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4676 Stavern PtPERMS Np 3...,el,fi. . 55122 DATE: 10/1/30 RTI Orrin t, TIa ooppeon No. crf rtts 1 unit tT s e Homes Mater No.: ommeolamcbwwg 305.00 :pa Size: Account Deposit: Reader No.: Permit Fee: 10.00 174 I"l r l.$, eft Hirt Chi ei Surcharge: .50 pd Misc. Charges: 60.00 pd mete Total: f Orate Paid: of Imp.: �s�-- (rnp.: i7!!E...Met Kph 1i wry MN 55122 ,Zoning: 7,1 TT. Owner: Address: site Address: 4(7A 'Sta'vern Point Plumber. /^/,o 20358 1 with the CAy of Nesse PERMIT O.: DATE: No. of Units: I UT:? t1-1 NOmes By LAS 5 F:id�;ecl.zffe III 1 connection Charge Account Deposit: Permit Fee: 10 11 „z Surcharge: Misc. Charges.: Dat insp.:Tatet: Date Paid: �. City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use ] Permit #: 1 144% / k �51�' Permit Fee: 4-1'5. 5° Date Received: 1 /'t 113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 16° Dater 2 /' 3 Site Address: 4%47/j , ¥G7f , `fes- nitro P ,i r- nit #: S > Name: RlO6e.,Lli e ' S't-1 tS UG . Phone: / 4/957.5- 61 -14.14e -e, CG,, 5-irfe cCo Girl' a yr Type of Work Address / City / Zip: Applicant is: Owner )( Contractor Description of work: 170 Te - rd ® f Construction Cost: $* -Swb Multi -Family Building: (Yes / No ) Company: Address: 420'1 Home- ,/e -d ekOtrContact: j/ c 15C44,6tti o$ ae9ee--g (G•�c-'r-. City: e State: f l Zip: r-5-337 Phone: License #:?'c 33 d G G 67 Lead Certificate #: 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 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting docunr the information may be classified a you s -public if onclude that the are considered to be ;t lic information. Por ovlde specific reasons tha yould: mit. h tra+ as CALL BEFORE YOU DIG. Call Gopher State One Call 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.org 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 Building Code must be completed within 180 days of permit issuance. Appek4V-'1 Printed Da me .41"' SaralliW App icant's Si nature Page 1 of 3 41,1/* City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 71 Site Address: 4/7/ ytO5 46774,7, 6 % L, v67 L. 5-kVevu Unit #: Resident/ Owner Name: g(g6 e -G L 1 // flidePhone: Address / City / Zip: E...4.'.0-1 Applicant is: Owner Contractor Type of Work Description of work: 5/?,//71/43 Construction Cost: 0 3 d 0Multi-Family Building: (Yes " / No ) Company: 4/4/20n t7 he- ./I?/r Contact: 0;', &-illc4J1'Y 6 - Address: / 3Z 0S S5c�ekk City: ` "9614-4'///: Jv State: /41 Zip: rj> ,3,3 1 Phone: 6/I) — la - 716 7 License #:o2 O 3 fo C.7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call 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.gopherstateonecall.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 Building Code must be completed within 180 days of permit issuance. fit e4e -Di,k Applicant's Printed Name x Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA174236 Date Issued:01/11/2022 Permit Category:ePermit Site Address: 4676 Stavern Pt Lot:4 Block: 05 Addition: Ridgecliffe 3rd PID:10-63982-05-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$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 - James J Chaffee 4676 Stavern Pt Saint Paul MN 55122--263 (651) 276-2661 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature