2128 Cliffhill LaneCITY OF EAGAN i 3 'g?
3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 55121
PH O N E: 454-8100
BUILDING PERMIT Receipt # =
To be used for "'•"?? Est Value `)O() Date ' ? ? `' ' • ,19 '
SiteAddress GLI'r'Pf+ j l.[, !, OFFICE USE ONLY
! `'"i
Lot 4 B1ock - Sec/Sub On Site Sewage _ Occupancy
. MWCC System _ 2oning
PBfCeI NO. On Site Well _ Type of Const
Cit
Water (Actual)
Q Name r•'.'' `1• k 1 t, y _
(Aliowable)
W
3 y,t
Address of Stories
Length
° City Phone Depth
F
S
Total
,0 Name :s:i l "dC. .
.
FootprintS.F.
?u Address .; ?•- t t)e?+,; ,;.?. :,Vi: tii% pppppVAL5 FEES
? City Phone Assessments Permit ` ?• `` _'
3
? ??'
F ¢ Water/Sewer _ Surcharge
•
F W N3me Police _ Plan Review
_ ? Address Fire _ SAC, City
? Z
a W
City Phone Engr.
Planner _ SAC, MWCC
_ WaterConn.
Council _ Water Meter
I hereby acknowledge that I have read this application and state Bldg. Off. _ Road Unit
thattheinformationiscorrectandagreetocomplywithallapplicable APC _ TreatmentPl
State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Signature of Permittee Copies
TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of M innesota Statutes and City of Eagan Ordinances.
Psrmit No. Permit Holder Dste Telephone #
Plumbing
H.V.A_C.
Electric
Softener
Inspectlon Oate Insp. Comments
Footings I
Footings fl
Foundation
Framing
Roofing
. i
,?.
. ? i,C . ii S • o n. .
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Oeck Frmg.
Well
Pr. Disp.
1
CITY OF EAGAN
3795 Pilot Knob Road Eugon, MN 55122 N2 6286
PHONE: 454-8100
BUILDING PERMIT
To be used hr Est. Vulue
Site Address
• FLot Block Sec/Sub.
Porcel #
w Name
W
z
Address
P:". - 1 D4.w.... .,. ?i
,o
0, Name
?? Address
? ru., ow,,.,e
Name _
Address
Receipt #
Ered [] Occuponcy
Alter ? Zoning
Repair ? Fire Zone
Enlarge p Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grode p Depth ft.
Appr ovala Fees
Water & Sew.
Pol ice
Fire
Eng.
Plonner
Counci I
Permit
Surchorge
Pion check
SAC
Water Conn.
Water Meter
Road Unit
1 hereby acknowledge that I hove read this opplication ond stote that gldg. Off.
the information is wrrect ond cgree to comply with all opplicnble
Stute of Minnesote Statutes and City of Eogan Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with all applicoble State of Minnesota Statutes and City of Eagcn Ordinances.
Building Official
Panei! ? Dab ywioA POaitt"
Plumbin9 ,7171 /.-; "/? 'f6
Mechonical a2?15'/
tNSPECTIONS
FoQtings
Foundation DATE
,/,.....
-t??-"?/-
!1 - I NSP.
lumbing Rough-In
Date Insp,
r .
- - Final
oate Inap.
Frame/ins. Mechanical
Final /
Remarks:
.' CITY OF EAGAN
3795 Pilot Knob Rood
Eogan, Minnesote 55122
No. Phone: 494-8100
- PERMIT
Dote:
Slte Address:
Lot Block
2128 cl-ifed-11 zn.
= Sub/Sec.
Nome "aCtmtc.?11 IiCx;+es IT.C.
? Address 7 760 R ??dif-, ,
Y r'r' Phone: . ? ..
Cit
1 ,P1t'?Er : _ec? ::1;tC"
Nome " g
.
? Address ' i -1Cz" 'C>
? - - - - . , -;
City ' Phone: '
This Permit is issued on the express condition that all work sholl be
Minnesoto Stotutes and City of Eogon Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single
Residentiol ?
Multi Res., Comm./Ind. I
New//11ter./Repoir. Cost of Instollation
.?.
Permit Fee
$urtharge
Tota I
done in occordance with all applicable State of
Building Official
-= cirr oF UGAN
• 3793 Pilot Kwob Reod
.. • Eagaw, AAinnesota 55122
No. Phona: 434-9100
PERMIT
Date: 1 ` ,
'' 2F3 Cliffhi_?.:j ? r;
Site /lddress:
lot Block Sub/Sec.
Nome 1dC1YC1m IkmE'S
.
? ??: 1;-r,?, ? .
? /lddress
L'iC. n . -.
City - - ` Phone:
? iLt'•C??.. L' i?.?'i L)Z.r? .
Name
.
? Address ' . . , r'c1 -. . : V.
Clty Phone:
This Permit is issued on the express condition that all work sholl be
Minnesota Stotutes and City of Eagon Ordinances.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
$ingle I
?
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair.
Cost of Instcllotion
.
Permit Fee
Surcharge
Tota 1
done in occordonce with all cpplicoble State of
Building Official
C?rrtiftrtttr uf (Orrupttnry
Citp of (Eagan
Erpttrtmmt a# Builbing 3ns.ppriimt
Tbis Ccrtif erau ia.rwrd pxr.taant to tbe requinmcntt o f Satimi 306 of tix Uni jorm Building
Codc ccstifpng tbrtt at tix time of issuame tbit st?uctxrc war »t compliance with tht variou.r
ordinaxcrr o f the City regulatiptg bxildneg conitruction or ure. For thr fo!louring:
up cbkmaawm SF DWG Nag. r.rrA No. 6286
- - R3 - - -. V 3 ,- M.._„ PD
Kh! ?- ,v i ?-+1.? 1-20-81
Y?p(Mjr'/Jl? ? Uib:
r/ -
ro?? i« • mu?nwou? w+a
CITY OF EAGAN Remarks
Addition Cedar C'liff A ddi t1:Sjn Lot 4 Blk-s
owner screet 2128 Cliffhill Lane
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. ., ? 1982 1496.30 299.26 5 ??(9(?. ?o ?20 q- Z-Yt
STREET RESTOR.
GRADING 1981 541.38 108.28 5 433.11 A009893 2 4 81
SAN SEW TRUNK 1973 5
105 7
04 42.26 A009893 2 4 81
* SEWERLATERAL 1981 9
2541.01 f
508.20 S 2032.81 A0098 93 2 4 81
WATERMAIN
* WATER LATERAL 1981
WATER AREA 07
`94 33
6 50.66 A009893 2 4 81
. *
STORM SEW TRK 1981 405.09 81.02 S 324.08 A009893 2 4 S1
* STORM SEW LAT 1981
CURB & GUTTER
510EWALK
STREET LIGHT
21344 81480
WATER CONN. 305.00 21344 8 14 80
BUILOING PER. 6986
5ac 525.00 21344 8.14.80
PARK
No..
to eomply wifh the City of Eagan
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units:
Connection Charge:
Account Deposit:
Permit Fee:
Surcharge:
Misc. Chorges:
Total:
BY Date Paid:
Date of Insp.:
CITY OF E,;QAN SEWER SERVICE PERMIT ?
3795 Pilot Knob Roud PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning:
No. of Units:
Owner: •
Address: -
$ite Address:
Plumber:
I agree to tomplr with the CitY of Eagan Connettion Charge;
Ordinanees, A
By
DQte of Insp.:
Insp.:
ccount Deposit: _
Permit Fee:
Surcharge:
Misc. Charges. -
ToYol:
This request void
18 months from
Date of this Request 12-2-80 ? ???[
cal 1, as ? wiring Licensed installed Ele atc: trical Contractor ? Owner, d he eby request nsS pe ction of the above electriJ
Street Address or Route No, 2128 Cliffhil
Seciian Township City E_ a?
RanSe County_7)ak- t-
W(vch is occupied by
Is a rou (??ame of Occupanty
ghin inspection required on this job? No ? Yes El Ready Now p w? can ci
PowerSupplier Dakota Electric
Address
Electrical Contractor_Sunr; SP F7 Prt r Tn ,
(company rvame} Contracior s License No, ??78
I?'Iailing Address 4120 83rd Ave. No. Mp1s, Minn. 1???z
(Elactrical Contractor or Owner Making Thi ? tallatlo n)
Authorized Sienature Ke; +h ? v.. _, •
(Electrlcal Contractor ng Thi
or Ownor Makis Instalration??ne No, 566-8?
sr?TE ???R? ?a?? This inspection request QQ
will not 6e accepted by the
State Board unfess proper inspection fee is enclased.
Minnesota State Board of Electricity
Griggs Midway Bldg. - Room N191 1{J
1821 University Ave., Si. Paul, Minn. 55104 - phone 297_211 1 ? S r EB-00001.02
REQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WOiu{ COVERED BY TNIS REQIIEST T 9175
Type of Bullding New Add. Rep. Check qpplliances Wired For
Home Check Eluipment Wired For
L-3 LJ ? Range 0
El
Duplex ??? Water Heater Temporary Wiring ?
1 Apt. B1dg. ??? D ? Lighting Fixtures ?
Bldg. ??? F?mea? 0 Electric Heating ?
Commercial Unloadei ?
? Silo
g• ? ? ? Air Conditioner ? Bulk Milk Tank ?
lndustrFarmial Bld ? ? ? List ) , ;,,, ,
r
R
I,
fI
certify
TOTAL F E???? 2 QI
has been m
1?atP I w I?-?
(Final)
This request void
18 months from
2 p ? PLUMBING (RESIDENTIAL)
5/rw
1 d 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 pernuts,are required for each unit
Date-6- /Z
Site Address --2? Unit #
Property Owner Telephone #Za)
Contractor
?
Address City
State Zip
? Telephone #(f??
The Applican[ is _ Owner Con4actor _ Other
Septie System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Atltlitional consultant fces may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water so ftener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter'rf needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener..?ater heater $ 15.00
e-Ic replacement _ additional
State Surcharge r `? ? I1 ,E ? $ 50
I ? I
JUIV 1 3 K^') I
i
$
1 S
5?
Total ?
? , •
I hereby apply for a Residenrial Plumbind Pemut and aclmowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances azjjb? Gjty_of_Eag-di and with the Plumbing Codes; that I understand this is not a
pernut, but only an applicarion for a pemut, and work is not to start witho it tha e - will be in accordance with the
a ved plan in the case of work wluch requires a review and approval of plans.
Applicant's Printed Name A Ys Si a e
? 13 2A2
1987 BDILDING PERMIT APPLICATION - CTfY OF EAGAN
SINGLE FAMILY DWELLINGS
IACLODE 2 SEPS OF PLANS, 3 CERTIFIC9TFS OF SIIRVEY, 1 SST OF ENERGY
NORE: ADDRESSfiS FOR CORNEH LOTS - CONTRACTOR/HOMEOTiiNER MOST DESIGIiAT& WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALL01iED ONCS BIIILDING PERHIT IS ISSDED.
MOLTIPLE DWELLIHGS - RFSIDENTIAL RENTAL UHITS FOR SALE OIIYS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRYSY - CHECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCOLATIONS
COMA'IERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: lTa r4 2 Valuat ion: 4 o00 Date: 6' y-8 7
Site Address ?-?e28 G??ff 14iLL L-q aFFICS'OSS ONLY
?
?
f Bloek
Lot On Site Sewage_ Oceupancy
,?
& MWCC System Zoning
Parcel/Sub
9-, On Site Well Type of Const
' _
City Water (Actual)
owner vtry 'fr( c Kso y - (A1lowable)
17 # of Stories
Address G?(J-f Hr f-L /c- Length
Depth
City/Zip Code F2s¢7 94" S.F. Total
Footprint S.F.
Phone 9PPROYALS FS6S
Contraetor XH45 woocQ 136j,LA,-s -Unc Assessments Permit (05,
Water/Sewer .
Sureharge 3.
Address (073. ( 0a K LaKCO So Police Plan Review
Fire SAC, City
City/Zip Code AdlteL4 .a??,?sya3 Engr SAC, MWCC
? Planner Water Conn
Phone 966- 8 3?( ? Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Varianee Parks
Address Copies
ToTAI. 6 SD
City/Zip Code
Phone ll
CITY OF EAGAN N 0- 13] 2]
. 3830 Pllot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE: 454-8100 ', A-„ %7? D
BUILDING PERMIT
To be used for GARAGE Est. Value $ 6, 000
Site Address 2128 CLIFFHILL LN
Receipt
Date
JUNE 5
Lot 4 elock 5 Sec/Sub. CEDAR CLIFF 1ST OnSitesewage
MWCC System
Parcel No. on site weu
City Water
olName HENRY ERICKSON I
= Address SAME
City Phone
o Name KINGSWOOD BLDRS INC I
o? Address 6721 OAKLAND AVE SO
U? Ciry RICHFIELD Phone 866-8398
Name _
Address
City _
APPROVALS
OFFICE USE ONLY
_ Occupancy
_ Zoning
_ Type of Const
_ (Actual)
(Alloweble)
# ofStories
Length
Depth
SF Total
FootOrint SF.
Assessments -
Water/Sewer -
Police -
Fre -
Engr. -
Plannef -
Councd -
OH
19 87
FEES
Permit :l;65.50
Surcharge --3-.00
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Bldg. Road Unit
I hereby acknowledge thet I have read this aP plication and state APC Treatment P7
thattheinformationisconectanda9reetocom I withallapplicable Varience - Parks
State of Minnesote Statutes n ity of r?Ordinanc? es. . popies
? ?S2S?10--
v? G' ..??/??
Signature of Permittee TOTAL
A Building Permit is issuea io s I GSW BLDRS INC on the express condition that
all work shall be done in accordance with all applicable te,inn,psota Statutes and City of Ea9an Ordinancea
Building Ofticial ?o ?
l
?. / ,?, o C.:. !, ?- r %?. // ti d • ?= y`???
IA"
r
?
,
.?
?
-T?
CITY OF EAGAN
3794 Pilot Knob Rood Eugan, MN S3724
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipr
To be umd for SFDWG/ Est.Value 37,000 Dote N2 6286
l /
# t?/.? '?-F-?
19._S.o_
Site Address 2128 Cli£fhill Ln. E R3
Lot 4 e lock 5 5e,/s„b. Cedar Cliff 1 rect gL]
Alter ? OCCUponcy
Zoniny PD
Porcel # Repair ? Fire Zone 3
re Nome Zachman Homes Inc Enlarge ? Tyce of Consr. V
Z 7760 Mitchell .
Rd Move ? # Stories
Address . Demolish ? Front ft.
o C; _Eden Prairie, Nl;fe 937-9520 6rode ? Depth fr.
p Nume AOprorals Fees
?
??
Address
Assessrd?at
Permit i0£?.n0
~ Cit Phone Water & Sew. Surcharga 18 _ 5f1
?? Police Plan check?-On
wW
rZ Name
Fire
SAC 525 L (1f1
='m Address E W C o5 _ nn
I hereby ackrwwledge that I hove read this applicotion ond state that
the information is wrrect ond agree to comply with oll applicable
StaM of Minnesofa Sfatutes and City of Eagan Ordinances.
ng.
Planner _
Council _
81d9. Off. _
APC
ater onn.
WaterMeter 6n"00
Road Unit l 85 _ (1(1
Total l i? 5 5_ 5!1
Signature of Permittee I
A Bu(Iding Permit is issued to: Z3C1]IIlanHOID25 TI1C. on the express condition that
oll work sholl be done in accordan with all li 6Ie? Stute of ?(vlinnesotq Statutes and City of Eagan Ordinances.
Building Officlal ?i ?Ai- ? ?
LJ ?
a` CITY OF EAC'?AN Include 2 sets of plans,
1 site plan w/e]evations s
BUIIDING PERNIIT APPLICATION 1 set of energy calculations.
Zb Be?Used For jj1??(Q ;mo 4-, Valuation 3 7, OG 0 Date 1%(D?.?
Site Address: 4?1 ? v I' OFFICE USE OrII.Y
Lot slocx sec./s . C`Q? /o?E=ect occtwlcr
Parcel Alter ZOWg P-D
Repair Fire Zone 3
Owner: Enl.asge _ 'type of Const. y
/ Nbve # Stories
Pddress?: ?(pQ Mr ?r? ?..QJ // Ienlish Front ft.
City/Zip Code: /6,/f j_jq u/YLa aA "PGrade Depth ft.
Phone #: !Z37- ?S2.6 /
Contractor:
Pddress: ?
City`ZlP Cod-
Phone #: ?
AL'C71. /IH?'1CJ. .
Address:
APP%7t/ALS pgs
Assessments Permit - /48,do
Water/Sewer Siirchai9e
Police Plan Check y, D o
Fire SAC XgC, Q p
Eng _ Water Conn. 0,0
Plarunes Water Meter ? o a B
?.'OllT1C11 RCkld jlILit d d
Bldg. Off.
APC
City/Zip Code:
Pnone # : TOTAL /4 ; S S , $?J
!/
CALVIN H. HEDLUND ?? diratd Avenuo SoutA
Bloominqton,Mfnnewfu 55431
Land Surveyor Clvll EnQinssr Phone:898-2080
surver?or"s eertili " cate
J08 N0.
SURVEY FOR: Zachman Homes
DESCRIBEO AS: Lot 4, Block 5, CEDAR CLIFF, City of Eagan, Dakota County.
Minnesota, and reaerving the easementa of record.
9 04.0
r-- -
I
I
I
?
I
Io'0
.r--
L-?:
900.1
N
--- ---,
i
I
i
I
?
I
I
904.2
Top af Foundafion = 403.5
8asemen+ Floor : 900. 3
Garage Fl oor = 903. I
Proposed Eleva+ions <Z-->
Exis+in9 Elevations
Danotes Draine9e -?
FuT. I ' ID'
6pQ ry Iq STpKES
? 9oz. 'Y?GANT yoz '
? o
m M
899•8 CLIFFHILL LANE
400.9
qoo. 6
?I
L
Z
O
m
?
CERTIFICATE OF SURVEY
I hereDy certify that on lp-?-$O I surveyad the property descriGed abov Ond thot
tne aDove ploi is a correct ropresentatian of said survey
-??..:.._ ov, ?-.ot? _p
Golvin H Hedlund, Minn. Req. No. 5942
2605 RESIDENTI.4L BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 .
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reomremenls Remod=UReoair Reowremenls Office lke DniJ
3 registered sdz surveys showing sq. fl of lot, sq 5. of house; and all raofed areas 2 copies of plan CetoFSurvAy Recd -- : '_Y ,. N
(20% maximum lol coverage allowed) 1 sel of Energy Calcula(ons for heated addilions $[0e PresPlsnROCd: Y= _N
2 copies of plan showing 6eam 8 wmdow srzes, poured found dzsign, etc 1 sde wrvEy for addihons & decks 7reePres Rgquiied.,-_ .. Y *N
15et ofEnergyCalculahons Addition - indicateif on-sifesepficsystem S3a-siie5eptic53rslem: •_Y •_P!
3 ccpies of Tree Preservallon Plan if lof piatled afler 711l93
Rim Joist Detail Options selectron sheel (bwldings with 3 or less unils)
?
Date / ? / d ? • Canstruction Cost Cl , oc.BO • 00
I
? ? n
Cet? Addrecs _S???Q?[?
- U -- -- _?-- UniUSte #
Description of Worlc
Multi-Family Bldg _ Y_ N Fireplace(s) 1 _ 2
Property Owner ?T Telephone #(6S f) YiVO' 5106
r
Contractor
`
Address City
state
I zip S 5 U Telephone # (65 ( ) 77 S(Y - a-Ia
COMPLETE TMIS AREA OPILY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
En??gy Code Category . Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet -
(-4 submissiontype) Submitted Submitted
. Energy Envelope Calculations Suhmitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #?
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I liereby apply for a Residential Buildina Permit and acknowledge that the information is complete and accural
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of M
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without
permit; that the work will be in accordance with the approved plan in the case of work which requires a review ai
approval of plans.
RY% D
Applicant's Pnnte Name
.
Applicant's jSnaje
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch(Addn. (4-sea.) E3 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ?, 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
7 32 Additicn G 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buiiding` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handoui to appticant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIItED INSPECTIONS
_
Footings (new bldg) FinallC.O.
_ Foo:ings (ded:) FinaLN? C.G.
_ Foolings (addition) Plumbing
_ Foundafion HVAC
_ Drain Tile Other
Roof _ Ice & W ater _ Final Pool Ftgs Air/Gas Tests Final "
_ Frazning Siding Stucco Stone Bri ck -
_ Fireplace _ R.I. _ Air Test Final Windows
_ Insulauon _ Retaining Wall
Approved By: , Bu ilding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total _
qq $9ot?
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslmction Reamremenis RemodellReoair ReauiremeMs
3 regislered site surveys showing sq fl o( lot, sq fl o(house; and all roofed areas 2 copies of plan
(20°k maximum lol coverage allowed) 1 sef of Energy Calculafions for heated addihons
2 copies of plan showing 6eam & window sizes; poured found design, etc 1 sile survey for addltions & decks
'
1 set of Energy Calculahons rf oo-site seplic sysfem
Adddion - mdicate
3 coplesof Tree Preservatwn Plan if lol platled afler 711l93
Rim Jdisl Delail Options seledion sheet (bwldings wdh 3 or less units)
70,60
Office l"JSe 6nlv
CertofSurveyRecd,
TreePreS?PlznReCd: _YN.
Tree Pres Requiied Y _N
Or?sBe Septic 5ystem Y__ N
-ffl,OO
Date Construction Cost
SiteAddress Unit/Ste #
Description of Work ,
Multi-Farnily Bidg _ Y_ N Fireplace(s) _ 0 2
S
&6 Telephone #!?S( ) ,-Ox
Property Owner
ow
?
Z"?'
C1tStOm
Contractor
em0 e eTS, 11C. City
Address
474 Apolla rive
MN 55014
S
t
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COMPLETE THIS AREA OFILY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate orv 1 _ Nfinnesota Rules 7672
Energy Code Category , Residential Venlilahon Category 7 Worksheet . New Energy Code Worksheel
(J submissian type) Submitted Submitted
. Energy Envelope Calculahons Su6mitted
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 5tate 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.
L -??wn..e? C? ?/h<
Applicant's Printed Name Applicant's Signature
?
CLAIM VOUCHER-REFUND REQUEST
CiTY OF EAGAPI
MAKE CHECK PAYABLE TO: Cuslom Remodelers
ADDRESS: 474 Apollo Dr
Lino Lakes MN 55014
PERMIT # 74895 Valuation: $2,000
RECEIPT #/DATE: 113624 8-25-06 Site Address:--2128 ClifflullZane
12EASON FOR REFUND: Job cancelled ($50.00 administrative fee applies)
TYPE OF REFUND:
Buildin Pertnit IIase Fee 0801.4085 $ 20.00
Construction Meter D Refund 9220.2254 $
Curb Box De osit Refund 9220.2253 $
Fire Su ression Pemtit 0801_4096 $
MecUanical Permit 0801.4088 $
Plan Review Fee 0720.4222 $
Plumbin Permit 0801.4087 $
SAC MCES) 92202275 $
SAC (City) 9379.4681 5
SAC (Admin) 0801.4246 $
Sewer Permit 6201.4532 $
Surcharge 9001.2195 $
Treatment Plant 6101.4685 $
Water Permit 6101.4507 $
Water Meters & Radio Read 6101.4509 $
Water Su l& Stora e 6101.4680 $
Other 0501.4210 $
Total $ 20.00
I declare under the penalties of law that this account, claim, or demand is just and that no part of it has been paid.
9?? ? 09/06/2006
Si ATURE DATE
September 6, 2006
Pat Geagan
MAYOR
BONNIE HOULE
Peggy Carlson CUSTOM REMODELERS 1NC
Cyndee Fields 474 APOLLO DR
Mike Maguire LINO LAKES, MN 55014
Meg Tilley
COUNqI MEMBERS RE: gEFUND OF BUILDING PERMIT #74895
Thomas Hedges Dear Bonnie:
Cm AoraiNisMnroa
Per your request of September 6, 2006, permit #74895 to install five windows at 2128 Cliffhill
Lane has been cancelled.
A refund of $20.00 will be sent to you under separate cover. A$50.00 administrative charge
applies to this refund and the State Surcharge of $1.00 is non-refundable.
MUNICIPAL CEHfER If you have any questions, please feel free to call me at 651-675-5671.
3830 Pilot Knob Road
Eagan, MN 55122-1910 Sincerely,
651.675.5000 phone
651.675.5012tax
Janice D. Severson
651.454.8535 TDD Office Supervisor
cc: Dale Schoeppner, Chief Building Official
MAINTENANCE FAqLITV Sabab Xayarath, 2128 Cliffhill Lane, Eagan, MN 55122
3501 Coachman Point
Eagan, MN 55122
651.675.5300 phone
651.675.5360 fax
651.454.8535 TDD
www.cityofeagan.com
THE LONE OAKTREE
The symbol of
strength and gmwth
in our community.
HP-06'2HOE5) 1118
? Custorn
CRI Renzodelers, Inc.
HOMEIMPRpvEMENTS
Refuxtd Depart7ment:
47a Apollo Drive
REFUND REPORT
Llno Lakes, MN SSOia
DATE
Cou1d you please refund payment to Custom Remodelers, Iuc.
The pernut fee of 7.0o . Tius request is made for
ba.?i ?C ?Ur? ?
Job was caucelled and Custozn Remodelers, Ine. paid for peimit.
Enclosed is a copy of the permit. x
Thank You,
Joy Riclaardson
(651)784-2646
WMV.c?
P. 001I004
(651) 784-2645
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA130011
Date Issued:03/30/2015
Permit Category:ePermit
Site Address: 2128 Cliffhill Lane
Lot:4 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Brian Nerison
430 E. County Road D
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Luke S Johnson
2128 Cliffhill Lane
Eagan MN 55122
Kb Service Company
430 E. County Rd. D
Little Canada MN 55117
(651) 748-4933
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA138220
Date Issued:08/16/2016
Permit Category:ePermit
Site Address: 2128 Cliffhill Lane
Lot:4 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Luke S Johnson
2128 Cliffhill Lane
Eagan MN 55122
New Windows For America
2123 Old Hwy 8 NW
St. Paul MN 55112
(651) 203-0149
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174945
Date Issued:03/02/2022
Permit Category:ePermit
Site Address: 2128 Cliffhill Lane
Lot:4 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-040
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 -
Luke S Johnson
2128 Cliffhill Ln
Eagan MN 55122
Water Heaters Now Inc
6432 Penn Ave S
Richfield MN 55423
(952) 688-2222
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179055
Date Issued:09/16/2022
Permit Category:ePermit
Site Address: 2128 Cliffhill Lane
Lot:4 Block: 5 Addition: Cedar Cliff
PID:10-16600-05-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Luke S Johnson
2128 Cliffhill Ln
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature