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3809 Windcrest CtDate: - 7 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 PE OF WORK CONTRACTOR Yes City otEtau ac ( Address: x 1/4.) 6 R. (pp e v Applicant's Printed Name Description of work: 1Dt? Name: . i 1%7 Q C�it'PS "�wsN Otle e Applicant is: Owner j( Contractor 31309 11) ii eocv E$1 v� NOTE: Plans and supporting documen that you scf bit are t tn the information may be classi a no ublic if you p rof conclude •that the ` a re Ye�rr. J AL d Re-b t L j) For Office Use Permit #: //) � / / Permit Fee: / 2 " D. & t' Date Received: Staff: y 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Phone: RESIDENT / OWNER Address / City / Zip: r6 6 1, j i3s mika 1 L) Construction Cost: � Multi- Family Building: (Yes �c / No Company: 0 t t 1 '�'`r� t. t 0v Sc Contact: - U U C-, Address: tR L.�J i�A� 4 City: E C: i$ State: , f \f 3 Zip: 5312.3 Phone: I - License #: . 5 4''' 7 L,. Lead Certificate #: pl 14- g L c/'q ? — 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) RI4i4 /4's 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? No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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. Use BLUE or BLACK Ink nfo f'R?k`a Y tuld pi Unit #: 4c-7 J Page 1 of 3 SUBTYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES New Addition Interior Improvement Move Building Iteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction Reviewed By: Rough In REQUIRED INSPECTIONS Footings (New Building) J Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: Insulation Sheathing Sheetrock RESIDENTIAL FEES Bas:: Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S &W Permit & Surcharge Treatment Plant Copies Air Test TOTAL DO NOT WRITE BELOW THIS LINE ri ?); / Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Porch (3- Season) Porch (4- Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 7 7- Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PC'A handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: Footings Air /Gas Tests Siding: go (6 /6 /t,�! Stucco Lath Stone Lath Windows Retaining Wall: Footings Backfill Radon Control Erosion Control , Building Inspector Final Brick ea Final C4 Oft r' /116e6S. c7_ / SURVEYOR'S C 0 L!_ i a 4 1 _ J � FICATE 30 t l A/G 91 el 1 ILoT x . 27 22.% 1,.,f)f1 .•• I0 9,92 el 0 I LOT I i i \lg 26 2.0 S LOT 08 500 ~' r • 22 16 5 S 1104? 44. 3 ' G w 22--t 2 O 21. sA • LO s • • •► ti 4 BY: oi arclt C1 ' .° 1,1C 3 014 EAGAN REVIEWED �- / ,� -ice PRIME BUILDERS SCALE: 1 INCH - 30 FEET - IONS DIVISION James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890 -6044 SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN # PERMIT DATE 09/10/91 3830 Pilot Knob Rd. Eagan, MN 55122 -1897 CHIP # PERMIT # 12266 METER SIZE B.P. RECEIPT # C 15109 DATE SEP 9, 1991 ISSUE DATE B.P. RECEIPT DATE 09/10/91 PRV — BOOSTER PUMP SITE ADDRESS 3809 WINDCREST CT PERMIT REQUESTED LOT 25 BLOCK 1 SEC /SUB WINDCREST 2ND X SEWER X WATER TAPS APPLICANT: ADDRESS: COMM/IND RESIDENTIAL CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: VALLEY PLUMBING CO INC Ahead of Domesti Meters on ter Line. ADDRESS: 610 CREEK LN Credit WILL olr•' �� - • eters. CITY, STATE JORDAN MN ZIP 55352 PHONE: 492 -2121 .�/� / /// /�i AGREE TO COMPLY 'ITH CITY OF OWNER: PRIME BUILDERS INC EAGAN ORDINANCES ADDRESS: 3409 KILMER LN CITY, STATE PLYMOUTH MN, ZIP 55441 PHONE* 550 - 1346 q SIGNATURE WHEN METER ISSUED PL SE LLO TWO WORKING AYS FOR PROCESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ( e61 P Use U- or BLACK Ink r For Office Use t f Z t'crml ?i ~ City of Eap ~~3> 1 Permit Fee 4 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675.5675 Fax: (651) 675-5694 1 Staff: 7 1 t 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: i J Site Address: 6 o D:l _01 ) LO) iU,,a eKe St- (ZA&2y!~' Unit Name: 1 tip C Y'4 b* T,zW .3 t ~ S-'1LnJ3&)E'hone: (~>S 1 4es-Z -al 0 Resident{ Owner Address j City = Zip: Q °')C n2~ fi 41 CAJSAoa S- SE 34 Applicant is: Omer 4, Contractor Type of Work Description of work:-140 Construction Cost: AN Multi-Family Building: (Yes r No _ ) Company: A b A- `rVy rho u Contact: 1.X u r; R~ N-~ .o Contractor Address: Q 2-0 CfU Y ru 711tA i city: 9 G Ao4. State: j N~ Zip: f2 ~ Z~ Phone: Z ° Z. ) License 1r [ 6 9 Lead Certificate q%c l I 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 util,41 damage. Call 48 hours belwe you ,nlend to dig to receive locates of underground ufrlthes 1 hereby ncka owiedge that this inforrnat on is complete and accurate that the work will be in conformance with the ordinances and codes of the City of I-agar: tf.al I undwsland this is not a pemtil, bA only an application for a permit, and work is not to start without a pormrl. tnat the work wO he 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. X / 1 1% 144 ( c i 1► ~ ~n.3 x Applicant's Prihted Name ~T Applicant's ignature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129485 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 3809 Windcrest Ct Lot:025 Block: 001 Addition: Windcrest 2nd PID:10-84461-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Ann Hoffman 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Justin Ackert 3809 Windcrest Ct Eagan MN 55123 (612) 810-9682 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA129485 Date Issued:02/17/2015 Permit Category:ePermit Site Address: 3809 Windcrest Ct Lot:025 Block: 001 Addition: Windcrest 2nd PID:10-84461-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Ann Hoffman 505 Randolph Ave Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Justin Ackert 3809 Windcrest Ct Eagan MN 55123 (612) 810-9682 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143237 Date Issued:06/08/2017 Permit Category:ePermit Site Address: 3809 Windcrest Ct Lot:025 Block: 001 Addition: Windcrest 2nd PID:10-84461-01-250 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 - Justin Ackert 3809 Windcrest Ct Eagan MN 55123 Bonfe's Plumbing & Heating 505 Randolph Ave St Paul MN 55102 (651) 228-9071 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA162386 Date Issued:07/13/2020 Permit Category:ePermit Site Address: 3809 Windcrest Ct Lot:025 Block: 001 Addition: Windcrest 2nd PID:10-84461-01-250 Use: Description: Sub Type:Residential Work Type:Replace Description: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 - Justin Ackert 3809 Windcrest Ct Eagan MN 55123 (612) 810-9682 Bonfe's Plumbing & Heating 455 Hardman Ave South St. Paul MN 55075 (651) 228-7140 Applicant/Permitee: Signature Issued By: Signature