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
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Applicant's Signature
Page 1 of 3
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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
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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:
/ .
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�.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.
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•
Applicant's Printed Name Applicant's Signature
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Page 1 of 3
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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
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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.
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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