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679 Crimson Leaf Tr? : CIYY OF EAGAN 3830"Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 ;TION RECORD PERMIT TYPE: • Permit Number: • ? ' ? ? Date Issued: ? ? • ? ?r i ! ?14 SITE ADDRESS: ? ?< ; ?•i ; r? 1 t r? I !?,. ?iJ !?ihald t, I i?ki ?E I II I PERMIT SUBTYPE: ? - .. ?3 ? ? ? ? ? , APPLICANT: 1 1,i 1 i P.;1 , iii?Flt . , p. i rl V 1ilr4'_. i ', 1 .` 1 4 h4 14 14.41 TYPE OF WORK: ra? I , INSPECTION .. . ., i 1 N? . i!i??f ! Nf? ! rl, i I I Iil, I Pdi?I ? b 14 {' 1 f.t fi M A 1 1 1.11 IJ IIA N a I 1', N f li li I Permit No. Permit HOldsr Date Telephone # S/W fi? ,pLUMBING O HVAC ELECTRIC 33() ?p 0 ELECTRIC Inspection Dete Insp. Commenta Footings 1 9 Foundation Framing Rooflng Rough Pibg. Rough Htg. ? Isul. / Fireplace Fnal Htg. Orsat Test Final Plbg. 9 Plbg. Inspector - Notify Plumber Consl. Meter Engr./Plan Bldg. Final /?3/g Dedc Ftg. Deck Fnal Well Pr. Disp. Address 679 9tIMSON LEAF TRAII.. Zip 5512 3 Lot 4 Blk 1 Sub AiTIUM RIDCF, 4Ili THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector: Final grade (6" from siding) V/ Permanent steps (garage) Permanent steps (main entry) V Permanent driveway Permanent gas Sod/3eeded grass • Trail/curb damage Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in right-of-way or installing undergrouad sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy This Certificate issued pursuant to the nequirements of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various orrtinances of the City regulating building constntction or use. Far the following: use cimificafion: SF DG1C _ eiag. Pem,;t No. 23199 0-upancY T? Wil_ ?ing pisawl Ri Type Const- VN o.mor s,iia; ro 1M LZiEATICNS nam,= 4160 IANiM I,EW, EAGAN sWldingaaa,-67Q CRTM9dN LLAF QiIL ??ry1?+? Bl, A?T1Z?T1 RIDC? bTH Dme- - ._,. eoOd;ng officyo POST IN A CONSPICUOUS PLACE t v N 330F4 REQUEST FOR ELECTRICAL INSPECTION go. See mstructions for completing this form on back ot yellow copy. _ . I .. T" :., oa,,,,o. ? 6'FilEEQ-00001•0 §-7 THIS INSPECTION REQUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ENCLOSED. . r 5z (4s.-I RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConeWCllon Reautramems • 3 registered site surveys showing sq. fl, of bt sq. R. 01 house; antl all roofeU areas (20% maxhnum bt coverage albwed) • 2 coples of plan Showing beam & wlndav slzes; poured fountl desipn, etc.) • tsetofEnergyCalculatbns • 3 Wpies ot Tree Pre59rvatbn Plen fl lot p18tIBd after 711193 • Rim,bist Detail Optbns selectbn sheet (bMgs wflh 3 or less unAS) DATE V - aO l v C SITE ADDRESS -1 C?? r I mS'd?'1 ?y. c,-?- TYPE OF -4-- t-, o _ APPLICANT STREETADDRESS TELEPHOI?E # 2, 19a3, CELL PHONE # tm FIREPLACE(S) _ 0 _ 1 _ 2 SiATE' `? LR-?--'' a I FAX tIOS I 4'ga "-4 Qla) PROPERTYOWNERPR-4"-12-C0-r)Q-I ? TEIEPHONEVS1 a'P6-?4-74 --------------° ° - ° ---------------------------------------°-----------------------------°-- COMPLETE THIS SECTION FOR "NE " RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIlVNFSOTA RULES 7670 CA1'EGORY 1 MINNESOTA RULES 7672 (J submission type) • Residantial Ventilation Category t Worksheet Submittetl • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submittad Plumbing Conhactor: _- Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Contractor: _ Water Softener , _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $90.00 Fee: $70.00 -----------------°---------------------------------------------------°--------------------------------°°-------------- I hereby acknowledge that I have read this application, state that e information is c rrec gree to comply with all applicable STate of Minnesota Statutes and City of E=:i Signaiure of App ........ -............ _._......... _._............ _........_.e..._........_...?.......________.?...... OFFICE USE ONLY ? RemotleV(ieueB ReauiremeMS • 2 wpleSOf plan . 1 Set of Energy CalCUletbns for hB2ted atltlitions • lsitesurveytoreztafaraddBrons&decks • Indicaie tl home served by septic syslem for adGBlons VALUATION 5 ?r I r MULTI-FAMILY BLDG _ Y _ N _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received _, Tree Preservation Plan Received _ Not Required _ Updatad 4102 PERMIT -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 04???64) PERMITTYPE: auzLorNG Permit Number: 023199 Date Issued: 0 4/ 01 / 9 4 SITE ADDRESS: 679 CRIMSON LEAF TR LOT: q BLOCK: 1 flUTl1MN RIDGE 4TH DESCRIPTION: REMARKS: PRV 68 46 Buildi g?.?Permit Type SF DWG B`uilding Wo•rk Type NEW ?UBC occupency\, R-3 M-1 ? Construction Typ.e V-N j 2oning '--? R-1 / Building Length ? ' Building Width ? ? Building stories 2 ? S& W PLBR - MATTHEW DANSELS PLBG fEE SUMMARY VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal $772.50 $502.13 $69.00 $800.00 100 1 $2.143.63 $138,000 MISCELLANEOUS $1,828.50 Total Fee $3,972.13 CONTRACTOR: - Applicant - 5T. LIC. OWNER: WHITNEY HOMES CREATIONS 14549150 0008344 HITNEY HOME CREflTIONS 4160 LANTERN LN 4160 LANTERN LN EAGAN MN 55123 EAGFIN MN 55123 (612) 454-9150 (612)454-9150 T hereby acknowledge that I have read this information is correct and agree to compiy Statutes and City ofi Eagan Ordinances. APPLICANT MITEESIGNATURE application and state that the with a11 applicable State ofi Mn. J ,DNIQ . ISSUED : S NATU E iCITY OF EAGAN 1994 BUILDING PERMIT APPLICATION ? 681-4675 / ??,9ftz, (3 ?/ SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Pen alty applies: 1) when permit is typed, but not picked up by last warking day of month [ w in hich request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date yaluation of work /3S oclo Site Address: nta (m Lp,lpj AK, STREET SU[TE If Tenant Name: (commercial only) LOT BIACK ? SUBD. p I.D. # /%ninn?? Descri tion of work: .S'N c? ia The applicant is: ? Owner ? Contractor ? Other (Oescribe) Name Phone Property LAST FIRST Owner pddress STREET STE # City State Zip Company WlfirticLl /-?~ CL'a-" c.j 5 Phone 4sq--9isa Contractor %_ -OQ3f Address 4W 4,taEr License #cO08394 Exp City L?CRn1 State &A/_ Zip s?j2-3 Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & water licensed plumber MATllrw b47-`r6zs- Processing time for sewer & water permits is two days once area has been approved. h I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all agp icable State of Minnesot Statutes and City of Eagan Ordinances. ? Signature of Applicant: ? ? OFFICE USE ONLY ' ? it' B UILDING PERMIT TYP E ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ?16 ,. ? ,...??.r Basement Finish [ff 02 SF Dwg. O 01 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Camm./Ind. ? 04 SF Parch ? 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 JE 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) Basement sq. ft ist F1 s ft . Y92- MWCC System 4-_ Cit W ter . q. . P2 y a ?- UBC Occupancy ./ 2nd F1. sq. ft. ?i%? PRV Required Zoning -! Sq. Ft. total Booster Pump # of Stories z Footprint Sq. f t. Fire Sprinkler Length ? On-site well Census Code _777 Depth On-site sewage SAC Code a i Census Bldg APPROVALS Census Unit ? Planning Building Assessments Engineering Variance REGIUIRED IN SPECTIONS ? .Site IN Fo oting 1N Framing B Insulation ? Wallboard ,O Fi nal ? Draintile O Fireplace Permi t Fee vetuacioo: g 3,? ad 6 Surcharge z Plan Review a'z0 LicenSAC ?-1- ?3,6? ?/Z c; t sac 3j 3? Water Conn. So, ' Water Meter y Acct. Deposit /y?•?f = ?_ 73/ 3 y ?-?b ? S/W Permit S/W Surcharge - ?Y?Z,OyxCo9 o,•? ? , 2o4y/ Treatment P1. Road Unit Park Ded. Trails Ded 2^? . Copies Other Total : l3, S,(- zo = 2 20 sac % I y92, S y= z yis? s Z sac un; ts ZOT iIIRTZY CElCELZBT FO1t zy61DLlTTIAL ? DIIILDZ1ili tER82T APpLI Og ZRO?lRTY ij?jL=?y i . 77. - ?? ? -.; - Tbbr6 aat• et survye ?OCII2SLNT ST?a++?tna . e' n Aeqistered Land iurvoyor siqnatusa and eompsny • s ilni 8o-13 ? O • u nq permit 1lppiieaat ' 7oqal description D D D • 7lddrsss D? n- a D D • • NortA arrov and baw-aeale 8ous• typa (ramblu, walkoaL, split v/o, split tntry, D?D D . lookout, etc.) Direetionai draiaaqe arrovs vith slopa/qraaisnt t. D? D • Proposed/axistinq ssvar and vatsr sesvicu ?? D 0 • strset name Dzivevay ELtmTIO17B t?'a ? a • Zx3st3?v . s.w.r .ervsc. . 8 0 ff?0 D D • • Lot eorners Top of curb at the driveve D?"t O • y Elevatioas of any exisiiaq adjaeent bomes ' ?D D • 4rene¦?e oaraqe iloor . ?D 0? O o D • • Ftrst sloor ? 0 n • Lovest axposed elevation (valkout/vindov) ? ?a? D D • Property cornezs Fsont and roar of homs at the loundatien 40ND7196 aRLRB (if aRpliezblel D ? ' D • Easement line . a ? 0 n n • ,n ? . awr, 1) 0? ?0 ? • 8one f aesiqriation ? D _• Fmerqeney Cverilov tlevation ?D ' D • DSlSLNBi01Q0 Zot linss D D B?D p O • • Riqht-ofway ar?Q stzest vidtls (Lo bsek of enrb) c prop sed bome dimeasions 3ncludinq any proposeQ 4eeks, overhanqs qreates than 21, pesches, ete. (i.e. ali 0?D 0 • structures sequizinQ permanent iootinqs) h s ow ali ensements of seeozd and any City utiiities vitt?in these sasemenLs D?O G • betbacks of psoposed structuse and setbeok ei adjeeent D ? • txisting t?om:s , R i eta ninq vall: irements, it any Revievea: Name / at AM?L? ? •w?? , . ?. „ 1- « I 0 i i I ? I I y I iplot i? vl 1 u~i I I I i I I? ? r i _?? No ? l -L i ?O 10 I I vi 1 IIXIST. $AN MI i V! ? If ? ` ? j 16.3?' 3 ' ?SBiW (EXISTING) ? SALVAGE & REI.L)CATE FiYD. 1R 16"-45° BEND 0 eoic. . 1 s a w 2+ so C.S - 945.3 INV- 93fi7 S&W_I+65 ?C.S. - 946:7 , f NV-938.3 STA. 5+07 2 s aw 1418 C.S. - 946.1 INV- 9371 . r ? -; ^ ? i ; - .. l.: i: E?:, •,; iY OFEACaAN P1Q f;CCURP,CY OF MIT" ?-1 ELEVAYd T1lIS 7: :ATIOi? PUR F POW -'.:S USIN!($ ilT LQ e..:Y.TEOIV ON THE BM. S & W 0+42 C.a - 945.1 INV - 9362 3 > .. :..? ;7? ? S & W 2+41 C.S. - 9q42 , INV - 935.2 4 1t\ STA. 3 s a w o+2a C.S.- 945.1 IM/-QArl 7 4 2 saw z+ss C.S.- 9442 IA I\ I?(]'3 G n S&W 1+51 C.S. - 943.5 INV - 934:5 5 6"x G' TEE 13'-6" D.I.P CL 52 HYDRANT G94ND?ELEV. saw? 4e C.S. - 943.5 .. ;.,. . ,_ . .....: . _ ; I e nte 937 RJ.K: - .. , ; . ? SANITARY SFWER , ONE AND TV70 FAMILY ? ENERGY CALCULATIONS - AVERAGE "U" COMPUTATION OJN ER: WHITNEY HOME CREATIONS SITE ADDRESS: EAGAN, MN DATE: 3 /26/94 C)N TRACTOR: F.W.P. CALCULATIONS BY: BUEHLER PHONE: 451-1019 Determine working square footage of each that applies. 1. Total exposed wall area .............2801.6 sq. ft. x 0.110 =308.18 2. Total roof/ceiling area ............. 1476 sq. ft. x 0.026 = 3.38 1 3. Floors over unheated space.......... 0 sq. ft. x 0.050 = .00 4. Roof/ceiling area (no attic space).. 0 sq. ft. x 0.026 = 0.00 5. Unheated slab on grade .............. 0 sq. ft. x 0.160 = 0.00 6. Heated slab on grade ................ 0 sq. ft. x 0.120 = 0.00 TOTAL WOOD WALL AREA 2679.00 a. Total wall window area........... 275.24 b. Total door area .................. 50.40 c. Total glass door area............ 75.40 d. 'rotal fireplace wall area........ 0.00 e. Total rim joist area ............. 215.14 f. Total wall framing area.......... 206.28 g. Total net wall area above floor.. 1856.54 TOTAL EXPOSED FOUNDATION AREA 122.67 h. Total foundation window area........... 0.00 i. Total net foundation area above grade.. 0.00 j: Total unheated slab on grade area...... 0.00 k. Total heated slab on qrade area........ 0.00 Determine "U" value of each wall segment a. 275.24 x "U" 0.360 = 99-09 b. 50.40 x "U" 0.070 = 3.53 c. 75.40 x "U" 0.360 = 27.14 d. 0.00 x "U" = 0.00 e. 215:14 x "U" 0.043 = 9.34 f. 206.28 x "U" 0.106 = 21.88 9, 1856.54 x "U" 0.046 = 85.99 h. 0.00 x "U" = 0.00 i. 0.00 x "U" 0.062 = 0.00 j. 0.00 x "U" = 0.00 k. 0.00 x "U" = 0.00 7 ... ..................................TOTAL = 296.97 I: item #7 is the same as, or less than item #1, you have meet the i rtent of SBC 6006(c)2. N)TE: FOUNDATION WALLS Eiil basement (Rambler) entire exterioz wall must be not less than R-5. Hilf basement (Split Foyer) entire exterior wall must be noe less t ian x-10. TOTAL EXPOSED ROOF/CEILING AREA 1476 1. Total skylight area .................... M. Total roof/ceiling framing area........ 147.6 n. Total net insulated roof/ceiling area.. 1328.4 Determine "U" value for each roof/ceiling segment. 1. 0 x"u" = 0.00 M. 147.6 x„0" 0.028 = 9.20 n. 1328.4 x"u" 0.025 = 33.39 8 .......................................TOta1 = 37.59 I= the total of #8 is the same as, or less than #Z, you have met tie intent of SBC 6006(c)1. T) utilize the total envelope system method, the values eatablished by the sum of items #7 and #8 shall not be g-eater than the sum of items #1 and #2. WILL SECT70N5 "U"= 1/R WALL FRAMING AREA CONSTRUCTION R-Value 1. Interior air film 0.68 2. 1/2" Gyp. Bd. 0.45 3. 5-1/2inches s oft wood 6.84 4. 7/16" OSB 0:67 5. Vinyl Siding 0.02 6. Exterior air film 0.17 Total 9.93 "U" Value 0.106 NET WALL AREA ABOVE FLOOR 1. Interior air film 0.68 2. 1/2" Gyp. Bd. 0.45 3. F/G Ins. 19.00 4. 7/16" OSB 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 21.59 "U" Value 0.046 RIM JOIST AREA 1. Interior air film 0.68 2. F/G Ins. 19.00 3. 1-1/2" softwood 1.69 4. 7/16" OSS 0.67 5. Vinyl Siding 0.62 6. Exterior air film 0.17 Total 23.03 "U" Value 0.043 FOUNDATION AREA ABOVE GRADE 1. Interior air film 0.68 2. F/G Insul. 13.00 3. 10" Conc. Slk. 2.33 4. 5. 6. Exterior air film 0.17 Total 16.18 "U" Value 0.062 ROOF/CEILING FRAMING AREA 1. Interior air film 0.61 2. 5/8" Gyp. Sd. 0.56 3. Cord depth 3-1/2" 4.38 4. Insulation 29.00 5. Exterior air film 0.61 'rotal 35.16 "U" Value 0.028 INSULATED ROOF/CEILING AREA 1. Interior air film 0.61 2. 5/8" Gyp. Bd. 0.56 3. Insulation 38.00 4. Exterior air film 0.61 Total 39.78 "U" Value 0.025 1994 PLUMBING PERMIT (RESIDENTL4L) CITY OF EAGAN 3830 PII.OT KNUB RD EAGAN MN 55122 . (612) 681-4675 PLEASE COMPLETE FOR SINGLE Fie?MII.Y DWELLINGS. AISO, FOR T'OWNHOMES"r,r D' CQNDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNTT. <;. NO. FIXTITRES ? SHOWER WATER CLOSET ?- BATH TUB '-I LAVATORY -? KTTCHEN SINIC I LALTNDRY TRAY HOT TUB/SPA l WATER HEtATER ? FLOOR DRAIN ? GAS PIPING OUTLET • -? ROUGH OPENINGS WATER SOFTENER PRIVATE DISP. • oetay. u?. U.G. SPRINKLER • nome unaer comt. ALTERATIONS • w exisiine WATER TURN AROUND STATESURCHARGE = TOTAL: STPE ADDRESS: (,9-1 '\ C^l k nn S o OWNER ? (7"r i --- --. INSTALLER: ? ? ?--a...? ? c. .e,DD12ESS: l 5 Z 3 6 STATE: ?`?^ ZIP CODE: 4. PHONE #: ( (,?t ) ?'2 3 - 3 "1 3 p -'r FACH 3;U0 3:00 3.00 3;00 3,00 3.00 3.00 3:00 3.00 3:00. 1.50 . 5.00 20.00 3.00 20:Q0 20:00 TOT:AL 3 . o (-? ? . O U lo o ? . 7?. O0 '?. -. Q V . . 4. 3= SIGNATURE OF RMITTEE PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS,WHEN PERMITS ARE REQUIltED FOR EACH UNIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ?J// 'g? HVAC: 0-100 M BTU ADDTTIONAL 50 M BTU GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExisTUVG coNSr[tUCrlox) STATE SURCHARGE TOTAL I SITE OWNER ? crrY: TELEPHONE FEES $ 24.00 6.00 41-= $ 20.00 .50?l iONE #: ? ZIP CODE: ' SIGNA 1994 MECHANICAL PERMIT (RESIDEIVZ7AL) CiTY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 6814675 ? 1 ToP aLOCrK- E?., 94to,3 F?ASEMENT EL. °J3?2 W O 00 . in O? V1 ? ?y ? 9R ? N 81, 1l / 28"E 1--za.9-= Er 93f•g F,.a9'is.S .•-- ?-, A? b ?r q ? c.?ae 4 ? M r - o - - --3? CR1M SON L 1EAF TRAIL _ ,, ???E??.., p0 C IR 0 Mo R? DESCRtPTION ,tOT l1., BLOCK j, AI/TUMN R1DGE •lTH ADD/rloM, DAKorA COLJNTYI MlNNE SOTA ?079 GR-ti'tit5oc-1 LEAr- ? R-AII- . mi e- up-?3 5 CAL E DM. NoRTH l" = 3 0' ALL BEARrNGS ASSUMED a DENOTES /RON MONUMENT I hereby certify that this gurvey was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Date : 4&r?? LeRoy H. ohlen Registered Land Surveyor No. 10795 B9°y908 9/.0/ !0 S ? r /--- -----___ _ _ I ? S DRA TyAGE AND ll ? EASCMENT ? ?f Li ' I ? 7z o r o01 - ?? ?w -W J5 LL ? ? wGEa ?,? ? q a ILS 14?v/ a 4.o p 2 3,33 O?Y I F. ? M ? - PRo??osl'cD 0 ? I?OU SE l5 (07 I , ? N r --- i I 4ARA4 E N ; s?aa .Zai_-? 9?Fle,o N?0 ? . * L_-- - PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA140786 Date Issued:01/23/2017 Permit Category:ePermit Site Address: 679 Crimson Leaf Tr Lot:4 Block: 1 Addition: Autumn Ridge 4th PID:10-12303-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David A Carlson 679 Crimson Leaf Tr Eagan MN 55123--304 Sedgwick Heating & Air Conditioning 1408 Northland Drive, Suite 310 Mendota Heights MN 55120 (952) 881-9000 Applicant/Permitee: Signature Issued By: Signature SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO.4 1408 NORTHLAND DRIVE,SUITE 310 • MENDOTA HEIGHTS,MN 55120 • (952)881-9000 TEST RECORD ADDRESS 611 C�/--1 H, 4-• ` CITY �A-a°71 'TX OCCUPANT OWNER R -'CEI V ED SOLD BY INSTALLED BY MAR 1 6 2Oti MAKE ' MODEL /� e©'�v cqo li V/�' SERIAL NO. d ✓J 71`) 14 STV INPUT Geef THERMOSTAT + /F1911, 61-----') VENT SIZE L/'i VALVE ��'`�yd TYPE OF LINER I wt/it ' LIMIT vye LINER SIZE .-C‘' IZE .S �• LIMIT SETTING 1!/ FILTERS: SIZE /\ r� l NUMBER FAN SETTING 7j' ix.- WIRING V PILOT TYPE ++ O n e TEST TAG L IGNITION MODEL [ LIGHTING INST. PILOT TIMING D S e I,b [ /�J`C 7 t. .1 DATE TESTED 6 PRESSURE �' w�' PERCENT CO2 f INPUT CFH {0 PERCENT 02 Co �"t COMPANY TESTING 351"W STACK TEMP. 4/3Y4f PERCENT CO /3 NAME OF TESTER FORM 235(REV.10/10) FORM DISTRIBUTION: WHITE COPY-JOB FILE YELL-C;;;;;:761- PERMIT City of Eagan Permit Type:Building Permit Number:EA143806 Date Issued:06/28/2017 Permit Category:ePermit Site Address: 679 Crimson Leaf Tr Lot:4 Block: 1 Addition: Autumn Ridge 4th PID:10-12303-01-040 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David A Carlson 679 Crimson Leaf Tr Eagan MN 55123--304 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA147179 Date Issued:12/15/2017 Permit Category:ePermit Site Address: 679 Crimson Leaf Tr Lot:4 Block: 1 Addition: Autumn Ridge 4th PID:10-12303-01-040 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - David A Carlson 679 Crimson Leaf Tr Eagan MN 55123--304 (651) 994-7029 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature For Office Use ® // I �4 • 0/ �+ :::::e: 1 I ,��-++r r� �y- Date Received: REC1 :. I;:-' V 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 .J 651 675-5675TDD: 651 454-8535 FAX:(651)675-5694 ( ) I ( ) � ��� _� Staff: buildinginspections(a�citvofeacian.com 4 2018 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 4;( 1/I ti Site Address: (,-7 Cl2044z0,A) L s -F TIM L. Unit#: Name: 3Ri/.o + I46.-}rtf C,E12LS u,J Phone: Gb Si 5/14 - v 2-r/ Resident/ Owner Address/City/Zip: (o-79 C/tiaM S un) LES T - L Applicant is: VOwner Contractor � ti' } #Work Description of work: AtU i .5-P-EVS ovi(lam I+FLC SIV1i S t P- - 2El°L*C- 71-044on1 �r+�-✓J:Ai Construction Cost: /Y✓F-c k. I r C!Ct 0 Multi-Family Building:(Yes /No t/) Company: Contact: Address: City: ContrarP1Pr tt State: "'" Zip: — Phone: Email: License#: "'— Lead Certificate#: 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 ands ortingdocuments that yo ubmit are-voiSIdered to be public"n ormattion ortions of the information a,y* cias ified as non-phblic if "d provide s .. . Y�?`� pecc„raso»s that wv� rmi#the City to conclude that they are trade secrets #��-a�..a���� 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.citvofeaaan.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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be n •nformance 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 ork 's 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 appro al of.ans. x vAIUID A. cog-Ls.A) x �� Applicant's Printed Name • . .licant's 'ignature zti- DO NOT WRITE BELOW THIS LINE 2/ 1 C6—i m S &ear. iO/ r SUB TYPES _ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration (Single Family) _ Single Family _ Garage Porch(4-Season) _ Exterior Alteration (Multi) Multi '7., Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous 01 of Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuation 24 ° ° Occupancy MCES System Plan Review Code EditionJU ( 5 SAC Units (25% 100% ) Zoning 'I City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction /'b Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) >e Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding: _Stucco Lath Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _Footings_Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Shower Pan Other: .AS___ Reviewed By: , Building Inspector i giff1/47 RESIDENTIAL FEES / Atm Base Fee 1 Surcharge tie ,,,,pp/ Plan Review f 1 MCES SAC "Yi City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant 9. '5' Copies 1 TOTAL x ,/ Page 2of3