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1650 River Bluff CtGity ef Eaffau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Fir ©ie to Permit #: if Permit Fee: '" 39s. Q6 Date Received: % O/ %/ Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1-{' S?o • a0// Site Address: 1 C5 0 -g, X 8)4 a Unit #: RESIDENT / OWNER Name: Qire �a Mcnay'r4,41-I- r. i Address / City / Zip: Phone: 76 .3 -'Ng -W190 Applicant is: Owner X Contractor TYPE OF WORK Description of work: ire. -roc, -P Construction Cost 4(2), 27? (4)& CONTRACTOR Company:t, SU n j'Ls kP4„,,,),4 e,1643) Address: S9 7 (o A/o& I- a r c_ Multi -Family Building: (Yes iC / No ) Contact: City: .Sj-, Pct u State: {"l Ai Zip: 551/0 Phone: ,6/ - 7601 - 9795 License #: o7r)c),5/5/ S Lead Certificate #: J\/Ar- a Dzy 33-0 —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 they 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. www.gopherstateonecall.orq 1 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 -n x 5oe-I P1 --e o1/ Applicant's Printed Name n Si ture Page 1 of 3 MECHANICAL PE-P34IT DATE: 2/28/91 RECEIPT: 100293 SITE ADDRESS 1656 RIVER BLUFF COURT Unit # Permit # 12818 L 12 B 1 Sect./Sub. ROBERT KARATZ WENZEL HTG. & A/C 452-2665 INSPECTION INSPECTOR DATE COMMENTS 3-(, ,f INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 ? ? Date Issued: (612) 681-4675 SITE ADDRESS: I „ i f I' l ,,, , APPLICANT: I . ' ?5 I. 1',:'I I ltLttFt' r'I' 1,115,1 ti f}rtil < t•i'1' 1 f+litif fl i f.AkA 1! t r, I :' ? ar. 4?13e0 PERMIT SUBTYPE: I !!III . TYPE OF WORK: RFPAIR (5t i i i 111ri r F IPC DANAfiF ) INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. I,,i11,?11 f t? II s ,? ? t t•Ir1! ?,, c??", 76 L Permit No. Permit Holder Date Telephone # ELECTRIC Oro PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG i q ? ?` I Tr? zi, ?Y1l?N? Alf? ?b '? t 1c.? tit>a?. ail I NMV W(51 ORJVW . EAGAN TOWNSHIP BUILDING PERMIT Owner ....[<(rx ".^.......-' ......... .:...... . ....... ?------------ Address (present) ........................ !!-.- ,?f." ....................................... Builder ........ Address ...... DESCRIPTION N° Eagan Township Town Hall b?l 2916 Date ..?,X A 7- 7 L ................... Stories To Be Used For Front Depth Height Est. Cos! Permit F Remarks I I ? o •l3,ao 1o -7 9 S J W .& G y ( I$Q,Ca • -a LOCATION 7?a /- -- Street, Road or other Description of Location I Lot Block Addition or Tract .°CZ6 v MA S.?".?"-Z`y, This permit does not 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/4EPT OO-N?TH PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that..... 1...._F?..°.'.. ...... ..........has permission to erect a...?x?: ?.. .c... the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11, 1955. /? .N..-` C........ 1J........---. ................................................. .......... _.I.....??f....... ..... 't.-)4 Per ' ................. ( Cheir easel Building Inspector A x'4912 8 /0 69 13-A r Request Date p5 "] IiNo. Rough-in nspaclio Required? ? Yes ? No ? Reedy Now ? Will Nobly Inspector When Ready? I ? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street, Box or R No .1 City Se ion o. ownship Name or No. Ran a o. County Occupant (PRINT) Phone No. Power Supplier Address EI al Contractor ( o bja? pany Nam Contraclo s License No. Ma Address C mra tw or ne Making Inslaletionl Authors ed Signat (C Mrdcmr/Owner Ing Installation) PM1On Nu r/"? ' MINNESOTA STATE BOARD CLVELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-li idwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS Phone (612) 1 ENCLOSED. 3 REQUEST FOR ELECTRICAL INSPECTION °- ES-OD001.08 / P. See insUctions for completing this form an back of yellow copy. /003A M w 49128 "X" Below Work Covered by This Request •a?: New AtTd' Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service - Duplex - Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial ' Furnace Farm Air Conditioner Other Ispecily) Contractors Remer_ks: Compute Inspection Fee Below., cP # Other Fee # Service Entrance Size Fee # Cfrcuits/Fee ers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps -100 Amps Signs Inspectors Use Only: ...i GY/ Irrigation Booms i J Y ® J Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in oats certify that the above inspection has been made. Final Date "-7 OPFlCE USE ONLY This request void to months from b Cl( (0 D3 2005 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 ?'?o So D ate Site Address ?(f/J 0"( (//Q? /Jl (? ?f ??l ((?t ( Unit # Property Owner /rC/CCCCCr?7? Telephone Contractor Street Address City ( State Zip Telephone # ) Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement air exchanger air conditioner New -Replacement other State Surcharge $ .50 $ ?? J 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 t only an application for a permit, and work is not to start without a it; that the work will be in accordance with the appr ve plan in the case of work which requires a review and approval of p s. lkz z2«rC Q?01-fr<?cr Applicant's Printed Name Applicant's Signature PERMIT G'?zo5?o35 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 027591 (612) 681-4675 Date Issued: 05/17/96 SITE ADDRESS: 1650 RIVER BLUFF CT LOT: 12 BLOCK: 1 ROBERT KARATZ DESCRIPTION: r""mow, (FIRE DAMAGE) Building-,Permit Type SF (MISC.) (Bujlditrtl W'grk Type REPAIR Census `COde? 434 ALT. RESIDENTIAL r- o-, V 11 ?:,?' REMARKS: FEE SUMMARY: VALUATION $15,000 Base Fee $224.75 Surcharge $7.50 Total Fee $232.25 CONTRACTOR: - Applicant - ST. LIC.OWNER: UNGERMAN CONST 18252800 0001239 NATH MANAGEMENT 4450 NICOLLET AVE S 5775 WAYZATA BLVD MINNEAPOLIS MN 55409 MINNEAPOLIS MN 55416 (612) 922-2800 (612)853-1441 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan'Ordinancss. A ANT/PERMITEE SIGNATURE ISSI "BY. G f4/Eb-T?k I CITY OF EAGAN r, r lk#qi 3830 PILOT KNOB RD - 55122 `r ... L • ?, 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 Remodel/Reoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan If lot platted after 717/93 required: -Yes _ No DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: Street STREET ADDRESS: ?(o S? ?iVeg, /,ufF L!;u 7' ' LOT I I BLOCK I_ SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: Phone #: R53 ?-Z 1A6T i1R6i _ o! 17 City: .Jj A4 6?. State: Zip: SSy/( Company: Adl 0AXc&,W,,411 Phone #: Ro25--y?V6`O Street Address: 5,5!20 License #: 123 9 y? 9 City: %v^?1 State: 1*VA1 Zip: Company: Name: _ Street Ad( City: _ Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Jam/ / / Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Phone Registration #: Yes No Yes No OFFICE USE ONLY BUILDING PERMIT TYPE o 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex 0 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex W(`w TYPE C r ?j UBC Occupancy Zoning # of Stories Length Depth a -Alterations Repair J APPROVALS Planning ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units MASTER CARD Permit No. Issued Issued To Contractor Owner BUILDING 29 Ear PLUMBING 32 r 7 CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING / Cf /) -/-? SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING 1 SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD , PLUMBING l~ T? V WELL SANITARY SEWER °y v - Violations Noted on Back COMMENTS: OWNER ax ? STRUCTURE AND LAND USED AS COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. DATE OF INSPECTION ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED ION DATE OF REINSPECTION CERTI FI CATION -I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have repor0herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- menu for off-site improvements relating to the property inspected. 1-1 ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR COMMENTS: DATE 23 la? EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: 12/29/72 (11/25/73) NUMBER 1319 OWNER: Rivergate Villa-Bldg, 5 Add resg 650-52-511-56-58-60 River Bluff Court PLUMBER Berghorst Plumbing Co. TYPE OF PIPE heavy cast iron DESCRIPTION OF BUILDING Industrial Commercial Residential Multiple Dwelling No. of units xx 6 - townhouses Location of Connections: Connection Charge 1170.00 billed 4/25/73 Permit Fee 10.00 pd 12/26/72 .50 p 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 Totmahip, 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) xa-&Lf ? Idl-11)l Number: 1175 Billing Name: Rivergate Villa Bldg. 5 Site Address:1650-52-54-56-58-60 iyer Bluff Ct. Owner: Plumber: Berghorst Plumbing Co. Meter Billing Address Permit Fee 1 Meter Reading _ Meter De Meter Sealed: Yes_ Add 11 Z7 _ _-7 NO Total Chg. Building is a: Residence Multiple x No Commercial Industrial Other Inspected by Date Remarks: % Townshous ?,SPE??,? RAE ER By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do t1m proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, ?Minnesota. By: Berghorst Plumbing Co. Please notify the above office when ready for inspection and connection. _AO" 20 rHEONIM UILD IN GPERMIT 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 • Civil Plans (2) • Certificate of Survey (1) • Code Analysis (1) • Project Specs (1) • Spec Insp & Testing Schedule (1) " • Soils Report (1) • Meter size must be established 1 1 L l 1 d • SAC determination - call 651-602-1000. • Soils Report (1) • Certificate of Survey (1) • Structural Plans (2) • Architectural Plans (2) sets • HVAC units req'd. on bldg elev. /site plan Civil Plans (2) Landscaping Plans (2) • Code Analysis (1) " • Energy Calculations (1) • Emergency Response Site Plan (1) • Spec. Insp. & Testing Schedule (1) " • Electric Power & Lighting Form (1) • Project Specs (1) • Master Exit Plan (1) • SAC determination - call 651-602-1000 • Fire Stopping Submittals • Fire Suppression/Alarm Form • Meter size must be established • 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 • SAC determination -call 651-602-1000 Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilit ** 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/ 07 Construction Cost 1 C Site Address ? LP 6-0 Q "V-e2 (Gu/ F C-r - Unit/Ste # Tenant Name Former Tenant Name 1 to 11,o 94, ! u 64, 1(o 58, 1 to (Q o Description of Work W /v o WS /` ??+ o p ao2 S Property Owner Telephone # ( ) Applicant is: er __ Contractor - Ow Contact #: (la !oZ) ?o? 1 ?? ?3 3 Contractor n icJ JU w [%' d c. ? t `-- w f ?e CJ Address / 373 c7 /r) "N N e- I a- /4 L) City m LS State A 33 3 Zip,53'_L106 Telephone #(6l.?Lj x h/E A `1 7 R i i @ v ngr rc eg strat o Address City v? State Zip Telephone # ( ) Licensed plumber installing new sewer/water service: Phone #: () I hereby apply for a Commercial 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. 61IM- IYAKTi? Applicant's Printed Name Ap s Signature Aug 18 1511:03a Sunrise Remodelers 651-762-9395 p.16 Us�BLUE or BLACK ink r-------------.__.._� i ForOfilce Use � 1 ° � Permii#_ ����� 1 A1�6� O� L���9� ! Pemiit Fea:�, ��. S�` 1 I 3830 PiEot Knob Road � � Eagan RAN 55422 � Oate Received: ► Pho�e:(fe5'�)675-5575 , ! I Fax:(651)675-5694 3 �a�' j •'�I�GL�` � �� f! , ����•�i�'� �:1�'j 6' ��4=-�c.n Ci:vr j-----------------' 2o�s RES1�]E�'�iA BIj�L�111dG P�RM�T APPLIC�►TI��1 C-�dy_,r t3il.� � .7"'c 4.�n h.:�t s-c sf Date:?�-��'i � Site Address: 1�D-J� �'.V,��( �1�,ti��� tu�.l� S�l 31 Unit#: -� _-- ;_�.,�r_�_.-..�._,,___�. ���ic.�i"�y`c�s:�(v 5�a;-I l0 5�'�jMl(0 5��._f�,vX����� ���.�._�_ ' 3Vaane: Phone: R2SI1��0141 � Owne` =. Address i city l Zip: ' � Appiicar�f is: Ov�aner �Coniractor :�,_.:.-.:..,..,.��n..:: ....�..V..,�„�.._.....-;.,,r_ ��.�,-_......__ _ ,,.w.-.�...�.. .�..._.�..___,.,�._�e,.t��,..,.-._�_.�..,.Y�_.�__.___..�...�_A._.._r....,Y.�,.�.-�...,�..,..�,�_..z_ T�p2�f 9Norlc : �escriptian of work �j� � n� . CJ � ConstruGtion Cost � ��- �'1 C��'• Multi-Family Bu�ding:{Yes ✓ I No_, �. :.:�_._.:,.....,.-..:._,�....._:..-__.:.�,,..._r�..�..,�..,�.,�_.�.:. ....,_ ' . .___.._.,_....�._...,,� .�..,�.�._�__.�._...�._.._.__._,�__.,..�_.�..:,•.__ ..�,.�..�.-�.. ,__�__...__._._... . ; � Company:��'�Yt ��: 1-{'_ i'�`�-�crvl �.c�.t-e �S Gontad: ��C'..1 �-ti-t�:'� �:�-� � � � ��' � � � � Address:��'��G' 'i�Tl:�� �-c1 v'1-� City: �i. �a � Cc�ntra�tor (' � '. ` State:,,'��1.'Zip: � �i JtJ Phor�e: Email: i Yl'�'� �', �-�-"..t3�r:�������n�c�i�e,-s� • � 'L c:-►- . , . . , . : � � - - ` ' License#: E.. � �`� � � Lead Certificate#: �� _ : 1 - 2� � �"�-- . : � -- � if the project is exempt Yom lead certification, piease explain why: ��_�Y'�� �OMPLET� THIS AREA ONLY BF CONS�RUC'T�NG A NEW BUI�.OING ;. I�the last 42 mon�s,has ihe Citv of Eaga�t issued a pertni4 fior a sim[lar plan based on a master pian? Yes No if yes,daie and address of master plan: � - Licensed Plumbee: Phone: ; s ilflechanicaf Coe�tractor. �hone: a ; SeuYer��I/ater Contractor: Phone: ; �ire Suppression Contractor. Phorie: C...y_.-......<.....�....�.-:....._,�,.��....�-F.�:.�..,....r..._......�,:..,.>..-x�.u��.,...._,,,,'_.___._._...�....,:-,.:......._.....�..,,sx..�.<„e..-....,.....t�:n.-.., .�.e.�„e-_>..:_. .....--.+�.-....�. . . . �a.,...+:.: : a'�OTE:Plans ano9 suppor�ing�documee��.s ihaf you submit are considered to be parbfic inforrnafron. Por�ions of ; �ie infarrrxlation mey be c/a3sified'as no��ublic if yo��mvide spec�frc reasons t�at would permit th� City to , ` _._.�u:sconcle�de that#hey are�rade secs�fs. C14Li..�EFORE YOU DIG. Call Gopher State Oee Cell at�651)454-0002 for prokecfion against underground utflity damage. CaA 48 hours be#ore you iritend io dig to►2ceive loestes of underground utNities. �rrwu��.Qoahersiateonecall.ora i hereby acknov�edge that this iniortnation is camplete and accurate;that the wror}c wAl be in r,rorifortnanae with ihe ordinances and codes of lhe City of Eagan; �hat I understand this is not a permit,but oNy an apppcation for a permlt, arxi work is not to start wik�eut a pertni�thai ihe work wi11 6e in aocortiance wilh the approved plan in the case of wark which neqaires a review and approva!af plans. ExEe�lorworl:authorized by a buiidMg pemrit iss�ed in accordance wlth the Nfinnesota State Building Code musR be oompleted wi4hin 960 days of perm�t issuance. � ---- .. � x ,�` ��--�-�L'f'� C+r1 X �4ppiicanYs Printed Name A an s Ignature . Page 9 of 3 Use BLUE or BLACK Ink r----------------� I For Office Use � ' �� / I Permit#:�� r I Cl6y Ol ����� I Permit Fee: �.--�-��� I 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (657)675-5675 I I Fax: (651)675-5694 � Staff: I I � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: � [��� � �J ����Unit#: ` Name: Phone: I�eSitle��' � �� � ('�yy�� Address/City/Zip:�tD�� ��VI.�RaI�.I.f^P CT ��k'�nA-r�. '7'�'IN• 55��� ' Applicant is: Owner Contractor T�� Q���� Description of work: �EPt.�UE � �� to Construction Cost: `� 3 Multi-Family Building: (Yes�/No� Company: On► b6' �,r� L(.G Contact: S7�L[�' ���� , Address: ,3, 7B0 qD f`` �Lt' City: �it�oa.+ �i�-z�..s �0�1"�=t+�C'�OJ' State:�N Zip: SSOD Phone:�OS/-a`/5- d3�1 Email: SJoH*�so..i��o����^jGo�l-a►' ,� � License#: JV IR Lead Certificate#: Iv�9- If the project is exempt from lead certification, please explain why: No (,t,�o ('��ss�•�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: l�t?T�'.F�a»s arrd sc��ca�►��r�g dncurner��s t�rat you;�tr�t;��t are ca�slde,r.ea1#o be p��bl�c�n�rr;►�at�ort Pa��vr�'r�f ' r����i�rt�a��a�r�aay b�c�s����d�s�t�n-p�bti��'�'yc��►pro�rld���e�i�c reasar�s ti��#wfltrld�err��t�e G�'y ti� cr�c�d�fhat the �r.��d+�,;s�crest�, : 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. vwvw.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 Building Code must be completed within 180 days of permit issuance. x S?Z31/� �OI�rS� x ApplicanYs Printed Name Applic 's i nature Page 1 of 3 ` , COC v r, i : f # For Office Use %:4** , I Permit#: C' .., ,._____ ..���,,,��r. Permit Fee: C�(). C) 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Email: buildinginsoections a(�.citvofeaoan.com Staff: Commercial Plan Submittal: eolanscityofeagan.com L 2020 RESIDENTIAL MECHANICAL PERMIT APPLICATION Date: q \1`1)a.- Site Address: L f,(7 N; , \ ,r )3 /U l.,,.)l.r,VO) t"' f' Tenant: �'l {�.✓- Suite#: (2; it ` 't,t k►' ht ' {{11 —�- "; 0 z t 'itt_t,l; i 111 Name:1Z:-v,c., ... .r:J ,--it 5 r S C LCC Phone: 7c3. - a, a,— 1 U1--? : ,i4t .0„Ifo i, ,, , �h� li C t,i ,1 ; ti.fi %� � l vrl r r ,>z�e ,j "� ,,,,14.-,,,, 1�l - Iv�I I I,It1 Address/City/Zip: .).. �u.M,0...,a- ) �'V-�.- '7Os A,� '(`y--V'v S3 o+,'� ; � irli 1 , Ai I Name: License#: } L 7 1 torn iii1�((� , : i,�, 1 �. 1 I i N� i,',l t i+f . Address: -i�l V''�� ��-1�1 5�- City: 1)C, L !� r� 1 Sil 9111 19i ll ,19, M 11 ir11 Al„gli:iy "�.;k 11 State: Zip:��\�}-c,I Phone:'"I s,/),..Lk)- SI ) W,i ';I #3 *x-- > `1�;I"I 1 >�y` Contact: ---�� k ( C ) 5 C.-e-n x�,-,,r�- c C.r-o r,} "1,1 ! F led 1+�” '3�q'1`. Email: � �d'�. 1 iii Ill it , RESIDENTIAL I�'�it 1ifI 'llt i, ,iP(t i h it I F 1i 11'1{a 11F.I 11111 i i i t Furnace il lir i ii •Illi 1! I{„tj f,f ,'! 11 t 44 h i �11 it ,;i t iiltek Gtr �,lt`l��))1 ti;�i i{ Li 1�,1,1 , Air Conditioner . f, ,i i •:.•“..).);,..,),..4' Air Exchanger s}px4 ...ix-J. 0'...41 .•� titrT+� i , 4k t' jt 1, i,,:�i�,'+!I;I 0 —Heat Pump , �3 {%3 1t,`Atli t 1 , x.,.fit her f1 it „ [ I i l i,m” I Ji i lir iir4 New )(Replacement Additional Alteration Demolition ., i i ,a: 101:ti' !,� !I.!iii1 it t( , r ,„I ,Fiz P,�` `tik•Ii lil;;(14i�i{;i Description of work: ,p\ �2 me--•� RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge = $ TOTAL FEE 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.citvofearian.com/subscribe. 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 per nit, 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 I review and approval of plans. • x )----0 (c'-. Q.rc-\\- ---- x 0}1/4..e.,f4 kr.")(27 - Applicant's Printed Name Ap scant s Signature .,. .d.'=plka-c rm`F` 'r .r.:,1 Il l..i{,t!,! I ` pltri,:. ! E..hill,,t: 'i • 1,i4ikSN,#'i I'1 H{i t l I.;,.k,{t! i .i tol 1,1 ..:74,rytNF.'@s}t.:',J :III3II..... 1�I j Ir:..t. 1'. a:, Is �.,1a I M r .•, (;'11110,.i itw..s �rt1 I ill., f: i5;ik 'I vur.71(, ilii( I:illi`#z{ ` ;I'II!I ei ,m ..1I i I..I I,I I I t til ''1x�` t m-s,. i�'lt tL i ,i aim,'. ,tR .r:4� .. ,,u { ``tt i) I i-,H1 ., ( SA. f ,+{rs ..t Fs k�1 i 1! �l E I EE I} {I�!i i ISI II �II�,.ll I?�I((iN �I,m(,� 1 i,II;!;I.�?-ot, :..lull.,' i l t tai''', ,:�1II�.I i' 1,'' ^lli,it zt I Ys I•,,.Y xe,l • t!a "!,I+ .i,tl i .i .ti tt, i 7 a I� .(S { r, � a .`r�' r-}; s. qr« I. i i�# # :ri_li r!..AE�', s l i!,{ Sik 2 u�� sx ,.: IuP{�ci::. ij ! i- ��r d�'J� I�l�E;'Si�iilVI, i:1411111101 s'-' ''�}ils f I,0)14411 i t (5'<;,{ E s*. r traiN. I .i l t , l,mj i t rr l r.. aq!' ( I° f ° w l i �}'f ii i l i { i .� ,:, s.11 i t{ ,; 1i�1tii .4i if is1 i .F” ' t .»^'i i! !,ti,',.:::..,r til t.t ,„%11 ,1'[i ll,S kl''"t ,#j,'”*'� ¥Y'il'''3 r1 ,r ,`� `�, 1 I it f'l' I I 1 i.'S'';,';;. t..1 If �{,, • i v,'' L" 1 lr '1.1l if 4 itik f a. ,, F �l it i1 E f ` I IS' 3 ill;' 14 f ._.. ::',1 imam 1 Ii, 7: :::...-.3iti .::,i:ht' ...:...»»3Mm luno,Tt.'.,.,......ti: itu.. stat edit !as.iit S :�1 f;,1luh�,,.2:::_.,, 4)1.,tii�i.11;1;Ef!`fk i, a 4 ,aiiii,+..t"-.,'r;'9R , 4L11, sS I(.oZ-ZS For Office Use Permit#: /0/E AGA N 7� Permit Fee: &O • Ctp Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinginsoections( citvofeagan.com 2020 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 r 8- LQ Site Address: ZANPX 3i Tenant: Suite#: Resident/Owner Name rC( iqh y Phone: -324 -6)`'� I Address/City/Zip: I LC SO �V2Y " tA,E (A-- ,/ .Vl M tJ SSS 2A Name:N()(U4 ��( IS(f101,15 l L.C. License#:P(,(.o`f37O� Address:57/8 I n� `hLa/*72ai 194.0yCity: , ,/,_„,t4.) /7/0/-ems Gorfra`c�or`� � /W AJ/^V rA) Zip:559"/ZZPhone:02_-Z-3A- /c� COs 0 Contact:A4Ct het. Email: AI A. i• ssau _ . • obttc4111 .�Dm fiytie:of Work., New �/ Replacement —Repair Rebuild Modify Space Work in R.O.W. `. — ` — — — Description of work: I V1Stet-L( tj L,( W(,L43-4/ • Tankless Water Heater Lawn Irrigation( RPZ/—PVB) Standard Water Heater Add Plumbing Fixtures( Main/—Lower Level) Description ,' t Water Softener Description: Septic System New Abandonment Connection to City Water from Well — RESIDENTIAL FEES $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 New fixtures, adding or removing piping (includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well* +$290 for Meter and $200 for Radio Read =$550 *Sewer&Water Permit also required for connection charges TOTAL FEES$ .OZ • 2-5 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.00pherstateonecall.orq 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.cityofeacian.com/subscribe. 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. X Applicant's Pdnte Name Appli nt's Sign re Page 1 of 2