4715 West Wind Tr . . . . ~ _ : . .c•_~'? 4 . s a'. y''~fJ~ .•c-'a~ =Y . .,y,~' _ . ~ -
~i ,1S r ~ r''
~ ~
PERMIT #
7%Y ~
MECHANICAL PERMIT RECEIPT #
CiTY OF EAGAN _
' DATE " "
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE: PHONE: 45~-8100 For Office Use Only:
Site Addre~s - i : ' ' BLDG. TYPE WORK DESCRIPTION
Lot Blo,ck - Sec/Sub Res. New
~ Name _ Mutt Add-on
m Gomm. Repair
Address
~ Ciry Phone ~
FEES
~ Name ' ' RES. HVAC 0-100 M BTU -~24.00
c Address " ~ ! ' " ' . ~ - ADDiTIONAL 50 M BTU . - 8.00
p City Phone Y"'` i~' y (RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMI~ - 1.50 EA.
TYPE OF W~RK ~ C~MM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8~ CONDOS - RES. RATE APPUES
Bpiier M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON ~ ~
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU - MINIMUM COMMERGIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PEFiMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE
SIGt~tA~jUSJ~,F~QF P~RM EE
siC: ~f ~ G~~
' TOTAL• ' FOR_ CITY OF EAGAN
• y.~.._:.._..-..,_. -
_ y-• - . . . . _ ._.._~~.~.e~.._
f~f r2~ .
--zn---__ . _
CITY OF EAGAN ~ ~ Q ~ ~
3830 Pilot Knvb Road, P,O. Box 21•199, Eapan, MN 55121
PHONE: 4548100
eU1LDMG ~ERMIT R~iat #k
T! wd fw .'x ;.)t;~=;',:... Volue _ ~~.i•': 1-' 19:. ~
[i 7! f;, r,~; 1 - Erect ~ OecupanCy
Site Address
Lot Block ~ s~/Sub. + :Y:'~ ' i i~' ~ Ramodel ? Zoning -
Repair ? Type of Const. ~
Peroei No.
Enlarge ? No.Stories
~ ~
Neme ':'L' i, ~{OMF~.`: Move Le h'
~ ~ 'a ; _ Demolish ? Depth
Address ~ Grade ? Sq. Ft.
C~ty P i~ ~ Phone ' ' Install ?
, ~ . ApProvals F~n
Name " ,
Z Assesunent Permit ~ • ~ :
O~ Address r
u~ Ci Phone Water b Sew. Surchorq~ '
~ Poliu Plan Review '
Gee :
w-~~~
Name Fin 5/1C
Address Er?p. Woter Conn. ~ • ~
tW City Phone Plonnsr Wotar Mefer f~
Council Rood Unit 7 ~ ' ~ ~
I henby ocknowladye thot I how recd this oppliwtion ond state thot g~~_ pff,~~ ,
th~ informetion is eorred ond ogree to compl with oll npplicebl~ ~p•
Stat~ of Minnesota Stotutes end City of Enflon Ond~onces. '4~ ~ i
, , Var. Date u v .i , ~ ~ c~
Sipnotum of Permifts~
~-;L' i.ti)[fif~;,~
11 Buildiny PeRnit Is issued to: on th~ ~xprcs condifion thot
all work shal~ be done in acoordonce with oll opplioobla State af Minnesofo Statutes ond City of Eaqan O?di~onces.
Bufldinp Officiol
P~rmit No. P~rmit Hold~r Dat~ T~I hon~ 7~
Plumbino .C W L I U ~ '1, ~
H.VA.C. 5 l,~ I- 1~-~ ~7 ~ 5 -I S~o
E~~ ' 1 ~ - y
~
i~,n.~cw~ wc. i~~. atn..
Foosin~ I-lt-
Found~tia?
fnmin9 ~
Roofiny
RouOh PI6a - 7/- ~
e1-
Rouyh HV ~ ~
Iraul~tion } ~ ~ ~ ~ '
F i~al Plbq. . S(
Find HVAC Z-?l~ ~
Fi~al y2,.S. '
, c..elooa o~b ~.'.1 ~SS.~-.iG~ ~'~!-?4
, Wmr Dbe~ib~ L on. I
Well
S~wrr
Pr. Dbp.
~ ~ -c~
- ~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: E"''
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~R ~~`~ti
(612) 681-4675
SITEADDRESS: r~ : t c, u.~
! n » ~ r~ r. r. - , APPLICANT:
a i~ it~~~,I IJtND t"R t~nslt I~~•,~1 1 nl" MN 1N~
I,~{ ! u I li~~t ~ ~ ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
I ~ rt S'.~ 1 ! I: r~ t I
~ ~ ~~ra t i~ i i~~, )
. •
; t ta r`~ 1
~ ~
~ -i--
Pamit No. wrmn F1oa.r o.c. T.bpna,. t
ELECTRIC
PLUMBING
HVAC
Inspsctla+ Dsb Inap. Comm~nts
FOOTINGS
FWND
FRAMING
ROOFING
ROUGH
PLUMBlNG
PLBG
AIR TEST
ROUGH
HEATING
GA5 5VC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG .
F I NAL HTG
ORSAT
7EST
el_DG FINAL
6SMT R.I.
6SMT FINAL
DECK FTG
~ DFCK FlNAI
~~Q~ -
~ I
~
CITY OF EAGAN Remarks ~r"f'! ~
AdditfOn p~K RIDGE 1ST ADDN ~ot 2 a~k 3 Parce~ 10-5675Q-020-03
owner st~eet 4715 WEST WIND TRAIL State ~G~ ~ 55122 ~
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1$2 1 9.13 1 91 1~
STREET RESTOR, n n
GRADING
SAN SEW TRUNK j9$2 j47.21 9.8j j$
~ SEWER LATERAL (2C, 1F~ 41.74 15 ~
WATERMAIN
* WATER ~ATERAL
WATER AREA 19$2 14]. 21 9. $1 15
STORM SEW TRK 34 1 6 3-1-
* S70RM SEW LAT 1 8S
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00 8
WATER CONN. 4~0.00 " "
BUILDING PER. ii
SAC n n
PARK
INSPECTI~N RECORD ,
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued: ~~s s'.•7
(612) 6$1-4675 I
I
SITE ADDRESS: ~ . i APPLICANT:
1 i' !I': ',1 iJltll~ 14' i! ~ ii~:~ .l
' ~ ; I ~ 113i,! i ~ ~ , ,
PERMIT SUBTYPE: TYPE OF WORK:
~i~ t~+ i!~i :~s i. ~ i ~~~~a
. •
i i, rs~i i ti~. , ~i ~ii i i~~~i
~~,~~,~i ~ rl i 1 1~~, i ~ ~,r~i
~
( t.
~
Permit Wo. Permit Hokler oate Tsleprwns i
S/W
PLUMBING
HVAC
ELECTR . / ~
ELECTRIC
In~p~ction Dabe Insp. Comments
Footingsl
FotmdeAion
FrHming
~~^9
Rough Ptbg.
Rou9h Htg.
IsW.
Freplace
Fnai Htg.
Orse1 T&S1
Final Plbg. Plbg. Ir~speGa - Noti1y Plumber
Const. Meler
EngrJPlan
'~y,~ ,
. inal
Deck Ftg.
Dedc Fnal
Well
P~. Otsp.
Reoeipt r' 4~ ~ MECHANICAL PERMIT Perntit No.
~L~:._.__
r- `i J CITY OF EAGAN << F~ ~
fill in numbered apeces S/C ~
Type or Print le~qiWy Tot ~u ~
~ S' ~
1. Date 7- 2. Installation Cost -~~v
3. JobAddreas~~~~^w'Q°~ ~ l.ot_~ BIk. Tract
/ I
4. Owner ~
~ /12 y /~j?J/~ ~J
6. Contracto~ ~E'r! 2 E' 1,' l/Pt'~j Phone ~~~D ~ J J G~ s.
,
s. A~ .~s OL~ /E~Ph h~ P~ ,~~r f
7. City 2 Stste ~~1~1 Zip Z
8. Buildiny Type: Residential f~ Commarcial O Institutional 0
8. Work Description: New ~ Adc~ ? Alter O Repair ?
10. Describe /`~l t' --~yS~ P~!'~ Fuel Type ' v`~
11. No. BTU - M. Ea. NoL Eauiament CFM
X Forced Afr ~?y~~ Air Ha~dlinp:
Mfg, ~
Boi len ~
Mech. Exhauat J ~
Mfp.
Unit Fleater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
~
'12. I hereby certify that the above information is trua and oorrect, and I agree to
oomply th all or a code governing thia type of work.
Signed :
for i
Rouph % Final
Inapect ~nt: Date Irrs~ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
R~ceipt PLUMBING PERMIT. • P~rmit No. '
CITY OF EAGAN FN
~ I~- ( ~ Fill in numbered spacets SIC~
Type or Prrni /epiblY ToL •
1. Date 2. Installation Cost
3. Job Address ! " • ~ ' ~ ' ~ Lot L. Blk. - Tract ! . ~ F~ _
~
4. Owner ! i i~ t-~.
5. Contractor ~ i%~{ ; Phone v I
6. Address " , L ' r~
' 7. City ~ State Zip = -
8. Building Type: Residential Commercial O Institutional O
9. Work Description: New ~ Add ? Alter O Repair ~
10. Describe
11. No. Fixtures No. Fixtures
~ Water Closet (;ecspool/Orainfield
Bath tubs Septic Tank
y%' Lavatory Softner
~ Shower
wen
Kitchen Sink
Urinal/Bidet Other ~'r%,'f_%~~~
~ Laundry Tray . -7
~
! Floor Drains ; f,
,
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : '
for
Rouqh Final
Inspections: - Date Insp. Date tnsp.
This is your pe~mit when numbered and app~oved.
Approved CITY OF EAGAN 45~-6100
CITY OF EAGAN No 9 8 4 2
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 y
BUILDING PERMIT keceipt #
Te b~ m~d fer SF DWG/GAR Est.Value $58~000 pa~e JANUARY 11~ ~q 85
SiteAddress 4~15 WF.GT WTND TR Erect ~ Occupency R3
Lot-2-elock 3 SecfSuh. PARK RIDGE Remodel ? Zoning R1
Repair ? Type ot Canst.
Percel No. Enlerge ? No. Stories
GELHAR HOMES Move ? Length 4~-
~ Neme
WZ 7668 W 150TH ~emo~ish Deptn
2 Address Grade ? Sq. Ft.
b ~;ty APPLE VALLcnone 432-0000 i~sceu ?
npp.o.ab i~a~
o Neme SAME
z~ Assessment permi~ 30 .00
Address
u~ Cit Phone ~NeterSSew. Surcharpe z9.0~
Y 153.50
Police Vlan Review
°C Name Fira SAC 525.0~
i~ Address Enp. WaterConn. 5~9~
u
~u=i City P~one Planner Woter Meter 63 _ 00
cA,,,,~~i a«,n u~~r 2& n_ n 0
I hereby oCknowledge that I hov read this u001~cotion ond stofe that BIdg.Off. lIlO~SS .r. p 132 .
1he inlormation is correct an o ree to wmply with oll appl'coble
Stote of Minnewto Stotutes d ify of Eopan Or ' ances. p'P~ COIJleS 1• ~0
er.Date TOTAL $1,990.50
Sipnature o4 Permittee
A Buildino Permir Is iuued ro: GELHAR HOMES on the expres~ cordltion ~ha~
ali work shall be done in acmrdance wit}hall applicob _ te af Minnewto Stotutes and Ciry of Eopan Ordimnwa.
Buildinp Offlcial A~~`~~ ~
1~~A HOUSE HEATING TEST RECORD
ADDRESS C( ~L%c<T'~/~~iry ~ APT.-F OOR~ CIT3~`^7~SUBURB
OCCUPANT c OWNER ~~~~'N>~
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY ~
Electrical Work By PC'-tn.~l ~ f0o(~C~A.P LS '~S C.U~'e~r0~s Line By L~?~7P1 '~C'
TYPE OF HEAT GA _ pA~~ _STEAM _SPACE HTR. -UNIT HT
OTHER
GAS DESIGN CONVERSION
MAKE ~ "~v ~ MAKE OF BURNER
Model U ~ Model
$erial ~
Max. BTU Rating
INPUT ~v MAKE OF FURNACE
Model
~i CONTROLS
THERMOSTAT ~ Heat Plug Vent Size
Valva KIND OF LINER SIZE NONE
Limit Droft Hood Regularor
l_imit S Ming r~~ Q Filters Size Number
Fan Satting Chimnay Location Inside Outsida
Pilot Type ~}j f ~'~.JC Chimney Consfruction
Pilot Make ~
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tog
L.W. Cut Off Door Pressure ' Lighting Inst. L~
~ ~ i
Pressure,/~r PerceniC02--L~_~ Date Tested - -
I~p~e CFH~~_PercenT OZ Company Testing
$tack Temp. ~ D Percent CO ~ Name of Testar S'P Y ~
Form 235 . ~ ,
. ~ RESIDENTIAL
BUILDING PERMIT APPLICATION
~ ~ I CITY OF EACAN ~S
~~'j~'~~ ~ 3830 PILOT KNOB RD, EAGAN MN 55122 ~
651-681-4675 ~ ~
New Construction Reauirements RemodellReaair Reauirements
• 3 registered sde surveys showing sp. fl. of lat, sq. tt of house; antl all roofed areas • 2 copies of plan
(20 % maximum lot coverage allowed) . t se( of Eneryy CaIcWa6ons for hea[ed addiUOns
• 2 copies of plan showing beam 8 window sizes, poured found design, etc ) . t site Survey for ra~tenor additions & Eecks
. 1 set of Energy Calculations . Indicate if home serveA 6y septic system for additions
• 3 copies ol Tree Preservation Plan if lot platted after 717193
. Rim Joist De[ail Opcions selection sheet (bldqs with 3 or less unM1S)
DATE " aVJ-~' VALUATIO~ ~ ~
~
~
S~pE~ ~A~D-DF~S S y~/5,~ ~ W,~7a~ Tr~• ` MULTI-fAMILY BLDG _Y N
Tl`P'E
OF 1NnRK~/~7'00 •~~'h< lY~,t?'11N~1 ~-~V0~4"~, ~O~ ) PIREPLACE(S) _ 0_ 1_ 2
V ph..
V~~
APPLICANT eY'IJ3 G~~1~
STREETADDRESS Ia.~y~ N",'co/I~7~' ~v~ S- CITYBur'.~.n~f//-e STATE~ZIPSS33a-
TELEPHONE #(Q~a)~o;-GRS9 CELL PHONE # FAX # l95 ~ f5 -Ff'8`1(~
PROPERTYOWNER~I~f"~5 SWQ~rtsSar` TELEPHONE# «~~}~y-6F~K~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Cotle Category _ YtINYI:S01'A I2ULC5 7670 CA"l`L:GORY l MT~NCSOTA RULNS 7tii?
(d submission type) . Residentlal Ventlla6on Category 1 Worksheet Submitted . New Energy Code Worksheet Submrtted
• Enerqy Envelope Calculations Submitted
Plumbing Contractor: Photic #
Plutnbing syslem includcs Water Softencr _ Lawn Sprinl:ler r, Fee:--$9~-60~~
_ Water Heater _ No. oF R.I. Baths i~, ~ ~ ~
- No. of Baths I~ ~ n 7~~~ I
Mechanical Contractor. Phone # ~ ~
Mccl~v~ic.il systcin includcs: _ Air Conditioning Pcc: $7990
- BY -
Hca[ Recoacry Systctn
Sewer/Water Contractor: Phone #
~
" ~
I hereby acknowled'ge.that I have read this application, state that the information is correct, and agree to comply
with all applicable Stafe
oFMinnesota Statutes and City of Eagan Ordinances ~ 1
` n'~ ~ ~ l~ } 1.'7 ~~,,•//y~
~ ~ Si nature of A Iicant d~t/f ls~ti-U'~'C'~~~~f 1
9 PP ,
---------/By --°-----------~1/~~~-~
~ L// OFFICE USE ONLY
Certificates of Survey Recei'vedl Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY " .
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling p 09 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 3t Ext. Ali- Multi
? 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E~ct. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 24 Storm Damage
? O6 04-plex ? 12 12-plex P16g_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' 0 43 Reroof ? 46 W indows/Doors
? 34 Replacement 'Demolition (Entfre Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile ' Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ F'ueplace _ R.I. _ Air Test _ Final _ Windows (newlrepfacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ PERMIT
CITY ;JF,EAGAN
3830 Pilot Knob~ioad PERMIT TYPE: s u r ~ o r N s
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 5 0 3
(612) 681-4675 Date Issued: 0 8/ 0 7/ 9 6
SITE ADDRESS:
4715 WEST WIND TR
LOT: 2 BLOCK: 3
PARK RIDGE
P.I.N.: 10-56750-020-03
DESCRIPTION:
, . ~szozNS~
Building,Permit Type SF (MISC.)
Building Work Type REPAIR
' Census Code 434 ALT. RESIDENTIAL
~
% C~ . ~
~
REMARKS:
FEE SUMMARY:
VALUATION $6,000
Base Fee $112.25
Surcharge $3.00
Total Fee $115.25
CONTRACTOR: - Applicant - sT. ~zc.OWNER:
PANELCRAFT OF MN INC 17216628 0002179 GOFF BRUCE
3118 SNELIING AVE S 4715 WEST WIND TR
MINNEAPOLIS MN 55406 EAGAN MN 55122
(612) 721-6628 (612j686-7170 ~
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 Mn.
Statutes and City ofi Eagan Ordinances.
~ ~
~'(~1Iac,~~ I m
APPLICANT/PERMITEE SIGNATURE ISSCIED B SI
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ~i ~ 1 1~, ~
D~396 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construdion Reamrements Remodel/Reoair Reauirements
? 3 registered sita surveys ? 2 copies of plan
? 2 eopias ot plans (include beam & window sizes; pourad fnd. design; ete.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculatlons ? 1 energy ralculations for heated addit~ons
? 3 eopies of tree preservation plan 'rf lot platted aNer 7/1193
requfred: _ Yes _ No -7
DATE: ~
/
a~~~~n CONSTRUCTION COST: ~
DESCRIPTION OF WORK: ~PQ.rD~F,i rP ~Id~
STREETADDRESS: ~7iS L~~PS~ Tra,i ~
LOT BLOCK SUBD./P.I.D. I~~ ~ ~~~Vl~
PROPERTY ~ Name: GO ~ ~ ~rL~ G ~ phone ~g~ " ~~'d
OWNER~~ •
~ Street Address: y~~~ ~~-5~ ~•(~//~G~ ~l~Q l ~
City: ~a q 2-~~ State: M~ Zip: Ss~~'c~'
~
~~CONTRACTOR Company: PQ.hP,ICrG~F~" dF Mn Phone#: -7oZl-~~ZcY
Street Address: ~~I ~8 ~Sne ~ l+ na AS License ~~~g
~~tY: M i n n e.~ J State: m n Zip: SJ~'1a~
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address•
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infor ation is correct and agree to comply with all
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: ~
~FFICE USE ONLY
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received Yes No
. . . ~
OFFICE USE ONLY ~ y `i; ~
, , ,
~M
. M r
BUILDING PERMIT TYPE
? 01 Foundation o O6 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck ~
WORK TYPE r~ e`S ( d e)
0 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~~a •
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VN Permit
SN11 Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
ToWI: ~ as
°/o SAC
SAC Units
PERMIT C R.,33 0~ 9
~ CI~Y~O~F EAGAN
3830PilotKnobRoad PERMITTYPE: Buz~orNs
Eagan, Minnesota 55123 Permit Number. e 2 4 7 2 5
(612) 681-4675 Date Issued: 10 / 19 / 9 4
SITE ADDRESS:
9715 WEST WZND TR
LOT: 2 BLOCK: 3
PARK RIDGE
P.I.N.: 10-56750-020-03
DESCRIPTION:
Building Permit Type BASEMENT FINISN
Building Work Type HLTERATION
i
\
,
(
.
i. i;_ i,_-~ ' ~
, , ~ - l/, ,
A A~_ , : ,
i
REMARKS:
FEE SUMMARY:
Base fee $35.00 COPIES $1.00
Surcharge $.50 Total Fee $36.50
Subtotal $35.50
CONTRACTOR: - Appl3cant - ST. I.IC. OWNER:
REISS CONST 18254092 20010182 GOFF BRUCE
4009 12TH AVE S 4715 WEST WIN~ TR
MINNEAPOLIS MN 55407 EAGAN MN 55122
(612) 825-4092 (612)666-7170
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 Mn.
St utes ~i~.y of Eagan Ordinances.
~ ~j ~
.
P A/PERMITEE SIGNATURE ISSUED . IG ATUfiE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION ~
~ .,'J ^
681-4675
r~~ :-'f'
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered ite surve,~s ~o of energy
calcs. ~
~ i ~ . . . W ~ ,
COMMERCIAL 2 sets of architectural & stru tural plans, 1 se of
specifications, 1 copy of ene .
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date / Valuation of work T~ S~
Site Address:_ ~ / l~J /NS~ 1~/~Nd
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK SUBD. /I~. I p;,f P.I.D. #
~l'~ A.I(J IVN'
Descri tion of work: 6l r ~ /~~,,~T
The applicant is: ? Owner ~ Contractor ? Other (Describe)
Name _ ~a~Y'~ I~,~R°UCS ~At9r~ Phone `
Property lAST _ FIRST
Owner Address ~f ?/S`~ 1,~5-~
STREET SiE #
City ~~Qn/ State /v~N Zip SS 1~2
Company ~ ~ 5 S Cu,~. /,~icf~c~ Phone ~~5 7~
Contractor Address ~fGG ~ l02 ~/~Lig .s License #~/a/sra Exp._~~~//5
/
City ~7~/S • State ~'7N Zip SS~"~G'7
Company Phone
Architect/
Engineer Name Registration #
Address ~
, City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply w' h all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~v
OFFICE USE ONLY *
~ ~ P
BUILDING PERMIT TYPE ~ ~
i.. +w'"_ s
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging 1~"16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addation ~ 08 S-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
? 31 New ~ 33 Alterations ? 35 Tenant finish ~ 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. fire Sprinkler
Length On-site well Census Lode vjy
Depth On-site sewage SAC Code o/
Census Bldg
APPROVALS Census Unit o
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? .Site ? Footing ? Framing ~ Insulation
O Wallboard „I~JJ Final ? Draintile ? Fireplace
Permit Fee vewac;«,: g
Surcharge
Plan Review
License
MWCC SAC
c;ty sAc
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ;,~It~
Other
Total: •
SAC %
SAC Units
. • I J~~
2/84
~
~ " ' CITY OF EAGAN
/ APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPERTY ADDRESSc i~("1I.S ~ii e~ ~~~~~r+~~ -~r
T.Frnr, DESCRIPTION: Z 3 Y"(~fkr~c~o P.
(~t/Block/Subdivision or Tax Parcel I.D. NLUN~er)
IF F.."CIS'""-.- yDT~-i.,.- =,.Ty~r
, STRI'~.... , . _ _ G .=1~~IT I~o~,:
r:.:.:
(rA: L'1/ _E~-i
PRESE~T ~^i7I~:/PRpPpSE~J USE: R-1 SINGLE FPMILY
~ ? R-2 DUPLEX ('IT~ LJNITS)
? R-3 TOSv1~]'rIOiJSE (THR:E + UNITS) ( UNITS)
? R-4 APARZl"~Tf/COI~x'LII~IIT.M ( LTNITS)
? CIX~IEItCIAL/R~.'PAIL~OFFICE
? II'~LlUSTRIAL
? INSTI'IUTTONAL/GOVERI~FI.`
2~ ~pp~Cp~.i. (PLEASE PRINT)
NAI~: ~ c_~ Y\/i r`L-~Y• rne_'i
ADDRESS: __71~s/,;.Si' /,(1. /~~L''-~ ~a~f
CITY, STATE, ZIP: '
~Cnl~ / 1i~ //r~ r: i~~~' S.7 v'
PHO~ :
3~ P~~ PLEASE PRINT) FOR CITY USE OMLY
N~I~: nn~
~ PIUM~ERS LICEHSE:
ADDRESS: ~q0 KENNEBEC DRIYE. EAGAN, MINN. 55172 v~
Active
~ CITY~ STATE~ 2ZP: 452•1565 Q Expired
Q Not of Record
~ PHONE: PLUMBER LICENSE N 001445MZ r~c~~
a nitta
4) OC~(JpI~N'r/a~N~t 1 (PIEASE PRINT)
ru~: Cir- I 11r:p r i~v rn~ ~
r~GRFSS: ~Cc_m~- ~•~5 a--
CITY, STATE, ZIP:
PHONE:
5) INDIGITE WHICH PERMIT .IS BEINC; RE~UESTID:
CONNE~`PION TO CITY S~S^]II2
CONNEC,TION 11~ CITY WATER
? CJI'I~R (PLF'ASE DESCRIBE)
6) II~IDICaTE Oi~:
? PI,EASE HOID APPROVEp PERNLiT FOR PICK-UP BY O[~IE OF ABOVE
~ PLEASE MAIL APPROVID PII~1iT ~ 1, 2,~~ 4 ABCJCIE
(Circle one)
7) SIG~A'IL'RE: , ~iiu'7,~+-t_ ( DATE: ///D/~7
r
~ J •
~~ew_~~wsr:Er~r3rkS.it..,...,. . .
~t~ar~i.iii+~i id ~il~i~TT!!iFi!a hy *~!I~•t~~+tia!~Ty!?!! ia ark ~r:srs~a s
F O R C I T Y U S E O N L Y ' ~
PERMIT ° ISSUED
FEES: $ ia.`S o SEG7ER ?'E4MT_T (I:7CLliD~ SUP.C?IP.RGE)
$ %O ~ ° WATER PERDqIT (INCLUDE SURCHARGE)
\ $ ~ WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ /~-~`~a-o ACCOUNT CEPOSIT - SEWER
$ /S°~° ACCOUNT DEPOSIT - WAmER
S `~-G`d. °"-o WAC
$ v~2L` °'-~J SAC
$ TRUNK WATER ASSESSMENT
$ TRUNK SEWER ASSESSMENT
S LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
$ d'~ OTHER ~
c
~j- s / ~ s TOTAL y~. ~-l ~9 ~ ~
;~;•it.~',.: . . , ' ~
. . oa~ .1.~
$ ~ AMOUNT •PAID/RECEZPT:i•# 1L~~~ ~
• ~
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGi-IT OF WAY?
"'1' ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN
~ PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEER7Nf; DI~~ISIpC.. :.IST F.S A CCt:D:-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~~~p
TITLE:,_G~,~ ~L,~~
DATE: J-J/-~'~
~as~~c+~wta~~~~t~s~e~~~c,s~~~a ' ws~ w~+~re~
~~w;~~~ ~wt+st~~w~~...
,
RESIDENTIAL BUILDING
~ ~~~'~I'J~' Permit Applicatioo
City Of Eagan
I y, ~ I 3830 Pilot Knob Road, Eagan Mn 55122 5
~ Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion ReauiremenLS RemodeVReoair Reuvirements Office Use OnH
3 registered site surveys showirg sq. ft of lot sq. R. of house; and all rooled areas 2 copies of plan Cetl ol Survey ReM
(20% maaimum lot cove2ge allowed) 1 set of Energy Calcula~ons lor heated addi~ons Tree Pres Pian Reoi
2 mpies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addNOns 8 decks Tree Pres Not Reqd
15e~ofEnergyCalalatlons Adddion-indicafei/on-sdesepLcsysfem _Oo-siteSepticSystem
3 copies of Tree Preservation Plan if lo~ platted after 711/93
Rim Joist DetaJ OD~ons selection sheet (bldgs wiN 3 or less units
Date ~ / I"I / ~ ~ Construction Cost ~ ~~5~ • ~
Site Address WL W'vt~ ~ ~ UniUSte #
Description of Work w~ h MOu~ S
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Chr~., ~c Cp~p~,i¢ SWQN S So Vl Telephone S QQ H-~ 6 SN ~
Contractor ~ 13 ~ ~ ~'1[~ .
Address f a~ y~ Ni cp(~.ed~ iQv~G S• City Bi, ('n 5?.' f Le
S[ate Zip SS3 3 ~ Telephone # (QS~ -'(o`l ~9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 Minneso[a Rules 7672
Enefgy Code Category . Residential VenUlation Category 1 Worksheel • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Licensed Plumber 7eiephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor I~f~ '-'#r 1~ ) ~
~~I~one~
I I ~ i i I,I
~I
I hereby apply for a Residential Building Permit and acknowledge t t the information is complete and accurate;
that the work will be in conformance with the ordinances and code Bo~f the C-ity-of'Eag
r~i
and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to staR 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 ofplans.
Dia;~a ~hl~e~'~- Q~Gm~.
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-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 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCement 'Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Iasulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search ~
Copies
Other
Total
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4715 West Wind Tr
Lot: 2 Block: 3 Addition: Park Ridge
PID:10- 56750- 020 -03
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Signature Home Services
758 Reaney Ave.
St. Paul MN 55106
(651) 731 -1147
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Construction Type:
Occupancy:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Nathan J Bollinger
4715 West Wind Tr
Eagan MN 55122 -3603
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
$90.00
Issued By: Signature
Building
EA086485
09/30/2008
ePermit
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
4 WAT SERVICE PERMIT
" ¢ : ." '.ob Road ¢ 5924 1 199 PERMIT NO.:
1 -11—R5
- c:� �. 55121 DATE.
R. No, of Units:
Ovmer: Geer $eaeess
Site IKldn;ss:
4715 West Wind Trail L2 E3 Pack F.i
Plumber: Wenzel lh SGfl. pd
15
Meter No.: Connection Charge: Pd
Size: Account Deposit: 15. pd
Reader . No.: Permit Fee:
II ere* to eon► whli Ilse CRY of &We Surcharge: l ° p d
dineaea. Misc. Charges: 63. 132. .0 `Pd meter
(' ,,, ti cam
By Dote Paid:
_
Date of Insp.. �'— / Insp.
F G#'tYOR EAGAN i . _ VV10E Plt11MT
1010b Road s
P. Qr' 199 PERMIT NO 1
Ea 55121 DATE:
1-.11-05
,
: ' R1 ` No. of Units:
1
Owner: Barnes _ _ - -
' Address:
Site Address: 4715 Wiest ,Wind likail L2 ` B3 a . - e
plumber: Wsnssl Mach
1 -11 -8S 48949 \ � , L pd
I agree to seep* watt of gags. Connection charge _ 425 60 yd
Qr�aenea. c unt Deposit: z ,1-5 . 00 pd
errmit Fee: 10.1 1
Surchaip �. µ
By iec. char
/ - Total: :IL
/ — / ' Sg Date Paid-