647 Crimson Leaf TrSEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan„ MN 55122-1897
DATE sEY 24, 1991
OFFICE USE ONLY .
METER # 9 02 73 LV PERMIT DATE 69/27 f 91
CHIP # D e?a2 O 513.S PERMIT # 12312
METER SIZE _") k s B.P. RECEIPT # C 15526
ISSUE DATE Jl- Z-5- ?/ B.P. RECEIPT DATE 09/24/g1
_X_ PRV _ BOOSTER PUMP
SITEADDRESS 647 (,'.?Imst;j LEAF TR LOT `% BLOCK 3 SEClSUB AUTiJMN RIPGE 1 ST
f APPLICANT:
f AQDRESS: ^ W '
4 CITY, STATE ZIP
? PHONE:
PERMIT REGIUESTED
X SEWER x WATER - TAPS
- COMM/1ND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Instalied
PLUMBER: 4ZBERG CONSTRUCTION Ahead of Domestic Meters on Water Line.
ADDRESS: 6410 t 31ST ST CT Credit WILL NOT be given for Deduct Meters.
CITY, STATE APPLE VALLEY MV Zlp 55124
PHONE: 432-9079
I AG EE TO COMPLY WITH CITY OF
OWNER: a D& S AOTES EAGAN ORDINANCES
ADDRESS: 812 E] 43Tfj ST
CITY, STATE nLrRNSVILLE t3N Zip 55337 rxI
PHONE: 431-2429 SIGNAT RE WHEN METER ISSUED
. 7
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR fNSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. .
iE ONLY
PERMIT DATE 09/27191
PERMIT # 12312
B.P. RECEIPT # C 15526
B.P. RECEIPT DATE 04 24 91
X PRV - BOOSTER PUMP
SITE ADDRESS 647 CRIMSRN 1$A8 Tlt
LOT5 FILOCK 3 SEC/SUB AUTt1MN 11IBCE iST
APPLICANT:
ADDRESS:
CITY, STATE ZIP
OFFICE
METER #
CHIP #
METER S12E
ISSUE DATE
PLUMBER: Oi.BERG COt1STRUCTI01i
ADDRESS: 6410 131ST ST CT CITY, STATE APPLE VAI.I.LY Mll ZIP 55124
PHONE: 432-9079
OWNER: B D b SHOl1H3
ADDRESS: 812 s 145?H ST
CITY, STATE BURNSYILLB !SN Zip 55337
PHONE: 431-2429
PERMIT REQUESTED
x SEWER X WATER - TAPS
_ COMMlIND X RESIDENTIAL
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
CALL 454-5220 FOR INSPECTIONS. FOR
" • , CITY OF EAGAN : 6 ? 1S720
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-81UU
BLIILDING PERMIT Receipt #
To be used for SF DoiiC/[;AR Est Value S110.000 narp SEP 24 1091
Site Address boT unjnKo LEM 't'R
Lot S Block 3 Sec/Sub. AUWMAl RIDIZ 18T OFFIC E USE ONLY
Parcel No. occupancy R-3? FEES
i
zoning
Name E D b $?$ (Actual) Const Bldg. Permit 67s,?
=
o
AddreSS 812 E 14S'C!1 6'P
(,vlowahte) ??
- L?
?
3S
Surcharge •
City BUMVIIJJ Phone 1- 9 * or stories
509
Pian Review ?
438.00
p Name Length
Depth ?? SAC
Cit i?'? A
= y
.
°a
v Addr@SS S.F.Total
? ?
b?
cc 1 SAG. MCwCC •
City Phone S.F. Footprints _ W
C ??•? "
?
W W
N3me OnSde Sewage
On Site well - ater
onn
9s.00
W
??
~
Address MWCC System X weter rne?er ?
?
acct
oe
osit .
i W City PhOn@ Cly Water x
? .
p ?.oo '
PRV Required S/W Permil
I hereby acknowlege ihat I have read this application and state ihat the
i Booater Pump - Syy Surcharge •50
nlormation is correct and agree to comply with all applicable State of
Minnesota Stalutes and City of Ea
an Ordin ces 376.00
g
.
l r Treatment PI
SignaturealPermitee ?- i?-•=?'"-?-? ?' - APPROVALS RoadUnit 370•00
A Building Permit is issued to: 8 D& g HOM Planner - Park Ded. ?
on the express condition that all work shall be done in accordance with aU Co+ncil ?
applicable State ot Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. _ Copies ?
Building Official
Variance
-
TOTAL 3379.50 ?
,
Pamk No. Permit Holder Date Tslsphone Af
WATER w
SEWER
PLtnMBiNC
H.v.n.c. . , a 9/
ELEcrRIc /o ? 9 57 -1-7°° .
Inspection Date Insp. Comments
Footings I
Foundation ?
Framing
Roofing
Rough Plbg.
Raigh Htg.
Isul.
Fireplace % ? . /
Final Htg. ? -
prstat Test
Final Plbg- Pibg. Inspectw - Noti(y Plumher
Const. Meter
EngrlPlan
eldg. Final _ z ( ps
Dedc Ftg.
Dedc Fnal
weu
Pr. Disp.
Z/ I
C
w J$
?
\? ?...
r
(grx#if traft nf Mrrupanry
_ Citp of (Eagan
Dppal'tltlpiifJ Df B1Ttiailtg JttB}?Pi'ttOti
t This Certiftcate issued pursuant to tke requiremenu of Section 306 of the Unifornt Building
Cade certifying that ar the time of isauance this structure was in compliance with 1he various
ordrnances of the City regulating building construction or use. For the following.•
ux c,mc?om SF DWG/GAR MS. Pbrn,;, Na. 14726
o?upi-y rra R3/M1: Zen*Dsbid R 1 Tyx cong. VN
- ownerotew&n8 B D& S HOM?S AMrm 812 E 1451f1 STO R'VT_T7F.
' eWia;ng Aca= 647 W= IEAB LRAII. ? L5, B3, AITItMd RIDM 15Z
o.u: - 11I26l41
POST IN A CONSPICUOUS PLACE
? _ . . . , ?.?
?
Address: ?7 ? iFAF ?II, Lot 5 Blk 3 Sec/Sub ?? gIDGE 1ST
These items were/were not complete at the ti me of the final inspection.
I1 26 91 Yes No
Final grade (6" from siding)
Permanent steps - garage •
6 a A
Permanent steps - main entry Job Address •
Permanent driveway ?
Heating Contractor
?
Permanent gas Name of Tester
Sod/seeded grass i/ II Z5
D8t@
Trail/curb damage LI-oo
Percent o2 7'r
Porch Percent CO C)
?
Basement finish
Stack Temp. ?S7
Deck 7.6
C ? 16.
Please verify with the buildar the removal
system and the shut-off of water supply to „
freeze potential exists.
White - City copy Yellow - Resident copy Pink - Contractor cop?y ?? ?
INSPECTION RECORD^
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
I SITE ADDRESS: ; „ i
,.? I f.tH.:44a tti?;
I r1111II14M F 1 llr,it
PERMIT SUBTYPE:
;; . 1
nuf IN6 '.:
F, l APPLICANT:
;, 111i,
ki, i ") :c4i
TYPE OF WORK:
I I hl/I1
iiu [ E 1? t Hii
er.in3.'
tl4/2n/414
-1
-1
Permit No. Permit Holder Date Telephone !t
SNU
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspeCtlon Dete Inap. Comments
Footings I
Foundation
Framing f
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg. I?
Orsat Test
Final Plbg. Pibg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. D
DeCk Final
Well
Pr. Disp.
647 GRIMSON LEAP ?R ,( B D& S HOMES )
? ?.
?x Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN Old.
Your Sewer & 1+Vater Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter 5ize must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
IG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIREp BY LAW.
:T COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
y, Building Inspectians Dept. ? • '
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? 43744
Request Date ire No. Rough-?nspection
Ready Now ? Will Notify Inspecla
No
Yes Ci When Ready7
licensed contractor ? owner hereby request inspection of above electrical work at:
I
X
Job Add;ess tSheet. 8ox or A ute No.? ? C? ? ?' •/
C??„? ?y ?
A,?
Seclion No. Township Name a No. Range No. Cou?ry
?
?
?
A
Ocwpant (PRINT) Phone No
vMes
Powe up lier 7?"
? ?
.•
AIC.
Electncal ntractor ( mpany Na ;e)
?%??i?.? Contractor's License No.
py??/Slo 3
Mailmg Atltlress (Contractor or Owner Making Installatbn)
?
A A
1
^
110626 ?G'0144 //e V -
Authonzetl S a re(ContractonOwner Makinq Installation) Phone Number
yy?
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mldway Bldg. - Room fr173 BE ACCEPTED BY THE STATE BOARD
1821 Univeraky Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED. -
? REOUEST FOR ELECTRICAL INSPECTION ?ffes-oooo,-os ?
'??5/g? low See instructions for completing this torm on back of yellow copy. S ?'? lo,3„rj 74?
??
V
"X" Be/ow Work Covered by This Request 11_?_•?
w dd e.. . TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex ater Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./lndustrial Furnace
Farm Air Conditioner
Other (specrfy) Contractor's Remarks:
Compute f»spection Fee Be/ow:
# Other Fee # Service Entrance Size Fee # Circufts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to t00 Amps
Transtormers Above 200 Amps Ah Amps
5igns Inspectar5 Use Only:
./ TOTA ?
Irrigation Booms ? r
Special InspecGon
Alarm/Communication THIS INSTALLATION MAY BE O DERED DI I?NECTED IF NOT
Other Fee COMPLETED WITHIN 18 M ?
I, the Electrical Inspector, h@fEby Rough-in
certify that the above inspection has
-n made. Final f oaie
?
-a `JNLY V
'a months fran
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?
New Consfruction Reauirements RemodellReoair ReauiremeMs OKce Use Onlv
3 registered site surveys showing sq. ft. of lot, sq, ft. o( house; and all rookd ereas 2 copies of plan Cert of Survey Reoi .:.. .. ._ yN
(20% maximum lot coverage atlowed) 1 sel of Enefgy Calwlations for heated additions Tree Pres Plan Recd Y-N
2 copies of plan showing beam 8 windowsizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _N
i set of Energy Calculations AddPo'on - indlcate i(on-sde septic sysfem Oo-sife Sepdc System _ Y_ N3 copies of Tree Preservation Plan if lot platted aker 711193
Rim Joist Detail Options selecGOn sheet (bldgs with 3 arless units
,
Date q / _(
/ OLI t
Constructioo Cost
SiteAddress C?L17 (nr`~tnn t-af,f -{FIA?9 UniUStett
Description of Wark ?? 6,
Multi-Family Bldg _ Y K N Fireplace(s) X0 _ 1 _ 2
PropertyOwner Telep6one#((??! ) 4?????v`P?
n-4U1
Contractor dq l r c.ii.C
Address ?
City
State Zip Teiephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
EnOrgy Code CategOry . Residential Venti)ation Ca}egory 1 Worksheet • New Energy Code Worksheel
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informa(B+n cnmplet'e and acdurate;
that the work will be in conformance with the ardinances and codes of the City of Eagan andTie?ia e of MN
Statutes; 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 1 in the case of work which requires a review and
approval of plans.
Dn":A ??Applicant's Printed Name ApplicanYs Signature
, CITY OF EAGAN Np 19726
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8700
G?c,\!?Dko
7
Receipt #
To6eusedfor SF DWG/GAR Est.Value $110,000 Date SEP 24 ,1991
Site Address 647 CRIMSON LEAF TR
Lot 5 Block 3 SeGSub.AUTUMN RIDGE 1ST OFFICEUSEONLV
Parcel No. occupancy R-3 M-1 FEES
R
1
Zoning -
W Name A D& S HOMFS (ActuaqConst V-N Permit 75. 0
81dg
; Addf@55 - 812 F. 1 45TH CT (Allowa6le) V-N .
55
p .00
Surcharge
Clty RIIt2NRV11.1.13 PhOf12 411-91,99 ;YO1Stories -
'
0
Plan fieview 438
0
lenglh _50 .
p Name `5?E Deplh 36 1 100.0?
SAQ Cit
i
$?
Address
S.F,TOIaI
- y
SAC,MCWCC 650.00
City Phone S.F. FootDrints _
660
00
On Site Sewage _ .
water Conn
r
°w
' Name onsneweu
95
00
?
w - .
WalerMeier
530 Address MwCCSyscem X
a W City PhOne Gry Water ? A???? Deposit 30. 00
30
00
PRV Required X _
S/VJ Permit
I hereby acknowlega that I have read this application and state that the Booscer Pump - ShV Surcharge - 50
inlormation is correct and agree to compty wilh all applicable State of
Minnesota Statutes and Ciry ol Eagan O ina es. - Treatmenc PI 276.00
Signature ol Permilee i= APPpOVALS
Roaa unit 370.00
A euilding Permit is issued to: B D& S HOMES Plennar - Park Ded.
on the express condition that all work shall be tlone in accortlance with all Cmmii --
applica6le State of Minnesola
Statut
e
s and
ity
C
of Eagan Ordinances. Bldg. ON. Copies
p_
-
r
?
y y
1
BuildingOflicial ?il1?LLjN ? I11!? Variance - TOTAL 3.379.5?
;
?¢tes N
ct
DELNMp?R SCHWANZ
N. '
LAN? 3?1R?EYOHS. INC. _
pw?.?.aa uoee, ?•w? o? n'• Su?MINNESOTA 55068 612l423-1789
1475050UTNROBER7TRAll POSEMOUN7, `
SUFIVEYOR'S CER7IFICATE
? 18+'/k?Sq"fi?i / ,. _ l?o? _
HV'' _
/JB9°.}1 79 30 feet
i
95,?? . Scale: 1 nch =
`s= - - -._ ? I5 = 7son pi.pe monument
p
il/ 5? I [I- Set wood hub
1 I
=Existing elevation
I K
_ pYOPp$eg elevation
,
,lk I I 3 proposed garage floor elev.
I , I 9 ? t!
S' ? N ip Proposed top of block elev_ ..
Level elev.
:? m0 I ?i;5 S I ? p Proposed lowets
g5
g ? qSbU .--17 ?t7. /f= _
. ` i ?-J8 A ? 1
? \ . Yr„',o;??
z 5
n -
n ,
? m I ?- 1
-1
-1 ?a - 7
70f Descci.ption: AUTUMN RIDGE.
` ie ?
I ` 3
? ?'Ot 5, to t Block he recorded plat
accorcl' hereofn,9Dakota County, Minneso?
a _?t
?,°?------- -- -; _
locat ion of a
Also Showing the
q57.L
00 , c staked theeeon.
L?E o house a_
--qS?., i?b'I'-?I' _??_,.,
gSZiB
?
rr
??CA.:
' -?-" -T iF f { I L / _
GAC- AF
? r
?`?-'• OELMFR H. `r'?,
bn.orrePonwea SGE{yyAhlZ ; ? (!1I ? ? 4
1 heroGY cerlfly thet thla suney.
ms or undar my dlrect suVe"j1°?on snd 4prepara Su
??„i, •.?i'?. N
dGy or undar
rveY . . ?`' Schwenz /
thal ! em s duly Re9lat0red Lsnd D
?'y "••. ' ??? elmsr H. ?i
the lewa ol the Sute ot Minnaaota. ti. •?r • Mionewts Peqistrallon No. 6625 ?
pa1sd
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
U'TLDINC??
023432
04/26/9A
SITE ADDRESS:
647 CRIMSON LEAF Tft
LOT: 5 BLOCK: 3
AUTUMN RIDGE
P.I.N.: 10-12300-050-03
DESCRIPTION:
REMARKS:
DECK
NEW
B:uildin`giPermit Type
BUildirrg,W's3rk Type
?
?
.\
?
? ?-
??
FEE SUMMARY:
Base Fee
Surchargs
Lic. 3earch
5ubtotal
$30.00
$.59
Fee $5.00
$35.50
COpTES $1.60
Total Fee $36.50
CONTRACTOR:
VICTORY BUILDER3
14194 GARLAND
APPLE VALLEY
(612) 891-4543
-- Applicant - ST. LIC
18914543 0009331
AVE
MM 55124
OWNER:
OSBORN pAVIO
647 CRIMSON LEAF TR
EAGAN MN 55123
(612)454-9099
I hereby acknowledge that Z haue read this app3£cat3om and state that the
intormatinn i.s correct and agree to comply with all applscable 5tate af Mkrr.
Statutes and City af Eagan prdinances.
? I
m??
PLICANT/PERMITEE SIGNATURE I SUED BY: IGN TURE
i_
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ;
681-4675 Z
f __'__........ .
_. '
! J
?.`. ..___..._..
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date 41 Valuation of work
Site Address:
STREET SUITE #
Tenant Name: (cammercial only) PAV110 GfXo/G,'
LOT S BLOCK J SIIBD ./, /???. ? &'?,???_ ,? (oi
??r P . I . D. #
Descri tion of work: [Jc'cK
The applicant is: ? Owner Contractor ? Other (Describe)
Name 0,?_o3d,?eAl W ?/ D Phone
Property LAST FIRST
Owner Address 6 y7 cRLaf? 7? -
STREET STE #
City Gfll9? State Zip
Company Phone 971-H9`T°3
Contractor Address iYr 9'Y GAA4_A^'l>License #`733r Expfl`l ?5_
City ArIl? ?fl LState /`"(Z" Zip S3;-i2j
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:"
r
e E'ur: N
;, Ilon?es
?Yetr ?
pELRIUAR N. SCNWANZ ,
L,NP BUPVEYOPS.INC.
Rnqble?W Vnder l?w? ol Th? $t?l? al Mlnn"o\- g12l423-1789
?.1750 SOUTH ROBERS TRA1L ROSEMOUNT. MINNESOTA 55069 N
OR'S CERTIFICATE
SUFIVEY
h 30 f
/J?,?.s?` 9cale: 1 i.nc = eet
•r. __ ---- I5 ?= 7ron piPe monumenti
? ?-r - -
il / ??I I d= Set wood hub 1J elevation
, I I X???,2 =Existing
elevation
O _ proposed
? I ? o r _5 I
f
pYOposed gaca9e loot elev.
?? I I 3
V Ji
top of block elev.
roposed
p
mf? pYOposed lowets Level elev-
"° , t?? o
?
? • ? I ,S ? t,.? Z
?5 o A 9 5
?r7. 14'° ?
1'/' ?e
`?1 a I d IlM,se, i I n
8 ? ? I
p I ? ,,.yc.
_ ?-?
? peSLOt p oBlock 3. AUTUMN RSDGE
the recorded plat
coxdi S ng to ? Minnesc
ac
h?e? DakoYa CountY
theceof, ,
? -
the
qszz o showin9 locat i.on of a
?. ??.- --- _--- -`-
_ _._----_-.?5? - A1.s ys staked thereon .
--- ??'41 ? Ld'E p house
_ -- --_ =- J t .
c2WIM501V
„.,
, s._.
? •::, . . .
1 he? eby cert4fy ltiet thla survey. Pl?n. or rePOA wea
or under
prepered ty ma o? U?atored Ls?d Surve?y Ision and
thel 1 sm a duly Ra9
the luws °l the Skate ol Minneaote,
pc3'] 3-9].
pded
Delmsr H. S,n`"°^= No, ggp6
Minnesota Peplsiretlon
CZTY OF EAGAN
. 3830 PIIAT BNOB ROAD
A EaGaN, 1iN 55122
PHONE (612) 454 8100
li?Ct3aNSCAL;,?ERMIT;
FOR CITY USE ONLY
PERMIT ik
RECEIPT # C%
DATE:
?IDE?11'TAL',? PLEASE COMPLETE IIPYER PORTION ONLY FOR SINGLE FAHILY DWELLINGS &
? ..:. .. ..... . .
TOWNHOMES/CONDOS WfiEN PER?fITS ARE REQUZRED FOR EACH iTNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME : 6 D c? _A Nam4 n 7
SITE ADDRESS:
IAT: 5 SIACK -? SUBD
INSTALLER:
ADDRESS
CITY:_? ZIP: ?j.?y
PHONE #: T3a^ O 96,
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OF 1 PER PERMIT
SUBTOTAL: $ 2100
STATE SURCHARGE: .50
TOTAL: $2960
ul
SIGNATURE F PE TTEE
tbHI4ERCIAT.J;NbUSTRIAT.;; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAHILY SUILDZNGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS:
IAT: SIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE #
2IP:
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
41lT ur rrAUnn run L.ic: uba VnL:
3830 PILOT RtiOB ROAD
EACAN, MN 55122 PERMIT k
PHONE (612) 454-8100 RECEIPT N O 3 3
$ING:P.?IT
? :...::.:.......?.,_.....,.:...w DATE: ?O? 51 91
?PLEASE COMPLETE UPPER PDRTION ONLY FOR SINGLE FAHILY DS7ELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH IINIT.
------------------------ ------
HORK DESCRIPTION -------------------- -°- --___-----------°---
COMPLETE THE FOLIAWING: ___---
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 ;3.w
REPAIR WATER CIASET 3.00 ?.Go
? BATH TUB 3.00 ? •, ;a
?+vATORY 3.00
?
OWNER NAME: 'U tu i KITCHEN SINK 3.00
C ? ? C i? I Yti\S b-
/ i u'?DRY TRAY 3.00 ,?
?
T
SITE ADDRESS : HOT TUB/SYA 3.00
r
? ?. I WATEn H£ATER 3.00
IAT: .il
BIACK
SUBD. FIAOR DRAIN 3.00 ?. 60
GAS PIPING OUT.
INSTALLER: b 1- tg E ? {7 ci (MINIMUM - 1) 3. 00 3.uo
St
6 y ??
? ? S ROUGH OPENINGS 1.50 _>t
13 t- S T, ?.
ADDRESS :
• ---- OTHER -?-
n 1 1 C?
CITY: 2IP:
V??C SSC'?`? = WATER SOFfENER
PRIVATE DISP. 5.00
15.00 -"
-
U.G. SPRINKLER 3.00 ?
PHONE
nn n SUBTOTAL S
? ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: $ 4A S? ? LZI
MtIMERCWiNDIISTRIAL? PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTAIAL BUILDINGS AND
MULTI-FAMILY BUILDINCS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER L7AME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 tlF C6NfiRACfi FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE R 12 $
STATE SURCHARGE $
TOTAL:
(SIGNATORE)
$
CITY OF EAGAN
° 1991 BIIIIIVPAP"PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PIANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MIILTIPLE DWELLINGS
2 SETS OF PL4NS
REGISTERED SITE SURVEYS
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CA7
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS
Date: -0 c/(ff
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 6 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: ?
Site Address 647 (a'CimSoAJ 464 F i2. OFFI,
I.oc -< slock 3
Parcel/Sub NU7-41n7.J I<I Li 6d / S?
Owner "a- 6AY"<'-?/ -
Address _9/2. E /o,SrK S'4.
City/Zip Code 6U/Gnj50i(,C.l3 5533?
Phone yZ3/-a V-29
Contractor ,644S f4C2?6r5
Address '?5r 141S TN S4,
City/Zip Code &v%)s4/itL4r 55337
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
I I Ol Ot70?-
Occupancy IZ 3 M_1
Zoning K -I
Actual Const V- A1
Allowable V -N
# of stories
Length O
Depth 36
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water J?
PRV ?
Booster Pump _
675°UOr
55•00+-
438•OOr
2, 211•50+
3>>7J•y0"
ONLY
FEES
Bldg. Permit 695"00
Surcharge 55,00
Plan Review 1430,00
SAC, City IDD,Oo
SAC, MWCC 65D.00
Watez Conn. (0(00.02
Water Meter 96'100
Acct. Deposit 30,00
S/w Permit 30,00
S/W Surcharge SD
Treatment P1. 2 7b,o0
Road Unit 3V•O,
Park Ded.
Trail Ded.
Copies
SIISTOTAL
Penalty
Lot Change
TOTAL 3=1
Sewer/Water Licensed Contr. ?j?illt3 OGSOAJ CLc?m,3?.•?6 CO?Ff??foj
,'t,Cagrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
V,4. t: u ? N
r
G,? A,6e
?2X2y =528x15= ?920
-----_,
28x?.6= '128'? I'? = Io?R2
IsT FLcarZ
._.?----
z? °7z?
? x 12 ? Zr?
Rx S 3= s I 7 8 I
ON 0 T-I...o,.*,.
zV !'Z(o ' IZD
1' 7-) 2 = 1?!
r7y? X s3 ? 39, 53?
?----
/ocji y31
a)t IIO?j ODJ ?
.
Certificate For:
? B.D., & S. Homes _
? Mike Barrett ?
. • N
DELMIAR H. SCHWANZ
uNO sunverona urc.
? FpIMnW Un? Lae M TM 91Ne of Mlnnneb
14750 SOUTH ROBERT TRAII ROSEMOUNT. MINNESOTA 55068 872/123-1789
SURVEYOR'S CERTIFICATE ?
78?42014"?9TG. ?
30.
45,00
?
5? I5 Scale: 1 inch = 30 feet
., I I O= Iron pipe monument
\^
? p = Set wood hub
fi I I
? o LJ4.Z =6xisting elevation
Proposed elevation
a3 I I 3
;.
? m? I " I N? Proposed garage floor elev, fW,0
ADg Proposed top of block elev. 9?,3
g Rp?.b 9S? ?, ? Proposed lowets Level elev.
b+\ IB ? r-17 ?57. /rr '
t`' ? I J Pri,Pnse¢ ?; I ? >°P
.o I
ze
_/7 35"7.o6;
1; qtiA ?1 95A i 9r6. - TP hwe
. 4. ? I o . Descri.ption:
p? ----- -- -? m Lot 5, Block 3, A[ITUMN RIDGE,
according to the recorded plat
a o thereof, Dakota County, Minnesota.
?
ysi.s BSOO 13 7,y
N67°41?L8'E A1so showing the locationof a proposec
_-?- a house as staked thereon.
--95ziB
r ?,...x.
I! eo1?Q PEO?URED r., ..?. .
CR/MSon/ LF9F Tie.?l/L ? >
e
„ ??a,sor,
? ?.:.....
DELMAr? H.
1 hsrsDy certify tAet thls survay, plen, or repaA was 1 • . _ ?
preperod by me or unCar my direct euDeMalon and SCH WANZ
that 7 am e duty Repiqerod lan0 Survsyor undx
tna laws of tM Suts of Mimroeota. y`•. -?625 -..Q. fi V ? f/
41?x
rs'?•'. .re /J?•?
?,p • ?1?? Delmer H. Sehwanz
• pated 09-13-91 Mlnnssota Reqlstration No. 8625
• .,
EXTERIOR ENVELOPE kVERAGE "U" COMPUTATION
OWNER
SITE ADDRESS ?..or Si j34a,?k3 4ty4Mp ,p?
' CONTRACTOR 115?141 bATE .9 z3 9? PHONE 3i-zyz9
Determine working square faotage of each.
1. TotaT exposed wa11 area ...... z453?1ag sq, ft. x
2. Total roof/ceiling area .... IoOI sq, ft."x •021,° Z Z
Total exposed wall area above floor = 2 0"1 Z.-
:'. a. Total walt window area ..................:........
r% b. Total door area .................................
` c. 7ata1 s7iding glass door area .................... . y y
Total fireplace.:wall area........ ... .. ...... " -
e. Total wall framing area (average?l0%)...:........ -T5T--3V-
f. Total net wall area above floor ................. ._,.11.o32,0
g. Total rim joist area ..........................:. Z 54
Total exposed foundation area = 'ZZr
h. Total foundation window area..................... i. Toal net foundation area abpve grade ............ jl
Determine "U" value of each wa11 segment.
a. I-1 Lo -tn XllUli
, b. 3 f5 X„u,t
C. Lf y z„ui,?_ = z z
d. X tiuii _.- .
e._ ! S!'13 q X Jlul) ? oti,&? = 17. ?
f. I Co3Z,D6P x[lu,l ,by3
g. StJ9 X nUn , b41 = 10,61
n. ?. Z- x„u,l : 3Z = z?3
;. x „u„
3 ....................... ....Z1y 5 3;b8.Tota1 = ? ?•
If item #3 is the same as, or less than item #1; you the intent
of 56C 6006(c)2.
.:
. ?
.: .
,
_ ?. .
. .?
Total exposed roof/ceiiing area =' IODI
?, . . _. . _ "
Total gross roof/ceiTing area o01 .
,
3. Total skylight area .......................
'.. ? k. Total roof/ceiling framing area .. . '
1. Total ne't insutated roof/ceil9ng area......
• . Determine "U" value for each roof/ceiling segment.
. .. . . .
.... . .. . .
x liult
J.
, •. k. X IIUII OZ*f
1. X "uti. ? O"ZZ = 15,?1
a.. . _ ...... ....... .. R.. ... .rotai ? .
If total of #4 is the same as, or less than #2, you'have met the intent.af
SBC G006(c)T. '
To utilized the total enveTope system method, the values.established by the
sum of items #3 and #4 shall not be greater than the sum of itens.01 and #2.
?. ". ... ' + 2. =
3. + .4. _
MATERIALS
Ezterior AiT
Siding Xatarial
Sheathing .
Insulation
Sheetrock
Interior Air
Studs
Rim
Conc. Blks.
Therm. Hesistance 1Ift1b
?. 45
? -` 0 U_
? ..
lys
' .57
.
;? .
;. ..
uavia ana uynLnia usnorne
Eagan , : , MN,
B,' D 4 'IS Homes
Burnsville , MN,
Wednesday, September 18, 1991
Unnamed House Room Summary Load Report (Btuh)
Required Required Max
Total Total Sens. Latent Heating Cooling Required
Room Name Heating Cooling Cooling Cooling CFM/GPM CFM/GPM
- CFM/GPM
--
---
-----------------
Dining room - -------
8547 -------
2312 -------
1607 -------
705 --------
129/0.3 -------
66/0.1 ---
129J0.3
Kitchen/Dinette 3502 5765 5215 550 53/0.1 215/0.5 215/0.5
Family Room 3495 2401 2294 107 53/0.1 95/0.2 95/0.2
Living room 4256 2535 2415 120 64/0.1 100/0.2 100/0.2
Master Bedroom 3579 2763 2189 574 54/0.1 90/0.2 90/0.2
Bathroom 1421 638 594 39 22/0.0 25/0.1 25/0.1
Bedroom 1 2784 2350 1805 545 42/0.1 75/0.2 75/0.2
Bedroom 2 3288 3161 2612 549 50/0.1 108/0.2 108/0.2
Basement 17254 1685 1434 251 261/0.6 59/0.1 261/0.6
LtiVlU aiiu t-ynLnia usnorne
Eagan a MN,
BD 4•S Homes
gurnsville , MN,
Wednesday, September 18, 1991
IInnamed House Zone Summary Load Report (Btuh)
HEATING ZONES:
Total Env Vent Req. Flow
Zone Name Heating
------------------ ---
- Laad Load Tset CFM / GPM
----
-
Zone A 61933 -------
48733 ------
13200 ---- -----
68 938/ ----
2.1
------------------ ---------
Total 61933 -------
48733 ------
13200 ---- -----
938/ ----
2.1
COOLING ZDNES:
Total Env Vent Sens Lat Req. Flow
Zone Name Cooling
---------- Load Load Load Load TSet RH CFM / GPM
--
-------- ---------
Zone B 28883
----------
- -------
23702 ------
5181 -------
22017 ------ ----
6866 79 ---- -----
55 910/
---
--- --
2.0
---
--
----- ---------
Total 28883 -------
23702 ------
5181 -------
22017 ------ ----
6866 - --
910/ -
2.0
L ? gL ? CITYUSEONLY RECEIPT#: /??l-?-
SUBD. l.?y?•?-w RECEIPT DATE:
1997 PLUMBING PERMIT (RESIDENTIAL)
ciTr oF eacaN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: . singte family dwellings
. townhomes and condos when permits are required for each unit
. backflow preventer for underground sprinkler system
FIXTURES EACH NQ TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 7 • 3.00 x =
Rough Openings 1.50 x =
Water SoRener ' for dwellings under construction 5.00 x =
Wptor CoNAnpr ?n.nn ., _
U.G.Sprinkler `fordwellingunderconst. 3.00 =
U.G. SpdnklBr ' for existing dwelling 20.00
Alt6fetlon5 ` to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' Dak cry iic. 75.00 =
(new and refwbished systems)
Private Disposal Systems' nbandonment 20.00 =
STATE SURCHARGE .50
TOTAL
I hereby adcnowletlge Nat I have read this epplication, state that Me information is corteG, and agree to comply with all applicable City
af Eagan ordinences. tt is the applicarri's responsi6ility to notity the property owner that the City of Eagan assumes no liability for any
damages pused hy the C'dy during its normal operafional arM mairrtenente edivities to the faalities consWcted under this permit within
City propertylrightof-wayleasement.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREETADDRESS:
CITY: ?AQ A?J
STATE: ZIP:
?
tI
SIGNATUR E OF, PE MITTEE
?%jee...ua? P, r/•'?.
S. rr, TELEPHONE #: S1W-q17q9
. ^.
958274
kcrom azcrss
rAasemea a:cucaia vu,va AGRMMN'r
This Agreement, mnde and entered into the daY _
p= /CT , 1990, by and betveen the CITY OF EACAl1, a
¦unicipality ot tha Siaia of Ninnesota, (hereinafter called the
City), and the Owner and the Developer identiLied herein.
Tha torm •Developer• as used herein rafers to: AUTt7lR7 1tIDGE
LiMITED PARTNERSHIP, a Minnesota limited partnarship, c/o JAMES
pgpgt,ppy}NT COMPANY vhose address is 7808 Creekridqe Cirele, Suite
310, Hloomington, lSinnesota 55435.
Tf1g tet'm "WR6I" as usad haiein refets to: AUT04IIi RIDGE LIMITED
p11ATN8RSHIP, a Minnesota limited partnership, c/o JAMES DEVELOPMEN'P
CO}PHtIY whose address is 7808 Creekriflge Circle, Suite 310,
Blooainqton, Iiiaaesota 55435 and RUTH CONRAD whose address is 5015 -
35th Avenue South, Apartment 215, riinneapolis, Minnesota 55017. iiHgREAS, the Devaloper has applied to the City for approval of
the plat or aubdivision knowm as AV141lIIi RIDGE, loeated vithin the
Ciiy; and
NAEREAg, the Ovner and Developer aqree to notiPy the proposed
potantial buyars oY all lots vithin AUTtJlW RIDGE that Lots 1-7, Block
1, Lote 1-8, Blxk 2, Lots 1-9, Block 3, Lots 1-17, Blxk 4 and Lots
1-5, Slock 5, are in a high vater pressure zone and a pressure
reducing valve shall ba installed in each homa belov the elevation o!
966 feet. All costs shall be tha responsibility of the Owner and
Developer and shall be installed to prevent damage due to high vater
psessura.
6R
`?'+:?
NOw, TH33EFORE, the City, Ovner and Developer aqree as lollows:
1. Recordfna. This aqreement shall be reaorded vith the Dakota
Ceunty Recorder so ns to provide notice to the ovners o! Lots 1-7,
Bloek 1, Lots 1-8, Block 2, Lots 1-9, Block 3, Lots 1-17, Block 4,
and Lots 1-5, Block S. The Ovner shall provide and exeeute any and.
all documenta necessary to implement the zecordinq ot this aqreement.
2. Natiee. The recording of this document shall constitute notiee
to all wmers and future rnmers of property in the AUTUMi RZDGE
subdivision that Lots 1-7, Block 1, Lota 1-8, Block Z, Lote 1-9,
Block 7, Lots 1-17, Block / and Lots 1-5, Block 5 are in a high vater
prossure zone and Chat a pressure reducinq valve shall be installed
in each Aome below the elevation of 966 teet. All costs shali be the
responaibility of the Owner and Developer and shall be insLalled to
prevent damage due to hiqh vater pressure.
3. validitv. If any portion, section, suhseetion, senteace,
elause, paraqraph or phrase of this aqreement is for any reason Aeld
to be invalid, such decision shall not alfect the validity of the
reaaininq portion of this Contraet.
4. Bindina aareement. The parties mutually recognize and agree
that all terms and eonditions of this recordable agreemeat shall run
vith the land herein described and shall be binding upon the heirs,
succassors, adminietrators and assiqns oP the owners and developera
relerenced in this Contraet.
IN iiITNESS WfIIREOF, ve have hereunto set our hands.
CITY OP
OWNERS:
AUTUI4t RIDGE LIlIITED PARTNIILSHIP,
a Minnesota limited partnarship,
. By: JATffiS DEVEi.OPMENT COlPANY,
Duas A. an a Hinnesota Corporaiion
Ita: Nayor Zts: General Partner
t?st . J. VanOVerbake y: Date ?r?'
Its: ity Clerk Its:
/
8y; Date
Its•
a
y"'t
R H CONRAD at
. VTA . ?
119T0lQt RIDGE LIMITED PARTNERSHIP,
a Iiinnesota limited partnership,
By: JAMES DEVELOPMENT COMPANY,
a Minnesota Corporation
Its: General Partner
By: Date
Its:
.p
:
?
gy; Date .
Its:
STATE OP MSNNESOTA
ss.
COIINTY OF DAAOTA )
On this Zjf&' day of ?-? . 1990, Lefore me a Notary
Public within and !or ssid Coun , peraoaally appeared THOlIAS A. EcAN
and E. J. VanOVERBEKE to ma rsonally known, vho being each by me
duly svorn, each did say lhat they are respeetively the Mayor and
Clark of tha City o! Saqan, the munioipality named in the loregoing
instrumant, and that tha aeal atfixad on beAalf of said municipality
by authority of its City council and said ltayor and Clerk
acknovladqed said instrument to be the tree act and deed of eaid
municipality.
? IURr.ro L MIQBEAPFAIIG L ?7, ,,,(?s-.e--•-r)
Lrt_?` IIG'MiR::t:-YI\NESOT? f
CAKOTA CCUNTV N LII! P11b11C
Y/ Commn:?M Ea0 F<f t. 1".",J z ? 7
r..eM? J
STATS OF 1QIiNESOTA
) ss.
CODNTY OF k?a
)
On thi day of 1990, before me a Notary
Public w in. said County, personally
appearad ?1_. nd ?WM to me
pazsonall knovn, vho beinq each by me duly s n„ ch d' say Lhat
?y are respectively the S
of TA7SES DE E7APMENT CGMPAtiY, a
Itinneeota corporation, gencral partner of AUTUt4i RZDGE LINZTED
paRTNffitSH? a Minnesota limited partnership, to me personally knovn,
vho be{? , me duly svorn, did say that they are
the 10f.SL +Ri of the
corporation and limited partnership named ia the foreqoinq
instnment, and that the seal aflixed to said instrument vas siqned
and gmled„ on b P of said corporation and limited partnership and
said ? Mmv acknwledged
said instrument to be the free aet and deed of said corporatioa and
13aited partnership.
Notary F@V ic
?rNrr?iOI? ?
sw
p
• ' ' ?_... _:
: :i
STIITE OF ESOTA )
" ) ss.
CODNTY OF
On lhis ? day of 1990, bePOre me a IQOtazy
Public vithin and for said County, rsonally appeared RUlti CONRAD to
•e peraonally known to ba the person described in and vho executed
the foreqoinq instrument and acknrn+ledqed that she executed the same
as har lrae act and deed.
?,tmcv, E .
?-
0 Notazy Public
'?e.. 4 ?iaM
APPROVSD AS TO FORM:
Attorne o
tAd:
]1PPItOVBD AS TO CONTFSJT:
Public works epartment
Datod• 8'7-90
T82S INSTRIIMffi7T WAS DRAFTID SY:
S81IffitSON, i1ILCOX i SHEI.DON, P.A.
600 Midvay National Hank Bldq.
7300 Nest 147th 3treet
11pp1R Valley, 1tN 45124
(612) 412-3136 .
l1GD
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone #(
New Conshuctbn Reauirements RemodeUReoair Reauirements Office Use Onlv
3 regis[ered stte suNeys showing sq, ft. of lol, sq, ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd _ Y_ N
(20%maximumlotcoveregeatlowed) isetofEnergyCalculationsforheatedadditions TreePresPlanRecd _Y _N,
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additbns 8 decks Tree P2s Required _ Y_ N
7 set of Energy Calculations Add'dion - iridicate'rfon-sife sepfic system On-site Septic System _Y _ N
3 copies of Tree P2servation Plan H lol platted afler 711/93
Rim Joist Detail Options seleGbn sheet (bulldings with 3 or less unBs)
Date JL 1?
Site Address b' / ?<
/ -7 C? 1- 1' / Constructian Cost 21/ r ?
YJ cpn_ j nDJ? t Y01 1? Unit/Ste #
Description of Work p? e 06? CI {17 ?/"? ?_l? Yl'?
Multi-Family Bldg _ Y?/ N Fireplace(s) _ 0_ 1 _ 2
Property Owner ( J /a ? ? ?2K6 Telephone # ( )
Contractor Pr, -, PC)I l4- 14MC`r,G q ILAkUNV Vv6?_l k
Address ?7_
State ?Af ,
D1 ? h /, r% City
N ?'f ea c. ?
Zip SG Telephone #(6 Sn V-7O <?_70
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheel • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor
Sewer/Water Contractor
_?;W. 0-V
N If so, 25% plan review
Telephone # ( )
I 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 3tate of MN
Statutes; 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.
r--- ?j r D qh I ?-eQ? ?,fl/'
ApplicanYs Printed Name Applicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142247
Date Issued:04/21/2017
Permit Category:ePermit
Site Address: 647 Crimson Leaf Tr
Lot:5 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
David B Osborn
647 Crimson Leaf Tr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143770
Date Issued:06/26/2017
Permit Category:ePermit
Site Address: 647 Crimson Leaf Tr
Lot:5 Block: 3 Addition: Autumn Ridge
PID:10-12300-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
David B Osborn
647 Crimson Leaf Tr
Eagan MN 55123
Tollefson Brothers Exteriors
5131 Overlook Dr
Bloomington MN 55437
(952) 881-2218
Applicant/Permitee: Signature Issued By: Signature