3863 Dolomite DrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Plumbing
EA086534
10/01/2008
ePermit
Site Address: 3863 Dolomite Dr
Lot: 19 Block: 01 Addition: Briar Hill 3rd
PID:10-14992-190-01
Use:
Description:
Sub Type:
Work Type:
Description:
e - Water Heater
Replace
Water Heater
Meter Size Meter Type
Manufacturer
Serial Number Remote Number
Line Size
Comments:
Kim Renville
2200 W Hwy 13
Bumsville, MN 55337
Fee Summary:
PL - Permit Fee (WS &/or WH)
Surcharge -Fixed
$50.00 0801.4087
$0.50 9001.2195
Total:
$50.50
Contractor:
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
- Applicant -
Owner:
Janice M Terhaar
3863 Dolomite Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694.
DateReceived:AUG 2 4 2009
Staff:
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: A u oF Site Address: 4a, .v 2 l-�/ L c w ,,; /,k,s 5
Tenant:
3g�•3
Suite #:
RESIDENT / OWNER
Name: £/v "93v e, 47,0.3 F,an /4 i- "I,orr6LAN r.., % Phone: -leo3 - 91 y- 3 7 R7
Address/City/Zip: P 0i ),8/S& P S � .S-ci.2
Applicant is: Owner i< Contractor
TYPE OF WORK
Description of work: Re- (-
Construction Cost: y ("Jr° •`”- Multi -Family Building: (Yes X / No )
CONTRACTOR
Name: f3 £ / £'x Y Ltzi 02 M/4 i,.t % L'02 P License #: .20.2 el // 3 1
Address: I/4 -S' L . C 74-c 57-,
City: in P L 5 , State: ,S Zip: sic',/,' `j
Phone: 6,/x- 8 6/- 4, 21/3 Contact Person: b V L 4u ,2/2/3
COMPLETE
Energy Code
Category
('.1 submission type)
In the last 12 months, has
Yes _No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
_
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of..
the information may be classified as non-public if you provide specific reasons that would permit the Citysto
conclude that they are trade secrets.,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and wor is not to sta out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv- of • ans.
x Loi E 1 j/ Ld 2 J2 / S
Applicant's Printed Name
X
Applicants Signature
Page 1 of 3
L3S(D tem ied, Thr
DO NOT WRITE BELOW THIS LINE.
ocksu
SUB TYPES
❑ Foundation
❑ Single Family
❑ 01 of _ Plex
❑ 02-Plex
❑ 03-Plex
O 04-Plex
WORK TYPES
O New
O Addition
O Alteration
Replacement
DESCRIPTION:
Valuation
Plan Review
(25% 100%
Census Code
# of Units
# of Buildings
Type of Const.
05-plex
06-plex
07-plex
08-plex
10-plex
12-plex
O 16-plex
O Fireplace
O Garage
Deck
❑ Lower Level
❑ Interior Improvement
❑ Move Building
O Fire Repair
i()
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace:_ R.I. _Air Test _Final
Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
❑ Accessory Building
O Porch (3 -season)
O Porch (4 -season)
❑ Porch (screen/gazebo/pergola)
❑ Storm Damage
O Miscellaneous
O Siding
O Reroof
❑ Windows
O Egress Window
WIN%o07
Sheetrock
Final/C.O.
❑ Pool
❑ Ext. Alt. — Multi
O Ext. Alt. — SF
O Multi Misc.
❑ Demolish Building*
O Demolish Interior
❑ Demolish Foundation
❑ Water Damage
* Demolition (entire building) — give PCA handout to applicant
Final/No C.O.
HVAC
Other:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Pool: _Footings _Air/Gas Tests -
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall
l./ , Building Inspector
Final
Brick
Page 2 of 3
.T lief.-sDn Builders Inc.
6/, '3e63 czt 3K6s
F. C. JAC KS O N)t'\ j t7
LAND SURVEYOR
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS``
727-3434 \
3616 EAST 55TH STREET55417
• ✓n r1
Ors ; Ny /`r.
r4:7"/-47 ;I-7,727
= O. 14-4.
/0'
Or.11270
183-71
'urbepor'g Certificate
/oC.0
—.a
Pi
I HEREBY CERTIFY THAT THE ABOVE 1S A TRUE AND OORRECT PLAT OF A SURVEY QF
Lots 19,20,21 and 22,Block 1,
Briar Hill 3rd. Addition,
Dakota County,Minnesota.
Proposed Garage Floor-Elev 103.0
Proposed Basement Floor,EIev.1103.37
Proposed First Floor Elev. 110.37
As SURVEYED BY ME THIS 17th'
O.
F. C. JACKSON. MINNESgTA ' EGISTRATION. No. 3600
CITY OF EAGAN
3795 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE•
Zoning: No. of Units -
Owner:
Address•
Site Address•
Plumber:
Meter No.: — Connection Charge•
Size: Account Deposit•
Reader No.: Permit Fee:
I agree to comply with the City of Eagan Surcharge•
Ordinances. Misc. Charges•
By Date Paid -
Date of Insp.: --' Insp •
WATER SERVICE PERMIT
CITY OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO •
Eagan, MN 55122 DATE -
Zoning: No. of Units -
Owner:
Address.
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 Insp.: Total•
Insp.: Dote Paid.
411/' City of Etat
3830 Pilot Knob Road
Eagan MN 86122
Phone: (651) 675-5676
Fax: (651) 676.5694
• /i-•2- /
Use BLUE or BLACK Ink
1
For °Moe Uae
Permit*: I
Permit Fee: (Q 00
Date Received: I a-1 a 113
Staff: Lie
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
• 3859, 3Sl(at1 ,3$G3, 1 Lr.,mrrL 62- Unita:
a
Residenti
Dimer
Name: c/o 4e i "1%44 6Z rt Z 47" ,.7.7a c_. Phone: 76 3 - S -I3 — 97 7
0
Address City / Zp: $So 6r corn) n) 2 4v, R) , 1 A Got. D E:1 1414.1 Y JFI
SS' 4/.t7
Applicant is: Owner 2fContraCtor
Typle.orvi rk
'
Descrlpibn of work: Rs, -.-d 0 E. a. RE Pt. ott-f ' J• d / .•) b a F -ase..! 4 /h 8 rid L•
Construction Cost: / y Y da • CIO Multi -Family Building: (Yes / No ___.)
ConiratitorState:
Company: 0 £) E,c r Cie, 02 19141 )'T - ev AA Contact b,4411 0 av/2-2L S
Address: tip -r I•43 (ooh -!"- City: /21 PL 5
/490 Zip: 5"S'4// 9 Phone. (r,/ A- "0/-&21/3
Licensee: (- 2 Y/ / T / Lead Certlflcate #:
If the project is exempt
i)L4/0S.
from Lead certification, please explain why: (see Page 3 for additional information)
Q,,re.,.- Poe:' / S? r
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW VUILDING
has the City of Eagan leeward a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
-
Phone:
Phone:
NOTE: Tir
�(
�•
CALL BEFORE YQU DIG, can Gopher state One Call at (651) 464.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive Locates of underground utilities. ww•mroherstateonecadorn
1 hereby edmowledge that alis information is complete and accurate; that the work will be in conformance with the ordinances and codas of the Cir of
Eagan:
t t I u the 8ppdp Ws
Is p t anpermit, but e case twit wan pp1Lon far a permit, and work is not to start without a with: that the work wilt be in
requires a review and approval of piens.
Extortor work authorized by a building permit Issued in aocadsnee with the Minnesota State Sultding Code must be completed within 190
days of permit iesuence.
x_§4.4 av,Q.,$
Applicant's Printed Name
ZO/Z0 39tid INIvW 1X3 Iia
Applicants Signature
-779 Page 1d3
L9Z9I98ZI9 £6 :OT ETOZ/ZO/ZT
4111°
C!tyofEaQaa
3830 Pilot Knob Road
Eagan MN 56122
Phone: (661) 875-5875
Fax: (661) 675-5694
Use BLUE or BLACK Ink
I. For Office Use
Permit*: 16)(1 g5
asoma res: a� 7.
Dale Res,eived: �7s l i c
StafF
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: • F- c` site Address: 3VSq, 3g.J, 3 S1,3,3t6S IZSooLOo'TF 13IL. Unit 0:
Name: d o ACT /4 i4. ) 4 6 L r►1 E N; �'a C Phone: 743 --s-f 3- 7 a
Address / City / Zip: 'Sb 6 E G i4 r I i Q Av N / (.' KLF'
Applicant is: Owner 2C, Contractor
Description of woilc ..."7-£.14,2 OI a- a E -
Construction Cost / / 9 CO 0!) Multi -Family Building: (Yes. / No _)
Company: (iE 1 4. rc2ioR A'%iN • 6+214 Contact •knett,r d yv ft - r $
Ars SSYt 7
Address: 90 S cJ 6
City PL?
state: ANZip: 3 9/ 9 phone: 'z - '6 J- G z ¥3
License #: Q C Pi)/ 3 / Laud Certificate #:
lithe project is exempt from lead certification, please explain why: (see Page 3 for additional information)
VS4 eaS 1.3 LI t.. RuIL: Posr J97 S'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit fora similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber Phone:
Mllechanical Contractor. Phone:
•
Sewer & Water Contractor:
Phone;
"`1W it• .ty jk -:�1^Sf
•Yµ.F.,�, 'ri ,�• t.. _ y, �C
ALL
Was you Intend to digto • Call Gopher State One Call at (651) 456.0002 for protection against utility dam
receive locates of underground utilidea. ,www ooeheratateenepaa.orq 9 ui rtlaBround ub age. cat 48 taus
I hereby admowledge mat this Information is complete and accurate; that the wed will be In conformance with the ordinances and codes of the City of
Eagan: that I understand this is not 0 tarter, but only an application for a permit. and work is not to start without a permit: that the wait will be in
accordance with the approved Wan In the ogee of wort welch requires a meow and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minneaota State Whin Code mget be completed within 180
daysofpermit immurca
gQRR'$
Applicant's Printed Name
D3 /-60 39tid
1NIVW 1X3 I38
x
Applicant's Signature
Pagel of s
L9Z9T98ZT9 LO:t bTOZ/80/TO
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Building
Permit Number: EA145333
Date Issued: 09/05/2017
Permit Category: ePermit
Site Address: 3863 Dolomite Dr
Lot: 19 Block: 01 Addition: Briar Hill 3rd
PID: 10-14992-01-190
Use:
Description:
Sub Type: Windows/Doors Construction Type:
Work Type: Overhead Garage Door
Description:
Census Code: 434 - Residential Additions, Alterations Occupancy:
Zoning:
Square Feet: 0
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
- Applicant -
Owner:
Janice M Terhaar Tste
3863 Dolomite Dr
Eagan MN 55122--161
(651) 454-4102
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.
Applicant/Permitee: Signature
Issued By: Signature
1
1
EAGAN
t ` r For Office Use
ttt esu /. . 'q//
t t 1,01
o Pemtit#
t` t� et o
®cs Permit Fee: �.g/• -39
EC I `:LL Date Received:5..../o-1
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 MAY 10 2Ut3 Staff:
buildinalnsoectionstiflcityofeaoan.coni J
L
2019 RESIDENTIAL BUILDIN TAPPLICATION
Date: '574/O/1 Site Address:3� '3 +t l,�(o_, {� Or-(-c-
. 1--- `"�'� R/(..) Unit#:
FName: ,13r,`ccr �C l(5 �(o m C�;r�rt,�-' .'955�;‘...,-61)-A Phone: �'S� - '/5-� - ��/�
Resident/ g _ �1
Owner Address I City I Zip: 316 3, 3 T 6 s (1 l vvt ft. Dc i Ve_ , �cc;5—1 44/t)
Applicant is: Owner Contractor
x
Type of Work Description of work �jrt v c t. S��a oe Pe e�%�'
Construction Cost: 1?-67 `26--L2 rit s- ea-4
..�..,. _ ) Multi-Family Building:(Yes?C /No, )
Company: /C%->S-t...v( 4i4-1..er, C--v Contact: /C. (e_ rn 1-1-0 4-4-1
Contractor ' Address: //�3-1 ,� t.�, (/u?lei 3(�'� City: Tn 6-2(13,-/r---919-��C,Dc
State: /44 Zip:75-<-0 7)- Phone:' J--r7 -yi' Email:kT�rr.1-:-- 8 (C�5Ge-' 0,/ C
! License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
r
Licensed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer&Water Contractor. Phone:
Fire Suppression Contractor. Phone:
NOTE:Plans and supporting documents that you submit are considered to be public iaonnation. Portions of the information may be
classified asap ublic ifte vides ecific masons that would permit the C to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.000herstateonecali.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval oof
Ki` f .
x (set -7T-2 rc (4.J x i
ii
Applic nt's Printed Name Appli - Ys Si
l -f 1� "" 812-
r DO NOT WRITE BELOW THIS LINE ;� Gx(? f}\i't--s✓ , / Sof
SUB TYPES
_ Foundation _ Fireplace �_�Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family — Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(ScreenlGazabolPergola) — Miscellaneous
X 01'of y Plex — Lower Level _ Pool — Accessory Building
?-
WORK
WORK TYPES
_ New _ Interior Improvement Siding — Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_e Alteration _ Fire Repair _'Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
— Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 1 /a, c to• . Occupancy 3R-4–3 MCES System
Plan Review Code Edition ✓il n ZIP I SAC Units
(25% 100%� Zoning 3 D City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction V 3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) Final/No C.O.Required
‘o Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air TestHood
Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_BackfillFinal
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
—
Reviewed By: 1--;° '11 .rn;Ic /yam' ,Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177044
Date Issued:06/13/2022
Permit Category:ePermit
Site Address: 3863 Dolomite Dr
Lot:19 Block: 01 Addition: Briar Hill 3rd
PID:10-14992-01-190
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janice Marie Tste Terhaar
3863 Dolomite Dr
Saint Paul MN 55122--161
(612) 865-7937
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature