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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149135
Date Issued:05/08/2018
Permit Category:ePermit
Site Address: 4616 Ridge Cliffe Dr 1/2
Lot:3 Block: 11 Addition: Johnny Cake Ridge 4th
PID:10-39803-11-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Judith Escamilla
4616 1/2 Ridge Cliffe Dr
Eagan MN 55122
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
,, t
7
` For Office Use
- ; o
Permit#: /5 7g-
; ; #ig RECIE\/Fn Permit Fee: /9-' -61
- A
JUL 1 Date Received: / / !
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff. 411,
1
I/1'
buildinoinspections*citvofeagen.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 / IS$ t IS Site Address: q(o I�o I/a-- R; . c CA.l n r
mw aw.. �u.._�.. .. ... Unit#:e _... ... ...
IName: Phone:
Resident/ 1 Owner I Address 1 City Zip: Lt toI 11 I L 1/oL gfd L_CI i f F I)r ---
4IQ
Applicant is: Owner
X Contractor
Type of WorkDescription of work: lee hi i D ve et nc rept a c-L fro lel-FG
� s--eg77
I Construction Cost: 5 al+• °2- Multi-Family Building:(Yes !No
s61r-M Concrete cl-V041- c.rprce1irt Ghr de-rrt..
Company: Contact/�Q r k.
Con actor Address�:1I 'd-G .7 DUd�. j1 ve4 City: RD cje rnb ur't±-
State:',� ` Zip:5 CJ b(p S Phone: I ail-1/ Email: OU&D I, rn
3 I �o�►-,drnc.avt�.w
i i License#� eC-IO. LDn • Lead Certificate#:f?-.4.-I/3 4 39-/3-db 5.4 /
If the project is exempt from lead certification, please explain why:
i i
I
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?
i Yes No If yes,date and address of master plan:
g.
i
Licensed Plumber: Phone:
1 Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor:
Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information Portions of the JnfOnration mailbe
classified as non Olio if u vide reasons that would f it the C to conclude that. are trade secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacran.com/subscribe.
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.
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.00aherstateonecail.orti
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 w8 be in
accordance with the approved plan in the case of work which requires a review and app val of plans.
x Saari m Schroccier )'l/1-6 1
Applicant's Printed Name Appli nt's Signature
DO NOT WRITE BELOW THIS LINE "(U/fo va. <i c_167eCti (rE. az--- /5o76
SUB TYPE
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation /2( 0Occupancy MCES System
Plan Review Code Edition r f SAC Units
t
(25% 100%14. ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Vii2 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) X Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Hood
Roof:_Ice &Water Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick^EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_ Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: Ittr , Building Inspector
ector
RESIDENTIAL FEES
Base Fee
Surcharge vt,104,
Plan Review ,04.., '
'
MCES SACS
City SAC 467ttlikil
Utilit Connection
Utility Charge
94 tf2 0
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
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