3874 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:
Building
EA086493
09/30/2008
ePermit
Site Address: 3874 Dolomite Dr
Lot: 30 Block: 1 Addition: Briar Hill 3rd
PID:10-14992-300-01
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:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total: $90.00
Contractor:
Beissel Window Siding
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
- Applicant -
Owner:
Gerry A Jones
3874 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. 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•
I agree to comply with the City of Eagan Surcharge -
Ordinances. i
By
Date of lnsp.:
Misc. Charges.
Total •
Date Poid•
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•
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit•
Permit Fee•
Surcharge -
By Misc. Charges•
Dote of Insp.: Total•
Insp.: Date Paid•
410'City otEke
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 678.4676
Fax: (651) 67566$4
Date; •
Use BLUE or BLACK Ink
imr
For Office Use /
Permit* l! ; / o0'
hermit Fee: ;7. 4)55
Data Received: 11 /I 543
3
Staff:
4,!
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: 3nJ 3$70, le72,3?79 tSo4.ow,rz Aa. Unit#:
Choler
Name::/ u9 C 7- "4 A 4. Al t v i .x+) C Phony 743 - tS 3- 9 7 70
Address / City / zip: 7S-0 zr e A 7-v Q Av A) 'a` ,2 A aaoi b E.J i//K
mss S3'ylr7
Applicant is: Owner Contractor
Description of wont: • r.412 or -F2 a 1 L -
Construction Cost 1/ 9 00, Gr°
Multi -Family Building: (Yes )C / No
Company i&! P Contest knew, Is TS. (J ' S
address: 4/0 s tc) 64).6. S7 . City: m PG S .
State:/Y%c 1 zip: .3T 9i 9
License #:.!0C .*Y!/3/
Phone: 4'11- r6' -G x Y3
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
QtLi,I,S L L2( QuldY Porti' 197 S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has Me City of Eagan Issued a pemnit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor Phone:
1
CALL. BEFORE YQU DIG. Call Gopher State one Cali at (651) 454-0002 for prot cl on aga A$t underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.goaherstateonerau.org
I hereby adcnowledge that this information is complete and accurate; that the work wit be In confom ante 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 to Mart without a permit that the woi t iota be in
Beeordenne with the approved Wan In the case of work reach requires a review and approval of
Exterior work
dots of peckwitholted by a building permit Issued in accordance with the Minnesota State autldin Code must be computed within 180
x VAviN u a.i3
Applicant's pn Name
Z0 / TO 39tid INIVW 1X3 I3a
x
Applicant. Signature
777
Page 1 of 3
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411INF City
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
FA
3--? _
Use BLUE or BLACK Ink
For Office Use
Permit #:
)1, W
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
7 4./ site Address:
Mag, 3sg70 3771, 3¥ )4f 62. Unit 6:
Resident/
Owner
Type'of.Work,
Name: eh) 4e, Aff,3 46t N<iA.3 + r
Address / City iZip: :SO b1C34-r-u2 Av, , lA
Applicant is: Owner KContractor
Phone: 7k3 - si3- 97 7
oLD£:J V L Y /QA)
spy. 7
Description of work: R£KO E a' 4.4 P °Kf - J,'' ',) /o 6 F
Multi -Family Building: (Yes 2C / No
Construction Cost / 4 Y • CN
Contractor
Company. g £ 1 E,r ER/ c 2 /Aft kr-r . &2� Contact Da✓,
Address:
YDS. w tDo# S- City: h'/ Pi 5
State: /VAS Zip: SS -y/ C/ Phone: 1pi ,Z ' b' (r' / - Lo 2 S/ 3
License It: 4 �- ZIP / 3 / Lead Certificate #:
J
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
(11-4/0s. Pos,- /77r
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 pian?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor.
Sewer & Water Contractor:
Phone:
Phone:
CALL BEFORE YOU DIG. Cap Gopher State One Cali at (651) 4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecap.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 1 understand this is not a pormit. 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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Build n Code must be completed within 180
days of permit issuance.
x I./
Applicant's Printed Name
x
Applicant's Signature
/ 4',x77 �)
Page 1 of 3