1790 Crestridge Lanecirr oF EAraN
? 3795 PiIM Knob Road Eagan, MN 55142 NP 4585
PHONE: 454-8100
BUILDiNG PERMIT APPLICATION $53,000. Receipr # 8201
7o ba uxed for Sine. Fam Dele. d Gare. Da+e N°°' 22' . 19 77
Site Address 1790 CLCStiidgC LII _ Erect Elic Occupancy I
Lot $ BI«k 3 Sec/Sub. Ridgeview Acres qlter p Zoniny Rl
porcel # 10 64000 080 03 Repair ? Fire Zone 3 _
Enlarge ? Type of Const. V
w Name Metvitt Carll Move ? .# Stories
; Address Ainber CC, pemolish ? Front 97 ft.
? Ci E498n Phone 454-1574 Grade ? Depth ? ft.
? Name A7 91 i o Cnnet /1DVrovalf Fees
O
8? Address 644 SuDETioi Ct.
Assessment
Permit 145.00
~ Water & Sew. Surcharge 26.50
1410
Phone
Ci i Raong
Police Plan check
Fw Ncme Fire - SAC 475.00
u? Address Eng. Water Conn. 230,
<W Ci Phone Planner WaterMeter 60•00
Councii
I hereby acknowledge that I hove re d this opplication and state that gldg. Off.
the information is mrrect and a ee ta comply with all opplicable 936
50
State of Minnesotu Stat es 'City of Eog`an? Or/dir?w?)ces. d'^ APC
Signature of Permittee .
Total
Blll?e_COnst,
i
A Building Permit is issued to: ??? on the express condition that
'
appijZable State of Minnesota Statutes and City of Eagan Ordinances.
all work shall be done in occordayfr,q wirt? al
Bullding Official
' CITY OF EAGAN
? ? • 3795 Pilot Kno6 Rocd Eagon, MN 55122 N2 4565
i PHONE: 454-8100
BUILDING PERMIT
Site Address ) LL luge Ln
Lot Block Sec/Sub. idgeviev ACtE
Parcel # ?
W I Name
3 Addre:
0
` Name 1 i t io C'nnct?
?? Address • ,, , , ' „? ^ r
F /^:... . DL..-..
Nome _
Address
Receipt .# 820
Erect ?
c
Occuponcy
Alter
? F
Zoning -
Repoir ? Fire Zone _
Enlarge Q Type of Const.
Move ? # Stories
Demolish ? Front - ff.
Grnde ? Depth ft.
Approva Is Fees
Assessment -
Water & 5ew.
Police
Fire
Eng.
Planner
Council
I hereby ocknowledge thot I have read this application ond state that gldg. Off. -
the information is correct and agree to comply with a!I applicable APC
State of Minnesota Stotutes ond City of Eugan Ord;nances.
Signature of Permittee -
Permit : .; 5• UU
Surcharge ' 6. 5C
Plan check
SAC
Water Conn. _
Water Meter
l'orol 936.50
A Building Permit is issued to: ''`'Y'-' t• on the express condition thot
all work shall be done in occordance with all opplicable $tate o# Minnesota Stotutes and City of Eacan Ordinoncas.
Building Official
PennM # Date luwd rwmMMo
Plumbin9 ;' 7
Mechonical 7
INSPECTIONS ? DATE INSP. Roupt-in Pirwl
Footings #/ Date Insp. Dote Irup.
Foundation yrJeJ'o.l Plumbing _ . - -) -/l•7
Frame/irts. - tq-? Mechaniwl
Finaf ? /] •
Remarks: J- J9- 7,f FdI, a ?rA [lrs ?/O7- ?USP?/Cg _.rtgvGJ t-oss b ??? h? vs T?i P ef?? o< <yLr?n ed ,?
r??a? ?sd •
fZ?
reMrA
77 • ? ? - 7f
' CITY OF EAGAN
3795 Pilot Knob Raad
Eugan, Minnesota 56122
Phone: 454-8100
c7t mrIktr
PERMIT
X No.
Dote: Cecemher 29. 1977
Site Address: 1790 (` r e s t z i d g e L a n e
Lot Block Sub/Sec. idgeview Rcres
, '• 1
Receipt No.: ?
Single I
Residential
Multl Res., Comm./Ind. I
Name r
New/Alter./Repolr. ?
? Address Cost of Installation
CitY Phone: Permit Fee
Name
? Surchorge
? Address 1 ,?: ? Co, 'Pc'.,er. t Trail
? -
City Phone: Toto l
This Permit is issued on the express condition thot all work shall be done in accordonce with all applicable State of
Minnesota Stotutes ond City of Eogon Ordinances.
j 9uilding Officiol
?
LUMSING
cirir oF EAG?N
3795 Pilot Kwob Raod
Eayaw, Minnasofo 66122
Phoee: 454-8100
PERMIT
Dote: 'u?r?er
?7!?`? . _ . .. . 'Kan
Site Address:
Lot Block Sub/Sec. _-
INome _
.
; Address
O
City Phone:
.. / . ., ._ , . ?., .,i .. _ , . ? , .,
Nc
Receipt No.:
Single I
Residential
MuIH Res., Comm./Ind. I
New/Alter./Repoir
Cost of Installation
Permit Fee
Surcharge
50
?I
? Address
0
V
City Phone: Totol
This Permit is issued on the express condition thot o!I work sholl be done in acoordonce with all applicable Stote of
Minnesoto Statutes ond City of Eegon Ordinonces.
Ldgeview Acres
Building Official
CITY OF EAGAN Remarks
Addition Ridge View Acres Lot 8 Rik 3 Parcel 10 64000 080 03
owner /!, Pr vin A.'A1Llri1 tl'.? r 1! 5treet 1790 Crestridge Ln. State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
pk,4-STREETSURF. 1 $980.00 98.00 10 4-21-78
STREET RESTOR. ? 1707.18 170.72 IU
GRADING
,cb SAN SEW TRUNK 1968 100. 00 3.33 30 -21- $
akSEWER LATERAL & StutJ 1972 ZO
WATERMAIN
' ntWATER LATERAL& Stub 1972 ZO
WATER AREA
STORM SEW TRK 1983 561.00 37.40 15
T3 nkSTORM SEW LAT 1972 $2]]5.60 $138. ]8 20
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 230.00 8201 11-22-77
BUILDING PER. #4585
SAC
PARK
? •
SEWER SERVICE PERMIT
CITY OF EAGAN pERMIT NO.:
3795 Pilot Knob Road
DATE:
Eogon, MN 55122
No. of Units:
Zoning:
pwner:
Address: --?-----.
$ite Address: - :
Plumber. _?--
ree to eomplp with the Citp of Eagae Connection Charge:
osit:
?
D
ag ep
Accourkt
Ordinances. permit Fee:
Surchorge:
Misc. Chorges:
B`/ - Totol:
Date of insp.: pOYe poid:
1 nsp•:
CITY OF EAGAN
3795 Pilot Knob Rood
Eugan, MN 55122
Address:
No.: -
No.:
to wmply with fhe Citp of Eogoe
of 1 nsp.:
PERMIT NO.:
DATE:
No. of Units:
Connection Charg
Acwunt Deposit:
Permit Fee: --,
Surcharge:
Misc. Charges: .
Total: ---
pote Paid: -
This request void 18 months from 74893
Date of his Request ? r ?'?"
I, as icensed Electrical Contractor ? Ownei, do rebfy r-eq?uest?? ti fhe abov electri-
cal w' 'ng installed at: ?? ?? /. ?
Street Address or Route No.
Section
Range County D1a"-
Which is occupied by (-t ('Cc "?
(Name of Oct pant)
Is a roughin inspection req ired on this job? No ? Yesy? Ready Now ? Will C `
F ?
Power Supplier Address
A-33 941 -7
Electrical Contractor Contractor's Lic r se No. ,
Mailing Address ,4l f
lecttica Con c?r o Ow , r Making This lnstallatio
Authorized Signature _ Phone No.
(Elactr on11acto1 or Owne, aking?T?h/ Installatlon)
? L i J /LOY'
Minnesota State Board of Electricity
1954 University Ave., Sf. Paul, Minn. 55704-Phone 645-7703
REQUEST FOR ELECTRICAL IWSPECTION O 74893
CHECK BELOW WDRK COVERED BY THIS REQUEST
_1„_..,..__ w.e.., naa aa.. ('hwrkAnnliancesWiiCdFO[ CheckFquipmentW¢edFor
Home ? ? U Range
Duplex ? ? ? Water Heatec
Apt. Bldg. ? 0 ? Dryei
Commercizl Bldg. ? [] ? Furnace
lndustrialBldg. ? ? ? AuConditRi
Faim ? ? ?
? List ?!
0hers?
t
Othei ? ? ? Here
ri
? Tempofary Wiring
? LightingFixtu[es
Electric Heating
? Silo Unloadet
fl RulkMilkTank
?
I;UMYUlt 11V6Yrc iiv r+ rnn n. .a.?..
'
f Fee Ci*cui[s: # Fm
Secvice Entrance Size: # Fee Feed
_
.
0 to 30 Am eres a.,
0 to 100 Am s. 0 to Am .?g
- 31 to 100 Am eres /
101 to 200 Amps. pere c
31 to 100 A Above lO?Amps.
Amps.
Above 200 Above 100 Amps. - `
_
Txansformexs AemoteControlCirc. pa?tial o? othex fee
MinimUm fee $5.00
Signs Speciallnspection qs
Remaiks
I, the Electrical Inspector, hereby certify
(Final)
This request void 18 months from
TOTALFEE
a has been made. -A'
A te 1-
te L1-
?._-
This sequest void 18 months from
O 74889
Date of this Request U-17--1-7
I, as`l?Licensed Electrical Contractor ? Owner, do hareby request inspection oF the above electri-
cal wiring installad at:
Stieet Addr?Bs?r
?7' l
Section
Which is occupied by
te No. d ? I-PJ D6 C ? City 6464-P"
i p Range County ?
pvame m ..c..uvan•?
Is a roughin inspection required on this job? No O Yes ? Ready Now ? Will Call??,'
PowerSupplier_/>40?? 6!!2?1 (_ Address
Electrical Contractor ??? Contractor's License No. ??r7
(CO{qpany Nama) _
Mailing Address
Authorized
ae
Real..Gpq([3G[qr or Owner maKing I oIs Insca
Jl)-fne-f. k?l /e 13 ye
Minnesota State Board of Electricity
954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
REQUEST FOR ELECTRICAt iNSPECTION
CHFCK BELOW WORK COVERED BY THIS REQUEST
No. ?0/_2?
.c? > ; ??
0 74889
Type of 8uilding New Add. Rep, Check Appliances Wieed For Check Equipment Wited Fox
Home ? ? ? Range ? Tempoxazy Wiring ?
Duplex ? ? ? Water Heatec ? Lighting Fixmxes ?
Apt. Bidg. ? ? ? Dtyer ? Electric Heating ?
Commemial Bldg. ? ? ? Fumace ? SIlo Unloader ?
Industrial Bldg.
Carm ?
? ?
? ?
? A¢ Condif uer ?
Lis[ )
y Bu1k Milk Tank
List ?
}
p
.
ex
Othex ? ? ? H
e
)
COMPUTE INSPECTION FEE BELOW
Service Entrance Size: # Fee 11 Fceders&Subfeede[s: its: # Fee ?
100
Remarks
TOTAL YEE(q. Qv
I, the Electrical Inspector, hereby certif that the above inspection has been'Made!
(Rough-in) ? a I C Date
(Final) vczJ, Date
This request void 18 months from
?oT ? /.??'E:,?? ' ?:o? c'??', ??'<?o?1C 3 '?? e v?e?v ,??s
I ?
s
?
( 0. "
f?
J?
?
, .
,
.5J
'
I 59
,
; .
'8yo,,-q?l
.
BUILDZ:iG PiR24IT P.PPLICATIODI
Date:- j 'ZJ 7 1V7 7_
,
LOT ce EIACK 3. ADDI:SOa7 rdor cl'C1lJ ?etit/-)
? -
PtIRCEL & SECTIOPI ANI7IIER IF Ui]PLATTED
rDuREs
zoiarac
ESTIMAiED COS'i' QL`
0[,Ta7E:2 TELEPHOtdE NO.
A9ARESS " ?
K
CO?QTRACiOR ? L. c° ?
TEI,EPHOEdF. 510.
ADvRE5s F"
tdote? Include site plan, building plans, and energy c culations vaith this
application
Signed
OFFICE USE
G?00
vra,o:ri =o0 1
sac
r»TLEa coMNsc.iU43
caa2Ek !r,tTER
IIUILDING PERIiIi FEE
SUFcCIiAF2GE FEf's
PLPST CCMK FF.E
PARK DEDIC.?ITIO-? FLE
OT3r^,R
TOTAL*
J"
APPROVALS:
ASSESSME'iVT CLERK BUILDIIdG DEPT. POLICE DEPT.
T•1A'PER & SEE'?E;R DEPT. FIIL DrPT. PARIC DSPT
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
? CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Conshucflon Reaulremenis
? 3 regisfered sMe suneys showing sq. N. of lot, sq. R. oF house
and ail roofed areas (20% maxfmum loi coveraae aliowed)
> 2 coples ol plans (show beam 8 window akes; poured tnd. design; eTc.)
: 1 set of energy ealculaFlOns
> 3 coples ol tree preservation plon H IW plaHed afler 7/1193
DAiE: v / Cg j?
? ?ry,,,,?,p+?61f? ,,?,'?_/ )
DESCRIPTION OF WORK: I ?w / 1?.?51? Y//I7RI?J
STREET ADDRESS: d??v C 1 L4 ?u??Q ?LIN
LOT: ? BLOCK: ?J SUBD./P.I.D. #: ?
Remodel/Reoair Reaulrements
2 copiea of plan
1 set of energy calculations for heated addHions
1 sHe suney for exterior addNions S decks
?A QR
CONSTRUCTION COST:
°EI% n R16 f.t4
Namee,CA d /aCk Phone #:
PROPERTY Last Ftrat
OWNER
Street Address:
City State: Zip:
BELAROOFING & REMODELING, INC. C?/,,?/
? O-?`?
iIOR BLVD: Phone #: ? 12 ?j °?3
,K, MN 55416 (area code)
)1060
License # ?0'0 Exp.
1:!Y?`r' iJ11:* r:.Pi;oi
.+
„.
e ..,.
. i. f.i ..,.,.,,,....:
.?- . r.,.:
i
i:iF? ; .,-.,
:: .;:
, , .. „ ,..
,?E:I_(l Far.il:if R.,,.:;
32:I.0 9 I.i0 1. :1.70 C;1:2fi.':3"1ril' l)[::7..:rd.`i+.i:'1
;9001. ,?. .., ... i. r., U.,.,..,
State: Zip:
Name:
?
Registration
State:
istructton onlv):
r is requested once permit is issued.
n, state that fhe fnfo?tiois corte<
ces. / ?' / n
? i;;rcr?_?; .•r, (?,.?.,o?.e;•?* : ? q.?, ,? rture of ApplleadL•VG,
rR7.Dr"1:f..' OFFICE USE ONLY
;i:?:r,r.,• 7?.lir, ?F1?!C`t ?R'!t?/,%?;!.?f-i/:?;9i:??.rrFi.k?,;??r:;m?..?..lr?:_..s?a.???<?::?,:::,. - No
No
Zfp:
to?ply wffh all appilcable
)
' aiHY 6,-.,
Not Required i
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN W b'rj8 15
3830 PILOT KNOB RD - 55122
651-881-4675
? 9 repleteretl Yte wrveys ahowing aq. H, of lot, aq. N. ol lfwse
antl gj( raofed areat (20% maximum bt coveraae ollowedl
D 2 coples o1 plans (ahow bedm R wlntlow sizes; pauretl MC. tlesign: etcJ
? 1 iel of energy calculaflona
> 3 coplea ol hee prefervatlon plan tl lof plaHetl alfer 711/93
DarE: ?/aljo0
Name: &,-) «-L-5 DUC.vL/-\ S PhoneU:
la:t flrq
DESCRIPTION OF WORK: S 1 O! N lr l " inj Oo w PA r lL
STREET ADDRESS: I-7"? O C 2 E c- /2 < pC,? ? N P- AC o,v M .J
LOT: ? BLOCK: 3_ SUBD./P.I.D. C Kld . Vl .W a,G(a
PROPERTY
OWNER
COMRACTOR
ARCHITECT/
ENGINEER
SheetAddress: 1"l "7 0 C2r ST2 rD 64c i_ N
Clly Stafe: _.k2 sv Zlp: ? a 2- t taT
Company: Phone N: _
(area code)
Sheet
License # Exp.
Clty
2 coPles ol plan
1 sef of energy calculatlans for heafed additlom
i aite survey for exteAOr adtllHOns & decks
CONSTRUCTION COST: / S 0rv
Sfate:
Company: Name:
Telephone #: ( )
Sfreef Address: RegishaNOn #:
Cily
State:
Sewedwater licensed plumber (If Installirw sawadwaterl: PFrone #:
Zip:
21p:
I hereby acknowiedge Ihat I have read thb applicatbn, a6ate that 1he infortnotion is cortect, and agree to comply wNh ap appUcable Sfate
of Minneaota Stahrtes and Cify o} Eagan Ordinances.
Signafure of AppliconY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required ,
WR 2 p ?r,::l
Vo
7 S SDP-
sr A
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWCtion Reauirements
3 registered site surveys shovring sq. R of lat, sq. ft. of hwse; and all roofed areas
(20°h ma)rimum lot coverage allowed)
1 Soils Reportif proposed huilding is to be placed on disWrhed soil
2 copies of plan showing beam & window sizes; poured faund design, etc.
7 set of Eneryy Calalations
3 copies of Tree Preservalion Plan rf lot plaHed after 71if93
Rim Joisl Detail Opbons selecfion sheet (buildings witlh 3 or less units)
MNnegasco mechanial venUlafion form
RemodellReoair Reauirements
2 copies of plan showing footings, beams,joists
1 sN ot Energy Calculafions far heated addifwns
1 sife survey for addi6ons & decks
Addifion - indicate i( on-srte sapffc sysfem
I 3 0 , ?a
OfficeUSe'.OnN
CertafSurvey.Recd _y.:.. _N
SalsRepat Y?. _N
Tree Pres Plan Recd Y _ tJ.
TreePresRequired Y.. _N
On-site5eptiqSystem Yi _N
.i_.... ....?. g+?to +hmi arta trad4kM4 thV427.
Plans are consiaerea uouc inrormatwu wnc- ?w ?•u•? ...- - --
?IIo.?Z 5 0 °Q
t ?
C
Date Coostructioo os
SiteAddress 179 C5 C LS 7"RIDGr /19 tl UnitlSte#
A 5513
AJ al A)
, ,
Description of Work R 15 P&A /tj C? I7EC i<
Multi-Family Bldg _ Y _X N Fireplace(s) k 0 2
M RLI Telephone#(&Sj) q5'I ° I5 7 `f
Property Owner
AC 1 i/'r
-
Cantractor
A ANUA
?1s1AYAl?
GO1,)STRUG77a/J
l3 /STUDE/=f L.P ?`?yZg
nadress 1,1115 ?
Zip .'r751) y q ciry _LAKEV I 1. L?
Telephone # (9$"z) 4A( " ?,00E
State
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateeorv 1 _ Minneso[a Rules 7672
Energy Code Category . Residen6al Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(V submiuion type) Submitted Submitted
. Energy Envelope Calculations Submitted '
In the lasi 12 months, has ihe City o( Eagan issued a permit For a similar plan based on a masTer plan?
Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
\i??1qYNi IifSTaDEA
Applicant's Printed Name
Telephone #(
Telephone #(
Telephone #(
I hereby appty 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 of Eagan and the 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 wil] be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant Signature L 1? 2?0
7
DO NOT WRITE BELOW THIS LINE
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 6ct. Alt - SF
? 04 02-plex ? 10 08-plex JR( 18 Dedc ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
x- 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration O 37 Demolish Building" ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement `Demolitlon (Entire Bldg) - Give PCA handout to appllcant
DestriptiOfl: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review ? 100% or _ 25%
Census Code q 3 (4 Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
Faotings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Fina]
_ Insulation
REQUII2ED INSPECTIONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
HVAC
Other
_ Pool Ftgs A'u/Gu Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
W indows
_ Retaining Wall
Approved By: ?L- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
/J r,&L ?, o L-7-0
,
Y? p!
`.?
?
L,,? ?jr
3 ?: t
S
I
1
I?
? f
gLCC./L 3
EGK
STi Nis
fi
Dl
eo 1 / •"Md
?
?.?
.._?,
.a
i ??,
DV t~ 0f Eap
3630 Pilot Knob Road j Pem* Fee: 4
Eagan MN 55122 I
Phone: (651) 675-5675 r bate Recethred: I
Fax: (661) 6755694 Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: N151 CA
Site "diem: Tenant: Suite M. RESIDENTIOWNIcR Name: Ma _ jr, Phone.
-b-a. q~ 15 Y4
Address / City / Zip: tax QS aj06_V_e_
CONTRACTOR Name: ~R 1 License _ uo )
Address: 1tlr
City: d a_,n State:
Phone: LQ0- to i' it k Contact Person: h
TYPE OF WORK & -New -Replacement -Repair _ Rebutfd _ Modify Space _Work in R.O.W.
t of hnrorki 0'a Ar ) ('fl
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Law Add Plumbing Fbdures
RPZ t PVS . Main _ Louver Level)
Septic System Water Turnaround
Near
._._Abandonment
RESIDENTIAL FEES.
$50.50 Minimum Water Heater, Water Softener, or Water Heater W d Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.So State Surcharge)
$50-W Add Plumbing Flxtur , Septic System Abandonme - Water Turnaround" (includes $.50 State Surcharge)
'Water Turnaround (addd $165.00 rf a 5V mftr is required)
$100.50 Sept System New ($10.00 per as bulk) includes County fee and $.5o State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $ 50 State Surcharge)
TOTAL FEES;
I hwebY admowtedge that this Wffnabon is corm wW am urate; that the work will be in conformance with the ordnences and codes of the City of
Eagan; ow I understand this is not a permit, but ordy an fah for a permit, and work is not to start without a permit; tit the work VO be in
amordance with the approved plan in the coo of work with requk" a review and approval of dam
x _ JC^(ul
x
Appiic a rs Printed Name rs
FOR OFFICE. USE Y , s
R vfi3wad 9
rtyur tn-Pwrons vrtr'~,raic)cii3ti fn _st" jra iactr
r
I
Use BLUE or BLACK Ink
I For Office Use Permit 1)0862-
City of Eq,~ Permit Fee: ' a I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: I
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 i Staff:
/2013 RESIDENTIAL BUILDING PE MIT APPLICATION
Date: / Site Address: Unit
Name: Phone:
Resident/
Owner Address / City / Zip: /7W C~
i
Applicant is: Owner D4-Contractor
Type of Work ? Description of work: Q E f %~~Z
Construction Cost: d LAG Multi-Family Building: (Yes / No
Company: 21,1a,1c, &0,A/-t4 Contact: eyd+ ,GL
Contractor Address: ° Z_S/ City:
State: Zip: Phone: 71_!Z~
1
E
License ! 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 ss s
the information may be classified as non-public if you provide specific reasons that would permit the City to t
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.oro
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. -
T / 9
x 1, x
Applicant's P inted Name App cant's Signatur
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148386
Date Issued:03/26/2018
Permit Category:ePermit
Site Address: 1790 Crestridge Lane
Lot:8 Block: 3 Addition: Ridge View Acres
PID:10-64000-03-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
Neil P Stransky
1790 Crestridge Lane
Eagan MN 55122
(651) 786-9402
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature