4684 Ridge Cliffe DrRESIDENT / OWNER
Name: 051t 6. r - ► ('' Phone: V0 \— 1 _ LA1
Address / City / Zip: r \Al J (■(.)
Applicant is: Owner 1`Contractor
TYPE OF WORK
Description of work: l V1 S l i ` n C C AY `(:;Y-C r tA.( . L. ∎ \\ . v + i et_
1
Construction Cost "Z _ U C -M — Multi - Family Building: (Yes / No _ )
CONTRACTOR
� \k Y (,i. Rt C License #:
Name: t,,C A. v
/ ` r
Address: \QI'5 t , l Li.. `L -t i\City: \`�'-&I AS i WU
_? C �' c
State: p +\ �J?�.1�f�. Zip: c , - ", -- S '� � Phone: �' _ - 1 Cl `}
Contact: 1 lam' Email:
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:
NOTE: Plans and supporting
the information may
documents that you submit ere considered t 0 d e pu informalti r. Portions of
be classified as non - public if you provide specific re ason that would p it the City to
conclude that they are trade secrets.
4 City of Eagan
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675 -5675
Fax: (651) 675 -5694 NOV 0 3 2010
For Office Use
Permit #:
Permit Fee:
Date Received:
2010 RESIDENTIAL ' \ BUI i L DING PERMIT APPLICATION
Date: I � . Uh C Site Address: i J Q `� ` \ l \t t 1 'X - `
Tenant: & I
X °P C I\ LOA I4e v
Applicants Printed Name
Use BLUE or BLACK Ink
qa
9e-
Staff:
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 . org
9 c --
1
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 pf pia
Page 1 of 2
SUB TYPES
Foundation Fireplace
— Garage
Deck
Lower Level
Single Family
Multi
01 of Piex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%
Census Code
# of Units
# of Buildings
Type of Construction
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In _Air Test Final
Insulation
Meter Size:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
Interior Improvement
_ Move Building
Fire Repair
Repair
Reviewed By:
TOTAL
DO NOT WRITE BELOW THIS LINE
Porch (3- Season)
Porch (4 -Season)
Porch (Screen /Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Storm Damage
— Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
T Siding ____ Demolish Building*
Reroof _ Demolish Interior
T Windows _ Demolish Foundation
T Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: Footings _Air /Gas Tests Final
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: _ Footings Backfill _._._ Final
Radon Control
Erosion Control
, Building Inspector
Page 2 of 2
v .M s
, 144004' ►, .444 PERMIT NO 3.7 f
DACE: 7/9/g0
RIB of uafar 1 unit 4-ni x
'Orr in Thrreps on. lanes
4684. RifiFyk. C11 ? tenr T; i B7.1 C Pi dge IT
Pent RYa.
Meter No.: Connection E no e:Z70.Oa pd
Account. it:
i er No.: - Permit Fee:. t 0 - O(. j7ri
ip es i m m o r was Notify et Sege* Surcharge: -
wise. Chargec 60.00 pd meter. °.;
Total-
Date Paid:
of Insp.: ) — 7 insp.:
, S`
, � ti1ii -di P ERM I T NO : f
1 ;,IMN 5SS122 DATE - 7/" /C
: T'_I I 1 ixn t t ' 4 lex
,• Orr n '' oL p.,on H ome Pk*. of Units; p
Site ACfdress: 4(J1 Ridge C itteDr L3 B J C. Ridge Ili
, Plumber: Gc r oan
12 / 11 / /9 '4 /#)2t F./JU . UU pd
1, eta Mewl► with the i of w 9eennection t�hcrte: 425 . 00 p d
• Account Deposit:
Permit F.e: i n _ nn pd
Surcharge: _ 50 prd
By ` i Mist. Charges:
dcba:i44 Total:
- 21/-17-) dote Paid:
�f��� , ���� , ����,�c�� -
Use BLUE ot BLACK Ink
� For Of�ice Use———— --——.i
� j Permit#: i ������ �
C�t� of�� a� � , . . :, �-��� �.
� Pem�rt Fee.
3830 PiiotKriab Road � �
Eagan MN 55722 j Date Received: �
Phone:(6�1)675-56Z5 1 ` I
Fax:(654)675-5694 1 Staff: !
1 I
. . . . . . . � . . . � . �V����r �� �����7. . �
2014 RESID�NTIAL BUILDING PERMiT APPLICATION
Date: !✓""��`I� Site AddRess: (� /(� "`" �b �- I l^ t� C��' /'"� Efnit#:
,,� �ta v9�
` Name:��?�l1irT'�?' C�'��- !t�t:v/�h,�r c.._ Phone:
Residentt
Q1N11eF Address i Ci#y i Zip. ��7�`✓f-°' /�'�/l"� �
RPPlicant is: Owner � Contractor
Description of wo�k: �Gv�r �(�� �{ �� °-7Qvr/�'�
TY�c�f WOrk �
Construction Cost: ��',l�0 Muiti-Famiry Building:(Yes�/No��
� Company:!_1tUY'ZtJ�5 f �c'��l/�t�sgG�TL��`'S '� C tact r l�� �G����'
� Co�#ra��or add�ess:�5'�l(�l Z•��1���- L� � ci�r:1��.,�"''� �'2c��-'�---
�i ,
State:�Zip: f.��3� J Phorte:������'Email:t�+xu��JJYL��S`3�Gc�vl'���{v�taY
��n�#:�3� }.�`l �t 73 �a ce���►ce#:ti�t=`:r���t n 3 —t
If the project is exempt€rom Iead certification, please expiain why: (see P'age 3 for addifit�na!information)
, C�MPtETE THIS AREA UNLY IF CONSTRUCTING A NEW BUfI.DIN�
In the Iast 12 mon , ' the Gity of Eagan issued a permit for a similar plan-based ort a ma�ter pta�?
Yes _No if yes,date and add fs.�master ptan:
`1���
Licensed Plumber: Phone:
Nfechanical Contractor: .
Sewer�Water Cont e Phone:
IV�}T,�: s a�t�sup�torting c�ta►crrr»en#s ftra#,�rp�submit are ct��s�d�r+sd to be pe�bllc inf�r�►��i�n Port►o�s a�f
r�riorfnatiort ma��;cta�s�etl as�on pr,bl��"if yv�r p►r�v�de spe�#c nsasc�xrs tttat x►rru�d;�ermit�e��t±m '
conclude�at tn� ar�e t�ade�e��ei�: '
CALL BEFORE YOU DIG. CaN Gopher 8�tie One Cal1 at(651}45+1-00Q2 for praiection against underground ut�ity damage. Cal!48 hours
before you intend io dig to receive locate,s of undergrourni utilitiss. www.00nherstateanecafi.ora
i t�rebY acknowledge that#his information is cxunplete and acsura#e;#hat the Hro�ic will be in confom�anc�e with the ord+nar�ces and codes of the Gity of
Eagan,that!undecstar�d this is not a permit, but only an applicafuon for a permit,and wurk is rrot to start wittwut�permrt;tha#the work will'be in
accordance with the approved ptan in the cas�of v+rork which requines a(eviewr and approvat of pians.
Exterior worfrautharized by a bufiding permit isst�ed in acaordance wlth the Minn�ota State iiding Gode m�t be completad within 180
days of�rmiE issuanes.
xi� ' � � X #
AppNcanYs Pri�rted Name ttt's Signature
Page t of 3