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4384 Cinnamon Ridge Tr€ity of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use q`, f� Permit #: 1 CJc "`� 4 1 Permit Fee: Date Received: Staff: J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: Z1\ ern Phone: Address / City / Zip: Lk 3i Applicant is: Owner `i— Contractor Description of work: It\a rrs� Construction Cost: —\S -66 Multi -Family Building: (Yes K.. / No ) Company: ‘f t4'fS Contact: Address: 1 COO SIS City: State: fkAt^- Zip: S S 3� Phone: Q '1(..03- S31 � 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 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.orq 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 tate Building Code must be completed within 180 days of permit issuance. Applicant's Printed Name Applics Signature Page 1 of 3 €ity or Eaaall Date: 3 • 3 ( 1 lJ Site Address: LI ?Li Tenant: - HO 1 1/11 \ Applicant's Pnntetl Name x 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Address / City / Zip: Applicant is: Owner Description of work: l )1 0 Construction Cost: a, Soo • o0 Name:elLakTh Address: 14 1 (4 City: G:A Phone6V -7 414, 'APR 022010 Phone:1g S t- D 9 ("-■ i . Contractor Contact Person: 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: CALL BEFORE YOU DIG. Call Gopher State One Cali 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.aooherstateonecall.orq 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 .ermit; 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 Applican License #: Signatu 9D va Use BLUE or BLACK Ink 7 Permit #: Permit Fee: Date Received: Staff: State: r Zip: 5S / J Suite #: 8fl' s Multi - Family Building: (Yes / No ) Page 1 of 3 CITY OP EAG, Permit No: Date: 3830 Pilot Knob Road Meter No: Size: P.O. Box 21199 Reader No: Date: Eagan, MN 55121 Owner: Site Address: Plumber: Conn. Chg: Zoning: Acct. Dep No. of Units: Permit Fee: Surcharge: I agree to comply with the City of Eagan Tr. Plant Ordinances. Meter: Misc.: By — b—k-A. °° WATER SERVICE PERMIT 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: 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: a Use BLUE or BLACK Ink For Office Use Permit City of Ea I via I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: JN ~b G / Unit Name: ZC9 C-Ptl4Pt err Z Phone: Resident/ Owner ;Address/ City /Zip: 3~f `I Q1 t~t-'P'r\C)rJ -2 2- Applicant is: Owner y1 Contractor Type of Work Description of work: Construction Cost: I 'Z t C,00 • ~,c7 Multi-Family Building: (Yes /No Company: Ptby(Po-j<-f-'1J Contact: C F~4 t~ iMYk~,1C.~ J Address: -1000 I A/' IJ . I Z Z City: C CAN- Contractor State: zip: Phone: 5375 11 2 License 31 Lead Certificate bJA l 3 too 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: t Mechanical Contractor: Phone: I f Sewer & Water Contractor: Phone: NOTE: Plansand 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 s` 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.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. 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 x Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140370 Date Issued:12/13/2016 Permit Category:ePermit Site Address: 4384 Cinnamon Ridge Tr Lot:071 Block: 01 Addition: Cinnamon Ridge 6th PID:10-17405-01-071 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace 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 - Ibrahim Ahmed 4384 Cinnamon Ridge Tr Eagan MN 55122 (651) 239-5148 H2c Inc Dba Heating Cooling And Plumbing 820 N Concord St South St Paul MN 55075 (612) 791-0850 Applicant/Permitee: Signature Issued By: Signature