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3877 Dolomite Dr41111` City of btu 3830 Pilot Knob Road Eagan MN 66122 Phone: (661) 676-5675 Fax: (651) 875-5686 Use BLUE or BLACK Ink For OMIoo Ilse p_Rng# i � \1°(P Permit Fee: • a 1 Dote Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: h'/- 9- /L/ Site Address: 3 �' 7 N4°141TZ Unit 8: Resident/ Owner Name: CJo 4e . m4. 4bf4-; cr Phone: 7G3 -S-'S3-_9774) Address / City /zip: 8SO D t c 04 r u R A✓% J3, A 6_04.6.c- t4 'h r "I) Ss VI 7 Applicant is: Owner )Contractor typl6"ofi:WOrk, Description of work ft e..PL .4 C Y- I%i1.1 t >'i Pi >w 164✓ iNp Constriction Cost • Multi -Family Building: (Yes / No Contractor Company: a E 1 e( r o /Linfo iJT . coat Contact bot Address: y°S 1.43 &CM' Ste. City, /yl PL,5 state: MAI Zip: 55-s// Phone: hi„t 2'to/-Coz�/3 License #: 4 L x Y/ / 3 ! Lead Certificate #: If the project is exempt from lead certlncatlon, please explain why: (see Page 3 for additional information) i/Ls(os- 11..a Ns:" is7r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months. has the City of Ragan issued a permit for a similar pian based on a master plan? Yes No If yes, date and address of master plan: Uconsed Plumber: Phone: Mechanical Contractor. Phone: Sewer & Water Contractor Phone: Aft : 10• the WO finittoo.oNiyAacialtio*.tiOs `•t 11#11+„rr r 40 rtl> r� ,r : lon *Iwo CALL BEFORE YOU MG, Call Gopher gbh One til at (861) 454.0002 for protection against underground utility damage. Call 48 hours Wore you intend to dig to woke locates of underground dies. www.aoanerataleonerwll.orq 1I hereby ye that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: thaa with understand Ihla is not a permit but only an application for a permit. and work is not to start without o permit: that the wok WI be In approved plan toted can of aeric mach requites a Review end approval of plans. Exterior work authorized by a building permit issued In accordance watt the Minnesota State Build Code must be completed within 180 days of permit issuance, tC � 4v' ,,,,$ Applicant's Printed Name ET/Z0 39 c1 Applicants Signature Page 1 of 3 1NIGW IX3 I3S L9Z919SZT9 9T:bT bTOZ/TT/b0 CASH RECEIPT _ CITY OF EAGAN tl 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ & _DOLLARS loo ? CASH ? CHECK FOR FUND CODE AMOUNT Thank You ? °C-5 - BY White-Payers Copy Yellow-Posting COPY Pink-File Copy CITY Of EAGAN 3"S Pilo Knob Road Eagan, MN 55112 PHCNEt 454-8100 BUILDING PERMIT Receipt # To be used fir Est. Value Date 19 Site Address Erect ? Occupancy Lot Blo k S /S b Alt in Z c ec u . Parcel # er Repair ? ? on g Fire Zone E T nlarge ? ype of Const. at Name Move ? # Stories Address Demolish ? Length b rin, o?.,,- Grade fl Depth Sa, Ft. Name _ U? Address 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. Police Fire Eng. Planner Council Bldg. Off. APC 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 Ct V J EAZ -$rZ H.V.A.C. 'r 0 'C {`P-o1CiC:kS 7 W r EI.,tr1 c ? -j 1q « M45?r EIEC , Lb? $Z Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. r/I Rough HVAC , s. Insulation Final Pibg. ./j• Final HVAC Final Water `Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN r 3795 Fillet Knob Rood Eoyoe, MH SS122 PHONES 454-8100 BUILDING PERMIT Receipt # Site Addre ss Lot Block Sec/Sub. Parcel # ix Name W 7. Address Nome OU Address H fir.. DL..... I hereby acknowledge that 1-have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: all work shall be done in accordance with all applicable State of Mir Building Official Erect ? Alter ? Repair ? Enlarge ? Move ? Demolish ? hJ o 71 t Occupancy ` Zoning Fire Zone Type of Const. * Stories Ft. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total on the express condition that and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing ;?"$-SC6- nz - 'm H.V.A.C. ?D -1 - R' J/ 1:r- 1-7 Well Water Disp. Sewer Electric T-74 Q (? Leas /' F ?? -ts-?'L Inspection Date Insp. Other Footings Foundation Framing Rough Plbg. _ 41 Rough HVAC Insulation Final Plbg. .? (J Final HVAC Final f ? 5ll/ 1141 Water Describe Location: Well Sewer Pr. Disp. r CITY OF EAGAN 87" POO Knob Road Eagan, MN $5142 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. Value Dote 14 Site Address Erect - • , ? Occupancy Lot Block Sec/Sub. After p Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Move ? # Stories Z Address Demolish ? Length [itv pt,.,.,. Grade ? Depth Sq. Ft. Name _ 0 uU Address Name _ Address 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with off applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment _ Water & Sew. Police Fire Eng. Planner Council Bldg. Off. _ APC 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 tha: 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 '] .f'_?I H.V.A.C. D ?O ?( Ety (? c J?SO/l ?D {7 Weil Water Disp. Sewer Electric "1'74 9 ? ? 49k r^ ??r C, 6- ZS- aZ InWection Date Insp. Other Footings j Foundation Framing Rough Plbg. Rough HVA Insulation Final Plbg. f 2 too Final HVAC •2S Final Water Describe Location: Well Sevier Pr. Disp. CITY OF EA"N 3795 Pilaf Keob Rood Eegon, MN 15122 PfIONE: 454-8100 BUILDING PERMIT R To be aced for TnA Site Address Lot Block Sec/Sub. Parcel * ae Name W Address - b city o Name Bu Address city Name W W FW 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. Signature of Pertnittes A Building Permit is issued to: all work shall be done in accordance with all applicable State Building Official et etpt Iff Erect ? Alter Q Repair ? Enlarge ? Move ? Demolish p Occupancy, Zoning Fire Zone Type of Const. * Stories Length Depth Scl. Ft. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total - on the express condition that City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing 55,0 H.V.A.C. '3OgC5 C?d(1 `sOh (o l?^':?Z Well Water Disp. Sewer Electric 77q 9 ('7 Inspection Date Insp. Other Footings .x? 41"" Foundation Framing Rough Plbg. Rough HVAC Insulation Final Plbg f Final HVAC Final Water Describe Location: Well Sewer Pr. Disp. 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 ,fifl? ? - j 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ( Commercial ? Institutional ? 9. Work Description: New Q Add ? Alter ? Repair ? 10. Describe 11. Fuel Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Othe Air Cond. r 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: Inspections: Date for Rough Final _ Insp. Date - Insp. 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 T ot. 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 ? I 10. Describe 1 11. uel Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dl Mfg. an r ing: 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 Add ? Alter ? Repair ? 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 / BIk. 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 ? 10. Describe Fuel Type 11. No. Equipment STU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r ng: an Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets - L- - - - 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 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Pi /egib/y Tot. 1. Date - 2. Installation Cost 3. Job Address Lot 7 Blk. + Tract f 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Ai i H Mfg. r ng: andl Boilers Mfg. Mech. Exhaust Unit Heater Mfg, Oth Air Cond. er 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 MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces sic Type or Print legibly Tot. 1. Date y 2. Installation Cost 3. Job Address Lot r --' Blk. ' Tract 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets J 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 454-6100 Receipt 'lG PLUMBING PERMIT Permit No. CITY OF EAGAN / Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date, f ! l 2. Installation Cost 3. Job Address . r ! i bi / Blk. / ract? /- 4. Owner ! 5. Contractor I Phone 6. Address ( ' , I 7. City ; r State Zip , 8. Building Type: Residential -El Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe 1 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 wiSba11 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' I 4. Owner ' 5. Contractor ` ' " // / ..,, Phone 6. Address . (-ts ` 7. City State zip 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Ces ol/Drainfield Bath tubs spo Se T ti k - Lavatory p c an S ft Shower ner o Well i Kitchen Sink Urinal/Bidet Othe Laundry Tray r 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 7 c-7 4. Owner i 5. Contractor 1?? Phone 6. Address 7. City State A Zip 8. Building Type: Residential E Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 1 10. Describe I 11. No. Fixtures Water Closet No. Fixtures Ce ol/D i fi ld Bath tubs sspo ra n e Se T ti k Lavatory p c an Softner Shower Well Kitchen Sink Urinal/Bidet Oth Laundry Tray er 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. " r CITY OF EAGAN Fee Fill in numbered spaces S/C I Type or Print legibly Tot. 1. Date 2. Installation Cost rZ7* u, 3. Job Address Lot Blk. Tract3• " J 4. Owner 5. Contractor 'J Phone ,i 6. Address 7. City State /\7,0 Zip r . _ 8. Building Type: Residential Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 1 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 464-8100 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 ? c Lot Blk. l Tract If, { 4. Owner I: 5. Contractor ' / ' Phone 6. Address 7. City State Zip 8. Building Type: Residential C]-- Commercial ? 9. Work Description: New ? Add ? Alter ? 10. Describe 11. Institutional ? Repair ? No. Fixtures Water Closet No. Fixtures Cess fi ool/D i ld i Bath tubs p ra n e 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 INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612) 681-4675 SITE ADDRESS: 11) <<+ k = APPLICANT: ? I ON I IF ON 14 ± NIM111., « , I if I N1, f N1• PERMIT;$UBTYPE: TYPE OF WORK: ;1 'rrRATXoN ,.r, 'A VAI f-FPIFNI WINnIIW-; Permit Holder Date Telephone M 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL N RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: a I I t Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: !'AT t ON Permit No. Permit Holder Date Telephone K 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 DECK FINAL CITY OF EAGAN Remarks b ? 1) Addition FRIAR HILL 3rd ADDITION Lot 13 pIk 1 Owner Street 38' 7 Dolanite Drive g Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. j 971 Paid uade parcel 10- 000 10-25 STREET RESTOR. 975 .27 8-03 10 8.09 A011790 1-5-83 GRADING 5q 982 123.04 24.61 73.84 A011791 " Street Surf 6) 1982 600.76 120.15 5 360.46 A011791 to SAN SEW TRUNK 0 1968 33-61 1.12 30 15.69 If tt SEWER LATERAL WATERMAIN * WATER LATERAL 191`1 36.81 1.84 20 12.89 A011790 1-5-83 WATER AREA 19TT 6 .21 4.48 15 38.85 if II ** S/W Lat Stm L 1982 1431.44 286.29 5 858.88 A011791 " STORM SEW TRK ' 1982 402.73 80.55 5 241.65 A011790 " STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240-00 #29792 4-26-82 WATER CONN. 420-00 n tt BUILDING PER. 7200 SAC 525.00 tt tt PARK CITY OF EAGAN Remarks L- ij "?- WIT,- L Addition MUR HILL 3rd ADDITION Lot 14 Blk 1 Parcel 10-14992-140-01 Owner 'roilo -'Oo Street 38-T9 Dolomite Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. (2 1971 10- 000 10-+25 STREET RESTOR. Z 1975 W 10 16.11 A011416 9-9-82 GRADING 69 ?C7 1982 5 98.44 It Street Surf 0 1982 600.76 120.15 5 480.61 It of SAN SEW TRUNK 1968 33-61 1.12 30 16.81 SEWER LATERAL WATERMAIN WATER LATERAL to 1 1971 1 1.84 O 14.73 WATER AREA 1977 7.21 15 40.33 " ** S /W Lat Stm L 06 1982 1431.44 286.29 5 1145.16 STORM SEW TRK 5 1 1982 402.73 80.55 5 322.19 n u STORM SEW LAT 1971 0 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 #29782 4-26-82 WATER CONN. 420.00 IT BUILDING PER. 71 QQ SAC 525.00 ?+ n PARK I V t ? Lf CITY OF EAGAN Remarks I Addition BRIAR HILL 3rd ADDITION Lot 11 Rlk 1 Parcel 10-14992-110-01 Owner i) Street 3881 Dolomite DriTe state improvement Date Amount Annual Years Payment Receipt Date STREET SURF. ? 1971 Paid under parcel 10-02 000-( 10-25 STREET RESTOR. 1975 60.2T •03 1 16.11 A011417 8-9-82 GRADING 1982 123.04 24.61 5 98.44 it Street Surf (P 1982 600.76 120.15 5 480.61 Is SAN SEW TRUNK 968 33.61 1.32 30 1 n n SEWER LATERAL WATERMAIN WATER LATERAL 19T1 -- :L. 84 20 14.73 n n WATER AREA -33 197T 6T.21 . it n ** S /W La Stm L ° 1982 1431.44 286.29 5 1145.16 of " STORM SEW TRK .7' " 1982 402.73 80.55 5 322.19 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT RM UNIT 240-00 #29792 4-76-82 WATER CONN. BUILDING PER. SAC W25 - 00 n ?t PARK CITY OF EAGAN Remarks Addition -_ BRIAR HILL 3rd ADDITION Lot 12 elk 1 Parcel 10-144 120-01 Owner Street 3883 Dolomite Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 0 1971 Paid undo parcel 10- 000 10-25 STREET RESTOR. 2,1 ! 1975 0.27 B-03 10 16.11 A011384 8-31-82 GRADING ` ,ey 1982 - 123.04 24.61 98.44 " " Street Surf b lTgT • 480.61 1 " SAN SEW TRUNK 1966 33.61 1.12 30 16.81 ++ SEWER LATERAL WATERMAIN WATER LATERAL r - 36-61 1. 64 20 14.73 A011384 8-31-82 WATER AREA ?,^? T 9 77 .21 -67- .48 15 1 40.33 1 t ** S/W Lat Stm L ?g 1982 1431.44 - -- 286.29 5 1145.16 " it STORM SEW TRK 1982 WO 2 .73-- 80.55 322.19 rr ++ STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT ROAD WATER CONN. 420.00 n n BUILDING PER. SAC 25.00 t+ +r PARK ER SERVICE PERMIT WAT CITY OF EAGAN 3795 Prat Knob Road PERMIT NO.: DATE: - Eagat., MN 55122 unmet t•." 1 Zoning: No. of Units: o1 r Owner: i - Address: -010 1 . r ?1' RZ - 1 __- L Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 donee to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B Date Paid: y s : I Date of Insp.: n p. SEWER SERVICE PERMIT CITY OF EAGAN 3795 'lot Knob Road PERMIT NO.: Eagarn, MN 55122 DATE: y No. of Units: Zoning: i Owner: Address: Site Address: 7 i4: + T 1,. ..r Y r7i1' T, Plumber. , ?.,A .. 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Mix. Charges: Dote of Insp.: Total: d I nsp.: : Date Pai SEWER SERVICE PERMIT CITY of EAGAN 3795 Pilot Knob Read PERMIT NO.: Eagan, MN 55122 DATE: ? "'`i? t= • Zoning: No. of Units: Owner: l ?r-; Address: Site Address: r i 1 sri r u` 1 T; be Pl um r. 100. I agree to comply with the City of Eagan Connection Charge: 4 7 S 011 Ordinances. Account Deposit: Permit Fee: Surcharge: B Misc. Charges: y Date of I nsp.: Total: Dote Paid: i Insp.: SEWER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units. "ol.c.{son Dui;. u?: Owner Address: "I 7,o1 oy?it r-- r-r L11 i i .fill ? II Site Address: Plumber: 1 agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of I rl Total: I Date Paid: rrsp.: CITY OF EAGAN WATER SERVICE PERMIT 379LS Pilot Knob P.ood PERMIT NO.: MN 55122 Eagan DATE: , Zonng: No. of Units: Owner: Address: - -? „ , i 1 ig l :-ic_.- i' r Site Address: Plumber- - b^ Q Meter No.: Connection Charge: Size: Account Deposit: ' Reader No.: Permit Fee: agree to comply with the City of Eagan Surcharge: Ordinoeees. Misc. Charges: Total : ., Date Paid: - WATER SERVICE PERMIT OF EAGAN CITY 3795 Pilot Knob Road PERMIT NO.: .41 Eagan, MN 551122 DATE: Zoning: No. of Units- O wner:. Address: t Site Address: 7- Plumber: Meter No.: Connection Charge: osit: nt De A Size: p ccou Reader No : Permit Fee: . I agree to comply wkh the City of Eagan Surcharge: Ordinances. Misc. Charges: By Date of I nsp.: Total: WATER SERVICE PERMIT CITY OF EAGAN 3795 Pilot Knob Rood PERMIT NO.: Evgen, MN 55122 DATE: 1 unit Cn. s Zoning: 7 No. of Units: hers Owner. Address: ^ r7r 7-rive Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: . Reader No.: Permit Fee: agree to comply With the City of Eagan Surcharge: { er Misc. Charges: Ordinances. Total: By Date Paid: Ins " Date of Insp.: p SEWER SERVICE PERMIT I agree to campy with the City of Eagan Connection t.narge: Account Deposit: Ordinances. Permit Fee: h Surcharge: Misc. Charges: By Total: Date of I nsp.: Date Paid: Insp.: CITY OF EAGAN No 7197 7795 Pilot Knob Read Eagan, MN 551in - „ PHONE: 454-8100 BUILDING PERMIT Receipt Te be aced for 1 of 4 PLEX Est. Value $37,000 Date April 26 1982 Site Address 3877 Dolomite Drive Erect IN OccupancR-3 Lot 13 Block 1 Sec/Sub. Srlarhill 3rd Alter ? Zoning 1?L3 Parcel # 10 14992 130 01 Repair ? Fire Zone NA ..._,,_c_- ,L_,a _W Enlarge ? Type of Const. V Name Address 1655 Ibirwood Drive, g Name Owner o? Address t- r:... Dl--- Name 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: 1 all work shall be done in accordance with Building Official move ? * Stories Demolish ? Length 44 Grade ? Depth 26 Sq. Ft. Approvals Fees Assessment Permit Water 8 Sew. Surcharge 18.50 Police Plan check 119.95 Fire SAC 595.00 Eng. Water Conn. Planner Water Meter Council Road Unit Bldg. Off. ARC Total 1600,25 an t he ex ress conditio th t p a n isseto-SYatutes and City of Eagan Ordinances. CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE- 434-8100 BUILDING PERMIT Receipt # N°. ,2-11 41 -V To be used for 1 of 4 PLEX Est. value $37, 000 Date April 26 - 19-12 Site Address 3879 Dolomite Drive Erect gg Occupancy R-3 Lot 14 Block I Sec/Sub. Rri arhill 3rd Alter ? zoning TE ) R-3 Parcel # 10 14992 140 01 Repair ? Eire Zone ALA Enlarge ? Type of Const. V W Name Tollefson Builders Move ? # Stories Address 1655 Nc)rwod Drive, Demolish ? Length 44 b of Fagan 55122 phi 454-6873 Grade ? Depth 26 Sg. Ft._ a Name 0G7['Ler Approvals Fees Address Assessment Permit I Water & Sew. Surcharge 18.50 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. Police Eire Plan check 11L.Z.) SAC 525.00 Eng. Water Conn. 420.00 Planner Woter Meter 60.00 Council Rood Unit 940 00 Bldg. Off. APC Total 1600.25. Signature of Pennittee A Building Permit is issued to: Tolle Soft Builders all work shall be done in accordonce with all applicable State oymir on the express condition that soto ute ity of Eagan Ordinances. Building Official CITY OF EAGAN No 7199 9795 Pilot Knob Read Eagan, MN 55122 PHONES 454•8100 ?J BUILDING PERMIT Receipt # d?73r, To berwed for 1 of 4 Dlex Est. Value $37,000 Date April 26 102 Site Address 3881 Iblomite Drive Erect XX Occupancy R-3 Lot 11 Block 1 Sec/Sub. Rriarhill 3rd Alter ? Zoning (RD) R-3 Parcel # 10 14992 110 01 Repair ? Fire Zone NA E V TO a •Sn Builders nlarge ? Type of Const. W Name Move T 1655 Norwood Drive, Demolish ? Length 44 city Each 55122 pl1O1e 454-6873 Grade ? Depth_26__._Sg. Ft.- Nome owmr Approvals Fees u Address Assessment _ U • city Phone Water 8 Sew. GW Police _ t,w Nome Fire Address Eng. <W City Phone 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 State of Minnesota Statutes and City of Eagan Ordinances. APC Signature of Permittee A Building Permit Is issued to: lOiie.Ks n = all work shall be done in accordance with all applicable Building Official Permit ZL4.DU Surcharge 18.50 Plan check 112.25 SAC 525.00 Water Conn. 420.00 Water Meter 60.00 Road Unit 940-00 Total find. 5 _ on the express condition that City of Eagan Ordinances. CITY OF EAGAN No 7200 ` 3795 Pilot Knob Reed Eagan, MN SS122 PHOHEI 454-8100 BUILDING PERMIT Receipt To be aand tot 1 of 4 PLEX Est Value $37,000 Date April 26 19 82 Site Address 3883 Dolomite Drive Erect XX Occupancy R-3 Lot 12 Block 1 Sec/Sub. Briarhill 3rd Alter ? Zoning (PD) R-3 Parcel # 10 14992 120 01 Repair ? Fire Zone NA Tollefson Builders m N Enlarge ? Type of Const. V W a e Move ? # Stories Address- 655 Normod Drive, b Demolish ? Length 44 CI an 55122 Phan,, 454-6873 Grade ? Depth'6._Sq. Ft._ p Name Owner Approyals Fees 8u Address Assessment 00 Permit 224, r city Phone Water &Sew. c n Surcharge 18-50 o Police Plan check 117-99 Name f W Fire SAC 525.00 z ? Address Eng. 49n nn Water Conn u iW CI Phone Planner . Water Meter hn.nn Council Road Unit 240 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 f E di f M S d C O S APC l $1600 25 T t r nances. tate o innesota tatutes an ity o agan . o a Signature of Permittee A Building Permit is issued to: TOllefson Builders on the express condition Ihm all work shall be done in accordance with all applicable Stot f Minnesota S es ^A r:W of Eagan Ordinances. Building Official / r? 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION r ??3 City Of Eagan llT 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 Date & l7_16S Site Address lGG0 a j / / c?[aG e)m d 7' & 11/-C.. Unit # Property Owner Telephone # K.& P ) /nd 7' ??? Contractor SEDGWICK HEATING $ AIR CONDITIONING LL 89 10 eVVentworth ve. So Street Address Minneapolis, MN 55420 City 1-9000 State Zip Telephone # ( ) Bond #• Expires: The Applicant is Owner ? Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement _ air exchanger ? air conditioner -New ./ Replacement ?/ri ?!ldZL oL ?Gh other State Surcharge $ .50 $ ?d ?D Total • I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. j SOND HT6. A AM M -17077W 6 S Applicant's Printed Name Applicant's Signature II 0 9100.9 L c? 1?s RESIDENTIAL BUILDING PERMIT APPLICATION t CITY OF EAGAN `a 3830 PILOT KNOB RD - 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft, of house, and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE !3` J9 -0- JOB SITE Z?5 RemodelhReoatr Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions 1 site survey for exterior additions & decks Indicate if home served by septic system for additions VALUATION IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ?$ 17 d l 11(.{i7Yi U TYPE OF APPLICANT ADDRESS PAGER # CELL PHONE # I Lis.-1 r FIREPLACE(S) _ 0 _ 1 _ 2 PHONE#?6i-7Tg- 646 ZIP CODE fJ . I FAX# 6j5i-7q- -3 NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted rlG MINNESOTA RULES 7672 2 6 2002 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone #: Plumbing System Includes: _ Water Softener _ Lawn Sprinkler y-- moo'=t=R _ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: Air Conditioning Heat Recovery System Phone # Fee: $70.00 Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that a information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga divan gs.• Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 (? l CITY USE ONLY PERMIT #: L1 p l RECEIPT DATE: MIDENTIAL MECH"CAL PERMIT APPLICATION cePY oP iiika N S$SO Pn oT KNOB RD KAGM MN 55122 651.6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNERNAME: ?&'anSr TELEPHONE#: loB7-g?FS3 (AREA CODE) / INSTALLER NAME: _WP_ ?( `?U7? ` b r?Lrte TELEPHONE #: b (AREA CODE) STREET ADDRESS:: 14og "M (A CITY: TQ's 4 STATEN ZIP: 951C70 Dtara a rhar4 mark navf M tha nnrmi} wnr4 fun& New residential dwelling unit under constructionand not owner/occupied $ 70.00 _ Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other t Nature of work: V 1 ,2 QC_&a% ?Yl &A-C State Surcharge .50 7 Total $ 3o.s-0 Reminder. Call for inspections. ? -y _ o ? sI A ? r Updated 1101 bF 4 1 k 7 ?q-1 , •-?) 99, `7/9 5 1-7a00 CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & f U? BUILDING PERMIT A'PPLIC?ATION- 1 set of energy calculations. To Be Used For P y` Valuation Date C(-2 Z ' ?3 site Address: 3$?j 71i ai -jv$?, lo(o '1tAE- I OFFICE USE ONLY Lot,0 1.11 Block ( Sec. /Sub. Far Cat-ki ( l j'F ct (L Occupancy )Q3 Parcel #: /U (q 4 Q o2 ?D Alter Zoning /r 1??- { p Repair Fire Zone ` ` bl F`x ?? LLC (4 &? Enlarge _ Type of Const. 4- V Owner: S Move # Stories Address: ((p ?? /U(,) Y`t,J?.? b r Demolish _ Front //y ft. City/Zip Code: ctgcXY\ Ss/? Grade Depth ft. Phone #: (0 .73 APPROVALS FEES Contractor: OW n P r- Assessments Permit Address: City/Zip Code: Phone #: Arch./Eng.. Address: City/Zip Code: Phone #: Water/Sewer Surcharge Police Plan Check P- Z-= Fire SAC SAC As Eng. Water Conn. ya0 Planner Water Meter /? Council Road Unit yp ?tfA Bldg. Off. APC TOTAL ( LP 0 0 -?2S- / 4 Tolletsun,Builders Inc, Or. 11291-1 Ld3-71,A F. C. JACKSON LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF KINNEAFOUS 5 `?I s% / S0 9818 EAST 55TH STREET 55417 711-3444 • _ roN gburbgor's QCertifi ate ?x/SJi?+ ? C/ev. J -? g9e h ° o / _aNN Proposed Garage Floor Elev. 103.0 Proposed First Floor Elev, 110.37 Proposed Basement Floor Elev. 103.37 I HEREBY CERTIFY THAT THE ABOVE IS A TRUE AND OORftAT OF A SURVEY OF Lots 11,12,13 and 14,Block 1, Briar Hill 3rd. Addition, Dakota County,Minnesota. AS SURVEYED BY ME THIS- 3rd -DAY ?. February ..D 1982 Revised April 14th. 1982 y SIGNS ! l/. F. C. JACKSON. M NO. 9800 ?, ?? i'Fc ier jc} 1" LZ 'F3?h Cii?r r Inf7?ci^a k' 9ri ' x4 ? i »i , v 31 I F orZel E3 1? 11137 n l 12 v. ? , ?. . C%T Gds PI dfl I fIFIltr R ° e inM . % 9F, r?ICRIF ?C? 0?' P n;;.* L.O.t TIE00Tc /1DRSx'E0?3 MTR LI)mEss LI:"A'L r -M or mpc)o1.1 11A 1j 3 <{ . i': r. . - I: Gill I, .^.,^o If?o or E7poSL' •???.?.;i? ? Ii ?D 11 "1" x . . : : .OTA L LR??o V7M M."j"U1 FY DAM . iDTA1. Sn. I a°o Cr rponn Ty m / T'7F3Ti CI' 1 SUTATICC. 111, vAP,t° C, t? ex r1 i r , ? ) 1^I?I0r, c2ca VA Tm, I I F C? Ef UL 1iT0U 117, con t.. I o" VAUT3 1T ' DO_' A'JL':?1?(?r "UT' VA "u 0? L"{PO?Y' I;C1I:4 A901M OTA D . i 3 --- IIE7%wJ_I 07 eR7 rOR 0a? ATP 1o P,tif!Id.r' IIFif%C `^CI C-7 22 MR AU, 0 ?'Z ? rfYil *) 4 s r I t A K? . • , f ?? .t I .l S! { d a tF r : x iF?$,: t J.?rp /,q?.1tw?6? TJ ,AS. G1 ?$iN P i. 77 , ? f Y4 ?Ka2 .'? •?•?.»M..' «.... ?` -.. _... R t?w..ld....-.?. W, . ..x ..a.. ?_...?t^.. ?.-. .._..-..-.... r.i--.+T..-...---.:...... .'.:...» ?<?' . k?. ? .r.G.• ?...u,- ?...+J•"??'.•..., i..?... a e`.`Ge "y.FT''? i ?? sniru *r ° ?Y??{CA r sVrAnT e?(!@: A4 Ji s i ?A t1G1?? '"??rsatp4 t ?.?A if y?? 1?? R itL`?- t kk :.. a t S r c F y??ne !? '? z n {, _l l )J R q , q R :4 3 _ _ .. . Srt rtQ to 7 I R ? Il_d I `3 i. R ??.? C, 0 ? ??`a ((1 fi t ?o,nl S DOOR- CEILINGS f . ti4 I r r TLS l? 17 e?T! 1C W I 'f c 1% It :f - 9 f L Ir ?,Yr 11c r ?j r,}R1_I f35? Lr'LCi 1 7ATAL : Z °? 1 tII\!I Tfr.n 'w1TH Ge1'nq-.:'S l,d rDIV P. .l 1 _`d{l ??f1-<.I ?''f oAJC l3if( u,, 3Refr p(i0uEGRAb ;LL it I11Sf,I I1 ??i! _d _.. d ?1 II7 f?i J-^upo c' Wu L_? LV fn Sotrrm Z){-T'iRC tV C aLA(C t fl..._?1>_ _` 1 Grp' ur :? ? ?__??_ \?{{F Rl7 ?,f t4 ??+14} ? 1f ,?---' ... _ /f'r. -`1 fF2 i' . ? 1 1? ? I?-t•-`? fir' ?, c F1d??1 1rt / i -- S _/__ _ t,rs?r It n,(+1 , ',,(1'7 d- --- (bTAI_ ?Iq }'ytA!jI C4R44e .' ?._ ??j, ?._.... Ww - ?..?' ?.'?,r.lr ?`I -? _1? ,1.._., 1(^{",?Cn ?,,{felt to i. -0_7?ry )• , - , ?uf ? 4 F, „! f '.. (, ) I 4' ? r, it T "S" ._. ? d t? 5 1 :. r t=R WAL.t_F. lv /'-N i?r rll.. t-' C u I1 L L - d I ±, LOWCR LL)c ? .U 1/0 C. 01 IT r :.r• I i --?___ _-.. ??-_ ___ i as / Al OU CR I:aw, C. IN- ?ROniT C, r, 1-104 ?. s( if w A c,l A rL,+ J_V ' '9 I d T t 1 L4?,ln{ft°? i t - ?It ?: ? ? SF+F171fIF1£n f ?. r(s ,, •t f? '77?.. _T, TA ?' li r n? 1, r 1 hJ S fkn:.40) Ind' I M'ir(• Z"--&(L'SYn4F ;d `` ? Ar t" brd xTell lli ! ?i 1 ?-r f TIT) • v? ? lip 11 y L? ? _??????1-?? L;+?? tl _.? ?..t..._.. _ ?..t ffi?±f ' -TrIA w I J "gin Ilt -emu., ..Ills ?I(i?l C- rRek,?_.??, ?Msul,1;rn en g WADI TZa r-I 1? L? ?. IZ /.z ?Ty ? sr1aev RECORD OF COMPLAINT DATES Z-?- ?(l COMPLAINT TAKEN BY: b,.?,- S,/,4? .,?t• NAME: I?er/y ?Fe ADDRESS: :? S'? 3 lac 1?,,„tc PHONE NO.: ? _ ?3 rs COMPLAINT: ACTION TAKEN: _I-- cnne/"/e Slat f4 ,f svppoh¢r s-// ralle6As, e ?Ym,, l- 2 iycyeS. fl e tieav ;,,> eG l/F? to ?a //e son 1 COMMENTS: %G L•,,,a iS a pra t Sl fs o/?' ? ,4.5 , eft ./ ftier v"; fs l?H ' ? / A Hv,npPY / ®r f' d"'CS LJi t/+ vtC S'u F:S?4C/len. ? ,, o ce L: /,SO I70/ ra" cc-,-e ?C /y Ca/"l /G'?/E )fOl> lie VG - Gv,C ??P l6w/JY2 ?`Sion 74Ai' Ae / w,j r7eker I!i "lCr',.-ed• 6'1 ?"?.P ?re d/e??. He sa;c0 I,e ?'-`Li./ A S<^d% / ,f0?-CO,?P ?OU ,n f0 f,,C CA L, e?' fe I0ek at i4e. stfu TYPE OF BUILDING: (1 v, ld, LEGAL DESCRIPTION: I2 / Rr;L,Y p i I ( 3/L(' • SIGNED: / C . L \ 31 Q?iee ?? 3c? AAp? (U lc,la??lz I?{o o? June 6, 1984 Knutson Mortgage & Financial Corporation Customer Relations Department P.O. Box 205 Minneapolis, MN 55440 To Whom it May Concern: This is notice of suspension of mortgage #86770, effective immediately. We do not intend to resume payments or make the loan current until our home at 3879 Dolomite Drive, Eagan, MN is brought to a marketable con- dition by the builder, Tollefson Builders Inc. Since December of 1982, we have repeatedly attempted to obtain satis- faction from Tollefson Builders Inc. for several serious structural defects we have found in our home. We have put them on notice of such defects by phone, in person and mail. An example of defects uncorrected; front door sticking shut, yard flooding, wall cracking, ceiling cracking, front door warpage, separation of the homes foundation from the walls, etc. In February 1984, my husband Jeff Pothen, accepted an employment position out of state, commencing March 1984. Since then, several real estate agencies have been contacted regarding sale of the home. All have de- clined listing the property for resale until such time the defects are corrected. This has created an extreme hardship for my husband and my- self as we are now in the position of having to maintain two house- holds, as well as causing mental suffering due to an extended separation. Tollefson Builders Inc. has not, to date, attempted to correct the problems except in a cosmetic manner, which has proven this past winter to be completely unsatisfactory. The damage continues to escalate. At this time legal action against Tollefson Builders is being contemplated. But common knowledge indicates this type of action involves a great length of time and precludes any satisfaction for several years. This delay is an unsatisfactory alternative. Therefore, as our last desperate attempt in resolving this problem, we are requesting your assistance in pressuring Tollefson Builders Inc. in correcting these structural defects. At which time the problem is settled, we will resume our payments and bring our loan current. Sincerely, Jeff and Jane Pothen Mtge X186770 X3879-DOl_om_5e-Drive Eagan, MN 55122 Dakota County 454-7952 cc: Carl Tollefson Tollefson Builders Inc. 1655 Norwood Drive Eagan, MN 55123 Minnesota Housing Finance Agency Attn: Mortgage Division 333 Sibley St.,Suite 200 St. Paul, MN 55101 Marlys M. Robole Northwestern Nat'l Bank of So. St. Paul 161 North Concord Exchange So. St. Paul, MN Richard Hefti, P.E. Assistant City Engineer City of Eagan 3795 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Mark J. Briol, Attorney At Law Winthrop, Weinstine & Sexton 1800 Conwed Tower 444 Cedar St. St. Paul, MN 55101 Deborah E. Houck, Attorney At. Law North American Life & Casualty 1750 Hennepin Ave. So. Minneapolis, MN 55403 Neil Murray On Your Behalf 3415 University Ave. St. Paul, MN 55114 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-14992-110-01 REPALCEMENT Bul1ding Permit Type BuiIding'-Mork Type Census, Code?4 DESCRIPTION: PERMIT PERMIT TYPE: BUILDING Permit Number: 07/i3/98 Date Issued: 3881 DOLOMITE DR LOT: 11 BLOCK: 1 BRIAR HILL 3RD 114, REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee VALUATION $74.75 X1.50 $76.25 WINDOWS SF (MISC.) ALTERATION 4 ALT. RESIDENTIAL $3,000 WIMC2 A 9 4 P 0 RQCHESTER (612) 281-6363 - Rpplzcanz - 51. LIU. ??//??FFRR SIDING INC 12816363 0008077 QA175'ON' JENNIFER BOX 5937 3881 DOLOMITE DR MN 55903 EAGAN MN 55122 (651)454-0058 L_ T hereby acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances-. r APP CANT/PERMIT SIGNATURE application and state that the with all applicable State of Mn. l I UED BY: NATURE ? I ?cYF?(X?Y>F?Y,CXt?ktYFF?>k1K?>k>a??* ????*?1k7k?*7??>K>k?*? CITY OF EAGAN CASHIER: S TERMINAL. NO: 933 DATE;; 07/13/98 TIME: 15:30:21 I Ii : NAME: 3210 9001. 3881 DOI_OMIT'E D 74.7'5 2155 9001. 3881 DOLOMITE D 1.50 Total Receipt Amount". 76.25 CRO94R90 LISER III: NANCY 1,5 98 BUILDING PERMIT APPLICATION (RESIDENTIAL)t?b Z? CITY OF FAGAN 312,09 3830 PMOT KNOB RD - 55122 681-4675 New Construction Requirements RemodeVReoair Requirements ? 3 registered site surveys • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes c_? No DATE: -7- t-2)- ? D ©©?? 11 DESCRIPTION OF WORK: ?"?V? lq«'N tvl? ' ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; ou_g 2q tQ Z-` STREET ADDRESS: 3 g g LOT: BLOCK: f rJV b t? r brlr J L SUBD./P.I.D. A . T ?O r'` T / ` ? ^ ?? ' ?? Name: eo eo n t kc Phone #: (O t 1 PROPERTY Last First OWNER 3`g6 S Add 1 ? I 4 ) ?f V e treet ress: OY 1 0 1 , City OL A a h State: M N zip: S 5 1 ZJ Z Company: "? A l? 1V?(34J d S s??. NG? Phone #: X07- Zg I ' 3 6 3 CONTRACTOR SZ Street Acldresslj%,, }4• (? Imo- 0, BOX S9 3 7 License # 0 11 City ?ds }? State: YYI !till Zip: S`5-703 ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inforrnati r s correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. '/ 114 r Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes _ No Tree Preservation Plan Received Yes - No Not Required / COMMERCIAL uS >i3? BUILDING PERMIT APPLICATION CITY OF EAGAN 651-681-4675 Foundation Only New Construction Interior Improvement • Structural Plans (2) sets • Architectural Plans (2) sets • Architectural Plans (2) sets • Civil Plans (2) • Structural Plans (2) • Code Analysis " (1) •• • Certificate of Survey (1) • Civil Plans (2) • Project Specs (1) • Code Analysis (1) " • Landscaping Plans (2) • Key Plan (1) • Project Specs (1) • Code Analysis (1) " • Master Exit Plan (1) • Spec. Insp. & Testing Schedule " • Certificate of Survey (1) • Energy Calculations (1) not aiways'- • Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Forth (1) not always- • Meter size must be established • Meter size must be established • Meter size must be established - if applicable • Project Specs (1) 1 • Energy Calculations (1) 1 • Electric Power & Lighting Form (1) •' 1 1 • Master Exit Plan (1) 1 1 • Fire Protection Plan (1)'• 1 1 • Soils Report (1) 1 • MGES SAC determination letter • MC/ES SAC determination letter MC/ES SAC determination letter call 651-602-1000 call 651-602-1000 call 651-602-1000 Contact Building Inspections for sample Foodrr& beverage or lodging facilities: Plan must be submitted to Minnesota Department of Health - call 651-215-0700 for details. DATE WORK TYPE _ NEW -)e REMODEL CONSTRUCTION COST SITEADDRESS 3g? ll 34"19 3881, 345s dal WAaL nv. TENANT NAMEXL1YIQt' ik- I CLWVJ,S - ly-lun,.yARrGnA4 SUITE# FORMER TENANT NAME DESCRIPTION OF WORK ke-rO&lz Name: LJrCa ryl? ft.,Axn v- Phone#: ( e691 ) (0 b n- CI a ? PROPERTY Last 1 1 First OWNER 3800 A e 0. kxr Dr. Street Address City LaQ GJl Y State mn zip SS I@ CD, Company r y t (J, t y 1(Sr v? C G)A • C O. Phone # (b I a )1 ?? /10-7 CONTRACTOR Street Address:5S KW I? C r-• Pf'LX-?li_1 -Ln Q AU{. S6 J ? M City cj State V t r zip C t' C/ Uh ARCHITECT/ ENGINEER Company Name Street Address City State Phone # Registration # Licensed plumber installing new sewer/water service: Phone #: 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 Ordinances. Signature of Applicant: C ,?'f `t i Yl o ? _ 1 v\VYY) Updated 1/C øíø ð þýüýû ÿþúþü ûÿÿ ýðùù ý áíí ÿ ø úùø ÷ÿÿç ýÿå ÿ ö ø ÷ÿõÿ ÿ ÷ç ýÿå ÿ Ùÿ ÿüý üÿÿ ý÷ÿ ñ ÿë ÿñÿ îùÿ ÿÿôý ÿ ûúýÿþÿ ý ÷ÿ ûæíã ááá ôþ ÿ ñçÿÿæðÿ÷ýÿñÿ ãâèèá ÷û ú îý üÿçàÿâèíèí éýýáûáêè öõ øôó ÷÷ý ñÿýüåüýð ÿÿ í ý ï ßÿñÿ þýüýôõþýüýôõ æêãá îÿ ÿù ý ÿüÿîýîýßÿ ÿýî ý÷÷ýý ýÿîýîÿò ñý ÿýýü ÿÿñ÷ îýý÷÷ýùÿúýÿ òôÿ ýúýÿ ý òþýüýÞ ýÿ è ÷÷ýä ÿ ñÿÿúüý ÿ ÿ úüý ÿ Use BLUE or BLACK Ink I For Of es Use I City 0l E~ ~ PennitiR nil I Permit Foe: ) `J I 3830 Pilot Knob Road I I Eagan MN 65122 Date Received: j Phone: (651) 675S6T5 I I Fax: (651) 675-5694 1 Staff: I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 9-~7'" Site Address: 3$77 94 Ti, R:3 -unit Name: d o A C '7 /,V)4 ..S 4 G Z M 1, u -X A-' C Phone: 7GA --f3-9';70 vll ler " Address/ City /Zip- TS ~ ID 4,01 7"u,e 4V A3 r2 p Goia E.y /r~ 5ry'x 7 Applicant Is: Owner X- Contractor TYRe;ai'm4rk Description of work: `T £~9,2 © a 2 E - r . Construction Cost 43 7 aU - CAD Multi-Family Building: (Yes I No. ) Company: 616 1 ~x7e.2~o,Q Aflh, 17 . 6aP Contact -bAv),& %O t- R 15 Address: yo 6 V "'L ST City: /h PZ. s . . , Phone: s te: NAJ Zip: License 4 C Lead Cerdflcate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) L3&ar- 460 1 L91 POs, J F7 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: INOTE'.;R( pnrld g I. M Try ~ '1 3 ".A' ro~v. ~:,/1c!i•',~.7Y,',. I '!T , ` ~ 1+"!"~i,_' P. f11.PlF~...' .M~}~'F'~ . '.I.. ~'Po'Vi .~~IYii.'.~. ~SyA 11"~'4Y;: 1'r,' f~,4 ~.,c.r.... CALL BEFORI= YOU DIG, Call Gopher State One Call at (681) 464-0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities, www.aooherstateonecall.oM I hereby acknowledge that this information is complete and accurate; that the worts will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be In mccoroance with the approved plan in the case of work which requirse a review and approval of plans. Exterior work auBtori¢ed by a building permit Issued In accordance with the Mlnnesota State Bulldin Coda must be completed within 180 days of permit issuance. x bA✓!ts %um, /S X Applicant's Printed Name Applicant's Signature Page 1 of 3 60/Z0 39Cd iNIVW 1X3 I3a L9Z9Z98ZI9 05:bi 6Z0Z/bZ/60 Use BLUE or BLACK Ink _ I For Office use ' aC~1 My of Ealn ~ t~enmit& I I vJ I Permit Fee: 3830 Pilot Knob Road j 1 Eagan MN 56122 I Date Recelwd: Phone: (661) 67545675 $taf~ 1 Fax: (651)675~6684 i I . 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: •x SkeAddimes:37-77, 3T79, 39S1, 3V83 t~vr►~~ Unit* Name: o% 4 6 ~i R*4 4 b -F,"( L A3 T w C. Phone: 7!0 3- rF 3- 9 7 7,0 Re$ident/ Ovinfer Address / City / Zip: *-TO Q Z c W -u R A IV, 64146f-,J A 1 Y IWA) J4r 4`17 Applicant is: Owner ,KComc for TY0'01,wi" k, 17ee0ip00n Of work f'Sw-e 1F- P::E PG 4-e-£.. L~ .+J ~1 b 1 ,6~ a 14 S r,S L Construction Cost I y Q4o• cro Muni-Family Building: (Yes,/ No Company: E 1 6e r- t e~ o 2 /"ih Aj"'r' . Cn RA Contact b4 ✓ r Address: ~/n s' (~1 looms -07', City: /y! PG S Craotar State: !'r1 Zip: Phone: Z • Y to ~ - to x V-3 License C- x Y/ / 3 ! Lead Cortlflcatie If the proj0d is exempt from lead certification, please explain why: (see Page 3 for additional information) gL4&S_ Q~rL7 Post' ~5~~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 morift, has the City of Eagan Issued • permit for a similar plan based on a masbr plan? -Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical ContracWr. Phone: Seviter & water Conbvztor. Phone: CAI I I`FO Y DI Call Gopher Sble One Ctdl at (fist) 45"M for proteCtlon epairot underproun0 Wllgr damage Cell 48 hours are you listen to dig to mw Iv* locates of underground utllWa& www;,oohenxamoneeall.ora I hmby acknowledge that this irlfolmaGon is COW1019 and accurate; that the worts will be in conforinv= with the ordinances and codes of the City of Eagan: that I understand thfa Is not a Penh, but only &n aPPlioation for a permit, and wont is not to start wlUiOtd a pemnIt: that to work Will be in aocorttance with the approved plan in the case of work which requires a review and approval of Weans, Exeerior work authorkod by s building pemut issued in accordt toe with die Minnesota Stela Buft Code must be oompMeed within 180 days of permit ftsuence. X ~afr~O ~d~2-/L/S ApplicAnra Prlnbd Name x Applicants Signature Page 1 of 8 b0/b0 39Cd 1NIVW 1X3 I3S L9Z9T98ZT9 0Z:t7T bT0Z/6T/Z0 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155499 Date Issued:05/20/2019 Permit Category:ePermit Site Address: 3877 Dolomite Dr Lot:13 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Samuel L Fields 3877 Dolomite Dr Eagan MN 55122 (920) 850-6829 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature