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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