4679 Ridge Cliffe Dr . Cs *: .- '.'-, elr' . .., r'.:' t . 11"11,2.1‘13;;. . . ' ..., 4/25/80 I / 1: uni 4� -pled
'orrin . :Thom so "rtom
' 4t .Rid C-liffe Dr L2' B4 3' C Ridge ,
S�ie c ,
c4 ;-.'
nz tya
fi . . 'II pd
�.. Ace ** Decasit: 10.00 pd
f - 1 : Permit hoe' 0
.St. P� w
Mtei4, :f_ tM tit 4 e � 60.00 ter
Misr. Games:
i r /2 .6 `/� Toal:
^0, �/ Owe Pnitl:
3441AN SE DICE per'
` e.b PERMIT NO TI 2i
3 t .41 . DATE;
• No of U nits: 1 unit 4.- - r ex
1, Orrin Thompson llGes
Add:
mass:
�d ge Cliffe Dr L2 B4 ,I C Ridge II
pk in 4 ser: Gnz TiTf a
12/1 /79 17015 100.00 d
p
1 . 4 egaNeteetatedt wing Ow an of us.. com+ection Charge : Pd
thdimeaseee. Deposit:
Permit Fat: 10.00 pd
Surchairao: .50 pd
, � , ,26 -p Misc.. Corg
Date
`rl ` Total:
Irap.: Dote Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110380
Date Issued:05/08/2013
Permit Category:ePermit
Site Address: 4679 Ridge Cliffe Dr
Lot:2 Block: 04 Addition: Johnny Cake Ridge 2nd
PID:10-39801-04-020
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.
Beth Janohosky
207 150th Street W.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Hao Danh Nguyen
4679 Ridge Cliffe Dr
Eagan MN 55122
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature
�'�� I, � ��� � �l��/. ���� Use�LUE qr BLAGK It�k
� for0#�icelJse--------- 1
i j Permit#: '�����j
Clt� of �� a� .��/ ; . �j��: ;
� l.? Pemmt Fee: ~�J�-'.�
8830 PilotKnob Road � �
Eagan MN 55122 � Date Reeeived: �
Phane:{651)675-5675 I I
Fax:(65'f)675-569d ► Staff: t
I t
. . . . � . . � t����....e ������.���.�1 . .
20't4 REStDENT1AL BUiLDlNG PERMIT APPtlCATION
Date�_�°"��`�� Site Address:`�� �t J�,`-�'l� � �L G<r/'� �i'�, Unit:#:
Name: ��1°�rli��'' �'�� f J ec�/?�r�i L_ �Phone:
Res'tdentl
QWtl�i' Address/Ci#y/Zip:��"��" ��`
Applicant is: Owner �l, Contractor �
TY�e o�WO�'k. Description of work:
'��u�'►- �(��' �{ �L :�'v�//�'
Canstruction Cost ��',1 d� � Multi-Family Building:(Yes�I No_„_)
.�"�� �
Company:IVt:?Y7-r��'�7� � c�YJ f�r�-�'iT�DfS Contact� r� �G��'i'�r'
�c�ntra�tar aadress:�z-I� '`�l Z��/ �,� L,�-y» i{s ci�,:�yj��-p�- C�,�lt t,�L,r�
�
State:�Zip: ��3!� Phone:Gj���`'"�°'Emaifi:,�tm�d1.:�3Yt,�5`7�Gc��`�i����e�v —
`��?v-C:r�r�,.
' u�„��: �3� l.�`l �!73 �aa ce,�c�����:�V�.�--.,r r=>r y!a 3 —t
If#he project is exempt frorn lead eertification, please exp[ain why: {see Rage 3 for additionat infc�rmation)
GOMPLETE THIS AREA ONLY tF CONSTRUCTiNG A WEW BUILDtNG
In the tast 12 mon , the Glty o#Eagan issued a�rmit for a similar plan based orr a mas#er pt�n?
� .Yes _No If yes,date and addr f m��plan:
Licensed Plumber: Phone:
Mechanical Co�tractor:
Sewer�Water Gon r: Rhone.
..
l�T�. =and sr�p�v�'#rng docutnents tt�at�rau srrbtnit are con��dered to be pe�blic infr�rrr�fion l!?'��i�o,�s of
ei►fc�t`tr�atior��ray bs�lassi#�1 as non pe►blic if yo�prov��sp$c�c t'�sr��rs#t►�f wt�uld��i����r to
co�►cf�d��hat the ar+e��te sec�+ets
CALL BEfQRE YOU DtG. CaH Gopher Stat�One CaU at(651}454-0002 for pratectian against undergrour�ut�ity damage. CaU 48 hours
before you intend to dig to r�ive'locate,s of underground utilities. www.aopherstatecsnecafi.ora
i hereby acknowledge`3hat this infom�ation is c�m�rlete and accurate;#ha#the woric wiN be in conformance with the ordinances ar�codes of the Cit�r of
Eagan; that I understand#his is not a permit,but anty sn apptication for a permit, and wrork is not to start without a pertnet;tMat t#ae wo�#c wrtll be in
accordance wikh the apPnoved ptan in the pse ot v�Drk which requHes a review and apRroval of pfa�s.
Exterlor work aukha�zed by a building pemtlt issued in accordance with the MEnn�ota&I�te uiMfig Cale m�t be completsd within i80
days of permit,issuanee. ,� '
� � �
�, - . ,
x i/ ' J'�`I ,G X
AppticanYs Pri�ed Mame anYs Signature
Page 1 of 3
�{��°l�l. `-� (:w��( , �(��SJ. `--{(.m�� u��ezu�o�es.�►cK���
I for Office Use _ „ � �
` 12�.�2c��
` � j Permit#: �
�1�� 0� ��a�Il ; Z/`� ; ;
b � Permit Fee� ��J�-'J
3830 PiiotKnab Road � �
Eagan MN 55122 j Date Rec�ivaa: j
Phorre:(661 j 675-5675 � 1
Fax:(651)675-5694 l Sfaff: I
i I
. . . . � � . �� .. . � . ������ ���������J
:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
J � r _
c�$t�:��'l�~�� s�t�n�a�:�� � ��'LI� 3 �. �/.Y�l' ,OJ�,, u„�t#;
.
� ' � . ''�" f,�
Name: !J f�!"�l'1✓�� ��� !t�t,c�f�dlr9�'iC... � Phone:
� Residentf �
C31Nt��f Addr�ess/City/Zip;_-1��7�,/�' /�'�/1'�
AAPficant is: Owner j/\, Contractor
��'✓' f' ,� 'L �' ��
Type of Work , Description of wark: � �!� � � �O
Construction Cost I�i��0 � �Aufti-Fami{y Building: (Yes�i No )
��j� 9'
Company: t�Y?.s1�5� C_e�Y1��r�-C��OfS '� Contacx:��� /�G`�✓�y
Cantra��ar Address:O�(7� ��'�'��! �t�- L�,'�'1�'� � Gity:1���'� ��t�Ii�-
State:�Zip: ���3`� Phone:G���_�5/Emaii:��+rn���3✓'��5`7`�Gc��9�✓���vv -
�+YJG—Gr�c'"�
�.ice�#:l3C l.�`l �fi 73 i.ead ce���x�#:��.�-,�r-»rlr�3 —J
It#he pcoject is exempt from lead certi€ication, please explain why:{see Rage 3 for addifionai inforrnation)
CQMPtETE TH1S AREA 4NLY tF CONSTRUCTING A NEW 8UlLQiNG
In the last 12 man , t!�Clty of Eagan issued a permit for a similar ptan based on a master pfan?
:Yes No lf yss,date and addr f master pian:
Ltcensed Ptar�ber: Phane:
� Mechanical Contractor: '
� - --
Sewer 8�Water Con ` r: Phone:
•----
=l�OTEs s,and supportir��dacu�►n�nts t�tat ya��Nbmit ar�cvnsitlered to be pubHc ir►forcM�on P�rtit�r�s af
�nfc��»atr`�rr�ay�ctas.�et"��aF as rion public if ytrur p�+�tv�s�e spsc�c reas�ns#l�at wc�ufat�ermif#�re�lty��
conct��le�`h��tlfe ai��ra�Te se�re�s.
CALI�BEF4RE YOU DIG. CaII Gopher Stafie One Call at(651)454-0002 for protection against underground ut�ity darnage. CaA 48 haurs
beiore yflu irttend ta dig to r�eive locate.s ofi underground utilities. www:qopherstateanecalf.org
1 hereby ack�owledge that this ir►formation is canp[ete and accurate;that the rnrork r,�if be in confiamance with the ordinances and c�des vf the Ci#y of
Eagan;that I understa�d this is not a pecmif, but only arr application far a pem►it,and v�rk is rwt to start without a pertr+it;that the work witl be in'
accordance wlth the aPProved ptan in the case of wrork whic;ti requires a review and approYat ofpians.
Exterior work authorized by a bulidirtg permit issued in accardancs with the M�nn��a S1�ae iiding Cafs m�t be complet,ed witihin 180
days of parmit issuance.
C �
x �� ff�G�� X
ApplicanYs Prir�ted Mame ' ant's Sigrrature
Page 4 of 3