1350 Crestridge LaneCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1350 Crestridge Lane
Lot: 006 Block: 051 Addition: Section 15
PID:10- 01500- 060 -51
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Preferred Plumbing
6400 High Point Trail
Prior Lake MN 55372
(952) 447 -5761
Dan Clough
3880 Willowwood St
Prior Lake , MN 55372
Manufacturer
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Deloris E Ouren
1350 Crestridge Lane
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA091142
09/15/2009
ePermit
Line Size
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
... i r UF EAGAN Remarks
Addition - S@CtlOri 15 Lot sik Parcel 10 A1500 060 51
i oWnef ,-? - °" y?a? ?u•? ? st,eet 7350 Crestridge Lane State E anMN 55123
O - }a
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1411.52 82
STREET RESTOR.
GRADING
SAN SEW TRUNK ' 1971 Z OO L 6O 20 P31C1
SEWER LATERAL 1973
?
WATERMAIN
.?. WATER LATERAL 4 j? 197-1
.90
22 Ej 149,12 1 Paid
WATER AREA l-? 1972 710.00 35.35 ZO Paid
STORM SEW TRK ?1
1982
-
1757.25
117.15
15
1522.95
A012701
9-6-83 z
STORM 5EW I.AT ?
I
CURB & GUTTER I
SIDEWALK
I
STREET LIGHT
WATER CONN.
BUILDING PER.
s,ac • 36463 6-15-83
PARK
INSPECTI4N RECORD—
CITY OF EAGAN PERMIT TYPE: "' I I' I N6
3830 Pilot Knob Road Permit Number. Fi
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?i i?:1 ?. I k I iir?t I ANt TNC I
+ i I It?N l!• I?+l: )!l9-?.'!?t
PERMIT SUBTYPE:
. 1; ,
TYPE OF WORK:
i iFRA rxnN
;i ! , tF?????a (t.li('HF:N /flilfFl/FOYi
INSPECTION .. . .•
?
: ?
Permit No. Pertnit Holder Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspoction Dete Insp. CommeMs
FOOTINGS
!T Z?
"'?
FOUND
FRAMING
ROOFiNC3
PLOUMBING ?'II'lL?i ?.1(1J'
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
ow
vxr
FINAL HTG
ORSAT
TEST
BLDGFINAL 1 Z? Z!?' `? (i Mfl'J _ !? t r.i."K Ytc.l? +wr•S f,`?'
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
7' t
\
EAGAN TOWN S H I P
BUILDING PERMIT
Owner
r/ .-.._----------------_ ........................................... Address (Preseni) .JF..4._x .-_--???+-+GCfy
-- -- - -..:'.. . .------? --- ??
Buildes _"-_W`[a-'.-:-.-??....,.._ -- l ?
..-'---------'--- _ _-----
Address ......---/elr--?-,4t'v.-°-/--?-t'-`--`---(.??---°---------------------
DESCRIPTION
N° 929
Eaqan.Township
Town Hall
Data
Siories To Se Used For Froa1 Depih Heighl Esi. Cost Permi! Fee Remarks
/dr? I
a?-D
'?'/i ?•
/D QiSen o6n .S/
J (/ LOCATION -
Sixeei, Aoad or aiher Descxipkion of L ocaiion Lo! Block AddiSion or TracY
This permif dces not aulhorise the use of s3reets, raads, alleys or cidewalks nor does iY give the omner or his ageni
the righf fa create any situation which is a nuisance or which psesenls a haaard !o the healih, safeiy, convenience and
general welfare io anyone in the eommunilp.
THIS PERMIT MUST HE??pgEPT OI3 THE PAEMISE WHILE THE WORK IS IN PROGR£S3. _
This is !o eeriify, fhaY_.c?`.'....?..........`._ ........ .. ... .. ------- bas permission !o eseet a. _..__.. ..<.! ?__`.}.'.._'_ uPOn
the aBove dESCribed premisg subject fo ihe-@sovisions of the Building Ordinance for E an Township adopSe`dy A?ril 11,
1955- y?? -/ _
.._._. ??`y`" `- Per
- - -L.'"-_....... :' - -°-°'-- --................ - ' - - .. ...... ....IYL"`-`--?.{..._.. - - ........... --....
Chairman o! Tnwn Board ? Building InspeeYOr
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
ciTV oF eacaN
L{ l-1 7, I 3830 PILOT KNOB RD • 55122
? 651-681-4675
w ConshucNon RaaulremeMs „y? * I Tj? "? ??'j Remotlel/Reoalr Reauiremenla `Z - ??
?fi
? 9 reglateretl site wrveys showinp aq. lt. of lot, aq.1t. 01 house -?1 2 coples of Wm?
and gJj rooled areaa (2496 maximum lot covemae allowed) /' ??'? ? i set oi energy calculallons lor AeoTed atldlNaia
? 2 coples of plans (show beam & window sizes; poured 1nd. dealgn; etc.) 1 sife wney tor eMedor otltli8ons 8 decka
D t set of energy calculanons
D 3 copies of free preservalion plan B lot plaMatl aiter 7/1/93
DAiE: / -? V ,V n CON5fRUCTION COST:
DESCRIPTION OF WORK: It mulN-famfly bldg., how many unlis?
STREET ADDRESS:
LOT: 0? U BLOCK: ? I SUBD./P.I.D. N: -e C.?- C3 V-\.
PROPERTY
owNeR
last
Fint
Sheet
city
Stata:
Zip:
Companv:
?,o?e ?: ? R?sS?S?I
(area code)
CoNTR,s,croR Sheet Address:Vy3 Llcense ?_?,cP. ?a
CNy State:? Yh Y? ) Zip: 55-11? -5?
ARCHRECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheef Address: Regishation #:
ChY Stdte: Zip:
Sewer/water licensed plumber (if installina sewer/waterl: Phone #: (?
I hereby acknowledge that I have read this applicaHon, atafe that the infortnation is cortect, and agree lo compy wilh all appiicable Stafe
of Minnesofa Stafutes and Cify of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates ot Survey Received _ Yes
Tree Preservation Plan Received Yes
_ No
No - Not Required
CITY USE ONLY
L _L? BL ?L RECEIPT #: 51D
SUBD. DATE:
1896 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower 3.
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink
3.OD
x K
?aK-, 3.00 x
Hot Tub/Spa 3. 0 x
Water Heater 3. 0 x
Floor Drain 3.
Gas Piping Outlet " minimum - 1 3.00 x
Rough Openings 1.50 x -
Water Softener 5.00 x =
Private Disposal ' Dakota cry. iicense 50.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under const.
* 3.00 -
Afterations
to existing 20.00
Water Turn Around 20.00
STATE SURCHARGE .50
SQ
TOTAL
517E ADDRESS:
OWNER NAME:
INSTALLER NAME: ?
STREET ADDRESS: l fde ?
CITY: ?<'?•?
STATE: ZIP: `
PHONE #: ( C-?,? ) 7 77- 7 y'.ro c?
??NA ..
?oai-s
f?/3,-C, REQUEST FOR ELECTRICAL INSPECTION Q l
? Sec Instmctions for compleling Mis frm on Onck ot yellow copy"X" Below N irk #'cvered by This Request Ne,. Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Mana9ement
CommJlndustrial Furnace Other (Speci )
Farm Air Conditioner
O[her (specify) ConVaciors Remarks'.
Computa Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps (D 0 to 100 Amps
Transformers Above 200_Amps _ Above 100 -Amps
TOTAL
%
Signs .
inspecmrs use only.
Irrigation Booms ? LJ D
Special Inspedion
Alarm(Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. •
I, the Elecirical Inspector, hereby - D e G.
Rou9h ?n l ??-
certiy that the above inspeclion has Fi„ai
?
D.I.
been made.
OFFICE USE ONLY
ihis requesl voitl 18 monNS irom
L
2a_+
O- ?-646 0
/v" ? - ? O?
Re uest a[e Fire No. RougM1-In Inspection Requiretl Inspection Other TM1an Pough-In
(YOU must call Inspector when reatly)
?
? C] qeatly Now E] WIII Notlfy Inspector
Yes
No Date Ready
IXicensed contractor ?owner hereby request inspection of above electrical work at:
Job Fltltlress (Stree?, Box or Rou[e No.) ppy
I3S'!J 3? : /tk'Q L<1?iv? ? ?`'lN
-
Seclion No. Townsimp Name or No. Range No. Gounry
D.
Ocoupanl(P?RINT) ry?
6/?r a. a d[,.rt.IV Phone No.
Powe? uppl?e, Atltlress
? 7-4c J'r ?'Ql /1c.ff'11 fY-4 T`&,,,'
Eledncal Contraotor (Compeny Name) CoNrnc or's Llcsnsa No.
RE&-i N ° L-p-c-rn, ?_
Mailing Adtlreu (GOnlredor or Owner Making Instailalion)
0 ' ? "- 5? ?
f`l'?,?'YL1,?sC?i M/A."
Authodietlf Ignature (COnt ctor/Owner aking Installa0on)
Y.? . . Phnne Number
A? .
.
? G
MINNESOTA STAT p F ELECTRICITY
Gtlggs-Mitlway Bidt?: ? m 128 THIS INSPECTION REOl1EST WILL NOT
I
1821 Unlvere0y Ave., St, a, MN 55106
Phane (612) 602-0800 I IIII II I I I I I I I III III I I
BE ACCEPTED BV THE STATE BOARD
UNLE55 PROPER INSPEGTION FEE IS
puri ncvn
For gffire Use <j G~
lJ L Permit
Cit of Ea all R D E MAY 2 9 2009 Permit Fee: 176, o
3830 Pilot Knob Road 1
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: t f 1K ? A C- 1 A) ,
Tenant: j0 R (S OQ Suite
RESIDENT I OWNER Name: e I 1 ° Phone.-
Address/ City /Zip: 13-50 C _F1,hQb 684d'T
Applicant is: Owner 4 Contractor
TYPE OF WORK Description of work: V t' -JT _~6CA Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: 0-ij 0' Ak__ License #:W6."3J9_:e?:6
Address: f'~$f _ IL3 1, t
City:! 1=~ Q State: y
Phone: (1 , - 1 7t7 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet - • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
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
I hereby aci~q dge that this information is complete and accurate; that the work will be in co ance with the ordi and co s of the City of
Eagan; tha understand this is not a permit, but only an application for a permit, and of to start withF-Em it; that t work wil in
accorda e appr oved plan in th se of work jituch requires a review and appr of ans.
plicant's rinted Name Ap s Signature
Page l of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of - Plex Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
_ 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 0 (90 Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%0 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final I C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: -Footings -Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough in Air Test _Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
00,1
City SAC
Utility Connection Charge ii
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
A Gs/Ai-40'Jc MUS I bE
INSTALLED IN ALL NEW SINGLE FAMILY
AND MULTI FAMILY DWELLING UNITS,
SMOKE DETE TORS ARE REQUIRED
ON EVERY LEV: OF THE HOUSE AND IN
EVERY SLEEPI ROOM AND IN EVERY
HALLWAY LEAD 1 G TO A SLEEPING ROOM
vApo-R iER titiaT
T' WARM ii/95
ALL WALLS ANID A TIC (VAG,
FIRE STOP S FFITS AND ALL
OTHER D AD SPACES.
ogDING 1 SP CTI NS DIVISION
Use BLUE or BLACK Ink
r-----------------+
I For Office Use � �
' � Permit#: ��"'�� j
Clty of ����� I Permit Fee: C V�� �
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 � Staff: I
I �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
, ����� � �
�r�, � '�� Name: � � 4 i'` �� �.� � Phone���5�1 1 ���" ���
Res�dent/
�:: , ,�
i.. Owner.�. , w'� Address I City/Zip: � � � r�S ✓� �� '�����
� �
' Applicant is: Owner Contractor
Description of work: �� �`�a
Type of Work �
' Construction Cost ��d Multi-Family Building: (Yes /No
h q �! �
°; ,' �: Company: G� °-<<r o � Contact: �s�-r -�•�� J '� o+
, ' /
�' Address: �Co �� l.���<:�,��� �. ' City: �� J�
Contrac#or I /
° State:�Zip: .5 4 Phone:: �- 8�S �mail: �1� �, t-r�`o �n .<--_ K q
' License#�� � ���� � 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 documents�h�t yvu sutimit are considered ta be public informatian. Portions of '
` the.+nformation.may be-�lassified as:r�pr�-public if you provide'specific reasons that would permif the City fo
coriclu�►e'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.qoaherstateonecall.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_,j, not a ', but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance wi thei�appr — la ' as of work which requires a review and approval of plans.
Exteriorwork aut iz a b permit i ued in accordance with the Minneso{a'�t"at ui st be completed within 180
days of permit i ua .
x s w� x
wt �t '
ApplicanYs Printed ame / Applicant's Signature
Page 1 of 3