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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