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
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M39 Plot tcild, tit ; ~
Eagan tit 56421 i
Phone: (661) 6754875 i step t
ft=(651) 678•f56" 1
PERMIT APPUCA `
RESIDENTIAL BUILDING
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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
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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
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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