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3805 Laurel CtPERMIT City of Eagan Permit Type:Building Permit Number:EA128447 Date Issued:11/13/2014 Permit Category:ePermit Site Address: 3805 Laurel Ct Lot:4 Block: 01 Addition: Briar Hill 2nd PID:10-14991-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Steven J Warnebunde 3805 Laurel Ct Eagan MN 55122 (940) 231-2045 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature 411/11`cdyotBatau 3630 Pilot Knob Road Eagan PAN 6612'1 Phone: (651) 675-5675 Fax: (651) 675.5694 Use BLUE or BLACK Ink For Mee Use Pen tai iX Permit Fee: 1 C1 5(a 5 Date lieoeivetl: �'� I ( 1 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date; 1/'" 9- lel- Site Address: 3 o S- Ls v 2 L C7r: - Unit #: Resident/ Ow Name: ek 4C� 02.61.4 46i.Ntsa; Phone: 743 - S71- 9 77 0 Address / City / Zip: 8So iSzeorru1?.. AV, A.) , ,2 A coL D £w 1/44..L.2 /0•J ..sr4't7 Applicant is: Owner .,Contractor 'type ocwolrk Description of work: 2 E - P c h& L fr v L r/ PG. L 63, ki o Construction Cost Multi -Family Building: (Yes / No Cctor Company: £ I �",�r r £de/ r, 2 IO *7 J r . esaP. Contact b4 ✓ r D Q.,2Rd S Address: £/o -S- (A3 loD ` . - City: m PL.S State: 14/AS Zip: 5-3-4//1c^ Phone: /D/ 1- g61-6,24/3 License#: 41 2 Y/ / 3 / Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) qt -hies- 3/411...>/L)- POSY 177r 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; MOTE: PIflsand 7n� . „ i11is9iA�R.. s�b�,13h��0�st�s;3w' the litr!►oiritdagornr' ,j�i , 3b'r •r a'pl CALL BEFORE YOU D19. Call Gopher Slate One Call at (651) 4544002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.4opherstatgonecall.onq I hereby acknovAedge 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 panni!, but only an application fora permit, and work Is not to stent without a permit: that the work will be In accordance with the approved pion In the case Of work atddt requires a review and approval of plane. Exterior work authorized by a building permit issued In accordance with the Minnesota State Build! Code must be completed within 150 days of permit ieeuance. x rt 4/.0 Applicants Printed Name 0t/S0 39 d Applicant's Signature Page 1 of 3 1NIVW 1X3 I3E L9-69t98Zt9 90:t7t tbto /tt/b0 mmnesota State 6oartl ot Eiectncfty Griggs Midway Bldg. - Room N191 :. ,. i6'21 University Ave., St. Paul, Minn. 55104 - Phone 297-2111 REQUEST FOR ELECTRICAL INSPECTION CHECK BEI.,S)W WORK COVERED BY THIS REOUEST EB-00001-02 ? 40006 Type of Building New Add. Rep. Ch¢ck Appliances Wired For Check Equipment Wired For Home XX ? ? Range • Temporazy Wiring ? Duplex ? ? ? Water Heater ? Lighting F'ixtures 36a Apt. $ldg. ? ? ? Dryer ? Electric Heating ? CommercialBidg. ? ? ? Fumace 7M 2• SiloUnloader ? Industrial Bldg. ? ? ? Air Conditionei ? Bulk Milk Tank ? Farm ? ? ? List ? List Other 0 ? ? 2eheis??irFsPi Barr4r00 Heiers? COMPUTE INSPECTION FEE BELOW Service EntranceSize: # FeedersBcSubfeedeis: # Fee Citcuits: # Fee 0 to 100 A . ? " 0 0 to 30 Am eres 0 to 30 Am eres ?O 101 A 31 to 100 Amperes 31 to 100 Am res Abov s, V Above 100 Amps. Abave 100 Amps. Tran i ers Remote Convol Circ. Partial or other fee s Signs Specia(Inspection Minimum fee Remarks Jeff D. TOTAL F ?.Jd 4+00 1, the Electrical Inspector, hereby ce at a bve finspection has bee .made. (Rough-in) M Date (Final) Date This request void 18 months from CASH RECEIPT CITY OF EAGAN 3795 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE RECEIVED 19 AMOUNT $ I ? CASH ? CHECK DOlLARS 1 oo FOR White-Payars Copy Vellow-POSting Copy Pink-File Copy CITY.OF EAGAN Additfon 8riar MTllAddirinn ?nd Loc 4 aik 1 Parcel #10 14991 040 Ol OwnerAYIf•F (? fi,' k.);'• Ji' Street 3M Laurel Court State Eagan, A'DV 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1952 600.76 120.15 5 480.61 A011544 10-13-82 STREET RESTOR. GRADING A 1975 114.43 11.44 10 114.4 A009870 1/97/81 Grading • 98.44 A011544 10-13-82 SAN SEW TRUNK 968 47.91 1.60 30 * SEWERLATERAL - 1968 $2.47 2.62 20 WATERMAIN * WATER LATERAL 1968 ZO WATER AREA 1977 95.81 6.39 15 ** S/W Lat Stm L^ 1982 1431.44 2.29 5 1145.16 A011544 10-13-82 STORM SEW TRK STORMSEWlRif1, k (o 19 2 322.19 A011544 10-13-82 CUflB & GUTTER ' SIDEWALK STREET{+fSRT 1009 1986 153.70 15.37 10 oa Unit 185.00 24461 5-1-81 WATER CONN. 335.00 24461 5-1-81 BUILDING PER. 6 sac 525.00 24461 5-1-81 PARK 250.00 20263 4 8/ /80 Receipt ' MECHANICAL PERMIT Permit No. " CITY OF EAGAN Fee ------?-?- Fill in numbered spaces S/C ' Type or Print /egib/y Tot. 1. Date 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor Phone - 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type 11 No, Eauioment 8TU - M. Ea. Forced Air No. Equipment CFM Ai H li Mfg. r and ng: Boilers Mech Exhaust Mfg. _ . Unit Heater _ Mfg. Other Air Cond. Mfg. 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 Pnspections: Date Insp. Date Insp. This is your permit when numbered and approved. , Approved CITY OF EAGAN 464-8100 Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered speces S/C Type or Prinr /egib/y Tot. 1. Date ? i 2. Installation Cost 3. Job Address - ? Lot ?r` Blk. ? Tract 4. Owner V 5. Contractor Phone 6. Address 7. CitY State Zip - 8. Building Type: Residential ,Q Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair 0 10. Describe 11. No. Fixtures Water Closet No. Fixtures Cess ool/Drainfietd Bath tubs p Septic Tank _ _ Lavatory Softner Shower Well _ Kitchen Sink Urinal/Bidet Other _ Laundry Tray 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. Sighed: for Rough Final ' 'Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. . Approved CITY OF EAGAN 464-8100 -- • CITY OF EAGAN 3795 Pibt Knob Road Eagon, MN 55122 N2 6633 . PHONE: 454-8100 BUILDING PERMIT Receipt # _ To be wed for Est. Vclue Date , 19- Site Address Erect ? Occuponcy Lot Block Sec/Sub. Alter ? Zoning Parcel # '? i Repair ? Fire Zone Enlorge ? W Name Move ? Z Address Demolish ? ? ?,,,?. ..?--- ?{^4-C ='73 Gmde fl p Nome _ ? Address f' ('tw. DL.....e Name _ Address I hereby acknowledge that I have reod this opplication and state that ihe information is corcect and agree to comply with all opplicable $tate of Minnesota Statutes and City of Eogan Ordinances. Type of Const. # Stories .? Front ft. Depth ? ft. Fees Water & Sew. Police Fire Eng. Plonner _ Council _ Bldg. Off. _ APC Permit ' - Surcharge Plan check ^1 , 7r SAC Woter Conn. -'?? • nr Water Meter Road Unit Total 1+ ^'• Signoture of Pertnittee ? A Building Permit is issued to: ' on the express condition thot oll work sholl be done in occordance with oll applicoble State of Minnesota Statutes and City of Eagan Ordinances. Building Official Paek # poM 1arrA ftrwktM Plumbing .239 '7 5-20 -pj' ?,? - Mechonical Z-$-ZZ 69-3 - $' r lt(Csc51` ;?t F(FL?Afk,« TqCG'CG`7 (C_I(s;,''S? INSPECTIONS DATE tNSP. Rough-In Firal Footings -1- Dal'e Inso. Date , ?raG• Foundation Plumbing Frame/ins. ? Mechanical , Finol Remarks: 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: Lqc ?cca???`ll ? eq? e Tfus r si void "r8 months from ?Sr q 4 ? Date of this Request G=?11•.1981 Fire No. ? 4000 I, a=56 Licensed Electrical Contractor El Owner, do hereby request inspection of the above electri- ; ;al wiring installed at: Street Address or Route No. 3805 Latirel Qottxt CityFaga'n Section Township Range County bakOta Which is occupied by TollefeoTt - (Name of Occupant) Is a roughin inspection required on this job? No ? Yes FZbc Ready Now ? Will Call Mx Power Supplier D&kota GtY. Address ??irgto21 Electrical Contractor O.B. Thompson Eleotric Co• Contractor's License NoA40602 (Company Name) Mailing Address 12201,,4tka Blvd. I, Mtka. 5?W i5 Ins?ailation)933-2J21 Authorized Signature _j?` ...1°G? ? o ? ??l?Pf?ot'f?1?1o. (Electrical Contractor or Owner Making This tnstall on) ? OLn??D ?,Op? This inspection request will not 6e accepied hy the ? ? ? State Baard unless proper inspection fee is enclosed. NON 1-01 , CITY OF EAGAN 3795 Pilot Knob Raad Eagan, MN 55124 PHONE: 454-8100 BUILDING PERMIT APPLICATION N? 6633 Receipt .jk ???, / To be used for 1 Of 4 PLE{ Est. Volue 52 t000 Date 5-1 19$].- Site Address 3805 Laurel Ct Erect ? Occupancy ? _ Lot 4 1 Block Sec/Sub. BZ'i?'hill 2rid Alter ? Zoning ? Parcel # 10 14991 040 Ol Repair ? Fire Zone NA l E T f C V n orge ? ype o onst. z Name 11 fann ]i 1 dara Move ? .# Stories Z Address 13816 Holyouke Ln. Demolish ? Front _ 44 . ft. o Ci Appl2 V811Ey Ph 454-6873 Grode ? Depth 24 ft. one p Name a a--- APProvala Fees ?? U Address Name _ Address 1 hereby ocknowledge that I have rend this application ond state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Engon Ordinances. Asses.?'ank3-25-81 Water & Sew. Police Fire Eng. Plonner Council Bldg. Off. APC Permit l d3 _ 50 Surcharge 26.00 Plon check 71.75 SAC 525_00 Water Conn. 335.00 Woter Meter 60.00 Road Unit 185 _ 00 Total 1 ;346 . 25 Signcture of Permittee I A Building Permit is inued ro: Tollefson BZdY'S. on the express condition thot all work shall be done in ocwrdance v#h ull applicoblp, Statg of Minnesota_Statutes andCity of Eagan Ordinances. Building Official ? ? 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 RESIDENTIALBUILDINGs City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellRe afr Re uirements 3 registered sRe surveys showing sq. ft of bt, sq. ft. of house; and all rew C? ips a( n showing footings, beams, joists (ZO°,6 rtacimum lot coverage allowed) ?? 2 copies of plan showing beam 8 window sizes; s o?(?'n lations Tor heated addi6ons poured found design, 1 site survey 00 itrons & decks lsetofEnert?yCalculations ,SE(? 2 ?Iddqippo? ic n-sitesepticsystem 3 copie.s of Tree Presenation Plan if lot plaried aiter 711193 /1 ?U Rim Joist Detail Op6ons selection sheet (buildings widi 3 or less units) Minnegasco mechanical rentilation fortn Telephone # ( • ?- ., Date 20 / 2007 Cons truction Cost Site Address 38U5 1- A-ct k µL_ C0T Git [rq lyJ/ UniUSte # Description of Work 12[-71qpLil-- 44;lJ R&-pe, .A6E ?!/??-i/?G- Multi-Family Bldg ?Y _ PT Fireplace(s) _ 0_ l _ 2 Property Owneryp?SOG. Telephone#( 763 )`f411- 37.,27 190f70 ftPeF p °E 4-flf .S?31 Contractor BE1 EXTF-R1f512 ?1AM nt'i" (;(i((,P Address 4(}S KcSr rppri4 FET City MIIUNC"OUS State M INAlG5L}rQ Zip SAM Telephone#(611 ) 2(0I- 67-4-3 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Energy Code Category - Minnesota Rules 7670 Cate orv 1 _ Minnesota Rules 7672 (? submission type) • Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit tor a similar plan based on a master plan? - Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Office Use Oniv Cert otSurveyRecd _Y _N Tree Pres Plan Recd _Y _ N. Tree Pres Reqwred Y_ N On3ReSepUcSystem , _Y _N 70a S-- Z Telephone # ( ) Telephone # ( I hereby apply for 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 Stahzies; 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. i ?//2i5 41Z)dn7 <SO Applicant's Printed Name pplicant's Signature LV 1\V 1 ?11111YYLLV ?? lAlllJ Llll\1/ ? . .-Y Sub Tyqes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att - Multi ? 03 01 of T plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration (W 34 Replacement D8SC1'Iption: Water Damage Valuation 7?i VC-0 I ? ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Buiiding ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Endre Bidg) - Give PCA handout to applicant Yes Plan Review 100% or C d 93 'Y Census o e SAC Units # of Units # of Bldgs Type of Const u ?3 25% occupancy ?tZ c- ( MCES System Zoning City Water Stories Booster Pump 5q. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) `P Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test Final _ Insulation Approved By: REQUIRED INSPECTIONS _ Sheetrock _ FinaUC.O. ?J FinaUNo C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Final _ Siding _ Stucco Lath _ Stone Lath _Brick W indows _ Retaining Wall Building Inspector Base Fee ' Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Z ? Other Total r ?I(ft T Fev-:?7- 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 PERMIT # ? f ,. Please complete for: SITE ADORESS: OWNER NAME: : INSTALLER NAME: STREET ADDRESS: CITY: RECEIPT OATE: ? l O RESIDENTIAL PLUM$Iftfi PM1T ?PPLICATION crrY oF F.Asruv 3$30 PILOT KNOB RD EAsax, h[1v 55122 651-6$1-4675 ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system Place a check mark next to the permit work tvae TELEPHONE #: (AREA CODE) TELEPHONE #: a-?-72 ? ? ;> d '? z;l (AREA CODE) STATE: ZIP: _ New residential dwelling unit under construction and not owner/occupied $ 90.00 _ Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irr Qn s tem • water urna?ound Nature of ork: Septic Syst , ew/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 `'? Totat $ .? ' Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge thal I have read this application, slate thatthe information is correct, and agree to complywith all appiicable Ciry of Eagan ordinances. It is lhe applicant's responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused 6y the City during its normal operetional and maintenance activities to the facilities consVucted under this permit within Ciry prop$rtylright-of-way/easerpey . -? SIGNATURE OF PERMI E Updated 1/01 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:Building Permit Number:EA137245 Date Issued:06/24/2016 Permit Category:ePermit Site Address: 3805 Laurel Ct Lot:4 Block: 01 Addition: Briar Hill 2nd PID:10-14991-01-040 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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 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: 500.00 Fee Summary:BL - Base Fee $500 $40.00 0801.4085 Surcharge - Based on Valuation $500 $0.50 9001.2195 $40.50 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 - Steven J Warnebunde 3805 Laurel Ct Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature