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:
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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$1 v�
NOTE: Plans and supporting documen that you scf bit are t
tn
the information may be classi a no ublic if you p rof
conclude •that the ` a re
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For Office Use
Permit #: //) � / /
Permit Fee: / 2 " D. & t'
Date Received:
Staff:
y
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Phone:
RESIDENT /
OWNER Address / City / Zip: r6 6 1, j i3s mika 1 L)
Construction Cost: � Multi- Family Building: (Yes �c / No
Company: 0 t t 1 '�'`r� t. t 0v Sc Contact: - U U C-,
Address: tR L.�J i�A� 4 City: E C: i$
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
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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
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Oft
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c7_
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BY:
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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