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4738 West Wind Tr . ~ CITY OF EAGAN , 3795 Pilaf Kwob Rood Eaoaw, MN 55122 875 PHONEs 154-8100 ~ BUILDING PERMIT Receipt # $c0,000 Te be uMd for Est. Value Dote 19 Site A `ress J R3 , Erect ~ Occuponcy Lot ~J `Block 4 Sec/Sub. /11ter Q Zoning Parcel 10--56750-100-01 Repair •0 Flre Zone N/A Enlarfle ? Type of Const. V IAI= oc Nome E' JOY 3 3 7591 j~'`1T'~Y D~,.'.I`,~" ~'~OVe ? # Stories b Address~. 432-4.~i9 Dernolish p Length Ci pho~ Grode Q Depth ~ Sq. Ft. 0! Name ~ I ' . Approrals Fee¦ o . vU Address 1.1,6^iI I C71'. 17G Assessment Permir • ~ Cit phone `'~--14 3 3 Water85ew. SurcFwrfle J0•00 W Name --rLati ? P~, r- 7I^~'.12~"?t'' Police Plan check Firo S/1C ~z 1000 E. 1~~5T_i :7r. 450.00 x~ Address Enq. Water Conn. <W Ci Phone 432_2~)44 Plonner Water Meter : Council Rood Unit ')-,0' `0 I hereby acknowledge that I heve reod this oppticotion ond stote tfiat gldg. Off. the iniormation is corred and egree fo comply with oll opplicable Stote of Minnesoto Statutes ond City of Eogon Ordinonces. APC Totol 5ipnarure of PeRnittee A Building Permit Is issued to: RU`'C)A1 f'01`11E; 7' r on the exprcss condition thnl oll work sholl be done in accqrderxe wlthpll opplicable State of Minnesoto Statutes ond City of Eopan Ordinonces. 8ufldinq Official =-.~i ~ Permit No. Permit Holder Misc. Permit No. Holdar Ptumbing y- 9 ~ an H.~.a~. aa7 ~ - ~ w.n Weter Disp. Srwer Elactric A 16 6\ 9 Inspsction Dats Insp. Other Footinys Foundation Framinp 3 ) Rouph Plba j ' Z'2 l.cJ ~ Rouph HVA Inwlation ~ Final Plb~ Kj Final HVAC ~ 7- Final _ •~-.,1t ; " Wabr ftcribe Location: VYell Sewer • Pr. Disp. CITY OF EAGAN Remarks Addition PRRK RIDGE 1ST ADDN Lot 10 Rlk 4 parcel 10-56750-100-04 owner street 4738 1VEST WIND TRAIL stace EACM MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF, 104.40 A014077 6-15-84 STREET RESTOR. 491-14 12-80 19 1.99 C009672 10-11-84 GRADING SANSEWTRUNK . 1 82 147.21 81 lrJ 117•7$ A014077 SEWERLATERAL 4 6 120.23 C009672 10-11-84 WATERMAIN WATERLATERAL 4 ' 1985 35 26.42 15 396.35 C009672 10-11-84 WATERAREA 1982 ilt, - 117.78 A014077 - - STORM SEW TRK 1985 370.93 24.73 15 370.93 C009672 10-11-84 STORMSEWLAT ,4 1985 109.58 7.31 15 109.58 C009672 10-11-84 CURB 8i GUTTER SIDEWALK STREET LIGHT ROAD UNIT 250.00 40789 1-9-84 WATER CONN. 450.00 of ti BUILDING PER. $7S9 SAC 525,00 it it PARK 11VNYl:t:'1'lUN 1tLUUK1) GTY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . DA I NH. , ~ ~ Permit Holder Date Telephone M PLUMBING HVAC Inspectfon Date Insp. Comments FOOTINGS FpUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE uW • FIRF?LACE - - - AIR T. ST F~NAL PLBG FlNAL HTG ORSAT ~ TEST ~ BLDG FINAL I DUMESTIC i METER IRRIGATION METER FLUSH 61AIiJS CONDJCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAI DECK FTG DECK FINAL p Reoeipt MECHANICAL PERMIt Perr*it No.'' CITY OF EAGAN 4 Fee Fill in numbered spaces . S/C ~r Type or Print legib/y Tot. • 7 C 1. Date 2. Installation Cost ' f ' 3. Job Address - -J'~--- Lot 81k. y' Tract 4. Owner ~ 5. Contractor ' ~ „n ~-.L)YD\:L-,rPhone ; 6. Address 7. City State" Zip. i 8. Building Type: Residential Commercial O Institutional ? 9. Work Description: New Cl Add 0 Alter O Repair 0 10. Describe A.. Fuel Type • . ~-f~ - 11. No. Eauinment 8TU - M. Ea. No. EQUipment CFM + Forced Air Air Handling: Mfg. Boilers ~ Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. 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 : for Rou6h Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 / Receipt ~ ~ PLUMBING PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces , S/C ` Type or Prini legibly Tot. ~ 1. Date 2. Installation Cost • ` i,,,_- 3. Job Address Lot Bik. ~r Tract 4. Owner 5. Contractor 1' v Phone 6. Address / `Y ! - C • ! c, ti c 7. City l -,c v i r ~ State i`__1 Zip 8. Building Type: Residential ~ Commercial ? Institutional O 9. Work Description: New El Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Ctoset Cesspool/Drainfield ~ Bath tubs Septic Tank ' Lavatory Sottner Shower Well ; 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 : , ! _ , . for . Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ihis repues[ void 18 months fram ~ ~ 1[~ ~ 1 9 L J° ~ g ~i R R.-tL' }Z O E 3~•S a Request Date Fire No. Req FouBhr-iedn?Inspection (:]Ready Now VOL/ Es ? ill Noiify Inspec- N. ~o~'N~+@n Ready ~censed Elecirical Contractor 1 here6y reques[ inspection ot abava ? Owner elec4ical work ins<alled at Street Address, Box or Route No. City `i ? c.c)EST" C4r4-k7 ecLon o. Township Name or No. HanBe No. Coun/ty Occunt(PPINT) Phone No. p-V Power Supolier AAdress 44'I"-OZ"q L--LC-T- I yc'9'2aa'f-~ EI¢cvical Contractor IComu,,ny Name) Coniractor's License No. /3 if c_ ;::-7 L-A~~Cvh'i L / ct c- Mailing Address (Coahactor or Owner Making Instailationl , Authorized at rect)Owner Ma 'ng Installqtionl Phone Number i~ ~ s`y MINNESOTq STATE HD OF ELECTRICITV THIS INSPECTION flEQUEST WILL NOT Grig9s-Midwey Bldg. - qoom N-191 BE ACCEPTED BY THE STATE BOARO 1821 Univerei<y Ave., St. Pew, MN 55104 UNLESS PNOPER INSPECTION FEE IS Phone (612) 297-2111 . ENCIOSED. REQUEST FOR ELECTRICAL INSPECTION Ea-ooooi-oa , See instructions for comoleting this torm on bnck of yellow copy. '41 O'(^ '"X" Belaw Work Covered by This Request ~ Ne4Addj Nep. TYPe oi BuildinB AVPlionces Wired Eqviomabt Wired t i Home Range Temporary Service Duplex Water Heater Lightiny Fixtures Apt. BUilding Oryer Electric Heatin Commercial Bldg. Fumace Silo Unloader industrial 81dg. Air Conditioner Buik Milk Tank Farm Other Spea y 1herl5oeciiy) ther SVecify [her Oth.r Compute lnspectron Fee Below N Pee SBrvieeEnVanceSizo !1 Fee Feaders/5ubfeedars tt FeA Circuits U to 200 Am s 0 to 30 qm s ~ 0 cn 30 Am s Above 200 qmps31 to 100 Ainps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100_Amps TransiormerS Irrigation Booms Partial•'Other Fee Signs Special InsUection S ~f FF Hemarks r C$ Rou9h-in Date ; the eal nspector, hereby enify thet the above Final F~~~p ~ inspection has baen . . ` mede. Thia request voiE 18 months fmm CITY OF EAGAN NO 8759 3795 Ptlot Knob Raed Eogan, MH 55122 PHONE: 454-8100 ~ ,~fG BUILDING PERMIT Receipr # ?~~~d, SE' L~/GAR $60,000 JAN[]ARY 9, Te bs wed 1or Est. Vulue Date 19 84 Site Address 4738 WEST WIND 'PRAIL Erect ~ / Occupon[y Lot 10 Block 4 Sec/Sub. PA"K P= _J Alter ? Zoning RI Parcel 10-56750-100-04 Repatr ? Fire Zone N/A Enlarge ? Type of Const. U s Name JOY STARK Move p # Stories Z Address 7591 MII4Y,'Y DRIVE Demolish p Length 38 9 c; APPLE VALLEY Phon~ 432-4369 Grada ? DePCh 46 sq. Ft.- p Name RUSOCN HOMES INC• AVMovals faes Addrezs 1000 E. 146TH ST.,#100 Assessmenr vermit $ 313.00 Water 8 Sew. Surcharga 30.00 f- cie RtmnrSVrraF. vr,o„e 432-1411 156.50 bMARK NAGFS, / PRQBE ING~'FRrn~G PO~ice Plan check w Nome Fira SAC 525.0~ ~w Address 1000 F._ 146`fH RT_ EnO. WaterConn. 450.00 <W Ci BLRNSVILLE Phone 432-2044 Planner Water Meter 60.00 - Council Road Unit 250.00 I hereby acknowledge fhot I have read this applicorion and state that B1eg. off. 1 9 84 fhe inlormotian is corrett ond agree to comply with all opplicubla AP~ Total $1.784.50 Stote of Minnesoto Statutes and Cily of Eognn Ordinances, Slgnature of PermiMee A Building Permif Is issued to: ~02CEN fTCNFS ~7E on the expreu wrdition thm oll work sholl be done in acc unce w~th ll.upplicoble Sta12 of Minnesota Statutes and Ciry of Eagon Ordinonces. Build{ng Offlciol wl 1-~ x 'e,P X7s5 870 Sp/Lev. CITY OF EAGAN Include 2 sets of plans, , 1 site plan w/el.evations & ~ BUILDING PERMIT APPLICATION 1 set of energy calculations.~ -1 Q. 6o-a To Be Used For Songle FamibY Valuation $§Date Site Address: 4738 West Wind Trail. Eaaan, MN. OFFICE USE ONLY Lot 10 Block 4 Sec./Sub. Park Ridge Erect Occupancy Oe2 Parcel S D- I6Z- p~ Alter zoning Repair Fire Zorte Owner: Larry & Joy Stark Enlarge -Type of Gonst. Nbve # Stories . pddress; 7591 Whitney Drive Demlish Front s€ ft. Grade Depth ft. City/2ip Oode: ApPle palley, MN. 55124 Phone 432-4369 APPxovALS Contractor: Ruscon Homes, Inc, Assesssents Permit c~/3 42t ~ Address: 1000 E. 1~+6th St., #100 Water/S2wer Surcharge $o police Plan Check & -Tt--° City/Zip Code: Burnsville, MN. 55337 Fire SAC Phone 432-1433 En9• Water Conn. y 6'D ~ Planner Water *leter ~+;Q Arch./Eng.: Mark Nagel / Probe F~inee Council Road Unit ~ ri16- gldg. Off. ''0,1' Address: 1000 E. 146th St. APC Gity/Zip Co3e: Burnsville, MN. 55337 Phone 432-2044 / 432-3000 TOTAL FNOBE CONSUITINa lHOINltI1S GINEEAING PLp?+?+(A: ond IAHD iUlIVtYK432-3OOO COMPANY, INC. ~1000 [AST 146IA STIICCT, OIxIHSVItLC, MIHHC20TA SSSS7 io, ~4-K,K iZiD66. '.0aNTV , jv1'NNE / --v ?c.~ ~ SS~•2 I ' i-~ •l 6; ~ ~S il • ~50~ L ~ . . . ~ O~ j T•o` t ` `-°r 1° ~ tio Rrt-) r-..t,ALt, 1O^ 3U ~ s 2'~ ' C~~'~/ BEAK~C16s SHOVIN ARE ASSUMED / ~ --~t s z c \Vti va t. ~o `N ~ v M ~ N ~,azs.'~ pE~JeT~~ EkiS~i~to cIEVAT1oI~ \Z\TI \f;' . c9~ y~6 ~ gl / ~ ~9a5.o, I%Er1dR'S ~'oPbsc~E~Ilrrlcci f nID1CA'fLrS DIREG.TI01~ OF 5~ S DfzAiNAGE Aµp SuRFAcE DRPiucLE °o 0 uTiLr7y EAsEMEN T >1~~ • 9~~5~ s FwiSNED 6vKb6E FIa:F rLe`G = 9u,5 I rereby certity that this is a trua and carrect nprasentation ot a tract ot land at shoxn'and deicribad hereon... As prepared Dy me on this -arsr dar ot DEc~n,~e~. • ~ 19 83 . ' ~ AOBE COIISULTINO [NOINltI1S PNGINEEAING PLANNtlli ond IAND iUI1VtY0Af COMPANY, INC. L .1000 CAST 146M STIIECT, EURNSVILL[, MINNCSOTA SSS)7 ?M ~]2•3000 cef-~ qa0 suf-=.-e y j.=a~at ~s rlPzrO?i • LoT ~o, BLD(, K 4, r7AV K K 9106E, . L~iKoTA i;ouNTY, M~NNE•oTA . '-v>~a \k.ie) 7~~°'j,v s ~ ~ 5~ i • P kriy~~.f-. ~ y . ;•s~ ~ 0 4rF~ SEt'gqc~ u..~E /`l kRLt 1'~^ 3d~ BPi4KqjLS SHov,LN 'ARE ASSUMED ' bJo, ~ ~q~;y,8'o. ~Q ~!g a.v O GEinIbT~> 1Rorl Kbr1uMCNT'.iCT ,3 t ~ flh ~ 1 aN ~ 2o V ~ N ~9zS.oJ pEt~oTES EkiSTir~b E~EVATiohl ~-I c4~ ~a y26 •o ti; h~ % C~' ~9s5.o) per1dR'S FKoPosE~ Et~'isrrtot~ s R~' °-o ~ ~ . Jr.IDICATC`. C>IRF1-T10I.1 pF SURFAce PZA1yla~E ~L pS S R'AINA6E AND tip .~o ~o ~ UTILrTy FAsEMEN T S . ~ ~9zyp~ F~N~sNED G-~~ar~E Ftcoe ~~e~/. = 9tL.5 2hereby eertify that this is 4 true and carrtct riprasentation ot a traet ot land a• sho+m'and demeribed hereon.. As prepared by me on trie z~iv dar ot D~aEr"• ' ~ 19 83 . ° . . ~ lfinn? 1teg. Xo, ic/-0$5 P AOBE . cONSUlTINO lNOINtEllf NGINEEAING PLANNEIIS and LAHD lUlIV~YORi COMP.ANY, INC. L 1000 U3T 1461A STItEfT, OUNNSVIII[, MINNC30TA SS337 ~M 432'3000 Cer1~i}' cac~ ~S~ttf-ir-e y ,j~aat ~:crLle~to,i • Lor 10, 8L0(,V- 4, ;*KK R~066, L?AKo7A ~'_.ou NT `f .M,N 1qEso7 A. -Av>~o ~~.e) ~~oy6'~'V i ~ I ' J~ /IL Q P1ri °~~,•s; ~-'~`r '-s~ , : ° ~,Jo QrlJ SErBh~k, uaE SC.RLG 'So~ $eAK%e16s SHD*LN ARE ASSUMED 8 'bJ~"` ~ (s~s~~ ~L~ ~~•s a ~ P~NoTC> 1RotJ NbrluMtNr SC'f v'`~ m a° t / ~ flh \o N o . r \ o ~-IT Q o U ~'S5 `2 ~ ~ ~M ~ N `9'tS.oJ pChlorES EkiSTi'ao E~EVATIOr1 d`7 'Pp 926 O ti~ Nl i ~ (,9t5.oJ pEridPES .PKoPos~,r, E~var~oel ST F41 °0' ~~DICA"ft"S DIREG.T~O/l OF A / 1l .SuRFAcE D2Ai?1~GE ~ S R'A/NA6E AND utiLiTy EAsEMENT T,P~ p2 ~s~ s . ~9rye~ ~~rusNFJD C~~a[~ FLo~e 9u..5 2 rereby certity that thii i• a true and carnet reprasentation ot a traet ot land a• •hovn'and described hereon... Am prepared by me on this Z~ro dar of D~~• " ~ 19 83 . • . . ?finn. 1teg. 110. i~,__ rriiu,irs ru+N ~nxvi~~ . y+'~~'(3.a y . : _ . . ~T . , - - fEXTERIOR ENVELOPE kYERAGE "U" COMPUTATION , . . r,.:. . . . OWNER ~.QSL- S F , , . . , . . . . : : . . -v' ..s. . _ : , l-._ . . , . i ! . . . ' .3. e ~ `.M'" , . . ~ .v. . ';J; . . . . ;r.. , . , f SITE ADDRESS LONTRACTOR R~ )c Lr~rJ - DATE . ' PHDNE° • Determine working square footage of each. ; Iq Lod a sq. ft. x Z 1.02 • , 1. Total exposed wall area 2. Total roof/ceiling area 8 SO sq. ft. x .04 = S.•Z- , Total exposed wall area above floor = }Z ~-1 a. Tata1 wall window area b. Total door area 3 8 ' • _ c. Total sliding glass door area . y 4 d: Total fireplace wall area e. TotaT wall framing area (average lU%)...:........ .I f. Total net wall area above floor I^_ . g. Total rim joist area Total exposed foundation area = R~f•`I S h. Total foundation window area In,3 • 1. Toal net foundation area abpve grade rlA,if3 Determine "U" value of each wall segment. a. 104. `4 Xtoulk . 55 = 57,yZ b 33 Xlluii C. x uUn d _ X Dull e. X"U" ~ 12 = IZ,~3 f. G 55 .4'~ x,lu,l 9. l z 8 X„u„ ~ a 5 n. tn.3 g„u,l .55 = 3 lo • x „u„ , q Lp4 g . ......................I.`IU P.:.yg..Tota1 = 200 If item B3 is the same as, or less than item f1, you have met the intent of SBC 6006(c)2. - Total exposed roof/ceiling area 880 _ Total gross roofJceiling area = g8~ . : ' _ _ _ . . - _ ;.A. - j. Total sl~ylight area'.:...................... k. Total roof/ceiling framing area R 1. Total net insulated roof/ceiling area..-..... Determine "U" value for each roof/ceiling segment. X 14uss k. x "U'8 i. "79Z. X „u„ 4.................... ~iQ .........Total ° Z (o, If totai of #4 is the same as, or less than #2, you have met the intent of SSC G006(c)i. • . To utilized the total envelope system method, the values established 6y the sum of items 713 and y4 sha11 not be greater tfian the sum of items #1 and a2. _ + 2. _ 3. + 4. _ DtATERZALS Therm. Eesistance "A" Ezterior Air , 1'7 S2dirg Material -1) Sheath'ing Z , 010 Ins:il.ation 1-5 SheetroCk ,4 5 fnteriox Air , Ln tk Studs ,4 ~3,B Rim 1. AB Conc. Blks. 1.7 B . . EE iz/a~ j CITY OF EAGAN r1PPL2CATIOIV FOR PERhIIT - SEWcR AND/OR WATER CONNECTI0.1 D S sc~~ (PIEASE PRINi) ~ ~ ~ G j 1) PROPER71' ADDRESS: i r.Frai, DES~."4T_?'TZC:I: 4o Q (Lot/Block/Sutx_7ivision or Tax Parcei I.D. unber ir E{I=STRL'CtL':ZE, Dt1T' GF CRIGi~dAL Eii1LCL`:G ?EF_-1IT ISSU?SCE: ~ PRES.-`_ ::^`II`r,/_' .~C)°OS= U5E: C9'R-1 SLVGLW rP?,IILY - , ? R-2 GUP= ('IS%a Wi ITS) 0 R-3 TCiv~i.IEICZ;SE (Tf'y2E"' + []n7jTS) ( CNITS) ? R-4 PpAR7PE~:T/COi~`,LNIU,1 ( UNITSj ? CQ'-=C7AL/RETAII,'OFFICE p L'1)L'STRIAL ? INSTITUTIONAL/GCVE.R~\m1ENT 2) ApPLI= 1PL ASE PRI4i) ADDRESS: CTTY, STATE, ZIP: ~ - PHONE: 'G3 2-- A% J 3) Pu:_IBr~ ~IE• SE PRINi) FOR CITY USE OHIY ~ PLLNBERS LICENSE: ADDRESS: fJ v?~-v ~ Active CITY, STATE, ZIP: Expired Not of Record PHODIE: y PLIIMBER LICENSE H 2. J C/ 3t~ lnltla r}) pCCT,Tpi~/Cr,,ji~ WIE. (PLEASE- PRINT) r ADDRESS: CITY, STATE, ZIP: j~ PHC}:VE: S) INDIG;'I'E WHICH PI;IT BEIiv'G REQUESTLU: Cd., ION 'I1~ CITY SE~rTEft Eg- C0~",VF.Ci'IGN 'IO CITY W}1TEft ? C7I'I'ER (PL,FASE DFSCRIBE) 6) I1pIG, = 0:.E: ? PL:'1SE f!OLD APPR(7VED PEg;titZT FOR PICK-UP BY ONE OF ABC)VE ? PL.EaSE R]AI rPROVEI) PER%tIT 'IO 1, 2.0 4 ABWE (Circle one) » 5ICMT.RE: DaTE: 3 ~ ' ' a~AYfi~iii:ii~alPl~.l:1~i~~J~l~f~~!l~:p'~L•w F O R C 2 T Y U S E O N L Y PERMIT ISSUED ~n~tr , v FErS: $ SE:vE° n T (I`~Cr::D~ Sli..C. ~H1:r,._") $ WATER PEI2P1IT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER +S WATEP. TAP (I.1CiUDE CCP.PORATICN SiOP) $ SEWER Tnn $ ACCOUNT DEPOSIT - SE:1IER $ ACCOUNT DEPOSIT - WATER $ wac $ sac $ TRUiVK '.JATER ASSESSi-1E:7T $ TRliNK SES9ER ASSESSMENT $ LATEP.AL BENEFIT/TRUNK SES9ER $ LATERAL BENEFIT/TRUNK WATER $ ' OTIIER $ TOTAL $ ANIOUNT PAID/RECEIPT " DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO TfIE FOLLO?•IING CONDITIONS: APPROVED BY: TITLE: DAT° : .e s~ ~~a~ s~ a~ ~c~+a ~cw w~ w sr~ w~ w.a w~a ~e s~ ws~ wa ~t ~ ia s~ Ra w.~ ie ~s~ w~ - i D I Ci4y of 1lLLpn ~ Permit# EH I ~ I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 ~ Oate Received: ~ Phone:(651)675-5675 I ~ Fax: (651) 675-5694 i Staff: i 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: SiteAddress: y76S M U11hi7wj 7enant: 111-GI I Suite RESIDENT 1 OWNER Name: MO~~~~CJ Phone:l!!Jl' cb~6' Address 1 City I Zip: 417i MU 7WI.612,~4" 1` ~.Y a~rX - . / Applicant is: _ Owner ~ Contrector TYPE OF WORK Description ofwork: Construction Cost: Multi-Family Building: (Yes No k) CONTRACTOR Name: 6Q,n.M& d! ~/"~YI~ License AAM ~ Atldress: JCfI 1L`ig • City: /S!t~ate:m Zip: Phone: ~ Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672 Ene1'gy COd@ ; r Residential Ventilation Category t Worksheet • New Energy Cotle Worksheet , Category Submitted Submitted (4 5ubmi5sion type) _ Energy Envelope Calculations Submitted , 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 masterplan: Licensed Plumber: - Phone: Mechanical Contractor: Phone: Sewer 8 Water Cantractor. Phone: s NOTE: Plans and supporting documenfs Yhat you subm~ft are con`sidered fo be public informatron <portrons r the rnformaUon may 6e classrfred, as`non public~rf you provide specific reasons thattivould permif ihe CTfy fo3~ ~ , ,~....CORCIUd6'tB8ttt16dC2 VBC~I&..SCGIBTS. I hereby acknowledge that this information is wmptete and accurate; that the wotlc will be in contonnance 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 permR: that the work will be in acco nce with the approved plan in the case of work which requires a review and appro al f plans. X X ApplicanYs Printed Name Applican s Signature Page 1 of 3 Cf `Q ELAN • fib Road VIfA'f.. SERVICE PERMIT ;:, 21199 PERMIT NO.: 1326 - BilN 55121 DATE: —12— 4 R1 No. of Units: 1 Aidefret;s: ;Site Address: 4738 Nest Wind 'Trail L10 B4 Park Ridga Pha er. Star Plbg Meter No.: Connection Charge: 450.00 pd Size: Account Deposit: 15.41 pd Reader No.; Permit Fee: 10.00 p . I agree to ..reply with the City of Eager Surcharge: .50 pd ()tpe. Misc. Charges: 60.00 pd teeter Total. By Date Paid: Dote of tnsp.: Insp.: Y' SEWER SERVICE PERMIT 383r Mt Knob Road 6x15 3. Box 21199 PERMIT NO.: Eagan, MN °551211 DATE: 12 Zoning: No. of Units: Owner: } ..re ,,+, . > ,Address: Site Address: I ‘i _ . *0 - 0 e : r i. plumber: .: : ,' P1. i ���� 1-9 ----- 100.0$ pd 1 spree to comply with th of Eagan nection Charge: t? S 41/1 p Ordieeneee. Account Deposit: 15. Po . f�ermit Fee: 1Q.ta �, 1 S rchorge: BY Dote ` / t �' '7 T -- r— 1 Insp.: Paid: PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA125872 Date Issued:08/06/2014 Permit Category:ePermit Site Address: 4738 West Wind Tr Lot:10 Block: 4 Addition: Park Ridge PID:10-56750-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Tony Boerner 2090 County Road 42 W Burnsville, MN 55337 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 Surcharge-Fixed $5.00 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 - Lawrence H Stark 4738 West Wind Tr Eagan MN 55122--360 Tony's Appliance 2090 County Road 42 West Burnsville MN 55337 (952) 435-2442 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA149830 Date Issued:06/12/2018 Permit Category:ePermit Site Address: 4738 West Wind Tr Lot:10 Block: 4 Addition: Park Ridge PID:10-56750-04-100 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Haley Comfort Systems 4320 Hwy 52 N West Frontage Rd Rochester MN 55901 (507) 281-0138 Applicant/Permitee: Signature Issued By: Signature r For Office Use S 3 `t v p e# :::: EAGAN RECJEIVTD. 4 Q -�./ D 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 JUN 0 6 2019 Date Received: 6- l _ I (651)675-5675 1 TDD: (651)454-8535 I FAX:(651)675-5694 Staff: buildinginsoectionsacitvofeagan.com 2019 RESIDENTIAL PLUMBING PERMIT APPLICATION DatEtidri I Site Address: 4134r 0e,(71t4t7:11 1 14 A 1 Tenant: �� 1(— Suite#: Resident/Owneri Name: , . -. r Phone: • .� A z ,; •;r Address/City/Zip: 1 f W es�, .`.:.:4,1,1:44.-,14.k...:. Name; MILBERT COMPANY dba CULLIGAN WATER License#: WC641376 Contractor- Address: 1801 50TH STREET EAST City: INVER GROVE HEIGHTS • State: MN Zip: 55077 Phone: 651-451-2241 Contact: BILL MILBERT Email: gloria.abas@culligan4water.com —New Replacement —Repair —Rebuild _Modify Space Work in R.O.W. Type of Work — Description of work: Water Heater —Lawn Irrigation( RPZ/—PVB) y Water Softener Add Plumbing Fixtures( Main/I . Lower Level) Description Septic System Description: New Connection to City Water from Well .. ._ _ Abandonment __ � � _. _. RESIDENTIAL FEES N $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 New fixtures, adding or removing piping(includes State Surcharge) $60.00 Septic System Abandonment $100.00 New Residential (fee collected with Building Permit) $115.00 New Septic System (includes County fee and State Surcharge) $60.00 Connecting to City Water from Well" +$290 for Meter and $190 for Radio Read =$540 *Sewer&Water Permit also required for connection charges 60 00 TOTAL FEES$ CALL BEFORE YOU DIG. Call Gopher State Ono Call at(651)464-0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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 ermit; that the work will be in acro an a wi h the ap ve an I th c e of work which requires a review and aperjal of pl 'OM X x "V, PA ii -1---, , Applicant's Printed Name Applicant's Signature Page 1 oft• PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA169445 Date Issued:05/26/2021 Permit Category:ePermit Site Address: 4738 West Wind Tr Lot:10 Block: 4 Addition: Park Ridge PID:10-56750-04-100 Use: Description: Sub Type:Residential Work Type:Rebuild Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Victor Soderholm 4738 West Wind Trl Eagan MN 55122 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature