3830 Laurel CtRESIDENT /OWNER
Name: /0 Assoc. ,i!.v� -ruts .. ildEzoltr Phone: 743.4" c/ — .3
Address / City / Zip: 7b 2 - Fi $ H - L- 4 44 - C 4 - Q,oa - M f'LE' 02.01JE mAJ.._ fC3! /
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: to --kr -e Z. Foe/ 77/1./V. s ..4/v /J /CcsT
Construction Cost: 4/ Multi- Family Building: (Yes / No _J
CONTRACTOR
Name: 80 &.G7 ore, /07,9- /NT. tare f', License #: A I ll/ 3 i
0 /J- 6V r City: j'j G• /f
Address: 1 /05 -
State: Ile Zip: 1/41 Phone: dr /.. - 334' / !v 2 V.
:Contact: 2kId ... Email: ClCdUrrIS a be., xiy. no
COMPLETE
In the last 12 months, has
No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan Issued a permit for asimilar plan based on a master plan?
date and address of master plan:
_Yes
Licensed Plumber; Phone:
Mechanical Contractor:
Sewer & Water Contractor:
—_ � ... : . Phone: ;
,
. Phone:
NOTE: Plans and sappier,tiro, i submit are . cOnsiafered:te be:publi : matioii." Pardiens of
the r ;nfornretion may be'Cl ffieal as pep-public if you ,provdde specifi : sons would peYmit the 'pity to
conclud at the are trade secrets:, s '
7/14/2011 09:36 6128616267
Date:
Tenant: !
City of EaQail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
7j //.
x Cwt / s
Applicant's Printed Name
JUL 1 4 2011
Site Address: Sac) G/�Gz / L- GC7G T
BEI EXTERIOR MAINT
m, PS cto(33i
v/
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Applicant's Signature
staff:
PAGE 01
v
Use BLUE or BLACK Ink
For:,f5�r�eJ?
Permit ft 1 0/
Permit Fee:
Date Received;
(0
Suite #:
CALL BEFORE YOU pKG. Cali Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates underground utilities, www.aopherstateonecaU,ory
I hereby acknowledge that thls information is complete and accurate; that the work will be in conformance with the ordlnencea and codes of the City Of
Eagan; that l 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
acconinee with the approved plan in the caae of work which requires a review and approval of plane.
Page 1 of 2
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
Addition
Alteration
P, Replace
_ Retaining Wall
Reviewed By:
DESCRIPTION
Valuation
Plan Review
(25% 100%
Census Code
#of Units
# of Buildings
Type of Construction
w
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
_ Fireplace
_ Garage
(, Deck
Lower Level
¶ Iv f pr P as
Interior Improvement
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
TOTAL
DO NOT WRITE RTE BEL court LINE
6 0 Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Porch (3- Season)
Porch (4- Season)
Porch (Screen /Gazebo /Pergola)
Pool
_ 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
MCES System
'-) SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air /Gas Tests Final
Siding: _Stucco Lath Stone Lath ,Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
aoo
Page 2 of 3
err/ o» USAIR WA 14 TER SERViCE P
2795.410 -*gab Road PERMf iE' ` NO.: 3267
is MN Eris DATE. , . 114+ IF C,
zoning: Y` II - R No. of Urdu. I uni t torts.;
O .o1lefsen 'Builders
Site `1%earess:
3830 Laurel Court L17 BI Briar Hi11
• Plteober same
Meter No.. connecson Marge. 305.00 pd
Size: ACCOuttt Depot •
10.00 pc?
• Nb,. Psnrd! `f�e� ' .50 pd
• lseifr!► City of 60.00 pd Rueter
Misc. cia
Total:
$Y Dote Paid:
Date of Insp.: Insp.:
SEWS soma , L
AS Pg* PERMIT Pia': 1 f Knob Reed . DATE: i urtr *rt�fie
i> No. of tinfe:
' Zoning: Cdr io11e1:son Builders r_--~
Address: 3 ?C Laurel Court L1. i -= ia - i+i,11- ' "
Site same ---- ,� ±C::;22trrt—tt7
member: 7/2�+� 2(s 114 :_� t
1 area to ee�r/1l rd' N� -
Li ! ' pyr Fee: 11 tl ti= -_
__ 5t mac?
Misc. C +or9es:
By Total:
Dote of Irk.: Dote:
Insp.:
Use SLUE or BLACK Ink
.
For Oflloe Use
Permits; I
~ . Z
MY of Wan I Permit go&
I i
3830 Pitt Knob Road
Sagan MN $6122 j Date Receiw d: j
Phone: (651) 6754CO t 1
Fax: (661) 076-4694
~ Staff ~
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: "J Site, Address; I V1 6, 3ITA C. 310 o, 0,3 231 4.4 Lj. t L C -T. Unit y:
Name:c o Fd C: 7' /y1 r4~J 4fn;,P MBAJ ; x,~C vs •s"~i3 9770
Phone. 7l
bvl~ler . Address / City / Zip: VS0 G v e Al ' ,Z p _604h Z ► VnK4t4_j
Applicant W. Owner ~ Contractor
TYP ;iL?f, f, Description ofwodc `7".~.•1~2 OIGf^ e> 2E "Y of-
Construction Cost: Q Multi-Family Building` (Yes No
Company: GCE 1 ExrEa"oR N47,a; . &ZP Contact -hAW h %vQjk r 5
ev.
crt Addres6: ~a tti1 6 i~ ~0? . City: PG s .
State: ZIp: Phone: G'~it - g6 / Z'/3
•1,4 •
License 49C A q) / 3 / lead Certificate 0:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
. '~~c.~eas ~21.•QutLr Pos: ! p7 fl
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW UILDING
In tlw last 12 months, has the city of pagan 1=49d a permit fora similar plan based on a master plan?
.,.._Yes ,No If yes, daft and address of masfar plan:
LlrenwW Plumber Phone:
Mechanical Contractor. Phon-
Sewer & %trr CyontracCor Phone:
~.~;jyy ~!ry'!W~•'~ I M~~ I may.
.A%:r•" ,i~•~!`~.~'C qy~l r`.1. p.,... ~ .•l.If.v
CA~s.~~G YOU OIG. ~ - ' ?
pher StA/e ono Gatt et 681 4S4.p002 for protection against underground utility damage. Call 46 hours
beMre you utbsnd to dig to recevVe locates of underground utllkies. o
^
Il.o
I hereby acknowledge that this Intormatlcn is complete and aawrdte; that the work wdl be in conformmnoe with the ordinances and codes of the City of
Eagan: that I understand this is not a pew, but only an application for a permit, and work Is not to start without a pwrdt: that the work will be i6
ocrwnianm whh the a rwved ran In ire case W work wnioh raquk a a m view and dppmvar of plans.
EKC'rlor work auth*rb*d by a building Wink Issued in accordance with the Minneecta
days of pem* muence>< Strafe Bulldcn Code moat be wmpiamd witlmin 180
. >~~rqv~~ ~+a22~s
Applicants Prinfad Name x
Appllcatnft Signature
Page 10(3
5O/TO 39Cd 1NIVW 1X3 139 L9Z9T98ZT9 E5:5T ETOZ/bZ/OT
Use BLUR or BLACK Ink
For Office Use I
My Permit
of Eajan Permit nee: 19 13.0
3830 Pilot Knob Road
Lil-
Eagan MN 55122 i Date Received: ( I
Phone: (651) 67Sd5675
Fax: (661) GTS-6694 staff_ I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~Cy 3r - l3 Site Address. -3 8x1-,38Xf, 3830, 3$3,2 JAUREL 611-, Unit 0:
Name: L3'/& 4C Phone:763 - S S3- 977o
R16'* UAddress/ City t dip: gso Dzcw7'V2 Av ~ lA Ga4DE.~ 1144,L-cr WA)
Quitner
Ss wl 7
Applicant is: Owner ,Contractor
Descrlption of work: L a- ~ £ P L 4 In t 7, 4 4G
Tp: of!1gri:
Construction Cost: an, cro Multi-Family Building: (Yes No )
S
Company: r CA--l o A JY~id ~ aY . Cv RP Contact 64 fl J3-/2..,2)
Address: I/cam W 100 City: /tiI PL S
State: zip: S$'~// r1 Phone Lor - (o ! - 1 y3
License G 4// 3 f Lead Certificates
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I~L"ra,r poS;- JF?
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: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
MOTES Rlahs. a6d` ~
ser . d9,00M. a tt iis~►r C r ~coo$ . [i<'t+O ;Pa~l~~~ ►~Nof
i
_
the lnforms2eon.: .be.e~ssifl' ;ngrr• It:rif` ~ vI :s e~t#1t!!aa'~Iirs~>..
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4154-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities, www•aooherstatsonacall.oro
I hereby acknowledge that this information is complete and accurate; that the worts 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 of plans.
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.
x ~4✓, 0 S x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
TO/TO 39Gd 1NIVH 1X3 139 L9Z9T98ZT9 TZ:60 ETOZ/T6/0T
I-For For Office Use
, , AG Permit#:
ENPermit Fee: / / .a
�, h V '� Date Received: /0 '19
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 �••"
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-56 d Y ' � Staff:
buildinginspectionsCa citvofeagan.com
BY:
2019 RESIDENTIAL BUILIANGPERMIT APPLICATION
Date: -97-4-/ d-O/g Site Address: 3'63 6-Cccv / C* , &ct5c'1 ,,M/U Unit#:
Name: Br(Cr+Nr`((c) -4-4004C Own-LS 14550c(a41' ') Phone: '? - 6(5C.- GSI`1
Resident/
Owner Address/City/Zip: 3`b 3D 6c.4 C±, //AA)
Applicant is: Owner >( Contractor
Type of Work Description of work: con ; r
Construction Cost:IS-, OO 0 - aD Multi-Family Building: (Yes x /No )
Company:-11\)5 c.,( 74Vt/.e('+ C 4 Contact: KI _ o
Contractor Address: /1D- --1 42'6(4Ual<er 13 (vd- City: U r't)ke_ 71(eif)475
State:M4- Zipfl tO 9-;- Phone:'? i'S�5-91`/•7"- Email:K /�o m�w w 07 5e_c4(4144
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:
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 information. Portions of the Information may be
classified as non-public If you provide specific reasons that would permit the City 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.citvofeapan.com/subscribe.
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.aooherstateonecall.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 of plans.
x 4(-c. r'14-Lo v-\ x
Applidant's Printed Name Applicavf'Signat
DO NOT WRITE BELOW THIS LINE 3 g3 d L,uu I CI-- tC�(70
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
do 01 of LIPlex Lower Level Pool Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
)"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 I Si DDa,r Occupancy 3'gC^-3 MCES System
Plan Review Code Edition njf 2 b/S SAC Units
(25%_ 100%.) Zoning F' ? City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 63 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) ?o Final/ No C.O. Required
l� Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
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_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: %01'1 M! Kly,4 , 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