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3816 Laurel Ct
'. P•t* ND Tolle son. Pui. dens • Ii e a Wit . 3816 Laurel tau.rt,. .BI." Prase t Brjar, ' • I* jo:. fl pc t a fir: ;. ,- e : I tui ti e.: Permit Fee: 1# . 00 p4 ` .1 4, iP 1011E Mo C ► A c.....4........, . g pd 9o Misc..rhalacs: 60.00 d mete . Total: Date Paid: " Deta(i'of trop.: Insp.: y of EAGAN SIDAtat SERVIt:S Pow argrinst Kaeb . Reed PERMIT " NO.: ? .7 '; .. MN 55122 DATE: If? ? C; / r; rotund- . 1 I I No. -of ..!nits: 1. unit to e °w ren Toll.efson Builders Inc =Address: site Address: 3816 Laurel Court L8 B1 Phsse I Briar Z41.11 Plumber. Genz ily an 3/19/80 18232 100.00pci 1 ewe. to ear 1,valt far 4Ity sf tepee Connection Charge: _ L25 5 _0n P c1 Ortilmentous. Account_ :. Permit Fee: 10.0Q rd Surcharge: .50 nd By Misc. Charges Dote of Insp.: Total: insp.: Dote Pout: Use BLUE or BLACK Ink For Office Use MY Permit v of E*n r) a -7.95 ( perrrrit see: 3830 Pilot Knob Road Eagan i~1 i I Date Reoeived: l Phne. (651) 675-5675 Fax: (651) 675.6694 i Staff: R t l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Data: - 3 v Site Address: 3 9/0, 3 V i x 3$r y, 38) to L.A G, C-77 Unit Name: % f~ C T /yl ,g A G E Al L T C Phone 7G3 s'9 3- 4 7 7 a Resit gr Address /City /Zip: SSA G r+ r-i✓ Q /9V A3 ze' Z /9 &4bEJ*-' 1~NK~ I iii s'3 "Y 7 Applicant is: Owner Z_Contractor v'Y 1 Descnptlon ofwork: -7-r,+4 ©F~ a {ZE Type: . Construction Cost: f 9co Multi-Family Building: (Yes No!) Company. E 1 £x r+ell~oiQ Contact tAvl d 2R + S Address: YO s 6 Z~ . City; /'h PL S . Caat'•• state: /yl~J Zip: V V19 Phone: License t C Z YI 3 / Lead Cerd irate # If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f~E2E, 4,)z - Po 4-, 19'7 r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan 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. Pone: Sewer S Water Contractor. Phone: ~...y. Ir W .'f, ;i:.. .fin '•'LS.J.: 1i '1'k ,Lw•' "rl •.J, yi.^ w+Y.ti. CALL BEFORE YOU DIG. Can Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utwom. wmKa=herstaworeal.om 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance vath the ordinances and odes of the City of Eagan: that I cnrdersta nd this is not a permit, but orgy an application for a permit and work is not to start without a permit; that the work vAR be in accordance with th® approved pram in mo - of w** which requim a roviam and approval of plane. Exterior work authorized by a building permit issued in accordance with the Minnesota state Build Code must be completed within 180 days of permit issuance, x ~v2tZ Is Applicant's Printed Name Applicant's Signature Page 1 of 3 4,111' CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 13.tt(9 Permit Fee: / 19° Permit #: Date Received: Staff: J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3- 7-/ `/ Site Address: 3g, ts, 3 W/2, 3 Fi V, 3 ?/4.0 Mu,2 L Z5'", Unit*: Resident/ Owner Type of:Work. Name: e% 4e Mk, Abir<E .ri Address / City / Zip: Applicant is: mak; Phone:763 - s 5'3— 9774) gSO D!c4-rv2 Av, A), -i`A Owner kContractor isoLD£w 1444,LiY /1,t) .mss VL 7 Description of work: Construction Cost jZ£,...o✓t< 8- R.£PLJt-cf- ..lid/a)'' d p G#4. /17£7 -'AL y C1Z) , CAD C) Multi -Family Building: (Yes is / No ) Contractor Company: £ 1 £,e• r Se, D 2 /�%iiA I b) --r. & aP' Contact NO 6 43,i�, S Address: Z/p,T' L3 &obi ¢, . City: /YI PL. State: /VAS Zip: 5-5-4// r/ License #: 4-4 L 2 4(1 / 3 / Phone: L,/z- F1,j-102V3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &,Y Pos`" I 5' 7 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: NOTE Plans and supporting dacunten!ts thatYda sobrnftare consideved to ire pu, tint b the .infonnatron nay be classified as non-public if you provide specific tubo* >l dPeriP5:: `- '•` concludethatthe , ;> de y ' 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.gopherstateonecali.oro 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State BuildiCode must be completed within 180 days of permit issuance. x N 4 ✓. & )c..2.2, Applicant's Printed Name x Applicant's Signature J300,4 . Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA162962 Date Issued:08/06/2020 Permit Category:ePermit Site Address: 3816 Laurel Ct Lot:8 Block: 01 Addition: Briar Hill PID:10-14990-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Natalya Stepka 3816 Laurel Ct Eagan MN 55122 (612) 990-4884 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature