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Use or BLACK Ink
For office Use
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City of Eap
Permit Fee
3830 Pilot Knob Road
Eagan MN 55122 Date Received: 3-A
q
Phone: (651) 675.5675 t ;
Fax: (651) 675-5694 l Staff,
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
13 i i z l ` e_e"c-G Lk 9 7C- "
Date: Ze~3 Site Address: Unit
-X 0
Resident/ Name- (orJ i -46-z
Owner Address City i Zip: l 05:7 F4NK iml&3 S :!~f 34
Applicant Is: Owner 4, Contractor
Type of Work ` Description of work: - ~0
Construction Cost: `J`am Multi-Family Building: (Yes I No )
Company: A b n U ` y- o 6 t✓ !~s Contact: u R; y-(-r.:, )
Contractor Address: ~v i city: i d G am[,
State: Zip: J~ Phone: Z-2-10
(a
License :7 b Lead Certificate ~ $ 41 cf, 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) 454-4002 for protection against underground utility damage- Call 48 hours
beiwe you Jnlend to dig to receive locatas of underg ound utilities
I hereby icknoMedge that this inforrnaton is complete and accurate: that the work wilt be in conformance with the ordinances and codes of the City of
Fagan, fluil I undef-land this is not a peanrt, bul only an apphr.atron for a perm!, and work is not to star) wilhoul a permit, thal th€r work x 11 be in
accordan ce with the approved plan in the case of work wilich 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,
Applicant's P ' _ed Name T Applicant's ignature
,. . Use BLUE or BLACK Ink
----------------�
� For Oifice Use �
• j Permit#. �(Y� �7`� I
I
��� �� ��,�"� ° �,� � Pertnit Fee:, ��- �°� �
3830 Pi{ot Knob Raad ��C�'�� I i
Ea�n MN 551?2 j Date Received:_��,CS��La� �
Pn��:(6.f1}675�675 AUG � � �.Q1� , i
Fax:(651)673-5694 � �� �
I i
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20�4 REStDENT1AL BUtLDING PERnn�T �►PP��cAT�aN
Date: � U� Sibe AddresS: `� ` u Unit#:
� ���..
` Name: �J j N �C�-�5�- `�1�N� ��S t��CAr{;"'�- Phone: r ' 'C —�,�j�
�������. ;''') � �s
�r�'t+�' Address/City!Zip: U � �. 1��� j t�v'�`�'" �' I1 U'Y�.�.-�l�'~" �� �
Appticant is: O�nmer Contractor
� _ � � ��� Description of vvark: � � � �
���C�#���
Construction Cost: Multi-Family Bui[ding:{Yes /No�
Company: � �t�'��1.�°� ,Contact:��� �..--
���
��t��' Address: �I Zi� ��v �`��-�}'tJ�._ Gity: �-�` � �}-1f
state:�zip:��„�,�� �hone:��2—Z.�(�-F����ma��: C#-'�4 ,,,f.�d
License#: �3 C°_���!tn� Lead Certificate#: _ ��'_, ��-.
If the project is exempt from lead certi#ication, please explain why:{see Page 3 for additional information}
C�MPLETE THIS A1�EA ONLY IF CONSTRUCTIPIG A NE1PV BUILDING
in the last 12 months,has H�e City of Eagan issued a permit for a similar plan based on a mas�r plan?
Yes _No If yes,date and address of master pian:
le���ed Plumber. Phone:
Mechanical Contractor. Phone:
Sewer 8 Water Contractor. Phone:
'i��'�:"��d�#l�1'��k`+E��fi�i�l7�1?���;�,�#ibl���f�a�►��t�- , a��11"tit+�4�..�#i�t�, `
��l;�c�Tt��i�3t�t:f!?�tj��.6`/;�������;��i'���'��- ., F"�;�"4��,�!: �'��
' �`�+�f���+ ,�'9Y`�`�r��"�.`'�« , `,.' : ' �' , �
,
CAIL BEFORE YQU DfG. Catt Gopt�r State One Cail at(637 y 454-0002 for protection against underground utirity damage. Cal!48 hours
hefoce you intend to dig ta receive locates ot ur�derground utilities. �v.aoa��rstateonecall.orr�
t hereby acknovNedgs that this information i�comp(ete and accurate;that the work wiil be in co�formance with the ordinances and codes of#he City of
Eagan;that 1 uriderstand th� is not a permit, but only an application for a permit, and work is not to start without a permit; that the wrork will be in
ac�ordance with#he approved pian in the case of v�ork which requires a review arui approval of plans.
E�€iar vst�trk�uEhearized by a buildit�perm�t issu�ti dn accord�nr,e with the l�innesata State 8uikiing Gc�de must be c:s�mpl�#ed within 1�
days of permit issuance.
x �"►�[G �--�.�^�k7 t�'�-s— x
APPiicant's FL'nted Name � Applicant's ignature
Page 1 of 3
��Jb �J�►��'�.s�,�- �� . C� �
DO NOT WRITE BELOW THIS LINE l(� �
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Storm Damage
_ Single Family _ Garage _ Porch (4-Season) _ E�cterior Alteration (Single Family)
_ Multi ,� Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of_Plex _ Lower Level _ Pool Miscellaneous
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 8�� Occupancy ��.G3 MCES System
Plan Review Code Edition �}7 �SQG SAC Units
(25%_ 100%� Zoning �� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction �_ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof:_Ice &Water _Final Pool: `Footings Air/Gas Tests Final
� Framing Siding: _Stucco Lath _Stone Lath Brick
Fireplace: _Rough In _Air Test _Final Windows
Insulation Retaining Wall:_ Footings_ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: _ �� Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge ��� 1� �' =— � � � f�-- 1 d
Plan Review
MCES SAC
C Ity SAC �L� ���v�, �..w�—
Utility Connection Charge �,�a� �
S&W Permit 8� Surcharge
Treatment Plant
Copies f
TOTAL
Page 2 of 2
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--t----- .D�PIOT�S pROP05ED 5UR�AC� DRAINAGE •SCAtE: 1 INCII A 3C3 �EET
Q UEPIOTES IRON MONUMENT 5ET
� DEPJOTES I�ON M�NUt1�NT. FQUNU . i'ROPOSEU GA�2AG� FI.�OOn d `7'7�.3 , ,�EE7
XOQO.Q pEPlOTES EXJSTING E�.EVATIOP� ' ' p�QPOSED TQP�O� BIOCK ° 84��" �EET
(UQ0,0} UEtlOTES PROP�SED EL.�VATI�N � .
I �I�REi3Y C
EiiTIFY TO �fIr�DCREST CCP�PA��Y ` ' 71�IAT THIS IS A TitUE AND CO�tRECT
REPRES�NTATION OF A 5URY�Y OF THE 13UUNpAn�ES 0�: . :
�ots 37, 38 , 39 and40 , B1ock i , WINDCf�ES? 2ND ADDI1'ION, according to
the recorded plat ��hereof, Dakota County, Minnesata.
. . . ,
� IT UOES NOT PURPORT TO SHOW IMPROVEMENYS QR' ENCROACHMENTS; IF ANY. AS SURVEY�i} BY ME
QR UNDER MY DIREC7 SUPERVISIOn THIS 32D DAY OF d�����'�"�gBS• ,
. . ,.
, .. SIGNED: JAM � R. 1LL. INC. .� .
�� � � , �',�, .�,f.�� ..�a�--`_
• . BY: � _.. . .
. . E; OL� C. PETER5QN, LAND SUItV�YOR
, MINPIES07A L ICENSE 110. ,12294
.
Pt�OJ�CT NtJ. BQQK f PAGE • J1�1�� `+�'�J �. �I��.»� II�IC. '
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152269
Date Issued:10/08/2018
Permit Category:ePermit
Site Address: 3830 Windcrest Ct
Lot:037 Block: 001 Addition: Windcrest 2nd
PID:10-84461-01-370
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 -
Barbara J Wencel
3830 Windcrest Ct
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
RECEIVED
For Office Use
*4 .1 , JUN 18 2019 / j
Peewit Fee: /7 4> 6
Date Received:
3830 PILOT KNOB ROAD I EAGAN,NW 55122-1810
(651)675-56751 TDD:(651)454-8535 1 FAX:(651)675.56914
outtoincInspecrionsCalcavaresoan.corn
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 6 j8 l9 Site Address: 3,930 1/%4ActC/at C f Unit#:
Name: /4 els, iv.. /- 1.-ery /aticp Phone: 65/— sc, 973/
Resident!
Owner Address I city/rip: 6014 6ro14_ iv 55Of1
Applicant is: Owner Cortttor a ..
Type of Work Descxiption of work %A s1 11;,� 571.-e-/ ht;div AA c dnefe4 WefrS
Construction Cost 3SoD� Mill-Family Building:(Yes X I No )
Company: I �>�.JeJ 2•1c. Contact D4 AJ
3/'
Contractor Address: / ki1n,,(i 47 414 so. Cady: C 1_ grove_
state:/f1w Zip: S1'O/4 Phone: 65/-3/- Emal: 7CJ t,4..6'cco,'i 571.wS
License# oZ 06 36 79 7 Lead Certificate#
If the project is exempt from lead certification,please explain why:
Pa- nSx.l i ; 5-14.e.1 I-4;1
COMPLETE THIS AREA ONLY IF CONSTRUCTiiIIG A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar ohm 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:
MOTE Plans and supposing documents fiat you submit ane conaidere Ito be nabric-infonnetToni initiate of the iMbnnatian may be
_ckgssifiegi as. t ,ax! avide a e C,aoshat ao�d ermit ffi�e_i r a aoAc ,ilia ►are !er area.
You may subscribe to receive an electronic no notification Irma the City of proposed ordi by signing up for an email update on the City's
website at ... ma :w.. x -s, 1'e,.
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.
CALL BEFORE YOU DIG. Cal Gopher State One Cad at(651)4:54-0002 for protection agair+st taxierground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utBties.
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.
x id 6/4 Al 4
Applicant'sIrrinted Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE0 „(,i 4CC C-1- / ,/ '
� �
SUB TYPES
— Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
-e° 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
0 Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation .X' 35k'. Occupancy L12( =3 MCES System
Plan Review Code Edition Vy!h 20 IS" SAC Units
(25%_100%x) Zoning P/7 City Water
Census Code ff Stories Booster Pump 1
#of Units Square Feet PRY
#of Buildings / Length Fire Suppression Required
Type of Construction V( Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O.Required
Footings(Addition) `=' Final/No C.O.Required
—
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
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: II)01 X ' ILO , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3