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3824 Windcrest CtDate: City of Etall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 4107i Use BLUE or BLACK Ink For Office Use Permit*: /0 00 -3.E Permit Fee: /2? &'/ Date Recei 7-7-11 Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: wiluDzaest--- gts11-1 LE- unft#: RESIDENT! OWNER Name: Vs.) i A-) OCP -ST -1-0/,-)/C1 • , -' riv Ass c)c aecti- nrhone: PA's! LLCS Address / City / Zip: P o ..P),,,,,,,),: .,,,.7ji,-,s---7 oiti6,-,q4A- thk-' Applicant is: Owner )C Contractor TYPE OF WORK Description of work: c K.... 20 t'r\i, i 1-( . RI-) V::42 1...-0 Construction Cost' ag CO '.7' Multi -Family Building: (Yes .5_i No ) CONTRACTOR Company: /4-) hTs sr:I—Veva 2ttt.) ,....) ?•ca_ Contact Di) ....., t' , Address: q,'"'R ‘.,J Cii r''' V' ' .-1---a A IL City: 1-Ft4 6.; State: hikg Zip: -, la- Phone: 6i 2- -2-1 CI - ) c..-6 Y - License #: cR 4 cq Y 7 (0 g Lead Certificate #: 10 PIM 13 .1 q9 1 -- i If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, Yes If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: _No Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecallorg 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 woo* which requires a review and approval of plans. x 9ruc Or? r"\ --o Applicants Printed Nan*' Page 1 of 3 W DO NOT WRITE BELOW THIS LINE -30 --e /too SUB TYPES _ Foundation _ Fireplace _ Porch (3 -Season) _ Storm Damage Single Family _ Garage _ Porch (4 -Season) _ Exterior 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 _ 1C Replace _ Repair u Egress Window _ Water Damage ` Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% ' " ) Census Code #of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) - Footings (Addition) Foundation Drain Tile Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: 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 Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Ea�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: q Permit Fee: / �Q ` Q V Date Received: Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION 021-11t Date: I " 020 07 Site Address: 3 8°o" (A-) (1 �l C - / Tenant: A Suite #: RESIDENT / OWNER Name: A 1,1 h 3 e ✓' cc f Phone: / kv,�—Z i Address/ City / Zip: 3 g p,y k/1' CA c ✓CST Q Q Applicant is: Owner Contractor TYPE OF WORK /Description e3w4J"igJ* of work: �' h (5�\ �Q � `{y�l �� Construction CosOf 000 /00 Multi -Family Building: (Yes / No _) CONTRACTOR Name: &-e S� �c V� �CA(,L \ S C�%-� License #: A y 7f lO Address: -C., O e S 'hc.kk S fi, City: enc K. c� State: ro Phone: b I - / 50 ` J%/3 b Contact Person: Zip:Zi5"-- J 3 / c - /j U uk ] S'c5-1,-, 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: TE: Plans and supporting documents that you submit are considered to be public; information. Portions o e information may be classified as non public if you provide speck reasons that would permit the Cityt +*'' conclude that they are 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.00pherstateonecall.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. Applicant's Printed Name S fie (AN \pc w x Appli'ban ss Signature 3gDc( LL I24:s - DO NOT WRITE BELOW THIS LINE CI SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New 2aciAlter.ation ition Replace Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% ) Census Code #of Units # of Buildings Type of Construction Fireplace Garage 130c k Lower Level Interior Improvement Move Building Fire Repair Repair 1/ 3 if REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water Final Framing Fireplace: _Rough In _Air Test al- Insulation Meter Size: Reviewed By: `jf171. RESIDENTIAL (ES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Final 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 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required - Final / No C.O. Required HVAC 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 TOTAL /3D 01. // 2009-11-05 13:49 VICTORIA PLBG 9524430060 » 651 675 5694 P 2/2 Use BLUE or BLACK Ink �City otseten '*(< c)(10 r I r Peirnk *: q -C) Pernik Fee: 3v 3830 Pilot Knob Road Eagan MN 65122 Date Received: Phone: (631) 675-5675 Staff: Fax: (651) 675-5694 t_ 2009 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: - S-4" • Site Address: MiaLk• Q_AUS� Tenant: Suite 6: RESIDENT I OWNER Name: c\C'yC\ NAOC. ‘A - ' Phone:'A5a %a - 3L 4 Address / City rip: 3%a4 va��- t 5 - V _ , c\ --‘c-\ sst 3 CONTRACTOR Name: C4c1Q Q�vsi� \ht' License t LOC:5% Address: N..).G x t City: \,i Phone: C63--yu `Y k State: vN•CN- Zip: Sc Contact Person: Wb\ • TYPE OF WORK 1. New _ Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descri . on of work: PERMIT TYPE RESIDENTIAL Water Heater Lawn Irrigation ( , RPZ / PVB) Septic System .,� New Abandonment Water Softener Add Plumbing Fixtures Main 14, Lower Level) Water Turnaround RESIDENTIAL FEES: $50.50 Minim= Water Heater, Water Softener, or Water Heater zNI Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation (includes $.50 State Surcharge) $50.60 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (incudes $.50 State Surcharge) "Water Turnaround (add $185.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (incudes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes 5.50 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www. uopherstateonecall.orq I hereby acknowledge that this kdbnnation is complete and accurate; that the work wit be In conformance with the ordinances and codes of the City of Eagan: that I understand this Is not s 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 appryreljof ns. \` CT; Applicant's signature x Applicant's Printed Name City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3824 Windcrest Ct Lot: 036 Block: 001 Addition: Windcrest 2nd PID:10- 84461 - 360 -01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: Replacement Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Joan B Killian 3824 Windcrest Ct Eagan MN 55123 $50.00 0801.4088 $0.50 9001.2195 $50.50 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Issued By: Signature Mechanical EA078765 07/12/2007 ePermit SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 03/22/91 3830 Pilot Knob Rd. CHIP # PERMIT # 11879 Eagan, MN 55122 -1897 METER SIZE B.P. RECEIPT # C. (25 DATE MAR 1, 1991 ISSUE DATE B.P. RECEIPT DATE 03 /21 /91 PRV _ BOOSTER PUMP SITE ADDRESS 3874 WINM:RF.ST CT PERMIT REQUESTED LOT 36 BLOCK 1 SEC /SUB WINDCREST 2ND X SEWER X WATER TAPS APPLICANT: COMM /IND X RESIDENTIAL ADDRESS: CITY, STATE ZIP X NEW EXISTING PHONE: Lawn Sprinkler Meters a - o be Installed / w w` 1.2 r - �, i ine. PLUMBER: )c Y I '(j ! Ahead of Do :Credit WIL � • eters. • - + � r ���� ADDRESS: 610 E LN �� CITY, STATE JORDAN MN~ ZIP 55352 / /// ®� PHONE: 492 -2121 /:'�.►''� s I • EE TO COMPL WITH CITY OF OWNER: PRIME BUILDERS INC AGAN ORDINANCES ADDRESS: 4915 VALLEY FORGE LN CITY, STATE PLYMOUTH MN ZIP 55442 PHO 550 - 1346 SIGNATURE WHEN METER ISSUED � ,c. -'- f O PL AS LOW O WORKING DAYS OR CESSING. CALL 454 -5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. (SP _ Use - or BLACK Ink r ? For Office Use a ¢a, t i City of Eap I Permit Fee Gs~~ 3830 Pilot Knob Road Eagan MN 55122 ; Date Received: 3 "t Phone: (651) 675.5675 Fax: (651) 6754694 1 Staff: /7~) [ f 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - Zo 1 Site Address: ,~j j? 2,0 -2L-) -2y 'Z,~ ~1 NV1 &t~ Unit iVame: Resident! ~rQ jtJ ( ~ , / r,1,ehone: toc,i --4eZ -,-ct4o Owner Address ; city ! zip: p- Applicant is: ©.<.mer Contractor Type of Work Description of ;fork: RA -aAn F Construction Cost Multi-Family Building: (Yes t No ) Company: i'1 i3) `1-* y AG U ' Contact: v l -n ) Contractor Address: 9710 ru ~t i'~lf i t, City: 1-7A G AVN State: W4 Zip: Phone: License y: t C b 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE. Flans 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. Gall Gopher State One Call at (651)A54-0002 for protection against underg.round util=ty damage- Call 48 hours before you =mend to dig to receive locates of underci ow)d utilities_ I hereby acktimviedge that this infornzaton is complete and accurate; that the work will be in conformance with the ordinances and codes of the Gity of t a(lan Itial I understand this is not a permit, hit only an appl r-atttn for a porinil, and work is not to start without a permit that the work wrill, 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 184 days of permit issuance.} X. 3 x* F! 924-r 6 -2 Applicant's P ' led Name Applicant's ignature use o�u��i ��r►�.n u�n � r-----------------� I For Office Use � - � ��� �� � ('{�� �� �� �� j Permit#: � l! � � � � i � Permit Fee: � 3830 Pilot Knob Road � � Eagan MN 55122 i oate Received: � Phone: (651j 675-5675 � Staff: � . ._; Fax: (651)675-5694 : � �----------------� 2014 RESIDEN�'IAL�PLUM I�VG PERMIT APP ICATION �-- Date:� Q �S'te Address. Tenant: : Suite#: � � .. . _ . . . ._ . . .. _. .. ... . . �.,�..�. .,.. G, <����'"��v�� ;'' � ������f1���@�' Name: Phone: � � 9G ` / � ; Address/City/Zip:o�O � ' .�� _,�,.-�,�..�. ._..'-,T,...z„�.,-�,� . . mT.a. _ . . ., . , . .. . .. �...�-m � � /� � ,��k � _ . ..Lice�se#: . .. �� ; � Name: � , � Address:� City: r � �������� � � ` � ; � � State: G'tfy. Zip: l Phone:����,����� ° r � �; � , r s � y Co �ct: 1� EmaiL f ��•����:,.����F � .�,� . . _��.,,�..�.•��...n.,.�.,�•,� . . _._ . .......:.. _ ;:�;> $ ; ' � � _New �Replacement Repair ' Rebuild _Modi Space Work in R.O.W y � �r������� - - _ � _ � ,. ` � � Description of work: ` �� ,- ����_•��,, 1 ���,.� . .:. � .��.,:. . . . .. ..g..= � : � { ` : RESIDENTIAL � � � � _ ; � � i i } Water Heater � �, � �Water Softener � z �awri frrigatron(_RPZ/_PV8) r� � P�1`�I�� �. s � �� { Add Plumbing Fixtures�Main/_Lower Level) s � Septic System r � � Water Turnaround i; ' _New � � - � Abandonment ., ... . .. ..., �-..-�--,F-:,,.. � -�..�,�:�.�,�.�,��,�r�=;,�..����. , -��, —�� .��,:,.m..�.�:�_��,� ... ..-�.,.�.,..�� .���,,,..-�-�-�� � RESIDENTIAL FEES: r �< $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) t P $60A0 Lawtl 1rf'ig�tion(includes$5.00 minimum State Surcharge� %' � $60.00 Add Plumbing Fixtures,Septic Svstem Abandonment,Water Turnaround*(includes$5.00 State Surcharge) ,; 'Water Turnaround(add$200.00 if a 5/8"meter is required) '` ;� f � $115.00 SeptiC SvStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �-y� �, � TOTAL.FEES $_��_(�C/ � �,�-m,,�.,��„ .�,�,_� . t-,�--, .,� �.�:,.� ..�..--., ....n-.�._..-�...,�.�.�,,._� . . �,,��,�,:.,.��. . �. . CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utifity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www qopherstateonecall.or4 1 hereby ack�owledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City ofi Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to statt 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 lans. x� � ._ _X _ 1��1 � _ Applicant's Printed Name Applic t's Signature - �i: - �Y :,� c "Y:s::1�:, s �`" i »•z..� y -.-:...: ..::::.;: . ,.,...t y _....,_ [ a, .a=' `t'. .i� �„y+:. �. c �<�,. 35:';.- <L.-. 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