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3225 Hill Ridge DrCITY OF EAGAN ?---1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT V? Receipt # To be used for RF?E T-P Est. Value $;''+00r Date . 19 ress 3247 'r+1. L3. RIDGE G". Site Add 71 Lot BIoCk ' SeC/Sub. R013wt0 a FFICE USE ONLY PBfC@I NO. Occupancy - FEES _ Zoning _ W Name ?i'=J-L:= ?? r Y?+'? ?"G?fES ?Actuap Const Bldg. Permit • o Address 3= `2 Vx%LLEY Rr WE DR (Allowable) - - Surchar e 4 • ? ?' City C4??`I Phone 454-8145 #orscodes g - Plan Review Length o Name U;.FEhT`c',R E-)L' ' F CrJKST DePm - sAC City O a Address 16 5-L '???? J't' ={+Y? AVE S.F. Total . - L ) - SAC, MCWCC ? R7.", PhOne 776"'8911 City `T S.F. Footprints Water Conn ? On Site Sewage _ F W Name On Site Well - Water Meter _? Address MwCC System - ? Z a W City PhO1lB City Water Acct. Deposit - S/W P i PRV Required erm t _ I hereby acknowlege that 1 have read this application and state that the Booster Pump - S;W Surcharge intormation is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment Pi Signature of Permitee APPROVALS Road Unit CA:?a.;• i:.F :.Ci?"3 ?.t ?\'S'1 A Building Permit is issued to: Planner Park Ded. on ihe express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. - CDpieS 1?? ?? Building Official Variance - TOTAL Permit No. Permk Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Commenta Footings I Foundation Framing G1-1'9 Roofing Rough PI6g. ? ? - Rough Htg. Isul. Fireplace Final Hig. Final Plbg. COnst. Meter Plbg. Inspectot - Notify Plumber Engr./Plan Bldg. Final Oeck Ftg. Deck Final weli Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: .i••t Eagan, Minnesota 55122-1897 Date Issued: ? (612) 681-4675 ~ SITE ADDRESS: , , i t Il??l' f11 ? PERMIT SUBTYPE: . APPLICANT: TYPE OF WORK: ? . , . ? Ai ?i FtAI l11N (';Ikitti(;1 I I• ?ti 1? I 1?:r? .? fJl71 I ' 1141 I tllif '. '31? ? ? t i 31.4 q II l I 1 t, 1 414,F 1 ---I I Permft No. Pertnit Holder Date TelephoM i ELECTRIC PLUMBING HVAC InspecHon Date Inap. Comments F40TINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. c BSMT FINAL DECK FfG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPE SITE ADDRESS: , ,, j; 116E: 144 i;l,l It I f.ANA I." oN RECORD PERMIT TYPE: Permit Number: Date Issued: I p< <,, t APPUCANT: , i? . . ; :t'. r•,???} i tar, tift r i r+ trvt, b .? ?? F; r?„ Nf. ? ? 1 MARKc? !Mt I I Ilrl ', 3.3;;.' 7. . "3::3L . 3T,3 3. :3J'3!i. 3231 , Fi 1 ;1'34 !II L 1. frlll+if 1)F? 7 -j ? PERIUIIT SUBTYPE: TYPE OF WORK: ,: e F' A r R iiri't AcF 001;frwil PormR rio. Permit Hoas. Deoe TeMpnone • SNN PLUMBING HVAC ELECTRIC ELECTRIC Inapsctlon Date insp. Comments Footings I Foundation Framing Rooflng ! Rou9h PIb9• Rou9h Fitg. Isul. Flreplaoe Fnal Htg. Orsat Test Fnal Pib9• PIb9- Inspector - Notity Plumber Const. Meter Engr./Plan Bldg. Finel Deck Ftg. Declc Final Well Pr. Dtsp. RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 65122 651-681-4675 NewConstrvMlon Reauirements • 3 registered site surveys showing sq. d, of b4 sq. R. of house; aM all roofed areas (20°k maximum lot coverege allaxed) • 2 copies of dan showirg beam & window s¢es; poured found design, etc.) . 7 set uf Energy Calculations . 3 copies M Tree Preserva6on Plan if Wt pletted after 70193 . Rim Joisl Detag Options selettion sheel (bldgs wilh 3 or less unifs) DATE JOB SITE IF MULTI-FAMILY BUILDING, HOW MANY PROPERTY OWI TYPE OF WORK APPLICANT jg ADDRESS ? PAGER # _ ? 0 1 2 s1-14.4 -8'i Ln,l -al/wO ' gq83 FAX # /a:Ll - LtB?l? ' 4lsr?L9 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Conhactor: ? Air Conditioning _ Heat Recovery System Phone # CJ ? Phone # All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this applicotion, state that ihe informakrt is corrnd agree to comply with all applicable State of Minnesota Statutes and City of Eagon OrdinanCes Signature of AppltcaM Certificates of Survey Received _ Tree Preservation Pian Received _ ?ot Required _ . Updated 1101 _ Water SoRener _ _ Water Heater _ _ No. of Baths -3 1`1[ -7 Is- aa-?.c) ( RamodaLReoair Reauiremenls . 2 coDies W plan . 1 sd of 6rertgy CWculatians Im heated additions • 1 sNe survey for exterior addiflons 8 decks . Indrcrate if Mme served by septic syslem fof add'N'ons Phone #: lawn Sprinkler Fee: $90.00 No. of R.I. $aths OFFICE USE ONLY ? 01 Foundation Q 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) 0 31 Ext. Att- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex p 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 52-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) [3 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46, Windows/Doors ? 34 Replacement 'Uemolition (Endre Bldg only) - Glve PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) Footinga (deck) Fina Footings (addition) Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total FinallC.O. _ VNo C.O. _ Plumbing HVAC Building Inspector CITY OF EAGAN N? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ;PHONE: 454-8100 BUILDING PERMIT Receipt # ' To be used for FIRE REPAIR Est. Value $8, 000 Date Site Address 3227 HILL RIDGE DR Lot 3 Block Z Sec/Sub. ROBERT KARATZ Parcel No. c Name VALLEY RIDGE TOWNHOMES o Address 3252 VALLEY RIDGE DR City EAGAN Phone 454-8145 o Name CARPENTER BOB'S CONST g? Address 1654 WHITE BEAR AVE City ST PAUL Phone 776-8911 ? ww Name Address aw City Phone I hereby acknowlege that I have reatl this apphcation and state that the mtormaaon is correct and agree to comply with all applica6le State of Minnesota StaWtes a i of Eagan inances. SignaNre of Permite? A Building Permit is issued to: CARPENTER BOB' S CONST on Ihe express condition that all work shall be done in accordance with all applicable Slate of Minnesota Statutes and C,1ity of Eaqan Ordinances. BuildingOfliaal fjd7Si f..1L ?QA?? I T1 /I Occupancy Zoning (Actuap Const (Allowable) # of Stones Leng[h Daplh S F Total S.F. Foolpnnts On Sne Sewage On Sne Well MWCC System Qry Water PRV Reqmred eoosler Pump APPHOVALS Planner Council em9 ar. Variance iszis OFFICE USE ONLY FEES i9 89 Bldg. Permrt SurCharge Plan Review SAQ City SAC,MCWCC Waler Conn Water Mater Acct. Deposrt S/W Permit S/W Surcharge Trealment PI Roatl Unit Park Ded. Copies TOTAL 100.00 4.00 i ni, nn INSPECTION RECORD CITYOFEAGAN PERMITTYPE: suiLoiNG 3830 Pilot Knob Road Permit Number. 020856 Eagan, Minnesota 55123 Date Issued: 06 /06 /93 (612) 681-4675 SITEADDRESS: Lpr: s BLOCK: 2 APPLICANT: 3225 HILL RIDGE DR GRUSSING ROOFING ROBERT KARA72 (612) 935-0557 PERMIT SUBTYPE: MuL7x. (Misc.) ? TYPE OF WORK: aEpAxR DESCRIPTION REPLACE ROOFING REMARKS: INCLUDES 3227, 3229, 3231, 3233, 3235, 3237, & 3239 HILL RIDGE OR ACITX OP EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3225 HILI RIDGE DR LOT: 3 BLOCK: 2 ROBERT KARAT2 BUILDING 020856 05/06/93 DESCRIPTION: ' ? \ . . . ._. ? i .. u _. REMARKS: INCLUOES 3227, 3229, 3231, 3233, 3235, 3237, & 3239 NILL RIDGE DR FEE SUMMARY: VALUATION Base 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 RIDGE DR HOPKINS MN 55343 EAGAN MN (612) 935-0557 (612)774-6013 I hereby acknowledge that I have read this epplication and state that the information is correct and agree to camply with all applicable State of Mn. Statutes and City of Eagan Ordinances. ? - ? !g?APPIL RkTI E ISSU 0 BY: SI URE REPLACE ROQFING Building Permit Type MULTI. (MISC.) 8u31ding lJork Type REPAIR c>o s ?? ? ? REACTIVATE _ PERMIT ? lot #j (o CITY OF EAGAN 1993 BUILDING PERMIT APPLICATION $q4, j O 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 nat 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 Date ??? Site d ress• '> D- `-> - 9-2 - 2 Y•- 3(- 33 - 35 - 3? STREET Sl1ITE X Tenant Name: (commercial only) IAT --a- BLOCK SUBD. P. I. D. M , Descri tion of work: The applicant is: ? Owner ?Contractor ? Other (Deseribe) Name Phone'21? -Cec7l3 Property R i LAST FI Owner 3a ?/ D ?? qddress STREET $TE # _ City ? 14NOtry; State Zip Company Phone # E ? ?? ? CA% Contractor xp. se Address City n ? State Zip Company Phone Archttect/ Engineer Name Registration # 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 tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ? ? OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation 0 06 Duplex 0 11 Apt./Lodging ? 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc. 13 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory E3 04 SF Porch ? 09 12-Plex E3 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'l. O 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Yariance ? Footing O final 0 Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review license MWCC SAC City SAL Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: wtu.ctw,: g • : [3 16 Basement Finish ? 17 Swim Pool ? 18 Comn./Ind. ? 19 Comm./Ind. Misc. 0 20 Public Facility ? 21 Miscellaneous ? 37 Demolish MWCC System City Mater PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments sac x SAC Units INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Datelssued: (612) 681-4675 SITE ADDRESS: LOT: 3 3225 HILL RIDGE OR ROBERT KARAT2 PERMIT SUBTYPE: MULTI. (MISC.) APPLICANT: BLOCK: 2 HAFNER (612) 454-8145 TYPE OF WORK: DESCRIP7ION BUILDING 025491 05J02/95 AIBERT ALTERATION (SIDING) INSPECTION RAMING .. . ROOFING DA NSULATION FINAL REMARKS: INCLUDE5 3227 3229 3231 3233 3235 3237 3239 HILL RZDGE DR ? L ? , CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ?U4qo BUILDING 025491 05/02/95 SITE ADDRESS: 3225 HILL RIOGE DR LOT: 3 BLOCK: 2 ROBERT KARATZ DESCRIPTION: --?_. (sxazNG) Building'P.ermit Type MULTI. (MISC.) B,uilding Wolrk_Type ALTERATION I r" m? - • ?' ? . /" _ .i?,.4 •.. ? ...? ..? .. _ s _. _. ?-'1 ? ? ?y ?t ...f REMARKS: INCLUDES 3227 3229 3231 3233 3235 3237 3239 HILL RIDGE DR FEE SUMMARY: VALUATION $8,000 6ase Fee $99.00 Surcharge $4.00 Total Fee $103.00 CONTRACTOR: OWNER: - Applicant - HAFNER ALBERT 3240 HILL RIDGE DR EAGAN MN 55121 (612)454-8145 ? I hereby acknowledge that I have read this application and state thet the infarmation is correct and,agree ta comply with.all applicattle State of Mn. 3tatutes and City of Eagan brdinances.' ' ? - .?ruan R.o?" ?.1?_ rn,? APPLICANT/PERMITEE SIGNATURE ISSU D SI U E 49, CITY OF EAGAN I 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (inGude beam & window saea; paured fid. design; etc.) ? 2 site surveys (erzteriw edditions 8 decks) ? t energy ealoulalions ? 1 energy wlculations (or heated additlons ? 3 coples M tree preservation plen if lot platted after 7/1/93 roquired: _ Yes _ No DATE: April 25, 1995 CONSTRUCTION COST: $7.600 DESCRIPTION OF WORK: Sidinq STREETADDRESS: ' 3225, 3227, 3229, 3231, 3233, 3235, 3237, 3239 Hill Ridge Drive LOT -j- BLOCK ?,. SUBD./P.I.D. #: Robert Karatz Add. PROPERTY Name: Albert M. Hafner PhOf1@ #: 454-81 45 OWNER '"s* `i"e' StreetAddress- 3240 xill Ridqe Drive Clty: Eagan State: MN ZjP; 55127 CONTRACTOR Company: sAME Phone #: Street Address: License #- City: State: Zip* ARCHITECT/ Company: ENGINEER Name: Phone #- Registration #- Street Address- City: Sewer 8 water licensed plumber: /"?A change are requested once permit is issued. I hereby acknowledge that I have read this appiiqtion and state that th applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: _ Yes _ No _ Yes _ No State: Zip: Penalty applies when address change and lot OFFICE USE ONLY BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 02 SF Dwelting ? 07 4-plex 0 03 SF Addition o 08 8-plex ? 04 SF Porch ? 09 12-plex 0 05 SF Misc. 0 10 _ plex WORK TYPE 0 31 New ? 33 Alterations ? 32 Addition o 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth ? 11 Apt./Lodging ? ? 12 Mufti RepaidRem. o 0 13 Garage/Accessory o ? 14 Fireplace ? 0 15 Deck 0 36 Move ? 37 Demolition Basement sq, ft. Main level sq, ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq, ft. APPROVALS Planning Building ' w. . .. . . 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee 99. a° Surcharge y cb Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNN PermR S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ '51 Ocqp % SAC 5AC Units 1989 BUILDZNG PERMIT APPLICATION - CITY OF EAG9N SINGLE FAMILY DWELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUROEYt 1 SET OE ENERGY CALCULATIONS NOTEs ADDRFSSES FOR CORNER LOTS - CORTRACTOR/HOME041NER M(13T D£.SIGNATE WHICH ADDRESS IS DFSIRED. NO CHANGES WILL BE ALLO[i6D ORCE SUILDIN6 PERMIT IS I330ED. MULTIPL6 DFiEi.LINGS RENT6L UNITS FOR SALE UNITS / OF UBIT3 INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURYEY - CAECK NITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CONAfERCIAL INCLUDE 2 SETS OF AACHITECTURAL & 5TRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Site Address ??u ??a..? Valuation: ???•UU Dates OFFICE U36 OLQLY Lot .3 Bloek Z Parcel/Sub RoraeQ- r ? qR Q- r-2-6 AA'D. Owner 4n Address 3-25a I?YGQ?_ " IL f?_ City/Zip Code 4 2d--- S"C5 Phone Contraetor Address /(i Sel City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone 0 Occupaney Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV required _ Hooster Pump ? E6&3 Bldg. Permit J00- vJ Surcharge 44,00 Plan Review SACO City SACt MWCC Water Conn Water Meter Aect. Deposit S/W Permit 3/W Surcharge Treatment P1. Road Unit Park Ded. Copies TOTAL !o v,oo Couneil Bldg. Off. Variance NOTE: 3ecrer & Water Permit fees and acoount depoait fees will be included in the building permit fee. Procesaing time for serrer and water permits is two daqs onoe a lieenaed plumber has applied Por a permit at City Hall. 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. pq (? Date 1 1611 Site Street Address -l - ?A Sl Unit # Property Owner Telephone #?I ) ' U I Contractor -? Telephone #?(,?)i_%C 7 Q`lY QfQ? Address =?? 1- Citv State l1=l Zip ?6n11 The Applicant is: _ Owner ? Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 5l8" meter is required) Other: \AWater Softener Water Heater $ 15.00 _ replacement ? additional I Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ 50 Total $? 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 event a plan is required to be reviewed and approved. ? c\" iL ApplicanYs Printed Name pplicanYs Signature E GAN .: , ; , . ' WATER SERVICE PERMIT ' ;'"3`I95:4P =;, 4 '. a oad : PERMIT NO.: 1 t 14445122 DATE: Ji,...4.„, 3, 1974 Ong: R� Na. o Units: 8 Owner: Riv r - -te 11t Address: Site Address: .i -' , . :5.- )7 -39 '' , .ridge Plumber: 4- t Meter No.: Connection Charge: ' 4 Size:., Account Deposit: $10.00 Reader No. Permit Fee: .5C I agree to comply with the Village of Eagan Surcharge: ',Orcksances.� Misc. Charges: � 1.1 S' `�.� Total: BY Date Paid: Date of Insp.: Insp.: • VILLAGE OF EAGAN 3795 Pilot Knob Rood SEWER SERVICE PERMIT San, MN 55122 PERMIT NO.: 2268 DATE: Zoning: $.. .Ttil No. of Units: Owner: ♦ . Address: Site Address: 2ev'..2 -2 .. Plumber: der_ arst „ I agree to comply with the Village of Eagan Connection Charge Ordinances. Account Deposit: 1°•°° Permit Fee: , 5C By: �✓ s� � Surcharge: Date of Ins Misc. Charg P•: Insp.: Total: Date Paid: �CityofEat 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 72- , -2zj, -3-z al zap 323'7, 3230/ Use BLUE or BLACK Ink For Office Use Permit #: / , 7O 1 Permit Fee: 46/ Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Dr. / Eagan / 55121 ner Type of Work Contractor Name: Valley Ridge Townhomes ,1 r- c Address / City / Zip: 1650 City View Dr. / Eagan / 55121 Applicant Phone: Unit #:,'22•S-3Z+'I erIt Contractor Description of work: CCs25'1 Construction Cost: $O 36.5 Z • Company: Capital Construction, LLC Address: 406 Gateway Blvd. Multi -Family Building: (Yes %{ / No ) Contact: Cole Quinnell State: MN Zip: 55337 Phone: 952-222-4004 License #: BC645094 Lead Certiflc the project is exempt from lead certification, please explain why: City: Burnsville Email: tole©capitalconstruction-lic.com NAT -F156131-1 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: Phone: NOTE; Plans and supporting documents that you submit are considered to be public the inforrnation may be classified as non-public if you provide specific reasons that conclude that the are trade sec iarmation. Portions of uld 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 undergroundutilities. www.000herstateonecatiorq 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 Cole Quinnell x Applicant's Printed Name Applicant's Signature Page 1 of 3