2140 Cliffview Drt CITY OF EAGAN
N? 6 7 0 8
, . 3795 Pilot Knob Rood Eagon, MN 55122
PHON E: 4548100
BUILDING PERMIT Receipt # -
To be rmed for Est. Value Dote , 19
Site Address Ered Q Occuponcy
Lot Block Sec/Sub. Alter ? Zoning
Parcel # Repoir ? Fire Zone Enlcrge ? Type of Const.
W. Name Move ? # Stories
3 qddress Demolish ? Front ft.
°
Ci Phone Grode ? Depth ft.
? Nome Approvols Faes
F
?? Address
?- r;.., Pti.,..e
Nnme _
Address
I hereby acknowledge that I have read this opplication and state that
the informotion is correct and agree to comply with all applicoble
State of Minnesoto Statutes and City of Eagan Ordinonces.
AssessmenY =.
Water & Sew.
Pol ice
Fire
Erg.
Plnnner
Council
Bidg. Off. _
APC
Permit
$u rcha rge
Plan check
SAC
,.,.
Water Conn.
Water Meter
Rood Unit
Totol 1
Signaturc of Permittee I
A Building Permit is issued to: on the express condition thot
all work shall be done in accordonce with oll applicable State of Minnesotc Statutes und City of Eagan Ordinonces.
Building Official
Powk # Dah Iwed PWOIflw
Plumbin9
Mechanical Z 5$? 7-L- -
-it- ? i C, 7 q3y$S -7-(3-FS S?tl\YNIS
INSPECTIONS DATE INSP. Rough-In Finol
Footings Dote Insv. Dote Irap.
Faundation Plumbing ?
ram /ins. MecFanical
Fi ol
n
_??'/z
?
Remarks:
Receipt MECHANICAL PERM17 Psrmit No.
CITY OF EAGAN
Fea '
Fill rn numbered spaces S/C
Type or Print legib/y
Tat.
1. Date - 2. Installation Cost '
3. Job Address J= - Lot Blk. Tract
4. Qwner
5. Contractor Phone
6. Address .?,.C37 7. City State Zip '
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New C3 Add ? Alter ? Repair ?
10. Describe t`--1l ?.'- ?'?c':? t 'Fuel Type `"
1 11•
No,
1 Eauinment 9TU - M. Ea.
Forced Air No. Enuipment CFM
Ai
:
H
dli
Mfg. r
an
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
7 Gas, Piping Outlets
' 12. I hereby certify that ihe above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
- ' Rouqh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
,, Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT
CITY OF EAGAN
fill in numbered spaces
Type or Print legibly
1. Date 2. Installation Cost
3. Job Address Lot Blk.
, ? i
Tract _ `
4. Owner
5. Contractor Phone
6. Address
7. City State Zip ?
8. Building Type: Residential ? Commercial O Institutional ?
9. Work Description: New El Add 0 Alter ? Repair O
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
o
l/D
field
i
Bath tu6s p
ra
o
n
7
Se
ti
k
Lavatory p
c
an
ftner
S
Shower o
Well
Kitchen Sink
Urinai/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 :
Permit No.
Fee
S/C
Tot.
for
. Rough Final
Inspections: Date Insp. Date Insp.
' This is your permit when numbered and approved.
' A'pproved CITY OF EAGAN 454-8100
?ntifiraft uf Orruvaury
Citp of (Eagari
Drparimnt rrf Builbing 3noprr#inn
Tbi.r Certificatc issued pur.ruunt to tbc requirement.r of Section 306 of the Unifor»a Building
Corle urti f ying that at the timc o f i.rruarrce thir structure was in com pliance with the variour
ordinunces o f the City regulating buifding constf uction or use. For the f ollowing:
vach-;fi-,c;oo ?MI1g12 FaIa3,4 _DWg/(Qr4&ge aiag. eerTnit No. 6M
Occnpanc.gTypa +TypeComs4uctionV FireZon" NA ZoningDistAciRl.
0lvocrofBuDdFng?C[cruual?iRmAddresa r7r1?MiV411"ii'zt .0 FdCII"
1 Inc
•
B„adim naa. 2I4 ?.n C;l i ffvi am T)r L---utyrn+ a ni ,,..?. ?z ?.,ao„ ni ??:
8,,: ?----?.. ,,..?..__ ??__
a,WangoreCW ...,? nACe: A.t?a>>e,?t 14o_1981
rosr iw • coHSricuous ruce
CITY OF EAGAN Remarks
Addition CEDAR CLIFF 2ND ADDN. Lot 2 eIk 3 Parcel
Owner lrk L ` 17)162 L?i. st?aat 2140 Cliffview Drive State_ Eagan, MIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
' STREET SURF. 1']'] 5 355.31 5
STREET RESTOR.
GRADING L
1983
Z
1
522.84
C007835
9-13-82
SEW TRUNK 4T.68 A0107 -1 - 1
,t SEWER L,4TERAL 2
' WATERMAIN
* WATER LATERAL 1983 5
WATER AREA A010 7 -1 - 1
*
STORM SEW TRK ?A 361.63 AOZO 7 -1 1
STORMSEWIAT -' 1982 756.57 151.31 5 756.57 0007304 10-1-81
CURB & GUTTER
SiDEWALK
STREET LIGHT
? Ro
WATER CONN.
BUILDING PER. 6708
sAC 525.00 25061 6-9-81
PARK
? z: r3 3 2,?
CORRECTION NOTICE
DATE: ? '2,? e!!?
Address
Site Name
Owner/Agent
Ordinance Nos. and Corrections - Correct By
?. _ -e
ze
For reinspection
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-8100
Inspector. l Z\(Q d - - - -
Dept..
Reader No,:
1 agree to eomply wiN+ the Cify of Eagan
Ordiaonoes.
By -
Dote of
WATER SERVICE PERMIT
PFDAAIT Ai^ .
Connection Charge:
Account Deposit: _
Permit Fee:
5urchorge:
Misc. Charges: _
Totol: _
Dote Poid:
CITIr O! EAGAN SEWER SERVICE PERMIT
3796 Mlot Knob Road PERMIT NO.:
E090n, MN 55122 DATE:
ZOflIng: -? -r
???,
No. of Units: -
Address:
Site Address:
Plumber: _ 't J'au1
. /' - -
1 eyree M eomply wlth the Cihr of Eagap
Ordineneea,
By
Date of Insp.:
Connectlon Charoe:
Account Deposit:
Permlt Fee: -
Surcharge:
Misc. Ciwrges:
Totol:
K 1 186 l07
Request Da[e Fre No. IRoLigh-in lnsPe#U
R
?
???Y Now C] WAI Notity Inspector
9-18 - 9 2 Q ??
)E No When Ready?
Ik licensed contractor ] owner hereby request inspeCtion of above electrical work at:
.lob Rddress (Street. 8ox a Route No.I Ciy
2140 Cliffview Dr. Eagan
Section No. Township Name a No. Range Fb. CouMy
Dakota
Oocupanl (PRINTI Phone Mo.
David Leeman
PoweF Supplier
Dakota Electric Address
Farmington
Electrical Contractar ICompany Namel Contracror's License No.
Roehning Electric CAO 1557
Maihng Address IConVacta or Owner Making Installation)
14811 Endicott Way Apple Valley, Mn. 55124
ignature (Contractor? Makmg In allatron,
??? Phone Number
='?? 4 2 3- 4 3 2 8
MNNESOTA STAT£ BOARD OF iLECTRICITY / THIS INSPECTION REQUEST WILL NOT
Gripya•Mldway Bldg. - Room 5173 BE ACCEPTED BY THE STATE BOARD
1021 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone {672} 642-0800 ENClOSED.
REQUEST FOR ELECTRICAL INSPECTION EB.000(,-08
K 16186 , Sea instrudfons for completing this torm pn back oi yeilow oopy.
"X" 8elow Work Covered hv Thic ajavw„oe?
TypeofBuilding - - ---,
AppliancesWired ----
?-
EquipmentWirad
Home Range Temporary 5ervice
Duplex Water Heater Electric Heating
R Apt.
8uilding Other (Specify)
Comm.Flndustrial Fumace Off peak meter
Farm Air Conditioner
ther Ispecify) Contractor's Remarks:
Compute Inspection Fee Below:
ther Fee # ServiceEntranceSize Fee # ircuit5/Feeders Fee
Pool 0 to 200 Amps 0 to 100 Amps
rs Above 2Q0 Amps AGove 700 Amps
1 Inspe
Inswpe ctort
ctorg Use Only: TOT
W
oms AL
?s-
?
pection ' ? ?
munication THIS INSTALLATION MAY BE
ORDER NNECTEO IF NOT
COMPLETED WITHIN 18 MONTNS.
I, the Electrical Inspector, hereby Rough-in Daie
ce?tify that the above inspection has Fi
l
na
been made. o ? )
"
• O
OFFlCE USE ONLY
-
TAis request void 18 manMS from
i
ThiZ/eq?2 voia L 2i 3-31
18 months from
a?,Sa
aS73422 ?
Date of this Request 6-29-81 Fire No. w43485
I, as O Lacensed Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Strezt Address or Route No. 2140 Cliffview L CityEagan
SecUon Township
Which is occupied by
Zachman Homes
Range County Dakota
Is a roughin inspec[ion required on this job? No ? Yes?C7 Ready Now ? Will Call ?
PowerSupplier Dakota Electric Address
Electrical Contractor Sunrise Elec tric , Inc. Contractor's License No. 397?8
(COmpany Name)
Mailing Address 4120 83rd Ave N Mols Mi nn 95443
Authorized Signature Keith R Hel?,i Phope No. 566-8600
(Elactrical Contractor or Ownar Making This Installatlon)
(?'???? ? O??D fI'O?? This inspectian request will not 6e accepted hy the
L} ??, State Board unless proper inspectian fee is enclosed.
Minnesat3',1tWte Board of Electricity
Griggs Midway Bldg, = Room N791 EB-00001-02
_ :821 University Ave„ St..Paul, Minn. 55704 - Phone 297•2111 aS 73 ?
REQUEST FOR EIECTRlCAL INSPECTION 43485
CHECK BELOW WORK COVERED BY THIS REQUEST T
For
Wired For I
Hor-e $] ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Wa[ex Hea[er ? Ggh[ing Fix[u[es ?
ApL Bldg. ? ? ? Dryer ? Elec[ric Neating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadex ?
Industnal Bldg. ? ? ? Au Conditioner ? Bulk Milk Tank ?
Faxm ? ? ? List t
l?A List ,
COMPUTE INSPECTION FEE BELOW
Servire Entiance Size: ik Fee Feedecs&Subfeeders: # F # c-^
D to 100 Am s. D.CCj' 0 to 30 Am eres es /
9SU
101 [0 200 Amps. 31 to 100 Ampeies eres .
Above 20 0_Amps.
Tcan mers Above 100 Amps.
RemoteControlCiic. Pa[tialorotherfee
SiB Special lnspection Minimum fee $5.00
Rema
TOTAL FEE
a? i?iapc??vi uctcuy cet ? [ I III o e mspect?on nas dee9ymade. )-,?"O
(Rough-m) n Q?iL?.Q,? Date / /3- -b
(Final) Date / 1- ? -6 1
This request void
18 months from
REQUEST FOR ELECTRICAL INSPECTI „-•.
? 5?5 J ?J ? (? ?i ? See inslrucrions lor comvleLng tM?s formun . 04- eL{pW,,,.opv- ?
_
"X" Below Wmk Cave; ed by This Reauest '7 n„ z--- i
Ed- 00001-03
?
New Add Aep. TYae of Building Appliancas Wiretl EquIpmen[ Wved
Home Range Tempoiary
Service
?uplex Water Heater Liyhnny Rxtures
Apt ?wlding Dryei ElecLnc HeaYin
Commercial 81dg Furndce Silo Unlo2der
Industn2l B?dg Air Condrtioner Bulk Milk Tanl<
Farm ONei SpeciFy Other(SUeritYl
Oihei Succfv? Othor Oiher
# Fee ServiceEntmnce5ize N FnP Feedeis:5"ble.rtlers 4 Fee Cvcuits
0 Yo 100 qm)s 0(c) 30 qm>s 0 tn 30 Am>g
101 to 200 Amps 31 ro 100 Amps 31 to 100 Am s
Ahove 200 AmPS A6ove 100_Amps A6nve 100_Amps
Transrormers Remote Control Qrc. ParLal-'Other Fee
Signs All ? 'Special Insp
ftemarks ?`
? ?u`' ? - i
?•? S T TAL F E
???? ?
Rouph-in ? IJaie
J. the Electncal
Inspeclor, here6y
Fnnal p p cerhly that the above
-
?--21?? IspectIpn h25 bee.n
de.
_
18 niontns hom
This rc?Ist voQid
18 mon[ig from
4 53539
L? i 63?
Renuest Datc
? Fim No. Fuugh-in Inspa<amn
P qi iretl?
?Featly Now Q Will Novfy InsPec-
I ?Yes No «'r When ReadY
LAucensect tiectncal Contractor . 1 hereby repuest msuechon o1 above
? Owner el0etrical wnrk inetwllad ar
Street Atldress, 6ox or Route No.
4 'au u---J? Crtv
6
ecUOi o. Towns ip e or No. Hangc No. Go?
Oc uGani (PRINT) PM1One Nn.
Power Supplier AAtlress
EI ical Coniractor o Company Name)
y ` n
`1 Conhactor's Licunse No.
Mailinp AtlJr ICont
s?Q` ctor or'Owner Makinp InstailauoN ??? ??
? J
AUth rized S1gnature onv t/ wner Mxkan ?stal Uonl Phone Num?er'^
?37- a8 7
MINNESOTq-STATE$OAHD OF ELECTA6ITY:' 'THi6 INSPECTION REQLEST WILL NOT ...
Griggs-Mndw3V Bld9: - HoOT N-191 gE ACCEPTEO 9Y.THE STATE BOAflD
1821 l/nivavsityAVe., St Paul, MN55106 ' ' - .-UNLESS_P0.0PER INSPECT{pN FEE IS
- Phune (6121297-2111 . . ENCLASEp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Conetructlon HeaulremeMe HemotleVReoalr Reaulrements
• 3 registared stte survays slwwing sq. ft. of lot, sq. fl. of house; and I roofetl areas • 2 copies of pFan
(20%maxlmumblcoveragealbwed) • lsetofEnergyCakulatbnsforheatetladd8ions
• 2 copies of plan showing beem & wtrMOw sizes; pouretl found design, etc.) • 1 sMe survey for exterbr adOAions 8 tlecks
• 1 sat of Energy Celwlatbns • InGicete'rf home served by septic system IoraCdMbns
• 3 copies of Tree Presarvatqn Plan tt bt plattetl afler 711193
• Rim Joist Deteil OpGOns seleclbn slieet (bl0gs with 3 or less units)
?
DATE \v VALUATION 'V ti0?'? . ? 0
SITE ADDRESS ?.\y 0 ?'.L\:1;4 \i ti-i-W _b?_ MULTI-FAMILY BLDG _Y ,_? N
TYPE OF WORK7`'crOZ O?? I?'E?Q 0? Sc FIREPLACE(S) _ 0_ 1_ 2
APPLICANT VIQY-fiW XCK1Yc\li
STREET ADDRESS ?aRIM 4q3`d WN1113W, AV'S, _ CITY CUSTh(., STATE M(S ZIP 15514 4
TELEPHONE CELL PHONE #\D\?\ FAX q"W3 -qRl- 0? 0'1
PROPERTY OWNER_Te_l __bv?l 'bD TELEPHONE # V51- '486 4
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULES 7672
(4 submission type) • Residential Venlila8on Cetegory 1 Worksheet Submitted • New Energy Code Worksheet Submiried
. Energy Envelope Calculations Submitted
Plumbing Conhactor: Phone # ___
Plumbing system includes: _ Water Sofrener _ Lawn Sprunkler Fee: $90.00
Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System D??? n?j ? n
I 1 ?' I
Sewer/Water Conhacfor: Pho tl i?
J u
------------------------------------------------------------------------------------ -----
I hereby acknowledge that I have read this applicatlon, state that the informati is corr, and?9tee- o comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Slgrwture of Applicant\-"-\\'A+..?
-°--------'----------°---"-'-^------°-°--------._...__???.r_?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
PERMIT # ' 3o-
RECEIPT DATE: 2-'LLL_LL?
-r'' ?
fi£S1WINTIAL PLUM$Iftfl PEft14I1T APP11CATION
crrY oF EAsAv
3830 eaor xxoa Rn
EasAx, Mtv ssiE2
651-691-4675
Please complete for: > single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: 6;117 v
OWNER NAME: : ATELEPHONE #:
(AREA CODE)
INSTALLER NAME: TI4,..??r TELEPHONE #:
STREET ADDRESS: 2800 Campus Di., Ste. # 40 (AREA CODE)
C ITY:
Dl.,n . nc.r4 m?r4 ncvY }n }hc nermi} wnr4 tvna
STATE:
ZIP:
New residentiai dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new instailation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
?
Nature of work: ,I/,q-4L
Septic System, new/refurbi^,hed - $ 225.00
• includes County & Consulting Inspector fees
• reqwres MPC license
State Surcharge $ .50
Total
Reminder: 8e sure to schedule inspections of alterations, i.e. wa[er nea[ers, wace soneners, ew.
I hereby acknowledge that I have read this application, sWte that ihe information is correcl, and agree to compl all applicable CityoFEagan ordinancas. It
is the applicant's responsibility to notiry the property owner that the Cily of Eagan assumes no liability for an ages caused by the City during its normal
operalional and maintenance activities to the faciliUes consVUCted under [his permit within Cily property/r' ? ffwayleasement.
SIGNATU E/? F PERMITTEE
? Updated 7l01
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
?J I 1?5 651-681-4675
Reaulremenfs
> 2 copies of plan
DATE: Zll S/a/ CONSTRUCTION COST: ? ?PB?S •`?
DESCRIPTION OF WORK: e2es7"r L4914y- W,9446w c/?u'??ll( multi-famiry bldg., how many units?
INDICATE THE FOLLOWIfdG EQUIPMEPlT TO BE REPLACED APfD BY WHOM:
_ Plumbing _ Homeowner Qr Contractor Name
_ Mechanical _ Homeowner gr Coniractor Name
"Note: If somebody other ihan the homeowner is pertorming plumbing or mechanical work, ihey must apply for appropriate
permit. Only Ilcensed plumbing contractor or homeowner may compleTe plumbfng work.
STREET ADDRESS: o!qG l°? jfT=V1C4? QA2IVP-
LOT: BLOCK: SUBD./P.I.D. #:
Name: kAs? Phone #:
PROPERN Lasf Plrsi
OWNER
Skeet Addreu: 21L1G
Ciry ka6aa. State: 4lA/. Zip: t7S'/7-!Z='
zye -6t?2-2-
Company: Phone #: s-l- a(- o°zZ
(area code)
CONTRACTOR
StreefAddress: '3G7fr License#Z.GZL?Gy/ Exp..3?
City State: ll'Ja! • Zip: ??Z 3- Z22Z
Fn[? ?? ? ?JI I?
FEB 1 5 2001 1
I hereby acknowledge that I have read this application, state ihat the information is correct, ond agree to comply wilh all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signaiure of Applicant: l
?
CITY OF EAGAN
. ' 3795 PiIM Knob Rwd Eagan, MN 53722 N! 6708
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt # -2 S_-Zl G !
To be uted for SF DWG/?r'M Est. Volue 47.000 Dote Jl1i1E 9 1981
Site Address -2140 C] 1ft't11nw DTi q Erect
n
OccupancY $4
T
-
Lot_2-_ Block_ ,3_ $ec/Su6.s%E.dSL C1ifP 2 Alter ? Zoning R1
Parcel # 10 16601 020 03 Repair ? Fire Zone
Enlarge ? Type of Const. `1
w Nome _ 7aClimr+n Hnmagi Inr Move ? # Stories
3 Address 7760 Mitchell Rd: Demolish ? Front _ 56 ft.
° g
Ci _ F.A_ n PPaipita phone 937-52()
Grade ?
DePth 2/h
ft.
? Name (lwnnr Apvrovols _ Fees
o -
u? Addrei5
r ?:...
Name_
Address
I hereby acknowledge that I have read this application ond stote thot
the information is torreci and agree to comply with oll upplicoble
State of Minnesota Storutes and City of Eogan Ordinonces.
Assessment A
Water & Sew.
Police -
Fire
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit 1 33 nn
Surcharge ?3-5f1
Plan check 66_ 5f1
SAC S9a_nn
Woter Conn. 3 35_pa
W oter Meter _60 .? QQ_
Rood Unit.],$5.,.n0.__
Total 1329 ?lV1
Signature of Permittee I
A Building Permit is issued to: ZEtCt]ID9II Hom@9, Inc. on the express conditfon that
oll work sholl be done in occordonce with oll app?li?y/yle Stote of M?i` °to Stotutes and City of Eagon Ordinances.
Building Officiul d`:"-L?
?
1U
CITY OF EAGAN r`? -nclude 2 sets of plans,
`?-? 1 site plan w/elevations &
BUILDNG PERMIT APPLICATION 1 set of energy calculations.
Zb Be Usecl For Valuation Date
Site Pddress: e?1 OFFZCE USE ONLY
Lot a Bloclc ?J Sec./Sub. ?€?'ect X_ Occizpancy
Parcel ti 0 p,lter
Q3 Zoninq
Repair Fire Zone ?-
Enlarge Type of Const. ?
Qaner: _
Move # Stories
Pddress: )`1?
C) Deinolish Frant 5-? ft.
? _
Grade Depth ;2? ft.
?
CitY/Zip Code • ??
4
Phane i#: C\b"` - q?jo10 J APPFt0UAL5 F'ff'S
Contractor:
Pddress:
City/Zip Cocle:
Phone #:
Arch. /F7ig. :
Fddress:
City/Zin Code:
Phone #:
ao
Assessments Permit ? 3 3
Water/Sewer Surcharge a23 ?
Police Plan Check il'G, _S2?-o
Fire SAC
_
g19 , Water Conn. 3 3,5-
planner Water Meter / O -?
Council Rnad Unit ? ?p
Bldg. Off.
APC
ZCYPAL L3 ?? , o 0
? CALVIN N. HEDLUND 9609 oirarE Arsnus soutn
Land $urr? sr Bloominqron,Minnesofa 55431
P Cirfl Enqflloa PhoM : 886-2080
IV
$11reefor04-f ee4iXte
JOB NO. 216
SURVEY FpR: 2achman Homea
DESCRIBED AS- Lot 2, Block 3,CEDAF2 CLIFF SECOND ADDITION, City of Eagan,
Dakota County, Minnesota and reserving.easements of record.
4D4.5
L
:
?
?
10'd
STKS,
-75-.00
?------,
I I
'I o
?I N
I 36 20 -'?-
I
Ib? n+i RIA2u?anp ? GAR. ry
I - `o ? DRivE l j
904.8
ToP oF BLOCK = 904.5
$ASEMENT FLOOR = 901.3
GARAVE FLOOR = 904,1
pRAMR6E qRRo4v
PRaPOSED ELEVATYONS
E-VISTIN(y ELEVATIONS
paams L-or coaroER ' o
1o'O srt-'s.
3
If1 Rj
GLIFFVIEW bR1VE
qo0.6 9oi.o
CERTIFtCAYE OF 3 RVEY
i hereby cerfify thoi on Mqy, 2'J, 190f I survtysd the property descri0ed above and thot
the aDove plot ia a correct represenfotian o} soid surr,?
Cairin M. Hedlund. Minn. Re¢ No. 5942
Use BLUE or BLACK Ink
r----------------
i I For Office Use.
//63
d~ I Permit 1
U
City of Ea i
i Permit Fee: S55, 00
v I
3830 Pilot Knob Road
Eagan MN 55122 CDate Receiv d:_^~/
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
---------I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: ~g/~3/~1011 Site Address: -
q0 GQ~F iua `7c,v~ Cc~a~ , p~~ll ~512'~
1,24
Tenant: Suite
RESIDENT / OWNER Name: + ~o Phone:
Address/ City/Zip: (21440 04XAew 'Dn_e, A o~1N~ 551
Name: License
CONTRACTOR Address: City:
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK Sump Pump Repair Repair
Other: Other:
Description of work: Q~xov ktrm
DESCRIPTION
FEES
$55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ 55.00
*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_ G I Q0 x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Final`
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124393
Date Issued:06/30/2014
Permit Category:ePermit
Site Address: 2140 Cliffview Dr
Lot:2 Block: 3 Addition: Cedar Cliff 2nd
PID:10-16601-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Han Phan
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 -
Tri Duc Do
2140 Cliffview Dr
Eagan MN 55122
VP Construction of Minnesota Inc.
2263 Tilsen Ct
St. Paul MN 55119
(612) 644-3866
Applicant/Permitee: Signature Issued By: Signature