692 Crimson Leaf Tr
Use BLUE or BLACK Ink
r
For Office Use
Permit#:
City of EaEd~
u I Permit Fee: . d 0 I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~r C) Site Address: Cvkr4 soti Zea J
Tenant: Suite M
RESIDENT / OWNER Name: 1 '0N y (yl~l 1 Phone: 612. 3 nT 73
Address / City / Zip: G-) k SON eAt
Applicant is: Owner Contractor
TYPE OF WORK Description of work: e-gzop
Construction Cost: C7 Multi-Family Building: (Yes / No x)
CONTRACTOR Name: G►~I~1~L°I~C`NCe P4t*~4 License#: oZOaZ 667'•17
1,4102i/r/ AC-1E
, City:
Address: ~zw
N
Stater N Zip: J hone: 7 t/75- 5&0- 61,A(
Contact: Email: ~yaN/?CSS°tfi~ eV c.4 C) f-~
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 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.
X 6L.N 1011 z at: X
Applicant's Pri ted Name Applicant's Si atur
Page 1 of 2
LiTi( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
INSPECTI4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1. u ?
M*,IIN
•1 l Ei
PERMIT SUBTYPE:
. ?
TYPE OF WORK:
rsii I i 1.1 1 NtI
N'.?/41
ilhf;!S/yA
INSPECTION .. . .•
? i r?M l?l?? ???ri l ii?•
1 i4 : f i•'? ???t??ll I td !f I
fdit!
! Wt MAtzk ?, : i•Nv , a. W i'l ilk G?t a4 I i 1, i rit
F
L
APPLICANT:
? ,, ? ,• , ,?.i.' -t;;t.Sr? ..
Permft No. Permft Ho?der Date Talephone i?
S/W
PLUMBING
HVAC
ELECTRI / 03G
ELECTRIC
Inspsctlon Date Insp. Commerrts
Footings I 1613,1011?11
r
Foundation a,?Je
Frsming
Roofing
Rough Plbg. - A
%
Rough Htg. 7S ?
Isul. 7 ,? .? ?/T` SS
Fireplace 7?y
i/
Finat Htg.
/
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final ? J
Well ?'O ?j?9CTG?L ' 7/LOC,v ° U-
Pr.Disp. ?L C
C.F s G ./
((/ ?G?-?•L-
INSPECTIQN RECORD
-CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
i?? i ? ?:i ??, i
' PERMIT SUBTYPE:
? I r 00 t r N (,
F
L
fttl l I U! NG
0.l' / 4 1 ")
O!"Y / 0 i 1 96
N T IIiiNY
APPLICANT:
. ?. # I
TYPE OF WORK:
i i wni
?
Pertnit No. PortnR Holder Date Telephone N
ELECTRIC
PLUMBING
HVAC
InapecUon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
6ECK FTG X;/
--
DECK FINAi /I? -9? ??
1 I
? - -- - -
? ?
Address 692 CRIlKSOn1 1FAF Z'RAIL Zip 5512 3
Lot I Blk 2 Sub AvnM ttmcE 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ML9i Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
SodJSeeded 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 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
? ? • ? ? ' - ;` .
? ?... ? .
L ?
?. q `,•,? ?t 1
, . t.. p
?
?
This Ceriificate issued pursuant to rhe requirements of the Uniform Building Code
certifying that a1 the time of issuance thrs structure was in compliance with the various
ordinances of the Cety regulating building construction or use. For th2lfollowing:
u. cj..;rmj.. SF IIWG aiag. peffni, No. 23701
O-V--Y ?? ram? Z..g piwip g I Type Const. VN
Omw f s,Hdig M WJUFNSON OCl6T Amm 14251 (FBAR AVEs APPIE VAI EY
?
.?"
/,?.?
POST IN A CONSPICUOUS PLACE
?°?w?
`19036
? ?
? ? ??
Request Date Fire No. Rough•i
n lnsp i n
uired"7 C Ready Now y?Will Notily Inspector
Augu
st 8
1994 `?'
.
°
,
When Reatly7
,
es - No
Ik licensed contractor D owner hereby request inspection of above electricat work at:
Job Atldress (Street. Box or Fioute No.) City
692 Crimson Leaf Tr. Eagan,MN.
Section No. Township Name or No. Range No. Counry
Dakato
Occupam IPRINTI ' Phone No.
M.W. Johnson Construction
Pawer Supp!ier Address
Dakato County Elec. Farmington, Mn.
Elecincai Conractar (Compary Namei Contractor's License No.
in and Electric Inc. CA0I118
Mailmg Adtlress iConlractor D' Owner MeKm] Ir5tdl121i0/I)
652-5 E. 170th St. Prior Lake, Mn. 55372
AWhori ?.Sign?tire i Conlracio; MaRing tallationj c Phone Number
? 447-2490
MINNESOTA STATE BOARD OF ELECTRICITY THIS IMSPECTION REQUEST WILL NOT
Griggs•Midway 81dg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 Univeraity Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLaSED.
REQUEST FOR ELECTRIrAL INSPECTION E13.00001_ QQ8,
? See inslructions lor compieting thi; tor n on back oi yellow copy,
(? ^ +?, ,y=•; t??SP o
Ralnw Wnr(r I'.,?.?.n.a ?,, rti:.. o,.,...,.... ?ss:?!
w
Add
Rep. - -- -
TypeofBuilding --'--- ••-... .......... ,., .,,ro ',vy
AppliancesWired ucJL wjw6....
ed
? Home Range
Dupiex
Water Heater gr
Apt. Buiid
ing I
Comm.llndustrial Furnace
Farm Air Conditioner
Oiher isvecilyi Contractor's Remarks:
Compute lnspecbbn Fee Below:
# Other Fee # ServiceEntrenceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 2Da Amps
MID 0 to 100 Amps
Transiormers Above 200 Amps e 10q Amps
I SignS Inspector's Use Onty: TOTAL
Irrigation eooms
75
5
.
0
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE OR
Oth
F DERED DISCONNECTED IF NOT
er
ee COMPLETED WITHIN 18 THS C
I, the Electrical Inspector, hereby Rough-in ate
certify that the above inspection has
been made. F,nel
ace
OFFICE USE ONLY _
- -
?his request void 18 months from
J
PERMIT# ?? c? `4 `"
2002 RF.SIDENUAL PLUMBLN? PEEiMTC APPI«iCATION
CITY OF f AfiAkN
S$SO PILOT KNOB {tD
EAfiRN, b1N 55188
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
hackflow preventer for irrigation system
SITEADDRESS: ,/ lA r r] ( I i
OWNER NAME: : G
INSTALLER NAME;
STREET ADDRESS: 6
CITY: L`? 11&-
RECEIPT DATE:
2- Ify 1kT\-SOkV hQ-A? TEL PHONEXF:VS
(AREA CODE)
V' ? Yn b I_T?EPHONE #: S ?
7 T l0 I Z1 ?J ? v
? ? 1 + U (AREA CODE)
? o a ; w? rq a ?
STATE: ZIP: S^J??
SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
. MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
?Adding fixtures to lowerh.roel om addiuding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
p
g unit (+ 518" meter if needed -$118)
Water turnaround - existing dwelli
n
1
,
,
QTn',
Y/
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ 50
?
Total Y `-'
I hereby acknowletlge that I have read this application, state thatthe information is correct, and agree to a
is the applicanPs responsihilRyto notify the property owner that the City of Eagan assumes no Iiabiiiry for
operational and maintenance activities to the facilities consWCted under this permit *tVfi City roper,Sy(
SIGNATl1RE OF PE
inances. It
its normal
r
ik I
CITY OF, EAGAN
? 3830 Pilot Ktr??b Road
Eagan, Minne6ota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-12303-010-02
DESCRIPTION:
REMARKS
PRV
FEE SUMMARY:
???s?/? ?
gux?oxwG
023701
05/25J94
l ,?-'-?
,? T ? ??"'?' i_
l" ?` -?? ?
ti? '?,?
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
692 CRIM50N LEAF 7R
LOT: 1 BLOCK: 2
AUTUMN RIDGE 4TH
Hvilding'-.Permit Type SF OWG
E3uildinq W:d,rk Type NEW
r" UBC 9ccupancy R-3 M-1
Cqnstrustiott Tyf3e
? V-N
i
, Zonin9 R-1
F Building LengC•h ?. 68
? Building Width 36
-, BuiTding stories ? 2
4 ?
t? ?f
S& W PLBR - WENZEL PLB6
Base Fee
Plan Review
Surcharge
SAC
SAG %
SAC Units
Subtotal
va;LuarzoN
$762.00
$495.30
$67.50
$809.00
100
$2,124.80
$135,000
MS5CELLANEOUS $1,828.59
Total Fee $3,953.30
CONTRACTOR: - Flpplicant - s7, I.xC. OWNER:
JOHNSON CON3T, M W 14326838 0002207 M W JOHNSON CQNS7
14251 CEpAR AVE 14251 CEOAR AVE
APPI.E VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 432-6838 (612)432-6838
I hereby acknowledge Chat S have read this appli,catlott and state that t'he
infnrmation is carreCC and agwe=s to comp]y wit:h all applzcabis S'taGa of Mn.
? StaCutes ettd C3ty of Eagart Ardinanaas. J
APPLICANTlPERMITEE SIG A RE . ISSUED B SI ATUF L? ,
,
,ERMI;r •k
REACTIYATE
roi
CITY OF EAG
1992-6UILDING P?RM17 A?PCI Tf
681-467 ?? 18 M
t4 ? ? ??w?
--------------- -- ---.___=E=e
z
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural $ structural plans, l set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ?7 Yaluation of work
Site Address: ??) 1'3 t.go?
(iQ-fi,, 1
1
STREET SUITE M . V
Tenant Name: (commercial only)
LOT _? BIACK ? SUBD. /9LIJLLAW
?` - -t^
J P.I.D. # i
3-DIO-DI ?
10-l230
.
- HddA ?
Descri tion of work: OVi4k,,,_c? A/f,,} ?%6?,:J? , 4L(;
u
The appl i cant i s: p' Owner EY/Contractor ? Other (oescribe)
Name Tvkfk6a ? n'1, (,L!• ( ( %r?-/k- Phane y3,;I
Property . LAST F,QST
Owner Address C ?ItC Ar,?e_ ,
City STREET ? STE X ?
State Zip
Company )h,l,JU t/A A rr.+,, I"gas?a-c- Phone `-/3a?'6,f'3?7
Contractor Address /V??<""/ License #aXr007 Exp.
City State /t^-N Zip
CompanyC??e-?{-???•?.,.5 l?s••- ti Phone ?raa- y?9a ;
ArChit@Ct/
Engineer Name Registration #
Address ?a,r3 e4-p_
City u1iJiAul State Zip
Sewer 8 water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply,with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Si
t
f
gna
ure o
Applicant:
6-1 1
,_-
N 4 OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. ? 01 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
P 31 New ? 33 Alterations 0 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Y# Basement sq. ft. (oSS
(Allowable) 1/N lst F1. sq, ft.
UBC Occupancy 3 I
t 2nd F1. sq. ft. ?S9
Zoning -/ Sq. Ft. total
# of Stories z Footprin t Sq. ft.
Length ? On-site well
Depth ? On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
?.Site
? Wallboard
Ck7 faoting
n Final
0 Framing
? Draintile
O 16 Basement finish
? 11 Swim Pool
? 18 Comm./Ind.
? 19 Camm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System X
City Water A-_
PRU Required
Booster Pump
Fire Sprinkler
Census Code ?
SAC Code ?
Census Bldg
Census Unit
Assessments
12 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
5AC %
SAC Units
13 s?
Y.?uat;m: $
IiS a?'
/Lr /,S_ % 2/
1 Z,? /6
?lk z ?l 7 2
ri.M a :
161,1-ly 7
9&P
zz
zz
z?
i? 6?k sy=
?O?.h zo : ?o
(?3 ?xi6
- ? ?
/?.E-? = zZ
'?3,> v
?3 y?76?
• - - CITY OF EAGAN . :?
1994 BUILDING PERMIT APPLICATION
' 681-4675
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.
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
Site Address:
STREET SUITE !F
Tenant Name: (commercial only)
LOT HIACK SUBD.
Descri tion of mork:
The applicant is: ? Owner ? Contractor ? Other (oescr;ne)
Name Phone
Property LAST FIRST
Owner
qddress
STREET STE q
City State Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
.
.;
LOT BIIRVEY CHECRLIST FOR RESIDENTIAL
-J u , SUILDINa ERMIT APP CATION
I m
o ?
PROPERTY LEGAL:
< 5-1
? N D te of 8urvey:
17
S ? DOCIIMENT STANDARDS ?? ?"/?/9cccLLG..
d /
e 0 0 • Reqistered Land Surveyor signature and company /
B" 0 0 • Builditig Permit Applicant
• Legal description
? ? 0 • Address
9-'11 13 • North arrow and bas scale
D''0 ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
?'? 0 • Directional drainage arrows with slope/gradient t.
0o'0 ? • Proposed/existing sewer and water services
p?? ? ? Street name
0' 0 0 • Driveway
Existina
0-'0 0 • Sewer service
2-?0 0 • Lot corners
V0 0 • Top of curb at the driveway
? 0'?? • Elevations of any existing adjacent homes
Prooosed
6?D ? • Garage floor
B? ? ? • First floor
? 0 ? • Lowest exposed elevation (walkout/window)
I?0 ? • Property corners
0? ? • Front and rear of home at the foundation
PONDING AREAS (if applicable)
0 ?p • Easement line
0 0?? • NwL
? 0/?7 • HWL
? ? p • Pond # designation
? o?o • Emergency overflow Elevation
AIMENSIONS
G--t 0 •
C?0 ? •
D-- D 0 -
0-- 0 0 •
9--D 0 .
0 O?-'13 -
Lot lines
Right-af-way and street wfdth (to back of curb)
Praposed home dimensians including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structuYes requiring permanent footings)
Show ail easements of racord and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
existing homes
Ret
Reviewed;
October 1992
1-
OVED BY?POV4ER Co.
--1 --
6??x6" TEE -
?7'-6" D1.P CL
SALVAGED H'
GND. ELEV.
943.80
w???
? 10 I ?
-'IC'? vI
I
?
? IEXIST.
? FAN MH
I
?
1
saw 2+30
C.S. - 945.3
INV - 9367
`s F§E CI i Y OF EAGAN DOES NOT tallARANi EE
i HE ,4CCURACY OF U'fILITY LOCATI0N5
AMD/OR ELEVATIONS. THIS DATA lS FOR
tNrJRll5ATI0N PURPOSES Oh1LV AR16
PERS-ONS USING IT SHOU! DVERi=y THE
tNrORiErATIOPd ON THE SITE.
STA. 5+07
2
s aw i+ 1e
C.S. - 946.1
INV- 9371
CRIMSC
tlfy lhat thts plan wae propared by m6 oF under my direct Nome 3
md thot I am a duly raql6tared Proferilaiiol Erlgin6sr undx 18372; Ddte ..g/i3/93 9724I93
the Stala oi MMnssota Rdg. No.
.?
SITE ADDRES
' CONTRACTOR
EXTERIOR EttVELOPE RVERAGE "U" LOMPUTATION
7 OAfl-Slnn
Determine working square footage of each.
1. Total exposed wall area ...... 78q9. 7 sq. ft. x 1 ? 3
2. 7ota1 roof/ceiling area .... 13 Lcq sq. fit,.x •ozl?° ?
Total exposed wa11 area above floor = Z14 67,Z
e. Total wall window area ..................:....... 33 ?, ?s
b. Total door area .. ..........................
c. Total sliding glass door area ................... 1?!
d: Total fireplace wall area ....... ... ..........
2.0 ?
e. Total wall framirq area (average 10%)...... ......
f. Total net wall area above floor .................
g. Total rim joist area ........................... 2 7tn
Total exposed foundation area = J0 S.Lo
h. Totat foundation window area.....................
i. Toal net foundation area abpve grade ............ / Q 5?t.a
petermine "U" value of each wall segment.
a. 33Z, 8 X 'lull
b. . ?8. X „u„
c. ? c? • A•110
a. X "ull, 3t, = 1?,2d
e. Zo3,5 x ??U" .01 = O, 1
f. I ?3 ?I, 5 X "U"
9. Z'7!? Xlluii .O3 = IO. rI'P -,
h - X u„
„
-.-
i. rr`:.,LD X ,lU„
? 3 . . .. .. . . : . . . . . . . . . . . . . . .?. :f. . .Total = I .2
If item 13 is t6e same as, or 7ess #han item @l,You have met the :4ntent -
_ .of SSC 6006(c)2. . `: ° s °.:•
. ? .?. ? .
? a?
?. ?-...
q5? F . n
. ?
. i'
, , . Total exposed roof/ceilin9 area = ?? ??
. ,? Total gross roof/ceiling area = I 3la`? ,
... j. Tota1 skylight area . ..................
k. Total roof/ceiling framing area ........
• 1. Total net insulated roof/ceiling area....... IZ Z),L?
. Determine "U".value for each roof/celling segment.
:... . _ . . ,.-.__ . .. . X nuu
1
k. 131.0, ? X
1. 12ZQ,b X "U" .pZZ = . 2`7
4 ..................1? b'? .........Tota] _ L'ao ,2?
If totaT of #4 is the same as, or less than #2, you have met the intent.of
SBC ti006(c)l.
To utiTized the total envelope system method, the values.established by the
sum of items 63 and #4 shall not be greater than the svm of itens 81 and #2.
?. - 31 -LO,?13 + z. 3?5,? = 3,4
3._ 3f?,2- lo + 4. 30,Z'7 = ?4y,53
? CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE:
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Datelssued:
L'2055 ?10.;2?
BUTLDING
027415
05/01/96
SITE ADDRESS:
692 CRIM50N IEAF 7R
LOT: 1 BLOCK: 2
AUTUMN RIDGE 4TH
P.I.N.: 10-12303-010-02
DESCRIPTION:
,.?,£enSus.
?-
pfl ?
ermit Type DECK
g??k Type NEW
e434 ALT. RESIDENTIAL
rw xgnm?R a? ?m
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
$45.80
$.50
$45.50
COPY $•50
Total Fee $46.00
CONTRACTOR: OWNER: - Applicant -
MERRILL ANTHONY
692 CRIMISQN LEAF TR
EAGAN MN 55123
(612)733-7611
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New ConsWelion Reauirements
? 3 regisfered site surveys
? 2 copies ot plans (includa beam & window sizes; poured fnd. design; etc.)
? 1 energy calculations
? 3 copies of tree preserva[ion plan N let plalted efter 711193
required: _ Yes _ No
RemodeVReoair Reauirements
4koo
CGoec(.430
? 2 copies of plan
? 2 site surveys (exlerior addHions & decks)
? 1 energy wkulations tor healed additions
DATE: 7-4 3'`i 6. CONSTRUCTtON COST:
$ I S-cx3, UU EJ T
DESCRIPTION OF WORK:
STREET ADDRESS:
ILOT ? BLOCK ? SUBD./P.I.D. #: '?'^'? ?"' `' ?•'ke- Y'? '?'.d?"`,
PROPERTY
OWNER
Name: /t'1e,r,9l 6'„4
NyT FR6T
'133- "IlP [ I - W UYK- I-"
Phone
Street Address. 6Y a C~,I?fbti 4e4l
City: F=k, State: ^--' Zip:
coNTwacTOR Company:
Street Address:
City: State: _
ARCNITECT! Company:
ENGINEER
Name:
Street
City:
State:
Zip:
Sewer 8 water licensed plumber: . Penalty appiies when address cfiange and fot
change are requested once permit is issued.
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
_ Yes _ No
??ENER
APft 2 5 4996
Phone #:
License
Zip:
Phone
Registration
Tree Preservation Plan Received Yec Nn
' - RESIDENTIAL
BUILDING PERMIT APPLICATION --1
CITY OF EAGAN ? l U 0?
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Constructlon peaulramenle
• 3 registered slle surveys showing sq. ft of ht, sq. it. of house; antl all raoted areas
(200% maximum bt coverege albwed)
. 2 coples al plan showing heam & whidow s¢es; pouretl lound design, etc.)
. 7 set M Ertergy CaAulationa
• 3 copies o1 Tree Preservstion Plan M bt plebed after 7103
• Rim,bist Deoll Optbns selection sheet (bWgs with 3 or less untls)
DATE t?/6 f a6l?2?
SITE ADD
NPE OF
APPLICANT -? ???fI?I `?'-? -???G?S /,
- ,-
STREET ADDRESS ? 7 3 T/??f D? ??
TELEPHONE # 6-57 7,fN SZ!S ? CELL PHONE #
PROPERTY OWNER
AULTI-FAMILY BLDG _ Y _ K
FlREPLACE(S) _ 0 _ 1 _ 2
???? ??`fATE _ ZIP 557.z S?
Fnx #P57 7 r(? v 6 3 6
TELEPHONE # 2`1? 63y 7
----------------------------- ---------- ----° °-------------°-----
COMPLETE THIS SECTION FOR "NE_IjV " RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RIJI,ES 7670 CATEGORY 1 r
(4 submission rype) . Residential Ventilation Category t Worksheet Submitted •
• Energy Envelope Calculations Submittetl
Plumbing Conhactor;
Plumbing system includes:
Mechanical Confracfor:
Mechanical system includes:
Sewer/Water Conhactor.
_ Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Y 1 6 200Z
Fee: $90.00
Fee: $70.00
I hereby acknowledge ihat I have read this applicatlon, state that the information is correct, and agree to comply
with all applicoble STate of Minnesota Statutes and City of Eagan Ordinan??Js.
Signolure of Applicanf
OFFfCE USE ONLY
RemotlaVRenalr NeaulremeMS j-?- I - C)
• 2 copies of plen
• 1SetolEnergyCalculationslorhealedaddilbns
• lsilesurveytorexlerbraddttions&decks
. lntlkate tl home served by septic systam for add'Aions
VALUATION
_ Phone #
Iawn Spruikler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
O 01 Foundatron
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
O /'2 Addition
i?i? 33 Alteretion
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ?
18 Deck
Q 11 10-plex ?
/
pa 19 Lower vel
? 12 12-plex PI Y or _ N
Valuation gD o0
Census Code ?
SAC Units ?
Nbr. of Units t?
Nbr. of Bldgs
Type of Const 57 V
O 20 Pool
? 21 Poroh (3sea.)
? 22 Poroh/Addn. (4sea.)
? 23 Poroh (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ezt. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement 0 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bfdg)' ? 43 Reroof ? 48 Windows/Doors
*Demolition (EMire Bldg only) - Give PCA handout ta applicant
Occupancy _P,- ?> - -' MC/ES System
Zoning !{_/ City Water
Stories Booster Pump
Sq. Ft. PRV
Langth Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
- Footings (deck) ? FinaVNo C.O.
Footings (addition) Plumbing
_ Foundation ?f HVAC
Drain Tile Other
? Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _
_ Framing _ Siding Stucco Stone
Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
? Insulation _ Retaining WaII
$' -2v - v Y/
Approved By /i p , Building Inspecior
8ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
MAY-23-94 TUfi 4:49 PM M W,10HHSOH COKSPRUCTION
• , rre ?;.:. --.; !
cir,
rn..
g4S.$
94o:7. • .
FAX u0.. ._4?2. 687?
...CR1 Maott' LE AF? 't"{? Al 1..... ?--?-?;
,
w. ?
.
? 400
?
?
s?
0 ?
n
?r
; Aa
13?? i5
4'q'? i$"C'
o?j?
m •?f ARACeCr ? x = ?R " y
? e SA.O,id , ± fi.o
n ,94 4L
___.i PR?Pog?D
HGf6-w
? ? . L atla?. - o u.T
GLs
AV?
?% NGc ?D
? 04
-. ..,.. ..,.. ,.r.. ,__._ _... - -
a
..... ,v. .w
1?6Y Vg4-t
Fs K yw(..4
P. 1
?
? M
L-_
ZEAGANN
REVIEWE"q
.MEW.» 41M dW .4.
Gr•t 94?e.a
Fir?{ 9?ro,o
&x 939,s' ? '.?? ? 07 4+
? Au ga8s
???+???I?S.$sMVti!
* ? o ? o ?]`u??l,ll
r ?
R=97%
? ? ?
??T 1 ? 1?6.e'.3•+?,1? ? j B? , ..
. . /s.t„r'Cl?i?? F??Dtxa? Da
.-,r? -r? . 1?D a+T t c?.M-t r EAGAN E.. GINEE ?.-T
?P.4?._e?TA C.ot?Y.l"C`'C? I?..t. f??Al?I?Gr'7.'A?66UMCsL?
l+t? 1 h1 W IF-047 "rA. , Q40.JvITP)• lMp&{ N1G?.Nv Me+,l'r
I hereby oertSYy that this suxwey waffi pregared b;y me or
unQer iqy direct guparvieion 2ind triat x s,m a duly Registexed
I,and Surv@ynr under the I,awr of tria .9ta'te. 4f MiYUaeso'ta.
Date s M l
izev. LoRby Bn 2sn
Regietsred Land Surveyor IVo. 10795
~ 432 6872 05-23-94 0%1:51.PM P001'#40
. . --.•:la?pt?R??_?} ,.
, .r.??r c.e,,?s??.? ?? "'CRp.sc?
M W.JOHNSON CONSTRUCTIOK
.r"" ,;.r.. , r
?°•-m?'?"-'???I?- ?c1.,, ?74?.«9
•1;tiL?.lT El.. d)40;7
•
FAX ND,.._¢32. 6872. .
. . ?t??M?nnt? ??A? ?t?A? I.... -?..?'
- - - ?-------? -- ? ?-
41 ry/?
L1?
?
Q 4oo
? .,
?
Q.
?
-? -
kJ• ?
7
!?....,
f
;
1TJ
13Z. ? l5
?
.._. , ?. n ..? • ? ? ?
? A °? I
.. j '? p +,.a
-/ n .94
LndD iC. - aVT
? ,.
Ip ?
---- ..,. .... .... _.._ _... ..?
? .+4r
I
a ?
t I
uTiLrtl-,'"?? A,l-4 0158,0 '
( 63.
j i} J °,
?
?-
' ?RAty
...,.. .r....
i ?4 9w(-.4
?
4 ?m
V 0 iw •
7EAGANN
REVIEWER
.wr ? .r..
&x %9or 137, 1 4+ Gx 9*0.?
?+u ga?s
? ?`? °4 ? ?,z.8" V?! . . ?•? ?"'-?°
P• R
¦ ¦ ?W 1?... ?;? ?"+ ? i3 G'1 Fi?:a ?•uV' 1`
.. C!=imW
?T 1 a 'LaLe3.ae., Mi.. 21 B? , ..
. . p.v?Ct.?helt--t RtDt?,? La
EAGAN E GINEE
pR.?c..e??A cr?Vt+IT'C? W,.l- C??PJ?1???h? M5uMeFls
ht? I ?.1 hl ?`?D YA Q?'T6¢' IRv1? lvlo.Mtu M?J-?'
i hereby aertiPy that this survey wam prspared by me or
under my d'zrect suparvieion and trlat r aw a duly Regiatered
Land surveyor under the 7aa,wo of ths .State of Mirineoota.
Datee,A6?z Y4 /gg?., --
IZ?V. S"-.23- ? Le?"o?eSo2en? ?
+ Regietered Land SurVeyox` Na. 10795
8=57% 422 6872 .. ... 05-23-94 0i:51PMP011? tf40
, .(r*'J's C.e.?wi?srae.l 1..?!°•Jk?' 'fRA.1+..
PERMIT
City of Eagan Permit Type: Mechanical
Permit Number: EA105562
Date Issued: 0711912012
itj of 0n Permit Category: ePermit
R
Site Address: 692 Crimson Leaf Tr
Lot: 1 Block: 2 Addition: Autumn Ridge 04th
PID: 10-12303-02-010
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $60.00
Contractor: - Applicant - Owner:
Genz Ryan Plumbing & Heating Anthony L Merrill
2200 West Highway 13 692 Crimson Leaf Tr
Burnsville MN 55337 Eagan MN 55123
(952) 767-1000
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA173815
Date Issued:12/06/2021
Permit Category:ePermit
Site Address: 692 Crimson Leaf Tr
Lot:1 Block: 2 Addition: Autumn Ridge 4th
PID:10-12303-02-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
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. When a weather barrier is installed or
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 -
Anthony L & Paula L Merrill
692 Crimson Leaf Trl
Saint Paul MN 55123--304
Pure Home Restoration Llc
20384 Hampton Ave
Lakeville MN 55044
(952) 955-9011
Applicant/Permitee: Signature Issued By: Signature