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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#: p...,...,. .gym.. ..,,....,,'� -.., .__ ...__. ,,. ,..�.._ .,,..._, .... ............ ... 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 _...... ,....0 ... 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