3659 Windtree Cir
CITY OF EAGAN
- ? 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Rece;pt #
Tobousedfor FIREPI,ACE Estvalue $1,000 Date NnVE!'1BER 27 19 85
SiteAddress 3659 WINDTREE CIR Erect ? Occupancy
Lot 13 Blxk 3 Secisub. WIt7DTREE RD Remodel ? Zoning
f'arcel No. Repair ? Type of Const
Addition ? No.Stories
a Name gRE3'T CONST Move ? Length
3 Address Demolish ? Depth
o _ Int Impr. ? Sq. Ft
C4 one InsffiII ?
o Name HF..AT-N-GLO FIRRPLA.CES Approvab Fess
Addres W H Assessment Permlt a
~ity ~t1RNSV~~E - Water 8 Sew. Surcharge
w Na~ Police Pian Review
=
1Fire SAC
p Address
~ W Ciry Phone En9' Water Conn.
Planner Water Meter
I hereby acknowledge thaif h e read this application and state that the Council Bld9 Off. 11 /2 6 8 Tr. PI Road Unit
.
information is correct,afid ree to c mply Yri I applicabte State ot
Minnesota Statutes d_ ' f Ea n r7i c. APC Parks
~ Var. Date Copie -
Signature ot Permittee
HEA -td-GLO FIREPI.~CES Totai '
A Building Permit ia issued to on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
pwmM No, pwn~lt Mo1dw D~M TWplmw N
Phwnbbq
M.V.A.G
Ebcblc
So11Mw
pab I-p. ConnlNnb
Footings I
Footlnp~ N
Fow+datlon
FnenNq
RooM~p
Rouqh Plbg.
Rou9h Nq.
Inpi.
FMopbe~
FMUI N1p.
FMW Plbp-
ll". Final
CoA. Oee.
Deek Fty.
Oeek Fnnp.
DMerRe LoadY=
YYdI
Pr. DNp.
P '
.
CITY OF EAGAN 1 '410 4 a
.
3830 Pilot Knob Road, P.O. Box 21-199, Eapan, MN 55121
~ PHON E: 454-8100
DUILDING rERMiT aeceipt # -
To w ww fae f%~; ' ~ Est. Value C 113 , l1 b t; Dote
Site Address 1~ 'j ri: It.; 7' " 17 : i F. E?~ OccvpancY .
Lot Remodel ? Zonin
Pa?c.el No. ~ Block ~/Sub. ;r •~"`-j;;z `k Repalr ? Type of Const. 4.1
Additlon ? No. Stories
Name Move ? Length
~
Address Demolish ? Dapth
Int Impc ?
Sq. Ft.
City Phone Inatall 0
Name APprovab Fees
Addresa Assesunent Permit t: 5()
City Phone Woter & Sew. Surcharpe ~S 0Police Plan Review S
~Z Name Fin SAC
Address Erq. Water Conn. i~;
tW City Phone Plonner Water Meter V
Council Road Unit J-q ; I_!) Q
1 heroby ocknowtedpe thot 1 have rcod this opplication ond state thot Bldg. Off. 4, Tr. PL
the inlormotion is wnect ond agree fo comply with all applicublt -
Stots of Minnesoto Stotutes ond City of Eagcn Ordinontes. APC Parks
i~
Var. Date Cop
Sipnafure of Pe?mitfN ,
A 8uildiny Pertnif Is issued to: eal ' 1~
xpness tadition thpt
oll work sholl be dorw in ocaordante with oll oppliqoblo Stote of Minnesoto Stotutes ond CNy of Eupon OrdinonceL
8uildinp Offitiol
a Pamk No. Pamit HoldW Date TNephone ~t
Piwmbkp ° - S
5
H.vA.C.
EbcWb
saftww
Impoetion Dab Insp. Other
~ Footings 1
Footlnqsll
W
'~y
Foundstlon E ~ 1"V
Framing Roofinp Rough Pibq- Rouyh Htq.
IMYL
Finplaa
Final Mtp. [d,
Fina1 Plbp.
Flnal
CWt/Occ.
Dyaibe Locstion:
WaRN
WmI
Sower
Pr. G1sR
Rmaipt MECHANICAL PERMIT Pennit No.
CITY OF EAGAW ,
FN
` fllJ fn numbsrrd gwo S/C
Typr d Prlnt legfb/y ToL
nm, Z. ir,suli.cion coac
„ .
~ .
3. Job Address Y'"' 'J Lot tBlk. Tract
4. Owrw c
~
5. Contractdr 1•~> ~ ~ i ~ PhoM L• r ' -
6. Addrfts 1
7. City s j Stste 2ip .1 ~
6. Building Typa: Residential 13 Commercisl ? lnttitutional O
9. Work Oescxiption: New C} " Add 0 Alter 13 Repsir ?
10. Oesaibe Fuel Typa - ~ 11. No• , f4w=ept B TU - M. Ea. No. Eauiomsnt CFM
Forced Air ' Air Handling:
Mfg•
Boilsn Mech. Exhsust
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mf9.
Gas, P'iping Outlets
12. 1 hereby certify that the above information is true and correct, and I asree to
oomply with all ordinances and oodes governiny this type of work.
Signed : - - - - - - _ for
Rouqh Final
Inspections: Date Insp. Dete Insp.
This is your psrmit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Reoeipt PLUMBING PERMIT Psrmit No.
CITY OF EAGAN .
Fee
fIll in numbered apaces S1C
Type or Prini legibty Tot. , .
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner ,
5. Contractor ' Phone
6. Address ~
7. City State Zip
8. Building Type: Residential .Q Commercial ~ institutional ?
9. Work Description: New Gl Add O Alter 0 Repair ?
10. Desaibe
11. No. Fixtures No. Fixturea
_ Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
- Lavatory Sohner
I Shower Well
~ Kitcfien Sink
Urinal/Bidet Other
~ Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanoes and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
CITY OF EAGAN WATER SERVICE PERIIAIT
3830 Pibt Knob Rosd 6911
P. O. @ox 21199 PaWtIT NO.:
Eapn, MN 55121 DATE: 11-8-85
Zoning: . El No. of Unrtx 1
Own.r; Brett Construction
Addnss:
Sft l1dd,*w _ 3659 Windtree Cr. L13 B3 Windtree 3rd
plwnber. - Mi cla ctt- rn Mech _ nm _ I
M•ft• No.: -3 & -6- E/ ~ 7 c«,,ecri«, Cha,g,: soo . oa a
sin: .wX a oc 1t Acco,,,,t DepoWt; • I
Reader No.: 1tO IY! Parmit Fea: 0. OOp
1 Mm h- pty wNb eM CNp d LN.¦ Surchorpr '50 I
AWm a„rgm 132.00pd TP I
Total; 63.00ud meter
er Dot. vaid:
Dote of Irnp.: lrdp,;
~ CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road i
P. O. Box 21199 PERMIT NO.:
. Eapn, MN 55121 DATE: za,+no: - - No. of uMrs:
pwrwr. 2; ett Coagtruct ioti
Addroa:
Sft Address; :.F 59 Windtxee Cr. LI.', R_" W;ndtree r i
> ,-~t_.r°: 'tr-r
Plun+b.r: ~ . Cnr' -
Meftr No.. Ca+nwetion Chorqe: _S0000
Sis~: ~
Aocaurn Deposft:
Reodtr No.: Permit Fee: 10' `
1 Mne bseptl wil6 !M Ckp of 4p¦ Surrlwrpe: 'M ^
orll...e... Ml,c. Chorou: 132 . Qt?pd 'i'P
Total: 61. 00Pd mater
BY Date Peid:
Dote of Irap.: Imp,;
I
CITY OF EAGAN SEWER SERVICE pERMIT
' 3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagsn, MN 55' 1
No. of Units: Z
AMmr. BILtL Crjngt ruC C. ? Jri
/,ddntft:
Sica Add.em JfiSa W1ndtree Cr, L13 B3 tree 3rc? -
Plurnber. ~'rn
5590 0
I()t).rxtpt
M ~h' M'~' ~~Mn Cor~ctlon Chorpr - 4 2 S OQzi
Aa:a,eM Drpoat;
PeInift FM:
By Surdwrpr.
Mlae. Chor+y~s;
DaM of leup.: Totol:
Doh PoldE.
RESIDENTIAL
` BUILDINC PERMIT APPLICATION
3830 PI OT KNOB RDN 55122
651-681-4675 ~ya11c~ / v~/~O/
New Conttnn.iion Rnuiremwnts Ramod~YRewir Rauirunnis - /
• 3 registereC eita sweys snowing sq. R of bt sq. R M Iwuse; and II, rwfed areas • 2 wpies of plan
(20% matcimum lof averape atowed) . t xt d Eneryy Colplatioris for heated addditipm
• 2 wpies qf plan shoxing beam 3 window sizes; poured fouM tlesgn, etc.) . 1 site survay tor exteria edditbns E Cecks
• 1 set d EneRry Cak„aums
• 3copiesofTreePresenationPlandbtpietledafter711193
• Rim Jdst De18il Options sebc4on sheet (bklgs wNh 3 a less ums)
DATE (~/Zl0 / VALUATION (ExCtuDING IAND) OOU
.PJB SITE ADDRESS ?659 P i /+OTi2 ef Li,e-cY:c
If MULTI-FAMILY BUIIDING. HOW MANY UNITS?
PROPERTYOWNER *J_AMeS -f Ak=4 ICdL-13o
TYPE OF WORK FIREPLACE(S) _0 _7 _2 _3
APPLICANT U~~C-e t. Po-at c=r~cr. PHONE #
ADDRESS ~OI 0_Li ~r `20- Qu2~b U~--L"C. ?1"n/ ZIPCODE SS337
PAGER # CELL PHONE # 9sz-Sgy ~y~o FAX # 9s s~- ~i'19y
` 3
NEN' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submi
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted I~
gy tTM
Plumbing Conhactor: Phone
Plumbing System Indudes: ~ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanicol Contracfor: Phone 1k
111echanical System Includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contraefor: Phone N
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informati ' c e, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances. ;
Siynalure of Applieant ~ &LiPce
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
UpdateA 1101
OFFICE USE ONLY
s
? 01 Foundation ? 07 05-plex O 13 16•plex 20 Pool ? 30 Accessory Bldg `
O 02 SF Dwelling O 08 06plex O 16 Fireplace 0 21 Poroh (3-sea.) O 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 77 Garage O 22 PorcNAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 71 10-piex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
PP 31 New 35 Int Improvement O 38 Demolish (Interior) O 44 Siding
? 32 Addiiion ? 36 AAove Bldg. O 42 Dertalish (Foundation) O 45 Fire Repair
13 33 Alteration O 37 Dertqlish (Bldg)' O 43 Reroof O 46 Windows/Doors
O 34 Replacement 'DsmoliUon (Entira Bldy only) - Glva PCA handout to applleant
Valuation /k0v a Occupancy MGES System
Census Code 3d0 Zoning City Watet
SAC Unils G~ Stories Booster Pump
Nbr. of Units ~ Sq. Ft. PRV
Nbr, of Bldgs ~ Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing Pool Ftgs Air/Gas Tests ~ Final
_ Fireplace _ R.I. _ AirTest _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacement)
Approved By ~ , Building Inspector
_
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PLUMBING PERMIT DATE: 5/31/91
Ui•G. SPRINKLER) RECEIPT: 101614
SITE ADDRESS 3665 W7N[]TREF l'TRrT p Unit p Permit N 9
L 13 g 3 SecL/Sub.WINDTREE 2ND
?LUMBER: BLAYLOCK PLBG. C0.-869-7531 IRRIGATION CONTRACTOB: UNDERGROUND WATERWORK
INSPECTION DATE INSPECTOR OTNEfl 895-8016
FNAMIN6
BOU6H PLB6.
flOUfiH HT6.
INSUL
FIflEPIACE
FINAL HT6.
FINIIL PLBG.
UNI7 FINAL
CEflT/OCC
INSPECTION DATE INSPECTOR COMMENTS
,
~ __.-vre'lYGAN Remarks
Addivon WINDTRF.E 3RD ADDITION Lot 13 glk 3 parml 10 84472 130 03
owner stree, 3659 Windtree Gour,50 oT DY. State
Improvement Oate Amount Annual Years Payment Receipt Dare
STREETSURF. 'A63 1975 161.30 16.13 10
STREET RESTOF. 991 1954 2315.25 463.05 5 138,711.5 o 7- J~.Y
GRADING r)jj 1983 613.25 122.65 5 ao
SANSEWTRUNK 19]1 160.46 8.02 20 y0• le, A U/
SEWERLATERAL 10 1983 3256.80 651.36 5 30 , a
Sewer Lat Trk 1983 188.16 37.63 5
WATERMAIN 1983 260.34 52.07 5
WATEF LATERAL
WATER AREA 1972 236.39 11.82 20 /.U / (o
STORM SEW TRK ~ 1983 771.36 154.27 5 O ff/ $ Iq (0 9- 'Y
STORM SEW LAT
CURB & GUTTER SIDEWALK
STREET LIGHT
Road Unit ~28U.00 55900 9 27 85
WATER CONN. 500.00 11 11
BUILDINGPER. 11O " "
SAC •
PAFK
CITY OF` GAN N°_ 1104 H
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT R«eipt g~~Z/ U
Te M w"d fer SF DWG/GAR Est. Volue $113,000 DOte SEPTEMBER 27 19 85
SiteAddreu 3659 WINDTREE CIR Erect }D Occupancy R
Lot 13 Block 3 Sec/Sub. WINDTREE RD Remodel ? Zoning RZ
Parcel No. Repair ? Type of Const. V
Addition ? Na. Stories
BRETT CONST Move ? Lenytn 54
w Name Demolish ? Dep[h 36
~ Address 10640 MARYLAND AVE SO inLlmpr. ? gy,pt,
City BLMTN phone 941-4563 Instell ?
o Name SAME ADVrorals haa
nddress Assessrnenr Permit 65.50
1- City Phone Woter 8$ew. Surcherpe 56. 5 0
Police Plan Review 232.75
~W Name MINNETONKA DESIGN Fire SnC 525.00
z? AddreSS WATER ST
0 Enq. WaterConn. 500. ~0
City EXCELSIOR phone 474-5991 Plonner WaterMeter 63,_.00
Council Road Unit 280.00
1 hereby ocknowledge thot I heve readlhhis OD~~~a~~an ond ztate thof gldg. Off. 9/26I$ Tr. PL 132.00
the inlormafion is corre nd agr ~~1 e mDly with oll opplicoble AP~
State of Minnesofo Sta utes and i1y f a9an Orllinances. Parks
- Var. Date Copies
Sipnofure of PertniMea
BRETT CONST iatal 52.254.75
N Building 7ertnif Ii issued t on fh0 ezpresa conditlon Ihot
all work sholl be darro in ac rdance wifh oll appli ~ble State`f M nnesofa
i $t-tut -ond City of Ea`i Ordinances.
Buildinp Offlciol -~?~'O~D7
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0- ~ 1348
PHONE: 454-8100 /
BUILDING PERMIT Receipt #
~
Tobeuaedtor FIREPLACE Estvalue $1,000 Date NOVEMBER 27 ~y 85
3659 WINDTREE CIR
Site Address Erea ? Occupancy
Lot 13 Block 3 Sec/Sub. WINDTREE 3RD Remodel ? Zoning Parcel No Repair ? Type ot Const.
Addition ? No. Srories ~ Name BRETT CONST Move ? Length ~
~ D E Demolish ? Depth
3 Address
p N _ Int. Impr. ? Sq. Ft tsi'm
City B~one Insfall ?
o Name HEAT-N-GLO FIREPLACES Approvals Feee
$a nddress 3850 W HWY 13 Assessment Permit $17.50
¢ Ciry BURNSV~W 890-8367 WaterBSew. Surcharge -50
Police Plan Review
F i Name Fire SAC
¢ i Address Eng. Water Conn.
a w Ciry Phone Planner Water Meter
Council Road Uni[
Iherebyacknowle*ndree thisapplicationandstatethatthe gldg.Off.ll/26/8 Tr.PI.
inlormation is coromply wit all applicable State of
Mm nesota StaWte n s. APC PBfkS
Var. Date Copies 00
Signature ol Permi Total
A Bwlding Permit is isH -N-GLO FIREPLACES on the express condition that
all work shall be tlone in accordance with all `applibl. e State o Minne ot~utes and City of Eagan Ordinances.
Building Ofiicial \~`il'?I P
~,A m~
CASH RECEIPT
CITY OF EAGAN •
. P. O. BOX 21-199
EAGAN, INNE/$OTA 55121
DATE~/
AMOUNT $
?
/ & OOLLAHS
? CASH ~ CHECK ~ eo
von` .{oJ?~~ , ~ K%Ls3...~~
FVNO CO~E peAOUNT
IT / ~ / ~V J V
~U 7~~~-~ 'SaG(~
/vC) 0
Thank You
,
BY ,
N_ 57293
White-Payers CoOY
Vellow-Postin9 CoPV
Pink-File Copy
Thf- •est void , / ~ ~ ,
~
, y / i, ~5
i= 7 L I 3 ~ ~.J ~~-c-~ .3 , vo
R,qunst Da~a Fire No. Nouph-in Insuection
~ PeUUne<I~ ~ReaAV Nnw ~/ill Nnl~iv InsPec-
es ~No ~Ma Wh~?n RelltlY
Licens ElecVical Contnc[or 1 hereb
y raquest ms0ection of ebovo
? Owner elec4ico1 work installed at
Sveet AAdress. Box or Route No. City
. ~
e. .c~
ect~nn o. TownshiG Name or No. ~ Rango N . o Counly C
1
~
?
Occupam (PRINT)
i
Po suuulier AAaress
` a ~ r CTI~C - r~ ST
E ectnczl Cnnttar.m, (ComVanV Namo) Cnnvacmr's Licunse No.
<
Mailmq AdJress ICanvactor or Owner Mnbne Instnilauonl .
~ - /lI `
Authori ignaWre o wior P Ins I ion) I Phone Number
l G g- tIZT
MI SO7A STATE BO/lHD Okj~ RICITV TMIS INSPECTION REQUEST WILL NOT
GriBes-Midwny Bldo. - Room N-191 BE ACCEPTED 9V THE STATE BOARD
1821 University Ave., St. Vaul, MN 55104 UNLESS PflOPEfl INSPECTION FEE IS
Phone 16121 297.2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION rN. ee.oouoi.oa
3
Sec inshuctions !nr cgmploling this form on beck o1 Vollow copV~
o Relow Work Covered by This Request
AtlA flep. TyOe of Bwltling Applinntes Wiratl Eriuiumeni Wired
Home Ranye Tempoiaiy Scrvice
Duplex Wat2r Heater Lightiny Fixtures
Apt. Bwlding Dryer EleCtric Heabni
Commercial Bldy. Furnace Silo UnluaJer
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm Otnei oec, v .tner Isueutyl
1 or uc,.'lv (nm O, hei
omputelnspecnon Fee Below
M Fee Service EnUencaSixe H Fex FyAders/Subtexders k Fna Circmts
~ 0 to 200 tAm)sd 0 to 30 qm 5 0 to 30 Am us
Above 231 to 700 Amps 31 to 100 Am s
SwimminAbove 100_Amps Above 100AjnPs
Tran5lonIrnganon k3oorcis Paitial.'Othet Fee
Signs Special lnspection g 'S TOTAL FEE
Aeruirks \
f ' ~ `f~/. c•~ ~
aouen-in
°{y`~'~Y7 i. Ina eiao«.h.ai~
I ' 1 InsOecloq M1o'ebv
cortdy Ihnt the abova
Final 11e/ ( mspeetmn has heen
mode.
ThisreQuestvoiClBmanttisiwm -
~n~ n~d" f, RESIDENTIAL BUILDING
~Y ` l Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsUuction Reauiremenis RemodellReoair Requiremenis OHice Use Onlv
3 registered sile surveys showing sq k. oi lot sq. ft of house; and ail roofed areas 2 copies ot plan Cert of Survey Reoi Y N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 window sizes; poured found desgn, etc 1 site survey foraddiGOns 8 decks Tree Pres Reqd ~ Y N
lselofEneyyCalculations Addrtion - mdicatei(on-sitesepficsystem On-siteSep6cSystem _Y _N
3 wpies of Tree P2servation Plan if lot platted aRer 711193
Rim Joist Defail Op6ons selecGon sheet (bldgs with 3 or less units
Date J.0_ / 70 / 05 Construction Cos[
SiteAddress ~~7cl L') WDiiiiS(',~(1Lu. UniUSte #
l °QN?
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
PropertyOwner 31(M NaLTelephone#((p57 ) IKL Z-~Lj
Contractor ~ lrLt~`'~j bG
Address 3f.'~ W, H-LAM I~ City
State kV Zip 5~33) Telephone Z) tJS~ U')~5e
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate o~rv 1 Minnesota Rules 7672
Energy Code COtegory , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J 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 work is noT to start without a
permit; that the work will be in accordance with the approved plan in the case f work which requires a review and
approval of plans.
, \)d 0 ~h
Apph ant's Printed Name Apphc nYs Signature
OFFICE USE ONLY " Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Alt- Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
p 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 ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ FooUngs(new bldg) _ FinaUC.O.
_ Footings(deck) ` FinaUNo C.O.
_ Foorings (addi[ion) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool _ F[gs _ Air/Gas Tes[s _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Air Test _ Final _ VVindows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION Ds-
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConaWdfon Reauiramenb RemodoURewir Rwuirements
• 3 registered site surveys showing sq. of lol, sq. Q. of house: and all roofed areas • 2 copKS ol plan
(20% maximum lot coverage albwed) . 1 sel of Energy CakulaUons for heated addNons
• 2 copies ol plan showing 6eam 8 vnndow s¢es: poured (ounG desgn, etc.) • 1 site survey Iw ezterior aEditions 8 Cecks
• 1 set of Eneyy Calculatqns . Indicate if home served 6y septic system for addi6ons
• 9 copies of Tree PreservaGon Plan il lot platted after 711/93
• Rim Joist Oefad Options selection sheet (bldgs with 7 or less unds)
DATE S_ 30.- VALUATION S(xD. od
SITE ADDRESS 0G<< MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK fIREPLACE(S) _ 0_ 1_ 2
n_
APPLICANT c,_~J6YI,d&Zza_&~
STREET ADDRESS ~/1. CITY fit,~z~LG STATQ111r/ ZIP5S.339.
TELEPHONE #/52- M-C00 CELL PHONE # fAX #'M . 5r95- 9942
PROPERTY OWNER & TELEPHONE# ~J- `1.S2 -a54 /
COMPIETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 C.ACfEGORY 1 MIVNESOT:1 RGLES 7672
(J submission typa) • Residentlal VenUlatlon Category 1 W orksheet SuDmitted • New Energy Code Worksheet Submitted
• Energy EnveloDe Calculations Submitted
Plumbing Confractor: Phone #
Plumbing system includes: _ Water SoRener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. oF Baths
Mechanical Conhactor. Phone #
Mcch:uiiril system includes: _ Air Conditioning Fce: $70.00
_ Heat Recovery System
Sewer/Water Contraetor: Phone #
I hereby acknowledge that I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or 'nances.
