4468 Cinnamon Ridge TrRESIDENT / OWNER
Name: Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
W 1
Description of work: J \ \A 4 ..� 1 ` b 0 'C 1 -
Construction Cost: u 7 ode Multi- Family Building: (Yes / No )\ 1
CONTRACTOR
_ �
Name: C� - License #: 10 Z 5 3 /
Address: VZ- G W - 7 1 1 - \\ S City: S" \ `.`-� -\
State: JM I`S Zip: CS Phone: CJ \ — C I Gi 77
Contact: NIL- /3v_ Email:
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 specific reasons that would permit the City to
conclude that they are trade secrets.
4.
4 11) City of Eaali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Tenant: tv
Applicant's Printed Name
RECEIVED
5
Cotay
x
Appli•: s Signature
For Office Use
Permit #:
Permit Fee:
Staff:
Use BLUE or BLACK Ink
Suite #:
9ipts3
go. as
Date Received:
SEP212010
2010 RESIDENTIAL BUILDING PERMIT APPLICATION en I
Site Address: t h tko r\
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.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.
Page 1 of 3
1 -( 1 -1& 0164A mort (d6c-
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25 % 100% )
Census Code
#of Units
# of Buildings
Type of Construction
Reviewed By:
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water
Framing
Fireplace: Rough In _
Insulation
Meter Size:
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Porch (3- Season) Storm Damage
Porch (4- Season) Exterior Alteration (Single Family)
Porch (Screen /Gazebo /Pergola) _ Exterior Alteration (Multi)
Pool Miscellaneous
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Siding _ Demolish Building*
Reroof _ Demolish Interior
*.- Windows _ Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
, Building Inspector
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final 1 C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _ Footings Air/Gas Tests Final
Siding: _ Stucco Lath _ Stone Lath Brick
Air Test Final Windows
Retaining Wall: _ Footings Backfill Final
Radon Control
Erosion Control
Page 2 of 3
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: Account Deposit:
Reader No Permit Fee:
1 agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Dote of Insp.: 9j' 1 Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830•}'iiot Knob Road
P. 0. Box 21199 PERMIT NO.:
.pagan, MN 55121
Zoning: DATE:
Owner: No. of Units:
Address:
Site Address:
Plumber:
' agree to comply with the City of Eagan Connection Charge:
Ordinances,
Account Deposit:
Permit Fee:
By Surcharge:
Dote of In Misc. Charges:
I nsp.:
�. : Total:
Dote Paid:
J
4 ` or JT
Use BLUE or BLACK Ink
For Office Use
City of E an I Permit I
E I Permit Fee: I
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 '
Fax: (651) 675-5694 1 Staff:
V - - - - - - -
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: la G 6~~iv~~~►/' ~l~ L Unit
Name: s.n c41 C '.I' - Phone:
Resident/ 6;*1~ r 0 5'/f
Owner Address /City /Zip: t
Applicant is: Owner Contractor ~M
Type of Work Description of work: i X/~~ I ~✓~S
Construction Cost: Multi-Family Building: (Ye / No )
A• I S r)~i~ 1'~~ t.
Company: GlN, - 6>' ~ Am-, ae., S t 1ty,` e 1 ntact:
,YY/ ILI,S""~"
Contractor Address:i r" .a rfi? x'77 r'` ' Ste"City:
State: ® Zip: g0.0-1 Phone:. 4?/ 442
License oC 4 Lead Certificate /Vim - 7 - t
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 goaherstateonecall.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 ~t t~t~4 r
Applicant's Printed Name Applicant' ignature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
(a~ I
C ity of on , Permit I
I ~5
I Permit Fee:
, I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: ,
l
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
41--
2RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 7`?tt C_ Unit
Date:
13 Z~
r
Phone:
Name: 1A
Resident/ .
Owner Address/ City/ Zip: e' T t .f"
:4q_ Applicant is: Owner Contractor
Description of work: A
Type of Work
Construction Cost: Multi-Family Building: (Yes / No
of t . A- t t S
I:R
ontact:
Company:
Address: 7J~~ i F t 5 City: _ 'V&~ d-/
Contractor
State: ''~'V Zip: Phone: 642-3V 4 t"
' License + 2°41 Lead Certificate /VV9"- -1 -
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 maybe 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.org
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 compigxed-withinrtK
days of permit issuance.
x
x
Applicant's Printed Name Applicant's ig ure
Page 1 of 3
Use BLUE or BLACK Ink
~v I
For Office Use
a~ r I Permit
City of Ea Edd I
Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: 1
I I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
1..-------- ---------J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 31-21 Site Address % 7` U ► t ~ f % / ice""/ L Unit
Name: Phone:
Resident/
Owner Address /City/Zip: f S'
00
Applicant is: Owner Contractor #
Type of Work Description of work:
I Construction Cost: 7 S Multi-Family Building: (Yes / No )
of , A7 X r .t : E x d.Ote f'o-~,°Aj /y e
company: 1,h ~e ~~35 r A..'t )Z Al S tAVI CT's ntact: I"rJ
Contractor Address:City: d~0/e, N
6142-
State: ,0V Zip: Phone:
License .G- 4.10 Lead Certificate 109-T - 3 7
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 maybe classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets. ®m-
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 ' m 180
days of permit issuance.
Applicant's Printed Name Applicant's !gnat
Page 1 of 3