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1638 River Bluff CtCityofEaWafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 , /16 WI q7t4 7`Il / 7j 1161 Use BLUE or BLACK Ink For Office -Use Permit #: w 7/ (Q Permit Fee: '39 .. 0 / Date Rec2ived: `-/-(2/1I Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L f •v20 • aD// RESIDENT / OWNER, Site Address: IC,433 R.vac RI cif GE: Unit #: 1 Name: Oryie j` ena erre/4414-/ 42r. Address / City / Zip: Phone: 763 - y961-9/op Applicant is: Owner )‹. Contractor TYPE OF WORK Description of work: Re .-roo f Construction Cost 4;)a, (273. 0 ' CONTRACTOR Multi -Family Building: (Yes ?C / No ) Company:S(,t n rLse, ke.nn,od e l )d 7 e Contact: of Pe ir7-, Address: 59 7 (o I pix. `Cn City: 3-L F c State: M Ai Zip: £5//O Phone: 625/ - 7601 - 9.7 License #: a0C/6.1503 Lead Certificate #: I Q I .2Q .33—t' 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 the information may be classified as non-public if you provide specific reasons that conclude that they are trade secrets. formation. Portions of could permit the City to 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 app . val . nom" - x 3 i P0+9.001/ Applicant's Printed Name A .. cant's Signature Page 1 of 3 S W `? kC, rv? i-z k CITY OF rl,,GAN Jr?i Pilot Yncb Road Ea-,,an, Minnesota '551122 PEF1ti1IT NO.: 11 The City of Egan hereby grants to Milbert Co. (Culligan) of _ 1001 Marie Ave., So. St. Paul 55075 1P111 Jeffrey a Mater_Softoner __ Perm 't for: (Owner) Lee Weiser 4341 Medary Ave. t ,y5¢Z+ttivBr sluff Ct. parsuant to appiication'dated 2/9/76 P<.e 11 J. C' $10.00 dEAed this ?23 day of Feb. 926-- 1.00 s/a Building Inspecco,.- Mechanical Permits: Bid Total: EAGAN TOWNSHIP BUILDING PERMIT Owner ....4C, .!..:`..`.......... ............. ............. -' ' ' ' - - Address (present) ?.tEY....... .......................... ............. Builder .......1. ------....'-'.......--°.....- ..............................-°' Address NO. 2916 Eagan Township Town Hall Date ..?d .-..a7- 7 Z' CII/ Slorie s To Be Used For Front Depth Heigh! Est. Cos! , Permit Fes Remarks Aw Jar" 1 .2i oV3,0 /079 G ¢i Ear f :00 e •? LOCATION A/s.d7• ? Street. Road or other Description of Location I Lo! Block Addition or Tract This permit does 41 authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT. ON THF PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that ..... ....??'.......1?^....°...... .....`' ......................has permission to erect a...?s g.. .* -..?...c..Z.?^.- yp the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1953. ''''yyam? _........ 8.2t: .... .• _....... ............ Per ...................N` ^........... 11......................................................... t Chat sd Building Inspector A 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date / _7 / 0 J // Site Ad ress /6 k, l/e? A& q 61 Unit # Property Owner C4 le Telephone # ( ) 44-Q- C?s Contractor cJJ G f Street Address 4?0 6 / t "/ 701 S1. A) /?p J? City 14 ?3 State /'i' A/ Zip ?S1-2 Lt/ Telephone # Bond #: 7 3 G (O Expires: ilP z ?? g The Applicant is Owner V//Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional 1! Replacement _ air exchanger air conditioner -New replacement other State Surcharge $ .50 Total $ 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 approve Ian in the case of work which requires a review and approval of plans. pplicant's Printed Name Applicant's Signature f?1 fK fry I? fl fV7 I? FEB 14 2005 OWNER -ti/1- MASTER CARD STRUCTURE AND LAND USED AS Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING ¦ J CESSPOOL - SEPTIC TANK ? WELL ELECTRICAL HEATING y? GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING -/t?- 73 SEPTIC FOUNDATION /Lr- 7 CESSPOOL FRAMING FINAL ELECTRICAL $ I-73 TILE FIELD FT. HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD. PLUMBING Q /-73 WELL SANITARY SEWER { v r ,Ila Violations Noted on Back COMMENTS: S P:l _7'W 6? ? V ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL oV SITE ADDRESS: - OWNER NAME: TELEPHONE #: lk? INSTALLER: CO A I= SNAWMM ROAD a EAQAN, MN MN 5512 b512 ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE #: ?_.'2& e? S16-NATURE O ERMITTEE 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE:12/29/72 (4/25/73) W NUMBER 1320 OWNER: Rivergate Vii-law-Bldg. 6 Address 1638-40-42-4-40-48 River Bluff Court PLUMBER Berghorst Plumbing Co. TypE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Co®erciall Residential Multiple Dwelling No, of units xx .1 6- Location of Connections: Connection Charge 1170.00 billed 4/25/73 Permit Fee 10.00 pd 12/26472 .50 pd 12/26/72 Street Repairs Total Inspected by: Date Remarks: By Chief Inspector In consideration 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 regulations of Eagan Township, Dakota-County, Minnesota By Berghorst Plumbing Co. Please notify when ready for inspection and connection and before any portion of the work is covered. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date:4/25/73 (12/29/72) /'1Z /- 4/ Number 1176 Billing Name: Rivergate Villa-Bldg. 6 Site Address•1638-40-42-44-46-48 River Bluff Ct. Owner: Plumber: Berghorst Plumbing Co. Billing Address Meter Siz 0 Connection Chg, i led 4/25/73 Meter NodwG 4AP Permit Fee- 10.00 pd 12/26/72 6/72 Meter Reading Meter Dep.a ,,? --?. i Meter Sealed: Yea Add'1 Chg. NO Total Chg. Building is a: Residence Multiple x No. Uni Commercial Industrial Other Inspected by Date Remarks: 6 townhou iiN(V Hy: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do tte proposed work in accordance with the rules and regulations of Eagan Township, Dakota County,, Minnesota By:-./? .da 1 Berghorst Plumbing Co. Please notify the above office when ready for inspection and connection. JOU? v 2007 BUILDING PERMIT APPLICATION .?? City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 Plans are considered public information unless you state they are trade secret and why. • Structural Plans (2) sets • Soils Report (1) • Civil Plans (2) • Certificate of Survey (1) • Certificate of Survey (1) • Structural Plans (2) • Code Analysis (1) " • Architectural Plans (2) sets • Project Specs (1) HVAC units req'd. on bldg elev. / site plan • Spec Insp & Testing Schedule (1) " • Civil Plans (2) • Soils Report (1) • Landscaping Plans (2) • Meter size must be established • Code Analysis (1) " l • Energy Calculations (1) " l • Emergency Response Site Plan (1) l • Spec. Insp. & Testing Schedule (1) " 1 • Electric Power & Lighting Form (1) " 1 • Project Specs (1) d • Master Exit Plan (1) • SAC determination - call 651-602-1000 • SAC determination - call 651-602-1 000 • Fire Stopping Submittals • Fire Suppression/Alarm Form • Architectural Plans (2) sets • Code Analysis (1) " • Project Specs (1) • Key Plan (1) • Master Exit Plan (1) • Energy Calculations (1) not always" • Elec. Power & Lighting Form (1) not always" • Meter size must be established-if applicable 1 1 i y d • SAC determination-call 651-602-1000 Call MN Dept of Health at 651-2014500 for details regarding food & beverage or lodging facilities. ** Contact Building Inspections to see if it is required and for a sample. *** Permit for new building or addition will not be processed without Emergency Response Site Plan. Date s / _-7 / O 7 Construction Cost / 9/ Qo(D Site Address ?t7 ??$ Q ; V R 2 RL u?F C-t' Unit/Ste # Tenant Name Former Tenant Name ) Wo I L14 /(04(0I L046 Description of Work r ii : `N d o --s //!f ; :' U p oaR S Property Owner Telephone # ( ) Applicant is: Owner _ Contractor Contact #: `133 3 _ _ Contractor u d t,W S-r CJ ?i? C) ?e U Address 3737 iN N e? A a ? A L) L City M-?, LS State ZipSSL106 33 ^3 Telephone#(6 ? A h/E ? ?/ 7 ® [E C E O E R i t ti rc ngr eg s ra o Address City State Zip Telephone # ( ) Licensed plumber installing new sewerlwater service: Phone #: () I hereby apply for a Coaunercial Building 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 the State of MN Statutes; 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. 6/ale Y AAKT/4?? Az,_? Applicant's Printed Name Ap s Signature Aug 18 1511:01a Sunrise Remodelers 651-762-9395 p.14 Use BLUE o�BLAC�C Ink r���__ -----------� 1 Eor Office Use � 1 !-� G�° � PermB�#: /�v� ���-- j t� of �a���. � Pe.�n�Fee: ���5-�� I 3830 Pilot Knob Road � i Eagart MN 65722 � Oate Receiv�d: � Phone:(659)67fi-5675 ,. 1 � Fax(65�E)B75•5694 � Slaff: � �-E.'irtiflGc.�` � ''• (� , -F f�� �:�,� t;�-j 4��'-e��7c,n c.;�,�. �----------------1 ao7 s �.Es�DE��'��►� ��'���t�G P��wi� ��ucr�-rio� �'-�d��,r° t�(,���= Te�:,n t-r�,,� s t s� - r {� , r Da4e:�'1�'�_'r_�_ Site Address: E��cJ P'1►w�°t ���,'��t• ���l� ��l�I linif#: �,x,-.,._.r..�.-:_.:r.._4.�.r..�..-x.,:�-.�:.�-�-s -,� • — - - _-o_ :.y...,: r.�..,�...�,.,..,�,.,.,...�_ :�ve c t u c`��;�..r l.����'��lv�-1 � � I ln���--'r..�C��-i� t�� I�:�.{'�r : Name: Phone: ' 9ZesideaEt/ ��p��P ; Address/City/Zip: � � = Applicantis: O�vner �Cflntractor �:.�.� � �.__=..=o.—�-,=,m�,�.r.,,....a_�._�__,..�.-,.._ ,.,_..-. ......_.__.... �....-...�. .p.e,.�....�......,..�..�.�...,........_.,.,�.,�,�.�...,.._.M....,.n ...�-.._.....,-_._ ..�.�..�...r.=x,r,.,_�,,.u.__._n ' T e of�'orit � aescri tian of work: ��: � �� � �p p ' �J ; Co�strudi�n Cost: � ��4 �C�� � Muiti-Family Building:(Yes�/No_j � � � Company:�L;.� v';S-� ��e vv1 cc�_1-e:S Contact: �t;i..1 �•�� ���1 � n � h-�t � � �011'�P�C$�T , Acldress:��� lL' 't"IC.`�'�-. �.ct �-� City: �'�'• .�a ' State: '�,�Zip: �C 1 !U Phone: E�nail: i Y!�i'z% � S..e 1�r=���r���:c�-e.1�;s r . �C.c:�• . : . " �tcense#� C � (� ��I e � � ea��ert+Ficate#: i�//�-'T 2� �l �3 . � � �. - i / -- ., : �f the project is exempt irorn i0ad certificatien,piease explain 1+uhy: �4AflPLETE THiS AI�EA�NLY�F CONS1't4UC't1�4; �,NEIR/BUILDING � : !n 4l�e lasf#z rr�onElis,has the City of Eagan issued a permit fior a sirnilar plan based on a master plan? - Yes Mo IF yes,date and address of master plan: ' � � �icensed Plumber, Pi�one: R ; �flechanical ConQractor. Phone: ; ` Sewer�Water Contracior. � �ho�+e: ' �ire S�uppressio�ContracYor: Phone: � P�lJTE:Pfan�arrn►siipporfi�rtg dociirneii$s�Pia#yoei�su,br�+if are considere�eo~be public imfa�rmmateon. Partiorrs o��� . �e iRfo�rna�or�may be c�assifreaf as non-pubrc if yo�peevide speci�c rr�aesons thaf woWd permit the CitJ�to , : � cor�c/u�e fh3g$hey�re trade sec�ets. CALL BEFO4E YOU DiG. Call Gopher SPate One CaEi at(fiS1)454-0002 f�proiectian against undergrourst�l�7ity damage. Call 48 hours befote you intend to dig to receive locates of underground utilities. www.aonherstateonec�ll_oro 1 hereby acknowdedge that this inForr�atian is complele and accutate;ihat the vrork wzll be in conFormance wi�h the otdirrances and codes of the City of Eagan; thaf[understand this is nofi a peRnii, but only an applicaiion for a peRnit, and wo�:is not to starl wil�out a permit; that ihe v�+ork wilf be in accordancewiEh the approved plan in fhe case o�work which requires a review and approvaf of plans. Exter�orwork authorized by a building perm�t issuerf ia accordancewltle the Minnesata State Bullding Coda mus4 be compleEed wiYh9n 180 days af permit Essuance. __,_.,.,. � ��>�,� �'.�..-�-�.q�s' G V"� � � Appficant's Printed Name A a 's ignature . Page 1 of 3 Use BLUE or BLACK Ink r----------------"'� I For Office Use � I � , C�� O� n� �� j Permit#: j Y � � � � � Permit Fee: y�,l�S-�� � 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone:(651)675-5675 I � Fax: (651)675-5694 I Staff: I I � -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: r7 1Lt �'`�`� � `� ��'� Unit#: Name: Phone: Re�iden�l / .-� _ Owr�er Address/City/Zip:�(� �� ��Vl.�R3l u.f^P CT ��.,s�. 7YI�. S5/2-T Applicant is: Owner Contractor .�,��Q Q,����,� Description of work: �GPt.�C.E � �� to Construction Cost: `� 3 0 Multi-Family Building: (Yes�/No� Company: O�J 66 �/+d LLL Contact: .�7�GE3 V�S�� ` Address: ,3 7B0 90� �'L� City: �it�o� �if-t.�s �.r'Q411�t'a+��t ' State:�/U Zip: .5500 Phone:�DS/-ay5- d3/I EmaiL SJoH*�soy.i��q,�oN1l�'�16�N-a++r ,� License#: JV 1R Lead Certificate#: Iv��4- , If the project is exempt from lead certification, please explain why: No l,t.�-o PFGss�.�rT 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: 11�DT�' Pl�ns art���tp�part�g docc��ner��tf�at y�ru�ub�it�r�c��r�s3tl�red to;b�p�a#�c��rr�at�or�. Porttrr»s c�' ' t�re�r�f�i�rr�a�in may be cla�.���'�etl�s�n�atii�tic l�',y�ou pro►�e s���if��rea�tsns.�fi�t wo�t�t per��t i�C�at',y t� c�n�lude t��t�l� . are tr°aal�,,secre�s. ' CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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 Building Code must be completed within 180 days of permit issuance. x 'JlTZ3V�' �d/�nTS o-+J x Applicant's Printed Name Applic 's `i nature Page 1 of 3 Use BLUE or BLACK Ink — -, For Office Use 4..zostwOtA. 1 )1.19 1 1 City of EaaitPerrnit#: --17-- I s rrAl Permit 3830 Pilot Knob Road ,aFee: i 1., t. - Eagan MN 55122 Receved e i : Phone:(651)675-5675 Dat Fax:(651)675-5694 I Staff: 1 i....... „I 2017 MECHANICAL PERMIT APPLICATION El Please submit two(2)sets of plans with all commercial applications. Date: 7--/3 -1 i , , .‘ Site Address: I I.,p';:-,Zs ,1--I V-e-if ,t)1 1:1.1--t -- Tenant: Suite#: r____..,........„..._,____,....._,.. ___________,,,...„______„.__________ ,.,...., ,...., _„....,,,,,>,...., , ... . . ....... , Name. Phone: -77 i' / L _____,"4X-t Resident/Owner , Address t City/Zip: /L/'3S) 12 i ver 1314k:1'r (7c,,L.,--t--. 13:ek.C-:,el,kt, /L./ j ,.:,Name: L,111 '- -41 Ate- License#: . _ ,,A , , f i Address: 7kr c),k ',`, ---, Tl' riNif..;;(1\t-4.-P— City; ---a...(iiii,i-rs.c Contractor ; ; .. ,- ii State: M(0 Zip: 5E3t:,r,-- 1 ---- Phone:„.... 4.0S)-Lit../Y0 a C) ) i Contact' Heat 11(:)/- kr,,,i i vl r,-, Email: i yv4-'b e.c C.'il.Ill-I-)i I e(71.(1.:(1,', 'II New Replacement Additional Alteration Demolition , • • Type of work I Description of work: (IC'i' C,CI r-'(.--:1-t--1(..->t/b2,---e- ir fp ! NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City :. 1 I Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL t, COMMERCIAL Furnace 1 Nevv Construction Interior Improvement " , Permit T 1 .„, _._,_.Air Conditioner I _ ping Processed , iType Install Pi . ; I ' I Air Exchanger I Gas Exterior HVAC Unit Heat Pump / Under/Above ground Tank ( Install/ Remove) , tv Other i I RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge --x ,..! $100.00 Residential New,includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES Contract Value$ x .01 'f $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee i i . - $ Surcharge -. 1 Surcharge=Contract Value x$0.0005 ; t If the project valuation is over$1 million,please call for Surcharge .,$ TOTAL FEE 1 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes c)f the City of , Eagan: that I understand this is not a permit,but only an application for a permit,and work is not to stun 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. , ca-t A kin, x ,, - Si -- .,C1--') ••• .,-- ' , • 4- Applicant's Printed Name Applicant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough in Air Test Gas Service'lest In-floor Heat Final HVAC Screening