3820 Laurel Ct4111' City of Eaaan
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 6756675
Pax: (661) 675.8694
Use BLUE or BLACK Ink
For OMlce Use
Permit r) t 1 o 1
Permit Fees t f al5
Date Received: 114+1I+
Sta
14+1I+
Sha f:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
1-/-5.--/q Site Address: 3 ' J v LA v 2 E L CT: , Unit 4:
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R+ident/
(*her Address / City / Zip: 8SO b z G o r u Q Ave , ,1(� CfloGO va 144LS Y /OA)
Name: % 4c% P9A1N 46t.MtL..;
Phone: 74 3- r71- 9 7 7 0
Applicant is: Owner 2f Contractor
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Type 'of-Wordc,
Cont ardor
Description of work: QLP[.,q. C'�. N1' L 7 i °G F
Construction Cost: • _ Multi -Family Building: (Yes 1 No _)
Company: a £ 1 E'er r ex/ G. !L /»4-, .)-r . &a? Contact. b aI' 0 ai/2.42./
Address= 1/o -S- w 104 17' City: /1/
State: /11,3 Zip: SS's// l Phone: IP/ .t 8 4/-444/3
Licenses: 4.3 C 25/./ / 3 / Lead Certificate 9:
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
(1.1.-14 Pcs'r .77
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEVJJJLDINg
In the last 12 months, has the City of Eagan Issued a permit for a eimitar 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:
NOTE r Phone:
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715
;ALL BEFOR JOU DIG', Cal Gopher State One Cali at (651) 454-0002 for protection against underground utility damage. Call 48 hours
beton!
you Intend to dig to receive butes of underground utlikles, www-aotaherstateonecap,Qrq
I hereby atdahowiedge that this information is complete and accurate; that the work wlrl be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a Bem,if, but only an application for a permit, and work is not to start without a permit: that the work will he in
accordance with the approved plan in the case of work which requires a review and approval of plan&
days of permit !Mance.
Exterior work authorized by a building pemat Issued In accordance with the Minnesota Setts SolidiCode must to completed within 180
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Applicant's Printed Name
02/80 39vd
x•
Applicant's Signature
Page 1 of 3
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s OF JJAGAH
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same
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Tollefseu Builders
No of
1 "unit trip
sift Address: 3820 Laurel Court L10 Bl Briar Hill Phase
plumbor same
Motor No •
CtommaiOnChomin 305.00 pd
No.: 'fit few 10.00 pd
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'Total:
Sy Data Faid:
Date of hasp.: loop
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60.00 pd me
er.
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Address
Site Mdrem: 3820 Laurel Court Ll0
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4100
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unit tlall3.e
5/7/80 18S46 ;: 100.00 pd
aim !a ormook with Ilw City of =seo S £ +s cion Charge: 4"5.00 pd
Permit Fie;\ 10.00 11,1
Surcharge: ? _ 50 pr{
By Miac. Charges;
Cote of imp.. Total:
Imp • Dote Paid:
411" City of Bain
3B30 Pilot Knob Road
Eagan MN 55122
Phone:(651)675.6675
Fax: (661) 6755604
Use BLUE or BLACK Ink
For Office Use
Pennit # '?"7.),0
I 1 ) o
Permit Fee: a-]. a5
Date Received: I AA"
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: e v G / 3 Site Address: 3 813, a dxo 3 Vile /719 1,14,-'4Z G C Unit #:
J
Name: d/o 4c-7- /) 4,J 4 G /4“ v i .X) C Phone: '743 - s9i 3 9 7 7 0
Address / City / Zip: $S1a 6 E. c 14 7-4.r.Q At., .21 2 19 Bot t! E.J ati-c
Applicant is: _ Owner . Contractor
Tyl'sf.Waoir.
Description of work: -7 L *iZ O a (Z E - 043-0
Construction Cost ---�+ 9l 1) , OO Multi -Family Building: (Yes x' / No
Company: GSE 1 �'a�'�c a,o.2 /Yliti.aT. 602M Contact 'NAL", J r S
Address: 9os Itii 405. S? . city: PL S .
State: /71k1 _ Trp: .575-9/ 9
license #: C .t y / / 3 /
Phone: 61A 14/- is "3
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
111-4 12s L la t R u j L- PDS: 19 7 ?T
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW FlUILDING
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:
Mechanical Contractor.
Sewer & Water Contractor:
Phone:
Phone:
Phone:
ww•yy�
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 6344002 for protection against underground utility damage. Cali 48 hours
batons you intend to dig to receive locates of underground utilities. am,g0pherstatgQnpcsalort
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 t understand this is not a permlt, 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 pian In thti case of work moon 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 AVi! ,%.)2r2IS
Applicant's Prince Name
£0/£0 39Vd 1NI'W 1X3 I3G
x
Applicant's Signature
747
Page 1 of 3
L9Z9t98Zt9 Tt:t7t £T03/90/It
41110 cityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
a(55o
Permit #.
3"
Permit Fee:
Date Received: Lt Ci b 7
Staff.
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: II' — J 4/ Site Address: Ti P/3 no� 3 ? 2 R, 382 y LAtva L Unit #:
Resident!
Owner
Name: e/a 46 i RAA.; 4 b E i'+< L a3 r w c—
Address / City / Zip: :SO jJ L C rU 2 4v, , ,� A
Applicant is: Owner KContractor
Phone: 763 - Sf 3— 9 7 7 0
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Type •of:WOrIc,
Description of work: 1£Koa E. e, P.£ PL J,,d/.J d F -4-5G./ 4 ) L7-4 L.
Construction Cost /1/, gat), cry
Multi -Family Building: (Yes X. / No )
Contractor
Company: CS £ 1 &,< r Ede/ o /L /i%r Ar -r . coat Contact DA ✓ ► 0 ��12-Q� S
Address: L/os w Gott.ST -
State: /47/3 Zip: S"3' " 9 Phone:
License #: C-- ZY/ / a/
City: m PL
&az- ff/-Lzys
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
I�LtJ(cS- 11vit.r Pos .5,751
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: Paris and y S
the..nfonnation r be class�ealasllc`_..
concrudet: `l erere,
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.00pherstateonecall.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 of permit issuance.
x ��✓' ��22if
Applicants Printed Name
x
Applicants Signature
) 2
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174925
Date Issued:03/01/2022
Permit Category:ePermit
Site Address: 3820 Laurel Ct
Lot:10 Block: 01 Addition: Briar Hill
PID:10-14990-01-100
Use:
Description:
Sub Type:Furnace
Work Type:Replace
Description:
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Luke Banicki
3820 Laurel Ct
Eagan MN 55122
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178864
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 3820 Laurel Ct
Lot:10 Block: 01 Addition: Briar Hill
PID:10-14990-01-100
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Luke Banicki
3820 Laurel Ct
Eagan MN 55122
One Hour Heating & Air
15191 Boulder Ct
Rosemount MN 55068
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
