4874 Windsor Ct
CITY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '
~ PHONE: 454-8100
BUILDING PERMIT Receipr #
Te N wud fa _ /G ' R Est. Value $ 73 , G00 Date
SiteAddren 4874 WxNl.lI; C i' Erect El Occupancy
Lot ~ Block Sec/Sub. Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Additfon ? No. Stories
m-• ' E,?~'~-~, u~'° rs i iy~., Move ? Length a s-
aVi'~
~ Name Demolish ?
W Depth
; Address Int Impc ?
Sq. Ft.
i> City Phone 4 5'.'' - ~ ~ ~ Install O
Name Approvols Feas
8~ Addresa Assessment Permit
~ City Phone Water 8 Sew. Surcharge
t Police Plan Review '
oe
~uW Name Firo SAC
GO Address Eny. Water Conn.
O:W City Phone Plonner WaterMeter
Council Road Unit u•J.`..
( hereby acknowledye that 1 hove reod this applicotion and state that Bldg. Off. 8 1'= 3%6~ Tr. PI. `
the intormotion Is correct and ogree to comply with oll opplicoble APC
Stote of Minnesoto Stotutes and City of Eogan Ordinonces. Parks
Var. Date Copies
Sipnature of Pertnittee
r~~ Total
'~j x.7:; :IN..
F~ A Bullding Pertnit Is issued fo: on the exprcu cor+dition 1ha+
all work shall be done in accordonce with,oll appiicable State of Minnesota, Statutes and City of Eopon Ordinonces.
Buildlrlp Offitiol
Pwmk No. Pormk HoWer Dab ToIophone it
Plumbino
H.,,A.C. o ~ e g~ ~a3~~i
electric
Softerwr
InWeetion Dste insp. Oth*r
Footings 1
Footinps II
Foundatlon 6 i,J
Framing B
Rooflng
Rouyh Plby. o /
Rouyh Hty. ~ y ~,w ~•~s; u ~
Insul.
Finplace t~cA~ `
Final Htg. / 3y!!"
Final Plbp. "l. lDewibe Final
cKVOcc. Wabr
Loeation:
Wall
8ewsr
Pr. Disp.
Recaipt MECHANICAL PERMIT Permit No. " f •
CITY OF EAGAN .
Fae
Fil1 in numbered spaca S/C '
Type or Print legiblY Tot
1. Date 2. Installation Cost '
. . . . J. ,
3. Job Address Lot 't 81k. _ Tract
~
4. Owner 5. Contractor Phone
6. Address R • '
7. City State Zip
8. Building Type: Residential Commerciat 0--Artstitutional ?
9. Work Description: New Q Add 0 Alter O Repair ?
10. Descxibe Fuel Type
11. No. Eauinmenc BTU - M. Ea. No. Equiament CFM
Forced Air " Air Handling:
Mfg.
Boilers Mech. Exhaust
Mfg.
Unit Heater
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby certify that the ebove information is true and correct, and I agree to
comply with all ordinances~and codes governing this type of work.
Signed: for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,6100
CITY OF EAGAN Remarks ~
Addition $RITTANY 7th l.ot 9 slk 2 Parcel 10 15006 090 02
Owner Street 4874 Windsor Court State Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 60.37 A015423 --8
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA j
STORM SEW TRK 1986 772
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 500.00 'f if
SUILDING PER. 10961 it
SAC
PARK
INSPECTION RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: '~ti ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: 9 B 1 0 1 ~ APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
.~•~i t; 1 , r it
INSPECTION .A •
~ :•t"t1'.t I tit; _ , ; ii+1l
~
Pertnk No. Psrmk Holdsr Date Telsphone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsctbn Dats Insp. CommarKs
Footings I
Foundation
Framing ~ •
PM"
Rwh 's-
Rough Htg. cc tt
Isul. u «
Fireplece
Final Htg.
Orsat Test
Flnal Plbg. ~~c! Ptbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan d Gf~! ~r ` O S
Bldg. Final
Dedc Ftg.
Deck Final
Well
Pr. Disp.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road i Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675 ~
SITE ADDRESS: APPLICANT:
! I I i 1'1!~ , i
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION • .A
t Id„!
I
'
I ~ l,l i
tl~
~ J
Permit No. Parmk Holder Date Telephone N
~ g/Vy ~
PLUMBING
HVAC
ELECTRIC / /8 9S ~ ~~O
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
a°°n"9 9s
Rough Plbg.
Rough Htg.
Isul. ~
Fireplace gi- ~
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inspectw - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Final
Deck Ftg. 2
Deck Final
Well I
I
Pr. Disp.
1
~
i
CITY OF EAGAN - SEWER SERVICE PERMIT
3830 Pilot Knob Road pERMIT NO.:
P. O. Box 2 's 199 DATE: '•.+.i-- ~ 7-" ~
Eagan, MN 55121r.`i
'I Zoninp: ' ~ - No. of Units: -
` ITC).J1E"i Pt IYS i ~
Ownsr.
AWress: + t
• Site /lddress• 4874 :iinctr3or C t.~
~Plumber. , R lj4£:0 c ~ « . ~
~ 2 , . 00_x:-i
1 pme M eeeiVwN6 1M Ci1p oi hNs Connsction CFwrOe: ~
hi wN
Ordiu~was. A?caou+t N P~t: . t~
Permit Su?dhor0s:
BY Misc. ChorOer.
Doce of Inap.: Totol:
potr Poid:
' Irop.:
II
CITY OF EAGAN WATER SERVICE, _PERMIT
{ 3830 Pilo~tnob Resd ';'?t)' ~ P. Q. Box 21198 PERMIT NO.:
r;- 15- 7
~ Eagan, MN 55121 ~ °°EYATE` ' - - - ~J'
~ Zoninp: _ w tro.-ef tjnits:
B'
Owrwr.
rn
/1ddlesS: bJl t1 = ~ ' t
Site /lddrcss:
Plumber. enz- v
Meftr No.: 35 C/' ~l 88 8' ~ Connection Chorpe: v"
' . . • ~i
Size: g-fa " Accourn DePosit' . p
Reodsr No.• d°~ ~/--T~y~L---- Permit Fee: , LL
h aasOlp a Surchorys: . c J.'h ."T
MrMw !M Ciey eF E~ p
~ Miac. CFaroes: tneter i
~ Total: 7 y
By Dote Paid:
i
e of Insp.: ~ Insp.: {
- i
~ CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMIT
P. O. Box 2 '199 ' PERMIT NO.:
` EagSn, MN 55121
Zontny: DATE: - . .
pN,nsr. tP,S.,'x'i :?mi 5. No. of UMts:
Addrosa:
Sift /lddross: ~^11t1t.!31U1.^ _ . . r>.. L?tI' i --~~Fl'? . L:
Plumber. ~zzz--..yy±~
Meftr No.: ~
Slu: ~nectian Chorpe:
Reader No.: Acwunt Deposit: 7
qrw /o Permit Fea: . + ~
~ ~ Wf ~ NN Ciry~ ~ ~p Su?chorps: • ~
Misc. Gwryes:
; BY Totol: ;;.3 .71 ~.y
Dote Poid:
; Dote of Insp.:
Irqp.:
~
~ CITY OF E,~GAN N° 10 8 61
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE:454-8100 Receipt ~3t (
#
To be used for SF DWG/GAR Est. Volue $ 7 3,0 0 0 pO1e AUGUST 26 85
SiteAddress 4874 WINDSOR CT Erect K] Occupancy R
Lot 9 Block 2 Sec/Sub. BRITTANY 7TH Remodel 13 Zoning Rl
Parcel No. Repair ? Type of Const. v
Addition ? No. Stories
TOLLEFSON BLDRS INC Move ? Length 3$
Z Name Demolish ? Depth 4 6
~ Address 1655 NORWOOD DR Int.lmpr. ? Sq. Ft.
City EAGAN Phone 454-6873 Install ?
Zo Name $AME ADp?OVOls Fees
o~ Address Assessment Permit $ 352.00
u
~ City Phone Woter 8 Sew. Surcharge 36.50
~ Police Plan Review 17 6_ 00
FW Name Fire SAC 525 . 00
Address Eng. Water Conn. _~.00
~ W City Phone Plcnner Water Meter 63.00
Council Road Unit 280 _ 00
I hereby ocknowfedge that I have read this opplication ond state that gldg. Off. $/23/8'rJ Tr. PI. 132 . 00
the informotion is correct o ogree to tomply with oll opplicable APC
Stote of Minnesoto $totut o d City of o9on Ordi c'es. Parks
~~n Var. Date Copies
Sipnoture of Permittee Total $ 2, 0 6 4. 5 0
h Building Permit is issued to: ` LLEFSON B RS INC on the express conditlon that
all work shall be done in occordance with I opplicoble Sto e of Minne to S otutes ond City of Eoflon Ordinances.
Buildinq Official
• ; } CASH RECEIPT •
• CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINN DTA 55121
D A T E 19 RECEIVED ^
FROM
v ~
v
AMOUNT
DOLLARS
1 oo
F~CASH []CHECK
FOR
FUND CODE AtA0UNT
U
l
J, ~OorJ
Thank You
r
Y
N_ 56412 ~ •
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
%/r~~ y~ i a~~
o1 ~4 - 0 2 5
Request Date Fire No. Roug -In Insp ctiqn Renuired Inspection Other Than Rough-In
- (You mu t canspector,: 'hen ady) ] Ready Now ~ Will Notify Inspector
7- Yes ~ No Date Ready
I~ licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) I City
'A/ 8 2 l /l ~'~:S'D11 C.'-OU'S'1 / " N
Section No. Township Name or No. ~ Range No. County
a/7 Ille, %
Occupant(PRINT) Phone No.
/7 hll
Power Supplier I Address . .l
i W
I
Electrical Contractor (Company Name) I Contrac ense No.
%?YQ ZR ,f,_' .7. ? e P
Mailing Address (Contractor or Owner Making Installation)
Authoriz~ ign ture (Cont t wner Ma ' tallation) • Phone Number
G~ 1 U Mv wa y Ade.S oP m SMN8551041CITY I
B
~ ~II I IIII I( I I I 11I I I I 1II II I IIIII ENIC OSED I OP ER NSPECTIONF~EE p
Phone (672) 642-OS00 i T
0-/
yiG G y,~ REQUEST FOR ELECTRICAL INSPECTION Es-ooooi~-ois
f 1 (7 r ~J 10- See instructions tor completing this (orm on back of yellow copy.
"X" Below Work Covered bY This Re9'uest .
Ne Add Rep. Type of Building Appliances Wil$d Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building I Dryer Load Management
Comm./Industrial , Furnace Other (Specify)
Farm I Air Conditioner
Other (specify) ~ Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps . 0 to 100 Amps
Transformers Above 200 Amps l Above-,,100 Amps
Sigt1S Inspector's Use Only: U(~ TOT
Irrigation Booms . L USpeciallnspection Alarm/Communication . ~ THIS INSTALLATION MAY BE ED DISCONNEC
Other Fee COMPLETED WITHIN.1B ONTH$., I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has s
Final / Date
been made.
OFFICE USE ONLY
This request void 18 months trom
This reques[ void
18 months from ~ j / J / _ z 5
5 07587 8 L0z6,~ ZNr, -/9 5o
R9s2ctrical T No. Rouph-iniVsUertion
yired? ~Ready Now ~Will Res ? No ~r Contractor I hereby request inspection of above
? Owner electrical work installed at:
Street d r Box or Route No. City
03`'
ection o. Township Name or No. Range No. County
OccuGa"(PRINT) ~ Ph
P;opl i Address
Ele trical Contractor (Company Name)
Cor tract r's License No.
Zi~-~'=
Maili g Address (Contray~t r or Owner Making Instailau
Auth ' ed Signature (Contrac OwnerMaking Ins allation) Ph e Number
AAINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STqTE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297_2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~-w EB-00001-04
See instructions for completing this form on back of yellow copy.
X" Below Work Covered by This Request
Add P-es;. ' Type of Building ApptiancE(s Wired~ EquiUnien[ Wired
Home Fange Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Buiiding Dryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm Other SPeci y Oiher (SUCrify)
ther Specify Other Othr;r
ompute lnspection Fee Below
q Fee Service Entrance Size h Fee Feeders/Subfeeders tt Fre Circuits
- 0 to 200 Am ps 30 to 30 Am s 0 to 30 Am ps
Above 200 At»lDy, 5°= 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100-Amps Above 100_Amps
Transformers Irrigation Boon-is %0 Partial,'Other FeeN
Signs Special Inspection $ TOTAL ~E,,-;
Remarks
I
Rough-in , Date I, the Elical
~ r /,7,(~ Inspector, hereby
certify that the above
Final ~ D i~~ 'inspection has been
made.
This request void 18 months from
~~5355/_g &
Reque?~t ate Fire No h-in inspection
"-ie uired? ~I Ready Now ? Will Notify Inspector
G Yes No When Ready?
I licensed contractor 0 owner hereby request inspection of above electrical work at:
JoD Atldress (Street. Box or Route No.) Ciry
~E6G 19_AV
Section Noi Township Name or No. Range No. County
' LI/ 1
Occupant(PRINT) Phone No.
RANEL u A vIAIA
Power Supplier Address
~'A2m1n1GToN
Electncal Comractor (Company Name) ~ Contractor's License No.
D L E 12 A X E ELEG .
Mailing Address (Contractor or Owner, Making Installation)
128 o Fc.o ?2i 019 L NE A. ,
Authorized Si ature ComractorlOwner Making Installation) Phone umber
3
MINNESOTA E BOARD OF ELECTflICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Midway Bldg. - Room 5-173 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION
J011 7 y'-
? See instructions tor compleUng this form on back ot yellow copy. es-ooooi -oa
"X" Below Workyovered bY This Request :2 '1
J~5) 3 5 5
ew Add' Rep. Type of Building - AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial i Furnace
Farm Air Conditioner
Other (specity) Contractor's Remarks:
Compute Inspection Fee Below: , Or P/< A. G,
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers ' Above 200 Amps ,f - Above 100 Amps
SignS Inspector's Use Only: TOTAL ~O
' Irrigation Booms ~J - CQ I,S
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED-DIS ECTED IF NOT
Other Fee COMPLETED WITHIN 181
ONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has Finai Date
been made.
OFFICE USE ONLY
This request void 18 months irom
I~ 512 0 . ~r
Request Date Fire No. Rough-in ection
Req ired ? Ready Now
s IWill Notify Inspector
Ye G No When Ready?
~Q`6ensed contractor D owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
~ ~7T ~/ia(iSOi~ CO°Lc?~ ~'V
Section No. Township Name or No. Range No. County ~
QccupaM (PRINT) 1 Phone No.
10,fA? G,4.'W4 ,r-O c,kar~,.vc~ 7- 9~03
Power Supplier ~ 7ress
p0404- E'/e G111. ~
Electric3l Comractor (Company Name) I Con's License No.
tractor
e E/ec-~c ~
Mailing Address (oniractor or Owner Making Instqllation) ~
ar7X?re~? l XW S~/ 7~
Author¢ed Signaturl',r toriOwner Makin atio Ph ne Num er
~ 4~e - Oo Zy
MINNESOTA STATE ARD OF ELECTRICITY THIS INSPECTION REQUEST WILI NOT
Griggs-Midway BI Room 5-173 , BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ' ENCLOSED.
REQUEST FOR ELFCTRICAL INSPECTION ea-ooooi-o
K45120 ? See insiructrons ler completing this form on back of yellow copy
"X" Below Work Covered by This Request
B Add #ep. Type of Building AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ry Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
~ Farm Air Conditioner
Other (specify) Contractor's Remarks: / ~Oa~r ~ L~~~,~1 !h
~ .(I
Compute Inspection Fee Below:
# 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
Sigf1S Inspector's Use Only: TOTAL ~
Irrigation Booms ~ •
Special Inspection
Alarm/Communication THIS INSTALLATION MAY ORD DI6CONNECTED IF NOT
Other Fee COMPLETED WITHIN 1 NTH.
I, the Electrical Inspector, hereby Rough-in Date,
certify that the above inspection has Final ace / Gy
been made.
OFfICE USE ONLY
This request void 18 months trom
k~ y PERMIT
~ CITY OF EAGAN PERMIT TYPE: B U T L D Z N G
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 0 2 4 8 8 5
(612) 681-4675 Date Issued: 11 I 2 9 I 9 4
SITE ADDRESS:
4874 WIND50R CT 2~/ 3?y,
LOTe 9 BLOCK: 2 J-t
~f
P. I. N.: 10-15006-090-02 BRITTANY 77H
DESCRIPTION:
(DECK INCLUDED)
Bw'a,lding~-.Permit Type 5F ADDTTTON
BI uilding Wo.rk Type NEW
; ~Constructian ~T,ype V-N
~
~ l
r ~
_
C3
L
REMARKS:
SEPARATE PERMIT5 ARE REQUIRED FpR ANY PLUMBING OR ELEC7F2ICAL WORK
FEE SUMMARY:
VALUATION $31,000
Base Fee $291.00
Plan F2evS.ew $189.15
Surcharge $15.50
Total Fee $495.65
CONTRACTOR: - R p pli c a n t - S T. Lz c. OWNER:
POWERS CONST CO INC 16410111 0001939 RUKAVINA DAN
2473 W 7TH S7 4874 WTND50R GT
5T PAUL MN 55116 EAGAN MN
(612) 641-0111 (612)687-9103
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with al.l applicable State nf Mne
Statutes an City of E gan Qrdinaness.
G~
APPLICANT/PERMITEE SIGNATURE I UED B: IGN TURE
INSPECTION RECORD CITY OF EAGAIV PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 0 2 4 8 8 5
Eagan, Minnesota 55123 Date Issued: 11/29/ g 4
(612) 681-4675
SITE ADDRESS: L 0 T e 9 aLa c K e 2 APPLICANT:
4874 WINDSQR CT POWERS CQNST CO INC
BRITTANY TTH (612) 641-0111
PERMIT SUBTYPE: i TYPE OF WORK:
SF ADDI7TOhl NEW
pESCRIPTION (DECK TNCLUDED)
INSPECTION .A . .A
FOQ1'INGS FRAMING
IN5ULATIQN FIREf'LACE
FINAL
REMAFiKS: SEPfiRATE PERMIT5 flRE,REQUIRED FQR ANY PLUNIBING OR ELECTRICAL WORK
~
~ _ - - , ~
~ CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
14tiA
r
c~ f' L
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered iA "s~` ''op of energy
calcs. 19,4
COMMERCIAL 2 sets of architectural & stru ural plans, 1 set of
specifications, 1 copy of energ -
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Oate Valuation of work
Site Address: yZ 7y
STREET SUITE #
Tenant Name: (commercial only) v~., a
LOT ! BLOCK ~ SUBD.13^ 1 TTaN y h P• I• D. #
Descri tion of work: 4tv(wc?zoh
The appl i cant i s: ? Owner Contractor ? Other (Describe)
Name 7e ti Phone 6fs'-?- 71a3
Property LAST FIRST
Owner Address ~u P
STREET STE #
City State Zip
Company t~ wP~`S ~n sr- ~o Phone 6`!/--Gi c~
Contractor Address #
aY~3 ~ 7 t~ Sr -3IJLicense #Pg 3 5 Exp.3
City -,5r--~ State `J'lz, Zip
Architect/ Company Phone
Engineer Name Registration #
Address "
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with 11 applicab State of Minnesota Statutes and City of
Eagan Ordinances. Signature of Applicant: h
OFFICE USE ONLY
BUILDING PERMIT TYPE '
. ~
O 01 Foundation O 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg-.-- _ O 07 4-Plex D 12 Multi. Misc. ? 17 Swim Pool
',X03 SF Addition 1 ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
~O -04--SF-Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
~ 05 SF Misc. D 10 Multi. Add'1. ~15 Deck O 20 Public Facility
WORK TYPE ? 21 Miscellaneous
1~ ~C-K---
c~f--31 New O 33 Alterations ? 35 Tenant Finish O 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) 49` -411 Basement sq. ft. MWCC System
(Allowable) ~ lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code y~y
Depth On-site sewage SAC Code ~
Census Bldg
APPROVALS Census Unit
Planning Building Assessments
Engineering Variance
REQUIRED 1NSPECTIONS
D.Site -ff-F-eoting -~Framing i;]-_Insulation
? Wallboard .3-f-'rnal ? Draintile ~ Fireplace
Permit Fee veiuation: o00
Surcharge
Plan Review
Lise
MWCCnSAC ~f-~- City SAC
Water Conn.
Water Meter xZy ; y~y
Acct. Deposit
S/W Permi t S-yv ,~.s-~ s Zcf~ /(00
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded. o
Copies _ ~0 3~
Other
Total:
SAC % SAC Units
. Or. .1164 5
~L..';-au•i1d4r• Inc. 188-12
. JACKSON - SURVEYORS
BtOleT[R[O UND[R LAW{ OI eTAT[ 0/ MINN[iOTA
Scale: 1"=30' ~
O,DBAOCe1 Iron 3818 EAST 66th STREET, MINNEAPOLIS, MN 6§411 727-3484
- -Uraiaags & Utility Eaaement
000.0, Exi•ting Elov. au~~ppr•~ 1Ccttificatc ~
_-.---y ~Drainag•
i ~
Proposed Garage Flaor Elev.
• . ~ ,
- o~
,
\ 0. 2v
y
y
~0 6
P ~
d ~ .
os~~
-~1~-` - - - o _ . ~ .
- ~ - . ~
. ,
( H[RtIBY C[11TIFY TNAT TH[ ABOV[ 18 A TRUt AND CORIttGT r1-AT O/ A fURV[Y OI
Loc 9,Block Z,ariRtsny 1ch. Add.
Dakota Cpoaty,Ninnesota.
20th. Ausu@t 1985
A• •URV[Y[O BY M[ THI• -DAY OI -A.D.
Bia!sc . -
F. G. JAGKSON. MINN[iOTA tOlfTitAT10N. No. 3600
~ n
c~) ~h
- :!IVNESOTA5"'ATE =YE3GY C0D° CALCULATIOYS
. 3;S_-J 0N G:iaP'Z'R D CF T?iE
=`i0 ti. E:1„RGY CODE - 1",TT_EJ _ i IOD1
Acoozion Etfective 1/1/34
Owner a L/ rn Q Phone ZSl7-cl/03 r, :TO
S1 t-2 Addi^°55 ys-7 y ~V//),(7SdI lOG/rT
Phone
Contractor owP"s 9917 -5 790- ail/7as,
BuiTding Class'lTication: Type AT (Single Family & Ouplex) Type A2 (Residential)
(3 stories or ess
(Other) (Over 3 sk'ories)
GcNER.4L INFORMA i IOi1
i. BuiTdina Ferimeter ft.
