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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 ? N D0 61 Jj 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 \ \ ??sFM io O N O ?9 ° --? '?> Q 10 Q 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 = U r ?' ?' 1'Ove.lrony 9 5I 2? , , I ? fl m I 25•? ? ?;,JSe.r I 5 ?, proP° O I O I N I I 5I ` - - - ? O ? ? N Scale: 1" = 30' o Denotes Iron S ? io O O %9 ; ? -i ; - f`' 10 O 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - John W Barker 4768 Hauge Cir Eagan MN 55122 (651) 235-1275 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature  !" #$%&'()'*+*, -./$%'"&0-123$45$,+ -./$%'63/7-.189:;;<9 =*%-'!>>3-519?@9D@?B9A -./$%'#*%-+(.&1--./$% C$%-'855.->>1'';<DO''R*3+-'#$.''  9#$%& ''F)**++, ''D+*I.%$+PP.'!3 456 !789GYX787F8797' :3. =->F.$0%$(,1 ;<='>?@. K+0.@$/%.-,30<%+,'>?@. A0&'>?@. 1/3'5,3.0 6.3%0+@+, -.,3<3'-*. FGF'8'L%%<@/,%? 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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