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