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3650 Crestridge Ctcinr oF Ee,c,AN 3795 Pibt Knob Rood Eagan, MN SS12247?` `"" ? 4339 -= PHONE: 454-8700 'BUILDING PERMIT APPLICATION SZr000, RQCQ1P+ # 6?,2 To be used fo. Re-Roofing oare June 1, , 1 y 77 Site Address 3650 PiLOt Kllob Bd. Erxt ? Occupancy I Lot Black Sec/Sub. 15 Alter ? Zonin9 R1 . Parcel #41706 U';O e-j Repair 7n Fire Zone _ Enlarge ? Type of Canst. z Name r10A Chriatenson Move ? # Stories 3 Address 3650 P31ot Ki10b Rd. Demolish ? Front ft. o C,t Eagen phone 454-4426 Grade ? Depth k. ?F lName `S?e Approvals Feea o -- 3 V? r Nome _ Address Assessment - Wet¢r Yx SEW. Police Fire Eng. Plonner - Council _ Permit y.VU _ Surcharge 1.OO Pion check SAC Water Conn.. Water Meter I hereby acknowled9e ihat I have r dthis application . state that gldg. Off. the information is corred and ree)to e py all upplicoble 10,00 Stote of Minnesoto Stotutes d Citas Eog Orin ce APC Total $ignature of Permittee A Building Permit is issued to: DOII Christenson on the express condition thot all work shall 6e done in oc ?dan e wit?a_pplicoble Stete of Minnesota Statutes and City of Eagan Ordinonces. Building Officiol ? ? ? CASH RECEIPT ?. . C91`Y OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 !J ? onre 19 ?CF,? ! j AMOUNT $ ' !I 6 7o .t ? CASH X[y CHECK /' ? jA ?6Yll;C (SViVi ?i,31.-1 o FUND 00.1ECT AMOUNT ? 3Ytil lr ?? a0 9-0 50 20 37 /G 9;? 7 00 ? 6? ocD r?n .Rp .q-y ? 3 ?v o 0 1 117 Thank You ( ? eY . ,?__. & DOLLARS im rr:G>:•:: ? ;': .. , ? . ? wnite-pavo;s coav .. . . . . Vellow-POSnn9 Capy PiM-File Copy O J6 wnex Address (pseseaf) Builder ...........,,A Address ---- .__-_.- Aor .......... DESCRIPTION Eagan Township Towe Ha11 Daf??. .--.-. Siories To Be Used For Froni Depih Heigh! EsS. Cos! Permif Fee Remarks / 1 ? ?;? ? U ? . V'_-1?; ? LOCATION Sireef, Hoad or 6lher Descripiion. of Location I Lo! I 81ock I AGGition or Traci EAGAN TOW/NSl°IIP NL 169 1?5- I < This pex does- not aulhorise e use of sireels, roads, alleps or sidewalks nor does ii°give the owner or his agenS the righ o areafe any silualion whieh is a nuisanee or whieh presenis a hasard Yo the healih, safely, eonvenience and genesal welfare !o anyone in the communify. THIS PERMIT MUST BE PT O13,J,?i?' PREISE V?HILE THE WOAK IS IN PAOGR S. ? This is io ceriif Ihat--- ?_-_j y' /??!.._?G?...1rLlB./<aQ?f------ has permission io ereet a...... . .. ..... .. - . ----- . -....'.__..upon 1955. opied April 11. the above deizairrnan mise s ' !o provisions of the Building Ordinance for Eagan Townshi ? ? --:.... Per ..............---`-.........---------__.....--'---_. .-'-_-.......... ? - ------- --GZ?e-- - .......---- ----- of Tow??n Sn6?S Buildinq Inspecfor UILDING PERMIT ? EAGAN TOWNSHIP BUILDING PERMIT Owne= .... ?......_'.'!............. Address (Present) ..... 3..G.S.s..-"'.............. Builder Address 9?„s?'? ?4?15 2429 Eegaa Towmhip Town Hall Dele .J?,`3l7/..........e ............. Siozies To He Uaed For Fron! Depih Heigh! Esf. Cos! Permi! Fee Remarke O ? ?"? I LOCATION This permit does no2 aulhorise the use of siseels, xoads, alleys or eidewalks aor doea it give the owner or L'u ageat the righ! !o creafe anp siluafion whieh is a nuisance or which presenis e haaard !o the health, safely, convenieace and general welfare !o enpone in the communifp. THIS PERMIT MUST BE/K?EPT/ ON THE PREMISE WHILE THE WORK IS IN PROGR SS. i This ia !o cerfifp. !hal..-:y?.:--... `.4.?.a-e?-.a-t.::ea..l..........hes permisaion !o esael?:--•. - .----_. -_ ?°..-"-'?L- ........ _ upon ..-' ................ the abave deseribed premise eubjea! !o the provisions of the Building Ordinanee ior Eegaa Towaship adopled April 11, 1855. - .a../.--"-?c-`.•".?'.?..................... ... Per ..................._?"'?'?'-.... `!J..... ""'i . . ...."' ............. Cha. ? an of Tnwn Board 4Building Inspeelor 21- ? EACAN TOWNSHIP N° 1562 BUILDING PERMIT Ownet ....... A-*x.----/C.C.s...:("? ' 9- --------- Eagan Township Address (presen!) _....i---- Town Hall Suilder --------------------------------------------------------------- .----------------------------- .. Address Da2e -" ? ?--..?.-----""..."'---".. ..----------.......------.....................-----.....--..._._-----'------- --'- --- - DESCRIPTION Siories To Be Used For Fronf DepYh I3eighS Esl. Cosi Permii Feel Remarks -S? -? --- ,?/?? . „.. . /? a ?- LOCATION Sireef, Road or olhes DescriviSOn of Location I Lof I&lock ; Atldnflon oi 1'racS daa I s/ I/a D15o6 oao si This permiY does nof aulhorise the use of sleeeSs, roads, alleys or sidewalks nor does it give the owner or his agen! the riqhf !o cseafe any siluation w6ich is a nuisance or whieh presenis a hasard fo the heallh, safeiy, aonvenience and general welfara !o anyone in the communiiy. THIS PEAMIT MUST SE KEPT ON THE PREMISE WIiILE THE WORK IS IN PROGAESS. ? 1. This is to cerliiY. !6a!_LV.'.'.---. . .c.... .r-?..._................ has permission 2o erec! a..t.Q. `_---°----...--° ...................