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3826 Laurel CtCITY OF EAGAN Remarks Additiori Bxiar-Hil-1 Addition Loc 18 Blk L Parcel??.Q 1.G9.S,?? Igp 0?? Owner4iy-21/j ?i?''L"L Street 3826 Lat171i?1 Coux't State Eag211, 1?f 55122 Improvement Date Amount Annual Vears Payment Receipt Date STREET SURF. 1971 g1d under arcel 10 0 000 O LO 25 STREET RESTOR. 1975 61.62 6.16 10 18.50 A010325 6-26-81 GRADING - , 1982 123.04 24.61 5 123.04 C007244 9-14-81 S reet Surf 0fP 1982 600.76 120.15 5 600.76 C007244 9-14-81 SAN SEW TRUNK Z 1968 34.49 1.15 30 18.53 A010325 6-26-81 ** SEWERLATERAL K 1970 97.38 4.87 20 39.06 A010325 6-26-81 ** water lat stm trk 1970 20 WATERMAIN * WATERLATERAL /T 1971 28.22 1.41 20 12.7 1 A010325 6- 6-8 VVATER AREA S 1977 52.14 3.48 15 34.79 A010325 6-2681 *** S W Lat Stm L 5' 1982 1431.44 186.29 5 1431.44 C007244 9-14-81 S7pFMSEW TRK 1971 251.34 12.57 20 113.18 A010325 6-26-81 * STORM SEW LAT 1971 20 Storm Sew Trk 1982 402.73 80.55 5 402.73 C007244 -- CURB & GUTTER SIDEWALK STREETti$tiT 1009 1986 153.70 15.37 10 530 C- 62?-I5` /U-/? ? Road Un' VVATER CONN, n n BUILDING PER. rga it It SAC n v PARK 250.00 18599 4118/80 - CITY OF EAGAN Remarks Addition?? Rriar H111 Addition Lot 20 Blk 1 Parcei_k1.0?41p_2.p.p_p.1 Owner_11L(.TJ'rl/ streec 3828 LauTel COUrt scate Eagaa, hIN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 1971 P ld U STREETRESTOR. g' i9'J$ 61.62 6.16 10 18.50 A010598 9-24=81 GRADING 1982 123.04 24.61 5 123.04 C007265 9-21-81 8 600.76 120.15 5 600.76 C007265 9-21-81 SANSEW TRUNK 1968 34.49 1.15 30 18.53 A010598 9-24-81 ** SEWERLATERAL 1970 97.38 4.87 20 39.06 A010598 9-24-81 ** water lat $ stm trk 1970 20 WATERMAIN * WATERLATERAL IA7 1971 28.22 1.41 20 12.71 A010598 9-24-81 WATER AfiEA ?Td 1977 52.14 3.48 15 34.79 A010598 9-24-81 *** ' 1431.44 286.29 5 1431.44 C007265 9-21-81 STORMSEW TRK 14,5 1971 251.34 12.57 20 113.18 A010598 9-24-81 * STORM SEW LAT 1971 ZQ 1982 402.73 80.55 5 402.73 C007265 9-21-81 CURB & GUTTER SIDEWALK STREET-646+4.L 1009 1986 153.70 15.37 10 .°76 0-10ya 10-12-fs- Road U it WATER CONN. S 0 , 00 it SUILDING PER, 5997 It snc 525.00 " " PARK 250.00 18599 $0 CITY OF EAGAN Remarks Addition Rri ar Hi 11 Addi Y_i ntl Lot 17 elk 1 Parcel #10 14990 170 Ol Owner Kii•?l 1?. Clio,?t gtreet 3830 Laurel Court stete Eagan, MIId 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STFEET RESTOR. /dfD GRADING - 1982 123.04 - 24.61 5 123.04 C007242 ' 9-14-81 Street Surf 1982 600.76 - 120.15 5 600.76 C007242 9-14-81 SAN SEW TRUNK e 1968 34 - 4q I - 1 -1; s n .3 45. A010186 5-19-81 ** SEWERIATERAL Q(? *,t WATERMAIN +t WATEfi LATERAL WATER AREA ? *** S W Lat Stm L 5? 1982 1431.44 286.29 5 1431.44 C007242 9-14-81 ' STORM SEW TRK 31 ?g * STORMSEW LAT 197 Storm Sew Trk 1982 402.73 80.55 5 402.73 C007242 9-14-81 CURB & GUTTER SIDEWALK STREETt? 1009 1986 153.70 15.37 10 Road Unit 185.00 20114 7 2 80 WATER CONN. 305.00 ie r BUILDING PER, n n SAC ?? i PARK Z$O OO 18599 4/18/80 CITY OF EAGAN Remarks Addition Sriar Hill Addition Lot 19 eik 1 Parcel #t0 74990 190 01 oW„8r Ku1 h, ?: ? fr Street 3832 Laurel Court stete Eagan, MW 55122 Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF. ? 9- STREETRESTOR. a/ 1975 61-67 6-16 10 1$.5U A009794 12 22 80 GRADING ?' 1982 123.04 24.61 5 123.0 C 7 -- Street Surf ,p 1982 600.76 120.15 5 60 . C007233 -- SAN SEW TRUNK 18.53 A009794 12 22 80 ** SEWERLATEFiAL 39.06 A009794 IZ 22 80 ** W WATERMAIN * WATER LATERAL 107 1971 28.92 1.41 90 12.71 A009794 12 22 HO WATER AREA 35 34.79 A009744 1? 22 80 *** S/W Lat Stm L ? 1982 1431.44 286.29 5 1431.44 C007233 -- STORMSEW TRK ZZ5 971 251.34 1 -2 - 57 113.18 A009894 12 22 80 * STORM SEW LAT 1971 2 Storm Sew Trk 1982 402.73 .55 9-14-81 CURB & GUTTER SIDEWAIK STREETtt0H'T- 1009 1986 153.70 15.37 10 - Road Unit 185 00 2011 7124/80 WATER CONN. BUILDING PER. SAC PARK 250.00 18599 4 18 80 CASH RECE(FT - CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 r+ecerveo FROM AMOUNT $ I & DOLLARS ,oa ? CASH 0 CHECK FOR ` CASH RECOPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RriCEi V ED 19 AMOUNT $ I & OOLLARS Ioa ? CASH FICHECK POR White-Payers Capy Yellow-Poatinp Copy Pink-File Cqpy Thank You ? BY ? ?. CASH RECEfPT - CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE weceiveo 19 AMOUNT $ I h DOLLAR$ [D CASH F? CHECK 1 oo Thank You C>? o- . BY White-Payers Copy Yellow-Posting Copy Pink-File Copy CASH RECEIPT- CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 RECEIVED FROM DATE AMOUNT $ 19 DOLLARS ioo ? CASH ? CHECK FOR White-PaYers Copy Vellow-Posting Copy Pink-File Copy Thank You ? ???_ BY BUILDIl?!'C PERMIT . CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PMONE: 4548100 SiteAddresi 3832 I.AITREL COURT Lot _19 Blxk Ol Sec/sub. RRIAR HILL ADDN. Parcel No. 10 14990 190 Ol W Nan,e RICHARD J. REATTY ? a,ddres, 3832 I.AUREL CT. City F-AGAN - Phone 452-5774 Name nWP'ER ---- --- ---- Address Phone Name Address City Phone I hercby ocknowledpa thot I hove reod this opplicotion and stote thaf the intormation is correct ond ogree to comply with cll applicable Sfats of Minnesota Stofutes ond City of Eagan Ordinanus. Sipnature of Permittee - A Building Permit is issued to: alt work aholl be dons in occo Buildirq Offtciol ?a yd Erect ? Occupancy R-3 Remodel ? Zoning R-1 Repair ? Type of Const. V Enlarge ? No. Stories Move ? Length Demolish ? Depth Grade ? Sq. Ft. Appro vols Fns Assessment Wnter 3 Sew. Police Firo Enp. Plonner Council Bldg. Off. APC Var. Date Permit ZU. SU Surchorpe 1.00 Plan check SAC Water Conn. Water AAeter Road Unit Parks Total S 21.50 on the sxprcss conditbn that Iappliccble Stote of Minnewta Statutes ond City of Eayan Ordinoncet. ? Permit No. Permk Holdsr Dato Plumbinq (c H. V A.C. Electric Sohener inspsMion Date Insp. Other Footinyc Foundation Freming Rouph Plbp. ` Rough HVAC ? Inwbtioo Fiml Plbp. fl1H4VAC Wauf DescriM Loeation: Nkll Sewer • Pr. Disp. Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN _ Fee FiU in numbered spaces S/C Type or Print /egibly Tot. ? 1. Date 2. Installation Cost 3. Job Address _V'. ? ?'?/: rc JZot?Blk. ? Traci 4. Owner e ;, i,2ri' i > ? ?y - ( - _ c- " 5. Contractor •, "- , F Phone 6. Address 4,0 1 r 7. City State Zip 8. Building Type: Residential R Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter 15J Repair ? I 10. Describe /? •?O FiYT?t<<, ,- ?;,4 St n+i 1 11. No. ? Fixtures Water Closet No. Fixtures Cesspool/Drainfield 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 ordinan(ces and codes 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 CITY OF EAGAN 3795 P11ot Knob Rood Eagon, MN 55122 N°- 5989 PHONE: 454-6100 BUILDING PERMIT Receipt # ?? aCp To^6e ufad fer Est. Value Dote . 19- Site Address Erect p, Occuponcy Lot ? Block Sec/Sub. Alter ? Zoning P l Repair ? Fire Zone -' arce # Enlarge ? Type of Const. t` W TOllef ^? ' Name Move ? # Stories Z ; ?;.. . ,, Address r 1 ? Demolish ? Front k. ;r<`i11 n ? Grode ? Qepth ft Ci Phone . ? 0 Name Approwlt Fees U Assessment ? - O Address ~ Cit pha?e Water & Sew. VC, Police Fw Name Fire ?? Addreu Eng. aW Ci Phone Planner Council 1 hereby acknowledge that I hove read this application and state that Bldg. Off. ? the infarmation is rnrrect ond agree to comply with all applicable State of Minnewta $tatutes ond CiTy of Eagan Ordinances. A? Signature of Permittee Permit Surcharge Plon check SAC Water Conn. Water Meter Road Unit i _ Total ' A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagon Ordinances. Buildira Official Pamlt * Daft laaad PWMMMe • Plumbin9 P 37e - ' p Mechonical - - D , INSPECTIONS I DATE INSP. Rouph-In Final FoOtingS ' Date Insp. Llate Insp, Foundation 3G Plumbing Frame/ins. C Mechnnical Final . Remarks: No. CITY OF EAGAN 3795 Pilot Knob Road Eagen, Minnesow 55122 Phone: 454-8100 .7)1 i;n,!) - .. - PERAAIT INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Date: Receipt No.: Single Site Address: 32 Lfl'1'.tl Residential ?'. Of 4 r'! -;' La 1' Block 1 Sub/Sec. ?l i8Thi11 Name 071ef80Il Builder^ New/Altec/Repoir ; Address '- %316 Holvoke T P.. " Cost of Installation O City Ve.11EYr 7`1?• Phone: Permit Fee , Name r?PS1Z f'yL4.71 .", p? Surcharge y Address 14 744 S, r'?}:•,•t ",• ? City Phone: 20.50 This Permit is issued on the express condition that all work sholl be done in accordance with oll appliwble State of Minnesota $tatutes and City of Eogan Ordinances. ?._A. ? I Building Official _? • -- CITY OF EAGAN 3795 Pilot Knob Roed No. Ea9an, MinnesMa 55122 Phen.: 454.e100 PEIUAIT Date: - -30 Site Address: '12 I..at1I'@I Cfi. 1ca ? Lot Block Sub/Sec. ?y'ar il Name ' cllefsan 3uilder-s ; Address ''-3826 fl°lyoke i-,.. VAl1Cj') i1l. City Phone: Nome "''???iCk60Il ri@8 ti ?'?. . ? :10 ? Address City Phone: This Permit is issued on the express condition that all work shall be Minnesota Statutes and City of Ea9on Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single Residentiul " - Multi Res., Comm./Ind. I New/Alter./Repair Cost of Installation Permit Fee . Surcharge ? Tota I done in occordance with all applicable Stote of Building Official ? ._. BUILDING PERMIT CITY OF EAGAN 3795 PiIM Knob Road Eagan, MN 55122 PHONE: 454-8100 Site Address ' -?1 COUS' t, Lot Block Sec/Sub. Parc¢i # aWc I Name ? Addre! 0 Idl. o Name _ ? i? Address Nome _ Address Receipt # N4 5988 ? Erect f?• Occupancy Alter ? Zoning Repair ? Fire Zone _ Enlarge ? Type of Const. Move ? .# Stories Demolish ? Front ft. Grade ? Depth ft. Approvals Fees Assessment _ Woter & Sew. Police Fire Eng. Planner - Council _ Permit Surcharge Plan check SAC - Water Conn. Water Meter Road Unit I hereby acknowledge that I hove read rhis application and state that Bidg. Otf. the information is correct and agree to comply with atl applicable State of Minnewta $totutes ond City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued ta ` "on the express condition thot oll work shall be done in occordance with all applicable State of Minnesoto Statutes and City of Eagan Ordinances. Buildinq Officiol x Pannk # Dote luaed PermMhe ' Plumbing ff cl$l Jel_ Mechanical INSPECTIONS I DATE INSP. Rough-In Finol Footings Dot Insp. Date Insp. Foundation Plumbing Frame/ins. Mechanicol ? Finol Remarks: .A1. • CITY OF EAGAN . • 3795 Pilet Knob Rood No. lagan, AAinnesofa 55122 Phene: 134-8100 PERMIT Dote: 9-9-80 Site Addreu: 3330 LBUI`el Ct. Lot Block ` Sub/Sx. BI`j.fl2'hi11 Name -lefBOn Builde.r._ ` Address 13816 iiolyOke :..i. ; I O Cit ?iB11.P.-r I"m Y Phone: Nome - L 20.00 L4 Address 11i7/t5 S. 'Ollo?`t iS`. ? Cit Y Phone: Total This Permit is issued on the express condition thot oll; work sholl be done in accordance with oll appliwble Stote of Minnesoto Statutes and City of Eagon Ordinonces. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: '2n Single , I Residentiol Multi Res., Comm./Ind. I New/Alter./Repair Cost oi Instollation Permit Fee I Building Official CITY OF EAGAN ? - ? 3795 Pilof Knob Roed No. Eagen. Mlnnasota 55142 Phoea: 454.8100 PERMIT Date: Site Address: Lot - Block 9-9-80 3$30 Laurel Ct. 1 Sub/Sec HTiSThill Nome 31lefson I3u31derT ? Address 3816 hOlyOjCC' I.L. ? '-?le Jalley, rAn City Phone: ,•? 'r! --,--.r)n Iiea±i.r.r Nome p. g Address e ? . City Phone: This Permit is issued on the express condition that all work shall be Minnesota Stotutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: I rl1C $ingle I Residential Multi Res., Comm./Ind. I New/Alter./Repoir Cost of Instollation Permit Fee Surchorge c Tota I done in accordance with all epplicable State of Building Official 4&1 ? 11,11rr#ifirttt.e uf (Orrupttnry Citp of (Eagan j9P,pftl'flriPttt Af BIYtlbirig lItSpPl'tlltkl Tbit Certificate iaued purruunt to the requirementr o f Section 306 o f the Uni fosm Building Code cMi fying tbat at tbe time of istuana tbir nructure wut in complianu with thc variouJ ordirranres of the City regulating building ronnruction or ure. For thc f allouang: un clasdficari--_ L_of 4 P= &de Perrrdt No 5988 OrcupanryType_3]at-TypeCoosbuctionV Fire Zane 4 ZoningDirtrict RI Buading Addtta - Locali ?Bu angoiEcial ? ml ?pT IM A CON4?1C1 5-1-81 •-. BUILDING PERMIT CITY OF EAGAN 3795 Pibt Knob Rood Eagen, MN 55722 PNONE: 454-8100 Lot Block ?/,cinc?i??^l9rP18I1 19- Q W Name 3 Addre 0 ? Nome _ 0 OU Address f r:... Name _ Address I hereby acknowiedge that I hove read this applicotion and state that the information is correct and agree to comply with all applicoble State of Minnewto Stotutes and City of Eagan Ordinances. Signoture of Percnittee Receipt # N4 5987 Erect Q Occupancy Alter ? Zoning Repoir ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front _ ft. Grade ? Depth ? ft. Approvulz Fees Assessment ' - _ Woter & Sew. Police Fire Eng. Planner Council Bidg. Off. APC Permit Surcharge ??° Plon check SAC Water Conn. Water Meter Road Unit Total A Building Permit is issued to: `` ' `' on the express condition that oll work sholl be done in accordance with all applicable State of Minnesota Stotutes and City of Eagon Ordinances. Building Official Parcel .# . , , ` .. , ? ? ? • Pamk # DaM baed P?klw Plumbing Mechanical 'v Yo7b?A 1? -d 9•-f'a INSPECTIONS DATE INSP. Rough-In Firwl FOOtiflg5 D e InaP. DOte InsD• Foundation ^. Plumbing Frame/ins. Mechanical ? Final Remarks: . cinr oF UG,s?N 4 3795 PiIM Knob Read No. Ea9en, Minnesota 55122 Phone: 454-8100 PERMIT Dote: Site Address: Lot Block Sub/Sec. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single .:. . - . , I Residential Multi Res., Comm./Ind. I lefson 3uilder.s Nome New/Alter./Repair ; Address ? lf? HOI}TO1:P Id1. Cost of Installation Hlle;•-, .._,. ???Y Phone: Permit Fee -?, z R;ran ` Name Surchorge Tr "-/T'il 5 2. Address e e Cih' ? . .. . . . Phone: Total This Permit is issued on rhe express condition that all work shall be done in xcordance with all applitoble Stote of Minnesota Statutes and City of Eagan Ordinonces. Building Official CITY OF EAGAN 3795 Pilot Knob Read No. ' Eagen, Minnesofa 55122 Phone: 454-8100 PERMIT Date: Site Address: -?illTC'1 Ct. Lrn Block - Sub/Sec. Briarh{ 11 Nome iollef9on Bu3ld?_1- e Address 13216 HOlYOke i?'1. ? City .'_y`t?le vflU2y, 1'TII. Phone: Nome -a.il;r p. L ? Address I City - - - Phone: This Permir is issued on the express condition that oll work shall be Minnesota Statutes and City of Eagan Ordinances. INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I New/ Alter. / Repai r Cost of Instollation Permit Fee Surcharge Tota I done in accordance with all applicable State of Building Official C?ert'tftratr of (Orrupttnry Citp of (Eagan Uppttrimpnt nf BuilDing Jnsprrtimc Tbit Certi ficaa ircued Purcuant to tlx requiremenu o f Section 306 of the Ui:iform Building Code cntifying that at the timc of iatuanct thit ftructurt was in compliance witb thc variour mdinancu o f the City rcgularing building contt+uction or u re. For the f ollouang: UwQRInr=om 1 of 4 PLEX lUde.P<rrr;,No. 5987 o=trMrTrne R3 Trwcow?um V Fvezon 3 zrnwq Msmct R3 Oww o«,,,,,,.gTollefson Builders ,,aa. 13816 Holvoke I.e., Apple g??nq pdy? 3828 Laiu'el Ct. L,,.J;ry IAt 20, Block 1.Briarhill ?-_ By: ? D,«, September 17, 1981 ?CE ,», MECHANICAL PERMIT RECEIPT # '?a 7 I CITY OF EAGAN ? , 3830 PILOT K N, MN 55722 DATE A T CON RACT PRICE: PONE: 4548 00 Site Address r gLpG, TypE WORK DESCRIPTION Lot ? v Block Sec/Sub Res New Mult Add-on °' Name - m Address , -2, J r, Comm. Repair ? City Phone 1 Other FEES 1 ? ? Name Address RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU ' 3 _ 6.00 O Ci ?Y Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) i GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. ? TYPE OF WORK COMM/IND FEE - 146 OF CONTRACT FEE ? Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 ? Unit Heater M BTU REMODELS - 12.00 Air Cond. 'P)M BTU $ l,Z Cp MINIMUM COMMERCIAL FEE - 20.00 Vent CFM ? STATE SURCHARGE PER PEAMIT - .50 ADD $ 50 S C P ( . / IF ERMIT PRiCE GOES Gas Piping Outlets # $ BEYOND $1,000) Other FEE: S/C: SIGNATURE I E TOTAL• FOR: CITY OF EAGAN • CITY OF EAGAN w 15484 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - PHONE: 454-8100 Bl'tiLDING PERMIT Receipt # To be used for tTC" Est. Value ig1i"rl? Date may 17 , 1 sft g SiteAddress JFit ?A'tREL -XuuT OFFICE USE ONLY Lot i(' Block Z Sec/Sub?„ZAF HI???. PflfCel N0. Occupancy - FEES Zaning - W Name ?F??°u Fkn `?N ??K (Actuaq Const - Bldg. Permit Z6.??G o Address -??23 Z++Ut? L C+.uf:T (Nlowable) - h S ? City PAGAS Phone # of saries - urc arge Plan Review Lengih _ o Name L}:TI.? BLX >'•RI%??:?''?`?j- Depth - SAC City ?a Address 4Ykil 1bO2'ti &Y'k::ET 'r1I:5T S.F.Total - , SAC, MCWCC ? OItY .<JJi??ti:ar Phone k23-6:? S;, S.F. FoolpriNS _ water Conn On Site Sewage - ?Q ? w Name On Site Well - Water Meter = ? Address MWCC S stem - Y u Acd. Deposit aw City Phone Cirywacer _ S/VJ Permit PRV Required - I hereby acknowlege that I have read this application and state that the Booster Pump - SNY Surcharge intormation is correct and agree to compty with all applicable State ot Minnesota Statutes and City ot Eagan Ordinances. Trealmenl PI Signature of Permitee - APPROVALS Road Unit f' a.?.,''i%.?i:..l . ??A1,''! ; . A 8uilding Permit is issued to: Planner - Park Ded on the express condition that all work shall be done in accordance with all Council applicable State ol Minnesota Statutes and City of Eagan Ordinances. gidj, pH. Copies ? ?• Building Oflicial Variance - TOTAL 2 fi ? 51%) Permit No. Permit Holder Data Telephone # WATLR SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbq. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Const. Meter Plbg. Inspeclor -Notify Plumber Engr./Plan Bldg. Final DBCk Ftg. Deck Final 5 Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ;,; • Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITEADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION ., . .A I ? I I ? Permit Holder Data Telephone # SEWER! WATER PLUMBING HVAC Inspection Dete Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST 6LDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITV TEST HYDROSTATIC TEST BSMT F.I. BSMT FINAL DECK FTG DECK FItVAL ? CITY OF EAGAN PERMIT TYPE: ! 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: f PERMIT SUBTYPE: "'iN i mN N 18 Ei tor M ?tv?i?!I r+l w•::.,??:_ :?, APPLICANT: TYPE OF WORK: _ai rt Rni rOr+ rW. I M`,t It I/HA'+ 1 rNi INSPECTION .• . .A I - 1 Permk Holder Date Telephone M SEWER/ WATER PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIRTEST / l7LCr? FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH iv1AINS CONDUCTIVITY TEST HVDROS7ATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL .? (I.erftftrtttr of (Orrupttnry Citp of Cagan Be,pttr#mrnf nf Bixiiding Ansprrfinn Thir Certificate raued par.rrrant to the sequirements of Section 306 of the Uniform BuiJding Code artif ying that at the time o f issuarue thi r structure war in compliancr with the variour ordinancu o f tht City rcgulating bwlding conttrrution or ure. For the f ollouvng: un c,.dfic.qm pI OF /, PI,EIC Bldg. Pemtit No. 5986 OccupuxyType iLl Typecomwonon r FireZona 3 ZoningD'uMcl R3 a.w ore0ati6 Tolln£gnn %iilAnrwaa. , amaing naanm 3826 Laurel Ct. La.,;,Y Lnt 189 137nnk 10 RriArhill l. . r„ t?- , t e- - er: z:"? I w«: June 23, 1981 _iA ?t iw n ?vtcuoUs aai , ` ,. e"o BUILDING PERMIT ? CITY OF EAGAN 3795 iilof Keo6 Road Eagan, MN 55722 PHONE: 4548100 Site Address Lot t$ Block Sec/Sub. Porcel # c W z 0 Nome . .. - .. .? .. ., ... - .o ,yo e .n. val a Name _ 0 ?? Address Cit - Ww Nome _ rW =Z Address I hereby acknowledge thot I have reod this application and state that the informotion is correct and ogree to comply with all applicoble $tate of Minnesota Statutes ond City of Eagon Ordinances. N4 5986 Receipt # Dote , 19 Erect ? Occupancy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish ? Front ft. Grade ? Depth ft. Aonrovab Fees Assessment " --"'-- Water & $ew. Police Fire Eng. Planner Council Bldg.Off. ?'- APC Permit Surcharge Plan check SAC - Woter Conn. Water Meter Road Unit Tota I Signature of Permittee ? A Building Permit is issued to: on the express condition tFwt oll work shall be done in accordance with oll applicable Stme of Minnesota Statutes and City of Eagan Ordinonces. Building Official 3 Pem?ff ? pab Irwd pwmiMN Plumbing M honiwl 9ovC) - - O °• GC/ o?U ? ? ?9? }'d Q I INSPECTIONS DATE INSP. Rough-In Finoi Footings I D?ate Insp. Date Insp. Foundation Plumbing j/f /, Frame/ins. L Mechanical Final Remorks: ? ? ? ? \ ` • • • crrir oF E?caN 3795 Pilot Knob Read No. ' Eugan, Minnasota 55122 Phane: 454-8100 PERMIT Dote: 9-9-80 5te Address: 3826 Lfltu'Cl Court Lot Block Sub/Sec. Bi'18TY11 u INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: ? Single _ Residential Multi Res., Comm./Ind. I Name Tollefeon F3Uj.1dr?TS New/Alter./Repoir V ; Address 16 HOlyO?!e T_'1 . O Cost of Installation _'i?p ie lralley, , h'? 4?/?-' ,s.?" City Phone: Permit Fee . ` Nome Gen2 Surcharge ? Address 14745 S. ? City Phone: Total This Permit is issued on ihe express condition that oll work shall be done in accordance with all oppliwble State of Minnesoto Stotutes ond City of Eogan Ordinances. Buildinp Officicl No. CITY OF EAGAN 3795 Pilof Knob Roed Eagen, Minmaofa 55122 Phene: 454-9100 PERMIT Date: 9-9-80 Site Addreu: 3826 I,aurel Ct. , Lot Block ` Sub/Sec. Briarhill INSPECTOR NOTIFICATION REQUIRED BY LAW FOR ALL INSPECTIONS Receipt No.: Single I Residential Multi Res., Comm./Ind. I Name lollefson Buildere New/Alter./Repair ; Address 1?16 FiOlyCl'° ?._. ? Cost of Installation O Valley, .' ?. ' City ' Phone: Permit Fee Name drickaon i;eCtS_*;c SurcFwrge . ? Address 1rn3r) Beall P ' illr, e ;,..?, . City Phone: Total This Permit is issued on the express condition that all work sholl be done in accordance with all applicable Stote of Minnewta Stututes cnd City of Eagan Ordinances. Building Official 1082 Payne Ave. St. Paul, MN 55101 651 /772-2449 LAST S ?cti ti-t.T <r FIRST CITY GAS WORK ORDER STANDARDJ 410 W. Lake St. 0 Minn 612/824 26565408 b HEATING HM PH , , /? -Gbyy TECH ZIP ??_YL 7 WK PH DATE Z- ze?r '0J TYPE i G MAKE ? MODEL 7?2 .9.J SERIAL ?f -77_-C INPUT ? (901-' ORSAT TEST RECORD C02 l/ % METERED INPUT Cfh CHIMNEY TYPE )nni 02 G % LIMIT SETTING ° FLUE SIZE b in. CO :qf?.?l ? % PILOT OUTAGE S2C CONNECTOR SIZE ? Iil. NET STACK TEMP U ? TOTAL CHIMNEY INPUT d y; i7 _btuhx?~ & AIR CONDITIONING A Blue Dot. Service Co. EQUIPMENT INFORMATION CITY OF EAGqN SEWER SERVICE PERMIT 3795 Pilor Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: Pluinber. I agree fo eomplr with the City of Eagan Ordinances, Bv Date of Insp.: to tomply wiffi the Cify of Eagan Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Totol: Date Paid: WATER SERVICE PERMIT PERMIT NO.: DATE: No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Dete Paid: 7 JF 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 M eumplp with the Cify of Ecgon Ordinaneoa. By Date of Insp.: I nsp.: Connettion Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: OF EAGAN a, ?NATER SERVICE PERMIT 3795 Pilor Knob Road PERMIT NO.: DATE: Ecgan, MN 55122 Zoning: - No. of Units: Owner: - Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reoder No.: Permit Fee: 1 agree M aomply with the City of Eogan Surcharge: _- Ordinances. Misc. Charges: Total: By Date of I nsp.: Date Paid: SEWER SERVICE PERMIT CfSY -OF EAGAN d : PERMIT NO 3795 Pilot Knob Roa . Eagan, MN 55122 DATE: Zoning: No. of Units: O wner: Address: - Site Address: , - Plumber. - f E h Ci h ction Charge: nn C - agan Yy o f e 1 agree ta eomply wit o e osit: nunt De A Ordinances. p cc - ? it Fee: P erm e: har S g urc es: Char Mi gy g sa t l: T Dote of Insp.: o a id: D t P Insp.: o a e CITY OF EAGAN 3' 95 Pilot Kno6 Road PERMIT NO.: Eagan, MN 55722 DATE: ZO^'^g: No. of Units: Owner: Address: _ Site Address: Plumber: I a9rea M eomply with tha City of Eagan Ordinances. By Dote of Insp.: I nsp.: Connectian Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. CFarges: - Total: Date Poid: CITY OF EAGAN WATER SERVICE PERMIT 3795 PiIM Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: _ No. of Units: Owner, Address: Site Address: Plumber: Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: 1 ogree M eomply wifh Yhe City of Eagan Surcharge: Ordinonces. KA;?, r?.,,.,.e... . By Date of Insp.: OF EAGAN WATER SERViCE PERMIT Pilot Knob Road PERMIT NO.: MN 55122 , DATE: I? - No. of Units: Connection Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. Charges: - Total: Date Paid: I nsp.: 10;1,i 474 I . .:. ... .: ..:. .: ..... , . . . .: ,. .. _ . . . . .. CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 'BUILDING PERMIT PHONE:454-8100 Receipt Te 6a wed for FINISH BASEMENT Est. Volue 1,200.00 Date JULY 13 1 y 84 site Address ' 3832 LAUREI. COURT erect ? occupancy R-3 Lot _19 slock Ol Sec/Sub. BRIAR HILL ADDAT. Remodel M Zoning R-1 Parcel No. 10 14990 190 (ll Repair ? Type of Const. V Enlarge ? No. Stories ne Name RICHARn J. BRATT`' Move ? Lenyth ; Address ?R?? TA TRp[ C'T Demolish ? Depth ? City F.A(;AN Phone 457-5774 Grede ? Sq. Ft. w O .. .. _ .. . . .... .. ., ., ., Name OWNER Z 8u Address ? City Phone ? FW Name ? , -? Address v ' < W City Phone I hereby acknowledge that I hove read this appiicotion and state that the informotion is correct and agree to comply with oll opplicable Stote of Minnesoro Statutes and City of Eagan Ordinances. Sipnature of Permittee ' Approvab Fees Assessment Permit 20.50 Water & Sew. Surcharge _ 1.00 Police Plan check Fire SAC Eng. Woter Conn. Plonner Woter Mefer Council Rood Unit Bldg. Off. Parks APC Totai, S 21 .5() ' Var. Date A Bwlding Permit is issued to: on the express condirion thot all work shcll be done 'n accordonce wit oll ?aJpp•licable_ State of Minnesota Statutes ond City of Eogan Ordinonces. Buildiny Officiol R-/ ,. i ?_ /? r V? ? ? . . ? • ? . . ? Inc u e sets of plans, ?? • CITY OF_EAGAN 3 Certificate of Survey & ' BUILDING PKRM2T APPLICATION 1 set of_ energy cal.culations. -S oo - To Be Used For rini;5,y 24SLf,,£'9)7 - Valuation a2R? Date 7- l? -OP5/ site Aaaress: 3q3?2 1A uRc?- <2 7. Lot I I Block (J I Sec./Sub.6 t i Gcn u; l 1 ?Erect Parcel #: lqD U T Alter x Repair Owner :?c ?-r-AiC' 7 J ? c.4 l T,v Enlarge ? NYove Address: 33'32 lA tJk eZ L 7. Dennlish City/Zip Code: [,q G Ani lLi L Grade ?;sc,eac Phone # : Sl S ? - S 7 7/ ?? ? - S93S APP7?OZIAIS FEES Contractor: S?s? /= uu;Fe y5G zc3?? Assessm2nts Pernu.t z-? ? ' Water/Sewer Surcharge ,q ?yq E Address: 5 Police Plan Check .- City/Zip Code: Fire SAC - Phone En3• Water Conn. - Planner Watex Meter - Arch./Eng•: Council Road Unit - Bldg. Off. Address: APC City/Zip Code: Phone #: • ToTAL o21, cJ ? OFFICE USE ONLY OccuPancY ? - 3 Zoning 2-1 Type of Const. ? # Stories Front ft. Depth ft. Minnesota State 9oard of Electricity Griggs Midway fildg. - Room N191 ? q gg_OOW 1-02 1111111k 21 _Uniqeesity Ave.. St. Paul, Minn. 55104 - Phone 297-2719 _I FFE.Q?IEST FOR ELECTRICAL IIUSPECTION ? 82040 CHECii?'BELOW WORK COVERED BY THIS REOUEST Type qf 8uilding New Add. Rep. Check Apptiances Wired For Check Fquipment Wited For Home XX ? ? Range ]U 4•O Tempozaty Witing ? Duplex ? ? ? Water Heater ? Lighting Fixtuies BC Apt. Bldg. ? ? ? Dryer ? Electric Hexting ? Commercial Bldg. 0 ? ? Furnace o Unloader ? Industrial Bldg. ? ? ? Air Conditi qr? Li 'LI `? j ? µlk Milk Tank ? E'azm ? ? ? st , f Hthers . ' , Ltiist thersL Othei - 11 El 0 ere ere COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee FeedersBcSubfeeders: # Fee Ciccuits: # Fee 0 tu 100 Am s. 0 to 30 Am eres 0 to 30 Am eies 101 to 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200 Amps. Above 100 Amps. Above IDO Amps. Transformers RemoteControlCirc. Partial or other fee -50 Signs Special lnspection Minimum fee $5.00 1 Remazks JefE D. TOTALF 3 3$,00 1, the Electrical lnspector, here c,eftify?hat ;zh f above,?qspection has been made. (Rough-in) ?,+ '=-',?'"`? Date (Final) Date This request void 18 months from ? This request void : f ` 18 mont7ls from' Date pf this Request 8-29-1980 Fire No. S 82040 l, aFM Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal`wiring installed at: . Street Address or Route No. 3832 Laurel Coust City-Fagan Section Township Range County Dakota Which is occupied by Tollefson. (Name of Occupant) Is a roughin inspection required on this job? No ? Yes O Ready Now ? Will Call Fc[ Power Supplier Dakota Cty. Address Farmineton Electrical Contractor O.B. Thompson Electsic C0. Contractor's License NoA1'262 (Company Name) Mailing Address 12201 Mtka Blvd., Mtka J5343 (ElectricallCOntractrn-or Ownei Making This Installation) AuthorizedSignature ^r?Phone No. ->:,?-,?;, c =. y. (Electrlcal Contiactor or Owner Making This Installatlon)????R WARD ?0?? This inspection request will not be accepted 6y the State Board unless proper inspection fee is enc0osed. >t?REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oa , See instructians for complating this torm on 6ack of Yellow copy. "X" Belovw Work Covered by This Request . Mid Rep• TYqe Of Building APPlia?tas Wired Equfpment Wired Range Temporary Service Water He ater Lightin,y Fixtures ildinc? Dryer Electric Heatin ft cial 81dg. Furnace Silo Unloader lal Bldg. Air Conditioner Bulk Milk Tank Other peciFy Other (Sper.ityi pecify Other Oiher Compute lnspection Fee Belaw # Fee Service EntrenCeSize # Fee Feeders/Subteeders H Fee Circuits U to 200 Am s 0 to 30 Am s 0 to 30 Am s Above 200_qmpsi 31 to 100 Amps 31 ta 100 Am 5 Swimming Pool Above 700-Amps Above 100_Am s Transformers hrigation Btioms !3 Partial%Other e Signs Special inspection TOT L FEE KO Rema rks f1 R _? le Rou h-in uace B ? I, th ical InsOaCtor, hereby certily chat the sbove Final Date inspection has 6een made. r ? This request void 78 monlhs trom " -' ?- i"pScO r'Y 17 ", ?? ?.? ? a 0 - s2:) a This request void ??? ? 18 rtanth5 from Anii*754tq Lt°tf?°1 Request Date Fire No t 7-/ / ? L L7 ? ??(a N y 1iI l AdA 14. u v h-in Inspectiun ired? OReady Nuw Q Will NotifY InSPec- 'es ?No tor When Ready M Licensed Electncal Contractor I here6y request inspeciion uf ebove Owner electrical work installed at: Street AAdress, Box or Route No. 3F3..?, City it 14-GA- ecUO? o• Tow/n?ship Name ur No. Range No. C-o'7un?.ty z4 V.J OccupaM (PIiINT) Phone No. (,J ' iCFf?? J 5/ 5 ,;? S 7711 Power Supplier Address ;D._ F. A. Eleclrical Contractor (Company Name) Contractor's License No. Mailine Address (Contractor or Owner Making Instailation) 5-A/l, Z7 Authorized Signature (Contractor/Owner Making Installa[ion) Phone Number ?? -2 - S 7 7/ f? THIS INSPECTION HEQUEST WILL NOT MINNESOTA STAE BOARD OF ELECTRICITY Griggs-Midwey Bldg. - Room N-191 BE ACGEPTED BY THE STqTE BOARO 1827 University Ave., St. Paul. MN 56104 UNLESS PROPEH INSPECTION FEE IS Phanx (612) 297-2117 ENCLOSED. Minnesota Stata Board of Electricity Griggs Midway 81dg. - Room N197 EB-00001-02 W821 University Ave., St. Paul, Minn. 55704 - phone 297•2111 CHECK BEELUW WORK CO ELtCTBYFilCAL TH S REOUEST 'NSPECTION S 82041 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired Foc Home XMC ? ? Range TT4*UV Temporary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtuzes lox Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace 12X2o 0 Silo UNoader ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Farm ? ? ? List t ) O[her ? ? ? HeieIf S? t eis} ) COMPUTE INSPECTION FEE BELOW ?a (AN Secvice Entrance Size: # Fee Feeders& Sub ? Circuits: # Fee 0 to 100 Am s10 IIG . 0 0 to 30 Am e 0 to 30 Am eres 10 1 . 20*00- 101 to 200 Amps. 31 to 100 Ampe 31 to 100 Am eies Above 200 Amps. Above 100 Amps. 1i Above 100 Amps. Transformeis Remote Control Circ. - Partial or other fee • Signs Special Inspection Minimum fee $5.00 Remazks JefF D. TOTAL FEE ,?. 38.0 I, the Electrical Inspector, hereby cert' at b ve Inspection has been m (Rough-in) / ???_ ? Date ?- o? o°?-?v (Final) Date /? ?? fsd This request void 18 months from n!,? I This request void L17 61' l8 months from r ?- Date of this Request 8.29-1980 Fire No. S 82041 1, asV: Licensed Electrical Contractor OOwner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3830 Lauxel Court City Eagan Section Township Range County Dakota Which is occupied by Tolle£son (Name of Occupant) Is a roughin inspection required on this job? No ? YesXR Ready Now ? Will Call:U Power Supplier Dakota Cty. Address Fa.rmingtort Electrical Contractor 0. B. Thompson Electric Co. Contractor's License NA'.L7962 (COmpany Name) Mailing Address 12201 Mtka B1vd., Mtka :? ;55343 (Electrlcal Contractor or.OwnecMaking TDis lnstallatlon). Authorized Signature Phone Nor (Electrical Contractor or Owner Making This Installatlon) Q???? ????? D ?0?? This i?speetion request will not 6e accepted by the N? 1n1 State Baard uuless proper inspection fee is enclosed. Minnesota State Board of Electricity ? Griggs Midway Bldg. - Room N191 `-'.:Z1 University Ave., St. Paul, Minn. 55104 - Phona 297-2711 ?7 C 1? FLEQUEST FOR ELECTRICAL rNSPECTION ?CHECK BELOW WOkK COVERED BY THIS REQUE3T d? EB-00001-02 82042 Type Df Building New Add. Rep. Check Appliances Wired Foc Check Equipment Wired Foi Home XM ? ? Range 04 s Temporacy Wiring ? Duplex ? ? ? Watet Heatex ? Lighting Fixtures Apt. Bidg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Furnace EK2*00 Silo Unloadei ? Industrial Bldg. ? ? ? Au Conditioner ? Buik Milk Tank ? Fazm ? ? ? List Qthers# ist hers ? Other ? ? ? Here re COMPUTE INSPECTION FEE BELOW ? I n11, \\\U1 Service Entrance Size: # Fee Feede[s$Su ' s: . C'uwits: # Fce 0 to ] 00 Am s. 0 to 30 Am s 0 to 30 Am eres 10 20.00 101 to 200 Amps. 31 to l00 Am s 3] to 300 Am res Above 200 Amps. Above ]00_Amps. Above 100 Ampa. Transformers Remote Control Circ. Pactial or other tee . Signs Special Ins ec[ion Minimum fe Remazks Jeff D• TOTALF E??(S'? 8100 I, the Electrical Inspector, hereby certifyat?the ?tf?'v?`msgeas been ? (Rough-in) (/cJ, c?c?l€? ; ate ? !G~? (Final) Date This request void 18 months from This request void L,20? 61 ? C?!?u^?'''"--? ??, ' I,i 4{ 1$ months from Date of this Request 8-29-1980 Fire No. S 82042 I, as Micensed Electrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3828 Laurel Court CityE?? Section Township Itange County Dakota Which is occupied by Tollefson (Name of Occupan[) Is a roughin inspection required on this job? No ? Yes fi Ready Now ? Will Call FK3[ Power Supplier Dakota CtY. Address k'armir]bt'ton Electrical Contractor O.R. 'i'hompson Electric Co. Contractor's License No937A2 (Company Name) 12201 Mtka Blvd., Mtka 55343 Mailing Address „ (El?ecytF;ical ? ontroctyo?r!"or O ef'Making This Installation) s:t?l Phone No. 933°25216 Authorized Signature (Electrical Contractor or Owner Making This Installation) ??Q?? p???? Q? ,?? ? This inspection request will:not be accepted by ffie State Board unless praper inspection fee is enclosed. ??/v/,y / ••-....w? rvn rLc%,irtiVHL INSPECTlON ? . ? Sea instructions tor completing this fwm on back o( yellow copv. EB-OOQ01C06 , D4 R LdS !; "X" B@/OW Work CnverP(I hi. Th:? f+Ad Rep. TVPa of Bwldin9 APPlioncea Wired - l '- EquiGm¢nl Wired _ Home Fanye Temporary Service Duplex Water Heater Lightiny Fixture Apt. Building Commercial Bldy. Dryer Fumace s Electnc Heaun Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm lner ner.,fy Oihe, lSUC?-?f?) 1 er pecify Other Othur OR 7(IUI E IOS p@Ct/Oq FP.B BBInW . Fee I ServiceEnlrenceSize Sw i mm Fransfc i i gns ? Ffnal Thie repuesl voiC 18 montha from ------' s ?? cuits A 31 to 100 qi iips 00 Above 00_Am s W 100A gation Booms 'Other Speciallnspecton F ?Q In ? Date .._._. ' I,Ihe Elactncal InsDector hereEy p? p , certify that the above i ?? nspection hes been made. This request void U/? ? 18 mpnths from D 334_05 ./,?;? ?? ? *G o-? Re.qug s:Dete Fire No. Rouph- inI nsVer,tion p7 ?? X Reed? ? ?Ready Now E Will Nolify Inspec- V? L? es No tor When Ready M-L'rensed Eleclrical Contractor I hereby request insoection of above ? Owner electrical work installed at: Street Ad ress, Box /o!r?Route No. ? O City ecUOn o. TownShip Name ot No. Range o. Cowity O?/\ P?T) G • !CJ V? ? i Phoi No. /7v Power SupDlier ? A ress 0 Elect ??TC T?('C 1T?' Contractor's License No. Mailmp d r nenMa ?aA1,gx5on) Vti? q Tyr,.?+a?V ' d,`t Y Autho ized Signature (Contracmr/Owner Makfne Installation) Phone Number MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs•Midwey Bld9. - Floom N-191 gE ACCEPTED eY THE STqTE BOARD 1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS Phone (672) 642-0600 ENCLOSED. T#s TeQ 4est void !S'/l C%? I 18 ?.?3 from ? Date of this Request 8-29-1980 Fire No. 82045 I, as:U Licensed Electrical Contractor ?Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3826 Laurel Court City-&g?.n Section Township Range County Dakota. Which is occupied by Tollefson (Name o1 Occupant) Is a roughin inspection required on this job? No ? Yes)ti Ready Now ? Will Callb6a Power Supplier Dakota Cty, Address Farmington Electrical Contractor O.B. Thompson Electric Co. Contractor's License NA37962 (Company Name) Mailing Address 12201 P.Qtka Blvd., Mtka ,,55343 (EJ??tr?? n? tar-or Ownei.Making This i nstallation) Authorized Signature Phone No. (Electrical Contractor or Owner Making This Installatlon) S? U??? p O U??? ?O?'?This inspection request will not be accepted by ffie State Board unless proper inspection fee is enciosed. Minnesota State Board of Electricity Griggs Midway Bldg. - Room N191 ?2 A,1W University Ave.. St. Paui, Miqn. 55104 - Phone 297-2111 ?(1 1 ? -'`'?EQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WORK COVERED BY TH[S REQUEST EB-OOQO1-02 82045 Type of Building New Add. Rep. Check Appliances Wired For Check Equipment Wired For Home DaK ? ? Range • Tempo7ary Wiring ? Duplex ? ? ? Water Heater ? Lighting Fixtures Ju7C Apt. Bldg. ? ? ? Dryei ? Electric Heating ? Commercial Bldg. ? ? ? Fumace kk2a00 Silo Unloadec ? Industrial Bldg. ? ? ? Air Conditioner ? Bulk Milk Tank ? Fazm ? ? ? List ) List Other ? ? ? } Hehelsl Oeiels? COMPUTE INSPECTION FEE BELOW ]?? J??? Service Enttance Size: # Fee 11 Feedecs&5 :_&der5A;3kt.L V_Fbe- Circuits: # Fee 0 to 100 Am 11 U to 3U A eres CJ U to 3U Am eres 101 to 200 Amps. 31 to ] 00 A` peres 31 to I00 Ampeies Above 200_Amps. Above 100 Amps.1 T 11 Above 100 Amps. Remarks Jeff D. TOTAL FE (3 7 1 I,the Electrical Inspector, hereby c tha e o?e inspection has been a (Rough-in) Date -- ? (Final) ? ,?r ? i Date ((p -? This request void v ? - ? 18 months from •00 C?rrt'tfiratt uf (Orrupttnry Citp of (Eagan ' igrpttrtmrnt Lif Builbircg Jn.sprrtinn r ?GO[5 ?Bl Tbir Ccrtificatt ic.rued purtuant to the requirementt of Sation 306 oJ the Uniform Buildrng Code ccrti f ying that at the time of i.uuancr thir structure war in compliancr wirh tix varioar ordinancu o f the Cit y reguluting bxilding conrnuction or un. For the f ollowing: A &dg.Pomm No the clamiliwaim 4-PLEX 5989 Oc-Pw" TYPe R3 TYp Cmalruction V Fiie Zone 3 Zoning DUuict R'3 Ovne+ofBuaNn` Tollefson Bldrs. ,,,dam 13816 Holyoke Ln,Apple ` BuMogAddtw 3832 Laurel Ct L.WitY L19,B1,Briarhill zt_vo zxfz&!?? By 12-11-80 eu?wnBO?a.i ? rn«: •GT IM ? CONY.ICVOYt .YC. CITY OF EAGAN 3795 Pilot Knob Rwd Eogon, MN 55722 PHONE: 4548100 BUILDING PERMIT APPLICATION To be uaed for Site Address /"'-v vvur u Lor 18 Block 1 sec/Sub. Briarhill parcel # 10 14990 180 01 Plan #9-269 s Nome Z 13816 Holyoke Lnr: 3 Address ° C,h, Apple Valley phone 454-6873 ?p Nome ` ?? Address 1' CiN Phone Name _ Address N4 5986 Receipt # -?2 U Erect Occupancy n} Alter ? Zoning R3 Repair ? Fire Zone 3-? Enlarge ? Type of Const. V Move ? # Stories Demolish Q Front _ 44 ft. Grade ? Depth 24 ft. Aoorovals Feee Assessment 11S Water & Sew. Police Fire Eng. Pianner Council Permit j`+-? • ?v Surcharge 26.00 Plan check 71.75 snc 525.00 Water Conn. 305.00 Woter Merer 60.00 Road Unit 185.00 1 hereby acknowledge that I have reod thts application and stute that gld9. Off. 6-24-$0 the informotion is correct ond agree to comply with alI applicable l, 316.2`J $tate of MinnesoTa Statutes cnd City of Eagon Ordinances. APC Total Signature of Permittee 4zeea? A Building Permit is is5ued to: ' Tollefson $uilders on the express condition that nll work shall be done in ocmr4qnce with oll_applicable State of Minnesoto Stotutes and Gity of Eagan Ordinances. Building Officiai ?V CTTY OF EAGAN Include 2 sets of plans. 1 site plan w/elevaticins & BUIIDING PERMIT APPLICATION 1 set of energy calculations. To se vsed For _--Ljj---, valuationDate 4? ---;:?G'- Site ss: OFf'ICE USE CNLY I,?t?ry?? ??Block 5ec./Sub.,a2z.-t-c?J ET? _?. ? R Y??i #:" ? ? ?fle --- Uaner:/ Q u Address: % Citl'/Zip Code:? ? C . Ptbone # : 4155- ar-7 Contractor: Address: City/Zip Code: Phone # : Arch. /Eng. . Pddress: Enlar4e Move Dariolish Grade TYPe of Const. # Stories flront ft. DePth ft. APP%)VATS FEES 5-? a E y assessmenrs r?eit J y3 Water/Sewer Surcharge ; Polioe Plan Check Fire SAC gng, Water Conn. ?bs =° Plancber Wdter Meter Council Road Unit Lle-V Bldg. OfF ? APC Ci.ty/Zip Code: TO Phone #: j„` ?3 ??? ? ? ?TAL CITY OF EAGAN . '' 3795 Pilot Knob Road Ecgan, MN 55132 N2 5987 PHONE: 454-8100 BUILDING PERMIT APPLICATION 40*P-T7 Receipt # ?2e To be uaed for 4-PLEX Est. Vclue r 0 Date 7-2l+ 19 82 Site Address 3828 Laurel Court __ Erecr $? Occuponcy R3 Lot 20 Blxk 1 Ser/Sub. Briarhill Alter ? Zoning R3 Parcel .fp 10 1LF990 200 Ol P1a11 #9-269 Repoir ? Fire Zone - 3 V a: Name Tollefson Builders 3 Address 13816 Holyoke Lane o ?:-. Apple Valley 451+-6 73 0: Z0 U?u ? Name _ Address Name _ Address 1 hereby ccknowledge that I have reod this opplication and state that the information is correct and ogree to tomply with all applicable Stote of MinnewM SMtutes ond City of Eagon Ordirwnces. $ignature of PermiRee 'M -alie?? A Building Permit is issued to: Tollefson Builders all work shall be done in accordonce with alL,ooclicable State of Mii Enlorge ? Type of Const. __- Move p # Stories Demolish ? Front 44 ft. Grade ? Depth 24 ft. Aoorovals Fees Assessment Woter & Sew. Police Fire Eng. Plonner Council Bldg. Off. APC ' Permit 14.2 . 2v Surcharge 26.00- Plon check 71.75 snC 525.00 Water Conn. 0 .00 Water Meter 60.00 Rood Unit 185.00 Toral l, 316.25 on the express condition that Stotutes'and Ciry of Eagon Ordinonces. Building Officiol Cl•ry pF EAGAN . Include 2 sets of plans, 1 site plan w/el.evations & BUIIDING PERNIIT APPLICATION 1 set of erexgy calculations. Zb Be Used For valuation7/'U DDO Date Iz, " ?r I OE'FICE USE ?Y Site Address:.?, ,;? ?-ti:..P Lot ? ry??? ? Block Sec. /Sub. ? ?? ZocY ? Parcel # :?// ?l?y?/J ?/JD /I/ ? _ y'-.•2 ? ?/ Owner:/ Pddress: /3??/?i City/Zip Code:? z.. C pn? # : 6 ?73 Cbntractor: Address: City/Zip Code: Phone #: - ---- Arc.h. /?g. . Address: City/Zip Code: Re i.r Fire Zone Fa Enlarge Zype of Const. Move # Stories Dc?mlish Front ft: Grade Depth a ft. APPEiOVAIS FEES AssessrmnrsY p?tt Water/Sewer Surcharge a G -011 Polioe Plan Check I?- Fire SAC gg, Water Conn. ,3c5s? Planner Water Meter &_o Council Roai Unit Bldg. Off. .2 % APC Phone #: ,? 'I?O?PAL ' ? ?_ S CITY OF EAGAN 3795 P11ot Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION Si Site Address 3830 Laurel Court Lot 17 Block 1 Sec/sub. Briarhill parcel # 10 14990 170 Ol Plan # 9-269 w Name Tollefson Builders ; Address 13$16 Holyoke Ln. _ Name _ ,o ou Address F- r;w Nome _ Address N° 5988 Receipt # Erect Ek Occuponcy ?LJ Alter ? Zoning P3 - Repair ? Fire Zone 3 Enlarge ? Type of Const. V - Move ? # Stories _ Demolish ? Front 4f+ ft. Grade ? Depth 24 ft. Approvals Fees Assessment KUb--4-? Permit 14 i. ?)U Water & Sew. Surcharge 26.00 Police Plan check 71.75 Fire snc 525.00 Eng. Water Conn. 0 00 Plonner Water Meter 60.00 Council Road Unit 1$5.00 I hereby ocknowledge thot 1 have reod this application and state that Bldg. Off. the information is Correct and agree to tomply with all applicable APC Total l. 316.25 State of Minnesoto Statutes and 'ty of Eogan Ordinances. Signature of Permittee &7• J A Building Permit is issued to: Tnl1afGon Rlii I r?P?S on the express condition that nll work sholl be done in accord3?qce with oll gqplicable State of Minnesoto Statutes and City of Eagan Ordinances. Building Officiol ? CITY QF FAGAN Include 2 sets of plans, 1 site plan w/el.evations & / BUILDING PERMIT APPLICATION 1 set of energy calculations. To Be Used For 7-?t??_ valuation?/'l??4DD Date Siteess:? -?-'; "? . ?' `. •?.z.Q ?? OFFICE USE O1?Y ry-VB Iot; ? Bi?x 1 ?L •_. _ s?./sub. `I ?? o??? R3 1 n»0 Pa?Y?Ce --?57F Altex Y? zoninq 3 Owner: / Address:,? City/Zip Code:( Phone #: ?S Contractor: _ Address: City/Zip Code: Phone #: Axch./Eng.: Address: City/Zip Code: Phone #: Repair Fire Zone 3 ?zJ Enlarge 7.ype of Const. r/ ` Nbve # Stories Demolish Front y ft. Grade Depth -( ft. o,r-7 APPROVArS FEES- Assessments ? Perniit Water/Sewer Surcharge Polioe Plan Check )/ Fire SAC ?-25 = gnq, Water Conn. 3 0,S ? Planner Water Meter /,b ? Council Road Unit / iRS-? Bldg. Off. APC 'DOrPAL CITY OF EAGAN 3795 PiIM Knob Road Eagan, MN 55122 PHONE: 454-8100 BUILDIIVG PERMIT APPLICATION Site Address Lot 19 Block 1 Sec/sub. Briarhill Parcel # 10 14990 190 Ol Plan #9-269 z Name ?"?-?c? o.?.LU11LLC1 a i 13 1 Holyoke Ln. 3 Address _ ° :,.APPle Valley „?___ G5G-hR7? ? o Name _ z? ?? Address ~ Ci GFw Nome _ W Z Address N4 5989 Receipt # ?d ll°r_ Erect Occupancy n?> Alter p Zoning R3 Repoir ? Fire Zone ' 3 Enlarge ? Type of Const. _ V Move ? # Stories Demolish [] Front 41+ - ft. Grode ? Depth 24 ft. Aoorovals' Feet Assessment Water & Sew. -- Police Fire Eng. Planner Council ' Permit 1/{J . /V Surchorge 26.00 Plan check71.75 snc 525.00 Woter Conn. 305.00 Water Meter 60. 00 Rood Unit 185.00 I hereby acknowledge thet I have read this application ond stote that gldg. Off. 6'29-$0 the information is wrrect ond agree to comply with all applicuble APC Total 1, 316.25 State of Minnesota Statu/teys, and City of Eagan Ordinances. Slgnature of Permittee i//• A Building Permit is i5sLied ro: Tollefson Builclers on the express condition thot all work shall be done in accordancy/#vith oll applisa Ie State of Minpesota Statutes and City of Eagan Ordinonces. Buiiding Officiol CITY OF EAGAN _ Include 2 sets of plans, l.site plan w/elevations & BUIIDING PERNII'P APPLICAZZCN 1 set of ener9Y calculations. 2b Be Used For Valuation'?1196' . DOD Date lo ._ -;2 6-? -?? ? e .?, ? Site Address: ?' `e ? , OFFICE USE ?Y Lo ??a ? Blo?c Sec. f5"b. Erect .__XOccugaancy /Q3 parcel' ; /?1`l9? oat.-61 p.].t.er zoning , RepaiL' Fire Zone Ow a EYilarge Type of Const. _ ner: Mave # Stories Address: / o _?'" ?,• ' Dennlisli FYont y ft. City/ZiP Code:c, - ? Grade pepth ft. dz pnom e, ?7.3 aPPxavxLs FEEs ay?? contractor: Assessments Pezmit Add ress: Water/Sewer Surcharge a?-03j- 71 . Polioe Plan Check 71 City/ZiP Code: Fire SAC Phorie #: En4• water Conn. j06? " Plaruber Water Meter 0 pr,h./Eng• : -- - Council Road Unit 1 S-- Bldg. Off. ? Address: p,pC City/2ip Code: Phone #c 6 -,23 -?5d , .. CITY OF EAGAN N9 16484 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUFLDING PERMIT PNONE: 454-8100 Receipt # a 2-'c- i To be used for DECK Est. Value $1, 000 Date May 17 1989 Site Address 3828 LAUREL COURT Lot 90 Block _]._ Sec/Sub.BRIAR HILL OFFICE USE ONLY PdfC@I N0. Occupancy - FEES Zoning - W Name FRED FROKEN BROCK (ACWaI) Const - Bldg. Permit 26.00 a Address 3828 LAUREL COURT (Allowable) - Surcharge _ rn City EAGAN Phone # ot siories - Length _ Plan Review , o N8R12 -['.RFATT VF. Ri TIC; MATNTF.NAN Depth - SAC, Ciry ?Q AddfeSS 41 $1 160TH STRF.F.T WF.ST S.F. Total - SAC, MCWCC ? City RoSEMf1UNT Phone 473_6310 S.F. Footprints - 1- On Site Sewage _ Waier Conn F W Name On Site Well - Water Meter 'x? Addl'6S5 MWCC System - ?Z Acct. Deposit a W City Phone Gry water - PRV Required - S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcharge information is correct and agree to comply with all applica6le State of Minnesota Statutes and C? of Eagan Or inances. Treatment PI Signature of Permitee ? APPROVALS Road Unit A euilding Permit is issued to: CREATIVE B G MAINT. Planner - park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Ap?id esota Statut and Ci? y of Eagan O nces. 81dg_ pry, _Copies 2.00 ` Vanance TOTAL 28.50 Building Official 6 ?•? - , KOEHNLEIN 12,«,N?Co??ErAVFNU?sa??,?? ' PHONE (612) 89Cd'272 . BURNSVILLE, MINNESOTA 55337 ' LIGHTOWLER ' CERTIFICATE OF SURVEY for CARL TOLLCrSON JOHNSON Lots 17, 18, 19 and 20, Block 1- BRIAR HILL I N C o N P o a., E o llakota County, A2innesota ARCNITECTS FARGO, NORTH DAKOTA ' MORRIS, MINNESOTA ENGINEERS L PHOENIX, ARIZONA Iti ? ?G ? r ? o ?? - \ \ 61 ? \\ ? ?.?. ?. . -;" N, r ` 1% a.?? Hr'1A_ ?9 ??'. r C? N 1 2. o ? Q I.?`vO •- ??,?? ? --If3 a.I-T C.- f , 3\ \ ? ? AtL ? C --1- ?GJf/O G) ?. .\ .? ? 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 Sutveyor under the laws of the State of Minnesara. Date Reg. No.-.-? 2006 RESIDENTIAL PLUMBING PeRnmT aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 ' 651-675-5675 ?. .. .. ... .......:.... ....... ... .......?U . . .. ._:.. .. ?,w._._?_.. . ..... .,.., , . . Please?complete for modifications to existing residential dwellings. Date?l Site Street Address , 02 R lfil?l.(.t?P/' ?• Unit # Properly Owner 1 ? ? ? V ??1(1 ?oci / Telephone # (4Aj Contractor Telephone # ozr7( ).-3425' t?`I l? Address ? a 1?ud A id, City eZk Ce, State j M Zip 40-I a.3 The Applicant is: _ Owner /Contractor Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built - $ 10.00 Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener and/or water heater at the same time. !f you are installing onlv a water softener anc!/or water heater, do not complete this section; move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener Water Heater $ 15.00 new re lacement _ p Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 l APR 1 2 90n7 T t $,S•C50 o a I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work wili be in accordance with the approved plan in the event a plan is required to tle reviewed and approved. ApplicariYs Printed Name Applicanfs Signature OP 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. ? ? f , s0- Date 06 Site SEreet Address Unit # Propeity Owner K.11 CmD L-e, k -e?i S) V?"C Telephone #?? H.P. PIPEWORKS Contractor 3670 DODD ROAD Telephone #( ) Address EAGAN, MN 55123 City State Zip The Applicant is: _ Owner v Contractor _Other Alterations to existing dwelling $ 50.00 _ Add plumbing fixtures (excludes water softener and/or water heate r--complete next section if installing these appliances). _Septic System Abandonment _ Water Turnaround (add $125.00 if a 5/8" meter is required) Other: - Water Softener ? Water Heater $ 15.00 _ new ! replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total L_ - E $ ?? •5U I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. \Ubnd?:l H-?'l Applicant's Printed Name , k UkA 0 ? - Ni?? Applican's Signature r,?? 1 II I? r - ---, 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Tetephone # 651-675-5675 Please complete for. single family dwellings & townhomes/condos when permits are required for each unit --is 36 S:0 Dafe I (D / 15 Site Address 5?"3a Unit # Property Owner Telephone # ( ) i 'Connor O Contractor _ plumbing, Heatipg 8i Cooling ; Street Address 1904 Vermillion S4. City Hastings} MN 55033 St t I / hone #(lQ5} I Tele a e p Bond #• Expires: The Applicant is _ Owner Contractor _ Other Add-on or alteration to existing dwelling unit $ 30A0 -)e, furnace _Additional ? Replacement air exchanger air conditioner _New _Replacement other State Surcharge U .50 OCT ` ° zuR 3o-5a Total $ By I hereby apply for a Residential Mechanical Pernvt and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gity 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 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. 1`-'Ie,?h at'? Kr'jAPp ,-aW?ham 4/n aA? ApplicanYs Printed Name Appli6alrtW 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construcfion Reauirements RemodeUReoair Reauiremenis m 3 regislered site surveys showing sq. fL ot lot sq. il of house: and all roofed areas 2 copies of plan "-? (20°,6 maximum lot coverage allowed) 1 set of Energy Ca?ulations for heated additions k?[e?'?n?t?eat ? f1??- d? 2 copies o( plan stawing beam 8 window sizes; poured found design, etc. 1 site survey for addiGons & decks dW4?";?,%?' ??`,r- ? 1 set of Energy Calculations AddiGon - indicate i( onsife sepfic system ?it? ^?e??t'?? 3 copies M Tree Preserva6on Plan if IM platted after 711193 Rim Joist Detall Optlons selection sheet (bidgs with 3 or less units Date v /)?' l? 2 7 / !??'' / Construction Cost C-; 06V • Site Address Unit/Ste {f Description of Work t? Multi-Family Bldg _ Y-XN Fireplace(s) _ 0 2 Property Owner ,YV I"`'L C A/L/A' /t to LCjtl-? Telephone # Contractor Address - // -r- City Li- State Zip '-? Telephone #(qS2) Y??' ?C 7Z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Su6mitted • Energy Envelope Calculations Submitted Have you previausly constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( R rjP T 0 T L ? s, ; 2nnn ? , ? F?,, I hereby apply for a Residential Building Permit and acknowledge that the information is tcomplete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagaifiand the Stale-Of-MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to st?art 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 I/VVM? pplicanYs Printed Name Applicant's Signatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mul4 Misc. ? OS 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-piex Pibg_Y or_ N ? 25 Miscellaneous Work Types ? 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 WindowslDoors ? 34 Replecement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinallNo C.O. _ Footings(addition) _ Plutnbing Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Au Test _ Final _ Windows In;ulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MClES SAC City 5AC Utility Connection Charge S&W Permit & Surcharge Treatrnent Plant License Search Copies Other Total Building Inspectar ('TTY DF FAGAN CA!?,H.T.G!"y: S iEFiM.LAlAL. NOe 697 l1F17E2 02117/99 T:CMEw Oi.Bi?:?i IL.i e RAMEa WALTFk M[CMAN:CC'AL INC 3210 9001 3826 I...FtUfiEl... GT 60.00 205 3001 3826 LAURE1.. CT Q.SCI i Tn+.a1 Ftecei.p+ Amount e 60.50 CR iIJR985 USER .T.D: NANCY X??X?k??Xc?e?X???k?z?X?C?XXc?c?#?%XeMXt?X%C??X%?%?kc?ksX kC?%?XXc??X?X?X CITY OF EAGAN 3830 Pilot Knab Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT PERMIT TYPE: B U I !r) r. iv G' Permit Number: LA ' ?? ? 3 C' Date Issued: 0' / ' ' ! 9 9 SITE ADDRESS: 3 ?-2 6 L A IJ I,:c L a: T ?.a1- : ia ??LOcK; I t;hi'If,R H :l"LI_ P. _I ,Y`d. o 1.0 -9.14 9 90 -18 0 -0 1 DESCRIPTION: r?A s :I,:N srR'rlG A s 1_1 N E 6 ptl lcli h?..l='e rmi.i: 1'VPe f7F2cl'l_Fif" E V$uil di rh< ' i -W4,rk Type A L1'ERH1]:nr! eei'tsi.rs !1''4 ALT, Ftc5l:DFN1 :T.FlL _•-?_. _ ta •? ?` : 3 ? u'0? ? ? { Fk? ?. ti3 a " a t'll ` i 6` e ... .. kS •s" ? REMARKS: t;il1'f'IRIr`r'UE 1-1U5i i;i' 1hd:3P F=GI"t? f) B t'f (:)tjF CUl`dCFiAI.:INGe FEE SUMMARY t;asc (=se "?60.00 Su rrhai qF TvY:a.]_ f'pe $E;7.50 CONTRACTOR: I- App-l- .i? ?? nt - OWNER: WAITER CONTF;ACT7:NG 1S6 'I.8013 S TF'ICl CIFNNS3 7420 Ci7Ll.lMBlJfS RVF rn 33?'6 LF1(1RE1. LT RIC;I-IFTEI_D MiV 5542; EA G(iN Mi4 55i2 2 (01-2? 8 61-L" +t113 i6 5 119 9 t4-14 -2 i ( I I her?ebv uc:i<noa:tledqe trtot I tiavo read Lhi.s appl.seatzon and staLe thrat the 3ntot-maCiaan is coa.rect and aqiryep #:o cornp.l.v with a1.1: applirOle Stato ca!' Mn. StattaU,s arrd Citv ot Eaqan ` 1 -APPLICANTlPEFMITEE SIGNATURE SSUED 8Y: SIGN TURE - -16 ().LM a-i7 -q9 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 (651) 681-4675 Date: Description of Work: _ Construct nerv fireplace _ Alteratinus to existin, ? Install Qas insert oulY _?>4 Install ;as line orzlv Other Job address: Z,4 LG ll-? (21 D I }1"L? # Lot: Block: SubdivisioniP. . . : Applicant (circle one only): Owner Contractor Perntit Fee: $60.50 Name: Phone PROPERTY Last First OWNER /' "??p ??? ' / ?` ? Street Address: p .e{QL-i?G-t ?. , - City State:Ad.A___ Zip: Company: Phone#: FIREPLACE ?,? / INSTALLER Street Address: a5?? 1 0SY/ t, f?y . City State: Zip: Company TI _ 11. GAS LINE INSTALLER Street Adi City I hereby acknowledge that I have read this application and state that the information is correct and a?ree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. S nature StaCe: Zip: ;?k>X);;`?f'{<i?';Y;ni4i?: ;;Yi' ) ? .?i.,??f.,..?z )' :4:4;[;iC`1;;;;;?•}',:i;?,?`)?'y'ry{},v.,;s,9' ;S n •+ i~ ?. Y ? !?' ?'.1•'?I..rAN CAUHIE!'\ 6 :., r ERMINi ii... NO" 779 i'nYE,? ? W19/98 TT.Ni;: „„ 00009 r .. ?D', NANEe M:l:l;c: i4(:iliS GCtNS'i'ItU:.?:CON Ct7 3:NC 205 900:1 27.00 3210 9001 3809 HEAi H'W R DR 0205 1').t?.J 1 ::IC. l. r?1?'ti ? ..?.I..?J. ????? . :i_?..C. ? ?? 1°??C.1?`le,-JI.?I' u..."( i?t _I_. L ?i C.2.C_?..C?J ` :?C?.?.41 ?',lit.???. :?F'r :1 8t ?...i"!?..?i\? ::.?... f aT ??.r1?.£?,S?v?l 300 ?.??:.1.1. ( Jj]{.fl.?.?. f ???'!?.I??..f.li'...R DR 09.75 .}..?t.1. r;c: 1"I... _. ?11-?1; ri AmCi+.iFVh;i 95000 ?. ,_:e:: CRO99:) 37 U92R ID:. N17f'!("Y >???` )??'f: ? i?:Ti:J:%h ??M1i?.`'iY? i? h.: \ i?\ ?\ r?\ qQ` )?i lPJ ?JeC%r\l' J?YU?.;'? Ji, t.::!: ,•`b?: ri? PERMIT CITY OF EAGAN -3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (651) 681-4675 PERMIT TYPE: Permit Number: Date Issued: guxLozNG 03A07? 11f18/98 SITE ADDRESS: 3826 LAUREt. C;T LOT: 1.8 BLOCK: ] BR:CAR hIILL P. T. Pd .: 10-14 9 9 F7-18 O--o1 DESCRIPTION: T.O. & REROQF Buildinq'-Permit Type MULTI. (MISC. ) Building Work Type FtEPAIR Census Code 434 ALT. RESIDENTTAL c « v i ,. r Y 4 , ) '-'= ? ? ? r i f 1 i( 4 I . . ,.. ... ... . i d .. . ,,. ` } _. .... f ` a ?.. _ , ..., .?,. r , - ..., t..?- REMARKS: SNCLUDES: 3828. 3830.. AN1) 3832. FEE SUMMARY: VALUATION $13,000 Base Fee $199.75 Surcharge 6,50 Total Fee $206.25 CONTRACTOR: - flpplicant - sT. Lzc. OWNER: MIKE MOHS CONSTF2UCTTON CO 17211107 5456 BRIAft HILL A55UCIATIQN 3414 SNEI.I..ING AVE S 3826 LAUREL C'i" MTNNEAPqL''S hiN 55406 EAGAN MN 55123 .(612) 721-1107 1 hereb,y acknawledge that I have read this application anck istate that Che infiormation is cprrect and aqree to ctamply wiGFi a11 app.lieabJ.e State o# Mn. ? 5tatutes and' Ci'ty afi Eagan Qrdinanr-es. J K-t . e...-@ APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATU E 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNIOB RD - 55122 681-4675 New Construcfion Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 wpies of plan • 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 dedcs) ? 1 energy calculations ? 7 energy calculations for heated add'Rions 4 3 copies of tree preservatian plan if lot plalted after 711i93 required: Yes No DATE: / 1/? Z//6?- CONSTRUCTION COST; I Z ? 7 7S? ? DESCRIPTION OF WORK: -r;eR 2 A'°'r STREET ADDRESS: ZS' 3 a- 32 L.4, cyge? ?) LOT: I? BLOCK: ? SUBDJP.I.D. #: G\"'`- ?Ai Name: & (4 2 ! // Phone #: PROPERTY Last First OWNER Street Address: City State: Zip: Company: /vl 1 /ti-P 4,5 lAN 5 ( CU N C-- Phone #: ? Z 2 CONTRACTOR ?• //? /l'vnj //? Street Address: :->Ve// ?'? vE- 5rv License # ?? s City i' ` / ?/lS State: Zip: ?. ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street City State: Zip: Sewer 8 water licensed plumber (new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this applicadon and state that the infortnation is correct and agree to comply with all applicabf State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant:C? l 2L, _ ?? /?. OFFICE USE ONLY Certificates of Surdey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No ? Not Required ?? ?,.i e? tr•1 i y.,yd;.?.? 4 W+p.?b ?.dW?v? i d:??.. .v.Y,.y l:lil?'1?tFiC?„)'(,i?'l?.?f-il•?.,nn.p1?iLinY?f:}'?CQ6?.?e?,..?i:)!f7,C.?S.d7?:);::dAC::C`1 ? ".'?Cp.aJ?. C:I:1'V OF .F..A(:,Ai`! f.::ASH:i:li=F;;; S '?'EF"tP':[h•1Ai._ Nt7e 760 DFi7i::s QVGE?,>99 'IIMEg 0709^::32 IV. NAME: MARt`.. A. `iTE:N,!=Ti-1 320 `JC'IOt 38:39 I...ftl..lRE.L. t.',r r;t)„On 205 9001 3839 LAIJF;F.::l_. r:'1 i:J.,"'.'ifi 'tn ta:L Rece: i.o+. 4mruun tv t',t:) o50 CF't07; 0. liSl'r.:i3 17!C NANCV \)?/?4?LalaY 1 +1 1 1 I.JIU: ? • f L 1 ?t, e 4 • 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN . `° 3830 PILOT KNOB RD - 55122 o „? _9 0 (651) 681-4675 ,., c(? (? „_s? v?xx New Construction Reauirements RemodeVReoair Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) t 1 energy calculations 4 3 copies of tree preservation ptan if lot platted after 7/1/93 required: _ Yes _ No DATE: 3 - aq "q9 DESCRIPTION OF WORK: ?ICCK CX+UnS?(O{rl ? 2 copies of plan ? 1 site surveys (exterior additions 8 dedcs) ? 1 energy calculations for heated additions CONSTRUCTION COST: $ A55. OU STREETADDRESS: 393D LaU.re-? COU-`r-+" I Cckq-c? LOT: BLOCK: I SUBD./P.I.D. #: tvame: c5-1"eXlSc?h mQrk. Phonett: (951-HO5-0N4 PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER 3tate: Zip: Phone #: Registration #: State: Zip: Sewer & water licensed plumber (new construction only): . Penalty applies when address ohange and lot change is requested once permit is issued. I hereby acknowledge that I have read this appiication, state that the information is correct, and agree to comply with all applicable 54ate of Minnesota Statutes and City of Eagan Ordinances. _.? Signature of Applicant: a --- •`?"? ? OFFICE USE ONLY , ?• ? ? - - Certificates of Survey Received _ Yes No ' ' • `"` "°"'°"? ! ..._.._._ _ _ _._._.? .__ ... .__._ . Tree Presenration Plan Received _ Yes _ No _ Not Required Last First Street Address: ? 9 ?0 LCLLLc? ? ?o LR-r+ City _EM a n State: Company:, I\4 N Z;P Phone #: 551a- 5treet Address License # Exp. City Company: Name: Street Add City _ OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex 0 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width Y . .-» ? ? 11 Apt./Lodging 0 16 Basement Finish ? 12 Multi RepairlRem. p 17 Swim Pool ? 13 GaragelAccessory p 20 Public Facility ? 14 Fireplace 0 21 Miscellaneous A, 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Faotprint sq. ft. , ? Census Code SAC CQde Census Units CensuS Bldg MC/ES System City Water Boost& Pump PRV ' Fire SpIrinklered APPROVALS Planning Building 42- Engineering . , Variance Permit Fee Valuation: $ 2 ?G Surcharge Plan Review License ? MClES SAC City SAC ' Water Conn: UVater Meter ' Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Park Ded. Trails Ded. , Other Copies TotaL• ? % SAC ? SAC Units ?i ? ? :? BriarHill Homeowners Association 3800 Heather Drlve Eagan, Minnesota 55122-1623 . Apri19, 1999 Mark Stenseth Mikki Chadwick 3830 Laruel Ct. Eagan, MN 55122 Dear Mikki and Mazk, This is in response to your request to have your existing deck extended. You are authorized by the BriarHill Homeowners Association to extend your deck as follows: The deck can not extend further than the corner of the building and not extend further out from the buildin,g than the existing deck. The new deck must be cosmetically identical to the current structure. The must be built using 2" X 10" treated joists and 4" X 6" treated supporE posts, with a deck flooring of 4/5 treated cedar lumber which must be attached to the joists with screws, not nails. The support post must be placed or seated on at least 48" frost footings or as per the City of Eagan's building codes. Please note the deck rr?ust comply with all City of Eagan's building codes. Sincerely, ??4 Jon Moller BriarHill Homeowners Association Board of D'uectors KOEHNLEIN 121IX1NiCOLLEI AVFNUt SOW H .. PHONE (612) 8901272 BUfiNSVRIE, MINNESOTA 55337 ? LIGHTOWLER cIiRTIFICAI'L OP SURVEY for CARL TOLLGfSON JOHNSON Lots 17, 18, 19 and 20, 131ock 1- BRIAR IIILL 1 » e oP . o..,E o Dakota County, Minnesota ARCNITECTS RARGO, NONTM DAKOTA ENGINEERS MORRIS, MINNESOTA PHOENIX, ARIZONA </ . \ \.?a o9,j V r I r-1?-- C'?{? .^.Lbb 4 fo? . ;2'o 05, ?sq"\tf • "?n -C? ?.o:? --'IPl a?V,?>U ;??. `Y?'; Gl l albL- ? =V ' r 9 ? . ? \ \ \ ? \\ , `\J c.Y ?\ ?? . \ .,r. .\ 'V 3\0 ?0 = :1 L? ?' • ti'l',?`?;,, ?? ? ;C?.4 ` ? A „ ,\\ I hereby cettify that this survey, plan or report was prepared by me or undcr my direcc supervision and that I am a duly ltegistered Land Surveyor under the Iaws of che Scate of Minnesota. Date Reg. No??.,_ .4J .??.i..?•.?i ? ..?..?..? .?,.:...?.r,:?.?iiM. ? .?:J.. i ? ?...1. •.; ?'?i.? ..?.??i, r?.? •?. CIryY [iF i].iilaAN .".;(Yc;bCl.Ci.li. S I!:.Rti.I.M1!f1'.. i!f.):, 96''1 ..... ...???r., n- ,-I.}, :?.:.; I ..,n Y" ,..? _.??? .. :i..?i ?,... .,:. ?_i:",`;"??'., ?lr? r ... . i.?(:'?: ._ ?'I ,. 'i1. ., :. it r.. r_..? . ...? 1...?n, i I..P•I_ 1 ...... ....?? ?... !.M..? 5210 ':,??f?I.)i "?Ji:-'I.'. ? ?. ii?..:...1 f-,.?, fjfJln"'?} 205 9001 .•h:.Y'?Y ..J..i: i':_ ? ..Jrl'.1??'?_r. ? ?._ ? ? t. ?? I ? , ? ?ur.:.,. . ..... ^1 "• l ?i" ?.7?.?i... .:;C_ ?.? ..i _.... ..K.i:...:' ..,i_. .. ?.' ... ?'1 ..:.. ?.,.y. ?... 1 ...,J . I." FJ r ' I c:?cr c:.(l?' .7?. )1. ? _ ,_,.. . ... . _,. ... cr 02; 0 900:. 3035 I...a'd.1X;::1_ t";r' G1 ?..1(..r,'t..' •Y. .? l:. ' . ? .._?...1 .r 4.1..) '. r1?!'????t../ 7 .. ? ? ..?!...'.. ? ....' ? '.I '. .5.C'i.'. ?-i `, TV.: . . ? :: (;}2'.105f 1999 1? New Conshuction Reaulrements BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681-4675 nn 3 Remodel/Repair Reauirements ? S registered sRe suneys ahowing aq. R. of lot, sq. ff, of house and all roofed areas (20% maximum lot covernae allowed) ? 2 copies of plans (show beam 3 window sizes; poured Ind. design; ete,) ? i set of energy calculaiions ? 3 copies of hee preservatton plan M lot plalled afler 7/1 /93 DATE: S -aS '" 1!1r 2 copies of plan 1 sef of energy calculations for heated addffions 1 sRe survey tor exterior addNions d. deeks CONSTRUCTION COST: $ DESCRIPTION OF WORK: nP['_ L eA%0-hS ION STREET ADDRESS: -315.?a Lavre 1 C+ LOT: ? BLOCK: Z_ SUBD./P.I.D. #: ?1A? JC7"A st qoS--9VJS Name: ftek;??sana!( Phone PROPERTY Last First OWNER . Street Address: 3 v 3P. L avrei Go(Jrr CONTRACTOR ARCHITECT/ ENGINEER City L5kqa-4'-" State: /YIN Zip: Company: Le141AD1Yl0r1 CON i-i[G44 hA Phone #: ?( ;L 7y,?" 79 7Q (area code) Street Address: DO TQT+?.? AlAt /?l! license #201-ISIXExp.,3 110 City V?0s1MDh;? State: /hN' Zip: S.S.?W Company:. Telephone #: area code ( ) Name: Street Address: Registration #: City .Sewer 8 wafer licensed plumber (reauhed for new constructlon oniv): Stcte: Penalty applles when address change and lof change is requested once permN is issued. Zip: .1 hereby acknowledge that I have read this applicahon, state that the information Is correct, and agree to comply with ali appllcabl State of Minnesota Statutes and CMy of Eagan Ordinances. l? ? Signature of ApplicaM: •??` 40X-' OFFICE USE ONLY Certificates of Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No _ No _ Not Required ,-r-_ f"------- ? L•i I? ' ? - ,- OFFICE USE ONLY ' BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Firepiace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. [3 03 1 of _ plex CE,.,OS 6-plex ? 13 16-plex ? 18 Deck i; ? 23 Porch (screened) ? 04 2-plex -,E]'-09 7-plex ? 14 Apartments ? 19 Lower'Level 24, ftrm Qamage 0 05 3-plex 10 8-plex O 15 Lodging ? 20 Pool 0 .25--ItiAisce9laneous •., WORK TYPE '' ? •??'-' ..`~ ; ,• ? ?:i•?•. ? .. • ' ? .? s. ? 31 New ? 35 Tenant Impr ? 39 C?as Line Only' ? 4v3" 181knglSoffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert p 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove 0 45 Fire Repair ? 34•i?e¢rair, ??.,cC] 3$ ` Demolish (Interior) ? 42 Reroof ? e, ` `* Give PCA handout 1o a plicanAfor demolitior? p ? rmitl ?, GENER%?h-.fRMi?-?N ?!t'j?Y,{?> ;-`?;??,N ,.? Const. (Actual) (Allowable) UBC Ocau,pane?;^ r?? Zoning " # of Stories Length WiBtft, ?'.? = i •"' :• , ? • ? Bas fit t i ? ° o ' us C d errT .sq. :. ? .?'r • r:. e e is o q S - f4 Main level'sq. ft. -SAC'Code _C) I cz - 3 : sq. ft. ,; ft No. o?, n?ts f; .? N ?ldg sq. . o. of s O sq. ft. MC/ES System ? sq: ft? . _ ? ? City Wateti . Footprint sl????- ',n i •1", ? ?°± ;jqgstotTijmp • .. . ? ,., r? Planning . •?. PRV ii Fire $'rinklered ?, ? r ..?a f 4 " a ?. S.M ,•+. t1 + :?. . .•- .'i ?<. S,'r: ? ?•? ? ? . ? I. Building r'• ? - Engineering t`t •`'',+'??/ari?ance Permit Fee 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. 40 Valuation: $ Trails D.ed. ! ; 1 Other x - .. . ?-• • ?, •? ti.. • d .? ?1 t x`, J t •. Capies ` Total: SAC Units % SAC i BriarHill Homeowners Association 3800 Heather Drive Eagan, Minnesota 55122-1623 ? May 7, 1999 Sandra Brekke 3832 Laurel Ct. Eagan, MN 55122 Dear Sandra, This is in response to your request to have your existing deck extended. You are authorized by the BriarHill Homeowners Association to extend your deck as follows: The deck can not extend further than the corner of the building and not extend further out from the building than the existing deck. The new deak rnust be cosmetically identical to the current siructure. The must be built using 2" X 10" treated joists and 4" X 6" treated support posts, with a deck flooring of 5/4 treated cedar lumber which must be attached to the joists with screws, not nails. The support post must be placed or seated on at least 48" frost footings or as per the City of Eagan's building codes. Please note the deck must comply with all City of Eagar2's building codes. Sincerely, /7,9- Jon Moller BriarHill Homeowners Association Board of Directors . - -. KOEHNLEIN LIGHTOWLER JOHNSON 1 N C O 11 P O 11 A T[ D ARCHITECTS ENGINEERS 12700 NIC04l E I AyFNUt. SOI ITI/ PHONE (612) 890-1272 BURNSVILLE, MINNESOTA 55937 I CGRTIFICAI'E OP SURVEY for CARL TOLLEPSON I,ots 17, 18, 19 and 20, t3lock 1- BRIAR fIILL Dakota County, Minnesota FARGO, NORTM DAKOTA MORRIS, MINNESOTA PHOENI%, ARIZONA ? S . .?? ? a . c? ?}a . ?, ?`??'•?. REWMWn ED By CAi F e v .? lJ -r ( '7' T. l rU I?.11. I? ? . o ?, . , ? \\\ I hereby certify that this survey, plan or report was prepated by me or under my direct supervision and that I am a duly Registeted Land Suiveyor under the laws o£ the State of Minnesota. Date Reg. No? , ` \ \ ? p \ </ CITY USE ONLY I PERMIT RECEIPT DATE: ?j- ? - C) USID£NTIAL M£CEMICAL P"MIT APPLICATION _ crrYoF EAGM . . . .3$30 fILOT-KNOS RD .. , :• '_ _ ? . g,4ek1V'141N 5518E ' . 65t-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: OWNER NAME: M G r TELEPHONE #: (0 15 L-YOj - 0d ! (AREA CODE) ? INSTALLER NAME: TELEPHONE #: „ (AREA CODE) ?4^c?:??U-i?;:3 STREET ADDRESS: CITY: STATE: ZIP: . .. Place a check-mark next to the aermit work tvpe -- -" - _ New residentiaf dwelling unit under constructionand not owner/occupied $ 70.00 ? Add-on diPicatiop or alteration to existin dwelling unit $ 50.00 • furnace replacement'-, , • air exc • air conditioner ? • other Nature of work: ?(Z,/' rr_? C( State Surchar e $ .50 Tota I s !50 =? Reminder: Call for inspections. MAR a1- z001 TURP Updaled U01 PERMIT # 4IL;-3 RECEIPT DATE: 7 ? -() I fiUIl}ENT[AI. PLUbI$IN6 PUMTT Af'PLICATION crrY oF EAem S$SO PILOT KNOB gD EAsArt, hfx 55122 651-6$1-4675 Please complete for: SITE ADDRESS: OWNER NAME: : INSTALLER NAME: ? single family dwellings ? townhomes and condos when pertnits are required for each unit ? backflow preventer for irrigation system TELEPHONE #: S? 9y3- 41163 (AREA CGDE) TELEPHONE #: , -' ? I (AREA CODE) STREET ADDRESS: `/ 'L ?,-` ?i ?,C? e, CITY: ?a?&e STATE: ZIP: Place a check mark next to the aermit work tvae ?Mw _ New residential dwelling unit under construction and not owner/occupied $ 90.00 S? Add-on, modificat? or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system - • water turnaround ?'-l ?"_ ' EuV" Nature of work: V(SU- ?'Y\ , . , _ . 1 _ SepticSystem,new/refurbished - JUL 1?200 225.00 • includes County & Consulting Inspector fees • requires NiPC iicense ?' -- :_•_ __ State Surcharge $ .50 Tota I Reminder: Be sure to scheduie inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge tnat I have read this application, state that the information is correct, and agree to complywith all appticable City of Eagan ordinances. It is the applicant's responsibility to nolify the property owner that the City of Eagan assumes no liability tor any damages caused by the City during its normal operational and maintenance activilies to the facilities constructed under this permit within Ciry property/right-of-way/easement. SIGNATURE OF PE MITTEE Updated 1101 SINGLE FIMILY DWELLIHGS 2 3ET3 OF PLINS 3 BEGISTERED SITE SQR9EYS 1 3ET OF ENERGY CgI.CS. 1989 BUILDIHG PERIM APPLICATION CITY OF EAGAN lATLTIPLE DiIELLINGS 2 3ETS OF PLANS REGISTSRED 3ITE SIIR9E23 - (CHECg WlTH BLDG DIV. ) 1 SET OF E9EAGY CALCS. C01MRCIAL 2 SETS OF ARCHITECTURAL & STaOCTQRAL PLANS 1 3ET OF SPECIFIC9TIONS 1 3ET OF F•NERGY CALCS. MULTIPLE DUiELLINGS AENT9L t1NIT8 FOa SiLE IINITS ? i OF QNITS lIOTEs ADDAES3E5 FOfl CORNER LOTS - CONTAACTOR/H0ME0{iNEA HD3T DESIGNASE iiHICH ADDAE55 IS DESIRED. RO CHANGES iTILL BE ALLOi1ED Od1CE BUILDING PERMIT I3 IS3IIED.. SEWER & WgTEA PERMIT F'EES AND ACCOUIiT DEPOSIT FELS iTILL BE INCLUDED iTITH THE SUILDINa PERMIT FEE. PROCESSING TIME FDA 3EWER AAD WgTEA PERMITS IS TiTO DAYS ONCE d PEAMTT HAS BEEN CONlPLETED INDIC9TIHG A LICEN3ED PLO!'IDEA. PEN&LTY APPLIES 4dHER1: PERP9IT IS AIOT PAID FOR YN S&ME MOIdTH IT Y5 REQOESTED. LOT C8AP8GE IS REQIIESTED OIdCE PERMIT IS ISSITED. (. WZ`„ I?+L) ?6a'??'`,??r?o? To Be Used For: ,?,b ('/I/ Aa'l.?? Valuation, . ?SS Date: $r"/),? Site Address 7$ 29 40y?t4*1- GeT, Lot ?u Block I Parcel/Sub KkIa•Q HIUL owner ,ot?o kr*d ?ag*,?, dadress City/Zip Code /.,qc??r?^'• Phone Contraetor GRW)T7? ?f 04A"i. Address 41t1 5r2EF77- ? City/Zip Code /GD,S?'?d??-T ??te•, Phone Arch./Engr. Address City/Zip Code f co0- Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage On site xell _ MWCC System _ City vater _ PRY required _ Booster Pump _ APPR0o9LS Planner Couneil Sldg. Off. liariance FEES Bldg. Permit 96•00 5ureharge .S? Plan Review SAC, City SAC, MWCC Water Conn Water Meter Acet. Deposit S/iJ Permit S/ft Sureharge Treatment F1. Road Unit Park Ded. Copies ,2 ,OJ 3DSTOTAL Penalty TOTAL Phone 0 .. • ? // \\ ?. ,// ?, ' ` \, I ?-- ? ; i ? ? V, -- . . Q ??? u ? . . EE} • ,?`?\% o ?F? ? l W J?,• 2 , '?. .-G.?? i , ? W ? , ?.r? ; ? >. , , ?•,, j ? ? __9 _?:; ;?? I I__ / S? I v -- ? ? ? - _ _. , t4CI 1 ? ?t0 1 ' ' / ?-? `, t ?/ ? . I ,?\ •.?`g ? `) to .. ?. . ,. , / ? ?•' ? ?? i ? l ? ?? ?? r ? ,, ? ? f??. ? ? ? n u? ,. ? tv -- / ? ? -- - - - 1 u, ---- ` ? ---- --- - ` ? r 0 --- '?, - `? -= - , -- ? ` --- - -? , -- ? - -? - ? ? -- - -- ?,_.. . ? . , , . , - ? -- --------- , ---- ; r, _- ?? , _, ,- ? r-. ? ToT . ` \4?? ?- . ?? LOT ? y C , AP TOT- '• _= , ?? ? / ^ 1 ?Z, t 6. -'- - ISt ? gzs Lwa- 2q, 2j ? • . _ --_ ? ol . ' ' \ 23 ?10 ? ? D, i ? ? :k,. I , ; '?1; ? • `, , ,? st-. ... . - - - - ? ; t ¢ , i ` I. ? ?VI ? . /* f 7i '.?. ?? '•l, SI?: , . '? : °!5 ?? , UR?L GO??"r m IJ ? ?? ? - ,?` • „ri' ??'"""1 V ,. -+ 1 ? ? ??' ` ' ? a_;?-- v' ?!Y!? Te)T 1 ??p, FO???? O ? 1 ? • R ieE?dS?E ??-- ?-.o??-.__.._?? TRAtt6\' to?f. cocA7i a?. Cn/t??'? I '_.. . . D ? / ? l ? . i / 2 3 \ ? ? l ?Z ? I '2?i - -?• +v ? ? i ` 2?) ? ??.l1? ? ?_ 1?? ? ,?, '•.A1 ? ,<? ? Lo'? ---- , ' ' lU? -• . rt f '97/ ?-ws ? I , , - . c ? r City of Eapn 3530 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651)675-5694. ? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ? I For,Cjff,Fe Use ? ? Permit #: (> ? ?I / j : ? ??J`, ? ? Permit Fee: 5 , o G I ? Date Received: I I I StafF. ? I I -----------------? 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4l 3lo g Site Address: W?Z' A 2 ?41LL Tow ,? /-fo H.., L S Tenant: Suite #: RESIDENTlOWNER Name:Cla 6l550c„4;10.J f;.?.+?e,?yz 0444641,lL'?7- phone: ?43,Y5y-3?R7 Address / City / Zip: 3 g X4 Z`s,,nrc eT, Applicant is: _ Owner X Contractor TYPE OF WORK Description of work: n£ Gl? Construction Cost: y/ D"0. d v Multi-Family Building: (Yes X / No CONTRACTOR Name: l3 £/ lfx rLtLi o2 Z-2P. License#: Ic- R y// 3 1 Address: y4 -S" L..1. City: /77 y"L 5. State: M,? Zip: SSV? 9 Phone: Contact Person: b"E 4L Rai S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New 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 pertnit 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 considereal to,be public rnformation.. Portions of the information may be classifietl as`'non-pu6bc if you provide specific reasons that would permif fhe;City to : conclude thaf the are trade`secrets. ..?° A 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 wor 's not to sta out a permit; that the work will be in accordance with the approved plan in the ca n f%WypCry?iqtrre?u ?' w and approv of ans. ?S l? LE' x L9 LJl l? d +L dLs2i_5. T X. ApplicanYs Printed Name 3 2Q?j Applicant's 5ignature Page 1 of 3 .A . . % DO NOT WRITE BELOW THIS LINE. . 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 0 Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04PIex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior improvement ? Siding ? Demolish Building* O Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 30I0 . o'T? Occupancy T_J?C - I MCES System Plan Review Code Edition 2CIE> 7 SAC Units (25%_ 100% Zoning City Water ? Census Code y 3 t Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width 149 REQUIRED INSPECTIONS Footings (new bldg) Sheetrock ? Footings (deck) Final/C. O. _ Footings (addition) ? FinaUNo C.O. Foundation HVAC Drain Tile Other: _ Roof: _Ice & Water _Final Pool: _Footings AidGas 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 Plan Review MCIES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total - • Page 2 of 3 ? • t "KOE?HNLEIN LIGHTOWLER JOHNSON 1 N C O R P O R A T L D ARCHITECTS ENGINEERS 12700wGOLlE[ nVF.NUE ;Oii114 PHONE (612) 890-7272 BUiiNSwLLE, MiNrJESOTA 55337 ( CGRTIFICA7'E OF SURVEY for CARL TOLLGPSON i Lots 17, 18, 19 and 20, alock 1- BRLAR HILL Dakota County, P9innesota FARGO, NORTH DAKOTA MORRIS, MINNESO7A PHOENIX, ARIZONA \K ,° . O? ' _?rrt'IA 2= z.???-? ; c0' ?L q.l T e;? --y . /V ..?:.r?LF7 :•l „!; i ? ., ?.Y. ?.? ? - ?- , ?. ? ,. 0 ., ..? \\ ?., ? I hereby certify that this survey, plan or report dvas prepated by me or under my direct supervision and that I am a duly 22egistered Land Surveyor under the laws of the State of Minnesota. ?? ?ozb ,3S3-Z v fLe l , Date Reg. No. tAU?"1 G . ?EvoEWED oa? ? 08/12/2011 13:58 6128616267 BEI EXTERIOR MAINT PAGE 01 . /10/1 '7 please, coal Use BLUE or BLACK Ink J +arnctivn+ r .rtd wet I MWON&tbe t PennR of Eajan ~-7. I ! a } I Permit Fee: 3830 Pilot Knob Road Eagan MN $5122 12'~ 0 l - `f ffl Date Received 1 Phone: (661) 67&4676 mss: l star Fax: (661) 6764684 I _ 2 4 010 RESIDENTIAL BUILDING PERMIT APPLICATION Fe Date: S //2 / t Sloe Address: 382(- 3528 - 3834 - g3~ L.sv2~Z. ('J~~~~r Tenant: Suite it: RESIDENT I OWNER Name: ~o A0xx+srn07✓ F.~irr✓ /He+~s~T Phone: 76 3- i9VV - 37,2 7 Addmss l Cdy / Z"ip: R"_ Ff5w 1,,4.16E A, Af/ _,1f- AW0_ AAA O5 311 Applicant is: Owner L Contractor TYPE OF WORK Description.ofwork: Rw2mo_k/E #Ald R'6pG~Y~ IeIJUF Construction Cost -it. 000 Multi-Family Building: (Yes / No __j CONTRACTOR Name: gEi r 7 °ip(Z M.EkNT. Cv)2P License Address: fZ26 T City amAo2!2fo1,rf state: 1~ A~ Zip:.~SS Phone: Contact: J-4y10 Ernati: che/ x z . Ca/ 7 COMPLETE THIS AREA JQNLY IF CONSTRUCTING A ,N,,,,M 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: Sawer & Walter Contractor: Phone-, NOTE Plans erid si p,p&n9 dkVMwft dtatYw Saba* am cons/dww to bo pubme MfomMadon. Poffim S of > fitl'ornIatJor► any be classbigal sa 'W6 ib/Jic Il`YOU p speclt torts aw wow PetfMN the City to oortcltloliA►:am are *we twi"L C~ LL BEFORE Y U DIG. Cali Gopher State One Call at (651) 45"002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. Q ed)necall.ora I hereby acknowledge that this Information Is complete and accurate: that the work will be In conformance with the ordinrancos ana 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 parmlt; that the worts will be in accornence with the approved plan in the case of work which requires a review and approval of piano. x C~iQI S r4N1~~~z'j~ Applicant's Printed Name Applicant's Signature FA XAF0 Page 1 of 2 !/_1 Z 1r COPY Use SLUE or BLACK Ink . For Oflloe Use Permits; I ~ . Z MY of Wan I Permit go& I i 3830 Pitt Knob Road Sagan MN $6122 j Date Receiw d: j Phone: (651) 6754CO t 1 Fax: (661) 076-4694 ~ Staff ~ 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "J Site, Address; I V1 6, 3ITA C. 310 o, 0,3 231 4.4 Lj. t L C -T. Unit y: Name:c o Fd C: 7' /y1 r4~J 4fn;,P MBAJ ; x,~C vs •s"~i3 9770 Phone. 7l bvl~ler . Address / City / Zip: VS0 G v e Al ' ,Z p _604h Z ► VnK4t4_j Applicant W. Owner ~ Contractor TYP ;iL?f, f, Description ofwodc `7".~.•1~2 OIGf^ e> 2E "Y of- Construction Cost: Q Multi-Family Building` (Yes No Company: GCE 1 ExrEa"oR N47,a; . &ZP Contact -hAW h %vQjk r 5 ev. crt Addres6: ~a tti1 6 i~ ~0? . City: PG s . State: ZIp: Phone: G'~it - g6 / Z'/3 •1,4 • License 49C A q) / 3 / lead Certificate 0: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) . '~~c.~eas ~21.•QutLr Pos: ! p7 fl COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW UILDING In tlw last 12 months, has the city of pagan 1=49d a permit fora similar plan based on a master plan? .,.._Yes ,No If yes, daft and address of masfar plan: LlrenwW Plumber Phone: Mechanical Contractor. Phon- Sewer & %trr CyontracCor Phone: ~.~;jyy ~!ry'!W~•'~ I M~~ I may. .A%:r•" ,i~•~!`~.~'C qy~l r`.1. p.,... ~ .•l.If.v CA~s.~~G YOU OIG. ~ - ' ? pher StA/e ono Gatt et 681 4S4.p002 for protection against underground utility damage. Call 46 hours beMre you utbsnd to dig to recevVe locates of underground utllkies. o ^ Il.o I hereby acknowledge that this Intormatlcn is complete and aawrdte; that the work wdl be in conformmnoe with the ordinances and codes of the City of Eagan: that I understand this is not a pew, but only an application for a permit, and work Is not to start without a pwrdt: that the work will be i6 ocrwnianm whh the a rwved ran In ire case W work wnioh raquk a a m view and dppmvar of plans. EKC'rlor work auth*rb*d by a building Wink Issued in accordance with the Minneecta days of pem* muence>< Strafe Bulldcn Code moat be wmpiamd witlmin 180 . >~~rqv~~ ~+a22~s Applicants Prinfad Name x Appllcatnft Signature Page 10(3 5O/TO 39Cd 1NIVW 1X3 139 L9Z9T98ZT9 E5:5T ETOZ/bZ/OT Use BLUR or BLACK Ink For Office Use I My Permit of Eajan Permit nee: 19 13.0 3830 Pilot Knob Road Lil- Eagan MN 55122 i Date Received: ( I Phone: (651) 67Sd5675 Fax: (661) GTS-6694 staff_ I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: ~Cy 3r - l3 Site Address. -3 8x1-,38Xf, 3830, 3$3,2 JAUREL 611-, Unit 0: Name: L3'/& 4C Phone:763 - S S3- 977o R16'* UAddress/ City t dip: gso Dzcw7'V2 Av ~ lA Ga4DE.~ 1144,L-cr WA) Quitner Ss wl 7 Applicant is: Owner ,Contractor Descrlption of work: L a- ~ £ P L 4 In t 7, 4 4G Tp: of!1gri: Construction Cost: an, cro Multi-Family Building: (Yes No ) S Company: r CA--l o A JY~id ~ aY . Cv RP Contact 64 fl J3-/2..,2) Address: I/cam W 100 City: /tiI PL S State: zip: S$'~// r1 Phone Lor - (o ! - 1 y3 License G 4// 3 f Lead Certificates If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) I~L"ra,r poS;- JF? 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: MOTES Rlahs. a6d` ~ ser . d9,00M. a tt iis~►r C r ~coo$ . [i<'t+O ;Pa~l~~~ ►~Nof i _ the lnforms2eon.: .be.e~ssifl' ;ngrr• It:rif` ~ vI :s e~t#1t!!aa'~Iirs~>.. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4154-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www•aooherstatsonacall.oro I hereby acknowledge that this information is complete and accurate; that the worts 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 ~4✓, 0 S x Applicant's Printed Name Applicant's Signature Page 1 of 3 TO/TO 39Gd 1NIVH 1X3 139 L9Z9T98ZT9 TZ:60 ETOZ/T6/0T 41/)P City of Evan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use � Permit #: I / j J 7 -7 Permit Fee: &0-0c), Date Received: Staff: 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Site Address: a 6vi- �lzf Tenant: Suite #: Name: Address / City / Zip: 3g ;Z 1-.4JPOH eat ?' Phone: 6t—Yo.2 —.3Si1 Name: AAA (>46 rayl �es5-r'P-4,C. License #: Address: CI ra ✓�- ZI City: S: 5rpA-4..) �- State: 4,tA9 Zip: sd7 Phone: X5-1— 4/5-1- 3g6 Contact:140 (P Email: _ New )(Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL ( Water Heater Lawn Irrigation (_ RPZ / _ PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / _ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) "Water Tumaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One CaII 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 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. D f cess K x Applicant's Printed Name Applicant's Signature