Loading...
3812 Country Creek WayCITY OF EAGAN 3795 Pilot Knob Road Eogan, MN 55124 N2 4682 PHONE: 4548100 BUILDING PERMIT Receipt #k 9 " To be used for ' "= • `x (` "rg• Est. Volue Dote - - % . , 19 Site Address ?" ' •='?32' ` 'r? `- "? r F ? ?• Erect Q Occupancy Lot Block Sec/Sub. Alter ? Zoning Porcel # f?7' i ?1?r? it Repair ? Fire Zone E l of Const T n urge ? . ype lx W Name N`tt1ATcoTt Move ? # Stories Z 3 Addres s Demolish ? Front ft. ?, ? r;.,, pw„„e Grode ? Depth ft. C? Name '.-ai 1 1 p116Z 5pI1 vl CiT. r. wVP...•'•• Z? 1 ??Z6 t?at Assessment Permit - o Q ? Address Woter & Sew. Ci Ph ; Surcharge - ty - one Police N Plan check 5U0 00 ame Fire . 5AC j Address Eng. Water Conn. 2 Sd • Q <w Cit Phone Plonner Water Meter - Councii I hereby acknowledge that I have read this application ond stute that gldg Off . . the information is correct ond agree to comply with all applicable APC Total r 2 7 •5, State of Minnesota Statutes ond City of Eogan Ordinances. Signature of Permittee _ A Building Permit is issued all work shall be done in o Building Official I c . . - '.i • II applicable State of Mi on the express condition that Statutes and City of Eegan Ordinances. P*nnk # Dote Lnred Psnuktw Plum6ing _ Mechaniwl INSPECTIOhS DAT 07 INSP. Raugh-In Hnd Footings Ocrte Insa. Insp. Foundation Plumbi ng Frame/ i ns. Mechanica I Final ? Remorks: CITY OF EAGAN Remarks Addition CEDr==? GROVE 11 Lot 4 Elk Owner ?- 4Zr st,eec 3812 Cou.ntry Creek Way 9, I'rovement Date Amount Annual Years Payment Receipt Date STREETSURF. DP-- 1971 261.65 26.16 10 5.37 C005164 8-4-78 STREETRESTOR. 1975 124.31 12.(F'3 10 74.59 C005164 8-4-78 GRADING ree .710135.45 • 1100.68 C005164 8-4-78 SAN SEW TRUNK tlf 6i 196$ 60.09 2.00 30 3$.09 C005164 8-4-78 -? SEWERLATERAL I5-, 1,493. ( 2 g-79 298,$0 C005164 8-4-78 * Water lat. & stubs 5 WATERMAI N WATERLATERAL & atea 1973 200•45 13•3 15 120.29 C005164 8-4-78 WATEA AREA * Storm Sewer Trunk JI 1976 268.39 53•68 5 107.38 C005164 8-4-78 STORMSEW TRK 21 1971? 33.56 1.67 20 20.20 C005164 8-4-78 STORMSEWLAT 110 1971 22.37 1.11 20 13.49 C005164 8-4-78 CURB & GUTTER 510EWALK 1978 187,52 1.75 10 Pd. C005164 8-4-78 STREET LIGHT WATER CONN. , - - BUILDING PER, SAC 3-1-16 PARK OF EAGAN SEWER SERVICE PERMIT Pilot Knob Road PERMIT NO.: MN 55122 DATE: i: No. of Units: ' ite Address: , !In,. r.. . ^ t t _ , _ ? lumber: ogree to eanply with !he City of Eagan Connection Chorge: Winanoes. Account Deposit: Permit Fee: Surcharge: - y Misc. Charges: )ote of Insp.: Totol: nsa.: Date Paid: CITY ,,^?€ EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Rood PERMIT NO.: Eogan, MN 55122 DATE: Zoning: No, of Units: Owner: -- - Address: Site Addresr. Plumber: ' Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: I agree to eomply with Fhe Citp of Eagan Surcharge: Ordinanees. Misc. Charges Total: Sy _ Dute Paid: Dote of Insp.: Insp.: CITY OF EAGAN 3795 Pikf Knob Road 69ow. Jr{Inwesote 55122 P6ewe: 454-8100 `' - PERMIT Date: Apz1 l20, 19i 8 Receipt No.: ? Single : $ite Address: '"12 COuI? ~ rr'' :' zee-?, i; a. r Residential , Lot Block ? Sub/Sec. _ C?; 'L I I No. 154 09703 Name New/Alter./Repoir. ` . ? Address Cost of Instotlotion City %'7[JlE V31le}' 2? ?O^e: Permit Fee ' ? ' ` Nome _r'enZ-Rydri Y1lllilblxlq & Fie:;tti•1g InC urdwarge .50 ? Address 114745 SO. 1?_rt Trr--i ?i ? 0 V City PhO^e: Total This Pe it is issued on the express condition that all work shall be done in accordonce with oll opplicable State of Min ta Statutes and City of Ecgon Ordinances. Building Officiol v, ?cIrY oF EAGAN ? 3795 Wlot Kno6 Read i Eagon, Minnmota 'iSlu r: Phone: 464.8100 PERMIT Date: t iP r11 1')f i: 9 71 ?. Site Address: ' ' I J:ountry Creek W<3'. s ? ; Lot Blotk " Sub/SeC. ? No. 1082 Receipt No.: Single I Residential , Multi Res., Comm./Ind. I Name - , , - - - New/Alter./Repotr i. ? e Address Cost of Instcllotion : ?. ? Gry Va1Ic?•?.? - j. Phone: Permit Fee ' ?• - k` 5 ` Ncme =-"??';'°Rvan P].umLiny & Ileatinu ? Surcharye ? Address ? City Phone: Totol ? ? This R-t-is issued on rhe express condition rhot oll work shall be done in accordonce wlth all opplicable State of Minnesota Sfotutes and City of Eogcn Ordinonces. Buildinp Official _. a? City of Eapn 3830 Pilot Knab Road Eagan MN 55122 Phone: (651) 675-5675 ------------------ ? roronc6use ? ? Permit q: I ? Pertnit Fee: ? Dale Received: j 1 ? Fax: (651) 675-5694 Stafl: ? ------? ---------- 2008 RESIDENTIAL BUILDI?G PERMIT APPLICATION Daie: Site Address: -3 ov Tenant: Suite #: 9 5 a 0 RESIDENT I OWNER Phone: Name: /f>'`a ?fJS?W SS???-j 1 Z 6oC/e-z? t '3 F , . a Address / Ciry / Zip: ? Applicant is: _ Owner Contractor R W " p°t ,ys TYPE OF O K Description of work: fi - , Construction Cost ?! li i?U 'N Multi-Family Building: (Yes No ? CONTRACTOR Name: (v jj S t-?Vcj''" License #: Address: City: State: Zip: Phone: ?" ''' ° Contact Person: ^? v Z' c" COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . ResideNial Ventilation Category i Worksheet • New Energy Code Worksheet Category Su6mined Submided submisSion type) • Energy Envelope Calculations Su6mitted In the last 12 months, has the City of Eagan issued a permit for a similar plan bssed on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone= Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporting.documents that you submit are consedered to 6e public informaHon.` Porfions of the intoimation may be classified as non-pubtic if you.provide specific reasons that wou(d permit the Ciry to conclude that the are: trade secre[s. I here6y acknowledge that this information is complele and accurate; that the work will be in conformance with the ordinances and codes of the Cily of Eagan; that I understand fhis is no1 a permit, but only an applicalion ior a permil, and work is not to start without a permil; ihat the work will be in accordance with the approved plan in the case of work which requires a review and appr al of plans. ...??OLI 0 ?J^? . x x ApplicanTs Printed Name plicani's Signaiure Page 1 of 3 ---- , - ? ? QY G ? 'BUILDITz PERMIT .AP?LICATION . ?y '.?a luat ion I,ot Block Se ./Sub. Parcel Nunber / 0 16711 z9YO O/ To be nsea Site F.ddress: nAxE 4i L S' Include 2 sets o£ plans, 1 site plan w/elevatinns an.c?. 1 set of e:nergy calculations. . ? Owner Address \ - - ' Contractor - ° . Address r .YYI.?il . Arch./Eng. Address Telephone Telephone °??`?''/0 r ?? Telephone qFPICF F;:;E Erect Alter F9pr31r Pr.).arr.eT__-------._..?__ Move Demolish Grade C,i?FI.?'?l ?6E llate of A roval & Initial Assessment F;ater/Se:ae±' PoliCe ` , ..., -- k;ng . Planner Cbuncil Aldg. Off. A.P.C. occupancy ? Zoning Fize 7one 7ype nf.' r'or,st. y :/_ ?,. #i of swries ? Front Depth FEES Permit Surchn-ge Plan C'heck ? 1C r,,rater L'onn. I7ater Neter TOTA7 _ e CITY OP EAGAN 3795 Pilot Knob Rmd Eagan, MN 53722 PHONE: 4548700 BUILDING PERMIT APPLICATION $34,000. Receipt ??- SF DWlg, b GHIg,Est Value Dote 19__1$ To be sed for Site Address 3812 -intrv Crank W Erect [IK Occupancy ? Lot-4BlockI - Sec/Sub. ^^ -+T+? -- Alter ? Zoning Ri 3 Repair ? Fire Zone Porcel # 107 F71 1 040 91 Enlorge ? Type of Const. ?7-- s Name .TOhn /Lndelson Move ? # Stories z Address Demolish ? Front ft. 3 o Gmde p Depth ft. Phone Ci Carl Tollefson Bldrs. ApproYal' F o Name 100 5(I zP o? UF Name _ Address I hereby ackrwwledge that 1 have read this application and state that the informotion is correct and agree to comply with pll applicable $tate of Minnesotn Statutes and City of Eogan Ordinances. Signature ot Permittee _ A Building Permit is issued all work shall be done in c a Building Official 13816 Assessment Wufer & Sew. Police Fire Eng. Planner Council Bidg. Off. APC N° 4682 Permit - $urcharge 17•00 Plan check SAC 500.00 Water Conn. 250-0? Water Meter -_.60.-11121 Total 927. 50 .aYS. on the expren condition thaf of Minnesote Statutes ond City of Eagan Ordinunces. 4mmMMr?T'ollafson Builders Inc. ? F. C. JACKSON uwn suRVSroR XiO1fT6RlD YND[11 LAWf O/ 1ThTt O! MINN40TA LICiNSltD tV ORDINANCt W GTY O/ MINNtAtOLI{ 361e Ewsr earH srReEr55417 727-3484 Ottrbcpoc'g 6crtificate ;y? v S a- '.• v? •a ??. I ? a a r s) ?--_ \ o `? ? ' I rr ? I ? ? I i? 1 or.10795-/ 181-I1A j g _ t- , N 1t ? ? i --_-- _ I ° ( I ? ( '. I HEfiESY CBRTIRY TNAT TN[ A00V[ 15 A TRU[ ANG OORIItR PLAT OP A 9URYtY O? Lot 4,Block 1,Cedar Grave No. 11, Dakota CauaCy,Minnesots. /+s auavereo 6Y M! TH16 lpth, pAY OF Feb. , p 1978 F. C. o c- : v?- ? 1 ? ? ? ot ? ? Y ? y O V r?-.---'-- '?ON. MInNte is Rz6uiew7roH. No. 3600 ?t^? r,F.u'K't "ra ' ? + ^. ? . d ' -,. , . . . _: _ . - -- - ' ., r[ . ,- , _ ,;: •,.a soa pr Fr s.?. um: x s'sQ. pocsmncE Itr,i EP.r.GTC$ ' 0 Yc;2IIF(113 L:.;>5 ?P}:f1IDlGa VAL[iE x?s ;k ? 7 ?? y g f c r? o..t t' f ' 4 s -, -ny aL- - .:.... ._. , q S ? i i ? ' F >...?. ?? . c ro(. 25 S 1 f? + ?4 zY? "I Y 1a ? .?.? ? _ . t ?R.a irn]?- ? 's !d SZ . , : _ ..-. .,.?...?. ri?i:'?i? ???r?7?OV ?&' °? I ?i f 1 . ?,.?? .. . ti . . ? ;,? '1(? ? ? - ? ? -._... . .. ,_v . ,.., ......_. ? . . ......., ..?,.y, Lp a F ?. ?' _ L 1 E c..a ,.. .. ... ?_.. ' Y I? ' ?. ? ---- }?.? na d t'li ??..?.c_ .___...r,.m.?......?...v ._.„.?...._._...?_.. ,...,.,...?..,a????a I . ??_ ? 3 ? 4s F?? t & ?t m?i TO?f.LS 4 / y . .. ' . . . . t )? ? .y ?am I S . .e...??? ?..f ...-vr?xz-x-mr •..!'a+c.c..m.......e.m.c.?.??._._i-?..r. ? ?_ ?? vrmm- . ?:_ .77 __? .. .?...-.,?- -.:..m., . a ?......s- . i ?f 7c' ?d 5? AI t ? iCTAL; r. . CLII?It'G3 .. _ .. .._ . ++r..'?i?. .. ? -? $G 7 pn) ? C7 !' ' u ? ?16^tAI.S r" ya ?a.?.??_?...?a?.??.?....?..?..<,_...... ?; : , . -. + ?;,x??,? I { I. S? k , . .^ ?t.'t<f4C.'A'iSS.S`}?'ffi.•? .. . P )TAL ? VA? Jl ? ? . . .. . ?. ('!' (PAK) ? AVERACr', reU" . .. $ r I]IVZDFT I3Y Ti3T.1l, a.II.LA.tiA , i. . . . . ' . . . : ., ' . . . . _ , ,.... . . . . . .. . .. . . , 4 , , . - . . . . . _ . . .. - ' . . - . ,., . ,' _ ? ? ? ?- tl ?8 r ? ro'? 1 , ? ? ? -- p ? ) - - •-___.._.._,?."._.1,( ? F? ? rt.. y i??(?, j ?/{? ?- ..o _ 1 ? ( 3a t.n?.? Y>gefUG ('RP'd7 ?..?. , ' °c i??•--•_.-e . ? )j/ ?e l,? ?" ? ? ; - ( _-?-...._... ? . ?S. . .... _ i? f If\1 ? .?7? Z.oL?7?qE??lq? _ TF II '6" i ?t t ?w n?b l0.) Go C.I?G ?_ - ,?r ? •?_. .?,. . ? h , rt r ? `? ? ?? i /1.y.L? ?__ ? ? .?.,... . ?? p t'i -------------- t01 ?? ?rf`riE? R 4 G E ? --:?-- ? Tj?e Gf{_ P i7 ??? ?. ,.?. ...?z. . IC?.J?.?ih}501_ ? . ? t -'-^-, - n" ? n ? c±Sr r ' 3 ( L: W c r r?_c. j 5_._,. c.?.t G ?`. ? F??R ? ? i ?., l? •_._._? ?? ? e?.?n ???? ?t 1C i q 2 ...?..__ ?T7 Z ?Fe?tq??(' . ? GO"1r R l7dI 7'i q 'ql '? ?L ? ?UrR b,nrJC. Iro F2o,.JT L10VS?E a ° - - ?...,.....,.._.._.. -------------------- --- ------ -------- ` .. ' . V--. -- „ ? ._..e., ,-.... _,..,_......,,_..._._ ? j n I ! ? s ? ? ,-.. . . . . ?. a... , . ? : _ . . . . . , #:rr? i r .5..... ... ._ . . ... This request void 18 months from Date of t'Request ? ' ?+? e Tfl P 80105 I, as icensed Electric Contractor OOwner, do hereby request inspection of the above electri- cal,wiring installed at: (2- ?s/? n Street Address or Route No." OiZeA6 rty -cS,61 Section Township Range Count / Which is occupied by (Name of cupan Is a roughin inspection required on this job? No ? Yes C?Ready Now O Will Call fLl? .. . . /U n . Power Supplier Electrical Cont??gRICu FIECTRi? ?????- fCompany Name) Contractor's License No. _ Mailingnddress,.,?,? wr?- T1R1VF BURNSVtLLE Authorized ctor or Owner No. ;ovcnuai comractoY of Owner Making ThiS In5[811atlon) SV{pti ?7 E o?AR? C0P?/7 This inspection request will not be accepted 6y the v-u u ? 0 U State Board unless praper inapection fee is enclased. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-phone 645-7703 'HECK BEE OSJ ORKOCO EKED BYI THIS REQUEST'ON P 1 tiype ?f BuildinK New pdd. Re ? O y O? P- Check Appliances Wiced Foi Check Equipment W'ved Fc Home ? ? ? Rattge Duplex ? ? Tempoiary Wiring ? ? Wa[et r Ligh[ingFixtures 8' APt. Bldg. ? ? ? Dryex Commercial Bldg. ? ? ? Fuma Elecixic Heating ? Industrial Bid Silo Unloader ? g. El 0 ? A'v C itio Bulk Milk Tank ? Farm ? 0 E] Lis[ ) Others} List Other ? ? ? Hete ) R[he1 rs? eIe OMPUTE INSPECTION FHE BELOW Remarks fee : TOTAL FEE I, the ElecMcal Inspec[ot, hereby c that We Ao?p (Rough- jnspection has been mat in) ? (Final) Date _ / '??' i ? „ ? ?• Date ?" This request void 16 months from ? 0 'fhis request void 18 mon[hs from ?-''G?? iZ / (v Date of t ' Request .--? ` /'3• P67871 I, as censed ElecYrical Contractor ? Owner, do hereby request inspection of the above electri- cal wiring installed at: Street Address or . ou No. '? 0 1 of l_bC_LL?Gt Section Township W4uch is occupied by Is a roughin inspec[ion required on [his job? No ? Yes C7' Ready Now ? Will Call Power Supplier zuo' 4 Address " .N ry ?'?yg? ([y'@? ? ! Electrlcal Cont??oE L1! ?lt1 t.?LC t'`I" Contractor' License No. (COmpanyName) gURNSVILLE Mailing Adaress[3 R I 3 H I' i H (Electrical Conttactor or Owner Making Tnls Installat ?- hOd 6- Authorized Signatur?7ARYKLNUKIL'N Phone No. (Electrical Contra<tor or Owner Makiqg ThIS Installation) ??j ??f ?j'? ? ??j???? This inspection request will not be accepted by the ?f State Board unless proper inspection fee is enclosed. Minnesota State Board of Electricity 1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 °EQUEST FOR ELECTRICAL INSPECTION CHECK BELOW WOAK COVERED BY THIS REQUEST P 67871 Type of Building New Add. Rep. Check Appliances Wired Fot Check Fquipment Wieed Fm Home Duplex ? ? ? ? ? Aa?Ke [?.. Wa t eri?I-eate x( Temporary Wiring Fi Li hti t ? A dld ? ? ? p , f , ? - g ng x ures pt. g. Commercial Bldg. ? ? ? Dry .? .^- ? ?? F?(tn?ace ?- ? Electric Heating Silo UNoader ? ? Industxial Bldg. ? ? ? A'U Con ' Y`ione? ?? Bulk Milk Tank ? Faxm ? ? ? Lis[ ) List Other ? ? ? Others} Hete ) L Others? Here > COMPUTE INSPECTION FEE BELOW Secvice Entrance Size: # Fce Feede[s&Subfeedeis: # Fee C¢cuits: # Fce 0[0 100 Am s. 0 to 30 Am eres 0 to 30 Am eies IGl ta 200 Amps. 31 to 100 Amperes 31 to 100 Am eres Above 200_Amps. Abovc ]00 Amps. Above 100 Amps. Transfoxmets RemoteControlCirc. Partieloro[herfee Signs Special lnspection Minimum fee $5.00 Remarks TOTALFEE ?- I, the Electrical Inspector, hereby hat t a verinspection has bee ? ade. ? (Rough-in) ce' Date (Final) aj5 ? Date This request void 18 months from ? Date: C!tyofEa�ali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r cc� Use BLUE or BLACK Ink Permit #: Permit Fee: • L/C Date Rec:ived: Staff: INFLOW & INFILTRATION PERMIT APPLICATION Plumbing / Sewer & Water - Site Address: 30/2_ 2- e n C.) id%e feE 2/-)A Q Tenant: ---77///1I/O/ A-5/9" Suite #: RESIDENT / OWNER Name: ///24 Q iti5-79- Phone: 65-1- 4�6 Z 2052 Address / City / Zip: 3,612_ co d 0#161-€c/". t ieEE ,CL. Gay' 6-.m CONTRACTOR Name: License #: Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope) Sump Pump Repair Repair Other: Other: DESCRIPTION Description of work: REA Cj / / �- 5 7? fv1K1,,0 FEES $55.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ *Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit I/1 repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 wor Nhich requires a review and approval of plans. Applicant's Printed Name 4 x Applicant's Signature FOR OFFICE USE Reviewed By Required Inspections: a ugh-ln > I . , 4 II Use BLUE or BLACK Ink ' r----------------� I For Office Use � ' � Permit#: �T� U`p I City of �a�� � ��� �� � � � Permit Fee: � 3830 Pilot Knob Road � � I Eagan MN 55122 � Date Received: -� � ���� � Phone: (651)675-5675 I � Fax: (651)675-5694 i I Staff: I �' Y ' I Ir 1 �`.. . . Cl ..11.�,� �--------------N.1� � � 2015 RE IDENTIAL BUILDING PERMIT APPLICATION � \�\ Date: Site A dress: Unit#: � �1 Name: e' . �� Phone: f6�-���' ������ Address/Cit l Zip: C,� �� � � �i���� � � Applicant is: �Owner Contractor �`" Description o wor Construction ost: Multi-Family Building:(Yes /No ` ) Company: � Contact: Address: I� City: State: Zip: Phone: EmaiL License#: Lead Certificate#: If the project is exempt from lea certification, please explain why: (see Page 3 for additional information) COMPLE E THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Cit 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: �, , , : , CALL BEFORE YOU DIG. Call opher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locat s of underground utilities. www.qopherstateonecall.orp I hereby acknowledge that this informat�n 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 ermit, 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 th�case of work which requires a review and approval of plans. Exterior work authorized by a buildin permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. � x / Y . �I�Jll. x�° � ApplicanYs Printe ame Applicant's Signature Page 1 of 3 C DO NOT WRITE BELOW THIS LINE �� �t� • SUB TYPES ��� � `r"'-�'r CT'tr`'�. ��� Foundation _ Fireplace _ Porch(3-Seasafi) _ Exterior Alteration (Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration (Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous _ 01 of_Plex Lower Level Pool Accessory Building WORK TYPES �ectJ �e C.� i� I�-�G=^!�- � New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage _ Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION Valuation 2,�QO.� Occupancy �� MCES System Plan Review �` Code Edition 'Zp(S�SQ(i SAC Units (25%_100%�) Zoning '�'� City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction`� Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: � Footings (Deck) Final/C.O. Required Footings (Addition) � Final/ No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall: _Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In_Final Braced Walls Erosion Control Other: Reviewed By: ��' , Building Inspector RESIDENTIAL FEES 1�� /� Base Fee � � `� � �o — �lD � /� � � ��� �v Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit 8�Surcharge Treatment Plant Copies TOTAL Page 2 of 3 1Di1�i�9tt billi��t�8 �� _. ,: < ' Or.1F3795'f . , « , � _ _ ` 1$1-1U1 = F'. C. JA�t�SDN � L/lND 3URYE1(OR . � R£Gl.S,��;D UY�,.^,�r'z L.lWS O� STA'������ �ri?'J'i���'a;i. ��� / . � lz- "�� *� i.iCE:dSED. HY O�i?itld.NCf Og CiTY L1� �ti�lNg,'d+�3Lt� � � � s s s �as-s- s��� sT�x��-r�g!+I 7 � g� `2. C 0 t�.v�`�-^h, C_��e e� ��✓ l;\\ 727-?��4 : J � �urbcp�r'� �e�ti�i�at� .,-� y l� T '+- � � li J� -Q .�_,`` _ � �� ��'r„�-r� ,� � " • � O - '6���".' _�� " --""'� �� '�.'---•,,��/ � ''----.� �I-. —_..` '�-�Fh.� ! ��,� \ � � '�� i"' ` i �.. r`l � v � p� ��.",.� �`. ,. � � , p ' , , \u t� � N `..`Ot °- � .�-,�. c��,�-��,,.,�i .,,� � a �r �_ � 1 � � n� _ _ _:� �- i� � �l � � .�' �� �. , n � :�.�` a� a � � � • " � '� �. � � �t: ° 3 ��` �' - � � s � Q�� � � � o; � � -�� ,-y Z ,�'� r ( � �P I �,,j „� f� _- - -_ _ _ --�-- -- __ _ _ VI 1N �I ° , ` - � � � By:, ' ,- i � Date. ► � , �9 rF-� � __ ;o� _ � .''� Eagan Butldln�tna o Dlvlston ___ � -y � ;ic �- . -- L HER[eY CERTIFY THAT TH[ AQO t ii A TRU�-AND ODRR[CT PLAT Or A SURY[Y OF �� � I _ _ r`,...� Lot 4,Bl�ak 1,Cedar Grave N�. 11� , DYkat4 �oqaty,!ltnneiota. AS SURVEYED BY ME THI 1 th. DAY OF- FCb• •,p, 19�� l� � it t � F � � , f � SIGNE / " --^�°.. . - � ,. F. C. JACKSON, M[N�tt TA RcatsT�wTwa. No. 3600 , 1 PERMIT City of Eagan Permit Type:Building Permit Number:EA173574 Date Issued:11/17/2021 Permit Category:ePermit Site Address: 3812 Country Creek Way Lot:4 Block: 1 Addition: Cedar Grove 11th PID:10-16711-01-040 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for 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. Valuation: 10,000.00 Fee Summary:BL - Base Fee $10K $191.75 0801.4085 Surcharge - Based on Valuation $10K $5.00 9001.2195 $196.75 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 - Timothy P Honsa 3812 Country Creek Way Saint Paul MN 55122--165 Minnesota Window Siding 8609 Lyndale Ave S #207 Bloomington MN 55420 (952) 888-9904 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA177821 Date Issued:07/20/2022 Permit Category:ePermit Site Address: 3812 Country Creek Way Lot:4 Block: 1 Addition: Cedar Grove 11th PID:10-16711-01-040 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. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Timothy P Honsa 3812 Country Creek Way Saint Paul MN 55122--165 (651) 452-2052 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature January 11, 2023 Derek Gualle City of Eagan 3830 Pilot Knob Road Eagan, Mn 55122 ROOF PERMIT NO. EA177821— SIDING PERMIT NO. EA173574 I have two current permits with the City of Eagan and two different Contractors working on my siding and roof. Sela was the roofing contractor and Minnesota Window & Siding Co. did my exterior vinyl siding replacement. I currently have water leaking into my house by the front foyer. Because of the winter conditions along with the snow and ice on the roof neither contractor can investigate the water leakage. Until Sela or Minnesota Window & Siding Co. can investigate and determine who is responsible for the water leakage. I am asking the City of Eagan for an extension on my permits until spring to allow for my contractor to investigate the water leak and determine whose responsibility it is to make the necessary construction repairs to bring it up to City code Thank you in advance for your consideration of this matter. Sincere) Y; Tim Honsa 3812 Country Creek Way Eagan, Mn 55122 Ph: 651-452-205 By: . Date: Eagan Building Inspections Division