3881 Dolomite DrCITY OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Rood 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:
Total.
By Date Paid•
Date of Insp.: 7 (<2 _ Insp •
CITY OF EAGAN SEWER SERVICE PERMIT
374.4 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE•
Zoning: No. of Units -
Owner:
Address•
Site Address•
Plumber•
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit -
Permit Fee•
j / • Surcharge•
By / Misc. Charges•
Date of In p s -f Total•
Insp.• Dote Paid•
Feb 12 13 08:54a
Haley Comfort Systems
City of hp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
651-464-0041
p.1
Use BLUE or BLACK Ink
For Office UsejojZ'1
Permit tf:
Permit Fee: ("'
Date Received: �t 3
Staff:
L
2013 MECHANICAL PERMIT APPL CATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 2 --42- 1-3 Site Address: 3 Zi 9/ 4�eit,P1r`t<c �,-, ��‘:,r/ MV -5-S/2
Suite #:
Tenant:
J
eSld@ t/Ownec
1� til r
Name: A / C'S Art GT, $
tt,-j i a i 11di4-l; I
i fig
Phone: 4S/- t0 =7 - 7 a Y
Address /City/ Zip: 3 ggl
De/(,h,; ee Jr, L'wywh
55 a
F
6 r =t
Contractor
` k {, :
-`.
Name: �. I� /7 (00111S,-/
J�rsfects Lcense#:
Address: ? i-) I -3 / !f i'
LLfyt//r y / .I3 Cry_
Fore," ALX -4 z
M _ _ f,,
State: / r .N Zip: a S ,
_
IAS Phone: G 5 %
J/ �1
- 1 ii/- " 0 01/ L2
� �J -�
Contact: L�►0� !�f �'�'
r!
Email: l' Mal2rs
4,44 • IC in
4P � l y z
i `
r� Type ofWork '
= t,
b
New )(Replacement
e n t
Additional
Alteration Demolition
Description of work: 4 to
i c I" ? 4 4.4 M
c h
NOTE ROof nountedand'grouE
Code Please contact,the NOT
d mounted mechanical equ
hat cal Inspector for inforrrmtlorF
ment is reggtred to be screened by City
ori or* heft screening methods.'
`• `'' a
eerAir
Permit Type
�g F`
RESIDENTIAL
Furnace
New Constructior
COMMERCIAL
Interior Improvement
Conditioner
Install Piping
Gas
Processed
Air Exchanger
Exterior HVAC Unit
Heat Pump
_
Under ! Above ground
-
Tank (..,_ Install 1_ Remove)
Other
_
RESIDENTIAL FEES:
$60.00 Minimum Add-on or
alteration to an existing unit (includes $
burned out appliances, ductwork, etc.) (includes
.00 State
Surcharge)
$5.00 Stale Surcharge)
/ i i
= $ t Cr . pc TOTAL FEE
$100.00 Fire repair (replace
COMMERCIAL FEES:
570.00 Underground tank installationiremoval
$55.00 Minimum
if the project valuation is over $1 million, please call for Surch 1
rge
Contract Value $ x 1%
= $ Permit Fee
= $ 5.00 Surcharge*
_ $ TOTAL FEE
CALL BEFORE YOU DIG, Call Gopher State One CaII at (651) 454-0002 for protection against unde-ground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www a opherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;
Eagan; that I understand this is not a permit. but only an application for
with the approved plan in the case of work which requires a review and
xy/l�v:1/ J
Applicant's Printed Name
•FOR OFFICCEUSE
R quyrec.Inspections
Underground ,_ Riiug
that the work will be in conform nce with the ordinances and codes of the City of
a permit, and work is not to start v ithout a permit that the work will be in accordance
approval of plans.
Applicants s�a�a
Signa re
`ReviewedDa
as Service Test In -floor Hent } . Fina HVACScreening
44111 City of Eaau
3830 Pilot Knob Road
Eagan MN 66122
Phone: (651) 6755675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office use
Permit A 1 1 I I
Permit Fee: ! `S1. S1:7
Date Received:
Staff
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 9-,17._ /-3 Site Address: 3$77 7 9, Ft'1, 8'3 tolorM r£ DIL. Unit#:
Residcirrt
Owner
Name: /o f>1 C 7 "4 ...ti 4 601/4Z4-1"7" - + C Phone: 761 - s� 3 - ,S/7 ' 0
S
Address / City / Zip: '- d- 14 r'u Q Av ,J , Goin S. i V d-Lwri
M -55-11.4 7
Applicant Is: Owner .0 Contractor
Type;011 t rk
Description of work: -7-r,+2 or -r-7
Construction Cost /71 7 aU -
Multi -Family Building: (Yes %'C / No, )
C
Company: 41F: 1 f CA .t2 01,t,�, T . 2M Contact: INAvI ilt3_».
Address; yon 0 6 v1". ST .. City; 1' L.. .
state: NA.) Zip: S5 S�/ 9
License* C .i Y / 3 /
Phone:
tp/z - ?6/- exy
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t. /as 1,3 z. 4..)/1,7- Pos: ./ Sr7
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:
NOTE:.FI.. rid`
�l
thefl7.fo f1 Ol,):
Phone:
CALL BEFORE YOU DIG, Call Gopher State One Call at (681) 454.0002 tor protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.00pherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with the ordinances and codes of the City of
Eagan: that I understand this is not a ',emit, 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 requites a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Bulldin Code must bcompleted within 180
days of permit issuance. e com p
x A✓�� Zv2R
Applicant's Printed Name
60/Z0 39Cd 1NICW 1X3 I3S
Y
Applicant's Signature
Page 1 of 3
L9Z9I98Zt9 09:17i EZOZ/bZ/60
411110 City of boll
3830 Pilot Knob Road
Eagan MN 56122
Phone: (651) 675-5675
Fax: (651) 6756684
Use BLUE or BLACK Ink
ForOMeo uss
( a079
Permit ak
Permit Fee:
Date Received: / LJfI
Staff
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:,x1)31/�� _-- s 7-7-7,311-75t, 39St, Z S'8 3 Zot-001.T t - Unit*:
Ra $Idem/
Ownier
.
Name: e/v 46 1 "if..) 4 6E04 14Tw C. Phone: 76 3- a"i 3— 9 7 7
0
Address / City / Zip: RSO Q Z .&4 ru R 4v, A), ,2/4 604.6 s...N 14 L.E Y /n'AA)
S.S#y.t7
Applicant is: Owner kContrac for
Typla'ot;Wa
'
�. ..1110-..
Description of work r'Sw a c. f. 0- f PC. 1r S .6 •) 6 b P -s c ' a Mt r,5 L.
Construction Cost / 6' Qao • 0r0 Multi -Family Building: (Yes X / No
Contractor
.
Company: a E 1 6,, EA, o2 /'%i .0•7- . en alt Contact Ll4 ✓r 0 a✓2/2i S
Address: 4/°3" (,J 6,0 Y", City: /'7 PI-S
State: /4/0k1 Zip: 55"4// 7 Phone: lvi .Z • Y 4 /- to 2 V3
License 8: CS C- 2 if/ / 7 / Lead Certlflcatia 8:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
qt-heaS_ Q�rc-7 PDS:- /97r
In the lest 12 months,
__Yes _No If
Licensed Plumber:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a item* for a similar plan based on a master plan?
yes, date and address of master plan:
Phone:
Mechanical Contractor:
Sewer & water Contractor.
Phone:
Phone:
NOTE; Plasa, ^�
•� YOU,,,,,..����j. ��.,,..,�,,,��,.. 1111.
ou'nedori1�F. ,
the �,,�,,}}y�, r,,
�+
I. i
CALF ORE YOU DIG. CaiI Gopher State One Cadl at (551) 434.0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. www.00aherstamoneq I.oiQ
hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances end codes of the City of
Eagan. that I understand this le not e permit. but only an application fora permit, and work Ea not to start without a permit: that the work WI be in
accordance with the approved plan in the case Omsk which requires a review and approval of plans.
daysExterior
wort authi�aO ired by a building permit Issued in accordance with the Minnesota State Build! Code must be completed within 180
of x �►f✓� O •d�%1-:Z/S
Applicants Printed Name
PO/Kt 3JCd
x
Applicants Signature
Paye 1 of 8
1NICW 1X3 I3E L9Z9I98Z19 OZ :t't VTOZ/Ct/Z0
City of Eagan
PERMIT
411' CityofEaan
Permit Type: Plumbing
Permit Number: EA134806
Date Issued: 01/25/2016
Permit Category: ePermit
Site Address: 3881 Dolomite Dr
Lot: 11 Block: 01 Addition: Briar Hill 3rd
PID: 10-14992-01-110
Use:
Description:
Sub Type: Residential
Work Type: Replace
Description: Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Alex Awada
3881 Dolomite Dr
Eagan MN 55122--161
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 of Eagan
PERMIT
41' City of Eaan
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA145703
09/21/2017
ePermit
Site Address: 3881 Dolomite Dr
Lot:
PID:
Use:
11 Block: 01 Addition: Briar Hill 3rd
10-14992-01-110
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet:
Windows/Doors
Replace
One Window/Door
434 - Residential Additions, Alterations
0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 500.00
BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor:
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
- Applicant -
Owner:
Alex Awada
3881 Dolomite Dr
Eagan MN 55122--161
(952) 270-9817
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