4710 Tana Pt
For Off ce Use
Ct iPermit I y of Eajau
Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff*
Fax: (651) 675-5694 1
2009 RESIDENTIAL BUILDING PERMIT APPUCATION
Date: 7i't 9 Site Address l f ® q i
Tenant: 1 Suite
RESIDENT / OWNER Name: / 7G (SCa n W Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 5 0 ?I 0.1A a
Construction Cost: _6PS_ • Cti Multi-Family Building: (Yes No
CONTRACTOR Name: { SYr_ " k1 " -i-"k License # O CIO j
Address: 70 o
City: (ww 4- V 1 State: Al_Zip:
Phone: 7 ~~i ''Oi Contact Person: 1
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: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be pubes Information. Portions of
the information may be cued as non-public if you provide specific reasons that would permit the City to
cones that the are trade secrets.
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 it the work w4N be in
accordance with the approved plan in the case of work which requires a review and approval of pla .
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Applicant's Printed Name Applicants Signature
Page 1 of 3
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3795 P 1* Knobs,. Reed PERMIT NO.:
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•A$ 55122 DATE:
Zoning: No. of Units:
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Crwner: '
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Site Address: ? m " f
Plumber:
1 espies N eeerglr wl t Ile Cit ► of Eagan' Connection Ordiassess. Account Deposit:
Permit Fee:
Surcharge:
By _� Misc. Chorges:
r Total::
l" "Z G, Dote Paid:
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Use BLUE or BLACK Ink
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For Office Use n
Permit#:
City of Ea ~a~
Permit Fee.
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
//J'' ` 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - Site Address: Unit
Name: Y,711- `171S~ C"101P V710 " Y71'1 rte' lg~ll Phone:
Resident/
Owner Address / City / Zip: Ijedee-
Applicant is: Owner Contractor
Type of Work Description of work:/!
Construction Cost: Multi-Family Building: (Yes / No )
Company: 2 dm Contact: i);;l C
Contractor Address: /✓~r ~~1~ e~ City:
State: N17 Zip: Phone: 671 License U e) 16-7 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 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.clopherstateoneGall.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.
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X 'Dry/,
X
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161294
Date Issued:05/18/2020
Permit Category:ePermit
Site Address: 4710 Tana Pt
Lot:1 Block: 05 Addition: Ridgecliffe 2nd
PID:10-63981-05-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Arlen W Nelson
4710 Tana Pt
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature