1842 Cliff Lake Ct Oct 07 2014 0824AM HP Fax page 7
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C�t O j Permit# I� ��� �
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3830 Pllot Knob Road
Ea an MN 55122 �
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PhonQ:(651)675-5675 �
Fex:(651) 675-5694 Staff: I
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2014 RESIDENTI14L BUILDING PERMIT APP�ICATION
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Date: �"��� a Site Address; �� ��' i �� f��'l 1,�Yv � � ��� �
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Name: ��.��='��", ��/=. ,�r'�:� �`;, L,, �„-
Phone:
ResidenU
Owner Address I City I Zip:_' �h?yr�v-
Applicant is: Owner �f Contraclor
Type of Wcrk Description of work � ��• ��...- �� � • �' •�"�a.
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Construction Cost: �7 �Z��Y . � Mulii-Family Building: (Yes G°�No�
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Company• ��. . ,.' f =:���✓�+ r ``'�1'� , , Contact: �r'.��`9'`�-,t.''�.-�--�--..
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Contractor Address:���':.� '1.7;��l3��•.=e'; Fr��'" �'����>�:i�' � City: ��''��%��`c.-�.���
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State!°`�`�°�'� Zip: �°`5�`�,� Phone: � ���' '?,��� ���Email.���c,c;',_.��r.��*er'���^'si�C�'.��:��•�.�r•+.
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License fiE: ,a�%~1��'� �'�,.� Lead Certificate#: .��''���"°�w%°"?.�� " �
If the project is exempt from lead certificatlon, 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 Eegan Issued a permit for a aimila�plan based on a master plan?
_Yes _No If yes: da4e and address of master plan:
Licensed Plumber: Phone:
Meehanlcal Contractor: Phone:
� Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you subm/t a�e considered to be pu6llc Information. Port�ons of
the Informatlon may be c/assffied as non public if you provlde specitic raasar►s that wouid permit fhe Clty to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at 651)454-0002 for protection against underground utility damage. Cali 48 hours
before you intend to dig to receive iocates of underground utilities. www. o herstateonecall or
I hereby acknowledge that this information is complete and accuraie;that the wo�c 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 perrtiit, and woric is not to slart 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.
Exterlor ��hortzed by a bullding permlt issued in accordance wlth ihe Minnesota State Bullding Code must e completed wlihln 180
da pe�m�t+7ssuance. -�•---�:,�,:....: �,
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Appllcant's Printed Neme ApplicanYs Slgneture j
Page t ot 3
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I peRnit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 RECEIVED � Data Received: ' ��-�� j
Phone;(651)675-5675 � 1
Fex:(651)6T5-5694 ��V .� Z 20,�� i Sun. �
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2015 RESIDENTIAL BUILDING PERMIT APP�ICAT�QN
Dete: 1 Z l��Slte Address: �g��� G�rf'�T' �./� l'' �w, _",Unit#:
Name: , �n,Q�i N (� Phone: �DSr��r�8`.� 'Gj�?1L'2
Regidentl
owner Addre9s/Clty/2ip: igya C'�.� L�►!Ce �T �a,c��.�,.' ,,�'`�"1'a-a
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Applicent is: Owner ,�Cont�acto� �
Type Of WOI'k D�sariptionafwork:�P►D j�ts '�[tE�tS Jtn�'�„_Ln,��.f/ d�,,,� �/lX3�i,5fr.w�'�✓�
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Construction Cost: f' � Multi-Family Buildiny;(Yes I No��
.�dPGs.��" L0.�AS �� [� / •
Company /.� rf�..�*,,��L�Contact: ��I`��
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Contractor Address:1y�19d �/l�AY4eJ�u{C�. City: ��r UG1l���
State:�Zip: ��l Phone:��'�9h31�O1'�F_mail; ���� _�4r/St s�dNer.!�,�1.J
Llcen9e#: ��0 y�7 �ead CeRificate�t: rf T - a ��g?^ o�
If the project is exernpt from lead certiflcatlon, please explain why;
COMPLETE TWIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the lest 12 months,has the Clty of Eagan issued a permit tor a slmllar pian based on a maste�plan?
Yes No If yas,dete�nd eddress of master plan:
Uoettead Plumber: Phone:
Mechanlcel Contraetar: Phonc:
Sowcr&Water Contractor: Phone:
Fi�o Supprem�lon Contractor: Phone:
N01'E:Plans and sapport/ng documents thet you submit ere constdered to be publlc fnformallon. Porttons of
the informet/on mey be clesslfjed as non•pub/ic!f you provtde speclflc rosaons thet wou/d perm/t tho City to
conclude that the are trade seerets.
CAL BEFORE YOU DIG. Call Oophar Stete One Ce11 al(851)a50-0002 for protection agai�st underground ullllty damage. Call 48 hou�s
before you Intend to dig fo racelve Iocetes ot underground utlllties. wwwgqaherstateonecall.or9
I haroby acknowledpe thel thle In�ormBUon 18 Complele and aCcufate;th9t lhe work will bo In confo�manCo with lhe ordinances and codes of the City Of
Eapan; lhel I unde�Stand this is not e pemllt, but only an application for e pemllt, and work Is noR 10 stert wilhout a permlt; that tha work wiil ba in
accordance wilh the approvod plan in the case of worlc whlcn roqulres a review end approval of plans.
Extarlor work autborl:•d by a bqllding pennit lasusd In aeeordanee wlth the Mlnneeota Sfake 9ullding Cods must b•eomplatad wllhln 180
days of pe�mit lasuento.
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SUB TYPES
Foundation _ Flreplace _ Porch(3•Season) _ Exterlor Alteratlon(Single Family)
�Single Famlly _ Garage _ Porah(4-Season) _ Exterlor Alteratlon(Multl)
_ Multi _ Oeck _ Po�ch(Scrss�lGazebo/Pe�gola) _ Mlscellaneous
� 01 of_Plex _ Lower Level _ Pool _ Accessory Bullding
WORK TYPES
_ New _ Interlor Imp�oveme�t _ Sldl�g � Demollsh Buliding"
Addltlo� Move Bulidlne Reroot Demollsh Interlor
�Aiteretlon _ Flro Rapalr _ Wi�dowa _ Domollsh Foundatlon
` Replace _ Repalr _ Egress Wlnaow _ Weter�amege
_ Retellling Well •Damolitlon of ontlro buliding-glve PCA handout to epplicent
DESCRIPTION
Valuation �� Occupancy � MCES System
Plan Review Code Edition '' SAC Unita
(2S%_100%„�) Zoning ������ Clty Water
Census Code Storles Boaater Pump
#of Unita Squore Feet PRV
�of Bulldings Lenglh Flre Suppresslon Requlred
Type of Const�uctlon � Wldth
REqUIRED INSPECTIQNS
Footings(New Bullding) Meter Slze:
Footings(Deck) Final/C.O.Requlred
Footings(Addltion) � Flnal/No C.O.Requlred
Foundatlo� HVAC_Gas Service Test Gas line Air Test
Roof; _Ice 8 Weter _Final Pool:+Footings Air/Gas Tests _Final
Framing D�al�Tile
Flreplace:_Rough In Air 7est _Final Siding: ,,,,,,__Stucco Leth _Stone Lath _Brick
� Insulation Windows
Sheathing Retelning Wall:_Footings_Backfill_Final
Sheelroek Radon Cont�ol
Flre Walis Fire Suppression:_Rough In_Final
Braced Walls E�oslon Control
Other:
•��"�Reviewed By; ! . 8uilding Inspector
. �---
RESID�N7IAL FEES
Base Fee
Surcherge
Plan Revlew
MCES SAC ,�y�(`�� ,
City SAC �r� �
Utlllty Connection Charge _ ,��'
S�W Pormit 8 Surcharge ��a�
Treatment Plant ��/���' �� C,�' ��
Coples � "L
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TOTAL
f�ege 2 of 3
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Clt� of �� �� � Fermit#: 1
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� Permit Fee: �
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3830 Pilot Knob Road �
Eagan MN 55122 � Date Received: �
Phone: (651) 675-5675 � �
Fau: (651) 675-5694 L Staff:——_—____ �
------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: � Z�3"�� Site Address: I �y� �,�i�d-� �g r� C�
Tenant: �lrr7 f'� Suite#:
Residen#�Owner
Name: �U� � Phone:
Address/City/Zip: � �yZ � /�6� L�yC C'�, -�-i � r
Name: ��/17� ��(lry,� i.,� License#:
Con#raCtor �� ���� Address; /l�5.� ���%��,� /s �� Ciry: �ds�er�o c��.�
State: �/�� Zip: 5 h OG'� Phone: �5�/-�-/S/2 `/2 �/�r
Contact: �r�"' Email: /i J �U ��n � o, �'o
New i/Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
T�r�e o#�Ic�rk — —
Description of work: .5�yju��r c�r., %�, a�, c� U���--C ;
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
���������Q Add Plumbing Fixtures�Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge)
"Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic Svstem New(includes County fee and State Surcharge)
TOTAL FEES$ �� �
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. vwvw.qopherstateonecall.orp
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.
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Applicant' ri �d Name ApplicanYs ' nature
FOR OFRCE USE Reviewed By: Date:
Required �nspections: Under Ground Rough-ln Air Tes#' Gas Test Final
Meter Reiated Items: Meter Size Radio Read Manometer Staff:
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154414
Date Issued:03/20/2019
Permit Category:ePermit
Site Address: 1842 Cliff Lake Ct
Lot:2 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-020
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 -
Cynthia J Funk
1842 Cliff Lake Ct
Eagan MN 55122
(651) 890-5604
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA155686
Date Issued:05/29/2019
Permit Category:ePermit
Site Address: 1842 Cliff Lake Ct
Lot:2 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Cynthia J Funk
1842 Cliff Lake Ct
Eagan MN 55122
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature