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2089 Cliffview Dr Use BLUE or BLACK Ink For Office Use CRY of Eap Permit#: 1~ I Permit Fee: CAJ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: j Phone: (651) 675-5675 I Staff: I I Fax. (651) 675-5694 L____ INFLOW & INFILTRATION PERMIT APPLICATION _ Plumbing / Sewer & Water Date: lb , i Site Address: 20 ~6 [ _ S~ 122 K to V fib l C' ~ G~ /V Tenant: Q Suite Name: lk-~ Phone: RESIDENT I OWNER b Address / City / Zip: Name: r\4 ~C e W iLicense 201 O 7 7~/'~_ Address: City: CONTRACTOR State: Zip: Phone: &S L 2-4 2 Contact: Email PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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. X. y/gIVIVA1 1C H/H x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final .. , BUILDING PERMIT Ts 6a wed ier • i'Iq 7 11 .9 Receipt # Site /lddreu Ered ?- Lot Block Sec/Sub. Alter p Parcel # Repoir ? Enlarge Q W Name Move ? z Addross ?- Demolish p , -, Occuponcy Zoning Fire Zone Type of Const. # Stories ' °C Name Approvah ,o ? Alddress Assessment ? ~ Ci Phone Woter 8 Sew. ? a N Pol ice WW cme F W Fire ?? /lddress Eny, i W Ci Phone Pionner I hereby acknowledge thct I hove reod this upplication and stote thct Councii gldg. Off. the iniormotion is correct ond ogree to comply with oll opplicoble State of Minnesoto Stntutes ond City. of Eo9an Ordinonces. ^PC Siqnoture of Permittee A Building Pertnit is issued to: 1 on all work sholl be done in cccordance with all appliwble State of AAi?in esotn Stotutes cnd City c Buildinq OfAcial ? CITY OF EAGAN 3795 Pilef Knob Road Eegon, MN S5122 PHONE: 454-8100 Sq. Ft. Fees Permit Surchorge Plan check, SAC Water Conn. Woter AAeter Road Unit Totol ?e txpress tondit{on tFx,i Eoaan Ordinonces. Permit No. Permit Holder Misc. Permit No. Holder r Disp. Sswer eleMric 'T$$--?(`?' Inspection Date Insp. Other Footioys Foundation Freminp ? Rough Plby. . 41 Rough HVA Inwlation Final Plbp. .. ? ? Final HVAC . Final Water Desc?ibe Location: ' VYell ? Sewer . Pr. D'np. (Itr#i#iratit uf (IDrrupttrct Citp of (Eagan mnmrbumt ? intiaing jmwprtim Tbii Certi f icatt is.rxad parjxont 1o tbt reqxirnnms of Satiox 306 o f the Uni f om Bxilding Cadc artifyix8 tixu a tht ti+ne o f itaramt tbit ttnrctun tuas rn cmn pliana uritb tfx roasioa.r ordi»axcu of tbe Citr ngx/atixg bxilding roRnractioa or xsr. For tbe folLowing: Umo C6mdkslkm SF DWG/GAR 712 5 oo-p-r'hp---R3-'hpco-uucuo._V Fiws,m NA zodn oWrfct Ri p,_dowmb¦ 7anhman Homns, nc-Aaa.. 7760 i h 11 Rd.. Fr_len l md,Am„ 2089 Cliffview Ar. LwKLot 12.Block 2.Cedar Cli? ? ? ? 7?1-: t?cLby: 2nd ?o ? o„a; Au4ust 19, 1982 .O.. i. . CCO...e„co. ...u Receipt MECHANICAL PERMIT Psrmit No. CITY OF EAGAN Fae FiIJ in numbered spacas S/C Type or Print /egibly Tot. 1. Date 2. Installation Cost c 3. Job Address Lot Iv :- Blk. Tract 4. Owner i:?:...??r?LZi.?lti:.'?UIV.,k•I?i1?d ._ i? . , _? 5. Contractor Phone 6. Address "*Z;37 o -;ouT:n 7. City State " . Zip Type: Residential El Commercial ? Institutional El 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe -rng 1?1'11-° ^iyr j= t:_ Fuel Type 11. No, Eauioment BTU - M. Ea. Fprced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg, Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. ' Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. - CITY OF EAGAN Fee Frll in numbered spaces S/C Type or Prini /egibly Tot. 1. Date 2. Instaliation Cost 3. Job Address Lot I -" Blk. - Tract 4, Owner • 5. Contractor Phone 6. Address ` 7. City State Zip 8. Building Type: Residential Commercial O Institutional O 9. Work Desaription: New b Add ? Alter ? Repair 0 10. Descri be 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved _ CITY OF EAGAN 454-8100 CITY QF EAGAN Remarks Additron -f'EnALIFF ZND ADL1N. Lot 12 Blk 2 Parcel p,,,,,,er f4ra _ 5treet 2059 Cliffview Drive state Eagan, NIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. ? 1983 1776.56 355.31 5 STREET RESTOR. GRADING 1983 522.84 104.57 5 522.84 C007834 9-13-82 SAN SEW TRUNK 1973 119.14 7.94 15 39.74 A011378 8-2-$Z Z *StWERLATERAL bi- 1983 2182.58 436.52 5 2182.58 C007834 9-13-82 WATERMAIN * WATERLATERAL 1983 5 WATER AREA 1975 107.22 7.15 15 50.10 A011378 8-25-82 *Services 1983 5 STORM SEW TRK ? 1981 452.03 90.14 S 271.23 A011378 -- STORM SEW LAT 1982 756.57 151.31 5 605.26 CURB & GUTTER SIDEWALK I STREET LIGHT ' Road Unit 185.00 #29086 3-4-82 ? WATER CONN. 335.00 ?i BUILOING PER. 711S SAC 525,00 PAR K CtTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: I 1?. ! t t ti .' 3 PERMIT SUBTYPE: iI aI N o,-.-. 0?0 ON RECORD PERNIIT TYPE: Permit Number: Date Issued: APPLICANT: ? . , + •? TYPE OF WORK: I 1 NA1. ?. .4•1,'1? Nb1.'l;4R Permh No. Permit Holder Date Telephone # S!W PLUMBIIVG HVAC ELECTRIC ELECTRIC Inspection Oate Insp. Comments Footings I Foundation S Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan 81dg. Fnal Deck Ftg. Deck Final . W811 Pr. Disp. aF FAaaN WATER SERVICE PERMIT Pilot Knob Road PERMIT NO.: , MN 55122 DATE: g: hla. of UR;ts: r: No., to aomply wi1h tha City of Eogan Connection Charge: J-)3• i Y' Account Deposit: Permit Fee: Surchorge: Misc. Chorges: GTY OF EAGAN SEWER SERVICE PERMIT 8795 siloF Knnb Road PERMIT NO.: Eo9ue. MN 55122 DATE: ? Zoning: - No. of Units: ? O1Yner: Nddress: Sll'C Aoddr@SS: ? "! ' ? `' • { : ' - " ' - . r ., ? - Plumber: ? 1 agree to eomPlp M'ifh the Gfy of Eagan Connection Chor : 2 ?^ OrdinOnces' ge e t Acwunt Deposit; Permit Fee: 1 Surcharge: BY Miac. Citnryes: Date of Insp,: Total, Insp.; D t id P o e a : This request void qJ `Z 9 Y ? ?8 monihs Trom ! 85548 -3 7?ScJ Request Date q ? J ? Fire No. Rouph-in Inspection Required? ?Ready NuwoWill Noifly, Inspec- R?? / ` ? Yes QNo tcTr YUher+ Ready '?51-icensed Electrical Contractor I hereby request inspection of above ? Owner electrical wbrk installed at: MINNESOTq S TE BOARD OF ELECTRICITY Griggs-Midway Bldg. - Room N-191 1827 Universitv Ave., St. Paul, MN 55104 L. Phone {612) 297.2111 THIS INSPECTION REQUEST WILL NOT BE ACCEPTEp HY THE STATE BOARD UNI.ESS PROPER INSPECTION FEE I5 ENCLOSEO. T RFQUEST FOR ELECT'R1CAL 1NSPECTION ,?..w E8-0OOOi-03 8 8 5 4& See instructions for completing this form on back of yellow copy. "X" Below Work Covered bv This Reaue.ct ^?? rrfe e Add Rep, Type of Building qppliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. 8uilding pryer Electric Hea-n Commercial Bldg. Furnace Silo Unloader Industrial Bidg. Air Conditioner Buik Milk Tank Farm Other per, yi 01her ISue,fyl t er ,SUerify Other O1her COmptII E /ns ner.tinn FA, Ral.,- 4 Pee Service EntranceSize # Fee FeederslSutrfeeders # Fee Circuits 0 to tU0 qrp g 101 to 200 Arnps 0 to30Am s 31 00 0 to30Am s to 1 qmps 31 to 100 Am s Abov Amps n Above 100- Amps Above 100-Amps r n Remote Contro l Circ. Partial Other Re S $ .J TOTAL FE ?Z' 6 y n _ . . . . . / f ? t ? 1 +! ? _ i . I, the Electrical Street Address, Box or Route No. C ity ?.,0 9 C<,t rzp ? C?-A N ection o. Township Name or No. Range No. County Axov?4 O updnt IPRINT) Phone Nn. c?- ?.r ?vL 3?? ?? 2 Po er SupDlier Add ess A1t ? ,., v-a ?? Ete tricaf Corttracror Company lVamel Contractor's Lic.ense Nn. nf ' Mailing ddr ss (Contractor or Owner M k ing Instailaj?o n) 3d n? c ' N. ? t 3 i Z rized ignature Cont tor/Owner aking nstallation) Phnne Number 1 -- ? spector, eb her y ceriify ihat the ebove ?tP f, inspection has baen ? 0 ? made. s request vo montfis Ffom -%" C1TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: 2089 LOT: CEDflR P.I.N.: 10-16601-120-02 PERMIT PERMIT TYPE: Permit Number: Date Issued: CLIFFVIEW DR 12 BIOCK: 2 CLIFF 2ND B UILbTNG 023926 06/21/94 DESCRIPTION: Buildifig'-Permit Type -;BUilding Wci-r.k?, Type ( l ? ? DECK NEW 1{}(``?? ?.`_?:j LJ`E ???Is ? REMARKS: FEE SUMMARY: Base Fee $30.00 5urcharge $.50 7ota1 Fee $30.50 CONTRACTOR: OWNER: - Applicant - JOWKAR SASAN 2089 CLTFfVIEW DR EAGAM MN 55122 (612)454-6129 I hereby aeknawledge that Y have read this intormation is cflrrect and agree to comply Statutes and City ofi EaganjOrdinances. L t r 61POI11ZNTIdPERMITPE IGNATURE applicaCiora and state that t'he witFi ali applicable State of Mn. ? ,n R.N n;(. J m.? ISSUED B SIGt ATURE ?' CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION t '': ; .,? ` 681-4675 ? -? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 co y of energy calcs. ic{i 11 S ?yc?ty COMMERCIAL 2 sets of architectural & str cturalg I,?$of specifications, 1 copy of ene . Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work ?act?? Site Address: +'t'fftPA?) d)r. STREET SUITE # Tenant Name: (commercial only) LOT BLOCK ? nU SUBD. U6" z?_ o P.I .D. 1 V Descri tion of mork: j The applicant is: 0 Owner ? Contractor ? Other (Describe) Name U.?? A)U Phone Property LAST F? ?sT Owner r pdd go ?f q G? Pu) ?r ress ' , STREET STE # City Qn ? State ////V Zip c9oZ Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: 5 C?LV'IW H. HEDLUND ssos o+ra.a Avenue S:,,? lIOOTInOTOn,Minnesora Land Survtyer Civil [naipeer PDOM:8B8-2000 sli, oy Gert«cate , t , JOB NO.? 327 i SURVEY FOR: Zachman Homea ? DESCRIBED A5- Lot 12, Block 2, CEDAR CLIFF SECOND ADDITION, City of F'p- . '7?unty, Minnesota and reaerving easemente of record. B92.o 8? ? - - - 78.00 - - - ?------, I I NoRTff I ? - ; L_ ?V) ??? 5_ ???e? ?•'j-' oF bloak 904,o vil ?99?1 ?" I 9?9 N -?? ?:?isemen-F f7oor H91o8 ? ?\ 3b? 20 ? i:irage f'loor 899.Io 1e4 ??5 \ GARN IZ ? SPLIT f ILEYEL , rninage direction ---- ?w elevations C> 1 ? i xis+in9 eleva}tons ( I M ? ?? C>e.,otes iron Menumenf o o_ J ? i f 78.00 i - - -896.8 97.4 - - M CLIFFVIEW DRIVE ro I - , 846. 817.1 ?rRTIFICATE OF SURVHY ? I hereby certify that on 31216L I su?veyed tAe popertY descrlbed obove ond thar tt!e obove plot is a corroet representeNon ef wid survyr. ? Calrin H. Hedlund, Minn. Re¢ No. 3942 A. ? . .. 4 I V' V" @ 5 6° a" c E4 ? Q c? 14' a" @ ? ROPOSED DECK ; UNEX 10? 5c ; LEVEL 20 fl 0 SPLI T ; ; , GARi 04 ' , ; ' w rla ' w? ------------------- ? ? @1 DRI jTE ? ? m o n? ? `Q w o ra co C? 0 ?n ? ? BUILDING PERMIT r_ ._ ..._, a. SF 17 CITY OF EAGAN 3795 Pilof Knob Road Eegen MN 55122 - --- ? .: N° 7115 VHONEs 454-8100? Recelpt # : C? V„1.,. $50,000 oore March 4 1 y 82_ $if! flddr¢55 LV07 l,itil.vicw ui?-vc Lor 12 Black Z kcisun. Cedar Cliff 2nd Parcel # 10 16601 120 02 a Name zaC?? limp5 . It1C ? ,?,Tu 7760 Mitchell Road - -- ----- - Q47-059(1 o Name _ ?? Addresa f r:... Nome Address I hereby acknowledge that 1 hove reod ihis npplicotion and state that fhe mformation is correcf and agree fo comply with oll aDDLcable Stote of Minnesato Stotutes and City of Eogan Ordinonces. Signoture of Permittee A Building Permit Is issued to: - pll work sholl be done in accordance 8uilding Offitiol 3 R- Erecr )a Occupancy- ? ?- - x-1 Alter 0 Zoning RepaU ? Flre Zone V Enlarge ? Type of Consf. Move ? * Stories DeR+olish ? Length 56 Grode ? Depih 26 Sq. Ft.- Approvals Fees Assessment .. Water & Sew. PoHce Firo Enp. Planner Countll Bldg. Off. APC Permit °1J-'•"" Surcharge 25.00 Plan check 141.50 snc 5?.5.00 WoterConn. 335.M Woter Meter 60 ? 0.Q Raod Unit 185.1n rotoi 1554.50 on the expren condition thn, Statutes and City of Eagun Ordirwncea. CI TY OF F.?GaDt Inciude 2 sets of plans, • ?? ? 1 site plan w/elevations & BU7LDING PERMTT APPLICATION 1 set oi energy calculations. ?? ?SO, o o a 3 /?i Zb Be L'sed For Valuation ,?- - Date Site Address: OFFICE USE ONLY Wt ? Bloc}c ? Se ./Sub. Erect _X Occupancy Barcel 1 : /D 1WOG ( I Z C O Z ? P Alter air Re Zoning Fire Zor Q e (v p . , Enlarqe 7ype of Const. ? GLmer: hbve " Stories Pddress. =ao ML??y Dernnlish Front ft. _ Grade Depth 2 ? ft. Cityj2ip Code:f ?qn{.?,fi(?,??,.-- Phone =: 43 ?-9s?a AMP P??-S FEES Contractor: Pc3dress : City/Zip Coce: Phone Arch. /Ep.g . : Ac:c'se ss : City/Zip Code: Phor.e .':: AssesaTents Permit Water/Sewer Surcnarae o2S $'" Police Plan Check. Fire SAC Water Conn. ? Planrer Water Meter Z.11 COllllCll ROc"7d URlt J ad- ? B1dg. Off_ APC ? ?55 'In'PAL -- ° ?ALVIN H. NEDLUND 9609 oi.ara Avenue Sourr•, ? Surve pr BIOOTInqMn, Minnesota "?° LaM ? r CIr11 Enpineer Phone:8B8-2080 ? ; surr?er?or?? G'ert«cate ? i JOB N0. 327 ? SURVEY FOR: 7achman Homes ? r)ESCRIBED AS: Lot 12, Block 2, CEDAR CLIFF SECOND ADDITION, City of Eaa??n, ? •?.? !'aunty, Minnesota and reaerving easementa of record. B4z.c - - - rL_ , E L r ? F?p of bloak 9b0,b ? 3,asemen-f -F1oor H949.$ ? I Ci a r age -Floor 849 .la C1rn in(z9e- d i reotion =r- ' %'r;'(???r.i^c{ elevations ? I r ? Ex?sFinc? eleva}Ions K br_r,o+es iron rnonumen{- o ? M CLIFFVI',EW DR1VE JI J NoRTN /'? I I I k f` 1 i zo I ; ?? GAR N iz' ILEYE4 7s.oo ' m° 896. i 897.1, ; IfIGATE OF SURVEY '• 7: Acreby certify fhat on 3/2/BZ I surwyed fhe praperty descNbed above end rhar { ttle obove plaf is o wrrett represenlotion of seid survtr. i 4 ?. ; : Lalvin H. Nedlund, Minn. Req. No. 9942 k? 1 _! Use BLUE or BLACK Ink r A1111111111.1 I For Office Use I 41P~ I I City of Wan PermitM I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I 1 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: l Aa/n~tI'---- I!lq O Phone: ~psl " o~0(a b RESIDENT / OWNER Address / City / Zip: _dde? C '.1ya t4J a4ivt Applicant is: Owner X Contractor TYPE OF WORK Description of work: Adw r CO- 57000. Construction Cost: Multi-Family Building: (Yes /No ) Company: Contact: (::4 /0--. CONTRACTOR Address: ~By~vZ Sr rXf y4t3 7^ Lcity; /`'>PJ Zip: Phone: !dl r 9r "O4'/3 State: License ~l G YS BOA Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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 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 permit issuance. x C Irv' z4w x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA113053 Date Issued:08/28/2013 Permit Category:ePermit Site Address: 2089 Cliffview Dr Lot:12 Block: 2 Addition: Cedar Cliff 2nd PID:10-16601-02-120 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 . Jayme Meyers 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 - Ratanak Phark 2089 Cliffview Dr Eagan MN 55122 (612) 226-5456 Bayport Roofing and Siding LLC 10 South 5th St, Suite 700 Minnepolis MN 55402 (612) 235-7663 Applicant/Permitee: Signature Issued By: Signature