3825 Laurel CtIt - riot ot this: ; 3 . , , fl ,
17
vow Ikkrieogir wilrY► *1 eaq► `f Seems donm+etian Charge: 4 "
Account Deposit:
Permit Fie: . ii
Surcharge: per,.
Misc.
f tr
Taint:
asp.:.
Dote Paid
411'I�atB
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
'.1
�:4�
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
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177336
Date Issued:06/27/2022
Permit Category:ePermit
Site Address: 3825 Laurel Ct
Lot:11 Block: 01 Addition: Briar Hill 2nd
PID:10-14991-01-110
Use:
Description:
Sub Type:Furnace & Air Conditioner
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 -
Scott Gossling
3537 Fremont Ave S
Minneapolis MN 55408
(563) 380-3546
Dean's Home Services
6701 Parkway Circle Suite 600
Brooklyn Center MN 55430
(763) 428-1321
Applicant/Permitee: Signature Issued By: Signature
