a?ll I-ico-ble State o£ Minnewta/5tatutes and City of Eagan Ordinonces. Building OfHtial (//".LC e.. ?? -+ / r - - - - - - - - - - - - - - - - i f I For Office Use f ~e City of E, Permit I I Permit Fee: 3830 Pilot Knob Road I / I Eagan MN 55122 Date Received: Jl j Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: ! I I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 021 ~Ll~ f1% ln~- Tenant: Suite RESIDENT/OWNER Name: X04/ (Q© /I Phone: Address / City / Zip: Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: 6ro . c Multi-Family Building: (Yes / No CONTRACTOR Name: L:2 ; iiLt ' 1-,5 License /a-V 79'15 Address: City: C~ Y State: ~tf Zip: ,,53 7 oC Phone: ! L2-2L ZVOO Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (1~ submission type) • Energy Envelope Calculations Submitted 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. 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. w x 1~~~1 f ~(~Sr3Yl x ' Applicant's Printed Name Applicalnt's Signature Page 1 of 3 Use BLUE or BLACK Ink r----------------- I For Office Use I Permit non City of Ea Rd I I be Permit Fee: I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: C6 ~Maac/L Phone: (9- S 0-' Resident/ Owner Address / City / Zip: /dam- Applicant is: Owner J(_ Contractor Type of Work Description of work: Construction Cost: 9 ,f _!Y Multi-Family Building: (Yes No k-3l Company:(d,-7,oo? c-Y Contact: Contractor Address: city: State: Zip: s_U3 Phone: I License y f S 9 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) s i 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: I Mechanical Contractor: Phone: LSewer & Water Contractor: Phone: NOTE: Plans and supporting documents that yousubmit 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permi ' uance. x pplicant's Printed Name A ant's Signature Page 1 of 3