4730 West Wind Tr crnr oF ~?c~?N ~ g ~ ~
, ~7lS ?p~t Kser Reed Eoqen, MN as122
, PHONt:4S4-t100 .
QUILDING' PERMIT R~+~ # ~ ~
To w•w.a sr nwc/c~t E~. v,,,~ s50,oo~ ~,r~ Aucust 3 19$~
Slta Addrcss ~+730 4:est Wind Trail
7 k Park P.idge Erect ~ Occuponcy R-~
Lot Blotk Sec/Sub. /11ter ? Zoninp R-1
Paroel ~t Repoir ? Flrc Zons ;dA
Enla~ ? Type of Consf. ~1
~ N~ Larry 6 Barb Mor~an ~ p ~t srories
~ ,~~,s ' 8242 4th Ave. So. Demolish ? Length.J`.~_
~ ~loomin~;ton p~,a1e 888-5074 Grode - p Depth ~ Sq. Ft.
~ N~ Ruscon ~!omes Aporo.ol. F.es
o~ Address 10~0 E, 146th St. llssessment Permit 2 •
C~ Burnsv311e p~~ 432-1433 Wahr E~ Sew. Surchorpe 25.00
Poliu Plcn check 141.50
~W N~ F~ro y~G 525.00
Addrost Enp. Water Conn. ,~50. 00
~W Ci ph~ Pionne~ WoterMeter n0.00
Council Road Unit 2 sa . nn
1 hereby acknowled9e thot I hove rood this opplicotion ond stote thot Bldfl. Off.
the information is wrrect ond ogree to comply with oll applicable 173 .50
Stote of Minnesota Stotutes and City of Eoyan Ordinonus. Totol
Sipnnturc of Ptrmitte~
A Bufldinp Permit is ~ss~.ed ro: ' on rh. e~ress cad~r~o~ ~h~r
oll work sholl be done in xcordance with oll o a~l~ Stote of Mkineso City of Ecc~on Ordinonces.
. .
Buildinp OffiNal
Parmit No. Permit Hold~r Misc. Permit No. Holdsr
Plumbin9 ~ S $ (~~Z_ Q -I 3'~
H.v.n.c. ~d7~n ~ g'-3
w.u
wae.r
Disp.
S~w~r
E~?k woq8g5s ~S ++E.E l~.c . l0-/3-$3
i~.~no~ aca ir~, otne.
Footin~
Found~tia~
Fnmirq ~
Rau~ Plhq. ~
Rou~ HVA
Inwlation
FinN Pib~
a
Final HVAC
r
Final
W~ Danib~ Loeation:
WNI . ~
S~wn
Pr. Dl~p. , .
- I
CITY ~F EAGAN Remarks ~
Addition PARK RIDGE 1ST ADDN ~ot_ 7 R~k '4 Parce~ 10-5b750-070-04
Owner street 4730 WEST WIND TRAIL state ~~N MN 55122
Improvement pate Amount Annual Years Payment Receipt Date
STREET SURF. 1
STREET RESTOR.
6Rr4C1A{G
SAN SEW TRUNK 1 11~ ~8 1 92 - ~-83
*SEWERLATERAL (2(.l( 4I.~4
WATERMAIN
* WATER LATERAL
WATER AREA
STORM 5EW TRK _2
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
R0~?D UNIT 250.00 377 8 8- - 3
WATER CONN. 450~ ~ ~t 11
BUILDING PER. 8
SAC It n
PAR K
Receipt ~ ' - ' ' PLUMBING PERMIT Permit No. ~ ~
CITY OF EAGAN
Fee
~ ~ Fill in rrumbered spaces S/C~
~ TYPe or Print /cgibly Tot.
1. Date ``_j - C~ j 2. Irutallatiar~ Cast
~;j, r
3. Job Address ~ Lot~Blk. Tract
.
4. Owner ~ ~ _ _ _
~
i
~ 5. Contractor . L- R/Q ~~r ti~+% Phone
r
6. Address , `/i, ~ , ~ f-; . . f i ~~i< . .i t ~ -
~ _
7. City, . t > p~~l~ /~~fState , _ Zip ~
a
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New ~ Add O Alter ? Repair O
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel l
Kitchen Sink
Urinal/Bidet Other
! Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ; ,r_- ' _ for ~ .
. r
, , r-y.
Rough Finel - ~
Inspections: Date Insp. Date Insp. ~
This is your permit when numbered and apprvved.
ApProved CITY OF EAC~AN 454~8700
Rsceipt _
~ ~ ~ ~ MECHANICAL PERMIT Parmit No.
CITY OF EAGAN
F~e "
-
~ Fill in numbered;pec~es S/C
Type or Prlnt lcgiMy T~
~
1. Date i/~.' 2. Installation Cost ~ ~
3. Joh Addressyjj~ w~, -r_,,.._. ~t ? Blk. ~ Tract
c-
4, Owner
5. Contractor . Pfione , - - %
, ~
6. Address ~ ~ ~ ~ r ' , ~a i
7. City State ~ Zip ~ Z_ ,
I
8. Building Type: Residential C9 Commercial ? Institutional O '
9. Work Description: New ~ Add O Alter ~ Repair ?
10. Describe , . Fuel Type ~ ; -,.C~. s -~.4.-~
i
11. No. Equioment 8TU - M. Ea. No. Equioment CFM
~ Forced Air ; Air Handling:
Mfg.
Boi lers
Mech, Exhaust
Mfg, ,
Unit Heater
Mfg. Other
Ai~ Cond.
Mfg.
Gas, ~iping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : f for
Rdugh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
This reyuest void - ~ L~ ( CjY~ T~~K 1~~,~().F••' ~9 ZJ` I
18 months imm "U -
C"J 09~855 ~ 3a, sa
Rvnucst Ua Fire No. flough-in Inso~r,tion .
Req ned7 ~Reatly Now ~No1Hy, In>Dec-
~ Yes ?Nu ju~ When fle.tly
Licensed Electncal Contnctor I herab e
y r ques[ insDaction ol a4ovo
? Ownei eloctricul work ir¢talled et
Sveat AdA~ess, euz or Route No. Citv
O ' ,~~-/J
e Lon o. Township N, mc or No. angc No. Co Gi'1~~~V V-`~
Or.cuV~ (PflINT~ Phone No.
S~~a-/ -3-3
Power nPber AdOress
~~e-~~% e~~.
Elecvic Contrar. or omp ny Namol C acto~~s Licen>e No.
~ 0 D~a
~
MaihnB ~+~Jress (COntmctor or Owner Makine Ins~allationl
7 ~ ~5,3T~
Authorizetl S e o r mr Ow r ng Installa P ~ Numbe
MINNESOTq STATE RD OF EIECTHICITY THIS INSPECTION flEQUEST WILL NOT
Gr~ggs-Midwny Bldg. - Hoom N-191 BE ACCEVTED BY THE STATE BOA0.D
1821 Univers~~y Ave., S~. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
n.___ •e.~~ ~n-. e... FNCIOSFfI
REQUEST FOR ELECTRICAL INSPECTION r. EB-o°°°i.°°
J'
~ ' Seo inatructions lor completi~g tM1is form on back of yallow copy.
-
"'X" Relo 0 o ered by ~his Request 3~ oZ S(
AtlJ ftep. Tyoe ol Building Apo~~a~ces W~red Epuiumen~ WireA
Home Range Temporary Scrvice
Duplex Water Heater Li~hting Fixtures
ApL Buildinc~ Dryer Electric Heatui
Commercial Bldy. Fumace Silo Unloader
Industrial Bldy. Air Coixlitioner Bulk Milk Tank
Farm Oinei .pec~ v ~her ISner.itvl
t mr uuu V O~ e~ ptner
Compute lnspecuon Fee Be/aw
N Fee SorviceEmrance5ize Y Fae Faede~s~5ubfeaders N Prte Cir w~s
0 to 200 Am s 0 to 30 Am s 2~at. 0 tn 30 M~ ~
Above Z00 qmps 31 to 100 Amps 31 to 100 A
Swimming Pool Above 100-Am ~ Above 100_P.m s
Tranyiormers Irrigation Boon~~s Pertial.'Other Fee
Si~s Speci ction ~
Rem~rks ~ Q~~ TO
'l
flough-in ~ ~ Onte ~
I.cne ical
Insoector, he~oby
Final ~ p;~~„ cer~ilV ~he~ the aEOVe
insOOCtion has been
° v/~ medo.
T~IS ~apuest void 18 monllp Iwm
CITY OF EAGAN N~ 8347
9793 Pilof Nnob Road Eagen, MN SSl'~4
PHONBs 4SI-8100
BUILDING 'PERMIT Rece~Pt # ~~7
To be a~ad Fo~ SF DWG/GAR Est. Value $50~000 po~e AuQUSt 3 _ ~q83
Si~e Aedreu 4730 West Wind Trail Erect ~ OccuPancy R-3
Lor ~ BI«k 4 Sec/Sub. Park Ridge Alter ? Zonirg R-1
Porcel # Repoir ? Fire Zone NA
~ Enlarge ? Type of Consf, V
rc Name Larrv & Barb Morean Move ? # Srories
~ Addmss 8242 4th Ave. So. Demo~ish ? LengthSSZ_
BloominQton pF,o„e 888-5074 Grade ? Depth24_Sq. Ft.-
p Nnme RuSCOn HOmflS Approvals Fee~
Address 1000 E. 146th St. Assessment Permit •
~ Cit Butn5Vi110 Pho~~ 432-1433 WaterBSew. Surcharge Z5.0~
Police Plon check 141.$~
Gw Nome Fire SAC $25.00
~Z
~W Address Eng. WoterConn. 45~.00
< Ci Phoro Planner WoterMeter 60.00
Council Road Unit 250. n(1
I hereby acknowledge thot I have reod this opD~ication ond stote that Bldg. Off.
the inlormation is wrrecl and ugree to comply with oll opplicoble $l~
S~ote of Minnewto $totutes and Ciry o( Eogan Ordinonces. APC Total
Sipnofure of Permiffee ~
A Building Permit Is issued to: on the express condition ihn~
oll work shol~ be done in occordance with all op ~ 5 te ' new City of Eaqon Ordinances.
Buildinq O(ficial
,;,~(p:/~lJ;~-a~U~~/CI<^CJ . •'FIi,BU~S~f`-,11'E 'f~ING.TEST~~RECORD~~ j;~lg~~~P0.r1~ Y2l-~G,~
ADDRESS~~ K.JO' WetS~ 'U~/ I1G~ / M/ ~ . . . , ~~"/~y~'
~`/Y~ ~j
' ~APT._FLOOR CITY SUBURB~ L! ~ .
OCCUPANT• ~ OWNER
HEAT LOSS' ~ ~ "DATE HTG. INST. - .
SOLD BY , INSTALLED BY ~ •
~El~ehical Werk Br Gos L7n~ By ~ . .
TYPE OF MEAT CA _ FA _HW _STEAM _SPACE HTR. _UNIT HTR. -OTMER ~ ~
' ' GAS DESIGN ' • CONVERSION
NAKE ~ ' MAKE OF BURNER
Nodd ~ . '
S~twl ~ z': ` ,T. , a, .Me :r 16TU Ratl~p ? `.i~•
~INPUT' ~ ~ ~ ° ~ ~ ' MkKE-0F FURNACE
+~':b.. ~ ij' •t
.2 rYi . . a` , , 'b ~ t , - - Mo~~ w ~i.
. ~ ~ ' CONTROLS ~ ~ - ~ , ~ , . . ,
TFBR 0 T P up V~nt Sis~ ~
~1~~~~°°~~ ~s~
~a~w c~ K~ND OF LINER SIZE NONE :R.*
Llmit ~ - Dwh Hood ~Rpulamr A
Limif S~Minp ~,'~~CQ- ' • Fi1Hrt SI:~ uumMr '
F~n S~Hinp ~[~,s is : Q~immy Locetion In~id~ Oul~ide f
Pllot T n~~
YW Chimn~y Consiructlon F~ `
Pilot Abb O ' ~
Pilor Abd~l' Smoln Bomb Wirinp
pNot Tlminp , ~ Droft ~ To~ Taa ,
L.W. Git'Off ~ • Dow Pnasuro Lfphtinq Init. ~
p. G
Pnssun Psre~niCO~~ DaN T~at~d ~Q-~6 'a ~
'IriyMCPH P.rc~ne OZ 7 ~ Compony Turi~a _~~.1~
-C/h~~C- tc
S~ock T~mp. P~ran~ CO ~ Nom~ of T•.re~ __C(7!L i'yliC~ Qf
Fon~ 735 "f ~ ~
864 GF~SP 11 /I~ ~ CIZy pF F~1G.~t•7 Include 2 sers of plans,
1 site plan w/elevations &
BUILDING PERMIT APpLICATION 1 set of en~gy calculaticns.
,~C~au~C' 2
Zb B° IIsed For c~nu~a Famil Valuation ~ Date
Site Address L ~3~ ~~pGt W~ nd Tra i l OF£ZCE USE ONLY
Ir~t Block Sec./Sub. Par_g R;dt~e Erect OccuP~~3' 3
P~rel = Alter Zoning "
ReDasr Fire Zone
Ocaner: T arry & Barb l'ior~an Enl.arge of Const.
Address: _82lc2 4th Ave South ~`re n Stories
Da~nlish Front ' ft.
City/Zip Code: Bloominaton MN 55420 Grade Depth ay ft.
Phone tt: 888_5074
APPFmVALS ~,5
Contractor: Ri~Gron Hom Asses~ts - Pesmit ~83 ~
Address: Water/SeaPS Sur.ch e
1 0~~ F_ iL,(>th St ~4 aS
Police Plan Check /
City/Zip Code: ~Lrn vi l ~ a, MN 559"i7 Fire Sa,C 3-~r ~
Phone .ly~2-l4'i'i ~5• A'ater Co.-ui. ,5-p ~
Planner water Meter LO
'~~•~'9•= _Proba Rnginee2'ing Council Road Unit n?,3`Tj 29-
Bldg. Off. e
Address: i nnn F` l 4Fi h S APC
Ci~/Zip C[~~: ~vrn~vi l l a NIN ~i~3,37
Phone r: h?2-3000 ~.py l~ 3 ~~j ~
. RESIDEtiTIAL Bli[LDI\G ~ ~ ~
~ ~C f ~ Permit Application ~
City Of Eagan r~
3830 Pilot Knob Road, Eagan Mn 55122 'r
Telephone # 651-675-5675 FA~ # 651-675-5694 ~f ~`l/ d,,3
New ConstrvIXion ReouiremenLS RemodeLReoav Recwrements OKce Use Only
3 registered site surveys showing sq fl ot lol, sq. fl. ot house; and all roofed areas 2 copies af plan CeR of Survey Recd
(20%mazimum lot coverage allowed) 1 set of Energy Cakulalions br heated addihons Tree Pres Plan Recd
2 wpies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for addlrions 8 decks Tree Pres Not Reqd
t set of Energy Caiculations Addition - indicafe Jon-srte sephc system _ On-site Septic System
3 copies of Tree PreservaGon Plan if lot platted afler 711193
Rim Joist Detail OpUOns selec6on sheet (bldgs wiN 3 or less units
Date ~ / ~ / Q~ Construction Cost
Site Address ~ 1?l~, I UniUSte #
Descrip[ion of Work ~iQ 1,J
Multi-Family Bldg _ Y x Y Fireplace(s) 0 _ 1 _ 2
~'.~~,,,L G1
Property Owner ~U ^~~(.(~~C Telephone # ~ ~c(/'"Q
Contractor
Address Citv
Sta[e Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
' - Yfinnesota Rules 7670 Ca[e¢orv I Minnesota Rules 7672
EnOrgy Code CategOry . Residenhal Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone if(
2) I 1 ,
~ p Ir
SeweNWater Contractor Telephone ~ r) ~
; ~un 1 2 Z~"3 ~I
uu ~
I hereby apply for a Residential Building Permit and acknowledge that the infor~iarion-is=compl~ d accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MI~i
Statutes; I understand this is not a pemiit, 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.
~O ~~1 ) u-? ~
Applic t's Printed Name A pl ca s ignature
OFFICE liSE 0[YLY
Sub Types
? Ot Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ~ 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ~ 18 Deck O 23 Porch (screeNgazebo) 0 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12•plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types (~E'a - D~<X, y?/at}~~~ R~
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout lo applicant
Valuation v Occupancy 72 ~ MC/ES System
Census Code y 3~( _ Zoning City Water
SAC Units Stories Baoster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const \1 ~ Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
~ Footings (deck) ~ Final/h'o C.O.
_ Footings (addition) _ Plumbine
Foundation H V AC
Drain Tile Other
Roof _ Ice & l4ater _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.1. _ Air Test _ Final _ Nindows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
i
Copies ~ 1 .1
Other
Total
r
- ~ /AOBE CONSUlTINO tNdiNlfllf
ENGINEEAING P~ANHlAS ond LAMD ~UIIVtY011i
, COMPANY, INC.
~~~0 WT 14~w STII[CT, oUlINSViLL[, YINN[30TA 333]7 ?H 432-3000
c~f-~ ~f~a~ sur-Ye y
~a~l •..f.1P~t0~: L.or 7~ B~ccIL 4~ A~K. R~D6E.
~ A G c~..~r, n+~~,~xr~.
R E V ~y
3Y e9
CATE
- ` ' ' ' C>'.:-fL:~ I i
~
~ ~1I.le•$o
. k_Sj ~~v. 92z.oZ
QyQ 'r~ z~•,
` v ly i ~ ~
~,f i
` ~E~R~t^3o~ ,1yv~~~ ~ rC°
6~W.+bS SHewJ <.aE wSSumED a~ ~q.qV , ~ ~ \ ~~i,
O DF.~1e*ES. ~Ro~1 MadVm6+r SE~ , ~ / ~ ~ ~ ~o ~a
~r ~ ~ ' i
~ ~
2y z~~ t3.e~ o i o T \
9z ~ `ri 1t~,~s! \S 'fi g tyre
D ~ v '$~o ~ Zb.e~
. R r~ \ 4 ~ - /S 'c(..e~
~ C ~ \ V(A Q ~i\ 1 , / / .
D ~ ~ /
~ ~ s~ i ~ ~tiz~~ \N 1~ o •.°~`l
Q~ s~.~0 s o b o . ,~tiaarE •.a~..
\ ~ p$ ~ ~ yv• o i Jnur{
~ a \ v_ b 1 q,l,,O~~ya:
0
~ o / ~ 5 ~qo 0
~
~ ~ L:.~T
~ 4) ' f
~ ~ V~'W Fav..rr Bw~A~6
C~` 'SEr&~~ ~..,Je ~yt5~i oWOrES Scisri-k, F~fi/4no-1
~ 9zS. o
2 ~ ~ l~ErbrES R~ilcsC~ Etb.~lrtoT1
r
m
E l~.lDILAi-ES DiRftnaJ a~
p SURF.~G~ DRn~J~vC
P
' h~tyDy e~rtitp th~t t?~i~ i~ a trua
~anQECarrio
E r~p~i~ntation ot a 9traQt ot
.~nd a• ~?~w+r~' and de~cribed r~r~on.~. '~Ir pr~par~E by ~n~ on t1~i~ z`~ Ear ot
Ju ~Y ~ 1 ~ S3 ~ .
~
<<~, lfinn~ 1~er. Xo~ i~~~
S a~~ a RESIDENTIAL
BUILDING PERMIT APPLICATION ~ ~ ~
CITY OF EAGAN lD~
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsUUCUon Reouiremente RemodellReoair Reouirements
• 3 registered site surveys showing sq. (l. ot IoC sq. ft of house; and all roafed areas • 2 copies ot plan
(20%mazimum lot coveroge allowed) . 1 set of Energy CalculaGons for heated additions
• 2 copies ol plan showing beam 8 window sizes; poured found design, etc.) • 1 site survey for eztenoradditions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if bt platted after 7l1/93
. Rim Joist DeWtl Optwns selection sheet (blCgs vnth 3 or less uniGS)
DATE ~ ~ I O L VALUATION ~ ~ ~
SITE ADDRESS ~NN.S~ W i N~ T~L~- • MULTI-FAMILY BLDG _Y ~~J
TYPE OF WORK I'~C.lOIL?L~2 ~ i~OaLJ FIREPLACE(S) _ 0_ 1_ 2
APPLICANT C~IZ-E~ W i r1 DsyJ ~ S i ~ i til~
STREET ADDRESS _I `{'l~ ~iD ~,F1~GY~'~ ~ 2-- CITY ~l
°~TATEM /`~ZIP SSI
TELEPHONE ~D°~)' CELL PHONE # FAX #~15 Z~ rD~11- `I o~-S~
PROPERTYOWNERSLI'~i,`d' .»Dy Ttn./LFY~ TELEPHONE#C~SI -(o8~e'~°I~3
COMPLETE THIS SECTION FOR ~NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL:S01'A RUI.ES 7G70 CA'I'LGORY 1 MINNliSOTA 12ULI?S 7672
(J submission type) . Residenlial Ventilafion Category 1 Worksheet Submitted • New Energy Code Worksheet Submiried
• Enerqy Envelope Calculahons Submitted
Plumbing Controctor: Phonc #
Pluntbing systcm includcs: ~•Vater Soltcncr _ L.a~vn Sp~inklcr Fcc: S90.00
Wa[cr Hcater No. of R.L l~a~lis
No. oC l3all~s
Mechanical Contractor: Phone #
Mccl~~uiical syslc~n includcs: Air Co~~dilioning rcc: ~70.00
_ HeaL Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signa}ure of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y 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
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MClES 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _[ce & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding Stucco Srone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By , 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
C~p ~ ~ ~ RESIDENTIAL
~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
Naw Construellon Reoukemenfa HemotleVfienalr HeaulremeMs
• 3 registeretl sAe surveys showing sq. n. of lot, sq. N. ot house; and all roofetl areas • 2 copies ol plan ~ u 73
(20%mazimumbtcoverageallowed) • lsetofEnergyCakulationslor~eatedadd'Aions ~
• 2 coples ot plan showing beam & window sizes; poured fountl tlesign, etc.) • 1 stte survey for e~lenoratldHions & decks
. 1 set of Enargy Cabulations • Indicate it home served by septic system for aUd'Aions
• 3 coples ol Tree Preservatlan Plan A bt platted afler 7/1/~3
. Rim Jolst Detall Options selectbn sheet (bltlgs wAh 3 ar less unHS)
DATE s-a S'UoZ VALUATION ~d~.o2 ~ ~
SITE ADDRESS S~ ~~/l7 I~'~21-~(.v~ht~ Tra~ ~ MULTI-FAMILY BLDG _ Y N
TYPE OF WORK ~Q - rrfi~ FIREPLACE(S) X 0_ 1_ 2
APPLICANT ~ L~ /v i ~
STREET ADDRESS /~?D /3~~L.~1'~ iY/_ ~ CIN STATE~I~ZIP SS D
TELEPHONE # ~ 6~ 91y- ~'979 CELL PHONE # FAX #
PROPERN OWNER -fLi~~K c~. TELEPHONE # C.fl - 68 6- 0 9~'1'
COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY' 1 MI 6~
(J su6mission type) • Residential Ventilation Category 1 Worksheet Submitted • ~ r o h itted
• Energy Envelopa Calculations Submitted MAY 2 9 2002
Ptumbing Contractor: Phone # ~ ~
Plumbing system includes: Water Softener Iawn Spriiikler ee: .
_ Water Heater No. of R.I. Baths
No. of Baths
Mechanlcal Conhacfor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contwctor: Phone #
I hereby acknowledge ihat I have read this application, staTe That ihe information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicant ~/~~,.L~c,. ,
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 0&plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-piex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous
? 31 New ? 35 Int Improvemenl ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Occupancy MC1ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkfered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tilc Other
Roof J Ice & Water _ Final _ Poo] _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stonc
_ Fveplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement}
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ O ~
~ ~ RESIDENTIAL
..J BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-68'I-4675
NewConstructionRaouirements RemodellReoairRequirements ~~J 0~. / ~
• 3 registered site surveys showing sq. ft. of lot, sq. fl of house; and all roofed areas • 2 copies oi plan
(20% mazimum lot coverage allowed) . 1 set of Ene~gy CalculaUons for heated addiM1ons
• 2 copies of plan showing beam & window srzes; poured found design, etc.) . 1 site survey for extenor additions & decks
• 1 set of Energy CalcWatinns . Indicate'rf home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted aKer 7/1193
• Rim Joisl ~etail Options seleciion sheet (61dgs wdh 3 or less units)
DATE S~a f~O~ VALUATION +~W ~ S, DDU
~ 5~
SITEADDRESS ~I~3O Wes',~~a~~ucC l
r'a,`I ~ ~ MULTI-FAMILYBLDG _Y XN
TYPE OF WORK ~lJI4~-~ S~ d/~?~~0 4H~ Wi.4oCews. FIREPLACE(S) X 0_ 1_ 2
APPLICANT 5~~~ ' u/~k
STREETADDRESS 4~-30 l.Ues~-G(/~~oP T~~'I CITY ~~~4~ STATEM%UZIP $'~~aa
TELEPHONE # 19s~~(a8(o'0`T~3 CELL PHONE # G~~~-aH~'-~}~ FAX # ~l~`l'
PROPERTYOWNER ~~a'?^ ~ TELEPHONE# ~See- ~i I~c~te,)
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULI?S 76i0 CATI;GORP 1 MINNLSO"]'A I2ULLS 767`l
(~Isubmission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submittetl
• Energy Envelope Calculations Submittetl
Plumbing Contractor: Phonc #
Plumbing systcm includes: _ Water Soflener _ Lawn Sprinkler P'ca S~>~>•~~~~
Watcr Hcater iVo. oC R.I. 13allis
I\7o. ol Batits
Mechanical Contractor: Phone #
Mcchanic~il syslcm includcs: _ Air Condilioniog I'cc: $70.00
HcaL Rccovcry Systcm
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read ihis application, state that the inform tion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin
Signature ot Applicant
-
OP'FICI; USL ONI.Y
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y 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
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. ot Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Canst W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (additwn) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina]
_ Framing _ Siding Stucw Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
Insulation _ Retaining Wall
Appraved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
7
A08E coNsutTiNa txotHues
ENGINEEAING P~pNNlIIS end LpMD ~UIIV~YOIIS
COMPANY, INC.
~~~000 WT 14~M STR[CT, SUIINSVILLE, MINM[SOTA 53331 ?H ~]2-~000
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rn
ia~ickrES D~Rfi.r~e~J a~
p SURFAC.{. A4AiJMae
P
I?~tr~by c~rtify th+~t thi~ i~ ~ trua
~andECarric
E rip~r~ntition~ot a 9traat ot
land at •}~own'and Qe~cribad h~r~on~, '~r pr~p4r~d by n~~ on thi~ z`_ d~r ot
~UL`( ~ l~ $3-~ ,
_ _~~G~, ?finn. 1teg. ae. i~os5
L~ gL ~ CITY USE ONLY RECEIPT lQ~(O
SUBD. Q,~-dL('.(/ RECEIPT DATE: 3~ S
Q ~L 1999 ~PLUM$llve g~E~iMiT ~~SID~'1vTt~hL)
CTT'NOf £AfiAN
S9S0 PILOT KNOB $D
3 l/~ S~ fae,vv. ~ ss ~ Qa °
`r (s51) s8~-as~5
Please complete for: i single family dwellings
: townhomes and condos when permits are required for each unit
i backflow preventer for underground sprinkler system
Alterations to existina residence 30.00 = ~
Water Turn Around 30.00 =
Private Disposal System ' MPC iic. 75.00 =
(new and refurbished systems)
Private Disposal Systems ' Abandonment 30.00 =
RPZ (new installation/repair) 30.00 =
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tu6 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' m~n~mum - i 3.00 x =
Rough Openings 1.50 x =
Watef SOflener " for dwelhngs under construction 5.00 x ~ _
U G. Spfinkl2r ` for dwelling under const. 3.00 =
S7ATE SURCHARGE 50
Reminder: Call 681-4675 for inspections of water heaters, ~1L~~
water softeners, alterations, etc. ~E
TOTAL
-
I hereby acknowledge that I have read this apphcation, state that the mformation is correct and agree to comply with all apphcable City of Eagan ordinances.
fl is the applicanPS responsibility to notify the property owner that the City of Eagan assumes no IiabiliTy for any damages causetl by the Qty tlunng its
normal operaho al d maintenance actrvities to the facilities constructed under this permit within City property/righ4of-way/easement.
/~~~0 ~~f~.e~ ~~v t~ ~A-r7 ,
SITE ADDRESS: _
OWNER NAME: _ (~/7~~~~~'~( ~e_~
INSTALLER NAME iS~7 UCYJ 1"ll TELEPHONE ~5~~-~~i~~
STREET ADDRESS: _ ~ , x ~
~(CJ~~ ~ /~J(y~pU i
CITY: STATE: /`I/ ZIP:`~
SIGNATURE OF PERMI
CDlPERMIT FORMS/RPLBG PERMIT (RES) - 1999
C!tyofEa�ali
3830 Pilot Knob Road
Eagan MN 65122
Phone: (651) 675-5675
Fax: (651) 676-5694
Use BLUE or BLACK Ink
For Office Use ..
Permit #: '7)35-- �3 D
Permit Fee: 5 O
Date Received: / 09°
Staff:.'
/ 11 2010 MECHANICAL PERMIT APPLICATION
Date: f 1 `Q' i Site Address: '1 � .ec* � id Te
Tenant Suite #:
J
RESIDENT / OWNER
1a
Name:, \).C.N.- V.Lk). e 42._Phone: toS) ''-g Lir) -90D-
Address
Address / City / Zip: � lei t ?
1 1.0)_
CONTRACTOR
Anderson Heating and Air -Conditioning
4347 Central Ave N.E.
Columbia Heitghts, MN 55421
^�License #: is(1 ik
City:
.hone: `) �� �"(` - i {/
Conte MU/ �1 .. Email: { 111L<f� ii%���
TYPE OF WORK
•
ew lacement Additional . Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
,^,_ New Construction Interior Improvement
Air Conditioner
_ •
Install Piping _ Processed
Air Exchanger
Gas _ Exterior HVAC Unit
Heat Pump
_ Other
Under / Above ground Tank ( Install / Remove)
—"When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin. Ins .ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration town existing unit (includes $.50 State Surcharge) 5
burned out appliances, ductwork etc.) (includes $.50 State Surcharge) $ ` 4 TOTAL FEE
$90.50 Fire repair (replace
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50.
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ • x 1%
'" - $ Permit Fee
- If Permit Fgg is less than $1,000,
= $ Surcharge
- If Permit Eee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,041-$2,000
_ $ TOTAL FEE
CALL BEFORE YOU DIG. Cali 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.gopherstateonecall.org
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a pemiit, and work is not to start without a permit; that the work will be in accordance
wit th approved plan in case of work which requires a review and approval of pia
�yA rr --ii
APp cants \f 'wanted
Name I Tom ( illI
A , • icant', Signature
FOR OFFICE USE
Required inspections*
Reviewed By: Date:
r Ground Rough In Air Test _Gas Service Test _In -floor Heat _,_•Final
Exterior HVAC Screening Inspection
EA r AN .� , , i ob Road 507 , ;
,, ' �.° E - 7199 PE RMIT NO -:
Eagan, 55 RJ ,g ?3 Q���S
Zc»ninq t . of tinits:
Qwner: usc i es
'Site Address: 4730 e s t t nd T rail L7 X34 `Pairk ? idge
.. Plumber: Saar - r `1b �*«° ,...' o
Meter No.- ) , C ctit Charge: 45Q b�
Reader No.: Peimit F gape it. 1 F3 .110 ,
1 agree to aeon* wUb as Cltya , w -. .�thorge: , Y • 0p d
Ordhwsees. ,/� ~�.,-, -q , ,,; .9MIsc Charges. r 0. pd meter i.
By � i ""'',...T et ` Paid: /
w. Date of t A/ Insp.:
3 ,r, >
') - i ' Cam` `' -
4 �i ° .s w 'n 1 L B4 Pa;'k a ge
8.8..; ,8 " ".•' 4.<7
*,,'* ' 425.00. a w
- got* to with the y tee► ° on M
' Deposit: a 3 a
''' r .50 0 6 '
„'''. ' e of ! 4 / ' .1id�i�ifis. 1 ,.pa* $ ���
4 fib.
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA142067
Date Issued:04/13/2017
Permit Category:ePermit
Site Address: 4730 West Wind Tr
Lot:7 Block: 4 Addition: Park Ridge
PID:10-56750-04-070
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Shawn T Turek
4730 West Wind Tr
Eagan MN 55122
(651) 247-7672
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature