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4741 West Wind Tr\os City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Date: 636 Use BLUE or BLACK Ink For Office Use Permit #: l °� " (I 7 Permit Fee: / , ' �r Date Received: Staff: L 2014 RESIDENTIAL BUILDING PERMIT APPLICATION q ld / / (4 Site Address: (I j ? - (1)'111A -Tr I Unit #: Name: Bob Ot9.1 )Ch Address / City / Zip: Applicant is: Owner Contractor Phone: _ Q-- - l Description of work: �-PfAC 0-c-PcF--E-1 Q0c dCI Construction Cost: CO, ice). Multi -Family Building: (Yes Company: / No Address: I g(,0 6,(t1'1 State: �s. Contact: 1 AIN Zip: c5® License #: BC ;Z = t-I;�`L1 City: gikkwrcr Phone: tG3c 1 - 11 31 `m Lead Certificate #: NAT- I OSSG,2 1 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING In the last 12 months, has the City of Eagan issued a permit for 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: 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. 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. x Applicant's Printed Name x Applicant's Signature Page 1 of 3 CITY OF EAGAN 10 514 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 4548100 BUILDING PERMIT Re«+pe # To M wmd -ia Est. Value Y t s 030 pate 19`5 Site Address TIt Erect El Occupancy Lot 2 Sec/Sub. r. Remodel ? Zooing v' Black Parcel No. Repalr ? Type of Const. Additfon ? No. Stories Move ? Length ~ W Ne^^e - " Demolish ? Depth ' ~ Address int Impr. ? Sq, Ft. CitY Phone 4 5 2~~~ 4~ Install E3 7.=1.:"1F Apprerok Fas ~ Neme tu Address Assessment Permit - ! • 5 V u~ City Phone Water 3 Sew. Surcharge ~ Potiu Plan Review Name Fin SAC Addreu Enfl. WaterConn. ~ W City Phone Plonntr Water Meter Council Road Unit 1 hereby ocknowledfle thot I haw reod this applicotion and stote tFwt Bldg. Off. r /2 3 1'1 5 Tc PL thr inlormation is torrect ond ogree to tomply with oll opplicoble A~ Pe?ks Stote of Minnesota Stotutes and Ci1y of Eogan Ordinonus. _ Vsr. Date Copfes Sipnotum of Permitteo " Total , c~ k.t• E fh~ txp~ess conditlon ~hot A Buildirg Permit is issued to: on dl worlc shall be done in occordance with oll opplicbble State of Mlnnesota Statutes and Gty ot Eopon Oidinonces. Buildinq Officiol •ds~p ~oMeg II~M :u0110001 041x"p Je3RM IeWd •Bqld leul:1 'BiH Isuld ~oQ~de~id •imul 'B3H 46noa 641d 46noa aulauoa Bulwfij uolzspuno,i 11 S6u13oo:1 r I sBuRoOd JOyip •dsu~ pep uo~~~da~~ ~108 '~'V'A'H b"Uoqaol*JL t... ~W~N9 ~l4W^Id w0 +OPIoH Nuu*d 'WN IM+*d -k N CITY OF EAGAN i • 3795 Pilef Knob Raad Eayen, MN S5122 PHONEs 454-8100 BUILDING PERMIT Recelpt Te be uwd Fer SI' llWG/GAF. Est.Voiue $50,000 Dore Deceriher 7, . 19 Ll 4741 West Wind Trai1 Erect Occuponq -`~3 Slte ~ross , Lot " Blotk $ec/Sub. ar pe Alter ? Zoning =;1 Porcel ~qk '10`56750-060-02 Repoir ? Flre Zone Enlorpe ? Type of Const. ~ Na~ anies Lag e Move ? # Stories co e ve. 17_ Z /lddross Demolish Q Length ' ~ ci Eurnsville PhonM 9-5924 Grode ? Depth 5E' Sq. Ft. .C18COri l OIIteB , IIC. Approrals Fae~ "°m° iooo E. 146ch st. ~~ioa • ~o Address ' Assessment Permit 25.01i ~ Cit Burnsv111e P~~~ 432-1433 Woter & Sew. SurcharQe Police Plon g ro SAC chec ~50 1~ Name r agQ roje rng neerin Fi ni~ Addreis . t t. Erq. Wnter Conn. • OQ u~z, Ci rurnsvil.le Phone 412-2044/432-3000 planner WaterAAeter~ ~ Council Road Unit 1 hereby acknowledge that I have reod this opplicotion ond state thot Bldg. Off. the informotion is correct and ogree to comply with all upplicoble ^PC Total Stote of Minnesoto Statutes ond City of Eogan Ordinonces. Slpnaturc of Permittee u m nc. A Building Permit Is issued to: on ths expresa condition thn+ oll work sholl be done in accordonce with oll upplicable Stote of Minnesota.Statutes nnd Clry of Eayan Ordinances. 8ufldinq Officfol naAA Mal poal ayl,=oa ~~nn , OVAH IQUId 1591d IeUld uopeiraul VAH 44noa 'B91d 4Qoua bulwu:1 uolispunoj +6ulioo:j Aeyip •dcul ~aQ uo}i~edsuI au~~l3 ~OPMA&S '"Q AouM IIsM 'Z)'V'A'H 4F/s/l°/ Ub y- 2 a _ buiqwnld C/ ieploH 'aN 3iwaed •asiW JePIoH tiwjsd •oN liwAed CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Receipt # To be used for °T Est Value 5+~'Date ,19 r Site Address ' ~ , T" OFFICE USE ONLY Lot 8lpc!Ic ' Sec/Sub. On Site Sewage Occupency MWCC System Zoning Parcel Npr ~ On Site Well (Actual) Const a Name UIN ,TtN7 G'~ -F t City Water (Allowable) W 4741 ,ri .~n 7~ PRV Required ~ of Storiea = Address 0 City F't r' 1N Phone 452-3170 Booster Pump Langth Depth , p Name S.F.Total ~ Q Address Footprint S.F. ~ City Phone APPROVALS FEES ~r ~ oc Engr./Assess. Permit W . W Name W ~ Planner Surcharge U g Address d Council Plan Revfew ¢ Z City Phone W Bldg. Off. SAC, City I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC information is correct and agree to comply with all applicable State of Water Conn. Minnesota 5tatutes and City of Eagan Ordinances. Water Meter Signature of Permittee Road Unit A Building Permit is issued to:- ;AV Treatment P7 on the express condition that all work shall be done In accordance with al I parks applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. ~ TOTAL ' Building Official ~ Permlt No. Psrmit Holder Dats Tetephone # Plumbing A H.V.A.C. ElectNc 4 88' 50 Softener Inspection oate Insp. Comments Footings I ~~02 Td C-;-' Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Final Plbg. Bldg. Final • 16419 Cert Occ. Temp. LP Deck Ftg. Deck Final Well Pr. Disp. • . • . PERMIT# PWMBING PERMIT RECEIPT # 62 I 7t CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site AddresS ~ ' BLDG. TYPE WORK DESCRIPTION Lot Block Sec/Sub Res. New Mult. Add-on y Name ` Comm. Repair ~ Address Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL - ' - Name I Water Closet - $3.00 $ Bath Tubs - $3.00 3 Address ' ;4 1 1 ~ 1 Lavatory - $3.00 r p City Phone Shower - $3.00 ~ • ! Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT) (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE: ~ STATE S/C: rJ C FOR: CI7Y OF EAGAN GRAND TOTAL• ~ CITY OF EAGAN Remarks b~y,951510, 9/0 Addition PARK RIDGE 1ST ADDN Lot 6 131k 2 Parcel 10-56750-060-02 Owner street 4741 WEST WIND TRAIL state EAGAiV MN 55122 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. 1 STREET RESTOR. Ackt _Z _g GRAB+N6 ~5tre,,;,t tl~ 2 5. ' ~31 7, ;z I SAN SEW TRUNK 1982 Ahm- 81 1 117.78 A 013638 3-13-84 * SEWER LATERAL , 16 . 74 626 . 16 CQQ9858 10-2 -8 M/(, 1985 62 41 WATERMAIN * WATER LATERAL ~ WATER AREA ~ 15 9.81 117.78 A 013638 - 3- 4 STORM SEV4 TRK 370-93 C00 10-2 -g * STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 450.00 BUILDING PER. 86-57 SAC tt u PARK Reoeipt PWMBING PERMIT Permit No. C.P CITY OF EAGAN FN fill in numbered;qaces S/C ~~1 C) l y,(J • TYPB or Prin[ legibly ToL 1. Date 2. Installation Cost . , , 3. Job Address : i 74-1 Lpt Blk. Tract ~ r 4. Owner -~ccatrS 5. Contractor Phone 7`1 j 6. Address 7. City State Zip J 8. Building Type: Residential fl" Commercial ? Institutional ? i 9. Work Description: New ? Add ~ Alter O Repair O 10. Describe 11. No. Fixtures No. Fixtures i ~ Water Claset Cesspool/Drainfield ~ Bath tubs Septic Tank Lavatory Softner ! Showcr Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. 1 hereby certify that the ahove information is true and correct, and I agree to comply with all ordinances and codWgoverning this type of work. Signed : . s . ~ ~ for Rauqh F inal (nspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Reoeipt ' - - MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee ' Fill in numbered spaces 5/C Type or Print /egib/y . Tot - 1. Date F•,'. 2. Installation Cost - ~ c:,~ jr-.' J }t' , • i'i> f. 3. Job Address ~ C:~~ Tl,- Lot(,~, Bik. ~ Tract 4. Owner 5. Contractor ~ , ~ ~ ~Y1 ~ • Phone , =r ~ 6. Address 7. City State Zip - . ; . 4. _ 8. Building Type: Residential 1~1 Commercial ? Institutional ? 9. Work Description: New 51 Add ? Alter ? Repair O 10. Describe • Fuel Type 0.-Ai 11. No• FyLi ment STU - M. Ea. No. Euuiament CFM ~ Forced Air ' Air Handling: Mfg. Boilers Mech. Exhaust Mfg. Unit Heater Mfg. Other L_ Air Cond. Mfg. Gas, Piping Outlets 12. I hereby certify that the above information is true and correct, and I apree to comply with all ordinances and codespoverning 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 464-6100 Receipt ~ PLUMBING PERMIT Permit No. ~/~UCy * CITY OF EAGAN ,,J ' ;71e f~ 3 F~ ~ fi!l in numbe?ed spaces S/C Type or Prini legibly 1. Date 2. Installation Cost ~l Gf/~STk/i.s~U j~' • _ . k- 3. Job Address Lot ~ Blk. -~-Tract ~ ~ 4. Owner 5. Contractor ~~~f//fi~? Phone 6. Address 7. City A. r"~~ i J(.'(~ K ( State P v Zip 8. Building Type: Residential Commercial ? Institutional ? ~ 9. Work Description: New M- Add ? Alter ? Repair ? 10. Descri be 11. No. Fixtures No. Fixtures Water Closet Cesspool/Drainfield ~ Bath tubs Septic 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~hd c des governing this type of work. Signed: for Rough Flnal Inspections: Date Insp. Date Insp. This is your pgrmit hen aapnbered and approved. Approved CITY OF EAGAN 454-8100 ~ ! O- 3 6 7SD F~ HOUSE 'HEATING TEST RECORD A D D R E S S 4 ' lT A P T. F L O d R C I T Y S U B U R B OCCUPANT OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Eleehieal Work By Gas Lina By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONVERSION MAKE ~ MAKE OF BURNER Mod.l L ` Model Swial Max. BTU Ratiny INPUT 0 MAKE OF FURNACE Mod•I CONTROLS THERM,Q~T~T Hsat Pluy Vent Site Valv- ~~11' KIND OF LINER 51ZF NONF Limit Droft Hood Repulamr Limit SeMiny Filters Siz• Numbor Fan Setting Chimnay Location Inside Outsid• Pilot Type Chimney Construdion Pilot Make Titc r r1 Pilot Model Smoke Bomb Wiring ~ Pilof Timing Draft Test Taq L.W. Cut Off ~ Door Pressuro Liyhtin9 Inst. Pressuro I I W' Percent C02 Date Tested ` Input CFH Psresnt 0 Company Testing doo ~ ` Cc Stock Temp. ~ Percent C02 v~_ Nama of Tsstar ~ r Fum 235 ~ 1 ) 7' - ~ r~655 L(o g~- P Rt z~ ,ov Xepu¢st Date . Fire No. fbup. ~I~pe~[ion ) ~q ed. NeaOy Nor ill Notify Imp¢c- ' ( [ ~ i? Yes ?No ~ ~Y c ~ Li setl Electrical Convactw . 1 he.ebr rpuast i~apactim ot abova ne'atechieal Wpk imbllad sY SIr¢et AAdress, Boa or qoute City ecuon Tprnsl{p Name p No. rge o. County G Q- Ocw nt 1%IINTI...+ q~~¢ po. ~2 L.-EaJ e4s - Po r Su ' li¢` q~~~ 11-1 n U riG Electricel Contrac[ar ICOnVanry Namel Cmvxtm's Licrose No_ Maflivp Address Comractor d r ki ~t-zw ~r A Sipre ure IC 1- tian Phone NuMer 5.2" OTA Sfp7E BDAM OF E 7RICITII THIS INSPECTION REQUFST ~ILL NOT rigps-0lidwav Bltlg. - Iloom 1 0E ACGEPfED BY 7ME STA7E 80AM 1821 Vnivarsity Ava.. Sl Paul. YN S6104 UNLESS PqOPEB INSfECTON fFE IS Phone I612) 297d717 ENCLOSED. REGUEST FOR B.ECiRICAL INSPECTION eaooOM 44 see imheetimc tm rnmpreliig tnis torm m met ot w11nw mov. 1'X" Belaw Work Covered by This Request fi i !+l 0 ~ 695 Aaa xep.'' Type of Buiqi.g Appliancas whed EQUipvin[ wired HomE Ran9e Tenporary S¢rvice Duplex Water Heater Lightiny Fixlures Apt BuiWing Oryer Electric Heatin Comnercial Bldg. Furnaoe Silo Unloader Indstrial Bldg. Air Canditioner Bulk Milk Tank Farm Oxher cec, h) t r Speci y t 01her ompute lnspection fee Below p Fee ServiceEnrtranca5¢a k Fea . Feeders/SublmAers 0 Fee Cvcti:ts 0 m200 Aups 0 LO30 Arnps 0 to30 Anys Above 200 qmps. 37 tu 700 Artqis 31 to 100 Affips Swimmirg Pool Above 100_ Anips Above 100_A Transfomiers IrtigBtion Boans Partial•'Other Fee Signs Special inspection V z TOTAI~FEE U('~~ NouBMin Date ~ . Ns EMetridl ~7~~ ~awew.na on:h Nrt tlr ahove Final r" paeBm Aaa beae J ~9 ~ ~ iNSnNuest,atl 18muMf hun . CITY OF EAGAN Np gs97 9795 iilet Knob Roed Eegon, MN 55132 PHON& 434-8100 ~ry/ BUILDING PERMIT Receipt # To ba used fer SF DWG/GAR Est.Value $50,000 pate Decembex' 7. 1 y 83 Site Addreu 4741 West Wind Trail Erect Occupancy R3 Lot 6 BI«k Z Sec/Sub. Paik Ridge Alter ? Zoning Rl pOfGel # .10-56750-060-02 Repuir ? Fire Zone N/A Enlarge ? Type of Const. `7 m Name James EaQ10 Mave ? # Stories z Address 12830 Nicollet Ave. 1k301 Demolish ? Length 3$ ci BuinsVille phone 894-5924 Grode ? Depth_S6 Sq. Ft.- o Name Ruscon Homes, Inc. Avvro.al. Fee¦ o" Mdreu 1000 E. 146th St.,~~100 Assessment Permit ~.00 u~ Ci Burnsville phane 432-1433 Warer & Sew. Surchorge 25. 00 Police Plon check 141.$0 ~w Nume Mark NaQel / Probe EnQineering 525.00 ~Z Address 1000 E. 146th St. EngF~re. WSACater Conn. i 450.00 W p Burnsville phone 432-2044/432-3000 Plonner WaterMerer 60.00 Council Rood Unit 250•00 I hereby acknowledge that I have read this apPlicotion ond state that Bldg. Off. 11/22/83 the inlormation is correct and ogree to comply with ull applicable $1,734.50 State of Minnesato Storutes cnd City of Eogon Ordinonces. APC TMaI . Sipnoture of Permittee A Building Dermit Is issued to: Ruscon Homes Inc. on the express condiflon thnl oll work shall be done in accordonce with all oppliwble Stat M'nn St and Ciry of Eagan Ordinances. Buildinp Official CITY OF EAGAN N° 10 6 4 4 3630 Pi1M Kno6 Road, P.O. Box 21-199, Eagan, MN 55721 BUILDING PNONE: 4548100 ~3 So2 l~ PERAAIT Reu+cr Te M mad DECK Fst. Value $1, 000 Dare JULY 23, . 19 85 SiteAdaress 4741 WEST WIND TR Erect ~ Occupanry 6 2 PARK RIDGE Remodel ? Zoning Lot Block Sec/Sub. Repair ? Type of Canst. Parcel No. Addkion ? No. Storia J&P7ES EAGLE Move ? Lenqth 1T- W Name Demolish ? Depth 12 Z Address SAME Int Imp/. ? SQ. Ft. ~ citY Phone 452-4743 inscau ? SAME Aororala pft o Name Ou Addresf Axussment Permit ~ u~ City Phone N'ater a sew. suroneroe .50 Police Plan Review FW Name Firo SAC Address Erp. WeterCOnn ~W City Phone Plonnar WeterMeter Council Road Unit I hereby acknowiedge tFwt I hove read this opplication ond state thaf BId9. Off. 7 2 3 8 S Tr. PI. the Informotion Is cormct and ogree to comply with nll a pliwble A~ perks Stots of Minnewtn Statute _ ey ~ s. Var. Date CoOies Siprwtum of Pertniftee ' 7ota1 ~ R _ 0 0 A Buildinq Permit Is ' d ro: AME AG E on the exprcu conditbn Ihal dl work sholl bs in acaordonce with i le StaM of Mi wta fatufes ard City ot Eapan Ordinances. Buildlnq Official CITY OF EAGAN N° 1 4 7O 7 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454•8100 Receipt (Ra /7, / # `t To be used tor BASEMENT Est. Value $1, 500 Date MARCH 22 g 88 Site Address 4741 W WIND TR OFFICE USE ONLY Lot_6_Block_.2_Sec/Sub. PARK RIDGE OnSiteSewage - Occupency MWCC System _ Zoning ParcelNa OnSiteWell _ (ACtuaqConst a Name RON & 7ANICE MEYER Ciywater _ (nuowable) w Address 4741 W WIND TR PRV Required _ # of Stories Booster Pump Length o City EAGAN phane 452-3170 Depth , p Name SAME S.F.TOtal ~Q Address FootprintS.F. a r- Ciry Phone pPpROVALS . FEES Engr./ASSess. Permit 34.00 Name _i Planner Surcherge 1.00 x- Address aw City PhonO Council PlanReview Bldg. Off. SAC, City I hereby acknowledge lhat I have read this application and state that the Variance SP.C, MWCC intormation is correct and agree to compty with all applica6le State of WaterConn. Minnesota Statutes and Cit~G f Eagan Ordinances. ( ~ Water Meter Signature of Permittee \K1 u lY" - 71~ Road Unit A Building Permit is issuetl to: -RoN Mwy~$ Treatment P1 on the express condition that all work shall be done in accordance wilh all applicable Sta[e of Minnesota Statutes and City of Eagan Ordinances. Parks ~~~Zhl~ TOTAL 35.00 Building Otficial _J 1J-L~" I -M (v, R) 7 . - 864 GF/SP CITY CF EAGAN Include 2 sets of plaris, 1 site plan w/elevations & BUI7DING PERMIT APPLICATION 1 set of energy calculations. 9 i0 - e~~ - Zb Be Used Fbr Sinzle Famil ~ Valuation $~0 ' Date tt`Z i- a.~ Site Ptidress 4741 West Wind Trail pFFICE USE pfII,y- Ivt 6 Sloclc 2 Sec./Sub. Park Ridge Erect ~ Occupancy Parcel s C9 `T s o - CYo 0--0 Z rlter zoning r i4l , Repair Fire Zone Qwner: James FaglP Enlav-c1e _ 2ype of Const. Address: 12830 Nicallet pve. #301 MOve # Stories Denlish Front 3 ft. Qty/Zip Code: Burnsville, MN. 55337 Grade Depth S ft. Phone 894-5924 APPROVPSS FEFS Contractor: Ruscon Homes, Inc. Assessnents Permit Address: 1000 E. 146th St „#100 Water/Sewer Surcharge police Plan Check City/Zip Codes Burnsville, MN. 55337 Fixe SAC s,2s n: 3 ~'g• Water Conn. ~/S' Phone O = 432-14 3 Planner ~ A'ater Meter co,:noil ' Roaa vnit 915-0- Arch./Eng.: Mark Nagel / Probe awineering gldg. Off. -y - - Address: 1000 E. 146th St. APC City/Zin Code: Burnsville, MN. 55337 - hoae 432-2044 / 432-3000 ~ REQUEST FOF"-IECTRICAL INSPECTION EB~0000/77-0,6 m / ' See instructi,s ~O coDleting this torm on becM ol Veilow copy. ~ 6 6 1 H 1 "X 8/ow Work Covered by 7his Request ~ sv4Addj fle0- TyDe ol BuiidinB AVOliancea WimO Equipment Wired Home Ranye Temporary Service Duplex Water Heaier Liqhtiny Fiatures Apt. Building Dryer Electric Heaun Cominercial Bldg. Fumace Silu Unluader InAustrial BIAy. Air Conditioner Bulk Milk Tank Farm Mnt ceci v lher ISwar.ityl t ,r Suecify Other Olher ompute lnspection Fee Below # Fee ServicaEnhenceSiza H Fee Fexde~s~5ublexders 7 Frte Circuits 0 to 200 Am s 0 to 30 Am s 0 to 30 An s Above 200 qmps. 31 to 100 qmps 31 to 100'Am s Swimming Pool Above 100_Amps Above 100he _Am s Ir Transformers ngation Booms Partial.Otr Fee Signs SUeciallnspeceion 5/y7 i T FEE Femarks flouBh-in Electric Inspec~o~, mBby ' rlily thai tpe xbove Final Di`e 1~ ospection has baen ~ee. TNa reQUesf voiG 18monlhs tmm This request void 18 nwnths (rom o ~ 6 6181 pPnuest Date Fire o. RouPh-in InsUectid I ReqmreA? L]FeaAY Now~ Will Notitv Inspec- 3/a~ JRVes ?NO torWhenReudy ? licenseA ElecVical Contrctor I herehy repuest insVection oi ebova "Eil Owne.r eleehicel work installad eY Sveet Address, Bo. or Poute No. Citv 1 W U'\6 ~.~A Cl.. eeUOn o. Township Name or No. Ranee No. CounC Occupxnt WPINTI Phmne No. i~~ro Lro a-.31~iD Power suoonar Adtlress - n 1 ~~Y Elechical ConVaclor ICompany Namel Cantractor's Liconse No. Maillnp Adtlress ICOnVactor or Owner MakinN lastailationl Aut ized Signature IContractor/Owner MakinB Installationi Phone Number W 4§4 MINNESOTA STATE BOA0.0 OF TNICITV THIS INSPECTION PEQUEST WILL NOT Griggs-Midwey BICg. - floom N•191 BE ACCEPTED 9Y THE STATE BOARD 1827 Univeraitv Ave.. St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone16121642-0600 ENCLOSED. ~qto~ /'I 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION ~ t~ 04 CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 -7 1301~ 651-675-5675 Please complete for modifications to existing residential dwellings. Date Site Street Address ,72/`~/ L, Unit # Property Owner _~,42 h? C e- Telephone # ( ~ ;~2t1 7- 54~ Contractor 2,0 C& ~ Telephone # Address j'Ad/)5L /,5k&Z city ~ rz~'d~LLe_ state-,Zf2_ ziP The Applicant is: _ Owner XContractor _Other Alterations 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 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00 State Surcharge $ .50 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 even a lan 's re,q ired to be reviewed and approved. A icanYs Pr' am A plicanYs Si ure - PHILLIPS PLAN SERVICE y . _ ^ EXTERIOR EHVECOPE RVERkGE "U" COMPUTATION t , _ ONNER , . . . _ 3 SITE ADDRESS . ~ ' •rt _ . . _ , CONTRACTOR A?i a r e n~ H e m E5 ' DATE : PNDNE ~ Determine working square footage of each. 1. Totat exposed wal l area 14, 6 Z sq. ft.* x .18 ° 3 5• i6 2. Total roof/ceiling area g 6H sq, ft. x .0: = Y• 5 Total exposed wall area above floor = 1664.2 a. Total wall window area I t 9•2. b. Total door area 3 c. Total sliding glass door area . R g - d: Total fireplace wall area e. Total wall framing area (average.10%)...:........ iy/.Z f. 7ota1 net wall area' above floor 1270•8 ~ g. Total rim joist area 94.L Total exposed foundation area = q 5•2 h. Total foundation window area..................... - 1. Toal net foundation area above grade 4 5. 2 - Determine "U" value of each wall segment. • a. 129•2 X "U" .SS = 9/•06 6. 39 X"U" .139 = 5.29 c. g g X"U" . S = yy d ~ x „u„ e. /4/•Z X liUll ./2 = /4•95I _ f. 1270• S 7( "u" .OS = 94/.97 g. q9.6 g„Ult . c5 = y•98 h g „ull ~ _ - i. 95-2 g louti .469 = NAV•6y 3 8 ...........Tota1 = 261.. If item 13 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. • J Total exposed roof/ceiling area 6 4 - Tota] gross roof/ceiling area = ~y(eq . 3. Total skylight area - k. 7ota1 roof/ceiling framing area 8 6•H 1. Total net insutated roof/ceiling area....... , 97 7 L. Z ' Determine "U" value for each roof/ceiling segment. . . . . . X IIUII k. 86.~-I X "u° .1~35 = 3 •OZ 1. X "U" .03 = .23,2 - 4 7ota1 = -2Z If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)i. To utiiized the total envelope system method, the values.established by the sum of items #3 and #4 shall nnt be greater than the sum of itens #1 and #2. . + 2. _ 3. + 4. _ MATERIALS Therm. Resistance "R" Exterior Air .1,7 S2ding )laterial -4I6 Sheathing 2. 06 Iasulation 1+ Sheetroqk •qS Interiox AiT • V 6 Studs 4.3 6 Rim B g Conc. Blks. /•2 S . , . AOBE CpHSUlTINO IHOINttAS PLANNEfIS and IAHD lVl1V[YOIIf f PNGINIECRING COMPANY, ING. L 1000 U3T I44IA STfICCT, EURHSVILLC, MINNC30TA SSJ77 ~M 4472'3000 Cer1 iC' cc~ ~9't~t.r-Ye y ~O'Qt T~ s• SP~ f 01L ' L--O T (o ~ &.oGfL 2.. r ~ARIL RI LX~ E ~ Do.KOro. c.o~~try~ Mi~?.rE~orA. I i wE:sr w~-J o T'Rt-i- 599" 35 94" E - `N l00.05 . ~q~3i.~ O i a C~33•O~ ~933.5~ .7 'FRnNr As-iiLome, 5f j . i. . is . sErnnue uAJe ~ 34/ 33 I 2e.o ie.e l~0 RTf'1 I Q n I S~o.a.E 33.5/ ' . I .0. 9'~"_°) ' _ _d LiT we ~ W ~ re.~, ~ 3 q RteFb~D s ~ , a I N FlarSE N ~ N F,•,1s4(ED vAktbe Fi.me Ecc%ano-1 = 934•33 o~ r~ ~ aa v I i3•5~ ~33•~' V1 ~ Lo r ~ i 1~ ~30,0) ~rES PiPo~otC17 ~ct?ana.J DRs.iK.f AwlD ( ~ I IND~c..ar~5 DiQE~rio+/ av ' J I 5J2FA4,r- -DRAi.JAF.e vn" rr sL - - - - - - -i s Jl N 925,5~~ tao.co Z~ 1 t4 89o 35'34,w 17,5i I??er~br ctrtilr trat thit is a trua ind carrtc.t reprntentation of a tract ol land at sho+m'and describad heroon., `As pr•p4red by me on thim day ot A.b+iFrnBeL , 19 8~ _ _ .s. . 1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) J GTY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 651-681-4675 V Q New Conshucilon ReauhemeMs Remodel/Reoalr Reautrements ? 3 regislered ske surveys showing sq. R. of lot sq. k. of house 4 eopies of plan and.9jI roofed areas (407 maximum lot eoveraae allowed) 1 fet of energy cakulations for heafed addHlons D 2 coples ol plana (ehow beam 3 wlndow shea; poured fnd. design; Me.) 1 aRe survey (or exterbr addlHOnf a decks ' D 7 fef W energy calculallons ' D 3 copies W hee presenaNon plan B bt plalled a(fer 7/1/93 DATE: / D- F7 CONSTRUCTION COST: DESCRIPTION OF WORK: ~M~1A~ f~DlaCe~~ v{ !,c)ea4er CI3Mcvf'~ M3618i STREET ADDRESS: 144y--t 1,,j41nd rdr I LOT: (0 BLOCK: SUBD./P.I.D. ~R 4r\L ~I Gf,A C~i Name: ~S+eVe Phone#: (0S1 -68(0--1663 PROPERTY Pird OWNER Sheet Address:44,Y~ WenT61I/id~fa'r1 City G 8q3Y1 StaFe: Mk Zip; SS ~~~C Company: L611 :SMA KCk3fi Phone 6~j gela (area code) CONTRACTOR SheetAddress: 13y8O Ponper 7di~ LicenseExp. ciy Fo~en Pra~ re state: M JU ziP: 55 3`~ - ITECI¢- E Company: Name: Telephone area code ( ) Stree't Address: RegistraHon Ci1y State: Zfp: Sewer 3 waler Iicensed plumber (reaulred tor new conshucflon onlvl: 'PenaMy applles when address change and lot change Is requested onee permN is issued. I hereby acknowledge thaf I have read this applicatlon, state that the informaFion eorreet, a agree fo comply wflh all applicabl 'State ot Minnesota Statutes and CMy of Eagan Ordinances. Slgnature of Applicont: ~V OFFICE USE ONLY Certificates of Survey Received _ Yes _ No GL'T 7.- Tree Preservation Plan Received _ Yss _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea. ? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 5torm Damage ? 05 3-plex ? 10 6-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg." ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories _ sq. ft. MC/ES System Length sq. ft. Ciry Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review Lit;:,l5i': MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit SNV Permit S!W Surcharge Treatment PL ~ Park Ded. Trails Ded. 'Other Copies Total: rd D, ~s SAC Units % SAC 198$ BUILDING PERMIT APPLICATION - CITY OF EAGAN: SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL IINITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS,OF PLANS,. CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,- - 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, _ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY`CALCULATIONS To Be Used For: Valuation: Date: Site Address OJ/nd OEFICE USE ONLY Lot 40 Block ;1- On site sewage_ Occupaney n n A1WCC.system Zoning Pareel/Sub On site well _ Actual Const City water Allowable Owner PRV required _ 11 of stories Booster Pump Length.. Address U-(~I Winr) irat9 Depth S.F. Total City/Zip Code Footprint S.F. Phone Li V)a,-3~~ APPROVALS FEES oe Contractor 5ume ~ Engr/Assess Permit ~4fo. k) 454 - OolaLj Planner Surcharge Addre9s Council Plan Heview B1dg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies I TOTAL 35 0~ City/Zip coae Phone # . o~ / 7985 HUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRAC70RS NUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS ~ CERTIFICATES OF SURVEY D--c 1 SET OF ENERGY CALC LAT NS Ta Be Used For; Valuation : 6Date: ~ l Site Address: Z{'7411L'(Jr4s r- , OFFICE USE ONLY Lot: Block Sect/Sub Erect X Occupancy Remodel i Zoning Pareel # Repair ~ Type of Const Addition /1 af Stories Owner Move , Length 18 Demolish Depth (Z Address 47c4/ , Int.Impr. _ Sq Ft City/Zip Code Install Phone APPROVALS FEES Contractor Assessments permit Water/Sewer + Surcharge 5O 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 =pTpL City/Zip Code ' Phone ll ~ t WENZEL MECHqNICAL & HILITE ELECTRIC 3600 Kennebec ori„e ~ Eagan, minnesola 55102 452•1565 TO: A-^J DATE: y ATTN.: SUB,iECT: Gentlemen: -t5i ENCLOSED ~ WE ARE SENDING ? UNDER SEPARATE COVER ? WE ARE RETURNING ~~PoA ~r- ~~,~1,1a~ . ~ ~ ~.l'`f / 6~'ST~cJr,?~ ~ L ~ FOR APPROVAL ? APPROVED FOR SHIPMENT ? FOR FABRICATION ? FOR YOUR INFORMATION REMARKS: VERY TRUL YOURS Bv �UpMbROW PERMJT NO.: s4 i 55471 110E: 44 No, of Units: ,Connection Charge: mount Depo*t: Permit Fee Surchar e . Misc. Chosi:-°. Total: _ Dote Paid ?.` AN. a f 1{b Road 'PERMIT No.: 6342 s f 219 1-5-84 55121 DATE: ` ��,,,��.-� al Unify Xortinf f fir: i?tv•;CRrt 'a Address: Site Address: t.f Plumber: Star. P1hg 12-7-83 40281 I agree too comply with. !ie City of Bogen Cionrttipt r o Ordinances. Account ; Permit Fe: 1 ICI _{}f9 Surcharge: _SO By Misc. Charges- Dote of Total- Insw: A •Raid: PERMIT City of Eagan Permit Type:Building Permit Number:EA157745 Date Issued:09/05/2019 Permit Category:ePermit Site Address: 4741 West Wind Tr Lot:6 Block: 2 Addition: Park Ridge PID:10-56750-02-060 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Robert M Delich 12850 Dory Ave Apple Valley MN 55124 (612) 760-0949 Bell Remodeling & Roofing 7675 W Highway 13 Savage MN 55378 (612) 760-0949 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan . , , Permit Type: Mechanical 3830 Pilot Knob Rd ' ° lk : Permit Number: EA158821 Eagan, MN 55122 Date Issued: 11/04/2019 (651)675-5675 Permit Category:ePermit www.ci.eagan.mn.us Site Address: 4741 West Wind Tr Lot: 6 Block: 2 Addition: Park Ridge PID: 10-56750-02-060 Use: Description: Sub Type: Residential Work Type: Replace Description: Relocating heating&cooling vent 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 Total: $60.00 Contractor: Owner: - Applicant - Robert M Delich 12850 Dory Ave Apple Valley MN 55124 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA170662 Date Issued:07/13/2021 Permit Category:ePermit Site Address: 4741 West Wind Tr Lot:6 Block: 2 Addition: Park Ridge PID:10-56750-02-060 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Marie Morales Pastrana 4741 Wind Trl W Eagan MN 55122 Applicant/Permitee: Signature Issued By: Signature