1321 Crestridge LaneDate:
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r -
For Office Use
Permit #:
Permit Fee: 1/Z47 ' 7-5
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
RESIDENT /
OWNER
TYPE OF WORK
Site Address:
Name: /-// e
i/ -/i 5
/7/0"4
Address / City / Zip: / 3 / Sf
Applicant is:
Unit #:
Phone: 3c/14 —182
Owner Contractor(nom/„,,,,, / 3/ )7 (3 [ I' / '3 / /3.:.)3 "t /32.S
Description of work: 1� U t�'J�
—
Construction Cost: 5 6 ft/ Multi -Family Building: (Yes k / No )
CONTRACTOR
Company: V D1/(„.i. r s � Contact: r rvt /Me
Address: 9 G 1 Z dI : i ?4-0//C &‘"1.4%'6)<-
State: /6-//`- Zip: 5 5-3 (( Phone: 6/2 �S G� ' g ✓ !�
License #: g G i 5-16(
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
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.gopherstateonecall.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 I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
C
x i 1 ki'l44%
Applicant's Printed Name
///'
'App cant's Signatur�'��
Page 1 of 3
From: Adam Fiereck
Fax: (763) 400-4503
City of Foul
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: ( 651) 675-5694
To:
Fax: +1 1651) 675-5694 Page .2. of 4 • 11/1812013 8:40
Use BLUE:or BLACK Ink
For Office Use
Permit.#: I (c l b7
Permit Fee: _ • U
Crate Received: 11 A g/13
Staff:
2013 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial app ications. } �
Date: JO' I ' Site Address: 1?) -1 1J t& '•—+4� L
Tenant t1 fag)/ YDiW'MI/1
Name: ISo4� ytkilftAld Phone: p/�!� ` �1 ✓ ! !l
loner Address City Zip: K VM-1�f11 K-i��y V iJl ! AAin ,Wl�L
Suite #:.
Narne:Itok P IO i 1.P UIM 111
Address; 71-00 ILIU14601.
Zip: F3 U/ 1
irk cense #::' rU {/ QO'J I17.{pi
City: vi1A h/ hIZL V V
Phone: 7�. . f _.
Email
I
New X Re•lacement Additiona Alteration
Description of work: tri, I I 6\.&1. (T off' #
Demoliition
NOTEr Rebtmounted andground mounted n1010nical equipment I.s required to 6e screened tayCity
Code.: Please contact the Mecttarticai inapectti� for Information°on permltted.sdreening metlfod. ':
RESIDENTIAL FEES
611.00 Minimum Add or alteration. toan existing unit (includes $5:00 State Surcharge)
100.00 Residential New (includes $5.00 State Surcharge) TOTAL FEE
RESIDENTIAL
Furnace
Air Canditianar
Air Exchanger
Heat Punp
Other
COMMERCIAL
_ New Construction __ Interior Improvement
—_ Install Piping
— Gas
Processed
F_xteri.or:HVAC Unit
Udder/Above ground Tank ( Install / — Remove)
.COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS :than $10,010. Surcharge = $5.00
"If contract value is GREATER Man $10,010, Surcharge = Contract Value x $0.0005
*""1'the project valuation is titer $1 million, please call for Surcharge
•
Contract Value $ x .01
_ $ Permit Fee
= $ Surcharge'
$ TOTAL FEE
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;
city orFagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
L_
For 01hce tfse
Permit p: l3t41
Permit Fee:
Lpo0'
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dabs: //& Site Address: 3a
3 od-e) U'U'
Tenant: Suite 1:
Name: \�'�Jr 1ewaJ 14,1
Resident/Owner
Contractor
Type of Work
Permit Type
Address / City / Zip:
Phone: tP G1 - to 5 ^i Seto
13aj eJ L M N 55 ) a 3
Name: C4144., License ft: (4 g Cf 7 w G
Address: 344,0 \10-eAt r -%-i ire City: 14'1.14-&'to4 1
State: W ( Trp: 54-0 (I Phone: 5- b g -81267
Contact T i M Email: C)(10-4 C/LGj=S a-tti
_ New X Replacement ` Repair Rebuild _ Modify Space _ Work in R.O.W.
Description of work: J1 &_ QL WaTE4 trafe
RESIDENTIAL
Water Heater
I Water Softener
Lawn Irrigation (_ RPZ / PVB)
Septic System Add Plumbing Fixtures (_ Main / Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (indudes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES
0-7)
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities.
t hereby admow ledge that this information is complete and accurate; that the work will be Uri conformance with the orthriances and codes of the City of
Eagan; that 1 understand this is not a pemtht, but ony an application for a permf, and work is not to start without a permt; that the work wilt be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicants Printed Name Applican � l9
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Redo Read Manometer Staff.
City of Eagan
PERMIT
41' City of Eaan
Permit Type: Plumbing
Permit Number: EA148280
Date Issued: 03/19/2018
Permit Category: ePermit
Site Address: 1321 Crestridge Lane
Lot: 3 Block: 02 Addition: Hidden Oaks
PID: 10-32750-02-030
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:
PL - Permit Fee (WS &/or WH) $59.00
Surcharge -Fixed $1.00
0801.4087
9001.2195
Total: $60.00
Contractor:
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
- Applicant -
Owner:
Yesheber B Beyene
1321 Crestridge Lane
Eagan MN 55123
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
Issued By: Signature
FZEr T
,
•
s For Office Use
1: �� Permit#: 5- 5
MAR 29LUi�
• iao. CD
Permit Fee:
�1
Date Received: 3—d-9-/
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildinginspections(&cityofeacian.com L __
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3`a-41 " i 9 Site Adye�s• 2 '� -'�� € L_AApc
� � � Unit#:
Name: `es �'e/ Phone:6-57 - 39'q-,5-1 l'Af 13
owneri en
Reed t! Address/City/Zip: � ? 4r lc) 0 C _di\/
Applicant is: 0 ner _ontractor /
j ` JO,A2S- ( _if
Description of work: 1 W A. (SCJType Of.;Work ��.
Construction Cost: Multi-Family Building:(Ye( /No )
Company:• MINI t I ��I i • , t() t)eontact \f\ 'Pb/
ContractorAddress: AO L..{,-1 f>4 I-e� ( ye. City:
Statd1' V Zip: ;5-- 1.0.0 Phone W r) ?y 6Email: t df Q., I 4" 04/
f y
License#: _ , I Lead Certificate#: ► A ,.
gr 4
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.citvofeanan.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 aepreVed plan in he f work which requires a review and approval of plan
x x
Applicant's Prinfed Name Appli .n '. Signatur-