4740 West Wind Tr
cirir oF EAGaN
, 3795 Pilat Knob Rood Eopoe, MN 55122
1'•~ ~
. PHONE: 4514100
BUILDING PERMIT Receipt # "
Te be. wnd iiir SF D{-JG/rAR Est. Volue $50'000 Date Jr'1NUA.' ;Y 10 19 ,
t
Site A~d~ess I Erect Occuponcy •
1.~ ~ FAIZIi RTOTL
Lot Black Set/Sub. Alter ? Zoning `
pamel # 10-5E750-110-04 Repoir ? Fire Zone
,
t1 EnlarQe 0 Type of Const. `
oc Nome Move ? # Stories
i 1 ^ .l Ii~JLLY~J1:?. ''11"'Ii 3;?
/lddress Demolish p Length
9 :
Ci V"AL . ~ne 4 32 - 94 8 9 Grode p Depth Sq, Ft.
°C Name ''L. SCO?1 FION`3:N , INC. Approvab Fees
Z~ 1`~ ,7 E. 141- `^i: S T., 10 Q Assessment Permit - ` ~577-0
, O O
/lddreu Cit -'t"l'".^~'~ILL:~ ~one 4 ~ 2--1 433 Water 3 Sew. SurcFar9e 1 11 90
n check
'A. r.-„ T, • Police Pla ~Z
t"U
~W Name r T_ Ci. ..d Firo SAC
~Z E. 4: ; .T. ~f~~.,.oQ
L Address Enp. Woter Conn.
ci riU.RI'1 ~~T? LL' ; p~~ Planner Woter Meter _~~0 ~
~ Gouncil ~ Road Unit
1 hereby otknowledge thot I hove read this applicotion and stote that Bldg. Off. 5f,
the in}ormntion is correct ond ogree to comply with oll opplicoble
State o# Minnesota Stotutes and City of Eogon Ordinances. APC Totol
Siynoture of Permittee
n-,.,,~ l'd ?j~',•TT'~ .
A Building Permit Is issued to: on tfie express tondition that
all work shall be done in qCCOrdante with 911 npplicoble State of Minnesota Stotutes ond Cify of Eagan Ordinonces.
A
8uildinfl Offlcial
Permit No. Permit Holdsr Misc. Permit No. Holder
Plumbing enjOgL*n qq$
H.V.A.C.
Wall
Wrter
Disp.
S~wer
E'°ct.ic 1 L l + L
Inspectfon Date Insp. Other
Footinyt Z - ? 7 '
Foundetion
Framinp J
Rouph Plbp. z 0-,?-
Rouqh HVA
Insulation
Finsl Plbp, I ~
Final HVAC 1 ~
Final
Weter ~ibe Location:
Well
Sewer •
Pr. Ditp.
CITY OF EAGAN Remarks bIv ~/,5)gr S~g3
Addition PARK RIDGE 1ST ADDN l.ot 11 BIk 4 Parcel 10-56750-110-04
Owner Street 4740 IVEST WIND TRAIL state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. I04.40 A013860 5-8-84
STREET RESTOR. giAL 1985 491.99: 32. 80 15 102.91 C009868 10-23-84
GR*Dtme SZ~ 1985 389.08 25.94 ~
SAN SEW TRUNK 1982 9. $1 15
* SEWER LATERAL 1985 2, 16'. 4 IS - -
WATERMAIN
* WATER LATERAL 1985
WATER AREA 1982 j j 117.78 -H
STORM SEW TRK 1485 370.93 24.73 15 370-93 g 10-23-84
* STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 4$0.00 BUILDING PER. 8763
sAC
PARK
1I Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
Fill in numbered spaces S/C
Type or Print legibly -
Tot. ~
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tractf
4. Owner 14
5. Contractor AJ ~ fi Phone 1e .2 y Ll
6. Address f~lf f~f S c) • ~J~'r' ~/Cla~ ~
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New 0- Add O Alter ? Repair O
10. Describe
11. No. Fixtures No. Fixtures
_ Water Closet Cesspool/Drainfield
' Bath tubs 5eptic Tank
Lavatory Softner
' 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
a;
i_
Receipt ~ - MECHANICAL PERMIT Pe it No.
CITY OF EAGAN ;
Fae
Fill in numbered spaces r'S/C
/ Type or Prin[ legihly - „
Tot ~
1. Date 2. tnstallation Cost i
/U S~ 7 Sd
3. Job Address - ~ ~ ~ Lot Blk. Tract
4. Owner ~ P~~
5. Contractor L.t~ ~ _ r- ~ ~ A. V` • Phone t°
~
6. Address
7. City State Zip y- t.
~
8. Building Type: Residential U Commercial ? Institutional 0
8. Work Description: New f~ Add O Alter ? Repair ?
10. Describe Fuel Type
11. No. Equioment 9TU - M. Ea. No. Enuipment CFM
1 Forced Air Air Handling:
Mfg.
Boilers ~ Mech. Exhaust
Mfg.
Unit Heater
Mf9• 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
Rough F inal
Inspections: Date Insp. Date Insp.
This is yaur permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
Thie request void a S~' S f 4 ~b~7
78 months from ~~~'rC
A 1~F1 L I 1, /:ID`~f ~1pt~
Hequest Date Fire No. Rouph-in Insper.tion
Requ redl ~Rcady Nuw lill Nutity lnspec-
1 ~ - 'es ?No !or When Reatly
ensed Elecuical Conlractor
I hereby raquest inspection of above
? Owner elee[rical woek installedat:
Street Address, Boa or Roate No. City
y c- --4914W
ecUO o. flownShL
ip ame or No. flanee o. Count'y~
OceuOane ~INTI Phone No.
~
Power Supplier Address
~I~OY^6~ CL~C7~lC- N'9'C~vYli~fC?/c'~'s'7
Electrical qontractor (Company Name) Convaciors License No.
4 OBS~
Mailin8 AdJress (COnVacmr or Owner Making Installation)
9 7L( C~
Authorized Sig ture 1 ' ctor/Owner kinB Insta 'rtion) Phone QNumber /p
MINNESOTA STAT AqD OF ELECTHICITY TMIS INSPECTION kEQUEST WILL NOT
Griggs-Midway Bldg. - Poom N•197 BE ACCEPTED BY THE STATE BOAND
1821 University Ave.. St Pey~, MN _56104 UNLESS PROPEH INSPECTION FEE IS
Phone 1612) 297-2111 ~ ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oowi.oa
/-~S; •
, See inslmctians for comolatin9 this torm on back oi yellow copy.
A~ 'j ""R"' Re/ow Work Covered by This Request 7
A A Nep. Type o( Builtlinq Appliancas WireA E7quiomenl`h'iretl
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. 8uilding Dryer Electric Heatin
Commercfal Bldy. Fumace Silo Unloader
Industrial Bidg. Air Conditioner Bulk Milk Tank
Farm oNer oeci y iner ISO,scifvl
t.r Sueuty t er Oihei
ompute /nspection Fee Below
k Fee ServiceEntrence5ize k Fea Fenders/5u0feeders p Fee Circults
100 0 ta 200 Am s- 0 to 30 Amps 0 to 30 Am s
Above 200 qmps31 to 100 qmps 31 to 700 Am s
Swimmin Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms Partial'Other Fee
Signs Special Inspection S ~
Remarks TOT yfE
V~~J
Bough-in Oate ,th cal
inspectoq hereby
artify thal the above
I Final 'nspection has been
mada.
Thw request voitl 18 monllia irom
cirr oF EAcnN N° $763
3795 Pilef Knob Rmd Eegan, MN 55722
PHONE: 4546100 ~0 ^
BUILDING PERMIT Rece~Pt # ~
Te ba wed fer SF DWG/GAR Est. Volue +550 ,000 Date JANUARY 10 19 84
Site Address 4740 WEST WIND. TR - -,Erect R3
17~ 4 'PA32K-RIDGE ~ Occu~ncY Rl
Lot Blotk Set/Sub. I - - --rilter ? Zoning
~
Parcel # 10-56750-110=04 Repulr ? Fire Zone N/A
PATRICK MCCABE Enlarge ? Type of Const. V
w Nome Move ? # Stories
z Addreu 13941 HOLLYOKE PATH Demolish p Length3.$_
ci APPLE VAL. phone 432-9489 Grade ? Depth--4-6-Sq. Ft.-
o Name RUSCON HOMES, INC. Avvrorals Fees
o~ Address 1000 E. 146TH ST., #100 Assessment Permit $ 283.00
Cit BURNSVILLE pho~ 432-1433 Water 8 Sew. Surcharge 5.00
u°4r 2
Police Plan check 141.-50
Fw Nome M~~ NAGEL / PROBE ENGR. Fire SAC 525.00
z~ Address 1000 E. 146TH ST. Eng. WoterCon~'00
u
,W Ci BURNSVILLE Phono 432-2044 plonner WoterMeter 60.0 0
% 432-3000 Cauncil Roaa unir 250.00
I hereby ocknowledge thaf I have read ihis apDlicotion ond state that gldg. Off. 1/9/84
the informotion is correct and agree to comply with all oppiicable APC T~o-50
51ate of Minnesota Statutes and City of Eo9an Ordinantes.
Signoture of Permittea
A Building Permit Is iuixd to: RiTrd+CON HOMF+$ on the express condition that
oll work sholi be done in qp6orclonce wit II o licoble-$tafe of Minnewta $tatutes end City ol Eapan Ordinantez.
Buildinq Officiol
/0-s6750-" A 0 S Hpy~• TING TEST RECORD
ADDRESS yCl ~ I~~~I ~ ~ J /
V. / APT. -FLOOR CITY SUBURB
OCCUPANT OWNER
HEAT LO55 DATE HTG. INST.
SOLD 6Y INSTALLED BY
Electrical Work By Gos Line 8y
TYPE OF HEAT GA _ FA HW _STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER "
Model w F I Modal
Serial ~ Mox. BTU RaTing
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT Heat Plug Vent Sizs
Valve G y~~ KIND OF LINER SIZE NONE
Limit Drafi Hood Rsgulamr
Limit SeN'na Filten Size Number
Fan Set+'^g Chimney Location Insida Outside
PiloT Type Qhimney Canstruction
Ptlet Maka Pilot Modal Smoke Bomb Wiring
Pilot Timing Drnft Test Tog
L.W. Cue OfF ~ Doar Prosaure Lightiag Inst- 4
~ 1 !
Prossure 41 Parcent CD2, tl Date TesTed
Input CFH- Percent OZ ~ Company Testing z'
Stack TempPercent CO ~~Name of Tester z/
Form 235
ry HOUSE'H1ATING TEST RECORD
ADDRESS Y7r <C~ W~yld ~r"CSi APT.-FLOOR CITY SUBURB(
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Elechical Work By Gas Line By TYPE OF HEAT GA _ FA -HW -STEAM SPACE HTR. -UNIT HTR. _OTHER
I GAS DESIGN CONVERSION
MAKE E, MAKE OF BURNER
Model . L U Q O ry- µodel
Mox. BTU Rating
INPUT ~~ey1~,~~3 MAKE OF FURNACE
Model
CONTROLS
THERMOSTAa ryr~ eat Plug Vent Size
Valve WE 1~• ~~17~ =(iJ KIND OF LINER SIZE NONE
Limit Draft Hood Rsgularor
Limif Se++ine Filtera Size Number
Fan Setting ~fl 5 Qiimnay Location Inside Outside
Pilot Type Qiimnay Construction
Pilot Mak [ t ,gY~" Q~"7'•
Pilot Model ~ Smoke Bom6 Wiring
Pilot Timing Droft Test Tag
L.W. Cut Off Door Pressure Lighting Inst.
i ~
Preasuro 1(2 kt Pereant CO2 Date Teated a-/~
*wfv-sy
Input CFH5~ Percent 02 Company Testing n';
STack Temp- Psrcent CO Nama of Testar Q?~ ~
Form 235
~
864 Gv/SP ~ P J7 7~
CI?'Y C-r EAGAN' Include 2 sets of plars,
~ 1 site plan w/eIwaticns &
B'~~ING PER^'?'T PPPLICaTIWi 1 set of enercv calculatio^s.
To Be Used For Single Family Valuation -ON&O.0 Date
Site Address: 4740 West Wind Trail,Eagan, MN. OFFICE USE ONLY
Iat 11 Block 4 Sec./Sub. Park Ri_dge Erect Occupancy
Parcel - / Alter Zoning
S b 7 S d - iI-~-b4 Repair Fire Zone Owner: Patrick McCabe ~~Je _'I~e o£ Const. A~l
Nnve # Stories
Asidress: 13941 Hollyoke Pa,th Dermlish Front ft.
City/Zip Cpde: Apple palley, MN. 55124 Grade Depth ft.
Phone # : 432-9489 aPPROVAL,S FEES
Contractor: Ruscon Homes, Inc. Assessments Pexmit ~;7&3
Acldress: 1000 E. 146th St., #100 Water/Sewer Surcharge a~S
Police Plan Check /5/ /
City/zip Code: Burnsville, MN. 55337 Fire SAC S -Ad- ~
Phone P: 432-1433 En9• Water Conn. y;rp
Planner Water Meter p . ~
Fsch./Fhg.: Mark Nagel / probe Bngi.neering Council Road Unit og$
Bldg. Off.
A3dress: 1000 E. 146th St., APC
City/Zip Code: Burnsville, MN. 55337
Phone 432-2044 / 4~2-3000 Zt7PAL 1.17 34.5 O
YHILLIPS PLAN SERViGb
: - - - ~ . v - -
:
, ; .
EXTERIOR ENYELOi'E tiYERAGE' "U" COMPt1TATION
OWNER
SITE ADDRESS
_ _ , . .
_ , - .
. _
° CONTRACTOR R u s o N H o Mi? Es DATE PHDNE =
• Determine working square footage of each.
,
1. Total exposed wall area 1 B 6 Z sq. ft. x .18 ~ 33 S• i6
2. 7ota1 roa{/cei 1 ing area g 6y sq, ft. x .04 = Y• 5
. 7ota1 exposed wall area above floor = IL(o7.2
a. Total wail window area........................-.. I 2 9•2 ~
_ . _ 3 S
b. Total door area '
c. Total sliding giass door area
- d: Total fireplace wal,l area
e. Yotal wall framing area (average lU%)...:........ iSII. Z .
.
f. Total net wail area` above floor iZ'70•8
g. Total rim joist area 94.L
Total exposed foundation area = 95-2
~
h. Total foundation window area......
1. Toal net foundation area above grade~............ q 5. Z
Determine "U" vatue of each wall segment. -
• ~ ;
a. 129•2 g itU° .SS ' 9/.of.
b. 39 X"U" • l3 9 = S• Z 9
c. g 9 XlfUls
d. ` X "U" - ° -
e. /<!J•Z X igtl" ./2 = /6•9H
f. 1270• S x"u" .OS = 9,V.97_ . .
g. 99. 6 %"U" • 05 ° 9 8
h. X f,ull
i. 95-2 x IOu„ .N69 = V4V•~y
3, . / 8 6 ~...........Total = 261• 7
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
~ •.i: " ' 'i "i: . " . . ' .
^ Total exposed roof/ceiling area =B6 4
_ _ - :
Total gross roof/ce9ling area = g {Dy ~ . : . .
J. Total skylight area -
k. Total roof/ceiling framing area A 6•~l
1: Total net insuTated roof/ceiling area..:.... q77 L•Z.
Determine "U" value for each roof/ceiling segment.
j. X "UN
k. efi.•y x i,uN .oas = s.oz
1. 77Z..~. X uU". .03.. a.23•Z. '
: 4.................... ~Py......... Total = . 22
If total of #4 is the same as, or less than #2, you have met the intent af
SBC G006(01.
To utilized the total envelope system method, the values.estabtished by the
sum of items #3 and 04 shail not be greater than the sum of itens 81 and #2.
1-. t 2. _
3. + 4. _
MATERIALS, Therre. Resistance "R"
Eszterior Air
Siaing Material •w5
Sheathing 2• 06
Insulatioa I lb_
SheetroCk •h/5
Interiox Air • b B
Studs 4.S g
Rim 8 S
Conc. BlkS. J•2 8
. ~ .
NM e C a~E
AOBE COHSUlTiN6 lHQIN~~IIS
' P GINEEAING PLRNHEAS ond IqND ~UlIVtYOAt
I~
COMPANY, INC.
L ~1000 [AST 1461A STRECT, EURNSVILLE, MINHCSOTA D5337 PN 432'5000
Ce!" ccz~ ~S'urv~e y ~
~a~al .I1e.scrL~ LoT i i, B[.oG,e 4, f'ir'K~- ,21D/oG;
fi.
S~ W
2~ /1 7 /6
,'v ~ LoT t
o / ~iozTo
a SGA LE
0 ~MED
O~ ' /e ^In°•`~ ~ ' FA&it{F~~.~ +,~-,HOM(N ARE AS`~'
~N o pEhioTB'S 1Ro*1 MoNUMrsNr SC'7'
~ ~ib.o l.e l~
pk~p"Q
~p~b.1T ~11SJUya l 7 g A N I 9 v'
~~a L421-o] 'PErb-rFS EXl~7I HC~ ELEVATic~l
~zs,Z~
P(Zut7c,,~rA eLE/Aj iu14
9 N H
/y~.Y~~ / ~ . zo.e ~ /HfDlGAt L'5 ~1R{G7/oI! CG
Sw2fRGE D.Qf••.:F.,<
e \ 5 S
~ O \ ~ ' PZR~r.lA6E AND
' y rnE~r
~ /q.u sisJ
95. 0 9 3~.0
J
~fy~-~T ; fj~roNEO 6ARa6E 930.5
L ~
2hereby certity that this in a true and carr+ct reprerentation of a tract ot
land a• thown'and describad hereon... As prepared by me on this 2ISr dar ot ,
DEc~n~t~e"• ' ~ 19 P3
11fnn, log. llo. ic45
PEN .
AOBE CONSULTIHO tHQINlf11f
GINEEAING PLRNNEAS end IAHD SUIIVtYOIIf
COMPANY, INC. "
L .~1000 CAST 1441A STIIECT, EURNSVILLE, 111NNESOTA 533377 ~M ~!2'3000~
C. er~~}' ' cac~` sur-y-e y
~aaat .D~~crL e,~~ Lo~' ~ r, BtocK 4, F''`IK~: tz~n~~
. ~~G. • 3 9, 2 (~FT KL~7l, : ~.:7~J N': 'y~ ' N ^ ~7l fi , .
~ "k/
,1'
17
'-1-
_
LoT 11
~n j ~ ` i nloRrt-I
Se.4LE 1= 3p~
pOry '~o,s Nri! $FJ4R~1~.~ ~NOWIN ARE A5 MEL
tiU o pgn+on5 1AoW MoFluMEKr Se7'
FPp17 15311DI'xa I a 0 N I I
la•IE , 3e /Z~ _ _ N L9L7,o~ GENoT~-~ EAF6T I H(~ ELEV-9T/oN
/''7.sD O (9t7,o~ IIF~toTE3 P~1~~`'rA -CE/A7~uT1
N yt 1 ~~p„ .
9 N 4 N
Cy~1`s~ Z e~ / rlDl cA t5 PI R{GT~or! cG
\
P0A1rJA6E AND
N~ R U TI L 1 T( ~ASEM~NT
¢ ~ 1 9 30.0
.o
~
~~y~-,T ; F~~.rus+t'o 6?+Ra6E ~to.~ EGeV,= 930.5
"'4iL
~
,
2hereby eertity that this ig a trve and correct representation ot a tract ot
land at •ho+m'and descriDad heraon.. As prepared by me on this dar ot ,
DEZ.F-r11f~P"" ` ~ 19 Si
~iL/
PNGINCERING AOBE COHSULTINO tNQIHtIllf
qi
PLp?+?+EA: end IAND iUAVtYO
COMPANY, INC.
~ 1000 [A3T 1461h STR[[T, EURNSVILLE, MINNCSQTA 553337 PH 432'3000
c~.~~ ~a~ suf-v-e y
jda~at L~:crLp~fosc: LoT Baoc,e 4 P•QZr~ zIveQ4
l
22..
. v)
i ~ ^3
LoT l
~ / nIORt~-I
, SeA~-E l0= 30~
- O~ .~a ~~0•~ ~ hlnl 4RE ASSUMED
~ti~` ~ ~/z w.~ ,^~~Nr o pENOTCS lAor1 MoKUMBNr SCT'
PRo ~r-'u
~a~T ~ L8o N I¢ 9It
/ ~qz~;oJ cEr~-~ E1~16T~ HC~ E(.EVkTioN
`,£TB"r- IJVE a
, is,s.~ .o I O ~CA Cll.-YAjIUN
9 Iv ry
Zo.e ~ /rJ07GRtC5 (~IR(GTIOl! t~
Su,zFACE D¢r°
5 ~ S
O
\ ~ ' ~frinlAbE ANp
I.IT1L ITY EASEME/vT
0 z~ SJ
5~ r~ I
1L ~ Fi~/wsNEO 6ARA6E FLoa: F1E~1,=930.5
~
I hereby ctrtity that thii im 4 true and carrect r+prarentation ot a tract ot
land at •hovn'and deseribed hereon... As prepared by me on this 2~ !sy- dar ot ,
DEz~nt~~• ' ~ 19 O3 •
~ liinn* xoj. Xo.
WENZEL
MECHqNICAL
& HILITE
ELECTRIC 3600 Kennebec o.i„e
V Ut ~ Eagan, Mlnnesola.SSt22
452•1565
TO: ql)-qDATE: ~L)
.
ATTN.: rJ?IZ71~) l/~~ I~"~"~ ~~.1 SUB.iECT:
Gentlemen:
L7-ENCLOSED WE ARE SENDING
? UNDER SEPARATE COVER ? WE ARE RETURNING
~ FOR APPROVAL ? APPROVED FOR SHIPMENT
? FOR FABRICATION ? FOR YOUR INFORMATION
REMARKS:
VERY TRULY OURS
~c'1/BY
1
,
2/84
j
L v~ CITY OF EAGAN
APPLICATION FOR PEIZiMIT
- SEWER AND/OR WATER CONNECTIOtT
(PLEASE PRINT)
1) PROPERTY ADDRESS:
r.Fr:~I, DE=°TZC~I: ~
(Iot/Block/subclivis on or Tax Parcel NLUnber)
u=::'=':G STRUCT[UT:2E, Ct1^ GF ORIGi d~AL .'-uILCLTIG F~ ~ST _TSSZ:?.NCE:
~ PRES=1- ::~.^,~7'i`r'/F.-NG'FCS= LSE: 1?'R-1 S'u'NGLE lPN1LY
? R-2 DUP= (7%70 UNITS)
0 R-3 'ICiSw"NfiCUSE (TYS2F" + =TS) ( LNITS)
? R-4 ApAR'Il`^:T/CO~IDa1iIIUN ( LTLNITS)
? CCVVEFtCIAL/RETAIL,/OFFICE
? Pi,T]USTRIAL
? INSTIT[,-r ICNAi,/Gp4'~~TMTMIENT7T
Z) AppLICAV"I+ ~ (P EASE PAINi)
NA[1E:
AIDDREss: oao
CITY, STA?'E, ZIP:
PHO.IE:
3) P~~TBEP NAME_ PLEASE PRINi) FOR CITY USE 04LY
ADDRESS: ' PlUH8ER5 LICENSE:
. ~ Active
CITY, STATE, ZIP: Q Expired
PHONE=PL(1M8ER/LICENSE 11 Not oi Record
air tnttia
4) OCC7,*pp;~/C',,7NER A LEASE- INI) g
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHO:vE:
5) INDICA'I'E WHICfI PEPhLiT IS BEZNG REQUESTLU;
' 0ZON TO CITY SEWER
rIO.] 'IO CITY WATER
? CJPY.ER (PLEIISE DESCRISE)
6) I:DIG,:::. C:E:
? PLE?SE F?OID APPROVID PEP,14IT FOR PICi-UP BY ONE OF ItBOGGiE
? PIZ'1SE %+AiL APPROVLD PEFZ,LIT TO 1, 2,0 4 ABWE
(Circle one)
7) SIQ~'IL'RE: DATE.
~
!6! eq:W iiis.a i~ i t~t~_l~:a sl s r.! ~i:r i~ ai aor wsr:ss:a i~ ~~a rtf.~IJ~H~J1l-r f~ fa ~l ~ s~sasre ~e
F 0 R C I T Y U S E 0 N L Y
PER^1IT = ISSUED
F.r.rs: $
i~J.v e~' rJFt':"_'J. DCA~iT'^ ~__:Cr,:;?: ~iJ~.r.~'!~.-'^..riG~
$ N7ATER PERrtIT (INCLUDE SURCHARGE)
y`$ WATER METER/COPPERHORN/OUTSZDE REaDER
$ WATi? TAP (ZNCLUDE CORPORATZON STOP)
S SE:VED TpD
$ ACCOUNT DEPOSIT - SET:ER
~ $ ACCOUNT DEPOSIT - WATER
~CD $ WAC
SAC
TRUVK :VATER ASSESSf-IE:IT
$ TRliNK SEWER ASSESSMENT
$ LATEP.AL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRUNK WATER
S OTHER
°~°L7 " ?-~_'~-~r
$ TOTAL
$ AMOUNT PAID/RECEIPT ~6"
DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGiiT 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 FOLL0:4ING CONDITIONS:
APPROVED SY:
TITLE:
DATE : , Z?
1 ,WATER SERVICE - PERMIT
flab Road
P. B o* 21199 PERMIT NO.: j' 77
$a9H 55121 DATE: 1 3 -17 - , I4
Zoning:., Ri No. of Units:-
Owner. RusCen Haines
Md ess:
'` sit : 4740 West Wind '`rail 1,11 B4 Park Ridge
Plumber: Star Plbg
Meter No.: Connection Charge: 450.00 ` pd
Size Account Deposit: 15- t)t") pd
Reader No.: Permit Fee: itl _ 0(1 pd
1- *tyres to aasply edify the City of Surcharge: - n fla
Misc. Charges: 60= pd met
Total:
B /0°...'"'" r / Date Paid:
Dote of insp.: , Irap.
GITy - ,GAN SEWER 'SERVICEAIT
t Knob ...,.
P. r 9x` 21199 PERMIT NO.:
Eagan, MN 5512 DATE: 34244
Zoning: R No. of Units; 1
Owner: R 1 On 140140,
- Address:
Site Address: 4 0 WP at. Wind TRa; 1 1.11 Rd Park - R 44
Plumber: ar Plbg
0 -84 40831 pd
1
pti
agree to comply the City of Eagan nection Charge: 425. 0
Ordinances. unt Deposit: 1% - a rd
• ermit Fee: 1n 0 pet
Surcharge: 4 S
By -AY Misc. Charges: f � A
o r—
•!
!mix: ' P pot Total:
Use BLUE or BLACK Ink
s r
' * For Office Use
City Eaall ::::ee: /
iI 'of A a° le t
3830 Pilot Knob Road / c,
Eagan MN 55122 Date Received: / J /3
Phone: (651)675-5675
buildinainspections(a cityofeagan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I —, Site Address: ( 7 ` 0 cued�WI"• -IRA't L Unit#:
in
Name: cJ i`l 1. ��N 6Pone:��'�� (v LS ' ow
Resident/ y p r �� �,t/—S t W !iv 1 -
i O �1 -g4�O�j G� C'G�G
Owner Address/Cit /Zi
I Applicant is: t/ Owner Contractor
i Type of Work Description of work: C a ' V C4 i C x l 0' J c K
i Construction Cost: 4 5 1 vb b ' v a Multi-Family Building: (Yes /No k.7)---
.
)
Company: Contact:
3
4 Address: City:
Contractor i
State: Zip: Phone: Email:
f
i
t I License#: Lead Certificate#:
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: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
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.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xnYjC- C Cg\Is40lk . (7 ----t/0/1 :>1L/
Applicant's Printed Name Appli ant's Signatu
Page 1 of 3
DO NOT WRITE BELOW THIS LINE . /q4 i 9
SUB TYPES
Foundation Fireplace - Porch (3-Season) Exterior Alteration (Single Family)
Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi i . Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
3e Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation gOccupancy ..„7/Z4, - I MCES System —
Plan ReviewCode Edition ,tog. SAC Units
(25%_ 100%� Zoning I'd City Water —
Census Code 43/ Stories — Booster Pump
#of Units I Square Feet w PRV
# of Buildings / Length (r Fire Suppression Required
Type of Construction Width /p
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
-_ Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water Final Pool: Footings Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath Stone Lath Brick EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_ Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: "7/ , Building Inspector
RESIDENTIAL FE� �6°-
Base Fee
73 God & �Q go
Surcharge
Plan Review /,/7
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
,Q.c A$ .. • ig /64/ 5
ROBE CONISULTINO (NofMI S •
ENGINEERiNG PLANNERS and LAND SURVIVORS
COMPANY, INC. .
1000 CAST 146h STREET, BURNSVILLE, MINNESOTA 55337 PH 432'3000
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gs210.053
REVIEWED
I BY:______A*
DATE: At/7
t hereby certify that this is a true and corrittLftptatintationsafv4APOot of
Land as shown' and -described hereon... As prepared by me on this tiSr day of ,
I .,�..__'� xinn. Rag. No. /445
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178650
Date Issued:08/29/2022
Permit Category:ePermit
Site Address: 4740 West Wind Tr
Lot:11 Block: 4 Addition: Park Ridge
PID:10-56750-04-110
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Jon C Stenson
4740 West Wind Trl
Eagan MN 55122
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature