4610 Ridge Cliffe DrPERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA128937
Date Issued:12/16/2014
Permit Category:ePermit
Site Address: 4610 Ridge Cliffe Dr
Lot:1 Block: 12 Addition: Johnny Cake Ridge 4th
PID:10-39803-12-010
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.
Jennie Wood
5720 International Pkwy
New Hope, MN 55428
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sharon E Beck
4610 Ridge Cliffe Dr
Eagan MN 55122
(612) 270-7220
Benjamin Franklin Plumbing
1424 N 3rd St.
Minneapolis MN 55411
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
Z
?
?
?iI Rl VSV???E
Heating & Air Conditioning, L.L.C.
12481 Rhode lsland Ave S, Savage, MN 5537$ • 952.894-0005
?
Orsrat Test Report for JoVL7-?-,
Address cl
Occupant It°
Date of Insfiall
Type of HT. F/A-,,?- HW Space HT Unit FfT
Other
Make k
Model
Serial 0
II1pUt
Pilot Type HOT SURFACE lGN/TOR
Pressure C02
Input CFH , ? •- ., 02
Stack Temp 3 3Dp CO
Date Tested ./ o - 'l :-"/
Company
Technician
CITY OF EAGAN
Addition Jai-nNnn' r.AxF Rrnr.p 4rh Lot 1 81k 12 Parcel 10 3980z 010.-1.2
owner street 4610 Ridge Cliffe Drive stte Eagan, 14IN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 3
*SEWER LATERAL
WATERMAIN
*WATER LATERAL
WATER AREA
STORM SEW TRK
*STORM SEW LAT iggi
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PER.
SAC
PAR K
CITY OF EAGAN
Addition .TOF1N'NY CAKF. R111 F. 4_h Lot 2 Rlk 12 Parcel_1.0-39$.Q3 020 12
owner street 4610h R3.dge Cliffe D1'ive state Eagazl, hIN 55122
Improvement Date Amount Annual Years Payment Receipt Qate
STREET SURF,
STREET RESTOR.
GRADING
SAPI SEW TRUIVK '
*SEWER LATERAL j 2277.43 455.49r $
WATERMAIN
*WATERLATERAL 19$1
WATER AREA 9 00 fj? 00 5
STORM SEW TRK 1981 278.28 55.66 S 278-28 10/15180
*STdRM SEW lAT 1981
CURB & GUTTER
SIDEWALK
STREET IIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
CITY OF EAGAN Remarks -
Addition MHNW CAKE R TUfiE 4th Lot 4 e1k 12 Parcel 10 39803 040 12
owner streeti 4612 Ri.dge Cliffe Drive stete Eaga7t, MN 55122
Improvement Date Amount Annual Years Payment Recaipt L1ate
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
*.SEWER LATERAL
R 0-
7
WATERMAIN
*HVATER LATERAL
WATER AREA
STORM SEW TRK 5,13 1981 278.28 6 5 I
,kSTORM SEW LAT 1981
CURB & GUTTER '
SIOEWALK
STREET LIGHT
WATER CONN.
9UILOING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition ,10iiNNY CATfF? RTp('P.Ath Lot 3 Rik 12 Parcel 10 39803 030 12
ow„e? street 4612h Ridge Cliffe Drive state EaAan, I?I 55122
Improvement Date Amount Annual Yea?s Payment Receipt date
STREET SURF,
STREET RESTOR.
GRADING
5AN SEW TRUNK
*SEWER LATERAL 2 C
277.43
WATERMAIN
*WATER LATERAL
WATER AREA
STORM SEW TRK 1981 278-98 55-66 278.28 C005581 10 IS 80
,STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER,
SAC -
PARK
CITY OF EAGAN ?fl ?2284
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE 454-8100
BUILDING PERMIT Receipt # /
To be used for 1 OP 4 PLEX Est Value $48,000 Oate JULY 15 1g86
Site Address 4612 R IDGE CL I FFE DR Erect 15 Occupancy R3
JOHNNY CAY.E
Lot4 elock 12 Sec/Sub Remodel ? Zoning PD
.
Parcel No. RIDCsE 4TH Repair ? Type of Const. Vn,
Addition ? No. Stories
W
Name ?D Vu•UE HONlES INC
Move
? 4
?ength
= 146(1 93RD LN N Demolish ? Depth 74
o Address
BLAINE
780-5510 Int. Impr. ? Sq. Ft
Crty,
Phone Install 0
o Name SAME
i
? i Address
r r;ti, - ,...,.
UW
W W
H Z
U
¢ WZ
4
Name-
Address
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable Sfateof
Minnesota Statutes and Ciry off9gan Ordinances.
.? .
Signature of Permittee- - £
A euilding Permit is issued to: GOOD VFiLUE HOMES
all work shall be done in accordance with all applica4le State of Minneso
Assessment
Water 8 Sew Permit ? dc f + • vv
e 24•00
Surchar
.
Police g
Plan Review?7.00
Fire SAC 575.00
Eng. Water Conn. 50tY. 00 '
50
----6Y
Planner Water Meter
'
i
-
Council
Bldg. Off. 7 15 86 ?o 13
Road Unit
Tr. PI. -156 • 00
Var. Date I Copie
Total 52, oig .50
on the express condition that
Statutes and City of Eagan Ordinances.
WrtnR No. Pwmif Holder Dale TMaphone N
Plumbinp 401
N.V.A.C. ? c{ 7
EWCW = sc • ?? - g- ??- ? ? ? ?l7 C?
saft«,e.
Inspectbn Dete Insp. Commenb
FooBnys l
Footinqs II
Foundatbn
Framiny
RooMng
Nouyh Plbp. : ? _ -
Rough Mtq.
Insut.
Finplacs
Flnal Htp.
Final Plbg.
Bldq. FMaI
Cert.Oca
Dock Fty.
D*cit Frmq.
WNI Describe Locatlon:
Pr. Dhp.
PERMIT #
' . ` . ' . PLUMBING PERMIT RECEIPT #
dTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 451-8100
Site Addr
Lot ? Block ? Sec/Sub BLDG. TYPE WORK DESCRIPTION
-?
_ ??Res. New
m Name ' ?-? ? •' ?' - % ' " Mulk Add-on
?c Address Comm. Repair
c City 41 y ??`•'yc Phone `-- - Other
NO. FIXTURES TOTAL
Name L Water Closet - $3.00 $
3 Addre"
' ' 8ath Tubs - $3.00
= ^
p City Phone % ? S , '.
c:? -•?. LBvatory - $3.00
Shower - $3.00
I Kitchen Sink - $3.00
FEES Urinal/Bidet -$3.00
COMM/IND FEE - 146 OF CONTRACT FEE -7--
Laundry Tray -$3.00 ,
MINIMiJM - RESIDENTIAL FEE _$10,00 ?--Floor Drains - $1.50
MINIMUM - COMMJIND FEE _ ?.p0 Water Heater -$1.50
STATE SURCHARGE PER PERMIT _ .Sp Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES
Z Gas Piping Outlets - $1.50 ,
BEYOND $1.000.00) Softener - $5.00
Well - $10.00
-Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR: CITY OF EAGAM GRAND TOTAL:
PERMIT # / V? v v
MECHANICAL PERMIT RECEIPT # q
CITY OF EAGAN r
3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address 1
?
j
? BIDC.?1fP? /?, ,?, WORK DESCRIPTION
L
?
Lot
_ Block . _ Sec
Sub ??I
??
?L ?r4t? yt
?
R . ? i.i ? New ?-- -
@ N a m e ? ? ? F 1 t ?~
? Mul
Add-on
? Address a _777 ? • }
C
? omm. Repair
c City
&, Phone 60 -S5- 7
Other
Name 'ya FEES
A M BTU
C
3 ddress RES. HVA
0-100 -$24.00
p City Phone Ad t ADDITIONAL 50 M BTU - 6.00
7S O --$5 ?? ADD-ON A1R COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air ?? M BTU COMM/1ND FEE - 196 OF CONTRACT F EE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping OuUets #
Other - ?
?
0!? ?
?
?
?
?
. ?
FEE • .
i! s-c,?
t.
:'
S/C: S Q z GNATURE OF PERMITTEE
TOTAL• ? ? s U
FOR: CITY OF EAGAN
4 !) a; 3, y ?
)
3830 Pilot Knob R d
, P.O. BoE 2G-
1 9, Eagan, MN 55121 N2 12282
gUIL15IWG PERMIT PHONE: 454-8100 R
i
pt #
ece
To be used tor i OF 4 PLEX Est Value $48, 000 Date JULY 15 19 86
SiteAddress 4610 1/2 RIDGE CLIFF$ DR Erect C? Occupancy R3
Lot 2' Block 12 Sec/Sub. JOHNNY CAKE Remodel ? Zoning Pp
Parcel No RIDGE 4TH Repair ? Type of Const. 19-m-
.
Addition ? No. Stories
44
IE GOOD VALUE HOMFS I NC Move ? Length
= Name
146 RD LN N Demolish ? Depth .34
o Addre?sT_ s r uv _ Int. Impr. ? Sq. Ft
o Name 5AM Approvi
0 i Address Assessment _
~ City Phone Water & Sew.
Police
Name Fire
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.Fagan Ordinances.
_?.
Signature of Permittee_=?
Eng.
Planner
Council
BIdg.Off.7/15 86
Var.
A Building Permit is issued to ?''?: D VALUS HOMB3 INC
all work shall be done in accordance with ail
of Minnesota
/:.
Permit y ` "' ""
e 24.0
Surchar 0
g
Plan Fieview ?
SAC
500.0
Water Conn 0
.
Water Meter?
Road Unit
-
-
-
- O
rS
6
.
0
Tr. PI. 0
Copies _ 0
Total '
on the express condition that
City of Eagan Ordinances.
?
Pe?mR No. Pemdt Holder Date TNophone k
Plumbinq
H.VA.C. ]
EMCWC 3 ? 14-3 ? / d le ? r
SoHener
Inspectlon Date Inmp. Commenb
Footlnysl 7 ?
FooNnqsll
Foundatbn
Framiny
RooflnQ
Rouyh Plby. ? - . -
i
Rouph Ilfy.
InwL ? 1 FS S?(,
Fheplace
Final Mty.
Ffnal Plby
&dy. Final
Grt. Oec.
Deek Fty.
Dock Frmy.
i YYell Daseribe Locatlon:
I
?Pr. Dbp.
-
I PERMIT #
PLUMBING PERMIT RECEIPT #
• . , CITY OF EAGAN
3830 PIL OT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE P ONE 454-8100
Site Addr ss
Lot ? Block i Z BLDG. TYPE WORK DESCRIPTION
Res. New V
.?.
m Name Mult Add-on
? Address %'-l'"? Comm. Repair
c City Phone ? Other
Name NO. FIXTURES
Water Closet - a3
00 TOTAL
$
•
3 Address ' Bath Tubs - $3.00
? Cftye ?>.??? •: . _; - Phone ! Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMMlIND FEE - 196 OF CONTRACT FEE UrinallBidet - $3.00
Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE -$10.00 ' Floor Drains -$1.50
MINIMUM - COMM/IND FEE - 20.00 / Water Heater -$1.50
STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ? Gas Piping Oudets -$1.50
BEYOND $1,000.00) Soitener - $5.00
wen - $10
00
; .
Private Disp. - $10.00
`
? .. • ?
- Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C: -
,
GRAND TOTAL:
FOR CITY OF EAGAN
MECHANICAL PERMIT
, CITY OF EAGAN
3830 PiLOT KNOB ROAD, EAGAN, MN 55121
5ite Address 'ic /C.,
Lot C;?_ Block
m Name
? Addre,
c City ?
Name `
c Address
0 Cjty
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
v M BTU
M BTU
M BTU
M BTU
CFM
PERMIT # 'RECEIPT # ? 6 U
DATE:
ORK DE3CRIPTION
BL TYPE t]_ FNew
?bles. ?
-
Mult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL fi M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/1ND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
-?
FEE ? . C'v ?1,: !i
S/C: SO 106NATURE OF PERMITTEE
TOTAL• ? y S D
FOR: CITY OF EAGAN
• . ' • ?
. MECHANICAL PERMIT PERMIT RECEIPT # # 6 ? ' 17 ? v
CITY OF EAGAN G f?? _ p?
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: a
CONTRACT PRICE PHONE: 454-8100
Site Address ` > > = «- dclf . ? BID9. TYPE F____ • WORK DESCRIPTION
Lot_Z Block lc2, Sec%Sub • T/?
?-? 1- ACfa-L, ? r le.(??_?7-= New V
? Name Mult Add-on
I Address ? -? ) Comm. Repair
c City( W/? r?nl? Phone , 9-S6 7 Other
Name ? -)V FEES
?
; Address
t-- C. ?'? RES. HVAC 0-100 M BTU -$24.00
p City ?41-e Phone S ?"SS /o ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK
? ?1 ?/ aa GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 i
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C !F PERMIT PRICE GOES I
Vent CFM BEYOND $1,000.00) I
Gas Piping OuNets #
Other
FEE • D O .?..?; u? 4.?.?
S/C: '5d 61GNATURE OF PERMITTEE
TOUL• 4/S0
FOR: CITY OF EAGAN
. ? . . . . . . .r.. ...j.. ?-'-.. .? .. . . . . . _.
h-M s'pLE CITY OF EAGAN ? TO;-I????????S?: t?? 0 122?3
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ..
?(S1a- PHONE: 454-8100 . ;. G`? ` 7?;BUILDING PERMIT Receipt #
Tobeusedfor 1 OF 4 PLEX EstValue S48,000 Date JULY 15 19 86
SiteAddress 4610 RIDGE CLIFFE DR Erect LN Occupancy R3
Lot 1 Block 12 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pD
Parcel No. RIDGE 4TH Repair ? Type oi Const Vu
Addition ? No. Stories
Name G?D VALUE HOIFIES INC Move ? Length 44
= 1460 93RD LN N Demolish ? Depth
o Address Int. Impr. ? Sq. Ft
Ciry BLAINE phone 780-5510 Install ?
0 $jM APProvab
= o Name
? i Address Assessment
~ Citv Pnone _ Water & Sew.
r- ¢
W W Name_
? z
j5 Address
z
i W City -
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. ,
?" - •?
SignatureotPermittee K -"-? % • -' /
A Building Permit is issued to: GOOp VALUE HOMES
all work shall be done in accordance with all applicab'e State of Minnesc
Police
Fire _
Planner
Bldg. Off. 11+J/ ov
APC
Var. Date
Permit ' - 24? 00
Surcharge ??00
Plan Review_.ST57 00
SAC + Q p
Water Conn.?_50
Water Meter ?? 0 0
Road Unit_?_0O
Tr. PI. '
Parks
Copies ? uig ? 5 ?
Total
on the express condition that
of Eagan Ordinances.
?
? PermN No. PsrmN Holda Dats TNsphooe M
PlumWny
?s ? ?O
/ ?,?.?il ? •-- ?
-r--
?
7,77
N.V.A.t.
? S
t? 7
eisca+c 7 Go
son.ne?
Inspoctbn Data Imp. Comm?nh
Foodnpsl %
Footln9sll
Foundallon
Framfny
RooNey
Rouyh Piby.
Rouyh Ht9.
Insul.
FMspl"o
Ffnsl Htq. 1 ?
Ffnal Viby r
BFdy. Finsl 1 ?
Carl. Occ.
Dock Fty.
Deck Frmp.
YVNI Deaeribe Locatbn:
Pr. Dlsp.
'-.. , . , . - :'y_ y . .? , .. .. ... - '
c
3 CITY OF EAGAN ' Q
? ..'t " .
17513
?
?
38?30 P ot Knob Road, P.O. Box 21 -199, Eagan, MN -
55121
f
? PHONE: 454-8
100 ?
,
BUILDING PERIV?I , ff Receipt # --
To be used for BASEMLNT Est. Va ue $Z+ S00 Date KAYCK S 19 90
Site Address 4610 RI DGE CLI PFE DR
Lot 1 Block 12 Sec/SubJOHNNY CAKE RIIK+
.
*TH pL/ ? OFFICE USE ONLY
PBrC@I N0. Occupancy ! FEFS
Zoning
? Name WILLIL HE&CHISON
(Actual) Const
_ Bldg. Permit 33.00
W
; 4410 QIDGH CLIFPE DR
AddfESS
(Allowable) - 1.?
0 City EACAN Phone 6$8"0741 # ot scories surcnarge
-
Plan Review
Length _
o Name S?E Depth - SAC
City
= .
?
O Address S.F. Total -
U SAC, MCWCC
? City Phone S.F. Footprints -
t
C
w
?
dn Site Sewage
er
onn
a
_
W W Name On Site Well - W
t
M
a
er
eter
?z AddreSS MWCC System
a W CitY PhOnB City Water _ Acct. Deposit
PRV Reqwred _ S/W Permit
I hereby acknowlege that I have read this application and state lhat the Booster Pump - Siw Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee '4:? e:?'4 APPHOVALS Road Unit
A Buiiding Permit is issued to: WI LLIE l1ERCRISON Planner - park Ded.
on the express condition that a!I work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordmances. gldg ory. _ Copies
36.00
Building Otficial
_ , Variance
- TOTAL
Permit No. Permit Holder Date Telephone k
WA7EFi
SEWER
PLUMBING
H.VA.C.
ELECTRIC 6f'
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg. '
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg,
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final y-
Deck Ft9. 2 S
Deck Final
Wen GC-
P,. o,sp- 9°s
??.,Q z • ?/-d --93 ?(/? o
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NP 12281
PHONE: 454-8100
BUILDING PERMIT Aeceipt #
To be used for 1 OF 4 PLEX Est. value $48,000 oate JULY 15 19 86
SiteAddress 4612 1/2 tZIDGE CLIFFE DR Erect 15 Occupancy R3
Lot 3 Block 12 secisub. JOHNNY CAKE Remodel ? Zoning pD
RIrJGE 4TTi
Parcel No Repair ? Typeoi Const U*3
. Addition ? No. Stories
? GOOf) VALUE HOMES INC
N Move ? Length 44
= ame
1460 93RD LN N Demolish ? Depth 24
o Address
780-5510
B?INEPh
Cit Int Impr. ?
? Sq. Ft
y
one Install
o Name S??'
Z
? ¢
~ Address
City Phone
?Q
F W Name
u ? Address
i W City Phone
Assessment _
Water & Sew.
Police
Fire
Planner
I hereby acknowledge that I have read this application and state that the gldg. Off??
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o?Eagan Ordinances. APC
Var.
A Building Permit is issued to: GOOD VALUE HOMSS INC
ail work shall be done in accordance with all applicablQ S ,ot Minnesote
Building ONicial
Permit Y " • '' • ""
Surcharge 24.00
Plan Review 137.00
sAC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copie
Total , 0 . 50
on the express condition that
of Eagan Ordinances.
ParmM No. Permit Ho1dK DsM TN?phon? 1i
Wumbfnp
IH.VA.C.- -2 C? ?/ D? ( a7 rT I
Plbp.
Htp.
Plbp.
Final
Occ.
PERMIT #
Site Address ", I—
Lot Block
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
BLDG. TYPE WORK DESCRIPTION
? Res. New
Mult Add-on
Comm. Repair
Other _
m Name
?o Addre
c City =
? Name
3 Addre
O ciN
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
CITY OF EAGAN
NO. FIXTURES TOTAL
L Water Closet - $3.00 $
r Bath Tubs - $3.00
?Lavatory - $3.00
Shower - $3.00
?Kitchen Sink - $3.00
UrinallBidet - $3.00
-?
Laundry Tray - $3.00 '
? Floor Drains - $1.50
r Water Heater - $1.50
Whirlpool - $3.00
1_Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
.Private Disp. - $10.00
Rough Openings - $1.50 -
FEE ?
STATE S/C:
GRAND TOTAL• '
/
` PERMIT #
' .
? MECHANICAL PERMIT RECEIPT # ?01? UZ7
CITY OF EAGAN
3830 P ILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
! Site Addre?,s
F
'S ' BLD .?i TYPE ? WORK DESCRIPTION
«
Lot
Block Sec/ u
I
N
?
V"
f„?,
ew
es.
?
? Name ? Add
Mult
-on
? Address rAd C
R
i
r r
epa
omm.
c City L Phone g- ?77 pther
Name FEES
?
c M BTU
C $24
00
Address RES. HVA
0-100 .
-
p ?
City ri n LY-, ?
Phone -L`
Gi -,552.
ADDITIONAL 50 M BTU
- 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air L? M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU Ilt MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Vent CFM BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE •l ,Do
a D .816NATURE OF PERMITTEE
S/C:
TOTAL• S0
?? FOR: CITY OF EAGAN
?
a
CITY OF EAGAN
SEWER SERVICE ?
PERMR
3830 Pilot Knob Road
P. O. Box 21199 PEf'.MIT NO.:
Eagan, MN 55121 DATE:
j.aninp: 3 No. of Units:
Owr+er: ?od t'ie - -
/lddress: ?-
Site Nddress: -., riidge t'c
-
R.
;iPlUfl1bQr.
;? Gym to 890p81 wllU !IN Ciyr of iqpw Connectton Charpe:
AccoLint DePoWt=
Pdsnnit Fw: '
Surchorge: ?
gy Misc. Charoes:
Dote of Irup.: Totct:
Insp,; Doto Paid:
`
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 27199 PEitMIT NO.:
Eagan, MN 55121 ? - DATE:
Zanlny: No. of Units: : .
No.:
to ampy wNh tM Cihr of Eww
Connection Chorqe:
Acoount Deposit: _
Permit Fee:
SuroF+arge:
Misc. Chorpss: _
Totol:
DoM Paid:
CITY OF EAGAN WATER SERVICE PER MR
3830 Pilot Knob Road
P. f). Bvx 21199 PERMIT NO.:
Eagan, MN 55121 DATE: ?
Zanirg: °3 No. of Units: -7?i e:.
Owner: Gooa Ca'l 7i: :?omes
Mdross:
51h Addrcss: 46121-s Ridge Cliffe D: 41>?
Piumber. "i?'•.elson Pliimbir.g
Metar No.:
6mCharow 5 t? ^. 0 p?'.
PT
u: ?
Si
?_5 . (1Opd
Reodsr No.: '
?
L. p
r.
I.o?w te ea.?oy Nn
l? . .
15 50pd
C
0
d
'
?
OriseneM.
s?
ti 6. 1
r
1 I
._Y
?r/11 ImE 91 Sn..a ...?,. ,
Byz ? Dote Poid:
Dcte of Insp.: Inap,;
/U- Z8? 7(,
? CITY OF EACAN SEWER SUVlCE PERMR
j 3830 Pilot Knob Road pERMIT NO.:
' P. O. Bax 21199 pATE:
° Eaga?+, MN 55121
in0: No. of Units:
?
Zan f10r: A?IE55:
Add/ESS:
te em* wkh !w CIl'! of alow
of Ir+sp.:
CITY OF EAGAN
3830 Pilot Krwb Rosd
P. O. 8cx 21199'
Esgar, MN 55127
Zanirg: -. . s
Ownar: .
/1ddrCes: ,. 3 . . . _ ri II Ir
.? _•. u . ?.? •.
Site Address:
1.SL??1 j :Jl.i• ?
PllKnber.
Metar No.:
Size:
Reader No.:
1 pne to oompaf? wuh lw City of E.gaM
Ordimeas.
By
pcte of Inap.:
4
Connecfion ChorQe:
/lccount Deposit:
Permit Fee:
Surchargs:
Misc. Choroes:
Total:
Dote Poid:
Irtap.:
CITY rF EAGAM WATER SERVICE _PERMIT
? 38$1D Piiot Knob Road pERMIT NO.:
? P.(j. 8ax 21199 . DATf: -
Eagan, MN 55121 No, o{ Units:
011i1'IQ: ?•.nCl'_', ?'?...UB OP.ik',
r:
11r 1O..:.1
reas: E
F.i
Ndd?ew: ,; Ic a son P?sm m5
Plurnbert qarye. ,
I?Aeter No%t ?Tp
? .ye.. !o omdy W" d" ckl?? • ? "
"M,o... R F::5 . se
iI .
1 i/ r5 -
CAf11'1lCti011 ChGfgs: --
Aooount DePosit: •?
Pfrmit Fas:
Surdwrpe:
Misc. Choro"
Toral:
Doft PaW:
WATER SERVICE PERMIT
PERMIT NO.: DA'Ft:
No. of Units:
I
, CITY OF EAGAN
1 3830 Pilot Kriob Rosd
$EWU sQMCE
'
PERMR
; P. 0. Box 21199 PERMI
r NO.:
' Eegan; MN 55121 DATE:
? Zaninp: 3 No. of Units:
? p„rMr f.aoc? C ?,ue _::lr:cs
/lddress: -
$It! AddMSS: 1}610 F:idpif'_ i-1 ; 1
f:? 4. I}1 f
?i?kEJ.sat? F1?u:aUi
Plumber r
. ,
. . ?,.:
1 Mm !e SOONly wNb 68 Ciyr oi iMP¦ ConrncHon Chame: i`-
Adi"Was. Acaount Deposft:
Pa?nlt Far
Surdarpe:
By N1ise. Clnrpas:
Date of Insp.: Totol:
Insp.: Doh PoW:
?CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box 21199' • PERMIT NO.:
Eagan MN 55121 DATE:
Zoninp: } '- No. of Unlts:
QWfMr. '?i7U? Y:_ J? f?: i lt7jC °.F •
/,ddl!!i:
Sita Addrcw.
rrber
Pl
u
M1obr No.: Conr+acrian Chwps:
Size:
Aoom+^t Deposit: ,
R??r No,; Permit Fee:
1 s/m to seseph? wia IM Ck7i of Eww Surcharye:
Misc. Chorpes: .
-
! Totol:
? gy Dot. Poid:
Date of Insp.: Insp.:
?
cITY cx: EAGAN WATER SERVICE PERIIAIT
3830 Pifot Knob Road
P. 0. Box 21199 PERM11 NO.:
Eegan, MN 55121 DATE:
I Zonirg: No. of Units:
I Owner ?o??c: ?:a:ir? ..??•
r?
Rd
4
llddn?s: r
,
r
h :
,
?, ? •
,
.
rt
s
,
,
urnbsr:
r No. Chorgt:
Siu: u o cl( -
aeadw No.: 2S'N jq 9 76'
??
.
?
?
I .om t..M* wft eM. cO"s?
- .o.rl..ao... trt FqN4Kt ' ??wx..?fi?. ? .
gy /61M Dor. Rotd:
Dote of Insp.: Intp.:
CITY OF EAGAN SEWER SBlVlCE PERMIT
3830 Pilot Knob Rosd
P. O. Box 21199
? Eagan, MN 55121
Zonirq:
I Owner, .. .
Add?ess: -
Sitt Addro35: C.i_i ' _ .. 'i?' u,-- • Plun+ber.
1 Mm b wmwlr MIl6 !w CRT oF ioom Connsction Qae'Or. `i,t+
OaiMwor. /lcoou?a Dapodt:
Permit FM:
Swdwaepr.
By
Date of Irrsp.:
PERMIT NO.:
>ATE:
No. of Un1ts:
Mlac. Char'Dm
Totd:
Insp,; Doh Poid: _
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box ::1199 PERMIT NO.:
Ea
MN 55121
an D^TE:
g
,
Zanirp: No. of Units:
Ownsr
,
Mdross:
Sita /uidress• 4610 R{dsce C1 iffe
.
t'?
?
plumber.
MeW No.: Cor"ctia+ CJ+orge:
Sixe: Acoount Deposit:
Reader No.. Permit Fee:
1 Mrw h os?/!? w11b !M CkT of lpPw SuRhoroe:
Qraingoom
NsC. Cj10fga:
Totol: ?
gy Dots Paid:
Dote of Irup.: Irop.:
CITY OF EAGAN
3830 Kim Knob Road
P. O. Box 21199
Eaon, MN 55121
Zoninp:
Owro?:
watER sErtvicE PRwur
PERMIT NO.:
DATE: •
No. of Untts:
/lddrots:
Sih /Iddrels: ' . • . .. `' • i ?
Plumber. ?
Mew No.: 7 !v 6
te ae.* wft
a?..e... K t C? U I R E D+wB?Y*?w '`? .?. ?c??? ?
Totol:
BY - ? Doft Paid:
Date of Insp.: Irqp..
This rnquest void 9_/?^
18 rtpnths fram b
C 50978 t- 3. sokn, cGkP R,,?
R_equ?st Date
F'?F Ir? /-
G-
- Fire No. Houph-in Inspecuon
Reqmretl?
?Ready Nuw?Wroill Notity Inspec-
Wh
R
i
,l(J ?es ? No r
en
eady
? Lice•'+sed Electncal Conlracmr I hereby reauesf inspection of ebove
? Owner electricel work inslalled at:
Sve t Address, eax or floute o. '
?c??a ?%- City
ection o. Townshi0 Name or No. . Co ?y
Oc upant IWiI TI y Phone No.
Power Su Adtlress
E ncal CoMracmf ?ComOany e) ' C?rar1o?Licens No.
Madi g Address ?Cont tor or Ovrner Makine Instailatmnl
1?
Am r ed Sipnamre (Contror Ownar Mak,nq mstallation)
5 Ph n Number ?A
MINN($OTA STATE BPARD OP EI.ECTXIGIIY ? THIS INSPECTION NEQUEST WILL NOT
Gripps-Midwey BId9. - poom N-181 BE ACCEPTED eY THE STATE 60ARD
1821 Univeraitv Ave.. 56 Peul, MN 65104 UNLESS PROPEp INSPECTION FEE IS
Phone16121842-0800 ENCLOSED.
pREQUEST FOR ELECTRICAL INSPECTION ee-ocoovi os
10 See instruetions tor completirry this iwm on back ot vellow cooY. LL J? ?
C r;n Q7R "X" Below Work Covered by This Request
New qdd 0? Tvoe of BwlCCng APplinncee Wiratl Eqmpment Wi•ed
Home Range Temporary $ervice
Duplex Water Heater Lightiny Fixtures
Apt. 8uilding Dryer, Electnc Heatm
Commercial Bldg. Fumace Silo Unloader
Industnal BIAg. Air Conditioner Bulk Milk Tnnk
Fdrm Olher Peci y lherl5ner.ifyl
t er pec? y Other Othur
Comnute Jnsnection fee 8elow
p Fee SarviceEniranceSize k Fee Fenders/Subfexders N Fee Circuits
U to 2 0 to 30 Am s t30 Am
Above
200A-p. 31 to 100 Amps o 100 q y
Z
Swimm Above 100Amps
Transi Irrigation Booms Other Fee
Signs Special inspection A
Remerks 7 QG
Rough-in ( Date I. the E al
Inspeetor, hereby
certify thet the abova
final f"e q??eJ? fl_ inspeclim hes been
f '? r t ?ae.
flJS renumt raltl 1B monllre irom
L
ios 9? 3 /
; ?
ReQUest Date J No.
' uin IneOecimn
wretl? aatly Now ? Will NotiN Irepector
/O ?
J&o GVOS o When ReedY,
I
n
d
t
t
h
b
ED f
l
i
i
b k
t
i
l
Y
wor
_ce
se
con
rec
or
owner
ove e
ec
r
ca
a
.
ere
y request
nspect
on o
a
Job Atltlress AS
tr at
9ox r Roule No 1 Qry
/
/
Seaan No Townsnip Neme or No Renge N / Counry
?
Oc pant qlNq
7 P,honne N
CY ?V , O!
Power$dpplier Atltlrass
ElecViwl C Vact VCOnpany me)
?? Contrdclor5 Licensa No
Manmg Atltlress (GOntracror or Owner Makmg Inst lauon)
?
Numor2a na Con aclor/Owner Mabng Instapabon? Phone NumDer
MINNESOTA STATE BOAflD OP ELECTFICITY ?
Grlgge-Mltlway BIEg. - Reom S1)3 I
1821 Unlvenlty Ave., 51. Paul. MN 55106 l%`^
hone(612) 642-0800 THIS WSPECTION REOUEST WILL NOT
9E ACCEPTED 8Y THE STATE BOARD
UNLESS PPOPER INSPECTION FEE IS
ENCLOSED
REdUEST FOR ELECTRICAL INSPECTION `E8-0000?1
a?
;: ?o
. ?
p ? See msimctmns for compiatm9 this brm on back ol yellow copy ?
L?, n RR.rl 7 0 X" Below Work Covered bv This Reauest ?•?? '?
ew ?Gtl p~ 7ypeolBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
- Duplex ' Water Heater Electric Heating
Apt. Building Dryer Other-(Specdy)
4 Comm.llndustrial Furnace
Farm Air Conditioner
Other?syenly) ConVactor5 Remarks'
Campute Inspecfion Fee Below:
# Other Fae # SerwceEnlranceSae Fee # Ciroufls/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr§ Use Only. TOTAL i.
Irngation Booms
Special InSpection ?
nlarm/COmmunication TFiIS INSTALLATION MAY BE O ERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, hereby
if Ri oete
cert
y that the above inspection has
been made. oag?
/
OFFICE USE ONLY ?
TM1is requesl voitl 18 monfhs irom
This reqoest voiA
16 TrqnNs (rom LC 50977 (-- L- t? ca
/l,./ `s 'y7.GFi
Re uest,Date' Frte No. Rouph-in Inspec ion
eqwretl?
?Ready Now?1l Noufy Inspec-
?? - g? Yes ?No or When Ready
? licensetl Elec[ncal Convactor 1 hereby mqueet inspection ot ebove
? Owner eiactrical work metalled at:
Sir et Address, eoy? or te Na.
? / _'? 1 Rou
?•P
. City
ecuon o. Township Nam or No. Range No. County
Occupant(PRINT) Phone No.
Pow¢r SaPPher haK o _f_? Address
E?tncel Comractor?(Compeny Name) ? Convar.tor's Licans No.
_
'_
Mailing AtlJress ICOnvactor or0er Making Instailatmnl
O
horized $ienature IContrector Owner Makine Installationl
5 one NumDer
-
? THIS INSPECTION REQUEST WILL NOT
MINNESOTq STATE OARD OF ELECTItIC17Y
Grippe•Midwev BldB• -?am N•191 BE ACCEPTED BY THE STATE BOARD
UNLESS PflOPEH INSPECTION FEE IS
7827 Universitv Ave.. St. Psul, MN 55104
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION *Vft ee-ooooi?os
4- /? ?? If, See insfruetionn for comoletieq this form on Cnck oi Vellow copv.
? G n n 7-7 "X" Below Work Covered by This Request
rlewlAdalxeo.l TVPa of Bwltlmg I ADOl iancae Wired I Equioment Wired I
izNres
Silo Unloader
Bulk Milk Tnn
M iee ServmeEntmneeSixe k Fee Feedeus/5ubteaders k Fee C"cuits
U 1o20 0 qm 5 0 to 30 Am s 0 tn 30 Am s
Above 2 0 Am ? 37 to 100 qmps 31 to 100 Antl?
Swimmin Pool Above 100_Am s Above 100_Am s
Transiormers Irrigation Booms Pdrtial'Other Fee
u_Ligns ? I ISpecial Inspection ?S ?
?marks ?7A TOTAL F
6f7AG)
"--°.. ... ? _.. _ I. tne Electneei
/? - Insoector, here
t the by
Final r Dale cartrty tha xbove
?j inspection has bean
mBtle.
mie nivuaat.oie
67REOUESTFOR ELECTRICAL INSPECTION • es00001o7
? See irisVUCtwns tor completirg thm form on Cack of yellow copy. ~
hep. 6 X
TypeofBUilding Below Work Covered by This Request
AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Condrtioner
Olher (speaty)
Compu[e lnspection Fee Below: Contraclor5 Remafks I
{? 5/`'1?' ??? 1 51?-
# Other Fee # ServiceEntranceSae Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps D to 100 Amps
Transfortners Above 200 _ Amps Ab Amps
Signs Inspector5 Use Only: oU 7p7pL j-
Irrigation Booms ?
SpeCial Inspection
Alarm/Communication
Other Fee
I, the Elearical Inspector, hereby
tif
h
h
6 Rough-in
?( C
-3
y t
cer
at t
e a
ove inspection has
been made.
Fnal
x ?7i 7e
OFFlCE USE ONLY
Th? requasl void 18 months irom
C?
Requeal'C`? Oaze/ ? F No Ro ?in lirspection
fl iretlY
? Heady Now?Grin Nonry Inspecmr
Yes ? No When Ready?
I p licensed contractor owner hereby request inspection of above electrical work at:
don nearass (sire
et, am o, ao?na No 7 , c,y
/31
?a /t L?i!
4' ?
I' ?-/'?Ciyr/Z?
f nge Na
R1 County
Occupanl (PRINT)
W i`iit
Org
?ERcNIS?i-1 phone No
Power Suppfer Atldress
EleelrMa]l Contrdcror (COmpany Name) ConVactor5 Liceirse No.
/p{r £CC 09 Fe
MaNng AGdress (COmmct
or or Own
er Mekrtg Inslallation)
/
/ --
ANhanzed SignaNre (COntraclor/ r Malong Instelletbn) Plwne Number
MINNESOTA STATE BOAPU OF ELECTPICfTY THIS INSPECTION REOUEST WILL NOT
GrigpYMltlway Bldg. - Hoom 5773 8E ACCEP'fED BY THE STATE BOARD
1821 Unfvvsky Av&, SL Paul, NN 55106 UNLE$$ PROPER INSPELTIIXJ FEE IS
Phorie (612) 6424800 ENCL0.5ED
This?aquest void C?l+??,?f
78 n n[hs 1rom b
50986 L_
L?50 v?
s. r4 417 oz?
R2mst D3ie
(] Fire No. Rough-in Inspection
Reqwred? ,q,???
oReady Nuw ?](will Notify Inspec-
_
A_i-I eS ?NO ?tor When Heady
El Licensed ElecVical Contractor I hemby re0uest inapection of ebove
? Owner electrieal work installeA at:
tr et Atldress, eaz qr Home No. Gtv
ecuon o. Townsh?p a e or o. an9e o. County
i-ya
Oc oant IPPINT)
v Phone No.
PoWer upplier Adaress
EI ncal CanVactor (Lompany Name) ' Contrnetor's License No.
7
Mail, g dress (Con actor or wn e ing Insta IaUON
? N
43
4?_3
onh torzOwner ?M^aking InstallaI
ion)
Au rized5ig ature IC
? J'lJX-A U-_. _
Phone Number
//??'/??
YJVt./
MINNESOTA STATE 80APD OF ELECT111CITY ! THIS INSPECTION pEQUEST WILL NOT
Oriqps-Midwey Bldg. - Room N•191 BE ACCEPTED BY TNE STATE BOARD
1821 Univereltv Ave., SL Poul. MN 65104 UNLESS PROPER INSPECTION FEE IS
Phona (872) 642-WDO ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
1 See instruchona lor compbtiM this iwm on beck of Yellow copy.
L .7
""X" Below Work Covered by This Requesl
A" ?ap. Type of Bmldjna Applmntea WueO Equ?umen[ Wired
Home Range Temporary Service
Duplex Water Heater LighUny Fiztures
Mi
p Fee ServicaEntraneoSae b Fee Faeders/5ubieeders N Fa Circwts
Uto200Am s Oto30qm s Otn30Am s
Above 200 qmps 31 to 100 Ainps 31 to 700 Allps
Swinvnin Pool Abave 100-Amps Above 100_Am s
Transformers Irrigabon Booms Partiat-"Other Fee
L1 1 Signs I I ISUecial hispection
N 'S??
emarks A, TOTAL
fi !? / i
Final
1, the ElectrTcel
IOSpBCtO(, hB,Bby
cartily thet the above
,napeetion has been
pl REQUEST FOR ELECTRICAL INSPECTtON
1 See instrucbans lor completing this lorm on back of Vellow wpv.
1 O 3 "X'" Be/ow Wafk Cnvered by lhis Request
EB-00001.09
??315
Tvaa of euiiaine
Home noaILences wine
Range Equiument Wired
Temporary Service
Duplex 'Water Heater Lighun,y Fixtures
Apt. Buildmg Dryer Electnc HeaLn
Commercial Bldy. Furnace Silo Unloader
Industnal BIAg. Arr Condrtioner Bulk Mi lk Tenk
FBIm thar pe.a_1 Y Othar (SPOnify)
t 9r yCC1fy ?thCf Olh(±I
Computelnspecuon Fee Below -
M Fea ServieeEntrenee5ixe k Fee Fexders/SUbleeders M Fee Circwts
t0 a to 200 qm s 0 to 30 qm s 0 tn 30 Am s
A6ove 200 Amps 31 to 100 qmps 31 to 100 Amp,
Swimming Pool Above 700_Amps Above 100_AmpS
Transiormers Irrigation f3ooms ParUalOther Fee
Signs Special Inspection ?/ ??
fle?rmrks
`f OTAL EE
NougO-in Da[e6 ?p I.ehe EI •
? i0 OT Inspecloq he?eby
Final ?y /? r • Oxte ir?sDection,hes bean
I 1/1 11 ,-.. wa f4D
1/7/' eae. tl I
Thlx rapueat valtl 18 montM irom
This repuest vmd
is „wa,ns rrom . lq
3 616 3 Z ,q,
Lo6
fle est Date Fre No. RouPh-?n InsVecbon
R ui etl?
?Ready Nuw ?II NotAy Insoec-
?
t?' es ?No . tor When qeady
[] Licensed Eleclnial Contractor ? I hereby request insoec<ion of ebove
? Owner elactricel work installed aL
Str t Address, Box or Fa No.
/ Cf
5-
ection o. Townshrp Namo or .
e No.
7
Cou
Oc antIPPINTI Phone No .
Po $ pli r Atldress
E rica?rlpanv CnnveF e
L? lr'^c L,cens
/ =.
ii ng d?ss (COnt mr or ner
- akmg Ins[ailauon) /
7
Au gft i¢Qd Si naWre I h ctor Owner Making Installation) Phone Number
MINNESOTA STAIE BOAPD OF ELECTNICITY ? THIS INSPECTION REQUEST WIIL NOT
Grigga-Midwav Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 UniversitY Ave., St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Vhone 18721297 -2711 ENCLOSED.
CITY OF EAGAN N2 17573
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT
0
?
L
-
Receipt # ?
Tobeusedfor BASEMENT Est.Value i s1,t00 pyty MARCH 5 ,1990
Site Address 4610 RIDGE CLIFFE DR
Lot 1 Block 12 SeGSub. JOHNNY CAKE RIDG OFFICE USE ONLV
PBfC01 N0. 4TH acupancy - FEFS
Zoning
w Name WILLIE MERCHISON (ACluaqConst &dg.Permn 35.00
o AddreSS 4610 RIDGE CLIFFE DR _
(Allowable) - l
nn
Surcharge .
Ciry EAGAN PhOne 688-0741 #ofStories -
Plan Review
Lenglh _
F Name SAME Deplh - SAQCny
i
a
0 Address S.f.Total -
,
5 SAC,MCWCC
City Phone s F. Fooipnnis -
W
t
C
On Site Sewage - a
er
onn
r
ww
Name
OnSneWell
W
M
Fw
C)
AddreSS _
MWCCSystem -
aler
eter
,
a W City PhOnB City Water _ Acct. Deposn
PRV Required _ S/W Permil
I hereby acknowlege that I have read this apphcation antl state that the gooster Pump - SiW Surcharge
informanon is correct and agree to comply wrth all apphcable State of
Minnesota Statutes and
City J qf Eagan Or
di
n
a
nces. Treatment PI
?
?
/
?
J
SignaWre ol Permiteel??
?r APVROVALS Road Unn
A Bwldmg Permit is issued to: WILLIE MERQHI SON Planner - park Ded
on the express condieon that all work shall be done in accordance wrth all Council
applicable State of Minnesota StatutCity es Eagan Ordinances. 61dg.Ofl. _ Copies
BuildingOtticial ?!?:aria,? V
&VAL n
Variance -
TOTAL
36.00
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12281
+
/ [ f ?L?
BUILDING PERMIT wHOME: 454-8100 Receipt # ?? / ?/
.
7o be used for 1 OF 4 PLEX Est value $48,000 patg SULY 15 19 86
SiteAddress 4612 1/.2 RIDGE CLIFFE DR Erea L? occupancy R3
Lot 3 eiock 12 secisub. JOHNNY CAKE Remodel ? zoninq pD
Parcel No. RIDGE 4TH Repair ? Type of Const. Vp
Addition ? No. Stories
Name GOOD VALUE HOMES INC Move ? Length 44
3 Address 1460 93RD LN N Demolish ? oepm?d
° BLAINE 780-5510 Int.lmpr. O Sq.Fr
City Phone Install ? '
x
o Name $AM pPProvi
$ i Address ASSeSSment _
a
" City Phone Weter & Sew.
t 0 Police -
Name Fire
Address E
ng.
?w
a
Ciry Phone Planner-
I hereby acknowledge that I have read this application and state thatthe
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and C)'R_ E n Ordina es.
Signature of Permittee
A Building Permit is issued t¢ GUVL ?
all work shall be done in accordance with all
8uilding Official
Council 15/86
Bldg. Off. 7 APC
Var. Date
Permit a c i 4. v v
Surcharge 24.00
Plan Review 137.00
Snc 575-.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
7r. pi. 156.00
Copies
Total $2.019.50
- on the express condition that
of Eagan Ordinances.
CIl?K OF,JEAGAN
O
N o 12280
3830 Pilot Knob Road, P.
. Box 21-1 99, Eagan, MN 55121
PHONE: 454-6100
N
?
BUILDI
G PERMIT Receiptu l
Tobeusedror 1 OF 4 PLEX EstValue $48,000 Date JULY 15 1986
siteAddress 4612 RIDGE CLIFFE DR Erect Occupancy R3
JOHNNY CAKE
Lot4 Block 1-2 Sec/Sub Remodel ? 2oning PD
.
RIDGE 4TH
ParcelNo Repair ? 7ypeofConst. Vp
. Addition ? No. Stories
= Name GOOD VALUE HOMES INC Move ? Length 44
z 1460 93RD LN N Demolish ? Depth 24
3o Address Int.lmpr. ? Sq Ft
Ciry BLAINE phone 780-5510 Install ?
a
o. S?E
Name Approvals Fees '
$a Adtlress Assessment Permit $ 274.00
' Ciry pnone Water & Sew. Surcharge 24. 00
?Q Police Plan Review 137.00
Fw. Name Fire SAC $75.00
?Z
nddress
Eng.
WaterConn.
500.00
aw city phone Planner WaterMeter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.0(i. 7/15/86 Tr.PI. 15_6:00
information is correct and agree topmply w th all applica6l t of
:Minnesota Statutes and City gan Or i nces. APC Parks
i
Var. Date
Copie=
Signature ot Permine Total $2,019. 50
A Buildmg Permit is issued to: GO?D VALUE H?MES on the express condrtion that
all work shall be done in accordance with all applicqpTp State of Minne ota Stat
te-.ps
and C ity of Eagan Ordinances.
Building OPocial ? ?
-
--C?L?
CITY OF EAGAN A? C
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?y O 12202
PHONE: 454-8100 /_ Ci
cs? r
BUILDING PERMIT
Receipt#
7obeuaedtor 1 OF 4 PLEX Estvalue $48,000 oate JULY 15 1986
SiteAddress 4610 1/2 RIDGE CLIFFE DR Erect CX Occupancy R3
Lot? - Block 12 seciSub. JOHNNY CAKE
Parcel No. RIDGE 4TH
w Name GOOD VALUE HOMES INC
o Address 1460 93RD LN N
city BLAINE phone 780-5510
o I Name Sp+ME
ou ¢ Address
? Ciry Phone
? a
W
Name
z
? Addrass
:
a W Ciry Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable Stete of
Minnesota Statutes and Cian Or i nces. ??
Signature of Permitte?? ?
Remodel ? Zoning PD
Repair ? Type of Const. y.R
AddRion ? No. Stones
Move ? Length dd
Demolish ? Depth2T ,
Int. Impr. ? Sq. FL ?
Install ?
Aoorovals Fed
Assessment
Water & Sew.
Police
Fire _
Planner
Council
Bldg. Off. 7 /15 / 8 6
APC
Var. Date
A Building Permit is issued to: GOOD VALUE HOMES INC
all work shall be done in accordance with all
of
Permit + z' ° • ""
surcner9e 24.00
Plan Review 137.00
SAC 575.00
Water Conn. 5 0 0. 0 0
Water Meter 63. 50
Road unit 290.:00
Tr. PI. 156.00
Copie
2 , 0 19 0
,,, .
T,,
- on the express condition that
of Eagan Ordinances.
Building OHicial
FOR SALE TOWNHOUSE CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12283
1???
PUILDING PERMIT PHONE: 454-8700 / r / 7L
• Receipt# ?I ?7 ,
7obeusedfor 1 OF 4 PLEX Est.value $48,000 Date JULY 15 1g86
SiteAddress 4610 RIDGE CLIFFE DR Erect 99 Occupancy R3
Lot 1 elock 12 Sec/Sub. JOHNNY CAKE Remodel ? Zoning pD
Parcel No. RIDGE 4TH Repaii ? Type of Const. NZ.p
Addition ? No. Storias
w Name GOOD VALUE HOMES INC Move ? Length ?Q
z 1460 93RD LN N Demolish ? Deptn?
o Address Int. Impr. ? Sq. Ft City BLAINE phone 780-5510 Install ?
o Name SAME
$ ¢ Address
? Ciry Phone
a
w w Name
Address
z
c W City Phone
I hereby acknowledge that I have read this application and statethatthe
information is correct and agree to comply with all applicable State of
,Minnesota Sfatutes and City- an Ordin es. /?
Signature of Permitta ?TY?S?
A ewlding Permit is issued to: GOOD VALUE HOMES
all work shall be done in accordance with all a?i a e State oi Minnes6
Building Otticial -- 1
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Couocil
Bldg. off. 7/15j86
Var. Date
Permit ?? "Y'""
Surcharge 24.00
Plan Feview 137.00
SAC 575.00
Water Conn. 500.00
Water Meter 63-.50
RoadUnit 290••00
Tr. PI. 156..00
Parks
Copies
Total $ z . 019 : 5 0
- on the express condition that
of Eagan Ordinances.
Sb? f C COMMERCIAL
?o I 2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• Structurel Plans (2) sets . Architedural Plans (2) sets • NchitecWral Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (1) . CivilPlans (2) • ProjectSpecs (1)
• Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1)
• Project Specs (1) . Code Analysis (1) " • Master Exit Plan (1)
• Spec. lnsp. & Testing Schedule " . Certificale of Survey (1) • Energy Calculations (1) not always'"
• Soils Report (1) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Fortn (1) not always"
• Meter size must be Cst2blished . Meter size must be established blished - if applirable
• ProjectSpecs (1)
1 • EnergyCalculations (1)
1 • Electric Power & Lighting Form (1) ` MAY 1 7 y
0 2002
1 • Master Exit Plan (1) S
1 . Fire Protection Plan (1)" 1
1 • SoilsReport (1) ? 1
• MClES SAC determination letter . MGES SAC determination letter By • MClES SAC determin tion letter
call 651-602-1000 call 651-602-1000 cat
Contact Building Inspections for sample
Food & 6everage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
DATE: WORK TYPE: _ NEW _ REMODEL
., .
SITEADDRESS: 4(OLO. LADlo'IZ. qtDIT,. k4617_1
TENANT
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
Sheet
#: ( (p/,A ) 2106 `oCoL"[ 7
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Last
First
36 (a)
?%?1r,\?,
City: m$ J?U N1 A ! State:? V W p??? ? Zip: t?J"1?.?J
Company:
Street
CONSTRUCTION COST: S " " v
.. . _ .. •
ITE #:
?c4q ? Uie?'
Phone#: (68 I ) 63&i -%Lb
City: a qw.1 State: " 0 Zip: ? 11 -1
Coxnpany:_
Name:
Street Address:
City:
Licensed plumber installing new sewer/water
Phone #: (
Registrahon
State: Zip:
Phone #: (
1 hereby acknowledge that I have read this application, state that the information is correct, a agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. J
Signature of Applicant:
• "'"'1°4 CpISEn, pr9$ llpdated 1102
OFFICE USE ONLY
SUBTYPE
? 01 Foundation ? 26 Public Faciliry ? 30 Accessory Bldg.
? 14 Apartrnents ? 27 Commercial/Ind ustn al ? 32 Ext Alt - Apts.
? 15 Lodging ? 28 Greenhouse ? 34 Ext Alt - Comm.
? 25 Miscellaneous ? 29 Aniennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
? 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
? 32 Addirion ? 36 ' Move Bldg ? 43 Reroof ? 47 Repair
? 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorizahon
? 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning sq. ft.
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Bldgs. Width . sq. ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) • .•,
~ ,, FirS4 Floor sq,?
' ' " _ . . Caty Water , , . t . ?
•
?d
UBC Occupancy
' . I :'' ?. ? Fir•e Sp:nLlered •- " ,
° • + ?
;
.•
` ?
.i'•
;
' ? • -
±"
i
?
''.? ??
?•
I'
•
MISCELLANEOUS INSPECTIONS ? ? ,
.
.
' ? • . ,
1;_
. .
.
,
? Gas Service Test ? Heating ? Insulation 0 Plumbing ? Stucco/Stone
APPROVALS
, .?
Planning .? , .
tX Building; EngineeriFtg 4 ," Vanancp. .
+ ,
VALUATION :;$ '. • , , . " , .
Permit Fee
.
Surcharge ''' ? ? r ? • ? -
; ,
Plan Review
MC/ES SA{." ? ??t ? '
: .. .. . • % SAC ? • a _ r , , , ,
City SAC . ,.
SAC Units . . .. .
_
1-
Water Supply & Storage
.. Meter Size
,
S/W Permit ' •
• ? ? , .
? ; , `" ?
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Tota!
CEpTIFICA TE 6F SMVEY
iw'. GOOD VALUE HOMES
l
l
?
/
I
/
/
/
/ ? AV
?
?
?
q
C.A. WINDEN & ASSOCIATES, INC.
Land Surveyora Tel. 645-3648
l381 Euatla St., St. Paul. MN 55108
?
I
Pi-opos e d
? ry
V / ?3v
V v
? N
?FUQ 9D? ?-ii
f ?`P • S;
/ PrO/°oJS9(
l ?
-? `,?q``
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p -? C94h-3)
?'?gway
>.oo
+Jq4 ?l.
?n 00 Q
? n
e
1 S7.oo?.;.
f
Q^,
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(941.g) ?
. ?.
Fr sje"
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M'
F•,a e? I
op 'y3?s .7/p?.e I
' ??- i
?
/
/
/
EAGAN
REVIEWEb
7DATE ?/ j ?
Lots 1 through 4, inclusive, Block 12, JOHNNY CAKE
RIDGE FOURTH ADDITION, Dakota County, Minnesota.
LE6EMD
XX%.X Denotes ExSet]np Elevatlon
(XX%.X) Denotes Propoaetl Elevation
o Denotee Iron Monument
? Denotes Wootlen Stake
+t- Denotes Surface Dralnape
H`Op096d /tbU9B EJevsfiana
Top of Fountlation - Garape Ploar 94 8.H-
6esement Floor
Scala S" -?La
B.M. T ? ? e ( ianf?
/ntrr?eci'n? nf Pp,n?'w?N.$?
?{?f?{{?lk??e EI: 94N.96
oatua N. _ V D- loz9 AdT
I HEREBY CERTIFY THAT THIS SURVEY. PIAN, OR REPORT WAS PREPARED BY NE OR UNOER MY
DIRECT SUPERVISION ANO THAT I AM A DULY REGISTERED LAND SURVEYOR UNDER THE LAWS OF
THE STATE OF MINNESOTA.
Dated this 7f"' day of JeZlv . 19B( C.R. NINDEN 6 ASSOCIATES. INC.
?
bY N"
Bnok_ Page_ Minnesota pegistratian No. 77ZG
• ????? ?
/ .
7986 BIIILDING PERlIIT APPLICATION - CITY OF EAG9N I
NOYE: ALL CONTRACTOHS M[JSi BE LICENSED iiITH THE CITY OF EAGAN I
SINGLE FAMQLY DAELLINGS INCLUDE 2 SETS OF PLANSp 3 CERTIFICATES OF SURVEY, i SET OF ENERGY CALCULATIONS I
IlOLTIPLS DWELLZNGS _ RBSIDENTIAL REN'f9L IINITS FOE SALE ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SOR96Y - CHEC% iiITH BLDG. DSPT.* ,
1 SET OF ENERGY CALCULATIONS ?
---------
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ?
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS, ?
$2,000 LANDSCAPE BOND i
To Be Used For: Valuation: _? Date: 7- /G.9
,?
Site Address L/(? /p
Lot t Block 1 a
Parcel/Sub E'Ja,4&NVjfdv,&„?? yha?
.04
?
Owner al?
Address 9,3 ,i,40' L*
City/Zip Code A[.a.1;.,r
Phone _?71rG - 537 D
Contractor 5;?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Erect ? Occupancy )'?3
Remodel Zoning P42
Repair Type of Const (/
Addition # of Stories
Move Length
4747-
Demolish _ Depth
Int.Impr. Sq Ft
Install
9PPROVALS FSES
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council ? Road IInit
Bldg Off 7- ?-, Treatment P1
APC Parks
Varianee Copies
TOTAI,
? O?
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOlIEOWNER HQST DESIGNATE WHICH ADDRESS
IS DESIRSD. NO CHANGE4 WII.L HE ALLOiiED ONCE BDILDING PERMIT IS ISSOED.
.. ? ?
1986 BOILDING PERMTP APPLICATIOA - CZTY OF EAGAA
NOTE: ALL COATRACTORS MOST BE LICENSSD WITH THfi CITY OF EAGAN
SINGLS F9MIILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DSiELLIBCaS - RS.SIDENTI9(, gENTgL peIITS FOR SAL6 [TNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATfi OF SIIRVSY - CHECB iiITH BLDG. DSPT.,
7 SET OF ENERGY CALCULATIONS
CDmAfERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OE SPECIFICATIONS AND 7 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: f p4c- Valuat ion: y? Date: ?`J- /a- Q',C
Site Address y?JDy, OFFICB IISS ONLY
Lot al_ Block Erect ? Oceupaney 99
Wfi( dho Remodel Zoning pp
Pareel/Sub Repair _ Type of Const
Addition # of Stories
Owner yex& Move Length ?-
_
Demolish Depth Eel
Address Int.Impr. Sq Ft
Install
City/Zip Code ???, SSy,3 y
Phone 784- sS/D APPHOVALS FEES
Contractor S?w Assessments Permit ?74
Water/Sewer Surcharge 29;1?
Address Police Plan Review /7;7
Fire SAC 5 =
City/Zip Code Engr Water Conn ?
Planner Water Meter
Phone Council i Road Unit ?
Bldg Off Treatment P1 / r(,o
Areh./Engr. APC Parks
Varianee Copies
Address TOTAI,
City/Zip Code
Phone S
NOTE: ADDEESSBS FOR CORNER LORS - CONPRACTOR/HOMEOTiNER MQST DESIGNATS WHIC9 ADDRSSS
IS DESIRED. NO CH9AiGFS i1ILL BE ALLOAED ONCfi BIIILDI4IG PERMIT IS ISSQED.
1986 BIIII.DING PERmiT APPLICATIOA - CZTY OF E9GAN
HOYE: ALL COHTRACT08S MITST BE LICENS6D IiITH THE CITY OF EAGAN
SIAGLS FANIII,Y DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS
MITLTIPLfi DiiELLINGS - RESIDENTIAL
INCLUDE 2 SETS OF PLANS, CER
7 SET OF ENERGY CALCULATIONS
BENTAI. 08ITS FOR SALS DNITS
OF St1RVSY - CHEC[ IiITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
,1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BQND
To Be Used Forz lo,e yRL.e,,, . Valuat ion: Date:
Site Address y[' /a f7?? ? C??z OFFICS U3E ONLY
Lot ! _ Block Erect ? Oceupaney ?
Remodel Zoning
Parcel/Sub
-- yt Repair ! Type of Const -V-(.?r
' Addition /t of Stories
Owner ?'o e+m,'01 Move ? Length --7T
Demolish Depth ?
Address /yGD 93ws00 L-iV 't/ Int.Impr. Sq Ft
_
Install
City/Zip Code
Phone /;71?0 9PPBOYALS FEBS
Contraetor Assessments Permit 27
Water/Sewer Sureharge 0
Address Police Plan Review 13
Fire SAC 57r
City/Zip Code Engr Water Conn Tpr'?)o
Planner Water Meter t-,-rj,
Phone Council / Road Unit
Bldg Off l Treatment Pl
Areh./Engr. APC / Parks
Varianee ' Copies
Address TOTAL - U
City/Zip Code
Phone #
NOTB; ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMSOWNER lIQST DESIGNATE HHICH ADDRESS
IS DESIRED. NO CHANGFS iiILL BE ALLOWED ONCE BIIILDING PERMIT 13 ISSOED.
.. , %/ czb
1986 BOILDING PEMiIT APPLICATION - CITY OF EAGAN
IQOYS: ALI. CONTRACTORS MOST BE LICENSED iTITH THB CITY OF EAGAN
32DiGLE F9MILY DiiELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SIIRVEY, 1 SET OF ENERGY CALCULATIONS
HQLTIPLS DWSLLINGS - HESIDSNTI9L HENP9L ONITS FOE S9LE QNIT3
INCLQDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
COPMRCIAL
OF SDRVSY - CHSCB fiITH HLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To se Used For: / o,09t- Valuation: y? nate: 7- /o-8'.L
Site Address
Lot _,2_ Bloek _L2_
Parcel/Sub
owner Good?L.?G,?c ?,ld?r.y /•VC
Address 14?40 9L* A/
City/Zip Code..,( ?? 3Sy;y
--
Phone 25 D - ,?j?$`/D
Contraetor :5 dwaw%=-
Addres
City/Z
Phone
Arch./Engr. _
Addreas
City/Zip Code
Phone 4k
Erect ? Occupaney /&
Remodel Zoning Q
_
Repair _ Type of Const _-Ek'
Addition # oP Stories
_
Move Length 41V
Demolish Depth Zv
Int.Impr. Sq Ft
Install
APPROVAIS FEES
Assessments Permit Z7V
Water/Sewer Surcharge 25%
Police Plan Review >37
Fire SAC ?? 75
Engr Water Conn ?
Planner Water Meter ?
Couneil Road Unit 2?v D
Bldg Off - L- ? Treatment P1
APC Parks
Varianee Copies
RoT9L L?
D
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER Ii05T DESIGN9TE AHICH ADDRESS
IS DBSIHED. NO CHANG&S SiILL BE 9LLONED ONCE BDILDING PERMIT I3 ISSUED.
% .
1990 BUILDING PERMIT APPLICATION
? CITY OF EAGAN
l ?
SINGLE FAHILY DWELLINGS riLTIPLE DINGS COMMERCIAL
Sr
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SIIRVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL tINITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP SY LAST WORKING AAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR GORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
F/ rv i s N'?A?
Valuation:
Date: ? - ? '
Lot I Block I2...
USE ONLY
FEES
Occupancy
Parcel/Sub JOMNti?`j CAKC PIn&L ?"ITH Zoning
Actual Const
B1dg. Permit
35,0 0
Allowable Surcharge 1,00
Owner 6 ?E'L?'GYbf SZ) 14? # of stories Plan Review
Length SAC, City
Address 4161? RLaGi/<"Gll-P l?f" Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code I( S Footprint S.F. Water Meter
Acct. Deposit
/
Phone ?? a???I On site sewage_ 5/W Permit
On site well S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water Road Unit
Address _
PRV Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
-
Phone Planner _ TOTAL li
IffE
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/2ip Code
Phone #
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIl2ED FOR EACH UNIT.
NEW CONSTRUCITON
? ?.DD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU
ADDITIONAL SO M BTU
GAS OUTLETS (NtirrnvlUM i @ $3.00 F,ACH)
ADD-ON/REMODEL (EXISTnvG CoNSTRUCrtoN)
STATE SURCHARGE
TOTAL
SiTE
OWNER
;7
CITY:
TELEPHONE #:
/.
$ 24.00
6.00
$ 20.00
.50
2O.?
T'ELEPHONE #: 6 ff LIr" 81,9101
STATE: /1/?-/ ZIP CODE:
1YY4 MJE(;l1ANI(;AL PERMIT (RE5IDENIZAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAI,IINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMTTS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DAT'E:
NEW BUILDING
IIVTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF FEE $_
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
CONTR4CT PRICE: $
STATE SURCHARGE $.50 FOR EACH $1,000 OF FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (rnirROVeMEivTs oivr.Y)
INSTALLER:
ADDRESS:
STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR
1994 MECHANICAL PERMIT (COMMERCIAL)
' C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CaNDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NEW CONSTRUCTION
K ADD-ON A/C
ADD-ON FURNACE
DATE q?2-$?/l3
FEES
NVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (Exls'rtNG CoNSrttucrtoN) $ 15.00
STATE SURCHARGE .50
TOTAL L, .a
STI'E ADDRESS: y(04 a??a 1?; ?,C?St Co-? Dr.
OWNER NAME: ?? ??CP- TELEPHONE #:
INST
a-
ADDRESS: ? ?a Lo -7 7 Ya
CITY: t'Si CV?w STATE: ZIP CODE: S'?Qa3
TELEPHONE #: 'z?(G(0 -7(o
SIGNATURE PERMITTEE
1993 MECHANICAI. PERMIT (RESIDEIVTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMIT (CONDLERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMIlv1ERCIAUINDUSTRIAL BUILDINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
1% OF C4NTRACT FEE
PROCESSED PIPING:
MINIMUM FEE:
STATE SURCHARGE
TOTAL
STTE
FEES
CONTRACT PRICE:
$
$25.00
$25.00
$.50 FOR EACH $1,000 OF PERMTf' FEE.
$
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI')
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURE OF PERMITTEE CITY INSPECTOR.
...
ClTY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NO'P5: PAYMF:NP OF M AT TIME pF
APPLIcAMoN noES Nar CCrsrIRM
apPxovat oF rEPrmr.
INSPDCJ.ZON OF SLI-IIT2 AND/OIt VATFR
7NSTAr.r.ATIONS V7II.L NOT BE SCHED--
ULEU UNTII. PERMIT HAS BEES]
APPRQVID.
^ 9t'XYefYt4akYCt?FYtf]'XRItR!lt4i]tTlt]tl9txl[]tYFatfYr
P ease PTint)
?1) PROPERTY ADDRESS: y? 10 R I l+? Lt FF C) L-+ -
LEGAL DESCRIPTION: •-
_ Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRCCI[.'RE. DATE OF ORIGINAL BL?ILDING PERMIT ISSL'ANCE: '
PRFSE?7P ZANING/PROPOSID LTSE: ?Pbn Year
? CODAIERCIAL/REl'ATL/OFFICE 0 R-1 SINGLE FAMILY
E7 IbIDt'STRIAI, M R-2 DCPLEX (2Go C?nits)
rl INSTIIL'TIpNAL/GOVERM&-w 16 R-3 ZOWNHOTISE (Three + Units) (_2?' [Jnits)
. El R-4 ApARTT1ENT/CObID0MINiCT7 ( Units)
2) ?? AnnREss:_BMx /'0a •-
ClTx. STATE, ZIP:-:?CA_ wt 14 ti,. .i {' {' e 7 3
PxorE: 433 t•.'s?7/
3) ' i?: ?• NA?E. For City Use .
Plumbers License:
ADDRFSS: '5 4,.? -? Active
?
CITY, STATE. ZIP: Expired
Abt iecorded
PH0NE: MASTEt LICENSE#
Staft Initlal
43 ?ary•:.?3S?71??.??
NA`E: ?^ A o tlA.L
_ P,DDRESS : J S?? a 4 3 V a L I9-N t N C ----
CITYr STATE, ZIP:A t l??`Tl{ MW rl ??3 ?v 3 q/
PHO[?:7 SD - .s.$?i V ' e
.5) ? ? ?? a• M• : ? • I q - s.
? CONNECTION 1D CITSC SEWER 03 COIaTF7GTI0N TD CITY WATER ? 0nM . .
6) ? r -• r ? PLEASE HOLD APPROVED PERMIT FOR PICK-IIP BY ONE OF ABpVE ---- -
(] PLEASE MAIL APPROVID PERMIT TO U? 3. 4, ABOVE .
(Circle one) 7) ILL r.A r ?. u• - rS_4'u2L+f -7-
i. , r.
FOR CITY USE ONLY
PERMIT # ISSUED
.: .
Pd w/Bldg, Permit FEES:
$ $ - j2) SEWER PERMIT (INCLUDE SC'RCHARGE )
$ WATER PERMIT (INCLODE SL'RCHARGE)
$ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ $ WAC
S -j 7 S , G?ZI $ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRCNK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$_ $ WATER TREATMENT PLANT SIIRCHARGE
$ $ OTHER:
S $ 6Z6 TOTAL
'/ c7 '
RECEIPT ? R? EIPT/
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PIIBLIC
Q
ROADWAY" ML?ST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
c
TITLE:
DATE : 2:2 lf o/
?Y OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*R.Yl'E: PAYMENT OF FEE AT TIM pF
APPI,TCAIZON DOES Wr COISSrI7[Tl'E
APPROVAL OF PFPNIIT.
IIVSPFXTION OF SE4M ADID/OR TMII3
IIISTALLATIONu WIIS, bFPf BE SCIED--
tlLFSI UNPIL PEEtMST AAS BEEN
APPROVID.
P ease Print)
^ ^
1) PROPERTY ADDRESS; /0 ka R 1 c L3 FF 1?Y -
LEGAL DESCRIPTION: •^
. Lot Block Subdivision or Tax Parcel ID
IF EXISTING STftCCIi.'RE, DATE OF ORIGINAL BUILDING PERN1iT ISSL'ANCE: ". '
PRFSENf ZANING/PROPOSID CSE: (Mbn Year)
? COMMERCIAL/REI'AIL/OFFICE ? R-1 SINGLE FAMILY
Q INIDL'STRIAL ? R-2 DL`PLEX (Two Or,its)
INSTITL'TIONAL/GpVERD1MEtVT R-3 7DWNiOUSE (Three + Units) (T-Inits)
. [? R-4 APARTMENr/COAIDOMINILTI ( Units)
2) ?
?'?I_.i C.,k e L sa ??
aDDxESS:_6
CITY. STATE. ZIP:5 C E w/ 1 i p ?V11?1 071
PxorE:_433-si 71
3) • 4 ?: ?• For City Use
??' Plimibers License:
ADDxFSS: rn -` D Active
CITY. STATE, ZIP: . EScAired
Not recorded
?ONE: MASTER LICFNSE#
St Initial
4) ?.. • • i?. .
NAME:_
. aDoREss: , 0 t L 4ni ti
ciTY, sraTE, zzP:Z 4-3 hi r n1 N SS Si -!V 3 R i
PHorm:_-2ko - s s y r
-5) n v F t a• • ?• : o oa - ??
0 CONNECPZON TO CITY SE44ER ? CONNECI'ION TU CITY WATER ? O'I'fM '. .
6) '? •-• r [? PLF.ASE HOL[) RPPROVID PIItMiT F'OR PICK-UP BY ONE OF ABOVE '-'- -
[] PLEASE MAIL APPROVID PEIiMiT TO 1, (Z 3. 4, AH0VE
• (Circle one) 7) r?FMu: • Iln1 Q A a_ A (
FOR CITY USE ONL7
PERMIT # ISSL'ED
71z--
Pd w/Bldg. Permit FEES:
$ $ 5-D
$ $ $ 63- .S-0 $
$ $
$ $
SEWER PERMIT (INCLDDE SL'RCHARGE)
WATER PERMIT (INCLUDE SORCHARGE) ..
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
$ $ 0'0 ACCOUNT DEPOSIT - SEWER
$ $ ?D t) ACCOUNT DEPOSIT - WATER
$ $ wAc
s ,5 7S, U? $ sAc
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ /.5CO•0 ? $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
S $ ??• O'Z7 TOTAL
?g 4/7!?3 Z q 7SL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUSJECT TO THE FOLLOWIIVG CbNDITI0N5:
APPROVED BY:
TITLE:
DATE :
r
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
k*****f****#*********ii***#***f*****
?
**R7P5': PAYMRKS OF FM AT TIIM pF
; AeriscATIorr noss Nar ooNSriwm
: APPROVAL OF PERNSIT. •
INSpECTrota oF sEWEt arm/ox tAM
TTLS'TATSATTQN$ WTTS• N()'j' $F, $CHED-
DLID UNM PEE2MLT HAS BFM
APPROVID.
P ease Print ^^^
^^^^^^^^'^^^^^^ ^ ^
? 1) PROPERTY ADDRESS: c`,f /%F
LEGAL DESCRIPTION: ••-
. Lot Block Subdivision or Tax Parcel ID )
IF EXISTING SIRL'C![.'RE. 11ATE OF ORIGINAL BL'II,DING PERMIT ISSL'ANCE:
PRFSENT 7ANING/PROPOSID L'SE: (Zbnth/YearF-
? CCH??CIAL/RET??OFF ICE ? R-1 SINGLE FAMILY
F7 INIDCSTRIAL ? R-2 DL'PLEX (Tt,o Onits)
n INSTI'IS.'TIONAL/GOVERIZENT R-3 TOWNHOC?SE (Three + Units) Lnits)
. ? R-4 APARTN=/CONIDC)MINIUNl ( Units)
2) ?
NA1,4E= N tck Al- so nt P?-t-?-
ADDRFSS: a o x t a v ..
cixY, sraTE, ziP: S C2 k, a 1 a th nd- 0 7?
PHONE: l f 3 3-517/
3) u r ?•
- NAME:
ADDRESS: Active
CITY, STATE, ZIP: ? ExPired
Not recorded
PHONE:
MASTER LICENSE#
StafF
Inltial
4) ??« • •
taa[?:
,
_ ADDREss: I v 6 o q3 h L r?,.? r jv',E
CITY, STATE, ziP: rS L 09- i /yc nn ;/
PHONE: °7 FT G- S SIU
5? ? .+, ? i a• • ?• : ? • ?? - a?
? NNNECTION 'N CITY SE.'WII2 ? CONND(,TION ? CITY WATEft ? pTHER '- .
6) pi•F.ARE AOLD APPROVID PERMiT FOR PICK-CTP BY ONE OF ABOVE --'- -
? PI,EASE MAIL APPROVID PERhIIT M 1. ((,/ 3, 4, ABOVE
' (Circle one) '
7) c?. u• - ,? ?,.?? ? 7_? St
FOR CITY USE ONL-Y-
PERMIT # ISSCED
7 7/.3
Pd w/Bldg. Permit FEES:
$ $ /D - SD
$ $ /D
$ ? 3 - s-b s
S $
$ $
$ $ S 8 fS??O
$ t? O • u?) $
S ?7S?O-O $
$ $
$ $
$ $
$ $
s_ • 0--6 $
$ $
s /,?z$ erU
4 q" 7-i?l- 3 5'z
RECEIPT RECEIPT ?-
R
SEWER PERMIT (INCLDDE SURCHARGE)
WATER PERMIT (INCLUDE SORCHARGE) ..
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLC'DE CORPORATION STOP)
SEWER TAP
ACCODNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRC'NK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
TOTAL
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PLBLIC
Q
ROADWAY" MOST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE : 7// k{J 6-
. CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*XrPS: PAYMNT OF k'FE AT TIME OF
APriscATIorr DOEs rOr CONMTM
APPROVAL OF PIItMIT.
alsrEMoN oF SEWEt ArID/Ot WAM
TfSS'I'AT.T.ATTQN$ WIM NO1' $t, $('HED-
ULID UNPIi. PII2MIT HAS BFQQ
APPROVID.
-*,r:**xxxx*wxxx.xx?,r:x:x:::.xx:x:.:x
P ease Print)
1) PROPERTY ADDRESS: L,i t4-F
LEGAL DESCRIPTION: •-
Lot Block Subdivision or Tax Parcel ID )
IF EXISTING S'IRL'C1L`RE, DATE OF ORIGZNAL B[JILDING PERMIT ISSCANCE: '
FRESENt ZONING/PROPOSID USE: (Mon Year
Q C0,1'V4TtCIAL/F1EPp,IL/0FFICE ED R-1 SINGLE FAMILY
? IDIDC'STRIAL r-i R-2 DL'PLEX (Two Units)
? INSTI2L'TIONAi'/GpVERtMg,'NT ?R-3 ZOWNiO05E (Three + Units) Units)
. q R-4 APARTMENf/COrIDOMIDII0N1 ( Units)
2? ?
NAME:_ IVrckri sa X/ Pd-lf
aDDxESS: (3 n X/ a 8 -
CITY, STATE. 2IP:_ 5 r aftl a 1?7 11? wr _. 5 ,
PHONE: V 33 _•51 7 /
3) u c ?-
N71ME:
ApDRFSS:
CITY. STATE, ZIP:
PHONE:
1HASTER LICg75E#
4) ?a• • ? , i?•
NAME:
PHorE:_7 8- o- Se- ? na Active
AwDREss:I SC(eo U3 aa Z41rr N' F
ciTY, sraTE, zzP:LL w t m nl Sr - e13 94
Expired
Not recorded
Sta f Initial
.5) ? v ; ? ?: • ?• ? : ? • a. - ..>
? CONNEC.TION TO CITY SE,'WE1t CONNECfION TO CITY WATII2 ? OTHE12
6) ? r• •? i• ? PLEASE IiOLD APPROVED PMMIT EY)R PICK-IIP BY ONE OF ABOVE
? PLFASE M4Ii, APPROVID PII2MIT TO 1,2 3. 4. ABOVE
„ (Circle one)
7)
FOR CITY USE ONL"Y '
PERMIT # ISSL'ED
-7 ' /
Pd w/Bldg. Permit
c
s
s / 3 S72
$
SEWER PERMIT (INCLODE SURCHARGE)
WATER PERMIT (INCLUDE SDRCHARGE) ..
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCODNT DEPOSIT - SEWER
$ $ ISO? ACCOL'NT DEPOSIT - WATER
$_ $ wAc
$ S7S U-o $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ /S(o • D---r) $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ I .:,2 ? y ' •S? $ ,sX (J-Z) TOTAL
?C0 3 G L
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES,. THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: _/v(?J ?•
TITLE:
DATE :
i
FEES:
$ $ $
e
' 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
(06 b6 7 CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
415s`-'
oete 3 1 1 Ce 1-0?
Site Street Address (? ?
QJ-Q
Unit #
Property Owner ? ? Yl ? l CQ_ Telephone # ( (ps1) cZQ'? - ?-{? ?{
Contractor
Address 3-7
City Telephone # (OS( ) 45 ? ?
State-alLA Zipj?l??
The Applicant is: _ Owner _?-GOntractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
Water Softener
??replacement _ ? Water Heater
additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State 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, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
ApplicanYs Printed Name ApplicanYs 5ignature
p
39802
4601 /
4601-1/2
4602/
4602-1/2
4604/
4604-1/2
4606/
4606-1/2
4608/
4608-1/2
4610/
4610-1/2
4612/
1;4612 3-/2-
4613/
4615/
4617/
4619
4614/
4614-1/2
4616/
4616-1/2
4618/
4618-1/2
4620
4620-1/2
4621/
4623/
4625/
4627
4622/
4622-1/2
4624/
4624-1/2
JOHNNY CAKE RIDGE 3RD 39803 JOHNNY CAKE RIDGE 4TH
39804 JOHNNY CAKE RIDGE STH
RIDGE CLIFFE DRIVE PAGE 1 OF 3
10 39802 020 13 112 of 4-plex - 2 units on 4603, 4603-1/2 Penkwe Way
01013
10 39803 040 14
020 14
040 14
030 14
10 39803 013 13
020 13
040 13
030 13
10 39803 01012
020 12
040 12
-- 030-12 ?
10 39804 01003
020 03
040 03
030 03
10 39803 01011
020 11
040 11
030 11
10 39803 010 10
020 10
040 10
030 10
10 39804 01001
02001
04001
03001
10 39803 01009
020 09
040 09
030 09
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4-plex
4
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN.55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits are required for eaCh unit
Date C?4
LAL
ko ??
? ? . ? ? ? ? ? Unif #
?
?
'
Site Address
4
Z ?
? ??
-??-?cl
O (
hone;t6(?
'u lSA '. `}Tele
Property
wner- C ,
p
1
, ?--?- ?
Contractqr
12481 Rhode Island AvE
'So
.
Street Address . .
- -
, G'h'
-
r ,
? State Zip Telephone# (T??,)Of'O-kxlol,
Bond #: W t ?JC?LoZ I?t?.. ?^,?
Expires T?C'?'
;'.,. . .. .?.,
` ?
`
. _ ? Y Y? _ f E • +?e y ?c 3 ? ? ..?rRL?'? ?.1-?, /M't?q?.r- f f ?^`
?.
?i ?
rl?Y' 1 ?1 ?'LryN
"
:S?
?i
?
?
?
?
????????•
?
?
Gcantis" = Owner
Th
"A , ?
c, .
<
.
??
't?l
???
Pn?: f
i
t?^'?X,
+{
t'
Otlier
Contiacror
e
pp .
_
Add-on or alteration to existing dwelling unit ,$ 30.00
fumace _Additional ( Replacement ,, -
? air exchanger h? F? ? e? ?z re
;
air'FOnditioner New ? Repiacement ?$•' ?
th.
,???
??
o
er, ,
. 7 ??u ? ? TUi Q 50
StaceSurcharge
;,
,
?l>
Total
I hereby apply foi a Residential Mechanical Pernrit and acknowledge that the information is complete and accurate;'thaC the work will'
be in eonformance with the ordinances and codes of the City' of Eagan and with the Mechanical Codes; that I_understaiid"this, is "noN,$` ,
.i.
pe:mit, but only an applicarion for a perntit, and work is not to start without a petmit; that the work?.will, be' in accord'arice ivith tfies?:
approved plan in the case of work wluch requires a review and approval of plans'
n?.. ?
?
ApplicanYs Printed Name ApphcanYs Signature
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial6uildings
multi-family buildings when sepazate permits are not required for each dwelling unit
Date
Site Street Address Unit #
.-
Tenant Name (itapp6cable) Previous Tenant Naroe
• - '_ ? --. -? .^+ ._
Property Owner Telephone#(
Contractor ,
Street Address f
ity
.
State Zip Telephone #
Bond #.- Eapires
?
y
t rYt "il" : rg +}s x
'
, ?
p c ?.A
a.bS" ? ?
Th
A
u
e
ppliea
t is _ Owner Contractor { Otfier ? . ? ` ? ?5 ?`ei• ? ?,i'.? . ??? x
...p
?'^"+?.`?''dd:.-
tn?",.ssl
Work Type
?
I ) L ? - _' '
_ New Construction _ Underground Tank _ Install Remoye "see belo.w ?
Intenor ImProvement
Instal
l P?pmg
Processedifkc? yGa
A
?
NafuAeofWorii s
!-W
"*When rnstalhhg/re^rovirg undergiound finffj ca!! `tor rr.srecl.%on by Frro M2;s,hal.?nd Plum6ing
!»spe??
a' '#?
,
?
f UArS
Pel'rttit FePS: $70.50 Underginund tank installation/removal ' - *
? . ? .S50.50 Minimum (includes Sta[e &urcharge)
Cuntract4aiue $ ,. X 1% permitaFea ?
?
?
?
" ??s ?
??
•
If peimit fee is $1,000 or less, add $.50 '
$ ?,Stafe.Surcharge_.;
If nerrnit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ Tota! Fee-_ '
acicnowieuge mac me mtormanon is compiete ana aeeurate;z S118L'Y11e:WOI(C
will be in eonformance with the oidinances and codes of the Ciry"oF Eagan and With thg Mechanical, GodBS;,thaQ T'tinderstindgt`his is:
not a permit, but only an applicaUon for a permit, and work,is not to start without a p3emuE? that the work will be m accordance witli;
the appmved plan,in the case of work w}uch reqniras a review and'approval of plans
3^?si? =-
??'
"
Applicant's Printed Name ApPhcanYs Si guattue
?4x
YXi ..
Approved By: , Inspector
Anshh_
'T"' City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
-----------------
I Foi„Office;Use
? Permit #: ? 1 V?? j
? n
I PermitFee?
? Date Received: rl , 3 / I
I /? Cf I
? Staff: C i y I
I -------- ---
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2? I `' 6 Site Address: 1I Lcib R).\c?2P, Cv?e. 1Jt?VL-
Tenet* 161c10126E?: (JUD `I Li 1iZ Iq G, I212 _ Su,te#:
,
RESIDENT I OWNER Name:t`(1(kQ? C C,iY-??(llCA"I()tl) V"V1Z(' -) Phone:
Address/City /Zip: ;g I? S ?kMM,(N S 1• Nt}11 EZJ"1
1`ItP2 ZO
,
Applicantis: _Owner ?Contractor ??1?Y?e-??v,??t?'ii?`- •
TYPE OF WORK ?
Description ofwork:
?
Construction Cost ( Z1 C0C) MWti-Family Building: (Yes No
CONTRACTOR Name: ` .,' k '?2?Q,V111v? License #:
Address: VL562. Qh1?e'nda1gi kye11u'(l
City: F%Y m111amn . State: "N Zip:
Phone: onl`"1 DC' um Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 5ubmission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permft 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 Contrector: Phone:
NOTE: Plans and suppartihg documents,thaf you sybmrf a?e-consldered to be public
informafion; Portions of
x
the information may;be cl'assrfjed as;Con public /f you p{ov?de speclfic„'reasops that would perinit theCity Co
=x? concloderttiat;the :ere tretle-secrets I hereby acknowledge that lhis 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 staR without a permik th2t the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X W?(;I?`?A(,??aYl rl
Applic n s nnted Name
xn 1(,i ;1,\'
Applican s Signa ure
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Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4610 Ridge Cliffe Dr
Lot: 1 Block: 12 Addition: Johnny Cake Ridge 4th
PID:10- 39803 - 010 -12
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Lofgren Heating & Air
5708 Upper 147th St W
Suite 102
Apple Valley MN 55124
(952) 431-5811
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Sharon E Beck
4610 Ridge Chffe Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA092407
12/23/2009
ePermit
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140355
Date Issued:12/12/2016
Permit Category:ePermit
Site Address: 4610 Ridge Cliffe Dr
Lot:1 Block: 12 Addition: Johnny Cake Ridge 4th
PID:10-39803-12-010
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Sharon Tste E Beck
4610 Ridge Cliffe Dr
Eagan MN 55122
(651) 452-2791
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA169450
Date Issued:05/26/2021
Permit Category:ePermit
Site Address: 4610 Ridge Cliffe Dr
Lot:1 Block: 12 Addition: Johnny Cake Ridge 4th
PID:10-39803-12-010
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Residential
Work Type:Replace
Description:Fixtures - Faucet
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota
State Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Sharon Emily Tstee Beck
4610 Ridge Cliffe Dr
Eagan MN 55122
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature