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3277 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 � Use BLUE or BLACK Ink r---------- I For Office Use 9�,�� • � ' �.:�'��`� �.�� C�{-� �� Permit#: � , � J /�/? � b � Permit Fee: /��• (O`�/ � I 3830 Pilot Knob Road � C � I Eagan MN 55122 �`� � � Date Received: � `'� ��J � � ; I, Phone: (651)675-5675 � I I �� I� Fax: (651)675-5694 �t�G � ;T -. i i Staff: i 'il 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �� (" �� Site Address: Unit#: ' Name: _.�4�1 t_l �a h I �n Phone: C� �z-' 3[7 Z' 6 S�3 1��:��i��t� 327 , ,��I� ��a ��'�� Ea Q SS 12 Address/City/Zip: �- /1 ( � ��; ;, . ,., � _� Applicant is: �Owner Coritractor `' Description of work: �v T� ��►q 1 � tti11�0 0� <,7� X �� y 7��is�1�c��1� Construction Cost: Multi-Family Building: (Yes /No X� �:-� �- �_ � , �;r; Company: S C..�'� Contact: � � �, " ' Address: City: �� State: Zip: Phone: Email: License#: L�ead Certificate#: If the project is exempt from lead certification, please explain why: 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: 1�� P�a�r��:��o�►�c��r�#,�;�'��'�c��°��d��?�+��t��ct� ��r��t�f�� . fhe�rt��r�rt�c�r�r�t��+�c/a��al'��;r�rr��c�'�o�+pr4a+��s i��r��i��r�� :, � , ��Jude�tf =�#�#��i�.`�� z � m� - CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours beforeyou intend to dig to receive locates of underground utilities. www.aopherstateonecall.orct 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 �a n�e-( �A � I I � x �� aN�—�.- ApplicanYs Printed Name Applicant's Signature Page 1 of 3 �� /f �� t�'DO NOT WRITE BELOW THIS LINE �,j�L�/�� . . �. SUB TYPES _ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Familyj _ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous ` % 01 of�Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building" Addition Move Building Reroof Demolish Interior � Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION ln' Valuation �G�`' Occupancy „��G-,3 MCES System -- Plan Review Code Edition / `r SAC Units '�- (25%_ 100%� Zoning �.�3 City Water `-'' Census Code � Stories �"" Booster Pump ''` #of Units / Square Feet ''^ PRV "� #of Buildings � Length ""'" Fire Suppression Required `-�' Type of Construction __�,� Width '� REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test � — Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation � Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee "73 � Surcharge Plan Review �?� MCES SAC City SAC Utility Connection Charge S�W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 r�ug ia io i i:�oa ounnsercemoaeiers o�i-ro�-y3yo p.�� Use BLI�E or BLA�CK Ink r_.�� -----------i 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 � � .�Y V ��.E, � �, � . ��el�€,'� C..i�� G` �,�°'`,'�C.t'1 iCt►'�^ ---_-__...__�_�__�� 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�: _ - _......_._�.._z_.r.s.��-_Y�.._,,,.,.��.c:i�ci%�s`-�`a,Co�_;3�-iJ� ,m3��3;��--7�� 3�-1''7 � > 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�� .� � ..,�____._,..�......__.._.._w._.........__.._._�� ._,�.�._�.._._..�w____..._..__..__�...�T�..._�_.� �..,.__._._.-----.._,_,.,.._ � 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. � a..__:..._.-.:�.:.�.w.:_.:.::......_._ti,..�:.:.:._..�...:.:.._. .,_�..._..y�_. ..,.,....�.,�.....r....,..._... 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 r a r For Office Use/3*s' f u %. <� �� iE AGA Nce Use �i 3830 PILOT KNOB ROAD EAGAN, MN 55122-1810 Date Received: /( '/(J (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginspections(a�citvofeacian.com IFZE C EiStaff: Commercial Plan Submittal:eolans(@.cityofeaoan.com a,,_..,,,..,..„.„,,,) ,_ J AUG 14 2018 2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: t5[1011% Site Address: 3T1 RIII Aide Of, EA94)1+ lenN 5 J)aI Tenant: Suite#: Ftesideri fawner, ; Name:5}1; r For Office tle�0 6-/V Z- , �', i ',' E Permit#: 0 gAywy^ a1M•r. AG 4,A, N Permit Fee: �/O -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: buiidinginspections r(t?cityofea an.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION l61i1II \ eta Date: SiteAddress: 3c3.`!7 � �.� •2 cif- unti4' 30 Ala", ra-rr+) 551AI Tenant: Suite#: k._ w_ . Name: 11 - CfeWVQ-f Phone: 115-939-A9\59 Resident/Owner of0,, u,a , 59 1 __. �.. r._ Address/City/Zip:__al a7 .{ .,.,. .._,..-._ _. Name:4 (j }Z. i Qy "6 'L Ji e 5 0 �,. License#: PO i th61 I' Address: 1?3t) > 1ar7 d�r 14/r1/if City: L cavi Contractor !17 State: fn 1'U Zip: 65/R/ Phone: L'J'. 1161.- S q5 contacts./..V,0,.. `Mt�kt+\C��► Email: �* at • li� •.!l ' - ` ! ° New Replacement _Repair —Rebuild Modify Space Work in R.O.W. I '� Type of Work — —A ``44— ``�� Description of work: t + f il t`CAIMI .•rT'k tARA t-r ti'4t4'v'1 I; IAA3 Tankless Water Heater Lawn Irrigation(_RPZ/—PVB) Standard Water Heater Add Plumbing Fixtures( Main/—Lower Level) Description Water Softener I _Septic System Description: 1 Connection to City Water from Well New Abandonment RESIDENTIAL FEES $60.00 Water Heater,Water Softener,or Water Heater and Softener(includes State Surcharge) I $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures,adding or removing piping(includes State Surcharge) 1 $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=$540 *Sewer&Water Permit also required for connection charges / TOTAL FEES$ (Q A. 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, wrnv.nopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signs , • or an email update on the City's website at www,citvofeaoan.comisubscriba. I hereby acknowledge that this information is complete and accurate;that the work will be in .• . • - = ordi nes and codes of the City of Eagan; that I understand this Is not a permit, but only an application for a permit, a • .,•rk is no to •ut a`1ermit; that the work will be in accordance with the approved plan In the case of work which requires a review and a.• •val of pla i.,iip . . \-,c,c\r\tkvuVA x A g allis tir Li 0 . , AppiiTTcant's Printed Name • plica 7s iii'",i!e Page 1 of 2