Loading...
4675 Alta Pt CITY' OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: - Owner: — Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: — Ordinance Misc. Charges: - Total: g Date Paid: Date of I nsp.: / 0 - C 0 - Insp.: SEWER SERVICE PERMIT CITY" OF EAGAN PERMIT NO.: 3795 Pilot Knob Road E: Eagan, MN 55122 DATE: Units: Zoning: _— _ __ Owner: — -- — _ -- - - --- — Address: Site Address: - -- _ Plumber: I agree to comply with the City of Eagan Connection Charge: _ -- — — Account Deposit: Ordinances. Permit Fee: Surcharge: —. - - -- Misc. Charges: ---- --- -�— By — _— _— __ —, -_ __ Total: Date of Insp.: — ___ Date Paid: Insp.: • Use BLUE or BLACK Ink r For Office Use I City of EaEd Permit I Pe rmit Fee: 50 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: CW2 2013 RESIDENTIAL BUILDING PERMIT APPLICATIOq I - N N I 10 Date: 3 Site Address: !Y4 71 , ~ 7 ~ L?'7~ P4', ? ` Unit : Name; Phone: Resident! ' f g fi S ~L-K-L4e- ar~ tti k-C S~-~ -`S'O /Zip: Owner Address / City F Applicant is: Owner _ Contractor s f Type of Work ' Description of work:/ Construction Cost: ~S pv b Multi-Family Building: (Yes / No Company: A2-oil A&We- Contact: A ft4A'199'snil /X•rf ~ Contractor Address: 05- e_ ri~~ City: State: Zip: T-SE 337 Phone: License ,2o 3 fG G 6 / 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: I Sewer & Water Contractor: Phone: "a,_ . _ m,. _ _..w _..e... , w _ . - 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 d 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.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. x Q!~eA441~ App ant's Printed [lame App tcant's Si ature Page 1 of 3 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:Mechanical Permit Number:EA142763 Date Issued:05/17/2017 Permit Category:ePermit Site Address: 4675 Alta Pt Lot:3 Block: 05 Addition: Ridgecliffe 3rd PID:10-63982-05-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Sarah Labbe 4675 Alta Pt Eagan MN 55122 (651) 485-8268 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature