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4671 Alta PtINSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: r 1{T PERMIT SUBTYPE: till ed,•, 01 82 w1 " APPLICANT: TYPE OF WORK: (GAS IN'.l-Rl f Permit No. Permit Holder Date Telephone S ELECTRIC PLUMBING HVAC inspection Date Insp. Comments FOOTINGS FOUND . FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE Z, FIREPLACE AIR TEST r -IS-9 g FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 111 ?' !' I 4i 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: fl till. APPLICANT: I?+I, 1 i t+ if ! t t t ! t t(?11 ,, , I'• .'! "'i1. PERMIT SUBTYPE: ? ! f( I I i f'+ ! 1 TYPE OF WORK: 141-F'AIk ( poll FIN?!I I:(10vIN+t RI t'1ION RFMARK'S: 1NiL1.t)1)1:S 4614 AI.1A I'1 i I 01 3} 46/2 -1AVI- I{N P1 It?'1 1) fltti `:,IAVKF'N P"1 (1.01 d) Permit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL • GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL 1j?1? ?Ay? BSMT R.I. BSMT FINAL DECK FTG DECK FINAL Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot . 1. Date 2. Installation Cost 3. Job Address 7` 1 _wts? Lot BIk. Tract 4. Owner Kevin Penn 5. Contractor T'TTS Soft !"ter Phone 721 6. Address Cali Forma P, 7. City State Zip 8. Building Type: Residential Work Description: New ? 10. Describe 1 11. Commercial O Institutional ? Add [a Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 1 CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6061 PHONE: 454-8100 BUILDING PERMIT To be used for Est. Value Receipt Date # , 19 Site Address Erect 13; Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # tinrec," !, Repair ? Fire Zone Enlarge ? Type of Const. at Name Orrin Move ? # Stories z Address 1712 '' r' ~ i" ?• ' Demolish ? Front ft. --? I111etor1i !r•-733 ` Grade ? Depth ft. Name _ t ua Address I- ri*.. Name - Address 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. Water & Sew. Police Fire Eng. Planner Council Bldg. Off. - APC Permit • 7l1 Surcharge Plan check SAC Water Conn, Water Meter Road Unit Total 1.259.7`.; Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit * Daft Issued PermIttea 4 Plumbing - / -h 7 - Mechonicoj c 2? 9 3 / ? 2 -tea -2 PA INSPECTIONS DATE INSP. Rough-In Final Footings q Date Insp. Date Insp. Foundation Plumbing Frame/ins. _ Mechanical _ Final /t Remarks: //- y- 7-t- No. CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 P1um1, jx' PERMIT Date: -16-SO Site Address: +(7 "tevern Lot Block Sub/Sec. f `1i -1eCliffe Name rr r. 'lhormsor. dotres Address City ? U)31kf3 ?' .. Phone:+4-7333 Name r; "1Z Rgan Address e 0 V ' . ,7 City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential -- '>'-t 4: Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official No. CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: - Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name ? :071 ho New/Alter./Repair Address Cost of Installation City - TL1^.P..OP1.3 ; Phone: Permit Fee Name Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Official BUILDING PERMIT To he urd for Site Address Lay Lot Block Parcel # oe Name W Z Address city Name Address Name Water & Sew. Police Fire Eng. Planner Council Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: _" - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N9 6 58 PHONE: 454-8100 Receipt # Est. Value Date 19 Ft . Erect Occupancy Alter ? Zoning Sub.- 7 Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. one 51+4- "333 Grade" ? Depth ft. Fees Permit # Daft lased Pemitfte Plumbing /953 - b - v Mechanical INSPECTIONS Footings Foundation Frame/ins. Final DATE g"a INSP. Plumbing Mechanical Rough-In Data Insp. Final Date Insp. Remarks: ` 3 ` 80 CITY OF EAGAN 3796 Pilot Knob Road Eagan, Minnesota $5122 INSPECTOR NOTIFICATION No. Phone: 4544100 REQUIRED BY LAW ;• FOR ALL INSPECTIONS PERMIT Date: Receipt No.: Single Site Address: Residential r 1,r1pecliffe 3 Lot Block Sub/Sec. ')rrin Thompson Hors-, Name New/Alter. / Repoi r 3 Address 1712 Hopkins (rsr' . Cost of Installation City Phone: Permit Fee . Q-ter :eatirv- Name Surcharge Address n V'?. City Phone: Total This Permit is issued on the express condition that oil work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official No. 53 CITY OF EAGAN 3795 Pilot Knob Rood Eagan, Minnesota 55122 Phone: 454-8100 PERMIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: - Receipt No.: Single Site Address: 4F'72 ` t vem Residential Lot Block Sub/Sec. yid, e cliffe 3 Multi Res., Comm./Ind. Name _ ?? ??•• /Repair New/Alter . Address `lJ; Cost of Installation City t? Phone: Permit Fee Name `11Z Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagan Ordinances. done in accordance with all applicable State of Building Official Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date " 2. Installation Cost 3. Job Address Lot BIk. Tract 4. Owner 5. Contractor - < - ' Phone 6 . Address 7. City - State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe No. Fixtures Water Closet No. Fixtures ool/Dr Cess infield Bath tubs p a Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN • 3795 Pilot Knob Rood Eagan, MN 55122 N9 6060 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date , 19 Site Address Erect 0 Occupancy Lot Block Sec/Sub. - Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge D Type of Const. W Name Move # Stories 3 Address Demolish ? Front ft. Grade ? Depth ft. Ci Phone Name _ z° Address u1 r n- Name - Address I hereby acknowledge that I hove read this application and state that the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Fees Permit Surcharge Plan check SAC 5' S • n'? Water Conn. ?n5 •'_n Water Meter ?') • 70 Road Unit Total Signature of Permittee A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit # Daft Issued Pennittee Plumbing 9 - ?I Mechanical ,2 - - to xtc? T 41 1,3 INSPECTIONS DATE INSP. Rough-In Final Footings Dote Insp. Dale Insp. Foundation Plumbing Frame /ins. Mechanical Final , Remarks: /Q -,3-{d No. ''191 PERMIT Dote: Site Address: Lot 12-&-80 4675 Alta Pt. ITY OF EAGAN 95 Pilot Knob Rood on, Minnesota 55122 Phone: 454-8100 dtf-e<liffe 3 Block Sub/Sec. Name Orrin Thomason Hon- . iriCrerd. City Phone: ?-, Name ")ester .eati r' % Address _ r. City Phone: This Permit is issued on the express condition that oil work shall be Minnesota Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter. /Repair Cost of Installation Permit Fee Surcharge Total done in accordance with all applicable State of Building Official No. PERMIT Dote: Site Address: Lot 4675 Alta Pt. 5 Block Sub/Sec. Name New/Alter./ Repair Address Cost of Installation C t ?? City Phone: Permit Fee Name Surcharge QQ Address iJ City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION Phone: 454-8100 REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Ridjecliffe 3 Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N4 6059 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Date ; 19 Site Address - Erect L] Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. 99 Nome Move ? # Stories F Address Demolish ? Front ft. 2 Grade fl Depth ft. Name -vv- -.. ' -' nt A Address ssessme Water & Sew. - ~ city Phone Police Name Fi j Address re Eng. CI Phone L. Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Permit ` ?`%• Surcharge l `? • r.n Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Pe it # Deft Ihaed Permittee Plumbing - - ?T Mechanical / Q - - D 7- 1K, INSPECTIONS DATE INSP. Rough-In Final Footings Dote Insp. Dote Insp. Foundation Frame/ins. Plumbing Mechanical Final 12 Z2 Remarks: lo-3-90 f • CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No Phones 454-8100 REQUI RED BY LAW L.111flbj PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Ridgeoliffe rrin Thompson ::omen Name New/Alter./Repair Address 171.2 T-7.opkins Crsrc . Cost of Installation City L Phone: Permit Fee Name ?}VEm Surcharge i Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official • CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 INSPECTOR NOTIFICATION No. Phone. 454"100 REQUIRED BY LAW PERMIT FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. Multi Res., Comm./Ind. Name New/Alter./Repair Address Cost of Installation City Phone: Permit Fee Name Surcharge Address City Phone: Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CASH RECEIPT • CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ 17 -ac-DOLLARS 460 0 CASH El CHECK FOR L/ I .3 !!5- Thank You BY White-Payers Copy Yellow-Porting Copy Pink-File Copy CJTY OF EAGAN WATER SERVICE PERMIT 345 Pilot Knob R d oa PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: iPlumber: Meter No.: Connection Charge: Size: A t D ccoun eposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: i„t„ . CITY OF' EAGAN SEWER SERVICE PERMIT 3745 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: ' f l 'Plumber: I agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Dote of Insp.: Total: Insp.: Date Paid: CITY OF- EAGAN 3'95 Pilot Knob Road Eagan, MN 55122 Zoning: 11 Owner: Address: Site Address: Plumber: Meter No.: Size: Reader No.: I agree to comply with the City of Eagan Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Ti Connection Charge: _ ' Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total : Date Paid: Insp.. CITY OIL" EAGAN SEWER SERVICE PERMIT 37'95 Pilot Knob Road PERMIT NO.: Eago», MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber: I agree to comply with the City of Eagan Ordinances. By Date of Insp.: Insp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: Size; Reader No.: I agree to comply with the City bi Eagan Ordinances. By Date of Insp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: Insn_ CITY OF EAGAN 3795. Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber:, I agree to comply with the City of Eagan Ordinances. By Date of Insp.: 9048 SEWER SERVICE PERMIT PERMIT NO.: DATE:- No. of Units: ec Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Dote Paid: CITY OF EAGAN Remarks Addition Ridgecliff 3rd Addn. Lot 2 Btk 5 Parcel #10 63982 020 05 Owner 11 Street 4671 Alta Point State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 'STREET RESTOR. GRADING SAN SEW TRUNK 1990 paid iinde parrt-l OIL 12 SEWER LATERAL - WATERMAIN WATER LATERAL WATER AREA 198f) air, untie arcel p P STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Rd. UN I T 18-S-00 20-';69 AIRIgn WATER CONN. 305-00 20.*;fiR 8? A', so BUILDING PER. SAC 525.00 20368 8/8/80 PARK CITY OF EAGAN Remarks AddLtion Ridgecliff 3rd Addn. Lot 3 Rik 5 Parcel#10 63982 030 05 Owner-j . i `j I'-w K i i Street 4675 Alta Point State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 19RO paid unde parcel 011_ D2 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Ed- UNIT i R-.; - on 2036A R /g/go WATER CONN. 305.00 20-369 . R/R/80 BUILDING PER. 6060 SAC 525.00 20368 8187 0 PARK CITY OF EAGAN Remarks Addition II Ridgecliff 3rd Addn. Lot 1 Rik 5 Parcel #10 63982 010 05 Owner '?J1Li Street 4672 Stavern Point State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK paid un a parcel SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA paid un a parcel STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Rd. UNIT 185.00 20368 WATER CONN. 305.00 20368 8/8/80 BUILDING PER. SAC 525.00 20368 8/8/80 PARK CITY OF EAGAN Remarks Addition Ridgecliff 3rd Addn. Lot 4 BIk 5 -Parcel #10 63982 040 05 Owner is (Jc ` o? Street 4676 Stavern Point State Eagan, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK SEWER LATERAL WATER MAIN WATER LATERAL WATER AREA 19 8 aid undo arr el 014 02 p p a - STORM SEW TRK 1982 246.22 5 246.22 C007616 12-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT Rd- UNIT 185.00 20368 8/8/80 WATER CONN. 305.00 20368 8/8/80 BUILDING PER. 6061 SAC 5?S 00 20369 9/9/80 PARK - CASH RECEIPT 46 CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN,MIN OTA55 2 cJ SAT 19 RECEI V eR FROM AMO NT $ ?v -&-DOLLARS 'ea (:]CASH EECCK Foe oil r s FUNO CODE AMOUNT / S V ,0731 Thank You N? -1 solo ?. White-Peyen Copy yellow-Porting Copy Pink-File Copy 20368 This request ^ id 5 i ?Ll 3 a a l6 '?? 18 th? moq s rom Date of this Request I I du Fin No. ii 401 1 1, of Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal 5nitg installed at: Street Address or Route No. 71U l l 1gU i 1 ' City •on Township _ Range County Which is occupied by HO Is a roughin inspection required on this job? No ? Yes., Ready Now ? Will Ca$ Power Supplier gto Address FSp4A I1 71 O(` Electrical Contractor B5U` EZEt7lelc Contractor's License Nob-to-0.6; (Corn any Name) (j Mailing Address 1 F ,\ o 1 (Elec I Co actor or caner Making This Installation) ??p Authorized Signature Phone No. 8 r 0 - 550.5- (Electrical &intr or or Owner Making This Installation) SWAN F ©1(?jI ?J ©l? This inspection request will t not accepted the ?0 ?1. State Board unless proper inspection n fee is is enclosed. Minnesota State board or hlectricity Griggs Midway Bldg. - Room N191 ?I d EB-00001-02 'T52ttniuersity Ave., St. Paul. Minn. 55104 - Phone 297-2111 , RE$UEST FOR ELECTRICAL INSPECTION T 4011 CHFCK BELOW WORK COVERED BY THIS REQUEST Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range N Temporary Wiring ? Duplex ? ? rr Water Heater Lighting Fixtures Apt. Bldg. ? ? ? Dryer ? Electric Heating ? mmercial Bldg. ? ? ? Furnace Sdo Unloader ? ustrial Bldg. ? ? ? Air Conditio rr Bulk Milk Tank ? 'arm ? El ? El ? ? LList rs} he 4 c s[ hers Other H re r COMPUTE INSPECTION FEE BELOW - U.Lj (J/ Service Entrance Size: # Fee 1 1 Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s. -1 4?pO 1 0 to 30 Amperes 1 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres (A Above 200_Amps. Above I00 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee c_ Signs Special Inspection Minimum fee $5. Remarks - TOTAL FE J t'1` Q(0 1, the Electrical Inspector, hereby certify thattlre above.ips ection has beer} ytad (Rough-in) 1)??Ie (Final) 11 ite /l 7( This request void VQ--/ 18 months from 0c) This reqguest void l b ,? 18 modths from ` T Date f this Request 1 J Fire No. t 4012 1, asJLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: L[(? n p ? t Address or Route No. City m} Section Township Range County-.. Which is occupied by Is a roughin inspection required on this job? No ? Ye Ready Now 0 11 Will Ca1e4 Power Supplier Address INM (__ Electrical Contractor Dec'- eccc- r i G Contractor's License No. Mailing Address A/// (5. Authorized gsr or or Owner Making lion) o rc No. (Electrical Contractor or Owns ARAN CARD U ply Making This Installation) This inspection request will not be accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity Griggs X21 University Ave., St. Paul, Minn. 55104 19Phone 297-2111 9 ? `1 D EB-00001-02 T! QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REOUEST T 4 012 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range ? Temporary Wiring plex ? ? Water Heater ? Lighting Fixtures t. Bldg. 13 El El Dryer Electric Heating ? ommercial Bldg. ? ? ? Furnace Silo Unloader ? hidustrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ? Farm ? ? ? ) LList ) LList ) Other ? ? ? p y} Herersl , J) y \Nehers> re COMPUTE INSPECTION FEE BELOW U I I I I ) I Ito TOTAL,F I, the Electrical Inspector, hereby certify tha abo n ec}}ton has been (Rnuah _in) C? , f I1?te / i?/?Or/ (Final) This request void 18 months from T{Iis request void 13z 18 months frotn Q Date of this Request Fire No. T 402 9 1, a>VLicensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal ViAng installed at: II ((Q 7`` •et Address or Route No. 1To SMVE-r' P0107 City ,?__,.? MAJ Section Township Range County Wl 1J_ Which is occupied by 1 17 Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ? Power Supplier P% n Address )iO)C,__ Electrical Contractor 9E(.(. ecec- tc Contractor's License No g626 (Companiy Name) 441 F &I Mailing Address tnc contr for or owner Making This Installation){ Authorized Signature Phone No. V O (Electr)ci Contractor or Owner Making This Installation) SUM BOARD COPY This inspection request will it not be accepted by the [J State Board Board unless proper inspection n fee is enclosed. mmnesora atate ooaro or cnecrncny Griggs Midway Bldg. - Room N191 ' 1,University Ave., St. Paul, Minn. 55104 - Phone 297-2111 1n j REOUEST FOR ELECTRICAL INSPECTION I' T CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 4029 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home ? ? Range Temporary Wiring plex ? ? Water Heater Lighting Fixtures t. Bldg. ? ? ? Dryer Electric Heating ? ommercial Bldg. ? ? ? Furnace Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank ? Far List ) ist Other ? ? ? po Herers} fersj COMPUTE INSPECTION FEE BELOW ID &?:-\\ 1 ? U) Service Entrance Size: # Fee Feeders&Subfeeders: # Fee 1 1 Circuits: j * Fee 0 to 100 Am s. 0 to 30 Am eres 0 to 30 Am eres 101 to 200 Amps. 1 1 31 to 100 Amperes 31 to 100 Am res Above 20Amps. 1 1 Above 100 Amps. Above 10Amps Transformers Remote Control Circ. Partial or other fee k Signs Special Insption Minimum fee $5.0 Remarks TOTALF . 30 I, the Electrical Inspector, hereby certify that (Final) This request void 18 months from ?bes? m This request void 1 6 18 monthsjrom 0 Date f this Request I 0 Fire No. I, a Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal ri installed at: St ` n A,' et Address or Route No. Lj b7 J1 'J&W R M1 City EAgo ion Township Range County TA, Which is occupied by Is a rbughin inspection required red on this job? No ? Ye Ready Now ? Will C Power Supplier qu W _ Add`rjessss? 't?l`i `W6-/ Electrical Contractor ?6L.L ELEC- 1 1ki C' Contractor's License No. (Corn any Name) Mailing Address Ill E • ? F Dt (EI cal ntrac or or owner Making This Installation) ?q ?-t Authorized Signature Phone No. l? x.75 (Electrical Contractor or Owne Making This Installation) M !t 1`1[ BOAR [) COW This inspection request will t not ti accepted the AE ?C ?.f State Board unless ss proper inspection n fee e is enclosed. Minnesota Mate aoarn or tiectricity Griggs Midway Bldg. - Room N191 1821 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY THIS REQUEST EB-00001-02 4027 Tyre of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home Duplex ? ? ? ? Range ? Water Heater Temporary Wiring Lighting Fixtures t. Bldg. ? ? ? Dryer Electric Heating ? mmercial Bldg. ? ? ? Furnace rrr??? Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner Bulk Milk Tank 11 Farm ? ? ? List ) List Other ? El ? Others thers COMPUTE INSPECTION FEE BELOW Li /S I II I )l Service Entrance Size: # Fee 1 1 Feeders&Subfeeders *q j#aL Vj Circuits: # FeRr, 0'to 100 Amps. 0 to 30 Amperes 0 to 30 Amperes 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Amperes I j Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee Signs Special Inspection Minimum fee $5.0 ?. Remarks TOTAL FEE a,Jb I, the Electrical Inspector (Rough-in) (Final) hereby certify that been made. This request void 18 months from CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT. APPLICATION Site Address 4t)(G Ouavern rti. Lot 1 Black 5 Sec/Sub. Ridgecliffe 3 Parcel # unrecorded Name flrrin Thgmpenn Hnmae Address 1712 Hopkins Crsrd. b ,..__ Minnetonka, Mn,,.._- 544-7333 ao Name _ r Address r row, Name - Address 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. Receipt # Ng_ 6058 ?p?lo Erect 13 Occupancy R3 Alter ? Zoning PD Repair ? Fire Zone 3 Enlarge ? Type of Const. IT Move ? # Stories Demolish ? Front 24 ft. Grade ? Depth 24 ft. Approvals Fees Water & Sew. Police - Fire Eng. Planner - Council Bldg. Off. - APC Permit 11U. Ju Surcharge 19.00 Plan check 55-25 SAC 525.00 Water Conn. 305.00 'Water Meter 60.00 Road Unit 185.00 Total 10259.75 Signature of Permittee I A Building Permit Is issued to: Orrin Thnmp nn Hnmac on the express condition that all work shall be done in accorddhce with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF FJ CLAN Include 2 sets of plans, a ?7y ' 1 site plan w/elevations & BUILDING PERMIT APPLICATION IT set of energy calculations. To Be Used For ?ES?pthlap Valuation 43 - Date ZttLl 31}]980 Site Address: j 677 5TANtEm Pr. OFFICE USE ONLY Lot I Block S Sec./Sub. R1pyc?yiFFS THY RD Parcel #:i?l?tnr?t„ Omer: Address: a Division of U, S. Home Com,atinn 1/12 PKINS CROSSROAD City/Zip Code:'- MINNETONKA. MILAN sg343 Phone #: S` LI-1333 Contractor: OR I Tunnnoc N HOMES Address: a Division of U. S Home Corporation 1712 .., in3 "U??,iUAIJ City/Zip Code: MINNETONKA, MINN, 55343 Phone #: Arch./Eng.: Address: City/Zip Cade: Phone #: Erect X Occupancy ,.3 Alter Zoning Repair Fire Zone 3 Enlarge _ Type of Const. Move # Stories Derrelish Front a y ft. Grade _ 51 ft. Depth A 9ai mr ox„00'- Assessments Water/Seccr Police Fire Eng• Planner Council Bldg. O APC Permit 11 /O1.fD2 Surcharge Plan Check SAC s as Water Conn. 3 o(s Water.Meter 60 Road Unit // lie, TOTAL CITY OF EAGAN 3795,,, ilot.Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # N? 6061 To be used for 1 of 4 pleX Est. Value 38,000 Date 8-8 19$0- , Site Address 4676 Stay ern Pt Erect ancy Occu R3 il p k 5 4 Blo L t Sec/Sub Ridgecliffe 3 Alter ? Zoning PD o c . d d Repair ? Fire Zone 3 Parcel # unrec or e E l of Const T V n arge ? . ype W Name Orrin T hompso n Humes Move ? # Stories Z 9 Address 1712 Ho pkins Crsrd. Demolish ? Front 24 ft. G Minnetonka, Mane 544-7333 Grade E] Depth 24 ft. Approvals Fees W Name ur 5 Address t- rn., Name - Address 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 Eagon Ordinances. Water & Sew. Police Fire Eng. Planner - Council Bldg. Off. _ APC Permit 11U.JU Surcharge 19.00 Plan check 55.25 SAC 525.00 Water Conn. 305.00 Water Meter 6000 Road Unit 185-00 Total 1,259.75 Signature of Permittee I A Building Permit Is issued to: Orrin Thompson Homes on the express condition that all work shall be done in accordggce with alhapplicable State of Minnesota Statutes and City of Eagon Ordinances. Building Official CITY OF EAGAN BUILDING; PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For _rs_lD_Nr P Valuation -1 'V o o o o Date 3'uLI 31, 1980 Site Address: Lj06 `JTflVCM P'r' OFFICE USE ONLY Lot ` Block S Sec./Sub. R14 GF?1EE Erect Occupancy ,P3 Parcel _ THiKD Alter Zoning p Repair Fire Zone 3 Enlarge Type of Const. Owner: M # Stories ove Address: a Division of U, S. Home C r De polish Front • 9st ft. City/Zip Code:' • 1112 u KIPS CROSSROAD MINNETONKA. A'INN ,141 Grade Depth ay ft. 9e- Rua'; P h o n e #: S N - 13 3 3 APPROVALS FEES contractor: ORRIN THOMPSON HOMES Address: a Division of U, S. Home Corporation /1 ..Vf L.1LR I{U City/Zip Code: MINNETONKA, MINN. 55343 Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments "Permit Water/Sewer Surcharge / q Police Plan Check Fire SAC Sas Eng. Water Conn. 3oo- Planner Water Meter Cot °? Council Road Unit / 5 Bldg. Off. APC TOTAL CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 N2 6060 PHONE: 454-8100 - BUILDING PERMIT APPLICATION Receipt # To be used for 1 of 4 pleX Est. Value 38,000 Dote 8-8 , i9$Q_ Site Address 4675 Alta Pt. Erect X3 Occupancy R3 Lot_ 3 Bloc k 5 Sec/Sub. Ridgecliffe 3 Alter ? Zoning PD Parcel # unrecorded Repair ? Fire Zone 3 E l V e of Const T n arge ? . yp w Name Orrin Thomson Homes Move ? # Stories 3 Address 1712 Hopkins Crsrd. Demolish ? Front 24 ft. O city Min netonka. Mphane 544-7333 Grade ? Depth 24 ft. Approvals Fees Name ;i same Assessment Address Water & Sew. ~ Ci Phone Police ?iw Name Fire w r E Address Eng. <W City Phone Planner - Council - I hereby acknowledge that I have read this application and state that Bldg. Off. - the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Permit SSU. JU Surcharge 19.00 Plan check SAC 525.00 Water Conn. 305.00 Water Meter 60.00 Road Unit 185.00 Total 1,259M Signature of Permittee I A Building Permit is issued to: Orrin ThQmpsOn Homes on the express condition that all work shall be done in accar?e with all?plic ble State of Minnesota Statutes and City of Eagan Ordinances. Building Official '" 1L ? / eel ??'J CITY OF EAGAN Include 2 sets of plans, ( 1 site plan w/elevations E. i BUIIDINC PERMIT APPLICATION 1 set of energy calculat ons- 7b Be Used For j ! ) Date flAL1 31 , 1980 Site Address: 7675 Ar-TIQ 'PT', OFFICE USE ONLY Lot 3 Block S Sec./Sub. R1QG •?FEE Erect ,? occupancy - TH1 RD Alter Zoning ?? Parcel Repair Fire Zone 3 Enlarge Type of Const. Owner: Move # Stories Address: a Division of U. 5. Home Cornocafinn Demolish Front ft. J 112 KIN'S CROSSROAD Grade Depth ay ft. City/Zip (Ode: MINNETONKA t. IVN a ;,a oxzz ?43 _ Phone #: S4 4 - 1333 APPRDVAIS FEES Contractor: ORRIN THONAPSON HOMES Address: a Division of U. S. Home Corporation City/Zip Code: MINNETONKA• MINN 55343 Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments Permit //O239 Water/Sewer Surcharge /9 es Police Plan Check Fire SAC Eng. Water Conn. 365- Planner Water Meter a b Council Road Unit / g s- Bldg. Off. APC CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION N2 6059 Receipt # To be used for 1 of 4 plex Est. Value 38,000 Dote Site Address L€71 Al t.n Pt. Erect ft Occupancy R3 Lot 2 Block 5 Sec/Sub. Ridgecliffe 3 Alter ? Zoning PD Parcel # unrecorded Repair ? Fire Zone -. 3 l E T f C y n arge ? ype o onst. Nome Orrin Thompson Homes Move ? # Stories Address 1712 Hopkins Crsrd. Demolish ? Front 24 ft. Z. M; ..,o+r..1'. Tknn?....,. S//_722 Grade Fl Depth 24 ft. o Name t uu Address same Name - Address 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. Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit llv.iv Surcharge 19.00 Plan check 55.25 SAC 525.00 Water Conn. 03 5.00 Water Meter 60.00 Road Unit 185.00 Total 1.259.75 Signature of Permittee I A Building Permit is issued to: Orrin Thompson Homes on the express condition that all work shall be done in accordance with oil appljble State of Minnesota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN Include 2 sets of plans, mac} I' I BUIL I P ICATION G 1 site plan w/elevations & ulations l f 1 t D N PERMIT AP L se o energy . ca c To Be Used For ?ES,y IP Valuation' ryco.oo Date 3uw 3t , l9ao Site Address: LI 6l t ,&L'ri 4T i OFFICE USE ONLY Lot L Block S Sec./Sub. Bl4 GE?> 1F Erect 3 Occupancy _ THI KD Alter Zoning Parcel #: r / sO ? ?r?i _. e r Repair Fire Zone Enlarge Type of Const. 1/ Owner: Nbve # Stories Address: a Division of U. S. Home Cornorafinn Demolish Front 2.y ft. City/Zip code:- - _ KINS CROSSROAD Grade MINNETONKA. AUNN °-5343 Depth Y ft. 9oz Phone # : S 4 4 - -11 2 APPROVAL FIE Contractor: ORRIN THOMPSON HOMES Address: a Division of U. S. Home Corporation 1712 .v no i,n r[V City/Zip Code: MINNETONKA, MINN. 55343 Phone #: Arch./Eng.: Address: City/Zip Code: Phone #: Assessments ?aJ Permit / l0 Water/Sower Surcharge Police Plan Check 33 Pr Fire SAC 5 aS Eng. Water Conn. 3 oS Planner Water Meter (00 Council Road Unit / SS Bldg. Off. APC TOTAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 8 7 5 5 Date Issued: 09/11/96 4671 ALTA PT LOT: 2 BLOCK: 5 RIDGECLIFFE 3RD P.I.N.: 10-63982-020-05 DESCRIPTION: (ROOFING) 1uilding, Permit Type LSuilding' tMbrk Type Census Code A t MULTI. (MISC.) REPAIR 434 ALT. RESIDENTIAL REMARKS: INCLUDES FEE SUMMARY: Base Fee Surcharge Total Fee 4675 ALTA PT (LOT 3) 4672 STAVERN PT (LOT 1) VALUATION $74.75 $1.50 $76.25 4676 STAVERN PT (LOT 4) $3,000 CONTRACTOR: - Applicant - ST. LIC.OWNER: G & G ROOFING 16452531 0009369 RIDGECLIFFE ASSOCIATION 11677 HALL AVE 1745 KARIS WAY NORTHFIELD MN 55057 EAGAN MN (507) 645-2531 L_ I hereby acknowledge that I,, have read, this application and state that?the information-is.correct and agree to complAy_with all applicable State of Mn. Statutes-and City of Eagan -Prdinances. APPLICANT/PERMITEE SIGNATURE ISSUED BY: SIGNATURE ..TTY OP EAGAN CASHILR 0 tERMINP:! r'O 541) LATc.e f,°,1.3,"7 TIME; 1028:26 .Q&:; WAL AIR INC i 2210 900 Z. 7i AL- A PTT 50.00 2135 7C0! 401 ALIA PI 090 TRW F ''r ! pt. fiic c r', ,, WOO Ot) O {Oi 9 )8 1,1, US;i k If PANUI{ CITY OF EAGAN ?11L 2 3830 PILOT KNOB RD - 55122 W1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Requirement RemodeVRegair Reoufre ? 3 registered site surveys •-- ``? "y =' OMPO •? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) i .. . ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of free preservation plan if lot platted after 7/1193 required: _ Yes _ No ' -- - DATE: A tl j \, CP CONSTRUCTION COST:. ' I i Q O T7 0 DESCRIPTION OF WORK: f ll- r ° STREET ADDRESS: LOT BLOCK Lf - 4 6--7 q 1 S" {roc SUBD./P.LD. #: " P?+ p' L d- °L'.R • .. %- tc ! ' tt d .o_:wrw• :... .. (: 1'1 PROPERTY - Nagle-la 311- ? `°+z Phone OWNER-- tf re FIRS, Street, Address, _ ?? •?';:;-' ?') __ r.4 - - City •? , ,;,?., State: ica i:; ; Zip. CONTRACTOR impany:'?; C KOU?1' Phone sy? (ys ? t :rStreet Address: 7a L I.' 4 U'e -;License # ARCHITECT! Company: -.P Pone .__.-.__.. ENGINEER Name: Registration p ._ri Df? J 1r , Street Address " City: State: Zip`. 1'1 ,t.:-v.! - \ i..-j ,ange. i and lot Sewer & water licensed plumber. Penalty applies when addfesist'ch' change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the l rmation is.correct_and ,agree to`•edmply, war all applicable State of Minnesota Statutes and City of Eagan Ordinances. Nazi ?. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No - '0 A ' _ Tree Preservation Plan Received Yes . No OFFICE USE ONLY BUILDING PERMIT TYPE • . _ *$ " ? ,01:. Foundation: ? r;06:<Duplez; ? ".1? Apt./Lodging •y„t ? iur16 t -I ' Basement-Fir ishik}, •9i I. r ' " ? 02 SF Dwelling" of 07 4" plez 'rv ` m 12 Repair/Rem. 0 17 'Multi , Pool ' Swim ? 03 SF Addition ? 08' ,8-ptex o' 13 Garage/Accessory ? ' 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21. Miscellaneous ? 05 SF Misc. 10 ? = plex ? 15 Deck WORK TYPE 1 ? 31 New ? 33 Alterations ? 32- Addition ----? 34 ...Repair- . _- . s. . ? 36 Move ?-37 .- Demolition __-__ -,__, • ,-.. GENERAL INFORMATION 7' Const (Actual)y?M?? Basement sq. ft. r INCNVS Systerti ° " ... (Allowable) Main level sq. ft. City Water UBC Occupancy--- - Sprinklered Zoning sq. ft. PRV # of Stories,___,.. Booster. Pump Length sq. ft, - Census Code. Footprint sq fta Depth SAC Code, _ • --,__-„___-__, R.-..-Census Bldg -,..,.;' ?:F ssr^1kL1 i ` ,_, Census Unit " t+?p.hj 4??, . APPROVA L S , ,, \{y S .-...«.. ...._-t - _ _?,._...2,. • ?FAY _ i..•..nw...»-.w+,n .. s.uL.'.{.6....'.•yµ..' .u`[ 14+`, n ',i ' - ' Permit Fee 7 y 7 S`. valuation: , s' Surcharge-•- * ' .Yr n ?. :13r•fim,,L3: C"Z3T :=:?,4 Plan Review *i'`' -• • 4 license` ' : no tmWo a : ars;x?:1., MCIWS SAC .City. SAC-,-- y...,._._ .. .w + . - u C 4'• li?>? ?"J r{., J W ' p _. Water Conn. - .. n .n^f. . j x o . ,a 1'4'. - Water Meter;: SNV Permit ...;nSN V.S rc y Ti?ment Pl, Road Unit..: Trails Ded. : 3;,, ,:?1 :r::i:> ;: ;;i rte, a .. '- a ,... _. : M t•3 _., M ,,am- i Other ' Copies--.--' Total: ?(O `oZ 5 %SAC SAC Units CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 029408 Date Issued: 01/13/91 SITE ADDRESS: 4671 ALTA PT LOT: 2 BLOCK: 5 RIDGECLIFFE 3RD P.I.N.: 10-63982-020-05 DESCRIPTION: (GAS INSERT) rmit Type FIREPLACE roc Type NEW ' le ?, 434 ALT. RESIDENTIAL Al llz? Ike yovg ?- t # -imp REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee I $50.00 x.50 $50.50 CONTRACTOR: - Applicant - OWNER: TOTAL AIR INC 18947472 KNAEBLE BILL 1923 W BURNSVILLE PKWY 4671 ALTA PT BURNSVILLE NN 55337 EAGAN MN (612) 894-7472 (612)405-0846 rg I hereby acknouledge r-nar I haze r at#. h? #sl?catrar =end flags ttu 'the information agree to cpm £ th al.l p?ila db k e ,o=f r4rr, Statutes and City of Ea ah APPLICANT/PERMITEE SIGNATURE Dirvia U11 A U E ISSUED B: rnd 3830 PILOT KNOB RD - 55122 19+)" FIREPLACE PERMIT APPLICATION ti81-465 „rya and agree to comp] '.' . kno?ebi?. :r3?1.? TO EXISTING L(lo 7J C9 9 1913 ur,nsV, k1\e c?C? m? Q S ?pC?Ve- City: State: CITY USE ONLY L / BL 5 d RECEIPT #: SUBD. ,?Q.2 yt?-tJ e.7 r? RECEIPT DATE: L VV 1999 PLUMBING PERMIT (RESIDENTIAL) CITY of EAGAN 3630 PILOT KNOB RD EAGAN, MN 551 YY (650661-4M Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system -----'----- ---------- ------------- '------- ---------- -- FIXTURES ------- ---- EACH -------------------------------------- #_ TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink, 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x _ Floor Drain 3.00 x = Gas Piping Outlet * minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener for dwellings under construction 5.00 x = Water Softener for existing dwelling 30.00 x = U.G. Sprinkler for dwelling under const. 3.00 = U.G. Sprinkler for existing dwelling 30.00 = Alterations to existing residence 30.00 = Water Turn Around 30.00 = Private Disposal System MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems Abandonment 30.00 RPZ (new installation/repair) 30.00 = STATE SURCHARGE .50 Reminder: Call 681.4675 for Inspections of water heaters, water softeners, alterations, etc. TOTAL 50 I hereby acknowledge that I have read this acnligdon. state that the informason Ls correct, and agree to comply with all applicable Clty of Eagan ordinances. It Is the applicant's respons assumes no liability for any damages caused by the City during Its normal operational and maintenan ALLEN, BILL ,nit within City property/right-of-way/easement. 4672 STAVERN POINT . SITE ADDRESS: EAGAN, MN 55122 (651) 454-1539 OWNER NAME: INSTALLER NAME: N09J31,r'jM/ ??Z.?1xqP?Iti1c TELEPHONE #: 8' - V03.3 STREET ADDRESS: CITY: _44L:!?> STATE: 0 ZIP: '554108 SIGIVR(T?&YOF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 Cities iQital ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. CITY USE ONLY / ?' L BL RECEIPT#: SUED •ii'; d' •V•?"• 'S r. RECEIPT DATE: 5- 1'00 PERMIT# 409,01 2000 PLUMBING PERMIT (RESIDENTIAL) c1TY OF £AGAN 3830 PILOT KNOB RD KAGAN, MN 55122 651-6$1-4695 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system 0I VT11000 FAr" TOTAL r1A1 VRLJ Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet * minimum - t 3.00 x = = $ $ Hot tub/s a 3.00 x Kitchen sink 3.00 x = $ 1 Laund tra 3.00 x = $ Lavato 3.00 x $ Se tic S stem new/refurbished 'requires MPC llc. 75.00 x = $ Se tic S stem abandonment 30.00 x = = $ $ RPZ new installation/repair/rebuild 30.00 x Rou In o enin 1.50 x = = $ $ Shower 3.00 x Under rounds rinkler if dwellin is under construction 3.00 x = = $ $ Under roundsprinkler if existin dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener If dwelling under construction 5.00 x Water softener if existing dwelling 30.00 x = $ $ Water turnaround 30.00 x > > 50 $ State Surcharge 50 > . Total > > -.-> _-> $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. Iereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities cons" ed under this permit within City property/dghtof-way/easement. SITE ADDRESS: 7E' rJ iTt11r / OWNER NAME: : /.y 3 vn TELEPHONE #: (dam/) $'/- /6-9 a INSTALLER NAME: Ay z - TELEPHONE #: (&/Z? S -??Su f (AREA CODE) STREET ADDRESS: ZSOO C4-w/Gt S CITY: Ysi. !!f- S ATE: / ZIP: W f ? SIGNATURE OF RMITTEE 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan O 3 ( ?? r 4 3830 Pilot Knob Road, Eagan MN 55122 o Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeUReoair Requirements / Office Use Only 3 registered site surveys showing sq. ft. of lot sq, ft, of house, and all roofed areas 2 copx's of plan Can of Survey Recd - Y - N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y - N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y - N 1 set of Energy Calculations Addition- indicate ifonsde septic system On-site Septic System _ Y _N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Site Address lv ??-I Construct; n Cost 1 2 a , y C) d vv + k Unit/Ste # Description of Work ?r? A ? LA a W-k-,V t 0 W S Multi-Family Bldg - Y - N Fireplace(s) - 0 _ 1 - 2 Property Owner Q P k { S + t / s GSSp Ahone # (9 ",?5A Contractor In 3 (? Address \ a 1 State City Zip Telephone # COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( N If so, 25% plan review Telephone #(___ Telephone # (J,I - IJ t- -- I hereby apply for a Residential Building Permit and acknowledge that the information is complete and 'accurate; that the work will be in conformance with the ordinances and codes of the City_rif=l agan-and--Yt a-State of MN Statutes; 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. ci' Applic is Printed Name Applicans Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width - Footings (new bldg) Footings (deck) Footings (addition) _ Foundation Drain Tile Roof Ice & Water Final Framing - Fireplace - R.I. _ Air Test _ Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS Final/C.O. _ Final/No C.O. Plumbing HVAC Other Pool _ Ftgs _ Air/Gas Tests - Final Siding Stucco _ Stone _ Brick Windows Retaining Wall Building Inspector 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # Contractor Street Address City State Zip Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank _ Install -Remove "see below _ Interior Improvement - Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date / Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type - New Construction - Underground Tank _ Install -Remove *`see below - Interior Improvement - Install Piping - Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installationtremoval $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1 % _ $ Permit Fee • If permit fee is $1,000 or less, add $.50 $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspector Date: ?e e `1 ( 9 (-F-, Pf- Fj 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit C.D Date Site Address'-{ (. 7 SS O 3 y,rYl Unit # i A 1 ten Telephone # O Property wner Contractor Wohlers Southside Htg. & Air, Inc. 6950 W. 1460' St., #106 Street Address Apple Valley, MN 55124 City (952) 431-7099 Telephone # State l? Bond #: (? L= 0547987 Expires: OB? as ?? The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional ??. Replacement - New _ air exchanger air conditioner heat pump other IJ n'y ?1 $ .50 State Surcharge Total I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. C 1-y? Applicant's Printed Name - Applicant's Signature ¶ 5a,50 2007 RESIDENTIAL MECHANICAL PERMIT APPLICATION C L " City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 r Telephone # 651-675-5675 s L' F?OCT1r Please complete for single family dwellings. townhomeskondos when permits are regv Date_?_/ .a r) l 7i r+I?l ?? Site Address Property owner Telephone # ( ??) (}7 o ' a ?i r Contractor Street Address S W/I City State Zip S?IZ Telephone# (??) Y3/- tti/?? ? Bond #: /? W J Expires: The Applicant is _ Owner ? Contractor Other Fire repair (replace burned oat appliances ductwork, etc) $ 90.00 This fee applies when'extensive mechanical repairs are m d t b i a e o a u lding. Add-on or alteration to existing dwelling unit $ 50.00 furnace _Addidonaicement New air exchanger air conditioner _ heat pump other State Surcharge $ .50 Total $ I here/ apply for a Residential Mechanical Permit and acknowledge that the information is complete and ac ovate; that the work will be in confonnanoe with the, ordinances and codes of the city of Eagan and with the Mechanical Codes; lderstand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work wil/l/fn accordance with the approved plan in the case ofwork which requires a review and approval of plans. n 1 Applicants - are Phone: (651) 675-5675 I ( (? Fax: (651) 675-5694 2008 RESIDENTIAL Date: Site Address: Tenant: Suite #: RESIDENT I OWNER Name: 'u l I t (Ct,lr A f lebl Phone: /ii` g6L(- (5 E Address / City / Zip: SC ?C cQ /? j?J CONTRACTOR Name: License #: (-, (71 O FA-? Address: 6Aam len p City: 651-365-1340 State: Zip: Phone: Eagan, MN 55123-133%ontact Person: r ( S 0', e b TYPE OF WORK -New '/Replacement Repair _Rebuild _ Modify Space _Work in R.O.W. Description of work: ° PERMIT TYPE RESIDENTIAL Wat H t er ea er -Water Softener f11?I12[ _ Lawn Irrigation -Add Plumbing Fixtures (_ RPZ / _ PVB) L_ Main _ Lower Level) JAN 16 2008 _ Septic System _ Water Turnaround _ New _ Abandonment By 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 $136.00 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 $ 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. p. Y r x ?Ct rv?oS ?'I (t?l? Applicant's Printed Name J ApplicanfA Signatur FOR OFFICE USE Reviewed By Date t' £t ' Required lnspectioris Under Ground Rodgh ln? 'x ir Test ' Gas'T st =IF(nahy? . ?r n k ,i? ----------------- Permit fficaUse #: a) (O.S bb?? I Permit Fee: Date Received: I Staff: `----------------- PLUMBING PERMIT APPLICATION -a- StCCVerh 51,60 C.R. WINDEN & ASSOCIATES, INC. 'LAND SURVEYORS T.I. 645 -3646 1381 EUSTIS ST, ST. PAUL, MINN. 55108 FOR: U. S. HOME CORPORATION o?'\P Iq N Scale: 1" = 20' 0 Denotes Iron OA 7 Note: Buildings shown are proposed As of this date Ridgecliffe Third Addition has not been recorded. FJ?J CERTIFICATE OF SURVEY °v Lots 1 through 4 inclusive, Block 5, Ridgecliffe Third Addition, Dakota County, Minnesota. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. Dated this {hday of July A.D. 193'O C. R. WINDEN & ASSOCIATES, INC. By /14G+?uc. I ,RU Surveyor, Minnesota Registration No.)Oq g J r ]p A? PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108555 Date Issued:12/17/2012 Permit Category:ePermit Site Address: 4671 Alta Pt Lot:2 Block: 05 Addition: Ridgecliffe 3rd PID:10-63982-05-020 Use: Description: Sub Type:e - Furnace Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, 952-445-2840 Lisa Skogen 5660 Memorial Avenue North 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 - Karin Sha 4671 Alta Pt Eagan MN 55122 Hoffman Refrigeration & Heating 5660 Memorial Ave. N Stillwater MN 55082 (651) 439-5770 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink r For Office Use I City of EaEd Permit I Pe rmit Fee: 50 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: 13 Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: CW2 2013 RESIDENTIAL BUILDING PERMIT APPLICATIOq I - N N I 10 Date: 3 Site Address: !Y4 71 , ~ 7 ~ L?'7~ P4', ? ` Unit : Name; Phone: Resident! ' f g fi S ~L-K-L4e- ar~ tti k-C S~-~ -`S'O /Zip: Owner Address / City F Applicant is: Owner _ Contractor s f Type of Work ' Description of work:/ Construction Cost: ~S pv b Multi-Family Building: (Yes / No Company: A2-oil A&We- Contact: A ft4A'199'snil /X•rf ~ Contractor Address: 05- e_ ri~~ City: State: Zip: T-SE 337 Phone: License ,2o 3 fG G 6 / Lead Certificate 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: "a,_ . _ m,. _ _..w _..e... , w _ . - NOTE: Plans and supporting documents that 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 permit the City to d conclude 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.gopherstateonecall.org 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 State Building Code must be completed within 180 days of permit issuance. x Q!~eA441~ App ant's Printed [lame App tcant's Si ature Page 1 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use ] Permit #: 1 144% / k �51�' Permit Fee: 4-1'5. 5° Date Received: 1 /'t 113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 16° Dater 2 /' 3 Site Address: 4%47/j , ¥G7f , `fes- nitro P ,i r- nit #: S > Name: RlO6e.,Lli e ' S't-1 tS UG . Phone: / 4/957.5- 61 -14.14e -e, CG,, 5-irfe cCo Girl' a yr Type of Work Address / City / Zip: Applicant is: Owner )( Contractor Description of work: 170 Te - rd ® f Construction Cost: $* -Swb Multi -Family Building: (Yes / No ) Company: Address: 420'1 Home- ,/e -d ekOtrContact: j/ c 15C44,6tti o$ ae9ee--g (G•�c-'r-. City: e State: f l Zip: r-5-337 Phone: License #:?'c 33 d G G 67 Lead Certificate #: 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: Sewer & Water Contractor: Phone: NOTE: Plans and supporting docunr the information may be classified a you s -public if onclude that the are considered to be ;t lic information. Por ovlde specific reasons tha yould: mit. h tra+ as 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.aopherstateonecall.org 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 State Building Code must be completed within 180 days of permit issuance. Appek4V-'1 Printed Da me .41"' SaralliW App icant's Si nature Page 1 of 3 41,1/* City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 i r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 71 Site Address: 4/7/ ytO5 46774,7, 6 % L, v67 L. 5-kVevu Unit #: Resident/ Owner Name: g(g6 e -G L 1 // flidePhone: Address / City / Zip: E...4.'.0-1 Applicant is: Owner Contractor Type of Work Description of work: 5/?,//71/43 Construction Cost: 0 3 d 0Multi-Family Building: (Yes " / No ) Company: 4/4/20n t7 he- ./I?/r Contact: 0;', &-illc4J1'Y 6 - Address: / 3Z 0S S5c�ekk City: ` "9614-4'///: Jv State: /41 Zip: rj> ,3,3 1 Phone: 6/I) — la - 716 7 License #:o2 O 3 fo C.7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that 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 permit the City to conclude 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.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 State Building Code must be completed within 180 days of permit issuance. fit e4e -Di,k Applicant's Printed Name x Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA179365 Date Issued:09/30/2022 Permit Category:ePermit Site Address: 4671 Alta Pt Lot:2 Block: 05 Addition: Ridgecliffe 3rd PID:10-63982-05-020 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 Total: This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after started. 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 - Karin Sha 4671 Alta Pt Saint Paul MN 55122--264 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (651) 633-2561 Applicant/Permitee: Signature Issued By: Signature