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660 Crimson Leaf Tr Use BLUE or BLACK Ink For Office Us j O& j O1f Eapfl nPermit City I . av Permit Fee: 1 3830 Pilot Knob Road 2 5-,//:- Eagan MN 55122 J~ I DateRece' ed: Phone: (651) 675-5675 rM 1 Staff: I Fax: (651) 675-5694 1 1 - - - - - 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5-11-2011 Site Address: (060 Unit M Name: AbY\y\ CkQIQAl talVv Phone: ~5 ^~r23 RESIDENT / ~ OWNER Address / City / Zip: Glp n ~ r, m so, L Rag- T r-1 Applicant is: Owner Contractor TYPE OF WORK Description of work: RA 06 on ` a~ Construction Cost: (2-0 Svc' Multi-Family Building: (Yes / No ) Company: L ke-l . Y\,eA L13~r~ S `Yy. Gt 7pr\ I Contact: I V l V V ff(( Or~\ CONTRACTOR Address: Z-pC7 4P ii AA nn y y `t c St 4. City: Li 14tt Can z cE A State: N Zip: Phone: (DS I--3CQ ( I I I License Lead Certificate M R- ) b(oZ,07 _ 1 Does this project require Lead Remediation? ❑ Yes V~No (see Page 3 for additional information) If no, please explain: J vs-t CA v,,,- X00 ~,r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Plans and supporting 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.cioi)herstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance w' the dinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, an work is not to artithout permit; that the work will be in accordance with the approved plan in the case of work which requires a review and appr v plans. x_✓L "by\ x Applicant's Printed Name Ap I nt's Signa ur Page 1 of 3 CITY OF EAGAN N? 19441 , 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121 PHONE: 454-8100 'M q BUILDING PERMIT Receipt # S ?? ? Tobeusedfor SF DWG/GAR Est.Value $139,000 Date SULY 19 19 91 Site Address 660 CRIMSON LEAF TRAIL Lot 6 Block 2 Sec/Sub. AUTUMN RIDGE OFFICE VSE ON?Y PeroBl NO. Occupancy R.-3? M-1 FEES s Name BASIC BIIILDERS INC Zoning I-L $ 776.00 W 2810 145TH ST W (Acfual) Const liita.__ Bldg. Permit o Cddress ROSEMOUNT Ph 423-3114 (Allowable) s of stories Vfr -- su«na?e 69.50 y one Plan R i 504.00 Length 5A ev ew i? Name SAME Dapih rj?-. SAC,City 100•00 S¢ Address S.P.TOtal - 650.00 ? Cliy PhOf18 S.F. Footprints SAC,MCWCC 660.00 W On Site Sewage _ water Conn Fw Name On Sile Wall - Water Meter 95.00 'R -, , Address MwCC System XX_ 30.00 a W City Phone cay water gx Accl. Depasit 30•?? PRVliequired kS? S/WPermit I hereby acknowlege Ihat I have read this application and state [hat ihe 0ooster Pump • 50 inlormation is correct and agree to compty with all applicable State of - S/W Surcharge Minnesota Statute5 antl ol an Ordin 276.00 ? 2 Treatment PI Signalure of Permitee .? APPROVALS Road Unit 370.00 A Building Permit is issued ?o: ASI:. BUILDERS INC Planner - park Ded. on the express condition Ihat all work shall be done in accordance with all Cwncil appliCable State ol MinneSOta S tute5 and City . Eaga _Ordinances. Bldg. Otf. _ Copies ? $3, 561 .00 Building Oflicial _ ? r Variance _ TOTAL Address: 660 CRII'?flON LEAF I7tAIL Lot 6 Blk Z Sec/Sub AUIUM PJDGE These items wete/were not complate at the time o the final inspection. 11/26/c)l Yes No Final grade (6" from siding) ? Permanent steps - garage Permanent steps - main entry - Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck Please veri£y with the tuilder the removal of roof test caps from the plumbing system and the shut-oEf of water supply to the outside lawn faucet before freeze potential exists. .?X ?F(y xEMI[0 XRP White - City copy Yellow - Resident copy Pink - Contractor copy ?^? . . . . . ' . 0 ? 3830 Pilot ? BUILDING PERMIT To he used for st ?/GAR j Site Address 660 MINIM L?I Lot _6 B1ock 3Sec/Sub. _ Parcel No. W Name US1C HU1LDn! ? Address 2810 t45?!1 St 0 ,... omRLf41ti1T _. CITY OF rnvrvt: a: Name SAHE Address in d- gan, MN 55121 eceipt # ,._._ sULY 19 91 ' OFFICE USE ONLY Occupancy k--u FEES 2oning I-1 (Actuaq Const ? Bldg. Permit S "a.? (Allowabie) Surcharge 69.50 # of Stories A 504*00 Lengih s? Plan Review Depih 53-- SAC. City 100*00 S.F. Total - SAC, MCWCC 650,00 S.F. Footprints _ 660•00 On Site Sewage _ N/ater Conn On Site well water Meter 95.00 MWCC 5ystem xx- ??? ? City Water ?_ ?t. Deposit ??? PRV Required S/W Permit Booster Pump - S!W Surcharge .30 Treatment PI =76.00 APPROVALS Road Unit 370*00 Planner - park Ded. Council BIdg.Oft. V i _ Copies w r ?? ?? 1?? ance ar - TOTAL . .. ? •? . ?? .? r (Etrfif irate nf Mrruvaurv titp af (Eagan luPpawmd Af RdNrig i1[S}iPi'tton This Certificate issued pursuant to the requrrements of Section 306 of the Urriform Building Code certifying tltat at the kme of rssuance lhis strrerture was in rnrxplrance with the varrous osdinarrces of the City regulating huqdirtg construetion or use. For the foflowing: ux c?rK.a. S'M SF D6JG/C4R siag. te,,,« rb. 1Q441 Occupsncy Type R'rl I 7ooiog District RI Type Coasf Vn Own" Of &„dffi,g gASIC SITIIMS IlC Add,,. 2810 145?I ST W, RgfT s.aailt-naa. 660 allNKN IM IRAII. Ib, ffi, AUILMJ R= / ??: 1 l /26/Q 1 a?wai? o?,aal'? POST IN A CONSPICUOUS PLACE 17r_ _ . _ ..,._ ? SEWER & WATER PERMIT ? CITY OF EAGAN 3830 Pilot KX?ob Rd. , Eagan, MN 55122-1897 DATE JULY 19, 1991 . OFFICE METER # 42a Z? cHiP# o?aa gi23 METER SIZE ? Se46k S ISSUE DATE .?I ^ a `2? ? SITEADDRESS 650 r1SON IXAF T?ZAIL LOT b BLOCK zSEGSUB AUTUMN R1llGE APPLICANT: HASIC BUILDERS 1NC ADDRESS: 2810 145TN ST W CITY, STATE ''OSEMOUNT ZIP 55068 PHONE: ?; 2'3-31 1_4 PLUMBER: t;ENZ-RYAN ADDRESS: 14745 S ROBERT Tt2 CITY, STATE kOSEMOUNT ZIP 55068 PHONE: 423-1144 OWNER: SAME AS APPLLC.ANT ADDRESS: CITY, STATE ZIP PHONE: - , " . _ •/ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING.?f SEWER PERMITS, CONTACT ENGINEERING DEPT. _/ ;E ONLY PERMIT DATE 07/24J9 t PERMIT # 12163 B.P. RECEIPT # C 145$9 B.P. RECEIPT DATE 11712 /91 xK-k PRV - 8O05TER PUMP PERMIT REGIUESTED 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. 1 AZRif Td COMPLY WITH CITY OF METERISSUED 454-5220 FOR INSPECTIONS. FOR STORM ? CITY s DATE i JL'i 19, 1991 METER # PERMIT DATE 0? CHIP # PERMIT # ; G 1 u ? METER SIZE B.P. REGEIPT # C 14j89 O1 ISSUE DATE B.P. RECEIPT DATE C171721 _ BOOSTER PUMP 51TE ADDRESS btO LEAF TRAIL LOT C3 BLOCK ?SEClSUB ??? ?IDGE APPLICANT: DA51C 1 h? ADDRESS: 281G 145TH ST V, CITY, STATE It05E4lOUNT ZIP 55008 PHONE: 4113-3114 PLUMBER: '"'N''RrAN ADDRESS: 14745 5 ROBE+?T T:c CITY, STATE R.UEE MOUN T ZIP :.`:C?•5 PHONE: 423-11 ,•={ OWNER: CAME A, APP'UI.^,ANT CITY, STATE PHONE: _ ZIP PERMIT REQUESTED x SEWER X. WATER TAPS _ COMM/IND - RESIDENTIAL X - NEW - EXISTING Si Lawn Sprinkler Meters are to be Installed ; Ahead of Domestic Meters on Water Line. 'i Credit WILL NOT be given for Deduct Meters. ? . , I/4GREE TO"COMPLY WITH CITY OF ' EAGAN ORDINANCES ? SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. -?.. a Z .J Q Q N CY , J a O M ? • r ti ? ? ? w W m 0 W Z W - U. o Z N = 0 J ? 0- z M Q Op co 6 -. ? o W ky - Z D O Q ? cn " r\ g 1 - Jo , i 8 U . d " 1 O - `• li : ? ?. ? m O ? ? ca ? F-- U JUL 24, 1991 J_ DATE: 660 CRIMSON LEAF TR (BASIC BUII.DERS INC) REl X Your Sewer & Water Permit for the above property has been completed. It will be hetd at the ' Public Worics Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO . CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water 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 AtlOmE oT ONLY: House l(Plumb ng Inspectorsat 4'54 8a1OOMbefore suancebe ? confirmed by Bil WARNING: BEFORE DIGGING, CALL LOCAL UTILITiES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. f? J? REOUEST FOR ELECTRICAL INSPECTION ? See instrudions for rompieting t?s forr - i back of yeilow copy, I? 4 R? 7 "X" Below Work Covered bv This Reaua..st s Mt5>?? ? =''?..-?e'a ? • ew Add Rep. Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) ' Comm.!Industrial Furnace Farm Air Conditioner Other Ispecityi Contractor's Remarks? Compute Inspection Fee Below. # Other Fee # Service Entrance Size Fee # Circuits/Feed rs Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers ?Above 200 Amps Above 100 Amps Signs Inspectors Use On+y: TOTAL Irrigation Booms co /? 0 S ?. ? pecial Inspection AlarmrCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rou9n-in , ? 4l? ?4fi 7- y Final te OFFICE USE ONLY , This request voitl 18 months'rpm .-w . , , 24827 / /do 1 ,G Request Date F?re No. Rough-iin Inspection quired? Y@5 No ??????fff'''''' I? Reatly Now ?, vvdl Notify lnspector ?? When Ready? IX licensed contractor ] owner hereby request inspection of above electrical work at: Job .Atldress {StreetA or Route No ) ? . clh' /, !O 6 ?- Secti on No. Township Name or No, nge No. County Occ ant(P NTi , Phone No. - Po r Su ier Atltlr ss y/ x . lectrc Contrac7or iCompany Name} Contractor's License No. Matl? Rddress iConcra or Owner Making Inslaualionl , 90 Aitnpnzetl S,gnasur traclo/r?fu ner Making/ Iy/?5 tal?lat?)?'y I < ? ?' s. ? //_ _ _ Phone Num r - -1 MINNESO STATE BOAR6 Of ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S•173 BE ACCEPTEO 6Y THE STATE BOARD 7821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE !5 Phone (612) 642-0800 - ENCLOSED 805/9i R '?Nl Q-n REQUEST FOR ELECTRICAL INSPECTION 0. 5=e mswctions Nr ucmplenno t`qis lorm on b&ck ol yellow capy. "X" Below Wark Covered by This Request EB00001-08 I i? _ew dd?Rep. TypeotBullding AppllancesWlred EquipmanlWlred Home Range ervice Tempora Duplex Water Hea[er Neciric ng Hea! Apt. ilding ryer ty) Other (S Comm.!Industrial Furnace Farm Air Conditioner ' Other?syaciry) Contractors Remarks'. Compute Inspection Fee 8elow: H Other Fee # ServiceEniranceSize Fee # CirauAs/Feeders Fee Swimming Pool 0 to 200 Amps t0 100 Amps Transtormers Above 200 _ Amps Amps ' ? Inspaator s use Only TOTAL 4 ion Booms , ?r igat s?(?JtLir E,+-; ?? ,,rQ p i ecal Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby qOpg°-?° oare certify that the above inspection has been made. F;,,ai Date OFFlCE USE DNLV TMS request vo•d 18 montM1S irom O//v / / / /O?6 ?? 0 31374 W15 °° Reque Dete ' \? e Fire No. Rough-in Inspeotion d, P? ? ReatlY Now WWh pector o R d No es _ y e ea IZicensed coniractor '=1 owner hereby request inspection of above electrical work at: Job Atltlr ss (5traet_ Box or Route No.I Glry 7;rM Sacnon Na Townshlp Name or No- Range No. COUnry Occuy- (PRINT; Ppona No. ,?a-J; Power SuP^Plier Autless sG??i'!G"7L S Elecvical Comractor ?COmpar.y Name? /?.,y ?r? c?`? ,?lw cf•?°- ? C?E: ? Con?rector's Llcense No. v S•%c/ F?-J' Ma?M1ngn ress ICOn:ractor or Owner Making Insialiation) c I,S 4'/ i//i/ ? PG/.? F /?v?? 4. ??5: / ? `?J?`T? Au?h? 5 tuea iCOnVanorAwnar Ma - Insta tion? , ? Phone Number MINNESOTA STATE BOARO D EIECTRICITY THIS INSPECTION REOUEST WILL NDT Griqgs-Mitlway Blag. - R.O. 54T3 EE ACCEPTEO BY THE STATE 80AqD 1821 University Ave_. St Paul. MN 55104 - UNLESS PFOPER WSPECTION FEE IS Phone(612)642-DgW ENCLOSED. 739.i 1,. 0 _630 REQUEST FOR ELECTRICAL INSPECTION ii? See instmctions for completing this brm on back al yeilow copy X° Below Work Covered by This Request New Add Rep. TypeolBUilding Ap EquipmentWired Home Range Temporary Service Duplex Water Hea Electric Heating Apt. Building Dryer R Load Management CommJlndustriai Furnace Other (SpeciPy) Farm Air Condi[iOther(specily) Convactor'sRema?CJ Q ? r77 Compute Mspection Fee 8elow: ? # Other Fee # ServiceEniranceSize Fee # Circuits/Feeders ?ee Swimming Pool 0 ?0 200 Amps 0 to 100 Amps Transtormers Above 200 ? Amps Abo _ Amps Si Jns Inspector5 Use Onlg 4 TOTAL ap. Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLA710N MAY 8E ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, here6y - RaughIn ?ate certify ihat the above inspection has been made. F;,,ai OFFICE USE ONLY This request witl 18 manths imm / 6 U2 3 ? Request Date Fire No. Rough-in Inspedion Requiretl9 66TICE Vou Mvst Gall ElecVical Inspecror If A Raugh-In Inspection ? ?Yes N. IsRequlred. IX licensed contractor ? owner here6y request inspection of above electrical work at: Jab Address (Sheet, B a? Raute No.) - ? ? ez, Cily • . Seaion Na t,, Townshlp Name or No Coun , gl Occ ent(PRINT) . PM1One No. t-et '--.r Po r Supplier v Address Elecvical Conhactor (Company Neme), /? Con[ractoe9 Gcense No. ?. C?. ? 7 Mailing ]Adpdress (ConVkclor or Owner Making InsffiIlation) ???1'? ? ? ? -?,?,? c???,*JG(.:C• ?'? / 0 ? lt- ' ? ".i, ? Au aeA SignaWre (COnt AC"/Own?er king Installation) ? J 11C Phone Number ' 2E58362 MINNESOTA STATE BOARO OF EIECTRICIT k THIS INSPECTION RECIUEST WILL NDT Griggs-Mitlway 61tlg. - Room S-173 BE ACCEPTED BV THE STATE BOARD 1821 University Av¢., SL P9ul, MN 55104 ['? / ?{I? UNLESS PROPER INSPECTION FEE IS Phone (612) 642-OB00 . ?J L(.O ?e!/C/ J ENCLOSED. RESIDENTIAL ? BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Constmction Reauiremente • 3 registere0 sAe surveys showmg sq, fl. ol loi, sq. ft. of house; and all roofed areas (20% maximum lot coverege allowed) • 2 copies of plan showirg beam 3 window sizes; poured found Eesgn, etc.) • 1 set of Energy Calculations • 7 copies of Tree Preservation Plan if lot platted aker 711193 . Rim Joist Detail Oplions selection sheet ibldgs wilh 7 orless units) ? DATE 10 - I k-O Z- VALUATION SITE ADDRESS IDIoC J C 6/Yl so/'1 `C3Q4 ?j?Ce1I MULTI-FAMILY BLDG Y N _ TYPE Of WORK_ UPC k FIREPLACE(S) _ 0 _ 1_ 2 APPLICANT STREET ADDRESS _L4r,)1, YY1t 6 I1 t C??` CITY f`u Lk'; STATEA WZIP TELEPHONE # U•!? F°N.?'a?'WSCELL PHONE # 4a17-' qq0' Ga ` ,? FAX # ISll- - CW' PROPERTY OWNER _nn C LaakN I 'u? C_ TELEPHONE # ----------------------------------------------------------------------------------------------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIV\GSOT.1 R(iLLS 7670 C.\"fl•:GORt" 1 -MINVESO"f:\ R[;LLS 7674 (v submission type) . Residen[ial VenGlation Category i Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: ___ Plumbing system includes: Mechanical Controctor: N[cch.u1ic;d ,Nstciri include,: Sewer/Water Contractor: Air Condiuoning -- Heat Rccoccn' Systrnt -------°°--------------------------° ---------•-------°°°----------------•- I hereby acknowledge that I have read this application, state that the infgj with all applicable State of Minnesota Statutes and City of Eagan Ord,yfsrf Signafure of Applicanf OFFICE USE ONLY _ Water Softener Wa[er Heater No. of Baths -L n l.0 D RamadeliRaoair Reauirements . 2 copies ot pian I U. 30 -U 3, • 1 set of Eneryy Calculatbns for heafeG addi[ions • 1 site survey for ex!enor additions & decks • Indicate if home served by septic system for adGi(ions Phone # Lavni Sprinkler vo. oF R.I. Baths Pee: $90.00 Phone # - j?(pl 1= ??,??cki , i?o OCT 1 8 2002 1 Phonel??? --°---- ---°- I Majion is correct, and agree to comply Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 ,/d'ezs Inc. ' , 145th Street pt, MN •55068 DELMe4R H. SCHWANZ UND lURVEY0110. INC. MpMw! {InOw tnn M iM Sta1. W MlnnMOl? 14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55085 C R /M SoN M 944.9 SURVEYOR'S CERTIFICATE C,EAF -r.efll[- N 89°41'z8"E BS.oo 0 94G?9 ,z '? zi ? I 4 ? \ > i i ,^ rePH a -- 41 = 94o.h I C-0.fC9 Q pro?o=,?d zv ? ??g zZ ---j II ? Y??r ? ? I al ° Lo-r ? ??? s ?-- - - - 155/7 N !74/423-1789 Scale: 1 inch = 30 feet yq; O= Iron pipe monument 0 " ? = Set wood hub n X1q9•1 = Spot elevation (existing) ? Q = Proposed elevation ?+-?s TaP N?(J ? I = 947.5 ? Proposed garage floor elev. 14fg,0 ? Proposed top of block elev. 9019,3 Proposed lowest level elev. qo0,3 ?? o m " ? ao o ' 9.jal =O*6 -e: ,, . .. ...W _ lv k ? :. , ' ?! ......?.. -... - A.0k:? ?, , .... . ?.F7.S 85.00 N 85 ° 41' 28" E I Description: Lot 6, Block 2, AOTUMN RIDGE, according to the recorded plat thereof, Dakota County, Minnesota. ;....:,, Po e? V• RCr? ? ? ? EID the 1-tsC3ttan-of--a--proposed house as I nsraby uniy thet mis suney. Plan, or reqprt wq ? I properoA Oy mo w urMSr staked t4 on. mydlrset tupsrviDlon md $ ; ; r?-, ? .^. Mat Iam a duly Rsplntersd UnE Surv?yor unAe? _ ?Z=:•tA i H. , ths laws of the 3tHft of Minn»oh. ,; m? r ? •in, 07-15-91 ? . - aSlS '? ?mv H. Schwenx OtlsG MlnnMOta RpbhNlan No. EMl6 //? f "v 1991 BUZLDING AP4#JION CIT1[ OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS C0144ERCIAL 2 SETS OF PLANS 2 SETS OF PIAfIS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & SIRUCTURAL PIANS 1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES iIHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERHIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE AZT WED ONCE BUI ING PERMIT IS ISSUED PROCESSING TIME FOR SEWER fi WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMSER. . ? To Be Used For: Valuation Site Address (00 / .RIMSOAi tCh4 i2. I.ot 4-7 Block 11 Parcel/Sub ?4 ? Owner Ai Q S Address ? ?w 24?1q1f-u.f0o triJ? City/Zip Code _ ,-?)+, Phone 67417-' _i e 3 Contractor BA?G pi=A?.?Q?-y Address pZ p tb iqs `.' rT, v3• City/Zip Code Phone Arch. /Engr . P( tw( O , :T711lG. • Address 3 ?? ?- City/Zip Code ?fZ2- Phone # Licensed of ? Date: / '/ / I 391 OJJ ' Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE OSE ONLY Z3 M-I R-I V- N V=N ? Jr3' On site sewage_ On site well MWCC System City water PRV ? Booster Pump _ APPROVALS _ Planner _ Council Bldg. Off. Variance EES Bldg. Permit 7 %00 Surcharge 9.50 Plan Review OH.oo SAC, City 100,00 SAC, MWCC 450,00 Water Conn. (D (oO.Qo Water Meter 95,00 Acct. Deposit 30,00 S/w Permit 30,00 5/W Surcharge 150 Treatment P1. 27G.oo Road Unit 3 70, ov Park Ded. Trail Ded. Copiea SIIBTOTAL Penalty Lot Change TOTAL agrees that all woik shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 ` VA?4? Tlol? G.4lQAbC 3yX2N? $1(? fsx I2: ?6 Z}c???- (Z y) SSS X 15= I 3? 2 0 P_S_MTj. Sx a4 = 120 122y x r?r- 15T FL oon P?rv?T ?" 12 2 y rv7 ? `7 lyrl - ?? ?Z x 53 ' 6s s t?c? 2 N a4x33= r79Z xs3= y?,__??L-' 13?a? 258 0IZ I 31$0JJ - Certificate For: Basic Bnilders Inc. - ' . 2810 West 145th Street Rosemount, MN •55068 155/7 , DELMjAR H. SCHWANZ uwo sum"ona iNe. Rrokt«w unar uwii a m. snn ot Mmnna& 14750 SOUTH R08ERT TRAIL ROSEMOUNT, MINNESOTA 65088 E124231789 SURVEYOR'S CERTIFICATE CRiMSON LEAF -7'9/4 I? 0 943•A 944,9 0 Scale: 1 inch = 30 feet q44?3 N g5 o1a8„E 99zo 0 o yq3 O= Iron pipe monument ? = Set wood hub 0 J Nqq7•I = Spot elevation (existing) ?n ?i?Ni I Q ? ? = Proposed elevation W=944.0;I --7+-1• TaPNrB ' . ? 140 ?? ? = 9415 ? I Proposed garage floor elev. 0. ?y? 3 I ? Ga,-ac?e N ? Proposed top of block elev. QaB.3 N I O Proposed lowest level elev. 9?rD.3 ' . ^ Q? I 4 `Y h?? q?" ? proYosed 4? m N 7? US°,. ` ? ,ti roPN x ?c . 4' = 9qd'6 94a S `Jfo.1 rOr? ?° 3 I ??p " ?4? j I = 94n6 ? ? D L° Dr.: c- JKACLAV ENGrRiEEFiING DEPT 9?S 85.00 9310 N 89° 41' z8" E Description: Lot 6, Block 2, AUTUMN RIDGE, accordi.ng Lo the recorded plat thereof, Dakota County, Minnesota.\`a J/ P00 Wo 11 o kY 1?EO??R?? ?h ? iESwr?Li, ?T's"o"? g the T6L^d't?on-of-a?-proposed house as I here6y certlfy Ihst Mis survey, plan, or repoN was ? staked •?t' ? on. ' properod Ey ms w unAer my dlrxt supsrvision and? {?:' •.?? Met 1am a euly Rsplstwwsd LanA Surwyor ueder ; UELb1AR H. Ms iaws ot tM Shts ot Minna?oa. ' i SCHWANZ = ?,. - 8625 - ? DslmuH.3cMrin: 07-15-91 DatsO y??A: •._ : ??? Minnaoh RsphtMlon No. l8Y6 • , MINNESOTA STATE ENERGY CODE CALCULATIONS ? 4i I_ Z,v I BASED ON CHAPTER 5 OF THE ODEL ENERGY CODE - 1983 ED T Adoption Effective Owner Phone Date Site Address_ L-0T l0 ?LO o? ATUMN ?2106-E Contractor Phone Building Classification: Type A1 (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (OVer 3 stories) (Other) NOTE• Comnlete gaaes 3 and 4 first. GENERAL INFORMAT oN l IN 1. Building Perimetere?-,-?! ?ft. 2. Wall height (ground to eave) 'Irl ft. 3. 1. X 2. (above) qross wall area Ci 1O ?5i7v sq.ft. 4. Building dimensions (L) '- X(W) sq.ft.roof & floor area 5. Sq. foot area of rim joist F1,oor jo'st size (2 X ?? ) - Z+l1 x ? X (Perimeter) = , ft. 6. Doors - Area 12 I ') ! p ? Thickness in U. factor Type of Construction Perimeter ft. Manufacturer 7. Total door's perimeter ft. 1 i 8. Windows: Manufacturer_ State approved U factor TYPE SIZE AREA (Sq.Ft.) NUMBER OF TOTAL EACH UNITS SQ FEET l? Y 9. Total sq.ft. Glass ?•? I1 ? 10. Fireplace area: Width X Height = X = sq.ft. 11. Exposed foundation: Height X Perimeter 1(01 X 15 = Id-7'I ?q.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS BEING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED. -1- *q I - 2g?I 12." Framing area = 10% of gross wall area. 13. Gross wall area I'll d117 1 -7 41?1 sq. ft. Window area A??? IJ sq. ft. U windows = . ?; (D UxA = Z- Rim joist area A 12,1' v7sq.ft. U rim joist= UxA =? Door area A 9 sq.ft. U door area= .?? UxA = Other doors area A sq.ft. U other doors= ?-? UxA = Ex osed fnd A?O2' v+ p n sq.ft. U foundation= UxA = Framing area AZIU°l?'J ,5 sq. ft. U framing area= . ` UxA = Net wall area A 11(h(, U wa11= UxA = (13B) TOTAL . . . . . . . . . UxA = 14. Gross wall area x 0.11 (A-1 sinqle family & duplex) = allowable (13. above) c? x 0.23 (A-2 other residential) x .23 (Other buildings) x .28 (OVer 3 st 'e v??. .) 2 Q d BTUH must be larger A t' a? I P x U Code Z° 13B b than or same . as a ove 15. Ceiling framing area (Af) equa s 0% of ceiling area 15A. Gross ceiling area =(L) - x(W) sq.ft. 15B. Joist area (Af) = lOg ceilinq area sq.ft. IZaS 15C. Net ceiling area (Ac) (15A - 15B) = sq.ft. U ceiling x Ac = /OZZ X i5; I = ioZ x U framing x A f 15D. TOTAL U x A ......................... Z ? 16. Ceiling area (15A) x 0.026 (A-1 single faml uplex) = allowable UxA/Code x 0.033 (A-2 othe esiden x 0.06 (o er) 1<? TUH must be larger I?J s than or same A(15A) x U Code _ - F. as 15D abo ve NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values herein and that the buildinq here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Signature -2- -s . ox (12? _ (vo, o (40+-?4?-t?-? +31> = I?ca?l61 co ?, ?j'?X ? ??-+ Z? t ?3+ 33) = I oolp, ?z F- ? ;?l 1? 111?+4?? ?2?x?8 = II,?,SX 1?= ????zs Il Z?Xtav = ?3??5x 2= 'Z'I?5 11 Zo?t?co ? ?,aX Z= l??n ill Wwd = ? I? ? x 3= 33, ? z?,s ?s v?lZ?7., 4 z <o --, (p ? ?T Rlv Ino, m, - ?Z :I?ZC2 '. (D` }?T?luvA 716' I 7?, o NtiLL' ' ?SCCiION STUD SECTION SECtLQN. RIH J015i knelde •lt film :68 tntetlot wall ? .45 lneuletlon . 11,0 Shea Niing L C(o Slding Outelde alr film .IT R 70tAL Z-3 , O ?J (tlall) U . R s . 0121 r lnslde.alt film ? .68 • lntetlor wall .45 4" stud (0"7 (Ftaming) U.. R. Slieetl?ing ? Z.OlO Slding ,(01 Outelde,•alt film ' ,11 0. 10TAL ? p•?'j 7j ? lntetlor usll ' lneuletlon all ) U . ? ?J 11LSt ?, R `f` ? xtetlor uall eover n ' -? r------ Eatet(ot ¦lr. Illm' R . ,l1 R 10IAL ?.e„ lntetlot aIt [llm Nm .66 i lnsulatlon 11,00 l? 'l-% Inch eo(t ,Ntvod N=1.88 (RIm Jolst) . Sheethtng Z•O(o Extetlor ua]L cvve ting .(p 1 • ? Extetlot alr film jj? J] • ` R TolAL \ Lnterlor alt Ellm R= .66 • lneuletlon ???d ? Fbundatlon ?,L? (Fdn ? U ? ° ? ? ? Exterlor ali [(Im . R° .11 ? ?? ? a tornL \ I 3• I'S - ? •- Exposed 8tvek \.?? •\?,rade 3 i i i :EILING WITH VENTED ATTIC SPACE ABOVE R VALUE FRAMING R VALUE CEILING 0.61 AirFilm 0.61 ??• d insulation ? .a 4.38 Joist 0.56 Ceilinq 0.56 0.61 AirFilm 0.61 Tota1R 45•7e? U = l/g .0Z2 Window infiltration 0.5 cfm/lineal foot of crack Residential door infiltration 0.5 cfm/square foot or door and miniraum code requirement Non-residential door infiltration 11.0 cfm/lineal foot of crack Ub 12" concrete block no insulation = .47 R 2.1 Ub 12" concrete block insulated cores = .26 R 3.8 Ub 12" lightweight block = .32 R 3.1 Ub 12" liqhtweight block insulated cores = .12 R 8.3 U single glass = 1.13; with storm window .54 U double glass = .55 U triple qlass = .41 All exterior walls and ceilings must have a vapor barrier (0.10 perm max.). Vapor barrier must be on the inside (heated side) of wall. Vapor barriers of the polyethelene thin film;have no R value. ?; . CITY OF EAGAN 3830 PILOT RNOB ROAD EAGAN, 2Q1 55122 PHONE: (612) 454-8100 onsa,.. m ?? .?.?:?...:w?.a. . . FEES WORK DESCRIPTION NEW CONST ? ADD ON _ REPAIR _ OWNER NAME: _ `79u4A.e. SITE ADDRESS: &GO ? l?- IAT:BIACK _,,*, SUBD. INSTALLER: GENZ-RYAN PLUMBING & HEATING C0. annRESS: 14745 South Robert Trail 1$ OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. `??qPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BIIILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH DWELLING iTNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: Zjp; PHONE FOR: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLS FAMILY DWELLINGS' & TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIItED FOR EACH IINIT. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: FOR CZTY IISE ONLY YERMIT # RECEIPT 0 -FA?3 / 91 DATE: COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 ? SHOWER 3.00 WATER CIASET 3.00 ? BATH TUB 3.00 !9 ? LAVATORY 3,00 ?lf ? KITCHEN SINK 3.00 3 ` LAUNDRY TRAY 3.00 HOT TQB/SYA 3.00 / WATER HEATER 3.00 ? ? y ?LOOR BPP_IN J . CO ? GAS PIPING OUT. / (MINIMUM - 1) 3.00 ? ROUGH OPENINGS 1.50 oTxEx _ WATER SOFfENER 5.00 _ PRIVATE DISP. 15.00 _ U.G. SPRINKLER 3.00 SUBTOTAL cm ST. SURCHARGE .50 TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY: Rosemount, MN ZIP: 55068 CITY OF EAGAN 3830 PIIAT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ---------------------------------°------- WORK DESCRIPTION FEES NEW CONST !? ADD ON _ REPAIR _ OWNER NAME: 1?.,,c? B-v, SITE ADDRESS: G oO &???„O LOT: (X BLOCK _eg- SUBD. ?iGCM•Gtiyu.,...1?.Ci INSTALLER: (MVZ-RYAN PLUNIDING & HEATING OOMPANY ADDRESS: 14745 South Robert Trail CITY: Rosemount ZIP: 55068 PHONE #: 423-1144 CONTRACT PRICE x 18 $ GOMM?RCYAL%?Nb?5TKIAT.; PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWNER NAME: SITE ADDRESS: LOT: BIACK SUBD. INSTALLER: ADDRESS: CITY: ZIP PHONE #: STATE SURCHARGE TOTAL: FOR CITY USE ONLY PERMIT # RECEIPT # /d DATE: ? ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT DWELLINGS & $15.00 ? 24.00 ? 6.00 t/ 3.00 SUBTOTAL: $ 33 02) STATE SURCHARGE: .50 TOTAL: $3 s?~° SIGNATURE OF P RMITT^^ $ (SIGNATURE) FOR: CITY OF EAGAN • ". aorM Rxaaa raassvaa xaenenta vus,va A0mK8Xr 95Fi274 This agreement, made and entered into the 7M° day pt Rl/(?..L/tT , 1990, by aad belreen the CITY OS SAGAN, a ¦unicipality of tha Stata of xinnesota, (hereinaster called the City), and the Ovner and the Developar identitied herein. Ttza term "Davelopar• ae used herein refers io: AUT0t41 1tIDGE y11tZTEp pARTNIItSAZP, a Minnesota limited partnership, c/o JAMES pgygyppMENT COMPANY vhose address is 7808 Creekridge Circle, Suite 310, Bloominqton, Minnesota 56435. The teiID "OV[10i" as usad herain refers !o: AUTtIlR1 RIDGE LIMITED p11ATlIERSHIP, a Minnesota limited partnership, e/o JAMES DEVELOPKENT COIPAtJ1[ whose address is 7806 Creekridqe Circle, Suite 310, Blooairsgton, Minnesota 55635 and RUTH CONRAD whose addressis 5015 - 35th Avenue South, Apartment 215, Minneapolis, Minnesota 55417. .WqERF.AS, the Developar has applied to the CiLy for approval of the plat or subdivision knorm as AUTUlR7 RIOGE, lxated vithfn the City; and NNEREAS, the ovner and Developer agree to notiPy Lhe proposed potential buyers of all lots rithin AUT[Tl4i RIDGE tlfat Lots 1-7, Block 1, Lots 1-6, Block 2, Lots 1-9, Block 3, Lote 1-17, Block 4 and Lots 1-5, Block 5, are in a hiqh vater pressure zone and a Pressure reducinq valve sha11 be installed in each home belov the elevation of 966 feet. All costs shall be the responsibility oE the Ovner and Developer and shall be installed to prevent damaqe due to high vater ptasaure. ? a; ? 'r? NOW, TREREF'oRE, the City, Ovner and Developer aqree as Pollovs: 1. Recordina. This aqreement shall be recorded vith the Oakota County Aeeorder so as te provide notice to the owners of Lots 1-7, Block 1, Lots 1-9, Bloek 2, Lots 1-9, Slock 3, Lots 1-17, Block 4, aeW Lots 1-5, 81oGc 5. 7he Ovner shall provide and execute any and all documents aecesssry Lo implement the reeordinq of this aqreement. 2. Notice. The recording of this document shall eonsLitute notice Lo all owners and future owners of properLy in [he AUTI1lRi RIDGE subdiviaion Lhat Lots 1-7, Block 1, Lots 1-8, Sloek 2, Lots 1-9, Block ], Lots 1-17, Block 4 and Lots 1-5, Block 5 are in a high rater prosaure zone and that a pressure reducinq valve shall be installed in each nome belov the elevation of 966 feet. All costs sha11 ba the responsibility ot the Ovner and Developer and shall be iasialled to pravent damage due to high water pressure. 3. validitv. If any portion, seeiion, subseetion, sentenee, clause, paraqraph or pArase of this aqreement is for any reason held to be invalid, such decision ahall not affeet the vali9ity of the remaining portion ot thfs Coatrect. 4. Bindirw Aareement. TAe parties mutually reeoqnize and aqree that all terms and conditions of this reoordable agreement shall run vith the land herein deseribed and shall be binding upon the heirs, suceassors, administrators and assiqns of the owners and developers referenced in this Contract. . ? IN fRTNE55 WHEREOF, we hav@ hereunto set our hands. CITY OF OiPHERS: AUT[JMI RIDGE LI![2TED PARTNERSHIP, a Minnesota limited partnership, % By: JAMES DEVFS.OPMENT COIiPANY, K'Thftas A. an a Minnesota Corporation Zb: ![ayor ita: General Partaer ;tut . J. VanOVerbek ? Y: Date 7?9p Its: ity Clark Its: I gy; nate xts: ZZ& a R H CONRAD at DEVEI.OPER: AUTU14i RIDGE LIMITED PARTNERSHIP, a 1Sinnesota limited partnership, By: TAHES DEVEIAPMENT COMPANY, a xinnesota corporation Its: Ganeral PaTtner %- ?4 gy; Date Its' .p .-l ? gy; Date Its: ST]ITE OF }fiNNESOTA ) ) ss. COUNTY OF DAROTA ) On this 7-Z2!V' 8ay of 1990, betore me a Notary public vithin and for said Coun , personally appeared THOMAS A. EGAN and E. J. vanoVERBIICE to me rsonally kaown, vho being eaeh by me duly sworn, each did sny that they are respeetively the Mayor and Clark oZ the City of Esqan, the municipality named in the foregoing inatrusent, and that ttia seal a!lixed on behalf of said munieipality 6y auihority of its City Council and said Mayor and Clark scknovladgad said instrument to be the Pree act and 8eed of said municipality. - -------- --- -- .y Oar.n L wUtnrRtnt ??l ,?[??_?S MD"AR1 R::I. - W\NESOTA ? I DAKOTA CCUNTY N tar? PubliC i/ .{- ri ce?mn:,m bo rn e. +_^? .....r.j J $T11TE OF lQNNESOTA ) ss. CODNTY OF J On tAi day of 1 990, before me a Notaiy eraonally t public vit?h in. nd torsaid y, p Coun a?ared L.?511?1 ?Od to me peTaonally-' knovn, who being each by me duly s n„ eh d say that tAay ara respectively the me oP JAMES D E EI.OPMENT COMPANY, a ll;nneaota corporation, qeneral partner of AUTUMAi RIDGE LIMITED pARTNBRSH a Minnesota limited partnership, to me personally knovn, who be me duly svorn, did ' say that they are the aud of the cpyporation and limited partnership named in the foreqoinq instnmant, and that the seal alfixed to sai d instrument vas siqned and led ? of said corporation and on ?f limited pertncrship and said ?-_ __-?a ?? 1 d'/3its ="="L= afYY acknwledqed said instrument to be the iree act and deed of said corporation and limitad partnership. G. Notary POT ie •? Ntw? r?-/44. :., .;,:. _. ..?,: ... .. • • _ V._ _ ST71TE OF NNESOT"A ) ) ss. COUHTY OF ?Y'') Oa this jj-? day of LIiLV?? J . 1990, bsfore me a liotary Public rithin and for said County, rsonally appeared RUTH OONRAD to ta personally known to be the person described in and vho exacuted tha toregoiag instrument and aeknovledged that sha executed the same as her lree act aad deed. er? Notary Pu lic ? Ao'+ 4 a.?aw APPROVED AS Ta F'ORM: I?ttorne o t?: b ? 11PPROVBD 71S TO CONTENT: Public itorks'Department DaLed: 8^ 7- 9 0 T9I3 IN31T2UMII7T WAS DRAFTID BY: SBVZRSON, XILCO% i SHELDON, P.A. 600 Midvay National Bank Sldq. 7700 itest 147th Street 1lpple Valley, !Ui 55124 (612) 472-3136 . !(GD ? RESIDEIVTIAL BUILDING PERMIT APPLICATION t'1 A? CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MIV 55122 651-881-4675 New ConsWction Reauirements RemodeVReoair ReauiremeMs • 3 registered site surveys sMwing sq. fl of lot, sq. fl. of house; and all roofed areas • 2 copies ot plan (20% mazimum lol coverage allowed) . 1 set of Energy Calculations far heated addifions • 2 copies of plan shawing beam & window saes; poured tound design, etc.) . 1 sfle survey farexterior additions &decks • 1 set of Energy Calculations . Indicale if home served by septic system for addNons • 3 coples of Tree P2servation Plan d lot plaUed afler 717193 • Rim Joisl Detail Options seledian sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS VJ?OD C.? I?L? LeQT TrCL,LI MULTI-FAMILY BLDG _Y ?N TYPE OF WORK (C50e, reroCF FIREPLACE(S) _ 0_ 1_ 2 APPLICANT `7L?( ICk.,I ILl.,lLV1 -[YL:K„I IU -) ?y ??p? STREEf ADDRESS IZ(?"rJ ??SV CITY V 1C0Y Il?i STATE I?I IU ZIP!5?G TELEPHONE #q?')2 LX13 a.3W CELL PHONE # lDI2-W" 4I -7 FAX # c1?5a -L#4 -CQ43 C(rll /?usin?+?? PROPERTYOWNER JOf !n `.t, eQOI? Ch(2 PI IY) e- TELEPHONE# &51???-b3.2_5 COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (d submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheet Submi(ted • Energy Envelope Calculations Submined Plumbing Contractor: ____ Plumbing system uicludes: Mechanical Contractor: Mechanical system includes: Sewer/Water Contractor: _ Air Condiaoning _ HeaL Recovery System Phone # Fec: $90.00 Fee: $70.00 Phone # I hereby acknowledge ihat 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 Orqii??,c? Signature of Applicant OFFICE USE ONLY Phone # Water Softener _ Water Heater _ No. of Baths Iawn Sprinkler No. of R.I. Baths CeRificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 PERMIT City of Eagan Permit Type:Building Permit Number:EA116237 Date Issued:10/04/2013 Permit Category:ePermit Site Address: 660 Crimson Leaf Tr Lot:6 Block: 2 Addition: Autumn Ridge PID:10-12300-02-060 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 . Mark Mattson 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 - John G Chapdelaine 660 Crimson Leaf Tr Eagan MN 55123 Three Pines Construction 2876 Middle Street St. Paul MN 55109 (651) 308-1911 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118534 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 660 Crimson Leaf Tr Lot:6 Block: 2 Addition: Autumn Ridge PID:10-12300-02-060 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments: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. 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 - John G Chapdelaine 660 Crimson Leaf Tr Eagan MN 55123 Three Pines Construction 2876 Middle Street St. Paul MN 55109 (651) 308-1911 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink , For Office Use City of Eaaali Permit#: / llsc l gJ Permit Fee: /46- (2d-- 3830 Pilot Knob Road Eagan MN 55122 Date Received: /6-.3-17 Phone: (651)675-5675 buildinginspectionsOcitvofeacian.com Staff: Q�j 2017 RESIDENTIAL BUILDING PERMIT APPLICATION -(�- Date: !�- 3' /7 Site Address: � '' L.r-i o-N S0`^ Leaf tr, Unit#: Name: 5.. '.� C't.+1 N E'. C 1 fie: -.. ',e. Phone: ��-L}7 C �- Cs S J`� Resident/ ) owner Address/City/Zip: G.0 Cri',..sc:-, Lec fiI Applicant is: Owner Contractor c. .-- t Description of work: 2c (d Zl L.)> `^ Irc�{ " d �-S/�7 �� r s eF, Type OT Work ,r(11 Construction Cost: _I/ L �' Multi-Family Building:(Yes /No ) Company: �� Contact: '1�.!'t��r"k ' 5.6�'N PYce c.00-7 — S Lir t /'? Address: ��+ s City: ° e- 4 r- Contractor /� q 7 ` / State: Zip: 5S(10 Phone:( it/!-Z�Email: 16�°4"`^ CC-f`C +� cP P1gi i ii c'• �h J h, License#: 3 C')75 ) 7 Lead Certificate#: j If the project is exempt from lead certification, please explain why: / COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit.are considered to-be public ;information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade sec.rets. 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 website at www.citvofeagan.com/subscribe. 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)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 apo nsg . x \ory. A/e) O� x LLL---- Applicant's Printed Name Applic�t's Signature Page 1 of 3