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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