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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