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