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4661 Ridge Cliffe Dr :,-+ :rift* snip, &f.E.t; R.ifl r1i ff IA It, -s C. R ' `+ IT • z Meier Nip .. .: 4 , t No . Permit Fie : 9. 50 i d i s im pfr wain Ire Cal, of Saes* Surchorpe. .5 F 1. Misc. Chin. 6f On pd re, tQr /' Total: Y f ( , �"e" + ft ' Dote Paid: ': Oats of Insp.: Irnp.. -- 14GAN R1 E P IT i , Rout PEi MIT ND.: ' , , Mtf. 5 12 DATE: t. f'""/' Zo+iero ro _ No. of Units 1 U <rtt j- - -.1ex : IVd�sa . 466 ridge Cliffe Dr. L B6 .3 C Firl;, - e II f� ,lRddeass:' Pi 1, , r j'ari /fit "17023 1c0 pe: - ! epee to esseply Cdr -tbr Iltr of R Connection- C ¢rpe: 5 . r,d . Ac sous Dept: Permit Fee: 10.00 n c': Surcharge: . 50 rid $ , f'i�l / total: Charge= Date of 1 � 'to #crl: Insp.: 'f Dote Poid: �r � r,� �,j �,/ _.�: l�aJ �, L(2��� f �r(� I, I ��;� -- Use BLUE or BLACK�c r ---------------. 1 For E�iice I1se i i � � Permit#: �J� � �t of �� �Il �� � � � � � � Permit Fee: < ,��� I 3830 Piiot Knob Road ! ► Eagan MN 55122 � Date Received: � Phane:{651)675-5675 � } Fax:{651)675-5694 � Staff: I 1 l . � . � . . . . � . � . � � � � ��.��....... - �.�� ����J 2014 RESIDENTIAL BUILDING PERMiT APPtiGATION �t�� �..�- '"I,�"�� Site Address� L-1�5d�'-"t�/�g 3 r��5G lil��1���� u„�t:#, � Name: ����'1✓��-t' t'—�'��. �r::„�hs�r L: .�fi�� Phane: � f�eslden#t OWCt�c Address/Ci#y/2ip:��r�}'"�' /��,�,� � APPlicant is: Owmer � Contractor �v� � �- � "�' Type o�Work Descriptian of work: � G�l� � � ��'�' , � ; Construction Cost: ��'c��p Mufti-Famiiy Buiiding: (Yes � !No� Company:tVf?YZt��°.5� C� c�v7%s�r�C,��17�'S '� C no tact t/r� /�G�7���% CCirit1'3�f�1' Address:Q�(j�2 Z✓$Y1�✓/ �js� Lr!�}n°Z �d City:j�r'�'�- ��l'ti'"� � � '�_ G'�`���-��`'�" 1` � State: Z : �� � PhonB: Email:t �rn�d9 Jd'L�GS`7���d yl�i��u t�v — Lfcense#:�� I.�� Ll 7� �n v_c:�t--• , �eaa Certificate#:M,a-t�,..r>/i 1 r�3 -°1 If the project is exempt from lead certi€ication, please explain why: (see Page 3 for additional information} COMPLETE THiS AREA t3NLY IF CONSTRUCTING A NEW BUtLDING !n the fast 12 mant , t1�City of Eagan issusd a permit#or a similar pian based urt a master pla�? ' Yes �No If yes,date and addr f master plan: Licensed Plurnber: Phone: Mechan'rcal Contractor: , Sewer�Water Cont r: Phone. 1114FE. s=ar�d.�uppartin,g dc�cumertt,s fl�a#you st�btnit are consid'er�d#t�L�e publ`r�in�,r��a�n: Pz�r�ort�of ' ��fot�natia+�rnay�e�/ass�ed as nan�pt�blic if yau provide�pec�c n�asotrs#hat wc�crfd�e�mlt#�e C�,y?ta ' " '� � : � ' �� � c�n�Iude#ha#the`� ar�e�eade secref� '� � � � � ` CALL BEFORE YOU DIG. Calt Gopher 3tate One Call at(6S1}q54-0002 for proiection against underground uGlity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.QOOherstateor�ecail.ora I hereby acknowiedge that this iMormat�on is complete and accurate;thai the v�rork wili be in c�nfamanc�e writh the ordinar�and codes of the Giry o# Eagan,fha#1 understand this is not a permit,buf only an application for a peanit,and wr�rk is not to start without a penni#; that the wo�lc will be in accordance wikh the appmved ptan in the case of v+rork which requires a review and approwat of plans. E�cter�or v�ork autharized by a buildl�permit iss�d in accordance with the Minn�ota State ilding Gafe mt�!1�complet,ed within 180 daya af parmit issuance. �,c � x i/' I'�t G " '' x .. ' :. - ApplicanYs Rrinted Name a+tt's Signatare Page 1 of 3 �,� �/ �- �./ �j �,,/ �,/� ; _ 1�� �t C�°� l� [ �� � l fo�.� Use BLU�or$LAGK I�c � For Qf#tce U�se-------- i � � i Permif#: �,J� � C�t� af���a� �o ; u� � � � Permik Fee. � 3830 Ritot Knob Road '; Eagan MN 55122 � Date Rec:eiv$d: � Phone:(651)675-56Z5 i i Fax:{651)675-5694 I Staff: I t t � � � � . . . � . . � . . � : .. � .t���..��� .�� �.�.��1 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �°'��`!� L-��� �'�f---���� r r��.rG ���j��/'•\ � Site Addn�s• tlnit#• � p { � tVame: tJC?fT-1�i�Lf' ��� tr�t�.�ll�it..:.. � Ptrona � ResrdenU ; �'?Wil�t' Address l Ci#y 1 Zip:�7�✓�°' �� APPficant is: Owner �l�, Gontractor �� Type vf Wc�rk Description af work: ��'� ,�?�� � �� -'R'�� Construction Cost: ��'f l�P � Mufti-�amity 8uiiding:(Yes�/No� Company:LVCJYZtJ�5� C�c'�v'1�y'v9��?�t�/'S '� Contact� r r-vt /�G�t1a�' Address:�t'��� Z'�'�c��'��� L.�j��t /�d City:���'�2- ��I�I.A'�. C�ntra�tc�r � " , �J2--��_fj� State:�Zip; ��,, Phone: ' Emai1:t�►rn��9t3Yt,�5'T��c�Yl`l'�i/���r�v — �YJ v_C:t7 r�a I.icenss#:13� I.�`� � 73 I.�d Cgrt+�cate#:1V�.t-',...�=»Jla 3 �-1 !f the pro}ect is exempt from lead certifcafion, please expfain why: (see Page 3 for additionat information) CflMPLETE THlS AREA ONtY tF CONSTRUCTING A NEW BUILDING !n the last 12 mon# , t#�Glty of Eagan issued a pertnit for a simifar plan based cn a mas#er ptan7 ' _Yes _No 7f yes, date and addr f master ptan: Ucensed Plumber: Phone: AAecl�anical Contractor: Sewer�Water Gont r: Phone: 1�ft7T�'. s'a�al!sr�p�orting documents tltat,�au submit are consFdered tt��e pubtic in�'�rm�ti�rn. Por#iarrs bf rnfor�atioR�rta�r�e�la�s�if"�ed as non=pt�bli�;jf yo�provide�p�i�"fc reast�ns#h��rt�rld�ermit##�te C�y tc� c��clude#lrat�re ar�e d�rde�rets CALL BEFORE Y�U DiG. Cail t;opher Sfate One Call at(6,51)454-0002 forpratection agair�st underground uUlit�r damage. Cait 48 hours befiofe you intend to dig to receive toqte.s of underground utitities. v�u;r.aanherstateonecaiLorg 1 hereby acknowledge thet this iMo►mation is c�mpfete and accurate;that the Hrork wiit be im m�famance wiih U�e ordinances arid codes of the Gity of Eagan;fhat i understar�d this is nof a permi#,buf only an application for a permit,and vvark is not to start without a pertn►t;'that ihe uvork wiil be in - acxordance wath�e aPproved ptan in the case oi vwrtc which requfres a feview and aPRravat ofplans. Exteriw wark autharized by a buiiding permit issued in accordance with the Minnesota Sta#e iiding Code must be ccmpieted within 180 days of p�rmit issuance. �sf� X i/ ' �` �G � f'-j� X ' .r ' �! APplicanYs Printed Name arlt's Sigrtature ; Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA152505 Date Issued:10/18/2018 Permit Category:ePermit Site Address: 4661 Ridge Cliffe Dr Lot:4 Block: 06 Addition: Johnny Cake Ridge 2nd PID:10-39801-06-040 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Lu Ann Aasen 4661 Ridge Cliffe Dr Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature