3884 Dolomite Dr44,0 City at8apu
3830 Pilot Knob Road
Eagan MN 68122
Phone: (651) 675-6675
Fax (651) 675.5884
Use BLUE or BLACK Ink
For OMD► Lbs I
1
1
Permit t [°� , i m 1
Permit Fee: 105-5
Date Received: Lt I I
1
Strom I
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: y 9-/ `! Site Address. 8 L' m i TZ DR . Unit ar:
Name; e/o ,4 /fi.F..; 4 & L IK ;474 C. Phone: 74 2 - 1— 3 7 7 0 .
Address /CityfZip: SSC' 6r44rUQ 4v, )3, 10 6.0Ibs.:3 14rg4..i.Er A/A)
Applicant is: Owner 2'Contrector Sr WI 7
Re$idettt/
Owner
Type..orwortc
Description of worlc R CPI -4 CL Me t 7", Pi L fSO4-15
Construction Cost . Multi -Family Building: (Yes _ / No _)
c
Company: a £ i £ r Ciel o /L /y%tr vT . &O. Contact E)44v, J gelv/2-2/S
Address: 4/03" L &,bid' J- city: m PL S
Ste: /VAS tap; 5 Y 4'/ 5 _ Phone: !o/ .Z • g 6v I - [o Z',/.5
License*: L 2 40/ 3 / Lead Certifloate #:
If the project is exempt from lead certification, please explain why; (see Page 3 for additional information)
Rh.IL} Post' l77b�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILQING
in the last 12 montfm, hie the City of Eagan issued a pantile fora 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:
ZtLL BEORE OU WG, call Gopher stats One Call at (661)454-0002 for protection against underground utility damage. CM1148 hours
re you ttUnd to crig to receive locates of underground trate& wirow,otkohasdateonecagorq
I hereby admowledge that this information Is complete and accurate; that the wort will be in conformance with the ordinances and codes of the City of
Eagan:
understand kin is not perm*. but only an oppaoadon for a permit. and wads is not to start w4hout a permit trot the work will be In
approved plan in the care of work v.ticn Inquiet a review and approval of plans.
Exterior work authorized
of Pik Issuance.by a building pennft issued In accordance with the Minnesota Stale Solidi Cods must be completed within 100
b', p Ivze.,•
Applicant"* Printed Name
8T/8T 3JVd
X
Applicant's Signature
Page 1 of 3
1NIdW 1X3 I3S L9Z9T98ZI9 9T:bT PIK/TT/b0
City 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:
Building
EA075915
11/16/2006
ePermit
Site Address: 3884 Dolomite Dr
Lot: 34 Block: 1 Addition: Briar Hill 3rd
PID:10-14992-340-01
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
If altering the opening size, a framing inspection is required. Smoke detec tors are required in all sleeping rooms prior to
final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required Bat tery operated types
are acceptable if the wall/ceiling finish (i.e. sheetroc k) has to be removed to install a smoke detector. Diane Krogh PO Bc
5 937 Rochester, MN 55903 507-281-6363 ryanws@worldnet.att.net
Fee Summary:
Valuation: 2,000.00
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
$69.00 0801.4085
$1.00 9001.2195
Total: $70.00
Contractor:
Ryan Windows & Siding
3750 NW 85th St
Oronoco MN 55960
(800) 367-2606
- Applicant -
Owner:
Margaret M Nauth
3884 Dolomite Dr
Eagan MN 55122
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
City of Ea�ali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: q. Cp a —]
Permit Fee: ...73
Date Received:
Staff:
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4'/2 0// 0 Site Address: 38740 - 38 78 -3 850 - 3gSY ,doe-c.,/t44-6-/7 ,'
Tenant:
Suite #:
RESIDENT / OWNER
Name: /O ,$5DC, I%../�ivc- j't1 UMT Phone: 74 3- - 37.27
Address / City / Zip: 7100 E. FISH LIC 0 M PrP LE ( &&VE MN S5311
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: gCMOVE AN0 &PtAt 44,A -
Construction Cost: / 3, 6 ao Multi -Family Building: (Yes X / No
)
CONTRACTOR
Name: 3E/ E +4 TE'fO/L #: alD? 'V// 3/
CO,e, License #:
(/04/NT,
Address: 8 /0. 607x u T City: ///! /NNA,O6G/S
�`
A
State: Al Zip: ‘..5-&111 9 Phone: (1 26/ - 625'3
r-
Contact: DA -t/19 Email: 1f1 Fo C. berg M . COr"
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
Y tformatIon portions
of
CALL BEFORE YOU DIG. CaII 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.gopherstateonecatl.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 }fm the case of work which requires a review and approval of plans.
X ('-/1is-WegccO
Applicants Printed Name
Applicants Signature
Page 1 of 2
CITY OF EAGAN WATER SERVICE PERMIT
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•
1 agree to comply with the City of Eagan Surcharge•
Ordinances.
By
Date of
In� 9_.-V fes`/
Misc. Charges.
Total -
Date Paid•
Insp.:
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
agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit.
Permit Fee.
Surcharge•
By Misc. Charges.
Date of Insp.: Total•
Insp.: Date Paid.
4111°'City otSaga�n
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6765675
Fax: (651) 6755694
Date; ////4//1,..
Use BLUE or BLACK Ink
For Ofhce Use
Permit rr: /0 7A 11-'N
Permit Fee:
Date Received:
Stall:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
RIA2 N !<L —7-s4...LAI/Azrti S
Site Address: 3889 t,oLor'ti "rt DR .
3110005
•
Unit #:
Name: at. AJSoz,4 cJ A79 4.1c, f9s).14&Fp+ tP41 Phone: 74.3- 9- .3 72 7
Address / City / Zip: o 7.A E , FISH I,4 U /LSD E. Co /201/i- MAI SS'3 / /
Applicant is: Owner Contractor
Description of work: RS -414.' 1 L b L C. 1'4' 0 7A/0k, £ Jj1 ' ._
Construction Cost $ 7 2.10. Multi -Family Budding: (Yes / No _)
Company: t£l ix0/0 ---..-9,;4/7" - �oR t -- Contact: tJAv,�. rev 2Rr S
Address: 4' L.) . (o oer S -r. City: ft/ PL 5 .
State: /1I 4.1 Zip: SS' 4.f I $ Phone: 4'/,1 ' 8101- to 21(3
License* /.L/)/3j
Lead Corticate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
4.507 6is7-..n4'.J - 4,j y ES
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 S Water Contractor Phone'
Phone:
Phone:
i..� 39' + r� . ..' :��� L• ::r, x�;�t h�,..�.< ' !. ' ,.fl • .ai. +..._ �� �C` rY r.....i.�w.
CALL OF.FORE. YOU DI . CaII Gopher State One Call at (661) 464.0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to locates of underground utilities. www.aonheratatennecaIt.org
I hereby acknowledge that this information Is Complete and accurate; that the work will be in conformance with to ordinances and codes of the City of
Eagan: that I understand thIs is not a permlt. 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 pian in the case of work which requires a review and approval of plans.
Exterior work authored by a building permit Issued In accordance with the Minnesota State Buiidi
days of permit Issuance.
x Aar;A 13411z -1a ( S
Applicant's Printed Name
Z0 3Jt'd
x
Applicant's Signature
Code must be completed within 180
Page 1 of 3
1NICW dOIZ131X3 I3S L9Z9198ZT9 Tc:cT ZTOZ/tri/TT
SUB TYP5S
Foundation
Single Family
Multi
01 of Plea
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review /
(25% 100%�Y
Census Code
# of Units
# of Buildings
Type of Construction
DO OT W ITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
_ Porch (Screen/Gasebo/Pergola) —
Pool
w Interior Improvement
_ Move Building
Fire Repair
_ Repair
3Ca9e
,REQUIRED INSPECTIONS
Footings (New Building)
4 Footings (Deck)
Footings (Addition)
Foundation
Drain The
Roof: _Ica & Water _Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit Is Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building'
Demolish interior
Demolish Foundation
Water Damage
'Demolition of entire building - give PCA handout to applicant
ARG - 3 MCES System
1001/ SAC Units
PO City Water
Booster Pump
Bio PRV
/0 Fire Sprinklers
Meter Size:
Final / C.O. Required
ft- Final / No C.O. Required .
HVAC — Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _Final
Siding: Stucco Lath _tone Lath Brick
Windows
Retaining Wall: Footings _ Backfill — Final
Radon Control
Erosion Control
Building inspector
e-5);§. /100/6"
57 /,.
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Page 2 of 3
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41'City atEke
3630 Pitot Knob Road
Eagan MN 55122
Phone: (661) 675.6675
Fax: (651)676.5694
Use BLUE or BLACK Ink
r For Qlhce dee
Perm* 6 l CI()-
Permit Fee: .. -1.-a5"
Data Received: 1
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPucATION
Date: • SIN Address: 3174,, 3 7'S, 3 eS.0, 81F,1j tZtooLork er i AQ. Unit ft:
Name: c A C 7 not; ti) r4 rb 1 E a..r i -.710 C Phone: 7401 - .s'4 3 -19 7 7o
Address / City I Zip: �St> a Z: t 4 7--u,2 ,�1.J N p 604E.-1 V+Ki *'
Ar -SrilA
Applicant is: Owner 2, Contractor
Description of work: '7"£'A,2 OFF. e• O.E - QvoF
Construction Cost 9 VO CTO Multi -Family Building: (Yes / No
Company: E J /DRlb.a , R Contact tow 12•,F. r S
Address: 90 s- 6DtiS? .
state: / i -1 zip: .5rv/ 9
City: /'h PG 5
Phone: LD'z
License #: .t y J 3 / Lead Certificate #:
If the project Is exempt from Wad certification, please explain why: (see Page 3 for additional information)
fit. 4.5 LE C- ,tr Pas;
i,,r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW UJLDING
In the Fast 12 months, hes 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:
tt et, i
77,.rL�rtii .�.t,�y at Tr Zwsc xw
•
aaJ� :. 7 R ! �2(r�Y :�S ✓� u d^•�(f'- ''N•
�1
.. .�,. ...15♦ ...^iA,. .G� w 4:'• T��. .Int' hM.l L.� "�'.�.7�1�1,lrnn'
CALL BEF E Y DJG Call Gopher Stats One Call at (651) 4640002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities. vnwr.00pherstateonmall.oro
I hereby acknowledge that this information is complete and accurate; that the work vriil be in conformance with the ordinances and codes of the City of
Eagan:
understand this la not a permit. but only an application for a pemlit, and work is not to start without a permit that the work vrill be In
approved plan In MG case orwork which requires a revlew and approval of plana.
days Exterior work authorixad
of permit Issuance. by a building permit issued in accordance with the Minnesota Stara Sultan Code must be completed within 180
x_ b oqv i 4__ _S
Applicant's Pri_nted Name
ZOIZO 39vd
1NIt1W 1X3 I3S
x
Applicant's Signature
Page 1 of 3
L9Z9I98Zt9 OZ:ZT ETOZ/bT/tT
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158210
Date Issued:10/01/2019
Permit Category:ePermit
Site Address: 3884 Dolomite Dr
Lot:34 Block: 01 Addition: Briar Hill 3rd
PID:10-14992-01-340
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, 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:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Margaret M Nauth
3884 Dolomite Dr
Eagan MN 55122
(651) 681-9283
Ryan Windows & Siding Inc
PO Box 5937
Rochester MN 55903
(507) 281-6363
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158451
Date Issued:10/15/2019
Permit Category:ePermit
Site Address: 3884 Dolomite Dr
Lot:34 Block: 01 Addition: Briar Hill 3rd
PID:10-14992-01-340
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, 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
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Margaret M Nauth
3884 Dolomite Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162229
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 3884 Dolomite Dr
Lot:34 Block: 01 Addition: Briar Hill 3rd
PID:10-14992-01-340
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, 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
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Margaret M Nauth
3884 Dolomite Dr
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature