3292 Hill Ridge Dr4 1111 City of bp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-564_- %/( q 3-3
Date: 4 • o • .20// Site Address:
- ,50e)
Applicant's Printed Name
A
cants Signature
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
For Office Use
Permit #: 9g7T7
Permit F„: tqc2556
Date Received:
1
CALL BEFORE Y U 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. Ivww.ciopnerstateonecall.org
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 . fplan
Page 1 of 3
RESIDENT /
OWNER
Name: Dire Nr: n &Jen/refs 4- 2r. Phone: 76:3 - H'ici - Woo
/
Address / City / Zip: _ # .. ir. t . . Alk AIL* ki ,ta I -
_ _
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: Re , -roo-P
Construction Cost &as f Mulli-Family Building: (Yes X No )
CONTRACTOR
Company:, cf,t A r, e... e era Contact i iPeite-fcry
Address: S 7 6 kicibr- 1....4ne..... City: s.54 Pc'tG4 i
State: N hi Zip: R5//0 Phone: 6157 - 7 6,;) - 9.245
License #: (151503 Lead Certificate #: NAT- 2 33 — o
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
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:
_Yes
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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.
4 1111 City of bp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-564_- %/( q 3-3
Date: 4 • o • .20// Site Address:
- ,50e)
Applicant's Printed Name
A
cants Signature
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Use BLUE or BLACK Ink
For Office Use
Permit #: 9g7T7
Permit F„: tqc2556
Date Received:
1
CALL BEFORE Y U 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. Ivww.ciopnerstateonecall.org
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 . fplan
Page 1 of 3
??-
/ai- ?i
EAGE3N TOWPISHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE[JER SERVICE CONNECTION
naxE: 12/22/72 (4/25/73)
OWNER•Rivergate Villa_Bldg. 11
PLUMBER Berghorst Plumbing Co.
NUMBER 1325
Add res s3290-92-94-96-9833300 Hillridge Drive
TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUILDING
Industriall Commerciall Residential I Multiple Dwelling f No. of units
Location of Connectione;
xx 1 6-
Connection Charge>170.00 billed 4/25/73
??
Permit Fee 10,00 d 1242642
.50 pd 12/2 /72
Street Repairs
ToCal
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue and delivery to me of the above petmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toemship, DakoCa CounCy, Minnesota
By.
Berghorst Plwnbing Co.
Pleaee notify when ready for inapection and conaection and before any portion
of the work is covered.
EAGPN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Mianeaota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date:4/25/73 (12/29/72)
Number. 1781
Billing Name: Rivergate Villa-Bldg. 11 Site Address:3290-92-91+-96-98-3300 Hillridge Dr.
Owner: Billing Addreas
Plumber: Berghorst Pltunbing Co,
Meter Size/ X--k. Coanection Chg.
? 3L ? ?T- ?
Meter Atoc;P??1/.5/if Permit Fee ? 0.?
Meter Reading IMeter Dep.
Meter Sealed: Yea` lAdd'1 Chg.
NO ITotal Chg.
Buildiag is a:
Residence
tqultiple x Ho.
Commercial
Industrial
Other
Inspected by
Date
Remarka:
c?? t?E ER
Uni-?,.?a?hous?s
Hq:
Chief Inspector
In consideratioa of the isaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatfons of Eagan Township, Dakota County, Mianesota.
By:
-. ,
Plea3e notify the abave office when ready for inepection and connecCion.
4/25/73
s/c
?
Aug 18 1511:07a Sunrise Remodelers 651-762-9395 p.22
�
tlse BLUE or B�ACFi Ink
�----------------�
1 For Oftice iJse �
, j Permit#: ����G2__ I
Cl�y of���a� �
� Permit Fee: �G��.`'� �
3830 Ptlot Knob Road �
E,aga�t MN 55122 � Oale Recei�ed: 1
Phons:(651)675-56T6 - � �
Pax:(651)675�694 � Sla�f: �
'"���l,i� � �. �3 , �r'e��� C_,�f G �'�-��7C.t1 CZ'av^ �____.�___________�
Zo1� r�Es�������t� �u��.at�� ��Rnn��r �Puca�a��
C-e d-c�� �L�,�'�; T���n G►��c �-e�
DateY�'���'1 y -- - SitQAddress:� � --- �� �:c� - - � �V'{. 'r',�/3 Unit#: �,_-.��
.._� .__,s.�.__..�m�._�_ :T�:�i u�����:_..-_,3a�i��i_�..���., ;-�a��iY�`ag�;�:3�a�
- Name: Phone:
�esiden�l �
py��r + Address/City I Zp: x
; � Applicant is: Owne� �Contractor
, _.td,.�.v_�..�.�.,..�_r._��..._r.�.:
,.......�.::._._._.�,,._.......�,.,�.._:..�_..m�..._..�..__,��...,.-,��..,:..�..�.t,_,:�„_,,.-.�„�.�,.:�.__.._�..._._.-_-.ri.:.�._......^ ._-,.�.�,,.�.��,�.._..
Zy��O�WOr'k ' Description of work ��, � �G�+ -
` � '�i ��
-_,.._...:..._..�.._�__..._- Co�struciion Cost: � ��: �JC-4-`.-----•---._.�.,..�04�...Y.Multi-Farrtily Building:(Yes,✓ /No_� {_...,.a_. _
�•- �
��ompany:�L�Y1 �r; 5-� �-�v�1 �ac�..!-� �S Contacf: "�� �-z-�-��(' �:.'l -
� ` Address:"� �'� �' 't'�L•�''L �..-.c: `�✓1-�. City: S"�� ��1 �
�:OT1t8'�CtOP "
('� �
Staie: �7f1i Zip: � �/ / U Phone: Ernail: i tf1�'t'i.% � �-t 1�r��ti r�•�uc�-��:S f
�� � � � � � Lead CertificatQ#:�,��1�- �a-.C����� :c�-,.
�-..,......_.._....�._�._....�,._�.License#���.w.,�._.,._._.�..._-�-___-..._.._._..,�._�..�__ .,,_..._..�,.�.�. _ ' �....�..,.._.���_
j If the project ts exempt frorn leatl certif6cation,piease explain why:
;._.._.....,.=�..,m....�..:�._�,.�,�._�,-.-.�...,�._.._..,,�...�..-.�.,__-�e,.�..,�_,.,�,�.�..___�..._,_..�,.......�.
COMPLETE TNIS�IaEA ONLY IF GONSTRUCTIi�G A NEW BUILDE111G
: I�i the las�12 months,has the C�r of Eagan issued a permit for a simitar plan 6ased on a master plan?
Yes No 1�yes,dale and address of t�aster plan: _
i Licensed Pi�mber: Phone:
' Mechanicaf Contractor. Phone_
� Sewer 8�V1laber Contrac#or. __ - Pt�one:
= Fire Suppresseon Contracior. Phone: - _----•�Y.,�p`sm- .-- .P� _
- NQTL:Plans and suppor�it�g daccnaeen�s tfiaY you s�ebmit are caesidered to�e pu6/ic informa�on. Fortions of f.
.
�e fnfior�a�fan may!�e classBfied as nan•public if yott��vide specific r�asons that xrQerOd pemtFt the City to :
�
:
R coeacludefhatfheparetradeseciets. _..._.._._ �_,_.._. �.._..__...,..._.___..__-...�.,..:_.-..
_._._:.:.:__:.:-.,._�.....:,::.,.._�_...=:W.-:..:.,..._:.,..�..,.::....:...:.,_.,..-....:...=.__..:.:........._....,.___,.,.................._._�...
CALL BE�QRE YOU DIG. Call Gopher StatA One Call ai(651)45d-OOa2 for prote�tion against�dergrourtd uiility damage. Call 48 hours
before you i�tend to dig to receive locates of underground uti3ities. www.4ovhersfateonec I,a I•oro
! heeeby acknouAedge that Ehis irrForr�ation is complete and accu�ate;tf�at ihe worlc will he in cflnformar�ce wiih the ordinances and cades of tha City of
Eagan; that 1 �mde�stand fhis is nat a perrnit, but only an apptication for a permlt, and wak is not to start wiUw�a permit; that 1he work wiil be in
accordance with ihe approved ptan in the case dr work whic0 requires a rev�ew and approval�f plans.
ExterioruvorF:authorized by a buqdin9 permit issued in accordance weth the eilinnesota Sfate$u9lding Code must be corr�pleied�a►1th1n 980
days of permlt issnancs. � -"-�
���-��� -�..��
K "_"'�`�� ��"--��� � �'F`� � -
Applicastts Rrinted[�ame A 's �ignature
Page 1 of 3
Use BLUE or BLACK Ink
��___-�-��__�___-�
I For Office Use �
C' � Permit#: /�—[/ � / j
lty of �a�a� I Permit Fee: S�c�� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:�`'? ` (r .��G�� -���� j�G" G�`� �Unit#: ��
Name: Phone:
f"�LS11�@�/ '�
�:,�y���_- . �� '�� Address/City/Zip: ����' �;��i�;pc��z • �iA�G�n>, 1'11 tiJ• 551�3
' Applicant is: Owner �Contractor
Description of work: ��Pt,A�(f, (� �aCLS
7'�pe Of 1�i4Ck � �
' Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
Company:�NNa� �iA�� �7A�A�bi.Y �4-JGa,2..s. LLG Contact: �iG�1�Ee,ON*�Sd�
: ���,�r��,�Q� Address: �571�0 90`�.f�1�E�:�o• City: C.�i✓iU?�,oJ �i!-r.Ls
State:�/� Zip: 55�09 Phone: ToS/--?�.�d3/�Email: SJoNN.SD��h�wOn.{�+Fu��� •��r"
License#: N�R� Lead Certificate#: *�
If the project is exempt from lead certification, please explain why: �v� (�� PQ�sg,,,�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
1�4i"�.Pta»s a►�d';st�j�irrtir��r tl�c�rr�en�s��aa#yocr��b��t ar$ebrris�z�ered tt�be pt��b/i�Fr��r�r�ta��a: Por�o��nf '
: the��r�'orrr�t�rtiorr may be class�fied as�o»-�uib��'���'you prov�de speGi�lc r�asor��#f�a#wr�ufc�perrn�E t�ae Ci�ta
co»c�u�le ti�at t�i� are traale secr�.
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 180
days of permit issuance.
X S�✓� <JVI�'n1S6N X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3