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3321 River Bluff DrCityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 / S3/6; �.� /� ` / / 23 Date: 4 • n • a0 // Site Address: x ��oe/I te.601 Applicant's Printed Name 2011 RESIDENTIAL BUILDING PERMIT APPLICATION A .pl nt's Signature Use BLUE or BLACK Ink Permit #: ClO 9)*(9 Permit Fee: Date Received: Staff: RESIDENT / OWNER TYPE OF WORK CONTRACTOR .3/3 At i RJa Pr Name: Om Address / City / Zip: Applicant is: Owner x Contractor Phone: 76.E - Hy9 - WO() IL Ad Description of work: RP ,�f7)p Construction Cost: 49y G //. $ 5 Multi - Family Building: (Yes X / No ) Company: . t ,t o ke ,h 61 o f ) 7 - Contact: Address: 59 760 14 State: M f\J Zip: 55//O Phone: 6 - 76 - 9029'5 License #: c15 /5 /g City: it Pit c1, Lead Certificate #: NAT-- 3 -0 �I Pe l lithe 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: i TE: Plans a nfor 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. wvvvv.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 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 Page 1 of 3 V�l7�i L71.YV V� Y�/'��.ra�����• r-----------.�_._—_— 1 For Offfce Usa � I // � ��`7� I C�t af �� � ; PeRnit#:_ ' S I � � ' o� � , I PeRnit Fee: , 3830 Pilot Knob Road � I EagBn IIAN 55122 � Dake Received: � Phane:(657)675-5675 I � Fax:(651�576-5694 ' � Staff: j '�Yr,CZ.t, E �� � . �I�'•l��y C..��� G' �,4��;CY1 ' _.—__..� C�vr ��_...—_--�.__-- 2015 RESIDENTIAL BUILDING PERMIT APPLICAT1t]N C-e�.�;:,r' �3(,u�'-� Tc���+ h�� s-c� . , Qar�:?�-/�'� r? Site Address: 33 i 3 ��v��t�,�r I,c,���'j�-:v'�e., 55�a��n��: ��..'�,� _ �. s ,��i 5�, 33 � 1, '3� I �' �33�� 3 3�-3 � ' ; ;�v+c.l-N ; Name: �hone: � � Residentl ; ; pW�� ; Address/City/Zip: r ; �S 3 Applicant is: Owner ,,,�,�Cvntractor � .._..�_e...�_......_. .�....�.�.. ._o_,__._.. ..,.,,.._,_..�� Y 1 � T e of Wor1c � Descri tian of work: ��� C� n 4� � r yp • p � °'' � � : 4 ; Construdion Cost: � ��: �v�� Multi-Family Building:(Yes 1 No !' t.......�.,,�.,,p.,.-.��,.�,...,__ .�._...�.... . _.,..�-�.�.-_�.�.v. _.�.�.._. �-�..�.__. � � ,� ..__. . . - � �s Cornpany:Cj�.'�Y1 r��{-' 1'S-�w1 �c�-z.�t'S Contact: ,J c�(?.� �-�'_� .��iY 1 � At�dress:�-l'� lG' �R:��� �l 1/1-� Cily: �'�'� �t�t 1 , Co�rtractor (' � � State: �1/t� ZEp: � C� !v Phone: Ernail: �Yi`'t'v P S-t tn r� ��'2�^�-�'��.�5� t ! i - (���T-�a :���. � License#: � �V � i S ,� �_Lead Certif+cate#: '� �3� � ° �....,,........,..�F-,....,...F�.,.�......._...e..�.....�..�.,e....�.... _,._. r.,.y..._.,,.,a�.,.,�.,..,.�,�..�..,u,....,,....s.,. i ? �f the pro�ect is exemp#fcom lead certi#icati�n,ptease expiain why: ; i : �---�-- ,,,�__� GOMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING € !n the tast 12 months,has the City of Eagan issued a permit for a similar plan based o�a master�ian? ; 5 ' Yes No If yes,date and address of master plan: ' t � Licsnsed Plumber Phone• � � s ' i : lNechanical Corrtractor. Phone: ' � � ; Sewer 8 Wate�Contractor: Phone: ` i � � Fire 5uppression Cor�tractor. Phone: a � NOTE:Plans and s�pportfng docurnents thatyou submitare considered to be public ir�format+on. Potfions of ; r the intorr�ation may be cla�ed as non public if yvv provide specff'rc reasons that wo�ld permit th�e City to � �y�� --- ----.._.�...,�..�..�. conclude that they are tr�de secrets. �.�._._. ..�...- CALL BEF�RE YOU DIG. Caa Gopher S1ate One Cali al�651)d5�E-OD02 for prolection against underground uliliy da�nage. Ca1148 haurs before you iMend to dig lo receive locabes of�dergraund utillties. wwir�.ga�herstateor�ecall.om I here6y s�[cnowledge that ihis infamation is compiete and accurate;that the work wiil be in coaformance with lhe orclinances and codes of the City of Eagan; that 1 understand this is not a permit, hvl anly an application iw a permit, and work is not to sfart without a pennit;that ihe woiis v,riEl be in accordanfle with the approved plan in the case of work whic�h requir�a review and�proval of plans. Exieriorwork authorized by a 6uilding permit issued In accordancewifh fhe Minnesota State BuUding Code must be complated within 180 ilQ�f 9f pV►lnit isal��nwo _... x �,� Q,�-�.�,,�' c,,.� -�_.--� x AppiicanYs Prinded�lame A s ignature ,` Qage i ot 3 - ` ������� O ___Use BLUE or BLACK tnk � �{� �i � For Office Use, � • j Pertnil/: �� j City a����a� � �v- ; � Permil Fee: � . 3830 Pilot Knab Road Eagan MN 65122 � Date Receivad: j ' Phone:j651)676-5675 I � , � Fax:(65'i�6755684 I SWfl: I � �----------------' � ; , 2014 RESIDENTIAL BUILDING PERMIT APPLICATlON = o j� �tf� ' `� Date: Site Address: ���' K-•� � ��� ��{v�__ Unit l�: � �.. ' o : . _ ys:`-=_{�;(`':';';' Name: , IIP.�_ � ► `�SY�vf ` Phone: � ��L �-��� ' � `.� :::�:;:<:�.��`_:.::.;�:� ; i:F�e�ideiil/;��=�; ! c� -==f��li%�er;��rf�, Address I CiEy I Zip. o) - _- �° ,.,.���� ,:. _ �r» �::,;�.:--�:�: � -- ---`>x�_F;-`��"r`;`.�� ApplicanE is: Owner Contractor ��sr��:•<rs"'" ;;��:='��=s;��.;:�,�:.:::;:.�. — ..� � ,� � - 1�� �1 �°�' - '`s`r>s�'.�::�'�'Y`"�y;."=''' OescrPplion of work: ::.fi���,�t;'Wo�kY. � � ✓ � - �t_:"-`..}..�ri<�:..>.i i'c:: : -.�G'•:sR�%i�.`.�:`•t•^_:-�::<� �� 1 .. �.�;_Y:_:;:�:.�:�.;;.: Consl�uclionCost Mufti-Family Building:(Yes_!No_} � -'::-.:�l.:.-�=n+e.'iit::"�''-_. ,--::.��:_:_.., _.._>.��•:�.; ryEARTH & H ' ,-;:�' __ ::. _�_.--�`;�� Company: QME TECHNOL�GIES Contact: Z,.Q� �QGJ����� ! ���'- _- == -�'' =�"-` HOME I - :�=`:':_-:;��:'=-;�:::�;:- Lic 8CG62656 , -�r:•- -.;.: Add�Css: Cily: : _-:Cont�acto%_,� W AVENUE !V � _; �;;.::�E:,;:;�:_;�,;: OSEVIL --:�_-;��; ``- .::."::`==-- Slate: ZipR LE.-MN 55Pbane: :-.=�:�r;:=•:';:«: °" ;�'t.�;:=�s'"c;x;zir r 651.633.2561. � 4-z�:��`��;i' = - License�:F:C.«Af1�,I��D - Lead Certificate#: =,- .ka f If the projecf is exempt trom lead certi8cation,pfease explain why:(see Page 3 for additional information) COMPLETE THIS AREA ONIY IF CONSTRUCTING Q NEW BUILDING � In the last 42 months,has the Cily of Eagan issued a pem�H for a slmilar plan based on a master plan� e Yes _No li yes,da(e and address of master plan: Llcensed Plumber. Phone: i i � Mechaaical Cont�acbor: Pf�one: � � - u- Sewer&Wale�Cootractor: Pbune: - `O •-:NO � :=.lai�s=;a�i'dsu�' `or.#in�'�d'ocuitrelits; -a � -�`7=:�`ttti/IM/f��`:aire°oRs1(J''erei��fo=ba- G/�lic`in'/oi'" "onr�°Po� `oiis=y/`�f<'y�� ; N -- .�.�. - -.PA_ ,:-9-:.• - � #� �,<,.. .F--- .t,: - •�'!: ..i 1- 2��.. _ .rTi;•Y�__ 1r��� M.. 4. � F`c .Z•a>�'�.•",:,'r'i ':1_<r. :- - ___ - _ _ "- _ _ _ .1ir. _- a;.{'�:' _:i.�. _ ,:�.:� i4�:-i�l:�"_ _Y.>.''er.R'' .I.E:'. { _ -_;;X Q:n u�inaYi'ii�iria.:fie`c/assi/teal:a�' `�iti' "�l�c����.o` ;�ovtde_s .e�/icrie�'or�s-t a :ovoufgl� srtiiirt�f/►e'�G. ::ro-=� , _ _ . , .. �- < c.o .�° .G. ( �. _--:�::.�,:�r: :�?�r- 1�.; _ _ .�„ F,,< _ r.Y�:�4A. <R ,�,_ <,. ::�.;.:.,:�...:-.�... ,�..:P... _ _ >�Y.__ ; -iLi ��, : :.�:t::�-- _ -.f. 1'.}e. - Ye.,r: �.h. ' J"<..5... _y;v _" r ' :t.t t�� �.c:' _ ' " '- ' _ "-' .�,'��a`•:`r'.f? ' " _ _ __ _ ..f - " _ =�c:::..,. - - ti: :�. � +�'". i��� - r-}' =l' ' `=h (r'v - - i. "{ -%i - �ji..• - - � �hi/. - ��oii��u'de°:f�a�h re''� e fe _ Y ::v >t�=: - - ' e fi'a'e�s c - -��= -=w::.-.:.. =::� _ ��-- - .:.. .�..s.. �:._.r:.,,..•.:...:. >._.��°=•�-��- == - - =�a - .�. - - F(. i`. a� - - --• ....:_< _. - - . . ....�..,,...-..._:. . . ,. ,.. ,:.:Y�<.:��� - �r, - - � CALL BEFORE YOU DIG. Call Gopher State One Call at(657)45d-OOU2(or prolecUon against underground u[ility damage. Calt 48 houts : Nbefore you inlend to dig to receiws Docates of underground ul7ilies. www.u�oaherstateonecaA.ora � O � I hereby acknowledge Ihat Ihis in(ormation is complete and accufala;that the work will be in contormance wilh the ordinances and cndes of lhe City of � p Eagan;Ibat I undersland Ihis�s no!a permit,but only an applfcallon for a permil,and work is nM fo start without a permit;that 1Ne work will 6e ia acoo[dance willi lhe approtred plan in the case of work which repuires a review and approval of plans. Exterlor work aulhorized by a building permR tssued In eccordance wlth Iha Minneaota State 8uilding Code must be completed wlthin 1H0 days of permitlssuance. x �.�:ati L�d�,�w��Pc/ x ` Applicant's P�inted Name A cant's SI ture I Page f oF 3 � � ! � Nov 25 2015 3: 20PM HRUCKMUELLER PLUMHING INC 8516882160 page 1 Uso B�UE or BLACK Ink jFor Office usa i ' i�`--� i3� ' � (tit� of F�n�� ; P.�,��� � , /''�6� � --�-- ---V -— — -b � rermi[rae:_ �/ 1 3630 Pilot Knob Road � � Eagan MN 55122 � Date Received: � �I.���./QtA\R7C CC7G � � � ' I Fa�c:(851)675-5894� �5�--------------� 20�5 RESIDENTIAL PLUMBING PERMIT APPLICATION � oe�•_ 2a� '' s�te add.ess= '���( �?�ic�e.r ��cl�dL7l`. � Ton�ni• oii�d`s s: Is�3:��il�CAl�. � -`���, ,,,:,� . "' ,� w, �;�"���'��a�.�. ' " �fl , . . -- �'�'� _ - --"Tt - - —_, . _ _. t_1� . ��_ �/I�/1 �.�, ,.a,,,o._ . �.� �.---� _ .._..- — - � �... - . ���� � � . . � -�.;�,�,,,,�,.�n�. i���sa.amu,i�ast±:5in�.tisa:�..rxa e.i.iwce i r=i�v i iin• i _-•--:,.--,,.,.-----.-=-.-_::_-::::-:>:::::::•:_ • ----- - - - _.._..... _..........--------------�----=—� - --- -. . ..... .. , . . . _.'.' , ,,..x.t� ' ,,� _ .. . . � .d p.r::c'ix��.,:.�m r...:,.. �F_ ar.,,,: d� �p /� ■/7I L"'nC�FhYq '. ...: . .:a:"�;�re:�,�� ..�-•---. KA. �-L..... .a.��aP- T ��. � .� 1 n� �s--"--a�. 9�/1/F� /. /F'�� � ,�2iflt*`.�""i: �r' "'�; 17i71111C, • uvo��a6 0. ���fL�_l_d�� I ��:�,y..��.A" 8....�� u v^_— �ia41Y!l���Ri�'��1��.,.�.''X'.ir€1 J,� - - _ '���<- - °�r"' � .��� AddreSS' .���� �/�Mi�<.. �d 6B`� �T�---Clty' �_G}i/1 ;x,s . �r "-�'��� ��.' �y 5tate:�_Zip: ���Z� Phone: �Q������1��i �O . : �" �� ... _ ' "r, ; .�::,.��_�•' . _a�;� ��r. ,.._,..... ,�a . ..:. � � � .-.:-.: ?3 , , . . �::......��...:.:.-:...:�.�...��.�,;._"•.'P� �.�4io-+-F.�..._ w�ywN. /c�ir Ene..�!• �dl�.�A/1_�!e ��i1A�!!S[�:�At:ls �ww �'�� _"'��..,. _ '' ' �. .r� ��,•�;: ..�� ;hi7� .r'thC��$71' � a . ���'" Y f ��k'�������3��K� New �Replacement _Repafr _Rebuild _Modify Space Work in R.O.W. ;� , _ _ .�M7r �:_ � " � Desc�iplion oI work: ^.e '`'` '�� RESIDENTIAL .„ �i4 W V'.Y ��.�'. a_ it� �� eF• ��li� �}� •� �,.. �� �WaterH�ter � ��w:,��n�- ,°� . ��:�: ."x �V�/9t@f$01EA/19f �'` �` Lawn Irri ation RPZ/_PVB ��..;.. .._':; �; ,_ 9 � � '' h Add Plumbing Fixtures�Main/_Lower Level) ��'{�t.�a.�:,,:�_,:._,•- . , . '�; . Septic System — .;:�:'�i;, , :e� .. �p�8, F � . � ��� WaterTumaround ,:.�, . ,•.,.;;. New ` �,d�:. .�, �:.}fi�.:,�k — .. a;,•;=:,.sr,:��a�'..:���. x — �:,;<:M;���1�.�,��:.>x�. � � ;��;�txa;:.�-,rae yi�a; �::'�..�•::: � . � . =�;�;;r:�,�� x i�bandonmenf RESIDENTIAL FEES: i�v.GO'viiaier HeaFer,i�vaier Soiiener,or Wafer Fieaier an S6�'i�l�r�inciudres 3iate 8urc'r�arge} � !QA f1A 1�...� ��:���:��i:_�..�._c.x_a_c�..��___� �w.vv�aw��n i�aauvi��u�vtiuva via�o uu��i ia.yo� � a60.00 Add Plumbing Fixtures,Sentic Svstem Abandonment,Water Tumaround'(indudes Stete Surcharge) . N�I��::T::�GMii�J/GJiI P�.�'�n.,�;�_�b.�sa:�_-_-:::-:re � ;115.00 Seotic Svstem New(indudes Courrty tee and State Surcharge) � TOTAI.FEES:i A�� � !fl�l_AlIC V!\�1 �1�A w_�� �___�`_��_a_ �__ �_��_alw������wwww�___�a_�a"_����'���..�J���..�J..�:I:L.J�`��� ' — _ __ . . � o..ia..v�w��.w�... , �..�4.v.. ..i ..�esL_Na a��•0���1�- � ......0 o.. � . ..c..r........o..:...�o�:...�...a�.-.....�:a�.�..o..c c��.oa�. �..�c:ec�_...���....�� ---�.�:_ __='-- '_ -'_ I hereby adcnowledge thet th�informalion is oomplete and aocirate;thal fhe work will be In corNomn�ce wilh fhe ordinanc�and oodes of Me Gty of Eag�;Ihat 1 undersland this ls not a permit,bul only an applicaHon fir a penmit, and work�not to start without a permil;ihat the wo�k will be in ----=------�--`-/'..r--°---' . .... _..�...__:r......ss����c::' - --- nM.- ,�.�„'.�..ezr� a.n.n�a��..�..�.���.o ar�... ..r.w.�.-.:c�a..o.....�...,�n . ..:y�.......��.�........ ..'rr r... • I�II�, �. �I� ��w! //�._\ � � �/�. ][ `..' �-�. r�.r y.`y.ti�-w�r�—v Applicarrt's Printed Name App icant's S gnaturo _.:.�..,.. ..,,.. ...:,;,.�,,.„:..::...... .......:......�,__ , ._,_�:._.;...._..,..•_ �st:,,�.�.,,.�,..,, - ;:f,.: ----�._.. _....._. ,.w,_.._.. ;�„ o: ._.,....�.._...._,. .,.:,._�� .,�� ..n._ •�.•-��; .�,. r.r�-i.Ya.nrewn:atm�:w.n,:a...auax�a..:.s�a�uvaw.eamr�rexanwsiy:a.os. rnm::u-a. -n,.va:w.4s ',.wr:a`a�aur:uni�:au'...,. ...___._....__ . _., .� __...-.. XYCi&NW. b'��%��+'�s' . S.nWaYSA�fis.+ltn11\ltYAAS4CkR�191.%N'0➢WiMWSh+VIMaYAM(il\EN EiRdWWVWi��n+�ANRrt�tdMaH Use BLUE or BLACK Ink � r----------------� I For Office Use � C' � Permit#: /��//�� j ��� O� `���� I Permit Fee: / �J� � j I 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I � Fax: (651)675-5694 � Staff: I � I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION —� �'`-���.� Date: Site Address:� ���.����� ���G� ��� Unit#: , Name: Phone: ReS�+C1+�� / -� (}yy�g� ;�; �: Address/City/Zip: ��! � �iVLR13�u,FF� .�R • �6•�ii �1'1�✓� SS/�3 Applicant is: Owner �Contractor � �` � ` Description ofwork: �C'P��4c� �'�r+-R.ia.t,-rf �oOlt,� T�p+R 4��►�rk ' w Construction Cost: � .3 Multi-Family Building: (Yes�/No� Company:(_�}-i1,YVo�J Vil-U��w, ��Crri° d�Dizs�,L[,C, Contact: �7Fi1�'��0�✓�'"� ��������, Address: 357RD 91�� AI.E�. City: (_.�9'NNd�✓�i??�LS : State:�Zip: SSUO Phone: �oS/-�y5- 03�/ Email: SJohtAtSav�CA+✓�N✓ki��/��qd�"� ns,c�„ License#: /J�� Lead Certificate#: N�f} If the project is exempt from lead certification, please explain why: ,No Le� Pafs�.vr' 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: �OT�';Pta�is.�r�d;sr��por�g t���ur��e�,s f��,�uu��br�i�are;c���d��ed to bE�trf�c�nai��.:Ptrrfio�s.�rf : �e i�fvrr»�f1c�n�a,�y��cla�st�'ietl�rs��n pubt��if y�u}�ra���l�s�ecifrc r�p�s tt�a#t�c��l�l per��f�e C��°�. ' �or��ud�.t�a#fh are tw��(e�e�r�: 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 Building Code must be completed within 180 days of permit issuance. x S�'�VE" �uN�NSc�N x Applicant's Printed Name Appli ant's Signatu e Page 1 of 3 08-02-'16 12:13 FROM- FIRESIDE T-369 P000110003 F-902 „it,ovoof /^UUIU *City aiP,atan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675.5694 MI6 U.101i Use BLUE or BLACK Ink For Office Use Permit*: 379&3 Permit Fee: 9° • C Q Date Received: 8 ' 2 - ro Staff: /2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: j Z-1 !G Site Address: 3 321 River BI w b tr ► ve. Unit #: ,p Df l ,,)1 J A�\�M � • o� l * 1 ri ,'✓F 1 1Jv Name: T`GV`tv:5 0. I Y1o'Wt,s P% Phone: (o (2- 309— Z/Oy Address / City / Zip: ..54,M -C a 5 Sr Applicant is: Owner _ Contractor i k } i �" 1 1, Description of work: � t roi. 0 Id � /ref ce, 7 '1,542:111 %lY°.1rtl As Fwe +645 Construction Cost 2. D. Oe Multi -Family Building: (Yes ___• / No _) v- a , , JW t 9 ��}° 5.,. �.c"n A�i�^f ,f. 2 1 � Company: r e 51 c' -t. R-c_a_r 4-� 1 4 0 v►ve.Contact: pay -le -vv.- 65 i -65f, 3 '• • Address: 2100 thr'i-e,J Ave.., AJ City: ROSevi11 ,,` cc� c-�1 n State: M4 ip: 5VI J3 Phone: IBJ �ro4,5.5D mail: ADS•eu j Ii 4 644.i (142.0e- QPSa0 h License #: AC 6t0 2 6'54, 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 If yes, date and address of master plan: _No Licensed Plumber: Phone: Mechanical Contractor: Pbone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: •i , r .`•L Spy, S^? ,` R y 7.77.,•%. D+ ° f•..JjF.. r , 9 4 yMC f Y �"1 C,, .. r, C,d 1F b ,F 6' ;: .:et�;;r •f„ • •r� '' • ,,r.,: ',.. , ,, '.*K CALL BEFORE YOU DIG. Call Gopher State One Call at (851) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ttopherstateonecall.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 Minneso i=tate = uilding Co ust mpleted within 180 days of permit issuance. x r 1.>✓r e 9 •elm. 66n Applicant's Printed Name x plicant's Signet Page 1 of 3 h C!ty of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 0 /1-.3 Use BLUE or BLACK Ink For Office Use (/ Permit #: Permit Fee: Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION ird Site Address: 1221/2.--. tL, W 1\ Unit #: Name: e%Z Ij4- 11,-.13-4 d/v Phone: Address / City / Zip: ( l Lv Gtls l-1Zf Applicant is: Owner P Contractor Description of work: '17iai--i---- t,.\zrc-t I rc L Construction Cost: `' - 2-. .. Multi -Family Building: (Yes / No ) Company: G t206-1- r t.- ? M,osContact: Y -A 13 Address; �� � _ City: State Zip:/.X;40(e)Phone:17(2 -75(- Email: P ,jC�P %'c ( 4°J 6/144,- LicenseLicense #: 06-6610(6 (0 Lead Certificate #: OA- F t 2l IP 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: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: shone: 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 the are trade secrets, y CALL BEFORE YOU DIG. can 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 Minneso •te Buildi ''Code „ 7.e c•mpl•ted within 180 days of permit issuance. Applicant's Printed Name x Applicant's Si r .1 "rature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01of6Plex WORK TYPES New Addition jt Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%_) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Interior Improvement Move Building Fire Repair Repair 1134 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 30 Minutes 1 Hour Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: 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 ItilFinal / No C.O. Required VAC _ 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: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL — ; 33--31 looe Page 2 of 3 Aug 291611:32a NICE NEAT PLUMBING, LLC City of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 6127886181 p.1 For Office Use Permit Permit Fee: (O - 00 Date Received: Staff: 1 J 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION AUG 29, 2016 3321 RIVER BLUFF DRIVE Date: Site Address: Tenant: Resident/Owner Contractor Type of Work Permit Type Suite #: TERESA THOMPSON 612.309.2104 Name: Phone: 3321 RIVER BLUFF DRIVE Address !City / Zip: NICE NEAT PLUMBING Name: PC643627 License #: 2227 NE 6TH STREET MINNEAPOLIS Address: City: MN 55418 612.788.6181 State: Zip: Phone: Contact: STEVEN MEMORICH Email: BIGDRIP1 @MSN.COM New ✓ Replacement _ Repair Rebuild _ Modify Space _Work in R.O.W. Reinstalling toilet, sink & tub/shower faucet for new tile install Description of work: RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System 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 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) Water Softener Add Plumbing Fixtures (✓ Main /_ Lower Level) Water Turnaround TOTAL FEES $ CC 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.aooherstateonecall.orq 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 1 understand this is not a permit, but only an application for a permit, and work ' 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 approv- • a Steven Mernorich x Applicant's Printed Name plicant's ature FOR OFFICE USE Reviewed B Required Inspections: Under Ground Rough -In Air Test Gas Test Meter Related Items: Meter Si7e Raclin RAM Manometer Staff. Date: Final