Loading...
3287 Hill Ridge Dr4 11 ' City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694,— i -1-716-1 r ( I 6-) f) 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l -( 'v0 • aD // Site Address: 7 x :5o PO4 (o) Applicant's Printed Name s Signature Use BLUE or BLACK Ink For Mel e Permit #: Permit Fee: It / 3 � q (.S `7-2i -f Date Received: �.N►�� 13Ct Y VU Ulta 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 a Page 1 of 3 �.. . unit •.. RESIDENT / OWNER Name: Or,7e M' nacClet'✓u414 -1 t . Phone: 76 - yY9 -9/or JJ Address / City 1 Zip: __ _ . . , ■ ` _ • , ,A y A ilk . 1 • Applicant is: Owner x Contractor TYPE OF WORK Description of work: fie , -t-00- Construction Cost 4 `.2 /, 9H7 IS Multi- Family Building: (Yes X / No ) CONTRACTOR Company:, S(,t n 0'66.. ke.innori v Je ) J j Contact t ,�Q -rscry1 Address: 59 7 (o ,eke_ n G City: 34•, I ( t State: M IV Zip: 55//0 Phone: fp6/ - 76„1 - 9a 95 License #: 6545/g Lead Certificate #: NAI - ,2, 9 .'3 --0 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 informatio 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. 4 11 ' City of Evan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675-5694,— i -1-716-1 r ( I 6-) f) 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: l -( 'v0 • aD // Site Address: 7 x :5o PO4 (o) Applicant's Printed Name s Signature Use BLUE or BLACK Ink For Mel e Permit #: Permit Fee: It / 3 � q (.S `7-2i -f Date Received: �.N►�� 13Ct Y VU Ulta 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 a Page 1 of 3 ? 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. 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.�,.�. ..,.�,.�.�.,..e.:r_..y,.�-»__�.-.,�..,.,...._z..nx:..__>..�.�:..�.�,��..-.-- - �-= - °-- - ;��,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, .� — "c.�:.. �.�_..__._...._.��.�..�.._..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