2. Wail height (qround to eave) Fr ft.
2
3. 1. x 2. (above) gross wall are3. 5-,3 S- ft.
4. Building dimensions (L) 3e, x(W) _5--/0 2t.2 roof 3 flloor are3
5. Square `oot area of rim joist - Floor joist size (2 x ? ) Z
? x Perimeter = Rim joist area `t
7 2
6. Coors - Area V)-
' Thickness Iin. U Tactor
Type o` Construction Gvoe,cP Perimeter
t"anufacturer "Ai r Infi 1 tration Rates-Res. Ooors :
i. Tot31 coor's perimeter / Sr ft CFi~1/sq. ft. of door area/Table Nn. 5-1"
S. l-Jindows: Manufacturer r 3.105 State approved ~yP1
U factor , "Air Infiltration Rate: CrM/ft. of operable sash crack/Table Plo. 5-3"
iYPE SIZE A2EA (Ft.2) Nl!MBER OF TOTAL FEET 2
(Match U Value) EACH UNITS
~asc'rn r 2=gaf2F , ZL/ 20 S F
2
9. -,o:al .`i.2 Window F
10. Fi r1p1 ac: ar2a : Width x ^e'cht = :c = " ~ •
ii. Ex3csed `ounda=ien. HeiCht x °er?rre:°r ' x = F=.
~i^
= i.:v.~ n. 0F . r S rQni1 T5 REQJ;R:1 FOR ALL `l rnp~ ~C i }~C~C1_i:+~ 7•~/` ~1i"dJ BLITL:: ^T:.~..~~ *~,t~
~:i ~,S~~il,;QN, r yAi ~Gr~ ~1~re- : 3=
i~!Ol'E5 t~1H:=c OTHcR iH~~J T1~E ~t:'1:M1;. C,~E ;,L! G~J;~iC" iS U~='J.
. :':0-_: ;;ommpiete oos. I, 3 and fir;t ~
, Y
. \
12. =rtrnir.a 3T'°d = TJ~ o* ar*ss ~,va;1 are~. . -
~
srsss wa11 area .6 3 (1
~
'44nc0N 3rea .1 ~ `f ii •.,~rcc~s = ;z~~ :c r. _ 3~
iim :oist are3 r J r;T ,;ois*. = O x
?
,Ceor area U ---:ocr area =
=
Firepiace are= U rir_plac_ r a=
ErFosed founCation A '~.2 U Tounda:icn = U x.A
fr~.~n~ng area A U tl"cR111Q area ~ 'J
Net wa i i area A U wa 11 U x
(136) iO7f,L . . . . . . . . . . U x a = Y.), 3Fs
iS. Gress wa11 area x 0.11 (A-1 single Tami1y & duplex = allowabie U x h/Code
-
(13. above)
x 0.23 (A-Z other res' de.^. ti a1)
x .23 (Other buildines)
~ x .23 (Over 3 stcries)
5i'JH Mus t be 1 arger than
5734 XLl Code_ "F. 133 dDCV?
~
IE . Ce'iing 'r_ming area (ar) e;uals I C" of ceilina area .
c 5 ~lb T~ ~
i=,;. Gross ceiling area =(L) x(^) -
t~ 2
1~3 Joist ar--a (~f) = 1004 cailirtc Z1'c3
~
1=C. Ve*_ cziling area (:+C) (i-=A - 153) U c_i 1 i ng xA c_ X 7 L-
Tramirtg x A~= x •oZ.- _ 6£f
1:0. IM „L U x A
16, Cei;;;,c area (izSr'q) x0.11-75 (A-i sincle fanfly 3du?1ex - c-.de ailowable '1 xA
x ~.u~3 (~-2 ot:^er r~sicential;
x MI6 (other;
3~Ju Hust be larcer than ;a=ove)
C/ 10 X~~
~se L A vC l;:es c.,. .1G 1 ned ,•r7 l:.i$ I
~ . . .
.r_. . ~ . . . . _ '
.
. . . _
.
. :
.
. . , . .~f
'~~..t.' ,
. ~ .~v.;'.f
6,. ~ ~ : •:.,'.l' . . . ~ _ .I~Yr.'.::.~ . . . .
. . . : ;..ie,.~.. ~ . . . . . . :~r,:fi,~ R~:~, _ ~ _
y - ~ PERMIT ~
CITY OF EAGAN -,-L-
3830 Pilot Knob Road PERMIT TYPE: B lJ :C L D:C iV G
Eagan, Minnesota 55123 Permit Number: 020298
(612) 681-4675 Date Issued: 02/ 0q j y;;
SITE ADDRESS:
4874 wxNDsnR cr
LOTo 9 BLCICK: 2
827:7`TANY iTH
Pa:1:,N.a 10-15006--090-02 DESCRIPTION:
Permit 1'Ype 6A5EMENT' FIN:CSN
;Bui;1 dinq ~4j~a r k 1` ypG NEW
i
r t
~_,~J
~ ~ L,,•! ~ _
REMARKS:
REcEx~~' 14
FEE SUMMARY
Base Fee $35e 00
y u r c h a r 9e ~.~..._....._$....,.5 0
l'C)tr3l, i 2e $ :J~i
CONTRACTOR: Ap p t i can t- sTai_ x cOWNER:
SCHWETCH COiVST, CIAVID 14478808 0003607 DAV G[] SCFiWEICI-i CONa7
17160 HflMILTON i7R 19160 NAMTLI"C7iV DR
LAKE11ILLk_ MN 55044 LRI<FV7LLE MiV 55044
(612) 447--8308 (612)477--8808
I herekay ackrtawledge thrat I have read tha,s applicatior1 and that t1ie
i nf orn~~~~~~i-i is ro r rert and ag ree, tr~ ~omp:l.y wi th a:11 appl.icab.I.o 5ta`~e of tYirt~ ~tatuteq 1r°ad City of Eagan Ordinarices'il ~
APPLICANT/PERMITEE SIGNATURE ISSU D BY: IG ATURE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: F U.T. LOI N G
3830 Pilot Knob Road Permit Number: 0 2029 8
Eagan, Minnesota 55123 Date Issued: 02J04J 9 3
(612) 681-4675
SITE ADDRESS: ~PPLICANT:
LoT: 9 81..OCK -
4874 WINUSOR CT SCMWE7CH GONa7, CIRVID
BRIT7RN`( 7l'H (612} 447-8808
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT F:CNISM hlEW
INSPECTION • .ATE INSPTR.
FRamTN~ ~INraL
REMRRKS e ftEL"EIP"r R
F-
~ -
PV(EACTIVATE CITY OF EAGAN $ g~
PERMIT 1993 BUILDING PERMIT APPLICATION
;L0 t94 681-4675 F EB o j RECo
cn_dik -
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ,S,
Site Address: 47 ' 1~ bO %,1',D 502 ET-
STREET SUITE 0
Tenant Name: (commercial only)
LOT ~ BLOCK ~ SUBD P . I . D . o
Descri tion of work: G ,`~'A'
The appl i cant i s: O Owner ,WContractor ? Other (Describe)
Name 'OAW UC-k)A vl/`914 Phone 6d~'7- 7) 03
Property LAST FIRST
Owner Address -7 y L,) jWD sc)f C-1""
STREET STE 0
City S t a t e Zip
Company Ldd<,0 .SCb~~~ ~G 77 Phone `)V-2"
Contractor Address MAy''11(, %byJ 94 License # 0 0034'0 7 Exp. N G;?
City LA l'~'State lV,-,' Zip ,5-7`6 'f `7
Architect/ Company Phone
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY r
.
BUILDING PERMIT TYPE
? 01 Foundat i on ? 06 Dupl ex ? 11 Apt./Lodgi ng 4~1 Beh
? 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. O 17 Swim Pool
? 03 SF Addition 0 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
O 04 SF Porch O 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
p 31 New 0 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition O 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS P71N15M 12B,~-R?`aF'F'lct~, ~ e~05e"T OTI r.uAuCdu."t~ LCLJE~
0 Site D Footing Framing 0 Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permi t Fee 35, vetuat;«n: S
Surcharge ~0
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit .
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
. .
/
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Ta Be Used For: _SFD Valuation: -73,f00• ~ Date: P~)E3, , IG~
Site Address: ~~itj/x',~2 ~ OFFICE USE ONLY
4L
Lot: _~L Block Z Sect/Sub E?2j-1-TTIAMY1ffrect x Occupancy IZ-3
Remodel ~ Zoning ~-1
Parcel # Repair ~ Type of Const
Addition 4d of Stories
Owner 'TpLac~~ ~~i L-c,.Move ~ Length 38
Demolish Depth 4~0
Address IL,~?~DaWMQ DK, Int. Impr Sq Ft
Install
City/Zip Code ~ ~ ~ S IZ7
Phone APPROVALS FEES
Contractor Assessments Permit
Water/Sewer ~ Surcharge 3cA.~°
Address Police Plan Review "O
Fire SAC 525.
City/Zip Code Engr Water Conn 5po,°-°
Planner~ Water Meter (03
Phone Council Raad Unit ZSo.°=
Bldg Off •Is•DS Treatment Pl 132,6~
Arch./Engr. APC Parks
Variance Copies
Address TOTAL ~ q• S 6
City/Zip Code
Phone #
74~c 3~-'- ~!c~ x 54- = 440~4 ~ .
{ .
? K 4t , ~o ` •
2n ~c ~ = >c~o
(P a0b 5
L! X_ ,
~gC~lO
`12~%-~
t ,
Tpllofron Buildor• Iac. ~ Or.11645
188-12
JACKSON - SURVEYORS
11[OIST[R[D UND[R LAW OF STATt OI MINNpOTA
Saale: l"_30' I
•:aBDOtfo Iroa 3818 EAST 66th STREET, MINNEAPOLIS, MN 60411 727-3484
- -Uraiaage 6 Utility Easement
000.0, Lxiatipg Elov. ¢uriicpor'sc ICcrtiticatc
° Drainago
i
Propoa~d Garage Ploor Elev.
. ` ,
0
w Z~
0 2v
~ ~ i• ~J "
I
~ k^ \~4
N d
~ -rl'-_-
o _
~ • ` -
~ 1 H[11[GY C[RTIIY TMAT TM[ ABOVt 18 A TpUt AND CORIItCT rLAT Or A fURV[Y 0/
~
Loc 9,Biock 1AriRtooy 70. Add.
Uakot• Cpppty,Minnesots. r
. r
'
A• fURV[Y[D ¦Y M[ THI• 20th. DAY OI Ausust A p 1985
r \ -i'~ ' ~ v .
SION[D -
F. C. JACKSON. MINN[iOTA' tO1CTRATION, No. 3600
(
3 _
CITY OF BUILDIN(3 DEPARTIvIENT
w . ' EXTERIOR ENVELOPE AVERAaE "U ll COMPUTATION
(To be submitted with building permit application)
One or Two Family Dwelling Owner
All Other Site Address
Contractor /OLZ-E~aoA1 1014-10EAS Date Phone
LINEAL FEET OF c~
EXF'OSED VdALL f7f/E"ET fts above $rade = ~~~~7•OD
TOTAL EXG°OSED 4VALL AREA SQ. FT.
0?AC'~UE 1NALL COP:STRU"TI01T : "U" Va1ue x Area
De tail ~Rl4Nf~ flU 11 .04-3 x SQ. FT. h493 40• ~4•LI ( U)( A)
~tic-• „U" •098 x Sq. FT. 10 SL- /O•L4(U)(A)
re~ erence ,~U~~ , 040 x SQ. FT. 1~= 57.11 (U) (A)
from IiUI' x SQ. FT. -
attached - (U) (A)
sheets "Ull x SQ. FT. - (U) (A)
ifUll x SQ. FT. - (U) (A)
WIPdDO'NS: "Ull Value x Area
r2ake & Type L. "-I flUff .61 x SQ. FT. 65.(o =0,45-(U) (A)
" " liUll x SQ. FT. _ (U)(A)
It nUff x SQ. FT. _ (U) (A)
flUof x SQ. FT. - M(A)
DOORS : "U" Value x Area
04 G'ie & Tyoe _51L• INSVG • IIUII • lQ- x SQ. FT. 4 •00 = 6•8~0 (U) (A)
'r " PATio "UI' 47 x SR. FT. Z.up = /(U) (A)
n it flUff x SQ. FT. _ (t1) (a)
IIUII x SQ. FT. _ ( U) ( A)
TOTALS 1484•00 SQ. VT. IRO-Cn9 (U) (A)
AVERAaE "U"
TOTAL (U) (A) VALUES rcr0, (Oct
•o9(c
DI VI DED BY ToTAL tidALL APEA 1781: oo
AVERAaE "U" <9or less for 1&2 family dwe linga
ROOF/CEILINa:
TOTAL AREA: IZOZ
Detail reference x SQ. FT. /ZOL = zs.Z (U)(A)
from x SQ. FT. . (U) (A)
attached sheets. IIUII x SQ. FT. 21 (U)(A)
Describe openings flUff x SQ. FT. _ (U)(A)
in roof. flUff x SQ. FT. =~-(U)(A)
TOTAL (U) (A) VALUES DIVIDED BY Zs Z4 ~~&V ~?~L= ~•~f ~'Z ~,V~>
3
TOi'AL ROOc/CE '(3 AREA IZOZ•OD •OLl
AVERAGE "Ult .025 for ventilated roofs. ~
.
. . , , • ~
- ?r wo~ Sn,~T,,
14.50 X(40+ 18 t Z4 tz4) ~ I~37, o0
1•50x ( lv-t-ZZ+ l~) = 399.00
4.oox iz ~ . 9Soo . _ . . .
l, q 8~. o0
Cou~,
• ~7~C got got~St3s) = log. sz ~ - , . -
. ~ ~ ~
. 83 X ~got4ot-38t38~ ~ lZ~.gB ~
~
C .
oo
Za X 48 !3. X~~ S3. ~o
Zo x
z4x ~lo 12.vo X S
Z4X48 !(v.oo x 3 ~ gg. oo ~ ~ ~ ` ~ ~ .
3Q 67z.
?,,,~::sz•
Z~ S~rL. sem ~ ZI•vo ~ _ . ? ~
Pa-rio - 4Z.oo
.
x ¢D
Gi CcAv. ~o~.SL _ , 9;x /Z Q~ . .
„ R,ry! 1Z9,~g . ~ 15~c SS
~ Z Z
.oo ~
1/
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements Remodel/Reaair Reauirements
? 3 registered sffe surveys showing sq. ff. of lot, sq. ff. of house 2 copies of plan
and oll roofed areas (207o maximum lot coveraae allowed) 1 set of energy calculations for heated addNions
> 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.) 1 site survey for exterior additions 8 decks
: 1 set of energy calculations
: 3 copfes of tree preservation plan if lot platted affer 7/1/93
DATE: 'Z~~ - ey' I CONSTRUCTION COST: e~d
DESCRIPTION OF WORK: _~C~MDUP_ d- ~~Q7~l~ G( ~(bl'ST cr' `7 SKv /Li~/`` "Ik~
~,~c~ STREET ADDRESS: `~~7q IN1'n -<O cn~ 'E~A G
LOT: 'i BLOCK: ~ SUBD./P.I.D. k
Name: 7~ ~ehGL ~l~O i /T e Phone 7~`7
PROPERTY Last First
OWNER StreetAddress: ~g Al I/v E, nAo`( c/-~
City _Fr. Q a,'1'\ State: ~A-) Zip:
Company:R?, LGPhone#: Gd~2 '7/7-~3Z
(area code)
CONTRACTOR )
Street Address: 25 ~Iwq )0 fl)e-- License #&f (25 Sxp. / od
City lklzn eaOD f i. 5 State: /~'A? Zip: S~~3Z
/
ARCHITECT/
ENGINEER Company: Name:
`
Telephone area code ( )
Street Address: Registration
CitY State: Zip:
Sewer & water licensed plumber (reauired for new construction onlv):
Penalty cpplies when address change and lot change (s requested once permit is Issued.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ~ Z6
Signature of Applicant:
OFFICE USE ONLY
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 ? 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 ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments 0 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr 0 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
D 33 Alteration O 37 Demolish Bldg.` ? 41 Wood Stove ? 45 Fire Repair
El 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 Bidgs
# 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
t::GTY Clf- fi:11(:,f1N
C':A::;l•i:I:EFiN :1S 'T'F.:FiM:CNFII.. NOw 71.#:3
BnTEm 07i16i99 T:r.MEu 0;39; t3
zD;,
NAME:, T.M. icEtlRNE:Y C:ONS'Thl.1C1':f.ClN
3c 1.(J 900:1 4874 IAI:CNDu(]h C'1" :L£3:1. „i:'S
205 90(]1 4874 MTND',:ipC, (:'T 5»Cl0
7o'ha:l. RHcta:i.pt famC.ruY1t:; :L~'.rta„r.:'.Ci
GR:I.13495
USEC'; l:J;is 7AN
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
. CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675 ~
New Construction Reauirements Remodel eoair eau re ents
? 3 registered sffe surveys showing sq. ff. of lot, sq. ft. of house 2 copies of plan
and cll roofed areas (20% maximum lot coveraae allowed) 1 set of energy calculattons for heated additions
? 2 copies of pians (show beam 3 window sizes; poured fnd. des(gn; etc.) 1 sffe survey for exterior addfffons d. decks
? 1 set of energy calculatfons
? 3 copies o( tree preservation plan H lot platted affer 7/1 /93
DATE: J~p - I -19 CONSTRUCTION COST: ~/a. 5ov"°~
DESCRIPTION OF WORK: GI92E App1-11000 ~ ?'t~tv~ ~oo~
STREETADDRESS: `fS-?N l.vlivD5o+2 cout4iT
LOT: 9 BLOCK: SUBD./P.I.D. Q?Ltt{'14~...,, Po";aftil
piD tk .oas soo Z009002. `
Name: PEiVbkoD Vy'. ?.ll,C Phone#: 49sl-Co81 -I85y
PROPERTY Last First
OWNER
Street Address: `-181 q WlviDSD 2COU4T
City EA-t" A-.O State: M L) . Zip:
Pol-'&-vL (wz) 53y- Z~'~~
Company: T. h^ . ICE'~rZw~1 ~ s+. ~n,~- Phone (o r Z ycl 000 y
(area code)
CONTRACTOR
Street Address: (o Zef Co +J 2o`t ST. NC License # 3830 EXp, 3/31/9g
City PnLLDi2. kIrtGE State: AA tJ Zip:
ARCHITECT/
ENGINEER Company:___ ~ Z ~ Name:
Tolophnro eree c•,dp
Street Address: ' Registration
City - State: Zip:
Sewer 8 water Iicensed plumber (reauired for new construction onlv): N/'4
Penalty applies when address change and lot change is requested once permff is issued.
I hereby acknowledge that 1 have read this applicatton, state that the tnformation is correct, and agree to comply with all applicabl
Staie of Minnesota Statutes and City of Eagan Ordinances.
. Signature of Applicant: AA-
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
i
OFFICE USE ONLY ' .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex O 11 10-plex 0 16 Fireplace O 21 Porch (3-sea.)
? 02 SF Dwelling 0 07 5-plex ? 12 12-plex 0, 17 Garage ? 22 Porch/Addn. ;4sea.
? 03 1 of _ plex 0 08 6-plex 0 13 16-plex ? 18 Deck 0 23 Porch (screened)
O 04 2-plex 0 09 7-plex ? 14 Apartments ? 19 Lower Level 0 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool 0 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
~ 32 Addition ? 36 Move Bldg. ? 40 Gas Insert 0 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove O 45 Fire Repair
G-04 Rzpair Ci 38 Demoiisn (inierior) 11 42 Fceroofi
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) '5 - a Basement sq. ft. Census Code J
(Allowable) < - r-J Main level sq. ft. SAC Code _o)
UBC Occupancy R-13 -U l sq. ft. No. of Units I
Zoning R~ sq. ft. No. of Bldgs ~
# of Stories ~ sq. ft. MC/ES System
Length ~(,I sq. ft. City Water Width Iv Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
,
Planning Building Engineering Variance
Permit Fee Valuation: $ qq' b0~~
Surcharge
Plan RQView I~tUD RM• ~C S4
License
MC/ES SAC ~'~'~D• 31Zx- 4~~2~
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
foanyHulldprw Lnc. Or.11645
l8~-12
JACKi.mt 13N p SURVPm ¦ EIRS
p9ql6T8A60 liNpSW LAW@ 4W RYATR Of MINNYIDTA
scals: Y"=30'
.OBpDCei It.7t3 3818 EA$'r 65tA STflEET, IWINNEAR4466, N7N 6(iil~ 727•7484
-----prs inago i Utiltty Basemmnk
0.~, Exiaelu~ 81mv. •
s Drainaga ~IlibepoC ~ ~eC1ititAt! , ~ ~
'copassd Garagi F1oor Blev. "VoSEo
' c.~ ti , ~t w•v1DJLO~v~^
r ~
v
p'
~
/°-r ~ f,~
rJ
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LUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
- - - - - - - - - -
NO. FIXTURES EACH TOTAL
SHOWER 3.00
WATER CLOSET 3.00 _
BATH TUB 3.00
K_ LAVATORY - 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY ~ 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
' FLOOR DRAIN 3.00
GAS PIPING OUTLET • minim?,m - i 3.00
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5.00
PRIVATE DISP. • Dak.Cty. lia 15.00
U.G. SPRINKI.ER • home unaer oonst. 3.00
ALTERATIONS • to aciscing 15.00 ~ . oo
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL: L%~ , _~D
SITE ADDRESS:_ "t $714 O9 i IJ [Q zov- C+.
OWNER PvAiviE• Qa 14 IC i.t IC oc Vr Wa.
INSTALLER:_ wt (4aWLS Plv(.U,(DWtL~-
ADDRESS: T 3 ox- IO p.
CITY: ~U-IT us U~~(e STATE: mkj ZIP CODE: S 32
PxorrE
qM4,1,lj
&7A,
~ SIGNATURE OF PERMITTEE
'Q.................................................
. ~
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PLUMBING PERMIT (COMMERCIAL)
CI'TY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIALlINDUSTRIAL BUII.DINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIltED FOR EACH
DWELLING UNIT.
NEW CONSTRUGTION ~
ADD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°!o OF CONTRAGT FEE. '
STATE SURCHARGE: $.50 FOR EACH $1,000 OF FEE
MI1vIMUM FEE: $ 25.00
CONTRACT PRICE X 1°/0 $
STATE SURCHARGE $
TOTAL $
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS•
CITY: STATE: ZIP CODE:
PHONE
FOR:
CITY OF EAGAN APPLICANT
i
2/84
' ~'j ~ CITY OF EAGAN
APPLICATION FOR PERiMIT
- SEWER AND/OR WATER CONNECTIO:1
(PLEASE P4INi)
PF.OPERTY ADDRESS :
r.FrL DESCRI _T:'r_c,r: 124 /V ~
(Lot/31ock/S _n,vision or Ta{ Parc 1 I.D. NLU-nber)
S'I°:L'M.~ ':J"", Da' GF CRIGi AI. ,-z2uIL:~;G
;C.:
( FP~.~~~ ..':`7i :C,/='.-.~t)°G~=) US:: -1 SyiG'. r A_~I.II,Y
4~R-2 DUPL.~..,.s z" - ~
. ('Iti;O U~1ITS)
[3 R-3 TGj%-I~HOL:SE (THRF" + L~1ITS) ( UNI"_'c)
p ?_4 I~pp,RZr.~'`:r~CC`IDCiL1IL:•I ~ LRN 11Ji
? C`-2=CI:`yI,/"2EI'AII?OFFICE
? ri~CST?.L~Z
Q NSTITG'rlCN'-~,/GCV~~nlELv'I'
2) APp?,T= (PLCn~L PRINi)
~ ADDRESS:
crr:, sTATE, zrP:
PxoNE:
3) PI17,METZ Np,ME: GEN~~OANItl*Rt14 4FOR CITY USE/O4LY
ADDRESS: 50• BERT Tfii,-"AL PMi ICE E:
- e
Ruamuu
CITY, STA TE, ZI'P: m t MN 55068 ired
"S ~ ~'f Re.ca`r~ d
, PHOiNEPLUMBER LICENSE # / ~ ?
' :alr inttla
4) O=AN'I'/('f,•ZF_'~ - NAME(PLEASE PRINi)
: '
ADDRESS:
CITY, STATE, ZIP:
PffO:]E :
5) INDIC,'I'E W-iICIi PEP"•1IT IS BEPG REQUESTID:
.•LLIECrION 'In CITY S~.?•JER
CC..'~TIGN 'Ib CZTY jJATER ' .
' Q (7I'F= (PLZASE DESCZI13E)
' I
6) LNDIG~.~ C::r.: ,
? PIEASE f?OLD APPRWID PEPVIT FOR PICti-UP BY ONE QF r'1B0VE
l
~°IEA.SE ~7UL APPROVr.~ PEP.•LIT 'IL) 1, 21 3 4 ABC7,IE
. ~,(Circle one) ,
7) SIC,:AZL.:cE: DATE:,
~1:aw~aEio :s~ t~-:~ a~t s~~css:a a s ar s~s: ss:a a~.r~:.~ r~-i~:i.~ ~ a~ is ~c ~~+~aau c
F O R C I T Y U S E O N L Y
PERMIT " ISSUED
F
FcrS• $ /v•~(J ~r:.~r; D~D~iT'*' ~'`;C.T...,,~~ ~U~~;~~~- ] , i
$ /v• ~li IdATER PEI211IT ( INCLLDE SURC :ARGE )
$ (O~U v WATER METE°/COPPERHORN/OUTSID=- REAuE"
S WATER `?'aP ( INCLUDE COR?pRAT=C:: ST-Cn )
$ SE:'lER `.D .
$ ~~u G ACCOUNT DEPOSIT - SE::ER
$ ~~tJ V ACCOUNT DEPOSIT - WATER
$ "c) caac
$ sac
$ Tpu11n T,:ATER assEssi•~L.:l
$ TRliNK SLWER ASSESSi•?ENT
$ LaTEP,AL BENEFIT/TRUNK SEt•:ER
$ LATERAL BENEFIT/'I'RUNri WA'! ER
$ ~d - G C-) OTHER
$ TOTAL
$ A-MOUNT PAID/RECEIPT T
D6ES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF LJAY?
. YES IF YES, THEN A`PERMIT FOR 6aORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERIDIG DIVISION. LZST AS A CONDI-
TION.
SUIIJECT TO THE FOLLOWING COLIDITIONS:
APPROVED BY:
TT_TLE.
DATE :
i .
fs. w~. .a ~ ~ •ts~ w~ ~ ~a ss~ ~ ~ w w s~ ~a w~~ w ~ ~ ~ ~ ~ ~ ~-r~ ua ~ r~
6519170960 9.6K
Jan 25 2008 4:41PM Integrit!d Heating, Inc. 6519170960 p.l
~ i
City of Pa~ftEapaIl ; qa tv ;Cc~
~ Pem1R Fse: ~
3830 Piiot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 i Sta~: i
Fax: (651) 87~r5694 . ~ ~
-____------------J
2008 RESIDENTIAL BUILDING PERMiT ApPLicArIoN
Date: f Site Address: ~ ~ CI 1~ ,L PJt".Soy
Tenant• b A SuNe i~•
RESIDENT / OWNER Name: ~~,f Phone: ~f~~i~1~- ~ 7l~
Address ! Crty / Zip. LIE'74 j,&l~~~'Y f' _
Appliaant is: J-(Owner Contractor
TYPE OF WORK Description of work: rg6A-C.0- ~J- °e/~L-• _
Canstruction Cosl: Mu{tf.Family Building: (Yes / Mo
CONTRACTOR Name: License _ C~v -7
Address: g1 0
City: TTQA`; LAu4' j' $tate: 4411 Zip:
Phone; l -3Z. f-413 Contact Person:
COMPLETE THIS AREA• ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesata Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code • Residentiat VerrtHation Category 1 Wortcshset • New Energy Code WoHtsheet
C8t6gory Submitted Submitted
(4 SubmisslOn typ@) • Energy Envelope Calculations Submitied
In the last 12 morrths, has the Clty ot Eagan Issued a permk for a simtlar plan based on a master plan?
_Yes _No tf yes, date and address of master plan:
l.Icensed Plumber: phone;
Mechanical ContracMr: Phone:
3ewer & Water Corrtrector: phpne;
. . . , ~ : • r : y n . ~ . • ~ ~k,•:
~~Si~ ~H; " ,'.ai ~^;it.',u;<~f,,we':::•4,r;.,..;~;,ti','z.fi.~i ~`'i ';rE..~,. . ~~x ,1~t„~~a'a~,
'~t.i~i~.1 '4F .x•.• y~ n~.' ~ i.~.:-~ '..;,r- :,L. _ ,y. ,i ~,k.s.i~n
. ,
p . . 'r,),.. r:, y, ; r~~f'~;F``,~5•s " ,,t.""<<:':;rs..::t',•'':`;'::","~i="i„~f",'.~.~,~~•tL.3•, a:r.,,. yr:;~ 5;~;~, F +~'+r
! hereCy acknowledge that thls IMormatlon is complete arxi accurate; that the wark will be In conformance with the ardinances and codes of the City of
Eagan; that I understand this is not a permR, but only an application for a pertnit, and work is not to s2art witho~ pertnit; th t the )rk will be in
accordance wRh the approved pian In tfie case of work which requlres a review ~n8~app`Qoo~al of plans. 1
X ll~~~~~~
Appltcant's ~fted Name ~ App lca~t's Signature
Page 1 of 3
,;,~e.. -~-Z.N' ~ - C . ,'i~w?~~, '
f r - - - - - - - - - - - - - - - - -
~ For.%Office Usg ~
City of Eapn Permit I Permit Fee: U I
3830 Pilot Knob Road . ~ I
Eagan MN 55122 ~ Date Received: I' 3^ D~ ~
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: I
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ob Site Address: -ec;LOc,.v\ ~bJ 5 S\~
Tenant: Suite
RESIDENT / OWNER Name: ?=\yn~ -i~b Phone: lcS\ -`~05
e 3 g -
Address / City /Zip: `VE1~-k v~\`rNdSrz~Y C4, zu.Q0.n M ~.j ss,aa v ~q 1
/
Applicant is: ~ Owner Contractor
TYPE OF WORK Description of work: ~~-~''r~odc:.v\
Construction Cost: $ b 000 Multi-Family 8uilding: (Yes No X-
CONTRACTOR Name: License
Address:
City: State: Zip: Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 montlis, 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: v E II,I Phone:
Mechanical Contractor: Phone:
u J
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting, documents that you submit are considered-to be public information. ; Portions of
tlie information may.beclassified;as non-public-if y.ou proviale specific reasons,that would permit the City to , . ~lud~
:e conc e ttia't_the are trade se'crets.-~:`- 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.
XFNrny X
ApplicanYs Printed Name Applic s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? OS-plex ? 16-plex ? Accessory Building ? Pool
~ Single Family O 06-plex ? Fireplace ? Porch (3-season) , O Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex O 08-plex O Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES 01~`p~
? New ? Interior Improvement ? Siding ? Demolish Building'`
? Addition 0 Move Building ? Reroof ? Demolish Interior
/1<- Alteration O Fire Repair ? Windows ? Demolish Foundation
? Replacement 0 Egress'Window O Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION: `n .
Valuation 1V v() Occupancy MCES System
Plan Review Code Edition . SAC Units
(25% 100% ) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet . PRV
# of Buildings ~ Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
Footings (deck) Final/C.O.
Footings (addition) ~ Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water Final Pool: _Footings _Air/Gas Tests _Final
~ Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation • Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES: Base Fee
Surcharge ~I v
Plan Review .
MCIES SAC ~
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant Copies
Total
Page 2 of 3
Jan 21,2:59p Bartylla 6514293877 p.2
~ For OHice use I
My of Eap ; Permit d I~~ sa ~
3830 Pilot Knob Road ~ Permil Fee: , 1
Eagarl MN 55722 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 ~ Staif_-______'~
2008 RESIDENTIAL. PLUMBINC PERMIT APPLICATIOlV
Date: Site Address_ '7 a`t 1 ~~i~dsor Gi
Tenant: b ~ i Suite
_ / •
RESIDENT 1 OWNER Name. H h~U1~ ~ 70k lbg~ L9 Phone: 3-6 - ~ 9~ " 07/
Address ! City / Zip:
CONTRACTOR Name: Rumb;np f' 4rM Licenseit: l..(/la 57rELJ JFM
Address: W5 ~ 05 (Y~h ~~'T• A)•
City: State: -&,A~. Zip: -.5,503O
il
Phone:~f,~~~~'~c~q':~77 CornactPerson: G.
~
TYPE OF WORK ~ New ?Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Descri tfon of arork: 'FOI Le.~' r- ~ #r Lq I
PERMII' TYPE . RES1DEfYTfAL
Water Neater Water Softener
Lawre Irrigation Add Plumbing Fxtures
~ RPZ 1_ PVB) (_L_ Mair?_, Lower LeveD
Sept+c System Water Turnaround
New
-
Abandonment .
RFSIDENFlAL FEES:
$50.50 Minimum Water Heater, Water Soitener, or Water Heater and Softener (includes $.50 State Surcharge)
$34.50 Lawn }rtigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround"' (inctudes $.50 State Surcharge)
"Water Tumaround (add $136.00 i4 a 518" meter is required)
$100S0 Septic System New ($10.00 per as built) (includes Couniy fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appiiances, duciworic, eic.) (includes $.50 State Suroharge) 5~
TOTAL FEES $ S~.
I hereby acknowl6dge thffi this intomtation is compiete and-accurate; that Ihe work will be in confortnance with the ord'manves ar?d codes ot the Ciry of
Eagan; that I undersland ihis is not a permit, but only an application for a permit, 'ad without a permit; that the work will be in
accordance with the approved pfart in the case ol work which requires a review and x l~ ~pRC~ i A nl ~ ~ fZ.T i L19 , allzm &L,~"
ApplicaM's Printed Name FOR OFFlCE USE Fieviewed By: Date:
Required Inspections: _Under Ground _Rough-fn TAir Test _Gas Test MFinal
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4874 Windsor Ct
Lot: 9 Block: 2 Addition: Brittany 07th
PID:10- 15006- 090 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Norwest Contractors
8469 Zanzibar Ln N
Maple Grove MN 55311
(612) 859 -8517
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Robert Noebel
4874 Windsor Ct
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA089278
05/21/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107179
Date Issued:09/28/2012
Permit Category:ePermit
Site Address: 4874 Windsor Ct
Lot:9 Block: 2 Addition: Brittany 07th
PID:10-15006-02-090
Use:
Description:
Sub Type:e-Siding
Work Type:Siding
Description:House & Garage
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert Noebel
4874 Windsor Ct
Eagan MN 55122
Schaffer Window & Siding Inc
2760 - 232nd St E
Hampton MN 55031
(651) 248-4695
Applicant/Permitee: Signature Issued By: Signature
TSilverstone
f* City of Ea
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
1
952-233-8739 p.2
For Waal's.
Permit #. (l1>3
Permit Fee: LP 0 P°
Date Received: LO 311.3
Staff:
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5 3 3 Site Address: Zt c? zi Wii.ck�r
Tenant
Suite #:
(),Qt )ei Phone: Rq #9 6)q
Resident/Owner I Name:
• Address / City 1 Zip: &LANkjc s 4-e...
Contractor
Name: OkyS P1rvibt License #: 01.01 2.73
. Address: c25 S-St..thyv 1-014 g 1 Vd. City: Jarcloun
state: MN) Zip: 55 -?5-. Phone: lo la gLeg
Contact
Ernad 3CLS614 ,i4W13.01,12; ec4502..
Type of Work ,) New Replacement Repair Rebuild Modify Space Work in R.O.W.
c Description of work:40\ U YYJD_ i AO)
RESIDENTIAL
Permit Type
RESIDENTIAL FEES:
060.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
•;;
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 05.00 State Surdiarge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New (010.00 per as built) (includes County fee and $580 State Surcharge)
TOTAL FEES $
Water Heater
)(, Lawn Irrigation RPZ / PVB)
Septic System
New •
Abandonment •
Water Softener
Add Plumbing Fixtures ( , Main Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground trtifity damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.dopherstateonecali.org
1 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 'Mout a permit that the work wilt be in
accordance with the approved plan in the case of work which requires a ieview and approval of plans.
\\ A soy\ Lai5r\
Applicant's Printed Name
Appric Signatu
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
t6)
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146384
Date Issued:10/23/2017
Permit Category:ePermit
Site Address: 4874 Windsor Ct
Lot:9 Block: 2 Addition: Brittany 7th
PID:10-15006-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert Noebel
4874 Windsor Ct
Eagan MN 55122
(612) 244-9891
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166136
Date Issued:12/15/2020
Permit Category:ePermit
Site Address: 4874 Windsor Ct
Lot:9 Block: 2 Addition: Brittany 7th
PID:10-15006-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Robert Noebel
4874 Windsor Ct
Saint Paul MN 55122--278
(651) 440-3262
Holmin Heating & Cooling Llc
3432 Denmark Avenue, #228
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature