2123 Cliffview DrCITY OF EAGAN !) ,??j4A
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 [?,' ,
BUILDiNG PERMIT R«?ia # . 2 ;? -2 ?<'
T. L. ....a i,., GAI2AGig F.. ",,,,.e $3, 000 ,L._ OCTOBER 24 ,. 84
Site Addresa
Lot 1
ParcellVo. _
2123
Block
DR
? Name --- - --?
Z Address 5AME 4 5 4- 0 314
? City Phone 456-2026 (W)
A Neme
S? Address
Citv Phone
Name
City
Phone
I hereby ocknowledye thaT I have read this epplicotion and stote thot
the inlormotion is correct ond agree to comply with oll applicable
State of Minnesota Stotutes and City of Eo?an ino s.
Sipnoture of Pern?ittee
AND r:W GF RE
A Building Permit Is issued to:
oll work sholl be done in accordanta"with oll opplicobla Stote--?-" Mir
Buildirp Officiol `
Erect ? Occupancy R3
Remodel ? Zoning
Repair ? Type of Const. V
Enlarge ? No. Stories
Move ? Length 2
Demolish ? Depth 24
Grade ? Sq. Ft.
Approva Is Fees
Assessment
Woter b Sew.
Police
Firo
Enq.
Plcnner
Council
Bidg. Off-i?
APC
Var. Date
$urChOrpE
Plan check
S/1C
Woter Conn.
Water Meter
Rood Unit
Perka
Total $40.00
on the express condition Ihat
Stotutes and City of Eopan Ordinances.
Pwmit No. Pwmit Holder Dete
Plumbing
H.V.A.C.
Elactric
Softener
Inspaction Date Insp. Other
Footinys
Foundstion
Framing
Rough Plby.
Rough HVAC
Inwlation
Final P16g.
Final HVAC
Final
Cert/Ucc.
Water ???ibe ? Location: ?
? ?
VYell ?? ?tJLi.Y.t 41?
Sewsr L?.P'??i T /? /`? ?
Pr. Disp.
, CITY OF EAGAN
379S Pilot Knob Road EO9OA, MN 55122 '
• PHONE: 454-8100
BUILDING PERMIT Receipt #
Te M wed for Est. Volue Dote , 19
Site Address Erect 0 Occuponcy
Lot Biock $ec/Sub. Alter ? Zoni?q
pprcel # Repoir ? Fire Zone
EniorQa ? Type of Const.
W 1Vcme Move ? Stories
z Addross Demolish Q Length
Grade fl Depth Su. Ft.
°C Name _
,o
Address
? rs?,.
Name _
Address
I hereby acknowladge thut I heve read this applicotion ond stote that
the intormotion is correct ond ogree to comply with afl opplicable
State of Minnesota Statutes and City of Eogon Ordinonces.
Assessment -
Water 8 Sew.
Police
Fire
Eny.
Plonner
Counci I
Bldg. Off. _
APC
PermiF
Surchorge
Plan theck
5AC
Woter Conn.
Water Meter
Road Unif
Total
Siqnoture of Permittee ?
A Building Permit Is issued to: on tha express condition thnr
oll work sholl be done in accordonce with oll applicable State of Minnesota Stotutes and City of Ea9an Ordinances.
Buildirp Official
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing 42-
H.V.A.C. 3-( 7$2-
Watl
Water -
Disp.
Sewer
Electric M43 c q -+ D?
Irupectlon Dats Inap. Other
Footings
?: .._ .
Foundation
Framinq
Rouyh Plbg,
Rouqh HVA '
Inwlation
Final Plbg. ,?
Final HVAC _ 4d
Final
Water Detcribe Location:
VYall
Ssrier
Pr. Disp.
(ger#tfira#it of Orrupaury
titp of eagan
?r?tent a# ?uii?g ?naprr?an
rhis ca?ificat iuvma ??w so fks Y*rtmms of swiox v6 a f,im up?fom a;r*xa
Code crrti/ix8 rbat as tlx tieu o f isoam tbis stsxctrae was ne cmptia»a witb tbe varmicr
adixaaaa ef tbt City ttplntisa Wldixg ron.ttmtiaR sr utr. Fo? tbc f ollowiwg:
cr rr.r_ -•- ----._.._ 7113
u u?+
3 1982 _
?--
.O.. M . COUMPP=MM. ..A=
ooa?s .si
U S.N.
Receipt
1. Date - 2. Installation Cost
?
3. Job Address Lot / Bik.
4. Owner ?
-"? Tract ?
5. Contractor Phone
6. Address ?
7. City - State Zip
8. Building Type: Residential Ei7
9. Work Description: New ?
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter ? Repair O
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
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.
Appraved CITY OF EAGAN 454-8100
PLUMBING PERMIT Permit No. {
CITY OF EAGAN ?
Fee
Fill in numbered speces S/C
Type or Prinr /egibly Tat.
?
Receipt - "
;
.-,. ?
MECHANICAL PERMIT
CITY OF EAGAN
Parmit No. --•
Fee
fill in numbered speces S/C
Type or Prini legibly Tot
? . .
1. Date 2. Installation Cost I`f
3. JobAddress ==T°-.i ViLot ? Blk. ".? Tract
4. Owner • . ':;? ?' ` . :
5. Contractor - Y •' • - Phone L!
6. Address r?.
` • ? `
"•`' "`
7. City State Zip
8. Building Type: Residential E)
9. Work Description: New fy7
Commercial O Institutianal ?
Add 0 Alter ? Repair ?
10. Describe Fuel Type
11.
No. Eauioment STU - M. Ea.
Forced Air No. EQUiament CFM
Air Handli
:
Mfg. ng
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 gaverning 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 454,8700
j?L
CITY OF EAGAN Remarks AOAddition FT) CLTFF 2NT] Ai]nN Lot I elk 2 Parael
wne??/'J-A•???? ?•6;QjCr?e street 2123 Cliffview Drive state Bagan, NIlN 55122
Improvement Oate Amount Annual Years Payment Receipt Date
STREETSURF. 7 1776.56 C007793 8-18-82
STREET RESTOR.
GRADING 1983 522.84 104.57 5 52284 C007823 9-13-82
SAN SEW TRUNK 39. 74 A011346 8-11-82
*SEWERLATERAL 1983 2182.5$ 436.52 $
WATERMAIN
* WATER LATERAL 1983 5
WATER AREA 50.10 A011 - -
*Services 1983 5
STORMSEW TRK 271.23 A011346 8-11-82
STORMSEW LAT 1982 756.57 151.31 5 605.26 " "
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 185,00 #29088 3-4-82
WATER CONN. 335.00
BUILDING PER. 7113
SAC
525.00
PARK
? INSPECTION RECORD
CITY OF EAGAN
3830 Pilat Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE: I 1 ?i 1
Permit Number: ` Of' t"I
Date Issued: •' ' fi I i' /'' ?
SITE ADDRESS: , F .
I!.. . I i i 1 I 1},
?? t?f?i ? f i t t , h1U
L (tl 4 11 k
APPLICANT:
? ? ,... i
(r.1. ? 9"?.
PERMIT SUBTYPE:
I I ' 1 a NI ,
TYPE OF WORK:
t 1 NA?
?
Pwnn wo. Permn HWdw Data T.Ispl,ona a
S/VU
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Insp?etion Date kap. Commsft
Foo6ngsl
Foundation
Freming
Roofing
Rough PIb9•
Rough Ht9.
Isul.
RrePlace
Flnal Htg.
Orsat Test
Final Pbg. Plbg. IrsQector - NaRi(y Plumber
Const. Meter
EngrlPlan
Bldg. Final
Deck Ftg. S?_ Q 2
7 ? s
Deck Final
Well
Pr. Disp.
This request void -Z)q `
18 monlhs irom I 1 ?
T S2Qr, a?
MINNESOTA ST E BOARD OF ELECTRICITY
Griggs-Midwav Idg. - Room N-181
1821 University Ave., St. Paul, MN 55104
Phone (612) 297-2111
Requesi Date Fire No. Rouph-in Inspection
Required? T]7dat? y Nuw fyInSPec-
Ready
Yes No
?Licensed Electncal Contractor
Ownet
I hereby requast mspection ot above
wi..enical wnrk installed at:
Street Address, Box or Route No.
? 23 C??F?? u 6
it
C
??n,?
ectwn o• Townshi0 Name or No. ?nge No. Cou1tY
1JACOTA
Oc dnt (PRINT) ,
:Tn?C
? Phone Nu. ?
