1764 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
Eagan, MN 55122
Name: 6515921022 me:
Address / City / Zip: _
CONTRACTOR
r
Name: NORBLOM PLUMBING CO. License #: O P l 5 ^� 1 _
Address: (612) 827 -4033
City: 2905 GARFIELD AVE. SO State: Zip:
MINNEAPOLIS, MN 55,408
Phone: Contact erson: Arn
TYPE OF WORK
New X Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _
Description of work: Lep1Ace, Water hear
PERMIT TYPE
RESIDENTIAL
1 Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES;
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
C!tyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
x j L-� �VOrbt ®mi
Applicant's Print Name
Jason Nord
1764 K aris'
A• ' icant's Signa re
Permit #:
Permit Fee: 6 O
Date Received:
Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
f�j
Date: I I J' 0 Site Address:
Tenant:
Suite #:
1
here a t hat 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.
RESIDENT / OWNER
Name' / , V\ C Phone:U L D 1 3 °ta. 1(Y 7?
r
Address / City / Zip: t� La L ®A , =t _r\ J3 [
CONTRACTOR
Name`-- r' AN " .1 i 1 NI ! O , - f - #: - - \ L
Address: L b %L TA ‘,1,
City: . angl Stater\ Zip: I l b `p
Phone: 1 \ 'T S.O Lo1 Contact Person: C 1
TYPE OF WORK
New .Replacement Repair Rebuild Modify Space ! Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater ; " Water Softener'''
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $136.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) U
TOTAL FEES $
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2010
Permit #:
s o
Permit Fee:
Date Received:
Staff:
2008 RESIDENTIAL PLUMBING
^ PERMIT APPLICATION
Date: 1 10 Site Address: ���
rc=�
Tenant:
Applicant's Printed Name
x
Applicant's Signature
J
Suite #:
I hereby acknowledge that this information is complete and accurate; that the work will b in conformance with the ordinances and codes of t C i t y 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
accor ance with the ap. oved plan in the case of work which requires a review and approval plan n 9
Reviewed By: Date:
Under Ground Rough -In Air. Test
final
FOR OFFICE USE
Required Inspections:
Gas Test
�!^► s
1 33 7'E: ;
1; i
�;, �> Ti'T't No. of l r }�. i= �1�3Si�
Z )wner: .rr Jr { `I orAr. Son }l es
an
_ x 31 1
.
F Vie. P a',,.
'imiair t .: ; Y� »� t 5 ..► P
01111 ,;/ Misc. f ,OO Dd eteZ
Ow* ell
Total:
BY Date Paid:
Doti of Insp.: / Insp.'
.0 - �\ P� • ' $ •DATE: t > r
zoning:. - w No. of units:
17( r s "a J 1.4 BI nid .1 if III a
• / / �2 4 1:, :. -'F.Y
�Romou tis it;
� �
,
Surcharge: '' ; �' "
- Date e. of Inap.: Total: -
Crisp.: _`c''i / .F .pie 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
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148457
Date Issued:03/29/2018
Permit Category:ePermit
Site Address: 1764 Karis Way
Lot:4 Block: 01 Addition: Ridgecliffe 3rd
PID:10-63982-01-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Jason K Nord
1764 Karis Way
Eagan MN 55122
Mechanical Plus Inc
406 Pierce Street
Shakopee MN 55379
(952) 594-5326
Applicant/Permitee: Signature Issued By: Signature