639 Crimson Leaf TrAddress 639 CMrn15oN LEAF TRATT.
Zip 5512 3
L.ot ,_ Blk 3 Sub aUnm amcE
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: 03/23/93 . Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass ?
TraiUwtb damage L/
Porch (/
Sasement finish ?
Deck ?
Please verffy with the builder the removal of roof test caps from the plumbing system and Ihe shutoff of water supply ro
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righbof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
o-
1
?
C?? ?.??cate ?? ?ccu?anc? .- -??j
Imitq of Paw
Wtv"imut Of 131111IM"S 3nd"Md"
This Cert?'ftcate issued pursuant to the nequirements of ihe Uniform Building Code
certifyireg that at the time of issuance tJus structune was in compliance with the variows
ordinances of the City regulating building construction or use. For the following:
" 1338
use ciassircuron: SF UC ew Permu ro.
/MI R
Oc-pancy Type PARISH MCIG & IEV?? 3 BRUMM I?Id, EAGAN
Owner of Building Addmss
BU?B Address 6? IF? ?. s s
` 03/23/43
noe:
BuiMumg OfficW
N
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE: TYPE OF WORK:
.. .
?;?? i I ?? k Nrs
E3 .'', <1 !., (A
?
? _ _ ?
Permit No. Permit Holder Date Telephone ?I
ELECTRIC
PLUMBING
HVAC
Inapection Date Insp. Gomments
FOOTiNGS
FOUND
FRAMING
ROOFING
RDUGH
PLUMBING
PLBG
AIR TEST
ROUGH
FiEATING
GAS SVC
7EST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAI PLBCd
FINAL HTG
ORSAT
7EST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
r
DECK FINAL /
3?,•j ?1,
"?
?,?
INSPECTION RECORD ?Control No. 0995
• CITY OF EACAN PERMIT TYPE: otf t tatm(i
3830 Pilot Knob Road Permit Nurrrber: 001338
Eagan, Minnesota 55123 Date Issved:
(612) 681-4675
SITE ADDRESS: Lv r, 3 sLdc k: ; APPLICANT:
? 63?) GRIMSDN LEAF TR F'AFtI'iH MKTG F DEVEi_ COItQ '
AUTI.IMN RiU[iE (612) 462-ii1'iAri 4
PERMIT SUBTYPE:
ii I04Fi
TYPE OF WQRK:
N[:LJ
INSPECTION
Ff1U1'ZNfi .• .
f Ft?{M3MEi .A
rHSut Ai c(,a f xNAi.
F iRFP1.A? f"
Rf1fAFtXSE PRV ,TS Ei wd CON7"FtACTpR •- 'IOM HESSIAN F'Ll38
Permit No. Permit Holder Dsta Telephone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTFi1C
Inspectlon Date Insp. Commenta
Footings I
!
•V
Foundation
Framing Z
Rooflng
Rough Plbg. _j/y.+7
t
Rough HEg.
!M f 4
'? r
Sf I" . AI !
lsul. ,Q Uv??e2 ;2-
Fireplace
Fnal Htg.
3
21
OrsatTest
Fnal Plbg. 12-11- Plbg. Inspector - Notily Plumber
Con9t. Meter
EngrJPlen
Bidg. Final
J
Deck Ftg.
Deck Flnal
Well
Pr. Disp.
?ei
; ? .
RESIDENTIAL
BUILDING PERMIT APPLICATION
? CITY OF EACAN Uo
3830 PILOT KNOB RD - 55122
651-681-4675 (
to-((?-d
NewConstruction Reuuiremenls RemodellReoairReauirements
• 3 registered site surveys showing sq. ft of lot, sq. h. of house; antq roofed areas • 2 copies of plan (20%maximum lot coverage albwed) • 1 set of Energy CaIcWa6ons for healed additions
• 2 copies o( plan showing beam & window sizes; poured found design, etc.) . 1 sAe survey for extenor additions & decks
• 1 set of Energy CalculaGons . Indicate if home served by septic system for additions
• 3 copies of Tree Preservalion Plan if lot platted afler 711193
. Rim Joist Detail OpGons selecGon sheet (bldgs with 3 or less uni4s)
DATE I o , lo )-06 I VALU,QION A 15
? L7 C? ?
JOB SITE ADDRESS "??Jl Cir'.. c u.r LewY Tr,? I
IF MULTI-FAMILY BUILDING, HOW MIANY UNITS? NIA
PROPERTY OWNER ? e,:,.+ N 1 cL,a c
TYPEOF WORK Fi.+i'& Lo...?:r L? vQ-l
APPLICANT
o.jct.r,ctio.j . 1.-LC
FIREPLACE(S) Y 0 _ 1 _ 2
_ PHONE# b0l.2l-01 6-!N0
ADDRESS _:V2''.iA RL-4- )aj Lr.Hf I 4+J[ua I WV ZIPCODE Sc-Ia 1 L
PAGER # N I Wr CELL PHONE # lietl. a-o 1.qq-I o FAX # 7-iS. 381.
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULGS 7670 CATrGORY 1- _- - '?
(check one) - Residential Ventilation Category 1 Worksheet Sutimitted
- Energy Envelope Calculations Submitted ?a2CL) ' ?
_ MINNESOTA RULN:S 7672
- New Energy Code Worksheet Submitted ?
Plumbing Contractor: Phone
Plumbing Sys[em Includes: Watcr Softener Lawn Sprinl:ler Pee: 890.00
Water Heater No. of R.I. Baths
No. of Baths --
Mechanical Contractor:
Vlechanic.il Sysccm Includcs-:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovery System
Phone #
r«:
$70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc
Signature of Applicant r J? a(?`E
{?p? ??31 ?G.JS hNC?IISN? LLc-
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required ?
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of _ plex
? 04 02-plex
? OS 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y orX N
? 31 New
? 32 Addition
X 33 Alteration
? 34 Replacement
7,God e`
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bldgs ^
Type of Const
Occupancy 7t - 3 MC/ES System
Zoning City Water
Stories - Booster Pump
Sq. Ft, PRV
Length Fire Sprinklered
W idth
REQUIRED INSPECTIONS
_ FooRngs(new bldg)
_ FinaUC.O.
Footings (deck) FinaUNo C.O.
_ Footings (addi[ion) Plumbing
_ Foundation HVAC
_ Drain Tile
Roof Ice & Water Final Other
? Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
? insularion _ Windows (new/replacement)
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
. ?
? 30 Accessory Bldg
? 31 ExL Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int improvemenT ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
•Demolition (Entire Bidg only) • Giva PCA handout to applicant
Approved By
Building Inspector
?
70 - ?'? ?
V 2 REQUEST FOR ELECTRICAL INSPECTION
?^? ? J ^? See lor completing t?is torm on Oack ol yellow cupy
Vo
°X" Below Work Covered hv Thi.c Rennacr
ee-oaooi-oa
ew AJtl iiep. " Typ¢af6uilding AppliancesWired EpuipmeniWired
Home Range Temporary Service
Ouplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Gomm./industrial Fumace
Farm Air Conditioner
OtM1er(spectiy7 Conttactor's Remarxs'.
Compute Inspection Fee Below,
* Other
Swimming Pool
Transforme Fee # ServiceEmrance5ize Fee
0 ta 200 Amps ? 1 #
11 Circuits/Feetlers
0 to i00 Amps Fee
'-
rs
Signs Above 200 _ Amps
Inspecror§ use Only. Above 100 _ Amps
TOTAL
Irrigation 8ooms ?--;f
Special Inspection ?O )
« ?
Alarm/Communication THIS INSTALLATION MAV BE ORDE
Other Fee
^ RE CONNECTED IF NOT
CQMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Rough-'" Date
I certify that the above inspection has ?-"' ??'?
been made.
.i /
OFFICE USE ONLY ??. ,.?.
This requasl voie 18 monros Irom -
n
60g
10p
/3
quesl Da[e
? Fire No. Rough-in Inspaclion
Repuiretl'
? Reetly Now O-Kiil No[Ity Inspeetor
_;,W. E No `h'nen Ready?
I icensed contractor ? owner hereby request inspection of a6ove electrical work at:
Jab Aaal (Sheat Box r Faure No_) Ci
?
/?
?J
J ,J y
? ?? f
A- C.c?/i./
C.!-(lL
Sectlon No. Township Name or No. Ra e No. Coun ,
Occu Phone No.
Pawe, Suaaiie, aaaress
2
?
Elenrica onlractor IGOmpany Name/j ' n
?? C???"C?/ ?L??C? 7
Conb tor's LicenSe No.
??Q
Mailing qtltlr?as7s (ConVeowr or Owner Meking In stailet9i nl
TGJ.G-Cifl'ZL/
A
ut?oriz SiqnaNra iConVaaor,Owner Making
Installa0on)
Phona Num?a
r
? /
?
Lr'w
MINNESOTA STATE BOARD OF ELECTqIC11Y ? THIS INSPECTION RWUEST WILL NDT
Griggs-MWway BIEg. - Haom 5-113 BE ACCEPTED 9V THE STATE BOARO
1821, Univerelly Ave_ SL Peul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
?: Phqne (612) 642-08DO ENCLOSED.
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Lt I Z-ii- 1 09
site Street Adaress unit #
PropertyOwner 1)e?,? ?????5 Telephone# ((G-1 ) 49'a-474)
Contractor Go..d.o.,. W\e?y e.?' Telephone #(5SZ )97 1, Y'E.3rm7
Address 0,cu,45 \Z? Aa? S City 3orYtS?,??G State? Zip ss337
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50.00
?V a
ter S tener Water Heater
replacement additional $ 15.00
_ Lawn Irrigation System RPZ_ new _ repair $ 30.00 ?
State Surcharge $ .50.
I Total N $ jr ?'fJ
I hereby apply for a Residential Plumbing Permit and ac dge that the information is complete
and accurate; that the work will be in conformance with t e ordinances and codes of the City of
Eagan and the plumbing codes; that 1 understand this is not a permit, but only an appiication for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved. L? ?, %
??? r?.?? _?
ApplicanYs Printed Name ApplicanYs Signature
PERMIT
CITY C?F EAGAN
3830 Pilot nob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERAAIT TYPE:
Permit Number:
Date Issued:
cR-44im
BUTLDING
925950
06/30/95
SITE ADDRESS:
639 CRIMSON LEAF TR
LQT: 3 BLQCK: 3
AUTUMN RIDGE
P.I.N.: 10-12300-030-03
DESCRIPTION:
B?ii3Xtlzng:,,'Permit Type DECK
E#uilding r
k Type NEW
-Wb,
,
y
(3
St?y
•? l
F
1 ?
9
?jt ? tnx '
?
gii1? ?'.RAr?
h+ w4 a2
¢?;i?
{a { y
+f ma aQ?
I ? !R0.t„ rt? yy ?,M
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fea $30.50
CONTRACTOR:
?.
I Yr$r4?lay aeknowledge thaCi I haVe' Y
irtfurmation is corr_-eet.?arrd°agrea` t
SCaCut:es and.City af F-a,gan 4rdiri;an
APPLICANT/PERMITEE SIGNATURE
OWNER: - Applicant -
BURKSTRAND DAVE
639 CRIMSON LEAF TR
EAGAN MN 55123
(612)683-9562
d this.x?p,A?'icati&n a(rd" 5t?'te '?hst'the, -, ,
:o'mply'?;??:th al,';l ?pPlicffble statA' ctfi On.`
?.;
??n?
?n R:
fl?i(1 ?
ISSUE SIG UREt L
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
mq4l 0 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Conshurlion Reoulrements RemodeVReoair ReouirerneMs
? 3 registared site surveys ? 2 capies W plan -
? 2 copies ot plens (indude beam 8 window aizea; poured Md. Eesign; etc.) ? 2 stte surveys (exterior additiona 8 dedcs)
? 1 enargy calculations ? 7 energy calwiations kr heated addidons
? 3 copies of tree proservation plan 'rf IM pletteC eRer 7/7/93
requfred: _, Yss _ No
DATE: S ? lRF-) Iq? CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT BLOCK SUBD.lP.I.D.
PROPERTY
OWNER
CONTRACTOR
Name: Phone 0
??
Street
City: ? CI-J\v ?- State: Zip: 5SI 72)
Company: Phone #:
Street Address:
City: State:
License
Zip&
ARCHITECTI Company:
ENGINEER
Name:
Phone #,
Registration #,
Street Address-
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
i hereby adcnowledge that I have read this application and state tMat the information is correct an agre to comply with all
applicable State of Minnesoca Statuces and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY CE E
Certificates of Survey Received _ Yes _ No Ju N 2 8 1995
Tree Preservation Plan Received Yes No '?"""'?"
"""
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILOING
00133$
08/28/92
SITE ADDRESS:
DESCRIPTION:
REMARKS:
PRV
639 CRIMSON LEAF TR
LOT: 3 BI.pCK: 3
AUTUMN RTDGE
Buildiiag Permit Type SF OWG
Buzlding'Work Type NEW
UEC Occupan'cy R-3 M-1
Ganstruction 'F.ype V-N
Zaning R-1
6uildin-g tengtM . 60
Building W3dth 50
J,
r?
t:-V1.3
r?j ?.?
a'
- }. •. ?.T _ . t.? %
?? 0--;Ldbff<-l
S& W CONTRACTOR - TOM HESSIAN PLBG
FEE SUMMARY:
VALUATION
8ase Fee
Plan Review
Surcherge
SAC
SAC $
SAC Units
5ubtotal
$727.00
$472.55
$62.50
$700.00
180
$1,962.05
$125,000
MISCELLANEOUS $1,610.50
7ata1 Fee $3,572.55
CONTRACTOR: - Applicant - sT. 1.7C OWNER:
PARISH MKT6 6 pEVEL CORP 14526644 000105 PARISH MKTG & DEV CORP
3799 BRIARWOOD LN 3799 BRIARWOOD LN
EA6AN MN 55123 EA6AN MN 55123
(612) 452-6644 (612)452-6644
I hereby acknawledge Chat I have reatl tlris
infinrmation is carrect and agree ta cpmply
Statut-es- City of Eagan Drdinances.
L
APPLI ANTlPERMITEE SIGNATURE
application antl state th&t tlie
witfi all applicabJ.e State 6f Mtt.
I
tOtifl 4.otd J
SUED BY: IGNAT UFE
Control No. 0995
PERMIT f I
REACTIYPTE _
~ I33?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
6814675 ?-?
I ? RECn
SINGLE 6 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 $ ? 19 ? 92 Valuation of work
Site Address: 639 Crimson Leaf Trail
STREEi SUfTE /
Tenant Name: (commercial unly)
IAT 3 st,ocx 3 SUBD. Auttmm Ridge P.I.D. N
Descri tion af work: Single Family Home
The applicant is: 13_ Owner IN Contractor 0 Other (Deseribe)
Name PEIRISH MARKETING & DEVELOPMENT CORP. Phane 452-6644
Property LA57 F1R5T
Own er
Address 3799 Briarwood Lane
. . STREET STE N
City Eagan State Minn. Zip 55123
Company same as above Phone
Contractor Address License # 0001054 Exp.
City State Zip
Company Phone
Architect/
Engineer Mame Registration ;C
Address
City 5tate Zip
Sewer 6 water licensed plumber Tom Hessian Plimbing - 432-6898 Processing time for
sewer 8 water permits is two days once area as been approved.
I hereby acknowledge that I have read th.i.s-ap lication and state that the information is
correct and agree to comply with all appl9cable S ate of Minnesota 5tatutes and City of
Eagan Ordinances:
Signature of Applicant: v ???
OFFICE USE ONLY
BWLDING PERMIT TYPE -
? 01
Zd Foundation 0 06 Duplex ? 11 Apt./Lodging
02 SF Dwg. 0 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Parch ? 09 12-Plex ? 14 Fireplace
? 05 5F Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
EI 1'9-Bas,ement Finish
El 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miseellaneous
X 31 New ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) V'-M Basement sq. ft. MWCC System YE5
(Allowable) -?/rN lst Fl. aq. ft. City Water ?Las
UBC Occupancy R_2 M-? 2nd F1. sq. ft. PRV Required YEs
Zoning R-I Sq. Ft. total Booster Pump
?` of Staries Footprin t Sq. ft. Fire Sprinkl er
Length ? p On-site well Census Code _/ol
Depth Sp' On-site sewage SAC Code ?
APPROVALS
Planning Building
Engineering Yariance
REQUIRED INSPECTIONS
? Site
? Nallboard
? Footing
? Final
Assessments
? framing
? Draintile
0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Mater Meter
Acct. Deposit
S/W Permit
5/W Surcharye
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
SAC 76 lofl
SAC Units -}-
12Sc?o°
volt.t;m: $
?T, •?,,,,,,7 G?L??'S ur?F1NrSNFAARfd
30)t- 46=--!t34s?z.°. GGxzy?38Un?as`762>0?
`7y 2' P?
n'/zxy=
Ix r?- ?°-
1 yoq x.51 _!I _?`W i
?I Y(p=
f ---
?,Na
?--?
d'V`F3o =
y-q °x r:- _...
a1p
' ?50 ?6= tG?loo
,
53= 3g1`o
,
4 1: '
a4zj? 30= GGo
11 x-7 _ cyx
?.
?? • .
h r
? . . , . ?,r. ?.RV.( X.
-
. ? - . EXTGItIUIt F.NVE[.OI'E AVIiIi11CE '•U•• C07-11'U1'ATiO11
.. GWIJT•,R - -
st-re nDoiu:ss I,o'C S?-_ oL? ??1 Ata-mM4j RtDGi;:-- -
. ' coNTrArroreP.W/d-f/
DATE
Detcrmine Working squarc footagc o[ cacli. 1. Total exposed wall arca ....... /9j0.0 ?y• ft. x •<< _ ??'3
2. Total roof.ceilinq area ....... 1397, D sq. ft. x .025
?
Total exposed wall area above Eloor
• a. Tota1 wall windov area .................................... /3f.G
b. Total door arca.-••'•• ..............•.....................
c. Total slidinq glass door'area .............................
d. Total fireplace wall area ................................. p
e.' Total wall framing area (average lOt)..................... ,- ?,P
f. Total net wall area above floor ........................... eil- 3._
g. Total rim joist area ...........................:.......... /olPj?3
? Total exposed foundation arca
0
h. Total foundation uindow arca..............................
i. Total net Eoundation area above qrade ..................... 7'j.0
Octermine "U" value of each wall seqment.
: a. x ..U.. .,.s'S = 7/i•8
. b. yo•e X ..U.: .o71
.. -?•8'
C. 30. B X ,.U,. ,.,3 5- _ /L• 9
a. D x ..u.. ? O O
. e. ?93• o X ..?.. . /?- ?.3. y
r._ x ,.u..
.,. /0?•3 ;. ,.?,.. , o y3 ?- ...._5.• F- - --
., ..i?•• p - V' .__.
_ 77 0 . ...... . 0 9li S. B
.
'
?
. .. ?
1 ..................................... Totnl
_
IC itcin q) is tltc samc a5, or Chan itam ql, you hav • mut ch., i,ntcul
oe suc Goar,(c) z. oQ(P,,a ?/3 /y8• 9J ??Cam ?/ -??z•3l ?...fi'•'?-
.. „?:?,? sQC ?c] s-
, Total exposed rouf/cciling area
j. T4ta1 skylight area..... , . . : . . . ...... . . . .....•-•........... b -
1:.Tota1 roof/ceiliny Eraminy irw (averaye 10'+.) .............
1. Total net insulated rooE/ccilinq acca .......:............. /'f?•? _
.pet.:rmine "U" value for cach rooE/cciling scymenr..
? p x..U., p = O
k. /39 y x°u.. . o.ls 3. s
. 1.1asy4 x ..u„
4 ............................ ......Total = ?!^•8
CITY OF EAGAN
L_?'L MEEcgaxica,i, rExMr RECEIPr # i? 791
SUBD. ?' (612) 681-4675 DATE ` -A9 9-2'
RESIDENTIAL
PLEASE COMPLETE UPPER PORTTON ONLY FOR SINGLE FAMII Y DWELLINGS. AISO, COMPLEfE FOR
TOWN$OMES/CONDOS WHEN SEPARATE PRAMTI'c ARE REQiJ(gEp FOR EACH DVVELLING UNTf.
OR'NER. ?
'
ADD-ON A/C ADD-ON FURNACE ?
STl'E ADDRESS: ADD ON/REMODII, (E7IISTING $ 15.00
'3 7 e Y') _ _e 6;. CONSTAUCTIONONLl)
INSTALLER: I AVAC: 0-100 M BTU 24.00
rHONE #: 12481 Rhode Island Ave? ne.
S0. ADDITTONAL 50 M BTU ? 6.00
nDDRESS: avage, cns ouTLET3 - HmvnKUM i@ $:s En.,:2, o 0
CI"1'1': ZIP: SURCAARGE: $ .50
SIGNATURE TOTAL: $ .3L?, S?
NO PE?tMIT REQUIRED FOR DUCTWORK ONLY!
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRW, BUILDINGS. AISO COMPLEI'E FOR
APAR1'MENT BUILDINGS OR QTHER MULTI-FAMILY BUILDING3 WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTT.
WORK DFSCRIPTION: _ 11 CONTRACT PRICE: I FEFS
196 OF CONTRAGT FEE. ?
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. ?
PROCESSED PIPING • $25.00
MINIMUM FEE - S25.00
ORNER:
STfE ADDRFSS:
TENANT:
SUITE #:
INSTALLER:
ADDRESS:
CI1'1':
PHONE #:
SIGNATURE:
TOTAL:
YA1 A
CITY SIGNATURE:
$
l? Bl CITY OF EAGAN
? PLUMBING PERMIT
SUBD. (612) 681-4675
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
I
NEW CONST _
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS:
INSTALLER:
ADDRESS: 721 REDWOOD DRIVE
L ' CITY: Z P;
PHONE ?
STATE SURCHARGE .50
TOTAL: -3'f'
` COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME:
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOA:
CITY OF EAGAN
CITY USE ONLY
RECEIPT /'o 7d JS
DATE 9 a?.5 5'Y
?
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
?r REPAIR/ADD ON 15.00
! SHOWER 3.00 ?
? WATER CIASET 3.00
BATH TUB 3.00
?
LAVATORY
3.00 ?
KITCHEN SINK 3.00
? LAUNDRY TRAY 3.00
. HOT TUB/SPA 3.00
-
= WATER HEATER 3.00 ?
? FLOOR DRAIN 3.00 3
GAS YIPING OUT.
? (MINIMUM - 1) 3.00 -?
_ ROUGH OPENINGS 1.50
_ OTHER
WATER SOFfENF3t 5.00
PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
COtliR.ii.l ii.ivL.:
1X OF CONTRACT FEE.
STATE SURCHARGE - $,50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
?
LOT ? BLOCK .? SUBD. ??-tcel9.ttr ?i'GQ4?
RECEIl'T # /??? 9 & DATE ??7f?1,; ?
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PERMTT
1993
??
Application Date: ? '"' n ` ?
_ Commercial project
Gallons per minute/rnmmercial only
,/< Residential project (sprinkler systems for development projects)
_ Fxisting residence
Area/address to be sprinklered: !C O
Installer: /-4-- 1' t'? ?? S `2-f'
Street address: (c a 2 ( . r k-'q75o 1L
City, state & ;
Telephone #:
Owner name: eL??ri?AAO Cf! a--4ke-- h
Street eddress: Ci^ r' iySo? -/`? T?? -Q
City, state & zip:
.2,3
Phone #: ¢ - 04 C? J?'
Irrigation contractor, if different:
Phone #:
I hereby acknowledge that I have read this application and state that the information is conect and agree
to comply with all applicable CYty of Eagan ordinances.
! -??- '?Wj-
720- /1
"El
? ` ?/ JL??c'2?C? v/ywc- Y-f / Lf.?C1C/ ?
s ignature of Pemu e
New setvice required _) v
50
Fee due: $ / J`J Calculated
CITY OF EAGAN
UNDERGROUND SPRINKLER SYSTEM PROCIDURE
1993
1. A plan must be submitted to the City's Engineering Department for approval before
installing a lawn sprinkler system. If digging in the boulevard, a right-of-way permit
may be required.
2. Once plan is approved, it will be presented to the City's Plumbing Inspector for sizing
of the meter.
3. Jerry Wobschall, Finance Department, will calculate permit fees as follows:
a. Commercial Qroject: $ 25.50 underground sprinkler permit.
$ 50.50 water permit fee onlv if new service is installed.
$100.00 per tap if installed by City. Please consult with
Engineering Department regarding feasibility of Ciry
installation (Ciry will only install taps up to 1").
b. Residential proiect: $ 15.50 underground sprinkler permit.
$ 50.50 water permit fee if new seivice is installed.
$695.00 per connection - WAC.
$324.00 per connection - water treatment plant.
c. Existin,iz residence: $15.50 underground sprinkler permit -(fee not required
if backflow preventor previously installed); however, plan
must still be presented for approval and an application
must be filled out.
4. Once meter size is determined, Protective Inspections Clerk Typist will contact Utility
Billing Clerk for cost and notify installer of all costs associated with project. If new
service lines are not required, one check may be written for meter and permit costs.
No meter will be sold before all sewer and water inspections are complete on a new
service--(Engineering Department will advise Utility Billing Clerk when meter can be
sold). Receipt will be coded to 20-3716 (meter portion only) with pink copy
forwarded to Utility Billing Clerk.
5. The installer is to contact Protective Inspections at 681-4675 for inspection of the
inside water line and backflow preventor. The Public Works Department may be
reached at 681-4300 for water turn-on and set and seal of ineter. Inspection hours are
8:30 AIv1 to 3:30 PM, Monday through Friday. Requests for AM inspections should
be made on the preceding work day. Requests for PM inspections will be accepted
unti] 12:00 noon that day.
1.
2.
3.
Indicate below items to be affected and include a sketch or plan of work to be done.
Curb 5 Gutter Street Surface
Trail/Sidewalk Trees:
Pond/Wetlands Public
Traffic Control Devices/Signs Private
Drainage Utilities
Structures/Buildings Other
4. Method of Installation or Construction
c,
5. Work to start on or after: and shall be completed by:? unless an
extension granted to: by:
DATE STAFF/DATE
6. Will detouring of traffic be necessary7 /v?o . If necessary to detour traffic,
describe suggested route:
DETOURS: The Director of Public Works shall be notified in writin¢ at least 72
ours in advance of any detour being estahlished, changed or discontinued.
NAME OF APPLICANT /„i _- pCdE` !- PHONE G?-?S4 ' C?Q J?'?,
PLEAS PRINT
ADDRESS 1?`i Cl???l? So/L (x?t 1 iu, X ?] zk ./l?/? ?-`7 /?7
STREET CITY ? STATE ZIP
NAME OF PARTY OR ORGANIZATION P,ERFORMING WORK kG-f. r Y?cGf r` ?
CONTACT PERSON: ? ri N 4Ci-Ie'- EMERGENC (24 HR. ) PHONE ?: .
ADDRESS ???Z;- ?t5ci. L? Ti-• DAYPHONE
STREET CITY STATE ZIP
The undersigned herewith accepts the terms and conditions of this permit by the City of Eagan
as herein contained and agree to fully comply therewith to the satisfaction of the City of
Eagan.
?
Signe4: Title: DATE: ? ?
---------------------------------------------------------------------------------------------
FOR CITY USE ONLY AUTHORIZATION OF PERMIT
FINANCIAL SECURITY: AMOUNT: TYPE:
(Cash,bond,IAC,etc.)
Fee: Receipt No. Permit.No.
In consideration of agreement to comply in all respects with the regulations of the City of
Eagan covering such operations, and pursuant to authorization duly given by said City of
Eagan; permission is hereby granted for the work to be. done as described. in the above
application, said work to be done in accordance with special provisions as hereby stated:.
AP BY• T. OF PUBLIC WORKS
ATE
ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED
WITIiI THE DATE WHEN WORK IS COMPLETED MUST BE.REPORTED TO T1iE EAGAN CITY ENGINEER.
CITY OF EAGAN Page 1 of 5
PERMZT
_ TO VORR WITHIN CITY PROPERTY/RIGHT-OF-WAY/EASEMLNTS
pexmit No. Page 2 of 5
PERTINENT REGUTATIONS
Safety
1. Traffic shall be allowed to pass and to be protected at all times. If it is not
possible to allow traffic to pass, a suitable detour must be provided and plans
submitted to the Director of Public Works 72 hours in advance.
2. Barricades shall be erected in a manner which will provide suitable visibility in all
directions. All barricades shall be in good condition, and all signs shall be of such
size and legibility to provide adequate warning to oncoming traffic. At least two 7"
flashing amber lights shall 6e mounted on each end barricade with one on an advance
warning sign.
3. Excavations must be shored or sheeted when necessary to prevent under-mining of
roadway, trailways, utilities, or for safety reasons.
4. Guys or stays shall not be aitached to trees on rlght-of-way or private property
without written permission.
5. Flagmen shall be furnished by the party or organization performing the work whenever
the work being done creates a hazard either to the tzaffic using said road or the
personnel engaged in the construction, or when directed to do so by the City.
OPERATIONS
1. Permit on Job--Permits or copies sha1Z be kept on the site of the work while it is in
progress in the custody of the individual in charge, and shall be exhibited upon
request made by any City official.
2. Provisions and Specifications--These general provisions, specifications and Std, Plate
P-I shall be considered as forming an integra2 part of each and every permit issued for
operations within Eagan. The work authorized by this permit shall be done at such time
and in such manner as shall be consistent with the safety of the public and shall
conform to all requirements and standards of the City. If at any time it shall be
found by the City that the work is not being or has not been properly performed, the
permittee, upon being notified by the City, shall immediately take the necessary steps,
at his own expense, to place the work in condition to conform to said requirements or
standards.
3. Execution--The permittee shall use diligence in the execution of the work suthorized
under this permit in order not to endanger or unnecessarily obstruct trave2 along any
road or trailway. Operations shall be so conducted at all times as to permit safe and
reasonable free travel over the roads and trailways within the limits of the work
herein prescribed. All safety measures for the free movement of traffic shall be
provided by the permittee at his own cost.
4. Conformity to Laws--The installation shall be made in conformity with all applicable
laws, regulations and codes covezing said installations. All installations shall be
made in conformity with regulations of governmental agencies for the protection of,the
public.
a. The applicant shall furnish a bond or financial guarantee in the amount to be
determined by the City which is required to ensure adequate & timely completion
of repair. This bond or financial guarantee shall remain in effect for 2.years
subsequent to completion of street repair to protect the City from defects in
material, worlananship or non-compliance with City Standards or specifications.
permit No. Yage 3 of 5
b. The applicant shall furnish evidence of public liability insurance of not less
than $100,000/300,000 and property damage of not less than $25,000 issued by an
insurance company authorized to do business in the State of Minnesota on which
the City is named as an additional insured party.
c. Except for the negligent acts of the City, its agents and its employees, the
permittee shall assume all liability for, and save the City, its agents and its
employees, harmTess and defend same at its sole cost and expense from any and all
claims for damages, actions or causes of action arising out of the work to be
done herein and the continuing uses by the permittee, including but not limited
to the placing, constructing, and reconstructing, maintaining, protecting and use
of said facility under this application and permit for construction.
5. Existing Facilities--The utility facility and installations shall not interfere with
any existing utility facility on the City's right-of-way or easements. It is the
responsibility of the applicant to call for necessary locations of existing utilities.
(Gopher One 454-0002)
6. Private Property--The work permit or permit for construction as issued does not in any
way imply an easement on private property.
7. Quality of Work--Finished surface, base and sub-base of road or trailway upon
completion of work shall be at least equal to or better than apecifications of
originally provided road or trailway !n accordance with City Standard Specifications.
Surface shall be finished within 48 hours upon comoletion of backfill.
8. Cutting Trees--The permission heYein granted does not confeY upon the permittee the
right to cut, remove or destroy trees or shrubbery within the legal limita of the
right-of-way, easements that are not specifically identified on the plan attached to
this permit or relieve permittee from obtaining any consent otherwise required from the
owner of the property adjacent thereto.
9. Drainage--All waterways and lines of drainage shall remain operative.
10. Pole Anchors--Pole anchors, anchors, braces or other construction will be permitted
within right-of-way or easements and will be approved on a case by case basis.
11. Driving Limitations.
a. Driving or parking on City trails or sidewalks shall only be permitted for those
operations requiring direct access to the boulevazd area.
b. Vehicles operating or parked within the right-of-way area shall utilize their
warning flashers at all times.
c. Vehicles driving on trails or sidewalks shall not operate in excess of 5 miles
per hour. Vehicles shall operate at slower speeds when weathez conditions, trail
conditions, poor visibility, obstructed sightlines or other condittons require
special precautions to ensure the safety of trail users and the general publSc.
d. Driving sha11 not be permitted within those boulevard areas where damage to turf
trailways or other infrastructure may occur.
e. Vehicles shall not be parked on trails or sidewalks in such a manner as to
unnecessarily impede the safe and efficient use of trailways by the general
public.
Permit No. Page 4 of 5
12. Vehicles or equipment traversing roads or trailway surfaces shall not utilize studded
or chained tires, caterpillar traction, or any other form of traction which will result
in damage to the surface.
13. Clean-Up--Street, trailways and affected right-of-way shall be scraped clean at the end
of each work day and swept clean after construction is completed and left in a neat and
presentable condition.
14. Trees and Vegetation-Burning or disking operations and/or the use of chemicals to
control or destroy trees, brush and other vegetation is prohibited without prior
approval from the City.
15. Fteplacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and
maintained satisfactorily until the turf is established.
The undersigned hereby declares he/she has read and will comply mith all the PERTINENT
REGULATIONS as stated above and relevant City Ordinances.
DATE: ' / ' C { y -? SIGNED
Revised 5/93
LTSijl -PERMIT.FM
PAGE 5 OF 5
PROPERTY LINE ?
SAME AS REMOVED
(3" MINiYUM)
SAME AS REMOVED
(6" MINIMIJM)
?
n
1. Curb and Gutter shall be removed only after saw cutting at joints and replaced
according to specifications or Standard Plate..
2. Bituminous pavement area removed shall be saw cut prior to patching. 3. Boulevard sod removed shall te replaced with minimum 4" of topsoil and cultured sod.
4. 2341 bituminous wear course shall be paved between May lst and November 15th £or
permanent patch. Temporary cold mix patch should be used November 16th to April 20th
(or as permitted by weather).
5. Class 5, 100% crushed aggregate base.
6. Roadway closures in accordance with qppendix B- Traffic Control for street or highway
work zones - MnDOT/MUTCD.
7. Bituminous trsilway closure requirements same as roadway in #6 above.
8. Sackfill shall be thoroughly compacted by the "Specified Density Method" of compaction.
All suitable backfill material placed below a depth of five (5) feet below the final
pavement suzface shall be placed in maximum lifts of twelve (12) to eighteen (18)
inches and compacted Lo a minimum ninety-five (95X) percent of ASTM Specification D698-
64T (Standard Proctor Density), method "A". All suitable backfill material placed
within five (5) feet below the final pavement surface shall be placed in lifts not to
exceed twelve (12) inches and compacted to a minimum of one-hundred (1007) percent of
the above ASTM Specification.
rr ily o1 eagan STREE7 AND BITUMINOUS TRALWAY approved ; standard .
plate #:
? PUBUC EXCAVATION/PATCMDEThIL
WORKS 5193 a-1
DE PARTMEN TRAFFIC CONTROL REQUIREMENTS
L - _ -
TRAILWAY I
L 3 13 3
. '. 958274
aoroire aiuca
aaasaoAa nacacxsa vu,va AGRZEKZII'r '
Thia Hgreement, mafle and entered into the i i,? day
a! rllltl,? U ST , 1990, by and hetveen the CITY OF EAGAN, a
wnicipalily of the Stata of Hinnasota, (herainalter called the
x
City), and the Ovner and tda Deve2oper i8entifisd herein. "
Tha term ^Developer" as used hareia refers to: AUTUMN RIDGE
LIMITED P1IRTNERSHIP, a Minnasota limited partnership, c/o JA14ES
pgfBLppMLgNT COMPANY Whose addreas ie 7808 Creekridge Circle, Suite
310, Sloomington, ![innesata 55435.
The Larm "Ormer" as use8 herein refers to: AUTUMN RIDGE LIMITED
PARTNHRSHIP, n Minnesota lim3ted partnership, c/o JAMES DEVEL08MENT
C01@aNY vhose address is 7808 Creekridqe Circle, Suite 310,
Sloosington, Minnesota 55435 and RUTH CONRAD vhose address is 5015 -
35th Avenue South, Apartmeni 215, Miaaeapolis, Minnesota 55417. . .it1iEREAS, the Developer has applied to the City for approval af
the plat or subdivision knovn as AUTUMN RIDGE, loeated within the
City; a:ed
pAEREAS, the Owner and Developer agree to aoiify the proposed`
potontial buyers of all lats rithin AUTUMN RIDGE that Lota 1-7, Block
1, Lots 1-8, Slock 2. Lots 1-9, Slock 3, Lots 1-17, 81ook 4 aad Lots
1-5, Block 5, are in a IIiqh ratar pressure tone and a pressure
raducing valve shall be ixwtalled in aach home below the elevation of
966 feet. All costs shall be the respoasibility of the Ownez' and
Developez and shall be installed to prevent damage 8ue to hiqh water
pressure.
:.'? ?
,
NOW, TMREFORE, the City, Ovner and Developer agree as follovs:
1. Recordinc. This aqreement shall be recorded vith the Daketa
Couaty Reeorder so as to pzovide noLiee to the ovners of Lots 1-7,
Sloek- 1, Lots 1-8, Block 2, Lots 1-9, Bloak 3, Lots 1-17, Block 1,
and Lots 1-5, Block 5. The Ovner shall provide and execute any and
ail documenta necessary to implement [he recordinq of thie aqreemant.
2. Notice. The recordinq of this document ehall constitute notiee
to all ovnars and future ovners of property 1n thg AUTtllQt RIDGE
aubdivisioa Lhat Lots 1-7, Block 1, Lots 1-8, 81ock 2, Lots 1-9,
Block 3, Lots 1-17, Block 4 and Lots 1-5, Block 5 are in a hiqh vater
pressure zone and thaC a pressure reduaing valve shall be installed
in aach home belox the elevation of 966 teet. Al1 costs shall be the
rasponsibility of the Owmer and Developer and shall be installed Lo
prevent damaqe due to hiqh water pressure.
3. Validitv. If any portion, section, subsection, sentenee,
clause, paragraph or phrase of this aqreement is for any reason held
to ba invalid, such decision shall not affect the validity of the
rassininq portion of this Contrnct.
4. Biading Aareement. The parties mutually tecognize and aqree
that all terms and conditions of this racordable aqreement shall run
vith the land herein described and shall be bindinq upon !he heirs,
succesaors, administrators and assigns of the ovners and developers
referenced in this Contract.
IN ialTNESS WfEREOF, ve have hereunio set our hands.
CITY OP
OWNIIiS:
AUTUlRi ItIDGE LIMITED PARTNERSHIP,
a Minnesota limited partrtership,
ir By: JA1SE5 DEVELOPMENT COA@ANY,
sa A. an a Minnesota Corpo?[aiion
?Ita: ltayor Its: General Partner
t"t ? J. VanOVerbeke y: ? Date 19P
Its: ity Clerk Its•
/
gy; Date
Its:
a
Y'&
R H CONRAD at
DEVEI+OPER:
AUTUlB7 RIDGE LIMITED PARTNERSHIP,
a Mimeso[a limited partnerehip,
By: SAMES DEVII.OPMENT COMPANY,
a xinnesota Corporation
its: General Partner
I
ey: NP4 Date 4?
Its.
.p
?
gy; Date
Its:
ST]ITE OF ISTNNESOTA
es.
COUNTY OF DIIAOTA )
On this 7C& day o! ?. 1440, betore me a Notary
Public vithin and !or said Coun , peraonally appeared THOMAS A. ECAN
and E. J. vanOVERHEKE to me ersonally known, who beinq eaeh by me
duly sworn, each did eay Lhat Lhey ara respectively the Mayor and
Clark ot the City of Eagan, the municipaliiy named in the toregoinq
inatrusant, and that the seal atfixed on behalf of said munieipality
by authority o! 1ts City Council and seid Mayor and Clerk
acknowladged said 3nstrumeat to be the free act and deed oi said
municipality.
- / ?
-------- - -----------------
.c. YARCn L IMEEAPFF?n6 ? ?c. ..??+?...u-?
t DAKOTA CCUNTY N Ld Pt1b1iC // ?
N/ CemTR:lon ?p Ra ?. 1^ ?
8T11T8 OF iSINNESOTA 1
) ss.
CODN1'Y OF
On thi 1
day of 1990, belore me a Notazy
Public ?? vi??h in. nd ?or ? said County, personally
appearad ?IR11/E5 L.?JdS/Y1 ?pd to me
parsoaallr known, vAo being eaeh by me duly s n„ ch d" say that
tstdRACc-
thay are respeetively the
aud of JA?tES DEA EIAFMENT COI'PANY, a
Minnesota eorporation, general paztner of AUT014i RZDGE LIMITED
p11RTNffitSH a Minnesota limited partnership, to me personally known,
rho be me duly srorn, did say that theY are
the ? eni of the
corporation and limited partaership named in the foreqoinq
instrtimeni, arnl tAet the seai alSixed to said instrumetfi vas siqned
and led on f of said cozporation and limited parGnership and
said ? L and' acknowledqed
said instrument to Le the tree act and deed of said corpozatfon and
limited partnership.
Notary I'll ie
.? ? t??
:,:. ._ . ?,. .. ..
.. 4?Y.?. ? .?. . . ...
. ' __... _
. ?..? ± A
ST]?TE OP OTA )
' ) ss.
COUNTY OF W')
On this ILI-- day of , 1990, before me a Notary
Public vithin and for said County, rsonally appeared RtlTH CONRAU to
ae personally knovn to be the person described in and who executed
tha loreqofnq instrumeat and acknoviedged that she executed Ehe same
as har lrae act and deed.
Le Z JIPPROVED AS TO FORI1:
G . F.E` G.C?^
v-', ?
Nota- rlic
/lttor7fa O
tad• 9
11PPROVED AS To CONTENT:
Publie Warks Department
DltW• 8-7-90
T$IS INSTRU!M WAS DRAFTED BY:
S8VffitSON, WII.COX i SHEI.DON, P.A.
600 Midvay National Hank Bldq.
7300 Fest 147th Street
Apple Valley, !Rr 55124
(612) 632-3136 .
![GD
RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reauiramenta
• 7:egisrered site surveys showing sq. %, of lot, sa. ft. of house: and all roofed areas
(200'o maximum lot caverage allowed)
• 2 coFies of plan showing beam 3 window sizes; poured found desgn, ztc.)
• 1 sat u( Energy Calculations
• 3 copies of Tree Preserva[ion Plan if lot platted atler 711193
•,Rim Joist OeWil Options selecUOn sheet (bidgs with 3 or less unAS)
DATE ;7- f D^C-;')
SITE ADDRESS
TYPE OF WO
APPLICANT
5 c4?
FIREPIACE(S) _ 0 _ 1 _ 2
STREETADDRE55 CITY STATE?I?ZIP-,V?-/'?/
TELEPHONE #?? SY!-d3°y CELL PHONE # FAX #
PROPERTYOWNER `7)Fr"0A /Ue4uf TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ y(IV"\ESOT_1 RGLES 7670 C:A'CEGOI2Y 1 ??[I\VI:SO"f.A R['LLS 7672
(i submission type) . Residential VentilaGon Category 1 Worksheet Submitted • New Ener9y Code Worksheet Submittec
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing sys[em includes:
Mechanical Conhactor:
7
.`,Icch.uiic.il scstcm includc,:
Sewer/Water Contractor:
Phone
Phone #
Pce: '
1 G 2002
rcr. °,
--------°° ........................°---------------°----...---•-°-------------------°......_..----------------......_
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ali applicable State of Minnesota Statufes and City of Eagan Ordinances.
Signature of Appllcanf d!? --
? T
----------- ---°------------- _---------- ------- ------------- -------- ------ ------ ------------------------ ---------- ___--------------------- ---
OFFICE liSE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UpdateU 4102
Water Sokcncr
Water Heater
_ No. of Baths
_ Phone #
Lawn Sprinkler
No. oF R.I. Baths
0
-- .1ir Condiu<>ning
Hcat Rccovcn 5vstcm
?j
?'OL,
RemodeVRepair Reauirements
• 2 copies of plan
• 1 set of Energy Calculaticns for aeated aCditions
• 1 ste survey `or extenor additions 8 Cecks
. Indicate if home Servea 6y seplic system (or additions
VALUATION (q6q-7 T6
l'"/1•MULTI-FAMILY BLDG Y N
r;92 WED 14:06 ID:SRMES R H1LL 1NC TEL M0:612 890-6244
St340 P02
Op;uRVEYOR'S CERTIFICATE
(N4S
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Dats "0 16 Z
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?? $NGINEERIN DF+rf
NOTEt HO lESFK SOILS-0tiYESTGATION HAS BF?S+i CDMPLETEo
ON T1113
SOILS TO LAT BY TNE SllRVEYOR. TI£ S'tatTABILITY OF
SUAFDRT THE 5PpCIFIC HOUSE I'RDPDSEb IS . NppC; BVLDING DIMEN910MS SNOWN ARE FOq 1pR¢CNTpL
NO7 THE
RE9PONSIBILI7Y qF THE 3URYEYOR 5 VERTICAL LOCATION OF 3THUC7URE ONI.Y SEE
pqp.?ITECrUAL FLANs FOR BUILph1G 6 10UNGTIW
? DENOTES PROPOSED SURFACE DRAINAGE ?IMENspNS•
O DENOTES IRON MONUMENT SET SCALE:1 INCH - 30 FEEf
i DENOTES IRON MONUMENT FOUNQ PROPOSED QARApE fLOOR ='?C,U,2 FEET
X000.0 DENDTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 95'4.'L FEEf
(000.0) pENOTES PROPOSED ELEVA710N PROPOSED TOP OF BLOCK- 96r•3 FEET
WEHEREBYCERTIFYTO PARISM MARifETiNG 7HATTHIjjWw8=1RED
REPRESENTA710N OF A SURVEY OF 1}iE BOUNDARIES OF:
Let 3, 9lock 3, AUTUMN RIDGE, accordinp ta the recorded plat ttl8reof, Dakota
County, Mtnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IXCEF'T AS SHOWN. A5
SURYEYED BYME OR UNDER MYOIRECT SUP5FN1510N THIS 12TH DAYOF AUGUST ', 1992.
PROPOSED ORADES SHOWN WERE
7AIEN TkOM 7HE DEVELDPMENT
PLAN PoR AU7UFIN RID6?? PR?C-
PAIrD BY PIONlF77t OJO, LAS7
Pui?D 8 22-90,
HILL,INC..
r?'
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICBVSE NUMBER 18828
? a- N? o ? T Hil I
James R
inc
_
r?i
,pm o y .
,
.
? ? o A Z ? ? ? m ? PLANNERS / ENGINEERS / SURVEY?ORS
_ O m m
2500 W. CTY. RD. 42 6 BURNSVILLE, MN. 56337 a 6124890-M44
R-95% 7AME5 R HILL 1NC 08-26-92 02:08PM P002 #08
ALIG-26='92 WED 14:06 ID:JRMES R HILL INC TEL ND:612 890-6244 #340 P02
$URVEYOR'S CERTIFICATE
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9 DENOTES IRON MONl1MENT FOIJND
PROPOSED
PROPOSED
WEHEREBYCERTIFYTO PARISH MARKETING THAT?? ?'? ????
REPRESENTATIpN OF A SURVEY OF THE BOUNOARIES OF:
Lot 3, Black 3, AUTUMN RIDGE, ocoording fa the recorded plat thereof, Dokoto
County , Mlnnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENT$ QR ENCRpACHMEIVT5, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUP?RY.?SION THIS 12TH DAYCIF AU?UST , 1992-
. ON THIS LOT 9Y TNE SLRVEYOR. 7ME SURABILITY OF N07'E: BVILDING DIMFT/910NS SHOWN ARE FVR lIDRQONTAL
50i15 TO SUPPDRT THE SPECIFIC MOUSE PROPCSEb IS . d VERTICAL LOCATION CF STfiUC7URE OEILY SEE
Np7 THE RESPONSIBILI7Y AF THE Sl1RVEYOR AR011TERl1AL PLANS FOR BUILpING 6 Ib{INQqTIGN
?- PEh10TES PROPOSED SURFACE DRAINAGE
O DENDTES IRON MONUMENT SET
X000.0 DENOTES EXI5TlNG ELEVATIQN
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -
PR?P09E? ORADES ^?IiOWN WERE
7AKEN FROM 7HE DEVEIAPMENT
PLAM FOp AUTW?AN tiI?OE PRE-
PA? =YzzPION?R FN0. LA97
a+sr?o -9¢
l?ato "
?? ??dGITdE??Il? D?PT
OIMENSpPS.
SCALE: 1 INCH - 30 FEEf
GARAGE Fl.ApR m yf?C?,2 FEET
LOWEST FLOOR - 9S3•Z FEEf
96 i, 3 FEET
HILL,INC.
f17
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LJCENSE NUMBER 18828
? ? N0
o
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a
Inc•
James R
1 IIlI
O o tn .
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' p? a ? ?' PLANNERS / ENGINEERS / SURVEYURS
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m y e
2506 W. CTY. RD. 42 o Bl1RNSVILLE, MN. 56337 a 672-890-6044
,
R=95% 7AME5 R HILL INC 08-26-92 02:08PM P002 #08
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 639 Crimson Leaf Tr
Lot: 3 Block: 3 Addition: Autumn Ridge 01st
PID:10- 12300 - 030 -03
Use:
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments:
Fee Summary:
Contractor:
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824 -2656
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Elec
952- 445 -2840
Ashley Orman
410 W Lake St
Owner:
Dean A Niehus
639 Crimson Leaf Tr
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA086701
10/07/2008
ePermit
cal Inspector,
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
h all applicable State
Issued By: Signature
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109196
Date Issued:02/19/2013
Permit Category:ePermit
Site Address: 639 Crimson Leaf Tr
Lot:3 Block: 3 Addition: Autumn Ridge 01st
PID:10-12300-03-030
Use:
Description:
Sub Type:Residential
Work Type:New
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean A Niehus
639 Crimson Leaf Tr
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123982
Date Issued:06/18/2014
Permit Category:ePermit
Site Address: 639 Crimson Leaf Tr
Lot:3 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Lisa Nyberg
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 -
Dean A Niehus
639 Crimson Leaf Tr
Eagan MN 55123
Property Claim Solutions LLC
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126587
Date Issued:09/02/2014
Permit Category:ePermit
Site Address: 639 Crimson Leaf Tr
Lot:3 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
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 -
Dean A Niehus
639 Crimson Leaf Tr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
C!ty of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink , c
11
Permit #: /3 7 ig b�/ IL
Permit Fee: a ' 0 il 1
Date Received: Alp /- / (67
i,
P
For Office Use
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Name: Oecr v a v, / M 6I 0- � •d �-S Phone: 6 c I - -if(' I rd -3
Address / City / Zip: C�r- ��.s� ^ L c 6 (-LA
Applicant is: Owner Contractor
1
Description of work: MC— ..✓ c- c k
Construction Cost: 1 7/ 0 0-) Multi -Family Building: (Yes / No > )
Company: A tz)U t. — R (cin y is'is•—' (— I-2.PN Contact: U Cl r—
d 7 G p%�,_ Cr, k( ft. City: e /K v
State: ' ` Zip: b) -c' Phone: 61,) ' J? k- 4-7
7 aE�ail: a 1.1)-)4.-- 11Cvt\
Address:
4—fl (c,. rcr.ne
License #: c 5-0,) 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:
NOTES Plans and supporting d�ocuments;t that you submit are ;considered to be publ!c :information Portions:c
the information maybe classified as non public if you provide specific reasons that would hermit t ie City `tc
-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.pooherstateonecall.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 Code must b comp 1 ed within 180
days of permit issuance. /
x �� crc_. c..1It r
Applicant' tinted Name Applicaj ignature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
itiSG' 1 O NOT WRITE BELOW THIS LINE
12-
Fireplace
Garage
?Q Deck
Lower Level
Porch (3 -Season)
_ Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
# of Units
# of Buildings
Type of Construction V
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy PC -
Code Edition Yrtn 25
Zoning 17- 1
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: Rough In _Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By: / v /29 / 2,' K / /3
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test
Gas Line Air Test
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
lf; Civ SCi,
��. r
54' r%
Page 2 of 3
AUG -26-'92 WED 14:06 ID:JAMES R HILL INC
564414
TEL NO:612 890-6244
#340 PO2
SURVEYOR'
S CERTIFICATE
LU
0
of 0
1. S
5..H
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966.6
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PARISH MARKETING
/CA
lj2
(154.0
N64°47'S7"E
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,-DRAINAGE 5 uTIUTY l 1 10
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NOTE: NO SPECIFIC SOILS •INVESTIGATION HAS BEEN COMPLETED
ON THIS LOT BY THE SURVEYOR. THE SUITABILITY OF N
SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED IS .
NOT THE RESPONSIBILITY QF THE SURVEYOR.
�--- DENOTES PROPOSED SURFACE DRAINAGE
Q DENOTES IRON MONUMENT SET
II DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
OTE:
EP
0
pati,
•
104'
1E
ck,
C -
1E 2-
IAGAN ENGINEERIN
EP
BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL
& VERTICAL LOCATION OF STRUCTURE ONLY SEE
ARWITECrUAL DANS FOR BUILDING a FOUNDATION
DIMENSIONS.
SCALE: 1 INCH — 30 FEET
PROPOSED GARAGE FLOOR = /0.0,2 FEET
PROPOSED LOWEST FLOOR — Q51,2- FEET
PROPOSED TOP OF BLOCK — 961.3 FEET
WE HEREBY CERTIFY TO PARISH MARKETING THAT PIT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3, Block 3, AUTUMN RIDGE, according to the recorded plat thereof, Dakota
County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SU' - ' SION THIS I2TH DAY OF AUG UST , 1992.
PROPOSED GRADES SHOWN WERE SIGN
TAKEN FROM THE DEVELOPMENT
PLAN FOR AUTUMN RIDGE PRE-
PARED gY PIONEER ENG. LAST
DAD 8- 22-90
. HILL, INC-
ri
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
SHEET I OF I
I FILE NO.
FOLDER
I PROJECT NO.
92464
BOOK/PAG E
i5
z2
9 0
r, m
I DRAWN BY
S W K
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 812-890-6044
R=95%
JAMES R HILL INC 08-26-92 02:08PM P002 #08
Use BLUE or BLACK Ink
t
For Office Use
-I- Permit#: /7 b 7
CayafEaaall F. i 3 o Permit Fee: 100.0 0
3830 Pilot Knob Road
Eagan MN 55122 JAN 1 9 2011 Date Received: /—/9-4)-D/7
Phone: (651)675-5675 staff:
Fax: (651)675-56947 ...
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1/11/2017 Site Address: 639 Crimson Leaf Tr
Tenant: Suite#:
Resident/Owner Name: Phone:
• Address/City/Zip:
Name: Riverside Mechanical License#: PM060769
Contractor
Address: 12460 Zinran Ave City: Savage
State: MN Zip: 55378 Phone: 952-894-7600
i : Contact: Rick Russell Email: rick@riversidemech.com
Type of Work i _New Replacement Repair Rebuild `Modify Space T Work in R.O.W.
I
Description of work: !'S/ r C i iG . ,
RESIDENTIAL
Water Heater 1
Water Softener
Lawn Irrigation(y RPZ/___._PVB) I
Permit Type I Add Plumbing Fixtures L_Main/^Lower Level)
Septic System 2
1 I 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)
I *Water Turnaround(add$280.00 if a 3/4"meter is required) �q.�
I $115.00 Septic System New(includes County fee and State Surcharge) 4 ______€ TOTAL FEES$ i OW
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.
x x
Applicant's Printed Name Applicant's Signature
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 f
r For Office Use —Or
ic
Permit#: / ! O //
*'' City of Eaall i Fee: 9�- � , 0
Permit ee
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED Date Received: /J` / 7 C'c
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
JAN 1 0 2017
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: I Unit#:
I Name ✓c .� ill'i 4 h�_1 cv � i Phone ,Iji -�� f 3.._
Reside- t!
1 `'
011
Owner Address/City/Zip: �` loC° c, r ) r(1 f 1
I I
Applicant is: Owner Contractor -
Type of Work
l Description of work: T k
C `' ^
Construction Cost. yr j `�`-i Multi-Family Building: (Yes /No )
i ._ . ... a, ._..
i
Company: f b O.J A l 1 (,.v ^s f'"L-'V- �ontact: 6L�, 1/4,.... \ ./t\ri, z
I Contractor :
-i) �� �`'"� ce �'`-� City: ieu
Address
-, 1 State:" Zip: ' ) C.) 0 Phone:t 1;� S,� Y-�, i) Email: Ll b av GI [1 ca .i d- t n f-t_ l Co.4 I
I _ '
V a
License#: ( -?c)) ) C�`-' Lead Certificate#: )
If the project is exempt from lead certification, please explain why:
I
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:
I
I
Licensed Plumber: Phone:
1
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
1
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 the 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 Code must be comple,,tfed within 180
days of permit issuance. /
x _ Jc� ch� x
Applicant'sfirinted Name Applicio ignature
/.✓ ' Page 1of3
' z � /I
6 Gf (tet, K.,---,-)72._. 0,-, C �7DO NOT�WRITE BELOW THIS LINE gO 7/
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
}� Single Family Garage Porch (4-Season) Exterior Alteration(Multi)
i ' 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
ValuationC.2 47OccupancyVf , ,,,.� MCES System
Plan Review Code Edition 0,4 oil l f 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 , f — Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 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
X Framing X 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final ' Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation ig Windows (--t.:1N -C.,
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: 10, , Building Inspector
RESIDENTIAL FEES c
Base Fee '
Surcharge g 4" fin.
Plan Review " ',
1!� .".
0
MCES SAC i
" )`
ir
City SAC
Utility Connection Charge
S&W Permit&Surcharge 1: o"') 0
e9/1 ,
Treatment Plant - ..
Copies5)- / ,
c?
TOTAL / L
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA157222
Date Issued:08/09/2019
Permit Category:ePermit
Site Address: 639 Crimson Leaf Tr
Lot:3 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean Tste A Niehus
639 Crimson Leaf Tr
Eagan MN 55123
(651) 788-1823
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
EAG A N RECEIVED
JUL 17 2020
3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810
(651) 675.5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinoinsneotionsCotditvofeaaan.com
r For Office Use
Pennft# //2e
Permit Fee:
Date Received:
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ALCM M Site Address: t gq C ri vlisb✓i 1,.4 1 ( Unit*: ;WA -
Resident/
Owner
Name: b.P a.n AiLeVIILS Phone: G6t- 8$ - 1822
Leal/
Address / City / Zip: Fit 3'Fi CUsMSovt lam''Y e&f(J1. rina( $ SI23
Applicant is: Owner X Contractor
Type of Work
Description of worlc 0 k' 'V PAC/Vt �o f
Construction Cost $ ('5OV . 00 Multi -Family Building: (Yes / No ,C )
contractor
Company: eastbill\ a WlS1Y4t oA s.t W IU WG Contact A(f t c. %. IGin. GS I U—
Address: '1a 233- SVvai 1 A5 Ave. City: ail tvl n eapa litS
State: DIN Zip: S 5W alo Phone: L¢I Z4Sq 4gsi Emell: en C e new- cos. coo
License #: Cks SS 6'4 Lead Certificate #: i•l( Pt
if the project Is exempt from lead Certification, please explain why.
LNP., 60 rick WU+it. trail . t.2LtcL t, .S, -a. mat-Cf(\a.S
In the last 12 months,
'Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan Issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor
Fire Suppression Contractor.
Phone:
Phone:
Phone:
Phone:
NOTE Plans and sup_parting docurnente that you submit are eonaldored to be;pubi* Inloorniat1on P moms *Me t tfommegon gay be
classf/led es n _ ubitc if u, rovfde : -_ +s Ibstw_ aufd _: It the' : conclud that ;_are de secrets
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
webstte at www.citvofeaaan.comlaubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL. BEFORE YOU DIG. Call Gopher State One Call at (651) 4544002 for protection against underground utility damage. Cali 48 hours before you
Intend to dig to receive locates of underground utilities. vwwr.aonherstateonecall.orgq
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 1 understand this is not a permit, but only an application for a perm t, and work Is not to start without a permit that the work will be In
accordance with the approved plan to the case of work which requires a review and approval of plans.
x ntc col.- ky tOt t-
Applicant's Printed Na Applicant'sg
x A A4,G„- /vr -
Sl
DO NOT WRITE BELOW THIS LINE
Ciaiinsok Lcr+F Tf2 /i,/4/
to �
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
_ Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior Improvement
Move Building
Fire Repair
Repair
0
(25%_ 100%X)
Census Code
# of Units
# of Buildings
Type of Construction
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
_ Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
IL
Siding
Reroof
Windows
Egress Window
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
c4
MCES System
2-0 SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
X Final / No C.O. Required
HVAC Service Test Gas Line Air Test Hood
_ Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
_ Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
(4iitfr6
//-
/?r)
((9 1?-i)
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA173955
Date Issued:12/15/2021
Permit Category:ePermit
Site Address: 639 Crimson Leaf Tr
Lot:3 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean A Tste Niehus
639 Crimsonleaf Trl
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174403
Date Issued:01/25/2022
Permit Category:ePermit
Site Address: 639 Crimson Leaf Tr
Lot:3 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-030
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Dean A Tste Niehus
639 Crimsonleaf Trl
Eagan MN 55123
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature