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3803 Laurel Ct.mn,uta aaale o0ara Vr G acirlClTy Griggs Midway Bldg. -.Room N191 1827 University Ave., St. Paul, Minn. 55104 - Phone 297•2111 ' --..,..REQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WQitK CQVRRRn RY T141S RRniTFCT EB-00001-02 z,5-(4 R T annn7 Type of Building New Add. Rep. Check Appliances Wired Fot Check Equipment Wired For . Home 3ES ? ? Range • Temporary Wiring ? Duplex ? ? ? Water Neatet ? Lighting Fixtures ? Apt. Bldg. ? ? ? Dryer ? Electric Heating ? Commercial Bldg. ? ? ? Fumace =r00 Silo Unloader ? Industrial Bldg. ? ? ? Air Condi[ioner ? Bulk Milk Tank ? List List Other ' ? ? ? Rtheis? ere Others? ftere COMPUTE INSPECTION FEE BELOW Service Entrance Size: # Fee Feeders&Subfeeders: # Fee Cirwits: # Fee 0 to 100 Am s. 0 to 30 Am eres 0 ro 30 Am eres .' 101 to 200 Am s. 31 to 100 Amperes 31 to 100 Am eres Above:200 Amps. Above 100 Amps. Above ]00 Amps. Tran eis Remote Control Circ. Partial or oiher fee • Sign " Speciallnspection Minimum fee Rema 1 Jeff D? TOTAL F ??*? 4000 1, the EIectrical lnspector, hereby cef? that Oovp inspection has b n (Rough-in) f Date?`' (Final) ?? Date .? 4/ This request void 18 months from ? ___________- r i F?r Q?ce l3se ? Permit I ? City of Eapn ? ? " b= P I permit Fee: ? 3830 Pilot Knob Road ? Eagan MN 55122 AP?? 1 62?)02 ? Date Received: -7 ? Phone: (651) 675-5675 Faz: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 41'," S ' d? Site Address: 4rz. .q,z l'11L L Tenant: Suite #: RESIDENT/OWNER Name:Jo /9ssoeI ,4-7-,o,r .Fa,aac„?z phone: '7e, 37z7 Address / City / Zip: :S $° 3 L, sg ? 2 L L Applicant is: _ Owner X Contractar TYPE OF WORK Description of work: k£-4oick D E G,? Construction Cost: Lf? ??' C3 a Muiti-Family Building: (Yes X J No ? CONTRACTOR Name: g£/ L'?2 'P. License #: '`-t Address: 61C -s" t,'w 6c City: /yI,PL S. State: M-? Zip: SSL/r ?j Phone: 6,/x- F &G> 9 Y3 Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 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 Contrector: Phone: Sewer & Weter Contractor. Phone: `NOTE: Plans antl supporfing documents,that you submit are consitleretl to be ?ublic information. , Portions of. , the information may be classified as, non-public if you provide specific reasons that would permit the City fo .` l:'conclude that fhe are frade secrets I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance 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 wor 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. x1?oji/v4;0 02 s2 X ApplicanYs Printed Name ApplicanYs Signature Page 1 of 3 . ' ' ? DO NOT WRITE BELOW THIS LINE. SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Buiiding ? Pool ? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi ? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF ? 02-Plex ? 08-plex V Deck ? Porch (screen/gazebolpergola) ? Multi Misc. ? 03-Plex ? 10-plex ? Lower Level ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous WORK TYPES ? New 0 Interior Improvement O Siding ? Demolish Building' ? Addition ? Move Bu ilding ? Reroof ? Demolish Interior ? Alteration ? Fire Repair ? Windows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA handout to applicant DESCRIPTION: Valuation 31000- - Occupancy l C MCES System Plan Review Code Edition Zoo Z SAC Units (25%_ 100% ? Zoning City Water Census Code q_3 q Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width ? a REQUIRED INSPECTIONS Footings (new bldg) ? Footings (deck) Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _AirTest _Final Insulation l - 1, ? Reviewed By: Sheetrock FinaUC.O. Final/No C.O. HVAC Other: Pool: _Footings _Air/Gas Tests _ Siding: _Stucco Lath _Stone Lath Windows Retaining WaIP Building Inspector Final Brick RES/DENTIAL FEES: Base Fee Surcharge Plan Review MC1ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Page 2 of 3 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN • 3830 PILOT KNOB RD - 55122 r?( ? 651-681-4675 --? ?- l ?S(? New Conahucllon Reaulrements Remodel/Reoair Reaulremenls ?"? > 3 reglatered alte wrveys showinp sq. N. of loi, sq. H. of house and go roofed areas (2076 mmclmum bt coveraae ollowed) ? 2 coples o1 plana (show beam & window sizes; poured fnd design; etC.) a i set of energy caiculaflons > 3 copies of fiee preaervaflon plmn if Iof platfed a(ter 7/1/93 DATE: f,- f ? / i ?L 0?00 DESCRIPTION Of WORK: T2GVl 0" d' 2 coPiea of plan 1 sef of energy cdculaflons tor heated addiflons 1 site wrvey for extedor addfnons !c decka CONSTRUCTION COST: L ?? cl-4- ',g-v 3 :39 U( C, .3 05 O 7 (. T STREET ADDRESS: !J? ? LOT: I BLOCK: SUBD./P.I.D. #: ?•?? ? ? ? ? `? Name: Phcne #: PROPERTY Los? flist OWNER Street Address: City Stata: Zip: . Company: r`C Ok 46 dOAJS? CD Phone #: !Z 72! (area code) • CONTRACTOR `/ ? S 6 Exp. Street Address: 3?7" 4 A vE -5-o ucense a5-Y CHy /V 1(? State: &n2 Zip: ?? 7" d rO ARCHITECT/ ENGINEER Company: Name: Telephone #: ( ) Sheet Address: Registraflon C ' Gfy State: ZiP: Sewer/water licensed plumber (if installina sewer/waterPhone #: ( I hereby acknowledge that I have read thls applicaHon, sfate that Ihe infortnation is cortecf, and agree to comply wNh aq appRcable State o! Minnesota Statutes and CMy of Eagan Ordinancea Signaiure of Applicanh OFFICE USE ONLY Certificates of Survey Recelved Yes No Tree Preservation Plan Received - Yes - No - Not Required . •' ` SRIAR HILL 2ND 14991 PERMIT DATE & USE LOT BL ADDRESS sisi 4-PLEX 010 01 3803/ LAUREL CT 020 Ol 3801/ 030 01 3807/ 040 01 3805 3i81 a-rLEx 050 01 3813/ LAUREL CT 060 01 3811/ 070 01 3817/ 080 01 3815 sisi a-Pr.ex 090 01 3821/ LAUREL CT 100 01 3819/ 110 01 3825/ 120 01 3823 ioiso a-rLEx 130 01 3835/ LAUREL CT 140 01 3833/ 150 01 3839/ 160 01 3837 APPROVED 7/80 3 ? ? CITSi UE' EACANt Include 2 sets of plans, 1 site plan w/elevatians & HUILDING PEANII'T APPLICATION 1 set of energy calculatians. Tb B@ UBBd Fbl' ? VdlU3tio1 Ddt2 . r' _ - - Site Addx?ess3?o;,-?i3???? CPFICE USE ONLY LOt/?P'v B1GCk ? SeC./Sub t•c4/?'?F_ c Erect X_ OccupancY A?-5 . Parcel / Alter 2onin9 Pepair Fire zone iU A . ?'• ' FSnlazge Type of Oonst. Addre8: Nbve N Stories Deriolish Front 5' ft, atY/ZiP Oode: • Gxade Depth s? ft. Ptfone #: Address: citi+/zip ooaesf!;?' Phone t: ?ff ?S ?- Arch./%ng. t Address: • CitY/Zip Oode: Phare #: APPRCx7ALS FEES Assessnents .? Pernut y Water/Seaer Surcharge. Pelioe Plan ChecJc ? Fire SAC sQ IIig. Water Gom. ,33Y ...._ Planner Water Meter OfL Qouncil Iioad Unit Hldg. Off.' APC 7MAL a' /J °,'i6 ? X x CITY OF EAGAN 3795 Pllot Knob Rood Eagan, MN 55122 PHONE: 4548100 BUILDING PERMIT APPLICATION N° 6630 Receipt .??' `? ??? To be used for 1 of 4 PLEX Est. Value 52 .000 Date rj--1 , 19_$1 Site Address 3803 Ic-Ll]TEZ Ct Erect ?.J Occuponcy R3 _ Lot 1 1 Briarhill 2nd Block Sec/Sub. Aiter ? Zoning _ ? Parcel # 10 14991 010 Ol Repair p Fire Zone _ _ M l E T f C V n arge ? ype o onst. _ -_ W. Name TollefsOn B1dY'S. Move ? .# Stories 3 Addreu 13816 Holyoke Lri. Demolish [] Front -44 ft. o Ci Apple Valley phone 454-6873 Grode ? Depth 24 ft. O Name Apprmols Fees ?r u Address ? r... Name Address I hereby (icknowiedge thot 1 have read this applicotion ond state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. Water & Sew. Police Fite Eng. Planner Council Bldg. Off. APC Permit- -LYj .-)v Surcharge 26.00 Plan check 71.75 snc 525.00 Water Conn. 335. 00 Woter Meter 60. 00 Road Unit 185•00 Toral 1,346. 25 $ignature of Permittee I A Building Permit is issued to: rfbllefSC&1 B1C7Y'S on the ettpress condition that oll work shall be done in accordance withepil applicable-$tctepf Minnesota Statutes and City of Eagan Ordinances. Building Officiol oc z2f-z P 64e -ex-% ?I? ? &UCA Lt, B?,l3r?ac-Iti?tl ? 33 This request void g. ? ?8 months from A Date of this Request' 6"'11"1981 Fire No. T 40006 I, asJU Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or Route No. 3803 Laurel Court City E Section Township Range County Dak° Which is occupied by TO1lefaoA (Name of Occupant) ls a roughin inspection required on this job? No ? Yes-U Ready Now ? Will Call:U Power Supplier DakOta Cty. Fa=irgtmn . _2?Q2 Electrical ContractorO»B• `Phompson Eleatria Go. Contractor's License NA (COmpany Name) . Mailing Address 12201 Bdtka Bled. i Mtks 55343? Authorized Signature o. ' 933-25r_ ?? nVE p O n(?D r(' OpM This inspection request will not he accepted hy the LN (n]IJI? \? LI State Board unless proper inspection fee is enclosed. CITY OF EAGAN SEVNER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: L.'gan, MN 55122 DATE: Zoning: No, of Units: Owner. Address: Site Address: Plumber: 1 agree to eomply with the Crty of Eagun Connection Charge: Ordinanaea. Account Deposit: Permit Fee: By Date of Insp.: I nso.: Surcharge; - Misc. Charges: Total: Date Paid: - ciTr 09 EAGAN WATER SERVICE PERMIT 3795 Pilo! Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: - No. of Units: Owner, - Address: Site Address: Plumber: N Connection Charge: Meter o.: Size: Account Deposit: _ Reader No.: Permit fee: I agree to wmply with the Cify of Eagon Surcharge: Ordinances. Misc. Charges: Total: By Date of Insp.: Date Paid: SEWER SERVICE PERMIT CITY OF EACaAN pERM1T NO.: 3795 Piloe Kno6 Road DATE: Eagun, MN 55122 No. of Units: Zoning: pwner: Address: Site Address: - Plumber, I agree to eomplY wilh t6e City o4 Eagan Ordinances. By Date of Insp.: Connection Charge: Account Deposit: Permit Fee: Surchorge: Misc, Charges: Total: Date Poid: CITY OF E4GAN SEWER SERVICE PERMIT 3795 Pilof Knob Rocd PERMIT NO.: Eagan, MN 55722 DATE: _ Zoning; No. of Units: Owner: Address: Site Address: Plumber. 1 egree to wmpiy wit6 fhe Cify of Eagan Connection Charge: Ordinanaes. Account De sit• Bv - Date of Insp.: I nsp.: CITY OF EAGAN 3795 piiot Knob Rood Eagan, MN 55122 Zoning; Owner: Address: $ite Address: Plumber: Meter No.: Size: Reader No,: I a9rea M oomply ?vifh fhe City of Eagan Ordinanees. By Date of Insp.: ? • Permit Fee: Surchorge: Misc. Charges: Total: Date Paid: PERMIT NO.: DATE: - No. of Units: Connection Charge: Account Deposit; _ Permit Fee: Surcharge: Misc. Chorges: _ Total; Dote Paid: I nso.:- CITY OF EAGAN WATEA 3795 Pi1or Knob Raad SERVIC E PERM IT L: :gan, MN 55122 PERMIT NO.: Zoning: ?ATE: Owner; No. of Units: Address: Site Address: Plumber: Meter No.: Size: Connection Chqrge: Reader No.: --- Account Deposit: ----------- I agme to com PlP wifh the City of Ea an Permit Fee: g Ordinancea, Surcharge: Misc. Charges: gy Tota1; - Date of lnsp.: Date Paid: Insp.: ? Receipt :,/' PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces S/C Type or Print legib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot ? Blk. ,I Tract '± , 4. Owner 5. Contractor ev Phone 6. Address 7. City State Zip 8. Building Type: Residential B Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe 17. No. Fixtures Water Closet No. Fixtures Cesspool /Drainf ield Bath tubs $epticTank _ Lavatory Softner Shower Well ? Kitchen Sink Urinal/Bidet Other _ Laundry Tray . , . Floor Dreins Drinking Ftn. Slop Sink Gas Piping Outlets 12. I Fiereby certify that the above information is true and correct, and I agree to comply with aIl 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 Receipt MECHANICAL PERMIT Permit No. ?3- CITY OF EAGAN Fee .- • Fill in numbered spaces S/C Type or Print /egibty Tot. ' 1. Date 2. Installation Cost 3. Job Address Lot , Blk. Tract 4. Owner 5. 6. Address Phone 7. City ! -• State Zip , 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter O Repair ? 1 10. Describe I 11. Fuel Type No. Equioment BTU - M. Ea. Forced Air No. Equipment CFM Ai H dli Mfg. r an ng: - Boi lers Mfg, - Mech. Exhaust Unit Heater _ Mfg. Air Cond. Other Mfg. Gas, Piping Outleu 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 F inal '?. Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. . App:oved CITY OF EAGAN 454-8100 ? . .. -. . BUILDING PERMIT To 6s mad for Site Addreu Lot Block Sec/, Porcel # CITY OF EAGAN 3795 Pilot Knob Road Eagan, MN 55122 PHONE: 454-8100 . Value - - '-:: ? s Name W ; Address .,?--- a Z0 °u u ? Name _ Address Name _ Address Receipt # N4 6630 ] 'C pate , 19 Erect [] Occuponty Alter ? Zoning Repair ? Fire Zone Enlarge ? Type of Const. Move ? .# Stories Demolish ? Front ft. Grade ? Depth ft. Anororah Feea Water & Sew. Police Fire Eng. Planner - Council - Permit Surcharge ' Plnn check ' - ? SAC - n.? Woter Conn. ' Water Meter - Rood Unit I hereby ackrwwledge thct I have read this application and state that Bldg. Off. the information is mrred and agree to comply with all opplicable APC Total State of Minnewta Statutes ond City of Eogan Ordinances. Signature of Permittee A Building Permit is issued to: on the express condition that nll work sholl be done in xcordance with all applicable State of Minnesota Statutes and City of Eagan Ordinonces. Building Official Pemk # DaN hww PomMtw Plumbing 6>,E /.Z- ? n_ Methoniwl Ci'C_O? Fr2cL /l , C,?$.`(" /A INSPECTIONS DATE INSP. Rouph-In Final Footin95 I'Loe, Dute Insp. Date Irup. Foundation Plumbing ? Frome/ins. Mechanical ' Final -,7 ? Remarks: CITY.OF EA6AN Remarks Additio Briar Hil..l_Addition, Znd Loc I eik 3 Parcel #10 14991 010 01 Owner 1?('{y'? rt7l01 T/QGU StreetUMstete Eagan. MN 55122 Laurel Court Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. Q 1982 600.7 480.61 A010778 12-1-81 STREET RESTOR. GRADING 'L 19 5 . . 114.39 C009870 1 27 81 Grading (p 1982 2. 98,44 A010789 12-7-81 TRUNK yQ 1968 47.85 1.60 30 47.85 C009870 1 27 81 * SEWERLATERAL- 96 . $2.46 C00987 1/27/81 WATERMAIN * WATER LATERAL WATER AREA 3 1977 95•85 6• J$.$$ C00987 8 *** S/W Lat Stm L 1982 1431.44 286.29 5 1145.16 A0107 9 12-7-81 STORMSEW TRK 1982 402.73. 80,55 5 322.19 A010789 12-7-81 STORM SEW LAT CURB & GUTTER SIDEWALK STREET•tfe"T 1009 1986 153.70 15.37 10 Road Unit 185.00 24457 5-1-81 WATER CONN. 335.00 24457 5-1-81 BUILDING PER. 6630 sAC 24457 5-1-81 PAR K 2 5Q,Q4 CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT $ I & DOLLARS ?oo ? CASM F] CHECK Thank You ? 1--e. 4? . BY White-Payera Copy Vellow-Posting Copy Pink-File Copy 11/04/2011 07:51 6128616267 41111 C!tyofEaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5676 Fax: (651) 675-5694 Date: /11311/ Tenant: BEI EXTERIOR MAINT Plea SG cu// weff>'aewvyi7` Qpd c..rr t.Jrl/ bnny d o%4A a C.huk. N PAGE 02 Use BLUE or BLACK Ink L. For+ot( tine rmPerm#, I(/c/c2 Remit Fee: *'" ;J - co Date Received: Star: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION 1 Site Address: 324°1, 3s63, 3£05, 3 'D7 4-4K412k7-- Calde- — Suite S: RESIDENT / OWNER - Name: So As9o4-00"no41 le,,,,4,""6vu Al &And r Phone: 763 -V9y- 372 7 _ Address / City / Zip: 702,2 F. F/SA/ £.4*- Applicant is: Owner g- Contractor TYPE OF WORK Description of work: IQCmh ANp got,"cC 700 A"' Construction Cost: $/(490o — Multi -Family Building: (Yes / No ) CONTRACTOR Name: Bel rere-i2/u,e nUavtir doieA? Licen3e #: 000e,/,/ Address; y%s Lip .D City: /.wNr7ape)s..s• State: MA Zip: ,53 5 Phone: d i2 -4P6 /- 4 273 Contact:d:lvao Email: //Jk+ (4 hal it" 64:'m 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 public information. Portion of the information may be classiflectes nonpublic if you provide specific masons that would permit the City to _ conclude that t They are trade secrets. M . Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. y nnr.00aherstateonecali.org e hereby acknowledge that this Information is complete and accurate; that the work will be In conformance wtth tho ordlnaneae gird Codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work la not to start without a permit that the work will be In accordance With the approved plan in tt f case of work which requlres a review and approval op} , x Cu/e4 s A,voLear.so, Applicant's Printed Name Applicant's Signature Page 1 of 2 i Use BLUE or BLACK Ink . ~ For 01111100 W ~ l • I Pem* V. I of Eslan I Pw mit Fee' a 1 3830 PUot Knob Road ~~`j A P716 I Egan MN 56122 Date Received: I ~3 I l Phone: (661)676"6675 Fax: (651) 6764094 1 Std 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /o -7- I3 Site Address: gO/ 3~'O3, 36of; ~'e7 ,GAS?. E L C Unit 6:.r , e -J. ACT /y1,gw3>4 44 M ZAJ-7- phone; 7103 -xs3 - 9`70 Name: Rd~1~ Gri'~✓~2 />tt! 19 Goi.J~•J ~iFGLt-y Address I City / Zip: ~Sd Apprimant is: Owner ,L Cont actor Type, -T «.t~2 ©F Q E ' Desatiptionof wok Construction Cost: / • lJt~ Mull-Family Building: (Yeah 1 NO Company: GCE / Z)a -r cA e o R OA7,A3 f . ~ Conrad ~r4vi d ft R 5 Address: y/os bort ` . City: PC. s . Sute: Ct i sv' NAJ Zip: SS'"Vl 9 Phone: !o ~,t • ~b 6 x ~/3 Uosrtse tt C Z S!! / 3 / Lead Cerf icate 1P If the project is exempt from lead modHkcadon, please eVIatn why: (sea Page 3 for additional informsWil) ! 47 E12E.' 18~/LY" Po S-, COMPLETE THIS AREA ONLY IF CONSTRUCTING A Min BUILDING. In the last 12 month. has the City of Eagan Issued a pwmit for a sknilar'plan based on a maatw plan? ' Yes No If yes, date and address of master plan: Licensed Plumber: Phone; Mechanical Conbadpr: Phone: Sewer 4 Waterer Contractor: Phone: C BEFORE YOU 01% (Op GopherMab One Cog at (651) 4.44= for pr op against underground uft damage. C41148 hours balers you WNW to dig to racaiye loco w of und"taund utWgw. www.Q00h6mbd@0ngcgjj.0m I hereby adrnowledge that tlls inkrrrnatien b complete and axurate: that the work wWll be in oon6amsneo with the ordina m= and codes of the Ciy of that I undemiend this is not a permit. but only an appkeW for a permit. and mowk is net to alert wid w a permit that the wens voW be in aaordar,m with vw apprv-d pan in vw cme or York vwloh mqulree a review and approval Of plane. tbCberior work =*Wf iad by a bulking Pernk Issued In acowdanee with so Minnea0lt► Stale 13011di Code must be completed within 100 days od permit feauaneo. ,k. bow, ~v wzJ_S Applicant's Primed Name AppgcoWs S$igna we Page 19(3 TO 39Vd 1NIVW 1X3 13E L9Z9T98ZT9 ZO:bT ETOZ/LO/OT r ty 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 4%_ IPA , " 1 Use BLUE or BLACK Ink For Office Use (�j54/ Permit #: l Permit Fee: g.13' � Date Rece11 illi ived: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION %, 3 P3 3 8 oSIgo? MULEL i t Unit#: J nate: ' • ' • oiw /luuffiSO. — - Resident! e% 4C' »ti 4bE/ Ea;T' J.z. c- Phone: 743 - s53- 977 Name: �o� D £:� 14141-1 y /OA) Address / City / Zip: :So Q E C o4TU 2 4v, , ,t A S's Y.t. 7 Applicant is: Owner KContractor Type 'Of:ilVOft'k Description (' f- a- £ PL 4f- J' .6 i "� b d *.5c.i a PI LTA L of work: /14 Y' • W Multi -Family Building: (Yes I No _„J Construction Cost . Contractor Company: a £ 1 £,c 7- gle, a 2 /) 4I ,J -T . Ca a? Contact DA u r t Qdd2R/ S Address: 4/°.3' LO 100 =` J.; - City: ///P[. S State: %I i Zip: 55'1,// ry Phone: 6,, Z - i3 (o / - Lv 2 Y 3 '1'- 2 Y/ / 3 / Lead Certificate #: License*: If the project is exempt ILNC0S- from lead certification, please explain why: (see Page 3 for additional information) 11..a/LY Pos"' /5'7r In the last 12 months, 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: _Yes _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor. Phone: Phone: Phone: NOTE: Pians ancl aaptincting itst # noets/de>I iri1°; . �.J itiia* < the:infon»abon maybe ds Ilk floe *awe sP c �a�p� . ccfc cee 1t" ya,efrade secs. 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.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 1 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 BuildinLCode must be completed within 180 days of permit issuance. x 4 ✓' Applicant's Printed Name x Applicant's Signature 7 L.3 Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA132983 Date Issued:09/15/2015 Permit Category:ePermit Site Address: 3803 Laurel Ct Lot:1 Block: 01 Addition: Briar Hill 2nd PID:10-14991-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Lindsay A Bolger 3803 Laurel Ct Eagan MN 55122 (952) 212-0441 Appliance Installers Of Mn 14105 Rutgers St NE Prior Lake MN 55372 (952) 469-8341 Applicant/Permitee: Signature Issued By: Signature r For Office Use C` , II Permit#: 1.,... ‘.11 I E AGA N �•�� ��•� Permit Fee: % / ' 00 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 A�IVE Date Received: /0-/ (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675- Staff: buildinainspectionsecitvofeaoan.com �, � r 0 � 4 c 2019 RESIDENTIAL B IT APPLICATION Date: f?-/-,9-0/q Site Address:3�3 LCc(nrst C 17- MA) cc--03 Unit#: Name: Br-►C&r-+(;I(5 -WO 14",C Own-t15 /4-5 c 4(.01 Phone: 41"6"-').- 41S-C, 657/ Resident/ Owner Address/City/Zip: 3� 3 Lam( Cf, u-7 4.4N Applicant is: Owner X Contractor Type of Work Description of work: (0(10-se-÷e.... 5"i �o (2-e pct+r Construction Cost:_tc, Oo 0 - oo Multi-Family Building:(Yes )C /No ) Company:— ►1 V St Gam( -eC C L Contact: Kk;k ° 1"1 Contractor Address: //D-41 C"cL 11al(e v City: 0-CrC7I Lie. 71(e r` 47s State:/44) Zips)t,v 9 -- Phone:'1'5-'2"MC-71V-Email:K 1;v rn e^^07v 5c�'4.44 ,-; 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.citvofeaaan.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.aooherstateonecall.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. Applic'ant's Printed Name Applica; Signat = �'� DO NOT WRITE BELOW THIS LINE jgo-- LIquRE( C . /5f-76_706/ SUB TYPES — Foundation — Fireplace — Porch(3-Season) i Exterior Alteration(Single Family) — Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck Porch(Screen/Gazebo/Pergola) _ Miscellaneous 76 01 of % Plex _ 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 Occupancy 1 c- 3 MCES System Plan Review Code Edition fl4 2015 SAC Units (25%_100% ) Zoning 1) City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction ii5 Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings(Addition) 20 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 t1� I / '4 Other: � AI Reviewed By: ' %11 , , 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