Loading...
671 Crimson Leaf Tr•? • " • W""J[CQ.te nf cCClivRnC? - 6it) vf Cfagan l n ?Tiiis Certificate issued pursuant 1o the reqreirements of the Uniforrre Building Code certifying that at 1he lime of issuarrce this structure was in cornpliance wirh the various ardinances of tiee City negulatireg building consrrucrion or use. For the fo!lowing: Use Qassification: SF IW, BWg. Permit No. 25814 oomqa-Y T%Pe R-01I 7noing Disoia _ RType Cons[. ini Owner d BuildinglKE7N1F''.Y .MATTfrI.R_TI?^, Ad?c?l. IfiC1 T?778tN T sA1G' FN`?N euilding Addtess 67 I r-RIMM iFAF ATT. Locatiry i j Building OfftcialI ? POST IN A CONSPICUOUS PLACE . .. Il ' eiT?r oF EaGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: .,, , I I I I I I(MN ft t Dld 1 f!I 4 PERMIT SUBTYPE: ? O PERMIT TYPE: : ' ` 11,I)I" Permit Number: ' ? 8i 4 Date Issued: %' f `q" """ APPLICANT: (f, I .' ) WA '+ 1 `,N TYPE OF WORK: ra 1 i i , INSPECTION .. . .A . .?, . ; 1?• r: l t? ,:'r?ll I I ?iftt ', i'ftV .:. 41 i' I Icl; niA i i tIF i-J ItliN i I I'< f'I Permit No. Pertnlt Holder Dete Telephone t ELECTRIC 90 ov PLUMB ya HVAC Inspection Date Insp. Comments FOOTINGS FOUND ?D Q FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING Z - 7 7 S' ` ? GAS SVC TEST / INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG - ? ORSAT TEST BLDG FINAL /G;??,?, D? 7 IyZ? BSMT R.l. BSMT FINAL DECK FTO OECK FINAL fa? _ J REQUEST FOR ELECTRICAL INSPECTION ? ee-0 q001-09 See instmclions for completing Ihis torm on 6ack of yellow mpy. ??? ??• ? Befow Wor`? Covered by This Aequest ?.,„?, Q Ne Ad 0 Ic? P Type of 8uilding ^ Appliances Wired . Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management CommJlndustrial Fumace Other (5pecify) Farm Air Conditioner Dlher [speolfy) ConGarAor's Remarks'. Compute Mspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 1 0 to 700 Amps S- Transformers A6ove 200-Amps 100 -Amps Signs Inspecror's use only: TOqTAL sp Irrigation Booms (0. Special Ins ection Xr- GCJ Alarm/Communication THIS INSTALLATION MAV D DISCONNECTEO IF NOT Other Fee I, the Electrical Inspector, hereby COMPLETED WITHIN 18 MO S. R°°yn-In °ate - S certify that the above inspection has been made. Finai / oa? ? OFFICE USE ONLY This reques[ void 18 months imm ' L ????95 48901f 0 2. 101 0 ?o ? - Fequefl 15ate ? z Fire No. Ro gh-n Inspettion Requlretl In peG'mn Other Than Roughln (VOU musl call lnspeotor when ready) ? fieatly Now ? WIII Ne17y Inspector Yes o Date Reatly ??'? _OYE ? request inspection of abov electri o k t: IATlicensed contractor ? owner hereb 4 Job Atltlress (Streetaox or aoute nlo) / Ci ci Q? ! ?id45?%i i?Gt c? 7 Sec?ion Na Tawnship Name or No nge No, unty Oxupanl(PRINT) ?tlh ' ` 5 Phone Na. 'Y -,S3 Power Supplier 17. R o Atldress e(' ElacYrical Conhacbr (Company Name) " ' Contractor's License No- (fe/ A, tr z- Iefc?nc c? CA Mailing Address (COnlraclor or Owner M'ng Installa0on) 1 0? 'fs Authorixetl Slgnature (Contrncror/ ner M king I lallafio Phone N ?er MINNESOTA STAT OARO OF EL HI GriggsMitlway BI g. - Room 5428 - 1 111 I I I I I I I I THIS MSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARO I 1921 Universlty Ave., St Paul, MN 55104 UNLFSS PRDPER INSPEGTION FEE IS PM1One16121642-OB00 . .., . ENCLOSEO. Address 671 C2n43orr r.EAF rRnu, Zip 5512_3_ Lbt ,• .6 Blk 1 Sub t?mrt? uir? ani THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: f D a C? Yes No Inspector. ? Final grade (6" from siding) V" Permanent steps (garage) Pennanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass TraiUcurb damage Porch Basement finish Deck Please verffy with the builder the removal of roof test raps from the plum6ing system and the shut-off of water supply to the outside lawn faucel before freeze po[ential exists. Contact engineering division at 681-4645 before working in righaof-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contraaor Copy @ ? Clo YoOF EAGAN ' Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: Permit Number: Date Issued: PERMIT 671 CRIMSON IEflF TR LO7: 6 BLOCK: 7 AUTUMN RIOGE 4TH P.I.N.; 10-12303-660-01 DESCRIPTION: ermit 7ype b;rk Type 2onf.nq Builtlin'g e fl g'kh 3; d ttk 1} rk k i9y g ?z s ?x ]S F oy 2f^ REMARKS: PRV FEE SUMMARY: SF pWG NEW R-3 U-1 V-N p n-1 72 50 1 2,684 yt` }y ?§Y Z S& W PLBR - MA7THEW DANIELS PLBG VALUATION Base Fee Plan Review Surcharge SAC SRC & SAC Units Lic. Search Fee Subtotal $2,588.54 n_d !sF>rvaC @? .c"?°bra ¢.?y ?? {? ? a.rw. 4 it eaw M nA. kt ??a ? $167,000 BurLozrvs 025814 06/15J95 MISCELLANEOUS $1,892.50 Total Fee $4,481.04 CONTRACTOR: - Applicant - sr. LIC. OWNER: WHITNEY HOMES CREATIONS 14549150 0008344 WHITNEY HDME CREATIOMS TNC 4160 LAN7ERN LN 4160 LANTERN LN EAGAN MN 55123 EA6AN MN 55123 (612) 454-9156 (612)454-5332 herehy. aeknowledge thit:1 F?aue- read tfi3s °apPji'cat?.are•dnd' t#?at ??ae in 0 rrna ion is correct' anCf agMee R?,y ua'tM q? ?`?pplic.?aCz3e.$#p?ta 'SSf Msr r k ?n <C?.ty o- Eagani arc?i°nanc&ss ? A .. _ . __ , ? .. .__ $1,222_25 $427.79 $83.50 $850.00 109 1 $5.00 ?A???OJI?.z?? ?? APPLICANT/PERMITEE SI TU E IS ED B:51 ATUR CITY OF EAGAN ? 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construdion Reauirements RemodeURecair Reauiremenls ? 3 registered site surveys ? 2 oopies of plan ? 2 cropies oi plans (inGude beam & window sizes; pourod fid. destgn; etc.) ? 2 site surveys (extarior add'N'ons 8 dedcs) ? t energy celwlations ? 7 energy calculations far heeted addifions ? 3 copies of tree preservation pl n ff lot platted aRer 7!1/93 required: _ Yes , No DATE: DESCRIPTION OF WORK: ? STRE ADDRESS: ? LO? BLOCK SUBD PROPERTY Name: K? h OWNER CONSTRUCTIC 1„_2 c? r ./P.I.D. #: lkkh ? ` c L d-O %i k r) 3 L- Phone #: a - S 3 (3) <,? FlN6T Street City: CoN7tuCroR Company.? ? Street Address: ? ,L State: Zip: Phone #: 5? ?' 6 3 3 a License #- ? zip Ia-3 ?honeMSo7-/,/$I- ip r9 ARCHfTECT/ Company: ENGINEER Name: Street Address.f \ - Sewer & water licensed plumber: ?-I 2vQ Ll ?L` S 1?- change are requested once permit is i sued. 1 hereby acknowledge that I have read this application and state that the i applicable State of Minnesota StaWtes and City of Eagan Ordinances. I Signature of App, cant: OFFICE USE ONLY Certifiqtes of Survey Received Yes No Tree Preservation Plan Received Yes ? No Registration #• 8tate: Zip: <??? L?4> b Penalty applies when address change and lot is cx9trect and ag(e)p to J u11 a a 1ss5 BUILDING PERMIT TYPE OFFICE USE ONLY ? 01 Foundation o 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish -A:r--02 SF Dweiling o 07 4-piex ? 12 Multi RepaidRem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility 0 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous 0 05 SF Misc. 0 10 = plex o 15 Deck WORK TYPE New ? 33 Alterations ? 36 Move 0 32 Addition ? 34 Repair o 37 Demotition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of 5tories Length Depth APPROVALS Ptanning $-N Basement sq. ft. 9 9 MCNVS 5ystem oL // Main level sq. ft. /, stos ? City Water OC -3 u-/ gq, ft. Fire Sprinklered 12- J sq. ft. PRV Yts 03s-z- sq. ft. Booster Pump /,s sq. ft. Census Code. So Footprint sq. ft. v SAC Code Census Bldg / Census Unit / ? Building Engineering Variance Pertnit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: . Cq.ar Valuafion: $ 167, °oO *Arx GL'C? 2,(07 x 37 ? 9?7 Z x s ' /(c z x S'7. i?? // y z/?gF 65_s = /, `?gZ Y n 3s.r = ?ss 6 z /a ?.?-- ? q?s'KS5'= 13s?»r• I =?G?.+.. -- ??96f Lzna? ?f?°, ? L.f Z 3 x 7??. 6-7 ? 7zb ,43?zO ?7- '73rx /o SAC ? SAC Units _? ff ll, 7 b° ? v' ? ca ? . lr'? ? • D? ? 0 • L] t7 ? ? ca" n r? • . I7 ? P3 • EAT *'7RVEY CRECRL'ST EOR Sd.ES?DrNTIAL SIII'LDING RFRMST APPLZ RAOPERT_Y _7r.r_ar„ WCT7MEN'!' 19,ThumAm Date of 8urvmy: Registered Land Surveyor siqnature aand company Building ??ermit Apnlfcant 1.eQa1 d?-scribtion l%?dy«:s.:s ? Wor;:h arrow and 3sarscal.e 1KouWa type (rambler, walkout, cplit Ta/o, sp13t 1aoScout, e~c. ) nirectlanal drainage arrows wi.th slope/grad.+'.ent ?. Propot?;ed/ex? ^tinq sewer and water service , street as3me Y)c3vt;uray M?ZIM, 4.'xt st •im ?? 0 • Sewes serviee 1?"' ? ? • Lot coW-ners L'r?J ? • Top of eurb at the driveway 'a' t7 17 • E1evations oi any existing adjacent homes ? ? ? • Garaae floos i?' D !7 • First floos LY D fj • I,owest esr.posed elevation (walkout/window) ? r? » Property corners fJ 0 l? • Front and rear of home at the foundation gQ.`,1DT_WG AREA9- (_if 9??., abi ? . 0? I] • Easement line n e? n • xWz n ry? n - xwL 0 LI??LI • Pond #? designation 0 R t2 - L?nergency overPlow ElQvata.on entry, T n _xs,?Rg ??" 1] D • Lot L?' ? D • niqht-c*-way and strQet width (to back of rLrb) ? D 0 - P-onosed hemr-: d3m?na' ons .<.ncluc:ing ar.y f1i oi?poBed decks, overhangs grea•te•_r v.ha7 21, pozches, F:tc. LtTuctures .requiring permanent footings) ?? D • 5how all easc_..?ntr of rccerd. erd any City i±±±l '±ies within those ?=asemenr>a D? • Setbacks af proposed atructure and ve:thack of 8djacent existinc* homes a n? • Retaining 11 reguiremen*_s, i* any Revlewed: ? Oetober 1992 W:e l.re ! vOIC GA17791tl DOGJ NOTUVf?.fiAi i 1?•- 1°;;:_ F:CCJRACY OF UTIUTY LMA11CJNti r l.:? :'•:L? ? ELEVATIONS. THIS DATA 15 ?0FI J•:;:t3AT(OIU P?JRPOSES OitlLY ;^?i?'t7 I S& W I f51 2 S a W?.i`2_ UoOI(VG IT SHOU(D VERIFY' ";j7: C.S. - 943.5 C.S. 2 ENV - 934.5 - S4p-3- 942.7 ON'fHE SIT I 1 E?`l ? INV - 933.7 7 5' A 5 f 15' rrIl ?- f D.I.P CL 52 HYDRANT J ? I I I? I eND FI_EV. 94a 90 EXIST. 6'x 6" 7EE ? I TrVFf. EL. 945.98 L-L J EXISL 6"PLUG? T--,1 7 -xw 1 77' ? 1 I g q-4 ? I -•?- - - ,/- ._ _ _ ? _. 1 7.0=` 6,+??----- t > ? _ r33.G' \EX. B' SAN SWR ?----`- ?-`--_ ? 784 exisr. EE.RP 2138 5O .?SAN MN U EX.21 S'7d cµ? ' ExRST-k;,tca - ? _ - - _ _ - ?-r SEE RP 2140 U 2+!99 A. ? 1229.`\-iGi.? ? ?GVi& BOX u . I I;? - I I t3 5 1 6 L? 38- 1 s&wi+4s ? 0+50 3.2 saw C.S. - 943.5 ??" L ,. i.2 !NV- 934.5 C.S. - 942-8.942.6 L - - - ? ' - fNV - 933.7 \ 944.24 MH RE -944-6& I BLD. 1690- , I0.87' 94237 RE 942.28- BLD 16#? 10.22' PROPOSEO GRADE _' - --- _ ? - - - - - - - - - - - - - - 7.5' MiN. COVER ---RE?VE PLUG 2EX. 12 R.C.P .? - CONNECT TO EX r'QIP. ? Ex d'p.lP 611 D.I.P CL 52 I II L?----;--- _t 2' - 8 PVC SDf4 35a ?g? ? L- -- - _ 0. 41 % EX. 8" PVC CORE DRILL EX MH. --J IN5TALL WATER TIGHT SEAL. BREAK OUT BENCH AND REFORM FOR NEW 1NVERT. to (V I?0) . IZ . . _ . .c<?'.. d3acS N01 CaUi4,;; .. CY OF UTILITY LOCA"i IQ?J-- r?E.El:",I'IONS. THIS DATA PURPOSES ONLY ?^=? ?=E:`:?4 UCIE1G IT SHOULD VERI; `. '=?-:0,????:', i t01V ON THE SITE. ONE AND TWO FAMILY ENERGY CALCULATIONS - AVERAGE "U" COMPUTATION OWNER: SITE ADDRESS: DATE: CONTRACTOR: WHITNEY CALCULATIONS BY: JSA PHONE: 451 -1019 Determine working square footage of each that applies 1. Total exposed Wall area ............. 2677 sq. ft. x 0.710 = 294.47 2. Total roof/ceiling area ............. 2040 sq. ft. x 0.026 = 53.04 3. Floors over unheated space.......... sq, ft. x 0.050 = 0.00 4. Roof/ceiling area (no attic space).. sq. ft. x 0.026 = 0.00 5. Unheated slab on grade .............. sq. ft. x 0.160 = 0.00 6. Heated slab on grade ................ sq. ft, x 0.120 = 0.00 TOTAL WOOD WALL AREA 2535.00 a. Total wall window area........... 352.00 b. Total door area .................. 56.00 c. Total glass door area............ 74.00 d. Total fireplace wall area........ 0.00 e. Total rim joist area ............. 216.00 f. Total wall framing area.......... 183.70 g. Total net wall area above floor.. 1653.30 TOTAL EXPOSED FOUNDATION AREA 142.00 h. Total foundation window area........... i. Total net foundation area above grade.. 142.00 j. Total unheated slab on grade area...... k. Total heated slab on grade area........ Determine "U" value of each wall segment a. 352.00 x"U" 0.360 = 126.72 b. 56.00 x"U" 0.070 = 3.92 c. 74.00 x"U" 0.360 = 26.64 d. 0.00 x "U" = 0.00 e. 216.00 x"U" 0.043 = 9.38 f. 183.70 x"U" 0.106 = 19.48 9. 1653.30 x"U" 0.046 = 76.58 h. 0.00 x "U" = 0.00 i. 142.00 x"U" 0.062 = 8.78 j. 0.00 x "U" = 0.00 k. 0.00 x "U" = 0.00 7 TOTAL = 271.49 If item #7 is the same as, or less than item #1, you have meet the intent of SSC 6006(c)2. NOTE: FOUNDATION WALLS Full basement (Rambler) entire exterior wall must be not less than R-S. Half basement (Split Foyer) entire exterior wall must be not less than R-10. ` r " . TOTAL EXPOSED ROOF/CEILING AREA 2040 1. Total skylight area .................... m. Total roof/ceiling framing area..,,,... 204 n. Total net insulated roof/ceiling area.. 1836 Determine "U" value for each roof/ceiling segment. 1. 0 x"U" = 0.00 M. 204 x"U" 0.028 = 5.80 n. 1836 x"U" 0.025 = 46.15 5 ....................................... Total = 51.96 If the total of #S is the same as, or less than #2, you have met the intent of SBC 6006(c)1. To utilize the total envelope system method, the values established by the sum of items #7 and #8 shall not 6e greater than the sum of items #1 and #2. ? - CITY USE ONLY L BL -j RECEIPT #: SUBD. -j( /-).uA/? DATE: y ? 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55722 (612) 681 -L675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FlXTlJRES EACH NO. TOTAL Shower 3.00 x 2 = u ?Do Water Closet 3.00 x ? Bath Tub 3.00 x = Lavatory 3.00 x 15 , ? Kitchen Sink 3.00 x 1 = 3- DD Laundry Tray 3.00 x 1 Not Tub/Spa 3.00 x 1 =? Water Heater 3.00 x 1 = ?;,lp Floor Drain 3.00 x 1 = "00 Gas Piping Outlet * minimum -1 3.00 x 3- 03 Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota cty. iicense 20.00 = U.G. Sprinkler * home under const. 3.00 = Alterations ' to existing 20.00 = Water Turn Around 20.00 STATE SURCHARGE .50 1 f?'il?L 49 SITE ADDRESS: tD11 Uwy1SOf1 Lf(1? rTV . OWNER INSTALLER NAM STREET CITY: %Su%\U?k STATE:W_ ZIP: o U PHONE #: (??2 ) ?13" -mm Ulgvv? F ?'LM p2L ? ? L CP B CITY USE ONLY RECEIPT # T '/? ?L / ?//,, Sii 9S SUBD. DATE: 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction Add-on furnace rldd-on air condiiioning Add-on air exchanyer, i.e. Vanee system, etc. Date: -ma c;( l? `?2 ? FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL C a, I SITE ADDRESS: [v OWNER NAME: 5 - ; INSTALLER NAME. ' 2 STREETADDRESS: CITY: PHONE #: 016?) PHONE ZIP: -- ? PLEASE BE ADVISED THAT T}{EHE IS A FEE SHORTAGE ON T}E ABOYE II.ECTRICAL INSTALLATION IN THE A![OUHT OF $ c7f c-c/ SHORTACE lSIST BE PAID WHITHIN 14 DAYS. REMARIiS ! cc) , 31 to 100 amo, circuits= 0 to 100 amo service= ? 101 to 200 amo. service= r GC? TOTAL FEE AUE= s RETURN A COPY OF THIS FQRM WITH REMITTArCE. PERMIIfI /,,J ??l /D / ORIG. RECEIPTII 4l?P Ae?r?P RECEIPT DATE d -15;? ?C? ?o(S? ((-) j .- -$ 1??O.od 2007 RESIDENTIAL BUILDING rERMIT nrrLicaTTON City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 ? ? i? Telephone # 651-675-5675 FAX # 651-675-5694 C, 12H ? New CoreWCGOn Reouiremenls RemodeVReoair Reouirements OKce Use Onlv 3 regislered site surveys shovAnq sq. tt. of IM, sq. ft. of house; and all roofed areas 2 ropies oi plan showing footings, 6eams, joisis Cert ot Survey, Recd' .. _ Y'. _ N - (20%maximum lot coveroge allowed) 1 set of Energy Calwlations fa heated atlditions Sals Report _ Y_ N 1 Soils Repod A proposeU building is to be placed on disluNed sql 1 sHe survey for additions 8 decks Tree Pres Plan Recd _ Y _ N, 2 copies of plan shovnng beam & vrindwr saes; poured found design, etc. AddiB'on -iMicafe rf on-site septic sysfem Tree Pres Required Y'_ N 1 set of Energy Calculations On-sile SepGC System Y:_ N 3 copies W Tree Preservation Plan'rf lot platteE after 717193 Rim Jast De4ti Optlans selection sheet (buJdngs wilh 3 ot less units) Minnegasco metlianical ventilation Ponn Plans are considered ublic information uniess ou state the are trade secret and the reason. Date / / 7 / ( 27 ? Construction Cost ?1-0ODD Site Address ? u r+ 2Orls w g-G 7?& UniUSte # 3 Description of Work O0Gg /Q" P t2! %!ov I ? I Mul[i-FamJy Bldg _ Y[r N Fireplace(s) 0 2 ' Property Owner Ayu,v ,y-?f?-/L l 9 ? FfEQ/ Y%7 Telephone # ?.5? ) ?/SoZ -1 ?'JvZS? '. Contractor /6m`s A4'*'e ?EO. ai.e i?Tin, 'vo ) nadress /OD?7 (.v? ?/?_?UU? ?R dr - I cicy ?i9-ef?vs? State Zip S5/;X3 Telephone#(65!). 31,7-'ar37 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Resitlential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submiried - Submitted . Energy Envelope Calculations Submitletl In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contracior Sewer/Water Coniractor I hereby apply for a Telephone #( Telephone #( Telephone #( and acknowledge that is complete and accurat e; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State ot 1v1N 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. //M &,-JD ? Applicant's Printed Name Applicant's Signature ?. DO NOT WRTTE BELOW THIS LINE Sub Tvqes O 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex IW 18 Deck ? 23 Porch (screenlgaiebo/pergola) ? 36 Multi Misc. 13 05 03-plez ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage - ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous - Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration .0.. 37. _ Demolish Building• ? 43 Reroof ? 46 Wndows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant DBSCrIpti0I1: WaterDamage_Yes Valuation UvO. p'D Plan Review 100%or 25% Census Code ? SAC Units # of Units # of Bldgs Type of Const Occupancy .Sf2 C ? MCES System Zoning City Water Stories ' ' - - - -- Booster Pump Sq. Ft. PRV Length ? y Fire Sprinklered Width - °`-2 a REQUII2ED INSPECTIONS Footings (new bldg) p Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Fina( _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation _ Sheetrock FinaUC.O. ZO Final/No C.O. HVAC Other _ Pool Ftgs Air/Gas Tests Fina] _ Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wall Approved By: 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 ?. goo-de:E , , ,1 ?Qo560 ; _ P -,ro -, 00 10 ? ) tv N ?J? N 88°49'08"F w ol ?• 4 /. 0 3 ?ta J0 a n o n ° l?05? DRAl?VAGE AND ? ^ Uric.lrr ?AsEraENr ? ?? ? ??? G?EM/e D /O WsPEc?o ?? ( S ?? 6?o??.i.cU`r ?w.. 93"7.T G ? I '.. c + ? 0 ? c l { ? ja K e p p R r a , " o ? IL tj. !4 .-._ 37,0 o x W{L o w ,??k 17, 33 cv 1 :f9- n . ; . ... ? ? I ? . . . :' :r- .. ? ' ? 0 dJs M, wp'95?.- I fo? / ?,Cl W N M p, mr Lr 9Y?,2.'ip ? a?? I C-•, 9?r?,z ? n' lmr?? E '( 9 4 yy:.'? ? Q Y _I_ J I _i._ 0j 9 1 , CR1MSoN ?.Eq F rRqi1` ? DESCK)Prionr w? co LoT 6, BGacK 1, AUTUMN RJGGE NORT"H yrH AovrrioN, scRtE /',:Io? OAKOrA CovNTY, ALL BEARINsr As'suHga M 1 NN E 5 OTA o DnNOrris IKoN M o NUMfl ApD2?'S?j ?i'ZI LLL.1vnijo?.t I..GAr^ 'C¢A1L.. r ?-T ' U XCx?E RING DEP'T. I GA%?.4GE 8'.P Q ,: 9.0 `j C n y? 4 'SI?P.$ q0. "O ?'? ?. o rzo a 6 L I ? t? G 2am R E V I E [D ?.. aY L )A ? 8 p. 0 N 84°H!'a8"B I hereby certify that this survey was prepared by me or under my direct supervision and that I am a duJ.y Registered Land Surveyor iznder the laws o£ the State of Minnesota. LeRoy . Boh1en r2c Rev, 6- 9-Ya? Registered Land Surveyor I4o. 10795 '??m. G??-1? ?•o ??-LV'C"? ?7 e.l- ? ? ? _ ?-? ? ? e ?? IV P ? N 8B°H9'09"E ar?1 w ?• 4l.03 ? ? n 1? !a ? o ?- ?s n°r ° w? U Nr I 5I ?/t? rY FASEME ? P 4?tc. C-4. 'j4S.4S G ?? ? ?,iP.to?: ?.?'•c u'r @-?.. 9 37 ? 7 / a U "o ra r=? . ? ? ? ?° o ;_ Q ??1 ;-` W (Y Ma mr V ???? IN C-•, 9N??z? i1' C-,( 9?1 IZ, ? ?w ? WX 7 ? % ly 3 7.0 ? M ` ,I P4z-o ?d w?l? UA?AGE 5 ?-?Y94-?a'? J I? ./ DEPr. HJ ? I. _;` to _ ._.I W .; .. . , ?at,O ? E ?? /._. O ' i Gn 514 'h,S' I ???A N ? RfViEh"E D ?. N GRiMS OF SGIt LoT?(,, .y"1710 ? `? ?. oNL. ERF rRA14? - ? PT14N co $LOGX i, AUTUMN R/06E y rH nQVi r1oN, OAKOrA CouNrY, mr nrN Es orA h44e .''S5 (a'tl C-iL*un-j?eo-A l.Gwr^ 'TRAII.,_ NORrH scAts /'#-av? R[L BEAR/N6S ASsl1HF-G o DEnrorss IRDN M 0 N,UM$NT 2 hereby certify that this survey was prepared by me or under my direct supervision and that I am a du].y Registered Land SurvQyor under the laws of the State of Minnesota. 2c--4 , co - tn - 9s LeRoy X. Bahlen Rev. ?• 9-Ya" Registered Land Survefor i4o. 10795 6Pa?? ??? 4 W"VMrS v W. 4 ? ? 4.5 40 a - OYV/.411/Ml //YIIW 11.1'.4 1 Yu 1 ITV /fit Maefbv% "&I NA hh1-U'lh-66:I1A 11 Ilnl /nnl 2012-06-0511:29 » 651975 5694 P 1(2 Use BLUE or BLACK Ink For otpce Uss / ~ Permit t!: CO~~ I City of Wan ® I I Permit Fee: cen, 3$30 Pilot Knob Road t Eagan MN $5122 i Data Received: ~ 121 Phone: (661) 675.5675 t I Fax: (651) 676-604 t Staff: L------------------ 1 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Date' l 1 Site Address' U I~~('l (Y1 ~U.)'1 yt Tr Tenant: Suits Name: -_.._..r,. , A Phone: Address / q/ zip: fe : Namme: License #:-b 10~ 3 e Addre88 S. 1 Chy: State: . Zlp: Phone: --tolea Kk Coned: PmaiC - Replacement 'i New Repair Rebuild _ Modify Space Work in R.O.W, Oetcri on of work: of n lv'' irr ~rM RESIDENTIAL "J . . Water Heater x: Water Softener Lawn Irrigation C_ RPZ / PVS) Septic Stem Add Plumbing FL U M Main I ~ Lower Level) Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 M Water Heater, Water Softener. or Water Heater 80,E Softener (Includes $5.oo state Surcharge) $80.00 Lawn Irrigation (includes $5.00 State Surcharge) $80.00 Add Plumbing Fixtures, $enllc Svstem Abandonment, Water Turnaround' (includes $5.00 State Surcharge) *WaW Turnaround (add $169.00 if a 5/9" meter is required) $105.00 i&5yatIM New (S1o_oo per as bulQ) (Wudes County tee and $3.00 Stete Surcharge) TOTAL FEES S CALL BEFORE YOU DIG. Cell &*her State One Call at (661) 454-0002 for protection against underground utility damage. Call 46 hours before you Intend to dug to recelve locates of underground WOliea. L I hereby aolmoMeope that eft Information is complete and aeeunmte; that the work VAR be In conformance with the ordinances and codes of the City of --c""-:-fbaf I I t.oNy.aa..applin6on roc a.pwet t-be-ir►-- - aorord Wfh the approved plan in the case of work Alch requires a rWew and appr mral of pans. Applicant's Printed Name Applice i 8196 r /:;r-:s•:; 1, • ;r FOR'QPIE / ♦ r: . "rI r ll~ a l r r 1 / 1 4 ..~,1 r ; , • ^;1 •,Y qow it , 14 ;Kilqu~ra~q int~pt;ictltris ;,,Undrt~trouiid _R4ugl=fin;AIr T®et r,:~ zAf2-04.9016:10 6519755694 / Pae~ t Use BLUE or BLACK Ink _ -------------- � For Office Use j 1"�t (� n j Permit#: �,��7�� I 11 b� U�����il i °� I 3830 Pilot Knob Road � PermEt Fee: d i � Eagan MN 55122 � � Phone:(65'!)675-5675 l Date Rec�ived: I Fax: (651)675-5694 � � � Staff: � . . � . . ��.������������'��J . . . « . � � . � . � � � «.. � � � . , 2014 MECHANICAL PERMIT APPLICATI'ON ❑ Please submit two(2) sets of plans with all commercial applications. - Date: l��l-��1 s�te add�ess:_ �l2� � ���.S v`l'�, �.,lLO�.� �Y�G,i � , Tenant: Suite#: � � - ° (1 ,�,n Name: �U11'�� 'd'_t G�1r 1 1[ '�Y'�� 1}'� Phone: ��- �(��7 .. la5 3S R�:��der�JC'�nrn+�� `� � � - lQ._ Y �� ��� : � �: �.; .. =., _ �,.; �. ;, °,': -1, : Address/City/Zip� h �� �2 � �� � � � � � � _ t <... �k�3,� � �� �� .. Name: License#: � � �� Address: ��� `'������L�d�$� �.r���'s��� ����a Ci �r+C1t�#1"�C�#�' ' � �� � � �, � � '�'C&�� ��,a��� ��� �. �� � �� ����-��: State: Zip• �i' ��6�tsa`c�-�ra� ��� �� �� � e . �� � � � Contact: �51-�34��r�1� �. `�� .. z,.,� �-�°� -� � � ` �� �� �� ,�� �, � � � �� New �Replacement Additional Alteration DemoliUon � �� : � �� � ��� ,�fiyp����►It�"�C�� ; Description of work: v` �i�- j�- � �w �,, �� � _ ��� �� �,�` � i��'C� ��'f m�!�in ed,�ncl�r��idr�ou�#+�tr���ar�t�i����pr��`'�s:��re���#t��������r��t�r� �-.: � ��� : � �`�:�i�d�,.���se°�ant��.t#�e��Ch�k1l�c�l��sp��c�rf�r�i� ���or#�� �i��cr������r���c��'�..� , . . - �, . . : .,. � , << . � '; � Y _ eh.� . . . . � . � . . . ... . .. . . . . . . ��. ..: . . f� � a �� RESIDENTIAL COMMERC�.4L � `� � ��.� �� '�„_ �Fumace New Construction Interior Im rovemenf � � — _ P � ��������p�� � ; �Air Conditioner _Install Piping : _Processed : � � _Air Exchan er _Gas _Exterior HVAC Unit ; � 9 � �� �� _Heat Pump _Under/Above ground Tank (_Install/_Remove) � �... � � ��. Other � RESIDENTIAL FEES � � $60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge) $100.00 Resitlential New(includes$5.00 State Surcharge) _$ (,Q O.(�Q TOTAL FEE COMMERCIAL FEES Contract Value$ x.01 � $55.00 Permit Fee Minimum � � � � � � � $70.00 Underground tank installation/removal =$ Permit Fee "'If contract value is LESS than$10,010,Surcharge=$5.00 � ""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005 $ Surcharge* """If the project valuation is over$1 million, please call for Surcharge - - _$ TOTAL FEE I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and'codesbf the City of Eagan;that l 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. c x � c�� . • 1 1 D X� � Applicant's Pri ted Name App' s Signat r ��������'��� N' 4 �7 � ;�. .,; ; �: ,, ; R�qu�rec�Inspec'�ions�`. � � Revrewed�y ,i � �Aat� r � � ,� : : , � : �.Iridergro���.�� F�c�ugh�n .. � A�r�e�t Gas;Ser�r�ce��st � ;:: ��-�(��,�3e��_. ,�ia'tal.� �,�����t'�e�r����.U�,;:" , 4111)01. City of Eqpt 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 a 26 216 Use BLUE or BLACK Ink For Office //Use t `°-; Permit #: /I Permit Fee: / c:2.6 9 Date Received: Staff: J 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 7/25/2016 Site Address: 671 Crimson Leaf Trail Unit #: Name: Cari and Lynn Meredith Phone: 651-452-1925 Address / City / zip: 671 Crimson Leaf Trail Applicant is: Owner 1 Contractor Description of work: Master bath remodel Construction Cost: $23,000 Multi -Family Building: (Yes / No ✓ ) Company: Sicora IncContact: Britt Hanson Address: 5601 West Lake StreetCity. St. Louis Park state: MN zip: 55416 Phone: 952-929-0098 Email: bhanson@sicora.com License #: BC253425Lead Certificate #: NAT 26298-2 If the project is exempt from lead certification, please explain why: home built in 1995 fA 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: 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.00pherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 N days of permit issuance. (..(asIN Applicant's Printed Name nt's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES New Addition Alteration Replace Retaining Wall 0J � ,?//2O NOT ITE BELOW THIS LINE DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing 30 Minutes 1 Hour Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls I., Shower Pan Reviewed By: Siding Reroof Windows Egress Window E79z/ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant w MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Aug 0516 10:02a Paladin Plumbing 411011 CityofEaaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 7635153818 L p.1 Use BLUE or BLACK Ink For Office Use Permit #: 5� Permit Fee: Date Received: Staff: 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Cr-./ �C� �--- Site Address: C.11 Citl S6 LCt.('l- Tenant: Resident/Owner Contractor Type of Work 1 J Name: Address / City / Zip: Name: Pt l�'� YI-UFh1iY1er License #: 4i6 L_L ()O Suite #: Phone: Address: City: h `. 1 -'ml t" i State: H 1 `k Zip: .5.-3 Contact: 1.-'t _ New Replacement Description of work: t�e.io Permit Type RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Phone: Email: ' 6.3 -LL 5- 4,n Repair Rebuild . Modify Space _ Work in R.O.W. ns\ -Lk � ne ,; ,�bl 5t-ivi :c� ,'fb t -e-: Water Softener Add Plumbing Fixtures ( Main /_ Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge} $60.00 Lawn Irrigation (includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge) *Water Turnaround (add $280.00 if a 3/4" meter is required) $115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend lo dig to receive locates of underground utilities. www.00nherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. xi nisE1J .; Applicant's Printed Name (1 -t Applicant's Signature FOR OFFICE USE Required Inspections: Under Ground Rough -In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Reviewed By: Date: Manometer Staff: rs PERMIT City of Eagan Permit Type:Building Permit Number:EA143991 Date Issued:07/07/2017 Permit Category:ePermit Site Address: 671 Crimson Leaf Tr Lot:6 Block: 1 Addition: Autumn Ridge 4th PID:10-12303-01-060 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 - Lynn M Meredith 671 Crimson Leaf Tr Eagan MN 55123 Giertsen Company 8385 10th Ave N Golden Valley MN 55427 (763) 546-1300 Applicant/Permitee: Signature Issued By: Signature