3255 Valley Ridge DrGity of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For ft ce use
Permit #: F7-/! i
Permit Fee: tf 3W. V5
Date Received:
Staff:
5/, 6/, -----
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: L( •(.01 • ac9// Site Address: 3SS 9// 1? of C C Unit #:
LI al 1)
RESIDENT /
OWNER
Name: 0n7 Mn,L je ✓t, 4-, At_
Address / City / Zip:
Applicant is:
Phone: 763 ,/,/q -9/Do
Owner X. Contractor
TYPE OF WORK
Description of work: Rf
Construction Cost `607 /, 59/ a /
CONTRACTOR
Multi -Family Building: (Yes x / No )
Company:, SLt n (7 se, Kery no e iex, 4 c Contact:
Address: 5 7 6 1-10& t -Cl n
e.( Pew
City:. Pau
State: M N Zip: .5//O Phone: 616/ - ?bol - W 45
License #: OS/s/$ Lead Certificate #: NAT' 2a9.3-1
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 os
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.clopherstateonecall.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 1 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 . : an
x 3oeJ PO4-9_,CS
Applicant's Printed Name
x
A
p
nt's Signature
Page 1 of 3
.
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EAGAN °T.OWNSHIP ~
BUILDING PERMIT N° 2916
Ownez
,~f.:~~
Eagan Towaship
Addreu (presen2) . Town Hall
Builder .......1.!1"1.15 Dale
°7- 7 Z
~ Addreae
DESCRIPTION
Siories To Be Used For Froat Depih Heighi Est. Cosf ermi! Fse Remazlcs
I/A I•~O~f3,oc'/o79•>v~~J Q& '~o
LOCAi10N a.37•
Slreel, Aoad or olher Descripfion oi Locafion I Lo! Block Addiiion or Traei
/e vi 3ce
Tbb parmit does not aulhosise the use of eiseeL, roada, alleps or sidewalks nor does it give !he owasr or 61a agan!
the righ!!o ereate anp eiluation whiah L e nuisance or w6ieh pzesen2s a hazard !0 the heallh, sefelp, conveaienee and
genesal weltara !o aayone in the eommunilp.
THIS PERMIT MUST BE jtEPT ON TH~ PR£MISE WHILE THE WOAK IS IN PROGRESS. _
ThIs L!o eeslifp, lhaf..._.~.;.v.........1.^..~.... haapermissioa !o aree! a..J ~~..T
the above deeeribed premise eubjee! !0 2he provisiona o! the Building Ordinanee for Eaqan Township adopled April 11.
1955.
4 ~
~ -------..Fe: ...................1~!-et........
C asd Sulldin Ieu ector
MASTER CARD
- S-
LoCATIoN l 3Zrs -43
OWNER
STRUCTURE AND
LAND USED AS
Issued To
Permit No. Issued Coniracfor Owner
BUILDING
PLUMBING J!
CESSPOOL - SEPTIC TANK
WELI
ELECTRICAL
HEATING ZA2
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
Items (Initial) Dafe Remarks Disfance From Well
FOOTING $EPTIC
FOUNDATION CESSPOOI
fRAMING TILE FIELD PT.
FINAL
ELECTRICAL DEPTH
HEATING OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING
WELL
SANITARY SEWER
Violations Noted
on Back
COMMENTS:
~J
COMPLIANCE INSPECTION REPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
~ NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPIIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
? ACCEPTABIE SUBSTITUTIONS OR
DEVIATIONS. ~ COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
a NON-COMPLIANCE. BUIIDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLLOWS:
? REInSPECTION REQUIRED DATE OF REINSPERION
REINSPEC710N REVEALED
CERTIFICATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein
all significant conditions otserved to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
men[s for off-sice imprwements rela[ing to the property inspected,
? AlL IMPROVEMENTS ACCEPTABLY COMPLETED
BUILDING INSPECTOR DATE
COMMENTS:
r
Co~ 23
EAGFN TOWNSHIP ~
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERPaT FOR WATER SERPICE CONNECTION
nate:4/25/73 (12/29/92) Number: 1189
Billing Name• Rivergate Villa-Bldg. 19 Site Address•3255-57-59-61-63-65 Valleyridge Driv
Owner: Billing Address
Plumber: Berghorst Plumbing Co.
Location of Connection Meter Size/ ~ Connection Chg- ed 4/25/73
~
Met'~'r No.s~~8f~s/o permit Fee 10.00 pd 12/26/72
Meter Reading Meter Dep. •50 p'd 12/26/72
Meter Sealed: Yes_ Add'1 Chg,ZP~2_
NO Total Chg.
inspected by
Date
Building is a: Remarks;
Residence
Iiultiple x ro. Uni[s 6 Townhouses
Commercial
Industrial By;
Other Chief Inspector
In consideration of the isaue and delivery to me of the above permit, I
hereby agree to do tte proposed work in accordance with the rules and
regulations of 8agan Township, Dakota County~~, Minnesota.
By:,~L~ -
Berghorst Plumbing Co.
Please notify the above office when ready for inspection aad connection.
Z7
~
-7 -7~a~ 7s
2007 COMMERCIAL BUILDING PERIMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
.
' o a, e' 0 ^GW C a ~ ~ 116 r -~o wrmmung
• Sfructural Plans (2) seis • Architecturel Plans (2) sets . Architectural Plans (2) seLs
• Civd Plans (2) . Swctural Plans (2) • Code Analysis . (7) "
. Certificate of Survey (1) • Civil Plans (2) • Project Specs (1)
• Code Analysis (1) . Landscaping Plans (2) • Key Plan (1)
• ProjectSpecs (1) . CodeAnalysis (7) ° • Master Exit Plan
(1)
• Spec. Insp & Testing Schedule " . Certifirate of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) . Spec. Insp. & Testing Schedule (7) " • Elec. Power 8 Lighting Form (7) not always"
. Meter size must be established . Meter size must be established • Meter size must be esiablished-if applicable
1 . ProjectSpecs (1)
1 • EnergyCalculations (1)
d • Electric Power& Lighting Form (1) " L
L . Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1)
L • SoilsReport (1) 1
• SAC detertnination - call 651-602-1000 • SAC determination - call 651-602-1000 • SAC determination - rall 651-602-1000
• Fire Stopping Submittals
. Fire Su ression/Alarm Form
Call MN Dept of Health at 651-2014500 for details regarding food & beverage or lodging facilities.
Contact Building Inspections for sample and if required
Permrt for new building or addition will not be processed without Emergency Response Si[e Plan.
Date -y-/---?/ O-7 Construction Cost ~ ~ 00
SiteAddress S~SS VA1-1eVe Da " U-2 UniUSte#
Tenan[ Name Former Tenant Name
~ ~ 25 '9,2
Descrip[ion of Work F ep lAG z/"1 aNY Ui S/Qq T? V p a 0"C'-
Property Owner Telephone li ( )
G/72NA2TkE
Applicant is: _ Ownrer ~Contractor / Contact ti: ( G/1) 9/ 9- S 7 8$
Contractor dt~R gj (,~7 c`~ d u/~J Cp -
Address 2 7 3 'SI ~'1 , of17 ~ N c.. ~ c- City
State M N Zip SrSqO 6 Telephone 6(1) 70:t
Arch/Engr Registration #
Address Citv
State Zip Telephooe # ( )
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; [ha[ the work will be in
conformance with the ordinances and codes of the City of Eagan and the State of VIN Statutes; I understand this is not a pemut, bu[ only an
application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
Gy~ L-/A z~.
Applicant's Printed Name Applic s Si ture
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 26 Pubhc Facility ? 30 Accessory Building
14 Apartments G 27 CommerciaUlndustria] ? 32 Ext Alt-Apartments
G 15 Lodging 0 28 Greenhouse ? 34 Ext Alt-Commercial
? 25 Miscellaneous 0 29 Mtennae 0 35 Ext Alt-Public Facility
. 0 37 Nail Salon
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDOOrs
? 34 ReplaCement 'Demolition Building • Give PCA handout to applicant
Valuation Type of Const Width
Plan Rev 100% _ 25°/a _ Occupancy MCES System SAC Units Zoning City Water .
Nbr. of Units Stories Booster Pump
Nbr. of Bldgs Sq. Ft. PRV
Fire Sprinklered Length
Required Inspections
_ Footings (new bldg) _ Fireplace _ R.I. _ Air Test _ Final
_ Footings (deck) _ Insulation
_ Footings (addition) _ Sheetrock
Foundation _ FinaUC.O.
Drain Tile _ FinaUNo C.O.
_ Driveway Apron _ Other
Roof Ice Pr _ Decking _ Insul _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _ Final
W indows
Final CIO Inspection: Schedule Fire Marshal to be present. _ Yes _ No
Approved By: Planning Building Inspector
Base Fee
Surcharge
Plan Review
SAC-MCES
SAGCity
SIW Permit
SM/ Surcharge
Treatrneni Plant Financial Guarantee
Treatment Plant (Irrigafion) Slorm Sevrer Trunk
Park DedicaGon Sewer Lateral Sewer Trunk
Trail Dedication Street
Water Quality Water laleral Water Trunk
Water Supply & Storage (WAC) Other
Total
Aug 18 1510:56a Sunrise Remodelers 651-762-9395 p.7
,
Use BLUE or SLACK Ink
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I For OfEics Use �
C I
. � Pertn3t#: /��`��� �
Vlt� �f ����il I Permit Fee: ,�7��`�� j
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3830 Pilot Kr�ob Roa� � Date Reoeived: 1
Eagan I�tN 55122 1
Phoae:(651}675-567b ' j 5taff: �
Pax:�b51)675-5694 � --------�
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2015 RESIDE�II�IAL BUILDING PERMIT APPLICATION
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` ' Name: Phone: �
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' Owner � �d�sslCitylZip: ^
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4 � Applicant is: Owner �CoMractor ��� _ �
,....,�_.��...�.,._...�.... ,�,..�.,� t
�4� N'i Descriptian ofwork: ��� � ��
Type of Work � o�
' F Constn�cGon Cost: � #� O��• Mulii-Family Building:(Yes��No„_�� ���
��.�.,.,..._.�._,.�......._.w_ � ,� Y S �w� �:c�.� �S Contact: �� �-�"�''� �:..1 ;
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.` � Staie: �il��Zip: C �I l U Phone: Email: i P1 Yt% Q S.-e►�,r;�e��t vv�x�,�c.-s,`-
� � License#:������-----Lead Certificate#�,�,��--��� ��'-� '
-�,,._.r_ -_ ....rr�.-e,.m 4
� If the project is exempt irom lead certi#ication,please explain why: ;
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�..,a.�a..v..�.. . -- ......,.�� �
� COMPLETE THIS AREA ONLY I� CONSTRUCTING A NEW BUILDING ��
, �
: [n tt�e�ast 12 rnor�ths,has t�e City of Eagan issued a permit for a sim�lar pian based on a master plan?
� .
� Yas tVo tf yes,date and address of masfer ptan:
�
� Licensed Plumber:
Phane' �;
f
7
� Phone•
` Mechanical Contractor:
f
� Sewer 8�Water Contractor. Phone: :
, �
� Flre S�ppression Contra�tor. _____ �O°e' -- �
a,�._..a.._,..,.�..�Pa..—_ ___._....._,.._ ":
'��NOTE:1'larrs and supparting docrrments that you submit are cunsidered to 6e pu6lic irrformafion. P�r'�ons of ;
� the information may be c/ass�ed as non�ublic if yot�provide spec�c reasons that would pem+it fhe Cfty to
� condude that the are trade secrets. - -_.._-.
: y- --—�_,�...�..e...�..�..�...,,.._.�.....�.�.�,.----.,_...�...�....�,.y- _. �
;.�.�...,.:�,:�n_.�,,.,.._..,�.�..�,.-- ----��,�...x...Y.--- - _-_.� ---------.�Q�
CALL BEfORE YOU DIG. Calt Gophar State On�Ca1i at(651)454-0002 for protection againsl u�erground uU7ity damage. Ca1148 hours
before you intend to dig io reaeive lacates of underground ufiliEies. www goPherstateonecall.ora
I h�eby admom9edge ihal 1h�information is camplete and acaurate;that the work wi1�be in coMamfance wilh�he ordinances and codes of Ihe City ai
Eagan;that I understand Ihis is not a permit, but only an application for a pertnR,and wo�c is not to staR wit�out a perm�;thal the work wiil be in
accordance wifh the approved pla�in Ihe�ase oiwork which requites e revlewand apprava�of plans.
Exterior work authorized by a buifdiog permit Issued In accordance with the Ninnesota State Bullding Code must be compleLed witi�in 980
days of pe�rnit Pssuance.
X ��� �.i2_—�-1��''� G t"� g �
Applicant's PriMed Name s ignature
Page 1 of 3
Use BLUE or BLACK Ink
� r-----------------+
I For Office Use �
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C�+ 0� �1� �� j Permit#: f _ j
i � /,a� ,,. �
6 1J I Permit Fee: ! td�-�� I
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 1 I
Fax: (651)675-5694 i Staff: i
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
R - '� �:. .2 �" . � � �'..s��;.�
Date: Site Address: �� ` �� l-��Unit#:
^3
=' �� Name: Phone:
��S[�E:[l�/ u,�� '/ n
;C���1�T'.: . ' Address/City/Zip: �o��� Y�I,��H IC��Er� .�ft, �6rtr�, `'�1N. .�$��3
_� Applicant is: Owner Contractor
v Description of work: ��P��,.� �6��
Ty.pe of W�rk
w
Construction Cost: '� 3 Multi-Family Building: (Yes�/No�
� \
Company: c�an��/,�,R,...,��_ LLG Contact: S'�i'L� V�H���
` Address: 35780 �j��` ,�t� City: �,��..� �u.s
�c�n�tr�`actor
?,4' . q�
�r :�. State: �N Zip: 5�� Phone: �Sl-a`lS-D3/� Email: SJoF}�vSaN t(.,q�u�ku,�y(�r�R,lkd�.
` License#: r1� �' Lead Certificate#: N��
If the project is exempt from lead certification, please explain why:
No (,��, �a.f,��u-r
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:
Nt)T�,Plan�at�d�t����►r�rrrg d�a�r�m��#s th��,yau�ub►������� ��t�ia��r���o be p��11��nf�rmatrr�n ���'t�+r+�n���:
t�����'orm�tivrt�ay�e�la�st��d as rran��t��b��`��,����rr,����I+�s��cr�`����,a�i�r�s t����►rc��rld�er�����Crty#�
�.. :
� a
� can�lr��e that�?��' �re tr�c���secr.ets: ; ����,. :
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.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 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�76V� ��I�NSo,� x
Applicant's Printed Name Applic t's Signature
Page 1 of 3