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
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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