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3224 Hill Ridge DrCITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: , „1 ; 1.<<Itf l?l 1 lih Ai1 PERMIT SUBTYPE: CTION REC4RD PERMIT TYPE: Permit Number: Date Issued: APPUCANT: i1„' t??,i; i r4', 14.il, Ob!,! TYPE OF WORK: +,: ,, ; ; , 1,10 141111 11 fNo i3.'.H7ih5 0 Fl, /vr6 /.., kfl'ATF2 I??f'1 Af.F F?(If1 t-7H6 J, ? Fel MANh `, : I Nt i l1i?f '. 3726 , 3,?.?R, i?. {H > 1'?3 ,'.. 32 =34 16.?7 ??i N 1 1. L F+ [ill+i tltx Permk No. PermR Hoider Date Telephons A SNV PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Dete Insp. Comments Footings I Foundation Framing ?7/C ? RooBng Rough PIb9• Rou9h Ht9• Isul. Fireplaoe Fnal Htg. Orsat Test Final Plbg. Plbg. Inspector - Notiiy Plumber Const. Meter EngrJPlan Bidg. Fnal Deck Ftg. DeCk Fnel weli Pr. Disp. ? INSPECTION RECORD ' CITY OF EAGAN PERMIT TYPE: , 3830 Pilot Knob Road Permit Number. .?, Eagan, Minnesota 55122-1897 Date Issued: ??r? ;?•? (612) 681-4675 - SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .. . .. ?,. F ? _ _ - : Permk No. Permit Holder Uste Telephone N ELECTRIC PLUMBIN(3 HVAC InepecUon DaIA Insp. Commet?b FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST RDUGH HEATING GAS SVC TEST INSUL (3YP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL kA-) RESIDENTIAL Naw ConsWCtlon Reauirements • 3 regislered sile surveys sMving sq. R ot bf, sq. ft oi house; and all rmfed areas (20% mazimum lol caverage allmved) . 2 copies of plan showing beam 8 window saes: poured found desig4 dc.j • 1 set oi Energy Calculatiore • 3 copies of Tree Preservatian Plan A lot platled after 711193 • Rim Joisl Delad Options selection sheel (bWgs wBh 3 or less units) DATE S -d 7' D J JOB SITE ADDRESS i IF MULTI•FAMILY BUILDING, HOW MANY U ITS? PROPERTY OWNER ? TYPE OF W< APPLICANT ADDRESS .s PAGER # _ BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 `S 1-1 I. -I ':?- 'E? 2-1 - C) I RemodaVReoalr Reauirements • 2 apies of plan . 1 set at Energy Calculatbns for heated addiGons • 1 sNe suney Mr exterior additions & decks . InAipfe if Mme served by septic system fa additbns VALUATION 60 ? ? r?f 1 A-Ir ??Jlrf/ P?V?? ?fv??'? .fS??cJ REPLACE(S) _ 0 _ 1 _ 2 `SPHONE#jy52-j-ISV",T/q-> /4,4&A!j M(1 SSI?J ZIPCODE CELL PHONE # 1 5'1 -dbh - 9 HF 3 FAX # &Q- /sND "?lDa?9 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residentiai Ventilation Category 1 Worksheet Suhmitted - Energy Envelope Calculations Submitted MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Woter Contractor: ? Air Condiboning _ Heat Recovery Syscem Phone # Phone # All above information must be submitted prior to processing of appiication. I hereby acknowledge that I have read ihis application, state that ihe in rmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordi a es. S(gnature of Applicant Certifcates of Survey Received _ Tree Preservation Plan Received _ Not Req red _ . Updaled 1101 _ Water Softener _ _ Water Heater _ _ No. of Baths Phone #: lawn Sprinkler Fee: $90.00 No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? OS 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const Footings (new bldg) Footings (deck) Footings (addition) Foundation Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I. _ A'u Test _ Fina] Insulation Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding Stucco _ Stone Windows (new/teplacement) P,pproved By Building Inspector Base Fee Surcharge Plan Review MCIES SAC Ciiy SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ToWI ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mutti ? 11 10-ptex O 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entira Bldg oniy) - Give PCA handout to appllcant Occupancy MC/ES System Zoning Ciry W ater Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered ? ?-11-?1ti W idth REQUIRED INSPECTIONS FinaUC.O. FinaVNo C.O. Plumbing HVAC b a LQ-wv 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ?? sa Date //I?' I op Site Street Address /L1JL? ??L G (Y Unit # - Property Owner Telephone #{?`?}!fD? 9 . Contractor (-?41V-/z)/Lv jP?2 ?_ Telephone # S9S? ?'q `f-S.3,6 Address City /r?i/,2afse iZZP State,62pZ Zip ? The Applicant is: _ Owner X Contractor _Other Alteretions to existing dwelling _Add fixtures to rooms, exciuding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5/8" meter is required) Other: $ 50.00 ? Water Softener _ Water Heater replacement _ additional $ 15.00 Lawn Irrigation System RP2_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 Total $ /.S. Sv I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the even p an '( q \ ired to be reviewed and approved ? Ap ' a s Pr d N m Ap icanYs ' ture 7 ?? 4 qz PLUMBING (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mu 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 Please complete for: Single Family Dwellings Townhomes and Condos when permits aze required for each unit Date Site Address Unit # Property Owner Telephone # ( ) Con[ractor Address City State Zip ?"_ Telephone # (Qf'? The Applicant is Owner _ Contractor _ Other SepNc SySte New _ Refurbished Subm it 2 sets of plans and MPC license $ 100.00 Includes Co ty fee. itional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions , excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5/8" meter'rf needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system ? -?-'.-,- l ? Water softener Water heater 15 00 _ . / replacement _ additional ? L1? ? gy `?'? $ .50 State Surcharge Total $ ? I hereby apply for a Residenrial Plumbing Pemut and aclmowledge tUat the informarion is complete and accurate; tUat the work will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a pemvt, but only an applicaaon for a permit, and work is not to start without a p that the work will accordance with the approved plan in the case of work which requires a review and approval of plans. e? ? Applicant's Printed Name Applicant's s ??s y PLUMBING(RESmENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required For each unit Date -? //;?/?.3 Site Address ?U eE: bnit # Property Owner Telephone # (P, ) L7 ?G • ?v?,3O Contractor Address 7 ZI City zl% & f' State Zip Telep6one # 3) ? T6e Applicant is _ Owner _ Contracto: ? Other Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00 Includes Counry fee. Addttional consultant faes may apply. Alterations To Eaistlng Dwelling Unit, Including $ 50.00 _ Adding fxtures to lower levels or room additions, excluding water softener and water heater _ Abandonment of septic system _ Water turnaround (+ 5!8" meter if needed -$121.00) Other: _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigation system Water softener _ Water heater i? $ 15.00 14 replacement _ additional State Surchar e ? PM LJ ? .50 g O APR 2 9 2003 ? Total IM I hereby apply for a Residenflal Plumbing Pem¢t and acknowledge that the info n is comul tPae; that the work will be in conforcnance with the ordinances and codes of the City of Eagan and with t??g o" des; that I understand tlus is not a pemtit, but only an application for a pernut, 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. 7 l- Applicant's Printed Name pplicant's Si ture 41300 ROBERT KARATZ HILL RIDGE DRIVE (RIVERGATE TOWNHOMES) 3224/ 10 41300 030 02 (8-PLEX) 3226/ 3228/ 3230/ 3232/ 3234/ 3236/ 3238 3225/ 10 41300 030 02 (8-PLEX) 3227/ 3229/ 3231 / 3233/ 3235/ 3237/ 3239 3240/ 10 41300 030 02 (8-PLEX) 3242/ 3244/ 3246/ 3248/ 3250/ 3252/ 3254 3255/ 10 41300 120 01 (6-PLEX) 3257/ 3259/ 3261/ 3263/ 3265 3256/ 10 41300 120 Ol (6-PLEX) 3258/ 3260/ 3262/ 3264/ 3266 (PAGE 1 OF 2) 24 INSPECTION RECORD' CITY OF EAGAN PERMITTYPE: suxLniNG 3830 Pilot Knob Road Permit Number: 020855 Eagan, Minnesota 55123 Date Issued: 0 5/ 06 / 93 (612) 681-4675 SITE ADDRESS: LoT : s B L 0 C K: p APPLICANT: 3224 HILL RIDGE OR GRUSSZNG ROOFING ROBERT KARATZ (612) 935-0557 PERMIT SUBTYPE: MULTI. (MI ..) TYPE OF WORK: REPAIR DESCRIPTION REPI.ACE ROOFING REMARK3: INCLUDE3 3226, 3228, 3230, 3232, 3234, 3236, & 3238 HILL RIDGE DR CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 020855 05/06/93 SITE ADDRESS: DESCRIPTION: PERMIT ? 3224 HILL RIDGE DR LOT: 3 BLOCK: 2 ROBERT KARATZ REPLACE ROOFING Building Permit Type MULTI. (MISC.) Building Work Type REPAIR : a ; _ ' - , - - ? - - • i: REMARKS: _ INCLUDES 3226, 3228, 3230, 3232, 3234, 3236, & 3238 NILL RTOGE OR FEE SUMMARY: VALUATION 8ase Fee $72.00 Surcharge $2.50 Total Fee $74.50 $5.000 CONTRACTOR: - Applicant - OWNER: GRUSSING ROOFING 19350557 HAFNER AL 4305 SHADY OAK RD 3240 HILL RID6E DR HOPKINS MN 55343 EAGAN MN (612) 935-0557 (612)774-6013 I herehy acknowledge that I have read this application and state that the infiormation is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L `?-'#?C..l?'/vv"?K- • APPLICANT/PERMITEE SIGNATURE- ISSUED Y: SIGN REACTIVATE _ PERMIT # ot GITY OF EFIGAN 1993 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month- in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Valuation of work "`???fDO Date E"' / 3 / ?? Site Address: E n 30, -1 L(• ?G - a'?- ?3;z - 3g- 34- STREET. SU1TE F Tenant Name: (commercial only) IAT BIACK ? SUBD. /? I\Sa P.I.D. N Descri tion of work: E?L? The applicant is: ? Owner Contractor ? Other (oesorix) Name Phone 2 *7 q -6 013 Property LASi , FIRST Owner ? Address 3 STREET ? STE # City ?.oati. -State ?'ri??c 2ip Company Phone 93s-~ o 5!5 7 Co ntractor Address License # Exp. City a- State Zip 553 3 Company Phone Architect/ Engineer Name Registration N Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable St e of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ??'?P y OFFICE USE ONLY BUILDING PERMIT TYPE ` ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging - ? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory O 04 5F Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations O 35 Tenant Finish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION tonst. (Actual) (Allowable) UBC Occupancy Zoning N of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd Fl. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewa9e Building Variance ? Footing ? final ? 16 Basement finish ? 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCL System City Water PRY Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Framing O Insulation ? Draintile O Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment R. Road Unit Park Ded. Trails Ded. Copies Other Total: votuac;on: SAC % SAC Units VILLAGE OF EAGAN ( WATER SERVICE PERMIT 3795 PI o* -Ileob Road PERMIT NO.: 1 , 4 Epgbh, MN 55122 DATE: ! ° el Zoning: 11-4 No. of Units: ' , Y ; 8 Owner: R£iv'er.te II.B Address: Site Address: 3224.0.26-28-30-32-34-36-58 . tiiiiridge Plumber: erghar8 t ' Meter No.: Connection Charge: Size: Account Deposit: .$10. : Reader No.: Permit Fee: 1 agree to comply with the Village of Eagan Surcharge: Ordinances. Misc. Charges: S' S' 7 S Total: B Date Paid: Date of Insp.: Insp.: VILLAGE OF EAGAN SEWER SERVICE PERMIT 3795 PilgMKnob Road PERMIT NO.: 226 71 Eagait, MN 55122 DATE: ., >, 974 Zoning: =r No. of Units: ` Owner: h ' vPr'ga e Address: Site Address: .)224-26-26-3,,-32— y 4 dl:Leia.rre Plumber: s3 01:76i lar s t agree to comply with the Village of Eagan Connection Charge " ° " M^ Ordinances. Account Deposit: • `'' Permit Fee: Surcharge: By: Milo. Charges: Date of Insp.• Total: Insp.: Date Paid: 09/09/2014 12: 11PM FAx 651463f835 FARMINGTON P UMBING 1�0001/0001 Use BLUE or BLACK Ink � For Ofllce Use. I i Clty of E� a� ; P��,�t#: �� a--; � , � I Permit Fee: 3830 Pilot Knob Road I � I Eagan MN 55122 Phone:(651)675-5675 � Date Received: � �ax:(651)675-5694 � � I Staff; � ������........._________J 2014 IVIEChIANICAL PERMIT PPLICATION � ❑ Pleas su mit two(2)sets of plans with all commercial appiicatio s. �1 �.1 ♦ (� ,y I Date: Site Address' �al� -1 1 R . � r o Tenant: 1 y� � Q Suite#: .:.;,,:..,.a:,..;.:::::. .:: . ; Name: i S � 1_ A v * hone:�„ !S�' �„��� .. , Reside�tl,b�nrner:=;`. Address/City/Zip: �a a Name:�_ i 1 License#:,. :'. . ;. . ,.,. :.�:: .: Address:�_y C ` GtY- _�L .COntra�tQr:. ::: . .......... ........ �,.�. State: M M1 Zlp:�_�__._� Phone: �p�(- u �- a .:...... ..:.... :.:: . ..:.. ....... ., . .,...: � -.:::: .;::. : Contacl: t V�n Email: . New �Replacement �Add tional Altor�tion Demollllon : Ty.p�.of.'Work.:;.,::.:; Description of work: Ce. Q lac� `t ' " ' ::. ::.. "NOTE:Roo/itiountQd dnd.ground mounted mecha ical,equlpment.(s:requlred to,be screen2d by.City � _ . , . . . , .... .. . ..... . �� � ' � � �'. : `. Code.;Please contact the-Mechanical Inspector;or mfoimatlbn on permltt'ed.s�reenJng meth�ods::� ... ............ . ...... ,:..-. .,..,.. ........ ........_.:_. ' � � " " ' �-` RESIDENT/AL COMMERCIAL - , '� �,Furnace New C Strucllon _Interior Improvement . ..... . . ... ... ... . . ..... . .... .......: . '- -• �` AirCondilioner Install i in _Processed Permit`TYNe, _;_::. — — P s . :... - - • - _Alr Exchangpr _Gas _Extorior HVAC Un11 . . .. . .. ..,. ........ .. :.. ..:. � _Heat Pump _Under/ bove ground Tank (___ InstaO/_Remove) _ ..,......... . ,.. . . . ........ ...........:.......::...:. .. ..�..,, _Other RE5IDENTIAL FEES $60.00 Minlmum Add or alteralion to an existing unit(includes$5.00 State Surcha ge) $100.00 Residential New(inGudes$5.00 Stale Surchargej =$ �. 0�_TOTAL FEE COMMERCIAL FEES Contract Value$,_" x_01 $55.OU Permit Fee Mi�imum $70.00 Underg�ound tank installation/removal =$ Permit Fee *If contract value is LESS�han$10,010,Surcharge=$5.00 =g Surcharge• "If contract value is GREATER than$10,0�0,Surcharc�e=Contracl Value x$0.0 05 '•'If the project valualion is over$1 mllllon,please call for Surcharge =$ TOTAL FEE I hereby acknowledge that this information Is complele and eccurete;that the work will be n conformance with the ordin�naes and coder oF the City of Esgan;Ihat I understand this is not a permlt,hUl Or11y en applicalion for a permil,end work is ot to slert wilhoul a permit;lhat Ihe work will be in accordence wilh the approvad plan in the cese of work which requires a rcvlcw and approval of plans. x �a h � g I `C`�►e�e vt x ' �- 1 ApplicanYs Printed Name App a t's Signatu�e , . ..,: .. ...,... .. �'.OR.O .FICE.USE:�... . ... ... .:.. - - ,....._.�.. , „ �. ...�......... .......:....... .. . ; ,. .. . . ,. :.. ......._... ....... .,_,.�......... ..... .. :, . ,, ... ..,.._ .:..,:. , :.::,. . .,.: . ..... .... ..... ......... �..... ...._...,.:.,.. .. ...... . - ........ .:. ..:. ,. ,,. . .: . ............ ...::... ...... .............. . . .: ..... . . .. .:,...,- - • : �:`s:::.� . . . ..k. fte uired ns ecG -..,. . ,,...: ..,,. . :..: ::.... .: .... . - 9 � P.. 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Use BLUE or BLACK Ink #Cit. ofEatan Th2-s-2--- --1-(' ,3236,.9sLy 1 Pett jz 7 'S6/gf i —S2 -2-L-1, —S7 -21p, -- 2:2-, '323D r For office use I 3830 Pilot Knob Road vi (4 i 1 4' 12- I Permit Fee: ‘449_;?t00l 1 Eagan MN 55122 I Phone: (651) 675-5675 1 Date Received: I Date: Fax: (651) 675-5694 i Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION • Resident/ Owner Address / City/ 1650 City View Dr. / Eagan / 55121 Applicant is: Owner N14 Contractor Type of Work Description of work: i? _ et Site Address: "-te5e-GiirMetrer. / Eagan / 55121 .2cPI I Phone: Name: Valley Ridge Townhomes unit #: 32zq Nzrei Construction Cost: 3 c,430q .144 Company: Capital Construction, LLC ulti-Family Building: (Yes No contact Cole Quinnell Contractor I Address: 406 Gateway Blvd. State: MN Zip: 55337 License #: BC -645094 City: Bumsville Phone: 952-222-4004 Email: cnie@capitalconstruction-11c.com Lead Certificate #: NAT -F156131-1 If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING in the Iast 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: Phone: i NOTE: Plans and supporting documents that you submit are considered to be public infortnation. Portions of the information may be classified as nonpublic 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) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecallorq I hereby acknowledge that this information is complete and accurate; that the work will be in conformanc.e 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 Cole Quinnell Applicant's Printed Name x Applicant's Signature Page 1 of 3 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-5694 buildinClinspections(a7cityofeaClan.com I I For Office Use I jPermit #: Permit Fee: I I I I Date Received: I I I I I Staff: I L----------------- 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 11/19/2018 Site Address: 3264 HILL RIDGE DRIVE Tenant: Suite #: 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 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.citvofeagan.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 STEVEN SCHNEIDER Applicant's Printed Name X Applicant'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: SARAH FLANAGAN 651-341-1579 Resident/Owner Name: Phone: Address/ City /Zip: 3264 HILL RIDGE DRIVE, EAGAN, MN 55121 GENZ RYAN PC643433 Name: License #: Address: 2200 W HIGHWAY 13 City: BURNSVILLE Contractor State: MN Zip: 55337 Phone: 651-202-7710 Contact: STEVEN Email: PERMITS@GENZRYAN.COM Type of Wank New 10( Replacement Repair Rebuild Modify Space Work in R.O.W. Description of work: INSTALL WATER HEATER RESIDENTIAL 1 Water Heater Water Softener Lawn Irrigation ( RPZ / PVB) Permit Type Add Plumbing Fixtures ( Main / Lower Level) Septic System New Water Turnaround 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) TOTAL FEES $ 60.00 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 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.citvofeagan.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 STEVEN SCHNEIDER Applicant's Printed Name X Applicant'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: