2122 Cliffhill Lane
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CITY OF E AGAN
' - 3795 Pilot Knob Raad Eagon, MN 56721 N0- 6512
? PHONE: 4S4-B100
BUILDING PERMIT ReceiPt #
TO be p"d fw Est. Volue Date 14
Site Addreu Erect ? Occupancy
Lot Block Sec/Sub. Alter p Zoning
Paroel # Repair p Fire 2one
E
l
? T
e of Const
n
arga yp
.
Name Move p # Stories
W
z qddress Demolish ? Front ft.
Ci Phane Grnde p Depth ft.
Aeerevals Fees
Name _
Nddress
I hereby acknowledfle that I have reod this appiication and state that
the information is oorrect ond agree to comply with ail upplicoble
Stote of Minnesota 5totutes and City of Eagan Ordinonces.
Wnter & Sew.
Police
Fire
Eng.
Plonner
Counci I
Bidg. Off. -
APC
Permit
Surcharge
Plon check
5AC
Water Conn.
Water Meter
Road Unit
Total
5ignoture of Permittee I
A Building Permit is issued to: an the express condition thof
oil work shall be done in accordonce with oll applicable State of Minnesota Stotutes ond City of Eagan Ordinances.
Buildinp Officiol
Permit ?j Daft Iwow PNmkM
Plumbin9
Me hanical ?-
? ° "_ 3 - l - rf" (
INSPECTIONS DATE INSP. Rough-In Final
Footings "q DaTe Insp. Dote Insp.
Foundation Plumbing
Frame/ins.
Mechanical _ ??
Finol
I
Remarks:
--no
, cirr oF EAGAH
, 3795 Pilot Knob Rood
Eu9an, Minnesote 55122
Np' Phone: 454-6100
PERMIT
Date:
Site Addreu:
Lot
Block Sub/Set. '
Name r1C177".fi.Troi'?:: .
°a Address
?
Ciry 'rair i ? Phone:
Nome -
.
? _.
? Address
e
e
i.? - .
City phone:
This Permit is issued on the express condition that oll work shall be
Minnesoto Stctutes and City ot Eogan' Ordinonces.
1
,
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residenriol
Multi Res., Comm./Ind. I
New/Alter. / Repair
Gost of Instnllotion
Permit Fee
7otal
done in accordonce with ell applicable State of
Building Officfal
_ cinr oF EAGAN
? . ; 3795 Pila Knob Reod
Mo Eagon, Mlnnasote 55122
Phone: 454-E100
PERMIT
Date:
Site Address:
Lot
2122 c.l-irfnizi In
Blotk Sub/Sec,
r'F3 _ ' _ , -
Name .'1: t ,
` . t; -- -a -
? Address '
?
, ..,
City Phone:
Name
?
?
? Address
0
V
City Phone:
This Permit is issued on the express condition thot oll work sholl be
Minnesotn $tatutes ond City of Eagan Ordinances.
3-4 - s.?J.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL I NSPECTIONS
' Receipt No.:
Single I
Residential
AAulti Res., Comm./Ind. I
New/Alter./Repolr
Cost of Instollotion
Permif fee
Surchorge
Totol
done in occordorxe with all opplicable State of
Building Official
Site Address ?
Lot ?
r
m Name ?
m Address ,
c City ?
?
; L
c Name ?
Address
_ p _
City __30e
' TYPE OF WORK
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
f
? rcnrvn i x
MECHANICAL PER IT RECEIPT # ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: F1
PHONE: 454-8100
BLDG. TYPE/ WORK DESCRIPTION
;ec/Sub Res. New
44ZA? , MuR Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON IS
M BTU
M BTU
M BTU
„?'`,1?/M BTU
CFM
FEE:
S/C:
TOTAI:
ur+o vu i Lr- 10 tmfnlmum - 1 rr-n rcnmi 1)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLJES
MINIMUM RESIDENTIAL FEE - ALL ADD-aN &
REMODELS
- $24.00
- 6.00
1.50 EA.
- 12.00
!ss MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $_50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
,-
,? . .? .?.. -- .
SI
• `? ?j
FOR: CITY OF EAGAN
CITY OF EAGAN Remarks
Addition Cedar C1iPf Addition Lot 5 Bik ?.
Owner '" '` ' street 2122 Cliffhill Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1952 1496.30 299-26 . - '
STREET RESTOR.
GRADING 1981 541.38 108.28 5
SAN SEW TRUNK jQS 7
?
04
* SEWERLATERAL 1981 2541.81 ,
.
508.20 $
WATERMAIN
WATER LATERAL 1981
WATER AREA
1975
94
9
k
6*33
_ _
41781
,
STORM SEW TRK ? 1981 4(05.09 81.02 $
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 335.00 23343 2 13 81
BUILDING PER.
sAC 525.00 23343 2 13 81
PARK
CITY OF EAGAN
9795 Pilot Knob Rood Eagan, MN 55122 N2 6512
' PHONE: 454-8100 ?
BUILDING PERMIT APPLICATION
Receipr ? -3
# /3
Te be used fo? SF'/GAF2 Est. Value 39 , 000 Dote 2-13 , 19$1-
Site Address 2122 Cliffhill Ln Erect
?
Occupancy ?
Lot 5 Block 5 sec/sub. Cedar Cliff 1 Alter ? Zoning RI
parcel ,# 10 16600 050 05 Repair ? Fire Zone 3
l
E e of Const
T v
n
arge p yp
.
ce Nome ZdCt'IIY1dn H[Bt1es Iric. Move ? # Stories
Z Address 7760 Mitchell Rd Demolish ? Front 58 ft.
t _ Eden Prairie _. 937-9520 r-.,,,ae r, ne.,«ti 24 w
? o Nome _
F
81 Address
H r:...
Name
Address
I hereby acknowledge thot I hove reod this opplication ond stcte thot
the information is correct and agree to comply with ull opplicoble
Stote of Minnesoto Statutes and City of Eagon Ordinonces.
Water & $ew.
Pol ice
Fire
Eny.
Plonner
Counci I
Bldg. Off.
APC
Permit 11.3. uV
Surcharge 19.50
Plan check 56.50
snc 525.00
Water Corm.335. 00
Woter Meter 60. 00
Rood Unit 185.00
Tota! 1,294.00
Siflnoture of Permittee I
A Building Permit is iswed to: Zacbman HCrTeS IriC. on the express rnndition thot
a11 work shall be done in acoordonte th all applicable St of Minnesota )Statutes ond City of Eaflan Ordinances.
Building Officicl
CI'I'Y Or^ EA,.',AN Include 2 sets of plans,
1 site plan w/elevations b
? BUIZDING PERMIT APPLICAT'ICJN 1 set of energy calculations.
Zb Be Used For ShW?tr ?rn.1w Valuation Date ???f $1
Site Address: eZ I 22. C.?1??n?1, Lare . OFFICE USE ONLY
LDt Blodc SeC. /Svb. ? jj?_6Erect ? Occu?y
Parcel? # 3 ??(?l???i1 DS Alter Zoning
Repair Fire Zone 3
',? ? e of Const. t/.
Owner: ?y1? QS _ . `''?`'`? ?? ? ?ories
Address: ?'7 io6 rr1\'k`C?cA\ . Darnlish Font ? ft.
Ci ty/Zip Code :Ed B r-. prt? I rt'IL. ?. Grade Depth f t.
phone #: 37-Qsa0 APPROVAIS FEES
I Address:
I Phone # :
>r: ' Pssessnents Permit ?J3 °-' -
- W3ter/Seaer Swrc'hange a °
Polioe Plan (hec3c
coae: Fire sAc sa?
Eny. kates Conn. 3 36-d&
Planner Water Metes (aa
?./?g.: - counci Roa?d tmit
l
Bldg. Off.
Ac3dress: P,PC
Code:
#: - -- TOT-AL /aZ 9y. 00
WATER SERVIC E P
CITY Oi EAGAN ERMIT
3795 Pilot Knob Road PERMIT NQ.:
Eagon, MN 55122 DATE:
Zoning: Na. of Units:
Owner.
Address:
Site Address: '
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit;
Reoder No.: Permit Fee:
1 agree to comply wi}h the City of Eagon Surchorge:
Ordinances. Misc Chor
ily
Dute af Insp.:
C17Y OF EAGAN
3745 Pilot Rnob Road
Eagan, MN 55122
Zoning:
Owner.
Address:
Site Address: ?
Plumber:
. ges.
Total:
Date Paid:
Insp..
PERMIT
PERMIT NO.:
DATE:
No. of Units:
L.BEP :f ;3 _i: • .
1 ogree to comply with !he City of Eogan Connection Chorge:
Q?dinonces. Account Deposit: •
Permit Fee:
?
SWrcharge:
BY Misc
Ch
e
:
, .
org
s
Dote of Insp.: Total:
Insp.: Qate Pnid:
RESIDENTIAL
? ?/G339 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Constructlon ReaulremeMs
. 3 registeied sfte surveys shrnnfg sq, ft of bt, sq. R o( tause; ancbg ioofed ereas
(20% maximum lot coverage aWwed)
. 2 capies of plan showing beam 8 window sizes; poured found design, etc.)
. 1 aet of Energy Calalatlorc
. 3 oopies of Tree Preservatlon Plan il bt platted after 71153
. Rim Joist Detail Options selection sheet (6Wgs wilh 3 or less unBs)
oATE 9) QPla
JOB SITE
IF MULTI-FAMILY B(U?ILD??ING, HOW MANY UNITS7
PROPERTYOWNER "UI(Y9k 4- U?CU?,1 f?t
TYPE OF WO
APPLICANT
ADDRESSQ
PAGER # _
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing CoMractor. _
Plumbing System Inc(udes:
Mechanicai Contracfor. _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone M
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that i have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
SlgnatureofApplicard ?? 4,Yl ,
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1/Ot
RemodeVReoalrReaulrements
. 2 copies of plan
. 1 set of Energy Calalatiorelor heated addiUons
. 1 sKe survey for exterior additions 8 decks
. Indicate H home sened by septic system for additions
VALU/[ION 11 R4 ,?S ($
FIREPtACE(S) 1/ 0 _ 1 _ 2
PHONE#LSI-(-11N5- RGOC1
ZIPCODE56 I_D-')-
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Sut
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Wortcsheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
_ Air Conditioning
_ Heat Recovery System
r?:, ?
,1[AL 2 4 zao 1 ?
?.-?-`?- -.- .-• i
Fee: $90.00
Minnesota State Board of Electricity .
Griggs Midway Bldg. - Room N191
-1821 University Ave., St. Paul, Minn. 55104 - PFqne 297-2111
FiEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOAK COVEREO RY Txi.c uFni iFeT
EB-00001-02
4 9 ana -r?
Type of kuilding New Add. Rep. Check Appliances Wired Fm Check Equipment Wired For
Home °? ? ? Rnnge ? Temporaty Wixing ?
Duplex ? ? El Watet Heatex ? Lighring F'ixtures ?
Apt. Bldg. ? ? ? DrYex ? Electric Hea[ing ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industnal Bldg, ? ? ? pir Conditionex ? Bulk Milk Tank ?
Farm ? ? ? Llst ) List
Other 0 ? ? Oth Here ) cis} Others?
Hexe )
t;umYUTr 1NSPECTION FEE BELOW
Service Entn
nce S'rze: u Fee Feedeis&Su6feedeis: a Fee cuits: # Fee
A
U to 100 m s.
I OI to 200 Amps. 0 to 30 Am res
31 to 300 Amperes 0 to 30 Am eres
31 to 100 Am eres 1. 0
Above 200 Amps. Abovc 100 Amps. Above 100 Amps.
Tr rmers Remo[eConttolCirc Partialorother£ee
Si Special Ins ection Mintmum tee $5.00
Re
TOTAL`EE?3(? 2z
.00
I, the Electncal n e , hereby cer " at t ue mspec;ion has been
Y%r y ",
(Rough-in) Date
'? ?-
(Final) Date ? _.. 7
This request void
18 months from
This request vuid C. ? ??--
18 months from
'19a o`
Date of this Request 2-27-81 Fire No. 1- 29045
I, as ? Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal winng installed at:
Street Address or Route No. ?? ?? rly eft, •? i City E@s@34
Section Township Range County Dakota
Which is occupied by Zachman Homes
(Name of Occupant)
Is a roughin inspection required on this job? No ? Yes 13 Ready Now ? Will Call ?
PowerSupplier Dakota Electrics Inc. Address
?
ElectricalContractor Svnrise ectrics In?. Contractor's License No. 39778
(COmoany Name)
MazlingAddress 4120 83rd Ave. Noo Mpls Minn. 55443
(Electncal Contractor or Cwner Making Thls Installation)
AuthorizedSignature x'±h R usl; PhoneNo.?Fr;_Rr;nn
(Electrlcal Contractor or Owner Makln9 Tnls Installatlon)
SW (? ?? ????D (?O(?M This inspectian request wili not be accepted by the
? L, U?? U State Baard unless proper inspection fee is enclosed.
This mqueovmA .., ?? /C ?
18 Yroflt?l9 flOT C+?
f 7462 (70,..
Pequesl Daie ire No. Roueh-mInspg j.on
'
R
oec-
?eadYNUw?
'
l'
?-??-&? 6ryp
?Yes or
When
Heady
? Lmensetl Electncal Conttactor I hereby reqvest insDecLOn of above
? Owner electrical work instelled ef:
Street Address, Bon or Rou[e No.
2122 CP.i,{yg H.i,Y,2 Lane CitY
Eagan
ecuon o. TownsMp Name or No. RanBe No. Counly
Occupam (PPINT)
Gne G-i.uen Phone Nn.
Power Supolier !+ddress
Elactncal Contractor lCompany Namel
Ea.a.ton E.eec?i?i.c Cam an Contractor's License No,
-
Mailing Address IConVaclor or Owner Making Instailauonl
Aukhor¢ed igVature (Con or wn ' aking Installa?wnl Phone Number
447-9490
MINNESOTA STATE BOARO OF EIECTflICITV
6rippa-MiAway BIAg. - Ibom N•791
1931 Univsreiiv Ave., SL Vnul, MN 65700
Phone (612) 642-0800
TMIS INSPEGTION NEOUtSI WILL NOT
BE ACCEPTEO BV THE STATE BOAND
UNLE55 PROPER INSPECTION FEE IS
ENCLOSED.
11?3 ? REQUEST FOp ELECTRICAL INSPECTION es-pooo?/o-i-oe
/ See mslruc4ons for tom0letinp thie form on back ot yellow caoV. 7y /(g /
? 7 1l "1C' Be/ow Work Covered by This Request
AAd flep. Type ol Bwldine APVhoncea Wirad Equnumenc Wired
Home Ran9e Temporery Service /
Ouplnx Water Heater Ltghtin) (
Ftxiures
Apt. BwlAinfl Oryer Electnc HeaUn
Commercial 81dg. Furnace Silo Unloader
- Industnal Bldg x Av CorWrtioner Bulk Milk Tank
Parm Othe.r oeci y Iher ISnenfy)
t er ueci y ther Oth¢r
Y Fae Service EnUanceSae p Fee Fexdare?Subieedeis N Fee Grcu?ls
0 to 200 qm s 0 to 30 Am s 0 m 30 Am
A6ove 200 qm)s 31 to 700 qmps 31 to 100 A
Swimmin Pool qbove 100_Amps Above 100_Am s
Transformers Irngation Booms Partial.'Other Fee
Signs Speciallnspectwn
emarks TOTAL F? J
?
Rouph, Da[e
I, the EI vi a
Inapector, areby
pinel certrty that the above
?.L1?e
' inaoaction ?es baen
/
,?
y mode.
..... . _.._._..,...,..,p,,..,. „
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
.. •` 3830 PILOT KNOB RD - 55122
551-681-4875
New CanthucMon Reatdremenls CiYI"" i'-;?-77 0 Remodei/Reoalr Reauiremenn -ao V?
n 3 reglsteretl Wfe wrveys alwwing sq. tl. of bt, eq. H. of house 6??0-06 2 coples of plan
and Ml raofed areas (2076 mmdmum l01 coveraae allowecn t set of energy cdculaXons lor heatetl addiHOns
? 2 coplee of plans (ahow be0m 8 window skea; poured hld. design; eic.) 1 site survey lor 9xtedOr qddiHOm & tlecka
? 1 aet of energy cakulallons
> 3 caples of hee preservaMOn plan II IW plalfetl afler 711/93
DATE: CONSTRUCTION COST:
DESCRIP'fION OF WORK: -ll2A
STREET ADDRESS: Z 1ZZ C ii?? hQ L&?
LOT: ? BLOCK: SUBDJP.I.D. q: ?V C
Name: nw &vLr jl.c.PA? Phone 4aS`&boFi
PROPERTY tast Plnt
OWNER 212Z Clt??:???N
Sheet Address:
Ciy E-Ct qctn State: r? ?? - Zip: s? 1?Z
Company. ? ja!n= ? ? Phone M: L-- ?--
' (area code)
COMRACTOR
Sheef Address: xieL-10?S-• SAr`E AS ARDcC license # Exp•
dty State: M*}- ziP:
ARCHITECT/
ENGINEER Company: Name:
telephone #: ( )
Sheet Address: Regishaflon
Cly Siafe: Lp:
Sewer/water licensed plumber (N installlnn seweNwater): Phone #:
I hereby acknowledye tlwf I have read this applicaNon, afate that Ihe tnformaHon is cortect, and a9ree to compy wNh all applioable State
of Minnesota Statutes ond CHy of Eagan Ordinancea
Signature of ApplicanY. ?.=??-???'?
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
JU1 2 0
Tree Preservation Plan Received - Yes - No - Not Required
1-
? 9609 Olrard Aveauo Svuro
-CkLMiN H. HEDLUO
Bloomin9ton,Minmwta 55431
Laad Surv*Yer Clvll fnpinser Pokone :806-2090
survew"" cw?f "?cate
xy*<r JOB N0. ??01
SURYEY FOR: ZaChlaan Hanee
DESCRIBED AS: Lot 5, 81ock 5, CEDAR CLIFF, City of Eagass, Dakots County,
lstnneeota, and reeerving eaeementa of recard.
? 403 r. , _. 0.2L _ qo4.o
I ?? ~
i ?
I 4
I ?
I ?a
IO'(D
8U.3 ?
'-`-- - -
I 1? ToP of Foundation=4o2.71
i Hasement Fioo? • 899.5
q faarerte Floor = 902.3
I 20 ???? ? Proposed Eleva+ioyis ?
?? , gtA? Exishin9 Etevat(ons
P 1 gR PRWt^D ? GA S De?otea Drainage -?
t
i_O7 - Lti I
?
?.o? ?
0
` M
?AN
8`o CLIFF
3;i ia E
GERTIFICATE OF SURVEY
I hereby cetfify thot on / / 28/$? Y surveyed the propeNy deseribed obove ond thot
The aDove plot is a wrrect representotion ot sald survey.
*.
Calvln H. Hedluna, Minn. Req. No. 5942
CSTY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMT
I
PHONE: (612) 454-8100 RECE
PT # f.?f
DATE:
k$mw`Iw PLEASE COMPLETE UPPER PORTION ONLY FOR SZNGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----°------------------ ------------------------------
WORK DESCRIPTION ---------------------------
COMPLETE THE FOLLDWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
" G?cn
>
?c- 4:
v
o LAVATORY 3.00
OWNER NAME:
.
_
c
g')
E KITCHEN SINK 3.00
/ LAUNDRY TRAY 3.00
SITE ADDRESS: `jj _ HOT TUB/SPA 3.00
WATER HEATER 3.00
IAT: 5 BLOCK S SUBD. FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS:
/[2o,f OTHER
, WATER
ER 5.00
CITY:?,
ZIP: P
RIVATE DISP
15.00
U.G. SPRINKLER 3.00
PHONE #:
SUBTOTAL $
? ST. SURCHARGE .50
_ ?IGN?'S^)RE OF P.'Rh?IT E
- --- --- -
TOTAL:
/
?Q.JIFIDII$?'&IAT,? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL
:
-
:
.: BUILDINGS AND
_... _
..
_..
..
.....>.
MULTI-FAMILY BUILDINGS WEiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT. ,
--°___________________________________________-°---__
CONTRACT PRICE: ____
FEES
0'WNER IvAIdE:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS
CITY: ZIP:
PHONE
FOR:
CITY OF EAGAN
i€ OF CCtdTRACT FEB.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
S
$
(SIGNATURE)
-. _1 ... i w , ? C , ,
'"CALVIN H. HEDLUrs ? 8609 61rarA Avenue South
Bloominpton, Minnesoto 55431
Land Survtyor Clvll Enqfneer phono:888-2080
surtlepIfor'fs eertiliegte
JOB NO.
SURVEY FOR: Znchman Hanea
OESGRIBED AS: Lot 5, Block 5, CEDAR CLIFF, City of Eagan, Dakota County,
Minneaota, and reaervinq eaeements of record.
Z
s p •
+
40 2 60.2?
- -. - -
I- - qo4-o
I ? -
I l
I r
I ?
I io
MI Top of Foundafion=90Z.7
-I $asement Floor = 899.5
iz 9p 6a?a2e Floor - 402.3
I qp ?--- -' 26 10 ?Ve5 Proposcd Eievatioyis O
EXisting Elevatfans
ST ? 5 ?P ??aR?p,uwpoD ? 6AR 6 Denotea Drainage -s-
F_`• o
r I p ,
? qoo.! _---
. r
°N° L _ - - -- .OZ- ?-
8U.3 ? 50.06
_ o
.. 0
M
M ?ANE
894.0 CLIFFHILL
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05-
CERTIFICATE OF SURVEY '
I hereby cerTify That on //Z8/8/ I surveyed the property described obove ond thof
ihe cbove plot is a correct represenfotion of said'survey.
7?44-.,... 36(-
Golvin H. Hedlund, Minn. Rey. No. 5942
? 151? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION 4?o.00
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauirements RemodellReoair Reouiremenfs Office Use Onlv
3 2gislered site surveys showing sq. ft. ot IoL sq. ft of house; and ,?I roofed areas 2 copies ol plan CeA of Survey Recd _ Y_ N
(20% maxvnum lot cove2ge allowed) 1 set of Energy Cakuladons for heated addifians Tree Pres Plen Recd _ Y_ N,
2 copies of plan showing beam & window skes; poured found design, elc. 1 sife survey for add'Nons 8 decks T2e Pres Required _ Y_ N
1 set af Energy Calcu180ons Adddron - ind'uate Nonsde sepfic system On-site Septic System _ Y_ N
3 copies of T2e Preservatlon Plan'rf Iot pla@ed after 711193
Rim Joist Defeil OpCrons seledion sheet (buildings wkh 3 or less uniLS)
Date ? /m = CanstrucHooCost 7l ?ga -
Site Address a 7 a a `` I ?
cV?? 1?11 ?CJLY UnitlSte #
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Description of Work ou'p5 L`-'/f n?fxCs
A (\C
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 ( JF?i/1 1(
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Contractor - I
Address ^ L Cit3'
State
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COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
. Energy Envelope Calculalions Submitted
In The last 12 monfhs, has the City of Eagan issued a permit for a similar plan based on a master planZ
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #( J
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
Statutes; 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 pl in the case o ork which requires a review and
appr al of plans.
plicant's Printed Name icant's Signature
Installed
Siding and Windows
LIMITED POWER OF ATTORNEY
CvUNTY OF COBB
STATE OF GEORGIA
KNOW ALL PEOPLE BY THESE PRESENTS:
THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania
("Principal"), and a licensed contractor of RMA Home Serviccs, Inc., DBA Home
Depot Ins?alled Sales located at 660 Mendelssohn Avenue North, Gnlden VaLey, Mr?
55427, having a license number of BC- 20268257, do hereby appoint, name and
constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful
attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my
name, place and stead the power to execute, acknowledge, sign and deliver (in such
form as may be required by the municipality) a permit application, or any other
instrument(s) which may be necessary and appropriate, in order to obtain the proper
permit(s) from the City of Eagan, Minnesota for the installation, maintenance and
repair of windows and siding (the "Work").
The powers conveyed to the Agent by this Limited Powe; of Attc:riey are
limited solely to the express powers delineated herein and apply solely to the Work.
This Limited Power of Attomey shall expire and automatically be revoked on the 21st
day of ?`?Iay, 2004, which date is one year from the execution hereof. Further, the
powers conveyed by this Limited Power of Attorney may be revoked Uy Principal at
any time by express revocation and shall also be revoked by the Principal's death,
disability, incapacity or incompetence.
NW?'I'NESS WHEREOF this Limited Power ef qrrorney is executcd this
21 st day of May, 2003
David . Katz
S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this
21st day of May, 2003.
L.
Notary P ic in for the State o eorgia
My Commission Expires: January 21, 2006
396816.0
Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor.
3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA113224
Date Issued:09/03/2013
Permit Category:ePermit
Site Address: 2122 Cliffhill Lane
Lot:5 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Nitardy
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Randall A Boldt
2122 Cliffhill Lane
Eagan MN 55122
(612) 919-6051
Alexander Homes Inc
1640 Orwell Avenue North
Stillwater MN 55082
(651) 436-6916
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115680
Date Issued:09/27/2013
Permit Category:ePermit
Site Address: 2122 Cliffhill Lane
Lot:5 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Nitardy
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Randall A Boldt
2122 Cliffhill Lane
Eagan MN 55122
(651) 200-4470
Alexander Homes Inc
1640 Orwell Avenue North
Stillwater MN 55082
(651) 436-6916
Applicant/Permitee: Signature Issued By: Signature