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1765 Crestridge LaneCITY OF EAGAN A' p 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Iv - 12958 PHONE:454-8100 f BUILDING PERMIT GARAGE Receiptu X? 7o be used for FOUNDATION Est. value Date DECEMBER 9 , 1g -86 SiteAddress 1765 CRESTRIDGE LN Erect 0 Occupancy Lot 6 siock 2 SeciSub.RIDGEVIEW ACRES qemodel ? zoning Parcel No. Repair ? Type of Consl Addition ? No. Stories w Name PAUL R REYES Move ? Length ; Address S?E Demolish ? Depth ° InL Pr. ary phone 454-3399 Instali O sq. F? o I Name SAME ? Q Address ? Ciry Phone ? Wa Name z Address i Ciy Phone Iherebyacknowledge information is correct Minnesota Statutes an an Signature of Permittee A Building Permit is issued to: PAUL R all work shall be done in accordance with all a ppl Building Official Assessment Water & Sew. Police Fire Permit 'T 1 J. V V Surcharge Plan Review Water Conn. Water Meter Road Unit Tr. PI. Planner Council 3tionandstatethatthe gld .Off12 9 86 all applicable State of 9 ?? Var. Date I Copies?? Total on the express condition that tatutes a Ciry of Eagan Ordinances. CITY OF EAGAN 13158 N° 3830 Pilof Knob Road, P.O. Box 21-1 ? 99, Eagan, M N 55121 - PHONE: 454-8100 -10373 BUILDING PERMIT Receipt s To be used for GARAGE ADD Est value $ 5,80 0 Date FEBRUARY 2 1987 SiteAddress 1765 CRESTRIDGE LN Erect 20 Occupancy Lot_6Lelock Z Sec/Sub.RIDGEVIEW ACRES Remodel ? Zoning Parcel No Repair ? Type of Const. . Addition ? No. Stories w Name PAUL R REYES Move ? Length S?ME Demolish ? Depth 3 ° Address 454-3399 Int.lmpr. ? Sq.Ft City Phone Insfall ? o Name SAME Approvals Feea i $Q Address Assessment Permit $65.50 " ciry Pnone Water & Sew. Surcharge 3.00 . Q Police Plan Review ? Name Fi SAC i re ? Address E W Conn t = ng. . a er a W City Phone Planner Water Meter Council Road Unit Iherebyacknowledgethatlh re thisap licationandslatethatthe gld Off 9 Tr PI information is correct and iee t pl w h all applicable State of . . . . Minnesota Statutes and ty of . r na ces. APC Parks Signature of Permittee? w UL R R$? A Buildin9 Permit is issued to: all woik shall be done in accordance with all applicable Building Ofliclal ( Var. Date Minnesota Stat s ano e- Copies 7otal $68.50 - on the express condition that of Eagan Ordinances. A INSPECTION RECORD CITYOFEAGAN PERMITTYPE: BuzLozNs 3830 Pilot Knob Road Permit Number: 024977 Eagan, Minnesota 55123 Date Issued: 1 Z/19 /9 4 (612) 681-4675 SITEADDRESS: LoT: 5 BLOCK: 2 APPLICANT: 1765 CRESTRIDGE LANE NORTH STAR SERVICES RID6E VIEW ACRES (612) 227-7061 PERMIT SUBTYPE: TYPE OF WORK: SF ApDITION NEW INSPECTION FOOTZNGS .. . FRAMING .• NSULATION FIREPLACE FINAL REMARKSe SEPARRTE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK F ? L ? •-•-. ^/? v? v• v1 1 r vr CAL7N19 ?)? ? Lp 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121N2 13158 BUILDING PERMIT PHONE: 454-8100 Receipt# V To be used tor GARAGE ADD Est value $ S, c-s 0 V Date FEBRUaRY 2 1987 Site Address - 1765 CR .F,S i R I DGr: LIN Erect 29 Occupancy Lot-6L Block 2 Sec/Sub. RIbGrVlEi'd ACFZE.3 Remodel ? Zoning Parcel No. Repair ? Type of Const Addition ? No. Stories W Name PAUL R REYES Move ? Length' ; Address SA'`1E Demolish ? Depth ° 454-3399 Int.lmpr. ? Sq. F+ . Ciry Phone Install ? Z o Name SAME Approvab 0 Q Address Assessment ~ City Phone Water & Sew. ?s W W U? MEz i W I hereby acknowledge that I information is correct and i Minnesota Statutes and Cil Police Fire _ Planner Council 3tionandstatethatthe all applicable 5tate of gldg. Off. Var. Date Permit 7 03 • 7u Surcharge 3.00 Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. COpieS Total 468.50 A Building Permit is issued to: "s on the express condition that all work shall be done in accordance with all applicable teof Minnesota Statutes and City of Eagan Ordinances. r Riiilrlinn (lffirtial ... '? ' . . . Parmk No. PKmit Molder Dab TdphoM N Plumbiny H.V.A.C. EMetrk So11Mer Inspactlon Dats Irap. Commenb FooNngsl Footinpa II Foundatlon Framinq Roofiny Rouyh Plbq. pouyh Htq. Imul. Fboplaa Final Htq. Final Wbp. BId9. fMal La CM. Oec. ? ? w bv?n 'ir ? 1 Q f' / 14/'p/j C P!r .S Dack Fty. ? ? Q Dedc Frmq. Well Pr. Dfsp. • • , CITY OF EAGAN ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 12958 PHONE:454-8100 . , BUILDING PERMIT R %L--- • GARAG -S eceipt # To be used tor FOUAIDATIOiSI Est. Value Date D ECEh1BEF2 9 SiteAddress 17 65 CREST}tII)GF Liv Erect ? Occupancy Lot 6 Block 2 Sec/Sub. R' DJEVzEW AC'ES Remodel ? Zoning Parcel No. Repair ? Type of Const. Addition ? No. Stories ? W Name PAUL R !ZEYES Move ? Length Demolish ? Depth o Address ? City Phone 4 54'" 339? Int Impr. Install ? Sq. Ft. ~ City Phone ?¢ F W Name 0 ? Address i W City Phone i hereby acknowledge that I have read hisppplication and state thatthe infarmation is eorrect and agree to, mPfy with all applicable State of Minnesota Statutes and City of Eag , Qrdirronces. Signature of Permittee A Building Permit is issued to: PAUL R-t:??YES all work shall be done in accordance with all applicable taterof Minnesota Building Official Assessment Water & Sew. Police Fire _ Eng. Planner Council Bidg. Off.12 / 9 / $ 6 APC Var_ Date Surcharge Plan Review SAC Water Conn. Water Meter Road Unit Tr. PI. Copies . on the express condition that of Eagan Ordinances. I I Permit No. I PermN Nolder I Qsta I Telsphorro S I Plbg. Htg. Plbg. Final Dlsp. CITY OF EAGAN Remarks Addition Ridge View Acres Lot 6 Blk 2 Parcel 10 64000 060 02 Owne-E.?-&d prnC11E 2Ec12A Street 1765 s ridgp i.n. State EaQaA, MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. -575 1977 1519.50 151.95 10 1519.50 C002382 10-6-76 STREET RESTOR. GRADING SAN SEW TRUNK 1972 ], O 30 PAID *SEWER LATERAL 1972 2 WATERMAIN *WRTER LATERAL 20 WATER AREA STORM SEW TRK 'L 1983 561.00 37.40 15 13 *STORM SEW LAT 1972 $3243.50 162. 18 20 - CURB S. GUTTER SIDEWALK STREET LIGHT WATERCONN. $320.00 9266 10-17-73 9UILDING PER. sAC 260.00 7162 1-3-73 PARK N RECORD ?- c. CITY OF EAGAN PERMIT TYPE: rI I ' I"'' -?-? 3830 Pifot Knob Road Permit Number: 4 11 /' Eagan, Minnesota 55123 Date Issued: (612) 681-4675 I SITE ADDRESS: APPLICANT: ' PERMIT SUBTYPE:. .. I . ' I [ NrI', I• , rl A1 II it? p , ,) r,I ?. . ' TYPE OF WORK: . • . . ?i i? ,... ! I:nMI rJt, MANk +: St- I'AKA f I I II,Fj i t'• Af?t }-A 011 i Vt 11 FOP r,nl"" Pi IIMft ! W, iit; f f II 1 Ir i'r R1 ? F L Permit No. Pertnit Holder Date Telephone # isv?,?r. PLUMBING . S' ? g SS fel/- yo71/ HVAC ? ,?,lL, ?GT 9S ?l?'DOO$ ELECTRIC aeao ` p?? ??? 00 ELECTRIC -p? S /fo 9S p?Q Inspection Date Insp. Comments Footings I Foundatian Framing Roofing Rough Plbg. 7! 3-?!f-9S ? Rough Htg. ? ?Zlf !! ?3-91 y-9s fT? h',? isui. 3a 7 ug .?sv b i" 4J 4? Firepiace 7? 2 y f? eg 7? N? s?v ??-r ,L3pr il o0 Final Htg. - S ° -ye OrsetTest Fnal Plbg. Pibg. Inspector - Notify Plumber const. Meter y? s - EngrJPlan . Bidg. Final 2f Dedc Ftg. Deck Final Well Pr. Disp. eK I VILLAGE OF EAGAN 3795 Pilot Knob Road Eayon,MN SS1I2 Zoning: R-1 Owner. _ Pdul R. ReyeB Address: Site Address: 1765 6r tr ge Lai Plumber: _ Wenzel Plwnbing & I Me[er Na.: Size: Iteader No.: t ogree to complr with }he Villaye of Eagan Ordinances. By Date o£ Insp.: WATER SERVICE PfRMIT PERMIT NO.: 1326 DATE: 10/17/73 No. of Units: 1 Connection Charge: .3tu.vU pQ Accoun[ Deposit: _ 15.00 pd Permit Fee: 10.00 pd Surcharge: • 50 Pd Misc Charges: Total: Da[e Paid: Inep.; YILLAGE OF EAOAN SEWER SERV?ICEy ?PERMIT 3795 Pilot Knob Roqd PF,RMIT NO.: . J1e''?'LR 2000 Eogan, MN 55122 DATE: Jan• 3, 1973 Zoning: _ R-1 1 No. of Units: Owner: PaU1 R. Re es Address: -- sue ndares5: ? 765 Crestri ge Lane, agan 55122 Plumber. WEn7 1 plllmbi H^ ing TriQ 1 oqraa to complr witM tha Villoye of Eogon Connection Charge: 260000 pd 1131.- Ordinoncea. Accoun[ Deposi[: 15. 00 pCl 1Q/j Permit Fee: 10.00 d 1 /j Surcharge: 50 pd 1/ BY0 Misc. Charges: Date of Insp.: Total: _ 285 • 50 Insp.; Date Paid: 1 /31 73 ? 0 2 C 02 Requesl Date [ Fire N. ?u9 Inspec?ion Requiretl (VO u call inspecmr wnen reatly) Inspection Other T y ?a.n qpugh-In ? ? qeatl Now Nolif?yysgac?or v LWill f Yes ? No oate eatl I Iicensed contractor ?owner hereby request inspection of above eI trical w t°o b Atldress (SVeal, Bax ar Foute No.) Ciry Secticn No. Township Name or No, Range No. Cou OccupaNJpR?T `1 N Phone No. Power Supplier Address O1 ! r _FLt-:zc?i. Ele tlioel ConVaqor (COmpany Neme) ConVa cto r's Gcense No. n ' OV KV LLS J ? } ?ry l?• il V? elling Atltlress (Cont2etor or nar Making Inslalletion) 13w. ?C v? u. ?' _ ??i1 L v AWhorized Signewre actodOwner Making Inst tion) Phone? 1Numper J ,.?,.(? Cl? B '?? 1 `-°v MINNESOTA 5T TE BOqqO OF ELECTHICITY Grigga-Mitlway Bltlg. - Room &128 1821 Unlverslty Ave., St Peul, MN 55101 Phone (812)642-0800 J?'/e2 7r'q??,f/I- REQUEST FOR ELECTRICAL INSPECTION 00 2?V 2 V 2, See instructions tor rompleling Ihis form an back ot yellow copy. "X" Below Work Covered by This Request THIS MSPECTION qE0UE5T WILL NOT BE ACCEPTEO 6V THE STATE BOARD UNLESS PROPER MSPECTION iEE IS ENClOSED. d ? EB-00 1?-y 9 5?4?-<a ?.,e,. New Add Rep' Type of Building Appliances Wired Equipment Wired Home Range 7emporary Service Duplex Water Heater Elactric Heating Apt Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner olher(specify) Compute Inspecfion ?e1?iM4-tiv ConUadors Remarks: ??L0 ,?I? ??y,j ( IV I f Kl J # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps ? 0 to?100 Am s inU' Transformers Above 200-Amps ove?100 -Amps S19f15 Inspeclor's Ose Only. t OTAL Irrigation Booms ? ? Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rouyn-in / certify that the above inspection has been made. oace _ J 7- ? OFiICE OSE ONLY Thls requBSt voitl 18 manihs irom -? Cv /ei L5?ic//9'?^???P?d7o1, Rgqu s? Date Fire Iqo. Rau9Rln Inspection Fequiratl9 }yy(? etly Naw ? Wlil NoUly Inspector '?"" R d ? ? g3 -Yas y when ea I? licensed contractor ? owner hereby request inspection of above electncal work at: JoD Atldress ISVeet. Box ar Raute No.) Ciryry Section No. Townsbip Name or No. Ran9e No. I Counry r OccuOam !PPINT) Phon No . Pawe? Supplie: AtlCre s 3?D' ST. W ?rbEM' .r - EI2LViLdI COl1tIdCtOf (CORIDB,y NdRl61 comrsmors Cmense N?. CjA d 13-?'? Maiiing Adtlress IGOnhacror or Owoer Making Insualletion)) R . ? /CY` , . ? i? LJ Aulhonretl Si W?e IGanVeCtOVOwnet M3ki1In all3lion ,V? _ _ r4=d1A-T- ia PhO? Number Sa MINNESOTA"°.sTttL? BOAHO DF ELECTRICITY Griggs-Mitlway 8109- peom 5473 1621 UnivergNy Ave., SL GaW, MN 551D4 Phone (612) 692-0800 IS/ Ii & nnI on REDUEST FOR ELECTRICAL INSPECTION ? See insi:wtions lor'trompleting inla form on back ot yellow oopy- THIS MSPECTION REQUEST WILL NOT BE AGGEPTEO BV THE STATE BONRD UNLESS PROPEP INSPEGTION FEE IS ENCLOSEC "Y" Rolnw wn.k C:nvered bv This Request '? ?? E6-0000?-OB ?1y? ,?;Y' Bi. J U 1 OIJ l i AppliancesWired EquipmeniWired ew A?id ng d Re?r Typeof8ui Temporary Service ome Range Duplex Water Heater Eleciric Heating Apt. 8uilding Dryer Other (Specity) Comm.Andustrial Furnace Farm Air Conditioner Ofier (sueGfy) ConVadora Remarks- OC ?? sIc? av v&4P 40 Compute Inspectian Fee 8elaw: _ `.'E C# S Other Fee # Se ' ntrance5ize Fee # Circuits/Feeders ' q (? Swimming Pool 0 lo DO A ps 0 to 100 Amps Transformers Abad Amps Above 700_Amps SIgnS inspeclor5 U;e oniy. TOTAL Irriga[ionBOOms Special Inspectlon Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee cyO COMPLETED WITHIN 18 MONTHS. ' I, the Electrical Inspector, here6y 0 ate Rou9h-in certify that the above inspection has F;nai oate? been made. IOFFICE USE ONLY IThis request voia 18 mamhs ftum L I - ( FERMIT ck-3533 9- ' CITY OF EAGAN "110?G'? 3830 Pilot Knob Road PERMIT TYPE: B u L l1 N Eagan, Minnesota 55123 Permit Number: 0 2 4 9 7 7 (612) 681-4675 Date Issued: 12 / 19 j 94 SITE ADDRESS: 1765 CRESTRIDGE LANE LQT: 6 BLOCK: 2 RIDGE VIEW ACRES P.I.N.: 10-64009-060-02 DESCRIPTION: Bvildkna` Permit Type SF ADDITTON uild?.ny W?o,rk 7ype NEW ionstruction `?,ype V-N ? Building stariis 2 r ??, .. 4 ? ?} L? !r "? '? f"? ?.?.? ?? ? ? L•' `??'' ! t.?7 L iJ ti REMARKS: SEPARATE PERMITS ARE REQU2RED FOR ANY pIUMBING OR ELEC7RICAL WORK FEE SUMMARY: VflLUATION Base Fee Plan Review Surcharge Totel Fee $74,600 $522.50 $339.63 $37.00 $899.13 CONTRACTOR: NORTH STAR SERVTCES 688 HflGUE AVE ST PAUL MN (612) 227-7061 - Applicant - ST. LIC 12277061 0002111 55104 L OWNER: REYES PAUL 1765 CRESTRIDGE LN EAGAN MN (612)454-3399 I hereby acknowledge that I ftave read tftis applicatinn an8 state Ghat tFre a;nforma.tian is correct and agree to eomply w3:th all appSica6le State of Mr1. StatUtes ar7d C3ty af Eagatt Orda'nance5. APPLICA /PERMITEE SIGNATURE % ,?orfn R 1( ,,t( ISS ED 8: SIG URE I I 14911 CITY OF EAGAN 1994 BUILDING PERhAIT APPLICATION fi81-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, MC-MoNgiRay calcs. COMMERCIAL :1 ri 1?1r.t, 2 sets of architectural & structural plans 1`set of' specifications, 1 capy 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 nec. ? 16 ? 1994 Valuation af work $170,000+ - Site AddrQSS: 1765 Crestridge Lane, F.agan, DiPI. 55122 STREET SL11TE k Tenant Name: (commercial only) IAT BLOCK ? SIIBD. F.I.D. # Descri tion of work: ti sYory addition , smttil bump-out addition for kitchen The applicant is: ? Owner I@ Contractor ? Other (Describe) Name RQYes, Paul Phone 454-3399 Property LAST F,RST Owner 1765 Crestriclg'e Lane Address 5iREET STE # E?gn pTti. 55122 Z'P City Company North Star Services 4L t?> Phone 227-7061 Contractor Address 6$8 tTagile Ave, License # 21H ExP z 95 City St• Pgtd State MN. Zip 55104 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. 1 hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 7?1'? 4' f • OFFICE USE ONLY BUILD(NG PERMIT TYPE ,,.?,.. y ? n O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Paol 0-03 SF Addit{on ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind. O 04 SF Porch ? 09 12-Plex 0 14 Fireplace O 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility D 21 Miscellaneous WORK TYPE El 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish X32 Addition ? 34 Repair 0 36 Move . GENERAL (NFORMATION Const. (Actual ; _ p?y Basement sq. ft. MWCC System (Allowable 0--M lst Fl. sq. ft. City Water UBC Occupancy 2nd F1, sq. ft. PRV Required Zoning Sq. Ft. total Boaster Pump # of Stories Z•? as.,.) Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y? y Depth On-site sewage 5AC Code o? C ni APPROVALS ensus U t o Planning Building Assessments Engineering Variance REOUIRED IN SPECTIONS ? .Site $`Fo oting $Framing E3--4nsulation E3 Wallboard 0-Fi nal ? Oraintile 0 Fireplace Permit Fee reiuac;on: 000 ? Surcharge Plan Review li cense MWCC SAC -? ` City SAC ZS- S X z7 =??y > Water Meter Acct. Deposit & ?-2 Xfr,. = 3?.5" S/W Permit S/W Surcharge Treatment P1. Z" r? 2 Road Unit Park Ded. &-77 Trails Ded. Co ies -- ? Otger ; 73 !!69 Total : SAC % SAC Units • LE?C-16-94 FRI 13:11 North Star Svcs 2270022 P.01 CI'PY OF F.aGAp EX7EEIOR ENYFI,OPE AY6RAGS 'U' COMPUTATION UWt(ER3 UL sire AucR=: CONSR$CyOR: 2 d(v c PtlONfi: Gf_ 5Y_33y p Determina working aquare fooEage ef each: 1. Total exposed Wall area ,., LI:> Sq, fL. x.11 = ? 7 J 2. Tatal roof/ceiling area ... ?,25 $y, ft, x.D26 =??i --..-?.......??? Total eYpoeed waii area above floor =/'?Ja.? a. Total wall ++fndoN area ........... .... 2 22•1B b. Total .. ........... dooP area .. '7 Q. Total ................................. slidinB 9203a area 1 F? d. Total .......................... fireplaee wall a _ .,?J e. ToCgl rea ......................... ua12 framing area (average 10%) ............. ? F. Total net Wall area above floor ................... / ? S. Total t`icrt joist area ........ ........ -- . . ............. Total exposed foundatipn area = ai?f h. Total faundatioa window area ....................... i. Total net foundetSon area above grade.............. ? Determine IItI value 4f each wall segment: a, x b, x 0• X d, x e? x ?• x g? x h, x i • -- ' ? x Rut = ! 'UI s tUt _ DA' ?U? ? _ U ' _ IUI _ gUt _ . ? 3. .................. .................. ................ Total t If item 13 is the same as or less ehan ltem 81, you have met the inteet of 58C 6oab(c)2. Total e:poaed roof/oeiiing.area = ?¢ Z?J ?. Total skylight arBe ............................... A . k. Total roofleeiling fpaming area (aYerage 10%) ..... , 1. Total net insulated roof/ceiiing area .............. , 2 S Pbst-B'"brandfaxtrensmitt8lmemo767i Molpages? S ? OYER R=991 rnan a.. 270022 I -I6-96403:1dPM P001 69 G 1 176C-16-94 FRI 13:12 North Star Svcs 2270022 Detiermine •U• value for each roof/oeiling aegcents J. IVA x IUI _ k. 7,..?.. ? x2Uw rj?'d e J'f 1. (v 3,9595-. Y fUt /0113 - ?2.•2.?? 4 . ...................................................... Total s (lj!/ IF total ot #4 is the same ag or less than 92. you peve met the intent of SBC 6oa6(c)1. Alternate Building Envelope beaign To utilixe Lhe total envelope system methad, the vslues esta4lished 6y the sum of Items 43 and 94 shell noE be greater tAan the sum of Items #7 and 02. • t. + 2. - - - ... - ,?.?..?. 3. - + 4. _ P.02 2 R-9?% 2270022 12-16-94 01:1OPM P002 tf49 ? PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS Wf-IEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONSTRUCTION aDn_ON.k/C ? ADD-ON FURNACE FIREPLACE INSERT DATE ` - D 2 -5,5- FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BT[J 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-ON/REMODEL (ExIS'I'ING CoNSTRUCTiON) $ 20.00 STATE SURCEiARGE .SO TOTAL gn• ?5-0 SITE ADDRESS:_ 1'l Co S C r es-4- f; d?e L n, OWNER NAME: T?:? 1 Re. TELEPHONE #: INSTAL.I.ER: K I e d e N ec?+ i n Q ADDRESS: 13dTS?2; d n e 2 r ?, ? CIT'Y: Ec? P n2ra; r " e STATE: m fl , ZIP CODE: 3U TELEPHONE #: 'F4// - ?-/,Q I 1994 MECHANICAL PERMIT (RESIDEIVTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD FAGAN MN 55122 (612) 6814675 CITY USE ONLY L CP BL _ .i RECEIPT #:38a? SUBD. DATE: 3?5 -5 1995 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (672) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACH NO. TOTAL Shower 3.00 x f = 3.oU Uiater Closet 3.00 x - Bath Tub 3.00 x 3.ao Lavatory 3.00 x Kitchen Sink 3.00 x Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = 3. cyD Floor Drain 3.00 x = q.tstz Gas Piping Outlet ' minimum - 1 3.00 x 1 L-M- U.G. Rough Openings 1.50 x Water Softener 5.00 x Private Disposal ' Dakota Cty. license 20.00 Sprinkler ` home under const. 3.00 - Alterations " to existing rc? STATE SURCHARGE .50 TOTAL ? SITE ADDRESS: 1 96$ ?•QE'b'm/b?'E ZN OWNER INSTALLER NAME: ??ZrJ-- STREET ADDRESS: A59 6KA44,W6-;C 140 CITY: L4&'4tiJ STATE: MAi ZIP: 557 2+z' PHONE#: (6)2) ¢52- /S6? of, ?` - ? q CITY USE ONLY y?2 rf (?- L BL o[. RECEIPT #: > > SUBD(?,o? YL.?a.ul' l?/rL? DATE: J?/?,/?5 1995 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction x Add-on furnace ' bo; le? _ Add-on air conditioning Fireplace conversion (to existing firepiace) Date: FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? ? Gas Outlets (minimum of 1 required @$3.00 each) 3- m ? State Surcharge .50 TOTAL &^I . r'J ____ ?°?""'°Q ?7•v? ?1?,? 3???5 SITE AD[ OWNER INSTALL] STREET PHONE #: CITY: STATE: /fC/7- ZIP: PHONE #: ( ?O12,) c?g ' v SIGNATUR7F L - % LOT ? BLOCK ?Z SUBD RECEIPT # '7` /16"5 DATE a3 ?I S 1995 CITY OF EAGAN IRRIGATION PERMIT (FOR Bi4CKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: b?al ?C15, Area/address to be installer. f1L1/,r 1 [ - Owner ? Plumber ? GPM GPM Street address• H' /1/." / ?,J. d01"7 J/' City, state & zip code: !?9ma,[`"7? ??1 ,? aphone #: Owner Street City, state & zip code: Phone irrigation contractor, if different than instailer: Telephone I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify F13n propgrty nwrtg.4h't fh8 Cltj Qf E3^yall E3S:S.^.?°S ri0 I18b;I:!jjfS3C 3:?j7'a9.:.2^y:°.^•. C87:se'? bil, *f?= rit" y during its normal operational and maintenance activities to the facilities constructed under this permit within City propertylright-of-way/easement. , ?i?lnr? ???P>r!/? ApplicanYs ignature Title Approved by: Date: PRV ? Yes ? No New service ? Yes ? No Meter Size & Cost Fees due: 7- 1 G wrL I?lks Commercial :X4- Residential (boulevards) Existina residential Calculated by: 2 ?0' g ??? l? PROCEDURE FOR IRRIGATION SYSTEMS - 1995 An irrigation permit is required - please contact Protective Inspections at 681-4675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee onlv if new service is installed. $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $750.00 !aer cnnnection - WAC. $372.00 per connection - water treatment facility. Existing residence: $20.50 irrigation permit to cover installation of backflow preventer -(not required if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost or $170.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $800.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on a new service. If new service lines are not reauired, one check may be written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and sei and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections wiil be accepted until 12:00 noon. 1986 SIIILDING PfiAlIIT APPLIC6TIOt1 - CI1R OF SAGAN 60Y6: 9LL COATRAC?OHS MOST BS LICEASED iiITH THE CI?Y OF EAGAN SIHGLE FAlQLY DWELLI9GS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS M[TLTIPLE DWELLINGS - R&SIDfiNTI9L 9ENTAL i12TITS FOH S6LS QNITS INCL[1DE 2 SETS OF PLANS, CERTIFICATE OF StiRVEY - C9EC% FiITH HLDG. DEPT.r 1 SET OF SNERGY CALCULATIONS CMMRCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCQLATIONS, $2,000 LANDSCAPE HOND rG? ? To Be Used For: Lj.L Valuation: ? Date: ? Site Address 7 6 l. L OFFICE IISE ONLY Lot 6 Block a Ereet ? Occupancy ' J n, Remodel Zoning Pareel/Sub L"L-?'ti Repair _ Type of Const Addition S of Stories Owner ? i= r? Move _ Length Demolish Depth Address ?76 .t? c? ?iU Int.Impr. _ Sq Ft Install City/Zip Code ? Cyi,<j Phone Y S " Q APPROVAIS FSSS Contractor Assessments Permit ? S•- Water/Sewer Surcharge Address 4 4, Pf; Police Plan Review ? Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Areh./Engr. APC Parks Variance Copies Address i0T9L City/Zip Code Phone 01 NOTE: ADDHESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiHEB IiDST DESIGNATE AHICH ADDRfiSS IS DFSIRED. HO CHANGES WILL BE 9LLOiiED ONCE BIIILDING PERMIT I3 ISSiTED. CA7? 36(T i i ? ?I f ? ? ; ' ? ? , ? I i;; i ; i i ? I ? j i i i ? . i ? I? ' ; i ? i . ? . . . , ; ? - . . , . , . , ', ?I - . _ i. . .. . SINGLE FAMZLY DWELLINGS INCLODE 2 SETS OF PLAN3, 3 CERTIFICATES OF SORVEY, 1 SST OF ENERGY C9LCQLATIOHS HOTE: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOiINEE MOST DESIGHATE WHICH ADDRESS IS DESZRED. NO CHANGES WILL BE 9LLOWED ONCS BIIILDIAG PEAMIT IS ISSIIED. HOLTIPLE DiiELLINGS - RFSIDENTIAL INCLUDE 2 SETS OF PLANS, CER 1 SET OF ENERGY CALCULATIONS COPMERCIAL RENTAL i1NIYS FOR SALE i1NITS OF SD6VSY - CfiECB WITH BLDG. DEPT., INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND /&.DD(7-IDfy To Be Used For: 51?+ c?3 Valuation: Date: Site Address J OFF. Lot ?Q Block ? On Site Sewage_ ' MWCC System Parcel/Sub ? On Site Well City Water Owner Address r= City/Zip Code Phone Contractor S ? L /- Address City/Zip Code Phone Areh./Engr. Address City/Zip Code Phone 4/ 9PPROVALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off APC Variance I 1 r? 91G Oceupancy Zoning Type of Const (Aetual) (Allowable) li of Stories Length Depth S.F. Total Footprint S.F. FELTS Permit (pcj.t° Surcharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL ?S 9i. :, RESIDENTIAL BUlLDING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 'd- I 8 (, - S? 0a1c," 013103 New Construction Reauirements RemodeVReoair Reauirements OfACe Use OnN 3 registered slle surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (ZO%maximum lotcoverage allowed) 1 set of Eneyy Cakulations for heated additions Trce Pres Plan Reod Y_ N 2 copies of plan showing 6eam & wintlow sizes; poured found design, etc. 1 sile survey for additions & decks Trce Pres Reqd Y_ N 1 set of Eneyy Cafculatlons Addltron - ino'icate ifarsrle sepG'csystem Onsite Septic System _ Y_ N 3 oopies of Tree P2servation Plan if bt platted after 7/1193 RimJoistDetailOptionsulecGonshaet (bldgswith3orlessunik Date /b / ( Site Address / / 03 2 6s- ?.i2?Sl' f2d?S e, ConstructionCost 3800C' 4/t/ UnitlSte # Description of Work ??uM. L?? AS L Pct.,v5 Multi-FamilyBldg _ Y ?N Fireplace(s) ?0 _ 1 _ 2 Property Owner PA? Kc-v/ cQ S Telephone #(X/ ContracYor V) -0S c o Qe? ;w & Addr¢SS ?? SS f, `?6 ? 4 S r L? State WAl Zip S?S%.2 y PY.Crfr ? City T Telephane # (76'a ) `"'/ -7 ? / 2 - f 0 10 v COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted . Energy Envelope Calculations Su6mitted Have you previously constructed a building in Eagan with a similar plan8 fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Coniractor N If so, 25% plan review #( I hereby apply for a Residential Building Permit anV?cknowledge?e=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 pernut, 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 ofplans. t)oe STCuSiLJo Applicant's Printed Name Ap cant's Signature Telephone #( City of Ea?an 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675-5694 2008 MECHANICAL PERMIT APPLICA Date: ? O Site A ess: 17Z 6; / ( d Tenant: ?? ?-?-??1 I '?i +9--c - ---------i I Fw:Office_Use ? ? Permit#: ? ? Permit Fee: ? I ? ? Date Received: ? I ? ? Staff: I L I II I?????? II aur, o 6 2008 RESIDENT(OWNER Name: Phone: 611-7-1 Address / City / Zip: S*P" ?° - CONTRACTOR Name: slIBNSVILLE HEATING & AlC, INC. License #: 3451 Burnsville address: c;ry: Bumsville, MN 55337 State: Zip: Phone:'lS,4"Qe7 000ContactPerson: LCSC TYPE OF WORK _ New AReplacement _Additional _AlteraGon Demolition Description of work: NOTE: Bofh roof mounted and ground mounfed me'chanical equfpmenf is required to be screened;by City Gode.' Pfease contac,# the Nlechanical lnspeetor or one of fhe , ' Planners fo r inforniaHon on ermitted screeelin methods: PERMIT TYPE RESIDENTIAL COMMERCIAL Furnace _ New Construction _ Interior Improvement Air Conditioner _ Install Piping _ Processed ? Air Ezchanger - Gas - Exterior HVAC Unit ' HVAC uniLs must be screened _ Heat Pump Under / Above ground Tank L_ Install /_ Remove) Other '* When installing/removing tank(s), call for inspection by Fire Marshal and Plumbin Inspector RESIDENTlAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fife fepail' (replace 6umed out appliances, duclwork, etc.) (inClUdes $.50 State SurCharge) $ TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x 1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Percnit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is >$7,000, surcharge increases by $.50 for each =$ State Surcharge $1,000 Permit Fee (i.e. a$1,DD1$2,000 Permit Fee requires a$1.00 surcharge). $ TOTAL FEE i j ut8uy aC..i iuwieage mac crns imormanon is compiete ana accurate; that the work will be in confortna with ordinan s and co*s 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 ermd; that the wo will he in ortlance with [he approvetl plan in the case of work which requires a review and approval of plans, x_ !? S te"., 1: ?"o 1 X Zl? Applicanfs Printed Name Applic s Signature FOR OFFICE USE Reviewed By: Dete: Required Inspections: Under Ground Rough In _Air Test Gas SerVice Tesf dn-floor Heat ' Final City of Ea6 ?J?Il 2 J0 08? -? EJUL . 3830 Pilot Knob Road ? ?..? Eagan MN 55122 Y'1=? Phone: (651) 6755675 ? Fax: (651) 675-5694 2008 RESIDENTIAL BUI Date: 'l Site Address: 17 G7 ? Tenant: Suite #: RESIDENT I OWNER Name: 6t+1 Rekji°? Phone: Address /•City / Zip: ?C App4icant is: _ Owner . -Ll?Contractor T'YPE OF WORK Description ofwork: RnoT D\)Q(- 2yi 5? ? K Construction Cost: Q! Multi-Family Building: (Yes No ? CONTRACTOR Name: {tl ? {1?j? ? ?Vl GT• License #: Address: ju i scJ LJE.?Ae(' ??• City: P{-i?f- " ke_ State: it/ 1'-_ Zip: Phone:9 50--'-(4? - 73'5 ContactPerson: '?fiC aA 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 Category SubmiKed Submitted (4 submission type) .• Energy Envelope Calculations Submitted . . In the last 12 months,fias 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 Contrector: Phone: Sewer & Water Contractor: Phone: ??NOTE• Plans and supporting: documQpts ihatyou subri?lf are con'sidered to tie puBlic informatiori Porhoris of p" ec?f[c reasons that would permrt fhe Cify to? ? ? the informatron may be clas'srfietl as non=public ?f ou rovide s y p p ;" ?-???" i '' 'cOnclude that.the aie'trade` `seerets , - '? ? ' ?? '?a ? ?r'` ? ' . , . ? . , h„ ?s . I here6y acknowledge that this information is complefe and accurate; that the work will be in confortnance with the ordinances and codes of the City of Eagan; Ihat 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 6e in accordance with the approved plan in the case of work which requires a review and approval of plans. X r-? 1-- ??, k X ApplicanYs Printed Nam Applicant's ignature . Page 1 of 3 I ??g„'f?ffice`lJ5 - - - - - Permit# ? i - C 1 Permit Fee: 7, I ? ? Date Received ? ? StafE I I ----------------I PERMIT APPLICATION DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex O Single Family ? 06-plex ? 01 of _ Plex ? 07-plex ? 02-Piex ? 08-plex ? 03-Plex ? 10-plex ? 04-Plex ? 12-plex ? 16-plex ? Accessory Building ? Fireplace ? Porch (3,season) ? Garage ? Porch (4-season) ? Deck /? Porch (screen/gazebo/pergola) ? Lower Level ? 5torm Damage ? Miscellaneous WORK TYPES ? New ? Interior Improvement ? Addition ? Move Building ? Alteretion ? Fire Repair ? Replacement DESCRIPTION 7' : Valuation ? Occupancy Plan Review Code Edition (25%_ 100°/a Zoning Census Code ? Stories # of Units Square Feet # of Buildings Length Type of Const. ,-r- Width Footings (new bldg) Footings (deck) ? Footings (addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace:_R.I. _Air Test _Final Insulation - ? Pool ? Ext. Alt. - Multi ? Ext. Alt. - SF ? Multi Misc. ? Siding ? Demolish Building` ? Reroof ? Demolish Interiar ? Windows ? Demolish Foundation ? Egress Window ? Water Damage `Demolition (entire building) - give PCA handoutto applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock MeterSize: ? FinallC.O. ? FinallNo C.O. HVAC Other: Pool: _Footings _ Air/Gas Tests Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall /' Reviewed By: 1? , Building Inspector RESIDENTIAt FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC UGlity Cannection Charge S&W Permit & Surcharge Treatment Plant Copies Total //$" r.?- 7 po n L« ? OL2F ?u(?s Page 2 of 3 RESIDENT OWNER Name: 2u 1 —14_45 Phone: 4 y `a' '2j -27.-2:1,-.1 Address City Zip: t' -45 C r Applicant is: Owner Contractor TYPE OF WORK I Description of work: i- c ,-i.' I c\--1 3 h' 't V Construction Cost: G 1 e5 Multi- Family Building: (Yes No, CONTRACTOR Name: t_` "■,j .S L t_ t� License 2-C. 2-C. S t4,'? -`3 <21 Address: i `1 a `3\ kji} ),..j 1 t A City: 1- 116 State: IN Zip: i 3 C Phone: 6, 11 -2 H (9' Contact Person: j COMPLETE In the last 12 months, has _Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? 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 they are trade secrets. City of kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: )e '24 4 k Site Address: 1 •s r r I e1;L- Tenant: x Applicant's Printed Name For Office Use Permit L Permit Fee: Date Receive Staff: Use BLUE or BLACK Ink Suite Applicant's Sign u e P /l 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.000herstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances a 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 perm' hat the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Page 1 of 3 ity of Earn 3830 Pilot Knob Road Eagan MN 55122 Phone; (651) 675-5675 Fax: (651) 675-5694 RECEIVED DEC 1 2 2011 Use BLUE or BLACK Ink i Permit #: 62/12.0 Pem,it Fee: vv Date Received: 121/30/1 Staff: 2011 MECHANICAL PERMIT APPLICATION Date: \-- Lc) `_ ( Site Address: Tenant: \ 05- Crcrs L l.s I—�► Suite #: J RESIDENT / OWNER Name: C_`" y A Phone: 1 -- ,Sy— 3--3r) Address / City / Zip:, l ( Q 1 Y lS� Ln , �C cn sv CONTRACTOR BURNSVILLE HEATING &A/C, TIBC. 1 /� c Name: License #:-%,� �C.Z.�� )3 3451 W. Bum vt a Pdrk%vay Address: Suite 120 City: Burnsville, MN 55337 r, �^� -- State: Zip: Phone: lZ`�" �7 Contact: \ \C� Email: TYPE OF WORK New ?C Replacement Additional Alteration Demolition Description of work: lcuk 0 uu\__aCL ' NO E: Rt of mound end round mounted tit ' ha cal e t ipment i t tc reeve t) r Caste. Pl ± ontact t# e s nical ,ins or art :inforatatiii, ems. „ n� . . PERMIT TYPE RESIDENTIAL )(Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank (_ Install / Remove) Other _ ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) ,�t� $5.00 State Surcharge) $ l.J�:>' 00 TOTAL FEE $95.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank $55.00 Minimum (includes installation/removal OR State Surcharge) $10,010, surcharge is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% _ $ Permit Fee - If the Permit Fee is Tess than Fee = $ Surcharge - If the Permit Fee is > $10,010, (i.e. a $10,010-$11,010 Permit = $ TOTAL FEE 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.uoeherstateonecall.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. x1 r' 1C�j6(�CJf1 App icant's Printed Name Applicant's Signature Use BLUE or BLACK Ink r—————————————————'� I For Office Use � � � Permit#:�i�/��/� /JU � Clty of �� ; . : �S ; Permit Fee 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received:�� Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �°,,� � Date: � �� t� Site Address:___�� "'��`�L �a�e' Unit#: ��;;,:. . �}? j�., q ;: Name: � � 10�� S Phone:�� `� ( �� '3�� I ReSid@nt/ ( � QyVn�r Address/City/Zip: �1�S �V'�5�d+,e� �Q�t-v Applicant is: Owner �Contractor (�' r � . T�,J�� f W4.1Ck Description of work:�I 2dcr- ,'1re.►�ct1C I.J� A Sd�,a C t' s��q��S , � °� �ay" �. ��, Construction Cost: �� J �� Multi-Family Building: (Yes /No� I � � �i;�: I �� yFF�� ; � � �� m,iil�'�� Company: Contact: �k�c+�'� . F '��" � �1 �� ' ,,, .. � �' � Address: �� 1 �Z�� u� ��.�-. City: �6��e��ti��e- COtI'�TfiCtOC State: � Zip: J � 0'"G'� Phone: ��-',-1�" `�Q3Email: O��I'1�� c-�'�`�'�. �0�. License#:�� Z�` 3 Lead Certificate#: tV�' `�� J � 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: �fQ��`��`F�a ,��n�i,��P�v,rtin�'�I��,�r��` tl� �r�ius�b�r��r��tderec��#�r�e�p��y/ic ir�fc�r��tic�►�: l��rtir��of iidi�i� uu ' o,f-_��.i�� - �� fhe rnfr�,rrri,��iar�iD1may,,,��"'�las��fie�t�s nq�p�bl��f,�r��Ar�vial�ti��f�'rc��a�ar�s�th�f��i�'t�tcf'perm�t#h�'City�v � ��,�� . ,�� °, . ,��,��`��»�lu e�iF�`l��th�, � � : � �. �.�Ce t�`�de 5e;� t_��; �- 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.ctopherstateonecall.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; tha4 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. J U S�G t� I,.,l �� u��' x X Applicant's Printed Name Applica s Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA140089 Date Issued:11/23/2016 Permit Category:ePermit Site Address: 1765 Crestridge Lane Lot:6 Block: 2 Addition: Ridge View Acres PID:10-64000-02-060 Use: Description: Sub Type:Fireplace Work Type:Gas Insert Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to concealing. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 3,000.00 Fee Summary:BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 $90.00 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 - Darlene P Reyes 1765 Crestridge Lane Eagan MN 55122 Fireside Hearth & Home 2700 Fairview Ave N Roseville MN 55113 (952) 985-6675 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA157653 Date Issued:09/03/2019 Permit Category:ePermit Site Address: 1765 Crestridge Lane Lot:6 Block: 2 Addition: Ridge View Acres PID:10-64000-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Darlene P Reyes 1765 Crestridge Lane Eagan MN 55122 (612) 578-8664 Boys Mechanical Inc 490 Villaume Ave, Suite 300 South St. Paul MN 55075 (651) 340-5956 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169220 Date Issued:05/18/2021 Permit Category:ePermit Site Address: 1765 Crestridge Lane Lot:6 Block: 2 Addition: Ridge View Acres PID:10-64000-02-060 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Darlene P Reyes 1765 Crestridge Ln Eagan MN 55122--114 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature