4631 Ridge Cliffe Dr CITY OF EAGAN " - - _
3830 toad WATER SERVICE P ERMIT
P. O: Bo, 2`t199 PERMIT NO.: 7965
Eagan, N 55121 DATE:. " ; 9_24_86
Zo No. of Units:- 4 —Pik
Owner: GCS Value . <m
Address: f j ilk G /if 'e. D I'
Site Address: 43i 4
Plumber: NiCkcattlatt -Pluto- -hint "
Meter No Connection Charge: SAG 4
i
Size: Account Deposit: 15. OO
i �
Reader No.. Permit Fee•1G,
1 agree to comply with the City of Eagan Surcharge: .500 -
Ordinances. Misc.: Charges. . 156.0
T otal: ELI ��n__. a.�..: -
By Date =Paid:
4 Date of Insp.: 9e. a'7 insp..
CITY OF EAGAN i SEWER SERVICE PERMIT I
3830 Pilot Knob Road' !' ', n
P.O B9i2i?199 -- i PERMIT NO..:
Eag 3MN 55121 i '' DATE: / ,, � i 9119 9-24-86
Zoning: ' , of Units:' - \ 4--T .+
Owner: CQC►d Vae1I, . t r\,. i
Address: , { =•yc ' \1I ,,,s. t _ A
Site Address: ' 631 Petxk*aE t z 1 `B v Ran .4th
Plumber: Nickelson, elson Plt ixxg ° `a` w
9-23-86 : 66784 t 100..00 d ...
1 erne to oomp omit the Cit of go n Co Charge: 47 C `.
Ordinances. 1 Account Deposit: IS f t
Permit ` Fee: 1 O - Ont.:
Surcharge: -- - 501
By Misc. Charges:
Dote of Insp.: Total:
lnsP• Date Paid:
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a�" r` ��� � ���
�� � � t� U � �v ___ Use BLUE or BLACK Ink
� For O�ce Use i
Ul�� U�11���� j Permit#: � ��L �� j
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3830 Pilot Knob Road � Permit Fee: v �
Eagan MN 55122 � I
Phone:(651)675-5675 � Date Received: I
Fax:(651)675-5694 I I
� Staff: �
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: Site Address:
Tenant:
Suite#:
� � . Name:�I�;�J1�� �.� � ���� Phone: ���� ���� ����
Address/City/Zip: � 4i 'j,�
:' Name: Q i'"t U Y � "�" � _License#: �l I � U �� S ?j
Address:_��C��U Q!' ` �' �'" _City:
State:�Zfp;����_ Phone; I��c�1' �-�'�7 � �1 �Z
Contact: Email: �jl(�'_'r�,�
I�C 4Y�et2c�uy'a.lr Cc�t�
_New �Replacement ,_Additional Alteration Demolition
� Description ofwork: �.� Q, � ��' �
�w,� �� e� , , �
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�����,n ��+�'�' � �P, ���,� r,
RES/DENT/AL COMMERC/AL
Fumace New Construction Interior Improvement
e; � �Air Conditioner _Install Piping _Processed
_Air Exchanger _Gas _Exterior HVAC Unit
_Heat Pump _Under/Above ground Tank (_Install/ Remove)
Other —
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) (�
$100.00 Residential New(includes$5.00 State Surcharge) _$ �V TOTAL FEE
COMMERCIAL FEES
Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00
"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005 -$ Surcharge*
***If the project valuation is over$1 million,please call for Surcharge
_$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate;that the work will be in confoimance 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.
� l��`1Y lL � _____���� �
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ApplicanYs rinted Name ApplicanYs S�gnature
�'�k
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA165641
Date Issued:11/12/2020
Permit Category:ePermit
Site Address: 4631 Ridge Cliffe Dr
Lot:1 Block: 01 Addition: Johnny Cake Ridge 4th
PID:10-39803-01-010
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Michael Lorentz
4631 Ridge Cliffe Dr
Eagan MN 55122--371
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature