3291 Hill Ridge Dr
Use BLUE or BLACK Ink
1-----------------,
1 For Office Use 1
o f Eal)(Iff Permit
Cif
y E;_
3530 Pilot Knob Road I Permit fez. l
Eagan MN 55122 Date 7jived: e-1,21 -
I
Phone: (651) 675-5675
Fax: (651) 675-56 Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y an • aD// Site Address: / Unit
FAddress me: Phone: 76-3 -'1119
RESIDENT I
OWNER tC ity/Zip: 2S~'1, .C ✓P~ St, r~% lD`~ ((y Trl~~/H7 19V
Applicant is: Owner Contractor
TYPE OF WORK Description of work: -I-
Construction Cost,$ 512 3. Multi-Family Building: (Yes ? t No )
Company:,l1 C';,e- :iaa46 ld3d.e-4,-~ _ Contact: t 2~~L2z?
CONTRACTOR Address: 159 7 to /-'obi -if n city: S E p„~, !
State:.- Zip: Phone: 7601 - 9~2 4,,,
License Lead Certificate* 1.Y A!- - 9 .
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. nAww.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 vat n .
t~ }
x ~~0~~ ~I'P (Scrn x
Applicant's Printed Name A cant's Signature
Page 1 of 3
CITY OF EAGAN
8795 Pilot KWob Road
Eagan, Mlnnesofa 55122
Phone: I54-8100
PERMIT
Dote:
kpril 10, 1978
Site Address: '99 tfillri:lge 7rive
Lot Block Sub/5ec.
Nome (Ta1_"Y wp 1 f -
g Address j -' `? .? 1 ? .7_ 117' • ?' , ' r- ?.;
?
City Phone:
Name
.
g Address, ' ]. a ri ;-n : .r .
e
0
V . z
City ' Phone:
This Permit is issued on the express condition that ull work shafl be
Minnesoto Stntutes und City of Eagan Ordinances.
No.
Receipt No
Single
Residentia l
Multi Res., Comm./Ind. tOWnt1Sj: uRl
New/Alter. / Repair
Cost of Insfallation
Permit Fee
Surchorpe
Totol
done in accordance with all applicable Stote of
IY Building Offlcial
kar? PJa74-
l
CITY OF EAGAN
3.?95 Pilot Kncb F.oad
Eagan, Riinnesota 55122
PERPIIT NO.: Sd '
Tne City of Eagan hereby grants to Lindav Wator oonditionitw oe.
of _ 4215 c'edar Ave_ So.. Eaqan 55122 _
?&fg Permits
a wAtQr qnffsnnr Permit for: (Owner) fit
t?ne r.istinaMier T. S??Ser
at ? ?? p,yrsuant to application dated _ ??r/6
?9s e a-;ve
Fee ?aid: ge0 00 dated this 2e day of n, y ? 19-7.fL--
4.00 s/c
Building Inspector
D;echar.ic«l Permits:
3id Total: . OVER ? ?
,
" EAGAN °rOWNSHIP
BUILDING PERMIT
Ownex .... G?x?!c^..'.`.:`? ......... ... ..... °.--.-. . . ........_....
?`-?-'?--?
Address (Presenf) ?.t4: .....•-----!!---..-........-----•°°.....-------'•--`-
Builder ........
Addres6 ......
V/
N4 2916
Eagan Towxuhip
?owa Hall
Dale la:. ..a7- 7Z
.......------ ................
Sloxies To Be Used For Fronf Deplh Heigh! Esl. Cos! ermi! Fe Remasks
.2, o V3, o .2a'Si 9• S 70
e
/-9-+?+?-4.+«-?-?-? LOGATION 77-?/• "'
Slseet, Road or oiher Dascripiion of LoeaSion I Lo! I Block ? Addifion or Trad
" ..,L.c_' --Z/')
ao I 0/
Thia permit doea a'ot aulhorise the use of stseeffi, roads, alleps or sidewelka nor does it giva the owaes or L!s ageat
the right to oreate anp situalion which is a nuismce or whieL preseats a hesud !o the healtb, safelp, convenIenea and
geaesal melfare !o anpone ia the commvnitp.
THIS PEAMIT MUST BE EPY?/N TH PREMISE WHILE THE WOAK IS IN PAOGRESS. ,
TLis is !o eer!!fP• lha2 ...... .............:.:........................haspermission !o eree! ...1.
the above deacribed premisa subiee! !o the provisiona of the Buildiag Ordinaaea for Eagaa Township adopted April 11.
1855.'?'-'t?? ]?
..•__...?"?--_.C...:....a..... .....r...:.`.? ..?.. Per ........°-°.----?........f/..-__......--.---.--.,.. ..........................
43 CMlrntan-?'?nwcr-Beasb Huildln Im eefos ?
v?oSo
* City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657)675-5694
- - - --------------,
, ._._..?.
? ?oyOffice.?Use I
j Permit#: (;R (O b Z i
? Permit Fee.
I
j Date Received 6 -zf._ ?
i i
? Stafl: ?g,? ?
-----------------
2008 MECHANICAL PERMIT APPLICATION
Date: 6 _/3?01? Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: 6LLicT1" PEgliAtl.l.T Phone:65-1-_-.S-830
Address / City / Zip: 33o/ N-i u-jelnGa 44t F'4GA-N, /AN S31 ?l
Name:ONr ??WL l?k?i+r ???2 Lic?nse u? f?LT Sr'3??f6Z
CONTRACTOR
Address: lgOLF VE.EA(/[LiedV 6r
City: !'n-1_57-i Nfrs State: fufrv Zip: S512:?__3
Phone: Contact Person:_
TYPE OF WORK _ New J-Replacement _Additional _ Alteration _ Demolition
Description of work: lu?
?.' NOTE: Botti `roof mounted'aRd 'g'ro'und Frmounfed'mechanical equipment. is=requiPed_to
r.;?'fie screebed by City Code Please contactethe N1ecNantca/lnsppctor oroae of the;?', .
'
'
in ';.mefhods-it,,.
screen
?+Planners,for'?in€orr'nafiorr,o'n. brrnttted
RESIDENTIAL COMMERCIAL
PERMIT TYPE New Construction _ Interior Improvement
Fumace _
?AirConditioner - InstallPiping _ Processed
AirExchanger _Gas _ExteriorHVACUnit
'
_ HVAC units must he screened
_ Heat Pump Under / Above ground Tank Install / Remove)
Other " When installing/removing tank(s), call for inspection by Fire
Marshal and Plum6in Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire rep2if (replace bumed out appliances, duciwork, etc.) (includes $.50 State Surcharge)
$ SD ?SO TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installationlremoval OR Contract Vaiue $ x 1%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
- If Pertnit Fee is >$7,000, surcharge increases by $.50 tor each =$ State Surcharge
$1.000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTALFEE
I hereby acknowledge Chat [his information is complete and accura[a; [hat the work will be m conformance w¢h the ortlinances and codes ot [ne Ury or tagan; mat
I understantl Ihis is not a permit, but only an apphcahon for a permrt, and work is not [o start wilhout a permd; Ihat the work vnll be in accordance anth the approved
ptan in the case of work which requires a review and approval of plans.
x21•k?'r.Vv-q- L- c -/yilEi?dcc.c J?/s.s-r51Qr? X -?H"i?LsG-h_gr?LJ -
ApplicanYs Printed Name ' ApplicanYs Signature
?FOR OFFICE USE Reviewed By I
I Required Inspections: i'? Under Ground?' ??'` Rough In"': ? AirSe"st Gas Sernce TesY ?l? In fldori ?IFinal ?. „? ,
?----------------
i Fo?wo??;u58
? Pertnit#:
I Pertnit Fee:
I -?
? Date Received:
I
? StaB:
L ----------------
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ?L I J ?( (? E) Site
Tenant: ??1 C? ` P/
Suite #:
RESIDENT / OWNER Name: IlNGlin01- ??e/lC/k Phone: Cn`-? I-Gioa- 80T3
Address 1 City / Zip: C(ct ti'?`1 ?-? Dr
CONTRACTOR Name: htCJY?''E-O??l License
Address: tL-?,-CkC71 0 _ C) /-
City: C cl?hGl?? State:V1'!0 Zip: ,5?571 a?
Phone: Contact Person: ???-'^GL (?-J(YC
TYPE OF WORK _ New _ Replacement _ Repair Rebuild _)6'Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Softener
Lawn Irrigation Add Plumbing FiMures
(_ RPZ /_ PVB) ? Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn lrrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 518" meter is required)
$100.50 Septic System New ($1 D.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ducrivork, etc.) (includes $.50 Siate Surcharge)
TOTAL FEES $
1 hereby acknowledge that this information is complete and accurate, that the work will be in conformance wnh the ommances ana coaes or me crty or
Eagan; that I understand this is not a permit, but only an apphcation for a permit, and work is not to stad 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 ? Applic nt's Signature
,..
FOR OFFICE USE Reviewed By Date:
Requiredlnspections. =UnderGround _Rough-In ,. AiP-Test ; _GasTest , _Final
°g City of ?apn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------Us-e ----------,
? For Office f I
? Permit#: ???f v ?
I Permft Fee: ?
? Date Recerved, ' ' ov I
j Staff:
I -----------------?
2008 RESIDENTIAL BUILDINlG PERMIT APPLICATION
Date: S_ 11 30 U Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: ? )avvcr ?QA (Y? Phone:?ps=IP ' OS
Address / City / Zip: 3 aq cl Ni ( I YZ` 64o01" Ar vnrv s?57a L
Applicani is: -.& Owner _ CoMractor
TYPE OF WORK Descriptian of work: t?t'C 4ini0?`
Construction Cost. 3000 Multi-Family Building: (Yes / N
CONTRACTOR Name: &W,Q aruy6& License
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Address:
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City:
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Phone: ?-L( O? --p(:QS ?S,. Contacl Person. 1 1[)k r0.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submittetl
(4 submission type) • Energy Envelope Calcula[ions Submitted
In the last 12 months, has the CITy of Eagan issued a permit for a simllar plan based on a master plan?
_Yes _NO If yes, date and address of mas[er plan:
Licensed Plumber: Phone:
Mechanical CoMrector: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporYing documents that you su6mit are considered to 6e public informafion. Portions o/
the information may be classified as rton-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknovAedga that this information is complete and accurate; that the vrork vnll be in cronformance with the ordinances arM codes of the Cdy of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start vrithout a pertnit; that the vrork will 6e in
accordance with ttre approved plan in the case of vrork which requires a review and approval of plans.
n c^. x
ApplicanYs Printed Name ApplicaM's Signature
Page 1 of 3
Cities Digital
? 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.
_ ...?:..?... ra....:,z , _..
?.-sia I ne
Rnrch?rnc
SRW Permit A $urcharqn
vmer:
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Att. - Multi
X 01 of _a Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Ak. - SF
? 02•Plex ? OS-plex ? Deck ? Poroh (screen/gazebo/pergola) ? MuItI Mlsc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interfor Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
X Alteretfon ? Fire Repair ? Windows ? Uemolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolrtion (entire buildmg) - grve PCA handout to applicarrt
DESCRIPTION:
Valuation !lai0 Occupancy Zxc-3 MCES System
Pian Review Code Edltion .20te SAC Unlts ?
(25%_ 1 DO%, v:5 Zoning City Water
Census Code 413y Stories Booster Pump ?
# of Units Square Feet - PRV ?
# of Buildings Length Fire Sprinklers -?
Type of Const Width -?
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) FIna11C.0.
Footings (additlon) ? Final/NO C.O.
FoundaNon ? HVAC
Drain Tfle Other:
Roof: Ice & W ater Final Pool: _FOOtings Air/Gas Tests Final
JV Framing _ Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation Retaining Wall
Reviewed By:
-------------------- ------ -- Building Inspector
---------------------------------------------------------------------------------------------------------
RESIDENTIAL FEES: p
Base Fee
Surcharge
Plan Review Vr?
MC/ES SAC
City SAC
Utility Connectlon Charge
S&W Permit & Surcharge
Treatment Plant
Copies -L?
Total
Page 2 of 3
Cities Diaital Oualitv 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.
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundatlon ? 05-plex ? 16-plez ? Accessory Building ? pool
? Single Family ? 06-plex O Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plez ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02•Plex ? 08-plex ? Deck ? Porch (screeNgazeba/pergola) ? Multi Misc.
? 03•Plex ? 10-plex ? LowerLevel ? Storm Damage
? 04PIex ? 12-plex ? Misceilaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building - ? Reroof ? Demolish Interior
? Alteretion ? Fire Repair ? Windows ? Demolish Foundatlon
? Replacement ? Egress Window ? Water Damage
' Demolition lennre bmldinol - owe PCA handout to applican[
Valuatio.^.
o?.... o...:,.....
Occurar.c,
r..a,, ca:.:....
MCES Sys:em
c n r i I..:...
PERMIT # 5-1I a 5
RECEIPT DATE:
8008 ftESIDEPTIAL PLUM$INH PEiiMIT APPLICAT[ON
CITY 0F EAHAN
3$30 PILOT KNOB [{D
S1k8AN, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
?.harkflnw.nraventrarfnrirrinationcvatem
SMITH, KRISTINA
SITE ADDRESS: 3291 HILL RIDGE DRIVE ?
- EAGAN, MN 55121
OWNER NAME: : (651) sai-ona TELEPHONE #:
(AREA CODE)
INSTALLERNAME: ?O?"blbYYl ???,I,VyL?olvlq TELEPHONE#: (OIZ'gz7- 4+0 53
STREETADDRESS: 2°?0? C?G(1?'FiGloi (?+REACODF)
Pt v?e.h?.e. So wth
CITY: ' 'Av,'?1,?IS. STATE: MrJ Z1P: 5540$
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
'
• MODIFICATIONfALTERATION TO EXISTING DWELLING UNIT, INCLUDING
_ Adding fixtures lo Iower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener X water heater 15.00
State Surcharge 50
. o?
, . ? .
Total
?
I hereby acknowledge that I have read this application, state that the information is correct, and agree to complywith all applicable Ciryof Eagan ordinances. It
is the applicanPs responsibility lo noti(y tne property owner that tne Cily of Eagan assumes no Ilability for any damages caused by the City during its normal
operational and malnlenance activitles lo the facilities constructed under this permit wit ?ro_pe? y?ght-o?f--waylesement.
URE OF PERMITTEE 1/02
41300 ROBERT KARATZ
HILL RIDGE DRIVE
(PAGE 2 OF 2)
CONDO
UNIT #
3267/ 10 41300 02505 25
3269/ 02605 26
3271/ 02705 27
3273/ 02805 28
3275/ 02905 29
3277 03005 30
3279/ 10 41300 061 OS 61
3281/ 06205 62
3283/ 063 05 63
3285/ 06405 64
3287/ 06505 65
3289 06605 66
3290/ 10 41300 055 OS 55
3292/ 05605 56
3294/ 05705 57
3296/ 05805 58
3298/ 05905 59
3300 06005 60
3291! 10 41300 06705 67
3293/ 06805 68
3295/ 06905 69
3297/ 07005 70
3299/ 07105 71
3301 07205 72
(6-PLEX - CEDAR 6LUFF TOWNHOMES)
(6-PLEX - CEDAR BLUFF TOWNHOMHS)
(6-PLEX - CEDAi2 [3LUFF TOWNHOMES)
(6-PLEX - CEDAR BLUFF TOWNHOMES)
24
MASTER CARD
STRUCTURE AND ?
LAND USED AS
'E
Permit
No.
Issued Issued To
Coniractor Owner
BUILDWG
PLUMBING
CESSPOOL - SEPTIC TANK 9? •
v 7 ???,T_ 7 _y ?
WELL
ELECTRICAL
HEATING
GAS INSTALLING
-??-
SANITARY SEWER
OTHER I
OTHER I
Items Appraved
(Initial)
Date
Remarks
Distance From Well
FOOTING $EPTIC
FOUNDATION r-?z _ CESSPOOL
FRAMING _ TILE FIELD FT.
FINAL
ELEC7RICAL
TH
HEATING
GAS INSTALLATION .-Y DEP
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBWG
?-
-
-.z4
3
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
(P
PERMIT NO.
COMPLIANCE INSPECTYON REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON•COMPLIANCE
OBSERVED.
a ACCEPTABLE SU&STITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON{OMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
ITEMIZFD AND DESCRIBED AS FOLLOWS:
NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPIY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
DATE OF REINSPECTION
REVEALED
CE RTI FICATION - I certify that I have carefully inspected the above in which I have no interest preunt or prospective, and that I have reported herein
all significan[ conditions oLserved to be at variance with ordinances of the Town of Eagan, approved plans and specificetions, and any specific repuire
ments for off-site improvements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABtY COMPLETED
BUILDING
DATE
9,4,50...
f0h?Pi'f
EAGAN TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE41BR SERVICS CONNLCTION
DATE: 12 29/72 (4/25/73)
OWNER: Rivergate Villa'B1dg• 9
PLUMBERBerghorst Plumbing Co.
NOMBER 1323
Address 3291-93-95-97-99-3301 Hillridge Drive
TYPE OF PIPE heavy cast iron
DESCRIPTION OF BUIIA ING
Industriall Commercial+ Reaidential ` Multiple Dwelling I No, of units
I I ' xx 1 6- townhouses
Location of Connectiona:
Conaection Charge 1170.00 billed4/25/73
Permit Fee 10.00 pd 12/26/72
12/26/72
. p
Street Repairs
ToCal
Inspected by:
Date
Remarks•
By. Chief Inapector
In consideration of the issue aud delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules aad
regulationa of Eagan Totmship, Dakota CounCy, Minnesota
By.
Berghorst Plumbing Co.
Please aotify when ready for inspection and connectioa and before anq portfoa
of the work is covered.
EAGPN TOWNSHIP
3795 Pilot Rnob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PER4aT FOR WATER SERVICE CONNECTION
Date:4/25/73 (12/29/72)
Billing Name: Rivereate Villa-Bldg. 9
Owner:
Plumber: Berghorst P].umbing Co.
on
Number: 1179
Site Address:3291-93-95-97-99-3307 Hillridge Dr.
Billing Address
'4 3
Meter No.
Permit
Meter Reading IMeter Dep. ?
Meter Sealed: Yea_ 'Add'1 Chg.
NO I Total Chg.
Inspected bq
Date
Building ia a: Remarka; R
Residence
Multiple x xo. Units6 ownrt?"?R P?R y11NS?Al??
Commerc ia 1 \j'?e
Industrial I Hy:
Other Chief Iaspector
In conaideration of the issue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules aad
regulations of Sagan Townahip, Dakota County, Mianesota. ,
By:.
Berghorst Plumbirtg Co.
Please notify the above office whea ready for inepection and connection.
? 4/25/7,
7 Q
2
J
?7??1?
2007COMMERCIAL BUILDING rERMiT arrr.icnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
31g 7s
• Structural Plans (2) sets
• Civil Plans (2)
• Certificate of Survey (1)
• Code Analysis (1) "
• ProjectSpecs (1)
• Spec.Insp.BTestingSchedule
. Soils Report
(1)
• Meter size must be established
L
1
1
1
1
1
• SAC determination - call 651-602-1000
M1V nent
. Architectural Plans (Z) Sets
• Structu2l Plans (Z)
• Civil Plans (2)
• Landscaping Plans (z)
• CodeAnalysis (1) "
. Certificate of Survey (1)
• Spec.Insp.BTestingSchedule
"
(1)
• Meter size must be established
. ProjectSpecs (1)
• EnergyCalculations (1)
. Elec[ric Power & Lighting Form (1) "
. Master Exit Plan (1)
• Emergency Response Site Plan (1)
• SoilsReport (1)
• SAC determination - call 651-602-1000
• Fire Stopping Submittals
. Fire Suoores5ionfAlarm Form
for details reRarding food & beverage or lodgin
• HfCflllecNral rIE1lJ
. Code Analysis (1) °
. ProjectSpecs (?)
. Key Plan (1)
• Master Exit Plan (1)
. Energy Calcula8ons (1)notalways"
• Elec. Power & Lighting Fortn (1) not always"
• Meter size must be established-if applipble
L
L
L
1
L
SAC determination - call 651-602-1000
** Contact Building Inspections for sample and iFrequired
**" Permit for new building or addition will not be processed without Emergency Response Site Plan.
- / ??-
Date
7 ? 0 7 /
Construction Cost
SiteAddress °" ? /Y/,/ ,
Uni t/Ste #
Tenant Name 311? zi, 2a2 3 Former Tenant Name
3a .? 3 9
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Description of Wor
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Property Owner Telephone # ( )
Owner x Contractor
Applicant is:
Contact #: ((„ /?-) ?
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Contractor r A .2 }? w n
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Address
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State Zip SS y?1 Telephone #(6la-) 7a J 333
Arch/Engr Registration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewerlwater service: Phone #: U
. . . . . :_ _.._..ie.e .,.,a .,,.,.,,.. r, r1,.r rhe wnrk will fie in
I hereby apply for a Commercial Bwlding Yernut ana acimowieage cnai Mc uuW.,.a«-. .? ??u?r??•? W.? °?--°-, -- -- --
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I mmderstand this is not a pemut, but only an
application for a permit, and work is not to start without a permit; that [he work will be in acwrdance with the approved plan in the case of
work which requires a review and approval of plans.
Applicant's Pnnted Name Applican' i ature
Aug 181511:11a Sunrise Remodelers 651-762-9395 p.1
Use BIU�or BLACK lnk
r___r._�_____^___.�.�
I For Office Use �
i
�� ���� ��1 ; �#: l 3�.�/�- ;
� � ' ����-5�? i
i Permd Fee: �
3830 Pilat Knab Roed �
Eaga�Mf�f 55922 � i3ate Received: �
Phone:(651)675-5675 , � l
Fax:(651)675-5694 � 5taff: 1
� � I
.�iMG4�� � • (� . �(���C�� L:�-J c° �'e.���e.n •c��,s� ----------------�
20�5 R�SID�AITiAL �UIL�IN�''°s RERMIT A�P�.�C�1'TI�N
C���� �3L�.�.� r�4�,n �,�<< s-�s
Date:$'�rg' I � Site Addeess:��t �� �� �;��1.� ,i7 f,V� S�/31 Unit�i:
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: ���+�� uc��"�:�"��9 3,�����; 3a- �7 ��.�3a f��
t : Na�ne: ' �
ReSidenYl Phone; �
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CWt1�1' �': Address 1 City/Zip: �
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: ,: _
� = Applicant is: Owner �Cor�tractor :
; _ �.,�, �.:n....�.,�,....r._s.._...,,...��.-.^._-�._....�,._.,...,._,.-.r.,.a.-.-.._.d,...»..,
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: TYpB Of W�ric ;I oescription of work:_ C'�; c� n c•�
° Construction Cost: � ��: Q C���•G�
_,:.:,.P._...,._,._.._._�_ .....�. __...,....,..._.n...,...-.,.�..�.,..._..�.�._ ..�..,..,....�_�._.....�..�. Multi-Family Building:(Yes,�!Pfo_� .........
I Company:'-}�V1 ir' � �^� ��+rV1 �c�.1-�:S Contacic �C '�� ���-.-�'-� �:••'l
.
��tltra�tor ° Address:��� �C •�—�c: � L�c -v�-� city: S�` � �� 1
: State: I��`rp: � �/ /� Phone: Email: �-1"�% S_t t�r:��tv,n�ct-e-�:-s,
� ( /� � =c.i:►-
--•,........ ..._.._�...__..<....�.,�.,license#��� l�a � � � I_�._.__Lead Cer't�icate#:�V /'T � � c�c�•�t���._..._��,
1� I#t�e projsct is exempt from lead certiflcatia�,please explain why:
�..�.,.,�y.���.r.,��.,�..,�..�..�.�.�..�.. �..t�:.�.��-_.-�-.�,,..�,::.�..-.�.�;
� CONIPL�YE TMIS A►REA 09VLY IF CONSTRUC'�i�1G A PIEY�f BtlILD(NG
< In the last t�2 months�has the Gity of Eagan issued a pertnit far a similar pia�based on a master plan?
£ Y�s No lfiyes,date and address of master plan: • .
: Licensed Plumber: Phone•
�
� Mechanieai Cor�tracEnr: Phr►no• �
Use BLUE or BLACK Ink
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� For Office Use �
C' � Permit#: / ��// �LS j
lty of ���a� I Permit Fee: � ��• �� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
�7' ��..} � ���7
Date: Site Address:�{-i'i ��I,C��.S ���/�����-S��� 7 ��� Unit#: �
Name: Phone:
R#:s[t�etlt� / '�
�►�n� Address/City/Zip: �% �� I �;�c.�;ac��h . �6,4n>, I'Vl N• 55l�,3
: Applicant is: Owner �Contractor
Description of work: �c,Pt,�ktfi, (� �2S
Type �Wt�r�k � �
' Construction Cost: 3C�OO Multi-Family Building: (Yes ✓ /No_>
� � . ' � ����� . � � Company. IA�NNaN �iA�ta,�, �7l�R�E�" �l-J6o,Rts. LLC, Contact: � � e�Ohl'NSaoJ
���������, � : Address: �S'7�0 �,/�'LE�• City: �rUor�J ��t,lis
State:�/✓ Zip: $� Phone: l05/--2��"d3//Email: SJoNNSD��fiwuDn�lJd��^1��oT^ •�a""
' License#: N�ir 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 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
' N�Jfi�E:Pfans a�stapperrt��ag do�c�rr�ents�#a�`yvr�:s���are co�r��dered tb'be p�b����f�rmatian. Por�i+ar�s v�'- '
�e:#n�orma��ort rnay�e cla�s�`ieal�� �ar�per�t�c i�'yo�pro�ai�speci��reasar�s tf�at't�+auld perml�t t�ae Cr�t�to
cor�clutle that�t�� are tr�tl�&�c,ret�.
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.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 approval of plans.
Ezterior work authorized by a building permit issued in accordance with the Minnesota State Build' must be completed within 180
days of permit issuance.
X J�✓� <JVI�'ntS6N X
ApplicanYs Printed Name Ap ' ant's Sign ture
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