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4470 Johnny Cake Ridge RdC!tyofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ill./r_n DEC 272010 2010 MECHANICAL PERMIT APPLICATI 7 0 Site Address: QSCSn Use BLUE or BLACK Ink Permit#: q 73 L & Permit Fee: Date Received: Staff: RESIDENT / OWNER Name: �Z BSc i ��en��i , y' tn4 tPhone: 4.5/ ` 94,0 r> - CISO / Address / City / Zip: 4/4/7-6 CII nit( l .i /ccs 7a4c_,It Eige' 41 CONTRACTOR Name: dP .- 4 s r, tLicense#: Address: / 22— t t° 1' 3 r ST . City: S 4 fi7 S State: ,//4/U Zip: 5-56 3 3 Phone: 657 _ c/J '-/ - G 33 CJ Contact: Email: TYPE OF WORK New Replacement . Additional Alteration Demolition Description of work: 1i e c e /c PArt.? 41 71r Lk) NOTE: R , tedand grriut mounted mechanical equip nt is" r tlii be �tiied by City Cads'. the Mechari tI Inspector for information o t:p rnialt reenin metes: PERMIT TYPE...k RESIDENTIAL Furnace Air Conditioner COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) i Other _ _ "When instatling/removing tank(s), call for inspection by Fire Marshal and Plumbi►n Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) $5.00 State Surcharge) $ 5-5-: QD TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank 555.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1.000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% $ Permit Fee - If the Pernik Egg is less then - If the Permit fgg is > $10,010, Fee = $ Surcharge (Le. a $10,010-$11,010 Perrnft $ TOTAL FEE CALL OE ORE YQU I�)IG. Can Gopher She One Can at (651) 454-00022 for protection against underground entity damage. Call 48 hours before you d to dig to receive locates of underground utilities. www.goaherstateonecaliorq I hereby adwowledge-that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Clty of Eagan; that I understand this is not a perm*, 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. x _Ln Applicant's Printed Name FORC Regula anis Signatu ed By: Air Test _Gas Service Test for HVAC Screening Inspection Z Jeffrey Wheeler From: Sent: To: Subject: Attachments: Jeff: Janet Behrends Dbehrends@haleycomfort.comj Tuesday, March 13, 2012 2:43 PM Jeffrey Wheeler ORSAT Test for 4470 Johnny Cake Ridge Rd 2499_001. pdf R ;7 # 975't Attached is a copy of the for 4470 Johnny Cake Ridge Road done on 3/7/12. Please let me know if there is anything else we need to do. Thank you, Janel Behrends Haley Comfort Systems & Fireside by Haley 122 W. 3rd Street Hastings, MN 55033 651-437-0338 1behrends@haleycomfort.com DFTE TIME • §5x25/3.1 25:26:E .CEL NRIU GAS 02 \ . 1i.5 CO2 \ 5.1 C0 Ppm Q\ 0 0 a �Rr4 11 FLU£ `F t@8 AmE:E>2 `F 72 .=.7 E ±. P (G) 88.7 `GSSE) !.e \AIR \j./ 0/002 O.eeea I \ 0.0 «OKE VILLAGE OF EAGAN WATER SERVICE PERMIT 3795 Knob Road PERMIT NO.• 1895 Eagan, MN 55122 , \, DATE: 12/12/75 toning: RIT N 1 No. of Units: 4 Owner: IWO HAr Pnp \ mate III Address: 1 tt Site Address: 4468- 70 -7 -74 !M* Johnny Cake Ridge Plumber: Thompson Plumbing Co. Meter No.: Connection Charge: 640.00 Pd E Size: Account Deposit: Reader No.: Permit Fee: 10.00 billed 1 agree to comply with the Village of Eagan Surcharge: .50 billed Ordinances. Misc. Charges: Total: By �� Date Paid: s` Date ` Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 PRO Knob Road PERMIT NO.: 2652 Eagan, MN 55122 DATE: 12/12/75 Zoning: RII • No. of Units: 4 Owner: New horizon Times - Woodg .te III Address: Site Address: 4468- 70 -72 -74 Johnny Cake Ridge Plumber: Thompson Plumbing Co. 1 agree to comply with the Village of Eagan Connection Charge :1700.00 pd Ordinances. Account Deposit: Permit Fee: 10.00 billed 9 , ` / Surcharge: • 5 billed By: r �`� 7 G Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: Use BLUE or BLACK Ink For Office Use I I pQ~ Permit#: ~1~T t City of Eatan I Permit Fee: ✓ ' ~J 1 3830 Pilot Knob Road j Eagan MN 55122 I Date Received: I Phone: (651) 675-5675 i r?/12 1 Fax: (651) 675-5694 StaM 7 I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION r \ Date: ~ Site Address ~n ' l it # Name: Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner Contractor Type of Work Description of work: Construction Cost: l l0 • Multi-Family Building: (Yes / No Company: Ir Contact: QC-,-n Contractor Address: S City: ~~tS--2 A State: J4- W Zip: Zip: Phone: Q~~ c> ~~"p 1 ~J License C., ~-ff ~ ~ 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 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.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 1 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 O\ C~ x App icant's Printed Name Apples nt's Signa ur Page 1 of 3 Un OLUE or W" h* a , I ftrnml,lun t e Paerait FeL ko of t 38301 6ot icnoh Wald ; Deb Rsaete * 2 i Eagan M 56122 , t Phone: 1661) 6754M S t 1.w r r r r- r r r- - r r- r r - J Fa= te61j sus ' 2013 RESIDENTIAL BUILDING; PERMrr U lriO , thdt#: Dsele: Stla NWW R -Wend twiner Adckess /try 123p: App _owner ConMad Type of Work Dasm"On of work Gonshon t J~D r 0 ©o Mini-Fih► Bed (Yes / . COMPWW- 1c;4-? I ,t W city: Ad&ew Contractor Zip* Phomi6571 - t ~c-3~sr~8 tend 1~4T 57-396 !f theJprolet - : fspm ewormat n, p e e)OW `ohy- (Sm page 3 for add§MW kffiN n~ton) g Ommpt f COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW B MJM to the last 12 umnO s, teas dts CHy of Esllan bOusd a pennMtoe a surfer plan based on a "water pia"? Yes No E yes, dale and address of Wiesner Pism L.k mmed Pkm*or. per: Machanical C phone: eukad= Phoom Sway Vialier CorNraclor• Q f Nt37~'-S antfs~rpporting albeut~i~f l/~ s~bmf! are t:rassidered o lifiorniation. fhe r~'n,ma~ion .nay 4e c~ ~ btic if you prav~de` spec'~c rea~a"t~' would perrrxf - . _ corrayhrde i~at tffey:u~e ~c~ts. ~ CAS S. EiEr-ARE YOt~tMG. Ce9 Gopher ~ ore Ca11 at fit} t64.00~ tar pralst~on agafASt txed~9►~ " t~'l8 haws before you intent ~ ~ b e~eoeroe toc:ates d ~ uMWfea- t heeeby aduw~ Use Uets tntonnadon is conVW40 and aeaWdq; Uea wash wit be b confoamm wide tlee oedkt8r m and d e 6f Email the l w xwsum stets is not a peak. W ant) an aPPftldDn tar a Pte. and wtxk is eat la start wMWW a p aocoedwm wde Uee approwed Pim th are terse ahrakwI names a mvtear med ap ",,d of plans. lesaed b aooord•a~ llsal ~ffl°~ hs ExJmior work a uVmi e d by$b puae# days of p JE SMPYE P 5zid ckl,~mow~- P*P , &a t, Sii Nov- PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA156101 Date Issued:06/17/2019 Permit Category:ePermit Site Address: 4470 Johnny Cake Ridge Rd Lot:004 Block: 001 Addition: Woodgate 3rd PID:10-84602-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater 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 - Jason J Kormanik 4470 Johnny Cake Ridge Rd Eagan MN 55122 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature