4463 Cinnamon Ridge CirRESIDENT ! OWNER
Name: - ' 3 l - V f t J j A " a k , Phone: C 0 5 1 - - ?ir "A sty
Address l City r Zip.. 5r1✓1.03 C'.,` 6,+dtrv+o• A . " :,lad.. C1 r`CI
Applicantis: — Owner Contractor
TYPE OF WORK
Description of work; al ' w-t i— k - /2 rZ.t'14&Z. /! T7 /G Z/J/SC,
Construction Cost - Multi- Family Building; (Yes _ / No )
CONTRACTOR
Name: 4 . ". ket t4.5-Lro - ar+iea-.(., a v. License #:
Address: Wka l _ / do AVM it 1 City: r 0100.4+~r
State: r►^ A. Zip: s5eyw _ Phone: ea SW— 1'"7
y
Contact: C tG 1 -t Email: 6Pcti&s4 Si ,<'+r'- esri- .. C{► -*-%
COMPLETE
In the last 12 months, has
_Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 speck reasons that would permit the City to
conclude that they are trade secrets:
03/16/2010 14:22 7635448766 LINDSTROMS PAGE 02/04
�Cily of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 676 -5675
Fax: (651) 675 -5694
NAR1Y2010
Use BLUE or BLACK Ink
tJr
Permit #; g3 / f //
t
Permit Fee: /9 effP
Date Received. ...Z -1 /.
Staff:
r
2010 RESIDENTIAL BUILDING PERMIT APPLICATION aaa 3 //7
Date: — ICr —ICS Site Address:
Tenant: Suite #:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454-D002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gavherstateonecarioro
I hereby acknowledge that thls 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 fora 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 plat,
Applicant's Printed Name
Ap Signature
Page 1 of 2
0311612010 14:22
L � /(v j C I i� n n/1 oa (106 (_:( {>__Ci e_
SUB TYPES
_ Foundation Fireplace
4 Single Family tr/kiiiit Garage
Multi — Deck
at of _ Plea — Lower Level
Accessory Building
WORK DIMS
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 % 100%
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _ Final
Framing
Fireplace: _Rough In Air Test Final
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL Imo€$
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
7635448766
_ Interior Improvement
_ Move Building
„; Fire Repair
Repair
latzr
TOTAL
L I NDSTROIMS
DO NOT WRITE BELOW THIS LINE
Porch (3- Season) •••••••••• Storm Damage
Porch (4- Season) _ Exterior Alteration (Single Family)
Porch (Screen/Gazebo /Pergola) ^ Exterior Alteration (Multi)
Pool Mlecellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
7 3 �a
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building - give PGA handout to applicant
_ Siding
Reroof
Windows
Egress Window
r,?c -1-
24v7
P0 _
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.Q. Required
HVAC
Other:
Pool: _ Footings ^ Air /Gas Tests _Final
Siding: _ Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings , Backt'ill _ Final
Radon Control
Erosion Control
Building Inspector
PAGE 03/04
Page 2 of 2
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot,Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: — No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: a Account Deposit:
Reader No.• Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By'%: - Date Paid:
Date of nsp.: X5 711.3 I nsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot-Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.• Total:
Insp.• Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot,Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: — No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: a Account Deposit:
Reader No.• Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By'%: - Date Paid:
Date of nsp.: X5 711.3 I nsp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot-Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.• Total:
Insp.• Date Paid:
Oct.18, 2013 9:02AM Crest Exteriors 651-463-8095 P. 32
Use BLUE or BLACK Ink
For office Use
j Permit A! City of Eagan 57e!
Permit Fee. 1
3830 Pllol Knob Road
Eagan MN 55122 Dale Received: j
Phone: (661) 675-5675 I I
Fax: (661) 676-5694 1 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:. 0" ( Site Address: Unit M
4,..... Name* ~V Phone:
+ -
?aRes fe~U 1
M O r Address > City ! zip: CA
Applicant Is, ` Owner V Contractor
Description of work: Re- roc)E
O O M
Construction Cost: 77~W Multi-Family Building: (Yes / No
Company: \Y1 Contact:.rn\\2Ne- -T'VKYYl(1S
Address: e fty:l I--~
on C r-..,.
state: ) Zip: GS J I Phone: 1 7Z t 21ZG01
Y License -Z-I,0 2 Z'7 Lead Certificate
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a slmllar plan based on a master plan?
-Yes ZNo If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor, Phone:
OTE `P/ n"s and ppo g'docrl' ~e i t: ai'e: consl ° " 'e I o> /c !_ri~o iatlon!. P ° !'V'fi ~6f
o t a be" / s o f sons~f at' oGld pelt . o
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 4164-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground ublNes. www.cooherstateonecall.oro
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 perms(, and work to 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.
Exlerlorwork authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
X X
Applicant's Printed Name Applicant's Signature
Page 11 of 3
Use BLUE or BLACK Ink
For Office Use
R 0~ I
Win Permit I I
City of Eap
Permit Fee: - I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675 I j
Fax: (651) 675-5694 ; Staff: na~
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3Z2 5~ Site Address: el(lLe ( Unit
Name: &6ZAZ4' "Or,'~ { 6"rr4e Phone: gg~j.
Resident! 1
Owner Address / City / Zip:
Applicant is: Owner Contractor
Description of work: 5/ /0-f
Type of Work
1 Construction Cost: Multi-Family Building: (Yes / No )
I Company: . rU " 'g.4v1t'eT ontact:
Address: tf"~ St '4`9 o city: '4/r. d
Contractor ,~~A
State: Zip: Phone: f*2_ -3 /
License Lead Certificate /VA7- 3 l - r
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 theit 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 gooherstateonecall.or-
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.
x or Applicant's Printed Name Applicant' Signature
Page 1 of S
Use BLUE or BLACK Ink
For Office --Use---------- - I
~ , d I
Permit
City of Emu
Permit Fee:
I I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: 3N]u
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: t /4 4~wwa~f'f << c Phone:
Resident!
Owner Address/ City/ Zip: l t f
Applicant is: Owner Contractor
Description of work: 6,2"- n
Type of Work _
Construction Cost: Multi-Family Building: (Yes / No )
--F
Company:. ~D+t3S~ ~Te-C3lv~2,AVP' !'°,Contact: I • !rte
Contractor Address: ? ,p City: 01.0 A. /'4 S, / .
State: Zip: Phone:
License 41_2~-yo Lead Certificate /V,+W - 3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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.aopherstateonecall.oro
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 co within 180
days of permit issuance.
t L , f:
x
Applicant's Printed Name Applican i n
Page 1 of 3