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3817 Laurel Ct• Reader No.: Permit Fe tSOM..0WI* �r f►#i Surcharge okilasocos._ Misc. 60.00 pd meter Tata: y Dot. Paid: Date of moi!/ T X123 1 Zoning: Prjr. of 2 c_: 3 on t / 1 ? Ne., of Un#ts~ 1 unit iur. - e _ nc Jlddreu. 1,17 {urea. ('ourt 17 T = , TY .3e : lri�r Nill _ , "jsi 237" 1 100.,-'^ oyes to ems* wiw the I ty of ager Connewfon C'7,orts: 4 2 5 . () o Account Deposit: Pit Fay , 0 Sum: w:E? t x� By ut yMamma Dale jTatoi: Insp. / 5- 7/ Dote • tyofEaail 3830 Pilot Knob Road Eagan MN 66122 Phone: (651) 875-5675 Fax: (651) 676.5654 Use BLUE or BLACK Ink . For (*lice flee Permit a% .� I �a11 g Permit Pea_ Date Received: Stile a el 5 a 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: A)" lv /- Site Address: 3 57/' 3 Si 3, 3 t7rs-> 3 g i 7 ' GA c..4.2E 4, G '77: unit 0: Reekidinti" Name: o A C r m m A.)4 G •Z /11 Z4-.) i .T." C Phone: 743 --V.9 3- 9 5 7° Address i City / Zip: VS -0 ID let/ ,t,, r ,2 i4 Goi.a E.,1 t/i /rl at S3'47.t '3 Applicant is: Owner Contractor Description of work: 7'i2 Off.- Z - iZ - - Construction Cost JJ 9 00 • oro Multi -Family Building: (Yes X' / No Company: ip& I 4.-7-c2'oit 047,4 7. 2./4 Contact ttAvr 4 12-*. r S Address: OS- t3 601 s? . City mPG s . State: PIA) Zip: .S .S 6'/ 9 Phone: to I2 - 6' - Z y3 License#: tie / Lead Certificate #: If the project is exempt from Mead certification, please explain why: (see Page 3 for additional Information) E2F-' Pos: / 9. P COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months. has the City of Sagan issued a permit fora similar plan based on a meter plan? _Yes _No If yes, date and address of master plan: Licensed Plumber. Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: Z 7 AdP n y.Cri�.L�u�w"�S('�'`G�r �M1411 SIC .: ��ti !+,��••r. �.�1" ..' r- - _' �-. ._:5,1.",r•Y ..r. y Phone: Ivor•:il. CA BEFORE YOU DIG, CalI Gopher atato One CaN at (661) 454-0002 for protection against underground utility damage. CaII 48 hours ore you Intend to dig to receive locates of underground utilities. .aooherstatenneoall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance wilt: the ordinances and codes of the City of Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without s permit; that the work will be in accordance whn tho approved plan in enc case of work wtrlen requires a review and approval of plans. Exterior work authorized by a building permit issued In accordance with the Minnesota Stabs Builds days**e, of permit issuance U x Avr>, 110 ma Applicant's Printed Name £0/T0 39Cd 1NIbW 1X3 I3S Code must be completed within 180 Applicant's Signature Page 1 of 3 L9Z9t98ZT9 TT:VT £TOZ/90/TT �City 0IEeQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FI? �• '-9 3,-`7-/�/ Use BLUE or BLACK Ink For Office Use Permit* 1 a 1 �' Permit Fee: •L7(1 u Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J • / 3V/, 3$ ?)5; 3*'/7 "Au/2£L Z`. Unit 0: Resident! Owner . C/e 46 A "1,3 419104 £1.3- w C- Phone: 7/03 - s'93- 977 Name: y /�•�) \p� p E;,; 14) -Ll £ Address / City / Zip: 8Sa Q £ C 01-7"u 2 A✓, A.) ) fi Applicant is: Owner KContractor SS" VI 7 ' Type of:IVork Description of work: IZ£moouf_ e- R£Pl. r>-(.. I.-6/ •.)1c a F -4 -s( -1a /9 £:4L Construction Cost / 4 iicst3, Cly Multi -Family Building: (Yes is / No ___) Contractor Company: a £ 1 Z C r sei r, 2 /Atli 1./.7- . 21,12P- Contact b411, 6 43,/2-.2i S Address: 4/P -3" L 3 lob J7 City: m Pt S State: 1713 Zip: SS'gi 9. Phone: to/ I' S do / -' 2 473 License #: 41 C- 2 Y/ / 3 % Lead Certificate #: If the project is exempt l,LACDS- from lead certification, please explain why: (see Page 3 for additional information) Sim/e,,- Pos'7" /5'7Y. In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and awaiting documents thatyou submlt consud ;ta ..ptbl ,l < nsof the.nnfor►nation. may be class0das'non- ilk if you prSSCd,�9.ersspeck ns4 ' - p*fi the i tlr to 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.000herstateonecall.oro 1 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 BuildinLCode must be completed within 180 days of permit issuance. x r4✓' /ci/2J2/5 Applicants Printed Name x Applicants Signature / 3 cn: Page 1 of 3 ‘* City of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED APR 302017 r Use BLUE or BLACK Ink For Office Use Permit#: / 11 39g/ s Permit Fee: 2 g'q. 542 Date Received: Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0l2-1 9 Site Address: 5 tiv'z' ( Gf £ J".4 /frlti Unit #: Resident/ Owner Name: l ';c r +'1/S &Nem -05 /4-s c. a.-h`o-a Phone: Cl Q. -'(SG - 511 ,3013 , 381,5-,` -31I1 ) Address / City / Zip: S I c •F- / C-(7) 155---t _2_ 3 Applicant is: Owner X Contractor Description of work: Covt—i-L 5Tvoi3 ""f" Type of Work Construction Cost:0 a9/ c v L('"'I r Multi -Family Building: (Yes k / No ) Contractor Company: 7j:;) S tk,( i4wt eN C. Contact: Kyk. (�J ore) 40 N► ) Address: !irri Ki4l vu.(te7 13tvdL City: .. e�- CMn9vG14el?*htS State: /VW Zip: 5c07-4- Phone: c,,2- fl S `rt r?' Email: k 73 r ,l & ,6c4:+G¢1er cti.. ca», i License #:Tekci 6119 Lead Certificate #: If the project is exempt from lead certification, please explain why: MA 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: Phone: Fire Suppression Contractor: Phone: Sewer & Water Contractor: 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. 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.gopherstateonecall.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 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 offj permit issuance. x Kjk -Tio-mtkovil Applicahrs Printed Name Appli is Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration 'O Replace Retaining Wall 3H - Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair /7 L4 �✓- Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool DESCRIPTION Valuation �� bDo. T Occupancy Plan Review Code Edition (25% "Q 100%_) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction VP Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) r Foundation Foundation Before Backfill Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Siding Reroof Windows Egress Window 3S"I Exterior Alteration (Single Family) Exterior Alteration (Multi) )° Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant 'R! -I ievtzo �D MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required 7 Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests Final Drain Tile Siding: _Stucco Lath Stone Lath _Brick _ EFIS Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: Rough In Final Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 5 -ie!-' e) 6 Pi 1491 I im,A57eR (1MA. /Lee're� 1— A9-1 /e5017. Page 2 of 3