°---....upoa the above desaribed premise subject !o the provisions of the Suilding Ordinance for Eagan Tow° ip adopied April 11, 1955. ............... Per ......................_ ?... ......-...... c...?'C`."J•.__._ ........... _..' ..................... ........ .. ...f .. [Tn?... .................... Chairmown Soar ? Suildtng Inspec2os [i ..-. ( ? Eagan Township ? Dakoia Caunfy, Mianesola Application for Bnilding Perm9t Tppe of building or work c Resideni' Commercial Build/ Enlarge Aller Dimensions.....:. '-Z .. g? /6 X z ? De! -ails or remerks................ .. Locatioa onlemolafed. Circle correcl descriplions. Indus!rial Oiher--------------------- .-------_ Repsir Insfall Move Wreck ............... Cosl---- ??--??`--- .......... PERMIT NO. .f:y_..0._]'"?-. Da1e .... -------°-°.° 2 ----_. '= G Qiher--"-----.-"'----------'-_--...----- Number Sireaf Beiween whai c:oss sireels Siza Esi. Valuafion Loi Block AddiYion Rearrangement os TracY ?GS o ?'.?2--?" .T?iN-r? ? - /LL,y?«? /6•--u--'-°? Owner .....? ?,-?.-?-.? _ _...- ` Confraofor c-? -'.....---•"_' --------------- Total fee eeHee2ed: PermiY fees are not refundable. Address ._?-?S "?'C?`?"l`___?'•_?-f.-----....----...._ .............. Address The undersfigned hereby makes applicaSion for a permi! !o do work as erein specified, agreeing Eo do ell work in sfrficf accord e w!h She buildinglordc"e adopied April 11, 1955 bp fhe ga Town ?Board f Supervisoss. ?^ . ?.._..._...'_'._.'.._..-??.-`-.:.?.""' ... ...._?`-{-k- ' Signed INS ?rYDF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PECTION RECORD PERMIT TYPE: Permit Number: Date Issued: Control No. 0 77 1 Filtl![0 tNH iYlBit t?1/eq/v: SITE ADDRESS: i n r, I '1''.0 (kF:'Tftlblit. f.ttitil Flit Hil l S :'NU r+t urt: t APPUCANT: L(l0FLJOR1( HIURS (6 1:') 368- 'ifili INC PER4IT(§UBTYPE: TYPE OF WORK: NFw Permft No. Permit Holder Date Telephom Y SNJ PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. CommeMs Footings I Foundation Framing Roofing Rough Plb9. . Rough Htg. Isul. Fireplace FinalHtg Orsat Test Final Pibg. flbg. Inspector- Nolify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. 71 ? Z DeckFinal /?,?(2S7 ?s Well Pc Disp. F- T INSPECTION RECORD L CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lor: 1 BLOCK: 1 APPLICANT: 3650 CRESTRIDGE CT EDGEWORK BLORS INC BUFFER HILL3 2N0 (612) 368-3511 PERMIT SUBTYPE: DECK TYPE OF WORK: Control No. 0777 BUILDING 001011 07/09/92 NEW ? ? SEWER & WATER PERMIT CtTY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE . OFFICE USE ONLY METER ? ??`?:-1° Y_17PERMIT DATE 9I291814 CHIP #D 0 Z3 38 lo :K PERMIT # 10941 METER SIZE 60¢''' B.P. RECEIPT # C4012 ISSUE DATE 2-0 - B.P. RECEIPT DATE 9/ 2 F. / N 9 - PRV - BOOSTER PUMP SfTE ADDRESS :'y LOT -2-BLOCK / SEC/SUB r / APPtICANT: PERMIT REQUESTED },/ !t SEWER ? WATER - TAPS y ADDRESS: ? 7? .? ?+ F v u 4?? 17 - COMM/IND / RESIDENTIAL CITY, STATE ? - ?" • ZIP _i/ V (I PHONE: G-/ L l ??1 NEW _ EXISTING PLUMBER: _ ADDRESS:_ CITY, STATE PHONE: _ OWNER: /' /,7L- ADDRESS: = 7 ; ? CITY, STATE PHONE: / 4 /-" /e?/' C_ .-... 6, -. J G ? C'??t?• 'i 4- Ci - p / (? ZIP S..S ?? G ? `t 7e-1 ZIP Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. I Credit WILL NOT be given for Deduct Meters. 'I I AGREE TO COMPLY WITH CITY OF EAGAM QADINANCES SIlG"RE WHEN METER ISSUED / PLEASE ALLOW TWO WORKINO DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWEF,i PERMITS, CONTACT ENS'aINEERING DEPT. , L CITY OF EAGAN 8796 Pilof Knob Reod Eayon, Minneaota 55134 Pbone: 464-$100 7HAiNFIF.LD Dote: 6/30/78 PERMIT 36W i'ilot Ktlob Road Site Address: Lot Block Sub/Sec. _ i%an l;iiri ?tan:so., Name 3? P31ot Knob koad ? Address City cayan Phone: Aeirieke Trei-ich aeid ?.xco Nome ? ? Address e .. , . City . . _ ., Phone: This Permit i s issued on the express condition that all work shall be Minnesota Sfatutes and City of Eagon Ordinances. No. 316 Receipt No.: IG697 Single I . Residentiol ' MuIN Res., Comm./Ind. I aiteTa;:ion New/Alter. / Repoir Cost of Instaliation Permit Fee :1•00 Surchorge Toto I done in accordance with all applicable State of Building Official /G Di-Vo 03o s? CITY OF EAGAN N2 4339 3795 Pilet Knob Road Eogon, MN 55122 PHONE: 454-8100 BUILDING PERMIT 'oot.i, ReceiPt # " - To be u?ed for `--t'OVf In;, Date 19 Site Address = 1 nC KAUb :%? - Erect ? Occupancy Lot Block Sec/$ub. 15 AIYer ? Zoning - "?- Parcel # Repoir Fire Zone _ Enlorge ? Type of Const. ; W Name ?.rn ftriatenson Move ? # Stories ' 3 Address -- ? U5'? ?' f.l r? t KriOb Rd. Demolish ? Front ft ? ? Ci Phone 454-4426 - - Grode p Depth ft. ? S 3me Nnme Approrais Fees a ~ u? Address Assessment Permit -- ~ Water & Sew. $urcharge •' ' Cit Phone F Police Plan check FW Name Fire SAC ?0 Address Eng. Woter Conn. Q W Ci Phone Planner Water Meter Council I hereby acknowledge that I have read this application and state that Bldg. Off. the informotion is correct and ogree to comply with a!I applicab!e APC Totol Stote of Minnesoto 5tatutes o nd City of Eogan Ordinances. Signoture of Permittee ? ? -- -?---'?" ?" Y--• ---- A Building Permit is issued to: ' • •?risto:i:,.,n on the express condition that oll work sholl be done in accbrdance with oll applicable Stote of Minnesota Statutes and City of Eagon Ordinonces, Building Official oat. h...a r«.N+.. Plumbing Mechonicol INSPECTIONS DATE INSP, R???n Final Footings Date Irnp. Dote Irup. Foundation PI umbinfl Frome/ins. Mechanital Firal Remarks: I ,. ? .. ,. ! L;,?r PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 PERMIT # RECEIPT# ? 2?g DATE: 101?5 !g ? Sec/Sub d Name --' -,?; • A>, r? -+is'i.-,.- ? - r Address.--- (' c City Phoney ' _, ? Name c Address i " p Ciry Phone FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE ARPLIES TOWNHOUSE & CONDO - RES. RA7E APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES oCvr%n1n cI IlM M1 PERMITTEE CITY OF EAGAN j BLDG. TYPE WORK DESCRIPTION Res. New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $3.00 Shower - $100 Kitchen Sink - $3.00 Urinal/Bidet - $3.00 l.aundry Tray - $3.00 Floor Drains - $1.50 Water Heater - $1.50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL: CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ? PERMIT SUBTYPE: ? . tititI rt I ai H .141 7 .13 NCT Jal-4 t9_ lr'PptI sin INSPECTION .. . ? .. .A I' .1ARKS1 kITCHCN FrF Mr3t;V1 h VAII1 7 FHM1 t Y t70014 ANU KII'r,!#EN i;Fil 1148 ;E €i£ APPLICANT: TYPE OF WORK: PertnR No. Pertnk Holder Date Telaphone # ELECTRIC PLUMBINQ HVAC Inspection Dete Insp. Comments FOO7INGS FOUND FRAMIN(3 ? ZZ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL / W/rl GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FfNAL DECK FfG DECIC FINAL .?.b...?....., ..._ _ ._. VILLAGE OF EAGAN 3795 WATER SERVICE PERMIT? Pilot Knob Rood 1377 ?- PERMIT NO Eogon. MN 55122 .: _ _ 2oning: XRlt? }, DATE: :?? Owner: DOiI E. Chr istenson Jr-of Unics: 1 Address: ? Site Address: 3650 Pilot Knpb Iapad Plumber: wdtierke Tren ching & Exca. Meter No.: - 2 2988993 - -- - Size: ` /8 Rpckw l _ Connection Charge:130.00 l A --- _ e Reader No.: _482677 ?'- Account Deposit: 15.00 pd? Permit Fee: 10i00d ?-yrow ro w-pir with 1M villop. oi E p??n?„ oyon Surchazge: _ 50 pd Misc. Charges: 60.00 & 8.50 pd B Y ???"a Tatal: Date of Ina p.: D a t e Paid; Insp.: oo. 00 i ? O .a w a 0o a a ? N, MCI z H rn o ? W ' ° o Z ? Z m .E ? ro m a ? ¢ a ? 0 !? Z a, e?+i a a ? W Y N Z u, ° . x ? o 'a ?° ? m c? e°D-, a u`0i m a? ? a0 co ? ? d ..r Q 0 ? w ? a C7 N ?v H : e. 0 Z o E Z ?a ? m ? ? . ? ¢ ?. 0 4?0+*' ? x LL ? O 'a $ c 1- ? O ? v c`g• d uU v y Q ? m E (n a c m ? 0 ? U ? L « ? 3 ? a 0 ? p c ° cm ? ? iZ /6O a v-i N H ? W I cc a W m V > Q W N ct W W N ! m (j t p U. io L ' U V v E? i ? U Q a c?n : PERMIT# S7 qg1 RECEIPTDATE: 8008 RESIDENTii4L PLUbI$IA6 PEiiM1T !EPP11ClkTION crrY og EAsLAx 3850 PII.OT [{FOB iiD EA6AA, bIN 55122 651-6$1-4675 Please complete for: SITE ADDRESS: single family dwellings, townhomes and condos when permits are required for each unit, 6ackflow preventer for irrigation system 3657D Cr499s5 e, ?' ?• OWNER NAME: : /, kk ' TELEPHONE #:Idff= (AREA CODE) INSTALLER hAME: h,J ? vI e? l ?" 1b ,` h L• TELEPHONE #: STREET ADDRESS: 7?-U fi G?\ t Gl. t. P L (AREA CODE) CITY: A-fiN. IJo *T?'- STATE: !?? -1 ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? Addi f h ng eaters. ixtures to lower levels or room additlons, excluding water softeners and water $ 50.00 _ A6andonment of septic system. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system , ReplacemenUadditional: _ watersoftener _ waYerheater i - _ ? $ 15.00 ? State Surcharge $ 50 Total $0 $ D - ? . I herebyacknowledge that I have read fhis application, state that the information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicanYs responsibility to notify the property ovmer that the City of Eagan assumes no liability for any damages caused by the City during its normal operatlonal and maintenance activities to lhe facilities oonsVUCted under this permit within Ciry pr / igh i s nt. ? SIGNATURE OF PERMI 1/02 0 ? ` N m ? ? ? ? a rsc !.w-"_ I1S1.4- 4pa' RvAD EA s e C6 5o Pi ?o'?' k? o$ RvA? /?- r ? Pk _55-) -) a RESIDENTIAL BUILDING PERMIT APPLICATION ? CITY OF EAGAN 3 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 t New Cons W ction Reauiraments • 3 regisrered sde surveys snowing sq. R. ol IoC ;a. R. of house; and all roofed areas (20°6 maaimum lot coverage alloweG) • 2 coDies of plan showing beam 8 windcw sizes; poured found desgn, etc.) • 1 set of'cnergy Calculations . 9 copies ol Tree Preservalion Plan if lot platted after 711i93 . Rim Joist Detail Options selection sheet (tlags with 3 or less units) DATE C?\ ?-? 4?- SITE ADDRESS TYPE Of WOR APPLICANT ? Y. -\"l- ULTI-FAMILYBLDG _Y _N FIREPLACE(S) _ 0 _ 1 _ 2 STREET ADDRE55 CITYSTAiEZIPS, '113 TELEPHONE #GiS 1?-154{ `3fd?Co CELL PHONE # C<Ll aZD l'lIG, fAX # (n5 l iIS1 )COI') PROPERTY OWNER TELEPHONE # COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ A[[NA'ESO"1'.A RUI.ES 7670 CA"f'EGOItI' I NIIV VESO"C:1 RUL1:S 7672 (v' submission type) • Residential Ventilation Ca[e9ory 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted , Plumbing Contractor: _____ Plumbiiig systern incluclcs: Mechanical Contractor: N[cchviic'al sNstcm includrs: Sewer/Water Contractor: _ Air Condiuonin? - HcatRccovcn'Systcro I hereby acknowledge that I have read this application, state that the with all applicabie State of Minnesota Statutes and City of Eagan Orc Signature of Applicanf 1- is corArect, end agree fo comply OFFICE USE ONLY Watcr Softcner Water Heatcr -- No. ol' 13adis ?y p`V RemodellReoairRaauiremenls V? X?? 2 copies of plan 1?5 . 1 set of Eneryy Calculations for heatetl additions? 1 sitesurveyforeztenoraddi6ons8aecks \ • Indicate if home serve0 by septic system `or additioni C1?k1-6 VALUATION PllOt1C # . Iacm Sprinklcr No. ofR.I. Baths Fee: $90.00 OI? l?Pcc:" •'$il):? n AUG 2 8 2002 Phone # Phone # Certificates of Survey Received - Tree Preservalion Plan Received _ Not Required _ Updaled 4/02 OFFICE USE ONLY ? Ot Faundation ?02 SF Dwelling 0 03 Ot of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 OSplex O 08 O6-plex ? 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace O 17 Garage y 18 Deck ? 19 LawerLevel Plbg_Y or _ N E3 20 Poal ? 21 Porch (3-sea.) ? 22 PorchlAddn. (4-sea.) . ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ' •- Am ? 30 Accessory Bidg ? 31 EM. Ait - MuIU ? 33 Ext. Alt - SF ? 36 Muld ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair -11? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bldg only) - Give PCA handout to applicant Valuation ?-f_Cx>U Occupancy ??ty MC/ES System Census Code Zoning City Water SAC Units Stories _2 Booster Pump Nbr. of Units Sq. Ft. ?2 Q R1 PRV Nbr. of Bldgs QZ Length Fire Sprinklered Type of Const Width ? REQUIRED INSPECTIONS Footings(new bldg) FinaVC.O. ? Footings (deck) ? FinaUNo C.O. ?C Footings (addition) _ Plumbing ? Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final )C Framing Siding Stucco Stone ? Fireplace 4 R.I. Y Air Test Final _ Windows (new/replacement) ? Insularion ? Retauring Wall Base'Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 1- ApProved BY---' -Z-- -?--?------- ------- d3r??.;??? x r'h LcAPf2r,L 9'I oy,-Uf 1 h?? X 3 p % ? at"L Building Inspector ;q? 33, zG y S"J"1y 3Z ll-1t ,:? 5? 3r D;L/ / ??L?/ 3? !I? ?. applicant Name - L`?NN %-. AI4D2LA Applicant Company I nc0 9- Date t s must be ckarly marked aith; msuJaGon R-values, window nod sky&ght U-valtiq . ? siu and type of equiP?nem . A loeation of intaior afr baaier> vaPor rewdc and ai d h n waz baxrier, . ! t A / 0 equiPmeni conaols. . . •a. Pmp,sra nouaing da;so TCPMSmrca in U"x doeurnmu is c003iamt wi[E the h0dt PhTL. +psi5utions, md otha ealniluions mhtiacd with tAe pmpn appliuuoa 7LepmposedbuBdmgLes6em dm6acd to mea the m3uv,macn oftLe Mroneson Fnagv Coda R-38 (insutation perfoimance at winter desgn HearinB system effirim > 90 ^/o ms) ?' - 2000 MINNESOTA.ENERGY CODE I-1 Family Resideatia! IhyeUings "COOKBOOK" WORKSAEET . _ /J 6>6 f 4 1nLVimuM KF, UTREMENTS for "Cookbook" O Enffy Doors 1-3/4" solid wood or max'ummm U-value of I Foundauon window Window and Door Area As % of Fsposed R's11 Area glass in wood or vinyl frame, Foundarion wall iasulation R-10 (if a diffaent R-value is Rimjoist R-10 1-value of U-0.51 used, adjust tbe 7equired average window U-vatue by tal square footagc m c letin2 8x war]csheet on the next a e. Flooz over imaonditioned ace R-30 r.a ioo : = 2Z •?% wni Dqw u-vnr.cE Window/Door Mea Groas Wall Area Window/DoIor Arn Sourcn NFRC or Code Uefault tabk ? MAXIMLTM AVERAGE WIIADOW U-VALUES _ Fnn n_.n rnr..m. ,......,, ... ., ch? wBu Me?? Total Window and Door ' __. .•. .•••••• •.......,++.oua.na • tvn ac YU% AN'UE FUR ?iAC Type LTsed Area ea Paroentt of Ez eed Wall: 100.6 12% 14Sb 18% 18% SO% 22% 24% 26•.G 28•.i w? e, Ma um? Avera e Window velne: 2x4, R-13 iasulation, < R-5 sheat ' 0.37 0.37 0.33 0.28 025 022 0 2 0 18 0 1 ? 2x4, R•13 insulatioa, > R•5 sheat ' 0.37 0.37 0.37 0.37 0.37 0 33 . 0 . 027 . 0.15 2x4, R•13insulation, > R•7 shea ' 0.37 0.37 0.37 0.3^r 0 37 . 0 36 . Q 3 0 30 0.25 0.23 2x6, R-19 inaulation < R•5 sheat ' 0.37 0.37 0.37 0,37 . 0.37 . 0 32 . 0 9 . 1027 .27 p,2? 2z6, R-19 ineulation, > R-5 sheathin.g ' 0.3, 0.37 0.37 0.37 0.37 . 0 37 . 0 - 0 32 .24 023 2x6, R-21 insulation, < R-5 sheat ' 0.37 0.37 0.3' 0.37 0 37 . 0 35 . 0 3 . .2g 0,27 2x6, R•21 insulation, > R•o sheat ' 0.37 0.37 0.37 0 37 . 0 37 . 0 37 . 0.29 0.26 0.24 . . . 0.3 0.33 0.30 028 E NOTE: If foundation wall insulation is either less than R-10 (but not less than &o), or R-19 and above, then use the tables appropriate for those values. Ihis is a summaiy only. Qthcr requ'vemeats may aPPly. See the Minnesou Eneigy Codc. Questimu'. Call Deparmrnt ofPublic Service lafo:mauon Crnur at 651296 5175 or 800 657 3710. 5199 pap 3 RESIDENTIAL BUILDING PERMIT APPLICATION I CITY OF EACAN ? 3830 PILOT KNOB RD, EACAN MN 55122 651-681•4675 NewConsWclionRaauiremeMS • 3 registered site'surveys shaving Sq. fl. of IoL sq. M. af house; antl ail roofed areas (20 % max'vnum lot coverage allawe0` • 2 copies of p(an shovring beam 8 vrindow sizes; poured found desgn, e(c.} • 1 Set of Erieyy CalcNatiOM^ • 3 copies M Tree Preservation Plan rf lot platted after 711193 • Rim Joist Detail Optiorks selectlon sheet (Wdgs vrith 3 or less unila) DATE /l//? / / S1TE ADDRESS TYPE OF WORK?_?O b wA -t'? c) APPLICAN7_ STREET ADDRESS --76J7)l ?i?:'1?r ? ? ? TELEPHONE CELL PHONE # RemadellReoair Reauiraments . 2 caDies of plan • 1 set of Eneryy Calculatians for heated additions . 1 site wrvey for exteriar additiorrs 8 decks . Indicate if home served 6y septlc syslem tor additions VALUATION ( L O OD p? ?U. kTI,-FA1M-?ILY BLDG _Y N FiR?PLACE(S) _ 0 _ 1 _ 2 ? v\- l \-A Z??- STATE???TIP FAX # PROPERTY OWNER TELEPHONE # COMPLETE FOR "NEW" RESIDENTiAL BUItDINGS ONtY Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1 MINNESOTA RULE:S 7672 (d submission type) . Residential Ventllation Category 1 Worksheet Suhmitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbtng Conhactor: Phone # Plumbing system inciudes: Water Softener _ Ia%m 5prinkler Fee: $90.00 _ Water Heater _ No. of R.I. 13aths No. of Baths Mechanical Contractor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Confrqctor: Phone # I hereby acknowiedge that I have read this application, state that the inform n is coJJJ,,, rect, and agree to comply with all ppplicable State of Minnesota Stotutes and City of Eagan Ordina es. SlgnatureofApplicant ' -°°----__.._---------'- --_...._ _ .-------° -"--- OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 PERMIT Control No. 0777 CITY OF EAGAN A?. ?3830 Pilot Knob Road PERMIT.T.YPE: euxLoiaG Eagan, Minnesota 55123 Permit Number: 001011 (612) 681-4675 Date lssued 07/ 0 9/ 9 2 SITE ADDRESS: 3650 CRESTRIDGE CT LOT: 1 BLOCK: 1 BUFFER HILLS 2ND DESCRIPTION: ?6uilding Permit Type DECK ? 84i1d'itig,,Work Type NEW - UBC Oceupiiricy R-9 Buildtnq Length 94 Building W'idth:_., 14 ,. ?. ? . , . ?.?` ?..a ?:.... ti.._.f.j REMARKS: C O197/t) FEE SUMMARY: Base Fee $25.00 COPY $.50 Surcharge $.50 Total Fee $26.00 Su6tatal $25.50 CONTRACTOR: - Applicent - sT. I.ICpWNER: EDGEWORK BLURS INC 13683511 0003681 NELSON LYN 8301 AUDUBON RO 3650 CRESTRIDQE CT CHANHASSEN MN 55317 EAGAN MN (612) 368-3511 (612)454-3666 Z hereby acknowledge that T h:ave read thl.s applicatian and sCate that the information is correct end agrea to comply witlt all applicable Sta^Ce ot 17n. Statutes anC Gity of Eagan Ordinances. APPLI ANT/PERMITEE SIGNATUR ISS D BV: SIGNATURE I PERMIT N REACTIVtiTE 1011 ? r CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-0675 4 zG. A ;;. FJV1 0 7 Rrcg SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date Yaluation of work ?1a417"?' Site Address: 36 5Z9 Zt<st7Q?? STREET SUITE N Tenant Name: (commercial only) IAT _j BIACR I -1 SUBD. [!)4 F? H'?'?'`' ?0 P.I.D. N ' A nADi Y7.ow1 . Descri tion of work: cy44 14?X53:51 L??eyc- D-c,L The applicant is: ? Owner G'Y,Contractor O Other (Deaerlbe) ' Name 1l,ILZ.-Se?rJ L}i? Phone 45-4?3606 Property LAST ?,R:T Owner . Address 36_,9? Cocx?- STREET STE M City State A-!N ? Zip Company - ti P n1 tt Phone 36S-357jI COntfBCtOf Address ?.?% i4v.?aAarj ?i?i}r? License #,? Exp. City L?rl?.Jr?S?.J State 1C/.? ?` JZip 5-?:311 Company Phone ArchitecU Engtneer Name Registration # Address City State Zip Sewer 5 water licensed plumber . Processing time for sewer 8 water permits is two days once area as been approved. 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. Signature of Applicant: '44 ? ?? ? APFLICATION FOR PERMIT IF EXISTING STR[!CTLRE, DATE OF ORIGZNAL BUILDING PERMiT ISSLANCE: / f S 7 (Nbn Year ? NC7PE: PAYMIf OF FEE AT TIME OF ? HPPLICITS0N WFS PiVP CON- i x STI1LT18 11PPR('JAL OF PEHFIIT. `. ? TNSPEY:1'ICN OF SESM AN]/Q2 WATIIt a :. ? I[1STAIdATiO[1S WIIL P]DT SE SCMII.ID ,*t C'Nl'IL PFRWT HAS BEHd APPROVID. citv s?a+exa?frfrw?K?:?it+astte??e?sr++t+?fr oF eagan (P E PRINT 1) PROPERTY ADDRFSS: LDGAL DFSCRIPTION: PRESENT'ZONING/PROPOSID USE: Q COMNIERCIAL/RETAIL/OFFICE Q INDL?STRIAL a . INSTITqJTIONAL/GOVERDII"ENT 2) NAME: ADDRE55: CITY, STATE; ZIP: ? PHONE: SEWER AND/OR WATER GONNECTION :t ? R-1 SINGLE FAMILY ? R-2 DUPLEX (3WV Units) ? R-3 TOWNHOt)SE (Three.+ Onits) Q R-4 APARTMENT/CONDOMINIOM 3) Mffi?--w ru1ME: ?c- ADDREss: CITY, STATE, ZIP: PHONE: MASTEf2 LICENSE # ( Lnits) ( units) Active ? Expired Not recordec St Initi 4) ? . . ? 111 NAME: ADDRESS: CITY, STATE, ZIP: PHONE: 5) CONNECTION TO_CITY SEWERR ?'CONNECTION TO CITY WATER O(7i'f?RR . U' ??.? ? *****?**??**??**?*****+***************??**t**??*?*?*???*:*s*??*?,rx,r,r*??*r***?*******???***?****+?**? 44IE GOLD COPY' OF ZSIE PERMIT WILI, BE SIIdr DIRECTLY 10 PLBISC WORKS 'PD FACILITATE M-tER PICK-UP. ,*k PLEASE AIZAW 1W0 WORKING DAYS FOR PROCESSING. SOMEONE FROM THE CITY WILL CONPAGT YOU IF 7YIERRE * * ARE ANY PROBLFMS. , ,? FOR -CITY USE ONLY PERMIT # ISSUED Pd w/Bldg. Permit FEES: $ /,? -, S2l $ $ S ? 7•e---c $ $ $ $ S $_ ? ? • c.`? $ $ $ $ $ S $ $ S S $ $ $ $ $ $ $ $ $ ?.5 Z z O t.? $ F 5 SEWER PERMIT (INCLL'DE SL'RCHARGE) WATER PERMIT (INCLUDE S[JRCHARGE) WATER METER/COPPERHORN/OL'TSIDE READER WATER TAP (INCLODE CORPORATION STOP) SEWER TAP ACCOU[VT DEPOSIT - SEWER ACCOUNT DEPOSIT - WATER WAC SAC TRUNK WATER ASSESSMENT TRLNK SEWER ASSESSMENT LATERAL BENEFIT/TRC'NK SEWER LATERAL BENEFIT/TRLNK WATER WATER TREATMENT PLAY3T SL'RCHARGE ? OTHER: TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTSON REQUIRE EXCAVATION IN PC'BLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PL'BLIC ? ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ?l TITLE: DATE : ? L BL ? CITY USE ONLY RECEIPT#: ?°? , / 9? ? 2'`-Y SUBD. I Of 9' RECEIPT DATE: // UV 1997 PLUM$INfi P£fZMIT (RSID£NTIAL) crrY oF EAswN S$SO P[LOT KFOB iiD £AHAP, MP 55122 (612) 681-1675 Please complete for: ? single famity dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavato 3.00 x = 3.00 x Lsundry Trey 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drein 3.00 x = Gas Piping OuUet "minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for awellings under coneWdion 5.00 x = WaterSoftener `torexistingdwelling 20.00 X = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' Por existing dwellinq 20.00 = Alterations 'to existing residence 20.00 = Water Tum Around 20.00 = Private Disposal System " Dak Cty Iia 75.00 = (new end refurbished systems) Private Disposal Systems'aeandonment 20.00 = STATE SURCHARGE .50 TOTAL .Zcl. 5,c7 I hereby ackno ---------•--••-----------------------•-•- -----•------...••-----•-----------------•------------------°•----• °-----------------• wladge that I have read this epplication, state that Ne infortnation is corted, and egree to compy with all epplip6le Cily of Eagan oNinances. It is Me applicant's responsibility W notify the properry owner that the City of Eagan assumes no liabilily for any damagea wused by the City during ils normel operational and maintenance actNities to the facilities oonatrudad under this partnR wiMin City propertylright-of-way/easement. SITE ADDRESS: S f.z e- e T- , OWNER NAME: INSTALLER NAME: ?l&,? TELEPHONE #: G> 9- ?z 3 z STREETADDRESS: a 3Z CITY: S/. P4, / STATE: IA14< ZIP: s S/ri3 /°/e S K 7?Vat'S- SIGNATURE OF PERMITTEE CD/FORMS/PLBG PERMIT (RESIDENTWL) 1997 CIl'Y OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: Permit Number: Bur?ozN? 0 3 0 7 2 3 Date Issued: 0 9/ 0 3/ 9 7 SITE ADDRESS: P.I.N.: 10-15401-010-01 3650 CRESTRIDGE CT LOT: 1 BLOCK: 1 BUFFER HIILS 2ND DESCRIPTION: E?uilcl3nd` P,ermit Type ;Building Wa;rk Type Census Cvde ?t "?. 5F (MTSC.) ALTERATSON 434 ALT. RESSDENTIAL ?4?L`? ?L?,?? ".:?i?13 U.? Q??'h?"` REMARKS: KITCHEN REMODEL S VAULT FAMILY ROOM AND KITCHEN CEILING FEE SUMMARY: VALUATZON Base Fee Plan Review Surcharge 7ota1 Fee $484.75 $315.09 $20.0@ $819.84 $40,000 CONTRACTOR: - ppplicant - Sr. LIC OWNER: ROOMS TO GROW INC 19304878 0000606 NELSON LYN 4263 SUNRISE RD 3650 CRES7RIDGE CT EAGAN MN 55122 EAGAN MN 55122 (612) 930-6878 (612)454-3606 f .. ,. , 'J. Z here?by acknowiedg'e that`"T havereail?tMis applicetio6 and,sCate,tfiat thd ? informa-tion i orpect and ayree to c6rhplywx-t15 ai1"appliea6J.e StateofMn, ? Statutes a Ci Yy/of Eagsri -Oa^dinarrces `IljkiA ,0, MA ?3SoEDBY?SIG TURE ? 36f13997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ? yA,? 3830 PILOT KNOB RD - 55122 681-4675 New Canstruction Reauirements RemodeVReoair Reauiremenh ? 3 registered ske surveys ? 2 copias of plan ? 2 copies of plans (inGude beam 8 window sizes; poured fitl. design; etc.) ? 2 s@e surveys (exterior addRions & decks) ? 1 energy calculatlons ? 1 energy calculations for heated add'Rions ? 3 copies of tree preservatlon plan if lot platted after 717/93 required: _ Yes _ No DATE: CONSTRUCTION COST: oo t-)? DESCRIPTION OF WORK: STREET ADDRESS: LOT BLOCK 36250 CU?65rk2_ d4u G i ??j ?I ?• SUBD./P.I.D. #: PROPERTY Name: _LI-1N 5. FtvuOf&1.. Me (?O n Phone #: 01NNER Street Address: ??56? b2A57,Ar ,_1,G'7- City: State: Of ti Zip: 55 '122 CONTRACTOR Company: LOrn5 "ID Phone#: 930-(c, Street Address: QZCo`77 Suarl"e a462 LicePSe #: (00 LLS City: State: M/U Zip:55122_ ARCHITECT/ Company: M ueS q;A_ PhOne #: ENGINEER Name: 17fl, c5 +4 Registration Street Address: City: ''?A,c ?/'C>ue State: Sewer & water licer.?ed plumber (new construction onty): and lot change are ?equested once permit is issued. rn "a Zip: Penalty applies when address change I hereby acknowiedge that i have read this apptication and state that the information is corre and a to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. / Signature of Applicant: OFFICE USE ONLY =REEC Certificates of Survey Received Yes No Tree Preservation Plan Received Yes; No Not Required Sti1tDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? ? 03 SF Addition ? 08 8-plex o 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? x 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE •b. , .?.-- ?? . ? 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous ? 31 New X 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MGWS System (Allowabie) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ? Depth Footprint sq. ft. SAC Code ? Census Bldg Census Unit ? APPROVALS Planning Building ? Engineering Variance Permit Fee Valuation: $ o <no Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SIVN Surcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies Total: % SAC SAC Units Da eC , BUILDIidG PEILy1Ii AFPLICATIO'_4 I,OT 1J/10 BLOCR 11DDITIO;d D 4,45-gpp D 45/ & SF.CTIOiI PNi13ER IF UiTPLAR°PED sgC / S 7?211107J'S,; OF i'T.:.CEL f / OCCUPAI9CY = IISE d ?i,v o, LfJ11-? ? ? ;-.:--o ?