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4765 Hauge CirCITY OF EAGAN Remarks Aaditron Ridg.ecliff Pirst Addn Lot 8 eik-4 Parcel #10 63080 Q80 04 Owner ;1 irt rj (J.c,.. , c:1 streec_4765 Hauge Circle State- Ea.oall? A9N 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j STREET RESTOR. GRADING ' SAN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT Service CURB & GUTTER ? SIDEWALK STREET UGHT 185.00 19633 7-30-80 I WATER CQNN. 305 I BUILDING PER. 59 SAC PARK , CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEI V ED 19 AMOUNT $ I ? OOLLARS ?oo E] CASH [] CHECK ROR VYhite-Payers Copy Yeliow-Posting Copy Pink-File Copy Thank You ??.?? BY No. I CITY OF EAGAN 3745 Pilot Knob Roed Eagan, Minnesoeo 55122 Phone: 454-6100 PERMiT Dote: ste Ade.ess: Lot 4765 Iiauge Cirole INSPECTOR NOTIFICATION REQUIRED BY LAV1! FOR ALL INSPECTIONS Receipt No.: `'^ 71l, x Block ' Sub/Sec. Multi Orr. i^ 1 ia?ne:s :.. , Nome NewlAlter. / Repair ? Address 1712 :-IOpkisis C?'s2'd . Cost of Instullotion City ' Phone: Permit Fee 16 Nome ` (?:1'3B1. MBahSiIiCSl Surcharge . ? Address 3600 rtiennebee DT. ? City ''1h' Phone: 452--1?6` Totol This Permit is issued on the express condition thai all work sholl be done in accordance with all opplicable State of Minnesota Stotutes ond City of Eogan Ordinonces. Building Official . . cirr oF E?caN ' 3795 Pilot Knob Road No. Eogan. Mineesota 55122 P6ene: 454.8100 PERMIT Date: Site Addreu: 9-6-80 4765 Hauge Cir. Lot BI«k 4 Sub/Sec. Ridgecliffe ?_ Ncme ?)rr311 ThoI:rpson Fiomes g Address 1712 Hopklns Crsrr;, ? .1.?1TIEtOY'.?CB, "hSl. City Phone: ?a,r Nome Pr, «lelter ::eF.ti:w. co. . Address 4( 3"' r^'iicci#*o ?^ve. C 55Ln? ?,? __ ,- ? ?ty `.:. Phone: This Permit is issued on the express condition thot all work shall be Minnesoro Statutes and City of Eagon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Mu(ti Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee ISurchorge Tota I done in accordance with all applicoble State of Building Official • - cirY oF Er?c,AN 3795 PHof Knob Road Eogan, MN 55142 N2 5908 PHOHE: 454-$100 BUILDING PERMIT ReceiPt Te M and for - Est. Value Date • n'- 19 Slte Address , Erect ? Occupancy Lot Block $ec/Sub. ? Alter ? Zoning Parcel # Repair p Fire Zone Enlorge ? Type of Const. aWe Name ? Move ? # Stories Z Address 3 ' Demolish ? Front ft. o C; Grade ? Pi?irf Depth ? Name 0 Approvals Fees ?? Address Assessment Permit ~ Water & Sew. Surcharge Ci Phone Police r Plan check ?W Name Fire 5AC ?? Address Eng. Woter Conn. <W Ci Phone Pianner Water Meter Council Rood Unit I hereby acknowiedge that I have read this applitotion and state that gldg. Off. ?L'-) `" the information is correct ond ogree to tomply with oll opplicoble APC Total Stote of Minnesota Stotutes a nd City of Eagon Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that all work sFwll be done in accordance with all opplicoble Stote of Minnesota Statutes ond Ciry of Eagon Ordinances. Building Official P«.ir # ode l.u.e w.mtM» Plumbing ? e) 6 - aC1 - (,1 L Mechanicol Z9 76 ' - •.?-c.i .?d'? 9'p.2 i INSPECTIOIVS DATE INSP. Rough-In Finol Footings Insp. Date - Dote Insp. Foundation _ Plumbing ? T Frame/ins. • ? ? . Mechanical Final 1I-7 •-ETG ? Remarks: ? wj BUILDING . .. . . . . ._ f.,. CITY OF EAGAN 16O ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , RMIT Receipt # DECK 6 3-SEASON l01RCli Est. Value $$,000 Date AM 25 , 19 8g Site Address 4765 FtAUGE CIRCI.E Lot • $ Block 4 SeciSubRIDGECLIFFE 1ST . OFFICE USE ONLY P3fC@I NO. Occupancy - FEFS W Name RICHARD TROGE Zoning (ActuaqConst - BIdg.Permit 100•00 o Address 4765 ilAUGE CIRCLB (AUOwable) - 4 ? City EAGAN Phone 687-9345 # or S?ories Surcharge • ?ck i?$ Plan Review Length o Name ??? ?Ea Dep,h Porcb 14x12 sAC city Z O a Address 4533 SCO?T TR S.F.Total , - U cc ? Cify EAC"Ax PhOn2 688'2600 S.F. Footprims sac, Mcwcc - W t n C ? On Site Sewage er a on _ W W Name On Site Well _ t M t W Fw er a er e ? ; Address MWCC System _ i W City Phone City Water _ Acc1. Deposit PRV Required - SNV Parmit I hereby acknowlege that I have read this application and state that the Booster Pump - SiW Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and Ciry of Eagan Ordiiiances. Treatment PI Signature ol Permitee APPROVALS Road Unit A Building Permit is issued to: CREGG HANER Pia"ner - Park Ded. on the express condition that all work shall be done in accordance with all Council .50 applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9 pff, _ Copies 1? ?? Building OffiCial - 1' - Variance - TOTAL ? Permit No. Permit Holder Date Telephone # WATER SEWER PIUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation F??ing RooTing Rough Pibg- Rough Htg. Isul. Fireplace Final Htg. Fnal Plbg. Const. Meter Plbg. Inspector - Noti(y Plumber EngrJPlan Bkig. Final oeck Fty. Dedc Fnal a f l Well Pr. Disp. CiTY a-' BAGAN :795 Pilot Knob Rood Eayon, MN 55122 Zoning: Owner; Address: SiYe Address: Plumber: Meter No.: Size: Reuder No.: I o9ree ro comPly wifh the Cify of E.S. Ord7nances, BY - Dote of C1 Connection Chorge: Account Deposit: _ Permit Fee: Surcharge: Misc. Chorges: _ Totol: -?_ Date Poid: CITY QF EAGAN 3:95 Pilot Knob Rood SEWER SERVIGE PERMIT PERMIT NO.: Eogon. MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: ' - , .' Plumber: ?a9r- bcOmPlf' with the CitJr of Eogan Connedion Charge: Ordinancea, Account Deposit: Permit Fee: B Surcharge: y Misc. Charges: Date of Insp.: Totol: Insp.: Date Poid: WATER SERVICE PERMIT PERMIT NO.:.__ DATE: - No, of Units: ? ??(? Jy ? Crr. Og EAGAN Include 2 set s of plans, ?? 1 site plan w/elevations 6 BUILDING PERNLiT APPLICATION 1 set of ener gy calculations. 0 ? J--o-O 'Ib Be Used For RxS\Dfucf Valuation Date 6-z 4-8o Site Address: +.-C?E C?. MA46? 7?aRl OFFICE USE OrII.Y sloclc ? sec./sub. wt $ ?'°?gect occipancy .'P3 _ R{?. Alter Zoni.ng Parcel #: Repair . Fire Zone 3 E?-?4e _ `IYI? of Const. Oamer. Nbve # Stories Address: DeJrolish Fmnt (oy ft. Grade Depth y a- ft. ' Z' Code• C i ty/ ip . Phone #: Contractor: Address: a Division of U. S. Home Corporation }.7-}2 HBRKNJ SGR95sRefcB Gity/Zip COde: MINNETONKA, MINN. 55343 Phone #: Syq•1333 Arch. /Ehg. : Address: City/Zip Code: Phone #: APPRC7UALS ? Assessments PPSmit Water/Sewer Surcharge 32 - Polioe Plan Check So ? Fire SAC SRti? gng; Water Conn. 3 os- Planner Water Metes !eo 12:11 Council 0- 8O Road Unit Bldg. Off. APC TOTAL /347.75 Model 77 CITY OF EAGAN 3795 PiIM Knob Read Eagan, MN 55121 PHONE: 454-870d BUILDING PERMIT APPLICATION Site Add ss ? 4 Ridgeclif e lst Lot elock Sec/5tb. Parce l # rrin Thompson Homes a Name Z 1712 op ins rossroad 3 Address ° c; Minnetonka, 55'pQe 544-7333 o Name ? ? Address ? F' Ci Phone Gw Name Same F _z Address I hereby ocknowledge thot I have read this apvlicotion ond state that fhe informotion is corred ard agree to mmply with all applicable State of MinnewM Stotutes and City of Eagon Ordinonces. Signoture of Permittee A euiidin9 Permte is issued to: Orrin Th SO oil work shall be done in accordance wit appliw tate of Building Official '+ - 9- e //?? ^ N"_ 5908 Receipt # " '"`142 Erect t Occupancy R?- Alter ? Zoning Ri Repair ? Fire Zone TTT Enlorge 0 Type of Const. - IT Move ? # Stories Demolish ? Front _ 64 ft. Grode ? Depth 42 ft. ApOrovols Fees Assessment -- Water & $ew. Police Fire Eng. Planner CounCil Bldg. Off. 5 /20/$0. APC Permit 160 _ 50 Surchorge 32-nn Plan check 80_25 SAC . ?`L- nn Water Conn. 395.9_d WaterMeter (?O.nn Road Unit l R5(1(] Total l r347 75 on the express condition thaT Statutes and City of Eagcn Ordinences. CITY OF EAGAN NO 16980 3830 Pilot Knob Raad, P.O. box 21-199, Eagan, MN 55121 PHONE: 454-8100 ? BUILDING PERMIT Receipt # DECK & Toheusedfor 3-SEASON PORCH Est.Value $8,000 Date AUG 2 5 ,19-u- Site Address 4765 HAUGE CIRCLE Lot 8 Block 4 Sec/Sub.RIDGECLIFFE iST OFFICEUSEONLY Parcel No. occupancy - FEes Zoning - W Name RICHARD TROGE (Actual) Cons1 Bldg. Permit 100.00 o Address 4765 HAUGE CIRCLE (Aliowable) - - 4 00 Surcharge . EAGAN City Phone 687-9345 xoisrories - D 1 Plan Review eck Length -W o Name GREGG NANER oePm Porch 1412 snc ciry g a Address 4533 SCOTT TR S.F.roiai - . ? City EAGAN Phone 688-2600 S.F. Foolprinls _ SAC, MCWCC Water Conn On Site Sewage _ ? W Name On Site Well - W t l M er er a e i s Address System MwCC ? ?ct. Deposit a Ciry Phone Ciry Water _ PqV Required _ S/W Permil I hereby acknowlege that I have read this application and state that the 8ooster Pump - SiW Surcharge inlormation is correct and agr to comply with all applicable State of Minnesota StaNtes and City . agan Or iances. Treatment PI Signature of Permitee - APPROVALS Road Unit A Buildinq Permit is issued to: GREGG HANER Planner - park DeE. on lne ezpress wndilion ihat all work shall 6e done in accordance with all Council -- 50 applicable State of Minnesota Statules and Ci t y ol aqan Ordinances. gld9 pff. _ Copies . I ? . ? Building Official ?h &9tiTA.. 1 y 1 11 `/ariance - TO7AL 104. 50 ? REQUEST FOR ELECTRICAL INSPECTION eeooam-0? ' ? See in5iruclions tor completing fiis form on baGC ol yelbw copy. ,. edSJ///I ? g 598 0. X" 8elow Work Covered by This Request e Add Re?. Typeo(Building AppliancesWiretl EquipmaMWired ? Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Speciry) Comm.nndustrial Furnace W'L . J t?-G j Farm ' Air Conditioner Other fspeci(y) Contrector5 Remaks? Compute Inspection Fee Below: ? # Other Fee # 5erviceEnvance5ize Fee # CircuitsiFeeders Fee Swimming Pool v 0 to 200 Amps 0 lo 100 Am s Tiansformers Above 200 _ Amps AmPs $19pS Inspectar§ Use Only: Irrigation Booms Special Inspection Alarm/Communication Other Fee ? Y i I, the Electrical Inspecto5 hereby tif th t n b Rougn;o cer y a t e a ove inspection has been made. Fnal Dar ? OFFICE USE ONLV ?This requeat witl 18 montha fmm ' 7/!/?"f 0377.;:2- L? 95980, f;.. /? ??? FequeetDat U V Fireo. Roug nspeclion Req , ? Ready No?lll Notiy Inspedar ?W R E ? ? ?NO ?an ea y I p licensed contractor LdJ owner hereby request inspection o( above electrical work at: Job Atldresa (Stree[, Box or Route NoJ Clry 7G'?- yGE c/itCcL EI9Gr4N Section No. Township Name or No. Range No. CouMy o T.4 Occupan[ (PRIM) Phone No. 2/ <: IT V 'f ?r b 7^ ??J Power Supplier qdyrqyy p <or 6 Ec. Electncel CoMrador (Comparry Name) Conlraaor§ License W. Mailirg Atldress (Camractor or Owner Malmg Inslalletbn) Authonzed SignaWre (Conireclor/Ownar Makirg InstelletianJ Phone N umber G MINNESOTA STATE BOMD OF ELECTHICRY ? THIS INSPECTION REQUEST WILL NOT GNgge-Mitlwey Bltlg. - Hoom S173 BE ACCEPTED BY THE STA7E 60AR0 7821 Unlvttally Ave., $1. Paul, MN 5510a UNLESS PROPER INSPECTION FEE I$ Vhone (612) 842-0800 ENCLOSED. mmnesoca state noard or tieancrty Griggs Midway Bidg. - Hoom N191 782+ University Ave., St. Paul, Minn. 55104 - pFwne 297•2111 ? ? ? rO ^ 4'?*&QUEST FOR ELECTRICAL INSPECTION 6 J CHECK BELOW WORK COVERED BY THIS REOUEST gg-00001-02 84982 Type ot Building New Add. ReP• Check Appliances W¢ed oi Check Fquipment W'ved Foi Home ? ? Range Temporary Wixing ? Duplex ? ? WaterHeater LightingFixWres t. Bldg. ? ? ? Dryer ? Elec[iic Heating ? mmercial Bldg. ? ? ? Futnace Stlu Unloader ? Industrial Bldg. ? ? ? A'v Conditione[ Bulk Milk Tank ? Faim List L ist ! Othei ? ? ? p Herers? p } Heiersl CnMPi1TE INSPF.CTI(1N FEF. RFI (1W M ? Semice Entrance Size: :v Fce 1 1 Fceders e n Cixwits: a' Fce 0 ro 100 Am s. . 0 0[0 30 '[¢ es'. ; ,._; - 0 to 30 Am eres .1}7 101 to 200 Amps. 31 to 100 nper 4l 31 to 100 Am eres Above 200_Amps. Above 100_Amps. Above 100 Amps. Transformecs RemoreControlCac. Partialowtherfee Signs S ecialtns ection Minimum fee Remazks TOTAL F 3!' fO 0D I, the Electrical Inspector, hereby certify (Final) 1'his request void 18 months from has been ? ?Date ? _ yues oia 18 months.[jom Date f this Request Fire No. S 84982 I, as Licensed Electrica( Contractor 0 Owner, do hereby request inspection ot the above electri- cal wiring installed at: et Address or Route No. q7(65 V&I1pe Vtu_L,6" C?ity???,?,? ?ion Township Range County V^, _??1? Which is occupied by URj1{AJ 1?! Is a roughin inspection required on Utis job? No ? Yesp(,_ Ready Now ? Will CalX Power Supplier Address fro&+ylNb70PJ Electrical Contractor Contcactor's License No.???J / (COmpan Name) Mailing Address t ? ? • ?L lac Ical Co tractor or Owner Making Tnis Installatlon) ?jp? Authorized Signature c Phone No. p/ (El5 4?trl a ont,actor or Ownar Makin9 This Installation) p,v IQ??D QO?? This inspxtion requert will not 6e accepted 6y the State Board unless proper inspection fee is enclosed. a 3INGLE F!!lILY DWELLIBGS =a5 OF PLAAS ;23I8TEAED SITE 3QRPEY3 i 3St OF E6ERG1 CALC3. 1989 Bf1II.DIHG PERMIT APPLICliIOH CITY OF ElG9N ?(Olq to lIDLTIPLE Di1ELLING3 2 38TS OF PLANS BEGISTfiRED 3I'fE SIIAVES3 - (CHECY QIY'H HLDG DIV. ) t SEf OF BuHGS CJLCS. COlMERCIAL 2 SST3 OF ARCHI?ECfURAL 6 3TflOCTORIL PLINS 1 3ST OF SPECIFICATIONS 1 3ET OF ESEBGI CALCS. !lULTIPLfi DiiELLINGS HENTAL DNIT3 FpH SAL& DRTTS f OF U6ITS aOTEt ADDRFS3FS P09 CORflER LOT3 - COATRlCfOA/HOMEOfiNEA M3T DFSIGAATE 1iHICH ADDHF.SS IS DESIAED. 80 CBAtiQES AII.L HE iLL0i1ED OACE HOILDIHG PERMIT 15 I33QED.. SEHER i W?TER PERHPt FEES AliD ICCOIINT D£POSIT FEE3 WII.L HS IACLOD6D VTfH THE SOILDINti PEAMSIT FEE. PAOCESSIfiG TIME FOR SEHEA AAD YITEA PER!lZT3 IS TWO DAYS ONCE l PERMIT SAS BEEN COMPLE?ED IPDIClTIAG A LICEIiSED PLOlIDER. PENALTY APPLIFS WfENs PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED. LOT CBANGE IS REQUESTED ONCE PERMIT IS ISSIIED. aus a s 1989 To He Used For: 3SCCt5cn')orcJ?, Valuation: $OLOo Date: Site Address y7 ?$- OFFICE II36 OAi.1 Lot S' Block t- Parcel/sub O+mer 1?1-G\&rCQ ThoQ xn- Address A; hAj., .? City/Zip Code S%C'SGh SS /Z Z Phone jO {d 7- 5;? 341 S' :oatractor chC ?? 14Giyl c r 9ddress Y S Z 3 Sev-1--F -f-t^at'( City/Zip Code Z-'Ca S ur% -1,?Niti SS /Z- ZI ° iPPAUVALS Phone Planner Arch./Engr. Address City/Zip Code Occupaney Zoning Actual Const Allo`rable I of stories Length p?K IokB' Depth PoRCM 1y'X12' S.F. Total Footprint S.F. On aite aewage On site r+ell _ HfiCC System City water _ PHV required _ Hooster Pump _ Council Hldg. Off. Variance 2tJY2-3 i? Bldg. Permit 100,00 Surcharge ,oo Plan Reviev SAC, City SAC, MWCC Aater Conn Nater Heter Acet. Deposit S/H Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Copies ..5(7 SDBTOTAL Penalty TOTAL Phone 9 , . ? VA LUATIOO 4ft l???x 1 na a ? .__-- lyxlz ? I68x No? ??20 r--- -77 20 o yL ?(000 V C. R. IAND WINDEN & SURVEYORS ASSOCIATES, IMC. TaL 645•3646 FOR: U. S. HOME CORPORATION 1381 EUSTIS SL, ST. ?AUI, MfNN, 53101 Scale: 1" = 30' ODenotes Iron Li J V cr U ? ? N ? m W u ? Q z Lot 8, Block 4, Ridgecliffe First Addition, Dakota County, Minnesota. N WE MERElY CERTIfY IOUNDARIES TMAT TNIS 15 A TRUE AND CORRECT RE?RESENTATION OF A SURVEY OF TME OF TNE TMEREON LANp AbOVE DESCRI6ED AN D OF TME IOCATION OF All 6UIlDINGS, If ANY , AND All VISIlLE ENCROACMMENTS, IF ANY, FROM OR ON SAID , LAND. Dotad this r fhi day eFIL3i A p 19gp C. R. WINDEN 8 ASSOCtATES, INC. L- Surrywr, Minnesele RaOiserotien No.772F C. R. WINDEN 3 A550C1ATE5, NVC. IAND SURVEYORS Tot 845•3648 FOR: ?^C?? V 1781 EUSTIS SL, ST. PAUI, MINN. Q5108 U. S. HOME CORPORATZON Scale: 1" = 30' ODenotes Iron ? J V ? U ? ? N ? QO W 0 :D Q I Lot 8, Block 4, Ridgecliffe First Addition, Dakota County, Minnesota. N WE MERE9Y CERTIiY TMAT THIS IS A TRUE AND CORRECT REPRESFNTATION Of A SURVEY Of TME 60UNDARIES Of TME LAND ABOVE OESCRI6ED AND Of THE IOCATION OF All 6UIlDINGS, If ANY, TMEREON, AND All VISIBLE ENCROACMMENTS, If ANY, FROM OR ON SAID IAND. Dotad thi, L9ff7 dey oF Mp,?i A.O. 1980 C. R. WINDEN d, ASSOCIATES, INC. . bY Sunayor, Minnewro Rayistrofion No. '77,?6 NT.C19 CITY OF EAGAN EARLY UTlLITY CONNECTIDN PERMIT 4765 Hauge Circle L8 B4 RidQe Cliffe le* Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect 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- ment to cap the sewer service to prevent any unauthorized use. In accepting this permit, 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 to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: Owner: XIA??„rc_ 1.1 GJ Developer: ? Builder: Dated:?&k CITY OF E4CAN -- - EARLY UTILITY CONNECTION PERMIT - 4752, 4758, 4764, 4768, 4769, ' L3 B4, L4 B41 LS B4, L6 B4, L7 B4, 4765, 4759, & 4753 Hauge Circle L8 B4, L9 $4, & L10 B4 Ridge Cliffe lst Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water lateral line ia the public right-of-way. I' understand that the City has not yet campleted, inspected and/or accepted ' the seWer and/oz water lateral. I agree noc to use, tes[, or connect these individual aervices to ar.y lnterior p2umbing and understand the requize- ment to cap thP sewer service to prevent any unauthorized use. In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due co this early connection. It is understood that no Occupancy Permit vill be issued or water allowed to be turned on until the City utility system has been declared operational . by the City Engineer. Signed by - Plumber?i?LU?'N? Owner: Developer: Builder• Dated: 1Q/qi5jp0 ? Y SUBD. BL "' ? ec? l S? CITY USE ONLY RECEIPT #: ? RECEIPTDATE: PERMIT # 2000 PLLJMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PIIAT IINOB RD EAGAN, IMI 55122 651-681-4675 Please complete for: ? single family dweilings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES ' EACH # TOTAI Alterations ta existi g dwelling minimum fee Describe: _ r Qv $ 30.00 Bath tub $ 3.00 x = $ Floordrain 3.00 x = $ Gas pipin ouHet ` minimum -1 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavato 3.00 x = $ Septic System new/refurblshed * requiras nnPC iic. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installatioNrepair/rebufid 30.00 X = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ Water softener if dwelling under constructlon 500 x = $_ p? Water softener if existing dwalling 30.00 X = $ 4Vaterturnaround 30.00 x $ State Surcharge .50 -> -> -> $ 50 Total _> g O Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. --------------------- ---------------------------•-•--------------- --- - - - l hereby acknowledge that I have read this application, state that the intortnstion is correc[, and sgree to comply with all applicable City of Eagan oidinanoes. N is the applicanYs responsibility to notiry the property owner that the City af Eagan assumes no liability for any damages caused by the City during ils normal operatlonal and maintenanca aQivkies to the Nacilitias construd=d under this pertnR within City p:opartylright-of-way:easement. SITE ADDRESS: OWNERNAME:: TELEPHONE#: ?V DE ?97 (AREA ?93is INSTALLER NAME: I/.P/)A l0 TELEPHONE#: 6,-.<1_,SrS (AREA CODE) STREET ADDRESS: Ze ? l S6 ? • _ _.. "_. ,r?, - . . . v CITY: rZ,av? STATE: ?/iVw' ZIP: 7, ? '`/ SIGN URE OF RMITTEE ? MECIIANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Farnily Dwellings Townhomes and Condos when pertnits are required for each unit Date G J / 1-1 / G3 Site Address Unit # C?r- • k ?Z2-z. Yroperty Owner e__ Telephone # ( (n5 1 ) (p$"7-']3 `f-5 Contractar Street Address City 71dseoy_o? 5tate 1' v1i ZipJ5E50('i-0455 Telephone #(a:5( ) 3 27--5?12 ? The Applicant is _ Owner ? Conffactor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 Y f l urnace rep acement air exchanger ? air conditioner other a 1 1 ? n ^ ` ?•?I ? State Surcharge $ .50 Total eY' $ 3 G. 5 G I herehy apply for a Residen6al Mechanical Pernvt and acknowledge that the information is complete and accurate; that the work will be in wn£ormance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tlus is not a pemut, hut only an application for a permit, and work is not to start without a pernut that the work will be in accordance with tbe approved plan in the case of work which requires a review and approval of plans. P?k- \, ,. . ?? ? ?,? N Applicant's Printed Name Applicant's Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicabte) Previous Tenant Name Proper[y Owner Telephone # ( ) Contractor Street Address City State Ztp Telephone # ( ) The Applicant is _ Owner _ Connactor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installationlremoval of tank Processed Piping Nature of Work: Pel'mi[ F¢¢ $50.50 Minimum Fee (includes State Surcharge) Contract Value $ x .Ol% _ $ PermitFee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemut Fee $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a pernut, that the work will be in accordance wiffi the approved plan in the case of work which requixes a review and approval of plans. ApplicanPs Printed Name ApplicanYs Signature PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA088166 Eagan, MN 55122 . Date Issued: 02/10/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 4765 Hauge Cir Lot: 8 Block: 4 Addition: Ridgecliffe 1st PH) 10-63980-080-04 Use Description: Sub Type: e-Fireplace Construction Type: Work Type: Gas Insert Description: Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: 3/3/09 Per Andrew from Fireside I have changed this permit (88166) to the address of 4765 Flange Circle. pf 2/12/09 This permit is being canceled because a permit has been pulled twice for this address. Andrew from Fireside will call with replacement address for this permit. We will be using permit #88144 for this address (1560 Skyline Tr) for 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: Hearth and Home Technologies Richard M Troje Tste 2700 N. Fairview Ave 4765 Hauge Cir Roseville MN 55113 Eagan MN 55122--263 (651) 633-2561 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 Use BLUE or BLACK Ink r-- r A, I ForOffice Use ~t Permit City of Ea in I 1 I Permit Fee: ~~I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 I Fax: (651) 675-5694 I Staff: I INFLOW A ,yINFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water Date: ` ( 1 Site Address: Tenant: Suite Name: Phone: L IS? 1'3 4 5 RESIDENT I OWNER Address / City / Zip: cA L-;,5 Name: License CONTRACTOR Address: City: State: Zip: Phone: Contact: Email: PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) TYPE OF WORK ~ump Pump Repair Repair Other: Other: Description of work: G (e I~ oz`s DESCRIPTION w t 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.cityofeagan.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.gopherstateonecall.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 w rk which requires view and approval of plans. x ~j Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: -Under Ground -Rough-In -Final PERMIT City of Eagan Permit Type:Building Permit Number:EA116011 Date Issued:10/02/2013 Permit Category:ePermit Site Address: 4765 Hauge Cir Lot:8 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . Steve Lockwood Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Richard M Troje Tste 4765 Hauge Cir Eagan MN 55122--263 Lockwood Construction Llc 604 Bielenberg Drive Woodbury MN 55125 (651) 775-5000 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA127976 Date Issued:10/21/2014 Permit Category:ePermit Site Address: 4765 Hauge Cir Lot:8 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-080 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Betty Engen Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Edward M Hanson 4765 Hauge Cir Eagan MN 55122 Bac Construction Services 3032 Minnehaha Ave Minneapolis MN 55406 (612) 721-5500 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147447 Date Issued:01/08/2018 Permit Category:ePermit Site Address: 4765 Hauge Cir Lot:8 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-080 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 - Edward M Hanson 4765 Hauge Cir Eagan MN 55122 Adam's On Time Plumbing & Water Heaters Llc 13791 Jonquil Lane N Dayton MN 55327 (612) 205-6060 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151802 Date Issued:09/13/2018 Permit Category:ePermit Site Address: 4765 Hauge Cir Lot:8 Block: 4 Addition: Ridgecliffe 1st PID:10-63980-04-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Justin Willey 4765 Hauge Cir Eagan MN 55122 (612) 483-1625 Twin City Home Remodeling Inc 85 3rd Ave SE New Brighton MN 55112 (763) 572-2577 Applicant/Permitee: Signature Issued By: Signature