724 Windmill Ctq0
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit Fee: 0. 0 v
Date Received:
Staff:
J
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:1_3 — 10 -- I D Site Address ( 1 1 i1 v -Y\ \ 1\ -.
Suite #:
Tenant:
RESIDENT 1 OWNER
TYPE OF WORK
Name: J
Address / City / Zip: ( —7 a l _I "v t
Applicant is: Owner X Contractor
1M,c \ L Fb _c
Pia�� �r.
Description of work: e i 545 r' -
Construction Cost:
CONTRACTOR
Phone: l_Q6 I LI 6c q 6
a er�i r coor5
hirc�5 I 5 -for 61 dirt �LU%hC�d
Multi -Family Building: (Yes" / No )
Name: a1'\Ytc�a •� L.s�v�.c, 2,? -\-s l /
Address: l Lone oa�� I `ci) I % 7' •City: Ea ?\ O�
0a-'(-•-c-\-t
`` r QPhone: (I)6 I ci0 0105
M
State: ,� `n 1) Zip: E. 1
Contact: I a -n Cwt o Email
License #: , G Z 14 9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Phone:
Licensed Plumber:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
nsidered to be public inform
�ovde spefia„reqs
ey.'are#rdeasecrel
CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454-0002 far protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. wv✓w.gopherstateonecall.ora
I' hereby acknowledge that this information is complete and
accurate;
h otrthe work li be and inrk nn fo mnot ao e ith the e otr da permit;nances andt tnd odesworkf the City of
b
Eagan; that I understand this is not a permit, only app at oo
accordance with the approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Sign
1
CITY OF FAiiAN Permlt Na 1= DBte:
, 3830 PNot Knob Road kleter Na Size: r~
P.0.,P6nc 211~8 Reader No:O 3 p 9l fn D~ Date:
Eaqan, MN 55121 '
Owner: Kevland Iioines I
Site Address: 724 TJIindIAi11 c',ourt 1,17 B17 Bridle Rid e
Plumber flmerican ~~f &M hanical
A
Conn. Chg 525 • ? tji Opal461itips RI
Acct Dep: 15. -~d•~.:~9, PPTWj&p(N*C- 1
Permit Fee: 10, ~`k , A`/~/
Surcharg~ ¦ ~~rN,~tl~lhply wllh ihe Clty ot Eapan
Tr. Plant 1 80• Ordlnsnces.
Meter.
M isc.: Br
~ WATER SERVICE PER
CITY OF EAOAN Permit No: 9319 1-E-8g
~ 3630 Pllot Knob Deta P.O. Bo6c 211 99 ~oad' roeter No: Size:
Fieader No:
Esyan, MN 55121 Date:
Owner.- KeylancI 13omsa
: SlteAddress. Court L17 g17 g~ridla 513Qe
Plumber Annertcan S~ N/D C t~t~a~al
Conn. Chg: 525. O~J
Acct Dep; IS.OOnd Zoning Rl
pa No. of Unita 2 '
Permit Fea 10.00
Surcharge: .5
Opd
Tr. Piant 1$0. (~Qpd 1 ag?N to complr vrHh Ihe CRY of Eagan
Meter. - _ Ordinances,
Misc.: B
Y
i` WATER SERVICE PERMIT
CI"CY OF EAGAN - - -
~ilKnob Road ~~mit No: Date: 1
P.O. ftoc21199„ ~ IB/PNo:
-
EaPn, MN 55121 Data 7 '
' Owner.
; Sfte Address: %L 4Vinvz~f ? 1. Cour t
, Plumber, r
~ i , .t~ ;11CHI
~ Mwcc: _ s7 5.00na
; CnY Chg: 11J0. !Tpd Zonin • :
~ Acct Dep: 1S .d No. of Unltta;
~ Permit Fee; P Qrse fo co
1 mply with Ihs qty a Ea
j Surcharg~; a • ~n~- Ordinan I
~ Misc.: °e&
I
~ By
~ SEWER SERYICE PERMIT
~
. • , ~ , CASH RECEIPT ~
CITY OF EAGAN
, 3830. PIL~TJCNOB ROAD
, EAGAN, MINNESOTA 55122
~
DATE 19 1
wseavio
FROM r . . . .
~ AMOUNT $ I
DOLLARi
~ CASH Q CHECK
I ,
rOR ~ '
J
r ' .
PUND COOE AMpUNT
Thank You
ev -
;
~ Whita-PaYsn Copy
33:
Yellow-Postinp Copy
Pink-Fils Copy
f BLDG. PERMIT N0.
~
• 7_~ Lt ~ i ~l r~ r ~
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
, 01-2155 Surcharge
17-3860 Road Unit ~ ~
20-2275 SAC
20-3865 Water Conn. Cv ~
20-3668 Water Trmt.
~
20-3716 kater Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 5ewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL ~
. . . . , ~ i.:~c.?t. aN~~:uv~.s CITY OF EAGAN :q
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 ~
BUILDING PERMIT Recetpt
7o be used far SF p~/GAR FsL value $76,000 Date NOvEMUR 2' ,19 87 ~
Site Address 724 KYNDblIl.L CClURT OFFICE USE ONLY
Lot 17 Block 17 Sec/Sub. DRI DLE t:IDG$ On Site Sewage Occupancy R3
MWCC System x Zaning $I-
Parcel No. On Site Well (Actual) Const Yn
ac Name KrYt'AN''7 Ndt''E3 Ciywater k (ANowable) tra '
z Address l SO dt?gfdSVILLa P!C"wfY PRV Required #of Stories
W
° Ciry I'llviLl'E Phone 394-"635 BoasterPump Length
Oepth 4b ~
.0 Name • SAKE S.F. Total ,
o v Address Footprint S.F.
<
UP City ~ Phone APPROVALS FEES
S a~y. SC~
yVj W Name Engr./Assess. Permit
~ Z Planner Surcharge ~
x - Addr@ss .
¢ Z' City Phone Council Plan Review 209• 75
~°J Bldg. Off. SAC, City 100.00
, I hereby acknowledge'that I have read this applic#tion and state that the Variance SAC, MWCC _10z(X)
infortnation is correct and agree to comPly with a!I apDlicabie State of Water Conn. 525.40
Minnesota Statutes andCily of Eagan OrdinanCes:
Water Meter 6 7. G.0
Sig,pature of Permittee ~ " - Road Unit 3US.t?U
A Bullding Permit is iasued to: KEYLANfl HWEs Treatment P1 '
on the express condition that all work shal I be done in accordanCe with all
applicabre State of Minnesota.Statuies and City af Eagan Ordtnances. Parks
. TOTAL $Z+ 369 . 2 s
Building Official_ r~----
.
CITY OF EAGAN AO 17614
3830 Pilot Knob Road, P.Q. 6ox 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt # To be used for ~ BASEIjENT Est. Value $1•500 Date MAR 19 19 90
Site 726 WINDMiLL CT
Add s 5 .
Lot Albck i7 Sec/Sub. BRip~ RI~E QFFICE USE ONLY
ParGel No. Occupancy - FEES
Zoning
¢ Name AALE FORD (Actual) Const _ Bldg. Permit 3 S•~
~ R4M 721- '-T i*T-, • LL V ~ (Allowable) - Surcharge 1.00
City EAGAN phone 4%-9530 rof stOes _
Length _ Plan Review
=a Name SAM Depu, _
SAC. Ciry
$Q Address S.F. Total - SAC, MCwCC
City Phone S.F. Footprints -
On Sile Sewage _ H?ater Conn
~
~ W Name = on site weu - wacer Meter
~v AddreSS MWCCSystem _
i W City Phone City water _ Acct. Deposit
PHV Required - SJW Permil
I hereby acknowlege that I have read this application and state that the Booster Pump - S/W Surcnarge
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and C0 °i ~agan Ordinance Treatmenl PI
` APPROVALS
Signature of Permitee - Road Unil
A Building Permit is issued to: VAu RD Ple""a' - Park Ded.
on the express condition thal all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies
Building OffiCial _ Variance - TOTAI 36.00
Permit No. Pe.mlt Hade. oate Telsphon. N
WATER SEWEH
pLUMBING
H.VA.C.
ELECTAIC ~ r,;L~ 4ry
Irqpeetion Dale Insp. ComrteHs
foodrgs I
Foundation
Framirg
Roofrg
Raqh PIb9.
Ra?9h Flt9•
IsuL f-ei
FreWace
Final Htg. 3 - ~
Final Plbg.
Const. Meter Plbg. Inspector - Nodfy Plumber
En9r./Plan f~? L - /V
Bldg. Final
Oeck ftg. -
Deck Final
wen
Pr. Disp.
CITY OF EAGAN `
. . ,
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt ~t
To be used ?or ; Est Value ~4•~~ Date
Site Address ' OFFICE USE ONLY
On 3Re Sewafle Occupancy i
Lot T%Block SeC/Sub.
' MWCC Syatem 2oniny
Parcel No.' On 3ite Well
(Actual)Const
Cfy Water x (Allowable) "
11 a Name
W PRV Required of Stories
= Address
° City. Phone y° ~~ter Pump Lenpth •
Depth
, o Name S.F. Tota1
~ ~ Address Footprint S.F.
~ City Phone APPROVALS FEES
~ W Name Engr./Assess. Permit '
~ Z Pianner Surcharge
Address
a= City PhOne Councll Plan Review
c W Bldg. Off. SAC. Ciry .
r...
1 hereby acknowledge that I have read this application and state that the Variance SAC, MWCC '
information Is corcect and agree to comply with all applicable State of Water Conn.
Minnesota 3tatutes and City of Eagan Ordinances. ~ ~
. , Water Meter
Signature of Permittee Road Unit
A Bullding PermR is issuetl to: ' Treatment P1
on the ezpress condition that all work shall be done in accordance with all parks
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
TOTAL ' 1' jt~ '
Building Otticial '
P'ermlt No. Pwmk Molder Dste ToItphons s
Plumbing i I'~5
H.VAC. W aZ C ~ ~ ~ ~~~I
.
Electric
softener
Inspectfon Date ]In,,p.
Commenb
Footings I Footinps II
Foundation
Framing
Roofing
Raqh Pibg.
Rouyh Htg. y
Isul.
Firepiace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Dfsa
r. ~ s-•~--z ~~•-Y.•-r.-.',-o"-.-,.~.~.c•xy;w~'~^°.~.~~y..~..-....r.,.,...... , ...~....fw~r~~.r--~-^-~-~. ..._t. , .r 'i
.
, PERMIT
PLUMBING PERMIT RECEIPT # 29.Z~ Z
CITY OF EAGAN ~ 07
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: f~ o
CONTRACT PRICE PHONE: 454-8100
Site Address << BLDG. TYPE WORK DESCRIPTION
Lot _17 - Block _..L.~_ Sec/Sub Res. New
~ Mult. Add-on
m Name i •I Comm. Repair
.
co Address Other
c City Phone RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES OTAL
Name _44-Water Closet - $3.00 ~ _,4-Bath Tubs - $3.00
3 Address ;CrLavatory - $3.00
p City Phone _/_LShower - $3.00 --3 ~ C~
4_Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ~Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPUES ~Floor Drains -$t.50 f4~
TOWNHOUSE & CONDO - RES. RATE APPLIES -_/1_Water Heater - $1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
-
MINIMUM - COMM/IND FEE - a20.00 _/-Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND,a1,000.00) Well - $10.00
Private Disp. - $10.00 C
! Rough Openings - $1.50 ~ - ~
SIGNATURE OF P RE MITTEE . FEE: ~4z:' C'
STATE S/C: L l'
FOR: CITY OF EAGAN GRAND TOTAL•
rh• i a , , T..~..~.M.~ ~ - . ` ;,'"T"'*'~q~.. PERMIT #
MECHANICAL JERMIT RECEIPT #
CITY OF EA6AN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: r}! 0 /87
CONTRACT PRICE: PHONE: 454;'b100
Site Address ~ gLpG. TMpE WORK DESCRI ION
Lot~ e:,L_Block, / T Sec/Sub
Res. N!~_ New
MMit Add-on
m Name • "
w Address ypComm• Repair
c City Phone ~ ? t ~er
A' FEES
Name ftES. HVAC 0-100 M BTU -$24.00
c Address --*-4 PwIti ADDITIONAL 50 M BTU - 6.00
O CitY kjP A&Sj• 1(&- Phone ~ L (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
_S OUTLETS (MINIMUM - t PER PERMIn - 1.50 EA.
TYPE OF WORK MM/IND FEE - 19b OF CONTRACT FEE
Forced Air M BTU A T. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADO $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
e
Other .
FeE S/C: • ~ SIGNATURE OF PERMITTEE
. ~0
TOTAL•
FOR: CITY OF EAGAN
'A .
~ .
. (Strfif iratt of Mrrupanrn
,
' tttp of (Eagan
mrpwrbnnt ,af lhdid*ng Atoprr#inn
This Cervfrcate issued pursuanJ to the requirenients of Section 306 of the Unijorm Building
Code certifying that at the time of issuance rlus str?rcacre was in conlpliance with rlre various
ordinaRCes of the City regulating building construcNon or use. For tlie foUowing.•
U.Qbm6ouon SF M/GAR Bi* ftrmit No. :445'
O-P-Y 1YM R3 7.aaioa Dotrict R ~ i* C,ad1, Vn
Owner of Bw7din~ KEYIRfi HC~W Addrm BURNSV= PWY• VVIT T s
Iholdws Ad6m 724 k'IN3,iIIl OCJIfaKi' 1-,;ty LI7. B17, BRIDIE R1DG8
patC
11wil"IM
POST IN A CONSPICUOUS PLACE
r . . _ -
T„~ • • ~ . aO~G~ o`- PERMIT #
MECHANICAL PERMIT i ~
CITY OF EACAN RECEIPT N
3830 PZOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-8100
`Site Address 7236 us. S BLDG. TYPE WORK DESCRIPTION
Lot Block 17 Sec/Sub Res New
~
m Name i` -4 Mult Add-on ~
Address ,,,,d A, c. Comm. Repair
~ Other
c City -rA614"e- W Phone fti/ ce
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c AddreSS ADDITIONAL 50P BTU - 6.00
p Ciry Phone ! p (RES. HVAC INCLUDES A/C ON NEW
- , CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLJES
Boiler M BTU -It MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU f Z a MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PEF PERMIT - .50
(AOD $.50 S/C IF PERMIT PRICE GOES
Gss Piping Outlets # BEYOND $1,000)
Other
~
FEE
S/C: S G F I ~
TOTAL ~ S~
FOR: I OF EAGAN
,r•
Thl. repuest vm ofd
n j
18 pnths fro X~ ~ V
~ . 81809 ~L /'7
Retues~ Uatp Pire o. Fouph-in InsVecti6n
{7 Heqwr~tl? ' OqeaAy Now ~1CR Nnuty InsPec-
m/ . d 7 ~ ?N. iar When fleatlV
j?6censed Electncal Contrncto, I hareby requast ms0ectmn oi above
? O`9^e, electrical work unstalleE at:
Sveet AtlAress. Boz or Poute Na C,ry
7-24f E.5=4A.J
7"cbon o. Townshio Name or No. RanBn, No. County
ko~
Or,cvpdn~IPRINT~ Phone No.
KE ~R~ ES
Fower $uVPlier Address
(0A
Elecbroal ConVactor (Company Nnme) ConVa~nor's Licnnse No.
dnP1~~ 1~ALt V /Z7S?i ~A>G. O~/S'70 -5
BAtlJress Contracmd~or Owner Making InAiailation)
nmAuthori4 PLl~1 D NA1 ss/Z
iyna
Wre IConuect ~O ner Makinq Installationl Phone Numbcr
3/- 737
MINNESOTA STqTE BO D D OF EIECTNICITY TNIS INSPECTION HEQUEST WILL NOT
G,iB6s-Midwoy BIdB. - Room N-191 BE P.CCEPTEO BY THE STATE BOAflD
1871 Universilv Ave.. St. Peul. MN 55104 UNLESS PROPEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
, See inslruttions lor comple4nB this torm on beck of yellow coFV ~
8 y-8 Q9 "X" Below Work Covered by 7his Reques!
Nev4AddI Peo. Type ot euileing Aoaliancea Wirea Equiuatem wi.ed
Home Range Teniporary Scrvice
DuplOx Water Heater Ligh[iny Fizimes
Apt. Bullding Dry¢i Electnc Heatun
Commercial Bldy. FumBCe Silo Unloader
InduStrial BIAg Air Conditioner Bulk Milk Tenk
Farm oint'F oect v ~ner isper.. iv1
iv,, ucuty tncr Oin,er
ompute InspeCtion fee Below
Y Fee Service ENreneaSiza H Fee Faxders/SUbitleders b Fen Grcuns
U to 200 qm ps 0 to 30 Am s ,BO 0 tn 30 Am s
Above 200 qrnps 31 to 100 Amps 31 to 100 Am -
w
$imming Pool qbove 100_Amps Above 100_Am)s
Transformers Irrigatwn Boortis Parnal.'Other Fee
Signs Special Inspection ~ TOTAL FE
Re~+xrks ~ . ~
RouBh-in °/tp^/_ 1-~cha Ela vicx
J'~„J . [ O~ I~fsPecmr. ro TV
ce.~~~v ~nn~ ~na bove
Final inspettmn has been
msAe.
Thierepuesl vaiE 18 montM Imm
This reques~ vojtl6~/&/~A ~
18 ~ronths Irom e9 ~V
E 2063 - J,~ ~f 13 ,7
Reanes, uii~e Ire No. Rouph-i insuec o~,
none
Reatly Now Q Will Nobly Insoec
~ ?Yes u tui When Ready
icensed ElecVical Contractoe I heraby request msoeetion oi obove
? Owner electricel work installeE el:
Sveet AAdress, Box or Route No. Cny
7aL( i'0ND/n/LA, c, cc,/1 k)
ecuon o. Townsbi0 Nama or No. R:mgc No. County
OF+«O I yl
Occapant IPRINTI Phune No.
NKtDi f~RO ~i~'b ~Qs 30
Power $upplier Atldress
Electrical Comractor (ComVany Name) Contractor'S License No.
(a riL "~4 Cc.~urr~cc iNc, o~~x6y
Mailinp AdJiess IContractor or Owner aking Installauonl
4-(193":) RtnL-C ivZ~~~ sSeaa
Auth nd pBnat e 1 mru or O~~er Makind Ins~allalion) Phpne NombPr
MINNESOTA STATE BOARD OF ELECTqICITY THIS INSPECTION pEOUEST WILL NOT
Gripgs-Midway BIdO. - Aoom N•191 BE ACCEVTED BY THE STATE 90AIiD
1821 Universitv Ave.. St Pxal. MN 55104 UNLESS PFOVEP INSPECTION FEE IS
Phone(612) 6420800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION ~ EB AP001j G%
, SBB in5i1VCtipI15 lol Compl¢IinA 111i5 10lm On bpCk O1 VBIIOw Capy.
E 2 06 3 2- - "X" Below Woik Covered by This Request
Adcl Nep. TVPe of Bwlaine Auolinncna WueA Equ,uraant Wved
Home Ranye Temporary Service
Duplex Water Heater LiqhUny Fixuues
Apt Bwldmg Dryei Electne Heatin
CortunerCial Bldy Fumace Silu Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Ounr, oe, v 0n", ISucc,iv~
t nr ucufy ther
ompute InspectJon Fee Below
U Pee SarvimEnVancaS¢e b Fee Fextlms/Sublexders b Fne Circu~~s
U to 200 Am ps 0 to 30 qm s 0 tn 30 Am
Above 200 qmps 31 to 100 Amps 31 [0 100 Am s
Swimming Pool Above 100-Amps Above 100_Ainpti
Transiormers Irrigation Buons Partia ; er
$igns Speciallnspccuon ~
TOT L
Aertarks
Roueh-in Date l,the I
~ spectar, heroby
cerlify lhpt the above
Final inspection hes neen
made.
TNf reQUest valC 18 moMla Irom
6 6 418 ~ 1,2 -/~i/2
Requast Date Frze N. Rough-in InspachOn
~ p,~~ Reqwretl? ? Reatly Now giWAFNOOfy Inspeclor
9es ? No Whan ReaCy7
10 licensed contractor lt~t o'wner hereby request inspecUOn of above electrical work ah
Job Atltlress (Slreel, Box or Rwte No ) Qry
2 ~t,l I n; n-n C 6'9 c I
Seclion No Townslnp Nama or No. qange No. Counry
Occupan[ (PRIfJT) Phaire No
- -
rower suaaie, nmress
DJ~ C,-171 eLES~:"~1L
ElecVicel ConUaclor (COmpany Name) ConVaqorS Licensa No
c_,G E , K :i-D
Malling Adtlmss (COnbaciw or Owner Making Iinstallatan)
n; . .N /LL C'-
Autliorized SgnaNre (ConVactor/Cvnar Mek on) Phone NumDer q
J`"/~~C1
MINNESOTA STATE BOAHD OF ELELTPICITY THIS INSPECiION REOUEST WILL NOT
Grigg>MlArvay Bltlg. - Room &173 BE ACCEPTED BV THE STATE BOARD
1821 Unhrenky Ave., SL Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phona (812), 642-0800 ENCtASED.
~/~~/5L, REQUEST FOR ELECTRICAL INSPECTION eeaoaoHo~
jt~ See msleuctqns br completirg Ihis form an Eack af yellow ropy
~Ll ~ 8 . 'IC" BElow Work Covered by This Request
Ne% Atltl Rep. TypeofBuilding AppiianceSWired EquipmeniWirad
Temporary Service
Duplez ter Electric Heating
Apt Bmlding Olher (Speciy)
Home tAirConditioner
Comm./Industrial Farm Olhar (speciy) Comractor5 Remerks:
g~~ovr FIN~SI-'1
Compute Inspection Fee 8elow:
# Other Fee # ServiceEnlrenceS,ze Fee # CircuiWFeetlers Fea
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transformers Above 200 _ Amps Amps
SignS Inspecmr§ Use Only. ~ TOTAL
Irrigation 8ooms 3v~ ~
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby R°"qn-'"
certdy that the above inspection has oa~a
been made. f ~ r2 ~
OFFICE USE ONLV
Tnis request vuq 18 monms tmm
a"/d£f 9/ e/5/~a0
0 42 08 1 7 a . •~~P.
Requev Dare Fire No RougRin Inspect
Reqmretl? Ready Now ' otly Inspector
WM1en Reaay'
I_icensed coniractor ] owner hereby request inspechon o1 above electncal work at:
Job Aaaress isireet eox or ame No 1 cny
zv..~D~ic
5 clion No Township Name ar NO Ranqe No County
Occu tIPRINTI Phone No
~ y6-5's3~
Power Suppher Atltlress
cVi Co -acb (COmoeny mei Conhaoor's L¢ense No
~ (3 6 Su:v Cr~~e'- C~ ll
enin acressiCO,hacmror0 Mak I iallation~ ~
6AF /-t/
numo 0sna ure iC o-aa vOwrier ng I ialiatiom P~one Number
Sr d'' s-
MINNESOTq STAT OARp F ELECTPICITY THIS INSPEGTION REOUEST WILL NOT
Griggs-Mitlway BI , - R m 54]3 BE AGGEPTED 8'I THE STnTE BOARD
1821 Unrversny Avg . St aul. MN 55104 ~ UNLESS PFOPER INSPEGTION FEE IS
Phane J612) 642-0000 ENCLOSED
-o
n o REQUEST FOR ELECTRICAL INSPECTION ee-0000
? See mslmctions lor comoleting mis brm on back ol yellow copy
142 08 "X" BeloM Work Covered by This Request
14ewl Atltl Rep TypeofBwltling AppliancesWUed EquipmentWued
'iHome e Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Buildmg Dryer Other (Specdy)
Comm./Industnal Furnace
Farm Au Conditioner
_FTTM1,s, Conlractors R arks
Corripute lnspechon Fee Below: rJ 1S-45-" <
r plher Fee # Service Entrance Sae Fee ti Qrwns/Feeders Fee
Swimming Pool 0 Io 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 100 _ Amps
$i9n5 Insoectm'sUSeOnly. ^y~ TOTAL sp
Irrigation Booms
Special Inspection
AlarmrCommunmation THIS INSTALLATION MAY BE-ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. I, the Eledrical Inspectoc hereby Rouyn-io are
certifythatiheaboveinspectionhas Fnal a~e
been made l/-i~
OFFICE USE ON W i ~
TM1is r¢que5t vod 1B mDn1115 IrOm '
CITY OF EAGAN NO ~ ~ 6 ~ 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8700 ~ ~ g~ I/"~,
BUI~DING PERMIT Receipt # ~1~J
To be used for BASEMENT Est. Value $1, 500 Date MAR 19 , 1 g~~
Site Address ~ ~Z4 WINDMILL CT
Lat 17 Block 1~ Sec/Sub. BRIDLE RIDGE OFFICE USE ONLV
Parcel No. ac~Pa~~y - FEFs
Zoning -
w Name DALE FORD (A~~ual~ Cons~ - Bldg Pcrmit 35.00
Z~ 4j~~]~~. 724 WINDMILL CT IAllowable) - Surcharga 1.00
City EAGAN Phone 456-9530 a oi srodes -
Length _ Plan Review
=p Name $~E Deplh _ SA0. Cny
AddBSS s.F.iotai -
SAC, MCWCC
~ City Phone s,F.FOO~P~~ms -
On Si~e Sewage _ Water Conn
w W Name On Sita Well - Waier Meier
~V AddfQSS MWCCSyslem _
<w CItY Phone Ciry Wa1ar _ Acct. Deposil
PqV Feamred _ S~W Permi~
I hereby acknowleqe that I have read ihis applicalion and state that the Booster Pump - SIW Surcharge
inbrmation is correcl and agree to compty with all applica6le Tale ol
Mmnesota Siatules anC Q Eagan O~r)dinance \ 7realmenl PI
Signature of Permitee l' ~ ) APPROVALS Road Unil
A Building Permit is issued to: DALE ORD Planner - Park Ded.
on Ue evpress condiuon that all work shall be aone in accordance wuh all Councn
applicable State of Mmnesola StpppaWtes and Cily ol Eagan Ortlinances. BIeg.OIL _ Copies
~MII1 I\~J/'~ I~ Variance - TO7AL 36.00
Building ONicial .,~„;i
NO C.O. liNTIL ENGR. APPROVES CITY OF EAGAN N°_ 14453
3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121
BUILDIN(a PERMIT PHONE:454-8100 Receipt # --7 G 3 g-3
Tobeusedfo'r SF DWG/GAR EsLValue $76,000 Date NOVEMBER 25 19 87
Site Address 124 WINDMILL COIiRT OFFICE USE ONLY
17 17 BRIDLE RIDGE On Site Sewage _ Occupancy R3
Lo~ 81oCk SeC/SUb. MWCCSystem X Zoning R1
ParcelNO. OnSiteWell (ACtua1) COnst Vn
e Name KEYLAND HOMES Citywater X (Allowable) Vn
w
Address 14450 BURNSVILLE PKWY PRV Reqwred _ x ot Srories
o City B'VILLE phone 894-2636 BoosterPUmp _ Length Sz
Depth 48
, o Neme SAME S.F.Total
o a Address Footprint S.F.
U
m
i- CityPhone pppROVALS FEES
a En r'/AUess. Permit ~ 419.50
~w Name 9
~i Planner Sureharge 38.00
z . Address
aw City Phone Council PlanReview 209.75
Bldg. Oft SAQ City 100.00
I hereby acknowledge tha[ I have reatl this application and state that the Variance SAC, MWCC 525.00
mformation is conect an a ree to compty rtp a appliceble State ot Water Conn. 525. 00
Minnesota S1alutes an it of E gan i 6es Water Meter _fL-00
Signamre ot Permrtte Road Unrt _3.0r1._00
A Bwlding Permit is issue to: HYLAND HOMES Treatment P1 180.00
on the ezpress condition thal allwork shall be done in accortlancewith all
applicable State ot Minnesota tatutes and Ci of Eagan Ordinances. Parks
BuiltlingOfficial 70TAL $2,369.25
J
I
KIS 3 : .
1987 BOILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SUHDEY, 1 SET OF ENERGY C9LCOL6TIOHS
NOTE: ADDRESSES EOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGPATE AHICH ADDRESS
ZS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSQED.
MOLTIPLE DSiELLINGS - RFSIDENTIAL RENTAL ONITS FOR SALE U9ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVEY - CEiECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
r
To Be Used For: aluation: Date:
Site Address Gil OFFICE USE ONLY _
rIC0/ 000 -
Lot ~ Block ~ On Site Sewage_ Occupancy 3
p MWCC System r/ Zoning {Z_ ~
Parcel/Sub ,L On Site Well Type of Const
City Water (Actual) v-N
Owner (Allowable) v..T/
Ik of Stories
Address / d Length ,SZ
Si~, Depth
City/Zip Code 3 7 S.F. Total
Footprint S.F.
Phone APPROVALS FEFS
Contractor Assessments Permit
Water/Sewer Surcharge 3FI,ov
Address Police Plan Review Z 09, '75
Fire SAC, City 100,00
City/Zip Code Engr SAC, MWCC 5251 OU
Planner Water Conn 5 25,00
Phone Council Water Meter 61,00
Bldg Off Il 23 Road Unit 306,00
Arch./Engr. APC Treatment P1 I{3 D,00
Variance Parks
Address ^ Copies
TOTAL
City/Zip Cod
Phone 1! ~ ^ / 7
VALI.tATIUN 1
o A
~ARfnv ~
2_2X22= 41841 X12= 5808
Ho_
26 X~-16 = 1194 x58= 69368
951"16
SURVEYOR'S CERTIFICATE SIENNA CORPORATION~.
oo
N \s~;0- ~
~~6~ f 1 ~2p
` o4),~ G'0
p , ~ 2
~ G
, i
„ ~a i, / i ~ 'P
ti
~b0 3r`ig~.0i'r; ~No
~
<0 / rra°j
Qo
L_ 2y~0 s \
~.`O 8O
~
4
~ "po
° r(,~~
~0
6' \ -s~ t~ ~ ~ • ~t)
a3 ,
~a ~o\
; 4 ~
. 0 \ v ,
'
cn
r REVISED 11 -19 -g-l TO SHOW
PROPOSED HOUSE FOR KEYLAND HOMES
S, \
• DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SE7 SCALE: 1 INCH m 30 FEET
S DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 890.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR m gg,7,c, FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -$90 . FEET
WE HEREBY CERTIFYTO SI ENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTA710N OF A SURVEY OF THE BOUNDARIES OF;
Lot 17, dfock 17, 6RIDLE R1DGE I ST ADOITION, according to the recorded
plat thereof, Dakota County,'Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDEFI MY DIRECT SUPERVISION THIS 1971* DAY OF r1o.iEon~~2„ 1987.
- APPROVrD FOR SScNidA SIGNED: J.A<[E~ HILL, INC.
CORPORATiON
4Y: BY:
HARQLD C. PETERSON, LAND SURVEYOR
DATEO, MINNESOTA LICENSE NUMBER 12294
Ln 0 T w A o n- ? O
T, ~ James R. Hill, inc.
m~`Om ° n
tn ~p D <
n ~ 0 ~ 5 m = Z PLANNERS / ENGINEERS / SURVEYORS
Z c'i z~m
~ O m ~ _ {
Z 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
m
N
O
N
l{age 1 oP 4 !
y Ezrr:RioR.rwvei.nrc nvr.anr,r ~~i~~~ corirurnriciN ~33Z7
006• - nnrr~-----~'-~~'5-~~-
~
SITE ADDRESS: LOC iflLIT- PIIOMC:
2 ~v~E' lsr ADDinc - ~
v
CONTRACTOR Al
Determine working square fno Wgc of each ~
1. Total exposed wall area..... Z,O$$ sc~, ~L. x ,]1 = I I
-
---2=9_Z i ~
2. Total roof/ceiliny area..... s,J. I'L. x_,n26_=~
i
Total exposed wall arca abovr.
a. Total wall window area............
~t~--_ .
b. Total door aren..........
c. Total sliding glass door area g
d. Total fireplace wall area ¢ ~
e. Total wall framing area (avci•age ]0.) ~ •
~
f. Total rim ,~oist area i
9. net wall arca above floor
-~4 ~i
h. wall area ahove floor ~
wall area above floor
,i. frame wall area ar foundat.ion .
. „
Total exposed foundalion arr.o= ~ il
------7
k. To[al foundation window arca I
l. Total net fonndation arei above r11•arle I
I~
• Determine "u" valuc of each wal) segnienl
I
, (e,g. winJow, door, eicli separate %•i,ill secCion) i
a. ~-a2` X W. b X ~ -
.
a X „u„ -----49------ j`~~~-__. . ~
I
d. X V ,
- ' ;
ez
f------- X
9•-1 x
n. X „ul, ~
- ~
1. x U.. _
j , _ X U„---- i
fl' itero N3 Is the sam j
Y~ x ~ as, or less than 1teR~
. ~
X .1U" # I, you hnvo m9t tha ~
b0U6
] . . . . . ....Tocal In ent of SDC ~
,
. . ...Z_9.-r , ~
,
_ linvelopc nveragc "U" ComiwCiCion Paryc 2 of A .
. ~
/ Tol•nl expo:;cd root/cciling nrca = ! Iq(p
m. 7bta1 skyli.yht area
~
n. Total roof/cCiling framing arcn (avcraje 10e)... 17D ~
o. Tol•al net insulated roof/ceilinrJ ;irea.,......... _Ip/2_ 1
, Uetermine "U" valuc for each rooL/cciling segmenL• I
M. g l.u,, o ~
fl. x .iU., " Z I
p. ib'1 D x "U,. .o(.__° ~~•S
4 1bLa1' ~~4•3
If.tota.l of 114 is l-he s:une as, or less 1:han 112, yuu have met Che inL-ent- of
Shr, 6006 (c) 1.
Alternal-e Duildin9 linvc].ore Desi9n
'Lb.utilize the total envelope'system method, che values esl-aUlished by the s:un of
i.t'ens 113 &nd 114 shall noL- be grenter. Lhan Ui¢ sum of itemn IR and 112.
+ 2. VaQ•7 ~
3. 71 ~1- * 4. 24.
. . ;
,
- - - - - •
PLA ki 4:V
33 Z7.
~ Li N E.4 L FT, E-:xposEp WALL
~LoGKI
I z(o -t,4cot Zcot~~ = t~
~A4~-+Zc~~~~= ~44
~ _ (2.Ep ~~L'AGE
`1
' . I~ SG~ .~T, ~1Ct~O5ED WA LL Aiz.EA
~ r3Lo~~; 194 x,
i ~NEE;
144 x S=7zb
'i
W.O.
x a -
l d7Z
Pv L k. 8= 1~1 SZ ~
,
j Fu LL11 Z,
; To -tA L.. 20 $8
'i
' ~SQ,Ft, ~1C~a5~D GEILf1.lq 24px4(v= !(9'fo
i ~
4V Dx15 ~I ~ D oo?zs ~
244 4 t-t-4.t. i q~ Za ~ 300
' I Zofoo Ilt
II zs ~ ~~cTl o DRS ~
2.844
34 -r-H-%'tw~ (O0
*24
; ~ is~ ~ F35M~+ U?,)r+5 ~'j
- 1 ~'.U~~• •:1:n
rMt.L SCC9'S(~N9 ~ ~ ~
trnm~: cunnrruct lun carr,trnci I(,n r,-v,,iit,:
r~Llilm.... _ ........._ll,~l~l'.
`
• . ,
.
4 . • ~ f~(~T.G~`~. . . . . . ~ !o
• ~~j.?.D_1PJ.~?. Z
SiC 0.17
.
Al,f, 1Z Z? .
V ~ . D a
~
F1(l. N1 TGl'VIE14OF INSUI~• ~
. FIlA1tE NA(.L 1. InCrrlnr air !Ilm O.GII
sfg~_..iN5s2~.._.._...
• • ' 4• _~~~o-r.~ .x .__b..o
Q 5. ~ ID.IN.b.. . . _ .fi2. :
G.
`
r•tc. 02
~
-----0 V = . D 5
'-'~'J ' 1. Intcri..r~air lilin U_r,~l
-----0 _JL4du1...._.3~'8........;_.._.._._._13,0
~ _.Zxrb............. ...._._......____.._..----.t.89
• n. _.~.~to?~~.---...._._..-_..------G--Qn
Sr,aL!~ I'~ =n-0 •--~IDfNL-~_...... la.Z
~1.~11, .~~~."1~~~' ^ 6. }:xtrrlor nir 1'ilm----
I •T'~~;.~_~~''I ~ •roea 1 z.z.3L
_ • r ~ ~ N ~ I. ____---0 ~ ~ v = . 0 9
. , .
, -
I II I- rri~:~.........__... ...i,.c,n
~rzcu 1•
L > ' c , : ----(.i 4G!.. _.EL~._._......_.. /~.2$
. .
~ ' d. , ~o. • n. '
~ ~ • . _Z~ _ .S~I~vr~ /a~ D--
.
~r• ,n• • r' _ ~ F - •
---...__..,roi:i i Z~13
, V_AM&.08
SI.AII ON ~:INUIi
~ ~ . _ C.I1 F -/i j ,F . , , • , ~ ~ 1
. „ • ~ ~~_r . - ~rr-.= . . . ~ --f
• ' • ~ . I I1 ~ rF ~ ~ • ~ '
y ~ • ~ ~ ' ' d ' ' I 1 I ' .
• , ~ /r~ ~TI
~ , lfl . - . ' ifr •
. r • etc:. da lrt } a~ • ~ ~ NI
Il • ~~ill~ -
, b ~ 1 ~ ,-~i ~lU'I'C: Ir~ll~:nl~~•ly~:r.', "!C: vnl~u~. dr,pCh nnil
f
~ C/CEILI:IG , ' •
.
Constructlon R-Vn1uo
1. Intcrior nir fllm ,O.G1 '
3.
4. Extcri.oryiL filn (still 2 1
.G1
Total ~SQQ'
j~_Y' ~~1 • • • ~ . 2
• ' ~ ~ Fti,~.~r ~ ~ • .
:n[ed llea[ flov ~ 1. Intcrl~o_r nir film 0.61 •
uP , . , z.
, . , s.
' , • ' • 4.
. . . . ~;•otal
I'ZC. QS . •
' _ _ . ~ ~ ^ • coti, ~r,t'?[ri
~ 1_ Inslde ai.r filin 0.61
.%l . . . , 4.
r - ~ .
' r/ ~ i . -
l 5, Oul-sidc oir filin 0.17
Tot,l
3 I . ,~.Cn~+E
L(D 1. Tnsldc air filin 0.61 •
~ ~Y.cac Ilov vp . , , ~•ven[ed 3- . • , .
. . . 4_
' • • . ' ' • ' ' 5. a,r.siac air filin 0.17
TIC. 16.' . . , . . . : Total
F05 Tnsidce air filin • '0.61
2.
~ 3.
. . . . ~ 4.
~ , . : , . , i . ; . -i-~r' ~
~i~.?:;-'~~1•.':•'•:'•'~'~/ j ~ j. OIItS~dC J1.K filin 0.17
ToW1
.
1 ' . . . . '
. O .70 •
~ ' ~ • . , . . ~ ' • ' • .
• 11011-M:I~ . ~ Ttotci U::o additional sher.ts Lf morc Spaco i;
. ' • ~ necJcil for cletails and calcu?atians,
' . ~ IfenC
• • ; . • Llov up • ' •
, ~ . . •
' Yt~_ ~~7 . . . ~
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) "3001
1 ~ CITY OF EAGAN
3830 PILOT KNOB RD • 55122 / ~.C? q
651-681-4675
New Conshuc}lon Reaulrements Remodel/Reoalr Reauiremenfs
? 3 registered site suneys showing sq. k. of lot, sq. fl. ol house 2 copies ol plan
and all rooled areas (20% maximum lot coveraae allowed) 1 set of energy calculafions for heated addAions
> 2 coples ol plans (show beam 8 wlndow sizes; poured fnd. design; etc.) 1 sMe svrvey for exterfor addHions 3 decks
: 1 sef of energy calculatlons
> 3 copies of tree preservation plan H lot platled afler 7/1/93
DATE: b-"1AN CONSTRUCTION COST:
DESCRIPTION OF WORK: >TGrr~ Orn,•.~,~ OO~c
STREETADDRESS: 7 ~-7 ~'Vi~Mi II G~I.
LOT: n BLOCK: I~I SUBD./P.I.D.#: (-~~ALl
Name: ~ _Q i" ) Phone -3 Q
PROPERTY Last Flrst
OWNER StreetAddress: W"4 at Mi II
City C~ State: IM41 Zip:
Company: /7M-P.,-, C,,, //l^; ina. ~1111-4641S Phone /21,?- 707`b7 S^~J
(area code)
CONTRACTOR SireetAddress: r~Z~7 /?'iGO/ IX~~Yj- S License#"-a/653Tf~5 Exp. 7 ZaoO
City State: A zip: ~s 33 ~
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
Cfty Stafe: Zip:
Sewer 8 wafer Ilcensed plumber (reau(red for new conshuctfon onlv):
Penalty applfes when address change and lof change Is requested once permB Is Issued.
I hereby acknowledge fhat I have read this application, stale thaf ihe intormatlon It conect, and agree to comply wiih all applicable
State of Minnesofa Statufes and Cfty of Eagan Ordinances.
Signature of Applican}: . - ' ~ ~l
OFFICE USE ONLY UV I'
I JUti 7IJ:;9
Certifcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - 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. (4-sea.)
? 03 1 of _ plex ? OS 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool O 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
D 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. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
1490 BUILDING PERMIT APPLICATION
CITY OF EAGAN
MULTIPLE DWELLING~ COMMERCIAL
SINGLE FAMILY DWELLINGS rl
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
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 CALGS
# 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 ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COPiPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
,'r'~-~
(~i,a G f Z ~ ° ) fc
To Be Used For: Valuation: l~ O Date:
Site Address -/Z'T OFFICE USE ONLY
~
Lot ~ B1ock ~ FEES
Occupancy
/ Zoning
Parcel/Sub Actual Const Bldg. Permit 3,S,00
Tf Allowa6le Surcharge I•oc~
Oamer A)A~,r-- E~L>Qp # of stories Plan Review
~ Length SAC, City
Address -72t~ vviN%omlLt C ~ Depth SAC, MWCC
~y~fli ~rZ3 S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acct. Deposit
Phone 4"S lS~'~ ~~1~ ~ C1 On site sewage_ S/W Permit
On site well S/W Surcharge
Contractor MWCC System _ Treatment P1.
City water _ Road Unit
Address PRV _ Park Ded.
Booster Pump _ Copies
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner _ TOTAL 3`.o0
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
, APFLICATION 1=0R PERMIT aNM'E= PAYtIIM OF FEE AT TIME OF ;
; nrrtacAazoN oots Nar mrr ;
* S1ZN1E APPR('JAL OF PFRPIIT. ~
SEW ER AND/OR WATER CONNECTION i INSPFMON OF SETdM ADID/OR WATFIt :
icsrntiu.TIoKS wna, rr3r se SCMnE, :
~[RTl'IL PF7tDIIT HAS BIIS] APPROVID. ~
• • • . lAft4'Y~tt~1t~l11fIM1YiMfillf~/f~11f~f1'R
.
sity oF eagan
1) PROPII2TSC ADDRFSS: ( LEAS INT . '~i
t
LDGAL DESQ2IPTION;.
I.ot B ock S ivision or Tax Parcel ID .
IF EXISTING STRC'CTIJRE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
_ mbnt Year
PRESENT ZONING/PROPOSID DSE:
Q COMAE2CIAL/RETAIL/OFFICE KR-1 SINGLE FAMILY
Q INDCSTRIAL ~ R-2 DDPLEX (3lvo Units)
Q INSTIIUTIONAL/GOVII2PIlMENT Q R-3 TOWNHOC~SE (Three + Units) ( Units)
Q R-4 APARTMENT/COAIDOMINIliM ( Units)
2) ~ NAME:
- ADDRFSS:
i •
CITY, STATE, ZIP:
PHONE: ~p
. For City Use
3) =u:31: NAME: , Pl reurs Iacense:
ADDRESS: ('~h Active
Expired
CITY, STATE, ZIP: . Not recorded
PHONE: ~ MASTER LICENSE # 3 V,1j 7-( f•1 ~ Sta Initial
~.NANIE : ~
ADDRESS: y u
CITY, STATE, ZIP:
PHONE:
5)
a CONNECTION TO CITY SEWEE2 F--j CONNECTION TO CITY WATII2 O OTf]II2
6)
--~t-
*+******~+***~*+*****~**~+++*****~****.*~+**~*.*****+**.,,*********~***+*~*«*~*************~~.******M
*
* THE GOID COPY OF THE PER6ffT WILL BE SENf DZRDCI'LY TO PUBI,IC SnORKS TD FACILITATE MEIM PICK-UP. ;
* PLEIISE AIJAW 1W0 WORKING DAYS FOR PROCFSSING. SOMEONE FROM Z4JE CITY WILL CONfALT YOU IF 74IE[tE *
* ARE ANY PROBLa1S. +
~t*+****~+*,t**+*,t,t*+~+.***,rs+x**r+~***r,r,r«**********r**~r***~,r***r***+*~t~rx**+*~***t~+a+****r,r**w,t*;
.-FOR CITY USE ONLY PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SDRCHARGE)
$ -2rJ -D $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCL[iDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /,S ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ ~ S C~' 7) $ WAC
$ -C--v $ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRC7NK WATER
$ I41•C' Z~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S ~ 3 c/ ~2 • $ TOTAL
- ~ J/ 5S7 3 gr Ll 6' ~2
RECEZPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MDST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWZNG CONDITIONS:
1
APPROVED BY:
TITLE:
DATE: ~O
V111 vC Lf1vN, rvn vaaa vau vna•
3830 PIIAT RNOB ROAD
EAGAN, MN 55122 PERHIT ic
PHONE: (612) 454-8100 RECEZPT N~
~3~3i8INC'PERS~IT DATE:
It~SIDBNTIAI::; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DS7ELLINCS 6
M.ww,.:_.:>.~...
TOWNHOMES/CONDOS YNEN PERHITS ARE REQIIZRED FOR EACH IINIT.
-
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES F.A. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON ~ SHOWER 3.00
REPAIR / WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: 7a HOT TUB/SPA 3.00
WATER HEATER 3
FLOOR DRAIN 3.00
LOT:/ BLOCK 2 SUBD. ~ .00
GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: OTHER
~o WATER SOFTENER 5.00
CITY: Ll~~////7/ ZIP: vr?~~~-a-- _ PRIVATE DISP. 15.00
61 U.G. SPRINKLER 3.00
PHONE S~So~ -~5 (4~ / ,OLdas~''A~i I~~.r•OO
SUBTOTAL $
ST. SURCHARGE .50
~s GNATURE OF PERMITTEE
TOTAL: S 15,66
2 /G 9
i:OMMERCIALJiNDIISTRiAZ:: PLEASE COMPLETE THIS PORT N FOR ALL COHIiERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLZNG UNIT.
CONTRACT PRICE: FEES
OiJNER NAhIE: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 19 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Cities Di i~ ta1 Quality 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.
2006 RESIDEN'j'IAL BUILDING PERNIIT APPLICATION
City Of Eagan
3330 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
fJew Construction Reauirements
3 2gi;tered srte surveys sq. of lot, sq. R of house; and all roofed areas RemodellReoair Reauirements
(20 a macinum lot coverage allowed) 2 copies of plan showm foohn s, beams, oisis OKce Use pnly
1 set of Fnergy Calculat9ions fo9 heated additions Ced of Survey Recd y N
2 cooes Df plan showing beam & window srzes; poured found design, etc. Tree Pres Plan Recd
Ener~y Calculations 1 site survey for additions & decks - Y~ - N.
: copies of 7ree P2servation Plan d lot platled after 7/1193 Addibon - indreate 6 on-sRe sepfit system Tree Pres Required _ Y_ N
On-site Septic 5"gstem y_ N
f P,im sel of Joist DeaB Op6ons selection sbeet (buildings wilh 3 or less unds)
iifinnegasm mechanical ventilation fortn
Date~/ Jf' /~2uoC
Construc[ion Cost
Site Address 7d V ~
Unit/S[e #
Description of Work aL(!P~yy~,p~~~,~'
Multi-Eamily Bldg y~M'y ? N
- Fireplace(s) 0 1 z
i - - -
Property Owner
~Telephone€t( 6Sl -~'p
A~ n~-•-~
Contractor Min w Conce ts of rotinnesota Inc. i;l I JUI g, !
Addres5 990 Lorre Oak Rd '1 C,t7' lU(/6
/ J
Sta[e Eagan MN 55721 ( Il~ll
ZiP L~Telephone # ( ) ~J'
MN UC. 20769493 - ,
FEnergyC~deCafegory PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateao Residenhal Ventilation Category 7 Worksheet Minnesote) ~ SubmR -
ted • New Energy Code Worksheet
• Energy Envelope Calculations Submitted Submittetl
In `he last 12 months, has the City of Eagan issued a permit for a similar plan based on a mcster plan?
- Y - N It yes, date and address of masfer plan:
Licensed Plumber
Telephone )
Mechanical Contracfor
ielephone )
:iewer/'Nqter Contractor
Telephone # ( )
I hereby agply for a Residential Buildine Permit and acknowledge that the information is complete and accurate:
that tMe wcrk will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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
approcal ofplans.
AaplicanYs Printed Name .
Apphcant s Signaturz
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122 RECEIVED
Phone: (651) 675-5675
Fax: (651) 675-5694 MAY 2 5 2011
Use BLUE or BLACK Ink
Permit #: ( ! C1 7
Permit Fee: `�
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PT MIT APPLICATION
Date: ( Site Address: `7y -- (Aim I0
Tenant:
Suite #:
J
RESIDENT / OWNER
Name: s�.1�_ pd tett Phone✓, 57— Y6 i r57 D
Address / City / Zip: 76R 7 WV/di/MU (7,41---i k apt in l) 7
CONTRACTOR
Name: h , e ., 6 !,,,e f ith/t License #: ato50:.3 /-14./e__
Address: / City: x#4/ie e&o, ,..
State: M !.' Zip:277 Phone: (L✓'7 vs7i -g- f
f_
Contact:/7 (/r/Q Email:
TYPE OF WORK
_ New Replacement Repair Rebuild Modify Space Work in R.O.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
Water Turnaround
Septic System
_New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
`Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ -6e)
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protec 'on against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.•.:. erstateonecall.or
I hereby acknowledge that this information is complete and accurate; that the work will be ' 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, ani ork is not s rt wit .: r a p 1 that the work will be in
1.1,Irly
1�
gna'u .�
accordance with the approved plan in the case of work which requires a review and app oval of pl
x WI//rim l�. (14,I ecf-
Applicant'ss Printed Name
x
Applic
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121586
Date Issued:04/08/2014
Permit Category:ePermit
Site Address: 724 Windmill Ct
Lot:17 Block: 17 Addition: Bridle Ridge 1st
PID:10-14996-17-170
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Haqq
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 -
Dale Ford
724 Windmill Ct
Eagan MN 55123
Abelard Construction
150 Eaton St
St Paul MN 55107
(763) 797-4043
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143194
Date Issued:06/06/2017
Permit Category:ePermit
Site Address: 724 Windmill Ct
Lot:17 Block: 17 Addition: Bridle Ridge 1st
PID:10-14996-17-170
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
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 -
Dale Ford
724 Windmill Ct
Eagan MN 55123
(651) 492-9830
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164454
Date Issued:09/29/2020
Permit Category:ePermit
Site Address: 724 Windmill Ct
Lot:17 Block: 17 Addition: Bridle Ridge 1st
PID:10-14996-17-170
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Dale Ford
724 Windmill Ct
Eagan MN 55123
(651) 492-9830
Trinity Exteriors Inc
10179 Crosstown Circle
Eden Prairie MN 55344
(952) 920-9520
Applicant/Permitee: Signature Issued By: Signature