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1766 Karis WayDate: City of kali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 1 03 V-1. 21 Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: � rr1" P 1'1C ,,1%LY IG,crii tY Unit#: J Resident/ Owner Type of Work Name: /2 /,dbc..—Gvt Fr-fe 1S* 1" Phone: Address / City I Zip: r'ei-h Applicant is: Owner V- Contractor Description of work: Jl r%I i'L Construction Cost: t —0 d u v Multi -Family Building: (Yes ),:(/ No ) ContractorAddress: Company: 141)r121'1 litikve,1/k P Contact: l A 1e? ‘fr 4 &- (3 ?-1%S 5�Ff �t � City: 6.,,,,,,,,,z,_ State: MA Zip: ') < 337 Phone: G 1)--1(-- 5 r d License #: 2-03 f' Cl Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x 4frt 01 Applicant's Printed Name x f/k. Applican gnatm Page 1 of 3 RESIDENT OWNER Name: et I 5` C- -J'�*t Phone: f Address City Zip: i q: ✓�(IT` %/C f--`` ai Applicant is: Owner Contractor TYPE OF WORK Description of work: i'eC Construction Cost: .A: j Multi Family Building: (Yes No CONTRACTOR Name: N CC_ License ZO(o 33 (o 3 67 J Address: 2- Z C Y I2t4 aye p', V -c City: �KC5 State: YAAv Zip: �3 I a Phone: 6 II- 2- (c 6 1 4 7 Contact Person: Y 4 COMPLETE In the last 12 months, has No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: _Yes Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: documents that you submit are considered to be public information. Portions of be classified as non public', if you provide specific reasons that would permit the City to conclude that they are trade secrets. NOTE: Plans and supporting the information may City of Evan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 9 Applicant's Printed Name 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: x Applicant' Signa ure r For- Office Use Permit I Z )61 Permit Fee: 0 °U Date Received: Staff: Use BLUE or BLACK Ink Suite CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start with t a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Page 1 of 3 VKIkTER SERVICE! PER EAtLej.i /M 37 j Kw* PERMIT I40-: SCI; 155122 DATE: 1 3 .1 /cr., Zoning: �? C No. of Units: 1 unit Aw+nsr: Orrin 'Thompson Homes site Address: 1766 '[iris Way Ll 131 P.idgeclif£e ITI Plumber: Gertz 4 Connection : 305 On Mc* h ; w • lteatler Ns.: F Perrnit : }t _t o ; eimsee 1!1 tr+ ► 1;5r of loses Suedwro.z s0 1•4 t Misc. chews: 60. ' pd met cr Total: g [ate Paid Dote of Insp: A Q / Ht/p.: art EAG4t4, I = SPA T 4 _ PERMIT tom * . 5502 DATE: Zoning: 3 No. of Units: Y Address: • Site Address: 17 k r z i rs ay I c ... = i Piumbor. ` � 1 !e eeye* r S` of Loos Connection Chows: r Ordieewoes. Account Deposit: Pe �; Surcharge: By Mist. Charges: r Date of imp.. / Total: ), ` r , ��� Dote Paid: Use BLUE or BLACK Ink r For Office Use Permit City of EaEd~ I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: I I I 2013 RESIDENTIA/L~ BUILDING PERMIT APPLICATION Date: D 7 /3 Site Address: lwr/ Y - )14w//t Unit Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner X Contractor Description of work: T/ l~ Type of Work Construction Cost: Multi-Family Building: (Yes / No ) Company: /0 Contact: e YrG'1,,Y,ek? 4 Contractor Address: ,4 City: State: / Zip: ~~33 Phone: L I~'~~6 < L License 0~ -7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.clopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X ke~ x Applicant's Printed Na a icant's S ature Page 1 of 3 r Use BLUE or BLACK Ink ... 1 �w R : € For Office Use J City of Eapllj ' 11 Permit Fee: UL 0 ' CYO 3830 Pilot Knob Road �z 1 Eagan MN 55122 Date Received: ,i 'I Phone: (651) 675-5675 Fax: (651 94 L Staff: .J 2017 SIDENTIA�(L PLUMBING PERMIT APPLICATION Date: �I Site Address: 1 /f t `'Ns-si,...1 Tenant A ,,„, 4 (��i � S ��� Suite#:. f5a ','.rtji 4f4 71i ! ,TSA- I ` ♦ ' 1 , , 1112 1. �5 U'1 J°l�-/1 k ' ® p Iw A t Name: ', --1....,` L.. _ /I�LAk _ Phone: "Y {;, >, �t+� i ,Il. _,,.`fit Address/City/Zip: i i> r �i Aii. YID. ! 3 r ' tr` l,r Name:��1 *c0 10, curt r- Li cen/se#: W C 1 ( 1FfE7 � / 4 •41 . L "� ` $' palAddress: U v l \ ' eLLS City'�,I \ ( u " 1t4 mtrco .11'e ' u t} ' i AtState: . Zip: � �� Phone: (�l` L_ •--3— ( .T ;1',;'' f tdtjAryl, t', J y }'i6( • YY\ . I/� /1/ems.! `-, .< 4 l ?_ ail it A�/ Ozo\.._ 's , "`.V"110!. Contact: / t Ir vI• IOC/'VC/ Email: t'` t} t ' t'ift-p ,� - t New Replacement _Repair —Rebuild —Modify Space Work In R.O.W. 12v7•7 .%.;•::';...,2:: P •f,:-: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA151691 Date Issued:09/07/2018 Permit Category:ePermit Site Address: 1766 Karis Way Lot:1 Block: 01 Addition: Ridgecliffe 3rd PID:10-63982-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Christina H Kersten 1766 Karis Way Eagan MN 55122 Dakota Water Treatment 17484 Goodland Path Lakeville MN 55044 (952) 953-4643 Applicant/Permitee: Signature Issued By: Signature