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:
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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
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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
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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