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3810 Laurel Ct*City of Ear 3830 Pilot Knob Road Eagan INN 85122 Phone: (661) 875.6676 Fax: (651) 6764694 Use BLUE or BLACK Ink For OMae Uae I V4 Pima 4: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: a j "' 9 - Site Address: -3 $ / U LA J . £ L. (Z% - Unk 5: Resldent/ Owner Name: e% ge i74A 46401E Al J t., Phone:' 763 -Sip-3- 977 411 Address / City / Zip: g -0 A L e.64 r u Q 4v, A), 24 6.01-6z,.. 141.44 Y /l ti Applicant is: Owner Contractor Ss 4a 7 Type °Mork, Description of work:PL A r £, m Li t. 7-i P LZ.th Constriction Cost Multi -Family Building: (Yes / No _ Company. £ 1 £, - >- E e a 2 MAT 12P Contact DA ✓ r 6 i(4v/2-2./ S Address: Va'S- L' &O .17-- City: /y/ PL S State: P? Zip: S5-1/4 F Phone: Lo/ ,t - e (r, / - Co 2 y 3 License*: 4-3 ! - 2 Y / / 7 / Lead Cerdficate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional infomtation) QLuos- i77Y COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a perm* 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: NOM: lights en0. Sewer S Water Contractor: thotwonnationonfte CALL.BEFORE YOU DIG. Cal Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cat 48 hours trerore you intend to dig to receive locales of underground utilities, www,eophretetaonecalLorg I hereby acknovaedge 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 epp&cation for a permit. and work is not to Marl without a permit that the work will be in accordance with the approved plan In the case of work which requkes a review and approval of pians. Exterior work authorized by a building permit issued In accordsncu with the Minnesota State Build' Code must be completed within 180 days of permit Issuanos. x 4 v4 4 at.2d2/ Applicant's Printed Name 0T/T0 39bd Applicant's Signature Page 1 of 3 INIVW 1X3 I39 L9Z9198Z19 90:VT VTOZ/TT/V0 CITY OF E4\GAN Remarks Addition Briar H311 Addition Lot 5 eik 1 Pe, ownerUa c1 ; A1= h? .ru % Pi? ?j i4h,P. street 3810 Laurel Court State Eagan, Improvement Da[e Amount Annual Years Payment Receipt Date STREETSURF. :?L- 1971 Parcel LUl @T arcel 1 0200 ) 010 2$ STREET RESTOR. & 1975 61.62 6.16 10 18.50 A010191 -20-81 GRADING , 1982 123.04 24.61 5 123.04 C007230 -- Street Surf. & (0 1982 600.76 120.15 5 600.7 C 0 -- SAN SEW TRUNK 1968 34.49 1.15 30 ** SEWERIATERAL 1-8 1970 97.38 4.87 20 ** water lat stm trk 1970 20 WATERMAIN * WATERLATERAL 1971 28.22 1.41 ZO ZZ JI WATER AREA 1977 52.14 3.48 15 34.79 *** S W Lat Stm L 1982 1431.44 286.29 5 1431.44 C007230 -i - STORMSEW TRK 1971 251.34 12.57 20 113.18 A01 191 5-20-81 * STORMSEW LAT 1971 20 Storm Sew Trk 1982 402.73 80.55 5 02.73 C007230 -- CURB & GUTTER SIDEWALK STREETt`}9"T 1009 1986 153.70 15.37 10 WATER CONN. 11 BUILDING PER. ii n SAC r PARK 1 p ? 1 1 CITY OF EAGAN Remarks Addition B`r3t1.T Hill Additien Lot g RIk 1 Parcel #10 14990 080 01 owner 1,11.;J i^ 1112;?",fh Street 3816 LauTel Court State Eagan, bIlV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. STREET RESTOR. 071 1975 61-62 6-16 1 18.50 O GRADING ? 1982 123.04 24.61 5 123.04 C007235 9-14-81 00 1928 600.76 120.15 5 600.76 C007235 9-14-81 SANSEW TRUNK y'D 1968 34.49 18.53 A009860 1 21 8 ** SEWER LATERAL 1970 97.38 4-87 20 6 ** wate 1 WATERMAIN * WATER LATERAL 1971 28.29 1.41 20 12.7I A009860 1191/81 WATER AREA *** ' 1982 1431.44 286.29 5 1431.44 C007235 9-14-81 STORMSEW TRK ZOE 1971 251.34 113.18 AO 9860 1/21/81 * STORM SEW LAT 1971 2 T `°5 1982 402.73 80.55 5 402.73 C007235 9-14-81 CURB & GUTTER SIDEWALK STREET-tfp'Mt 1009 1986 153.70 15.37 10 /S . 0 C'- DF6 7 /G- 4' WATER CONN. rt ro 9UILDING PER. 5649 ? n SAC - 595 00 PARK - 250.00 18599 4118/80 - INSPECTION RECORD CITY OF EAGAN PERMfT TYPE: ?30 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: ; „ APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A . .. 1 ktVI riul! !<; rHRitt NtiuqC7Y1 N1) f Ni, I tii 11: I s I`, F i MG Ilf f k ? F- L ? Permit Holtler Date Telephone M SEWER/ WATER PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFINp ROUGH PLIJMBING PIBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FfG DECK FINAL ? I CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 ? (612) 681-4675 LOt: w ai ucn. I APPLICANT: LAUNEI. CT B S C RF11C1DEtINO & GON9T (612) 4h6- 11T8 ? SITE ADDRESS: BRIAR Hilt PERMIT SUBTYPE: nt ?.n .? s INSPECTION RECORD TC°ntr°l No.- 0537 PERMIT TYPE: Permit Number: Date Issued: /92 TYPE OF WORK: NEW I L I Pem,n No. rermn rwider osu relephone e S/w PLUMBING HVAC ELECTRIC ELECTRIC Inapectbn Date Insp. Commerrts Footings I FaiMfltion Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplace Fnal Htg. Orset Test Flnal Plbg. Plbg. Inspedor - Notlly Plumber Const. Meter EngrlPlan Bldg. Ftnal Deck Ft9. DeckFinel 122 v ? ?GQ well Pr. Disp. . a • e BUILDING PERMIT $ite Address Lot Pcrcel # - s Nome W 3 Addre o _ , N4 5649 Erect Occuponcy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Of Name Approrols Fees ?o ,.? I ?? Address AssessmeM Permit _ ? Water 8 Sew. Surcharge Ci Phone Police Plan check FW Name Fire SAC Address Eng. Water Conn. aW Ci Phone Planner WaterMeter Council I here6y ackrrowledge that I have read this application and state that gldg. Off. 2/1"/' the informction is correct and agree to comply with all applicable State of Minnewta Statutes and City of Eagan Ordinonces. APC Totol Signature of Permittee A Building Permit is issued to: on the expreu condition that cirr oF EAG?N 3795 Pilot Knob Rood Eagon, MN 55142 PHONE: 454-8100 Receipt # ror Est. Value . , _ „i Blxk Sec/Sub. ' all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagcn Ordinances. Building Official P*MM $ paq ) PeewiMN Plumbing % (R? 5 Mechanical ?'?z¢.' . G 1 ? rJ INSPECTIONS DATE INSP. RoupMln Final Footings +., •y. 'i Dat Inw. Dats IruD. Foundation Plumbing -d'a G Frame/ins. ? Mechanical Finol Remarks: o'Z-S'sr / , CITY OF EAGAN 3795 Pilat Knob Raad Eagan, MN 55122 PFIONEs 454.8700 BUILDING PERMIT To be wod for• ' Est Site Addross' C ` Lot Block Sec/Sub. B`' l Parcei .# rc Nome "O1l.C "SOr, ? - Z Address >1? 1 nl ?;?t._P ?, E. of Name 0 ?? Address oi.....e Name _ Addreu I hereby acknowledge thot I have read this application and state ihat the information is correct ond ogree to comply with all applicable State of Minnesota Statutes and City of Ee9an Ordirances. Receipt # Erect ? Alter ? Repair ? Enlarge p Move ? Demolish ? Grade rl N? 5648 Occuponcy Zoning Fire Zone Type of Const. # Stories Front ft. Depth fr. Feea Assessment - Water & Sew. Police Fire Eng. Planner Council Bldg. Off.. APC Surcharge Plan check SAC Water Conn. Water Meter Total $ignature of Permittee ? ,-,???2_•.., ?,??.? ;,.. A Building Permit is issued ta ' on the express condition that all work shell be done in accordance with all applicable Stote of Minnesota Stotutes and City of Eagan Ordinances. Building Officicl PwwM # DaM Irw ? rwwkfw . Plumbing E' , Mechanicol d tj ?f?c. . O'7 U INSPECTIONS DATE INSP. Rough-In Firal Footings Date Inap. Date Inap. Foundation Plumbing 3•?6-8? Frome/ins. Mechonical Final Remarks: ?? \V J cirr oF EacaN ? 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 N2 5650 ` BUILDING' PERMIT Receipt # ; . To be- awd for Est. Val ue Date , 19 Site Address Erect ? Occuponcy lot Blxk Sec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone Enlurge ? Type of Const. ` W Name - Move ? # Stories ; Address Demolish ? Front ft. b Cit Phone Grade ? Depth ft. p Name Address f- r.., o?....,.. Name _ Address I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with aIl applicable State of Minnesota Statutes and City of Eagan Ordinances. Assessment Water & Sew. Police Fire Eng. Planner Council Bldg.Off. APC Fees Permit _ Surcharge Plan theck . ?r SAC ..?,-. Woter Conn:? Woter Meter' Total l j.7°. Signature of Permittee I A Building Permit is issued to: on the express condition that oll work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official . PamN # . CaN Inuad. P?rsMtae . Plumbing Mechanical D ?.2e.?? 55?'070 ^ '?U d INSPECTIONS DATE INSP• Rough-In Firwl Footings l1 pate InsP. Date Insp. Foundation Plum Frome/ins. Mechanical Finol Remarks: . . .,°RM:?+h, ":h?., n •$.a I PMIT OBCIC .:.,. qra'^_.a • a??ae?-;w-',,..?? . . - .;, - . .. -.. . - CITY OF EAGAN 17880 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # To be usedlor Est. vaiue ;t I? Date "A7 I6 19 90 Site Ad ess 3616 I.AARBL CT Lot % Block SeclSub. aRIAR HILL Parcel No. W 1Name DttiNIB 6 SHARQN LYNCH 3 Address 1 L C'' ° City EAGAN Phone - Name $AME Address City Phone Name Address City Phone I OFFICE USE ONLY Occupancy - FEES Zoning - ?s.? (ACtual) Const - Bldg. Permit (Allowable) - Surcharge N ot stories Pl R i Langlh an ev ew Depth SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Water Conn On Sile Well - Water Meter MWCC Syslem - Acct. Deposit City Water _ PRV Required _ S!W Permii Booster Pump - g/W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.OH. _ Copies 25 50 Variance . - TOTAI I hereby acknowlege that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesola Statules and City of Eagan Ordinances. Signature of Permitee '- ' A euilding Permit is issued to: DENNIS OQ S8A*011 L7NCH on the express condition that all work shall be done in accordance with all applicable State ol Minnesota Statutes and City of Eagan Ordinances. Building Otficial ' Permk No. Permit Holder Date Telephone M WATER SEWER PLUMBING H.V.A.C. ELECTRIC Mapection Dale Insp. Commants Footings I Foundation Framirg Rooling Ragh Pibg. Ragh Htg. Isul. Freplace Final Hlg. Fnal Ptbg. Consl. Meter Plbg. Inspector- Notify Plumber ErgrJPlan Bldg. Final Deck Fl9. Deck Final Well Pr. Disp. cirY oF E?GAN : 3795 Pibt Kaob Road Eagan, MN 55722 N2 5651 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be used for Est. Value Date , 19 Site Address _ Erect E] Occupancy Lot Block Sec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone Enlerge ? Type of Const. W Name , . ' . I . . ' . Move ? # Stories ; Address ' Demolish ? Front ft. ? Ci Phone Grode ? Depth k. p Name Approrah Feea i ot Address Assessment Water & Sew. Ci Phone v? Police Name Fi ? re Address Eng aW Ci Phone . Planner Council I hereby ackrwwledge that I have read this opplication and state thct Bldg. Off. n the infortnation is correct and agree to comply with all applicable State of Minnewta Stotutes and City of Eagan Ordinances. APC Permit ' Surchorge ? Plan check 5 SAC ? Water Conn. rr Water Meter Total Signeture of Permittee .? ? A Building Permit is issued to: ? on the express Sondition that oll work sholl be done in occordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official f? hnnR # DaM ImsA P*rwMtw . Plumbing z" v-? Mechanical 5 0 3 X D INSPECTIONS DATE INSp, Rouph-In Ffrwl Footings ? lnsD. D0t8 lMP. Foundation Plumbing r? g'o Frame/ins. ?' Mechanical Fincl ? Remarks: 3 _ . °'!'T.D '%c???G/?Of,R sc-?, / I4 d ?. • ?'J' CASH .R EC E I PT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 REC EIV HD FROM AMOUNT $ & DOLLAR$ 100 EICASN [I CHECK a FoR B Y White-Payero Copy Yellow-Posting Copy Pink-File Copy Thank You CASH 4iECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEIVED FROM AMOUNT $ B DOLLARS I ao ? CASH ? CHECK FOR ` ?i r Thank You f B Y C/ White-Payar6 CopY Yellow-Posting CoPY Pink-File Copy 1 CASH -RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAO EAGAN, MINNESOTA 55122 DATE 19 AMOUNT $ I 6 DOLLARS ?oo E] CASH El CHECK FOR Z7 ? ? White-Payers Capy Vellow-Poating Copy Pink-File COpy Thank You ? ??` B Y CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RECEI V ED GROM AMOUNT $ I & DOLLARS 1 oe E]CASH EICHECK /(< White-Payers Copy Yellow-Posting Copy Pink-File Copy Thank You BY ' 1 ?E , . ? "fBUSY'IOH AZR :TF!??;ITt;? ??ASIt1f; 3/18/80 Date: Site Address: r Lot 3810 Laurei ct. Block Sub/Sec. _- Name ':'ollefson Bldr=. °e Address 13816, 3 0 CiTY Phone: i - Name "r`?-'dTiCkS4n 'f:tT. . ? Address ?+'J3Ci e 0 City ' Phone: This Permit is issued on the express condition that all work shall be Minnesoto Statutes and City of Eagan Ordinonces. , ry ->•? No. y 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 appliwble Stote of CITY OF EAGAN 3795 Pilof Knob Road Eagan, Minnesota 55122 Phone: 154-8100 PERMIT Building Officiol < . CITY OF EAGAN 3793 Pilot Knob Road Eagan, MinnesMe 55722 • Phone: 454-8100 ?I TAfflZN,". PERMIT f Date: ;i •_ ? Site Address• 381`? 7Auri- ? CUS`rt Lot Biock i Sub/Sec. _ I'r`s•I ?:t'?3r'iil.'._ Nome Tollefscm Bldrs. e Address ? n.5 FiO1Yqk@ f2'. _ 3 O City Phone: Name Ry'3.11 . , g Address 745 SO. RO?;°.. „- e ? City - Phone: ' . '. This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eagon Ordinances. No. Receipt No.: Single I Residential Multi Res., Comm./Ind. New / Alter. / Repai r Cost of Installation Permit Fee Surcharge Tota l done in accordunce with oll applicable State of Buildin9 Official . C(?o(B'JSiION AIR REQIII'_?ED CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 HFATINr, _ PERMIT Dote: ?L18/80 Site Address: !.aurtl Ci,• Lot ? Block 1 Sub/Sec. __R"-S I'o'I"!? Name "o1lefson Bldrs. e Address 13816 Aolvoke I,HS.:' 3 O City rpt%1C' v812@yj's`I Phone: Nome rredrickean Ht.-. . g Address %? H?7 d TillB e ? ,r?T, ?•. . ,..?5 City Phone: No. l r"211 Receipt No.: Single I Residential ` Multi Res., Comm./Ind. New/Alter./Repoir. Cost of Installation ??. ??. •, Permit Fee Surcharge TOtOI This Permit is issued on the express condition thot all work shall be done in accordance with oll applicable State of Minnesota Stotutes and City of Eagan Ordinances. Building Official - . ,. PLDMBIhG CITY OF EAGAN 3795 Pilot Knob Road Eogan, Minnesota 55122 Phone: 454-8100 PERMIT ' 3f26/80 Dote: Site Address: Lot , 3816 Laurel Ct. Briarhill Block Sub/Sec. T,011afson iiurs. Name _ . e° Address 1$81F, ? !_DT?ZC' Vtij.iP;, City Phone: -PI1Z i?y£x'1 Name ? P Address e ? >e?,c?..'?. City _ Phone: This Permit is issued on the ,Express condition that all work shall be Minnesota Stotutes and City of Eagan Ordinonces. No. 163fi Receipt No.: $ingle Residential "- ' Multi Res., Comm./Ind. I New/Alter./Repair. Cost of Installation ,.?. Permit Fee $urcharge Total ? done in accordance with oll applicable Stote of Building Official CITY OF EAGAN , • 3795 Pilot Knob Read • Eagan, MinneaoM 55722 ? Phono: 454-8100 . PERMIT Date: Site Address: 3812 I.fll1T@Z r.t. Lot ` Blxk ' Sub/Sec. Z BTl aTh?l'. Nome '°ollef$on H1dI`S. °e Address 'To1ycke Lane ? City - %"Ie Vflll@.Y,,,'•? Phone: 45?,•3?.,,r3 i Name FT'edI'iCk30S1 . g Address :j8 flu d RllC a 0 V City .?.,. ,-- . _.... .. _ . _ Phone: This Permit is issued on the express condition that oll work shall be Minnesoto Statutes and City of Eagan Ordinonces. No. 1 7,? ... Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/Alter. / Repair Cost of Instollation Permit Fee Surcharge Toto l ? done in accordance with all opplicable Stcte of Building Official ' CITY OF EAGAN 3795 Pilot Knob Read • Eogaa, Minnesota 55122 Phene: 454-8100 ? n- •,.-,, . : . .,. ? . _. e Date: T.aiiI':?1 Ct. Site Address: PERMIT ? 3 .h, "3G No. - Lot Block Sub/Sec Briarhill Nome °e Address ? 11?1e Valley City Phone: -?-,?? i!T7fln Name . g Address e V City _ Phone: This Permit is issued on the express condition thot all work shall be Minnesoto Statutes ond City of Eagan Ordinances. Receipt No.: Single I Residentiol - Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee Surcharge Tota I done in accordance with all opplicable Stote of Building Officiol cO,9usTiON Ar? ?UIM Date: CITY OF EAGAN 3795 Pilot Knob Road Eagan, MinnesoM 55122 P6one: 454-8100 PERMIT Site Address: Lot 3814 Laral Court Block SublSec. Name e Address ' 3Q101 :ifJl,'70KF i.82]2 ? T)le Va11Ay City Phone: ?•e<<rie?ceon '. Name . g Address e 0 O City _ Phone: This Permit is issued on the express condition thot oll work shall be Minnesota Statutes and City of Eegan Ordinances. No. Receipt No.: Single ? Residential Multi Res., Comm./Ind. I New/Attec/Repair. :,•. ' Cost of Installotion Permit Fee Surcharge Tota I done in accordonce with all applicable State of Building Offitial ? • ? CITY OF EAGAN ? 3795 Pilot Knob Rood Eagan, Minnesota 55122 ' Phone: I54-8100 PLDP.?Ii''" ' PERMIT ., Dote: ?"14 ;q?jrel Site Address: Lot 15 Block ? Sub/Sec. Tollefson, Name o a Address - ?0- 1 Holyoke ? A`?p1P Vfl-1P`?? Ciry Phone: ?-<--? Z r.sf n Nome . g Address :•: 7? 5;? r,,•bc "t 1'T1. e v . _. ? • City Phone: _ This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Eogan Ordinances. No. , 7 tla Receipt No.: Single Residential Multi Res., Comm./Ind. New/Alter. / Repai r Cost of Installation Permit Fee ' Surchorge ' Toral done in accordance with all applicable Stote of Building Official SEWER SERVICE f;ITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55722 DATE: Zaning: No. of Units: Owner: dress: 'te Address: _ Mhumber: 1 agrea to eomply with the Ci4y of Eagan Connedion Charge: a Account Deposit: - Ordinancea. Permit Fee: Surcharge: Misc. Charges: . By Total: p.: Date of Ins Date Paid: I nsp.: GTY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No. of Units: Owner; P.ddress: Site Address: Plumber. Connection Charge: Meter No.: Account Deposit; _ Size: Reader No.; Permit Fee: - 1 agree to eomply with the City uf Eagan Surcharge: Ordinances. Misc. Charges: - Total: Dare Paid: BY Dote of Insp.: lnSP" WATER SERVICE PERMIT_ CITY OP EAGAN 3795 pilof Knob Road PERMIT NO.: -agan, MN 55122 DATE: No. of Units: _ Zoning: - Owner: Address: Site Address: Plumber. Connection Charge: Meter No.: Account Deposit: Size: Reader No.: Permit Fee: 1 agree to aomply with the City of Eugan Surcharge: Misc. Charges: Ordinances. Total: Date Paid: BY Date of Insp.: : Insp. PERMIT CITY OF EAOAN SEWER SERVICE PERMIT 3795 PiIM Knob Road PERMIT NO.: Fngan, MN 55122 DATE: ?oning: No. of Units: Owner: Address Site Address: Plumber: ? ! ogree fo eomply with the City of Eagan i Connection Charge: ,i Ordinances. Account Deposit: i, Permit Fee: Surcharge: ? gY Misc. Charges: Date of Insp.: - Total: Insp.: Date Poid: - WATER SERVICE PERMIT CITY OF EAOAN 3795 Pilof Knob Road PERMIT NO.: FaSan, MN 55122 DATE: _ No. of Units: Loning: i- Owner: - Address: Site Address: Plumber: Connection Charge: Meter No.: Account Deposit: Size: permit Fee: Reader No.: 1 agree to aomply with the CitY of Ec9°n Surcharge: Misc. Charges: Ordinances. Total: Date Paid: By i,. Date of Insp.: Insp.: SEWER bCnvl?? ? ?^^•^ GTY OF EAGAN 3795 Yilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: No. of Units: Zoning: Owner: - Address: Site Address: Plumber: I ugree to comply with t6e City of Eagan Connection Charge: Account Deposit: Ordinancea. Permit Fee: Surcharge: Misc. Chorges: BY +Date of Insp.: Total: Date Paid: ?Insp.: Pilot Knob Road , MN 55142 SEWER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Address: - 1 agree ro aomply wieh !he City of Eagan Ordinanrxs. By Date of Insp.: '--- • Connection Charge: - Account Deposit: Permit fee: ' Surchar9e: ? Misc. Charges: Totol: ? Date Paid: tt irYoF eaGaN WATER SERVICE PERMIT :'95 Pi1ot Kno6 Road PERMIT NO.: 9an, MN 55122 DATE: oning: No. of• Unitr. Owner. Address: - Site Address: ' Plumber: Meter No.: Connection Charge: Size: Account De Reader No.: posit: Permit Fee: 1 agree to aomply with the City oF Ecgan Surcharge: Ordinanaes. Misc. Charges: BY Total: Date Paid: DoTe of Insp.: ? Insp.: ?:a:. SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.sclo o? 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS -I 0 I f t C'or--? OCCUPANT SOLD BY eCCS ?` C. ? c CITY `?- OWNER (? Hr°Jy¢IJ/-)r- 4`11_ 1 INSTALLED BY MAKE SERIALNO. THERMOSTAT_ VALVE ? LIMIT--4? LIMIT SETTING FAN SETTING ::rD ? PILOT TYPE - 4 IGNITION MODEL •???/ PILOTTIMING j ' • . ?"' W b ? PRESSURE t PERCENT COZ / ?P ^O ? ,` INPUT CFH PERCENT OZ ? ? ? STACK TEMR PERCENT CO FORM 235 (REV. 11/89) MODEL INPUT ??/l?J?-? VIVI I VENT SIZE 1 TYPE OF LINER :j?-rW(K4- LINER SIZE (O`' ?'I60 I?kZSX ? FILTERS: _? N?UMBER WIRING %,Lu)ujym ?, n AK?-.V1?L TEST TAG LIGHTING INST. // DATE TESTED COMPANY TESTING NAME OF TESTER FOFMDISTRIBUTION: WHITECOPY-J06RLE YELLOWCOPY -qTY CITY OF EAGAN .. ' 3795 Pilot Knob Raod Eagon, MN 55722 5651 PHONE: 4548100 BUILDINQ PERMIT APPLICATION Receipt .# To bo ured for 1 of 4-blex Est. Volue 52.000.00 Date 3./12 Site Address 3810 Laurel Ct. E,ect [X Occuponcy Lot 5 Block 1 Sec/Sub. PhS I BT18I'hill Alter ? Zoning R3 Porcel .# c Neme Tolle£son B1drs.Inc. ; Address 13 16 Holyoke Lane o pp e a ey Ci kone 0 INome XWNM_Sama Zo o' Addreu u . ? r:... ok....e Name _ Address I hereby acknowledge that I have read this application and stote that the informotion is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: - oll work sholl 6e done in accordance Repair ? Fire Zone IjI Enlarge ? Type of Const. V Move ? # $tories Demolish [j Front 44 ft. Grade ? Depth 2L+ ft. Approrels Fees Assessment _ Water & Sew, Palice Fire Eng. Planner - Council _ Bldg. Off. _ APC Permit lf+'3.50 Surcharge 26.00 Plan check 71.25 snc 525.00 Water Conn. 305 00 Water Meter 60.00 Rd.Unit 185.00 Toral 1 ,,315 _ 75 Bldrs. Inc.? on the express condition thot of Mi.+nesoxa Ssptutes and City of Eagan Ordinances. Building pffieial mlnnesoia acaie aoara oi tiecinciiy GNggs Midway Bldg. - Room N191 O-U niversity Ave., St. Paul, Minn. 55104- phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION :CHECK BELOW WORK COVERED BY THIS RF.OI IF.ST / OE1?vDSQ,F?02 6 ?i 7 ? 58072 T'ype of Building New Add. Rep. Check Appliances Wued For Check Equipment Wited For 'Home 3COK ? ? Range E; • ' Tempo:ary Wiring ? Duplex Apt. Bldg. Commercial Bidg. ?? ? ? ?? ? ? ? Water ater ? Dryer Furn• • ? ? ? Lighting Fixtuces Electric Heating Silo Unloader kax ? ? Industrial Bldg. ? ? ? Air C ditioS?r,?<? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Otheis - Here DiBp.Dish.x7c others Flere ? COMPUTE INSPECTION FEE BF.LOW Seivice Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am s'- ' TJG • 0 0 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 1 1 Remote Control Circ. Pactial or other fee 650 Signs Speciai Ins ection Minimum fee $ Rematks Jeff D .? , TOTALF ?7 ?"' SaQ0 I, the Electrical Inspector, hereby certif t the ?s ect' has been ade. (Rough-in) Date /02 40 (Final) This request void 18 months from ? ,??? This request void 18 months from if -,/ °9 .?Date of this Request 3«27-1980 Fire No, S. 58072 I, astgLicensed Electrical Contractor ? Owner, do hereby request inspecti n of, t e bove electri- ? cal wiring installed at: ??` ? y ? / ' `C Street Address or Route No. 3816 Laurel Court CityEa,ga*+ Section Township Range County Dak ot s Which is occupied by Tollefson (Name of Occupant) Is a roughin inspection required on this job? No ? YesXM Ready Now ? Will Calla Power Supplier Dakmta Gty. Address ?xmington Electrical Contractor O.B. Than °n E24tric Gm Contractor's License Nd3LA62 (COmpany Name) Mailing Address 12201 M.k lv d_. Mtkn?_ 553d3 _ Authorized Signature is Installation) Phone No. C23-2521 ? ? D ? Vn?? This inspection request will not 6e accepted by the tt?1 Stete Board unless praper inspection fee is enclosed. minnesoca aiace noara or tiectncity Griggs Midway Bldg. - Room N791 ,. 1821 University Ave., St. Paul, Minn. 55104.- Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BILOW WORK COVERED RY THIS RF.niiRST / .sEg?(I?OJ202 d h? $ 58071 ype of Building New Add. Rep. Ch¢ck Appliances W'ved Foi Check Equipment Wired Fo[ Home 3U ? ? Range 712 4, O Temporary Wiring ? Duplex ? ? ? Water ? Lighting Fixturea ? Apt. Bldg. ? ? ? Dryer Electric Heating ? Commercial Bldg. ? ? ? Furna e" ?, ? Silo Unloader ? Industrial Bldg. Fazm Other ? ? ? ? ? ? ? ? ? Av C' itio Lis[ ' . _ Othets Here • • • ' Bulk Milk Tank List Others? Here ? COMPUTE INSPECTION FEE BELOW Service Entaance Size: # Fce Feeders& Subfeeders: # Fee Ci[cuits: # Fce 0[0 100 Am 4. -^ IIG 7,50 0 to 30 Am eies 0 io 30 Am eres IOl 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 oc othec fee Signs S ecial Inspection Minimum fee $5.0 Remazks Jeff D. TOTALFEE 37.J? 38e00 I, the Electrical Inspector, hereby certify (Final) This request void 18 months from o5 J ? has been ?dey ? gte Pf? s e ? Tlus request void 18 mon2hs from Date of this Request_3»27-1980 Fire No. S 58 0 7 1 I, as Pql.icensed Electrical Contractor O Owner, do hereby request mspe ti n of the above electri- n ? /„Z „ „f1 cal wiring installed at: ?.7 Q? ?61J?'.. , . Street Address or Route No. _ 3814 I,aurel Cc>urt CityEagaq Section Township Range County Dakota Which is occupied by TolleYso n (Name of Occupant) Is a roughin inspection required on this job? No ? Yes:U Ready Now O Will Call ik Power Supplier Daltota CtV. Address FamaingtoA Electrical Contractor O.B. Thempeo n Eleatxz.e Co• Contractor's License NoA3962 (Company Name) Mailing Address 12201 Mtka Blvd.. Mtka 55343 (Elactrical Contractor? OwrimdMakln9 This lnstallation) Authorized Signature ?.'. : :,? , Phone No. ?123.2,?'r21, (Electrical Co.pti,aitowbY'O'wne?avlakYng Thls lostallatlon) ` ?`? ??(`?? g?Q ?S „??o?? ? aQ?,? 17 This inspection request wil! not be accepted by the ? SWte Baard unless proper inspection fee is enclosed. minnesoca acace ooaro or tieccncity Griggs Midway Bldg. - Room N191 niversity Ave., St. Paul. Minn. 55104-PFwn6297-2111 REQUEST FOR ELECTRICAL INSPECTION PCHECK BELOW WORK COVEREB BY THIS RF.nUF.ST / p _E8o Q?1-02 Q `?` 7 $ 58070 Type of Building New Add. Rep. (h¢ck Appliances Wired Foc Check Equipment Wired For Home ? ? ? Range ? • " Temporazy Wuing ? Duplex ? ? ? Water Heat ? Lighting Fixtuies 707[ Apt. Bldg. ? ? ? Dryer p Electric Heating ? Commercial Bldg. ? ? ? Furnace ' ? Silo Unloader ? Industrial Bldg. ? ? ? Air Cond net uIk Milk Tank ? Farm List -+ ' ist Other ? ? ? ?eiers? - Qehers? h COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0 to 100 Am • 0 to 30 Am res 0 to 30 Am eres • e 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 C'uc. Partial or other Fee Signs S ecial Ins ection Minimum f Remazks lr--) "'? / TOTAL F 37. J'd 8.00 1, the klectncal lnspector, hereby certify that A6?above en m i./ (Rough-in) f , Date (Final) This request void 18 months from ?? This request void f *nonths from ? 50070 r' Date of this Request ?.,9'?«'I qf;p Fire No. I, as? Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: , . ?+' •? f1;,,,.?,?_ Street Address or Route No. 3812 Laearel Court City Faa'an Section Township Range County Dakota Which is occupied by Tollefson - (Name of Occupant) Is a roughin inspection required on ttiis job? No ? Yes @[ Ready Now ? Will CalbU PowerSupplier M Dakota Ctv. Address Faraiin$ton Electrical Contractor O.B. Thompson Eleetri e Co. Contractor's License No$3-U62 (Company Name) Mailing Address _ 12201 Mtka Blvd., Mtka 55343 (Electrical nontractor g5 Ow d?r(ILtaking This Installation) // ?/ Authorized Signature /?•. " . /),. '?A7_ Phone No. 9.1?.2 (Electrical Contiacfor-oi'OwneFMaking Thls InStallatlon) ???? ,? Q O? ';? f?? ?Op? This inspection request will not be accepted hy the State Board unless proper inspection fee is enclosed. rvnnnesoca aiace noara or tiectncity U Griggs Midway Bldg. - lioom N191 ?iversity Ave., St. Paul, Minn. 55704'-.PhonU 297-2171 ?REQUEST FOR ELECTRICAI INSPECTION CHECK BELOW WORK COVERED RY THIS RF.nITF.ST / d' ,$BUO 1-02 $ 58073 Type of'Building New Add. Rep, Ch¢ck Appliances Wired Foc Check Equipment Wired For Hofie tt ? ? Range • Temporazy Wiring ? Duplex ? ? ? Wate ez Lighting Fixtures ? Apt. Bldg. ? ? ? Dry? Electric Heating ? Commercial Bldg. ? ? ? Fu ? 2~ 0 Silo Unloader ? Industrial Bidg. Farm Other ? ? ? ? ? ? ? ? ? Air di r List p Heiers? . Bulk Milk Tank ? List ?ehersI COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Fee Feeders&Subfeeders: # Fee Circuits: # Fee 0[0 100 Am t0 IIG 0 0 to 30 Am eres 0 to 30 Am eres 10 QQ ' 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above 100 Amps. Tiansformers Remote Control Ciic. Partial oc othet fee ? Signs Special Inspection Minimum fee $5.00 Remazks JePf D. TOTAL FE 38•4 1, the Electrical inspector, hereby certify th le abov?'ns ?fi,gp???een?a? g? (Rough-in) ? ? D°a?f`e' .rr (Final) - te 71 This request void ? 18 months from ' This request void .cjL o 18 months from / Date of tfiis Request 3-27-1 qgp Fire No. S 58073 I, as,ibQ.,icensed Electrical Contractor 0 Owner, do 4ereby request inspection of the above electri- cal wiring installed at? 57 8 ( Street Address or Route No. 3e10 Laatasel Cmurt City ?!a? Section Township Range County Dak ota Which is occupied by Tollefson (Name of Occupant) Is a roughin inspection required on this job? No ? Yes ME Ready Now ? Will Call Oc PowerSupplier Dakota Cty. Address Farmin-9ton Electrical Contractor O.B. Thcatpson Ele etri cEo. Contractor's License NoA37962 (COmpany Name) Mailing Address 12201 1Ktka Blvdr Mtka 55343 (Electrlc I C?nt?actor o?Awne Ing ThIS Installaflon) ?' Authorized SignatureiG'??: ?. Phone No. 93-1-2-5P-1 Electrical Contrac' ( l?f?ar Owner Rlaking This Installatlon) This inspection request will not be accepted by ffie State Board unless proper inspestion fee is enclosed. (ITker#ifirtt#e of (Orxupttnrm Citp of Qgagan i0rpttrfmrnf nf Builhin# Jasprrticm Thi.r Catrficatt issued purtuaru w tlx requi?emrnu of Sntion 306 af the Unifosm Building Codr eatifying tbat at the timc of istuarue tbit mutture wat in tomplianrc witb thc variout ordinancu o f thc Crty regulating building ronnrurtion w rue. For t6r fo!loudng: un c1surc.am 1 of 4 plex Blag. Paffnit No. 5649 Occupni,yType R3 ryPConnWClian V FinZonn 3 ZoningDisirict iW o.M.oreunamt Tollefson Bldrs. Aaa.13816 Holyoke Ln,Apple V 8uddin8 A^? 3814 Ld1.1z'el Ct. ?.iy L7 jBl j BYidt'hill By: D,,e; 2-10-81 .o.r ,. . CeWNCUoU. ._,.C. LIiNt)IN U.?.R. Cgtrtifirat.e Af (Orrupttnr? Cttp of. (eagan ? loP}tM1 ftilFltf Af I11tlhittg 3riSpPt#iitlt . . . .. . . . -.. . ' ? 1 `i j. : ' ? . ,- .. . . . . - 1"bit Ccrti ficate isrued purtrutnt to tbt nqurrrnuni.r of Scction 306 of tht Uni(orm Building Cade crti f jrng that at t/x time o f i.rttianct tbi.c ttrrraurc wai in cmn pliancr witb the variout ordinances of tJx City rcgulatimg bxilding contt+xction or ait. For tbr following: , . ,wcII.n.„.? ' 1of 4 Plex? jBM& ,,,,,,N, 5648 O-w-7TYa R3 . TYw combacmo V Pie 3 ` zomq wtri?., R3 aB,, Zbllefson Bldrs. ,,,,? 13816 Iiplyoke, Apple Valle Ad&= 3816 Laurel Ct. ?, L8,B1, Briarhill _. ? cw'?,1?.?..? ?? - - 13-8 - - . . . wr ?N w oewacuou? Mw<[ : .M LITNOIN U.S.R. Trrt"tftrtttr uf (Orrupttnry Citp of (eAgan Brpttztmrnt nf BuilDing ?Jnfiprrticm Thrt Ccrti f icatc is.rutd purcuant to the rtquirrmrntJ o f Seuion 306 0f the U»i form Building Coclc certifying that ut the timc of itsuanct this nrurture wut in campliunre with the variout ordinaruu o f the City ngulatittg building construcdon or ute. For the folloudng: 1 of 4 PLE{ B„e Pe,i;,No. 5650 u: C?am(xanm T-? ? ??.Type N pmwcdan V FimZan 2onin6 Discnct TolleFsoCon Bldrs. Add?13816 Holyake Ln,APPl.e vc owner or ew?aina g Br13T ay. 1-22-81 . ?pT IM 1? WNYICYW? ?L?C[ . ?? . , . , , ! ?// f;(?rru?tt?r? ///'i?/i/ ??.I ?tCttp of ?: ?Q?iFlt`1Y1tPttf 1tf B11tIht1tJ.?1t,?.pP[ftUlt k , ?,,Thu Certt f:cait }isurd pur.ruant to tix requiremrnu o f Section 306 o f tbe Uni f?o'rirs Buildirij ?\\??Codcce'rtifying that at the timi of isrnanu thir nructure war in compliance wufi the "variou: i: ord:fnance.r o f the City regulating building connruaion or u.re. For ihe fotlounng -? ? `l af 4 PLM 5651; ? UmClidfic?tim Bldg PemutNo. ? "Oanei:ofBUfldins ,aw:a.c.raa.aa.?u?.?.u.a• .w II.S.N. , CITY OF EAGAN NO ? ?SBO ' 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE:454-8100 " Q W5-u BUILDING PERMIT Receipt # . To be usedjor DECK Est. Value $1 , 000 Date MAY 16 ,1990 Site Address 3816 LAUREL CT Lot $ Block 1 Sec/Sub. BRIAR HILL OFFICE USE ONLr PBfCBI N0. Occupancy - FEES Zoning - W Name DENNIS & SHARON LYNCH (Actuaq Const _ Bldg. Permil 25.0 0 ? AddrBSS 3816 LAUREL CT (Allowable) - S h O .5 ° City EAGAN Phone 452-9490 a ot sades - arge urc 11 ? Plan Review Lenglh p Name SAME Deplh 10, SAQ City , ? Address S.F.Total - ? SAC,MCWCC C11Y Phone S.F. Footprints _ Waler Conn On Site Sewage _ ? w Name On Sile Well - Water Meter F i= Addf9SS MWCCSystem - uE5 Acct. Deposit ew City PhOn2 Ciry Water - S/W Permit PRV Required _ I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge intormation is correct and agree lo comply with all applicable State of " ? Minnesota Statutes and City o( Ea 0rdinances. Treatment PI Signa[ure of Permitee APPROVALS Road Unit DENNIS OR S ON LYNCH A Building Permit is issued to: Planner - parkDed. on the express condition thal all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City ot Eagan Ordinances. gld9, pry, _ Copies BuildingOfficial Variance - TOTAL 25.50 CITY OF EAGAN -45?1j BUILDI?VG PE.'RNfIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. To Be Used For , .' Valuation Date Site Address: ''' ,• ? ? ?.???/6 CE USE ONLY . 71;L4e4-`(? Lot 4"B1ock ? Sec /Sub f Erect X Occupancy. . i, . _ Alter Zoning Parcel #: , Repair Fire Zone 3 Enlarge Type of Const. O wner: Nbve # Stories Address: Dennlish Front ft. % CitY/ZiP Code: Grade Depth v ft. Phone #: FEES Contractor: Address: City/Zip Code: Phone #: Arch./Ehg.: Address: City/Zip Code: Phone #: APPROVALS - /S -8? Permit Assessments Water/Sewer Surcharge :7, ?- °=- Police Plan Check Z/ ?-'- Fire SAC ,.- . .-? Water Conn.' p ?er Water.Meter . o Council Road Unit Bldg. Off. APC TOTAL . CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 2 5649 BUILDING PERMIT APPLICATION PHONF: 454-8100 Receipt Site Address Lot 7 Parcel .# - ce Nome 1u11eisuzi .0iars. lnc/ 3 Addre 13816 Holyoke Lane 0 e a ey Ci ? Phone p Name S3me ?? Address F- r:w, ot.....e Name _ Address I hereby ocknowledge that I have read this opplicotion and swte that the infortnation is correct and agree to comply with all applicable Smte of Minnesota Statutes und Gity of Eagan Ordinances. Signature of Pertnittee - A Building Permit is issued to; oll work shcll be done in acco Buildfng Officiol 3811+ Laurel Ct. Block 1 See/Sub. Phs.I Briarhill Erect }a Occuponcy Alter p Zoning R ? Repuir ? Fire Zone III Enlarge ? Type of Const. ?r Move ? # SMries Demolish ? Front Groda p Depth Approvals Fees Assessment 311y40 Water & Sew. Police Fire Eng. Planner Council Bldg. Off. .3.118 f80 APC Permit 143.50_ Surchorge 26.00 Plan eheck 71_ 25 5qC 525.00 Woter Conn. 3n5 _ nn WaterMeter hn_nn Rr3_iTnit 185_nn Total 1r;3? 5_ 75 z'S . on the express condition that Minnesota StotuTes cnd City of Engon Ordinances. : ?r? ? L??-?i?I . CITY OF EAty1V To Be Used For Site Address: • Lot 4W7Block _jkL Sec./Sub. Parcel #: ? &A? . BUILDING PERMIT APPLICATION Include 2 sets o` plans, 1 site p2an w/elevations & 1 set of energy calculations. Valuation Date ??a?w+ oFF2cE vsE orLY ? ' ect -Occupancy ? Alter Zoning Repair Fire Zone Owner: Enlarge TYPe of Const. Nbve # Stories Pddress : Demolish Front ?y-.51 ft. CitY /Zi Code: ? ?, Grade Depth g y ft. P Phone #: Contractor: Address: City/Zip Code: Phone # Arch./IIzg.: Address: APPROVALS FEES Assessments Penni.t Water/Sewer Surcharge Police Plan Check 7 / 21, Fire SAC Eng, Water.Conn. ° ? Planner Water Meter Council Road Unit B1dg. Off. APC -- - - - City/Zip Code: Phone # • =AL CITY OF EAGAN • 3795 PiIM Kneb Rood Eagan, MN 551 Z2 N2 5648 PHONE: 4S4-B700 BUILDING PERMIT APPLICATION Receipt * To be auo fo?-1 of 4-AleX . Est. Volue 52,000.00 Date 1980 Stte Add u` 3o1o Lauret Lot I BI«k 1 Sec/Sub Pcreel # Phs.I Briarhill c Name Tollefson B1drs.Inc. i 13816 Holyoke Lane 3 Address 0 1JA 2 & 2V. Zp Name _ u 8? Address Name _ Addreu Phone I hereby acknowledge that I have read this application and state that the informction is correct and agree to comply with oll applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building Permit is issued to: T0112fSOri oll work shull be done in accordonce with all oa;i?oh Erect Occupancy x i Alter p Zoning R3 Repoir ? Fire Zone TTT Enlorge ? Type ot Const. v Move ? # Stories Demolish ? Front 44 k. Grade ? Depth 24 ft. Apprmols Fees ASSessment S/ iN / 2 Water & Sew. Police Fire Eng. Planner Council Bidg. Off. 3/18/gn APC OPermit 143., 50 _ Surcharge 26.00 Plcn check 71 _ 25 SAC 525_00 Water Conn.305.90 Water Meter 60.. Q0 Rd_ Tnit. 1$5_00 Torul 1,315.75 ) Inc. on the express condition that Minnesota Stctutes ond City of Eagan Ordirronces. Building Official CITY OF EAGAN •' 4 3795 Pllot Knob Read Eagan, MN 55112 N4 5650 . PHONE: 454-8700 BUILDING'PERMIT APPLICATION ReceiPt # To be.uwd fer 1 Of 4-p1eX Est. Velue 52,000 Dote 3/19 . 19-80_ Site addrgss 3812 Laurel Ct. Erect Occupancy R3 Lot b Block 1 Sec/Sub. hSI BT13T'hlll Alter ? Zoning B.? parcel # Repair ? Fire Zone III Tollefson Bldrs. Inc. Enlarge ? Typa of Const. V oc Name Mpve ? # $tories ; Address 13 1 Holyoke Lane pemolish ? Pront ft. , ft. ° Ci Apple ValleyPhone Grede ? Deprh 24 ly Nome Sante Approvals Fees 0 ?v Addreu Assessment Water & Sew. Phone Ci f? Police FW Na'^e Fire Address Eng. a?' Ci Phone Pla^^er Council 1 hereby acknowledge thet I heve read this application and state that Bid9, off, 18 80 the information is correct and ogree to comply with nll opplicable State of Minnesota Statutes ond City of Eagan Ordinances. APC Signature of Permittee A Buifding Permit is issued to: 101 all work sholl be done in accordance with all Permit 143 JV Surchorge 26 Plan theck 71. 25 Sp,C 525.00 Woter CoaiQ5.00 Wuter Metd60.00 Rd.Unit 1$5.00 5 Totol 1,315.7 on the express condition thct Statutes und City of Eogan Ordimnces. Building Officiol CITY OF EAGAN BUILDING PERMIT APPLICATION To Be Used For ?? Valuation Site Address: ??,t„???.F ? Lot-djtf Block A? Sec?./Sub. Parcel #: Qaner: Pddress : ? City/Zip Code: Phone #: Contractor: Address: City/Zip Codea Phane #: Arch. /Ehg. Address: City/Zip Code: Phone #: Date ?- ?K'9(9 4?1? I? clde 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. OFf'ICE USE ONLY dect X OccupancY Alter Zoning T Repair Fire Zone Enlarge Type of Const. j/ Move # Stories Denolish Front yy ft. Grade Depth ft. APPROVALS FEES Assessrents Wat,er/Sewer Police Fire Eng. Planner Council Bldg. Off. APC Permit /%3 Surcharge Plan Check 7/ SAC <<'o?s' ?'? Water Conn.0?y Water wieter xoad Unit • F To Be Used For Site Address: Lot -?L7 S'Block A= ( Sec. Parcel #: CITY OF EAGAN Owner: ? Address: 13 City/zip cAae: 4;L-49 Phone #: Contractor: Address: City/Zip Code: Phone #: Arch. /Eng. . - Address: City/Zip Code: Phone #: Include 2 sets of plans. 1 site plan w/el.evations & 1 set of energy calculations. Date %-S-7p OFFICE USE ODLY Erect X_ OccupancY Alter Zoning Repair Fire Zorbe Enlarge 7.ype of Const. 1,/ Nbve # Stories Detrolish Front 4/y ft. Grade Depth ft. APPROVAIS . FEES Assessments Permit Water/Sewer Surcharge dZlo =d Poliae Plan Check ? / •g= Fire SAC ?a5 °O gg , Water Conn. -13a??;? Planner Water Meter ?o Council Road Unit I ??f Bldg. Of.f. . APC /? Y21 BUILDING PERMIT APPLICATION KOEHNI..EIN 12700 NICOlLE7AVENUESOUTM PHONE (612) 890-1272 . 6URNSVILLE. MINNESOTA 55337 ?. LIGHTOWLER . ceR•rrrrcnTE or suavr:Y for CARL TOLLEFSON JOHNSON Lots 5, 6, 7, and 8, Block 1- BRIAR IIILL ? h o o R o o p.. E o Dakota County, Minnesota ARCHITECTS FARGO, NORTFi DAKOTA MORRIS, MINNESOTA ENGINEERS pHOENIX, ARIZONA i? ? - ?/- . ---- ??. ? ? scr?z-c L) L Z IA?i s _`??;ao ?? .?r'=• 0 ? N o-4,'= T__ 0 ? N? ' as ?---- $ f f t? r `? Q. \I io:?o r 6 ( < 4,; a- ry_ ? ? ._.. , , -7__?.?_Y-_' . _?. . . ?._._...?.._...? ... . _. I F,•?I hereby cettify that this survey, plan or report was prepared by me or under my direct supervision and that ! am a duly Registered I.and Surveyor -under the laws of the State of Minnesota. Date Reg. No.-- ?,..? . z 2oa6RESIDElYTIAL BUILDING PExMIT ArPLICATioN City Of Eagan 3830 Pilot Knob Road, Eagan NIN 55122 Telephane # 651-675-5675 FAY # 651-675-5694 New Consiru;iion Reauirerrienis 3 rpgisiered si1e su; veys showing sy_ fl_ ofl_,1, sa fl of house; and a-11 roofed areas fr 0°lo maximum !oi coverage alluw?d} 2 copies r,fniwn shownng b?am &vnnrJedv sizes; peureu found dzsfgn, e±c. 1 selofEnergyGa.loulaBons 3 coFies sf7ree Prese; vafion Plan ii Ici plafled afler711,93 Rim Joisi Daial Options seleciien shee( (6uilding2 arith 3 cr lesa unlts) Minnegasco mechanical ventilation foim RemodeltReoair Reauireiiienls 2 copies of plan showing footings, beams, joisis 1 sei ofEnergy Caiculaiians fr heaied additions i siie sunveV for eddiuonE& decks Addif[orr - jndM,?te if ori-sife sepffc system Uffice Use 13nlv Cerlof6urveyRecd Y N Tree Rres Plan Rectl ;' N' 7reePresFteyufred 'r' _N GrrsileSeplicSysiem _l` _N Date Construction CoaK ?? ? / T • SiteAddress linitl5fe # ?'"?. Description of VtTOrk ? ? .f , Multi-F'amily Bldg ? Y N ? ' eplace(s) _ fl _ 1, 2 Property Owner --Pf)"?.?? ? Telephone #{ly?? S(a -_ ..- RENEWAL BY ANDERSEN Confractor 1920 County Road "C" West - Roseviile, MN 55113 Address _ (651) 264-4777 City State LICENSE: #20130983 -- i Tele hone # f ---- n 41S°&C>LIO , COMPLETE TH1S AEtElal ONLY IF COWSTRtlCTING A a1EY Bl){LD4NG - Minnesota Rules 7670 Catoeorv 1 Mimlesota IZules 7071 Energy Code Category . Residential Ventilation CatAgory t Workshest • New Energy Code LNorksheet (V submissian type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issved a peri7iit for a sirnilar plan basecl on a rnaster plan? _ Y N If yes, daie and address of master plt7ri: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephons # [ Telephone # { Telephone # [ I hereby apply for 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 Cit}r of Eagan and the State of TPV Statutes; I understand tlus is not a perniit, but only an application for a pernut, and work is not to start without a pernut that the work will be in accordance with the approved plan in the case of wark which reqtures a review and approval of plans. TI`w ,< dnv??i?ant?c r.?mnafiira ?' ?.. . . ? ? ; ? . ? ? T'-? ? ? ?f t ? ?p °?J F ? , ?? ? • ? • ? 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S, . . { ` :? fk?, ' ?'..:: ?'?, i . ? M.. . ?S?'_.;`,?? i.:. ?: .i CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS• INSPECTION RECORD Control No. 0537 PERMITTYPE: euiLoI.roG Permit Number: 000675 Date Issued: 05 J29/92 ' IOT: 6 3812 LAUREL CT BRIAR HILL PERMIT SUBTYPE: DECK ? BLOCK: 1 APPLICANT: B & C REMODELIIdG & CONST (612) 465-1178 TYPE OF WORK: NEW ? PERMIT . Control No. 0537 CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: ' BUILDxNG'::. .>:. Eagan, Minnesota 55123 Permit Number: 9A8675 (612) 681-4675 Date lssued: 0 S/ 2 9/ 9 2 SITE ADDRESS: 3812 LAUREL CT- LOT: 6 BLOCK: 1 .'.. BRIAR HILL DESCRIPTION: a.?= REMARKS: C? ? I 1U?'? FEE SUMMARY: Base Fee Surcharge lic. Search Fee 3ubtotal ;25.00 $.58 $5.00 $38.50 S.ry 4<Fo- ?! ? i 3f:E CORY . . . , .,_ .. .50 Total Fee $31.00 CONTRACTOR: - Applicant - ST. l.i OWNER: B& C REMODELIMG & CONST 14551178 000651 LEHPIAN DONALD 7745 CAHILL AVE E 3812 LAUREL CT INVER GROVE HTS NN 55076 EAGAN MN (612) 455-1178 (612)452-4839 I hereDy aeknt?wledge that I have read this applfcet3an and :state that ths informatian is .carrect an;J ag.ree tb 6 anrp2y. wi'Ch elI' app 2;fe? a,b1e State cr'F P4r+, : , Statutes and City of E.ag$n,,O"r0itt6n"ces. ? APPLICA /PE MITEE SIGNATURE I?UED? Y: SIGNA URrY ? ; PERMIT # ?• L4.4 CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural_& structural plans, i set of specifications. 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made r lot chan e is re uested once ermit is issued. Date 9.4Y / ef / e Z_ Yaluation of work ? ?7" ? Site Address: 38'/z 4r?4W1_ C7 STREET STE 9 Tenant Name: (cormnercial only) lOT ?L BLOCK 1 SUBD. T'7R1{\f P.I.D. # A I>b i7I o/U. Descri tion of work: 6us7,edc7 c The applicant is: ? Owner .tO Contractor ? Other (oescr;be) Name ZEHMf 41 ° ?Jo,vRco Phone Property LAST F1RST Owner qddress 3?lz, lRuK?z I:f-7 STREET STE # City L'-'q Gq? State M? Zip Company QC'C goMoae,iA?c sl (:?'owsTRucTio,? Phone Contractor Address 7711s' G4H/4L ffve' E License #?s Exp. 3 3? P City State ItIn/ Z i p 6 -,{d7? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Appl icant: OFFICE USE ONLY ?. BUILDING PERMIT TYPE O 01 Foundation 13 05 Apt. Bldg ? 09 Basement Finish ?;j,3.CWrm/Ud New ? 02 SF Dwg. D 06 Garage/Accessory ? 10 Swim Pool 0 14 Comm/Ind Add O 03 Two family O 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem ? 04 Multi-fam. T.H. ? 08 Deck O 12 Res. Porch ? 16 Public Fac. . ? 17 Agricultural WORK TYPE G 31 New ? 33 Alterations ? 35 Move 0 32 Addition ? 34 Tenant Finish D 36 Demolish GENERAL INFORMATION Const. (Actual) Basement sq. ft . MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length T On-site well Census Code v3?1 Depth ro On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REGIUIRED INSPECTIONS O Site ;5 Footing 0 Framing ? Insulation ? Wallboard 4 final ? Draintile ? Fireplace Permit Fee .?? ,C', veiusc;«,: s Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit 5/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. ? Copies y? Other Total: ?.Co SAC 96 SAC Units ,,. "Gf<+H LI1-1£ oF 5£LTIG!? ZO, ?DiJ?:_`,HI° ZI) PRELIMINARY BRIAR PLAToU ?s+e d f 0 Z ? t1??o n ?4 ? ?N ?157) ? ? . r ? ?... •? ' filto 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGX CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUE?. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT NAS BEEN COMPLETED. PERMIT MUST SNOW A LICENSED PLUMBER. =N l A ?2C E To Be Used For: Valuation: Coo Site Address 34?16 6??, I Lot % Block I I Parcel/Sub 'BR I AR kn}"(`5 . Owner l?Mi715 ?????vi? Address 3 d" /6 City/Zip Code ?Q(' Phone nt?ractor?.t?? ? Address City/Zip Code Phone ? Arch./Engr. Address City/Zip Code Date : OFFICE IISE ONLY FEES Occupancy Zoning Actual Const Allowable . # of stories Length Depth _jp S.F. Total F otprint S.F. ? On site sewage_ On site well _ MWCC System _ City water _ PRV Booster Pump _ APPROVALS Planner Council Bldg. Off. Variance Bldg. Permit Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Copies SUBTOTAL Penalty TOTAL ,25-,o a e 5"'o 16, R Phone # _I.._ ..? I ` ! - - - 4• ?- __I` _. _. ? ? i . !I ? ? j ? i ? ?'i i i i i ? ; i ? ' ' i 1 i i i ? ? 1 I ? I : ? ? ? . i ? i I I i ' ' I I ! I . ! i . ? ! i , '' i I, ? . ? '. I i . I . . . i . - ? , . . .: ,. ! ! ? . i . ? 1 ?; , i I i ? j ? I ? ?I i j I j I . . ? , : . ? i . I i 1 ? . , ?I I i i i i i ' ? ? ? i ? I ?I . i I I ? I I ? ' i ? ?? ? . I ? j I I I I ? . + I I I I I ? I ? ?'? ? I r ? ? ? ? ?? I I I I 1 r ? I • I j ' ? ' ' ? i ? ? ? i . , I : ? ' ? ?i .yi„?.S?..p ,y.??..? ... ? ?,.e.y.,•r?. ? . . p.i..;.y ...?,. . ?:??::i,._?.-.ya...?,u? [.IT+fi t;i Eh}GW se. f`/. C`?. "l'.. r..] . ^tf.:?'?t.t In t?...r.?i?.?li?_. ? ?.1.)ftu , ([? ..t"?..}1?.?.?l.t.?. DA1'z:•, 1.'../!.%',,98 '1':!:M':'r.:: i(i,cOW2`3 T i.t'; NAr.SE:; rt A BA.r.,;T!-!!:CL.. :?c?:1.D 9001 38l. i. l..r;'_lR!i-l... l':;'1" 5C7. `")!') q. r.rr.:? 900i 38i4 ?...?i?. ir., _., .?...1 i.l? 1a.t?1 L.?...1.J p'ti::.l... i..r.r.1i,1 j.-.'H.;:l. Rr:i.`fPf:'iI"'"t AIIIDuY1t .. 50.50 W00r32 USi::k TI:! : rd"NCY CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMIT TYPE: B u11- 0 T N G Eagan, Minnesota 55122-1897 Permit Number: 0 3 q =' %' 2 (651) 681 -4675 Date Issued: 12 11.Cy / 9 8 SITE ADDRESS: 3 8 a.a I_AURr.:I. cr Lora 7 BLaCK! 1 B R:C A?2 I-17 ,L I_ R,.T.,N. e 10-14990-070--01 DESCRIPTION: E3u,kl,cf?7»4";'?Perml.t 7"ype CJECK fapi?ding ?r%OK ': Type ALTEftAI"CON ??e r1au?; C?rfle ?434 flLT, ?tESZt?t=NTTAL, ?. j .. ? m as? ''? ? ?? '?a h? #?? °..• u`am:?! ?m', ?„ "?s?, e?„?,..? ? ?.,e REMARKS: ?LAN htvIFw?D BY cRArG NovArZvK, EKTENUING Tf-IFTR EXISTING L1ECK. FEE SUMMARY: Liase Fee $50,00 5urcharge $•50 T'utal Fee CONTRACTOR: t OWNER: - RppLicc:?nt -- ruRtK maRv 381.11 i_AuReL t.T eAcAu m N 5 5 lz? (651)683-9e59 f I hereby acknoti,?lqdqe that I i?ave read this;.; app1ication arrd sta?? tha? the 1 infOri??tian iS correct and, aqr?ee to car?ply with;, ?ll a!pPlzcahle Gta'Ce o't` htn. Statutes and Czty 4f ffapan` C3rdln4pces. ZZ?f APPLICAN7 EFMITEE SIGNATURE UED B-Y?.. 91?U'? 1998 BUILDING PEItMIT APPLICATION (RESIDENTIAL) "CITY OF EAGAN 3830 PIlf.OT Ifl70B RD - 55122 661-4675 ? f:? Q New Construction Reauirements RemodeURepair Reauirements n ?? ( a ??. ?(Y ? 3 registerod aite surveys • 2 copies of plans (inGude beam & window saes; poured fid. design; etc.) ? 1 energy calculations ? 3 Copies ot tree preservation plan if bt platted alter 7H193 required: _ Yes _ No DATE: /a - // - ?J K • 2 copies of plan • 2 sRe surveys (e:terior additions 8 decks) ? 1 energy calculaGons tor heated add'Aions CONSTRUCTION COST; DESCRIPTION OF WORK: &Zj,??rV STREET ADDRESS: 06ua'1 (?t- LOT: '7 BLOCK: _i SUBD./P.I.D. #: Name: I Y I Phone #: PROPERTY Last F'vsc OWNER Street Address:?? ?LC.LY? &7 City State: Zip: .? /.? Company: Phone CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: Ciry State: Zip: Sewer & water ticensed plumber (new constivvcdon only): . Penalty applies when address chang and lot change is requested once permit is issued. . I hereby acknowledge that i have read this appliqtion and state that the infortnation is correct and agree to comply with ail applicabi State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant / OFFICE USE ONLY CeRificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No RECEIVED DECc/.,? i?98 _ Not Required BY' ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-pisx O 03 SF Addition 0 08 8-plex ? 04 SF Porch ? 09 12-plex O 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New X.33 Alterations ? 32 Addition 0 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS ? 36 Mave ? 37 Demolition S- ? Basement sq. ft. Main level sq. ft. 2- 3 sq. ft. PD sq. ft. - sq. ft. -- sq. ft. ,- Footprint sq. ft. Planning Building Engineering Variance ? Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/V1l Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? O 12 Multi Repair/Rem. ? ? 13 Garage/Accessory O ? 14 Fireplace [3 JW15 Deck Valuation: $ I'Z.bD == . 3 16 Basement Finish 17 Swim Pooi 20 Public Facility 21 Miscellaneous MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit % SAC SAC Units BriarHill Homeowners Association 3800 Heather Ddve Eagan, Minnesota 55122-1623 December 11, 1998 Mary Turek Barbara Barthel 3814 Laurel Ct Eagan, Mn 55122 Dear Mary and Barbara, This is in response to yow request to have yow existing deck extended. You are authorized by BriarHill Homeowners Association, Inc to extend your deck as fo(lows: The deck cannot extend further than the corner of the house and not further out from the house then the eacisting deck and must be cosmetically identical to the current structure. The deck must be built using 2" x 10" treated joists, and 4"x 6" treated support posts, with deck flooring 514 treated cedar lumber which must be attached with screws not nails to the joists. The support posts must be placed or seated on at least a 48" frost footing or as per the City of Eagan building codes. Please note, the deck must comply with all City uf Eagan building codes. Si ly, ??x9? d??iyl Robert Anderson Briarhill Homeowners Association, Inc. Board of Directors cc: file Mary 7prek & Barbara Barthal ,1ob Atldress: 3894 Laurel Courf 3$94 Laurel Court Hpme Phone:612-683-9659 Eagan MN 55122 Wor4c Phone: 612-884-9161 ••. Date: 12/10/98 Add on ta exi.stxng deck with 10 x1p addition. Addition to have solid side watXs. Additional to have 2 x 8 floorjoists with fve-quarter decking. ]7eck to have 6 x 6 eorner posts. Remove existing 4 x 4 corner post at junction point and replace it with 6x 6 treated post, to be set down 48 inches w,ith conerele pad. Price inciudes xnaterial and labor. Total price: $ X ,44 1.00 $1,441,00 CASH PRICE (including Tax) 11?? (2. LESS DEPOSIT ?•? 6ALANCE UPON INSTALLATION Page 1 0£ 1 7. RYAN'3 IS AMPI.Y PROTECTED WITH WORIfMW'S COMPMNSqTION, PUBLIC LIABILITY AN6 PROPERTY OAm.^.6E IuSUKnn{:s ;n 04n60040n witn an worx co ba done ay said canUaGtor on tw premises ol the owner. 2. It Is underslnai and aarcod Ihat all vrork ro be perfontiea unant thls cpnuacl c. C4M:tinCd in wriling horain arM fhat no addilional woc4c wlll Do Caw wittaut cnarga nw snall any verbai agraemgnt or unMersh'mWng be binding on contractor unluss agreatl 10 in wr&uj b6lww pdAias hemin. 3 Tha c:ontractor *Woos tp dp said work in a prompt and diligent msnner Wt wilt Ad bC ft.svmsible ior delays caused by strikes or default of rsrrlers or suppiierS. vau a?o eMiHad ro a eopy of lho agpQmcnt You oipn, 4. An saies must bo pprovod by Bruce Ryan end cvn bn canc9iqq ?t " prye a} thc Gompany'a discrctiort. 5. A6L EXCE6.yMp'lERIALS SHALL REMA[N 11`1l$ piIOP6RTY OF TNE OONTRACTOR. (adyer-s Signamre) (507) 281-6363 FAX 367-2150 800-367-2606 (BUyer'e Signg(yrg) Make Checks Payable to Ryan Windows & Siding Inc. .r . PRELIMINAKY pve c - ticZ # RIAR ? . ?. ? . 71-. d ? ? siLvER ? e. ?:G(???rt Li1-I£ ot 5?L','ICU!? ZO; 1 ? ` ? ??•?A.-'? ? ---- - \ i --1---- --+?____ 2 ? O E f08E ?? rod£ lo,j Ll o C 8od?? ?. IcodC, s0.0 ? / ? - ' ZP 4 4 r 3 6 5 - -? : : r,g£ W -- 8 I`/B c S t?J 7 ? ? 8 I ? ,o ? T J 12 lo? ? 11 3 15 12 \ 12 14 14 16 \ \ I ? ; y N' TOTYI ? v? ? ? ?, ?.'° " ' •' _, \ ? w aY / i SF- ME?.IT l28 A?26 24? 22 _ - ? _ - **********?******?****?****?****?****** CITY OF EAGAN CASHIER: JS TERMINAL NO: 719 DATE: OB/09/00 TIME: 13:57:14 ID: NAME: SCOTT MOHS 3210 9001 3810 LAUREL CT 167.25 2155 9001 3810 LAUREL CT 4.50 Total Receipt Amount: 171.75 CR135610 USER ID: JAN *************************************** i t . H, _'?_ 1 ?S 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 ? 651•681-4675 '-zl * S reglafered aife wrveya ahowiny aq. IL of bt, aq. B. of house and gU rooled areos (30% maximum bt coveraae dllowed) D 2 coples o1 plana (show beam & wlndow si:es; poured fnd. desfgn; etc.) > t se10l energy cWculatlons n S coples of free preservation plan It IW plalfed atter 7/1/93 DATE: 0? DESCRIPTION OP WORK: / vu'q STREET ADDRESS: Company: Phone #: !2 ;7Z (area code) • ? ? . ,` t LOT: S BLOCK: SUBD./P.I.D. Name: ??- 2- ? V? PROPERTY ?laat 4 First Phone C OWNER Shset Address: Ciiy Stafe: Zip: CONTRACTOR Y? eG? vJG Street Address: V14( ? 5, Ucense # 5?S6 Exp. 2" / City State: x-? 2ip: ARCHITECT/ ENGINEER Company:. Telephone #: ( P Xa-o p- Remodel/ReDair Reauiremenh ?-? -?' 2 copfes of pian 1 set of energy calculations for heated addiHons 1 site survey tor extedor adOtlons Adoeks ??, CONSTRUCTION COST: 8? '- L Name: , Sheet Address: Regishalion #: City Stqte: SeweNwater liCensed plumber (if installina sewarMreterl: Phone #: Ztp: 1 hereby acknowledye lhat I have read this applicaiion, state Hhat Ihe information is cortect, and agree to compy wifh a8 appacable State of Minnesota Staiutea and Cify of Eagan Ordirwnces. Signaiure of ApplicanY. OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservation Plan Received _ Yes _ No _ Not Required v , I BRIAR HILL 1ST PERMIT DATE & USE U80 4-PLEX 3/80 4-PLEX 5/80 4-PLEX 6/80 4-PLEX 7/80 4-PLEX LOT BL 010 01 020 01 030 01 040 Ol 050 01 060 01 070 01 080 01 090 01 100 01 110 01 120 01 130 01 140 01 150 01 160 01 170 01 180 01 190 01 200 01 14990 ADDRESS 3802/ LAUREL CT 3804/ 3806/ 3808 810/ LAUREL CT 3 / 381 3816 3818/ LAUREL CT 3 820/ 3 822/ 3824 3834/ LAUREL CT 3836/ 3838/ 3840 3830/ LALIREL CT 3826/ 3832/ 3828 APPROVED 2/80 2 r CITY OF EACAN --- EARLY UTILITY CONNECTTON PERMIT ---- - ---- ----- c?2,S' - y--- -- --- -- ---- - _ . 3 J ? Address Subdivision/Parcel I hereby request permission from,the City of Eagan to connect to the sanitary sewer and water 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 water lateral. I agree not to use, test, or connect these individual services to any interior plumbing and understand the require- -- ----- ---ment to cap thP sewer service to prevent 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 Permi.t will be issued or water allowed to be tumed on until the City utilitq system has been declared operational by the City Engineer.. Signed by - Plumber: 7-77 - Owner: Developer• Builder: Dated: CITY OF EAFAN EARLY iITILITY CONNECTION PERMIT - +U -- -- - - - -- --- ------ --- -- / -- - -- - -- -- ----- --- - - - -- --? p., i4i // aCl,:l _4 Address Subdivision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water 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 water lateral. I agree nor to use; test, or connect these individual services to any interior plum3ing and ur.derstand Lhe require- -_ ?----_ __ --ment to cap thP sewer service. to prevent- any_ unauthorized_.use._ In accepting this perm3t, it is agreed that I aill hold the City and its agents harmless from any damage that may occur due to [his early connection•. It is understood that no Occupancy Permit vill 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: - - - - - - - - ?`= a?'? - - Owner: Developer: Builder: Dated: CITY OF EACAN EARLY UTILITY CONNECTION FERMIT - _- - - - - - ? - - -- _ _-- - -- - _ _- - ? .,k ea' clr? i? c_ 7r ??? ?'? !? n/ ??; r l ?I?J?a ??, Address Subdiuision/Parcel I hereby request permission from the City of Eagan to connect to the sanitary sewer and water 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 water lateral. I agree nor to use, test, or connect these individual services to any interior plumbing and understand the require- _ _ - ==- ---- ->-= -= ment to cap [hP sewer- service- to- prevent -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 Pers't will be issued or water allowed to be turned on until the City utility system has been declared aperational - by the City Engineer. Signed by - Plumber: T• Owner : Developer• _ Builder: Dated: ` . CITY OF EAFAN EARLY UTILITY CONNECTION PERMIT -- - - -- - -- -- ----- - -- - -- --- - ^?t I7 C?J-?'? ' ?J I ---- - - -------- - - - J2J?liL/ Address- Svbdivision/ParceI I hereby request permission from the City of Eagan to connect to the - sanitary sewer and water 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 water lateral. I agree not to use, test, or connect these individuaZ services tc any interior plumbing and understand the require- i -_= - -- - -- ment to cap-thP-sewer service [o-prevent,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 Permit will be issued or water allowed - - -- [o be tumed on nntil the City utility system has been declared operational -- by the City Engineer. ` Signed by - Plumbez: Owner: Developer: Builder: Dated: - ?- , ? Sa 5o 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pcrmits are required for each unit DateIL/C? S/as 3ite Address 2J?1"f - C ,//,/.,?,?1?? e? Unit # v) 4;? i3- ei6.?? / h l # ( i6 T PropertY Owner one ep e Contractor Street Address 8910 Wer,:,-,-r1: 30. City anneapcr:s, :... .. State (? ?? 9000 Zip Telephone # ( ) Bond #: Expires: The Apptieant is _ Owner (-,/Contractor _ Other Add-on or alteration to existing dwelling un' 1??)?Gf? o?6? d 70 $ 30.00 ? furnace , _Addition I Replacement New air exchanger / e . air conditioner heat pump other State Surcharge $ 50 l ' $ ? •O?? Tota I hereby apply for a Residential Mechanieal Permit and aclaiowledge 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 with the Mechanical Codes; that I understand this is not a pernut, but only an application for a permit, and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of work which requires a_revie?w and approval of plans rSEDGYVICK HEATIAlG i4 A!R COK)"'""^!G LLC' Applicant's Prin i d?N'ar`fiie, , Applicant's Signature tilinneapo?,?, 1.,,q (952) 881-9000 -q q 16 Z %, 30. So 2005 RESIDENTIAL MECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date AL / .Wi!? 5ite Address LQ U?Nel l%? , Unit # Property Owner l D r e e LG 8 Telephone #(L 6t ,??gf?z Contractor A Q(,?; (a Street Address eC.[p b5 /4{ 5? ? . W. _ City SP-/h0 Lai ? State / " \ /V Zip Jr' .5OLI 7f Telephone # ( . 9.2C/ Bond #: Expires: The Applicant is _ Owner X Contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 ? furnace _Additional ?Replacement _ New air exchanger x air conditioner heat pump other State Surcharge .50 Total $ ? I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; 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 approv I?anc?I Severaon, NVAe 064imfor 1: Applicant's Printed Name Appli t' ignature ???4 ? RESIDENTIALBUILDINGm City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constniction Reauirements 3 registered site surveys showing sq. ft oi lot, sq. ft. of house; and all roofed areas (20°,G mazimum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured tound design, etc. 1 set of Energy CalculaGons 3 copies of Tree Preservatlon Plan if lot platted after 711193 Rim Joist Dehail Options selection sheet (buiidings wfth 3 or leu uniGs) Minnegasco mechaniql ventilation fortn RemodeVfteoair RequiremeMs 2 copies of plan showing footirgs, beams, joists 7 set of Energy Calcula6ons for heated additions 1 site survey for additlons 8 decks Addrtion - indicate if on-sde septic system ?- ? O(fice"Use Onlv Certof Survey Recd _ Y_ N Tree Pres Plan Reod Y. N Tree Pres Required Y_ N On-si[e Septic System Y_ N Date g l 2,1 / 07 Construction Cost Site Address 3212 L A u 2EL GuuRJT 4?A &-,4 nf M tJ Unit/Ste # Description of Work REMU UE 4N0 IZEPLFK.F (7bZ.,tC Ar•fD p- A tLt NCzS Multi-Family Bldg ? y _ N Fireplace(s) _ 0 _ l _ 2 PropertyOwner yv AsSOG . FtnrttKGiAL M&A.tT Telephone#( 763 )`194° 372-7 7 t.' Z2 6i SN e,4KE RoAO MAPLE(s?aVE A4/? 55 31l Contractor 6 E l EXf?- QIUIZ MAINT COP.P Address 40S WE Y1- 60 rt+ SiTZELT- City G(,tIn(NEA-POi-4S State MtK(t4ESd T-A Zip 55q1Cl Telephone # (61) ) '94,1 - /i 2113 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv i Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for 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, 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. C' N 2 i s 4,v04,25oA/ Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE .• .. Sub Tvpes ? 01 Foundation ? 02 SF Dweliing ? 03 01 of _ plex ? 04 02-piex ? 05 03-plex ? 06 04-plex ? 07 OS-plex ? 08 D6-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage )a 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 5torm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration ?p 34 Replacement O 35 int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors *Demolition (Entire Bldg) - Give PCA handout W applicant D@SCI'Ipt1011: Water Damage _ Yes Valuation 3i D?•oo Occupancy MCES System Plan Review 100% or 25% Census Code q3 q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length / o Fire Sprinklered Type of Const Width 2 b _ Footings (new bldg) IC? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing Fireplace R.I. _ Air Test _ Final _ Insulation J/ .. Approved Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total REQUIRED INSPECTIONS _ Sheetrock FinallC.O. FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector J-gC ZC)0 (?, Z,t7?t-? t? 1 ?o0 . .• KOEHNLEIN LIGHTOWLER JOHNSOf`,f I N C O H P O q A T E O ARCHITECTS ENGINEERS 12700 NICOLLET AVENUE SOUTH PHONE (612) 89D-7272 BUfiNSVIILE, MINIJESOTP. 55337 - CERTIPICATE OP SURVI:Y for CARL TOLLEFSON Lots 5, 6, 7, and S, Block 1- BRIAR IIILL Dahota County, PAinnesota FARGO, NORTH DAKOTA MORRIS, MINNESOTA PHOENI%, ARIZONA o-,a . ` ? ,S6?4 ? c • Cr ? ? ? /z-)L L } ; `i.l i `r • ' _ L v 4 _ -C J ' \ C1 nJ? • U .?i .?j (ii - ? ? ? ? Z /v ?ti ?,,/ zz s,; ` ? i 4 r r I? jj? . < FEMOCWED 4 l L?317o 7._51 0/ ,?` $ ZZ A 7 '? DDGd?o ? 7 <? I ,V)<, ?o. B??I?DOi?d? ORlSPEC?°0owa C?g`0ag?1? ------,.. - - ? ?- 4?/ I hereby certify that this survey, plan ot report mas prepared by me or under my direct supervision and that I am a duIy Registered Land Surveyor under the laws of the State of Minnesota. Date - Reg. No.----. ? , RESIDENTIALBUILDINGs City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construc6on Reauirements 3 registered site surveys showing sQ. R. of lot, sq. ft. of house; and all rooted areas (20°h maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured tound design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan 'rf lot platted after 7!1193 Rim Jaist Dehail Options selection sheet (buildings wiUi 3 or less units) Minnegasco mechanical venUla6on form RemodellReoair Reouirements 2 copies of plan showing footings, beams, joists 1 set of Energy Calculations for heated additions 1 sde survey for addtons & decks Addition - indicate 'rf on-sRe sep6c system Telephone # ( Date / Z 2 SiteAddress 381G / O 7 LFlU2EC- CoUi2T Construction Cost EA AN .LtA( Unit/Ste # Description of Work REN10VE- 4 Nn P_EP[.A C.F DtC?-K Q ND RA-IL 1 NGS Multi-Family Bldg X Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner 9v 45sVC- FINAn&4L /u WT 70 z1 LA-sr Fisu LAu.E i2oa0 MAPi.E Csru+oE Telephone #( 763 )V94- 3727 AuN 55311 Contractor RI E?r?RI OR WI /}1NT. COizp Address qUS WEST 60M State i r??s o rA_ S'fkEET z,p _ 554r9 City M!NlVL77-pOGJS Telephone #((012 )R(,1- (o _2y S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672 (J submission type) • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 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 Mechanical Contractor Sewer/Water Contractor Telephone # ( ? I ?b o0 of Office U'se Onlv Cert af Survey Recd _ Y_ N Tree Pres'Plan Recd ! _Y _ N, Tree PresRequired _Y _ N On-sAe Septic System ! =Y _ N Telephone # ( ? I hereby apply for 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, but only an application for a permit, and work is not to start without a permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Applicant's Signature LV 1?V1 VViCI1L' DL`LVYY 1i11?7 LLl`IL` . , . ._ a ° . . Sub Tvqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweifing ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of T plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-piex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvaes ? 31 New ? 35 int Improvement ? 38 Demolish Interior 0 44 Siding ? 32 Addition ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire B ldg) - Give PCA handout to applicant DESCrIpti011: Water Damage _ Yes Valuation 3i DOD'OV Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length /O Fire Sprinkiered Type of Const Width Z° REQUIRED INSPECTIONS _ Footings (new bldg) Sheetrock Zo Footings (deck) FinallC.O. _ Footings (addition) ? FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace R.I. Air Test Final Windows _ _ Insulation _ _ _ Retaining Wall Approved By: Building Inspector --------------- ? ---- - ---- - - Base Fee , --- ------ ---- - ---------- Surcharge Plan Review MC/ES SAC Z C 2-L-x)4p City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total KOEHNLEIN LIGHTOWLER JOHNSON I N C O R P O p A i E D ARGHITECTS EPIGINEERS 727GONICOLLET nVENUE SOIiTH PFIONE (612) 890-7272 BURNSVILLE. MINNESOTP 55337 FARGO. NORTH DAKOTA MORRIS. MINNESOTA PMOENI%, ARIZONA CER'PI1=IC.ATE OP SURVrY for CARL TOLLEF50N Lots 5, 6, 7, and 8, Block i- BRIAR ]IILL Dakota County, P4innesota 0 ?? ?J?? L i ; ? . , ; ' , ^r , 4 ,.,(`, " ? O 'L -9 V ?f'Z - ..? .? ` „ ,, ' ?, ? • J = z' U ; , Q - ? -?- ? ---- 3 v - ? ,._.`_, ? sc,4&c 1'J f ? 5o, 142 L 3,8/ (o \1? ` 4 O.ri?? F1 EAlaf"1,?1 Cp1 - -r_-?7..`_?/ r?EVIEvVED „ z? o_ . _? C> _?^?--.. 7 4- LA 8 MOLt fOn a?9(rr3,- u?,?nq p 2 cC',ojmk ? ' A---?. . I hereby certify that this survep, plan or report was prepared by ene or Lnder my dtreet supervision and that I am a duIy Registered I_and Surveyor under the laws of the State of Minnesota. ?1 LI<J ? -IZt` ? ? 41 p= \I \ ? V I `\ ? ?V Y • Date - Reg. No.?. City of Eapn 3830 Pilot Knob Road Eagan MN 55122 . Phone: (651) 675-5675 Fax:(657)675-5694 ? ICE (c C?,e?l? APR 2 7 2009 ,- -- i . - - - - - - - - - , I Permit #: ? Permit Fee: I I I Date Received: ? I ? ? Stafl: I -----------------I 2009 RESIDENTIAl. PLUMBING PERMIT APPLICATION oate: q- -0% Site Address: Tenant: Suite #: RESIDENT / OWNER Name: ?YQ i"[/ u r e L Phone: lu 51- lo gg- / lo j'y Address / City / Zip: ,?alr? / -2 Z CONTRACTOR Name: License #: k/ 7'7(2 V44 Champion Address: 651 3B5 13n0 Cit : 3670 Dodd Rd. #100 Y State: Zip: Phone: Contact Person: TYPE OF WORK _ New Y'Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri tion of work: PERMIT TYPE RESIDENT/AL ? Water Heater Water Softener Lawn Irrigation Add Plumbing Fixtures C-- RPZ /_ PVB) L Main _ Lower Level) Septic System Water Turnaround New _ Abandonment RESlDENTlAL 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) $30.50 Atld Plumbing Fixtures, Saatic oysiem Abardrnment, VVaiar Turnar3und* (includas $.50 Stata Surcharge) `Water Turnaround (add $165.00 ii a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) i$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ 3"1 V?° top=?y tiunnumeuye mat mis mrormation is compiete 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 tor 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 I? x x ApplicanYs Printed Name Applican ignature , r - it Y - - - - - - - - - - - - - - - - - k 1 For Office Use . Permit C _ non City of EaUfl 4 3r~ I Permit Fee: l 3830 Pilot Knob Road I I Eagan MN 55122 Date Receiv UG 2 4 20- 1 Phone: (651) 675-5675 1 Vt7 1 Fax: (651) 675-5694 I Staff: I I I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 1312, y /Z f ~i r G 'Ta S Tenant: L Suite M RESIDENT / OWNER Name: ~/Q AS's e, r4-r,C ni f ~sn,3e 14 Phone: -7&1 - V9 'y- 3 7;1--) Address / City / Zip: p. 0 . u x A f S~ I PAS Y ~ Applicant is: Owner X Contractor TYPE OF WORK Description of work: e- A u , 4. 'N IJ £ 6 0 t2 Construction Cost: UL Multi-Family Building: (Yes X / No CONTRACTOR Name: 13£ / CX za1 o2 IIA>,J Z-,e , License X VX y// 3 l Address: 4-/c -5_ &j e loo ft S: . City: In oP L 5, State: M/ Zip: S S v~ q Phone: 411x '9 6, 21/3 Contact Person: b A✓ L 03u e iei S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. 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 is not to sta out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of ans. X ~eq it 115 it to D2 y2 i S x Applicant's Printed Name Applicant's Signature Page 1 of 3 r C 1-CL u-re DO NOT WRITE BELOW THIS LINE 9cl P~o SUB TYPES ❑ Foundation ❑ 05-plex ❑ 16-plex ❑ Accessory Building ❑ Pool ❑ Single Family ❑ 06-plex ❑ Fireplace ❑ Porch (3-season) ❑ Ext. Alt. - Multi ❑ 01 of - Plex ❑ 07-plex ❑ Garage ❑ Porch (4-season) ❑ Ext. Alt. - SF ❑ 02-Plex ❑ 08-plex ~ Deck El Porch (screen/gazebo/pergola) El Multi Misc. ❑ 03-Plex ❑ 10-plex ❑ Lower Level ❑ Storm Damage ❑ 04-Plex ❑ 12-plex ❑ Miscellaneous WORK TYPES ❑ New ❑ Interior Improvement ❑ Siding ❑ Demolish Building' ❑ Addition ❑ Move Building ❑ Reroof ❑ Demolish Interior ❑ Alteration ❑ Fire Repair ❑ Windows ❑ Demolish Foundation Replacement ❑ Egress Window ❑ Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation Occupancy MCES System Plan Review Code Edition J7 SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) y( Final/No C.O. Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace:_R.I. Air Test -Final Windows Insulation Retaining Wall` Reviewed By: , Building Inspector RESIDENTIAL FEES: Base Fee Surcharge 00 Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 I IIIJ 0.1 A E 12700 NICOLLET AVENUE SOUTH KOEH V ~ V PHONE (612) 890-1272 BURNSAUE, MINNESOTA. 55331 LltaHl'OLEFt CERTIFICATE OF SURVEY for CARL TOLLEFSON JOHNSON Lots 5, 6, 7, and 8, Block 1 - BRIAR HILL I N C O R P- O R' A T E D Dakota County, Minnesota ARCHITECTS FARGO, NORTH DAKOTA MORRIS. MINNESOTA - ENGINEERS/ PHOENIX, ARIZONA v 0 -2 21 !j! lP a` .SCE z- 50, Z Azz V 1IZ/ \ / V ay 'I r ~ 11- f) : I %zy C k'j EAGAN w~ 0~ REVIEWED ' , BY So L: vV DATE: w -7 I~ LA c c i<c ~-7 J i BUILDING INSPE 1MGN I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor, under the laws of the State of Minnesota. Date Reg. No L10 NOT WRITE BELOW THIS LINE Sub Tupes ? 01 Foundadon 0 02 SF Dwelling ? 03 01 of_plex Q 04 02-plsx ? 05 03-plex ? 06 D4-piex Work Tvpes ? 31 New ? 32 Addition ? 33 A.Iteration ? 34 Replacement ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level Q 20 Poo! ? 21 Porch (3-sea. ) Q 22 PorchlAddn. (4-sea.) ? 23 Porch (scrsenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi Q 33 Ext. Ait- SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Int2riar C] 44 ading ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building" ? 43 Reroof ? 46 WndowslDaors *aemolition (Entire Bldg) - Give PCA handaut to applicant DBSCrIptlOli: Water pamage _ Yes Valuation Occupancy MCES 5ystem Plan Review 100°k or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width Hr;QLr1REn nvsPEcT loNs _ Footing (new hlcig) 5heetrock _ Footings (deck) F?inall"C.O. _ Fnotirigs (adtii?ort) Fina1'No C.O. _ Pourdalion - HVAC _ Drain Tile Other Roof _ Ice &Water _ Ftna1 _ Pool Ftg; Air/Gas Testn Puial Frarning Siding Stucco Lath Stone Lath Brick _ Firepla.ce _ R.I. _ Air Test _ _ Final _ Windows Insulation _ Retaining Wall Approved By: _ ------------------- Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies C}thPr 0 67 Q5-plex ? 08 06-plex ? O5+ 07-plex 0 10 OS-plax ? 11 10-piex ? 12 12-plex 6uilding Inspector Cities Di_,ital uality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. OFFICE USE ONLY . __ , _ BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 08 06-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? 05 03-plex ? 11 10-plex Pibg Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' 0 44 Siding ? 33 Alteration ? 38 Oemolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) 0 46 Windows/Doors * Give PCA handout to applicant for demoiition permit GENERAL INFORMATION SAC Code # of Stories S4- ft• No. of Units Length Sq• ft• No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? StuccolStone APPROVALS Planning Building Engineering Variance ? 31 Ext Alt - Mufti ? 33 Ext. Aft - SF ? 36 Mufti Permit Fee 1 ` Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI: Park Ded. Trails Ded. Other Copies Total: I -I 1. ^l ? Valuation: $ ? SAC Units % SAC 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 • Please complete for: commerciaUindustrial buildings multi-family buildings when separate pemuts aze not required for each dwelling unit Date Site Street Address IInit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #: Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove "*see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: **When instafling/removing underground tank, call for inspection by Fire Marshal and P/umbing Inspector Pe7'mit FCCS: $70.50 Underground tank installatimJremoval $50.50 Minimum (includes State Surchazge) or Contract Value $ x 1% _ $ Permit Fee $ State Surcharge IfpCI[Illt fee is7ess than $1,000, add $.50 If petmlY fee is more than $1,000, surchazge is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that tlie work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a peimit, and work is hot to start without a pernvt; that the work will be in acwrdance with the approved plan in the case of work which requires a review and approval of plans. Applicant's Printed Name Apprwed By: Applicant's Signature Inspector Date: Required Inspections: _ U.G. _ R.I. _ Air Test - Cras Service Test - Infloor Heat - Final 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when sepazate pertnits aze not required for each dwelling unit Date / / . Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) . Contractor ' Street Address , ' ? : • • ,City ~ . , State ' Zip% ? Telephone# ( ) Bond #• Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove **see be/ow Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: '`"When insfalling/removing underground tank, ca!l for inspection by Fire Marshal and Plum6ing Inspector Permit Fees: $70.50 Underground tank instaltation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x I% _ $ Permit Fee $ State Surcharge If e?mit fee is less than $1,000, add $.50 If permit fee is more than $1,000, surchazge • • is $.50 for every $1,000 owed. $ Total Fee I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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. Applicant's Printed Name Applicant's Sigriafure • ' ` . • Approved By: , Inspector Date: Required Inspections: _ U.G. _ R.I. _ Air Test - Gas Service Test _ Infloor Heat _ Final Z,t7?t-? t? 1 ?o0 . .• KOEHNLEIN LIGHTOWLER JOHNSOf`,f I N C O H P O q A T E O ARCHITECTS ENGINEERS 12700 NICOLLET AVENUE SOUTH PHONE (612) 89D-7272 BUfiNSVIILE, MINIJESOTP. 55337 - CERTIPICATE OP SURVI:Y for CARL TOLLEFSON Lots 5, 6, 7, and S, Block 1- BRIAR IIILL Dahota County, PAinnesota FARGO, NORTH DAKOTA MORRIS, MINNESOTA PHOENI%, ARIZONA o-,a . ` ? ,S6?4 ? c • Cr ? ? ? /z-)L L } ; `i.l i `r • ' _ L v 4 _ -C J ' \ C1 nJ? • U .?i .?j (ii - ? ? ? ? Z /v ?ti ?,,/ zz s,; ` ? i 4 r r I? jj? . < FEMOCWED 4 l L?317o 7._51 0/ ,?` $ ZZ A 7 '? DDGd?o ? 7 <? I ,V)<, ?o. B??I?DOi?d? ORlSPEC?°0owa C?g`0ag?1? ------,.. - - ? ?- 4?/ I hereby certify that this survey, plan ot report mas prepared by me or under my direct supervision and that I am a duIy Registered Land Surveyor under the laws of the State of Minnesota. Date - Reg. No.----. Use BLUE or BLACK Ink For Office Use MY Permit v of E*n r) a -7.95 ( perrrrit see: 3830 Pilot Knob Road Eagan i~1 i I Date Reoeived: l Phne. (651) 675-5675 Fax: (651) 675.6694 i Staff: R t l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Data: - 3 v Site Address: 3 9/0, 3 V i x 3$r y, 38) to L.A G, C-77 Unit Name: % f~ C T /yl ,g A G E Al L T C Phone 7G3 s'9 3- 4 7 7 a Resit gr Address /City /Zip: SSA G r+ r-i✓ Q /9V A3 ze' Z /9 &4bEJ*-' 1~NK~ I iii s'3 "Y 7 Applicant is: Owner Z_Contractor v'Y 1 Descnptlon ofwork: -7-r,+4 ©F~ a {ZE Type: . Construction Cost: f 9co Multi-Family Building: (Yes No!) Company. E 1 £x r+ell~oiQ Contact tAvl d 2R + S Address: YO s 6 Z~ . City; /'h PL S . Caat'•• state: /yl~J Zip: V V19 Phone: License t C Z YI 3 / Lead Cerd irate # If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) f~E2E, 4,)z - Po 4-, 19'7 r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Fagan 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. Pone: Sewer S Water Contractor. Phone: ~...y. Ir W .'f, ;i:.. .fin '•'LS.J.: 1i '1'k ,Lw•' "rl •.J, yi.^ w+Y.ti. CALL BEFORE YOU DIG. Can Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cal 48 hours before you intend to dig to receive locates of underground utwom. wmKa=herstaworeal.om 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance vath the ordinances and odes of the City of Eagan: that I cnrdersta nd this is not a permit, but orgy an application for a permit and work is not to start without a permit; that the work vAR be in accordance with th® approved pram in mo - of w** which requim a roviam and approval of plane. Exterior work authorized by a building permit issued in accordance with the Minnesota state Build Code must be completed within 180 days of permit issuance, x ~v2tZ Is Applicant's Printed Name Applicant's Signature Page 1 of 3 4,111' CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 13.tt(9 Permit Fee: / 19° Permit #: Date Received: Staff: J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3- 7-/ `/ Site Address: 3g, ts, 3 W/2, 3 Fi V, 3 ?/4.0 Mu,2 L Z5'", Unit*: Resident/ Owner Type of:Work. Name: e% 4e Mk, Abir<E .ri Address / City / Zip: Applicant is: mak; Phone:763 - s 5'3— 9774) gSO D!c4-rv2 Av, A), -i`A Owner kContractor isoLD£w 1444,LiY /1,t) .mss VL 7 Description of work: Construction Cost jZ£,...o✓t< 8- R.£PLJt-cf- ..lid/a)'' d p G#4. /17£7 -'AL y C1Z) , CAD C) Multi -Family Building: (Yes is / No ) Contractor Company: £ 1 £,e• r Se, D 2 /�%iiA I b) --r. & aP' Contact NO 6 43,i�, S Address: Z/p,T' L3 &obi ¢, . City: /YI PL. State: /VAS Zip: 5-5-4// r/ License #: 4-4 L 2 4(1 / 3 / Phone: L,/z- F1,j-102V3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &,Y Pos`" I 5' 7 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 Plans and supporting dacunten!ts thatYda sobrnftare consideved to ire pu, tint b the .infonnatron nay be classified as non-public if you provide specific tubo* >l dPeriP5:: `- '•` concludethatthe , ;> de y ' 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.gopherstateonecali.oro 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 BuildiCode must be completed within 180 days of permit issuance. x N 4 ✓. & )c..2.2, Applicant's Printed Name x Applicant's Signature J300,4 . Page 1 of 3 Use BLUE or BLACK Ink r -• For Office Use t*- City of Eaftall ;:::: : do?- 3830 Pilot Knob Road Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 �. Fax: (651)675-5694 APR 3 0 2017 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0/2-71.2450-Site Address: Scab -�"�l`r�( C;t' C6\0 4/1 AlA) Unit#: IName: Iry.rr -1-44`t E S `gaiv^e- c..47"e- S Ifs*0.DC-6,-a.V0-1 Phone:g5"o.'GiSf. - 6.5141 Resident/ _ Owner Address/City/Zip: 315 (0 Lct.� i (2,4-/ t CA l s5 a 3 ; Applicant is: Owner Contractor Description of work: (,/� eto re-F-t. 19- f Type of Work Construction Cost: ri 000 - I Sino t`1 � (� 3 � ' Multi-Family Building:(Yes aG /No ) ICompany: —T"I+t?S Com,( ?4444.er;c-,.. Contact: —0-Zen loco, Address: 1 i .31 ic.44 Uc,((e f 1 jcf,. City: &wove_14 ac` htS Contractor State:/V{,N Zip:Ste}} Phone: IS-a-fl S MI- Email: ;arn.ta n,ft 6Trt,sew641,•'te,s cy,.ca», License#:1 .G9,4.i`l Lead Certificate#: If the project is exempt�pfromolead certification, please explain why: A' 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 information maybe 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. x k, k oCnIA,o x Applica is Printed Name Appli is Signature Page 1 of 3 &Iu LcLuid4 DO NOT WRITE BELOW THIS LINE /t/ SUB TYPES Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family _ Garage Porch (4-Season) Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) ' Miscellaneous 01 of_Plex — Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation f 3 v.°CI - Occupancy j iC-3 MCES System Plan Review Code Edition 0111 2 0 is SAC Units (25% )6 100%_) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 'U 3 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) !4c) Final/No C.O. Required , Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace:_Rough In Air Test _Final Siding: Stucco Lath Stone Lath _Brick EFIS Insulation Windows Sheathing Retaining Wall: _Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: 7-0✓4 01 :lc- ( Li RI+ , Building Inspector RESIDENTIAL FEES .-i'- e lv De s G-rrJ RP Ail.: 1 Base Fee Surcharge Plan Review MCES SAC MA5 C�2 pJW izeVi C �ee. City SAC _ bb Utility Connection Charge alb S&W Permit& Surcharge lc� R Treatment Plant Copies TOTAL Page 2 of 3