4768 Hauge CirCITY OF EAGAN Remarks
Addition Rid,geCli££-Fir.st 11ddn, l.ot 6 Rlk-4. rercei #1.f]_6348(L06Q 04
Owner 5treet 4768 Hauge Circle sutefiagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1? 19$2 298.08 S 298.08
SEWER LATERAL
WATERMAIN
' WATER LATERAL
YYATER AREA 198 29
I sTORnn sEw TR?c 1982 638.24 5 638.24 0 6 12-23-91
STORM SEW LAT
Services 1982 637.75 5 637.75
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 11 11
BUILDING PER. 5907 +1 if
sAC 525.00
PARK
I CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
? ,.>:
? i< 1 Ir?,l ? i 1 I i{
I PERMIT SUBTYPE:
0c?-i r M?,?;
I Vi MFtiI'.t
?
?L
i Pil 1 tf1l1 '. 111 111 Al I Ni
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
,, APPLICANT:
V11 IIi1tY fzilll lti P`:
fI , 1.' 1 ttI 'o I /I'. Il i
TYPE OF WORK:
I 11- •.I I; 1 r> 1 1 i„a
tilr I. I 11 1 Ntr
H.'U'. tn
0 4 f 1 4
M1! f 6J
t10 I't af lNi; f,li, 1814.? ?
i i N A I
1 111 NIiiiI1
Permit No. Permit Holder Date Telephone i
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inep. Comments
Footings I
Foundation
Framing
Roo(ing
Rough Pibg.
Rough Htg.
Isul.
Flreplace
Final Hig.
Orsat Test
Fnal Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
DeckFtg.
9y ?/
o( p? ? ?1 ,r T6- /'
nock-e-'( OcsT? G'? u49? I-e 4't
Oeck Final
weli
Pr. Disp.
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
Li
19
REC EI V ED
FROM
AMOUNT $ I
& OOLLARS
? CASH ? CHECK
!.vy
too
White-Payers Copy
Yellow-Pasting Copy
Pink-File Copy
: • CITY OF EAGAN
? 3795 Pilof Knob Roed
No. Eoyes, Minnesote 55122 INSPECTOR NOTIFICATION
Phom: 45aa100 REQUI RED BY LAW
PERMIT FOR ALL INSPECTIONS
7-30-$0 r^-
2?. ,.
Dote: Receipt No.:
Site Address
: 476$ IiAil1gC Circle Single I
Residential '
Lot ?, Block 4 Sub/Set. Fd cir., e ^, irf e .1. Multi Res., Comm./Ind. I
No?ne 0rrin Thcunpson Homee _
New/Alter
/Re
air
.
p
Addr irli? IIOpkiI]s Crsrd.
?
? ess Cost of Installation
City
}`S'i?etonk8, t'fi• Phone: 544-7333 , ., .
Permit Fee ,
Nome . r P,riZE'1 'leCh8YLiCal Surcharge
.
Address 3600 Kennebec DZ'.
e
?
City ?F'??1I?Yl.
' Phone: L. r?:? - 17
I
Totol
This Permit is issued on the express condition thot oll work sholl be done in accordance with oll cpplicable State of
Minnesoia Statutes and City of Eagon Ordinances.
Building Official
' • CITY OF EAGAN
• 3795 Pilot Knob Road
• _, , , Eogen, Minnesota 55122
"°. Phom: 454-8100
PERAAIT
Date:
Site /lddress: 476F HSUgB CiT.
Lor ' siak ? Sub/Sec. P3dgeC1i1'f@ 1
I Nome
.
e
a
INSPECT4R NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.: ''0( !' `
Single I
Residenfial
Multi Res., Comm./Ind. I
New/Alter./Repoir
Address 1712 Iiopkins CrsrB.
Cvst of Instollation
City ''ii11I:Bt021k8, ;t,, Phone: 5? 7 Permit fee
Name "A:r N. Vielter EeatirW7 l.o, Surcharge
?
?
e
e
Address
Ave.
20.00
I City - Phone: Totol
This Permit is issued on the express condition thot oll work sholl be done in accordonce with all opplicable Stnte af
Minnesoto Stututes ond City of Eogon Ordinonces.
Buildiny Official
. _, cirr oF EAG,e?N
, 3795 Pibf Knob Road Eagon, MN 55122 N! 5907
. PHONE: 454-8100
BUILDING PERMIT Receipt # -
Te be wed for ??"'1?1??a?r-' Est. Value' Date ' 119
Site Address Erect ? Qccupancy
Lot Block Sec/Sub. Alter Q Zoning
Pcrcel Repair ? Fire Zone
Enlorge p Type of Const.
W Name Move
? # Stories
Z Address, Demollsh ? Front ff.
3p . ? ?
Ira- :- ,33_? Girode fl DePth ft.
? NOR1@ . wpproVaFs rcv*
Assessment Permit
u? Address
~ CI ph? Water & Sew. Surcharge
Police Plan check
W W
ua?
Name
Fire
SAC
t
??
Address
Eng.
Water Conn.
<W Ci Phone Planner Water Meter
Council Rood Unit ?
I hereby acknowledge that I have read this application and state that Bldg. Off.
the informotion is carrect and agree to comply with oll opplicnble
State of Minnesota Stotutes cnd City of Eogan Ordinances. A? Total
Signoture of Permittee
A Building Permit is issued ta 0Tri-n Thorngon Fot-' on the expreu condition that
oll work sholl be done in nccordance with all applicobls Stcte of Minnesotn Statutes und City of Eagan Ordinances
Building Official
PenaM # DaM Isaad heslttN
Plumbin9 -
Mechonicol 17 4, --?p ctJ
INSPECTIONS DATE INSP. Rouph-In Final
Footings Dote Insp. Oote Irnp.
Foundation ? Plumbing ' S
Frame/ins. /6"W Mechonicol
Finol % )
I
Remorks:
CITY S7F EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Ea9an, MN 55122 DATE:
Zoning:
No. of Units:
Owner:
Address:
Site Address: -
Plumber:
I agree to eomplq wiHh fhe City of Eagan Connection Charge:
Ordinonoes,
Account Deposit: _
Permit Fee: ?
B
Y $urcharge:
Dote of I nsp.; 1vlisc. Charges: _
Insp.: ToYol:
DaYe Paid:
TER SERVICE PERM IT
WA
ciTr oF EacaN
3795 Pilot Keob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Qwner.
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge:
osit:
t D
A -
Size: ep
ccoun
Reader No.: Permit Fee:
ch
r
e:
S
I ngree fo eomplp wifh tbe City of Eo9an g
ur
o
Ordinaneas. Misc. Chorges:
By
Total:
Dote Paid:
CITY• OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
gUIIDING PEEtMIT APPLICA'I'IdN 1 set of energy calculations.
, 24 -
'ro se vsed For Rts%oENCe valuation Go, "?o Date (o-a-4-g0
site Paaress: I{-T6H N Au c cL-: H-j ) or'f'ICE vsE ot1LY
i,ot (o block sec./sub. so?? ?rect X_ occupancy R3
R
Parcel #:
Owner:
Pddress:
City/Zip Code:
Phone #:
Contractor: nRRIN THnMP4(1N NtIMFc
a Division of U. S. Home Corporation
Address: -T;-a-z1 19PKINasRsscaEAs
City/Zip Code: MINNETONKA, MINN. 55343
Pnone #: syy-1333
Arch. /&&1ng. :
Ac]dress:
City/Zip Cocle:
Phone #:
Alter
Repair _
Enlazge
Nbve
Decnlish
Grade
zomng
Fire Zone ? -
T'Yjpe of Const. 1/
# Stories
Front S ft.
Depth y > s'ft.
APPROUALS . f'EES
Assessments
Water/Se.aer
Polioe
Fire
? Planner
Council .5 =;is tiy,
Bldg. Off.
APC
Pesndt
Surcharge 30
Plan Check j j ?
SAC 6-:2s Qs
Water Conn. ,3 p s °-d
Water Meter !v a
Roaa unit
TOrAL 1 33(0,-75
iviodel 47 CITY OF EAGAN
3795 Pllot Kno6 Rood Eagan, MN 55123 Ng 5907
PHONE: 454-8100
BUILDING PERMIT APPLICATION ' ' Receipr # ,
To 6e med for SF Dw1g/Garage Est. Value60,000.00 pme June 30, 19 $0
Site Addreu 4768 H313ge .i r 1 _ Erect Occuponcy R3-
Lor 6 eiock 4 Sec/Sub. Ridgecliffe lst Alter ? Zonin9 Rl
7arcel .# riot recorded Repoir ? Fire Zone TTT _
Enlorge ? Type of Const. _ V
W Name - Orrin ThomDSOn Homes Move ? # Stories
Z Aedres:l712 Aopkins Crossroad pemoiish ? Front 54 ft.
o
Ci Minnetonka° 55j?J3 ?e 544-7333
Grode ? DeDth 47 '3'' ft.
? Nam $AME Approvala Feea
o --
0
q Address
F' Ci Phone
Nome SA71Ai+'
rZ
ir, Address
I hereby acknowledga thut I have read this opplicotion and state that
Yhe information is correct and agree to comply with ali opplicable
State of Minnesota Statutes and City of Eoqon Ordinarxes.
Signature of Permittee
A Building Permit is issued to:
all work shali be done in accordance with
Building Official X
Assessment
werer & sew.
Police
Fire
Eng.
Planner
Council
BIdg.Off. 5 20 $0
APC
Permit 154.50
surcna.ye 30.00
Plan, check 77.25
snc 525.00
Water Conn. ?3 5.00
Water Meter 60.00
Rood Unir 1$5.00
Totai 1,336.75
pplgg.. on the express condition that
and City of Eo9en Ordinances.
?u.,jequest&om void .?ro,Qt? ` ?, 9) v
?s ?
Date o this Request b S'go Fire No. S 84983
I, as L.icensed Electrical Contractor OOwner, do hereby request inspection of the above electri-
cal wiring installed at:
eet Address or Route No. ?NU?9? Cl IZ(,LE Cijy?
on Township Range County Qke-07-A
Which is occupied by
?
Is a roughin inspection required on this job? No ? Yes$4 Ready Now ? Will CaW
Power Supplier V-6-A Address FAN'%1N6-1DrJ
Electrical Contractor J/F(-C e7CtEG ZRIG Contractor's License No.TL !
(CO pa/ny Name)
Mailing Address
?-
(Etg t tcal ntmctor or Owner Makin9 ThIS Insiallatlon) Cq
Authorized Signature Phone No. V/Q
(Eiectrical Contra<tor or Owner Making Thls Installatlon)
rL,u ?;??,?? ?? TAis inspection requeat will not 6e accepted hy the
Stete Board unless proper inspection fee is enclosed.
mmnesoca ataca noara or necmcrty
Griggs Midway Bldg. - Poom N791
7821 Universiry Ave.. St. Paul. Minn. 55104 - Phone 297•2117
-Afth,F(EQUEST FOR ELECTRICAL INSPECTION ?
CHE('KHELOW WORK COVERED BY THIS REOUEST
EB-00001-02
84983
ype ot Building New Add. Rep. Ch¢ck Appliances W'ved For Check Equipment Wired Foi
Home ? ? Range riN Temporary Witing ?
Duplex ? 0 Watei Heater Lighting Fixmres GK
t. Bldg.
?
?
,?
Dryec ?
Electric Heating _
?
mmercia! Bldg.
U ? ? ? -s1
Fumace Si(o Unloader ?
Indus[rial Bldg. ? ? ? ?
A'u Conditioner Bulk Milk Tank ?
Fazm ? ? ? List
) List )
Othet
?
?
? p
y
Heiets) ?,.? ` }
eieis)
COMPUTE INSPECTION FEE BELOW ?.??? ???•.
Service EntranceSize: # Fee FeedetadSUQfeedq*4: '` UFee-? C'vcuits: # Fee
0 to 100 Am s. 0 to 30 A'm' eres 0 to 30 Am eres LU
101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am res
Above 200 Amps. Above 100 Amps. Above ]00 Amps.
Transfocmers RemoteConttolCirc. Partialorotheifee
Signs 1 1 Special Inspection Minimum fee $5.0 -
Remacks
TOTALF 3/ Jm 7.??
?••,-
I, the ElecMcal [nspector, hereby certifylAat th b eipspection has been ?ie--?
(Rough-in) F/?r Date
(Final) P Datej 1-8U^
This request void
18 months from
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT:
4758 NAUGE CIR
RIDGECLIFFE
PERMIT SUBTYPE:
DECK
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Datelssued:
6 B L 0 C K: 4 APPLICANT:
VICTpRY BUILDERS
(612) 891-4543
TYPE OF WORK:
DESCRIPTION
BUILOSN6
024536
09/19/94
NEW
(REPLACTNG OLD DECK)
INSPECTION „ . .•
Ftlp7ING5 FINAL
REMARKS: INCLUdES REPLACTNG 3 pQpRS & 1 WSNDOW
F-
_ ? ._.?
L
k CITY OF EAGAN
38'30 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMiTTYPE: euzLpzNG
Permit Number: 0 2 4 5 3 6
Date Issued: 0 9 J 19 / 9 4
SITE ADDRESS:
4768 HAUGE CTR
LOT: 6 BLOCK: 4
RXDGECLIFFE
P.I.N.: 10-63980-060-04
DESCRIPTION:
(REPLACIMG OLD DECK)
ilding'-.Permit Type DECK
ildimg W:or.k` Type NEW
a
?
`
>
?y
rr
REMARKS:
?
F?T-- T?,
?3
INCLUDES REPLACING 3 DOORS & 1 WSNDOW
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Tntel Fee $30.50
CONTRACTOR: - Flpplicent - sT. Lzc. OWNER:
VICTORY BUILDERS 18914543 0009331 BARKER JOHN
14194 GARLqND AVE 1768 HAUGE Clfi
APPLE VALLEY MN 55124 EAGAN MN 55123
(612) 891-4543 (612)686-0169
?
I hereby acknowJ,esige that I have read thss ap-plication and sCate that the
informatinn zs correct andagree to ccrm;pl.y with a21 applicable State of Mn,
5tatuCes and city of Eagan OrsJinartces.
\?.
PLICANT/PERMITEE SIGNATURE
ISSUED Y SIGNATURE
, I
1493 4
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
-?3?•'0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s rvey , a e ergy
calcs. 5EP i 2 1994
COMMERCIAL 2 sets of architectural 8 structural Qlans
1 set of
:_
specifications, 1 copy of energy cal
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work to-o-fl
Site Address:
STREET SUITE k
Tenant Name: (commercial only)
LOT SLOCK _?_ SUBD. v7 p ,I.D . #
Descri tion of work: AclozAc'c Dg'cK 2E'P4'*c6 3 D4n,0_s /Lcf/?acS U/.?Lldt?
The applicant is: ? Owner 01 Contractor ? Other (Describe)
Name BA??KER- . snr?•? Phone 696-o/a9
PI'O
pEI'tY c.,er
Owner
pddress 4-,79 y0/jx'C- c//z
STREET STE #
City E..?1GA.? State ?*+.?• Zip 5-sf 7-
3
Company Vicra !;)' 64oi_L1e1e1' Phone k`7i 41s>3
COt1tPaCt01' Address 1`7/9-11 644LI-A.?ts 4W46- License # 9-7,31 Exp.3_3i-4"
City AfPL.c l19c.t_d'? State^.?. Zip S-3f L?'
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is twa days once area has been approved.
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.
•3,?,,- ..,, .
Signature of Applicant:
BUILDfNG PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
ja 05 SF Misc.
WORK TYPE
? 31 New
? 32 Additian
OFFICE USE ONLY
El 06 Duplex
E3 07 4-Plex
? OS 8-Plex
? 09 12-Ptex
? 10 Multi. Add'1.
? 33 Alterations
0.34 Repair
GENERAL INFORMATION
Const. (Actual
(Allowable;
UBC Occupancy
Zoning
# of Stories
Length
Depth '
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
fiU 15 Deck
? 35 Tenant Finish
? 36 Move
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
?.Site 67 Footing ? framing
? Wallboard IM Final "'=`'`?rNef. ? Draintile
?/3 Y
o?
?
O
? Insulation
? Firepiace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units ?.••,??
vatuac;a,:
•V NHO'il,
. ._ ..?,,,
,... ? .. .?w..? . a..+x?
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Pu61ic Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water -
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
..
?
D v
QCC
=U
FOR.
U. S. HOME CORPORATION
e
0
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61
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56 N??se
C. R. WINDEN & ASSOCIATES, INC.
IAND SURVEYORS iOt i45•3618
1361 EUSTIS Si., ST. PAUI$ MINN. 66100
N
?o
151'q
Scale: 1" = 30'
o Denotes Iron
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10
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200. 00
Lot 6, Block 4, Ridaecliffe First
Addition, Dakota County, Minnesota. `
WE HERE9Y CERTIFY THAT TMIS IS A TRUE AND CORRECT REPpESENTATION OF A SURVEY OF THE
lOUNDARIES Of TME IAND A60VE DfSCR16ED ANO OF THE IOCATION Of All 6UIlDINGS, IF ANY,
TNENEON, ANO All VI5161E ENCROACMMENiS. IF ANY, FROM OR ON SAID IAND.
Do1od Ihis 946 day o1Mn?L-A,D. lo$O C. RZ-4 EN d ASSOGIATES, INC.
br A?-d
iSurvlYOf. Minnesolo Rapislrolion No772C
I
?
NTi51D
CITY USE ONLY
LOT 40 BL ? RECEIPT#: ?d
SUBD. ?? /? RECEIPT DATE: I??U/Y
1996 MECfiA1VICAL PERMIT (gESIDEMfIAL)
CITY OF ?.'tkfiAN
S$SO P1LOT KNO$ RD
ERfiAN 1dN 55122
8 (61E) 6$1-4675
Date•
1Oaa 9
Complete this section oxfv if you aze installing HVAC in single faznily, townhomes or condos under
construction and not owner /occupied
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residentiai units; but is required for the following:
? Install fumace Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. ` Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge
_ J Total: 20.50
SITE ADQRES& 4-T.TJ / ' G
OWNER NAME:
PHONE #: 1-17e "4mZD 6
INSTALLER NAME / 15 (X/? ? t A?G PHONE #t:
r
STREET ADDRESS:
CITY:
STATE: ZIP: ??t J ?(J
URE OF PERMITTEE
G AT?`y?_
JS/FORMS BLD/MECH PERMIT (RES) - 1998
CITY USE ONLY
L BL
SUBD.
APPROVED BY:
INSPECTOR
199$ MECHlkNICAL P£i214I1T (COI`[MEiiCIAL)
CITY O£ F-AfiAN
S$SO f'ILOT KNOB RD
EAeAx, MN 55122
(612)681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
CONTRACT PRICE:
WORKTYPE: NEWCONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCE3SED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLl):
INSTALLER:
ADDRESS: PHONE #:
CITY:
RECEIPT #:
RECEIPT DATE: _
($.50 per $1,000 of pettnit Fee due on all permits.)
PHONE #:
STATE:
ZIP:
SIGNATURE OF FERMITTEE
'e ''' C. R. WINDEN 3 ASSOCIATES, INC.
IAND SURVEYORS TeL 645•3648
FOR: ? 1381 fUSTiS SL, ST. PAIH, hfM1N. 65106
Li W U. S. HOME CORPORATION
? cc ?
0
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r ?' ?' 1'Ove.lrony 9
5I 2? , ,
I ? fl
m
I 25•? ? ?;,JSe.r
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Scale: 1" = 30'
o Denotes Iron
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10
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200. 00
Lot 6, Block 4, Ridaecliffe First
Addition, Dakota County, Minnesota.
WE MERESY CERTIfY TMAT iM15 i5 A TRUE AND CORRECT REPRESENTATION OF A SURVEY Of THE
60UNDARIES OF TME LAND A90vE Df5CR16ED ANO OF THE IOCATION OF All SUItDINGS, IF ANY,
THEREON, AND All VISIBIE ENCROACHMENTS, If ANV, FROM OR ON SAIO LAND.
Dotad rhis 9-(f7 dar oF M??T A.D. 19$0 G. R. WI DEN 6 ASSOCIATES, INC.
br ?? 4?"'?^???L.?.
' Sur.ayor, Minnesoto Ropisrrolion Ne.772E
N71519
CITY OF EACAN
- - --- - - --
EARLY UTILITY CONNECTION PERMIT
4768 Hauee Circle L6 B4 Ridee Cliffe lst _
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and mater 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 [o any interioz plumbing and understand the require-
-_ - --= ment to cap the sewer.service to prevent any unauthorized use.
In accep[ing this permit, it is agreed that I will hold the City and its
- - agents haxmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Petmit 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•
Owner: 1y?ld?L-x??
Developer•
Builder:
Dated:AF/6ll
CITY OF EACAN
EARLY UTILITY CONNECTION PERMIT
4752, 4758, 4764, 4768, 4769, ' L3 B4, L4 B4, LS S4, L6 B4, L7 B4,
4765, 4759, & 4753 Hauge Circle I.8 B4, L9 B4, & 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 in the public right-of-vay. I
nnderstand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree noc to use, test, or connect these
individual services te ary interior plumbing and understand rhe requirr
- ment to cap the sewer service to prevent any unauthorized use. _
In accepting this permit, it is agreed that 2 vill 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 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 &??
Owner:
Developer:
Builder:
Dated: ID/q6l90
T'
2006 RESIDENTIAL PLUMBING PertMir aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I_I )_ I V L
Site Street Address U(Unit#
PropertyOwner Tefephone#(iddik)
Contrector i I!" P) ?XKVV-S
Telephone #(fi?? ll
j ',
Address 7J(p? [) ?D? 61 ?LI ' City FCC rl State?N Zip 5S 3 3
The Applicant is: _ Owner V Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. !f you are installing on/v a water sottener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment 3
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater
_ new replacement $ 15.00
Lawn Irrigatlon _RPZ _PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ 50
Total
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, w rk is not to start without a permit and work wilt be in
acczj..? nce with the approved plan in the event a plan is required o revia?wed and approved.
Di eh ? OLA?
ApplicanYs Printed Name ApplicanP Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129135
Date Issued:01/13/2015
Permit Category:ePermit
Site Address: 4768 Hauge Cir
Lot:6 Block: 4 Addition: Ridgecliffe 1st
PID:10-63980-04-060
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.
Troy Good
3670 Dodd Rd
Eagan, MN 55123
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 -
John W Barker
4768 Hauge Cir
Eagan MN 55122
(651) 235-1275
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA151988
Date Issued:09/21/2018
Permit Category:ePermit
Site Address: 4768 Hauge Cir
Lot:6 Block: 4 Addition: Ridgecliffe 1st
PID:10-63980-04-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
John W Barker
4768 Hauge Cir
Eagan MN 55122
(651) 235-1275
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159372
Date Issued:12/12/2019
Permit Category:ePermit
Site Address: 4768 Hauge Cir
Lot:6 Block: 4 Addition: Ridgecliffe 1st
PID:10-63980-04-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
John W Barker
4768 Hauge Cir
Eagan MN 55122
(651) 235-1275
Wenzel Heating & Air Conditioning
4145 Old Sibley Memorial Hwy
Eagan MN 55122
(651) 894-9898
Applicant/Permitee: Signature Issued By: Signature