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Permit#: /� �(-7 Permit Fee: I 0 • Epi'.
E AGA N
t i
RECIE, Date Re ivied; —7-7 t 6
3830 PILOT KNOB ROAD(EAGAN,MN 55122-1810 �
(651)675-5675 TDD:(651)454-8535 I FAX:(651)675-5694 JUL 2�1 �Staff: %aid I
buildinginsoections@citvofeagan com t
J
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "1/I C6 1 ! t Site Address: LF(D a$ Kt . c C I i ffl7 r Unit#:
Name: Phone:
ReSidentl �+
Owner Address!City/Zip: 1•C of g I i dQ a lei i f f,U r
1/2_............
,JJ
Applicant is Owner X Contractor
Type of Work Description of work: Re-Yi1DV a -lcl replace -Frorifeitep5 � �
Construction Cost: 5 e . Multr Family Building:(Yes /No )
-M Co nc rete-<# LVccterp rc i .,� �..
Company: gContact:Mar k Sch raeciea^
Contractor Address: L a5 3 5 I)O cict 3 I v4 City: goS E m U tont
SI
State:M N Zip:5S 0 t'c$ Phone:3 alci-'i l 41 Email: . cc.nc[rl1 C.a.rcI w @ cA.Q 1 . ,m
License#:) •e CI A.-I+ Cort+ Lead Certificate#:j ' .X. 1/363 ' —y 2) - 00 c'eo /
If the project is exempt from lead certification,please explain why:
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:
j Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public informator Portions of the information may be
classified as non ublic if u c reasons that would 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.citvofeaaao.00m/subsoribe.
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 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.cooherstateomecall.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.
x 10 cc n ry1 Soh rae.At=r 0441, :6?..p_A410.4iike.,it_ .
Applicant's Printed Name Appli ant's Signature
DO NOT WRITE BELOW THIS LINE �(p� ' I CODE Ci'( rt-E D/ _ / -6)7g-� i
SUB TYPE-3
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
_je
Valuation 2 000 Occupancy MCES System
Plan Reviewo Code Edition . ./ SAC Units
WIN f
(25% 100/o ) Zoning $ City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Vil7 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 /1U, Other:
Reviewed By: , Building Inspector
ector
RESIDENTIAL FEES
Base Fee
Surcharge Ipt,a,
Plan Review `
(114t3
MCES SAC ,
City SAC 7CA6} 'D
UtilityConnection tion Charge 0
S&W Permit&Surcharge 9it
0 IP.
Treatment Plant
Copies
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA163288
Date Issued:08/26/2020
Permit Category:ePermit
Site Address: 4628 Ridge Cliffe Dr
Lot:4 Block: 08 Addition: Johnny Cake Ridge 4th
PID:10-39803-08-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
James A Davis
4628 Ridge Cliffe Dr
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature