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4856 Windsor Ct
CITY OF EAGAN 10654 3830 Pilot Knob Road, P.O. Box 21•199, Eaqan, MN 55121 . PHONE: 4548100 ~ eU1LDING rERMIT a.ceipt To M wed fM Est. Valw 0 Dote (ICV 19--IL5 ct Occups~cy Sitt Addrap t~ ` ~ I N C~C~R C~; U R'1 Ere Lot Block Sec/Sub. ~iRI'1"I'AtVY 7 Remodel ? Zoning Peroel No. Repalr ? Typa of Contt. Addition ? No. Storias Move ? Length Name % U•-Ei' S0tJ 'SL1?f2 li Demollah ? Depth ~ Addras: l+y': ZvOFtY~ ,:)Qi-) ijFt Int Impr. ? Sq. Ft.44- e City T' J R Phone 4 5 4 - 6P, 7 3 Inatall ? ~ Name ApMovah Eon ' Addrolt ASSetsrrMnt PeRnit 4 32 ~ 00 City Phone Wofer 3$aw. SurCharpe ~ Poliu Plan Revlew 2 0 6 0 0 ~ Name Fin SAC ~ 1-7 L9 xg Addrass Enp. Water Conn. t~ City Phore Ploruw Water Metsr Councfl Road Unit 2 fe 0~ ~ I hercby acknowledge fhot I how road this application ord stote thot 81dgl-@ff. Tr. PL 1112. tM inlormotion ls aorrect ond o9ree to complY with oll applicablo A~ Parks Sroto of Minrwsoto Statutes and Ciry of Eoqon Ordinancn. Vsr. Oste ~,opfe8 Sipnotun of PertniffN Total ~ r ~n ~ A 9uildiny Permft Is issuod fo: `IOLLEFtiC•r•~ F3I,DR 5 on the exp~ con~dtitlo~ tl ni~~ dl work si+oll be dorw in accordaece w+th all opplkoble StoM of MinrraoM Stofutes ond Gty of Eapon Ordinoexea. ~ 8uildinp Offidol 'dolO AA?ag irM :uofw"l o9lxftG )1 1 •"o~+•~ ~s ^ IwUId 'a4{d IeuId 5JIM/W •a~ L.J ql~d~J~ •Insul 129 I/y /'d3H 40nO11 ~ 1641d 46nOH 6umooy (l1 >-D du1tueial (~f 8 uoltepunoi Ilsauqooi ~fdupoo~ ..Wp •asul n.a UOlia.dwl ~tyo~ r bft P ~ JS ~ Ql ~ Cj sl+iaN9 '7M'A'PI Z Bu19wnId ~ M+oyansl pwa JBp14H MUUOd 'Wil MWu9d Roaipt PLUMBIN(i PERMIT PKmk No. ' CITY OF EAGAN - • FN ` L: ~ L Fill !n numberod ;paces _S/C Type or Ptint lsyib/y Tot 1. Date 2. Installation Cost ~ K _ _ , . • , 3. Job Address Lot Blk. , Troct 4. Owner • ~ T _`~,,~i - 5. Contractor - Phone 6. Address ~ ~ ~ 7. City State Zip < -rt ~ S. Building Type: Residentia4-~ Commercial O Institutional O ~ 9. Work Description: New`HJ. Add ? Alter ? Repair O 10. Describe 11. No. Fixtures ~ No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank c,. Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other ' Laundry Tray ! Floor Orains Drinkiny Ftn. Slop Sink / Gas Piping Outlets 12. I hereby oertify ihat tfie ahove information is true and correct, and I ayree to comply with all ordinances aFid codls governing this type of work. S19fIQd : for Rouqh Final ' ; . , • Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. ipproved CITY OF EAGAN 4644100 R"pt 1 MECHANICAL PERMIT PKmit No. ~ CITY OF EAGAN F.e fill in numbsned spsces S/C TYps or Print legfb/y Tot 1. Date 2. Installation Cost - • 3. Job Addren Lot Blk. " Trsct 4. Owner tr • ' < ~ - 5. Contractor Phone ^ - - • 6. Address 7. City Stats , Zip 8. Buildiny Type: Residential ? Commercial ? Institutional ? 9. Work Description: New GI Add ? Aliar O Repair ? 10. Descxibe Fuel Type ` - 11. No. Eq"60ment BTU - M. Ea. No. Eauipment CFM Foroed Air Air Flandling: Mfg. Balea Mech. Exhaun Mfg. Unit Haater Mfg. Other Air Cond. Mfg. - Gm, Piplnp Outlets 12. t heraby certify that the abovs information is true and oorrect, and 1 aqree to aomply with all ordnanaes and codes qovemirp this tYps of work. Si9^°d : for qou0h F irnl Inspections: Oate Insp. Oats Insp. This is Your permit when numbered and approved. ~ Approved CITY OF EAGAN 46"100 ~ CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 56121 - ~ S DATE 19 RtCLYtD~ RIIGM . ' :..6, " . AMOUNT ~ 8 pOL1.AR3 1*o CASH El cHFGit ~~..E' ` ~ I ( i ~ ` . 1 . ! ~ / FUNO COD6 AMOUNT i J j ~ Thank You sY L 4 n iJ 0 i ~ . ~ 2 • { White-PaYen CoPY Yellow-Poning CopY Pink-File Copy rLUWeING PEIMT Meit Na cInr oF EAc;rw F~w fi/lln nranbr+M4oim ~ rypr or Print llgibfy Tot ; 1. Daft 2. Ir?stdlation Cost 3. Job Atldrest I-.) _ ! ~ • Lot , ~ Blk. Tritt 4. Owrsr 6. Contmor 8. Addns,s 7. qtY State ZiP 8. Buildin9 Type: Residantiai Commercisl C) Institutionsl CI 9. Work Description: New )q Add D Alter ? Repair ? 10. Describe 11. N~o Fixtures NoZ Fixtures Wmr qoset Cesmxx)I/prainfidd Bath tubs Septic Tank l.avatory Sohrnr Sh0wer WeII Kitchen S'ink Urinsl/8idet Other Laundry Tny Floo? D?ains Drinkinp Ftn, Slop Sink Gas Pipinp Dutlets 12. I he?eby artify that the sbovs information is true and aorrect, snd I apree to ocmply witO all ordinancas arpi oodes governiny this type of work. S'iynod : _ ~ . fof Inspwdom: Dam IrKp. Dm In~p. This is Your Pennit when nwmband snd approwd. APProwd CITY OF EAOAN 46"100 j CITY OF EAGAN Remarks k- - ~ Addition BRITTANY 7th Lot 12 -Rlk 2 Varcel 10 15006 120 02 II Owner Street 4856 Windsor Cniirt State Eagan, MN 55122 Improvement ]Data Amount Annual Years Payment Receipt Date ~ STREETSURF. STREET RESTOR. GRADiNG SAN SEW TRUNK liaiL _g SE WEF LATERAL WATERMAIN WATER LATERAL WATER AREA 1986 441.70 29.45 is STORM SEW TRK q-il 1986 772.93 51.53 15 f~ 0 ~ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 280.00 54001 7 25 5 WATER CONN. 1? 11; BUILDING PER. SAC Q n n PAR K INSPECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number. I.> Z~ ~H H Eagan, Minnesota 55123 Date Issued: % ! ~ ~ ~ (612) 681-4675 ~ SITE ADDRESS: APPLICANT: ~ ! I i P11i'.,si CT I IIt ~ PERMIT SUBTYPE: TYPE OF WORK: INSPECTION .A • ' Mil1! I', ! 1',t; ft 1 ~ ~ 7 1 i{ li 1 t .11 I 1 I. W 1 1 i'1 1,111 I r i If C I I I_~ J 1 PMnIR No. Pormit HWdM Dab TNbphonw # 1 S/V1f I PLUMBING 1 I HVAC {I ELECTRIC 1 1 ELECTRIC i kmpoctl°^ DMN hap' C°^"nwb I F°°nVS ' I I Fo„naO«, I ~ F`°m.,p HoolYp I R°O pto t~ Stl~ S /a ~tG.e~ i A01O ft .Z~! ` ~ ~u•re.c.S ~ U " I ~a. C? 3- Fnpiwe I Fk1al Fltp• I I OMalTeet I FkW P". Pltn~ irepacW - Nonr Pkxrbw I ~ C.WW. moor ~ I EWiftn I I FWW I Dock FV. I I FhW I Wo, I I Pr. Disp. ~ I I ~ INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ~ • (651) 681-4675 SITE ADDRESS! ' rr 1!' i N~ ; APPLICANT: ~ cJLrIrr f!At i t is PERMIT SUBTYPE: TYPE OF WORK: INSPECTION D• • D. L~ J PermR7iol&r""'~, , Date Telephona M SEWER/ WATER PLUMBING ~ HVAC InspeeUon Dats Insp. ^ Comrtienta ' . FOOTINGS FOUND 1 FRAMING ROOFING ROUGH ~ PLUMBING • ~ PLBG ' AIR TEST ROUGH . I HEATING I GASSVC TEST INSUL • I I GYP BOARO I FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG I ORSAT ~ TEST BLDG FINAL DOMESTIC I METER IRRIGATION METER FLUSH MAINS coNOUCrivm " TEsr HVDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ' CITY OF E4GAN ~ SERV~O PLVM 3830 Pilot Knob Rwd P. O. Box 21199 PERMIT NO.: Epan, MN 55121 DATE: Zoninp: No. of Unfes: ` Owner: ]lefSCx1 5.1~:•~~',. ~ /IddflfS: ; 7C~v 11171d407" nti r._i .:r : - - - • i Sib AdLlrosi: Plunber. :i~-; •an i~~•, ; r.^~li;i.i v . 00. , Isow N orylp wMr 11w CIIy of Yp¦ ConrNCNan Chorge: 4 y` a 011: IlooourK D~poft 15 . ~JOn3 ~ Penelt F+w: i . ' . SuKFarpr By Mbc. Qwnpa: ~ Daft of Irop.: Totd: h I Insp.: Doft Pold: I CITY OF EA(3AN wA~ s~~~ P~T ~ 3$30 Pilot Kiwb pioad ' ; P. O. i#ox 21199 PERMIT NO.: 6590 i ESOW UN 55121 ~1 DATE: 9 - - ~ ' . I pwnwr; 'Iblle sonh Na of UMts: Addrew ~ SM. Add,s,; 4856 ' rt '3 . ttany ~ Plunber. ~ Mehr No.: Sise: ~ r ~ pc? ! No.: ~~y___~'N P~milc Fee: . ~ P 1r ~rNl~ !M Cky *f 4"n Sw+cFwnyr . p ` Mlac. Chorpq; • . QOj:'r? TP ~ By ~ • ~ r~I r . . ti Torol: b3. rrrater ~ Dnh Piotd: Dace of Irup.: U ~ I i F CITY OF F:GAN WATER SERVICE PERIWT j 3630 Pilot Knob Roid- + P. O. Bax 21199 PERMIT NO.: ; Eapn, MN 55121 DATE: ; Zoninp: No. of Unlts: Ownwr: 'i01?e.fsonBI s :s . ; Addisa: , 71e AW4856 Ct.eZ2 'r Pltr1'bef: 4;qnv - lAy srt ; MN~.~ No.: Corxwction CFw.pe: ' ~ • t~ : 'r Sin: /1ooounrt Dsposit: : Reode? No.: Parmit Fee: 1 U. C~Und ' 1Gew N Nylr MMI1 IIw Citi oi E*"w SurChorpr . i ,C f Ovit~ Misc. Chorpm- ~ Total: ~ By Dob Pbw: ~ Ooh of Insp.: Irnp,. , RESIDENTIAL ' BUILDING PERMIT APPLICATION CITY OP EAGAN L,u 3830 PILOT KNOB RD • 55122 ~7 $ r~.Op / 651-681-4675 New ConsWCtion Reauirements RemodeYRewir Reouirements • 3 reqistered sne surveys showirg sq. R of bt sq. R. of house: and aU roofed areas • 2 caqes of plan (20°6 mazimum bt coverage albwed) . 1 se1 of Eneigy Cakulatbns for heated addNons • 2 coµes oi plan showirg bcam & x+rbow sizes; poured found desgn, etc.) . 1 site survey for eztena addibons 8 dedcs • 1 setafEnergyCalcula6ons • 3 oopies of Tree Preservafion Plan rf bt platted after 711193 • Run Jast Detail Optbns selecGOn sheet (ddgs with 3 or less unBs) DATE . InIY`S Qt VALUATION (EXCWDING LAND) U00a - JOB SITE ADDRESS 4 Qy_S (Q_~ I , ti 1~-nl/' i~r IF MULTI-FAMILY BUILDING, H W MANY UNITS? - PROPERTY OWNER ) TYPE OF WORK ~ S ipstvf h Pun 40 INREPL CE(5) _0 11 _2 _3 APPLICANT & S% PHONE # 95;9- L9 (J~ JrCj'1 4- ADDRESS . ZIPCODEa~aZ2` PAGER # CEL HONE # FAX # Nt1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Wa[cr Softener Lawn Sprinkler Tee: $90.00 _ Water Heater ~ No. of R.I. Baths No. of 13aths Mechanical Contractor. 1`1 ~ 4!e S t S Q l" n}r HPhone -(w^ Vay NIccho-inic.d System Includes: _ Air Condiuoning ['ee: $70.00 Heat Recovery Systetri Sewer/Wafer Contractor; Phone ~ All above information must be submitted prior to processing of application. I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply with all applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. r Signature of Applicanf Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated t/01 OFFICE USE ONLY . ` ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF ? 04 02•plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIU ? OS 03-plex O 11 10-plex ? 19 LowerLevel C3 24 Storm Damage ? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• O 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) _ FinaUC.O. _ Foonngs(deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Frartung _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insulation _ Windows (new/replacement) Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total . ' CITY OF EAGAN (~J~ 10654 3830 Pilot Knoh Road, P.O. Box 21•199, Eagan, MN 55121 i BUILDING PERMIT PHONE: 4548100 Receipt S ~1OO/ # Te M ard 1w SF DWG/GAR Est. VoIue 93,000 pate JULY 25 19 85 SiteAddrea 4856 WINDSOR COURT Erect 91 Occupancy R-3 12 2 BRITTANY 7 Remodel ? Zoning R-1 Lot Blxk s~/Sub. Repair ? Typa of Const. V Parcel No. Addition ? No. Stories Name TOLLEFSON ALDRS Move ? Length 4 g_ W Demollah ? Depth ~ A~,n„ 1655 NORWOOD DR Intlmpr. ? sq.Ft.~A City F.AGAN Phone 454-6873 Install cl $~E ApOrora6 Fws a O Name ~U Address Assessment Permit 679.00 ~ City Phone Water 8 Sew. Surcharge 46 t 0 Police Plan Review 9(1 f 00 a Name firo SAC S 9 S fl Q Address Erp. WaterConrt 500 gQ <W City Phone Plonner WeterMeter 63 gQ CounNl RoadUnit 2Qn nQ 1 hercby ockrwwladge fhot I Fww rcod this op0licotion und stote fhat BId9. ON. Tr. PL~32. 00 fhe inlormation is correct and o9ree to comply with all apDliceble APC Perks Stata of Minnewlo Stafut s o Ciry o4 Eo an Ordirance Ver. Data CoDies Sipnofuro of Permiftee w Bufldin Permir Is issued TOLLEFS N BL RS m ~ e~x~ z, 164. 50 9 pren Caditlon Ihot all work sholl be dona in ocmrdcnca irh all applicobla 5t af Minnesotu Stmutes ard Ciry oF Eapan Ordinonces. euua,q orriomi Thi< renue5l voitl ~ / f C ~ / V S/ / (/5- 18 nanths /mm b J ( O 0 075867 Lra,&~t . 6 RnRhesI-0atp Fire No. Rouph-in Insucctmn G R~qu retl~ ~Neody Now ill Nmity, In>pec- Yes ?NO , Wht:nFeatly Llcensed Etectncal ConVactor I hereby repues~inspociion ulnbove ? Owner elecvicsl work insiolled at Stre ~ d es~ Boa or Rouce N. Cnv Gi.vr~,e ecuon o. Townsnup Name or No. Ranoe No. Cnunqy Occupdnt (PqINT) Phone Nn. -68 7 . P er Supylier Adtlress K~ EI cal Conlraemr IConi any Namel Con« octor's I.mense No. Mailing AdJress (Contranor or Owner Makln Inst;~ila e!~7Sr 553 7? AtL~ ipnature (COntrac wnor Maku oallatiun) P ~ Nui~lller TMIS INSPECTION qEQUE T WIIL NOT MINNESOTq STATE BOAPD OF ELECTRICITV Grie9s-Midwey Bldg. - Room N-791 gE ACCEPTED 9Y THE STqTE BOARD l1NLE55 PqOPER INSPECTION FEE IS 1821 Universitv Ava.. St Pnvl. MN 55104 Phone (612) 297-2111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION o N. ea-ooooi-oa o ..r. ' , See inshuc[ions for completing fhis form on back of Vellow copy n JI~ "X'' Below Work Covered by This Request 7 , 03586 Atl Hco_ Tyoa of BuilGing P.Odliancen WireE Equiument WveA Home Ranye Temporary Service Duplex Water Heater Liyhtiny Fixtwes Apt Bwldmc7 Dryer Elec[ric Heatine Commercial Bldy. Fumace Silo Unluader Industnal Bldg. Air Conditionei Bulk Milk Tnnl< Farm ome, oPC'fv othar Iso'!n,f'1 tir,r ISUCCiIY 0[hcr 011o, ompute lnspectron Fee 8elow k Fee ServiceEntranceSae b Fee Feaders/SUhfeeders k Fee Cvcuits U co 200 Am>s 0 to 30 Am ps 0 to 30 Am ~s Above 200 qmPy 9^° 31 to 100 AmPS 31 to 100 Am s Swimming Pool Above 100-Amps Above 100_/aniPs Transformers Irrigation Booms A Pattial%Oiher Fee Signs SUewal Inspecuon 1 'N Hemarks $SO, TOTAL FEE ~ ( GE~/ J RouOh-tn U.it. ;„e Elec,nca ! 1ll- la=ae~oi,. he,ob, iilY -a! ihB BbOVB Final r D'te insVection has been ~ ~~y~ matla. ThreraQUestvolAtBmonthsirom • ~ 7'// o L 8 S- aequ sI Dota ' Fire No Rough-in pecuon PeQmreO ? Reatly Now -001JI Nouly Inspector .5--2,0 Yes C No When Reatly+ V licensed contractor D owner herehy request inspection ol above electrical work ac Job Atltlre:E ISlreel Boa or Poute No,) COy 4/ ( : A ~ Cf' Ea o Secuon No Township Name ar No Range No Counry an+0 ~~(PRI 1 PM1One No tt"`^ ,C.n'~.JQ?~ Power Supvher Atltlress Eler>,ncal Comraaor iCOnpany Name) Con:racror5 L¢anse No. Q?. W N2r;RQr E ill 54 Madmg AtlOress ICon ac10, o, Ownar Mari Installationl : a-G /`1aU Aulnanz ~gnai IGo . onOwn ing Insiallalionl Phone NumO^er " MINNESOTA STATE BOARD OF EL RICITY THIS INSPECTION REOUEST WILL NOT Gdqgs-Mltlway BIEg. - Room S-1]] O(ck- BE ACGEPTED BYTHE STATE BOARD 1821 Uniwralty Ave. SL Paul. MN 55104 UNLE55 PROPER INSPECTION PEE IS Phane(61t1 642-0800 ENCLOSEO / REQUEST FOR ELECTRICAI INSPECTION E&OOOOLOB C F~ ~~~yyy ? See msimclions bt comple4ng mis lorm on beck oi yellow copy, ~-28E: °X" Below Work Covered by This Request ewAdC ep-+ Typaof8mltling AppliancesWired EqwpmaniWUed Home Range TempOrary ServiCe Duplez Water Heater Electric Heating Apt. Bwlding Dryer Other (Specify) Comm./InduStnal Furnace Farm Air Conditioner Otner (suentyl Comraaor§ Pamarks ~QSa'~'l ~(O~'G Compure Mspecnon Fee Below: x Other Fee # ServiceEntranceSize Fee # Circmis/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs lrspenor§UseonlyTOTAL o,,Io IrrigatiOn Booms ~,u Speaallnspection ~ Alarm/Commumcanon THIS INSTALLATION MAV BE ORDER CONNECTED IP NOT `'her Fee COMPLETED WITHIN 18 MONTHS. °Ctrical Inspector, hereby Rough-in oaie the above inspection has F,~ai e~ - /6 .i J 18 momhs Irom . RESIDENTIAL 9, ~j-l 3'5 BUILDING PERMIT APPLICATION v CITY OP EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Reouiremente Remode1lRepair Reouiremenh • 3 registered site surveys showing sq. tt. of lot, sq. tt. of house; and all roofed areas • 2 copies of plan (20%maximum bt cove2ge allowed) • 1 set ot Eneryy Calculahons for heated additions • 2 copies of plan showing beam 8 window sizes; poured found tlesign, etc.) . t sire survey for extenor additions & decks • 1 sel of Energy Calculations • Indicate if home served hy septic system for addi6ons . 3 coDies of Tree Preservation Plan if lot platted afler 711199 . Rim Joist Detail Op6ons selec6on sheet (bldgs with 3 or less units) DATE VALUATION SITE ADDRESS N'D MULTI-FAMILY BLDG _ Y TYPE OF WORK FIREPLACE(S)/,n _ 1_ 2 APPLICANT O B R I E N 1.1,1511116 414 3 1'Iil.. STREET ADDRES$ m 1 ,N uu CITY $TATE_ZIP TELEPHONE # CEl.t li4bNE # FAX # PROPERTYOWNER 1,( n.(I k.1 Idr'I ksOn TELEPHONE# f~l-ao~p J COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINN1;50T:1 RULrS 7670 CA"CGGORY t MINNLSO"f':\ RIiLLS 7672 (J submission type) • Residential Ventilation Category 7 Worksheel Submitted • Nevi EneigyLCode Worksheet Submitted I' • Energy Envelope Calwlations Submitted J~ S~.P 2 5 2002 Plumbing Contractor: Plionc Plumbing s}'SLCITI II1CIl1(iCS: `'Vater Soltcncr L1mi Sprinl:lcr gy Fcc: $90.Q0_ Water Healcr No. of R.I. Badis No. of 13aths Mechanical Contractor: Phone # Mcchiuiic:il systcm includcs: Air Conditioning Pcc: $70.00 Hcat Rccovciy Syslcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state ih mation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Ea an Or ces. Sfgnature of Applican OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4l02 OFFICE USE ONLY ? 01 FoundaGon ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuIU ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Damolltion (Entire 81dg 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 W idth REQUIRED INSPECTIONS _ Footings (new bidg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Draio Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Smcco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total r'~ , s . . 1985 BUILDING PERMIT APPLICATION - CI1T OF EAGAN NO7E: dLL CONT&ACfO8S MUST BE LICENSED NITH THE CIiY OF EAGAN INCLUDE 2 SETS OF PLANS , CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 5IrjS1.E-FKlMILY Valuation; q3,LZ"Q.~- Date: 27,1665 . Site Address; 4jCjtz 1h~INDS,~P~ CnU21 OFFICE USE ONLY Lot: 12 Block Z. Sect/SubgYiEQpNV 7~=Erect X Occupancy ~-3 Remodel Zoning R-I : Parcel 0 Repair _ Type of Const Q Enlarge 8 of Stories Owner Move _ Length 44 Demolish Depth ~ Address 11,55 t~DVW(XpI-) 17Viv. Grade _ Sq Ft City/Zip Code ~RaANJ 5510~ - Contractor _SAME APPROVALS Address Assessments Permit 4~2.•~ Water/Sewer Surcharge City/Zip Code Police Plan Review 706, Fire SAC 525.'° Phone 0 SV 7,3 Engr Water Conn Soo. Planner Water Meter (0 3. ~ Arch./Engr Councll Road Unit 2 So.°° Bldg O~f 1~ Parks Address APC ~ Treatment P1 l3 2~ Variance / Phor,e 9 7pTpL p~ l(p S ~ ~ i ~ 2 . . 22~x D-4- = 1512 ' . I~ k Zo = Zbo K -54 = IS 12v • l Y~ 2 z' ~`l (o n S 4~ ' 2 I 3b4 25Zx 4~ = 1u3~2 401 Y~ ° 52~ x ic - S8o8 Z ~22 ~ x i2 - lo~ x 4( - 4~tZv ~I 2 8,( s Tollefoon Buildess Iac. ~ Or.11644 188-12 JACKSON - SURVEYC]R8 l4 1194IST[A[D UND[11 LAWS Or 1TATi OI MINN[/OTA . ~ i . 3818 EAST 66th STREET, MINNEAPOLIB, MN 68417, 777J404 ' I liuCbtpOC'r ICtCtid[Att ~o/ Proposed Gar+Sj PlooY 81ov. /D/f; U • Scals: 1":30' • Donotcr Iron /_3,3.6 -----,DralnaQs 6 Utllity Easement 1 - _2!-~_ - IQQQ~Q :Sxlet ing Elav. s / I ~ • 1 i ~•DraLnage ~ J Fvk ~ ~ - ~ ~ I N[I1[fY C[11T1?Y TMAT TM[ ASOV{ 19 A Tpu[ ANO C01111[CT rLAT O? A/UI1ViY 0I e Lot 12,Block 1,9ritteny 7th. Additloa, Dakota Couaty#NLpaeGota. ~ Af SURY[Y[O BY M[ THI• `OC~ DAY Or J~• A.D. L9V5 I F. C. JACKBON, MiNn['oiA [aifiRwTioN. No. 3600 , I --,WALL SECTIO Determining "D" valuee at Roof, Wallp' Rim, and Conc. Blocls ROOF/CEII,xNa (R) VALUE i.) Interior Air r•ilm o,61 2.) 5/811 ayp. aa. .56 3.) Ineulation 44- o0 4.) 5.) Exterior. Air Film .61 (5TILL) I 2 3 6 • IOU'l a t/a= -ozl :oTar, (a)= 95•r8 . ~ O WALL (R) VALUE q 6.) Intarior Air Film o,68 7,j 6yp, Hd. .45 8.) Inaulation J9.oo 9.) u42.~l j;vva=R'iT6' Z•oq- 10,) Hasonite Siding .o l0 11.) Extarior Air Film .17 ll . ' uUll a IIR- OQ'3 TOTAL (rt)=Z3.o1 ~ ' I[ RIM (R) VALUE 12.) Interior Air Film o,68 13.) Inaulstion • J9.o0 14.) 211 Fir Rim loiet 1.88 5 15.) 2513z" Bwt.T-brI5, z.oq 16.) Maoonite Sidin6 .67 17.) Exterior Air Film .17 . o , a • . . npn 1/R, ,r7¢Q 'POTAL M=ztf,Q! O , po ~ FOUNDATION (R) VALUE 18.) Interior Air Film 0,68 I$ !9.) 21 ' ~ 20.) D n g°• 21.) 1211 (lonarete Block 1.28 ' e n 10 22. )~l`la ~iV$~~L. $•00 z3 °~7 23.) Exterior Air Film .17 Q L)° (ga • "Ull a I/R= pq$ TOTAL (R)= . - • lil'1'i ur DVILLIIlV ur,rxnirir1irc . EXTERIOR ENVELOPE AVERA(iE "Ulf CAMPUTATION (To be submitted with building permit application) ' One or Two Family Dwelling OwnerT~P.-~~VI All Other &ite Addreee 15F3Z J'4'lP.fivUDQJ ~11G11) Contractor Date Z-7 Phone --b 7 LINEAL FEET OF / EXPOSED 4'JALL Lte above grade = Z~~li~ •~j ' TOTAL EXPOSED WALL ARr.A SQ. FT. 0?AQUE WI:LL COP?STRU7TIOti: "Ull Value x Area Detail ifUll 3 x ua. FT. (U)(A) reference "u" _x Sq. FT.=1S3L~=~(U)(A) • x Sq. FT, 7.51`> (U) (A) from 'fUll ~ attached IIUII x $Q. FT. _ (U)(Q) sheete "U" x 54~. FT. _ (U)(A) x &Q. FT. _ (U)(A) WINDO'NS: "Ull Value x Area Make & Type itUll • 48_x SQ. FT. S/ = 2-4.14A (U) (p) n n uun x SQ. FT. - (U)(A) u u nUa x 8Q. FT. _ (U)(A) n n uUn x SQ. FT. _ (U)(A) DOORS: "Ull Value x Area Ala:ce & Tyne .W~~~_ x SQ. FT. (U)(A) n u IIUIr x sR• FT._~~=~((1)(a) -RA n n nUu x sQ. F"P. - (U)(A) n ° °11n x 8Q. FT. _ (U) (A) TOTALS SQ. b'T. /~.C13 (U) (A) AYERAQE "Ulf TOTAL (U)(A) VALUES ~5¢•q3 = - G~ DIVIDED BY TOTAL WALL ARF.A ZyC~(~•(~ AVERAC3E "Ulf .115 or lesa for 1&2 family dwellinga ROOF/CEILINas TOTAL AREA: ~ Detail reference ifUll •oZ~ , q-Y) ~`U„A, from flUll x SQ. FT. . (U) (p) attached sheete. IOUIt x SQ. FT. ~ (U)(A) Describe onenings VIiJVI R SQ. FT. ~ (U)(A) in roof. x SQ. PT. - (U)(A) TOTAL (U) (p) VALUES DIVIDED BY lq ~3 9 r~ThLS TOTAL ROOF/CEII.ITd(i N2EA ggD ? OZ AVERAC3E "Ulf .025 for ventilated rooYe. 9.~0 x ~b 436+ 0 8 +3{~ ~ _ AO6. od _ P~83 X (zl! 4 31 t ~D 4.96> . . , - ( 7 X (395 t3g +24 434) . ~ • 1_ ; I dM ;m~ ----_------Y , - . . : , . • 83 x ~1~ -~-5z +~+5z~ = . ~ ; J87. ~g ~ : , . { 1 ~ ' ~ ~ . . i . z4 x6b = io. ov X 3 = 30~ O zoX36 = 50 Y' ~ ~S.D 04 x x, , . ~ . , i~' \ •,°a• ~ . ~ . , . . ~ . ~ . . . ~ . . ~ . . , ~ ~ ~ . n^,~~/' i . ~ t',. . f... - ~ . . : , . ' .../~`~r- _ , i . ~ . , . • F • 3° 5TL V11fal = Z8•DO i • - . ' - ' • Z g~"!i = Zl• Ov i`: ov ' 9/ G~ ~ . i - . r. ' . i " '~l. ~ ~J•, ' F ~a55 l~fal~ ~ ~ ~ : ~.,•Z 4~1~•66 . ~ ~ ' ~;.•;3' C.l~ ) Le~ ~C . ~ ~ ~i6. ~f8 CiM /87• 58 Gt~lkwaGf6 51.DD - 421o, •D62 Ux?eS W. 00 ' t.. c~ ~ , , _ ~ ~ , • ~ ~ - ='J ~ C) ~i60 r- .--~i x 30 - 93b ~ , 1 c . . , ~ . • ~ • . . • r. ~ t~r.,r-.~•r(~. I~~~:~1';'--~I J•S.'f:.]_ v._a PERMIT Czi~n~ s ~ eJ_ 'CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U Z L D I N G Eagan, Minnesota 55123 Permit Number: 020788 / (612) 681-4675 Date Issued: 0 4/ 2 9/ 9 3 SITE ADDRESS: 4856 WINDSOR CT LOT: 12 BLOCK: 2 BRITTANY 7TH P.I.N.: 10-15006-120-02 DESCRIPTION: ~ SCREENED PORCH Building Permit Type SF PORCH Building Work Type NEW Building Length 14 , Building Width . 14 • j-, , , ~ ~r;~'' i , i, i, , REMARKS: SEPARATE ELECTRICAL PERMIT REQUIRED FEE SUMMARY VALUATION $5,000 Base Fee $72.00 5urcharge $2.50 lic. Search Fee $5.00 Total Fee $79.50 CONTRACTOR: - Applicant - sT. LzC. OWNER: EDGEWORK BLDRS INC 13683511 0003661 DIDRICKSON BOB 8301 AUOUBON RD 4856 WINDSOR CT CHANHASSEN MN 55317 EHGAN MN (612) 368-3511 (612)454-8561 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 Mn. L Statutes and City of Eagan Ordinances. ~ Q,~-- ~„Q~,~n R n I APPLIC T/P MITEE SIGNATURE ISSUED~V. SI NA PE ~ INSPECTION RECORD CITYOF EAGAN PERMITTYPE: surLoiNs 3830 Pilot Knob Foad Permit Number: 0 2 0 7 8 6 Eagan, Minnesota 55123 Date Issued: 04 J29 /93 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 12 BLOCK: 2 4856 WINDSOR CT EDGEWORK BLDRS INC BRITTANY 7TH (612) 368-3511 PERMIT SUBTYPE: TYPE OF WORK: SF PORCH NEW DESCRIPTION SCREENED PORCH INSPECTION D, . FOOTING FRAMING FINAL REMARKS: SEPARATE ELECTRICAL PERMIT REpUIRED ~ ~ REACTIVATE ~ ~~~ENED CIIY OF EAGAN ~ PEwMIT. 1993 BUILDING PERMIT APPLICATION S APR 2 1 1993 681-4675 W/ag w,d SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of 2 specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Ao r, \ Valuation of work gSc7n Site Address: qgs~ CJ rc~.so. Co.,~t STREET SUITE / Tenant Name: (commercial only) IAT 2, BIACK Z SIIB T.I.D. N Descri tion of work: S 4'eer' c4- The applicant is: 0 Owner Contractor ? Other (Deaeribe) Name D, cK r , Phone 4'Sq -VS(. ( Property LAST FIRST Owner Address G ('j I AdsDr . STREET STE Y City ~o~c.u.J State v`'LVJ, Zip J Company EAoP gu.lAec'C Phone ~ C011tf8Ct01' Address B30 ) A Ncau 60 h ~c~.. License # CX~3~81 Exp.3 _9y City CI.a~t.acce.1~ State v-x VJ• Zip SS 1 ArchttecU Company ~ Fhone Engineer Name Registration M Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Appl icant: (A OFFICE USE ONLY . BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. 13 17 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ~ 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? OS SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE /9'31 New ? 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Water UBC Occupancy 2-3 2nd Fl. sq. ft. PRV Required Zoning Sq. Ft. total Booster Vump B of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code ~f3~! Depth On-site sewage SAC Code y ~ r~sK ~ APPROVALS ~Y v Planning Building Assessments Engineering Yariance REOUIRED INSPECTIONS O Site Footing Framing O Insulation ? Wallboard §34Final ? Draintile O Fireplace Permi t Fee 2, 0 a v.ie:;a,: S 5v00 ~ Surcharge ZI Tb X~~(- l~1C~1~e~S= ~-f~jU~ aYL ,S~Z~G.] Plan Review license ~ MWCC SAC City SAC Water Gonn. Water Meter Acct. Deposit S/M Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units 3ollafson Bulldeas Iac. , Or.11644 188-12 JACKSON.- 8URVEYORB l R101ST[R[O UND[II LAWS O? STATR W MINNtWTA . I . 3818 EAST 68th 6TRE8T, MINNEAPOLIl, MN 561f7 777-3481 liutbcpoC'r ICtttiUtaft ~ Proposed G&r*ge IlooT Blev. / o,41, a Scale: 1":30' I p~~ ` • • Donoted Iron \ /~3.0 ~ - - - ~DralnaQ~ b Utill[y Easement ==3~. _ Elav. ~+•Dralnaga I 1 i~ • - 7' 4, ~ l ti lj-, 171 -I Zg ~ i `s•~• I --56 ~ - ~ /3>• ~7' . l 1 H[11[8Y C[IITI?Y THAT THi AeOVO 10 A Tllu[ ANG C01111[CT ruT a A/U11V[Y 0I , 1 Lot 12,Block 1.Brittaay 7th. Addltioo, Dakqu Couoty.Nlpnesots. An NRV[V[D Br M[ TNI• ZOCb owv o? June ,,.o. 1983 i SION~D l~ F. C. JACKBON. MINN['OTA [OIiTMT10N, NO. 3800 I PERMIT ~i CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U T L D I N G Eagan,, Minnesota 55122-1897 Permit Number: 0 3 4 7, 5 2 `(651) 681-4675 Date Issued: 12 ! 0 2/ 9 8 SITE ADDRESS: 4856 WINDSOR CT LOT: 12 BLOCK: 2 BRITTANY 7TH P.I.N.: 10-15006-120-02 DESCRIPTION: ` T.O. & REROOF Bu~ldinq }?ermit Type STORM DAMAGE Buildinn n Wo1h Type REPAIR eensus Code 434 AL'I'. RESIDENTIAL i REMARKS: FEE SUMMARY: CONTRACTOR: - Applicant - s-r. LIC. OWNER: HOME PRIDE BUIIDERS 18840675 20072528 DIDRIKSON RORERT 9033 LYNDALE AVE 485G WTNDSOR CT BLOOMINGTON MN 55420 EAGAN MN 55122 (612) 884-0675 (651)454-8561 I herebv aclrnow.ledqe that i have read this application and state that the intormation ie correct and aqree to comolv with all applicable SLate oY Mn. Statutes and Citv ot Eaqan Ordinances. J ~ APPLICANTlPERMITEE SIGNATURE ISSUED BY: SIG ATUFE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNO 7 RD - 55122 ~ l a a~~ G O New Construdion Reauirements RamodaVReuair Reauirements ? 3 registered sde suneys • 2 copies of Dlan ? 2 copies of pWns (inGude beam d window sizes; poureE fid. design; etc.) ? 2 ske surveys (exterior atlditions 3 decks) ? t energy wlculations ? 1 energy alalations for heated adddions • 3 copies of tree prexrvation plan if lot platted after 7/7/93 required: _ Yes _ No DATE: ~07~- 9 S CONSTRUCTION COST; , DESCRIPTION OF WORK: K~- 40-161~- '744 ,e ,U1 L~i STREETADDRESS: LOT: I~- BLOCK: SUBDJP.I.D. Name: Phone PROPERTY Lasc Firsc OWNER StreetAddress: City State: Zip: ~ Company: Phone#: ~~~'gc~~ 0lv ~S CONTRACTOR / Street Address:q4vy /ave, License 06 7a~ S~~ Ciry <L~.~C/~flG} Ap.t1 State: .u.~ Zip: ~ ARCHITECT/ ENGINEER Company: Phone Name: Registration Street Address: City State: Zip: Sewer & water licensed plumber (new constructi~on only): Penalry applies when address chang and lot change is requested once permit is issued. I hereby acknowledge that I have read this application and state that the inTormation is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicank ~ ~ ~m' (g rl I i=------~ i OFFICE USE ONLY ~ 1 Certificates of Survey Received _ Yes _ No J, Tree PreservaUOn Plan Received _ Yes _ No _ Not Required- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New 0 33 ARerations ? 36 Move 0 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION , Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acd. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units % i 2/a4 CITY OF EAGAN APPLICATION FOR PEftMIT SE:•7cR AND/OR 4dATER CONNECTIODT (PLEASE P9IHTJ 1) PROP~'T~' c1DDRFSS: rFr,L p==tir_c.i: '7 7-25- (Lnt/31ocx/ ubdivisicn or Tac i-Tarce1 I.D. LNiu-;z2r) i: ~•:I~~1:G S_": L'CP., W, D;,'~' G_° ORIG, iAL Zi;Ii..^,Z_`:G ?S~~?i - ~ P.°C5.-_- UjE: I/n R-2 DLTPL.Fy: ('ItiCp U~IITS) ? R-3 TC7.,,-NHCU-SE (THREEE + L=TS) ( iILII^_~) ? '-4 FLpp,R'I*rz-•7n/CC`DCi-L:=1 ~ UiIIT~~ Q CCf-fi=C=/=AIL; OFFICF: ? I'imVSirZ,?L, ? P:STI?'~TIG.dAL/GG~~~~•+.~;~ 2) A°LIC`=T IPLEASE PP19(J Nt*,'e' ~ z(~~.~0,? ~U~~,~6725 ADDRF.SS: CTTY, STA'I'`.', ZI?: PF:ONE: j) p=L.m== (PLEASE Pfl1Ni) FOR CiiY USE 081Y NA`IE= r_gN7.RYAN PR•.H ADDRESS: 147Q'1~ SD ROf7ERT 1R~'~~1• PLUHBERS LICE.YSE: ct CIT"1, STATE, ZIP: 0SEMOUNT. 550r ive ~7b = Expir d '"~lcn Q~/,NO of Recard PHOiVE: - pLUMBER LILENSE r~~~v , ~ rr na 4) Q"'CIJPay.7T~~.7Ir_-,~ NAh1E: (PLEASE PNINf) ADDRESS: CIT"l, STA'I'E, ZIP: PHO*IG: - S) INpIG,TE P7HIC:i E-11OCTICN ZS BEIP:G RDQCIF.STEp: LLIECI'IOV `It~ CIT"l S~•iE:.R TO CIT`i IJAZER ? 0I7I7-1Z (PLP115E DESCPS2E) 6) I:DZG-l" C:W: ^?~/.PIu'SE 1:41D r1PPR= PER:•1ST FOR PICi:-UP BY C^IE OF ~'1BG'JE -°I.=aSE ~'.'~IL APPRO~r"D PER-LIT 'Il7 1, 203 4 ABOVE (Circle one) 7) SICMTT:-~E: Dr,T'E: ~S , . , oe mel:walfJa :wm F O R C I T Y U S E 0 N L Y PERMIT ISSUED FOE$: $ /Ci ~U WATER °ERPlIT (IPSCLliDE SURCiiARGE) $ WATER METER/COPPcBHORN/OUTSIDE RE~CE3 $ L9ATER Ta2 ( Z„CLUD:. COR?OR?.T_O\ S"CP ) $ $F:•iE3 T.`.P . $ Od ACCOUVT GEPOS IT - SET:.'ER $ ~fCU ACCOliNT DE?OSI'^ _ r,1a"'ER $ ~G,uL) WAC $ S::C $ TZliVK ?IATE° aSSESSid :2iT $ TRli'td:< SEidER ASSESSMENT $ LtiTE°AL BETILFIT/T U~K SE?•:ER $ LATE?2r1L BE:IEFITT_ S4AT°_3r $ ~3a . cc:OTUER LC/l.%~J~ -f- $ $ ~Y2- .cU. ,'A.MOU:IT Pe;ID/RECEIPT : . . _ . DOES UTILITY CONNECTION REQUIRE EXCyVATION IN PUBLIC RZGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WZTHItq PUBLZC ROi,D4•IAY" MUST BE ISSUED BY THE C NO ENGZNEERID]G DIVISION. LIST AS A CONDI- TION. SUBJECT TO TEST' FOLiO[JIDIG CO.^IDITIONS: APPROVED BY: TITLE: DATE: PERMIT# 1.4 1-I"I~ I RECEIPTDATE: 14 - l~'vI USIDENTIAL PLUM$INfi PERMIT APPLICATION CITY OF E4Hl4N S$SO PILOT KAOB RD EAfiRA, MA 55122 651-6$1-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: S /2 s OWNER NAME: : r:-- TELEPHONE ~o d%" Ya~Y~ 8'3Z ~ (AREA CODE) INSTALLER NAME: _ TELEPHONE (A~2, oE)Y~tti3 77CJ STREET ADDRESS: CITY: STATE: X__ ZIP: cSS_~c~r i Place a check mark next to the ermit work t e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existin dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work: C Septic System, new/refurbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ 50 Total d ~ APR 12 2001 Reminder: Be sure to schedule inspections of alterations, i.e.~?ater heaters, water soft' ners, etc. I hereby acknowledge that I have read this application, state thal the mformation is correct;.Rand:ageeto compiywilh all app,cable City of Eagan ordinances. I[ is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to lhe facilities constmcted under this permit within Cily,gl0pertyingh~sement. /l SIGi ~s ~ NATURE OF PERMITTEE Updated 1101 (,Q 0 Z`S`~ MECHANICAL (RESIDENTIAL) ~ Permit Application City Of Eagan 3830 Pilot Kno6 Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Please complete for: Single Family Dwelhngs Townhomes and Condos when permits are required for each unit Date V~ /0 9/G~ Si[e Address 4p J~p Unit # Property Owner t drk ~<s0 v-N, Telephone #(LC51) Contractor N Stree[ Address ~~V~ City S[ate Zip ~ Telephone #(~Or7~ (p The Appticant is L/ Owner _ Contractor _ Other 7""Ifurnace modification or altera[ion [o existing dwelling unit $ 30.00 replacement air exchanger ~ air conditioner other - - - ~ State Surcharge 4$ .50 ' ~ ~ ~ Total y- _ $ I hereby apply for a Residenrial Mechanical Permi[ and acknowledge that the information is complete and accura[e; that [he work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I unders[and [lus is not a pemilt, 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. PK-~ ~ Le-__ V~y^ . A2f\f'c.n a Applicant's Printed Name Applicant's Signature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 Please complete for. commercial/industrial buildmgs . muln-(amdy buildings when separate permi[s are not required for each dwelling unit Date / / Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contrac[or S[ree[ Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor ~ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: Permit Fee $5050 Minimum fce (includes State Surcharge) Contrac[ Value S x 1% _ $ Pemtit Fee • If permit fee is $1,000 or less, add 5.50 $ State Surcharge If permit fee is over $1,000, add 5.50 per $ 1,000 Permit Fee $ Total Fee I hereby apply for a Commereial Mechamcal Permi[ and acknowledge Ihat [he informa[ion is complete and accurate; tha[ the work will be in conformance with the ordinances and codes of [he City of Eagan and with the Mechanical Codes; Ihat I understand this is not a permit, but only an application for a permit, and work is not ro 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. Applicant's Prin[ed Name Applican['s Signature Approved By: , Inspector Date: , _ `City`of Ea~aIl 3830 Pilot Knob Road Eagan MN 55122 (651) 675-5675 RESIDENTIAL BUILDING PERMIT APPLICATION REGIUIREMENTS: New Construction Requirements ? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas ? 1 Soils Report if proposed building is to be placed on disturbed soil ? 2 copies of plan showing beam & window sizes; poured found design, etc. ? 1 set of Energy Calculations ? 3 copies of Tree Preservation Plan if lot platted after 7/1 /93 ? 20% maximum lot coverage allowed ? Rim Joist Detail Options selection sheet (buildings with 3 or less units) ? Minnegasco mechanical ventilation form Remodel / Reuair Reauirements ? 2 copies of plan showing footings, beams, joists ? 1 set of Energy Calculations for heated additions ? 1 site survey for additions & decks ? Addition - indicate rf on-site septic system ,Office-Use Onlp, ` ~ E_?`Certificate of Survey Receroed ` ~ x,~~ ' _y tl rj{ --t?A ~ ~~Tree Preservation Required _ - _ Page 3 of 3 . ~ Y DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundatlon ? 05-plex ? 16plex ? Accessory Building ? Pool ? Single Family ? 06-plez ? Flreplace ? Porch (3-season) ? Ext AR. -MuIN ? Ot of Plex ? 07-plex ? Gardge ? Porch (4-season) ? Ext Att. - SF ? 02•Plex ? 08-plex ? Deck ? Porch (screeNgazebo/pergoia) ? Multi Misc. ? 03-Plex ? lo-plex ? LowerLevel ? Storm Damage ? 04PIex ? 12-plex ? Miscellaneous WORK TYPES ? New ? Interlor Improvement ? Siding ? Demolish Bullding' ? AddRion ? Move Bullding ? Reroof ? Demolish IMerlor ? Alieration 0 Flre Repair ? Windows ? Demolfsh Foundatlon ? Replacement ? Egress Wirulow ? Water Damage ' DemolRion (entire building) - give PCA handout to applicant DESCRIPTION: Valuatlon Occupancy MCES System Plan Review Code Edkion SAC UnHs (259/,_ 100%Zoning City Water Census Code Stories Booster Pump # of Units Squere Feet PRV R of Buildings Length Fire Sprinkters Type of Const Widih REUUIREDINSPECTIONS Footings (new bldg) Sheetrock Footings (dedc) Rna1/C.O. Footings (additlon) FlnalMo C.O. Foundatlon HVAC ~ Draln Tile Other. Root: Ice & Watei _Final Pool: _FOOtings _Air/Gas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Bridc Flreplace:_R.1. _Air Tesl ,_Final Windows Insulffiion Retalning Watl Reviewed By: . Building Inspector RESIDENTIAL FEES: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utiiity Connection qharge S8W Permit S Suroharge Treatrnent Piant Copies Total Page 2 of 3 I For Offce Use ~ I City of Ea~aIl ~ Permit# I permit Fee. 3830 Pilot Knob Road Eagan MN 55122 ~ oate Received: ~ Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5 ` Site Addresns: 6 Sp,~ a TenanA?1'9 0oY\/1G, lU~~~/h S011 SUit6#: RESIDENT I OWNER Name: ~ d?an/'L a h Phone: I,59' 695-y 3>Z I Address ! City / Zip: ~/L y e Appiicant is: _ Owner Contractor 1"YPE OF WORK 6escription of work: Construction Cost: Multi-Family Building: (Yes No XA CONTRACTOR Name: o/- License# Address: 10 -7( ' /U ~1~1° 7• ' City: OON7, nG nn State ZiP: 5s ya-C) Phone:TSa (6;r `b 5578 ContactPerson. Ig"ll COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 CateaorV 1 Minnesota Rules 7672 , En@fyy Code . Residential Ventdahon Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted (4 submisSiOn type) • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer 8 Water Contractor: Phone: NOTE: Pfans and suppoRing documents that you submit are considered to be public infoimation. PoRions of fhe information may be classified as non-public if you provide specific reasons fhat would permit fhe City to conclude that the are trade secrets. I hereby acknowledge that this infortnation is complete and accurete; that the work will be in conformance with the ordinances and codes of the City of Eagan, that I understand this is not a permd, but only an application for a permit, and work is not to start v{thout a p Anit that the work will be in accordance with the approved plan in the case of work which requires a rewew and approval of pl ns. / x ~l I 1 1 L~U~t r~ 1~ x v ApplicanYs Printed Name Applican s ign . Page 1 of 3 îý ð ÿþþýüüû úýýþþ õòïýþ ððø ûßò ðð ÿþ ÿþýüûú öàøäøþüûú øüûú öàø÷öàêú ô øúîþ äþäïáïãþú û Ü ÿóþ øù ôúøìôòòôøóþøôø ýøôç å øööú åøåø ô þ úçä åøå ú åø ç ä øýôæø øøóþøýû öå ôûòôç ùèáíèççï ÷ú ÿþøò ø þ èáíèççð þ á ç öðô ùó úú êö øêýøø ðäþûê ä ï øä êìñ÷á ñ÷ðð ëéðïïßßß òøýû öò ò ìø ò úú ò òåøô øø øôúûöò úú ýÿ åñ ÿ þ äûå ãø ç úú à þûÿ þø 41/k City of Eagan Date: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink For Office Use 0 (el's() Permit #: Permit Fee: Date Received: E' Staff: 7 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION Tenant: Site Address: Suite #: RESIDENT /OWNER Name: &‘.1.1,‘`,.(\_C•5o, Kd Phone: L9 3\ ` a • ©(6kit Address / City / Zip: 1A�� LIQ U_.t SOS 0-Q907` CONTRACTOR Name: .\cy.04 cc...4::, License #: CI)L91-'\9. ' ` R'I\ Address: ` ck"*" '� �csw City: X4 �� �;� y State: ckt� Zip: 57 9\ Phone: �`S."4`2• a. – (S12.–k Contact: Email: TYPE OF WORK New Replacement Repair Rebuild _ Modi Space Work in R.O.W. — _ _ Description of work: C'-e��^,.� PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation (_ RPZ / PVB) Add Plumbing Fixtures (_ Main / Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment, Water and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation $60.00 Add Plumbing *Water Turnaround $105.00 Septic System Turnaround* (includes $5.00 State Surcharge) and $5.00 State Surcharge) TOTAL FEES $--7-9 (add $189.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against undergr Call 48 hours before you intend to dig to receive locates of underground utilities. www..o.herstateonecall.or I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the Eagan; that I understand this is not a pe it, but only an application for a permit, and we 's .j�to sta 't accordance with the approv=+ plan 'n the c se of work which requires a review and approv ><- Applicant's Printed x Apph ant's Signat re d codes of the City of that the work will be in FOR OFFICE USE Required Inspections: Under Ground Reviewed By: Rough -In Air Test Gas Test PERMIT City of Eagan Permit Type:Building Permit Number:EA108497 Date Issued:12/11/2012 Permit Category:ePermit Site Address: 4856 Windsor Ct Lot:12 Block: 2 Addition: Brittany 07th PID:10-15006-02-120 Use: Description: Sub Type:e-Windows/Doors Work Type:Windows/Doors Description:House 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, 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 - WILLIAM L CSAJKO 4856 Windsor Ct Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature � . Use BLUE or BLACK Ink �----------------- � For Office Use � . � � � 31��' � Cl�� 0� ���1�Il ��,vEO ; Pe��t F. . J� . I R� � e t ee / S� I 3830 Pilot Knob Road /� Eagan MN 55122 �uN Q Z ����► I Date Received: �!/�� �� j Phone:(651)675-5675 I �° I Fax:(651)675-5694 i Staff: /l Z I �----------------- 2014 RESIDENTIAL BUILDING PERMIT APPLICATION �i�' Date: �/! j� Site Address: 7`x�`� �^ '��''��tn-�'� �� y c-, `; �� Unit#: I � _ - � � � _ - � --� = E_=. Name: �- ��� � �,'� j �� Phone: L-><��'�ZZZ ��,G �� � Address/City/Zip: 7 v��, � �� ���� �.:r� l_��, .�� ,��S�I�Z -�__ ---- =��_--� �-- Applicant is: Owner Contractor � _���_ > ��-'-�� - Description of work: ���� �+ C� �>c` �` 7`,� �f"- `-� �f �_ � �/� =z���=_T. Construction Cost: '7� �Q� Muiti-Family Building: (Yes /No � � _� Company: -�� /� Contact: - -- ;� �__ cf���' 1,�,��nn c�f. �� , ��� DO NOT WRITE BELOW THIS LINE SUB TYPES _ Foundation _ Fireplace Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* _ Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation u Replace _ Repair _ Egress Window _ Water Damage 7' Retaining Wall *Demolition of entire building—give PCA handout to applicaM DESCRIPTION Valuation ���� Occupancy ��� ,��/� MCES System Plan Review Code Edition �!��� � SAC Units (25%_100%�j Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Sprinklers Type of Construction � Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundatian HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Erosion Control Braced Walls Other: Reviewed By: �� , Building Inspector RESIDENTIAL FEES Base Fee Surcharge ,,����i Plan Review �' ��� MCES SAC ��`�� Cify SAC Utility Connection Charge S&W Permit 8�Surcharge f� • I ��- ✓ � Treatment Plant � \~j �-- � ''" � �U � Copies ( TOTAL Page 2 of 3 f / ����� � �t � � �t,.✓°b � ���`�;r�=�`a�� �(..F �` i _ - -�,� ,,,r .,,�.� �. -� � � � � � n .�A�� ( � I � � � � � � � �� � �� � � �� ? �`� � j � .-�, � � , ` � � � -� -_-- � � �����►� � -� t � � � � �` ` ,�t : �-- ��,, .� �� � � f � � � ��_�� . � . - � � � r . � � � � � � � � � - � � � �, � �"�' � � � � �~�� � , - . 1 � � � � � � _ - � -� �� � ,•�'�„� ' L__e K ��, a .,, . ,�. � ` � � 1 ��3 f ,�`�s `:��,p c �y �_ ��°$� R � . � � � � . ;� � � � � � E � �.k 1. � $ �� � ��.� B j S � n� �p 9 9 . . � � . .,,.m,..�.v.,�x..--x�. .�«-�' — . . . � . � ,..�.,�.�.�.—�-w--.� �..�.,..._..�.. .�,..., �G G � �� � �4� , �� � � -�_ � � � � � . � � � � �- �`� � �. � _, � � � � � �, z �� �. _� � � � � � � � � � � � � � , � �� � � -���-� � � . . �J��� ouaE'on "8uilda�• Iac. � Or.11644 , �aa_iz ! r . JACKSDN . - SURVEYDRB )�� It{dllT�11[O UNDtR LArM1 O� �T�►TK Or MINI�tti07A . ' I . 3818 EAST 66th STREIET,MINNEAPOLIS,MN�a4�� 7a7•�48� . �iurbrpar'�t lCttti�tatt � { , �o� Propa�sd Cara�� Tloor Bl�v. /o,rj�, 0 5c�1�: 1.":3U' � � �d `� � • If�nvte� Iran /Y3,3.o � � - ---�--- �qcalna�� 6 Utility Easement - '�° � _ �-- _�`_�_ `" _ .--- yR�SI�S��Bxiet ing Bl�v. . � � � ...--+•Drslnage ` . . � � t yN " � � ��^� i �� � � � ~T' • ��.. � . M � �, � : b ,f�q S t� , �' � � �` • f M . ' . ` :�—' `r' . Z 'L �,, f/' ' l :. � � r�e ` .�\ p n � �(` ,� 1° ,�f '� ` / . . E--" � \` 'y l ' � ,i � ' . _., _ _ � �9 r'� ��_�fi� �4 �•, � C� �\ � .�q, /� . `� � r,�•�'' � _ �� �.�..__�..� � 8.. �,� �/� 4 � f � , I � � r � � . � ! 4� � � �� > _�e :�- � --� .-. �� � ,�� a . �� �.�> .��- !�� / . � ��. � ( H[N��Y C[D1TIIrY ♦HAT YHL AOOYN li A 'fwL[ ANp COIlII�Cr rLAT DI A •U11V[Y W' , • � . . Lot 1�,Hlock��Sritt�ay 1tls. Additia�� Dskota C�unty,Nipai�nla. ' � � . A� al/RY[Y[p •Y M� THI• �OC� GAY O/ ~�• A.1�. 198� . �� '� I / �f�: 810N[D t, F, C. JACKSON, M�Nks+lori► �our�TiaN, Na. 3600 . � � PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA153778 Date Issued:01/22/2019 Permit Category:ePermit Site Address: 4856 Windsor Ct Lot:12 Block: 2 Addition: Brittany 7th PID:10-15006-02-120 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 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 - William L Csajko 4856 Windsor Ct Eagan MN 55122 (651) 222-0866 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA156539 Date Issued:07/05/2019 Permit Category:ePermit Site Address: 4856 Windsor Ct Lot:12 Block: 2 Addition: Brittany 7th PID:10-15006-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door 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: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - William L Csajko 4856 Windsor Ct Eagan MN 55122 (651) 222-0866 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:EA177330 Date Issued:06/27/2022 Permit Category:ePermit Site Address: 4856 Windsor Ct Lot:12 Block: 2 Addition: Brittany 7th PID:10-15006-02-120 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - William L & Karen D Csajko 4856 Windsor Ct Eagan MN 55122--278 (612) 518-4103 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature