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4862 Windsor Ct CITY OF EAGAN WATER SERVICE PERMIT 3#30 Pilot Knob Road PERMIT NO.: P. O. Box 21199 DATE: Eagan, MN 55121 1 _ Zoninp: No. of Units: Owner, Tollef so 1 s Mdross: '.'~-adsor C,'Durt L; S B2 '-jrittan 7 Site /?ddress: Plumber: ~n z - _ , • , , Meter No.: S D Conr+ection Char9e: 500 . 00 Ud /lccount Deposit: 15 OQ nc Size: " ReaderNo.: ._.4n/ Pennit Fee: 10 Q~ p d E~ 1 pne h~Vh ~ e1N CiN ef Le9ea Surcharge: 132 . 00 pd Oediseaas. Mise. Garoes: Totol: ,~r By Dcte Poid: Dote of Insp.: 1nsp.: -7PT77 `J ~ . _.,.~.~.-~a~-... ~ CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road pERMIT NO.: G25 i M P. O. Box 21199 DATE: F-6-85 ~ Eagan, MN 55121 ~ No. of Units: ~ zontnfl: Rl I Owror. Tollefs Bl s IAddmss4662 Windsor Court L11 B2 Brittan 7 Site Addross: ; Plunriber. Genz R sn 500.00 pd ~ ?~Aeter No.: Connection Charye: Size: Accourrt Deposit: ' 10 OQ f i~ Reoder No.: Permit Fee: .50 i Ia9iw to omvh? wiNh elw Citp of EowA Surcharge: 132 . 00 pd Orlimeaam Misc. Choroes: Totol: 63,00 nd meter ~I By pate Paid: Date of Insp.: insp.: CITY OF EAGAN SEWER SERVICE PERMIT 7446 ' 3830 Pilot Knob Road pERMIT NO.: ' P. O. Box 21799 i Eagan, MN 551~ATE' I ~ Zonirq. ~ No. of Units: .a e aon rs i pwner: ~ /lddress: gpT OUtt r ttsriy { Site Address: Plumber: GE3it P an . i 4=23 - 425.dQ pd. i 1 Nm tO 0011~ !Iw G!p ef b/oA Con?wction Charoe: P•--- I /~ooount Deposit: 15.00 n I o~al~.~o... I , Pertnit Fee: 10.00 p Surcharps: Misc. G+nroes: By Totol: pote of Insp.: naP p~ Paid: I • - - - CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagsn, MN 55121 PHONE: 4548100 ~ BUILDING PERMIT Re«ipr # , To w w"d fer Est. Value Oote 2- 19 Slte Addreq Erect 1:1 Occupancy Fiemodel ? 2oning Lot Blxk sec/Sub. Parcel No. Repair ? Type of Const. Enla?ge ? No. Storiea Move ? length W Name Demoliah ? Depth ~ Addreas Grode ? Sq. Ft. City Phone Install O ' Name APOrovols Fees u~ Addres: Assessment Permit City Phone Woter 3 Sew. Surcharyt Poliu Plan Review Name Fin SAC s? Addreas ~ E+p. Woter Conn. <W City Phone Plonner Woter MeMr Countil Road Unit 1 hereby ocknowledqe thot 1 haw read this oppiicotion ond stote thot 9~ Bidg. Off. tM informotion Is torrect and ogree to comply with all applicable A~ Total StaM of Minnesoto Stotutes ond City of Eoyon Ordinonus. Var. Date Sfpncturo of Permiftu A Buildiny Permit is issutd to• on fhe expresf taditlon tho+ oll work sholl be done in occordonu with all oppliaoble Stote of Minnesoto Statutes and City of Ecpon Ordinonus. Buildtnp pificial Pwmit No. Pwmk Holdw Dea TNe hone ~t Plumbiny L H.VA.C. ~}.e, (P ElacMe d b/~ . Sa SoTumr Inwection Date Insp. Other Footingt Foundation loll Fnminy / Roofiny W g Rough Plbp. Rouqh HVAC ~ Inwlation Firwl Plba Finsl HVAC Firul c..dooC. 1 ~ t :.anr Dsmibe Loestion: Gv~- TG~O •-/1ti ~.r~ r-o /°i ~ c_ YMa11 s.wnr Pr. Diw. ~ Receipt ' PLUMBING PERMIT. • Permit No. CITY OF EAGAN ~ . Fee - Fill in numbered spaces S/C TYpe or Print /egibly Tot 1. Date 2. Installation Cost ~ `-:..fi//r•' .Y.tri: , 'l~^` r' 3. Job Address~ Lot Blk. Tract ~.•A 4. Owner ~!'~".Y? ~/r 5. Contractor Phone 6. Address ~ j ~ , .r' L''• 7. City 5' State fi Zip - - s- 8. Building Type: Residential Commercial 0 Institutional O 9. Work Description: New ? Add 11 Alter O Repair ? 10. Describe 11. No. Fixtures No. Fixtures Water Closet Cesspool/Orainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. , Slop Sink 4_ Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : : for Rough Final . Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Fee. - rJo3.Job ~VIECHANICAL PERMIT Pa?mit No. fill in numbered spaces S/C Type or Print /egibly Tot Et - 2. Installation Cost ; Address Lot B I k. Tract 4. Owner 5. Contractor - Phone 6. Addreu 7. City ` State Zip 8. Building Type: Residential ? Commercial 0 Institutional O 9. Work Description: New ? Add 13 Alter ? Repair O 10. Desaibe Fuel Type ~ ~ 11. No. Equioment BTU - M. Ea. ' No. Equiameni GFM i - - f % Forced Air 'Air Handling: Mfg. BO11ers Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. Mfg. Gas, P'iping Outleu . 12. I hereby certify that the above information is true and oorrect, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Fiough Final Inapections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 ~ ~ Receipt PLUMBING PERMIT Permit Na y~ CITY OF EAGAN Fee y \ fill in numbered snaces S/C Type or Print legib/y ToL 1. Date 2. Installation Cost 3. Job Address y~~ 1 ~ ~:'t~-'~rbt t Blk. Tract r 4. Owner - , 5. Contractor 6. Address 702 Exc.~is's~: n 7. citv zia 8. Building Type: Residential b Commercial ? Institutional ~ 9. Work Description: New Add O Alter ? Repair ? 10. Describe ~----T 11. No. Fixtures No. Fixtures Water Cioset Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Wel I Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. f - i , ; , r 1 Signed: < -1 cciU.:• fo~ 1'+ . Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 1 ~q p~ d to ~ M N I ~ 0 oQ 0 r-+ cl, r-+ ~ C\l « o ~ ~ Lr) ~ ~n N 0 o b 6 O ~ a c 1~ d ~ • • m ? M a ~ ~ a ~ O ~ N `m Y } N ~ $4 O M U Ln m -4 }a c N tr1 '"4 ~ Q O 'C7 0 3 J N ~ 00 c ~ a Y Q ~ N E d Q (A p 01 m m .--i ~ .--i ~ n 'o 'o ~ -W n - cc Y J Q Y f- ir a H. ~ y ~ W Z W Q H J W ~ OC f.I ~ S Z w D W 1- Q Q Q~ w w D Y~ ~ ~ a I W al C N Q J Q J'J Z I Q c ~ w W ~ vWi W w w w m W W W~ Y a: F" U OC 4 >cr¢ Q Z?~ F- H 1- 0 0 cc > ~ 0 F- HCr Q w Q Q Q F F- H Q~ Q Q c~ in v~ 3 m rn a O £ cn c7 rn (f) 3 3 3 v> w U (a Q INSPECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 I SITE ADDRESS: APPLICANT: F. c~ r 1 ~ ?;t ; . I f t~'t~~'',I{{~ t ~ ~;i~ i. ~ 1 Ii1'•f'. ~ I II E(t!r I PERMIT SUBTYPE: TYPE OF WORK: - INSPECTION • , ~ '01%~~x~ "4k . . . . . . . d r ~ . . , . . . . t ~ $ - n<,;~t~~~.~~~~~~~'z~b~~ ~+E Permk No. Pernft Holder Datb~ Telephone 1! ELECTRIC lrf oZG ~ , o ~ ~ PLUMBING HVAC InspscUon Dste Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG I AIR TEST ROUGH I HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBC FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. I 1 BSMT FINAL DECK FfG 2 I DECK FINAL II I I i qw/ RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-6814675 /I - 0 New Construction Reauirements RemodellReoair Reauiroments • 3 registered site surveys showirg sq. ft. of lot, sq. R. of house; and all roofed areas • 2 copies of plao (20% maximum lot coverage allowed) . 1 set of Energy Calculations foiheited-adAitiera--_. • 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior addifions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted aRer 7l1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 01/10/02 VALUATtON $lfl, 5Cl(L AQ JOB SITE ADDRESS 4862 Windsor Court IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Mark & Virginia Sisson TYPE OF WORK Siding Replacement FIREPLACE(S) _ 0_ 1_ 2 APPLICANT EXTERIOR INNOVATIONS, INC. PHONE# (952) 884-0814 ADDRESS 9635 Humboldt Ave. S., Bloomington, NN ZIPCODE 55431 PAGER # CELL PHONE # FAX #(g52) 940-2201 NIElV 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: Water Softener ~ La.wn Sprinkler Fee: $90.00 N Water Heater Y No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Wcter Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowiedge that I have read this application, state that the infarmation is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eag Ordi . ~ Slgnature of Applic Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 OFFICE USE ONLY O 01 Foundation O 07 05-plex O 13 16-plex 0 20 Pool ? 30 Accessory Bldg O 02 SF Dwelling ? OS 06-plex 0 16 Fireplace 0 21 Porch (3-sea.) D 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF O 04 02-plex 0 10 08-plex O 18 Deck ? 23 Porch (screened) O 36 Mulb ? 05 03-plex O 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair O 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Repiacement 'Demolition (Entire Bldg only) - Give PCA handout to appUcant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Faotiags (addirion) _ Plumbing Foundation HVAC Drain Tile Roof _ Ice & Water _ Final _ Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests ` Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insularion _ Windows (new/replacement) Approved By , Building Inspector - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Suppiy 8 Storage S&W Permit & Surcharge Trea#ment Piant Plumbing Permit Mechanical Permit License Search Copies Other Total CITY OF EAGAN N° 1 0 1 3 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 rteceiPt ~j/d Te be wmd fer S F DWG/GAR Est. Value $10 0, 0 0 0 pate AP R I L 2 3 , 1 q 8 5 SiteAddrgsj 4862 WINDSOR CT Erect EX Occupancy R3 Lot ll Block 2 Sec/Sub. BRITTANY 7TH Remodel ? Zoning Rl Repair ? Type of Const. V Parcel No. Enlarge ? No. Stories TOLLEFSON BLDRS Move 0 Length 60 W Name Demolish ? Depth 26 2 A~resg 1655 NORWOOD DR Grade 11 ~ EAGAN 4 5 4- 6 8 7 3 sa. Ft. City Phone Instal I O SAME ApProvals Fees ~ Name z~ Assessment Pem+it 433.00 ou Address u~ Phone Water a Sew. Surchorge 50.00 City Police Plan Review, 216.50 r'W Name Fire SAC 525.00 Address Enq. Woter Conn. 500, 0 0 ~ W City Phone Planner Water Meter 63.~ 0 Council Road Unit 2 A ~ 0 1 hereby acknowledge that I hove reod this applicotion and stote that gldg. Off. 4 2 2 $ 5 T. P. 132.00 the inlormotion is co rect ond agree to comply with oll opplicabie APC Total $ 2 19 9_ 5 ~ State of Min~soto 4~tutes nd Ciry o Eogan Ordinonces. . Var. Date Sipnoturo of Permittee A Buliding Pennit Is issued to: TOLLEFSO BLDRS on ths expreu conditfon ihao oli work shall be done in accordance with oll ap ble Sta in esotu Statutes and City of Eaflan Ordinonces. Buildirq Official ~ 0-17 ~-878 0 ~~~ys 4~oa- ~ 5 ~ ~ Request ate / Fire No. Ro gFL-ln specf" Require Inspection Other T n ugh-In ~ (You call inspector wh ady) ~ Ready Now Will Notify Inspector (f/ 7 Yes No Date Ready ~cm I . licensed contractor ? owner hereby request inspection of ove electrical wo Job Address (Street, Box or Route o.~ City Z 01* Section No. Township Name or No. Range No. Counry Occupant INT) Phone No. ~ Power Supplier Address ~f Electrical ractor (Company N e Contractor's License No. Mailing A es (Co ct or er Making I tallatio < ) ui Authorized ' wner Making Installa' Phone Number , K~~ . ?.Of ~ / ~ MINNES A ATE ARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S-128 I BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 I III~ I~ II I. ! II I I~ UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 f i . ENCLOSED. ~2/_G~~~l REQUEST FOR ELECTRICAL INSPECTION EB-000~01~-'09) ~ ~ 00. See instructions for completin9 this form on back of Yellow co pY. X" Below Work Covered by This Request New A Fep. " Type of Building Appiiances"Wired Equipment Wired Home Range Temporary Service ' Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size ee Circuits/Feeders Fee Swimming Pool 0 to 200 Amps to 100 Amps Transformers Above 200 Amps Above 100 Amps Si 9nS 'sUse O~iD A TOTAL Irri ation Booms Special Inspection -0Yl $ ~~l~A CT~ Alarm/Communication THIS INS LLATION MAY BE ORD ED IS NNE IF N Other Fee COMPLETED WITHIN 18 MONTHS I, the Electrical Inspector, hereby Rough-in f Da _A/.~ certify that the above inspection has Final . Da[e been made. ~ OFFICE USE ONLY . This request void 18 months from This request void 5~~ ~C ' /q I 48 months irom f 1' f (g,5 ~r; • 950 Reques Date Fire No. Rough-in pection R quired. ~Readly IWmwrr~tlR~9e~0 PVl~atify_ Inspec- ^l~ es ? No d~ren Ready LicenseU-Electrical Contractor 1 hereby request iospection of abave ? Owner., electrical work installed at: Street Address, Box or Route No. ^ Civy (c:~~ C~//.~1~~ ~7r'• ~ - ection. o. Township Name or No. Range No. Couroty Occupan RINT) INcn. _ Pow r Supplier Address ~ j . Elect ' al Contractor (Company Name) Co.mrtracIloc's ~ecense Pdo. " C~.~G~.~-~C_ Maili Address (Contrac or r Owner Makin nstailation thorized Signature (Contr~Owner M~g~t`61'ation) L P9i~P MINNESOTA STATE BOARD OF ELECTRICITY THIS IPHSPECT107N REQUEST VYILL INOT Griggs-Midway Bldg. - Room N-191 BE ACCEPiED BY 7HE STA7E BOARD 1827 University Ave., St. Paul, MN 55104 UroLESS PROPER ITlSPECTIOPI FEE IS Phr...o, 16121 297_2171 EPoCLOSED_ REQUEST FOR ELECTRICAL INSPECTION EB-00007-04 See instructions tor comp~eting.th,is form on back of yelloav co1eV- oly~~ / 4 2 5:9 1 ,'-X" Below Work Covered by This Request S Add Rep. Type of Building ApPlianCes 1lrired EqunuaomaEni Nlired Nome Range TenvoTaey Ssrvice Duplex Water Heater Lag'h4uny Fux2enres Apt. Building Dryer E9ecffirna-.IFBeagnna Commercial Bldg. Fumace S;0I0 Uunll~adec Industrial Bldg. Air Conditioner &3uq&c ilUliiUlk Tartn&c Fafm Other SPecify 'LT1NneR USper:iSq+) T t er Succify Other ~n!hen Compute lnspection Fee Below p Fee Service Entrance Size N Fee Feeders /S ubfeeders #t Fee Circaits U to 200 Am s 0 to 30 Am s 0 po 30 An*- Above 200 qmpy31 to 100 Amps -31 ttv 100 A Swimming Pool Above 100_Amps Above I '0fl_Amps Transformers fr-igation Booms , u Paraual•'Otrier Fee. Signs Special Inspection TOTAL FEE,~.n v I Hemarks f Rough-in / Dale the Electr,~ca! 6 --lGl ~J loespeetor. hereby oeAefy that the above Final ~ 4_,V/e~j~ 0~;e~pr ' pection has been P mede_ This request void 18 months from ~ 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL COMfRACTORS MUST BE LICENSED MITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: !L-40GL-t FAMILV Valuation: ~00,000- ~ Date• S Site Address: _~(p~ ~)IIv.~(? C-ci OFFICE USE ONLY ~ Lot: H_ Block Z Sect/Sub F 2k t,rT14N]y-rect X Occupancy Remodel Zoning Parcel # Repair Type of Const ~ Enlarge # of Stories Owner _f~p~ Move ~ Length Demolish Depth Z(o Address Grade Sq Ft City/Zip Code Contractor APPROVALS Address ~ I~DV1nlf)pD nlrl\/~ Assessments _ Permit WaterlSewer Sureharge 5p.°-= City/Zip Code Police Plan Review ZICo. ~ Fire SAC Phone # __~4- LL-L:2) Engr Water Conn 5 oO Planner Water Meter Arch./Engr Council Road Unit 200. Bldg Off ± f Parks Address APC Treatment Pl 13 2.°~ Variance Phone TO?AL 2~x ~~BK s~ ^ 533~2 - 22 5-3 24 , . , . ~ ~c~ = lbv X 4( Sc>~ i~~ 0. * 43?" 00 + -t 50°00+ 216-50+ 525 ^ 00 + 500 -00 + 63o00+ 280 -00 + 132-00+ 2s199o50~ TollefaDn Builders Inc. Or.11601 • ~ i8a-lz JACKSON - SURVEYORS ~ RE61ST[RED UNDtR LAW6 OF STAT[ OF MINN[sOTA 3616 EAST 55th STREET, MINNEAPOLIS, MN 55417 727-3484 SCil! : 1' : 30' e Deno[ea Iron :Drainage & Utility Eaeement I burbcpor'g QCcrtincatc ~ Drainage ~ voo.v ~ Exiiting Elev. 0 l ~n \ 10 1u /3;;--' -,~47 ~ ~ - 1 , ~ - - - ~ Z z' ~ Propoaed Gar. Floor Elev. 103. a I , IR, ~ „3 ~ r~ l ~ . ~ `J • Z G • -..._2r )01 I ~ - , ~ - I. ~ ' / -~S O\ ~ 9 a ~ I HER6MY C[RTIFY ~THAT THt ABOV[ H A TRUt AND CORRtCT PLAT OF A QURV[Y OF Lot 11,Block 2,Brittany 7th. Addition, Dakota Caunty.Minneeota. Af /URV[Y[D sr M[ THIS- llth. -DAY OF April A.D. 1985 , 7 SIGN[D ~ F. C. JAGK30N. MiNNasoTA R~ fTMT10N. No. 3600 CITY OF BUILDIYd(3 DEPARTI-1LIdT Y. . EXTk;RIOR EI'1VII,OPE AVERAGE I'U ll C014PUTATI0I1 • • ' (To be subttitted with building permit application) One or Two Family Dtifelling Owner y~,OGj llll Other Site Address Contrnc t o r It,~~~~ Date Phone LITdL/1L FEET OF E.`CPOSED ti7ALL ft. above grade - Z3 Z4- TOTAL EXPOSLD 4YALL AREA SQ. FT. OPAQUE tiVAI,L COP•?STRUCTION: "U'f Value x Area be tail,. -~;P4 - 111 ~ flU i? . D43 x Sq. FT. . D=___ZZf~'1Z(U)(A) ref'erence "U" x S2. FT._ ~~,7 ~.?b(U) (A) from "U" .040 x SQ. FT. Z Zl 1 4F8.99 (U) (A) atta.ched liUll x Sa. FT. - (U) (A) sheets "Uit x Sq. FT. - --(U)(A) nUn x SQ. FT. =-i(u) (p) ~+'IIdDOWS: "Ull Value x Ilrea Tfafte & Type llUll . 49 x SQ. FT.$_ pZ„ (U) (A) 11 11 OZ~ _ . IiUn x SQ. FT. (U)(A) „ „ llU ll x SQ. FT. _ (U)(A) nUn x SQ. FT. (0)(A) DOURS: "U" Value x Area Ma'::e & Tyne x SQ. FT. ~~U~~ 5(0 00 = 7_ (U) ~A) „ „ A=x ~~U54~. FT. Z~PO -~_(U) (A) It 11 X S2. FT. _ (U) (A) - X Sa. FT. _ M(A) TOTALS SQ. k'T._ IT~, s~ P (U) (A) TUTAL (U) (It) VALUES ' AVERAC}E "'Ulf 17p3g - • o7'Z DIVIDED BY TOTAL WALL AR E AVLRAQL "U" 15 r less for 1&2 family dv+ellings ROOF/CEILINC3 : TOT1lL AREA: Detail reference "U~~ tOZ~ from IIUII x SQ. FT.-~`= 0,7 (U) (A) attached sheets. ilUif x SC~. FT. `_~U~ ~A~ Describe oT)enings „Uit x SQ. FT. _ (U)(A) in roof. n x SA. FT. _ (U)(A) U ir x SR. F.T. _ (U) (A) 'i'OT11.I, (U) (A) VALUES DIVIDED BY 00,7 7o7"At L~j Z~' 7 ~u~,~> TO I'/1L ROOF/CE-1-L-1-IdG AFtEA 9SS.op a' 1 ' AVLRAGE 'lUll~p25 Ar ventilated roofe. ' ~it~oR)L 17 I~EF-T Co<vc., • tn7 X C,38+3f~ 1- Z(n tz = 8~•7(0 ~'c r SJ (,/(p 17(o 1 ~e tS z' z 17- -I[/~ 21x14 Z•(o X Z= 5•Za 24X Ilo = S. 3. X I= 5.30 Z4 x~-4 =J, o >C 4. o0 3zXlG= 7.1 x I = 7ry) ~ Z4 X z.4- = S. c> X 3= z4, oc.> = 93•~0 ZBxz.+ _ 9 -3 x 10 I ~S•4o ~oa~ 5 35, o0 ZE, z I, o~ 65i P~Tiv - 4z,oo 98.00~ Z, Sy~,, G~~S <~.~vc~ , 9s,740 h~l z) z.4 g w~~.~~~ i7.10110 ~CX~P'i ~1~,00 igll.?D7~- --WALL SECTIOX-- • 'Determ~ining "Ull valuea at Roof, Wal]., Rim, and Conc. Hlock ROOF/CEILINa (R) VALUE , 1.) Interior Air r'ilm 0.61 2. ) 5/811 ayp• Bd. .56 3,) Insulation 45.00 4.J 5.) Exterior Air Film .61 (STILL) ~ 2 3 ~ iiUn _ 1/R= iOTAL (R)=q~p,7c'j l . ~ waLL R VALUE 6.) Interior Air Film 0.68 ~ . 