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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