3806 Laurel Ctq 4F
2007 RESIDENTIAL BUILDING PERMIT AYPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New CansWcbon Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report if proposed building is to be placed on disturbed soil
2 copies of plan showing beam 8 window sizes; poared tound design, etc.
1 set of Energy Calcula6ons
3 cropies ot Tree Preservation Plan if lot platted aRer 711193
Rim Joist Dehail Options selecGon sheel (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Reauirements
2 topies of plan shaving (ootings, beams, joists
1 set o( Energy Calculatlons for heated addi6ons
1 site suNey for additions 8 decks
Add'N'on - incUcate if on-site sep6c system
?°
'T c1/"?
Office Use OnN
Cert of Survey Recd _ Y _ N
Soils Report _ Y _ N
Tree Pres Plan Recd _ Y _ N.
Tree Pres Required _ Y _ N
On-site Sepfic System _Y _N
Plans are considered public information unless vou state thev are trade secret and the reason
Date 0 F5 /Iq / 0-7
Site Address 3 b' dC, L.µu?2 tZ Construction Cost loo• &'
C 6 o-a7t- ['AL-µ?j Unit/Ste #
Description of Work (?t'MO vE R ns D K15PLf+e.E DEZ.iL An,v (2?-? Cs-S
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor ?f EZ-M?1Llo(L M R-t N7' C-o It P.
Address '-f O S I-JESr Co ?
State tit1, S-1 Rt-,?T-
Zip 5,51419 City 141.461N67+7'll?'uS
Telephone # (&12 ) 94- / ' 6,?? 1?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Categofy . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
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 plan:
Licensed Plumber ??? Z'R
Mechanical Contractor
Sewer/Water 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.
,?,4Qc.s
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Su6 Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
,V 34 Replacement
? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bidg
? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex )1 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
'DemoliUon (Entire Bldg) - G ive PCA handout to applicant
D2SCFIDYl011: Water Damage ` Yes
Valuation flpp , Dp
Plan Review 100% or 25%
Census Code -13 y
SAC Units
# of Units
# of Bldgs
Type of Const
Occupancy TPC '-3 MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Foolings (new bldg)
?U Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test Final
_ Insulation s , . ,
Approved
REQUIRED INSPECTIONS
_ Sheetrock
_ Final/C.O.
? Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas 1'ests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
f
, j? c ?fl0?
4885'IMSIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
6?71().co
New Construction Reauirements RemodeVReoair Reauirements t?ff?ce Use Or?V
3 registered site surveys showing sq. ft. of lot, sq. k. of house; and all roofed areas 2 copies of plan ? otSwiiey Recd i Y R3
(20°6 maximum lot coverege allowed) t set of Energy Calculations fa heated additions TreePrea P4efl Recd Y N'
2 copies of plan showing beam 6 window sizes; poured found design, etc. 1 site survey for additions & decks Free Pres f2ek]u?r?d Y_;.,N
1 set of Energy Calculations Addition - indreate if on-site septic system OrEsile Seplic 5ystem ?? _ YN
3 copies of Tree Preservafion Plan if lot platted after 711l93
Rim Joist Delail Options seleclion sheet (buildings with 3 or less units)
Date /- //3 / 0(o Constructian Cost 00 w
Site Address ?C?-D 6 UnidSte #
/Z Z
Description of ork 4?J
Multi-Family Bldg _ Y - N Pyreplace(s) _ 0 2
O
Z Tele
hone # (6S/)
wner -
Property p
,
Coetractor de'2
Address City
State Zip Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules '7670 Categoiv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category 1 Worksheet • New Energy Code Worksheet
(,I submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a simiiar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water 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 pernut, 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.
,
i '
pplicanYs Printed Name App icant's Signature
CITY OF EACAN
EARLY UTILITY CONNECTION PERMIT
- -- - --- ---- - ??' ?? . .
y.
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer.and water lateral line in the public right-of-way. I
--
-
-- understand that the City has no[ yet completed, inspected and/or accepted -
the sewer and/or water lateral. I agree not to use, test, or connect these
individuai services to ar.y intesior plumbing and unders[and the require-
____ -= -_--===-=ment to cap thP sewer service to prevent- any unauthorized use.
In accepting this permit, it is agreed that I will hold the City and its
agencs harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permi.t will be issued or water allowed
to be tumed on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber•
-o54
77,
- - - - - ?°z'?
Owner : -- - _ -- -
Developer:
Builder:
Dated:
1west void 18 months from
45804
Datc of this Request 1-31-1_980 S
I, asfl Licensed Electrical Contractor OOwner do hereby request inspection of the above electri•
cal wiring installed at: ??
Street Address or Route No. 3806 Iavrel ('nnrt City ?'aga?
9ection Township
Range County naknta
Which is occupied by Tollfann
. (Name oi Occupant)
Is a roughin inspection required on this job? No ? Yes& Ready Now ? Will CallaR
Power Supplier Dakota Cty. Address Fa.rming?ton
Electrical Contractor. O.B_?Thompson Fl ectr? c Go. Contractor's License No-a2
Company Name)
Mailing Address 12201 I?It?a Blv d. t Bitka 55343
a?
Authorized
PhoneNo. 930-25?_,,
(Elechical ContracYor or Owner Making This Installatloo)
S`? ;, ?? ? ??? ???? This inspectian request will not 6e accepted by the
?j ? State Board unless proper inspection fee is enclosed.
' CITY OF EAGAN
3795 Pilot Knob Road Engae, MN 55122 N2 5603
PHONE: 454-8100 V
?
BUILDING PERMIT APPLICATION Receipt # 7G"
To be uaed for 1 of 4-Plex Est. Value 52,000.00 pet6 1/25/ , 19-BQ
Site Address 3806 Laruel Ct. Erect [2 Occuponcy R3
Lot Z A? Block 1 Sec/S?hs.I-Briarhill Alter ? Zoning R'3
Porcet # Repair ? Fire Zone III
Enlorge ? Type of Const. V
s Name Tollefson Bldrs. Inc. Mo1e p # stories
z
16 Address 13$16 Holyoke Lane Demolish ? Front 44 ft.
24
ci pple Va ey Phorie 4- 3 Grode ? Depth N.
p N App?orals Fees
. ame S21.]
?? Address
F r?...
Name _
Address
I hereby acknowledge that I have read this application and stat_ that
the informotion is correct and agree to rnmply with all opplicable
State of Minnesota Statutes and City of Eagon Ordinances.
Signnture of Permittee
A Building Permit is issued to: Tol
oll work shall be done in accordance with all
Assessment -
Water & Sew.
Police
Fire
Eng.
Plonner
Council 12 31 9
81dg. Off.
APC
Permit ''*? • ?"_
Surcharge 2 • 00
Plan check?5
snc 525.00
Water Conn.30 .00
Wnter Meter .-Oo
Rd.Unit 1 5 00
rotai 1, 316.25
on the express condition that
and City of Eagan Ordinances.
Building Official
C,Y,"JUSPTO'3 AIR R7rzUlR.:TD
CITY OF EAGAN
3795 Pilot Knob Read
Eagan, MinnesoM 55122
Phone: 454-8100
fE `TI''PERMIT
Date:
Site Addreu:
Lot ' Biock ' Sub/Sec. _p?`8•Z Briarhil?
I Name
a
e
t
Address
Ciry ?,PPle VBZle}*,'?; Phone:
Nome ? ?P???n Ht°.
L
P
`e
0
Address ''-'30 !3E'8ll d L?ll@ TM'lVE
No. ' F- ',r
Receipt No.:
Single
Residential
Multi Res., Comm./Ind.
New /Alter. /Repair 'W
Cost of Installation
Permit Fee
SurCharge
UI City Phone: I Totol
This Permit is issued on the express condition thot all work shall be done in accordance with oll cpplicable State of
Minnesota Statutes and City of Eagan Ordinances.
Building Official
? CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Minnesofo 55122
Phone: 454-8100
' PERMIT , No.
. ,
Dote:
Site Address:
Lot _
3?6 Laurel Court
Block Sub/Sea
_ D7'?. 82`i:i l3 172;? , ' -
Name
?
e Address
?
City Phone:
Name
p.
L
? Address
e
e
v
City _ Phone;
This Permit is issued on the express condition thot all work shall be
Minnewta Statutes ond City of Eagan Ordinances.
Receipt No.: I
Single 1
Residential I
Multi Res., Comm./Ind.
New/Alter./Repair. -
Cost of Installation
Permit Fee --
Surcharge
Totaf
done in accordance with all applicable State of
8uilding Official
SEWER SERVICE PERMIT
f,ITY OF EAGAN
37'.'5 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
p dress:
Site Address:
Plumber. -
1 agree to wmply with the Cify of Eagan Connedion Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
g Misc. Charges:
Y
Date of Insp.:
CITY OF EAGAN
3795 piloe Knob Road
Eagan, MN 55122
Zoning: ----
Owner. 'Adoress: - -
Site Address:
Plumber.
Meter No.:
Total: -
Date Paid:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No. of Units
Connection Charge:
Account Deposit:
Permit Fee: `
Surcharge:
Misc. Charges: t
Reader No.:
I agree to eomply wiYh fhe City of Ea9on
Ordinanees.
By
Date of Insp.:
CITY OF EAGAN
3795 Pilo! Knob Road
F.ugcn, MN 55122
Zoning:
Owner:
Address:
Site Address:
PI umber:
el. (:otirt !?
1 agree Yo eomply wiffi 4he Cify of Eugan
Ordinances.
By
Date of Insp.:
Total :
Dote Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. af Units:
!11
Connection Charge:
Account Deposit: _
Permit Fee: -
Surcharge:
Misa Charges: -
Total:
Date Paid:
CASH RECEIPT_
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
RECCI V ED
FROM
AMOUNT $ I
[] CASH
8 OOLLARS
1 oo
? CHECK
-P ?
FOR -?
f
I /il -/
White-Payers Copy
Vellow-Poating Copy
Pink-File Copy
Thank You J
O? Z5_ B Y
ar?
Receipt PLUMBING PERMIT Permit No.
CITV OF EAGAN Fee
Fill in numbered spaces S/C 'Type or Print /egibty Tot - l
1. Date ' 2. Installation Cost
3. JobAddress Lot -? Blk. ? Tract?)"O'? 4. Owner 'aamy EcLSt
5. Contracior 1-bF'1't CO. Phone
6. Address 7 ? kaTie i"'e 9
r
7. City State 2ip
8. Building Type: Residential -O Commercial ? Institutional ?
9. Work Description: New El Add ? Alter ? Repair ?
1 10. Describe
1 17.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_ Bath tubs Septic Tank
Lavatory % Softner
-
Shower ?_
Well
_ Kitchen Sink
_ Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
, . CITY OF EAGAN
3795 Pilof Knob Rood Eagan, MN 55122
PHONE: 454-8100
BUILDING PERMIT Receipt .#
Te 6o used Tor .. °12X Est. Volue 52r000•' Dcte-
Site Addrea
Lot3 W el«k
Porcel #
? Sec/Sub. `-1
Inc.
W Ncme -
Z Address •l ? ?. <zr.e
o I.
? Nome _
,o
00 Address
Name
Address
I hereby acknowledge thot I have rend this application and state that
the information is correct and agree to comply with all applicable
$tate of Minnesota Statutes and City of Eogan Ordinances.
Permit
F
Surcharge
Plan check
SAC
Water Conn.
Water Meter
Total
Signoture of Permittee I
A Building Permit is issued to: on the express condition that
oll work shall be done in accordance with oll opplicable Stote of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
? W 5603
?
Erett Q Occupanty
Alter ? Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Srories
Demolish ? Front ft.
Grade ? Depth ft.
Aoorovals Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council ?T
Bldg.Off. '
APC
PaneM # DeM I05m4 hrwillN ?
Plumbing
Mechanical
,? -
INSPECTIONS DATE INSP.
Rough-In
Finol
Footings Date Insp. Dote Irap.
Foundation Plumbing -
Frome/ins. / .. Mechanical
Final
?
G
?
?
Remorks:
_.. , Vr E61GAN Remarks
Add'ition Lot-_-3 Rlk ? Parcel_#10 14940 030 01
owner=4/,?'.' s&-, 'G%' 0l5t?rget 3806 LSUTel CouTt Stace Eagan, NIlV 55122
/l.?'..f:"?' c..? _._ 'J.,
Improvement ' Date Amount Annual Years Payment Receipt Date
STREETSURF. ? 1971 Paid und r arcel 10 2000 010 25
STFEET RESTOR. 197$ 61.62 6.16 10
GRADING (c r 1982 123.04 24.61 5
Street f 0 1 82 600.76 120.15
SAN SEW TRUNK 411+ 1968 34.49 1.15 30
** SEWERLATERAL 1970 97.3$ 4.87 20
** water lat $ Stm Trk 1970 20
WATERMAIN
* WATERLATERAL I971 28.22 1.41 ZO
WATER AREA 535 1977 $2.14 3.48 1$
*ie* (02K
STORMSEW TRK ,5 1971 251.34 12.57 20
* STORM SEW LAT 1971 20
S orm S rk 5 1982 402.73 80.55
CURB & GUTTER
SIDEWALK
STREET-tf91+T 1009 1986 153.70 15.37 10 ?
WATER CONN.
BUILDING PER. 5603
SAC
1-00
17658
/80
1125
PARK 250.00 18599 4/18/80
-
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3806 Laurel Ct
Lot: 3 Block: 01
PID:10- 14990 - 030 -01
Use:
Description:
Sub Type: e- Fireplace
Work Type: Gas Insert
Description:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Addition: Briar Hill
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
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.
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Owner:
Patricia A Erb
3806 Laurel Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Issued By: Signature
Building
EA085100
08/07/2008
ePermit
79pwrdty oF eagan
rHOrnas E?GaN
N,av c r
July 25, 1997
MS PATRICIA A ERB
3806 LAUREL CT
EAGAN MN 55122
RE: LOT 3, BLOCK 1, BRIAR HILL
Dear Ms. Erb:
PATRICIA AWADA
BEA BLOMQUIST
SANDRA A. MASIN
THEODORE WACHTER
Council Members
THOMAS HECGES
Citv Administrator
E. J. VAN OVERBEKE
C,tv Clerk
On July 2, 1997, the Building Inspections Division performed an inspection to look at structural
concerns you brought to our attention. Results of that inspection are as follows:
• Heaving of the deck footing has caused the patio slab to lift and slope toward the building
foundation.
• The demising wall separating your deck from the neighboring unit is out of plumb and has
begun to cause associated drywall cracking on the interior walls.
You may want to contact a professional designer/builder to review this problem for correction.
If I can be of further help, please let me know.
Sincerely,
Mike Barck
Building Inspector
MB/js
cc: Briar Hills Homeowners Association
3800 Heather Drive
Eagan MN 55122
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
FFlGAN. MINNESGTA 55122-1897
PHONE (612) 681 -4600
FAY (61_°;bA) 461`L
MD (h I b') -0bA-B`,36
iHE LONE OP,K TREE
THE SYMBOL GF STRENGTH AND GRpWTH IN OUR COMMUNITY
Equal Opportunity/Afflrmative Acfion Employer
MAINTENANCE FACILITY
3501 COPCHMAN POINT
EAGP.N. Ib11NN' 5.OTA 55 i 22
PHQNE (612) o3i-430(l
PAX. (612)6%il 1°t,0
i[)I; (611}4.`?;tii;35
11/04/2011 07:51 6128616267
Aih. /wise
-sitIP City of Eakali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5676
Fax: (651) 675-5694
BEI EXTERIOR MAINT PAGE 01
i e& w,M amdunt
and /u/// h/71 deal",
a- cheGll. ; y
Use BLUE or BLACK Ink
Fot omce:upe
Permit: l 7 q71
Per itFeS42L 9. 010
G
Date RgpyRved:
Staff.
_..
/ 2010 RESIDENTIAL BUILDING PERMIT APPLIC�A-1`ION dry_
paw !/13/1 / Site Address: 380 3809 806 A• 380 44.4.11..S.1.- cr ul¢7' (A
Tenant:
Suite #:
RESIDENT / OWNER
•
Name:56 Ass."J,a>'o,✓ p-,,v,v rc.n>,c- ft/r Phone: 963'Se9'- 3 72 7
Address / City / Zip: 70.2-2 E. Pis4e L,o rdr dd,.w4 i4// lsQoedEr "0in'3//
Applicant is: Owner g- Contractor
TYPE OF WORK
Description of work: 'W6.N,o Lie A,'0 1 87 L 1e.s• oop*
Construction Cost: $ //* o oo `-- Multi -Family Building: (Yes / No
_)
CONTRACTOR
Name: Bre ref ,Zu /nQ&r: 0444 License #: 0009' 3'
Address: 45 ed ifori" ...CA2Orr citar, /%%i,w,,verpore24.+,s .
State: frnie Zip: /9 Phone: d i2 - dib l- 6 2//3
Contact: A Email: //)k) a OB/Atm eo/r7
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING, A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 pubild information. Portions of
the information may be classif ed, as nonpublic if you provide specific reasons that would permit the City to
. conclude Ilia! tin& are bade secrets.
�►�+�� 61�rc�rcr� T VU DJ . Call Gopher State One Call at (651) 4544-0002 for protection against underground utility damage.
Call 48 hours b®for® you intend to dig to receive locates of underground utilities. www,00pherstaieonetaliorq
I hereby acknowledge mat elle Information la compete and accurate: that the work will be In conformance with th0 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 pvrmlt: that the work will be In
accordance with the approved plan In the case of work which requires a review and approval o_" "
R,voExtso
Applicant's Printed Name
Applicant's Signature
Page 1 of 2
Use BLUE or BLACK Ink
• ~ 'For Ofiioe Ua./a I
• Pemdtf:
U111 of Ealan F p.rrrriEFee d ~7 d5
38$0 Pitt Knob Road ~:1/ j 1
oie rteoeived C 1
Phho wn rIIIIN (66)) 67 6 /1 i state
For. (661) 67541101
I '"-T 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Aebs: /p" 7-- /3 SibAddrbem: 3~''•t 3~~~ 38nlo, 35'oP 4Ac.►2£4, C-7-r Unit&
Name: ~o f9 C T /y1 p +J rs W /~1 T C Phone: 743 - s'y 3 - 9 72 0
~lvrter . . Address i car lZlp: 85D a ~ ~ r►'r'uQ AV ,3 A
Applicant is: • -Owner X Contractor
-r.-.+,e o~ at.-
~
TY1210Fmot Description of wodc
Construction Coat J • 9 L1"U . Uti5 Mu10-Family Building: (Yes No
• ; Company: FS E ) Si-rrR/cR Ati-04T. &OZ Contact' ,
Address: 4yoS- 60~' City: MPG S .
state: W *J zip: SS"V/ 9 Phone: lo~z - f - G~ xY3
License # 4g c A y/,13 / Lead Certiflwte e
if the prOjed is exempt from Iead OWUffcadon. pbase explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW UILDINQ
In the last 12 months, hae the city of Eagan issewd a pemtk for a similar plan based on s mnbr plan?
Yes If yes, dab and addr as of master plan:
Licenwd Plumber. Phone:
Mechanical Contractor. Phone:
Sewer & Water Contmctor. Phone:
Nord E
••Tf. h• `x,i
CAL•bBEFORE Y~ Caa Goprwr Slab one Cell 9 (851) 454-0002 for pmoction agalrwt undOMM" Willy damage. CM 48 hours
betas you nterl0 m 100d s of undsr"und uN11111as, wowi.oo teonerAe_ero
1 Mm'y advi **fte that ft Wwmalcn Is oanplebe and ao um, that the wok vvill be in oonfammoce Wth ft ordlnancea and codes of the clay of
Eagan: that 1 understand thi4 is not a permit, put only an appllcaen for a pennil. and work is nd m stare wiftout a permit: Ow Aw work vA bo in
aeaadance wim 9e.pP-ve4 pion in vw awe orvmk wnm ra4w yce a rvrltw and appmwl at plena.
Enrtarior work aulhorlaed by a building permit rued In aaaordwom wO On MiniraBpcA stabs suildl Cods must be oomplemd whNn 180
days of pet mil ievmwp
x i~,q✓ i L~ RR r~
Applicants Printed Name Appgcant's Signatum
page 1 of 8
ZO 3E)Vd 1NIGW 1X3 I3a L9Z9T98ZT9 Z0:bT ETOZ/LO/0T
Use BLUE or BLACK Ink
-
I foreliteUse
1
1 a~~$ I
City o ~la~ permit mpermit s: of I Permit Fee:
3630 Pilot Knob Road j I
Eagan MN 66122 i DateRecelved: I
Phone: (661) 675-675 j
Fax: (651) 675.5694 j 'wait' I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 3 r°A, I ?o y, 3 Y° G, s yo d' iAvRE L Unit
Name: Flo A & E.tm X v w C. _Phone; 74 3 - Sir 3 - 9 7 7 0
r a Itr .gg Y WA)
Owner Address/ City /Zip: SSo b1:-i4 '7-u#. Av A), .14
Ss 7
Applicant is: owner CContractor
Description of work: Rf:Ko, L a.. RE PL*e- . f,ttsr- 0R rr/E7-4 4.
Typ#.,vf`1Work
Construction Cost: / 4100, w Multi-Family Building: (Yes / No __J
Company: ~',r r Ek✓ 0 2 1~~ IJ . ~o RP Contact: 64 ✓ , ti Q-1/2-0-1 S
/
Address: GJ Got S~ , City.
Controctor
stele: Zip: sry/ 9 Phone: &/.Z - S to Co 2 yS
License C 3 J Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
l~t-~(cS. ~~~L7 PCs -0 JF7'Y
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDIW
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: R6Its a dacim r'~i 'st! '?oohlsrd':E .;P . !,+~'PiR f
the; sill i~il~ x rtairr~ r' :Cy;::`>c
iMorrr"orr; .aY:b~.. /as . , _,as c'rjl y?~►p pr~i i. ~i9~ic° .a.
. ~,..GDACIffd9`~h9~?~. :ay1P6~4}f8lf@r'... ;:u%•.
CALL BEFORE YOU DIG, Call Gopher State One Call at (651) 45"002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utllliles. www.aopherstateonecall.org
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 1 understand this ie 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 Bulldin Code must be completed within 180
days of permit issuance.
x V u /yJ2-i S A
Applicants Printed Name Applicant's Signature
Page 1 of 3
b0/EO 39vd 1NICW 1X3 IM L9Z9Z98Zti9 OZ:ht VT0Z/8t /Z0
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA140787
Date Issued:01/23/2017
Permit Category:ePermit
Site Address: 3806 Laurel Ct
Lot:3 Block: 01 Addition: Briar Hill
PID:10-14990-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Patricia A Erb
3806 Laurel Ct
Eagan MN 55122
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178956
Date Issued:09/12/2022
Permit Category:ePermit
Site Address: 3806 Laurel Ct
Lot:3 Block: 01 Addition: Briar Hill
PID:10-14990-01-030
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Patricia A Erb
3806 Laurel Ct
Saint Paul MN 55122--162
(651) 493-8811
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature