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
? $mnleyor 4's Lwil'p?cate
,
? J08 NO. 2'7F
? SURVEY FOR: Zachman Homea
OESGRIBED AS' LOt 1, Block 3, CEDAR CLIFF SECOND ADDITION, City of Ea_qan,
? Dakota County, Minnesota, and reserving easementa of record.
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?Ic?-Cower Nlc--
3O
I
90 2.4
?Top o4''Foundafion= 904.8
Basemen+ Floor = 90l. 6
Gareye Floor • 904.4
J Preposed Elevattons0
Q Exisfing Eleva}ron5
?C Denofes :Draimacje - -
? Dene4ty Lot Corner O
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lo?p N
s+akes
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75.47 ° 4>
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9oi.o CLI FFVlEW DR1VE 9o?.s
VZRTiFICATE OC SURVEY
I, hereby certity that on f0-23-$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