Signature of Applicant
-
I ^ S
OFFICE USE ONLY JUN 04 Certificates of Survey Received Tree Preservation Plan Received _ Not Required
--Updated 4102
OFFICE USE ONLY ~ 1015c/ _
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex Cl 16 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Mulh
? 03 01 of _ plex O 09 07-plex ? 17 Ga2ge ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. af Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tescs _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'v 7'est _ Final _ 6Vindows (new/replacement)
Insula[ion _ Retauung Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
? I
7985 BUILDING PERIiIT APPLICATION - CITY OF EAGAN
NUTE: ALL CONTRACTORS NUST BE LICENSED i1ITH THE CITY OF EAGAN
C0141ERCIAL SINGLE FAMILY DWELLINGS
\
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OE PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATZONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
I 13,c~
To Be Used For• Valuation• Date:
. err2
Site Address ~.4S2~o~tec OFFICE USE ONLY
Lot / Block .3 Erect Occupancy
/~~J Remodel Zoning R I
Parcel/Sub LG)1„4.b4pe~ d~yrY.- ,v Repair Type of Const
/ Addition If of SCOries
Owner pMe,S ~ /Jo Move ~ Length s
Demolish Depth 3
Address 3931 //o. (/,-&y Int,Impr. ' Sq Ft
~ Install
cityiziP coae ~4ZAAL S5`taa
Phone ~Sc;. APPROVALS FEES
Contractor 'Pop F-r` c, ,5i, Assessments Permit (DS -
Water/Sewer ~ Surcharge ;
Address /OLyo jY1~2 /~pcx_Jo Police ' Plan Review 'y2.-
Fire SAC S2S,
City/Zip Code ~oom. SS~G3 K Engr Water Conn Soo.
Planner Water Meter b .
Phone yyi 63 Council Road Unit 290,
~ Bldg Off4 r. reatment P1 ~
Arch./Engr. /Yfi,~Ne~o,v/l,Q [JeCiG^/ APC Parks
Variance Copies
Address TOTAL a a~
City/Zip Code (~-Xcc~ oR
Phone
ZSx ~ _ ~v4-x SP~ = 4-54~Z
I°I 4Y~8 •2~,, 2 Z= 5 ~2 x ~ 2 = l~8 ~4
I~O xtZ - 1~12 x~' 15310
Z
31x2a ~ x ~f4 ~ 3~19
I ~Z44g
S1014RA
SURVEYINO House Certificote For:
SEAVICEB ~qr. JIA~i KOLBO
3908 Sibley Memonal Highway
Eagan, Minnesota 55122
Phone' (612) 452-3077 .
J. a
Ory0
~
~4~Oryfo
~ , ~ ~ ,aZ ~ ~tcF
~ ~ 9 ev9.w~
~v ~ ? m \d.j ~ ~ 4oa 7c,
O'r m ~3
1
00 / ! rt ue~~+h! a~~
`a 2a 3 Hwb / ~ . r
(o
9oc.o5 / 4),f1~%D
0 'V Y
ryti
GI
o ~
e ~ _
~ 6g~4/~ •K, ~T~ "~~f<%"',~ ~1y ~ U~
1~1~• ~L1 6 64 3=,y6 _N 0
kGarf;~ sd~ yp`~'~' v n M1S
9 og.'r~9~ ~ i3 y
pF;~-O
-N- I ~ a sq~.o A
r,
,
`~~'EIS,O
WAYNE
_ CORDES
94675
:
SIl~IIR~~"ba„\\\
-LEGEND_ PROPOSED GARAGE FLOOR ELEVATION= 90~0.0
O Denotes lran Morn.e+pnt PRDPOSED Top af 8fock ELEVATION= ~.3
m Denotes Wooi Htb Se1 PROPOSED BASEAfENT FLOOR ELEVATION= S9S,3
x 907.1 Denotes Existirg Spot Elevafion
MOTE' Verify all flcor heights with Final Haese Pfans.
si„e.,) Denotes Proposed Spot Elevafion
,,~Aenotes Orainage Directicn CERTlFICATlQY-
1 hereby certify that this survey, plan or report
_PROPERTY DESCRIPTIC1N- was preFared by me or under my direct superv isicn
IAl 13 &GCK 3 ard fhet 1 am a duly Registered Lerd Surveyor
Wim p1 REE 3 RD AdOlTio&3 under the laws of the Stete af Yinnesota.
accord+ng to tha reccrdsi plat thereal, ,,,x- ~ Q Dete: 11/1 8(8s
flJ(,old Camfy, Ilirnesota Wayre D. Cordes, llinn. Reg. No. 14575
' P a g e 1 o f 4
EXTERIOR ENVELOPE AVf.RAC,E "U" COMPUTATiON
OW.NER: 13(M Y~o~jU nnrr?>
SITE ADDRESS: ~ PIIONE: '
CONTRACTOR: ~ i
Determine working square foota9e of each
1. Total exposed wall area..... _ sq. ft. x.11 = Z-2~
,
2. Total roof/ceiling area..... `e:p00 ~ sq, ft, x .026
Total exposed wall area above floor=__~~
i ~
a. Total wall window area
b. Total door area
c. Total sliding glass door area .i
d. Total fireplace wall area ~
,
e. Total wall framing area (avera e 10% r"" ~ •
g ) .v.r.......
f. Total rim joist area
g. net wall area above floor
h. wall area above floor •
i. wdtl area above floor.....................................
J. frame wall area at foundation ,
Total exposed foundation area=
k. Total foundatlon window area ,
1. Total net foundation area above grade
-~--4 1 ,
Determine "u" value of each wall segment ~
(e.g, window, door, eaoh separate wall section) '
a. ~x „ull
b• X ~lull~_~n • . :
C. X ~~U" .r = , •
d. 1 X tiuii
e. z"U'l -_V-P, ?i
f. X Up'
9• ~q~ ~ X
h. X uUu
.I K;~ • ~
1. X llull
~;'j ?~`'t•~,..'
X _ , .
J.
If item q3 is the,'samee~
k• as, or less than;~.ite
You have
intent of SBC.60 " 2
3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7o ta 1
prior Bnvelope Average "U" Computation Page 2 of 4.
. • ` Tottxl expo3ed roof/cciling Area = I2~ ' ~
m. 1bta1 skylight area
n. Total roof/ceilinq framing area (averaye 10%)... ~
o. Total net insulated roof/ceiling iirea........... ~
'
. Determine "U" value for each roof/ceiling segment
M. X oVu ~ . . , • ej
n. X 1.U1.
0. X u0u
-i--'~-~-
4 . . . . . . . . . . . . . . . . . . . . . . . . To tal
If total of fl4 is the same as, or less than 82, you have met the inte~~'of
SbC 6006 (c) 1. '
Alternate Building Envelope Design
7b utilize the total envelope 'system method, the values established by tlie s:un of
items 03 and #4 shall not be greater than the sum of items #1 and #2.'
~
+ 2.
3• + 4.
. . . , ,
. . . , . . . ' ~
~
' I . "'I .a
. . ' . . ' . . 'I ,:~~P"1
, r
' ' ;~:ts
. ' . ~ ~
. . . . . . . . . . . - . . . : ~ ~:1'{~}~ ~)~f~~
. . . . . . . . . . , ~ ~ r, il 1-Y~.'
. . ' " V..+Z~•.I
. . . i': ~ ~
. . . . . ' , ' .6 .tia
jr
• . . . , "r+,`.
MH
PL~W A:
Li K154 L F
~ T, 'F-xposEo WALC_
,E 0 1b`
iC.?.i I ~ ~2 . .
W.~., i. ,
~
;:U L L I r-2 A-~-14~
FuLl.2 ~.Ar.+ 1,5+~~~
T:i R.EPLA?C.E
' a5~f
1
• / . .
E-1tPo5ED W~-LL., Ar2.EA
t3L.oc~C ~ l~~ x
_.._,.rw_~..
;
IC.N EE %5_2 x S
i i„...r • , -',i
`,~f
V ~1
. Q ~ j~ x g ~ . ~;'c~: s:;~.•'
{
t- u L L , I x S=
:
Fu LLl!'Z
,
„ ~ ~ r ~ ~ ~
F.
F, Pi ,,iI~j
~:.J
To-f-AL.
~'I,•~Si~ti
~K oS~D GEI L ,
~ tUq
W DW15
tijp
" - f _ - ~ . . ~ ~,~p ~i;•
?ATI o' DRS
~ ?iE~3~ -~r~•~ l 11= ~ l~~ i ~ _~:~~`;I"';
CP
~(~~'liQ- " ~I~~ ~~il"~ • ~ ~~f"~"~ UA).
„•~r.~
LP
, i~ ...~erx-:.,rmr,~a ~1 ' ,,.Mf'„s•~ii:....w..,.~n.,~. i• . • _ - ~ -
, i' ~ . . _ , .a~~~~, ;m•n . , - ,
' 'iinL4 SCr.l•:oNs
U*r'~yt• of• vail nrcA for ~
^ rYnRV1 C1GIl:tf 1'UCI lbf1 Cunt I ncl ir,n ' I:_'?_i Iw: ,
___Q
4 s• S.1 c.ia.4o _ ..VZ ~ ,
~IC 6. F:r.lcr ii,r n1 r f i Ln U. 1'1
J . ' ;
11611
• ~i~ . : i' : r
PIL'. pl TGCVIFIJ OF
. FIWtB iJALT. 1. hiCrrLi,r oir :11r% O.G11
- . . . .
. , _4" .._Ir.su~._
~ . , • a.
5.
.43d' - . .~.z.
r Elcrric.,sz O v= o-~
lilri 0_G!1 ~-Q 2. y.~ A~SuL (°.~.IQ
~ . _
i9 1.
d.
_5~.3-~--.?4K/.
,Si RL!J(
lr ral ~ ~ --...--=~e.'L .
• -Q y Crrlor nir I i Im 0. 1.'/
:!1~~ _ ~ ~
k``' L-----~-t)~ x •r~,c.;t z1, 9i
} 'C•=~
i. ~QCk
r(i I1.C,11
I } _ . - - ,
' ~ , . _
vicia . . -----•----0 ~
. o ~ n . . ~
p.~•_9~~ro. ........._....5..v_
i • ' . ~ '
• d• • o' -O . . rattc~.ue bwr.Y'~ ~ic--- -
. u • ~..!?.•no~ s
• . - .
l::tl,! C .iL i' i!ri U.l~l
~`i•oi:~i R = '~.r3
,
• " sT.nn ()ri (:iu~uii
, , . - . - -
. „ ~ ri~:~ , . • ;~r , ,
, • -~R~~, ~ „ . _.I
' ~ • . , . ' ~ , I I ! _ ( , s ' • . /i ~ ~
,
r t~ ,v i /r( il~ y . • ~ /fl
!1
• ^ F1G. 04 I(t S • ~ .
• . , i
~/`co •I
1
• ~ ' tHo•l'C: Indlcntc lynr, •"t" v,111,1Q, (Ir_nCh nnd ,
p . r~. . !
/~N
ploc.'r,nan[ of iw-'iil.iCinn.
\11
tOor%ceiLiNc : ; '
Construction R-ValUc
Intcriar air £ilm , . 0.61
3 z. ~p .
3- _.Ldl5UL_,.___
44.OZ~
~/II I II I^(~~I~~+I~~~Inl~l~~ 4. Extcri.or air filn (still 0. 61
VLll sotal 2 4s 80
` . C)
. . . . . . . • ~ ~
• ~ . ~ F0.^m o: ' . '
. .
:nied Hea[ flov ~ 1. Inte.rior nir lilm ' 0.61 T
up 2. _
• •
. . 3. 1415UL
, • • 4. T.xLerin: ir filn (s[i1.
2 : 9p.ls
TZG. $5 ~ •
. . . . , . .
' _ _ _ : • [otiyrot 'vcri my~, ' •
~\Tl~~1VY~.L1:~1 ?i1~`.~.y^~ir~'11L1lt..~ : 0.~1
Insidc air filin +
? • - r----r 3 •
. . ' 4. ~
1 n~ Outsidc . ir. film 0.17
'~~I~It~,UU~lU~~J~I~_~~ - Tota1 . . .
.~'.C~'f•-? E ~
• ~ t-C2) 3 ¢ • ~ ~ • 1. Insidc air Pilcn . . 0:61 • . ,
2.
Y.ecc flou up. j•vented ~ 3- -
. . 4.
,
• • . ' ' • ' ' S. Outsidc . ir film 0.17.
. ~ , Tic. i6.' . . . , . . . : roral
-3 ~ .I v •v 1. Znside air fil.m 0.61
' •.t -S'"~~ 2.
~ . ,n '^'~-=-~.'1'~l_ - 3. '
. ~ ~t~~'~L'1 . 4 .
~';~?t'•`: / S. OuYsidc aic filtn 0.17
' Total
, • • .
~ 1 ~ ~ . .
, • • . • .
. . . . - . • '
. gp~t_~,•~ , ' Note: Uso additional sheets if morc apacn i:
MecdeJ for details and calcu?ations.
' . ~ Heat
• • . ; , flov up • - • , . .
, . • . . •
' ItI6. !7 ~ . , • ~ . r
~ 11-3
1985 BUILDING PERMIT APPLICAiION - CITY OF EAGAN
NOTE: ALL CONTRACTORS HUST BE LICENSED NITH THE CZTY OF EAGAN
COl41ERCIAL SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SE'fS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS eo
$2,000 LANDSCAPE BOND
zrr2o cLEA/te'ucc '
To Be Used For: _f~26p~s}c~ Valuation: Date: /ZI &S'
Q-T
Site Address 3&" ,C~6+&ni~i OFFICE USE ONLY
Lot / 3 Block 13 Erect Occupancy
1Z.K~ Remodel ' Zoning
Parcel/Sub GI~CA-~ ~ Repair Type of Const
Addition ~ I1 of Stories
Owner ~/EmG seej•7- (GnI;„f.f,"r10/l/ Move _ Length
Demolish Depth
Address Int.Impr. ' Sq Ft
Install ~
City/Zip Code gt-vOmri?E~pn/
Phone APPROVALS FEES
Contractor fjyq~T ti- rrLa 2E?067 CES Assessments Permit ~ •
Water/Sewer Surcharge
Address -i5S-D 41~//W~a J 3 Police Plan Review
p --T Fire SAC
City/Zip Code puvnSU~~~{. SS 337 Engr Water Conn
Planner Water Meter
Phone 143%D - jj 3,/,:Z Council Road Unit
Bldg Off iI-U~ Treatment Pl
Arch./Engr, APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone 1l
t
UNDERGROUND SPRINKLER SYSTEM
PLUMBING PERMPC
Date:-, L? ~~5~- ~ ~ Receipt #
Date ~3/A/
Permit # 9
_ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If
adding new service, a water permit will be required, as well.
Existin¢ residential: $1550 (Plumbing permit not reyuired if backllow preventor was
previously installed).
_ Residential developments: Fee to be determined by building inspections department.
May require payment of water permit, plumbing permit WAC, and water treatment
plant fees. as'
(Address to be sprinklered)
Installer Name: Phone 7,S-a~
Street Address: 73
~ ' ~ ~ •
City, State, Zip:
Owner Name:
Street Address: J C~ ~S- k~~~~ e~17 •
Plione
Irrigation Contractor: 1/~GU~12 W~cC 6~J4Z;~
Phone
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply ith all applicable City of Eagan Ordinances
~ ~~'.~LG2ci~~•
cc: Engineering Department (commercial only)
1
2/84
CITY Oc EAG'"V
AP?LZC:ITZ0;1 F0R PEF!•1ZT
SE:•IER AND/OR WATBR CON;IECTION
(PLE,ISE PflI4i)
Trr~,L L...S=T'yTTCN.
(L:,ti3lock/S;:;divislcz or 2arcel I.u. c:.--e_j
ra' eF c.tic-:%:. LJl-~--..J ~CS-_
P: °e_._ ....-:-:•''y^RCPCczD C cy: ? r.--' S==-
? 3-2 CL?(7-.'0 L::=S)
• _rr.
R-3
? .-.--k
- Q
Q 1 zu S -:~1a
z
ACiR:.SJ:
C.t..+.I ~i.~.^'...i ZI?: .
PF.O?:r.:
3) FL:..:=~ W~ (NLE:,~~ rd1Ni) FOR CITY USE OtiL
I~'•`~: ~II!J/i~rr5~f_i21v ~~P~A9UlCH~.
A.GC:: ss: Pl0!!BERS lIL:S$
. r CI A ve
CIil,,ST.1:E, ZIP: /31r}JpJf , pl+ S S~/ Ezpire
' ~ Recorc
• PfiOVE: 7{17-/l %D PLU48ER LICE75E H
' i rr .ni:t3 i
al oc--t,,Pilzrr/a-zm ' (PIE.iSE PR~I!-Ir)
c~r,DIE: 132£y,~/- nl -L,2 '1', r s --s
ADDF2ESS: IC ~O lF) F1-C'~I A til f~ M'~/£ .S
CI?"'. STA'I'E, ZIP: ~ ~DO tt,\ I N C-~r u , CV1 N. SSy3d~
PHO>E: 9 (4 s4s E3
5) Ii3pIC:.TE ;•IHICH PER;•LIT IS BEID:G RE7LUESTJ:
CC:::IECTICN 'fL7 CITl SE;•i'c:t
_ &~,CC::J=IC:I 'Il7 CITY S•7r1TE..2
~ U:cIn (PI.Tr+SE DFSC?,ZL'E) •
6) IND:C,..:
Q?MSc F?OLD r1PPP,WE1) PMY.IT FOF PZCK-LP BY C:7E GF r1EGZ,'E
orWLSy :_~IL APP?,OVF~ PE=:•LIT 'PJ 1. 2.~ 4 ',6Cvc ~
(Cic.e one)
7) SIG.:,M7~Z:
Da=:
.
,
A A ~LM Ir~O i~ i!~ l~:Dfls f! ~ I"R O i~a ~ s is sFSia a~!!l:a~
~1~i ~ ~ 1~ ! i ~@.•
F O R C I T Y U 5 E O CI L y
p=o%= u TSSUE:)
~
rcrS: $ A'~U
C'" ^o Dr.R..Tm
WATER D^~ rm
JUR.r..t:N-RGL)
$ ~~UU WATER ilETER/COPF°_RHOP.:J/OUTST_J? 2E:,DER
$ WATER Tn? ( Z:ICL::DE COR?ORnTZCN STCP )
, . $ ' ~~G~ t.......,_._ ~_r~•C:_ -
$ /~UG AC.^_Cu::T p.F.pr.SIT - I'+:,':Zi
+S Wn(.'
$ SoZS~(/ t~ S: C
$ T3u:•:{ ;'In'=~P A5:Z_z5:_=::T
_ S T°tiNK S?:i~R :~,SS :5S::=:•iT
. $ Ln;Z?,ni, Bcclcr ZT/T3II:Iri $=r;==
5 LA:EzAi BLNGLZT/TRU::iC ?'IAT_°R
S U U WATER TREATME\T PLANT SURCHARGE
r - ,
$ OTHER: ~
$ T0: ~L
S sv A~,oe~:T Pai0;RzCz__T _ `~j~5 ~
n
, . , ' J':•
• ~ . , . .:1G..
DOES UTI:,ITY COCI:7EC:'ION REQUIP.E EXCAV.ITION I:I pUBLIC RIG$T OF WAy?
~ YES IF YES, THE:1 A "PEZMZT FOR :•IOSS WZTHZL1
PUBLIC ROADWAY" MUST BF_ ISSUcD BY THE
~"-NO ENGI:IEERIr]G DIVZSION. LIST AS A CUNDI-
TION.
5[;''iJcCT TO THE FOLLO[9ING CONDITIO.IS: •
APPROVED BY: el
TZ^._... ~ •
. DATO.
BIOMA
BUiiVEY1N0 Nouse Certificate Foi:
gEFiVIGEB
3908 Sibley Memorial Highway fb4r. JIM KOLBO
Eagan. Minnesota 55122
Phone: (672) 452-3077 ,
~
0)
~
o.
REVIG WED
v "ory~
BY
~ ~ , \ N~TRFF BUILDING INSPECTIONS DEPT.
0 90, s ~ SsTo ~ ~ F
O S/~~. 4~, -~oe
~ `$.9 097.4T
N
A/
~2 106 T.[,
^Y 1' 1J X / ~ E G,r~~ ~ iE91.U
''•,~,/y7 »
ery (v . j
~
s,y e l i' X10L.e G1 ~`v %T ~VE.O PLANB SIT
s ON JO
\ ~ + ~Y.a; . PPG~T t ` 300 ` k9eSO ~ cLM IN
Sgo
t)~z.;
~,a-9`1y Opj~, toia~ ~
01 /
r/ Q i
,'nII :.i'I• jc1 ~6/3464~:y3~` : 0-~
rN ag'~ I °F; O 9o/y q 1 As .b`k{
_ P
3 84
U ~
1 ~ ~U14111tlllllllly/
~ 40 /
~ y
A . -
~y ~ f~1~ ~ .:l I
h~Y• ~Y u : , ty, •
?J U`\ ~
.llit'~3E~;:
-LEGENO- PROPOSED GARAGE fL00R ELEVATION-, 9060
O Denotes lrar Moni.+rcnt Phl7POSED Top oi Block ELEVATION- 90fo.3 ~
m Denotes Woai Nuh Sef PROPOSED BASEMENl FLOOR ELEVATION- S9$.3
x 9077 Denotes Existiig Spo1 Elevetian
NOT~ yerify ell floor heights with Firol Hacse Plens.
Np,
w,..,) Denotes Proposed Spot Elevetion .
Denotes Orainege Directim ~PAMM CERTIFICi1TICN_
1 Irreby cerlify fMt this survey, plen or report
-PPDPER11~ ~~~PMN- was prepsred by me or u'der my direct supervisim
(.pT 13 BL(XK 3 erd that 1 em a duly Registered LeM Surveyor
Wit4DIREr- 3R0 AAoITiorJ under flr lews of the~ Stste af Yinrosota.
accordirg fo the rxorded plet therool, 0 r q/g fg~
n
31 ~_e Date: ~
U ~Kotd Camty, Mimesota Wayne D. Cordes, Yinn. Reg. No. 14575
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164461
Date Issued:09/29/2020
Permit Category:ePermit
Site Address: 3659 Windtree Cir
Lot:013 Block: 003 Addition: Windtree 3rd
PID:10-84472-03-130
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Keith M Rudolph
3659 Windtree Cir
Eagan MN 55123
Renovations Unlimited Inc.
7261 Mill Rd
Hugo MN 55038
(763) 227-0983
Applicant/Permitee: Signature Issued By: Signature