3259 Hill Ridge DrC!ty ef Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5 c) , 611471 114/
Use BLUE or BLACK Ink
For Office Use
Permit #: (u n):3
Permit Fee: '^ /9. 75
Date Received: a/41
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4' S?o • (2o// Site Address: 34// 'kr) , %fir; Unit#:
RESIDENT /
OWNER
Name:l7,90? EA t��.naC2�d1-f QYIr.
Address / City / Zip:
Phone: 763 - iqq - 9/n()
Applicant is: Owner
Contractor
TYPE OF WORK
Description of work: RP, -1-0(3c
Construction Cost '>a 1, g31. 9
CONTRACTOR
Company:, n r;,e- Pepe ,061 Pi (-3) Sc.
Address:. 76 /lobe- �n e_
Multi -Family Building: (Yes X / No )
Contact:
of P cri-)
City: '54. Pel
State: M N Zip: R5//0 Phone: 66/ - 76o7 - 9a 45
License #: 1.5/ g Lead Certificate#: NAT-- 2,Y1 -O
f 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
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.
Cali 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 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 app val
x 3oe- PO4-ex o-»
Applicant's Printed Name A • • cant's Signature
Page 1 of 3
RESIDENT /OWNER
N ame . . (1 l .) \ (� �C -- Phone: Cr �
� hone: (�`�7J 0 `/ (
Address / City / Zip: 3 5 ) ) ( r I- . C l � (
CONTRACTOR
Name k\ \ Ch 3 • t 13�.tli\ 0)11Ct License #: ((`(.0 1:) 7 :, P ai
r �'' } h Address: al r � �� s �� IV City: C >1- . , ) C-4 1G - - 1
State: \\1\ 1\-- Zip: /` .J ?)7(17 (t0 Phone7L ` �-t" � U' 1
Contact: ,t 0 " 7,-) �,i '�- Email:
TYPE OF WORK
New f Replacement Additional Alteration Demolition
Description of work: " ► C to21VP- C c2 & I , 21 1
NOTE: Roof mounted and ground mounted "mechanical equipr is requlr d to tre dot rtetf t ity
Code. Please contact the Mechanical Inspector for n ing.rt thoods
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
1 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 Plumbing 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) $ , .L l _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
City of Earl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Applicants Printed Name
2011 MECHANICAL PERMIT APPLICATIO
Dated k \ , Z : 3 O ( � Site Address `� \ i \ \ 4� . O C, I(' . r 02
Tenant: , \ Y1 X11 fl \ VMC ` M Ci 1/4c-
"
x
Ap
cants Signature
Suite #:
Use BLUE or BLACK Ink
Permit #: V-A I A 1n
Permit Fee: Ap
Date Received:
Staff:
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.00pherstateonecall.ori;
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 plan
xt1Y
FOR OFFICE USE Review
Required Inspections: Under Ground Rough In ' . Air Test
Ext erior HVAC Screening Ins
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: b /2r /Yi (1tit/2(1/72} Number: 111,7
Billing Name. rtv r. Villa - B1d,1. 17 Site Address: >Pti 3 r i -i 1 cr u r
Owner: Billing Address
Plumber: Harr;kiorst P)umaing
Location of Connection Meter Size Connection Chg. '
Meter No. Permit Fee 1 -. 0 )
Meter Reading_ Meter Dep. )2/..,./12
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
Date 7-r-7->
Building is a: Remarks:
Residence cc[,
Multiplex No. Units a 10°4' ;, " � L ICE FAE
Commercial r �MQ °p� R�v
Industrial \O"' y:
Other Chief Inspector
In consideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Township, Dakota County, Minnesota.
By:
Please notify the above office when ready for inspection and connection.
3795 EAGAN TOWNSHIP
(77."' Pilot Knob Road
Se. Paul, Minnesota 55111
Telephone 454 -5242
P ERMIT F OR SEWER SERVICE CONNECTION
DATE: T , ;..F. 1 ., P c
OWNER Avr,rg4te V1114- NUMBER t
P ER tt's= 1wa Address s r .L /A4 ti Iii31i� r� i
17p; Co,
� --�- TYPE OF PIPE L .Jy ,;,,;t
DESCRIPTION OF 444 BIILLDINC
Industrial
Commercial Residential Multiple Dwelling No. of units
Location of Co nnections: -
Connection Charge — ) U_ i__
Permit Pee 10 . 0 J pd 12/
Street Repairs
Total
Inspected by:
Date —� —�-
Remarks:
By
Chief Inspector
In consideration of
hereby agree to the issue and delivery of the regulations of agar Township, ako a Co orda ce wi h th above Permit, I
County, Minnesota rules and
Sy
L ira �1 =
;, Cc,
of the w k i ov for inspection and connection and
e before any Portion
Aug 18 1511:04a Sunrise Remodelers 651-762-9395 p.18
�
Use BLUE or BI.ACK Ink
r------ -----�'�--f
1 For Offiee Usa �
' �����G� �
Cit of E� a� ; P�,t�: �� �� ;
y � 1 Perrnitfee_ � � �
3830 Pilot Knob Road j �
Eagan MN 55122 � flate Received: 1
Phone:(651j 675-�i675 � 1 I
Fax:{651)675-5694 j Stat#: �
•-e�(1(�t.�t � `• � . �I��K�� C-i1t-f ti �����7an ���,� -----------------�
2015 RESiDE1�,T1AL BUILDINIG PERMIT APPLICATI4N
C-e da.r' t3(���F'�, TC�o:,n �►��c s-t s
Date: /1'��'� � Site A�dress: 5 h�� � � s�l� Unit#:
s.�...,�.�..��.,a.Zv�L l in� . '�� .� , J j a ,3�o �y.,,���J. - --- �
� ; Name: P�ione: �
; �esident! ;
! Owner t Add�ess 1 Gity l Zip: �
s �
i : t
� f Applicant is: Owner �ConVacior _a_
�,,.........,..,.....<.�_....�.,....,j Description of worlc: ��: � /'t G ..�......�...._ -`�
� TYpe ofi Work ; � �
` J
Consfruclion Cosi: � 1�; �'JC���G Multi-Family Building:(Yes�J No_� _
�.r.....,..._...._..��. -- •- - - --_�_.__ -- -- — -
� _.
� _ � ' �-e. ��vY� cx�1-� :S_ Contact: �l[;t'..� ��-�-e-� .�::.�'t
� Comparyy:�j t��Y1 � �
F ` � �
� Contractor 3 Address_�-t'1 �C 1-�t:�-2 L-�i �. c�ty: �� � ��� �
i a - '
a +
� j State: '1� ?�Zip: � �l i U phone: �mail: i�1� ' S_e 1�r:�v'r�•v��r�-e.�,-s,
3`� ::t��,,
' L�cense#���_�.� � 1 � � � Lead CeKificate#:�/"� � o�� 13 �
�E.�..,.:..._..,_..�........,..y.,._.x._._.. � ..�..��
; ff the project is exempf from lead certificatioe,�lease explain�fiy: �`
� F,
Z
�
�� GOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �i:
� In the last 12 months.has the City of Eagan issued a p$rsnit fnr a sim�ar plan based on a master plan?
;
� Yes !Vo If yes,date and address of master plan� �
;
,
i Licenssd Ptum�er: Phone:
? Mechanical Contractor. Phone: �
; Sew�r�IAlater Contracto�: Phone: t�
F
9
� fire Suppressien Contractor: Phone: s
` NOTE:Pfaas and suppocfing documents t/�ai you submit are considered to be putr(ic irtformation. Portians of ;
f the information may 6e classiFed as non pablic if you provide specific reasons t�iat wou/d permit tl�e City to '
�
�
. �
� conclude that they are Urede secrets. '
CALL BEFORE YOU DIG. CaU Gopber State One Call at(6S1y 454-0002 for prolection against underground uti'lity cfamage. CaA 48 hours
before yo�intend to dig lo teceive locffies of ur[derground util�ies. www.clouhersialea�ecail.orc�
I hereby ecknc�wledge that this information is com�lete and accurate;that the work wdl be in cor�ortnance with the ordinanoes and codes crf fhe City of
Eagan; tnat 1 understanQ this is not a permit,but only an application for a permiE, and wark is nat to stert without a permit;that tt�e work will be in
acccrdance with the approved plan in�e cese af work which requires a review and approval of ptans.
Exterior work authorized 6y a buildi�g permtt issued in accordence with the Minnesote State Building Code musi be completed witbin 460
days of permit issaance. ---.
X ,�ry�� Q:�.�-�L'1�� Gi Y^� X �
v��
Applioant's Prtnted Name A a 's igaature .
Page 1 of 3
Use BLUE or BLACK Ink
� � r----------------i
I For Office Use �,
' � Permit#: / ����� I �I,
Clty of ����� � / �
� Permit Fee: /��' �� � ,
3830 Pilot Knob Road I I i,
Eagan MN 55122 � Date Received: � �i
Phone: (651)675-5675 I I �
Fax: (651)675-5694 I Staff: I !
I I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION �i
. . .� :���
Date: Site Address: .�� ,S�� ��(� ���� �Unit#: � ��
��� �� Name: Phone: ��
F��S�d±�nt/ �I
F �,.
��(����� Address/City/Zip: ��...� �;���;pc� � . �,q�6,�,v, ►'Yl�v. 55/�3
:,,��„�.
a��0 ��= Applicant is: Owner �Contractor �
��4
� Description of work: ��Pt,�k(fr, (� �ja2S
T�►��c>f W4Ck � �
'. Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
3 Company: �NN�� �iA�ta,� C3'A�R.9�fr� 2�Oa�Ls, l.l.L Contact: 4�I G�LE�;�OH*�SG BJ
��M�'�I'aC�4r Address: �S'7�O ,90�'„flt��o• city: �,�,� �ig-us
State:�/� Zip: $Soo9 Phone:joS/--Z�S—D3/�Email: ,S;bNntSD��lxwon�l/�C`1�+t6�or •�
� � License#: N�R� Lead Certificate#: �
If the project is exempt from lead certification, please explain why: N� (�¢„q� P�t£sg,�,�
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�IUTE:Fla»��nd scrppQrtr�g tl�c�tment�m ��yau.�ubmrt,�r.���rr�ia�ered t�be�blrc:frif�r��tr�r� Port��an.���� :
't�e int'arr�r��ic�n m�y�be classrfiecat as nr�n-�ubl�c!�'yo�r�ratr�de�pe��fic reasorr�fti���rc��lc�perrrrtt tfi�C"�ty t�
�c�ncl�rde t���t�� �r�e.�d�s�cr��ts
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 Build' must be completed within 180
days of permit issuance.
X S�►l� �Hr►.saN X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3
1
For Office Use
::::e
�l1 /
.r .r E A A N /��
a..• .r �®' C)0
:
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(a�cityofeagan.com L
�/ 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: T//0//(3 Site Address: 3 2.-5 9 gA 1/ �l d, 0 y'1' V
Tenant: ^ /� Suite#:
Name: )`t-/'l /9,2 V �`F Q Phone: 95-2-/ 7�_ '
Resident owner
2-S9 l-' i �n }n
Address/City/Zip: l ( Js o or P� J 0. 0, M A/
Name: G ItO M 1 (`Q.i'L 19(On�f/(`Ii1 9 License#: Pc 000 5 o8
Address: 6 l- �o d'd t-'V, sl,fe /(,t�City: 9 4 4
Contractor/ 2 /
State: M/V Zip: lZ J Phone: to 5! - - '7 '0
1 I
Contact: 'I,u i 4 i Email: M i r� /e IQ ,t( M 6 r
New Replacement —Repair —Rebuild _Modify Space Work in R.O.W.
Type of Work — —
Description of work: �tOtaC e OOP c c WL) j/- / 4 1-.er
RESIDENTIAL i
Water Heater
Lawn Irrigation(—RPZ/—PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures(—Main/—Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround(add$280.00 if a 3/4"meter is required) /'n /�
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES$ (l/V r 2
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
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.citvofeagan.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.
x -Troy -, 01;j
Applicant's Printed Name Applicants i� 0
FOR OFFICE.USE Reviewed By: _ = Date:
Required inspections: under Ground
Agra est -Gas Test
Meter Related Items: Meter Sues . « Radlo Read'. :manometer a..,Staffs