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3833 Laurel Ct 1 Use BLUE or BLACK Ink For Office Use _ I I Permit*.: pity of J - 3630 Pilot Knob Road I Permit Fee; L7 I Eagan MN 65122 Date Received: Phone: (651) 675-5675 I Fax: (661) 675.5694 I Staff. J 2012 RESIDENTIAL BUILDING PERMIT APPLICATION = Date: Z /x 81te Address: 3 3 4-, R Unit Name: C~e AssoC1.4'~ Phone: 763-J/9V- 3'7A 00 Address / City / Zip: '70J1 RA )'nr9 pL'g G 2a✓ S"S 3 J / Applicant is; Owner Contractor TYP Description of work: R zr. o Li L a R E P1,4 e-r- 61 C K I,QF4M ELK Construction Cost: gUzv• y-0 Multi-Family Building: (Yes 3C / No ) Company: `1 L 215T C2r O-rZ M t4l . da2P Contact: t~- A v f- 13, as i S Q I Address: %0.S 606 ~MTf~.: S city: 5 State: zip: Phone: 61.4- IrO - iC 7 / f t a License P, C .9'V 3 J Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 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: NTj>Rr pl►'g 'MR tt: M9 W ;'~A!.k'1R(! 8th:" ,;J ; . ~ . ~►s` 1's'frada secrets; . CALL BEFORE YOU DIG. Can Gopher State One Cali at (661) 464-0002 for protection against underground utility damage. Call 48 `hours before you intend to dig to receive locates of underground utilities. www.ooohmtateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that I understand this is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be In accordance with the approved plan In the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued in accordance with the Minnesota to Buildin ode must be completed within 180 days of permit Issuance. x -u i)s R a-P, r S Applicant's Printed Name Applicant's Signature Page 1 of 3 ZO 39Vd 1NIvW dOIa31X3 I3S L9719T98ZT9 00:TT ZTOZ/SZ/L0 DO NOT WRITE BELOW THIS LINE SU8~s Foundation Fireplace Porch (3-Season) Single Family - Garage Storm Damage Porch (4-Season) _ Exterior Alteration (Single Family) - Multi t)1 1 Of )t Dock - Porch (Screen/Gazebo/Pergola) - Exterior Alteration (Multi) Of ` Plex _ Lower Level ` Pool Accessory Building = Miscellaneous WORK TYPES - New Interior Improvement Sidln Addition - - 9 - Demolish Building ,Move Building _ Alteration - Fire Repair - Reroof - Demolish Interior J!-Replace - Windows - Demolish Foundation Repair Retaining wall - Egress Window Water Damage "Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation --•~"W Occupancy G • MCES System Plan Review Cade Edition (25%_ 100% SAC Units Zoning 4- City Water Census Code y~ Stories # of Units , Booster Pump Square Feet o2-V PRV # of Buildings Length ~p Fire Sprinklers Type of construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition)! Final / No C.O. Required ; Foundation HVAC - Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water Final Pool: ,Footings Air/Gas Tests Final Framing Sidin Fireplace: -Rough In Air Test Final g~ -Stucco Lath ,Stone Lath `Brlck Insulation Windows Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: ~ Building Inspector RESIDENTIAL FEES Base Fee ~19 3 DDS Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 4 3 60 39Vd 1NIVW dOI831X3 I3H L9Z9T98ZT9 00:TT ZT0Z15Z1L0 k! L) F-T E 0. EH N LE IN 12700 MCOLLEI AVENUE SOUTH PHONE (612) 940.1272 BURNSVILLE, MINNESOTA 55337 LIGHTOWLER CERTIFICATE OF SURVEY FOR CARL TOLLEFSON JOHNSON Lots 13, 14, 15 and 16, Block 1, BRIAR HILL 2nd I H G O A P O R A T E D Addition, Dakota County, Minnesota ARCHITECTS FARGO. NORTH DAKOTA MORRIS, MINNESOTA' ENGINEERS PHOENIX, ARIZONA INDICATES IRON ALL BEARINGS A1BSL3ME0 m~ ~ ~ LAU RE L X> n COURT 7-.4? Ito X13 7 • ~O 4.1 Vr ^ 6 '0 ~Y36' 3Z° - y/ 2 .0 ~1~ • to 4 y% s n~% 5,369 in ^ A 5,00 Io DRAINAGL a+- UTILI IT - - ~ ~ EASEME.~tT 1 hereby certiO that this survey, plan or report was pteprar°ed by mg or otrtder rtty direct supervision grid th 1 am a duly Registered Land Surveybi tam the laws of the State of m1fitwou. 13 38 J ! ? Date Rte: F~ I 7~ CITY OF EAGAN Addition $r'La* IiillAr]diTian 2nd Loc 14 eik 1 Parcel #10 14991 140 Ol Owner streec I.at1r.'el Court State Ea1:an, MM 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. C 1982 600.76 120.15 5 600.76 C007240 9-14-81 STREET RESTOR, GRADING . • 114.43 A009870 1 27 81 Gradin 'S?°I 1982 123.04 24.61 5 123.04 C007240 9-14-81 SANSEW TRUNK 1968 47.9 1.60 30 47.91 A009870 1 27 81 * SEWERLATERAL_ 1968 52.47 2.62 20 52.47 A009870 1 27 81 10,509 5. o C- o/3 ? io --X5 WATERMAIN * WATERLATERAL 1968 ZO WATER AREA q4e 1977 95.81 6.39 15 95.81 A009870 1 27 81 ** S W Lat Stm L 6-% 1982 1431.44 286.29 5 1431.44 C007240 9-14-81 STORMSEW TRK 6P ' 1982 402.73 80.55 5 402.73 C007240 9-14-81 STOFM SEW LAT CURB & GUTTER SIDEWAI.K STREETti6tMF 009 1986 153.70 15.37 10 WATER CONN. BUILDING PER. 6 3 12 s,aC 525 0 21520 10 21 80 PAFK Nava Dds ii£9 •aad orviaiing 'NNOO tl31HM -/-O? - n'E-7 OT LC'Si OL'£Si 9861 600I yA&MM 133li1S 'Al VM341S M311f1o i8 8!!(1z) ltl-I M3S W!lO1S -- D L'ZO7 S SS'08 £L'ZOh Z86T C ?Id1M3SWklOlS -- Z 00o 7h'I£hT S 6Z'98Z S 8 9Z mIS 2E'I M/S i8 LZ I OL8600tl I8'S6 SI 6209 I8 S6 LL61 vaav aalvnn oZ 8961 ZO'f lV2l31V1 ki31'dM ? NIVWd31VM OZ Z9 Z Lti ZS 896T ' ?tlFl31H? k13M3S + iH LZ T OL8600V i6'Lb 0£ 0901 i6'Lti 8961 lgft N Nnatnnastuds 118-hi-6 8hZL00D h0'£Zi Suipszf) T8 LZ i OL8600V £17 'bTi OT titi'TI £b'bii SL6 ?Niova? 'HOlS3ki 133a1S - - - 0009 I q C;T-OZT 9C00 b86T Q? ? '?k!l1S133!!1S alep idia?ay 1uawAed saeaA lenuuy iunowy aled iuawanojdwl ZZTSS NW l1E Eg aieiS ;.zt10:) ia.xnL7 - - , S--iaails iauMp lev?ed-??I18?-iol puZ uoiiippy s)IJewey NdcJ? __. , air EAGAN . Remarks Addition Rri r Ffi 17 Addi -9 on Znd Lot 16 Blk 1 Parcel #10 1 d991 160 Q1 Owner%+fi'Vr!`. . t'l'i ?(J!)Street 5$3-7 Laurel Court State Eagan, MN 55122 Improvemeni Date Amount Annual Years Payment Receipt Date STREETSURF. 19$2 600. 76- . C007243 - - STREET RESTOR. GRADING 1975 114.43 11.44 10 114.43 A009870 1 27 81 Grading (0 9 1982 12 • • 123.04 C007243 - 914-81 SAN SEW TRUNK 1968 47.91 1.60 30 47.91 A009870 1 27/81 *SEWERLATERAL - 1968 52.47 2.62 20 52.47 A009870 1 27 81 WATERMAIN * WATERLATERAL ior 1968 ZO WATER AREA 1977 95.81 6.39 15 95.81 A009870 1 27 81 ** S W L Stm L0SS 1982 1431.44 286.29 5 1431.44 C007243 9-14- STORMSEW TRK :, 1982 402.73 80,55 5 402.73 C007243 -- STORM SEW LAT CURB & GUTTER SIDEWALK STREET Lrl? 1009 1986 153.70 15.37 10 O 0 WAWPZo 185.00 21522 1 WATER CONN, 30$.00 21522 10 21 8 BUILDING PER. -6-314 SAC lO 21 8O PARK 250.00 20263 814180 CITY OF EAGAN Remarks Addition rtriar Hi 77 Additi_on 2nd Lot 15 Bik 1 Parcel #10 14991 150 01 -- Owner < Street 3n9,7 LSLiTG l COUI't State ES$an, PM1 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. (6(00 1982 600.76 120.15 5 600.76 C007229 9-14-81 STREET RESTOR. GRADING 171 1975 114.43 11.44 10 114.43 A009870 1 27 81 Gradin c 1482 123.04 2.61 5 .04 CDG/zz -- SANSEW TRUNK A?r 1968 47.91 1.60 30 47.91 A009870 1 27 81 * SEWERLATERAL. 1968 52.47 2.62 20 52.47 A009870 1 27 81 WATERMAIN * WATER LATERAL 1968 20 WATER AREA 1977 95.81 6.39 15 95,81 A009870 1 27 81 ** S/W Lat Stm L COS1? 1982 1431.44 286.29 5 1431.44 C007229 9-14-81 TRK 1982 402.73 80.55 5 02.73 C007229 -- STORM SEW LAT CURB & GUTTER SIDEWALK STREETR6thF- 1009 1986 153.70 15.37 10 /5 . O C'-/O .2 /o-/ - 185.00 21521 10 21 80 WATER COIdN. 305.00 2 10/21/80 BUILDING PER. sac 525.00 21521 10 21/80 PARK 2$0.00 20263 8 ? CITY OF EAGAN I 3830 Pilot Knob Road Eagan, Minnesota 55122-189 I (612) 681-4675 I siTF ADDRESS• IN5PECTION RECORD PERMIT TYPE: Permit Number: ? Date Issued: . . iot Nlftilt (Ntii alNyia 06, f:.'0/9b 1140 APPLICANT: 1?I tt I ? ? t k . PERMIT SUBTYPE: TYPE OF WORK: ?., FInIu ! t FiQ(lf FFtiFlItK':;: 1N1.111i!{,s- iN3K, 3ti?7. ANIJ :{ti0a L1illnlJ WAY f t??, 1 1 r, ? 1', F ? L: -- -------------------- ------_.__-____° -- ------ -- - - _? Permit No. Parmit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspectlon Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBCa AIR TEST . ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR 7EST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I ? I BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: i niWr i ? i I PERMIT SUBTYPE: I'll, III 11;i: iNI INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: Ib APPLICANT: ; ., TYPE OF WORK: t:il i i n r h6 N7tNfrH H6 /'17 /Et3 ; ;I I rj M i i I ?k ? Permit No. Permit Holder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspection Date Inap. Commenia Footings I Faundation Framing Roofinp Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Plbg. Plbg. Inspeclor - Notily Plumber Const. Meter Engr./Plan &dg. Final DeCk Fig. ?-2 `? <.3 1U ? l' P I-.af1Xe u=(?T ? a 0?//' i ? Deck Final Well Pr. Disp. C?erfifirttft vf COrrupttnrg Citp of Cagan igr.pttrtment rrf .+?uilDing Inspertinrc Tbis Ccrti ficate is.rued purJrucnt to thr rcguiremenu of Secaon 306 of the Uriiform Building Coda certif ying that at the timt of itsuance thit structure wat in compliance with tFie varioua ordinancer of the City regulating building conrtruction or use. For the f ollouang: We claiwa;unm 1 of Q ple% BIdg.PemucHO. 6314 Occu{mcyType'1)'paCoosWCtion V FirtZon 3 ZO(IIIIBDIS[11M R3 o,,w of B„a,;,8 Tollefaon BuilderaAaa.s 13E316 Holyoke Lane audairienaaivs, 38.39 Laurel Ct_ La,,;,Y Lot 15o Bloek l, Briarhill By„ ?-- - &Akiing official ? oai<: ?- i .i I. w CANa?ICUWY RA<t ' .' . BUILDING PERMIT CITY OF EAGAN 3795 Pi1M Knob Rood Eogan, MN 55722 PHONE: 454-8100 Receipt # N? 6314 To be wed for Est. Value Dme , 19 5(te Addre!; Erect ? Occuponcy Lot-?_ Block Sec/Sub. ' Alter p Zoning Parcel # Repair ? Fire Zone _ W Name ; Address ' ?a Name Ob Addreu Name _ Address I hereby acknowledge that I have reod this application and state that the informotion is mrrect and egree to comply with all opplicable Stote of Minnesota Stotutes and City of Eagan Ordinances. Signature of Permittee - A Building Permit Is issued to: oll work shall be done in acco Building Officiol Enlarge ? Type of Const. Ahove ? # Stories Demolish ? Front k. Grade ? Depth ft. Anorovals Fees Assessment Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. APC Permit Surchorge Plan check SAC Woter Conn. Water Meter Rood Unit Totol ' on the express wndition that with all applicable State of Minnesota Statutes and City of Eagan Ordinances. .• .w.i. x na. i...a .«.?n.. Plumbing Q c /D " Mechanicol -Z,j:? 7 %- INSPECTIONS DATE INSP. Rough-In Finol Footings ? Dace Inso. Dote Insp. Foundation Plumbing ! Frame/ins. Mechonical Finol Remarks: l% . cirr oF FAGaN 3795 Pilot Kne6 Reod Eagan, MN 55122 PHONE: 454-8100 BUILDIidG" PERMIT ReceiPt # To ba uaed fee Esf_ Velue '. 5?111 Dnte Site Addre Lot ? Blxk Sec/Sub. '' ` Porcel # w Name iollefson 31111.1eT`S ; Address ? 1!16 iiol,yoite T,n. o . - .._„__ .. ,?, .....,., p Name Z? .. _ .e ?? Address Name _ Address 1 hereby acknowledge that I have reod this applicotion and state that the information is correct and agree to wmply with all applicable State of Minnewta SMtutes and City of Eagon Ordinances. N4 6313 Erect ?j Occupancy Alter ? Zoning Repair ? Fire Zone Enlorge ? Type of Const. Move ? # Stories Demolish ? Front k. Grade ? Depth k. Aowovak Fees Assessment _ Water & Sew. Police Fire Eng. Planner _ Council _ Bldg. Off. _ APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit Tota l Signature of Permittee ? A Building Permit is issued to: ' on the express condition thot all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Fwsk # Dah Iw?d Pae?lftw Plumbing 0& Mechonical Z77c % 7 7 INSPECTIONS DATE INSP. Rouph-In Firwl Footings Date Inw. Dote Inap. Foundotion Plumbing Frame/ins. / i MecFwnical Final / - Remorks: CITY OF EAGAN ?--• -- --? 3795 Pilot Knob Road Eagan, MN 55122 Ng 6312 ' PHONE: 454-8100 BUILDING PER/vIIT Receipt .}k _ , Te ba wad for Est. Value Date , 19 Site Addre Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel # Repair ? Fire Zone Enlarge ? Type of Const. Neme Move ? # Stories W ; Address Demolish 0 Front ft. b Ci Phone Grade ? Depth ft. ? N Apprmab Fcea • 0 Zu o ug f- ome Address C'ty - Name _ Address I hereby acknowledge that I have read this application and state that the information is torrect and agree to comply with all cpplicable State of Minnesotn Statutes ond City of Eagan Ordinances. Signature of Permittee Assessment _ Water & Sew Police Fire Eng. Planner - Council - Bldg. Off. - APC Permit Surcharge Plan check SAC Water Conn. Water Meter Road UniT Total A Building Permit is issued to: on the express condition that all work sholl be done in accordance with oll applicoble State of Minnesota Statutes and City of Eagan Ordinances. Building Officiol t Permk # DaN Iaaed PwnnifMe Plumbing o2 /U D /,- -/ G -A)- i; Mechanical 2,23 - ? Jp/ ti:Er.c- 3 737 INSPECTIONS DATE INSP. Rough-In Firwl Footings Date Inap. Dote Inso. Foundation Plumbing Frame/ins. /7 f ) Mechanical Finul Remorks: BUILDING PERMIT Te be owd for CITY OF EAGAN 3795 Pilot Kno6 Road Eagan, MN 55122 PHONE: 454-8100 Site Addre Lot? Block Sec/Sub. Parcel # W Name ; Address 0 Ci Phone p Name OE Addreu ? r:.., a..,..e Name _ Address Receipt # N2 6311 Date , 19_ Erect ? Occupancy Alter ? Zoning Repoir ? Fire Zone Enlarge ? Type of Const. Move ? # Stories Demolish C] Front ft. Grade ? Depth ft. AoorovalS Fees Assessment _ Water & Sew Police Fire Eng. Planner - Council _ Permit Surcharge Plan check SAC Water Conn. Water Meter Road Unit I hereby acknowledge thot I have reod this npplicotion ond state that gldg. Off. the information i5 correct and ogree to comply with all appliccble SMte of Minnesota Statutes ond City of Eo9an Ordinances. APC Totol Sigrwture of Permittee A Building Permit is issued to: on the express condition thot oll work shall be done in uccordance with oll applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Officlal PorwR # OaM I?oed rersNfM Plumbing o70 //-/d - d Mechanical T f r',. -? ? - INSPECTIONS DATE INSP. Rough-In Finol Footings ? Dat Insp. Date Insp. Foundation Plumbing Frame/ins. Mechonical Finol Remarks: Y'/ c , K C-1,, ?. A F'roOr Z y/ ?DO`Q i / -/s - .D. t??f >to T t xtenor. CITY OF EAGAN 37Y3 PiIM Knob Raad PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: ? Site Address: Plumber: I agree fo eomply wit6 the Citr of Eagon Connedion Charge: Ordinnncet. Account Deposit: BY - PermiP Fee: _ Surcharge: Misc. Charges. - Date of Insp.: Total: Msp.: Date Paid: CITY OF EAGAN 37qS Pilot 17nob Road . Eagon, MN 55122 Zoning: Owner: Address: Site Address: Plumber. Meter No.: Size: Reader No.: 1 egree M comPh with fhe City of Eagan Ordinanees. Connection Charge: Account Deposit: Permit Fe°: Surcharge: Misc. Charges: Totol: ? : Date Paid: I?By Date of InsP•: Insp.: - WATER SERVI CE PERMIT GTY W EAGAN 3795 Pilot Knob Rood PERMIT NO.: Eagan, MN 55122 DATE: Zoning: - No. of Units: Owner: - Address: Site Addr_ss' Plumber: Meter No.: Connection Charge: Size: Acwunt Deposit: Reader No.: Permit Fee: 1 agreo M curnVlY with the City of Eugnn Surcharge: Ordinanees. Misc. Charges: Total: Date Paid: ey Date of Insp.: Insp.: WATER SERVICE PERMIT PERMIT NO.: - DATE: No. of Units: - CITY OF EAGAN SEWER SERVICE PERMIT 3795 PiIM Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: No. of Units: Owner: Address: Site Address: - Plumber: I agree to eomply wifh the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee: Surcharge: BY Misc. CFarges: Date of Insp.: Total: I nsp.: Date Paid: p CITY OF :AGAN SEWER SERVICE PERMIT C ? 37"s5 PiIM Knob Road PERMIT NO.: Z Eagan, MN 55122 DATE: p ? Zoning: No. of Units: Owner: - Address: Site Address: Plumber: 1 agree fo complr with the Ciry of Eagan Connection Charge: - Ordinances. Account Deposit: By Date of Insp.: Insp.: Permit Fee: Surcharge: ' Misc. Charges: Tota I: Date Paid: . ey Dote of Insp.: Connedion Chorge: Account Deposit: _ Permit Fee: - Surcharge: Misc. Charges: - Total: Date Paid: Insp.: Reoder No.: 1 agrea to wmply with Fhe City of Eagan Ordinonus. CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 Zoning: Owner: Address: Site Address: PI umber. 1 ngres to eomply with !he City of Eagan Ordinaneas. By Date of Insp.: Insp.: Connedion Charge: Account Deposit: _ Permit Fee: Surcharge: Misc. CFarges: _ Total: Date Paid: a itot Keob Road PERMIT NO.: MN 55122 DATE: No. of Units: -- agroe M eomply with the City of Eagan SEWER SERVICE PERMIT PERMIT NO.: DATE: _ No. of Units: Connection Charge: Account Deposit: Permit Fee: Surcharge: Misc. Charges: Total: Date Paid: ? 1 . CITY pF EAGAN Include"2 sets of plans, ? J 1 sit,e plan w/elevations s BUILDING PERN¢T APPLICATION 1 set of energy calculations. To Be Used For Valuation Date 4'/-5 site Address:..Z' 3e'3S_ r,?t?J -?? i3?.39a`''??-cP e?' d N1' '-?%??` oFFZC? vsE ?Y /.? /s/Block - 3 _ Parc.?el #: ,a/ Fxect -L? ? sec./sub. nw? rx:iT,a oc? Ser?eJfr A1.ter zonirx3 3 awner: Address : /-v/& City/Zip Code:6,'? Z?, ?l,/./ Pno?ue ' Contractor: Address: City/Zip Code: Phone #: Arcn./Eng.. Adr3ress: city/ziP coae: Phone #: Repair Eniarqe Nbve De[iolish crade - Fire Zone Zype of Const. # Stories Front Depth 3 j( i7r<{ ft. ay ft. APP%7VAIS Assessments Pexmit Water/Sewer Surcharge Police Plan ChecJc Fire SAC Eng. Waber Conn. a - 17 Planner Water .Meter councii . y- Roaa vnit Bldg. Off. APC I 3 I ?'75 , CITY OF EAGAN 3795 Pllot Knob Road Eagan, MN 55122 N2 6314 PHONE: 454-8100 BUILDING PERMIT APPLICATION Receipt # To be uaed for 1 of 4 plex Est. Value 37?500 Date 10^21 , 19 -?Q- Site Addresq g LaUT'21 Ct. _ Erect }(g Occuponcy .-8.3--- Lot ? BlockSec/Sub. BY'1aZ'hill 2 ntl Alter ? Zoning R3 parcel # Repair ? Fire Zone ? 3 Enlarge ? Type of Const. `J ? Name TollefsOri BuildPS Move ? # Stories Z Address 13816 Aolyoke ISI. Demolish ? Front 44 ft. ° Ci Apple Valley;Ikne 1+5l+-6823 Grode ? Depth 24 ft. ? N?mo Approwis Feea 0 Z °u u< F Address City - Name _ Address I hereby acknowledge that I have read this applicotion and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee Assessment _ Water & Sew Police Fire Eng. Planner - Councii _ Bldg. Off. - APC Pertnit 143.7U Surcharge 26.50 Plan check 71.75 snc 525.00 Water Conn. 0 00 Water Meter 60,00 Rood Unit 185-00 Totol l fi,316 _ 75 A Building Permit is issued ro: Tollefson Builders on the express condition thcf nll work shall be done in accordar," with oll opp}isqble $tate of Minnesoto $tatutes and City of Eagan Ordinances. Building Official Trrtifirtt#t uf (Orrupttnry Citp of eagan Erpttrtment nf guilding Jnsperticm Tbit Cati ficun irrucd pur.ruant to tlx rcquiremenu of Seuion 306 of the Uniform Building Code cntifying that at the timc of iuuantt tbis thuaurc wus in compliancc with thc variaur ordinaruu oltlx City rrgulating Mrilding constrrution or utt. For tht f ollou7ng: Un clasafinoW 1 of 4 plex Blae Pe,,,rit No. 6313 OixuP+ucy Tm R3 'hPecmawcriw V PircZoaia 3 Zoningnituict M a,m ,rMa.E Zbllefscn Bldrs ,,,d,„„ 13816 Holvoke Ln,Apple ? 8uiding Add= 3837 Laurel Ct L,a,;,y I161B1, Briarhill 2nd Building Offidal Dale: _ ?O?f IM A GOM??ICVQIf RI?C[ 2-ao-al .e? Lir?ciw L.s.n CITY OF EAGAN ? • 3795 Pilof Kno6 Raed Eagon, MN $5122 N? 6 313 ' • ' PHONE: 454-8100 BUILDING' PERMIT APPLICATION Receipt {p To be used For 1 Of l, p12X Est. Volue 37,500 • Dnte l C1-21 , 19 8n 1 Site Address 3837 Laurel Ct. Erect [}} Occupancy R3 Lot k5(?elock 1 Sec/Sub. Briarhill 2nd Alter ? Zonin9 R3 Parcel # w I Name Tol l afson Bui l ders Z Address 13816 Hol.yoke Lri. o . -, .. 11 .. , _ . ....-.. p Name Z? same ?? Address r r.., oti.,..e Name _ Address 1 hereby ackrrowledge that I hove rend this upplicMion and state thot the information is crorrect and a9ree to comply with all opplicoble State of Minnesota Stotutes and City of Eagan Ordinances. $ignoture of Permittee _ A Building Permit is issued to: all work sholl be done in acco Repair ? Fire Zone 3 Enlarge ? Type of Const. V Move - ? # Stories Demolish ? Front 44 ft. Grade ? Depth 24 ft. Aoorovels Fees Assessment Permit --4} • ?)u Woter & Sew. Surchorge 26.50 Police Plan check 71.75 Fire SAC 525.00 Eng. Water Conr?05.00 Plonner Water Meter60.00 Council Road Unit 1$5•00 Bldg •Off . . APC Totai 1,316.75 Tollefson Builders State of on the express condition that and City of Eagan Ordinances. Building Official U? 7b Be Used For ? Site Address:-km Lot 3 V lock? Parcel #c Owner: ?C Address:? City/Zip Code:a4 Phone # : CITY OF EAGAN BUILDING PIINIT APPLICATION /'5_O Valuation l Sec./Sub. Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. nate 0 OFFICE USE dNI,Y Erect occupancy 3 Alter Zoning 3 Repair Fire Zone Enlarge Type of Const. v Move # Stories Denolish Front Grade . Depth ft. APPRQVALS ?S Contractor: Address: City/ZiP Code: Phone #: Arch./Eng.. Address: Assess[rents Permit Water/Sewer Surcharge Police Plan Check Fire 5AC " gng. Water Conn. J ah P1an.,Pr " Water Meter I?D council - 2- a Roaci unit PM -- Bldg. Off. APC - - -- - City/Zip Code• ? 3 < 6. 7? ? Phone # : 'POTAL CI?Y OF SAGAN OFFICE INFORMATION MEMO T DATE TIME F Flb M OF PHONE NO. RECEIVED 8V Wds here to 5¢e y0u Piease cali H Wiil call again Returned your c.ali ACTION I REMARKS/MESSAGES Review anA see me Review and return ? Prepare reply for my sig. D Reply antl send me copy I ? ? For your approval L For youi informetion I ? ? ??7'?'??7/`?"• For signature As we discussed As You requested ? Take appropriate action , Notify staff ? FILE ? DISPOSE OVER 1 I't7 rnVIVl.Vril - ONE SIDE ONLV COLLATE NO.OF COPIES HEAD TO HEAD STAPLE . DATE NEEDED HEAD TO FOOT (Other) TVPING: ROUGNDRAFT RUSH DATE NEEDED SINGLE SPACE FINAL COPY DOUBLESPACE CARBONS ./ 1, 3?? CrrY OF EAGAN ? BUIIDING PERNIIT APPLICATION 7.b Be Used For 5-4J 0 t' O valuation r 9 Include 2 sets of plans, 1 site plan w/elevations & 1 set of energy calculations. Date 4' /-5 0& SI 5:tJl ? O I ??3?3Xv??-? Vll' Il.li UJii ?Y ,?.7? I/(7t / BZt+ / .?C. /.Sl]b n .?P ?+ ?T/O/ T r2Ct 1, OCCV3IICy ? Parcei #: ePrd,ef!/ Alter zoning oamer: Address: /V/C? A4?e ?'i'a/• City/2ip Code: ?l,r/ Phone #: dontract.or: Address: City/Zip Code: Phane # : Arch. /IIig. . Pddress: City/zip Code: Phone #: Repair Fire Zone _3 Enlarge 'Iype of Const. j/ Move # Stories Demolish Front .ycf ft. Grade Depth afl ft. APP%)UAILS FEES Assessments Water/Sewer Police Fire Eng. lanner Council Bldg. Off. APC Permit Surcharge ? Plan Check 5AC Water Conn. 46-50 water Meter Road unit -'65L %3/G- 75 ...,.....r - i.c- CITY OF EAGAN 3795 Pilot Knob Reud Eagan, MN 55122 N2 b a.- • ' PHONE: 454-8100 S°?o ?/ BUILDING PERMIT APPLICATION , Receipt .# - To be used for 1 of 4 plex Est. Volue 37,500 Dote 10-21 1 960 $ite Address 3815 Laurel Ct • Erect )t4 Occuponcy R?- Lot? Block 1 sec/sub. Briarhill 2nd Alter p Zoning R3 Parcel # Repair ? Fire Zone --?? -- Eniorge ? Type of Con st. V Nome Toll2fSOn BuildeT'S Move ? # Stories - W 3 Address 13816 Holyoke L11. _ pemolish ? Front - 44 ft. 0 ci Ap ple Valle.y,*;6e 454-6873 Grade ? Depth 21+ ft. & Name 0 Approrais Fees same ? ?? Address Assessment _- F' Water & Sew. Ci Phone F Police FW Name Fire Address Eng. <'Z" Ci Phone Planner Council 1 hereby ucknowledge that I have read this appiication and state that gfdg. Otf. the information is correct and ogree to comply with all applicable State of Minnesota Statutes and City of Eagon Ordinances. APC Signature of Pertnittee Permit 143.50 Surcharge 26.50 Plan check 71.75 SAC 525.00 Water Conn.'05 - 00 Water Meter 60.00 Road Unit 185.00 rorai 1.316.75?- A Building Permit is issued to: Tnl l afqnn Rni l rlrs on the express condition that all work shall be done in accordan?c%th all appli tote of Minnesotc Statutes and City of Eagan Ordinonces. Building Officiai (Ifprtifirtt#r of (Orrupttnrg Citp uf (Eagan igrpttrfmrttf u# +uilbing Jngprriimt Thif Ccrtihcate icJUed purruunt to tbe requirements of 5ection 306 of the Uniform Building Codc cc+tif yrng that at thc timr o f irsuarut this strurtu+r war in rampliance with the vuriaut ordinances o f t!x City rcgu/ating building contiruction or use. For the f otlou7ng: v. c?uiiw 1 of 4 plex Blag. Penytil No. 63T11-? pu,vpwWyTYPe ? '1YMComWctlon V FircZOn 3 loningDistrict N Ownu of Huildin` ? ?OIl 23 I? Addmss Does not AI/fLl/?l? ` ' By: 1-14-81 g OIAdd Date: include exterior front entrance steps IV?i IX .COMt/ICVOU9 IAGf LITti?iH J.5.4. ?e? CITY OF EAGAN 3798 Pilot Knob Road Eogan, MN 55122 PHONE: 454-8100 BUILDING PERMIT APPLICATION N2 6311 Receipt # c=;2 1"5- ` ? To be used for 1 Of 4 p12X Est.Value 37,500 Dme l(1_Pl , 19$a-_ Site Address gLaurel Ct. Erect 6 Occuponcy R3 Lot elock 1 sec/sub. Briarhill 2nd Alter ? Zoning R3 Parcel # Repair ? Fire Zone 3 Enlarge p Type of Const. V Name Tollefson BuildeT9 _ Move ? # Stories W 3 Address 13816 Holyoke Lri. Demolish ? Front 44 ft. ° Ci ]Bhone ??h?7? Grade ? Depth 24 ft. Approvals Feea ? o Name - Sante ?U Address Ci ? WW Name ? _? Address 1 hereby acknowledge thot 1 have read this appiication ond state that the information is rnrrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagon Ordinances. Signoture of Permittee Assessment _ Water & Sew. Police Fire Eng. Plunner - Councii _ Bidg. Off. _ APC Permit }'y-? ' Jv Surchorge 26.50 Plan check 71.75 snc 525.00 Woter Conn. 345.00 Woter Meter 60.00 Road Unit 185.00 To+ai l, 316.75 , A Building Permit is issued to: TollefSOI1 F3tti l derG on the express condition that oll work shall be done in accordan497 with,all ap,pkyable, State of Minnesota Statutes and City of Eagon Ordinances. Building Offitial ? . . Zb Be Used si.t?e,- s: Lot?lorac f sec. /sub Parcel #: 43 CITY OF EA[',AN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PEItNLTT APPLICATIOIJ 1 set of energy calculations. i.sol o 0 0 Valuation Date ?9v?°? oFFzcE vsE oru.Y owner: Address: City/Zip Code: ? Z?e°r??, ;??w Ss?-2 Phone #: Cbntractor: Acidress: City/Zip Code: Phcaie #; - Arch./hfig. . Pddress: City/Zip Code: Phone #: Erect _Z,, Occuparicq 3 Alter zoninq 3 Repair Fire Zone Enlarge 7.yN of (7onst. j( Move # Stori.es Detnlish Front Grade De.pth aY ft- APPROvAIS F'EES -kig Assessments Permit /'y!3 Water/Sewer Surcharge 614- Polioe Plan Checlc Fire SAC Enq. Water Conn. d - 17 Plaruier Water Meter ? Council - Z-- Itoad Unit ZB?? Bldg. Off. APC ?- C%• ?.S .?p d2ESIDENTIALBUILDINGn City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FA,X # 651-675-5694 Nerv Construction Reauirements RemodeUReoair Reauirements 3 registered site surveys showing sq. ft, 01 lot, sq, ft of house; and all roofed areas 2 copies I §hlowing footings, beams, joists (20% maximum lot coverage allowed) alations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc?(? uevf itions 8 decks 1 set of Ene?gy Calculations ???qdon-site septic system 3 cop i e s o f Tree Preservation Phan if lot platted after 711193 \G '? Rim Joist Detail Options selection sheet (build'mgs wilh 3 or less unik)? 212 0 Mimcegasco mechanical ventilation fortn S?P Date % l 2 0 / 2 007 Construction Cost SiteAddress 3 9 3? L,4e?,rLt-L CD UniUSte # Description of Work 2?p?,a?E- i,vG.s Multi-Family Bldg x Y_]v Fireplace(s) _ 0 _ 1 _ 2 PropertyOwnel?, fi/ SS'rx'iRrlqv` f?rNAiuc-rfa? Jy1,4AA trt_-7L1L--Af1- Telephone#( 7c3) q64- 3'227 7022 ?. YlSt/ Gw-,c XUAD /l!fIPLr (2?avE' /GeN ,g7 3 Contractor aEl EXT if1Q M 44S7' C,(}ZP. Address 4w VUEs' 60-r?t zT 2FET City_ Ml(dHl6]4-P(JUS State M I (?JA?? 'j??-p Zip ,1J'r??? Telephone#(?jI2 ) S(oI " (?Z+3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Categorv I _ Minnesota Rules 7672 • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet (d submission type) Submitted Submitted • Energy Envelope Catculations Submitted +ISo, ps- P2? CQ'P9 Office Use OnN Cert of Survey Recd Y_ N Tree PresPlan Recd Y N Tree Pres Required - Y_ N On-sde Sep6c System _ Y_ N in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N if yes, date and address of master plpn: Licensed Plumber Telephone # ( Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a 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. ? Ai'4`JEYSGA/ / Applicant's Printed Name ApplicanYs Signature l./v lI va 7 1 l? aa.lJLUV 1I aiaau ualA l. n? Sub Types ` ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of T plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ali - SF ? 04 02-plex ? 10 08-plex p 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-piex ? 1.9 Lower Levet ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Misceilaneous Work Tvpes ? 31 New ? 35 Int Improvement O 38 Demolish Interior ? 44 Siding ? 32 Addi6on ? 36 Move Buiiding ? 42 Demoiish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors `tT 34 Replacement `Damolition (Entire Bldg) - Give PCA handout to applicant D@SCrIptlOn: Water Damage _ Yes Valuation J? >Cx> , E"' Occupancy :TRG k MCES System Plan Review 100% or 25°/a Census Code Ll ? y zoning P D( 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) _ Sheetrock ?o Footings (deck) FinaUC.O. _ Footings (addition) Zo FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total F (AT ?e -e. iZS ,<O?HNLEIN 1Z7DONiCOLLE1aVErJUESOIITn PHONE (672) 990-1277 . 6URNSVILLE,MINNES^iP 55337 ! LIGHTOWLER CERTIFICATE OF SURVEY FOR CARL TOLLEFSON JOHNSON Lots 13, 14, 15 and 16, Block 1, BRIAR HILL 2nd 1 M C D P P D R A T E O Addition, Dakota County, Alinnesota ARCHITECTS FARGO, NORTM DAKOTA MORRIS, MINNESOTA . ENGINEERS pHOENIX, ARIZONA SC ALF I" = 50 ? 1upICP?TES ?RoN 1 i. ?' , A?L ?EA??NvS A`'?Ulv??f? F-AGAN L?WED ??LAURE L couR-r ° C aa'=----..- oDGQi?s ?- 3?,a?83pr??? Go ? ti ? Z ? Yy/? zyp ? ?^O ??; n ? ryY? '0w N o ? r • lo? QRIq}}ykGL w- UT1tITY ? EASEME.NT ? N 73a ?? - . ` ? 1 hereby certefy' lhat 6his surveq, ptM oT teporc wa5 ptepat?d b-y ffie of 6ndCf ttiy dlrca ` supervisiott asrd thg€ 1grn a a3uly Regisrered Land Sutro'ey0Y tEE34L-t CFte 12ws O{ tI1C Sta[C ??? 5 oF ?1?ililtigS4Jta. .- - 37 par? ?a?---?---?-- ? ? ? rc-I ? Reg. om . i2E5IDENTIALBUILDINGim City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouirements RemodeURepair Reouirenents 3 registered site surveys showing sq. ft, o/ lot, sq. ft. of house; and all ruofed areas 2 copies of plan showing footirgs, beams, joists (20% maximum lot coverage allowed) 1 set ot Energy Calculations for heated additions 2 copies of plan showing beam & window sizes; poured found design, etc. 1 sile survey for addftions & decks 1 set of Energy Calculations icate if on-site septic system 3 copies of Tree Preservation Plan 'rf lot platUed after 7/1193 Rim Joist Dehail Options selection sheet (buildings w'rfh 3 or less Minnegasco mechanipl ventilation form Office Use Oniv Cert of Survey Recd _ Y_ N Tree Pres Plan Recd `- _Y _N_ Tree Pre$ Required _Y _ N On-site Septic System Y _N Date q c;p -1 Constructi on Cost Site Address 3937 GN-"izCZ_ C' dti,e,T Unit/Ste # Description of Work Multi-Famity Bldg ?C Y_ N Fireplace(s) _ 0 2 Praperty Ownery, As'?11c-6N77oni ?- 1Z ? F!S'H Gfl!'I- /?cRO /M,q?tE Telephone#(7?,3 ) yby -37v?7 Gr/?-.6y?E i'tr.i/ ,53 3/ Contractor BC-1 ExTFRLM AtLnFT CDF P Address City M1111NE74POl-PS State Zip 5J'r4(1 Telephone#(Gj(1 ) IIio( - 62 43 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeory 1 Minnesota Rules 7672 Energy Code Category Residential Ventiiation Category 1 Worksheet . New Energy Code Worksheet (q submission type) • Submitted Submitted • Energy Envelope Calculations Submitted in the last 12 months, has the City of Eagan issued a permit for a similar plan based on a masier pian? _ Y ! N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Wpter Contractor Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ) rf/,ei, 111wd =zolill JA _?11 Applicant's Printed Name Applicant's Signature Lv lA va Teaua? yiuv I • xiiav iai1.-. 4 7 Sub Tvpes ? ? 01 Foundation ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of T plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex J!'21, 18 Deck 0 23 Porch (screenlgazebo) ? 36 Mulfi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex O 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Inte(or ? 44 Siding ? 32 Addition CJ 36 Move Buifding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alieration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `Demolition (Entire 81dg) - Give PCA handout to applicant DOSCrIptIOII: Water Damage _ Yes Valuation "? , t) v Occupancy MCES System Pian Review 100% or 25% Census Code q3q Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const .13_ Width ? REQUIRED INSPECTIONS Footings (new bldg) _ Sheetrock ? Footings (deck) _ FinallC.O. _ Footings (addition) .?D Final/No C.O. Foundation HVAC Drain Tile Other Roof ? Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final _ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ W indows _ Insulation _ Retaining Wall Approved By: ln?-AAB uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ,? I01 Fee ?ZL ZoUcc l vi L) ize 1 0 _ bc-' ?-T' . , KOEH NLE I N 12701 NICOLLEI F'?ENUE SOIiiH PHONE (612) 890-1272 BURNSVILLE, MINNESCTP. 55337 ' LIGHTOWLER CERTIFICATE OF SURVEY FOR CARL TOLLGF50N JOHNSON Lots 13, 14, 15 and 16, Block 1, BRIAR HILL 2nd i H c o n v o R A r e o Addition, Dakota County, Dlinnesota ARCHITECTS PARGO. NORTH DAKOTA MORRIS. MINNESOTA' ENGINEERS PHOENI%, ARIZONA N SC AL.F I" = 50' IHDICNTES 1RoN ? ?. ? ?O.°S. co \ \ ? ? LAU RE L cou PI-t \"' LG„yv •'z ~. ` \ ? 1 hereby certtl? that chis curvey, plan vr ? report waS ptepata-d bq Esg Of utldzt niy disect ` supecvision and that lotti s duly Regiscered Land 5urve+/ot tenda the lawa of ehe Stau aE Miartesots. Dac- R:g: m ALL pEAR?NvS NSSuM60 ? KOEH N LE I N 12100 tiICoLLE, AVENHt SOUTH Pr+onE (eiz) ago t 272 BUFNSVILLE, MINNESOTP 55337 LIGHTOWLER CERTIFICATE OF SURVEY FOR CARL TOLLEFSON JOHNSON 1 N G O M P O R A T E D Lots 13, 14, 15 and 16, Block 1, BRIAR HILL 2nd Addition, Dakota County, Minnesota ARCHITECTS FARGO. NOHTH DAKOTA MORRIS, MINNESOTA ENGINEERS PHOENIX, ARIZONA ? I SCAL? I" = 50' INDICN'TES 1RON ALL DEAR?-1vS ASSUMED 1??h1- ?. ? ` ! •_ ? ? ? 13 ?ti I5 - 10? ORAINAGE w- UT1L1TY ? ? ?ASEMENT 173 ??yv ? ? ?7 Nr LAURE L GoU RT , a'•--- _ `O I ? ?.A Nd C/?? `?\ryv ? ? ? 'S `ay,a ? I hereby cenYy that this st+svey, plsa os \ report waS ptNpared dy trte of ttndee my direct ?- supervisiott and fhsit I sin s duly Registetpd Land 5utveYot under the laaro of the Stace of Mlnrwsdca. ? N ? Date_...?.??.? R.e& I 0 4 ? 00- z ? ?? dfl,l o 0 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits aze required for each unit Date?/_?/ ? Site Address 393 9adee'1 Unit # t O P :? en / V Y ) n Z hone # (&SI ) ?o V - O ` ` / Tele roper y wner r7 J c p Contractor V 4 Street Address c2o n s J 7S? J r I.CJ • City ? St t 6 Zi hone # ((9sl ) 3O? oZ-?? ?(`e Tele a e p ,zlL( p G7 6 Sond #: Expires: The Applicant is _ Owner -6--contractor _ Other Add-on or alteration to existing dwelling unit $ 30.00 furnace _Additional _Replacement air exchanger '4?-airconditioner _New A:7Replacement other 7 7??, 1 SEP 2 3 2004 $ .so State Surcharge i gy ??-Sv $ Total I hereby apply far a Residential Mechanical Permit and acknowledge that th ' tion is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the echanical Codes; that I understand this is not a ' but only an application for a permit, and work is not to start wi p 't; that the work will be in accordance with the ap ed plan in the case ork which requi es a review and approval f pl Applicant's Printed ame Applicant's Signature .; . ; r,-.'.Y !'1P ?;•.???i:.r?•i ,,..?, ? ,•.,.. ?` ,?•? ;-;-na r 'il ?..: 6t.3 ?,?:?,_; ;_r,.._,: ?:.. ,, _ _. , ? _ . ... _ „-.. • r ?' Li(`;1;`_. . -,: ? , ].'?::..; ?.it:;i?J?.j)r? j - - ,r.,.,r, ? _ I ... ?"h:P:F?i?r?.p:;,? r-;4-+ti,rl?c?;;r"? ."`_. ? 1' '?;-?:{ ???.,a?.li , ?• " " "r.?5c? .!" I". I_.(d?.? 5=.1_. f..r .' i„.. t(1 . ?::?'.!J +:)(.fl,j i. ? ??.?f.? ?_.}'.ti`:.?.. ?.,i . .i :.i, ,.. ? ? n? ?c.'.;,? o `?l:iC; i. ,: ...,.?,.;3 . _, !...Fl,.!hl..i .., ? ?.? ,?. ?>,._i r .. ... , li? _t ;_•:.Y? P155 ?? l?..t.i 'J ... ''t?13?? 1_n?_???_. ?? , . 0=;'f.1 . . ' C. i?? ??C ? 3I-1.i.?.! } (' 1.:?1.?1.?.. _1 ?:T +?)ryn. Jl.rtit?.u r. :.. I: I_.-II..? ?.?_._ ? .. . . ?; ?;?. L_...,.J ?nfl:ti ... . . 2935 I_,d't.?_ 1;7 0.5f) I Q';.r.ll R;::`L• 'i Qrt r. nr,J..'n. ,. ! !,t 09 W i 1.):. i 7 l.i;?FR TDO ? ?.n:1? ??'? ? ? .4?,aJ?)f??\: ? ...r:.?????t...'.)'-. . :'.?? ?,? • ? i .:??? i ? i?? . . :?4 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) •. • CITY OF EAGAN 3830 PILOT KNOB RD - 55122 O ? ??v V o ?0 651-681-4675 3-?? New ConstrucTion Reauirements Remodel/Reoalr Quirements ? 3 registered sNe surveys ehowing sq. ff. of lot, sq. B. ot house 2 copies oF plan and oll roofed creas (20% maximum lot coveraae allowed) 1 sei of energy calculations (or heated addNfons ? 2 copies of plans (show beam 3 window sizes; povred tnd. design; eic J 7 sfte survey ior exferior addHions 3 decks ? 1 set of energy calculations ? 3 copiea of hee preservafion plan M lot plalted affer 7/1/93 DATE: S'?tS- gq CONSTRUCTION COST: I300 DESCRIPTION OF WORK: Deck. gAftvON STREET ADDRESS: 'C C ? LOT: ? BLOCK: / SUBD./P.I.D. #: PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER ?.1 Name: ? beA Cy Phone #: / f? 1 ys;)" 71oT Lasf First Street Address: 36.73 LQV re I CDUX r City ?GtaI?PiV 5tate: /j?Aol' Zip: Company: LeHV%aYIA'PiC COII'?TQG'?iAG1 Phone #: I-i `t ?-7- / 87o ' - (area code) Street Address: 1tllo (/Q7t'S fQ!it /vO License # 2017SIXY Exp. ILOD city ? a,. s I.'N State: Mo? ziP: SS3& 220 - -7 qi?, 5 Company: 7elephone #: area code ( ) Name: Street Address: Registrot(on #: ciry State: Sewer 8 water licensed plumber (reauired for new conshuction onlvl: r - Penalty applies when address change and lot change is requested once permtt is issued. Zip: I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply wffh all applicabl 5tate of Minnesota Statutes and Clty of Eagan Ordinances. Signature of Appllcant: OFFICE USE ONLY I ? = Certificates of Survey Received _ Yes _ No I MAY Z 5 i Tree Preservation Plan Received _ Yes _ No _ Not Required OFFtCE USE ONLY BUILDING PERMIt TYPE -r? .- ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 4 18 Deck ? 23 Porch (screened) ? 04 2-plex ?. p 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 §torm Damage ? 05 3-plex 10 8-plex ? 15 Lodging ? 20 Pool `?]' 2S;.-Miscelianeous WORK TYPE ? 31 New ? 35 ? 32 Addition ? 36 w 33 Alteration ? 37 ? 34 Repair ? 38 GENEai(K,jNF(UfkJ9PATI0N , Const. (Actual) 5 , ?- ??•? , (Allowable) 5. UBC ORou ancy R• 3 Zoning ??' ` `--? . ??•D # of Stories - Length ^ WIdtTl?'?? ? ' •? ?.,? ,' s?.? u ??. Y ,? .yt. ? ? . , , _- ?-.., . ^•,,??; ?. .Sid'ing/Soffits/Fascia Tenant Impr ? 39 ' Gas Line ?nCy' '? --43' Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair Demolish (Interior) ? 42 Reroof * Give PCA handout to apRlicant for demolition.permit , Basemgnt,s•q. ft,.. . •. Gen?us Code Main leVet?q'. ?t. -' ? )!rl•'? ' SitCode _ sq. ft. No. of Unitg,'. ? : .,? •. sq. ft. No. of`bI??'s? "sq. ft. MC/ES System sq. ft. City Water Footprint s9zJfN1;••£k-•., ? Vt,,Boq*roump PRV Firo,$prinklered . . , . . • . .. -.,. Planning . .'. << • ?': Building ? • ; Engineering ti itV'amfinoe -4--3+ a Permit Fee Surcharge Plan Review License MC/ES SAC Gity SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. . . Other . . • . "', ?• Copies Total: . ? Valuation: $ ? 2bD ?- I SAC Units % SAC BriarHill Homeowners Association 3800 Heather Drlve F.agan, Mtnnesota 55122-1623 April 24, 1999 Vicky Koenke 3833 i.aurel Ct. Eagan, MN 55122 Dear Vicky, This is in response to your request to have your existing deck extended. You are authorized by the BriarHill Homeowners Association to extend yvur 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 deck must be cosmetically identical to the current structure. The must be built using 2" X 10" treated joists and 4" X 6" treated suppart posts, with a deck flooring of 5/4 treated or cedar lumber which must be attached to the joists with screws, not nails. T'1'?e support post must be placed or seated on at least 48" frost fdotings or as per the City of Eagan's building codes. Please note the deck must comply with ali City of Eagan's building codes. Sincerely, Jon Moller BriarHill Homeowners Association Board of Directors ; KOEHNLEIN LIGHTOWLER JOHNSON 1 N C O A • O ft A T( O ARCHITEGTS ENGINEERS 12700 nUCOILEI AVENUE SOIrtH PHoNE (e12) e90- 1272 BUqNSVIIIE. MiNNESOTP 55331 CF.RTIFICATE OF SURVEY FOR CARL TOLLEFSON Lots 13, 14, 15 and 16, Block 1, BRIAR HILL 2nd Addition, Dakota County, Miinnesota FARGO.NORTN DAKOTA N10RR19. MINNESOTA iMOENIX, ARI20NA SCALE I" = 50 N 14DICATES tRON Al.L DEAR?NvS ASSl1MED ay . ?, DATE 6UiLDING INSPECTIONS DEPT. ? ? ?d / 13 ,4- LAUREL ? GOURT ?a.? . N o. q ? ?i - r ?? ? .yo ?? ? Zo ? ? Ml ?? ? tyQ ^ is? , ry 395?iF N ? ?ti. ? - 10DRAINAGE ar UT1LlTY ? ? EASEMENT 17 - ?4,w ` '?? \ z2'?z ? k hereby cercrfyr that ghia smrvey, plaa or `. report wa3 pt2pa2td by itls Of undr[ fay dlraCt supetvisiolf aid thmt 3g1ti s duly Aegietere3 Land 6urveyoi nfldes the lawa oF the Scace ot Minnawca. Dete.,_._...?_ Reg; Noi,--MiIIIIIIII. ?? , ? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: P.I.N.: 10--14991-140-01 DESCRIPTION: PERMIT PERMIT TYPE: Permit Number: Date Issued: 3833 LAUREL CT Lql": 14 BLOCK: 1 BRIAR HILL 2ND RERQOF Permit 7ype 4q-rk Type MuLTI. (MIsc.) REPAZR 434 ALT. RESIDENTIAL s? k"al?a:.rAN?'?P+ fiFftU?; ei?h 04i'a. ?t ? ??3]m? N? ? t?`ii ?? •.r?,ra ie ?9 BUILpZNG 028914 06f20/96 REMARKS: TNCLUDESe 3535, 3837, flND 3839 WTLLQW WAY L13 L16 L15 FEE SUMMARY: vALuArraN $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 CONTRACTOR: - Applicant - s't'. Lsc.OWNER: MIKE MOH5 CDNSTRUCTION CO 17211107 5456 6RIAR MTLLS A550CIRTTON 3414 SNELLING AVE S WSLLOW WAY MTNNEAPOLIS P1N 55406 EAGAN MN (612) 721-11e7 APPLICANT/PERMITEE SIGNATURE ISSUEYSt. SIGNATURE Z.: . CITY OF EAGAN ?-- -? S( ? 1? 3830 PILOT KNOB RD - 55122 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured ind. design; etc.) ? 1 energy caicutations ? 3 copies of tree preservation plan 'rf lot platted after 711193 required: _ Yes _ No RP.++odel/Repmir Requirements * 2 copies oF plan t 2 site surveys (exterior additions R decks) ? 1 energy calculations for heated additions DATE: CONSTRUCTION COST: DESCRIPTION OF WORF T ?d 15 ? L% STREET ADDRESS: LOT ' 4? BLOCK ? SUBD./P.I.D. IS* lL PROPERTY OWNER CONTRACTOR Name: AA-(4,A /C (C& 9 SC- Phone #: ?1 iIR6T Street Address: City: Company: Zip: Phone #: 7 License #: City: 4??5 State: Zip5? ? State: ?? ? ?P I ?' 1NS Cti Street Address: / `f- ) Alel?Ns ?d4-1 25-0 ARCHITECTI Company: ENGINEER Name: Phone #: Registration #: Street Address• City: Sewer & water licensed plumber: change are requested once permit is issued. State: Zip: Penalty applies when address change and lot I hereby acknowledge that I have read this application and state that the informati s orrect and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes No Tree Preservation Plan Received Yes No Yr.K.A`Ll 1 DF EAGAN Knob Road pERMfTTYPE: susLozrvG rnesota 55 i 22-189 i ?ermit Number: 028014 4675 Date Issued: 0 6 J 2 0/ 9 6 SlTE ADDRESS: 3833 LAUREL CT LOT: 14 BLOCK: 1 BRIAR HILL 2ND P.I.N.: 10-14991-140-01 DESCRIPTION: REROOF Buildin'g„Permit Type MULTL (MISC.) 'Building?Work Type REPAIR Census Code 434 ALT. RESIDENTIAL REMARKS: - `i INCLUDES: Ify-383.5),j13837, flND 3839 WSLLOW WAY , I -C13'k J L 16 L 15 r ==E SUMMARY: VflLUATION $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 :ONTRACTOR: - Applicant - sT. Lzc?-OWNER: MIKE MOHS CONSTRUCTTOPI CO 17211107 5456 I BRIAR HILLS ASSOCIATION 3414 SNELLIN6 RVE S WILLOW WAY MINNEAPOLIS MN 55406 I EA6AN MN (612) 721-1107 ' I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagan Ordinances. -_: __ .isnar 1,? t'?K1VL1 i ? JF EAGAN ? Knob Road ,inesota 55 i 22-1897 4675 PERM{TTYPE: auiLDzNG Permit Number: 028014 Date Issued: 0 6/ 2 0 J 9 6 SfTE ADDRESS: P.I.N.: 10-14991-140-01 3833 LAUREL CT LOT: 14 BLOCK: 1 BRIAR HTLL 2ND DESCRIPTION: =h REROOF BuildingPermit Type `Building Wo.rk Type Census Code MULTI. (MISC.) REPAIR 434 ALT. RESIDENTIAL REMARKS: INCLUDES: 3835,A837`AND 3839 WILLOW WAY L13 lL16~L15 ; _=E SUMMARY: / / VALUATION $9,000 Base Fee $149.75 Surcharge $4.50 Total Fee $154.25 'ONTRACTOR: - Applicant - S7. LIC.OWNER: MIKE MOHS CONSTRUCTTON Cd 17211107 5456 BRIAR HILLS ASSOCIA7ION 3414 SNELLING AVE S WILLOW WAY MINNEAPOLIS MN 55406 i EAGAN MN (612) 721-1107 i I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ordinances. ; .",:UE Di.,. URE t'LIK!'Vil I ` JF EAGAN ? Knob Road PERM{T TYPE: auzLoxNG inesota 55122-1897 Permit Number: 028014 4075 Date Issued: 0 6 J 2 0/ 9 6 SITE ADDRESS: 3833 LAUREL CT LOT: 14 BLOCK: 1. BRIAR HILL 2ND P.I.N.: 10-14991-140-01 DESCRIPTION: , REROOF Buildimg:,Permit Type MULTI. (MISC.) `Building Work Type REPAIR ` Census Code 434 ALT. RESIDENTIAL REMARKS: ; INCLUDES: 3835, 3837, AN/D ?383_S?-WICt0 W WA:Y, L13 L16 / 1B/ ==c SUMMARY: Base Fee Surcharge Total Fee LUATION $149.75 $4.50 $154.25 $9,000 .ONTRACTOR: - Applicant - ST. LICI.OWNER: MIKE MOHS CONSTRUCTION CO 17211107 5456 ? BRIRR HILLS ASSOCIATION 3414 SNELLING AVE S I WILLOW WAY MINNEAPOLIS MN 55406 ! EA6AN MN (612) 721-1107 ? i I hereby acknowledge that I have read this application and stete that the information is correct and agree to comply with all applicable State of Mn. Statutes and City ofi Eagen Ordinances. _. .? ?_rf.,.?'rt -???C;fi??.iU•.i_ - ?S..,I_o:;?.`s,r;i:r.-ur_ .>? .? . :?t:?? ??????l.:?i ?y]?? ? •.:?i?i.i ? ?? 1 ?. . • . t ? . ? .?a? . . ? . ? . c; Ty ? sr- EAt:fi,i.! [:;i?S!_I ,.. I._,u?!... `iL. .. ;.?:. Tr?r. _ s.:i!=,3 .''; .. t?:f . rf:'a.'(F:° 06%04i99 T"!:P'1'_:° 10 N, ;t`?f:; I..;--,NNi'`.f0FR Cl.i(tTt:ilr'i.i.idt; 2=':t(] g't)O`_ 2a3i:! U_tiRF,i CT 6l°1.,O=1 o.? ircr 909i ?_?.._,_, :?..?.? .;t _F:.3r.. __ - n? .?... I...rt,.ll?,i..:? (`( ? . .. , ,...._? ... 1., ? .. , ,..I1d. i'.1[. . .. ... _ .' ...{:;7 . ?e.., .:i __? Alr.??_ .?... I ._F...7.'..t. •..; I .?I 60.00 2455 Ctir'tt .? v? e 1? 7 .??r?•? ?a .C."i..:3?_1 ? ?i.,,If• .'.i_... :..f-I...J? ...Y. ?... i..? ..... . ?rti] . . . 0210 9001 3S35 ?...I.?i'l'?.... "'T i.: 1 L".) ?. U?.? G1...Y?A ?]C?i.??? )1:?.?.r?.J i_t?_.?,,`.?.?... i?T I'?f ?,...fi. T7W.1. Ri_°C'ei['rt Niluui1t ? . .. !;Iti.:t .. _J, ? •: .r.- .. .?. i.lsz.. .T.;-': i`:AN(:'.Y ., ? ? ? , . , , . ,:., . , . .. . ?';'7:•Y? , , 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACAN (oC F? 3830 PILOT KNOB RD - 55122 ? • 651-681-4675 New Conshuctlon Reauirements Remodel/Repair Reaulreffienis ? 3 reglsiered site surveys ahowing sq. ff. oF lot, sq. ff. of house and aN roofed areas (209'a maximum lot coveraae allowed) ? 2 coples of plons (show beam & wlndow sizes; poured ind. design; etc.) ? 1 set of energy calculations ? 3 coples of hee preservaHon plan B lot platted affer 7/7/93 DATE: S ^;)L S • ?? 2 coples of plan 1 sef oF energy calculations for heWed addRions 1 sMe survey for exterior addffions S decks CONSTRUCTION COST: I 3OQ DESCRIPTION Of WORK: DCC 1C ??JiS%GN STREET ADDRESS: LOT: / 3 BLOCK: / SUBD./P.I.D. #: Name: /T?'PfWN ? ?qhh? Phone #: PROPERTY Last Rrst OWNER ?g?? u?l C? Street Address: crty 'F&.? State: /yl N Zip: SSI a4) Gompany: LeKM1UMj!°IQ. 61-N+>'aG44ieq Phone#: 61a 99.7-/V 7(? (area code) CONTRACTOR j? Street Address: ?«DD TLt 4fs ?4L''C /Ya Llcense # s`; Exp..?A City C? Gt State: Zip: 55'j& ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: City Stote: Sewer & water Iicensed plumber (reauired for new construetion onlv): . Penalty applies when address change and lof change is requested once permff is issued. Zip: I hereby acknowledge that I have read this application, siate that the information is correct, and agree to comply with ali applicabl State of Mlnnesota Statutes and Ctty of Eagan Ordinances. ? Signature of Applicant: OFFIGE USE ONLY Certficates of Survey Received _ Yes Tree Preservation Plan Received _ Yes _ No ? No _ Not Required ? , p ? ?ri i ? 5 199 OFFICE USE ONLY r? BUlLDING PERMIT TYPE ? 01 Foundation ? 06 4-plex C] 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 -Porch (screened) ? 04 2-plex,1 ? 09 7-plex ? 14 Apartments ? 19 Lower Level ,- 9 3 24• Storrn Damage ? 05 3-plex • • - ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25:• 1iAisceAaneous WORK TYPE . • -. . • . .4 ' .`Y' `i:,__, { 1 ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? ? 43 ding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 'Windows/Doors ? 33 Alteration 0 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ???tA?'IN?bF?ATlOli6 k * Give PCA handout to applicant for demolixiop permit "r.?•st3r?,, r ;:: ? i'????-? , , . - Const. (Actual) 5• M Basement sq. ft. ?. ..' . • -•?Cens?'?J? Code a ? (Allowable) ? Main level sq. ft. S Cbde ?I itG UBC OCcu??artcy,1Y ?. sq. ft. No. of ni#sf.' ? Zoning sq. ft. No. of fclgs C) # of Stories sq. ft. MC/ES System Length sq. ft. , City Water. Wi?l?h' ? . •`?;?;' ?. ??;-•?nti'•?,?? ? Footprint sq.rf?k ?;,•,Batp?ter`?Ptaunp , , PRV ? . . ,_ ?y^,? t''APRRbt/ALS'? , ?'ti ?? . . Fire.Spnnklered .- , • ,, , . f? , , : . - '. , , . , Planning ?- Building ?' '•' Engineering '' ?"'C/?tranc2 ' Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/V1! Surcharge Treatment PI. Park Ded. Trails Ded. Other t x • ' • ' '?.• • _ . . + ? •. Copies Total: SAC Units . ' % SAC 05/21i99 FRI 07:58 FAb 612 554 8883 NWA FEDERAL CREDIT II!VIO-N BriarHill Homeawners Association 3800 HeatherDrtve --------------------- Fa?an, Minunesota 55122-1623 ---------- G? ?~??.5?- ,7 vS! April 24,1999 Joanne Andersen 3835 Lurel Ct. Eagart,MN 55122 Dear Scanne, This is m response to your request to have your existing deck extended. 4?'? ? You an: authorized by the BriarHill Hameowners Association to extend your deck as PollowE: The deck can not extend finther than the comer of the huildxng and not extend fiuther aut from the huilding than the cxisfLnigdeek. Tbe new deck must bt aosmetically identical to the wurent shucture. 'I'tze must be built using 2" JL 10" treated joists at?d 4" X 6" treated support posts, with a deck flooring of 5f4 tr+eated or cedaz luxnber which must be attached tp the joists wdlh screws, aot nails. The support post must be placed or seated on at Imst 48" frost footitrgs or as per the Ciiy of Eagan's building codas. Pleaso : iote the deck must comply with aIl City of 134pn's building eodea. Sinoen ly, J0,,4 . ? Jan Mrller BziaxHal Howeowners Association Boand of Directars R ooi -- , .KOEHNLEIN LIGHTOWLER JOHNSON 1 N G D 11 P O 11 A T[ D ARCHITECTS ENGINEERS 12700 NICOLLE7 AVENUE SOIITH A+ONE (612) 890. t.)2 BURNSVILLE. MiNNESOTP 55337 CF.RTIFICATE OF SURVEY FaR CAR1. TOLLEFSON Lots 13, 14, 15 and 16, Block 1, BRIAR HILL 2nd Addition, Dakota County, hiinnesota /ARGO. NORTN OA/(OTA MORRIS, MINNESOTA PMOENII(, ARIZONA N SCALF t" = 50 WDICP?TES 1RON A1.L. DEAPONvS ASSuME[> EQIL5_71M ,???HRVEB 53'Af carE 5 Bll?t_D!I\G i?'S?'? C ? ,vvs C?'?% /ati `? . - `? - _ ? ? ? ? 13 .? 7LAU RE L GoURT I ? •r ? ? r. ? 4 a? ? o y0 r . .? r%`• (5 ?"- 10/ORq1NA6t °r UT1l.ITY ? ? EASEMEN'T - ?. \w ? ? z ` i f hereby centfy that ihis su:vey, pla:? ot teport waS ptep9tsd by itW Oi tgldsl Rly d{rOCt supervisioe asd thitc 1 am s duly Registaed Land Sutvevee ttnda the lawt of the State ot Minrwwta. N _ ? Dac• Ra6: Pia?? f_'ITY f:3!= FA.S(lh! C:A4!-I:f.E-fi: ;; 11EFtM[N(af._ N0^ G".?'_ LiA?E::e 04/22!99 7TMEo I.f_kg_Is".03 IL± , h!AM.F..;, f-'Fari:a z;nrar; rePL.r-1r;E'MENr 320 '.a_n,q:I. 383" 1_.F!l.;(;EL_ f.:"r E,t:).f]U ?i.'.`,':i 90+71 3837 t_f1L1F.:F..:l... CT 0.50 Tt}i;a.i. ReL:e1p4 ytTipL!71:.". L-0..?'.i7 Wf]i:,si44 l.lEif_:i; F.T)g i:4ANr.Y ?:.)::??)'.:i';''1,U{;:bPl•.naCiX'3{.,. . ?J6%..),,7,SY Y J i:)n,dq. 3rm),t. >n?...r, ?•. \,,aY" e 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN $? G ? 3830 PILOT KNOB RD - 55122 651-681-4675 ca-QQ_? ? - -, - ( 7 New Construction Reauirements Remodel/Reoair Reauirements D 3 registered sffe surveys showing sq. ft. of lot, sq. ff. ol house 2 copies of plan and all rooled areas (20% max(mum lot coveraae aliowedl 7 set of energy calculations tor heated addRions > 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) 7 sRe survey for exterior addHions & decks : 1 set of energy calculations > 3 copies of tree preservotion pian N lot platted aRer 7/1/93 DATE: 4-)3' CI -1 CONSTRUCTION COST: l/ OO '?a DESCRIPTION OF WORK: De-c? e,APVI,?r`OA/ STREET ADDRESS: LOT: I? BIOCK: I SUBO./P.I.D. #: n, ' Name: Phone #: bSI b ? b -75?? PROPERTY st Ftrst OWNER L? U r2 L Street Address: ? ??3 ( COUr 7 City ?5G n/ State: Zip: Company: ?641?'o DOOYL PC1PCiiY Cd t-M h1 / Phone #: <i a c; I 7a7yF, ?f (area code) CONTRACTOR Street Address: SUW,hpt ??e /? Ucense # aG o(> 6 39EXp.V?&40 City ?l c& ,n//,v State: /YI Zip: ARCHITECT/ ENGINEER Company: Name: Telephone #: area code ( ) Street Address: Registration #: . City State: Zip: . S?ewer 8 water licensed plumber (required for new construction onlv): Penaity appltes when address change and lot change is requested once permit fs Issued. I hereby acknowledge that i have read this appllcation, state thai the information ts coRect, and agree to comply with ali applicable State of Minnesota Statutes and City ot Eagan Ordinances. / Signature of Appllcant: ? _ :? OFFICE USE ONLY '' : Certificates of Survey Received _ Yes _ No ? Tree Preservation Plan Received _ Yes _ No _ Not Required ' OFFICE USE ONLY BUILDING PERMIT TYPE a, , • .. ? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 0 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscetlaneous WORK TYPE 0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ?ff, 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof GENERAL INFOR MATION S' 6? ? Const. (Actuai) Basement sq. ft. Census Code (Allowable) Main levei sq. ft. SAC Code o 1 UBC Occupancy sq. ft. No. of Units 1 Zoning tZ sq. ft. No. of Bldgs G # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Bu ilding ?.? Engineering Variance 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. Trails Ded. Other Copies Total; SAC Units cpl? Valuation: $ (260--- 1 % SAC - KOEHNLEIN LIGHTOWLER JOHNSON I M G O n P O 11 A T L O ARCHITECTS ENGINEERS f2700 NICOLLE7 AVENUE SOUTM G110NE 181218961272 BUfWSVILLE. MINNESOTP 55937 CF.RTIFICATE OF SURVEY FOR CARL TOLLEFSON Lots 13. 14, 15 and 16, Block 1, BRIAR HILL 2nd Addition, Dakota County, Minnesota FARGO, NORTH UA1tOTA MORq18, MINNESOTA PMOENI%, ARI2ONA SC AtF I" = 50' ? ?uDicqTeS 1RON ALL DEARINGS ASSUMEO 13 , ?,.. ? tio ? A?1 d \ I ? ? ae ? ti \?? a ? ? ? ? r. + ?ti' l 5 ?i -10? DRAINAGE w- UT11.ITY ? ? EASEMEmT N 0 ? - 73- ?s2`•,yy -1 ? \ 22, 6 ? \ - t hereby cercify' that this sutrey, plan or f/7? ID) teporc wa3 pYC}rit!'d ? riie Ot 1?ldei tAy ditKt supervision asrd thac 1 um s dulr Re?taceral Land 6urveyos undes the lawe of the State gy ot mintie'ats' DATE BUiLDING INSPECTIONS DEPT. „r. ?LAU RE L ? Gou RT I? 7 i ? Dace??_ Rag; 1 BriarHill Homeowners Association 3800 Heather Drlve Eagan, Minnesota 55122-1623 April 12, 1999 Jeanette. M. Hiepler 3837 Laurel Ct. Eagan, MN 55122 Dear Jeanette, 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 deck must be cosmetically identical to the current structure. The must be built using 2" X 1 o" treated joists and 4" X 6" treated support 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 must comply with all City of Eagan's buildibg codes. Sincerely, Jon Moller BriarHill Homeowners Association Board of DirecEors CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: ??? ; 7s?71 57,1-7 ?5? BUZLDIN6 021050 05f27/93 SITE ADDRESS: 3839 LAUREL CT LOT: 15 BLOCK: 1 BRIAR HIIL 2N0 P.I.N.: 10-14991-150-01 DESCRIPTION: Permit Type Uvrk Type L e'ri tct h REMARKS: FEE SUMMARY: aasE Fee Surcharge 7ota1 Fee DEGK NEW 12 10 ??? s SA? $25.00 $;,,. 6 0 $25.60 APPLICANT/PERMITEE SIGNATURE REACTIVATE PERMIT-# -- F.j 2 I e? 0 CITY oF EAGAN 1993 BUILDING PERMIT 681-4675 AP UV l? DD MAY 2 5 1993 SINGLE & MULTI-FAMILY mpm? 2 sets of plans, 3 registered site sur -- ?-e gy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications; 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last w= once in which request is made, 2} address is changed or 3) lot change is is issued. Date /AS' Valuation of work Site Address: ?58 ,5j La,u.•-?l Obu-r? e4-C,a_4n lh?, - s60 ?- STREET SUITE M Tenant Name: (commercial only) -B?r?nrC lL)h.-,4 - LOT ?S BIACK j SUBD P.I.D. N Descri tion of work: The applicant is: E? Owner ? Contractor 13 Other (Deseribe) Name ?r3wv.J E Phone 8/ t?/ Property LAST F]RST d J( -/ Owner ? t?OnK' 9 ? ??? ? o ? ?k [su- r Address .w?r ? SiREET STE N City &-- a, State hvi Zip v 5-/ '?x ? Company Phone Contractor A.ddress License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: v OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation O 02 SF Dwg. ? 03 SF Addition ? 04 SF Porch ? 05 SF Misc. ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 WORK TYPE O 31 New ? 33 Atterations p 32 Addition ? 34 Repair GENERAL INFORMATION ., & ?.. . _ ? • . 1 .. ?. -. r -? El 16tasement Finish 0 17 Swim Pool y ? 18 Comn./Ind. O 19 Comm./Ind. Misc. ? 20 Public Facility 0 21 Miscellaneous ? 11 Apt./Lodging`"'?? ? 12 Multi. Misc. O 13 Garage/Accessor O 14 Fireplace F 15 Deck ? 35 Tenant Finish ? 36 Move ? 37 Demolish Const. (Actual) Basement sq. ft. (Allowable) lst F1. sq. ft. UBC Qccupancy 7Z-`25 2nd F1. sq. ft. Zoning Sq. ft. total # of Stories Footprint Sq. ft. Length On-site well Depth !e? On-site sewage APPROVALS Planning Building Engineering Variance REDUIRED INSPECTIONS ? Site Footing ? Wallboard ?Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code / ? Assessments ? Framing O Insulation ? Draintile ? Fireplace Permit Fee ;?S, 00 v.iuscio,: Surcharge , 5_16 Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies ? Other Total: S SAC % SAC Units Briar Hill Homeowners Association 380.0 14eakhe-r Drive, E, agan, Minnesota 55122 - 16 a3 ARCHITECTURAL/LANDSCAPE ALTERATION REQUEST AND APPROVAL FORM All architec[ural and landscape aiterations must be approved by the Briar Hill Homeowners Association Design Review Committee. All architectural and landscape alterations must be harmonious with the aesthetics of the Briar Hill deveiopment. DATE: OCCUPANT: g?"y7 I;L 111J6 ADDRESS: zv-g"f? HOMEPHONE:lOif-9,l9/ WORKPHONE: HOMEOWNER: 1¢hr7/'t ADDRESS: LLt_ca-re-l L^'GCL2T ???-/J HOME PHONE: "r-(/ ,9/ WORK PHONE: DESCRIPTION AND REASON FOR PROPOSED ALTEAATION: PRO OSED WORK SCFiEDULE AN COMPLETION DATE: ifc/i?; ?r h ?xrs?1r,9 WORKTO BE DONE BY (Circle One): SELF? ? OUTSIDE CONTRACTOR ? Contractor's Name _IJ?i(? (?? ?? f N GCfam- GLe, ct Address: Phone: Please submit a copy of plans, when appiicable, with this form to: Brlar Hill Homeowners Assoc(ation 3800 k¢a:4%er Ortv6 Eagan, MN 55122. l6a3 ~l? omeowner's Signature Occupant's Signature Approv (if not Homeo ) ed Denied -7 ? r H11 Homeowne iatior?"- Owners are responsible (or compliance with alt Eagan Building Codes. L // CITY USE ONLY RECEIPT #:???D 1d-7'?? ? BL ,L- SUBD. .&Aa/.11X.P? ? y DATE:?=Z6 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES Shower Water Closet Bath Tub Lavatory Kitchen Sink Laundry Tray Hot Tub/Spa Water Heater Floor Drain Gas Piping Outlet " minimum - 1 Rough Openings Water SoRener I'rivate Disposal " Dakota Cty. license (new and refurbished systems) U.G. Sprinkler • home under const. Alterations • to existtng Water Turn Around SITE ADDRI OWNER NA INSTALLI STREET CITY: PHONE #: ( 7 EACH 3.00 x 3.00 x 3.00 x 3.00 x 3.00 ;< 3.00 x 3.00 :c 3.00 x 3.00 :c 3.00 x 1.50 :c 5.00 x 65.00 STATE SURCHARGE I:L0 TOTAL '90. o0 ? ?w , Z P i 2006RESIDENTIAL PLUMBING pERnniT aPPLicarioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residentiai dwellings. Date ?_ I ?_ 1 Site Street Address ? ? Unit # .-`r' J Telephone # l rI Property Owner ?i9I? A 1`1 D? Telephone # QS? ?3, ` /?9l? C .? . Contractor V P State? ?l) Zip ` %3 Address The Applicant is: _ Owner ? Contractor _Other Refurbished Submit 2 sets of plans and MPC license New Septic System Includ p fee _ _ $ 100.p 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. If you are insfalling onl a water softener and/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: &X_ Water Softener .!\ Water Heater $ 15.00 _ new ? replacement Lawn Irrigation _RPZ _PVB _new _repair _,rebuild $ 30.00 $ .50 State Surcharge ? Total ' f t n is com l ete and accurate; that the I hereby apply for a Residential Plumbing Permd and acknowledge that the in orma io p 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 accorclance with the approved plan in the event a plan is required 151?reviewed and approved. pl anYs Printed Name AKf{Slic?nt's Signature CityofEaaii 3830 Pilot Knob Road Eagan MN 56122 Phone: (651) 6T5-5675 Fax: (651) 675.5634 Use BLUE or BLACK Ink For Office Use Permit0: IRDS Permit Fee: O)/49., Dale Received: I Ig li•3 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Dat®. 7- Site Address: 3 3 3 3 73 S, 3 9l 37, 3 3 1 L. rg W 2 g L L' Unit S: • i�WF1f3T::. Name: %.AS3oe.'.fry0.s A1',.►,4,Jc.4L Aro Id, L Phone: 763-5'S4/- 7,t7 Address / City / Zip: 7 0,1 R Z. FSA/ 4,i-r4L .2 A III ,A -Pc t a 2.r../ ,H.J SS 3 // Applicant is: — Owner >C. Contractor 1iVit .tc ::', Description of work: 7-1.44.- a /Gr 4 Q t- JZ° A Construction Cost a, / CIO , 0 (2' Multi -Family Building: (Yes )0 / No ) c...: , >' . Company: '3 £ / ex r e:2 , 0 it 41 .../ r 6.2 P, Contact: b A v 4../.2/44S Address: 11° 3-- 1, ea o r� ST City: 4/9z. S State: 4.3 L// 5' Phone: LIZ - ft,/ - G 2`/-S __•Zip: License*: 46 /141 /1.31 lead Certificate It: If the project is exempt from lead certification, please explain why: (see Page 3 for addltlonal information) In the last 12 months, Yes __No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: the rob ra be 1 1 Blgl.es. (y9Dtf.�l ivIje t I> �1 CALL BEFORE YOU DIG, Call Gopher State One Call at (661) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive lodes of underground utilities • www-gootgrstataonecaN,orc 1 hereby acknowledge that this Information is complete and accurate; that the walk will be In confomrance with the ordinances end codes of the City of Eagan; that I understand this is not a permlt, but only an applicadon 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 clans. Exterior work authorized by a building pemdt Issued in accordance with the Minnesota 8 Building si}rwst bo completed whhln 100 days of permit Issuance. x �' 'S v 24/4 Applicant's Printed Name E0/T0 39 d Applicant's Signature Page 1 of 3 1NICW 1X3 I3g L9Z9I98ZI9 L5:80 ETOZ/ET/L0 Use BLUF- or BLACK Ink t For ;i( Use p I Q I Permit* City of Eke I Permit tree: 5 .0 I r~ I 3630 Pilot Knob Road f l Eagan MN 65122 I ba0a Received: d l Phone, (651) 676.6676 I I Fax: (651)675.6684 j 0 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /3 SiteAddre88: 38~ti ~~~5 LAv2EL ~Y Unltil: Name: e!O i /i/ 4AJ A 6 £.m z ai c. Phone: 76 3-- F 3 ~ 9 7 7 0 ReSIdeW 7/ r /~.J *'nor Address/ City/ Zip; 9SO b S Ca4-rv 2 AV, w f1 GoLb£:-2 Ss Vz 7 Applicant is: Owner ,Contractor Description of work: RS-d-,L a- REPGAKf.- Si3/•~!o d 1~,p-sc. A Mi,7-41-Type >ap:WorK.. Construction Cost: f y a), Lro Multi-Family Building: (Yes <I No ~ Company: 1 r ts".P✓ 0 2 /~iitM .)`T . L.o np Contact: 64 al b J&12 al S Address: W l00 ✓l City: M PL -e.- Conttrador. . State: IV A~ Zip: SS's/ r/ Phone Loy ,t - to .7 ~.3 License C- tread Certificate ;W If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) t~tr~41 Pa L POs- /7-2 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: .fx G I~Vi r'~InV ~~ll~'!T..~~'•^ -'d "n•~9~..y.°.."°~...I,~I:'7'.... -0.v'. e..,•, -'rv;:: 'ti~1 ~'y..':.. J d1'q,itr/orma~ia►x,"tl~Y.k~claagilGeda~+16,. /lc.i~'~'orrpte~l~Q~asP.oc+~,, r,.n .per..,, ••"corn '~diaiiG~e ,;t(~d~a sec' CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utilities. www.aoehherstaleonQ Ica Lora 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 worts is not to start without a permit: that the worts will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Lxtsrlor work authorized by a building permit Issued in accordance with the Minnesota State aulidin Code must be completed within lea days of permit issuance. x i~4 4 V, 1~ 12v /2'e/ S X Applicant's Printed Name Applicant's Signature Page 1 of 3 TO/TO 39Cd 1NIVW 1X3 139 L97,9T98ZT9 8T:9T ETOZ/8T/OT Use BLUE or BLACK Ink ,L. . . For Office Use I 2 I - 11 g1l~` I NJ of Eatan 3830 Pilot Knob Road Eagan MN 96122 j Date Received: ~ j Phone (651) 6764676 1 1 Fd7t; (661) BT6di684 " ' 1 9te(f: ! l 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: N, rG 1.3 • SiteAddtbss:3>7s3 z:rsrslc:s>, 3g3y L-A-,ZrL C- T: -Unit --S'g 3 4 5 y 0 Name: plc rq G' 7- /y! wy r4 /N Z 4S T x~ C Phone: 76.3 C Addtloes /City /Zip: VSo a C e 04' --u,2 t/ p goaEO ; +(~nK • ~ . Applicant Is:. • Owner ~YZ~ . Contractor • . Description of work: 7 F~9 4 0,=~= a. Q, E - Pao,= Type,fir, , Construction Cast 9 vt~ (X) Multi-Family Building: (Yes X' I No - Company:PhEl .oR /YJP Cpn'~Avi~ 2R r 5 ~>c tiSA ~l'»T• Address dos 4~ 6a7''~ S~ . /'h PL 5 , . i~l!•: city: State: NAJ Tip; 5Vj1-' 9 Phone: z9r3 Llcettse ff: C y! 13 / Lead Certificate lit If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) . lQc.alos t,J~2~`Q~,~r Pos: / S►7 S' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING. In the last 12 months, has the Ciigr of Ragan 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 Contracfpr. Phone: Sewer & Water Contractor: Phone: CALL BEFORE QU Dig, Call Gopher Stvie, One Call at (851) 4544002 forproteglon against undergrouna uttityldamage. ca048 Acura before you Immfd to dig to receive locates of underground utilities. tao U. I hereby admoMedge that this inlormation is complete and accurate: that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this is not a Permit but only an appGeation for a permit. and work is not to start wd*out a permit; that the work vAd be in awowanw ,40h the approved plan in ma Caao OV VVM wnlch roa grey a ravitw and approval or plans. E'd6dor work authorlred bye Widing permit issued in accordance with the Minnesota State Sulidin Code must be compleWd w4hln ltio dap of permit Issuarte:ae. UtAv~I~ ~v22r~ ?7a AppticanCse Printeq Name AppllOWS Signature Page 1 of 3 CO /Z0 39Vd iNIVI 1X3 139 L9Z9T98ZT9 TT:b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a+%&A''\\.,&. !8V8'->,A'C/*'X!'D.<\[W\[\['/>0.$'- #>0,<2+$$.'FH''::\[\["Y/J/,'FH''::7!! KV:!L'X\[:9!XX! 5'3.0.?A'/%&,P$.*J.'3/'5'3/2.'0./*'3+<'/BB$+%/+,'/,*'</.'3/'3.'+,E0I/+,'+<'%00.%'/,*'/J0..''%IB$A'P+3'/$$'/BB$+%/?$.'=/.' E'F+,,.</'=/>.<'/,*'-+A'E'Y/J/,'Z0*+,/,%.<M )BB$+%/,S4.0I+.. '=+J,/>0.5<<>.*'#A '=+J,/>0. Use BLUE or BLACK Ink For Office Use :::: C•� �� '"� �� : I '/ 3830 Pilot Knob Road Eagan MN 55122 Date Received: -7 7 RECEIVED Phone:(651)675-5675 Fax:(651)675-5694 Staff: APR 301017 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: W.3-1/:2-6419-Site Address 1. vn i`L( G'F x`'49 ck"'\ Unit#: t Name: 4- 1I' -t(mw 61.7.44.1 As.b.os;4-ata` I Phone:qS'a-(*KG - Co 511 Resident/ owner Address I City l Zip: 37.33 kilwi C4— / r CAsyr ,„ / cc'/23 Applicant is: Owner K Contractor Description of work: 644trc,-i--G rtv+s f 11-eflus+r' • Type of Work Construction Cost: k St-90e, •- l 5-00e 12-C t •43 Multi-Family Building:(YeseC' /No ) Company: -+`c)SCti,I 74wt.er Ct Contact: Kyte... m 140 M Contractor Address: (ia3i I&-t,i 0,41(4,„ t�lvdZ City: -�.n�r¢r owevG tac'�ti.'f t State:NUJ Zip: }/- Phone: q�-p S?1n' Email: .on1,6w%l Trv6e.11,¢1atervcfc.ra», License It: 112 61 fo 111 Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months,has the City of Eagan issued a permit fora similar plan based on a master plan? • Yes No if yes,date and address of master plan: • Licensed Plumber: Phone: • Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor. Phone: NOTE Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x K��'e.. Qf"V1�oU'1 Applica is Printed Name Appiiy"t's Signature Page 1 of 3 j. DO NOT WRITE BELOW THIS LINE /V Tff.3 SUB TYPES M''))3 vl Foundation Fireplace Porch (3-Season) Exterior Alteration(Single Family) Single Family Garage Porch (4-Season) Exterior Alteration(Multi) Multi Deck Porch (Screen/Gazebo/Pergola) /0 Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New Interior Improvement Siding Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation 100 Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation fr 31 et • ' Occupancyy(L C-3 MCES System Plan Review Code Edition At Zn i$ SAC Units (25% Y 100%_) Zoning Pp City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V}j Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) p Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding:_Stucco Lath _Stone Lath _Brick_ EFIS Insulation Windows Sheathing Retaining Wall:_Footings_ Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: T c tM ✓N% )c 1_74- , Building Inspector RESIDENTIAL FEES —Tile 1-4D eJ 6--Y9->X 7"..1 ( Base Fee Surcharge Plan Review Mit$7 j2.. ?/.fn Ret/;. *Lai—) Fe- MCES SAC City SAC J Utility Connection Charge �� b)/- S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3