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4448 Johnny Cake Ridge Rd - - - - - - - - - - - - - - - - - F-,,, Off.~e Use City of Eaaall Permit Permit Fee: 1 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: ,ry 24009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: L4 L-O~V1 Site Address: 7TH ~~F 11117 LL R (ik € T\d Tenant: Suite RESIDENT /OWNER Name: NaA"n Phone: (ps j- KJtT ~o `-t95tio Address /City /Zip: Cj ZZ CONTRACTOR Name: License lp 17 7 d )m~ Champion Address: 651-3651340 City: 3670 Dodd Rd. #100 State: Zip: an, 55123-1339 Phone: Contact Person: TYPE OF WORK _ New I ~Replac ent Repair -Rebuild Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RISIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge) *Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $J I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Si ture I FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-in Air Test Gas Test Final 3~1~1710 VIU4$E F EAGAN 3A/M t° WATER SERVICE PERMIT �rv �cR 32.5!Piiot Knob R;0441 ;S Q9 , PERMIT NO.: 1898 Eagan, MN 55122 Q V DATE: 12/12/75 Zoning: RII () __ No. of Units: 4 Own New Ho � l w e o o- agatte XII Address: (A Site Address: 4444 X 0 = 50 Johnny Cake Ridge Plumber: Plumbing CO. Meter No.: 41 C 4 b i ge 2 Ction Charge 64fl.0° Pd Size: if. 7 � Account Deposit: ] g. 00 v X�i13 est[ Reader No.• i O Permit Fee: .3o billed 1 agree to comply with the Village • Eagan Surcharge: Ordinances. Misc. Charges: 7c jr/ Total: By r Date Paid: Date of Insp.: f Insp.: %nu e; OF EAOAN SEWER SERVICE PERMIT 379; Pilot Knob Road PERMIT NO.: 2655 Eagan, MN 55122 DATE: 12/12/75 Zoning: RXI No. of Units: 4 Owner: New Horizon ids Noo gate III Address: Site Address: 4444 46 - 48 - 50 JOhtuiy Cake Ridge Plumber: meson Pltunbillg Co. I agree to comply with the Village of Eagan Connection Charge: P Ordinances. Account Deposit: Permit Fee: 10.00 billd Surcharge: L 50 billed By: ' 1 -2 7-- Misc. Charges: Date of Insp.: otal: Insp.: Date Paid: PERMIT City of Eagan Permit Type:Building Permit Number:EA107046 Date Issued:09/25/2012 Permit Category:ePermit Site Address: 4448 Johnny Cake Ridge Rd Lot:014 Block: 001 Addition: Woodgate 3rd PID:10-84602-01-140 Use: Description: Sub Type:e-Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:JoAnne Burr 990 Lone Oak Road Ste. 114 Eagan, MN 55121 651-905-0105 Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Clayton W Nakamitsu 4448 Johnny Cake Ridge Rd Eagan MN 55122 Window Concepts MN 990 Lone Oak Rd #114 Eagan MN 55121 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature "~AA(o, 4qq~; "~4 1/lJy, Um M.UE or W" Ink 1 ForORioe!!ee i 5 L Pwntit F d hp 1 M39 Plot tcild, tit ; ~ Eagan tit 56421 i Phone: (661) 6754875 i step t ft=(651) 678•f56" 1 PERMIT APPUCA ` RESIDENTIAL BUILDING vC~ ~cQ . oatia• - SHeAddrew. It V. i7 ~z :L 1 6 ®r~~A a lnA AIZ g Ptrone Riisidenf/. _ OMer Addrom ! City ~ zip. owner Daecri to of %%vdc Type of Work ~ / No Corudian Cost Mkt-Ff! COMPW. Addrew 156 t b-49L Wli P car- - Contractor ~J ~5'~ - 2.""7Q tee: M1 zk pw :5 -73? 6 If the p wd is enmpt *on Ind Medico, pWam mom why: (sue Pale 3 for { COMPLETE TM AREA ONLY IF CONSTRUCTING A NEIN BtNLfNNG In the last 12 awnths, has ow city of Fagan issued a permit for a sirssar plan based on a master plan? Yes No If yes, date and address of master plem . Licensed Pkw*or. phone: Phone: Yscharoral Canksefor. Phone: ; Contractor. Sevier 8, Wabarp~ ins Of rrbm>t ar+e c of to he m. f WOTIa• fans are#s ipporf ng do unfet s:i t you s sii c teasops that would permit the City to the i~ ~y be clod as noPj)ubhC if you Aro+nde secrets. w Conclude that theye trade x+18 hotxs RE~E YOU i)Ks. Car Cophw Sae Ow Con at (M) 454 M for aowson wrist ~ LtRy , bebre you 6dend to dig to mWW locales of crxierW=W uWGs- altd codes of the Get of WO 20 i hereby W*nowsedge ow iiis k*ansdon is wropleft =d a mrds: ine work ~d in ambVINGING is w a perm to iha sock ,eC be in Ewan; W 1 underslrgrd this is not a pemdt, but any an appilcatim for ~ accordance vft ft approved pbm in to terse of vmkwhM ExbwW work audwrbad by a buildiag peewit issued to acoordaece wilk the Masada 81M0, 1300111011 Corti mast be somovied war 100 dw ON permit immium x S WOE PAkL5Z)d i Ck,t mown- x fltp~- P*ftd Hame !9-#,6m4v-mYNR- S m, Pap 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122995 Date Issued:05/27/2014 Permit Category:ePermit Site Address: 4448 Johnny Cake Ridge Rd Lot:014 Block: 001 Addition: Woodgate 3rd PID:10-84602-01-140 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 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 - Clayton W Nakamitsu 4448 Johnny Cake Ridge Rd Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA122995 Date Issued:05/27/2014 Permit Category:ePermit Site Address: 4448 Johnny Cake Ridge Rd Lot:014 Block: 001 Addition: Woodgate 3rd PID:10-84602-01-140 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. Stephanie Vought 3451 W Burnsville Parkway Suite 120 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Clayton W Nakamitsu 4448 Johnny Cake Ridge Rd Eagan MN 55122 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink . . . . . .. r------�-----------� � For Office Use 1 � � Permit#: �� ���� � Clty of ����� � �� � � Permit Fee: �� I 3830 Pilot Knob Road � � I Eagan MN 55122 � Date Received:���� � Phone: (651) 675-5675 I I Fax: (651)675-5694 I Staff: � I � 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: � �vi�j/h � �. /�`� Unit#: Name: .� Gi.jn,� ! �!�T ?-!A Phone: b�.Z= h�'�7Z Y� Resident/ / OWner Address/City/Zip: �d �j���y e u i�z— �-sj''- /Cobni.0 �h '. Applicant is: Owner �Contractor " Description of work: S �i h�p w �/U$�e/`'� Type of Work Construction Cost: 2%bd-b� Multi-Family Building: (Yes� /No_� Company: �.tt� �0�� eo�,r-$f-1'G��--��. Contact: G��t-� �al�/``�3/� � � � Address: �2� ��r� U�C-cr. �� �(O City: �u�'l Contractor ' ��SQZ ��?�� ' State: �Zip: S.5`1`�/ Phone: �(�`2yZ EmaiL• � License#:��- J���j l�7� Lead Certificate#: �f�- �'j��� /'� 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: NOTE:P/ans and supporting documents fhat 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 permif the City to conc/ude 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.qopherstateonecall.orq 1 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 X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 0.3-OgB4q CityofEaaaii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /� Permit #: /2005( Permit Fee: o • c o Date Received: Staff: 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: 8 1110 Site Address: 414t4' J titin hi}CA,K1 RI 6(.0 Tenant: ib ryl'h1 MA a.m., esidentlOwn Suite #: , L COI Phone:Ipl 2't '55 -12L 2- Address / City / Zip: "I//��, 24O WlIe5 Mtt/✓ al 5ilk mirL'tnh. NA -14 55437 Name: AivMeOhanuCa,1 License #: 1045006122 -- J Address: 11,94(( Abe c Si -Isle' City: Hach LA.K' State: AN4 Zip: 55v -i- Phone: 10 14P -I -11141 Contact: Cari - 6 rPCSS Email: rc DP CCirrYI a -I1 I cwt • t iwri New ,X Replacement Additional Alteration Demolition Description of work: IZ•tela-c'e, A! NOTE: Roof mounted and ground mounted hiechan cal egwpmen Please contact the Mechanical'Inspec�tor for inforr- RESIDENTIAL Furnace Air Conditioner Air Exchanger Heat Pump Other reened ingLme COMMERCIAL New Construction _ Interior Improvement Install Piping _ Processed Gas Exterior HVAC Unit Under/Above ground Tank ( Install / _ Remove) RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ t.Q,O -00 TOTAL FEE t01 COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ =$ Permit Fee Surcharge TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will be in conformance e 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 out a pe mit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x Applicants Printed Name x Applicants Signatu