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3885 Dolomite Dr
CITY OF EAGAN Addition 2RI" HILL Owner C-4 Ji) Remarks ??- T10N Lot 9 BIk 1 Parcel 10-1$992-090-01 Street 3885 DOlcmite Drive State Improvement Date Annual Years Payment Receipt Date STREET SURF. 2. 1971 c el 10-0 000- 10-25 STREET RESTOR, 2-11 1975 03 10 S,o A01164 11-17-$2 GRADING 5c 1982 123.O4 24.61 5 73.84 S reet Surf G 1982 R 0.15 5 360.46 SAN SEW TRUNK 1966 15.69 tt tt SEWER LATERAL WATERMAIN WATER LATERAL r? 19T1 36.81 1. 64 12,89 A01164 11-1'j--T2 WATER AREA 67.21 4.46 5 35.85 tt It ** S/W Lat Stm L .r,5 1982 1431.44 286.29 5 858.88 STORM SEW TRK 5 1982 402.73 80.55 5 241.65 STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT RQAn nNTT 940 00 #30145 5-18-82 WATER CONN. T 420.00 - it tr BUILDING PER. 7279 SAC 525-00 n n PARK CITY OF EAGAN Remarks ?i U. IZ{ ?`12 Addition BRIAR HILL 3rd ADDITION Lot 10 Blk 1 Parcel 10-14992-100-01 Street 388T Dolomite Drive Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Z 1971 Paid umde parcel 10-C 2000- 010-25 STREET RESTOR. 1975 0.27 .03 10 8.09 A012276 5-31-83 GRADING 1982 123.04 24.61 5 73.84 " Street Surf 1982 600.76 120.15 5 360.46 " SAN SEW TRUNK 1968 33.61 1.12 30 15.69 SEWER LATERAL WATERMAIN WATER LATERAL 1 36-61 - 1. E14 2 12.89 A012276 5-31-83 WATER AREA TT . 1 4.48 15 35.85 to if ** S /W Lat Stm L n 1 1982 1431.44 286.29 5 858.88 if STORM SEW TRK A 1982 402.73 80.55 5 241.65 it STORM SEW LAT 19T1 20 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 240.00 #30145 S-18-82 WATER CONN. 420-00 13UILDING PER, SAC PARK CITY OF EAGAN Remarks D 1 U # l-; i ! r--? Z Addition BRIAR HILL 3rd ADDITION L Qt BUc 1 Parcel 10-1 992-070-01 Owner k)! 1 k 1 J)?) Street Dolomite Ve State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. Z 1971 Paid under parcel 10-0 20004 10-25 STREET RESTOR. 211 1975 0.27 •03 10 16.11 A011552 10-14-82 GRADING 1982 123.04 24.61 --5 98.44 of Street Surf 1660 1982 0. 120.15 -5- 480.61 SAN SEW TRUNK Q 1968- 33. 1 1.12 0 16.81 SEWER LATERAL WATERMAIN WATER LATERAL 16 1971 3 s 1 1.84 14. 73 A011552 10-14-82 WATER AREA 1977 7.21 4.48 40. 33 " " ** S/W Lat Stm L 1982 1431.44 286.29 5 1145.16 it " STORM SEW TRK 1982 402.73 80.55 322.19 if " STORM SEW LAT 1971 20 CURB & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 940-00 #30145 5-18-82 WATER CONN. 420.00 ++ +i BUILDING PER. 7281 SAC n PARK CITY OFEAGAN Remarks Addition BLAB HILL 3rd ADDITION Lot 8 Rik 1 Parcel 10-14992-QBD-01 Owner Street 3891 Dolomite Drive State Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1971 Paid under parcel 10-C 2000- 310-25 STREET RESTOR. 2,11 19T5 0.27 •03 10 8 .09 6 1-2-8 GRADING ?: 1982 123.04 24.61 5 73.84 AO 6 " Street Surf 1982 600.76 120.15 5 '1 o.46 IT ?r SAN SEW TRUNK q0 19W 3 3-2-83 SEWER LATERAL WATERMAIN WATER LATERAL 107 19T1 - 36-81 1.84 2.8() Ao11962 3-2-81 WATER AREA 177- 67.21 4.413 35.85 V er ** S/W Lat Stm L ',? 1982 1431.44 286.29 5 858.88 STORM SEW TRK c 1982 402.73 80.55 5 24 A STORM SEW LAT 1971 zu CURB & GUTTER SIDEWALK STREET LIGHT ROAD IINTT 2240.00 #30145 5-18-82 WATER CONN. 420.00 BUILDING PER. 7282 SAC 525.00 PARK CASH RECEIPT -?-? CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT a DOLLARS goo O CASH CHECK r FOR -:? r-'f 7 . ?':; `1'_ IS FUND CODE AMOUNT Thank You ?cl- , BY ?L White-Payers Copy Yellow-Posting Copy Pink-File Copy j CITY OF EAGAN 8795 Pilot Knob Read E696n, MH 55122 PHOHEt 454-8100 Assessment Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC BUILDING PERMIT Receipt # To ber and for Est. Value Dat e 14 Site Address Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone E T nlarge Q ype of Const. W Name move ? # Stories Address Demolish Q Length b ra,, tx.,..._ Grade 171 Depth Sa, Ft. o Name 0 ?u 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 Petmittee A Building Permit is issued to: all work shall be done in accordance with all applicable Building Official P% M d Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total on the express condition thno of Minnesota Statutes and City of Eagan Ordinances. Permit No. Permit Holder Misc. Permit No. Holder Plumbing 8 h- X'l?° 6 t A S?T7`8 H.V.A.C j (r fEdf?rSon 7-14 - wall Water Disp. Swear Electric W?(pSSS 0.S{ll?`ElEL 7.LT?$ Inspection Date Insp. Other Footings -)-g2 g w Foundation Framing i7 Rough Plbg. Rough HVA Insulation Final Plbg. ?J Final HVAC Final 1 Water Describe Location: Wall Sewer Pr. Disp. BUILDING PERMIT CITY OF EAGAI 5795 Pilot Knob Rood Eason PHONE: 454-8100 Site Address Lot Block Sec/Sub. Parcel # oc Name z Address r*.-. n? °L Name _ 0 Z °u§u Address MN 66122 Receipt # Erect ? Alter ? Repair ? Enlarge ? Move ? Demolish ? 1° 727 Occupancy Zoning Fire Zone Type of Const. # Stories Length Ft. Assessment Water & Sew. Police lrU WW Name Fire u0? Address Eng . i W Ci Phone Planner _ Council _ I hereby acknowledge that I have read this application and state that ff the information is correct and agree to comply with all applicable Bldg. O . State of Minnesota Statutes and City of Eagan Ordinances. APC - Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signature of Permittee I 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 ?" E A Z2 f h H.V.A.C. 1Fj q k ?? ?SA 7- `! Well Water Disp. Sewer Electric (J/foSSS ?????? Inspection Date Insp. Other Footings V-7-32- $ 1() Foundation Framing Rough Plbg. 4A) CY I' Z- Rough HVAC Insulation Final Plbg. d 77 8' W Final HVAC Final p Water Describe Location: WWII Sewer ' Pr. Disp. CITY OF EAGAN 71 !D 2 3795 Pilot Knob Reed Eagen, MN 531n " PHONE: 454.8100 BUILDING PERMIT Receipt # To be and for - Est. Value Date 19 Site Address Erect © Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Name Mave D # Stories Address Demolish ? Length r:... ot.,.._ Grade fl Depth Sa. Ft. at Narne ?pprvw?s O Address Assessment _ CI Phone Water & Sew. Police °f Name WW t-Z Fire uG Address Eng. .0a Ci 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 APC 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 MinnesoWgatutes Building Official 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 Plumbin g CoPkt- S 77 H.vA.c. pQ 3 -7- Well avatar Disp. Sewer Electric I to55 S rE 1EC 7 -Z 7 ?a L Inspection Date Insp. Other Footings -7-fsZ J Foundation Framing 04 , Rough Plbg. 4 Rough HVA Insulation , 7Q. Final Plbg O 1 i ff1 w Final HVAC _1 7- cJ q. Final 0 77 W Water Describe Location: Well Sewer Pr. Disp. CITY OF EAGAN + 8795 Pilk* Knob Read Eagan, IRAN 55122 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for Est. vogue Date 7 f 19 Site Address Erect Occupancy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. 19 Name lu move ? # Stories z Address 9 Demofish ? Length city Phone Grade ? Depth Sq. Ft. ae Name o Approvals Fees vU Address Assessment Permit F cit Pho Water & Sew. Surcharge y ne G °C Police Plan check Name F Fire SAC z C, Address Eng. Water Conn. U iW City Phone Plonner Water Meter Council Road Unit I hereby acknowledge that I hove 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 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 Stqtutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder Misc. Permit No. Holder Plumbing ? Ilr_? z7 $' H. V.A.C. q l' ?I@dl?rggi? ?-?q- Well Water Disp. Sewer Electric ( (a 557-5 /t?qf f JeC 7-Z7' Z Inspection Date Insp. other Footings S 7 ?rZ g W Foundation Framing Rough Plbg. N-12 4jew d- „? Rough HVA Insulation Final Plbg. Final HVAC Final Water Describe Location: Well e? Sewer Pr. Disp. Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee fill in numbered spaces S/C Type or Print legibly 1. Date - - 2. Installation Cost 3. Job Address Lot Tot. Tract _ 4. Owner " - ! %e5), . ? / '/ i I 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 Mfg. Air Handling: 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 S/C Type or Print legibly Tot. 1. Date . 2. Installation Cost 3. Job Address Lot C I Blk. 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 1 11. Type No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Mfg. Air Handling: 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 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 ? Alter ? Repair ? ? 10. Describe Fuel Type 11. No. EEqui ment BTU - M. Ea. Forced Air No. Equipment CFM Ai H Mfg. andling: r Boilers Mfg. Mach. 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 4548100 ,- t Receipt J PLUMBING PERMIT Permit No. CITY OF EAGAN Fee I Fill in numbered spaces S/C ! Type or Print legibly 1. Date ' 2G o L- 2 Installation Cost 3. Job Address Lot Blk. l Tract 4. Owner I l ( er- f-?oiv 4;-C i- tV I' J 5. Contractor ,,, alt, Phone Y 6. Address - c- " C , 7. City State ? A M Zip 8. Building Type: Residential Er Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No, Fixtures Water Closet No. 'Fixtures Cess ool /Drainfield / Bath tubs p Se tic Ta k Lavatory p n 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 T ot. 1. Date , _ tz 2. Installation Cost r U 3. Job Address ?.,7c Lot Blk. Tract "?lIf 3 k.i 4. Owner '? /? ??? ?? ?../< f 5. Contractor ? ,c Phone ?- 6. Address 7. City ' State Zip 8. Building Type: Residential B- Commercial ? Institutional ? 9. Work Description: New ? 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 i 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 < r,- Lot 131 k. Tract 4. Owner w??? { So•? f' ! ! 1 f ` 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential Q- Commercial ? Institutional ? 9. Work Description: New ? 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. I Slop Sink Gas Piping Outlets // +-i ?.; le- ; i 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 Approved when numbered and approved. CITY OF EAGAN 454-8100 CITY OF EAGAN WATER SERVICE PERMIT 3795 atlo? Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Ownt-r: 1`o1lefson Blc Address: Site Address: t t Plumber: ix ^i11 III Meter No.: Connection Charge: ' •' `'? Size: Account Deposit: Reader No.: Permit Fee: I agree to comply with the City of Eagan Surcharge: Ordinance, Mi Ch- By Date of I nsp.: CITY OF EAGAN sc. rges. Total: Date Paid: Insp.. 379.. Pilot Knob Road ' PERMIT NO.: ; Eagan, MN 55122 DATE: Z? ping: No. of Units: Owner: Address: Site Address: Plumber: 1 agree to campy with the City of Ordinances. By Date of Insp.: Connection Charge: 425 , AQ?.: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: rc PAGAN Pilot Knob Road MN 55122 WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Address: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: _ Total: Date Paid: N?- to comply with the City of Eagan of Insp.: CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: ` Owner: ' = G , .... . Address: o , tc -r , ?' Tr?r.r Site Address: Plumber: 1 agree to comply witb the City of Eagan Connection Charge: li' t Ordinances. Account Deposit: Permit Fee: Surcharge: By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: T OF PAGAN WATER SERVICE PERMIT CI Y 3795 Pilot Knob Road PERMIT NU.: MN 55122 E DATE: agan, Zoning: No. of Units: Owner: Address: Site Address: 7 ?`c7 •: at ?' ~ Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree to comply whh the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: B Date Paid: y Date of Insp.: insp.: CITY OF ItAGAN SEWER SERVICE PERMIT 3795 No Knob Road Eagan, MN 5512.2 PERMIT NO.: DATE: Zoning: ' No. of Units; 1 Uii i Owner: ` 3 c' f Address: Site Address:? iaolomite I 1 iL Plumber: _ _ .. Pvan 1 agree to comPly wlt 100."^o r r; the City of Logan Connection Charge: 4 7 ? . ordinances. Account Deposit: Permit Fee: BY Surcharge: Date of Insp" Misc. Charges: Total: Insp.: Date Paid: CITY OF EAGAN 3793 Pilot Knob Rood 'Began, MN 55122 Zoning: Owner: 01 efson n1, Address: Site Address: i. u. i t i Plumber: Meter No.: Size: Reader No.: 1 agroe to comply with the City of Egan Ordinances. By Date of Insn-• WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: ' uTli^ Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: > r Total: Dote Paid: C17 :' OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: viol: Address: Site Address: 3W Plumber: _ . Rvn, SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: III CITY OF EAGAN N° 7279 7795 Pilo Knob Read Eagan, MN 55122 - PHONEt 454-8100 BUILDING PERMIT Receipt # To be wed for 1 of d PT X Est Value $43,000 F Date May 18 _, 1922- . , . Site Address- 3885 Dolomite Drive Erect IO Occupancy R-3 L 9 Briarhill 3rd k 1 S Bl /S b Alter ? Zoning (PD) R-3 ot ac ec u . 10 14992 090 01 Re air ? Fire Zone NA Parcel # p . Enlarge ? Type of Const. V W Name Tollefson Builders Move ? # Stories z Address 1655 Norwood Drive, Demolish ? Length 32 C; aa an 55122 Phone 454-6873 Gmde ? Depth 44 Sq. Ft.- rkaner Approvals _ Fees o Name _ Zu 35 Address F 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. Signature of Permitter A Building Permit Is issued to: Tollefson Builds all work shall be done in accordance with all applicable of Building Official Assessment Water $ Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 2S1.Su Surcharge 21.50 Plan check 125.75 SAC 525.00 Water Conn,420 _ 00 Water Meter 60_-00 Road Unit 240-00 Total $1643.75 on the express condition than *.,&f-tCgan Ordinances. CITY OF EAGAN 3793 Pilot Knob Road Eagan, MN 33131 PHONE- 434-8100 BUILDIN9 PERMIT Receipt To be used for 1 of 4 PLEX Est.Volue $43,000 Date N° 7280 - 'r, -' May 1S _ iq 82 Site Address 3887 Dolomite Drive Erect Occupancy R-3 Lot 10 Block 1 Sec/Sub. Briarhill 3rd Alter ? Zoning (PD) R-3 Parcel # 10 14992 100 Ol Repair ? Fire Zone NA Enlarge ? Type of Const. V _ W Name 1`ollefson Builders Move ? # Stories Address 1655 Norwood Drive Demolish ? Length 32 CI Eagan 55122 phone 454-6873 Grode ? Depth_A4_Sq. Ft- Name Owner Approvals Fees 8u Address Assessment Permit 251.50 ~ City Phone Water 8 Sew. Surcharge 21.50 Police Plan check 125.75 F bj?a.. Noma Fw Fire 525.00 SAC uO Address Eng. Water Conn.490 .00 K City Phone Planner Water Meter HO-OO Council Road Unit 7an_nn I hereby acknowledge that I hove read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable AP l $1643.75 T State of Minnesota Statutes and City of Eagan Ordinances. C ota Signature of PermiHee A Building Permit Is issued to: Dollefson Etui rs on the express condition that all work shall be done in accordance with oll liable of Minnesoto Statutes and City of Eagan Ordinances. -Z 901z Building Official y,.A dae m r BUILD#NG PERMIT 000 Site Address aaav uototn> ue crave Lot • 7 Block 1 Sec/Sub. Briarhill 3rd Parcel # 10 14992 070 Ol W Name Tollefson Builders ZZ Address 1655 Norwood Drive CC, OO _ ACI_Gb11 0 Zu auk Name Owner Address Name _ Address 1 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: Tollel all work shall be done in accordance with all CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 N° 7281 Receipt # _- / Erect M Occupancy R-3 Alter ? Zoning (PD) R-3 Repair ? Fire Zone NA Enlarge ? Type of Const. y Move ? # Stories Demolish ? Length 32 Grade ? Depth 44 Sq. Ft. -_ Approvols Fees Assessment Water & Sew Police - Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit 251.50 Surcharge 21.50 Plan check125.75 SAC 525.00 Water Conn. 42()-00._ Water Meter60 - 00 - Road unit 940_0() Total 41ti42.74 _ _ on the express condition thni City of Eagan Ordinances. Building Official CITY OF EAGAN N° 7 2 8 2 1793 Pilot Knob Rood Eagan, MN 33122 PHONE: 434-8100 BUILDING PERMIT Receipt # S To be used for 1 of 4 PLEX Est, Value $43,000 Date May 18 _ 19 82 Site Address 3891 Dolomite Drive Erect to Occupancy R-3 Lot _8 B lockI_ See/Sub. Briarhill 3rd Alter ? Zoning (PD) R-3 P l 1 0 14992 080 01 Repair ? Fire Zone NA arce # . E T V nlarge ? ype of Const. W Name lbllefson Builders Move ? # Stories Address 1655 Norwood Drive Demolish ? Length 32 City Ea gan 55122 Phone 454-6873 Grade ? Depth 44 Sq. Ft. - Name Ownpr Approvals Fees Address ru.. 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: Tol all work shall be done in accordance with all Building Official 'r Assessment _ Water 8 Sew. Police Fire Eng. Planner _ Council Bldg. Off. APC Permit oi. ov Surcharge 21.50 Plan check 125.75 SAC 525.00 Water Conn. 420.00 Water Meter 60.00 Road Unit 240.00 Total $1643.75 on the express condition that and City of Eagan Ordinances. 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan I? 3830 Pilot Knob Road, Eagan MN 55122 Co + `?l ? (.,::5 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit t ( S b Date / 3 ? / I 1 o?'y b 4' Site Address ? ?1 0 I Unit # Property Owner Telephone # Contractor Street Address STANDAR D MONG 1 AIR COMMON CO- City State 410 WEST LAKE STREET p (X MINNEA Telephone # ( ) P 612.824-20M Bond #: Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 30.00 furnace -Additional -Replacement _ air exchanger X air conditioner New -Replacement other State Surcharge $ .50 Total $ 30•50 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 th City of Eagan and w' the Mechanical hat I understand this is not a permit, but only an application for a permit, and work i not to start wit t a knut; that th or wi be in accordance with the approved lan the case of work y?3,ic>?requires a revie and approval pi CC Ll c`7- / U U - X411? ( Applicant's Printed Name Applicant's Signa re JUN 1 7 2004 ^Toflefeon Builders Inc. 3616 EAST 55TH STREET 55417 727-3484 burbepor"o Certificate c REGISTERED UNDER LAWS OP STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY Or MINNEAPOLIS 41 F. C. JACKSON LAND SURVEYOR 67.04 DR YA ' 4 30 10 14 14 lv Or. 11314 183-71A ?LA I' • nE1t5T_-? C. rr ? /vF1 ._ 30.06 rn,N6.:c. a ? IC-' II2 PO f i 7 ?`• 14 114 I r- i QQ ? S V -?=-?_'?_ -- •• 104-.6 -7 1. ' vl I HERESY CERTIFY THAT THE ABOVE IS A TRUE AND CORRECT PLAT OF A SURVEY OF Proposed Garage Floor Elev. 104.0 Proposed Basement Floor Elev. 104.37 Lots 7,8,9 and 10,Block 1,Briar Hill 3rd. Add. Dakota County,Minnesota. AS SURVEYED by ME THIS 3rd. _-DLY of May A D 1982 SIGNED- F. C. 40. 3600 A ? ? e r :`i r_ _ it (h_a!{l 7i,C 1r F, 1l1 5) el ? (mho s L-.1?1?® f PL UT LT? E-7-'t ti C-1L??-? r hrrT+r«n PAFlT >' Fb ..C!1 CiT' a Ln? r?07( ADPz7.MT3 x? tD: .:? P Lt F L -;'z .C 'PIT, L±c? GO'i2T :ri^EC3 C, n"T F Art a 0 T C.= Ty OTAL "^_a 1 2,, C? r01079 w S rP: Lv JO WOfin .,?I {t r a.; r __ C >LT*_r1.P%C': % ii1?T,g r= r,. nrT h , n , TI.ICII LU7 3 r? C E?. TL54:iC? FII rc r? CL. 1,?, L r,?•rJ r 1. 1 to O t1YC L A:.; -. ITATIT? PAM, $ m'AC?^ rA!7 6? r7jr.^SL I;GLT 3 ?n0:'F, (? t;,, L1777 _7T! C'7 c 1. •Or --- --- a 1I ry> i t T C:v_^171C7 c2? ^01 ATT. C' x 11 i t'f.. t c:: ? ?. r. a• 9 n h1 a D;.T'AIL SR. FT REF%R ,Q( Fs -% j. FT S.,. FT. OH11I1 ) L; :;S JP}:RING; '9(=ct.o.a _ n + S77 9C? K l.blr. :O '1 i ? ? • ? .tea .S --... ?C T..h rJ, C? , ( Ia .??. C.' '.._-.. ..?1n L•L/ .. .. _."?i-"rt `?c?.:?? . S2 a.. i rr.T1O1? 7. .. 1 C tl li f i ? 6 }l i, l? . i 1 P Y flu,# VALHI; R SQ. POOTAGE ?. i' '..i.? Z..51) Lul'nI r va...n n t?l n1T i -, n I TCTA TOTALS SS (i7 ?r .C? 5 C16I11I1.'G:i ) T_)TAL`(11) A) VALTUR, 43 DIVIDh:D BY 'N!t'A1, 4,11L Aid- .m tw.n f. AVE;RAOF "U" ?ttl)1 u,r.ppq rJ L w iu CennR ?,1 IL"c??>c. 3ttc nrio,Jc Grtr,a¢ + I c M . '' t B ? t li i 1 - rsJ r T' N c c t n T? conic. Y3uc .,?,3rr,<r< a ie?6 GRr_n ? _1L5_.? r R• . { r 7 -ri r 121 .,(„ ttt.jlc'h? t?nu_ c+J It r-rrr? t.,.l "i -C}?TIRO ?>,?n?. ?. r4l t; -f7 ci, E,e 1 _ + 17 fj tt _` rs V'fr lfv ?r f +?? t p r? t f S ! CI:rLt. At C,grc 4C, 1 I / ?e a I l! i .-BFI/ "p+ftilSU t- Lor .c. t?Wnt,. c.. S._/-7?t ' '# t e /'rrtc. { f I?_ ,,?4 ??? CI -j ?j _ tDTnl.. 'c y? 1 ,D4,1 t , I 4 { Lo w e Tt W c , _u , rJ )! 7r +Af? +pl? ( ????1c Cl Lawn InJ Ft2oNT , , F Il t ___ _ - f p - L _ 9` PERMIT E12Y OF EAGAN 3830PTotKnob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55122-1897 Permit Number: 031111 (612) 681-4675 Date Issued: 11/14/97 SITE ADDRESS: 3885 DOLOMITE DR LOT: 9 BLOCK: 1 BRIAR HILL 3RD P.I.N.: 10-14992-090-01 DESCRIPTION: (PATIO DOOR) ktuij' ingm?P?ermit Type SF (MISC.) ?tri'lding W Type ALTERATION ?.en51Jea 434 ALT. RESIDENTIAL .0 F r +ws. a " ttp at= as da' ??aa € ati `ii `g,x z ric w REMARKS: FEE SUMMARY: VALUATION Base Fee Surcharge Total Fee $59.50 t.95 $60.45 $1,900 CONTRACTOR: - Applicant - ST. LIC OWNER: RNAN WINDOWS & SIDING INC 12816363 0008077 HERBRANSON DEB r' P 0 BOX 5937 3885 DOLOMITE OR ROCHESTER MN 55903 EAGAN MN 55122 (612) 281-6363 (612)405-9453 h ' ISSUED B'j L_ ? sib I- 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)4 CITY OF EAGAN / 3830 PILOT KNOB RD - 55122 681.4676 Remodel/Repair Reaurrements ? 3 registered site surveys ? 2 copies of plan e 2 copies of plans (include beam & whrdow saes; poured fnd. design; etc.) • 2 site surveys (exterior additions & decks) e 1 energy calculations e 1 energy calculations for heated additions ? 3 copies of tree preservation plan If lot platted after 7/1/93 required: _ Yes _ No ' DATE: }; '_9 97 CONSTRUCTION COST DESCRIPTION OF WORK: Tnci-.a i 1 new patio door STREET ADDRESS: 'I RPtr, T)n1nmif-.a nriva Q r LOT BLOCK _ SUBD./P.I.D. 3 m^ PROPERTY Name: Herhranson . neh Phone Ma -d0q-ae Rg OWNER .,. Street Address: 3885 Dolomite Drive City: Wigan State: -. Zip: 5522 CONTRACTOR Company: Rgan Windows and Ri di nn Phone #: SL1? - -I:ti aE Street Address: P.O. Box 5937 License#: ',0008077 City: Rochester State: r1N Zip: 559o3 ARCHITECT/ Company: Phone #: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water Iicer.Sed 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 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 Not Required L BL CITY USE ONLY RECEIPT #: 9 5CM5 S ? 4fS SUBD. 3, RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: D single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Ty ater eater 3.00 3.00 x x - In 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under construction 5.00 x = Water Softener ' for existing dwelling 20.00 x = .. U.G. Sprinkler 'fordwelling under const. 3.00 = U.G. Sprinkler 'forexisting dwelling 20.00 Alterations ' to existing residence 20.00 = Water Turn Around 20.00 = . Private Disposal System ' MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems' Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL 70.50 thereby acknowledge that t have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's respons!"I'- '-'s"`-"---'" -"'--- •-- egan assumes no liability for any damages caused by the City during its normal operational and mail HERBRANS, DEBRA this permit within City property/right-of-way/easement. 3885 DOLOMITE DRIVE SITE ADDRESS: EAGAN, MN 55122 (612) 405-9453 OWNER NAME INSTALLER NAME: ICI d21? LONA Ff &r-I 61 M!51 TELEPHONE* 1517-7-7v,1,45 STREETA/DD,?RESS: 2 CaArg-FIEL_-; G J? CITY: /y1I u0t;z4pou S. STATE: ZIP: r?5 0 8 RE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 SEDGWICK HEATING & AIR CONDITIONING CO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS. MN 55420 • (612) 881-9000 ADDRESS Ra f Wnwl? OCCUPANT cYll SOLD BY MAKE 1 U?Y 'Ij?/` o Q SERIAL NO. y 15 1(? CJ I THERMOSTAT VALVE LIMIT LIMIT SETTING _ FAN SETTING- PILOT TYPE IGNITION MODEL PILOT TIMING PRESSURE PERCENT CO, r INPUT CFH PERCENT O, a ?. STACK TEMP. PERCENT CO FORM 235 (REV. 11189) HEATING JOB N f(Z2 TEST RECORD n CITY rr OWNER INSTALLED BY MODEL 1-53`l AAV D?L-70 00 INPUT l71(1?(7 iI VENT SIZE) TYPE OF LINER C 11 1 LINER SIZE Z I NUMBER FILTERS: SIZE (.C'1?1??,Eili( 1 WIRING TEST TAG r LIGHTING INST DATE TESTED 10 COMPANY TESTING- NAME OF TESTER - FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY , /-lZIdeo CITY USE ONLY LOT BL tt'' 1 PERMIT SUBD. , a Y i1 I Y? RECEIPT #: q 30-?a RECEIPT DATE: 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN HN 55122 'J 651-681-4675 Date: Complete this section on if you are installing HVAC in a single family dwelling, townhome or condo under construction and not owner/occupied. • HVAC: 0-100MBTU . ADDITIONAL 50 M BTU • Gas outlets (minimum of one required Q $3.00 ea.) $ 30.00 6.00 State Surcharge .50 Total $ Complete this section only if you are remodeling, adding to. or repairing an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration - Repair Furnace 3?b f1 y?°I UD _ Air exchan g Other Air conditioning Other Fee $ 30.00 State Surcharge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: _ ja/ I K1LJto/uIt•L yy[? OWNER NAME: a'az PHONE #: 11261 _ (AREA CODE) INSTALLER'NfAME: PHONE #: (AREA CODE) STREET ADDRESS: CITY: y_. STATE: ZIP: SIGNATURE OF PERMITTEE 1f/?? L BL CITY USE ONLY ?_ RECEIPT Liap- SUBD. DATE' 11 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH TLQ. TOTAL Shower 3.00 x Water Closet 3.00 x Bath Tub 3.00 x - Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Ho - b113 3.00 x _ .ter Heater 3.00 x = Floor rain 3.00 x = Gas Piping Outlet " minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal " Dakota Cty. license 50.00 = (new and refurbished systems) U.G. Sprinkler " home under const. 3.00 = Alterations " to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 TOTAL 5? . . - SITE ADDRESS:-; OWNER NAME- INSTALLER STREET CITY: PHONE #: ( CHASE, MARY 3891 DOLOMITE DRIVE EAGAN, MN 55122 (612) 405-9827 STATE: ZIP: PERMIT #: tl q() 3 RECEIPT DATE: 2002 RESIDENTIAL MECHANICAL PERMIT APPLICATION crrY oir EmAN 3830 PILOT KNOB RD EAGM MN 55188 651481-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: - (001 SITE ADDRESS: ---)Z5 b 1 U G l 40 r - OWNERNAME: It_ L?l? ?f)i YYpIGI/Y\ ( TELEPHONE #: INSTALLER NAME: Pt L TELEPHONE #: 651- ` 5a-4e-3g ?t5A zoi$- cyoo5 STREET ADDRESS: I aTb P-?hOe_ 1 `S so CITY: ? V STATE: VY\ ZIP: 5 Place a check mark next to the permit work type Add-on, modification or alteration to existing dwelling unit $ 30.00 Q furnace replacement _ • air exchanger • air conditioner • other t1 (? Nature of work: Rt ?,t1 Le -t t i r VL 2L4 u State Surcharge $ 50 Total FEB 2 i?20OZ S © . SIGNA P PERMITTEE CITY USE ONLY 1/02 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: 8008 COMM ACIAL MECELkNICAL PERNH APPLICATION CITY OF EAem 3630 PILOT KNOB BD EAOM, AIN 55122 651-661-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #: TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: STREET ADDRESS: CITY: STATE: ZIP: TELEPHONE #: WORK TYPE: New construction Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and Plumbing inspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee . Contract price:. $ , . - `x (Base Fee) State'surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/02 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New construction Requirements Remodel/Repair Requirements 3 registered site surveys showing sq, ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan showing footings, beams, joist (20% maximum lot coverage allowed) 1 set of Energy calculations for heated additions 2 copies of plan shoving beam &window sizes; poured found design, etc, 1 site survey for additions & decks l set of Energy Calculations Addfi'on - mokato if onsite sepfic system 3 copies of Tree Preseival on Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) _Minnegasco mechanical ventilation forrin A-10 " ME Date a_ / :?e V-:l/ Q Co Construction Cost SC o/ Site Address 3 p ? L 16 M 'Ac -1? C Unit/Ste # Description of Work 11 -- l(?CQ Multi-Family Bldg _ Y _ N Fireplace(s) _ in??-' 0 2 n t • {? ? ? Property Owner 1 t K.La lrY? a 2 ? 1 b Telephone # (j fj J?? Oc O? . RENEWAL BY ANDERSEN Contractor 1920 COUNTY RD. "C" WEST Address ROSEVILLE, MN 5511-3 city State 651-264-4777 _ Telephone # ( ) LICENSE #20130983 COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Category 1 • Residential Ventilation Category 1 Worksheet (4 submission type) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work wilt be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; at the work will be in accordance with the approved plan in the case of work which requires a review and appr I ofplans. , pplicant's Printed Name Ap icant's Signature i -, Sub Types DO NOT WRITE BELOW THIS LINE ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex : ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage - ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work TVPes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 34 Replacement *Demolition (Entire Bldg( - Give PCA handout to applicant Description: Water Damage`Yes Valuation Plan Review Census Code SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) Footings (deck) , Footings (addition) _ Foundation _ Drain Tile Roof _ Ice & Water _ Final Framing Fireplace _ R.I, _Air Test -Final Insulation Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 100% or 25% Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 44 Siding ? 45 Fire Repair ? 46 Windows/Doors REQUIRED INSPECTIONS Sheetrock _ Final/C.O. _ Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath - Stone Lath -Brick Windows Retaining Wall Building Inspector vve ver 4b•r,?, 11LV dG. JV - - '? rna t o.y a f 1 .44*0 IMP{tMAL 131- ANDhItan . re : Juno 7, 2007 " - City of - - - 3836 Pilot Knob Ro Eagan. MN 55-122 To Whom It May C.onoarn: ElderJoties is authorized to pun Elder Jones to Provide this b 8 permits forltea=41 by Andes plena allow scrs?ice for us in Hagan. ?itfa enthotizatios? fis valid for ? beyond 6/6/0I: until a any to the Cyty_ enowai by Andematt ?PtsIY wakes ft to wilting I rccPest this sutfiiorizatfoa be our banding pormirs an ?d"expeclfi8ously, as to not delay in the p?ocessistg contacted at 763-5'02-4t6- Rlcasc can me If thctc m nny queWons:. r Zan be s Your ImmPfflabc attention to thfs matter f5- edrsret iarnt ' siuaei+ely, cmd'R.Rau 016ZationManager Renewal by Andersen Corporatiun ('.c.: Krrrn-Fddea?7onea ? M( .-- - -- - - - ?D"i0"•ba.naan 41 i wUU Received Time Jun. 7. 1107Pm. City of kali 3630 Pilot Knob Road Eagan MN55122 Phone: (551) 8755875 Fax: (651) 875.5614 Use BLUE or BLACK Ink For Office Use j Permitit IX13° Permit Fee: .° Date Received: 1/62 (0113 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Daps: 7' le— /3 Site Address: 3 8 8J, '3 I". 3 S 79,1V 9 / I l b G o'- r rt b t. . Unit 8: J Name: 4_/9SSoc,4.rio.J cZ. M,t.,A..64,011_47 phony 763- 5 -37A7 Address / City /Zip: i 02 2 £. .t",ss, 1,474e. Ah 01,404E 626./4', Ss 3 s/ Applicant is: — Owner iC Contractor '44 WOlc Description of work: 7-14A- o FA' .a Q d - Agro F Construction Cost: /i/s :46°,00 Multi -Family Building: (Yes )0 / No ) Company: t E/ ExrtR'0 m*rv:. �0.2P. Contact: b Li4 4..2/t/� Address: 1/c.5- t 6 c r• Sr City: /19,0G S State: /17A) Zip: - 3 41 !C Phone: GTR -b '4/-4.zy3 License #: G y // 3 / Lead Certificate #' If the project is exempt from lead certU9Cation, please explain why. (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No if yes. date and address of master plan: Licensed Plumber: Mechanical Contractor, Sewer & Water Contractor Phone: Phone: • Phone; NOW snr ' e: : Phos 'lr'1,+�l►tigr Pas' CALL BEFORE YQU DIG, Call Gopher Stsle One CMI at (651)484-0002 for protection against underground utak( dameye. Cal 48 hours before you intend to dig to receive Incites of underground utilities . me,stagiscobsweoliGut I hereby acknowledge that this adonmatkun is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan: drat I understand this is not a permit, but only an appkation for a permit, and work is not to start without aPerm b I that the work WIbe In aCCOrdance with the apptovetl pion in the case of worst which requires a review and apprrnJ cf pram• Dander work authorized by a bulidbng permit Issued in accordance with the Minnesota b Bullring be completed within 180 days of permit Issuance. Applicant's Printed Name TO/T0 39 d Applicant's Signature Page 1 of 3 1NItiW 1X3 Iia L9Z9T98ZT9 LT:OT ETOZ/9Z/L0 Use BLUE or BLACK ink I For Office Use j Permit 501 City of EaElan 3 , t,~ Peet I:ee. -73830 Pilot Knob Road Eagan MN 66122 i Date Received; t 0 ` E I Phone; (661) 6755675 1 I Fax: (651) 676-6694 I Staff. I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3775,3M 3Y~i, 3 g 9 ~ ~o 4o wa r r ~ bit. _ Unit it; Name: 4-0 f~ G Y /V A r.J 4 4,L M E A.) 7- Phone: •743 - S9 3 ~ 7 7 a OVm. or ' Address / City /Zip* 95 iD E C A Yv,Q AV ,t~ ,2 p ~oe~► E.J 1~rK~i' Applicant is; Owner 12C Contractor . Type_ o *Q'. Descriptlon of work: -7--1,+f2 Construction Cost: Multi-Family Building: (Yes No Company Ex -f->:2~aR 0147a . 611'P ~r~v~~.~ I r S Contact Address: Voss E3 61)"t S~ . City: PL S . state: Ni j Zip: 575,V1 9 Phone: 6 License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~LD(o5 t.aE2E. 4 " I L r Pos7 l g7 F 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: INOT,:;.PJB ~@:.~j~!t~i~/i9R; , .,G9"17~P ; : , ,,,s; tf ,,,,,,fi~ee ,ri.:r~'•i>' .:,~•.•i. .:gip.-..• J,.ti, ~Y~r .G .ii ..I. .a.. ;it??'. I"•.a... W . J .f 4.I~c!....,_'-... trlY.1~i¢+'~:y;:,_, •~''~'ry'~,'f ' CALL 13EFORI= Y U DIG. Call Gopher State one gall at (651) 464.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utillties. www.aooherstateoneaall,or„g 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 worts is not to start without 8 permit; that the wok will be in accordance with the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota State Buildin Code must be completed within 180 days of permit Issuance. X bAV/N q, ID s x ApplicanCs printed Name Applicant's Signature Page 1 of 3 £e/T0 3J7d 1NIVW 1X3 I3$ L9Z9T98Z19 9Z:bT £TOZ/T0/0T 411' CityofEaaii 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 8754675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Office Use Permit .1`b9/3 Permit Fee: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -7-/y site Addrt;,ss:309s", 3 F ]eS9, 3v9/ iot,.OMoT 62. unit p: Resldenv Owner Name: eJC 4t' ,e,s 46£Is£A;"i .�•J C. Phone: 74 -S"!3- 977 Address / City / Zip: :SO D C t4 ru Q 4v, , , 2 A Gol. E.4..1 i4 r /x7.0 Ssin7 Applicant is: Owner 2f Contractor TYPe of.Work, Description of worle f.•K e C a• {C E AL A -c- f- 1/ D / P.6's / a AIL 7-4 L - Construction Cost /14 gar), G1D Multi -Family Building: (Yes /No Contractor Company: a E I £,r - a 2 ii%i ex -r- . CaAP. Contact Nur 0 av/iu/ S Address: VP -3- (.) tc)01.1 ¢• City: /h PL State: /'7^S Zip: 5-3-4// g Phone: Col z ' 8 to / - Co 24/3 License d: 4.3 C- 2 %' / / 3 J _ Lead Certificate #: If the project is exempt from Toad cert1f cation, please explain why: (see Page 3 for additional information) lnpLl,(pSPas7Y' COMPLETE THIS AREA ONLY IF CONSTRUCTING A MENfilUILDING In the iaet 12 menthe, has the City of began issued a permit for a similar plan based on a master plan? ___,Yes _No If yes, date and address of master plan: Ucensed Plumber: Phone: Mechanical Contractor Phone: Sewer & Water Contractor: Phone: CAI,, BEFORE (OU DIG. Call Gopher Stater One CaII at (651)4544002 for protection against underground utility damage. CaII 48 hours before you intend to dlp to receive locates of underground utttdies. www.00pharstafAonecaii.ona I hereby acknowledge that this Information is complete and aowrate, that the work will be in conformance with the ordinances and codes of the City of Eagan: that 1 understand this is not a permit but ordy an application far a permit, and work is not to start without a permit: that the work will be in accordance with the approved plan in the case of work which requires e review and approval of plans. Exterior work authorised by a building permit issued In accordance with the Minnesota State BuildingCode must be computed within 180 days of permit Issuance. x 4 ✓' 4 %24,2-2, Applicant's Printed Name E0/Z0 39td Applicant's Signature 30.e.,7 7'3 Page 1 of 3 1NI 1 1X3 I3S L9Z9I98ZI9 ZI:Oi t?tOZ/L0/E0 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166464 Date Issued:01/12/2021 Permit Category:ePermit Site Address: 3885 Dolomite Dr Lot:9 Block: 01 Addition: Briar Hill 3rd PID:10-14992-01-090 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Mary L Nelson 3885 Dolomite Dr Saint Paul MN 55122--161 (651) 402-0541 Noah Acquisitions Llc 5718 International Pkwy Brooklyn Park MN 55428 (612) 822-5292 Applicant/Permitee: Signature Issued By: Signature