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1857 Cliff Lake Ct Oct 07 2014 0825AM HP Fax page 10 Use BLUE or BLACK!nk � For Ottice Use � � j Permit ii: �� j Clty of E��aIl � � � � Pertnrt Fee: �� 3830 Pilot Knob Road Eagan MN 55122 j Date Received: � Phone:(651)675-5675 I I Fex:(651)675-5694 I Staff: I I I . L��.��J 2014 RESIDENTIAL BUILDING PERMfT APPLICATION � � Date: �� ° � Si1e Address: � g�� l '�Y� �� 7 `-`�•'� '� � - �_ Jnit#: J !. �[ a Name: ��.�� =--- �r:,��?�''a� f':: ��. �'f-,. Phone: Resident/ Owner Address 1 City!2ip; ' �� - Applicant is: Owner ��Contraclor ; Description ot work: � � u-- -•- <�'La � �'"•v Type of Work I � F� Construction Cost: �7 �Z� / '� � Multi-Farnily Building: (Yes ��'� /No� ' �,• f'' r' f i` �..._ � Company��. ° . ��u�i'�a� �'�.`7`I'��.-�s. Contact: 1`��.��..� �- Address:.�" � R `�'�=-< ya-.�-r.`�' �r+� �:�- C1�' � COI1tf�C#O� -L l�� 1I � �!' , „�3..:.. City: ��f sl`�+%�,:a� �r �' , State!��`�'� Zip: �� r� Phone: �a f?-��'s�'�� 7 Email:�r`,4::.�.r�.�•n��;'�`�=,s9��c'''ra�;:��. "� � �.^ License#: ��-�� 'r��.� Lead Certificate#: �'�''�°''��a�~'f�`""4''� - 1 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 Clty of Eagan Issued a permit for a slmllar plan based on a master plan? _Yes _No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewe�d�Water Contractor: Phone: NOTE:P/ans and supportlrtg documents that you submlt are considered fo be pub/Ic lnformation. Pvrt/ons of the/nformat/on may be classifled ss non-public if you provide specific reasons that wou/d permlt the City�o conclude tha[the are trade secreis. CALL BEFORE YOU DIG. Call Gopher State One Call at 651)464-0002 for protection against underground utilitydamage. CaU 48 hours before you intend to dig to receive Iocale5 of underground utilities_ www. o herstat�onecall.or I hereby acknowledge that this infocmation is complete and acwrate;thaf the work will be in confotmance with the ordinances and codes of the Clty of Eagan; tha: I understand this is nol a permit, but only an application tor a permit, and work is not to start without a permit; that the work will be in accordance wlth the approved plan in the case af work which requires a review and approval oi plans. Exlerlor �horized by a bullding permlt lssued in accordance wlth the Mlnneeote S1ate BuIlding Code must�je completed wlthln 1 BO da perm! ssuanca ��-°• .. `�' ' -......� ,f°� `g . `r,�z ��,,; � x ,.�.��`�-�- �_...�J./� �_•:�°' �"_,_.�, -..,. _ , �..�,:... 3r x �--- Applicant's PriMed Name Appllcant's Signature , Page 1 of 3 Use BLUE or BLACK Ink r————————————————� I For Office Use � ' � Permit#: t� � j C��J O� �"�� Permit Fee: ��a I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I � Fax: (651)675-5694 I Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION ,- // ��1 ��'�- Date: tZ ��/�S Site Address: � �� l�� ^G �p w� �� Unit#: ��.�� , � � Name: � ��1��.�. ...:�� _.�..��.oi/�.��.��P.� .�._�.,,..�..��.�.�.�Phone: �.,.�..�W_.,�...,__..,.,W...�..,�.� � Fte�J�l�#/ q i � ��r Address/City/Zip: �4�''�'; a � g Applicant is: Owner Contractor �.,:..�., � � ,��.�,�...,..�..d,��.�..� _ .��.e�.n.w.�..��,,._.n .�_.,..�.w...._..�...�.�_�„�.��. ,...m..,._.�a� �� ,. � �� Description of work: W�✓�� Ty�3$ �l�-o't`k � � �s � Construction Cost: Multi-Family Building; (Yes �/No�� +� � Company /,�Gr/lt� ��hfi�� (��G��J� �hc,�Contact: ��-I �'YUf r�� " Y ? � � a / ` > }�` � � � Address: JS�b ��L� buH� C.�/� � Sulfe ��.s/ City: % � � � � � C011�1'a�t0!' � / � i State:�Zip: SS�� Phone: '7G3-S.f� .�n�'J Email: �� N;.I�i�tu,.w/(�t'�r�vf.�'�,' � [ � ' � License# �G v�� .3 Lead Certificate# �.._.�, �___�.md��.�w.�,�,.��.�.�,.�.�.,,..�.�� ,,.�,��b�, �r.._....�.�.._....._._�,..,.�,,.�, ��.�.� ��. -.�,�,�_.�,� µ_�..�H��...�4_,.��__.��.�,��..�..,.�.��..�.�,�....�.,�..,�.,�.A�,....��..�.e � If the project is exempt from lead certification, please explain why: � _ - _.�.m..,�.�.�_.,�.�..�..�._�u_,.,, .. ,�.�...N.��.r�.�_....�._�,.�.Y...._.�,.,„..,..._..,�..._�,...._._...�..�..��.�.�,.� �.�..�,�....�.._..�..�..., COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING � � t In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a � � � Yes No lf yes, date and address of master plan: � � Licensed Plumber: Phone: � Mechanical Contractor: Phone: � Sewer&Water Contractor: Phone: � Fire Suppression Contractor: Phone: .u.,..,,,._H,,....��..,�.�.�,.w.. �u,..�„ ..,.u._ ..,,.,,�. .,..u.�,.,�. ,�.,...�uw..�.w,�.,a .a.,.,��,w ,..�.�F",W,... ��.. ..��.�. �..,,,��..�� ..ww.:.��.�__...,��.�,....�..�,w,. .��11��T;�':P��s a��1 s��vort��t�a#,}�o�s�r��a�e co.��is��ed�i be p�i��o��. Pc�r�r��of � � t�i�f�r��r�t��r be class��d a�s no��i�y��p�r'�s�e�reasa�s t�a�wauf�d pe��t�C3i�#� �,...:.�. c��l=�de t��t� a,r�t�ra�e�re�. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 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 S t Building Code must be completed within 180 days of permit issuance. �� x �(�l�f �i'o�(o�`�'a`-� x Applicant's Printed Name Appli s Sign ture Page 1 of 3 „VEO rl FEB Use BLUE or BLACK Ink y�rb i 1-----------------� 6 201 t� I For Office Use 1 �d City of E ; Permit#J I b� I 3830 Pilot Knob Road j Permit Fee: I Eagan MN 55122 i 1 g I Date Received: 1 Phone: (651) 675-5675 1 1 Fax: (651) 675-5694 ; Staff: -----------------J 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date' Site Address: t 0 5 -f A -4 1 r Tenant 1 � CIS/ Suite#: / - �. Name: � Phone: ( R ....E t b `�� f' Address/City/Zip:� f' Address/City/Zip: R i W Name: Hilbert Company Inc dba Culligan Water WC641376. License#: �i Corttr�c r, Address: th a y: Inver Grove H ts. 55077 State: Zip: Phone: .651-451-2241 ,. Contact: William R Milb_ ert Email: y e of Work —New _Replacement _Repair _Rebuild _Modify Space Work in R.O.W. FDescription of work: RESIDENTIAL Water Heater eft 4� erm. t e Lawn Irri ation(—RPZ/— PVB) , Water Softener ?; � Add Plumbing Fixtures(e Main/ Lower Level) _Septic System iuk ; New Water Turnaround " —Abandonment RESIDENTIAL FEES: $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes$5.00 State Surcharge) $60.00 Lawn Irrigation('includes$5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround”(includes$5.00 State Surcharge) "Water Tumaround(add$200.00 if a 5/8"meter is required) $115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) O O TOTAL FEES$ 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 dig16 receive locates of underground utilities.•WWW.gor)herstateonecall.ora 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 yiork is not to start without a permit;that the work will be in a cordance�11:th the appro p a in.th case of wo which requires a review and appro al.o(plaris. ..•. . X x Applicant's Printed Name Appii ant's Signature - x e,quired;I: s ec� tons�k, s f. Meter RelaYe.d 'e sit PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA159209 Date Issued:12/02/2019 Permit Category:ePermit Site Address: 1857 Cliff Lake Ct Lot:15 Block: 01 Addition: Cliff Lake Shores PID:10-17785-01-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Toni L Anderson 1857 Cliff Lake Ct Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA172105 Date Issued:09/15/2021 Permit Category:ePermit Site Address: 1857 Cliff Lake Ct Lot:15 Block: 01 Addition: Cliff Lake Shores PID:10-17785-01-150 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 - Toni L Anderson 1857 Cliff Lake Ct Eagan MN 55122 (651) 253-3087 Cities 1 Plumbing & Heating 787 Hubbard Ave St. Paul MN 55104 (651) 274-6547 Applicant/Permitee: Signature Issued By: Signature