628 Erie CtCITY OF EAGAN 18280
3830 Pilot Knob Road, P.O. Box 21-199
Eagan
MN 55121 "
PHONE: 454-81 ,
,
00
BUILDING PERMIT Receipt # ' -?
To be used for REMODEL Est. Value $1 7•000 Date wVr+ Z 1 . 19 ?Q
Site Address 628 ERIE C'!'
Lot 131 gIOCk 02 Sec/Sub. LAKESIDE ESTA'THS OFFIGE USE aNLY
PafC81 N0. Occupancy _ FEFS
W JS" C1iILDS
Name zoning
(Aclual) Const
Bldg
Permit
1?•?
O 62g ?RI@ ?
Addf@SS _
(Albwable) - . 8. 30
Clty EAGM PhOn2 452- 0 # ol Stories _ Surcharge
l
Pl
R
Length an
ev
ew
o INC
?M ?? EUILDBit3
N
,
ame Depth SAC
Cit
QO 620 ERIE C1' ,
y
U? Address
ZAGAN
454
3
6 S.F. Total SAC, MCWCC
-
03
City
Phone S F. Footprints _
? On Site Sewage _ Water Conn
¢
W
w
Name
On Site Well
? w - Waler Meter
? ? Addf25S MWCC System _
a W City Phone City Water _ Acct. Deposit
PRV Required _ SMI Permit
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - SM/ Surcharge
information is correct and agree to comply with all applicable State o(
Minnesota Statutes an
nances`r
: Trea tment PI
Signature of Permitee
7:
E APPROVALS Road Unit
XRECH
A euilding Permit is issued to: CU$tOl1 BLLIII$, ZNC Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City ol Eagan Ordinancps. Bldg. Off. _ Copies
V 188.
?
Building Official + ariance - TOTAL
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspectlon Date Insp. Comments
FOOtings 1
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Fnal Pfbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bidg. Final
Deck Ftg.
Declc Fnal
Well
Pr_ Disp.
CITY OF EAGAN Remarks
Addition Lakeside Estates Lot 129 12t. 13 Bik 2 Parcel 10 44300 131 02
Owr*r ?A,?« . T.f`? ?•/ . Street 62R F7'le C11t1Tt State FagAri, MN SS1 22
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.Si, Im . 1981 1690.16 84 , 51 20
STREET RESTOR. JW I9$1 1409.71 70.49 20
GRADING
SAN SEW TRUNK 36?. 19$1 280.00 14.00 20
'SEWERLATERAL 1981 4281.24 212.06 20
V
WATERMAIN
ANATER LATERAL 1981
WATER AREA 1981 280.00 14.00 ZO
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. Q 17335 1/2/80
9UILDING PER. -ff-3922 2818 - -
sac 450.00 2818 5-3-76
PARK
Estates
Owner
Remarks
Street
Improvement ? Date Amount Annual Years Payment Rece' Date
STREET SURF.
STREET RESTOR. -'-- ! _
GRADING
I
SAN SEW TRUNK
SEWER LATERAL
? i
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT ?
?
WATER CONN
BUILDIN2 ER.
SAC.y.,-" `
PARK
/
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE: tstl ! 1 0 1 Nt? _ I
3830 Pilot Knab ROad Permit Number: 4? F a`; a '
Eagan, Minnesota 55122-1897 Date Issued: 434 j? r. !"3.
(612) 681-4675 ?
SITE ADDRESS: °' 41 ' b', (1 i " I `' APPLICANT•
•
' , s},• I 1 ? ? F; t ?!1 i!I''? 1 S!h# fl! I)k', 1 p??
I
PERMIT SUBTYPE: TYPE OF WORK: ?
''.l f; 1 f? 1 i ??1U ? kuu? 3 t!!, ? ?
fi(1f)F 1 WCi
Permit No. Permit Holder Dete Telophona N
ELECTRIC
PLUMBIIVG
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PI.UMBING
PLBG
AIR TEST
RQUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
aLDG FINAL I .L19 ?
BSMT R.I.
BSMT FfNAL -
DECK FfG
OECK FlNAL
CITY OF EAGAN WATER SERVICE PERMIT
379b Pilot Knob Road PERMIT NO.:
Er ;on, MN 55122 DATE: _
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.: Connection Chorge:
Size: -- Acwunt De
posit:
Reader No.: _ Permit Fee:
1 rtgree to eemply with fhe City of Eagon Surcharge:
Ordinanees. Misc. Charges: .
.
,
Totol: ?
By Dote Paid: . . ?
Dote of I nsp.: I nsp.:
CIT" OF EAGAN
3795 Pilot Knob Rood
Eagon, MN 55142
Zoning:
Owner:
Address:
Site Address:
Plumber: ___ _
SEVIIER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
I °9r- to CO-PIY wffh the City of Eogan Connection Charge
Ordinences, Acwunt Deposit: _
Permit Fee:
Surcharge:
By Misc. Charges: _
Date of Insp.: Total:
Insp.: Dot
P
id
e
a
:
273- 311 0 OFFICE U9E ONLY This requesl void 0 monihs from vaLdanon dale pnnred in Mis bas
.? . _.
? o°
PL SE PRIN7 OR TYPE y01 ?iy?A7R,o v
Reqvesl Dak Roaghin inspeaon rcy?irad2 ? Yes No Inspecnon Other Than Roagh-In. 0 Ready Now 0 WiII Call
, V (Yau musr call the inapenorwhen mady) DaM Reody.
I, 0 licensed conhador 9 owner hereby requesf inspedion of ihe above eledncal work at:
Job Addresz (Sneet, Boa, or Rome Na )
L22`a ?]21E. ?.?2T Gry
U? Zip Code
''??' S1di3
SecM1On No. Townehip Name or No Range N. Fire No Caunry
? ?? ?
p?„pant
j ?? ? ? ?) t lD S Phone No
?SoZ-S?cO
PowarSupplier
ELej_M ic_. Pddresz
?'.Paern??ksTOA1 V]
ElMricol Comranor (Company Nomel Conlmaor Lcenze No. Mmbn co N. (Plant Elen Only)
Mailing Pddmu (Conlmnor or Owner Pedorming Insbllanon)
lwthorizad SigraNrc (Conhacbr or Ownq PeAorming Installanon) Pho1nfe No'. ^
E8-OOOOlA-10 6/95 STATEBOAflDCOPY-SEEINSTRUCTIONSONBACKOFVELLOWCOPY
Electricity
I II ?? ???II II I?I I( I I I I? 1 I I I?II BEQU?rvarsity ?a dR o SHI aAS 1 SP M??p ???{
* 0 2 7 3 3 1 1 1 * Phane (612) 642-0800
Home Duplex Apt Bldg. O1Fiec New Addn
Commercial Indushiol Form
Remod
Re air
Air Cond. Hfg. Equip. p. Water Hh. Load Mgmt. Ofher:
D er Ran e Elec. Heat Tem . Service
'7P a6ove the vrork covered 6y fhis request. Enier remarks in ihis space and on the back of fhe white copy only.
Calculafe Inspedionspection Request will nof be occepfed wdhouf the correcF /ee:
Olher Fee # $ervice EMrance Size Fee # Circuifs/Feeders Fee
Mobde Home Pork Stall 0 t0 200 Amps 0 to 100 Amps
Sheet L}g./fmHic Sig. Above 200 Amps Above 100 Amps j
Transformer/Generator INSPECTOR'SUS NU----)
TOTAL ?
$ign/Outline Ltg. Xfmr.
Alarm/Remo}e Control ?
g?- ??
$wimming Pool ?
I hemb m ecred Me ele?niml insial??n? bed he.ein on fhe aare::mjed
Irrigafion Boom Rough-I ' Dak
S
eciol Ins
edion ?
p
p
Investigalrve Fee Final ?_ Dore? piy
Ca
TMIS INSTALLATION MAV BE ARDERED DISC NNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
BUILDING PERMIT
To be used for REM(
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100
Est
$17,000
Site Address 628 ERIE CT
Lot 131 Block 02 Sec/Sub.LAKESIDE ESTATES
Parcel No.
W Name JEFF CHILDS I
o Address 628 ERIE CT
City EAGAN Phone 452-5260
1 o Name KRECH CUSTOM BUILDERS. INC
ga Address 620 ERIE CT
? City EAGAN Phone 454-3036
r¢
Ww Name
Address
aw CityPhone
I hereby acknowlege that I have read this applicaUOn and state Ihat the
information is correct and agree to comply with all applicable State of
Minnesota StaNtes and Gry g n O inances
Signature ot Permitee
A ewiding Permit is is ad to: KRECH CUSTOM BLDRS INC
on Iha express condttion that all work shall be done in accordance wrth all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
BuildingOlticial Lm11 l lll
N°_ 18280 -
Receipt # ? i ci C:?:)Ja
Date AIIG 21 , 19 90
OFFICE USE ONLY
OccuDancy - FEFS
Zoning -
(ACtual) Const _ Bidg. Permn 180.00
(Allowable) - Surcharge 8.50
k afStaries -
Lenglh _ Plan Review
Depih - SAQ City
S.F.TOtal -
SAC,MCWCC
5 F Footprints -
On See Sewage _ Water Conn
OnSiteWell - WaterMeter
MWCCSyslem -
Gry Water _ Acct Deposit
PRVReqmred - SJWPermit
8ooster Pump - S/W Surcharge
Treatment PI
APPROVALS qoad Unit
Planner - park Ded.
COUncd
Bldg OfE _ Copies
Variance - 70TAL 1$8.50
CITY of EAGAN
BUILDING PERMIT
Owee: ..._`...l?iLL........... !.Y. ..................................
Addr !) ............................................... ..........................
Builder ---. .. ......"../..y??.''-'• "" ••??,::..? ?6ytiQ
Addrees . ?, .4./.7-1 .......... ... ....... . ...,.?..........`.............
DESCRIPTION
.;, ?
N4 3922
3795 PiloY Knob Road
Eagan, Miaaesofa 55122
459-BI00
Dale .G., ?L(?.....?1•?L7...
?
5iories Ta e Ucad For Fron! Deplh Haighf Esl. Coe! esmi! F e_ Aemulu
Sf;O -1`dtr-?gg r I 14 f,;: 999oo''I
/ LOCATION '1 G S ` .
x
or
This permit does nof aufhorise the use oi siseefe, roade, elleps or sidewalks nos does fl give the owaes o= h4 agen!
the righf !o ereafe anp sifuation which is a auisance or whieh presenla a hazard fo the heall6, ssfelp, conveaIettcs and
general welfare !o anpone in the eommunily.
THIS PERMIT MU K Py?/0O?Nt TH PRE SE WHILE TFIE WORK IS IN P GA 88.
T6ls h !o ..................... _upoo
eerlify. !he . ..Q7.[.?'.?iAQ......... has permksioa !o ereet a.. .:?.Gl.L
the above deq4&tt mise subjecl fo the pxovisions of all applicah rdfin ces for fke o Eaan
Cy. -•' ..............""'--"'-'............. Per?7?'L3? . ..?CF.'. ................
................
?U?4,-?-- -...............
' ?.?_...."....... . ?<
BuIIdlnp leapaclot ,
X CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
CeD5S?/,7--
BUILDZNG
027302
04/16/96
SITE ADDRESS:
P.I.N.: 10-44300-131-02
628 ERIE CT
LOT: 131 BLOCK: 2
LAKESIDE ESTATES
DESCRIPTION:
• "°k,.»_,? (R00FING)
uilding.tiPermit Type
JB Building ldo.r,?k Type
CensGS Caste
/ -
c.
t -?
SF (MISC.)
REPAIR
434 ALT. RESIDENTIAL
=1?' r?`a:?° ; ,_
?,Tt?s ?.
?'??:.=.. ..
REMARKS:
FEE SUMMARY:
VALUATION
Bass Fee
Surcherge
Total Fee
$124.75
$3.50
$128.25
$7,000
CONTRACTOR: - Applicant - 5T. LIC.OWNER:
KRECH CUSTOM BLDRS INC 14543036 0003322 CHILDS JEFF
620 ERIE CT 628 ERIE CT
EAGAN MN 55123 EAGAN MN 55123
(612) 454-3036 (612)452-5260
? e ..
I hereby acknowledge thatT have read this
informatian is correct and agres to comply
Statutes and City Q,f Eaqan Ordsnances. ?- -
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State o'F Mn.
I.?rB?n ?!A? I ?h.?1-
14501 CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUtLDING PERMIT APPLICATION (RESIDENTIAL)
. 681-4675
Ir Reaulrem
? 3 regntered nRe surveys ? 2 copies of pian
? 2 wpfea of plans (indude 6eam & window sizes; poured fid. design; ele.) ? 2 slle survays (exterfor addiNons d decks)
? 1 energy ealculations ? 1 energy calwlations tor healed additions
? 3 eopiea ot Uee preservation plan N IW platted after 7l1/B3
required: _ Yea _ No `
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: 1?x''o alc "t i6lk'e°-wF
STREET ADDRESS: &, Z 91 eT
LOT _Laf BLOCK SUBD./P.I.D. #:
Phone #: 01 -42-4o
PROPERTY Name:
OWNER StreetAddress' IZe,,o e-r-
City: ?l?G?i? State: n'1i? Zip' `S?' ?Z 3
CONTRACTOR Company: 6K,?m Alf <°dld5 TL Phone #: 7Z 7f
Street Address 0Zn ka'iE 10?r- License #: -1-12-7--
AAG-4.tJ 5tate: 0?*l A"" Zip: S ?iL ?21
City:
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address,
City; State: Zip:
Sewer 8 water licensed piumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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 Applicant: ,
OFFICE USE ONLY
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
No
No
OFFICE USE ONLY
BUILDING PERMIT TYPE
' 1•
Y. ?p.
0 01 Foundation o 06 Dupiex o 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex o 15 Deck
WORK TYPE
a 31 New a 33 Alterations o 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
_ Main level sq. R. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
_ sq. ft. Booster Pump
_ sq. ft. Census Code.
_ Footprint sq. ft. SAC Code
Census Bidg
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MClWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
°k SAC
SAC Units
it 2qo
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CNECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?An ldpxt Valuation: +r /7 00o Date: 2/ `J6
Site Address 628 AeId CLT ? OFFICE USE ONLY
Lot J_jj_ Block ?
Parcel/Sub ZAISIif 5 »7i gSr.9TXS
pcuner vSFF CHi<DS
Address 46Z?j Fle/"f `CT
City/Zip Code ;FALrA.%? .$S
Phone y.SZ .S2- 6 0
Gontractor /4eGFi Cus7'0m
Address 4,Z0 4F41f' 6eT
City/Zip Code OAlr,¢w 5,s/2 3
Phone q .S'/
Arch./Engr.
Address
City/Zip Code
IOccupancy _
?I Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
/'qo, 00
13,5a
N 9 1 5?"i
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. off.
Variance
Phone #
I cirY usF oNLv
L ?L BL
SUBD.?,ya,@Za.?aCe- CP?
RECEIPT#: y/0
DATE: /b-y "9(P
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for: ? single family dwellings •
w townhomes and condos when permits are required for each unit
New construction ? Add-en fumace 7'
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: IA ? ? Rlo
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)
? State Surcharge .50
TOTAL 5 (D
SITE ADDRESS: L?ag -eL? G C'°`'`'`'e"T-
OWNERNAME: JE?V C_1-11LO5 PHONE#: a-too
INSTALLER NAME: -?? ?Lz)s
STREET ADDRESS: t.O7 ? &12-?e- CJZSI?' CITY: C--,Nc?,k:?_o STATE: r'lti ZiP: g? ?a3
PHONE#:(le1z) +SA-Sa(?o
??OF P
CITY USE ONLY
L BL
SUBD.
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: .$25.00 minimum fee ac 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
,
LEO B. SHAW, LAND SURVEYORS
REGISTERED UNDER LAWS OF STATE OF MINN.
P.O. Box 276
HWY N0.13 ond NICOLLET AVE.
SAVAGE, MINNESOTA 55378
SURVEYOR'S CERTIFICATE
h ?
?
. - - ? --- --- . _ _
?
?
h
o?
? .
- - -?- ? ?
;
.
?
-- ?
.?
?
?,.
? Surcey plat of Lot 12 and Lot 13., and sub-division of Lot 132 all
in Block 2 of the plat of IA1C73IDE ESTATES as of record and of file
in Register o£ Deedsp Dakota Co., Minn.
Surveyed this 3rd day of April 1976.
SIGNE- ?:?.?? ??''-?V??Y/%X?rr. /
.?
REGISTRATION N0. •51
??
? f - . .
i . .. .
,w%
_ Rear ? m
_
Srv
T:;tsl spaces
S?des
?
Bu.td reqsS.red
Lot lt 14)V Bicck .?-
?T.3
Percel and section rnu-aUer
-,*
„G ?E?T°_:C'l' l?i T ?--^T,ir+.'r.,r,t C'3rCK
CLD_ ,. . ,:,? ?
EU?
Streat a
?-
Omner eS Address 'i';;ir
d-
Develcper .,?rrnly_Addreas
d sO" //«
Zcne-O-rdan=.nce #52
Lot Size
Fl a tted
Suilc::ing Size
OC CL''y&Y!.Cy ?_??
Ty^p2 oi ccnstr.ction
SFtbacks: S[tr?}e°t sides
? JZUeu
Par),-ir.g: Tctal araa
Par?i, g area setbacl:ec
StrOet side
La:_dscape apprcaal
Specia:l. Assess::ents:
SF.C chasge ?
Water area;
Assessed
= 4 ?D
@ $450.00
-----r----°-°--'--
Ur.assessed
39z y
DATZ;?
?
Lf assessed: Conn--ction charga
If unassessPcl: Connection chm-ge
Lot di,,-isi.ona
Aciditional assessments nee3ed
Lateralse
Assessed
Not r_e°ded
Not assessed L-?
1^,IaiJer o£ heariag;
nToeue3 Not needad 1/ __ s..
Assessmer,t clk? [^latzr k• Sewe•r Dept- fiuilding Dept- _
p -- - Tota1 area C'
_ Ur,pJ.atted ^._._...
Adwi ti c:? J-/ 0"0"
g ^!0'.a1 ar::a
? 4 ? 00
Rear
Pol-=ce Dept _ Fire Dept (Cosim & Ind rnily)
MASTER CARD
- ,?
Permif
No.
Issued Issued To
Contracfor Owner
BUILDING _3 9 a?
PLUMBING
P
CESSPOOL - SEPTIC TANK "
WELL
ELECTRICAL 00- -?.
HEATING
GAS INSTALLING
SANITARY SEWER
OTHER I
OTHER I
Items Approved
(Initial)
Date
Remarks
Distance From Well
FOOTING SEPTIC
FOUNDATION ? CESSPOOL
FRAmING TILE FIELD FT.
FINAL
ELECTRICAI
HEATWG
GAS INSTALLATION
[_ -
d DEPTH
OF WELL
SEPTIC TANK
CESSPOOL
DRAINFIELD
PLUMBING G-9 ?G
WELL
SANITARY SEWER
Violations Nofed
on Back
COMMENTS
COMPLIANCE INSPECTION REPORTS
TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS
PERMIT
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
NO EVIDENCE OF NON-COMPLIANCE
OBSERVED.
? ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS.
DATE OF INSPECTION
? NON-COMPLIANCE. BUILDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS
? NON-COMPLIANCE. BUILDER DOES NOT
INTEND TO COMPLY.
? COMPLETION OF CERTAIN IMPROVEMENTS
WILL BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? REINSPECTION REQUIRED
REI
DATE OF REINSPECTION
CERTI FICATtON -1 certify that I have caretully inspected the above in which I have no interest present or prospective, and that I have reported herein
atl significant conditions oLServed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
rtents for off-site improvements relating to the property inspected.
F-I ALL IMPROVEMENTS ACCEPTABIY COMPLETED
DATE
NTS:
? »
Date:
City of Eaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit#: /08855
Permit Fee: /97. 2V
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
\ /c0
id/ // 3 Site Address: 6 0 6° JC 4/6 CT Unit #:
Resident/
Owner
Name: c/ E,C % C, f/ /L D S
Phone: eve/
Address / City / Zip: 62.6) /51e/E L/T £4GAA/ %1ii✓ 55/Z -
Applicant is: Owner X. Contractor
Type of Work Description of work: Iri/j'G//%Al ,4 mG P 'L
Construction Cost: ilZ 4 , 01)®v Multi -Family Building: (Yes / No X )
Contractor
Company: ,I /!CN 6167-0/Y1/4/4.o,ORS INS -Contact:
Address: (D 2o /2/c 47 -
State: in A/ Zip: ..5 -5/2 -
License
5/Z
License #: 6!L'01),3 3 Z z-
cJA c/<
City: /5--' /Q Cr/C},t)
Phone: 65/ t, 8"V 7z-71
Lead Certificate #: ///47 /65 / 74 /
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
g
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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.
CALL BEFORE YOU DIG. can Gopher State One CaII 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.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 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 issuannccee.
x JO H4 /`S
Applicants Printed Name
x
Ap
ant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement
Move Building
Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water _Final
Framing
Fireplace: _Rough In Air Test Final
X,
Insulation
Sheathing
Sheetrock
Reviewed By:
Siding
Reroof
Windows
Egress Window
1111
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Awe) v.7
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
)6 Final / No C.O. Required
/_ HVAC _ Gas Service Test Gas Line Air Test
Other:
Pool: _Footings _Air/Gas Tests
Siding: _Stucco Lath _Stone Lath
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
Final
Brick
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115509
Date Issued:09/26/2013
Permit Category:ePermit
Site Address: 628 Erie Ct
Lot:131 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-131
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jeff Pelant
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 -
Jeffrey J Childs
628 Erie Ct
Eagan MN 55123
(952) 452-5260
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129071
Date Issued:01/06/2015
Permit Category:ePermit
Site Address: 628 Erie Ct
Lot:131 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-131
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
Jeffrey J Childs
628 Erie Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(130) 651-2644 X777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144600
Date Issued:08/01/2017
Permit Category:ePermit
Site Address: 628 Erie Ct
Lot:131 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-131
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 -
Jeffrey J Childs
628 Erie Ct
Eagan MN 55123
(651) 452-5260
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174287
Date Issued:01/13/2022
Permit Category:ePermit
Site Address: 628 Erie Ct
Lot:131 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-131
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Daniel Childs
628 Erie Ct
Eagan MN 55123
Schmitz Plumbing & Heating Llc
20440 Hughes Ave W
(651) 216-9199
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA174288
Date Issued:01/13/2022
Permit Category:ePermit
Site Address: 628 Erie Ct
Lot:131 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-131
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Move heats & add bath fan
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Daniel Childs
628 Erie Ct
Eagan MN 55123
Schmitz Plumbing & Heating LLC
20440 Hughes Ave W
(651) 216-9199
Applicant/Permitee: Signature Issued By: Signature