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4645 Ridge Cliffe Dr Use BLUE or BLACK Ink r----------------- For Office Use q I ~ EaEd P ermit I-I 111. y tot1 ~ I I Permit Fee: I 3830 Pilot Knob Road I Z i~ Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: Site Address: 19r" Tenant: 'V I G Z;, Suite M RESIDENT OWNER Name: Phone: -7/ 3 / Address / City / Zip: Name: License#: Address: ,55 City: i, CONTRACTOR State: -All.- Zip: Phone: Contact:- 1. •j.~~ Email: //A 5 V✓ ~ ~ T C .C9 PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK Sump Pump Repair Repair ;--Other: _z Other: DESCRIPTION Description of work: FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeacian.com/inflow, or City Hall at 3830 Pilot Knob Rd. 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.goi)herstateonecall.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 ich requir, s a review and approval of plans. Applicant's Printed Name ' App icant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In !Final I 1 1 Permit 1 I l 7 ~ I Cit of EI Permit Fee: c 3830 Pilot Knob Road / I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 t Staff: 1 Fax: (651) 675-5694 I 20og RESIDENTIAL BUILDING PERMIT APPLICATION ~ K~ Date 0j'- Site Address: 1-1161-f-t Tenant: Suite RESIDENT I OWNER Name:2 hone: Address LCity lZip: Applicant is: Owner , Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: !°~~CCIn~'"c License "3 Address: City: /T'o State: Zip: 5 S lJ Phone: fZ-~/~T Contact Person: rJ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential; Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) Energy Envelope Calculations Submitted 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: Phones Sewer & Water Contractor: Phone: NOTE: Plans' nd supporting documents that you submit are considered to be public information. Portions "of the information may be classified as non-public if you ode specific reasons that would permit the:CJ'ty to conclude that fh de_secrets. 1 hereby acknowledge that this information is complete and accurate; that will be in confomnance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a pft, and work is no Yo start without a permit: that the work will be in accordance with the approved plan to the case of work which requires a review ansapproial of pla x t` x Applicant's Printed Name A ants Signature Page 1 of 3 r, r ' • , J ~ C. R. Vi/INDEN & ASSOCIATES, INC.. LAND SURVEYORS TsL 646-3646 For 1381 EUSTIS ST., ST. PAUL, MINN, 55108 : U. S Home Corporation `7 yS ZloyC C1 U(- ► ~ N Scale: 1 = 50 k \ wF ~ A Q N C2 33 32 o ~ti 22 j3 / ;.r ~4 ~3 a O titi MC) ti 2 G C G 7 Y P Q 3 M s ~ T M 3 r r f Note; As of this date Johnny Cake Ridge Third Addition has not been recorded. Lots 1 through 4 inclusive, Block 1, Johnny Cake Ridge Third Addition, Dakota County, Minnesota WE HEREBY CERTIFY THAT THIS I A TRUE AN A 5 D CORRECT REPRESENTATION OF 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 83 day of ~UT _A. D. 198p C. R. WINDEN & ASSOCIATES, INC. by rr?? Surveyor, Min"sota Registration NO-22 ei CITY -OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner _ Address: j Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I 1 agree to comply with the City of Eagan Surcharge: OrdAof . Misc. Charges: Total: By Date Paid: Date Ins Q~. Insp.: CITY of EAGAN SEWER ;SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan,' MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Plumber. 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: �c��� '1� IP-�� ��,� ��� yc���, , �� , Use�LU�or BLAGK ink �'(r��s ��`I� �G,r� rCl•�F�o��u�---------.i • � ' � � � Z,��Z� r �� � � J � PermitE#: � � f���� � � � , � Permit Fee: ; ��. � 3830 P�iof Knob Road ; Eagan RAN 55122 � Date Receroe�d: j Phone:(651)675-5675 � � Fax:(651 j 6T5-5694 1 Staff: t I ( . . . . . . � . . .t���.�....... �.���.�.�..���J� 2014 RESIDENTIAL BUIL.�31NG PERMIT APPLICATIBN �-f 6��c -� yl � 'Z P� 11°�-P� �� � Date:�'���'"j� Site Addre.ss: L['��/�'" � �/ 7 �� �iG Ci,r/��` ElnFt#' � tVame: ��/�i1� �-r�'�� t t�t,.�r��?�+�r� �Phone: � �R£S1[�@fl#� � C1W1��F Address I City f�ip: ���"�' /��� , Applicant is: Owner � Gantractor Description of work: ��r�r �(�� �{ ��- ---J'�o�'/"�� TYt�+a of WoMC � Cons#ruction Cost:������ Mu�i-Family Building:(Yes�/No� Company;I VC�I��1°5� �r�Y11�v9�C.�U15 '� Cor�taact t l f� �G�tJ��' � Go�tra�t�r �daress:�5'��� �✓���`��ja�r- L,%�-y}x /� c;�,:���'� �f�t�l.�� �t . �r �� �,.���i_��", �r State_�Zip:� Phone: ` Emai1:��►rn�? t3v'L�_,;'..,..5'T��r�t�J`�✓�v�vv — trcense#: �J� �.r�S� �'1 7� -_�c. �_�-�. l.e�aa certif[cate#:!V�.t—.—r�i�1 t9 3 ~-� It the pro}ect is exempt from lead certi#°�cation, please exptain why: (see Page 3 for addition�it informatian) CflMPLETE THIS AREA ONLY IF CONSTRUCT'ING A NEW BUILDtNG )n the last 12 roont , a�the City of Eagan iss�d a�rmit€or a similar plan based on a ma�#er plan7 ` ^Yes _No if yes,date and addr master p[an: Ucensed Plumber: Phone: Mlechanicai Contractor: , Sewer 8 Water Con r; Phone: �OfE= �a�d syppof#in�'docu�n�nfs fl!rat yc�rt sutimit�r�caasideF�c!f4 L�e publhc in�rrn�#an ��rti�ns of �� � trtfQrmatiet�m��rb��la�si�ed&s nart pubiic ifyot�pr+ovid'e.spec�c r�s�trs�lr�t t�r�ittfd{�ei�►rtt:��G��,r#t> c��rcf�de#tr�=f�ie �r��ad�secc�ts. CAL�BEFORE YOU D1G. Cait GophrerSta�One Ca8 at(651}454-00pZ#arprotection agai�st undergrounci ut�lity damage. CaA 48 hours beiore you iRtend to dig to receive locate.s of underground utilities. ww�v.c�opherstateonecait.oru i hereby acknowledge that this irifarmation is t:ompiete ar�d ac�urate;that the vaork wlit be in t:onfwmance with the ordinan�ar�tl codes of it►e Giry of Eagan; #hat 1 uadersfand this is not a permit,but only an applic�tron#or a permit, and w�ork is not to start writhcwt a permit;that the work will be in accordance writh Ute appraved pfan in the rase oi u�rorlc wk►ich requires a review arxt approvat of plans. Exterior�nrork authairized by a building pemvit issued in acc�dance with the Minnesota State iiding Code must be compieted witt►in 180 days of}�rmit issuance. ' ���� �r x i/ ' � G - . ---""� x � , • Applir.anf's P�r�ted Name anY's Signature Pi�f of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176283 Date Issued:05/10/2022 Permit Category:ePermit Site Address: 4645 Ridge Cliffe Dr Lot:4 Block: 01 Addition: Johnny Cake Ridge 3rd PID:10-39802-01-040 Use: Description: Sub Type:Water Heater Work Type:Replace Description:Standard Water Heater 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 - Thomas Harwood 4645 Ridge Cliff Dr Eagan MN 55122 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature