680 Crimson Leaf Tr
Use BLUE or BLACK Ink
F ----------------i
I For Office Use ~
Ah, • I
of Ea Permit
y Ed rv 4 "l
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I d Site Address: 660 l.. l ►%sdn mrV SS l
Tenant: Vy Q yV c\ Qr ~ Suite
RESIDENT / OWNER Name: -S6-okS fie r`~ Phone:
Address/ City/ Zip: _fo V l''\ WiSm bat ~.SGtA V~ ~ ~S
Applicant is: Owner V Contractor
TYPE OF WORK Description of work: f~ r K2A6P' jrvf~ Ga 5(},6h 4
Construction Cost: 1ILl 06 Multi-Family Building: (Yes / No
CONTRACTOR Name: As n E, inc License
Address: 0 -kjYi City: -
State: Zip: Mb_k Phone: _78 jq-jkg-7
Contact: QdaS Email: EA&asstam askAeP
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.gopherstateonecall.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 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 approv pl
x- Tria.A pauff x &j1,0
Applicant's Printed Name Applic 's Signature
Page 1 of 2
1
"CITI'('OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
,o; 1IIPIfJ , I Ut'f 4 1 FI
PERMIT SUBTYPE:
, I!,
TYPE OF WORK:
INSPECTION .. .
; .•
i ' ;?'fq : rl?,
iit!?;k! ?(•I ? 1 i.?, ? .
I ;.I lt f
1 1 il- ' ! ? 1:1,
i f PJ?,!
? ttF MAkti'.: 5bt-1 I. UN I
?
:CORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
t i, 1.' ) V. n ??. t..
Permit No. Permit Holder Date Telephone M
ELECTRIC
74
PL.UMBI '
HVAC
2 a z
e ,
J757
InapecNon Date Insp. Cornments
FOOTINGS CPP'
tc.s?
FOUND $ !?-
FRAMING
ROOFING
PLOUMBING
PLBG
AIR TEST
f9
?
ROUGH
HEATING ?
GAS SVC
TEST
INSUL
L
GYP BOARD '
FIREPLACE
FIREPLACE
AIR TEST ?
FINAL PLBG
6-
/
FINAL HTG
OASAT
TEST
BLDG FINAL ??? "LAIW ? -k-4
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FiNAI
Address 680 CRIMSON LEAF TRAIL Zip 5512 3
Lot 4 Blk 2 Sub AUTUMN RIDGE 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: ?0 a7 9? Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage) ?
Permanent steps (main entry) 1,,?
Permanent driveway ?
Permanent gas
Sod/Seeded grass ?
TraiUcurb damage
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system ano me snut-uu UL wa«J auYri7 w
the outside lawn faucet before freeze potential exists.
Contact eagineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
------- ------- ----•?---
WIP" - -- - ? ' -
? ti.,.o- v -e a. ?t? _
Kevtificate ot cccoauc?
???- 44 cFag«n
mcputincuc s? enoiNg 3aOection
? This Ceriificale issued pursuant io the reqLirements of the Uniforrn Buitding Code certifying that at the time of issuance this structure was in compliance with the various •
ordinances of the City regulating building construction or use. For the following:
use Qusif,cat;on: SF DW swg. Rcmkii xu. 26138
0-v-cr ryx Rt/U 1 zowoE aL4fta Rl Tya conn. VN
owner a s?-w?? ??"E r?'?REATICNS A? 4160 I??N1FdiN I?, EAGAN
BwMing aaa? 680 iRDfM LEAG IR, I om ;q I/+. ffi, [!UMMd RJ= 4IH
o??.
au? o?
Pf)6T IN A CONSPICUOUS PLACE
PECTION REOUEST WILL NOT
:PTED BY THE STATE 80ARD
PAOPER INSPECTIQN FEE IS
RE?UEST FOR ELECTRICAL INSPECTION E8-00001-09
loo, See instruciions for comPle[ing this form on back of yellow coPY
?i "X" Belot-? vvvrk Covered by This Request
Compute Inspeciion Fee Below:
?Ffl
?Other Fee I+'Q v
I, the Electrical Inspector, hereby
certify that the above inspection has
been made.
OFFlCE USE ONLY
This request void 18 months irom
THIS INSTALLATION MA
COMpLETED WITHIN 18
7 qg l
ORDERED OISCONNECTED IF NOT
?
CITY OF EAGAN PERMIT COAq
?
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 026138
(612) 681-4675 Date Issued: 07/3y/g 5
SITE ADDRESS:
680 CRIMSON LEflF TR
IOTa 4 BLOCK: 2
RUTUMN RIDGE 4TH
P.I.N.: 10-12303-040-02
DESCRIPTION:
6yr'?1ding'?ermit Type SF DWG
?uiSdzng W{ir.ky Type NEW
08C occiapan?y?^-,, R-3 U-1
Constructio;n TP* VN
ZDn?.i[:tg R-1
Suil."ding 4e:n9th ? 58
Builzling Wldth 42
uar s?l")" tn 1,996
$W
,.
« ? a
?
mw
e? 1 ?I ?' '?#.? !'rv m # n'
?b' t
REMARKS:
S&W CONTRACTOR - MATTHEW DflNIELS PLBG.
FEE SUMMARY:
vaLuArzoN
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
$1,197.25
$419.04
$81.00
$850.00
100
$2,547.29
$162,0@0
MISC FEES
Tntel Fee
pRV
$1a892.50
$4,439.79
CONTRACTOR: - Applicant - sr. Lzc. OWNER:
WHITNEY HOME CREATIONS INC 14645332 00008344 WHITNEY HOME CREATIONS
4160 LANTERN LANE 4160 LAN7ERN LANE
EAGAN MN 55123 EHGAN MN 55123
(612) 454-5332 (612)454-5332
?
I he?rsby sc nowl,edge thaL _2
atibk po r r?ectand?tatut s '_a`f?Ea?ny
(
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' i
681 -4675
New Construction Reauiraments Remodel/Reoair Reauirements
? 3 registered si[e surveys ? 2 copies of plan
? 2 copiea ot plane (indude beam 8 window sizes; poured fid. deaign; etc.) ? 2 ake surveys (axterior addltions & dedcs)
? 1 energy plwWtions ? t energy caiculations for heated addiGons
? 3 copiea oi tree preservation pl n K lot platted after 7/1193
required: _ Yes Na ?
?
DATE: 7 02 S 9S f CONSII{2UdTIOM COST: e?? S 00 D `
DESCRIPTION OF WORK:
STfjEET ADDRESS:
LOT _L BLOCK
-2 SUBD.IP.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
?u % ,
N
?k L. A
IKAC FPBT
Street
Phone #: 4?W-5 `3 ,3 a
;is State: Zi p:
Sewer & water licensed plumber- ?? ?? e a.?u PenaHy applies when address change and lot
change are requested once permsued.
I hereby acknowiedge that i have read this application
applipble SNate of Minnesota Statutes and City of Eagan
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received V Yes y ou
Tree Preservation Plan Received Yes ZNo
to comply with all
J u L 2 5 1995
OFFICE USE ONLY
BUILDING PERMIT TYPE
? - ,
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
,?:pl 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
2oning
# of Stories
Length
Depth
APPROVALS
Planning
Permit Fee
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S!W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Treils Ded.
Other
Copies
Total:
°h SAC
SAC Units
Basement sq. ft. MC/WS System d?
A/ Main level sq. ft. City Water
sq. ft. if o?s Fire Sprinklered
?-/ sq. ft. PRV Yts
2?- as r sq. ft. Booster Pump
s"8 sq. ft. Census Code. /O/
yy Footprint sq. ft. 99G SAC Code
Census Bldg ?
c„?Snon ? Census Unit /
3,c7.33 = zz
_ Build ing Engineering Variance
Valuation: $
? Yv`F?N
?-
Ca,.r. ZF ? . /lc
yo
tzn a4° ' S7Z
?Zz8 us/?
N?
?- -
ayG? x v? ; 967
], J3 x iz ` Q'?
?-
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OSD
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s+
l 6?.z
l'?N? ° zSY F 2 6 =
4=
23x
,T3 K ?6
?ib>
,
_ 73?
7 =
&i ? ?z/
? LOT SURVEY CHECKLIST FOR RESIDENTIAL
? o BUILD IG PERM17 APPUCATION
W
m
a
J W
y
y
PROPERTYLEGAL: ?
W U
J W
?
DA E OF SURVEY: _ 7 I
4 a
? ? m
y -??--
LATEST REVISION:
DOCUMENTSTANDARDS
?o
8"??O 0
13 • Registered Land Surveyar signature and company
• Building PermR Applicant
2-" ?13 0 • Legal descriptlon
13 • Address
u 0 • North arrow and scale
13 • House type (rambler, walkout, split w/o, split entry
lookout
etc
)
C3 0 • ,
,
.
Directionai drainage arrows wifh slope/gradient %
? ? • Praposed/eristing sewer and water services & imert elevatlan
0 • . SVeet name
? ? • Driveway
ELEVATIONS
E 'wstlna
a • Sewer service
? 0 • Property comers
a • Top of curb at the driveway
o o • ElevaUons of any existing adjacent hames
P o ose
?
? • Gsrage floor
? 0 • Firstfloor
? • Lowest exposed elevation (walkouUwindow)
? • Property comers
a ? • Front and rear of home at the foundation
? W' ?
? [a-' ?
?
? @-'/ ?
O p? O
? ?
?
? ?
q' 10 ?
? m' D
.
.
.
.
.
PONDING AREA fif aoolicable)
Easement line
NWL
HwL
Pond # designatlon
Emergency Overflow Elevation
DIMENSIONS
Lot lines/Bearings 8 dimensions
Right-of-way and sVeet width (to back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent faodngs)
Show all easements af record and any City utilitles within those easomenfs
Setbacks of proposed structure and sideyard setback of adjacent existing structures
Retaining walt
Reviewed:
S-J
Juty 1995
1+gp
S 8 W -l?.?? 034
i C.S.-??946.5 SaW ?+4P'
INV - 938,3 C•S ' 945.1
? - -? INV - 936.2
? ?,•j
? w 10rz ; __.1 S 0+90
.
I•f l07,7? 'N •
:?
irG3.8'
?--
sra.
SB?W 1?11 I
C.S. -?as.o
INV- 93/.I
S a W 0+28
C.S. -945.1
IM/- 936.2
1p q. .. ?
IIYL?.I\.!Y"I' •,p,? liv-.n?., ....
S 1 °
F,u!1 , ? n .... ? ?._ . ."..'t.l. ' ". '
GU; :: ,::Y Ui'i!_I rY i_?;??F;i
l;N?.1/0;; ELE'J9^aT10j%jS-. THiO ;Divi?il i?%
PURPOSEG GLY
PERSO;JS U„IIVG IT SHOULla
fNFGREY,AT10N OfV THE SITE.
S & W 2+41
C.S. - 9442 S 8 W I+51
, INV - 935.2 C.S. - 943.5
_ INV - 934.5
4
5
?S! 6?D.I?.p CL 52
HYDf7,qNT
GNp. Ei Ey 943. 90
. i i 1?NH. EL. ? 945.90
1 2' 3G.c , ??- -
?-CG2.0• i 778.¢.
f-? \
MN ? S.T.A. 2i+99
I
2 s w?+3?2-- 5
C.S.-g4q,2 S aW 1+48
INV-9352 C.S.-9435
INV- 934.5
f
S8W 0}52 I
C.S.- g? 942.7 I
INV-933.7 7.5
' ?
'
15
s
EXIST. 6"x6"TEE f(D I ?
EX)ST.6-'PLUG?? I
_ -`??.111 I L-
.?
S a W 6"@+5? I
C'S. -'9q?- 942.6
INV - 933_7
EXI jL M
-6"1G.V, i
i
r-
L
? L
944.24
RE sJ4439
B?D ?6J?
10.87'
,.......
TKE 0!1 ,f C.'
fH-Ic-7 ACC!)6=sACY GF
f;KDlOr, uLEVtaTIONS: THIS 'GAifk CN
PURPOSES O??i'! AtiU
PERSONIS l1.°IfVG IT SHOULD T!-IE
Ih!FORMATIOiU ON THE SITE.
1- PROPOSED GRADE
94237
EX RE 942.28-
MH BLQ i0te' 10.22' :
\ 7.5' MIN.
COVER \ _-REMOVE PLUG a EX. 12 R.C. P.
?l OQNNECT TO Dc ,
E? QIP. ---\ v I I
s" n i a
- 8" PVC SDR 35 Q 64e 9tr
0.41%
- I ?
?l-lgj'p.lP_-
?
-t fi-? ?
EX. 8" PVC !
CORE DRILL EX MH. --? :
INSTALL WATER TIGHT
SEAL. BREAK WT BENCH
AND REFORM FOR NEW •
1NVERT.
:.. .. .............. .....
?
.... M .
........ .. ... q? Q1 .
._?........- ?
.. .. . > .
.
.? ...... ... .... . Z ? ..
. . ... ...
.....................' ...... ?
ONE AND TWO FAMILY
ENERGY CALCULATIONS - AVERAGE "U" COMPUTATTON
OWNER: 1-4}l7+;4EY SITE ADDRE55:,F-?C{'ar14 pATE:'7IJ5!9S-
CONTRACT022: CALCULATIONS BY:Mf'f-Z, PHONEt 451-1019
Determine workinq square footage of each that applies.
1. Total exposed wall area .............2052.2 sq. ft. x 0,110 -225.75
2. Total roof/ceiling area ............. 1156 sq. ft. x 0.026 - 30.06
3. Floors over unheated space.......... 52 sq. ft, x 0.050 - 2.60
4. aoof/ceiling area (no attic space).. 0 sq. ft. x 0.026 - 0.00
5. Unheated slab on gzade .............. 0 sq. ft, x 0.160 - 0.00
6_ Heated e].ab on grade,,,,,,,,,,,,,,,, 0 sq. ft, x 0.120 - 0.00
TOTAI,i400D WALL AREA 1958.00
a,
b, 'rotal
Total wall window axea...........
door ar 167.66
c.
Total ea .................
glass door a 50.50
d.
Total rea.... ........
fireplace wall area 66.66
......,. 0.00
e. 'rotal rim joist area ............. 123.00
E. Total wall Eraming area......... . 155.02
g. Tatal net wall area above
floor.. 1395.16
,
TOTAL EXP03ED FOUNDATIflN AREA 94
26
wr h. Total foundation window area........... .
0
00
i. Total net toundation area above grade., .
94.26
J. Tqtal unheated slab on grade area...... 0
00
k. Tota1 heated slab on grade area,,,,,,., .
0.00
Determine "U" value of each wall segment
a. 167.66 x "V" 0.360 - 60.36
b• 50.50 x "V" 0.070 - 3.54
C. 66.66 x "U" 0,360 - 24.00
a• 0.00 x "U° ? 6,00
e• 123.00 x "U"' 0_043 - 5.34
f• 155.02 x "U" 0.106 - 16.44
9. 1395.16 x "U"' 0.046 - 64.62
h• 0.00 x "U" - 0.00
i• 94.26 x ,
"U" 0.062 - 5.83
j• 0.00 x "U" . 0.00
k. 0.00 x otill W 0.00
7 .......................................TOTAL = 180.12
If item #7 is the same as, or lesa than item #l, you have meet the
intent of SBC 6006(c)2.
NOTE; FOUNPATION WALLS I
e'ull basement (Rambler) entire exterior wall must be not less than
R-5.
Hal£ basement (Split Foyer) entire exterior wall must be not less
than R-10.
FOVNDATION AREA ABpV6 GRADE ''
1. Interior air film
2. F/G Insul,
3. 10" Conc. Blk.
4.
5.
6. Exterior air film
xotal
"U" Value
Ij
AOOF/CEILING FFtAMING AREA
0,68
13.00
2.33
S
0.17
16.18
0.062
1. Interior aiC film 0.61
2. 5/8" GYP• Bd. 0.56
3. Cord depth 3-1y2" 4.38
4. Insulation 29.00
5. Exterior air film 0.61
'Sotal
"U" Value
IN$ULATED RpOF/CEILING AREA
1. Interi0r air film 0.61
2. 5/8" Gyp. ed, 0.56
3. Insulation 38.00
4. Exterior air film 0.61
TOtal
"U" Value
? .I
i
35.16
0.028
39.78
0.025
L? gL oc? CrrY USE ONLY RECEIPT #: ?S/
SUBD. ? DATE: 8/j/ 9, j 7
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-1675
Please complete for: ? single family dwellings
- ? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
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 (mini um of 1 required @$3.00 a,c?h) o
? State Surcharge h
? ° l d ` GI?, _-? .50
TOTAL ?
OWNER NAME?
INSTALLER NAN
STREET ADDRE
CITY: ?
PHONE #:
PHONE
CITY USE ONLY
L? BL oG RECEIPT #: 5 a?
SUBD. DATE: el/ S
1995 PLUMBING 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
ELv,TUodES €AC'ri Nt'i. TOTdL
Shower 3.00 x l = 3• 00
Water Closet 3.00 x 3 = Q.OD
Bath Tub 3.00 x 1 = 3- 00
Lavatory 3.00 x 3 = Q. DO
Kitchen Sink 3.00 x
Laundry Tray 3.00 x 0
Hot Tub/Spa 3.00 x 3. o0
Water Heater 3.00 x 3Ol)
Floor Drain 3.00 x I =?p
Gas Piping Outlet ' minimum -1 3.00 x f = 3 ? v
Rough Openings 1.50 x
Water Softener 5.00 x =
Prlvate Disposal * Dakota Cty. license 20.00 =
U.G. $prinkler ` home under const. 3.00 =
ARerations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
i'Ci i Ai.
SITEADDRESS: 0 ?) L CN1?(?S?CI ?Y -
OWNER
INSTALLER NAME:
STREET
CITY: PjA,=km- STATE:ZIP: S?L(09)
PHONE #: ( ?`2 L?j ag
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single farnily dwellings & townhomes/condos when permits are required for each unit
Date CJ-S
Site Address Lp U(o f• ?G-Unit #
Property Owner `Z?. ?vw--? '( Telephone # ( 651) -qSZ..' 61D,C7
Contracror
Street Address 2-(e(4PS )L{S'?"? S? ? City
State Vv^, JJ zip rj50? Telephone #(/v ?j l).3Z 2- E?° 9ZA
Bond #: Expires:
The Applicant is _ Owner YContractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Repiacement
' air exchanger
? airconditioner _New ?Replacement
` other
State Surcharge $ 50
Total $ ? •S
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
P?- ? , c-e- nl\ - Ot-e f,\n. .
Applicant's Printed Name -?- Applicant s Signature
CR!NSON 4,,.941TRALL_
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REVIE?ED
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L 0 T 4, 8 iG a C k2:, 'PAcAN EriGINEEPd'N? D*.
AUTUMAI RlU6E"
NOR,r„H
Y 7H A00/T•Ipnl, SCALS /!ts3o'
DRKOrA cOVwTV, qLI, 89ARtKGi AsSuMiv
MINNF s oTA o pMNa15S /RaN MoNyM5Nr
"r'op B?,cke.w M1. , 941. 0
AdDR?S?a. k?A3?MEh1T ?4.? 93$.°?
?c80 CRSMS4+.? t.EAF i'RA?1..,
Y hereby certify that this survey was pTepared by me or
direct supez'vision and tha't I am a.duly Registered
under my
.
Land Surveyor under tha laws of the State of Minnesota.
Date: i/9?' r A7??.F? L?.?/??L._..
Lei?'oy H ?ohlen
. Registered T,and Surveyor Na. 10795
4?54 - 15332
293 PO1 SUL 24 '95 22:34
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145321
Date Issued:09/05/2017
Permit Category:ePermit
Site Address: 680 Crimson Leaf Tr
Lot:4 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 -
Michael Campbell
680 Crimson Leaf Tr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149465
Date Issued:05/23/2018
Permit Category:ePermit
Site Address: 680 Crimson Leaf Tr
Lot:4 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-040
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Michael Campbell
680 Crimson Leaf Tr
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153224
Date Issued:12/03/2018
Permit Category:ePermit
Site Address: 680 Crimson Leaf Tr
Lot:4 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
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 -
Michael Campbell
680 Crimson Leaf Tr
Eagan MN 55123
(701) 541-0613
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature