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.
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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