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3812 Laurel Ct*LIty of bpi] 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (661) 675.5684 Use BLUE or BLACK Ink For Office Use Permit*. 13 110-1 Pei Permit Foo: I) 5-a Date Received: 4 Iigfil Staff ti 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1,/_ 9 -%G/ SiteAddrees: 3 S/� �g v(4 £ L CT.. Unit#: Name: e/o 4% 4b E l'(£ T <� W t;., Phone: 76 3- 97 7 0 Reeldsntl er J Address / City f zip: :SO D E c i-ru R. Av. A ,t A 6oL6>:N 40 /OA) �tsy( 7 Applicant is: Owner ,Contractor Type oi+lvedc Description of work: k LPL kYt v L 7-0A £ Lt) ,,ter 6 a t.J 5 Construction Cost Multi -Family Building: (Yes / No Contractor Company a E I Ec r > o2 J 941.a`T . LI't Contact boa a, 0 as2tLiS Address: 4/o.r Ltil tabP-< J , City /ym PL" 5` State: !QA\ Zip: 53-'1/4 q Phone: Lo/ .L - g471 -6.2e/3 License #: C- 24/// 3 / Lead Certificate #; If the project is exempt from lead certification, please explain why: (sae Page 3 for additional information) rS.L4toS_ 134>/L7- Po s'.7' /S7r COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW 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 Contactor: Phone: Sewer & Water Contractor: Phone: NOM Pions and t✓lq itfOrrnation 41•1•1•11r CALL BEFORE YOU 12n Q. Cab Gopher Slate One Call at N51)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. yrww.00ahergialeonecau.orq I hereby acknowledge that this infametion 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 pamilt. but only an appUaation for a permit, and work Is not to start without a permit: that the work will be In accardence with the approved plan in the rase of work which requires a review and approval of Plan& day 0 f permit Exteriwork authorizad by ®building permitiasusr! In accordance with the MinnesotaState Build Code moat be completed within 130 x lJ 41/ ' 2"/tai S Applicant's Printed Name x�—w �•kr`-�- Appllcant'a Signature OT/OT 39V01 Page 1 of 3 1NIVW lX3 I3g L9Z9I98ZT9 90:bT btOZ/1T/b0 C1TY OF EAGAN Remarks Addition griar Hi.11 Ariclit9nn Lot-..6 Rik 1 Parcel Owner ?a !%:1 ', oD 7xi , i' ; ~ Street 3812 I.SUTel Court 5tate Eagan, 1 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. - Ao- 1971 Paid unde arcel 10 000 10 25 STREET RESTOR. 197$ 61.62 6.16 10 GRADING (C c 1982 123.04 24.61 5 123.04 C007238 9-1 - 1 S ree Surf. 1982 600.76 120.15 5 600.76 C007238 9-14-81 SANSEW TRUNK 1968 34.49 1.15 30 ** SEWERLATERAL 1970 97.3$ 4.87 20 ** water lat $ stm trk 1970 20 WATERMAIN * WATERLATERAL 1971 28.22 1.41 ZO WATER AREA 1977 52.14 3.4$ 1$ *** S W Lat Stm L ' 1982 1431.44 286.29 5 1431.44 C007238 9-1 -81 STORM SEW TRK ] 9'J1 251.34 12.57 ZO * STORMSEW LAT jJ]j 20 Storm Sew Trk 1982 402.73 80.55 5 402.73 C007238 -- CURB & GUTTER SIDEWALK STFiEET-CftbM 1009 1986 153.70 15.37 LO Road Uni WATER CONN, 305.00 ? BUILDING PER, n n SAC n n PARK 2 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675-5675 www.ci.eagan.mn.us PERMIT City of En Permit Type: Permit Number: Date Issued: Permit Category: Mechanical EA076217 12/19/2006 ePermit Site Address: 3812 Laurel Ct Lot: 6 Block: 1 Addition: Briar Hill PID:10-14990-060-01 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952-445-2840Ashley Orman 410 W Lak e St Minneapolis, MN 55408 612-824-2656 ashley@standardheating.com Fee Summary: Surcharge -Fixed ME - Permit Fee (Replacements) $0.50 9001.2195 $30.00 0801.4088 Total: $30.50 Contractor: Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 - Applicant - Owner: Donald G Lehman 3812 Laurel Ct Eagan MN 55122 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO • Eagan, MN 55122 DATE• Zoning: No. of Units• Owner: Address: Site Address: Plumber: Meter No.: Connection Charge• Size: Account Deposit• Reader No.: Permit Fee• agree to comply with the City of Eagan Surcharge• Ordinances. Misc. Charges: Total• By Date Paid• Date of Insp.: I nsp • CITY, OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE• Zoning: No. of Units. Owner: Address: Site Address: Plumber: agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: Permit Fee• Surcharge: By — Misc. Charges: Date of Insp.: Total• Insp.: Date Paid: *City of Eats' Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6754694 r Use BLUE or BLACK Ink For Office Use Pernik*: ' 1 5q I' Permit Fee: Date Received: 4071 113 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 3 v '"/ Site Address: 38./0, 39/X, 3", ?' 44‘-'11-41- G T> Unit IP: Resin °ill , .• • . • Name:% R C 7 ft 4AJAGZ.I11 £•t)T ..r -.>C Phone: 743 "5-93 - 9774 Address / City / Zip: VS -0 h& G 4*7—L1/2 AV A) .Z /9 ('aoi,a E.:a Vi�K m:i 43-111:7 Applicant is: Owner Contractor TyPe•o . Description of work: '7"£.9,Q ©F7� a- 1Zi . J Construction Cost ,r 9W • co Multi -Family Building: (Yes Z.L./ No__) :' .• '`o "` '. . Ccs*' • Company, CIE 1 £x -1-ca./0,2 /447^)-7. &AM Contact vi kb ilt' P-31. r S Address: 90 -5- (.3 603 S� . Cly; /'h PGS . State: /i%J Zip: SS"4'/ 9 Phone: `.t - r6/- 4 Vi3 License ft: i C »i"/ Lead Certificate it: If the project is exempt IL- Dlos cJE.i2� from lead certification, please explain why: (see Page 3 for additional information) a0,L- Po.s— 197 S 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 Phone: Phone: Phone:MOTE: Contractor. Oa: fiW1 VKi-yys{ ,�y •..•` .�'•. ^w. � I .: ' - ' ~�:�R t ,� 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.000herstateonecallom 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 pernit. and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of worts which requiraa a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Build OJ Code must be completed within 180 days of permit issuance. x bA✓/h �vfU JS Applicant's Printed Name Applicant's Signature Page 1 of 3 4,111' CityofEaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use 13.tt(9 Permit Fee: / 19° Permit #: Date Received: Staff: J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3- 7-/ `/ Site Address: 3g, ts, 3 W/2, 3 Fi V, 3 ?/4.0 Mu,2 L Z5'", Unit*: Resident/ Owner Type of:Work. Name: e% 4e Mk, Abir<E .ri Address / City / Zip: Applicant is: mak; Phone:763 - s 5'3— 9774) gSO D!c4-rv2 Av, A), -i`A Owner kContractor isoLD£w 1444,LiY /1,t) .mss VL 7 Description of work: Construction Cost jZ£,...o✓t< 8- R.£PLJt-cf- ..lid/a)'' d p G#4. /17£7 -'AL y C1Z) , CAD C) Multi -Family Building: (Yes is / No ) Contractor Company: £ 1 £,e• r Se, D 2 /�%iiA I b) --r. & aP' Contact NO 6 43,i�, S Address: Z/p,T' L3 &obi ¢, . City: /YI PL. State: /VAS Zip: 5-5-4// r/ License #: 4-4 L 2 4(1 / 3 / Phone: L,/z- F1,j-102V3 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) &,Y Pos`" I 5' 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor. Phone: NOTE Plans and supporting dacunten!ts thatYda sobrnftare consideved to ire pu, tint b the .infonnatron nay be classified as non-public if you provide specific tubo* >l dPeriP5:: `- '•` concludethatthe , ;> de y ' CALL BEFORE YOU DIG. Call Gopher State One Call at (651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.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 State BuildiCode must be completed within 180 days of permit issuance. x N 4 ✓. & )c..2.2, Applicant's Printed Name x Applicant's Signature J300,4 . Page 1 of 3 44" City of Eaaall Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651 • - •94 Tenant: k 3n12017 Use BLUE or BLACK Ink For Office Use Permit #: /4/(1 s�0 Permit Fee: l Q ®' Date Received: 1 ' 1 7 Staff: SIDENTIAL4PLUMBING,/PERMIT APPLICATION ,t) . � Site Address J�1 I �� �'1 4JAJC Ci Suite #:. .J Name: Phone: .3D 14^ O7 Addres(s.72 (�/(C�ityl,/ Zip: Gam.. VA) Name: t U 1l�V�S�'l�� Cat( ZO License #: Address:` JL5+ City: <XV \y�/ ► VJI Ut k�i +5 Y 1u State: ) Zip: `� b -in Phone: [S�` L4 Contact: U , . I f 1(I I Email: I [)U t, a65 Q Cd 1 �� � OM) A New _ Replacement — Repair _ Rebuild _ Modify Space Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation ( RPZ / — PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures ( Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge) $60.00 Lawn Irrigation (includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 If a 3/4" meter Is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One 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.00pherstateonecall.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 the approved p1. In t ase of W. rk which re• fres a review and approval of plans. x aa' x Applicant's Printed Name Applicant's Signature fee spe e Mute ,.tilted te�lsi5e, Air TO retIze�_� ;; Radio4Ftead<.Mat�orJlF t "` I r For Office Use $' Ø Permit#: E AG N Permit Fee: / 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 E(,^�E I V E Date Received: (651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-56 Staff: buildinciinsoectionsOcityofeagan.com MAY 1 0 2019 2019 RESIDENTIAL BUI • c - ' - ' -1 APPLICATION Date: /'?"10-0/q Site Address:e.31)- Latif / C &G`i34,l ,m/0,c 72-3 Unit#: Name: 13Ci ar 44;1() +iO04C Ctwn-t1S 1550c'4'14'01 Phone: 4;(6-.?"- 657y Resident! Owner Address/City/Zip: 3 S( "t.) Applicant is: Owner X Contractor Type of Work Description of work: C0!►Cr e-E-e_ S-f-oo b QG`' r Construction Cost:_lc,, cJ0 0 - oP Multi-Family Building: (Yes x /No ) CompanyTTFV 5-e Gt-t 74Vvi2 Ci C'L Contact: /< fe. ° v- Contractor Address: //D-41 e CL Oahe.r 13 (vim City: (-10-tr- G? e__ f{e ID 473- State:/44) Zipf7 t O 9-4- Phone:q•i) 11-7-- Email:/< i o rn(1,. grro License#: 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 for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public Information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.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. x A;,;(•-t. ll rpt t'- ►^- x —'-_ice Applic'ant's Printed Name Applica;-7 Signat 4 IM._ ..__._._.-- -- - - .��i /16l ir7/4 0 L /�/i/� — DO NOT WRITE BELOW THIS LINE4 LAt ( CF , /5„5V . SUB TYPES Foundation _ Fireplace _ Porch(3-Season) — Exterior Alteration(Single Family) Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous $ 01 of WPlex — 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 _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation A S, J Po.-- Occupancy JR C "3 MCES System Plan Review Code Edition Op?Zol c SAC Units (25% 100% >1) Zoning ?D City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction V3 Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) r Final/No C.O. Required ?O Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood 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: '76 len ✓Yl ;(c 17/t , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3 l