1858 Cliff Lake Ct Oct 07 2014 0823AM HP Fax page 1
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3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone:(651)675-5675 � �L'� � ��"� � � � � I I
Fax:(651)675-5694 I Staff: I
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION � .
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Date: � G � Site Address: 1���� � $ �� �� � e� �� �' � ������� `� unit�: .,
Name: ��� T r C� ��'7u j /� �, �- Phone:
Resident/
Owner Address!City/Zip: ��L'
Appiicant is: Owner ✓ Contractor �
Type of Work Description of work: ` �- i
Construction Cost: � �L' �y Multi-Family Building: (Yes � I No_)
Company � c' N�'s , Contact:_ /.�7"�-�G�:.-�-�'
Contractor Address'3 �C 11i1JYf 1 v �''��� City: �/y�2 c l�
State��I'✓� Zip: ��/� Phone: l� Iy 723G 3 Y7 Email:i3�vw�����C:�ri/���s- �
License#:�C�D t�G 7�I/ Lead Certificete#: /��`��1��� �
If the project is exempt from lead ce�llflcatlon, 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 slmllar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Cor�traclor: Phone:
AIOTE:P/ans anci supporfing documents that you submit are considered to be publ/c Informafion. Poriions of
the fnlorm8lfon may be c/assified as non-public ft you provide specifc reasons that wou/d permlt the City to
conclude that the are trade se�erets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for roteclion against underground utility damage. Caq 48 hours
before you intend to dig to receive locates of underground utilities. www. o herstateonecall.or
I hereby acknowledge that lhis information is wmplete and accurate;ihai the wo�k will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a perrnit, buf only an application for a permit, and work is nOt to start without a pem►it; 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 horized by a building pertnit Issued In accordance with the Minnesota State Bullding Code must completed wlthln 180
da perm ssuance. .�—�'�""
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Applicanfs Printed Name Appllcant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA131600
Date Issued:06/29/2015
Permit Category:ePermit
Site Address: 1858 Cliff Lake Ct
Lot:10 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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.
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 (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Craig W Hendley
1858 Cliff Lake Ct
Eagan MN 55122
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166235
Date Issued:12/22/2020
Permit Category:ePermit
Site Address: 1858 Cliff Lake Ct
Lot:10 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Craig W Hendley
1858 Cliff Lake Ct
Eagan MN 55122--247
(651) 249-9324
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174224
Date Issued:01/10/2022
Permit Category:ePermit
Site Address: 1858 Cliff Lake Ct
Lot:10 Block: 01 Addition: Cliff Lake Shores
PID:10-17785-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Craig W Hendley
1858 Cliff Lake Ct
Eagan MN 55122--247
(651) 249-9324
Hero Plumbing Heating & Cooling Inc
10900 Hampshire Ave S
Minneapolis MN 55438
(612) 827-4674
Applicant/Permitee: Signature Issued By: Signature