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721 Windmill CtCity of Ea�all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 90 ° 4.0.70 a LA/ Vt aGPltrf• It1R For:Officebse Permit #: `\\p,6•a C\ Permit Fee: c=1/41Q Date Received: Staff: �-7 2010 RESIDENTIALrBUILDING PERMIT APPLICATION Date: /6 ' • 10 Site Address: / A / t L 1 m J Tenant: Suite #: RESIDENT / OWNER Name: %/A GL Phone: 4) - 87 40-a21 43 Address / City / Zip: 7A / i' / l.L • .) 45-51-3 Applicant is: Owner r Contractor TYPE OF WORK L `- Description of work: p� U,t L,U't1�Uur4 - NO JOI/WC-ruA.c C�� eri Construction Cost: Lit SDD • Multi -Family O Building: (Yes / No 1.---) CONTRACTOR Name: 17` 11"-C-.• License #: /'7 L/ 2 Address: 4 7`i'L City: l 4t 0 3J&. ) ( State: MA) Zip: S. -a)% T Phone: (Si -1 0- 10 1-C h Contact: �• k --t- Email: COMPLETE In the last 12 months, has Yes _No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. -Portions of the information may be classified as non-public if you provide specific reasonsthat would permit the City to ,conclude that they are trade secrets. 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 alpermit; that the work will be in accordance with the�%approved plan in the case of work which requires a review and approval of plans. V �k Applicants Printer Name x Applica qq Signature J Page 1 of 2 CIT# OF EAGAN Permit No: 3830 Pllol Knob qoad Dete: r'--28-$$ IP- O. Box 21199 Meter No: 3 Reader No: Size: ~eF' I C Eayan, MN 55121 Date: - - Owner. * L ~ SiteAddress: ) " Plumber. 11 B17 Bridle Ridpe I ~ Conn. Chg: c Acct Dep: Zoning: Permit Fee: No. ot Urnts: ~ a ~ Surcharge: r;., • , ' Tr. Plant ~ agree to comply wlth the City of Eagan Meter. Ordinance . , Misc.: ~ eY ~ WATER SERYICE PERMIT f , - - ~ ; CITY OF EAGAP( Permit No: Z'3 Date: ; 3830 QAoi Knob Road Meter No: Size: ~ ' P.O. Box 21199 Reader No: Oate: ~ Eagan, MN 55121 ; Owner. 11" 30mea Site Address: 721 iilndmill COurt Ll B17 Bridle RidFe ; Plumbe~ Lake Sid• plumbia,~ I Conn. Chg: 550.Aftd Zoning: k7 Acct Dep:_? 5 - ~ No, of Units: 1 i Permit Fee: 1{I aOnd Surcharga - -50±±A I ayree to comply with the City ot Eayan, Tr. Plant=''~ prdinances. Meter. 67 Misc.: By WATER SERVICE PERMIT ~ CITY OF EA(iAN Permit No: ~`~~6`~ Date: 6-27--$3 , 3830 Pilot Knob I(o6t1 B/P No: Date: 6-24-88 P.O. Box 21199 Eagan, MN 55121 Owner. TS~' Fomea. SiteAddress: 21 kiiadat 11 Contt 11 $17 Bzidle ?tid e Plumber. La e Si.d Alumbing MWCC: 550. ~ng~l Zoning. rI Ciry Chg: 10C. ~ rr` No. of Units: ? Acct. Dep: . p I ayme to comply wlth Ihe CItY of Eaqan Permit Fee: prdinances. Surcharge: Misc.: BY SEWER SERVICE PERMIT . . . . • ' ~ CASH RECEIPT ~ GITY OF EAGAN 3835 PILOT KNQB ROAD 'EAGAN, MINNESOTA 55122 ' onTe PNECEM FFICM L^~ , AMOUNT $ . U & DOLLARS ,oo ? CASH p'G`ECK Yj L f i-~ l ~ ~1 r, ,~-f ?.i' ' FUNU OBJECT ~ AMOUNT Thank You sv , 84050 wnne--Paym coor YeOOw-POeling Copy Plnk-flb Copy CITY OF EAGAN f n F~ ~ y 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454•8100 BUILDING PERMIT Recetpt~ 4oSr0 To be used for Est Value i72*000 Date yAY 9 Site Address 721 ia'INM: i.L C'I' OFFICE USE ONLY lot ~ elcek 17 Sec/5ub. BRIflLE: T DCi 1 ST On SKe Sewaye Occupancy FL) MVYCC System ~ toninp h-1 Parcet No. on sRe well (Actueq Const V-N , a Name City Water : (Allowebte) V--N z Address 5516 Ir1:-TH ST F PRV Requlred ~F of 5tories W City r"{'CW LA"t. Phone 440-6900 45''1-3499 aoosterPump Length 411 ` DeRtfi 4f` t °C Neme S.F.Total o . ~ ~ Addcsss Footp~nt S.F. ~ City Phone APPROVALS FEES 0 a Engr./Assesa. Permit 462•00 W Name =Z Address Planner Surcharge S6.04 ~ ~ W Clty ' . Phone CouncH Plan Feview 231.00 Bldg. OH. SAC, City 1W•00 I he"teby acknowiedge thet I have read thia application and state that the Variance SAC, MWCC 550.Q~ infarmation ia correct and agree to comply with ail applica6le 5tate of WaterConn. 550.0 D Minnesota Statutes and Giry of Eagen Ordinances: U Water Meter 67.0 rSignature of Permfttec Road Unit 325.00 A Buildinq Permit Is issued to: k5IO HQML$ Treatment P1 204. t?U on the txpreas condition that ell work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks BulldingOfflcial_ _ TOTAL 1 - ' . - ' . . . . . . - - . ' " . f n . , CITY OF EAGAN 1$355 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDINC,PEHMIT Receipt # To be used f FIREFLACE Est. Value $1.000 Date SEP 10 19 40 Site Addrets 721 WINDMILL CT 1 17 BRIDLB RII~E OFFICE USE ONLY Lot Block Sec/Sub. 5T PBfCCl N0. Occupancy _ FEFS Zoning W Name 31d ~ (Actual) Const _ Bldg. Permit ; Address 721 WINDMII.L CT (Ailowable) - 0 Clt ~~H Phone 890"'Z7~ A~ o( Stories _ Surcharge y Le~th _ Plan Review & dEl1T-H~{'ilA Q Name DePth - SAC, cicy q~ Address 3850 lii~tY 13 S.F. Total ~4 - SAC, MCWCC City BMsViIJA Phone 894-0758 S.F. Footprints - ~ On Site Sewage _ Water Conn W W Name On Site well - Wa?er Meter AddreSS MWCC System - ~ W City PhOnB City Water _ Acct. Deposit PRV Aequired _ SNV Permit I hereby acknowlege that I have read this application and state that the Booster Pump - g/yy gurcharge information rs carrect and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: HUT"K"'GLO Planner - park Ded. 4n the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg_ pff. _ Copies Buildin9 Of(iCial Variance - TOTAL 25.50 Parmit No. Permk Holder Dste Telephone M WATER ~ SEWER PLUMBING H.V.A.C. ELECTRIC Inspection Date Insp. Commants Foolings I Foundation Framing Rooling Ftagh PIb9• Ra+9h Fn9• Isul. ~ FuWlace b /~7 g Final Htg. Final Plbg. Const. Meter Plbg. Inspecta - Notiry Plumber Ergr./Plan Bldg. Final Dedc Ftg. Deck Final Well Pr. Uisp. ~ , ~A,AMVA'1FD '$~OR ~1~IT 11111 / J~s- $IcxER ~s~-3945 ~TY OF EAGAN I , 3830 Pilot Knob R d, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT .4 PHONE: 454-8100 Receipt~ To be ucpiifor 'C st. Value Date ,19 Site Address OFFICE U8E ONLY LOt Block ' Sec/Sub. On 3ite Sewaye Occupancy MWCC System Zoning Parcel No. On Site Well (Actual) Conat a Name City Water (Allowable) W . , PRV Hequtred i~ of Staiea 3 Address ~ City " Phone Booster Pump Length . Depth , o Name S.F. Total v i Address ' Footprint S.F. City Phone APPROVALS FEES ~ u W Engr./Assess. Permit Name - F W Planner Surchar9e ~ n Address , a W City Phone Council Plan Review Bldg. Off. SAC, City I hereby acknowledpe that I have read this application and state that the yariance SAC, MWCC _ information is correct and agree to comply with all applicable State of Wafer Conn. Minnesota Statutes and Citv mf Faoan tl.rfinances. Water Meter Signature of Permittee - Road Unit ~ A 8ullding Permit is issued to: Treatment P1 on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks Buildiny Official_ • TOTAL • Permit No. Permit Hoider Oats TeIephone ~t Plumbing H.VAC. Ele t?lc ,V,A- insP.et+on' o.t• in . Commenb Footinys 1 Footings II Foundation Framing Q Roofing Rough Plbg. Rough Htg Isul. ZA Fireplace Final Htg. . Final Plbg. Bldg. Final Cert.Oca Temp. LP Sr-,~„3~tT? Q,p Deck Ftg. Deck Ffnal Well v ~iL? ~ , ~vS Pr. Disp. 1 _ . . . - . ' • , - PERMIT # 'v r . PLUM8ING PERMIT CITY OF EAGAN RECEIPT # ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~11~51'o Y CONTRACT PRICE: PHONE: 454-e100 . ~7 Site Address ;2j / / & ' BIDG. TYPE WORK DESCRIPTION lot Block Z 2 Sec/Sub Res. X New Y ' ~ ~ ~ fJ ~ Mult Add-on Name `axc - ~ r{ ~ ~ isC Comm. Repair m ~o Address ~ ' • ; ~v: ~ L Other c Ciry Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: N0. FIXTURES TOTAL Name Water Closet - $3.00 $ c Address ~ Bath Tubs -$3.00 3 Lavatory - $3.00 p City Phone ' Shower - $3.00 % Kitchen Sink - $3.00 - FEES Urinal/Bidet - $3.00 - COMM/IND FEE - 146 OF CONTRACT FEE ~ Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES ~ Floor Drains -$1.50 ~ TOWNHOUSE & CONQO - RES. RATE APPLIES _LWater Heater - $1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 _Z Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI7) (ADD $.50 S/C IF PERMIT PRICE GOES Sottener -$5.00 BEYOND $1,000.00) Well - $10.00 ~Private Disp. - $10.00 -~'•'/.lj.. _ ~ Rough Openings - $1-50 , SIGNATURE OF PERMITTEE FEE ~ 7 s7arF s/c: FOR: CITY OF EAGAN GRAND TOTAL• . . ~ ypl~ .l . - . , . ~ . . . . . w. . . . . . . PERMIT # , . a~ ` MECHANICAL PERMIT 17 CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: Z~ G'O PHONE: 454-8100 QSite Address ' 2 L""''O'"'L "T BLDG. TYPE WORK D CRIPTION Lot ~ Block 17 Sec/Sub Res. ~ New ~ • l?•~ /.o F c= 2/ D f er m Name " v~~ ~ ~t NtE r~ ~ Mult Add-on Address ~"vya4e 15, A'"4 4 5, Comm. Repair J ~ City S/1vi9f ~f Phone 9'S~~'e3o1~ Other ~ S 5 S7 FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone `~C 6 ya / (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 E/l TYPE OF WORK f COMM/IND FEE - 196 OF CONTRACT FEE Forced Air 7-L M BTU ZS~ APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES 6oiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. ~ 11A BTU - MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent - CFM (ADD $50 S/C IF PERMIT PAICE GOES Gas Piping OuUets # 3 BEYOND $1,000) Other i FEE S/C: S~ SI ATURE OF PERMITTEE TOTAL• FOR: CiTY OF EAGAN PLUMBING PER T ; _ . . . , . For Offfce Use Only , . . , CITY QF EAGAN PERMIT # CONTRACT 3830 PItOT KNOB ROAD, EAGAN, MN 55122 RECEIAT# PRICE PHONE 4548100 DATE: ° Site Address ~ BLDG. TYPE WORK DESCRIPTION -17 Lot Sp~, ub` ~s. -1~ New MuR. Add-on I-- ` Name w Comm. Repair Other ~ Address ~ City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Water Closet - $3.00 $ Name Bath Tubs - S3•00 c Address Lavatory - s3.00 ~ Ciry Phone L-)A- 3 4 Shower -$3.00 Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Leundry Tray - $3.00 CQMM./IND. FEE -1% OF CONTRACT FEE Floor Drairts -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 ' TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND./FEE x20_00 (MINIMUM -1 PER PERlllln STATE SURCHARGE PER PERMIT .50 Softener -$5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 ~ Private Disp. - $10.00 Raugh Openings - $1.50 NATURE DF PERMfTTEE U. G. Sprinkter System -$12.OQ PERMIT FEE: , v STATES S/C: FOR: CITY OF EAGAN GRAND TOTAL: ~ ~ ~•.~M ~ . . . ' fttxti#tratt of (Orrupanry . titp of (tagan lpqartmrttY uf #iwldtng jwprii.aa This Certifrcale issued pursuant w the requirements of Seclion 306 of tlre Un~jorm Building Code cerliJying tliat at the ti?ne of issuanre this struclure wns irt conipliance wilh the ?+ariora onlinances of 1/re City reguJating building corrstnrction or use. For the folJowtng.• ua cu:ramoo SF DWGICAR ek*. PtirW N,. 14964 oa,P.WY TM R3 /A1 ] Zen4 Dioic, PD/R 1 Tyw c- ' Vn Owm of &mldm R9H ntcS Add= 5516 18UTH ST E, PRIOR LAKE A 721 iiIIOULi. aOURT L 1, B 17, BRIDLE RIDZ I STI AI)WST 24, 1988 &adm Oftal POST IN A CON5PICUOUS PUCE BLDG. PERMIT NO. 01-3210 Bldg. Permit 11+ COa 00 01-3422 Pian Check 01-3445 Surch./Adm. 013446 SAC/Adm. 01-2155 Surcharge 75-3860 Road Unit 20-2275 SAC ~ 4 4 •`-U 20-3865 Water Conn. ~t7~-, C~ 20-3868 Water Trmt 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 793866 Sewer Conn. ~ n c~ 28-3855 Park Ded. TOTAL CITY OF EAGAN NO 18355 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING P,ERMIT PHONE: 454-8100 Receipt a -o. ~ c-P-7 Tobeusedlor "FIREPLACE Est.Value $1,000 Date SEP 10 , 1930 SiteAddress 721 WINDMILL CT Lot 1 Block 17 Sec/Sub. BRIDLE RIDGE OFFICE USE ONLY Parcel No. T Occupancy - FEFS Zoning _ w Name .TIM BECKER (ACluaq Const _ Bldg. Peimit 25.00 o AddfQ55 721 WINDMTI.T (Allowable) - Surcharge -5(1 City EAGAN Phone 890-2700 a oi sioaes - Length _ Plan Review zo Name HEAT-N-GLO Deplh _ SAC,Ciry oa Address 3850 W HWl' 13 S.F.TOtal ~Q - SAC,MCWCC • City RIIRNSVTI.T.F. phOne 890-075R SF.Foolpnnts - On Si1e Sewage _ Waler Conn 8.1 Name OnSileWell - WaterMeter_ s~ Address MWCCSystem _ a W Ciry Phone Cny Water _ Accl. Deposil PRV Repwred - SNJ Permil I hereby acknowlege that I hava read Ihis appl¢abon antl state that the 8ooster Pump - SiW Sumhargo inlormauon is correct and agree to comply with all applicable State of Minnesota StaWteS and y f Eagap Qrdin~rfc~;!/ _ Treatmenl PI ~ SignaWre of Permitee ~ APPpOVALs Fload Unit A Bwlding Permn is issued to: HFA --N-GI,O Planner - park Ded. on Ihe express condinon that all work shall be done in accordance with all Council applicable State ol Minneso~ta StaWtes anJd Qry,,,~~~o,,,,,,l Eagan Ordfnances. gldy, pfi, Copies Building Official ( 1 1 M!A Oil7. I ~uu 1~7 Variance . - TO7AL 25.50 r. " CITY OF EAGAN N2 1 4 9 6 4 _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIP'G PERMIT PH ONE: 454-8100 Receipt # ~ ~ ~ SO Tobeusedtor SF DWG/GAR Est.Value $72,000 Date MAY 9 ,19 88 Site Address 721 WINDMILL CT OFFICE USE ONLY Lot 1 Block 17 Sec/Sub. BRIDLE RIDGE 1ST OnSiteSewage _ Occupancy R-3 M-1 MWCCSystem X Zoning PD R-1 Parcel No. On Site Well _ (ACtuaqConst V-N z Name RSM HOMES Cirywater _X (Allowable) V-N w Address 5516 180TH ST E PRV Required _ u of Storias ° City PRIOR LAKE phone 440-6900 452-3499 BoosterPump _ Length Depih 46!_ , p Name SAME S.F Total o ~ Address Footpnnt S F. UQ P City Phone APPROVALS FEES ww Name Engr./ASSess. Permit 462.00 ~i Planner Surcharge 36.00 'x - Address aw CityPhone Council PlanRevfew _23~.Q9 BIdg.Olf. SAG Ci[y _10.0-00 I hereby acknowletlge that I have read [his applica6on and state ihat the Variance SAC, MWCC _550..00 information is correct and agree to comply wtlh all apphcable State of WaterConn. _5$0-00 Minnesota Stalutes an[LC+~4v.y.fE a an Ordinaces. q~.( n~~~ "Water Meter _b] 00 Signature ot Permittee qoad Unit _12 `.L,_00 A Bmlding Permit is issued to: RSM NOME$ Treatment P1 _20_4-00 on the express condihon ihat allworkshall betlone in accortlancewithall applicable State of Minnesota Statu[es and City of Eagan Ordinances Paiks Builtling Ot( TOTAL 2,525.00 Thw ueques~ voitl C> q n IH monJ~s fmm ~ (J ' L' / CJ E? 13 5.2 ~a~~ ' flequest.Date t Frte No. Rouph-in Insuertmn Re4u real~ 1~'IHeadv Nuw ~ Will NoGfv InsPec- S~~D-d4 Vus ?No io, wnen a,:aev Licensed Eleclncal ConVactor 1 harabv raquest msOection otabova ? Owner eleclricel work instulled at' Sheet AAclress. Box or Roote No. Gtv z i~c cc~ ~ ecuon o. Township Name or No. Hanyu No. Cnun la-k0tq Occuu~~f P TI Phune No. . Power $upplie, Address al/.ota I~c~r« ~armwt Electrcal Contractor ICom4a v Name) Comrac~oi's cense No. ~ 5~~=n C~l(9KS- Mailmg Ad ress IConvactor or Owner Making Instailauonl ~ 00- l.. S-?Jaoc~ Auth o~iad Sipnamre lComraclor/Owner uking Instailatiunl Ph ne Nwnber / KW . ~ o. 3 nlLl NOT MINNESOTA STATE BOAPD OF ELECTflICITY TBEHAISCINSCEPTEDPECTIOBYN TME NEQSTAUESTTE BOARD Griggs-Midwav Bldg. - Hoom N-191 1821 Universitv Ave.. St. Pxul, MN 55104 UNLESS PNOPEH INSPECTION FEE IS vnooolel91aa2.oBao ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION 40% ea,-o/oooi-os ~ / Sae inshuctions for com0leting this form an back ol vellow copy. E`f 519 "X" 8elow Work Covered by Ihis Request AAd Hep. TyOe o1 BwlEing ApOthonen, Wi,eC Enwomeni Wired Home Fanye Teinporary Service Duple.x Water Heater Liqhtiny Fix4uf;s ApL Bwlding Dryer Elec[rie Heahnc Commercial Bldy. Furnace Silo Unloader Industrial BIAg. Air Conditioner Bulk MiIk Tank Farm oinri oe':i v .inor Isnoc~Wl t ~~.r ucc~N ,hce 0,M1m ompute Inspection Fee Below p Fea Sarvice EnvenceSize n Fee Fanders/Subfeeders b Fnn Circu~~s U to 200 qm 5 0 to 30 Am 5 0 in 30 Am> Above 200 qmps 31 to 100 AmPS 31 to 100 qm s $wimming Pool Above 100-Amps Above 100_/am)s Tranyformers IrrigaUOn Booms Othux Fee Signs Speciallnspection Nemarks 5\ZS~ TO AL F ` i flouah-in Dnte I. The cal If15pBC\Or. M1¢opCy eTbly thet ihe ,bove Final ~nspection has been mede. ThiareQUBSivolAlBmombfmm • f~ 6 4 0 5,~i RequeSt Dete • Fre No. Roughin IRSpecT Required, ? Ready Now y(will Nolity Inspec~or es ? No ~ ~VJhen Reaay? I O licensed coNractor Kowner hereby request inspection of above elecirical work at: Jae Atldress (Street Bm or Route NoJ City -7a Section No. Township Nama or No Range . Counry Occupant(PRINr) Phone No PowerSupplier Atltlress EleMCal ConVaclor(Company Nama) ConVacnor5 Ucense No. V IA Q.CLi?! O`GJ l Mailing A40ress (COntraclor or Owirer Makirg Installation) AulMnzetl S Wra (ConVacbr/Ow~rer Melung Installatqn) Plwne NumEer 4s1- 317vS NIN SOTA STATE BOARD OF ELECTRICITY THIS INSPEGTION REQUEST WILL NOT GNggs-MlCway BWg. - Roam &113 8E ACCEPTED BY THE STATE BOARO 1821 Unlvmelry Ave., St. Peul, MN 5510C UNLESS PFOPER INSPECTION FEE IS Phano(61])602-OB00 ENCLOSEO /~~/$n REQUEST FOR ELECTRICAL INSPECTION eenooo1o7 7 ? See insimcnans Iw complenng this torm an back af yellow copy C, 5'O Sz9 P , "X" Eieifow Work Covered by This Request ew AUG Re'p. Typeof8uilding AppliancesWiretl EquipmenlWrtetl Home Range Temporary Service Duplez Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industnal Furnace Farm Air Conditioner OtM1er (speay) Conirector5 R ' Compute Inspecfion Fee Below: # Other Fee # Service Entrance 5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps ADOVe 100 _ Amps Signs inspedor5 Use ONy TOTAL Irrigation Booms Special Inspection Alarm/Communicatwn P ~ Other Fee I, the Electrical Inspector, hereby Roughm oa~ q~~ _ O~ certify that the above inspection has Fm,l o been made. ~ OFFICE USE ONLV This raquest witl 18 manths trom rnis Yn,esl vola 18 monlhs (rom E 26899 o. a1o. A-- 1 -F Request Date Fire No. qouph-in I- ecuon rrrrrr~~~~''' R~~t netl, OACatlV Nuw ~ll Nnuly Inspee- I ~es ?No lor When Ready I Licensed ElecVical Contmcmr 1 heraby reQUest inspecIion oi ebove ? Oavnpr elecVical work instetlad aL Sireet AdAress, Box or Rome No. Citv -2-1 60(nc~,m(cL (f-7- ecF10n o. 7ownship Name or No. Ranpe No. Counly A ~n Or,cup:~n~ IPqINTI ~ Phone No. 1 ~ \ Pow r upuher~( / Atltlress T I ~ ~~'Y?1 f ~~C7Y~ Elecbical Comeaclor ICOmU~ny Nu el Convar.to~'s License No. n So 6 fts- 3 Madinq'Ad ress (Conte:~/tor or Qwner M~kinpInstailau=n) 1 I 3 SGc (~a f1. 4~ne NumGer Aut orj ed &ature (Conv lorlOwn 0 Makmg Installation) / MINNESOTA STATE BOAND OF ELECTHIGITY TMIS INSPECTION NEQUEST WItL NOT GriB9s-MidwaY Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOAPD 1821 Uni,versitv Ave.. St. Vnul. MN 55104 UNLESS PNOPEfl INSPECTION FEE IS ENCLOSED. HEQUEST FOR ELECTRICAL INSPECTION r EB-00001p-0/6~p_, / See inslructions be completing this lorm on buck oi vallow copy. ~yrj~a p/ E 2 6 t7 Q 9 "X" Below Work Covered by lhrs Hequesl ne R.P. Tvoe oi euiimne APGlioncna WiroA Enuinment w,.en Home Fange Temporary $ervice Duplex Wate, Heater Liqhtiny fixtuies ApL BuilAing Dryei Electnc Heabn Corrunercial BIAy. Fumace Silo Unluade, Industrial 81Ag. Air Conditioner Bulk Milk Tenk Farm otn- pecIv Isnr.cifyl t er Sucu y Othcr Oini., ompute lnspection Fee Below p Fee Service EntrancaSize tt Fea Faxdars/Sublextle,s u Fen Qr urts U ro 200 Am ps 0 to 30 Am s 0 t0 30 Am p Above 200 Amps 31 to 100 qmps 31 to 100 Am s Swinvniny Pool Above 100_Amps Above 100_P,m>s Transrormer5 Irrigation Buoms SO Partial.'Other Fee Signs Speciallnspecuon RerrNrks TOTAL Roueh.in I. tna EI cxl G ~ Inspector. lreiebV certdy thet the abova Fnal D'n/ ~ ~ ~~suoci,on nes eeen ? -meda. TNS repuast voltl 18 manlRS Irom ~ 1514 3 i Requas~ D(~ Fre No. Rough-in Insp wn Reqwred~ ? Reatly Now ? WAI NoLty Inspectar ? Yes ? N. When Peatly? I licensed contractor ? owner hereby request inspechon of above electncal work at: Job A Or s ireet, Box or Roul NoJ . Qry Secbom No Township Name or No. Rarge No , Ca Occu (PRINn Pha , 1 - ooo~ ~-i 1 PowerSuppLer Address ElecVical ConVador (Company Name) Co~iSactor License N KENDRICK ELECTRIC ~ 02-49 Mailtn9 1~V ~~1YLYLJCjjaL"L Auth e \ g (C r yki la Phone Nu r MINNESOTA STATE BOAHD OF ELECTpICRV THIS IfJSPECTION REQUEST WILL NOT Grigga-MlCway Bldg. - Haom S173 8E ACCEPTED BV THE STATE BOARD 1821 Universly Ave., SL Paul, MN 55100 UNLESS PROPEF INSPECTION FEE IS Vlwne (612) 86T-0800 ENCLOSED REOUEST faR ELECTRICAL INSPECTION l EB-00001-07 15143 ? See iRsVUCtions fot campleLnq Ihi510rm On Oeck OI yelbw copy 9, P 5 "X" Below Work Covered by This Request e A* Rep Typeol8uilding AppliancesWired EquipmenlWired Home Range Temporary Service Duplex Water Heater Electric Heating ApL Builtling Dryer Other (Speciry) Comm./Industrial Fumace Farm Au Contlitioner Other(specify) nhaclor5 Remaiks' Compute Inspection Fee 6e/ow: # Other Fee # ServiceEnlranceSze Fee /t Qrcurts/Feetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS inspacror5 Use Only TOTAIL_ Irrigation Booms Special Inspection ~ oa Alarm/Communication ~J ~ Other Fee I, the Electrical Inspector, hereby RWgh-in ~ oaie certity that the above inspection has F,,,ei oa J- Gq been made. OFFICE USE ONLV I Tlns reduest void 18 manNS fmm I RESIDENTIAL -75' ~f BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Canstruction Reuuirementa RamodeVReoair Reauiremenls • 7 registered sAe surveys showing sq. R ol lot, sq. ft. of house; and all roofetl areas • 2 copies of plan (20°h masimum bl coveroga allowed) . 1 sel of Energy Calculatians for heated additions . 2 cropies of plan showirg Ceam 8 window sizes; poured found design, etc ) • 1 sile survey for e#erior additions 8 decks • 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 wpies ol7rea Preservation Plan if lot Dlatted aRer 711/93 • Rim Joist Defail Options selectbn sheet (bldgs wiN 3 or less units) DATE VALUATION SITEADDRESS 77-I MULTI-FAMILYBLDG _Y '/N TYPE OF WORK /U6W ~ FIREPLACE(S) !4 _ 1_ 2 APPLICANT STREET ADDRE55 c.~SSD/ LGf~Y1C~i~e Ql.~°. S CITY 75 STATE IXZIP JrSSW TELEPHONE # CELL PHONE # FAX # 6s/ VSV ~S? /3 PROPERTYOWNER N'4L'2lEmm ~qS/v!'7 TELEPHONE# , COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MIVNLSOT:1 RULES 7670 CA"CEGORY I MINNLSO"fA RULIS 7672 (J submission type) • Residenlial Ven6lation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Enerqy Envelope Calculations Submitted Plumbing Contractor: Phonc # Plumbing system includes: Water Soltener _ I.aNm Sprinlder ~ le`0' Water Heater No. oF R.I. Baths No. oF 13aths hD AUG 0 8 2002 I~ Mechanical Contractor: Phone # Mcchviic:il systcm includcs: Air Condifioning 8y~1''ec:~~:( Hcat Rcmvery Systcm Sewer/Water Contractor: Phone # I hereby acknowledge ihat I have read this application, state that the' rmation is orrect, a agree to comply with all applicable State of Minnesota Statutes and City of Eagan di nces. SlgnatureotAppllca - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bidg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaVC.O. _ Footings(deck) _ FinaWi o C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _[ce & Water _ Final _ Poot _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ [nsulation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total U•A 98 •OV* 4 . . ,U .f 1 ".~J U t •1'J?•?u: u•~: ~ ~;•uu+ tyi•U Lj~ ~ oU•UJF ~J•UU+ O7UU1 ~ 5'l_7•UUt 7.U/f•UU~ v> ~.%~-ij u; 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN , :tl~~~ SINGLE FAMILY DWELLZNGS INCLUDE 2 SETS OF PLANS, 3 CERTIEICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOH CORNER LOTS - CONTHACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE HOILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SUAVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4IERCIAL INCI,UDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: ~9 • 8 p Site Address ~ Z ~ v v~~'~VV~~`1 CA 9zoOO ~ OFFICE USE ONLY Lot ~ Block On site sewage Occuoancy R- M-I NPr7CC system Zoning PD, R-1 Parcel/Sub On site well Actual Const V-N i\ City water Allowable Owner ni-}le S PAV required _ # of stories p Booster Pump _ Length Address S~\ ` F~~~~ St Depth yy'- 4" S.F. Total City/Zip Code ~(`~pY'~~ ~ q)N Footprint S.F. Phone ~ 3 7~~7 Z APPROVALS FEES Contraetor b"toC} C)0 Engr/Assess Permit ~l62 o b Planner Surcharge 36,0 a Address Q 9 Council Plan RevieW , o0 o~ LNp_ -M-6 Bldg. Off. ~5~ SAC, City Ioo, 00 City/Zip Code t ,3oHn1 Variance SAC, MWCC 554p, Ou ~ Water Conn SSO, 0t7 Phone ~ Water Meter 6~, 00 Road Unit 32 S, 00 Arch. /Engr. Treatment Pl Z04 , ou Parks Address Copies I ~S City/Zip Code TOTAL Phone Ik VALuA7roN ~ - GA~ ~x~o = yoo z x ti = C~~ 392 u ~y = sNe~ ~s~r~eul' 3y K lLl 12 x~~ = Z16 = 89ti6 Gqz x 13 Hou,y~ zL X 3 4 = ~SSS~~ I,/tK la = 2 J ) Z1~ Ir, ~ /9z Z7`7 = ly ~ 1! 63 X ya = S6`Iti7 ~ILl7 1 . y sumelvrs 6ermficate SURVEY FOR: [?.S.tl. Homes lnc. DESCRIBED AS: LAt 1, Bloci: 17, BR.TDI,G G1DGF. 1ST [T10N, City of E2gan, Ik+kota Coimty, hfinnesota and reservinF ea ments of record. 892.5 Z N ~e \0 N ~,o , Sc ~ ~ I ))0 ba I v 1 hY p 3 B O ~ 'Y ''t 9 eb 86 / .f y3P 4) ; .~S 4l 0 ~ h i ~ e ~ ~ V I ~ v 0 i \t \ q.3f ±7 ryh' / ~ / 8~1 Q ~ O~ - ' " \ f` o \ B~` ~ Z. \ p~ 0 ~ C \ n „ RP ~ 0 ~ C ~s o~ 0 ; B.W. ~ PROPOSEO EL= 710NS BENCHMARK, Top of found tOn 089c.'I T.R.n.H. aw \ E~eo,+ 686.3L GarapsFloor . .690,3 9.18 1i 8asemenl Floor : ebl.s 7 ' ApproR. Sewer Service ENv.. wA,- ~ MIN. SETBACK REOIREMENTS Proposee Elevoflons Front -,30' Houae Sido - 10 ' m Exi~linp El~vaflom ~ Drainop•Dtreellons . Roar - IS' 6aroq*Side- 5' o Denotes Of/set Slaks ~ O SCALE: 1 Ineh e 30 Feet LOr - 40' % ~ I nereey e.riuy met mis w.wr, oton « nvo.t reo onoarea er m. JOB NO.: HEDLUND or under my Alncl supervldm onA Ihaf 1 am o duly RoqNHrod epp ~ LeeA Survqor under Me lars ot tM 8fab ol Mlnnneta. Planning Engineering Survey/ng 800K: Q) ~1 !~I ~IOpNrplm fiwtry. ~1opnpplm. YNwM~ H~m ~«~Ve~~~aomr D Date: 4, b ~ 88 PAGE: ~ MAY 5 11-1.69 vJ f~~y0.~L dyr~n,Uc~n~• N4N378 qo' s.4nae1G M w+4~ Cities Di ital ualit_y Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ..r ' A _ . : . . . _ _ . . ' ._..f..__..• . RSM HOMES, INC: GXTGRIOR GIJVELC°~- AVIRAGE COj~9~7UAiRHY LqKE BLVD. PRIOR LAKF, Mtd, OW~JER J~`b6372 ' ~ • SITE ADDRESS_ -7 Z, . ~ COfJTRACTOR /7%/r2~.~y,,`~5 ~,,c, pAT~`~e~ P1-{Ol'!$ Aetermine vrorking Square..rootap:or. each. 'gq 0 * l. Total exposed wall_ area .,1ys~•o sq.: --~T---~-, , 2. Total rool'/celling area . • ~ Total exposed wall area aboVe floor = 9,~0.o C~ •'Z~ . a. Total wall vrinCovi area . . . . . . . . . . . • 9.v,y . ' b. Total door zrea . ,,,,,,,~..~y . _ c, -Total sllding glass~area d. Total fireplace wall area • e. Total wall framing area (average lOx),.. / 5.D f. Total net wall area above floor.. G. Total rim Joist area ~..s' . Total exposed 1'cundatlon srea R/,. o • h. 7'otal foundstlon rrindow. area ,...,.~,~T. i. Total net foundation, area aboye grqde',~ ' Determine "U' value of each wall *eemept. a. ,J. / X 1. u c ;v a yG. 1 , • , b. ~/UY X UUI' .O%L P 3.1 . . , C . _V_ t! ~ X n U D. C") X u~:~ G @._19.~•U x i_Vu .o~_ f. i!;YG•Y x~~U~: oyr o ~9•1 i . a' q.X"U' o?~ s a h. c~ X~'U~ o s X "U" 3 ....................................,~'otal • 6L3.~ ^ , 1 iF iten q3 is the same as, or less than 1ter) N1, ypu have meC xlia intent of SHC 6006(c)2. ,~u'+'- ~ 3 s-E`-f~ _ . - - , • • /{-rn C{ ri, ~ ...X~"~-Q" cf y• ' . -E " . i Total exposed root'/ceiling area iotal akylisht area . . . , k. Total roof/ceiling framing area(average l. `a'otal net insulated roof/ce111nC area 9P~.G Determine "U` value for eacb Foof/ce111ng segmpat,'';, . k.11o X r o~~. 3•i I. 3; L $'"U'' U J 7 4 . . . . . . . . . : : -s_T - -_g=-° - . - _ ° - • i ~ ~ - . . . . . . . . . . . . . . . . Total Ir a-1-o= M4 fs-Uhe-same-as; or less-thari ~2~ ypu have meG th~ intent of SBC 6006(c)1. . Alternate Building gnvelope D(033Fn To ut111ze zhe total envelope systera nethod, the va2ue4e4tap31sbed by the sum oF items k3 and qq shall not be greater than the sur.i,oP " itens b'1 $nd ti2. 1. +-2 3 • ---~--y = Y = /~s. y= - o,,a . j 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTZPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITEGTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRE55 IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & F'ATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COh1PLETED. PERMIT MUST SHOW A LICENSED PLUMBER. d d.~ qP To Be Used For: Valuation: 0 Date: Site Address 12Z La&ll/ 67 OFFZCE USE ONLY Lot ~ B1ock ~ FEES Occupancy Zoning Parcel/Sub I~ Actual Const Bldg. Permit . A1lowable Surcharge Ocuner # of stories Plan Review 7Z~ 1,7~/~ ~/J f Length SAC, City Address G~/ ~s-~~ Depth SAC, MWCC S.F. Total Water Conn City/Zip Code~~~(y~ Footprint S.F. Water Meter u" Acct. Deposit Phone On site sewage_ S/W Permit On site well S/W Surcharge Gontractor M47CC System _ Treatment P1. City water Road Unit Address PRV Park Ded. Booster Pump Copies City/Zip Code~l,//f/{~f1JI/`,~~~ SUBTOTAL rn,~ APPROVALS Penalty Phone Planner TOTAL Council Arch./Engr. Bldg. Off. Variance Address City/Zip Code Phone # t-A:~~r g 1989 BITILDIAG PEAHIT APPLIC?lION ~ , CTf2 OF EAG1N ~ SINGLE FAHILY DiELLiRGS TIPLE DWELLINGS CO!MEHCIAL 2 SEfS OF PLANS 2 8ETS OF PLANS 2 SEfS OF ARCHI2ECTURAI. 3REGISTERED SITE SORVE23 ffiGIS2BSED 3I76 3QHVETS - i 3YHOC1'QR1L PLINS I 9Lr! OF EI9EAGY CALCS. (CHECR OI'1'H BLDG DIV.) 1 SET OF BPECIFICATIONS 1 BSI OF BBSRG] CAI.CS. 1 SET OF ENEACI CALCS. YJL2IPLE DitELLINGS AEtTfIL DNITS POH SALE OHTPS 1 OF OHTtS iOTEt iDDRFS3E4 !Ofl COAIQEA LOSS - CORSRALTOR/BOMEOWNER mST =IGPA7E YHICB ADDRESS IS DFSIAED. HO CHANGFS WILL HE lLLOWED ONCE HQII.DIIOG PERKIT 13 I3SOED.. SEWER 8 illTEA PEAMIT FEES lND lCCOIIIVT DEP0.9IT T6F5 iiILL Bfi IPCLQDED iRTB THE HDILDINQ PERIiI! FEE. PAOCFSSIAG TIIM POR SEHER 1AD WATEA PESNIIS IS iW0 DAYS OWCE l PERMTT HdS HEEN CWLE3ED INDICATING A LIC6NSED PLDMBER. PENALTY, APPLIES WHEN: PEEiHIT IS NOT PAID FOA IN SAME MONTH IT ZS REQUESTED. LOT CHANGE IS REQUESTED ONCE PEHMIT IS ISSUED. To He Used For: Yaluation: Date: Y-y Site Address -711 e-A OFFICE 05fi OAL2 LoE ~ Block Iq Occupancy FEES 2oning Parcel/Sub Actual Const Bldg. Permit Allowable Surcharge Oxner-S~.~s 1 of atories Plan Review Length SAC, City Address 7~L1 Depth SAC, lIWCC S.F. Total liater Conn City/21p Code i23 FootprinL S.F. Aater Meter ?cet. Deposit Phone On aite eexage S/il Permit On aite well S/H Surcharge Coatractor ~ C L h' HNCC Syatem _ Treatment P1. City vater _ 8oad Unit Address PAV required _ Park Ded. Booster Pump _ Copies City/Zip Code SDBTOTAL 1PPAOVALS Penalty Yhone Planner _ ?OYALI. Council lreh./Engr. Bldg. Off. Z' (2/IZ oariance Address CitqlZip Code fhone I . . , , . , APFLICATION FOR PERMIT - ;NOM= PAYMrr oP eee r,T TTME oe : ; AerLIcaTtoN ooEs Nar croci- : - y 5CS1LIlE APPR('JAL OF PET7MIT. ~ 9i~• a SEWER AND/OR WATER CONNECTION + INSPflCPION OF SETdEi AN7/OR WATER ; ItYSTNJATIOt15 WII,L NorI' BE crcntncn ~ [TICIL PFI24IIT FiAS g~] APPROVm. `ry( ' •f.~~+ai:»~~~r~w3:k~s~~~aWao~~re~t~+w+ F-dtV oF ear gan (PLEASE PRINP 1) PROPERTY ADDRFSS: LF7GAL DESCE22FTION' Lot Block S ivision or Tax Parcel ID ) IF EXISTING STRC'CTURE, DATE OF ORIGINAL B[JILDING PERMIT ISSUANCE: Mbnt Year PRESENT ZONING/PROPOSID LSE: Q COMMII2CIAL/RETAIL/OFFICE ~1 SINGLE FAMILY Q INDOSTRIAL ~ R-2 DOPLEX (3tvo Cnits) Q INSTI'ii)TIONAL/GOVII2NMENT ~ R-3 TOWNHOOSE (Three + Units) ( Lnits) Q R-4 APARTMENT/CODIDOMINILM ( C'nits) NAME: ADDRESS: f~ N~rJ -2 CITY, STATE, ZIP: PHONE: 6 p l For City Use 3) i u:w NAME: P1 ers License: ADDRESS: Active Expired CITY, STATE, ZIP: Ij Not recordeC PHONE: MASTER LICENSE # 66_?_3 a 7/y7 [ Sta In£~tia~ 4) • • ~NAME: ADDRESS: ~S/l - ~PO e-r CITY, STATE, ZIP: ~/";d~' G~-~-'rG~ S.S~7~2 PHONE: 5) s ffi' d •ou i~~ ~DIltECTION TO CITY S ^D7NECTZON_ TO CITY WATEF2 ~ 0'IHER 6) ***Fi**i*ik**iF#+*#*+#*kiFk*kiiir:k**+*i(**ir;t**y#4*aFkir*4*****#irir*it+*k*k**i***'kir*k#iFiakir*:t9r****'k*i: ~r~t*t**#'*'1'1 * TEiE GOLD COPY OF THE PEE2MIT WILL BE SENP DIRECPLY 'PO PUBI,IC WORKS TO FACILITATE MEPER PIQC-DP. ~ .*k PLE7ISE AISAW TWO WORKING DAYS FOR PROCESSING. .,ONIDONE FROM TmCITY WILL CONTFuLT YOU IF T4EE2E : * pRE ANY PROBI,Er1S. ~ ~+,r******,t~~~*t+***:r*~***+****+**r*+~~**+:r~****,t***~**r*,t**r*~~**,t*~x+*t*+***~***~W**~*r*~+***~*~**y FOR CITY USE ONLY PERMIT # ISS[)ED - % 7,z.3 Pd w/Bldg. Permit FEES: $ SEWER PERMIT (INCLODE SURCHARGE) $ $ /Q WATER PERMIT (INCLUDE SC'RCHARGE) $ ~i 70 o $ WATER METER/COPPERHORN/OC'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ J'r',WE.i2 TAP . $ $ ACCOUNT DEPOSIT - SEWER $ $ ACCOC~NT DEPOSZT - WATER S $ wAC s G s-o , r~-o $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ S LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRCINK WATER $ $ WATER TREATMENT PLANT SURCHARGE $ ~ $ OTHER: S $ ~627, C' D TOTAL - IS5 Z~ 4- ~ RECEIPT RECEIPT . DOES CTILITY CONNECTION REQDIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK SQITHIN PC~BLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: - APPROVED BY: TITLE: DATE : ~v~Z //W 4110/ CityofEaii $830 Pilot Knob Road gan MN55122 : (651) 675-5675 651) 675-5694 Date: k\V\`\1 Tenant: Use BLUE or BLACK Ink For Office Use Permit#: /`" Cq Permit Fee: Date Received: Staff: 2011 MECHANICAL PERMIT APPLICATION 7a-\ wvndi 11 C� Site Address: Suite #: J RESIDENT/ OWNER .V Vick ( t � eJ.- � Phone: col 91 ` &-7 - i Name: J Address / City / Zip: 7a "/i �- IfNi 1 Ec��Grr-N vYlkTh �� CONTRACTOR Name: hrm 1fi >^� CO . Address: �E City: B' -i- i iL--11 Cr,SI License #: State: 'tY\r Zip: SID--/ Phone: Contact //V. C e 1i1") JAL Email: TYPE OF WORK New replacement Additional Alteration Demolition Description of work: re P--1-1- t/14e � `'-cl AC- u, i NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. PERMIT TYPE RESIDENTIAL 'umace ✓Arc°Conditioner --T Ati Exchanger Heat Pump Other COMMERCIAL. New Construction _ Interior Improvement Install Piping _ Processed Exterior HVAC Unit Gas Under / Above ground Tank (__. Install / _ Remove) **When installing/removing tank(s), caN for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $55.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) TOTAL FEE $95.00 Fire repair (replace bumed out appliances, ductworlc, etc.) (includes $5.00 State Surcharge) $ COMMERCIAL FEES: $75.00 Underground tank installation/removal OR $55.00 Minimum (includes State Surcharge) - If the Permit Fee is less than $10,010, surcharge is $ 5.00 - If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee (i.e. a $10,010$11,010 Permit Fee requires a $ 5.50 surcharge) Contract Value $ x 1% = $ Permit Fee = $ Surcharge = $ TOTAL FEE 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•nopherstateonecall.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. x Applicants Signa re Applicants Printed Name FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _ Rough In Air Test Gas Service Test __In -floor Heat Final Exterior HVAC Screening Inspection PERMIT City of Eagan Permit Type:Building Permit Number:EA126760 Date Issued:09/09/2014 Permit Category:ePermit Site Address: 721 Windmill Ct Lot:1 Block: 17 Addition: Bridle Ridge 1st PID:10-14996-17-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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 by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Ashish Vartak 721 Windmill Ct Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (130) 651-2644 X777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA147272 Date Issued:12/21/2017 Permit Category:ePermit Site Address: 721 Windmill Ct Lot:1 Block: 17 Addition: Bridle Ridge 1st PID:10-14996-17-010 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Ashish Vartak 721 Windmill Ct Eagan MN 55123 (612) 327-7630 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151516 Date Issued:08/28/2018 Permit Category:ePermit Site Address: 721 Windmill Ct Lot:1 Block: 17 Addition: Bridle Ridge 1st PID:10-14996-17-010 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Ashish Vartak 721 Windmill Ct Eagan MN 55123 (612) 207-0940 Keyprime Roofing And Remodleing 6960 Madison Ave W, Suite 8 Golden Valley MN 55427 (952) 426-0132 Applicant/Permitee: Signature Issued By: Signature