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4734 West Wind Tr CITY OF EAGAN , 3795 Pilat Ksob Roe1 Eoqow, MN 55122 S4.~ ~ ~ . *HONEs 454-8100 BUILDINQ PERMIT Receipf To 6e " , ia SF DWG/GAR Est.Volue $55,004 Date Aup,ust 23 19 83 Sita Addreu 4734 West I•lind Trail Erw iZ.._ 8 Block 4 Sec/Sub. Paxk Itid,v.e /11ter ` p ~ ~cu Zoninp R- Lot , Porcel # Repoir ? Firo Zone V Enlarge p TyPe of Const. • Ru er en ec Nome Move 0 # Srorie i 4923 Shadq Oak Road /~dcesi Demo4it,h ? Length ~ - "!t~.a. 56343 935-1169 Grods ? Depth ~ $q. Fi. USCOri OIDEB Approvob fres OZ U AddNameress 1000 E. 146th St. /lssessment Permit s 27~ Burnaville P~~ 432-1433 Woter d~ Sew. SurcF?arye 14T.~T Polite Plan check ~W NO^''a Fire S11C ~ ~ 450.00 Addrass E»p. Water Cann. _ O <W Ci Phone Planner Woter Meter 2~~. 00 i Countil Rovd Unit 1 hereby atknowledge thot I haw read this npplicotion ond stete thot gldp. Off. the information Is conect and agree to oomply with oll nppliceble $1759. 50 State of Mirnusoto Stotutes and City of Eoyan Ordinonces. APC Total Sipnoture of Permittee + 18COi1 'O!^.P9 /1 Buildiny Permit is issued to: on the express cordition thm all wark sholl be done in occordonte with ofl oppliwblo Stq~naE.~Aht~r'ieaoto Statutes ond City of Eoqan Ordinances. Buildinp Officiol a? o- + ~ ~ y - ~s- 6-6 Psrmit No. Parmit Holdsr Misc. Permit No. Holder P~umbing C-p-N z" q A a91~ ~ H.V.A.C. . WNI I Watar Disp. SewMor E"e•ic 1,605 t fkc . 1- ~ -Fr 37'ISI " a Impeetion Date Insp. Other Footinp Foundation Fnmin9 Rou¢? Plbs. ~ I Rouqh HVA I Inwlatioa ~ ~ . Final Plbp. FinN HVAC Final 6)e Nb Wwor Wse?ibs Loeation: 1MNI , . S"Mr Pr, dhP• . f ~ CITY OF EAGAN 1(} J 3 4 . 3630 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 ~ PHONE: 454-8100 euiLDING FERMIT Re~ipt ? T. w ...d a. , ; . Esr. value oore 19 Slte Addrea .i' i< Eract ? OccuPancy Lot 8- Blxk Sec/Sub. Remodel ? Zoning Repair ? Type of Const. Paresl No. Addition ? No. Stwia Move ? Lsngth ~ Neme ~ Demoliah ? Depth Addrega Int Impr. ? Sq, Ft. City Phone Install O AoKev~ls FNs ~ Name A~~ Assessment Pertnit . Water & Saw. Suroharpe City Phone ~ Poliu Plan Review ~ Nema Fire SAC ~3 Addreu Erq. WeterConrL ~ W City Phone Plonnw? Watsr Meter Countil Raad UnR 1 hereby xknowledpe thot I hovt nod this appliwtion and stote thot Bidg. Off. Tr. PI fhe infwmotion is oonect and oqree to comply with a?1' cpplicablt A~ Stah of Minnesota Stotuhs ond Gty~ot ;~Oyan Ordironus. Parke Vu. Date 5iprwtun of Penniftu Copi°s ~i A Buildirq Peenit Is issued to: on fM o texpnas condition thot dl work sho11 be dorn 1n acoo?danu with all appUaoble Stah of Minnesoro Stafutos ord City o1 Eoqon Ordinor+us. Buildinp OFfbdot - ~ - ~ PMmit No. PMI111t Holdw DIM TN*Phone i PIum6lrp H.VA.C. EMebia SohwMr Inapection Osw Imp. Othw Footinps 1 - ~ Footin9s 11 Foundatlon Framiny S Rooflna Rough Plbp. RoupA F1tp. InwL FlrWaq Final Htp. Flnel Plbp. Flnal ~.y C~rt/Occ. Wst*r Dfteri6 Loeation: WNI SNwr Pr. Dbp. CITY OF EAGAN Remarks Addition pARK RIDGE 1ST ADDN Lot 8 Rik 4 Pefcel 10-56750-080-04 Owner street 4734 WEST NiIND TRAIL state EM'AN hW 65122 ImProvement Date Amount Annual Years PaYment Receipt Date STREETSURF, 1982 14.91 10 104.40 A 013787 4-24-84 STREET RESTOR, 1985 491 - 99, d rt 102.91 C009867 10-23-84 1985 389.08 25.94 ri n SAN SEW TRUNK 971 19HZ 9.81 is 117.78 *SEWER LATERAL 6.16 .746 26. 16 C009867 O-2 -8 WATERMAIN WATER LATERAL ' -1985 WATERAREA ~ 19$2 9.$1 1$ 117.7$ it it STORM SEW TRK 91-7 1985 370.93 24-73 15 Q370-93 C009867 10-2 S70RM SEW LAT 1985 CURe & GUTTER SIDEWALK STREET LIGHT ROAD UNIT 2S0.00 38217 9-23-93 WATER CONN. 450.00 of BUILDING PER. ~411 n n SAC 5.00 PARK Receipt PLUMBING PERMIT Permit No. . CITY OF EAGAN Fee -r--- fi!l in numbered spaces S/C Type w Print legib/y Tot» v'-U 570 1. Date 2. Installation Cost 3. Job Addless i ~ BIk.J4 Tract ,clc~G. ? 4. Owner ~r) 5. Contractor E!,C--A ? (.//-7 A? Phone L/ L~-// 6. Address J~) P i Y17-~,~ ~ r , ~ 7. City ~State /-)110 zip 8. Building Type; Residential [I--" Commercial O Institutional ? 9. Work Description: New ~d O Alter ? Repair ? 10. Describe II 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well / Kitchen Sink T Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby oertify that the above information is true and oorrect, and I agree to oomply with all ordinances ap~code governing this type of work. Signed : . ~7~. " / ? for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and appraved. Approved CITY OF EAGAN 454-8100 _ - - - - - - Receipt MECHANICAL PERMIT Permit No. . ~ CITY OF EAGAN y - - Fes Fill fn numbered spaces S/C Type or Prinr /egiWy T~ :j . 1. Date 2. Installation Cost , 3. JobAddress 4.734 IJP_Stw1P.(Iot 'S Blk.'} Tract j 4, Owner Puscon I:omO$ 5. Contraccor B F1 3I Fireplsce Ir_st~hone 4712-it)ni. s. Address P. o. BoY 92~; Mound 7. City YOUncl State ?"T-j Zip 65364 8. Building Type: Residential Commercial ? Institutional O 9. Work Description: New 0 Add O Alter ? Repair ? 10. Describe :'ero Clearar.ce Fuel Type T1OQarUTi11T1c'., 11. No. Equinment 9 TU - M. Ea. No. Eouipment CFM , Forced Air Air Handling: Mfg. Boilers Mech. Exhaust Mfg. , Unit Heater Mfg. Other r`artin model Air Cond. " • ' Mfg. Gas, P'rping 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 : I for Rouyh Flnal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ,ihisrequest void 3-rV IB rtqn[hs fmm 1, n. Z g~ g PA~.K~2 ip a~ 3a s~ Pnquest Date Frte No. ~ouyn-i Insuection nu e nd+ [:]Reatly Now [3e&W1'NoUfy In>uec- s O~~, -'uN. lor Whe ~ Ready L5-t:MenseA Eleclncal Convnctor I hereby reQUest rnspeelmn oi obove ? Owner electncal work instnlled ar , Sheet Adtlress, Box or Foute No. City yt,/Fsr E'c,RN er.uon o. 7ownship Name or No. Ranpe No. Counly pst~CoY'14 OccupdnllPRINTI ` Phone No. V ~ Power SuppliCr Atltlre55 bRrMA Elect/ ~ical CI ntracmi (Comuany Name) C~~ntrar.tor's License No. L C- LEGTaF l L ~t U O MaiM1ng Address ICon[mctor or Owner Mabnu InstailaUOnl Pl Cbt Authorized Sf naw vact /Owne k,ny Instaionl Phone Num~er MINNESOTA STATE 9 PO OF ELECTfliGITY TMIS INSPECTION flEQUEST WILL NOT Griggs-Midwav Bldg. - Room N-191 gE ACCEPTED BY THE STpTE BOAND 1821 Umvereiry Ava., St. Peul, MN 55104 UNLESS PHOPEH-INSPECTION FEE IS ' Phnnn 16121 297-2111 , - Fn'^•LOSED. ~ REQUEST FOR ELECTRICAL INSPECTION lir.% ee-°°ooi.on 4 ' See inslmcUOns for com0leting Ihis larm an back XI 9elrw4copy. rn b~ "X" Be/ow Work Covered by Ihis Request liksvvfAdQj Nep. TypO OI Bmldmg AppliOncne WiroA EqUfpmBnl Wir¢A Home Rangg Temporary Service Duplex Water Heater Ligh[iny Fixtules Apt. Buildinc7 Dryer Electnc Healin Commercial Idy. Fumace Silo Unloader InAustnal BIAg. Air CondiLOner Bulk Milk Tank Farni Olher peu V 1hcr ISpemiy) t,77uccily Ot cr Onhe, ompu[e Inspectlon Fee Below p Fee ServmaEntrenceSize k Foe Faxdars/5ubfeeders N Fuc Circwls I A 0 to 200 Am ps 0 to 30 Am ps 13124 0 to 30 Am os Above 200 qinps 31 to 100 Amps 37 to 100 Am s Swinming Pool Atwve 100-Am s Above 100_Ampti Transtormers Irrigation Booins Partial:Other Fee Signs Speciallnspection 00 S OTAL RerrWrks ~3 ( Nough-in e J ' ;MSOectar, heroby certily that the ebove Final C .".e mspecUOn has bean N. medo. Thb rapuast voiA 18 montln Iro. 7his request vmA I ~ 18 nwnths fmm ~ .i ~ A R 7,25 . Fenuest Date Fire No. PooNh-in Inspecuon Repvired~ ?Neady qow ? Will Nutity InsUec- to- ?Yes ?Nu IaF When ReadY 0 Licensed Elecincal Convactor ~ I hereby requeslinspectmn ol above ? Owner electncal work installed aL Street Address. 6ox or fioute No. City oeeT- O r4r e C-1 ec~mn o. Townshlp Name or No. Range No. County Or.cupantlPfllNTI Phone No. ~ Power $uppliyr Atltlress Y~ Electncal CFomractor ICOmpanY Namel ConVactor's License No. ~L m Mailing AdJress ICon[ractur or Owner Makmg Instailatmn) 3. Author¢ed Si nature ( ~tor/Owner M king Install uon) Phone Number MINNESOTA STATE BO D OF ELECTHICITY THIS INSPECTION qEQUEST WILL NOT Grig9s-Midwey Bldg. - Hoom N-191 BE ACCEPTED BY THE STqTE 60ANU VNLESS PROPEF INSPECTION FEE IS 1821 UnrversitV Ave., Sc Paul. MN 55104 Phonx 16121 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001.04 j L:- ! p' See msbuctions far comoleti~ this brm on back of vellow copy. Y GI 1^r 3 "X" Below Work Covered by This Request ~ y3o i lib~ Ad Rep, af 6wltl~ng Apolmncea WireE Equiunient Wirvd Home Range Temporary Service Duplez Water Heater Llghtinp Fixtwes Apt. Hwldinc7 Oryer Electric HeaLn Commercial Bldy. Fumace Silo Unloader InAustnal BIAy. Air Conditioner Bulk Milk Tank Farm omr~ o~cTv ome, 15ucc~iv) t n.r Speu y Othe. Othe, Compute lnspectron Fee Below p Fee Sorvice Entrance5iza P Fee Faxders/Suhfeede,s DIF.. ils U to 200 qm ps 0[0 30 Am ps 0 to 30 llm s Above 200 qmps 31 to 100 qmps 31 to 100 qm s Swimming Pool Above 100F~mps Above 100_Amps Tiansiormers Irrigation E3ooms Partial- Other Fee Signs Special Inspecuon Nemvks TOT F ~ Hwgh-in ' r ~ i Dnce I. tM1 IecTYical aa.. ~a ' cartdy thnt tha above Final ~ D:+t i nspection has bean ~,:.:r•. L~JI-' meae. )ll:~ / tUie repuesl voitl 18 montln from CITY OF EAGAN N• ~ 8411 . 3793 Pllot Knob Road Eagan, MN 55122 PHONE: 454-8100 1) BUILDING PERMIT Receipr # ~ L/7 Te be wzd lor SF DWG/GAR Est. Value $55,000 pOte Auqust 23 _ 19 83 Sire nddress 4734 West Wind Trail E,ecr XXI Occuponcy R-3 Lo1 8 Block 4 Sec/Sub. Park Ridge Alter 0 Zoning R-1 Parcel ~j.` Repair ? Fire Zone NA Robert Odden Eniar9e ? Type of Const. V w Name Move ? # Stories Z Addreu 4928 Shady Oak Road Demolish ? Length 8 ~ Ci Mtka. 33343 phone 935-1169 Grode ? Depth 44 Sq. Ft- p Nome RuSCOn HOm25 AVPravals Feea Address 1000 E. 146th St. Assessment Permit 298.00 Ctr Burnsville Phone 432-1433 warer 8 Sew. su.d,a.ge 27.50 ~ Police Plon check 149.00 GW Nome Fire SAC 525.00 ~W Address Eng. Water Conn. 450.00 iCI Phorx Plonner WaterMeter 60•00 Council Road Unit 250.00 I hereby acknowledga fhat I havo reod fhis aD0licotion ond state thof Bldg. Off, the informotion is correct and ogree fo comply with all opplicable APC Tolol $1~$9.5~ Stafe of Minnewto Statutes and City of Eagan Ordinances. Sipnalure of Pertnittea A Building Permil is issued to: Rusco Homes on fha express condifion thai all work sholl be done in acmrdonte wifh a o plic e S irm o Statutes ond City of Eogon Ordinances. Buildinq Offlciol CITY OF EAGAN N! 'I O J H 4 3830 Pilot Krrob Road, P.O. Bax 21-199, Eagan, MN 55121 PHONE: 454-8100 ,~~'S2, , BUILDING PERMIT Receiot # -H? Te 6e uad #w PORCH Esr. Value +55,000 pate AUGUST 13 19 85 SiteAddreu 4734 WEST WIND TR Erect ? Occupancy Lot a Block 4 c¢clSub. PARK RIDGE Remodel ? Zoning Percel No. Repair ? Type of Conci. Addition ? No. Stories 9 JAMES R MACH Move ? Lgngth Name Demolish ? DepM ; Address SAME Int. Irnpr. ? Sq. Ft. b cicy vnone 452-3942 Install ? m SAME APOrorala Fees o Name 8u Addresa Asussment Permit 50.54 ~ City Phone Water E Sew. SurCharge 2.50 f Police Pian Review rZ Name lu~ Firc SAC ~u p`ddm9 Enp. WaterConn. ~uZ. City Phone Plonner Water Meter Council Road Unit I hercby acknowledge thof I have read fhis apPlicahon ond state thof gidq, Off. $ 13 85 Tr. PI. fhe inlormolion is correct and ogree to comply with opplicoble Stata of Minnesoto Stotutes d Ci o n Ordi nces. p'PC Parks Var, Oate Copie9 Slpnaturc of Vermrttee 14 Total 53.00 A Bulfdin Permit !s iuued : '7AM S R MACH 9 on Me exprca cordiflon Ihat WI work shall be dona in xmrdance wrth oll a i bla State o Minne to Statutes and City o! Eaprn Ordinoncea. Buildirq Ofsiciol L-! 2~ QS1 HOUSE 'HEATING TEST RECORD /0 -5e; 7_~rD- Ucf~'U ir ADDRE55* / ~i~ APT._FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Elacirical Work By Gas Line By TYPE OF HEAT GA _ FA _HW _STEAM _SPACE HTR. UNIT HTR. _OTHER r GAS DESIGN CONVERSION MAKE l^- - MAKE OF BURNER Modsl L F n Model Smial W4~ ~ s•~~, a Maz. BTU Rating INPUT W; 060 MAKE OF FURNACE Model CONTROLS 7HER 0 T T Heat Plug Vent Size Valve~A ~C y KIND OF LINER SIZE NONE Limit O Draft Hood Regularor LimitSsttinga(yS 111 /~Filfars Si:e Number Fan Setting aS~ 1 Chfmney Location Inside Outsida Pilot Type~--~-- Chimney Construdion PilotMake Lf11~f/T~tM Z. ~I'\ - Pilot Model $moke Bomb Wiring Pilot Timing Oroft eo~ Test Tag L.W. Cut Off` Door Pressure Lighting inst. !-1*f Prossure Parcent C02 Y- Date Tssred J -,Pz i Inpuf CFH Percenf OZ Company Testing Stack Temp-~Percent CO ~V Name oF Tester !'/1 & Form 235 ~958 SA-> CITi' OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. .,-G a c- V7b Be Used For ,q; ng.lP F?m~ Valuation ~~~a Date site Address 4234 West Wind Trail " oFFICE usE oNLY Lot 8 Block 4 sec./sub. Park Ridge prect X OccupaT,cy Parcel Alter Zoning Repair Fire Zone Qaner: Robert Odden Enlasge Type of Const. Address: I"b~ # Stories ' 492fi Rhady Oak Road DEniolish Fzont V' 3R' ft. City/Zip Cocle: _MtkaF MN 45343 Grade Depth y~ ft. Phone 935-1169 APPROVAIS FEES Contractor: RusCOn Homes Assessments Permit o°Z $ a 7 Pridress: 1000 E. 146th St. ?4ater/Sewer Surcharge Police Plan Check city/zip Code: Burnsvile, mn 55337 Fire sAC Phone 432-1433 g'g• water Conn. y S O Planner Water Meter 60 ~ Arch•/En4• : Probe Engineering council xoad vnit Bldg. Off. Acldress: 1000 E. 146th St. APC City/zip Code: Burnsviiie. MN 55337 Phone 432-3000 TcYTAL -7 S4 ' J a ~/5, 56 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION Ck.~-~a •29 $2~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I Z 131 1 pK i- CARPENTER,CAROL Site Street Address 4734WE°T,^, 4 W E5r wIII1p TR Unit # EAGAN, MN 55122 (651) 688-7709 , Property Owner J Telephone # ( ) ~ contractor NORBLOM PLUMBING C0. Telephone ~ Address Crty Staie ZiN MINNEAPOUS, M~N~540~ _ The Applicant is: Owner ontrac or Other Alterations to existing dwelling $ 50.00 _ Add plumbing fuctures (excludes water softener and/or water heater--complete next section if installing these appliances). ' _Septic System Abandonment _Water Turnaround (add $125.00 if a 5/8" meter is required) i _Other: Water Softener X Water Heater $ 15.00 _ new ~ replacement _ Lawn Irrigation _RPZ _PVB _new ,_repair _rehuild $ 30.00 State Surcharge $ Sp Total $ 15.5,0 I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be,.in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~p_-(~ IV vT'b1avV1 ox/` Applicant's Printed Name A IicanYs Signature ~c,54 ( /s. s?~ 7~r 4 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN OC I~~. 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Pleas~emnpl~t f omroe difications to existing residential dwellings. Date/e2 I Q5A' I e)-/ Site Street Address Unit # Property Owner Telephone # Contractor Telephone # Address City _ State 2ip 'CZj The Applicant is: _ Owner ~ Contractor _Other Alteretions to existing dwelling $ 50.00 _Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _ Water Turnaround (add $121.00 if a 5l8" meter is required) Other ~ Water Softener _ Water Heater $ 15.00 replacement _ additional i Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 ~ State Surcharge $ 50 li Total I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. Applic nfs ri ted ame ' T c Applicant s ignature AOBE (OHSUlTIHO (HOIH(C11f PICOMPANY, NGINEEAING pLRNNIAI nnd IAND s~A~~YOA: INC: L ~1000 WT 146% STIICCT, EURHSVILLC, YIHHCSOTA S33]7 1'M 472-3000 jdQ4I ~e.scriz~~ LOT 8, BLOCK 4, PARK RIO(wE _ _ DA.KOTA CGUNT`( ~ MINN65oTl~ , • WOP'T SC.A.LEF?"- ^L a 00 Lor b~\1 ~ S • _ ~ C e) ~zl. oJ . ° bP~~`T 7r~j~ N~s \ y b ~'~,,e•~~ ~ y,~,i~nc,E n.1 D ~ Cr a 'c ~o ~ yd ~ ~ ~ ,L Z7 o-- pENRTES IRAtJ MOIJUMENZ'"'SET DENOTES EK\STINC- EI.EVA,TI0I4 J . ~ (-9z.o.0) ' DENOTES PRoPoSEp gLEVATION ~ n tiENOTES DIRECTION o~ SURF/~vE ~R,~~N/~GsE 924.33= FMtSNED c,lR+l(,E. FtoaR ELEVqMot1 974,t,l = TaP oF Cii.oc.V- EL.E.vo.no4 I hereby certify that this is a true and correct representation of a tract of land as shovrn and described hereon. As prepared by me on this 17i+- day of AwG,,sT , 19 83 Minnc.,ota Itegistration No. l`(DFfS 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~3 1--/ 75 3830 PILOT KNOB RD - 55122 651-681-4875 New ConshueHOn ReaWremenh 6p~_ -Sa9 q 5 Remodel/Reoalr Reaulremenh 6 'oo > s reyiaered aro wneys.nowiny sy. n. or iot, aa. rt. oi na,se s coWe: a Pian and Qy roofed areas (20% maximum bt coveraaa allowedl 1 set ol enerpy cdculaHons for heatetl addlllons > 2 coplea of ptans (atww beam A wlndow Yxes; poured Intl. deslyn: etcJ 1 dte wrvey for exfedor addlNOns a dec W > t set a enerpy calculanau > J coples of hee preservaHOn plan If lot platted aRer 7/1/93 ~ DATE: - CONSTRUCTION C05t: DESCRIPfION OF WORK: ^ ~2 Q d C STREET ADDRESS: / LOT: U BLOCK: ~ SUBD./P.I.D. M: lorlr-K ~ Name: r61C'a,~er f0 \ Phone A: PROPERTY at Fini OWNER 1 Sheet Address: `7 City c-uo~Y~ Stafe: Y\ Zip: . Company: VV^C c1rc~'K- L(M~~ =Y~o,PhoneN: 6c7- 1 169 (area code) corrrancroR t Sheet Ad ress: ~ l'fOc:~.-g C'C • License 9 03 S_Exp. CHy ~/U(Y,State: I h Zip: ARCHIiECT/ ENGINEER Company: Name: Telephone Y: ( ) Sheet Address: RegishaHon M: Cly Stafe: ZIp: Sewer/water licensed plumber (Ii Installina sewer/waterl: Phone M. I hereby acknowledge Ihot I hwe read this applicatbn, sFafe fhat fhe infortnafb t~Z. an a` fo c^ wOh ll appqcable State of Minnesota Sfalutes and Ciry of Eaflan Ordinances. Signature of Applicanf: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No ' Tree Preservatlon Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Att - Muki ? 02 SF Dwelling O 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Muki ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Stortn Damage ? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration O 38 Demoiish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code l# of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 7985 BUILDING PERMIi APPLICATION - CITY OF EAGAN NOiE: ALL CONTRACTORS FIUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF- 1RVEY 1 SET OF ENERGY CAI.IONS To Be Used For: 3 S648:A.t; r,rlfGS/ Valuation: eccn.- Date: Site Address: 117 1 V We.5&0) eT,4l c- E+44AA) OFFICE USE ONLY / Lot: $ Block 7 Sect/Sub /i E Erect Occupancy Remodel Zoning Parcel II Repair Type of Const Addition X # of Stories Owner __,L/~'1NES 2 /~4Lff Move Length Demolish Depth Address /,(JpViUi,Vp), Int.Impr, _ Sq Ft I~ Install C i t y/ Z i p Cod e~}§ JY/ Z Z Phone 7s2 «i APPROVALS FEES ~v Contractor Assessments Permit 50.~ Water/Sewer Surcharge Z Address Police Plan Review Fire SAC City/Zip Code Engr Water Conn Planner Water Meter Phone Council Road Unit Bldg Off Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone li SZbo - R'O R E PENCOMPANYf ~j'~~~~I~G COLANN(A~ ndOIAND S~UAV(YOAS IPdC: . , , l -±M O LVT 146h STRCCT, BURHSVILIC, 41IHHCSOTII 55337 rH i3I-~000 LoT 8, BLOCK 4 PARK Ft1o~E. - • - DA,koTA CaUNT~{~~ MINNESoTta, WOPMA / , 900 y ,a~ ?I ~ \ m~°~ _ 7-S ° ~q zg f o~ `i ~y 9 q . o titi ~3 a o w~ ~ o ~ Ra po ~ / . € t400g~ ti b P~o 3~ Z~> ? DRA i~~ ~o ~ iz, Fst*,Jr ° '501S3cx_ L14e D~kRTES IRON M04UMEN7 SEi" • 7ir~ J ~ ~ "~Lo_vJ DLNO'rES EX1S"11t1G ELEVrlTlo~( a ~ P~ C9zo.o) DEF10TE5 PROPoSED F`LE.VATIom \ ~ DENO'~tS DIREC~"loty OF' SURFI.C~E pR,~.IN~.G.E. ~ 9z433=FIN1SuED G1lRkGC FLOaR ELEVq'rtoK 9 24,(.l = Tb P OF (i loc1L ELEV AT10 ~1 hereby certify that this is a true and correct repre:,entation of a tract of land as shown and :scribed hereon, As prepared by me on this 17-1i day of A,-)sT 19 83 flinncsota (icgictration No, 1L08$ WENZEL MECHqNICAL & HILITE ELECTRIC 3600 Kennebec Urive V lJ~ ~ Eagan. Mlnnesota 55122 452•1565 TO: ~ DATE: hn/ n- ta i44oA-rJ_+-_~~r AT'N.: ~l SUB,iECT: Gentlemen: ~ ENCLOSED ~ WE ARE SENDING ? UNDER SEPARATE COVER ? WE ARE RETURNING ( /dz:/-I~ VWS% S ~~O/L~ ~y>f4y . r 14~sTccJ~.?~ 7Y ~ FOR APPROVAL ? APPROVED FOR SHIPMENT ? FOR FABRICATION ? FOR YOUR INFORMATION REMARKS: VERY TRUL YOURS J 1 BY BOULEVARD TREE PLANI'ING OFFICIAL PERMIT PART III APPLICANT INFORMATION: APPL,ICANT NAME: 1)ebrah M ach ADDRESS: "i~I~J4 U~S~ W~nd Tr~~ ~ ~o'f8, /'Loct~4 P/~RK kI/~Gr hO0i7/v/ ~~~3q42, TELEPHONE: °4ADDRESS OF PROPERTY TO BE PLANTED: OWNER OF PROPERTY (If different from Applicant): TREES TO BE PLANTED: Distance Tree Varietv Siz Location . from curb Example: Marshall's Ash 1 1/2" dia. 15 feet south of driveway 11' Z -{i-o m 'f"k InQlC -6nr, ;'2511rt'Goa <~Vv2-11-"j 2. 3. 4. DIAGRAM: Please attach a rough diagram of your lot and the right-of-way area showing the location of structures, buildings, driveway, street edge or curb, and location of tree(s) to be planted. r r AGREEMENT: I agree to plant the boulevard trees according to the above stated conditions. I have read and understand the City Ordinance pertaining to tree planting and maintenance and understand its contents. A copy of the ordinance is attached to and made a part of this permit herewith. I understand that the City of Eagan assumes no liability or responsibility for injury or damage to persons or property however caused through the issuance of this permit. All work done under this permit shall be performed without cost to or obligation by the City of Eagan. Signature of Applicant Date Signature of Property Owner Date (Please keep information sheet (Part I~ and return this signed portion to City Hall, 3830 Pilot Knob Road, Eagan, MN 55122.) FOR CITY USE: Property I.D. # lD - S67So 08o O¢- L.ot ~ Block ~ Subdivision fARK RIDGE Avpr71o,v Application Record Reviewed by: Engineering Date . Reviewed by: ity F ter Date Recorded by:__Y~ ~ Date 22wp:blvdtree.pla 5d (l -7 7 RESIDEPITIAL BUILDING ~ S L/ --~z . o~ Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consirudion ReouiremeoCS RemodeUReoan Reamrements Offce Use Onlv 3 registered site surveys showing sq. N. of IoL sq. fl. ol house; and all roofed areas 2 wpies ol plan Cert of Survey Recd (20h maaimum lot coverage allowed) 1 set of Energy Cakulabons for heated addiGons Tree Pres PWn Recd 2 copies of plan showing beam 8 window sizes, poured found desgn, etc 1 site survey for additions 8 decks _ Tree Pres Not ReqA lsetolEnergyCalculahons Adddion - indiwledon-sResepficsysfem _ On-siteSep6cSystem 3 copies of Tree Preservatlon Plan if lot platted a6er 717193 Rim Joist Dehail Optians selection sheet (bidgs with 3 ar less units Date Construction Cost Site Address I 7~ ~-Z/~~yCdj„~ Unit/Ste # Descrip[ion of Work ~j ~ S YIulti-Family Btdg _ YZ--s' Fireplace(s) _ 0 _ 1 _ 2 Property Owner Li Telephone Contractor Address City q State / S611ZL-Fa ~/Vr Zip -5Telephone # (!5~ D-~ ~U COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Enefgy Code Category . Residential VenGlation Category 1 Worksheel . New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber 1 Telephone ) ~ ' Mechanical Contractor r' 5/ ?nna ~ I Telephone ) Sewer/WaterContractor Telephone ) B I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with ffie ordinances and codes of the City of Eagan and the State of NN Statutes; 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. s7lJ~ Applicant's Printed Name Applicant's Signature ' OFFICE USE ONLY Sub Types O 01 Foundation ? 07 OS-piex ? 13 76-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 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 70-plex ? 19 LowerLevel ? 24 StormDamage ? 06 04-plex ? 12 12-plex Plbg_YOr_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 (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - 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 _ Foo[ings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUtio C.O. _ Footings (addition) _ Plumbing Foundation H VAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ F[gs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insula[ion _ Retaining Wal] Approved By , Building Inspector Base Fee Surcharge Plan Review ' MC/ES SAC City SAC Utility Connection Charge S8W Permit 8 Surcharge Treatment Plant License Search Copies Other Total Connection Charge:. Accouht Deposit: nnit Few r t� w ithe of Surcharge: isc..Charges: Tata1: big Date Paid: AGAR, nob Road 4 _ 199 551221 PERMIT NO.: DATE: No. of Units: City of Eagan PERMIT City of Eaan Permit Type: Permit Number: Date Issued: Permit Category: Building EA106949 09/18/2012 ePermit Site Address: 4734 West Wind Tr Lot: PID: Use: 8 Block: 4 Addition: Park Ridge 10-56750-04-080 Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: e-Reroof Replace House & Garage 434 - 0 Construction Type: Occupancy: Comments: If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: Valuation: 4,000.00 BL - Base Fee $4K Surcharge - Based on Valuation $4K $103.25 $2.00 0801.4085 9001.2195 Total: $105.25 Contractor: Owner: Jeffrey L Carpenter 4734 West Wind Tr Eagan MN 55122--360 - Applicant - 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. Applicant/Permitee: Signature Issued By: Signature City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use`` Permit #: it '0`1j i i Permit Fee: Date Received: Staff: m 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: —___—_ —__— Site Address: 11934 _ \Y) W iv -6( Tenant: COeo — Suite #: Name: _ curd Coir pe'ir eR 7 -70? -f ---- - _Phone: �� I CPg�' Address / City / Zip: _ f , `IV t Tr I ---- Name: _ Appliance Connections Inc. License #: 57 2_0 F M 12850 Chestnut Blvd. Address: City: Zip:952-445-4803 Phone: °,.GY1'li�., Contact: 1 -- Email: C4-13 ? tGL VlCe.OK kgC hs £ & k CGS New Replacement Repair — Rebuild _— Modify Space ___ Work in R.O.W. Description of work: RESIDENTIAL Water Heater _— Lawn Irrigation (____ RPZ /_ PVB) __ Septic System RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) _— New Abandonment _ Water Softener __ Add Plumbing Fixtures ( Main /_ Lower Level) _ Water Turnaround 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.org 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 FOR OFFICE USE Applic 171/CQ ipp s Signature Reviewed By: Date: Required Inspections: _Under Ground __Rough-ln__Air Test _Gas Test ___Final Jun 26 2013 3:39PM BRUCKMUELLER PLUMBING INC 6516882160 page 1 Use BLUE or BLACK Ink *City of EaaB 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 875-5675 Fax: (651) 675.5694 For Office Use LP #: i ( ( C I Permit Fee: /I Date Received: 111 , 13'.1 `(1 Staff: INFLOW & INFILTRATION PERMIT APPLICATION ✓ Plumbing / Sewer & Water Date: i'd'240 43 Site Address: 41734-/ LvGsZama ?tea' / Tenant: Suite #: Name: Cara l Car-pwr11-,6- Phone: (..5/- 8 - 7109 address / City / zip: x%73'/ W.es," 101/161 d ri'nr/, Eaten nisi 55/aa Name: i f`acCnitet //Cr"f t m kit , fiv. License #: (' Ca i - pen Address: gqr Pef7/?;'titr/ 14 / l.3 AVe/luc C City: ( c29/.7 n State: MO O zip: 657.13 Phone: (FS CO L'4 CP q1 t:Q Contact: r r' pr• Tu 1 Email:jr1 UG/L Ctp I /2[2 fr PLUMBING (Within the building envelope) ✓Sump Pump Repair Other: SEWER & WA TER (Outside the building envelope) Repair Other: Description of work: f3ri t'1 ',/,t rni) PI r1 f) pia e19 ftp J (iicie, FEES $60.00 / Each (includes $5.00 State Surcharge) TOTAL FEES (A d • caO 'Permit fees will NOT be reimbursed by the City of Eagan. ff you plan to submit I/I repair costs for reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors can be found by visiting www.citvofeaaan.comlinflow, or City Hall at 3830 Pilot Knob Rd. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aonherstateonecall.or4 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. x J u r t e 6 ruriefftue/� '— Applicant's Printed Name x Apptrcant's Signature City of Eagan PERMIT City of Eaan Permit Type: Mechanical Permit Number: EA129285 Date Issued: 01/28/2015 Permit Category: ePermit Site Address: 4734 West Wind Tr Lot: 8 Block: 4 Addition: Park Ridge PID: 10-56750-04-080 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. Applicant: Janel Behrends 122 West 3rd S Fee Summary: ME - Permit Fee (Replacements) $55.00 Surcharge -Fixed $5.00 0801.4088 9001.2195 Total: $60.00 Contractor: Haley Comfort Systems 1223rd StW Hastings MN 55033 (651) 437-0338 - Applicant - Owner: Jeffrey L Carpenter 4734 West Wind Tr Eagan MN 55122--360 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. Applicant/Permitee: Signature Issued By: Signature City oPEaRall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 APR 1 8 2016 r Use BLUE or BLACK Ink For Office Use (� IL leg Permit Fee: 7 03 / Date Received: ( 46 - Staff: Permit #: /3 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Name: --1'e-1 l _11-0-p-e-41,4EC_(L_ 14qT Address / City / Zip:-4-7'))LNFA-,43�1 P ,� /� rJ i ' — Phone: Applicant is: Contractor 8144-i'• � ` t Description of work: Zioto J!� �- P(Ac% i7c S'tn,z� 8A4 Owner Construction Cost: 060c`) Multi -Family Building:,(Yes / No ) Company: Ca-n.CE-P+5 Conta City: 31—. j State: 77/Ai : 51°7— Phone: 175/'40S 0/5EmaiI: M� G c a Carr? Lead Certificate #: KAT" T 2 31 I ,— 3 - 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 ons that would permit the City to conclude that the are trade secrets.�� CALL BEFORE YOU DIG. Call Gopher State One CaII 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 b 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: 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 appro al of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 x i t O `-' days of permit issuance. x Applicant's Printed Name pplicnt's ignature Page 1 of 3 Yel J • LieS �� f�� -- (,�, !"� DO NOT WRITE BELOW THIS LINE (�i C� SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Porch (3 -Season) Porch (4 -Season) WORK TYPES New Interior Improvement Addition _ Move Building iAlteration _ Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% Census Code # of Units # of Buildings Type of Construction At .3 �t 1 Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Foptings (Addition) Foundation Roof: _Ice & Water _Final At Framing Fireplace: _Rough In _Air Test _Final Insulation Sh�]eathing Shcetrock Fine Walls Braced Walls Shower Pan Reviewed By: RESIDENTIAL FEE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S8&W Permit & Surcharge Treatment Plant Copies TOTAL Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant .162 c.�1 MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required ANNIP VIP Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: Stucco Lath _Stone Lath _Brick Windows Retaining Wall: — Footings _ Backfill _ Final Radon Control Fire Suppression: _Rough In _Final Erosion Control Other: , Building Inspector :_ I AlfZi;r fonn4 P,4 cog- 14,044$ 40 /24/1, ";r- 5 33 Page 2 of 3