1243 Crestview Lane
Use BLUE or BLACK Ink
z
- - - - - - - - - - - - - - - - -
NYC ~ i For Office
s
• ~ , ~'~f..^' ~Q' <~C~ ~ Permit
City of Enu
Sf3 $ay.
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Ea
9 RECEIVED I I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
JUN 7,4 2011 !
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 20,zv- A z L_ I « Phone:
RESIDENT I y 3 C12 Ff 7'0/
OWNER Address /City /Zip: Suj
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 2 of q-e_to ~agr
Construction Cost: Multi-Family Building: (Yes / No )
Company: Contact:
CONTRACTOR Address: City:
State: Zip: Phone:
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 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_ OV#Lb ~ Kdwcl, x
Applicant's Printed Name Applicant's Sig6at64'
Page 1 of 3
DO N~ WRITE BErAVTHISLINE
S*JB 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 jj(~ ~S
Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) 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) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
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: Footings - Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
SIENNA CORPORATION j
•SURVEYQR'S, CERTIFICATE.*
~J
S 7,6 - 3,5 0,9
xeao r 61 • ~
REVISED It' 18-86 TO SHOW PROPOSED
HOUSE By SUNSHINE CONST. _
REVISED II-20-86 dR~1NAC
l~ASE'AI~eNT f'ER P4.4r `,F f
LOT 4 - 01
1r~ - x$52' 36.0
J M/ROPOSE NO 120
E
hm 27.67
lilt X658.0) o c; CD Cn ~
7 r~' rn
M GAR. +
~ N
29.09. g22.33 18
y a• i.
5 V.'. 5
~~rl~~lil~e N
W
7n v+... F f _ f Q
pTEto ;
C.
PED 'Q804.4% 5b°~
Y
$3.48 31.46 I
ese a
d?3 45'05 n N8g~5S23rrE
s R=264 I
CRESTVIE , 0 14A
-4-- DENOTES PROPOSED SURFACE DRAINAGE
M~
O DENOTES IRON MONUMENT SET SCALE: . 1 INCH 30 FEET
-
. • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 85S.d FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 850.4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = $ 58.7 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4 , Block 3 , BIRCH PARK,'according to the recorded plat thereof,
Dakota County, Minnesota.
IT DOES NOT PURPORT TO SH014 IMPROVEMENTS OR.ENCROACHMENTS, IF ANY. AS SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS 2-Z%0 DAY OF oC.-Toibea, , 1985.
APPROVED FOR SIENNA SIGNED: JAMES R. HILL, INC.
CORPORATION
DIY: BY:
DATED THIS DAY OF HAROLD C. PETERSON, LAND SURVEYOR
19 MINNE'SOTA'LICENSE NUMBER 12294
PROJECT tia. BOOK/ PAGE JAMES R. HILL, INC.
. 84762(86198)
Planners t Engineers / Surveyors
FILE NO.
8200 Ifumboldt Avenue South
FOLDER Bloomington, Mn. 55431 012`804-3020
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA081453
Eagan, MN 55122 . Date Issued: 12/13/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 1243 Crestview Lane
Lot: 4 Block: 3 Addition: Birch Park
PID 10-14175-040-03
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard-wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Home Depot At Home Services Donald B Kulick
656 Mendelssohn Ave. N 1243 Crestview Lane
Golden Valley MN 55427 Eagan MN 55123
(763) 542-8826
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
BUILDING PERMIT
Receipt # ?
7obeusedfor SF DWG/GAR Est.Value $96,000 Date DECEMBER 3 1y86
1243 CRESTVIEW LN
SiteAddress
Erect ?
Occupancy R3
Lot 4 elock 3 Sec/Sub. BIRCH PARK
Remodel ?
Zoning Rl
Parcel No Repair ? Type of Const. -V
. Addition ? No. Stories
W
Name SUNSHINE CONST
Move ?
li
h ?
Len9th
th
D 4 $
FR
3 Address 5985 12$TH ST W Demo
s
?
lnt
Pr. ep
Sq.Ft.
0 Ciry A.V. Phone 431-2200 ?
Install
o SAME Approvals Fees
Name
? i Address
a
?
City Phone
? W Name .TAMF.S R HTT.L.
???-y Address R2(10 HIIMROLDT AVE SO
aw CityRT.MCSTN phone 884-3029
Assessment_
Water & Sew.
Police -
Fire
Eng.
Planner_
Council _
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ciry of?an rdipances. APC-
?
Signature ot Permi
A Building Permit is i ued to: SUNSHINE CONST
all work shall be d e in accordance with all applicable S'tA of'Minnn"es ta Sta t
Building Official ` ??_ -e-
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12936
PHONE: 454-8100 X g7.11
Permit $ 421.00
Surcharge 48.00
Plan Review 210.50
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 290.00
Tr. PI. 156, 00
Parks
Copies .50
Total 52,264.50
an the express condition ihet
City of Eagan Ordinances.
-W
3830 Pilot Knob Ro dl P.O. Bo 2G-A1 9, Eagan, MN 55121 ?yW? A 12936
PHONE: 454-8100
BUIL6ING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $96,000 pate DECF.MBER 3 19 86
Site Address 1243 CRESTV I EW LN Erect C* Occupancy R3
Lot 4 Block 3 Sec/Sub. BIRCH PARK Remodei ? Zoning Rl
Parcel No Repair ? Type of Const y
. Addition ? No. Stories
W SUtJSfilNL COi
Name iSl' Move ? Length 4$
i -_
598
2 Demolish
T ? Depth
;
0 5TH
5 1
Address W
S
Int.impr. ? Sq.Ft
A.V. Phone 4
city 31.-ZZfl0
Install ? = o Name SAMS Approvais
$ ? Address Assessment
Ciry Phone Water & Sew.
Police
I W Name .?A1+?1F:S R HILL Fire
? a Address 3206 HUt?1SOLDT AVE SO En
i W Ciry Rr.`1G1td phone _384-3029 Planner
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 Permityeb-? SUNSHING caNST
A Building Permit is issued to:
all work shall be done in accordance with all apDlicable State of Minnesoti
Bldg.
Var.
Permit ;? 4 41. vv
Surcharge 48.00
Plan Review 210 . 50
SAC 575.00
Water Conn.504 • DO
Water Meter 63. 50
Road Unit 130. 00
Tr. PI. 156.00
?
cop4s . 500
Total $2, 264 .5U
on the express cor?dition that
City of Eagan Ordinances.
Building
' • PermH No. PormN Holdsr DMt Tslephons N
Plumbiny
H.V.A.G"•
Ekpctric
soltsrer
Impoction Dab Insp. Commmts
Footinys I
Footinya II
Foundstion
Fnming
RooNnp
Rouph Plbp. ? ?
Rouyh Htp.
liaul.
Ffroplsce
Final Hty.
Flnal Plby. ?
Bldg. Final
Cert.Occ.
Deck Ftp.
Doek Frmy.
We11
Pr. Dbp.
I CONTRAC7
Site AcJdress
MECHANICAL PERMIT ? 9f ? Y
' CITY OF EAGAN RECEIPT #
? 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: Z87
PRICE PHONE: 454-8100
- Name _
19 Address
c City -CA
Name _
3 Address
O City ?
BLDG. TYPE WORK DESCRIPTION
- Sec/Sub Res ? New 6-1/
,1 Mult Add-on
Comm. Repair
Phone 3 -O S Other
'TYPE OF WORK
? Forced Air ?nU M BTU
. Boiler M BTU
` Unit Heater M BTU
Air Cond. M BTU
Vent. CFM
Gas Piping Outlets # _L-
' Other
FEE:
? - S/C:
FEES
RES
HVAC 0-100 M BTU
$24
00
.
ADDITIONAL 50 M BTU -
.
- 6.00
,?_ ;,? • a (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PERMIT
1
5
EA
4l, 06 (
-
)
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES -
.
. ;
0
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
?/, SO STATE SURCHARGE PER PERMIT
BNp $j/?? PERMIT PRICE GOES - .50 ?
cC ?.s rtr-,._J
? S0
?()rQ1
SIGNATURE OF PERMiTTEE
. FOR: CITY OF EAGAN
, PERMIT #
PLUMBIN(1 PERMIT RECEIPT #
' dTY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
? Site
? Name
3 Addre
p CitY -
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCNARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
r
BLDG. TYPE WORK DESCRIPTION
Res. New '
Muit Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Cioset - $3.00 4
Bath Tubs - $3•00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00 I
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Fioor Drains - $1.50
Water Hsater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50 I
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRANQ TOTAL•
CITY OF EAGAN Remarks D i v i s i o n # 16252 10 / 8 5
AdditionBiTC11 Park Lot 4 eik 3 Parcel 10-14175--040-03
owner Street 1243 Crestview Lane State Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
19
SEWER LATERAL ?' ---
108
n rr i?
n n n ??
??
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY GF EAGAN WATER SERVICE PERMIT
3830 P"at Knob Road
F
8ox 21199
O
PERMIT NO.: 824E,
.
.
Eagan, MN 55121 DATE: 1? --4-R 6
Zon(ng: Rl No. of Units:
Owner. Sunshine Coust.
Address:
1243 Crestview Lane
L4 L3 Airch P
ark
SiteAddess:
Stat Plumbin
plumber
.
Meter No.: 5 Connection Charge: $?? •?? r c?
Size: Account Deposit: 15 , l??pd
G 76 732
Reader No.:
Permit Fee:
1.0 .?opd
'?
S?
1 sgne to comply wHh the Cit?l oi Eagan Surcharge: ?
'
?- Ordinan Misc. Charges: 156. 70 d TP
h?3 . p , r.te
? Total:
Date Paid:
?at of Insp Insp.:
a-ia-;?7
OF EAGAN SEWER SERVlCE PERMIT
Pilot Knob Road
Box 21199 PERMIT NQ.: _
i, MN 55121 DATE:
No. of Units: r: -
h osnply wilh !IM CitY oi legsw
Comwttlon Gwrps:
AcoouwM Deposit: _
PermM Fw:
Surdwr":
Misc. Cha?qes: -
Totol:
Datr Pald:
BLDG. PERMIT ti0.
01-3210
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
20-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
B1dg. Permi*_
Plan Check
Surch. /Adn:. _
SAC/Adm.
Surcharge
Road U nit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
;
TOTAL
L
--------?^`^?"-•--
? CASH RECEIPT
- ? CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
y • 1 DATE - 19
i
? ? aeceivco
WROM
? AMOUNT $
I & DOLLARS
1 oo
Ej CASH ? CHECK
rOR
a() lD l
Thank You ?
BY
This repuast vold
78 mpnths /mm
C? 77609i,?
G' ?; (F- (_.?' a??-2
-X r
Requst Date '
?"7 v
?
vf
Fire No.
qouph-in Insuection
flequired?
?Yes ?N ,?, . ?,"
..
CR¢ady Nuw ??qy"•'ill NnlifY Inspec-
'1ur Wh n fl d
,,,4 ?•..=r-vu uei,Encai Convactor I heraby raquast inspection oi above
?Own¢I BIBCtlical work inafnllwd n1Street Address., 'B}ox or R uTe No. • C r?
< f ?
ection o. Townshi0 Name or No. Range No. ..
Counry
cu ent(PplNTY
- /, ^
?t
I
4
Pho e Nc.
i
L?
,1 ck-
r Supplier Address
t
ec ical CnnVactor ?Co pa yyy Nam
?ll L
« tr-7
' tractor' . L'
? ? ,.
?'?? ense No.
M
a lin A Jre(s?s IConbactq:or Owner Making Installationl
?
2
'
L?: .J
Ux
3
Auffiori ignature o tractor Making Insta
llation)
? ?l
•^ ??M siAiE tlOAqO OF ELECTftICITY
d?i99a-Midway Bltly. - Ruom N•791
7921 Universitv Ava.. St. Vaul, MN 65704
Phone (612).642-0800
ima irvsvpcI iOry qERUEST WILI NOi
BE ACCEPTED BY TME STqTE BOARD
UNLESS PRpPEH INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-oe
Sae instrvctions lor oom leti this form on back af
/ V ?9 Yellow copy.
? a77Rnq "X" Below Work Covered by lhis Requesl
Nev4 Addj flep. Type of BuilEing AoPIkinroe Wired Equiumen[ Wired
Home Range Temporary Service
Duplex Water Heater Lightin, Fixtures
Apt. BuilAing Dryer Electric HeaLn
Commercial 81dy. Furnace Silo Unloader
Industrial BIAg. Air CorxJitioner BWk Milk Tank
Farm Other peci v Other (Sperifv)
t e. SVeu y Other Oth.r
CO/71UtlIB IASOPCIl00 FPP Relnw
# Fea- • ServiceEnirance5ize fl Fee Faxtlers/Suhfeeders N Fee Circults
) 0 to 200 Am s 0 to 30 Am s 0 to 30 Am s
Above 200 qmpy 31 to 100 Amps 31 to 100 q y
Swimming Pool Above 100_Amps Above 100_Amps
Transformers Irrigation Booms Pertial-'Other Fee
Signs Special Inspection rl-? 7
Hemarks OTAL
P
Pough-in ? Uate . r
I, the Ele ic
Inspectar, hereby
certily tha[ tha above
Final ? D.? +nsoecuon ne, eeen
/Mimed.,
TNS repuest witl 18 montM Irom
?
,
NOT?': PA7dN5TTf OF FEE AT TIME pF
APrrIcATzorr noFS Nar eorSr.zzvTE
APPROVAL OF PERNBT.
INSPECTION OF SEWER ArID/CII2 WATIIi
rNSTALr.aTTONS WSiS, NOT BE SCfIID--
?LFD ONPIL PERMIT HAS BEQd
APPROVID.
----------------------------------
P ease Print)
:1) PROPERTY ADDRESS:
` LEGAL DESCRIPTION:
IF E7QSTIM STRL'C![.'RE, DATE OF ORIGINAL BL?ILDING PERMIT ISSL'ANCE:
PRFSENf 7ANING/PROPOSID L'SE: (Month/Year)
? COI+?RCIAL/Rfi'TAIL/OFFICE SINGLE FAMILY
? INDUSTRIAL r-I R-2 DL'PLEX (Twlo Units)
C1 INSTI'IL'TIONAL/GOVERIZMiT ? R-3 70WNHOL?SE (Three + Units) ( LTnits)
. [? R-4 APART'MEP7T/COAIDOMINIOM Units)
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
Z)
NkME:?u,?s?,,??
aoDREss:.?9 8?5 /2?S *4
czTr, sraxE, ziP: APPc? Ua •L4
PxorE: 43 ( -ZZ4G
nAm: 5 z h. L Pc., rn pi C,-.
aMREss: IplLON Iti0u1'r,fJ 'fe!?2
CITY. STATE, ZIP: 13 L-Gt3 M i (S-T'O&I /t'I XL 'SSG 20
PHONE:$84--4(Q.t-j' MASTER LICg1SE# .332rT ?`'t
4) ??.4•:.? •,n,irm
NAME:_ 5 A.
p
. ADDRFSS: •
CITY. STATE, ZIP:
* PHONE:
? Active
fStpired
Not recorded
Sta 7n1tial
5) u r i a: •?• : a • o? - ??
E' CONNECTION TO CITY SEWII2 ,rgl^ CONDIDC.TION TO CITY WATE2 OTI-IER ' ..
[3 PLEASE HOLD APPROVFD PERMIT EY)R PICK-LIP BY ONE OF ABOVE -
P APPROVID PERMiT TO 1, 2, 3, 4, AHOVE
(Circle one)
7)
FOR CITY USE ONLY
PERMIT # ISSCED
? ?
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ /b} V
$ WATER PERMIT (INCLUDE SCRCHARGE)
$ Z,3
$ WATER METER/COPPERHORN/O['TSIDE READER
$ $ WATER TAP (INCL[.'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
S j Oo? U? $ WAC
$ Ci-o , $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ ?,?i (? •?? $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
3 `/ S S?
$ / $
- TOTAL
7? ?
RECEIPT
RECEI
PT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PLBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIS ISSL?ED BY THE ENGINEERING
.
T AS A CONDITION.
SOBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
?
TITLE:
DATE:
5?6;) S,
New Construction Reauirements
• 3 registered sde surveys showing sq. ft. ot lot sq. ft. ot house; aM all roofed areas
(20% mazimum lot coverage albwed) • 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy Calculations • 3 copies of Tree Preservatian Plan it lot platted after 711/93
• Rim Joist Detail OpEorrs selection sheet (61dgs wRh 3 or less uniLs)
DATE 2-b ? ?_
SITE ADDRESS? ? Z ?? ?
TYPE OP WORK F-e - F
*S-4rvv
MULTI-FAMILY BLDG _Y ?1
_ FIREPLACE(S) ^ 0 _ 1 _ 2
APPLICANT ST C.Cd ? x V'1_?-Le-l
STREET ADDRESS z'Sj k ?Aw 1 -7 CITY C'xce?s;<.c STATE 9 N? ZIP
TELEPHONE # RSZ °q_7o-?L[0_S CELL PHONE # FAX # 94-Z-97o - ?4 ?4(,3
PROPERTYOWNER 10fJ4'-_Z ?V(-( cl?- TELEPHONE#Lf ! -6 S'8-O0('
----------------------------------------------- -----------------°---------°...---------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY l MINNESOTA RULES 7672
submission lype) . Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Suhmitted
. Energy Envefope Calculations Submilted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Nlechanical system includes:
Sewer/Water Contractor.
Phone #
Phone #
AUG 19 2002 ?
?
--°-------------°------°°---°--------°-----------°°------------°--------------------------•----••------•--.......
I hereby acknowledge that I have read this appiication, state that the information is cortect, an gree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi?hces.
L
Signature of Appltc
------_---_-------•__....._---------------- ------------ -------- ..--------------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
oE,, r ? L
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675
Water Softener
Wazer Heater
_ No. of Baths
RemodellReoair ReouiremeMs
• 2 copies of plan
• 1 set of Energy Calculatlons for heated addNions
• 1 site survey for ezterior additions & decks
• Indicate i( home served 6y septic system far additions
VALUATION
Phone #
_ Iawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
Heat Recovery System
(? 4419
2004 RESIDENTIAL MECHANICAL PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/oondos when pemtits are required for each unit
30 -?;V
Date V? I cPv l O?bV `1
Site Address I r?-l 3 Ur&-?)+U/'e? l, Cz /?r Unit #
Property Owner Telephone # ( &Si ) ?? V " r "`?c'?
Contractor (} I 1 ?
Street Address ? lG' VJ 5 / y S? -s? w' City 0 (zP)6C)I7 ?
State Zip YO r? Telephone # ((o S
Bond #: Espires:
The Applicant is _ Owner I"ntractor _ Other
Add-on or alteration to eaisting dwelling unit
? furnace _Additional Replacement $ 30.00
air excha nger
airconditi oner _New _Replacement
other
State Surcharge
l6
J $ 50
Total 1?u ,u $ "?o - -S-1
I hereby apply for a Residen6al Mechanical Permit and acknowledge that
be in conformance with the ordinances and codes of the City of Eagan an
but only an applicarion for a pemrit, and work is not to stazt wit
appro d plan in the case of.?ryprk i?h repu a review and approval n
f 1/) ?P ? ?i?i a V
ation is complete and accurate; that the work will
Mechanical Codes; that I understand this is not a
nit: that the work will be in accordance with the
Applicant's Printed Name Applicant's 5ignariue
At
?
1986 BIIILDING PERlLiT APPLICATIOH - CITY OF EAGAA
HOTS: ALL CONTBACTOE3 MfJST BS LICENSSD iiITH THS CITY OF EAGAA
SIPGLE FMQLY DWELLI9G5
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiSLLINGS - R&SIDENTIAL RENTAL p9ITS FOH SALB IINITS
INCLUDE 2 SETS OF PLANS, CERTIFIC9TE OF SIIR9fiY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMlERCI9L
INCLQDE 2 SETS OF ARCHITECTURAL & STRUCTURAL YLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Oaluation: R(0too!?) Date: P-2-0-e(0
Site Address (243C.k6-ST V iFLt_r
Lot 4 Bloek 3 L'N ?
Parcel/Sub L?LQ.GI.I PA? ?Owner
Address '5j8's l2s{' Sr4J
City/Zip Code AWL6 ox6?? q5)74
Phone 4 3 ( -
Contractor SA qi
Address
City/Zip Code
Phone pt?
Meh. /Engr.
Address 821c, 14 ct r-n j3[x.ner ,(1Jt5 S•
City/Zip Code
Phone # -SF?4 - SoZ`j
Erect ? Oceupancy
Remodel Zoning ?
Repair _ Type of Const
Addition # of Stories
Move Length ?
Demolish Depth
Int.Impr. Sq Ft
Install
aPpaovALs xsEs
Assessments Permit 4Z 1,
Water/Sewer Surcharge 4a.
Police Plan Review Z? (p.?°
Fire SAC
Engr Water Conn SDO.
Planner Water Meter (03.5o
Council Road Unit 1-9 O,
Bldg Off Treatment Pl 151D.
APC Parks
Varianee Copies C-i) 5"
TOTAI. 7p--o • S ?
? I z- 3
HOTE: ADDRESSSS FOR CORNEB LOTS - CONTR9CTOR/HOMEOi1NER HQST DESIGNATS i1HICH ADDRESS
IS DESIRSD. PO CHANGES WILL BE ALLOWSD ONCE BDILDIHG PERMIT IS ISSIIED.
Z2 x ? ?02? ?<- sP) =-59,50 a
l2 x? \ 9-3 2 x
? X ? o = ?o ? sv = SZ2o
ZZx 22 -4-64- x?2 = S? oS
?? ?l 2--
,
a?
One or Two Family
,.
"'- :' All Other
CITY OF BUILDINa DEPARTMENT
EXTERIOR ENVELOPE, AYERAQE l'Ull COtdPUTATIOPt
To be submitted witH building permit application)
Dwelling zi= Owner SLeA15(4l&.rt=,? Coti ST
....?,,.
'?', •
Coatrector _ UII?,W/065
? .. ? .
?X..'oTlS DqLE ?
klK", EXPO ED VUILLOF
t.
OPAQUE WALL
`? Detail
?°E refereace
rrom
attached
sheets
WINDOWS:
CONSTRUCTION: "Ull Value x Area
Site Address
Date _ Phona s(`ZZC0
above grade = Do ?
TOTAL EXPOSED WALL AREA SQ. FT.
P r?? m? flull .043
- x sQ.
?
_ E.??? +?'.
i
nUn .) 4o x SQ.
'lUll X sQ.
rIUII X sQ
.
npn x SQ.
nUet x SQ.
"Ull Yalue x Area
FT. 2? . 7191 (U)(A)
FT. j3tp,Z,4 = 19.07 (U) (A)
FT. )4Z,7tp = 5-•71 (.U)(A)
F"1'. _ (U) (R)
FT. _ (U) (A)
FT. _ (U) (A)
dc'T'YPe II?Sr?L, eSis??7_uU?r •4'(D X SQ. FT. Z, _??9-L? (U) (A)
n uUu _
x 3Q. FT. (U) (A)
n nU u _
x SQ. FT. (U) (A)
x SR• FT.
u apn _
- (U)(A)
DOOR5: "U" Value x Area
">?:;MIske & Type -P!x'llo/?? 2t • nUn rl4 x 3Q.
nUtt x SQ.
n x SQ
'
nUn
:, T x SQ.
ToTAT,s Zz13,oo s@.
AVERA4E nUn
5? .TOTAL (U)(A) VALUES zp?.'
? wA _ • p9
t DIYIDED BY TOTAL SJALL AREA 22.J 3,pp =
AVERA(3E "U", Mr less for 1&2 family dwellinge
ROOF/CEILINC3 t
TOTAL AREA: , oC) ?
FT. 49?OD ? ?v.S6O M(A)
T.?2=j.S_(U)(A)
FT. %I (U)(A)
F'T. 70Z•19 (U) (A)
= Detail reference isUff • dZ x SQ. FT. 13?3mo- 3/•S7 (U) (A)
from
' attached sheets. llUlf x
"Uil 3Q. FT. . (p) (p)
- Describe oneninga x
it11ot x Sq. FT.
SQ. FT. _ (U)(A)
_ (U) (A)
.:. in roof. nUu x SQ. FT. _ (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY T?rrAtLej 1313•'v ,?? 3/•,S?J CVY?>
t
?. TOTAL ROOF/CEILItd(3 AREA 1373,00 • OL3
AYERAOE "U" . 25 or ventilated roofa. '
n
.a.,' n
??:...
Wop-r- 5#EEr
+i..'
k .?. ?
: i`: sKosS EX?oSED wq.c.L
?' " q-Sc X C5v fSot 3(o+3fo) = I fo34;o0
S.00 )C CZStL(O? = Z70,p0
S•cv, y 7i?v = ZSS.oO
' 7.0o x 3 = Z?oo
' ZZ13,oo ?
, •07X ?,SotSo?3611-30) _ llS•ZQ-
' 7.ooX 3 = Zl,oo
: 13fo, z.4 .?.
?. _
?',•?. So? T
'
: •83 X C50 tS0 t3lo+3?? _ JQ2•7ln
;
?t>'.
A --
;l?irlDOU?
?
z7x14 = z,? X 1= z.?o
r; .5, p
X Z-
10,00
-,.' . Z4x3?o = lv,o X .4 = z4oo
Zox4a - 10.7 x 4= zlo,go
_ Z`}x4$ = S. D k S= g?i 00
zoxlvo = S•4 X 3? 2s,z.o
1 Z$-t?o ?
Doo?s
3= xr?, w/s.?. = zs,d?
' Z? STC.SER ? Zj,oO
(o= PA-'?o e L = 84,00
133,uo ?.
?t E7.?vsGD we?c.c. ?e2?Ac.s
wyLc. ZZ?3,oo
L?SS 6AlC
R???14t?m
. W?rjtwws 1 z8,(oo ^ ?40.fv0
A?y ?33,00 1(?7Z•`}a ?
,?ooF
Z(o)c 3(0 =
Z X IS?S =
1k/4 -
? L ?t 210 =
8X !o =
1q3(o
3!z
Scl>
157 3,00 ?.
.
ROOF/CEILIN4
i.).Interior Air A'ilm
2.) 5/811 ayp. sa.
3.) Insulation
4. J
50 Exterior Air Film
(STILL)
(R) V1lLUE
0.61
.56
40,00
.61
??Uu a 1?Ra ?pz3 TOTAL (R)=e19-78
?
?
YfALL
6.) Interior Air Film
7. ) j" 4YP. Bd.
8.) Ineulation
9•) $vjL'f'J-'r7C
10.) Maeonite Siding
11.) Exterior Air Film
R VALU
0.68,
.45
l9,no
?
.67
.17
"Un = 1/R= .a43. ToTni. cR)=Z3•01
?
RIId
12.) Interior Air Film
13.) Inaulntiott
14•) 2" Fir Rim Joiet
15.) gu1c."f ' R?TE
16.) hlaeonite siding
170 Exterior Air Film
(R) vat,u?
0.68
14,00
1.88
Z 64-
.1?
1/Re ? 4plQ TOTAL (R)= zt?.•dA,
?-
FOUtIDATION
18.) InLerior Air Film
19.)
Zo. )
21.) 12" Concrete Block
22.) P-1614h I4UC.t
23.) Exterior Air Film
(H) VALUE
().68
1.28
5, o 0
.17
-Hull a 1/*R= ill'o `r0'j'lL (x) = 713
?
?
--VlALL SECTION--
? Determining feUif values at Rooft Wallo Rimp and Conc. $lock
____ ?
SURVCYOR'S, CERTIFICATE SIENNA CORPORATION j
I.li ? -?
.
??. .??ssss
?
REVISED II-18-B6 TO SHOW PROPOSEO ?
HOUSE BY SUNSHINE CONSL ?
. REVISED II-20-86
a41
n
?
h
2 I
0 1
S 76-35'03" E I
o.: 61 • 28 . I
9
DRA/Nqp -
S FASeA/ENTa UryL/1'Y
P?R PLA7'
? LOT 4
?? .
(BsS.s) _ _
lo ?
. " 63.48 31
N8
a°13'45'05" `
1
` m R CRESTVIEW
Sz,o>
(856.0)
? -?- DENOTES PRDP05E0 SURfACE DRATNAGE
SCALE:
1 INCH =
30
FEET
O
• DENOTES
DEPIOTES IRON MONUMENT SET
1RON MONUMENT FOUND PROPOSED GARAGE fL00R = 858•11 FEET
J(000
0 DENOTES E%ISTING ELEVATION PROPOSED LOWEST FLOOR = 850.16 FEET
.
(000.0) DEf10TE5 PROPOSED ELEVATION = PROPOSED TOP OF IiLOCK = $S8•7 FEET
ldE HEREBY CERTIFY TO SIENNA CORPORATION THAT 7HI5 I5 A TRUE ANO CORREC7
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 4, Dlock 3, BIRCH PARK,'according to the recorded plat thereof,
Dakota Courty, t1innesota.
IT OOES NOT PURPORT'TO SNOb! IMPROVEMENTS OR.ENCROACHMENTS, IF ANY. AS SURVEYED [3Y
ME OR UNOER MY DIRECT SUPERVISION THIS 23¢0 pAY OF oCr06Ee- , 1985.
APPROVED FOR SIENNA SIGPIED:
CORPORATION
tiY: DY:
DATED TNIS DAY OF,---
19_.
PROJEC7 NO.
84762(86198)
FILE NO.
FOLDER
JAMES R. HILL, IPJC.
IIAROLD C. PETERSON, LAND SURVEYOR
M1NNE'SaTA'LICENSE NUMDER 12294
DOOK / PAGE JAMCS R. I41LL, INC.
Planners / Engineers / 5urveyors
13200 Humbold! Avenu• Goulh
Rloomfnpton, Mn, 55431 tS12-804-3029
? `S
i
m/PROPOSED.1 - I ?
1 ? HOUSE 120
?
N UlO
w
? 27.67
n m
SS.o) p o I ? W
? m m m i" 00
w i
i M H D
co
1
O ?
?
a m
' o /OAR.
I
,
? N ?
1y
?
I ?
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA112533
Date Issued:08/16/2013
Permit Category:ePermit
Site Address: 1243 Crestview Lane
Lot:4 Block: 3 Addition: Birch Park
PID:10-14175-03-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donald B Kulick
1243 Crestview Lane
Eagan MN 55123
(612) 849-4759
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123292
Date Issued:06/03/2014
Permit Category:ePermit
Site Address: 1243 Crestview Lane
Lot:4 Block: 3 Addition: Birch Park
PID:10-14175-03-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donald B Kulick
1243 Crestview Lane
Eagan MN 55123
Companion Construction
3305 Harbor Lane North
Plymouth MN 55447
(763) 227-9685
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133444
Date Issued:10/13/2015
Permit Category:ePermit
Site Address: 1243 Crestview Lane
Lot:4 Block: 3 Addition: Birch Park
PID:10-14175-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Donald B Kulick
1243 Crestview Lane
Eagan MN 55123
(612) 849-4759
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA171683
Date Issued:08/26/2021
Permit Category:ePermit
Site Address: 1243 Crestview Lane
Lot:4 Block: 3 Addition: Birch Park
PID:10-14175-03-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Corey & Pamela Ganser
1243 Crestview Ln
Eagan MN 55123
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature