2099 Cliffview Dr
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA084276
Eagan, MN 55122 . Date Issued: 07/14/2008
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 2099 Cliffview Dr
Lot: 7 Block: 2 Addition: CedarCliff 2nd
PID 10-16601-070-02
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
In Ex Designs Roofing David Corbett
7809 Southtown Ctr #537 2099 Cfiffview Dr
Bloomington MN 55431 Eagan MN 55122
(952) 888-4400
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.
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN "
3830 Pilot Knob Road, P.O. Box 21-199, Eagao, MN 55121
PHONE: 454-8100
eU1LDING PERMIT Rer-eiat # Site Addresl l")9y=-r.l, FFvr.Ew DR I Vr Erect ?c oc«,panc„
Lot _t Blcek ? b Remodel ? Zoning
, Repair ? Type of Const.
Psrcel No.
Enlarge ? No. Stories
' t,, ? *,
me i], u.?
N Move ? Length
e Demollah ? Oepth
? Add?eu `'? f L' Grade ? Sq. Ft.
City Phone Insiall ?
?§ Neme :?'??'?`r
u
Addras
? Ciri Phone
Neme _
Address
Sipnotun of PermittN _
A Buildlnq Penmit Is Issued
all work shall be aorw in o
8uildinp Offidal
stote that
State of
Assessment
Water & Sew.
Polite
Fin
Eno•
Plonntr
Councll
Bldg. Off. 5/ 2 x ?? . 2S
Var. Dste
Pennit t 4 _ 51 i
Surchorqe
Plan Review
SAC
Woter Conn.
Woter Meter
Rood Unit
Total ). `) . (` r)
on tM exprest tonditlon fhaI
,to Statutes ond City of Eopan Ordinonun.
PKmit No. PKmk Holder Drb Tele hone s
Plumbirq
H.VA.C.
EMetrie
Softwor
Inwaetion Oate Insp. Other
Footinqs
Foundstion
Frsminp
Roofing
Rouph Plbo.
Roud+ HVA
Inwlation
Final Plbg.
Final HVAC
Final
Cwt/Ooe.
ryanr Dac?ibe Loaation:
YIlell
Sewer
M. Dbp.
cIrr oF E?ci?N
=795 Pilo1 Knob Reod Eo9on, Mt1 55122
PHONEs 454-8100
BUILDING PERMIT Reuipr #
Site Address • ,
Lot Black ' Sec/Sub.
Pnrcel # -- ' - -
c Ncme - - --
W
; Addross
b .... ... . - , ?,., , ?
o Name
OU Addross _ ?•'?5 `'t -
1-
Nome _
/lddress
Erect E] Occuponq
/11ter ? Zoniny
Repoir ? Firc Zone
Enla?ga ? Type of Const.
Move ? # Srories
Demolish Q Length
Grode ? Depth Sa. Ft.
Assessment
Water 3 Sew.
Police
Firo
Enp.
Planner
Council
Pertnit
Surchorpe -
Plan check _
SAC
Woter Conn.
Woter Meter
Road Unir _
I hereby acknowledge thot I have reod this opplication cnd state that gldp. Off.
fhe information is torrect ond ogree to tomply with nll applicoble ^PC Totol
Stote of Minnesoto Statutes and City of Eogan Ordinonces.
Stpnoturo of Permittee
A Bullding Permit Is luued to: on the axpress condiNon thni
oll work sholl be done in acco?dance with all opplicoble Stote of MlnnesoTo Stotutes ond City of En9an Ordinonces.
Buildinp Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbinq
H.V.A.C.
Well
Water
Disp.
Savwr
Electric
Insqction Date Insp. Other
Footinqs
i
Foundation ?
Fnminp
Rouqh Plby.
Rouph HVA
Inwlation
Final Plbg.
Final HVAC
Finil
ooe,
Water Dhc?i6e Loeation:
VWII
Sewar
Pr. DitP.
cIrr oF EAGAN
3793 Nlet Knob Rood Eogow, MN 5512!
PHONEs 454-8100
BUILDING PERMIT Receipt #
Site Addmu
Lot Block Sec/Sub.
Parcel #
W Name ?foA7ev. I
? Addross Ti
,o Nome "
Addross
Erect Q
Alter ?
Repoir ?
Enlor?pe ?
oe
Move p
Demolish ?
Grode fl
Assessmenr _
Woter 8 Sew.
POIIC!
Firo
Enp.
Plonner
Council
Bldp. Off. _
APC
Occuponq
ZoninQ
Fire Zone
Type of Const.
.# Stories
Length
Depth Sq. Ft.
Fees
I hereby acknowledge that I hove read this application end stote that
fhe information is eorrecr and ogree to tomply with oll oppliceble
State of Minnesofa Statutes and City of Eagon Ordinonces.
51pnoturo of Permittes
/? Building Permit is issued to:
oll work sholl be done in accordonce witl
Buildinp Offlcial
Permit
Surcharfle
Plon check
SAC
Woter Conn.
Water Meter
Rood Unit
Total
on tha express condition thni
Statutes ond City of Ea9an Ordinances.
Parmit No. Permit Holdar Mitc. Permit No. Hoider
Plumbing 21Q ? Z ?l/l0. ?_
H.V.A.C. 2 ?3
Well
w.c.?
Disp.
Sower
Ekccric S -7 ?..?r 'E' `C. ?
Irwwction Date Insp. Qther
Footings 0-?-
Foundation
Fnming o.t . ?
Rouqh Plbp.
Rough HVAC
Inwlation t ? 0- DO
Final Plby, -f
Final HVAC
Flnal
Wiftr Desoribe Location:
Ylhll ,
Ssvwr ,
Pr. Disp.
Ttrfiftra#t of (Orr?paury
titp of ?Eagatt . :
DppMl'triPttf of lllilbtltg JriS}1Prti11tt
Thir Ccrtificatt ilsutd pur.tuunt to the nquirtmcnss o f Sation 306 o f the Uni form Briilding
Code csatifring that at tix tinu of issuanct tbil strurtrnr wa.r in cornpliance with the variou.r
ordinanca of the City regulating btalding conttruction ar usc. For the f ollowing:
v. ca.camaon C' 17in]G Wae. Pofodc No. 6 911
Oaupanr.y Typo ?-TyP Con:wcnoo ? Firc Zane ITA Zoning District Rl-
o.,,wofeaadint M.itchell M. FOen Py
2.nd
" D,,. January 15 , 1982
Receipt
PLUMBING PERMIT Permit IVo.
CITY OF EAGAN •
Fill in numbered spaces
Type or Prinr /egibty
1. Date 2. Installation Cost
3. Job Address Lot ? Blk.
4. Owner
Fee
S/C
Tot. - " Tract
5. Contractor ' ? ?' -• ? Phone ` -
6. Address
7. City State Zip
8. Building Type: Residential G1
9. Work Description: New 0
I 10. Describe
I 11.
Commerciaf ? Institutional ?
Add ? Alter ? Repair ?
No.
- Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tuhs Septic Tank
Lavatory Softner
Shower Wel I
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
oomply 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
Reoeipt
4637 cnic8gD hne. 3o.
1. Date 2. Installation Cost 1 ???' • 3. Job Address - Lot Bik.
i
Tract
4. Owner
5. Contractor
6. Address
7. City
Parmit No.
Fee ?
S/C •
Tot. '
Phone State
. 7,i. ?
Zip
8. Building Type: Residential EY Commercial ? Institutional ?
9. Work Description: New C2 Add O Alter ? Repair ?
I 10. Describe ' Fuel Type
I 11.
No,
+ Eauinment BTU • M. Ea.
Forced Air No. EQUipment CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. 1 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 Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition CF.DAR GL.TFF 2ND ADnN_ Lot 7 Blk 2 Parcel
DwnerLWtiy! '. K"'. r:, r', (:JYr,t ?L street 2099 Cliffview Drive staca Eagan, NIN 5512
Improvement Date Amount Annual Years Payment Receipt Oate
STFiEET SURF. - 1776.56 COO77fi3 8-2-82
STREET RESTOR.
' cRA°iNC 1 22.8 1. 7 5 522.84 C007829 9-13-82
SAN SEW TRUNK jQ'73 119. 14 ]?4
,rSEWERLATERAL 2
82.58
436.52
5
2182.58
C007829
9-13-82 li
WATERMA I N
• WATER LATERAL 1983 5
WATER AREA
*
STORM SEW TRK 19$1 452.03 90.14 5
STORM SEW LAT ? 19$2 756.5 . I
CURB & GLJTTER
SIDEUYALK
STREET LIGHT
Roacl Unit 185.00
WATER CONN. 335.00 27119 10-1-91
SUILDING PER. 6911
sac 525.00 27112 10-1-81 '
PAR K
CITY OF EAGAN WATER SERViCE PERMIT
3795 Pilot Knob Rood PERMIT NO.:
Eagon, MN 55122 DATE:
Zoning: - No. of Units: '
Owner:
Address:
Site Address• (;1iffv-J'_Ln: 7 ::z iC?! ar
Piumber:
AAeter No.: Connection Charge:
5ize: Account Deposit:
Reader No.: Permit Fee:
1 ogree M aomplr with !6e City of Eagan $urcharge:
Ordinaneea. Mtsc. Chorges:
Totoi:
By Dote Paid:
Date of insp.: Insp.:
SEWER SERVICE PERMIT
CITY OF EAGAN
=795 Pilot Knob Road PERMIT NO
:
.
MN 55142
E DATE: ?
egan,
Zoning: ....:' - No. of Units:
Owner
.
Address:
Site Address: ';e?C:.?.=-;':-=i , r 7
Plumber:
?
I a9ree to eomply wtlh tlw City of Eagan Connection Chorge:
Ordinenees. Account Deposit:
Pertnit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.: Dote Peid:
This request void IQ? Z ?
?8 months irom ?
_ 65712
C?-7 C, C , a`1cl 2-1. SO
q
Request Date
10-19-p1
?? Fire No. Rough-in Inspection
Required7
?Ready Nuw ? Will NotifV Inspec -
?] Yes ? No [or When Ready
?J Licensed Electrfcal Contractor I hereby request inspeclion of above
? Owner Sunrise Electric S 171C. electrVcal work installed at:
Street Address, 8ox or Route No. C,jy
2? v iffvi W
ection o. Township Name or No. Range No. Cou y
kota
Da
Or.cupant (PRINT)
-
Phone No.
Zachman Homes
Power Supplier AddreSs
Dakota Electric Inc.
Electrical Contractor (Company Name) Contractor's License No.
Sunrise Electric Inc,
Mailing Address (Contractor or Owner Making Instailation)
4120 e
Auihorized Signature (Contractor/ wner Making Installation)
K i R Hesli Phone Number
,
ne1NNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
7821 University Ave., St. Paul, MN 55104
Phone (612) 297_2111
itii5 INSPECTION REQUEST WILL NOTBE ACCEPTED BY THE STqTE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
E
B-00001-03
REQUEST FOR ELECTRICAL INSPECTION cr)
T 6 5 712 SeB instructions for completinq this form on back o( yellow copy.
"X" Below Work Covered by Thrs Request ?2 -7
Ne Add Rep. Type of Buildin9 Appliances Wired Equinment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Oeher peci v other ISuecitvl
I?r-.
r....F
.. /._.. t er Specify.
......a.__ r. _ r Other Othor
Rough-in - ? ?"„' ? • Da[e
I
?C?? `?? q
?.'??-? , the Electrical
' InsPector. hereby
Final certify that the above
inspection has been
TI.?.- ..,?...__. .._._ ma d e.
18 months from
D D O D
?t
(
_
?
"
? x?
'
^
y+,'
y
y
?,
"iLS?
£
2
M
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• .-_ • ... . Oh.
.a ?
.. .rvaa. ?i" .. e ... .:dYe.R:°? n...u#?'
1
,
FROM R. C. CT'' 1M Proposal No. 826828
7265 225th Sts W* Page No.
Apgle Va1Ze3r, 2in. 55124
Date 8/26182
432-0877
PROPOSAL SUBMITTED TO -.-WOiiK TO BE PERFORMED AT
Name -
-
: •
T
3
Street - -
.
?. rte .?? .,
?
Street City - - State jrj4ri
nt
CitY- - StateE?inne DateofPlans
ielephone Architect
We hereby propose to furnish all the materials and perform aU the lahor necessafy for the compietion of
-
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T-
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tk
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y 1
FJcAYsV
J• L'
A
r
d
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92c.V
'
?S'C3TT
OTGE
Y•
All_material is guaranteed to be as specified, and the above work to be be performed in accordance with the drawings and
specitications submitted for above work and completed in a substantial workittanlike manner for the sum of
Dollars ($ with payments to be made as follows: - - ,
-
?
upon coapr?ion -
Any alteraLOn or deviation from a6ove specifications involving extra costs, will be.executed only upon written orders, and will
become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or detays 6eyond our
control. Owner to carry hre, tornado and other necessary insurance upon above.work, Workmen's Compensation and Public
liability Insurance on above work to be taken out by
? •
?
J
Respectfully su6mitted
Per
NOTE This proposal may he withdrawn 6y us if not accepted within days -
. ^ A " - . . -.. x .... .. ?3. , y.?? mrnrS .. .
? AGCE?TANCE OF: PROPOSAL .
. _.
.
The above prices, specifications and Gonditions are satisfactory and are hereby accepted. You are authorized to do the work
as specified Payment will he made as outlined above.
Accept d_ ? Signature
Dale Signature
? Farm M 23-061
CITY OF EAGAN
3795 Pilee Knob Raad Eagoe, MN 55122
PHOHEs 4549100
BUILDING PERMIT
SiM Address zUyy C:l12tV12N7-Rd Dr?'1/-?
Lot 7 Block Z Sec/Sub. C.C.2
Po,«l # -- t0 1C?Cao Io `z? o'-2-
0Q0
W I Nome DdVe CA1'bett.
3 Addrea ??
a
o Name R. C. Cel,,erit
8? Addrest 7265 125 St W
1- c;t„ _Ale Valley ,,,,,,,_ 432-0577
Name _
Address
I hereby ocknowledge thut I hove reod this opplication ond state that
the informotion is corrett and ogree to comply "h all opplicoble
Stafe of Minnewtu Stotutes a/nd Cif of Eogo/y Orduwnces.
Signoture of Permittee 7t hJ2r l? ?
,
A Building Permit is issu d t'
Receipt #
N° 7473
J/?
Erect $l Occuponcy ?
Alter ? Zoning ?
Repair ? Hre Zone ?
Enlarge ? Type of Const. V
Move p # Stories
Demolish ? Length 20
Grade ? Depth 24 Sq. Ft._
Avprovob Foe.
Assessmenf
Water & Sew.
Police
Fire
Eng.
Plonner
Councl I
Bldg. Off.
APC
Permrt _
Surcharge -
Plon check _
$AC _
Water Conn.
Water Meter
Rood Unit _
7oral 46.50
e o. on tho expreu condiMon ihny
oll work sholl be done in ocmrdnnce withmll c..... of Mi S
Buildinp Officicl
'Ib Be Used For ?, t? „k
,
Site Pddress _ I
nnesota fotutes ond City of Eogan Ordinancez.
Fl-2rxJ' '
CITY OF F,AGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDIlNG PERMIT APPLICATION 1 set of enerqy calculations.
_ Valuation O-C) Date
I-Ot 7 Block a Sec.isub. C c a
Parcel #:
Oaner: ? Address: '
?
City/Zip Code:
;
Phone #: K
Contractor:
Address: _ - J
City/Zip Code: ?. (J4-4_
Phone #: 4?',:]
Arch./Ehg.:
Address:
City/Zip Code;
Phone #:
OFFICE USE ONLY
Erect ?, OccuPancY 1? 3
Alter Zoning
Repair Fire Zone
Ehlarge _ Type of Const.
Move # Stories
Deiolish Front 90 ft,
Grade Depth ft.
APPROVALi FEES
AssessmPnts Perniit ?
?aater/Sewer Surcha?- e
Police Plan Check _?
Fire gpC
En9• Water Conn.
Planner Water Meter
Council Itflad Unit
Bldg. Off.
APC
TOTAL -7 b. S 0
CITY OF EAGAN
9795 Pllef KnoA Read Eagan, MN SS732
- PHONE: 454-8100
BUILDING PERMIT
Receipf #
N° 6911
sF nwc
000
Site Address ZCgy C13Yf'VIeW 11I'1V2
Lor 7
# Block
10 z 5ec/5,b. Cedar Cliff 2nd
16601 070 02
a Name Z8 chltlaR FIOID@S IT1C.
w
z
Address
7760 Mitchell Road
n?n ncon
p Name Owner
?? Address
1- r:.., e?,...e
Name _
Address
I hereby acknowledge thot I have reod this applicarion and stote tFwt
tha inlormation is co*rect ond ogree to tomply with all opplitabie
$tate of Minnesofo Stafutes and City of Eogon Ordirwnces.
Siyneture of Permittee -
A 8uilding Permit Is issued to:
oll work shall be done in occo
Building Offlciol
7b Be Used Fc
Site Pddress: o
Lc>t '? B1ock
Parcel (p
Owner:
Pc'dress
Erect 11 Occuponq R'3
Alter ? Zoning R-1
Repolr ? Fire Zone NA
Enlerga [3 Type ot Const. V
Move C] # Stories
Demolish ? Length.3.6
Grade ? Depth ZSq. Ft.-
Approvols Foes
Assessment _
Water & $ew.
Police ?
Fire
Enp.
Planner -
Council _
Bldg. Off.
APC -
Pertnit _ 44 I UU
Surchorge 21.00
Plon check 123.50
SAC 525_00
Water Conn.335.00
Water Meter _6.0a00_
Road Unit 1$5_00
Total ?? GAh_ 5(1
on the ezDress condition Ihnr
Minnewfa Statutes and Ciry of Eogon Ordinances.
_ CITY OF EAGAN InclLide 2 sets of plans,
1 site plan w/elevations &
BUILDING PEPMIT APPLICATION 1 set of energy calculations-
?Valuation 1%?4/ZG60 Date Z
J? I. 16?0 OFFICE USE ONLY
? Sec./Sub.t' 1.1„
Gz a ( 0 `lo --
tA
. . .? -
City/Zip Code: ,?'?'110.?
Phone 93? -o1 S 01 o
Contractor:
Pddress:
City/Zip Code:
Phone #-,`
Arch./Eng.:
Pddress:
City/Zip Code:
Phor.e $:
Erect Occupancy /P3
Al_ter Zotlirtq ?? -
Repair Fire Zone N?
gnlarge Type of Const.
Mpve # Stories
peirolish Front 3o ft•
Grade Depth at y ft.
APPROUAIS FEE'S
Assessments ?o
Permit ay> -"
Water/Sewer Surcharge 2/?
Polioe Plan Check /023 a-°
-
Fire SAC ° SaS ?
gg, Water Conn.
a
Planr.er
Water Meter lo D °
Council Road Unit / Ig.S"A*
Sldq. Off.
APC
TC1I'AL ? ? ??
.
?
a
6 \0 ?? o
.?
8J8_7 ?
/
/
2:
. \
io t U ?; fi.;.r.v _
lI r?
? -- J
3 ?
1.23 ?898.2
\
?
M \
896.4 847.4
CALVIN H. HEDLUNO 9609 6irord Avenue saafn
810ominqfon,101innesota 5543!
Lond Surreyor CWIi Eepinen Phoee: 8 B 8-2080 I
142k survewr"s G'ert??'?cate
Joa Na. zs4
SURVEY FOR:2actunan Homes
DESCRtBED AS: Lot 7, Block 2, CEDAR CLIFF SECOND ADDITION, City of !:aqan„
Dakota County, Minnesota, and reserving easements of r_ectrr...
892.2
/
Sa
?
..C? _ uf;/?!s \
e
?
\ 11
\ a
Top of Foundat;o.+ •901.3
Oasemerrt F{oor = $98.1
Gdra9e Floor= 900.9
Propoced EIlwa+ionS <=
Exi?finy ElevsFrons _
Daro+eS Drainoye -?
Der+otes Lo+ Corner O
$? 1
? ?qaj 6 b ?
? ?-? ? ? p ?µRSt ?o
\ f ?,?• N?SP?? \;'e ir
\ ?aR. ??t,7 ..??! f
)0'(5) STdKCS
CERTIFICA7E QF SURVEY
I hereby certity Thot on 9-Z3-81 I surveyed the property describe0 obove ond fhat
the above plot is a correct representation ot sofd survey.
-z? ?L,
Colvin H. Hedlund, Minn. Req. No. 5942
? , 0 2-Q `?
?
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lIUST BE LICENSED MITN THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
7 SET OF ENERGY CAI,CULATIONS
To Be Used For: [)c, k Valuation: 700 Date: S zq-,$S
Site Address: 2 099 Cl????ew nr, OFFICE USE ONLY
Lot: ? Block 0- Sect/Su?E ect Occupancy
6f?nodel Zoning
Parcel #_ Repair Type of Const
Enlarge !f of Stories
Owner DQu ;d :s-, c o v b? .? Move Length
Demolish Depth
Address Zp ? 4 C I'?view ?? Grade Sq Ft
City/Zip Code E .?a.., SS12Z -------------- --°----------------
Phone y.S 2•8 7$ y APPROVALS ?B R
Contractor No,,,.,. Assessments
?
Permit ?
Water/Sewer Surcharge .f?
Address Police Plan Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Parks
Areh,/Engr. APC Treatment P1
Variance
Address TOTAL 'S
City/Zip Code
Phone f1
CITY OF EAGAN
BUILDING PERMIT
N_ 10282
Receipt #
To N wmd iw DECR Est. Va1ue $ 700 Dare MRV 29
SitaAddrees 2099 CLIFFVIFW DRYVE Eract CR Oaupanty
LOt7_BIOCk 7 SBC/5U6. ('FTILR T.TFF'
Remodel ?
7
Zoning
Fapair ? Type of Conat.
Parcel No.
Enlarge ? No. Stories
Move ? Length
s
Name DAVID J. CORBFTT
?
Z Damolish Depth
Address SAMF G
d
? S
F
? ra
e Q.
t.
CitY Phone Install ?
? Name SAME
V Addreas Asussment Permit 14 _ Fn
? 50
? Citv Phone WaMr d$ew. Surchorge _
G
W Police Plan Review
Name Fire SAC
23 Address Erp. Water Conn.
'W
City Phone Plonner ' AvofO"Oq Fest
Woter Meter
Council I Rood Unif
I hercby acknowledge thot I have d lhis epplication and stote thot gldg. Off. 5 2$ $ PerW
1he iniormotion is wrrect a ogree ro comply wifh 11apDl?cabla
C Total 1 5_ 00
SMfa of Mmrxsota Srotute tnd Ci of Eog ?d Ina
ar. Data
Sipnoturc of PermiMaa .' ?-
A BWldinq Vemiit is isswd to: on the expreu condition thot
all work shall be dona In?? rdo/9te ,, vrith?o?/1?appJlic-abk State of MinrKSOto Sfmutes ard Cfry ofi Eapan Ordironcea
Buildinp OfHcial "t'o`-^-?- %-?
3830 Pilat Krw6 Road, P.O. Box 21•199, Eagan, MN 55121
PHONE:4548100
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
? CITY DF EAGAN
2 J? 3830 PILOT KNOB RD • 55122
3 Ce ?? S ` es1-ssI-ae7s :?- S-?1 j
New Conshuction ReauUements Remodel/Renair Reauiremenh
? 3 registered sHe surveys showing sq. tt. of lot, sq. fl. of house
and all roofed areaa (20% maximum lot coveraae albwed)
? 2 copies of plans (show beam 3 window ahes; poured fnd. design; efc.)
? 1 aei of energy calculafioru
D 3 coples of hee preservatio plan M lot plafled aHer 7/1/93
DATE: p /
DESCRIPTION OF WORK:
STREET ADDRESS:
'o 9q ?
? rov?
2 coples of plan
1 set of energy cakulations for healed atldHtons
1 sMe survey tor exteriw addlNons 3 decks
CONSTRUCTION COST:
--rlr v,,e 2-1 0 r'
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: Cc?'l L,747L ??C? ,-& Phone #: C/.Z
PROPERiY Last First
OWNER Street Address: l-Y f/'+f/'+ Z'/-? ?
E'
City State: Zip:
Company: Z&C 62 Phone #: G? /
(area code)
CONTRACTOR /?
Street Address: L./f ucense Exp. 3 3/"La06
Ci1y 25?G+ c-, g '1
ARCHITECT/
ENGINEER Company:
Telephone #: area code ( )
Name:
Street Address: Registratlon #:
Clty
Sewer & waler Iicensed plumber (reauired for new conshuctlon onlvl:
State: Zip:
State:
Penaily applfes when address change and lot change is requested once perml! Is Issued.
I herehy acknowledge that I have read thls applicatfon, siate that the information is
State of Minnesota Statutes and Clly of Eagan Ordinances. ^/
Signature of
OFFICE USE-f3NLY
Zip:
Certificates of Survey Received i Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
-BLUE or BLACK Ink
_ --Use-
For Office Use j
-
z I
Permit 3~1
My of Eajan I
Permit Fee:
3830 Pilot Knob Road'
Eagan MN 55122
I Date Received: ~ (2. 1
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: vl\ad Site Address: _X00 ( ~11~` V /~RO)
Tenant: `,,p-r ba* Suite
RESIDENT / OWNER Name: &"~t 641'mk Phone:2
Address / City / Zip: 90.9 ~
Name: Ron' s Mechanical Inc License
Address: 12010 Old Brick Yard Road City: Shakopee
CONTRACTOR
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
New Replacement Additional Alteration Demolition
TYPE OF WORK Description of work:
NOTE; Roof mounted and ground moumed mechanical equipment is required to be screef»d by City
Code. Please contact the Mechanical Inspector for Information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace _ New Construction _ Interior Improvement
PERMIT TYPE ZAir Conditioner - Install Piping Processed
- Air Exchanger Gas - Exterior HVAC Unit
_ Heat Pump Under / Above ground Tank Install / - Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ `xy•~`~ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permit Fee is less than $10,010, surcharge is $ 5.00 = $ Surcharge
If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010411,010 Permit Fee requires a$ 5.50 surcharge) TOTAL FEE
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.aopherstatoonecall.org
1 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 p{amn the f work which requires a review and approval of Plans.
tn case o~
_ - I 4010L~_
X o, fV ~ x
Applican 's Printed Name App cant's Signat e
FOR OFFICE USE Date:
Required Inspoadons. Revkra" ft:
Underground Dough In Air Test Gas Service Test fn4ioor Heat Final HVAC Screening