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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