1642 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
Date:
City orEaRall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant:
to 0 c(2-
52)10) L12,
001
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: / q �J
Date Received: l
Staff:
2012 MECHANICAL PERMIT APPLICATION
Site Address: lY' \A4 C4
Suite #:
RESIDENT /OWNER
CONTRACT
Name:
Address/City/Zip:
Name:
�11. V 111a
' 'Iri,/T IIffk/1
A I Zip: if to ret
t: 'JA
Address:
State:
Contac
TYPE OF
WORK
PERMIT TYI
Pholie•
New
Description of work:
u.NOTE:- Roof mounted
Code. Please'`contac,
e•lacement
Email:
Phone:"•" -
i
sJ
-C
ity:
Si te
;401'1
'JAL!!
�i4I 0
Additional
1111,
0
•
Alteratjon Demolition
r
Ai
•
RESIDENTIAL
X
Fumace
✓� Air Conditioner
Air Exchanger
Heat Pump
Other
round mounted mechanical equipment is required to hescreened
echanical Inspector for:informatiiowonpermitted screening methods.'
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install /_ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to anexisting unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
=$
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x 1%
$60.00 Minimum (includes State Surcharge) = $ Permit Fee
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00 = $ Surcharge
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
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 ca f work which requires a review and approval of plans.
Applicant's Print d Name
x
Applant's Signat
FOR OFFICE US
Required Inspectionerground
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
` r For Office Use -, cr..---c—
,,
r..--C
*�„` E AG A N
i i „', Permit#: /r3—`/ e�9
.......
Permit Fee:
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:
buiidinginspections a(�.cityofeagan.com ,
/_2019 RESIDENTIAL
- PLUMBING PERMIT APPLICATION
Date: 1")./1b/1 9 Site Address: I i% 1, 1 -N-p i1v G+
Tenant: Suite#:
450w Rite ` NameipilkesjsentiO WO : l )1[P1 { L-&3h Phone: '320 —J``Zi-- I to 9
�r
A • 0Address/City/Zip: !bit 2.— riv-Pr ( 4--
. Glsv;
; -
: Champion Plumbing PC000308FAtName
License#:
zj �' 3670 Dodd Rd. Suite #100 • Eagan
-.Cont a or j Address: City: g
';tx �=+* . X4[3 -24
( f, ;ow i �' State: M N Zip: 55123 Phone: 651-362-2622
b�i m a#> � 1`p Jessie/Cole
xMAIONN
lv ,.,ri_ im x s � Contact: Email: permits@championplumbing.net
saw y .ti"�.,'. :3:Ai :4 :ry-r f,�.- x
ids "�� X' " ^: _New Replacement _Repair Rebuild —Modify Space Work in R.O.W,
x Description of work: fZ. 2loL. 0 v L4 t' o Wap j^
• a ustowitos , - A
x,wa�A it 5 Water Heater
4 `> � f1 404 Lawn Irrigation ( RPZ/_PVB)
33,, `` y c ' �" ( Water Softener
s-�t�vc ftar� �wr+�.�.� ,sin f�i��
V , e Add Plumbing Fixtures( Main/_Lower Level)
.1s 1 t 0 VIP' T .
,4 Septic System
" � � A ��{ New Description:
ga ` '
y,er�tr <,�c .3� #'ti�,�'�,
a x 40,4 _Abandonment Connection to City Water from Well
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 = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$ 46-)., s. 2
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.nooherstateonecall.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.cltvofeagan.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 r,eJILA
Applicant's Printed Name Applicant's-5ignat
Page 1 of 2
k : AGA N • For Office Us��� �� `
%.%41., ®` „s EAGAN
Permit#:
/'„O,,� .,,, Permit Fee: JOE! �j
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: / 6 -v /y
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 EI��jE)
Email: buildinginspections(cDcitvofeagan.com Staff:_________,1:#7:___
Commercial Plan Submittal: eplansta'�citvofeaaan.com OCT 0 8 2019 L
2019 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: (v '' Site Address: Rç1R. 1 "t)44 C (4t
Tenant <1(jr)tia!ik----) Suite#:
Name:
I KIA-10-b, ,, Phone* �6"52 – I /9
Resident/Ownerr , /'Address/City/Zip: 1, ' iA-- Irb'
(4 CA-A- I v
Nam it 1dV'tni- k I I b License#:
Address: 1 ?Milt► ��r t City: ` T-
Contractor 10 /I '
State: Zip: Phone: '6/ 1 V-- e1✓
Contact: 16 G Email: f �a /n 3�(e� w„ ,
RESID NTIAL
( Furnace
Air Conditioner
Permit Type
—Air Exchanger
Heat Pump
Other
New Replacement Addition. Alteration Demolition
Type of Work
Description of work: (C)\„(s)4111 g)71)''
�', ���
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge IpD$100.00 Residential New, includes State Surcharue =$ TOTAL FEE
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.citvofeauan.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 f• a pe m _ . irk is not to start without a permit; that
the work will be in accordance with the approved plan in the case of work which r:. ire review an. approval of plans.
, ,k)( 0\\1(,,j, . '/ O
Ap icant's Printed Nae Ap• icant' S •.n.
FOR OFFICE USE
Required inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final