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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