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3293 Hill Ridge Dr40 City of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 /� / / - 7 Fax: (651) 675-566,/, `7 5 ` / / 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4'fi • ap // Site Address: 3.,? 9/ D RESIDENT / OWNER TYPE OF WORK CONTRACTOR Applicant is: Owner Description of work: RP , —-P Construction Cost: /, 5, 3 . 99 Company:, SU n r,,se. Address: 7 State: M N Zip: 551/0 X Contractor 4 vl e.f3 License #: c f5 /g Lead Certificate* pl - <2a97j—o If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: 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. Contact: Permit #: ?PPS Permit Fee: '3\ r• �S Date Received: (4-2141 Staff: Multi - Family Building: (Yes ?C / No City: 3 Po c4 ( Phone: 66/ - 76„1 - 902 q cant's S nature Use BLUE or BLACK Ink Unit #: 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.aopnerstateonecall.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 . vai • n- x I t oe 10-1 -e so-n Applicant's Printed Name A Page 1 of 3 f0h?Pi'f EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SE41BR SERVICS CONNLCTION DATE: 12 29/72 (4/25/73) OWNER: Rivergate Villa'B1dg• 9 PLUMBERBerghorst Plumbing Co. NOMBER 1323 Address 3291-93-95-97-99-3301 Hillridge Drive TYPE OF PIPE heavy cast iron DESCRIPTION OF BUIIA ING Industriall Commercial+ Reaidential ` Multiple Dwelling I No, of units I I ' xx 1 6- townhouses Location of Connectiona: Conaection Charge 1170.00 billed4/25/73 Permit Fee 10.00 pd 12/26/72 12/26/72 . p Street Repairs ToCal Inspected by: Date Remarks• By. Chief Inapector In consideration of the issue aud delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules aad regulationa of Eagan Totmship, Dakota CounCy, Minnesota By. Berghorst Plumbing Co. Please aotify when ready for inspection and connectioa and before anq portfoa of the work is covered. EAGPN TOWNSHIP 3795 Pilot Rnob Rosd St. Paul, Minnesota 55111 Telephone 454-5242 PER4aT FOR WATER SERVICE CONNECTION Date:4/25/73 (12/29/72) Billing Name: Rivereate Villa-Bldg. 9 Owner: Plumber: Berghorst P].umbing Co. on Number: 1179 Site Address:3291-93-95-97-99-3307 Hillridge Dr. Billing Address '4 3 Meter No. Permit Meter Reading IMeter Dep. ? Meter Sealed: Yea_ 'Add'1 Chg. NO I Total Chg. Inspected bq Date Building ia a: Remarka; R Residence Multiple x xo. Units6 ownrt?"?R P?R y11NS?Al?? Commerc ia 1 \j'?e Industrial I Hy: Other Chief Iaspector In conaideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules aad regulations of Sagan Townahip, Dakota County, Mianesota. , By:. Berghorst Plumbirtg Co. Please notify the above office whea ready for inepection and connection. ? 4/25/7, 7 Q 2 J Aug 181511:11a Sunrise Remodelers 651-762-9395 p.1 Use BIU�or BLACK lnk r___r._�_____^___.�.� I For Office Use � i �� ���� ��1 ; �#: l 3�.�/�- ; � � ' ����-5�? i i Permd Fee: � 3830 Pilat Knab Roed � Eaga�Mf�f 55922 � i3ate Received: � Phone:(651)675-5675 , � l Fax:(651)675-5694 � 5taff: 1 � � I .�iMG4�� � • (� . �(���C�� L:�-J c° �'e.���e.n •c��,s� ----------------� 20�5 R�SID�AITiAL �UIL�IN�''°s RERMIT A�P�.�C�1'TI�N C���� �3L�.�.� r�4�,n �,�<< s-�s Date:$'�rg' I � Site Addeess:��t �� �� �;��1.� ,i7 f,V� S�/31 Unit�i: �..�,,:->.�.-_...�,z=_-�-.._.ti.�.,,--�..�.��.-„�,�, -.,_ . . _ ..y.�_ r_ : ���+�� uc��"�:�"��9 3,�����; 3a- �7 ��.�3a f�� t : Na�ne: ' � ReSidenYl Phone; � t CWt1�1' �': Address 1 City/Zip: � ti : ,: _ � = Applicant is: Owner �Cor�tractor : ; _ �.,�, �.:n....�.,�,....r._s.._...,,...��.-.^._-�._....�,._.,...,._,.-.r.,.a.-.-.._.d,...».., } �f : TYpB Of W�ric ;I oescription of work:_ C'�; c� n c•� ° Construction Cost: � ��: Q C���•G� _,:.:,.P._...,._,._.._._�_ .....�. __...,....,..._.n...,...-.,.�..�.,..._..�.�._ ..�..,..,....�_�._.....�..�. Multi-Family Building:(Yes,�!Pfo_� ......... I Company:'-}�V1 ir' � �^� ��+rV1 �c�.1-�:S Contacic �C '�� ���-.-�'-� �:••'l . ��tltra�tor ° Address:��� �C •�—�c: � L�c -v�-� city: S�` � �� 1 : State: I��`rp: � �/ /� Phone: Email: �-1"�% S_t t�r:��tv,n�ct-e-�:-s, � ( /� � =c.i:►- --•,........ ..._.._�...__..<....�.,�.,license#��� l�a � � � I_�._.__Lead Cer't�icate#:�V /'T � � c�c�•�t���._..._��, 1� I#t�e projsct is exempt from lead certiflcatia�,please explain why: �..�.,.,�y.���.r.,��.,�..,�..�..�.�.�..�.. �..t�:.�.��-_.-�-.�,,..�,::.�..-.�.�; � CONIPL�YE TMIS A►REA 09VLY IF CONSTRUC'�i�1G A PIEY�f BtlILD(NG < In the last t�2 months�has the Gity of Eagan issued a pertnit far a similar pia�based on a master plan? £ Y�s No lfiyes,date and address of master plan: • . : Licensed Plumber: Phone• � � Mechanieai Cor�tracEnr: Phr►no• � Use BLUE or BLACK Ink r-----------------"� � For Office Use � C' � Permit#: / ��// �LS j lty of ���a� I Permit Fee: � ��• �� � 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �7' ��..} � ���7 Date: Site Address:�{-i'i ��I,C��.S ���/�����-S��� 7 ��� Unit#: � Name: Phone: R#:s[t�etlt� / '� �►�n� Address/City/Zip: �% �� I �;�c.�;ac��h . �6,4n>, I'Vl N• 55l�,3 : Applicant is: Owner �Contractor Description of work: �c,Pt,�ktfi, (� �2S Type �Wt�r�k � � ' Construction Cost: 3C�OO Multi-Family Building: (Yes ✓ /No_> � � . ' � ����� . � � Company. IA�NNaN �iA�ta,�, �7l�R�E�" �l-J6o,Rts. LLC, Contact: � � e�Ohl'NSaoJ ���������, � : Address: �S'7�0 �,/�'LE�• City: �rUor�J ��t,lis State:�/✓ Zip: $� Phone: l05/--2��"d3//Email: SJoNNSD��fiwuDn�lJd��^1��oT^ •�a"" ' License#: N�ir 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 8�Water Contractor: Phone: Fire Suppression Contractor: Phone: ' N�Jfi�E:Pfans a�stapperrt��ag do�c�rr�ents�#a�`yvr�:s���are co�r��dered tb'be p�b����f�rmatian. Por�i+ar�s v�'- ' �e:#n�orma��ort rnay�e cla�s�`ieal�� �ar�per�t�c i�'yo�pro�ai�speci��reasar�s tf�at't�+auld perml�t t�ae Cr�t�to cor�clutle that�t�� are tr�tl�&�c,ret�. 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.gopherstateonecall.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. Ezterior work authorized by a building permit issued in accordance with the Minnesota State Build' must be completed within 180 days of permit issuance. X J�✓� <JVI�'ntS6N X ApplicanYs Printed Name Ap ' ant's Sign ture Page 1 of 3 or BLACKInk,,, For Office Use Permit#. /".//---)g.7----- (C City of Eatan Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax:(651)675-5694 Staff_ L 2017 MECHANICAL PERMIT APPLICATION n Please submit two(2)sets of plans with all commercial applications. Date: Site Address: Tenant: Phone: kiS.ft::::.-te):. #: •. , e"- 1 Name. t- •-y ,C , 4 OX , n C ' ')1 Resident/Owner : . --- '' ' - - ' ` • 1‘.-1 r) bl- (c'' 9 Address/City/Zip: - , Name: ' ' -' —. - License#: ‘ krA. Address.. 1 , , , i'1,-.4, 6 )) --"\Zr t's}k-Cb, \*1 I ' -‘.1.,- a Contractor - , " ' ' City: :!°)Y-I--., c-1, - , '--Ii„1-')- - (... .?,) ,,• j State: t'AK1) Zip: 1,,..,) it- Phone: i. („,...,i 4‘ t,,,,;\,_ A Contact: ),.....,A(:.,..( . (' -6 Email: \31\ -1C ' '... .... s _I's\ .. _., .. ' V \L ft'‘'C't -7-4€:\ ('' N.-- 1 E New Replacement Additional Alteration Demolition 0 Type of Work Description of work:\ 1‘V"‘.-Nf.....Tr t Ciki"" 1 NOTE: Roof mounted and ground ' -ted mechanical equipment is required to be screened by City .,. Code. Please contact the Mechanical Inspector for information on permitted screening methods. . . , RESIDENTIAL - , , COMMERCIAL ; I Furnace New Construction Interior Improvement Permit Type Air Conditioner Install Piping Processed „ i Air Exchanger i .f- I Gas Exterior HVAC Unit Pump Heat '---- l Under/Above ground Tank ( Install/ Remove) i.44, -..1‘4._(„--• 4 = A , Other "\):::,,,1_,11.11._ --1, .,..m.f,, .. ,„i RESIDENTIAL FEES '., $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge ,. $100.00 Residential New, includes State Surcharge =$ Ot, ° TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 $60.00 Permit Fee Minimum $75.00 Underground tank installatic)niremoval,includes State Surcharge (I- 0 cdp :...-.,$ f ,, Permit Fee =$ Surcharge Surcharge=Contract Value x$00005 , 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 be in confonnance with the ordinances and codes of the City of Eagan,that I understand this is riot 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 wok which requires a review and approval of plans. . ‘,...., • . . , , 1 x 6-(,',..i.,_t:...,. x i , Applicants Printed Name Ap.licant. Sign.ture FOR OFFICE USE , Required Inspections: ' Reviewed Br Date: , UndergroundRough In Air Test Gas Service Test Iii-fir)or Heat Final HVAC Screening _ _ , _ _.......... ..._.... Use BLUE or BLACK Ink //.5" 3 t-et)7 For Office Use �� � � Permit#: I LI/D aianRECE E Permit Fee: (V 0- 3830 Pilot Knob Road °� Eagan MN 55122 APR 03 2017 Date Received: ry'34 Phone: (651) 675-5675 Staff: Fax: (651) 675-5694 L ____ 2017 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 3 -.,21-c,..7 Site Address: S,9-9 3 i--1-',-it e._;-(:)96,_ PA . Tenant: Suite#: Name: 5 - 4 ie._Li_- t!'c'1,14,,v---0' Phone: ide els Address/City/Zip.."- z-9(37-3 .s R l 4? 'dc e c),^ ,,1 /t% "_ --7,9-/ Name: Centrairf nse#: -ti AP'A AP,i oNDII+Opal"�L ItC,`a` Address: City: ontract 7402 Washington Ave + State: Zip; �rai4®44 rle,MN 5536' 2 a41- Contact: k v1 1 I'it'''''-----rEmail: New /Replacement Repair _Rebuild Modify Space _Work in R.O.W. Description of work: L M.i 1 �j ��1.44 ` ( RESIDENTIAL _`I -Water Heater Water Softener Lawn Irrigation (_RPZ/ PVB) P e. t Septic System Add Plumbing Fixtures( Main I_Lower Level) ..' Water Turnaround New Abandonment t 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 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4"meter is required) $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ �ci 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.gopherstateonecall.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 startwithout 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. y r x ., 1G V) � � � -r--f x Applicant's Printed Name Applicant's Sig at FOR OFFICE USE Reeve 8� \\. Date wired In pe l � , rider Grote Ro gh-In ,� �� oGasTest Final Meter Related Item Meter Std . Radio Read o \'r- ��\ Staff: ��tt �-� � � Use BLUE or BLACK Ink J7 For Office Use/ ( z Cid of IaaiiRE �:F at "- Permit#:3830 " Pilot Knob Road APR Permit Fee: 'd Eagan MN 55122 017z Phone: (651)675-5675 Date Received: /' Fax: (651)675-5694 L Staff: C7 J 2017 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2)sets of plans with all commercial applications. Date: `i -?-8. l"7 Site Address: `j --9 3 i-} f l #2,-;-.6-1'; i2' Tenant: Suite#: Name: ...:1—e `� , e ei, l'e ati.-v ) Phone: !'3_S 9"c'91? sid Reent wner 75i Address/Cit /Zi 9�a t4-7;-11 r`2.i c')';E.Dry E-'.(4. et v7 . :a-7.�-J — .- 3 �7 � �a Y p� � $ Name: /4..... ,.m.wa#,r,. se#: , vC11:17ut1 Address: � ''iin�te.&acco1.D1i,ItJ' I gr..`Nr Contractor e State: Zip: 740ZIM shington Avenue fl,,,,° „.,‘...,..w‘..... l�� I - err Eden Prairie,MN 55344 Contact: ”- Email:952-941-1044 a New )- Replacement Additional Alteration Demolition i TfrkypeoWDescription of work: j[ 54 5�vrve +a OTi �f mo and groundmounted � = ipment is required to be screened by City Com'Please contact the Mechanical Ins _it a ion••on permitted screening methods. RESIDENTIAL COMMERCIAL , V Furnace New Construction Interior Improvement Permit I Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit a� Heat Pump Under/Above ground Tank ( Install/ Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ (PO 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 Surcharge=Contract Value x$0.0005 If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE I 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. _l " x ALL V� ��1�1, E? c x Applicant's Printed Name Applicant's Si rnatur- OR OFFICE USE K \` , ` •- Required ins do ReBo Date - V Underground Rough in Air Test Gas Service Test ' r ���2't4'Final HVAC,S eilitt r 11, e r e. , 3-�� I For Office Use 55 ( l %.,.. .. ,�,r� EA l,r PS5 I Permit#: �1�� I �Yr. AN t Ci\t t _ i Permit Fee: (/(,i ' 0 LIA 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 i Staff: buildinginsoeclionscitvofeagan.com J is i 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION iI Date: 6 it Slfe Address:' 1)12 1a1 _LOA , /c Tenant: i A J �' P. .1 t TA ,L v .. ..Mil 1 t Suite# Resideht/t(w t r N.me: �+ Phone: ‘‘p5-44,1/� �� ,:,.,..:4;t4,. 0` it v , Address/City/Z .: ..[',. i , Name; ni\i, ail4,...,)C,Tg't 1\.. ) , -, , /, 1'2*--7-0—- License#: t'..•i4; ;,d o r` s• ,',4 4 fl Address: t _ ' Cit .._ .t<J''r."e ' -0441, 1 s,t+ �x�, ;it iYv Stat@� \, 6. , -! t- t t ?/7 ( > ,sit art, zip: 6-q37-) Phone: ' t� kr. or,,, s�i Contact:4i. 4: Oi. �i, 77771 , ,�:> .,�Email:_ _ .>7' ettoi o°'r ,„:.., k 0 —New K Replacement Repair n e alTc3 !Modify Space Work in R.O.W. ...._ i Ew �� i�#t Sg Description of work: r Tankless Water Heater ��: '• ,1' 1 '4+ ',� tli' Lawn Irrigation ( RPZ/ PVB) Ii j { ,t.4;�(�F ‘ �t-c ice. Standard Water Heater i. i 5 4Y 0Y it. i DdsCr tion i `5 Add Plumbing Fixtures ( Main/ Lower Level) ij ; ' �f 1004- / i) Water Softener II: E ti ���`,rdr "l Description: I, is ,tar's ;i`,F;'y;i° `'n'� Septic System I. _ hi'f w,i�°�f�ty `` p, New Abandonment et Connection to City Water from Well I' RESIDENTIAL FEES'_._.... �._. --..._._........____....._...._._._.... ._._,....... _ � ._� _.,....__ $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn irrigation (includes State Surcharge) 1' 1 $60.00 New fixtures, adding or removin g piping (Includes State Surcharge) ' $60.00 Septic System Abandonment ii $100.00 New Residential (fee colle&ed 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 *Sewer&Water Permit also required for connection charges 1 I _ TOTAL FEES $ LIA5 1j I CALL BEFORE YOU DIG, Call Gopher State One Call at(651)454.0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities, www.00pherstateonecall orq ii You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an,emall update on the City's iwebsite at www,citvofoacian.com(subscribe. ii ` 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 i' ' Eagan; that I understand this Is not a permit, but only an application for a permit, and work is not to start without a perm'; that the work will be In accordance w1 the approved plan in the ase of wor which requires a review and approval of plan • / Ai)* IN(\ir ' c ri\ r ...... i. Applicant's Printed Name x LA PL1 Applicant's Signature I 1 (LC4'e- ,._wi Cti2jj. t ,fes '----kier\\(...„. 61...Ay( Page 1 of 2 1I