Loading...
3838 Country Creek Way CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 N2 4712 PHONE: 454-8100 . BUILDING PERMIT Receipt # To be used for Est. Value Date , 19 Site Address Erect 0 Occupancy Lot Block Sec/Sub. Alter 0 Zoning Parcel # Repair 0 Fire Zone Enlarge 0 Type of Const. cz Z.' Name Move ❑ # Stories Address Demolish ❑ Front ft. 0 City Phone Grade 0 Depth — ft. 0 Name Approvals Fees �Q~ Assessment Permit • Address— -- Water& Sew. Surcharge F City Phone F — Police Plan check FW Name Fire SAC x- Address Eng. Water Conn. QW City Phone _ Planner Water Meter -- Council I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: —_ on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit # Date Issued Permlttee Plumbing /e, 6 y „7.7 ? ./ C� .�. Mechanical 1/6 4‘ 4L-`" - 7 J i - /-/aa$ 4 q Zi 4 - 2P-'71 Cos,,.nces INSPECTIONS DATE INSP. Rough-In Final Footings Date Insp. Date Insp. Foundation _ Plumbing Frame/ins. Mechanical gri Final AM fir I Remarks: CITY OF EAGAN Remarks Addition CERA i GPOVE #11 Lot 13 Blk 1 Parcel 10 16711 130 01 Owner * t L(1:'.t'i'',41 l' (--in Street 3838 Country Creek Way State Eagan, DST 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. /a, 1971 261.65 26.16 10 `' ,4, ...,,,„ �,4,c, STREET RESTOR. �v7 1975 124.31 12.43 10 /7``c, 2-2„7 -Z..2/ 6, GRADING StrcCCtt 1978 Hiss as 107,_;5 10 1222.97 A0 6235 6/29/78 SAN SES/TRUNK b 1968 60.09 2.00 30 LA' c_-�7c;7 r�.��G, * SEWER LATERAL ;2,51 1975 1 ,623_96 2 ,0+( 70`7 3 �_7� 5 .4> - / mss * Water lat. & Area 1975 5 WATERMAIN WATER LATERAL 0/07 197_3 70.89 4.72 15 A 40= 707 Vt.-24C. WATER AREA * Storm Sewer Trunk V/ 1976 268.39 53.68 •,:,-;274,-, V.idA..„ STORM SEW TRK 79 1971 _3.56 1.67 20 7r077c7 6/�44 STORM SEW LAT /70 1971 22.37 1.11 20 177 ,c2-,,/c,- CURB&GUTTER SIDEWALK ,..49,5 1978 187.52 18.75 10 PAID STREET LIGHT WATER CONN. ASO 00 Q 1 �_22_7R BUILDING PER. X4702 SAC PARK 500.00 9331 3-22-78 11'I NYLt 11U1' KLLUKVJ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. L n nI M{ I �Z a� m� m0 0 �) z z �� < �v m0 �w c� 0 D C0 0 N < �m Mi 1C ZO) mm > D m m v c M Dc C OD T. T. H H 0 c (1)= MLS O -ID r r j� Co r -I(n �L� 1 m0 Ko m K z _I '0 D C -�* 7t Z 1 m 3J o, n m D M M m - _ D r 0 < Z2 (/l W m z Z o Z O C) K mm Z Z r y - -1 _1 z -{ r -1 D y C) O -1 Z 0 0 0 a m pox y L7 D -1 < O C) D L� co C) C) , G) (n O r r �) < z r o m m o 7 0 i,; h • m A 4 _ 3 `0 'O O 3 2 , O W I O 3 3 7 N 0y c fD 'O S 0 7 W U CITY OF EAGAN SEWER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning: —. No. of Units: — Owner: — --— -- -- — Address:Site Address: --- — —Plumber:I — — — — — — — agree to comply with the City of Eagan Connection Charge: Ordinances. Account Deposit: —_—_ Permit Fee: Surcharge: By ----- - - — Misc. Charges: Date of Insp.: —_ Total: Insp.: --_ Date Paid: CITY OF EAGAN WATER SERVICE PERMIT 3795 Pilot Knob Road PERMIT NO.: Eagan, MN 55122 DATE: Zoning:__ No. of Units: Owner: Address: Site Address: Plumber: Meter No.: Connection Charge: _. Size: —__ - Account Deposit: Reader No.: — Permit Fee: _ I agree to comply with the City of Eagan Surcharge: Ordinances. Misc. Charges: Total: By Date Paid: Date of Insp.: —-__ Insp.: CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. Dote: — Receipt No.: Single Site Address: Residential Lot Block Sub/Sec. _ _ Multi Res., Comm./Ind. Name New/Alter./Repair 3 Address - C Cost of Installation City Phone: Permit Fee — — Name _ g -- ----- Surcharge u �■a Address — o U City Phone: — Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minne ota Statutes