Loading...
3875 Dolomite DrCity of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 office Use Permit #: 9(T 3 7 Permit Fee: �/ (- 6-0 Date Received: l 2 �J c Staff: 2009 MECHANICAL PERMIT APPLICATION -� Datetpr - 1 Site Address:?J I( )0CY-1, r k i 1 Tenant: i s .ts) ` F ( 'APAc I(i r J Suite #: RESIDENT /OWNERc Name: Name: ��(�i 't� t�. 4 1= � (1 C.Np one: L-11(1- Y.3 Address / City / Zip: -.7')g 1 < % _COil; ' ' t. D17 CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License #(4 I 4g713 Address: 3451 W. Burnsville Parkway Suite 120 City: Burnsville, MN 55337 State: Zip: (^� Phone. T- `moi_ �,i Contact Person: CrYc1_d TYPE OF WORK New )( Replacement Additional Alteration Demolition Description of work: I TE: I©fit roof mountedand-ground i nouRfod' rnechuigtrierait IS required i+ b scroa f by 014' Code, Please contact #Ire:Maoh It rlcat tnsp efdr ar Qua' f Planners, for informatl rrt an rm1ttec scre I g metta6ds. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Install Piping Processed XAir Conditioner Gas Exterior HVAC Unit Air Exchanger Heat Pump Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector � ((�� __A Other(J ofd RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) =, , $ -JL, , �-> TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% _ $ Permit Fee - If Permit Fee is Tess than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ 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. Applicant's Printed Name -MU Applicant's Signature FOR OFFICE USE Rough In Air Test _Gas Exterior HVAC Screening Inspection iervice Test _In -floor Heat _Final CITY' zr EAGAN WATER SERVICE PERMIT 3795 Pam...Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning• Owner No. of Units: Address: Site Address: Plumber: Meter No.: Connection Charge: Account Deposit: Permit Fee: 1 agree to comply . the City of Eagan Surcharge: Ordinances. Misc. Charges: Size: Reader No.: Total: By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 T. riot Knob Road Eagaid', MN 55122 PERMIT NO.: Zoning: DATE: Owner: No. of Units: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: B Y Surcharge; Date of Ins ---- Misc. Charges: p.. Total: Insp.: Date Paid: All' City ol8atau Date: 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 67545675 Fax: (651) 6764684 Use BLUE or BLACK Ink For Office rise Permit V Permit Fee: Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address• 38L9, 3 r71, 6 8 7 3, 3 75" ppl. o M' T' 2. Unit #: Reildetttl Owner Name: e4 46 `~ /1'1».3 4 6 t Nt E N ..•� •�: C. , Phone: 76 3-S-71— 97743 � Address / City / zip: :SO Q C Ce4 ry 2 Av, j , 1 A aoaD £.s 14 L _y 7 Applicant is: Owner ,Contractor Type oMork, Contractor Deacription of work: { i o ' €- aw RE PS. 6/ J 6 a P.4'4 Al z 7-4 I. - Construction Cost / 9,00o• CIL_ Multi -Family Building: (Yes / No Company: a £ I £,r r a 2 /%7ih.JT . Cv cep Contact: DA ✓ r 9 a�2ai S Address: 5/0 �' W (a 1 /1- J7 - State: /''? SS'y// City MPLS Phone: lo/z- S'6/-1. 2y'3 License#: '4 C- 4' / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional inf enation) FLSIvS- g�Il'r PoS:' JS7r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit fora 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: NOM; �y'` �� •,iiiowsedio tftaistonit CALL BFrPORE YOU 019, Cat Gopher State Ono Catl of (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoaherstateontacaLtpt I hereby acknowledge that this Intonnation Is complete and aoxtrate; that the work will be corifomtance with the ordinances and coda of dhe City of Bacon: tat I undeatand this is nota permit. but only en application for a pent, and work is not to start without a permit: that Mie wont WII$ be in accordance with the approved plan in the case or work which requires a review and approval of plane. Exterior work authorized by a building permit issued In accordance with the Minnesota Stam Build nflCode must be completed v/811111180 days of permit issuance. xI ',2...Q_' Applicant's Printed Name ZO/Z0 3Jbd Applicant's Signature Page 1of3 1NIVW 1X3 ISS L9Z9t98Z19 LO:ZZ bTOZ/9Z/Z0 CllyofEagall 3830 Pilot Knob Road Eagan MN 36122 Phone: (661) 676-6675 Fax: (661) 675-6684 Use BLUE or BLACK Ink For Office Use 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: • I— S — /I/ Site Address: 384 y, 3 7 '7 /, 3V73, 3 87? Qo La 141r rE A iL . Unit #: Name: -J 1@r, , Address / City / Zip: VS—c. C. a r4 ry Q Air rt.) 'a` Z A oL E•.J L4KL£lr' -sr4.th Applicant is: Owner ,K Contractor Description of work: 7— EA -2 0%1-1 a• I2 E - Paor- , Cost 13 7 o'O- Cr° Multi -Family Building: (Yes � / No ) Company. 41E I Sic 'r'c a'ode 0/47.417. emeP Contact J Avrd fld� RR S Address: 4/0 s tt.) 6 , City: _ m PG $ . State: /X1oci Zip: Sri,✓ 5' Phone: !o'Z r6/^ 6 z ya License ft. 4 C z N 1/ 3/ Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for addition& information) tos Eta L. 14arLr Pos; 197 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 _Io If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor. Phone: Phone: Sewer & Water Contractor: CALL BEFORE YpU DI(. CaU 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. 1yww.000heratateonerall.orq I hereby acknowedge 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 1s not a permit, but only an application for a permit, and work is not to start without a permit; that the work %dU be In accordance with the approve° plan In the one of %writ which requires 8 review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Buflth Code must be completed within 180 days of permit isauance. x btiivra Qui RAlS Applicants Printed Name 80/TO 39Vd 1NIt7W 1X3 I3fi x Applicant's Signature Page 1 of 3 L9Z9T98Z19 LO:OT tTOZ/80/I0 PERMIT City of Eagan Permit Type:Building Permit Number:EA161843 Date Issued:06/15/2020 Permit Category:ePermit Site Address: 3875 Dolomite Dr Lot:16 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: 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 Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Merrill M Madsen 3875 Dolomite Dr Eagan MN 55122 (612) 414-8520 Window Concepts Mn 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature