2092 Cliffview DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 2092 Cliffview Dr
Lot: 12 Block: 3 Addition: CedarCliff 2nd
PID:10- 16601 - 120 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: Replacement
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector,
952- 445- 2840Jenny Hanson 1710 Alex ander Road Eagan , MN 55121 651- 452 -1565 wenzelpandh @yahoo.com
Fee Summary:
Contractor:
Wenzel Plumbing & Heating
1710 Alexander Rd
Eagan MN 55121
(651) 452 -1565
Surcharge -Fixed
ME - Permit Fee (Replacements)
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
$0.50
$50.00
$50.50
Owner:
Marvin W Hansmeier
2092 Cliff Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
9001
0801
Issued By: Signature
Mechanical
EA077089
03/27/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
cirr oF E?wN
3795 Pqet Knob Road Eoyan, MN 5512=
PHONEs 454-8100
BUILDING PERMIT Rece?pt #
To be and i w W. Volue Dote , 19
Site Addrcss Erect p Occuponcy
Lot Block Sec/Sub. /11ter [3 Zonirp
Parcel # Repoir ? Fire Zone
E
l T
n
orqe p ype of Const.
W N? ` Move ? 5tories
? Addrou Demalish ? Length
ri.., Grade ? Depth Sq. Ft.
°C Nome -rv?•-
O
/lddross
Asseument
~ Ci Phone Water 3 Sew.
? ? Police
y?W Name
Firo
F
llddress Enp.
i W Ci Pfwris Planner
Council
1 hereby ocknowled9e that I hove reod this applicotion and state that gldfl. Off.
the inlormotion is torrett ond ogree to tomply wifh oll oppiitoble
$tate of Minnesota Statufes and City af Eoqan O?dinontes. APC
5fynoTure of Permittee
Permit
SurchorQe
Plan check
SAC
Woter Conn.
Woter Meter
Rood Unit
Totol
A Building Permit Is issued to: on ths exprcss condition Ihrn
oll work sholl be done in nccordarxe wlth all opplicabla State of Minnesote Statutes ond City of Eagan Ordinoncet.
Buildinq Officiol
Permit No. Permit Holdsr Misc_ Permit No. Holds?
Plumbiny
H.V.A.C.
W?11
Watar
r
Disp.
Sswer
Electric
Inapection Dsts Insp. Other
Footinpi -
Foundation
Framinq ? Z?ii Rouqh Plby.
Rough HVA
Inwlation
Final PIb4
Final HVAC
Final
Waftr Dhcribe Location:
Ylhll
Sewer
Pr. Disp.
. ^ . . • .- r . - . w: .- , . . _ _ ti , . . .-,-,?y-- ..
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DECK Est. Value 41,000
Site Address 2092 CLIT!'YiBW DR
Lot 12 Block 3 SeclSub. CFJDAR GLIFF 2Z`'D
Parcel No.
W Name ??":VIN 1fAt?:;k?.'ILk 1? UEBiU.
3 Address 1092 CLIFPI1IEW DP,
0 City F?CAN Phone MNNMW
, o Name tai:RE
o? Address ' ,R04 YICKSPGXp.:.: ?..':
Citv x'LIIIQUTH Phone
Name _
Address
Clty -
Phone
I hereby acknowlege that I have read this
informaGon is correct and agree to comF
Minnesota Statutes and City of Eagan Ordi
Signature of Permitee A Building Permit is issued to:
on the express condition that all work shall
aDalicable State of Mfnnesota Statutes and
the
- of
?
with all
O FFICE USE ONLY
Occupancy - FEES
Zoning -
(Actual) Const - Bldg. Permit ? ?' • ?
(AI{owable) - Surcharge • ???
# of StorieS -
Length _ Plan Review
Depth - SAC, City
S.F. Total - SAC. MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Water Meter
MWCC System _
Acct. Deposit
Ciry Water _
PRV Required - S/W Permit
Boosier Pump - S'W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Council 1.50
BIdg.Off. _ Copies
? ?' 00
Variance - TOTAI
16`,"1
Pe?mlt No. PermR Nolder Date Telephone #
1iJATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
InspeCtlon Date Insp. Comment4
Footings I
Foundation
Framing
Roofing
Rough Plhg.
Rough Htg.
Isul.
Fireplace
Final Hlg.
Final Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
oeck Fty. 7- S- o
Dedc Final
Well -
Pr. Disp.
- - , CITY OF EAGAN
. 3795 Pilot Knob Road Eagan, MN 55122 N2 6682
? PHONE: 454-8100
BUILDING PERMIT Receipt # _
To be used for Est. Value Date , 19
Site Address Erect ? Occupancy
Lot Biock Sec/5ub. Alter ? Zoning
Parce( # Repair ? Fire Zone
Enlorge p Type of Const.
Name Move Q # Stories
W
Z -
Address Demolish ? Front ft.
0 7 -
?:... o?.,._,. '' '?`• -
Grode
rl
Depth ft.
p Name
r
uu
Addre:
t- r:...
Name _
Address
Assessment -
Water & Sew.
Police
<W I City Phone Planner
Council
1 hereby ocknowledge that I have read this application ond stnte that Bldg. Off.
the information is correct ond agree to comply with oll opplicoble APC
State of Minnesota Statutes and City of Eagan Ordinances.
Permit
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Rond Unit
Total
Signature of Permittee I
A Building Permit is issued Yo: on the express condition that
oll work sholl be done in acrnrdance with oll applicable State of Minnesota Statutes and City of Eagnn Ordinonces.
Buitding Official
PomIt # oeh luuad 1?wniftw
Plumbing ,R -7
Mechanicul ?S S? L(J g•?' tT
.`CLE'vc/& -cS-Fs1 S??r?•s? c?l'ce ?
INSPECTIONS DATE INSP.
Rough-In
FlnM
Footings ?' 2 $I pR Dote Inap. Date Insp.
Foundation Plumbing "?
Frome/ins.. Mechanical
finaf
RemOrks:
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Prini /egib/y Tot
.
1. Date 2. Installation Cost
Blk
L T
t --
.
ot
3. Job Address ••- rac
4. Owner •
5. Contractor . eltt'r : , Phone
6. Address
7. City State Zip
8. Building Type: Residential O Commercial ? Institutional O
9. Work Description: New ? Add D Alter 0 Repair ?
10. Describe Fuel Type
I 11.
No.
? Eguipment BTU - M. Ea.
Forced Air No. EQUiament 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
(nspectians: 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
c.e
Fill in numbered spaces S/C
Type oi Print /egib/y '
Tot.
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State Zip
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floar 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.
. A,pproved _ CITY OF EAGAN 464-8100
?rrtiftrate nf Orrupaury
Citp of (Eagan
Brpttrtmm# rrf Building Ansper#ion
This Ccrti f icate irsued Qur.ruunt to the sequirements o f Section 306 o f the Uni f orm Building
Code ccrti f ying that at the simt o f issudna this strttcture wa.r in com pliancc with the various
ordinances o f the City regulading bxilding conttruction or use. For the follounng:
vxc,,,ldficafim SINGI,E F.AMILY DWELLING B1dg.PemdtNo. 6682
Occvparcy Type +lypr CanswciionV Fire Zone NA Zoning District
BY:
Building Offidd 2;A
•OiT IM A CONBMCUOUB ?CE
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
? CONTRACT PRICE: ` PHONE: 454-8100 For Office Use Oniy:
? Site Addregs gLpC,,, npE WORK DESCRIPTION
. ?
' Lot Block Sec/Sub Res New
? Name Mult Add-on
m Comm. Repair
Address
? c City Phone f -,, Other
? `?•?. '" ?, •r
FEES
? Name `I L •-:. . RES. HVAC 0-100 M BTU - a24.00
3 Address ADDITIONAL 50 M BTU - 6.00
? O C?b Phone ? (RES. HVAC INCLUDES A/C ON NEW
? rnueTOl irTMui
1.50 EA. ?
'E OF WORK GUMM/INU rtt - 14%0 Ur GVN I HAIi 1 rtt
ced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
ler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
t Heater M BTU $ REMODELS - 12.00
Cond. ? M BTU $ MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
?t CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES
s Piping Outlets # $ BEYOND $1,000)
ier q
FEE: r
S
?
S/C: ?1
? l
TOTAL• ?"y i
.s
FOR: CITY OF EAGAN
CITY OF EAGAN
Addition - CF.DAR Ci.TFF 2ND ADi?N Lot 12 Slk ? Parcel 1 n 16601 7 2fl Q3
Qwnerft1i <<i ,`, ?1. `LFLrft Nt1l?`i:-P4r Street2QQ92 G1 iffvi_ew Drive stare Eagan. M 55122
Improvement Date Amount Annual Years Payment RecBipt Date
STREETSURF. 1983 1776.56 355.31 5
STREET RESTOR.
GRADING 1983 22.84 104.57 5 522.84 C007845 9-13-82
SAN SEW TRUfVK $4'T.'T6 A010]E8'r 8-21-81
*SEWERLATERAL 7` 1983 2182.58 436.52 5 2182.58 C007845 9-13-82
WATERMAIN
* WATER LATERAL 1983 S
WATER AREA ? .31 A=48 8-21-81
*Services 1983 5
STORM SEW TRK $351.68 AO104S7 S-PZ-Sl
STORM SEW LAT 1982 756.57 151.31 5 756.57 C007305 10-1-61
& GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
urir oF EAaaN WATER SERVICE PERMIT
3795 Pilet Kwob Road PERMIT NO.:
Eagnn, MN 55142 DATE:
Zoning: No. of Units:
n... ? .
Address: _
$ite Address:
Plumber:
Meter No.: Connection Chorge:
5ize: Account Deposit:
Reader No.: Permit Fee:
I agreo to cnmply wlth tha City of Eagon Surchnrge:
Ordinaneas. Misc. Charges:
TotaL• -
ev Dote Paid
Dote of Insp.:
CITY OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owner;
Address:
Site Address:
Plumber: '
I agree fo oomplr wifh the City of'Eagan Connection Charge
Ordinenees. Account Deposit: _
Permit Fee:
$urcharge: '
gy Misc. Charges: -
Dote of I nsp.: Totol:
Insp.: Dnte Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
This reqdeTvoid 1- 1'2( 6 3 ? C. G°
18 months from ?
Date of"tnis Request 6-12-81 Fire No. T 43T66
I, as O Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring instatled at:
Street Address or Route No. 2092 Cliffv; ew Lane City Fggan
Section Township Range County Dakota
Which is occupied by ?arhm Hr,m
(Name ot Occupant)
Is a roughin lnspection required on this job? No ? Yes 9 Ready Now O WIll Call ?
PowerSupplier Dakota Electric Address
Electrical Contractor S ' Contractor's License No. 39!p?8
(COmpany Name
MailingAddress 4120 83rd Ave. No. Mpls, Minn, 55443
(Electn<al Contractor or Owner Making This Installa[lon)
Authorized Signature xeith R. I-Iesli Phone No. 566-8600
(Electrical Contractor or Owner Making Thls Installatlon)
??Q?? ?O ???D ??p? This inspection request will nat 6e accepted 6y the
State 8oard unless proper inspection fee is enclosed.
Minnesota StaYe Board of Electricity E13_00001-02
Griggs Midway Bldg. - Room N791
55104 - Phone 297-2171
, J 1 70
2
1821 University Ave., St. Paul, Minn.
REQUEST FOR ELECTRICAL INSPECTION T 43466
CHECK BELOW WORK COVERED BY THIS REQUEST
R
Type oc 8uilding New"Ad Ch?kAppliance!l k Applisnces Wiced Fo: Check EquipmentWi=ed Foi
Home ? ? Te mpoiary Wiring ?
?
Duplex ? ater ? Ligh[ing Fixtuces
Apt. Bldg. ? T
? Electric Hea[ing a
Commercial Bldg. ? ? S8o UNoader
?
Indus[nal Bldg. ? i[ioner ? Bulk MIlk Tank
List
Farm Othexs?
(l+hP. ? Hexe
rnXemrrF nasDF('TI(1N FFF. RAi.OW
ServiceEntianceSize: # Fce Feedecs&Subteede[s: # Fee Ciicui[s: # ree
0 ta 100 Am s. 0[0 30 Am eres 0 to 30 Am e[es
31 [a 100 Am eres
101 to 200 Amps. 31 to 100 Amperes
A6ove 200 Am s. A6ove 100 Amps. Above 100 Amps.
Txans£ ` Aemote Control Cicc. Partial or othei fee
e $
f
i
S?gns Special lnspection e
mum
Min ?
Remazksu b'-v(.f ? I TOTAL ENCH-U?? nn ?
I, the Etectrical Inspector, hereby cer ' at t ve fnspection has been y?ad???
(Rough-in) Date ??'-
(Final) Date
This request void °y
18 months from
C? 3 2 4 0 4,c??
Fequest Date Fire No Rouqh-in Insp
6/26/90 Reqwred+ y [] Reatly Now ? Will Nollty Inspector
A
When Reatly?
G Ves X No
Ixxhcensed contractor ? owner hereby request inspection of above electncal work at.
Job Atltlress (Streat Bm or Route No ) Ciry
. .
Section No Township Name or N. Range No ^,n . n
Gounry
Dakato
Occupent(PqINT) Phone N.
Marvin Hansmeir
Powar SoppLer Atltlress
Elpf(lIG31 COf1?1dC,01 IGORIpBny Ndf.lBl ri0(IIffiCt0l5 LICBl168 NO
Lein Heating and Elec. 042468-6
Maning Aotlress ?COnhacmr or Ownar Making Instellation)
6525 E. 170th St. Prior Lake, Mn. 55372
Auro?? gnaNre IContracto kmg Ins? (jt Phane Numbar
?i -) [lLr ll..?,l ?c? 447-2490
mmnpypiA STATE BOAND OF ELECTflICITY
Grigga-Mitlway Bltlg - Room 5-193
1821 Unlversity Ave. St Paul, MN 5510d
PMne (612) 662-0800
THiS WSPEGTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED
0 6) REQUEPT FOR ELECTRICAL INSPECTION -1.7` 1' ?
ry ? See ioe[mcoons for compleM1ng [his form on beok of yellow copy Y?y?&? E9D0001-0)
240?-F X" Below Work Covered by This Request ??
Rep TypeofB Itln
Home 9 APP? ances W ed Equ pm t W ed
R
Water Heater
Dryer
Furnace
Farm
Compute lnspechon Fee Below
? Other r.
eooms
? Other Fee ?-
I, the Electncal Inspector, hereby
cerhfy that the above mspection ha5
been matle.
IFFICE USE ONLY
M1is request void 18 months Irom
Other
# ServiceEnlrence Sze Fee # Grcuits/Feeders
Fee
0 to 200 Amps 0 to W0 Amps
Above 200 _ Amps Ah Amps
nspectors Use only / ±dd TOTAL
? J 15.50
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
COMPLETED WITHIN 18 MONTHR.
84 HiTILDIWG PERMTT APPLICATION
CITY OF EAGAN
14S4 1
SINGLE F9MILY DFIELLIHGS MIULTIPLE DWELLINGS COt4'IERCIAL
2 SETS OF PLANS 2 3ET5 OF PL9NS 2 SSTS OF ARCHISECTURAI.
3 AEGISTENED 3ITE SQRVEYS REGISTHAED 3ITE SQRVES3 - 6 3TSDCTURAL YLANS
1 SET OF ENERGY CALC3. (CHECB iTlTH HLDG DIV,) 1 SET OF SPECIFIC9TIONS
1 SET OF ENEBCY CiLCS. 1 SET OF EIiERG1 CALCS.
BULTIPL6 DitELLINGS RENTAL UNTT3 FOR SALE DIQTTS f OF ONITS
80TEs IDDRES3ES FOH RDRNSA LOT3 - CONTA,CTOA/HQl+EOilliER !l03T DESIGNASE iiHICH iDDAESS
IS DESIRED. BD CBAidGFS WILL BS lLLOHED ONCB BOILDING PERFiIT I3 I33DED..
3EWER 6 W9TER PEE1MIT FEFS AHD ?CCOUNT DEP03IT FE6S WILL BS INCLODED iiTPH THE SOILDINd
PERHIT FEE. PROCFS3ING TIME FOA SENER 1ND W9TER PEBMIl3 I3 TWO DAYS ONCE A PERMIT 9?S
BEEN COMPLETED INDICITIPG A LICENSED PLUlMSR. .
PENALTY APPLIES WHENs PEAHIT IS NDT PAID FOR IN SAME MONTH IT IS REpUESTED,
LOT CH&idGE I3 REQUESTED ONCE PERMIT IS ISSUED. NAY 26 1989
?? (, f•?, ?d o4
To Be Used For: Valuation: ? Date: ,? ' Z?' d r y
± e kddress -2,0 ? Z C7(rl +V wba 1 OFFICE D58 OA[.I
Lot 1Z Bloek 3 ccupaney FEFS
//QQla?2 ?(i?? W0,?/ )r oning Z G
Parcel/Sub L ? /??? 6etual Const Bldg. Permit
Ormer
9ddress
cityizip coae S?/z-2-
Phone O y? -to 6
Contract
Address
Allowable
/ of atories
Length
Depth
S.F. Total
Footprint S.F.
On aite aewage
On site vell _
MWCC System _
Citq water _
PRV required _
Hooster Pump _
City/ZiE
lPPAOVAIS
Phone ?laamer
lreh./Engr. _
Address
City/Zip Code
Phone 1?
Coimeil
Hldg. Off.
Yarianee
Sureharge
Plan Heview
SAC, Citq
3AC, MWCC
iiater Conn
Water Meter
Acet. Deposit
S/W Permit
5/W Surcharge
Treatment Y1.
Road Unit
Park Ded.
Copies ?
SDBTOTAL
Penalty
SORAL
,.. .
? - .
? . _ : 3- •-
CITY OF EAGAN N? 16591
3830 Pilot Knob Road P O Box 21-199 Eagan MN 55121
? PHONE: 454-8100 ? ? ? ? (?
BUILDING PERMIT Receipt #
To 6e used for DECK Est. Value $1,000
Site Address 2092 CLIFFVIEW DR
Lot 12 Block 3 SeGSub. CEDAR CLIFF 2ND
Parcel No.
? Name MARVIN HANSMEIER & DEBRA
3 Address 2092 CLIFFVIEW ?R
° City EAGAN Phone 894-8000
,o Name AMRE
Address 2804 VICKSBURG LN
? City PLYMOUTH Phone 553-9274
r
gw Name
_ r32 Address
'aw Ciry Phone
I hereby acknowlege Ihat l have read this apphcation and state that Ihe
intormaton is correct and agree to comply wilh all apphcabl State of
Minnesota S[aWtes and Crt of E R Ordinances. +
J
SignaWre of Permitee
A Bwlding Permit is issued to AMR
on ihe express conddion that all work shall be done in accordance wrth all
applicable State of Minnesota Statutes and City of Eagan Ordmances.
Bmidmg0(tictal ?)rmi
OFFICE USE ONLY
Occupancy - PEES
zornng
26
0
?
(Aqual) Consi - Bldg Permit .
(Allowable) - Sumharqe _ 50
# of Slones -
Plan Review
Length _
Depih - SAQ City
S F. Total - SAC, MCWCC
S F, Footpnnts -
On Site Sewage _ Waler Conn
On Stte Well - Water Meter
MWCCSystem - qcct Depostl
cny Water -
PRV Raqwred - S/W Permd
eooster Pump - S/W Surcharge
Treatment PI
APPROVALS Road Unit
Planner - park Ded
Council - 1
50
Bldg Off _ CaPies .
28.00
Vanance - TOTAL
BUILDING PERMIT APPLICATION
SF DWG
5ire Address 2092 Cliffview urive _
Lor 12 elock 3 Sec/Sub. Cedar Cliff 2
Parce1 #. 10 16601 120 03
w Nome Zachman Homes, Inc.
Z 7760 Mitchell Road
? Address
o _.. Eden Prairie o,.,..e 937-9520 _
p Name _
F
0? Address
Name _
Address
I hereby acknowledge that I have read this applicotion and state that
the nrininesoto Smtutes nand ogree Cty t of ?Ear?galn Ordnalncesvlicable with State of /vl
Receipt #
Permit lvO .v..
SurcMrge 18,50
Plon checkS4•00
SAC $25.00
Water Conn. 335. 00
Woter Meter 60. 00
Road Unit 185.00
Total $1285 50
N°_ 6682
??9a
Erect. 10 Occupancy K s -
Alter ? Zoning R1
Repair ? Fire Zone NA
Enlarge ? TYPe af Const. v
Move ? # Stories
28
Demolish ? ft.
Front -
Grode ? Depth 36 +t•
e....,.....?, Feea
Assessment
Water & Sew.
Police
Fire
Eng.
Plenner
Councii
Bldg. Off.
APC
Signature of Permittee
Zachman Homes on the express condition thet
A Building Permit is issued to:
all vrork shall be done in ocmrdance with oll oppliwble State of Minnesota Statutes and Ciry of Eagan Ordinances.
Buildirg OFficial
? Il"I CITY OF EAGAN . Include 2 sets of plans, -
U 1 1 site plan w/e7evations b
--- ? BUIIDING PERNU't PPPLICATION 1 set of enezgy calculations.
' °-6 y-/6-sr
val-uarion 3 ? -0 ' Dar.e
?b ge Usecl For
Site Address= OFFI(E USE OI1I,Y
Lot 12 "•Block 2_ Sec./ A1teS 0( Zo?ning?cy ? -
?
Parcel #: /D n 49 n .> 8 1zepai r Fire zor,e
gnlyrye _ Zype of Const ? -
Owner: ' Nbve # Stories
ft.
-? Front ? Sr ft.
???s ? ?- prv l ,,,? Grade ?P? ?-?
City/ZiP C-o7e. ? .? o "?' \M.
,.rnmcrnr c FEES
Phone #:
Contractor: _
Pddress:
City/ZiP ('ode=
Phone #:
P.rch./flng• a _
pddress:
City/Zip Code:
Phone #:
CITY OF EAGAN
3795 Pilot Knob Rood Ea9an, MN 55722
PHONE: 454-8700 r.;
--- ?? ?
Assessents ,
? PerMlt
/
Water/Sewes S
J ff
urclarge
Police Plan Checlc sY ?
?
--
Fire ?
??,
S? ?'-? , -
Eng ,
_
k'ates Conn• 3
6 -?
?
Plaru?er 0
WatEr Meter
Council I I Road Unit 7_ S
Bldg. Off. ?-?,
APC
70r.AI. 5-0
tiV1AI H. HEDLUND ssos olrord Arenue soufh
:3?r??re? Grll EnOfneer ekO^IR910n,MinMwta 55431
PMOM : 066-20b0
LA(meyortis G
JOB NO.? zb ?
SURVEY FOR: Zachman Homea
CESGRIBED AS: I,ct 12, Block 3, CEDAR CLIFF SECOND ADDITION, Cit/ of Eegan,
Dakota County, Minnesota, and reserving easementa of record./
Top of biock 900.4
Basemen t floor 847.Z
Garage floor 400.0
DraincL9e direction -r
proposed elevatiort Q
E xisting elevation _
Denotes let iron o
? NORTH
/ -30
897.4
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140.45 ,
CI.IFFVIEW
89b.b -
847.3
DRVvE
GERTIFIGATE OF SURV v
I Aereby certiiy thof on surwyed fhe propsrty descri0ed oDove and that
tht aDove plaf is a correcf represeofotion oi wid survty.
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Colvin H. Hedlund, Minn. Rea Na_ 5942
CALVIN H. HEDLUND 9609 Girard Avenue South
8loominqron,Minnespta 55431
Land Hurreyor Clvil EnaYneer Paone :8B9-2080
suMefo?ro? eceifixte
JOB NO.?
SURVEY FOR:Zachman Homes
DESCRIBED AS: Lot 12, Block 3, CEDAR CLIFF SECOND ADDITION, Cit/ of EBgan,
Dakota County, Minnesota, and reaerving easementa of record./
7o p of block 900.4
Basemeni' floor 897.Z
Gara9e -Vlopr 400.0
Draina,9e direction --? ? ?
Proposed elevatian Q Oj I
Existin5 elevation
Deno-Fes fot iron o /
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897.4 /
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M CI.IFFVIEW DRIVE t?
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847.3
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_ 897•0
CF-RTIFICATE OF SURV Y
I Aereby certify thot on I surveyed tAe properiy described oCOVe and thot
1he obove plot is o correct rep?ssentotion oi soid survty.
?
Calv6n H. Hedlund, Minn. Req. No. 5942 '. •
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?S E L
C O. 'FESIDENCE OF: DATE:
)331 ADDRESS. PLAN NO. I
t
ST PAUL.
MINN. AREA DRAWN BY:
cirr oF EncnN
0
u? Address 1850 C0160 AVe.
II- r:... St _ Paul eL___ 645-0331
9795 Pqet Keob Raed Eagan, MN 55122 N? 7640
D PHONEs 454-8100 -
BUIL
ING PERMIT ReceiDt
Te 6a uud Fer ATTACHED GARAGE Esy,yalm $7,000 pOfe Novembei 15_ Iy 82
Site Addreu 2092 Cliffview Dtive E
t M-1
O
rec
gg ccuponcy
Lor 12 ei«k 3 Sec/S.b. Cedar Cliff 2nd Alter ? zonin9 (PD) R-1
parcel # 10 16601 120 03 Repolr ? Fire Zone NA
VII
Enlarge ? Type of Const.
? Na? MSLV?A H8U80?.HY Move ? # Stories
z 2092 Cliffview Dr.
30
Address Oemolish ? Length
ci Eag an 55122 Phone 454-3966 Grode ? Depth 24 Sq. Ft.-
°C Nome $us8Q1 Co• Approrals Faea
Nome _
Address
I hereby ncknowledge that I have read this apDlication and slate that
the informntion Is correct ond agree to comply with oll opplicoble
State of Minnewta Statutes ond Ciry of Eugon Ordirwnces.
Signoture of Pertnittee
A Building Permil Is issued to: Su88C1 CO.
oll work shail be done in occordonte with cil oooliwble.
Assessment _
Woter & $ew.
Police _
Fire
Eng.
Planner _
Council -
Bldg. Off. -
APC
Permit b'L.SU
Surcharge 3.$0
Plon check
SAC
Woter Conn.
Water Meter
Road Unit
Totol s?F_nn
_ on tha express wndition thm
City of Eagan Ordinantes.
Buildin9 Officiul / U`"""""'
?
CITY OF EAGAN Include 2 sets of plans,
i_ J 1 site plan w/elevations &
-
BUILDTNG PERMIT APPLICATION 1 set of energy calculations.
To Be Used ForCgti?dG 5? ValuationiY/ YN'" Date
Site Pddress ??.?i.Q OFFICE USE ONLY '
Lot ? Block 3 Sec./Sub.C'?-C? ?Fx?ect 4- Occupancy
k I
A
Parcel #: ? a ((Q (po ? 1Z0 o Alter -
zoninq .
/1 • / r? 'r?
?pair Fire Zone
Oaner: azye 'Iype of Const. (1..r??-
? L ?
Move
# Stories
T
Address: Y€?4 ft
DErblish Front 3V .
City/Zip Code: ?
Y?l- Grade
Depth
?
ft.
Phone #: 4<,s? -:-?!? ?,
Contractor:
Acldress: / x -1-D
City/Zip Code: 4? J"Cu.a '-11:-
Phone # : 6:' ?? ' 0 J 13 /
Arch. /Eng . : .
Address:
City/Zip Ccde:
Phone #:
[Vater/Sewer Surcharge I:? ?
Police Plan Check
Fire SAC
Ehg. Water Conn.
Planner Water Meter
COUnCil RnadlUriit
Bldg. Off. / _I.? ?.,•/??'
APC ? --
/? s
TOTAi? ? ?-
R ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Construction Reauiremenls
. 3 registered sle surveys showinq sq ft. of bt, sq fl. o( house; and all roofed areas
(20%mazimum lol coverage aliowed)
• 2 copies of plan showuug beam & window srzes, poured found design, etc.)
. 1 set of Energy Calculations
• 3 copies of Tree Preservatlon Plan if lot platted after 711193
. Rim Joist Delail OpGOns selection sheet (bldgs wAh 3 or less units)
DATE I N• 5tJ'?-¢ • ? a.
.? _:'D. _?
nemooeoneoair rceauiremen[s
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
. 1 site survey for extenor additions & decks
• Indicate if home served by septic system for addihons
VALUATION IIO ? 6O0?
SITEADDRESS c?C??1a. C?'??V:-ea-.5'1,1c'??.A• MULTI-FAMILYBLDG _Y ?r N
TYPE OF WORKiZaeoLl Ib FIREPLACE(S) _ 0_ 1_ 2
/'? D.Mti (\81?? .
APPLICANT R?SZ 5W QtrJa+CSJ?
STREETADDRESS 19o`2d C.0uY,i-4 G" L.v.CS+. CITYT-Sc.vlll'e. STATEfRfV ZIP S5I13
TELEPHONE # LoSI.21lD4•47 I-4CEII PHONE # FAX #
PROPERTYOWNERVw-<vlcv Na?Srne?w? _TELEPHONE# US I•qSl• 39(Q(9
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ \[[VNL•'S0"fA RCLEti 7670 CA"fGGORY l MINN1:50'1':\ 12i;1.FS 7672
(d submission type) • Residential Ventilation Category 1 Worksheel Submitted • New Enerqy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor:
PlumUing syslcm includcs:
Mechanical Confractor:
N[cch>mic.il syslcm includcs:
Sewer/Water Contractor:
-- Air Cocidiuoning
Hca[ Rccovcry Systcm
Phone #
Phone #
Fce: $90.00
Pcc: 170.00
---------° ---°--------- °-------------------------------- °------------- °--------------° -------°--- ° ° °-----°-----
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or inances.
Signature of Applica "
OFFICE USE ONLY
Walcr Softcncr
WaLcr Hcater
No. oF Baths
_ Pl10[1C # .
Iawn Spnnkler
No. of R.I. 13aths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4I02
?vima.yvvy 14V li-JU ? `
?? r o? p f 1'4960 xesntsttu, nr anuntc?tstr
re a?.
aune '7, 2001
City OF F,agaa
3836 Pilot $nob Road
EUM. MN 55222
To Whom It May Concern:
Elder 7ones is authori2ed to 1mIi bnilding permits Por Renewa! 6
Bldcr ]vncs to piovide this seivitce for ua in Esgan. 'i?ue authori?d?nn?t v?atid fo?r mi?OW
date beyond 616/01: wntil a Ranawal by And=en mmiager wPm1y revokea it in wrFdng
to the City-
POL
I rcquest this authorizahon be aocepted expedidously. ac W not dela m the
ovr 6uild'rnS Pcanite emy further. Plcasc caII mc lf tLcco u+c nny qneuione. I ian b?nng of
.?
? cantacted at 763-502-4706.
Yaur immi;diate aftat{on W this matter }s flppreclated,
Sincarely,
ond lt. &Pjm
stallauion Manager
Renowftl by Andwson Coiporaaon
wMY ('n: Karn-F.iciea 7nnca
.?'??4 ?•?a,.z,?
ff
?M?
wuuaiu
Received Time Jun. 7. 1:07PM
* City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------------------
? Fo?;O_ffice Us'a 1
I
I
j Permit#:
' 1D I
? Permit Fee: ?
? Date Received: ?
I Staft?
i ?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
-c I -
Tenant:
Df.
suae
O-P Clk Phone: (n 'J (? -l ST -3?VJ
RESIDENT / OWNER Name: ? Y L
Address / CiN / Zio Z09Z C1 U 1) r
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work: `?- ?? ? e-
Construction Cost: 7 Muki-Family Building: (Yes _! No
L? Li
#:
CONTRACTOR cens
Name:
Address: ?1E20 W ?
^
: ???0 K7
S[a[e:Zf
P
City: sJ/ I
Phone:lJ1? ??? lJ?tL[q Contact Person: ??_?,.. ? ??'?'1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category 7 Worksheet • New Energy Code Worksheet
CBtCgOfy Su6mitted Submitted
(4 Submi53ion type) • Energy Envelope Calculalions Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water ConTractar: Phone:
NOTE: Plans and supporting documents thaCyou submit are.consldered-to.be public inf'ormation.' Portions of
the informatlon may be classified as non-public if. you provlde?'specific reasons t,hat would permit the City to'
conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances antl codes or tne ury
or
Eagan; Ihat I understand Ihis is not a permit, but only an app6cation for a permit, and work is not to stah without a permit; rk will be in
accordance with the approved pla ' the case of work which requires a review and approval of plans. C
x X
A licant's Printed me Appl ant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r________________�
I For Office Us �
. I �� Y��1`�� I
Permit#:
Ity of �a��� � �
� �5� �
� Permit Fee: ��� �
3830 Pilot Knob Road � �(�/� I
Eagan MN 55122 � Date Received:� 7 �
Phone: (651) 675-5675 � �
Fax: (651)675-5694 I Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: c.�t�[\�Q.� ��� S y'Vl�.l P�f'� 1 Phone:����{ `���E�` �,�o �
Residentl i
'�OWne1' ' Address/City/Zip: a. 1 `ti � +
Applicant is: Owner Contractor
Description of work: ti`-��- C,T� ° � � 4
Type of Work � ��G `��i�� 'l�cg��—����
` Construction Cost: � � � ���.d� Multi-Family Building: (Yes � /No� S �
' Company: � LL Contact: "Y 1 13,�_lo i�. `}��—p(o��
C017fP1CtOt' Address: I`'�150 Ml� �w(11SV't�� ��i��City: ��.. �(�SJ 1��-�
State:�Zip:__553�� Phone: ��a '1�3 °�p��mail: �b��(1�1�.5��.('�J�(�����r�`l �
License#: lSC--�o�[ 3�(� 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 8�Water Contractor: Phone:
NOTE:P/ans and supporting documents that you submit are considered to be public information. Portions of
the informafion may be classified as non-public if you provide specific reasons thaf would permit the City to
conclude that the' are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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 m be completed within 180
days of ermit issuance. y,,;
• „,,,
� �S• S ��- X �
' ApplicanYs Printed Name Appli ant's Signature
Page 1 of 3