3821 Deercliff CtCITY OF EAG
`3830 Pilot Knob Road, P.O. Box 21
PH O N E: 454-8
BUILDING PERMIT
To be used for ?` ?' Est. Value ?? •4?
Lot Block
Parcel No.
I
m Name '
W
; Address
° City Phone
¢
.o Name
z
ou Address
? City Phone
Name _
Address
City _
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 5tatutes and City of Eagan Ordinances.
Signature of Permittee
A 6uilding Permit is issued to: ?
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Eagan, MN 55121
Receipt #
"'"
Date r ? ,19
OFFICE USE ONLY
On Site Sewage ? Occupancy
?
Jv1WCC System Zoning
On Site Well (Actual) Const _T
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engc/ASSess. Permit
Planner Surcharge
Council Plan Review
Bldg. Off. SAC, Gity
Variance SAC, MWCC
Water Conn.
Water Meter
Raad Unit
Treatment P1
P
k
ar
s
TOTAL
Permit No. Permlt Holdar Date Telephone #
Plumbing 96C C??
J
H.V.A.C. ?/ g.
Electric
Softener
Inspection Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing x ?
Roofing
Rough Plbg.
Rough Htg.
tT •
!?? "` e"?`
? ?? s/ I,? ?e?l ?/ G
'SUI. N
4
Fireplace
Final Htg.
Final Plbg.
Bldg.Final GS- y.?
Cert.Occ. /
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
y• - • . . CITY OF EAGAN
?913
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. . PH O N E: 454-8100
BUILDING PERMIT Receipt #
To be used for • Est. Value Date ,19 .
?.._.
Site Address ' Lot Block Sec/Sub. ' 15T
Parcel No. _
rc Name
= Address 3 1 7"
"
3 . . , ?, u ,
° City ~ L ?Phone
,o Name ` .
?Q Address
P City Phone "ti-+1 ^'+
City
I hereby acknowledge that I have read this application and state that the
information is correct and agres to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature oi Permittee
A Building Permit is issued to:_-___--
on the express condition that all work shall 6e done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official_ ____
OFFfCE USE ONLY
On Sffe Sewage Occupancy
Pi
MWCC System 2oning
On Site Well (ACtua1) Const V-1
? ?n
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
?..
Depth '
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Off. _
Variance _
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
III 410.M
-3'.g?
--yo-K-0(1
100.(V
5 C,n, tx?
c!r).On
•-
t?Tt? ?
Permit No. Permit Molder Date Telephons ?
Piumbing
Electric
Softener
Inspection Date Insp. Comments
Footings I /
Footings II
Foundation
Framing -G
Roofing
Rough Plbg.
Rough Htg. -30- I?o-•
Isul. Z }? Ap
Fireplace
Final Htg. r-'
Final Plbg.
Bldg. Finel _ /j cot tGf-r'o.,
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
`
? • • . .
• '
MECHANI PERMIT # ' -
CAL PERMIT
RECEIPT #
'
CONTRACT PRICE 3830 PIL OT KN B O
PHONE AD, EAGAN, IIAN 55121 DATE
: 454-8100
Site Address - •? ? ? ?,- " - < < ; r , P r •
TYPE WORK DESCRIPTION
BLDG
.
Lot Block Sec/Sub
?
I
? Name
i
r
A
Mult
dd-on
a1 Address L ) '?^ ? t• Comm
Re
air
.
p
c City t -, , h o -, Phone C O
ther
Name FEES
3 Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
Vent CFM
? •_
? BEYOND $1,000.00)
Gas Piping Outlets # ;?_
1.
Other
r '5[j - -,.
?
FEE - , l? ? ?? t,
S/C, •> U SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
MECHANICAL PERMIT RECEIPT # _
ClTY OF EAGAN ?.,
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: '
PRICE:
;5 Name
? Addres:
c City I
? Neme _
c Address
o Cib -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Cas Piping Outlets #
Other
MBTU
M BTU
M BTU
M BTU
-T CFM
BLDG.TYPE
Res.
Mult
Comm.
aner
WORK DESCRIPTION
New k
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
ADD-ON AIR COND. 0-24 BTU
ADDITIONAL 6 M BTU
., -- GAS OUTLETS
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FEE
S/C:
TOTAL•
$24.00
6.00
12.00
6.00
1.50 EA.
10.00
20.00
.50
SIGNATURE OF PERMITTEE
FOR CITY OF EAGAN
. • ' ' • PLUMBING PERMIT
, CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
4CT PRICE: PHONE: 454-8100
Site Add?qss f Lo
•
Lot ? Block. ? c/Sub
?
, ,.. I ?
m Name
co Address,60
k
c City /,44x 41'_ Phone%74/7- 22
? Name ?
? Address
p City Phone
FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT " - .50
(ADD $.50 S/C IF PERMIT PRICE fOES
BEYOND-$1,000.00) ?
?r
51GNATURE OF PERMITTEE ;
, i
;
CITY OF EAGAN
PERMIT # RECEIPT q v y
DATE: ?_ -
BLDG. TYPE WORK QESCRIPTION
Res. x New x
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
y,0, FIXTURE5 TOTAL
Water Closet - $3 00 $
/ Bath Tubs - $3.00
_,,9-Lavatory - $3.00 1
I Shower - $3.00
-L_Ki!chen Sink - $3.00
Urinal/Bidet - $3.00
?Laundry Tray - $3.00
Floor Drains - $1.50 J
Water Heater - $1 50
Whiripool - 53.00
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50 .
FEE: • i C.
STATE S/C: t
GRAND TOTAL:
' ` • PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
'RACT PRICE: PHONE: 454-8100
Site Address i ") f - ,
Lot Block -? Sec/Sub
- Name
4
76 Address
c ?
City A Phone ^2L r-
Name r- - = "
? Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.Q0
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Y.
dIGNATURE OF PERMITTEE
CITY OF EAGAN
PERMIT # _
RECEIPT # -
DATE:
r-
BLDG. TYPE WORK E CRIPTION
Res ? New ?
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
__q_-Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
_1 Shower - $3.00
_LKi!chen Sink - $3.00
UrinallBidet - $3.00
_LLaundry Tray - 53.00
_LFloor Drains - $1.50
_?_Water Heater - $1.50
Whirlpool - $3.00
? Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00 '
Rough Openings - $1.50
FEE: -STATE S/C:
GRAND TOTAL: - 1
.? PERMIT #
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE : `v? • _PHONE: 454-8100
Site Address 7
Lot E31ock - SeciSub
WATER ,
? ,
Name
a? 1461 94tit bkNE N.
?
? Address
ao
c
City
pe
• z
7
? Name
; Address '
O Ciry Phone
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMIIND FEE - $20.D0
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
i ?
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ? New
Mult. Add-on
Comm. Repair ?
Other
RES. PLBG. ONLY - COMPLETE THE F LLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kirchen Sink - $3.00
Urinall8idet - $3.00
Laundry Tray - $3.00
Floor Drafns - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
?-Softener - $5.00 -
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
RECEIPT #
DATE: _
FEE:
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN
Addition ? WINDCREST ADDN. Lot 4 Bik 2 Parcel 10 84460 040 02
Owner street 3821 Deer Cliff Court statg Eagan, hAi 55123
' Improvement Date Amount Annual Years Payment Receipt Data
STREETSURF. o 1983 1889.18 377.84 5
STREET RESTOR.
GRADING
' SAN SEW TRUNK
SEWER LATERAL
SaII St..w IaterIG ,k; 20 7.
WATERMAIN
WATER LATERAL
1982
WATERAREA (r'] 1982 168.79 33.76
* Se.rv.ioes 1982 5
STORM 5EW TRK c S 87.53 5
STORM SEW LAT
I
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK ,
CITY OF EAGAN
AdditionWI.TIDCRF.ST annN Lot 3 R,k Z Parcel 10 84460 030 02
owner Street 3823 Dee1 Cliff Court state Eagan, ltiIlN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREE7SURF. -750 1983 1889.18 377.84 5
STREE`r RESTOR.
GRADING
SAhI SEW TRUNK
SEWER LATERAL
* San Se?a La.teral ?tc 1982 2907.28 581.46 5
WATERMAIN
* WATER LATERAL 19$2 rj
WATER AREA 1982 168.79 33.76 5
* Se.rviaes 1982 5
STORM SEW TRK ?-, 1982 437.65 87.53 5
* STORM SEW LAT 1-982 5
CURB & GUTTER
51DEWiALK
STREE7 LIGHT
WATER CONN,
BUILDING PER,
SAC
PARK ''
I
CITY OF EAGAN -
454-8100 -
DEPT. OF BUILDING INSPECTIONS
Correction Notice
\
Located at ?? ?? i
I have this day inspected fhis structure and' ;
these premises and have found the following ;
violations of city codes governing same: '
fS a
When corrections have been made, please
call 454-8100 for inspection.
? ?- -
Date
Inspector City of Eagan
DO NOT REMOVE THIS TAG
CITY OF EAGAN
DEPT. OF BUILDING INSPECTIONS
Correction Notice
?
^ r
Located at 3?` ? E'« ?!•?? C?"
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governinq same:
When corrections have been made, please
call 454-8100 for inspection.
Date
Inspector City ot Eagan
DO NOT REMOVE THIS TAG
CITY ?OF EAGAN
3830 Pilot Knob Road
Eagan, 'Minnesota 55122-1897
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
1+1! I 1 f11 Nty
A7/1!/9fi
SITE ADDR'ESS: ?ilf: q f; 1 0 1 APPLICANT:
', ll 1 Mij? I?t '? I ( i. ?, j ?.itti ???q i i
PERMIT S,VBTYPE: TYPE OF WORK:
?,; .? ? i i ? i ?•??
I f I, AM 1 Nli I I I I I! NAI
F (
?
L
fif? I AN
Al Tf."irA'( jnN ?
IEUt?ft '?
if-Nf'nltApY F fkf
I
Permit No. Permlt Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inepection Date Inap. Commente
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING '
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
// I
!?7
??G
T/??
? l ?1 ? ?! ?:i:Z?.?a i/Cr7? /Va?r///??7 ' ?/F
?yIp?00/1** 70 1 N/?P. i
I 1 I
,
? ? . • 1 ? , . ? rr _, •--•---.
(Itrttftrate uf (Orrupttnry
titp of (Cagan
lgrpaxbnpnt u# Iiuilbing JWrrtinn
This Certificate issued pursuant to the requirements ojSection 306 of 1he Uniform Building
Code ceru;fying that at the ame of issuance tltis structure was en compliance with 1he vqrious
ordinances of the City regulating building consirueiton or use. For the following.•
ux a.usmtkm 1/ 2 IXJP & GPR eiag. nrmk No. I4914
0-wa-r TYae R3/I'41 Zanin DWm Pfl/R I Tym Cordt V'n
oWwr or ewlaing i1TtFPM PROPERrIES Addrm 6601 SHINC,E CREFK PKtiJY, lM-N C'f?
aowinenaara 3821 DEERCi.IFF COURT' ?ity V+, B2, WIIC= IST
' D.w. AiXXZIIST a? S, 1988
BwkiLos Offic•t
POST IN A CONSPICUOUS PLACE
1
? i
(9.erttfiratP of Orrupanrg
titp of Qlagatt
Nrwriatptcf n# mudbing jwrrfimt
This CertiJicate issued pwsuant to the requirenientr of Section 306 af 1he Unifornc Building
Code certifying that at the dme of issuance this structure was in compliance with the various
ordlnances of the Ciry regulating building construciion or use. For the foUowing.•
uw cwwfficadm 1/2 DXiT & GAR BW& Permit No. 14913
OocuP-Ir I?'De R3'rl I zoniug Douict PD' ° 1 coos4 VI'`
OwxroFBuuming iaGM PROPE.RTI[:S Addrcas 6601 - TYM (71,': WN?? BINGYN CTR
??? ,:??3 r?cr?d 4 a0tM L3, B2, wDmc;R:_sr !sr
a? AUGUST ,?5 , 1988
euamng officW ,
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eagan, MN 55121
Fermit No:
Meter No:'?? 3. i.? 9 d 9
Reader No: f? P i? 3 0?7
Chg: ' 7 f? _ f1npd Zoning: _
>ep:_ 15_ nond No. of Units:
Date: 6-2--88
Size: o c f
Date:
rge: •1=1 I agree to comply with the City oi Eagan
it- 904.00pd Ordinancea.
(,7 Onp.j y ? "
B (.
e?
WATER SERVICE PERMIT
" ?'_2._g
CITY OF EAGa?! Permit No: 1r7774 Date: .?
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199 ?
EaoRn, MN 55121, • _ _
E2 Windcrest Z
Site Address:
Plumber:
MWCC:
..
r r0 • 00p" ? Zoning- '
i
No. of Units: '
City Chg: ?
t 5
()b !
Acct. Dep: n
.
:C,
,!p: I agree to comply with the Clty ot Eagan
Permit Fee: a Ordinances.
Surcharge:
RAi.n • By
SEWER SERVICE PERMIT
CITY dF EAGAN Permit No: 5627 ' Date: =" 18
3690 Pllot Knob Road Meter No: ?4 3 13 91{/ Size -' ?z0-qr-7r--
P.O. Box 21198 Reader N o: D?P /-.3!7 6-7 Date: g? 8
Eagan, MN 55121
Owner. " •' ?:c3ns`..
Site Address: 3221 nec=r 1.'3 1-f Co ixt Lk B2 Windcreat ?
Conn. Chg: 550. 40nsi Zoning: F' -?
Acct Dep: 1-5- 00rzsi No. of Units; ?
Permit Fee: 10,00124
Surcharge: • 50 t)J, 1 agrae to comply with the City o( Eagan
Tr. Plant COnd __ Ordinancea. _
Meter.
Mrsc.: ? gy
WATER SERVICE PERMIT
., .-
CITI( dF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. 6oz 21199
Eagan, MN 55121
,J
;.
_
Owner. r
•a ^?ng,?. " CULiT' i.4 E'? `•'.'LT:?CX'e5t
Site Address: ?...,_ Plumber: "
MWCC: Zonin ,
9, -
City Chg: No, of Units:
Acct. Dep: , e - I agree to comply with the City of Eagan
Permit Fee: -? ? ? - Ordinances.
Surcharge:
Misc.: BY
SEWER SERVICE PERMIT
rrJ 1
-+O Z
f..l
Z N v
Q ¢ r _ W
0 LC)
O
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a?
m a =
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W
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(J) J ?
U a
.
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Z ?:.
Q Q 1L5
< -
am
WWZW?
_ LL z ---
oo ?
U ? a
?- ? 0 <
V
01,
P
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?
0
a
w?
VLL
?
_..._:..ri .
-- ?
'--- 5
LJ
?-
_
oa y
C
.? ?
.;?
? Z
o
i
,
f
?
I ` -.i
\
.?
-r
U ?
o ?
? I
P-*
?V
vi,; 0I-3210 Bldg. Permi
01-3422 Plan Check
i7?3 ! 01-3445 Surch./Adm.
;
? 01-3446 SAC/Adm.
01-2155 Surcharge
? I "?3860
? - Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
`
%
j T '
20-3716 Water Meter
Sv
z
? 20-2252 Acct. Dep.
._
< 20-3713 Water Permi
?
20-3743 Sewer Permi
. 3Ya
79-3866 Sewer Conn.
?13?-3855 Park Ded.
TOTAL
W
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-
--
-
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o
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I
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,
- - - -d
4
4PcrC
I CITY OF EAGAN . No- 14 913
3830 Pilot Knob Road, P.O. 8ox 21•199, Eagan, MN 55121 BUILDING PERMIT PH ONE: 454-8100
Receipt# Y33 `c
To be used for 1/2 DUP & GAR Est. Value $59,000 Date MAY 2 '19 Sg
Site Address 3823 DEERCLIFF CT
Lot 3 elock 2 Sec/Sub. WINDCREST 1ST
Parcel No.
: Name LOMBARD PROPERTIES
= Address 6601 SHINGLE CREEK PKWY
°, City BROOKLYN PKphone 566-8022
olName B-E CONST INC
oa Address 85 3RD AVE SE
? City NF.W BRT(;N'fC)Nhone--6_36-4164
OFFICE USE ONLY
On Site Sewage Occupancy
X
MWCC System Zoning
On Site Well (ACtual) Conat
City Water X (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length
oevtn
S.F. Total
Footprint S.F.
R3/M1
PD R1
Vn
Vn
30
52
a
w Name
= Addre
u
w City_
I hereby acknowledge ihat I a re d Nis application and state that !he
information is correct and e to omplY wi -all applirr,,able State of
Minnesota Statutes and f a Ordi nc
Signature of Permittee
I A Building Permit is issued to: B-E CONST
on the express condition that all work shall be don e in accordance with all
applicable State ot Minnesot tatutes and City of agan Ordinances.
Building Official
C
APPROVALS
Engr./ASSess.-
Planner _
Council _
eia9. on. _
Variance _
FEES
Permit
Surcharge
Plan Review
snc, cicy
SAC, M WCC
Water Conn.
Water Meter
Road Unit
Trealment P7
Parks
TOTAL
$ 410.00
29.50
205.00
100.00
550.00
550.00
67•00
325.00
_204-..00
$2,440.50
CITY OF EAGAN N2 14 914
' 3830 Pilot Knob Road, P.O. Box 21-199; Eagan, MN 55121 ?
Q3-3 ?
BUILDING PERMIT PHONE:454-8100 Receipt # v
Tobeusedfor 1/2 DUP & GAR Est.Value $59,000 Date MAY Z ,19$$
Site Address 3821 DEERCLIFF CT
Lot 4 Block
Parcel No.
2
SeGSub. WINDCREST 15T
a Name LOMBAR? PROPERTIES
; Address 6601 SHINGLE CREEK PKWY
° City BROOKLYN CTRphone 566-8022
o Name B-E CONST INC
oa Address $5 3RD AVE SE
P City NEW BRIGHTOpnane 636-4164
w
i
5
z
w
Name_
Address
City_
I hereby acknowledge that I h e r d this application and state [hat the
information is correct and r e t com ty? all applicable State of
Minnesota Statutes a o n O s.
Signature of Permitte .
A Building Permit is issued to: B-E CONST INC
on the ezpress contlition that al I work shall be done in accortlance with all
applicable State of Minneso[a ta[utes and Ciry agan Ordinances.
Building ONicial ?
.2
OFFICE USE ONLY
R3/M1
On Site Sewage Occupancy
X -PD-ICr-
MWCC System Zoning
On Site Well (ACtuap Const Vn
Ciry Water X (Allowahle) Vn
PRV Required - # of Stories
Booster Pump _ Length 30
Depth 52_
S.F. Total
Footprint S.F.
APPROVALS FEES
$ 410.00
Engr./Assess. Permi[
Plannei Surcharge 29•$0
Council PlanReview 20$.00
Bldg. Off. SAC, City 100.00
variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter 67.00
Roatl llnit 3.2,5_.00
Treatment P1 _284.,.00
Parks
70TAL $2,440.50
APFLICATION 1=0R PERMIT
SEWER ANQ/OR WATER CONNECTIQN
OF CagC9i9
1) PROPERTY ADDRFSS: _
_.. ................. .
,
t NJfE: PA324FNP DF FEE pT TIME OF ?
; nertacaTTaa ooFS Nar coN- ;
; srilvrE arPRc;?r,t oe rMcaT.
i /?
t 2N.SRfS'1'ION OF S?S? AI?D/.... WAZm k
; icsrt,[aAriotas wu.[. Nar ae crMvnFn ;
? CNt'IL PERPffT HAS BFQd APPRGVID. t
rt+?esff???iaa+?i?:t>xfw?itkkxfrr?wwe:+w
T'Ff;AT• DESQt2PTI0N; . . . . . . . . . . . . . . . . . . .
Lot B oc S ivision or Tax PaYCel ID
IF EXISTING STRL'CTCiRE, DATE OF ORIGINAL BLILDING PEE2MIT ISSLANCE:
Mont Year
PRESENT ZONING/PROPOSID OSE:
Q COfMAMCIAL/RETAIL/OFFICr^.
Q IIND[!STRIAL
Q,INSTITUTIONAL/GOVERDIlMENT
i
z) ? nArE:
ADDRESS:
I SINGLE FAMILY
-2 DUPLEX (3t? Units)
? R-3 TOWNHOOSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONIDONIINIUM ( L'nits)
?tr ? Gti?'ttt/
CITY, STATE, ZIP: f ? ? w• w y 1? ??r.
PHONE:
s> NAME: S{AAM NA r N%, KI?
aDDREss: .L,?. r,A.+s ?• S'? . tat,
T
CITY, STATE, ZIP: f`?
PHONE: „ tt
?_MASTER LICENSE #
Ij Active
Expired
Not recordec
St Initi
4) ?-
NAME:
ADDRESS:
CITY, STATE,.ZIP:
PHONE:
5) ??, o a ?Tt :io an
' m
N6IECTION TO CITY SEWEEt TION TO CITY WATER 0 QTHFF?t
6)
?**?************?+??****??*************,?***+**x****?***********?*****,r***+*?**,?***?******+*+****:r**y
x
* THE GOLD COPY OF 7HE PERNffT WILL BE SENT DIRE7CTI,Y 7O PUSI,IC WMKS TO FACILITATE MEi'ER PICK-CTP.
*k PLEASE ALiAW 1W0 WORKING DAYS FOR PROCFSSING. SOMEONE FROM TM CITY WILL CONi'ACT YOL IF TfERE *
** ARE ANY PROBLFNIS. ?
*** * *** **?k** ****,t **Yrie /r***,t**?e4*?F**:t****?tltYe*x* **?tierk **********************rttr ******* *k?e***4****ieirk****'y
FOR CITY USE ONLY
PERMIT # ISSUED '
Pd w/Bldg. Permit FEES:
$ $ /U S? SEWER PERMIT (INCLUDE SORCHARGE)
$ $ /["J s? WATER PERMIT (INCLODE SC'RCHARGE)
$ 'F 7?d ? $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ e 0 ACCOONT ilEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ S WAC
$ $
SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRU[VK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $
WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
S I / / I ' `?Z7 $ TOTAL
:3 (1 . f?UV 7
RECEIPT RECEIPT Ti-
DOES LTILITY CONNECTION REQGIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MOST BE ISSUED BY THE ENGINEERING
DIVISION
LIST
.
AS A CONDITION.
SOBJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 412- / d e
APFLiCATION 1=0R PERMIT
SEWER AND/OR WATER CONNECTION
oF ecacan
.. ....,? ............
,
t N01'E: PAWffM7P OF FEE AT TIME OF
..
'
y APPLZ'(ATIIXV OOES NO'f CON- i
9121U1E APPROVN. OF PERMIT. :
i
i IIISPFX.TION OF SEWL'R A!ID/OR WATER +
*y
y INSTAIdATIO[15 WII.L M3P BE :J`Fnnr.cn ?
*y L?NFIL PERFIIT HAS ffiRi APPROVID. ?
1tf 44i#44fiff**1RF**#44ff`1/YfY!!1t'Yt4
I (YLP:A.tiP: Ytt1N'1') p'?
1) PROI?ERTY ADDRESS: ? wl3 e,
T.FI;AT. DESCRIPTION:
Lot Bloc Subclivision or Tax Parcel ID
IF EXISTI6IG STRCCT[1RE, DATE OF ORIGINAL BUILDING PMMLT ISSDPNCE:
Mont Year
PRESENT ZONING/PROPOSID USE:
Q CODM'IERCIAL/RETAIL/OFFICE
Q IINDC?STRIAL
Q SNSTIT[TPIONAL/GOVERN11M
2) NAh]E:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) •_ u:?: NAME:
ADDRESS:
CITY, STATE, ZIP: ?
PHONE.
4) Uso'C., e M.
NAME: _
ADDRESS.
CITY,I STATE, 22P: .
PHONE:
?
r or.: +e
( Onits)
( . C'nits )
?11llTIbEYS L1C2S750:
i? -Active
Expired
Not recorded
Sta In?
5) 18? 1 ' ? '?+• "r a?
DrONNECTION 'IC) CITY SF.'WER ?VL?CTION TO CITY WATER a OTHEF2
6)
okftm
?
****:***+****?**********+*******,?*******+***?,r?*?**,r***?***?**??**?*+***************?**?*****?*?***x
* THE GOLD COPY OF THE PERMIT WIIS, BE SE[JI' DIRFCMY TO P[JSLIC WDRKS TO FACILITATE ME1ER PICK-UP.
* PLEILSE AIJAW ZSaO WORKING DAYS FOR PROCE'SSING. SOMEONE E'ROM TM CITY WILL CONPAGT YOL IF THERE *
* ARE ANY PROBLENIS. ;
?-l SINGLE FAMILY
5? <2 DUPLEX ('IWo Cnits )
? R-3 TOWNHOTISE (Three + Units)
Q R-4 APARTP'IENT/CODIDOMTNICM
MASTII2 LICENSS # 1 i ?f
FOR CITY USE ONLY
PERMIT # ISSUED
ZC9
Pd w/Bldg. Permit
$ $
FEES:
/ ?' ' c?'?%
$ $
$ ? 7. o--? $
$ $
$ $
$ $
$ $
$ $
$
$ $
$ $
$ $
$ $
$ $
S /?7?-?`o S a?•L?D
RECEIPT RECEIPT
.
- -,
SEWER PERMIT (INCLDDE SURCHARGE)
WATER PERMIT (INCLUDE SDRCHARGE)
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLLDE CORPORATION STOP)
SEWER TAP
ACCOLNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRONK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER ,
LATERAL BENEFIT/TRONK WATER
WATER TREATMENT PLANT SORCHARGE
OTHER:
TOTAL
DOES UTILITY CONNECTION REQOIRE EXCAVATION IN POBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY;
TITLE:
DATE : Y' ti?l3 Y
' 1988 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS /
/
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURV , 1 SET OF ENERGY CALCULATIONS
NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WFiICH ADDBESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HQILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNIT3 FOR SALE UNITS 2 0 OF UNITS z
INCI.UDE 2 SETS OF PLANS, CERTIFICATE OF Sf1AVEY - CHECK WITH HLDG. DEPT.9
1 SET OF ENEHGY CALCULATIONS
COhA9ERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS
lz -rwial RWD APR 2 2 1988
To Be Osed For: ? Valuation:$f,t-acm-cm- Date: 4/20/88
Site Address
Lot _4 Block 2_
Parcel/Sub WinArraet Finc+. AdAitinn
OWYlel' T.nmhanr7 Pnnppr+.i ac
Address Fr_Qi cr,;,,oiA P'oov v,,,t,..,,w
City/Zip Code
Brooklyn Center, MN.
Phone 566-8022
Contractor B-E Construction, Inc
Address
85 Third Avenue SE
!'itylZip Code New Brighton, MN..55112
Phone 636-4164
Mch./Engr. Does not apply
Address
City/Zip Code
Dm !
59 OFFICE USE ONLY
?
On site sewage _ Oceupancy -? M-I
[•IIdCC system ? Zoning . R-I
P Q
On site well Actual Const ?
v-N
City water ? Allowable V- N
PRV required _ # of etories
Booster Pump _ Length 301
Depth S 2'
S.E. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit ?4 D.oo
Planner Surcharge 1S ? SD
Couneil Plan Review 2,OS.OiJ
Bldg. Off. ? 1h SAC, City I oD, 0D
Varianee SAC, MWCC '01W
Water Conn
Water Meter (OT).00
Road Unit 2,3 S lDO
Treatment P1 2-014 Op
Parks
Copies
TOTAL 1?2 (L c6 (), I
d
Phone #
VALuATON
--
CsARAS6L-
19x2y= 45&x ly = G35y
?-f ou5?-
.---.
3o x zSf
? FSyOXl?Z =sLO?o
?-----
s 8y6y
0
. :. 1988 BIIILDING LT 'OF EAGAN
SINGLE FAMILY DWELLINGS
?
t ?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEYt 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WSICH ADDHESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENT$L ONITS FOR SALE UNITS 2 4 OF UNITS 2
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONII4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCUCATIONS
To Be Used For: - Valuation: M- Date: dj2o188
?-?cmn-
Site Address 3A2
7?qpnrl;rr r ?
+ OFF:
'
.
3 „r S9, oDO
Lot __I_ Block On site sewage_
MWCC system
Pareel/Sub On site well
City water ?
Owner r.nMhard...Yrea?artiss PRV required
?
Hooster Pump _
Address
City/Zip Code ?.oN?l co„ro.. r
?-"?--
Phone ?99-2092 I APPROVALS
Contractor B-E Construction, Inc.
Address 85 Third Avenue SE
City/Zip Code New Brighton, MN 55112,
Phone 636-4164
Areh./Engr. Does not apply
Address
City/Zip Code
Phone tf
Oecupancy R•3/M- I
Zoning pp, R-1
Actual Const V-N
Allowable V.N
# of stories
Length
Depth 52,-
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit y10•0 d
Planner Surcharge 29•SA
Couneil Plan Review 205,00
Bldg. Off. 75?-/k& SAC, City
P IDD.'00
Variance -
SAC, MWCC 5 D DD
Water Conn 550 .00
Water Meter
Road Unit ?611? -D-J
Treatment Pl 20ulo00
Parks
Copies
TOTAL zq?a
xa
Q
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
Cv,Ni>?--L k-Am,y-
SITE AODRESS:
CONTRACTOR:
dETERMINE 4i0RKING SQUARE FOOTAGE OF EACH:
1. TOTAL EXPOSED WALL AREA , , , , , , , , sq f t x "U"
2. TOTALIROOF/LEILING AREA,,,,,,,, Sq ft X"U"
3. TOTAL EXPOSED 14ALL AREA CALCULATIONS:
Total exposed wall
area above fioor,,,,,,;, sq ft
a) Total wall window area: ,
glazed...... ' sq ft x lfull
glazed...... sq ft x "U" _
b) Total door area ,,,,,,,,, SQ ft.x "U"
c) Total sliding glass door area: . ' glazed...... d Sq ft x??U"
..
" glazed...... sq ft x i?U"
d).. Total fire place wall area Q sq ft x"U"
e) Total wall framing area
(Averaqe 109;)........... 1$?5•? sq ft x"U11 1 /12 °2a. 'A,.
f) Total net.wall area a6ove
floor (Insulated)..,.... 1a'.9 sq ft x"U" 3.3
g) Total rim joist area...... /5sq ft x"U" °2•3
Tota) foundation
are:a (Exposed).......... sq ft
h) Total foundatlon '
window area ............. C-3 sq ft x 11U1t <D
i) Tota1 net foundation 7 ` ?•.
area above grade .:... ft z"U"
3 - TOTAL a) thru 1) _?
If Item 93 is the same as, or less than Ttem h'1, you have met the intent of
S.B.C. Sectton 600b (c) 2.
I
:, .
? •-_ ' • .
TOTAL EXPOSED ROOF/CEILIPJG CALCULATIOPIS: . _.. .. ,_.. _.
Total exposed _ .. ,.. .:'. _ . . . ?
roof/celling area........ J sq ft _ . . • -Sq ft . x -????
J) Tota) skyliaht area....... C? ?----
k) Total roof/ceiling framing ?
area (Averaoe 10.9.)..;.... r?? _54 ft X.
1) ?Total net insulated ?'U' ? .4
??•
roaf/ceiling area....... /_?? Sy ft x ?
TOTAL J) thru 1) •
f total nf 94.is the same as, or less than #2, you have met the intent of
.B.C. Section 66Q6 (c) 1. . .
. .. 'i..-
` ' ALTERtIATE BUILDINf ENVELDPE DESIGN ; .;
To.utitize the total envetope system method, the values established by the sum-.
of ttems 93 and $4 shall not be greater than.the sum of items #1 and R2.
. 1. _ ?y?5•`? .+ 2.
,
3. ,.
i hereby cart!fy thzt I have ealculated the "U" factors and !'R"
values herein and that the butlding here described meets or.exceeds the Sta.te
of Minnesota Enerqy Conservatlon Ac L
- ??. -
gaature , .
}.
(Dat )
A
-1 ? ,
, '? ,
rmL'zL',. `.Jv'c,r-a1'?J L.vLo,..????-.:?3C?•u?.l
. , 7775 EAST HWY 36 • ST. PAUL. PdWD.E50TA 55109 • PHONE 16721 4240261 -
LAMPE'tt'T' Zat26E7L 0-0.
3 o O LJ. 7B rH. sr
?ic? DGEJ , M.?.? ssya3 .
AtI.J : 73 rc ; ;n J
7? E : GA'fLAG E- Doc7l 1-4 EADE?
LoADir.1G :
F'Looic : 10C SO P.S.F.
b),acC. P. S. F,
IZooF ; @ SS P.S. F.
,o) (so) t(s) (Is) +
5s) = ia8a
" _SP.4 n/
/Oay0?= I;z y
AeTUAL -C 1b =(Izeo) ass8 < a?00 x l.r
• //S3, i?iS
02) AeruAL 4= ?a57s8) ? f6L = . T73 ? . U? C/Yc
(??o oao) ( Is) - •
,4c-,-a A? N,s. tyioo) - 187ps ?< l.?s x i.r?
. LAn.ti,uarE: b $ERNt
Sfs x
W• e.. ?o [l6 . 1- r 1L
aq oo ?b
A. 2.T• ?' _ ST'A11 PED E CElt7'?F/ED
J
SITE AO
CONTRACTun- •-
? DETERMINE WORKiNG SQUARE FDOTAGE Of EACH:
1. TOTALI EXPOSED WALL AREA ,,,,,,,, Sq ft x"U"
2. TOTAL ROOF/CEILING AREA ,,,,,,,, sq ft x"U"
•
3. TdTAL EXPOSED 41ALL AREA _
CALLULATIONS:
Total exposed wall
area above floor ,,,,,,;, ,, - >sq ft
a) Total wall window area:
gtazed..... sq ft x"U„
gtazed,,,,,,
sq ft x "U"
z
b} Total door area ,,,,,,,,, sq ft.x'"U"
c) Total sliding glass door area:
. ' gtazed...... d sq ft x"U"
v.
.' glazed...... sq ft x "?Uu .? a
,... ._ .__.__... -
d) Total fireplace wall area ?j sq ft x"U"
e) Total wail framtng erea
(Avera9e 109;)........... ?$?s•? sq ft x ??U"
f) Totai net wall area above
floor (Insulated).. .. sq ft x"U" !O?_= 3.3
g) Total rim Joist area...'`... sq ft x"U" `1??_ _ `?•3
Total foundation
arr.a (Exposed)......... sq ft
h) ToLal foundatton , •
wlndow area ............. sq ff x"U"
_?.
i) Total net foundation "-. - ' • :-. .; .
area above grade......... Sq ft x"U"
TOTAL a) thru
- ......... .... ..... ....?;... _..,,._
If Ttem #3 is the same as, or less than item P, you have met the intent of
S.B.C. Sectlon 6006 (c) 2.
. . iRTERiOR ENVELOPE AVERAGE "U" COMPUTATION
-?*i?'i
. `TOTAL'EXPOSED RUOF/CEtLING CALCULATIOHS:
7otal exposed
roof/ceiling area........ ?/ .?Ap . sq ft
r_.....:? - . +?
S ????.
J) Total skyliaht area....... C3 q fY z ?--
k) ITotal roof/ceiling framing ?
area (Average 10.9,).......?_ SQ ft X.
. ..
1) Total net insulated
, roof/cei l ing area....... sq ft x"U" .d 'r?--• ?-?
TOTAL ]) th ru 1) L.,?r6?' Z
f total nf R4.is the same as, or less than 92,.you have,met tfie Intent of
.B.C. Section 6606 (e) 1. . .
•,
. .. ' ? .. _ _.
, . .-_ ,- _....., ... .
? ALTERNATE BUILDINf. ENVELOPE DESIGN ; r=
To utillze the total envelope system method, the values estabiished by the sum.
of items 93 and #4 sfiall not be greater than the sum of items /ll and #2.
+ z.
3. _ ,e 3 5?. r +
C E R T t F I C A T 1 0 N, ...
1 hereby eertlfy that I have calculated the "U" factors end "R"
vatues herein and that the buildtng here descr?bed meets or exceeds the State
of Minnesota Energy Conservation Act. . , •? . , .. .i__ +.1-: . _
qnature
(oac )
. . • - ? a ` " T ,
t :i`U'???? l? ? ?1?;`?,. ?:.?.'??.:.-?? ?C?':'".r,•_;,?,. .??-,?.C,,?.??
-?:?.L? ??.:??` V.•?
. I 1775 EAST HWY 36 • ST. PAUL, MINNESOTA 55109 • PHONE i(312) 424-0287
LAMPE"1tT LustaEre- ?a.
30o CJ. 78 rH. sT
M,;.? ,? ssya3 .
flrl?: ?rc;an?
GATtqG E DaoTl f"IEADE??C
Lo.4air.l6 :
FCootC : !O? C SO P•S.F.
6)A4.L 1 S P S. F
Roo F: SS P. S. F.
_ (io) (50)t(8) (15-)+(l-')(5 s) = 1280
" SPA Al
/Oa`f0-1019! = K
1) Ac?-uAL ;?'J? ` ?1280) ? ?6??( ?? = aSS8 < o?`f00 X l•!
a? Aeru.AL
??o oofl? ( r s? - .
QAL k, s. = C?.s) ( wfoo) l.?s- x
ias) Crs) -
?AMiA1ArE: D ?E?4Nl
S/8 x / S -
aq oo ?? -
A. =.r. e_ S?Au P6"D f?.'Er?r?FiED
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, IMinnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84460-040-02
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3821 OEERCLIFF CT
LOT: 4 BLOCK: 2
WINDCREST
TEhIPORARY FIRE p00R
Permit Type SF (MSSC.)
,ork Type ALTERATION
W
de%. 434 AL7. RESIDENTIAL
a ?m
A"v??x e? ?
? w y
'wwA iN
ara
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee $21.00
Surcharge $.50
7pta1 Fee $21.50
ti ' .3 [I? pW u 3?I?'?
'P.t d$9yR?$° G?""???C4 S48 ?
? '?'S
? a?re
Jv ?mU a
$aee
suzLprNG
ezezsz
07/17/96
CONTRACTOR: OWNER: - Applicant -
MRKI BRYAN
3821 DEERCLTFF CT
EAGAN MN
(612)658-9473
x hireby acknc?wls?f?e ?hat„! T h?t+? read :tha? 'appl3Gatio? arrcl state thdit ttre
`arrfo?rr?ratgor? is ?r?r`r'`?c? ?3id agree ta ???hp3,,y tJ?h
t?? ?y. e?fi Ea%ar
APPLICANT/PERMITEE SIGNATURE ISSU RE
CITY OF EAGAN
?,(?? 3830 PILOT KNOB RD - 55122 S ?
v? " 1996 BUILDING PERMIT APPLiCATiON (RE5IDENTIAL)
681-4675
New Construction Reauhements RemodeLa?eeair Reauirements
? 3 registered site surveys ? 2 copies o1 plan
? 2 copiea at plans (Indude beam 8 window s¢es; poured fnd. deslpn; etc.) ? 2 site suneys (exterlor additions & deeks)
? t ener9Y caICUtatlom ? 1 energy, eekuletfons fw heaied add'Aions
? 3 eopiea ot tree preservaHOn plan H fot platted afier 7/1/93
mptirired: _ Yes _ No
DATE: CONSTRUCTION C05T:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT4.4- BLOCK 2= SUBQ./P.I.D. #:
7 C?
Phon
#
PROPERTY Name: :
e
OWNER
Street Address' ?-
Ciry: State: ? Zip•
Cow7RAC7oR Company: ' Phone #:
Street Address: License #•
City: State: Zip•
ARCHITECTI Company: Phone #•
ENGINEER
Name: Registration #
Street Address?
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty appiies when address change and lot
I hereby acknowtedge that I have read this applicaHon and state that Me inform 'on is correct and agree to comply with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
No
_ Yes
Tree Preservation Plan Received - Yes - No
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
0 02 5F Dweliing a 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Faciiity
n 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
'?W 05 SF Misc. 0 90 = plex a 15 Deck
WORK TYPE
0 31 New p(' 33 Alterations ? 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
tength
Depth
APPROVALS
Planning
_ Basement sq. ft. MC/WS System
_ Main level sq. R. City Water
_ sq. ft. Fire Sprinklered
_ sq. ft. PRV
sq. ft. Booster Pump
_ sq. R. Census Code. ?
Footprint sq. ft. SAC Code !y /
Census Bldg
Census Unit o
Building Engineering Variance
Permit Fee _ z /
Surcharge ,Sb
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
5NV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Gopies
Total:
Valuation: $ S OD
% SAG
SAC Units
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
*M cirY oF EacaN l5
3830 PIL07 KNOB RD - 55122 ???9 e
651-881-4875
) 3333 i Rertwdel/Reoair Reaulrem9nii
3 regisfered atte wrveya ahowinp aq. fL of bt, sq. fl. ol house -7_ 6 ?UC) 2 copiea o( plan
antl go rooletl areas (TO% maxMum bl coveraae allowecD 1 set of energy calculallons for heated addlHons
2 copies of plans (ahow beam 8 wlntfpw aizgs; ppured tnd. destgn; etc.) 1 site wrvey for axtaAOr addiHOns d decks
1 aef oi anergy calcWaMOns
3 copiea ol hee preaervatbn plan If lot plaMed afler 7/1/93
DATE:
DESCRIPTION Of WORK:
STREET ADDRESS:
LOT: - IL
BLOCK:
CONSTRUCTION COST:
PROPERTY
OWNER
Name: ?i l.?-?? Phone #:
tpaf . FIrSf ??
Sheet
/ .
City ? Stote: V94i Zip:
. Compant l'_lci9r??? 1?,,, /? Phone #: 9?v2CT lI'
??- (area C040)1
7
CoMRACTOR ?/? -
Sheet Address• ?""l ?t4?--- lJCense # ExP• ??
Ciry ? State: ? zip:
ARCHIiECT/
ENGINEER Company: Name:
Telephone #: (
Sheet
citY
Regtsiwtion #:
Siate:
Sewer/water licensed plumber (N installina sewedwater): Phone #:
Zlp:
I hereby acknowledpe that I have read Ihia applkatbn, siate thaf Ihe Inlo on is cortect, and agree to eomply wilh aq appdcable Stafe
of Minnesota Siaiutes and Ciry of Eagan Ordinancea
Signalure of Applicanh
OFFICE USE ONLY
JU" - `
Certificates of Survey Received _ Yes _ No
Tree Preservation plan Recelved _ Yes _ No _ Not Required
? ? "lopA 2000 BUILDING PERMIT APPLICATION (RESIDENTIIqx) ,J
CIT1l OF EAGAN ? -
3830 PILOT KNOB RD - 55122
651-681-4873 \ ?p.755
\.?
New Conthuclion Reaulremenb RemotleVRaoaU Rewlrements
13 3j
m 3 re9lstered site wrveya ahowlny tq. IL ot bf, tq. B. oi house 2 copies of plan
and gu rooted areas f20'b mr.Dthnum lof coveraae alloweN 1 aef ol energy calculallons for heated atlcGXOns
> 2 coples of plmu (atww Deam a wlndow aizas; poured hW. design; etc.) 1 sita wrvey tor exlerfor additlons & decks
> 1 aet of enerpy cacWatlans
> 3 coplea ot trea presarvallon plan lt lol plalted alter 7/1/93
DATE: 2L Ei LQ0 CON5fRUCTIONC05f:
DESCRIPTION OF WORK: / /Le7,f A` 'z?:.??LL???i?.-?
STREET ADDRESS: `
LOT: ? BLOCK: ? SUBD./P.I.D. #:
if: ? - 77 ,
PROPERTY
OWNER
Sheet
Ciy State: Ilp:
CompanPhoneri: /?- ?:?J??7
(area cod )
COMRACTOR ?
Sheet Address/?? ??? /f? S •-?-s=? ucense t P. 3 t o
CMy l/ SFate: 6tfol Zip: ,43;?,SG _
ARCHIiECT/
ENGINEER Company: Name:
Telephone #: (
Street Address: RegishaHon Y:
City
State:
Sewer/water licensed plumber (ii I tallina seweNwaterl: PhOne #:
Zip:
I hereby acknowledge lhat I have read this applkalbn, state Nwt the infomxi is cortect, and agree to comply with a0 appncabte SSate
of Minnesota Sfafiitea and CiFy ot Eagan Ordinances.
Signature of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Recsived _
Yes _ No
Yes _ No
- Not Required
??? - r,
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT K OB RD, EAGAN MN 55122
651-681-4675 ?New Consiruction Reaulremente
• 3 registered stte surveys showing sq. tt. nf rot, sq. N. of house; and II roofed areas
(20% me)imum bt cova2ge allowed)
• 2 copies oi plan slwwing heam & window sizes; poured faund design, etc.)
• 1 SBf ot Enerqy CaICU18NonS
• 3 copies of Tree Preservation Plsn il bt pletted after 711/93
• Rim Joisl Detail Optbns selection sheet (Cldgs wilh 3 or less uni44)
RemodaUReualr ReaWremems
• 2 copies of plen
• 1 Set of Energy Cekuletions for healed eddhions
. 1 sBe survey far exterior addnions & dedks
. IndicatB ii hane served by septic SystOm fOr atldition&
DATE S tr?a, ?z
VALUATION -)% , q7, . S a
SITE ADDRESS i" -PV G.:?: MULTI-FAMILY BLDG _ Y _ N
NPE OF WORK Raioo ?r FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS 1--?a'--- CITY_?STATEV?ANZIP
iELEPHONE # CELL PHONE # FAX #
PROPERNOWNER W;,,,? TELEPHONE# 45°? - I'2-r'7
----- ° ------------------------- --------------------------------- ------------ ----------
COMPLETE THIS SECTION FOR •%NEWff RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9ory - MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet 5ubmitted
' • Energy Envelope Calculations Submitted
Plumbing Conhacfor: Phone #
Pluxnbing system includes: _ Water Softener _ L.awn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
_ Heat Rewvery System
i?
SeweryWater Confractor: Pho
------------------------------------------------------------------------------------- ---°-
I hereby acknowledge ihat I have read this application, state That the informati 13, comply
wiTh all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signalure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Recelved _ Not Required _
Updated 4102
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF ERGAN
1 3830 PILOT KNOB RD, EAGAN MN 55122
651•687-4675
New Conetrucdon Reaulrementa
• 7 regatered sile suneys showirg sq. %. of lat. sq. ft. of house; and all roofed areas
(20% ?imum lot coverage allowed)
• 2 copies of plan sAOwing heam g wiMOw sizes: poured (ouM desgn, etc.)
• 1 set of Eneryy Calculalians
• 3 co0ies of Tree Preservation Plan if lot platted after 711/13
. Rim Joist DetaJ OOtions seleGan sheet (Wdgs wiN 9 or less unds)
DATE 5
SITE ADC
TYPE OF
APPLICA
STREETADDRESS ro-1 H2 C?2}l,ars?..._ r)r:...- CtTY -S-a-q-Ao,r STATEr..]_ZIP S5?-ia
TELEPHONE # W`11- °?tcf\?s CELL PHONE #(or2-"0't FAX #
o.,o
PROPERTYOWNER TELEPHONE# 4g qn.- tz-rz
------------------------ ----------------- ---------- ------ ------------- --------- -...............
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONIY
Energy Code Category _ MIYNESOTA RULES 7670 CATEGORY 1 NSINNESOTA RiJI.ES 7672
(J submission type) • Residential Ventilatlon Categary 1 Worksheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations SubmiUed
Plumbing Contractor:
Plumbing system includes:
Mechanical Conhactor.
btectilnicll system includes:
Sewer/Water Contractor.
_ Water SoFtener _
_ Water Heater _
No. of Baths
Air Condiuoning
Heat Recovery System
RemodeVReoairReauinmenfa ? G}
• 2 C00? of plan ' l
. 1 set of Eneryy Calu/ations for Aeated addbans
• 1 sAe survey Mr atenor additioris 8 decks
. IndicaLe if hane served by septie system for addiUons
Phone # .
Lawn Sprinkler
No. of R.I. Baths
Phone #
--------------------------------------------------°---------- -
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
S(gnature of Applicant
OFFICE USE ONLY
VALUATION ?Y???_`? 3tiq2,Sn
3 ?Z.tr
Fee: $90.00
Fee: $70.00
e to comply
is correct, and
A4
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RESIDENTIAL
BUILDINC PERMIT APPLICATION
-?j C) S CITY OF EAGAN \
3830 PILOT KNOB RD - 55122 -t `-1 0-C) U
651-681-4675
c4_ I .
New Conatruction Reauiraments RemodellReoair Reauiremsnts
• 3 regislered sile surveys shawing sq. fl. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% mazimum lot coverage allowed) . 1 sel ot Energy Calculations for heated additions
• 2 copies of plan showing 6eam & window sizes; poured fowW design, etc.) . 1 sile survey for ezterior add'N'ons & decks
• i set of Energy Calculalions . Indicate'rf home served by septic system tor additions
• 3 copies of Tree Preservation Plan it lot platted atter 711193
• Rim Joist Detail Options selection sheet (hldgs wAh 3 or less units)
DATE la Z-0 a VALUATIOW a0. pdd. ?i
JOB SITE ADDRESS 3 Fs ? 3 f?ee?e,?' ?-? ('nu?? ?0.ti a M
?. nl S5 / o`Z 3
?-?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? w', 0A o wte-
PROPERTY OWNER?`?I a??' I< ID. 015;ov\.
TYPE OF WORK L ower L eve / ?,in %*s k FIREPLACE(S) --X0 _ 1_ 2
APPLICANT /1 n. Olsoin PHONE# 5/ F'S?/
ADDRESS_ 'i500 60.,'Il' /34 `n` S-f?e.L't f-? u?visv:lle ZIPCODE ?i'5337
PAGER #
CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
?? odN
Ener9y Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet S
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Pltunbing System Includes: Water Softencr I.awn Sprinkler
Waler Heatc;r No. of R.I. Baths
No. of Baths
Mechanical Contractor:
Mechanical Systcin Includcs:
Sewer/Water Contractor:
Phone #
Phone #
PR 1 2 2002
U'y
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
_ Air Conditionirig
Heat Recovery Systcin
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex V'19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PIbgiY or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
1 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire B idg only) - Give PCA handout to applicant
Valuation a000 Occupancy R-5 MC/ES System
Census Code Zoning P- o City Water
SAC Units -? Stories Booster Pump
Nbr. of Units D Sq. Ft. PRV
Nbr. of Bldgs _I Length Fire Sprinklered
Type of Const s/l Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) I ? FinaUNo C.O.
_ Footings (addition) ? Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool F[gs Air/Gas Tests Final
2S Franvng _ Siding Stucco Stone
F'veplace
R.I. Air Test Final Windows (new/replacement)
_
? InsulaNon _ Retaining Wall
u-15-OZ
Approved By 6 P , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT # L195/ 3l RECEIPT DATE: -i
8008 fiUIDENTlAL PLUMSINfi PERM1T APPLICihTiON
crrYoF EAsM
3830 PaoT icxoe Rn
$asauv, Mx ss i as
e51-asl-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for ircigation system
SITEADDRESS: -39,;?3 TDe?-'?C/:?? CpN?f Gac?tx_h SS /a3
OW NER NAME: : / ? a?' IG T? • O?so ?? TELEPHONE #: g S a-?6 9 5 -5 / 8`?
(AREA CODE)
INSTALLER NAME: IG T? . O?SOV1 TELEPHONE #: SoZ - F195 - S/ S`f
STREETADDRESS: `600 (AREA CODE)
?cas-?' / 3? ?' S'F?e??
CITY: /5 K?NS J; lle- STATE: /? i? ZIP: ?5 3 3?
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
X Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system. .
_ Water turnaround - existing dwelling unit (+ 5/8" meter'rf needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: IF watersoftener _ waterheater $ 15.00
State Surcharge $ .50
Total $ e. -4-0
I herebyacknowledge that 1 have read this appliration, state that the information is covect, and agree lo complywith all applicable Cilyof Eagan ordinances. It
is the applicanPs responsibility to no6fy the property owner ihat ihe Ciry of Eagan assumes no liabiliry for any damages caused by the Ciry during its normal
operaUonal and maintenance activities to fhe facilities constructed under this permit within City property ightof-wayleasemen
?'7 .,? ti . a 411a/?a
SIGNATURE OF PERMITTEE 1J02
-SUR1/EYOR'SCERTIFICATE '
WINDCREST COMPANY
0 Vv E D
- EAGnr,7 EivGHviERING DEPT
-?--- DENOTES PROPOSED SURFACE DRAINAGE SCALE: 1.INCH = 30 FEET
O DENOTES 1RON M.ONUENT SET . pROPOSED GARAGE FLOOR = 88yo FEET
? DENOTES IRON MONUFENT FOU??? pROPOSE(l LOWEST FLOOR =?4'O•D FEET
X000.0 DENOTES EXISTING ELEVATION
(000.0) DE"IOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = egy'3 FEET
4JE HERE6Y CERTIFY TO W.INDCREST COh1PANY
ItEPRESENTATION OF A SURVEY OF TI{E DOUNDARIES OF:
THAT THIS IS A TRUE AND CORRECT
Lots 3 and 4-, Block 2, WINDCREST ADDITION, according to
ttie r_ecorded plat thereof, Gakota County, Piinnesota.
DEcENBEtR AN lg?S SURVEYED DY
EOER MY R DIORECT OSUPOERVISION V TFIIS I7TN pAY ENCROACHMENTS,
ME OR UND
SIGPIEfI: JAM LL, INC.
I ?
: d
dY
HAROLD C. PETERSON, LAPID SURVEYOR
MINNESOTA LICENSE NUMBER 12294
SHEET I OF 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. .
85988 - Planners / Engineers / Surveyors
FILE NO. " 8200 Humboldt Avsnu• South
FO L D ER Bloomington, Mn. 55431 612-884-3029
. - , i . , . . . ..
?'i
SURVEYOR'S CE?iTIFICATE
/ o
a UTILI7Y EASEMEN7 PER PLAT`-- 70
LOT 4 ?
?
? ?'?'
?
4j? ? -?
/ •
?? ? ? i
/ ?
c$? , /
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?A II nil??i?i_?-,-?- nl'lI '11-1 'I/'? nl
VV II VIJuI IVIJ /-11JIJ1 i Il/IV
NO° 25117??E 125.54
50.00 -- -
, -,
5 DRAINAGE
I LOT
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W OD
(n
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5?
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DEER CLIFF
? Cat114T
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LIIlr';ICP.EST COMPAhlY
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DOI. ?i ... iP,
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EAGI' iV
0
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DEPT
SHEET 2 OF 2 SHEETS
PROJECT NO. eooK ? PaGE . JAMES R. HILL, INCy.
85988 Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenu• 6oulh
FO L D E R aloomin9to'n, Mn. 554 31 812-1354'3029
,,
i
i
?E D
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This request void *?yo?
ia „nntns e?om en..
2 -7n n n
? I L,'i c+ r •?C ) u ? III
Reqirest Date Fire No. ReQphc?YosVCr.tinn E.ady Nuw ? Will Notify, Inspec-
6 /&
0 ? Y ?N mr Whun ReaAv
'gLicensed Electrical Conuaclol 1 hereby mquest mspnc-"..•
eie?trical wmk insldlled aY
U VWnP!
Street Address, 8aK or Route No.
.38.Z ? r c.? i-Fr
ecLOn o. Township Name or No.
C 6 w r-f-
Ranqe No.
City
?a. P
County
Occu0an1(PNINT) Phune No.
8- E s
P w¢r SuyUlier
? ?
? nddress
' 300 -
1,o"`oSi'.W. iV
v ?
eC
«
EIe Vicnl Cnntractp+ IComvanv Nome)
? Convnc:tor's License No.
{? ? t L?\ 1\ Jw.? \?C_T ?? I C.
Ma B dJress IConvactor or Owner Making I^stallationl
M
S ? 3
Auth r SiOn ture IConuactor' MakinB Installa[ionl
? Phone Nomber
-A,9-7?
rwc iNSCFCTION NEQUEST WILL NOT
MINNESOTA STATE BOARD OF ELECTRICITY eE ACCEPTED BY TME STATE BOARD
GriBBS•Midway BIE9• - poom N-191 UNLESS PAOPEN INSPEGTION FEE IS
1821 UnivarsitvAVa..St. Pnul, MN 55104 ENCLOSED.
Phone(612)642-0800
REQUEST FOR ELECTRICAL INSPECTION ee -oooot -os
Sae instructiors lor completing this form on beck af vellow co0vSVr
Y?' ?
" "X" Below Work Covered by this Aequest
E `71 ?i 4 --?
HdA RaD? Tvue oi Bulltling
Home
Appliancxe ?MIreJ
cnuIymem aue
Temporary Service
puplex Heater Liqht?ny Fintwes
Apt. 8u11Ain? ElectriC HeaUn
Commerdial Bldq. ce
j Sllo Unloador
Industrial Bldy. ondi[ioner Bulk Milk Tank
OJmr
Farm
t rr Su??:ifv
r)ther
(.om
p puie ms
Fee pe?uv.? ? ec
ServiceEnlmnceSize
feaders
b
?G C,rcu
??s
. a
0 ro 200 Am n ?
0 tn 30 An,.>5
?bove 200 Amps ps Sw 31 to 100 A -
Swimming Pool Amps
=hlve Above. 100_AmVy
Tr?nsiormers orr?s Partial.0
$iyns ectiun 5 ? TO7A FEF?
/
Rough-in
' ?. I he ElecVi
Inspectoq hereby
e
? f certity that the above
qqq?????'ggg nspectien has been
Final ? ?/? mada.
?,
Thie repuasc vofa 15 momns irv...
This reques[ voitl ?//rf/?f
18 nwnths trom ? ?
FT 7') A C/ n n n ? l ;i „.,,
'?-
?tJ
- • 1.L-Y. V Nd
j N v..- v.. I
i
Requesi Uate
- Fire No. Rouqh-
n InsVedoon
ReyuireA' ?y( Re:atl Nnw Will NoIify Inspec-
yy V ?
?
_Sr
V WYCS ?No tor When ReadV
? Llr.ensed Eleclrical C??1«acior I hereby repuest inspaclion ot ebove
I-l - wlnetnral wnrk iretalled 8C -
Street Adtlress, Box or floule No.
.3FS?3 'Le2r C?i CitY
"r w Pir,,
eoUOn o.
1 Townshi0 Namo or No.
RTnge No.
Cow t\Y r ' ?(
? Y' `tl I-cL/
Or,cuUant IPflIINTI
J?
F-? - l- Phone No.
P ower $u(p?Vlier 1 (
,C?d?w ?lec.TNl ALAd/ress
T'.?SdO
" ??D? -I?J' -R.Yvhin
'
Hec cal Cnntrac or (COmUOnY Nxmel s License No.
f'? Conv.mtor
Mailing AdJress (Convactor or Owner Making Inscallationl
`
S S37i
? -
C-1-1 ) -4
Au orized Sign ture ICOntracinrfOw
4g
t r Making Installationi Phone Number
9 7 - ?-.9 7 fa
o
MINNESOTA STATE BOARO OF ELECTIiICITY
Griggs-Midwny Bltle. - poom N•191
1821 Universitv Ave.. St Paul, MN 55104
Phane I6121 6420900
BEACCEPTED BY THE STATE•60ARD
'
UNLESS PNOPER INSPEGTION FEE IS
ENClOSED.
G1IjREQUEST FOR ELECTRICAL INSPECTION . ea-ooaot-os
III, See instructions tor completing this lorm on beck of vellow capVWSVen3_-
F 7245 "X" Below Work Covered by Ihis Aequest
AAtl Nep. Type ol 6uildin9 Appliancea 1'YireJ EquiVmani WireA
Home Range Temporary Service
Dupl[:x Water Heater Lightiny Fiatuies
Apt. Buildinc7 Dryer Electric Heatin
Commercial Bldy. Furnace Silo Unloade,
Industrial Bldg. Air Corrciitioner Bulk Milk Tank
Farm oine,
t er Succify Othcr ? Oihier
!'mmflutc lnsnorfrnn I-ac /ialnw
k iee Service EnLenceSize b Fan Fxeders/5ubleetlers N Fee Gir urts
U to 200 Am s 0 to 30 qm s °' 0 tn 30 Am s
Ahove 200_qmps 31 to 100 A?nps s°- 31 to 100 Am S
Swimming Pool Above 100-Amps Above 100_Am s
Transrormers Irri,yation Boorns 0 Pertial0
Signs Speciallnspection
s?1
5
TOTA F
Hevirks j„j „? 7
W
vJ
Pough-in
.. •
'V?"'? ?/.. ',S ?? e?7/ -
r? I, che Ele .ic
InsPactor, herebq
c rtilv tnat tne . bove
Final ?q I} ?? e nspec[ian has beon
meda.
?
OIIBlBQO851VOIG1BTOOtIIBIIOT v `-- ' ""-/ _f'_y.
Use BLUE or BLACK Ink
r
For Office Use
ElfPermit#: /
City of EapIl Permit Fee:
7
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED Date Received:' 7 / �l
Phone: (651)675-5675
Fax: (651)675-5694 FEB 2 7 2017 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 7 7 Site Address: 36-52::: I Unit#:
���v A-L 141 S Rhona:
-e
Name: Pho
Resident/ r� ,s I) s 7- 7 ,81/4-5---
Owner
, -5-
Owner Address/City/Zip: aha T C .,
Applicant is: Owner c746entractor
1 I Description of work: , }{i£ke, �,)/A ,& *-J �e +✓r2 ei ?Mt/f
Type of Work 1 o2
_ -
,5414v I4-vmyC-
Construction Cost • c•• , � o� "�I Multi Family Building• (Yes)‹ /No 4 )
I Company: CAISa c.. CoA1C 4-tc-- �A,s Contact:Avi=
Contractor Address: QV°(c7 7-71/4/t72, -)ue '77;54--r7 City: T',/
I State:' /VZip:SS Phone: 33Vf-64"Ce Email:in-u. /1) A)Struc..l-7o.0
Ccyrc
I License#: to 3�9�ct Lead Certificate#: 4/47.-72 2 Z 41 Z'; -7 7 j
If the project is exempt from lead certification, please explain why: ,)
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:
SMechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression 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 trade secrets.
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.gopherstateonecall.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.
Applicants Printed Name A icant's Signature
Page 1 of 3
--,-_-,3e ,_-- ( PC 6 i2_G i 1(7(,
<( -DO NOT WRITE BELOW THIS LINE //-// 5
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
01 of_Plex y, Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement _ Siding Demolish Building*
Addition Move Building Reroof _ Demolish Interior
XAlteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 3+2Occupancy Vis,,Lt. MCES System
Plan Review Code Edition ti '/, "iv 11 SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction , f6 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) ' Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water Final Pool: Footings _Air/Gas Tests _Final
K Framing )30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
XC, 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: , Building Inspector
RESIDENTIAL FEES _
Base Fee (� ' ,. '?r
Surcharge
Plan Review 3 w)(21.9 ? 7 6, 0
MCES SAC t
City SAC t,
Utility Connection Chargerflj
' "'‘`11 iftitv (
S&W Permit& Surcharge 4..
Treatment Plant
Copies q ? Li '''
TOTAL i)
Page 2 of 3
Use BLUE or BLACK Ink
,-
For Office Use/�
Permit#: /��V 1
City ofermit 7�,
Permit Fee: f 0. 0 V
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
Fax: (651) 675-5694 L
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /71/40)4? Site Address: 3 02/ 2 e✓` C / 0,.)--y T-
Tenant: Suite#:
�.•� ��w ,.�,..�.,•� Name. ..m�.,.,.. ,�.__o_ �.�,...,,,.�.„�.•�..�.. .�,..��,�� m__"..�,��__.�.�, ��._•_.Phone:.__.�..._wb._m.....,�. �,,_• ."
Resident/Owner , j
Address/City/Zip: ,h/ ,D c-' c/ « 6,7-
Name: /5 c- /
....-
.1
/���.�.� �n� 9-� ff�i�'�� License#: lel` r �/
Contractor Address: �! az �� �% City: `/mac �'�r /7)( ,� �„
,
State: /i1lfr�- Zip: .�1 Phone: G :)-/ c./..)-/ - 02 S U
/L
Contact: C! A'I ' /�� 6-:. Email: I,'e.^,>1'l".-,4:---74'1Z``) .ti<V Yv4—
New ✓'Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Type of Work —
Description of work /3��46"1 V:y J3-9-747 ,.----7,--,-7--
RESIDENTIAL I
Water Heater
Water Softener
Lawn Irrigation( RPZ/—PVB)
PermitType IAdd Plumbing Fixtures( Main/—Lower Level)
I Septic System I
r ,
New_ Water Turnaround a
i
Abandonment I
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
I
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge)
TOTAL FEES$ ;
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.gopherstateonecall.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.
--"Z.-: 7.-- -e_.,
Applicants Printed Name Applicants Signature
FOR OFFICE USE Reviewed By Date:
Required Inspections': Under Ground Rough-ln AirTest Gas Test Final
Meter Related Items. Meter Size Radio Read Manometer Staff
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA145155
Date Issued:08/25/2017
Permit Category:ePermit
Site Address: 3821 Deercliff Ct
Lot:004 Block: 002 Addition: Windcrest
PID:10-84460-02-040
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.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Steven C Alms
3821 Deercliff Ct
Eagan MN 55123
St Paul Plumbing & Heating
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA154866
Date Issued:04/17/2019
Permit Category:ePermit
Site Address: 3821 Deercliff Ct
Lot:004 Block: 002 Addition: Windcrest
PID:10-84460-02-040
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 -
Steven C Alms
3821 Deercliff Ct
Eagan MN 55123
(651) 341-8461
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 FAX: (651) 675-5694
buildinginspections(@_cityofeagan.com
---------------------
For Office Use
I Building Permit #: I
I I
I
I S&W Permit #:
Gj I
Permit Fee:
I I
I
I Date Received: I
I I
I Date Issued:
I
t---------------------J
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3/30/2023
Site Address: Unit #:
Applicant is: ❑ Owner 0 Contractor
Name: Windcrest Twin Homeowners Association
Homeowner Address,�2�/ �'L�3Dezx, CC�kj�_ C.�-- city: Eagan
state: MN ZiD: 55122 Phone: Finail-
Description of work: Residential Re -Roof
Type of b�:
Work Construction Cost -
Type of building: ❑ Single Family ❑ Townhome, of units 0 Twin Home
Company: GCM Construction
Contact: Carter M
Building Address: 6438 City West PKWY city: Eden Prairie
Contractor State: MN Zip: 55344 Phone: 612-245-026E Email: cmelchert@gcmcompany.com
License #: BC766925 Expiration Date: 3/31 /2025
Sewer &
Water
Contractor
Required for
new construction
Company:
Address:
State:
Zip: Phone:
Contact:
Email:
License #: Expiration Date:
City:
0 1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
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. Contact Gopher State One Call at (651) 454-0002 or www.gopherstateonecall.org for protection against underground utility
damage. Contact Gopher State One Call 48 hours before you intend to dig to receive locates of underground utilities.
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.
xCarter Melchert x—�
Applicant's Printed Name Applicant's Signature