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2123 Cliffhill LaneF, dIT'Y OF EAG 3830 Pilot Knob Road, P.O. Box 21. PHO N E: 454-81 BUILDING PERMIT To he used fnr D= Fet vaillp $1 0o0 Site Address 4Ls&j W++sraa" s.w Lot s Block Z Sec/Sub. CZDAR CLI? IST Parcel No. W Name $COTT i ?YS 11YGREN 0 Address 2123 CLIMiLt' LN City RAGAN Phone ?1-1 7 t? Name S? ?g Address E n:,_ r,--- Phone I hereby acknowlege 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. Signature of Permitee e o..?ia:.... o,..?.:. :.. .?....?? .?. Vcw/a L0a Cimis A mu on ot Eagan Ordinances. . r. Eagan, MN 55121 18y45 Receipt # - n..6.. Jim ZZ ? n 7V OFFICE U SE ONLY Occupancy - FEES Zoning - 25900 (Actual) Const - Bldg. Permit (Al10'"ab1e) .50 - Surcharge # or stories ?? Plan Review Depth SAC, City S.F. Tolal - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Sile Wetl - Water Meler MWCC System _ Acct. Deposit Ciry Water _ PRV Required _ S/1N Permit Booster Pump - S/W Surcharge Treatment PI APPROVALS Road Unil Planner il C - park Ded. ounc BIdg.Off. - _ Copiss 25.30 Variance - TOTAL permit No. Permft Nolder ?ate Telephone # WATER SEWEF PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings 1 Foundation Framing Roofing Rou9h PPo9• Fiaigh Htg. Isul. Fueptace Final Htg. Final Plbg. Const Meter Plbg. Inspector - Notily Plumber Engr.lPlan Bldg. Final Deck Ftg. ??' Q!) G!J'? Deck Rnal o ? WeY Pr. Disp. CITY OF EAGAN •'' . 3796 Pibt Knob Road Eogon, MN 55142 Ng 5931 • PHONE: 454-8100 BUILDING PERMIT Receipt # Te be used foe Est. Value Date , 19 - Site Address Erect t] Occuponcy Lot Block Sec/Sub. Alter ? Zoning ' Repair ? Fire Zone Parcel } k l E e of Const T n arge ? . yp Nome Move ? #' Stories W 3 Address Demolish ? Front ft. ° Grade ? Depih ft. Ci Phone s Z0 u?u ? Name Address Name _ Address I hereby ocknowled9e thct I hcve reod this opplicotion and stote thot the information is correct ond ogree to comply with all applicable State of Minnesatc Statutes and City of Eogan Ordinonces. Assessment Water & Sew. Polite Fire Eng. Planner Counci I Bldg. Off. I APC Fees Permit Su rcha rge Plan check SAC Woter Conn. Water Meter Rood Unit Totcl Signature of Permittee 1 A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applitable 5tcte of Minnesota Statutes and City of Eagan Ordinances. Buildinp Officiol r..mu # oaft i...e v..dhr.. Plumbing ,?e Mechonical ? INSPECTIONS DATE INSP. Rou9h-In finnl Footings -/U- ? Date Insp. Date p Foundation Plumbing ? Frome/ins. ^f U ?-G`? $""/3 ?L' Mechuniwl ? Final T- Remorks: CITY OF EAGAN Remarks Addition CEdav C7iff Addit3en Lot S eik-2 Owner LC( 1' 1 Street 2123 Cliffhill Lazle Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 1496.30 299.26 5 STREET RESTOR. GRADING g 24.84 A 2 - SAN SEW TRUNK .2 1-2-82 ?. SEWER LATERAL 2541.01 308.20 - WATERMAIN * WATER LATERAL WATER AREA STORM 5EW TRK 243,07 * STORM SEW LAT 1981 CURB & GUTTER SIDEWALK STREET LIGHT 7/10/80 W ER CONN. BUILDING PER. 5931 SAC PARK ? CITY OF EAGAN PERMIT TYPE: "" I 1 0 " "" 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: Fl ? i0l ? ? f l ? PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. F L ? J PertnR No. Permk Holder Dace Telephone # ELECTRIC PLUMBING ' HVAC UspecUon Dsto Insµ Comments FOOTINGS FOUND FRAMING ROOFING ? k ROUGH PLUMBING PLBG AIR TEST ROUGH HEAT1NCa GAS SVC TEST INSUL GYP BOARD FlREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL J CITY OF EAGAN ''s795 Pilot Knob Road Ea9on, MN 55122 ? Zoning; Owner; Address: $ite Addreu: Plumber: Meter No.: Size: Reoder No.: I a9he M lomPfY wlth !he CiFr of Eagon Oedinanees. 8y _-_ Date of Insp.: CITY OF EAGAN 9795 Pilot Kno6 Rood Eosan, MN 55122 Zoning: ------- Owner: Address: Site Address: Plumber. _ 1 egres to eomPip w$h•the Cm, of Eagon Ordinoneea. By ----_ Oare of Insp.; 1 nse. - WATER SERVICE PERMIT PER/NIT NO.: DATE: No. of Units: Connection Charge; Account Deposit: Permit Fee: Surcharge: Misc. Chorges: Total; I Date Poid: Insp.: SEWFR SERVICE PERMIT PERMIT NO.: DATE; --------------------- - No. of Units .__ Connection Chorge: Account Deposit: Permit Fee: Surchorge: Misc. CFwrges: Totol: Dote Paid: cIrY oF E?c,AN 3799 Pibt Knor Raer Lopw, MN SS 122 N2 5931 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # _ To 6e wed fer SF T7wl a 12fl„- Site Address 41e3 Ullt'tnill Lane Lor 5 Biock 2 Sec/Sub. Cedar Cliff porcel # 10 16600 050 02 W Name Za .hman Hom G nn Z qddress 7760 Mitchell Road , p Name _ Z ?gv Addreu F rj,.. Name _ Address Erect A Occuponcy R Alter D Zoning Rl Repoir ? Fire Zone III Enlorge ? TYpe of Const. V MOve ? # Stories Demollsh ? Front 56 ft Grode O ? Qepth _ 24 ff. Assessment ?_ ?/8/8? Water & Sew. Police Fire Eng. Plonner I herebY acknowled9e thot I have read this applicotion ond stote that CouMil the information is coned and agree to cDmply with oll appliccble 81dg• off• 7 g g0 Stote of Minnesotn 5tatutes and City of Eagan Ordinonoes. APC 5ipnoture of Permittee _ A Building Permit is issued to: Z all work shall be done in accordance with 1 pp ble St Minnesoto BuFlding Offidal CrIy CF EAGAN Pertnit 11t5. ()() Surclwrge 20.50 Plon check 59.00 sAC 525.00 Water Conn. ?? 5• 00 Water Meter 60. 00 Rood Unit ?-_ 85 9 9 Total 1 272 5Q on the expreu condition thof cnd City of Eo9an Ordinances, Include 2 sets of pl.ans, g??? 1 site plan w/elevatio?s & ? PERMIT APPLICATIdN ----?T----- ..?.,,,? Zb Be Used ForS uation Date '7-?- SCJ Site Address: 'Z? Lot s BloCk 2 Sec. /S?.tb • OFFICE USE MY ' Erect 'x °ccupancy ?P3 Pareel #: Alter ZminJ / Repai?? _ ` r Fire Zone Enlarge ZyPe of Oonst. . c/ Address: ?e # St?ories D?ennlish FYvnt S? ft. Citl'/Zip Oo?le: C-C =a? , ?%'.. ??^ Grade Depth ft. ghone #: 37 -R S Z p APPROVp,rS FEES cbntractor: CR ,.._ o Address: City/zip Cocie: Phane # : Am.h. /Erig, . Address: City/Zip Code: Phone #: , r Assessments Water/Sew?er Pe.nnit Il 8?" Surch Polioe arge ? d - q Plan Check F ire ? SAC Eng. water Conn. laruier ' Water Met.er Council FBoad Unit / ?ss `?- Bldg. Off. . APC /z 7 7MAL Fprm FHA 422-3 4:17•70) _ MAP OF iR0 Ty ??.y?_W00 4iT MODE"C NOMf yF wfcRno« r See attached for legal Euilder- 2achman Homes lnc. Loc 5 eik. 2 Addltion CEDAR GCfFF House Name WODDL/URST Addre55: 2123 GLIFFHlLL LANE -;tv. EAGAN M lNNi House Style SPLlT LEVEL # .Sq.Ft.House 86` # sq.ft.Gar,480 FIELD NOTES Power ples P Low Areas Show location of ineters Telepone poles T Highest Point Private well Larger Trees42? Private septic system ic wa er arn?? L.P. Gas Culvert required Curb cut required , „Pwav siir ace 1311-,RSPFhpLT Front yard setback 30' Sideyard setback 101/57' ? Att. Garage Yt-S Garage left right Local Inspector city of EA6AN Name DALE FETERSDN D06 REID Phone 469 - 91L%fl LOT DETAILS 'size width irfeavl1a1 fof Size depth iz-5'i"1N Approx. S.F. of lot!l,ao0 a High point N Power Poles - ? Telephone poles Underground Larger trees ? 5treet = Elev. 0.00' Lot corners High point Low point Gutter or Ditch Local Electric Co. Name N SP Phone 330'5-SS/D Local Gas Co. Name PEOPLE'S NAT, GAS Phone 5'63'7121 r?oo ?/'-' 3Yaa= I ? I i el I I 12' 9oi.9 a) Stoops ( ) _riser $ Decks $ b) Sidewalk _ s.f $ Driveway s.f. $ Parking Paa s.f.$ Curb Cut & Permits $ lawn steps # $ c) Finish Grade $ d) Black Dirt & landscaping Sod s.f $ e) Underground Util. $ TOTAL ?- SAC CHARGE Water charge Park charge DIRECTIONS TO SITE: ? $ ? NORTH I I 1 • I ? I ?I nl I ? 9o/A'f ?6? 2 n'? - - i _! r.o,s, 4oe.?' M? I I i WARNfNG Betore digg(pg caA for.al utilitres 7ELEPHpnjE _ r r! C] ?; ;- t;q5 Etc. REQE;t?EJ 6`r LAW uaew oft r.w -•-• w?o?on •........ ,o ........ . _.....,o _..... . °, ? : ? m .?..• ?,?_ 30'- Du ? .................... - ?. .----•-- ...----.-- .......... 3 u.n% o+ s?z 3 . . __... / . __ ...._..'. ?""_"' ............. C ........f0 ...... .• S.' __ . 10 ........? .. ... .. .. .. . .. . u. s sn.n.wn a •oScunM _ o ..,_.?. r..? M.r ?.........? , Pc?inon d FNA 422•3 (Rev. 4.17.70) 40O J MECHANICAL (RESIDENTIAL) 1? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for. Single Family Dwellings Townhomes and Condos when pcrmits are required for each unrt Date e?' ( 6 i # L-Y 1 U Site Address ( t n t Property Owner ein Telephone Q (v 3) 30 y?? Contractor wr n.. Street AddresMI 410 wE$T LAKE STREET City State 612-82¢-2656 Zip Telephone# ( ) The Applicant is _ Owner ? Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger air conditioner other StateSorcharge $ .50 uu ? $ ?o -S ? Total Q I herehy apply for a Residential Mechanical Permit and acknowledge that the information is complete and aceurate; that the work will be in conforntance with the ordinances and codes of the City of Eagan and with the Mechanical Codes• at I understand this is not a permit, but only an applicarion for a pemut, and work is not to start withou pe t; that the w wi b in accordance with the approv plan in the case of work h requires a review and approval of ans. 1( " S ?-?,U I Rm ? Appl cant's Printed Name Applicant's S'gnah re PERMIT Mo 5/41aV7 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 Permit Nu mber: 0 2 6 9 2 6 (612) 681-4675 Date Issued: 01 / 0 3/ 9 6 SITE ADDRESS: 2123 CIIFFHILL LANE LOT: 5 BLOCK: 2 CEDAR CLIFF P.I.N.: 10-16600-050-02 DESCRIPTION: '?. (ROOFING) $Uildi ng.,Permit Type SF (MISC.) ,`Buildi ng Wbrk Type REPAIR Census Code ?- 0434 - ALT. RESIDENTIAI ? ? r t - \\ ? k ?r, :f_ ?'•" • l??' ? ? `.?"`? f?` _. i_.... ? l 3 ? ? i REMARKS: FEE SUMMARY: VALUATIpN $3,000 Base Fee $74.75 Surcharge $1.50 Total Fee $76.25 CONTRACTOR: - Applicant - sT. LIC OWNER: HORI20N ROOFING 16903900 2001279 NYGREN SCOTT 1333 LARC INDUSTRIAL BLVD 2123 CLIFFHILL LN BURN3VILLE MN 55337 EAGAN MN 55122 (612) 890-3900 (612)681-1472 I hereby acknowledge that I have read this applicaCitan and state that the in'formation is correcC and agree to comply wiCh all applicable State of Mn. Statutes and City ofi Eagan Ordinances. ? ? APPLICANT/PERMITEE SIGNATURE ISSUED : SI ATURE ? CITY OF EAGAN 41 rf?, ? 3830 PILOT KNOB RD - 55122 4 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reouiroments Remodel/Reoair Reauirements ? 3 registered ade surveys ? 2 copies of plan ? 2 copies of plans (inWude beam S window saes; poured fid. dasign; etc.) ? 2 aile surveys (ezleriw addkiona 8 dedcs) ? 1 energy calwlaGons ? 1 energy cakulations for heated adddions ? 3 copies of tree pieaervetion plan 'rf iut platEad atter 7/7l93 requlred: _ Yea _ No DATE: l??I4?S CONSTRUCTION C05T: Zc' Cx- DESCRIPTION OF WORK: STREET ADDRESS: ' 21 -Z 3 LOT f BLOCK --j_ SUBD./P.I.D. #: PROPERTY Name: << Iqrrr i5r•.n*P-AGU(thk?riki Phone #: 601- ! 4T 2 OWNER Street Address* 2a 14?LL w City: 1Aa4-J State: Zip' -'?? flDQ CONTRACTOR Company: f.1AR14nN nn.+.-..... Phone #:f 9q0'3y00 1333 Larc Industrial Blvd.' License #• ???? qS Street Address: R„m ,.:ll.,, ...? sbaoF City: State: Zip• ARCHITECTI Company: Phone #• ENGINEER Name: Registration #StreetAddress_.--.-------?. __-------,._.._----_?..?- City: State: Zip: Sewer 8 water licensed plumber change are requested once permit is issued. Penalty applies when address change and lot 1 hereby acknowledge that I have read this application and state that the in}ortna' n is cortect and agree to comply with all appliqble 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 CITY OF EAGAN 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N_a18045 BUILDING PERMIT PHONE: 454-8100 Recei t # G?? a? To be used for DECK Est. Value $1,000 p Oate - JUNE 22 1990 Site Address - 2123 CT IFFHIT r r N LOt S BIOCk _ 7 . SeC/SUb. -CEDAR CT TFF 7 ST OFFICE USE ONLY PBfCCI N0 . Occupancy _ FEES Name SCOTT & CHRIS NYGREN W Zoning ? Address 2123 CLIFFHILL LN (A?ual)Cqnsl - BIdg.Permit 25.00 o City EAGAN Phone 681-1472 (Allowable) eofStones Sumharge .? o Name S?E f Length I Z' Plan Review , i- $< Address Deplh 1 sn0.ary ? C;Ify Phone S F. 7otal S F. Footprmts _ _ SAC, MCWCC W W Name On Site Sewage _ Water Conn W ? ; Address On Site Well Water Meler cw a City n+wCC system l D A Phone Ciry Water cc . eposit _ I hereby acknowlege ihat I have reatl [his applicahon and stale that the inlormallon is correcl and agrea to c m l PRVRequired Booster Pump S/WPermil - SiW o p y wrth all applicabie State ol Minnesota Statules and Cdy ol Eagan Ordinances Sumharge . SignatUfe of PermRee -? Treatment PI A Bmiding permit is issued ro: SCOTT OR CHRIS NYCREN ppppOVALS Planner Road Unn on the express condrtion that all work shall be done in accordance wilh all apphcable State ol Mmnesota Statutes nd C l Council Park Ded a iry o Eagan Ordinances. ? 1 ? BIdg.Off _ Copies y n , BuildingOfiicial rHI/1 01f?J I11 L! Vanance _ TOiAL 25.50 (?le4se Qp?ovoue Y-'?r.?s cter/yv? _ C/? ?DYt'N.e a s?e% 2 h•.?e a/re.. ? ?o ur ec? t he. .{?o?. ? s ,?or tk e ?osa?s un?er ?he ?a.,,? . r*4p e sl/sdl? ove? -?Ae 2' c?.??/?..?? /:.r.•f .e.nc? 1? be4.rr /,1«,?. be. x?,.od???u s,?H« qp-c a/so Gorst-" f os?Ls. = Lt••vB- afre? ,poui`? th?'!?- ?1'R?1?fcrys ?.°cuk6G Z v v m?'s?kch ? aSSUmez ?e?'? n. l,ke Cwalz•., IVeg- ?"hev'e a`l 5?re? c..ww?? u.zrs a, Theee JAZ;m,'tZ14?? holes ur? s?d`/l m?eekl zae isz 51ecD? 7"!2^?.i? / ou- ,?v? Cl • '?? a t. 11046 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS I D00' 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIDNS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. V To Be Used For: 42iy?4, g OcC?C Valuation: ?- Site Address 2/Z3 4+he Lot 15 Block ;?- Parcel/Sub Owner .Scoff , C?Yris eddress 2(Z3 C/ioCF?"11' ?4K e City/Zip Code STlZZ Phone (o' Fl/ -/ y 7 Z Contractor ?Z /-S-' Address City/Zip Code Phone Arch./Engr. Address City/Zip Code Phone # Date: k(" !? COMMERCZAL d B P? 2 0 RECD OFFICE USE ONLY FEES Occupancy Zoning UO Z S Actual Const Bldg. Permit j Allowable Surcharge 05b # of stories Plan Review Length SAC, City Depth SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water Road Unit PRV Park Ded. Booster Pump _ Copies SIIETOTAL APPROVALS Penalty ? Planner TOTAL Council Bldg. Off. b(Z( Variance , . lic .rv ..r [egaL ... 2 AddltiOn GEJ7A!? CLIFF _,-ess: Zl23 GLIFFHILL LANE ?itv: EA6AN M INNi M Wpp vT MDDEL HOME ..?.K..R•.?,M...........? ............••••••--•••• ............................ Euilder 2echman Homes Inc. Nouse Name Hause Style _ # Sq.Ft.House 86'{ '1 sq.ft.Gar.48D FIELD NOTES Power ples P Low Areas ' Show location of ineters Telepone poles T Highest Point NORTH Private well Larger Trees? Private septir system ic wa er b-I.ic sP?PT arurA aTBS L.P. Gas Culvert required Curb cut required , ? Pr stn e in ? ?Ywa.. 5ur ace Blf hSPFf LB_T _ Front yard setback 30' 3Y0p' \ Sideyard setback /O ys' Att. Garage YE-S 1 Garage left right I • I Local Inspector city of EA(oAN Name DALE rETERSON DOUG REfD Phone q5Y- ffIGO bl ?I LOT DETAILS 'size width il`e9d4r 106 Size depth 11-5'AIN I J Approx. S.F. of lot 11,000 High point N fi? Power Poles ( Telephone poles 1? I9a.R?r" iD 9OIA,l_ Underground 56? Larger trees ? a Street = Elev. 0.00' • N Lot corners ?2' sb' {{igh point qvcI , _If Low point Gutter or Ditch , MI Local Electric Co. ? Name N 5P ? Phone 330 -575-YD Local Gas Co. ?gq Name PEOPLE'S NAT. GAS Phone `f63 -71 2f a) Stoops ( ) _riser ? Decks y b) Sidewalk s.f $ Driveway s.f. $ Parking Pad s.f.$ Curb Cut $ Permits $ lawn steps # $ c) Finish Grade $ d) Black Dirt $ landscafng-T- Sod s.f e} Underground Util. $ TOTAL ?-- SAC CHARGE $ - Water charge $ Park charge $ DIRECTIONS TO SITE: ? 9oz,c• MI WARNING Before digging cail lor,al utilities 1ElEPHOnlE - EU trc. REQUIRLJ i; r LAw uaw a? WA^ omoscm ? pu ?...... ........... ................ •........io....... a 6 ...... ?o...... a sw.w+ Ur?. °' l .-".........-_'.... ?.-'_' * •c"+ > >, 0ss% • .......--...--. c'-._--.?0.......f ?.... . R1........• 0 O.. sis . . ... . . ._... ? ._ . ......... ?--°.. Y i OMw?YM p woCNtYo " " •?,_.?• ?r/? N?r M....w.?? Pcnnon I r14 n A 07.7 t a.., 4 1 im WOODI-1 URS T SPLIT LEVEL 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION ? . City Of Eagan / 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCUon Reaui2meMS RemodeVReoair Reaui2ments 3 registe2d sfte surveys showing sq, ft, oi bt, sq. tl of house; and all ruoted areas 2 copies of plan af?'ReGd (20%meximumlotcoverageallaxed) iselofEnergyCalculafionsforheatedadditlons 2 caples of plan showing beam & window sizea; poured faund design, etc. 1 site survey for additbns & decks "V,.?1 lsetofEneigyCalalations Add'N'on-irMkatedon-sitesepticsysfem 3 copies of Tree Praservation Plan'rf lot platted afler 7N/93 Rim Joist Detail Options selecfion sheet (bldgs wNh 3 or less units Date a ? /apNk Construction Cost ?1 ac00 '' / 64 Site Address _ cc aeai ?.??'S'C?(1\l? ? clxL-SL. Unit/Ste # DescriptionofWork?•S.[?-?.?Gt1ti.¢ Multi-Family Bldg _ Y x N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner ? t ( t v? C. C Q.IhQ S Telephone #(L.\a) 146S• 11 M9 RMA HOME SERVICES, INC. Contractor Home Depot Installed Sales Address 3200 Cobb Galleria Pkwy.Ste. #200 City Atlanta, GA 30339 State 763-542-8826 _ Telephone # ( ) BC-20268257 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residentiai Ventilation CateBOry 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envetope Calculations Submitted Have you previously fee applies. Licensed Plumber , .,.j V z S with a similar plan? _ Y Mechanical Contractor X Sewer/water Contractor Telephone #( Telephone #( Telephone # ( N If so, 25% plan review I hereby apply for a Residential Building Permit and aclmowledge 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 plan in the case of work which requires a review and approval of plans. ?( P• :J-e.v?S6a? ApplicanYs Printed Name Applican's Signature Installed Siding and Windows LIMITED POWER.OF ATTORNEY wiJNTY 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 Saies located at 660 Mendelssohn Avenue North, Cro!dett Valle;,, MN 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 attomey-in-fact for me and in my name, place and stead the power to execute, acknowledge, sigi 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 Power of Attorney are limited solely to the express powers delineated herein and appt_y solely to the Work. This Limited Power of Attoiney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution hereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at alry time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. I?V WI"1'N-ESS WHEREOF this Limited Power of Attomey is executcd this 21 st day of May, 2003 .I David N. Katz S WORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21st day of May, 2003. QR Notary P ic in for the State o eorgia My Commission Expires: January 21, 2006 396816.v3 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 • Toil free (800) 79-DEPOT PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143004 Date Issued:05/30/2017 Permit Category:ePermit Site Address: 2123 Cliffhill Lane Lot:5 Block: 2 Addition: Cedar Cliff PID:10-16600-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Merry L Cravens 2123 Cliffhill Lane Eagan MN 55122 (651) 405-1106 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature t b.Sv.0 Use BLUE or BLACK Ink For Office Use iE Permit it. /q1/4.3 / -.3 G'1 C.l of Eaiau Permit Fee: 7(2, 3830 Pilot Knob Road 1 Eagan MN 55122 I'Date Received: I Phone:(651)675-5675 1 i Fax:(651)175-5684 I Staff i I l 2017 RESIDENTIAL BUILDING PERMIT APPLICATION _tarp Date: C7 Site Address: c \o - 0\ %, t ,I\ Lot i/yr. Unit#: Viz, Name: \e,�� Cru- jc Phone: ; = 1- Address/City/Zip: g5i SS1 � . '<< �.� [ �� . as -x_` 1 •t. Applicant is: Owner (` Contractor 7, ° Description of work: r0 0, /' f, ccs _..,_3, • ;11',F4, Construction cost: l9 VC Multi-Family Building:(Yes /No K g Company:ANtiP.r:Ca �c,,\ y�c�coA,Lit,(\-ov-c;j:Ac Contact: �e 11 1rltr> 1 -z . Address: DU iC ct\ c S-viA- t00 City: Bc,),/i\sa.lk se State- Z' s r ip:S5� Phone: 5 a)7O7^l��Smail: }rPIVoGC q C—v S . cow\ i4::„4°,:4,, : „ t Z License#: SC\(01-S,'S Lead Certificate#: A C-41 03 i-iv-' If the project is exempt from lead certification, please explain why: 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 8,Water Contractor: Phone: Fire Suppression Contractor: Phone: taran e G°a 3 h ;e �. s x ° ,'Y3a:'1 & II 8 - ¢;.n y..s_ .d>✓. .a d a.. `md u. ,x �it ' � p . is tb_ € i' '''''',:• =',,;-,44*,,,"- - ;.a a ,,. :', € ,_ a si a, " t, p w '.ai s d •;'� ;.;.Pik ,"tr 4,-.,: $ •. ,.#, Baa CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. Cat 48 hors before you intend to dig to receive locates of underground utilities. wwwoocherstateonecallord I hereby acknowledge that this infer tin 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 workauthorized by a building permit issued in accordance with the Mi S Building Code must be completed within 180 days of i . i X Batt d s �i l R"� 6./- Applicant's Applicant's Pri Name Applicant' Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157008 Date Issued:07/30/2019 Permit Category:ePermit Site Address: 2123 Cliffhill Lane Lot:5 Block: 2 Addition: Cedar Cliff PID:10-16600-02-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner 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 State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Merry L Cravens 2123 Cliffhill Lane Eagan MN 55122 (651) 405-1106 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA174725 Date Issued:02/15/2022 Permit Category:ePermit Site Address: 2123 Cliffhill Lane Lot:5 Block: 2 Addition: Cedar Cliff PID:10-16600-02-050 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Merry L Cravens 2123 Cliffhill Ln Saint Paul MN 55122--237 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174777 Date Issued:02/22/2022 Permit Category:ePermit Site Address: 2123 Cliffhill Lane Lot:5 Block: 2 Addition: Cedar Cliff PID:10-16600-02-050 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Merry L Cravens 2123 Cliffhill Ln Saint Paul MN 55122--237 (651) 405-1106 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature