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3267 Valley Ridge Dr4,111 Citi of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5 �Y1cl, 61,`7/,73175"/ -7 7 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: t -i SSD • a©// Site Address: 3 2 `2 /4 kir:), >r Nan a je,- t.n4--, 47c. Use BLUE or BLACK Ink Far Office is Permit #: Permit Fee: Date Received: Staff: RESIDENT / OWNER Name: 0 m Address / City / Zip: Unit #: 1 Phone: 763 - HY9 -9/no Applicant is: Owner x Contractor TYPE OF WORK Description of work: --r 00-p Construction Costar, 522. 99 CONTRACTOR Company:,, S/.t (e_inel tJ e /1 /3 ) Address: 597 (� c2be �r n State: M Zip: 5//O Multi -Family Building: (Yes ?C / No ) Contact: P'�! sG? - City: 5-}. Pajd Phone: 66/ - 7601 - '7.245 License#: )C6/5/g Lead Certificate#: NAT-- 2933—O 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. Po the information may be classified as non-public if you provide specific reasons that would permii conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. Nww.gopnerstateonecall.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 Applicant's Printed Name A .i - nt's Signature Page 1 of 3 EAGHN TOWNSHIP :795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEYIER SERVICE CONNECTION DATE: 12/29/72 (4/25/73) NUMffigg 1329 OWNER: Rivergate 4illa-gldg. 75 Addres's 3267-69-71-73-75-77 Qalleyridge Drive PLUMBER Berghorst Plumbing Co. TyPE OF PIPE heavy cast iron DESCRIPTION OF BUIIA ING Industrial Commercial Residential Multiple Dwelling No, of units xc 6 - townhouses Location of Conaections: Connection Charge 1170.00 billed 4/25/73 Permit Fee 1.00 pd 12/26/72 .50 pd 12/26/72 Street Repairs Total Inspected by: Date Remarks• By Chief Inspector Ia consideratioa of the issue and delivery to me of the above pezmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tox•mship, Dalcota County, Minneaota By Barghornt Plnmhing (:o_ Please notifq when ready for inapection and connection and before any portion of the work is covered. -75 2007COMMERCIAL BUILDING rEa_a11T arPLicATioN City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 . . a . . . . • Structural Plans (2) sets • Architectural Plans • (2) sets • Architectural Plans (2) sets • Civil Plans (2) . Struclural Plans (2) • Code Analysis (7) ^ • Certifcate of Survey (7) . Civil Plans (2) • Project Specs (1) • Code Analysis (1) ^ . Landscaping Plans (2) • Key Plan (1) . Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp & Testing Schedule " • Certificate of Survey (1) • Energy Calculahons (1) not always^ • Soils Report (i) • Spec. Insp. & Testing Schedule (1) " • Elec. Power 8 Lighling Form (7) not always" . Meter size must 6e established • Meter size must be established • Meter size must be established-if applicable ! . PrqectSpecs ('I) 1 • EnergyCalculations (1) " l 1 • Electric Power & Lighting Form (1) " b 1 • Masler Exit Plan (1) 1 1 • Emergency Response Site Plan (1) 1 b • SoilsReport (1) 1 • SAC Cetermination - call 651-602-1000 • SAC determinahon - call 651-602-1000 • SAC determination - call 651-602-1000 • Fire Stopping Submittals . Fire Su ressionlAlarm Form Cali MN Dept of Hcalth at 651-201-4500 for details regarding food fi bevcrxge or lodging facili[ies Contact Building Inspections for samplc and if reywred Permi[ for new building or addition will not be processed without Emergency Response Site Plan. r~ Date o-7 Construction Cost Site Address V/1 L CV v "d 'i D2 r4U 'Z Unit/Ste # Tenant Name Former Tenant Name -7 37 ~S -7 llescription o[ Work ~ zP G.~1 G z/"1 v ti i L,J i N c 10 i^' SIr/4 ! " d ~ c 015' Propert}' Owner 1'elephone # ( ) G- n /~/FI /L Ti~ F Applicant is: _ Owner ~Contractor Contact ( G /Z ) 9 / 9 - 78$ < J Con[ractor 0 ~',,Jdc w / C-CJ ' ndaress ~ 7 3 .^1 L`~ _N 1~', City /,'17 / G S scace z,P,r :SqUG Telephone#(G/~ 7a /-S 333 Arch/Engr Registration # Address City State Zip Telephone ) Licensed plumber installing new sewerh.vater 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 NIN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to s[art without a peanit; 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 y/ Annlicant's Printed Name Annlic s Si P'Aature H/O~USE HEATING TEST RECORD A ADDRE55 ~ ?Z~ ~^~G~"~ ppT.-FLOOR CITY~r~SUBURB OCCUPANT OWNER . HEAT LO55 DATE HTG. INST. SOLD 8Y INSTALLED BY 4' - • ~ p, Elechical Work By Gas Line By TYPE OF HEAT GA FA HW -STEAM -SPACE HTR. -UNIT HTR. -OTHER ~ GAS DESIGN CONVERSION MAKE ,LJ~~D MAKE OF BURNER Model Lj[l)~I `073_Model Sxial CCSd.74)ZF~1~L f/ Max. BTU Rating INPUT ~61/}7JC~ ~*I/~Nti MAKE OF FURNACE Model CONTROLS THERMOS AT Heat Plug Vant Size / Valve~ 0'~i~6& KIND OP LINE~JAJy SIZE NONE Limit /~"'^~Drah Hood /00'P~[TRegulator Limit SeMing /~~7/n p Filfars $ize Nu er Fan SeHing T,~f.' 6O Chimnay Locatlan 1~~q}ide~0utside r~/~,1/od j~,01.1Q/A'j Chimnay Construction ~3' Pilot Type Pilot Maka - ,t Piloe Model $moke Bo b Wir'^9 Pilot Timing Draft a r'617 Test Tap Door Pressure Lighting Inse• t~ L.W. Cut Off ~ Prossure~ Parcent CO2 Dote Tested ` In ut CFH Fercenf 0~~mpany Tes ting Stack Tamp. 3 ~ Percent C0~ 0 Name of Tesfar Form 235 . . . . . . . . . ~ ~iS ~ is . : . . , CITY OF EACAN fiOR.CITY llSE ONLY 3830 PIIAT KNOB ROAD ' , . EACAN, MN 55122 ' PERMZTk PHONE:,(612) 454-8100 RECEIPT # E CH.ANIC . A T: :P . Iti'~ I x . DATE: ~l. • . ..:.,E R~SIA$NTIALt; PLEASE COMPLETE 'UPPER PORTZON ONLY ' FOR SINCLE.FAHILY :DWELLINGS & . T047NHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.,?., _ i WORK DESCRIPTION FEES NEW CONST _ ADD-ON MINIMUM ,,$15.00, ADD ON 1[_ HVAC ' 0-100 M BTU _24.00 REPAIR _ ADDITIONAL'50 M BTU 6.00 GAS OUTLETS'- MINIMUM' 3.00 OF1YER PERMIT . OWNER NAME(.JV2o /MvAT£fnVr11y.i.vNxin~S ; o0 SUBTOTAL:'; SITE ADDRESS: 3330 'PoJE SLaLF 7->2. STATE'SURCHARGE: _ .50 , SD LOT: BLOCK _ SUSD. `.•TOTAL: INSTALLER: GvtA1zE-c- !z t~o • ADDRESS: I9SC cS~i/~?N~E 90 SICNATURE OF.; ERMITTEE. r CITY: ZIP: PHONE ro: ~5:I~i'3 ~ . QOMN~RCTAL/;~NDU5TEbTAT.:` PLEASE COHPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDZNCS, . . APARTMENT BUILDINGS, AND HULTI-FAMILY BllILDINGS WHEN SEPARATE PERMITS nRE NOT REQUIRED FOR EACH DWELLING UNIT. ' CONTRACT PRICE: FEES.:•".- OWNER NAME: 18 OF CONTRACT:FEE:, `t STATE SURCHA2GE'- $.50 F02 SITE ADDRESS:,_ Ep,Cf{ $1,000 OF PERA:IT FGE. ~ PROCESSED~ PIPING $25'100 :i`::- LOT: BLOCK _ SUBD. $25.00 MINIMUM'FEE..';;,,'., INSTALLER: CONTAACT.PRICE'x 1B'; $ ADDRGSS: STATE SURCNARGE - ' 1 $ CITY: ZIP: TOTAL: . . , PHONE (SIGNATURE).:. . . . . . . . •,•,r:, : . . , FOR: CITY OF EACAN ` ' ` Aug 18 1510:58a Sunrise Remodelers 651-762-9395 p.9 Use BLUE or BLACK ink . r�--__�—_��._�_.�_�i �;;�=� E Fcr OEflce tlse 1 � / 1 � � Peani��: ! ���� I ��u� �j �u��� I Permit Fee: ���`�v I 383fl Pilof Knob Road j � Eagan MN 55122 � Data Recs'sned: t Phone:(657)675-5576 , I � Fax:(6511675-5&9�€ � 3ta�T: � --E'�1�IGC�` � � (�. �-(<'i K��+ C:�-j �� �'Q���c.n .c 4 yr �----------------� 2015 R�S�DE1�6'���1L �U�LDe1VG PERI4lIB7' APPLIGATION �'�cL��Y° !3l.�;�`� 7—c.,,,�•rt 6���t S-r s Oate:�'t r�'� � Site Address:��o� ��+ ��.e`J l�:� �-.V2. S�l a(lJr�i�#: ��� _ ._�-.__—�._.z._,�T�._�_.. z��,i u c��:�"���=�q�������3��►3,�3����.��=� -- ' IVame: Phone: � � Resident# -. ; Owner •. aaaress r cay�zip: F � Applicant is: Owner �Contractor ; �Yµ.P �e of�i1�Q6k Description ofworic: ��. � n�\ --- ? �� � Gonstruclion Cost: � ��: 0'U��GJ Multi-F�rnily Building:(Yes�I tVo� f � ...:...........__�-:.._�.:,.::..,_.,......<.� ........r..,,.«:.,.��.._v.Y:�_.u_......._,._.,.,-.,-.,,�-m...-n.�........,........,.._.�...o_.__ ....._.�,...r�_�..,.......�,�.,.,.....,,,.., ....-,•_-- - . Company:�L��v� ir >>� ��w'� c,c�,l-z�S Contact: �C�'..� �-�r-�-� ��„� - + l� , �` : Address:�'��G' '!�"�L ���. (--�t V�1-� Ciry: ��""� - �ontcac�or � 1�r�� 1 : State:�11,'Zip: � �� !U �hone: Email: i Y1`t"v ��h����✓�'✓h L%C�-e.1E+P;S� ;cco,.� '• : License#.��. � i �1 4'� �ead certificate#:�a��-�at� �� "'� • rtif' ' -� ,_...�_.��_ ---•-' : If the pro�ect is exempt ftom I�ad certificatian, please expiain why: , '.��w�.,..,,�,^.�rr<,.._�....�.....r.�.,.�t__,.�x,�.����>_.,.,__�.T�.t._.,_�-,.,R-�.,-.�,r.�a. -.,,r_�_��-.z-b�.r.�.,,z:.,w..�,..��..-..._�...��-.�_-, ' G��lPLETE TH6S AR�►�NL�'[F CONSTR�lCTiLVG A NE{I� BUIL[}II�G ; I�a 4he las�12 montl�s,has the City of Eagan issued a pertnit ioe a sirnilar plan based oR a rnaster pfan? ; Yes �Vo If yes,date and addt�ess of master plan: � � Licensed Flumber: Pfione: ' Mechanica!CoMrraci�r. Phone: :i ,`•. S�v�rer��iiater Contractor. Pho�e: � � �ire Suppr�ession Contractor. Pho�e: � :�..d.•--,;._..�...,,.�a�_�.�..�,r.�....� ...�..,�._,.y.._�_:�..,_.-._�_.N:_........,.__...:_,.��.�....�:..,..,_��t-�.�..ti-o_.���.,z...�,.._.,.,�..:�..�..�._s�r.�� -- � dJOTE:�fans and supporting docur►aents that you submit�r+e considered 8016e public ieefo�mafion. Portions of �:. �he informabon may be classifaea+as saan-pu6lic if�rou pPovide speciiic reasorrs ttrat would penrii8 ttte City to � �oncirade fhat they are frade secrets. ' C1A�L BEFORE YOU DIG. Call Gopt�e�State One Cait at{651�454-0002 ior proteclion against undeTgraund ulilify damage. Call 48 hours before yau fnterid to dig to recei�e locates ofi underground ut7iUes. �vww.goaherslateonecalLora i hereby acknowledge that fhis infortnation is complete and accurate;that fhe wodc will be io confortnance wiTh the ordinances�d codes af the City of Eagan;that I urxiarstand lhis is no[a peRnit, bui only an appiication for a permit, and vrork is na!to start without a Rermit; that the wodc will be in accortlance with ihe approved plan in the case of woric which requires a review and approval of plans. Exterior wor3c autho�ized by a buiiding permit issaed in accordance witb the iHinnesota State Buifdiag Casfe m�st 6e comQlebed withm'i 80 deq/s of pertnit issuanse. --• - � � ,��� �.t?-��� G✓� X AppE9can�`s Printed�+Fame A an s ignatu�e . Pege 9 of 3 i