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3832 Laurel Ct For Office Use CitV of Eaftall an Permit M. J I I Permit Fee: ~ I 3830 Pilot Knob Road I 1 Eagan MN 55122 Date ReceivlL~dJG 24 2009 1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 Staff: 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: 4Iz, g ,z 1-/~ r L i a ~,~os 'n S Tenant: 3~ 1- 2E-L- Suite RESIDENT / OWNER Name: I/O .A550a-.4; /oj Fem., c' i/I.r.Un~einc•.r ~ Phone: 7"1 ° 114 y- 3 787 Address / City / Zip: f~>, yC ) 8) s ? ! L°~ s S' ~f P Applicant is: Owner X Contractor TYPE OF WORK Description of work: Q S - A u , 4.. N. b L t -Z Construction Cost: Multi-Family Building: (Yes X / No CONTRACTOR Name: 2 £ / £x r- Lal a k /*)9,v jr ? r . C u e P License z ( . ' ) /1 / 3 I Address: L/e l n & C t S; , City: M PL S, State: /VA Zip: S'SY/ g Phone: & Contact Person: L S COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (i submission type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and wo is not to sta out a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approv of ans. xb ?cr/La2i5 x Applicant's Printed Name Applicant's Signature Page 1 of 3 J,,~Lure I C DO NOT WRITE BELOW THIS LINE SO 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) El Ext. Alt. - SF ? 02-Plex ? 08-plex Deck ? Porch (screen/gazebo/pergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Siding ? Demolish Building* Addition ? Move Building ? Reroof ? Demolish Interior Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage * Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation l7 0 Occupancy MCES System Plan Review Code Edition SAC Units (25% 100% Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock Footings (deck) Final/C.O. Footings (addition) Final/No C.O. Foundation HVAC Drain Tile Other: Roof: _Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: _Stucco Lath -Stone Lath -Brick Fireplace:_R.I. _Air Test -Final Windows Insulation Retaining Wall Reviewed By: , Building Inspector - - - - - - - RESIDENTIAL FEES: Base Fee ~~G C Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 )1tur/a-f !{O HNLEiN 12700NICOLLETAVFNUF.SOIITII ' PHONE (612) 890.12; 2 BURNSVILLE. MINNESOTA 55337 LIGHTOWLER CERTIFICATE OF SURVEY for CARL TOLLEFSON JOHNSON - • Lots 17, 18, 19 and 20, Block 1 - BRIAR HILL I N C 0 R P 0 R A T E D Dakota County, Minnesota ARCHITECTS FARGO. NORTH DAKOTA ENGINEERS MORRIS, MINNESOTA PHOENIX, ARIZONA EAGAN REVIEWED BY. DATA BUILD INSPECTIONS DIVISIOI ILI, 0 cz~ 4 Q 17 (l (.roSa ` 2.Lk:~ t cg11~~ /5t5~ Z 0 E7 'I 7- _7 I hereby certify that this survey, plan or report was prepared by me or under my direct 1 9 supervision and that I am a duly Registered Land Surveyor under the laws of the State l /v of Minnesota. V Date Reg. No ` 3~3 ~3 z -3Qzb 33z-8 v f1•e t L' 1 . 1AGAN 1 1' l'EftMIT #Fwei► 40.4 PERMtr NO liaopoi MN 55122 DATE j i f ▪ Ong. I t+bo. of ma 1 unit iittoot Tollefson Builders s hit Add ress: 3 32 Ki el Court L19 £ 1 friar dill k fir: } same meter No _ a charge_ 305.0.0 pd Size; A000t tepoait: ▪ Reader Na 1- Permit : 10.00 pd arse e. Syr Sumo; .. • 50 pd Ordloimaim *Mac. Charges: 60. 00 pd meter Total: $Y Date Paid: Date of "insp.: tnsp ''r SE E` " P Siff ' .: mo 1'T M a: 41 r .aa DAIE ' y.' 1 ,. Wit tut-r..--. F Owner: lelle£seti, BUil4ers . si i�'32 Laurel Cau t : L19 B1 �,riar /liill Plumber, , f; sa a ____ _ _.. _._ 7� 2 „ 1O `� ^o p, :' /2L "5 X115 -vv.: ; Surcharges- 5t d Y Miss. CMrprs: of Insp.. Tonal Mop: Date Poi& 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 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA175320 Date Issued:03/28/2022 Permit Category:ePermit Site Address: 3832 Laurel Ct Lot:19 Block: 01 Addition: Briar Hill PID:10-14990-01-190 Use: Description: Sub Type:Furnace Work Type:Replace Description: Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Billy Don & Melissa Loftin 3832 Laurel Ct Eagan MN 55122 Bonfes Plumbing Heating & Air Service Inc 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature