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3838 Laurel CtTolleson Builders DAM -11 f, /'q i I No - of Units: 3 is Q Tolle sol .BuiiGerq. site /address: 3,1.7:3;-- 'mire' Court "T IS BT i ri ar 14-111 per: came 6/2o/c( P473 1').0':C.4) ',ci eMw Iit impaliply WO Mn City ofConnectionn Charge;ft' / 5. 2) pci 01 111u -I - — i4coount Deposit - BY Mix. dict Date of Insp.- L -1-- _ Totoi: insi?' date Paid. • �6tyot8a�u Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6755694 Use BLUE or BLACK Ink For Moe t� 5� ? r mit Fee:;,),1- d5 Date Received: 1311 t ► 2i Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 9 -.3 - 4-2 Site Address: 3834, 3 $ 3(0-'3 838, L 4 c.r2t: G C 7a Unit ft: J ::. �',.... • . Name: e4 A C T m r4 AJ u4 G is /11 £ A.,) 7 .7"� C Phone: 763 - s'9 3 - 9 7 7° Address / City / Zip: V Su be. E. a r4'7 -4..r ,Q Av A) ` ,z A &oil Ems► (4 t was Sri/17 Applicant is: Owner Contractor Type 'I c Description of work: -7--S•44 ©f? 3- QE - P Construction Cost .1 1, 9cd. isu Multi -Family Building: (Yes % ' / No _J :.. ••'::-' ,:,."' ". ' • Company: (ilE i Ex -7-c.4, /ode /YJiha r . emeA contact tow/ d ZS..? 2R r 5 Address: 90.s- w 64)13- ‘7.. City: Ai PG S , State: filici Zip: .sr'v/ 9 Phone: 14./A - r / - G, .21/3 - License*: rQ C Z 4OI 3 / Lead Certificate #: If the project is exempt rit.abtos 63t..2..: from lead certification, please explain why: (see Page 3 for additional information) R,),Lr: Pos. 1 97 fr Mlle last 12 months, _Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit fora similar plan based on a master plan? yes, dale and address of master plan: Licensed Plumber. Mechanical Contractor. Sewer & Water Contractor. Phone: Phone: Phone: the: i -. S.. 7:- k.: .. "02'h: , �! / 6n f.* R \ yC'V j•4•,.:1.M j �'� Q t .k.:::"' i.��x✓': CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454.0002 for protection against underground utility damage. Cap 48 hours before you Intend to dig to receive locates of underground utilities. www.000herstataonecall.orq l 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 stat without a permit: that the work wr'p be in accordance with the approved plan in the case of wont which requires a review and approval of pians. iowork dayspermit gator authorize ced by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 of x bAvut, gv22IS Applicants Printed Name x Applicant's Signature Page 1 of 3 *City o(kap 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 675-5675 Pax: (661)675.6694 Use BLUE or BLACK Ink For Office Use 1 �1 �I Permit #; L LX CPI I Permit Fee; a -130o Date Received Staff 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 2 -7 - 12,/ Site Address: 3213 4. 3 ? 3 (y, 3 173 IP, '3 "43 67-; Unit #: ResidefU Owner J Name: ek /1C� /%I#ti /3 6 M 4.4 461 c. Phone: 741 - S3— 9.770 Address / City / Zip: 8S0 p cw7"v 2 A✓. d3 A t.;dLt 144.th y A/A) Applicant is: Owner .‘Contractor SS-y� 7 Type,of:WOrk Description of work: R£.c..._o., t a, f Pt. A -c4 J d,,,J 6 /1') L-7-4 L Construction Cost / 4 Y CO • w Multi -Family Building: (Yes >' / No Company: a £ I S,r •r F.2'b/Z IX41' N`r . Contact Da✓; 6 ad22iS Address: qD-r L (06 Jr' City: /7'/ PL 5 State: I421.- Zip: .5-3-4//Phone: to/ - - e 6 I" eo 2 V-3 License #: 43 G x y/ / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) il.L°__5. Pas;- Ir 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: Mechanical Contractor: Sewer L Water Contractor: Phone: Phone: At ,,. Phone: PI$ns and�'suar�t>:ra�a:�` the,Ifomtlonc > �'non irc rgrs+I • CALL BEFORE YOU DIG. CaII Gopher State One Call at (651)4E40002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground udlkles. www.gopherstateonacall.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 sled 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 penissued in accordance with the Minnesota State Bulidin Code must be completed within 180 days of permit Issuance. in x ��✓' /d Ci f�J2/S Applicant's Printed Name Applicant's Signature 60/E0 39 c1 W77/ Page 1 of 3 1NIVW lX3 I3g L9Z9T98ZT9 ZT:Ot t'TOZ/L0/80 City of Eagan PERMIT 4111' CityofEaan Permit Type: Plumbing Permit Number: EA135146 Date Issued: 02/19/2016 Permit Category: ePermit Site Address: 3838 Laurel Ct Lot: 15 Block: 01 Addition: Briar Hill PID: 10-14990-01-150 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: PL - Permit Fee (WS &/or WH) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 604-4285 X61 - Applicant - Owner: Lynette Graham 3838 Laurel Ct Eagan MN 55122 (612) 669-1480 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. Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA154666 Date Issued:04/05/2019 Permit Category:ePermit Site Address: 3838 Laurel Ct Lot:15 Block: 01 Addition: Briar Hill PID:10-14990-01-150 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Lynette Graham 3838 Laurel Ct Eagan MN 55122 (612) 669-1480 Home Energy Center 2415 Annapolis Lane N #170 Plymouth MN 55441 (763) 476-1990 Applicant/Permitee: Signature Issued By: Signature