3617 Crossroad Ct 11/29/2016 1 :07PM FAX 9529858836 Bulldog IJ0001/0004
Use BLUE of BLACK Ink
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For Office Use
Cit of Ea all Pe�n�# 1 0/
Permit Fee: Q7 - co
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675.5675
Fax:(651)675-5694 Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11/29/16 site Address: 3616, 3617, 3618, 3619 Crossroads Ct.
Unit 8:
..s;." '`''' Name; Crossroads Partnership
Phone: 3651-454- 352
• 'Residenf/�:,�. :
1500 McAndrews Rd W. Ste. 100, Burnsville MN
,;*„w,,nern'',; ,„. Address/City/Zip: 55337
X
Applicant is: Owner Contractor
..'.,,,f•Wo Description of work: Remove & replaced asphalt shingles
Type":�of1rk�
Construction Cost $15,000.00 Multi-Family Building:(Yes X /No )
.
CompanyBulldog Contractors, LLC Contac: Peter Retka
`•;,;,;: P y
` ''; ' Address: 21663 Cedar Ave City: Lakeville
Contraction�; ��',
State MN z . 55044 651-253-8211 pretka bulldo roof
p• Phone: Email: g ;S.Com
t, . BC639635
License#. Lead Certificate ii NAT-F 162654-1
If the project is exempt from lead certification,please explain why:
COMPLETE THIS AREA ONLY IFiCONSTRUCTING 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: Phones
Mechanical Contractor. Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTEi,ploni,and.supportingdocuments:•that you.'submit'are considered to'be public information. 'Port ons'of
the information..miie*be,classified as non-public if you provide specific reesonsthat!would permit the City.to .•
'•' ” `• • Conclude:fhat they are trade secrets. •
CALL BEFORE YOU DIG. Call Gopher State Ono Call at(651)454-0002 for protection against underground utility damage. Call hours
before you intend to dig to receive locates of underground utilities. wN+w.aooheratateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and cod 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,
x Peter Retka ,. ipr.
Applicant's Printed Name Applicant'Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152558
Date Issued:10/22/2018
Permit Category:ePermit
Site Address: 3617 Crossroad Ct
Lot:21 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
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 -
Crossroads Ptnshp
1500 Mcandrews Rd W Ste. 100
Burnsville MN 55337
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA156098
Date Issued:06/17/2019
Permit Category:ePermit
Site Address: 3617 Crossroad Ct
Lot:21 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-210
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 -
Crossroads Ptnshp
1500 Mcandrews Rd W Ste. 100
Burnsville MN 55337
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA156562
Date Issued:07/08/2019
Permit Category:ePermit
Site Address: 3617 Crossroad Ct
Lot:21 Block: 01 Addition: Crossroads Of Eagan
PID:10-18700-01-210
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Crossroads Ptnshp
1500 Mcandrews Rd W Ste. 100
Burnsville MN 55337
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature