3842 Country Creek WayPERMIT
City of Eagan Permit Type:Building
Permit Number:EA112543
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 3842 Country Creek Way
Lot:14 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Reinaldo Cintron
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 -
Nicholas R Rolstad
3842 Country Creek Way
Eagan MN 55122
Ralow's Roofing
4351 Parklawn Ave.
Suite 108E
Edina MN 55432
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature
For Office Use
$,a Permit#: C/
E AGA N
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a7cityofeagan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: b I I S ) ! g Site Address: f6 2 CGw\ CYe2kC, U3a4, otic V 55Y(1Unit#:
Name: S:,ra\trA RO\ Phone:q - —L S as
Resident/
owner Address/City/Zip: q a Ct;UCA Creek tit Ec ctr Thr 5 51 as
Applicant is: X Owner Contractor
Type of Work ' Description of work: Si OjYn wi1-\�1cy, 5 -Nc0c
Construction Cost: t' ♦ (CO / Multi Family Building: (Yes /No X )
Company: � ) �- 51 rt c I Z6.Contact: G
Contractor Address: City:
� E
{ j
State: Zip: Phone: Email:
License#: Lead Certificate#:
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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:
NATE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non •ublic if •u'•rovide s•eCific reasons that would •-rmit the Cit to conclude that the 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.citvofeagan.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.gopherstateonecall.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.
3r& x ,-(E/17-4-
Applicant's Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149213
Date Issued:05/11/2018
Permit Category:ePermit
Site Address: 3842 Country Creek Way
Lot:14 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Nicholas R Rolstad
3842 Country Creek Way
Eagan MN 55122
Binder Heating & Air Conditioning
222 Hardman Ave N
South St Paul MN 55075
(651) 457-8781
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149312
Date Issued:05/16/2018
Permit Category:ePermit
Site Address: 3842 Country Creek Way
Lot:14 Block: 1 Addition: Cedar Grove 11th
PID:10-16711-01-140
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 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 -
Nicholas R Rolstad
3842 Country Creek Way
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
cpc,,
For Office Use I 7
/
t 1 ; JUN 2 2018 Permit#: jf� / O�j
6
Cc
E AG A N
or
Permit Fee: *-7//• / 1��y
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
P=1"--
buildindinspections(&..citvofeaaan.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
(GIjj
Date: c l I I g Site Address:38-44 lou Cr c., • Unit#:
Name: ,_....*(4)4XOI c PhoneOi a)au--y s as
Resident/
Owner Address/City/Zipf."2YS ya Giffin C)(12+21-- le6c.r \"1\ J`_J as
Applicant is: Owner Contractor
Description of work: �C9�
Type of Work
Construction Cost:' 3oo13 Multi-Family Building: (Yes /No X )•
Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email:
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
I classified as non-.ublic if ou®rovide s<ecific reasons that'would®ermit the Cit to conclude that the 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.citvofeaoan.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.gopherstateonecall.ora
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 o plans.
x 5.rc . rRo)St&L4
Applicant's Printed Name Appli ant's Signature
DO NOT WRITE BELOW THIS LINE 3g'67c.; CCU-1 /Th /` k')4'/ /57/?.
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
r Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
_ Multi 1 Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
jX 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 oc 7 de,. _ Occupancy C r j MCES System
Plan Review Code Editionn 24 S~ SAC Units
(25% 100°/p)0) Zoning —1. City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction U ,3 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) etD Final/ No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
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 Other:
Reviewed By: re' i ! /`�� , Building Inspector
RESIDENTIAL FEES
Base Fee d�/
5 r X/2 e A c5 57
19,.i? t(-4.1
Surcharge
Plan Review f " 6)'• S7—
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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