3289 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.
Use BLUE or BLACK Ink
�-----------------,
� For Office Use I
(1� O}'�� � ���� V � I Permit#: I��f �D 1S i
�l� 1 Q � / I
3830 Pilot Knob Road � � Permit Fee: �/�• �
Eagan MN 55122 AUu 2 O �Ot�f I � �
Phone:(651)675-5675 � Date Received: '�� r' �
Fax:(651)675-5694 gY. /�(,t.� I Staff: �`�`?' �
I �
________���������J
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 8I8�14 SiteAddress: 3289 Hill Ridge Dr, Eagan, MN 55121
Tenant: Suite#:
, Resider�tl�?wr��r
Name: Je f f Kl emenhagen Phone: 5 0 7-2 8 2-0 7 5 5
� ��
Address/City/Zip:
� _ �, �,�, � ���� Name: K&S Heating, Air Conditioning & Plbg LLC�;cense#: �MB5216
��= f����,����; � ��� address: 4205 Hwy 14�W city: Rochester �
. zi : 1 Phone: 507-282-4328
� � State� MN 5590
_ p
� - _ ����� contact: Heidi Brown Emaii: hbrown@ksheating.com
- ..�
I � �_.: _�
�
New Replacement Additional Alteration Demolition
`�'�"'yp��{��pr�� . �� Description of work:
=NOTE:Roaf•mountetl�nd gra�n+d mapnte+�m+�chanicat 1�"�merit is requ�ired t+�be;screeneci by C�ty ,
: ,+Catl�, Pf�as��on�ac�the Me+�h�r�i�t li�spe�torfor�info�m�tir�n orr permi�ted�creening'methoc�s.
-
��� ;- _ ��: � � � ���
RES/DENT/AL COMMERCIAL
X Fumace New Construction _Interior Improvement
��
�
•
�, —
_�, X Air Conditioner _Install Piping Processed
!�Pe�n71#'t"�I"�te —
Air Exchanger Gas Exterior HVAC Unit
— — —
- _Heat Pump Under/Above ground Tank �Install/_Remove)
Other
�.�
� —
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ ��•00 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 =g 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
I hereby acknowledge that this infortnation is complete and accurate;that the work will be in confortnance 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.
X Rick Keehn x � ,v�-----
�
ApplicanYs Printed Name ApplicanYs Signature
� �OR�OFFIC�USE � � � �� 3
�, � �� • ��°� �
, � : _�_ �
Requ�ted Ins�rectio;ns: Rer�iernr�d By: _ ! CJa'�e:
' Uncfergrourid T Rt�ugh In �lir`T��t��'� G����rvi�Test ': Ir�-fl��is�He�t =� Fir��l . �Y� HUAC SCre�fi�_�'_,
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
I—
For Office Use/—C-S--
` 'Va1 l
k1!fl
Permit:e:
E AGA
0Permit `e
MAY
2 19 Date Received: S- -' /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacityofeagan.com -'
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5.2c<, )a site Address: 2R k I I \ 2I ' �Y'.
Tenant: J Suite#:
'
Name: I CX Ae I A pit,2v LtAg _i Phone: Ut2 ) "� � a2
,�Af. .� '�0:0' Address/City/Zip: 32.2q H) ) ) [2\(r }()
,," Champion Plumbing PC000308
� 1r} Name: License#:
Ar'nAR 3670 Dodd Rd. Suite #100 Eagan
• D• frac or
Address: City:
; " 5 MS*% State: MN Zip: 55123 Phone: 651-362-2622
0,- 1 : Jessie/Cole Permits cham Ion lumbingnet
.i,--,..,:f.4 ' xContactEmail:
_
err 4�. _New Replacement _Repair _Rebuild _Modify Space _Work in R.O.W.ty
Description of work:
10414T-iiiiarli;:iiii V
Water Heater @OD)
ase Lawn Irrigation( RPZ/_PVB)
y�
Water Softener Add Plumbing Fixtures( Main/_Lower Level)
g esc pt�•
" + Septic System
—
-. Description:
_New
Connection to City Water from Well
„ * _Abandonment
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$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 =$540
*Sewer&Water Permit also required for connection charges ff nn
TOTAL FEES$ U(_)'oI)
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.00pherstateonecall.orq
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 www.cltvofeaban.com/subscribe.
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.
X Troy M Good x /�/'' I
Applicant's Printed Name Applicant's ignat
Page 1 of 2