3864 Dolomite Dr*CttlatB
3830 Pilot Knob Road
Eagan MN 66122
Phone: (661) 675.6675
Fax: (651) 675.6684
Use BLUE or BLACK Ink
For 0184
Permit Fee: 65 35
Date Received: LfIi-
$taft D3
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
pain_ F-- % `f Site Address: 3 FeD 1/ Nol. c Mr, T D,2 . • Unit 0:
RoSident/
Owner
Name: eJC fie% /17,8746E/rcEr►; i " c -
Phone: 763. £7 1— 9770
Address / City / Zip: 8 -TO I Z i r4 7 u k A ✓, ,moi . „I') 6.246s. 14t4a y 173.4)
SS' i/.t7
Applicant is: Owner ,2C Contractor
1"ypa •at.Work
Cofltraotor
Descripdon of work: D.E..-PL 4 CE- /f t ? Pi L fir lar / P,9 7) v 64612:> 2
Construction Cost:
Multi -Family Building: (Yes / No
Company: Q £ 1 Ex• r- F.P✓ o /Z Mil ,ate . C1, at Contact; 4A ✓ p 41.4/LiliS
Address: 4/o$ L low
city mP,.S
state: SAN Tip: ,wry/ r5 Phone: A- 81o/- [d Zi/3
License*: L 2 Y/ / 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
C,LbbGos_ Q'‘Lr Posy /S7r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEV B PJILDING
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; nom mi
the ir.1
you intend to to modus'cotes of underground WINOS. www. aopnerststaonec-at.org
I hereby acknowledge that this irdonna0on is complete and atxunate, that the tic* will be in conformance with the ordinances and codes of the City of
aE an; thlit 1 sr tend this le pa
not s nnit. but only an appYeation for s wink and work Is not to alert without permit that the teak mill be in
approved plan In the case or work I t IGU requires a wow and approve, of pians.
exterior work authorized
days of Petit . by a building permit accred in accordance with pia Minnesota State But Cods must be completed within 180
x '1•144/" !gid/2-.2rf
Applicant's Printed Name
Cap Gopher Sane One Call at (951) 454-0002 W omb:colon against underground utility damage. Call 48 hours
ET/90 39Cd
X
Applicant's Signature
Pape 1 of 3
1NICW 1X3 I3E L9Z9198ZT9 9T:1T bTOZ/TT/b0
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: — No. of Units:
Owner:
Address -
Site Address:
Plumber:
Meter No.: — Connection Charge.
Size: Account Deposit:
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By d ee2--Date Paid:
Date of Insp.: Insp.:
WATER SERVICE PERMIT
CITY OF_ EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE•
Zoning: No. of Units:
Owner:
Address•
Site Address:
Plumber•
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit•
Permit Fee•
Surcharge•
By Misc. Charges•
Date of Insp.: Total•
Insp.• Date Paid•
*City oisaaau
3630 Pitot Knob Road
Eagan MN 59122
Phone; (651) 675.6675
Fax: (651) 675.11684
Use BLUE or BLACK Ink
R
For OMee Use p
Permit a 1 19 o
Permit Fee: e' 3 65
Date Received: I /Eh
/
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - - J y Site Address: 3 e(00, 3$x.2, 3!?69‘ Inca Qotc w , rz A a . unit If:
Name: A C r P2.4 AJ 4 4 � / N � U : �� C Phone: 74 5 - "
Address/ City / Zip: 'SO 6 e- a r -o g 4v A.\ z p (',ci d E.•1 ii*L1t
ArA.t $Th'2.
Owner
Applicant is: Owner Contractor
Ty,I , . Description of work: 7 E.+2 Or a• QE -
i_:.C button Cost / 90 0 Multi -Family Building: (Yes %�' / No
•
Company: CIE 1 Esc rr.raioi2/Yids r . contact ISrAtii ZR S
Address: 90S 61,'3 . city: m PL S .
St,3te: Aix) Zp; .Sr4» 9 Phone: ‘11 - r6,-- AI/3
License*: C Z Y1 / s / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Q4IDS L.iL12E. R 47- Po.s. J 97
COMPLETE THIS AREA ONLY IF CONSTRUCTING A JEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master pan?
_Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
08:00000,-
1 .
Phone:
Phone:
Phone
r ftR' J" 1, .,: J. 7'77: `at
rK '
CALL aEFORe YQU DIG. Call Gophsrstase one Call at (651) 464.0002 for protection against underground utility damage. Cali 48 hours
before you Intend to dig to receives locants of underground Wilke. saAv.doohetatateonecakorq
Ihereby ad I understand this inowledge that this snforrnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eaganan� with d+e not a permit, but only an application Tor a permit, and work is not to start without a perms that the work win be in
approved plan In the case *Nave Mien requires a revrew and approval of plans.
Exterior work authorized by a building permit lamed In accordance with the Minnesota State Bonding Code must be completed within 180
days or permit issuance.
ApPllcars Printed Nam®
80/80 39 d
1NItiW 1x3 I3$
`77$7
Applicant's Signature
Page 1 of 3
L9Z9I98ZI9 LOOT PTOZ/80/T0
dily of Eaaall
3830 Pilot Knob Road
Eagan MN 56122
Phone: (661) 675-5675
Fax: (651) 676.6684
RECEIVED
MAR 2 8 2O1b
Use BLUE or BLACK ink
1
For Mee Use
Pernik a: 1''
Permit Fee:
Dote Received: 3 / a
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Data; 3 -II- `/ Site Address: 'IA D 3704, 3 - Md-rE DL- units:
Reeiidentl
Owner
Name: eh. 4e /1i41...S 4 bZ14 L.41 -A-%
c.
Address / City / Zip: :so 1st C icru Q til✓, sJ ,
Applicant is: Owner Contractor
J
Phone: 763 - s ,' 1-- 9 7 740
Type •ot:WOric
Contractor
Description of work: £d...0 a` 1 Pt..f-c.L. S 6
a i-4-40 a /Yl &, 4 l -
Construction Cost: / y< V tr0 Multi -Family Building: (Yes c / No
Company: a E ? 0 2 Mlit7 1-1-r . Cn aA contact _DA '1' t3 Q1,' S
Address: 4/P -S, 100 /:6' 1. city: /7/ pL S
State: /410 Zip: SS's,// rj Phone: lv/ A • g to /- eo 21/3
License #: L 2 Y/ / 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1�t•l,los- QuIL," Pos 11-71r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BOLDING
In the last 12 months. has the City of Eagan issued a permit fora similar plan based on a matter plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
NOTE;Plans and , 'rOrta%d',iF
_ . > class**, tan r�a lrhw at 0010!
CAIS BEFORE YOU DIG. Call Gopher Stats One Call at (661) 454-0002 for protection against underground utility damage. CaU 48 hours
before you Intend to dig to receive bcatee of underground utilities. www_aoohetstateonecall.onI
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 umdarsaand this is not permit, but only an application for a permit. and work is net to start without a permit: Mat the Mark be in
accordance with the approved plan In the rase of work which requiros a review and approval of plans.
Exterior work authorized by a bullding permit issued in actiordance with the Minnesota State Building Code must be completed within 180
daysofpermit ieauanca.
x 4"
Applicant's Printed Name
VO/TO 39vd
Applicant's Signature
Page 1 of 3
1NIVW 1X3 I3S L9Z9T98ZT9 00:60 t'TOZ/8Z/E0
e r r-For Office Use (�
• s,`
Permitit. #:
.* E AGA N
Permit Fee:
' E.C E' Date Received:
3830 PILOT KNOB ROAD EAGAN,MN 55122-1810 i E
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 /. j q Y , n Staff:
buildinainspectionsc citvofeagan.com
2019 RESIDENTIAL BUIL APPLICATION
Date: -5/4/-(' Site Address: 315 `( t)d0 04, ,c 0r`L, Cee vl /L1(.1 Unit#:
Name: 13C(`cv- ; 5 4.6,114 C_Dc,o 3 745--„ox:6"1-;,,,•\ Phone: 15-a-a - y5-6 - C"57�
Resident/
Owner Address/City/Zip: 3 SC"LI 00 I°vn•‘14 - Q ,`� Z�s , MA)
Applicant is: Owner >C.Contractor
Type of Work Description of work: op cAe Jct V
Construction Cost: Y.S, 0 c Multi-Family Building:(Yes k I No )
Company: -7C7-) i..Q' Contact � (� rn(tio vfri
Contractor Address: 1a9-1 9-1 ci- (1,1(e7 B1 v') City: (bur___
State: MIAZip:3o Phone: 5--01- 8'7 - kT.)rr49 /C'.6€- .z,U„'c .c
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non••ublic if •u • •vide •: c reasons that would permit the City to conclude that they are trade secrets. a
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.citvofeaaan.com/subscribe.
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.
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.aooherstateonecall.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
accordancepwith the approvedTplan in the case of work which requires a review and approval of
Y
x (moi I \`�/�lir.,Q VL-\
Applicant's Printed Name x
Appli Ys Si
DO NOT WRITE BELOW THIS LINE —3g&'—/ Dolor Oa , /.Se7/-D-~
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) — Exterior Alteration(Multi)
_ Multi _ Deck , Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of YPiex _ Lower Level — Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
e Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation .k S,Du`J,^ Occupancy Z –3 MCES System
Plan Review Code Edition veil Zsi: I$ SAC Units
(25%_100%_a) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 8 Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
—
Footings(Deck) Final I C.O. Required
—
Footings(Addition) 4o Final/No C.O. Required
La Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
—
Framing 30 Minutes 1 Hour Drain Tile
—
Fireplace:_Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
—
Insulation Windows
Sheathing Retaining Wall:—Footings_Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ) o"4 e/r)'x/7/`t` ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
For Office Use C(
+ Permit#: / 0/6/
E AG N
Permit Fee: 6670 °
.�. 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:
buildinciinspections@cityofeagan.com L
2020 SEWER AND WATER REPAIR / DISCONNECT PERMIT
Date: 2/19/20 Fee: $65.00
City Sewer City Water I Repair Disconnect
Description Of Work: Excavate and replace up to 30' of 4" sanitary sewer.
Street Address for Proposed Work
3864 Dolomite Drive, Eagan MN 55122
Multiventure Pro erites,. Inc. 952-456-6519
Name: p Phone: 1
Owner Information Address/City/Zip:
7400 Metro Blvd #380, Edina, MN 55439
Applicant is: Owner ✓ Contractor
Licensed Pipelayer ✓ Master Plumber Property Owner
Name: Valley-Rich Co., Inc Phone: 952-448-3002
Address city i Zip: 147 Jonathan Blvd. N, Suite 4, Chaska, MN 55318
Pipelayer Training Certification Card#: 8414 or Master Plumber License#:
I acknowledge that the information is complete and accurate and 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.
Pete Nasvik
F
Applicant(Print Name) Applicant's Signature
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.cityofeapan.com/subscribe.
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