The URL can be used to link to this page

4863 Windsor CtMar 30 2010 2:48AM HP LASERJET FAX Chne ) City of Eaaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-6694 P.5 Use BLUE or BLACK Ink Permit #: Permit Fee: 6g Date Received: Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J3/ZR Jiot y Site Address: Li M Lt3 k Sor Cour+ Tenant: 1j.trr.,. cI.I1114 04. Carr) fist •. 5 0n,Q Suite*: RESIDENT / OWNER Name; j'� arrn S cL. w...' f 4. . C4lr.Y Sa,.�."•4 Phone: (0 5.-r 4- 3 vii - O4 15 -- fAddress Address / City / Zip: 1-(14 3 CJ , rr e S l r Cour 'F - Applicant is: Owner Contractor TYPE OF WORK /J � of � / � Description of work: r a�.,4-_-reff—s1" rc;G ) 00 Construction Cost: i✓, el''%. r Multi -Family Building: (Yes 1 No CONTRACTOR Name: 3.A. C. CoN S t-'rJ c.13ory License #: .20 19.2 o 4 2 Address: 3 0 3 Z . /14 ,Z y eAc L c. 4 _ S, City: al /°C S. State: MA/ Zip: S" -S- (el, 4 Phone: 6 Ira - 7.1- f - .5S`0 a Contact e if: Z«S-e Y4 1....5.60-- Email: b,rste CI 1. f Cc 5'..v.. t COMPLETE In the last 12 months, has Yes _No If yes, Licensed Plumber. 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: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: x�t r-..=-,...w„, } ....` .. .a! �iFS .. .. Ff 4+i[ f H7 v� " f fi ori Ay..,. $lit t R.S."S J �r+i^+e".' II .F .. : ?° 2 4 G � 7 t 1442 CALL BEFORE YOU DIG. Call Gopher State One Call et (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 0.4 e1 C AJ0P.j Applicants Printed Name Mar 30 2010 2:48AM HP LASERJET FAX (a),/ blirvkaL 0+( DO NOT WRITE BELOW THIS LINE p.6 qg7 SUB TYPES Foundation Single Family Multi 01 of ___ Piex Accessory Building WORK TYPES New Addition Alteration T Replace Retaining Wall DESCRIPTION Valuation Plan Review Fireplace Garage Deck Lower Level Interior improvement Move Building _ Fire Repair 4[ Repair F Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool 00-) Occupancy Code Edition (25%_,100%4) Census Code #of Units # of Buildings Type of Construction Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water w_Final Framing )c Fireplace:,,,_ Rough In Ttkt 4Final Insulation Meter Size: Reviewed By: Siding Reroof Windows Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior _ Demolish Foundation Egress Window — Water Damage *Demolition of entire building — give PCA handout to applicant 144N? -2) MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / G.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings _Air/Gas Tests _Final Siding: --,Stucco Lath ,^Stone Lath Brick Windows Retaining Wall: ^ Footings Backfill — Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies U671(v)cm-Y (MAP/9-p-\-- TOTAL 0 D Page2of2 Cit of Ea�allJ 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit Fee: Date Received: qb no Staff: J 2010 RESIDENTIAL BUILDING BUILDING PERMIT APPLICATION Date: 3/'.S 2 0 /O Site Address: ! 0 tD 3 Lti n d S a r- Cour-4 f Tenant: 4.r rs Sr. i ,vi / ff (- d rr%e S-79li5Q,n e Suite #: RESIDENT / WNEI) Name: 73)4AMI SC:th In O.iaei Lai ,u S Phone: 6457 - 317- O 69 s - Address / City / Zip: / )moi. mss/ 2. 2 - Applicant is: Owner Contractor Applicant TYPE OF WORK Description of work: lea e OFF - Q h d re ra o f �/ ("°Construction Cost: 91 8' 7 £ . Multi -Family Building: (Yes / No1) CONTRACTOR Name:.'. C (an ST12vcrion f e.(a.csl.mcense #: I-20/%2042- 0%2062Address: Address:303.2 711. /1/'Ieha %7A A w S S. City: inn- S • State: i /V Zip: S,r Ya g Phone: 6 %t - 7.1/1 - ASO 0 Contact: 3ef/y ifl0eel/ Email: b -en.,...? E� ...1 a R' C'c S. /7e f 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: Sewer & Water Contractor: Phone: Phone: G CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. x €G:2 4befti rri, en x Applicants Printed Name Applicant' ignature Page 1 of 2 •I t aU J !v ~ J E. a o = Lo ma m LL y 1 O Y t y C Z N aJ Y ~ \ ~Ya Q ^ V - ~ f^ ~ V Ln ~ rn a < ~ U W c (n ' ~ ` L• W X W CC LL. p Z ~ t o = O m Cl) Q 6 ~ N V ~ a Q e v , m Li ~ w + V o i ~o ~ ~ a Z C _ . , Y co • C 0 L E-0 CITY OF EAGAN . 16781 ~ 3830 Pilot ICnob Road, P.O. Box 21-199, Eagan, MN 55121 ~ . PHONE: 454-8100 BUILDING PERMIT Receipt # ~ To be used for ~EMENT lm'1A118H Est. Value $1,500 Date J3II-Y 1A , 1999_ Site Address ~ 486~ ~~~~~~R COURI ~ LOt ~ BlOCk- 2 Sec/Sub. ~~TTA`~~ 7V OFFICE USE ONLY ~ PdfC21 N0. Occupancy - FEES Zoning 36,00 J.~.$i ~b ~ W Name RM4 (Actual) Const Bldg. Permit ± ~ 3 Address4863 1401,'`~~~R COIIRT (Allowable) Surcharge 14~ ~ 0 City PhOne 454-9344 # of Stories - _ Plan Review Length , p Name S Depth - SAC, City 00 Address S.F. Total - oa SAC, MCWCC cc City Phone s.F. Footprincs On Site Sewage Water Conn P. W W Name On Site Well Water Meter ~ ? Address MWCC Svstem _ a 00 Acct. Deposit r a W Clty Phoile City Water - PRV Required S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Treatment PI ~ Signature of Permitee APPROVALS Road Unit A Building Permit is issued to: f'~'i"OZ'~' ~O~ Planner - park Ded. ~ on the expreSS condition that all work shall be done in accordance with all Council - ~ applicable State of Minnesota Statutes and City of Eagan Ordinances. gld9, pff. Copies -50 i 3 7 s.59 Building Official Variance TOTAL ~ r Permk No. Permk Holder Date Telephone # WATER SEWER PLUMBING H.V.A.C. ELECTRIC -n9 Inspection Date Insp. Comments Footings I Foundation Framin9 Roofing Rough Plbg. Rough Htg. ~ ls,l. Freplace Fnal Htg. Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Ergr.IPlan Bldg. Final 92 Deck Ftg. Deck Final Well Pr. Disp. . AD CITY OF EAGAN , 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1474 PHONE: 454-8100 F BUILDING PERMIT Receipt# I To be used tor SF DWG/GRR Est Value $123,000 Date JAN UARY 27 19 86 4863 WIAIDSdR CT R3 Site Address Erect ~ Occupancy Lot 3 Block 2 Sec/Sub. BRI Remodel ? Zoning Rl Parcel No. Repair ? Type of Const xz - Addition ? No. Stories ¢ rvame TQLLEFSQN BLDRS II+IC Move ? Length 54 = 12617 FAIRGFZEEN i '~VE Demolish ? Depth d~+ o Address Int. Impr. ? Sq. Ft City A.V. Phone 431-1100 Install ? o Name SAME Approvals Fees os address Assessment Permit ~ ~g0.50 ~ City Phone Water & Sew. Surcharge 61 . 50 Police Plan Review 245.25 F= Name Fire SAC 575.00 ~a Address Eng. Water Conn. 500.00 < W city Pt,one Planner Water Meter 6 3. 5 a Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the Bldg. Off. 1/ 14/~3 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. APC PBrkS ,~5 Signature of Permittee Var. Date Copies ~ Total ' • TOLLEFSOPV BLDkS INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable St~te of Minnesota Statute&enci City of Eagan Ordinances. Buiiding Official y` ~c i. ~ - - : _ . s , PrmN No. PKmit Holder Dde TN*phone M PlBfibing H.V.A.C. electric SOIIMlf Inspection Date Insp. Comm~nb FooBnys I ) g!p p t- FootlnpsII Foundatlon ;j & Framln9 ~ Rooflny Rouyh Plbq• Rouqh Hty. :V// Insul. 3~ }~p Finplace W FinN Ntg. Final Plbq. fL ,Cl•[~l• &dq. Final Grt.Oee. o [l~D Dock Fty. Dock Frmp. Wdl Pr. Dlsp. ~ PERi~;A1T CITY OF: EAGAN FEE ~ d PLUMBING PERMIT . RECEIPT # ` 454-6100 S/C MINIMUM RESIDENTIAL FEE - $10.00 +=.50 TOTAL J ~ DATE 3 --MtNIMUM COMMERCIAL FEE - $20.00 + $.50 ~ ! 1. Bldg. Type: Res Comm tnst New Add Alter Repair ; 3. Total Bid Price 4. Job Address Lot Block ~ Sec ! . ~ V Owner ? ~'[-Oar' S 6. Contractor A,~berh ]~=1.1 ~(c;~ c n~ ~~v~i d ~`?1 V' (Name) (Streep (CItY) 5 'SL,1~-Fj (Zip) ' i 7. Contractor Phone # NO. FIXTURES NO. FIXTURES NO. FIXTURES 1 ~Water Closet - $3.00 ~Laundry Tray - $3.00 -Well - $10.00 Bath Tubs - $3.00 ~Floor Drains = $1.50 -Private Disp Syst - $10.00 ~ :i-Lavatory - $3.00 ~Water Heater - $1.50 ~Rough Openings w/o ~Shower - $3.00 Whirlpool - $100 Fixtures - $1.50 ~ / Kitchen Sink - $3.00 Z-Gas Piping Outlets - $1.50 -Urinal/Bidet - $3.00 -Softener - $5.00 COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE. Signed: for 7 Approved Inspections: Date Rough Insp. Date Final Insp. PERMIT # /U0 / PLUMBING PERMIT RECEIPT # ( 1- CITY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~p 'CONTRACT PRICE PHONE: 454-8100 Site Address ( BLDG. TYPE WORK DESCRIPTION Lot Bloc °Z Sec/Sub ~ ~ Res. ~ New x , R6 Mult Add-on ~ ;o Address 70y=1e Comm. Repair c City HODki113, MinnPCeat8h6ffls4 Other 938-1880 NO. FIXTURES TOTAL Name - ; _'J Water Closet - $3.00 $ ~ Address ? Bath Tubs - $3.00 p Ci t y Phone ~ Lavato ry -$3.00 ~ Shower - $3.00 FEES Kitchen Sink - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMUM - RESIDENTIAL FEE _$10,00 L-sundry Tray -$3.00 MINIMUM - COMM/IND FEE - 20.00 Floor Drains - $1.50 Water Heater -$1.50 STATE SURCHARGE PER PERMIT - Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50 BEYOND $1,000.00) • ~-Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 SIGN RE ,O PERMITTEE / FEE STATE S/C: r- FOR: CITY OF EAGAN GRAND TOTAL• - CITY OF EAGAN Remarks y?i Addition BRITTANY 7th Lot 3 alk 2 Parcel 10 15006 030 02 4863 Windsor Court state Eagan, MN 55122 Owner Street Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 976 12,07F js 60.32 A015436 SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA o 1986 441.70 29.45 15 STORMSEW TRK 9,71 1986 772.93 51.53 15 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. EIUILDING PER. SAC PAR K ~ CITY OF EAGAN WATER SERVICE PEWIAIT 383af nvc Kngb Road 718`L pERMIT NO.: P. O , M,. nBox 11~9 DATE: 12 56121 Eag e ~ Za+inp: R1 No. of Units: OwMr_ Tollefsor? B1dZS. + Add'°'s' Win sot ourt . r ttany t k Sitr Addrc~: Genz-Ryan . I ~ ~~r D O P ~ ~ Mster No.: rge• P I ~ r o c( t~ 1 " Size: • e~ ~jt • 0F ~ Reodsr No.: ~ P ~ 1 q~ te oow~Ph? wNl~ lM~~s!?'~ • D CSO- • P - EQU,R~ Totai: ~ 63. SOpd meter , i pate Pbid: I BY . Date of Insp.: Insp.: CITY OF EAGAN WATER SERVICE PERMR 3830 Pilot Knob Road pERMIT NO.: P. O. Aax 21199 . EaQan, MN 55121 DATE: No. of Unin: ' Zoninp: OmMr: /lddrom • : i '?'s ~Y ~ t: ;:8'tl ~z4'. SHr Mdms• 5o r`'aua T. ' ~ au - i Plurnber: Con nection Charps: ` Meter MO.: ~ Siu: I\ocaxit Devosit: R~r No ; Pertnit Fee: ` 1 MrM h e0101h? wilb tw CM7 of LmNs Surchorpe: Ownswiar. Mi sc. ChorO~s: -~~Total: 1i By Dor. Paid: ~ Irop.: Dote of Insp.: r ~ ~ CITY OF EAGAN 3830 Pilot Knob Road SEWER SERVlCE PERMR P. O. Banc 21199 PERMIT NO.: Eagan, MN 55121 DATE: ZO^i^0: No. of Units: Ownsr: /lddrcss: Sits Addmss: Piurnber. 1 MrN le eeylf wIN 1w Ghr oi tpen Conrnction Choegs: , 01.1iN~eN. /lccourn Depait: Pemdt Fee: Sureiwrps: Br Mtsc. Chor+p~; Dote of Insp.: Totol: I^~: DoM Pbid: CITY OF EAGAN ~ • ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N- 114 7 4 PHONE: 454-8100 BUILDING PERMIT Receipt # To be used for SF DWG/GAR Est. value $12 3, 0 0 0 Date JANUARY 2 7 19 8 6 SiteAddress 4863 WINDSOR CT Erect L~ Occupancy R3 Lot 3 Block 2 Sec/Sub. BRITTANN Remodel ? Zoning Rl Parcel No. Repair ? Type of Const. 17 Addition ? No. Stories W Name 'rOLLEFSON BLDRS INC Move ? Length 54 = 12617 FAIRGREEN AVE Demolish ? Depth t~5 o Address Int. Impr. ? Sq. Ft. ciry A• V- Pnone 4 31-110 0 Install ? Z o Name SAME Approvals Fees ¢ Address Assessment Permit 490.50 City Phone Water & Sew. Surcharge 61 . 50 Police Plan Review 245.25 F W Name Fire SAC 5 7 5. 0 0 Address Eng. Water Conn. 5 0 0. 0 0 UZ a W city Pnone Planner Water Meter 63 . 50 Council Road Unit 290.00 I hereby acknowledge that I have read this application and state that the gld . Off. 1/14 / 8 6 Tr. PI. 156.00 information is correct and agree to comply with all applicable State of g Minnesota Statutes and it of Eagan Ordi nc s. APC Parks Signature of Permitte i`~if - Var. Date Copies Total 2. 381 . 7 5 kl~ TOLL FSON BLDRS INC A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable e of Minnesota t City of Eagan Ordinances. Building Official -Al " CITY OF EAGAN N~ 16782 a ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 0- To be used for BASEMENT FINISH Est. Value $1, 500 Date .i i. 1 n , 19 89 Site Address 4863 WINDSOR COURT Lot 3 Block 2 Sec/Sub. BRITTANY 7TH OFFICE USE ONLY Parcel No. ocouPancy - Fees ~ Zoning - W Name JIM B. BROWN I (Actuaq Const _ Bldg. Permit 36.00 ; Address4863 WINDSOR ^,OURT I (Allowable) - ° Surcharge 1.00 City EAGAN Phone 454-9744 I # of Stories ; Length Plan Review o Name SAME I Depth - SAC, City ir u Address S.F. Total LO - SAC, MCWCC ~ City Phone S.F. Footprints On Site Sewage _ Water Conn ~ W Name SAME On Site Well - Water Meter _ ; Address MWCC System ¢Z Acct. Deposit a W City Phone City Water _ PRV Required _ S/W Permit I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge information is correct and agree to comply with all applicable State of Minnesota Statutes and ~y of Ea fln Ord Ces. Treatment PI Signature of Permitee ~ l APPROVALS Road Unit A Building Permit is issued to: JIM & CIAROLE BROWN Planner Park Ded. on the express condition that all work shali be done in accordance with all Council applicable State of Mi =sota ta Wsand City of Eag Ordinances. Bldg. Otf. Copies Building OfficiaI.fX.J ^ ^ Variance - TOTAL 37- 5. This request void / 18 inonths from .-5~ ;s~(~ 4 e o 8-- Req}}}iest Date Fire No. Rough-in Inspertion Required? ~Ready Now ~,Will Notify Inspec- ~h~r When Ready ' ~J' Yes ? No LicAsed Electrical Contractor I hereby request inspection of above ? Owner W z '3 electrical work installed at: Stres4 Address, Box or R ute No. City _ ection o. Township Name or No. Range No. County OccuGant (PRINT) Phone No, _ G«~S°G!U Power Supplier Address Ele- ic21 Contractor (Company Name) Contractor's License No. ~ Mailin Address (Contract r o Owner Making Instaila[ion) ` ~ ~/-S:, Auth r'fie-a i nature (Contractor/ vo,,%r Making Inst I'~, ~on) Pr Number ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 1\1-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 297_2117 ENCLOSED. - jREQUEST FOR ELECTRICAL INSPECTION V.,, Ee-uuuu,-Uw W '~--r " ' See instructions for completing this form on back of yellow copy. "X" Below Work Covered by This Request e Ar1d Rep. Type of Building ApplianceS Wired Equiunient Wired Home Range Temporary Service Duplex Water Heater Liyhtin,y Fixtures Apt. Buildmg Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldy. Air Conditioner Bulk Milk Tanl< Farm Other Speci V Other (Specify) • t er Specify Other Othcr ompute lnspection Fee Below p fee Serv.iceEntranceSize h Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps , j 0 to 30 Am 0 to 30 Am ps Above 200 qi~ips, S"'_!~ 31 to 100 Amps 31 to 100 Arri s Swimming Pool Above 100_Amps Above 100_Amps Transformers Irrigation Boon-is Partial,'Other Fee Signs Speciallnspection '~~l TOTAL FEE Remarks 7~~ e.5711 Rough-in ~~iI, tPe Electrical ~ ~ ~P Ins ector, herebV certify that the above Final ~ Date~~ 'nspection has been made. S~ This request void 18 months from 6 ~0 This request void 8 months from X Q~~ ~ U 0 9-7 240 ti''n VL.'c t F Rough-in Insper t r Requ~red? ~Ready Now Yes ? No nsed Electrical Contractor I hereby request inspection of above - ? Owner electrical work installed at: Street Ad res Box or Route No. Cit ection. o. Township Name or No. Range No. County OcCUn t (PRINT) Phone No. c) Power Supplier Address Elec ical Contractor (Company NaiZe) Contracior's License No. c~77-> Mailing Ai Jress (Contractor or Owner Making Instailati ) '?67_~ y sS~~ ~ p Author~ Signature (ContractOCL9wn er Makg In-st Ilation) Phone Number Z MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 - UNLESS PROPER INSPECTION fEE IS Phone (612) 297-2117 , ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION M. Ea-ooooi-oa ' See instructions for completing this form on back oi yellow copy. 0 9 4 0 "X" Be/ow Work Covered by This Request 1 Now AAd Rep. Type ot Building • Appliances Wired Equipment Wire!i Home Range Temporary Service Duplex Water Heater , Lightiny Fixtures Apt. Building Dryer Electric Heatin Commerciai Bidg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Miik Tank Farm Other Speci y Other ISPCrify) t er Suecify Other Other ompute lnspection Fee Below # 'Feer Service Entrance Size q Fee . Feeders/Subfeeders # Fee Circuits 0 to200Am s 0 to30Am s 0 to 30Am s Above 200 Amps~ 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amp5 Transformers Irrigation Booms -5?-D Partial,'Other Fee , Signs Special Inspection s ~ TOTAL F Rerrarks X) ~ ~ - o • Rough-in Date 1. the Elec ic Inspector, hereby certify that the above Final D~te inspection has been made. This request void 18 months from ~l'~\ ~~/O/8"y L3, Q2 C'arY~ E 9 5948 Request Date Fire No. Rough-in I s ection Re uired. ? Ready Now Will Notity Inspector Yes ? No hen Ready? I? ensed ntractor Aowner hereby request inspection of above electrical work at: Job Address (Street, Box or Route No.) City ' d1L Sectfon No. Township Name or No. Range No. County OccuQant (PRINT) Pho e No. ower Supplier Address Electrical Coniractor (Company Name) Contractor's License No. Mailing Address (Contractor or Owner Making Installation) Aut o'zed Signat re (Contr or/Owner Making Installation) Phone Number o ~ MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. °f~W8;~ REQUEST FOR ELECTRICAL INSPECTION 109 ee-00001-07 10- See instructi~s for completing this form on back of yellow copy. ' IF 95948 - "X" Below Work Covered by This Request NeWAdd Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range , Temporary Service Duplex Water Heater Electric Heating Apt. Buiiding Dryer Other (Specify) Comm./lndustrial Furnace Farm ' Air Conditioner Other (specify) Contrector's Remarks: Compute Inspection Fee Below: me1~st Rn', k # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector5 Use Only: TOTAL Irrigation Booms ~ . ~ Special Inspection Alarm/Communication Other Fee ~ ~ F I, the Electrical Inspector, hereby Rough-in ate certify that the above inspection has Final 7 ! • Dat ~ been made. OFFICE USE ONLY This request void 18 months from RESIDENTIAL " BUILDING PERMIT APPLICATION 1 CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 06 , 651-681-4675 New Construction Reaulrements RemodeUReoair Reauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan (20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks • 1 set of Energy Calculations • Indicate 'rf home served by septic system for addflions • 3 copies of Tree Preservation Plan if lot platted after 7I1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less unfts) ~ DATE ~ ~J~ VALUATION & ~ ( . SITE ADDRESS MULTI-FAMILY BLDG _ Y _ N TYPE OF WORK 6111 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT O(4f rahs_ 6-;F/C. STREET ADDRESS CIN GS STATE 94n ZIPIS TELEPHONE #~~'7r}f ~~a"~ CELL PHONE # FAX # PROPERTY OWNER ~ ~ 8T__d1"_V\ TELEPHONE # COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNFSOTA RUL.ES 7670 CATEGORY 1 MINNFSOTA RUI.E (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • ~y ~r~~ 1~I~o~h~ itted • Energy Envelope Calculations Submitted ~ ~ MAY 3 0 2002 Plumbing Contractor: Phone # - Plumbing system includes: Water Softener Lawn Sprinkler By ~ Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning Fee: $70.00 Heat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is correct, an ree to comply with all applicable State of Minnesota Statutes and City of E~an-Ordinane . Signature of Applic OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Ptan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg O 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. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muiti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous 0 31 New ? 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)' ? 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. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs Air/Gas Tests _ Final _ Framing _ Siding Stucco " Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee ~ •a' Surcharge 3 t ~ Plan Review , MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ya '7`~ ~ 4.. . ; ~i • . 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS HUST BE LICENSED NITH THE CITY OF EAGAN COMMERCIAL SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS & STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY SPECIFICATIONS AND 1~SET OF 1 SET OF ENERGY CALCULATIONS - ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND To Be Used For : Valuation : I z30UO Date : l 44"--- - - Site Address 6 i~~S OFFICE USE ONLY Lot 3 Block oZ Erect ~ Occupancy Remodel Zoning 21 Parcel/Sub Repair Type of Const Q Addition ~ # of Stories Owner /D/~.P-Fsno "Ui25,T Ir~7 Move ~ Length S Demolish Depth 5 Address f~l1G.e{izee2) A?p, Int.Impr. ~ Sq Ft j Install City/Zip Code T Phone //Q ('j APPROVALS FEES Contractor 7 o Ile ~'a ke5 Assessments ~ Permit 1(-1 S'b Water/Sewer Surcharge (o I. S- Address 1-~~~,C7 Police ~ Plan Review 145. 1-5 Fire SAC j 5. City/Zip Code ~L212/e Engr ~ Water Conn /SUO. / Planner~ Water Meter ~ Phone ' ~73/ Council~ Road Unit ~ (J Bldg Off - Treatment P1 Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone # 1 ~ !1 . Sb ~ Z x 2~~' 7~~~c I2 = 1 Z-( 6 Za x 3~ cc, K 44- F-- ~ ~22~°v . - • . - . ~ •a• - z . • ~ !A.. Pq6E 4o2, ~ " 1~~~~~ tDNSl1LT1NC3 EHd1HEfAS ' fi G 1 M E f III ~ ~7 PtANNEflS ond LAHD ii1RVEY0AS . CoMPliNY, INC. -1000 EJlST I461l1 57REE7, BURHr111LLE, YIHHE:OTa 'SI.'.31 P!i 4=2-3000 C4EP7"ZZ.&C tZL e[~ ~sgc.I toT 3, S40GK 21,BRi~r'7'Ny' 7" 0,4 k O TA C O UiV T Y, /~v/l/NE SC7TA 30' FRONT 8f//L p//VCr L. 9i4.3) N e9° 37 3'7"E ~3.i) I • .s) / 32. 00 ' '_3 n A a L-4 Irl , - . . ^ ~ N 3 ' v 3 Iv (96~..t) z~.o N q LOT 3 ~ of 7P"o Fb bED 3'~ •v V~ O~ ~ 1~~5 X~7 ( a Nct~C~ ~ N ~2 / ifLZ3 o,.1 ~y . 93 41 ~ ~ r 8•~ ~ L~ L~1,.z;. o (9t.~.Z . y~ ~ yI M iY E9° 3~03 6 g wi DRA/NQGE ~ UT/L/Tr ~ ' 30' E,45 E/7Eit/ T ' ~I i (~G~.o~ OENOT~S EkIST//VG ELEVAT/ON I L>ENOTES PROPOSE.D ELP.VAT/OiY ./NUICAT/OIVS D/I2EGT/0N OF 5U?F,~CE DF'cf~/N4GE. /YOR Tf~ scAC.E : i"=30' GA RACTF- F~-aOR ELE 1/AT/Oi1l = 9!o L. So T heriby cartify that thia is a t:,se and carnct reprzs:ntition of a traet• of lAfld as shoxn' and desc^ibed hertfln.. Aa prsparsd by me on this 7f" diy ot J"A~./uarty , 19 85. . u Ninn. leg. No. /Go~S • , " CITY OF BUILDIN(3 DEPARTNIENT EXTERIOR ENVII,OPE AVERAaE "U It COIAPUTATION (Ta be submitted with building permit application) One or Two Family Dwelling Owner~P,-~~DV? All Other Site Address • , ~~'~.vt~_„~ . Contractor Date , v Phone LINEAL FEET OF EXF'OSED WALL 6°.~ ~QY~z~YfP~- Yte above grade TOTAL EX°OSED 49ALL AREA SQ. FT. 0:'AQUE 1NI:LL COP'STRUCTI02+: "U" Value x Area Detail IIU" 3 X aQ, FT. U A(,•r49 (U) (A) reierence 'tU" x Sq. FT.44;= 9'4~? (U) (A) from "U" - n~ x SQ. FT.- ~a-7.5~3_ -7.Sl~ (U) (A) attached "Uff x SQ. FT. - (U) (4) sheets "U" x SQ. FT.(U) (A) "U" x SQ. FT.~_ (U)(A) VVINDO'NS: "Ulf Value x Area Make & Type 6yf DUL-A/T" • 4,0) x SQ. FT.~=.- -M(A) " " flUff x SQ. FT. _ (U) (A) n n nUn x SQ. FT. - 0) (A) flUif x SQ. FT. _ 0) (A) DOORS: "Ulf Value x Area Make & Type I/_flUff_ SQ. FT. ~O~ ~ (U) (A) if it n flu If .47 x SQ. FT._~~:. •,!!~O Jc~-Lq-_(U) (A) n liUti x SQ. FT. _ (U) (A) uUII x SQ. FT.= ~(U) (A) TOTAI,S SQ. FT. (-1-4.M(A) A ERA(3E "Ulf TOTAL ( U) ( A) VALUES DIVIDED BY TOTAL ydALL AREA ZZ),44.6:,& AVERAaE "U" .115 or less for 1&2 family dwellinge ROOF/CEILIN(3: TOTAL AREA: _92-30__ - Detail reference flU~~ •Oz,,,~ x SQ. FT._,J~~_= from x SQ. FT. : (U) (A) attached sheets. itUll x SQ. FT.-= (U) (A) Describe openings IOUit x SQ. FT.(U)(A) in roof. flu it x SQ. PT.(U) (A) TOTAL (U) (A) VALUES DIVIDED BY /q.,5is rY4e7 N.f( CUk> TOiAL R00?/CEILIPZG AIIEA ~ oz- AVERAGE "U" .025 for ventilated roofs. ~ . .F , ..I~; ~ ~ I ~ ~ i 9 4 31 -t ~30 4 L D0 - ~66 Z,~~~o•~ ~ II ~ ~ ~ I~M2-2,,~5F ! • 83 x (W -~-sz. ~~1--~5z ) = I87. 58 i . ~ , i . ; 24 xbb X 3 = 30. 0 ~ + 2o X 3~ = 5 O x~. - ) 5. D . . z4x3~, = ~~0 X, 1 o 7K . ~ ~ . , I~~ . . 3° ST[- v~15C~ ` Zo- DD ( . r ~ !o' AMv ~ Cities Di ig ta1 Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. Y • . i I _ / . . ~ { ~YU55 C~ II , . C~.., q(,. Z/g . . . . I ~i/V1 /87. 5~ 42.4. D( ~O ES LoU - i - . . ~,D~D• I ~ ~.31 x 30 - 93b ~ ~ f I ~ ~ . ;'i , ~ . • . . . ~ l I . t I I ' S 1 . . . ~ . I - ~ I I ~ ~ 1 . 1 . I~ . ' . . . . ' ~..'•A'. L Z . . . _ ~ ~j4. PA6E ~02~ RO S E ENG1NEf~1NG CDNSiJLT1HC3 EHdiHEf3lS ptAHHE9S ond LAHD iiIAVEY0A3 COMPRNY, INC. \ ~ 1000 EJlr7 1462A 57RE:T. BUAHr11lLLE. YIHHE!OTa ~Z=37 PH 4=2-3000 ' Z CLZZI~l 'lly ~~4e~ l. ee~"XZ Zjf L OT 3, ,BLOGK 25 SR /TTJaIf/Y -7 T~ ADD17°/G1t/, 0.4 k D T C p T Y~/~/N. NE Sd"r"A ~ t0/'/ o~niG- ~ ~ 89° 37 37"E 9~3• I . N v1 t•Np i ~ 5' o ~a p N • ~r~~ 3~ ° ~ ~ ~ • ~ v ~ Pc cPGc) 2~ x ~ o N o Lo-r , 3 - 93N~ ! Ctd..z~ L3~! ~i z LI ~ in IM 4C% ia:-+1 /321 73.7) n 1'^ /189°3.7'37`F 910616~ DRA/NAGf e UT/L/Tr ~~j ~•45E/r/L`NT ' 3 ~ : G. ? / i ~ oENOTfS EaCIST/NG ELEVAT/ON ~ ~9L5•°~ .C~E~YOTES PR0P05E-PELEVAT1OA1 ~ /NO/CAT10/ti(5 L7/2FCT/0N, OF . iYORT.4/ scAC..E - i"=30' F/.v/SHED GA R AGE: I Aersby eartify that thia is a't: ~se and carnct reprzsentitiort of a tracl. of lan d as s h0wn'and described herzon.• Aa prsparsd by me on th is ?rd diy of .Toa.~u~rty 19 SS . ' • - R 1989 BIIILDIRG PERMIT APPLICATION CITY OF EdGAN SINGLE FAMILY DWELLIAGS Ml7LTIPLE DiIELLINGS CO?MERCIAL 2 3ETS OF PLANS 2 3ETS OF PLANS 2 SETS OF 1RCHI?ECTUAAL. 3 BEGISTERED STTE SIIRVEYS REGISTfiRED SITE 3QAVETS - dr STRDCTQRdL PLANS 1 3ET OF ENERGI CALCS. (CHECH WITH BLDG DIV.) 1 3ET OF SPECIFICATIONS 1 3ET OF EBERGZ CALCS. 1 SET OF MRGZ CAL.CS. MULTIPLE DWELLINGS RENTAL DNITS FOR SALE ONITS • OF OBITS - IIOTEs IDDRESSF.S FOA OORNER LOTS - COPTRACTOR/HOMEOWldER !lQST DESIGNAZ'E i1HICH iDDRESS IS DESIRED. AO CHANGFS WILL BE AI.LOWED ONCE BOILDIHG PERMIT I3 SSSUED.. SEWER & W1TER FERMIT FEES AND lCCOIINT DEPQSIT nES iIILL BE INCLODED iTITB THE BUILDIN(3 PERHIT FEE. PROCFSSING TIME FOR SEWER AND WATER PERMITS IS TilO DAYS ONCE A PEAMIT HAS BEEA COMPLETED INDICATIPG A LICENSED PLUlBER. PENALTY APPLIFS WHENs PERMIT IS NOT PAID FOR IN S9ME MONTH IT IS REQUESTED. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISStJED. To Be Used For: 255M, :F111 1SH Valuation: ISe~ b- Date: 3LA~ !c, Ilt~'` Site Address"I03 U)(Nd'5v12- CoGC~~."~` OFFICE QSE OHI.1 Lot "6-,5 Block ~ Occupaney FEES Zoning Parcel/Sub Actual Const Bldg. Fermit 3~,• 00 Allowable Sureharge T, o D Owner # of stories Plan Review I Length SAC, City Address ~$(p?a w\kn~oov., Depth SAC p IrfWCC S.F. Total Water Conn City/Zip Code 5txraQ MO, 5512 Footprint S.F. Water Meter " Acet. Deposit Phone ~ - On site aewage S/K Permit On site Well S/ii Surcharge Contractor MWCC System Treatment P1. Citq water Road Unit Address PRV required Park Ded. i Booster Pump Copies ,So City/Zip Code sUBTOTkL 1PPROVILS Penalty Phone Planner lOTdI. Council Arch./Engr. Bldg. Off. Yarianee Address City/Zip Code ~I phone U ~ i 2/84 CITY OF EAGAN APPLICATION FOR PERMIT - SEWER'AND/OR WATER CONNECTIODI (PLEASE PRINT) 1) PROPERTY ADDRESS : T_F.C'AT, DESCRIPTION: (Lot/Block/iubdivision or Tax Parcel I.D. N r) ~ iF STRL'CIURE, DAi~,' 0_i ORIGii- BUI=27E- FEFM_.i.T,ISS~jN~;C?: - ~ PREsE='L --^-TrC,/PpoFOS~ ~~SE;: ~1 s~•a~ rAIN ,Ty.y L7 R-2 DUP= {T~,:0 ~~=S; CJ R- 3'I'GWNF30USE ('IT3REE + L1NITS UNITS ) O R-4 APAR'IMIIS'I'/CONIX'~NlINILM ( UNITS) p COM=CIAL/RErAII{/OFFICE p L%MUS'IRIAL ? INSTITUTIONAL/GO7IIZNNIIIVT 2) AppI,ICANT I (PLEASE PRINT) ~ NF1ME: ~ ADDREss: L-- CITY, STATE, ZIP: PHONE: `'70(-C/ 3) PI,UMBER nAME. I PLEASE PRINT) FOR CITY USE ONLY IOX2--~ PLUMBERS LICENSE: ADDRESS: 5~; Active CITY, STATE, ZIP: ' p,5~ ) y-77` M~j ~6 &I Expired I 5T Not of Record PHONE: PLUMBER LICENSE # ~ a nitia 4) OCCup7\.,,IT/a~jjEp I (P EASE PRINi) rAME: Z.ADDRESS : ` 94;111 CITY, STATE, Z IP : A12P)/ -e- PHONE: 6 &73 ~ 5) INDICIITE WHICH PERMIT IS BEING RFQCTESTID: ION TO CITY SEVIER CONNEK.'I'ION TO CITY WATER , C] OTHEt (PIEASE DESCRIBE) 6) INDICATE 0NE : ~ E] PLEA,SE HOL~ APPROVF~ PERNLIT FOR PICK-UP BY ONE OF ABOVE ? PLEASE MAIL APPROVED PEPMIT TO 1, 2, 3, 4 P,BQ(IE I (6ircle one) v I ~ 7) STQIAZURE : • DATE : 2- . ~ . F O R C I T Y U S E 0 N L Y PERMIT " ISSUED FEES : $ SEtr7ER PERMIT (INCLuDEE SUPCHaRGE) $ 116. 57-0 WATER PERMIT (INCLUDE SURCHARGE ) $ l~ 3~v WATER METER/COPPERHORN/OUTSIDE READER $ WATER TRP (INCLUDE CORPORATION STOP) $ SE:IER TAP $ /S - ACCCUNT GEPOS I`' - SEWER $ ACCOUNT DEPOSIT - WATER $ a71? ~~--d WAC $ S 7S - 5-`6 SAC $ TRUNK WATER ASSESSMENT $ TRUVK SEWER ASSESSMENT $ LATERAL BENEfiIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ OTHER v - $ TOTAL 7S AMOUNT PAID/RECEIPT -;233 ~CDUo Q DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIG'ciT OF WDA-Y? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ~ NO ENGINEERING DIVISION. LIST AS A CONDI- TION. ~SUBJECT TO THE FOLLOWING COIVDITIONS: ~ APPROVED BY: TITLE: DATE : ~ wzm wuw ..t m:po .*m ..Em..t wm w~ ~ mmasn wsm" mum s•E mme sun NUa w~ mia s.~ ~ ~MAK s-Pe m PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA138505 Date Issued:08/31/2016 Permit Category:ePermit Site Address: 4863 Windsor Ct Lot:3 Block: 2 Addition: Brittany 7th PID:10-15006-02-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Carol J Seipp Sansome 4863 Windsor Ct Eagan MN 55122 (651) 307-0695 Genz Ryan Plumbing & Heating 2200 West Highway 13 Burnsville MN 55337 (952) 767-1000 Applicant/Permitee: Signature Issued By: Signature