3671 Windtree CirPERMIT
City of Eagan Permit Type:Building
Permit Number:EA127599
Date Issued:10/07/2014
Permit Category:ePermit
Site Address: 3671 Windtree Cir
Lot:001 Block: 004 Addition: Windtree 3rd
PID:10-84472-04-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Jeff Pelant
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Richard A Lamers
3671 Windtree Cir
Eagan MN 55123
(651) 303-3823
Legacy Restoration Llc
14000 25th Ave N
Suite 110
Plymouth MN 55447
(763) 354-7660
Applicant/Permitee: Signature Issued By: Signature
CITY OF EAGAN `
3830 Pibt Knob Road WATER SERVICE PERMR
P. C Box 1.199 PERMIT NO.:
Esgan,Mq 55121 p^TE;
Zoninp: R1 1
~ No. of Units:
Owrwr: Oa I
Mdrosa
Sf» /lddres$ d 1:'4! Ill~Q- ' L1 B4 4lindtree 3rd
umber: ~'~.~,d~1~~k~ ~ m~~~~1~- ~;:~Xh•
r No : - `,Adnnectlon Chow; 470.00 pd
Slze: 15 . 00 d
Reader A!./ L o2 3 ~ O p~jt F~ ~t: 10. 00 pd
~ NN• te oMJJ wi!!i O. cxty .f E.ti.. Surd,arpe: • 50 pd
Mtsc. Chorps:: - 61.00 pd mete r
Totol:
By % v
~ Dots Paid:
Date of Inap.: I
Irop.:
_ I
CITY OF EAGAN ~
3830 Pilot Knob Road WATER SERVICE PERMIT ~
P. O. Box 21153 PERMIT NO.: 4::3
Eegan, MM 55121 D^TE: 5-17•-84
Zoninp: u 1 No. of Units: ~
OwM,; Oak C:?ase Rl~:ra
llddrosx
5i» Addres,; 3b71 T;lndtree Circle L1 B4 Wi.ndtree 3rd
Ptumbar: Neiezke Tre:~ch b f:;cc
Meftr No.. Connection Chorfle: _ 470.00 pd
siZ°: Acaounr oepostt; 1 S. 00 pd
Reader No.: Permit Fee: - I Q. Ofl pd
~ Nrw h aowphr wNh !1N Cify «Napa SuRharQs: _ . S!1 pd
OFA°O"0"' Mtsc. CtwrMs: 63.00 r)d metet
-
BY Totol: Dote of Insp,: Dats Pctd:
Insp.:
CITY OF EAGAN
3830 Pilot Knob Road SEVYER SERyICE pOMrr
P. O. Box 21199
Ea9an. Mk 55PERMIT NO.: f,,`78
za,r?,g: r ~ DAre:
Owrwr. ~.n a9e re No. of Un1h:
A
ddrou:
Ssro Ad~rou; ~ n tree rc e,
Plumb.r: Weierke Trenc i & r.xc ,a n tree r
i
Or>IN~~~NI ~!iw phr of ypw Co+nectlon C!?orge; 425 . 00 pd
Ac°°u^t Deoo,tt: • P
Panrdt FN; p
By Surchorps: • Uc.
Dae of Isprt.: Misc. Chor+pm
Ini Totai:
Dcb Pold:
~ CASH RECEIPT ~
. CITY OF EAGAN
• P. 0. BOX 21-199
EAGAN, MINNESOTA 55121 I
DATE
19
wccew~ / / / ,
nROM /
AMOUNT $
A DOLLARS
~oo
? CASH El CHECK`
i'
row
FuNO cooa
AMOUNT
i,
Thank You
,
. B Y +e
• -
White-PaYers CoPY
Yellow-Postinq Copy
Pink-File Copy
CASH RECEIPT ~
. ~
CIT.Y OF EAGAN
• P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
. ~
onre 19 RlCi1V[D
rROM . .
AMOUNT $ I
& DOLLARi
~ae
? CASH 4-CFfE`CK
row - ` ~ •
J1. J r •
ruNO cooc AMOUNT
G? l~U
Thank You
B(;
White-Peyers CoPY
Yellow-Postinp Copy
Pink-File Copy
CITY OF EAGAN ~~•s ~
- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 - ~
BUILDING ~ERMIT Receipt #
To be used tor *BASEMEliT PINISN Est. Value Date OCT b , 19.9L
Site Adc,Ess 3671 YIHDTNEE CIR OFFICE USE ONLY
Lot 1 Block 4 Sec/Sub. WINMREE 3RD
Parcel No. occuPancy _ Fees
Zoning _
~ Name THOlS/?S SULY
W (Actuaq Const _ Bldg. Permit 35•00
0 Address -3671 UiIIW?i1LE C1R (Niowab1e) - swcnar e
City GGAti Phone Sf4 (ml # or scories _ 9
Length Plan Review
~p Name $wME Depth - SAC. CitY
Aqdress S.F. Total _
City Phone S.F. Foo~irns _ snC, MCwcc
pn Site Sewage Water Conn
u W Name on site weli
+u+ - Water Meler
Address Mwcc system
g~ City Phone ciy water _ AW' Depos't
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application nd state that Ihe Booster Purtip - S/yy Surcharge
information is correct and agree to comply with all State of
Minnesota Statutes and d'F• a Ordinpaces. Treatment PI
Signature of Permitee ~ l APPROVALS Road Unit
A Building Permit is issued o: ~ St Y Plenner - Park Ded.
on the express condition that all work shall e done, accordance with all Councii ~
applicaWe State of Minnesota Statutes and City of ~agan Ordinances. gby, p~_ _ Copies •
'i ~ 36. 00
Building Offitial , T~ Variance - TOTAL
P~r~it No. Petmil Holdm Date ToNphone N
WATER '
SEYYEii
atuMewc xuz~ ~O /
H.VAC.
ELECTRIC
rup.euon odo w-P. comawnts
Foo6rgs I
Foundetion
Framing
Roofing
Fiaigh P6g.
Rough Hig.
Isul.
Freplaoe
Final Htg.
Orstat Test
FoW Plbg. aloy. inspea« - Noorty Pk,mbe.
Const. Mete.
ErprJP{an D6-
Bldy. Final
Oedc Ftp.
Oeck Final
Well
Pr. Oisp.
CITY OF EAGAN nn
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '1'14 r
' PHONE:4b48100
dUILDING PERMIT Receipr #
To M wed"fer ST' D~'JC;/G~.R Est. Valus (ih, Oi10 pme I'1AY :f3 , 19 L4
SItBAA#4ro-c 3671 wrranI'REE CIR Erect R3
4 47INDTRL 3RU ~ ~~~pO`"y
Lot Block ~/Sub. Alter ? Zoniny
Parcel No. ~ Repoir Q Fira Zone
Enlorpe ? Type of Caut.
a Name 0i:K CHASE BLDRS Move
z 3460 WASFIINGTON DR O # Storie 4
Address ~ Demolish ? Length
~ City ( . Phone 4.> 4- 9 6 5 Grode
p Depth Sq. Ft.
APOrerols Foos
~ $
Name
zpu Addrom . Assessment Pertnit j
V~ City Phone Woter a Sew. Surchor ' U iPoHce Plan check 16 5. 5(,-
PW Name Firo 5/1C O L
Address . Enp. Woter Conn. 4 7 U. U l;
at Z. City Phone Plonner Woter Meter 63.00
Councfl Rood Unit 2 6 0. 0{-
1 hercby ocknowladya that I hove read fhis application and stote that g~~ Off
fhe inlormotion is torcett ond ogret to tomply wlth oli upplitable . .
State of Minnesota Statutes ond City of Eogan Ordinonces. APC Totot
Sipnoture of Pertnittae
~ - , . . .`:1: B L7,I i : "
A Building Permit is tssued to: on ri?e •
xpm~ tondition thnr
oll work sholl Ee done in ocoordonte with all oppliaoblo; State of Minnesota Statutes and Gty of Eapon Ordinances.
)
Buildinp OffiNol
Pwmit No. PKmit Holde? Misc. Permit No. Holde?
Plumbiny I, ~ ~F _lJ- P,~2 ~p
H.V.A.C. ~Jl. S u D X i4/S 7 y ~
YWII
Wat~~
Dhp.
S~vrn
ebctrie
Imp~etio~ Dtb Intp. Other
Foutings
FoundKfon
Framinp 7
RouOh PlbO. ~
Rouyh HV 7-
Inwlation
Find Wbq.
Final HVAC
Final
Wabr Onoribe Location: .
MNII _
Pr. Dimp.
Raceipt PLUMBINCi PERMIT PermitNo.y~ y~~O
r ( I-~'~ CITY OF EAGAN Fee sr)
Ir
fi1l in numbered spacea SIC
Type or Print /egib/y Tot. . .
1. Date 2. Installation Cost
3. Job Aildress --'Lot~Blk. l Tract NJ- 3
4. Owner //,f' li//IASG
5. Contractor, Phone
6. Addr, 17 zloos 31l1. /~-CJ~~XY:_.2ft-rL,
7. City k c- ~_r ~i , L , 'ji i j State /L jV Zip'_, .c ~~c--
6. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New'ET- Add ? Alter ? Repair O
10. Descrihe
11. No. Fixtures No. Fixtures
~ Water Closet
Cesspool/Drainfield
L_ Bath tubs Septic Tank
~ Lavatory - 5oftner
Shower Well
~ Kitchen Sink ~
Urinal/Bidet Other
L Laundry Tray
~ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, end 1 agree to
comply with all ordinances ~nd codes goveming this type of work.
'
Signed : for ;2
Rouyh Flnal :
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EA6AN 464-8100
Roceipt MECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fee
Fill in numbered spacea S/C
Type or Pr1nt /egiWy Tot. J
1. date 2. Installation Cost
3. Job Address LotBlk. Tract
4. Owner
5. Contractor • • , . Phone -
6. Address ' ' / ~ • . 4,~, - - . ~
. v
7. City State Zip
8. Building Type: Residential C~ Commercial O Institutional ?
9. Work Description: New LI Add ? Alter ? Repair ?
10. Descxibe Fuel Type '
11. No. Eauioment BTU - M. Ea. No. Equiument 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 above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Cities Di ital ualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
• CASH RECEIPT
CITY QF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
;
i ;
DATE 19
F
RtC[IVLD „
FIIOM
e
AMOUNT $
6 DOLLARS
7oo
? CASH ? CHECK
ruNe cooE AMOUNT
1
y
Th
. HY I.
YVhite-Payen Copy
Yellow-Postiny Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition WINDTREE 3RD ADDITION ~at 1 Rik 4 Pa~~I4" 84472 410 04= ,
ow?,e? streec 367 / Windtree Circle state
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 303 1975 161.30 16.13 10
STREET RESTOR. 1984 2315.25 463.05 5
GRADING 1483 613.25 122.65 5 367.95
SAN SEW TRUNK IS! 1971 160.46 8.02 20 48.18 1A014539 -1 -84
of it
SEWERLATERAL 1983 3256.80 651.36 5
1954.08
Sewer Lat Trk 1983 188.16 37.63 5 112.90 of it
WATERMAIN 1983 260.34 52.07 5 156.22 " "
WATER LATERAL
WATER AREA 151 172 236.39 11.82 20 14539 9-11-84
STOFiMSEW TRK 1983 771.36 154.27 5 462.82 A014539 9-11-84
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 260.00
WATER CONN. 470.00 1 '
BUILOING PER. ~i of
SAC 595 100 r~ n
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
. ~ ~,i1K11t~tFF ~Jk ~ , • ! i • I!t . ~ . ~ ~ i . . ; . . ( r
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION •
f 1 r7 , ~
I ~
~ ~
P~rmR No. PnmN Nolder Dats TeIsphone #
ELECTRIC
PLUMBING
HVAC
Inspwtlon o,e. rup. comm.rns
FOOTINGS
FOUND
FRAMINCi ~
l-
RooFlrG
ROUGH
PLUMBING
PLB(3
AIR TEST
ROUGH
HEATIN(3
(iAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FlNAL HTG
ORSAT
TEST
BLDCi FlNAL
BSMT R.I.
BSNAT FlNAL
DEqC FTG y7 ,7V
DECK FlNAL
INSPECTION RECORD ~
CITY OF EAGAN PERMIT TYPE: •
3830 Pilot Knob Road Permit Number: n~•' ~
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675 ;
O
Si'j
ITE ADDRESS: J1101. I APPLICANT: ~
. I -IMnTRIFr r. rH
,~~~ii~~,., . r.~.i , • , . i,, ~ ~
' PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
+ „ ~i• I
I
L ~
i Pei. Hokler Da. ,obpho,,..
SEWER/
WATER
PLUMBING
HVAC
Inspscdon Da1s Insp. Commsnb
FOOTINGS
FOUNO
FRAMING
ROOFINO
ROUGH
PLUMBING
PLBG .
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPIACE
FlREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONOIICTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN N~ 9045
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~
BUILDING PERMIT Receipt # %
To ba med for SF DWG/GAR Est. Value $66,000 Dare MAY 8 , 19 84
Sitenddress 3671 WINDTREE CIR Erect 6 Occupancy R3
Lot 1 elock 4 Sec/Sub. WINDTRE 3RD Alter ? Zoning - R~
Parcel No. Repair ? Fire Zone N A
Enlarge ? Type of Const. V
a, Name OAK CHASE BLDRS Move ? # Stories
= Address 3460 WASHINGTON DR pemolish ? Length 44
~ City EAGAN pnone 454-7965 Grade ? Depth 46 Sq. Ft.-
o Name SAME ADDrovalf Fees
o~ Address Assessment Permit $ 331. 00
U Water 8 Sew. Surchorga 33 _ 00
r CitV Phone
Police Plan check 165.50
FW Name Fire SAC 525.00
Address Enp. WaterConn. 470.00
~W City Phone Planner WateiMeter 63.00
t
Council Rood Unit 260-~0
1 hereby ocknowledge thaf I have read this upplicolion and state that Bldg. Off.
the inlormation is correct and agree 1o comply with oll opplicable I , 64 50
State of Minnewlo Stotutes ond City of Eagan Ordinonces. APC Totol
Sipnafure of Permittee
A Building Permit is Issued to: OAK CHASE BLDRS on the expreu condition thm
CII work sholl be done in accord~ arxe It ol_Iapplico Sta e of Minnesota Statutes and City of Eapan Ordirwnces.
Building Officiol
This request void ~
18 months Irom O O~
? A41 47 ~ 3L4 3
Reques~ D ~,/y Fire No. RnupM1-in In>pecUOn
[:]Remiy No 411 Nolify, InyVOC-
~(J v ~ ~4 ~No or When Ready
L~cense -leclncal Conv:icwr I herehy requesl ins0ection ol nbovo •
? Owner elactricxl work instelled ot'
Street Address. Box or Rou No. ~i City
(367
- /~11jlk'f£ (.._ne £
ecuon o, ownshm Name or No. Ranee No. Coun{,y~
i\J% ~ 1 1 rS" \
Occupan (PHINT) Phone No
?awe I~er Atldress ?
~
EleGncal Co mr ompany Numel Conti r.mr's License No.
O2-!~
MaJme ~+dibess IContm~ or o wner Mabn s~ailauonl \
l Q~ ~~y
onzed i ure (COmmcwr/ n a eInstallaUOn) Phone, Number ~
~
MINNESOTA STATE BOAND OF ELECTPICITY TMIS INSPECTION XEQUEST WILL NOT
8E ACCEPTED BV THE STATE BOARO
Griggs-Midwey Bide. - Room N-191
1821 Umversnty Ave., St. Paul, MN 55104 UNLE55 PPOPEN INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
38 REQUEST FOR ELECTRICAL INSPECTION r EB-00001-04
, See instruGio~~s lor comolebnB !l~~s form on buck ol Yallow cooV. v A~~ e `F
A4174( PX" Be/ow WorA Covered by Tlus Requesl - b ~
AAd Nep. Type ol BvilCmg Applinncns Wrtetl Eqmpment Wired
Home Ranye T¢mporary $erviCe
Duplez Water Heater Lic
phtinp Fixtwes
APL Bwlding Dryer Elec[riC Heabn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tunk
Farm otne, oeci v- Oine~ ISUer,,rvl
t Fl Succily Other Othm
Mompute lnspection Fee Below
p Fe ServiceEMrenceSize H Fee Feeders/5ubineders k Feu Cucuits
/ 0 ro 200 qm ps 0 to 30 Am is tn 30 An+, os
Above 200 Amps 31 to 100 Amps 31 to 100 Am s
SwinuninG Pool Above 100_Amps qbove 100_Am s
Transtormer5 Irtigation Booms Partial: Other Fee
Signs Speciallnspecbon 5
Remarks J OTAL
0~
Raugh-in ~ Date , the Ele cal
a~f InsP a,c~oq haroby
Final r _0 ! y{N~~ ~hot tM1e nbove
dspection M1os been
~ made.
T11i8 fBQ11B9I vOld 18 rt1001Ib 1f0111
~ /o/ V/ vi ~d C/SG~9~
a 38389 /
ReQUest Date FiT No RougRin Inspeciwn /
Reayired~ L7Rea0y Now ? WYI Nooty InSpector
~ ~ ~ C~Ves ? No When ReeOy'f
I Ll licen5ed contractor N owner hereby request inspection of above electrical work at:
JoE AEEress ISlreel. Box w Route No I / Qry
SecLOn No. TownsNp Name or No Range No Counry
OccupantlPRINT) Pliona No
G,Z - ~00 ~ CJS4 \
POWBf $UWIiIN AddfB39
Eittv¢al LonVattor jCOmpeny Nama) ConVattwg License No
C 3~1~' b. i0.
Maning qoCress ICOntranor w pwner Mekmg Installatan)
Vhone Numper
AuIDOnietl ure I ctorlO.vneow
~kz- - NINNESO A S TE BOAPD ELE THIS INSPEGTION REOUEST WILL NpT
Griggs-1011dwalf BIEp. - Room S173 BE ACGEPTED BY THE STNTE 80AR0
1!]t Unlvmslly Av,.. 31. Poul, MN'S5101 UNLES$ PROPEF INSPECTION FEE IS
VMm(61R) 6I2-0600 ENCLOSED
ligREOUESTFORELECTRICALINSPECTION eeoooo,-0a I
? Sea mstmclions lor campleiing this brm on back ol yellow capy
~ "X" Belnw Work Covered by This Request
35389
ewAdd Nep*jI Type of Bmlding AppliancesWiretl EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Bwltlmg Dryer Other (Specdy)
Comm./Indusirial 'Furnace
Farm Air Condihoner
Other(spenly) ConvacmrSRemeMS:
Compufe Inspection Fee Below:
x Other Fee 8 ServicaEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Tran510rmer5 Above 200 _ Amps Above 100 _ Amps
Signs mspemorg Use only. . TpTAL ~O
Irrigation BoomS
Special Inspechon
Alarm/Communication THIS INSTALLATION MAV BE OR DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the ElectriCal InSpector, hereby Rougn-in ~ Dale~
certify thal the above inspection has F,,,~~ • a/
been made !
OFFlCE USE ONLY •
Tlus request voitl 1B monfis from
This request void
IB nwn[hs Irom
W 060755 L~ ~,.~~~?oT~,~4~ ~lyy8
Requ ~t Date I I Fvc No. Rnugh.in Insper.~ion '
RHUwred+ Ready Nnw Q Will Flolily Inspec-
2 ~Ves A Na ~m Whr.n FeodV
~ Lwensed Electncal Conlractor I hareby roquest insoection ol abovo
?O b 7 / elecvicalworkinstalleCnc
Street Address, 9on or Route Nu. CitV
W/ND T? EF
ection o. Township Name ur No. RanBe No. Cnunty
oli9
'Ovcvpant IPRINTI P~ione No.
dx, s
Power Supplier AAdress
Electncal Contractor (COmuany Namel Convar.tor's Liconse No.
G_
Mading Atldress (Contractor or Owner Makine Instailation)
f.3 v
Au~hpr etl S~gn [ure IConvactor/Ownor MakinB InsW Ilationl Phone Numbcr
MINNESOTA STATE BOAND OF ELECTHICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Midwoy Bltlg. - Foom N-191 BE ACCEPTED BV THE STqTE BOAPD
1821 UnivarsilV Ave., St. Pnul, MN 55109 UNLESS PROPEP INSPECTION FEE IS
- ENCLOSED.
Z- ~(.(,p t,/ REQUEST FOR ELECTRICAL INSPECTION ~ ee-aoooi.oa
d.
r ' Sae inavuctions br comoleting this lorm on bock of Vellow copy.
He .lon-~ork Covered by This Request
Htltl Hep. Tvpe al Bwltling Applmncns Wiretl q q
Home Range Temporary Service
Duplex Water Heater LTqhbny Pixtures
Apt Buiidinc7 Diyer Etectric Heann
Commercial Bldy. Fumace Silo Unloader
InduStrial 81dy. Air CondiLOner Bulk PAilk Tank
FTrm Olner i per,i v 71 her ISner,rtvl
i a,r Sucm y ihcr pihur
ompute lnspection Fee Below
N Fee Service EntrpnceSize H Fee Fantlers/Suhfentlers 8 Frte Grcuits
0 to 200 Am ps 0 to 30 qm s 0 tn 30 C.m s
Above 200 qmps 31 to 100 Amps 31 to 100 qm s
Swimminq Pool Above 100_Amps Above 100_Am~s
Transtormery Irrigation Booncs Pritial.bthei F
Signs Specialinspection
Fiemarts $ TOTAL LA
~
Houeh-in Daie
I, the Elecvicnl
Insunctor, herehy
carIily ohat che above
Fnal nsoec4on has been
• ~~j ~ de.
ThIS reaues[ vaia 1B montRS Imm
This requast void Z ~ 3 ~6 y ~ ~ ~3 ~i • Q ?
18 months from
W 060756
Request Dale Firo No. Ruuphin InsUection
2 Reywecd~ C]Heatly Now [At Wdl Nnu(y Inspec-
/ry ~Y.s ?NO IQr When Ready
~ Lmensed Electncal Convncmr
I hereby request inspoction oi ebove
? 0,vner electncel work lnstalled at
SveeMeS 9ox or Rawe No. Cuv
,3G-L 'e"o TR~~ E~c.9•~?
ecuon o. Township Nome or No. ftnngv No. Cnunty
Or.cuP~... t (PFINT) Phune Nn.
NO HS R/t 'dwA-'O _FitS g9y y~~g
Powei Supplier Atldress
Electrical Cnmractoi (COmpany Namo) CunVacIor's license No.
Mailinp Atldress (Contrnctor or Owner M. kiny Instailauon)
. /fdSa sL/Y~.o,o,E.vGdqc-E 44
F9/l.sl~••~6rn.~. /Il.~• ~So~ S~
Phune Nwnber
Auth ~zod S,pn Wre (Comractor/Owner Making Installation)
Gt' ~l,3 - 7 Yyo
MINNESOTA STATE BOARD OF ELECTflICITY TMIS INSPECTION qEQUEST WILL NOT
Grie6s-MiAway Bldg. - Noom N-191 BE FCCEPTED BV THE STATE B0/1ND
UNLE55 PNOPEN INSPECTION FEE IS
1821 University Ave., St. Paul, MN 55104
ENCLOSED.
Y REQUEST FOR ELECTRICAL INSPECTION ~ EB-00001.04
, See instruclions for complBling Ihis torm on bock of vellow copy.
Belo~Wbr~Covered by T/ris Request
AAJ ~FOS. Tyoe oi BmlCmy Apnhnncns Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Liqhtiny Fix[uie5
Apt. Bmlding Dryer Bectric Heaun
Commercial Bldg. Fumace Silo Unloader
Industri2l Bldg. Air Conditioner Bulk MsIk Tank
Farm Ome, peu v ihc~ Isncr,(yl
t .r Succilv ther Otnor
Cmnpute Inspecuon Fee Below
N Fee SarviceEntrenee5ize p Foo Fnedars/5abinetlors tt Fea Cucuits
U to 200 Am s 0 to 30 Am s O 0 m 30 Am s
Flbove 200 qilipy 37 to 100 Amps 31 to 100 qm s
Swimmin Pool Above 100-Amps Above 100_Amps
Transrormers Irngation Booms Pertial.'Othei Fee
Signs Specialinspection $
Rem~rks TO L FEE
Rough-in Date
1. Iha ncal
( ~f' ~ f Inspactor, M1eroby
certdy thet the nbove
I Fina~ Da~e r inspee[ion hes bean
~ -.)maEe.
Tnis reauest vole 19 months Imm
CITY OF EAGAN NO 1977 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
a /,3~ ~
BUILDING PERMIT PHONE: 454-8700 Receipt # %C
To6eusedtor SASEMENT FINISH Est.Value Date OCT 4 , 19-91._
Site Addiess 3671 WINDTREE CIR
1 Block 4 Sec/Sub. WINDTREE 3RD OFFICE USE ONLY
Lot
PBfCBI NO. Occupancy _ FEES
Zoning _
w Name THOMAS SEELY (ACIUaqCOnst _ BIdg.Permit 35.00
~ Address 3671 WINDTREE CIR (qllowable) _
° EAGAN Surcharga .50
City Phone 688-8544 +roismries _
Plan Review
ZF Name SAME Deplh _ SAQQry
0,¢ Address S.F.TOtal - SaC,MCWCC
6- City Phone S F. Footprints _
On Srta Sewage - Water Conn
~
~z NBme OnSilaWell - WaterMeter
AddfeSS MWCCSystem _
`a W City Phone Gty Water _ Acct. Deposil
PFV Required - SM/ Permil
I hereby acknowleqa thal I have read Ihis application nd state that ihe Booster Pump - Siw Surcharge
in(ormation is rortect and agree lo comply with all ppl' abl State ot
Minnesota Statutes and o E Ordin a es. 7reatment PI
/
Signawre of Permnee APPROVALS Road Unit
A Building Permil is issued lo: HOP S • Y Pianner - park Ded,
on tha express condition that all work hall e don accordance with all Counal . 50
applicable State ol M.(m~nesota Sptatutes and Ciryol agan Ortlinances. BIag.On Copies
~~(f~l rn~(L Vanance - TOTAL 36.00
BuilOing Official
~
.
, CZTY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PEFMTT APPLICATION 1 set of energy calculations.
4b Be Used For F • 6,{` Valuatione (o , