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3296 Hill Ridge Dr4 1111 Cit ➢of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -56 1 ci q‘ 8-/3-30O Date: N • a() • a// c Site Address: ,� N i /� �✓i r Pe.-1-e-(501-2 Applicant's Printed Name A • cant's Signature For Office tree Permit #: 9'7T Permit Fee: tL�a5 56 9 - ziit Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink C ALL BE F O RE YO 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. rvww.gopnerstateonecall.org 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 an Page 1 of 3 4.71111 ft.. RESIDENT / OWNER Name: Dire Me:: na em erl 4 — / r . Phone: 76,3 - Hy9 -Woo �JJ Address / City / Zip: _ . e• d . l D . ,k AIL* ,d '/ _ Applicant is: Owner X Contractor TYPE OF WORK Description of work: Re .. -P Construction Cost &e 5. f!( Min t- Family Building: (Yes X / No ) CONTRACTOR Company:, cf t A 6s e..- ke 4 , v,, , )ti P.t s, c Contact ' 2i i cr -) -f Address: S 7 6 lib 1...n City: , ....S4, Pa G , State: N N Zip: 55 //O Phone: J - 76�r - 9 .245 License #: 061503 Lead Certificate #. NA j - 2 -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 yousubmit are considered to be public information Portion of the information may be classified as non public if you provide specific reasons that would permit the Cityto conclude that they are trade secrets. 4 1111 Cit ➢of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -56 1 ci q‘ 8-/3-30O Date: N • a() • a// c Site Address: ,� N i /� �✓i r Pe.-1-e-(501-2 Applicant's Printed Name A • cant's Signature For Office tree Permit #: 9'7T Permit Fee: tL�a5 56 9 - ziit Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink C ALL BE F O RE YO 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. rvww.gopnerstateonecall.org 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 an 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 ? PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA116133 Date Issued:10/03/2013 Permit Category:ePermit Site Address: 3296 Hill Ridge Dr Lot:058 Block: 05 Addition: Robert Karatz PID:10-41300-05-058 Use: 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Reused permit number - the original permit was cancelled for 4431 Slater Rd (SB). 2013-10-11 Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jerome M Sundin 3296 Hill Ridge Dr Eagan MN 55121 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature 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 Use BLUE or BLACK Ink 4 For Office Use City of Eatan Permit#: il 01111' il ' ✓5 3830 Pilot Knob Road JUN 1 J 2016 Permit Fee: 6.d i)a Eagan MN55122iq- 1 7 Phone: (651)675-5675 Date Received: Fax: (651)675-5694 Staff: 7 J 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications.11 Date: Site Address: 3 2 61F, N . 1 I t d Dr 1 v e Tenant: Suite#: t ' Name: M , lc_a S u n t� . n 2.-Li - el Phone: 6 5 i - L1 5- s ��ient/Owrr Address/City/Zip: '3 a G . ( l C2-, c . C r Name: SIDE IiF.ATIN® & - _License#: �;� .„..i.,.,,,,,.: msRs;E ,� ry • Address: 1815 East 41st Street, Suite A. City: . 3 8z6 � ArMinneapolis, MN 55407-3425 State: Zi -hone: Zip: (8121 724-1 ' Contact: 4- ,\.No IL _Email: C%tf1nom. 1L0\r &_ha'4c,.a , \- CONI Replacement Additional Alteration Demolition New . o , " �of�►o -- Description of work:J[&ua- ,.A_ L- i i *V. C€ r r to_ Z9-ptg i'b3Z.9 2.o `to ; � .. ' '� d *ountedmechea, � �s m� ' s f 1,.. ® o, creened by'City � �r. :� Mechanical tr )ieif �., �® ® T cc /gyp � .. �' 6 It -;kit-r.1..,,,r �• •Rd� ® (•{iM•4 i • �c, g ittethods. 3 � _ t„ I,' � RESIDENTIAL COMMERCIAL � �u ',v",/,'''''.:;5.' Furnace New Construction Interior Improvement it Type xp °7�A 1ir Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under/Above ground Tank ( Install/_Remove) , , ` Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge eo $100.00 Residential New, includes State Surcharge =$ 6 0 TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge =$ Permit Fee Surcharge=Contract Value x$0.0005 =$ Surcharge If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information is complete and accurate; that the work will b- in c• formance with the •rd• ances and codes of the City of Eagan;tha derstand this is of perrhit, but only an application for a permit,and work i-n• to .tart without •-, it; , at the work will be in accordance with the a..r.v-, plan in the ca e f work which requires a review and approval of plans. x x Applicant's Printed Name Applican •ignature ,p 1 z rr ' 2 ,# ^`s _ 7 ;;R.equired nsp s ,:,,,,,,,,,,,„„,,,r : ��Ms i3�tt �� .� .,�,� �, 1:;. r'ie�f By:" � ��� X� t s i �v, Dates Underground; •I"•.C'h in,„:„..,-?; x est `+v� :.''Service Test `,,—„—;, vo•':•"�... -¥°Kx ' Final H ‘e..... - g A, r For office use / G/ q qO Permit (...-(...e EAGANv�� 19 `OL Permit Fee: qO pa Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff. buildinginspections©cityofeagan.com 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5—I$—Z ) Site Address: 3z9CP WI( R' re, pr Unit 5g Ap C �' ••---, Name: MLZ. S )(Jd t eJ Phone: (SSI-2-‘15—73 1 S Resident/ Owner Address/City/Zip: 2Z' (, (4-it t t-zza 5u2 t4,-.4.,.. J Applicant is: Owner X Contractor Type of Work Description of work: (ZCifo •4 lc�� i1..it �\ Construction Cost:�'7f AO Multi-Family Building:(Yes X /No_) -{ Company: (A' Fre.Sacit. L L Cv`et� Contact: ContractorAddress: r0(C' Wr~ City: 6i'yr42vqi1) � I State: 1.11•1Zip: 550Z`( Phone: G/z:2dA/3 mail: M I oL,.,u_2.6 Zo e 51114to I,c L License#: 7(0195 y Lead Certificate#: If the project is exempt from lead certification,please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the Cityof Eagan issued a 9 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: NOTE:.Plans and supporting documents that you Inde Nt are considered to pubes bennualicon. Porttona aOm liormatlon maybe efa5SAfdsdau non pablfc ffyou Provide sPacN9creasons that would penult the City to conclude Mattis"are bade secrets: 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 webslte at www.cityofeastan.com/Subsaibe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orp 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 accordancak with the approved plan in the case of work which requires a review and approval of plans. x 474 �� Ivy Tl b0 Applicants Printed Name For Office Use 1 _ 1 ,..4,01 REcEi-v-- ,,, .---er 4.0 Permit#: 1-Q I I ) „.,.. 4..4.0, JUN 022020 Permit Fee: ,0„...........„, Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspectionsitvoleadan.com L 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 6/1/2020 Site Address: 3296 Hill Ridge Dr. Tenanti Suite#: t • ' Name: Jerome Sundin Phone: 651-245-7345 i Resident/Owner Address/City/Zip: 3296 Hill Ridge Dr., Eagan, MN 55121 _ . I Name: Drain Pro Plumbing, Inc.1 I PC000907 License#: Address: 8815 209th St. City: Lakeville Contractor I State: MN Zip: 55044 Phone: 952-469-6999 i I Contact: Troy Email: plumbertdo@msn.com.... , i Type of Work — New V Replacement Repair Rebuild Modify Space Work in R.O.W. [ .ate vent for Ft and drain waste vent for les and re-pipe aW s and vent for kitchen move waleole ts also Description of work: Tankless Water Heater — Lawn Irrigation( RPZ/ PVB) —Standard Water Heater V Add Plumbing Fixtures(I/ Main/ Lower Level) Description Water Softener Description: see abov Septic System , . 1 Connection to City Water from Well New 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 $200 for Radio Read = $550 i i *Sewer&Water Permit also required for connection charges TOTAL FEES$ LI 0. CO 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.g0OherStateOnecall,org 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.cityofeadan.comisubscribe. 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. 1 d A x Deborah Larson Applicant's Printed Name Appl' ant's Signe re Pagel of 2 I- For Office Use k ,.0 „ E AGA N Permit Fee: J'_."4, C E JV Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 J U l Y 1 0 2020 Staff: j bu ildingi nsaectionsOicityofeaaan.com 2020 RESIDENTIAL BUILDII� PLICATION Date: Ofo(VII 7-0 Site Address:3 21 Co 1-11 ( 2 DI Unit#: 5 Name: ,)P)rrO Q- S o''\ Phone: cosi--2_4-s---7-34 r , Address/City/Zip: '. 2-41 47 t Applicant is: Owner Contractor �OL I )>/472ifz Description of work: 4-7r);--5k a0j'e i-'l I +---ct n-� 'Y'‘) , � Construction Cost: Multi-Family Building:(Yes /No Company: Contact: Address: City: COPtraOthr State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: NOTE:Pomenta su lir it information. P000,14.(;01:0$00004,f �Irli�l ftfti 7' w _. s b1Cc OWINOvide ,.. reasons a ►` - co tcle that t 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.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. 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.gooherstateonecall.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 oif 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 thee work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name A licant's Signature . -3 . q(,, Hit i '', c166. bl, / ,-/qC-D- .DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex X Lower Level Pool _ Accessory Building WORK TYPES _ New _.Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant — DESCRIPTION Valuation le4TY0 Occupancy e --5 MCES System Plan Review Code Edition j ,tz c L D Lc, SAC Units (25%_100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet 11/1/. PRV #of Buildings Length Fire Suppression Required Type of Construction 6 6 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill )( HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final IS Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS >r. Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: y Reviewed By: 1D , Building Inspector RESIDENTIAL FEES Base Fee Surcharge 1.-//III Plan Review a a MCES SAC •••••••• ••••••••• •...... ---�"�` City SAC $ a7 g 4 Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 EAGAN 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694 buildinainsoections@citvofeaaan.com DECEIVE JUN 19 ypgp ew r 011) For Office Use /62/7—� 6/4 Penult # %I Permit Fee: / I 'I] / II 1 Date Received: ‘ - 2Q - Ct- I I Staff. 1 2020 RESIDENTIAL BUILDa APPLICATION Date: 06/25/2020 Site Address: 3296 Hill Ridge Drive unit #: 58 Resident/ Owner Name: Jerome M. Sundin Phone: 651-245-7345 3296 Hill RidgeDr., Eagan, 55121 Address / City / Zip: g Applicant Is: ✓ Owner Contractor S l I `i K E a' i-O e ci,�-hoo- codi of Work TypeConstruction Description of work: Kitchen Remodel R - 3 0�C� f44-ge-i-z- Cost: 24000 Multi -Family Building: (Yes X / No ) Contractor Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project Is exempt from lead certification, please explain why: In the last 12 months, Yes No 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? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor. Sewer & Water Contractor Fire Suppression Contractor Phone: Phone: 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 penult the City to conclude that they are trade secrets. 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 webslte at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180 days of permit Issuance. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilltles. www.00aherstateonecall.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. ,Jerome M. Sundin Applicant's Printed Name Apfplicant's Signature DC'NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation — Fireplace Single Family — Garage T Multi — Deck 01 of _ Plex — Lower Level WORK TYPES _ New i Interior Improvement Addition _ Move Building _ Alteration _ Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction S q (.0 4;11 Porch (3-Season) Porch (4-Season) _ Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Foundation Before Backfill Roof: Ice & Water Final 2( Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test V Insulation Sheathing Sheetrock V Fire Walls Braced Walls Shower Pan Reviewed By: Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Siding _ Demolish Building* _ Reroof _ Demolish Interior Windows Demolish Foundation _ Egress Window _ Water Damage *Demolition of entire building - give PCA handout to applicant MCES System f fZ C 2.42z) SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: _ Final / C.O. Required 2( Final / No C.O. Required I HVAC _ Service Test Gas Line Air Test _ Hood Pool: _Footings Air/Gas Tests _Final Drain Tile Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other. Building inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Radio Meter Read Copies TOTAL go Page 2 of 3