628 Crimson Leaf CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 628 Crimson Leaf Ct
Lot: 3 Block: 4 Addition: Autumn Ridge
PID:10- 12300 - 030 -04
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Kevin J Paulson
628 Crimson Leaf Ct
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA078930
07/23/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
i
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt # C. () ( 7 h l
Est. Value $127,000 Date JAP7 24 ,1y92
Site Address 628 CRIMSON LEAF CT
Lo! 3 Block 4 Sec/Sub. AUTUMN RIDGE
Parcel No. -
NNfle KEY LAND HOMES
Z Add2S5 14450 BURNSVILLE PKWY
? Gliy BURNSVILLE MN Zp 55337
Phone 894-2636
? Name SartE
? Address
City Zp
Phone
?
Licerse N oom s53
I hereby acknowlege Ihat I have ?ead ihis application and state that the
inlormation is correct and agi? ? complyW (h pII applicable State ol
MinnesoW Statutes and Cit a n rtlin JSce (
Signature ol Permitee
A BUiiding Permit is issued lo: ?JP.
on the ezpress condition that all work sha e on e i accordance with all
applica6le State of Minnesota Stalutes and
Ci
tyuof gan Ordinances.
?
,
Building Oflicial ? Ol,(?, I I11!
CITY OF EAGAN ??020049
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121.PHON E: 681-4675
OFFICE USE ONLY
FEES
Occupancy R-3 M=1 734
00
Zoning R=1 ?'tl9. PertnH .
(ncwal) Const V-N Surcharz,7e 63.50
(Allowable) V-N plan Review 477.0?.
# Df $10fIB6
52'
Licem
5.00
Lengm
De01h 57' SAC, City 100.00
S.F. Total - SAC, MCWCC 700.00
S.F. Footprints -
675.00
On Site Sewage _ water Conn
On Sile Well Water Matar 95. nn
MWCC System X 3
X
Acci. ?eposit 0_ nn
Ciry Waler
PRV Required x. S/W Petmil 30.00
BoosterPump - SiWSurcharge .50
Treatmem PI 300.00
APPpOVALS Road Unit
0
380.0
Planner - park Ded.
Council SQ
Bldg.OfE Copies
variance ^ TO7AL 3.590.5('
Addre'ss: 628 CRyySON I,EAF COM Lot 3 Blk 4 Sec/Sub
These items were/were not completa at the time of the final inspection.
t; q Zg q2 Yes No Tnqpprtor,
Fina1 grade (6" from siding) V
Pexmanent stepa - garage ?
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass V f
Trail/curb damage
Porch ?
Basement finish
Deck ?
Please verify with the builder the removal of roof tast caps from the plumbing
system and the shut-off of vater supply to the outsida Lawn faucat before
£reeze potential exists.
4LYRFDNRR
White - City copy Yellow - Resident copy Pink - Contractor copy
Wet.?fica#e vf cccupanc?
? ? ??
???enimhm 3wooettion
This Certificote issried pursuant to the requiremenls of the Urei, form BuildiRg Code
certifying that at tfie tune of issuance this strrwtuu-e was in compliance with the various
ordinances of the City r+egu/ating lwilding construction or use. For the following:
use ciassifiSF DG1G/GAR sW& Ptrmk No. 2001+9
0-upa-y Typc R3/M 1 ZDaing Diimbicl R 1 Type Const VN
o.yoaorauikhng KEYI.ANID HMFS Addrm 14450 B VIIlE P[M, B V1UE
su,wing naeren 628 qU"SM IEAF OQntT L-aluy L3, S4, AUItM RIDM
nme: 4/28/42
&d{ewg olficial
P06T IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY UF EAGAN
3830 Pilot Kpob Rd.
Eagan, MN 55122-1897
DATE JAN 24. 1992
° OFFICE USE ONLY
METER # "16-9 7l 7 R PERMIT DATE 01/31/92
CHIP #(1- 4 I (a3f,?! PERMIT # 12517
METER SIZE f'1041 B.P. RECEIPT # C 017085
ISSUE DATE ` Qdit, B.P. RECEIPT DATE 01 31 /92
R PRV - BOOSTER PUMP
I SITE ADDRESS bZti CKiMSUN LEAF GT ?
LOT 3 BLOCK 4 SEC/SUB AUTUMN RIDGE
APPLICANT:
AODRESS:_
CITY, STATE
PHONE: -
PLUMBER: D C MECHANICAL
ADDRESS: 13845 DAN PATCH LN
CITY, STATE SAVAGE MN ZIp 55378
PHONE: 447-2323
OWNER: KEY L•AND HOMES
ADDRESS: 14450 BURNSVILLE PKWY
CITY, STATE BURI3SVT1.l.F. Mw ZIP 55337
SEWER PERMITS, CONTACT ENGINEERING DEPT.
ZIP -?
PERMIT REQUESTED
x SEWER X WATER - TAPS '
_ COMM/IND _X_ RESIDENTIAL
X NEW .- EXiSTING
Lawn Sprinkter Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit V&L NOT be qiven for Deduct Meters.
I AGREE TO COM)SLY WIW CITY OF
,
SIGNATURE WHEN METER ISSUED
454-5220 FUR INSPECTIONS. FOR STORM
SEVJER& 1NATER PERMIT
CITY OF.FAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
f
METER # -
CHIP # -
METER SIZE
DATE JAN 24. 1992 I ISSUE DATE
R"
OFFICE USE ONLY
PERMITDATE 01/31/92
PERMIT # 12517
B.P. RECEIPT # C 017085
B.P. RECEIPT DATE 41 31 92
x PRV - BOOSTER PUMP
SITE ADDRESS 628 CRIt9:iON LEAF CT
LOT _3 BLOCK 4 SEC/SUB AUTUMN RIDGE
APPLICANT:
ADDRESS: _
CITY, STATE
PHONE: -
ZIP
PLUMBER: D C r4ECHANICAI.
ADDRESS: 13845 DAN PATCH LN
CITY, STATE SAVAGF. MrT ZIP 5537$
PHONE -
OWNER: KEY LAND HOMES
ADORESS: 14450 Bt1RNSVILLE PKWY
CITY, STATE bURI+lSVIl.i.b_ MN ZIp 55337
PHONE: 894--2636
PERMIT REQUESTED
x SEWER x WATER - TAPS
- COMM/INO _X_ RESIDENTIAL ?
R NEW - EXISTING
Lawn Sprinkler Meters are to be Installed '
Ahead of Domestic Meters on Water Line. ?
Credit W1EL NOT be given for Deduct Meters.
I AGREE TO COWLY WI'?H CITY OF
EAGAN ORDINA?IVCES /
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM '
SEWER PERMITS, CONTACT ENGINEERING DEPT.
t + i
. } 38:
,.
BUILDING PERMI7
To be used for S F DWG JGAR
CITY OF EAGAN
ilot Knob Road, P.O. Box 21-199,
PHONE: 661-4675
Site Address oZa 56111Ciesrsvr 1.1Lwr c:T
Lot 3 Block 4 Sec/Sub. AU?UHN
Parcel No.
Neme KEY i.AND HMS
? Address 14450 MlR1fSVILI.E PiCi1Y
0 Cfty dUBl1SVILLE !?i Zp
.. n?___ Y0A-9R1IC
cr NaRI@ Mnz
0-, AddfBSS
? CftY ZP
Phone
8 ucense # oooi 5 53
I hereby acknowlege that I have read this application and state that the
information is Correct and agree to Compiy with.all applicable State of
Minnesota Stafutes and City of Eagan Ordinance9:
;
Signature of Permitee
A Building Permit is issued to:
on the express condiiion that all work shatl be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Ea9an, MN 55121
I..?.?L?."f
;
Receipt3 # '
?
OFFICE USE ONLY
2-3
M-1 FEES ?
`
Occupancy it- i sag. ?r,n 734.0?
?
Zoning
y-N
63.50
i
(Rctuaq Const surdarge
(Albwable) r=N
??
rian 677e00.
N oi Stories s ? ?w 5•?
'
Length
Depth 52' SAC, City 100•00
S.F. Total - SAC
MCWCC 7?•? ;
S.F. Footprints _ ,
??
g'5
On Sile Sewage _ Water Conn ?
On Site Well ? Water Meter 95i00 ?
MWCC System
X
Acc?. oePosit ?
?•?
Ciry water .
PRV Fequired
x
SAN Permit 30.00
Booster Pump -
SM! Surcharge • ? ?
300.00
Treatment PI !
APPROVALS 980•00
Rpad Unit
Planner - Park Ded. ?
COUnCiI -- •50 '
`
BIdg.Otf. - C0p'es
3, 590• 50
,
Variance - TOTAL
• Permit No. ermit HoMer Oate Telephone #
SNV
F'LUMBING
WAC
ELECTR
E1_ECT'RIC
M?spsction Date insp. Commenta
Foot,ngS 1
Foundation
Framing 3_ Z
Roofing
r
Rough Plbg. 41-I' c? ? ?z~9z Pl L
Rough Htg. ! !
3 " ??Z
Isui.
Freplace -,23
Final Htg.
Orsat Test
Fin81 Plbg. Plbg. Inspec,Yor - Notify Plumber
Const. Meter
Engr.IPtan
Bldg. Final
Dedc Ftg. '
Dedc Final
Well
Pr. Disp-
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cn
?
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?
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-- - - ----,.-
? CASH RECEIPT
,
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
% / !l
DATE ? 19
RECErdEa
cnaA ' '? c: • / -? i -
AMOUNT
& DOILARS
,oo
O CASH CY"CHECK
a
.?
?
. r
8Y
G c
117!?$5
vm,ae--Payom coPy ?
vellow--Postiny Copy
Thank You
EB-00001-08
REQUEST FOR ELECTRICAL INSPECTION P ?
. y Q S
?? See instructions tor completing this form on back of yeilow copy ?O
"X" Below Work Covered by This Request
lnspection Fee BeJOw:
Other Fee
Furnace
Service Entrance Size
200
I Other Fee ? I _-X2
I, the Electrical Inspecior, hereby
certify that the above inspection has
been made.
OFfICE USE ONLY
This request vad 18 months lram
if /n //Q .1
?Q
THIS INSTALLATION MAY BE ORDEHED DiSCUNNECTED IF NOT
rC]MPLETED WITHIN /8 M0*T1i6.
?
/ F]-'r/
°
S
J34256 ? .?
?
Request DBta Fire No. ' Rough-in Thspgdipn ?
` Required? O Ready Now &TWill Notify Inspector
2- e-?es C N. When Ready?
I licensed contractor D owner hereby request inspection of above elecVical work at:
Job Atldress (Street. Box or qout No.) C.ty
8 • `?9G..?` /7 ?? ?
Sect?on No. Township Name or No. R nge No. County
Occupant(P INT)
? Pho No.
Powe ppller Address
Eiectnc Comractor (Company me? ?
Contract License No.
Maibng Atldres (Conirector or pwner Making Installation)
1
` ? 4
1 /
Authonzetl S'g ture IContractorOwne Makmg Ins a auon)
Phane Numher
?
mmnwvin siqlt tlUARO OF EIECTRICITY / THIS ftOSPECTION REQUEST WILI NOT
Griggs-Midway Bidg. - Room S-173 BE ACCEPTE? BY 7HE STATE BOARD
1821 University Ave., St. Paul. MN 55104
Phone UNLESS PROPER INSPECTION FEE IS
(612) 642-0800 ENCLOSED.
1992 BUILDING PERMIT APPLICATION `
, CITY OF EAGAN
RcQUIREMENTS: ' loo ? ?
SINGLE FAMILY 2 SETS OF PLANS, 3 REGIS RED SITE SURVEYS, 1 8ET ENERGY CALCS.
MULTIPLE DWELLINGS 2 SEfS OF PLANS, 3 REGISTERED SITE SURVEYS, 1 SET OF ENERGY CALCS.
# OF UNITS RENTAL FOR SALE
COMMERCIAL 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF
SPECIFICATION 1 SET OF ENERGY CALCS.
PENALTY APPLIES WHEN TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING
DAY OF MONTH IN WHICH REQUEST IS MADE QB LOT CHANGE IS REQUESTED ONCE PERMIT IS
ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH
ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
To Be Used For:
Site Address Z?
Lot 3 elock ?
Parcei/Sub
Owner ?
Address /
City/Zip?
//lh1
Phone -e?' 7?.3 ?_'
Contractor__ `4
Address
City/Zip
Phone Uc
Arch./Engr.
Address
City/Zip Code
Phone #
Sewer/Water Licensed Contr. /,.,), u -
for wer/water mits is two ays once are
(Stjrfbture o ermtttee
all applicable 5tate of Minnesota Statutes and
121, ooa -' Date: /-& - p z
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On-site sewage
On-site well
MWCC System
City water
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Varianee
(Z-3M-! Bldg Permit
R- I Surcharge
v-N Plan Review
u-?J lacanse Fee
SAC, City
sz, _ SAC, MVVCC
521 Water Conn.
Water Meter
Acxt. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
?7 Road Unit
_ Park Ded.
? Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
1- i)_g2 I$
FEE
s?s, v u i
Processingtime
agrees that all work shall be done in accordance with
City of Eagan Ordinances.
VA L.I.kATI O 1J
,2,-) 1R 2'L
a,_ • s
Sx q? (45)
`
y?3xrs- r7zti5
r3SM T,
?-
za,? a? _ ;??ze
Llxi3= (52)
- L
01 Li 6 (
Snq = y5
? ?-
?1 ?31t ? 3 ? c10 9 6ef
G??DL4 l4FlmtSH AKFh
/S???o= 39
? %lq=
3 U B x ?g =???by?
C. evgL
___.__------
iq??2.? = 13t4 y
q 1, 157
=
GO
l4??
x 53
=
,
.,?---
,
1 2 ? ,R4Z °n 12,7,0co _
• EXTERIOR ENVELOPE AVERAGE "U" COMPIITATION
OwrfER: --------- nnTr:
SI iE ADDRESS: LOTSLCUC ? L1"TU
CONTRACTOR: PIAN #
Determine wor-king square footage of each
1. Total exposed wall area.:... ZZ-SG• ft, x .11 =
2. Total roof/ceiling area..... ?4"Z< sq. ft. x.026 =
Tctal exposed wall area a6ove.fl.oor=__ 7,0
a.
b.
c.
d.
e.
f.
g.
K. Total
Total
Total
7ota1
Total
Total
net wall window area ..........................
door area .................................
sliding glass door area ...................
fireplace vrall area ......................
wall framing area (average 10%) ........:.
rim joist area ...........................
wall area a5ove floor ...............:...
wall area above floor ................... .................
.... ...........
.................
..................
..................
................:.
..................
.................. ZZO
?[>
--
-75? ?
n
1 Z.
i.
j. wall area a6ove floor ...................
frame wall area at founeation ................. ..................
..................
Total exposed foundation area=
k_ Total foundation window area......... . . . . . . .... ....
A
1. Total net foundation ar2a above grade .......... .... R)_u
Determine "u" value of each wall
(e.g. window, door, each separate segment
wail section) :
a. z Z?p??oX ??U?? >??
b. 31 X„v , 6??t = 2,?ss3
c . 46 x „u„ %?.1 = {?,v
d .?- X iiult _
e- 1 yl1 5OZ X ??U" ,0-7 = IZ,ZS .
f. )1!?n X ,lul,
9. 157,10.f?12x
n. X „ull _
i X ltult _
X u
J-
If item ?3 is the s
k x liult
X u?, = as, or less than it
nl, you have met th
intent of 58C 6006
3 .
..... v ?
............................Total
=-_ as c= less than 1;2, You have net :he i^te to°_
.
y .:
- ' =ve'.one Desi4'1
- ;,
svstem metnod, the vai ues establ:shed.by tne s n o
-s?-_'
OL
?=EIIl-_- t]':?R t.:° SUfR
. 1tPIi1S dPG? r.2
? ?'
- '? "?' 2. ?
- . ?
. _ F
-
,
?-
( .?
. . r . .1_-.:
/ f
?
. . - •?l?.rv'.:`
. .- . . . . ' I -:_I.:`?'
4. 70Tfit EXPOSED ROOFJCEILIPlG CALCUlAT10Ti5: ?= 3E>
. Total exposed
roof/ceiling area...,.... jq ZS sq ft
Total skyliaht area......, sq f[ x"U" °
k) Total roof/ceillnq framing
area (Avera4e 10%)...... sq ft x"U" ?UZ?t = Q,13
1) Total net insulated
roof/cei l inq area....... ? ZOZ,?-ssq ft x"U" ,DyS 3Z
L. TOTAL j) thru i)
lf total of °1F is the same as, or less than P2, you have met the intent of
2 `!C?1 1.16005 :4 ard 0.
ALTERPlATE BU I LD I PIG ENVELOPE DE51 f,N
To utilize the tota] eri velope system method, the values established by the sum
of iiems '3 and =4 shall no[ be 9reater than the sum of items Nl and 92.
1. 25Z.3-1 + 2. 3'I.oS = 3Y`T,':59
3. Z)'?, 57) + 4. 3tfl-1? = 29°1.-7
"W:SLL .
„ . .. . . ?.+ ? ' . . ?. - ' '
_ _ ' 'r? .,. ..? .
2: .:
`.. / 15)
?v:tio?vS : DOORS
3°- i -2v
?DaTTo DOo_zs
-
?-
:??:??
? .
?.
rZ?-ru.-! ~` _?
;1 na,sID- Er?T Lrn=1S
2,? , ;'e.a'? ?
Wou sec-Tp--#?
N : lkse ttg? of cpcQue Wh I 1 arc-ro tRir
• - {Ya?nE C[x?sErucf'??n
R- VAUJE
CONSZRUCTI023- FRAMING - -
1. SNT'ERIOR AIP. FILM 0.68
2. 2 .4
3. 5 1 2 SOFT WOOD 6.87
4• ?," ??Ca12A JiHECifi?nllT 1?5w.1 5,4 -
5. SIDiNG .6
6. IOR AIR FILM .1
T AL R=
U= J.1 ?l
b?
PRanE WALL
I`If.T
i. .
1, INTERIOR AIR FILM 0.68
2. '1i2 GYP ,45
3.
4.
5. .62
6, R A R FILM
TOTAL
d?,. 3a
- U=
.o-l
S?LL
1. INTF,'RIOR AIR FIIM 0,68
2. 6 INSUL. 19.00
3. x_ JO
4• ' 1 I -?1?151AL:??A'CSilw!(? 5.-I_
5. IDING .62
6. D?TERIOR R FI U.17-
.2-1.-7LV
U= . a'l
{6-NDATI4Y+I
WALL
riG . 43
b 4+ -/ ?. r ? d* ?.
BLOCK
1.
2.
3.
4,
5.
6.
INTERIOR AIR FILM 0.68
0 5.00
PROTECfIVE BARRIER
=IOR A F
TOTAL R= .13
U= .14
SLAB ON GRADE
1ff
PZ.6.
? ? ? ,^•
f H
. j
v
?
? • (Y
S - a
. ;
( ;?-- ;i1 ,^ I(t ?:'
? ?( 4
t ?
? .-??-
w
",? -- J? ?_
?
NOTE: INDICATE TYP£, "R" VAIl3E. DEf'I'Fi P1YD
PLACII'IENT OF INSULATION.
ROOP-CEILING
CONSTRUCTION R-VALUE
3 ? 1• INTERIOR AIR FrTM n fia
2. 5/8" GYP BD SE
3. INSIILATION 44 nn
4• EXTERIOR AIR FTT.M__ _._--
0 61
?rENT ? ? 45.80
.\ -- - .02
IOL ?
FRAME
_
1rF21'?'ED 4 `' EEAT FL`Oid 1. INTERIOR AIR FILM 0.61
l-?- u LIP 3. 5 11 NSULATION 38.15
4, E'x' RIOR AIR FILM 0.61 _
?40.15
FIG' #5 U = 0.024
CONS'LRUCTION
1. INSIUE AIR FILM
? HE'AT FIAW UP
NON-V .F?li 'I"'D
hEAT FLOtd
IJP
VD I'?'EJ
2.
3.
4.
5. OUTSI)E AIR FILM
FRAME
1 INSIDE
IR FILM ?'OTAL
U =
• 0.61
2.
3.
4.
5• OUTSIDF ATR FTIM ?17-
L INSIDE
AIR FILM Tt?TEiI,
U =
0.61
2.
3.
4.
IR FILM 0.17
TOTAL
U =
NOTE: USE ADDITZODIAL SHEF-I'S IF MOFiF. S?ACE IS
NEE?ED FOR DEI'AILS AND CALCCTLATZCNS.
FI6. k7
FIG. #6 •
i
ROOF-CEILING
d
yJ L
VENT'ED I ? FEAT Fi101t]
uUP
FIG. #5
x-vArM
1. -,"Lo
2.
3.
4.
TVuu.
U = , oZ5
?-
1. I-
2.
s.
4.
3 •?
U =
1.
FIG. #6
2.
3.
4.
5.
l. 'IbTAL.
_U _
.
2. ?
3.
4
5.
,
l. TOTAL
U _
2.
3.
4.
5.
TOTAL
U =
NOTE: USE ADDTTIONAL SFEEfS IF MORE SPACE IS
rrEmm FoR DEra2LS Arw cAt.cutATIoNS-
FIG. #7
N(ilN-Vt1Vlt1J ?
, HEAT FLOw
.. uP
2004 RESIDENTIAL BUILDING PER11aT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 lf-
New ConsWCfion Reouirements RemodeUReoair Reouiremenls ilfflcg Use dnW ,
3 registered sile suneys showing sq. ft. of Io1 sq. ft of house; and all roofed areas 2 wpies of plan CeR of Snrvgy Recd Y"N
(20%mazlmumbtcoverageallowed) lsetofEneigyCalcuWtionsforheatedaddilions TreePresi'IznReaJ Y
2 copies of plan showing beam 8 window sizes; poured found design, elc. 1 site survey for addNOns & dedcs Tree Pr'CSRequlred A„'?,, _Y =1V
lsetofEnergyCalculations Addition-lMicatei(on-sttesepficsystem QP3 copies ot Tree Preservation Plan if lol platted after 717/93
Rim Joist Detail Options selection sheel (bldgs with 3 or less uni6
Date 3 ? ? Construction Cost ? 0/ o p 0' c> (D
Site Address b L? C??"''?? O vN GUniUSte #
Description of Work 1-k L p1"?
Multi-Family Bldg _ Y4*N Fireplace(s) ?0 2
Property Owner /-I?'V, '^ d' A'vl h O ''\ Telephone # (651 7
Contractor L' G--`) VJS
Address 7 I 7 I C, ?? h Y?' c_ ? fjZ?2. , ci ty Z, G. 1 e?i `? ?-e._
State Zip S S p -IYielephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy CAde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
licensed Plumber
Telephone #(
Mechanical Contractor 6?'?l? M'??4tiic-4/ C& "?'"^r?O?Telephone #(,'?Is--? qZ-z ? y`?
Sewer/Water Contractor Telephone fl
I hereby apply for a Residential Building Permit and aclaiowledge that the information is comp`Tete?'and aecurate;
that the work will be in conformance with the ordinances and codes of the City ofl?Eagan and=the-State--Jof MN
Stahxtes; 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. ?
. ?
p2;-vC-e- rc- L--?, ?.
ApplicanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_vor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundadon ? 45 Fire Repair
)"( 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applieant
Vatuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) Plumbing
_ Fommdation _?K HVAC
Drain Tile Other
` Roof _ Ice & Water _
? Framing Final = Pool = Ftgs =Air/Gas Tests Final
Siding Smcco Stone Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation
- _ Retaining Wall
(
Approved By: 1:? , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
z,-u i?wf
7?s
.0
55 6t)2
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauiremanla
. 7 registered site surveys showing sq. R. of ict, sq. fi. cf house; ana all roofeC areas
(20 % macimum [ot coverage allaxed)
. 2 copies of plan showing Geam Swindow ;2es; pouretl ?ounE Oesgn, etc.)
• 1 set uf Eneryy Calculations
• 3 copies of Tree Preservalion Plan if lo[ platted aRer . 7 '1l99
. Rim Joist Cetail Options sNection sheet (Clags wflh 3 or less units)
DATE ! f I??? ?
s i 57 - a-S
RemodeVRemir Recuiremenb
? 2 copies of plan
• 1 set of Eneryy Calculations for heated addi[ions
• 1 sde survey for extenor additions & decks
• InUicate if home served hy se0tic syslem `or adtlitions
VALUATION 1500
SITE ADDRESS (,YI rYf SO? L6a` C,'f' - MULTI-FAMILY BLDG _ Y >1I
TYPE OF WORK K c/6JG /IX?J?CtLP/Y»ain fif'- FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRE55 CITY Orwn STATEA/VZIPJJ?/lO
TELEPHONE #IR'JA`A(10 CELL PHONE # ?OId-Gff 7V7(? PAX # 9S-?' (fd'd°-dfS4 SCQ
PROPERTYOWNER LA//rJ TELEPHONE# asY- 417'0QO-1
Energy Code Category
(d submission rype)
COMPLETE FOR °NEW^ RESIDENTIAL BUILDINGS ONLY
_ AIINV"1:50'1'.A RliL1:5 7670 G1'1'1•:GURY I NIIrNL•'SO'l'.1 RliL1iS 7672
. Residential Ventllatlon Category 7 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
P!umbing system includcs:
Mechanicai Contractor:
Mccli.mic:il srstcm indudc,:
Sewer/Water Contractor:
-- Air Condiuoning
-- E-Icai Rccovcr}• Sp,lcm
SEP 1 9 2002
I hereby acknowledge that I have read ihis applicotion, stafe that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi c
Signature of Applicant
/
OFFICE USE ONLY
Phone #
Water Soltcncr _
Water Heatcr
No. of' I3adis
. New Energy Code Worksheet Submitted
I.arvn Spnnkler Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
1
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,
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD • 55122 ?j (o Q.?
7? ?-?? 65'1-681-4675
?lew consfruclion keaufremenTs Remodel/Reoalr Reaulreme
? 3 regisfered sHe surveys showing sq. N. M lot, sq. (f. of house
and gLI rooted areaa f20%maximum lot eoveraae allowed)
? 2 eoplez of plans (show beam t window sizer, poured Ind, de:ign; elc.)
? 1 sef of energy calculafions
D 3 copies of hee preservaNon Rlan H lot plafted aHer 7/1/93
DAiE: -7 - Zc,, -ac1
Name: K r-- V(nI -S• Phone#: (OSI CaVl 22c07 4
La:t Pirst (,p S( Co ?6l -?Ca 7(-0 W
DESCRIPTION OF WORK: Aw 17cC-K -F(?) Zc? 'Dr h{o?sc-
STREET ADDRESS: Cp z-!?S CR-Ar.? LE-?- C--r F-??
LOT: 3 BLOCK: y SUBD./P.I.D.#: <
PROPERTY
OWNER
SheetAddress: (?022?6 C-2iM5C?1 L?,? G'T"
ciy ?A?ia,•1 state: mt? ztP: 5S-123
Phone #:
(area eode)
CONTRACTOR
ARCHITECT/
ENGINEER
Sheet
City
2 coPies of plan
7 set of energy calculaNons for M1eated addHlons
1 aRe survey tor exferior addNfona 6 decks
CONSTRUCTION COST: AP/JCvx
?
State:
Company: Name:
Telephone #: area code ( )
Sheet
Cify
Sewer 8 wcter licensed plumber (reauired for new conshuction onlvl:
State:
PertaHy applies when address change and lof ehange is requested once permff Is Issued.
Zip:
Zip:
I hereby acknowledge that I have read fhis appltcaflon, sfate fhat the informaHon is correcf, and agree to comply wRh all applicabl
State of Minnesota Stafutes and City of Eagon Ordinanees. /
Signoture W Appiicanf:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Registration #:
License # Exp.
Tree Preservation Plan Received - Yes - No - Not Required
CITY OF EAGAN FOR CITY IISE ONLY
3830 PIIAT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT ii
?GY38[7?CA?,?RM?fi DATE: /
R,?SID?NTSlLI;;; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
xA.. TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED EOR EACH UNIT.
------------------------+----------------------°--------------------------------
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: ,&ec!l4nd 1-16y,E.j
SITE ADDRESS: ?.?y C_r/.mSon L P4 ?'LOT: 3 BLOCK -'/ SUBD. Au7`u.v,n RIai4 er
INSTALLER: _01e7f_e He'r-? `rne .
ADDRESS:
CITY: Y'rl`ar LA ke zrr: 5537?
PHONE #: 'yJ7 - F/ -jy
FEES
ADD-ON MINIM[TM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ -z ].06
STATE SURCHARGE: .50
TOTAL: $ ? 7.5- 6
SIGNATURt OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDZNGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
-------------------T------
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
FROCESSED PIPIivG = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
CITY OF EAGAN
PROMM
,
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
g1:t"I1?Tggm DATE: .3 5 ?--
(? y I - ?l& Od
PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS ?OM CS\Vh.4:,r\
IAT: ? B1ACK \ SUBD.
INSTALLER: ? f\\etv\c-'N\C'L--?
ADDRESS: R_°? ? GY-\C-
CITY: fFn?SE ZIP: 453??
PHONE #: L?Lvl'
OF PERMITTEE
DWELLINGS &
---- ---------------------
COMPLETE THE FOLIAWING: ------
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
?
WATER CIASET
3.00 ?-
I BATH TUB 3.00
-I LAVATORY 3.00
t KITCHEN SINK 3.00 ?
I LAUNDRY TRAY 3.00 ?
HOT TIJB/SPA 3.00
? WATER HEATER 3.00
f FIAOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 -S w
? ROUGH OPENINGS 1.50 y,sc
_ OTHER
WATER SOFTENER 5,00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL $
ST. SURCHARGE .50
TOTAL: $ ? I . C%-*)
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $_
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN
.• ?.
955274
aaroiaa amaa
YRE880RS 1tIDDCIIt6 VALVE anmmw
Tb;s Agzeement, made and entered into the a°Y
o! r/ua /ST , 1990, by and batween the CITY OF EAGANr a
auniclpality oP the Stata oP ISinnesota, (hereinaiter called the
City), and the owner and the Developer iflentified herein.
Tha tarm •Developar• as usad herein raLers to: AUTOlQ1 ItIDCE
LIt[ITfiD PARTHIItSHIP, a Minnasota limited partrtes'ship, c/o JA!!ES
pgygWpllgNT Cp}PANY whose address is 7808 Creekridge Circle, Suite
730, Bloominqton, Itinnesota 55435.
Tha term "Owner" as used hernin rafers to: AUTUt47 RIDGE LZMITED
pARTNSRSHIP, a Minaesota lfmited partnership, c/o JHTIES DEVELOPMENT
COMPaltY whose address is 7808 Creekridqe Circle, Suite 310,
Bloosiaqton, Minnesota 55435 and RUTH CONRAD vhose address is 5015 -
SSth Avenue South, Apartment 215, Minneapolis, lSirtneso[a 55417. SiAEREAS, the Developer has applied to the City for approval oP
the plat or subdivision knovn as At]TtRB7 1tiDGE, loeated within the
City; and
WHEREAS, the pvner and Developer aqree to notify the proposed
potential buyars of all lots vithin AtlT014i RIDGE that Lots 1-7, Hlock
1, Lots 1-8, Block 2, Lots 1-9, Blxk ], 7.ots 1-17, Block 4 and Lots
1-5, Block 5, are in a hiqh vater pressure zone and a pressure
teducing valve shall be installed in each home Dalov the elevation oi
966 feat. all costs sAall be the resPensibility of the Owner and
Developer and shall be installed to prevent damage due to high vater
preasure.
?
?
`?'+:+
N01i, THEREFORE, the City, Owner and Developer agree as follova:
1. Beeordinc. This aqreement shall be recordad vfth the Dakota
County Reoorder so as ta pmvide notice to the owners of Lots 1-7,
Bloek 1, Lots 1-e, Block 2, Lots 1-9, Block 9, Lots 1-17, Bloek 4,
and Lote 1-5, Bloek 5. The Ovner sha11 provide and execute any and
all documents necessary to implemani the reeording of this aqreement.
2. Notice. The recordinq of tAis document shall constitute noLiee
!o all amars and luture ovners of property in the AOTUlW RIDGE
subdivision Lhat Lots 1-7, Block 1, Lots 1-8, Block 2, LoLS 1-9,
Blaek 7, Lots 1-17, Block 4 and Lots 1-5, Block 5 are in a high vaier
prosaura zone and that a pressure reducing valve shall be installed
in aecA home belov the eievation of 966 feet. All costs shall be the
responsibility of the Ovner and Developer and shall be installed to
pravent damaqe due to high vater pressure.
3. Validitv. If any portion, section, subsection, sentenee,
clause, paraqraph or phrase of this aqreement is for any reason held
to be invalid, such decision shall nat affect the validity of the
remaining portion of this Contraet.
4. Bindina Aareement. The parties mutually recoqnize and agree
that all tezms and oonditioas of this recordable aqreement shall run
rith the land herein described and shall be bindinq upon the Aeirs,
auccassors, edministrators aad assiqns of the owners and developers
relerenced in this Contract.
IN iriTNESS WHEtFAF, we have Aereunto set our hands.
CITY OP
AUTqt4d RZDGE LIISITED PARTNERSHIP,
a Kinnesota limited pasinership,
!Th6mas By: JAlES DEVEIAPMENT C01?PAN1?,
A. an a Minnesota Corporation
ts: Mayor Its: Ceneral Paztner
e.ss ` J. varoverbeke y: nate •t'9?'
2ts: ity Clerk Its:
/
gy; Date
Ite:
?
Y,.&
R fH CONRAD at
DEVEIAPER:
AUTUMi RIDGE LIMITED PARTNERSHIP,
a Minnesota limited partaership,
Hy: JAMES DEVELAPMENT COMPANY,
a Minnesota Corporatioa
Its: Geaex'al Partner
-V?
gy; Date
Zts:
.y.
,
?
/
gY; Date
Its:
Sf11TE OF MZNNESCTA
L*OIINTY OF D.0ICOTA
ss.
On this Zr& day of e_z , 1990, before me a Notary
Public vithin and !or said Coun , personally appearad Tt[OMAS A. EGAN
and E. J. VanOVERBIICE to me rsonally knorm, who being eech by me
duly sworn, sach did say that they are respectively Lhe Meyor and
Clark ot the City of 8agan, the municipality namefl in the toregoinq
instrureent, end that eha eeal aifixed on behalf of said municipality
by authority of its City Council and said Mayor and Clerk
acknovledqed eaid inatrument to ba the free act and deed of said
municipality. l,'?,
j / ?
rRar.ri L w=[rtrmns G ll
wo-?n. n..C - rw.xcmu N tar , Public ?
? DAKOTA CCUNTY /
?ry [emmrs:inn ?9 i<a 1. 1'",.,1' _ ?
STATS OF }QNNESOTA
) ss.
COUHTY OF )
On thi day oi 1990, before me a Notary
Public v3 in. nd forsaid County, personally
appeared ??'!?h Oi0 _ to me
parsonally'' knovn, xho being each 6y me 8uiy s n„ ch d say thai
?y are respeetively the 1?' --
o! JANES D?E EtAPMENT Cb1'PANY, a
Kinnesotn corporation, general partner of AUTU14t RIDGE LnUTED
p11RTNffitLEP, a Minnesota limited partnership, to me personally known,
vho be? , me duly svorn, did say that they are
of the
tna SOL.S an+
eorporation and limited partnership named in the foregoing
lnstrumant, aMl that tde seal affixed to said instrument was siqned
and g?ale?d??on h?f or?aid corpcration and limited partnership and
said %? ]/kYES L at,& acknovledged
said instnument to be the free act and deed of said corporatfon and
liaited partnership.
VIA? L.
Notary Pu ic
"41"
? ftwob call?
?
_,?.:? :.?.; .. ..
? ' ._......,.
?..... ::i
ST11TE OF
ss.
C09NTY OF
On. this ILI"- day of , 1990, before me a Notary
Public vithin and for said Connty, rsonnlly appeazed RtT17t CONRAD to
¦a personally knorm to he the person deseribed in and vho executed
the foreqoinq instrument and acknwledqed that she exeeuted the same
as har lrea act and deed.
.?.. ? 6 ? ??? ? • ?G/
Notary Public
?+ ay?d`aw
1tPPROVBD A5 TO FoRti:
Attorne O
tGd:
11PPk0{i8D A.5 TO CONTENT:
Public Worka epartment
Dated: 8- 7- 9 0
THIS INSTRD!ffi7T WAS DRAPTSD BY:
SBvMlSON, iiII.COX i SHII.DON, P.A.
600 llidvay National Hank Bldq.
7300 xest 147th Street
llpple valley, !IN 55124
(612) 032-3136 .
![CD
*
't PIONEEF
? engineerii
****.
Certificate
LANO
2422 Enterprise Orive
Mendota Heights, MN 55120
16121681-1914
of survey for: KeAand Construction, Inc.
Model Name: 3528
i
. i i
ao i
955.6
V
?
i
\
G , ,K
94j0j ?? ? 623? tr
h
S3r s3n
1Q
? •o p@ y. F
i
1
R = 7.50 \
?= 95°42'30 987.5 C
L = 12.53
gs i ? ( ti0 ?
. ?
7 ?
? <?.* ? \ ryoa?i • ? ?
\ 0? ? / \ 9$5.0
. \ ? /,`?'\
a ; 3 w
07 ???5,
---
\ ? ` 954.4
\
?'rir ?a.--?-_-• \ ` ? ?
• ? ?C, d«° s,? \ D „ - - --
? R! U
E
Date
EIdGIIVEERING
? soo.u Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• eoo.o Denotes Proposed Elevation Lowest Floor Elevation:955.96
Denotes Drainage & Utility Easement Top of Block Elevation:959.16
- Denotes Drainage Flow Direction
-cr- Denotes Monument Garage Slab Elevation:958.83
--$-- Denotes Offset Hub Bearings shown are assumed
LOT 3, BLOCK 4 AUTUM.N RIDGE
lv?
- UAKOTA COUNTY, LAINNESOTA ??AMo Ri?? UNR??`
I herehy cer8fy that Ihis it a true anA correct representation ot a survcy of the boundorfes of the above de cdhed lan and o( the location oi all
buildings, thereon, and all visible encroa[hmenl5, il any, from or on said land, Az surveycd hy me lhiz4244 daY ol A.D.
19?.
Scale: 1l^h=30feet ? . ? .
ROBERT S. SIKICH L.S. REG. NO. 14891
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Use BlUE or BLACK Ink
i For Office Use � � � i
' � Permit#: � � �
Clty of���aIl /��
� Permit Fee: v a I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone:(651)675-5675 i I
Fax:(651)675-5694 I Staff: I
I I
L.����������������J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � Site Address:����'b V f 1��� t/�,� V� � Unit#:
Name:�� y � �Vli�/v1.�V� Phone:
Resident/ - �y � '
Owner Address/City/Zip: Vl
Applicant is: Owner �Contractor
T e Of W Description of work:�t�� r { 1 V �� V L�V`� Dr , ' `^� � •
yp ork
Construction Cost: � Multi-Family Building:(Yes /No�)
Company: �� Contact: ��'�,�,��Y L
Contractor Address:��� �i/`�G��1V� ��j�1 City: v�� w�.� � ,��1�p�--
State: �� Zip: �'3"j'�� Phone: �0i YlL�� ���� � �i�f�
License#: ��V ���I� Lead Certificate#: N � 1 � �'Y;J V'/�"� �;
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�� ��- � �a�,
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:
NOTE:Plans and s�pporting documents that you submit are consideretl to be public information. Portions of
the informafion may be classifietl as non-pubiic if you provide specific reasons that would permif the City to
, conclude thaf fhey 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.popherstateonecall.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 oniy 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 pians.
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 ��t�t�o��t t�CS� X `
Appiicant's Printed Name Applic Si ure
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Aiteratlon(Single Family)
_ Single Family _ Garage _ Porch(4-Season} _ Exterior Alteration(Multi)
� Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
_ 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 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_100%_) Zoning City Water
� Census Code Stories Boosfer Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final ;
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
iFor Office Use �� i
� � Permit#. � �
C��� of�a�a� � . �s��- ;
� Permit Fee: d �
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 � �
Fax:(651)675-5694 I Staff: I
I I
� 1�����������������J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
... I� �j_ (,QZ�_Ci��.S �� � �
Date: � Site Address• � � �� C�� #•
Name:�� h � / 1 V lY !G p(���1 �Phone'lX L� ' '—f�.J�'1
Resident% �
Owner Address/City 1 Zip: �
Appiicant is: Owner �Contractor
Type of Work Description ofwork: t�-c � � � I ���G
�
Construction Cost: � ` Multi-Family Building:(Yes /No )
CompanY� Contact: �.� �i ��
Contractor Address: V (� � Ciry: v�•���;�.� ����,
. . . .
, - - _.___ - - -- -- _ _ _ . __ __ _ -- _ __.
State:�Zip:� Phone: _ . _ _
License#:�J1�-����� Lead Certificate#:_�� 1 ;s '✓`T� l0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
� f� � ���
� 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:
NOTE:Plans and supporting documenfs that you submit are considered to be public informafion. Portions:of
the information may be classified as non-public if you provide specific reasons thaf would permit the Cify to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Cail 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.qopherstateonecall.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.
---- x erior wor au orize - y ui in p i-i s -n - - -------- -
days of permit issuance.
x Ti� I/-tll/wsl/t/N I �-1t�J � x
Applicant's Printed Name App'c 'gn ure
Page 1 of 3
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Use BLUE or BLACK Ink
r-----------------
For Office Use
Permit#:
City of Ea
Ed�
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone:(651)675-5675 I I
Fax:(651)675-5694 1 Staff: I
I I
C� 2016 j. RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ` Site Address: "fG -r L ° & Unit#:
V �`
Name: ' t PC' �c i Phone: (�� S�U'
'„ 1 � � /'Y r
® Address/City/Zip: tad t7 �t l^`_� '� @c-` %r//
Applicant is: Owner Contractor
Description of work: / u e S �� e
Work
. Construction Cost: `// j
v L Multi-Family Building:(Yes /No A )
Contact: ( � <
` Company: 1�1�c E i y,C-
Address l �U�t(C✓' JC�hc'" f City:
Contra �xr —
>:
State:�dZip: � �phone: /'J
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:
Nt'��E �as a' �pportr ot�siaib� are cce»�i'c�e � � �� . pf
t rn #r a Abe
a y c A red as nv Iic your p�oide bed fi�� #the Cdr#
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 ithout 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 it g C e must be completed within 180
days of perrmit itssuance.
X_
Applicant's Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140610
Date Issued:01/06/2017
Permit Category:ePermit
Site Address: 628 Crimson Leaf Ct
Lot:3 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-030
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Kevin J Paulson
628 Crimson Leaf Ct
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature
•
• Use BLUE or BLACK In T)
For Office Use
Permit#: % )6 3-Z 1
City of Eaau
Permit Fee: /
3830 Pilot Knob Road r� 7
Eagan MN 65122 RECEIVED Date Received: I �/
Phone:(651)675-5675
Fax:(651)675-5694 JAN 0 4 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: kOt i1 44 i Nik PALL t- Clu..' Phone: i2-- '1 f.;
Resident/
Owner Address I City/Zip: ° t t, i, Cates-T
Applicant is: Owner Contractor
.tai Its tec
R °
Type of Work Description of work:.,, t"tty-i e. t Y v tt (a Y3 i1/414.1,4 mar`€ ;. t .
Construction Cost: lek`jmoo*` Multi-Family Building:(Yes /No t.0041
Company:., r,
, 1.. Contact: IL,o rZ¢
Contractor Address: ( .M. City: t ,A ,
State: Mf" Zip:6,5 17-5 Phone: 1-z:46- Email: j tki t f,A " a441'
4
License#: i Lead Certificate#: t"-rriets
If the project is exempt from lead certification, please explain why:
eta,iii' Avto l I S
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.
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building *ode must be completed within 180
days of permit issuance.
Applicant's Printed Name Applica Signature
Page 1 of 3
) ' 4._) c .
• LINE (f
DO NOT WRITE BELOW THIS. & p 0 C.K 1 671 S 0 0 t Ofr 6 1 c ��
SUB TYPES
_ Foundation _ Fireplace __ Porch(3-Season) — Exterior Alteration(Single Family)
,i Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
— Multi _ Deck T Porch(Screen/Gazebo/Pergola) _ Miscellaneous
— 01 of_Plex — Lower Level T Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement ____ Siding _ Demolish Building*
__ Addition _ Move Building ! Reroof _ Demolish Interior
))F- 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 540= Occupancy Z/L .•/ MCES System
Plan Review Code Edition Agyr SAC Units
(25% 100% Zoning ,1Z„f City Water
Census Code 4,341 Stories -. Booster Pump �-
#of Units / Square Feet PRV
#of Buildings 1 Length Fire Suppression Required
Type of Construction '7 g Width _,
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) Final I No C.O.Required
Foundation Foundation Before Backfill - HVAC_Gas Service Test as Line Air Test
Roof:_Ice& ater _Final Pool: Footings Air/Gas ests _Final
XFraming 1730 Minutes 1 Hour Drain Tile
t.X Fireplace: (* Rough In 4 Air Test ,iy`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: r'f ,Building Inspector
RESIDENTIAL FEE
Base Fee 1/r 0 �� r,ter✓ e4 „zo,, 94,Q
Surcharge P Ggit, f
Plan Review ?G 2..-9----
MCES SACII ���
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
r
For Office Use
:::::e:
City of Eaal
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 L Staff:
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 4 2 C 1'`j `I/1 .� G ki ck 1 C
Tenant: Suite#:
Resident/Owner -�
Name: 1/: °•--1-( ! 5 cL Phone:
Address/City/Zip: G't'r-
Name: (/Q L/ e C /9L � License#: cf`fel--7)
Contractor
Address: L d d �GGC �a C �2 City: /'/eK c-: 14. (-/ �
State: /""\ Zip: �1 T—(o)-d Phone: 6 ? 0-g7
Contact: Email: i
New Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Type of Work — —
Description of work:
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ( RPZ/—PVB) i
Permit Type )c' 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*(includes 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 $
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 withtheapproved plan in the case of work which requires a review and approval of plans.
x P4—L/t. Ci' i e c-rr x �.
Applicant's Printed Name Applicant's • ature
FOR OFFICE USE Reviewed By: Date;
Required Inspections: Under Ground Rough-in Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
Use BLUE or BLACK Ink
r For Office Use
�
I
. Permit#:City of aau i
Permit Fee: 6r
3830 Pilot Knob Road 1 '
Eagan MN 55122 Date Received: / h`I
Phone:(651)675-5675
i
Fax:(651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site/ Address: Unit#:
Name: KQs3(A.) —ir Phone: (o - 2441 A-4f4
Resident/
Owner Address/City/Zip: C7 (1,04,1.1. SA t..s 1 T --
Applicant is: Owner contractor
Type of Work Description of work: t(A)1?-14{(__ 16)0O—
Construction Cost: . j o AO Multi-Family Building: (Yes /No
Company*-14 .4I 1 ,ytst. Q.11.07- dl Contact: C.��vu a it
Contractor Address: melte SP 14- CD oil— City: F bt
I State: LTJ Zip: SSt Z7-- Phone: 611 -Z38 ° Email: _A „A)4~c,LI atx„A k-► suet"
License#-.? Lead Certificate it ---2cAdt t4 \5t93
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.
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.qopherstateonecall.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 Builds g Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applic is Bignature
Page 1 of 3
o 0 - (M-1--c014- L- DO NOT WRITE BELOW THIS LINE /�6-7a6.-
SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family) `
— Single Family _ Garage — Porch(4-Season) _ Exterior Alteration(Multi)
Multi f" Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool — Accessory Building
WORK TYPES
_ 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 Occupancy 0 p y 1 %1Lx tri, MCES System
Plan Review Code Edition ikt _ - ' SAC Units
(25%_100% .) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction --gb---- Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) ifX 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: 11\ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surchargeiy Wt.--
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant 1/114 N t :' 0
Copies 1
TOTAL
Page 2 of 3
g eleity. OALe-fig(' C /Woo‹
* 2422 Enterprise Drive
* PIONEER LAND SURVEYORS•CIVIL ENGINEERS Mendota Heights,MN 55120
*
engineering- LAND PLANNERS•LANDSCAPE ARCHITECTS (612) 681-1914
* *
s.
Certificate of Survey for: Keyland Construction, Inc.
Model Name: 3528
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E. ,x N11G EERI.NG DEPT —
. 900,0 Denotes Existing Elevation PROPOSED HOUSE ELEVATION
• 900.0 Denotes Proposed Elevation Lowest Floor Elevation:955.96
- — - Denotes Drainage & Utility Easement Top of Block Elevation:959.16
—Denotes Drainage Flow Direction j
—o— Denotes Monument Garage Slab Elevation:958.83 j
—o Denotes Offset Hub Bearings shown are assumed
LOT 3 , BLOCK 4 AUTUMN RIDGE
DAKOTA COUNTY, MINNESOTA Ali 1, r r:.$ µ7 z'g
I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described Ian and of the location off�_9_1A .D.
buildings, thereon,and all visible encroachments, if any, from or on said land. As surveyed by me this 4.day Of
A.D. 19Z// ”.
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14
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146469
Date Issued:10/26/2017
Permit Category:ePermit
Site Address: 628 Crimson Leaf Ct
Lot:3 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
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 -
Kevin J Paulson
628 Crimson Leaf Ct
Eagan MN 55123
(763) 544-8761
Lindstrom Restoration
9621 10th Ave N
Plymouth MN 55441
(763) 544-8761
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166659
Date Issued:01/26/2021
Permit Category:ePermit
Site Address: 628 Crimson Leaf Ct
Lot:3 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kevin J & Anna R Paulson
628 Crimson Leaf Ct
Saint Paul MN 55123--304
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177973
Date Issued:07/27/2022
Permit Category:ePermit
Site Address: 628 Crimson Leaf Ct
Lot:3 Block: 4 Addition: Autumn Ridge
PID:10-12300-04-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Kevin J & Anna R Paulson
628 Crimson Leaf Ct
Saint Paul MN 55123--304
(612) 209-4450
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature