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3811 Laurel Ct*City of Eta Date: 3830 Pilot Knob Road Eagan MN 86122 Phone: (681) 6754676 Fax: (851) 678-5694 Use BLUE or BLACK Ink For Office use rr ,n, � I Permit*. (a ji 1 Y% , Porn* Fee: Date Received: Staff: D 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 9.. 7 - l 41 Site Address': 3 ? / / k v 2 £ L C,T. Unit ti: Fukien/ Owner iype•otWork Name: e4 /`9C / /fi.pN Ab£/`t £..;-r ..r C. Phone: 763 - S-13-- 9770 Address/City/tip: b'So Dtco4ru . r9✓, )3, IA Applicant is: Owner ,KContractor Description of work: af %'L '4- C ✓ 4 / PL. L. 1,31 S 6o4!)£4.:) 1/44,12 y ,%A) jr lei 7 Construction Cost Muni -Family Building: (Yes / No contractor Company: £ 1 E,2ira2 i4A17.J-l-. 612It Contac D4✓r t) illi I2iS Address: L/Gs- LJ /doll- J State: l'►9i3 Zip: sr41/ 9 city: /71 PL. 5 Phone: 111 a /o / - Ca 2 V 3 License #: 4 C 2 41/ / 3 / Lead Certificate #: 0 the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 11Lt6.S- /tY Pose )5757 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING to the last 12 months, hoe 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: NOM M ns the ,talvrioH cess CALL, BEFORE `QUIZ Call Gopher State One Call et (651)454-0002 for protection a ainst and before you Intend to dig to receive locates of underground utilities. www.aonherstatsorlerau,g qr 9 underground utility damage. Call 48 hours 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 nota permit. but only an application for v permit. and work is not to start without a Damn; that the wnrk wuN be in accordance with the approved plan In the case of work which requires s review and approval of plans. Exterior work authorized by a budding permit Issued In accordance with the Minnesota State Sandi Code must be completed within 180 days of permit issuance. x *4✓ 4 auiS Applicant's Printed Name 0t/Z0 39vd x. Applicant's Signature Page 1 of 3 INIVW 1X3 I3S L9Z9t98Zt9 90:bt btOZ/II/t'0 GITY OF EAGA19 Remarks Addition ??+?a++ u;?I ?Idditic?n 2nd Lot 6 Rik 1 Parcel #10 14991 060 01 Owner l?(??'Street 3811? Laurel Court State Eagan, Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 0 1982 600.77 120.15 5 480.61 A010770 10-30-81 STREET RESTOR. GRADING 171 1975 114.43 11.44 10 114.43 A009870 1 27 81 Gradin & 1982 123.04 24.61 5 98.44 A010770 10-30-81 SAN SEW TRUNK 47.91 6 30 1 2 81 * SEWER LATERAL ? WATERMAIN ,t WATER LATERAL 7 968 Z ' WATER AREA ^ ** S/W Lat Stm L5 1982 1431.44 286.29 5 1145.16 A010770 11-30-81 STORMSEW TRK (p 5-7 1982 402.73 80.55 5 322.19 A010770 11-30-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREETA.16i+f 1009 1986 153.70 15.37 10 oa nit 185.00 23791 3-18-81 WATER CONN. $3$.00 23791 3-18-81 BUILDING PER. 6534 sac 525.00 23791 3-18-81 PARK 250.00 20 63 4180 CITY OF EAGAN Remarks Additio ' Znd Lot 5 Blk 1 Parcel #10 14991 050 Oi Owner 11P. fi)(7/ )F'( Street _fR1-t Laurel Court State Eagan, MffV 55122 Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF. 1982 (00.7( 120.15 $ STREET RESTOR. GRADING 1975 114.43 11.44 10 114.43 A009870 1/27 81 Gradin 1982 1 123.04 C007297 SANSEW TRUNK At^ 1968 47.91 1.60 30 47.91 A009870 1 27 81 * SEWERLATERAL. 1968 52.47 2.62 20 52.47 A009870 1 27 $1 WATERMAIN * WATER LATEflAL ID7 1968 ZO WATER AREA 1977 95.81 6.39 15 95.81 A009870 1 27 81 ** S/W Lat Stm L 1982 1431.44 286.29 5 1431.44 C007297 10-14-91 STORMSEW TRK 1982 402.73 .55 402.73 C007297 10-14-8 STORM SEW LAT CURB & GUTTER SIDEWALK STREETttGFGfi' 1009 1986 153.70 15.37 10 2 ? Road Unit 185.00 23791 S _ WATER CONN. 335.00 HUILDING PER. - sAC 525.00 23791 3 -18-81 PARK z CITY OF EAGAN Remarks Addicion -Rriar Hill Addition 2nd Lot 8 aik 1 Parcel #10 14991 080 01 Owner bl' ?af.d ?Oh/I;'. ?- Street 3815; Laurel Court State Eagan, MIlV 55122 J Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 600.76 120.15 5 600.76 C007270 9-23-81 STREET RESTOR. GRADING 9 1975 114.43 11.44 10 114.43 A0098'70 1/27 81 Gradin 1982 123.04 24.61 5 123.04 C007270 9-23-81 SANSEW TRUNK 1968 47.91 1.60 30 47.91 A009870 1 27 81 ? SEWEfiLATERAL 1968 52.47 2.62 20 52.47 A009870 1 27 $1 ? WATERMAIN * WATER LATERAL loZ 1968 ZO WATER AREA ? 1977 95.81 - 6.39 15 95.81 A009870 1 27 81 ** S/W Lat Stm L5 1982 1431.44 286.29 5 1431.44 C007270 9-23-81 STORMSEW TRK 1982 402.73 80.55 5 402.73 C007270 9-23-81 STORM SEW LAT CURB & GUTTER SIDEWALK STFiEET+ti@MT 1009 1986 153.70 15.37 10 153• U -1089/ Road Unit WATER CONN. BUILDING PER. 65,46 sn,c 3-18-81 PARK 2$O CITY OF EAGAN Femarks Addition • gr-i-ar--Hi-1-]--Addition 2nd Lot 7 Blk 1 Parcel #10 14991 070 01 Owner??!1/f'.iy Street?3917•' Laurel Court State Eagan, P1 55122 J Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1982 600.76 120.15 5 . . -- STREET RESTOR. GRADING 1975 114.43. 11.44 10 114.43 A009870 Gradin ? 1982 123.04 24. . - - SANSEW TRUMK 1968 47.91 1.60 30 47.91 A009870 1 2 81 * SEWER LATERAL .T 1968 52.47 2.62 20 52 4 WATERMAIN WATERLATERAL Jo7 iQGH ZO WATERAREA jJ'J'] 9$.$1 ().39 1$ ** S/W Lat Stm L 1982 1431.44 286.29 5 1431.44 C007228 9-1411 STORMSEW TRK 1982 402.73 80.55 5 402.73 C007228 9-1 - 1 STORM SEW LAT CUR6 & GUTTER SIDEWALK STREET61!'r+f'f 1009 1986 153.70 15.37 10 Road Unit 185.00 23791 3-18-81 WATER CONN. 335.00 23791 3-18-81 6UILDING PEF. SAC - - PARK 250.00 20263 8/4180 ..m " . . . ".vt1l?`?"Yfrr.Ry`.?'F . . . .. . . . . . . _. . CITY OF EAGAN ?._t2 186$9 _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 (? 111 -:; ,, ? BUILQING PERMIT Receipt # Tobeusedfor D€CK Est.value $19000 Date FEB 4 1991 Site Addf ss 3817 LAUREL CT Lot Block SeGSub. ?IAR NILL ND Parcel No. W Name M T LOPEZ 3 Address 0 City EAGAN Phone " - Name ---- -- ---?------ Address City LAUM Phone r¢ W w Name ? ; Address lqw City Phone I hereby acknowlege that I have read this application and state ihat Ihe information is correct and agree ro comply with all applicable Slate of Minnesota Statutes and Ciry ot Eagan Qrd?pances. "-!- Signature ot Permitee JONN R ANTROCZ A Building Permit is issued to: on ihe express condition that all work shall be done in accordance with all applicable State o( Minnesota Statutes and City of Eagan Ordinances. Buildirg Official `•-' Occupancy Zoning (Actuaq Const (Allowable) N ol stories Length Depth S.F. Total S.F. Footprints On Sile Sewage On site well MWCC System ciry water PRV Required Booster Pump APPROVALS Planner Caincil Bldg. Ofl. Variance OfFICE USE ONLV FEES ZS•00 ? .so _ Bidg. Permil - surcharge Plan Review SAQ City - SAC,MCWCC Water Conn - Water Meter _ Acct Deposit S/W Permit - 5/W Surcharge Tieatment PI Road Unil - Park Ded. Copies - TOTAL - _?.,, . ..:va...-..: .50 26.00 -?? ?-aa,._. ,.... I i PermN No. ! Permit Holder ? Data 1 Telephone N ? SEWER PlUM81NG H.VA.C. ELECTRIC I lospection Date I InsD• I Comments I Fnal Htg. Fnal P+bg. Conet Meter Plbg. Inspeclor - Notiy Plumber Ergr./Plan Bida. Final . BUILDINfd'i PERMIT CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 , Receipt # Est. Value 11.000 Date im 2? to 91 Site Address 3a11 LAUtRL OOM Lot _6 Block I- Sec/Sub. UlAR HILL 2ND Parcel No. w Name STEVE ICOZIOC 3 Address 3811 iJ?tIREL L7 ° City EAGAN Phone 688-2827 , o Name ?1?Y1D lR1G ?Q Address 617 t Sl St ? City bw Phone 822-9221 WW Name $? d81-O7OI ?? Address iW City Phone I hereby acknowlege that I h intormation is correct and ac Minnesota Statules and City o Signature of Permitee A Building Permit is issued to: on the express condilion that ; applicable State of Minnesota Building Official j this application and state that the comply wit Il,.applicable State of Ordinan?yr _ :- 1110 R16 shall be done in accordance wilh all 5 and Citv of Eaaan Ordinances. OFFICE USE ONLY Occupancy - FEES Zoning _ (Adual) Const _ Bidg. Permil ?? M =?L (Allowable) - Surcharge • ? x or stories _ Length _ Plan Review Depth - SAC. City S.F. Total - SAC, MCWCC S.F. Foolprinls _ On Site Sewage _ Water Conn On Site Well - Water Meter MWCC System _ Ciry Water Acct. Deposit _ PRV Required _ SNJ Permit Booster Pump - SM/ Surcharge Treatment PI APPROVALS Road Unit Plenner - park Ded. . Council .50 BIdg.Otf. _ Copias ? 2e*00 Variance - TOTAL Permit No. Permit Molder Date Telephona k WATER SEWER PLUMBGJG H.V.A.C. ELECTRIC Mepeetion Date Insp. Commewta Footings I Foundatlon Framing Roofing Fough Plbg. Rough Htg. Isul. Freplace Final Htg. Orstat Test Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan 81dg. Finai Deck Ftg. bS Dedc Final Well Pr. Disp. ,: ? .- ? CITY OF EAGAN .? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ` ? • PHONE: 454-8100 BUIIDIfiG PERMIT Receipt # To be used for Dam Est Value :1' ODO Date JUNE 19 vwpr?-'N 18027 19 Site Addr ss 381S[.AIiABL CY ND BRfAR HIZ 1 t OFFICE USE ONIY Lo[ Block ' ' Sec/Sub. PBfCBI NO. Ocwpancy - FEES : ?N ?RHUR Zoning ?3 ? . ? W Name (Aduaq Const - Bldg. Permil ? 30 Address (Allowable) - S h ' ' City Phone # ot scones urc arge Plan Review ? . , Q o PHIL SHE Y Name ? Length Depih 1-2-r - SAQ City ; .11 ; ?¢ AddresS ?3? ? S.F. Tolal - ! SAC, MCWCC City Phone S.F. Foolprints - Water Conn On Site Sewage _ 1 W w Name On Site WeU - Water Meler ' _ Add fBS3 MWCC S stem Y - a W City Phone City Waler Acct. De osit - P it S/W P j PRV Required erm - ? I herebY acknowle9e that I have read this aPPlication and'state that the Booster PumP - S/W Surcharge j information is correct and agree W comply with a? aooCicable Sfai `of ; Minnesota Statutes and City.of gar?,0 inance .f ? Treatment PI ? ? ?? . Signature of Permitee ? APPROVALS Road Unit -? L A Building Permit is issued to: $HESWSY Planner - Park Ded. ? on the express condition thal all work shall be done in accordance with ail Council - 10? ? appllcable State ot Minnesota Statutes and City of Eagan Ordinances. gldy. pff. _ Copies ? ??50 Building Official . Variance - TOTAL , J ParmiY No. Parmit Molder Oale Telephons # WATER ? SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Foolings I Foundation Framirg Roofing Rough Pibg. Rough Hig. Isul. Freplace Fnal Ntg. Fnal Plbg. Consl. Meter Plbg. Inspeqor - Notity Plumber Engr./Plan - Bldg. Fiaal ' Deck Rg. Deck Fnal Wetl Pc Disp. ? - , No. ''396 CITY OF EAGAN 3795 Pila Knob Road Eagan, Minnesofa 55122 Phone: 454-8100 PERMIT Dote: Site Address: Lot Block Sub/Sec. Name ; Address O _ CitY . . . . .. Phone: Name - . ? A. L ? Address ' ? City Phone: This Permit is issued on the express condition that oll work shall be Minnesota Stetutes and City of Eagon Ordirwnces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single - Residential Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Instollation i Permit Fee Surchorge Toto I done in acmrdance with oll opplicable State of Building Official cirr oF EACaN 11795 Pilot Knob Raad Eagan, MN 55122 PHONE: 4548100 BUILDING PERMIT ReceiPt # To ba wed for :71E: Est. Velue ,2.0?' Date __- Site Address Lot Block Sec/Sub. Pnrcel # W Name ' -: 3 Address r..., w....,e ?- . .. ; ; o I Nome z? .. a? Addreu u ? r.., o6.,..e Name _ Address I hereby acknowledge that I have read this application and state that the informotion is correct and agree to comply with ail applicable State of Minnesoto Statutes and City of Eagan Ordirwnces. 11_ N? 6537 Erect ? Occupanry Alter 0 Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? .# Stories Demolish ? Front ft. 6rade ? Depth ft. Approrals Fees AssessAient ' Water & Sew. Police Fire Eng. Planner Counci I Bldg. Off. APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Total Signeture of Permittee ? A Building Permit is issued M: on the express condition thot all work sholl be done in accordance with oll applicoble State of Minnesota Statutes and City of Eagan Ordinances. Building Official - t. Pmnit # DaN IawO P*radtMe Plumbing Mechonicol 1 .7YG 71 INSPECTIONS DATE INSP. Rough-In Final Footings ?PD Date Insp. Date Insp. Foundotion Plumbing ? y -l " Frame/ins. Mechanicol ? Final - -Q Remarks: Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee i Fill in numbered spaces S/C ? Type or Print legibly I Tot. ? t. Date ! 2. Installation Cost I 3. Job Address Lot Blk. i TracC .// ' 4. Owner i 5. Contractor &t-) Phone 6. Address 7. City State 1'1111v Zip .. c 8. Building Type: Residential Commercial ? Institutional ? j 9. Work Description: New Add ? Alter ? Repair ? ; 10. Describe 11. No. = Fixtures Water Closet No. Fixtures Cesspool /Drai nf ield _ Bath tubs Septic Tank Lavatory Softner _ Shower Well _ Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Final ? t`nspections: Date Insp. Date Insp. This is your permit when numbered and approved. •Approved CITY OF EAGAN 454-8100 e ? BUILDING PERMIT CITY OF EAGAN 3795 Pilot Kno6 Road Eagan, MN $5122 PHONE: 4548100 Receipt # N4 6536 To 6a wed for " Est. Value Date , 19 Site Address Erect ? Occupanry Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. w Name Move ? # Srories Z Address 3 Demolish ? Front ft. ? Ci Phone Grade ? Depth ff. a: Name 0 Approvals Feea OU Addreu Assessment Permit Water & Sew. Surcharge Ci Phone Police Plan check Name Fi re SAC Address 1 Eng. Water Conn. Ci phone <- Planner Water Meter Council Road Unit I hereby acknowledge that I have reod this applicotion and state that Bldg. Off. the information is correct and agree to comply with all applicoble ? Stote of Minnewta Statutes and City of Eagon Ordinances. APC Total Signature of Permittee A Building Permit is issued to: on the express condition that oll work shall be done in occordance with all appliwble State of Minnesota Stctutes and City of Eagan Ordinonces. Building Offitial vennir # Data lauea v.nnInw Plumbing ?/_ -7 Z- Mechanical j(r -p? - / -A S If-.2 9-lj ? INSPECTIONS DATE INSP. Rough-In Finnl Footings /12-91- f'O Date. Inso. Dote lrtqp. Foundation - Plumbing S ? Frame / ins. Mechanica I Finol 9•/J- 8'? w y/J ?t, . Remarks: Receipt PLUMBING PERMIT Permit No. .?? CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egib/y Tot. 1. Date ; 2. Installation Cost 3. Job Address i_ Lot Blk. Tract 4. Owner 5. Contractor ;Tiv Phone 6. Address 7. CitY J State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 11. No. _ Fixtures Water Closet No. Fixtures Cesspool /D rai nf ield _ Bathtubs SepticTank _ Lavatory Softner Shower Well Kitchen Sink _ Urinal/Bidet Other _ Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets , 12. I hereby certify that the above information is true and correci, and I agree to comply with all ordinances and coJies governing this type of work. ' Signed : ? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date - 2. Installation Cost 3. Job Address => Lot Blk. Tract 4. Owner "- _71efsOn _?lir ? . 5. Contractor _ I red2`I .k4nn }i iljc Phone 6. Address ??030 Be8u D' RL.c !)r 7. CitY State ZiP 8. Building Type: Residential $] Commercial ? Institutional ? 9. Work Description: New [2 Add ? Alter ? Repair ? 1 10. Describe I 11 Type No. Eau'pment BTU - M. Ea. Forced Air No. Enuiament CFM Mfg. _ Air Handling: Boi lers Mfg, - Mech, Exhaust Unit Heater Mfg. _ Air Cond. Other Mfg. Gas, Piping Outlets 12. I here6y certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. 6igned : for ? Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OP EAGAN 454-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee I fill in numbered spaces S/C Type or Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor , 1 !,.- Phone 6. Address 7. City State Zip _ 8. Building Type: Residential fJd' Commercial ? Institutional ? 9. Work Description: New Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfield Bath tubs p $eptic Tank _ _ Lavatory Softner _ Shower Well Kitchen Sink _ Urinal/Bidet Other Laundry Tray ? - Floor Drains i Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for , . Rough Final Inspections: Date Insp. Date Insp. TFnis is your permit when numbered and approved. ?Approved CITY OF EAGAN 454-8100 • • CITY OF EAGAN -~? - ' 3795 Pilor Kneb Road Eagon, MN 55122 W 6535 ' PHONE: 454-8100 BUILDING PERMIT ReceiPt #k To be wsd fer Est. Value Dote , 19_ Site Address Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning parcel # Repair ? Fire Zone Enlarge ? Type of Const. W Nome Move ? # Stories 3 Address Demolish ? Front ft. 0 Ci Phone Grade ? Depth ft. ? Name ? ? >_ ?? Address t Name _ Address I hereby acknowledge that I have reod this application and state that the informotion is correct and ogree to comply with all applicoble State of Minnesota Statutes and City of Eagan Ordinances. Sipnoture of Permittee Approvala Fees Assessment Permit Water & Sew. Surchorge Police Plan check Fire SAC Eng. Water Conn. Pl t M t W anner Council er er a e Road Unit Bldg Off . . APC Totai A Building Permit is issued to: on the express condition that oll work sholl be done in occordance with all applicoble State of Minnesota Statutes and City of Eagon Ordinances. Building Offitfol . , : Perwk # DaM Isued PonsittM Plumbin9 Mec jj'c°l -u'_ ...c_ Lc.E;[iC.? T 3 INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date InsO. Foundation Plumbing ? Frame/ins. Mechaniwl Finol I Remarks: Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Pil1 in »umbered spaces S/C Type or Prini /egibly Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. 4. Owner 5. Contractor Fredricl;son Aeati• phane 6. Address 4030 Besll P` Rue Lh' Tract ":11 2 ?? 7. City State zip 5.°>1?2 8. Building Type: Residential 0 Commercial ? Institutional ? 9. Work Description: New 13' Add ? Alter ? Repair ? 10. Describe Fuel Type I 11 No. Eq?oment 8TU - M. Ea. Forced Air No. Eauiament CFM Mfg. _ Air Handling: Boilers Mfg. Unit Heater - Mech. Exhaust Mfg. Air Cond. Other Mfg. Gas, Piping Outlets 12. I here6y certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : • for Rough F inal In4pections: Date Insp. Date Insp. This is your permit when numbered and approved. 'Approved CITY OF EAGAN 454-8700 I Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legibly Tot. 1. Date 2. Installation Cost / 3. JobAddress Lot Blk. Tract 4. Owner ' ?l ! 5. Contractor .-'-4-? Phone%? - i : 6. Address 7. City State Zip 8. BuildingType: Residential b" Commercial ? Institutional ? 9. Work Description: New gl- Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cesspoof/Drainfield _ Bath tubs Septic Tank _ Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other _ Laundry Tray . , , Floor Dreins r, ? Drinking Ftn. _ Slop Sink Gas Piping Outlets , - 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : ; " %.: i"=G for Rough Final Irtspections: Date Insp. Date Insp. This is Your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Raceipt 1. Date ?'-81 Permit No. Fee S/C Tot. 3. Job Address Lot Blk. Tract 4. Owner c llefson Pldr? . 5. Contractor ` "`;[ric},-son iieaii_n;- phone 6. Address 4' 30 F3eau D; Rue Dr 7. City r Ir, State Zip :;51?2 8. Building Type: Residential 8 Commercial O Institutional ? 9. Work Description: New O: Add ? Alter ? Hepair ? 1 10. Describe 1 11. Fuel Type No. EquiQment BTU - M. Ea. Forced Air No. Equiament CFM Ai H Mfg. r andling: _ Boilers Mfg. _ Mech. Exhaust Unit Heater _ Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Hough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 MECHANICAL PERMIT CITY OF EAGAN fill in numbered spaces Type or Print legibly 2. Installation Cost - , BUILDING PERMIT CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55722 PNONE: 454-8100 Receipt # Te bs utsd for Est. Vaiue Site Address , Lot Block Sec/Sub. Parcel .# m I Name W 3 Address 16 t Y>'L, q:;_ *1, o Name ,,, C. ?? 1lddress ?- r:.., w.....e I hereby acknowledge that I have recd this opplication ond state that the informotion is correct and agree to comply with all applicable State of Minnesota Statutes ond City of Eagan Ordinances. Signature of Permittee A Building Permit Is issued to: - all work sholl be done in accordance Building Officiol Ng 6534 Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? # Stories _ Demolish ? Front ft. Grode ? Depth ft. Approrals Fees Woter & Sew. Police Fire Eng. Plonner Counci I Bldg. Off. APC Pertnit Surchorge Plan check SAC Water Conn. Water Meter Road Unit _-_ Total , ` on the expreu conditfon that all opplicable State of Minnesom Stotutes and City of Eagan Ordinances. Pamk jj Dofe Iswd pensllfN Plumbin9 -"5-0 //- - 2 7- 'p/ Mechanical q - q? - ?/ ? r C'?? -t J "L -.1 =is? INSPECTIONS DATE INSP. RoupMln final Footings 1117-ly Iro Date Inap. Date Insp. Foundation Plumbing ' _y" / ,?p• Frame/ins. _ Mechanical Final -/j•Q? q' Remarks: RECEIVHD FROM CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 AMOUNT I$ I I & DOLLARS ?- 1 oo ? CASH F?CHECK FOR White-Payers Copy Yellow-Posting Copy Pink-Fils Copy Thank You ? ??C J - BY Receipt'- PLUMBING PERMIT Permit No. CITY OF EAGAN Fee J " Fill in numbered spaces S/C Type or Print /egib/y ? Tot. - 1. Date ?/ ?-? 2. Installation Cost ? ? 3. JobAddress?g? '?'?'uRLot Blk. Tract 6i4 4. Owner 14NN/yii??;,? '-- 5. Contractor,/y'? Phone 6. Address,/'(5;q MR ?' r 7. Ci?rLiv,??!, State Zip - - I 8. BuildingType: Residential4Z] 9. Work Description: New-0 10. Describe 11. Commercial ? Institutional ? Add ? Alter ? Repair ? No. Fixtures Water Closet No. Fixtures Cesspool /Drai nf ield Bathtubs SepticTank _ Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Dreins Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed: for Rough Finel Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 ' DATE: - Zoning: . No. of Units: Owner: Address: Site Address: Plumber: _ 1 agree to eomply with the Ciry of Eagan Ordinanoes. By Date of Insp.: I nsp.: Connection Charge: Account Deposit: r Permk Fee: 'd Surcharge: 3 Misc. Charges -? Total: ? Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 PiIM Knob Road PERMIT NO.: Eagar., MN 55122 DATE: Zoning: No. of Units: Owner; _ Address: Site Address - Plumber. e Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 agree Yo eomply wifh fhe City of Eagan Surcharge: Ordinances. Misc. Charges: R.. Date of Insp.: CITY OF EAGAN 3795 Pilof Knob Road Eagan, MN 55122 7_oning: Owner: Address: Total: Date Paid: I nsp.: WATER SERVICE PERMIT PERMIT NO.: DATE: No, of Units: Site P.ddress: Plumber: Meter No.: Size. Reader No.: I agree to comply with Yhe City of Eagan Ordinanaes. By Date of Insp.: Connection Chorge: Account Deposit: Permit Fee: Surcharge: Mix. Charges: Total: Date Paid: I nsp.: OF EAGAN Pilot Knob Road MN 55122 SEWER SERVICE PERMIT NO.: DATE: No. of Units: te Address: umber: - agrae to aomplr with the City of Eagan of Insp.: ' OF EAGAN i Pilor Knob Road n, MN 55122 Connection Charge: Account Deposit: _ Permit Fee: - Surcharge: Misc. Chorges: - Tota I: _ Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: - No. of Units: ' Address: ?.. _. M eomply wit6 fhe City of Eagan of Insp.: Connection Chorge: Account Deposit: - Permit Fee: Surcharge: Misc. Charges: Total: Dote Paid: Insp.: E PERMIT SEWER SERVIC rITY OF EAGAN 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 P DATE: 7oning: No. of Units: Owner: Addresr Site Address: Plumber: 1 agreo ro aomply wiFh the City of Eagan Connedion Charge: Gdinances. Account Deposit: By Date of Insp.: I nsp.: Permit Fee: - Surcharge: Misc. Charges: - Total: Date Poid: PERMIT -!3 CITY OF EAGAN SEWER SERVICE PERMIT 3799 Pilot Kno6 Road Eagun, MN 55122 PERMIT NO.: Zonin9: DATE: Owner: __ No. of Units: Address: Site Address: Plum6er: 1 ogree M rnmpfy with the CitY of Ea on 9 Ordinances. Connection Charge: Account Deposit: Permit Fee: BY Surcharge: Date of Ins P? ? Misc. Charges: insp.: Total: Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pi1ot Knob Roed sagan, MN 55122 PERMIT NO.: Zoning: DATE: Owner; No. of Units. Address: -- Site Address: Plumber: Meter No.: Size: Connection Charge: Reader No.: Account Deposit: P 1 agree fo eomply wlth !he CitY of Ea an ermit Fee: S Ordinancea. 9 urcharge: Misa Charges: BY Total: Dote of Ins P?? Date Paid: Insp.: minnesota stata tsoara ot tiectricity .r Griggs Midway Bldg. - Room N191 I EB-00001_02 ?i82'^?niversity Ave., St. Paul. Minn. 55104 - Phone 297-2171 CHECK EL'bW WORKOCOVERED BYITH S EoP EsT1ON 2 5 6 7 2 Type ot Budding New Add. Rep. Ch¢ck Appliances Wired For Check Equipment Wited For Home 399 ? ? Range • Tempoiary Wiring ? Duplex ? ? ? Water Heatec ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electtic Heating ? Commercial Bldg. ? ? ? Fumace KX2000 Silo Unloader ? Industrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Farm ? ? ? List ? List Other ? ? ? p Heiers? ? Heiers? l COMPUTE INSPECTION FEE BELOW Service Entiance Size: # Fee Feeders&Subfeeders: # Fee Ciccuits: # Fce 0 to 1 s.I 0[0 30 Am eres D to 30 Am eies O 20 ? 101 to 2 s. 31 to 100 Amperes 31 [0 100 Am eres Above 2 A Above 100 Amps. Above 100 Amps. 7ransfo[ s Remote Contiol Circ. Partial or other fee • Signs Special Inspection Minimum fee SS Remarks Jeff D, TOTAL FE '3 P,aA 38000 1, the Electrical Inspector, hereby i tha e ove inspection has been made,? `? ? (Rough-in) ) Date ?' ? (Final) Date o c? This request void 18 months from 66 Tttis request void 1'.50 ? 18 months from 3 Date of this Request* 4^'27?1981 Fire No. T 256°2 I, aAZ Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3817 Laurel Court City ?? Section Township Range County DakOta Which is occupied by T011eFeaA (Name of Occupant) [s a roughin inspection required on this job? No ? Ye9M . Ready Now ? WID Cal= Power Supplier DBkptA Cty Address FBTmingt02i Electrical Contractor O.B. Thompeon El.eastries CO• Contractor's License NM _fl60a (Company Name) Mailing Address 12201 MtkB Blvd. v ffitka. 55343 (Electricai Contractor or Owner Making Thls Installaqon) Authorized Signature Phone No. . (Electrfeal Contractor or Owner Making This Inztallatlon) This inspecGan request will not be accepted by the "'b?l E? f1W State Board unless proper inspeetian fee is enclased.' i m1fInaDUla ?lqln Wtlru uf C1tlGafll:Ily . Griggs Midway Bldg. - Room N191 ES-00001-02 kn,1821 University Ave., St. Paul, Minn. 55104 - phone 297-2111 EQUEST FOR ELECTRICAL IN.SRECTION :.. LOVO WOEtK COVERED BY THIS REQUEST r256T3 Type ot Building New Add. Rep. ?¢ck Appliances Wired Foc Check Equipment Wired For . Home ]I0 ? ? Range • " Tempoiary Wiring ? Duplex ? ? ? Water Heate: ? Lighting Fi?ctures $ A'pt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Fumace 492. 00 Silo Unloader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? ;Fazm ? ? ? List List Other ? ? ? p Heiers# e e * . Oehers? H COMPUTE INSPECTION FEE BELOW Service Entrance Size: #. Fee Feeders.@Subfeeders: # Fee Circuits: # Fee 0 to 100 AmpslO NG ? 0 to 30 Am res 0 to 30 Am e:es 0 2MO 101 to 200 Amps. 31 to 100 Am eres 31 to 100 Am eres A6ove 200 ps. Above 100 Amps. Above 100 Amps. Transform r emote Control Circ. Partial or other fee Signs : pecial Inspection Minimum fee $5 Remarks Jeff D. TOTAL FEE .,rO 38900 I, the Electrical Inspector, hereby certify the a v spection has been made`. s' (Rough-in) ^ . Date ?-? (Final) ate 6 This request void ' 18 months from ? This request void ?yLc.A,4..Q-P_ ? ? 18 months from , a Date of this Request 4"27-0981 Fire No. T256 Z" I, as tkLicensed Electrical Contractor O Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. _3915 L&Urel GouTt City ?att Section Township Range County Daketa Which is occupied by TOll@fBOA (Name of Occupant) Is a roughin inspection required on this job? No ? YeAS Ready Now ? Will Callft Power Supplier DAkOta Cty Address Bhrraigg#nn Electrical Contractor 0•11. '1'hompeon Electrie G6. Contractor's License N44OLQ2 ' (COmpany Name) Mailing Address 12201 Xtke B2vd. , Mtka 55343 _ tcieccncm comracror or vwner meKing, i ms insiananoni V.?:. _,_-: _-, Authorized Signature - - - ? - Phone'No. (Electrical"tontractor or Owner Making This Installation) ; ?, °? /??ff jjp?r This inspection request will not be accepted-?+? t? (? (? ?? State Board unless proper inspection fo='? ?, 3I °d ? This request void ?S 611 ? Z 'L I 18 months from ??'?i a' . ?? ? So ? Date of thisRequest 4.,27+1 981 Fire No. T25674 I, astXLicensed Electrical Contractor ?Owner, do hereby request inspection of the above electd- cel wiring installed at: Street Address or Route No. 3813 Laurei CouTt City-E-@g$&- Section Township Which is occupied by To1legsoA Range CountyDakot& Is a roughin inspection required on this job? No ? YesXE Ready Now ? Will Cal1:U Power Supplier Dakota Etv. Address Varmingtmr Electrical Contractor O•B• Thompeoat IIectrie Go. Contractor's License NWkO-2 (Company Name) Mailing Address 12201 Mtka Slvd., Mtka 55343,>-,, (Electrical Contractor or;Owner Making This Installatlon) .? Authorized Signature - ? ,-- -- : - ' c Phone No. (ElectricafLOntractor or Owner Making This Installatlon) ? 1? ?, ?(? ?6 ????1 ?I? •? This inspection request will not be accepted 6y the State Board unless proper inspection fee is enclosed'. iainnesoza aiaca ooara or n ec[nciry Griggs Midway Bldg. - Room N191 ? EB-00001.02 1827 University Ave., St. Paul, Minn. 55704 - phone 297-2111 ./ ? °• REQUEST FOR ELECTRICAL INSPECTION ?25674 CHIECK BELOW WORK COVERED BY THIS REOUEST Type o Building New Add. Rep. Check Appliances Wired Foc Check Equipment Wued Fot Home 313 C] ? Range 014000 Temporary Wuing ? +Duplex ? ? ? Water Heatei ? Lighting Fixtures $ Apt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Furnace &`Z*00 Silo Unloader ? Industrial Bidg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others? Heie Others? Here ' COMPUTE INSPECTION FEE BELOW Service Entcance Size: # Fee 1 1 Feeders& Subfeeders: # Fee Ci[cuits: # Fee 0 to 100 Am s. . 0 1 1 0 to 30 Am eres 0[0 30 Am eres 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Above 100 Amps. Above 100 Amps. Tra eis Remote Conuol Circ. Partial or other fee Sig Specia! Inspection Minimum fee $ 00 Rem k Jeff D. TOTAL FE -?f2 I, the Electrical Inspector, hereby cer ' t,ffi e itts ction has been ma? (Rough-in)_ .`'`'? Date (Final) Date lG-i o*-d'/ This request void 18 months from mmnesota State 13oartl of Electncity - Griggs Midway Bldg. - Room N191 ? 7821 University Ave., St. Paul, Minn. 55104 - Phone 297•2111 - :r REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW3h'OftiC'COVERED BY THIS REOUEST ?' EB-00001.02 z`?4 'T 2567, Type of Building New Add. Rep. Check Appliances Wued For ' Check Equipment Wired Fot Home 3M ? ? Range 'HER* ' Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryex ? Electric Heating ? Commercial Bldg. ? ? ? Fucnace n2*00 Silo Unloader ? Industria] Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ? Farm ? ? ? List List Other ? ? ? Others???. Hece ? XX4.() : Others? Here COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fee 1 1 Feeders&Subfeedecs: # Fee Ci[cuita: # Fce 0 to 100 Am .' 0 to 30 Am eres 0 to 30 Am eces 10 1 to 200 Amps. 31 to 100 Ampeces 31 to 100 Am eres Above 200_Amps: Above 100 Amps. Above 100 Amps. Tra s ers RemoteControlCirc. Partialoroiherfee Sig > Special Inspection Minimum f ee Rem k JEIpf D• TOTALF 00 I, the Electrical Inspector, heret ove i?ection has been m (Rough-in) Date (Final) s Date This request void 18 months from 6p ? This request void / FjQ /? ? lya,? 37 ?a r ' •?;,$ months from 24? ? Date of this Request 4±+27»1981 Fire No. T 25675 I, a= Licensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3811 I+4ttrel Court CityN? Section Township Range County . Dekota Which is occupied by Tollefeon (Name of Occupant) Is a roughin inspection required on this job? No ? Yes 55C Ready Now ? Will CalbdO Power Supplier Dakota Oty• Address Farmi?osk Electrical Contractor 0*11• 'Ph0mDeon Eleotric Oo• Contractor's License 449?02 (COmpany Name) Mailing Address 122at-.?Mtka Bivd., Mtka 55343, . ? f(Electrical Confractor,or Ownerr,Making This Installation) n ? . ;.- z._,., Authorized Signature - - '% Phone Nu (Electrical Controctor or Owner Making This Installation) ????j ? ????? This inspection request will not he accepted 6y the 4? State Board unless praper inspection fee is enclosed. ? gi,tf t.CatP' D? ? Cx??MIi.CI,? , . . ,,. . IDrpartmrnt nf Builbing 3nspertiun Thir Certi ficate dcrued pur.cuant to the reguirementr of 5ection 306 of the Uni form Building, .- ? Codc arrifying that at the time of irsuance thia rtructurr wdr in compliance with the variour :' - ordindnces o f the City regulating building conttruttion or ure. For the following: ,. UwClad6ratioa Of 4 PLEX BIdg.PermilNo. 6537 ?'- • ? O=wXY TYne R3'--Tyracmwcnm V FireZOna 3 Zoningbiamct' 93 Tollefaon Builders 13616 HoZ.voke 'La,..; ;Anple? _V? - Buddin6Addrost-'I••s. .bc? By August '1$; 198].` ` . . ,- &Wdm60ffldal 'D f9' ' . " . 11ate:' C70ti. . . " .. _ . ? . . . ,. ' .i, .. -. ., '?• wu - - - - - - urnoir+us.n. w.rdifirttfr of Orrupttnry Citp of tEagan igrpttrtmrnt af Builbing 3nsprrtimt Tbit Ccrtr ficate isiued pursuant to thc nquinmrnts of Seuion 306 of tlx U»i form Building Codc certi f yin$ that at thc timr of istawxc thit ctructurc wur in com pliance with thc vurioHr ordinanas o f tht City rrguGuing building tonnfrution or urr. Forlhc f ollouhng: , ,. - 1 of 4 PLEK 6536 Ua Chmtntim ?] Bldy Pomtit No. Ocap+ocyType RJ TyPComtwctioo v FueZOnn ? Zoni?Dutrici R? a„,w ,readWe Tollefson Bldrs. ,,,,.13816 Holyoke I,a., Apple V! ?-- By: D,u. SEptember 19.. 1981 ? ?@1 LIT'101N II.S.R. ., ,., '`? ?lf tp : ot ?agan. :.`+?r?ttrtmenf nf ?uil?ing Jn?prr?imi,, , , Thir Certi ficate irsued' purru4nt to the rrguirementr of 5ection 306 of tbe Uni form Building, Code certif ying thatat tbe time o f issuanct thir structure war in compliance with the variour ordinancer o f thr City regulating building conrtruction or u.ce. For tbe f ollo-wrng: uw cI,:orC.nOfl` 4 1 of 4 PLEX siag.eemdt No.. 6535 -Occopani.y Type .±R3. Typ Coaswction V Firc Zoa, 3 Zonm6 Dutrict R3 . ownex ofB„Ud;.8 ^1017 efson Mi.ra. naa.m 1,3816 HolyoukP 7;e. ??ApplP' VE euaamaAae.ar ' 38l ?" TanrP? Ct ' i=uty IAt 5v.: Block lr BdeI' 3?1 : . .. . . BWIdme0iT8r?il ? , . . .. Da?e:.•• rSUZUta M, .. 1981 . . . : . •. iwr iw ? mHintuavs iute . ... ' . . . ' 49l LITXOIN V.S.C. C?rrttfirttte af Orrupanry eirp ot (EAgart Drvttrfmrn# itf Vuiibiitct JiinVrrfimt This Certificate irtued pursuant to tht req:riremenu of Seuian 306 of the Uuiforne Building Code urti fying tbat at the time of itsuarue thit Jlruclure wut in compliancr with tbe variour ordinancrs of tbc City rtgulating building conttrnttion os urr. For thc folloudnK; uKc,azar,catio, 1 of !, PLEX 6534 p?} Bldg. Pemtit Na. O-P°"w3'TYPe---1--7ypeConswclion V FircZon 3 ZoNog Distnct- R3 Owner ofBuilding Tollefson Bldrs. Aaa«.13816 Holsoke La AAple euoa,es, 3811 Laurel Court Lot Alock 1 Briarhill ? by: a?aNeor?, g?_ p,,,; November 13, 1981 -! IN A CON911CUOU9 ` ?ITY[]?N u.5./?, . CITY OF EAGAN N0 ') S O Z 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ' ? IYl . - BUILD'ING PERMIT Receipt # CV4 "?' d' To be used for DECK Est. Value $1, 000 Date JITNE 19 ,19-9-0--- Site Address 3815 LAUREL CT Lot $ Block 1 Sec/Sub. BRIAR HILL 2ND OFFICE USE ONLY PdfCBI N0. Occupancy - FEES Zoning w Name DON KOEHLER (ActuaqConst _ BIdg.Permit 25.00 o Address 3815 LAUREL CT (nuowable) - S n .50 Clty EAGAN PhOft2 0 ot Srones urc arge ? plan Review LZ Length o Name 1'HIL SHEELEY Depih 12' snc ciry , 4 O Address 16045 JOPLIN AVE, #3 S.F.Total , - U SAQ MCWCC ? City LAKEVILLE phone 898-1050 S.F. Footprints _ Water Conn On Site Sewage - ? Name On Site well - water Meter lw z ? Address MWCC S stem Y - 0 aW City PhOnB City Water Accl. Deposit _ SNJ P rmit PRV Required e _ I hereby acknowlege that I have read Ihis application state that the Booster Pump - SNV Surcharge information is correct and e to comply with a p icabie Stat of Minnesota Statutes and rt of agan O dinance Treatment PI ? Signature of Perm APPROVALS Road Unit A Building Permil is issued to: ? Planner - park Ded. on the express condition that all work shall be done in acwrdance with all Council 1 00 applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. O(f. _ CoPies . Building Official _L 1.1K1LL.?dd,l?? Variance - TOTAL 26 . 50 , : BUILDIN??.+ PERMIT To be used for DECK CITY OF EAGAN N° _ 19326 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 PHONE:454-8100 Receipt # Est. Value $1, 000 Date JUNE 25 1991 Site Address 3811 LAUREL COURT Lot 6 Block 1 Sec/SubBRIAR HILL 2ND . OFFICE USE oNLY FdfC81 N0. Occupancy - FEES m Name STEVE KOZIOC Zoning (AcWal) Const Bldg Permit $ 25.00 W o Address 3811 LAUREL .^,T (Allowable) _ . - 50 City EAGAN Phone 6$$-2827 kotStories Surchar e _ 9 . Plan Review Length _ F Name DAVID FEIG Depth SAQ Cit = p° Address $17 E 51 ST S.F.Total - y ?~ Ci{?r MPI'S Phone 822-9221 S.F. Footprints _ SAC, MCWCC C W On Site Sewage ater onn oW Name S? 881-0701 On Site Well F w AddrBSS MWCCSystem - yJater Meter _ Qz a W City Phone ciry wacer Acct. Deposit _ PfiV Required _ S/W Permit I hereby acknowlege that I have e d this application and state that the Booster Pump - SMI Surcharge information is correct and agr t comply wi II licabie State of Minnesota SWtutes and City a an Ordinan Treatment PI Signature of Permitee ? APPROVALS Road Unit A euilding Permit is issued lo: DAVID FEIG Planner - pazk Ded. on the express condition,that all work shall be done in accordance with all Council 50 applicable State ol Minnesota Stalty s and City of Ea Q" Ordinances. Bld9. pry. Copies 26.00V 8uilding Oflicial Variance - TOTAL CITY OF EAGAN Np 15689 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE: 454- 8100 0 1 l?] ? BUILI?ING PERMIT Receipt # , ??? o To be used for DECK Est. Value $1, 000 Date FEB 4 . ? g 91 Site Address 3817 LAUREL CT 7 OFFICE USE ONLY Block 1 SeGSub. BRIAR H.. ND Lot P8fC21 N0. Occupancy _ FEES Zoning _ W Name M T LOPEZ (Actual) Const - Bldg. Permil 25.00 o Address 3817 LAIIREL CT (Allowable) _ Surchar e .50 City EAGAN Phone 452-3034 # oi siaries - g 19, Plan Review Lenglh o Name JOHN R ANTHOLZ Depth 1? sAC, cay , ?Q Address 3817 LAUREL CT S.F.Tolal - ? City EAGAN PhOne 452-3034 S.F. Footprints _ SAC,MCWCC Water Conn On Site Sewage _ ? W Name On Site Well - Water Meter W ~= AddfBSS MWCC S stem ??y Acct. Deposit aW City Phone City Water - SIW Permit PqV Required _ I hereby acknowlege thal I have read this application an sta e that the Boosler Pump - SNV Surcharga information is correct and to com ly th a ic e Stale of Minnesota Stalutes and.Et y o( n ce4 7reatmenl PI Signature of Permit ?? APPROV'4LS Road Unit JOHN R AN Z A Building Permit is iss ed to: Planner - Park Ded. on Ihe express condition that all work shall be done in accordance with all Council -- 50 applicabie State of Minnesota Statutes and City of Eagan Ordinances. Bidg. Olf. _ Copies . Building Official ?J.U? ?Z-? Variance - TOTAL 26.00 CITY OF EAGAN • ` 3795 Pilot Knob Raad Eagon, MN 55122 ' PHONE: 454-8700 BUILDING PERMIT APPLiCATION N° 6534 Receipt # ? 9?/ To 6e uced for 1 of 4 ple.x Est. Value 52rO00 Dcte -?- , 19$1_ Site Addres 3811 LaUY'el Ct. Erect ? Octupancy _ R3 lot 6 Block 1 Sec/Sub. Brl3['hill 2rid qiter ? Zoning R3 Repair ? Fire Zone 3 parcel # E l f Co t T V n orge ? ns . ype o - w Name TOlle fson B1dY3. Move ? # Stories 3 Address 13816 Holyoke LYi Demolish ? Front 44 ft. 0 Ci le Valle v Phone 45_4-6873 Grode p Depth 24 ft. ? Approvais Fees Za Name Sam ?? Address uti,...e Name _ Address I hereby acknowledge that 1 have read this application and state that the information is correct and cgree to comply with all applicable State of Minnesotn Statutes ond City of Eagan Ordinances. Sigrwture of Permittee A Building Permit is issued to: `1o11efSOri B1dY'S. all work sholl be done in accordante?yJith all applicable Stoty of Mini Woter & $ew. Police Fire Eng. Plnnner - Council _ Bldg. Off. _ APC Permit 143.JV Surctwrge 26.00 Plan check 71,75 snc 525.00 Water Conn.305.00 Water Meter 60. 00 Road Unit 185.00 Total 1 ? 316 . 25 on the express condition that Statutes and City of Eagan Ordinonces. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION N° 6535 Receipt # ?J-.7 g / To be u:ed for 1 of 4 plex Est. Volue 52,000 Date 3-19 , 198L Site Address 3813 Laurel Ct. Erect Eg Occupancy R3 Lot 5 Block 1 Sec/Sub. Brlarhill 2nd Alter ? Zoning R3 Porcel # Repair ? Fire Zone 3 Enlarge ? Type of Const. V 0: Name Tollefson BZCZYS. Move p .# STories 3 Address 138?-6 HOlyOke Lri. Demolish ? Front 44 ft. ° Ci A pple Valley Phone 454-6873 Grade ? Depth 24 tt. ce Approvals Fees Name 0 u sanie Address AssessmLDA _ ? Water & Sew. ~ Cit Phone u? Police Fw Name Fire Address Eng. L Ci Phone Planner - Council _ I hereby ackrwwledge that I have read this application and state that gldg. Off. - the information is Correct and agree to comply with cll appliceble State of Minnesota Statutes and City of Ecgan Ordinances. APC Signnture of Permittee A Building Permit is issued ta: _ all work shall be done in accordance Permit 114J.7V sUrcrarge 26.00 Plon check 71•75 5,,,C 525.00 Water Conn.305.00 Water Meter 60.00 Road Unit 185.00 Totol 11316.25 Tollefson Bldsrs. on the express condition that I applicable_S,tate gf MinnesoM,Statutes and City of Eogan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55722 N- 6 5 3 6 PHONE: 444-8100 - BUILDING PER'MIT APPLICATION Receipt # t??? I ? To be used for 1 of 4 plex Est. Value 52 rOOO Date 1-1 9 19iLL_ Site Address 3815 Laurel Ct. Erect ? Occupancy R3 Lot 8 Block 1 Set/Sub. BYiaYhlll 2rid Alter ? Zoning R3 Repair ? Fire Zone 3 Parcel .# E l f C t T V n arge ? ons . ype o W Name Tnl l pfR(m Rl drG _ Move ? # Stories Z 0 Address 13816 Holyoke Ld"i. Demolish ? Front 44 ft. Ci Phorre 454-6873 Grode ? Depth 24 ft. cc Name Approvals Feea 0 S?e Assess 7 ?Q Address F Cit Phone Water & Sew, u? Police ?w Name Fire Address Eng. aW Ci Phone Planner _ Countil _ I hereby acknowledge thot I have read this applicotion and state that gldg. Off. _ the information is correct and agree to comply with oll opplicable Stote of Minnesota Statutes ond City of Eagan Ordinances. APC Permit 143.50 Surcharge 26.00 Plan check 71.75 SAC 525.00 Water Conn. 305 _ 00 0 Water Meter 60.0 Rood Unit 185,00 Total 1 , 31ti,_75 Signature of Permittee 1 A Building Permit is issued to: TOllefsal B1dY'S. on the express condition that oll work shall be done in accardance with.kdi applicable_StotrAf Minnesota Statutes and City of Eagon Ordinances. Building Official CITY OF EAGAN ' 3795 Pilof Knob Raod Eagan, MN 55122 ? PHONE: 454-8700 BUILDING PERMIT APPLICATION N4 6537 Receipt # ? 4?y/ To be uaed for 1 of 4 plex Est. Value 52,000 Dote 3-19 , 19$]-_. Site Address 3817 LdLtY'21 Ct. Erect C3 Occuponcy R3 Lot 7 Block 1 Sec/Sub. BYlc'i.Y'h'LZl 2rid Alter ? Zoning R_?- Parcel # ce Nome Tnl l pfGnn Rl rlrq, W ? Address 13816 Holvoke I,Yl. _ o r__,_ .,_,,--- „ff. 1..11 ?o Name ? sc-m ?? Address ~ Ci Phone rce ,v„W Name F _? Address I hereby acknowledge thot I have read this application and state that the information is corred end agree to comply with all applicable State of Minnesoto Statutes and City of Eagnn Ordinunces. Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move ? .# Stories Demolish ? Front - 44 ft. Grade ? Depth 24 ft. Approvals Fees (1 AssessA&tl 9_16-2 Water & Sew. Police Fire Eng. Planner Council Bldg. Off. APC Permit 143.50 Surcharge 26.00 Plan check 71_ - 75 SAC 525.00 Water Conn. 305 - QQ_ Water Meter 60.00 Road Unit 185-00 5 Total 1F316 2 Signature of Permittee I A Building Permit is issued to: TO11efSOI1 BZdT'S. on the express condition that oll work shall be done in occordance_Avith all applLeable,5tcte of Mintiesota Statutes and City of Eagan Ordinnnces. Building Official CITY CF FAC`?Atd BUIIDING PERMIT ApPLICATION Zb He Used Fbr sit?Aaaress ??/i +++?./-H1?C'.?C ? .??HC.'./SUb.tn AiDt Se /51?57. Include 2 sets of plans, 1 site plan w/elevations 6 1 set of enez+gy calculations, ? /?-'?? ?r. ? 4?? - CF'FICE USE OIJLY - ErECL OCCUpdt'1f..?f - -7 Alter Zonirry m Repair Fire Zone Fnlaz'4e Zype of Const. move # Stories Parael ! :. / ,(,4 _.?/.??? • e174 Awner: Cit7'/Zip Oode: Phone #: Don _ ?ontractor?L? Addtess: City/ZiP Pham #: Arch. /bn. : Demolish Front ft. Grade Depth ft. AE'PROVAiB h F•? Assessments )Pesnut ? Water/Saaer Polioe Surcharye 2 h n" Plan Check ?? Fire SAr- ? v9 gn4• Water Conn. Planner Water hSeter (`.ouncil RC lmad Unit ??. Bldg. Off. 0%.? APC f.Citl+/Zip Cade: Phaie Y : C Zt7tAL ? l? i1_ SEDGWICK HEATING & AIR GONDITIONING CO. HEATING JOBNO. ?.F d`•? 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD ADDRESS 3? ?7 4Aurd cv".r ' CITY v OCCUPANT 7? ZB?fJ e 2 OWNER SOLD BY 1;n-• INSTALLED BY V4`7 ??`'? MAKE Le "„`i oX SERIAL NO. !!?: f7 MOOEL 7C7 f 6 a 6 THERMOSTAT_ VALVE LIMIT LIMIT SETTING FAN SETTING. PILOT TYPE _ ? IGNITION MODEL PILOTTIMING PRESSURE - 2 1{r PERCENT COZ -7 INPUT CFH - 16 PERCENT 02 STACK TEMP. PERCENT CO " ? VENT SIZE E OF LINER LIN SIZE F/ TERS: SIZE 2 Gx -z? NUMBER ' WIRING -5?;yoy TEST TAG f LIGHTING INST. DATETESTED 72` /a/ ~ 6 ? COMPANY TESTING NAME OF TESTER FORM 235 (FEV. 11/89) FORM OISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPV - GITV , ?. . _ _ . t i2ESIDENTIALBUILDINGs City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeUFteoair Reauiremenls 3 registered sfte surveys showing sq. ft of lot, sq, fl. of house; and all roofed areas 2 copies of plan showing foofings, beams, joists (20 % maximum lot coverage allowed) (?? ? 7 set ot Energy Calculations tor heated additions Z cop es of plan showing beam & window sizesj poured found design, etc.} ? V?- tsite survey for9ddiGons & decks 1 set ot Energy Calculations Addfion - indicate if on-sife septic system 3 copies of Tree P2servation Plan 'rf lot platted after 7l1/93 ? 11 Rim Joist Detail Optans selection sheet (buildiigs with 3 or less units)' 6 S E P?? '' Minnegasa mechanical ventilation fortn . 1?;)S C GN Offce Use Onlv Cert oF Suney Reod : Y :N Tree Pres Plan Recd Y N tree Pres Required Y_ N On site Septic Syslem _Y _ N Date 9 l Z O / 20o 7 Construction Cost Site Address j-a/I L. AG[,2EZ Cpu ,41_7- 6A6-AN "Al Unit/Ste # DescriptionoiWork f?Ci2IGl1E f?"i/L'p /2?PGi1LC DEClC .4ND 2A![-/it/Lr-S Multi-Family Bldg X, y_ N Fireplace(s) _ 0_ i _ 2 Property Owner t?? s 5Cc.. ?-r1;q?d,q? ?y2q ?ENT Telephone # ( ??3 ) 4&?/- 3717 7022 ?. ?'/SH cf16cE 9'?;40 /hr?ALE 4' .@CUE n/ Contractor 8E_1 EXTF G2 t no ?hir C-yR-P Address -fos? KcST 60-r?t 1--ET City MINIUckp(jLi$ State - M[PJAI? OM Zip 554(l Telephone# (6I1 ) 26I ' 67-q-3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 (J submission type) • Residential Ventilation Category 1 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 # ( 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. Apphcant's Printed Name Applicant's Signature uv i?vi rrauaa. a?a:+a+v ?. aiaav a?ii?•, ? ? Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ piex ? 04 02-plex 0 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration f? 34 Replacement D2SCflpt1011: Water Damage ? 13 16-plex ? 16 Fireplace ? 17 Garage $ 18 Deck ? 19 Lower Level ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screenlgazebo) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Att - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Yes Valuation 3, Dc:;,O'v" Plan Review 100% or Census Code 93 SAC Units # of Units # of Bldgs Type of Const u /3 _ Footings (new bldg) ?e Footings (deck) _ Footings (addition) Foundation Drain Tile Occupancy .1 RC= ! MCES System 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS _ Sheeaock FinaUC.O. Zo FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Roof _ Ice & Water _ Final _ Framing _ Fireplace R.I. _ Air Test _ Final _ Insulation ?j . Approved By: Building Inspector Base Fee ' Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & 5urcharge Treatment Plant License Search Copies Z s ? 07 05-plex ? 08 O6-plex ? 09 07-plex 0 10 08-plex ? 11 10-plex ? 12 12-plex Fe e Other Total l.;:.ii'C_ f I ? ? ? r 0 ? lo l(? ? 1 ? -- 1 i I L? • F. C. ?ACKSON ?.. ? ?(a n(? LAND SURVEYC7R J ?f ?`?.,nn 1VI,`? '?REGISTERED U LAWS OF 3TA7E OF MINNE?TA i Z 1 a 8D 9Y OROINANCfi OF CITY OP MfN?EAPOLI a?'?' l0 3??EA ?! Retr 55417 1\'?i??,., _343G I p? *urbepor'g Certificatc I 14b.-13 O ? 146.-13 ID'BId9. Offzet o 0 N N -7'1 " --' ? - - "14.00 ; 0 _? _ _ - a ro' a1dy. offs?c v; "---- o 0 9.17 O (5. , . c+ 21.66 21.66 N .0i3i O !_? O I ?. 1 N P N 44.00 i N N I G, ? --?? ? 0 U 1 . ?I ?_j j? CC ? J ?_?.. 1 - 13.11 30 J ? 7 3.1 7 o a 21.66 21.66 p a0 8 . 0 r io' BId9. ofFset 1 0' Utility t Draina9e ? _ - - -"' - ' 00010 ?Exia t ing Elev, ------ -- Drainage & ('til:i:y Easenr?;?t I HEREBY CERTIFY THAT THE '?" ( -Dzeinage ABOV E 18 A TRUE AND CORRE T PLA T A SU RVEY OF Propased Garage fl ,)U3: F.lev- 9o.00 Proposed Basemenk "s1?)-)r £1ov, 48.37 Proposeu Firsx fln or Eiev. 107,31 L3ts 5,6,i and S,Blx k 1,Briaz dill Znd, Additior?, DakoCa t;aunty,Hinnespta. i7 AS SUflvEYED BY ME THIS-_ t ,a. ,1DV_ k 1980 __.._._._._.__.._DAV i; Scale 1"-30' o pcnotes Iron • Denotes SPike SIGNED /_ / F. C. JACKSON. MiHNESO;A Recis-raArioN. No. 3600 , i? h- i2ESIDENTIALBUILDINGin City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Conshucdon Reauirements RemodeUReoair Reauirements 3 registered site surveys showing sq, ft. ot bt, sq. ft. of house; and all roofed areas 2 copies of plan showing fooGngs, beams, joists (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions 2coPLs of plari showing beam & window sizes; poured found design ??? t si? survey f r additions & decks 1 set of Energy Ca?ula6ons D I ? ' (;p?c? ? e ifon-sde sepfic system 3 copies of Tree Preservation Plan i11M platted after 711/93 I- ??-? E. u Rim Joist Detail Options selection shcet (buildings with 3 or less unil?? Minnegasco mechanical ventilation form L? ? SEP 2 2007 Oflice Use Oniv Cert o(SurveyRecd _Y N Tree Pres Plan Recd Y_ N. Tree PresRequired Y _N On-siteSepticSystem , _Y _N Date ?_ /„?p SiteAddress 3,ViS l ZGo 7 Construction Cost LH?.r& C -L Cfe-;- L flUnit/Ste # Description of Work ???7/? 1lF ffiti% 12EPL,4Ct 4EClG Multi-Family Bldg ? y _ n* Fireplace(s) _ 0 i 1 _ 2 Property Owner/C 7o2Z ?• f=iA'WixICtHL Flic-?y,6L?1E'%i/'t- Telephone # ( 74 3 ?7,7 7 F/5}f ?6- ) z) A1A-PLC CsAfJVE AAh7 S5311 Contractor Br=71 EXT _ RI()2 M 111 lJ T U F,P Address qqS? State ?u(INA(E KcSr W1-A 60-nt Z?72FF7- zip 5-All City miti(ile}-{JQLIS Telephone#(6I1 ) 20` 6ZW3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 (?I submission type) • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted !n 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 Contrqctor 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. Applicant's Printed Name Applicant's Signature LvlI va ry aua? ?vIr Al11AJ?xaI ? Sub Types ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweiiing ? 08 06-plex ? 18 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of T plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex la 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types 9 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant DescriptlOn: Water Damage Yes Valuation 10v 0, o 0 Occupancy 'T12 6 t MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width _ Footings (new bldg) Footings (deck) _ Footings (addirion) Foundation Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath ` Stone Lath _Brick Windows RetaininQ Wall REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other Approved By: Building Inspector Base Fee Surcharge Pian Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ?? ? _ : -,• N .. . _. . F. C. JACKSON 11.fVD 57JRVEYOR ? i REGt57ERe? IJND'eR LAWS OF STA7E OF MiNNEO?T,S I Scale n ? r ? 30 LlCENSEC HY OADINANCc CF GTY OP MRN EAPOLI$, / o pcnates fron i 8 ?., ?v •? / i I) • Denotcs SPike 616 EAST 55TH STREET ;, ? j ? ? ? l cn) ft)urbzpor'E? (Eertifitair I ? I- '° -- ° '13 "1 4.00 --- 0 ?° ? ? 0 6 o 9 r?o r p O ? o9n Q 21.66 . 21.66 N ? ; Ld 13.11 O 7 - , 4 d.oo 44.00 • ' Io' B Id9. Offset Q ? i ' o ;'?. ? $ -?' ? N O? ? o N ? N f ? ry p -1 ( Q ?.?,. 13.h p oi3.li 8 ? 30.DO ? r o 0 9.17 a 21.66 21.66 N 9.1-i , r ?o' eidy. off5et , ; 10 Utility t D raina9e Ln 000,0 E,cigcing hlev. Jrainvke ir_ f. y ia<;<:T.- s ? l'1 L y? i.):AE.;lR4..e I?ry ?? I N EREBY CERTIFY THA7 THE ABOVE IS A TRU ? E AND CORRE T PLA'7 A SURVEY OP C ?-b? Praposed carag4! r)u Propised Hasernent t, i0_,>- iil av. 98..>; 1'YL''(?. FIZSL f1..0.."tS iJ.'u'V. JQ7.3r Lats 516,,' and d,Block 1,6riar N.ill 2nd. Addidiori, t?k^.ta (_,,.:n[; ,Minnes?te. ±7t5. Nov. ?. ? l''.5 SVRVEYEO BY ME THIS---__._..___DAY . 5!GNEO- F. C. JACK50N. MINNE907A RacIs-rRAvIoN. tao. 3600 L ' Talrafsah Suildere Ine. Ur.11203 ? 1d3-10 F. C. JAC KS D N ° LAND SURVEYOR Rt016T6R6D UNDER LAWB OF 6TATE OF MINN TA SCaIC I r' 3O? LICtNYlD BY ORDINANCt OF C1Ty Or Yi7?A tArou o DcnOtGS irOP1 • Denotes S ike 361e Ensr sarm STREET 55417 ? -34d4 P ? 8anc?por'g QLetttificatc I I i`'-- I46.73 --"? --- "14.00 i ; i ' ?.--- o o' eld9. ofssec ? O vi 0 ? ? -YZ? 13.110 9.17 N 21.66 21.66 LLI . ? N 1 N Q N I ? -- 146.13 -- ' -14.00 -- 44.00 44.00 ? i 10'81dy.OfFset o ? o $ f? i N ?00 P N N tV ?y,?.? O YL-L 1 .I II ? 13. n v 9 11 $ ? 30.00 ? 7 0 ? 21.66 21.56 0? ?t 9.17 N N ?'r f0' BId9. Offset ? 10? Utility t Oraina9e Ln 4f /bo.o Easement --?_ _ - - ' i??- -- ?' -- 4.35 - - ? ,??,o J ? 14?1.38 I I ? 000.0 =Exiating Elev. =Drainage & U[ility Easement Draioage 1 NEREYY CBRTIFY TMAT TNL ABOV6 IB A TRUE AND pqRR[ T PLA A SURYQY OF ? Propaaed Gzrage floor Blev. 98.00 Propared Basement floor Elev, 98.37 'Propoaed Firat floor Elev. 101.31 Lote 5,6,7 aad S,Block 1,Briar Hill 2nd. Addi[ion, 13akata County,Minnesota. ws sunverEO er ME THIS 17«. DAV OP Nav. „ p k 1980 F. C. JS?CKSON, MIwwpqrA RtaIsTRwT1oN. No. 3600 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION ?G • S? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 655,35 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when pemuts aze required for each unit Date:Z/41 / Z9 4-1 Site Address Unit # Property Owner Telephone #(lp?l Contractor .,_.?'",^n*!1 H!!A?'!%WG & AIR CONDITEC.".". Street Address C2 i 0!' /?rt,!"C? til AVa. dc. City PRinnespafis, PJfN 55420 5tate ra5?? 681_900 n Zip Telephone #( ) Bond #• Expires: The Applicant is _ Owner v Contractor ? Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional ? Replacemen?>L??? air exchanger iz air conditioner _New ? Replacement ? I /Z.V other - , t S h St $ •50 a e urc arge ? ?.,. y Total ki \ r ?N . $ V rV/`? 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 pernut, but only an application for a pemut, and work is not to start without a permit; that the work will be in accardance with the approved plan in the case of work which requires a review and approval of plans. . 90M MG. & AM ,AnI9? , Applicant's Printed Name Applicant's Signature ? . ??.7?7? .y{???..? xpa ySro• nr,rt 4.;:_.: ?:.;?qt«?'.'?ys w?p T 4fl•r r f vw ? #A 'W- ; ? s . /'Y ? ' 0' . /(??' . ?' M wy ?• +4- ? ??` r?'?? 4 T ?a? ? a • - ? . ' ).` <- ? ?°? ?it?r33N??j' ? : ?'?p ,r ? ? e i„ y? ? ? . ?i f? @ ? r ! ? . ? i ?Y ? Nr oTr' ,..Y? ? . } y yY4 ° 4 ::: ? , ?.. ; ?? f ?. F'•7 ; ,/? r/,. ` e. :.? ? .?si1y? F '?f ?'p?r,?aC r ° 5'a? IRA •, * 7t1 r'4Y '? ?C . +.' i ?\. ?'?y ??'rj?. ? ? .: j?..q(??Ff?j? A??f„r/ J'< a -•? ? i? ., ?j?t ?? i : x k .. ? -,. . ... . .F . _ .'.' . , ? ? i..J? ?VS1??? ? Y^ /?r1 r-? ? ?, ?. . . ' Li . _.l? : •, '• -:. i,?` ? . ?...r1L M, lc?o? EO?n. ona ? ?h 4' r -y'JB7 e, n , F S 'p ., `C?:JfTT` F'I•.AIf i'I1tIE? u ;`? ?; • ? . .. . • '. f jd .,3 t . nr.n?rs? ni o U, 3IF C ? ?7 r-??_..;??;r•? ? .0 . ' `, ; -;- !ta i ? . L.^R72t.C:; r7LTrt:Oo ; r:t ----z?,e? =-u? ce..??er.?.•r,: r.cz ? . , F„? ? ?• . . : ' . ' 1 ;? •? ., 3 ? ' .". . . , . . . . . f ? ^^ ? f 0? L'.l?l'?r ? ?1A.Y,4,. I 3 ?' L• C? y ? ' ( /? ?? l.?'n L?',i0i7?D (!:t?T? , 1 ^:.ni ? . lJl U?O ?-::! ?s? l.'l..'??I ) L [`?.1 ' -? f'? r ? . ' . ., r . TM ` 4'. ?'z l ' . . . . ? . " . , 't''i Pi: c a SF m 6 a.Yi- ? , iOTAL 3qa F'le C7 r l,c p. .9 ? . .. iYpnUY;o W00t, Ile ' r)13 Cn Ir;:GLATIC7 f"^ <,. i tMfT .'V:V,n ?? rT ??y t7 r?tfTaC? - . ? .. TI`?:1T._41.?017 PT7 L`7-TV7o 17, ?'ti?? ? • . ??CTE . tfA M!'i 2 1 ? , r .i'ZPI3 GT ?L?JL,^_iif)." ??T -,tpp_r,,^ _ • • - . trA rrr , . Jr' 'VA Fim LI7 E'ZPaSr; !!A?T.`l d??Ont' (l^.1T^ r r? ?'lJR \:-T3 ? IIF7r??I CD' 2? rO;l ? ?. . : ? ' .. ?.. .,? . . -'.?: ' .. ? F ) ? ?t 'f . . t?. . " :: 1 y?, ?.i. . ?? ' •1 ' . ' . ' .?7: t fi, , H . . .. . . . ? R. s .'?? i ? ` ? . • ? +' 4,t4? 7 ? • ? .. , r ? ,. ... _.... ?._............_..__. ._.. _ ?.... "' ... ,. a :,.'.:? ....._. ?_ ?.r?y., .. :__ ._ . ..---'_ : _... - -._. ... _ .._. ..._ . .' . ---.. ._... : ? . _ ...._ , _ . _.,...... ._ _... .. .., - . r- + . .. .. _... _. ? I 1991 BUILDING PE A PLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT 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 ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MtJST SHOW A LICENSED PLUMSER. To Be Used For: gzztet'l, C_ Valuation Site Address ?Ty/?/,Ltl l CZ F Lot I Block J_ Parcel/Sub owner ? Address City/Zip Code ZwC-?.0 , Phone " 3 Contractor b .cJ NT,?f6C Z Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # 1< ?/ qJ 13e7n ? Date: OFFICE USE ONLY FEES Occupancy Bldg. Permit Z S, 6-0 Zoning 5urcharge ,SZ? Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment Pl. On site well Road Unit MWCC System Park Ded. _ City water _ Trail Ded. PRV _ Copies 5 ? Booster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Ghange Council TOTAL Bldg. Off. Variance i / l? agrees that all work shall be done in accordance with (Si nature o Co ractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ILDI IT APPLICATION • ` 913 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 ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS YENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL SE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMTT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBElt. To Be Used For: ??? Valuation: Date: Site Address Lot ? Block ? Parcel/Sub Owne r 5ZIE2P /-/ D Uo? Addre s s 3{u/ City/Zip Code Phone 6 i?'+,f Contractor 4y///n I" ICIZ;- Address _ S?j 7,6: S-? sjK City/Zip Code ,? •4-xN Phone ?"? r?L 9a7-.2.! &s / dd7? i Arch./Engr. OFFICE USE ONLY FEES Occupancy Bldg. Permit 2S Zoning Surcharge $'e+ Actual Const Plan Review Allowable SAC, City # of stories SAC, MWCC Length Water Conn. Depth Water Meter S.F. Total Acct. Deposit Footprint S.F. S/w Permit S/W Surcharge On site sewage_ Treatment Pl. On site well Road Unit MWCC System _ Park Ded. City water Trail Ded. _ PRV _ Copies L gooster Pump _ SUBTOTAL APPROVALS Penalty Planner Lot Change Council TOTAL 20-00 Bldg. Off. Variance Address City/Zip Code Phone # (Signature of Contr agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. • ' • r``:? 1990 BDILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 6 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS 6?? ? 4 new COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHZCH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: l, 6/(_aluation Site Address 3-:315 LQ(Am ?*• r Lot ? Block I_ Parcel/Sub ? Nis)) x , Al ?Qi, lA(l, Owner Addre? City/'? Phone Contractor f ? ???ei(a Address 1\p(/ ? City/Zip Code Itle-,r35044 Phone q `1 p - { 05V Arch./Engr. Address City/Zip Code lDOd Date: OFFICE USE ONLY I FEES lOccupancy I Zoning 'Actual Const Bldg. Permit Allowable Surcharge # of stories Plan Review Length )ML SAC, City Depth IZ SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ S/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV Park Ded. Booster Pwnp _ Copies J. ?7 SUBTOTAL APPROVALS Penalty Planner TOTAL Council Bldg. Off. JaCi1S Variance Phone # h to ? ? r ToT \?J ?. L°T . i'?IGE TR+4?'? ' fvt- - L q lI?k ? r ---- ----- '?_._ . 1? - , ; i ` ? i • I l ?.Na.,. w , - _ __ __._ - - :--- ?? ?? • ERls7 DEcIK ?L?:i; zs L.uo- 0 ?_ -___ -' '" -? -N??"`•`A >r.0. ` 3? _+C?I _ikz'tt h% ? . s,; x;2 ? ? 24 - -? ?? `- ;Zf GO 1 - ?- -----? ? ? i ? ??n?•rr `? ? '? ? h?l . 1 - . ; t ? ?? ? " ?\ ? ?iL• ' : ? 52 ? 571 ". ; ?JI ?. q ' + f -?- it) ? In x, \_' •(1'??Q _ ?r'f , ? I Ir ??1 , . =? 1? ' ' G, `" ? ? ?7.! Call &-c-_ I For Office Use r Permit f City of Eapn I I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: AUG a9 62009- Phone: (651) 675-5675 I I Fax: (651) 675-5694 i Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Ca~cl"1 Date: Site Address: ) I L q (2 y Q I - a L'1 9 / U 2P~ ' ~~d- Tenant: CJI ,k Suite RESIDENT I OWNER Name: (y1Ar5X e4- 4V-J Y1 Phone: Address / City / Zip: ~~q t 1-41 1 Applicant is: Owner __y Contractor P fj /Jt7/?Mv ` ris tR. 0 3A TYPE OF WORK Description of work: -~ckr yY 1~~ /hx ~C C, e- 5 ~e 4 u Construction Cost: to S'N Multi-Family Building: (Yes / No CONTRACTOR Name: f A - /'t✓oAk(4 License G2 Address: / /L-,. City: State: (M Zip: S Q Z- Phone: Contact Person: G,- 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. 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 ac rdan with the approved plan in the case of work which requires a review and approval Tans. X x Applicant's Printed m Applica is Signature Page 1 of 3 PkX_ (A j DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) - Storm Damage ` Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Single Family) lti _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) 01Muof _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding Demolish Building* _ Addition M ve 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 as Valuation Occupancy GIG 1 MCES System Plan Review Code Edition GPI ? SAC Units (259/6 100% ) Zoning ~,(7 City Water Census Code` Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee ~G Surcharge Plan Review 3© MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 6128616267 09/16/2009 09:32 6128616267 BEI EXTERIOR MAINT PAGE 01 a U G A4t--t _ bFf•' ! GE Lc1 Permit I City of Lap C0-:5r 'go f V tr I Permit Fee: I 1 1 I 3830 Pilot Knob Road t A Gt+ Date p,~ IN Received. V 1 1 Eagan MN 55122 I Phone: (651) 673-5675 ~^ai I I 1 ~I Q 1~ ~ ~ 0`U I Staff; I Fax: (661) 675-6694 1 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Bate: _ 1L I6 /Q Site Address: ~lI ? L u L "emu2T- Tenant: suite RESIDENT 1 OWNER Name_ `!o 4_$Sce. iv.o^ c~3HL /~~-r~rT Phone: Address I City 1 Zip: J~A_7,2 4as7p !l1A ~ ' Applicant is. Owner Contractor TYPE OF WORK Description of work: Construction Cost: 1 kovU c 6 f100 Caul) Multi-Family Building' (Yes x I No T~ CONTRACTOR Name: E l 6_; TTM- i oP_ A-r rl + . "Jz p- License Z92 2 X172 Address: US _ L24 h City: r/✓N4~3 State: Zip: S5"/ Phone: 612- - z Contact Person: ZDAV/0 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minn eso a Rules 7670 Category 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category I Worksheet ~ Now Energy Code Worksheet Category Submitted Submitted (4 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: gr the lnforma>fon rine a cansid6ned'ib be p~tttlfc iriarlhtrorr Porr~s ti ltithe I aryls! sl0r beoil~il7 dlassrf docui6dmasent non- that public you submit ff you provici6 specrfrc. rei)sona` It}~st Woutd perrnlt ho tifl 'con6luda that they I hereby acxnowledge 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; t t the work will be In accordance with the approved plan in the case of work which requires a review and approval ns. x11 i S /`i~ u7Z Scy/yr~7 Y 9`~ Applicant's Printed Name pplicant's Signatures Page 1 of 3 joa~6~'3 Use BLUE or BLACK Ink I For Office Us City Olf Eap Permit 3830 Pilot Knob Road I Permit Fee: (9 Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4 Z2 10 Site Address: JAS//- -3813 gol,~ Tenant: cc Suite RESIDENT / OWNER Name: /o IVSSOG• /-iN.¢NG+ A-L- /M &M % Phone: Address/City/Zip: 7Zdo F. F151-1 Lk ("fD MR-PLF Geog MN SS311 Applicant is: Owner X Contractor TYPE OF WORK Description ofwork: 17-6446VE A/t!D IZ0-9&14GE Construction Cost: 0000 Multi-Family Building: (Yes X / No ) CONTRACTOR Name: E/ 7csa/Z ~1/~/NT COe~ License Address: ©s ~Q sT/ZE~7 City: VA/,-i06', S State: Zip: 6J $t{ l g Phone: f - ~lv - r'o o? if Contact: 1 11) Email: _In o a 6etywl "M 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 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. 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.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permk, and work is not to start without a permit; that the work will be in accordance with the approved plan ' the case of work which requires a review and approval of plans. X lEfiZt S r4niyE z~ , Applicant's Printed Name Applicants Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation i Fireplace _ Porch (3-Season) _ Storm Damage _ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex Lower Level _ Pool _ Miscellaneous 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 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%--) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: - Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 AY" Rind _ PERMIT N@.: Sl t *AAYE r , Li6ni±w:•_._..- ~llef~or~ "eii i~ ers A 5~►.watdrwes; 35 P t l Laurel CQart 16 B l Briar 0111 11 elliz Evan Mom No.; Size: Acco"t DspOs*- Reodtlx N©. Mrtnit Faq; Ia.-Or pc~ to* or Of soon swdwooc. 'd Total: By Dote , Maid: Dots of lr~sp.: 40 PERMIT NO.. DATA::' zowtv No. 9f urdt;: A&keft r - 7 / - Piwrnber. via *4 cmmdia, 0, ~DePesft: a Pem* he: 7 } SurdmpW. Tofof: fry. Doh Poid: Use BLUE or BLACK Ink • For Office Use t W qty of Eap ~ P'm'it v: ~a .~s 3630 Pilot Knob Road Eagan MN 66122 j Date Received: 10 1 j Phone: (651) 6754675 I I Fax: (651) 675.6684 1 S'tat . 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~orr lv / Site Address: 357/r 3 Si3, 3 brrs-~ 3 g, 7 ' G~ ~E G unit at<: Name: ~1o A C T 14 04 At i4 G E All Z y -7- TA) C Phone: -743 9770 RtaWti btQ~ljlBt • Address / City / Zip: V SD ID Z. C- 64. I-O R 191/ A~ Applicant is: Owner Cvntmcbor TYi~e. ' i> c Description of work: T £A4 ©r-1- a Q E kro F Construcdon Cost 0 - 9 Muid-Family Building: (Yes X' / No Compeny:.U- i 4.7-"'0X 6112-P Contact- -brAv/ 4 VS- k 1:5 s Address: //0- bO S~ . City: M104 State: /)~Arj Zip; Phone: 1Oiz &ZY3 License 4: 49 C A yl 3/ Lead Certificate A If the project is exempt from lead Certification, please explain why: (see page 3 for additional information) I-s Q. Ear-- 2,11v- Pos: /Q7 P COMPLETE THIS AREA ONLY IF CONSTRUCTING A N ]JUIL_ In the last 12 months, has the City of Eagan Issued a permit for a sbnllar plain based on a m"ter plan? _Yes _No If yes, date and address of master plan: Licensed Plumber. Phone: Mechanical ContracWr. Phone• Sswsr & Water Contractor- Phone: -WL MXV 4. C BEFORE YOU DG. Cali gopher Stow One call at (651) 4546-0002 for protection against underground utility damage. Call 48 hours Lire you Intend to dig to mo" locates of underground utilities. w-ggp tst onecall.om I heemby acknowledge that this iftm adcn is complete and accurate, that the work will be in conformance with the ordinances and codes of tree city of Eagan: that I understand this is not a 00mlft, but only an appilmoon for a permit, and work Is not to start without a permit that the worts wiU be ;n a---da- with the approved plan in tho cage of work whicn narqulrq a naviOw and approval of plans. Exterior work au#wrbwd by a building permit issued In accordalnco with the Mrvresota Stabs SWIG l days of permit issuance Code must be wmpfeted within 180 x UAv1>, ~~tzizls AppllcartCs Prinbad Name x 6,3- Applicartro Signature Page 1 of 3 £0/T0 39Cd 1NItVW 1X3 139 L9Z9T98ZT9 TT:bT £TOZ/90/TT �City 0IEeQan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 FI? �• '-9 3,-`7-/�/ Use BLUE or BLACK Ink For Office Use Permit* 1 a 1 �' Permit Fee: •L7(1 u Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION J • / 3V/, 3$ ?)5; 3*'/7 "Au/2£L Z`. Unit 0: Resident! Owner . C/e 46 A "1,3 419104 £1.3- w C- Phone: 7/03 - s'93- 977 Name: y /�•�) \p� p E;,; 14) -Ll £ Address / City / Zip: 8Sa Q £ C 01-7"u 2 A✓, A.) ) fi Applicant is: Owner KContractor SS" VI 7 ' Type of:IVork Description of work: IZ£moouf_ e- R£Pl. r>-(.. I.-6/ •.)1c a F -4 -s( -1a /9 £:4L Construction Cost / 4 iicst3, Cly Multi -Family Building: (Yes is / No ___) Contractor Company: a £ 1 Z C r sei r, 2 /Atli 1./.7- . 21,12P- Contact b411, 6 43,/2-.2i S Address: 4/P -3" L 3 lob J7 City: m Pt S State: 1713 Zip: SS'gi 9. Phone: to/ I' S do / -' 2 473 License #: 41 C- 2 Y/ / 3 % Lead Certificate #: If the project is exempt l,LACDS- from lead certification, please explain why: (see Page 3 for additional information) Sim/e,,- Pos'7" /5'7Y. In the last 12 months, If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE Plans and awaiting documents thatyou submlt consud ;ta ..ptbl ,l < nsof the.nnfor►nation. may be class0das'non- ilk if you prSSCd,�9.ersspeck ns4 ' - p*fi the i tlr to 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.000herstateonecall.oro 1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in 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 BuildinLCode must be completed within 180 days of permit issuance. x r4✓' /ci/2J2/5 Applicants Printed Name x Applicants Signature / 3 cn: Page 1 of 3 Use BLUE or BLACK Ink r -+ For Office Use Permit / ( f 39g/ mss City Of ^aaan Permit Fee: 1 •J 3830 Pilot Knob Road &_ -}._-/7 Eagan MN 55122 RECEIVED Date Received: Phone: (651)675-5675 Fax: (651)675-5694 APR 3 0 2017 Staff: .V 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0/2-147.6 -Site Address: S/A tnrG( Gf• Canc.-it MA, Unit#: I ' I Name: 16ry ar +li 1'1 44 144.- &7, -' c0 fectz'o-1 Phone:Cl S.a-G(SG - 6 511 Resident/ , 2,13 , 3$15-1 -31.11 s Owner I Address/City/Zip: 3111 ' £4 4 -(t c•F- /&u 7) / "$ (.-3 1 ; f B ___ ,,,,.„ , __,,i Applicant is Owner K Contractor Description of work: &vtCre-f--f-- 114.1k4/. r- , Type of Work Construction Cost:0 1"'ILI v LI 51-0 K.- .PMulti-Family Building:(Yes /No ) 1 Company: —770 S tk,( 74-144e-r;Cti. Contact: Kyk., 0 orf)40 1,011 Contractor I Address: Iia li A.c.4.4. t�a.(te7 61%.. . City: .. t G?rou�,14 el?*htS State:/KA/ ZipO/}I49- Phone: /5".2-f S`(7 Email: k.Prnl e & ,6cce 4 t 1er.c ..co.., 1 License# „/ Lead Certificate# If the project is exempt from lead certification, please explain why: I MA , COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 1 i 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: i 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 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.gopherstateonecali.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 offj permit issuance. x n` k OMl/tovti x "9,0 .------- --- Appiica Vs Printed Name Appli is Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE ��ee I L 3g1 SUBTYPES 3S - I �j-I ' ` /7 L4 CY--. 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 'O Replace _ Repair Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION �( Valuation 129 DB4. T Occupancy vC -1 MCES System Plan Review Code Edition 'Zo/5- SAC Units (25% ‘14 100%_) Zoning D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V/`1, Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) 7 Final/ No C.O. Required r 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: , Building Inspector RESIDENTIAL FEES C r� e 5 6#.->i D ;21,9 r Base Fee Surcharge Plan Review MCES SAC City SAC R5ic2 ( 1 Fee_ [Le �rev Utility Connection Charge S&W Permit& Surcharge r /e.� Treatment Plant - #47 Z-r74:. Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA161505 Date Issued:05/29/2020 Permit Category:ePermit Site Address: 3811 Laurel Ct Lot:6 Block: 01 Addition: Briar Hill 2nd PID:10-14991-01-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Margaret A Kinney 3811 Laurel Ct Eagan MN 55122 (651) 686-8912 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature