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2144 Cliffview Dr Use BLUE or BLACK Ink I for ~ifice Use I of ~i Eap Permit I~f I I Permit Fee: _31 / 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: j Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Sta : I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address:. ye-1 % Tenant: Suite RESIDENT/OWNER Name: .l~ / Dvf~l f~Q/~ Phone: Address/ City/ Zip: < 7 7 C~ /%fy- f✓Gl/ l/~'" e~•°~`~ l Applicant is: Owner Contractor TYPE OF WORK Description of work: ronuv r3 Pvt.[ oft: Lr 1~I'~ 13 . ~JIJr b / ~ i CIO % ` 04 Construction Cost~Gt7~~ Multi-Family Building: (Yes / No ) CONTRACTOR Name:- H'l~ 1A/k!j License Address: City: State: Zip: Phone: Contact: Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that 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.gopherstateonecall.om 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 plans '3 1111-A-11(Aerl, x t` x App icant's Printed Na Ap cant's nature Page 1 of 2 ,2 (L-lq C k 4vic--,C v DO NOT WRITE BELOW THIS LINE q& / SUB TYPES - Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage j< Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool Miscellaneous Accessory Building WORK TYPES ~~o~~s~ A/S -FYI 1tJ~~z~ New _ Interior Improvement _ Siding _ Demolish Building- Addition - Move Building _ Reroof - Demolish Interior 4C Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation lo, o 0 v Occupancy MCES System Plan Review Code Edition piAzzi~w7 SAC Units (25%-100%4) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS` Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) ~r Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows /J, t oy\- S~ Insulation Retaining Wall: _ Footings - Backfill - Final Meter Size: Radon Control '7 Erosion Control Reviewed By: T ( , Building Inspector RESIDENTIAL FEES ~L6✓ Base Fee Surcharge Plan Review MCES SAC 00d City SAC .Utility Connection Charge S&W Permit & Surcharge l~►1 Treatment Plant Copies TOTAL iGx 7 Page 2of2 ? C.'f`t OF EAGAN 3795 ruW x„od seaa EagaA, MN 55122 • PHONE: 454.8100 BUILDING PERMIT Receipt # To be wed for Est. Volue Dete , 19 Site Address Erect p Occupancy Lat Block Sec/Sub. ? Alter ? Zoning . parcel # Repoir ? Firo Zone (Vame r'" • e e Enlorge ? Type of Consc. W ; Address Move ? D m li h # Stories Len th e o s p g b G phorw Grnde p Depth Sq. Ft. p Name Approvols Faes u` Address Assessmenf Permit ? Cit phone Woter & Sew. Surcharge Palice Plart check ? oc ti W NO"1° Firo SAC ?? ?nu Enq. Water Conn. <W Ci phone Planner Water Meter Countil Road Unit 1 hereby atknowledga fhat ! hove reod this opplication ond state tiwt 81dQ. Off. the information ig torrect ond ogree to comply witfi oll applicable State of Minnesota Statutes and City of Eagan Ordinances. ^? Totol Signature of Permittce A Building Pertnit is issued to: on the express condition thnt oll work sholl be done in otcordonte with all applicable State of Minnesoto Statutes ond Ciry of Eogan Ordinances. Buildiny Officiol Permit No. Permit Holder Misc. Permit No. Holder Plum6ing -?b ss ?/?fqUL H.V.A.C. ?2.'7 ? J W? ??ZS? II 'ZO -S' Well Water Disp. Sewar Ekctric InaQection Date tnsp. Otfier Footingc Foundation Framiny - Rouyh Plbg. fiouyh HVAC Inaulation Final PI6y. Final HVAC Final ? ?, o. Wster Well Sewer Pr. DFsp. C w.rrfiftrtttr af (Orrupttnry Citp of eagan Dppttr#mpnt o# Butlbing Jns.pPrtimt Tbi.r Certificatc i.rtued pxriteant to tbc rrquirenecntt of Sation 306 of tlx Uni fo+m Buildixg Codc ceni fying that at thc timr of itauame tbi.c .unrtturt waf in rontpliarue with tix vasiotu ordinanns of ebc City ngulating building conmuction os usc. For the following: UN (kANkfiCItIv T' SF rm Bld{. htmit No. 6985 - - 1[3 - . .. -- -- .•_ V .,.--"-- lvrl Rl RLI. . Fde11 By: 2nd aa: De?r 29, 1981 ?.5... Receipt MECHANICAL PERMIT Permit Na. - CITY OF EAGAN Fee , Fill rn numbered spacea S/C Type or Print legibty - Tot. .' 1. Date 2. Installation Cost '- ?U•? - - - .•. ? , 3. Job Address Lot ' Blk. -' Tract ` 4. Owner ? • I 5. Contractor Phone 6. Address ' C:37 7. City .,, IJ• State ' Zip " r 1 8. Building Type: Residential 0 9. Work Description: New 0 Commercial ? Institutional ? Add ? Alter ? Repair O ? I 10. Describe Fuel Type ?' I 11. No. ? Enujpment 9TU - M. Ea. Forced Air r"- ` 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 Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly 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 C] Commercial O Institutional ? 9. Work Description: New U Add O Alter ? Repair O 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Softner Shower Wel l Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. 51op Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition CEDAR CLIFF 2ND ADDN. owner-,',, . " hl. `(L ?' 11IrQ ldt Street 2144 . ? Cliffview Drive stete Eagan, W S5122-! Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1983 1776.56 355.31 5 1776.56 C007768 8-2-82 STREET RESTOR. GRADING 7 1983 522.84 104.57 5 522.84 C007836 9-13-82 SAN SEW TRUNK 3.4 A010 $ 3-25-82 *SEWER LATERAL 1983 2182.58 436.52 5 2182.58 C007836 9-13-82 WATERMAIN * WATER LATERAL 1983 5 WATER AREA 3 0.10 A010908 -2 -8Q *Services 1983 5 STORM SEW TRK ? 1981 452.03 90.14 5 Q 1.23 A010998 3-2 -$2 STORMSEW LAT - 1982 756.57 51.31 5 605.25 A010 $ 3-2 -82 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185 WATER CONN. 335.00 BUILOING PER. 6985 SAC PARK /^/? ? This request void II'Z.(? L,+ t1 52 l , `,` ' ?, so ? fi$ ?1?93 a19 Ra. Rpque t Oate Fire No. Reqghe.nlinsVectian ?Ready Nuw ,?M1II NoUfy Inspec- O? 0 ` es O No [or When Ready ?Licensed Electncal Con ractor I hera6y reqaesi insPeclion of above ? W.,.r i-,wiiad et: ? -.r1 Sveet Address, Box or Route No. 1.1 C? vi Riv? Citv ?i? ecuon o. Township Name or No. R,ange No. Cou W ,qKoP?1 OccupAnt IPRINT} Phone No. q1 Ier Suppl?er Z?? _ , I ` C Address Electrical Contractor iCompan Name) /J ? Contractor's License No. KAi ractor or Owner Making Inst ?lationl ? Mai Address ICont ? 0 n S? A h "zed Si9nature lCo racto Dwner - aking nstallationl Phone umber ? a N PECTION REQUEST WILL NOT •- ° THIS I S MINNESOTA STA BOARD OF ELECFRICITY BE ACCEPTEO BY THE STATE BOARD Cir{pps-MidwaY dg• -Room N-191 UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 ENCLOSED. Phone (672) 297-2711 REQUEST FOR ELECTRICAL INSPECTION ?.w ee-ooooi-ac3 T 61 ? 93P See instructions tor completing this form on back of Yellow copv. ? i ..?.. ?..i?... u1 11 /,.. Th- Rnniiocf ? f'f i Ne, Add ReP•• V TVqe of 8uilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Farm Air Conditioner Ocher Speci yi Bulk Milk Tank oihet Ispeciryl t ;r Specify Dther Other (.O/ RF1U(C 1JFI6 j/Cl.L1v11 r Cc ucrvvr F8B CIfCUii?S II CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot ICwnb Roed PERMIT NO.: Eagaw, MN 95122 DATE: ' Zonirg: No. of Units: - Owner: Address: Site Address: Plumber: 1 agroe to wmpry wifh f6s Cify ef Eogo¦ Ordinonoes. By aota of Insp.: Connection Chorne: 7? t' Account Depoait; Permit Fee: Surchorpe: Mix. ct,oroes: Tofal: Date Pald: cIrr oF E?cAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO,: Eoqan, MN 55122 DATE: Zoning: No. of Units: Owner, Address: Site Address: Plwnber. ' ? " . i • • Meter No.: , C . Size: Reader No.: I °gree tO comPlr with Hw Citr of Fagan By Date of I nsp.: onnection Charge: . Account Deposit: Permit Fee: Surchorge: Mix. Charyes: ' Total: _ Dote Poid cirir oF Er?c,AN No - 6985 - 9795 PiIW Keob Rwd Legan, MN ii12t _ iHONE: 434-8100 tI BUILDING PERMIT 2eceipt # Te_ba wed Fer SF DWG/IW Ft_ v.i.w $47,000 November 2 .? 81 Site Addrcu L144 Gllf"f'ViBW Drive Lor 1 Block 3 5ec/5ab. Cedar Cliff 2nd Parcel # 10 16601 p10 03 W Name _ ; Address b V2. o Name f ?u Addre, r:... Nome _ Addreu 1 hereby ocknowledge thot I hove read lhis applicotion ond state that the informntion is correcf and ogree fo wmply with oll opplicoble $fote of Minnewta $totutes ond City of Eagon Ordirances. Sipnature of Permittee A Building Permit is issued to: ZfiCI]IDeSI HOIDBpl, I oll work sholl be done in occordonce with nlL6noliwble Stot`of/Mir Buildinq Officiol ?0 ? To Be Used Forcy? Site Pt3dress: Lot ? Block ?_ Sec., Parcel 4: { O t("?'cp O ( ( Oaner: ' Pddress. ?Z7?c[ City/Zip Code- Phone #: ? Contractor: Address• City/Zip Code: _ Phone #: Arch. /Eng. : pddress: Gity/Zip Cade: _ Phone #: , `- - - tchell 46ect _XoccuPancY e3 Alter Zoning Repair Fire Zone Enlarge _ TyAe of Const NSove # Stories ft pennlish Front . 56 ? Grade ? Depth ft. APPROVALS ? Assessments a 9 Permit 4 Water/Sewer Surcharge 3 Police Plan Check Fire SAC Eng , water Conn. ? pl?,? Water Meter (O ? Council Road Unit / 3?,5- Bldg. Off. P.PC Erect [:$ Occupancy _ R-_ Alfer Ej Zonirg Repoir ? fire Zone NA Enlarge ? TYpe of Const. - V Move ? # Stories Demolish ? Length 56 Grade ? Depth24 Sq. Ft._ AODrorals Fees Assessment _ Water 8 Sew. Police _ Fire Enp. Planner _ Council _ Bldg. Off. _ APC Permit Surcharge 23_50 Plan check .1?G _ 75 snc - 525.00 Woter Conn. 335.00 Woter Meter 60.00 Road Unit 185.00 rorul $1532-75 _ on the express condition thnt ond Clry of Eagan Ordinancas. f, , . .. CITY OF EACAN Include 2 sets of plans, 1 site plan w/elevations 6 )ING PERMZT APPLICATION 1 set of energy calculations. ??a a d ?ua n Date ll? 1 ?/] ' OFFICE USE OrLY C? 5 To'I'AL CALVIN H. HEDLUND ssos Glrord Aranue Sourn BloonNnaMn, Minnssota 55431 ? Lane Survoror Clvtl EnaieNr PAene:8B8-2080 a ? $mnleyor 4's Lwil'p?cate , ? J08 NO. 2'7F ? SURVEY FOR: Zachman Homea OESGRIBED AS' LOt 1, Block 3, CEDAR CLIFF SECOND ADDITION, City of Ea_qan, ? Dakota County, Minnesota, and reserving easementa of record. i ? i I ? --- -4oi--3 1 ? M , i , t , r --- 51 I' I ? ? ? 51? ? ?CL O ? I 902.7 I 5.00 -1? w ----T Ib I ? ? n ? ? ? ? v1 ? o o4J ? r--?T-=-, - ? - OOD N U RS T I I4 \ o . ? et, _ a ?Ic?-Cower Nlc-- 3O I 90 2.4 ?Top o4''Foundafion= 904.8 Basemen+ Floor = 90l. 6 Gareye Floor • 904.4 J Preposed Elevattons0 Q Exisfing Eleva}ron5 ?C Denofes :Draimacje - - ? Dene4ty Lot Corner O ? ?I . O lo?p N s+akes ? ?-°-4D oz.i - - `?----?' a 75.47 ° 4> y? . qoi.-r tt 3 O ? 9oi.o CLI FFVlEW DR1VE 9o?.s VZRTiFICATE OC SURVEY I, hereby certity that on f0-23-$I Z wrrerid fAe preperty deseribed oDove ond that the abovE plot is a ceneet representofipn W soid wrveq. ' . Colvin H. FMd1un0. Minn. Rp Na 5942 Use BLUE or BLACK Ink r I FO! Office Use I I City n Permit 1 of llrJ_ap Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 I j I Staff: Fax: (651) 675-5694 L -_---I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: Tenant: Suite RESIDENT / OWNER Name: t Phone: 0 0 Address/ City/Zip. I7 r I- Gt/ t~Q, CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK -1CL New _ Replacement _ Repair _ Rebuild )QL Modify Space - Work in R.O.W. Description of work: n&42- 4h ~'1r e PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ / _ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.goi)herstateonecall.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 sta itho permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval f plans. x x App ' nt's Printed Name Applica ignatur FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground -Rough-In Air Test Gas Test Final Use BLUE or BLACK Ink For Office Use i " Permit City of Enu I 7s I I Permit Fee: G 3830 Pilot Knob Road Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 7 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: YY~Pc~ Unit Name: Leh A, u, t Phone: (&X a > 5 4S Resident/ n f d~ Owner Address / City / Zip: /Q~Qa I~'0~`#/ 1 ~/~~t %/'!P ~.!`i~.~3rf j Applicant is: Owner Contractor Description of work: as! Type of Work Construction Cost: ~lfF1~, 00 Multi-Family Building: (Yes / No--< aW Company: Ut P,• O-f 1trC_ Contact: i ASPol Givlfv"~P Contractor Address: ( City: State: rAl Zip:i 33~ Phone: `Sefi 8-1~ License #:`,t- 6~367~ Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) x 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: I Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. ~I, x / ca& x 49!A= Applicant's Printed Name Applicant's Signature Page 1 of 3