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3255 Random RdCITY OF EAGAN Remarks ,4ddition SELMARK 11DDITION Lot 4 Ownergl4flr& f????h 'L- Street 3255 Random R08d k 1 ParcellO 67l00 O4O OZ State Eagan, M 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 53.00 2.12 Z PBid iE SEWER LATERAL 1973 1 OO OO 11 WATERMAIN WATER LATERAL 1973 1 WATER AREA STORM SEW TRK 1984 466.00 31.07 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 220.00 6674 - 10-27-72 BUILDING PER. SAC 240.oo 6674 10-2 -72 PARK INSPECTION RECORD CfTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: 11,1 0004 W, APPLICANT: I:oW ; I ? ili3llll PERMIT SUBTYPE: TYPE OF WORK: FrMnirp;S: }tt t°L-JF, 1 fl F L 7 I Permk No. Permft Holdar Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Insp. CommeMs Footings I Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Pibg. Inspector - Not'rfy Plumber Const. Meter Engr./Pian Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT ;"' -:ttj;), ReceiPt # To be used for ' ;r' ck Planner Council ition and state that Bldg. Off. with all opplicable Ordinances. APC Site Address 3255 ?a??dom !`d. Erect 0 Occupancy Lot Block ` Sec/$ub. "oLa?? ???' Alter E) Zoning Parcel # Repair ? Fire Zone _ E I T f Co st ? z 0 w 0 Z °u uQ ? ? u ? W W ~Z u? ?W idChard DRhl n arge ? ype o n. Nome . Move ? #k Stories Address- 3255 ,-kf Demolish ? Front ft. City Phone Grade ? Depth ft. Approvals Fees Name _ Address Assessment - Woter & Sew. _ Police Name - Fire Address - Eng. I hereby acknowledge that I hove read this appl the information is correct and agree to compl $tate of Minnesota Statutes and City of Eaga Signature of Permittee - A Building Permit is issued to: `all work shall be done in accorddnce with all o 77 Permit 5+u{? ? Surchorge Plan check _ SAC Water Conn. _ Woter Meter Toral 5.50 ? on the express condition that Stote of Minnesoto Stotutes and City of Eocon Ordinancas. N° 4301 Building Official PamM # Dats laued PwmNtu Plumbing Mechanical INSPECTIOMS DATE INSP. Rough-In Finol Footings Date Insp. Date Insp. Foundation Plumbing Frame?/ ins. Mechanical Final f'- ` - INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• APPLICANT: • ;?:e?rfc?r? ka ? ,?r:,;: PERMIT SUBTYPE: TYPE OF WORK: ;it < <; P ? ??tJ t-M i t I" t N :' f; 41 ?. 1 ,} ?.,<.?.rnf, K1: fiAh:t.f rtr 1., ( !.i W, i INSPECTION D• • DA / ' C • ? J ? ? v F L Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC Inspection Date Insp. Commenta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 1 1 1 1" 3830 Pilot Knob Road Permit Number: Ea an, Minnesota 55122-1897 ? ' • 9 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: . riilf:! l i f fiN INSPECTION D. • .A , . . , ? , , , . , , , . t ; ?, t ??3 f, it i i 1 #„E ?!I t: Y n I h i ii,'a ;? +? Pertnit No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ? /TJ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL - DECK FfG DECK FINAL ? ?; i r _? C17'Y of EAGAN N? 3868 BUILDING PERMIT ? 3795 Pilof Kaob Road Owaer .. .. .1.L..?.Y..?........?l•l ?":?? .................. . ... Eagan, Minnesofa 55122 Address (preseni) ...???:5...?Y?.?Q..f2!':1_........?? 454-8100 Builder .....................??.G.Ri.ry!1.:?• -............••••.............••••••••••......._.. ~ ...?.?`... :??.?..,?.F... Date . .................. Address ........--•-•-• ............................................................................... DESCRIPTION Stories To Be Used For ? Fzont Depth Heigh! ?? Esl. Cos! ? Permit Fee ? Remarks i / S ?rr ?P , ?' `? e ? / PQ ?' ?i d LOCATION cJ / / Street, Road or other Descaipfion of Localion ?_ Lo! ? Slock ? Additioa or Trac! This permi! does noi sulhorize ihe use of sireets, zoads, alleys or sidewalks nor does i! give the owaer or his agen! !he righ! !o create any siiua3ion which is a nuisance or which presents a hazard to !he health, safety, convenience and general welfare !o anyoae in !he communiiy. THIS PERMIT MUST B EP?/'?N T PREMI$E WHILE THE WORK IS IN PROGR SS. This ia 3o cer4ify. lhat. '?1.....?/.-???._..._...•••••-••--•._.......has permission to erect a.....,?L?..?{..'l.L.Cr..? ...................................upoa the above described premise sub" to fhe provisions of all applicable es for the of Eagan. ZIY? ? ..lel.? •--. •- •. . . . . .. . -• - • ...... ...... ...... .------------------ •-••--- ....... _.....?...--•••--•-•......_..._... Per ••-••• •---• ??? ..._ J __ ..... .......................... Mayor Building Inspeclor ? Eagan PERMIT NO. .-•-----••------------ tl ''ownship ? Dakota County, Minnesota D a t e P. r:_..S - ) 9 ?? - -t ...-•---...... ` Apglacatioa? for Bnilding Permit ?7Type of building or work contemplated. Circle correct de scriptions. Residential Commercial Industrial Other...5.................................................. NQL.?Q?? Enlarge- Alter Repair Install Move Wreck 02her....... ----•-•.---•-------•---•-------•---•-----•-••--•-•-••---•••----.. Dimensions ..._ ? _. ? o Cost.... 3??•_................. Details or remarks..... .................................. ..... =............................... -.................... .----------------------------- -.................................................. ----- ---- Location Number Street Between whaY cross sireets Sizo Est. Valuation 'aa5? HNjom j • I ?A ?.?. L2. ? ?r'"? • I ?S U . `'-U • Lot Blocic Additnon Rearrangement or Tracf `__ 4 ? I '?5 e- ? YYl Q. r k PAA ? +i' t) r1l Owner E1.L? ......... . .. .. ?-- ......................................... - . Address ?a55..... ?andQ-m--•-?Q?. °= -•.... ••---•-------•------------------------• Contractor ................................................ Address P`5........................................................................ ....... The undersigned hereby makes apAlicaiion for a permit to $ do work as herein speciffied, agreeing to do all work in strict Total fee collected. accordance with the building ordinance adopted April 11, 1955 by the Eagan Township Board of Supervisors. Permit fees are not . refundable. ? ?_:...----•- --••• ° --- --- °-••---- - --?z??.--•--•-••----••-••- 5igned CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 PHONE• 454-8100 • ???°? BUILDI?IG RER ` MIT APPLICATION $400. Receipt #? used for To be Deck Date May 3, ? ?q ?? Site Address 3255 ?andom Rd. Erect ? Occupancy Lot ? Biock 1 Sec/Sub. Seltuark AddA. Alter ? Zoning Parcel # Repair ? Fire Zone - Enlarge ? Type of Const. ? Name Richard Dshl Move ? # Stories ? Address 325? RStldOm Rd. Demolish ? Front ft. ? Cit Phone 454-8936 _ Grade ? Depth ft. ? ??e Approvals Fees Zo Name ?? Address f" !`:+., Phnno W W Name _ ? _? Address Phone 1 hereby acknowledge that I have read this application and state that the information is correct and e to piy h plicable State of Minnesota Statutes City Eaga Ord nces. ? $ignature of Permittee ? Assessment Water & Sew. Police Fire Eng. Plonner Council Bidg. Off. APC Permit S.UU _ Surcharge •5? Plan check SAC Water Conn. _ Water Meter Total 5.5U A Building Permit is ?ssued to: Rf ch rd D hl on the express condition thot all work shall be d n acco d ce i -apptiiubie State of Minnesota Statutes and City of Eagan Ordinonces. Building Official 13uM? ?-- ??- EAGAN TOWNSHIP ? BUILDING PERMIT Nm 2869 Owner ...... ...•••-••-??•.... •co =--•••-•••••----•--•-•------- Eagan Township Address (Preseni) .- I Q-Z-? a•--- ••- ................................................ Town Hall Builder .••••• .................•------•••--••-•--••---....__....-••-----------••---••-••--•----•••--.• _. ? na:e ...___a_-.?9 .._=? ?- ...=•--•------. Address ----••--------•• ...............•----•-•.---.._._._..---•--------•-•-•-•----•--•-•-•-••---•---- DESCRIPTION Stories To Be Used For Fron2 Deplh Heigh! Est. Cos! ' Permi! Fee Remarks ? /7/ /o-a `?a' o v /' °-.o /a 5, " LOCATION (, a , o-y Street. Road or other Description of Locaiion I Lo! Block Addition or Trac! c.3 ?.?`S". ?`--a'?? -' /?-'?'- I /7C / ? ? .J This permit does not suihoriae the use of sireets, roads, aileys or sidewalks nor does it give the owner or his agent the righ! !o create anp situa3ion which is a nuisance o: which presen2s a hazard !o the heallh, safetp, convenieace aad general welfare to anyone in the communily. THIS PERMIT MUST BE KEPT ON THE PREMISE WFiILE THE WORK IS IN PAOGRESS. , This is io certify, thai-----•---.......'_'.`.'.°e..-.....--••--•.has permission to ereci a......... .......... ....°..?...`.?..'.?... ....•-•--....._upoa the above described premise subject fo the provisions of the Building Ordinance for Eagan wnship adop2ed April 11, 1955. .. ... ............................ ....... ........................................ Per •-••••-•-•-••-----•--•--••---•--•-•••--••----•----•----•----•--•-.....-...--..--•-• ................... Chairman of Tnwn Board Building I?pector ? ,25 q -i J,?,ft m e, k,- VILLAGE OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 PERMIT NO.: 2$? The Village of Eagan hereby grants to Ray W. Mter Heating of 4637 Ch3aaga Ave. so., Mpis. 55407 a ????TIIIG Permit for: (Owne-r) Sal1y Co. at 3255 Rantim R.oad 11 /21 J72 ? , pursuant to application dated . Fee Paid: $20' 500 dated this `8th day of November ' i9 72 . ey4e . Building Inspector 1 echanical Permits: Bid Totalc 166 lJ?Ztl v/ _5'e / n-7ar4 VILLAGE OF EAGAlV 3795 Pilot Knob ttoad Eagan, NIinn.esota 55122 PERMIT N0. 2$1 The Village of Eagan hereUy grants to ThQH?paon P1.Umbixig 00. of 12201 Minnetonlca Hlvd,, Nimetorka 55343 a PLtJM$INQr Permit fors (Owner) Sal4 CEampaW 3255 iidc?m Rcaad & 10/27/72 at??.??,???s? , pursuant to application dated , Fee Paids _,' Q.Qp dated this 30th day of 4otOberl ? 72 ? , 9 1 . 8c Building Inspector ' Mechanical Permits: Bid Tota1: -*- a?6 ?/' :???`::.`?{ i?4 ??? i'C';,?' 1;5;:'?C i?(Y(,:+°,i :?r:? ?•'? J!:':' ?? i?, i;C i;C `?{ I?+:?: Sv'7;i)q 7? ??S I,\ liC IL t?' )! r! ?f );: •n ? P ? . .r.b. ..?. h P ? i r..:[-rY O!- ?.:"AGAN CA::}HI3'.Ri S 7r,:.F'.MINlti... Nlt:l?' 7 j.15) DATE,, 04/R9/98 "t':EME,; 15c4008 ['-J AM E ,. ?31!.1.':3':iE::?.._ (31:}RF• "ai:y:l.O 9001 :iiar.i•.`:i P4.PiNDC1iv RD 9.c4a7i _..•..1..., r:,i : ?r.rcr 3•• • F????'t..l:?(.)t ? ? ?:•. ??.I• 3.50 ?::•w: .. ?????l:i. :.#c..,a...? ? -rC_t•1:'. ('tel':'e:Cp'i: Aff7f:iuFl'I:,; 12f:?.25 i.,R0ra06i{ U~?Ett. i.D;°, NtAlNt..,Y •1: j.?" t?l• 1 1 .4i ?4)? I?:I..yliyt?.?...i.??4 .Ir•.?i:'r..?.?4•.' .4}' •li?•r?y : ii y:ir??? . . 3n:it..r?. s,f,'A ??i??? .??..?f};,r..;:.,..ir:.?tin.7{????:?vp.y..i?:;Cir..}'.i?:,y?..,{?;.i???r?p.:,: ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT PERMIT TYPE: B U I L D I N G Permit Number: 031872 Date Issued: 04/ 2 9/ 9 8 3256 RANDbM RD LOT: 4 BLOCK: 1 SELMARK P . I . N . : 10-67100-040--01 DESCRIPTIOIV: GARAGE/ACCEssoRY Aaaxrrarv 438 aL-r. GARaGE ? 1,11 ? ?? ? A ? REMARKS: A SEPARA`1`E pEf2MTT TS REQUTRED FQR ANY ELECTRICAL WqRK PI.AN REVIEWEp BY MIKE BAFtGK FEE SUMMARY: Base Fee 5urcharge Tota1 Fee VALUATION $124.75 3.50 $128.25 $/ q [f iC1 8! CONTRACTOR: - A p p l.i c a n t - 5 T . L I C QWNER: SUSSEL CORP , 16450331 0001934 DAHL FtICHARD 1852 GOMO AVE 3255 RANDOM RD 5T PAUL R9fd 55108 EAGAh! MM (512) 645-6331 (612)454-8936 ? APPLICANT/PER TEE SIGNATURE BY: 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) 3830 PII.OT KN B RD 55122 ??` ?';?'I? 681-4675 New Construdion Requirements ? 3 registered site surveys ? 2 copies of plans (inGude beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No DATE: L4-)?' DESCRIPTION OF WORK: -Y 29? STREET ADDRESS: A E LOT: ? BLOCK: SUBD./P.I.D. #: .1J?O,VYhI?n??, Name: pac, / 1-)4 4Ly1 G? Phone #: PROPERTY Last First ' OWNER Street Address: ? City S e: Zip: Zyn R&%" ?e ^?? Company: Ll-?s ? Phone OLS-S ? CONTRACTOR ? Street Address: ? ?f ? p 71 u ?? License # ?- State: A?? ?'?"! n Zip: / ?Q City ARCHITECT/ ENGINEER Company: Name: Street Address: City RemodeVRepair Requirements ? 2 copies of plan ? 2 site surveys (exterior additions 8 decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; I 1 4 1412, dp A- 11 Phone #: Registration #: _ -40 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 information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received Yes No APR 1 Z ow Tree Preservation Plan Received Yes No Not Required ,,,, .,.,.. OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling O 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New O 33 Alterations )Z? 32 Addition ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging D 0 12 Multi Repair/Rem. ? ?21< 13 Garage/Accessory ? ? 14 Fireplace ? ? 15 Deck ? 36 Move ? 37 Demolition Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy sq. ft. Zoning sq. ft. # of Stories sq. ft. Length sq. ft. Depth Footprint sq. ft. APPROVALS ? ? :;kTrz 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Planning Building Engineering Variance Permit Fee Valuation: $ '7, ????? • ° Surcharge ? Plan Review t?, License ' MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/VV Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies -- t - Total: / A4 S -7 _L ? % SAC 1 T 1 ' .. SAC U,?n„it ?J , a. . .: .,..??r.,...a,.?? . g . S?- -7 G V-a -c-; c-} reN 1? L v ? '? ?-?.+•? ?''_:?c_? ?..?:, c " - ?.? • ._ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITEADDRESS: P•I'N•' 10-67100-040-e1 APPLICANT: LOTs 4 BLOGK: 1. 3255 RANDOM RD DAHL SELMARK (612) 454-8936 BuILnxNG 026916 12/29J95 RICHARp PERMIT SUBTYPE: TYPE OF WORK: FI12EP LACE NEW DESCRrP1"ION (GAS) w CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10-67100-040-91 PERMIT 3255 RNNDOM RD LOT: 4 BLOCK: 1 SELMARK PERMIT TYPE: B u I Lo x NG Permit Number: 026916 Date Issued: 12/29J g5 DESCRIPTION: (Gas) Permit Type FIREPLACE 4????°k T y p e NEW deN 0434 ALT. RESIDENTIAL ? ? ?" ? .< { ?g nw ???& REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge .50 Total Fee $25.50 CONTRACTOR: vvv114 crs: - Rpptxcani: - t]AML RICHARD 3255 RANQOM RD EAGAN MN 55 (612)454-8936 CITY OF EAGAN 4 '.5. 3830 PILOT KNOB RD - 55122 1995 FIREPLACE PERMIT APPLICATION fi81-4675 oA-rE: ?- DESCRIPTION OF WORK: INSTALL NM FIREPLACE: WOOD BURNING ? GAS INSTALL GAS LOG ONLY IN EXISTfNG FIREPLACE INSTALI. GAS LINE ONLY IN EXISTING FIREPLACE OTHER: AREA TO BE INSTALLED IN: -? ?-? /-- >- - J?7 STREET ADDRESS: -2 ? -j " LQT ? BLOCK SUBD./P.t.D. #: APPLICANT: (circle one only) OWNERi CONTRACTOR 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. alj-lzl PROP?ERTY Name: /?_ Phone #: OWNER `"St Fl"6' Signature: Street Address: ?'ilty: fIREPLACE Company: iNSTALLER Signature: Street Address: License #• City: GAS LINE Company: INSTALLER Name: Phone #: Phone #• Signature: , Street Address- City: State: Zip: ? f State: ?r? rLLt?- Zyp: State: Zip• OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New a 32 Addition 0 33 Alterations 0 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before conceaTing. FEES Permi# Fee Surcharge Other Capies Total: INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: B u r [- 0 1 j! (i 3830 Pilot Knob Road Permit Number: 0 <' 0 2:3 :3 Eagan, Minnesota 55123 Date issued: 01/ 3. "1J93 (612) 681-4675 SITE ADDRESS: LO.i. e 0004 BLn ?, Ke 000 APPLICANT: 3255 RANDOri R? DAHL RIcHa?? ,)F.LMARK (61.2) 454_8936 v PERMIT SUBTYPE: FxREPLAcE TYPE OF WORK: NEw REMARKs. REcEr_???' 4t .. e: . A e? ? e? ?e e: e e, e ?ee , e , ee e e e . ? .? ;. . e e ? e: . _ PERMIT ? CITY OF EAGAN ?3830 Pilot Knob Road PERMIT TYPE: B U .1 ?„ r7 :t ?,? G , Minnesota 55123 Permit Number: 020233 Eagan (612) 681-4675 Date Issued: SITE ADDRESS: 3255 RAn,D,.:7i? ?D Lca'r; 0004 BLracKa 0001 ??? ?ARK Pe I.N- d 10-- 6, 100- 040--- a a. DESCRIPTION: El FIRrPLAc.E r? EW ° %? ??P?? ? ? ????_ ? ? ;? %M? ?. m??am REMARKS: R C c: E a: P r. ? ? Q,-20-9 ?--? FEE SUMMARY Base Fee $;%, .o(A ;i GA r r: h u'r g E' __...??..?..._.._.__..W......_..?............4 ?a ?i? l`c) t:a.L i=c, c 1>2 5 e 5 0 %.vIIA I nm%. I vn. vrr?T L-1 i. _ n}.F." y?„1:a?. 1 DAiil_ RTC;FiARC7 3255 RANDQi+1 F?D ch1(:;A N MP! 551 (612}454--8936 RMQlf? I RA APPLICANT/PERMITEE SIGNATURE ISSUED Y: IGNAT RE _ • - -. -.. ` - REACTIVATE _ PERMIT # lk , ? 23.3 CITY OF E AGAN 1993 BUILDING PERMIT APPLICATION 681-46 ?75 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. !I l COMMERCIAL ?l & structural plans, 1 set of 2 sets of architectura specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed?lor 3) lot change is requested once permit is issued. II Date Valuatilon of work Site Address• II STREET SUITE # I I' Tenant Name: (commercial only) LOT ? BLOCK SUBD. ? , p ,---f?.?11??,G De s cr i t i on o f wo r k: The appl i cant i s: Owner ? Contractor ? Other (Describe) Name ' " L ' a_rd-?ll Phone 4S4 - $9 3[,o Property LAST FIRST II? Owner Address 3';?5?s- STREET II STE City ?? ?.. il State rnAi Zip S-SI P- 1 ll Company _ Phone ii Contractor Address ?II License # Exp. City State Zip Company Phone Architect/ , Engineer Name Re9istration # 'I Address City State Zip Sewer & water licensed plumber I? Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable $tate of Minnesota Statutes and City of Eagan Ordinances. . I? f l icant: ? App [Signature o OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex ? 02 SF Dwg. 0 07 4-Plex ? 03 SF Addition O 08 8-Plex ? 04 SF Porch ? 09 12-Plex El 05 SF Misc. 0 10 Multi. Add'1. WORK TYPE ? 31 New Q 33 Alterations O 32 Addition ? 34 Repair GENERAL INFORMATION Gnnctz (artual) Basement sa. ft. (Allowable) lst F1. sq. ft. UBC Occupancy 2nd F1. sq. ft. Zoning Sq. Ft. total # of Stories Footprint Sq. ft. Length On-site well Depth On-site sewage ? 11 Apt./Lodging ? 12 Multi. Misc. O 13 Garage/Accessory ? 14 Fireplace ? 15 Deck ? 35 Tenant Finish 0 36 Move ,.; . ? ?? Bame'1 ?taFi? i sh ? m Poo ? 18 Cortun./Ind. ° O 19 Comm./Ind. Misc. 11 20 Public Facility 0 21 Miscellaneous ? 37 Demolish : MWCC System . City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code APPROVALS Planning Building Engineering Variance REQUtRED INSPECTIONS ? Site ? Footing ? Framing ? Wallboard 0 Final ? Draintile Assessments ? Insulation ? Fireplace Permi t Fee vatuac;«,: $ Surcharge Plan Review II? L'iLcense 1. . . . . ., , . .. . _. .._ .. _._- - - i`II?f,er. SI1/? City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit , Park Ded. Trails Ded. Copies Other Total. SAC 96 ? SAC Units , " vate : 7 7 . BUILDTi1G PEMIIx APPLIVATIO?T T,OT^?? BLOCK ? AD-DI{IoiJ _-, T,CET., & ST"Cf IOT3 I1Li11BER IF' Ui3PLATTED M:D.":: i .? .'.. .y QCCUPAL?SCY USp _ .. ..,? __ .. ? ? mELEPHotqE 110.?f??' TELEPHOM TTO . EW:-RESS ---- T:Iote° Include site planp building pians, and energy calculations v:th thw.^ application Signed ??- OFFICE T3SE ?TJ?T??'EdG PERI>iIT FEE "'JRCF??`F?GE FEE !? - - !'ilmi Ci-:ECK FE^ PARK DEI?IC.aTION E'EE (?Ti<s R _.... . ? n ...... . ___..... ?^. P`?C?xJ1\LS ? °. =3';5SP2M3T CLERK B'UILDI23G DEPT. POT.ICE DEP'I'.? „_.. .. ..'.? :"rR E SEtraER D?.PT. FI? DrPT. PA,RK DEPT. _.? .,_.,. _. MASTER CARD LOCATION OWNER STRUCTURE AND a LAND USED AS Permit No. Issued tssued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANI7ARY SEWER OTHER OTHER Approved Items (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL ELECTRICAL - DEPTH HEATING OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER ,&' P COMMENTS: Violations Noted on Back COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. CONDITIONS OF CONS7RUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ' DATE OF INSPECTION NON-COMPtIANCE. BtJILDER WILL COMPIY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. F COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION RFQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FICATION - I certify that 1 have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED COMMENTS: BUILDING INSPECTOR DATE 23 M A CTFR. f! A R.n STRUCTURE AND LAND USED AS • ? ? /??/ Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING CESSPOOL - SEPTIC TANK .2 ? l WELL ELECTRICAL HEATING GAS INSTALUNG SANITARY SEWER OTHER ?D2 6 OTHER Approved Items (Initial) FOOTING FOUNDATION FRAMING FINAL ELECTRICAL HEATING GAS INSTALLATION SEPTIC TANK CESSPOOL DRA{NFIELD PLUMBING WELL SANITARY SEWER COMMENTS: Date I Remarks I Distance From Well o- •7 gi, I SEPTIC •? 9 ? CESSPOOL TILE FIELD FT. DEPTH OF WELL - s 1• 7 y JC74001__ _• • y • Violations Noted on Back COMPLIANCE INSPECTION REPORTS 70 BE USED ON1Y IN EVENT OF OBSERYED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS OF CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE 08SERVED. NON-COMPLIANCE. BUILDER DOES NOT F-I INTEND TO COMPIY. 1:1 ACCEPTABLE SUBSTITUTIONS OR DEVfATIONS. ? NON-COMPLfANCE. BUILDER WILL COMPtY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. F-I REIPlSPECTION REQUIRED REINSPECTION REVEALED TE OF REINSPECTION CERTI FICATION - I cenify that I have carefully inspected the above in which I have no interest present or prospective, and that 1 have reported herein all significant conditions observed to be at variance with ordinances of the 7own of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE COAAMENTS: .(!? 23 EAGtli TOWNSHIP 3795 PiloC Knob Road Sfi. Paul, Minrtesota 55111 Te2ephone 454-5242 PERtUT FOR WATER SERVICE CONNECTION Date: October 27, 1972 Number: i&k 1026 4/' / ZUn`?Gie,?L- Billing Name: SallY Co• Site Address; 3255 $andam Road Owner: same Plumber; Thompson P,l,umbing Co. tion of Connection 1 Meter S Conaectioa Chg. 10/27/72. Meter No ???- lPermit Fee $10.00 pd 10/30/72 .5u' p"_Tc.. =0/7 2 S/c Meter Reading { Meter Dep. Meter Sealed: Yes Add'1 Chg. 60•00 pd 10/30/72 Meter NO iTotal Chg. Inspected by Date Building is a: Remarks; Resi.dence Xx ?25.00 RE-'NSPECTIOi`a 1`EE FOR Multiple Ao. Units ?????????Y fflTALLED METERS° Conunercia 1 Industrial By: Other Chief Inspector In consideration of the issue and delivery to me of the above pexmit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagaa Township, Dakota County Mianesota. By: Thompson Plumbing Co. Billing Address Please aotify the above office when ready for inspection and connection. EAGIiN T014NSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTiON DATE: Oc 27, 1972 OWNER• aJ-?-Y Co. PLUMBER NUMBER 1188 Address 3255 Random Road ?-j- f __5'z j M C4 Z 1'YPE OF PIPE Heavy 'Cast Iron DESCRIPTION OF BUILU ING - Industri 1 Commercial Residential Multiple Dwelling No. of units Location of Connections: Conaection Charge 240.00 pd 10/27. Permit Fee 10.00 „g; A In4310(2: .50 Street Repairs Tota 1 Inspected by: DaCe Remarks: By Chief InspecCor In cons hereby regulat ation of the issue and delivery to me of the above perm3.t, I e Co do the proposed work in accardance with the rules and of Eagan Tox-mship, Dakota-County, Minnesota By Thompson Plumbiug Co. /7 2 . Please no ify when ready for.inspection and connection and before any poreion of the wo k is covered. S17 37 RESIDIENTIAL BUILDING PERMIT APPLICATION CITY Of EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 RemodellRepair Requirements • 3 registered site surveys owing sq. ft. of lot, sq. ft. of house; and all roofed areas (20°1a maximum lot cover e allowed) • 2 copies of plan showing eam & window sizes; poured found design, etc.) • l set of Energy Calculatio s • 3 copies of Tree Preserva 'on Plan if lot platted after 711193 • Rim Joist Detail Options s lection sheet (bldgs with 3 or less units) DATE _V2Lo Water Softener Water Heater No. of Baths SITE ADDRESS 5 1Z?? )r12,?? daM ?? ?? MULTI-fAMILY BLDG _Y ! N TYPE OF WORK =/Sh FIREPLACE(S) _ 0- 1 _ 2 , APPLICANT 116ZYlenu "lhc?o4-= 10C4 STREET ADDRESS LIG C-S TELEPHONE # ?S4 14U1_o CELL PHONE # PROPERTY OWNER ?h TELEPHONE# A'51? -------------------------------------------------- --------------------------------------------- COMPLETE THIS SECTION FOR -NEW, RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULF,S 7670 CATE?GORY 1 MINNESOTA RULES 7672 11 (?1 submission type) • Residentiai Ventilation Category 1 Worlcsheet Submitted • New Energy Code Worksheet Submitted 11 • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing system includes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: . $90.00 J AN 2 8 2003 # Fee,:---_V0.00 Phone # -------------------------------------------------------------------------------------------------------------------------- 1 hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy with all applicable State of Minnesota Statutes and City of ?Eagan Ordinances. Signature of Applicant -------------------------------- ----------------------------- ------------ ------- -------- --------------------------------- ------------------------ ---------------------- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 i • 2 capies 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 Z)OFJO - c-)C) _ Phone # Lawn Sprinkler No. of R. D Air Conditioning 'i', Heat Recovery System i t-) 4 le ' angd a STATE Mn ZIP J5 1C) FAX # OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex 0 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex 13 13 16-plex E3 08 06-plex 13 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Pibg_Y or _ N Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi , ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF Cl 23 Porch (screened) ? 36 Multi ? 24 Storm Damage Cl 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg only) - Give PCA handout to applicant Occupancy . MCitS System ` - Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTFONS ` Footings (new bldg) _ FinaUC.O. , Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundarion HVAC Drain Tile f Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector -------------------------------------------------------------------------------------- ------------------------------------------------------- - ----------------- Base Fee _ Surcharge Plan Review ° MC/ES SAC City SAC ' Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit ' Mechanical Permit , License Search Copies Other " Total ` ÿü þ ý þýý üûÿû ú ùýý øø ðü ô ßð ÿ þý÷ üûúùø ñôûùø ÷ôùø ÷öõôó öõò ø û ñ ûñ ððìûø ù ï üîû ô í øôë ô îûô ô ú ô êé ôööø ý éôéô ý ø êñ éôé ø é ô ê ñ ôú è ô ô ô îûô úù ö é ù ê í æääêäêðä öù üûô ô æê ê ç û ýê õô ÷óò øø ò ö ô ò ô ñûùò ñ÷ ò ò ò ë þ ãó ÝßÜßðð ô úù ö ë ô øø éô ôô ô øùö øø ú ü éã ü û ñùéþ ìô ê øø õ ô ü ûô û ùü ûô PERMIT City of Eagan Permit Type:Building Permit Number:EA139646 Date Issued:11/01/2016 Permit Category:ePermit Site Address: 3255 Random Rd Lot:4 Block: 1 Addition: Selmark PID:10-67100-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Richard Dahl 3255 Random Rd Eagan MN 55121 (651) 407-1987 Bear Roofing Exteriors 2186 3rd St, Suite 107 White Bear Lake MN 55110 (651) 407-1987 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163879 Date Issued:09/15/2020 Permit Category:ePermit Site Address: 3255 Random Rd Lot:4 Block: 1 Addition: Selmark PID:10-67100-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard Dahl 3255 Random Rd Eagan MN 55121 (651) 407-1987 Bear Roofing Exteriors 2186 3rd St, Suite 107 White Bear Lake MN 55110 (651) 407-1987 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175128 Date Issued:03/15/2022 Permit Category:ePermit Site Address: 3255 Random Rd Lot:4 Block: 1 Addition: Selmark PID:10-67100-01-040 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Richard & Judith Dahl 3255 Random Rd Saint Paul MN 55121--232 Haley Comfort Systems 3708 Broadway Ave N Rochester MN 55906 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature