640 Crimson Leaf TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 640 Crimson Leaf Tr
Lot: 1 Block: 2 Addition: Autumn Ridge
PID:10- 12300 - 010 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Jeremy Mcnitt
640 Crimson Leaf Tr
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Mechanical
EA081132
11/16/2007
ePermit
Address: 640 r•?? T.FAF '1'R[?I[, Lot I Blk Z Sec/Sub (???? RTiY?'
These items were/were not complete at the time of the final inspection.
12 26 91 Yes No ?-
Final grade (6" from siding) ?
Permanent steps - gaYage ?
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas iy
Sod/seeded grass
Trail/curb damage ?
Porch
Basement finish
Deck ?
i
Please verify with the builder tha removal of roof test caps from the plumbing
system and-the shut-off o£ water supply to the outside lawn faucet before
freeze potential exists. ?
White - City copy Yellow - Resident copy Pink.- Contractor copy ?p
.
BUII.DING PERMIT
To be used for SF
Est.Value $122,000
Site Address 640 CRIMSON LE F TR
Lat 1 Block Z Sec/Sub. AUT N RIDC
Parcel No. _
w Name FEATURE BUILDERS
? Address 15513 LOGARTO LN
City BURNSVILLE Phone 435-8443
a Name 5AME
g¢ Address
`- City Phone
Name _
Address
CiSy _
Phone
I hereby acknowlege that I have read this application and stata that the
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and ¢liq`pl Eagap Ordinances. n
Signamre of Permitee
A Building Permil is issued to: - FEATURE BIl7 i.?RRS
on the ezprass condilion thal all work shall be done in accortlance with all
applicable Stale ol Minnesota Statutes and, C?/ity of Eagan Ordinances.
BuildingONicial ?.?? p10C1 4rll nlfl
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55127
PHONE: 454-8100
N° 19665
Receipt # `- / 673'4
Date RRP 11 . 199.L
OFFICE USE ONLY
Occupancy R- 3 -H--1 FEES
Zoning R_1
(ACtual) Const -V-- N Bldg. Permit
0
717.0
(Allowable) -V-- N Surcharge F1 -(1(1
8 of Stories _
Lengih 59, PlanReview 466_00
Dapih ?+0 ? SAQ Ciry 100.00
S.F.7olal - SAC, MCWCC 650.00
S.F. Footprints -
On Site Sewage _ Water Conn 660.00
On Site Well Waler Meter 95.o
0
MWCC Systam x_
CiryWarer x_ AoctDeposit 30-0
n
PRVRequired ?L s/waamn 30_0
n
Booster Pump - S/VJ Surcharge - S(1
Trealmenl PI 2 7 fi _ DO
APPHOVALS RoadUnit 370.00
Planner - park Ded.
Council
BIdg.Olf. . Copies
variance - 7oinL 3,455.50
c?
SEDGWICK HEATING & AIR CONDITIONING CO. HeanNC
TEST RECORD ?OBNO.
8970 WENTVJORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(95E) 881-9000
6-(o C't-tot,sFJ (of ??f-i 1
ADDRESS
OCCUPANT _ 1^.
' "?- PA
SOLD BV ? r-14 n ,
MAKE ?r 1 I 3J?' /'
SERIAL NO.
THERMOSTAT
VALVE
LIMI7(
/
LIMITSETTINGy?-?'<
FAN SETTIN?-- L?
PILOTNPE,1?c;Z,v.,:Tf`i=? -
IGNITION MODEL
PILOTTIMING /k??-
PRESSURE PERCENTCOz
INPUT CFH PERCENT Oz
O ?
STACKTEMf.jg? f PERCENTCO ,??-^--
FORM 235 (flEV. fl/89)
a. u ?
cirv
OWNER
MSTALLEDBY -'f?-'?
i
MODEL `'?!'?PV??????t,
INPUT ? ? 6 () ?
VENT SIZE
TYPE OF LINER 10
/
LWERSIZE ?
FIL7ERS: SIZE 3O 0 NUMBER ?I
WIFING G1 "0 slY.li ../
TES7 TAG
LIGHTING INST.
i
DATE TESTED
COMPANY7ES71NG •-?? `-
i
NAME OF TESTER - ? /
FOFM/D IBUTION: WHITECOPV - JOBFILE YELLOWCOW - CITV
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
SITE ADDRESS t>' • ' ' `•-
LOT I BLOCK "SEC/SUB
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: :`'??k'SON PLtTMEIN(
ADDRESS: 4174 ISAt7TI ST ?1I
ZFP
CITY, STATE `?1?1IHE ?tr: ZIP
PHONE: ` ?4`4792
OWNER: 'i:ATUTE FSUILLl1_i;5
ADDRESS: 15513 i,dGARTC Lt;
PERMIT REQUESTED
X SEWER X WATER - TAPS
- COMM/IND = RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkier Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
? .
>pt'-oh i
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANC
121
CITY, STATE BUF?NSVILLE PSN ZIp `5337
PHONE: SIGNATURE WHEN METER ISSUED
. , -
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
141-f 9dq ?? elr?OFFICE USE ONLY
METER # PERMIT DATE
CHIP #f D?k1ql SJ-- PERMIT # 1 ?27«
METER SIZE B.P. RECEIPT # C1 -11
ISSUE DATE B.P. RECEIPT DATE 09?L1-2, - `
lPRV _ BOOSTER PUMP
AUTUMN RIDGE
SEWER & WATER PERMIT
CI*.OF JE"AGdN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
SITE ADDRESS '•? ", , 4j
LOT I BLOCK . SEC/SUB
APPLICANT:
ADDRESS:_
CITY, STATE
PHQNE: _
. OFFICE USE ONLY
METER # PERMIT DATE '- 2114191
CHIP # PERMIT # 12i 2()
METER SIZE B.P. RECEIPT # ? 1 5 jf?4
ISSUE DATE B.P. RECEIPT DATE ()Q 117
??? 1
_ PRV - BOOSTER PUMP
PERMIT REGIUESTED
I1t L'
? SEWER % WATER - TAPS
- COMM/IND y RESIDENTIAL
ZlP
PLUMBER: 1:O1'J?I4SON PLU"I:1G
ADDRESS: 9174 ISAId7'I S T :tE
CITY, STATE E'1,AINE Mh Zlp
PHONE: ?tll _4 ; ci.'.
OWNER: FF.AT[IRS BifYI.DE[t;;
ADDRESS: 15513 LOGARTG L:•T
CITY, STATE F'UFivSYILLE A'r] ZIP 115337
PHONE: A35-4.441
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FaR PROCES5ING. CALL 454-5220 FOR INSPEC710NS. FUR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
BUILDING PERMIT
•.??
CITY OF EAGAN -
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
PHONE: 454-8100 `
Receipt
Site Address 640 CgilSM iJRA= Tg
Lot 1- elock ` 2 Sec/Sub. A11n?L8jDCE
Parcel No.
W Name _ FBA'ft1RH DUILDHRS
? Address 15513 LOGASTO L1
° City BUR118VI1.1.E Phone 635-8443
I;o I Name SAM
Phone
have read this application and state that the
agree to comply with all applicable State of
/ o( Eagan Ordinances.
A Bwiding Permit is issued to: f15A7UR8 H1IILDEBS
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building OHicial
OFFICE USE ONLY
Occupancy R-3 -M.1 FEES
Zoning -R-1
(Actual) Const ii-N Bidg. Permit 71 7-A[1
(AJlowab1e) surcharge
* of Staries -
Lengih -39* Plan Review _"6.?
Oepth ?Q SAC, City 100-00
S.F. Total - gAC, MCWCC 630-oo
S.F. Foolprints -
On 5ite Sewage _ Water Conn 660-?
On Site well - Water Meter 95-?0
MWCC System
City Water z_ Acct Deposil _30.00
PRV Required ? S/W Pertnit ;A_QQ
Booster Pump - S/W Surcharge .50
Treatment PI 276_Ad
APPROVALS Rpad Unit 370.00
Planner
Cauncil - park Ded.
? Off _
_
Copies
Yariance -
?SS_SA
TOTAL 3s
. Permis NO. Perm;e Haaer osce relepnone x
wnrER 1? 4
SEVYEP
PLuMBING 1115191 f1-
b4xyll
H.VAC.
ELEC,RIC y 3 °°
Inspection Date Insp. Commenls
Footings I l l(?,?_
Foundation
Framing
Roofing
Hough Plbg.
Rough Htg. !/
?
/
Isul. , ze-
Fireplace _ S .
Final Htg. 1
Orstat Test Z?
Final Pibg. Ao? Pfbg. Inspector - NotiTy Plumber
Const. Meter
EngrJPlan
Bidg. Final
Dedc Ftg.
Dedc Fnai
weu
Pr. Disp.
?
y i ?
?.+` @,.
?
(gtr#tftxa#r u# (Orrupauxy
(Citp of (eagan
appwfttFlti Qf llidbtltg ittS.pPtttDtt
Thrs Ca7i/`uare issued pursuant to the reguirenrents af Section 306 of the Uniform Buildirtg
Code cenifJdnBlha! at the dme ojrssuance this sTuclure xw in wmpliance with the mrious
ortdinances of !ke a1}' re8udatiKg bufiding cbnsbuctaon or use. For [he following:
the am4&a6m Bldg. Pbmrt Mo. 14665
00-P-0-7 TYP0 -R3i"?-Ta°i°C Digia R] T?'Po Cai° yN
Owoa o[ Bmldm6 PSAY Add-
_ ft
6uMdin+1d*es y--ky bi 92, &WIN nrvM
CONSPICUOUS PLACE
INSPE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' i t t A!
? i fthlt? t !';
? PERMIT SUBTYPE:
I I iil 1 N F,
I I :1++1 1 N t'! Nti
c Ao oto
i 1,i r,l
[ON RECORD
PERMIT TYPE:
Permit Number: Date Issued:
APPLICANT:
11.1 , ) Q. . I
TYPE OF WORK:
[?i '1CIr C 1, I t rIN i NO t+t: Oli(?OM
1 N'1111 q F f i1N
f i r) "I
IIAUKS,: t'{'AI,AIt I'k.trMll t', 1:Ft.Jl1114it fili< ANY 11.1 r ilti("AL [lR f'11!14ftINA 0I){0
9?;
7
?
Permk No. Partnk Holdar Dete Telephone N
ELECTRIC
PLUMBING /.?f 97 ' 90
HVAC
Inspsctfon Dat. Insp. Commenta
FOOTINOS
FOUND
FRAMING
ROOFING
HOUGH
PLUMBING
PLB(3
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
5 ' 2'?y 1 ZO F 7 t?? . 4 t .v Luisf+KS
1?toa.,rrr. i
DECK FTG
DECK FINAL
. _ - - -- -? - -?--.,?-- :,: -- ?.?
-. ?. - ? -
,
CASH RECEIPT
CITY OF EAGAN
? 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
aEC??
AMOUNT $
& DOLLARS
,oo
O CASH . O CHECK
?` -
?
BY
C 15344 Whft--Psyers Copy
wekw-Pos*Q Copy
Pu*--Fle Copy
.---
s
? RE: 04u tixlMsvr Lr.Ar ix krr.wiuna X1uii.ur,1M0j
° .?
? Your Sewer & Water Permit for the ;Above property has been completed. It will be held at the
Pubiic Works Garage (3501 CoacKman Road) until the meter is picked up. BE SURE 70
CALL PUBLIC WORK5 (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Wafer Permit for the above property eannot be completed for the following
reasons:
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or 9,ccupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
RNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TdLEPHONE, ELECTRIC, GAS, E7C.
- REQUIRED BY LAW.
MTACT COMMUNlTY DEVELOPMENT pEPARTMENT FOR WATER TURN ON POLICY.
Thank You
? ? ??f OFFICE USE ONLY This request void 18 manths from volidofion date printed in fhis box.
? i „ .1% 9 _-0
aa-
? 1 Illl ii II! il lil IN 7X
IIII{4I{411{III{I
* 0 4 3 7 3 6 8 4* ?4?
?
O
PLEASE PRIN7 R TYPE
Requesf Date
2/ 03 / 9 7 Rough-in inspection required? 134'es ? N.
y
ll
h Inspection Otlier Than Rough-In: ? Ready Now 29 Will Call
?
q? ?g? ?o
I
e inspector when ready) Date Ready:
I, I] licensed contractor ? owner hereby request inspection of the above elechical work at
Jo6 Nddsess (SSreei, 8ox, ot Roule No.) Cily Zip Code
640 Crimson Leaf Trai1 Eagan
Secfion No. Township Name or No. Ranga No. Fire No. CoyryY
Dakota
OcNP°nt hone No.
DOSCO 423-I814
Power Supp(ier Address
Dakota Electric .r ?
Eletfrical Conhoctor (Company Name) Conhacfor licease No. Master lic. No. (Plant Elect. OnIy)
Joos Electric Co. CA 00961
Mailing Addreu (Conhacbr or Owner Performing InstalloHon)
3980 Beau D' Rue Drive an 55122
AWhorized Signature (Conhocror or Owner Performing Ins fianl Phone No.
Fnnrvvi?wi, o. VSt7+6100
STATE BOARO COPY/-§EE NgTOC71pNg pH BACK OF YELLOW COPY
VA 3191 l'O .T4p!-
1 43915
? ? (( ?, ,
. .
Reque Da?e Fire No. Rough-?n Inspec - n
?? /? ? Required? - [1 Reatly Now ?1MIIrNotify Inspector
h
?
es No en Ready
W
-
I
icensed contractor _J owner hereby request inspection of above electrical work at:
Jo6 Atltlress i5t?eet. Box or Rout No.i ? City
D f
Section No
.
Township Name or No.
Range No
Coun
ani
Occu iPRi ? ?Phone No.
Po uppher I Address
lec ncsi o racio, (Ccmpany Na ) ? Contractor cense No,
? -3
'Maiiing Address ontracror or Owner Making Instailat,4
?
I
Autho-nz tl nature iCOmrac!onOw?er Makir. Install , ,. P one Number
- - D ? .3I
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED Bv THE STATE BOARO
1627 University Ave.. St. Paul. MN 551D41 UNLESS pROPER INSPECTIDN FffE IS
Phone (612) 642-0800 ENCLOSED.
MINNESOTA STATE BOAROamFS-ty3CT0.1GlIY
Grlggs-Midway BIOgi821 University Ave.. St Paul. MN 55106
Phone (612) 642-0800
/03 (F&5
THIS INSPWTION FEQUEST WILL NOT
6E ACGEPTE. 6V THE STPTE BOAFD
UN?ESS PROPER INSPECTION FEE IS
ENGI.OSEO.
RICAL INSPECTION
REQUEST FOR ELECTishrm
? ? Sae instmCions ?o?mple?ing ?h on back ot yeilow copy,? gelow Work Covered 6y This Request
-_F - - -
? ONerlspecilY)
J_ 1-1--
Compute Inspection Fee Below:
Fee
# j Ot er-- f
h
-1minn Pool
BDOf115
Other Fee
-- hereby
I, the Electrical Inspector,
certify that the above inspection has
been made.
OFFIGE USE ONLV
rnis reauesr 1,01o Ia momhs irom
IWaterHeacer
--
Fumace -
Air Conditioner __
nhactors Remarks'
r SarvioeEnvance5ize ?e
?p to 200 Amps ? ?I
Above 200 - Ar"PSJ-
---
?spec(or's Use ONy.
THIS INSTALLATION MAY BE O
nrvn wITNIN 18 IMIT
to 100
-2O '
cuitslFeeders Fee
Amp_ ?
00 -- Amps
?ITOTAL ?Q
??
CONNECTED IF NOT
? //-C
r Date /?
L
REQUEST FOR ELECTRICAL lNSPECTION ea-ooomaa I?
91t,1sA, `
0i See ma mc!ions tor mmpleiiny Ihis form on back ot yellow copy. S
? "X" Belaw Work Goverea oy i nis neyue-
Rep TypeofBUilding AppliancesWira EquipmentWired
. Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
mmJlndustrial Fumace
I Farm Air Condi[ioner
4 er?syemYy7 ConVactor's Remarks.
Co
A mpute lnspection Fee Below:
Other I Fee # ServiceEniranceSire Fea # CircultsiFeeders Fee
Swimminq Pool 0 to 200 Amps J 0 to 100 Amps
Transtormers Above 200 _ Amps 00 _ Amps
' iSlgns inspamor5useonry. xry
, TOTA -?S
?
Irrigation Booms (!! ?
Special Inspection
AlarmiCommunication THIS INSTAILATION MAY BE ORD CONNECTED IF NOT
Other Fee ' COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby in
Rougn- oate
certify ihat the above inspection has
been made. F;,,ai
OFFICE USE ONLV
This request voi0 18 mamhs imm
L
J L RE?Q ST FR ELECTR CAL INSPECTION
4? - 3 6 8?&`? ;"82; iv s ry Ave. Rm. 8ei28,'St. Paul, MN 55104 T?
Phone (612) 642-0800 1 qD, UV -
-
Olh
:
ld
' New Addn
X Home Duplez er
g.
B
Ap. X Remod Re air
Commerciol Industrial Farm
Air Cond. H}g. Equip. Wote! Hir. Load Mgmt Other.
Drye* Range Elec. Heat Temp. Servi<e
"X" a6ove the work mvered by fhis request Enrer remarks in this space and on
?
the bo , ck of the white <o_ py 9n?y
? /) V IA N`''
basement _
?
Caleulafe Inspeclion Fee - This In spec}ion Request will nof be accepted wifh t fhe mrrecf fee: l--
Cther - Fee # Service En[rance Size Fee # cuits/Feeders F"
Mobile Home Pas: _!ofi 0 to 200 Amps O to 100 Amps
Sireef Ltg./TroBic Sig. Above 200_Am s e 100_Amps
Transformer/Genemtor INSPECTOR'S USE TOTAL
w Q?? $40.50
Sign/Oudine Lfg. Xfmr.
Alarm/Remote Conhol - -
Swimming Pool I here ceni ihoi i'?ns x?d ?he el ? i I ' ribed heain on & dares smk
Irrigafion Boom RoughAn
Special Inspedion F. e? D
Invesfigative Fee ,,,.n? vTC?1 WITHIN i MO HS.
I TNIS 1NSTALLATION MAY BE O"^ RG •-- ELOFu v ilv ' w?.?. - -•
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
lSN City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-0 91 ?
ca.t&d zJzO(o'?
Ne,v Construction Reauiremenls RemodeVReoair Reauirements OTfi7.?,Wse bnTI,
s,s?°c; '',
3 registered site surveys showing sq. fl of lot, sq. fL of house; and all roofed areas 2 copies of plan g??iiN?'j? -, ? ? ,.?
(20% maximum lot coverage allowe? 7 set of Energy Calculations for heated additions S'P,lz?e ?? ??
2 copies ot plan sAowing 6eam & window sizes; poured found design, etc. 1 site survey for addNons & decks ?
1 set of Energy Calculations Add'dion - indicate rlan-sife sep6c sysfem ???
3 copies of Tree Presarvation PWn'rf lot platted after 7l1f93
Rim Joisl Defail Options selection sheet (bidgs wifh 3 or less units
Date o2 I) -/ l O4
Site Address (`f 0 C r i vK sa-w Construction Cost t7 z Oo o, o o
7"r. ?Eo.q ci N 0 M? _ UniUSte #
-?
DescriptionofWork ? ?l?vqe ?0.u-?A v Vao2Kkev4- 0w-f- iw4v 9 ?va-y.e-
Multl-Family Bldg _ Y X N ? Fireplace(s) _ 0 _ 1 _ 2
Property Owner Oi O Telephone #(&S( )°f-S,? - 81 I 1
Contractor poSCO !7e-5i 3r? Ru,A , Twc.
Address <c+c7S5
State /"1 1 w K 2so l46T1ti S-f. &u,
-f?, Suile- (01
Zip SS/ 24 City .4pT le. VI?tde4
Telephone #(? ) 99 7- 3a76
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissianrype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. _1---.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
? ?,i
y 11 I? Telephone # (
Telephone #(
Telephone # (
T hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pemut, 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.
Applicant's Printed Name Applic Y Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool
'¢' 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
O 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gaze6o)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish Interior ? 44
? 32 Addi6on ? 36 Move Building ? 42 Demolish Foundation ? 45
x 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46
? 34 Rep18C0ment •Demalition (Entire Bldg) - G ive PCA handout to applicant
ti
V
t
d C) O
? stem
? MCES S
on
a
ua ccupancy y
_
-
Census Code Zoning City Water _
SAC Units Stories Booster Pump _
# of Units Sq. Ft. PRV _
# of Bldgs Length Fire Sprinklered _
Type of Const ? Width
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 MuIG AAisc.
Siding
Fire Repair
Windows/Doors
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) # Final/No C.O.
Footings (addition) _ Plwnbing
T Foundation HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Teszs Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fueplace _ R.I. _ AirTest _ Final _ Windows
X Insulafion _ Retaining Wall
r?
Approved By: ZZ , Building Inspector
Base Fee
Surcharge
Plan Review .
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
??- X6 ! ? ?j`???f?
m G?i? j?7aay'it
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION h? S?
CITY OF EAGAN ?U -
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ?3 I S l Q
Site Street Address Unit #
Property Owner 1"-to Telephone # (?$J ) `Y
Contractor Q-H kii? ?L r ?i?r? i? ?_? • Telephone #(45/
Address City ?Jns nLe State Zip,63V,/,F
? -
TheAppiicantis: _ Owner V*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
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $.5z .6-2)
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application 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.
?fayn 2 M • " cc)i ezJ &,LlX_o, ?.h J.?L••? `
ApplicanYs Printed Name Applic nYs Signatuiie
i" '
-? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERIVII'T
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029364
01/07/917
SITE ADDRESS:
P.I.N.: 10-12300-010--02
640 CRIMSON LEAF TR
LOT: 1 BLOCK: 2
AU7UMN RIDGE
DESCRIPTION:
(NO BEpR00MS)
rmit 7ype BASEMENT FTNISH
r? Type flLTERATION
434 AL7. RESIDEN72RL
IAF? af ^3 ZT ??P
£ }i ?'„? , `wm {q $ S? ?
n;
£G ne a n ,v_I; 4t? ? ?p? 9# "?, ?,?.. ?r tm
i?°-;&"?? m
REMARKS:
A SEPARATE PERMIT I5 REQUTRED FOR ANY ELECTRICAL OR PLUMBYNG WORK
FEE SUMMARY:
6ase Fee $50.00
Surcharge $.50
Total Fee $50.50
a
s
CONTRACTOR: - Applicant - sT. Lzc OWNER:
DOSCO 14231814 0004144 WflLLACE BILL
14710 DELFT HVE W 640 CRIMSQN LEAF TR
RQSEMOUNT MN 55065 EAGAN MN 55123
(612) 423-1814 (612)452-8111
I
T her
? infdr
???tio'
?. . ? ?
Y,ackr?owXaxf9_d tha?°; s?.3?sc?e stito' that tJne
,ry?'?c?'?++y,?I?`ydy agrVe, ta ebmP?.Y ??:?#tfF?1A
1
*r' M v? Vf
?. e ..... ........ ? ..vv i ? .. m.. ....... s?iev>. . nu ? § .?..E.,. . J..e_....
LICANT/PERMREE SIGNATURE ? ' ISSUED BY: SIC?I?TURE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 `??1? •„', c',
1Wq3L4 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
?
RemodeVReoair Reauiremente
? 3 reqisterod site aurvays ? 2 mpiea of plan
? 2 mpies of plans (indude peam 6 window aizea; poured Ind. tlesign; etc.) ? 2 sHe survays (erierior additloro d tledcs)
? 1 miergy aleulatbns ? 7 energy caIdilations for heated addi0ons
? 3 copks of nee preservotbn plan H lot pkped aHer 717/93
mquirod: _ Yes _ No
DATE: CONSTRUCTION COST: ?
DESCRIPTION OF WORK: r?-
STREETADDRESS: -?eCv LOT BLOCK SUBD./P.I.D.
PROPERTY Name: ?PLt' A"- Phone #:
OWNER u^
Street Address- ^?•*
City: State: Zip. ,' 1' / z 3
CON7RACTOR Company: v-6 S Phone #: V-2? ~/j / y
Street Address: I w71° License #• ?" ? '' v
City: State: '-r? .. Z;P•,rr, ` f'
ARCHITECT/ Company: Phone #•
ENGINEER
Name: Registration #•
Street Address-
City: State: Zip:
Sewer 8 water licensed plumber:
ehange sro roquested once pertnit is issued.
Penalty applies when address change and loc
I herebY adcnewledge that 1 have read this applipdon and state that the irxform n s conect and agree to compty with all
applicable State of Minnesota Statutes and Cfty of Eagan Ordinances,
Signature af Applicant:
OFFICE USE ONLY
Certiflqtes of Survey Received
_ Yes
_ No
BEC a $, an
Tree Preservation Plan Received - Yes _ No
1999 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 P1LOT KNOB ROAD - 55122
651 681-4675
Date: I o "o2?4 ?( ?
Description of Work: ? Construct new fireplace ?/Gas _Masonry _ Afterations to existing
_ Install gas inseri only
Other
Jobaddress: ??-[Z/ ?? ?`C"
Lot ? Block: ? Subdivision/P.I.D.#:
Applicant (circle one only): Owner Contractor J Permit Fee: $60.50
PROPERTY
OWNER
FIREPLACE
INSTALLER
_ Install gas line wrlv
Name:
Last ? Fust ?
Street Address
W I
?S?#"
Ciry 5?n rw ? State: V-r) r\? Zip: J 7( -?)
Company: Y Y I,t ill Phone #: ?qC) '-[J7_q
(area code)
Street Address:
Ciry??y???' ?P State: wt? Zip:
Company:
O??i' , r vl
GAS LINB
INSTALLER Sheet Address:
City
_ Phone #:
(area code)
State: Zip: _
I hereby acknowledge that I have read this application and state that the
comply with all applicable State of Minnesota Statutes,and C' of Ea n
I
RECEIVED
OCT 2 9 1999
BY:
is correct and agree to
CITY 113E ONLY r
L ? BL ? RECEIPT#:
SUBD: RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN .
3830 PILOT KNOB RD
EAGAN, MN 55122
(812) 681-4675
Please complete for. . single Yamily dwellings
? townhomes and condos when permits are required for eaeh unk
' . backflow preventer for underground sprinkler system
` . FIXTURES EACH NQ, TOTAL
Shower 3.00 x ? _ ? •W
WaterCloset 3.00 x = J?p
Bath Tub 3:00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3:00 x =
Hot Tub/5pa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ` minimum - i . 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwellings under constmEtion 5.00 X =
Vliater Softener " for existing dwelling 20:00 X =
U.G,Sprinkler 'fordwellingunderconst. 3:00 =
U.G.Sprinkler `forezistingdwelling 20.00 =
Alfereti0t15 ' ta exisdng resitlence 20.00
. Water Tum Around 30.00 =
Private Disposal System ' oak cry rc: 75.00 =
(new and refurbished systems) . Private Disposal Systems' ateodonment 20.00 =
STATE'SURCHARGE .50 .
TOTAL
?. 1 here6y acknowletlge that I have reatl Ihis apphcation,:sGte Matttie intormatian is?corted; entl:agreeto.complywi[h aIl:Bpplfceble.City
, . ofEagan ordinanoes. It is theapplipnt's responsibility to natify tfieproperty owner that the'Ciry?of Ea,gan assumes no Iia.tiility fo[ eny - .. ? . damagescausetl by the City during:its
nortnal operationel and maintenance activities?to the faalides construded underthis pertnit within Cdy property/nght-of•way/easemeM. SITEADDRE55: ? ?D G ?R? '?'n5 ?-d? ?E?9 ? ??,?
, OWNER NAME:
INSTALLER NAME: D L R E KL ODTJS-ro TEIEPHONE #:
STREET ADDRESS:
CITY: AP `P)_/- 1/A 1-LtSTATE: &A/ ZIP: .SJS ? 02. ?
SIGNAFURE OF PERMITTEE
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT #
DATE: 5
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH IINIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: ?7eq+L&_? p)LI.lACpl1CS
SITE ADDRESS: (49,10 G?IYYISp 1-e-CA--C _T_;TLt,I
LOT:_/ BLOCK _g?,_ SUBD. q4"'
INSTALLER: ? ?rSOYI p vm1ot rt4
ADDRESS: qI,q DSCIYI-k ?>+'
CITY: zzr: 55'-E3u
PNONE JL
TURE OF PERMITTEE
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
I SHOWER 3.00 =CO
3 WATER CIASET 3.00 9.00
BL} SATH TUB 3.00 3.C0
? LAVATORY 3.00 1a.0)
? KITCHEN SINK 3.00 3•CO
? LAUNDRY TRAY 3.00 3•CO
? HOT TUB/SPA 3.00 3-UO
? WATER HEATER 3.00 S Cb
FIAOR DRAIN 3.00 3.ro
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3•OC7
3 ROUGH OPENINGS 1.50 SD
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
TOTAL
s '?. ,SD
.50
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE #:
FOR:
FEES
18 DF CONTRACT FEE.
STATE SURCHARGE _ $.SD FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE (612) 454 8100
mCpamp"M
FOR CITY USE ONLY
PERMIT #
RECEIPT # O (?
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE F
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------------------•
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON _
REPAIR
OWNER NAME : ?F?'3Tt.1Q,E 4)Uw3 4!;?.._5
SITE ADDRESS: 6`Y C LC tt_
LOT:? BLOCK ? SUBD ?
INSTALLER: - DAg?? &AZ?,.b- f-A?c?
ADDRESS: /t'-fl E. G.?- ?.?-•
CITY: c?J1?u.?VGL.? ZIP: 1? rr?3?J1
?
PHONE
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TDTAL:
DWELLINGS &
$1?
4.
0 - Ok
$)4, tb
.50
$ LIP6
?-k--z -_e
SIGNATURE OF PERMITTEE
C?tfi??1Z?2ALjTN?USm1tIXL;;; PLEASE COMPLETE THIS PORTION FOR ALL COMMEERCIAL/INDUSTRIAL BUILDINGS,
.. .............:..
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUZRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE;
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CTTY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE a $.SO FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
(?..i?J?^ ? ???? l
34
2?uz?N?,J
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lili?^:?• ?..?vl.???
1991 BIIIIII PA 4LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PIANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CAL
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iTIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT
OF MONTH IN WHICH REQUEST IS MADE.
LAT CHANGE IS REQUESTED ONCE PERMIT IS
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST
DESIRED. NO_CHANGES WILL BE ALLOWED ONCE B1777A7NG PF.
/ZZ'Da?.OFFICE IISE ONLY
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Gt"O? ? Valuation: ?' Date: 9- 9- 9/
Site Address (0 L}tl - ?, ,a,o,,, p„
Lot ? Block P
Parcel/Sub
!?, -?- ,gX -/?
?WI16r ".Q/L?la!M9 ??.? DAn
Address / -s-!EX 3 - 4y„-o.JL"?n-'77C?vay
City/Zip Code ,?533Phone tf` 3$= f2y t? ';
.
Contractor
Address 6,a_R,.1j.nQ
City/Zip Code
Phone y -3 S- gff Lt 3
Arch./Engr. _
Address
City/Zip Code
Phone #
Occupancy R 3 M-I
Zoning ?
Actual Const ?/-N
Allowable v-N
# of stories
Length
Depth 40'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water ?
PRV ?
Booster Pump _
s
0•A
`117•00+
61•00?
405•00+
, 2Ylil•50+
>>?s55•50r
717•UOi-
61•00+
4&6-00+
?_,217•50+
3,455•50"
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
170.00
G •oo
6po. 6, o0
po
M'OO
(o D,oo
95100
30.0o
30,00
SD
,00
390,00
SUBTOTAL
APPROVAIS Penalty
Planner Lot Change
Council TOTAL
Bldg. Off. ?.- Variance
Sew ater Licensed Contr.Q?".?q,
?P'v"'AM ??'?t,u.a`s.. agrees that all woik shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
,.._ _
I2x2?{= 208 .-
?6 x22= S'72
80(a x rs= I z?nq 0
g?MT,
2(?x 2,?= 6So
`'1 x ?6
I 4 1? 2 3 =
i ss
VA^: AT (04 ?, I
^w 1116'. U
32Z
14 ^ ?U36?I
/p?6 )e
$sm i ? loz(.
i4
?-
/?40 ? s 3 = s ?12?
Z No. FcooA
a6 x -z6= 6?(,
/ x ?2 ; JZ
6x? _ 5y
ax7y 1?
53 = 4ba?? ?
I 2l 6N Z es rL ? 22?
?
I
• ~.
9JC74 ( 4
aaraM axaas
PAE68URE AEDDCSH3 VLLVE 716REOgMT .
Tbis Agreement, made and entered into the day
of pua G_SyT . 1990, by and betveen the CITY OF 811GAN* a
aunicipality of the State of ISinnesota, (hereinaSter called the
?
City), aad the amer and the Developer ifleniified herein. +
Tha term •Developer" as used herein relers to: 7WTUl47 1tIDGE
LIItITED pARTNIItSHIP, a Minnasota limited partneeship, c/o JAMES
pgV8lApMENT C014PANY vhoBe address is 7808 Creekridge Circle, Suite
330, Hloominqton, ltinnesota 55435.
The term "Owner" as use8 here3n refers to: AUTIJlIIH RIDGE LIMITED
PARTNERSHIP, a T[innesota limite8 partnership, c/o JAMES DEVELOPMBNT
COlPJ1ltY vhoae address is 7608 Creekridge Circle, Suite 310,
Sloosington, Ninnesota 55435 and RUTH CONRAG whose eddressis 5015 -
35th Avenue SoutA, Apartment 215, ?tinneapolis, Minnesota 55417. WHEREAS, the Developer hes applied to the City for approval oE
the plat or subdivis3on ]cnown as AUT0MN RIDGE, located within the
City; and
WHEREAS, the ormer and Ceveloper agrea to notify the propoaed potantial buyars of all lots vithin AUTOla1 RIDGE that Lots 1-71 Block
1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, 81ock 4 and Lots
1-5, Sloek 5, are in a hiqh vater pressure zone and a pressure
reduoieg valve shall be installed in each home below the elevation o!
966 feet. All casts ahall be the resPOnsibility of the Owner and
Developer and shall be installed to prevent damaqe due to hiqh water
pressure.
'?'rd
r
NOi?, TlMREFORE, the City, Oomet and Developer aqree as follows:
1. Recordina. This agreement shall be records8 with the Dakota
County Reeorder so as to provide notice to the ormers of Lots 1-7,
Block 1, Lots 1-8, Bloek 2, Lots 1-9, Hlock 3, Lots 1-17, Block d,
and Lots 1-5, Block S. The Ovner shall provide and execute any and
all documants necessary io implement tha recordinq of thie aqreement.
2. Notice. The recosdinq of this document shall constitute notice
to ail amers ead Puture owners of property in the AUTtJlIIJ RIDGE
subdivision that i.ota 1-7, Block i, Lots 1-8, Slock 2, Lots 1-9,
Block 1, Lots 1-17, Block 4 and Lots 1-5, Bloek 5 are in a hiqh vatez
prassura aone and that a pressure reducinq valve shall be installed
in aach home below ihe elevatioa o! 966 feet. All cocts shall be the
responaibility of the Ovner and Developer and shall be installed Lo
prevent damage due to hiqh vater pressure.
3. Validitv. If any portion, eeetion, subsection, sentance,
clause, paraqraph or phrase of tAis aqreement is for any reason held
to ba invalid, such decision ehall not aPPect the validity oP the
remaining portion of this Coatract.
{. Bindina i?areement. The parties mutually recoqnize and agree
that all terms and conditions of this recordable aqreement shall run
xith the land herein descrihed and shali be bindinq upon [he heirs,
succesaors, administrators and assiqns oi the ovners and 8evelopers
referanced in this Contraet.
:
2H KITNLSS WHEREOF, ve have hereunto set ouz haads.
CITY OF
AUTO147 RIDGE LIMITED PARTNEERSHIP,
a Minnesota limited partnership,
or Hy: SATlES DEVEIAPMEPIT C0MPBNY r
f as A. an a Minnesota Coiporatioa
ib: Itayor Sts: General Partner
test . J. VanWarbekn y: Daie 7-?
Ib: ity Clark Its:
/
gy; Date
its:
?
Y'&
R H CONRAD at
DEVFSAPER:
AUTp14I RIDGE LIMITED PARTNERSHIP,
a Minnesota limited partnership,
By: JAMES DEVELAPAENT COMPANY,
a Minnesota Corporation
Its: General Paztner
Hy: Date 44
Its•
.p
-- -1-1
i
gY; Date
Its:
STATE OF ?ISNNESOTA
ss.
COUNTY OF DxROTA )
On Lnis ??{' day ot ?, 1990, baiore me a Notaly
Pu611e within and for said Coun , personally appeared THOMAS A. LGAN
and E. J. VanOVERBEKE to me rsonally knovn, vho beinq each by me
duly sworn, each did say that they are respectively the Mayor and
Clark of tha City of Eaqan, the munieipality named in the loregofng
lnstrumant, and that Lha seal aifixed on behall of said municipality
by authority of its City Council and said kayor and Clerk
acknovledqed said instrument to be the free act and deed oi said
municlpality.
-------------- - --------- ------
,?r,? lunr,rI L Nue[rttmm6 7
Y\=?)j Iq:APr vL^.U: - W>MESOT?
-^'?'.,
2 DAKOTA CCUNTY N tA Pq1?1SC d ?
N? [emmrs:ion ?0 <<? 1. Y.'p
STLTE OP lQNNESOTA )
) ss.
CpONTY OF ) ?
On this Lli day of ?,
1990, beEore me a Notary
ersonally
C
$aid
n
a
or
t?hi
?
public y, p
Coun
__
?
_
?
„
?
appaared ? rl6i??••? to me
paraonall known, vho baing each by me duly a n, e ch d say thaL
y are respectively the
?
of JAMES 0 EIAPMENT COMPAt1Y, a
llinnesota corporation, qancral partaer of AUTI7MN RZDGE LIlIZTED
p71RTNffit5H?.E? a Minnesoia limited partnership, to me personally knovn.
me duly svorn, did
wro be1A?i say thai they are
S
the ? 11L swi of the
corporation and limited partnership aamed 3n tse foreqoinq
instrument, and that the seal affixed to said instrument vas siqned
f of said corporation and limited partnership and
on !?
and gqaled
,
_
said apdi aeknoxledqed
said instrument to be the free act and deed of said corpozation and
linited partnership.
G.
Notary PukVic
?y
W
[R? ?-fP
47S,14
- Y?i.?._.._. _.. . . ...
? ' _...... _ :
?--- --- ____
STATE OF MINNESOTA )
" ) ss.
COIINTSt OF ?n')
On this I& day of 1990, belore me a NoLary
Public within and for said County, rsonally appeared RUTH CONRAD !o
fa peraonally known to be the person described in and vho executed
tha loreqoinq instrument and acknovledqed that she executed the same
as her tree aet and 8eed.
Notary Public
71PPROVED AS TO FORM:
Attorna O
tad: ?
APPItOVED AS TO CONTENT:
?r ?..
Public Norka epartment
Datad: 8- 7- 9 0
T8I5 IHSTRUlSENT NAS DRAFTSD BY:
S8VffitSON, WILCOX i SHELDON, P.A.
600 Ilidvay National Hat+k Bldg.
7300 Nest 147th Street
1lpple Valley, MN 55126
(612) 432-3136 .
MGD
5.-.3 3 VI RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConeWCtion Reuuirements
. 3 registered site surveys showiig sq. R. of lot, sq. k. of house; and all ioofeA a2as
(20% maximum lot covemge allowed)
• 2 copies of plan showing 6eam & window sizes; poured found design, etc.)
. 1 set of Energy CalculaGOns
• 3 copies of Tree Preservafion Plan N lot platted after 711/93
. Rim Joist Defail Options selection sheet (61dgs with 3 or less units)
DATE 7-1S-62
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RemodellReoair Reouiremenb
. 2 copies of plan
• 1 ut of Energy Calculations for heated additions
. i sile survey for exlenor additlons & decks
• Indkate if home served 6y seplic system for additions
VALUATION _?76 ? .9 3
51TE ADDRESS (oy0 Cej a,4 so.v L Ea C TRai L MULTI-FAMILY BIDG _ Y _ N
TYPE OF WORK R46•RooF, ? S/Divq FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS !v $.<'EDF.vV.4/cIA/vp . Su.Tc 136 CITYEDd.v?i STATEI'?A/ ZIP,6"S34G
TELEPHONE # 9J?•9)Y-So33 CELL PHONE # FAX # 9,5?7 -47Y -/S8'/
PROPERTYOWNER Ai Il (.vAIl,ace-_ TELEPHONE# 4:&I'`15;? "8///
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ bIINNL•'SO"1'A RULES 7670 CATEGORY 1 MINNESO'I'A RLtI,ES 7672
(J submission type) • Residential Ventilation Category t Worksheet Submitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing systcm includes:
Mechanical Contractor:
Mcchanical systcm includes:
Sewer/Water Conhactor:
„R FFF (I I'n?3
Illi ]. 9 2002? ?
# L
Phone #
-° --°-------° °------------°------- --------°----------------- °---------------------° °-----°----°----°--°------
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SlgnWureofApplicant -I
OrFICI: USE ONLY
Phone #
Water Sottener Lawn ?
_ Water Heater _ No. of
_ No. of Baths
_ Air Conditioning
Heat Recovery System
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
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METRO 1875 PLAZA OR.
SURVEYORS surrE 200
INC. . EAGAN, MN. 35122
Certificate of Survey fior? (612)452-7830
FEATUF2E 13UILDERS
LEGAL DESCRIPTION: LOTI,BLOCK2, AUTUMN RIDGE
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
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o pENOTES IRON MONUMENT PRO?POSED GAARAGE F1.00R E EVATION 94el.5 ?
? DENOTES WOOD MUB SET PROPOSED FIRST FLOOR EIEVATION • 9t,•I.9
?I=?= OENOTES EXISTING SPOT PROPOSEDBASEMEhJ FLOOR • 959.5
ELEVATIO? EI.EVpTION .
DENOTES PROPOSIED SPOT •
ELEVATION
? DENOTES DRAIWI(aR' DI'RECTION NOTE? VERIFY ACL FLOOR MEIGHTS WITH
R i i'' .? FINAL HOUSE PLANS
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I IwWbp certify tAat fMa svwy,Plan oI "•?.:'..; .'.' . -
report was prtpwed by nN or unftr mY • ` .
direct suprvision and thot I am o duly graod?Isy J. S• Mn. R?y:No:13Q38
Repistered LanA Surreyer unda tM
Laws of tM Stote of Minnesoto. Dato
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115809
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 640 Crimson Leaf Tr
Lot:1 Block: 2 Addition: Autumn Ridge
PID:10-12300-02-010
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
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.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Jeremy Mcnitt
4140 Lexington Ave S Apt 106
Eagan MN 55123
Ralow's Roofing
4351 Parklawn Ave.
Suite 108E
Edina MN 55432
(952) 210-4988
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA143129
Date Issued:06/05/2017
Permit Category:ePermit
Site Address: 640 Crimson Leaf Tr
Lot:1 Block: 2 Addition: Autumn Ridge
PID:10-12300-02-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Michele G Stegeman
640 Crimson Leaf Tr
Eagan MN 55123
(651) 356-5266
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature