3804 Laurel Ct.r, " a *
/, 0,
?
2007 RIESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements
3 regislered site surveys showing sq. ft. of lot, sq. R. of house; and ail roofed areas
(20%maximum lot coverage allowed)
1 Soils Report 'rf proposed building is lo he placed on disWrhed sal
2 copies of plan showing beam & window sizes; poured found desigq elc.
1 set o( Energy Calculatlons
3 copies of Tree PreservaUon Pian'rf lot platted after 711193 Rim Joist Detail Options selection sheet (buildirgs with 3 or less uniGS)
Minnegasco mechanical ventila6on form
RemodellRepair Reauirements
2 copies oi plan showing fooUngs, heams, joists
1 set oi Energy Calculatlons for heated additlons
1 site survey for additions 8 decks
Addi6on - incUcate if on-site septic system
Telephone # (
Plans are considered ublic information unless ou state the are trade secret and the reason
Date 08 / ! y
SiteAddress 3eI2 41 / 2 00 -7
1- .4 u2tZ Construction Cost ?' 6, a 60 • p°
cvui2r L/i{r/}pJ UniUSte #
Description of Work
Multi-Family Bldg RIFI?tCV E
? Y_ N AnrD Rt5'Pi-A-C-? Oc`z-?-'
Fireplace(s) _ ,4ND TzX t L-LNGS
0 _ 1 _ 2
Properry Owner Telephone # ( )
Contractor X-1 EScTC7zt02- µ(a-i ('t i. Cd Q, p
Address ''4 05
State_(1rt1.1 frJcs-r ow 5rz.«'T
Zip SSyI y City !-'llnrwc-kPc=?Vs
Telephone#(Gt2)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
su6mission type) • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe 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 ? ? \Vr ?
Mechanical Contractor
Sewer/Wpter Contractor
Office Use Onlv
Cert of Survey Recd _ Y _ N
Soils Report _ Y _ N
Tree Pres Plan Recd' _ Y _ N
Tree PresRequired Y, _:N
On-site Septic System - Y _N
Telephone # ( )
Telephone # ( ?
1 hereby apply tor a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wark 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 wark will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
A
L*hZ(s /lNWts72S,.? r?t.? .?u??
Applicant's Printed Name App icanl t's Signature
r . -&,
DO NOT WRITE BELOW THIS L1NE
Su6 Tvpes
? 01 Foundation
? 02 SF Dwelling
0 03 01 of _ pfex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
J*06 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 OS-plex 49 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
*Demolition (Entire Bldg) - Gi ve PCA handout to applicant
DESCI'IptlOfl: Water Damage _ Yes
Valuation J sExa' a.-
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const .?_
Occupancy Tp2c-3 MCES System
25%
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Z ° Fire Sprinklered
Width ? a
Footings (new bldg)
_Y Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation , , .
Approved
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
_L0 Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath Brick
Windows
Retaining Wall
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
? ? C ?-aO (b
ciTr oF eacArr
-
_ _-
EARLY UTILITY CONNECTION PERMIT
--
---- -- -
--- - --- -- - -?°? _ ? _ __- _ ---- - - - ---
1?'1.i'rc.l AdclL)
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 not yet completed, inspected and/or accepted -
the sever and/or water Lateral. I agree not to use, test, or connect these
ir:3ividual ser•:ices to any in[erior plumbing and understand the require-
-__-= --=ment to cap the sewer service to prevent. any unauthorized use.
In accepEing this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Pern±it will be issued or water allowed , I
to be tumed on until the City utility system has been declared operational
by the City Engineer. "
Signed by - Plumber:
Owner:
Developer:
Builder•
Dated•
,
CITY OF EAGAN
3795 Pibe Knob Rood Eagan, MN 55722 N! 5602
PHONE: 454-8100
BUILDING PERMIT APPLICATION Receipt ?--
To be uted for 1 of L,-Plex Est. Value 52?000.00 pnte _. 1/25 1920--
Stte Addre 3g04 Laurel Ct. Erect Ek pcc„p,ncy R3
Lot Block 1 Sec/Sub. Phs. I-Briarhill Alter ? Zoning R3
Parcel # Repair ? Fire Zone III
E f C
T V
niarge ? ype o
onst.
? Nome Tollefson Bldrs. Inc. µoye ? # Stories
Z
1 Addreu 13816 Holyoke Lane ?morsi, ? Fronc 4+ fr.
o C? Apple Valley phone 55123 Grade ? Depth ft.
21+
? o Name _
Zu
?? Address
!- r....
Nome _
Address
1 hereby acknowledge that 1 have read this applicetion and state that
the intormation is correct and agree to wmply with all applicoble
State of Minnesota Statutes and City of Eagan Ordinances.
Signcture of Permittee
A Building Permit is issued to: TO11Ef5ori
oll work sholl be done in accordonce with alYaonl
Fees
Woter & Sew.
Police
Fire
Eng.
Pianner
Council
Bldg. Off. 12/31/79
APC
Permit 143-7V
Surcharge 26.00
5
Plan check 71.7
snC 525.00
Water Conn. 305 - QQ
Q
Water Meter 60.0
Rd.Unit 185.00
5
Totcl 1i316_2
on the express condition thct
of Minnesota Stotures and City of Eogan Ordinunces.
Building Official
SEWER SERVICE PERMIT
GTY OF EAGAN pERMIT NO.:
3795 Pilot Knob Road
DATE:
Eagan, MN 55122
of Units:
No
Zoning: ,
-
-
owrier:
Address:
Site Address:
Plumber:
ree to eomDlY with the City of Eagan
I u Connection Gharge:
it
g :
Account Depos
Ordinances•
Permit Fee:
5urcharge:
' Misc. Chorges:
BY Total:
Date of Insp.: Date Paid:
I nsp.:
R SERVICE PERMIT
WATE
ciTY oF Et+GaN
3795 Pilok Knob Road PERMIT NO.:
E..gan, MN 55122 DATE:
Zoning: - No. of Units:
-
Owner;
Address: ,
Site Address
Plumber: -
Meter No.: - Connection Charge:
Account Deposit: -
Size: it F
:
Reader No ee:
Perm
.
I agree to aomply with the City of Eayan Surcharge:
Ordinartces. Misa Charges:
7otol:
d
BY :
Date Poi
Date of Insp.: Insp.:
TY OF EAGAN WATER SERVICE PERMIT
CI
3715 Pilot Knob Road PERMIT NQ.:
Eagan, MN 55122 DATE:
Zoning: No, of Units -
Owner:
Address:
Site Address:
Plumber:
Meter No.: - Connection Charge:
Size: __ Account Deposit:
Reader No.: Permit Fee:
1 agree to aomply with !he City of Eagan Surcharge:
Ordinances. Misc. Charges: - '
By
Date of Insp.:
Total :
Date Paid:
I nsp.:
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:
CITY OF EAGAN
3795 Pllet Kn b Road Eagan, MN 55122
F?ONE: ISI-8100
BUILDING PERMIT n/I pAP e? Receipt #
To be wad for Est. Value Date -
Site Address Erect ?
I Lot ? Block Sec/Sub. Alter ?
Parcel # Repair ?
Enlarge ?
W Nome Move ?
3 Address Demolish ?
?
Ci Phone Grade p
oc Name Approvals
o
?U Address Assessment -
N4 5602
,
Occupancy
Zoning
Fire Zone
Type of Const.
# Stories
Front ft.
Depth ft.
Fees
Pertnit _
a Ci Phone woter & Sew. Surchorge
Police Plan check
u?
NO"'e
SAC
W W Fire
r-
Address
Eng.
Water Conn,
<W Ci Phone Plonner Water Meter
Council
I hereby acknowledge that I have read this opplicotion and state that Bldg. Off.
the information is mrrect and agree to comply with all applicable
State of Minnewta Statutes and City of Eagon Ordinances. APC Total
Signature of Permittee
A Building Permit is issued to: on the express rnndition that
all work shall be done in accordance with all npplicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Offitiol
Pwmk # DaN lwad lOMIMr
Plumbing
Mechonical
INSPECTIONS DATE INSP. 1
? Rouph-In
Firal
Footings + Dete Irup. Dafe Inup.
Foundation Plumbing
Frume/ins. - MecFwnicol
Finai
??..,Remarks:
?
?
\
r
?
CITYOFEAGAN Remarks _D2,4/_ti 57?
Addition i-riar Hill Addition L0t_2 sik 1 Parcel
Owner " ' treet 3804 Laurel Court State Eagan, 5 12
Improvement Date / il' Amount- Annual Years Payment Receipt Date
ST R E ET S UR F,
STREET RESTOR.
GRADING 123.04 24.61 5
Street Surf (:^ 982 00.76 120. 15 5
SAN SEW TRUNK 1968 34.49 1.15 30
** SEWER LATERAL 4.87 20
** m trk 1970 20
WATERMAIN
* WATER LATERAL 1971 28.22 1-41
WATER AREA
*** S W Lat Stm L. lP ' 982 1431.44 286.29 5
STORM SEW TRK
* STORMSEWLqT 1971 20
'°5 1982 402.73 80.55 5
CURB & GUTTER
SIDEWALK
Street 1009 ? 1986 153.70 15.37 10
?
WATER CONN,
BUILDING PER. 5602
SAC
PARK
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3804 Laurel Ct
Lot: 2 Block: 01 Addition: Briar Hill
PID:10- 14990 - 020 -01
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
Contractor:
Al's Master Plumbing
1424 3rd Street North
Minneapolis MN 55411
(612) 822 -5292
e - Water Heater & Water Softener
New
Water Heater & Water Softener
Meter Size Meter Type Manufacturer
Laura Foschiatti
1424 3rd St N
Minneapolis, MN 55411
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Penny J LaCompte
3804 Laurel Ct
Eagan MN 55122- -162
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA089195
05/15/2009
ePermit
Line Size
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
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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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112773
Date Issued:08/23/2013
Permit Category:ePermit
Site Address: 3804 Laurel Ct
Lot:2 Block: 01 Addition: Briar Hill
PID:10-14990-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Penny J Lacompte
3804 Laurel Ct
Eagan MN 55122--162
Champion Window Company of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature
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:Building
Permit Number:EA163342
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 3804 Laurel Ct
Lot:2 Block: 01 Addition: Briar Hill
PID:10-14990-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Penny J Lacompte
3804 Laurel Ct
Eagan MN 55122--162
(651) 686-5270
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA167655
Date Issued:03/25/2021
Permit Category:ePermit
Site Address: 3804 Laurel Ct
Lot:2 Block: 01 Addition: Briar Hill
PID:10-14990-01-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Penny J Lacompte
3804 Laurel Ct
Eagan MN 55122--162
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171113
Date Issued:08/02/2021
Permit Category:ePermit
Site Address: 3804 Laurel Ct
Lot:2 Block: 01 Addition: Briar Hill
PID:10-14990-01-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Penny J Lacompte
3804 Laurel Ct
Eagan MN 55122--162
(612) 619-7906
Mad City Home Improvement
5020 Voges Road
Madison WI 53718
(651) 500-0514
Applicant/Permitee: Signature Issued By: Signature