1246 Crestview LaneRESIDENT OWNER
Name: 1 t v\ t u C'=> 1 '3-?-) 2 7c7
Phone:
Address /City /Zip: t L C v';r.4.: j It, cz4{ cU
t
CONTRACTOR
J
Name: Di' It-1 l u (t) 1 2 t yr z" License i<; C 7r- L r* Ail.
Address: s'o' 1-5 2-0 `T
City: I._. a k c'.v i t Stat M Zip:: 55
Phone: e l 52- 4 641 6" G1 6 alt Contact Person: b t' Cy 14d i 5
TYPE OF WORK
New X Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
}C Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ PVB) Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $165.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES x C,r 5
4 City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694
FOR OFFICE USE Reviewed By:
Required Inspections: Under Ground Rough -In _Air Test
u re
Use BLUE or BLACK Ink
Permit
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: CC 4. L /C»- Site Address: C i e.9€ c ct t t. t k J E.- r t
Tenant: PA C{ t 3 t r✓.
Suite
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.clopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name p ant's Signa
CITY OF EAGAN
? 3830 Pilof Kno6 Road, P.O. Box 21-799, Eagan, MN 55121 N° 11907
BUILClING PERMIT PHONE: 454-8100 Receipt#
To 6e used for SF DWG/GAR Est. value $104 ,0 0 0 Date MAY 7 ,19 .86
SiteAddress 1246 CRESTVIEW LN Erect C? Occupancy R3
Lot 2 Block 4 SeciSub. BIRCH PARK Remodel ? Zoning Rl
Parcel No. Repair ? Type ot Const 17
Adtlition D No. Stories
= rvame SUNSHINE CONST Move ? Length
36
3 Address 5985 125TH ST W Demolish ? Dep[h
50
t
l
? s
F
° A.V. 431-2200
Ciry Phone .
mpr.
q.
t.
In
Install ?
o Name SAME APProvals Fees
?? Address Assessment Permit $ 443.00
- ` City Phone Water&Sew. Surcharge $2•00
?0C Police PlanReview 221.50
JAMES R HILL
w w Name
Fire
SAC 575.00
?? address $200 HUMBOLDT AVE SO En
9 WaterConn. 500.00
a W ciry BLMTN phone 884-3029 Planner Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe 4/22/$6
Bidg
On 156_00
7r
PI
information is correct and agree to comply with all applicable State of .
. .
_
Minnesota Statutes and City of Eagan Ordinances. APC Pa/ks
' SignaWre of Permittee Var. Date Copies
00
O1
?
.
Total
A Building Permit is issued to: SUNSHINE CONSTRUCTION on the express condition that
all.work shall be done in accordance with all lica
e State of M' nesot a[t
ut
t
es and City of Eagan Ordinances.
BuildingOtticial .
?
-
.
r ?
?--?---??----•-.-. . _ .. . .
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
i PHONE: 454-8100
BUILD:NG PERMIT Receipt# ` -
To be used ior SF ??????GA:-N' Est. Value $1 04+0U0 Date PIA Y 7 19 00
SiteAddress 12E6 CRES2`VI=?IE L:a Erect Ex Occupancy 3
Lot -9 Block -4 Sec/Sub. BZ'ZCii PARK Remodel ? Zoning al
Parcel No. Rspair ? Type of Const.
Addition ? No. Stories
Cc ,3UNSHlidF: 1C0',aS'1' Move ? Length
= Name ? r Demolish ? Depth ?
p Address 5385 125?fi ? 1' s? Int Impr. ? sq. Ft. 50
City 6• V - Phone 43 1"1 200 Install ?
?Q
? W Name-
fm ? Address
a W City ?
Assessment Permit 5 443-00
Water & Sew. Surcharge r,2 - UO
Police Plan Review221.54
Fire SAC 575. t3U
Eng. Water Cann. -504) - 00-
Planner Water Meter6.i... 50
Council Road Unit ?411 - 00
Bldg_ Off. 4/2218
PC
?
Tr. PL 156.00
P k
1 hereby acknowledge that I have read th is appiication and state that the
intormation is correct and agree to comply with all applicable State ot
Minnesota Statutes and City of Eagan drdinances. A ar S
Signature of Permittee Var. Date Copies
Tota1 42,301.UU
A Building Permit is issued to: SUNSHIiVE CU:lSTRUCTIO:d on the express condition that
all work shall be done in accordance with all applicab)e State af Minnesota Statutes and City of Eagan Ordinances. ?
Building Official ? ?- ` ?`- ,
..
I . I Permit No. I Permft Holdsr I Dste I TNephon* 1F I
IEI*cMe KI•9 0-b (a I G-a-cJ-e_,.? 1-!IIfXY? ?Pt)b - I
Htg.
Ftg.
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PERMIT # 96u Z -l
' ' - MECHANICAL PERMIT RECEIPT # 3a 3 :?
CITY OF EAGAN
? 3830 PILOT KN4B ROAD, EAGAN, MN 55121 DATE: 6? ?/ N G
CONTRACT PRICE
Site Adcimss LL C ES T
Lot o? Block Sec/Sub
m Name
? Addre
c City
E
?. TYPE
v/
Mult _
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
? Name
c Addre
p City LS
TYPE OF WORK
„Forced Air
Boiler
Unit Heater
Air Cond.
Vent _
Gas Piping Oudets #
Other
M BTU
M BTU
M BTU
M BTU
CFM
?
FEE
S/C:
TOTAL•
FEES
RES. HVAC 0-100 M BTU -$24.00
7ao ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
'00 ADDITIONAL 6 M BTU
GAS OUTLETS
COMM/IND FEE - 146 OF CONTRACT FEE - 6.00
- 1.50 EA.
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
? ? 5a ?.+.? GiS1-r?-?v .?
Go II SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
PERMIT #
PLUMBING PERMIT RECEIPT #
ClTY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ?
Site Ad ess ?
Lot Block
? Name
?o Addr?
c City L
? Name
3 Addr?
0 Ciry/
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIM:JM - RESIDENTIAL FEE - $10.00
MiNIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR CITY OF EAGAN
BLOG. TYPE WORK OESCRIPTION
Res. 4__ New ?-
Mult Add-on
Comm. Repair
Other
N?. FIXTURES TOTAL
? Water Closet - $3.00
? $
-
Bath Tubs - $3.00
-?T
Lavatory - $3.00
ZShower - $3.00 u_
Kitchen Sink - $3.00 _
Urinal/Bidet - $3.00
T_
?
Laundry Tray - $3.00
-T-
Floor Drains - $1.50
T_
Water Heater - $1.50 -
Whirlpool - $3.00
Z
Gas Piping Outlets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C: -
?
GRAND TOTAL• ' ?'
CITY OF EAGAN Remarks D i v i S i O n # 16252 10 / 8 S
Addi*.ion Birch Park Lot 2 Rik 4 Parcel 10-14175-020-04
Owner Street 12 4 b Cr est v i a w T. a n e _ State E a g a n MN 5 51 2 j
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 221 197 162.96 $.15 20 Paid pri r to divis on
SEWER LATERAL bn 931 198 132.70 8.85 15 ?1 +1 rr I t I I
WATERMAIN
WATER LATERAL
WATER AREA
STORMSEWTRK 1018 198 750.48 50.03 15 Do• ?S
STORMSEWLAT 1048 198 199.66 13.31 15 6.35 ?
CURB & GUTTER
StDEWAI.K
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
I ~
~ ~ I
~r.`y ~
I
REQUEST FOR ELECTRICAL INSPECTION EB-00001-04
' See instructions for completing this form oa back ot Yellow copY.
?G
Aw n n n r, ••Y" Rclnw wn.k Covered bv This Request
zl UV V -- - Apvliances Wirsd Equipme?t Wire?!
Yew qdd ReD. TVPe of Builtlin9 Ran9e Temporary Service
Home Fi
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Li
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x
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Commercial Bldg. Furnace Silo Unioader.
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm ::?t Other pec? V Other ISuec?fY)
t er Suecify Other Oth?r
o mpu[e Ins peciion Fee Below
p F Service Entrance5ize ? fee Feeders/Subfeeders M Fee Circuits
ee 30 Am s
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Above 200 Amps 31 to 140 Amps p 31 to 100 Am
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Signs
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MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-Midway Bldg. - Room N-191
1821 University Ave., St. Paul, MN 55704
Phone (672) 297-2111
THIS INSPECTION REQUEST WILC
BE ACCEPTED BY THE STATE 80A
UNIESS PROPER INSPECTION FEE
ENCLOSED.
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2007RESIDENTIAI, BUILDING rERMiT nPrLicnTiorr CJ?) d l, ?-p7
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
V
NewConsWCtionReauirements RemodeVReoairReouirements OffceUseOnlv V
N
3 registered site surveys showing sq. ft. of bt, sq. N. ot house; and all raofed areas 2 copies of pian showirg footings, heams, joists Cert of Survey Recd _
_
N
Y
(20%macimumlotcarerageallowed) lsetofEnergyCalculafionsforheatedaddifions SoilsRepoR -., _
N
Y-
1 Sofls Repod if proposed 6uilding is to be piaced vn disNr6ed soil 1 site survey fa addifions 8 decks Tree Pres Plan Recd ,
.-
_ N
2 copies of plan shovring beam 8wNdow sizes; poured tound design, etc. Addi6on-irMicafe i/oo-sife sep5bsystem Tree Pres Required. _Y
isetofEnergyCalculations D?
? On-;ite5epticSystem _Y"_N
3 copies of Trae Preservabon Plan iF lot platted affer 711l93 ?
?] (?j
RimJoatOetailOpiicnsselectionsheet(6uildngswith3wiessuni5) ?
+? ff
IvGnnegascamechanicalventllationfofm A?
ryOi/ $t
e
Plans are considered u61ic inform i on unless ou sta he are trade secret and the rea son.
DateXjvdpLQa7 struM' nCost ?Dcl
Site Address UnitlSte tt
Description of Work ??? ??i`ovr? ?? `? qu???a?- ?k ?? ?/"l??'s ?d??'?`e/??`??
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner 1"S r(C? Telephone #(,15`1 ) ??-dlo ?3
Contractor ?S?/?/ ??°??? ??s??`cl?'?^ ?e`
Address abGb ?$li?•a? dL,.? /
City ,L3cc.n.srn/(r
State Zip -55-30,/- Telephone il (6','a
COMf'LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code Category . Residential VentilaUon Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe City of Eagan issued a permii for a similar plan based on a master pian?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
apply for a Residential Building
Telephone #( )
Telephone #( ?
Telephone # ( )
acknowledge that the information is comp(ete 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 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 glan in the case of work which requires a review and
approval of plans.
?1 i m C/,S??CU/
Applicant's Printed Name Ap ic t's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation
?
07
OS-plex
? 13 16-plex ? 20 Pool
? 30 Accessory Bldg
? 02 SFDwelling ? 08 06-plex ? 16Fireplace ? 21 Porch(3-sea.) ? 31 Ext.Alt - Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext._Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola ) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ?. 24-5torm Damage
? 06 04-plex ? 12 12-piex ? 25 Miscellaneous
_ tr
Wo
? rkTvoes
31 New ? ha
? 35 Int Improvement o-" 38 Demolish Interior ? 44 Siding
? ?
32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Wndows/Doors
? 34 Replacement `Demolitian (Entire8ldg) -Give PCA handout to applicant
DeSCI'Iption: WaterDamage_Yes
Valuation P 0 Occupancy MCES System
Plan Review ? 100% or _ 25%
Census Code ? 34 Zoning City Water
SAC Units T Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Canst • / ?7
y ._ Wdth
Footings (new bldg)
Footings (deck)
_ Footings (addition)
_ Foundation
Drain Tile
Roof ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
REQUIRED INSPECTIONS
_ Sheetrock
Final/C.O.
?c Final/No C.O.
? HVAC
Other
Pool Ftgs AidGaz Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
Retaining Wall .
Appraved By: 'I I? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connec8on Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? a' '??tr?? "}
??
99 BUILDING PERMIT APPLICATION (RESIDENTIAL)? 1q2.7-rj
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
RemodellRecah Reaukeme
D S registered sife surveys showing sq. H. of lot, sq. M, oi house 2 copies of plan
and gU roofed areas (2096 maxlmum lot eoyeraae allowed) tset ot energy calculaHons lor heafed addillona
? 2 eopies of plans (show beom i wlndow sKea; pouted fnd. design; etc.) i sfle survey for extedw addMbna 3 declc:
D 1 seT of energy calculaHOns
? S coples ot hee pretervaNon plan N Iot platFed aMer 7/1/93
DATE: Y ' / S' - P il CONSTRUCTION COST:
DESCRIPTION OF WORK: b? AVOOF
STREEi ADDRESS: / b( 'Y(2 C., G"?° SI- !/!E LcJ
LOT: ? BLOCK: SUBD./P.I.D. #:
Name: /? [ TII FD 'ex Phone#:
PROPERTY La F??n
OWNER
Street Address: l c?' f(o C I^e °'7`v? ec, J Llx
city E1? G#n/ state: zip:
?*a!#? k k7k?>Xik?#Kc?YYFNtYf.`KiK>kYF:;??k?? ??N;? ?, ik?KX[?t>K%'(?%e:?Y?K?k
C;['f`r' CiF
7
liA1E.e 08r'19!99 T':I:PiliJ: 0`.:'24. 20
ID,:
N(-tMl-:i h9UN7E:R G.Vl.rzs;r:lP! CClt.srrvc;r:?:r7r.
3210 90(:11. 1246 f;!"l_E;('{1:Clii.hl 1.39e?,`i
2i.55 9001. :1.24Fa cit;rsrus:.r-..w _;ar;o
#: ?,/C2
(area code)
Ir,rv-) Z::) DX -- LicenS2 # 9,ZW ExP• 'Glo3
? State: MAI Zip: SS-37 7
Name:
? State:
?
Regishation i:
Zip:
Ludion onlv
r '
. ? is requested once permff Is issued.
m, sTate Thaf fhe infwrtwflon is correef, and agree fo comply wifh all appncabl
pces. J?A/ .f?V U
R)+a:1 f;:ereir.:,1: f,rirt.uni;- i.4c?„75. iutureofApplicant eE? ?•1 L?i1 !???e/ Q/
CI?::1.1.",
hAp4ry OFFICE USE ONLY
?
'_ No _ NotRequired
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K.? 1 . . CITY Or EAGAN
APPLZCATI^vN FOR PE3MIT
" SEWER AND/OR WATER CONNECTIOTI
(PLEASE PRIHi)
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$ SE,dER ,A ?
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$ OTHER:
$ TO,:,L
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D07-5 UTILITY CONNECTION REQUZRE EKCaVATIOV ZV PUBLIC RIGHT pF WAY?
? YES IF YES, THE .I A "PE3DIIT FOR WORK WZTHIN
PUBLIC ROAD WaY" MUST BE ISSUED SY TA$ r
? NO ENGINEERIiIG DIVISIDN. LIST AS A CONDI-
TION.
?
SliB.iECT TO THE FOLLOSJING CONDITIONS:
APPROVED SY:
TI':LE:
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? . F'0
/ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: &tE4Y F-E5i0. Valuation: Date: 4-/6'$?
Site Address: 124Co C2?STVfcuT?4, OFFICE USE ONLY
Lot: t- Block 4 Sect/Sub /,¢G,cf qp,4rect
Remodel
Parcel (I Repair
Enlarge
Owner Move
Demolish
Address 3585- 125-t" ST (ls Grade
City/Zip Code ---------
Phone 43I- ZZdv APPROVALS
Contractor ?'.yrnE ,q5 A$OV?
Address
City/Zip Code
Phone
Arch./Engr. _ 3/}M6S P, "<<-C.
Address 8200 Ccrnboe-,074ot,=5•
Occupancy ?
_ Zoning
_ Type of Const ?
I! of Stories Z
_ Length ?
_ Depth ?
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off 7 arks
APC Treatment P1
Variance
TOTAL
Cfty/Zip Code /yJ^[ 5,5431
Phone p _e 8 4 - 36a?z
e?ry3.
?l6 •
?
? ? ? /
1 1 146
q- X 13 -.?Z XS?? 3D1?
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2?
RESIDENTIAL MECHANICAL
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
!_1 Telephone # 651-675-5675
Please compVete for: Single Fatmly Dwellings 8c To?mhomes and Condos when pemuts aze required for each unit
/
Date
Site Address- av& Unit #
Property Owner Telephone #
?
Contractor Yl 1 d? ?
StreetAddress City
S[ate M ?V Zi Tele
hone#
p p
Bond Expires:
The Applicant is _ Owner ? Contractor _ Other
Add-on, modification or alteration to eaisting dwelling unit $ 30.00
furnace replacement
air exchanger
air conditioner _ New _ Replacement
other
? n
?
StateSurcharge $ .50
?
T
t
l - $
CJ? --
o
a
?
: l_ s?
I hereby apply for a Residential Mechanical Permit and aclaiowledge that the informarion is complete and accurate; that the work will
be in conformauce with the ordiuances and codes of tLe City of Eagan and with the MecLanical Codes; that I understand tlvs is not a
permit, but only an applicarion for a pemut, and work is not to start without a eraut; that the wock 11 he in accordance with the
approved plan in the case of work which requires a,review and approval of plan?. I /, . Jj
L&P ikl N a UC(/
Applicant's Printed Name A licanPs Signature
SURVEYOR'S CERTIFlCATE ' ' SIENNA CORPORATION
?. ,
DENOTES PROPOSED SURFACE DRAINAGE
SCALE: 1 H
INC = 30 FEET
O
o DENOTES
DENOTES IRON t10NUhtENT. SET
IROM MONtJMENT FOUND PROPOSED GARftGE FLOOR ° 858-q FEET
X000.0 DENOTES EXISTING ELEVATIOId • PROPOSED LOWEST
0P OF FLOOR
BLOCK = fl s ? .3
= gSg
Q FEET
FEET
(000.0) DENOTES PROPOSED ELEVATION • PROPOSED 7 .
NOTE: TIIE LE6AL OESCRIPTION SH041N'HEREON WILL BECOME VlILID
UPON FILING TNE PIAT OF BIRCH PARK.
ldE }IERE[3Y CERTIFY TO SIENNA CORPORATION TI1AT THIS IS A TRUE AN6 CORRECT REPRESENTAT30N
OF A SURVEY OF THE BOUNDARIES OF:
Lot 2, 81ock 4, t3lfiCll pAPK, accordir., to the
recorded plat thereof, Dakota County,linnesota.
IT DOES NOT Pl1RPORT TO SHOtJ IMPROVEHENTS OR'ENCROACHMENTS; IF ANY. AS SURVEYED BY ME
OR UNDER MY DIRECT SUPERVIStON THIS 25P-o DAY OF oc-co4ER? 1985.
REVISEO 4-7-86 70 SHOW A
PROPOSED HOUSE FO.R SUNSHINE
coNsrRUCrioa
APPROVED FOR SIENNA
CORPURATI DtI
DY:
DATEO TNIS DAY QF
19_.
SIGNED: JA14ES R IIILL, 1NC.
/ ,.
av:
HAROLU C. PETERSON, LAND SURUEYUR
h11NNE50TA LICENSE NUMf3ER 12294
51iEET 1 OF 2 SIIEETS
PROJECT fJ0. BOOK / PAGE JAMCS R. HILL, INC.
84762 (&6493) Planners / Engineers / Surveyors
FIIE NO. 8200 f{umboldt Avenu• 6outli
FOLDER dloomin8ton,Mn. 55431 612-OU4-3029
SURVEYOR'S CERTIFICATE SIENNA CORPORATiON
?
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8S, M? `+/q/C" ?? [? T o
\ 8 3•v.R, V ?-- - -
\-a c' a $3245/'I?W
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Op 4 ?. C
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j
97
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% ' •Vy W PRD S GQ \
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\ E 2, I . ///
J ?
50, 0? 48.0 HOUSE
o° N ??33 X SSS.?J
?,i I 3
I S ? ? x
9 ? LOT 2
o-?
co ?
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/ AI85025102"W
w ? n r r -? rr,r-?-. ;
riv%C
1?iiii i ilJjV
SHEET 2 OF 2 SHEETS
PfiOJECT NO., BOOK / PAGE JAMES R. MILL, INC.
84762 (s6453) Planners / Engineers / Surveyors
16// .3 I FlLE N0. 0200 Humboldt Avenu• 6outh ,
FOLDER Bbominplon, Mn. ,65431 E12-884-3020
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139800
Date Issued:11/09/2016
Permit Category:ePermit
Site Address: 1246 Crestview Lane
Lot:2 Block: 4 Addition: Birch Park
PID:10-14175-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Patricia A Fosler
1246 Crestview Lane
Eagan MN 55123
Liberte Construction Llc
815 W Lake St, Suite 1A
Minneapolis MN 55408
(651) 269-7612
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162170
Date Issued:06/30/2020
Permit Category:ePermit
Site Address: 1246 Crestview Lane
Lot:2 Block: 4 Addition: Birch Park
PID:10-14175-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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 -
Patricia A Fosler
1246 Crestview Lane
Eagan MN 55123
(651) 322-0272
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(763) 512-2765
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA162170
Date Issued:06/30/2020
Permit Category:ePermit
Site Address: 1246 Crestview Lane
Lot:2 Block: 4 Addition: Birch Park
PID:10-14175-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
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
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Patricia A Fosler
1246 Crestview Lane
Eagan MN 55123
(651) 322-0272
Centerpoint Energy
1240 W River Pkwy
Minneapolis MN 55454
(763) 512-2765
Applicant/Permitee: Signature Issued By: Signature
House heating test record
OwnerOW') olttrl
Address OW eve `'CLr `r Apt
City reif Qd/
Heat loss K Date htg. inst 7//lao
Sold by CenterPoint Enerciy
Installed by CenterPoint Energy
Electrical work by CenterPoint Enercly
Heat type FA Q Space heater
Gas line by
Unit heater Other
Gas design
Make t%qf/!/' Model prili pool
Serial noi001a63?q'/
Input 60r G
Controls
Thermostat tAtj Heat plug
Valve 1,,„A
Limit 7%)(le
Limit setting 140®
Fan setting y i4itet
Pilot type �S L
Pilot make
Pilot model —
Pilot timing 15 ark
Pressure: Hi fire /Lo fire 7
Percent CO2
Input CFH CO,$O Percent 02, Y
Stack temp 1112 Percent CO ,
CenterPoint.
Energy
Conversion
ri
Vent Size od
Kind of liner/size r—
Draft hood i.Th(f'd Regulator r
Filters: Size 16i)(Zy f Number I
Chimney locations:
Inside Q Outside
Chimney construction
Wiring ( Test tag r
Lighting lnst K Date tested or 7-/ x')
Comuanv testing CenterPoint Energy
Tester's name 12$47 0.04 C
CNP 235 (11-2008)
./
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 FEB 1 4 2020
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
bu ildinginsoection s(a)citvofeactan. com
IN:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
CEIVE
I)
For Office use
Permit #. /VD sy c.
Permit Fee: 422 .6q
Date Received:
Staff:
Date: 2 ' 6 . Za Site Address: IZ"i &' C./CS-IC-6'-t-
Resident/
Owner
Type of Work
Contractor
Unit #:
Name: 5 v42-- C T\c Pa..)—h. (Aso() Phone:r,O6F3ZZ— OZ./L.
Address i City i Zip: I Z 1(0 Cr St G C'n -e.O A4/0 6€ 4
23
Applicant is: Owner X Contractor -f 2D
Description of work: 2c t ( �C
Construction Cost: t-W 000.00 m t n .
Multi -Family Building: (Yes / No )
Company: Al Cx+ex LLL Contact: A tM 0 CC O c\
1)
Address: I()51 Dal'/- + A' /J City: (--tL {.i 00,610ad
State: (gut zip: 17 Phone: 716 (O I. bFgI: X Y \ U(s W l e
{�Glt 0,nta. \ `o onU License #: 777 Z2-S Lead Certificate #:
If the project is exempt from lead certificatio , please explain why:
f`
$u I�- 4Iq 7LQ - Q81v
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:
Fire Suppression 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 youprov/de specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
webslte at www.cityofeaoan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Cali 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.00aherstateonecali.orq
1 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 approvedplanin the case of work which requires a review and approval of plans.
x 1 lrdG( ii\O �- x ,
Applicant's tinted Name Applicants gnature
DO NOT WRITE BELOW THIS LINE
• SUB TYPES
_ Foundation Fireplace
Single Family _ Garage
Multi _ Deck
01 of _ Plex _ Lower Level
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%100%..4
Census Code
# of Units
# of Buildings
Type of Construction
C.--(-(2;6(4) /6t
Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
_ Interior improvement
_ Move Building
Fire Repair
Repair
RE UIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Wails
Shower Pan
?X Siding
Reroof
Windows
Egress Window
' Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
`Demolition of entire building - give PCA handout to applicant
Occupancy
Code Edltion,N1,L2O/S.0z5
Zoning
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings _Air/Gas Tests Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick — EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: N 3 / , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
REA ceiq`" aT6Ge.
J
Cif 'eJ-r I rdi /WeJ4.r
1
A)i0%-
ual
z
Page 2 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1246 Crestview Lane
Lot: 2 Block: 4 Addition: Birch Park
PID:10- 14175- 020 -04
Use:
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Basement Fixtures
Meter Size Meter Type Manufacturer
Comments:
Fee Summary:
Contractor:
Bruckmueller Plumbing & Heating
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686 -6696
Eric Bruckmueller
3992 Pennsylvania Avenue
Eagan, MN 55123
PL - Permit Fee (miscellaneous)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Patricia A Foster
1246 Crestview Lane
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Plumbing
EA081038
11/13/2007
ePermit
Line Size