7.) 1" GYp. Bd. .45 8.) Insulation Iq,oo 9.) g0it7-~.' 1T(5' Z, oq- 10. ) MASOnite Siding . e? l0 11.) Exterior Air Film 017 1 'tj1tl = 1/R= TOTAL (R)= Z3•Cf t I'L RIM (R) VALUE ~ 12,) Interior Air r ilm 0.68 ~ 130 Insulation I9, op 140 211 Fir Rim Joist 1.88 15 15.) PvIL.T-~-?171=-- 2/04 16.) Masonite Siding .67 170 Exterior Air Film .17 . o , o• "U" _ 1/R= TOTAL (R)= Z4fl_ p ° 0 0 ' 'D FOUNDATION (R) VALUE 180 Interior Air Film 0.68 zl • 19. ) ~e 20.) 21.) 12" Concrete Block 1.28 ' e ,n ?0 22.) CZIC,I11~ jllir~L, $i00 23.) Exterior Air Fi.lm .17 e D loUll = 1/R= . c'~7E>~ TOTAL (R) = CITY O PERMIT cK~,~ ~ f, ~ EAGAN 38304Pilot K ob Road PERMIT TYPE: g UIL D I N G Eagan, Minnesota 55122-1897 Permit Number: 0 2 5 7 6 8 (612) 681-4675 Date Issued: 0 6/ 0 7/ 9 5 SITE ADDRESS: 4862 WINDSCIR CT LCl7: 11 BLOCK: 2 BRITTANY 7TN ~ PeI.N.: 10-15806-110-02 DESCRIPTION: (INGL DECK) B=u%`1~claiPn.g,.,,Permit T"ype 5F PqRCH ; ,l'o, r k T y p e N E W ~3 `u i.1-i ri g`,~:.b ~i~ w~~^,•~'s '..5~^ ,,9m$" r%q;a ~.~A ~d~€ ~afrY ~~Lf ~~~',.srd~ .,~•H:~ ~ • _ ~~b;s€':~z, Fr,'i ,'~ne~ 4'; Q.:~ " ~ yy6,F4 ~<•:;&.~ .r, . `,i~~ie :..x.c, °~-.j `a~~'~~~ ."A,5*s- ' ~ y.gv ~ ~2~•e x.:~,,.s~;~ R Rsa.a` ~~em,e' •iy..Yy~ x .~,~~:4,~A. ~ ~j~i.i'~,~ k 4? t"•tk~:,;'°' .,u't;::~,'~a~~~~.~ c~ .W, AV REMARKS: A SEPflRATE PEF2MIT I5 f2EQUTRED FOF2 flIVY ELECTRICAL WqRK FEE SUMMARY: VALUATION $11,000 Base Fee $174.75 COPTES $1.50 P1an Review $61.16 Total Fee $242.91 5urcharge 5.50 Subto'Ca1 $241.41 CONTRACTtJR: - Applicant - 5T. LzC OWNER: POWERS CONST CO INC 16410111 0001939 SISSON MARK 2473 W 7TH 5T 4862 WINQSOR CT ST PAUL MN 55116 EAGAN MN (612) 641-0111 (612)454-0508 ~~y~~~a`3~'S°' d '.~°}.~'•a1` n~~ ~b e~ ;.$s3' i~ ~Y ;,~.~d~ a3..~.A..£~ @R,E~a ~ ~ n3~~ x~?~`08~~s' x'k m§~ ..R",. 's& . ¢'Y. ~ y&. »;A:t;~v,~.. ~ qaII „N.c~ e" "t'~. ~ 6 ~@~=I hie~rebb a'.e,kri°o°w,l°e 9 eg i-s ~;3°a p`P1?~ca:~ ?i4~`an'd `s°~~ate~e~Mat=:"th Y "9 _tip k~•~,+ ~ sa ~°.~a.~~ a,d.s~ n,~Fo:r.,i~a.t;,i~pri° i°sd co:rFr:ect~°'a'n' d a9' 'reKex. , t.cr-;cTo'°'m P]: ,`;.`w:3"t h ~al p i? ,:•ica,~il;e,~'~S~ta.te~a`ayfM:n> B4~ . z a ~ s `EYa ,a:ri: 0 r d:i£+i a n,c;ebs~: yr 6~-R }..'E tt o R e x y' .^3 ~ . ~~..s_ . - F . . . ....~.tF.~` _ _ . ..~~3j.~_."~ APPLICANT/PERMITEE SIGNATURE ISSUED BY: GNA RE 1NSYECrl'lUN KEC;UKD CITY OF EAGAN PERMIT TYPE: B U I L D I N G 3830 Pilot Knob Road Permit Number: 0 2 5 7 6 8 Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 0 7/ 9 5 (612) 681-4675 SITE ADDRESS: p• I• N.: 10-15006-1 10-02 APPLICANT: LQT: 11 BLOCK: 2 4862 WINDSOR CT PQWERS CONST CO INC BRT7TANY 7TH (612) 641-0111 PERMIT SUBTYPE: TYPE OF WORK: 5F PORCH NEW DESCRTPTION (TNCL DECK) INSPECTION D. . .A FOOTINGS FRAMING FZNAL REMARKS: A SEPARATE PERMI7 IS REQUIRED FOR ANY ELECTRICAL WORK ~ _ . . , . ~ ~ , ~ CITY OF EAGAN ~ 3830 PILOT KNOB RD - 55122 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) 681-4675 New Construction Reauirements Remodel/Reoair Reauirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & dedcs) ? 1 energy calculations ? 1 energy calculations br heated additions ? 3 copies of tree proservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: -5---3 CONSTRUCTION COST: DESCRIPTION OF WORK: STREET ADDRESS: Z ~i r c~s op C~r LOT BLOCK ~ SUBD./P.I.D. PROPERTY Name: Ss.soN h~/< Phone OWNER LMT FIRST Street Address- P4-6 City: State: Zip: CONTRACTOR Company: o„ sr-- C. Phone Street Address: ,;hY73 L-) 5*- License 113~ City: -S-r- IL,- State: Zip: -s-~ ARCHITECT/ Company: Phone ENGINEER ~ Name: Registration Street Address- City: State: Zip: Sewer 8 water licensed plumber: . Penalty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the informati i co ect agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: u' OFFICE USE ONLY RF-CEDVED Certificates of Survey Received Yes No MAY 3 0 1995 Tree Preservation Plan Received Yes No ~ OFFICE USE ONLY . , • ~ BUILDING PERMIT TYPE . 0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling o 07 4-plex ? 12 Mutti Repair/Rem. a 17 Swim Pool 0 03 SF Addition a 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility SF Porch o 09 12-plex ? 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 _-plex -EP-15 Deck WORK TYPE r 31 New o 33 Alterations o 36 Move ,-,m'-32 Addition ? 34 Repair a 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 o/ Census Bldg ~ Census Unit ~ APPROVALS Planning Building Engineering Variance be Permit Fee Valuation: $ Surcharge Plan Review license MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit SNV PeRnit . S/W Surcharge . Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies y . Total: % SAC SAC Units r ~ tldera Inc. Or.11607 l8a-12 JACKSON - SURVEYORS ~ R[O1GT[RED UND[R LAW{ Oir STAT[ OF MINN[MOTA 3816 EAST 55th STREET, MINNEAPOLIS, MN 55417 727.3484 SCaLt S 1~: 30' e Denotea Iran :Drainoge & Utility Eaeement buncepor'g QCcrttficatc - - Drainage ooo.o - Existing Elev. 0 f o _ 22'' ~ • L -L Proposed Car. Floor Elev. 103. ' bD' I • ~ . 0~ - _ - v~• / -f~'~ y/ • - - c4 9 0 I HtRtNY Ct11T1/Y THAT THt ABOV[ 18 A TRUt AND CORR[CT rLAT OF A sURVtY OF Lot 11,Block 2,Brittany 7th. Addition, Dakata Caunty,Minneeota. Af SURV[Y[D ¦Y M[ TH18_11Ch=DAY OF APril A p 1985 $ION[O ~ F. C. JACKSON. MINN[fOTA [ fT11AT10N, No. 'Jd00 •d.y'Y!. • ' 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ' 3830 PILOT KNOB RDN 55122 a/ ~j 651-681-4675 New Construction Reauirements Remodel/Reaair Reauirements ? 3 registered sffe surveys showing sq. ff. of lot, sq. ft. of house 2 copies o( plan and all roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculations for heated addffions > 2 copies of plans (show beam 8 window sizes; poured fnd. desfgn; etc.) 1 sfte survey for exterior addHions 8, decks : 1 set of energy calculations > 3 copies of tree preservation plan ff lot plafted affer 7/1 /93 DATE: CONSTRUCTION COST: .1 , DESCRIPTION OF WORK: ~ 1/1/l lJ STREET ADDRESS: ~k~ z- LOL• BLOCK: SUBD./P.I.D. ' ~G~ 1n r Phone PROPERTY Last Plrst OWNER ~..L . - Street Address: City State: Zip: _ Company: ~ ~'Cl~24- Phone ~ 77-01 K CONTRACTOR ~area code) ? ~ ~ Street Address: L cense Exp. 4~ City State: ~ ARCHITECT/ ENGINEER Company: Name: Telephone area code ( ) Street Address: Registration City State: Zip: Sewer 8 water licensed plumber (required for new constructfon onlv): Penalty applies when address change and lot change is requested once permit is (ssued. 1 hereby acknowledge that I have read this applicatlon, state that the (nformat(on li correc d agree to comply with I app able State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY . i . rI i Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required ! OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex 0 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 ? 08 6-plex 0 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE . 0 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 O 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair 0 34 Repair 0 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 City 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 ~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodellRepair Reauirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N (20% maximum Iot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y_ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y_ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 04- Construction Cost vu Site Address 496 2 WlNo6b/Z Cr~ ~ Unit/Ste # ~ Description of Work .~I~~~A LL G A s r-~2r~L~ CE ~it/,SE%2T ~~d ~1~5 t/N6 Lt~UD'i/2I?ln/(, Multi-Family Bldg _ Y N Fireplace(s) _ 0 V/ 1 _ 2 Property Owner fil A214 bVIA GIN/ 9 S1SbdeJ Telephone#( 0~ Contractor VALLEY MC~2D CqjM/,1 L1 5PLC . Address Pr Q6 x 24~ 19b City ~~~LGVALI.~%y State Zip 95174 Telephone 6S/ )¢60 'Iz33 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate:gorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone # ( E Sewer/Water Contractor Telephone # D N( ) I hereby apply for a Residential Building Permit and acknowledge that the inform ~pn is complete and a curate; that the work will be in conformance with the ordinances and codes of the City o agan ancd[ e a e 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 approval of plans. 6 U7'er-L~ Applicant's Printed Name Applic t' Signature OFFICE USE ONLY Sub Types ? 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 O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage ? 06` 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior~'O 44; Siding ? 32 Addition O 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 0 33 Alteration ? 37 Demolish Building* ? 43 Reroof ?•46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows [nsulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge ' S&W Permit & Surcharge Treatment Plant License Search Copies Other . ~ . • Total ' •`i - ~ z/a4 N,~ ! CITY Or EAGAN APPLICATION FOR PE:3-MIT • " SEWER AND/OR WATER CONNECTI0N (PLEASE PRINi) 1) PpdM= ADDRESS- 4862 Windsor Court rFr +L DES=p'I'TC`l: Lot 11, Block 2, Brittany 7th Addition , (Lot/Block/Su:divisicn or TaY ra.rcel I.D. `1~...^r6ar) S77L'C^ :v°, DA'I~' 0° 02IGi~`..?Ai.. EuIi.DIi:G PD~s= 7"'~r1/1P~OPOS~ C'S=: UR-1 SIN= ~ AM-IT_.'' . ? R-2 LUP= MCO L^:ITS) D P-3 ZCr,.ti,-~=nrTCE (mz-:-.~ . L~]ITS) ( rJ'Nl I"_'-Q-) D R-4 A::.::I`~'`,I'/CC_:Di.:•~r;r:.l ( UY, I^"Si ? CCi-n1E.°.CL~Z/RE^'~I,/Cr ~'I~' ? ~'DL'ST??'sL ? I.%STITC,'I'IONAL/G:'v=~,L%=:T 2) ApPZ,IG=~i*T' iPLEAJE Pnltii) tUV.IE• Tollefson Builders Inc. p,DL.RESs_ 1655 Norwood Drive CIT`_'; S=, ZIP: Fatr,n n - MN .r,; p: ipNE; 454-6873 3) PLL:-IBE11 NAL , ^~~~~•~~~N P,FOR CITY USE OVIY y ERT PLU"8 Ic-ySE: ~D~ss: 14745 S0. ROB + L Active cITY, sTATE, zrP: ROSEMOUNT, ~ Exp" ed MHa I Ln of Record PHOLNE: PLUMBER LICENSE #~,.p~~~''/~ ~ a niti3 4) pCC(,*pANT/Cr-,-rJER NAME (PLEASE PRI~~T) : ADDF2ESS : CIT"l, STA'I'E, ZIP: PHO^lE : 5) INDICI~TE wHICfi P k-7 IS BEING REQUESTID: :INECrION TJ CITY S~riER f1NDCTIQ.1 TO CITY 1,7A''E~Z 0`171ER (PL£A.SE DFSCItZBE) 6) Ir1DIG'~Z. C.E: ? PLr~.SE f?OLD APPP,OVm PEfZ'tiLIT FOR PICI:-[,'P BY OIVE OF AFC'JVE PLEASE ~T'IL APPROVED PE11,%1IT Z`J 1, 3, 4 AEC7~IE ° t r ~ (Circ1 one) ~ 7) SIC~TL'RE: DATE: . ~ F 0 R C I T Y U S E O N L Y PEpMIT ISSUED Frrs' $_T~(/ . SE::t,n ?r?MTm St.lRC-IPr ) $ ~p_~O 6~AT°? PEP~lT';' (II.TCL''DE JURC::f-~fZGL) S ~3~-d WiaTER LIETER/COPPERHORN/OUTS7'J=' RE',D~R $ WATER T;P (INCLUDE CORPORATION STCP) $ S .'1 e. .tt T AP $ -CC'i,:.''_' ~._:r'•c__ - $ ACCOliiN1T DEPOSIT - t•iA^'jR $ WAC $ SAC $ TRliNr. jdATt'? ASSEESci•tE::T $ T.°.u::K SE;-:ER ASSE-:S:-i?",iT $ - LATP.?.AL Br,:ir,17IT/T:?U`fK S:.:J=- $ ' LITERAL BENEFIT/TRUNiC WAT°R J $ OTHER, . $ TOTAL ' $ ~J.,1 Uv A,~lOL'~IT PAIDjRECEI?T ~oZc~~A~7 DOES UTILZTY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF idAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6dITHIN PUBLIC ROADWAY" NIUST BE ISSUED BY THE NO ENGINEERIr1G DIVISION. LIST AS A CONDI- TION. SUEJECT TO TfiE FOLLOtJING CONDITIONS : • APPROVED BY: TI:Lc: DAT° : f~ .F~... ~ s~ .ES ~ .~.r~ w~ w ~ w s~! wf~ w ~a~ 0% W s! Waq Ra r* 00 M sJN m ~ ~ CITY USE ONLY t iwi • PERMIT RECEIPT DATE: ~-M 0l RESII}ENTIAL 1VIECHANICAL ~EMIT APPLICA110N CITY OF £AfiAN 3$30 PILOT KNOB $D EAfilkP MN 55188 . 651-6$1-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit Date: SITE ADDRESS: SO C (14 1- 1 SS (!51~ TELEPHONE OWNER NAME: (AREA CODE) INSTALLER NAME: STRNDARD hlFAT;NC A AM CONDITli1i!0NEC, G(). TELEPHONE °a,a ;t~i , ;~;-p (AREA CODE) MlNNEAPQLIs, 101555408~,2_998 STREET ADDRESS: 632-824-9-656 C17Y: STATE: ZIP: Place a check mark next to the ermit work t e _ New residential dwelling unit under constructionand not owner/occupied $ 70.00 X Add-on, modification or alteration to existin dwelling unit $ 50.00 • furnace replacement • air exchanger • air conditioner • other Nature of work: Gc c2/ '"L State Surchar e $ .50 Total Reminder: Call for inspections. • AAIYI SIGNATU ERMITTEE Updated t/O1 CITY USE ONLY PERMIT RECEIPT DATE: APPROVED BY: , INSPECTOR COIVIIVIERCIAL MECHMICAI. PER4IIT APPI1CATION CTTY OF EAL6m 3$80 PILOT KNOB fiD EA6ALN, MN 55188 651-681-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE - (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: PHONE - (AREA CODE) CITY: STATE: ZIP: WORK TYPE: New construcrion Install U.G. Tank Interior Improvement Remove U.G. Tank Processed Piping Specify Nature of Work: When installing/ren:oving underground tank, cal[ 651-681-4675 for inspectioi: by Fire Mars/:al and Plumbing linspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removaUinstallation = minimum fee Contract price: $ x 1% (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Upaated 1/O1 ~ For Office~l9se ~ ~ ~ ~ ~ R j Permit j V :f :~a aIl 7 3830 Pilot Knob Road ~ Permit Fee: I~~~ Eagan MN 55122 j Date Received: 7~~ j Phone: (651) 675-5675 i Fax: (651) 675-5694 j Staff' ~ 1 L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ J 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: / ' 68 Site Address: 41I~ 2 Tenant: Suite RESIDENT / OWNER Name: Phone: VS~2'261- ~7S~g Address ! City / Zip: Applicant is: Owner -sel- Contractor TYPE OF WORK Description of work: iN • &D Construction Cost: S~i • o d Muiti-Family Building: (Yes / No? CONTRACTOR Name: 4iv t G,2 on/,~Aeuelllii? License ,Z?L :3.Z Address: -,~7elO L z 57. City: O ~ 7oy? State: 177A.1 Zip: ~5757~/.Z 0 Phone: Z - 9 Contact Person: _0924r-Ze COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 ' Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet C8teg0ry Submitted Submitted (q 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 & Water Contractor: Phone: - NOTE: P/ans and support~ng documents that yvu subri?it_are consrdered to be publrc ~nformation Portions oi r _ - ~ - - - the mtormation may be classified as non pubtic 1f you:provide'specifrc reasons tirat wou/d permit:tiie:C~ty - - - - -concl~de_ttiat fhe _ are.lrade:secjemT ~ I hereby acknowledge that this information is complete and.accurate; that the work will be in.conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permR, but only an application for a permit, and work is n 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 ns. ~ x i`G S x App icanYs Printed ame App s Signature Page 1 of 3 RESIDENT OWNER Name: /724-, /l d' ''.1).,,J, 1 ,SS o.- Phone: 9 75- 4 2 ,2 4 97 fig Address City Zip: '4 2 2 /se i Applicant is: Owner ((Contractor TYPE OF WORK Description of work: /'1:10/1 -6 �/?4 li e.(7- i✓ X/5/i l,yri i7 r Construction Cost: O 306 8, 00 Multi Family Buildin g: (Yes No vi CONTRACTOR Name: ,ry e..C.. e° ,-27 .r re. icy, ii' License c-' 337 Address: 2 2 Ve) 4�r,�i-t,/� 1 ie s City: /06 r Tc,." State:J V Zip: -1 Phone: /52 -8 Se,- 5 Contact Person: ,e- -c-tt' i.e ee COMPLETE In the last 12 months, has Yes ✓No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non -public if you provide specific reasons that would penru the City >?o conclude that they are trade secrets. 4 111 €!tyofEaQafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 For Office Offe Permit l t? Permit Fee: L� Date Received: 0 Staff: 7 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /2 e'"? Site Address: 4/6 2 C- 6/i: t Use BLUE or BLACK Ink Tenant: Suite CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454.0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecaltora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plops. f Applicant's Printed Name x Signature Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 4862 Windsor Ct Lot: 11 Block: 2 Addition: Brittany 07th PID:10- 15006- 110 -02 Use: Description: Sub Type: e - Fixtures Work Type: New Description: Main Floor Meter Size Meter Type Comments: Fee Summary: Valuation: 1,000.00 Contractor: Joe's Plumbing 23375 Drake St NW St Francis MN 55070 (763) 427 -7132 Susan Isle 23375 Drake St NW St Francis, MN 55070 Manufacturer PL - Permit Fee (miscellaneous) Surcharge -Fixed Total: I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply h all applicable State Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $50.50 Owner: Mark Sisson 4861 Windsor Ct Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Serial Number Remote Number $50.00 0801.4087 $0.50 9001.2195 Issued By: Signature Plumbing EA092039 11/16/2009 ePermit Line Size PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA111727 Date Issued:07/09/2013 Permit Category:ePermit Site Address: 4862 Windsor Ct Lot:11 Block: 2 Addition: Brittany 7th PID:10-15006-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Craig Angell 12253 Nicollet Ave. S. Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Mark Sisson 4861 Windsor Ct Eagan MN 55122 Angell Aire 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA145854 Date Issued:09/26/2017 Permit Category:ePermit Site Address: 4862 Windsor Ct Lot:11 Block: 2 Addition: Brittany 7th PID:10-15006-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Mark Sisson 4861 Windsor Ct Eagan MN 55122 Benjamin Franklin Plumbing 5718 International Parkway New Hope MN 55428 (612) 238-9709 Applicant/Permitee: Signature Issued By: Signature