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3802 Laurel Ct*City of Egli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6154675 Fax: (651) 675-5654 Use BLUE or BLACK Ink Por Dolce Use Permit* ►'a not) Permit Fee_ Date Received' Staff: 0 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: g4" 1-i9 j(L£L CST. , Unit8: R6idetw Owner Name: e/t 46 / file+ 4 b /K zc., Phone: 74 3 - Si 3 -- 9 7 74" J Address / City f Zip: S'S° E C r4'r'U Q qv, Ki , ,Z A God D Pw 1%CS Y 115/4) Ss4a7 Applicant is: Owner ,Contractor Type43fAifork, Co dmctor Description of wo& f PL A -C -L ) 1 u L 7'i PL L tir,i 6 c) t,J Construction Cost Multi -Family Building: (Yes / No ) Company: a £ 1 ,r r F,P✓ p /L /Z4i .JT . �°a nP Contact b4.» 0 Qurlz.. d S Address: 41O-3- LJ (L?O Cil; /til Pc_ State: /'))3 Zip: SS''// 9 Phone: (pi Z - 8' to / - Lp 2 4/.3 Ucense 4: 4-4 if/ / 71 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) (SLAG'S_ g.,tl.."- Post- iY7b' 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: CALL BEFORE YOU DM Can Gopher State One Call at (651) 461.0002 for protection against underground utility damage. Cali 46 hours before you intend to dig to receive locates of underground utilities. wuyv.000herstateonecall.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 porn*, but only an application for a parmk, and work is not to start without a remit that the work win be in accordance with the approved plan in the case of work which requires a review arta approval of Wm. E*terior work authoh4Ssd by a building permit ieoued In accordance With the Minnesota 8ts!$ Builth Code must be c0 days of permit issuance. completed within 180 x 4✓s x Applicant's Printed Name 0t/L0 39vd 1NICW 1X3 I3g Applicant's Signature Page 1 of 3 L9Z9t98Zt9 90:12t V1OZ/tt/U0 CITY OF EAGAN Remarks Addiiion RTias 14111Addit1rnl Lot- ..1 alk 1 Parcel #10 14990 010 01 Owner?'Q>?? 3,q Court State Ea¢an. M $$I22 Improvement ? Date /Amount ? Annual Years Peyment Receipt Date STREET SURF. 1 STREET RESTOR. gl/ 197$ 61.58 6.16 10 6. A012299 -- GRADING (a 59 1982 123.04 24.61 5 73.84 (C(o0 1982 600.76 120.15 5 360.46 SAN SEW TRUNK 1968 3¢. $1 1.15 30 16 . 12 SEWER LATERAL 29.24 ° ** WATERMAIN * WATER LATERAL 1971 28.20 1.¢1 20 • 87 A012299 6-6- WATER AflEA 1977 52.09 3.48 27.80 11 *** S/W Lat Stm L (c5s 982 431.44 286.29 5 858.88 STORM SEW TRK 145 1971 25141 12.57 20 88.03 * STORM SEW LAT 1971 20 Storm Sew Trk 69G 982 02.73 80.55 S 241.65 A012299 6-6-83 CURB & GUTTER SIDEWALK Street. 1009 1986 153.70 15.37 10 Road Unit 185.00 17655 1/2 0 WATEq CONN. 305.00 17655 1 25 80 9UILDING PER. SAC PARK vr E{\GAN . Remarks Addition Rriar Hill Addition Loc- 4 Rik T Parcel #10 14990 040 01 , Owner ?r1 ' ,=??'?A v?i<i%? 3808 Laul'el CouY't Eagan, hAT 55122 ? Street State l.1eji 4- vo.oo . l/, b/_, . Improvement Date m o u n t Annual Years Payment Receipt Date STREETSURF. A- STREET RESTOR. 1975 61.62 6.16 10 GRADING Q LIHZ 123.04 27.61 5 ---- ' S reet Surf (D 1982 600.76 120.15 5 ---- SAN SEW TRUNK 1968 34.49 1.15 30 i** SEWER LATER? 1970 97.38 4.87 20 water lat stm trk 1970 20 WATERMAIN I * WATER LATERAL Zer 1971 28.22 1.45 ZO ' WATER AREA 1977 $2.14 $.4$ 1$ ! ,a *** S W Lat Stm L 1982 1431.44 286.29 5 STORMSEW TRK 1971 2$1.34 12.$7 20 " * STORMSEW LAT 1971 20 Storm S w Trk 1982 402.73 80.55 5 CURB & GUTTER SIDEWALK STREET-CPkI:M' 1009 F1986 153.70 15.37 10 Roa i WATER CONN. 305.00 17656 1 25 80 BUILDING PER. Sfini SAC PARK - CITY OF EAGAN • 3795 Ppot Knob Rood Eogan, MN 55122 PHONE: 4548100 Site Addi Lot -?- Porcel # Blxk Sec/Sub. rhs.I-Briarhill Oll?f ? ?;, W Name Z ? Address g , - a Name _ ? Addreu Name _ Address Erect ? Alter ? Repair ? Enlorge ? Move ? Demolish ? Grade ? N2 5601 Occupanry Zoning Fire Zone Type of Const. # Stories Front ft. Depth ft. Fees Assessment ' ' ` ' Water & Sew. Police Fire Eng. Planner Counci I Permit Surcharge Plan check SAC Water Conn. Water Meter 1 hereby acknowledge that 1 have read this application and state that gld9. pff.' 17Q the informotion is correct ond agree to comply wirh all applicable APC Total $tote of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee .? A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable State of Minnesota Stututes and City of Eagan Ordinances. Building Official BUILDING. PERMIT Receipt # PennM # pafe Imed Puea1MN Plumbing J ?/ rj Mechanicul ?a INSPECTIONS DATE INSP. Rough-In Final Footings = Date w. Date Imp. Foundation Plumbing Frome/ins. Mechanical 14U Finol Remarks: I ? ? ae P \ f t( ?-? F . . i . _ . . ? 3795 Piloc Knob Road EagunN MN 55722 N2 5690 PHONE: 4 S4B700 ?BUILDING PERMIT ? / Receipt # - /'v(° t - Ts 6e uaed for Est. Value Dote , 19 Site Address Erect ? Occupancy Lot?- Blxk Sec/Sub. Alter ? Zoniny parcel # Repair ? Fire Zone W Name ; Addreu b r,.., M.._,. ?p Name F ?? Address ? Ci Phone tW Name ? _z M Address I hereby ccknowledge thct I have read this application and state that the information is correct ond agree to comply with all applicoble State of Minnesota Statutes ond City of Eagan Ordinances. Enlorge ? Type of Const. Move ? # Stories Demolish ? Front ff. Grade ? Depth ft. Approvola Fees Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit - Surchcrge - Plon check _ SAC Water Conn. Water Meter Total Signoture of Permittee I A Building Permit is issued to: on the express condition that all work shall be done in accordonce with all opplicable State of Minnesota Statutes and City of Eagon Ordinances. Building Official PwnM # pab Irvad rwwktw Plumbing -Z-(e-L7 Mechanical /?O c1 (p ? CcC7 . S?I?d0?4 1?1(e je INSPECTIONS DATE INSP. RouOh-In Firwl Footings Date Inep. Date Insp. Foundation Plumbing Frame/ins. ? Mechaniwl ?J Final ??Remorks: ? ? ? ? i ? CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEI V EO FROM 19 AMOUNT $ I & DOLLAR$ 1 oo ? CASH Fl CNECK T / row .e- Pink-File Copy Thank You White-Payers Copy ? Yellow-PoSting Copy /-y? ? BY _? ? . « ----? - •-: -- on CASH RECEIPT` CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEI V EO 19 AMOUNT $ I DOLLARS 1 oo ? CASH E3CFiECK i r White-Payers Copy Yellow-Posting CopV Pink-File Copy Thank You ? &A?-- BY SEWER SERVICE PERMIT GTY OF EAGAN pERMIT NO.: 3795 Pilot Knob Road DATE: Eagan, MN 55122 of Units: No Zoning: , - - owrier: Address: Site Address: Plumber: ree to eomDlY with the City of Eagan I u Connection Gharge: it g : Account Depos Ordinances• Permit Fee: 5urcharge: ' Misc. Chorges: BY Total: Date of Insp.: Date Paid: I nsp.: R SERVICE PERMIT WATE ciTY oF Et+GaN 3795 Pilok Knob Road PERMIT NO.: E..gan, MN 55122 DATE: Zoning: - No. of Units: - Owner; Address: , Site Address Plumber: - Meter No.: - Connection Charge: Account Deposit: - Size: it F : Reader No ee: Perm . I agree to aomply with the City of Eayan Surcharge: Ordinartces. Misa Charges: 7otol: d BY : Date Poi Date of Insp.: Insp.: TY OF EAGAN WATER SERVICE PERMIT CI 3715 Pilot Knob Road PERMIT NQ.: Eagan, MN 55122 DATE: Zoning: No, of Units - Owner: Address: Site Address: Plumber: Meter No.: - Connection Charge: Size: __ Account Deposit: Reader No.: Permit Fee: 1 agree to aomply with !he City of Eagan Surcharge: Ordinances. Misc. Charges: - ' By Date of Insp.: Total : Date Paid: I nsp.: CITY OF EAGAN SEWER SERVICE PERMIT 37515 Pi1M Knob Road PERMIT NO.: Eagan, MN 55122 DATE: ' Zoning: No. of Units: Owner: Address: Site Address: Plumber: 1 agree !o eomplr wikh the City of Eagan Ordinances. By Date of Insp.: Connection Charge: Account Deposit: _ Permit Fee: - Surcharge: Misc. Charges: - Total: Date Paid: CITY pF EAGAN WATER SERVICE PERMIT 37"5 Pilor Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner, t? •r i, i-- Address. - Site Address: +???? ' r'.-, 7'- ' • j Plumber: Meter No.: Connection Charge: Size: Account De o it p s : Reader No.: Permit Fee• 1 agree fo comply with fhe Cily of Eagan Ordinances. By Dote of Insp.: Surcharga: Misa Charges: _ Total: Date Paid: I nsp.: e CITY OF EAGAN r 3795 Pilot Knob Road Eagan, Minnesote 55122 PMone: 454-8700 amnin_ PERMIT ?/80 -? Date: Site Address: F?.1s e. I 3r? ar? Lot Block Sub/Sec. Name . e Address , ? . ?"- City Phone: Nome V {? ' )n !JP._iu d R4L g Address c o V . City Phone: This Permit i s issued on the express condition thot all work shall be Minnesota Statutes and City of Eogan Ordinances. No. -Z?Q„ c - 7 T' ?:. Receipt No.: Single I Residentiol Multi Res., Comm./Ind. I New /Alte r. / Repai r Cost of Installation Permit Fee Surcharge ? Tota I done in accordance with all applicable State of Building Official ? • CITY OF EAGAN 3795 Pi1M Knob Road Eagan, MinneeMa 55122 Phone: 454-8100 ,•{_.r.r . .l' ._...._. PERMIT . .,;-,.. Dote: •/+?• '?. e : - ?-s l, . , . , ,,. ';. . . ... Site Address: Lot Block Sub/Sec. t' Name .. . e Address 3 O City Phone: Name ? ? ? Address ' e 0 U City _ Phone: This Permit is issued on the express condition that all work shqll be Minnesota Statutes and City of Eogan Ordinances. No. Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repair. " Cost of Installation Permit Fee ^^ Surcharge Tota I done in accordance with all applicable State of Building Offitial ' WOIISTIOrI AIR REQIIIRED CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minneaofa 55122 Phone: 454-8100 , PERMIT Date: r Site Address: 3`""04 I'RU2'e1 (AUl`L Lot Block ? Sub/Sec. Phs. I-?iri ar iii lI Name e Address ' ?r l n ,[q1VpYC ! ? City ?... , . - ?jP.iiP': . . Phone: "?'.P_T'3CL'SCYII ;'•'rl' .??' Name . . . P Address e 0 u City _ Phone: _ This Permit is issued on the express condition that all work sholl be Minnesota Statutes and City of Eagan Ordinances. !a?f No. Receipt No.: Single I Residential Multi Res., Comm./Ind. I New /Alte r. / Repai r Cost of Installation Permit Fee Surcharge Total done in accordance with all opplicoble State of Building Official CITY OF EAGAN s. ? 3795 Pilo! Knob Road s+ Eagan, MinnesoM 55122 ' . f Phone: 454-8100 PI,OMAS(i Dote: z/18/80 PERMIT Site Address: "a'17-F'7 C't° Lot 1 Block } Sub/Sec. '?`:'• i`?'?29P?`si lti. . m e O E V P c 0 Name To1leFSOn BZdI'S . Address 1?816 Holyake Lat'aC _ City Phone: Nome Address - ) '5 'o. Robert TrI No. - ?i- Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter./Repair ' Cost of Installation Permit Fee Surcha rge V I City Phone: I Tatal This Permit is issued on the express condition thot all work shall 6e done in accordance with all opplicable State of Minnesota Statufes and City of Eagan Ordinances. Building Officiol cirir oF Ee?caN 3795 PiIM Koo6 Road Eagan, MN 55122 Nc- 5600 PHONE: 434-8100 i--' BUILDING PERMIT APPLICA'f'ION Receipt -- To be wed fo, 1 of I+-Plex Fst,Volue 52,000.00 pote 1/25/ 19A4_ Site Address aure our Erea ? a???ncy Lot --l-I Block 1 Sac/Sub. PhS. I-B18T'hill Alter ? Zoning R? pa?? # Repair ? Fire Zone TTT Enlcrge ? Type of Const. V W Name Tollefs on Bldrs Inc µove p # Stories Z ? Address 13816 Holyoke Lane ' Demolish ? 44 . Front R24 Apple Vall% /+54-b$ 13 Gmde ? Depth h. Ci one ? ns?u.?nr 4 0 g? ?+da?ss ? Q Phone Water & Sew. Police ? W Name Fi ? re Address Eng. <'Z" Ci Phone Planner Council I here6y acknowledge that I have recd this opplication and state thct gldg. Off. 12/31/79 the infortnation is corred and ogree to comply with all applicable State of Minnewta Statutes and City of Eagan Ordinances. p Name S2Irie Appeovols Feea APC Signature of Permittee A Bullding Permit is issued to: oll work shcll be done in occordance wi II applicob State of Building Officiul Permit 1`+??. Surchorge 26.00 Plan check 71.75 sAC 525.00 Water Conn.305.00 Water Mete r 60. 00 Rd.Unit 1$5.00 Total 1,316.25 on the express condition that Stotutes and Ciy of Engan Ordinances. cin oF E?caN 3795 Pilot Knob Rmd Eagan, MN 55122 PHONEs 4548100 BUILDIN@,PERMIT APPLICATION N4 5601 ReceiPt # 5-3?---' To bo uted For 1 of 4-Plex Est. Value 52,000.00 Dote 1/25/ 1932_ $0 Laurel Cour . Site Ad ress Erect [N Occupancy RT- Lot Biock 1 sec/Sub. Phs . I-Briarhill Alter ? zo?ing Porcel # z IN.,e Tollefson Builders Inc. i Addre 13816 Holyoke Lane 3 s?s o ,,.. pp e a ey, _, - p Nome qana U? Address oG Name _ Address I hereby ocknowledge that 1 have reod this applicotion and state that the information is mrred and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan Ordinonces. Signature of Permittee O A Building Permit is issued to: oll work shcll be done in accordanee all Building Official Repair ? Fire Zone I Enlarge ? Type of Const. V Move ? # Stories Demolish ? Front 44 ft. Grode ? Depth 24 ft. Approvalt Fees Assessment 1/ 44+1ov Water & Sew. Police Fire Eng. Planner Council Bldy. Off.12 1 79 APC Permit 14?• ?v Surchorge 26.00 Plan check 71. 75 snc 525.00 Water Conn.305.00 Woter Meter 60.00 Rd.Unit 185.00 Toral 1,316.25 on the expreu condition that e of Minnesota Stotutes and City of Eagon Ordinances. Minnesota State Board of Electricity 1954 University Ave., St. Pau4; Minn. 55104-Phone 645-7703 -` ? REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOi2K COVERED AY THIS REOi]EST /7,f-;' 7 s ?aUn; Type o[ Building New Add. Rep. Check Appliances Wired Fot Check Equipment Wired For Home ? ? ? Ran 304 • Tempotary Wuing ? Duplex ? ? ? Wat ter Alk Lighting Fixtures XM Apt. Bldg. ? ? ? D r Electric Heating ? Commetcia! Bldg. ? ? ? e 0 Fu l 16 Silo Unloader ? Industrial Bldg. ? ? ? A'v d ner ru Bulk Milk Tank ? Fazm ? ? ? L ist List Other ? ? ? p HehetS? HeheI$# `(COMPUTE INSPECTION FEE BELOW Seivice Entiance Size: # Fee Feeders&Subteeders: # Fee Circuits: # Fee 0 to 100 Am A.0 IIG . 0 0 to 30 Am res 0 to 30 Am eres 10 20 0 101 to 200 Amps. 31 to 100 Ampeies 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Partial or other fee . Signs Speciallnspection Minimum fe .00 Remarks Jeff D. TOTAL F E.3 7 I j8.00 Elect (Rough ln)rical Inspector, hereby cerUfy kf;the ?kf?'vpbctio a te eenmadg, c.-• w l (Final) . Date This request void 18 months from This request void 18 months from O ., Date•of this Request1-31-1980 g- 45805 1, a!PM Licensed Electrical Contractor 13 Owner, do hereby request inspection of the above electri- cal wiring installed at: w Street Address or Route No. _3808 Laurel Cottrt Citfagan Section Township Range County Dakota Which is occupied by mnl l a£ann (Name oi Occupant) Is a roughin inspection required on this job? No ? YeM Ready Now ? Will CalFM PowerSupplier Dakota Cty. Address Farmington Electrical Contractor O.B. __Thompson Electric Co. Contractor's License No. AM62 1220'? l/?''C?B, PYS1VCl.m? ? Mtka 5543 Mailing Address ?. /) ,', fr (Electdcal Contractor or O,wner'Making Thls Installation) :s'/•'?":?? ?`?::%cil.?„i p•r r .. - Authorized Signature Phone No. ?'°?a'??°C••?(Electrical Contractor or Owner Makfng This Installatlon) STATE BOARD COPY This inspection request will not 6e accepted by the State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 'ia ; mversity Ave., St. Paul,. Minn. 55104-Phone 645-7703 R QUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERF.D RY THIS RF.nI1F.ST /7-fa7 s ?a.;Rna Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foi Home ? ? ? Range 104 • TemporazyWiring ? Duplex ? ? ? Water HlMtk ? AiL Lighting Fixtures ? c Apt. Bldg. ? 0 0 Dryet Electric Heating ? Commercial Bldg. ?? ? Fuma ND Silo Unloader ? Industrial Bldg. Fazm Other ?? ? ? ? ? ? ? ? Air Co tio List :A ) Hehers} 19p. ls ?XX , ) Bulk Milk Tank ? List ) OHthers} ere 1 COMPUTE INSPECTION FEE BELOW Service Enttance Size: # Fee Feeders& Subfeedecs: # Fee Circuits: # Fee 0 to 100 Am s • 4 to 30 Am eres 0 to 30 Am eres 10 20.00 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Transformers Remote Control Circ. Paztial or other fee -50 Signs Speciallns ection Minimum Remarks .Jeff D. ?--. f TOTA FEE,?7 so .00 i, the Electrical lnspector, hereby certify thpW abo??etn??t;p?} eeiilrr d? (Rough-in) L`? 44 ''.••$afe-?- (Final) - ?i ,: , _ Aate. [C` - /d - bz This request void 18 months from ' Minnesota State Board of Electricity ,4064 University Ave., St. Paul, Minn. 55104-Phone 645-7703 ? REQUEST FOR ELECTRIC'AL INSPECTION CHECK BELOW WORK COVERED RY TiiIS REOUF.ST / 7',f'a 7 s - - a;Rn2 Type of Building New Add. Rep. Check Appliances Wired Foc Check Equipment Wired Foi Home Duplex Apt. Bldg. Commercial Bldg. Industrial Bldg. Fazm XE] ? ? ? ? ? ? ? ? ? ? ? ? ? ? Range :W o W. eate ? Dr r mmm F"` e EkN'QQ A' on n List I&W Temporary Witing Lighting Fixtures Electric Heating Silo Unloader Bulk Milk Tank List ? 7a ? ? ? Other 0 ? ? ?ehe=Si D?sU. lsh.xx4. ?ieiers ? COMPUTE INSPECTION FEE BELOW Service Entiance Size: # Fee Feedus& Subteeders: # Fee Cacuits: # Fee 0 to 100 Am s9 0 U(} 7#50 0 to 30 Am :es 0 to 30 Am eres 10 , ]Ol to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Transformers RemoteControl Circ. Partial or othet fee . Signs Speciallns ection Minimu ? Remazks Je£f D. TOTAL E,3 J -r6 , 38.00 I, the Electrical Inspector, hereby certify (Final) This request void 18 months from been de. e ;1! - ?-Y1:9 e g -,Fd This request void 18 months from / ?8'a 7 Date of this Request 1-31-1 8 S 45802 i, ast3Licensed Electrical Contracto ?Owner, do hereby request ins ction of the above electri- cal wiring installed at: ?/j /?r? .I? Street Address or Route No. 3802 Laurel Court City E? ?an Section Township Range County 11akotA Which is occupied by Tollefson (Name of Occupant) Is a roughin inspection required on this job? No ? Yes42 Ready Now ? Will Call 91 Power Supplier Da.kota, Cty. Electric Address FarminF,?ton Electrical Contractor O.B. Thompson Electrio Co. Contractor's License NoA37962 (COmpany Name) Mailing Address 12201 l'Itka Blvd. t Pftka 55343 Authorized Signature (Electrical Contraetor.or Owne? ??AM BOARD COPY one No. S:3: -?!? ? ' This impection request will not 6e accepted by the State Board unless proper inspeetion fee is enclosed. KOEHNLEIN LIGHTOWLER JOHNSON I N C O 11 P p R A T E D ARCHITECTS ENGINEERS 72100 NICOLLET AYFNI/E SOUTH PMONE (612) 890-1272 BURNSVIILE, MINNESOTA 55337 ? CLR7'IFICATI: OF SURVEY for CARL TOLLEFSON Lots 1, 2, 3, and 4, Block 1- BFIAR HILL Dakota County, A1innesota FARGO,NORTH ?AKOTA MORRIS, MINNESOTA PNOENIX, AR120NA ? ?-7.?? L/ ? ?? 9 0 N Q ? Zz,? ` CT CS- ?y?.or7 x(i 4r ? o ? ?Z I y L) ? ?J7 -,IJ_?_ _`? ?`t?•.,?'?--- ? ? 0-- v l i zz.?; m ; b7. 4o i / .s4. &a ? L.A_(,ck'C (-___--?-AoU??1-. .___-_--__--- ?_-- -- I hereby certify thnt this scttny, glan Ar rcport was prepared by me or unact tray direcr supervision and that I atn a dul-I R4g1stIered L1r,d Surveyor undcr the laws af the StnGe of Vl:nnesota. SGA LE I'?= ? j q L L Date Reg. C' /N D/ C A T?S -;C-4:'0,V . , - .. • ' . . . . • " . ' Q \ ?I`F/ ? O . .{5 I' Y ? . +1 `.1 1 . .. .:'' . ' .. . 6 ' ' . . . r?- y i nATE 7 9 34 fi YA: ? - BUI7,AING PERMIT APPLICATION inciude 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. 'Pr --:Zo To be used for -' ? Valua)ion l? Li,V- c- Site Aaaress : L a v rf l . • Lot s H??, ' Owner Address /i?6xWA, Address Sec./5ub. Parcel t+twnber ? ?- Arah. /IIig. Address ' Telephone Telephone °Y J`? `?-Co 0 7?? Telephone OFF2CE USE Erect Alter Repair Enlarge Nbve Demolish Grade. OFFICE USE Date of A roval & Initial Asaessment water/Sewer Police Fire Fng. Planner Oouncii Aldg. Off. A.P.C. Occupancy Zoning Fize Zone Type of Const. # of Stories Front ??- Depth FEES . . 4? Permit ' Surcharge Plan Check SAC t"ISter CoT1T1. ?. oe TOTAL l .,- - t +? e r r: ? ? f ?:.. . . .. . . .. ? . ,t? ?` _ `w 3" .. . . - . s- , A-1 ? . - ' , `?+-'''? •???(=Z?9'LL?i?'tc'?? ?Y` ?j6.?.s..t+"ffsl°'i? . . . ? . j?'::?. @?R.Fe 4??;.! f?*"`?.?.? 5 tfJm "uh Z5 ?.J"?,,,-D? _ t f??'tC?i°?:3 0kP,!l-llB7 '. PI:hf1 f`iTC1L ?T? ? ' a PF!D',`t?':;`3 k°'sKOr;L;' ? LJi_???3 3 ini1A1i?l=j) A. ?? .,?: ? l.'.rl k ilSl f+. 'u ^? ,P.. l?? L; d?"?l?:a?a'1C?? P?i? ,..7Lk'?':'t . . . PeT^^?? rv? xc3 ,.? 1v7 .. ?.E''.J ? "' ':.,::I . ?? ?1??5 F•" l re=Fa- 02 r:it'<`?a F7A?,3? ?-z q T('iiA$ li.;?a?A YCIa fli? u+`s t-??p ? 5 q t? C ?•q <ni:i., p ._ . . . . . . 11tLi C?-ASr fj}Eo "P' ' TE ??,?? t?)`'AI: G?'? 1?`l??;".`7 ? S, t-. ? ? C1: V?'?.?7IC2P';. _i"9 ?",:? '-LL'y 4'L3d,']£j ii gj7IL11 T.,6.'.?? L,.?' c-ti c-- a °TT 7i:D0?%:" ' , . C?LAXS7l? C:? ^a,7Pi 5f• ? B:'f;Ae?:`3 ARUL??; C3F?e1L," ? i?3 o4.,7 T 0 11 CiT'rv p?,-?s? . .u aa? ?AL: Mu..':=3 ?? ?2? .,rq7-Tl G1Y.fis 01,'17-) f. ?, DJ'.TAIL , - S@, P'P '. •' Ri:r^Efir FfC?s ' . :- S=wt . F"P OYEIIIr GS FT. "U" .?X. SQ. POOTACE. OP;:RIDSC:i ., UALt1B u o.?• ?..... ? . ? ..`Ih{ k '??. ...............n......?...._............... ._._"?'?a? ?? ?T - 0 _ .. . .?,.e....., - -_ .,..e< . . .- i v ? ? . _.. ?..?. __.. ?t_s ? . ? ..?. r: R ti - ? . ,z?_..z..:. ..:.,,.. e. . _,_.., :-A...: .-._.. _.....,.c..:,.. . .. . ....... a._,•.>- . ? . .. (vr:v?:vcssvvr.?z.cac?-n svi.rn ?-cr _:..;? -?Y ' ' {I ,.-aw.?•?+ax c.?ar?=sz...r.?.x-cawr_?r.ia_-... -... ? . , u ?.. ..:?.?.? .. ?..? i S A S K TLnA l"' BOi)RS ? CP,II.,Zi'M IT l)1 A I. ) ?a? -3'd? -S t.C:'i-+ima?vm?g??i??aestwrsm.n?r.aw?caryA ' ?--- - ...( u) ?:?.?,:,_.?-:.? AUhRAC'r'. . U .)IVIIJN.D TY ?'?ut ll,/ ,?,?t., aAt,?1 r : l • ? ? 1. 1?'• ) <i -1 4-A . . __.__ ?....?, _ . .. 0A A `rp pAl ' e€ ? 6?\7 ? ?rf PCR +?.ysa? Ul i?N __ ? . , "_ - C?nw ?T F?? L? i ' r,? L ic- , ? , ... . .. ?? _ . _ -- - f'? ? r '7 0 3-!a - ! ) i i L_ n_ Lxj? { ? C3 C" Ll ?' . ? ... _ _ .-,..,.,...?,...-.-?-...??,-?-..»...?.?.. ? , , (? a . ;: o ' ? # . _.._ ..._..w . . . ?. - ?-?.._._. .,a.-?.._.. .?-.?..?.,. ...e.e . ?, , .. ., .._ -_... . `,?.a.-r.? - - ?..... . _ _ t ?.. - , j } . -....a. ..w,.. ... ._. . _...? - .._._..__...__.. ??w d\ ,?.? ? _., . { . t., . ?? _ ,. ? , ; .?... ra'7 r1 ? . , .t _ v ? - ° Fl ..._.._.,».... ?T .. ,.. . . ? ....__. ; ._._..,......_. ,-..._... "1 ? µe? ? w ....?.. -4 " ' ?t_ 0e°1 CP r +?9 ! L???s 7 i?L C% I u . ?3 :I f. ? - -- "' C7 L? T r 1Jo V ? r r a n ....,a" d ?.?.-...-.?....e-.?.,m._m a ! r ^2 7 ('.lP,( I ( 0 . ..+..?_ ? ? Z.0 '...?..._?? P?, 5 9 r ? .? _. ?.4 .............,.____.? .__... y _. i ??._._._ ? ??... ??.., . . , . _ . } TZ , A. r . CITY OF EAFAN EARLY UTILITY CONNECTION PERMIT _ ? - -- --- - - - ---- --- ----p ------ - - -- - - -- -- - ---- - --- - --- - /J;ll A7A_4A,/ . ' Address Subdivision/Parcel I hereby request.permission from [he City of Eagan tb connect to the -- --sanitary sewer and water lateral line in the public right-af-way. I _ - - - --- . _ ?. - --- --. ' ----- - understand thai the City has not yet completed, inspected and/or accepted _ the sever and/or water lateral. I agree not to use, test, or connec[ these Sr.3lvidu,a1 services to any interior plumbing and understand the require- ---- -ment to cap. thP-sewer service-to. prevent any_ unauthorized use. In accepting this pexmit, it is agreed that I will hold the City.and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Permit will be issued or water allowed to be turned on until the City utility system has been declared operational by the City Engineer. Signed by - Plumber: - - Owner: _.- _ / w _ Developer• Builder: Dated: ?- ? ? CITY QF EACAN . - - I EARLY UTlLITY CONNECTION PERMIT Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and vater lateral line in the public right-of-way. I - understand that the City has not yet completed, inspected and/or accepted ? the sewer and/or vater lateral. I agree not to use, test, or connect these individual services to a:y interior plu:nbing and unders*_and the requize- ----__-- _-- --= ment to cap tha. sewer service to preven[_ any unauthorized use.= In accepting this permit, it is agreed that I will hold the City and its agents harmless from any damage that may occur due to this early connection. It is understood that no Occupancy Perm'* will be issued or water allowed to be turned on until the City utility system has been declared operational -- by the City-Engineer. Signed by - Plumber:p -•? ? Owner: ' - ,- Developer• Builder: Dated: "/ l 1 IqA?q, i ft C?ty Of Eagan /,J?`?"' 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 '7O 0 7 3 ? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION 130-___r New Construction Reouirements 3 registered site surveys shoming sq. R. of loi, sq. ft. of house; and all roofed areas (20% macimum lo[ coverage allowed) t Soils Repod if proposed building is to be placed on disWrbed sdl 2 copies of plan showing beam & window sizes; poured found design, etc. 1 setof Energy Calculations 3 copies of Tree Preservalion Plan if lot platted after 7!i/93 Rim Joist Detail Options selecGon sheet (buildings with 3 or less units) Minnegasco mechanical ventilatlon form RemodellRepair Requirements 2 copies of plan showing footings, 6eams, joists 1 set of Energy Calculatlons for heated additions 1 site survey for addi5ons & dedcs AddiGon - indibate il on-site septic sysfem Office Use Onlv Cert of Survey Recd Y _ N SoilsReport : _Y _N Tree Pres Plan Recd _Y _ N Tree Pres Required Y _ N On-site Septic System _Y _ N Pians are considered pubiic information unless vou state thev are trade secret and the reason Date O$ / j,/ SiteAddress 38p2 / Ze_?o7 ConstructionCost 43,ioo.oa i 4u;ec7_ Co&ver t'?(-„4qy rV4nr Unit/Ste # Description of Work IRFMavE .4Np 1LE7°4_AGF pFe- K a,vv 2Ai 4r ?VfrS Multi-Family Bldg ?t Y_ lV Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor f3r l F7c T-E?2i a/Z /In p r tv T. c-o p- ,? Address 405- State Ni N (RJeSs (?jo;ar !&r7Lr^87- Zip SS q ! 9 City Telephone #(6!X ) sbr- 6a y.3 COMPLETE THIS AREA ONLY IF - Minnesota Rules 7670 Cateeorv 1 Energy Code Category . Residential Ventilation Category 1 Worksheet (.I submission type) Submitted • Energy Envelope Calculations Suhmitted A NEW BUILDlNG Minnesota Rules 7672 • New Energy Code Worksheet Su6mitted In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber ` Telephone # ( ? Mechanical Contractor Telephone #( Sewer/Water Coniractor Telephone # ( 1 hereby apply Yor a Kesidential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; 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. CN,Z r s De7s ?sh/ /5;?2 ,,lm?r, Applicant's Printed Name Applicant's Signature DO NOT WRTi'E BELOW THTS LINE Sub Tvpes ? 07 Foundation ? 02 SF Dwelling ? 03 01 of _ piex ? 04 02-plex ? OS 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration Pd1 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage llq 18 Deck ? 19 Lower Level ? 20 Poal ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish fnterior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSCI'IptlOfl: Water Damage _ Yes Valuation 3 a?. ttJ Occupancy 1 ?- 3 MCES System Plan Review 100% or 25% Census Code 13 { Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length l? Fire Sprinklered Type of Const & Width /a _ Pootings (new bldg) ,?o Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace R.I. Air Test Final _ Insulation I , ? Approved Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? OS O6-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. jo Final/No C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Finaf _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Rehaining Wall Building Inspector ? ?C 2?0? 08i21i2007 09:47 EAGAN ENG+COM DEV 4 96129616267 ? ?•-. ?' l40EHNLEIN LIGHTOWLER JOHNSON 1 H G o¦ P o P+ T¢ D aRCHireers ENGIHEEFiS 12700MC0W f.r nv<Nuf. SnUTh PriOnE 14, 21 nJn 12 r2 BURNSVILLE MiNNE50IF 5:337 . C1iRTIFICATE O1' SURVVY for CARL TOULEFSON Lots 1, 2, 3, and 4, Dlock 1- BRIAR HILL Dakota County, P1fnnesota FARGP. NoRrrv Dc.rcO7A 4ORR13, NINNE.v^OTA PNDENIK, AflIZONA ? ? ? 46 C?,c?? 1.? ? N ..z CllS' a C\- ?. _ .T, 1-1 - ??,f,a?? ..??... .?1.?W?'•.?? .. cl . onq„,, k-t.1 V)' ' w y ?N ?--40 J. 4o .?_._:.SQ?oU.W (--A U F''C.L._. ....._?l??.? ?' !? ..,..._ i N0.763 P02 ? ?> LU x E?' GS ? a ? ? ? ? (C??p+ ? ? ? QQ 0 ? rh r,n th ? 1 4 1 t heteby cetti£y tlrae eh3e iuraeY, plan Qr reporC was prep.^,red by me o= undcr eny d1t"-c;r sui esvision and that I3111 u du1; R491ttor:d Lar.ci Sniveyor uc.dcr c?e lar-ils oE thc St4e Uj jVllnib:SOt'2. Datf? RCg. NQr- 09i21i2007 09:47 KC3EHNLEI N LIGHTOWLER JQHNSON i n c o a r o n+ r¢ o aRCHITEC7S ENC10iEER5 ERGRN ENG+COM DEU 4 96128616267 &- .., N0.763 12Y60 NIWDOf.T 4vFNUf. finllTh ' I ^r+ONE (4r21 490 e17 BUHN5V14LE, MiNN:5G1h S$737 CIiRTITICATr OT' SURVEY for CARL TOLI.EFSON Lots 1, ?, 3, and 4, Dlock 1- BRIAR HILL Dakota County, Minnesota. FARQD. NORTH aAK07A MbRRIS, MINNEFD7A PNOENIX, AflRONA D02 DQSULDVFlG INSPECMMS D(uN??0'u'? 46 . i D - . <,,-, ,? _,. .. ., &7. S46 i? 0 1-1! ?{M1 N c r?. ?' V< C.7' i Vj Y It^'+?r?? L.?url tn C !i?l o b?s cJ Z ?? ? ??1 . 4. ? ? `?? ?'?f?; 61 , o?- ?_?, >; __.17°4 U.F'E.L-._, ...,._(.?c7ut 1 ?-1 t L ? C) 1Nl)!4 F) 7,57?5 Q0 1 beY'ebp certSfp tYwt ehie Lai+FCY. Plan Or Tepozt was prepared by tae or undcr my d#r°cr, stii ervision and thut Isin a dui;r R??(.L4^:d Lar.cl Suzvey°or ur.dct the lar;vs oF tho StaCe oE iviii,ncsota. 17ete----- Reg. Na..- N dti/?1/?bb'/ by: 4'I tHIiHN tNla+(;Uf'1 lltV ? yb12t3b162b'/ r . . ? nu. rbZ Wee KOEHNLEIN 12700 NICOI.If.744NUf'.fiNlflt PriONE I4121 11901:!72 gUqMSVIt,LE, bIiNNESbiA 5+337 : LICaHTOV1ILER ' C1:RTIFICATG 41' 5URVEY for GARL TOLLEFSON JRHN5ON Lots 1, " 3, anct 4, &lock 1- BRlAR HILL i N e n 0 r o n a r a o (jakDC8 CoUlll")', P1inneso1:a ARCMi7Et75 FARPP. NOqTH OAKOTA . yCRR13, MINNESOTA RWOENfX. AflIZ6NA v ? D. 46 P I ? 1 ? _p p ^a R ci? F? ?ov? d• 1? 00 I`i ? J r'h ' I ".I ? rt ? LL! ?, N a!_ (? oi ?" ; ? - ? ?'•r? z-..ur? ft ?i'!? I^ r12 ti? z y?a `? 1 z ?. 7_ ? ?'/ l ? ? ??L?? c? i.:, r Jy; C;) ?-46 ?. &7 40 _ 54. &v . 4- (j F? E:.c. ;. _..__.. __ _. _. .... ..,... ___...._ I tbeteUp cettify thae this sutReY? P1aiR or I repore was pacpered by taa os undcr my dii=cr, i??` sui ervision and that I ain a duf; 9?91ecc%d Lnr.d Suvcy*or ur?dcz the Iesrs oE' tlia Sca;e pf ?Alrinesota, 5GA L?; I ILL ; ? c) /N1)/4 /a Jq440 t 4 (30-60 2007 RESIDENTIAL BUILDING PERMIT APPLICATION ?(', a,GQ{, City Of Eagan ?? ? „'???r 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauiremenls 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and ali roofed areas (20%maximum lot coverage allowed) 15oils Repurtff proposed building is to 6e placed on disturhed soil 2 copies ot plan showing beam & window sizes; poured found design, elc. 1 set of Energy Calculations 3 copies of Tree Preserva6an Plan'rf lot platted after 711193 Rim Joist Detail Options selectlon sheet (buildings with 3 or less units) Minnegasco mechanical ventiia6on (orm RemodellReoair Requirements 2 copies of pfan showing too6ngs, beams, joists 1 set ot Energy Calculatlons for heated additions 1 site survey for additions & decks Add'Non - indicate if on-site septic system Office Use Onlv Cert of Sunrey Recd _ Y _ N Sails Report _ Y _ N TreePresPlanRecd _Y _N, Tree PresrRequired Y _ N On-site Septic System _Y _N Plans are considered ublic information unless ou state the are trade secret and the reason Date 0g l_ f? _ l D'7 SiteAddress 380cs? ?Ar.tI2.EZ Construction Cost 4'"3, /00 C6URn o*%N Unit/Ste # Description of Work tzO?OVF ,¢ tv'c 90t&CC 4)a*_ AN R Al (-rnvizS Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner Telephone # ( ) Contractor BE( 6X1-UP-Lo7Z N,4iNt C(SS"R,P Address qUS State MN Wci Zip City Telephone # ( ,6?Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Enel'gy Code Categofy • Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 monihs, has the CiTy of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber _F G cY, C' Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( 1 hereby apply tor a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, 6ut 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. 6h,1sis An???7asa,? ???ir.?+,r?? Applicant's Printed Name Applicant's Signature ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? OS 06-plex ? 09 07-plex ? 10 OS-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage -?P 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration r 34 Replacement D@SCrIDtIOn: WaterDamage`Yes Valuation Plan Review 100% or 25% Census Code c? 3 ? SAC Units # of Units # of Bldgs Type of Const DO NOT WRITE BELOW THIS LINE Occupancy TZc.. ' MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length /a Fire Sprinklered Width oe O _ Footings (pew bldg) rp Footings (deck) _ Footings (addition) Foundation Drain Tile Roof ? Ice & Water Final _ Framing _ Fireplace R.I. Air Test Final _ Insulation y/ Approved REQUIRED INSPECTIONS _ Sheetrock Final/C.O. -)iii0- Final/No C.O. HVAC Other _ Pool Ftgs AidGas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies 02her Total ? ?C Zo4 h 08i21i2007 09:47 KvE:HNLEirv LIGHTOWLER JUHN$ON i n c o P r o n a.¢ D ARCMITECTS rNC11VEPEa5 ? , i ? SA l? EAGAN ENG+COM DEV 4 96128616267 a I.,# N0.763 D02 i2)O6 NiCDU f.T AvFNi iP, finI, IT Ii fPIONE 14121 ri50 I:'77 : BURN?$VI4LE, MiNNE5UTA Sj2,17 FAROC.NDRir16AKOYA 4ORp13, MINNE3D7A PNOENIK, Afi[ZONA C1:RTIFICATG 01' $URVPY for CARL TOLLEFSON Lots 1, ?, 3, and 4, Block 1- BRZAR HILL nakoza coUncy, M1RF1ES0'L'a. g , d?:, 7 ??,J ^z ? CJN '.j t.? OI ? v P/ R` j r I? t L.I . 114 3?9_) '?. 4n.5*?? ... ? ? ` o !•u ?? ??'; r ? ?' ? ?T_ - ?I c} ?vJ °l.?r f47 da` U ? i N 07.40 . ? ?__...._.... _..??l.- . --......`?.....?A 6?L._....._L.?.???'!? ,._. no 0 ^ ? ? p n I L 0 ? ^ , ? ? ? ? t ? ? tbereUp cexCify thac ehla saraay, plan or rcporc was pxepcre3 by rne ox undcr my dit?& r. ? suprvision azud eh.at I aIn A R?gt.L4;ec Lar.cl S.uvcy°or ur.dcr t)xe Iaws oE the SCaCe vf 'r??lrin,sota, SC,4 Li= f S,eg. Na.? , City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ? - - - - - - - - - - - - - - - - ? I ?OK OffiCe USe ? ? Permit ? ?3977 ' ? I ? Permit Fee: rDD I ? I ? Date Received: ? I Staff: ? L - - - - - - - - - - - - - - - - -? 2008 MECHANICAL PERMIT APPLICATION Date: SiteAddress: `)bc-,O-? Tenant: Suite #: ? "O?o6?L Name: ? Jzf ff dG1 ) Phone:(aj I ^Ll RESIDENT / OWNER , Address / City / Zip: `) O ° a [_c.,.?eo C % CONTRACTOR Name: 1" I d- /7(f?% 1'25 License #: Address: llve- / City: LLXfv,11c StZip: ???L& f c(''? ?r ? J Phone: /J (/1 - Contact Person: TYPE OF WORK -New _J,/Replacement Additional _Alteration Demofition Description ofwork,?/<CYh4Li'7? l1/L tJ?li% L??'t?j ??olc'd C.?i l - - ? NOTE: Both roof mounted and ground mounfed mechanica/ equipment is required fo be screened try Cify Code. P/ease contac# the Mechanical Inspector or one of the Planners for information on ermitted screenin methods. RESIDENTIAL COMMERCIAL PERMIT TYPE Furnace _ New Construction _ Interior Improvement ?Air Conditioner _ Install Piping _ Processed Air Exchanger _ Gas _ Exterior HVAC Unit * HVAC units must be screened _ Heat Pump Under / Above ground Tank L_ Install /_ Remove) Other " When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Ins ctor RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire r2P2if (replace burned out appliances, duclwork, etc.) (includes $.50 State SurchBrge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$1,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge). ' $ TOTAL FEE I hereby acknowledge that this infortnation is complete and accurate; that the work will be in confortnance 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 i e case of which requires a review and approval of plans. f? x c?I , 7(c:, eli-i ? x ApplicanYs Pi nted Name ApplicanYs Signature FOR OFFICE USE Reviewed By: . Date: Required Inspections: Under Ground Rough In ,4ir<Test _Gas Service Test ._In-floor Heat _Final rnr Office Use I 9/cac City of Ea dj Permit f~ 44 of El 1 1 Permit Fee: ~V 3830 Pilot Knob Road I Eagan MN 55122 j Date Received: 1 Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: j 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: © Site Address: r ~ Z-c 61 ✓ - ~I Tenant: Suite RESIDENT/OWNER Name: C-,Z ~ Iz Phone: Address / City / Zip: / CONTRACTOR Name: I&a, 5!1v0) fi `h License ~ `~j.~ Address: Xw- City: d'i-~'~l rJ✓y State: /W Zip: Phone: 5 1) 2~ Contact Person: as c~T TYPE OF WORK - New Replacement Repair _Rebuild - Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures RPZ / _ PVB) Main _ Lower Level) Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge) `Water Turnaround (add $165.00 if a 5/8 meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 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 accord ce with the approved plan in thecase ~off w, ork which requires a review and approval of plans. x • ✓ c- 1)als~v ~ x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: _ Date: Required Inspections: -Under Ground Rough-In -Air Test Gas Test -Final 11/04/2011 07:51 6128616267 BEI EXTERIOR MAINT PAGE 01 )°/urSG Caj/ 'a~tm0uaf and Uq 41/// Af 7 daoi7 s~ a. cheek!. ;-y Use BLUE or BLACK Ink Fol :0(Ace'U®e 1 I I Mno A, of EaKan I permit 7 0 I 3630 Pilot Knob Road ; Permit Fee Eagan r- MN 55122 I Date R ved: I Phone: (651) 676.5676 1 1 Fax: (651) 675-5694 j I 2010 RESIDENTIAL BUILDING PERMIT APPLIC ION,/-q-j/ elilln 02W3 Site Address: 384/,7, 380 y x3806 A 380 L14u Rb1. c auax- Tenant: suite RESIDENTI OWNER Name:/ac Assa rAff vy yc.,ac mAw"r Phone; 963,'V9y- 37A7 Address /City I Zip: 7, 02.1 E'. its y L,o rmr xav4 ~AP~ lsQoe~ l9in ~'3// Applicant is: Owner it Contractor TYPE OF WORK Description ofwork: 1WffoKv tie 4run 1ec-pc"_e 12t~vF Construction cost: j o ov Multi-Family Building: (Yes No CONTRACTOR Name: ErrrMi4W- inWAIr.. 044P License t 49,0 1191 Address: J6S .6 Pr City, /17i~wVeNrW14,9 State: Zip: g5yl9 Phone Contact: !zoo _ Emait -L&L a be/ x t,' &Om COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan iasued 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: Plans and supporting docrrrnents that you submit ant C01Wdw9d to be pubpc Mtlormalion. ,Por>totu ofi the info rmatlo n May be clessli>ed, as non public if you provide re>esons that would sPecil!ic r die coy to conclude that the are bade secre>!s. CALL B O YOU DIG. Call Gopher State One Call at (651) 4544-0002 for protection against underground utility damage. Call 46 hours before you intend to dig to receive locates of underground utilities. www•aopher_stateonecall.oro I hereby acknewled9e that thl_r Inrorm9Non Is complete and accurate; that the work will be in conformance with tho ordinanoeD Cntl Codas of tn0 City of Eagan; that I undamtand this is not a permit. but only an application for a permit, and work is not to start without a accordance with the approved an I t pvrmlt: that vie work will be in In he case of plan work which ices a law repo review and aPProyal o em'4.4 s R.voEatson/ ~.at~ Applicant's Pdnb®d Name Applicant's SigroturePage 1 of 2 Use BLUE or BLACK Ink i Cit y 11p Permit aX 3830 Pllot Knob Road i Permit Fss: Eagan MN 55122 1 Date Recehrod: Phone: (631) 675-S675 Staff t Fax: (651) 675-5694 1 t 2011 xrRESIDENTIAL PLUMBI PERM TAPPLICATION C Date: J Site Address ' Tenant.-. suite tl: RESIDENT/OWNER Narne: V-k Phone: Addross / City / Zllr - ~W CONTRACTOR Name; KLBERT COMPANY INC.dba CULUGAN WATER Address: 1801 50TH ST EAST City, : Mat GROVE Vii= state• MN . ZIP: 55.077' Phone: 65,1 :45i-2241 Contact Bnt.•MnBEft~` Email: TYPE OF WORK New _Replacement _Repair _ Rabulld _ Modify Space _ Worts h).R.O.W. Description of worn PERMIT TYPE RElDENT/AL Water Heater .Water Softener Lawn trrl gn Add Plumbing Fixtures Main tower Level) gali ~RPZI_PV9) • Septic Systein Water Turnaround ' _New Ahandonrhent RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater pAn Softener (Includes $5.00 State Surcharge) $35.00.Lawn Irrigation (Includes $5.00 State Surcharge) $35.00 Add Plumbing Fixtures, Septic System Abandonment. Water Tumaround• (Includes $5.00 State Surcharge) `WaterTumaround (add $166.00 Ita 5V meter is required) $105.00 Septic System Vj~ ($10.00 per as built) (Includes County fee and $5.00 State Surcharge) $85.00 Fire Repair (replace bumej out appliances, ductwork, etc.) (Includes $5.00 State Surcharge) y~ TOTAL FEES $ _CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 4a hours before you Intend to dig to resolve locates of underground udlides.• www.oooherstatecnecaN.cm , 1 hereby sojw ledge that this hd~rmation N complete and accurate: that the wo* will be in conformance with the ordinances and calm of 1M City of Eagan; Nat 1 understand this b a psrrn8, but only *on appik:a8on'for a permit, and work Is not to vrithout a permit that the work will be In se9wdaru a with approved kn Itne ace d work which requires a nvlew end approval of pia t the x kj . Applicant•a Printed Name A 6. ignature FOR OF SE ,Q~ gyY. sy. ^ 1 Use BLUE or BLACK Ink • ~ 'For Ofiioe Ua./a I • Pemdtf: U111 of Ealan F p.rrrriEFee d ~7 d5 38$0 Pitt Knob Road ~:1/ j 1 oie rteoeived C 1 Phho wn rIIIIN (66)) 67 6 /1 i state For. (661) 67541101 I '"-T 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Aebs: /p" 7-- /3 SibAddrbem: 3~''•t 3~~~ 38nlo, 35'oP 4Ac.►2£4, C-7-r Unit& Name: ~o f9 C T /y1 p +J rs W /~1 T C Phone: 743 - s'y 3 - 9 72 0 ~lvrter . . Address i car lZlp: 85D a ~ ~ r►'r'uQ AV ,3 A Applicant is: • -Owner X Contractor -r.-.+,e o~ at.- ~ TY1210Fmot Description of wodc Construction Coat J • 9 L1"U . Uti5 Mu10-Family Building: (Yes No • ; Company: FS E ) Si-rrR/cR Ati-04T. &OZ Contact' , Address: 4yoS- 60~' City: MPG S . state: W *J zip: SS"V/ 9 Phone: lo~z - f - G~ xY3 License # 4g c A y/,13 / Lead Certiflwte e if the prOjed is exempt from Iead OWUffcadon. pbase explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW UILDINQ In the last 12 months, hae the city of Eagan issewd a pemtk for a similar plan based on s mnbr plan? Yes If yes, dab and addr as of master plan: Licenwd Plumber. Phone: Mechanical Contractor. Phone: Sewer & Water Contmctor. Phone: Nord E ••Tf. h• `x,i CAL•bBEFORE Y~ Caa Goprwr Slab one Cell 9 (851) 454-0002 for pmoction agalrwt undOMM" Willy damage. CM 48 hours betas you nterl0 m 100d s of undsr"und uN11111as, wowi.oo teonerAe_ero 1 Mm'y advi **fte that ft Wwmalcn Is oanplebe and ao um, that the wok vvill be in oonfammoce Wth ft ordlnancea and codes of the clay of Eagan: that 1 understand thi4 is not a permit, put only an appllcaen for a pennil. and work is nd m stare wiftout a permit: Ow Aw work vA bo in aeaadance wim 9e.pP-ve4 pion in vw awe orvmk wnm ra4w yce a rvrltw and appmwl at plena. Enrtarior work aulhorlaed by a building permit rued In aaaordwom wO On MiniraBpcA stabs suildl Cods must be oomplemd whNn 180 days of pet mil ievmwp x i~,q✓ i L~ RR r~ Applicants Printed Name Appgcant's Signatum page 1 of 8 ZO 3E)Vd 1NIGW 1X3 I3a L9Z9T98ZT9 Z0:bT ETOZ/LO/0T Use BLUE or BLACK Ink - I foreliteUse 1 1 a~~$ I City o ~la~ permit mpermit s: of I Permit Fee: 3630 Pilot Knob Road j I Eagan MN 66122 i DateRecelved: I Phone: (661) 675-675 j Fax: (651) 675.5694 j 'wait' I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 3 r°A, I ?o y, 3 Y° G, s yo d' iAvRE L Unit Name: Flo A & E.tm X v w C. _Phone; 74 3 - Sir 3 - 9 7 7 0 r a Itr .gg Y WA) Owner Address/ City /Zip: SSo b1:-i4 '7-u#. Av A), .14 Ss 7 Applicant is: owner CContractor Description of work: Rf:Ko, L a.. RE PL*e- . f,ttsr- 0R rr/E7-4 4. Typ#.,vf`1Work Construction Cost: / 4100, w Multi-Family Building: (Yes / No __J Company: ~',r r Ek✓ 0 2 1~~ IJ . ~o RP Contact: 64 ✓ , ti Q-1/2-0-1 S / Address: GJ Got S~ , City. Controctor stele: Zip: sry/ 9 Phone: &/.Z - S to Co 2 yS License C 3 J Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) l~t-~(cS. ~~~L7 PCs -0 JF7'Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIW 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: R6Its a dacim r'~i 'st! '?oohlsrd':E .;P . !,+~'PiR f the; sill i~il~ x rtairr~ r' :Cy;::`>c iMorrr"orr; .aY:b~.. /as . , _,as c'rjl y?~►p pr~i i. ~i9~ic° .a. . ~,..GDACIffd9`~h9~?~. :ay1P6~4}f8lf@r'... ;:u%•. CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 45"002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utllliles. www.aopherstateonecall.org 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 ie 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 Bulldin Code must be completed within 180 days of permit issuance. x V u /yJ2-i S A Applicants Printed Name Applicant's Signature Page 1 of 3 b0/EO 39vd 1NICW 1X3 IM L9Z9Z98Zti9 OZ:ht VT0Z/8t /Z0 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA136052 Date Issued:04/21/2016 Permit Category:ePermit Site Address: 3802 Laurel Ct Lot:1 Block: 01 Addition: Briar Hill PID:10-14990-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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: 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 - Edward J Burt 3802 Laurel Ct Eagan MN 55122 (651) 686-0059 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA162079 Date Issued:06/25/2020 Permit Category:ePermit Site Address: 3802 Laurel Ct Lot:1 Block: 01 Addition: Briar Hill PID:10-14990-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Edward J Burt 3802 Laurel Ct Eagan MN 55122 Universal Windows Direct Twin Cities 150 88th St W #205 Bloomington MN 55420 (612) 866-2888 Applicant/Permitee: Signature Issued By: Signature