683 Crimson Leaf TrCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 683 Crimson Leaf Tr
Lot: 3 Block: 1 Addition: Autumn Ridge 4th
PID:10- 12303 - 030 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Seta Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Bermitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Thomas M Hetznecker
683 Crimson Leaf Tr
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA080806
10/31/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
INSPECTION RECORD
I C1TY OF EAGAN PERMIT TYPE:
' 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
! k 1 p{',tI /i f f i1i I t;
I r1l1 1 IiPIN if t iol,r n s tii
fYPE ?: .?..-•..,., , t.
.?? ? .
_.>..re ... ,
II 1iiI) 1 1 Nli
I I r [NnI
APPLICANT:
Ftll1! ItIM(i?
N171 1f3
A4/t1/v6
TYPE OF WORK:
N i? tJ
('3 •SEA%4N)
1 VA F1 1 Mh
J:1 Mr1f•'fi , (ti 7?`Ji?? n I' I I I P?; s ? (.; ? iii11 I I?? i??? r?hl r !? 1 ? i s ?! i?l Ik?ii? t
? ?
..
Permit No. Permk Holder Dats Telephone iF
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND C
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING '
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PIBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
4r
g
A43
BSMT R.I. -
?
BSMT FINAL
DECK FTG
. , INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knqb Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: , „ l
• : . ? ? c vi , i, rl 1 t A I
IIMN CI1,1, q I li
PERMIT SUBTYPE:
TYPE OF WORK:
f+I i i t t, t No
024 9tiy
Hti f t rt iv4
INSPECTION .. . „
? I i'in I ! f r ?? t I idi?!
'. t-! F't fll? (-'1 YMitll I 11 1I1 tft
APPLICANT:
'10 1 'l
?I
?
_.r
Permit No. Rermit Holder Dete Telephone #
SNV
PIUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection date Insp. Comments
Footings I I/Q
tl ?
Foundation
Framing
Roofing
Rough Pibg. 9,Xi5;'
Rough Htg.
Isul.
Fireplace
?
Final Htg.
Orsat Test
Finaf Pibg.
9
Ib r
g. Inspector-
Notify Plumber
Const. Meter
Engr./Plan
Bldg. Finai
Deck Ftg.
Deck Final
Weli
Pr. Disp.
INS:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
? (612) 681-4675
? SITE ADDRESS:
CIIMAt RTf11iF' 4 ftt
PERMIT SUBTYPE:
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
. ?, , .
( h 12 i ?29-b ii
TYPE OF WORK:
c4?1 r i u ? HC
B:iOn:1 'i
0BIiAl97
INSPECTION .. . ..
? ?,;?•r • ;FP At1 Alf VttEM H1NC PEKNi r I+Fi1tIiNF17
? c"tlN-1ACf ',7A'ttF 80AkU lot F'!V[ Eftit'ifi
F
Ito r: <!G1', NE(fAkD tPt(i Fl.IF CTkii'A L PlRMt!
Permlt No. Permit Holder Date TelepAone N
ELECTRIC
PLUMBING
HVAC
inapection Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PIUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL ?
DECK FTG
DECK FINAL
? ? TT INSPECTION RECURD
,:0tt 0cN(I
CITY QF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 t 4^
SITE ADDRESS: I I Af rh
PERMIT SUBTYPE:
? APPLICANT:
, ..Iirwr,
.., , _ 4;<) .470
TYPE OF WORK:
„N `. ;
A1 (1'IeA!)'ON
?
INSPECTION D. • D•
I . rtARltis `,;Ef Al+AYE 1"Ef{e911'; Itl tMtkFli Fol. AHY t I f'C:"INIr'pt (t{? RI tIMNiN+J I.IORK
? ,.
II :
Permit No. Permlt Holder Date Telephone M
ELECTRIC
PLUMBING ? 7 7 'aly:NU5
HVAC
Inspactlon Dats Insp. Comments
FOOTINGS
FOUND
FRAMING /
ROOFING
ROUGH
PLUM8ING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
iNSUL
GYP BOARD
FIAEPLACE
FIREPLACE
AIR TEST
FINALPLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSM7 R.I.
BSMT FINAL 7 2,34-
DECK FTG
DEGK FINAL
Address 683 CxRqScxv LEAF TRAiL Zip 5512 3
L,at • 3 Blk 1 Sub ?W RIDGE 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) VII"
Permanent steps (garage)
Permanent steps (main entry) V-/
Permanent driveway ?
Permanent gas
Sod/Seeded grass
TraiUcurb damage ?
Porch
Basement finish ? A,1l y `
Deck
Please verify with the builder the removal of roof test pps from the plumbing system and the shut-off of water supply to
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 - Contractor Copy
O.d R ?
we1.`tijtCQtC 0f CCCIipQ1tC?
witv of wagan `,
mcmrrtacnt of 13xOWg 3aboecriox . ? ?.
\
This Certificare issued pursuant to the riequirements of the Uniform Buitding Code '
certifying that at the time of isstuince this stnucture was in compliance with the various
ordinances of the City regulatireg building consrncction or use. For the,following: I•
ux caassdicatm: D SF DWG aiag. remH No. 243Q4
O--p-y Type R3/ri) Zoaiag District KI Type Conu. VN
Owaer of 8uilding ROMR MfS OD Aduress 1801 = MY 6, r W WIG=
o..:u:..- Aa? 603 LLV.['W lii]C ILAL.l+ I-l:rv L3s B If t'WilM ILLiJl7[+ 41i1
?
I
?
POST
?- ?i°°?
?WM
0
? :F
O
?_S
Requesl Date
2 F' e No. Rough-In Inspect R ired
(YOU st call ins ector when ready)
Yes ? No Inspectan Other Then ough-In
U Read Now Wilt Notity Inspector
Date Read
I?Jicensed contractor ?owner hereby request inspection of above electrical work at:
Job Address (SIreeL Box or Route No.) ? ? city 1
9 AyJ 0? 1V
Sectlon No. Township Name or No. Range No. County
Occupant(PRINT) Phone No.
i
Power Suppl'er
' Addre s
?5'?.O
? ?Zd = S?
i
R
Ko .
.
6
Electncal ontrac[or (Gompany Name) Contrattors License No
' S'?J ?,T?L D
Mailing Address (Contractor or Owner Making Ins`allation)
L ? ? St 4L-V GI? 9c
Authonzed Siqnature IContractouOwner Making Installabon) Phone Number
rtl-. ?f? - ? ? ? / v 4
MINNE5OTA STATE BOARD OF ELECTRICITY
Griggs-Mldwey Bldg. • Room 5128
1821 University Avs., St. Paul, MN 55104
Phone (612) 642-0800
?O??nO;EOUEST FOR ELECTRICAL INSPECTION
?i, See instructions tor compieting this form on back ot yeuow copy"X" B&?ow Work Covered by This Request
Compufe Inspection Fee 8elow:
I, the Elec?rical Inspector, hereby
certify that the above inspection has
been made.
OFFICE USE ONLY
Th1s request void 18 maMhs from
THIS INSPECTION REOUEST WILL NOT
BE ACCEPTED BY THE STATE HOARD
UNLESS PROPER INSP£CTION FEE IS
ENCLOSEO.
?m64??s ' ?
spectors use O??v Ly ?
THIS INSTALLATION MAY BE ORDEREO DI'
COMPLETED WITHIN 78 MO
lough-in ? ?
!
inal
v
IF NOT
3;
ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: BuTLoING
Permit Number: 030518
Date Issued: ? ?/ 2 5/ 9 7
SITE ADDRESS:
P.S.N.: 10-12303-030-01
DESCRIPTION:
n
Offl iet [ a't ??
?g? ci' ff.Ya ?? ? s
z?e 2 z !5 '
??
REMAM:RArE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBTNG WORK
00
r'J0
50
:r
,:z,a?, . ?.ir i..i . . ...., ?::....
....c..tO f?.;Fi.'.i^?ii?i.ij'.•' I C.? ,.,l.l„C)i.l
i...'r
. ..... ...... .. ..I. I......i `
21.55
70 0009911 'WETZTtECKER TOM
683 CRIMSON LEAF TR
I EAGAN MN
(612)686-9877
, r_, .,: ? .... .. , ?.. , _,•_. ,.....,..
683 CRIMSON I.E.AF TR
LOT: 3 BLOCK: 1
AUTUMN RIDGE 4TH
FTNISH 3J4 BATN
Permit Type BASEMENT FINISH
Work Type ALTERATION
494 AL7. RE5IDENTIFlL
? y ISSUED BY. NA7URE
- ?
/-
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
l ciTr oF enGAN
3830 PILOT KNOB RD - 55722
-4675
New Construction Reouiremenfa 681 gemodeVReoair ReauiremeMs
? 3 registered site surveys ? 2 capies M plan -
? 2 capies of plans (indude beam 8 window saes; poured fid. design; etc.) ? 2 slte surveys (exterior atlARions & dedcs)
? 7 energy calculaGons ? 1 ene
rgy celculetions for heateA addkions
? S copies ottree preservatian plan N lot platted after 7/1/93
reQuired: _Yes No '
DATE: 7? 2?i - 9 7 CONSTRUCTION COST:.?
DESCRIPTION OF WORK: Fi n, .S h a -t---
--?r-? 17 cr / h L. o w-42. v, L. ?e v-e L
STREET ADDRESS: _ 6 g 3- C rj m s 0,07 ff L-Q o? Tr e C0 4 a.? !'
Y7 r? •
OL T ?-3 BLOCK ? SUBDJP.I.D.
PrtoPFR'rv Name: Tz A"?? 7'z h-e c k-e r Phone #: 6S6- 9 87 7
OWNER
Street Address:6 9 3 C r,.? s o h L Q o? T r
City: State: n'] .a Zip: S S 12 3
CoNTRaCTOR Company: QJL `,•i nsr4 N47'? j n? Co.rs7'Phone#: 2 80- 6 N> D
Street Address: 3$ 0-/p257 E License #: 9 D ! /
Ciry: S.6', State: Zip: S S o 7z
ARCHITECT/ Company: /A Phone #:
ENGINEER
Name: Registration #:
Street Address:
City:
State:
Zip:
Sewer & water licer•aed plumber (new construcKion onty): . Penalty applies when address change
and lot change are, equested once permit is issued.
I hereby acknowledge that I have read this appliption 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 Appiicant: a?x -4?2
OFFICE USE ONLY gP,5CEIVED
Certiflcates of Survey Received _ Yes _ No JU0 4 ?997
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY:-_----
?f'Y OF EAGAN
830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
e?ossa??
BUSLDING
027238
84/11/9b
SITE ADDRESS:
P.I.N.: 10-12303-030-91
683 CRIMSON LEAF TR
LOT: 3 BIOCKr 1
AUTUMN RIDGE 4TH
DESCRIPTION:
(3-SEASON)
ermit Type
W,k Type
. g
SP PORCN
NEW
434 ALT. RESIDENTIAL
"e.? ?i ieis a ?rv4 sj4 ?c?s?s °ua rz ??a
-.' [,? ?M4 vdi ?f mc
REMARKS:
A SEPARATE PERMIT IS REQUII2ED FOR ANY ELECTRTCAL WORK
FEE SUMMARY:
VALUATIQN
Base Fee
Surcharge
Total Fee
$124.75
$3.50
$128.25
$7,eee
CONTRACTOR: - Applicant - sr. LIC.OWNER:
PATIO ENCLOSURES INC 15251494 0001676 HETZNECKER TOM
5120 CEpAR 4AKE Rq 689 CRIMSON LEAF TR
S7 LOUIS PARK MN 65416 EAGAN MN 56123
(612) 525-1494 (612)686-9877
T h,er6bY aCkt7ow,ledc,?8 Yia
inf.ormatit?n'`is cQ'rr!ec? ?ansi; ?ga?
? _5tatut'e5 '?n'd ,'GiC?:`af ?agaii "tYrtl
APPLICANT/PERMjYE SIGNATUPE ISSUED BVISIGNATURE1
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RE
681-4675
? 3 registered aite aurveys
? 2 coPies of Pians (indude beam & window aaes: poured fnd. design: etc.)
? 1 energy wlwtaNons
? 3 wpies M tree preservation plan if lot piatted aftar 717/93
required: _ Yes _ No
March 28, 1996
3 ill,?z
RemodeURenalr Reauirements
? 2 copies of plan
? 2 site surveys (exterior additions & dedib):,:-,
? t energy calculetions for heated additions
.
$10,890.00
_4
DATE: CONSTRUCTION COST•
DESCRIPTION OF WORK:
BUILDING THREE SEASON PORCH TO THE EXISTING STRUCTURE
STREET ADDRESS: 683 Crimson Leaf irail
LOT a? BLOCK _I SUBD./P.I.D. #: &I
PROPERTY Name: Tom & Karen Hetznecker phOne #: (612)686-9877
OWNER ?* FI^•T
Street Address- same As Above
Cjty; Eagan State: M n Zjp; 55123
CONTRACTOR COmPanY: PATIO ENCLOSURES INC PhOn2 #: (612)631-1100
Street Address: 2123 o1a xwy s License #: 0001676
Cfty: New Brighton State: Mn Zip: 55112
ARCHITECTI COmpany: SEE ATTACEiED DRAFIINGS phone #:
ENGINEER
Name: Registration #•
Street Address-
City:
Sewer 8 water licensed plumber.
change are requested once permit is issued.
State: Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is coRect and agree to comply with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
PERMIT
ot Knob R
Pil oad
F0aaoan, OF EAGAN
Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: auzLoxNG
Permit Number: 030623
Date Issued: 0 6/ 14 / 9 7
I SITE ADDRESS:
683 CRIMSON LEAF TR
LOT: 3 BLOCK: 1
AUTUPIN RIDGE 4TM
P.I.N.: 10-12303-030-01
DESCRIPTION:
a?
? o"E
rmit Type BASEMENT FINISH
? Type AL7ERATION
434 ALT. RESIDENTIAL
yy? ?
n ? n`h ?'"°?c.? :{.?"' _ 'svi`? ?.
RS
a ?s
T,?w5s'= ? ' ' ?- ??
REMARKS:
RFPARATF PI_UMR7NG PERMIT REOUIREp
ICI7Y AT 498-9615 REGARDING ELEC7RICAL PERMIT
? •7•••! I 1 (.°::1,,1
f h.` t?..? J.. i..?? ?? .,_ .....:.
_ . ....? . .. ?4?, 1 . ? ".! .. .. I ...
i. A i'iI'., ? ? ._.. ;.lj r ..'?t? .: r:.}..;
......:°:_I- ...'`..;?..
. _ .:_..? { ..-..? . ..,..??r ,i .
Icii'q 'I?r'
00
50
50
ST. LIC OWNER:
65 2005A32 HETZNECKER 7tlM
683 CRSMSQN LEAF TR
EAGAN MN
(612)686-9877
F Y b;
(
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
6814675
New Construdion Reavirements
RamodeVReoair Reauirements
Phane #:
? 3 registered site surveys ? 2 copies M plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 sde surveys (exterior aCddions 8 dedcs)
? 7 energy piculations ? 1 energy calculations for heated addkions
? 3 capies of tree preservation plan if lot platted after 711l93
required: _ Yes _ No "
DATE: S; ^1 3'- 9CONSTRUCTION COST: S??-S• ??
DESCRIPTION OF WORK:
STREET ADDRESS:
?
LOT 3 BLOCK
PROPERTY
OWNER
CONTRACTOR
Street Address: I+i w?; ?,•4?. ?.?. R'e'?..•,R.J,. License #: ?J001'`f ZM
City: M f?l S State: 0j!M0U0 Zip: EE?j f ?
ARCHITECT!
ENGINEER
Name: T.4-. Phone#: 6$b 1822
IA4! RflBi
Street Address: U 3
City: c- C?.!s C^ State: MN" Zip: S51 2. 3
Company: C_ s'h?.... Phone #: 3?.-`T -5_865'
Company:
Name:
Street Adc
City: _
State:
Sewer & water licer.?ed plumber (new construction only):
and lot change are,equested once permit is issued.
Registration #:
Os-t YSo
n..
/z.
Zip:
Penalty applies when address change
I hereby acknowiedge that I have read this application and sfate that the information is corcect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
elae5z
Signature of Applicant:
?
? r= mok r= nnn2F1.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
- Not Required
??210
V,, O? EAGAN
ot Knob Road
g, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Numbec
Date Issued:
?3
6UILDING
024394
08(1S/94
SITE ADDRESS:
P.I.N.: 10-12303-030-01
683 CRIMSON LEAF TR
LOT: 3 BLdCK: 1
AUTUMtd RTDGE 4TH
DESCRIPTION:
&•(iildi.n.g',Permit Type SF pWG
6ui.iding Wo:rk Type NEW
?U.BG QecupaYtcy',I R-3 M-1
CoristrwetiQn 7jZ4.e V-N
Zonxng R-1
Building i.ength z 46
8ui1d'ing Wi:tlth 46
Buflding stiories 2
cd
1 ? r'?.? i, } .-?k---ft I {`? ` u °,?t
??? ? ??? Li
REMARKS:
PRV 5& W PLBR - pLYMOUTH PLBG
FEE SUMMARY:
VALUATSON
Base Fee
Plan Review
Suroharge
SAC
SAC $
SAC Units
Subtotal
$709.50
$461.18
$60.00
$800.00
100
1
$2,030.68
$120,000
MISCELLANEOUS $1.828.50
7otal f'se $3,859.18
CONTRACTOR: - Applicant - ST. LIC. OWNER:
ROMAR HOMES GO 14844044 0001281 ROMAR HOMES CO
1801 OLD NWY 8 116 1801 OLD HWY 8
NEW BRIGHTON MN 55112 NEW BRIGHTON MN 55112
(612) 484-4044 (612)484-4044
I hereby acknowlsdge that x have read this apqlieatian and state that th€'
information is corr'ect and' agree xo cornpl,y with all applicahle State of Mn.
Statutes artd Gity an Ordinances.
2?
; -
APPLIC I /PERMITEE SIGNATURE ISSUED B : SI ATURE?
-1
FT4,3q4 1994
CITY OF EAGAN
BUILDING PERMIT APPLlCATION
681-4675
SINGLE & MULTI-fAMILY 12 sets of plans, 3 registered
f energy
a
calcs.
F???
t
5
COMMERCIAL 2 sets of architectural & strus,
ral
p
seo
specifications, 1 copy of ener
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 Valuation of work y7?
Site Address:(ya? 'T1rw ?
STREET SUITE #
Tenant Name: (commercial only) '-
LOT 3 BLOCK -?-- SUBD. r[v?Yl'AYl 'e-?
! P.I.D. #
Descri tion of work: 'Sf.na te earni I
The applicant is: wner Contractor ? Other (Describe)
Name O Phone tul2
Property LAST FIRST
Owner qddress ?9 C'? OICI RwU R Illo
5TREET STE tl
City Nf,W CY1.lQVrbn State Zip 5'rJ ?t?--
Company 121p UVIA LL,S C3?.lTl'1-p./1 Phone
Co ntractor Address License q Exp.
City State _ Zip
Company ? 1L ? e S iGj1S Phone ?f Zs" ?f3o Z-
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber alvrvzoc?-fk P(tirA bi"nd Pracessing time for
sewer & water permits is two days o ce area has been approv d.
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.
?
Si
f A
t
li
t
gna
pp
ure o
can
: . Gi/
OFFICE USE ONLY
BUILDING PERMIT TYP
E ?.
?.. . . .» --??.
? 01 Faundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0•02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Additian ? 08 S-Plex ? 13 Garage/Accessory 0 18 Comm./Ind,
? 04 SF Porch ? 09 12-Plex O 14 fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
E7 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) Basement sq. ft. MWCC System -?
(Allowable) Vr? lst F1. sq. ft. / City Water ?--
UBC Occupancy 2nd Fl. sq. ft. PRV Required ?
Zoning R-/ Sq. Ft. total Booster Pump
# of Stories ? Footprint Sq. ft. Fire Sprinkler
Length 4 On-site well Census Code i? -
Depth /,3 On-site sewage SAC Code
Census Bldg ;
APPROVALS Census Unit T
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
13 Site P'Footing ,13"Framing ?'7'Insulation
0 Wallboard R Final ? Draintile O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Oed.
Trails Ded.
Copies
Other
Total:
sac %
5AC Units
veimc;a,: $ ZO c?0
13a- i = S2
/''
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I+OT BIIRVEY CHECRLIST FOR RESIDENTIAL
BIIILDIN(3
YROPERTY LEGAL•
DOCIIMENT BTANDARDB
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and-bar ecale
House type (rambler, walkout, split w/o, split
lookout, etc.)
Directional drainage arrows with slope/gradient 8.
Propesed/existing sewer and water services
Street name
Driveway
Existina
0 0 • Sewez service
13 • Lot corners
? 0 • Top of curb at the driveway
? 0 • Elevations of any existing adjacent homes
Froflosed
H?0 0 • Garage floor
??
ir ? • First floor
D
? 0 • Lowest exposed elevation (walkout/window)
? ? • Property corners
H' D D • Front and rear of home at the foundation
PONDINCi AREAS (if aflnlicable)
? Er 0 • Easement line
0 [i' ? • NwL
0 fl' ? • IiWL
o d o • pona # aesiqnation
0 d 0 • Emergency Overflow Elevation
entry,
DIMEN8ION8
Pf" 0 0 • Lot liaes
D-/'0 0 • Riqht-of-vay and street width (to back of curb)
II 0 0 • Proposed home dimensions includinq any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
8?0 0 - Show all easements of reoord and any City utilities within
those easements
0? 0 0 • Setbacks of proposed structure and setback of adjacent
existi»g hom
D 0/6 • Retai in re rements, if any
Reviewed: ? 444
N me / ate
October 1992
%/6
. . . .
; . . . .
: :
: MH RE E44.35
MH RE 945.46 . : . . ? . . . BLD: 10.90
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1 il.= Ci I YOi CAl2AN DQEcJ NQT l7UARP1NTLE
T,-,E f-;CCURACY OF UTILITY LOCATIOPlS
f"I;;; CLEVATIONS. THIS DP,TA IS FOR
?????;?''rAi fORI PURPOSES ONLY AND
P;-F,^uNS USING 17 SHOULD VERIFY THE
?r,??r,;: ;;TI ?i J ON THE SITE.
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1 INV - 9352
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INV - 93r--
EXTERIOR EYVELOPE AVERAGE "U" COMPUTATION
OwNER KOi`Y1A r A-}q MPS LD? ?!?.•- «'t?-:'vAe.tae;?
SITE ADDRE55 3
o/?
/
Lt°Q!F w
-T1' q t ?
Uetermine working square Eootage of each.
1. To[al exposed wall area .... ^Up!?- sq. ft. x.l/?
2. Total rooffceiling area .... 1=?sq. ft. x
Total exposed wall area above floor = ?I:f% -?
a. Tota1 wall window area ..............................
b. Total door area ............................... ... ?- S
c. Total sliding glass door area ....................... S?U
d. Total fireplace wall area ........................... v
e. Total wall framing area (average 10%) ................ I-7?
f. Total net wall area above floor ..................... ICm'I
g. Total rim joist area ................................ 1> Z
Total exposed foundation area = SiC.,
h. Total foundation window area ........................ v
i. Total ne[ foundation area above grade ............... S; C-
Determine "U" value of each wall segment.
a. 1 ? '2- X "U" o Z/s /UyyD
b. 4+ S X "U" , 0 7 = 3. ,/ 5-
c. <'6 U x "u" . 5?S = 3G.O
d. O g ?lUll p - p
e. / 7 i '' x "ol- ?G`67 = /b:S7
f. l6!1 X l'U„ ?ou2 = G7,C.-?
8• f ?_ X ?.U,, v Uu0 -? .?S
h. c X "U" O = o
x „U„ ,671
3 ................. ............ ..... .... Tota1
If item # 3 is the same as, or less [han item 11, you have set the incent
oE 56C 6006(c)2.
Total exposed zoof/ceiling area
Tota1 gross roof/ceiling area
` Total skylight area ........................ -
, . 'inrai ci„^ ... _ f?.,..... ..... .... .. .... -'.(
Determine "U" value For each roof/ceiling segment.
j p X 'lU„ O = O
k. X 'iuli
X 'lU.l
4 ....................... ...... .... .... Total = 3 y, 7 i
If total of 04 is the same as, or less than U2, you have met the intent of
SBC 6006(c)1.
To utilize the toCal envelope system method, the values established by the
sum of items U3 and U4 shall not be greater than the sum of items #1 and U2.
1. 266.56- + 2. 35,5,s? m 30,? "N
3. X (/O. 20 + 4. ? u,7 G = 27u •99
V L ? gL ?
?
SUBD.
CITY USE ONLY r/G'/
RECEIPT#: / /7"?
RECEIPT DATE: //'-.?0/9 7
1997 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
. backflow preventerfor underground sprinklersystem
FIXTURES EACH t?0.
Shower 3.00 x ?
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x ?
Kitchen Sink 3.00 x
Laundry Tray
3.00
x ?
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet ' mieimum - i 3.00 x
Rough Openings 1.50 x
Water Softener " fnr dwellings under construction 5.00 X
Water Softener ' for existing dwelling 20.00 x
U.G. SpflnklBf ' Tor dwalling under conat. 3.00
U.G. Spflnkl@f ' for existing dwelling 20.00
Alterations ' to OvI«'ag •esidence 20.00
Water Turn Around 20.00
Private Disposal System " Dak Cty lic. 75.00
(new and retur6ished systems)
Private Disposal Systems'anandonment 20.00
STATESURCHARGE
TOTAL
TOTAL
= 3 °O
.50
S°
ao ?
I hereby adcnowladge that I have read this applicatian, state Mat ihe informetion is cortect, and agree to eomply with all epplicable Cily
of Eagan ordinances. It is Me appllcenYs responsibility to notity the property owner thet the City of Eagan assumes no lia6ility for any
damages caused by the City during its nortnal operational and mairrtenance activities to the fadliUes construded under this pertnk wkhin
City propertyingM-af-way/easement.
SITE ADDRESS: ?6V
OWNER NAME: --tz?rv\ I+ZfZ AIPC?<PI?
INSTALLER NAME: l)A,I??G?^ l? ??ub? qlr4 TELEPHONE #: D5"
STREETADDRESS: SCu CJaKtw?
CIIY: ?v-rh5?'rI (2
STATE: IMV, ' ZIP: ?3,:?7
?ll?1C/ 6?
SIGNATURE OF PERMITTEE
P.01
2422 Entetptl98 Orivo
?* Mendoko Mtolghls, MN 55120
* PIONCCR kuio suevevaRs • aui ENwrcQ: (612) 681-1914 FAx: 881-9488
? enjaneer njg u - MO PIL"ItItg. UNDSCN.E ,RdeRc,a
625 Iilghway 10 N.E.
* * * 8lolno. MN 55434
?` (612) 783-1880 FAX:783-1883
Certific(ite of Survey for: ROMAR HOMES .?
6133 CRIMSON LEAF TRAIC
(ak4l 1) ? 9TLZ'ASEMENT 01 N88°4?'OB"E
5
AGE EY UT'ILItt ''
PER PLATV ?
? 3 (
946.7 W I a`-EXIS7ING WEL4 I
k1.2- tN (
941.9 k 941.5
x 943.2 co I i
\W
? ? 150 942.7 (?j4/?,L 9a2.4. 21.50 ,
x 9a3.23 _ ?
? 420 0
? I I ?o, PpOFUSEO 4.0 (
HOUSE a
?_ M I
Q --? ?-
W 9447x
ma
?? AR. o 9.33q1 0 ?
? 9 46.0
950.3 395 Z1,5? N 2267?? ?94'1?I _ 2L50 r-z
9E1VGH MARK
TOP OF HUB /
ELEV.2 447.35 ?
(94G,o
TELE.PE0.
CoNC. SiOEWaIK, '
N
1n
945.7" 194j,L1Il '945.9
I
1 ? PROPOSLD I
gl^ DRYVEWA't ^^ J 5
\ ? s SffRVICE ?
? .,od2[1 1 A INVs936.2 9446
( v3-).21
937.2
`
EAGMN
REVIEWED
eY -
N OATE /"" ?c
H
M
?
0
0
N 4 -
3
? 941.7
? x 941.4
? ?
iq
M N N
N ]
?p ?x\
10
?
9R5.8
MA
B
TOPCO
HU
P
? ElE Y.a948.38
N
/ / tC(4¢,C,)
.,- ,,.. • x -? : ,.
?/ b, ? .. .. : • .. : • . ' • .
945.5 944 ?bfl'LIGNT
M
CR I MSON j LEAF TRAIL
V? FE ?r ???.._..,
D u?
? ??
rnoroseo crsnoes stovrti PER cnAOMC nlAN ev: PIONEERW ENG. EAG? ?&M, ERIAG DEP'l:
Ndt[: COH11tACTpP M15T YERIF`I All DIMEMSION OhNG DRIVCWAY DESICN. TIiIS CERIICIGAIE 0065 NtlT PUfif`ORT 10 SIIUW EASTAiCHTS
OTHER MFN 1NOSE 91OMN ON 1Hf HEC(„tbF.O FI.AI.
NOIE: 070 Sf'EC1fIC SORS INAS?GAIION HAS BEEN COMPlEtEO ON 1HIS
LO( QY 1}IE SUR11[TOR. TNE SUITA&LITY OF' SM5 TD SUPPORT 111E 9EAIIINCS 51iONN ARE ASSUMCD
ffiCCMIC NDUS[ PROPOSED IS NOT 1NE pESPON510lUSY OF iHE SURVE'tM-
x aoo.oo Denotes Exiskirtg Elevat(on _EROPOSED FIQUSE__ELEYJ,?,1lS?N?
( OOO.oo ) Denotes Proposed Etewtlon Lowest F.loor ElOvaliorc "1q?7
Denotes Droinogo k Utilit"y Easernent
-? Denotes Droinogo Flow Dircr,t+on Top of Olock Elpvoifon:
-0-- Denotes Monumenk
-9-- Denotes Of(sel Hub Garaga Slab Elavation: Q¢7'7
LOT 3 ? BLOCK 1 AUTUMN RIDGE 4TN ADDITION
DAKOTA L'OUNTY, MINNESOTA
?., p•nri.? .,•,?lil? u,.?l 1:.:, n?n . plan ?n in??tal nur ???q:?red Ilr uu? c? l.er m? .IL^??l goPo? iVir.u??n¢`qrul t,q?? d.d? ?•q •b?. a I:url+...... ..
. ;. ?.,.. ?„.:. ,? n:., e.??. .,i •an. ,?.., ?„ n.a.,i un.?TH._._.?, ? ..i _?LlS....__,, n rt 9_. ,
?., ut s+T.• -- ???-??9' n1'°?'?`+? GNED: ONEER EN NE.ERING .A.
i ?
Scale: 1 inch - 30 fP.P.t ._---
,
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA146386
Date Issued:10/23/2017
Permit Category:ePermit
Site Address: 683 Crimson Leaf Tr
Lot:3 Block: 1 Addition: Autumn Ridge 4th
PID:10-12303-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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 -
Thomas M Hetznecker
683 Crimson Leaf Tr
Eagan MN 55123
(651) 686-9877
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163729
Date Issued:09/10/2020
Permit Category:ePermit
Site Address: 683 Crimson Leaf Tr
Lot:3 Block: 1 Addition: Autumn Ridge 4th
PID:10-12303-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas M Hetznecker
683 Crimson Leaf Tr
Eagan MN 55123
Champion Window Company Of Mpls
5100 HWY 169 N, #B
New Hope MN 55428
(763) 574-2054
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170381
Date Issued:06/30/2021
Permit Category:ePermit
Site Address: 683 Crimson Leaf Tr
Lot:3 Block: 1 Addition: Autumn Ridge 4th
PID:10-12303-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Thomas M & Mary K Hetznecker
683 Crimson Leaf Trl
Eagan MN 55123--304
MSP Exteriors Inc
7491 Dallas Lane N
Maple Grove MN 55311
(612) 208-6635
Applicant/Permitee: Signature Issued By: Signature