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3859 Dolomite DrData: GiyofEaaail Emil 3830 Pilot Knob Road Sagan Phil 55122 Phone: (651) 6755675 Fax: (661) 8754564 Use BLUE or BLACK Ink For office Os* Perk at Permit Fee: 65:35 Date Received: 4 IN ( I 11 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 9-/t/ Site Address: 3'YS 9 �mt.o/41.,'rE AZ_ . Unit#: Reh3<Itlent/ Nemo: e/ 4e�) M* R6tAz.ti3-r G phone:742 - V71- 9770 Address / City / ZIp: RSO p r C vI ru Applicant is: Owner X'Contmctor 4v, /3, 1 A GoLa 14Li y /0•J as VI. 7 Type'otWork, Desuiption of work Q C PL 4 C>' AIL L 7-) /54 L (Zip, S�z��rk5 Constivdlon Cost - Multi -Family Building: (Yes / No C Company fa£) �(' r £R/ D / t) *i A'7" . /vat contact b4 ✓ r 0 4� / S Address: x%0.3' L) 400 • city: mPLS State: 14/AS Zip: 3 -5 -VP? Phone: !o' •Z - g !o / - t'o 2 ¥. uoanse # 41 f= 2 Y/ / 3 / Lead Cerdticate #: If the project Is exempt from lead certification, please explain why: (see Page 3 for additional Information) au,f r Pas:' /77r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, hoe the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, data and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOM F%wi—si ffiti CALL BEOR (OU Q4 Call Gopher State One Call at (051) 454.0002 for protection against underground utility damage. Call Ohm's before you Intend to dig to receive locates of underground utliltdes, www a4rrheretateonecan,org I hereby acknowledge that this information is complete and GCC i te; that the work will be in conformance with the ordinances and codes of the City of Eager); that io a rbanae tun nd this i` not o permit, but ony an appGcofion fora permit, and work is not to start MAthout a permit: that the wont MIP be In approved pian in the wse or wo*c %Mon requires a revlew and approval or plans. Exterior work authorized by a building permit issued In accordance with the Minnesota Stat. BulIdiCode must be completed rrithln 180 days of pemdt Issuance. Applicant's Printed Memo Applicant's Signature Page 1 OS 8t/b0 39'd 1NIvW 1X3 I3a L9Z9I98Zt9 9T :VT btOZ/It/b0 CITY OF EAGAN 3795 Pilot Knob Rosa Eagan, MH 55122 PHONEt 4544100 BUILDING PERMIT Receipt # To be wad for Est. Value Date 19 Site Address Erect p Occupancy Lot Black Sec/Sub. After ? Zoning Parcel # Repair ? Fire Zone cc Name W Address b City Phone °C Name ,o ?l Address f- ri.., o? --- Name Address Enlarge ? Type of Const. Move ? # Stories Demolish ? Length Grade ? Depth Sq. Ft. Approvals Fees Assessment - Water & Sew. Police Fire Eng. Rim I City Phone Planner Council I hereby acknowledge that I have read this application and state that Bldg. Off. _ the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total A Building Permit Is Issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Mim Permit No. Holder Plumbing oQ-7 « f /lZ ` Z -? i -O H.V.A.C. Z$(D l d c?cKsch I- ZI-$'Z Well Water Disp. Sewer Electric T 7 R g /?I It Inspection Date Insp. Other Footings iz 3 rsl Foundation Framing Rough Plbg. ?. Rough HVA Insulation Final Plba Final HVAC Final r Water Describe Location: Well Sewer Pr. Disp. 4 CITY OF EAGAN 8795 Pilaf Knob Read Eagan, MN 55122 PHONE: 454-8100 BUILDING PERtAIT Receipt # To be wed for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? W Name Move ? Address Demolish ? b rit'. o?...... ( Grade ? -11 Type of Const. # Stories _ Length r,... Name Approvals 0 8' Address Assessment _ ri.,, Water & Sew. Name _ Address I hereby acknowledge that I have read this application the information is correct and agree to comply with State of Minnesota Statutes and City of Eagan Ordh Police Fire Eng. Planner Council state that Bldg. Off. _ applicable APC es. Ft. Permit - 7 Surcharge Plan check SAC Water Conn. Water Meter Rood Unit Total Signature of Permittee A Building Permit Is issued to: on the express condition that all work sholl be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing A-7 I (O C i ?d Z- K Z -14- H.V.A.C. ?([7 rF?r.'?SaJ? 1-?`? Well water P. Savor Electric -T ?2 0-? 1?n -1?5?? Z-CIS-fS` Inspection Date Insp. Other Footings 17.5--75 Foundation Framing Rough Plbg. . Q 12 a) 41 F Rough HVA Insulation Final Plbg. Final HVAC Gc% p r ?, 4* Final r water Describe Location: Mil Sewer Pr. Disp. CITY Of EAGAN 2793 Pl1k* Kwon Road Eosaw, MH 53122 PHONE: 434-8100 BUILDING PERMIT Receipt # Tab be rued for Est. Value Date 19 Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories Z Address 1 Demolish ? Length rit i pti, _ Grade ? Depth So. Ft. ae Name H u' Address ra- Assessment _ Water & Sew. Police Fire Eng. Planner Council 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information Is correct and agree to comply with all applicable APC - State of Minnesota Statutes and City of Eagan Ordinances. Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee / A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ?" l l ? it -D a2 ` fN H.V.A.C. Z?j ` Ff` ?fl"C5Glf l' Well Water Disp. Sewer Electric r 7q P? $ AUL S Lt Inspection Date Insp. Other Footings iz - 3-?,( Foundation Framing Rough Plbg (,c' c . ?S-Zf 2 //s..aa< ?n rc Rough HVA Insulation Final Plbg. - eA) Final HVAC Final Water Describe Location: Wall Sewer Pr. Disp. . ., i CITY OF EAGAN 3 18482 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ,?' ' PHONE: 454-8100 BUILDING PERII?Il? Receipt # L To be used for DECK Est. Value 1 OOd Date OC? 25 19 90 Site Address 3859 DOLOMITE D>ll OFFICE USE ONLY Lot 21 Block 1 Sec/Sub. BRIAR HILL 3RD Parcel No. Occupancy FEES Zoning W Name (Actual) Const Bldg. Permit 25.00 W o Address (Allowable) Surcharge • City Phone # of Stones 10, Plan Review Length F Name DAVID FEIG Depth City SAC Z ?a 817 E S1ST ST Address S.F. Total , City 14PLS Phone 822-9221 S.F. Footprints SAC, Mcwcc Water Conn ? On Site Sewage Q Ujw Name On Site Well Wat t M er e er u Address MWCC System 0 xZ <W City Phone City Water Acct. Deposit SfW P i PRV Required erm t I hereby acknowlege that I have read this application and state that the Booster Pump S1W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordigandies.,, Treatment Pf Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAVID FEIG Planner Park Dad. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies 25.50 Building Official Variance TOTAL Permit No. Permit Holder Date Telephone J< WATER SEWER PLUMBOV HN.A.C. ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr.IPlan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3795 POW Knob Rood Eagan, MN 551n ' PHONE: 454-8100 BUILDING PERMIT Receipt # To be seed for Est. Value Date 19 Site Address Erect ? Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. N ne ame Move ? # Stories Address Demolish ? Length b Citv MerM Geode ? Depth S4. Ft. at Name u' Address ~ City Phone Name ;!U j u: Address i'Z City Phone 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. Signature of Permittee A Building Permit Is-issued to: all work shall be done in accordance with all applicable State of Mir Building Official Assessment Water & Sew. Pal ice Fire Eng. Planner Council Bldg. Off. APC Fees Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total on the express condition that and City of Eagan Ordinances. Permit N o. Permit Holder Mice. Permit No. Holder Plumbing p ? .,Z `7 tD G?n2?R 2-?q-7' H.V.A.C. Well Wetsr Disp. Sewsr Electric -T 7q SS$3' Q S? Q C- Z -1 - Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. ?S -if Z ? r c W 'I Rough HVA ' -On Insulation Final Plbg. .fs. Final HVAC Final $ Water _@ion 0p X -s6 Well I O Sewer Pr. Disp. CITY OF EAGAN T` ,r 18480 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN k 55121 PHONE: 454-8100 57 BUILDING PERMIT Receipt # L To be used for DECK Est. Value $1,000 Date OCT 2 5 19-9-0-- s 3853 DOLMITE DR Site Addf li p Lot 1? Block Sec/Sub. BRIAR MILL RD OFFICE USE ONLY Parcel No. Occupancy FEES Zoning w Name (Actual) Const Bldg. Permit 25.00 Address (Allowable) h • 50 o _ Surc arge City Phone x of stories 10, Plan Review Length a o DAVID FEIG Name Depth 10' SAC Cit (¢ Address E 1ST ST S.F.Total , y MPLS 822-9221 SAC, MCwCC City Phone S.F. Footprints Water Conn On Site Sewage Fw Name On Site Well W t M t er er a e _ Address MWCC System - <W City Phone City Water Acct. Deposit i PRV Required SM Perm t I hereby acknowlege that I have read this application,and state that the information is correct and agree to comply with all applicable State of Booster Pump S+W Surcharge Minnesota Statutes and City of Eagan Ordinancesr-l-7+_ Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAVID FEIG Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 2S' Permit No. Permit Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber EngrJPlan Bldg. Final Deck Fig. I Deck Final 1? ,51 Well Pr. Disp. Receipt MECHANICAL PERMIT CITY OF EAGAN Fill in numbered spaces Type or Print legibly Permit No. Fee S/C Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? 1 10. Describe 1 11. Fuel Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handlin : Mfg. g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and 1 agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. Alter ? Repair ? This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot - Blk. Tract 4. Owner 5. Contractor Phone 6. Address ".^/1 le?i ..11/ _ ?f • . -1 ':` l 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe 1 11. Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 MECHANICAL PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 'RACT PRICE: PHONE: 454-8100 ` Site Address Lot Block m Name m Address c City Phone y Name ?" ?- ? 3 Address p City Phone TYPE OF WORK Forced Air M BTU Boiler M BTU Unit Heater M BTU Air Cond. M BTU Vent CFM Gas Piping Outlets # Other FEE: S/C: TOTAL, PERMIT # RECEIPT # DATE " For Office Use Only: BLDG. TYPE WORK DESCRIPTION Res. - New Mult Add-on =- Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPLIE S MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000) SIGIIaTURE OF P MITTf A / +cr ? 3 / sts? 3 3 /pa FOR: CITY OF EAGAN • sz II Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fes Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. 1 Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9, Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe 11. Fuel Type No. Equipment STU - M. Ea. Forced Air No, Equipment CFM Air Handlin : Mfg, g Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg, Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT CITY OF EAGAN Permit No. Fee FUl in numbered spaces S/C Type or Print legibly Tot. 1. Date - -/ 2. Installation Cost 3. Job Address Lot Blk. Tracts 4. Owner 5. Contractor Phone 6. Address /T?c { r "f /A' 7. City - : , , ,;T State 4114-2 Zip 8. Building Type: Residential ® Commercial ? Institutional ? 9. Work Description: New 0' / Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield / Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for - - Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner i 1 5. Contractor Phone 6. Address 7. City . ,. State //'O?V Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New Q= Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. - 1. Date --- 2. Installation Cost 3. Job Address Lot Blk. Tract - 4• 4. Owner c i? _ . . 5. Contractor Phone - '? 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New 0' Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspool/Drainfield Bath tubs Se tic Tank Lavatory p Softner Shower Well 1- Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: , „ 1 . li)It(1M I It' " fAR 14 1 14 1R13 I PERMIT SUBTYPE: f(M) fMf S the n? APPLICANT: rt,i;') 4 of--O/4 TYPE OF WORK: I., i, i i i i „r.! I1NA1 hit I 1 1) 1 Hfi ezLi ial eslillip.ii At li-NArIQN f X'f f ND lit f t Permit No. Permit Holder Data Telephone M ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG .? DECK FINAL ?? ?N? -7 N INSPECTION RECORD /CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 1 Ott 4 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: [AR 1111.1. :3140 ?81.--630.3 PERMIT SUBTYPE: TYPE OF WORK: j I'Air I HIsOW RE Pt AGE MFN f ) Permit No. Permit Holder Date Telephone A ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: '0V .. 1 ` 147 !a 1 4 APPLICANT: TYPE OF WORK: At I t' 11A ( I i1N (0A`. 1 0G UW. f INI 1' 1.1t 111 1ti 1111 I,. !.! t INA1 J - - --------------------------------- PERMIT SUBTYPE: Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Dab Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE ? ? FIREPLACE AIR TEST ?? ?? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: I+it+ Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: " APPLICANT: ..?. - I?+SI tsl'-! J I ? 1+:. ? i 11 h14+++E.i'• ? J i' 1 Fllt 1 ?+ tRCAlt HI A 1 SFtll 1-81 -6:363 rnhlS 3" ?, arfr Y ??s -------------- - a:a -- -----------------?1? PERMIT SUBTYPE: TYPE OF WORK: VATO s I y I+ 1! 1 I i NPOW RE P t AC. f 14FH f Penult No. Permit Holder Date Telephone it ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: Ito 1 ?$ TION RECORD! PERMIT TYPE: Permit Number: Date Issued: will 1wi *11940 OF. /.,10 114H APPLICANT: TYPE OF WORK: & ';}IliNI; THI Permit No. Permit Holder Date Telephone • ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: APPLICANT: fit (11It TYPE OF WORK: MAI., 1 fi l l l 1 f) I "0 INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. i _ 77 --------------------------- Permit No. Permit Molder Dote Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG 3O ?l DECK FINAL 7 /! - / l CITY OF EAGAN Remarks It Addition BRIAR HILL 3rd ADDITION Lot 21 Rik 1 Parcel 10-14992-210-01 Owner ?rjS frJ?{'? Street 3859 D01(nite Drive state improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 10,2- 19T1 Paid unde Cel 10-( 2000- D10-25 STREET RESTOR. Z'1 t 19T5 80.2T 8.03 10 16.11 A011435 9-14-82 GRADING k, 5 e 1982 123.04 24.61 5 98.44 11 if Stypet Surf CC6 1982 600.76 120.15 5 480.61 It SAN SEW TRUNK 40 11968 33.61 1.12 30 16.81 " SEWER LATERAL WATERMAIN WATER LATERAL l7 19T1 3 1 1.84 20 14.73 WATER AREA ?5 -N 1977 7.21 15 40.33 " ** 5 1982 1431.44 286.29 5 1145.16 " STORM SEW TRK y 1 1982 402.83 80.55 5 322.19 * STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 #28614 1-21-82 WATER CONN. 335.00 to to BUILDING PER. 706 SAC 575-00 t If PARK CITY OF EAGAN Remarks ?I j • $ KiIr> Z Addition + (BRIAR HILL 3rd ADDITION Lot 22 Rik 1 Parcel 10-1$9922' 20-01 Owner If e T 'op) Street 3861 Dolomite Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF, OZ 1971 Paid unde r cel 10-( 2000- 010-25 STREET RESTOR. 19T5 80.2 8.03 10 8.09 A011861 1-27-83 GRADING ,o,5 q 1982 123.40 24.61 5 73.84 Street Surf (Q(oO 1982 600.76 120.15 360.46 to " SAN SEW TRUNK 1968 33.61 1.12 30 15.69 SEWER LATERAL WATERMAIN * WATER LATERAL /01 1971 36.81 1,84 20 12.89 A011861 1-27-83 WATER AREA ±X1 1 6T.21 4.48 1 35.85 " rr ** S/W Lat Stm L 1982 1431.44 286.29 5 858.88 if STORM SEW TRK cJ" 1982 402.73 80.55 5 241.65 " STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 #28614 1-21-92 WATER CONN. 335.00 11 BUILDING PER. 7064 SAC it PARK CITY OF EAGAN Remarks Addition BRIM SILLS 3rd AMMON Lot 19 Rik 1 Owner ??1(" t `- .?11 Street X63 Dolomite Drive Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. L 19T1 Paid unde cel 10-0 2000- )10-25 STREET RESTOR. Ll 1975 80.2T 8.03 10 16.11 A0111 9 6-21 -R2 GRADING (p 6q 1982 123.04.. 24.61 5 Street Surf Ut 6; 1982 600.76 120.15 5 480.61 if SAN SEW TRUNK 1968 33.1 1.12 30 16.81 tr rr SEWER LATERAL WATERMAIN WATER LATERAL (- 1971 3 . 1 1-84 20 14.73 rr rr WATER AREA 3 1977 1.21 4.48 15 4o, 3 rr rr ** S /W Lat Stm LraeG 1982 1431.44. 286.29 5 1145.16 rr r, STORM SEW TRK i?? 57 1982 402.73 80.55. 5 322.19 STORM SEW LAT 19T1 20 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185-00 #2R614 1-21-R? WATER CONN. 335 On rr rr SUILDfNG PER. 7061 SAC 25,00 rr rr PARK Remarks • ?'? Z Z3rd ADDITION Lot 20 elk 1 Parcel 10-14992-200-01 3865 Dolomite Drive Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 162 1 Paid unde parcel 104 2000- 0110-25 STREET RESTOR. 1-i 1 80.2 8.03 10 8.09 A012210 5-17-83 GRADING ra 1982 123.04 24.61 5 73.8 ' Street Surf 4'0 1982 600.76 120.15 5 360.46 ' SAN SEW TRUNK 40 1968 33.61 1.12 30 15.69 n " SEWER LATERAL WATERMAIN e WATER LATERAL 19T1 36.81 1.8 20 12.9 A012210 5-17-83 WATER AREA 19TT 6T.21 4.48 1 35 • 5 „ of ** S/W Lat Stm L(06,9 1982 1431.44 286.29 5 858.88 " it STORM SEW TRK ?/. 1982 402.73 80.55 5 241.65 n n 1F STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 185.00 428614 1-21-82 WATER CONN. 335-00 BUILDING PER. 7062 SAC 525 - 00 , t PARK CITY OR EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: ' Site Address: nolo:;ite. ` Drive rir 1 - Plumber: =? - 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid- W EAGAN WATER SERVICE PERMIT 15 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: - Owner : Address: Addre s Sit : e s 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: -. OF EAGAN 5795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: =o1 Address: Site Address: Plumber: Y Date of Insp.: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: - agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: B Misc. Charges: OF EAGAN Pilot Knob Road MN 55122 1 ogres to comply with the City of Eagan Ord'-"noes. SEWER SERVICE PERMIT Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: CITY OF.EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Ery...., MN 55122 DATE: Zoning: No. of Units: Owner. Address: Site Address: No.: to comply with the City of Eagan of I nsp.: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: .- Total: Dote Paid: By Date of Insp.: Cli ' OF EAGAN 37115 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: Plumber: Meter No.: c: Reader No.: I "roe to comply with the City of Eagan Ordinances. o.. PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: Date of Insp.: CI1 f OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Tol Address: Site Address: Plumber: SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: _ Permit Fee: Surcharge: By Misc. Charges: - Date of Insp.: Total: 100.0() CITY OF EAGAN WATER SERVICE PERMIT 3795 Pt;ot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: r, 1_ ? r iar I' Plumber: r 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: Dote of Insp.: Insp.: CITY OF EAGAN N? 7062 3795 Pilot Knob Road Eagan, MN 55122 - PHONE: 454.8100 BUILDING P/ERMIT Receipt # To be and ft 1 of 4 FLEX Est. value $45,000 Date January 211982 Site Address 3861 Dolomite DriVe Erect Occupancy R-'A Lot 22 Block 1 Sec/sub. Briarhill 3rd Alter ? Zoning PD (R-3) Parcel # 10 14992 220 01 Repair ? Fire Zone NA 7bllefson Buiaders Enlarge ? Type of Const. V w Noma Move ? # Stories Address 1655 Norwood DriVe Demolish ? Length 44 b city Egg?m 55122 phone 454-6873 Grade p Depth-22---Sq. Ft.- FFp Name Owners Approvals Fees oU u? r Name _ Address 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. Assessment _ Water $ Sew. Pal Ice Fire Eng. Planner _ Council Bldg. Off. _ APC Permit 7lill_90 Surcharge 22.50 Plan check 130.25 SAC 525.00 Water Conn. 335.00 n Water Meter 60.0 Road Unit 1 Rr, _ n Total $1518.25 Signature of Pem,ittee A Building Permit Is issued to: Tollefson Build r 3 an the express condition thin all work shall be done in accordance with al oDPlicable Stat Minnesota Statutes and City of Eagan Ordinances. Building Official ka/' -+^ "% CITY OF EAGAN N? 7061 7795 Pilot Knob Raad Eagan, MN 55122 - PHONEs 444-8100 BUILDING PERMIT Receipt # To be used far 1 of 4 PLEX Est. Value $45,000 Dote January 21 Iq 82 Site Address + 3859 DDlanite Drive Erect $) R-3 Occupancy Lot 21 Block 1 Sec/Sub.Briarhill 3rd Alter ? Zoning PD (R-3) Parcel # 10 14992 210 01 Repair ? Fire Zone N& Enlarge ? Type of Const. V M Name Tbllefson Builders ? Move # Stories _ Address 1F,55 Najm m Drive Demolish ? Length 44 z city EOgan 55122 phO11B 454-8873 Grade ? Depth 22 Sq. Ft.- Name Owner Approvals Fees ? Address Assessment Permit ?611x..5" ? Water & Sew. Surcharge 22.50 city Phan Police 130.25 Plan check GW Name Fire SAC 525.00 Fw ma Address I Eng. Water Conn. 33 _ DO iW city Phone . Planner Water Meter.611,M)._ Council Rood Unit 185 nn I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total 1518.25 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: Tbllefson Build a s on the express condition thin all work shall be done in accordance with all ap t e ble State of M nesota Statutes and City of Eagan Ordinances. Building Official .2 /?> }, CITY OF EAGAN N9 7 0 6 4 3795 Pilot Knob Road Eagan, MN 55122 PHONE= 454-8100 ?z?6i? BUILDINCv PERMIT Receipt # To ba_,ased far 1 of 4 PLEX Est. Value $45, 000 Date Januasar 21 , 19-z2_ Site Address IRW; T'nlrvstitP Tlrivrs Erect 0 Occupancy R-3 Lot 20 Block l Sec/Sub. Briarhill 3rd Alter ? Zoning PD ?R-3) 10 14992 200 01 Repair ? Fire Zone NA Parcel # Enlarge ? Type of Const. V w Name Rbllefson Builders Move ?. # Stories Address, 1655 NOLwood Drive Demolish ? Length 6 Oi Ea gan 55122 phone 454-6873 Grade ? Depth? Sq. Ft.- rc 0 Name Owner Approvals Fees oU Address Ad Assessment Permit 260.50 u? Water & Sew. Surcharge 22.50 Phone Police Plan check 130.25 r Fw Nome Fire SAC 525.00 uz Address Eng. Water Conn.335.D.0_ <W Ci phone Planner Water Meter I;n _ nn Council Road Unit 1 RS DO 1 hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable APC Total $1518.25 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: _ rrh11 efS an the express condition shat all work shall be done in accordance with all applicco a State of nesota Statutes a City of Eagan Ordinances. Building Official ^ ???o? --? ??""ffg CITY OF EAGAN NO 8482 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ` ? GG to?? BUILDING PERMI C Receipt # J To be used for. DECK Est. Value $1,000 Date OCT 25 , 1g-90- Site Address 3859 DO OMTTE DR Lot 21 Block -1- Sec/Sub. BRIAR HT RD OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name (Actual) Const Bldg. Permit 25.OD e Address (Allowable) 5D Surcharge . City Phone a of Stories , Plan Review Length _1.0 o Name DAVID FEIG Depth 1W SAC City t Address 817 E 51ST ST S.F.Total , of City 14PT.SPhone 822-9221 S.F. Footprints SAC, MCWCC Water Con On Site Sewage n F ww Name On Site Well W t M =3 Address MWCC System a er eter Acct. Deposit a W City Phone City Water PRV Required &W Permit hereby acknowtage ad this application and state that the Booster Pump SiW Surcharge information is correct comply licable State of Minnesota Statutes ann Ordn Aof Treatment PI Sign ature of Permitee APPROVALS Road Unit A Building Permit is issued to: DAVID FEIG Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies t I IILI' Building Official Aj Qixl Variance TOTAL 25.50 s CITY OF EAGAN NO 18480 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUIL PHONE: 454-8100 I ®6? C ip O DING PERMIT Receipt # ? To be used for DECK Est. Value $1,000 Date _ OCT 9 5 1990 Site Address 3863 DOLOMITE DR 19 1 Lot Block BRIAR HILL 3RD Sec/Sub. OFFICE USE ONLY Parcel No. Occupancy FEES Zoning W Name (Actual) Const Permit 25-0 Bldg D Address - (Allowable) . SO p Surcharge _ City Phone r of Slodes , Plan Review Length 10_ o Name DAVID FEIG Depth 10r SAC Cit $? u Address 817 E 51ST ST S.F.Total , y F City MPLS Phone 822-9221 &F. Footprints SAC, Mcwcc W t C On Site Sewage a er onn r gw Name on site Well W t M t ?w Address MWCC System a er e er a W City Phone City Water Acct. Deposit PRV Required SNd Permit I hereby acknowleg read this app n and state that the Booster Pump SrW Surcharge information is corre to comply all plicable State of Minnesota Statutes jCiff gan Organ TreatmentPI Signature of Permite APPROVALS Road Unit A Building Permit is issued to: DAVID FEIG Planner Park Dad. on the express condition that all work shall be done in accordance with all Council -- applicable State of Minnesota St atutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official rI J? _?( I A, I 1 1, Variance TOTAL 25.50 i;T To Be Used For Site_Address .31 Lott a? a Block Parcel #: (0 Cwner: v Address: City/Zip Code: Phone #: D? CITY CF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEIMT APPLICATION 1 set of energy calculations. Valuation6oo Date 'F64 3?G 3 k 3'& Sec./Sub. -? Z 'Zoc? G ???? " OFFICE USE ONLY. '49t 'Y' Occupancy, Alter zoning Q!) ?R3 R2paii Fire Zone KJ,4 Enlarge _ Type of Oonst. J Move r # Stories Denollsh- Front ft. grade - Depth a k ft. ZjL Contractor: Address.- City/Zip Code: Phcrm3 #: Arch./F.nrg.. _ Address: • City/Zip Coda: Phone #: APPROVALS FEES Water/Sewer Surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off.' - APC 7MAL I t •z ?j # (v (D ?- crrr OF EAGAN BUILDING PEFdIIT APPLICATION Tb Be Used Fbr -P -,6 Valuation Site Address 3?s> c=ai `a Block ?. Parcel 8: /C) Owner: Address: !?o' City/Zip Code: Phone f: Contractor: Address: City/Zip Oode: ! Phone #: I Arc3./trq.: Address: • City/Zip Coda: Phone !: Include 2 sets of plans, 1 site plan w/elevations i l set of energy calculations. _ Date /z -?e-01 ?rr?i .sd a 3K.3'?» 2'!/lL OFFICE USE ONLY. / Sec./Sub. chi Erect _ Occupancy ??? Z Z 70 C? Alter Zoning Pl) CRS _Rzpair Fire Zone KI A Gc?? Enlarge _ Type of Cont. Move N Stories Demolist' _ Front ft. 5Z3 /.3 a-Grade Depth P y- ft. Water/Sewer Surcharge n„ ?n Police Plan Check 1-3e) Fire SAC 5 r,, S ?'- FShg. Water Conn. .3 z5 °-' Planner Water Metes bo Council road unit 1 ?E Bldg. Off. APC 70TAL U U/ 2, CITY OF EAGAN Include z sets of plans, _- ' 1 site plan w/elevaticns & BUILDING PERMIT APPLICATION 1 set of energy calculations. 1b Be Used Fbr d- P_? valuation!) r 60 a Date Site Address 38 5 CSl-nyx `K- l? ? CFFICE USE ONLY %9,ao,a? Iota. Block / Sec /sub.??ed?dl._? Parcel O l4k Cc Ot C(D CJ'? Alter -.L # z Zonis CIO Repair Fire Zone &L4 Owner: Enlarge _ Type of Const. Address: Move # stories Denoll- Front £t. City/Zip Code: -53-/a OA Grade - Depth ;t ?2, ft. Phone #: S l? A7 Contractor: wootees: City/Zip Code: Phone #: Arch./&q.: _ Address: • City/Zip Coda: Phone #: water/Sewer surcharge Police Plan Check Fire SAC Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. - APC 'DOTAL ?? ? ? r? ? Z? _ BUILDING PERMIT CITY OF EAGAN 9795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 tf 4 PLEX Site Address 3863 Dolomite Drive Lot 1_ Block I_ see/sub. Briarhill 3rd parcel # 10 14992 190 01 rr Name 4ollefsm Builders Z Address 1655 Norwood Drive, 9 1 1-- eel _ ACA_CQ'71 o Name _ 0? Address Name _ Address 1 hereby acknowledge that I hove 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. Signature of Permittee A Building Permit Is issued to: "Th' all work shall be done in accordance with all Building Official N9 70U Receipt # IN- 7anuarv 21 to 82 R-3 Erect D] Occupancy Alter ? Zoning PDT (R-3) Repair ? Fire Zone NA Enlarge ? Type of Const. V Move ? # Stories Demolish ? Length 44 Grade ? Depth 22 Sq. Ft.- Anerevals Fees Assessment Water 8 Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit LOV.JI/ Surcharge 22.50 Plan check 130.25 SAC 525.00 Water Conn._ Water Meter f;n _ nn Road Unit 185-00 Total $1518.25 _ on the express condition thnn City of Eagan Ordinances. CITY CF UWAN BUILDIM PEFMT APPLICATICN 1b Be Used For valuation -i6-4 0 Site Address!,;/. Iota `,via B { Block j . Parcel #: ) 6 ' Qrller: Address: l!d CitY/Zip Code: Phone #: Cantracwr: _ Address: CitY/Zip Code: PbWe #: Arch./'Eng.: Address: + X Sec./Sub. r?gCz- zt0 C) d Include 2 sets of plans, 1 site plan w/elevations a I set of energy calculations. Date /Z OFFICE USE ONLY L? lErect x O=Zancy Alter Zoning Ppair Fixe Z !rr K/ 4 azye _ Type of Cbnst. mow # Stories Demolish Front _ aa Grade - Depth ft. a i2- ft. ••?? r??rr, Penu.t water/Serer Surdia? Police plan ajex Fire SAC EE? Water Conn. r Water [deter Council laaad Unit Bldg. off.. APC city/zip Coda: mxne J_3`?` TOTAL _ ? S 12? INSPECTION RECORD CITY OFEAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 025931 Eagan, Minnesota 55122-1897 Date Issued: 07/03/95 (612) 681-4675 SITEADDRESS: P.I.N.: 10-14992-220-01 APPLICANT: LOT: 22 BLOCK: 1 3861 DOLOMITE DR WHEATON MARY BRIAR HILL 3RD (612) 777-8361 PERMIT SUBTYPE: TYPE OF WORK: DECK ADDITION INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P.I.N.: 10-14992-190-01 APPLICANT: LOT: 19 BLOCK: 1 3863 DOLOMITE DR PRACTICAL SYSTEMS BRIAR HILL 3RD (612) 428-2826 BUILDING 027044 02/08/96 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE ALTERATION DESCRIPTION (GAS LOG & GAS LINE) 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?J( City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit 3D 50 Date 5 / _ / 2 J / Site Address ??((? `] Q ( om I Unit # Property Owner ??Q JS Y- 8 C3 r Telephone # & Contractor // Street Address C'V660S 1(1 2? S ? City , 556&g/ State iU Zip Telephone # ((!7y) ??` Bond #: Expires: The Applicant is Owner - Eontractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional Replacement air exchanger air conditioner -New -Replacement other State Surcharge $ .50 Total 211 $I- OU ?v I hereby apply for a Residential Mechanical Permit and acknowledge that t be ' formance with the ordinances and codes of the City of Eagan d with ermit, ut only an application for a permit, and work is not to start witho a app ed plan in the caAf work which requires a review and approval of I a is complete and accurate; that the work will :hanical Codes; that I understand this is not a that the work will be in accordance with the Name Applicant's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 Trr Q 6? O 651-681-4675 New Construction Requirements RemodeUReoair Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan (20% maximum lot coverage allowed) 1 set of Energy calculations for heated aoditions • 2 copies of plan showing beam 3 window sizes; poured found design, etc.) . 1 site surrey for exterior additions & decks 1 set of Energy Calculations Indicate if home served by septic system ,or additions • 3 copies of Tree Preservation Plan if lot placed after 711193 Rim Joist Detail options selection sheet (Wags with 3 or less units) DATE J 7 Cj ? VALUATION S a?Md - SITE ADDRESS 30 CD / ?O! !J{hr ?T e ®Qe,il MUIrTI-FAMILY BLDG TYPE OF WORK r?ltis ?Gt I ? Pe CILY.Q di,^e c?' r/QLt?y?fl ?,Lr trc2 Pd.?/ l`'rpapFIREPLACE(S) _ clMrS-- s"ccft Ouvoas (Il4e- APPLICANT V-( re _Y N 0 4 2 Ek'r S Yi uw? STREETADDRESS 38-5-0 ?, ?Wrf l3 CITY Vs i STATE?Z]P I iC 33? TELEPHONE # 9'5---M-Ct753 CELL PHONE # FAX # 'll !<rV PROPERTYOWNER 41 OIL dlM?? TELEPHONE# 40 1-1,l-lq? COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ SIINNE:SOTA RULES 7670 CATLCORY I (J submission type) • Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Water Softener Water Heater No. of Baths Lawn Sp-rih1&K No. of R.I. Baths Mechanical Contractor: Fl f e SY3 1, l 0V m P. )f NIechaflica system includes: Air Conditioning Heat Recover' System Sewer/Water Contractor: NNL•'SOT.? RULES 7672 ?PC H gy Code Worksheet Submitted Sep q M ?` Phone # Phone # $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Orc?iapnces Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required _ Updated 4!02 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. F. C. JACKSON LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3616 EAST 66TH STREET . 14, Opurbepor'E; Certificate I P r • f A t I HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY OF -,T- _I,_ ..:,. it!u 72, 1L'L AS SURVEYED BY ME THIS DAY W-- !1 q.p SIGNED----- F. C. JACKSON. MINNESOTA REGISTRATION, No. 3600 ;-; ? ic-acar vru-??;t5 -; s`?."r ?. : r.5?'s?? ' f?t•;en? rt ?.,.!4 '1 AB`s?' rAua. r n -? rT.'L?°.(3 ,;?cz CO;FYI' .c r - . .. . 0 ,. ddiQa sr, %97 r,? , . CS?'.I xr ntan,rr? i , ? TOTAL TVM) n ZEr:. r!AT S I(,' a t I If s ("; r t? n a P ' 73 17 "LooR,, L 1 trn, rhxsr_ C1 r r - tryl_ r r 119 nnnr,t^, ?, ?, ?; t 7. PAIL SQ. FT SQ. FT FT. OYE1,11Y 3 Lii1;S OFE1111M.3 t _- ------ .. .... 17 r9U r .V ?. 1 d D > > 7 a , 'fU" X SQ: FOOTAGE VALUE L5 Ji_ ?: 114 I `?..`l i' u I n Y .....r ?' .. mow.,-..,.. n A Y)' r?u N" A 1 t 1 101.. - _ T1?^/t T ' ? " tv . LQORa cfo cTAP i 3 C) __ C%IL.LL?G^ ni1TA US _zj 7 AL. (iJ) . ? .). VAt iI Z 1 (I AVERACN F. 't?lC1 .JZ.vznrw BY tArl aal.t 1 ?,?! I ?? ?1 11? A Iygn?R wnLL w, )d-c.r-nnr? I' .?I:. i I'('comc, 13L IC An c., P. C>RAr7E Il 5 O/ 7 l( j ? i -- ---- - _1 _ ._ Obi flt2._= T) t k: )1 II I I1 T"IR1 u nr L _ ? . IN C,v CLI6 _ I 21 , 1 /? `I S nl r ? " , ? ? .:. • _?. a (. U. ?I IP?>.tt. 'S L off ? I 1 ! i? ?;-ffd rr ? ?' i 1 S ' ?CI?16C.?< r c ) C 1 4C ? . v ' : U . , n 2 r ? r I I ? t_ 1 Tl. -t L . P 1 1r tt C /. ?S 11 Y? Jr o Lt ? ? ?? C C I L 4 i u l 1 n n S C ? - t , ? 1 I I . I .-. ---•--.,. _ .- 1 ^ ._ ,f e L04JC 5? Wi„s'r ?L,lr?U`f)t T+ i tl #?\/C1r?.)? n?^r R F. nrl C> IrkFRONT ? ' , 1lO },5 Cr F c A In . ... k ty . I{12 ,^ n l; 1.1,11, 1 _ I1 ?IIIM1 i?? ?- "•` tR_ i? ?1:tr fr1,N .pt c++ '?Ilf ",n TDiiefs3n Builders Inc. Or. 11270 183-71 F. C. JACKSON !V - LAND SURVEYOR - - I - REGISTERED UNDER LAWS OF STATE OF MINNESOTA i LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS f 3816 EAST 55TH STREET55417 727-3484 •?,"c'?/e: /'? Ste, 1? ro,7 gpurbepor'g Certificate Pot', t L \ ?t t I '1 \y 1 xe.?Z? Fe''' ?n I HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY Lots 19,20,21 and 22,Block 1, Briar Hill 3rd. Addition, Dakota County,Minnesota. ' Proposed Garage Floor Elev. 103.0 •',. Proposed Basement F1oor.Elev.103.37 `• Proposed first Floor Elev. 110.37 As SURVEYED BY ME THIS 17th' DAY ar- August 1981 - ' D. .. SIGNS " - F. C. JACKSON, MINNESgTA [GIBTRATION. NO. 3600. . :Taljkfaon Builders Inc. Or,11270 183-71 F. C. JACKSON ' // LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAFOLO••\ - 3616 EAST 55TH STREEr55417 727-3484 6urbepor'1i (Certificate i `. X r o rt '\ /n C: G \ e? Iii ? ??--• \• ? ?. Y ,v : l S / o b. o . 7 o c.' 32.5.. y.F. S' `: MIi t ' I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY / - , r Lots 19,20,21 and 22,Block 1, Briar Hill 3rd. Addition, r;' Dakota County,t4lnaesota. - ' `" ' ' i•• ' Proposed Garage Floor Elev. 103.0 Proposed Basement Floor.Elev,103.37 Proposed First Floor Elev. 110.37 As SURVEYED BY ME THIS 17th. DAY GF - Auguat 1981 - i SIGNED y.. - F. C. JACKSON, MINN[Bf1TA [GI GYRATION. No. 3600 wlan Builders Inc. Or. 11270 183-71 - "" F. C. JACKSON - - - 11? / LAND SURVEYOR - Y REGISTERED UNDER "We OF STATE OF MINNESOTA I` LICENSED SY ORDINANCE OF CITY Or MINNEAPOLIS` 3616 EAST 55TH STREEr55417 727-3484 D8? gpurbepor'g QCtrtifitate 6Dgc _ ? -F/ jr I, 134 /,i i/vim / ?`-?py??• iii \`2 1??._ ?.G ?.t" ?? qu w4Y 'ZQ 4 1,``? ,°c 01 Z .i np? I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY f - Lots 19,20,21 and 22,Block 1, Briar Hill 3rd. Addition, ..Dakota C3unty,Hinnesota. Proposed Garage Floor Elev. 103.0 '• Proposed Basement Floor-Eiev.103.37, Proposed First Floor Elev. 110.37 A8 SURVEYED BY ME THIS 17th. DAY OF- August 1981 , SIGNED F. C. JACKSON. MINNE9g77. EGIBTRATION. No. 3600 ?, ? )c ?.ik ?( 1 .,.'..Z7; X >1 _ -'C;?') < tY?t R(,'cs. Y.3,.. ) {:Y,•. 1;7 '.;.. . ....,... CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: BUILDING Permit Number: 031940 Date Issued: 05/20/98 3859 DOLOMITE D.R LOT: 21 BLOCK: 1 BRIAR HILL 3RD P.I.N.: 10-14992-210-01 DESCRIPTION: A ?. s ?R dl Bul Plq Permit Type MULTI. (MISC.) uilAtt?ork Type REPAIR .eeJfts`Lb%? 434 ALT. RESIDENTIAL REMAvDES: FEE SUMMARY: Base Fee Surcharge Total Fee SIDING & SHUTTERS 3g .' P 'UR %u ffiw 3861, 3863, 3865 DOLOMITE DRIVE L22 L19 L20 VALUATION $18,000 $262.25 $9.00 $271.25 T29'FPN't7S119N & SIDING INCyy12816363 0008077 BSt271 i4ILL ASSOCIATION 1 P 0 BOX 5937 3800 HEATHER DR ROCHESTER MN 55903 EAGAN MN 55122 (612) 281-6363 (612)683-9659 0. irerers+ :Pknowledg Cha b r' Nil 0pr4n fsxn `is cir"Hr dt an A t ukes arttl=;City='o Eac rt ; APPLICANT/PERMITEE SIGNATURE ATURE ISSUED Be .3 Wb 4c;?7/ as 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CrrY OF RAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Repair Requirements ? 3 registered site surveys ? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan If lot plaited after 711193 required: _Yes _ No DATE: /j V-.30 --?9 ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; -0 4, 07, 5,7 m DESCRIPTION OF WORK: .)? 1d;n6 t S STREET ADDRESS: 3 LOT: ?L BLOCK: SUBD./P.I.D. #: A4,L 34& Name: r`. Q_U. ?` G! ?SSocAG ?2r? Phone #: (o 12 (6 Fl65rJ PROPERTY Last First OWNER Street Address: S Sn?) +4eaS?Ra.._ n. J r city eAAlQ.` State: Ytr1 v Zip: SS 12?- Company: (lcrn Cs ,o uj-s 4- Phone #: So - Z 91-L363 CONTRACTOR Street Address: P - 0, ?dX 593 License # z7) fJ W627 City 'Pocp,?5`Eer State: ryNu Zip: 55963 ARCHITECT/ ENGINEER Phone #: Name: Registration #: Street Address: City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Zip: Penalty applies when address chang I hereby acknowledge that I have read this application and state that the Information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required State: ve /8 qszv 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED., PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: y?aluation: co Date: U ,JrS' 0 Site Address ??Jf?Q.v?O?? q 1C Lot if Block Parcel/Sub P, I AR Yi I L.(- 312 D Owner Address City/Zip Code Phone Contractor / A/?/ r6? Z? Address Y/' 7 F 6--,/ She City/Zip Code Phone S7'-J YJ Arch./Engr. Address City/Zip Code Phone # /Ova- OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length 10 Depth 101 S.F. Total Footprint S.F. On site sewage_ On site well MWCC System City water _ PRV Booster Pump APPROVALS Planner Council Bldg. Off Variance FEES Bldg. Permit 25'.0, Surcharge 5 Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL 12 S.S? CITEOFEAGAN PERMIT f?- 44?Ln --? 39W Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 025931 (612) 681-4675 Date Issued: 07/03/95 SITE ADDRESS: 3861 DOLOMITE DR LOT: 22 BLOCK: 1 BRIAR HILL 3RD P.I.N.: 10-14992-220-01 DESCRIPTION: BuildingI-Permit Type Suilding Work Type i I DECK ADDITION r REMARKS: FEE SUMMARY- Base Fee $30.00 Surcharge $.50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicant WHEATON MARY 3861 DOLOMITE DR EAGAN MN (612)777-8361 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 Mn. Statutes and City of Eagan Ordinances. zal? / PLIGANT/PERMITEE SIGNAT9YJ URE w 2 191 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 ? 3 registered site surveys ? 2 Copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of Use preservation plan 'd lot platted after 7/1193 required: _Yes _ No DATE: rG - 2x? - /0 _ CC DESCRIPTION OF WORK: STREET ADDRESS: LOT ? . BLOCK SUBD./P.I.D. PROPERTY Name: OWNER ?T CONTRACTOR ARCHITECT! ENGINEER COST: State: Phone #• License #• Registration #' Street Address- City: Sewer & water licensed plumber. change are requested once permit is issued. State: Zip- Zip: Penalty applies when address change and lot 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. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Phone Street Address ,??1?2we? City: ?. State: AL- zip:, <S ennipany: Phone #: Street Address: City: Company: Name: ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions i U N 2 6 1995 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE C; n0 A& =: V `l iY?Cw u VJ ^ILC.ra Ll .a ,,-32 Addition o 34 Repair GENERAL INFORMATION Coast. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 15 Deck ag %A,nve ? 37 Demolition wyM fr. -- d 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building y3y bL Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAM Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Valuation: $ /??co % SAC SAC Units 4 BriarHill Homeowners Association 3800 Heather Drive Eagan, Minnesota 55122-1623 b - /L - lJ ?h i ?o?sv ?c? t Q.? zl jeqgo 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. ?1-z??? Y67 M_,- To Be Used For: /Je'c Valuation: 47 Date: Site Address 3Fs63 ?cY y? !6 '.? Lot 11 Block ? Parcel/Sub R)Q,Ar, 4L? ?/2D AbD'Aj , Owner Address City/Zip Code Phone Contractor /,-?//?? ?t?6? Address City/Zip Code Phone Arch./Engr. Address City/Zip Code l fJp? OFFICE USE ONLY I FEES Occupancy Zoning Actual Const Bldg. Permit S P? Allowable Surcharge '? o # of stories Plan Review Length J' SAC, City Depth ?O SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage- S/W Permit On site well S/W Surcharge MWCC System Treatment Pl. City water Road Unit PRV Park Ded. Booster Pump Copies ,So SUBTOTAL APPROVALS Penalty Planner TOTAL ,9 .5D Council Bldg. Off. Variance Phone # CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ?osa?8? BUILDING 027044 02/08/96 SITE ADDRESS: 3863 DOLOMITE DR LOT: 19 BLOCK: 1 BRIAR HILL 3RD P.I.N.: 10-14992-190-01 DESCRIPTION: (GAS LOG & GAS LINE) Building-Permit Type FIREPLACE ;Building Work Type ALTERATION REMARKS: FEE SUMMARY- Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - PRACTICAL SYSTEMS 14282826 14226 NORDEN AVE ROGERS MN 55274 (612) 428-2826 L OWNER: TERHAAR JAN 3863 DOLOMITE DR EAGAN MN 55122 (612)454-4102 I hereby acknowledge that I have read this application and state that the, information is correct and agree to comply withall applicable State of Mn., Statutes aRVCity of Eagan Ordinances:' ISSUED BY' SIGNATURE - CITY OF EAGAN -Tq,jo 3830 PILOT KNOB RD - 55122 °`?J 0 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: - INSTALL NM FIREPLACE: - WOOD BURNING _ GAS INSTALL GAS LOG ONLY IN EXISTING FIREPLACE INNSSTALL GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: STREET ADDRESS: LOT q BLOCK ?b -ks ! C c SUBD./P.I.D. #: an !h? i r 1 J `(, APPLICANT: (circle one only) OWNER 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. PROPERTY OWNER FIREPLACE INSTALLER GAS LINE INSTALLER Name: :)?rhaau - Jiw Phone #: LAST FIRST Signature: Street City: Company: - Signature: - Street Address: License #: City: /J State: Zip- Company: .Ulm Phone #: Name: Signah Street o City: State: MI/L Zip: Phone #: ?`Y ?QP I?b State: GOAR Zip: -' -'a7 t;v P e; , w. CITY OF EAGAN CASHIER: S TERMINAL NO: °.13 PATE: i1./1.0/ 97 TIMEn. 14:15::1.3 III. NAME:: RYAN WINDOWS s.6 SID ING INC 321.0 9001 3863 DOLOMITE: 1.37.25 2155 9001 3863 DOL..OMITE., 4.00 3210 9001 3865 DOLOMITE 124.75 2155 9001. 3865 DOL..OMI.IE 3.50 Total. Receipt AMOUnta 269.50 CR082828 USER IL!: NANCY ????k?? ??tkcY? X? %?X?Xc ?C?k?>k* #>K%??>k ?k h?>X>X? X??? ?# ? #?X>XX?? 2rJU'1''6.' "I.. P1 A r ' i (C '7) 21 1. . - .?T : r9,+i: i:f 41?l. (ll •91,. n11 .1 '; '-dr..1 •+. I i , J LI 1 t PERMIT X CITY OF EAGAN 3830 Pilot Knob Road -Eagan, Minnesota 55122-1897 (612) 681-4675 REPLACEMENT) SF (MISC.) REPAIR 434 ALT. RESIDENTIAL BUILDING 031085 11/10/97 SITE ADDRESS: 3863 DOLOMITE OR LOT: 19 BLOCK: 1 BRIAR HILL 3RD P.I.N.: 10-14992-190-01 DESCRIPTION: (WINDOW H`uilding'permit Type Building Work Type Census Code f 5. PERMIT TYPE: Permit Number: Date Issued: C ?£ j tt / ?I _ '?t? ??til ? .i l? t1t ?[[L ??I?`?•t?t REMARKS: FEE SUMMARY- VALUATION Base Fee Surcharge Total Fee $137.25 $4.00 $141.25 $8,000 CONTRACTOR: - Applicant - ST. LIC OWNER: RYAN WINDOWS & SIDING INC 12816363 0008077 TERHAAR JANICE .{ P 0 BOX 5937 3863 DOLOMITE OR ROCHESTER MN 55903 EAGAN MN 55122 "112) 281-6363 (612)454-4102 I hereby acknowledge that ,I?have read ;this apphieat on and state that the information is correct and agree to 'comply with all applicable State of Mn Statute and City of Eagarr Ordinances I'd P If r ICA T!P RMIT E SIGNATURE ISSUED SIGNA 507 U67 2150 Nov 06 37 10:58a R3an Windows and Siding f507) 367-2150 p.2 06& 97 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD • 55122 681-4675 1 Naw ?n Rgtt G„ A / ? . / I I_ I RernadeVReoelr Reoulremeerg ? f • 3 registered site surveys • 2 copies of plan • 2 copies of plans (include beam & window Sim; poured fnd. design, etc) ? 2 site surveys (e:derbr additions & decks) • 1 energy caleulstiens • 3 copies of tree preservation plan if lot platted after 7/1/93 • 1 energy calculations for heated additions required: - Yes - No DATE. ` 1 7 -nF o7 CONSTRUCTION COST: 9:7.907 nn __ DESCRIPTION OF WORK _ w; n ow replacement _ STREETADDRESS: 9863 Dolomite Drive LOT -g_ BLOCK SUBDJP.I.D. #. Ahl"WALY31A _ PROPERTY OWNER CONTRACTOR Name: Tor,,, Tan9n Phone* r,19-drid-din? Street Address: 3863 Dolomite Drive City: Eagan Statd4N Zip: 55122 Company: syan W1ndowc 4 Siding Phone#: Fn7_?st1_agrv Street Address: P. 0. Box 5937 License#: 10# 8077 City: State: MN Zip: 55903 ARCHITECT/ Company: ENGINEER Name: Phone * Registration #: Street Address: City: Sewer & water licensed plumber (new construction only): and lot change arc requested once permit is issued. Penalty applies when address change 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. Signature of Applicant: State: Zip: OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received _ Yes _, No Not Required -)(?' CI'TY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: BUILDING Permit Number: 0 2 9 9 8 7 Date Issued: 05/15/97 3865 DOLOMITE DR LOT: 20 BLOCK: 1 BRIAR HILL 3RD P.I.N.: 10-14992-200-01 DESCRIPTION: DECK DECK ALTERATION 434 ALT. RESIDENTIAL EXTEND Btildirijk_ Permit Type /Auil.d'ing ;WRrk Type Census Code, y x cr .. T x REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge $.5i Total Fee $50.50 CONTRACTOR: yl I OWNER: - Applicant - TARNOWSKI ROSEMARY 3865 DOLOMITE DR EAGAN MN (612)438-0747 T hereby acknowledge that I have road this,app3ication and state that the information 1s correct and agreo to comply k4ith,all appl cabJe'State,of ,Mn. Statutes and City' of Eagan Ordihances.' r i APPLICAN PERM EE SIGNATURE ED BY. SIGNATURE >x%?kc#X?rkXc%?X?XcAcrk%t?kX?%c?CX?r%k?X? r%X??>a%tX??%?>a%?%?rk>K xt ?c%cX??X CITY OF EAGAN CASHIER: S TERMINAL. NO: 34 DATE: 05/1.6/37 TIME. 1.5:08:50 II?: NAME: ROSEMARY H TARNONSKI 3210 9001 3865 D01._OMITE 50.00 2155 9001. 3865 DOLOMITE 0.50 t Total Receipt Amount,: 50.50 CRO71039 USER ID: NANCY ra?mm>xm?mm>x>x?>xm>xm>k?zmm>xm?m?>x?m>x>K>x??z>x??z??c?z r ' 1 .a A dq9g 7 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL4 so •6ri CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4676 New Construction Requirements * RemodeVReoair Requirements ? 3 registered site surveys e 2 copies of plan e 2 copies of plans (include beam & window sizes; poured fnd. design; eta) ? 2 site surveys (exterior additions & decks) e 1 energy calculations ? 1 energy calculations for heated additions ,y e 3 copies of tree preservation plan If lot platted after 7/M3 ???- C/21 a.Q.S V1469, '`f'60 d required: _ Yes _ No DATE: CONSTRUCTION COST: (Na LA Aoie C437 DESCRIPTION OF WORK: DE a- L-1cTE"N5101N ET ADDRESS: 3965- Tin[QWML'? JR2 VerII'' L16A JiM , 1-4-1-1Z LOT d?Q BLOCK SUBD./P.I.D. #: Riwz t 1 t J? RD h n 1 7l 0 A) q39-071t`7 (w) PROPERTY Name: -7;ENDWSI` [? I R OSCM11kit'-Y Phone #: OWNER Street Address 3 tiO ro M t T e N1 V e- City: ERG -?} It/ State: M 11 i zip: S- S / Z F CONTRACTOR Company: S2? Phone #: Street Address: License M City: State: Zip: ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply wij(I all applicable State of Minnesota Statutes and City of Eagan Ordinances. j I OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No - Not Required MAY 14 1997 OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New A 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION -r Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth 0 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? n 13 Garage/Accessory ? ? 14 Fireplace ? X 15 Deck ? 36 Move ? 37 Demolition t, -e C-Y7i:'7US/0n/ /Pimtavs/nA1 s . Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. APPROVALS Planning Building Engineering 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous 7-0 57M 1,J1rH7n/ &-46- MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. 3 SAC Code Census Bldg Census Unit Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ % SAC SAC Units I a/ BriarHill Homeowners Association 3800 Heather Drive Eagan, Minnesota 55122-1623 May 12, 1997 Rosemary Tarnowski 3865 Dolomite Drive Eagan, MN 55122 Dear Rosemary Tarnowski: This is in response to your request to extend your existing deck. You have authorization of the BriarHill Homeowners' Association (BHA)Board of Directors to extend your deck as follows: The deck cannot extend further then the corner of the house and not further out from the house then the existing deck and must be cosmetically identical to the current structure. The deck must be built using 2"x lo" treated joists, and 4"x6" treated support posts, with deck flooring 5/4 treated or cedar lumber which must be attached with screws not nails to the joists. The screws must be stainless steel or galvanized decking screws and must be properly countersunk into the joists, using two screws per board per joist. The support posts must be placed or seated on at least a 48" frost footing or as per City of Eagan codes. Also, the deck ledger boards must be lag screwed to the existing structure, as well as properly "Z "flashed to prevent premature rotting of ledger board and existing siding. Additionally, you must purchase landscaping film and Bryan red rock, to place under the extension to a depth of three (3) as grass will no longer grow there. The BHA, requires, you use a clear or colored deck stain, specifically designed for wood, and apply it to the flooring every year or two as needed to protect the flooring and to maintain it, as it will prevent harm caused by the elements. The floor will not be painted, as paint does not hold up on a horizontal surface exposed to the elements. Last of all, the tree located at the corner of the house, by the chimney will not be removed or replaced at the associations expense should it die as a result of the work being done. Sincerely, Bri 1 s Association Board of Directors cc: homeowner's file CITY OF EAGAN 3830 PInt Knob Road Edgan,Nnnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: BUILDING 031084 11/10/97 SITE ADDRESS: P.T.N.: 10-14992-200-01 DESCRIPTION: 3865 DOLOMITE OR LOT: 20 BLOCK: 1 BRIAR HILL 3RD (WINDOW B.4ildXngTM-.p-ermit Type REPLACEMENT) SF (MISC.) REPAIR 434 ALT. RESIDENTIAL ? r C VT" ;` REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $124.75 -------13.50 $128.25 $7,000 CONTRACTOR: - Applicant - ST. LTC OWNER: RYAN WINDOWS & SIDING INC 12816363 0008077 TARNOWSKI ROSEMARY P 0 BOX 5937 3865 DOLOMITE DR ROQHESTER MN 55903 EAGAN MN 55122 (612) 281-6363 (612)452-8226 r, 2 hereby acknowledge that I have read this application°'e.nd state that the information is correct and agree to comply.with all applicable State: of Mn. Statut and City.af,Eagan Ortlinartees.. r «c P CA T/PERMIT E SIGNATURE ISSUED B4 SIG ATURE I I j-j ! r l I I T! w r W, °-w r 0 AM M so 1 -0 i. >k?C?>;e7q? akke??c%K Xe#?*1K%?>k ?*Xe7k ?# ?(? %k? #Xe**>?? %eke%c:k # CITY OF E.AGAN CASHIER: S TERMINAL NO: 53 DATE: 000/97 TIME: 14:1608 III: NAME: RYAN WINDOWS G SIDING INC 3210 9001 3863 DOLOMITE 137.25 2155 9001 3863 DOLOMITE 4.00 3210 9001 3865 DOLOMITE 124.75 2155 9001 3865 DOLOMITE 3.50 Total Receipt Amount: 269.50 ""9 CROB2828 i., ..., USER ID: NANCY .. ' .. DM hope'. 1 Fn Ir i!-t 1 r' no 'j, 0 ?"I it 507 367 2150 Nov 06 97 10: Ha Ryan Windows and Siding (5071 367-2150 p.3 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) p" `e CITY OF EAGAN -? ?'ti- 3830 PILOT KNOB RD - 55122 q 6811675 Mew C.onstruclk+n R a Aram rdf Remodel/Repair Renuiremen.a A ?.tt (+n?i0 p1 ,rI' e 3 registered of surveys e 2 copies of plan Ctc?'R I f! e 2 copies of plans (include beam 8 window saes; poured fnd. design; etc.) ? 2 site surveys (exlerior additions H docks) e 1 energy calculations e I ene e 3 copies of tree preservation plan if lot platted after 7/1193 r9Y calculations for treated additions required: _Yes _ No DATE: 11-06-97 CONSTRUCTION COST: $6,389.00 DESCRIPTION OF WORK Window reolacament STREETADDRESS: 3865 Dolomite Drive q Q LOT -J6 BLOCK SUBDJP.I.D.#: yjN1liN, 1?A ,)?e PROPERTY Name: Tarnowski Rosemary Phone#: 612-492-R226 OWNER -- us* mn Street Address: 3865 Dolomite Drive City: -4anan State: _ um zip.- 553,2 CONTRACTOR Company: Ryan Windows S Siding Phone#: 507-2st1-6163 Street Address: fie, t39#i 599 License#:jp# 997 --• City: Rochester State: MN Zip: 55903 ARCHITECT/ Company: Phone #: ENGINEER - Name: Registration #: - Street Address: City: State: Zip: Sewer & water licer.-eed plumber (new construction only): and lot change are -equested once permit is issued. Penally applies when address change I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Signature of Applicant: Yes No Yes No Not Required PERMIT # L.15 1717Y RECEIPT DATE: -oV 0 USIDENTIAL PLUM$IN6 P"MIT APPLICATION p crrY sx sSSOPILOT KNOB RD EAHAN, MN 55122 s51 a814s75 r ? ?7:III JUN 2 0 ZUU1 Plea a complete for: ? single family dwellings U ? townhomes and condos when permits are required for each unit I` Qj ? backflow preventer for irrigation system o ' SITE ADDRESS: t Cos Ism K]i NAME:?_ TELEPHONE #: OWNER (AREA CODE) INSTALLER NAME: k_ TELEPHONE #: oDE?av - (AREA STREET ADDRESS: `? ?t? 1'+h S CITY: STATE: ZIP: 5-QC?=9- Palace a cneeK OIdrK IICAI W t a perm ,a vv,n New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround Nature of work: _ Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 $? Total Reminder., Be sure to schedule inspections of alterations, i.e. ware) lledao,a, ..L. l -•-, -•-• I hereby acknowledge that 1 have read this application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit w" n City propertylright-of-wayleasement. jeA &I lr SIGNATURE OF PERMITT E Updated 1101 RECORD OF COMPLAINT ??-s es DATE: COMPLAINT TAKEN BY: NAME: J ._ Gvhi.-e_ Te?f _«r ADDRESS: 3863 PHONE NO. -- COMPLAINT:--- cc7 14k_ c?- - -- ---------- ACTION TAKEN: % Pho - /Ae n/C ne Gh " z?-lG COMMENTS: TYPE OF BUILDING: -- - LEGAL DESCRIPTION: 1 SIGNED: CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE ] TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST b ADD ON REPAIR OWNER NAME: DON ERNST SITE ADDRESS: 3861 dolomite drr._ tnm: BLOCK CULD. ?1T4,0,t I?LIXX ?% INSTALLER: GOPHER HEATING & SHEET METAL INC. ADDRESS: 4815 W. 123RD. ST. CITY: SAVAGE ZIP: 55378 PHONE #: 890-3466 FEES DWELLINGS & ADD-ON MINIMUM $15.00 HVAC 0-100 M BTU 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT SUBTOTAL: $15.00 STATE SURCHARGE: .50 TOTAL: $15.50 SftkATURE PERM TTEE COMM RCIAT/ N,PVRIAT.Ij PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER ADDRESS:- CITY: PHONE ZIP: FOR: 13? CITY OF EAGAN FEES 1% OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 STATE SURCHARGE TOTAL: (SIGNATURE) 51Wlaza v 5 SCREENS 26,29&30 REAL ESTATE INQUIRY - NAME/ADDRESS/LEGAL XINPNO03 PARCEL ID: 10 14992 220 01 _ PLAT NAME: BRIAR HILL 3RD ADDITION L-- LEGAL: LOT 22 BLK 1 EX SE'LY 5 FT 22 1 AL HOMESTEAD CARD ENTERED: 02 06 1992 FIRST DIVISION: LAST DIVISION: FEE CURRENT OWNER: WM A & KAREN L IRWIN 014152 06 25 1981 3861 DOLOMITE DR EAGAN MN 55122-1617 TRANSFER TO SCREEN NUMBER: PF8-SCROLL FORWARD gas VER neo.w nta ¢_ - ppa 1.. a '...«., - ?BELL ?. - ,. • : 9 ROA D. ¢: , ? 1 /? ? ? Y ll`SwNLl. h. F:_ blll1p ,.> a _ " w W , a L W Ygz ..r r a« a r { i ••?4lK. .\ ? .A? -12eJ M a • , YIN > ? ?? _ .. i• M ? 9 no Y. a i G ? b`` Q ' rj• 12 • ^ 10 to t9 [ .,a ?' T , 8. _ 1 11 .y F n 12 1 ST ADDITI ON Y? 3 M1aT = 3w? ?T,rrv 1a 'a..., 14 to is m 4 ?•?• _ of a d.' Q ?• a M ?•ae 2a to • to t1 24 - a tY .2 # I.\ Y• t3 Edt,?, ^ 3N. f? qi z3??* aza •1Y 48 O !1 a •? a +• 1AJF ?s' i2? t, . i Y, j?'? S ° t d ,' ? a? i s 33 = _,lot S n ?i vv , L?r yTa s _?_ ?4 .a. a>? •a. 44 -A •n d q a is l°r 1. .13 1' bT M e0.0o 6 - 13 14 14 eSW q0e 4•C 1i T •9 b '' , _ tar - .wd a•e??a1Yq` y!Y 1° ? I¢I {° [ [ Wl3Y Q «I TRAIL . ^^a. .+ - •4ry' e ?„ «- •`r Ft??, ,r?:.., a c.4 RO ?•• Lr 4'^', r4 _ [ yQ? ?? >ia ,a •2On -,' 10 K 4 a` UI(1 ]i +»?.r ', f Ft -..-A .•\, ? r 1 `4 ?P - ? Y Flo. T'aw' / aaw ! ? ?*^ . 6 `ra°? .? i + • : ?C a? ` ? b ?0. 4 lt1,t(T ?.t oI-t.? s.' `';.?,• '.[:. Fx. ???,t ` "a?• Eogagy ? s ` is i', ' Y x i r . > N -: .`; ? a • ,?: ?-pp?:?§e r I. i ',th ?M-' i • i LY??.?I a? r _ r... r rv F ? i? !`.. ??`s ) s+ll':` ., • ??f ?? I \ a! --?p a s ?? •. a y "O _ E1 C{ ? ? ! e :'1 1 . ,+ ? Y 3 : 1T. 1 ll . ^?. \w ? ? a St?i ? .+ lw yl ?' - ?? N tr ?4?rRMa '• . a? z v:.ei>? '..+ O ..; ? • .'a 1i.; N ., ,.. -q ?n ^a .IJ: 1 COLD SAL _ '' „C , 070 ? ., ru. M a ? w•'w ti T or -10 EDQOTI rr / " " r ,:: y.., rs SSq J : [ . .t U f ti ¢ of : r 3 > a ??• 1[ Z' t a?!•j1%' a .g. ?.1 t1, Tr 71 t tt .' t 3 •,? Y _-.' • ? , .. Ti • a [ 8 ?. • • . s D r aq c? 4 t I • .' . .' e a ? t ?, _ :. s .ice .. , • y 11 . 1[ .." • 6 Mf s[ 2.•`d ; 1 @ /? ', f • DIY y " M Ni. .,.v,e?i ? c e • ? .? , a •. .. • ,weya< 5 wrir L?y1 t g527°1 2000 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD - 55122 651 681-4675 Date: Uri r / Ut ?1 10c) Description of Work: Construct new fireplace -Gas -Masonry Install gas insert on[v Other tK5,9. Alterations to existing Install gas line only Job address: -?' L- 40 /G In ) l f ,fi/^ ! Il E Lot: /?' Block: I Subdivision/P.I.D. #: C Ifill h Applicant (circle one only): Owner Contractor Permit Fee: $60.50 Name: l U r n ' 1>> -sk t kbI : (E Phone #: PROPERTY Last ¢ First J 4r) OWNER Street Address: fic 0i Al 'v city G? State: Zip:??lX Company: F(Y- li?eS/lYt Phone#: G? 1-. - "17J (area code) FIREPLACE INSTALLER Street Address: City UP 14 f State: Zip: GAS LINE INSTALLER Street city State: Zip: 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 Statut s and City o Eagan Ordinances. J Si ature Phone #: (area code) N I O zl 02 a. 1 . n.? •32 34 8 s o+L 8o 00 ? ex ? nA . 28 26 IV_ . ? ° 24 1?' 30 e •10.0 • • S >S? ., ` gE q. Urli-A-ASEMF s? ?• ,27 9 Se? 31 AV N 7M.OC 86°30 in 0 z a: 33 .i 00000 ?'t, rlA /. vo I I ,' `? sso6> 8y 'ley s0-Sr?> L ` tis2e 7 ?? X88 9°?? soe'> j--, O>- V L. 25p+ 'f In .? 2:5 .7St AM-F 22' - 21 LW t' ry ? • 3g???r N Z0 P? 19 'oe q31 F 17 10 0 0^? y< o .:15.0 13 et 14 z0 u*1urry 1?E aF 33 ?? 3RD 4Mm0N. oo2S SAS J cl? pr of 11 -I - 83 TRAIL EASEMENT 1 THIS INDENTURE, made and entered into this M -14i day of ?)( f ty}?l /? , 1983, by and between CONSTANCE R. JUNGWIRTH, a single person as Grantor, and the BRIAR HILL HOMEOWNERS ASSOCIATION, INC., Dakota County, Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: The Northwesterly ten (10) feet of Lot 21, Block 1, as measured at right angles from the northwesterly line of Lot 21, Block 1, Briar Hills 3rd Addition, Dakota County, Minnesota. NOW THEREFORE, the said Grantor, in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail puroses, together with the unrestricted rights to improve the same, free and clear of all encumbrances, the above described tracts of land for trail purposes. The Grantor, for itself, its heirs, executors, administrators and assigns, does covenant never to out, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said Briar Hill Homeowners Association, Inc., all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said Briar Hill Homeowners Association, Inc., its successors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use of a trail over and upon the premises hereby conveyed and from uses incident thereto, and the said Briar Hill Homeowners Association, Inc. shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to. construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the rights of way will be disposed of by Grantee by burning or otherwise according to law. The Grantee shall have the right to post such signs and posters along said trail as are deemed necessary and suitable to define the above lands and locate them for trail use. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. CONSTANCE R. JUNGWIRTH This Document Drafted By Hauge, Smith, Eide & Keller, P.A. ?/ 3908 Sibley Memorial Highway By:V LY)b1L?.?iL(/12C(fL1[7C... Eagan, MN 55122 '-Constance R. Jungwiri STATE OF MINNESOTA) ) ss. COUNTY OF DAKOTA ) On thin day of Ifq?',y"l 1983, before me a Notary Public within and for said County, personally appeared CONSTANCE R. JUNGWIRTH to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that she executed the same as her free act and deed. ( S F. A L ?1..?.ApAAAAAAAAAIAAAAA AA.AtAAaA R CARRIE E. SYBRANT NOTARY PUBLIC h11,FNLSDTA ~+i DAKOTA COiiN1Y- ?VVV My COMMISSION RPIRFS 52390 VVVVVVVV V'VW'VVVYV TRAIL EASEMENT THIS INDENTURE, made and entered into this I, ,?)?C? day of 60 1983, by and between CONSTANCE R. JUNGWIRTH, a single person as Grantor, and the BRIAR HILL HOMEOWNERS ASSOCIATION, INC., Dakota County, Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: The Northwesterly ten (10) feet of.Lot 21- Brook 1,; as measured at right angles from the northwesterly line of Lot 21, Block 1,, Bride -:-- Hills 3rd Addition, Dakota County, Minnesota. NOW THEREFORE, the said Grantor, in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail puroses, together with the unrestricted rights to improve the same, free and clear of all encumbrances, the above described tracts of land for trail purposes. The Grantor, for itself, its heirs, executors, administrators and assigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said Briar Hill Homeowners Association, Inc., all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said Briar Hill Homeowners Association, Inc., its successors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use of a trail over and upon the premises hereby conveyed and from uses incident thereto, and the said Briar Hill Homeowners Association, Inc. shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the rights of way will be disposed of by Grantee by burning or otherwise according to law. The Grantee shall have the right to post such signs and posters along said trail as are deemed necessary and suitable to define the above lands and locate them for trail use. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. CONSTANCE R. JUNGWIRTH This Document Drafted By.- Hauge, Smith, Eide S Keller, P.A. r' 3908 Sibley Memorial Highway By: liagG(f1 Eagan, MN 55122 Constance R. JungwirW 41 STATE OF MINNESOTA) ) ss. COUNTY OF DAKOTA ) On thi? day of LACZ f !i"? , 1983, before me a Notary Public within and for said County, personally appeared CONSTANCE R. JUNGWIRTH to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that she executed the same as her free act and deed. ( SEAL Ti ,VAAAAAAAAAAAAAAAAAAAAAAAA? 'I W CCARRIE E. SYBRANT ,C+'? NOTARY PU PUBLIC-MIRNtSOTA MY COMMISSION fXPIRFS 523-90 • r?Y'r V Y V Y'C'V'V iI'Y i?`I?"l?"{v'q'?"r r 0 TRAIL EASEMENT THIS INDENTURE, made and entered into this day of 1983, by and between CONSTANCE R. JUNGWIRTH, a single person as Grantor, and the BRIAR HILL HOMEOWNERS ASSOCIATION, INC., Dakota County, Minnesota, as Grantee. WITNESSETH WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows: The Northwesterly ten (10) feet of Lot 21, Block 1, as measured at right angles from the northwesterly line of Lot 21, Block 1, Briar Hills 3rd Addition, Dakota County, Minnesota. NOW THEREFORE, the said Grantor, in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail puroses, together with the unrestricted rights to improve the same, free and clear of all encumbrances, the above described tracts of land for trail purposes. The Grantor, for itself, its heirs, executors, administrators and assigns, does covenant never to out, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said Briar Hill Homeowners Association, Inc., all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said Briar Hill Homeowners Association, Inc., its successors and assigns, from all claims for any and all damages resulting to the lands through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use of a trail over and upon the premises hereby conveyed and from uses incident thereto, and the said Briar Hill Homeowners Association, Inc. shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to, construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the rights of way will be disposed of by Grantee by burning or otherwise according to law. The Grantee shall have the right to post such signs and posters along said trail as are deemed necessary and suitable to define the above lands and locate them for trail use. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. CONSTANCE R. JUNGWIRTH This Document Drafted By. Hauge, Smith, Eide 8 Keller, P.A. 3908 Sibley Memorial Highway By: y _?, i(:yLCCR i ?l(/72C?{ (fL l [7? Eagan, MN 55122 `Constance R. Jungwir STATE OF MINNESOTA) ) as. COUNTY OF DAKOTA ) On th+a 4` day of 1983, before me a Notary Public within and for said County, personally appeared CONSTANCE R. JUNGWIRTH to me personally known to be the person described in and who executed the foregoing instrument and acknowledged that she executed the same as her free act and deed. .CAAAAAAA,AAAAAAAA"AAAAAA'" G-? CARRIE E. SYBRANT '?" ri NOTARY PORLIC kkNL3OTA MY COMMISSION P 2FS 52190 • Nw/ 20 - -Pm. A)o. _6-UQ_W+ ' rmlz ?sEmepT I?ka?ardadl z8_ n83 TRAIL EASEMENT nt? In-No. THIS INDENTURE, made and cntaree into this 3-'f li.day of Ao p pp rldju , 1982, by and between TOLLEFSON BUI LPERS, INC., a Minnesota corporation, as Grantor,and the BRIAR HILL HOMiOWNFRS ASSOCIATION. INC., Dakota County, Minnesota, as Grantee. WITNESSIT11 WHEREAS, said Grantor is the owner of the tracts of land in the City of Eagan, Dakota County, Minnesota, legally described as follows The Northwesterly ten (10) feet of-Lot 22, Block 1, Briar Hill 3rd Addition, S Dakota County, Minnesota. - NOW THEREFORE, the said Grantor, in consideration of One ($1.00) Dollar and other good and valuable consideration to it paid by Grantee, receipt whereof is hereby acknowledged, hereby conveys, warrants and dedicates to said Grantee, its heirs and assigns, for trail purposes, together with the unrestricted rights to improve the same, free and clear of all encumbrances, thev above described tracts of. land for trail purposes. The Grantor, for itself, its heirs, executors, administrators and assigns, does covenant never to cut, damage, destroy or remove any tree or shrub or other natural growth upon the hereinbefore described premises for the continuance of this easement, and does hereby grant and convey to the said Briar Hill Homeowners Association, Inc., all grasses, shrubs, trees and natural growth now existing on said lands or that may be hereafter planted or grown thereon. The Grantor, for itself, its heirs, executors, administrators and assigns does hereby release the said Briar Hill Homeowners Association, Inc., its successors and assigns, from all claims for any and all damages resulting to the lands'through and across which the parcel of land hereby conveyed is located by reason of the location, grading, construction, maintenance, and use of a trail over and upon the premises hereby conveyed and from the uses incident thereto, and the said Briar Hill Homeowners Association, Inc., shall have the right to use and remove all earth and other materials lying within the parcel of land hereby conveyed and the right to construct and maintain, upon the lands adjoining the parcel hereby conveyed, such portable snow fences during such months as weather conditions make necessary. All stumps and other debris resulting from the clearing of the rights of way will be disposed of by Grantee by burning or otherwise according to law. The Grantee shally have the right to post such signs and posters along said trail as are deemed necessary and suitable to define the above lands and locate them for trail use. IN WITNESS WHEREOF, said Grantor has hereunto set its hand and seal the day and year first above written. This Document Drafted Bv: Hauge, Smith, Eidc & Keller, P.A. 3908 Sibley Memorial Highway Eagan, MN 55122 (612) 454-4224 No. 1003y,-Ce"ificate of Acknowledgment-By corporation 6tfitt Uppt..... .MinneM)ta ....................._..........._.... t 89. County of, _I).ikota ............................................................. TO] By Miller-Dayie Co., msat polio, Ytna On thia._../L1ti day of . Ct?Lt L.GI ht ......., 198......, before me, a.No.tary. I'ub.L.ic ........... ......._....................... ................ .._within ani far sa County per-so illy appeared (1lRL_It._..'L't>LLli.l?SON....... .-....... _ :......................._.......... ...and ......... ....................................._.............._................ to ine personally known, wka, being each by me duly sworn ........... .................. .did. say that they are respectively the- ..... .......................... ........... ................... _.., President and tle.,.......... .,.......... ............... .......__............ ,...._.............. ............ ........... ..........of 'f.41.i1 I.SVN..13V `.! a °f:S,, 7;N( ............. . . the corporation named in the foregoing instrument, and that the seal o/fixed to said instrument is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corporation by authority of its Board of ............... Direct.o.rs ............... and said.., .....itARL..R.....TOLI_El'SON ............... .............. ........ ..................... ......... ......_.... ,and .............. .................................................._......_..................acknowled=ud aid instrument to : th rte act and deed of said corporation. - ' ?. =DIANA J YA..IFK Notary Public ....... _.._...' Cou.nty.... ?- ..... C t? NOTO "Y H+f tIC bIPon:30TA /?l.( .tL ??h, ......f? 1+) 8 f. •};C)7 C^, ,; ?, Al;t ctmim.,s ion expireq (f 05/22/2009 11:05 6128616267 BEI EXTERIOR MAINT PAGE 02 • ; permit ~n City of Ea E I Pcrmit Fee: I 3830 Pilot Knob Road j - Eagan MN 69122 E Data Received. I L Phone: (691) 676-5675 o j Fax: (651) 675-5694 staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: site Address: 3~S ~ 38~/- X863 ~8G S i>oca pr i~ ~r Tenant: Suite RESIDENT 1 OWNER Name: `!o ,9ssvc~.~no.✓ yi.v~l~y~i aL rr~ 7- Phone: - - "Al Address 1 City 1 Zip: .7022 645: Fee// Applicant is: Owner „Contractor TYPE OF WORK Description of work: Construction Cost:,"1,5 70,0 f 3yZS"~ Multi-Family Building; (Yes X /No CONTRACTOR Name: gZZ ,!5r7-A7_« Atlyr t!7z'"- License Pea.P / 33 Address- Llb S' City: f"V p out _ State: /JIAI Zip: -j SVi9 Phone: Contact Person: ,D,4 vW COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) ' Energy Envelope Calculations Submitted 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: Phone: NOTE; Plana' and supporting documents,;#at you submtt'Aro "~oi?srd&e&t be j ublfc inforn>iation: Por#fons of fhe information rtaay ba 0assfftdat hbn idbl ,f ya J pmvlde 6p 1#f nea b►ts tlyatWOUld peer ►t 66 City to i 7, j; p.ii~onali de,. fat tree l re'; ade se gets . : , _ji I hereby acknowfedgo that this information Is complete and accurate; that the work will be in conformance with the ordinances and cues of the City of Eagan: that I understand this iq 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 X44 Applicants Printed Name Applicants Signature r r 0 Page 1 of3 r----------------- For Office Use •ar7 Ol ELLRLLPermit City I i ' I Permit F 4130. ee: 3830 Pilo I I t Knob Road AUG 200 Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A 0 0 Site Address: 2 -v /Z /-/i r L i o S Tenant: YS ~)aLo SuiteM RESIDENT/OWNER Name:!/0 Phone: -7&1-V9,V-37z`7 Address / City / Zip: C) P.?PLS S_~S Applicant is: Owner X Contractor TYPE OF WORK Description of work: R E- A u % c. 1N. D E e Construction Cost: Multi-Family Building: (Yes X / No CONTRACTOR Name: i3 £ Cx ; La101z /~/4>,.► C'~2 P. License m XC I g113 1 Address: y/~ d be S; City: M S , State: M-1 Zip: Phone: /Z- & / - (o 1 !i✓3 Contact Person: b `4(' L 03u Q 121 s COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submission type) • Energy Envelope Calculations Submitted 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: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 is not to sta . out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of ans. x b940/ t) d,ya✓ZR/5 x Applicant's Printed Name Applicant's Signature Page 1 of 3 rn 14 DO NOT WRITE BELOW THIS LINE SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex Deck ❑ Porch (screen/gazebo/pergola) ❑ Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building" ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation Replacement ❑ Egress Window ❑ Water Damage " Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation - _Q0 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100%) Zoning City Water Census Code 1 Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector RESIDENTIAL FEES: Base Fee Surcharge 0 r' Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 ,T :itfson Bsiicere Inc. 3C46 `Sg~s Or.1I270 O~OVYI~ ` bit - 183-71 F. C. JACKSON ull 4, LAND SURVEYOR REGISTEREDCLN'DER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS''. 3616 EAST 55TH STREET55417 727 3434 *urbepor'g Q'Certifitate '0 f i 10`~ rJ d Y °a f, '00P I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Lots 19,20,21 and 22,Block 1, Briar Hill 3rd. Addition, Dakota CDunty,Hinnesota. Proposed Garage Floor Elev. 103.0 Proposed Basement Floor Elev.103.37 Proposed first Floor Elev. 110.37 AS SURVEYED BY ME THIS 17th. DAY OF August A.D. 1931 SIGNED i F. C. JACKSON. MINNESOTA EGISTRATIoN. No. 3600 411/' City of Etat 3830 Pilot Knob Road Eagan MN 86122 Phone: (651) 675-5676 Fax: (651) 676.5694 • /i-•2- / Use BLUE or BLACK Ink 1 For °Moe Uae Permit*: I Permit Fee: (Q 00 Date Received: I a-1 a 113 Staff: Lie 2013 RESIDENTIAL BUILDING PERMIT APPLICATION • 3859, 3Sl(at1 ,3$G3, 1 Lr.,mrrL 62- Unita: a Residenti Dimer Name: c/o 4e i "1%44 6Z rt Z 47" ,.7.7a c_. Phone: 76 3 - S -I3 — 97 7 0 Address City / Zp: $So 6r corn) n) 2 4v, R) , 1 A Got. D E:1 1414.1 Y JFI SS' 4/.t7 Applicant is: Owner 2fContraCtor Typle.orvi rk ' Descrlpibn of work: Rs, -.-d 0 E. a. RE Pt. ott-f ' J• d / .•) b a F -ase..! 4 /h 8 rid L• Construction Cost: / y Y da • CIO Multi -Family Building: (Yes / No ___.) ConiratitorState: Company: 0 £) E,c r Cie, 02 19141 )'T - ev AA Contact b,4411 0 av/2-2L S Address: tip -r I•43 (ooh -!"- City: /21 PL 5 /490 Zip: 5"S'4// 9 Phone. (r,/ A- "0/-&21/3 Licensee: (- 2 Y/ / T / Lead Certlflcate #: If the project is exempt i)L4/0S. from Lead certification, please explain why: (see Page 3 for additional information) Q,,re.,.- Poe:' / S? r In the last 12 months, Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW VUILDING has the City of Eagan leeward a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: - Phone: Phone: NOTE: Tir �( �• CALL BEFORE YQU DIG, can Gopher state One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive Locates of underground utilities. ww•mroherstateonecadorn 1 hereby edmowledge that alis information is complete and accurate; that the work will be in conformance with the ordinances and codas of the Cir of Eagan: t t I u the 8ppdp Ws Is p t anpermit, but e case twit wan pp1Lon far a permit, and work is not to start without a with: that the work wilt be in requires a review and approval of piens. Extortor work authorized by a building permit Issued in aocadsnee with the Minnesota State Sultding Code must be completed within 190 days of permit iesuence. x_§4.4 av,Q.,$ Applicant's Printed Name ZO/Z0 39tid INIvW 1X3 Iia Applicants Signature -779 Page 1d3 L9Z9I98ZI9 £6 :OT ETOZ/ZO/ZT 4111° CityQaa 3830 Pilot Knob Road Eagan MN 56122 Phone: (661) 875.5875 Fax: (661) 675-5694 Use BLUE or BLACK Ink I. For Office Use c)c 5 Permit*: ,11 .as �Permit Fee: D7 Date Received: i J J i staff' P 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / ` F-1 c` Site Address: 3VS 9, 3 let, 3 PG 3 86s- V4o co b r 7 E AL . Unity: Name: d o ACT /4 i4 A,; 4 41 r►1 E N Ya C Phone: 743 - s-f 3 9, 7 d , Address / City / Zip: FSD - a rr ' h1 v ' A ��,DE.J (/►KAY Applicant is: Owner 2C, Contractor ArA.s SSY7 Description of work ..."7-£.14,2 OFF a- a E • Construction Cost / / 9 CO • C t) Multi- Family Building: (Yes. / No _) Company: 41 E rC2'oR A'%'i•a r . emaP Contact ,hoat d yv Address: 90. k) 6013. ST . city mPG $ State: AN Zip: .5-5-.9/ 9 Phone: - 496J- G z ei uceneo #: Q C A 5+') / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) Qr`a /0S 1.3 Lem (Lit. Pos7 19 7 r 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. Sewer & Water Contractor: fini Phone:_ 'Aers?en,r Y oar- ? Phone . 4__• mow k�'J Irr,"ct4 7:412- sY M4[ CALL BEt =ORE U . Call Gopher State One Ceti at (651) 454-0002 for protection against undmground utility damage. Call 48 hours Woos you Intend to dig to receive locates of underground utilities. vavw.anpnerstateenepaa.orq I hereby admowledge mat We Information is complete and acauato; that the wank will be In conformance with the ordinances and codes of the City of Eagan: that i understand this is note permit. but only an application for a permit. and work is not to atan without a permit: that the work wig be in accordance with tn. approved plan In the ogee of wort wroth requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Duncan Code moat be completed within 180 days of permit issuance. x UAv#b RRfS Applicants Printed Name E0 /Z0 39tid 1NIVW 1X3 I38 x Applicants Signature Page 1 of s L9Z9T98Z19 L0 :0T tiTOZ /80/TO PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA177912 Date Issued:07/25/2022 Permit Category:ePermit Site Address: 3859 Dolomite Dr Lot:21 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-210 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 210-0754. 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 - Heather Johnson 10913 Owl Creek Dr Fort Worth TX 76179 (651) 329-2894 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature