3255 Hill Ridge Dr
Use BLUE or BLACK ink
For Office Use
1 Permit
blity of Ealan
3830 Pilot Knob Road ( Permit Fee:
i
Eagan MN 55122 i Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5 i
cJ 71
staff-
2011
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: S , a o • a0// Site Address: Dr Emit
Name: Phone: 763- yy9 26042
RESIDENT /
OWNER Address /City /Zip: 635Q a s-~ Ave,. M. ri, 10 [ (y yy rA
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost "t Multi-Family Building: (Yes No
Company:, !~LA n n~Se, _c Contact: t
CONTRACTOR Address: _r~ 7 6 ~oFu City
State: _M- Zip: Phone: f~I 761 - 9~ 45
License # / Lead Certificate
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 information. Portions of
the information maybe classified as non-public 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.
Cali 48 hours before you intend to dig to receive locates of underground utilities. a vww.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 vaI
I
X -30e.4 p,+P rc -k2 x -
Applicant's Printed Name A "cants Signature
Page 1 of 3
A -2o???'?`??r;a? Pla7`
czz^r cF n°,Ga.r
J'%n,`i Pilot Yneu fio<:.d
.i
Esz3n, T+,innesota 55-1 r2
PEFMIT IdO.: 24
T:ie Cit;r oi Ea.,an nereby gre,nts to I`1llbert 00. - Culligan
of 1001 Marie Ave. So. St. Paul
u Water Softener Pe-rr:it for: (Owner)
---- --- fi
?. 261 Hillridae p'1?'31i3I]t 'Fi0 appli^ation daced ' 3/19/76 `
?c:; $15.00 dz:ted this 8th day of April , 19 76 _
1'r,^
1.''`U1--l1:3g IL]5j:ei:?.?2
I'c:^f!'.tS-
?
K 54 11 ??
o0
Peque 1 Date Fira o.
a? Rovgh-in In ion
Reqmretl, o
?Yes
atly Now 0 WII NobN InspeCtor
WhenReaGy?
6censed contractor ? owner hereby requesl inspection of above electrical work at:
Job Atltlress ISVeet. Bo o Route N.) DY
s ? iv- ?
Section No Townshp Name or No Fange No C
?IIPRINT)
n Ii %wire No.
Power SoOPher Atltlress
Ele al ontrador 1 ompany NaCL Canirector§ L¢ense No
MaNng Atltlr s ICOnlractor or er Making Ins?allaUo lN
NCetl igndWr21G0 rdMOr;Owner Makmq In51a db0nl Fhone29Num6ea
0 ? 25-_
j
MINNESOTq STpTE A D F EL TPICITY THIS INSPEGTION REOUEST WILL NOT
GrlgpsMiEwBy BIEg. - o0 5-173 BE ACCEPTED BV THE $TATE BOARD
1021 Universi?y Ave., . aul. N 55 OJ UNLE55 PROPEfl INSPECTION FEE I$
PMrie (61I) 8a3-0B00 ENClOSEO.
REQUEST FOR ELECTRICAL INSPECTION '*•^?ee,00001 .oe
9?? ? See mstmcLOns lor completmg this lorm on Dack of yellow copy ?4
i/ 9 ` /o8s% 7
5/ T111 "X" Below Work Cavered by This Request ?.`I,
ew AOd Rep. TypeofButlding ApphancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt Building Dryer Other-(Specity)
Comm./Industrial Furnace
Farm Av COndi6oner
Other ?spenly) ConVacror's Remarks',
?S?c? ?i eh ?„ 1?1 G
Nl_ Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Siqns inspector's Use onry- TOTAL 5 ?
Irrigation eooms
i
/
S
1
Speaallnspection - L?'?
nlarm/Communicaoon THIS INSTALLATION MAY BE ORDER NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspector, here by Aougn,n oare
certify that the above inspection has
been made. Final a
? /e, ?
OFFICE USE ONLV ?
This raquest wW 18 monins fmm
r, RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for. Single Family Dwellings & Townhomes and Condos when permits aze required for each unit
15?3osfl
Date-lo_/9 /o'3
Site Address 3.q(61 Unit #
Property Owner M 0 'l (?
? ?/'?Y1?) • Telephone # / ln 7 S
.
LOFppEN
Contractor HEATI
5465 212TH STREET W. STE
4
Street Address .
FARMINGTON en bi Cit3'
State Zi Telep6one # (4 ? f ) WW7 . ?_3 12
p
Bond #: Expires:
The Applicant is _ Owner A Contractor _ Other
Add-on, modificaNon or alteration to esisting dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner _ New _ Replacement
other
State Surcharge $ .50
CI
? ?
Total I
i $
1`? ?
I hereby apply for a Residential Mechanical Permit and acknowledge that the informarion:is_complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes-,-1ITat I understand this is not a
permit, but only an application for a permit, and work is not to start without emvt; that the woik 1 be m acwrdance with the
approved plan in the case of work which requues a review and approval of pla s? /? j "I /
Appiicant's Printed Same "Yplicant's S?Vrure
COMMERCIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: commercial/indumial buildings
multi-farnily buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
i ropxrYy Owner Te!ephane # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #• Expires:
The Appticant is _ Owner _ Conhactor Other
Work Type
_ New construction _Install _ Remove Underground Tank
_ Interior Improvement Schedule inspection during installatlon or removal of tank
Processed Piping
Nature of Work:
Pel'Itlil Fee $50.50 Minimum Fee (includes State Surchatge)
Contract Value $_ x 1% _$ Permit Fee
• If permit fee is $1,000 or less, add $.SO
If permit fee is over $1,000, add $.50 per ? $ State Surcharge
$1,000 Pemvt Fee
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and aclmowledge that the information is complete and accurate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand tkris is
not a pernvt, but only an applica6on for a pernnt, 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.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector Date:
.1? Z PLUMBING (RESIDENTIAL)
J 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 pernilts are required for each unit
Date --?2-/
Site Address ?•? J? ? Jry /i qcYe QJY Unit #
Property Owner J?C?70 0)? Telephone #(6s1
i
q
y-'1
kp'"
Contractor /
lt)l'1 i10 o
Address )?i4Iwe.iJ fJve cicy LQke??l/?e
State f?')1I'I/7 . Zip ?SOf! Te?ephone#
The Applicant is _ Ovmer _E/Contractor _ Other
Septic Sys[em New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Addltional consultant fees may appiy.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other: A? `-
-
??
„
RPZ _ new installation _ repair /rebuild c? $ 30.00
Lawn irri
ation s
stem
g
y
_
?
r
W
ater
W
t
ft
t
h
_
a
er so
ene
a
er
e $ 15.00
_ replacement _ additional
$ .50
Sta[e Surcharge
Total $ '~ 0
I hereby apply for a Residential Plumbing Permit and acknowledge that the informahon is complete and accurate; mat tue worK wiu
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
peanit, but only an application for a permit, and work is not to start without a pern'nt; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans. I-)
Applicant's Printed Name Appli t's Signahxre
, ?. -...
?
,
?"N k
?'L:""_'... _ _"??lZ- _ ?`4„? x,._' _k?'?,...??'?2'Ss?',3Cr?^??-'?^-..,v?.+,}?s.?KA-"S.L4-.,'.?,t,J6n'Y':.'d"v?+lY•..sJ 1`^?Lauv??e4t ?iF.n'+..r???.
?
" EAGAN °i'O°WNSHIP ?
BUILDING PERMIT N° 2916
Owaez ...... .' ................ . ? ? --'°°----• Eagan Township
Address (presenf) ° ....... ''? ?`r? ....... ? ............. Town Hall
.........?.---'--...--°---
Suilder ......... ............................... .....................-°-'-`--- -7 7- 7 2-
Dale ................................................
Addsess ....................................................... -°------.._....................-°---
Siories To Be Used For Fron! Daplh Heighi Eai. Cos! srmi! Fee Remazks
?O?f3,o? /o'Si9•SO ?Pq C??
. ?10 ? Gt?+??-' ?,?"? ? /•ee.on
or
ai i. ?
?.?.?..?, _V
90 I o/
This permll does riot aulhorisa the use of streeta, roada, alleys or aidewalks nor does it give the owaer or Lis agent
the sigL! !o create anp ailusHoa which is a nufsaaee os whioh psesanls a hesard !o ffie health, eafelp, conveaianca and
genaral weliare !o anyoae ia the eommunitp.
? PREMISE WHILE THE WORK IS IN PROGRESS. ,
THIS PERMIT MUST BE ?E?P-yT?? ONTHgv
Thb is !o certlfp. !he!°--°4l!!"t..`.??---° `-°'?.°---.........bas permiasioa !o aseet a_1 ?4...??.a..T?
the a6ove doscribed pramisa eubjec! !o !he provisiom of the Building Ozdinance for Eagae Township adopled April 11.
1955.
......... 1....:..........:...: - C----------------- -------- `r`p.r .....---?---.....-.l?-O`?-c--------Q...-------..•..^?.__...........-------.......---
4j Chairmaa-v-?-?- ?asd Buildin Inspector _t
X?P-,Cja_A
MASTER CARD
owNeR
STRUCTURE AND
LAND USED AS
Permit I
No.
Issued Issued To
Contractor Owner
BUILDWG ? ?.j ?^?
PLUM8ING
CESSPOOL - SEPTIC TANK ?
WELL
ELECTRICAL
HEATING ?
GAS INSTALLING
SANITARY SEWER
OiHER
QTHER
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING 7-5 - - 73 SEPTIC
FOUNDATION 7-1- . 73 CESSPOOI
FRAMING %f TILE FIELD FT.
FINAL
ELECTRICAL
HE.4TING
ofp,/s.7 3 DEPTH
Of WELL
GAS INSTALLATION
SEPTIC TANK I
CESSPOOL
DRAINFIELD
PLUMBING p , Ij .
WELL
SANRARY SEWER -S 73
- - y
Violations Noted
on Back
COMMENTS
.?
?
COMPLIANCE INSPECTYON REPORTS
TO BE USED ONLY IN fiVENT OF 085ERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS Of CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS.
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DEIAYED BY CONDITIONS BEYOND
CONTROL.
AND DESGRIBED AS FOLLOWS:
? REINSPECTION REQUIRED
DATE OF REINSPECTION
REVEALED
CERTI FICATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions observed to 6e at variance with ordinancas of the Town of Eagan, apprwad plans and specifications, end any apecific repuire.
ments for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS AGCEPTABLY COMPIETED
BUILOING INSPECTOR
1!IR, za
$AGAN TOWNSHIP ,
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR S&lER SERVICE CONNECTION
DATE:tBatk 12/29/72 (4/25/73) NUMBER 1331
3255-57-59961-63-65 Hillridge Drive
OWNER:Rivergate Villa_gldg. 17 Address3299WbC
PLUMBBR Berghorst Plumbing Co, Ty[pE OF PIPE heavy cast iron
DESCRIPTION OF BUIIDING
Induatriall Commerciall Residential I Multiple Dwelling I No, of unita
I I I xr 16 - townhouses
Location of Connectiona:
Connection Charge1170.00 billed 4/25/73
Permit Fee 10. 0 pd 12/26/72
. p 2
Street Repaira
Total
Inspected by:
Date
Remarks•
Sy
Chief Inspector
In consideration of the issue aad delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagaa Tormship, Dakota County, Minneaota
By
Berghorst Plumbine Co.
Please notifq when ready for inspection and conneetion and before any portion
of the work is covered.
?aab?? ,??uu?
EAGEN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minaeaota 55111
Telephoae 454-5242
PER4rIIT FDR WATER SEAVICE CONNECTION
Date: 4/25L33 (12/29/72)
i"2/- o/
Number• 1187
Billing Name:Rivergate Villa -Bldg, 17 Site Address: 3255-57-59-61 -63-65 Hil7ridge Drive
Owner:
P1umber:Berghorst Plumbing Co.
Coanection r
Metpd
Meter
Building is a:
Residence
14ultiple x Xo. Units,
Commercfal
Industrial
Other
-'r x5p
Permit Fee 10.00 d 12/26/72
. Ond122 /72
4/25/73
Meter Reading Meter Dep. -
Meter Sealed: Yes Add 11
NO Total Chg.
Inspected bq
Date
Remarks: ? ??R
L? 00$.
T Ps?L.?
?•
By:
Chief Inspector
In consideration of the iseue and delivery to me of the above permit, I
hereby agree to do ttie proposed work in accordance with the rules and
regulations of 8agan Towaship, Dakota County, Minnesota.
By:%/ -?-
Billiag Pddress
Berghorst Plumbing Co.
Please aotify the abwe office when ready for itwpection and connection.
5
PLiJMBING (RESIDENTIAL)
Permit Application
City Of Eagan
?•C ? 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
1 ?33g59
Please wmplete for: Single Family Dwellings
Townhomes and Condos when pernuts are required for each unit
??`'S7c^?
? / ! / 03
D
t
a
e
4,06
a it #
U
"
Site Address
-' n
•
P
O
e
t ?) CO ? d- 33D ?
Telephone #(4
roper
wn
r
y 1
Contractor
McGuire & Sons
Address
?n5 12+t, n c
- City
p?
.
T
state HOpkins. MN 55343 Zip
Telephone # cq?? Q3 J-
g???
The Applicant is _ Owner Contractor _ Other
SepHc System New _ Refurbished Submit 2 seCS of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Erzisting Dwelling Unit, Induding $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 518" meter if needad -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener )? Water heater $ 15.00
replacement _ additional ?
I $ .50
State Surcharge
BY- ---Z
$
Total
I hereby apply for a Residential Plumbing Permit and aclmowledge that the informarion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
pertnit but only an application for a permit, and work is not to start without a p t; that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of lans.
LA
Applic t's Printed Name ApplicanYs S gnature
I r-Il13'l
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for. single family dwellings & townhomes/condos when permits are required for each unit
4?3 0, ru
DateQ9 e:; K" fc)?05
SiteAddress.dd(Do??T/2/d Unit#
Property Owner .J 1 mft1 v ri^Gt in 5? (,(1 Telephone # (4.°J l ) 7 7 '1 -07 O .?-
Contractor LQU I I A
A
4
5 Cit
7R05evn0LlY'1+
Street Address
2
e: y
State Zip 550(O S Telephone# ((p,§/ )J;U-(MU0
Bond #: Expires:
The Applicant is _ Owner A Contractor _ Other
Add-on or alteration to existing dwelling uni[ $ 30.00
-V furnace _Additional Y-Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
$ 30 ?1-0
Total
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 approvAziphuls. 1-2
6)a .j S verson, NJAe &orclina+ar
ApplicanYs Printed Name
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for, commerciaUindus[rial buildings •
multi-family 6uildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
S[ate Zip Telephone # ( )
Bood #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
_ New Construction _ Underground Tank _ Instail _Remove **see below
_ Interior Improvement _ Install Piping _ Processed _Gas
Nature ofWork:
"When installing/remoNng underground tank, call for inspection by Fire Marshal and Plumbing Inspector
Permlt Fees: $70.50 Underground tank installation/removal
$30.50 Mtntmum (includes State Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ea rmit fee is $1,000 or less, add $.50 ? $ State Surchazge
IF eo rmit fee is over $1,000, add $.50 for
every $1,000 oe rmitfee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
App]icant's Printed Name Applicant's Signature
Approved By: Inspector
?.5--A 5
zoos RESIDENTIAL PLUMBING PeRnniT aPPLicaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
mlea
A 15 50
Date "? I ? I Q(o
Site Street Address l ?5 ? ? • Unit #
Property Owner &uf C 1 tid Telephone # b?d g__t1 917
Contractor 7elephone#`?1)
Address 0 city F Lt- CL State Mn1 zip SS1
The Applicant is: _ Owner ?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are installing on/v a water sofrener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment ,
_Water Turnaround (add $130.00 if a 5!8" meter is required) JUN
Other:
_ - -- -
I
Water Softener VWater Heater ?$? 15.00
_ new _freplacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
$ ( S •? b
Tota1
I hereby apply for a Residential Plumbing Permit and acknowletlge that the intormanon is compiece ana accurace; mac me
work will be in conformance with the ordinances and codes of the City of Eagan and ihe plumbing codes; that I
understand this is not a permit, but oniy an application for a pertnit, work is not to start without a permit and work wiil be in
accordanc:e with the approved plan in the event a plan is required "o b reviewed and-alwfted?
? \C, 6\ C'., ?
ApplicanPs Printed Name App ica Ys Signature
7T o
*_t4? ,?? ?
2006 RESIDENTIAL MECHANICAL rExMiT nrrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single femily dwellings & townhomu/condos when permits are required for each unit
Date.-W /??
-t-r-
Site Address"'L1oy
7c ?
Unit #
Property Owner ? M V F?, (41
T ?^ Telephone #(l?/
?
Contractor HALEY COMFORT SYSTEMS,INC.
Street Address _ 122 4TH ST W _ City _ HASTINGS
State _ MN Zip _ 55033 _ Telephone # 651.437.0338 _
-
- --
Bond #:_ MN22041 Eapires:
- --------
913l2006
The Applicant 1s _ Owner ? Conhactor _ Other
Add-on or alteratton to exis[ing dwelling unit $ 30.00
furnace _Additional _Replacement _ New
air exchanger
?
air conditioner
heat pump
other
Sta[e Surcharge $ .50
Total g
I hereby apply for a Residential Mechanical Permit and acknowledge that the informa6on is complete and accurate; that the work will
be in confocmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand Ihis is no[ a
pemiit, but only an application for a pemit, and work is not to start without a pennit at the work will b accordance with the
approved plan in the case of work which requires a review and approval of plan . /
r e_ ?
Applicant's'PrintedNamX kpplican s i nature
G
? ???--
2007 COMMERCIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
• .vrcnrtecRUrai nans tq sets
• Structural Plans (2) •
. Civil Plans (2) •
• Landscaping Plans (2) •
• CodeAnalysis (1) "
. Certificate of Survey (1)
• Spec. Insp. & Testing Schedule (1) "
. Meter size must be esia6lished •
• PrqectSpecs (1)
• EnergyCalculaGons (1) "
• Electric Power & Lighting Form (1) "
• Master Exit Plan (1)
• Emergency Response Site Plan (1)
• SoilsReport (1)
Architectural Plans (2) sefs
CodeAnalysis (1) "
ProjectSpecs (t)
Key Plan (1)
Master Exit Plan (t)
Energy Calculations (1) not always"'
Elec. Power & Lighting Fortn (1) not always"
Meter size must be established-if applicable
• SVUCtural Plans (2) 5ets
• Civil Plans (2)
. Certificate of Survey (1)
• Code Analysis (1) "
• ProjectSpecs (1)
• Spec. Insp. & Testing Schedule "
• Soils Report (1)
• Meter size must be established
1
1
d
1
1
1
. SAC determinatlon - call 651-602-1 000
** Contact Buildit
•'* Pemutfornew
• SAC detertnination - call 651-602-1000 • SAC determination
• Fire Stopping Submittals
at 651-201-4500 for details regazding food & beverage or lodging facilities.
ions for sample and if required
or additlon will not be processed without Emergency Response Site Plan.
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call 651-602-1000
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Date -7
Construction Cost / 7,
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Site Address J o2 ?P J? /?t Q?,2 ? (-
Unit/Ste #
Tenant Name I r?? . ??(O ,3 ?? (p ? Former Tenant Name
?3asg 3a 5'7 3?.ss?
Description of War? K 0-PLAG2M aNT GJ :??ots-) S 1 L TT' C) Cl Ci o,<
GL. ° T ` B RN>?
Property Owner Telephone # ( )
61-7zy' /?l,4,e-r/<?
Applicant is: _ Owner x Contractor Contact #: 3
Contractar Lr A.2 Y (.J ??/T n
/C ?/''?,?' /? ? d "i.L? c?' ?c1 °' `'"' C.¢? `
Address 3 739 "I U? City _ MeL-S'
State Zip `S.F yU Telephone # ( 61;1) -?a I - .?333
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewerlwater service: Phone #:
I hereby apply For a Commercial Building Permit and acknowledge that the information is complete and accurate; that the work will be in
confoimance with the ordinances and codes of the City of Eagan and the State of MN Starutes; I understand tlus is not a permit, but only an
application for a permit, and work is not to start wrthout a pemvt; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
GJ)2-y ?24???
ApplicanYs Printed Name Applican ' i ature
DO NOT WRITE BELOW THIS LINE
Sub Types
_ 01 Foundation L 26 Public Facility G 30 Accessory Building
? 14 Apartments 0 27 Commercial/Industrial O 32 Ext Alt-Apartments
F. 15 Lodging ? 28 Greenhouse ? 34 Ext Alt-Commercia]
_ 25 Miscellaneous ?7 29 Antennae ? 35 Ext Alt-Public Facility
? 37 Nail Salon
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition Building - Give PCA handout to applicant
Valuation Type of Const Width
Plan Rev 100%_ 25% _ Occupancy MCES System
SAC Units Zoning City Water
Nbr. of Units Staries Booster Pump
Nbr. of Bldgs Sq. Ft. PRV
Fire Sprinklered Length
Required Inspections
_ Footings (new bldg) _ Fireplace _ R.I. _ Au Test _ Final
_ Footings (deck) _ Insulation
_ Footings (addition) _ Sheetrock
Fouridation FinaUC.O.
Drain Tile FinaUNo C.O.
_ Driveway Apron _ Other
_ Roof Ice Pr _ Decking Insul _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _
_ Siding _ Srucco Lath _ Stone Lath _ Final
Windows
Final Cl0 Inspection: Schedule Fire Marshal to be present. _ Yes _ No
Approved By:
---------------------------------- Planning
--------------- Building
----------------------------------- Inspector
------------------------------
--------------------------------°
Base Fee
Surcharge
Plan Review
SAGMCES
SAGCity
S!W Permit
SM/ Surcharge
Treatment Plant Financial Guarantee
Treatment Plant (IrrigaUon) Storm Sewer Trunk
Park Dedication Sewer Lateral Sewer Trunk
Trail Dedication Street
Water Quality Water Lateral Water Trunk
Water Supply & Storage (WAC) Other
Total
Aug 18 1511:04a Sunrise Remodelers 651-762-9395 p.18
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Use BLUE or BI.ACK Ink
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1 For Offiee Usa �
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Cit of E� a� ; P�,t�: �� �� ;
y � 1 Perrnitfee_ � � �
3830 Pilot Knob Road j �
Eagan MN 55122 � flate Received: 1
Phone:(651j 675-�i675 � 1 I
Fax:{651)675-5694 j Stat#: �
•-e�(1(�t.�t � `• � . �I��K�� C-i1t-f ti �����7an ���,� -----------------�
2015 RESiDE1�,T1AL BUILDINIG PERMIT APPLICATI4N
C-e da.r' t3(���F'�, TC�o:,n �►��c s-t s
Date: /1'��'� � Site A�dress: 5 h�� � � s�l� Unit#:
s.�...,�.�..��.,a.Zv�L l in� . '�� .� , J j a ,3�o �y.,,���J. - --- �
� ; Name: P�ione: �
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! Owner t Add�ess 1 Gity l Zip: �
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� f Applicant is: Owner �ConVacior _a_
�,,.........,..,.....<.�_....�.,....,j Description of worlc: ��: � /'t G ..�......�...._ -`�
� TYpe ofi Work ; � �
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Consfruclion Cosi: � 1�; �'JC���G Multi-Family Building:(Yes�J No_� _
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� _ � ' �-e. ��vY� cx�1-� :S_ Contact: �l[;t'..� ��-�-e-� .�::.�'t
� Comparyy:�j t��Y1 � �
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� j State: '1� ?�Zip: � �l i U phone: �mail: i�1� ' S_e 1�r:�v'r�•v��r�-e.�,-s,
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' L�cense#���_�.� � 1 � � � Lead CeKificate#:�/"� � o�� 13 �
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; ff the project is exempf from lead certificatioe,�lease explain�fiy: �`
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�� GOMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING �i:
� In the last 12 months.has the City of Eagan issued a p$rsnit fnr a sim�ar plan based on a master plan?
;
� Yes !Vo If yes,date and address of master plan� �
;
,
i Licenssd Ptum�er: Phone:
? Mechanical Contractor. Phone: �
; Sew�r�IAlater Contracto�: Phone: t�
F
9
� fire Suppressien Contractor: Phone: s
` NOTE:Pfaas and suppocfing documents t/�ai you submit are considered to be putr(ic irtformation. Portians of ;
f the information may 6e classiFed as non pablic if you provide specific reasons t�iat wou/d permit tl�e City to '
�
�
. �
� conclude that they are Urede secrets. '
CALL BEFORE YOU DIG. CaU Gopber State One Call at(6S1y 454-0002 for prolection against underground uti'lity cfamage. CaA 48 hours
before yo�intend to dig lo teceive locffies of ur[derground util�ies. www.clouhersialea�ecail.orc�
I hereby ecknc�wledge that this information is com�lete and accurate;that the work wdl be in cor�ortnance with the ordinanoes and codes crf fhe City of
Eagan; tnat 1 understanQ this is not a permit,but only an application for a permiE, and wark is nat to stert without a permit;that tt�e work will be in
acccrdance with the approved plan in�e cese af work which requires a review and approval of ptans.
Exterior work authorized 6y a buildi�g permtt issued in accordence with the Minnesote State Building Code musi be completed witbin 460
days of permit issaance. ---.
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Applioant's Prtnted Name A a 's igaature .
Page 1 of 3
Use BLUE or BLACK Ink
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I For Office Use �,
' � Permit#: / ����� I �I,
Clty of ����� � / �
� Permit Fee: /��' �� � ,
3830 Pilot Knob Road I I i,
Eagan MN 55122 � Date Received: � �i
Phone: (651)675-5675 I I �
Fax: (651)675-5694 I Staff: I !
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2015 RESIDENTIAL BUILDING PERMIT APPLICATION �i
. . .� :���
Date: Site Address: .�� ,S�� ��(� ���� �Unit#: � ��
��� �� Name: Phone: ��
F��S�d±�nt/ �I
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��(����� Address/City/Zip: ��...� �;���;pc� � . �,q�6,�,v, ►'Yl�v. 55/�3
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a��0 ��= Applicant is: Owner �Contractor �
��4
� Description of work: ��Pt,�k(fr, (� �ja2S
T�►��c>f W4Ck � �
'. Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
3 Company: �NN�� �iA�ta,� C3'A�R.9�fr� 2�Oa�Ls, l.l.L Contact: 4�I G�LE�;�OH*�SG BJ
��M�'�I'aC�4r Address: �S'7�O ,90�'„flt��o• city: �,�,� �ig-us
State:�/� Zip: $Soo9 Phone:joS/--Z�S—D3/�Email: ,S;bNntSD��lxwon�l/�C`1�+t6�or •�
� � License#: N�R� Lead Certificate#: �
If the project is exempt from lead certification, please explain why: N� (�¢„q� P�t£sg,�,�
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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
�IUTE:Fla»��nd scrppQrtr�g tl�c�tment�m ��yau.�ubmrt,�r.���rr�ia�ered t�be�blrc:frif�r��tr�r� Port��an.���� :
't�e int'arr�r��ic�n m�y�be classrfiecat as nr�n-�ubl�c!�'yo�r�ratr�de�pe��fic reasorr�fti���rc��lc�perrrrtt tfi�C"�ty t�
�c�ncl�rde t���t�� �r�e.�d�s�cr��ts
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.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 approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' must be completed within 180
days of permit issuance.
X S�►l� �Hr►.saN X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3
% For Office UseE AGA N . I
•
`� `� •� .� Permit#:/"/
Permit Fee: 0 -
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received:
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694
Email: buildinginspections@cityofeagan.com Staff:
Commercial Plan Submittal: eplans(a),cityofeagan.com
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: 6-23-2020 Site Address: 3255 Hill Ridge Dr
Tenant: Dan Bearden Suite#:
Resident/Owner
Name: Dan Bearden Phone: 847-909-1068
Address/city/zip: 3255 Hill Ridge Dr, Eagan, MN 55121
Name: Genzryan License#: MB003541
Contractor
Address: 2200 Hwy 13 W City: Burnsville
Zip: 55337 Phone: 952-7671828
State: MN
Contact: Alisha Email: Permits@genzryan.com
RESIDENTIAL
✓ Furnace
✓ Air Conditioner
Permit Type
Air Exchanger
Heat Pump
Other
New ✓ Replacement Additional Alteration Demolition
Type of Work Replacing furnace & AC unit
Description of work: p g
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =
d.60 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.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 thee approved plan in the case of work which requires,review and approval of plans.
•
x TT I t5 VlQ2 c K.�
Applicant's Printed App cant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final