4868 Windsor Ct
. CITY OF EAGAN ~ ~ ~
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121 i
PHON E: 454-8100 ~
BUILDING PERMIT Receipt
To be used for Est. Value $1,000 Date I!r a19
r+%'r+ ~'"'e'~L'[iiJR'~ OFFICE USE ONLY
Site Address '
Lot 10 Block ~ Sec/Sub. BRZTTAN't 77~t On Site Sewage Occupancy
MWCC System Zoning
Parcel No. ~ On Site Well
(Actual) Const
m Name 13PENCER s2mmm City Water (Allowable)
W 4868 < COURT PRV Required # of Stories
; Address
0 City FAGAN PhOne 454-9766 Booster Pump Length
Depth
, o Name CORSI' S.F. Total
o1Address 2135 128TIl ' ji' Footprint S.F.
City `''DSEF401'NT Phone 423-2004 APPROVALS FEES
v Q Engr./Assess. Permit $24•
W W~yName
_ z Addr2SS Planner Surcharge
`W City Phone Council Pfan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee ~ Road Unit
?AL!'K ;rA?;SUt+i :X1StST.
A Building Permit is issued to: ` jreat nt P1
on the express condition that all work shall be done in accordance with all voy!T% ~ .
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Official TOTAL
Permit No. Permit Holder Date Telephons *
Plumbing
H.V.A.C.
Electric
Softener
Inspection Dats Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg. Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
LP
Temp+Finall~
DecDecWell Pr. D
~ CITY OF EAGAN , ,
~ - ^ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 3-~
' PHONE:454-8100 ~
BUILDING PERMIT Receipt #
To be used tor SF UWG/GAR Est. Value $111. 000 Date DECF,MBER 11 19 85
~ SiteAddress 4868 WINDSOR CT Erect ?X occupancy R3
Lot 10 Block 2 Sec/Sub. BFLITTANY 7TH Remodel ? Zoning R1
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
TOLLEFSON BLDRS Move ? Length JQ
W Name
Z Demolish ? Depth
o Addres Int. Impr. ? Sq. Ft
City EAGAN Phone Install ?
_ 1.- Name S~E Approvals Fees
.5 460
, Q~ address Assessment Permit . 50
t City ~._~hone Water & Sew. Surcharge Sa
~ ~ Police Plan Revie2 ~
F W Name , Fire SAC ~~~0 C
Address Eng. Water Conn. • 40
<W City Phone Planner WaterMeter aa
I hereby acknowledge that I have read this application and state that the Council Road Unit '
D O
information is correct and agree to comply with all applicable State of Bldg. Off. Tr. PI.
Minnesota Statutes and City, of Eagan Ordinances. APC Parks
~ Var. Date Copies
Signature of Permittee Total ' . Z 5
''OLLEFSON BCTILbERS
A Building Permit is issued to: on the express condition that
4 all work shall be done 'n accordanc~ with all applicable State of Minnesota Statutes and.of Eagan Ordinances.
' Building Official
;
~
Pwmif No. PomAt No1dM Dm TNophom 1t
PlwnWny Y frC
M.V.A.C. ~ (.1 AI I6 G
Elechk
Impectlon Dab Insp. Commwb
Faonny.I ! Y
Footlngs II
Foundatlon
Framiny a~- 4e<
R00fl"9 ~~S /o GJ e!
Rouyh Plby. - 3 -o~ - 6 !/1NIAL
Rouyh Hty.
liaul.
Finplaco
Final Mty.
FIoN Plbp.
Bldq. FNaI
Cort. Occ.
K - l -tG
i
D*ck Fty. 1'~ I
D*ek Frmy. -2 SJ-AA S / N
DNeribe Loeatlon:
WOq
Pr. Wsp.
- _ _ _ J
,
' • . , r
PERMIT # CITY OF EAGAN FEE
MECHANICAL PERMIT
RECEIPT # 454-8100 S/C
MINIMUM RESIDENTIAL FEE -;10.00 + $.50 TOTAL ' C ' • ~
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50 i
i. Bldg. Type: Res 1-' Comm~ liTSt - y 2. New. - Add Alter • Repair
3. Total Bid Price 4. Job Address ~~~?~r:~:r,~c ~71 .,...i
Lot Block ~ Sec ~fr~~-rci~ /~~r `7~'~~ ".fi? 5. Owner ~c..c•. r_ r_ :.w~,,yi .a-.f;::,,~.t,r-~~, .
6. Contractor s/~~?? "7M1`-~. 7'(, ~~',7,~ ~ c'~. 4~.:~~ ~'T"' ~:,•r -a ~
(Name) (Streeq ~ (City) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's -$24.00. Each additional 50,000 BTU's or fraction -$6.00
RESIDENTIAL COOLING - 01-24,000 BTU's -$12.00. Each additional 6,000 BTU's or fraction -$6.00 '
MODIFICATIONS/ALTERATIONS -$10.00 minimum fee -1
I
~IHEATING VENTILATING HOT WATER STEAM AIR COND.
eIR PIPING PROCESSED PIPING AIR HAND. EQUIP. RrFRIG.
RES. GAS PIPING OUTLETS -$1.50 TANKS: LP. UNDERGROUND OTHER
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $7,000 OF FEE. ,
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
Receipt PLUMBING PERMIT 0.
CITY OF EAGAN
Fee '
Fill in numbered spaces S/C
Type or Print legibty ~
. Tot.
1. Da e2. Installatior~ Cost
3. Job Address Lot Blk. ~ T?VY
,
4. OwneF r. _
5. Contractor Phone
6. Address
7. City - State ~ Zip
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
` 10. Describe
' 11. No, Fixtures No. Fixtures
Water Cioset Cesspool/Drainfield
' Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 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
Fough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$100
CITY OF EAGAN Remarks x'
Addition BRITTANY 7th Lot 10 Blk 2 Parcel 10 15006 100 02
Owner Street 4868 Windsor COUI't State F.agan, MN 95129
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK AOZ 1
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA ~ 1986
STORM SEW TRK 1986 772
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET UGHT i
n n I
WATER CONN, sno-no
13UILDING PER. 11383
sac 525.00
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot KnOb ROad Permit Number: '04`-3
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: k 4~ APPLICANT:
r; ~ a~ tif r
I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A •
V:~'•.tt f 1"d+, (i'd 1't ft7:
I(t
AT~-~~ OF
L___ ~
Permk No. Permit Holde? Date Telephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
Q~
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.Ir
BSMT FINAL
DECK FfG
DECK FINAL
' INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~i'~~~`~ ~ j
Ea an, Minnesota 55122-1897
9 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
! o f5 i 1 ia
„W,r' OAir')it
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D• P • DA
I6~~hfl i~'•!p; f l3`.!~i „ f ftiJ
~ ~
Permit No. Permit Holder Oate Tetephone #
ELECTRIC 00f
PLUMBING (f o2 ~Q -J~ff
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
/
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH ~ ~ • , `
HEATING
GAS SVC
TEST
INSUL
`L(p
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL ` I
OSMT R.I. I
i :7SMT FINAL
L
~ DECK FTG I
{
I DECK FINAI I I
I
I ' I
' I
i
I I' I
' _ !
- - I
~
CITY OF EAGAN WATER SERVICE PERMIT
3830 PRot ftnob Road -7 0
P. O. Box 21199 PERMIT ;NO.:
EagaW, MN 55121 OATE: -
Zoninp: No. of U,nits:
Owner; Tollefson B'Lrlrs.
Addross:
Sift Addrea: 4,058 Winclsor C riCtany 7ti:
Ptumbsr. C;enz-R ar
ANNIM Meter No.: 5~ . t~(!pd
01,
SIZOC O~e 1~~~111 UI1 DE 1r RlCde WO.: ~ r~~de~~ . 1'()' Op~,d
1 qrw to oo~sPl~? wMl~ Nw ~ik~~rchcr~sr
~ Misc. Cl,orgss: 13' . OOpd TP
Ono Totol: 63.00pd meter
gy Dote Paid:
of Insp.: InsP•:
3-/0-
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pi19t Krp6, Road
P. O. Box 21199~ PERMIT NO.: -~~D 5%
Eagan, MN 55121 DATE:
5 _
Zoni~}p: _ i. No. of Units:
owr,er: "'o11efsorr Dlerq,
llddrosa:
$It! /~ddro!t: 4864 ir!j.i'aL:Sf:L" l.i.. LZO F7 VY 1i`fa=1s+ jt'i
Plumber. ' ~ ri[c3:~
Meter No.: Connection Chorys• 500.00pd -
Size: Account Deposit: - a ,
Readsr No.: Permit Fee: =-t) . 0" G-p i)
i ym te aaa* wilh IIw Ciy oi Empa Su?charpe: .2"?vt
OrliMneM. Misc. Choroes: 132.00pd TP
-
Total: 6'. il0-sd me@eL
BY Date Pcld:
Dote of Insp.: Insp.;
CITY OF EAGAN SEWEij SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: j
Za+i^0: . . No. of Units:
Owns?:
Addrcss:
17t. 1,10 V:2 sri_r~ariv 7tr
Site Addross: ' - -
Plumber.
?0{",.^'-±Ti.~,
i.,r.. ro ee..h? w~ w. ab, ef r.,v. c«,n.~ri«, aa~:
OrliMneM. /koOUM Depoiih
' Pe?mk Fee: - . pc
Surcharpe:
BY Misc. Cho?pes:
Date of Insp.: Totol:
Insw: Date Pbid:
~
~
CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N -0 383
. PHONE: 454-8100
BUILDING PERMIT Receipt #
, To be used tor SF DWG/GAR Est. value $111, 000 Date DECEMBER 11 19 85
4868 WINDSOR CT R3
Site Address Erect ?x Occupancy
Lot 10 Block 2 Sec/Sub. BRITTANY 7TH Remodel ? Zoning Rl
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
¢ TOLLEFSON BLDRS Move ? Length 50
Name
Z Demolish ? Depth 1-6
3 Address Int.lmPr? SQFt.
0 City EAGAN phone 431i'-1100 Install ?
o Name SAME Approvals Fees
V~ ,4ddress Assessment Permit 60.50
City Phone Water & Sew. Surcharge 55 . 50
Police Plan Review 230.25
F W Name Fire SAC 5 2 5. 0 0
Address Water Conn. 500.00
U Z Eng.
W 63 . 00
a City Phone Planner Water Meter
Council Road Unit 280 . 00
I hereby acknowledge that I have read this application and state thatthe gld . Off. 12 /7/8 5 Tr. PI. 132.00
information is correct and ree to omply with all applicable State of 9
Minnesota Statutes an ity of Ea n dinances. APC Parks '
Signature of Permitt e ~i Var. Date Copies ~ _ 5
~ Total
A.Buildin Permit is issued to: OLLEFSON BUILDERS
9 on the express condition that
all work shall be dong)in ac'coy'd~a'PrFe,Wl'th all lic tate. Minnesota Stat n Ordinances.
WBuilding Official L~ ~l
CITY OF EAGAN N° 15 3 79
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT , Receipt# "'C"co 00 ~J
To be used for DECK Est. Value $1 , 000 Date JULY 23 ,19 88
Site Address 4868 WINDSOR COURT OFFICE USE ONLY
Lot 10 Block 2 Sec/Sub.BRITTANY 7TH On Site Sewage Occupancy
MWCC System Zoning
ParCel No. On Site Well (Actual) Const
oc Name SPENCER SIMMONS City Water (Allowable)
z Address 4868 WINDSOR %,O,URT PRV Required # of Stories
° City EAGAN Phone I454-9766 eooster Pump Length
1 Depth
°Co Name RALPH HANSON CONST. S.F.Total
.
~ Q Address 2135 128TH ST. N. Footprint S.F.
~ City ROSEMOUNT Phone 423-2009 APPROVALS FEES
~ ~ Engr./Assess. Permit 2~+.00
WW Name
_ z Address Planner Surcharge .50
~ Council Plan Review
Q W City Phone i
~ Bldg. Off. SAC, City
~
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of agan Ordinance Water Meter
Signature of Permittee /i° Road Unit
A Building Permit is issued to: ~LP HANSON CONST. Treatment P1
on the express condition that all work shall be done in accordance with all QgAie s .50
applicable State of Minnesota Statutes and City of Eagan Ordinances. $25.00 '
Building Official TOTAL
t
• CASH RECEIPT ~
~
, CITY OF EAGAN
' P. O. BOX 21-199
EAGAN, MINNE OTA 55121
DAT 19
R C6IV ~
l
AMOUNT $ A2/
& DOLLARS
1oo
? CASH CHECK ~
o - .
71
s~q V,,A
FUND CODE fIIOU
!
~
~o
T h a n k You _V~
_ Y~ i
N_ 58616 I
White-Payers Copy f
Yellow-Posting Copy ~
Pink-File Copy j
75"l/ ~e 5' ~o S' 7S -
0-16 87 _tv
Requ2st Date Fire No. R ugh-In Inspection Re red Inspec[ion Other Than Rough-In
(You u t call inspecto hen ready) Ready Now E] Will Notify Inspector
Yes ? No Date Read
I~licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) ' Ciry
iln'? lni;+dSe :i 'C.- te v'~ f~!g O.I
Section No. Township Name or No. Range No County
'0,0 Z- 0
Occupant ( ~~K) ~ DA~~ Phone No. 6 ~ ~ - PZ ~Z
~
Power Supplier Address
P,~C-C'~_/ ?`'-At I , ' 4 4' r
Electrical C tractor ( ompany Name) Contractor's License No.
Mailing Address (C tractor or Owner Making Installation)/~
~ T ~ 9 " ~ ? "t~'~ /"".4-"
Authonzed Signatu C tractor/Owner Ma ' Installa' n) Frhone N ber
,zo 5-- t~~0
G82 9Uni e s y Ave. Paul, m S~NB 55104 ICITY I III I~II I~ III II ~ II III I) II I I (I~ II I III~ EUNLESS N IC OSED OP I T
EF INSPECTIONFOEE IDS
Phone (612) 642-0800
4'~,';`s!q
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
~//~l Q(y _ 00, See insuuctions for completing this form on back of yellow copy.
~ „X" Below Work Covered by This Requesi
Ne Add Rep. Type of Building Appliances 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) Coniracror's Remarks. P,"A cs se 'c=`f'K
p s
Compute Inspection Fee Below: /aa'-Or" ~ A--e~°O'r~.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ---j X0"fo -100 Amps
Transformers Above 200 ps Above 100-*,--Amps
SignS Inspector's Use Only: -TOTAL
Irrigation Booms ~
SPecial InsPection
Alarm/Communication THIS INSTALLATION ~-BE-ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIWI'S ONTHS: }
I, the Electrical Inspector, hereby Rough-in Date
d'
certify that the above inspection has
Fin Dace
been made.
OFFICE USE ONLY ~ L This request void 18 months from
This request void ~_,tT(,/ C J c G~"
18 months from Co J J~ T
9 7t2 3 8 06- p
Request Date Fire No. Rough-in Inspection e*~ ry
Required? E]Ready Now Will Notify, Inspec-
/ ~'Yes ? N. or When Ready
Licensed Electrical Contractor I hereby request inspection ot above
? Owner electrical work installed at:
Str2et Address, Box or Route No. City
4
,F6 OP Gc~ir~~~o~e c fi ~~4 ti
e#;tion o. Township Name or No. -T-'R~nge No. - County
i
OccuGant (PRINT) j Phone No.
To~~s~~ . ~~.g-1/--/lc~ o
Powe~r Suppl"ier , Address
1-yt T ~
Elec ical Contractor (Company Name) Contractor's Lic nse,llo.
rc
Mailing ddress (Conf~trac r or Owner Making Instailation)
~ . 1_3 S' (,c:;;, J,
z 6gnature.IContractor/Owner Making Insta n) Phone Number .
Authori~~y
~
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WIIL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARO
1821 University Ave., St. Paul, MN 55104 UNI.ESS PROPER INSPECTION FEE IS
Phone (612) 297_2111 . ENCLOSED.
c9 --57=4 ~ REQUEST FOR ELECTRICAL INSPECTION Es-oooo1 .04
' See instructions tor completing this form on back of yellow copy. c,
7 ~ X" Below Work Covered by This Request
Now Add Rep. Type ofBuilding Appliances Wired Equipment Wired
14 Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electric Heatin
,j Commerciai Bidg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other Specify Other (SPer,ify)
ther SUCCify Other Other
ompute lnspection Fee Below
# Fee ServiceEntranceSize k Fee Feeders/Subfeeders # Fee Circuits
0 to200Am s 3' 0 to30Am s 0 to30Am s
= Above 200 Amps~ ~ S 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Booms Partial%'OtherFee
Remarks Signs Speciallnspection $ 9
%OT EE
Rough-in Date I, the ectrical
a~I ' Inspector, reby
certify that the above
Final D; je hC~~ inspection has been
lr Y" made.
r
This request void 18 months from
v
3 ^ '
•~Y
113 E3
I
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COhQiERCIAL 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 :.5f7Q Valuation : ODC) Date: n~C • Z,~~
Site Address OFFICE USE ONLY
Lot C) Block z eVi-TTAN,Y Erect X Occupancy ~•3
Remodel ~ Zoning 12-I
Parcel/Sub Repair ~ Type of Const ~
Addition # of Stories
Owner SF~ Move ~ Length ~
Demolish Depth
Address Int.Impr. ^ Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor _ipLLErt5(-)K1 a)LAssessments Permit 0 ~
Water/Sewer Surcharge 5 s°
Address ~~P-WM17Police ~ Plan Review 23D. zs
Fire SAC ZS.
City/Zip Code :=j/At1j Engr ~ Water Conn •Soo.
PlannerWater Meter (03,
Phone _ _ 14-;-7~~ Counc il~ Road Unit 180,
i-~aN;, Bldg Offlt.,-L-815 Treatment Pl 13Z.
Arch./Engr. APC Parks
Variance Copies .
Address TOTAL
r
City/Zip Code '
Phone #
~
x
~
l 4~ Zo - 2g0 X - 1L-? 24o
5SO ('Go O
2~ x 2~ y ~7-& z03 z
~o~ ~c 4 4 = ( 3 sS~L
,
IIoC~9~
~
~
~ ~
CertiPicate for: - • -Tollefson Buildera - 1655 Norwood Drive Bk: 92/54
. ~ Eagan, Mn. 55123 ~
DELMAR H. SCHWANZ ,
LANDSURVEVORS INC ip
RPQ'SfPrP(j Un4Pr LaWC (il ThP CIAtP Of MInf1P5(NA A
11750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 PHONE 812 423-1769 S
ti
0
SURVE1/0R'S CERTIFICATE ~
. ; roP s~oK
a
I . i
x
~ ti q , foP Z~N ~
23.67 VI)I I~
12.47
Drainage & utility eaaement
~ t D? ~ s6 ~•k
q ^ r a ~ o ~ ~ OP''
. a ; , 14 • ;r , P~- ,
?SCALE: 1 inch a 3U fCCt
E lev ationa ahown are exiating
and bases on assumed datum.
30 +~z-~ / 6 3 ti9
--Propomed garage floor elev. /O¢ D
9' zi-av_3o
x
. I herebv esrtiPy that thia is a true and correct repreaentation of
Lot 10, Block 2, BRITTANY 7TH ADDZTION, according to the recorded
plat thereof, Dakota County, Minneaota.
~ Alao ehowing trie location oP s proposed houae as atalaed thereon.
I
Dated: December 2, 1985
I
J,
•r ' % ~ ` '
-e
MINNESOTA REGISTRATION NO. 8625~
~
. CITY OF BUILDIN(3 DEPARTMENT
EXTERIOR ENVII,OPE AVERA(3E l'U'll C0I4PUTATIO14
~(To be submitted with building permit application)
One or Two Family Dwelling Owner Tb~ gu iLDE2s _
All 'Other i Site Address
•
Contractor j L,1;U1=e0N OUI(,DE~5 Date Phone
LINEAL FEET OF .
EXF'OSED 4IALL Yt. above grade = Z,~S~•~~-f _
TOTAL EXPOSED ALL ARr^..A SQ. FT.
O?AQUE W1:LL COP'STRUOTIOtis IIU" Value x Area
Deta11 nUif a2. FT. / 7-4-10• 82..53(U)(A)
ref'erence "uII ,n9Q~ x Sq. FT._= 1?• Z~, (U) (A)
from .04D x SQ. FT. X)1,10 = 7 5U 4U) (A)
attached SQ. FT.(U) (4)
fluto x S(~. FT. = (U) (A)
sheeta flUit x SQ. FT. - (U) (A)
WINDOWS: "Ull Value x Areal
Make & Type _PJSUL. /'A;M "Uot .41a • x sQ. FT. 65,70 -74 ( u ) ( n)
if VIUll x SQ. FT. _ (U)(A)
x sQ. FT. _ (U) (A)
n n flUel x.SQ. FT. _ (u)(d)
DOORS: "Ull Value x Area
t•Ia'ce & Type S1`G•SNSU1~I Of U~~ x SQ. FT. .tj~0 (U)(A)
u P~IU I "U" .4-7 x SR. FT._4Z• rz~ = l - 7 (u) (A)
x sQ. FT. _ (U) (A)
flUff x SQ. FT. _ (0) (A)
TOTALS Z,359.&4 SQ. FT. 153•3Cj (U) (A)
AVERADE "U "
TOTAL (U) (A) VALUES ~53 3c~
~ _07 .
DI VI DED BY TOTAL HALL AREA' 2~
AVERA(3E "Ut ~or less fpr 1&2 family dwellinga
ROOF/CEILIN(3 i ,
TOTAL AREAs 0101OD Detail reference D7_1 x SQ. FT. (U)(A)
from flUle X SQ. FT. . (U) (A)
attached sheete. IIUII x SQ. FT. a (U)(A)
Describe openinga i ifUll x 3Q. FT. ~ (U)(A)
in roof. I flUff x 3Q. FV.~-= (U)(A)
TOTAL (U) (A) VALUES DIVIDED BY a ~~ALy ~4•~f C,U~i~~
TOTAL ROOF/CEILIV(3 AHEA S~~ + bZ
AVERAaE "Ulf .025 for ventilated roofs.
I
,
- UM~FD WALL
q. 6a x 40+4-0) = 140b. ov
I .
. &7 x(40,2 -k~e~ -V~& -t.2&)
R~M To~sT j _
. g3 X ~5Z -~54 ~S~J ~ 1QJ7• ~g ~ .
~ ?N Do _
ZD X. 34, = 5. OD X~i =!D . O D
20 X 4S, = 6I 7 x o2i = 13 .4o
I
a4x48 zsl. ov .
zo x~O = 8. 3 x
,
' S5.?D-~
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~
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(:::C'TY OF E:Af;AN!
r.:naHIERn S TERM.r.NA!._ N{~-. 52
Dr•ITL n 07/15/97 TIMEn 0y:3033
iDu
NnMEDAMN L tM33TREM
3000001 486s.3 W:C.NDStJR CY 34.75
205 9001 4E:i68 I•Il:NDSCllz: t::"t' 0.50
~
T
1
T'ata:1. Rr-,r_etpt Amountu .3,°;.,'r.?;':;
C'R078630
l.lSl::l; :CDy NANCV
y;c;ti>x~k~6?X?~<:~~ i~Y,C~?X~.,~d?X ,z~1<~i~~XxX~'~>x~F~x~;ci;tyk?X?~<5;c>~>;c~~>#%r,>;~rc>k
PERIVIIT
CIl'Y OF EAGAIV
3830 Pilot Knob Road PERMIT TYPE: g UILpING
Eagan, Minnesota 55122-1897 Permit Number: 030423
(612) 681-4675 Date issued: 07J 15/ g7
SITE ADDRESS: ~
4868 WINDSOR CT
LpT: 10 BLOCK: 2
BRITTANY 7TM
P.I.N.: 10-15006-100-02
DESCRIPTlOIV:
REPLRCE SKYLI7E jRpOF
; ~ ~ a:~~
B~ia,i:slTdPermit T y p e SF (MISC. )
T Y P e R E P A I R
434 AL7. RESTDENTTAL.
~ ~ ~ ~ ~ ~r € , H~ .Y•
~-x~-~~x :a,ta;s.~~ , ,n~.~,~~•r~ss ~
~ ~~s, s•s,' ~ ~;":s w~a'.~•'a,~;,z . ~.:'s'taC~,?,~..:
• s~
el., ~'ll' q.
t-r
REMARKS: '
FEE SUIVIIVIARY:
VALUATTON $1,000
Base Fes $34.75
5urcharge $.50
7ata1 F'ee $35.25
i
.
CONTRACTOR: OWNER: - Applzcant -
OS1"REM DAWN
! 4868 WINDSQR C7"
EAGAN MN 55122
(612)686-8622
, ' ~a,Le a,~n x~x ,~~.,+z,e.~.k,~ .t r-~. .u3a,:x,Rt ~k. *•i ri,~~:.:a:;~
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/
APPLICANTJPERMITEE SYGNATUAE SUED BY: GNATUR
Va S ~
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ~C5 6~115
3830 PILOT KNOB RD - 55122
681-4675
New Construction Reauirements gemodeUReoair Reauirements .
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window sizes; poured fid. design; etc.) ? 2 ske surveys (exterior additions 8 dedcs)
? 1 energy calculations ? 1 energy calculations br heated additions
? 3 copies of tree preservation plan H lot piatted after 7/1/93
required: _ Yes _ No DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: ;Zoo`O~-
STREET ADDRESS:
~
LOT I0 BLOCK ~ SUBD./P.I.D. da&Lj=;j~
PROPERTY Name: C^A7r@`~ L&W, n Phone &6Z Z
OWNER LOST Street Address ~7 ~ g Fl~ ~~6sor Cfi
City: State: ~l.Yl Zip:
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.c%ed plumber (new constn.iction only): . Penalty applies when address change
and lot change arc equested once permit is issued.
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 Appficant: a,4;~`L~(e ~
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
OFFICE USE ONLY
y
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. a 17 Swim Pool
0 03 SF Addition ? 08 8-plex o 13 Garage/Accessory o 20 Public Facility
a 04 SF Porch o 09 12-plex ? 14 Fireplace n 21 Miscellaneous
905 SF Misc. ? 10 _-plex o 15 Deck
WORK TYPE .
0 31 New o 33 Alterations o 36 Move
? 32 Addition A 34 Repair o 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
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit S/VV Surcharge
Treatment PI.
Road Unit
Parlc Ded. Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
, A , PERMIT -
~ CITY OF EAGAN !
3830 Pilot Knob Road , PERMIT TYPE: B U I L q I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 4 31
(612) 681-4675 Date Issued: 0$/ 0 2/ 9 6
SITE ADDRESS:
4868 WINC1SqR CT
1.qT: 10 BLOCK e 2
BRT7TANY 77H
P.I.N.: 10-15006-100-02
DESCRIPTION: ~
Permit T y p e BA5EMENT FINISH
u^~1~dWaark Type ALTERATTON
434 ALT. RESIDENT'IAL
3i;,"Nt~s.
e¢`~ ~,,tl~ '9.a?, 3• : ~'P'v y ~v,m
. ~~;~Ss~~~;a~~Es•,~e;~:~ a~~b,~g~~g.~i~.:€,~%~:'g',~;~
,~~~^,`„4~;n »,~i A za~.=T„'•;}o~o= .dg.~~. .E, ..,~~v~Y
~%"~^.x a:re;£.E,3?ip,~ ^i;'="s s~,•jil3~,~a~`°~;ff;4~E .,s•s,ep, .~"e,b~:~'~^~~~-~'v,a
~:$?f&.a :vlm.^& P,.3
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';i?Pr ' 3 ~F,-''v
y,b•`~a ',iffii:~z;.'z.'~T'~';aP•,~~„>~sx~ii~.x,~
`~,yF•,T`tk`<"A"vfi.a
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r e
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tII; f`~ 'v~ ff,°t ~ f~''~
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V
ZFk k~m' ~ 's•;,
REMARKS:
FEE SUMMARY:
Base Fee ~$50>00
Surcharge .50
Total Fee $50.50
~
CONTRACTOR: Applicant - sT. Lrc.OWNER:
SCHWEICH CONST, DAVID 14498808 0003607 OS7REM TIM
17160 MAMTL70N DR 4868 WINDSqR C7
LAKEVILLE MN 55044 EAGAN MN
(612) 447-8808 (612)686-8622
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APPLICANT/P ITEE SIGNATURE UED BY: IGN TURE
- CITY OF EAGAN ~
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPUCATION (RESIDENTIAL)
6814675
New Construclion Reauirements Remodel/Repair Reauirements
? 3 registered aite aurveys ? 2 copies of pfan
? 2copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calcutations tor heated additions
? 3 copies of tree presenration ptan M bt platted after 7N/93
required: _ Yes _ No
DATE: Z2 /2 ~4~~ ~ CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: ~71' ~
LOT BLOCK SUBD./P.I.D.#: ~,~~~~~?~P~ "i~l~
r
PROPERTY Name: Phone 0
OWNER
Street Address• L'''~'5)R
City: State: Zip•
CONTRACTOR Company:
Street Address: / 5 / 4y )'kicense
City: /_.o State: /V/- Zip•
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 information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Si9nature of Applicant: ~
OFFICE USE ONLY ~~:E9 ~
Certificates of Survey Received Yes No ~j E, ;99~
~
Tree Pr
eservation Plan Received Yes No a o m o m m ,
OFFICE USE ONLY
x.
~ A ~
BUILDING PERMIT TYPE 0AX
a 01 Foundation o 06 Duplex o 11 Apt./Lodging 0Y 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o. 21 Miscellaneous
a 05 SF Misc. a 10 = plex o 15 Deck
WORK TYPE
0 31 "New 8"33 Alterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) V hi Basement sq. ft. MC/WS System ~
(Allowable) VAl 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. y 3
Depth Footprint sq. ft. SAC Code o i
Census Bfdg i
Census Unit 0
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/V1l Surcharge
Treatment PI.
Road Unit .
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
1
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
.
~ fSINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,-
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: C~' Date:
/ /O~o -
Site Address OFFICE USE ONLY
Lot Block -2- On site sewage Occupancy
p MWCC system Zoning
Pareel/Sub .Lf, ~'PLAti~ 7~`^ ADb`i On site well Actual Const
City water Allowable
Owner PRV required # of stories
,
Booster Pump Length
Address 4'6~'e" Depth
S.F. Total
City/Zip Code zs6„& Footprint S.F.
Phone / ~ APPROVALS FEES
Contractor za Zz' 0 k Engr/Assess Permit .°O
Planner Sureharge , yJ
Address Council Plan Review
,r Bldg. Off. SAC, City
City/Zip Code 04L~D~D~n~ S~~Br~ Variance SAC, MWCC
Water Conn
Phone v B g / water Meter
Road Unit
Areh./Engr. Treatment P1
Parks
Address . Copies .30
1 TOTAL a.5. o0
City/Zip Code
Phone #
~lbD-) NOI'WOOd DY'iVQ
~ Ea 6~:~'i, 1Kn. 55123 Bk: 92/54
~ DELMAR H. ~
' SCHWANZ
r
LANO SUqyEYORS INC
p'q~stPrM Unafr LawF of Tnp SfAtr M Minnesota
14750 SOUTH ROBERT TqA1L ROSEMOIJNT, MINNESOTA 55068 PHONE 612 423-1769
4
(
$upVEYOR'S CERTIFICATE ~
/A1 9 N
X
/ B9-3 7 - 3~ .:E-
~
,(o~ tY . _ - !
3° ° 3~•~s
sy:
11.47 f~oP~S~ D DEc.k ~ xr !
a N ' v..
l?~'
~ ~ I h C~ _1Z Drainage & utility
eaeement
q o ~C' o?•~ sc ~`+•k
!.J
~ 0 r. ~ ' o . o.
.4/
3 Q ~ ~ c~ a+ 69 S C A L E: 1 i n c h ~ 30 feet
Elevationa shown are existin
3p ° 3 y4 and baaed on assumed datum, g
~ 4„
Za.oo ProPcsed
A=z~ Gp_ garage floor elev. /D¢O ,
~o
X
~dp•~~ -~OP
I hersby eertit'y that this is a true and correct repreaentation of
7ot 10, Block 2, BRITTpNy 17TH /?DD=,j,10N, according to the recorded
plat thereof, Dalcota Courity, Minnesota. .
Alao ehoNing the locstion of a proposed house aa ataloed thereon.
Dated : Decsmber 2, 1985
I
J'/'%
MINNESOTA REGISTRATION NO. 8625~
~
L gL ~ CITY USE ONLY RECEIPT
~
SUBD. ~7 7- DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAM
3830 PILOT KNOB RD
EAGAN, MN 551,22
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos whon permits are required for each unit
FIXTURES EACH TOTAL
Shower 3.00 x 3
Water Cioset 3.00 x 2)
tl TtJU V.vV
BO i\ -
Lavatory 3.00 x
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 _
Gas Piping Outlet " minimum -1 3.00 ;c =
Rough Openings 1.50 :c =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ' to existing 20.00 =QO' 60
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL .
SITE ADDRESS: Hg~~~ ~ ~ ~'Zsolp
OWNER NAME:
INSTALLER NAME:SLI`a- ~ L~-A
STREET ADDRESS:1q o~-O ` v \W ~V\1 -CITY: ~m- L..~'9...~E STATE: dU ZIP: zl 7 a
PHONE Va/,~t-) -q46 °,S7 79
SIGN7 OF ~ERIVIITTEE
OFFiCE USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buifdings.
? multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK: -
tS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE 7HE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULl' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF:LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of i1 fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
Si i E i;GDnESS:
TENANT NAME: _ STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
, APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
. i .
~o . . 2/84
CITY OF EAGAN .
. .
APPLICATION FOR PERMIT
- SEWER AND/OR WATER CONNECTION
' (PIEASE PRINT) .
1) PROPER'I'Y ADDRESS : rp g (
~
r Fr3Ar• DESCRIPTION:
(Lot/Block/S vision or Tax Parcel.I.D. i )
f i`F EtIE31_.:G STRLC`I7iRE, DAi OF 0RIGl,\LlAL BL;IL:L:G P~_•ti'~' ISSL7?~N;CZ: , _ .
Ye...r )
PRESL i' y^`1I~;r/PpOPOS=-) US= = O R-1 SL-\JGIY=~ r^P'NtT; ,y
? R-2 DUt'~~ (Z:CO L'~iITS; .
r 10 R- 3TU,,ii~-IOUSE ( TH2E" + UIIITS UNITS )
? R-4 APARUlENT/CCUDC'Ati1~IIL'~I ( UNITS)
. ? COMr'fiERCrAL/RETAII,/OFFICE
p I-ML'STRTAL
? INSTIT'UTIONAL/GOVERNMENT
2) APPLIGANT (PLEASE PRINT)
NArE:
ADDRESS:
CI'1'Y, STATE, ZIP;
PHOiNE:
~
3) PLUmBER NAME. tW_111,14)N p&H FOR CITY. USE ONLY
: ;T TRA'• PLUMBE
ADDRESS LICE E:
Acti e
- CITY, STATE, ZIP; 'l Ex ired
~ t of Record
PHONE: ~ PLUMBER LICENSE #
a nitia
t}) OCCUpmr/dr.%7NER NlI'IE: (PLEASE PRINT)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5). INDIG'1TE WHICH PERMI IS BEING REQUESTID:
• NNECPION 'Ib CITY SEWER
CONNFJCTION TO CITY WATER
E] 0`I'EE2 (PLEASE DESCRIBE )
6) I''i1DICATE ONE:
~ PLEASE FIOLD AF'PRCNED PER,'4IT FOR PICIK-UP BY ONE OF ABOVE
PI.EASE P-V~IL P.PPROVm PER`•lIT TO 1, 2 3, 4 ABCn1E
' (Circ~~one)
7) S IQ:hM-RE : DA'I'E : / .5
~
. . 7~ . , „ „ . . . se ~or as sc.,,sa~
. - ar w
, .
F O R C I T Y U S E O N L Y _
PERMIT y I9SUED
F
- FEES : $ SEWER PER.1_TT (INCLUDE SUP.CHARGE )
$ WATER PERMIT (INCLUDE SURCHARGE)
$ WATER METER/COPPERHORN/OUTSIDE READER
S WATER TAP (INCLUDE CORPORATION STOP)
$ SE:dER TAP
$ J ~ u v 'ACCCUVT GEPOS I'^ - SE;,?ER
$ / j d U ACCOUNT DEPOS IT -[aATER
$ WAC
$ SAC ~
$ TRUNK WATER ASSESSMENT
$ TRUNK SETAER ASSESSMEyT
$ LATERAL BENEFIT/TRUNK SEjqER
$ LATERAL BENEFIT/TRUNK WA ER $ OTHER
. a
$ TOTAL
` $ S ~ P,M0UNT PAID/RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
C] YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C~ NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CQNDITIONS:
APPROVED BY:_
TITLE:
DATE :
DC40 s% jft W-.pg
L
~ (0
o; 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan qb ,
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements Remodel/Repair Requirements 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 lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N,
2 copies ot plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Caiculations Addition - indicate if on-site septic system On-site Septic System _ Y_ N
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detaii Options selection sheet (buildings with 3 or less units)
Date 9? Li_ Construction Cost ~ 0 ~ ~ ~ S• C~ C~
Site Address ~Iwg oqW&W1t'V1,a)~C (,.µJlf+ Unit/Ste #
Description of Work eAr es" H es'ni-lelLp T1(xi 01\XA pv YcSll~
Multi-Family Bldg _ YY, N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner M Qv- lL cY1 Telephone #((DS)
Contractor ' JC= l_0^,St_r~j ,CI'1 SeY 1J~.C A Z+LC-
Address ,~~~mnae Cth-,--c /1vx- S City
State m IY1I1-e_Sd4CC. Zip O Telephone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate~orv 1 _ Minnesota Rules 7672
Energy Code Category 0 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 # ( )
Sewer/Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and won ut a
permit; that the work will be in acco rdance with the approved plan in the case of wo D and
approval of plans.
A
pplicant's Printed Name pplicant's Signature
B
OFFICE USE ONLY
Sub Types
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 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 ? 44 Siding
? 32 Addition 0 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 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) _ FinaUC.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
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee - C) ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total ~ - o C)
RESIDENT/OWNER
Name: 11' rl< 1 & 0 r") Phone: (,fl- 2 3 - I I% I
Address / City / Zip: 4- 1.,,O'IvIctso CA- ...4,... ei n VV Ni S ( 1....7-..
) ,
Applicant is: Owner X' Contractor
TYPE OF WORK
Description of work: 1
Construction Cos le2 - , ,A Multi-Family Building: (Yes _/ No X )
CONTRACTOR
rr.,
Name: TL. 1)...4..c. k f uo or Co License #: git5 7
Address: 6.,ctoo 151 s V.., City: A licr 1 tati
State: ill 10 Zip: 5 5--/2 7 Phone: T5a - '3 - f3 - e lq 7 D-
i .
Contact: ToLri ScAl‘ +..xj-e { Email: :ickA sP . AA'
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:
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-pubile if you provide specific reasons that would pennit the City to
conclude that they are trade secrets.
1
City of Eatart
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
x Tfck v't
S\ti.e
Applicant's Printed Name
APR 1 2 2010
Coves faiso
Use BLUE or BLACK Ink
il Permit It: 1 4 ;1
Permit Fee: C9 L K/ 2
Date Received:
Staff:
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.booherstateonecaltorg
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 perrnit, 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.
Page 1 of 2
2010 RESIDENTIAL BUILDING PERMIT APPLICATION (Lad g
Date: f/ i ( 2-Ob Site Address: +8‘g w i C4 rvt 8-,,s-1
Tenant: Suite*:
i
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
_ Accessory Building
WORK TYPES
New
XAddition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
X Deck
Lower Level
_
Interior Improvement
_ Move Building
Fire Repair
Repair
v5
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
X Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
_ Roof: _Ice & Water _Final
Framing
_ Fireplace: _Rough In _Air Test Final
Insulation
Meter Size:
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S &W Permit & Surcharge
Treatment Plant
Copies
TOTAL
DO NOT WRITE BELOW THIS LINE
_ Porch (3- Season)
_ Porch (4- Season)
_ Porch (Screen /Gazebo/Pergola)
Pool
— Siding
Reroof
Windows
Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
_ Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
_ Demolish Interior
_ Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
X Final / No G.O. Required
HVAC
Other:
Pool: _ Footiings _Air /Gas Tests _Final
Siding: _ Stucco Lath Stone Lath Brick
Windows
Retaining Wall: Footings _ Backfi l Final
Radon Control
Erosion Control
Building inspector
$x/' Z : L /Z0 X /s 6( 0 0
Page 2 of 2
Certificate for:
- Tollefson Builders
1655 Norwood Drive
- Eagan, Mn. 55123
AND SURVEYORS INC
Reantema umter Lava of The State ot Minnesota
14750 SOUTH ROBERT TRAIL NOSEMOUNT. MINNESOTA 55068 PHONE S12 4231789
/
( 121.rouw
V00:1/
DELMAR H. SCHWANZ
SURVEYOR'S CERTIFICATE
recl ,7 - 3 7 S
I
% rpe pc.ow
1
it i .V_ q
2.41 "\I _ — 19'•
I '41 i
/247 ---
1 ‘) 7
i
I leo /All
t 1/41
* t
%
i
/ 4,
.4 Drainage & utility
easement
......----
. A
j 10" 14 ir
i 1 i 1 • .4- ' -----
P,
11%
, 1 14
ot n
......10
A
I hereby certify that this is a true and correct representation of
Lot 10, Block 2, BRITTANY rTH ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as stal�d thereon.
•
Dated: December 2, 1985
1 ,3
/
49" SCALE: 1 inch =,* 30 feet
Elevations shown are existing
and based on assumed datum.
Proposed garage floor elev. /040
. • '
Bk: 92/54
4
MINNESOTA REGISTRATION NO. 862
•
City or Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
1.-W1. -VMwq, vov
l ! 7 , CC
�7(77
Permit IV (�
Permit Fee: 60,0()
Date Received:
Staff:
12011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: at -1 (-+ Oi 1 Site Address: L O g (>3 4\8S O C 4 . Units:
RESIDENT /
OWNER
Name:'Max ritASO (
Address / City / Zip:
Applicant is:
Owner x Contractor
Phone:
TYPE OF WORK
CONTRACTOR
Description of work: «, a wird OL - t ' c c.'e. , { ,c.)( t r 0.
Casevrtcrt - rs O ) . jSet Rit Cke1
Construction Cost: Multi -Family Building: (Yes / No )
Company:
Address:
State:
Renewal By Andersen
1920 County Road "C" West
Roseville, MN 55113
License #BC130983
651-264-4777
_ Contact:
City:
License #: Lead Certificate #: NAT— - a -1
If the project is exempt from lead certification, please explain, why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
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 permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. lwww.gooherstaleonecall.orqj
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.
.i
x �i01/4t0. YrSotr-
Applicants Printed Name
a • d
CIAA0Uale/Y\JDOi\-r)
Ap Icants Signature
Page 1 of 3
0619i7L91S9 33 I A213S 1 I W213d 11 I S PI LC : {, T 1 102 b2 400
10-24-'11 13:34 FROM -ANDERSEN CORP
651-264-4079 T-008 P0001/0081 F-859
17g&e. 1}),(1(1 -LW- lwitArk_
re neV\Tal /0/7(-(7
NEW OPENINGS OR ALTERING OPENING WIDTH CRITERIA;
SPAN OF NEW HEADER
9 3 Y4# TRU98ES OR HAND FRAMES 11:40— Mt
TYPE of MATERIAL FOR NEW ITEADER 2 X I2-
NUMBER OF SUPPORT STUDS AT EACH END OP HEADER ' , I
NUMBER OF KI NO STUDS AT EACH END OF HEADER
E•d
Mm or support stud studs
-king skid/studs
LOCATION OF HEADER (Ls. ebbs end wNI, or nIthmOkt►414
HEADER 8UPPORiS W) ATt (Li.1 roof • t Noor) 1 !' 't1R
PAN OF EXISTING STRUCTURE AFFECTING HEAD
EXISTING CONSTRUCTION DETAILS (Ia. 2:o, 2G+)
i
0619bL9 T S9 30I,1213S 1 I W213d 0 '8 S 0 LE b T V102 OZ b2 400
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #
Permit Fee: . 00
Date Received: (ZI ct 1
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: / -9-/(
Site Address:
Tenant: 14/1/1–
Suite #:
RESIDENT / OWNER
Name: 7444 J-- $1•4-S 0 i Phone: 4 S 1 -- o1 Sri -1lP I
Address / City / Zip: '/ k (o Ur ,'Nd S vi-- er -
CONTRACTOR
Name: /1 /67"A-- (-) 0-7 License #:
Address: /0 ?Z- -4. etc, r A- City: 5) p 4
State: /PAL_ Zip: 5</v 3 Phone: 651- 6 94-12- -? 2
Contact: Email:
TYPE OF WORK
New /7 ReplacementRepair Rebuild Modify Space Work in R.O.W.
Description of work: 7L' L_ %Le vK u A..,4..
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation
( RPZ / PVB)
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES.
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New (810.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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. w'wi.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/V'ra//- L
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For;Qce Use 2
Permit #: 6231
Permit Fee: 5 5 • 00
Date Received: 1941
1 4,
Staff: 5-P2
2011 MECHANICAL PERMIT APPLICATION
Date: / z " (7 ' I I Site Address:
Tenant: /I/l(4 e/ Mri- 50/J
Suite #:
RESIDENT / OWNER
Name: /11/A-�/6- MA- S 4" /--) Phone: G C / - 02 Y.3 - i/ • /
Address / City / Zip: t ' 6 k 6,/',`f_,et (,r £ - eco 4, "ilk/ ,
CONTRACTOR
Name: /4t ay Pi 4"-^ ,--j D- 14 17 License #:
Address: /0 3 ' l //- Ct`` _ PAY' /� City: Si- �` (
State: in t Zip: 5.'S- / t2 S Phone: G< l` X 9 9- 12- ? 2_
Contact: • Email:
TYPE OF WORK
New X) Replacement Y Additional Alteration Demolition
Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
PERMIT TYPE
RESIDENTIAL
Furnace
COMMERCIAL
New Construction Interior Improvement
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
}- Other 9fi S �i ��
" When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
7l
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by S.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
_ $ Permit Fee
- If the Permit Fee is less than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work wit 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 tAi-) /40A -
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Under Ground
Reviewed By: Date:
Rough In _Air Test _Gas Service Test _In -floor Heat _Final
Exterior HVAC Screening Inspection
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA133343
Date Issued:10/07/2015
Permit Category:ePermit
Site Address: 4868 Windsor Ct
Lot:10 Block: 2 Addition: Brittany 7th
PID:10-15006-02-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Sarah J Sackett - Mason
4868 Windsor Ct
Eagan MN 55122
(651) 688-0909
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161700
Date Issued:06/09/2020
Permit Category:ePermit
Site Address: 4868 Windsor Ct
Lot:10 Block: 2 Addition: Brittany 7th
PID:10-15006-02-100
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic.
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Charles Caturia
4868 Windsor Ct
Eagan MN 55122
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179688
Date Issued:10/18/2022
Permit Category:ePermit
Site Address: 4868 Windsor Ct
Lot:10 Block: 2 Addition: Brittany 7th
PID:10-15006-02-100
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:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Charles Caturia
4868 Windsor Ct
Eagan MN 55122
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature