1305 Crestridge Lane4,111'
City of Eaton
n
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6754675
Fax: (651) 675-5694
AVG 27O
Use BLUE or BLACK Ink
Permit #:b (p
Permit Fee: -----
Date
Date Received:
Staff:
� 2010 MECHANICAL PERMIT APPLICATION
Date GS ✓ ✓ 0
reth`5
Tenant()`z tr-lel 5h
Name: Ihr u "L
RESIDENT 1 OWNER
-riiian Mr)
Suite #:
Address / City / Zip:
CONTRACTOR
Name:
Address: u
State rri) Zip:
Contact:
Pho
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nye # m in®1 i=3�
TYPE OF WORK
PERMIT TYPE
New Replacement Additional Alteration Demolition
Description of work:
RESIDENTIAL
Furnace
-r Air Conditioner
..Air Exchanger
Heat Pump
�Other
COMMERCIAL
New Construction
Install Piping
._._ Gas
RESIDENTIAL FEES;
$55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$95.00 Fire repair (rhe turned out appaanues, ductwork, etc.) (includes $.5.00 state Surcharge) $
Interior Improvement
Processed
Exterior LMAC unit
Under / Above ground Tank ( Instal / ,_ Remove)
" When instalanglremovIng tanks), call for inspection by Fire
Maratha, and Plumbing Inspector
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation removal OR
$$5.00 Minimum (includes State Surcharge)
- If the Petit En is less than. $10,010, surcharge is $ 5.00
- If the Permit Egg is > $10„014, surcharge Increases by $.50 for each $1,000 Permit Fee
(Le. a $10,010.511,010 PemdtFee regtmres e]$-5.50 surcharge).
Contract Value $ x 1%
$ Permit Fee
$ Surcharge
$ TOTAL FEE
(ALL WERE ITU IVIG. tail Gopher Stade One Cell at 1651) 461.0002 for protection against undwground utlltty damage• _Call 48• hour►
before you intend to dig to receive locates of underground utilities www.aortherstateonecail.ora
I hereby acknowledge that this inhxmation is complete and accurate; that the work will be in comformence 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 ttts case of wok which requires a review and approval of plans
x
Applicant's ntied Name
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use
Permit*
Permit Fee:`
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Unit #:
RESIDENT /
OWNER
Name: M t=om Lipil 5
Address / City / Zip: 13o 3
lvw�� /7 7 1C Phone: G 5-1 J `%L-/ 182 �I
GYe,.moi.- 5-57 23
Applicant is: Owner ' CContractor ii‘4,44-5 • (3L2 /307 OCT 13/ i —X / /3
Description of work: 1�-1‘/-' 0 k
Construction Cost: a1, 6 'L' Multi -Family Building: (Yes
Company: / VD/LJ .4 C"c2 Jrcend-^` s 74:7''- Contact:
/ No )
Address: g�m- Z ,,,e9 2, GJ `/41 e /`C ✓ 7 }-C
State: /4/`— S Zip: 5 3 (I Phone: 6/2 �t g, ° ~%
License #: iJ G I x'16( 73
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 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.gopherstateonecall.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.
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.
-7
Applicant's Printed Name
/Applicant's Signature
Page 1 of 3
City of Eagan
PERMIT
41'
C!tyofEaa
Permit Type: Building
Permit Number: EA106111
Date Issued: 08/10/2012
IIPermit Category: ePermit
Site Address: 1305 Crestridge Lane
Lot: 5 Block: 03 Addition: Hidden Oaks
PID: 10-32750-03-050
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Minnesota Exteriors
8600 Jefferson Hwy
Osseo MN 55369
(763) 391-5514
- Applicant -
Owner:
Felik Fayngersh
1305 Crestridge Lane
Eagan MN 55123
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