and City of Eagan Ordinances. Building Official CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 _ PERMIT No. — Date: — — — Receipt No.: Single Site Address: — Residential Lot Block Sub/Sec. ___ _ Multi Res., Comm./Ind. Name New/Alter./Repair Address Cost of Installation ___ C City __ _ Phone: __ — Permit Fee Name —___ — —_—_ ____ __— Surcharge 0 u u 2 Address C O U City _ Phone: Total This Per it is issued on the express condition that all work shall be done in accordance with all applicable State of Minne to Statutes and City of Eagan Ordinances. Building Official City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3838 Country Creek Way Lot: 13 Block: 1 Addition: Cedar Grove 1 lth PID:10- 16711 - 130 -01 Use: Description: Sub Type: e- Siding & Windows/Doors Work Type: Siding & Windows /doors Description: House & Garage Census Code: 434 - Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 6,000.00 Contractor: PERMIT City of Eaan BL - Base Fee $6K Surcharge - Based on Valuation $6K Total: Applicant/Permitee: Signature Construction Type: Occupancy: Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing Permit Type: Permit Number: Date Issued: Permit Category: 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. $132.75 $3.00 $135.75 Owner: Cynthia M Howell 3838 Country Creek Way Eagan MN 55122 0801 9001 Building EA092417 12/28/2009 ePermit - Applicant - 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. Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA118875 Date Issued:11/12/2013 Permit Category:ePermit Site Address: 3838 Country Creek Way Lot:13 Block: 1 Addition: Cedar Grove 11th PID:10-16711-01-130 Use: Description: Sub Type:Reroof Work Type:Replace Description: 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 by law in ALL single family homes . Eric Gullickson 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 - Cynthia M Howell 3838 Country Creek Way Eagan MN 55122 (651) 454-6378 Gullickson Homes 12701 Co. Rd. 9 Goodhue MN 55027 (651) 208-2602 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132019 Date Issued:07/21/2015 Permit Category:ePermit Site Address: 3838 Country Creek Way Lot:13 Block: 1 Addition: Cedar Grove 11th PID:10-16711-01-130 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. 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 - Cynthia M Howell 3838 Country Creek Way Eagan MN 55122 (651) 454-6378 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143708 Date Issued:06/23/2017 Permit Category:ePermit Site Address: 3838 Country Creek Way Lot:13 Block: 1 Addition: Cedar Grove 11th PID:10-16711-01-130 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Cynthia M Howell 3838 Country Creek Way Eagan MN 55122 Royal Plumbing 23310 Canby Ave Faribault MN 55021 (507) 202-1969 Applicant/Permitee: Signature Issued By: Signature CITY OF EAGAN 3795 Pilot Knob Rood Eagan, MN 55122 No 4712 PHONE: 454-8100 BUILDING PERMIT APPLICATION $40,000. Receipt # 9431 To be used forSf Dwlg, & Garg. Est. Value Date Mar. 22, 19 78 Site Address 3838 CountryCreek W Erect [1 Occupancy I Lot 13 Block 1 Sec/Sub. Cg 11 Alter 0 Zoning RL 10 16711 130 01 3 Parcel # Repair 0 Fire Zone Enlarge 0 Type of Const. V W Name Mare11 Inc. Move 0 # Stories Address 10800 Lyndalc Avc. So. Demolish 0 Front 59 ft. Cit •.n• . • . . Phone 884 7 225 Grade 0 Depth 26 ft. - Approvals Fees o Name 115.50 ~ Assessment Permit 8,1° Address— 20.00 Cit Phone Water&Sew. Surcharge Police Plan check 1- Name W Fire SAC 500.00 x Address Eng. Water Conn. 250.00 Q W City Phone Planner Water Meter Council Park Don 75.00 I hereby acknowledge that I have read this application and state that Bldg.Off. the information is correct and agree to comply with all applicable 960.50 State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit is issued to: arell Inc on the express condition that oil work shall be done in acv r nce • h all livable State of Minnesota Statutes and City of Eagan Ordinances. Building Official t c_ CITY OF EAGAN 3795 Pilot Knob Road Eagan, Minnesota 55122 Phone: 454-8100 PERMIT No. — Date: Receipt No.: Single Site Address: _ Residential Lot Block Sub/Sec. ___ — Multi Res., Comm./Ind. Name New/Alter./Repair 3 a Address Cost of Installation _-- O City Phone: — Permit Fee — — Name — --- Surcharge v •ate, Address — — e — — 0 v City Phone: — Total This Permit is issued on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official 40 ' L/7/, DATE BUILDING PERMIT APPLICATION Include 2 sets of plans, 1 site plan w/elevations and 1 set of energy calculations. To be used for , ./ – - Valuation -9'o k/1 Site Address. cgrj0di; e4altd' . Lot /5 Block / Sec./Sub. e� Parcel Number // /kV/ /30 D Owner 7/7042.0 ,h'`( Telephone Address /D rOe Zykr AM Jr Contractor G.rG Telephone Address Arch./Eng. Telephone Address OFFICE USE Erect Occupancy 1— Alter Zoning i- / Repair Fire Zone ,3 Enlarge Type of Const. 1/ Move # of Stories Der.'olish Front �7 Grade Depth 1G OFFICE USE Date of Approval & Initial FEES Assessment :_i . .47, . 3�a/(7 8 Permit / Water/Sewer Surcharge .2. Police Plan Check .d Fire SAC ID P Eng. Water Conn. ,1-C.0 Planner Wates MM ter _ Council -ry�� =-- ,S.s Bldg. Off. A.P.C. TOTAL FF RM1'1' CITY OF EAGAN PERMIT TYPE: -3830 Pilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 0 3 4 1 4 9 N (651) 681-4675 Date Issued: 2 2 98 SITE ADDRESS: 3838 COUNTRY CREEK WAY LOT : 13 BLOCK : 1 CEDAR GROVE #11 P . I . N . : 10-16711-130-01 DESCRIPTION: ,— T . Q . & REROOF n ildInn - rmit Type STORM DAMAGE FL . Ida , x 'LJo "' Type REPAIR erg us ode 434 ALT . RESIDENTIAL , 9,i TAS ,, , -., ,,.,,,,,:- ,,Oiii, -i..1,41' LE'N,r% REMARKS: FEE SUMMARY: CONTRACTOR: — Applicant _ ST . LIE . OWNER: ROCKPORT HOMES . INC . 14452760 4882 HOWELL CINDY 4833 123RD STREET 3838 COUNTRY CREEK WAY SAVAGE MN 55378 EAGAN MN 55123 ( 612 ) 445-2760 ( 651 ) 4 ;4.-_F, z r; 1 i APPLICANT/PERMITEE SIGNATURE 2uf SUED BY:SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements RemodelRepair Requirements • 3 registered site surveys • 2 copies of plan • 2 copies of plans(include beam&window sizes;poured fnd.design;etc.) • 2 site surveys(exterior additions&decks) • 1 energy calculations • 1 energy calculations for heated additions • 3 copies of tree preservation plan if lot platted after 7/1/93 required: Yes _ No DATE: CONSTRUCTION COST; DESCRIPTION OF WORK: S O VCS iiti STREET ADDRESS: / ' LOT: I 3) BLOCK: SUBD./P.I.D. #: C Y C) J I Name: Phone#: '9, S' 657b; PROPERTY Last First OWNER Street Address: • City State: Zip: C.Lip )(P ,Qa 3 q Company: Phone#: CONTRACTOR Street Address: License# City State: Zip: ARCHITECT/ ENGINEER Company: Phone#: Name: Registration#: Street Address: City State: Zip: Sewer&water licensed plumber(new construction only): . Penalty applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct andagree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ti OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ❑ 01 Foundation 0 06 Duplex 0 11 Apt./Lodging 0 16 Basement Finish ❑ 02 SF Dwelling 0 07 4-plex 0 12 Multi Repair/Rem. 0 17 Swim Pool ❑ 03 SF Addition 0 08 8-plex 0 13 Garage/Accessory 0 20 Public Facility ❑ 04 SF Porch 0 09 12-plex 0 14 Fireplace 0 21 Miscellaneous ❑ 05 SF Misc. 0 10 _-plex 0 15 Deck WORK TYPE ❑ 31 New 0 33 Alterations 0 36 Move ❑ 32 Addition 0 34 Repair 0 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review • License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 3 83 s---- CO C\r e-P - --)44/ unr-1-12./ Zi / Illii-- --- L 6 .--t- I 3 73 C. C ((--- 1..., e re .e..._ 2 - /7 I 7I. CZ 1k► t 4.1 ti wP7 til -to i io y �. 4n q iv t' p \ 1. 7 N. 113 ceick- {:w {, (4,4,:,4- D • Use BLUE or BLACK Ink For Office Use -1 ,p V. ((]� ({]� Permit#: / �/� ,---,. i/l.41City of E���Il Permit Fee: J'7 7 -�' 1` i 3830 Pilot Knob Road ' I Eagan MN 55122 RECEIVED Date Received: -7 ""//�i Phone:(651)675-5675 Fax:(651)675-5694 JUL 1 0 2017 Staff: I 2017 RESIDENTIAL BUILDING/ ,IPERMIT APPLICATION Date: Site Address: 3 p g C.AcuntiN Cre.a. lAwki Unit#: Name: elf( y }4o p di Phone:11;5--i —4514-10378 Resident! / Owner ,. • Address/City/Zip: .e . AIM L. _ / +f! ate! / HApplicant is: Owner X Contractor Type of Work Description of work: NtA00 k-1114-- Cp-ffy tY1 Construction Cost r'r 0 rt�t Multi-Family Building:(Yes I No . Company:Dybrit tri +p„c.a 1 -1 Contact: Brooke D( bn+ Contractor Address: 2Z011-1 i !'dti WtiSS Si- NIA City: S+ Francis State: mNZip: 5507© Phone;r7103-7S3-97 il:dipd"l'; 021S`1'YLid)Oirl0n sn. .,• License#:gt-tete-1 Lead Certificate#: A- 124114-4 If the project is exempt from lead certification, please explain why: 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 maybe classed as non-public if you provide specific reasons that would permit the City to conclude that they 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.goaherstateonecall.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. 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. /) on±- X t „ ixrP-Crokg, ant's Printed Name) App i» 's Signature Page 1 of 3 3 q Utii(cf OT WRITOCU TH CLINE it/Li:PE' 2 SUB TYPES Foundation _ Fireplace _ Porch(3-Season) — Exterior Alteration(Single Family) Single Family _ Garage Porch(4-Season) — Exterior Alteration(Multi) _ Multi 45(.. Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool 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 3#9t2 occupancy. g'j .-1 MCES System — Plan Review Code Edition Asib SAC Units (25%_100%.4Z Zoning r2 -/ City Water ".. Census Code y 34/ Stories — Booster Pump ""' #of Units / Square Feet l 46.tf PRY ", #of Buildings 1 Length .JV Fire Suppression Required Type of Construction 7, Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: ) Footings(Deck) Final I C.O. Required Footings(Addition) I.Xit Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: � /tI , Building Inspector RESIDENTIAL FEES I Base Fee 9't / 0 0 P/102--6 /rA o�rt/110 IC' Surcharge Plan Review JT 7 `s;-- MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copie0s 2 < : Ti AL Page 2 of 3 /1 /034 _ / 37. f3 (� /q6/° ,... Ai S-. 0 0 :0(,tyl-tit't,i Cia-4- t91/1 "'Im."""--.-""---'-ua."*"a'vl"'"'"'"---- .... 12,G.OZ Vorb Sj 1A %.79055 , 5 „ 2,4 : ,A,- , ,, .... , i .r. , •,'14 E. flz -35737 �. ti/- r'/ CUP,p7i;/ CA,rcrt wit Ne ' = ' 1 VIN, I by 3/` 1/,,,/,,: 55. 00i ,,,,„ yir 3/ 02 II i i d'' CSC:: All elk e_Icip mi its,1 10 ka i c4) kr) ,,,t tie Ch/l.i "%it; to4iFib wilziZ° d EA AN y2--- mCNS DIV ...... ....00. 4•1111IMMII dillIMINIO amililiiiiiII rostossmia ammillii milillINSIO +1110011111111111r .011011111111F .10111111111110 4.111IIIIMM MIIMINI, alUMNIMINESIO ...milli tiN ir .00 ..r jaw tom —