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3267 Hill Ridge Dr Use BLUE or BLACK Ink 1-----------------, 1 For Office Use ! Permit City o - f Ealan 1 I 3830 Pilot Knob Road I Permit Fee: . Q I _ I Eagan MN 55122 ~ Date Receive ~ ::6 Phone: (651) 675-5675 Fax: (651) 675-5694 / j Staff: 41-75,- -77 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L4, an • a0/1 Site Address: 7 Unit [Address me: f ate, ~ ]`~J^ n~ ~wtr n~ rh'1 ~ Phone: `/y9 -Dar) RESIDENT OWNER 1City1Zip: 05~4-b ✓e, fJ b5~ lo?, R11.1V,_A4=. 7 /C f Applicant is: Owner Contractor r7 -I- TYPE OF WORK Description of work.- Of Construction Cost y Multi-Family Building: (Yes X _ 1 No } Company:, -~o n r;,g- -knw,-./~ Contact: ~Je,,,Z? CONTRACTOR Address: 5~ 7 fo b ne- City:.5 State: 11A-_. Zip: Sj/1 p Phone: WL2 - 9~ 41 License Lead Certificate* NAi -_2a9 o 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 may be 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. Call 48 hours before you intend to dig to receive locates of underground utilities. Aww.gopnerstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and app vai qf-oa r x _ X50&1 PO+ 1't x Applicant's Printed Name A p nt's Signature Page 1 of 3 Cities Di ital ualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. 110/ cr1-),tcra7,'z- P1o-7`" CITa' C^ rl1G3N ?'7`? 3:: ? P7l ot KYiCb F?.ad Ea.-n, N,innesolua 551122 PE?'S'LIT IdO,; i..e City oi ;-.can hereby gr<-its to Milbert Co. - G1t111gan _ of 1001 !larie Ane. So., So. St._ Pa4j, l4a 550Z? J. Hexmann, K. Stroeky, J. Draqer, C. Irish, Pcrmi.t${'or: (Ocaner) D. Gausman. H. MOraan, and M. Hes'=1i1 appiic<ntion da i,ed 5/5/76 ? _ &:ted this _25 day o.° 76- 3.50 s/c ---- I:?^,-",--,..J_ rerrits. e.?.i ToI :_-? ¢ ?O .? , EAGAN TOWNSHIP BUILDING PERMIT oWOe: _...' .. . _.. . . .... ...... ......... ................. u.?........... Addrese (yresen!) ?`?`? : ......................... ..................................................... Buildez Addreu DESCRIPTION N° 2916 Eagaa Towns6ip Town Hall V/ Dale ..?01'- .°27- 71" .............. To Be Used Foz Froni Depth Haigdi Esf. Cos! Permi! Fee Remarks 7 OS?3o ? ?PJ1 (.?Lo _10e0.eo r?? LOCATION ?q X37• ^3 Sfreel, Roed or olhar Deacripiion of Loeation I Lo! I Bloek I AddilSon o: Trae! .A` A& :An?. This pesmit does no! auffiorise the uae of streets, zoada, allepa oz aidewelka nor does i! give !he owaez or hh agen2 the righ! !o azeale anp situalion whieL is a nuisanea or whieh presents a ha:ard !o the healtd, sefely, eoavenienee and genaral welfaca lo anpoae in the eommunilp. THIS PERMIT MUST BE EPT O_N TH E? PAEM23E WHILE THE WORK IS IN PROGRESS. , This ia !o eertifp. !he!•°-°---.° ........::.:........?..°..C..?'...?...------..........haa permksioa !o erect a...«o...f.?!k...?-._a.__....... _Upon the above described premise subjeM !o the provisiona o! the Building Ordinanee for Eagan Township adopled Aprll 11. 1955. K........ . ............?' .`••°...:,........? .......... .. ....... ?..?:.._.4r_../.?...-.. ....... t........ "...:.Per .................. 43 Chaisntsa-oi-@nwn-Bsasd BuAdin Im aetor ?`oZ/- e)/ ipo-4ml /ZwCr? MASTER CARD Permii I No ? Issued Issued To Coniractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK YJELL ELECTRICAL HEATING GAS INSTALLING ? SANIiARY SEWER OTHER OTHER Items Approved Onitiap Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING FINAL ELECTRICAL TILE FIELD FT. HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD 7 4_? PLUMBING WELL SANITARY SEWER ? Violations Noted on 8ack COMMENTS: ? t,IKUI.IUKt HNU ??? ? LAND USED AS 6 v t.) COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS CERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUIIDER WILI COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REVEALED CERTI FICATION - I certify that 1 have carefully inspected the above in which 1 have no interest present or prospective, and that I have reported herein all significant conditions observed to 6e at variance with ordinances of the Town of Ea9an, approved plans and spacifications, and any specific require- menrs for off-site imprwements relating to the property inspected. ? All IMPROVEMENTS ACCEPTABLY COMPLETED 9uILOING pATE ,eg--I- /rava09 MASTER CAR?D°Z? o? ? . ????-?9-7/•7s-?.r- ?? LAND USED AS? Permit No. Issued Issued To Coniractor Owner BUILDING 9le _I PLUMBING ? CESSPOOL - SEPTIC TANK WELL EIKTRICAL HEATING /"LV GAS INSTALLING SANITARY SEWER OTHER I OTHER I Items Approved (Initial) Date Remarks Distance From Well FGOTING _ 21r-7? SEPTIC FOUNDATION _ X9 -73 CESSPOOL FRAMING C_.z4 - 7-I TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSGOOL DRAINFIELD PLUMBING -7; ! WELL SANITARY SEWER r 1- i Violations Noted on Back COMMENTS: ? COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVEU VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. 1 ITEMIZED AS FOLLOWS: F-I NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REI DATE OF REINSPEC710N CE RTI FICATI ON - I certify that I have carefully inspected the above in which I have no interest present or prospectiva, and that 1 have reported heretn all significant conditions observed to 6e at variance with ordinances of the Town of Eagan, approved plans and spacifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED NG INSPECTOR DATE _ aa l'ozaf 4r?a-6_ EAGAN TOWNSHIP 3795 Pi1ot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERKIT FOR SEWER SERVICE COIdNECTION DATE:12/29/72 (4/25/73) OWNER•Rivergate Pilla -Bldg• 16 PLUMBERBerghorst Plwnbing Co. NUMBER 1330 Addresa 3267-69-71-73-75-77 xillridge Drive TYPE OF PIPE heavy cast iron OF BUIIDING Industriall Commerciall Residential Location of Connectione: aa 1 6 - townhouses Connection Charge 1170.00 billed 4/25/73 PermiY Fee 10.00 pd 12/26/72 P Street Repairs Total Inapected by: Date Remarks• Multiple Dwelling ` No, of units Sy. Chief Inspector In consideratioa of the issue aad delivery to me of the above pexmit, I hereby agree Co do the proposed work in accordance with the rules and regulaCions of Eagan Tox-mship, Dakota County, Minaeaota By Berghorst Plumbing Co. Please notify whea readq for inspection and connection and before any portioa of the work is covered. EAGAN 10WNSHIP 3795 Yilot Knob Rosd St. Paal, Mianeaota 55111 Telephone 454-5242 PSR4UT FOR WATER SERVICE CONNECTION Date: 4/25/73 (12/29/72) Number• 1186 Billing Name: Rivereate 4illa-Bldg• 16 Site Address;3267-69-71-73-75-77 Hillridge Drive Owaer: Plumber: Berghorst plumbing Co. Billing Addreas M er Size Connectioa Chg 0.00 il ed 4/25/73 Meter No, ? I Permit Fee 0.00 Ed 12/26/72 .Opd12 2/72 Meter Reading Meter Dep. Meter Sealed: Yea Add'i Chg. NO ' Total Chg. Building is a: Residence t3ultiple X No. Units Commercial Industrial Other Inspected by Date Remarka; ,??DN FrE ?ERS• By: Chief Iaspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do ttn proposed work in accordance with the rules and regulatioas of Eagan Township, Dakota County, Miunesot? By °-??'?'?? Berghorst Plumbing Co. Please aotify the above office eohen ready for inspection and connection. ? MECHANICAL (RESIDENTIAL) 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 aze required for each unit $ 3b-.Sz Date-?L-- Site Address Unit # Property Owner J) o? S 11 1,U e-I ? Telephone #(6/ a) ? Contractor T A d Cit ress Street d y State Y\ Zip Telephone #?, j l) 3 The Appticant is _ Owner -11-4Conhactor _ Other Add-on, modification or alteration to existing dwelling unit $ 30.00 ? furnace replacement air exchanger ? air conditioner^, other (l ? t C c? State Surcharge $ .50 ? Total ? $ ? r r' ? 1 ?l I hereby apply for a Residential Mechanical Permit and aclrnowledge that the information is complete and accurat? the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechbnfcei Codes;'tfiat I understand this is not a permit, but only an application for a pernut, and work is not to start without ? 't; that the wo will be in accordance with the approved plan in the case of work which requires a review and approval of pl S. n Applicant's Pi d Name pplicant's gnature MECHANICAL (COMMERCIAL) Permit Appiication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: commeccial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Teiephoue # ( ) Contractor Street Address City State Zip Telephone # ( ) The Appticant is _ Owner _ Contractor _ Other Work Type New construction Underground Tank _ Install _Remove Interior Improvement Call for inspection du ring installation/removal of tank Processed Piping Nature of Work: Permlt F0e $50.50 Minimum Fee (inclubes Sfate Surcharge) Conhact Value $ x .01% _ $ Permit Fee • If petmit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pernut and acknowledge 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 tlils is not a permit, but only an application for a permit, and work is not to staR without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signahue Approved By: , Inspecror Date: 41300 ROBERT KARATZ (PAGE 2 OF 2) 3267/ 10 41300 02505 25 (6-PLEX - CEDAR BLUFF TOWNHOMES) 3269/ 02605 26 3271/ 02705 27 3273/ 02805 28 3275/ 029 05 29 3277 03005 30 3279/ 10 41300 06105 61 (6-PLEX - CEDAR BLUFF TOWNHOMES) 3281/ 06205 62 3283/ 06305 63 3285/ 06405 64 3287/ 06505 65 3289 06605 66 3290/ 10 41300 05505 55 (C-PLEX - CEDAR BLUFF TOWNHOMES) 3292/ 05605 56 3294/ 05705 57 3296/ 05805 58 3298/ 059 05 59 3300 06005 60 3291/ 10 41300 06705 67 (6-Pr.ex - ceD.aR BLUFF rowNHOMES) 3293/ ; 06805 68 3295! 06905 69 3297/ 070 05 70 3299/ 07105 71 3301 07205 72 HILL RIDGE DRIVE CONDO LINIT # 24 7l? 8?'tl 3lg, `5 zoo7COMMERCIAL BUILDING rERi'KIT aPPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 . ._ . . • Structural Plans 2 sets O • ArchitecNral Plans sets (2) • Architectural Plans • Code Anatysis (z) seTs (1) " • Civil Plans (2) . Structural Plans (2) Z (? . project Specs (1) • Certifcate of Survey l sis A (1) ' O ' • Civil Plans • Landscaping Plans (z) . Key Plan (1) (1) y na • Code . ProjectSpecs (1) • CodeAnalysis (1) (1) . Master E)tit Plan • Energy Calculations (1) not always° • Spec. Insp. & Testing Schedule " 1 • Certificate of Survey & Testing Schedule Insp • Spec (1) " • Elec. Power & Lighiing Fortn (1) not always"` bl li • Soils Report ( ) . . • Meter size must be established e ca • Meter size must be established-if app . Meter size must be established l11 y . ProjectSpecs '? y y . EnergyCalculati ons (1) `? y y . ElecVic Power & Lighting Form (1) y y . Master Exit Plan (1) ??? y y . Emergency Response Site Plan (1) l y • Soils Report (» II 651-602-1000 • SAC detertninaUOn - call 651- 602-1000 . SAC determination - call 651-602-1000 • SAC detertnmahon - ca . Fire Stopping Submittals . Fire Su ressionlAlarrn Form Call MN Dept of Heal[h at 651-201-4500 for details regarding food & beverage or lodging facilit *+ Contact Building Inspecnons for sample and if required '•* Pemvt for new bmlding or addition will not be processed without Emergency Response Site Plan. Date -a_ ? -7 ? 0 -7 N l I < Site Address .So4V ( `?-7l 1' ' ? 1"`?"" "" - TeuantName :?(P9 ?7/0 3973 2,;177 Former Tenant Name , Description ot Property Owner Applicant is: _ Owner X Contractor Contractor C?AA? ? Address 3 7 3,3 /l i State M A-) ArchlEngr Address State I b installin new sewer/water Phone #: ) Licensed p um er 9_ - I hereby apply for a Commercial Building Pemut and aclmowledge ttiat the informarion is complete and accurate; that the work will be in conforniance with the ordinances and codes of the Ciry of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an applicauon for a pemrit, 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. Telephone # ( ) Gfi,e? /{ 3 3 Contact #: ( :6 I , --) ' "'q U ? City .? ? _ Zip SS yd Telephott¢ #( bl?-) ?a ?'-S 33-3 Construction Cost ?? S?O 2 Unit/Ste t! Registration # City _ ZiP Telephone # ( G?/?-? /-! f1 ?Tk? A hcanRi ature Applicant's Pnnted Name pp r�ug ia io i i:�oa ounnsercemoaeiers o�i-ro�-y3yo p.�� Use BLI�E or BLA�CK Ink r_.���� -----------i 1 For O(fice Use � E j ,� . ` Per�nit#: / ����� i ��u� U� ����� I Permit Fee: � ' > � I � 3830 Pilot Knob Road � Eagan MN 55122 � �ate Received- I Phcne:(669)675-5675 � � � � Staff: � Fax:(631)675-5694 � � .�Y V ��.E, � �, � . ��el�€,'� C..i�� G` �,�°'`,'�C.t'1 iCt►'�^ ---_-__...__�_�__�� 2015 6���IDENTI�►� ��llL�t�VG PERNfIT A1�PLi��4TtON C-2 d-�.�° 13G��'� Tc,,�n h.:�i s-�s' Qate:�1�4�1 ti Si4e Address:���0'7�� i i �•:��a� ��r���- 55��I u��t�: _ - _......_._�.._z_.r.s.��-_Y�.._,,,.,.��.c:i�ci%�s`-�`a,Co�_;3�-iJ� ,m3��3;��--7�� 3�-1''7 � > Name: Phone: t �$@S149�17� Owner ; Address!C�ty I Zip: - r � , . . ; � � Ap�icant is:.. .._�n Owrier �Coatractor ..,�.� ..... __.,.......,.,.._..,_.�......._, Description o�wo�lc: ��� � ��� - - ; �yp�o��lork __....:..,.,_......�._.�..�-_�..a... - ConstructionCost: � �����1�%�.'__LJY---.._y�^.�_a_N Mulii-FamilyBuildir�gf(Yes�lNo_, `..�..� _:.; Campany:���Y�, �; �� ��w1 ci,-e..-t-� �S �aniact: �G� 1 �-4-�.�'�.�:��'1 ��ntTdG�Of ^ Address:� �� �D 't'"��-'�-. �-.c�'tll-� City: ��` r '�`�"� 1 � State: I,�`Zip: � G l /C� Pho�e: Email: i Y1�"� � �-Z�'►+�'��'����+�=c��..�:sr � ,� ;cu:,. �` � Lic�nse#:��1-: l� � � `-r� I � �ead Certificate#:�`��!`f� " r�c������ ���.� � ..,�____._,..�......__.._.._w._.........__.._._�� ._,�.�._�.._._..�w____..._..__..__�...�T�..._�_.� �..,.__._._.-----.._,_,.,.._ � if the praject is exempt from lead csrtification,P�ease explain why: � ; ' � �~�v CONiPl.E'E�THIS �EA ORILYTIF CONSTRUCTINC A I�EW BUI�DlNG : Ic+the IaSY 12 rnonths.has the City of Eagan issu�ed a perrrtit for a simifar pian 6ased an a�aster plan? s Yes f�o f�yes,date and address of master plan: ` Licertsed Plumber. Phone: E�echanic�Can�fractor: Phone: � Sewer�Water Con�ractor. Ft�one: 3 Fire Suppression GontraCtar: Phone: r� �NOTE:Plans and sup�or�ing documtnn�s tha�yace subrnit are canseBereat tv be public inforra�ation.i Poi�ions of , �ie 1rrf�Ptt�ation may be classifred�s aoe��vu6lic i�you provide sp�cific reasons that w�uld perlrrit�fre City ta : � ; cvx�clvde that fhey are frade secre�s. � a..__:..._.-.:�.:.�.w.:_.:.::......_._ti,..�:.:.:._..�...:.:.._. .,_�..._..y�_. ..,.,....�.,�.....r....,..._... C14LL BEFORE YOU DIG. Call Gopher S4ate One Call at t651)4540002for protecifon against underground utility damage. Ca11481�urs before you irrter�d to dlg to reCeive loCates of underground ulilities. www aopherstateonecall.ora I hereby acknow�edge that Ihis inFormation is complete and accurate;that the work will be in co�formance with Ihe ordinances and eodes of the City of Eagan; that I under5tand Ehis is not a permit,but only an application far e permit.entl wOdC is not to start without a permit;thai ihe woric will be:n accordance vrith thQ approved�lan in ihe case off woric wlvch requires a review and app�rovsl ofi pterrs. Exterior work auth�rized by a bvihfing pertnit issued In accordeece vrdh the Hlinnesota State Buiiding CaBe musi be compleEed wititin 160 days of permle issuar�ce. �—'—" x �j�` �L-F�^"� Ci'r'1 X -��/ Applicant's Pri�ted Name A 4's ignat�are Page 1 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � ' � Permit#: / �% � /� I Clty of ����� � Permit Fee: �e �- � 3830 Pilot Knob Road � �� � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2015 RESIDENTIAL BUILDING PERMIT APPLICATION �. 3��7`7 Date: Site Address: G1C_ T �v� 7 �J�� k��7..� ���� Unit#: ' Name: Phone: I R�SI�f���/ ..��� �(�y���; '� Address/City/Zip: �''� � �:��i�;ac�� . �}6,�1+•>, I1�1 rv• 55/�3 - Applicant is Owner �Contractor � ��� �� ����� Description of work: �S�Pt,A�tfi, (� �ja2S T�j� t3f It1/aCk � � I Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No� Company:_�N►���► �iA�u,��Aii�9fr� �Oo�t.as. (.L G Contact: � � e�Ohl*�So� Address: �57�0 90��0. City: (.,�¢NyUii,�J ��2Ls CU?t'�1`14'�O�i' State:�/� Zip: 5500� Phone: 65/--?5�S—D3//Email: SJoNn►.SDr��tiwvOn�lJMti�^t� •��"" License#: N�A' Lead Certificate#: *� If the project is exempt from lead certification, please explain why: /vo (�}� PR�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&Water Contractor: Phone: Fire Suppression Contractor: Phone: ; I�aDT�.Fl�ias ar�d',�t�Rpor�r���foc�met�t�r�t yr�u s�rb��are ca�rs��Iered to���rt��c fnfor�r��i�an. l�or�vf �ire�rrt'ort�re�iaaa r�t���e cl�s�r�ed�s r��rn p�blic�f you pror��d?e�s��c�c reasorrs�t�#aw�o��t perr��t t�:G►"f,y t� cur�cfwtle tl�a�.th$ are t�'��ale secr�s 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. wuvw.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 Build' must be completed within 180 days of permit issuance. X ��.✓�i �JVH'N.S6N X ApplicanYs Printed Name Ap ' anYs Sign ture Page 1 of 3 r For Office Use ` • ' /S =7�" CC %.„‘,‘ ‘,.•,,,, E AG A N Permit Fee: .�1. Date Received: 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: buiidinginspectionse.cityofeaaan.com -J 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: ? 1/1i-//19Site Address: `J 1 b fJ/ V0 Tenant: Suite#: r.77r1_,; -wa4. •Ems..::y rrµr�s..V • Ni ;:44,,A1:144.:-.1, � ` Name: 7:-/A- ��VL �J I t1 t�Ul Phone: 1d LZ — L --- : -.5 7-7 { - . r` Address/City/Zip: ,-� t�' 41 Vim 0 r4 — x Champion Plumbing License#: PC000308 _�f v Name: ..- ,. -- .1';,,.-- e4,,-.,-. : 3670 Dodd Rd. Suite #100 Eagan •-,%,,.,"---->;,-,_':---W-4:-. Ci ,: x Address: ty: " e 6MN 55123 651-362-2622 • z State: Zip: Phone. 6:m' tiF ` ' Jessie/Cole Email: Permits cham ion lumbin •net ..k:•. - - 7Contact: . S "�A5 J H, New _Replacement Repair Rebuild Modify Space Work in R.O.W. Oxy• g-eCkt /�y M r�z f z,- 7CZ- �y 4 �. 1 LAJn.N' r If K 64e �i��x-.:f.,� ��=3 } � �=�y Description of work: . 9 4" 4 � � _.1�w; - Water Heater = F Lawn Irrigation( RPZ/ PVB) ;� 7 r J V d o t . Water Softener t��. Add Plumbing Fixtures Main/ Lower Level) , 4Septic System r 3 . �F} £�_ Description: �---, z:%,;<.G New a 54ii-- r Connection to City Water from Well :� • x : ..: Abandonment RESIDENTIAL FEES $60.00 Water Heater,Water Softener,or Water Heater agd Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential(fee collected with Building Permit) $116.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Weil*+$290 for Meter and$190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges TOTAL FEES$ ‘)0,00 CALL BEFORE YOU DIG. Call Gopher State One Call at(661)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,gopherstateonecail.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaean.com/subscribe. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. x Troy M Good il----r:tictrif -..X /fagots, Applicant's Printed Name Applicant's !gnat • Page 1 of 2