3269 Hill Ridge Dr4 0 1 ' City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
GnC/ -3'2‘.171 7/ 7, 75; 7 7
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t4' ? • a0 // Site Address: b 7
x 10e) I e- t
Applicant's Printed Name
nt's Signature
Permit #:
Staff:
Use BLUE or BLACK Ink
c eU ,
?nag'
Permit Fee: +r
Date Received
00
CALL BEFOR 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.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 . val
Page 1 of 3
- - •� JIM IF.
RESIDENT
OWNER
Name: Onz Mct-na9Qr4.4.44-1 . r . Phone: 763 - yy9 -9700
Address / City 1 Zip: _ * , , d _ /O . „ , � , L/F r
!
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work: Re, —r^-P
Construction Cost " 395 7 Multi- Family Building: (Yes k / No )
CONTRACTOR
Company :, S(,t n r;,s ernco P e ∎ri S c Contact: eJ Pe4 o s
j
Address: 59 7 to /-/ be_ I.-.,e r_ City: 34, ( lA 1
State: f 1 AJ Zip: 55//0 Phone: 606/ - 761 - 9045
License #: jn5157g Lead Certificate #: NAj - 2- 71 -
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. Porti of
the information may be classified as non-public if you provide specific reasons that would permit the City t
conclude that they are trade secrets.
4 0 1 ' City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
GnC/ -3'2‘.171 7/ 7, 75; 7 7
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t4' ? • a0 // Site Address: b 7
x 10e) I e- t
Applicant's Printed Name
nt's Signature
Permit #:
Staff:
Use BLUE or BLACK Ink
c eU ,
?nag'
Permit Fee: +r
Date Received
00
CALL BEFOR 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.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 . val
Page 1 of 3
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: 1 +/25/73 (12/29/72) Number: 11b6
Billing Name: iw., , _ad Villa - di;- 16 Site Address: 3zu7- 9 -7 -1 i 75 17 1`.i 1:LI tU ;e Drs
Owner: Billing Address
Plumber: J . ' 1'1)u.1.1n> Co.
Location of Connection Meter Size Connection Chg:`L�• L /':" A
Meter No. Permit Fee 1u. ,, .ct 12/26/72
Meter Reading Meter Dep.
Meter Sealed: Yea Add'l Chg.
NO Total Chg.
Inspected by
Date
Building is a: Remarks:
Residence \\`Se ECT�O` ED \AE�ERS'
Multiple x No. Unita ' Zy pO'R \NS • Commercial
Industrial 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:
siK ey}aor:,t P1;4 Go.
Please notify the above office when ready for inspection and connection.
3795BAPAN TOWNSHIP
Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:12 /29/72 (4/25/73)
NUMBER WO
OWNER: 1 iv�r sGa Villa - ftlldg. to r , r
Address 3 "'('"x`71 '(3 75 -'(7 iii11x1dUx Dr3v
PLUMBER beIrEA.::r4t P1mub5 Cc.
TYPE OF PIPE 2.y}r cc.;;t ircri
DESCRIPTION OF BUILDING
Industrial
Residential Multiple Dwelling No. of units
Location of Connectionss 6 - o,,,: a:,11 .>
Connection Charge 117C.&u Li-Lt
Permit Pee 1 C.t v -ct 12/6/72
Street Repairs r 4 jc
Tote 1
Inspected by:
Da
By
Chief Inspector
In c onsideration of the issue and delivery
hereby agree to do the proposed work in ord with the
regulations of Ea with the above permit, I
Eagan Township, Dakota County, Minnesota rules and
By
PluL,Utae CO.
Please notify when ready for inspection and connection and before an
of the work is covered.
y Portion
r�ug ia io i i:�oa ounnsercemoaeiers o�i-ro�-y3yo p.��
Use BLI�E or BLA�CK Ink
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1 For O(fice Use �
E j ,�
. ` Per�nit#: / ����� i
��u� U� ����� I Permit Fee: � ' > �
I �
3830 Pilot Knob Road �
Eagan MN 55122 � �ate Received- I
Phcne:(669)675-5675 � � �
� Staff: �
Fax:(631)675-5694 � �
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2015 6���IDENTI�►� ��llL�t�VG PERNfIT A1�PLi��4TtON
C-2 d-�.�° 13G��'� Tc,,�n h.:�i s-�s'
Qate:�1�4�1 ti Si4e Address:���0'7�� i i �•:��a� ��r���- 55��I u��t�: _
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Name: Phone:
t �$@S149�17�
Owner ; Address!C�ty I Zip:
- r
�
, .
. ;
� � Ap�icant is:.. .._�n Owrier �Coatractor ..,�.�
..... __.,.......,.,.._..,_.�......._, Description o�wo�lc: ��� � ��� - -
; �yp�o��lork
__....:..,.,_......�._.�..�-_�..a... - ConstructionCost: � �����1�%�.'__LJY---.._y�^.�_a_N Mulii-FamilyBuildir�gf(Yes�lNo_, `..�..�
_:.; Campany:���Y�, �; �� ��w1 ci,-e..-t-� �S �aniact: �G� 1 �-4-�.�'�.�:��'1
��ntTdG�Of ^ Address:� �� �D 't'"��-'�-. �-.c�'tll-� City: ��` r '�`�"� 1
� State: I,�`Zip: � G l /C� Pho�e: Email: i Y1�"� � �-Z�'►+�'��'����+�=c��..�:sr
� ,� ;cu:,.
�` � Lic�nse#:��1-: l� � � `-r� I � �ead Certificate#:�`��!`f� " r�c������ ���.�
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� if the praject is exempt from lead csrtification,P�ease explain why: �
;
' � �~�v CONiPl.E'E�THIS �EA ORILYTIF CONSTRUCTINC A I�EW BUI�DlNG
: Ic+the IaSY 12 rnonths.has the City of Eagan issu�ed a perrrtit for a simifar pian 6ased an a�aster plan?
s Yes f�o f�yes,date and address of master plan:
` Licertsed Plumber. Phone:
E�echanic�Can�fractor: Phone:
� Sewer�Water Con�ractor. Ft�one:
3 Fire Suppression GontraCtar: Phone: r�
�NOTE:Plans and sup�or�ing documtnn�s tha�yace subrnit are canseBereat tv be public inforra�ation.i Poi�ions of
,
�ie 1rrf�Ptt�ation may be classifred�s aoe��vu6lic i�you provide sp�cific reasons that w�uld perlrrit�fre City ta
: �
; cvx�clvde that fhey are frade secre�s. �
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C14LL BEFORE YOU DIG. Call Gopher S4ate One Call at t651)4540002for protecifon against underground utility damage. Ca11481�urs
before you irrter�d to dlg to reCeive loCates of underground ulilities. www aopherstateonecall.ora
I hereby acknow�edge that Ihis inFormation is complete and accurate;that the work will be in co�formance with Ihe ordinances and eodes of the City of
Eagan; that I under5tand Ehis is not a permit,but only an application far e permit.entl wOdC is not to start without a permit;thai ihe woric will be:n
accordance vrith thQ approved�lan in ihe case off woric wlvch requires a review and app�rovsl ofi pterrs.
Exterior work auth�rized by a bvihfing pertnit issued In accordeece vrdh the Hlinnesota State Buiiding CaBe musi be compleEed wititin 160
days of permle issuar�ce. �—'—"
x �j�` �L-F�^"� Ci'r'1 X -��/
Applicant's Pri�ted Name A 4's ignat�are
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
' � Permit#: / �% � /� I
Clty of ����� � Permit Fee: �e �- �
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
�. 3��7`7
Date: Site Address: G1C_ T �v� 7 �J�� k��7..� ���� Unit#:
' Name: Phone: I
R�SI�f���/ ..���
�(�y���; '� Address/City/Zip: �''� � �:��i�;ac�� . �}6,�1+•>, I1�1 rv• 55/�3
- Applicant is Owner �Contractor
� ��� �� ����� Description of work: �S�Pt,A�tfi, (� �ja2S
T�j� t3f It1/aCk � �
I Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
Company:_�N►���► �iA�u,��Aii�9fr� �Oo�t.as. (.L G Contact: � � e�Ohl*�So�
Address: �57�0 90��0. City: (.,�¢NyUii,�J ��2Ls
CU?t'�1`14'�O�i'
State:�/� Zip: 5500� Phone: 65/--?5�S—D3//Email: SJoNn►.SDr��tiwvOn�lJMti�^t� •��""
License#: N�A' Lead Certificate#: *�
If the project is exempt from lead certification, please explain why: /vo (�}� PR�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&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
; I�aDT�.Fl�ias ar�d',�t�Rpor�r���foc�met�t�r�t yr�u s�rb��are ca�rs��Iered to���rt��c fnfor�r��i�an. l�or�vf
�ire�rrt'ort�re�iaaa r�t���e cl�s�r�ed�s r��rn p�blic�f you pror��d?e�s��c�c reasorrs�t�#aw�o��t perr��t t�:G►"f,y t�
cur�cfwtle tl�a�.th$ are t�'��ale secr�s
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. wuvw.qopherstateonecall.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.
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 ��.✓�i �JVH'N.S6N X
ApplicanYs Printed Name Ap ' anYs Sign ture
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
of Ea RECEIVED Permit#: 1 4U( 7/
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122 JAN 0 9 2017 Date Received: / - 17
Phone:(651)675-5675
Fax:(651)675-5694 Staff
L
2016 MECHANICAL PERMIT APPLICATION
❑ Please �sCI-
c7 1ubmit two(2)sets of plans with all commercial applications.
Date: t" JI- (7 Site Address:3026 J1 // // r,-4 -e /
✓
Tenant:DC,V4 tC/CL l" , /�r.6i t'f Suite#:
r410-54:WiCP: ''.1:.:":....".::„,.;.c'14% . ,' Name: in l G . ✓ Phone:6)e� r �/��" lam-! 7s
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Address/City/Zip:
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Name License#:
HOME ENERGY CENTER i
-> � . Addre 2415 ANNAPOLIS LANE N#170 City:
PLYMOUTH MN 55441
State: Phone:-7 to . 14-)Co" 1 9 O
7,,,, � MG e�
y ����„`�� � �'. Contact: � I a t^( /�J Q'/ Email: � �v y ��l� k a ! C
l
New )(Replacement Additional _Alteration Demolition I
Typesrg,m,:. 1 _
of 4Description of work:
s toed"` City i (=^
l B 1 9}YEm{0 3�0.1*
SIDENTIAL COMMERCIAL 1
i
Y mace New Construction Interior Improvement
g � —Air Conditioner _Install Piping Processed
_ Air Exchanger Gas Exterior HVAC Unit
r _Heat Pump !Under/Above ground Tank ( Install/_Remove)
Other
RESIDENTIAL FEES
i
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge /_ �- 1
$100.00 Residential New,includes State Surcharge =$ LI TOTAL FEE
£
COMMERCIAL FEES 1
Contract Value$ x.01 j
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million,please call for Surcharge =$ TOTAL FEE 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 .' •- a permit;that the work will be in accordance
wit pproved-plan in the cas rk which requires a review and approval of plans.
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Ap nts Printed Name /A. ants Signature
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To: Page 2 of 2 2019-03-26 16:23:56 (GMT) 612-827-8292 From: Lance Dillon
For Office Use •
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3830 PILOT KNOB ROAD I EAAN;MN 5512 -1810 Date Received: •:1. ,
(651)675-5675 I TDD:(651)4 .478535 i FAX (651)675-5694
Email:buildinoinso_e_ctionttityoleagan,corn.. staff:., . - . , • 1
Commercial Plan Submittal:eoliineaCitvbfeeileriskrn .. ... .... . ..
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2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
• .1
Date: 3/26/19 slito,yNi4iirtikos, 3269 Hill Ridge Driveii. .
. • ,
Daniela Machue;•
Tenant: • . -• • Bilitelt.: . •• •
• .• —.. -
l•-••••:::•,---i•-•••••,::',::::::,;:•.:,:•::,Nz•::,:i,:dii-••• ••• Daniela Machuca
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RESIDENTIAL FEES i •
I: 1
.$60.00 Minimum Add or alteration to an existing unit,includes State•Surcharge
• .:i $100.00.Residential New,indUdes..Stale Surcharge . 60.00 .
F.$ :TOTAL FEE
i- • ,
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 wwmcityofeanan.comIsubscribe.
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