4743 West Wind Tr
CITY OF EAGAN 8636
3795 PQd Keob Read Eayen, MN 55122 `
' PHON[s 454-8100
BUILDiNG PERMIT R«ipt #
Te be wed br Sj' UWG/CAR Est. Volue $61. (%OD Date tlovember 8 , 19 :+1
Site Addrcss 4743 West Wind Trail Erect ~C Occuponq R'3
Lot Bl«k 2 Sec/Sub. Park Ridge Nlter p Za,tng r-1
Porcel # 10--56750-070-02 Repoir ? Fire Zone idA
Paul JorRetison Enlargs ? Type of Corut. v
oc Name Move O # Storles
Z Address 16U E. Cliff P.d., 'i204 pemoliah ? Length40
~ ~ity Burnsville pha,e 890-593(} Grode p Depth 48Sq. Ft.
• RuECOn Homes Approvals F•e•
Name
z~ 1()00 E. 146tti St. 315.00
ou Address Assessment Permit
u.''iuinsvilie P~~ 432-1433 Water 8 Sew. Surchorge 30.50
Ci pahce Plan check 158.010
~W Nome Firo SAC $25.04
~a Address Eny. Wnter Conn. 4- I~
<W Ci Pfione Picnner Woter Meter23-0.-50-
Councll Rood Unit
i hereby ocknowledge that I hove reod this applicotion ond stote thot Bldy. Off.
^PC T.~a~ , 51)
the informotion is wrrect and ogree ro comply with oll applicoble $
Stote of Minnesoto Stotutes and City of Eogan Ordirances.
Sipnature of PeRnittee
A Building Permit Is issued to: on the express conditlon thnt
all work shall be done in occordonce with oll opplicoble State of Min2esotg.5totutes ond City of Eayon Ordinances.
8uildinp Offlcio) ' ~ ~
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 Q GgNZ_
H.V.A.C.
Well
Water
Disp.
Sawer
Ekctrie hoo Q 3 b*L EtEc -T3
Inspaction Date
Insp. Othar
Footinpg II -7`~
Foundstion
Fnminy
Rouph Plbg. - 3 ~~'C
Rouph HVAC
Inwiation
Final Plbg. - d-~
Final HVAC
Flnal
watsr Dsscribe Lacation:
VWII
Sevwr .
Pr, Disp. ,
/ - -o~
~ . HOU E 'HEATING TEST RECORD G S 60 75 0 O f o
ADDRESS A ~5 cA)? v Y~\ APT. FLOOR CITY SUBURB
OCCU PAN T 01MNE R
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Eleetrieal Work By Gos Line By
TYPE OF HEAT GA FA HW STEAM SPACE H7R. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE - I~AAKE OF BURNER
Model Modsl
Serial ~ Max. BTU Ratiny
INPUT MAKE OF FURNACE
Mod.l
CONTROLS
THERMQSTAT aat luy Vent Siza
Yalv KIND OF LINER SIZE NONE
Limit Draft Hood Reyulamr
Limit Settiny Fflhrs Sise Numbor
Fan Settiny Chimney Location Inside Outside
Pilot Type Y { CJrimney Constniclion
Pilot Make
Pilot Model ~ Smoka Bomb Wiriny
Pilot Timing Draft Test Tay
L.W. Cuf OffDoor Pr~ssure Liphtiny Inst.
1 ~
Pressurs Percent C02 u Date Tested
Input CFH Psresnt 02 Company Testing
Staek Temp. Percent CO Nome of Tsster
Form 235
CITY OF EAGAN Remarks 1-519 9 ' 43
Addition PARK RIDGE 1ST ADDN Lot 7 elk 2 Parcel 10-56750-070-02
Owner street A743 WEST WIND TRAIL 5tace EAGAN bIIV 55122
Improvement L82 Amount Annual Years Payment Receipt Date
STREET SURF. (Q L2013rt32,80 91 10 104.40 A013539 2-9-84
STREET RESTOR. [w- 102 .91 C009859 10-23-84
ofhtDffm trp 389.08 25.94
SAN SEW TRUNK 1982 149.81 15 117.78 A013539 2-9-84
• SEWER LATERAL 916 1985 626.16 41.74 ~~J 626.16 C009859 10-2 -8
WATERMAIN
* WATER LATERAL 1985
WATER AREA 1982 9.81 15 117.78 A013539 2-9-84
STORM 5EW TRK 1985 370.93 24.73 15 370.93 coo9859 10-2 -g
• STORM SEW LAT 1985
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD UNIT 250.00 39816 11-8-63
WATER CONN. 450.00 it It
BUILOING PER.
SAC
PARK
Receipt MECHANICAL PERMIT Permit No,`'
CITY OF EAGAN • ; ; ,
, Fee
Fr/l rn numbered spaces S/C
Type or Prini legib/y ~
Tot. -
1, Datel 2. Installation Cost i
- ; JX
. ~ , .
3. JobAddressv Lot i Blk. - Tract ~4. Owner
' "~-i5co5
5. Contractor Phone
6. Address 7. City State ; 't '1 Zip - - .i-
.
8. Building Type: Residential t] Commercial ? Institutional ~
9. Work Description: New ~ Add ? Alter ? Repair 0
10. Describe Fuel Type, i
11. No. Equioment 8TU - M. Ea. No. Equipment CFM
1 Forced Air C Air Handling:
Mfg.
8oilers 1 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
Rough F inal
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 Prin t legibl y Tot. 7 C7
1. Date ~ 1 2. Installation CTO~ KJ
'y o
3. Job Address~3 7 Lot ~ Blk. Z Tract /LL2~5- L
4. Owner /
5. Contractor /7x/ P h o n e 6. Address
~7 State Zip
7. City - 1~ ClJ
8. Building Type: Residential 0-'Commercial ? Institutional ?
9. Work Description: New ~Add ? Alter 0 Repair ?
10. Describe
11. No. Fixtures No. Fixtures
-3 Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
- Lavatory Softner
L- Shower Well
~ Kitchen Sink
Urinal/Bidet Other
I Laundry Tray
Z Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ocxlinances 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 464-8100
x4-
REQUEST FOR ELECTRiCAL INSPECTION „ ea-ooum-oa
" V V I lj ~J ' See instructions for comoletin9 this form on back of vellow coPY.
"X" Below Work Covered by This Request 3q`7 q'j
Fd Xep. Type of euiltlinB APVliancea Wirod Equioment WireA
Home Range Temporary Service
Duplex Water Heater Lfghiiny Fixtures
Apt. Buildinp Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tunk
Falm Other Oeci y tharlSUocily)
ther $uoci y O[her Other
Compute lnspeciion Fee 8elow
# Fee Service Entrance Size q Fee Faxders/Subteeders N Fee Circuits
0 to ZUO Am s 0 to 30 qm s 0 to 30 Am ~s
Above 200 Am~s~ 31 to 100 Amps 31 to 100 Am s
Swimming Pool Ahove 100-Amps Above 100_Am s
Transtormers Irrigation Booms D Partial•'Other fee
Signs Speciallnspection $ Q,~ Remarks TOT E
( S~
RouBh-in Date
~ y I, the wal
Insoectar, neraby
certity thet the above
Final ? ,~%J- C ~ "inspection has been
pl ~ matla.
tUia repueet voitl 18 montha irom
This requast voitl 11 CY I '7 1~j P( p`^,J~ y~.{~~. 34 ~ q 7
18 months from < ~ ~1
/~00113 ° 3~.so
1 Request Date Fire No. Fough-in Inspoc[ion
fle~qmr A? fleady Now i I N
otify. Ins~ec-
.f
I/ ~'os ?Nu tor When qeady
icensed Electnc:31 ConVactor 1 hereby reques[ ins0ection ot ebova
? Owner electncal work installed at
Sheet AEdress, Baz or Raute No. Ci1V
2S -7-1
ecVOn o. ownship Name or No. RanBe No. County
Occupant IPftIN / Phone No.
USW
Power Sapplior~ Atldress • ]
ElBCtrical Con ctnr IComOany Nam - ~ Con r Q r,mrs Lic~~nse No._
Mailin9 AtlJress ICOntrector or Ow e Making Ins[ai tionl
Authorized S' n, nVac r9'0 ner Makin InsWllatiunl Pho um~
-
MINNESOTA STATE AflD OF ELECTPICITY THIS INSPECTION flEQUEST WILL NOT
GriB9s•Midwey el Room N-191 BE ACCEPTED BY THE STATE BOAflD
UNLESS PqOPER INSPECTION FEE IS
1827 Universiry Ave., SL Paul, MN 55104
Phone 16121297-2111 ENCLOSED.
{
CITY OF EAGAN ND ~$O~s
. 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 551A1
BUILDING
PHONE:454-8100 P l/ PERMIT Recei t #
To be used for DECK Est. Value $1,000 Date 1UNE 29 , I g90
Site Address 4743 WEST WIND TRAIL ppFICE USE ONIv
Lot 7 Block 2 Sec/Sub. PARK RIDGE
PBfCBI NO. _ Occupancy _ FEES
Zoning
W Name PAUL JORGENSON (ACtuap Const - Bldg. Permii $ 25.00
3 Address SAME (Allowable) - Surcharge • SO
° City Phone 452-6244 eorscories -
Length _ Plan Review
, o Name ROYALE :,ARPENTRY INC Depth - SA4 Ciry
o,a Address 16915 RENMORE DR s.F.'rotai - snc, nncwcc
~ City LAKEVILI.E Phone 435-1973 S.F. Footpnnts -
On Site Sewaga _ Water Conn
Ww Name OnSileWell - WaterMeter
t
x- i Address MWCC System - qcd. Deposit
aw City Phone crywater -
PRV Required - S/W Permil
I hereby acknowlege thal I have read Ihis application and state ihat Ihe Booster Pump - SnN Sumharge
inlormation is correct and agree to comply with all applicable Stafe of
Minnesota Statutes antl City oi Eagan Ordin~ances. ireatment PI
Signatur9 Of PermiteB APPNOVALS Road Unit
A Building Permit is issued to: OYAI.E CARPENTRY INv Planner - park Ded.
on the express contlition that all work shall be done in accordance with all Council -
applicable State of Minnesot . Statules and Ci~ Eagan Ordi a/n/"~es, glQy, pff, _ Copies
~(~/f !~y$ Variance - TOTAL ~ 25.57
Building Olficial
CITY OF EAGAN N9 S63V
9793 PI(o! Knob Rmd Eagon, MN 55122
PHONF: 454-8100
BUILDING PERMIT Receipr
To 6s wed Ior SF DWG/GAR Esr. Value $61,000 Dote Nnv.mher R , 19--83
Siee Address 4743 West Wind Trail Erect ](g Occuponcy R-3
Lot 7 Block Z Set/Sub. Park RidSe Alter ? Zoning r-1
parcel # 10-56750-070-02 Repair ? Flre Zone NA
Enlcrge ? Type of Const. v
s Name Paul Jorgenson Move ? # 5rories
z Addreu 1601 E. Cliff Rd. ~~i204 pemolish p Length40
~ C; Burnsville phone 890=5930 Grode p Depch48 Sq. Ft.-
o Name Ruscon Homes Avororals Fees
ot Address 1000 E. 146th St. Assessment Permit 316.00
COurnsville Phane 432-1433 Wufer 8 Sew. Surthorge 30.50
Poiice Plon check 15$.00
G~w Name Fire $AC $25.00
w
x~ Mdmss Eng. WoterConn.450_nn
<W CI Phone Plannar Woter Meter 60.00
. Councll Rood Unit 250.00
1 hereby acknowledge fhnt I hove read this appiication and state thaf Bldg. Ofi.
ihe inlormotion is correct und agree to comply with all opplicabla APC Total $1789.50
State o4 Minnewto Statutes ond City of Eogan Ordirwaces. -
Siqnofure of Permittee nuscon ome3
A Building Permit Is issued to: on tha expren conditlon thni
all work shall be done in occordanee with all appli , tat of Onnesot ~ ond Ciry of Eogan Ordinances.
Buildinq OfFlciol '7~
1075 SP/ENT CII'Y OF EAC,AN Include 2 sets of plans,
. , 1 site plan w/elevations &
BUILDING PERNffT APPLICATION 1 set of energy calculations.
60o
Zb Be Used For Sinale Familv~Valuation Date
Site Pddress 4743 W: Wind Trail OFFICE USE ONLY- '
Lot 7 B1ock _2_ Sec./Suh. Park Ridgg Erect Occupancy
Parcel _5-(o7Sl) - O '7n -D Z Alter Zoni.ng /
Repair Fire Zone
O.aner: Paul Joraenson Eh7-ax9e Type of Const.
Nnve # Stories '
lAddress: 1601 E. Cliff Rd. #204 Da[tolish Front yU " ft.
City/Zip Code: Burnsville MN 55337 Grade Depth ft.
Phone 890-5930
APPROVALS FEES
Contractor: Ruscon Homes Asses-cmnents Perndt 3 6-
[qater/Seaer Surcharge 30 Jgp~
Address: 1000 E. 146th St. Police Plan Check -/,5-jV iE;v
City/Zip Code: Burnsville. MN 55337 Fire SAC ,raS
Phone n: 432-1433 ~g' ~ Water Conn. ,s6
Planner [Aater Meter (~O
council aa unit asa
Arc:h•/Iln9•= Mark Naael Bldg. Off. ~ -
Addr25S: 1000 F._ 1 4Fith St _ APC
C1ty/ZlP COC1H: Rrirnavi l lo, M,jq S-~"j3"47
Phone 43 2- 20 44 ~'rAi' •!57D
*citV oF eagan
PATRICIA E. AWADA
Ma}ror September 13, 2002
PAUL BAHICEN
PEGGY CARLSON KINGDOM EXTERIORS LTD
CYNDEE FIELDS 5255 EAST RIVER ROAD
MEGTILLEY FRIDLEY MN 55432
Counce Members TO WHOM IT MAY CONCERN:
I.HOMnsHEDGEs Crane Performance siding at 4743 West Wind Trail must be installed according to
Section 1402.2 of the 1997 Uniform Building Code that states, in part:
GryAdministnmr
"Where the siding is installed horizontally, the fastener spacing shall not
exceed 16 inches horizontally and 12 inches vertically"
Municipal Cenmr. or ICBO's ES Report #ER-3378. 3830 Pilot Knob Road
&agm, natv 55122-1897 This is the only method of installation the City of Eagan will accept.
Phone: 651.681.4600 If you have any questions or concerns, please contact Tom Miklya, Building Inspector, at
Fau:651.681.4G12 651-681-4697. Thank you.
TDD: 651.454,8535 ~/Ip ~j~n J,•~1 i'~~
!~t/d'd'!/G?~- N
Main[enance Facility: CITY OF EAGAN
3501 Coarhman Poinc BUILDING INSPECTIONS DIVISION
Eagan, MN 55122
cc: Paul V. Jorgenson, 4743 West Wind Trail, Eagan, MN 55121
Phone: 651.681.4300 Dale Schoeppner, Chief Building Official
Fax: 651.681.4360
TDD: 651.454.8535
www.ciryrofeagan.com
THELONEOAKTREE
The rym6ol of screngch
and gmwdh in our
mmmuniry ~
~OBE CoksUlTINO INOIH(tRS •
S
PLANNtfli and LAND SUI1VtYO1lS
PIOMPANY INEE~AING
, IN C: L .1000 WT I440t STIICCT, EUf1H3VILlC, IIIHHCSOTA 53377 PN 472-]000
Lor -7, 8-ec..IL 11.1 4ARK fZiD6E ~ .
AaKcrA GoUrjr`f, Mi"htEtori! •
933 xSi 93~~ ~
N
N
589°jh~
fa5,oo
'•~33.5~ 5 - - y =3~
Noar~l ~ ~ ~ ~
i. i
.va c 1~ = 3O~ 9318~1~ I
O[Fi.lOfCS 1(ty! M[YJ{)M(j1Y 5a ' ' b.e IZr~
Bw~D~~6' F~-~Sk.K ~ ut I CRAWN6E !WD
z urKirr ea'E?9Gjr
' ~~~~J `baR4bE ~
937~5) < 5.e ~
1•30 13.0 ~ 0
~ ao I '
W 1~ 4PP~D"
o
4 ao.e 'e 8
~ tl i~.o ~93G.J L93~.9J ~ ~
b
• 2 ~ (937.5) (43'!.~ ~ ~
I ~
LoT 7
~
435.oj G-IeTES ExiSrW& ELEJ/tr1e•l
(9s5.o) WAorQS PRoAo~'~ E&6Je.11104 51
J
I~1DicAertS D~REc-T7v.l OF tA-
SJRFK.E DRAi~JA(sE 927. N a9
S ~Oa 3z•O,° „ 9x.9•S~
~x.i, j 3+L 11 ~t9.sJ
13~,83 = Fi4164ED Z-AR6e Fee:iP EtE0Ari64
I hereby certify that this is a true and corcect representation of a tract of land as shoWn and
described hereon. As prepared by me on this Zow-- day of orsegF_rt , 19 83 .
Minnesota Itegisfration No. /lnosS
,
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) $3b0.~
CITY OF EAGAN
47-003 3830 PILOT KNOB RD - 55122
851-881-4675
Hsw CanhueHan Reaulremenh Remotlel/Reoalr ReaulremeMa
? 3 roylaSered Yfe wrveys showiny sq ll d bf, sQ. II. of hane 2 copfes ot plan
aW a? roofea areas (2096_mmcimum lot coveraae allowe~ 1 ser ot energy cdcWaMOns ror heatea addlMOns
? 2 copies of plans (show Deam a wlntbw s@es; poured fnd tleslyn: etc.) 1 qte wrvey for aMeAOr addlHOns d tfae W
a 1 set a enerpy cacwanone
? 3 coples d hee pretervaflon plan d bl plaMed aRer 7/1/93
DATE: -7 I l$ / c7r ) CONSTRUCTION COST: c~J?So.
DESCRIPIION OF WORK: _eoo r ic:~ 7is i G-tf2.(~6
STREET ADDRESS: `T -73 W(7s fo-~4 i 2A; C,
LGT: -1- BLOCK: ~ SUBD./P.I.D.#: PGrCK K1d Qi
Nome: Phone IOS~" ~
PROPERTY tasl First
OWNER
Sheef Address:
cny Ea a a U srare: zip: 5-5^~O?•2-
Company: ki nJG G{ot~' Phone -263 ~(S7a--UCX~ t
(area code)
CONTRACTOR
Sheet Address: Eli-5+- ct'Jee 49200tJ ucense e a0168a I I Exp. 31 /
CHy l/~ a~ le y State: "'-4 A? iip: ar7 61a l
ARCHITECT/
ENGINEER, Company: Name:
Talephor.a C ( )
, Sheet Address: ReglsfraHon Y:
Clty State: Zip:
Sewedwater licensed plumber (if (nstallina sewer/water): Plwne
I hereby ackrawledpe Nat I have read Ihis appliealbn, date ttwt 1he infortnaMon is cortect, and agree b compy wHh a0 aPPOcable State
o} Minnesola Statufes and Ciy of Eapan Ordinancea
Signalure of Applicanh
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' JUL 3
Tree Preservation Plan Received _ Yes _ No _ Not Required
r
OFFICE U3E ONLY
BUILDING PERMIT SUBTYPES
O 01 Foundation ? 07 05-piex ? 13 16-plex O 21 Porch(3-sea.) ? 31 ExtAlt-Muld
O 02 SF Dweliing O 08 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 03 01 of_ plex O 09 07-plex 0 18 Deck ? 23 Porch(screened) ? 36 Mufti
O 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage
? 05 03-plex O 11 10-plex Plbg _Yor_N ? 25 Miscelianeous
O OB 04plex ? 12 12-plex ? 20 Pool O 30 Accessory Bidg.
WORK TYPE
? 31 New O 36 Move Bldg. O 43 Reroof
? 32 Addition 0 37 Demolish (Bldg)' ? 44 Siding
O 33 Aiteration O 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair 0 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories gq• 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
E3 Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ •
Surcharge
Plan Review
License ~
MClES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Treils Ded.
Other
Copies
Total:
SAC Units
% SAC
Q0(~ 1989 HUILDING PEHMTT APPLICATION ~
y I ~v ~ CITY OF EAGAN
SINGLE F9MILY DWELLINGS MULTIPLE DWELLINGS CONR4ERCIAL
2 SETS OF PLANS 2 SST3 OF PLANS 2 SfiTS OF AHCflIlECTURAL
3 REGISTERED STTE SORVEYS REGISTfiRED SITE SOAVEYS - & STROCTQRAL PLANS
1 SET OF ENERGY CALCS. (CHECB WITH BLDG DIV.) 1 SET OE SPECIFICATIONS
1 SET OF ENSAGY CALCS. 1 SET OF ENEAGY CALC3.
1lULTIPLS DWELLINGS RENT9L ANTT3 FOR SALE DNTTS # OF UNITS
NOTEs ADDRES3E4 FOR CORNER LOTS - CONTAACTOR/HOMEOIiNEA MOST DESIGNATE HHICH ADDAFSS
IS DFSIRED. NO CHANGFS WILL BE ALLOiIED ONCE BUILDING PEAMIT I3 ISSUED..
SEWER 6 WATER PEAMTT FEES 9ND ACCOOIPf DEP03IT FES3 WILL HE INCLIIDED WITH T8E BOILDIN(3
PERMIT FEE. PAOCESSING TIME FOR SEWER AND WATER PERMITS IS TBO D9YS ONCE A PEEiMTT H93
BEEN CONIPLETED INDICATING A LICEN3ED PLOlBER.
PEN6LTY APPLIFS idHEId: PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQOESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSIIED.
l000 JuN 2 s REcA
1'o kie Used Por: Di: LK Valuation: Date: 6/3J-b'
Site Address ~f7Y,j wr1r[.j,up 7-gA,L OFFICE OSS ONLY
Lot '7 Bloek 2- Oceupaney FEES
Zoning
Pareel/Sub _ P.f+4K RtOt'v- Aetual Const Bldg. Permit zs ,
Allowable Sureharge
Owner uw' 4A2G1fNSVW 0 of stories Plan Heview
Length SAC, City
Address y7Y3 "r:rr w/,vi) 7,V,414. Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code C,F(,RN ~MN Footprint S.F. Water Meter
Aeet. Deposit
Phone y.r2 - 62yy On site sewage_ S/41 Yermit
On site well S/W Surcharge
Contraetor _ QaY,ILG-' cARVtNfRY ~/NC MWCC System _ Treatment Pl.
City water Road Unit
Address 16Si,r KG-'N»aAL= p/li?G= PRV required _ Park Ded.
Booster Pump _ Copies
City/Zip Code Lf/lr?iLcc= 14N S".(aYV SDBTOTAL
APPROVALS Penalty
Phone I`+ 73 Planner TOTAL ~
Couneil
Arch./Engr. Bldg. Off. 6 t.~
Varianee
Address
City/Zip Code
Phone Il
~ •~0oc
COHfUtYIHO lMO1Nl(llf •
ENGINEE~AING PIAHNlAS and LAHD SUAVIYOAf
/ 'COMPANY, INC: 1000 WT 14fw STII[[T, lURNSVILI[, ?11NNClOTA D»~T ~N 472-7000
Lor 7 ~ b-=Jl- ZI P4RIL (1106E ~ .
AaKota. GourJr1(, lN.44E5m7t .
WEjST wo•1D TRAJt_
933 x~`~
L_..._ 4 yj a~e L i
399' 35' "t
fe5oo
-li
NoRrrl ~ ~ ~
i i
"
o 0~1orC iRvd Mqu)MF#Jf' SEf ~ sv.e 1'LD
~
~ 9a7•s) . ya`6"a•fot i urwrr flSEricsjr
13.0 13.e ~ ~ 0
PRoRa`~ED a ~ 3
N HoJSr- 1 ~
~ JI ~a
• ' 2 ~ ~ 3'F.S:0]
L.oT 7 ~ LL17 b
I ~
I ~
q95.~ CF1+erE5 E-cisrWIb, EiEJ/trio14
I
lr--,:>) DE~JerM ?RoAo-Ir-D ELZ/ane..l I ~ ~ I
I
S~ J
~ l40I44TCy DtRE1-T1b.J OF U4%-
50RTK.E DQAi.IhlsE &12 7. 4 896 35 Ya9t~ s2
V
7.83 : F1416NED a.ARnbE Fcaa4 E4EJ4riW
[ hereby cectify that this is a true and correct rr.pre;,entation of a tract oF land as shoWn and
iescribed hereon. As prepared by me on this Zo+r- day of oc,rpaeR , 19 83 .
//ttao±^:~ /"+e/ Minncsota ItegiuEration No. 1lno8S
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit Fee: TJ -R3
Date Received:
Staff:
J
/ 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5// / I O Site Address: --(12& 47'- w k' • ['� (✓� T v
Tenant: /// Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip:
CONTRACTOR
icen #: ()to P�
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Address: / f p Q i'"?..?W CV.1- Z7f) I ity: 0--- L-" c --Q
State: /nr1 Zip: c -i �-7 2-- Phone: 9_ I -i Lt p - S-77 9
Contact: SL-( 5a, Email:
TYPE OF WORK
"New Replacement Repair Rebuild _ Modify Space _ Work in
R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
XLawn Irrigatiov Add Plumbing Fixtures
( RPZ / A PVB) (_ Main Lower Level)
_
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
.
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
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.aooherstateonecall.ora
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 understand
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
accordancj ith the approved plan it the case of work which requires a review and approval of plans.
Applicant's Printed Name
x
Applicant's Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4743 West Wind Tr
Lot: 7 Block: 2 Addition: Park Ridge
PID:10- 56750- 070 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Bloomington Heating & Air
640 W 92nd St
Bloomington MN 55420
(952) 884 -3552
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Bermitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Paul V Jorgenson
PO Box 22263
Eagan MN 55122- -026
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA091723
10/22/2009
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
a tg*ObtillatintE Plain
PEt c1 ` Nc3 x249
' 121 DATE. II - •. T
No.- of Units .
fi
474-3 Wet- id1n4 Tr L7 12
stRar' Pik
1j'8 -8 39816 e .
t - to irk tkaty of f.egee Connection Gorge . 4 3 ..
Depo tt: • Permit Foe: 1 O* OO
SunCkwrpe.. .90
fl / % / - / Miee . Charges:.
Date of t • TOtat
tnsp..: !late t?
j''
WATER SERVICE, RERtdiIT
•t " knob Road 52 1
21199 'NbKMI1 NO
i -
2 21 -S3
MN 55121 DATE:
Rl No. of Unit 1
t?irnelr, i• • • ,�-
Addres
Site Address:
4743 West Wind Tr '� • : Ridge
Plumber Sta P1b
Meter No gnnecti .00 .:
Size: Ac De ` it:
- f Reader No.: permi� ee: 10.00 pd
, f agree to with t`e city of Eegon Sureihorge: * p
Misc. Clwrges: 00,00 p$ water
1" / ( T t I
By Dote
Date of nsp.: insp.:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161812
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 4743 West Wind Tr
Lot:7 Block: 2 Addition: Park Ridge
PID:10-56750-02-070
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 -
Paul V Jorgenson
4743 West Wind Trl
Eagan MN 55122
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature