672 Crimson Leaf TrAddress 672 r_MnSOrr LEAF renir. Zip 5512 3
L.ot ' 6• Blk 2 Sub AvnA1N RIDGE 4IH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector:
Final grade (6" frm siding) t/
Permanent steps (garage) f
Permanent steps (main entry)
Permanent driveway
Permanent gas V/
Sod/Seeded grass
TraiUwrb damage `
t?+c-? ?noa C'
Porch ?
Basement finisb
Deck f
Please verify with the builder the temoval of roof test caps from the plumbing system and ihe shut-off of water supply ro
the outside lawn faucet before freeze potential exists. Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy . Pink - Contracror Copy 0
41;".
Wertificate uf Ccculpanc4
Kitiq of Wagau
Mepaxtmeut of VKiibing anidipcction
This Cenifecate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
orrlinances of the City regulating building constreccteon or use. For the following:
use clusificuion__ SF ME Blag. Permit No. 4670
Oceupancy 7ype R3 /MI 2oning Districx R 1 Type Const. VN
owrer ot awkiing WFTT'rNF:Y H(M rREA7'I(7NS Aadrss 4160 .aN[f:RN T.4NE:, FArJWw
BuiIding Address 679 r-'?LMSC)iV FAF _ TT, L.ocality TA,FR2}. ATTfTM RTTY'.R 4iN
r pam.
8Wlding Olficial
POST IN A CANSPICUOUS PLACE
`CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
? (612) 681-4675
i
SITE ADDRESS:
;
t I IIM{'i k I li?l fl i II
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
I ,., F;t ??? ? APPLICANT:
1 1%11 I f. ; t .'i , j!'iij,
f r? 1.' 1 01'.•4 '1 1 `•vi
TYPE OF 1NORK:
f:ll I i ili NO
N.'441N
@fi/ifp14
INSPECTION .. . .A
i;
t ri•,111 n i t fIrl
,
1 I 1?1 tt l I I(? !, t I?i n I
I .- I .-"+ItF
E, ti v .& i.J i, 1 tit- 14n I t?ti t'J iinri i i i', I'i t;?'
1-
Permit No. Permlt HoWer Dete Telephone M
S/1N
PLUMBING
HVAC , 9 3 7
ELECTRI
ELECTRIC
Inspectlon Date Insp. Commsnts
Footings I a?4
Foundation ? 04i
Framing ly
z"
Roofing
Rough Plbg.
/ N
Fough Htg. ?
C? l
I5ul.
Firoace ?yly
Flnal Htg.
Orsat Test
Flnal Pibg. l? 76 _ t, Pibg. Inspector - Notity Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?? ? ! ?"
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
? r?? ?. , ,. ??...,?, ?? if??
. ? , ? .r:r. cs•? ; ? ??
PERMIT SUBTYPE:.
TYPE OF INORK:
INSPECTION .. . .•
?
I :- A 5411"4'f11;A 1 i I-'t. VM! 1{ {', It1 0111111 II I tlp AMV PI II1414 I Mii (1Fi F I tI ffZ I E'.A1 t.MfiK
?
Permft No. PermR Holde? Date Tslephone M
ELECTRIC
PLUMB G
HVAC
Inapeetlon Dats Insp. Comments
FOOTiNGS
FOUND
FRAMING
r
ROOFING
ROUGH
PLUMBING
?-
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL ?
GYP BOARD
FlREPLACE
FIREPLACE
AIF TEST
FINAL PLBG
FiNAL HTG
ORSAT
TEST
BLDG FINAL
BSMT F.I.
BSMT FINAL / J? ? ????
UECK FfG
DECK FlNAL
MfNNESOTA STAiE BOAqD OF
Griggs-Mitlway Bltlg. - Aoom SO
1821 University Ave_. St Paul, N
Phone (612) 642-0800
THIS WSPEGTION REQUEST WILL NOT
AE ACCEPTED 9V THE STATE BOAPO
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
REQU ?
EST FOR ELECTRlCAL INSPECTION E&00001-09
-? , See instnictions for completing thls form on back of yellow copy. 1
Work Covered by This Request
l
"
" B
X ow
e
Equipment Wired
Add Rep. Type of Building a liances Wired
PP Temporary Service
Home Range
Electric Heating
Duplex Water Heater
Load Management
Apt. Builtling Dryef Other (Specity)
Comm./lndustrial Furnace
Farm Air Conditioner
OtM1er (specify) Conlraabr`s Femarks'
.gasCrwtYVg" l°'1 ``? i`? ?
Compu[e Inspection Fee Below: Circuits/Feeders Fee
e #
F
y Other Fee e
# Service Entrance Size
0 to 100 Amps
Swimming Pool 0 to 200 Amps
Amps Above 100 -Amps
200
Transformers _
A6ove
TOTAL
Signs Inspecmis Use Oniy:
Irrigation 8ooms ?
Special Inspection
i Ige ECTED IF NOT
THIS INSTALLATION MAY BE ORD
on
Alarm/Communicat COMPLETED WITHIN 18 MONTHS.
Other Fee oaie? `.C
h i
ihe Electrical Inspector, hereby
I n
Rnug
oa??
,
certify that the above inspection has E,ai ?
been made.
i
OFFICE USE ONLY
Thls request voitl 18 months lmm
THIS INSPECTION REQUEST WILL NOT
6E ACCEPTEO BV THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION
p. Sea Instmct^ns lor completing this torm on back oi yellow aopy-
???_ 1 "X" 8elow Work Covered by This Request
Home
Heater
Furnace
Air CondiSionef
otner
Compufe Inspection Fee Belaw:
,e Other Fee
I O[her Fee I
I, Ihe Electrical Inspector, hereby
certify that the above inspection has
been made.
IFFICE USE ONLV
Tii request voia 16 momhs fmm
Service Entrance Size
to 200 Amps
Dove 200 _ Amps
>r's Use Only:
7HI5 INSTALLATION MAY BE
E6-00001-OB
Circults/Feeders ? ? to 100 Amps U
Abov?Q- Amps
TOTAL
O? . ?
G ?/ J
/
eRn-fSISOONNECTED IF NOT
Griggs-MltlWaY Bltlg. - Roam 5,1lid-
1821 Universiry Ave., 51. Paul. MN 55104
Phone (812) 662-0800
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55723
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
???o??
02447z0
08/31/94
SITE ADDRESS:
P.I.N.: 10-12303-060-02
672 CRIMSON LEAF TR
LOT: 6 BLOCK: 2
AUTUMN RIDGE 4TH
DESCRIPTION:
BildingPermit Type SF DWG
Building Woek Type NEW
?-UBC Occupancy`., R-3 M-1
i Construction Typ.e VN
Zoning '-? R-1
euilding Length '
r
67
` Building Width 48
? Bu_ilding et:ories 2
?-
y
\\
Vl? ??L t ?`7?7?? ?LiJU L?
?
REMARKS:
PRV S& W PLBR - MATTHEW DANIELS PLBG
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC t
SAC Units
Subtotal
$835.50
$543.08
$78.0@
$860.00
100
$2,256.58
$156,0@0
MISCELLANEOUS $1.828.50
Total Fee $4,085.08
CONTRACTOR: - Applicant - ST. LIc. OWNER:
WHITNEY HOMES CREATIONS 14549150 0008344 WHITNEY HOME CREATIONS INC
4160 LAN7ERN LN 4160 LANTERN LN
EAGAN MN 55123 EAGAN MN 55123
(612) 454-9150 (612)454-5332
I hereby acknowledge that T have read this
information is correct and agree to comply
Statutea and City of Eegan Ordinances.
??-eLJ?
APPLCANT/PERMITEESIG E
application and state that the
with all applicable State ofi Mn.
ISSUED : SIG RE
-1
I p554 ?),
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwcllings & townhomes/condos when permits are required for each unit
30-SF)
Date0
Si[e Address {.7 2,- &1 /y/ SB?, L" 6 Unit # ?
Property Owner ?/1n k-es Telephone #? s/ } qJ Y? 96 VC2
CantractiWANDARD NEATING 8 AlA CONDIilON 00, .
Street A"EAPOLI`q, MN 55408'2958 City
State Zip Telephone # ( )
Bond #• Expires:
The Applicant is _ Owner ? Conhactor
.r•
``
?' 3
Add-on or alteration to existing dwetting unit ? `'
•??. $ 30.00
_ furnace _Additional _Replacement ; t,
?
air exchanger
? airconditioner _New Neplacement '
other
State Surcharge $ .50
Total $ _S?D
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes f the City of Eagan and with the Mechanical Codes t I understand Hus is not a
permit, but only an application for a permit, and w rk is not to start without t; that the w il b in acwrdance with the
appr d plan in the case of?lu• y'' uires a r iew and approval of p
'C'T ?
Ap licant's Printed Name Applicant's Si ng?at e
'i o
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site
rv"ey ?y,;:..-?re e rgy
E
calcs. ? a 'I?9?f
COMMERCIAL 2 sets of architectural & structural ,
1 set of
_
spec9fications, 1 copy of energy cal '-----
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 ZS Valuation of work OQD?
Site Address:_ (v7Z (',2i?f?o? Lenri=
STREET SUITE q
Tenant Name: (commercial only)
LOT ? BLOCK 2- S??
P.I.D. #
Descri tion of work: 5'
The applicant is: ? Owner jZ Contractor ? Other (Deseribe)
Name if40'Ni13'4rl le?772V Phone 1??e-0931
Property LAST FIRST
Owner
/,?'"'vfau7cWP 7d4'--
address /lzS ?"
STREET STE #
City 4!W?'? State ?f Al Zip J51'1 3
Company Phone IS?- 5 33?-
Contractor Address ?Gv /_?,?? I-?,??- License #Exp. 3 9i
City State iv?? Zip SSi2 3
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber &.1flff67-1 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:
OFFICE USE ONLY
? ?
.?
BUILDING PERMIT TYPE ??
""k?
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
?02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind.
? 04 ?
Sf Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
U 31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Mave
GENERAL INFORMATION
Const. (Actual) V Basement sq. ft . MWCC System ?
(Allowable)
UBC Occu
ancy ,1/ lst F1. sq. ft.
3 -
2nd F1
s
ft TS S
?? City Water
PRV Re
uired ?c--
x
p ?
.
q.
. q
Zoning Sq. ft. total Booster Pump
# of Stories z Footprint 3q. ft. Fire Sprinkl er
Length ? ?,33 On-site well Census Code -7-ol
Depth y8 33 On-site sewage SAC Code
Census Bldg L
APPROVALS Census Unit _
Planning Building i,? ?. ?: 3•, Assessments
Engineering Variance
REGIUIRED IN SPECTIONS
?.Site Itf Footing fb Framing 2'Insulation
? Wallboard -E?l Final 0 Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
cop;es
Other
Total:
SAC %
SAC Units
2
s? y
r?(.z
sy?3
?+v
Z3,3-?-?2,3c ?S2.s
70,3,?- I ? 20.3
?-- -?
f? ?8z??as
C) s;? a
$ ?+-23-
/2A. 13 J3 -
` (S31
Z
SOo
l86z
,
LOT BIIRVEY CHECRLI6T FOR RESIDENTIAL
BDILDIN PERMIT APPLICAT ON
PROPERTY LEGAL:
D
t
f
'
a
e o
survey: d
DocvatErrr aTaxnARDs /-";L y / ) 4/??
???
' 0
D •
• Registered Land Surveyor signature and company
i
Ci
O Bu
lding Permit Applicant
D'0 0 • Legal description
D? 0 0 • Address
? 0 0 • North arrow and bar scale
P? D 0 • House type (rambler, valkout, split w/o, split entry,
? lookout, etc.)
0
" 0 • Directional drainage arrows with slope/gradient $.
0
6
V 0 0
0 • Proposed/existing sewer and water services
• Street name
II/0 0 • Driveway
ELEVATIONB
E'? ?
0
• Exiatinc
Sewer service
G? 13 0 • Lot corners
?_? ? • Top of curb at the driveway
Q D 0 • Elevations of any existing adjacent homes
ProooseQ
? • Garage floor
0
0 0 • First floor
? 0 ? • Lowest exposed elevation (walkout/window)
i? 0 0 • Property corners
0 0 • Front and rear of home at the foundation
YONDING AREAB (if aoolicable)
0 L? ? • Essemeat line
0 Q' 0 • Nwi.
0 Q'?Et • Hwi,
D Q' ? • Pond # designation
0 Q"' D • Emergency Overflow Elevation
DIMENSIONB
[? 0 0 • Lot lines
? 0
V ? • Riqht-of-vay and street width (to back of curb)
0 0 • Proposed home dimensions includinq any proposed decks,
overhanqs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
D? D 0 • Show all easements of record and any City utilities within
those easements
?0 0 • Setbacks of proposed structure and setback of adjacent
n ae?6
October 19
II ?.J..-..
+ 38 s etw 5; 48
42 C.S. 943.5
5.2 INV- 934.5
TRAIL
- ,
2EXIST. ? snf E(. 21 " STM ? - -
......Au ? -- -r--?
u=.-= -----
EXIST. MHC81
- -- ? --?- =? , -
6"1cv.?a', eox
L
s ?-1 L
S&W 0+58
C.5.- 942.8 ? J
INV - 933.7 ?
C ?
\
? I
? I
u`."Fy C)r• GAGF;N DOCS NO! GUARAMt?:E
-a•„? PF; ;JFiACY OF UTILI7Y LOCATIONS
rLE\tATIOf?S. THI? DATf?. i.i Glti?0lTE:
AND
'?R:':F:i i0N PUFPOSES Cf:L`t
°'?'?:_": .•;::, vSii,G IT SHC)U! D 7-1-i?:
-:,j.: OiN THE 5ITE.
?_.
gE pRE SHUT7 NI
CONNECTION.
:.
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944
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.............. :: :.....:.:.. ..
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PVC $DR : 35:Q .0
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......... :::::INSTALL: WLFT?f2TiGHT:::::
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RUG-24-1994 17:07 FROM FqB WOOD TO 16124545332 P.01
ONE AND ToPO FAMILY
ENERGY CALCULATIONS - AVERAGS "U" COMPUTATION
OWNER: RFITH HANNA8CH
CQNTRACTOR : F .9P. P .
SIPE ADURESSt E.AGAN AATEt 8-24-94
CALCULATIONS SY:HOFFMANN PHDidE: 451-1019
Determine workinq squace footage of each that applies.
1. Total exposed wall area .............3798.6 sq.
2. Tdtt?1 rovf/ceiling area,,,,,,,,,,,,,1593.5 sq.
3. Flpors over unheated cpace....,..... 0 sq.
4. Raof/aeil3ng area (no attic spaca).. 0 sq.
5. Unheated s1Ab on grade .............. 0 sq.
6. syated alab on grade ................ 0 sq.
ft, x 0.110 w417.85
ft. x 0.026 - 41.43
ft. x 0.050 « 0.00
ft. x 0.026 • 0.00
ft. x 0.160 - 0.09
ft_ x 0.120 - 0.00
TOTAL 9700D WALL AREA 3001,89
a. Total wall mindow area........... 128.09
b. Total door area .................. 20.00
c. Total gless door area............ 35_60
d. Total fiCeplaee wall azea,,,,,,,, 0.00
e. Total rim joist area ............. 277.08
f, Total wall framing area.......... 254.11
g. Tatal net wall axea 8bove flaor.. 2287.61
TOTAL EXPOSED FOUNDATION AREA 796.75
h. Total fqundatiOn windom area........... 0.00
i. Total net foundation aree above qrade.. 796.75
J. Total unheate8 slab on grade area...... 0.00
k. Totsl hebted slab on grade,area........ 0.00
Determine "U" value af eACh wp]7, segraent
a.
128.09
X
kUR
0.364
- ,
46.11
b. 20.00 x.. ,".tr" 0.070 = 1.40
c. 35.60 x "v" 0.360 - 12.82
a. 0.00 K Nu^ = 0.00
e. 277.08 x "U° 0.043 + 12.03
f. 254.11 x "U" 0.106 - 26.95
9. 2287.41 x "u" 0.046 . 105.93
h. Q.00 x "U" = 0.08
i. 796.75 x "u" 0.052 ? 49.24
j. 0.00 X iiv^ s 0.00
k. 0.00 x "U" - 0.00
7 .................... ...... ..........TOTAL ? 254.48
if item #7 iR xhe same as, or lesa than item 01, you have meat the
intent of SBC 5006(c)2.
NqT$t FOUNRATIBN fJALLS
Full basement (Rambler) entire exterior waii must ba not lese than
R-5.
Sal£ basement (Split Foyer) entfre extgriot r?s1l must be not less
than R-1Q.
TOTAL EXppggp ROOF/CEILING AREA 1593.57
1• Total gkylight area.,
m. Total roof/.ceiling framfng?area........ 159.357
n. Total riet inaulatad roo£/ceilfnq area..1434.213•
betermine "U" vniue far each roof/ceiling sggment.
2' 0 x"U"
in• 184.357 x"U^
n• 1434.213.x^i"
8
0.028 . Q.60
0.025 : 4•53
36.05
................................ .....Totel ? 40.59
If the total of #e fs the same a
the intant of 88C 6006(c)1 s;.pr less thaa #2, you have met
.
establishedt by the a eum n ef i i?e?s Y ?7 e and e #B o shall enotibes
greater tihan the sum of itema #1 and #2,
wALL sEexiass '
WALL F'RAD(yNG Agg,A CONSTRUCTION ?
1• Interior air film R-Value
2. 1/2" Gpp, Bd. ., D.68
3. 5-1/21nches soft wood 0.45
4• 7/16" p8g 6.84
5• vinyl Sidfng O.b7
6• Exteriar air fflm fl.62
0.17
Totai
"U" -. Vdlue
NbT WALL AREA ABpVE P'LOpR
?. Interior air film : 0.68
2- I/2" Gpp. Bd. 0.95
3. F/G zns. 19.00
4• 7/16" Oss . 0.67
5• vinpl sidinq 4.62
6• Exterior dir film,.. 0.17
ToGal.
nvP-.qAl[1B
RIM JOIST AREA
1• Intarior afr film 0.68
7. F/G Ing, 19.00
4. 7/p6"nOSBftwood ., 1.89
5. Vinyl 8ldfng 0.67
6• Exterior air fflm 0•fi2
0.17
Total
"u" value
4.43
0.106
21.59
0.046
23.03
0.043
------- .--.-- - - --- ?
_. , . ------ - -•
;
,.. •---- - --------------------------
--- - ----------------- ---. --
? --------?
AUG-24-1994 17:08 FROM FRH 1J00D TO 16124545332 P.03
.?' FOUNDATION AREA A$OV8 aAADE -
1. Interior air filia 0.68
2. F/G Insul. 13.00
3. 20" Conc. Blk. 2.33
4. .
5. .,.
6. Exterior air film' 0.17
Totdl 16.18
"u" value 0.962
ROOF/CEILING FRAMZNG AREA
1. Interfor dir film 0.61
2. 5/8" Gyp. Sd. 0.56
3. COrd depth 3-1/2" 4.38
9. Insulatiosl 29.00
5. Lxteriar air film 0.61
Toba1 35.16
"U" value 0.028
INSULAT$p ROOF/C$ILING ARBJ?
1. Interiar air film 0.61
2. 5/8" Gyp. Bd. 0.56
3. Insu].ation 38.00
4. Bxtsr3or p#x f},2l?. ., 0.51
Totai
°U" Vdlue
39.78
0.025
TOTAL P.03
" CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-12303-060-02
Base Fee $35.80
Surcl -iarge ? .50
Total Fee $35.50
PERMIT
672 CRIIhSON
LOT: 6 BIOCK:
AUTUMN R7DGF 4'iH
l?o ?g?a7
E3UZLDING
026639
14l/30/95
DESCRIPTION:
r_.
B,tai }:ding?, Permit Type
guilding Wia,rk Type
?
?
,.:.-
BFlSEMENT FINISH
AL7EftAT'ION
REMARKS:
A SEPAftA7E PFRMIT IS REQUSRED FtlR ANY PLUMB:[NG OR C-LECTRICAL WORK
FEE SUMMARY:
CONTRACTOR:
?
PERMIT TYPE:
Permit Num6er:
Date Issued:
LEAF TY2
Z
OWNER: - Applicant -
HANNASCi-I KEITN
572 CRIMSON LEAF TR
EAGAN MN 55123
(612)688-0931
T hereby acknowledge thar. I have read this
informatiqn is correct and agree to comply
StatuCea aricl cSty of Eagan Urdin-anecss.
G
' APPLICANT/PERMITEE SIGNATURE
applicati:on anc[ 15tate thaC t3is
with ail applicable 5tar€ of Mn.
a R2 i,11
I? SSU D SIG TUR
--`'?-
I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
ILLV
1895 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
Hew Gonstrudion Reauiremems RemodeVReoair Reautremerds
? 3 repbteied site swveys ? 2 copies of plen
? 2 copiea of plena ('vidude beam & window eaes; poured fid. design; eteJ ? 2 sfte surveys (exterior add'Rlons 8 dedcs)
? t snergy ealalatlons ? 7 anergy celculations for heated additions
? 3 copies of tree proaervation plan if lot pietted after 7/1183
tequired: _ Yes _ No
DATE: /%3 IR S CONSTRUCTION COST: Ls,
DESCRIPTION OF WORK: - ???ts-J T rll?i5/4
STREET ADDRESS: ? 7 Z Gl2i,qsa? G,r,t-F 74-,qIL-
LOT ? BLOCK ? SUBD./P.I.D. #: 1477ntMl'' 121,014e- 4"? ^/>JPO'J
PROPERTY Name: A-???# A?n+ Phone #- &fP
OWNER W• •":, C/Lpor3ic - 9lol-c?o'74?
Street Address• e?77-- 6,,P'o*5'"'' 16-4v"
City: e7c-&n/ State: f4Zip:
CONTRACTOR Company: j;;W 19441n/XF- Phone #:
Street Address: License #-
City;
ARCHITECT/ Company:
ENGINEER
Name:
State:
Street Address-
City:
Sewer & water licensed plumber.
change are requested once permit is issued.
State:
Zip-
Phone #•
Registration #-
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information i5 correct and agree to comply with all
appticable State of Minnesota Stawtes and City of Eagan Ordinances. ??
5ignature of Applipnt: T / (
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Pian Received
_ Yes _ No
_ Yes _ No
?
ftr f 2 3 IM
CITY USE ONLY
L CP BL _? RECEIPT #: l?95l??1
SUBD. wsv e? DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
FI1(TIIREC EAEH ti.o. TOTP.!
Shower sr 3.00 x ?, ?
Water Closet ?ki(?? 3.00 x
Bath Tub 3.00 x =
Lavatory 3.00 x
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - t 3.00 x =
Rough Openings 1.50 x =
Water 5oftener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL z41)Sd
SITE ADDRESS: &-ZZ CP-I'M 5o'v L?F 7Q4 IL
OWNER NAME: ?EiTH s Kus'rorvi
INSTALLER NAME: "1714eW ?? ? ?? ??G •
STREET ADDRESS: ?5z3O 0A20 1'LS&(' wAy I
CIn': Rb sewu) u.?u r? STATE: !M n1 ZIP:
5506SS
PHONE #: ( (o/Z ) 4123-3?30
3fl'?`1TATQF7Fi?? F?E'F??
PLEASE COMPLETE. FOR SINGLE FAMII,Y DWELLINGS. ALSO, FQR TOW1VfiOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf:
NO. FIXTURES
? SHOWER
3 WATER CLOSET
? BATH TUB
5 LAVATORI'
? KITCHEN SINK
_I_ LAUNDRY TRAY
HOT TUB/SPA
_L WATER HEATER
? FLOOR DRAIN
? GAS PIPING OUTLET • ??? - i
ROUGH OPENINGS
WATER SOFPENER
PRIVATE DISP. • n?.cry. u?
U.G. SPRINKLER • eame under coo.,,.
ALTERATIONS • w edatine
WATER TURN AROiJND
EAGH TOTAL:
3.00
3.00
3.00
3.0(1
3:00
3.00
3.00
3.00
3:00
3.00
1.50
5:00
20.00
3.00
.
20.00
20.00
3.00
STATESURCHARGE
TOTAL:
-SIT'E .ADDRESS: ?o'l ?. C ri rn S? v>
?
7
3. o:o
. J 0 .
.?. oc? .
4•S-*It>
:SU
?. od
OVNNER N:4P.'?: LJ In.-t-n.e? }? n.sz? Lcr.??-=Fi ci ? -?
INSTALLER:
ADDxESS: 1 S Z3 0
STATE: ZIP CODE: ?S?
PHONE #: ( ? tI-)
SIGNATUR F PERMITTEE
1994 PLUMBIIYG PERMIT (RESIDENI74L)
CITY' OF EAGAN
3830 PIIAT KNUB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
4,,_,?NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
FIREPLACE INSERT
DATE "/ -9 ?
FEES
HVAC: 0-100 M BTU
ADDTI'IONAL 50 M BTU
GAS OUTLETS (MINIMUM i @ $3.00 EACH)
ADD-ON/REMODEL (Exis'r[NG CoNSTRUCi'ION)
STATESURCHARGE
TOTAL
srrE aDDxEss: ?a 7a ?sax.,
OWNER NAME: 70l'I??S'
INSTALLER: vt C, CaT Cl-
CITY
TELE
$ 24.00
6.00
?
$ 20.00
.50
33 . Sz?,
?
#: ??°C) ?_3/
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
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t,A 9335' S 89°Yl:28"k1 N('f?"/'?(
p???? I PTION
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AurUMN RlOGF
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AAKOTA C bUNTY,q
M1NNE5d'rA
? s cALE I"030"
? ALL BEARIN69 A35t1MED
? D15bdTES ORaAI MDA.'llMEN7
(pl? c?x.ir,r.so?r L.EN?'r TRp•tL-
S hereby cextify that this eurvey was prepaxed by roe ox
under rqy direct supervision and.that I am a duJ.y Aegi,stered
Land Surveyor under the laws of the State o£ Minnesota.
Date:
Qd?. ?_29_9,? I,eRoy' H. hlen •
Registered Land Surveyor No. 10795
? Gi 'C `I ? ?° Cd?.s. ? ?'/d ?2 h?ti ? tc-N.?..? T •S ?a ?- - ?
08-31-94 OB:IBAM P001 lt16
N
Use BLUE or BLACK Ink
r
For Office Use
Permit /
City of Eap I .0~
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ;Date Received: ;
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 ; Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 112`)Z / / -t ` Site Address: 4a/ 7,; ! n A i Unit
Name: Phone:CDZ 7
RESIDENT / C:7~ I~
OWNER Address /City /Zip: ~
Applicant is: Owner 41 Contractor
TYPE OF WORK Description of wor
Construction Cost:' Multi-Family Building: (Yes No J
/17
Compa*-~d fl ontacti/'A~41-22
CONTRACTOR Address: a4~ 71 City:
State:/', Zip: J®~ Phone:/
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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 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 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.clopherstateonecall.org
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 w k authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of Mt issuance.
x x
A(pp Pri ~dame Ap licant' Signature
Page 1 of 3
7
~ , ~ ED Use BLUE or BLACK ink
RG..e'.. 7.1
For Office Use 7
I
of EaFft MAY 1 2012 Permit* L 337
9 ty C)
r Permit Fee: . C) 0
E
3830 Pilot Knob Road I I
I
Eagan MN 55122 0 1 Date Received: 2-
Phone: (651) 675-5675 , I rf v c
Fax: (651) 675-5694 ~f
I
INFLOW & INFILTRATION P MIT APPLICATION
Plumbing / S wer & Water
Date: S 7 ' / Site Address: r 1 A-) T j 'P
Tenant:
Suite
RESIDENT /OWNER ' Name: _J C)L% M Phone: t.S Sa.- (0 0
Address I C' / 1 f,~~~ 'T(~L
~ Zip: msaN &%eN s5'!a3
Name: ~S 5, e n H h i e r v ,'t n License _ PC - s s
Address:• C7 G )-7 a
CONTRACTOR City:
State: 01 v` Zip: .5 .S' r Phone: 5
Contact: 1'h,' 1 re t } Email: i K;t~ h c1
_ _a '"V\ pj~'V-'6t n
f ol
i
3 PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK s Sump Pump Repair
Repair
~4- Other.
f Other.
DESCRIPTION Description of worlr to p u ks r'd
a
FEES .d P'4 r 0N 'e vi ---4
$60.001 Each (includes $5.00 State Surcharge) Z,+ jr TOTAL FEES (ta ~ r G) Gt
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit III repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeauan.comrnflow, or City Hall at 3830 Pilot Knob Rd.
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. wrww.gopherstateonecail orrr
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.
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground Rough-In Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116236
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 672 Crimson Leaf Tr
Lot:6 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-060
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 Kes
672 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:Mechanical
Permit Number:EA129801
Date Issued:03/16/2015
Permit Category:ePermit
Site Address: 672 Crimson Leaf Tr
Lot:6 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Applicant: Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rommel J Agcamaran
672 Crimson Leaf Tr
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature