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4758 Hauge CirCITY OF EAGAN Remarks Addition Rid ecliff First Addn Lot 4 eik 4 Pe,cei #10 63980 nctn 04 owner Street- 4758 Hauge Circle State Eagan, NQV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 19$2 298.08 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA 1982 298 STORM SEW TRK jJ$Z 638.24 STORM SEW LAT Services 1982 637.75 CURB & GUTTER ' SIDEWALK STREET LIGHT Road i 6-30-80 WATER CONN. BUILDING PER. qaf)rl SAC 00 525 PARK . I CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIYED AMOUNT $ I & DOLLARS 1 oo ? CASH ? CHECK FOR White-Payerc Copy Yellow-Posting Copy Pink-File Copy Thank You ? ???>}do . B Y ? CITY OF EAGAN 3795 P11ot Knob Rood Eegan, MN 55122 N2 5905 ? PHONE: 454-8100 BUILDING PERMIT ReceiPt # - Te be uaed fer Est. Vulue Date , 19 ' Slte Addr.ess Ered Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Porcel # Repoir ? Fire Zone Enlarge p Type of Const. oWc Nome Move ? # Stories 3 Address Demolish ? Front Z 0 r;s.. ,irmetonl-_ p,,,,,,e - l+4-'13? 3 Grode ? Depth ft. Nnme _ U§ Address 1- ["if.. Name _ Address I hereby acknowledge that I have read this application and stote that the information is correct ond agree to comply with all opplicable 5tote of Minnesoto Statutes ond City of Eagan Ordinonces. Assessment Water & Sew. Pol ice Flre Enp. Plonner Council Bldg.Off. - ^ APC Permit Surcharge Plon check SAC Woter Conn. ' Water Meter Road Unit Total -) Signoture of Pertnittee ? A Building Permit is issued to: on the express condition that oll work sholl be done in accordance with nll opplicable Stcte of Mlnnesoto Statutes and City of Eagan Ordinances. Building Official PaeaiM # DaM Iwoed MreMf» Piumbing ? - e - Fi Mechanical f ZIF - t 4 INSPECTIONS DATE INSP. Rouqh-in final Footings Date Insp. Dafe Irap. Foundation Plumbing Frame/ins. Mechonicol Final ? _ -?G I Remarks: J/l:71PC 40'.f ' - - CITY OF EAGAN 3795 Pilot Knob Road No. Ea9en, Mlnneseto 55122 Phone: 454-8100 Plumbi.._ PERMIT ? C- e: ?'-30-b Site Awddress: 4758 iiauge Cirele Lm 4 Bi«k 4 sub/sec. Ridgealiffe 1 Nome rrin Thorpaon iioanes ` °e Address 1712 HOQkiT38 CI'9Td . ? City ='12LBt,oIlkftl 'tn. Phone: 5"--7333 Nome '+Jenzel P1mL?E'; , fl :_t(; . . g Address 3600 Kennebec ?7Y`. Q?e V . . . r: . c?F:... City - Phone: 452y7 INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: 2Q211F Single v I Residential Multi Res., Comm./Ind. I New/Alter./Repalr Cost of Instollotion Fee new 2(1, 20. 50 This Permit is issued on the express condition that all work shell be done in accordance with all applicable Stote of Minnesota Stotutes ond City of Eogon Ordinances. Buildinq Officiol CITY OF EAGAN 3795 Pilot Kno6 Rood Eagan, Minnesota 55122 No. Pbowe: 454-8100 PERMIT oote: 8-21-$0 Site Address: 175F 1-I8t1g6 CiI'. Lot 4 Block Sub/Sec. 18t INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No,: 20551 x Urrriri TIlOQIXp80R1 HOR[1E. s Name w/Alt ir N /R epo e er. . ; Address 1•712 i'°p'-dns Crsrd. Cost of Installatlon ,?• : _I_?1'itr to?",k&p i?S?l. City Phone: 5?r?;-, ,_ .. • Permit Fee Nome -'3y ?`ielter Iieatizg • Surchor e ? g ? l^.-ll? ?V 21ve • Address " a 0 t7 A. ''ry City . ` Phone: ?'''5???'ir1 Totai This Permit is issued on the express condition thot oll work shnll be done in xwrdance with all upplicable 5tate af Mi nnesoto Stntutes and City of Eagan Ordinonces. 8uilding dfficial CITY Of EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eagon, MN 55122 DATE: Zoning: _ No. of Units: Owner; Address: Site Address: Plumber: Meter No.: _ Connection Charge: Size: Atcount Deposit: Reader No.; Permit Fee: 1 ogree ro eomply with the Cify of Eagon 5urchorge: Ordinances. Misc. Chorges: Total: BY Date Paid: CITY OF EAGAN SEYVER SERVICE PERNIIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: 5ite Address: Plumber: 1 agree to comply with the City of Eagon Connection Charge: Ordinances. Account Deposit• By Date of Insp.: Inso.: Permit fee: Surcharge: Misc. Charges: - Totol: Date Poid: mmneso[a a[ate noara ot eiectncity Griggs Midway Bldg. - Room N791 1821 University Ave.. St. Paul, Minn. 55104 - Phone 297•2111 `- f?EQUEST FOR ELECTRICAL INSPECTION aG J CHECK SEiQW WORK COVERED BY THIS REQUEST EB-00001-02 84979 Type of Building New Add. Rep. Check AppliancesW'ved For Check Equipment Wired Fox Home ? ? Range ? Temporaiy Wiring ? Duplex ? ? ? Water Heater ? Lighting Pixtuxes d(] pt. Bldg. ? ? ? Dryex Electcic Heating ? ommetcial Bldg. ? ? ? Furnace ? SIlo Unloadei ? lndus[rial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fatm ? ? ? List List Other ? ? ? 2ehers? 1 Others? Here COMPUTE INSPECTION FEE BELOW .,,_ fl,& ?\? jJ Service Enuance Size: # Fee Feeders@"5itfi_eedg,; C¢cui[s: # Fce 0[0 100 Am s. 0 to 30`?KKii er` 0 to 30 Am eras 101 [0 200 Amps. 31 to 100C?.. mpe' s 31 to 100 Am eies ( Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformexs RemoteConVolCirc. Partialoro[herfee C. - Signs Special Ins ection Minimum Cee $5 Remazks TOTAL FE Zj ,lJT3 I, the Electrical Inspector, hereby certify (Final) This iequest void 18 months from has been made ? ?te ?''!a-?v ate , ti?-7G•? /,7•, ? This request void 18 months from a? Dat this Request Fire No. S 84979 I, a icensed Elechical Contractor ? Owner, do hereby request inspection of the above electri- cal I rin installed at: eet Address or Route No ion Township. Which is occupied by qI59 Y%Ubff- (.1R-Ct-t city_ 06i Range County -k'AI Is a roughin inspection required on this job? No ? Yesxl Ready Now ? Will Call(< Power Supplier Address W,IN6J? Electrical Contractor '_?CeG'eIc' Contractor's License No752(1 Mailing Address /V( _ C ' „CL l a(_E tr?tal C Authorized Signature ?• (EIBCtNw Contfactol o! ? LUE ° 0 M00 C if Ownel Making Thfs {n5ta11ation) Phone No. gIU"`?SC15 kfng Tnis lnstellatlon) This inspection request will not 6e accepted 6y ffie State Board unlen proper inspection fee is enciosad. r CITY OF EAGAN Include 2 sets of plans. 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations- p o d 7b Be Used For RtswEr?ce Valuation {r?-?.p0 Ddt2 5ite Address: S' - C-L, v?oDC4-.SS ) r oFFICE USE d[aY LDt BZOCIC SEC./SL7b. L ET'C'C't ? OCCUp3T1Gy Alter Zon=T!ra Ri Pazcel #: air R Fire Zorie 3 ep - Enlazge _ Type of Const. V Owner: Nbve # Stories Pddress: Dennlish Front ft. Grade Depth a g ft. City/Zip Code: Phone #: Contractor: (1RRIN TN(1MP4f1N Nf1MPc a Division of U. S. Home Caporalion Pddress• GPT,Ns 6ttasSREAs City/Zip Code: MINNETONKA, MINN. 55343 Phone #: Syy1333 Arch. /E?1-ig. : Pddress: City/Zip Cocle: Phone #: APPRt7VAiS Assessments Pennit rrS Water/Sewer Surcharge Police Plan Check ?;z Fire SAC gg; Water Conn. o'f' ? Planner Water Meter O Council -90 Road Unit /$ S Bldg. Off. PPC TOTAL / 3 1 `7 0-o ' 'Tvfodel 5$ CITY OF EAGAN 3795 Pilot Knob Road Ecgan, MN 55722 N2 5yy- PHdNE: 458-6100 BUILDING PERMIT APPLICATION rteceiPt # A-a Te 6a ured for SF DwlE/Gar. e:r. voiue 53.000.00 Dme T.in3n , 15e9- Site Address Lot 4 BIocSub. R?1? parcel # not recorded w Name _ 3 Address o _ p Name _ ? Addres: Name _ Addrew t hereby nckrrowledge that I have read this application ond state ihat the information is mrrect and ogree to comply with ali apDlicoble State of Minnesota Statutes and City of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: _ all work shalf be done in acrnrdance Erect Occupancy Aker ? Zoning P`?- - - Repoir ? Pire Zone _ V V Eniarge ? Type of Const. -- ? # Stories - ? Demolish ? front ft. 2$- ft Grade ? Depth . Approvala Fees Assessment Woter & $ew. Police Fire Eng. Plonner Council BIdg.Off. 20 $0 APC - Permit 147. V V Surchorge 26.50 Plan check 72.50 snC 525.00 Water Conn. 305.00 Woter Meter 60.00 Road Unit 185.00 Toro1 l, 919.00 on the express condition (hat Statutes and Ciry of Eagan Ordinances. `ng Official C. R. WINDEN & ASSOCIATES, INC. LAND SURVEYORS T*l 646•3648 I381 EUSTIS ST., ST, PAUL, MINN, 55108 N FOR: U. S. HOME CORPORATION Scale: 1" = 30' O Denotes Iron 170.00 I W ,o, in - I - -? , --- ? ----?to J 2E.3 U O v I LY a I ; ? ? ? ? m 'o 6 ? `o ? 4 p ? 2 6O ? ` 10 if) D 147.45 I RAINAGE AND UTILiTY EASEMENT -?7 49 -43 9, Lot 4, Block 4, Ridgecliffe First 1 p Addition, Dakota County, Minnesota. WE MERE6Y CERTIFY TMAT THIS IS A TRUE AND COARECT REPRESENTATION OF A SURVEY OF THE 60UNDARIES Of TME IAND ABOVE DESCRI6ED AND Of TME LOCAiION Of All 6UIl01NG5, IF ANI; TMEREON, ANO Alt VISISLE ENCROACMMENTS, If ANY, PROM OR ON SAID LANO. Datad rAis 94 h dor oFNQ ?e_A.D. 1980 C. R. WI(pt?OEN 8 ASSOCIATES, INC. bv 4&?^r-??.?/? Surrayer, Minnorolo Rooiftrotion No.,?.ye N135i9 CITY OF EACAN EARLY UTILITY CDNNECTION PERMIT 4758 Hauge Circle L4 B4 Ridge Cliffe lst Address Subdivision/Parcel I hereby request permission from the City of Eagan to conneci to the - sanitary sewer and water lateral line in the public right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- - ----men[ to cap thP sewei service to prevent any-unauthorized use. In accepting ehis pexmit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed ta be £urned on until the City utility system has been declared operational ' by the City Engineer. ` Signed by - Plumber• Ovner: p( (y}?Gr ?.n r? cJ GJ 0- Developer: Builder: Dated: ??/p? CITY OF EAC-AN EARLY UTILITY CON:IECTION PERMIT 4752, 4758, 4764, 4768, 4769, ' L3 B4, L4 B4,'L5 B4, L6 B4, L7 B4, 4765, 4759, & 4753 Hauge Circle L8 B4, L9 B4, & L10 B4 Ridge Cliffe lst ,- Address Subdivision/Parcel _- -- I hereby request permission from the City of Eagan to coanect to the sanitary sewer and water lateral line in the puhlic right-of-way. I understand that the City has not yet completed, inspected and/or accepted the sewer and/or vater lateral. I agree noc to use, test, or connect these iadividcal services to az:y interior plumbing and understaad rhP require- - ment to cap the sewer service to preven[ any unauthorized use. In accepting this permit, it is agreed [hat I will hold the City and its , agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or aater allowed to be turned on until the City utility system has been declared operational . by the Clty Engineen Signed by - Plumber44?'C? r? -- Owner: Developer Builder: Da[ed: , *dtV oF eagan /,(j /SH) / s=- THOMASEGAN Mayor January 15, 1993 MR ROBERT SMTTH 4758 HAUGE CIR EAGAN MN 55122 Dear Mr. Smith: PATRICIA AWADA SHAWN HUNTER SANDRA A. MASIN THEODORE WACHTER Councll Members THOMAS HEDGES Ciry ndmininshamr El1GENE VAN OVERBEKE City Clark Thank-you for your letter of December 11, 1992 concerning plowing of our trail and sidewalk system. I realize that many residents- joggers, bikers, and walkers--use the sysiem and would like to continue to do so during the winter months. As a result, you and other residents have expressed concern over the City's policy of not removing snow from the system. Originally, the trails were installed for three season use and were not intended to receive winter maintenance as a matter of public policy for several reasons. First, such maintenance would cost an additional $102,000 for special equipment and upwards of $45,000 per season in operating costs to plow the over 88 miles of trails. Maintaining the system to a]evel of service that would probably be demanded by users would be extreme]y difficult given the unpredictability of snowfalls and ice conditions. Proper winter maintenance of the overall trail system would require specialized tracked vehicles, sanding equipment, and blowers. Because the system was not designed for winter maintenance, low areas would collect water forming dangerous icy conditions, even with frequent attention. Secondly, ground obstructions adjacent to the trails make snow removal very difficult. With the exception of mailboxes, obstructions and road right-of-ways are restricted to permit snow storage and minimize damage to property and equipment during plowing operations. This is not the case with trails. ]unction boxes for cable television and telephone, backyard fences, and landscape rocks can make snowplowing very hazardous. In addition, the plows would likely impact sod, smal] trees, and other vegetation next to the trails since they do not have proper curbing which is required for effective snow removal. Much of the salt and sand required during the winter would generate additional lawn maintenance problems for adjacent property owners in the spring. Despite what you may have been told by other cities, Eagan's insurance provider has indicated that liability would exist if trails were maintained under these circumstances. While we regret your experience with a careless driver and hope that your injuries were not serious, the likelihood of accidents even on maintained trails presents a liability concem for the City. MUNICIPAL CENTER 3830 PILOi KNOB ROAD EAGAN, MINNESOiA 55122-1897 PHONE: (612) 681-4600 FA%: (612) 681-4612 iDD: (6)2) 454-8535 THE LONE OAKTREE - THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNITV Equal Opportunlty/Affirmative Acfion Employer MAINTENANCE FACILIiY 3501 COACHMAN POINT EAGAN. MINNESOiA 55122 PHONE: (612) 681-4300 fAX:(612) 681-4360 iDD: (612) 454-8535 A final limitation is that the 1993 budget, excluding trail maintenance, has akeady been approved. In addition, reductions in state aids and the response of tax weary residents have restricted the addition of new major programs over the past two years. I will keep a copy of your concerns on file for consideration during hudget development in 1993. Hearings and workshops concerning the budget are held in the summer preceding the budget year. Trail users can be assured that the City Council will continue to revisit this issue as part of future budget considerations. I encourage you to contact me if you have any further questions or concerns about this issue. Sincerely, Thomas L. Hedges V \ City Administrator TLH/js ~1? T ~1 J'GNYNAHG hOG3f: - MY,Sp HEIGdi) MOP "tNIHT A. CJ ~ ~ €7 r r___ t m n ut Li t.i NJ rl 5~ IN-r w n ry W 'it 01 lii .'t ~i ~ ~ ~ U) y _ C yp ay~jy ei~q qy r A kl ~ ~ 7~1( t]S~C11I RETl ~ `tbj ~yp9 r '•Yr __Y r fi v ~ t,I id wi - J { ' f I n la cr~ i aac.r~fr~~ faEECHt DOOR 14CIrNY t ~ ~I I y 1 a 77 k.. .4 .y b 1 fCt t1 p 1 N V..,..__.V - 1 r. . ILI y r { ~ yl O rH L ~ 41 G1 ~ TI ~ ~ A ~ l.M.r~k .....E -4 ViSO sJ nrn F `"fJ Ch ry O~ I(/' cj z r )y yr. ~,TJ°t F-t r f 5 ~b - ~n1 V~ Vl ~ c s ~ i3 In u a a5 iN, E oo'°aia'~~,.. k_i~rJ t~'3'g m b~7n TN C}y'O gM SV y~•j'S._. (x'G-•.I °'`ln _ r+ T Q IN r zZ m'R fiY n•~p7:. fm~+~2 [lam @AI'm~ x Tq1 aG[ m'' m A :9 Z r pph; tC~}s FplfS'+ ~sa~ Aou S J ~~7 R C7 r~^t in El yry~ A m,rF7iT .p. A ? ~ t'.i i".. ~I 1 A ~ wA~ ~ ~ ~SOC,y` xi ~ CIS ' E5 ] L f' Cl Z k tR ~ t 3 '1 n ~Ct IY Y ~i~ M a8 y n 2 h O ~.@ MUm 0 00 n r~ o m' a A'°' n I~ 1+ a ea s+ r*t c q f yam.~F lnm~'' .4' m ~ ~11i1 1 srr a Sr x m,t~ ❑ c~ Y~ Cr O ri u ~6 7- Fn y;g zi ~ 7iat O 1~r CA x v 7- m -q R 'ago i g m 'd Lot 0 ::4~ (j"a ~ 4a lG I~ I'7 C1 :1 - 0 rp~ Gi 'S r, -'°~1. - .",7 r- r Cn iSI ( ~y.'. ~ ~~1 f" -~C.1 Al _ i S" Ob f p T'I tln Irh rt C -r M P c~ 1) r*t f`s ~7 i san~ tf1~~ ~ ro rM ~ xf7 ibr^J xU m ~.~s n. IC-1~ r1J fns tY z > W rv~•r, (7 7`g:~lb z ?A ~m G'1 rr LO >o1Sr I'. ~s --.1 ILI, cif+_~ Inu xY m nh x fJi tr pEil Z7 e n= hCYC in .-i1 Y' 'i V tl 4 mft 4'l .d i ~ 2 m Tr: 'p M Al 0 . ~ - y r•s "C7 0 - In 4.? ~ ~P•X n~-z~ E'k ~ E 7 b n C.~ ..w....i_......!-~+~ PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA090958 Eagan, MN 55122 . Date Issued: 09/01/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4758 Hauge Cir Lot: 4 Block: 4 Addition: Ridgecliffe 1st PID 10-63980-040-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: Replaced 6 windows & 1 patio door Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Home Depot At Home Services Robert Smith 656 Mendelssohn Ave. N 4758 Hauge Cir Golden Valley MN 55427 Eagan MN 55122 (763) 542-8826 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA091106 Eagan, MN 55122 . Date Issued: 09/11/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4758 Hauge Cir Lot: 4 Block: 4 Addition: Ridgecliffe 1st PID 10-63980-040-04 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: Replaced garage door Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Home Depot At Home Services Robert Smith 656 Mendelssohn Ave. N 4758 Hauge Cir Golden Valley MN 55427 Eagan MN 55122 (763) 542-8826 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type: Mechanical Eaaan. Permit Number: EA103155 Date Issued: 02/29/2012 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 4758 Hauge Cir Lot: 4 Block: 4 Addition: Ridaecliffe Ist PID: 10-63980-04-040 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Pronto Heating & Air Conditioning Robert Smith 7588 Washington Avenue South 4758 Flange Cir Eden Prairie NIN 55344 Eagan MN 55122 (952) 835-7777 I hereby aeknowledae 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 Cite of Eaaan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature Use BLUE or BLACK Ink �----------------- � For Office Us � I 1 i � �� Ol ��o�11 j Permit#: � I � b I �� I � Permit Fee: � 3830 Pilot Knob Road Eagan MN 55122 j Date Received: j Phone:(651)675-5675 I I Fax:(657)675-5694 I Staff: I I l `��____��J 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: � � � �U.v C' l_\ '�U� Unit#: �� : ;i;�� "4� _ = " ,- . . �� 51- 4�2- 3�� 7� = Name: .��'�V�� M,�� Phone: � r,,� ��r�� t 7� �`S I��v e� C��r��c,� e� � � '�� ,+�� ,: �� Address/City/Zip: �) �� t��, ��4 � �� ',� � a� Applicant is: Owner �Contractor � � � �� n`� Description ofwork: �U.« � ��(��^'4 Q.VL'�'� ��f>� '' "�'Y� � �� £. _ �3 ��_ ��: Construction Cost: � — Multi-Family Building: (Yes /No_) � , � � � A #OE �i i .. . . . . ' •'t�-� lln� 0 u� �� 5 � � „�" ',�� Company._ � v� �. Contact: Y' O�Y'v�,��"Z � � ii �� Address: � Z �� 5 �.V`-e� �l Q-V� �V'Q. City: V(� e � � ��#'��'�G'� � 'p��i ,�i'�' , t t, G q f _ �,��, � � State: MII�Zip: ��3 7�Phone:�%2'��0' /�'��Email: �Y1�Ulr�V�O''�Z�Wlln �ac,�- '�}f r ��U^ � Cj '�1 �� License#: ��L�� / Lead Certificate#:_�Tt C 3 2 q� 3� � If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) `�v; 1� a�.,� 1 �7 g 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: �� x �� ,�� #�`�� ,pc�r�ir� ��fs- �a�� r�r��*- �� !�i� �rrm c�n rr� (��il iP�j.]� � ��) �y��J!� � /7��ry. �I(q' � �}'��p � i �Ui /y� : .�f- �� r_�:�!l�i� �py :�G i4 ��1fLi' 5��n(� V��'�(� _ __ ��4��}( M , a,i' .. `�_ _ +i /'�. 9 .y� I�I 1 W'y� °' �� = Q . �) ��I�� '� 'y.�- �� ' . ��l i��-'31�`��-� �*4�i��.bn""6 {�� !' _ �� ' b`".,..=� a. ...h' , " yz'_" .� %''' . = ___ 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.qoqherstateonecall.ora 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 b�,�'l�G.�v. � `�\O�rv��r,0 1� X � Applicant's Printed Name A I' anYs Signature � Page 4 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA127479 Date Issued:10/02/2014 Permit Category:ePermit Site Address: 4758 Hauge Cir Lot:4 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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. Jennie Wood 1424 3rd St N Minneapolis, MN 55411 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Joanne E Smith 4758 Hauge Cir Eagan MN 55122 (651) 452-3767 Benjamin Franklin Plumbing 1424 N 3rd St. Minneapolis MN 55411 (612) 604-4285 X61 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173750 Date Issued:12/01/2021 Permit Category:ePermit Site Address: 4758 Hauge Cir Lot:4 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Joanne E Smith 4758 Hauge Cir Eagan MN 55122--263 (651) 452-3767 Blue Ox Heating & Air Llc 5720 International Pkwy New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA176027 Date Issued:04/27/2022 Permit Category:ePermit Site Address: 4758 Hauge Cir Lot:4 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-040 Use: Description: Sub Type:Fixtures Work Type:New Description:Laundry 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. All tiled shower bases require a water test. Fee Summary:PL - Permit Fee (miscellaneous)$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 - Joanne E Smith 4758 Hauge Cir Eagan MN 55122--263 (651) 452-3767 Paul Bunyon Plumbing Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature