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�� Account Deposit
Reeder No. 1 !permit Fee jt _Ofk 11(1 t ewe Ne*. r ter carol k .e : .50 pct hike. ch arges: 60.00 pd meter
l Toted :
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Date of 1 1 insp
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Ptit deo itscsji
SEWER =via T
Eagan, Mk $11122 zoning- - II j DATE: ' 7 /r�,/ e
Conn• :�rri.n ! Thop No of Units: { 1 ni ; r 4 p1
" on J1oin s 1
Site Address 4(F9 ??f di 11;f Dr L2_85 f Cr. RI T
Phinber. CAT z Ryan
12/11/79 17019
twee tr City y with the y al Sven Connection 100.00 d
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Account Deposit:
Permit Fee: 10 _no p 1 ‘,) BY �� / Surcharge: .50 Pd Date ` r Mix
f ; Total:
insp.- Dote Paid:
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� For Of�ice Use �
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� � � Permif Fee: ! � �
3830 Pilot Knob Road � �
Eagan AAN 55122 j Date Received: j
Phone:(651)675-5675 I : I
Fax:{651)675-5694 I Staff: t
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2014 RESlDENT�AL BUILDING PERMIT APPLfiCAT10N
o�t�: ��I�°-j`� s�ada�: �-1��d`�- �-I� 7 3 �'��c- G/�`l%/�.�i� un�t�:
Name: U�!T"./?i?'�2'' ���- !r�t�.-}h�r e.w �Phone: '
ReSiderttl
C�Wi��f Address/City/Zip: ��2''���'` /��
ApPii�ant is: Owner ✓'l. Gontractar
Type of Wark
Description of work: ��v�'�' p�� �{ {�c� --�Qvrr�'��
Construction Cost: ��'i��P � Muiti-Family Building`(Yes�/No�
�
�ompany:/V `UYZtJ��T� G cy�'J�i�v4-C.��`1�/5 '� Gontact � �"� �G�1'i'd�'
. Address:(���� ��f�J�i` �7�'.�'1- ��'Y}"t /�d City:��'�'�' V�!.7//�_
Caretractor ,� '
.
State: � .-,-�� I ���,���_��rl ,
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�Zp:�� Phane: ' Emaii:,�i„��g7�IJV"t,�,��,5"T�Gd��✓����v -
Licsnse#: �C �.�� � 7,3 ��'�r�
t.�aa cert+flcate#:rV�--r-..-r�!�C t�3 -1
If fhe project is exempt from lead certification,piease explain why: (see Page 3 for additional information)
CUMPLETE THfS AREA ONLY 1F CONSTRUCTING A NEW BUILDtNG
In the last 12 mont , the C!ty of Eagan iss�cf a pemrit for a similar pFan ba�ed on a master pkan?
_Yes _No If yes,date and add f master plan:
Licensed Plumbec: _ Phone:
Mechanlca!Cantractar: ,
Sewer 8 Water Cont r: Phone:
NOFE; s�n�'�rr�pa�#in�r;d+�uments that yo�r s�brn�t are cr�r�sidered to be pub�ic inform�tic�� Port�or�s of
` frnF�rmatic�r�+na�r�e;�la�s�ed as�►on-pt�bfic if yc�r�provide spe���t�ea�gns t�iat w�}uicf�e�nr�t#�+e���o;
' canct'ude tttaf#� :ar�e#r�de secretsr.
CALL BEFORE YOU Dl�. Cat1 Gopher State Qns Call at(651)45�i-0002 for proteccxiion agair�t undergrourMi utit�y damage. Gait 48 haurs
before you ihtend to dig to receive tocates of underground utilities. wv�w:aanherstateonscafit.o�a
t hereby acknowledge that this ir�formation is c�mplete ar�accurate;{hai the Nrork wilf be'rn c�nformance Hnth the ordfnar�s and codes of the Gty of
Eagan;{Fiat I'unde�stand this is not a-Pe�►�, but only an application for a pe(mit,and wnofk is not#o start without a permi#;tMat the work wil#be in
accordance with the approved ptan in th�case of work yuhich requues a neview and approvat of ptar�s.
Extertor vrork autt�ctrized by a building psr�it issued'in accordance with the Mlnnesota$tate itding Gate m�t be compieted within 180
days of parmtt iasuancs. �,
���,�
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ApplicanYs Printed:Name- nt's Signature
Page 1 of 3
�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA176144
Date Issued:05/03/2022
Permit Category:ePermit
Site Address: 4669 Ridge Cliffe Dr
Lot:2 Block: 05 Addition: Johnny Cake Ridge 2nd
PID:10-39801-05-020
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 -
Glenn R & Nancy Solberg
5780 131st St W
Saint Paul MN 55124--520
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature