3281 Hill Ridge Dr411'
City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694....,,,,--71 -. 2g(I g� 7/ � /
2011 RESIDENTIAL�'BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
For Office Use Clerk) #: Cle k) Y0
Permit Fee:
Date Received:
Staff:
399.15
Date: l-('(.20 • c2O// Site Address: %?) 9 , ;f/ IICiddi_ n r. Unit #:
RESIDENT /
OWNER
Name: Oink,
Address / City 1 Zip:
Nanai pet,414-, o4r.
Phone: 76,3 -'Ilei -Woe)
Applicant is: Owner
X. Contractor
TYPE OF WORK
Description of work: Re- —ro0-
Construction Cost a`.?/, 9°10 / g
CONTRACTOR
Multi -Family Building: (Yes ?C / No )
Company: SLAnr-se, ke.rvlo ed(S) J j Contact
Address: 5/ 7 6 fib_ Lon
�r Pe46rs
city: -5-E, P0,4
State: M N Zip: 55/0 Phone: JJSJ - 7601 - 9a 9'5
License #: 0515/g
Lead Certificate #: NAT-- X`1. 3-0
If the project is exempt from lead cert. cation, 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 City to
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.
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 app val
x �O(�i Pe 1-P.f3vz-i
Applicant's Printed Name A
can
s Signature
Page 1 of 3
r
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use �(
Permit #: 1 U`1 u -1
Permit Fee: 66/�
Date Received: C 7 ^ I -3.-1 Z,
Staff:
2012 RESIDENTIAL PLUMBING P MIT APPLICATION
Dated% �/� �/"-- Site Address: ;�D/%(g C /� /C.) E
Tenant: l Suite #:
RESIDENT
Name:
. ;ems ✓ ,21W Phone: SSD -
Address / City / Zip:
Name: License 057-60 r9;".1)0"/
Address: /9/ ' 5/j'f( l. City: "6'4?
State:../#-&•--- Zip: , ] /d Phone: l /d e—
Contact:
Email: (. JAY ' d
New replacement Repair _ ebuild _ Modify Space _ Work in R.O.W.
Z Z? /,ue2
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 for protectio. -gainst un
Call 48 hours before you intend to dig to receive locates of underground utilities. www..o.teonec
I hereby acknowledge that this infor on is complete and accurate; that the work will be in co
Eagan; that I understand t ' is t a permit, but only an application for a permi and wo
acco : -nce with the apprp�e pl yi the case of work which requires a revie d approval
tility damage.
nces and codes of the City of
permit; that the work will be in
A. . 'cant's P inted Name
FOROFFICE USE
Required Inspections:
?
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SIIRVICE CONNECTION
Date:4/25/73 (12/29/72) Number: 1780
Billing Name: Rivergate Villa 'Bldg•jl 0 Site Address•3279-81-$3-85-87-$9 Hillridge ?r,
Owaer•
P1umber:Berghorst Plumbing Co.
tion Meter S
..3?1
Meter N
Billiag Address
Permit
Meter Reading Meter Dep. .50 pd 12/26
Meter Sealed: Yea_ 'Add'1 Chg.
NO I1bta1 Chg.
Inspected by
Date
Buildiag is a: Bemarks:
Residence
cP,^G.".C:
Multiple x Ho. Unita tow?t4y?vses Commercial
Industrial By:
Other Chief Inspector
In conaideration 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
reguZatioas of Eagan Township, DakoCa County, Minaesota.
$y; ?•-•-
Bergharst Plumbing Co.
Please aotify the above office when reedy for iuspection and connection.
4/25/73
Pw s
2
s/c
?
.??
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55211
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:1/2/29/72 (4/25/73)
OWNER: Rivergate Villa-Bldg. 10
PLUMBERBer?horst Plumbin? Co.
NMEx 1324
Address 3279-81 -83-85-87-89 Hillridge Drive
TYPE OF PIPE heav.y cast iron
OF BUIIDING
Industriall Commerciall Residential I Multiple Du+elling I No. of units
I I I xx 1 6- townhouses
Location of Connectiona:
Sy
Chief Inspector
In consideratioa of the issue and deliverq to me of the above pesmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Hagaa Toc•raship, Dakota County, Minneaota
By.
Berghorst Plumbing Co.
Connection Charge 1170.00 billed 4/25/73
Permit Fee 10.00 d 12426(? 2
.5o pd 12 2 /72
Street Repairs
Total
Inspected by:
Date
Remarka:
Please notifq when ready for iaspection and cotmectioa and before any portion
of the work is covered.
Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
�1� U��l� �� � I
� Permit#: � �
� � � �. �
� Permit Fee: �
3830 Pilot Knob Road � I
Eagan MN 55122 I �
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � I
� Staff: �
,: �..�:� . _________________J
2015 MECHANICAL PERMIT APPLICATION
' ❑ Please submit two (2)sets of plans with all commercial applications.
Date: 02 v�� ,� Site Address: � Z'�� �j' ����'d� �Y�.'�✓�
Tenant: �Q��-�� v "'�` � Suite#:
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� ' ; : � Name: �a�'��Gt ��'`'� Phone: lo �L— y�--,�.3��y �
� R�sic�ent!{�wner � �r �
; � Address/City/Zip: .� Z�/ ���r,c��c'�- .��C- G��.a,� �!^J �'.5I Z�I �
�w.�. ,,,�.�,�,. .� ,��, ,�� ,�,�� � �.���,��a�, _�.., : ���d_,.���,9
� � : � Name. // /�2.F ���•e c . License#: �
� � � . �
� �+Cc�nfractor Address: /Z L S3 itli c../L� .�,�- -;� city: ���•.���✓��
� State:�Zip: ,>j 33 7 Phone: 9SL- 7S/(, �S2s»
�Contacty � EmaiL Q� �q'�"` �'� ��Q'�`' wr`
� New �Replacement Additional Alteration �� Demolition
� � �°
Type�o�Wprk � Description of work: .e,u- f�r a�� " �7"/� � �
�,r �,,. ,.�
,. ,,,��, . � �� ,.��.� ..„�,
� �IaT� ,R��€mounted ah�!gr��nsl��unt�d rr�echan��a1 equipmertt is res���r�r��o b+e screened by Ci�� �
�� C�st#�. Pfease�qnt�c#fhe Me�h�n+��f Inspectcir fvr.�nfc�rrn�t't�n�ei permi�tet�s�r��rnr�g m�thdd�_
,�
�.,�A� ,� �.�„rd.�,.,�� ���� H,�,���,
�.�,�,�-��,�,,y.�.�����,;��,,,,��, �,�,�,, �,�„�,�,�x���
� RES/DEN77AL � COMMERC/AL �
��Furnace New Construction Interior Improvement �
���`l11t�-��f�?e. ��Air Conditioner Install Piping Processed �
� ,� = Y Air Exchanger � Gas Exterior HVAC��nit
:
�
� � _Heat Pump � _Under/Above ground Tank (_Install/_Remove) �
' � Other
�
.�,�a� .,.,,,,,,A �„ �,,�,,,,,x �,,,W,.�,<,.,�..,.�,,a,�.pu,..a�,�,,,,,�,,,�a�,�.,��y�,,.�„a�q�,.,,�.�,,�a�����a,w�aw��,,,,�, ��,.�
g RES/DENTIAL FEES �
� � � I
� I
� $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) /
� $100.00 Residential New(includes$5.00 State Surcharge) _$ (�v � TOTAL FEE
COMMERCIAL FEES ��� �/ Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
*If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 �
""'If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE `
�
,,,� .�, ��,���6,��,.� ��adA�,���,��,,x ��,..�
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gty 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 accord�nce
with the approved plan in the case of work which requires a review and approval of plans.
x 'Z u�n x v�
Applicant' Printed Name Appl ci anYs Signature
�`�4R�FFICE USE
Required Inspec#ions:,` Reuie�nied By: Date
, ".Under�round °� Rqugh In ��;� �irTest � � G����ruiee���Test '��� in-flo�r H��t ° �inai��� �UAC,���e�nin�
Aug 18 1511:06a Sunrise Remodelers 651-762-9395 p.21
�
Use BLUE or BLACK Ink
�----------------i
! For Offlce Use �
j ! ���J�� 1
��� O���. �� , Pen,,;�#: ;
� � � ,
� ��„��:��� �
383d Pflot Knob Roarf � �
Eagart MN 559 22 � Da1e Received: �
Phons:(651)675-5675 ' j SI�: l
Fax:(651)675-969� � �
��l�ll�ia� � • � , -�����K��+ C;�-f �' �'���7c.n t::�r ----------------�
2015 f�����ENI'i�L B1,19L.D11V(� PERlV�IT�►PPL.ICA'�ON
��cic_r'° 13L���� T�c��n h�:ti s-cs
Date:�'��eQ'I � SiP.e Adtlress:�a��l� l.l• i 1 Q:c1��.Q i�r i V� S5/31 Ur�it#:.N�,M.�,.�.
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;��,c.t u ci.�. ��.�:_:�3:"�,�� -�_�.�3 3,�3'��:��,�'3 a s�'3+�.S`�n� "
- Name: Phone: `
` R@51t'�6fi'�
.,
�Wn� ; Address!City I�p:
; ; Applicarrt 9s: Owner �Contractor { .��w��,�,_„���
_..:...__..,w..., ......-. _��. Descrtption of work: ��� � /\c��
; Ty�e��Work =
. Gv
...................�.._.Y..___...r. ConsfiuctionCost: � ��;_�'/CU�.'„__.,.._�__..__.......�......,._...NIuIU-FamilyBuitding_(Yes � 1No,_� _u,y._.
£ Company:")�'�Y'� Y; �--e �-e v�r� c:c�-z._4-e�S Contat�: �c::L ti tf�-"�.`�'_-J" �a�-'1
- : Address:� -t� �G' 't�1L Y�'e.. �cl t/1�.'.. City: S�' � �-� r
uont�actor = `,
0 {'
: State: '�(i�lV�Zip: ��� f U �hone: Email: i Y1`t'ti � �-z 1�����v'��•��=c���;�5,
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�.�_..__._...._.��.�..�.._..License#:�m���.,�.�� � � _...�ead Cert�ficate#:� ..,... �_..� `��c��_�.�.._._�..,�-=-_.
< i�the�ro�ect is exemp#from lead certtf�ca�ion,please expiain why:
'�� '��� COMPLETE THISxAREA�NLY IE CONSTi21iCYING A AIEW Bt31i.D1R9G
: 1�the�as412 months,has the City af Eagao isseed a pe�mit br a similar plan based oa a master plan?
,�Yes No If yes,date and address �f master plan: �
� i.icensed Plumber. Phone: �
' P�echanica�Corstrac�or: Phone: �
-° Sewer&l�ater Contractor. Phone:
�
; Pire SuppressEon Con4ractar: � p��e� __�z_ .�,,,
..�-�,,,�.�:
:. NC37'E:Pla�s anc�sup�ort�i€�g doceimerr�.s t`�iat you submit are coresidered td be public�enfo�natiotr. Por�ions a� "
�ie infa�ation may be classified as non public if yvu provide specefic reasons that woul�l permit t+'te City Ya .
' :� concfude tha�the�!a�e tra�e secrefs..,.:....,_..._......._..._,___,��,.u.....�....,..�...�.._.._ .__,.
�.....:......:.u_...:�........:........�_�..--... ._�. . _,�......_. ..._,._... ._ . .K.. y,..._.
CALL BEFORE�OU i)IG. Call Gophar Stata One�alt ai t659)+454-0002 for protecifon agains�underground util�ly damage. Call 48�urs
be(ore you intend io dig to receive loCates of undergro�d uliiifies. v�n:aoaherstateonecal!.ora
I hereby acknov�Aedge that Ihis information is complete and accurale;that the wo�k will be in coeformance with Ihe ordinances and codes of the City of
Eagan: that I u�derstand ihis �s not a permi4 buf onty an appiicatian for a perm�,antJ wodc is rtot to slari without a permit; thai ihe work will be 3n
accordance vrith the approved�lan in the case a�wa�c tvhich requires a r�2view and approval of plar�s.
Exterior work autfi�orized by a ballcfing pem�it issued fn accordaRce v�ith fbe BAinrtesata State Building Code mnst be completed wiihln'I 80
days of permle issuanc�. � -^-^�—�-
X ,��,� P�:--�--� cF, � �—=--�
Applica�t's Printed Name � � t's �ignature
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
C' � Permit#: / ✓ /l �f� j
lty of ����� � Permit Fee: / �� o�� �
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: lU '�S �� S��� 'j r�g.� ��f' C1n�#: �� /
Name: Phone:
f'�£SK��E3�'/ ,
C?�1Vi'I��'' Address/City/Zip: ����T �:��i��o CYt��t . �i�b-rfn>, 1'11�lJ• 55l�3
Applicant is: Owner �Contractor
' Description of work: ��Pt,A�(fi, (� �11.5
��P� af�0-rk � �
' Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
' Company:�NN�N YiA1a,� C?l�frLY �ba�s. (.l.G Contact: �iGLE e��M*�SQoJ
�
' Address: �5'7�0 9��.f�LE�.a0- City: L�n/rU�,�J �il�t,Ls
�Qt1�1'�.G�Q!'
State:�/� Zip: 55�09 Phone: (05/--2�.�d3//Email:�;bNnrSD��.A�wuOn,lJ¢u��^t�+t6�pT" •�a^
License#: N�R� Lead Certificate#: *�
If the project is exempt from lead certification, please explain why: Nv (�� Pk�s��
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:
Ati�7`;�:FJar�s atr�str��a�rrt`��g d4�cr��ents t�s�,yi��s����t are cor�s�dered tv ibE p�abl�c�r��o�r�iat�on. Por#ir�rr��� '
'�ie.in�'ort���on ma�,y b�=cla�s��red�s,�on�c��iic if,y��p�ro�id���cr�c reasvra�tt�a�t�auf�t perr�lt�r�C►�y t�
co�cl�d�e tha�t�e ,are t�de�e�'ets. `
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.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 780
days of permit issuance.
X S�►/� �H�►.saN X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3