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City of Dian
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date:
2013
Use BLUE or BLACK Ink
For Office Use
Permit #: 1 1 129/
y
Permit Fee: IIL,iG�+�
Date Received: v IQ- (3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
to i t Site Address:
J
Unit #:
Pwfey V r ".
Name: jtl(j ry C f cjrrua As '5 Cr o✓ Phone: 6 5j CIS 2. L7
Address / City / Zip: P O. Gtic %L 1119,7 FRG +4 i /YIN SSi Z/
Applicant is: Owner )C Contractor
Description of work:, C a Xr p.16 -02r
Construction Cost:12, (p O Multi -Family Building: (Yes 7 / No
Company: A bc, 1 Contact: g 0 6 peNe-rp")
Address: q Z t i i"Y'N 1"O City: f Al, A -A 3
State: N Zip: 5 I Z75 Phone: {p j 2 21 0 —! (, b 9
License #: L 54c t
Lead Certificate #: N At-- 1' 99 I
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
FLA 1 161-
COMPLETE
dICOMPLETE 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:
NOTE: Plans and supporting locum tut u s
the information may be classified as ,
c
Phone:
to be public ii
saloIts that
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.aopherstateonecallorq
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.
iOP
Ap licant's Pnn ed Name
Applican ' s ignatu U
SUB TYPES
Foundation Fireplace
Single Family Garage
DO NOT WRITE BELOW THIS LINE
L,<
LILL n4ACCe 54 C '
Porch (3 -Season) Storm Damage
Porch (4 -Season) Exterior Alteration (Single Family)
Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
Pool Miscellaneous
Multi Deck
01 of _ Plex Lower Level
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_Zr
Census Code
# of Units .�
# of Buildings
Type of Construction
Interior Improvement _ Siding
Reroof
Windows
Egress Window
Move Building
Fire Repair
Repair
Z
0o
4'3y
!:
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy
Code Edition 2007
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEE
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
73 73
--
417 2±
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 Final
Siding: Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
god Q /r ihi
Page 2 of 3
SURVEYOR'S CERTIFICATE
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GS DENOTES NAIL SET'
'4i------ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
BY:
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DATE• /' 73
Pd�'ILDINv.I' �T NSIDI IONFEET
PROPOSED GARAGE FLOOR = %I .3 FEET
PROPOSED LOWEST FLOOR = `61'1,5 FEET
PROPOSED TOP OF BLOCK = StSZ'5 FEET
WE HEREBY CERTIFY TO WINDCREST COMPANY
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
THAT THIS IS A TRUE AND CORRECT
Lots 1 , 2, , 3 and 4 , Block 1 , WINDCREST 2ND ADDITION, according to
the recorded plat thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS 171N DAY OF D
SIGNED: JAMS --1 . jIILL, INC.
REVISED 3-26-86 TO SHOW PROPOSED
BUILDING 8Y B.8A. CONSTRUCTION
PROJECT NO.
(86457)
85988
FILE NO.
FOLDER
BOOK / PAGE
143
26
13Y:
HAROLD C. PETERSON, LANI) SURVEYOR
MINNESOTA LICENSE NUMBER 12294
JAMES R, HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 55431 512-884-3029
Use r or BLACK Ink
For Office Use
a it City oii~ ~ I'ermtt fi a
f EaRd
Permit Fee R
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675.5675 1
Fax: (651) 675-5694 ! Staff: 1
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
13,3-7-~<' ► 06rtsr AVe-
Date: Zn t 3 site Address: ~ 9 LM~~A Unit :
Name: rU~ Y~ txJ}~4~ PJ3&)Q-hone:
4 D
Resident! (0 ~ `-Z
Owner Address i City 1 Zip: P _
Applicant is: Owner 4__
Contractor
Type of Work Description of work:
Construction Cost: a4j t~ r =j` L Multi-Family Building: (Yes 1 No }
Company: A bt IT-1f- ty-10 V\1vo U ~ Contact: ~6 R, Noba
Contractor Address: `I Zv Cu y "s, 1-i 1. City:
State: N Zip: 5J 3.1 Phone:
License; Lead Certificate:`" -
-77
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 r
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 Cali at (651) 464-0002 for protection against underg-ound uti ty damage. Gall 48 hours
betwe you niend to dig to mveive locates of underg-ourid utilities
I hereby acknowledge that this informat=on is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
1-agan that I undwstand this is not a permit, bul only an apphcation for a permil, and work is not to start without a permit Inat the work tviV be in
accordance with the approved plan in the case of work ti ich requires a revie•A, 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 ] Jr~ t 1i f4 S P 6r 3 x
Applicant'sP~ted Marne Applicant's Ignature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA129550
Date Issued:02/23/2015
Permit Category:ePermit
Site Address: 3865 Windcrest Ct
Lot:004 Block: 001 Addition: Windcrest 2nd
PID:10-84461-01-040
Use:
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:2/24/15 Per Jamie, they pulled a permit already for water heater & water softener, so they do not need this separate water
heater permit. Will call to reuse this permit with a new address - former address = 3797 Brown Bear Trail.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
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 -
Frank J Hamernik
3865 Windcrest Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143156
Date Issued:06/05/2017
Permit Category:ePermit
Site Address: 3865 Windcrest Ct
Lot:004 Block: 001 Addition: Windcrest 2nd
PID:10-84461-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & 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 -
Frank J Hamernik
3865 Windcrest Ct
Eagan MN 55123
(651) 688-7823
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162231
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 3865 Windcrest Ct
Lot:004 Block: 001 Addition: Windcrest 2nd
PID:10-84461-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Marlys I Hamernik
3865 Windcrest Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162231
Date Issued:07/06/2020
Permit Category:ePermit
Site Address: 3865 Windcrest Ct
Lot:004 Block: 001 Addition: Windcrest 2nd
PID:10-84461-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Marlys I Hamernik
3865 Windcrest Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature