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3889 Dolomite DrCITY OF JAGAN 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 De Reader No.: posit; _ Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinances.Misc. Charges: B Total: y Date Paid: Date of Insp.: WATER SERVICE PERMIT Insp.: CITY_ OP EAGAN SEWER SERVICE PERMIT 3795 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 Eagon Connection Charge: Ordinances. Account De posit• Permit Fee Surcharge• By Misc. Charges• Date of Insp.: Total• Insp.:_ Dote Paid• City of kali 3630 Pilot Knob Road Eagan MN55122 Phone: (551) 8755875 Fax: (651) 875.5614 Use BLUE or BLACK Ink For Office Use j Permitit IX13° Permit Fee: .° Date Received: 1/62 (0113 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Daps: 7' le— /3 Site Address: 3 8 8J, '3 I". 3 S 79,1V 9 / I l b G o'- r rt b t. . Unit 8: J Name: 4_/9SSoc,4.rio.J cZ. M,t.,A..64,011_47 phony 763- 5 -37A7 Address / City /Zip: i 02 2 £. .t",ss, 1,474e. Ah 01,404E 626./4', Ss 3 s/ Applicant is: — Owner iC Contractor '44 WOlc Description of work: 7-14A- o FA' .a Q d - Agro F Construction Cost: /i/s :46°,00 Multi -Family Building: (Yes )0 / No ) Company: t E/ ExrtR'0 m*rv:. �0.2P. Contact: b Li4 4..2/t/� Address: 1/c.5- t 6 c r• Sr City: /19,0G S State: /17A) Zip: - 3 41 !C Phone: GTR -b '4/-4.zy3 License #: G y // 3 / Lead Certificate #' If the project is exempt from lead certU9Cation, 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: Mechanical Contractor, Sewer & Water Contractor Phone: Phone: • Phone; NOW snr ' e: : Phos 'lr'1,+�l►tigr Pas' CALL BEFORE YQU DIG, Call Gopher Stsle One CMI at (651)484-0002 for protection against underground utak( dameye. Cal 48 hours before you intend to dig to receive Incites of underground utilities . me,stagiscobsweoliGut I hereby acknowledge that this adonmatkun is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan: drat I understand this is not a permit, but only an appkation for a permit, and work is not to start without aPerm b I that the work WIbe In aCCOrdance with the apptovetl pion in the case of worst which requires a review and apprrnJ cf pram• Dander work authorized by a bulidbng permit Issued in accordance with the Minnesota b Bullring be completed within 180 days of permit Issuance. Applicant's Printed Name TO/T0 39 d Applicant's Signature Page 1 of 3 1NItiW 1X3 Iia L9Z9T98ZT9 LT:OT ETOZ/9Z/L0 41' CityofEaaall 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 675,5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Song Permit Foe: Date Received; 1,0 / 11) 3 Staff. 111 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A0 Slte Address: 3 7S; 3$1.7, 33 3S' 9 / .10 to 441 rt • Unit if; `" . • O ei >•: Name: '`o /v G Y /y1 +1 Ai 4 G Z. 41 Z L 'T �"� C Phone: 743 - -s-93 - S' 7 7 a Address / City / Zip: '5D 1b E. C r4 "—Li N ,2 AV "c`2 p god..bE,J L4 .Lt Ar•a ..1-3-41, Applicant is: Owner Contractor 7 Type,1?F' YQ C• Description of work: -7" E +iZ Of- a 2 c - Geral= Construction Cost /'f x LC - 60 Multi -Family Building: (Yes X / No :: .., • Cant a r ' Company: 4E 1 A.; *7-e.2•0!1 frith• -P C PContact tAv,a. %' 1 r S ress: VDS k 6o City: n'l PLS . Add s? _ State: /Yl cj Zip: SS'S'/9 Phone: 6Iz-'6/- 6A4/3 License#: 8 e 1 9 / / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Vic-b,t,,L 1r2E. ri,,i,r Pos7 l97 ? In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan Issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes __No Licensed Plumber. Phone: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: / . TE:8**q��,,�+/Y1 th® /000,t teY )* '' . AJ'✓"J : ;✓) ' ♦ yp{,. �1/�J',�q "a�;pi 4 t. 4•i.? v11FFr -1,i i :�i% 7L wtlth. v41 Ih �'��J'•-.. nN A . ._,J �.ri�� a�ruiw YVU DIG. Call Gopher State One Call at (651) 434.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoo,erstateonecall,org 1 hereby acknowledge that this information is complete and accurate; that the work well 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 worts is not to start without 8 permit; that the work will be in accordance with the approved plan In the case Of work which requires a review and approval of plaits. Exterior work authorized by a building permit Issued In accordance with the Minnesota state Buildin Code must be completed within 180 days of permit issuance. x bAv, N ( a-a'_c x • Applicant's Printed Name Applicant's Signature £0/TO 397d 1NItiW 1X3 I3a Page 1 of 3 L9Z9T98ZI9 9Z:17T £TOZ/T0/0T 411' CityofEaaii 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 8754675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use Permit .1`b9/3 Permit Fee: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -7-/y site Addrt;,ss:309s", 3 F ]eS9, 3v9/ iot,.OMoT 62. unit p: Resldenv Owner Name: eJC 4t' ,e,s 46£Is£A;"i .�•J C. Phone: 74 -S"!3- 977 Address / City / Zip: :SO D C t4 ru Q 4v, , , 2 A Gol. E.4..1 i4 r /x7.0 Ssin7 Applicant is: Owner 2f Contractor TYPe of.Work, Description of worle f.•K e C a• {C E AL A -c- f- 1/ D / P.6's / a AIL 7-4 L - Construction Cost /14 gar), G1D Multi -Family Building: (Yes /No Contractor Company: a E I £,r - a 2 ii%i ex -r- . CaAP. Contact Nur 0 av/iu/ S Address: VP -3- (.) tc)01.1 ¢• City: /h PL State: /'7^S Zip: 5-3-4// g Phone: Col z ' 8 to / - Co 24/3 License d: 4.3 C- 2 %' / / 3 J _ Lead Certificate #: If the project is exempt from Toad cert1f cation, please explain why: (see Page 3 for additional information) lnpLl,(pSPas7Y' COMPLETE THIS AREA ONLY IF CONSTRUCTING A MENfilUILDING In the iaet 12 menthe, has the City of began issued a permit for a similar plan based on a master plan? ___,Yes _No If yes, date and address of master plan: Ucensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor: Phone: CAI,, BEFORE (OU DIG. Call Gopher Stater One CaII at (651)4544002 for protection against underground utility damage. CaII 48 hours before you intend to dlp to receive locates of underground utttdies. www.00pharstafAonecaii.ona I hereby acknowledge that this Information is complete and aowrate, that the work will be in conformance with the ordinances and codes of the City of Eagan: that 1 understand this is not a permit but ordy an application far 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 e review and approval of plans. Exterior work authorised by a building permit issued In accordance with the Minnesota State BuildingCode must be computed within 180 days of permit Issuance. x 4 ✓' 4 %24,2-2, Applicant's Printed Name E0/Z0 39td Applicant's Signature 30.e.,7 7'3 Page 1 of 3 1NI 1 1X3 I3S L9Z9I98ZI9 ZI:Oi t?tOZ/L0/E0 11!/ tityofEaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AUG 01 2016 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: OO Date Received: Staff: L 2016 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. `1"� Z J) 1C)CiL. \r, Date: �'J ite Address: a Tenant: Suite #: Name: h€ \Cv\ lt\ \L V\ Phone: r V 9 Address / City / Zip: � t i) 4. �1�L�-A,� , � Y �,� ,ArN 5S I Name: ` ' .a) \ k1 Cryk ft \ License #: \ ! 3 � 5.13C( Address: I { h\ v - ( City: �}-} _ ? State: L Zip: Phone: (5 ��.. �- Contact:Trf"1 _ Email: 3Y1.l \tJ� 11.:\k.ktAiriOYC R I. New Replacement Description of work: NOTE: Roof mounted and ground mounted m Code. Please contact the Mechanical Inspector' Additional RESIDENTIAL Fumace Air Conditioner -g Air Exchanger _ Heat Pump Other Alteration Demolition e New Construction Install Piping Gas _ Under/Above ground Tank ( Install / — Remove) COMMERCIAL Interior Improvement Processed Exterior HVAC Unit RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit, includes State Surcharge $100.00 Residential New, includes State Surcharge =$ TOTAL FEE COMMERCIAL FEES $60.00 Permit Fee Minimum $75.00 Underground tank installation/removal, includes State Surcharge Surcharge = Contract Value x $0.0005 If the project valuation is over $1 million, please call for Surcharge Contract Value $ x .01 =$ =$ _$ Permit Fee Surcharge TOTAL FEE 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. x�r \C C LACAEr. x Applicant's Printed Name Applicant's Signature City of Eagan PERMIT IP1' City of Eaan Permit Type: Building Permit Number: EA142580 Date Issued: 05/09/2017 Permit Category: ePermit Site Address: 3889 Dolomite Dr Lot: 7 Block: 01 Addition: Briar Hill 3rd PID: 10-14992-01-070 Use: Description: Sub Type: Windows/Doors Work Type: Replace Description: Two or More Windows/Doors Census Code: 434 - Zoning: Square Feet: 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: 4,000.00 BL - Base Fee $4K $103.25 Surcharge - Based on Valuation $4K $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Home Depot At Home Services 2455 Paces Ferry Rd Atlanta GA 30339 (952) 345-6057 - Applicant - Owner: Kenneth W Risch 3889 Dolomite Dr Eagan MN 55122 (612) 224-2316 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:Plumbing Permit Number:EA157167 Date Issued:08/07/2019 Permit Category:ePermit Site Address: 3889 Dolomite Dr Lot:7 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Kenneth W Risch 3889 Dolomite Dr Eagan MN 55122 (612) 224-2316 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature