3260 Hill Ridge DrCityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -56 ; c/ 3 �� t 4 k / 66
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11 • ?o • a0 // Site Address:
me
A • p - nt's Signature
Use BLUE or BLACK Ink
For Office Use
Permit #: ci(J Q p
q
Permit Fee: $3v9 75
Date Received:
Staff:
CALL B EFORE 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.qopnerstateonecall.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 app' ai
x :5 hP.11",(S011 �w.►
Applicant's Printed Name
Page 1 013
„v v %MIL IP.
RESIDENT /
OWNER
Name: 0Ine n Hana erY1,414 41r . Phone: 76.3 - yy9 - WOO
,J !
Address / City /Zip: di : • : - . ` _ to • ,4 ill . hi A. 'f' -
_
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: RP ,
Construction Cost ` 5 3_ %% Multi- Family Building: (Yes X / No )
CONTRACTOR
Company : /,t s . ke. S CAC. Contact ei P�
-rc7')
Address: 7 6 nobt. jon e _ City: , P0 u I
State: 11 hj LP: S5 //0 Phone: 651 - 76„1 - 90795
License #: C675/ g Lead Certificate* NA' - .2,)`j 33-o
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
_Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING, A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o
the information may be classified as non -public if you provide specific reasons that would permit the City to
conclude that they are trade secrets_
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -56 ; c/ 3 �� t 4 k / 66
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11 • ?o • a0 // Site Address:
me
A • p - nt's Signature
Use BLUE or BLACK Ink
For Office Use
Permit #: ci(J Q p
q
Permit Fee: $3v9 75
Date Received:
Staff:
CALL B EFORE 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.qopnerstateonecall.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 app' ai
x :5 hP.11",(S011 �w.►
Applicant's Printed Name
Page 1 013
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 1i /25/71 (12/29/72) Number: 114:8
Billing Name: '1v t:, v+11 B1de. 18 Site Address; 2 j z 5d -"u -° "—'6 hi] a Drive
Owner: Billing Address
Plumber: bargharst Plunbin> Co.
Location of Connection Meter Size Connection Chg.'i'i D i;.11ad 4/
Meter No. Permit Fee 1 "i , , d (?/26/72
:0 1� 14/2u/72 3/0
Meter Reading Meter Dep.
Meter Sealed: Yes_ Add'l Chg.
NO Total Chg.
Inspected by
Date 6 l � 7�
Building is a: Remarks:
Residence �� �CQF� � 1 � ;\
7 ' wz l:�usau
Multiple X No. Units o nA `t4
Commercial
Industrial By:
Chief Inspector
Other
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:
be cK,r G 1141401. .4, Co,
Please notify the above office when ready for inspection and connection.
• •
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE: 12/29/72 (4/20/73) NUMBER 1.332
OWNER: 1 V1 - B1.dg. 16 Addres8 5 " - 63 62 fliflr"1a Driv"
PLUMBER A.,- wiu. ^at F Co. TYPE OF PIPE 11.:,:v; c.;.T. ir■a
•
DESCRIPTION OF BUILDING
Industrial Commercial Residential Multiple Dwelling No. of units
- tuo,:.oues
Location of Connections: Connection Charge 1110.)0 1111, -, !/25/73
Permit Fee 1U.„; , , 1 V-0/72
:,C ,,3 1'. / : ,'f2
Street Repairs
Total
Inspected by:
Date
Remarks:
By
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 when ready for inspection and connection and before any portion
of the work is covered.
41°'
city orEap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: gA:27 /
V1,
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 MECHANICAL PERMIT APPLICATION
j�
Site Address: D [ -
Tenant: Suite #:
afs
1
RESIDENT / OWNER
Name: l 1)4\ ccu(-\ c\f Phone: 1 -2 - t2.' )�C)I
Address / City / Zip: ZCor) 1-61 :tciC C "DV___/�7,9cun 11 J ►2t
Name:Nan c s'\U1 ►1b\n,Ocabray►►License#:
Address: I LIDO (K41161/4)3.4 d1\lj City: mo \ Q ('Y3 ,
State: r (--\ Zip: J Phone: I `— Y -- 1--)U10
Contact: > t t)C-tr\.0 Email: 0' ccr-dc,0Cd"
New V Replacement Addik
al Alteration Demolition
Description of work: a .1/t� ,�e 4V ch eou
NOTE: Roof mounted and ground mounted mechanical equipmenti . required to be screened
Code. Please contact the Mechanical Inspector for information on permitted screening me
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Gas Exterior HVAC Unit
Under / Above ground Tank ( Install / Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is less than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Pemiit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR
Contract Value $ x 1%
= $ ( I J • 00 Permit Fee
= $ '5 O- Surcharge
= $6-, tt 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.nopherstateonecall.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 approval of plans.
l(1CC7. )(-C %
Applicant's Printed Name
Applicant's Sign. ure
FOR OFFICE USE
Required Inspections:
Underground Rough In " Air Test
Aug 18 1511:05a Sunrise Remodelers 651-762-9395 p.19
, Use Bt�UE or BLACK Ink
. �-----------------
'' I For Office Use �
� � Pemn�#:/..�c�'"���� I
���� �i lJ��� i PermitFeE: ��- �� I
I
363fl Pilot Knob Road j I
Eagan MN 55722 � Oa�Recei+fed: i
Phone:(65'�)675-5675 , 1
Fax:(651)675-5694 � 5ta€f; �
,�.^ e � - i • 1 l ������.����J
''�Y v 'GLE � • �• �/t'•` ��'� C..��f G` �4«�C.Y1 �C G v-✓� .��_—___
20151��SIDEi11`i'Ii�1L �lllLl�iNG PERII�IT A1���.I�ATt�I�
C� di:r'° L31����- T���:.n L►.;�i s-ts
Qae�:�-!-Sl-I � Site Address:� 'J�Ga�I'• �i �:e���� i7. r<'v'�. 5���I un�t�:
,:>..�:t.y,-�,>�=rr,r=.��.,e..........-�.`,�.,,,�� --- -
,..... �.--,..t
�v
..
.,'�� � ;�� : ''���5���"3� c�co,�3 a-c�='�, 3�co�3l 3� �
; : Name: p e�
` R@Sidentl
i Owne� : Address r City!Tp:
___..__.....,.._,.�_..,.._,..,..,; APPlicarn is,-�-_-.�-_�Owner �Contractor,..�.._�._r......___...�....u.v.,��.—�,.,..._,..�,..�.,�..�.-,�....�,�..��.._�
; ,T��e���IQrlC : Description of work: �j� c�-� n�1
� �� � av /
= Consiructio�Cost: d�; Q�� • Multi-Farnily Bualding:(Yes � !No_)
._.,._....,..._�..._w-._....� = Company:��•L.Y> �� ,-�. ��vv'� rx�l-z�S Confact:M�t;L� �.�'.� ,:,;�
: ���t�actae ; Aa��ess:� �� (� �-1i:��-� L.�t �►-� ary: S't-� �c.� �
. � State:,�I�r�`Zip: � t l l v Phone: Email: i Y1�'t'�i �. S..¢Y�r: ��r 2�•�+�c�-�.�:s,
.� .� ;:t�:,.
/�i -�����3��
- .�.... .._..,�....�_.�.�.,�.�.._r_Licertse#:���f^G l�� � � ��� � � Lead Certficate# ,.�.w� ---._...._.....__.. �.-....a�.-
° if the project is exem�rt fram lead ce�tification, piease expiain why:
�M � �� COII�IPLETE THIS �PtEA OPlL`t iF CONSTRUCTINC A NEVU BUiLD(NG
< tn t�rie 9ast 12 mo�ths, has the City of Eaga�issued a permit for a similar plan based on a master pian?
Yes 1�o If yes,daie and address of master Plan: �
� LicenSed Pivmaer. �hone:
: �flechanical Contr�ctor. Pho�e:
� Sewer&liUater Cootractor. Phorte:
� Fire Suppressio�Contracto�: Phone: ��
,��...�.�:
NC�TE:Plae�s and supporfrng�acurlen�s tha�yoet s�6mit are coe�sid�ed to be publiciraform�tion. Portfons of
�la�6n�'orrnatimn Pnay 6e cFassi�ed as non p�blic if yau�rovid2 spee�flc Peasar�s fhat wauld permi�the City to �
: �onclude�ita�they are i�rade secrets. - - - - , .__._;..
CJ�►LL BE�ORE YOU DIG. CffiI Gopfier StaL2 One Calf at(651)�.54-0002 for protecfion against underground�ildy damage- Call 48 hours
betore you intend to dig to receive locates of u�derground utiitties. www.aoAherstateonecall_orn
I hereby acEcnowledge that ihis informatic,n is oor�lete and accurafe;that the work wiil be in cor:formance wilh the ordinanCes and vodes of the City of
Eagan; that I understan�Uus is not a permit, buE oNy an applicalion for a pemtit, ar�d u�rork is not to sta�i withouc a permir, ti�at ihe work will be in
accordznce with the approved plan in the case of;n�o�ic which requires a review and approvai of p{ans.
Exierior work authorized by a buiidir�g pertnit iss�ed in accordance v»th ti�e Minnesota State Building Code musE foe campte0ed wlthin 480
days of permlt issuance. �.--- .---�..
� ,��� �.�L.:.—�-�•s�s G'�'� � �
Appllcant's Prirrted l�ame � a 's igoature
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------�
I For Office Use �
Clty� � Permit#: �L I
of ����� I Permit Fee: ti�� �•� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:-1-Y? E S ���h' ����k(1 ���� -'�-''��1`� Un t#: �
Name: Phone:
R�Si�et�! , �� �/"
:�W��� . Address/City/Zip: (G� �:�c..i�;pC�c?� . �,q�G„5,•>, �'b1 N. 551�3
Applicant is: Owner �Contractor
' Description of work:_�c,Pt�A-cfr, (� .!-l�nlLS
����.�Qt�C � � �
: Construction Cost: 3(s��� Multi-Family Building: (Yes ✓ /No�
' Company:_�µNN�� �il�la.�C7A�Rr9�Enr �Ca�2.s. L L G Contact: �1�E e�Ohl'NSG eJ
Address: �5`7�0 9��/�LE"�D• Cit C./9-n/h/u,�J ��2Ls
�t�l�tr�tzttxr ' -� y�
State:�/� Zip: 5500� Phone: 6S/--?5��d3//Email: S.bHn►SD��4/rwOn.�lld1+��� •��""
' License#: N�R� Lead Certificate#: *f0'►+
If the project is exempt from lead certification, please explain why: N� (,�g� P�.�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:
' ��T�':Plar�s a�d�r�p�ortf�.�a�o�r�t�e�rts��a�,�or�;��btr��t�re co,rns��'�red:�a"�e;p�1ic��'or�t�trt� l�ort�fl��<:��' '
tf���ti�orm�t�or►�r�y�e cl�s�if�l as�rt��pub��c i�,�au pro�icie s{�ec��reasons tha�►�r�tl pe;rr�t��a�Cf�r��
c�nc�r�de that t� , are tra�ale s�Eret�. ;
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.aopherstateonecall.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�i� �JVIf'NS6N X
Applicant's Printed Name Ap " anYs Sign ture
Page 1 of 3