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2858 Vilas Lane INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "R 104 Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 . .s SITE ADDRESS: APPUCANT: I iA-; i nNF ~eillNl{. " wqqE il' 1~,1:I PERMIT SUBTYPE: TYPE QF WORK: .I .I ,I I I ~ , ;I! INSPECTION . ~ ii•.~~t i~ ~~r~ r ~ izf ~ , INni htA I. FA •.f i''lIFiA II E.I{M4 I 1; I'1 1r1i11~11 U I111; i',It, ? t[4P1lt1N+i ~ll: i f f ~ li, It rll 1F ~ ; ~ , ~ ~ ~ ELECTRIC Permit No. Permtt Holder Date Telephone # tui a 3 PLUMBING HVAC Inapection Date Insp. Comments FOOTINGS ~ rTBI ww FOUND FRAMING ! G ROOFING PLOUMBING , y~ I PLBG AIR TEST • ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAI PL6G FINAI HTG ORSAT TEST BLDG FINAI 65MT R.I. BSMT FINAL DECK FTG DECK FINAL • ~ . _ . , ~ CITY OF EAGAN ' ~ , 3795 Pile* Knob Roed Eoyoa, MN 55122 .j PHONEs 454-8100 . BUILDING PERMIT s/ Receipf # Te be wed /or Est. Volue Dote , 19 Site Address Erect ['J Occuponq Lot Blotk Sec/Sub. Alter ? Zoning paral Repair ? Flre Zone Enlarge ~ Type of ConsF. oAUe Nome Move ~ # Stories ; Address Demolish p Length b Ci Phone Grode p Depth Sq. Ft. ~ p Nome Approvals Fees Assessment Permit /lddress ~ Ci Phone Water 8 Sew. Surchurge Police Plan check ~w Name F w Firo SAC Address Enp. Water Conn. ~w C{ ph~e Planner Water Meter Countil Rood Unit 1 hereby ocknowledge that I have reod this applicotion ond state that gldp. Off. the inlormotion is correct and egree to comply with oll applicoble 5tote of Minnesota Statutes and City of Eagan Ordinonces. APC Totol Slpnoturc of Permittee /1 Building Permit Is issued to: ort the express tonditJon thni oll work shall be done in uccordonta with all opplicable Stote of Mlnnesoto Statutes ond City of Eopon Ordinonces. Buildinq Officiol Parmit No. Permit Holdar Misc. 4ermit {Va. fioider Plumbinq H.V.A.C. w.u waeer Disp. Sewer Efeetric inspeetion Date Insp. Other Footinys Foundation Framing Rouph P16o. Rouyh HVA Inwlation Finel Plba Final HVAC Final water Doscri6e Location: 1fYeil Sewer Pr. Disp. CITY OF EAGAN Remarks Addition irntry Hnmp Hpighta Lot 11 Blk 8 Parcel 10 Og Owner - st,eet 2858 Vilas Lane stete Eagan, MN 55121 Improveme Oate Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING 40 SAN SEW TRUNK 1968 $100. 00 $3. 33 30 PAID ,811SEWERLATERAL & Stub 1972 3334.80 166.74 20 PAID WATERMAIN * WATERLATERAL & Stub 1972 20 WATER AREA STORM SEW TRK ~j 1984 495.00 33.00 15 49 8-9-83 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. $260.00 3769 ' 6-3U-11 BUILDING PER. sac 200.00 3769 6-30-71 PARK INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4' 10410 Eagan, Minnesota 55123 , Date Issued: 0 (612) 681-4675 ? SITEADDRESS: APPUCANT: i ~ 11NF ~ r~~. i,; ic i~~~., ~ PERMIT SUBTYPE: TYPE OF WORK: . INSPECTION ,r.i I F- L J Permk No. Permit HoWor Date Tslephone # S/1N PLUMBING HVAC ELECTRIC ELECTRIC Inspectbn Dats Msp. Comments Footings I Foundation Framing Roofing Rou9h PIb9. Rough Htg. Isul. Freplace Final Htg. Orsat Test Final Plbg. Plbg. Ir?spector - No4ity Plumber Const. Me1er EngrJPtan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. TOWN OF EAGAII •.,,r ~ 3795 Pilot Knob Road Eagan, r-4innesota 55121 ~ ~j ~e~ • PERMI't' 1Vo. 1li2 The Board of Supervisoxs hereby grants to firSwarci ' ~BASe,i,B of ')RSR Vi 1 ,y~a i.Ana a µL"AT;NC_ Permit for: (Owner) 4AM n at pursuaat to spplication aate@ -97 + 8,f-7 i • Fee Paid: 20.00 Dated this j,QAj„day of Sep t, , 197 1. .SO s/c Building Inspector b TOWrI OF EAGAId ~10~'g CiA • 3795 Pilot Knob Rosd be g°~ 6x04';, yiagan, IZinnesota 55121 kA e 'e1 0 .00x PERMIT N0. 154 p0116 The Board of Supervisors hereby grants to Edwsrd Dozois of 2858 VilAS Lane, E,gan 55121 , e QLLiMSING Permit for: (Owner) eame 8t game , pursuant to application dated 9/10/71 . Fee Paid: 20.00 Dated this 10tkHay of Sept. ~ 297 1. .50 s c Building Iaspector cmr oF EAc,AN rT~ - 6 917 , 3795 Iilef Knob Raed Eeoaw, 1MN 5512= PHONL: 454-8100 BUILDING PERMIT Receipt # Te 6e w.d fa GARAGE ADD•eo. voiue $3200.00 Dwe October 6 l9 81 sue Add?ou 2858 Vilae Lane e.ect ~ o«uponcy R-3 Lot 11 el«k 8 Sec/5ub, Home HeightAlter p Zoning - Parcel # 10 18300 110 08 Repoir ? Firo Zone Ed~?ard T. Dozois E"io?ne ~ Type of Const. ac Name Move ? # Stories ~ Address 2858 Yilas I,ane pe„blish p Length 20 G 1't,8g811 phone 721-4141 Grode Q Depth ?A Sq. Ft. Nams Oyme1' Avororoh fees u~ Addreu Asseument Permit 44.50 F C~~ P~~ Water 8 Sew. Surtharpe z-~ Police Plan check ~W Noma Firo S/1C 11 Addross Enp. Wafer Conn. ~ W Ci phore Planner Woter Meter Council Rood Unit I hereby acknowledge thot 1 hove reod this applicotion ond stote that gldp. Off. the inlormorion is torrect ond ogree to comply with oll applicobie ~~n Stote of Minrxsoto Stotutes and Gty of Eop n O inonces. 70101 ~-~--+r-- Sipnoture of Permiftee /1 Building Pertnit is iuued to: E rd T on tha express conditfon thai oll work sholl be dona in xcordance wit II applicabl a Stotutes ond Ciry of Eaqon Ordinances. Bulldinp Oifidol ; CI7y pF g1GAN Include 2 sets of plans, 1 site plan w/elevations & ' BIJILDIPTG PE134IT APPLICATIOfI 1 set of energy calculations. 'Ib Be Used For Valuation Date Site Address c, n.f'J c_ "OFFICE USE ONLY occupar,cy T 3 raroel I~s 3 ~ n I/b o R Alter zoning /P/ Repair Fire Zone /JLIA Owner: EnlarJe TYP~ of Const. Nbve # Stories Address: Dennlish Front ft. City/Zip Code: ~4lw '7 vt/- 'S'9r<// Grade Depth ,Im-/ ft. Phone y`L 7 .n P.PPROVAIS ~S Contractor: Assessrents Perndt Pddress: wates/Sewer Surcharge Police Plan Check City/Zip Code: Fire SAC Phone En4• Water Conn. ~ Planner Water Meter Council Road Unit Bldg. Off. Address: APC City/Zip Code: Phone TdPAL S o r EAGAN TOWNSHIP BUILDING PERMIT 2472 Owuex Eagaa Township . Address (preseni) (T .2~+'u/.....'..~..'.~.4.^.~..._C.~....~..:~_..~ Yown Hail Builder t~cy.--. a v Dal. .._L'~.`Lf171 Addrese DESCRIPTION S2oriee To Be Used Fos Fson! Daplh HeSgh! Eai. Cos! 'Permi! Fee Aemasks ~36 ~ y ~ LOCATION 8lreet. Road or olhes Deseripilon of Loca!!oa I LW Block Addi!!oa or Tsae! ~z ys jV I „ yp I e - /r- & - This permit does noi auihortse the use of elreeffi, roede, alleys or sldewallcs aor doee it giva the owaer os his agen! the righ! !o create anp situalion whieh is a auisenee or which presents a hasard !o the heallh, satetp, aonvenience and geaeral welfaxe !o anpone in the eommuniip. THIS PERMIT MUST BEREPT ON THE pREMISE WHILE THE WORK IS IN PROGA SS. This is fo aexfify, !ha!_..- C .G.- . . . . ........has parmission !o ereat a.. . . . . upon . the a6ove deseriLed premiae aubJec !o the provisiona of the Bufldin4 Ordinaaee for Eaga Townahi adopled Apri1 11, 1955. ......../~c::-a....'-'......'---'.. Per . ' Cha~maa of Tnwn Board ~ uilding Iaepeclor . ~ EAGAN TOWNSHfP xn 3034 BUILDING PERMIT Ownex ---/722.....--.,GS..z_O.L.$-------- - Eagan Township Addrees (preseni) ""..~..+.£r.r~--'-"".~,L~,Ld.ti1...... ;4yu-- Town Hail Builder .~~.nCA?~'........ . Dale Address . . DESCRIPTION . SSOrie To Be Used For Froni Deplh Heigh! Esl. Cosf ~Permit Fe Remarka ~ ~ q 02y LOCATION Slreei, Road or ofhex Deacriplion of LocaYion I Lo! Block Addilion os Trac! 'Z OT -I4 'i" ~ eL 1'his pesmii does aot aulhorize !he use of stxeets, roads, allays or sidewelks nor does it gi e!he owner or his agen! !he riqh! !o create any situation whieh is a nuisance or which presenis a hesard !o fhe healfh, safety, eonvenieaee aad general welfare 2o anpone in !he communiYy. THIS PERMIT MUST BE K Tj.~THE < .lPREMISE WHILE THE WORK IS IN PROGAE . This is !o cerrifp. 2hal--- .....................has permission to arec3 a-_•-- _ -~._..r...._._......_.._upoe !he ahove described premise aubjec o!he psovisioas of !he Buildi dinance for Ea To ship adopted April 11. 1955. ~ Tnwn Soard Per f.,a - . . ~...2~~2~!:'.'..~...."-. Ch man of Building InapeMor hi . * a- y7.2- b ' r ~ 0 ~ 0 N D o ~ ov v w w r ~ p S z 0 -7. s , MASTER CARD LoCATIoN 67#y,b/.~?~ OWNER STRUCTURE AND IAND USED AS Issued To Permit No. Issued Coniractor Owner . BUILDING PLUMBING CESSPOOL - SEPTIC TANK - VJELL EIECTRICAL , HEATING / V F+ _ - - GAS INSTALLING . SANITARY SEWER ~ OTHER 44A OTHER I f~ ~ . APProved 4`"Ifems ' (initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING TILE FIELD FT. FINAL T - ELECTRICAL DEPTH HEATING OF WELL GAS INSTALLATION . SEPTIC TANK' - - CESSPOOL DRAINFIELD PLUMBING WELL . , SANITARY SEWER d (1 /~n 49. •Violations Noted on Back COMMENTS: COMPLIANCE INSPECTION REPORTS TO BE USED ONIY IN EVENT OF OBSERVED VIOIATIONS • PERMIT NO. DATE Of INSPECTION CONDITIONS OF GONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE NON-[OMPLIANCE. BUILDER DOES NOT OBSERVED. ~ INTEND TO COMPLY. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CERTI FICATION -1 certify that 1 have carefully inspected the ahove in which I have no interest present or prospective, and that I have reported herein all significant conditions o6served to he at variance with ordinances of the Tawn of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. - ? ALL IMPROVEMENTS ACCEPTABLY COMPIETED BUILOING INSPECTOR DATE COMMENTS: ~ ~ " ~ MASTER CARD LOCATION X0~ i~ OWNER STRUCTURE AND LAND USED AS ~yr Zuf G QA , Issued To a ys u ^ ~ J ~ ~ I~ D~ S ~ GLn C CN r~ , COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS PERMIT NO. DATE OF INSPECTION CONDITIONS Of CONSTRUCTION AT THIS INSPECTION ? NO EVIDENCE OF NON-COMPLIANCE ? NON-COMPIIANCE. BUILDER DOES NOT OBSERVED. INTEND TO COMPLY. a ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? NON-COMPIIANCE. BUILDER WILL GOMPLY - WITHOUT DELAY. ITEMIZFD AND DESCRIBED AS FOLLOWS: ? REINSPECTION REQUIRED DATE OF REINSPECTION REINSPECTION REVEALED CERTI FICATION -1 certify that I have carefully inspected the above in which 1 have no interest present or prospective, and that I heve 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 imprwements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILOING INSPECTOR DATE COMMENTS: ~ I ~ CITY OF EAGAN PERMIT BUILDING 3830 Pilot Knob Road PERMIT TYPE: Eagan, Minnesota 55122-1897 Permit Number: 028104 (612) 681-4675 Date Issued: 0 6/ 2 7/ 9 6 SITE ADDRESS: 2858 VILAS LANE LQT: 11 BLOCK: B COUNTRY HOME HEIGHTS P.I.N.: 10-18300-110-08 DESCRIPTION: Btiildi`i`tg_\Permit Type SF ADDITION jBuilding WQrk Type NEW Cerrsus Code,434 ALT. RESIOEN7IAL f. } w>> ~ - 11 ~ , z1, REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRZCAL WORK FEE SUMMARY: VALUATSON $20.000 Base Fee $287.25 . Plan Review $143.63 Surcharge $10.00 Total Fee $440.88 CONTRACTOR: OWNER: - Applicant - DOZOIS EDWARO 2858 VILAS LN EAGAN MN 55121 (612)454-7015 I heraby ack:nowledge that I hhave read this application and state that the information is correct a.nd agree to camply wiCh all applicable State afi Mn. Statutes and City ofi £agan Ordinances. APPLICANT/PERMYfEE SIGNATURE ISS S4 GrNA R CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 BUILDING PEF2MIT APPLICATION (RESIDENTIAL) 1§104 681-4675 New Construction Reauirements RertrodellRenair Reaulrements ? 3 registered site surveys ? 2 copies af plan ? 2 capies of plans (indude beam & window sizes; poured (nd. design; elc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calwlations ? 1 energy calculations tor heated additions ? 3 copies M tree preservation plan B lot platted afler 7/1/93 requtred: _ Ves _ No DATE: . ),2 g CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: LOT ~ BLOCK ~ SUBD./P.I.D. 1 AMuiA A~I_ ~(n17o ~ PROPERTY Name: ~ 4_ r ~D0 Zu l5 Phone 41) Y 70 /5~ OWNER ~'61 `IRST Street Address• a S 5~ ~ UI A e,^-O City: 1-- a- !9 Q. n 5tate: Illt) Zip: CoN7HAC7oR Company: S' e.L Phone Street Address: License City: State: Zip: ARCHITECT! Company: Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested once permit is issued. i hereby acknowiedge 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 Ciry of Eagan Ordinances. Signature of Applicant: ~OFFICE USE ONLY [RJFEE Certificates of Survey Received Yes No 7 g ~~95 Tree Preservation Plan Received Yes No ~ OFFICE USE ONLY ,f. BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool 't~ 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Firepiace ? 21 Miscellaneous ? 05 SF Misc. 0 10 = plex ? 15 Deck WORK TYPE 0!1~-!31 New ? 33 Aiterations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MCNVS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~ Depth Footprint sq. ft. SAC Code _al_ Census Bldg / Census Unit APPROVALS Planning Building Engineering Variance ~ Permit Fee Valuation: $ 2 0, g6o Surcharge Plan Review License MCNVS SAC City SAC - Water Conn. ~ 1v,13 x 5• 33 = 5~ x s~'= Water Meter Acct. Deposit S/W Permit SNV Surcharge ;/v. 3 z x 9.73 = 5~ xlo Treatment PI. Road Unit Park Ded. Traiis Ded. ~~~yL ~ Other Copies ~ n Z,J ~ xsy - z, 636 TotaL z3y ~ Gaaw~ IvP~t % SAC la r _ z1G SAC Units 7,1 ar- y~~ = ~ yoy^ PERMIT C~ ~ 3 ~ ~i l~ CITY OF EAGAN PERMIT TYPE: ~ 3830 Pilot Knob Read u ti r i p 7~,! Eagan, Minnesota 55123 Permit Number. (612) 681-4675 Date Issued: y 3 ~0 / g,; SITE ADDRESS: LOr: 11 f3LilCK: S CUUP!TRY HQME MFIGHTS DESCRIPTION: _ WSND(JW REf'LACEMENT ~Huildi~u,g Perin,f h. 7ypc 5F (MISC. ) Buzldiriq'Wpek l'ypc FlLTERATION ' UBC 0 ccup,9 nc.y R - 3 r REMARKS: FEE SUMMARY: VflLUA7I0N $12,000 Base Fae o136e4in S i.i i° r. ha r q s Total Fec, $111.oo CONTRACTOR: OWNER: CAF'RGE ENV7:R0 C014ST :17E109,77 DOZTOS ED 18"I,i' JEPFt_t'St7P1 ST I+lc 2858 VTLAS Lh: MINNEFlPC1L25 MN 55418 EAGAN MN 55121 (61.2} ;8:L.'0~~l7 (61t1)454 -7015 'C hereby acknaw].rd9a thot I havc r2aJ thi•; applir.a4;.oti and :t.itr the infor-rnat.tori is correct ,,nd agi-ee t.o cornply witiMi ol 1 appl;uablG; St.at.E~ c,'P I4r:- Sta1:utts and City nf Eagan Ordi.narices. ~ - i sJo °s~~ ATU~ i~- AP ANT/PER ITEE SIGNATURE Is REACTIVATE _ CITY OF EAGAN PEw4iT 1993 BUILDING PERMIT APPLICATION -tI41• QD "dic 681-4675 a~ SINGLE fl MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of 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 or 3) lot change is requested once permit is issued. Date a3 Yaluation of work ~S //j 376~,' ~ 5ite Address: Z858 Uil4!5 -49FY'C-,9n19 STREET SUITE Y Tenant Name: (commercial only) 1~0Z/ bs - . IAT BIACK ~ SUSD. P. I. D. N ~ Descri tion of work: vvt T- ~ira.~rBF~e'h ~ooR. ac The applicant is: Cg Owner ? Contractor ? Other (Deseribe) Name ~nzin s Cl~ Phone 4~5'/-70%5_' Property LAST FIRST Owner pddress 'Z~ Jrs /,:75 6a~ STREET STE M State Zip SS/Zf City Company ~ Phone -791-044 9 Contractor Address 1919 License # C-K~ Exp. City State Zip Company 9~~ei%e-" f'l/.soN ~ASDc. Phone U3« Architect/ Engineer Name CE%G e4«.i~,5&7tl _ aey;stration # Address ~~5s 63L"5*y92 "&l- 6~ • City State ZiP 251Va Sewer 8 water licensed plumber . 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 State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ~ A~"yLz~ OFFICE USE ONLY . . ~ ~ • BUILDING PERMIT TYPE - • - ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ f] 1 BaSement Finish ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind. El 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ~ 05 SF Misc. ? 10 Multi. Add'7. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New C~1:33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Muve GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWLC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy R_3 2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y 3 Depth On-site sewage SAC Code C,s-ws 4 r APPROVALS ~ Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS WtNDow i2EP[„Ae1" ? Site ? Footing B Framing ? Insulation 13 Wallboard R Final ? Draintile ? Fireplace Permit Fee 135- vaiuac;a,: g IZ-~vov Surcharge G - Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge , Treatment P1. 'I Road Unit Park Ded. Trails Ded. CoPies Other Total: SAC % SAC Units STATE RESIDENTL4L CONTRACfOR/REMODELER LICENSING INFORMATION PERMIT # 1. I have made application for license w the Department of Commerce. Date of Applicadon _ Residential Building Contractor _ Remodeler Signature Date 2. I am exempt because I am a QI1~ specialty remodeler. ~ ~ ignature ate 3. I am exempt because my annual gross receipts are less than $15,000. Signature Date 4. I am exempt because contracts on individual projects in aggregate do not exceed $2,500. $ignature Date Questions regarding the licensing law sho.uld be directed to the Department of Commerce, 133 East Seventh 3treet, St: Paul, Minnesota 55101, (612) 296-6319 Licensing Information, (612) 296-2594 (Enforcement). . G~~,,~.(/ ~{/^1 ~ O~ L~ J ^ ~ ~ G' ~/J'-'' i v-~ ~ L/I 'N~ ~ li ~ C~ 1 ~ ~ . ~ G / . ~ ~ ' a ~ A 1~ ~ 1 `~a . ~ °p ~ ~ ~o ~ ~ ~ I' ~ ! -i 'r ~ ~ ~ ~ ~ / ~ ~ ~ ~.~~,c ~ 6°a~~ s~ ~ ~ ` ' ~ _ ~ ~ ~ G ~j -7 v~ ~-1 ~ ~ ~ - ~ ~ 1 ~ _ V ~ L ` " ~ ~ ` r~~. ~ ~ r~~( ~ f0 ~ ~ ~ ~ U ~ ~ v 1`~~ ~ . ~~U~E~t7l!SiLY a i qY§ Y ir "Yx Mi Ys Y'(~ x ~c ~ '°0'qlp < kFi'S . ~ s ~ R g > a x ~t~. ~ Y . >a x" •'~.~?-0'wTQt~ ~n~~ < y ` " ~ b > ~ a~ s ~ <w ~ . ~££srYh'k`§;3'~,~3seei, ~~`Y`3'~~~.~.s.,~v..,..~. A,e,E•,,,~,~„~rz~.~H .~wss~s.. . . : ~~C~~~. . 1993 MECHANICAL PERMIT (RESIDENTIAI,) C1TY OF FAGAN 3830 PILOT KNOB RD EAGAN MN 55122 - (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOIvES AND CONDOS VVHEN PERMITS ARE REQUIRED FOR EACH UNIT. - - - - - - - - - - - - - - NEW CONSTRUCTION ?ADD-ON A/C ADD-ON FURNACE DATE ~ ~ 2:S FEES HVAC: 0-100 M BTU $ 24•00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1@ 53.00 EACH) ADD-ON/REMODEL (EXISTING CONSTRUCI'ION) $ 15.00 STATE SURCHARGE .50 TOTAL L.T .5-D SITE ADDRESS: a o58 U? las i'l OWNER NAME: ~b DD261 S TELEPHONE ZJS INSTALLER: ff(b i (A i ADDRESS: ~ SS7C~ +-i)C,J a v 2aln CITY: Lrs~ ~ La k'P STATE: ZIP CODE: 6~;-3_51 TELEPHONE LI7 0160 ~ SIGNATURE OF ERMITT E w a~~~ ? j~ F~ s ~ ~a s. ~ u y:: ~ ax o,~> ?v,ye.s a,~t.~s g ~ 'Bfyoz 2, i . -x - ag xae.YAv~. _ ~~,ux s ~ . ~aY ~ "?R~ ~as ~ F. f " y~xr..y^zb~N3'$^"~a~~~:$+bs 'b'~,~'S"'~^~ c.k . : 1993 MECHANICAL PERMIT (COMIIERCIAL) ' CTIY OF EAGAN 3830 PII.OT KNOB RD EAGAN MN 55122 (612) 6814675 PLEASE COMPLETE FOR ALL COMMERCIAI.JINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDWGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT. DATE: _ CONTRA.~.'T PRICE: NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF qpIVTR:ACT FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.SO FOR EACH $1,000 OF ~'~12~ITT FEE. TOTAL $ STI'E ADDRESS: OWNER NAME: TELEPHONE TENANI' NAME: (1MPROVEIwfEN'TS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURF OF PERMITTEE ''T'T'Y INSPECTOR 1 EAGlaN TOWNSHIP 3795 Pilot Knob Road St. Paul, MinneaoCa 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: June 30. 1971 NUM$ER $23 C,ty,/71, OWNER: Edward Dozois Address 2858 Vilas Lane, Eagan 55121 PLUMBER same TYPE OF PIPE Cast Iron DESCRIPTION OF BUEIDING Industrial Commercisl Residential Multiple Dwelling No, of units xancx Location of Connectiona: Conaection Charge 200.00 pd 6/30/71 ccount Deposit 15.00 pd 6 3/71 . PermiC Fee 10.00 pd 9/10/71 .50 p /71 Street Repairs . ~ only Total o~°T T- ~ Inspected bq: Rx{vl-'` 1 1j..r ~ "r r~ ,;.:::,e"~• ~,;~G9x DaCe •r:<: ~ Remarks• By Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Tonmship, Dakota County, Mianesote gy Edward Dozois Please notifq when ready for_inapection and cosmectioa aad before any portion of the work is cavered. . EAGFN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PER14IT POR WATSR SL+RVICE CONNECTION Date:`, une 30, 1971 Number: 666 ~ C'~!•~' Billing Name: Edward Dozois Site Addreas: 2858 Vilas Lane, Eagan 55121 Owner: same Billing Addreas same Plumber• same Location of Connection Meter Size-s'/9 _ Coaaection Chg. p 6/30/71 ~ 10.00 d 9/10/71 Meter No.~i~°'l;v Permit Fee.5_9/10/71 Meter ReadingL_ Meter Dep. 15.00 pd 6/30/71 ozo;at!"11 ov" Meter Sealed: Yes_ Add'1 Chg. :nt~'or?c i:, ~ cx g;~33 NO 1bta1 C6g. r•. 'biT Zv. Inspected by Date Suilding ia a: Remarka: Residence xxx t~cultiPle no, untts ~2~.00 P,E-iA15PECTION FEE FOR PROPERLY INSTALLEDi19ETERS. Commercial E3 Industrial Hq: Other Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Towaship, Dakota County~, Minnesota. 2~ Ar~ By: Edward Dozois Please notify the above office when ready for inspection and conaection. ; PERMIT City of Eagan Permit Type:Building Permit Number:EA142338 Date Issued:04/27/2017 Permit Category:ePermit Site Address: 2858 Vilas Lane Lot:11 Block: 8 Addition: Country Home Heights PID:10-18300-08-110 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 - Edward T Dozios 2858 Vilas Lane Eagan MN 55121 (651) 454-1255 Professional Exteriors Inc. 3158 Viking Blvd NE Wyoming MN 55092 (763) 434-1500 Applicant/Permitee: Signature Issued By: Signature