Loading...
3866 Dolomite Dr*City of btu 3830 pilot Knob Road Eagan MN 85122 Phone: (681) 675-5675 Fax: (651) 6754694 Use BLUE or BLACK Ink For Moe Use Porn* St (n3 Permit Fee: k)5- 3 5 Date ted: 1 L (LF(1 - Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: L/ . _I 4/ site A(1*w a: 3 g (4'1." N Lo isi, E DR . ,Unit #: Resident/ Owner Name: % AC A 6E IN .471_ -7;a C, _ Phone: 76 3 - S7 3 - 9 7 7 ° Address 1City /Zp: SISO QtCr47'uQ 4v, . ,2A 6046 E 1/414,4,S Y /QA) sV47 Applicant is: _ Owner SCContractor 'n►0. af:+Yifpnc mon of work R E.P.4 G P- Mc.,4 r. P6 t- iso'3_ Construction Cost - Multi -Family Building: (Yes / No c Company CI £ 1 ,r r 0 2 Ali • PT . Cv al Contact 14 ✓r 0 a../2-2.1-1 Addross: yes L (#b' Jfr: City: _ m P - State: /"/ zip: S.5-4/1 9' Phone: (o/ z - g (o / - Crr 2 V3 Licensee: CS - 2 Y/ / 3 I Lead Certificate #: If the project is exempt from lead certff ca(on, please explain why: (see Page 3 for addklonal information) L4G.S_ Qu/LY Posr /S7ai COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW GUUIIQING In the last 12 months, has the City of Eagan issued a penult for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: _ Phone: Mechanical Contractor. Phi: Phone: Sewer & Water Contractor: NOTE; Raw atm w; thltinfolinfition CALL BEFORE YOU Dlit tall Gopher spite One Call at (661)454-0002 for protection against undetpround uday damage. Call 48 hours before you Intend to dig to receive locates of underground Midss. mwvw,stopharatateoMall.ont I hereby admwwedpe that thk intimation k complete and asomata; that the worts will be in conbmwnoe with the ordinances and codes of the City of Eagan: that I understand athis is net s tont but only an op tion fora permit. and work to not to star lathout a permit: that the work WO be in approved plan in the cue of work which requirve a review and approval of plam Wen**. en**. werk authorized bye building permit issued in accordance with tete MInneaoa State Build ne Code must be completed within 180 days of permit issuance. ggdz2' f Applltautfa Printed Name £t/L0 39Vd x Applicant's Signature Page 1 of 1NIvW .LX3 I3S L9Z9I98ZI9 9I:bI btOZ/tI/t,0 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: 1 agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges. y Total. By Ofr ✓� I / — Date Paid• Date of Insp.: Insp • WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilon Knob Road PERMIT NO: Eagan, MN 55122 DATE - Zoning: No. of Units - Owner: Address• Site Address: Plumber• SEWER SERVICE PERMIT agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit• Permit Fee• Surcharge - By Misc. Charges• Date of Insp.: Total• Insp.: Dote Paid• City of Eagan PERMIT City of Eaan Permit Type: Plumbing Permit Number: EA108779 Date Issued: 01/10/2013 Permit Category: ePermit Site Address: 3866 Dolomite Dr Lot: 26 Block: 01 Addition: Briar Hill 3rd PID: 10-14992-01-260 Use: Description: Sub Type: e - Water Heater Work Type: Replace Description: Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 952-435-2442 Fee Summary: PL - Permit Fee (WS 8/or WH) $55.00 Surcharge -Fixed $5.00 0801.4087 9001.2195 Total: $60.00 Contractor: Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 - Applicant - Owner: James B Andert 1660 Blackhawk Cove Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature *City oisaaau 3630 Pitot Knob Road Eagan MN 59122 Phone; (651) 675.6675 Fax: (651) 675.11684 Use BLUE or BLACK Ink R For OMee Use p Permit a 1 19 o Permit Fee: e' 3 65 Date Received: I /Eh / Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - - J y Site Address: 3 e(00, 3$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 City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA123460 Date Issued: 06/09/2014 Permit Category: ePermit Site Address: 3866 Dolomite Dr Lot: 26 Block: 01 Addition: Briar Hill 3rd PID: 10-14992-01-260 Use: Description: Sub Type: Residential Work Type: Replace Description: Air Conditioner Comments: Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Janel Behrends 122 West 3rd S Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437-0338 - Applicant - Owner: James B Andert 1660 Blackhawk Cove Eagan MN 55122 I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157172 Date Issued:08/07/2019 Permit Category:ePermit Site Address: 3866 Dolomite Dr Lot:26 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James B Andert 1660 Blackhawk Cove Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157443 Date Issued:08/20/2019 Permit Category:ePermit Site Address: 3866 Dolomite Dr Lot:26 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-260 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - James B Andert 1660 Blackhawk Cove Eagan MN 55122 Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature