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4585 Horizon CirRESIDENT / OWNER Name: b a. ✓ 1 lrS.r o w ,.1 Phone: Address / City / Zip: CONTRACTOR e / Name: C e �t vim, ' Aq t L C License #: / Address: S S ( cl afi' 1' L City: 5 'a v 1 State: AAA/ Zip: S S 1 ©7 Phone: 6/ q o a - /q q6 Contact: Email: TYPE OF WORK New / Replacement Repair Rebuild Modify Space Work in R.O.W. — _ _ _ _ Description of work: °[J S Lta to'4,41�,0,(^1 4 rot, 4 (9 ite4 k.TLf^ S>v. k PERMIT TYPE RE SIDENTIAL / t Water Heater 0 , t tv.".d. " 441 Water Softener Lawn Irrigation ( RPZ / PVB) Add Plumbing Fixtures ( Main / Lower Level) Septic System _ Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $ (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee City of Eaall Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 r For Office Use P O Permit #: Staff: 2012 RESIDENTIAL PLUMBING / � PERMIT APPLICATION 6 /9 1 t f 1 Site Address: 4 ? '1 LU1r / 2 O *1 G- i rG `e Cttv(_ 0 a� Applicant's Printed Name Applicant's Signature Use BLUE or BLACK Ink / c Permit Fee: 6 ) Date Received: v 2 I Suite #: 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.qopherstateonecall.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 perm_ it; that the work will be in accordance with the approved plan i the case of work which requires a review and approval plans. FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough -In Air Test Gas Test Final City of Eaall 3830 Pilot knob-Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 RE=CEIVED JUN 1 S 1011 r 2012 RESIDENTIAL BUILDING PERMIT APPLICATION State: ' Zip: 4 1, Gr� Phone: License #: 0' C63 63 ! N Lead Certificate #: Use BLUE or BLACK Ink For Office Use Permit #: )0S73 Permit Fee: Date Received: ` Staff: Date: Site Address: Unit #: e 7 Name: - t, # .' 60 l= •->1 Phone: 5T J -3 4 ii 64 6 Address /City /Zip: 415- g S {t2c- Cl C 1 � � Zhu P4 N / 23 Applicant is: Owner 'Contractor Description of work: ( heveR_C. e V Lt ' I . not 1 et f ` / Construction Cost: Multi- Family Building: (Yes / No D{ ) Company: { t Ct 1") c T si ric ;h 0 n Contact: I 'S j is (k u t) * t I Address: Lc v,l J "a (( SI – - S `mi City: l lt0 0 J RESIDENT / OWNER CONTRACTOR '! t -- 2 ? 2. 6 9 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) g 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 r"–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 o '. 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. 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 State Building C must be completed within 180 days of permit issuance. 1 A J 7 J ) Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building Fireplace Garage Deck Lower Level WORK TYPES New Interior Improvement Addition Move Building Alteration Fire Repair Replace — Repair Retaining Wall DESCRIPTION Valuation 30W.1 ow Plan Review (25 %_ 100% V Census Code # of Units # of Buildings Type of Construction 4 - 3y REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies TOTAL DO NOT WRITE BELOW THIS LINE Porch (3- Season) Porch (4- Season) ^ Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows Egress Window arlc 20177 PD , Building Inspector MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers /73/ �S� S Hof 12-°5 .- C Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air /Gas Tests Siding: _Stucco Lath _Stone Lath _ Windows Retaining Wall: ! Footings _ Backfill Radon Control Erosion Control Final Brick Final Page 2 of 3 i WATER SERVICE PERMIT 379 1�',hob Rood PERMIT NO.• 411'2 Li 58122 DATE: 5/G/82 Zoning: i*TV No. of Units: duplex Owner: ,inc 'ph M Miller Const Address: , sit Address: 4585 Horizon .(itc L15 B1 CM. 4 th_... Plumber: Mc( ire Mechanjcal Meter No.: Connection Charge: 420.40 pd Size: Account Deposit: ' Reader No.: t * Permit_ Fee: 10.5Q 1 agree to comply wkfi the Clt .of Eagon Surcharge: . Ordinances. Misc. Charges: 60.00 pd meter /�J Total: B _ e 4 , Dote Paid: Dote of Insp.: ` /jf'd-04- Insp.: CITY 0 EAGAN SEWER SERVICE PERMIT s .liifot -` Knob d PERMIT NO.: 115 Eagan, MN 55122 DATE: _ - ' 6 82 Zoning: RI L� La No. - o. of Units: Owner: - TOSoph t EVV leg Gib Address: �, Site Address: 458.5 Circle L15 81 � • Plumber: McCuire `14'ec�hanical , 5 ?,/82 29891 y O , 00 pd 1 ogree to comply with the C , ge Connection a org An pd Ordinances. . i u 1,1 i posit: • Perm Fee: 1 R. 00 pd Surcharge: 1 _ 0 pd By Misc. Charges: Dat a !1' Total: I nsp.: -3 / "5f;� Dote Paid: City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651).675-5694 RECEIVED APR fo Use BLUE or BLACK Ink For Office Use Permit #: lk Permit Fee: Date Received: Staff: 2014 RESIDENTIAL P MBING PERMIT APPLICATION Date: 3r �; , �* Site Add ess:rd�� U" V \J 3' ,)3 Tenant: ► . Suite #: 1 lww-z\AA Address +City / Zip: 15 Milbert Company Inc d Name: Phone: 1- . 'Sj(vo C& Culfign vatgense WC643176 Address: 1801 50th Street East City. Inver Grove Hgts. State: MN Zip: 55077 Phone: 651-451-2241 Contact: William :R_Milbert Email: New _ Replacement _ Repair Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / PVB) Septic System New Rebuild _ Modify Space Work in R.O.W. Abandonment Water Softener Add Plumbing Fixtures (_ Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) "Water Turnaround (add $200.00 if a 5/8" meter is required) $115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ 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.00pherstateonecall.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. / Applicant's` Printed Name x Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA173964 Date Issued:12/15/2021 Permit Category:ePermit Site Address: 4585 Horizon Cir Lot:15 Block: 01 Addition: Ches Mar East 4th PID:10-17153-01-150 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - James E Towns 4585 Horizon Cir Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (641) 264-4088 Applicant/Permitee: Signature Issued By: Signature