3297 Hill Ridge Dr40*
City of Earn
3830 Pitot Knob Road
Eagan MN 55122
Phone: (651) 675-5675 / -7
Fax: (651) 675-5617261 � `7 5 `/ / 9 9 3-'7°)
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received: (4-2141
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -I'6o • aD// Site Address: 3.? 9/ .1/ 1/ k;cge. D r. Unit it:
RESIDENT /
OWNER
Name: ()ire
Address / City / Zip:
&Jen/Lep..1-1 c c.
Phone: 763 - "PM - Woo
Applicant is: Owner X. Contractor
TYPE OF WORK
Description of work: Re_, — f'o-
Construction Cost:4,2/, 5Q 3. 99
CONTRACTOR
Multi -Family Building: (Yes ?C / No
Company: 51.t n 0'6 _yv, el ele. 31 c 7 r Contact:
of Pe o -r)
Address: 59 7 io I-lobe_j n e City: -S-}, pp, u
State: 11 N Zip: 55/10 Phone: (5/ - 7601 - 9a 7
License#: /5/g Lead Certificate#: NAT-- .2,D, .33-0
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.aopnerstateonecall.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 . val • n fi
thr.
x oe,I (� e.'tt'ex o -n
Applicant's Printed Name A.
nature
Page 1 of 3
RESIDENT / OWNER
i t1'j /c f-�/1 Phone: (4 z �4Y
Name: fr latI1
Address / City / Zip: 'Ja.-" 24' i It legcI tic - �� ��I�(,� Yl J 111
7
CONTRACTOR
Name: 1 /97,71(1.121e �" License #: k31 /'21
7
Address: 2 c JO Co , , Y 7_ %7V101
State: !TIN Zip: � IS-
ITS-
1 Phone: % 2 — i 35" ' 2i/y2
Contact: Sarni/Y/9 < mail: falnivii 0 1VP1 a.
TYPE OF WORK
New )C Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ _ _
Description of work: en l T Haar €ii f (t /PJ
PERMIT TYPE
RESIDENTIAL
Water Softener
X
Water Heater
Add Plumbing Fixtures (_ Main / Lower Level)
_
Lawn Irrigation (_ RPZ / PVB)
_
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
40 Gay of Eagan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
Site Address:
RECEIVED
SEP 13 2010
Permit #:
Permit Fee:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
�Jf�JJ
Use BLUE or BLACK Ink
Date Received:
Staff:
Tenant: Suite #:
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. www.00pherstateonecall.org
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 of plans.
x,f tnh7 ettrneV x
Applicant's Printed Name Applicant's Signature
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
Aug 181511:11a Sunrise Remodelers 651-762-9395 p.1
Use BIU�or BLACK lnk
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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; �
t
CWt1�1' �': Address 1 City/Zip: �
ti
: ,: _
� = Applicant is: Owner �Cor�tractor :
; _ �.,�, �.:n....�.,�,....r._s.._...,,...��.-.^._-�._....�,._.,...,._,.-.r.,.a.-.-.._.d,...»..,
} �f
: 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
r-----------------"�
� 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
Page 1 of 3