684 Crimson Leaf TrC11'Y OF EAGAN
3830 Pilot Knob Road
Eaqan, Minnesota 55123
INSPECTION
PERMIT TYPE• +ill I I i' r Nr?
Permit Number. . 0 / jH
Date Issued: 0 1/1) p
4 ,
SITE ADDRESS: J„ +
, ?? i i•; iIr1 11 AI
PERMIT SUBTYPE:
?
TYPE OF WORK:
;.i: ti
INSPECTION .. . ..
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JI II,.?,t
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?- -???-------
? APPLICAN7:
Permit No. Permit Holder Date Telephone
S/W
PLUMBING
HVAC
ELECTR
ELECTRIC
Inspection Date Insp. Comments
Footings I
7 U?d
Foundation ? CAAS.
Framing
?
Roofing
Rough Plbg.
Rough Htg.
IsuL
!
Firepiace
!
Final Htg.
?4 ?
Orsat Test
Final Plbg. ? Ping. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
(
Deck Ftg.
Deck Final
Well
Pr. Disp.
U
U (J /
Address 684 r-RDEM U-AF ZRAM Zip 5512 3
Lot 3 Blk 2 Sub . mm?? 41H
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: (p C? Yes No Inspector:
?
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) j?
Permanent driveway ? .
Permanent gas V/
Sod/Seeded 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 suppry co
the outssde lawn faucet before freexe potentiat 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
I ?L'?tftCQfe of cCC"QnC4
4FU4 0f CfRgQn
mcowrtMteut of '$x"atg 3n0cction
This Cenificate issued pursuant to the requiremenis of the Uniform Building Code
certifying that at the time of issuance this structure was in compleance with the various
? orrlinances of the City regulating building construction or use. For the following:
'r , ._ .
r ?/UIQ?f
4 8'D F
8
.31375 1 f
? ?
S.35
N 7-2
?
Requ Oa1e
, rcc-No. ,:ough•In Inpsection qulr
(You must I inspec[or when ready) ,
Inspeclion Other Than Rough•In
? Ready Now ? Wiil Natily InsQp,Ftw
es ? Na Dateqead ?l?
I censed contracior
? owner ALk-
~?
hereb
re
t i
6ti
t
y
ques
nspe
o n of abo le
ricalwork
Job Atltlre Str t.
B r
Roule No.l
ro L A ? I 4
? w
Sect?on No. Township Na me or No.
Range No. - -
Occup t RWT
L
Power Suppl i Address
Elechic Contractor rCompany Namel
Contractor's License No.
Pj
' kCftLA- C?oo9 gg
Maihng Adaress (Contractor or ner Makmg Installadon)
7 ? ? O ,,,,C ?
•
Au rized SignaWre tContractovp,yner Making Installattoni Phone Number
a
- ?? aiAie oUn„u UF ELECTRICI`V
Grlgya-Midway Bltlg. - Room $.173
1821 Unfversity Ave., St. Paul. Mry 55104
Phone (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UfJLESS PROPER IMSPEC71Q7J FEE IS
ENCLOSED.
?/?O/? 1-
???? a gD ?
REQUEST FOR ELECTRICAL INSPECTION EB-0000
? See instructions ior completing this form on back of yellow copy.
%V4.---
7J
"X" 8elow Work Covered by Thrs Request ??+?*•" ?j 13
N48S35
3r Ispeaty)
sction Fee Below:
rther Fee
Pool
aooms
I, the Electrical Inspector, hereby
certify that the above inspection has
been made.
]FFICE USE ONLY
fhis request void tB months from
1)-D
THIS INSTALLATION MAY BE
Above 100 Amps
TOTA
16(3' ,
ncocn . NaECTED IF NOT
?Gbt
Reque. t Date Fire No. RougFi-n Inspecfion qequired Ins ection Other Than Fough-In
Q
O` (VOU mru,si cail inspeGOr when reetly) Reatly Now ? WIII No[ify Inspecror
u Yes ? N. pale Feadv
I icensed contractor ? owner hereby request inspection of above electrical work at:
Job 4aare?s'y5 '(Sl`reeL x or Poute No
? V L city
Sacbon No_ Township Name or Nn. Range No_ C. 1
Occu anf (PRM?) Ppone No.
Powar Supplier qdtlress
Eleqrical ontmctor (COmpany Neme) Conlraclor's License No.
?
Malling Ad ress (COnhacror vrO r Makfng litsfalletlon)
?
Authorizetl Signature (COnireclor/Owner Making Installa0on) Phone Num
MINNE50 H 5 ATE BOAHO OF ELECTRICITY I
Q
T
n /
Griggs-Midrray Bltlg. - Room 5428
1821 UNVersily Ave., SL Paul, MN 55104 gE
STATE 80ARD
AGCFPTEO 89 ?THE
? LINLGSS PROPER INSPECTION FEE IS pill
Phone(612)642-0BUO ,
ENCLOSED.
?47REQUEST FOR ELECTRICAL WSPECTION Im
?EB-0o? -?
_, / )?? ? See Inshuc[ions tor epmpleling this lorm on back oi yellow copy '?/7ri7a
5!/
?%? "X" Below Wr,rk Col-=_red hv Thil RPi ?, .
Ne
Add
Rep.
Type of Building - - -. ._ -, ..
Appliances Wired ._ ..- ---• ? ti
Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial , Fumace Other (Specify)
Farm \ Air Conditioner
Other (specify) Con rectore RemaBS-
Compute lnspection Fee 8elow:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool D ta 200 Amps D to 100 Amps
Transformers Above 200_qmps Above 100
Amps
$ign5 i nspecmr's use Oniy: _
TOTAL
Irrigation 8ooms
Special Inspection ?
•
?
Alarm/Communication THIS INSTALLATION MAY B E ORDERED DISCONNECTED If NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby R o°gn oata
cedify that the above inspection has -
6een made. F i"al
f oare . ?
? " r
OFFICE IISE ONLY
Thls requesl vaitl 18 monlhs irom
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephooe # 651-675-5675 FAX # 651-675-5694
Vo. n
New Construction Reauiremenls RemodeVReoair Reauiremenb Office Use OnH
3 registered site surveys shaxing sq. k. of lot sq. ft. of house; and all roofed areas 2 copizs of plan CeR af Survey Recd
(200% maximum bt coverage allowed) 1 set of Energy Calculafions kr heated addNOns Tree Pres Pian Recd
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for additans 8 decks 7ree Pres Not Reqd
1 set of Ene(gy Cakulations Addifion - irrdicate ilon-0a sepfic sysfem _ On-site SepEC System
3 copies of Tree Preservation Plan i( bt platted after 711193
Rim Joist Defail Options selec6on sheat (bldgs wAh 3 or less unAs
Date ?3 Constr ctioa Cost ?? ??? "
Si[eAddress _?p ??? ?? I Y yl ?C3/l /???T r(', ? ( UniUSte #
Description of Work ?LA s('p( Q Q(yS J-iVeJ ?P LI I:isjoUe ('1 tt n.11i QQQ'cS/?Q.
Multi-Famil
Bld
YL N Fi
0
l 2
1
y
g _ rep
ace(s) _ _
Property Owner v) + (3 ? Telephone # (qSa )
H
' "4-1?o
Contractor 1vC
1 jm o,
Address ? /3 City Q (4 Y'vt r'!/
State z;p ?s 33 Telephone M 19jl,?) ???- ?SO"
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
• Residential Ventilation Category 1 Wo eet; 'hl_?•- Energy Code Worksheet
(J submission type) Submitted ? L? I ?7 ? C,' ? TS ? mitted
• Energy Envelope Calculations Submittad ? y
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #
Telephone # (
) 99?- 0
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case o£ work which requires a review and
approval of plans.
0 (&vi?L 1j . ?4 C)sk?
Applicant's Printed Name
era,- 1'Gt q-
? ?
?
ApplicanPs Signatu
?IHHRSOTA STATE ENERC1Y CODE CAj,CULATIONB
BASED ON CUAPTER 5 OF TIIE
MODEL. ENBRGY CObF - 1483 E ITION
Adoption Effective
Site Addres
Contractor
L
6uilding classlfications Type A1 (single Family & Duplex) *
Type A2 (Residential, 3 stories or lese) (OVer 3 stories) (other)
NQTEiC4IDRlgte I2egea 3 apd 4 first.
, 9EHERAL-IbFOfjHATION t7a ???la
1. Building PerlmeterN?`??L ?? Pt.
2. Wall height (qround to eave) u ft.
3. 1. X 2. (above) grose wall area 3 03 A aq.ft.
• 4. Building dimenslons (L) X(W) - = JL?JQsq. f t. roof 6 floor area .
5. Sq. foot area of rim joLst - Floor joiet size (2 X' 1,0
' ID X L40(Perimetar) _ ?sq.ft.
•
6. poors - Arga ( Z57? 12
Thickness in U. factor? '1- 7
Type oE Conetructlon Perimeter ft.
HanuPacturer
7. Total door's perlmeter ft.
S. Windows: Manufacturer Irt/5[?L L?ilLt 'T' 3tate approved
U factor Zi (d
TYPE SIZB AREh (3q.Ft.) N[1MBER OF TOT?.L
?ZL P!`?/?„ EACII UNITS SQ FEET
9. Total sq.ft. Glase
10. Fireplace area: Width X}ieight = X = sq.ft. ,
11. Exposed foundation: ileight X Perimeter?.?X/E; sq.ft.
C017PLETION OF TilIS FORM IS REQUIREp FOR ALL NEW CONSTRUCTIOH, MAJOR
REh10DELItIG AND BUII.DINGS eEING MOVEp WIIERE ENERGY l OTtiER TfIAN TIIE MINIMAI,
CODE AL.LOWANCE, IS USED.
-1-
12. Framing area = lot of groee wall area.
13. Grose wall area ?D ? eq.ft. .
Window area aBy,pt. U windowe (o_ UxA - ?
Rim joist area A Z 1 sq.ft. U rltq joiet= •f,lfl UxA = I?
Door area A ?_s4,ft, U door area= .17' UxA =
other doore area A?eq.tt, U other doors=-IV- uxA =
Exposed fndn A__ey,[t. U poundation= UxA = ?
Framing area A 3193• 1 sy, tt, U Framing aream • 0(? Uxh _
Net wall area A 1 0,lo eq,ft, U wall_ ? ? UxA -
(138) TOTAT, . . . . . . . . . Uxa = Z9 31_
14, Gross wall area x 0.11 (A-1 eingle femlly 6 duplex) = allowable UxA/Code
(1]. ahove)
x 0.29 (A-2 other residential) •
x .23 (other bulldinge)
x .28 (over 3 etoriea)
BTUII muet be larger than or eame
A?x U Code - r .. 3 OF, es 138 above
, 15, ceiling fraiuing area (AE) equale l0t of ceiling srea
15A. Gross ceiling area =(L) X(W) 6q,et.
15s. Jotet area (At) e 10; ceilinq ACd6 n 10 i?J eq.ft.
isc. Net ceiling area (Ac) (15A - 168) -q 7 7, 4 eq.et.
U ceiltng x Ac o.?72, !? g ,pZ,l . o7_1_
u framinq x A f ? &, 6p x?a z
15D. TOTA4 U x 1+ ................?..?....•:....
16. Ce111ng area (15A) x 0.026 (A-1 eingle Pamily 6 duplex)
= allowahle UxA/Code
x o.o]a (a-a other reeidentiel)
x 0.06 (other)
??I? ? BTUII muet be larger than or same
A(15A) 0CJ x U Code ?01-Co o OF, as 15p above
11oTES Use U antf A values obtained from pagea 11 3 and 4.
&BIiTSEICATIQUs I hareby certi[y that I have oalculatad the ''Ull Paatore and
"I111 valuae hareln and that tlia building here desoribed meata or exceede tha
state of bflnnesota Energy Conaervntion Act.
nata
signature
-21
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0
ELEVATZON6
Existina
? ? • sewer service
? • Lot corners
? • Top of curb at the driveway
? ? • Elevations of any existing adjacent homes
PrOOOSed
?0 ? • Garage floor
0 • First floor
0 0 • Lowest exposed elevation (walkout/window)
v ? • Property corners
? • Front and rear of home at the foundation
PONDING AREAS (if eonlicable)
? ?? • Easement line
0 ? ? • NWL
? &'? • xwL
? B?? 7 • Pond # designation
? 0 O • Emergency Overflow Elevation
entry,
ET /E1?E7 ? • Lot lines
r
? ? • Right-of-way and street width (to back of curb)
?
QY 0 ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
/ structures requiring permanent footings)
G ? ? • Show all easements of record and any City utilities within
? those easements
LR
? ? • Setbacks of proposed structure and setback of adjacent
?
? existing home
? 6 0 • Retaining requirements, if any
11
0
-
Reviewed: ?
dZIle
z?//Y
LOT SIIRVEY CSECRLIST FOR RESIDENTIAL
T APPLICATION
PROPERTY LEGAL•
Date of 8urvey:
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and J"-w scale
• House type (rambler, walkout, split w/o, split
lookout, etc.)
• Directional drainage arrows with slope/gradient ?.
• Proposed/existing sewer and water services
• Street name
• Driveway
October 1992
ItiUiwivt
GND-ELEV.
. . • ?. i i 943.90
? IF
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2
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1 + 8 s a?w ,+a8
V 2+ 30 S 8? W i-* 18 S 8? W 0+28 ? S W944.2 C.S. - 943.5
945.3 C.S. - 946.1 C.S.- 945.1
INV- 937.1 INV-936.2 INV-935.2 INV-934.5
936,7
CJRI V, SON L-F- AF TR AI 'L
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Nj H RE 94435 _
M?i RE 945.46 ?. BLD: 10.90 ...
2. BtD..10.9?F
IXISTIRr` .. .
? GROUND
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, ........
.
235 - 8 P'VC SDR 35 @ 0.40 % 300' - PVC
GONNECT TO EX
: 6" D.I.P
Ti Hc Cl.i Z' OF EAGAN DOES NOT GUARAN7E':'
Y LOCATIO
: CY , OF UTILIT
O?
?EiE. :AC%CURA
THIS DATA „?
. V?1T
qr.??/O ?. . E L. E I O N S.
11?7
dPlcV
PURPOSES
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PrR&C;NS IlSING, iT SHOU,_?.,
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? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT c-- ""-6 6 -r -9 "
PERMITTYPE:
BuiLDiNs
Permit Number: 0 2 3 7 3 0
Date issued: 0 6/ 01 / 9 4
SITE ADDRESS:
684 CRIMSON LEAF TR
LOT: 3 BLOCK: 2
AUTUMN RIDGE 4TH
P.I.N.: 10-12303-030-02
DESCRIPTION:
Building?-.Permit Type SF DWG
Building Wo,rk Type NEW
%UBC Occupancy??, R-3 M-1
1 Constructian Type V-N
i? 2oning l R-1
? Building Length ? 62
Building Width ; 40
Building stories -? 2
? ?. ,. . _
1? i?
?L
REMARKS:
PRV S& W PLBR - 5-STAR PLBG
FEE SUMMARY:
8ase Fee
Plan Review
Surcharge
SAC
sac ?
SAC Units
Subtotal
VALUATION $139,000
$776.00
$504.4@
$69.50
$800.00
100
1
$2,149.9@
MISCELLANEOUS $1.828.50
Total Fee $3,978.40
CONTRACTOR: -
MCDONALO COMST INC
7601 145TH ST W
APPLE VALLEY MN
(612) 432-7601
Applicant - ST. LIC
14327601 0002376
55124
OWNER:
MCDpNALD CONST INC
7601 145TH 57 W
APPLE VALLEY MN 55124
(612)432-7601
I hereby acknowledge that I have read this
information is correct and agree to comply
5tatutes and City of Eagan Ordinances.
?
APPLICANT/PERMITE GNATURE ?
? _ .
application and state that the
with all applicahle State of Mn.
J
ISSUED B : SI NATURE?
' • CITY OF EAGAN
1994 BUILDING PERMIT APPLICA ON j_?-,
C4' -', 681-4675
- -- ?` z ?
??AA?fPaw ..
SINGLE & MULTI-FAMILY 2 sets f plans, ? regist red site surveys, 1 copy of energy
calcs. o ?Ar ? ,? j??;?
COMMERCIAI 2 sets ifi.ec#Lta1 & structural plans, 1 set of
T_M
specifications,
energy calcs.
Penalty applies: 1) when permit is typed, but not picked up hy last working day of month
in which request is made, 2) address is changed or 3) lot change is requested ance permit
is issued.
Date Yal uation of work 1 a?,.?6fl
Site Address: ? ? ?? C P; av?5c?tin L
STREET SUI7E A'
Tenant Name: (commercial only)
LOT 3 BLOCK ? SUBD. 4vTu?'?. : ?' P.I.D. #
Descri tion of work: C> J ;
lhe applicant is: ? Owner ?Contractor ? Other (Oescribe)
Name Phone
' Property LAST FIRST
Owner
Address
STREET STE ?f
City State Zip
Company C, s t Phone '73vrA '-' d I
Contractor Address 2601 / L/,'S 7? S + . "? License #Q_ CCo?,?? Exp.
City Aj?p? v State ? Zip '?3's_
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water 1 icensed plumber P, v r ?, 7 .1 Processing time for
sewer & water permits is two days once are has been a roved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compl th all applicabltate of Minnesota Statutes and City of
Eagan Ordinances.
?
?SL
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMiT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 S-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck
WORK TYPE
vetuec;a,: 8 I 3 9 ?o?
t-
?y.???z6
25'?,38/ol
Ul 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) ?_ Basement sq. ft . )D?9 MWCC System .I?
-
(Allowable) t//1/ lst F1. sq. ft. City Water
?
UBC Occupancy 2nd F1. sq. ft. ?
/ o PRV Required ?
Zoning N-/ Sq. Ft. total Boaster Pump
# of Stories 2 Footprint Sq. ft. Fire Sprinkler
Length IAZ On-site well Census Code LLii
Depth y v On-site sewage SAC Code 6/
Census Bldg
APPROVALS Census Unit ?
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS
O.5ite p`? Faoting 0 Framing ?R Insulation
? Wallboard lff Fi nal O Oraintile ? Fireplace
.
Permit Fee
Surcharge
Plan Review
License
MWCC 5AC
City 5AC
Water Conn.
Water Meter
Acct. Oeposit
S/W Permit
S/W 5urcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
)0 29?,zo
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
.?.? 4r.
za, 3-,- .?z. 3 = 65S6s
?9(?,2s
7N?
? `/..E- 10
/0 ? oa-sY =
? `'°e LO y
f 3 FJG? ?, 8y >
?24t0
r
SAC %
SAC Units
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
. 3830 PILOT KNOB RD • 55122
' 657-681-4675
New Conshuclion ReauiremeMs Remodel/Reoah ReaulremeMs
? 3 regbiered sNe surveys showing sq. ft. 01 lot, sq. H. of house
and II roofed areas (20% maximum lof eovnaae albwed)
D 4 copies of plans (show beam R window sizes; poured Md. deaign; efc.)
D 1 set of energy calcuWHons ? 3 coples of hee preservaNOn plan tl lot platted aHer 7/1 /93
DATE:
DESCRIPTION Of WORK; _ _ !?_? ?!?_ ??
License M Exp.
State: Iip:
Name:
)
Registration
STREETADDRESS: I Cf ?c/Y?Str? be.?C (a.l { - -
IOT: ? BLOCK: ? SUBD./P.I.D. #:
Name: UV I? ??
GLV?'?h ? (`
^ r+'? ,
` "D7 7
Phone?k: cYSI"y /S`l
PROPERTY Lan Fir+t
OWNER ? ?l,j
(?Irl ?rjOY? /?
?Q r
I (?GLt ?
Street Address:
City l.-?q(' ??? State: m r v Zip: SS j Z 3
Comp? ?Ih Phone#:
I? .- - -- (areaeode)
t_-1TY QF i:f?f;ANI
JS rf RM.i0r,!... N0?
nArE ;, 08f•27i9:3 r14 :i.e„56
Hi;;
nANiE'r !:tfS P4. P!INr[:I;:
:ili"..:I.O Jt']i:):i. 6E34 f:Fi:I:MSOP2 !_I 43'i3.25
21.55 9(7!7]. 684 C;PiT.Pi`3ClN L..F ;..50
?
e
Tu'ka:l. Fic.,c,e,i,;r, (ilm::i?.!r•i;;t 134..
Cfi:1. i. ?1(?`_)3
IJSER
:'F'K%k?;t?:t:?Y,?•k, #%gm ?:n'c9c>g>}: ;i.?";t:,?1:.:'n'iY?1<k::F>k$ ?:A;%'i.,'???kikiX%k
F?
?
? g-a?
2 coples of plan
7 sM ol energy eakulaNons (or healed addXioro
1 sMe survey fw exterbr atldRbns i decks
CONSTRUCTION COST:
State:
nshueNon onlvl:
I
e is requested onee permN Is Issued.
(Y'-2svo -3000.
Zlp:
in, stale that the IMomxiHon is correcf, and agree fo comply wffh all applfcabl
I
ces. -Y
iture of ApplicaM:
OFFICE USE ONLY
No
No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex 17 Garage 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ?23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartmen ts 19 Lower Level 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
)
<'?
31 New
C 0 35 Tenant Impr ? 39 Gas Line On ly ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
" Give PCA handout to applicant for demolition pertnit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code o/
UBC Occupancy sq. ft. No. of Units °
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System .
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC :
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
Building
6, /i f- Engineering Variance
s3,zs
valuation: $ ??.??
s?r? ?oroh
/OXi?: ?50
0n--. y
/o Xi?,T =&-o
x ,30 = L4500
/ ?OD
1f?s it7,o ?OO? (1?? ,S a c%!? 1?bov?
ti
J
1994 PLUMSING PERMIT (RESIDENTIAL);. '
CITI' OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
-- (612) 681-4635
` RLEASE COMPLETE FOR SINGLE FA1vIILY DWELLINGS. AI:SO, FOIt TC?WNHOIviES AND'
CONDOS WHEN PERMTI'S ARE' REQUIRED FOR EACFi UNIT. ? .
NO. FIXTLTRES EACH TOTAL '
? SHOWER 3 00 3,00
WATER CLO5ET 3:00
BATH TLTB 3.00
LAVATORY 3.00 i;lloo
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
? FLOOR DRAIN 3.00 ? , C?d
? GAS 'PIPING OtTTLET • m;n;mum -1
ROUGH OPENINGS 3.00
1.50 ? 0 a
?
WATER 50FTENER 3,00
PRIVATE DISP. • neLay. uG 20;00 `
U.G. SPRINHI.ER • n? mnaa com. 3:00
ALT'ERATIONS • ta cdsting 20.00 - '
WATER TURN AROUND 20:00 :
ST.ATE SURCHARGE .50
TOTAL: vC?, ?O
SIT'E ADDRESS:_ Ov 30I y11 Stl h ZJ Tr._
OWNER NAME: H G'hS frU C:+/O h h C ,. „ . . , _ . .
INSTALL:ERs s p
A'rrnr_?o?_ -I
crrY: L_Xn Ha ?4r'6v 6 sTA?: IYh -? z? conE:
PHOrrE #: (6 r,D)
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
__3,:,"NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE FIREPLACE INSERT
DATE
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GA$ OUTLETS (MINIMUM 1@$3.D0 EACH) `? 0,po
ADD-ON/REMODEL (ExIS*nNG corrsTaucrloN) $ 20.00
STATE SURCfiARGE .50
TOTAL
SITE ADDRESS:
OWNER NAME:
INSTALLER:_?
?
ADDRESS: '
CITY:__t??\/ "
TELEPHONE #:
rTELEPHONE #:
STA
ZIP CODE Z V
SIGNATURE OF PERMITTEE
1994 MECHANICAL PERMIT (RESIDENT7AL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (657) 675-5694
?-----------------
i
? Permit#:
? Pertnit Fee:
I I
? Date Received: 5? I
? Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: L C?-? CA-( '`i 5,".) 77"K ?-Tenant:
Suite #:
RESIDENT/OWNER Name: J l h 1??k -> -\ ? Phone: (- c? a(o0 5 Q ?0
Address / City/Zip: (V &1 G3tit Ft 5..j LAF
A
li
t i
O
/C
pp
can
s: _
wner
ontractor
TYPE OF WORK Description ofwork.
Construdion C
ildin
:
Yes
/ No
t: M
Ri
F
il
B
g
(
os
-
am
y
u
_
u
CONTRACTOR Name: License #: Z?C,
Address:
City: ( 11 1.X+5 State: #A A'J Zip:
!?* Y>
Phone: &f ( ?0-7 / QContact Person: 13
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C3fCgOry Submitted Submitted
(4 SUbmissiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical CoMractor. Phone:
Sewer & Water Contractor. ? Phone:
NOTE:'Plans and suppor#ing,documenfs, that you submit aFe. considered to be public iri#orroatlon.' Pprtions of w!
the informatronmay be classified as non-`public zfyou provitle specifrc reasons fhei woultl pennit th'e&City to
? - _
conclude that the .are'trade-secrets.
1 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 permd;that the work will be in
acwrdance with the approved plan the case of work which requires a review and approval of plans.
x -f''?"'1'S X
Appl canYs Printed Name Applican s Signature
Page 1 of 3
2422 L11(Cfpf155 DfIVO
Mendola Heighl5. MN 55120
(812) 681-1914 FAx:681--9488
? Or1??1700I`?r1Q VJp PL4MlEA3. LA109CAP[ ARMi[CTf 625 M19hway 10 N.E.
@Ioine, MN 55434
* * '? * 1(612) 783-1880 FAX: 783-1883
Certificate of Survey foi : MCDONALD CONST.. INC.
684 CR{MSON LEAF TRAIL
CRIMSON LEAF TRAIL
?
945.4 945.1 944.4
_ 9 45 8 - 90.00 N89°41'28"E A949.0
,
OENCN MARK PF'i0p03ED
lOP OF MU6 DRIVEWAY
ELEV.=946.01 456 ( 9 4
11
W
.
? 20.33
12.0 0/
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I
ARAGE
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p °a
g
$
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942.56 '- "
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EAGAN EIVGINEERING
0
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933.5 x `-
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FROPOSED G4ADES SHOWW PfR GRApING PLAN BY: PIONEER ENG.
(93?Fp)
?.R.?.
NOTE: BUILCING OMENSImJS SHON71 ARe FOIt HORIZUNTAI ANp VfRT1CAL
L9Cat10N OF STRUCTUPES CM1lY. SEE MCHI7ECNAl PLµS iCH BUiLMNG
AND FWNOATCM GiMENSI0N5.
NOfEt CQNTi?ACTOR MU51 YEP.IFV DRIVEWlV CESIGN. THIi CERTFiCATE DUES NOT FURPOiti TV SHOW EISiMEk15
OThIER THAN MOSE SMOwN ON THE RECO+DED PLAT.
NO7E: NO SPECifIC S0I!5 INVESTGnTIGN HAS PEEN CGuPIETED CM 1if15
l0i BY THE SURVEVOR. THE SN7ABILIti OF 501L5 TO SUPPORT THE BFARiNGS SHONN ARE ASSUTAED
SPEGFiC WJUSE PROOG>ED IS NO7 Y11E RESP(NIJ8ILI7r Cf THE SURVEN'OR
PROPOSED H9USE ELEVATIO?'_
x ooo.a Denotes Exisliny Etevation
( occ.oo ) Denotes Proposed Elevatiun Lowest Floor Elevotion: 9?
--= Denotes Drolnaqe & Utility Ec 3eme--t ???,-..3
---?- Denotes Droinoge F'Ipw Direction ToF ..r Block Elevotion:
- oenetes Monument ?L
-•-g- Denotes Ottset liup Garage Slab Elevctlon:
LOT 3 ? BLnCK 2 AUTUMN RIDGE 4TN ADDI710N
DAKOTA CUUNTY, MINNESOTA
V!! M1er,py tnot Inis e:TV:p Plan fw reaOr! AcJ G,sCOred ?y n?e ?'JndBr my dirlCl f4Pe:N5'+?ond
?n • Ih9 ?Ohfr ol lhP ??al! Jf Al:nneeOlU. 0?ied UiP-IOTH Aay UI MAY ,,,_n.o.
SIGNED IONEER ENGIN? RING?A,
..... .._ •.-.•
John C. lorson,•L.S. Reg. No, 19B2II
Scale: 1 inch = 30 feet
945.6
- - - ? ....
j&?'?45. I o ?
29.67 a
P 0 OSED gI
HOUSE ?N a'
<?•T
?-7ELE, & TV. PEDS.
SoI
O
M
? -BENCH MARN
W"" ~ 70A OF HUB
ELEU= 945.22
to
° oD
o
00
v4
?
4 41 4
A?
- 94Q60
`g `J /• ?)
sai.a,
? x93V1.7 19(+ 9?39.0 ?
? i
EAGA{v
r, REVIEWED,
3 I
d U7ILITY
AER PI.AT-??_ ?
?T ?
P
'i
2422 EnterF?risa Drivb
Mendota HaightE, MN 55120
* RIOIVEeq LAHD 51JF?YUR3 • 41vh ENLIN[ERS (012) 681'1914 FAX:681--9488
* 0178 1'tiedi` !7Q LMu aLnNUEUS. LnHOSWc Anc'ahoTs 625 Nl9hway 10 N.E. ?•?
81aine, MN 55434
(612) 783-1890 FAX: 783--188'S
Cer-tificate of Survey foi : MCDONALD CONST., INC.
684 CftIY150N LEAF TRAIL
CRIMSON LEAF TRAIL
-? ? -- ?x---°
945.4 945.1 944.4
_ sa?s.-a? - 901100 N89°41'28"E (945.0
I i 5 -- -
BENCH MARK PROFOSED
TOP OP HUd t DRIVEWAY
fiLF.l!=94$.01-? 45.6 _(`}?F????I
x
W ?
N
?o
o0
a
S,
2 942.86)
f-
p /
o RAGE
v ?
/
8 I8.0
946,2
.
?
?
n 1 'D
ti
ICEC-)
?--7ELE. & TV, PED5.
5 p ?
O
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945.8
_
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? I
d '
9A 5. o
a
29.67 -
J /
PROPOSED g
' HOUSE ? N v
sa?3ll?41• --
? x938.7 ?
_- BENCH MARK
W 7DP OF HU8
ELEV.; 945.22
°oo
C?O
og
v
f/I
^ 14 ' 4
, ?- saa6o
941.3 EAGA1?t
,a
939.0 o lt E11i?WE 0
? S
I ??
? ?
z L 3 I
DRAINAOE d U71L11'Y 5
EAGANN ENCrINEERIIVG DF ,? F1+SEMENT PER PLAT-??
? o
?^
933.5
cC?33.sJ
SPEGFIC H9USE PROPG$£0 IS NOT 7ME RESPONSIBIU7Y Cf iH'c SURVEY'OR.
NOIE! CON7RAC70R MUSY VEP.IFY DRIVF,W0.Y CESIGIJ. TH13 CERi7FICAT£ tlUES NOT FURPGOii TU SN9W 6b5EMEN15
' pTHER iHAN THOSE SHOwN UN TF7E RECORDED PLAT.
NOTE: NO SPEGIi'1C SOILS INVESTIGATIGN HAS BEEN CVMPlETU GN 7H15
LOT BY THE SURVEYOK iHE Sl1iTAB41T'ti OF SOIL5 TO SUPFORi THE BEARINGS SHONT! ARE A5SUAlEO
589°41'28"W -
(934,a)
G°?oG°?oMo 6??@?9?En
FROPOSED GRADES SHOVM F'fR GRA6(NG PIAN BY: L1ONEER ENG.
NOTE: 6WLCING DIMENSION$ SHONT! A.RE FOR HUR120NTAL Aho VERTICAL
lOCA71014 OF STRUCNPE$ ONLY. SEE ARGHlTECNAL PLANS FCR BUIIDiNG
ANO FOUNOArGN GIMENSIONS.
PRQP_nacn H9USE,ELEVA
LoT
x ooo.oo Denotes :xisting Elevation
? oGO.oo ) Denotes Proposed Elevaticn Lowest Floor Elevation:
-? Denates Dralnage & Utility E<seme--t ry?c--y?
---^? Oenotes Droinoye F"Io+v Direction TuF ..( Block Elavation: 1
?--- Oenotes Htonument Gara Slab Elevction:
penutes Of(set Hub 9P -
? , BLocK z
DAKOTA CUUNTY, MINNESOTA
AUTUMN RIL7GE 4TH ADDI710N
VIj herc.pY =Fili'Y tnnl :ni; =,u?vcy. pl0n Gr rB>Ort wG0 Yr[porRd `y m9 qr .dar my diieCt edper•:19?4 und tn l I Om, u. ^??.'.r
4nd^'ib5 !0n5 JI l?n .?ol. O` A1:nnESO:d. llal'd lhi5 JOTH tlJy Gf MQY . ? f
SIGNED: IONEER ENGIN€ FIhGlA.
n.....Y?n...?....d lIM12 ? _.... ..
Scale: 1 inch = 3o fieet John G Lorson.'L.S. keg. No• 19828
Use BLUE or BLACK Ink
r________________�
I For Office Use I
� � Permit#: � � ���� I
Clty of ����� ; . �,� ;
I Permit Fee: � � I
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �� �
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: �
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: .1 i r+rl �r� /) T'�-� Phone:
Resident! /� .,[' �}�-,
Owner ' Address/City/Zip: (p �� ��'r/1'� So/1 �e9 ,` ��/T-J-. �
Applicant is: �Owner Contractor
Description of work: r�r✓�°��
Type of Work
Construction Cost: ��) �d� Multi-Family Building: (Yes /No�
Company: z�'�`�!`� ��C�;8/"5 Contact: �P�9'r� C] L���w�`C�
Address: �o�� ��S� 3 r�� �7'- City: /T9$�!�'J-�i' s
Contractor
State:{'L2 Zip:�.�3� Phone:.`>^d�7° 7 SSU Email:
' License#: c����$�f � 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 documenfs that you submit are considered to be public information. Portions of
the information may be classified'asnon-public if you provide specifie 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.qopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X Cf�1 �� �� �w' C �� X `
Applican ' Printed Name Applica ig ure
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144538
Date Issued:07/31/2017
Permit Category:ePermit
Site Address: 684 Crimson Leaf Tr
Lot:3 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
James R Winter
684 Crimson Leaf Tr
Eagan MN 55123
(651) 260-9051
1st Choice Remodeling LLC
7482 Large Ave NE
Albertville MN 55301
(763) 515-6095
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173812
Date Issued:12/06/2021
Permit Category:ePermit
Site Address: 684 Crimson Leaf Tr
Lot:3 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
James R & Kim M Winter
684 Crimson Leaf Trl
Saint Paul MN 55123--304
(651) 260-9051
H2c Inc Dba Heating Cooling And Plumbing
820 N Concord St
South St Paul MN 55075
(612) 791-0850
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178020
Date Issued:07/28/2022
Permit Category:ePermit
Site Address: 684 Crimson Leaf Tr
Lot:3 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-030
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 -
James R & Kim M Winter
684 Crimson Leaf Trl
Saint Paul MN 55123--304
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178508
Date Issued:08/22/2022
Permit Category:ePermit
Site Address: 684 Crimson Leaf Tr
Lot:3 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-030
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
James R & Kim M Winter
684 Crimson Leaf Trl
Saint Paul MN 55123--304
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature