3298 Valley Ridge Dr4,11/1''City atkall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: 9 -, ` c_s 9'4.4 94,1( f-�
06
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
TthoJ =7.764.75
mato a
Use BLUE or BLACK Ink
For Me #Jsep n
Permit #: 1 Q
Permit Fee: $395. 00
Date Received: I- I I
Staff:
Date: L/ • k.C. • 070// Site Address: . vrAJ (may r ; tide D( Unit #:
RESIDENT /
OWNER
Name: oma
Address / City / Zip:
tyk
Phone: 763 `1"/9 -Woo
Applicant is: Owner
)‹. Contractor
TYPE OF WORK
CONTRACTOR
Description of work: ( ,- roo-P
Construction Cost k ,= y/, 5 b
Multi -Family Building: (Yes X / No )
Company:` S/,t n r; s•e e4od eJe f SC Contact:
of Pe e.r cry-)
Address: 597 6 /fob.- j n City: .54; P0,4 f
State: M N Zip: 551/0 Phone: 66/ - 7601 - 9079'5
License #: aoc1$/5/g Lead Certificate #: AT- ,2Q9 3 —0
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 spec reasons that would permit the City to
conclude that they are trade secrets-
CALL
ecrets
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.gopnerstateonecall.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 appfgval
x 30e,1 PO4-9,(S(7/1
x
Applicant's Printed Name
Apptliccant's Signature
Page 1 of 3
ty of Eaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: c\-\ \c, \Z_
Permit Fee:
Date Receive
Staff:
2010 MECHANICAL PERMIT APPLICATION
Date: )M\
J U Site Address: �t�c�' {)r4t a
Tenant: �
��"(', -� v
`e014
Suite #:
RESIDENT / OWNER
Name: '1/5)i/tit5(%hw Phone: Li13t-I.0c-ICO
Address / City / Zip: �u .' i _ . 0,0 /lop, 9773 ai
CONTRACTOR
Name: £I Ni.1 , ' 6 J .,} 1 License #: f✓\ )'JU c l t,� • li ID k d` ..
` J�,
Address: ✓ �� Hi V\-,/ i j !U City:k
1[>
�l�-13�i��DS
State: t ,` Zip: �� I Phone: �: �\ '-7L 1 (� /! 1 V
Contact: lv,i,c. Re,Uvvvuyv mail: ! i l' &I
TYPE OF WORK
..)4/1
New Replacement Additional (.../ Alteration Demolition
•
Description of work: ` _, I % `tom ' \ C
rt
COMMERCIAL
New Construction Interior Improvement
PERMIT TYPE
RESIDENTIAL
X urnace
Air Conditioner
Install Piping _ Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank ( Install / _ Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin. Ins•ector
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) $ J :) : TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 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 Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
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.goaherstateonecall.orq
1 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
wi the approved plan in the casT of work which requires a review and approval of p
Applicant's Printed Name
Applicant's S
City of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 Staff:
�
` Fax:�)(651) 67/5-56946 C
.'G�'V/1e11'I,. e•— j cK ? -I/1 ireT-eelCrt -ci+Vl'
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - /2– t 5 Site Address:
3-.P, (LP R; cat 55l1 Unit #•
�tni✓I. . . L4!,
Name: Phone:
r
Use BLUE or BLACK Ink
For Office Use
Permit*:
/ ,JcP—1 ZS
Permit Fee:
Date Received:
d
Resident!
Owner
Address / City / Zip:
Appticant is: Owner -'L Contractor ,.
Type of Work
Description of work: � ; (1 n G`
J
Construction Cost: ; 000 �G Multi -Family Building: (Yes / No
Contractor
Company: Cj L . Y1 k ; ve R. -e 0" Cc .:1-e rS Contact: .S 0eA PR- "4-e.1,110.1
Address: 6 C1 1 to ll: Vi -'e Let V i - City: St' 1 ritc.ti i
• State: j ill zip: I3 6 i 1 U Phone: Email: i Yl S.e t-‘ r = wit e:Jo cci-e iie (s ,
License #: (4 05 15I `6 Lead Certificate*: NAT- - ; C 3 3
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY W 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:
t Mechanical Contractor: Phone:
Sewer 8 Water Contractor: • Phone:
Fire Suppression Contractor Phone:
NOTE. Plans and supporting documertts t/tat you submit are considered to ,be public information. Portions of
the information maybe 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. Cali 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 utc1ities. wowr.000herstateonecali_orq
I hereby acknowledge lhat 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 roust be completed within 180
days of permit issuance,
x � � Fe 44 -r i c r1
Applicant's Printed Name
's Signature
Pagel of 3
Date:
City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
l Li/0
Permit Fee: /051 -�
Date Received:
Staff:
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address:T t ��� Sci`�W/ia f 0
Name: Phone:
Address/City/Zip ALLy RID 6,13 - Eheo3-/J %%N. 55$.23
Applicant is:
Owner . Contractor
Description of work: R6N A(..-- Gum,.6-
�D
Construction Cost: -A 3 co pa Multi -Family Building: (Yes x / No )
Contact: S'i'9I43- JDMV_Se.)
Company: trJVku.tl erii-QA-tia- 1, LLG
Address: 35-72o go('" /fur
City: 6144.44.)e".) S
State.71%/U Zip: 5506 9 Phone: 6,57-G2(6%03 /t Email: SJONn+sc,* 4-Ayart44u`s, 6644aliovsti.
License #: k Lead Certificate #: N/'k
If the project is exempt from lead certification, please explain why:
No (AAA -Pctstipr
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:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be pr bl
the information may be classified as non-pub/ie it' you provide specific reasons th.
conclude that the are trade secrets.
is information.
�t would permit the Ci
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.qopherstateonecall.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 5-113Vs- JOIkru e,)
Applicant's Printed Name
x
Applic
is Signature
Page 1 of 3
r For Office Use
`` ' E AG A N 019, I,, OCT z :::e:
' C
Date Received: /b"17 -/
3830 PILOT KNOB ROAD IEAGAN,MN 55122-1810
(651)675-56751 TDD: (651)454-8535 i FAX: (651)675-5694 Staff:
buildinginspections ancityofeagan.com7 .„
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Hate: 10/15/19 Site Address: 3298 Valley Ridge Drive
Tenant: Suite#:
Resident/Owner
Name: Thelma Davis Phone: 952-564-9285
i Address/City/Zip: Eagan, MN 55121
Name: Metro Heating & Cooling License#: PC642529
Contractor
Address: 1220 Cope Avenue E City: Maplewood
State: MN Zip: 55109 Phone: 651-294-7798
l I Contact:
Carley
Email: Invoices@metroheating.com
Type of Work _New ✓ Replacement _Repair Rebuild _Modify Space Work in ROM.He
Description of work, Replace existing water heater
Tankless WaterHeater
Lawn Irrigation ( RPZ/_PVB)
✓ Standard Water Heateter
Add Plumbing Fixtures( ' Main/_Lower Level)
Description a, Water Softener
Description:
Septic System
—
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
--1 $60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge')
$60.00 Connecting to City Water from Well*+ $290 for Meter and $190 for Radio Read =$540
*Sewer&Water Permit also required for connection charges (90.
nTOTAL FEES$ �/
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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaqan.com/subscribe.
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.
XCariey Ferrie
x
Applicant's Printed Name Applicant's Signature
Page 1 of 2