3279 Hill Ridge Dr f - -
Use BLUE or BLACK Ink
f-----------------,
11 l For Office Use~(1 r l
1 ! Permit#:
Ealan I Pe I
3830 Pilot Knob Road i rind Fee: JJ 9. !S I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-56%d - j staff: j
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L4,ao • a?0# Site Address: 7 Q / Unit
Name: tY~d 147 r Phone: 763 yY9 - cjffll 2
RESIDENT I 'V'~ 1.) 1
OWNER Address/ City/ Zip: &350 213 A ✓P- d5r. ~e 1294 _Sj`Al 7 /Q fl
V
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost Multi-Family Building: (Yes No
Company:, So ,-;se_ Y>Dc2lil!/1` Contact: Lt
L?Z) -
CONTRACTOR Address: 59 7 6 14obr _ City: 6.1. Ra c, J
State; -M.9- Zip: _~51j p Phone: 76,2 - 7~ 95
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 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 454-0002 for (651) protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in
accordance with the approved plan in the case of work which requires a review and app val 4
x oct f +e (SCrn x
Applicant's Printed Name A cant's Signature
Page 1 of 3
r
n
EAGAN TOWNSHIP
BUILDING PERMIT
Oanas .... (R(rr.:!`r.^..:`.'.`..:......-----. .... :... .........- - - ? -
. . ._--. ....-' ---'°°'-'----'
Address (presenl) '??`r? ..... ?
.................... . ................................... ..-----......
Suildar
Addreu ......
N° 2916
Eagan Towmhip
Town Iiall
De2e ../a:. ..°Z 7.?.7 ?'
?
Siories To Be Used For Fzon! Daplh Heighf Esl. Cos! IPermi! Fee Remazka
?/ ?Lo•f3,occ? 3isf3°f
e `P? ?? •2
G r? o I
Je e:
- 0y,? 7 Z-
9
a37•'J-
sxreex, noaa or oxner uescripnon o= Locanon I i.ot I iilocK I Atldifioa os Trac2
ao I Ag/
This pexmit doee riot aulhorize !he uae oi sireeb, roads, aileps or sidewdks aor doas it glve !6e oaraes oe LIs agea!
!he :igh!!o create aap situalion whieh is a nuisanca os ahieh presents a hasazd !o the healfh, safelp, eonveaSeaea aad
general walfara !o anyoae !n the commuaitp.
THIS PERMIT MUST BE KEPT ON THFy PREMISE WHILE THE WOAK IS IN PROGAE98. ,
T61s ia !o eertifp. !hal.....
.......?._....;..-:!?_...?:.°.C!........ -............ haspesmissioa !o erect
c..?r..??....K..?l?L..?.°...r._??
the above deacribad premise aubjee! !o the provieions oi the Building Ordinance !or Eagan Township adopled April 11.
1955.
......---7?-?:?.-..?::..-.o`?--....,.y? par ...................,ca?.e.?----....P??............
43 Chan r?Heasd HuIIdinp Impectoz -t
-76 ?6 ?
2006 RESIDENTIAL PLUMBING PeRMir aPPLIcaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date?//3l
Site Street Address Unit #
2,
4
Property Ow Telephone
Contrector Telephone # ( )
Address City State Zip
The Applicant is: ? Owner _ Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Includes County fee
_
_ $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling 3L?
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water 0?
heater at the same time. If you are installing onlv a water sokener and/or water
heater, do not complete this section; move to the neut section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $130.00 if a 5!8" meter is required)
x Other: ^ MA-+
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
T
t
l $
L
?
o
a -
--
I hereby apply for a Residential Plumbing Permit and acknowledge that the Intormation is compie[e ana accuraie; cnac cne
work wi be in confortnance with the ordinances and codes e y of Eagan and the plumbing codes; that I
under d this is not a ermit, but only an application for a mit, work is ot to start without a permit and work will be in
ac ance with the roved pl n in the event a plan is r uired to be r wed a ap ved.
?
icanYs nnte ame Applic 's Signature
G????f /lccr??
?
MASTER CARD
719?
STRUCTURE AND f L-? J
LAND USED AS
Permit
No. I
Issued Issued To
Coniractor I Owner
BIJILDING Q?11A
PLUMBING ^! 2q
V ?
?7?
CESSPOOL - SEPTIC TANK -i -/ _
WELL
ELECTRICAL
HEATING
GAS INSTALLING
SANITARY SEWER i
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING ? SEPTIC
FOUNDATION CESSPOOL
FRAMING TILE FIEID FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS WSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
-L--?-i-
?
WELL
SANITARY SEWER 7
Violations Noted
on 8atk
COMMENTS
?
COMPLIANCE INSPECTION REPOftTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CONSTRUCTION AT iHIS INSPECTION
? NO EVIDENCE OF NON•COMPLIANCE
OBSERVED.
1:1 ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. Bl11LDER WIIL COMPLY
WI7HOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REINSPECTION REVEALED
DATE OF REINSPECTION
CERTI FICATION -1 cenify tha2 I have carefully inspected the ahwa in which I heve no interest present or prospective, and that I heve reported herein
all si9nificant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any spacific require-
ments for off-site improvamen[s relating to the property inspected.
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED
INSPECTOR
DATE
6?S 3'? 3
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-ol 2q2.oy
('?,L?,r,( LI lG/OS . A"j
New Cowtrudion Reauiremenis RemodeVFteoair Reauirements Ofice Use OnN
3 regisle2d sRe surveys shawing sq. ft of lot, sq. tt. of hause; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y _ N
(20°h maximum lotcoverage allowed) 1 saf of Enertgy Calalatbns for healed add'Aions Tree Pres Plan Recd _Y _N.
2 copies of plan showing beam & window s¢es; poured found design, etc. 1 sile survey for addNOns & decks Tree P2s Raquired _ Y _ N
isetofEnergyCalculatbns Add'N'on-indicafeifon-sifesepNcsystem On-sile5epticSystem _Y _N
3 copies of Tree Preservallon Plan if lot plaBed after 711/93
Rim Joist Defeil Options selection sheet (buildirgs with 3 or less unifs)
Date _o /J/ C struction Cost C?61
?
SiteAddress 7z?7`'/l? i,/? ?_,Fi'??C Unit/Ste #
Description of Work
Multi-Family Bldg ?Y _ N Fireplace(s) _ 0 _ 1 _ 2
?
Property Owner ? ,/?
G.
Telephone # ?j?
?G j ) ?Fq
!
Contractor
.i
,
Address 9-/ ?pv"
CitY zL?
?
U
?
State _?jZ Zip }
?A/
!
? 27
Telep6ooe # (Z(?).?i`'t?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Workshaet • New Energy Coda Workshael
(Jsubmissionype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a buiiding in Eagan with a similar planZ
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby appiy for a Residential Building Permit and acknowledge that the i
that the work will be in conformance with the ordinances and codqs of the
Statutes; I understand this is not a permit, but only an application
permit; that the work 11 be in accordance with the approved pl
approv
al plans. I?N?' "
1-9
icanYs rinted Name Apphc?
City of agan an e tate o
r a permit, and work is not to start without a
the ca"f work which requires a review and
OFFICE USE ONLY
Sub Types
? Ot Foundation
A 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? OB 04-plex
Work Types
wA-r??
13 16-plex
16 Pireplace
17 Garage
18 Deck
19 LowerLevel
Plbg_Y or _ N
tO Ih'"? /7 (7-,&'
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
O 23 Porch (screenlgazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish Interior
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation
X 33 Alferation ? 37 Demolish Building' ? 43 Reroof
? 34 Replacement
Valuatlon ??0 0 0
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const yz
'DemoliGon (Entlre Bldg) - Glve PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
?C Framing
_ Fireplace _ R.I. _ Air Test _ Final
? Insulation
0 44
? 45
? 46
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ext. Alt - SF
? 38 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
FinaUC.O.
7X FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ AidGas Tests
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: j L , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 07 05-plex ?
? 08 06-plex ?
? 09 07-plex ?
? 10 OS-plex ?
? 11 10-plex ?
? 12 12-plex
?AT441-
rJ
? 61 Z--/g/;
7635448766
MAY. -27' 05(FR1) 10:20 LINDSTitOM
? LINDSTROM
C;fANING b CON57NUCT/ON. INC.
May 27, 2005
Craig Novalzyk
City of Eagan
3830 Pilot Knob Road
Eagan 1VIN 55122
Re: 3279 Ilill Ridge Drive
Pertnit: #EA068373
Dear Mr Novalzyk:
rHoNr 063, 544-6761
rAX I7631 i.6145760
This is a letter in regards to the moisture and rotring problem in the garage
at the above referenCed job site.
We wil] work out a deal with either the homeowner or the Townhome
Associarion to have this repaired to code on or before June 15, 2005.
Tf you have any quesYions, pleasa call me.
Sincerely,
Cleaning & Construction, Inc.
Operarions
GH/ml
'? EVNEW?D
??
?. ...._,....? .
TEL:16354d8766 P.001
Q611 TF.N'1?11 AVFNUL NORTH
PLYA1Ul)'fH. \vV 55.111 5(i9.4
MINN. LICbNSE 40001087
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commerciaVindustrial buildings
multi-family buildings when sepaza[e permits arc no[ required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Eapires:
The Applicant is _ Owner _ Conhactor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove *'see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
'*When installing/removing underground tank, call for inspection by Fire Marshaf and Plumbing Inspector
Permit Fees: $70.50 Underground tank instailafion/rcmoval
$50.50 inimum (includes State Surcharge)
or
ContractValue $ x 1% =
$ PermitFee
• If ep rmit fee is $1,000 or less, add $.50 => $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 nermit fee $ 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.
ApplicanYs Printed Name Applicant's Signature
Approved By: , Inspec[or
0G 3 y
2005 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complece foc single family dwellings & townhomes/condos when permits are required for each unit
30 S??
Date
SiteAddress v? / /A Unit#
PropertyOwner f M A"?;? ?n2s?ym (A„-5Telep6one#((i/2 ) ?l?-9SS3
Contractor '?2rdr? QCTi'ci(I ?e.4ji na ?[- 19r?2
Street Address ( _q/ J 1 /?Q 7'l ST_ /.? City
s
'f ? ? (UQ-tAQ
State Zip S 0 25 Telephone # ><l39- 3`1oa?
Bond Expires:
The Applicant is _ Owner Contractor _ Other
Add-on or alteratioo to existing dwelling unit $ 30.00
? furnace _Additional A-'T?eplacement
air exchanger
_ airconditioner _New _Replacement
other
State Surcharge $ .50
Total $ 3 01 sZ)
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 approval <
1-1--/4'?
ApplicanYs Printed Name pplicant's Si a
?
EAGF.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERNIIT FOR WATER SIIRVICE CONNECTION
Date:4/25/73 (12/29/72) Number: 1780
Billing Name: Rivergate Villa 'Bldg•jl 0 Site Address•3279-81-$3-85-87-$9 Hillridge ?r,
Owaer•
P1umber:Berghorst Plumbing Co.
tion Meter S
..3?1
Meter N
Billiag Address
Permit
Meter Reading Meter Dep. .50 pd 12/26
Meter Sealed: Yea_ 'Add'1 Chg.
NO I1bta1 Chg.
Inspected by
Date
Buildiag is a: Bemarks:
Residence
cP,^G.".C:
Multiple x Ho. Unita tow?t4y?vses Commercial
Industrial By:
Other Chief Inspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
reguZatioas of Eagan Township, DakoCa County, Minaesota.
$y; ?•-•-
Bergharst Plumbing Co.
Please aotify the above office when reedy for iuspection and connection.
4/25/73
Pw s
2
s/c
?
.??
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55211
Telephone 454-5242
PERMIT FOR SEWER SERVICE CONNECTION
DATE:1/2/29/72 (4/25/73)
OWNER: Rivergate Villa-Bldg. 10
PLUMBERBer?horst Plumbin? Co.
NMEx 1324
Address 3279-81 -83-85-87-89 Hillridge Drive
TYPE OF PIPE heav.y cast iron
OF BUIIDING
Industriall Commerciall Residential I Multiple Du+elling I No. of units
I I I xx 1 6- townhouses
Location of Connectiona:
Sy
Chief Inspector
In consideratioa of the issue and deliverq to me of the above pesmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Hagaa Toc•raship, Dakota County, Minneaota
By.
Berghorst Plumbing Co.
Connection Charge 1170.00 billed 4/25/73
Permit Fee 10.00 d 12426(? 2
.5o pd 12 2 /72
Street Repairs
Total
Inspected by:
Date
Remarka:
Please notifq when ready for iaspection and cotmectioa and before any portion
of the work is covered.
V? 2006 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
NOV $ 82006
Please complete foc singie family dwellings & townhomes/condos when permits are required for each uni[
Date?_/?/?_
n
SiteAddress ?d?7 (/Y1???1(XC? ?1 Unit#
oiTV !'14U l 'SSU 4YVC1?n
) J
1 Telephone # ( 763) o ! (Q '
._.
:
Property Owner
Contractor
/j
,
Street
drs -aft i' b y`' City
l
Zi
? Q
' Q
Telephone #(?p S•)
p
n/
State
Bond #:_! `F'bnCV "l Expires: . /•
The Applicant is _ Owner _ Contractor _ Other
Add-o or alteration to existing dwelling unit
t
l
?
New $ 30.00
acemen
ep
Turnace _Additional _
air exchanger
diti
i
?
oner
r con
a
heat pum (
? other r?-?
`
$ .50
State Surcharge
$ ? 7?0
Total
I hereby apply for a Residential Mechanical Permit and acknowledge that the informa[ion is complete and accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tha[ 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 plan .
ma ri vN L.
Appli-c ant'A Printed Name Applicant's gnature
2006 RESIDENTIAL BUILDING rEiuvuT nrrLicaTroN
J
75
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Consiruction Reouirements
3 registered sde surveys showing sq. (t of lol, sq fl of house; and all roofed areas
(20% mazimum lot aDverage allowed)
1 Soils Report if proposed building is to be placed on disfurbed soil
2 copies of plan showing beam & wiMow sizes; poured tound design, etc.
1 set of Eneyy Calculations
3 copies of Tree Preservalion Plan if lol platled afler 711193
Rim Joisf Detal Opfions selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeVReoair ReaulremeNS Oifice"t7'se bril'v
2 copies of plan showing footinqs, beams, joisls Ceri=o(,$Lrvey.Reoi
7setofEnergyCalculationsforheatedaddi6ons
1 site suivey (or addiCrons & decks Tree P_'re??fai1_Recd_;.?'
Addition - indicateNon-sifesepticsystem Tr'eePmsRaqujUed??
?n-si?5e??cSys?em,:„;'? -T,.-Y
Date 06 /f Constru '
Site Address 2 c5 7 n Cos ? L?'S ?2 -
UniUSte #
Description of Work /I I
Multi-Family Bldg ?_ N Fireplace(s) _ 0 2
Property Owner Telephone # lq?
Contractor /_
?^-r
l
Q
-
Address /O-x '? ?- ?
State Zip ? City
Telephone # Ql6j)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential VenGlalion Category 1 Worksheet •'New'Energy Code?Norksheet,
(d submission type) Submitted SutimiBel • Energy Envelope Calcula6ons Submitted
.i4
In the last 12 months, hos the City of Eagan issued a permit for a similar plan based on a masteF'plan?
Y _ N If yes, dafe and address of master plan:
.. ?-- _ ---- __--
Licensed Piumber
Mechanical Contractor
SeweNWater Contractor
Telephone # (
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge 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 State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that the work will be 'n accordance with the approved plan in e case of ork which requires a review and
approv f plans. ?
?fvi"t
ApplicanYs Printed Name Applicant'S'SYgnature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
,A-- 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex O 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement , ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ,? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof . ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entira Bldg) - Give PCA handout to applicant
DesCrlptl011: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review ? 100% or _ 25%
Census Code U??T Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings(deck)
_ Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final
?C Framing
Fueplace R.I. Air Test Final
? Insulation
REQUIRED INSPECTIONS
Sheetrock
FinaUC.O.
? FinaUNo C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Iath _Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies /2 K 9?
Other ?
Total
2??
?", ? 3Z
qv?q4 3i?7S
2007 COMMERCIAL BUILDING rERMIT aPrLicaTioN ,.
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
• Structural Plans (2) sets
• Civil Plans (2)
• Certifca[e of Survey (1)
• Code Analysis (1)
. ProjectSpecs (1)
. Spec. Insp &Testing Schedule "
• SoilsReport
(?1
• Meter size must 6e established
1
1
1
1
1
1
. SAC determination - call 651-602- 1000
• Architectural Plans (2) sets
. SVuctural Plans (2)
• Civil Plans (z)
• Landscaping Plans (2)
. CodeAnalysis (1)
• Certifcate of Survey (1)
. Spec. Insp. & Testing Schedule (1)
• Meter size must be established
. ProjectSpecs (1)
. EnergyCalculations (1) "
. Electric Power & Lighting Form (1)
. Master Exit Plan (1)
. Emergency Response Site Plan (1)
. SoilsReport (1)
• SAC detertnination - call 651-602- 1000
. Fire Stopping Submittals
. Fire Suooression/Alartn Form
. Architecturel Plans (2) sets
. CodeAnalysis (1)
"
. ProjectSpecs (1)
. Key Plan (1)
. Master E)tit Plan (1)
. Energy Calculabons (1) not always"
. Elec. Power & Lighting Form (1) not always"'
• Meter size must be established-if applicable
1
1
1
1
1
. SAC deterrnination - call 651-602-1000
Call MN Dept of Health at 651-2014500 tor oetaus regaramg ?u?? a. ??.?• as? ?• •°°e•°= ---- ---
Contact Building [nspechons for sample and if required
Permit for new building or addition will not be processed without Emergency Response Site Plan.
Date ? ? ? ? o? Construction Cost Z 7 ?
Site Address q 14,, e br UniUSte #
Tenant Name 3aS i -aa 3? a?s Former Tenant Name
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Description of Wor 1G+z M u?
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Telephone # ( )
Property Owner
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Applicant is: _ Owner X Contractor nContac c G r a-? ?
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Contractor c,J
N A)'??"O- 'ZI Ciry
Address Zip SS yU Telephone #( 61a) -7a /'" J 33-3
State
Arch/Engr
Address
State
ed lumber installing new sewerlwater
Zip
_ Registration #
City _
Telephone # ( )
Phone #: L
Licens p
I hereby apply for a Commercial Building Permit and acknowledge that the informarion is complete and accurate; that the work will be m
conformance 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
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 appxoval of plans.
lican' i iature
Applicant's Printed Name App -
2007 RESIDENTIAL MECHANICAL rExMiT aPrLrcaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pemuts are required for each unit
??_6n
Date r / / / 73_ / 6`7
Site Address 30?8,s- /'! 1 I 1/-?
/?/D6 , Dr
Unit #
Property Owner ?"7 r'c 4 a t I 1/e I Z?-c Tefephone #(614R ) 28C- Ol y71
Contractor r4 d- l2 h?e?T? ?S cnd t4i r
Street Address 160c,?_ aC.211`7
LtKtvl/!t
City
State ?Vl?? Zip Telephone #
Bond Expires:
The Applicant is _ Owner __LZContractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to eaisting dwelting unit $ 50.00
furnace _Additional JZ1?eplacement _ New
air exchanger
JZ air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residenrial Mechanical Pemut and aclmowledge 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
pernut, but only an applicafion for a permit, and work is not to start without a permit; that the work will be in accordance with the
ap roved plan in the case of work which requues a review and approval of pla
f?L'/? ??/?r.(rl Jw^ ?Cr-?---?-+
Applicant's Printed Name Applicant's Signature
2007 COMMERCIAL MECHANICAL rExnti[T arrLicaTioN
City Of Eagan
3830 Pilof Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/indush-ial buildings
multrfamil buildin s when se arate emrits aze not r uired for each dwellin unit
Date / /
Site Street Address IInit #
Tenaut Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
T6e Applicant is _ Owner _ Contractor _ Other
Work Type
_New Construction _Interior Improvement _Install Piping _ Processed _Gas Exterior HVAC Unit**
**HVAC units must be screened
Under/Above ground Tank Install Remove
VJhen mstalling/xemoving tank(s), call for inspection by Fire Mushal and Plumbing Inspecror
Nature of Work:
Pel'Rllt Fees $70.50 Underground tank installationhemoval
$50.50 Miniminn (mcludes State Surcharge)
or
ContractValue $ x 1% _ $ PemutFee
$ State Surcharge
r To catculatesurcharge
If Pemtit Fee is less than $1,000, surcharge is SO cents.
If Pertnit Fee is> $1,000, surchazge increases by $.50
for each $1,000 Peimit Fee (i.e. a$1,001-$2,000 Pem¢t
Fee requires a $1.00 surcharge).
$ Tofal Fee
I hereby ac}nowledge that Hus 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 pexmit, but only an application for a permit,
and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which
requires a review and approval of plans.
AppticanPs Printed Name
ApplicanPs Signature
Approved By: , Inspector Date:
Required Inspections: - U.G. _ R.I. - Air Test _ Gas Service Test - Infloor Heat - Final
Aug 18 1511:06a Sunrise Remodelers 651-762-9395 p.21
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Use BLUE or BLACK Ink
�----------------i
! For Offlce Use �
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��� O���. �� , Pen,,;�#: ;
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383d Pflot Knob Roarf � �
Eagart MN 559 22 � Da1e Received: �
Phons:(651)675-5675 ' j SI�: l
Fax:(651)675-969� � �
��l�ll�ia� � • � , -�����K��+ C;�-f �' �'���7c.n t::�r ----------------�
2015 f�����ENI'i�L B1,19L.D11V(� PERlV�IT�►PPL.ICA'�ON
��cic_r'° 13L���� T�c��n h�:ti s-cs
Date:�'��eQ'I � SiP.e Adtlress:�a��l� l.l• i 1 Q:c1��.Q i�r i V� S5/31 Ur�it#:.N�,M.�,.�.
..,.�,.�.�.,..e.:r_..y,.�-»__�.-.,�..,.,...._z..nx:..__>..�.�:..�.�,��..-.-- - �-= - °-- -
;��,c.t u ci.�. ��.�:_:�3:"�,�� -�_�.�3 3,�3'��:��,�'3 a s�'3+�.S`�n� "
- Name: Phone: `
` R@51t'�6fi'�
.,
�Wn� ; Address!City I�p:
; ; Applicarrt 9s: Owner �Contractor { .��w��,�,_„���
_..:...__..,w..., ......-. _��. Descrtption of work: ��� � /\c��
; Ty�e��Work =
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...................�.._.Y..___...r. ConsfiuctionCost: � ��;_�'/CU�.'„__.,.._�__..__.......�......,._...NIuIU-FamilyBuitding_(Yes � 1No,_� _u,y._.
£ Company:")�'�Y'� Y; �--e �-e v�r� c:c�-z._4-e�S Contat�: �c::L ti tf�-"�.`�'_-J" �a�-'1
- : Address:� -t� �G' 't�1L Y�'e.. �cl t/1�.'.. City: S�' � �-� r
uont�actor = `,
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: State: '�(i�lV�Zip: ��� f U �hone: Email: i Y1`t'ti � �-z 1�����v'��•��=c���;�5,
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�.�_..__._...._.��.�..�.._..License#:�m���.,�.�� � � _...�ead Cert�ficate#:� ..,... �_..� `��c��_�.�.._._�..,�-=-_.
< i�the�ro�ect is exemp#from lead certtf�ca�ion,please expiain why:
'�� '��� COMPLETE THISxAREA�NLY IE CONSTi21iCYING A AIEW Bt31i.D1R9G
: 1�the�as412 months,has the City af Eagao isseed a pe�mit br a similar plan based oa a master plan?
,�Yes No If yes,date and address �f master plan: �
� i.icensed Plumber. Phone: �
' P�echanica�Corstrac�or: Phone: �
-° Sewer&l�ater Contractor. Phone:
�
; Pire SuppressEon Con4ractar: � p��e� __�z_ .�,,,
..�-�,,,�.�:
:. NC37'E:Pla�s anc�sup�ort�i€�g doceimerr�.s t`�iat you submit are coresidered td be public�enfo�natiotr. Por�ions a� "
�ie infa�ation may be classified as non public if yvu provide specefic reasons that woul�l permit t+'te City Ya .
' :� concfude tha�the�!a�e tra�e secrefs..,.:....,_..._......._..._,___,��,.u.....�....,..�...�.._.._ .__,.
�.....:......:.u_...:�........:........�_�..--... ._�. . _,�......_. ..._,._... ._ . .K.. y,..._.
CALL BEFORE�OU i)IG. Call Gophar Stata One�alt ai t659)+454-0002 for protecifon agains�underground util�ly damage. Call 48�urs
be(ore you intend io dig to receive loCates of undergro�d uliiifies. v�n:aoaherstateonecal!.ora
I hereby acknov�Aedge that Ihis information is complete and accurale;that the wo�k will be in coeformance with Ihe ordinances and codes of the City of
Eagan: that I u�derstand ihis �s not a permi4 buf onty an appiicatian for a perm�,antJ wodc is rtot to slari without a permit; thai ihe work will be 3n
accordance vrith the approved�lan in the case a�wa�c tvhich requires a r�2view and approval of plar�s.
Exterior work autfi�orized by a ballcfing pem�it issued fn accordaRce v�ith fbe BAinrtesata State Building Code mnst be completed wiihln'I 80
days of permle issuanc�. � -^-^�—�-
X ,��,� P�:--�--� cF, � �—=--�
Applica�t's Printed Name � � t's �ignature
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
C' � Permit#: / ✓ /l �f� j
lty of ����� � Permit Fee: / �� o�� �
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
Date: Site Address: lU '�S �� S��� 'j r�g.� ��f' C1n�#: �� /
Name: Phone:
f'�£SK��E3�'/ ,
C?�1Vi'I��'' Address/City/Zip: ����T �:��i��o CYt��t . �i�b-rfn>, 1'11�lJ• 55l�3
Applicant is: Owner �Contractor
' Description of work: ��Pt,A�(fi, (� �11.5
��P� af�0-rk � �
' Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
' Company:�NN�N YiA1a,� C?l�frLY �ba�s. (.l.G Contact: �iGLE e��M*�SQoJ
�
' Address: �5'7�0 9��.f�LE�.a0- City: L�n/rU�,�J �il�t,Ls
�Qt1�1'�.G�Q!'
State:�/� Zip: 55�09 Phone: (05/--2�.�d3//Email:�;bNnrSD��.A�wuOn,lJ¢u��^t�+t6�pT" •�a^
License#: N�R� Lead Certificate#: *�
If the project is exempt from lead certification, please explain why: Nv (�� Pk�s��
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:
Ati�7`;�:FJar�s atr�str��a�rrt`��g d4�cr��ents t�s�,yi��s����t are cor�s�dered tv ibE p�abl�c�r��o�r�iat�on. Por#ir�rr��� '
'�ie.in�'ort���on ma�,y b�=cla�s��red�s,�on�c��iic if,y��p�ro�id���cr�c reasvra�tt�a�t�auf�t perr�lt�r�C►�y t�
co�cl�d�e tha�t�e ,are t�de�e�'ets. `
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Build" must be completed within 780
days of permit issuance.
X S�►/� �H�►.saN X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3