/J '
-
G !4 A ?v (? a S
Pp'?'°? Supplier Add S
J/!? 'P'f? E L? G r' f? ??" f- h, AIG Ta ?r
'
Elec rical Contrector (Company Name)
/
` s License No. I
Cuntrae:mr
C) ? b
I
G C
4r( C
Malling Address (Contractor or Owner Making Installation) c s
19-30 ?r - a
uth r'zed Signature IContractor Owner Making Installaii?n Phone Number
2V
n. OCll11FCT W111 NnT
BE ACCEPTEO BY THE STATE BOARD
L1NlESS PROPER INSPECTION FEE IS
ENCLOSED.
Sr'I
Y r ?
G"(i•??
?v
- 1'. i•.rv,?'?
?? ? :??`.:•
. ,•? i!.f?„'N
B-(70001-03
E
C!Z)
88543 REQUEST FOR ELECTRICAL INSPECTION T , See instructfons 1or completing this form on back of yellow copV. ?? qY , r
J? ?] "X ' Below Work Covered 6y Thrs Request
-'l4
Add HeP. TvPe of Building Appliances Wired Equpmonl t Wired
Home Range rvice
Duplex Water Heater W
ures
Apt. Building Drye r in
mercial Bldg. Furnace r
Industrial Bldg. Air Conditioner k
Farm
Othr.r Pcr.i y
O[he:r (SUeciiY1
tFuir Uecl y Othcr Other
l,U!I
a IFIULC IiI?
Fee Nc?uvi' r cc ucv..
5erviceEntranceSize
fi
Fee
Feeders/Su6feeders
+f
Fee
Circurts
0
to 100 Am s 0 to30Am s 0 to30Am s
101 to 200 Amps 31 to 100 Amps 31 to 100 Am
Above 200 's Above 100_Am s Abvve 100-Amps
Tr -ror Remote Control Circ. Partial Other
S? Suecial Inspection g3?°S TOTAL F j?.> 0
Ren?rks C /?? 6G
r ;J r
Rough-in the Electrical
spactor, hereby
certifY that the Above
Final
r'
6 inspsction ha5 6een
de
, z
11 .
. i.
This request void
18 months fiom
CITY OF EAGAN
3795 Pilot Keob Road
ERigan, MN 55122
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Unitr 1
- ch ? n k3o-•?
Address: + f ?•
iber: • ' . ' •
?r No.: Connection Charge:
Acoount Deposit:
er No.: Permit Fee;
so tO COmYl1' with !he Cihr of Ecgan Surchorge:
ioneu. Misc. Chorges: -
Totol:
Dote Paid:
GTY OF
+ 3705 P31or Knob Road
' agan, MN 35122
Zoning: ---.
DYV11lr: ---?r
Address:
Site Address:
Plumber.
I e9r" Fo tomPly wlfh the Cify of Bagon
Oedinenop,
PERMIT NQ.:
DAT'E;
N., ..c 1 i-:.--
Connedlon Chor+pe:
Actount Deposih _
Permit Fee:
Surrchcrpe:
Misc. Chorpes: -
Totol:
EAGAW SEWER SERVICE PERMIT
. CITY OF EAGAN N? 9646
3830 Pilot Knob Road, V.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454•8100 ?
Receipt ?F
To M utad ier GFIRAGE Est. Yalue $3,000 Date OCTOBER 24 19 $4
Siteqddress 2123 CLIFFVIEW DR Erect N Occupancy R3
Lot 1 Block 2 Sec/Sub. CF+DAR CLIFF 2 Remodel ? Zoning RI
Parcel No. Repair ? T
ype of Const. V
Enlarge ? No. Staries
w Name ANDREW GEFFRE Move O Length 24
w
Z Address 454-0314 Demoli:h ? Depth 24
City Phone_ 456-2026 ([q7) Grade O Sq.pt.
Z? Name ADOroralf Faes
u? Address
?- Gity Phone
c
Name
?? Address
?W City Phone
1 hereby acknowledga that I hove read fhis opplication ond stote thof
fhe informofion is correcf ond ogree lo comply with oll oppiicuble
Stafa of Minnewta $tatutes d QC?ity? of Eo9un O dirro/i s.
Si9noture of Pertnittee ?e?"17-r j
A Buildmg Permit Is issued to: AND EW G4*RE
oll work sholl 6e done in otcordonc wifh 9 pplit.noble S te o Mic
Building Officiol -?X
Assessment
Wofer 8 $ew.
PoLce
Fim
Eng.
Plonner
Council
81dg. Off.10/22/84
APC
Var. Date
Permit +'3D.:3U
Surcharge 1.50
Plan check
SAC
Water Conn.
Water Meter
Road Unit
Parks
Total $40.00
on the exprea condition thut
Statutes and City of Eoyon Ordinances.
?
? • ?
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
p 0 SET OF ENERGY CALCULATIONS
To Be Used For: ry-9Gc,iked so,p-clz?' Valuation: 36aj" Date: /0-a-rv
Site Address: ???jt?) ??I ??Jw ?R • ?
Lot: j Block: ?Sect/Sub:C,1L11c?z cI ?4fdErect: X Occupancy: R-3
Parcel Remodel: Zoning: ?-I
Repair: Type Of Const: S?
Owner:
A Nc)(.(9w 6Err? Enlarge: # Stories:
-
.
_-
? Move: Length: ?
Address: Demolish: ?epth: ?
City/Zip Code: Grade: Sq. Ft.:
Phone #:
Contractor: *100a
Address: Assessments: Permit: 3?.50
City/Zip Code: Water/Sewer: Surcharge: ?,sc
Police: Plan Rev.:
Phone #: Fire: SAC:
Engr.: Water Conn:
Arch./Eng: Planner: Water MeteY
Address: Council: Road Unit:
Bldg. Off.: Parks:
City/Zip Code: p,pC:
nr."oA• Variancec ? 7 CJ, l1ZJ
- - - ------ - s.
cirr oF FAcaN N° 7113 .
3795 Pi1M Knob Rond Eogan. MN 55124 -
PHONEs 454-8700
BUILDING P ERMIT Receipf #
To ba uted fer c
' DI'U Est. Vclue Y42.000 Date March 4 _ iv 8?
2
Sife Address
123 Cllf{V124J nY1V2
Erect A
Occupancy
R-3
Qe(jar CI-1E'E ZTIa
k 2
I Bt
Sec/Sub Alter ? Zonirvg R 1
o
Lot - .
c
_
i ni n 09 Repair ? Fire Zone ?
Parcel # i n i htin
Enlarga ?
TvPe ot Contt.
V
c Name n ..?e5 r Tnr µpve ? # Stories
36
L
i
1 7760 Mitchell Road, Demolish ? ength
_
Addreas
- FAo„
9 Wairia w...__ 937-9$20 Gmde ? Depth 2A-Sq. Ft.-
°C Name Ov7neY
0
u? Address
F r:.., ' Phane
Nome
Address
1 hereby acknowledga that I have read this appiicahon ond stote that
the mlormntion is correct and agree to comply wlth all opplicable
State of Minnesota Statutes ond City ot Eu9an Ordinonces.
Signature of Permittee
A Building Permit is issued to: Za
oll vrork sholl be done in accordarxe with
Buildinp Officlal -- ,?
Assessment
Woter 8 Sew.
Police
Fire
Eng.
Planner
toundl
Bldg. Off.
APC
Permit ?W/ •""
SurcFwrge 21.00
Plon check 123,50 .
sAC ---52L?4-
Wafer Conn332.QQ-
Woter Meter 60 00
Rood un« 7 RS _00
Ta,oi 1496.50
c on the expreu condition thnI
Mlnnewfo Statutes ond Ciry of Eagon Ordinancea.
CI'IY OF EAGAN Inc Iucze 2 sets o.` plans,
1 site plan w/eievatons &
BUILDZNG P:^,ffT APPLICATI?v 1 set of er.ergy calo,_iaticns.
'Ib Be ;'sed For L?- Valuat?i Date A?--
-?
Site Pdc'sess: }{ik> a:? OFFICE USE 0"Z Y
IAt ?_ _ Bloc;c ? Sec. /S 0 V?JErect Occupancy lQ?
Parcel ': ( o f COIDL' Alter Zoning ?
- Repair FiTe Zone ? Q
Enlarge 'Iype of Const.
Owner: ,yove 1 Stories --?
Pddress: Der!nlish Front ?G ft.
Grade _ Depth ft.
City/Zip C«3e. Q S2 _
Phone
Contractor:
Address:
City/Zip Ccde:
Phone #:
Arch. /E.hg . :
Fddress:
APPRO\,'ALS FEE-S
?
Assessments Pescnit
Water/Sewnr J St:rcharce a2/
Police Plan Check
Fire SAC
Enq, Water Conn.
Planner P7ater ?leter !?J ?
Council Road Lnit J ?v??
Bldg. Off.
APC -- - -
Cibf/Zip Cocie:
-L - 1.
T14??Sb
CAL`JIN H. HEDLUND 7726 MORCAN AVE. S(`. ?
I - MINNEAPOLIS, MINN.
I t.ond Surveyor CWII Endineer PHONE NO. 866-2523 ;
sur?v?a?rr? G'ert?f kate i
i
? r Q9de.7 84.12 g`G.7 JOB N0.
-
SURVEY FOR: Zachman H mes
DESCRIBED A5: Lot 1, B1 k 2, CEDAR CLIFF SECOND A
•, c?nunty, Minneaota and reserving eas,ments pf
-Drninaye and U+iIi}y
Easemant
i
3
i
I
1
,
?
p? N
?
?^- - - - -?
' - - ? - -
i
? I
i
'
'roY of Qlxk 9oz.9.?. ,... . =
f3aserY,enf Pcer 999.7
'
UQra9c -F/oar ..9oZ.5 . _
Drarnayn I
direcfrons --^0"
Propo3ed elevatrons. Q -
Ex;stlny elevQ.fiorls
Ucnotes /o? iron o
a
\ FUT.
oYE GAR.
?
17.55 _ 5R. o '
: City of ;'a, ,:
-??i..??' ?
> J&
${o.k125 '
900.3
A.
j CLIFFVfEW Dfi1VE
? ? ? ?9oo•O
? r&RTiFICATE OF SuRVEY
T hereby cerrify fhat on 317-182 I survsyed the property deseriped above and thot
i the aDove plot is a correct representafion of taid survey.
,,. _ CeIWa H. Hedlund, Minn. Rep. No. 5942 k.
/VEY ALVIN HHEDLUND 7726 MORCAN AVE. « MINNEAPOLIS, MINN. survoyor Civ11 Enqlneor PHONE NO. 866-2523 rM, `.7 J08 N0. ?FOR: Zachman ?
!' DESCRIBED A5: Lot 1, ffi DAR CLZFFSECOND ADD TION, City of i'ie- ,, ,
I rr»nty, Minneao
i
;
?r
i=
:a and reaerving easmenta of :
orn,na,ye " 0+009 l
?
Easemant
,?-----? ---?
I ?
I '
?
? •
, $I I
- -? ?'
C7744, /?1l?,Mi ? a+ 1Ecsf'
mygoecy 1;»e
.?_.,i ?
io'ID
rop of b/ock 902.9
/3aser»enf -Floer 899.7 ?
Garayc -flaor 9oZ.5
Draina9e direcfions y
Propoxd alevaflons Q
Ex;sf?ny e%vmtions
Urnafes /of rron a
? ????\'*?v? F?
I ?k SPLPT FoYE G0.R.
1
?- -`
I
I
10 '&
S+dxe.s
900.3
di NS . ; CLIFFVIEW DRIVE
' r,.ERTIFICATE OF SURVFY
I hereby certify fhaf on 317-102- jsu?veyed fhe property descrlbed obeve ond rhat
the obave plol la a correci npresentaflon ef sold surver.
Colvln H. Ntdlund, Minn. Rtq. No. 5942 k.,
?.
L
P-
?
- __ J, - - - _. _
? ? ?
A . . ,.
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT C? y, O-r
PERMIT TYPE:
Permit Number. (, 5 5 1
Date Issued: G', 4; 1 t3 119
3
SITE ADDRESS:
P?I.PA. ltq 16G?:i1-NS?9-y:.
DESCRIPTION:
?
?
Sruk?
0 u3t
" iz.:. ci I F s'V 7rw 1,f.
LO7s 1 BLUCF,o -
CL!)llfi l:l Tf=h ;_illD
a rY g?,?,,," ^ r rri i L T yP ;6 E C R.
tirt? •G???1, r"p;, 'Ff-'?LR
eCe?'F?»?j??;.
r..?*>x?i?11, 1 2
i:rIy w3: dth
;4 RyAi
??cv OF eagan
REMARKS:
FEE SUMMARY:
°?,lYt_It??: t?Ez
I i r ., .?. rh 1=oF J.S.0 - 0
CONTRACTOR: n p E> > I I i: - , i. i. L?
R 0 CUPI`,( 14?i2'S!5 Gh@0?1985
9R49 ?1UId'r' F'U1P.'T 1?'li
CflGAi"I i'R 561'.-C"s
OWNER:
`l I'•r•'APC 1) FI?1 ISE
1 3 CI 'f" FVI"P'.J 0 1
EApArt hIM SS12.-1
(£;?2a42 75 8
I
:.tr'Fcrrais?z*son'??a 1. exS?
25?__
APPLICANT/PERMITEESIGNATURE ISSUED :S NATITRE
REACTIVATE _ ;???ENED CITY OF EAGAN
PER?diT # _ 1993 BUILDING PERMIT
? APR 0 8 1993 681-4675
$so.ffo
- ?
SINGIE & MULTI-FAltILY 2 sets of plans, 3 registered site surveys, 1 co -ene
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy talcs.
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 Yaluation of work ? 0 eP
Site Address: LDr"
STREET SUITE y
ti 5?z'4
O-e
Ks
Tenant Name: (commercial only)
LOT ? SLOCK ? sIIB?. 0? P.I.D. N
?
Descri tion of work: '
?-
The applicant is: ? Owner 10-contractor ? Other coecorrbe>
?
, d 0? " I s-c Phone 4,yZ . 7F5K
Z
Name a-
Property LAST ?IRSr
Owner pddress
STREET $TE 0
-?
City State Zip 9-5-r2-
Company. QPhone Aei-z' ;5-75`
Contractor pddress 9 'rO STo?y, 4?--- License # y9 g? Exp. ?- 9s
City State ??"? ? Zip z-3
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
5ewer & 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 infarmation is
f
correct and agree to comply with all applicable State of Minnesota Statutes and City o
Eagan Ordinances.
??
`
Signature of Applicant:
,
a
? T
AL.SiIN H. HEDLl1ND 7726 MORCAN AVE. «
MINNEAPOLIS, MINN. ,
4dO Sor veyr Clrli Eaaineer PHONE N0. 866-2523
$9!0 7 $4.12 846.1 JOB Nb. SURVEY FOR: 7achman HQ mes
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gunrenty tltle, Inc.
suite 203, mmnesola fedoral builtling
607 marquelte avenue south
minnr.apoDS, minnesota 55402
, (612) 339-5813
GUARANTY TITLE
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DATE:
RE : TD
Gentlemen:
Enclosed is our draft in the amount of $ 2 -_S-6, payable
to your order, as payment in full of special assessments on the
following
LEGAL:
PIN #: 16-I6E0 /- 6/0 -0 -_4? -,?GG* C6l175;?4
Please send us your receipt for payment in the self-addressed,
stamped envelope.
Sincerely,
Closer
:encls.
titles insured 6y
awyers 7'itle Insurance (qrporation
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home oltice: richmond, virginia
one ol lhe naUOn's largesl litlo insurers
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For Office Use
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as a • e° Permit#:E AGA N
Permit Fee: ` S
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(cr�citvofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4 to Address: 40 C i�� r #:
Name: 1 r ✓/ k . f � Phone La TV -Zele- /
Resident/
Owner Address/City/Zip � •
Applicant is: XOwner Contractor
—77•
`Type of Work
Description of work: ,/
Construction • j'1. ?fej . ��� Multi-Family Building:(Yes /No,' )
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE Pens and supporting: umants that you submit are considered �public information Portions f e in y be
classified as non-public ifyeti you provide specific specifictwasops that would permit the City to conclude,that theyare trade sec ry
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
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.
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, an. of to start ,' -•• a permit; that the wor II be in
accordance with the approved plan in the case of work which requires a review an. :.pr I of• -es.
x/41Ic' \5:7` d 4t/L.
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157097
Date Issued:08/02/2019
Permit Category:ePermit
Site Address: 2123 Cliffview Dr
Lot:1 Block: 2 Addition: Cedar Cliff 2nd
PID:10-16601-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John M Stanard
2123 Cliffview Dr
Eagan MN 55122
(763) 607-3432
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature