3823 Laurel CtGirtO I N 4 ` ..SERVlt
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ding' rill No. of Units. . ? uy 1. t -tr, s e
Tollefson 3uildersInc
Address:
Sita'AddnKs: 3623 1_aurel Court 112 B1 Briar.' i.1 11
Plumber. Cert Ryan
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Oar aces. Account Deposit:
Permit Cee:
Surchorgo:
By ( fi Msc. C +arges:
Date �� ' / 7 - �j / Total -
Date Poid: .
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3830 Piot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675.5684
Yam
Use BLUE or BLACK Ink
For Office Use
Permit#:
Permit Fee:
Date Received:
to (1
�3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 4- 3 --' Site Address: 3V9/ 3 8 Z /, 3F;Z,3, 3 SRS 414, -Jaz 4, C. 7 Unit #:
J
Name: 44 ACT MA A.34 G m £ 7 .X,) C Phone: 743 - sq 3 - 9 7 ? O
Address / City l Zip: 'So ID C G r-v,Q A>r A� 33e a.zti t4,
Applicant is: Owner /rl'.�s ...13-1//i
Contractor
Description of work: --7-(4-02 c f a- 2L-
Construction
E-
Const action Cost f" .9 co - Multi -Family Building: (Yes )C' / No _J
Company: WE J Contact Jwvid 2A r 5
Address: 90S LJ 6»'1' 1? .
State: /)9jc! zip: SS'v/
City PL. .5
Phone: D' it - r"- 1p x V 3
License #: age .t YI11,l Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
UL-b/os 63E.2c: Pos. S'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Intim Iast 12 months, has the City of Eagan issued a permit fora 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.
N42 WO-1100,an
Phone:
CALL BEFORE YOU DIG. Cad Gopher State one Cali at (651)454.0002 for protection against underground utility damage. Cad 48 hours
before you intend to dig to receive locates of underground utilities. www.000herstateonecaf.orp
t 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 vAuoh requires a review and approval or plans.
Exterior work autherixed by a building permit issued in accordance with the Minnesota State Bund' , Code must be
days of permit issuance. completed within 180
x .toi / ilaz.a.
Applicant's Printed Name
Applicants Signature
Page 1 of 3
*at) of Eagall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 675.5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use 1 /�
Permit*: 1��
Permit Fee:
Date Received:
Staff:
J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - x4/- /'/ Site Address: 5019, 3 R2/, 39,1 3, 3 8„2.s- jAu2E L eY, Unit #:
Resident
Owner
Name: ek 46 1 M4.3 46ErtE.�'1- .:.c:..; C, Phone: 763 - .S s3- 9770
Address / City / Zip: RSo n E C 1 "PV 2 Av, 41. ) A 6040E.. VSE r ��
Applicant is: Owner Contractor Sr y1 7
Type'o�`:'.MVork
Description of work: 1Z14-4-0-, r_ a- R E Pr. :1-c- I/ d, 6a F-41-/ c. / a Mf ,a' L _
Construction Cost / 4 V OZ) • Cru Multi -Family Building: (Yes / No ___^)
•
Contractor
Company: {I EA &� r I 0 2 /y4i J T . ev RP. Contact b4 ✓" 0 a1122i S
Address: 4/O3- 1-i3 &,b — 1. city: /17 PL S
State: /'%^S Zip: . '// 9 Phone: to/ Z • ' % I- La 2 V 3
License #: 41 L 2V// 3 / Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ill-NeD5- Q,4,-7-' Pos:- /7-7
In the last 12 months,
Yes _No 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:
Licensed Plumber: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NO.TE:' Pn� YRI.Y.. QI tinge,M.MMiIIetto jjh Me"rWi-� 4���i•P�
ITyI�!'� you I9li
�j�� ,,ice �y/��p.. .. 1 r.. yy���y�y��+�p� /,� keit '��
atforr.' its ..
C./ 1 ,'hgy�pp r
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CALL BEFORE YOU DIG. can Gopher State Ono Cali 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.aooherstateonoeall_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 en 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 Bu11dlnLCode must be completed within 180
days of permit Issuance.
x 4" 0 fi /2.14
Applicant's Printed Name
90/90 39Cd
x.
Applicants Signature
7 g
Page 1 of 3
1NICW 1X3 I3g L9Z9T98ZT9 SS:TT VTOZ/UZ/80
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR 302017
2017 RESIDENT' BUILDING PERMIT APPLICATION
Date: 0/42-11..260- Site Address: °'1C14-60-4."`"( AAA/
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
It-fq-7(e
Permit Fee: P4° 9
Date Received:
Staff:
Resident/
Owner
Name: Ilr++ - "keit S c-,xr��c .� may,°�,.� Phone: �iS-�1.- SSG ' 11
Address / City / Zip: 315 / i Luwt f C f - / -, ( 5-4;7). 3
Applicant is: Owner %C Contractor
•
Type of Work Description of work: &ovtcre-h-e,. 5frl Aga": *'
Construction Cost t °� �'�' - a- S i o ' ? i ..'(`nay Multi -Family Building: (Yes k / No )
PD
Company: S -er( 74144P: c.�
Contact: KyLe nM kovet
Address: 1 /c 'S ktiIn Uct(te r i .,c1 City: Ziu .i- C7iteve_.1(e c'* i't S
Contractor i
State: /tiW Zip: %o4- Phone: Ica"' 83 S ?1Y} Email: •onn.tz. t. l acegG4t nencr,.. Go**,
,
•
License #: Te G 161,11 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
NA
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 informationmay 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 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.
KV it -13;r1,41.014-1
Applica is Printed Name Appli j't's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
tic Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%)0 100%_)
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
38ig ire C
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Vr
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
j0 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
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
,14.4 2 eqs-
P9
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
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: / 0011 Aft; , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
ol% ,e5 -Jrz
,fySi e/Z /4v7 Fe ar e
/ - i`1"% "enc)�o
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173644
Date Issued:11/22/2021
Permit Category:ePermit
Site Address: 3823 Laurel Ct
Lot:12 Block: 01 Addition: Briar Hill 2nd
PID:10-14991-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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 -
Michael D Brueggeman
2540 Stone Meadows Trl Apt 37
Green Bay WI 54313
(715) 301-5141
Larson Plumbing
PO Box 459
Isanti MN 55040
(763) 427-7680
Applicant/Permitee: Signature Issued By: Signature