^?'•?2,_//ir.v ?Gr ris/'5,ivs0 ,v xELErxoiaE No. -- :?,DI)Z2S? COPIi?.?1CTC? ?-??.? ? TEI,EPHOPIE T10. ??-.??? L` _ P.t)I7sZEu5 Tvote; Include site plan, buildinq plans, and ener acula ' s rith application S icined OFFICE USE O? -- ?twuamzort ,?Z-1 D O tJ l:.ir ii G7MSFC`_"IOiT ...,: "R S.Y"TER ._r. 2'JI?.,D?P7G PERi:-IIT FEE ? _.. ? ^7iRCFT3;GE FEF. n2.31f1 CF_LCR FEE PAEtIC DEUICATIOLd FEE _ ..__...?- OT: ;;R 9t7 :.??i•TJ* in n^n?evr.t.s : .'i>':5°iIIr,27T CLEx2iC BUILDING DEPT. POLICE DEPT. ..;'"'T'R & SEt-7ER DEPT. FIrzL•: nEPT. PARK DnPT. __„ .. l0 015d0 O/D 5/J, MASTER CARD u • • . Permif BUILDING PLUMBWG ? No. I ??I Issued I Issued To Contracfor ? Owner I I CESSPOOL - SEPTIC TANK VJELL I ELECTRICAL ? HEATING GAS INSTALLING - I I SANITARY SEWER I OTHER I OTHER I I ? Items I Approved ? (Initial) Date Remarks Disfance From Well I `GOTING I SEPTIC _ FOUNDATION CESSPOOL FRAMING FINAL ELECTRICAL HEATING DEPTH OF WEIL GAS INSTALIATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBWG WELL SANITARY SEWER Vialations Noted on Back COMMENTS: STRUCTURE AND LAND USED AS Ar S/I7C 14 cG ..n ? ? ? G /U a ! oRD[.N.aNGE NO. 114: permit No. WELL CONSTRUCTION AND ABANDONhSENT / WELL PERMTT 89-9178 •"?'?; DAKOTA COUNIY PUBLIC HEALTH DEPARTyIENT ENV[RONMENTAL HEALTH SERVICES SECf10N ? WATER QUALTTY MANAGEMENT UMT ?. _ 33 E Wentworth Ave., West St. Paul, MN 55118 Te]ephone:(612)450-?b07 WHEREAB? thA DBA: Associated Well Drillers ADDRE88: 13160 Pioneer Trail Eden Prairie, MN 55347 has submitted a permit application, has paid the sum of seventy- five ($75.00) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well or wells described herein: An abandoned private water supply well is on a property now served by public water supply. The well has a casing diameter of 4 inches and 161 feet depth. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted, and terminated at least 2 feet below grade. The well is located in the 13.'r-i-c?2 rf?L" ADo Owner: Don Christensen Address: 3650 Crest Ridge Eagan, I+aI 55122 Telephone: (612) 452-1061 municipality of Eagan on the property Well Ownerif_dif-ferent)--- - Crt Address:; 3650 Crest Ridqe_Cour-t-- -=lEagan, I+ai 55122 Telephone: NOW, THEREFORE, Associated Well Drillers is hereby permitted and authorized to permanently seal the well or wells described and located above for the period subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 27th day of November 1989. NON-TRANSFERABLE ENVIRONMENTAL HEALTH /S?ECIALIST J&a&awct ATTEST;1)5. Zs4n"1-)'J ENVIRONMENTAL HtAMTIT SUPERVISOR PUBLIC HEALTH DZRECTOR n? PLUMBING (RESIDENTIAL) CP Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date ( / )- / 0,3 Site Address 3 ? s C> C r'? 5 fr ? `? rj ?- Cf- Unit # Property Owner Telephone # (?Sl ) Contractor ?? K G c-( r ?? ?i ry S c ?? i ca. ( v. `- ? Address 2-t so ?U j 4_ ,Vc City ./4/(-PK t?? u (-4fs State ? ( ? ? • Zip s 57(d'0 Telephone # (¢S f ) `? S? ' ? ?? 7 The Applicant is _ Owner ? Contractor _ Other Septic System New Refurbished Submit 2 se5 of plans and MPC license $ 100.00 Includes County fee. Arlditional consultant fees may apply. Alterations To Existing Dwelling Unit, Including $ 50 00 ? Adding fixtures to lower levels or room additions, excluding water softener and water heater . _ Abandonment of septic system Water tumaro d(+ 5/8" meter if needed -$121.00) _ Other: rU 0 hr- (' rQ (? ?, Ai U YN _ RPZ _ new installation _ repair _ rebuild $ 30.00 _ Lawn irrigaGon system _ Water softener _ Water heater 15.00 _ replacement _ additional $ 50 State Surcharge . Tota? 1gv------- - $ 5 0 ? I herehy apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will be in conformance with the ordinaaces and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a permit, but only an application for a pernrit, and work is not to start without a pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ?(/( o t/,-,?" l1 c L N/? " 6 ?' l Applicant's Printed Name U Applicant's i?gliature . . oaDlN.a.NCE No. ltd: Permit No. NELL CONSTRUCTION AND ABRNDO.'vibfE:V"i' / WELL PERMTT 89-9179 DAKKOTa COUN'I'Y PUBLIC HEALTH DEPARTbIE`7T E.WIRONMENTAL HEALTH SERViCES SECTION WATER QUALITY MANAGEMEN'T UNIT 33 E Weahvorth Ave, West St. Paul, MN 55118 Telephone:(612)450-2607 WHEREAB? the PERMITTEE: DBA: Associated Well Drillers ADDRESB: 13160 Pioneer Trail Eden Prairie, AIlU 55347 has submitted a permit application, has paid the sum of seventy- five ($75.00) dollars to the County of Dakota as required by Ordinance Number 114 and has complied with all of the requirements of said Ordinance necessary for obtaining this permit to permanently seal the well or wells described herein: An abandoned private water supply well is on a property now served by public water supply. The well has a casing diameter of 4 inches and 160 feet depth. The well shall be cleaned of equipment and debris, disinfected, neat cement pressure grouted, and terminated at least 2 feet below grade. The well is located in the municipality of Eagan on the property - /3vr-1rtn N.e.c.s Aap . Owner: Don Christensen Well Owner (if different) Address: 3650 Crest Ridge Crt. Address: 1384 Crest Ridge Ln. Eagan, i+IId 55122 Eagan, MN 55122 Telephone: (612) 452-1061 Telephone: ' NOW, THEREFORB, Associated Well Drillers is hezeby permitted and authorized to permanently seal the well or wells described and located above for the period subject to all provisions of said Ordinance, the Minnesota Water Well Construction Code and any conditions attached on the reverse side of this permit form. Given under my hand this 27th day of November 1989. NON-TRAN3FERABLB C'-'ku?mtr?' ENVIRONMENTAL HEALTH SPECIALIST ,Xd[LL?K- ATTEST `??'7ca.? ?. ENVIRONMENTAL HEAL H UPERVISOR PUBLIC HEALTFI DIRECTOR RR City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I s c ,?\? S I AP? l '' 2O - - - - - - - - - - - - - - ? Pertnit#: i PertnitFee: I ? Date Received: ? ? I ? Staff: I APPLICATION ER/Iz;_ ot? ? 2008 RESIDENTIAL BUILDING PERMIT Date: /1A10 ';200'F Site Address: Tenant: Suite #: / - If RESIDENT ! OWNER o, % Phone: Name: / Z?? Address 1 City 1 Zip: Applicant is .XOwner _ Contractor TYPE OF WORK Description ofwork: iyW_G/ Gv? Construction Cost: ? 00 Multi-Family Building: (Yes_/ No CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 SubmissiOn type) • Energy Envelope Calculations Submitted 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: NOTE: P lans and-s?upporting:documents to ke publ e {r?formation; Poitions'of ; that you submif aie?considered , , . { the information may 6e classriied as non public;if you prqvrde specific ieasons that w6ulat ?ermit the.Gity,`to _ s?conclude thattMey are trade secrets I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformancp 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;3tart 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;/" s ? ?--f/ Ci ? x ?'/ /U('- /J-C'i^` App?'iicanPs Printed Name A` Wic Signature , I Page 1 of 3 . SUB TYPES ? Foundation ? Single Family ? 01 of _ Plex ? 02-Plex ? 03-Plex ? 04-Plex WORK TYPES ? New P Addition ? Alteration ? Replacement DESCRIPTION: DO NOT WRITE BELOW THIS LINE ? OS-plex ? 16-plex ? Accessory Building ? Pool ? 06-plex ? Fireplace ? Porch (3-season) ? Ext Alt. - Multi ? 07-plex ? Garage ? Porch (4season) ? EM. Alt -SF ? OS-plex P Deck ? Porch (screenlgazebo/pergola) ? Multi Misc. ? 10•plex ? Lower Level ? Stortn Damage ? 12-plex ? Miscellaneous ? Interior Improvement ? Siding ? Demolish Building" ? Move Building ? Reroof ? Demolish Interior ? Fire Repair ? Windows ? Demolish Foundation ? Egress Window ? Water Damage <DemolRion (entire building) - give PCA handout to applicant Valuation pebo. - Plan Review (25%_ 100% ? Census Code # of Units # of Buildings Type of Const. Occupancy orgC=\ MCES System Code Edition 2-c>c) SAC Units Zoning R- I City Water Stories Booster Pump Square Feet PRV Length Fire Sprinklers Width REQUIRED INSPECTIONS Footings (new bldg) ? Footings (deck) Footings (addition) Foundation Drein Tile Roof: Ice& Water Final Freming Fireplace:_R.I. _AirTest _Final _ Insulation 1 ? /A n Reviewed By: RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Total Sheetrock Fina1/C.O. 1a FinallNo C.O. HVAC Other: Pool: _Footings _AirlGas Tests _Final Siding: _Stucco Lath _Stone Lath _8rick Windows Retaining Wall Building Inspector Page 2 of 3 \ \ EAGAN 1 REVIEWED BY: DATE: ? z 3 /? ` BUILDING INSPECTIONS DNISION ? ? 1 I ? First ftOQr P) 1 I ? i f?n. . ti ,? ? - •. .. ? „.. 1 1y ?. ? laxl cut linc? ` ? ' ? 3 , -- .? , _ ., • el. Existinq base of hil l -•• I ? ? • out el. ? - ? - .1 <l. . '? . --?-- .'- L .'A - - 1anhole EI. 95' ? : : : : . . ?"`? . . . . . . . . _ . , : : ; : : ' . ? o .'"r..? • w _ . . . . . FILL . . . ."?: x . . . . . ?: • - - • - . . _ ? ? CI. 89'9 ;? • • • ARE 3600 SF _ : : _ : . ? ? ? Tree el. ?? ? . . . . . . _ . . .SUR uEY L . . : .row . . . . . ? ?.? . . . . . i . . _ 1'GN ??0'• • I ? aow?- BuW 83'6" ? $5' 1 ? ?., 52'-9 1 /2" ? ?.--• 61'-8" ?• I I I FI SH LAKE I ------------------- -------- --- j I 1 I I ? ? ? I ? 6'-7 1 /2'. I 1 ; ? ? Ma) , , ? ' I ? I ' I ? ? I OUf. 2I. ? ree el. ' kr 00'3" ? I 1 i Existing base of hiil ..... I ? .,?, ? . . . . . . ? .......... ? Manhole EI. 95' ? . . . + . . . . - . . . : . . _ . ? ~' I v ' ?`" ' . . . . . - F I L L . . . . o ? " AREA ` • a ? I CI . 89'9 • - ' . 36UU SF . ' ' ' ' - - - . ? Z OD Tree el, " ' „ ??UR uEY R8 f_i . . . . . . . . . . °' r ^ LI N TnW . . ?t^V ' I . . .?'•. . . . + • • - rr,W io•- ? ? eow BOW 83'6" , ??. Ch 52'-9 1 /2" ? FI SH LAKE ?------------------------------------ Y ---- 6'-7? ? 'ree el. k 00'3" ? a Existinq base of hill ? 1 Manhole El. 95' ? ? • • - •?• U. S4'9"t Trod ol , \ ? ? ? ? i ( 1 ? i I + , I alk out ei. i ,r ? ?. ?. ...I. . ? - • r ` ? ? m 6'-F? ? a._r?„ ? v T s FI SH LHKE ? ----------------------------------