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3821 Windcrest CtSEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE JUL 24, 1991 OFFICE USE ONLY METER # PERMIT DATE 07/26/91 CHIP # PERMIT # 12179 METER SIZE B.P. RECEIPT # C 14652 ISSUE DATE B.P. RECEIPT DATE 07/25/91 PRV — BOOSTER PUMP SITE ADDRESS 3821 WINDCREST CT PERMIT REQUESTED LOT 2 BLOCK 1 SEC/SUB WINDCREST 2ND APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: ADDRESS: CITY, STATE PHONE: VALLEY PLUMBING CO INC 610 CREEK LN JORDAN MN 492-2121 ZIP 55352 OWNER: ADDRESS: CITY, STATE PLYMOUTH MN ZIP 55442 550-1346 SIGNATURE WHEN METER ISSUED X SEWER X WATER TAPS COMM/IND X RESIDENTIAL X NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit W NIT • •iv- a ii Meters. AGREE TO COMPLY ITH CITY OF PRIME BUILDERS INC EAGAN ORDINANCES 4910 VALLEY FORGE LN PHO E: PLEA A • } ' 0 WOR N-6 DAYS OR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. e i*h° City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use � Permit #: Permit Fee: Date Received: ' '16'13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date:, f p� Z 1 Site Address: J Unit #: 91-1-1t. GUN— "�Yo ~ `! V t`'ay� Name: '(j NOCV( - - -law •-s rr•sk +4SSacr 0.1-5-0v Phone: CI I tf t 2 ' Z7 Yt Address / City / Zip: P o • co [ ip 9 7 FRG Ar %)1 U S -S1 Applicant is: Owner /' Contractor Description of work: )) ;/ , ( (Xt s t -r /..16, V42 PK Construction Cost: /rZ, 60 Multi -Family Building: (Yes )( / No Company: tl b� 1 Contact: 3) 0 6 R i p V iJ Address: q Cu ryy -i`1610 City: C 1 State: MP Zip: Z-2) Phone: (p 12 - Z 1 © t (O io License #: UC 54c 7 , e Lead Certificate #: N I t 11994-1 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 suppnc Etas nformation may be cis you eyare 1 CALL BEFORE YOU DIG. Call Gopher State One Cali 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.ciopherstateonecall.oro 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 1 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. Ap1i ants P nth Name x 012 Applican s" ignatu DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Piex Lower Level Accessory Building WORK TYPES New Addition Alteration yReplace Retaining Wall Z-1 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation GrA9 Plan Review (25% 100%__er Census Code 1/31i # of Units # of Buildings J Type of Construction REQUIRED INSPECTIONS Footings (New Building) AG Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Framing Fireplace: Rough In _ Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final Air Test Final RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 73 ,717 it Siding Reroof Windows Egress Window 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 20,07 PI) 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: _Stucco Lath _Stone Lath Windows Retaining Wall: Footings _ Backfill Radon Control Erosion Control , Building Inspector god Q /5' =/6 Final Brick Final Page 2 of 3 SURVEYOR'S CERTIFICATE N S 85°40'30" E - 28.00 ''o 1 INCHvi 30 FEET* . PR IME BUILDERS -SF- SURVEYOR'S F- EAGAN REN =WED ON DIVIS!ON O 0 O z *057 r :J �J L, L_ .l tat" C�4 $ to 03 63.40 1 /l• I (� L_ \./ i I SHEET 2 OF 2 FILE NO. FOLDER PROJECT NO. 91370 BOOK/PAGE 7• rrot y I DRAWN BY JE Fri + D O(D m z- 0) S 89° 34' 43" E 97.12 James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 SURVEYOR'S CERTIFICATE N S 85°40'30" E - 28.00 •/ 0 I INCH 0 co M N 0°02'21" W s PRIME BUILDERS 30 FEET EAGAN REVIEWED BY: DATE: BUILDING INSP TIONS DIV CTIONS DIVIS -r 0 •63.40 -r ,0 L. SHEET 2 OF 2 I FILE NO. FOLDER I PROJECT NO. 91370 BOOK/PAGE Dov 0(' m I DRAWN BY JE z- 1 S 89° 34143- E 97.12 &8'@i IWir\dcA,L.a+c James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYORS 2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044 0 Date: City of Eta!' 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use `'L.`E or BLACK Ink For Office Use Permit ;i /. J .. ✓. ,3 I 1 € 7 Permit Fee c� s Date Received: / -31 3 f Staff: f7` 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 31 1—I, Site Address: 31 -tis- i% ) —24 WINnC:Y-e4— Ca c, Unit#: Name: v l R fY C Y'Q ` 7ze1/4 3 se. i f 't -Rhone: ion 1 —46z. — mD Resident! Owner Address i City % Zip: p. q _ QAy:- S 7 Applicant Is: Owner T.. Contractor Type of Work Description of work: Contractor Construction Cost: F \c o,.,,.1 rn S i Zj Multi -Family Building: (Yes y i No ) Company: A b n u-1 t(o U S Contact: i1z u [-, R Address: 9 10 Co e ry fit 't t l . City: A G Aarf. State: , v\K( Zip: 5S1 Z Phone: Z 2-I ._) y License #: 0C. . 545768i 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: Mechanical Contractor: Phone: 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 pendia 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 Witty damage. Call 48 hours before* you :ritend to dig to receive locates of underg{ound ul+hires - I hereby acknowledge that this inforniat on is cornplete and accurate that the work will be in conformance with the ordinances and codes of the City of 1 agan That I understand this rs nol a permit, brit only an application for a permit; and work IS not to start without a permit Thal the worts wit- 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 1Jt", ? Lik% R % \p tL7i - ems x h Applicant's Pted Name 1 Applicant's ignature