1640 River Bluff CtCityofEaWafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
, /16 WI q7t4
7`Il / 7j 1161
Use BLUE or BLACK Ink
For Office -Use
Permit #: w 7/ (Q
Permit Fee: '39 .. 0
/
Date Rec2ived: `-/-(2/1I
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L f •v20 • aD//
RESIDENT /
OWNER,
Site Address: IC,433 R.vac RI cif GE:
Unit #:
1
Name: Oryie j` ena erre/4414-/ 42r.
Address / City / Zip:
Phone: 763 - y961-9/op
Applicant is: Owner
)‹. Contractor
TYPE OF WORK
Description of work: Re .-roo f
Construction Cost 4;)a, (273. 0 '
CONTRACTOR
Multi -Family Building: (Yes ?C / No )
Company:S(,t n rLse, ke.nn,od e l )d 7 e Contact:
of Pe ir7-,
Address: 59 7 (o I pix. `Cn City: 3-L F c
State: M Ai Zip: £5//O Phone: 625/ - 7601 - 9.7
License #: a0C/6.1503 Lead Certificate #: I Q I .2Q .33—t'
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
the information may be classified as non-public if you provide specific reasons that
conclude that they are trade secrets.
formation. Portions of
could permit the City to
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 app . val . nom" -
x 3 i P0+9.001/
Applicant's Printed Name
A .. cant's Signature
Page 1 of 3
Aug 18 1511:01a Sunrise Remodelers
City of Eaaau
3830 Pilot Knob Road
Eagan MN 65122
Phone: (651) 675-5675
Fax (651) 675.5694
651-762-9395 p.14
r
Use BLUE or BLACK Ink
For Office Use
Perm t#: /3:02 c --
Peril Feer
Date Received:
Staff:
-E'r 1ci I`. p, fie c.K& c;iJ 6,C-eG.7c.n.c.~;lir
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
C -e da,r° a t.t112 Tc r.L n h. r t
s-c'S'
�Date: '1 -1�' S Site Address. ICa3$ VI,vet ci�f> �Li
Se5l k I knit #:
rivet c--1 u c`I' S ;r .r L° g o l 1 lv L4 D 1 I en t- �) Co (4LP i I (.%-( Sr
Name: Phone:
-e
Resident/
Owner ; Address 1 City / Zip:
Applicant is: Owner Contractor
Type of WorkDescription of work: c : �l�r f\ 3
Construction Cost: 1 000 • Multi -Family Building: (Yes
Contractor
/ No )
Company: >.t r S -'e R -e vv, ccl�_1-e : S Contact: 0i..1
Address:5 -t 1 lC 'i -4O la --e_. L.-4 vi - f City: el'. A La 1
State: JV1 iii Zip: 63 6-/ l U Phone: E nail: i >n `CJ e s -z 1, r = 'It i r 04 cci-etre s,.
License #: C a, (y c 1€5 I S Lead Certificate*: &A-1--___..._9_2_____
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:
• Phone:
Sewer & Water Contractor:
•
f=ire Suppression 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.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.000herstateonec all_ore
1 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 permlt, and work is not to star! 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 Building Code must be completed within 180
days of permit Issuance.
Applicant's Printed Name
Page 1 of 3
4*‘'
City of Ea�ali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: / 0 S- d 5
Date Received:
Staff:
2015 / RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ,iCIu(If-rS /6410 a'1-1 / ' 6 ` " /4 " Unit #:
Phone:
Address / City / Zip: Rwt"Ral u.%P CT EA -6A -p), -711/v 5-5 /-2-3
Applicant is:
Owner Contractor
Description of work: lREet.4CE gatt,vo'C144
Construction Cost: S3 (Doti to Multi -Family Building: (Yes / No
Company: 614 1'ifu . lSiRi b6J9i7/+d, LLC -Contact: S7&se V�Sb�
Address: ,35780 7011-* /Ave City: l RNit)Op..0 ,�-t,� s
State://t) Zip: .55009 Phone: i737 .295 - D // Email: S.1othvso.%)gefi oNt1
License #: N 14 Lead Certificate #: ti/4-
If the project is exempt from lead certification, please explain why:
No (,1,40 PFtsss�•Jr
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 Plans and supporting documents that you submit are considered to be p a#1c rr at on. Portio s c
rite information may be classified FIs non tic if you provide specific reasons that woutd permit i Gity to
conclude that th are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.
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.
x •77:31V -
Applicant's
713V -Applicant's Printed Name
x
Applic
Page 1 of 3
Date:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
APR 2 1 2016
r
Use BLUE or BLACK Ink
For Office Use
/26' 0
Permit #:
Permit Fee:
(31
Date Received: 1-7-
Staff:
- -
Staff:
2016 RESIDENTIAL BUIL ING PERMIT APPLICATION
Site Address: VO ('V ,
Name: jt,eet, �a 7 -A/C
C
Type of Work:
If the project is
�- Unit #:
Phone: A) - (7 66--
9
Address / City / Zip: ,�® .�c,Y wt' 5 m? Z moire nA) 5-3-177
Applicant is: Owner )( Contractor
Description of work: `"y P sem' %.-
nc"
Construction Cost: Multi -Family Building: (Yes / No )
Company: �Gee"i �!i Contact: / /r 4 /l%Gire,�
City: /go jf / Aro „i
State: /I1(%Zip: 68 Phone: G/,% 64 ,7 bit/df • �� ip�/ pr'
Address:
License #: G 6 3' 55- 9 Lead Certificate #: /Ii -G 4 "e'
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?
IYes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Phone:
Sewer & Water Contractor: Phone:
Mechanical Contractor:
Fire Suppression Contractor:
Phone:
NOTE: Plans and supportingdocuments,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 the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651)
before you intend to dig to receive locates of underground utilities. .4Q5040-0002forprotection against underground utility damage. Call 48 hours
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 Building Code must be completed within 180
days of permit issuance.
e Sr)
x
Appli - s Printed Name
x
Applican s Signature
Page 1 of 3
/6 Lir
SUB TYPES
Foundation
Single Family
11/4 Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
/ ,,,,L O NOT WRITE BELOW THIS LINE
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
y`5
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
Roof: _Ice & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: Building Inspector
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Gas Service Test Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: Stucco Lath _Stone Lath Brick
Windows
Retaining Wall: — Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
RESIDENTIAL FEES
Base Fee
Surcharge
Plain Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
May. 9. 2016 10:32AM
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone; (651) 675-5675
Fax; (651) 675-5694
No.290or i
eACK Ink
For Office Use
Permit #: / YJ g`5-
Permit Fee: C)C)
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5/9/2016 site Address: 1640 River Bluff Ct
Tenant:
r
Suite #:
Resident/OWner
Name: Phone:
Address / City / Zip:
Contractor
Name: Silver Tree Plbg. & Htg. License #: PM058743
Address: 3185 Terminal Dr #200 city: Eagan
State: MN Zip: 55121 Phone: 6519552987
Contact: Ryan Email: ryanb@silvertreepandh.com
:Type of Work
— New $##Replacement _ Repair Rebuild Modify Space Work In R.O.W.
— —
Description ofwork: Replace kitchen sink and faucet
Permit Type
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (— RPZ / PVB)
Add Plumbing Fixtures (— Main / Lower Level)
—
Septic System
—
Water Turnaround
New
—
—Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
'Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(Includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 If a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.aopherstateonecall.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 1 understand this Is not ermlt, but only an application for a permit, and work Is not to start without a permit; that the work will be In
accordance wl . :: 4 proved pin case work which requires a review and approval of plans.
x
AppII ant's Prl d'Name
x WDIgate
Applican s Signature
FOR OFFICE USE Reviewed By: Date:
Required 'Inspections: Under•Ground . • Rough -In Air Test ' Gas Test Final
Meter. Related Items: Meter Size • Radio Read Manometer Staff: