4673 Jackstone Pt
For Office Use
Ct lof E"" a ajtj ®20®~ Permit
City Permit Fee:
3830 Pilot Knob Road Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 4 L
Tenant Suite
RESIDENT /OWNER Name: Phone Q l 0
Address/City / Zi :
CONTRACTOR Name 6j-_UJ_L 4# se : _ 1-,-
Address: t2t - -
1-1 C111
City: Q~ } Stat U \ Zip 734-6t 4
Phone: ULl1 ULS1 Contact Person:
TYPE OF WORK New replacement Repair Rebuild _ Modify Space Work in R.U.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
I 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 $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
actor ance with the approv plan in the case of work which requires a review and approval of ns.
x
Applicant's Printed Name Appif nt's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4673 Jackstone Pt
Lot: 3 Block: 08 Addition: Ridgecliffe 4th
PID:10- 63983 - 030 -08
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Sharon Bright
4673 Jackstone Pt
Eagan MN 55122
$88.50 0801.4085
$1.50 9001.2195
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
Building
EA084913
08/04/2008
ePermit
~`L For Office Use
lh Q
Permit ~0 r 9
City of ~
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I ~~O +
Fax: (651) 675-5694 I Staff:
L-----------------
2008 .RESIDENTIAL PLUMBING PERM~ IT APPLICATION
Date: Site Address: " ! 1 ti~/L~i/'(J 1 V 1 ~.C P~
Tenant: Suite
RESIDENT/ OWNER Name: DW & Phone: W J f • '~'E"` `1J?
Address / City /Zip:
CONTRACTOR Name: icense
Address: Appliance Connections Inc
131.5 Danita Or
City: Sh_koPe°sMN 55379ate: Zip:
Phone: g52-44"03n:
TYPE OF WORK - New replacement _Repair - Rebuild Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
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 $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 a case of work which requires a review and approval of plans
x x
Applicant's Printe Name Applicant's S ture
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground -Rough-In _Air Test _Gas Test -Final
f1�4
�= 1'
P:II1 ofd � ;' t1:111-- ,
Orrin "tout ;soo " ooties
473 Jztckstone Point L ! c�.. .i :� 'e 4th_
+ f ff l": CMnz Ryan
, 'fir Np.: C.ornrction Oar.: .65 .96,, Ft
� Deist: '. r '. '
n .: r : ` 1 9° pa ..
+► tie Cftr. 54 gd
Misc. Charges:
fi.C�� . me ter
4 D + Date dote tbid:
of Insp.: / A e " ► ' �' in '
Of t4SAN VICE Mktg '. '.
wi Piet . Knob Rood PERMIT NO.:
Soon, MN 55122 DATE: 1
r.
Zoning: i s.. No. of units i ter Y
owner, 'rri . l l .`?,soon
Address:
Site Address: - , 4673 siacle.stone 'c _ nt ? \I' c? ec1' z "e '+t?;
Plumber: ,..C;erz
1 0/2 /CT 21169
I oyes to ' with is City of MMn Connection Charge. 42 pd
Cases. Account Deposit: L
Permit Fee: 10.00 Id
Surcharge: • _, pc?
By 1 / Misc. Charges:
Date \gF ; 1ps _G Total:
lnsp.: f -. .l2 - C) Date Paid:
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172910
Date Issued:10/21/2021
Permit Category:ePermit
Site Address: 4673 Jackstone Pt
Lot:3 Block: 08 Addition: Ridgecliffe 4th
PID:10-63983-08-030
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 -
Sharon Bright
4673 Jackstone Point
Saint Paul MN 55122--263
(651) 983-5405
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature