4683 Ridge Cliffe Drload
N 55132 DATE:. /25/8
'(1. I No. of Volts: ' s it .#- p-
OrriTl Thompson Ko Les
1:34-4)P RAGAN
Pilot Km& Read
.� AN 55122
cam:
Address:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE: / _5/
No. of Units:
'Yin 71,1or ;can i or es
Site /kldress:
tMu'rtber:
-('i."
12./11/7q
1 unit 4--p1ex;..
t t, comply with .tie Oty of Raga Connection Charge: 42 .5 •f -' ()-
pidississceiS. Account Deposit:
Permit Fee: s 10 ._a De.
By
Dotir
It
Surcharge: . ;:d
Misc. Charges:'
Total -
Date Paid:
L
i
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2(J17.
r
Use BLUE or BLACK ink
For Office Use
Permit #:
Permit Fee:
Mu'
Date Received: ID_
Staff:
2012 MECHANICAL PERMIT APPLICATION
Date: 11/27/12 Site Address: 4683 Ridge Cliff Dr
Tenant: Troy MacDonald Suite #:
RESIDENT / OWNER
Name: Ken Kane Phone: 651-707-6884
Address/CitylZip: 2163 Warrick Ct, Eagan, MN 55122
;CONTRACTOR,. `.
Name: K&S Heating, Air Conditioning & Plumbing LLC License #: 0153
Address: 4205 Hwy 14 W City: Rochester
State: MN Zip: 55901 Phone: (507) 282-4328
Contact: Heidi J Brown Email: hbrown@ksheating.com
TYPE OF WORK :::
New XX Replacement Additional Alteration Demolition
Description of work:
NOTE; Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT:TYPE
RESIDENTIAL
XX Furnace
COMMERCIAL
New Construction Interior Improvement
XX A1r Conditioner
— _
Install Piping Processed
Air Exchanger
_ _
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank L.,_ Install / _ Remove)
Other
_
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $5.00 State
burned out appliances, ductwork, etc.) (Includes
Surcharge)
$5.00 State Surcharge) = $ 6 0 . 0 0 TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank installation/removal
$60.00 {Minimum (includes
(includes $5.00 State Surcharge)
State Surcharge)
$10,010, surcharge Is $ 5.00
surcharge Increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
OR Contract Value $ x 1%
= $ Permit Fee
- lithe Permit Fee Is less than
= $ Surcharge
- If the Permit FAQ is > $10,010,
Fee
= $ TOTAL FEE
(Le. a $10,010-$11,010 Permit
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.nopherstateonecalLorq
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.
Rick Keehn
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Underground -
eviewed By:.
Date:
Rough In Air Test Gas Service Test In -floor Heat Final HVAC Screening
L-10 1. Li tp50
'*
CityofEaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
12-37w
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - / -/ `i Site Address: `sa 171)1":44 �sgi 3 •' ��L Glr OA- Unit #:
Name: lire /4441/7 CMS 72; eco/? rmi L_111°Phone:
Address / City / Zip:j-"�
Applicant is: Owner Contractor
Resident/:
Owner
Type of Work'
Contractor
Description of work: f l
Construction Cost 1('i 108
Multi -Family Building: (Yes x / No )
Company: f 1%O) %) 5 7 G 0YJ f VI C-"TI?f5 Contact r
Address:F16 l Z tiJZ! ? 4-4,10-e A City: ! 9216
State: ,Z-?l/Zip: 553`I Phone: Gj 8”—g' Em ail:tmet.j?.:9Y 57-Gc14`
License#:6' C fl) 1zi 73 Lead Certificate #: /t/,.r —1%/! I/o 3 -/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
in the last 12 mon the City of Eagan issued a permit for a similar pian based on a master plan?
Yes _No If yes, date and add •f master plan:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Con
r c •
• Phone:
TE: and sng documents that you submit are considered to be public inf. rr> tion PP rtIo
tnfc r -on >rray be classi#ied as non-public if you provide specific reasons thatwt aid crrrit tlhe Chty i
conclude that the are trade secrets
CALL BEFORE YOU DIG. Cali Gopher State One Cal 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.aopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State uilding Code must be completed within 180
o
days of permit issuance.
C
x / 1? 1111G
Applicant's Printed Name
Cityof Eaian S
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office use
Permit #: 2-37 tP
Permit Fee:
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 - l 0 `j `� site Address: ill )--'q 3 -'l� �/. �' at Unit*:
i
Name: L/C2 /41,1✓? 41 c.ilier, -72-2 ie dlr9�'i'— H- Phone:
Address / City / Zip: tet /4"'7X-'
Applicant is: Owner =/\. Contractor
Resident/
Owner
Type of Work
Contractor
Description of work:
Construction Cost I6,1 OP
iL-tZva s
Multi -Family Building: (Yes X, / No )
Company:i1%t�?.t
Y) f,57 G opi rYr* cJrv5 Contact: t.1 t /!�/ 1,494?Address$ 6 q Z/&)i-et I-, J -'fl A'' City: / v
G .1
State: /244/Zip: ,55 3 `) Phone: 6-€99,-(1- 1'ZEmail: Jim &,1 ese' i t.1G5'TC. c))4 riATefror
License* L 1561 L 73 Lead Certificate* /V, �= p> r l o
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 mon - the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and add •f master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Con r , r:
o►rnai
Phone:
Phone:
and supporting documents that you submit are considered to be public information P rtions of
ron may be classified as non-public if your provide speck reasons that woui
conclude that they are trade secrets.
tit
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cal 48 hours
before you intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
1 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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State ilding Code must be completed within 180
days
of permit issuance.
xtf 1�17
Applicant's Printed Name
ant's Signature
Page 1 of 3