3290 Hill Ridge Dr
Use BLUE or BLACK Ink
j For Office Use j
City ( Permit gg ~
of Ea an L
1 Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-56 l _ 'staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: N •02o • a0// Site Address: N' Unit
Name: f~p~ e f i r Phone: _ 763 HI
RESIDENT
OWNER l
Address/ City /Zip: LG350 S-}~, ,L~ ✓P~ 1 b5r, /D E uvvr S<!o! l l
Applicant is: Owner Contractor (J
TYPE OF WORK Description of work:
Construction Cost ! (oGZS y Multi-Family Building: (Yes No
Company:, ! 1a n C LS. ~ny,ns2C li.(~ Contact: t J ~
~L/ G9'Yl
CONTRACTOR Address: 7 HtQbte- If City: S(r, prx_c. +
State: M Al Zip: 55110 Phone: ( / - 76 1 - 2.2 15
License Lead Certificate 1 - aaR 3.3 -0
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. ~.gopherstateonecall,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 Val r
an .
"Pl
1
x
Applicant's Printed Name A cant's Signature
Page 1 of 3
CITY CF EAGAN
3795 Pilat Knob Raod Eagun, MPI 55722 N2 5668
PHONE: 454-8100
BUILDING PERMIT Recetpt #
To be uad for Est. Volue Date , 19
Site Address Erect ? Occupancy
Lot Block Sec/Sub. Alter ? Zoninq
parcel # Repcir ? Fire Zone
Enicr+pe ? Type of Const.
r
o Name Move p .#' Stories
W
I Address Demolish ? Front ft.
rl;.,, Grode ? Depth ft.
p Nome
00 Address _
r- rc.,, cl,,,.,e
Name _
Address
Assessment _
Water & 5ew.
Pol ite
Fire
Eng.
Planner
Council
Permit
Surchorge
Plan check
SAC
Water Conn.
Water Meter
t hereby ocknowledge that I hme read this application ond state that gldg. Off.
the infortnation is correct and agree to comply with oll applicoble APC Total
Stote of Minnesota Statutes ond City of Eagan Ordinances.
Signoture of Permittee
A Buiiding Permit is issued to: on the express condition that
all work shall be done in accardante with cll applicuble State of Minnesota Statutes ond City of Eagnn Ordinonces.
Building Official
P?k # pah Iw? hrwMh?
Plumbing
Mechanical
INSPECTIONS DATE IN5P. Rouph-In Final
Footing5 41-7-so Dote Irnp. Dote Insp.
Foundation Plumbing
Fromelins. Mechonical
Finol -?
Remarks:
..,
? EAGAN TOWNSHIP
BUILDING PERMIT
OWI18I .... (. .- .............. ..... . ' ' ' ,.?" ' l..................
n:.. ---- ' -' -ascW? Addresc fPresenil ''? ?S ?
................................. -....... _......--`-...... .........................
Buildes ........-.? .....................'----.....................................
Addreca
D£SCRIPTION
N°
Eaqan Towaahip
Towa Hall
?
2916
Dala ....`..?:. ._?7?.7i
.
Sloriea To Se Used For Fson! Depfh HeigLf Eaf. Cosf ermi! Fee Ramasks
I a, 0?3 0 ?' ? ' ?
(10
Tb-? LOCATION y J-0 /• "'
oi
This parmit doas n'oi authorise the me oi stseals, roads, alleps or sidewalks aor doae iY give the owaar or Lis agae!
the righ! !o ereafe aap silualioa which is a auisanee o: wHie6 presenls a hsserd to !ha heallh, satetq, convenfenca aed
geaeral welfare to aa7oae ia the eommuailp.
THIS PERMIT MUST BE E/& PT ON.TB(F ?HR?E,M?ISE WHILE THE WORK IS IN PROGRESS.
a.ls?: ?...F.!?i?....?_°...c-..T..•----•-----........_v on
T6is le So oealifY. ................... .-:•-_??-................ aa pexmiasion fo ereet
P
the above describad P*emise subjac! !o the provisioaa o! the Buflding Ordiaence for Eagan Township adopted AprSl 11,
1955.
.............--_.._....--
_........7.?-?-?:?-?_?*_..-O`------ri-----••t•?'Pez ....._..----...._?........ tP..?? ....
? C?b,?-geW. . SuSldinp Impeetor A
crrr oF Fr+G,?N
3795 Pitw Kmb P.osd Ea9an, MN 55122 N2 5668
PHONF:454-8100 ?
BUILDING PERMIT APPLICATION ?/
Rereiat # -
ro be wea tor Garage Est. Value 5,500.00 Date 4/1/ 19 80
Ske Address 33003 Hillridee Dr. Erect ?]C occuponcy M
Lot 1-2-3 gl«k 2 Sec/Sub. Robt.Karatz qlter p Zoning R4
Porcel #
a
si
Name Fine Assoc
Aedress 3301 Hillridge Dr.
,,,_ Eagan,Mn ,,,__332-2561 7,M
Nome
Repair ? Fire Zone III
Entarge ? Type of Const. Fr3me
Move ? # Stories n/a
Derrrolish ? Front 16 ft•
Grade 0 Depth 22 fr.
Aoormals Peea
Address 16?u uomo eve. qssessment-
_.. . 8ll , _. - Water & Sew.
WW NGme
?
?6 Address
<w Qf
I hereby ackrwwledge that I K
tlu informoHon is correct a
State of Minnewto Statutes
Signoture of Permittee
A Buflding Permit is issued to:
all xrork shall be done in acm
Building Official
Polite -
Fire
Erg.
Phone Planner -
Countil _
read this application and stote that gldj, Offi. _
gree to comply with ali applicable
Citv of EogQn OrQjnances. APC
Permit G1.UU
Surcharge 3-00
Plan check 10. 50
SAC
Water Conn.
Woter Meter
Totol 34 250
on the express condition thot
State of Minnewro Statutes and Ciry of Eagan Ordirrorrces.
CITY OE' EAGAN Include 2 sets of plans,
' 1 site plan w/elevations &
r BUILDING PMLiT APPLICATION 1 set of energy calculations.
Zb se vsed For Valuation$5?5-00 Dd Date - o D
site Adare55,33 mo ?.. oFFice osE orrix
Lot _z.3 Block ? Sec./Sub. tj?MILErect
Parcel #: Alter ? Zoning
Rena;r Fire Zone
O?mer: Erilarge Type of Const.
Adclress: P'bve # stories
Demolish Front ft.
City/Zip Code: Grade Depth v? ft.
Ptorie #: 33?_ ,rF/ s?rs? a
APPF47VAI5 FEES
Contractor: Assessments Feimit ,Z
/ --
1
Pdciress: T9ater/Sewer ,
Surcharge °?--
V Police
? Plan Check
J..e..
City/Zip Code: yE`
C6wQ. ire SAC
Phone #: G?.S"- O 3.3 ?• water conn.
Plaru?x Water Meter
?? ??g : , ' Council RAad Unit
Bldg. Off.
Address: APC
City/Zip Code:
Phone #:
_?.9 ---
TOTAL
This request vod18months from ! 3, g?
37273
Date of this Request l 9- r? . S
I, as C,]'Lacensed Electrical Contractor ? Owner, do herehy request inspection of the above electri-
cal winng installed at:
Street Address or Route No. J?? ?b .?G // i?.?fo e .?, CityG?44,
Section Township Range County,
Wluch is occupied by
t0 Ea:Z
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ?
PowerSupplier Address ?a/?'//1Wil'?R.t2??Yid?A{///r
Electdcal Contractor /?-?v?? Contractor's Lice
nse N?? ?
Mailing Address
Authorized
(eiecvtcei contractor or Ow
SUVE MOQE°3D Q M
No. )-1S2-1Sb
This inspection request will not 6e accepted by the
State Board unless proper inspection fee is enclased.
Minnesota State Board of Electricity
:,954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
1tEQUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ Fo2Z
1
Type of Hutlding New Add. Rep. Check Applianeea Wired Foi Check Fquipment Wued Foi
Home ? ? ? Range ? Tempoiary Wiring ?
Duplex ? ? ? Watei Heater ? Lighting Fixturos ?
Apt. Bidg. ? @?? Dryer ? Electric Heating ?
Commexcial Bldg. ? ? ? Fumace ? Silo Unloader ?
Industrial Bldg. ? ? El A'u Conditioner ? Bulk Milk Tank ?
List List
Other ? ? 0 p
Heiers? $ehers?
COMPUTE INSPECTION FEE BELOW 'Y - M SA%k
xemarcs M,qJN ? ?FU2f77 p/S /
G F $RzEtl¢.e.f o N
I, the Electrical Inspector, hereby certii
(Final)
This request void 18 months
been rnade.
e • ? _t ? --F?
I L?j ?lj} ? I TOTAL P?E
r
MASTER CARD
LOCATION
OWNER
%;r-
STRUCTURE AND
LAND USED AS
Permii
No.
Issued Issued To
Conirador Owner
BUILDING
?
PLUMBING
CESSPOOL - SEPTIC TANK J27 ?2 ?T ?,?•3?
WELL
ELKTRICAL
HEATING ?
GAS INSTALLMG
SANITARY SEWER
OTHER I
O7HER i
Ifems Approved
(I nitial)
Date
Remarks
Disrance From Weil
FOOTING SEPTIC
FOUNDATION ;7 '3 CESSPOOL
FRAMING TILE FIELD FT.
FINAL
ELECTRICAL
HEATING DEPTH
OF WELL
GAS INSTALLA710N ?
SEPTIC TANK
CESSPOOL
DRAINFIELD
PWMBING
WELL
SANITARY SEWER
i
Violations Noted
on Batk
COMMENTS:
?
COMPLIANCE INSPECTTON REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO.
CONDITIONS OF CO7JSTRUCTION AT 7HI5 INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DEIAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTENO TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
W!L! BE DELAYED 8Y CONDI710NS BEYOND
CONTROL.
? REIhSPECTION REQUIRED
REINSPECTION
DATE OF REINSPECTION
CERTI FICATION -I certify that I have carefully inspected the a6ove in which I have no interesc present or prospective, and that I have reported herein
all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
6UILDING INSPEGTOR
COMMENTS:
OATE
zs
??-
/ai- ?i
EAGE3N TOWPISHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE[JER SERVICE CONNECTION
naxE: 12/22/72 (4/25/73)
OWNER•Rivergate Villa_Bldg. 11
PLUMBER Berghorst Plumbing Co.
NUMBER 1325
Add res s3290-92-94-96-9833300 Hillridge Drive
TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUILDING
Industriall Commerciall Residential I Multiple Dwelling f No. of units
Location of Connectione;
xx 1 6-
Connection Charge>170.00 billed 4/25/73
??
Permit Fee 10,00 d 1242642
.50 pd 12/2 /72
Street Repairs
ToCal
Inspected by:
Date
Remarks•
By
Chief Inspector
In consideration of the issue and delivery to me of the above petmit, I
hereby agree to do the proposed work in accordance with the rules and
regulations of Eagan Toemship, DakoCa CounCy, Minnesota
By.
Berghorst Plwnbing Co.
Pleaee notify when ready for inapection and conaection and before any portion
of the work is covered.
EAGPN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Mianeaota 55111
Telephone 454-5242
PERMIT FOR WATER SERVICE CONNECTION
Date:4/25/73 (12/29/72)
Number. 1781
Billing Name: Rivergate Villa-Bldg. 11 Site Address:3290-92-91+-96-98-3300 Hillridge Dr.
Owner: Billing Addreas
Plumber: Berghorst Pltunbing Co,
Meter Size/ X--k. Coanection Chg.
? 3L ? ?T- ?
Meter Atoc;P??1/.5/if Permit Fee ? 0.?
Meter Reading IMeter Dep.
Meter Sealed: Yea` lAdd'1 Chg.
NO ITotal Chg.
Buildiag is a:
Residence
tqultiple x Ho.
Commercial
Industrial
Other
Inspected by
Date
Remarka:
c?? t?E ER
Uni-?,.?a?hous?s
Hq:
Chief Inspector
In consideratioa of the isaue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatfons of Eagan Township, Dakota County, Mianesota.
By:
-. ,
Plea3e notify the abave office when ready for inepection and connecCion.
4/25/73
s/c
?
1?5licl 2006 RESIDENTIAL MECHANICAL rERMiT ArrLicaTiox
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
Date C)
Site Address Z Z?\? `? ?t C? ? Unit #
O 95z
(? 2 ?-?CoiU
Telephone # ( ?O ? I )
wner
Property
Contractor
CitY
Street Address
State ? Zip CJG Telephonek (651
Bond #: Expires:
\
The Applicant is Owner
$ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement _ New
air exchanger
? air conditioner
heat pump
other
State Surcharge $ .50
s USU
Tote?
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 Ihe 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.
?,- ( F Pr\ , ? f ti a l ?: ?.2 1??
Applicant's Printed Name --? Applicant s Signature
'
2006 COMMERCIAL MECHANICAL rExMiT arri..icaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephane # 651-675-5675
Please complete Coc commercialJindustrial buildings
multi-family buildings when sepaza[e permits are not requircd for each dwelling unit
Date
Site Street Address Unit N
Tenant Name (if applicable) .
Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ 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 Marshal and Plumbing Inspector
P¢I'mlt F¢e5: 570.50 Underground tank mstallation/removal
SSOSO Minimum (includes $lale Surcharge)
or
ContractValue $ x 1% _ $ PermitFee
$ State Surcharge
If permit fee is less than $1,000, add $.50
If permit fee is mare than $1,000, surchazge
is $.50 for every $1,000 owed.
$ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; [hat 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.
Applicant's Printed Name
ApplicanYs Signature
Approved By: , Inspector
Required Inspections: - U.G. _ R.L _ Air Test - Gas Service Test - Infloor Heat _ Final
2007 COMMERCIAL BUILDING PERMiT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
j+?S
• Structurai Plans (2) seis
• Civil Plans (2)
• Certificate of 5urvey (1)
• CodeAnatysis (1) "
. PrajectSpecs (1)
• Spec. Insp. & Testing Schedule "
• Soils Report
(1)
• Meter size must be established
1
1
1
L
1
1
• SAC determination - call 651-602-1000
Call
at
• Nchitectural Plans (2) sets
• Structural Plans (2)
• Civil Plans (z)
• Landsraping Plans (2)
• Code Analysis
"
(1)
. Certificate of Survey (1)
• Spec.lnsp.&TestingSchedule (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 deterrnination - call 651-602-1 000
• Fire Stopping Submittals
for details regazding food & beverage or
• Architectural Plans (2) sets
• Code Analysis
"
(1)
. ProjectSpecs (1)
• KeyPlan (1)
. Master Exit Plan (1)
. Energy Calcula4ons (t) not always
• Elec. Power & Lighting Form (1) not always"
. Meter size must 6e established-if applicable
d
1
L
1
i
. SAC determination - call 651-602-1000
faciliGes.
Contact Building Inspections for sample and iT required
*•" Permit for new 6uilding or addition will not be processed without Emergency Response Site Plan.
Date '3, / -7 / 0-7 Construction Cost V / , J 6 a
Site Address (,2 JV, UniUSte #
Tenant Name 3C99 a? Former Tenant Name
3 a ? 3?O1?
Description of Wow fG eP?/-}G?z ?1 ?.?" GJ ` itld u•?.: ? !?} T' U ?? ? d?
Property Owner Telephone # ( )
G1a,e? /-!A?TI<?
Applicant is: _ Owner X Contractor Contact #:
Contractor 1q?Y c..> A
T n
'
I? ? ' ' C?J
? dw
'
)
Address ?3 739 6 U? City /
?
?
/' I
State im A-) Zip SS yCI Telephone #( Fu/;.)
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 informauon is complete and accurate; that the work will be m
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pernut, but only an
applicarion 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.
G /? ?2? ?1A2?'kG
ApplicanYs Pnnted Name Applican ' i? iature
Aug 18 1511:07a Sunrise Remodelers 651-762-9395 p.22
�
tlse BLUE or B�ACFi Ink
�----------------�
1 For Oftice iJse �
, j Permit#: ����G2__ I
Cl�y of���a� �
� Permit Fee: �G��.`'� �
3830 Ptlot Knob Road �
E,aga�t MN 55122 � Oale Recei�ed: 1
Phons:(651)675-56T6 - � �
Pax:(651)675�694 � Sla�f: �
'"���l,i� � �. �3 , �r'e��� C_,�f G �'�-��7C.t1 CZ'av^ �____.�___________�
Zo1� r�Es�������t� �u��.at�� ��Rnn��r �Puca�a��
C-e d-c�� �L�,�'�; T���n G►��c �-e�
DateY�'���'1 y -- - SitQAddress:� � --- �� �:c� - - � �V'{. 'r',�/3 Unit#: �,_-.��
.._� .__,s.�.__..�m�._�_ :T�:�i u�����:_..-_,3a�i��i_�..���., ;-�a��iY�`ag�;�:3�a�
- Name: Phone:
�esiden�l �
py��r + Address/City I Zp: x
; � Applicant is: Owne� �Contractor
, _.td,.�.v_�..�.�.,..�_r._��..._r.�.:
,.......�.::._._._.�,,._.......�,.,�.._:..�_..m�..._..�..__,��...,.-,��..,:..�..�.t,_,:�„_,,.-.�„�.�,.:�.__.._�..._._.-_-.ri.:.�._......^ ._-,.�.�,,.�.��,�.._..
Zy��O�WOr'k ' Description of work ��, � �G�+ -
` � '�i ��
-_,.._...:..._..�.._�__..._- Co�struciion Cost: � ��: �JC-4-`.-----•---._.�.,..�04�...Y.Multi-Farrtily Building:(Yes,✓ /No_� {_...,.a_. _
�•- �
��ompany:�L�Y1 �r; 5-� �-�v�1 �ac�..!-� �S Contacf: "�� �-z-�-��(' �:.'l -
� ` Address:"� �'� �' 't'�L•�''L �..-.c: `�✓1-�. City: S"�� ��1 �
�:OT1t8'�CtOP "
('� �
Staie: �7f1i Zip: � �/ / U Phone: Ernail: i tf1�'t'i.% � �-t 1�r��ti r�•�uc�-��:S f
�� � � � � � Lead CertificatQ#:�,��1�- �a-.C����� :c�-,.
�-..,......_.._....�._�._....�,._�.License#���.w.,�._.,._._.�..._-�-___-..._.._._..,�._�..�__ .,,_..._..�,.�.�. _ ' �....�..,.._.���_
j If the project ts exempt frorn leatl certif6cation,piease explain why:
;._.._.....,.=�..,m....�..:�._�,.�,�._�,-.-.�...,�._.._..,,�...�..-.�.,__-�e,.�..,�_,.,�,�.�..___�..._,_..�,.......�.
COMPLETE TNIS�IaEA ONLY IF GONSTRUCTIi�G A NEW BUILDE111G
: I�i the las�12 months,has the C�r of Eagan issued a permit for a simitar plan 6ased on a master plan?
Yes No 1�yes,dale and address of t�aster plan: _
i Licensed Pi�mber: Phone:
' Mechanicaf Contractor. Phone_
� Sewer 8�V1laber Contrac#or. __ - Pt�one:
= Fire Suppresseon Contracior. Phone: - _----•�Y.,�p`sm- .-- .P� _
- NQTL:Plans and suppor�it�g daccnaeen�s tfiaY you s�ebmit are caesidered to�e pu6/ic informa�on. Fortions of f.
.
�e fnfior�a�fan may!�e classBfied as nan•public if yott��vide specific r�asons that xrQerOd pemtFt the City to :
�
:
R coeacludefhatfheparetradeseciets. _..._.._._ �_,_.._. �.._..__...,..._.___..__-...�.,..:_.-..
_._._:.:.:__:.:-.,._�.....:,::.,.._�_...=:W.-:..:.,..._:.,..�..,.::....:...:.,_.,..-....:...=.__..:.:........._....,.___,.,.................._._�...
CALL BE�QRE YOU DIG. Call Gopher StatA One Call ai(651)45d-OOa2 for prote�tion against�dergrourtd uiility damage. Call 48 hours
before you i�tend to dig to receive locates of underground uti3ities. www.4ovhersfateonec I,a I•oro
! heeeby acknouAedge that Ehis irrForr�ation is complete and accu�ate;tf�at ihe worlc will he in cflnformar�ce wiih the ordinances and cades of tha City of
Eagan; that 1 �mde�stand fhis is nat a perrnit, but only an apptication for a permlt, and wak is not to start wiUw�a permit; that 1he work wiil be in
accordance with ihe approved ptan in the case dr work whic0 requires a rev�ew and approval�f plans.
ExterioruvorF:authorized by a buqdin9 permit issued in accordance weth the eilinnesota Sfate$u9lding Code must be corr�pleied�a►1th1n 980
days of permlt issnancs. � -"-�
���-��� -�..��
K "_"'�`�� ��"--��� � �'F`� � -
Applicastts Rrinted[�ame A 's �ignature
Page 1 of 3
Use BLUE or BLACK Ink
��___-�-��__�___-�
I For Office Use �
C' � Permit#: /�—[/ � / j
lty of �a�a� I Permit Fee: S�c�� I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:�`'? ` (r .��G�� -���� j�G" G�`� �Unit#: ��
Name: Phone:
f"�LS11�@�/ '�
�:,�y���_- . �� '�� Address/City/Zip: ����' �;��i�;pc��z • �iA�G�n>, 1'11 tiJ• 551�3
' Applicant is: Owner �Contractor
Description of work: ��Pt,A�(f, (� �aCLS
7'�pe Of 1�i4Ck � �
' Construction Cost: 3(��� Multi-Family Building: (Yes ✓ /No�
Company:�NNa� �iA�� �7A�A�bi.Y �4-JGa,2..s. LLG Contact: �iG�1�Ee,ON*�Sd�
: ���,�r��,�Q� Address: �571�0 90`�.f�1�E�:�o• City: C.�i✓iU?�,oJ �i!-r.Ls
State:�/� Zip: 55�09 Phone: ToS/--?�.�d3/�Email: SJoNN.SD��h�wOn.{�+Fu��� •��r"
License#: N�R� Lead Certificate#: *�
If the project is exempt from lead certification, please explain why: �v� (�� PQ�sg,,,�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
1�4i"�.Pta»s a►�d';st�j�irrtir��r tl�c�rr�en�s��aa#yocr��b��t ar$ebrris�z�ered tt�be pt��b/i�Fr��r�r�ta��a: Por�o��nf '
: the��r�'orrr�t�rtiorr may be class�fied as�o»-�uib��'���'you prov�de speGi�lc r�asor��#f�a#wr�ufc�perrn�E t�ae Ci�ta
co»c�u�le ti�at t�i� are traale secr�.
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 180
days of permit issuance.
X S�✓� <JVI�'n1S6N X
Applicant's Printed Name Ap ' ant's Sign ture
Page 1 of 3
xSTEPHANM THEEL
Applicant's Printed Name
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 875-5675 I TDD: (851) 454-8535 I FAX: (651) 875-5694
Email: buildinoinsaections atcitvofeaoan.com
Commercial Plan Submittal: ealans@citvofeaaan.conl
Date: 7/6/20
For Office Us
Permit #:
Permit Fee:
Date Received:
Staff:
L
2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Site Address: 3290 HILL RIDGE DR
Tenant: Suite #:
- - - . - _ _
:_r'� =:`::' : ;_ ..
=Fescr entJQwrer;
_._. " -.,— - - - =
AMY FLESHER 763-746-6091
, Phone.
Name.
Address / City / Zip:
-_ --=r- =
__ :
=- _ = = -- . ='
_- --C_o -' =__
3 _ ^ _ orifraator= -:.
_ _ -- - ` "= rr
_ -__-_ _ --
BONFE'S PLG & HTG PM064852
Name. License #.
455 HARDMAN AVE SOUTH ST PAUL
Address: City:
MN . 55075 6513326633
- _= Y=
....... _ � =_
STEPHANI THEEL . STHEEL@BONFE.COM
Contact.. Email.
= '= - =
_
Perntiit'TYpe Ts
— - -" ==-- --_ -
: =' ' :--
-__-.—Other
RESIDENTIAL
Furnace
—
Air Conditioner
_
Air Exchanger
_ Heat Pump
>_= : .. --; =; �_:_= =_
_= ;Tjpi;ofwork
New Replacement Additional Alteration Demolition
Description of work: REPLACE AC
- - _ = =---
RESIDENTIAL FEES
$60.00 Minimum Add or
alteration to an existing unit, Includes State Surcharge
includes State Surcharge = $60 TOTAL FEE
$100.00 Residential New,
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.citvofeanan.comisubscribe.
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 es a - view and approval of plans.
%} - x 11
Am, - nt's Signature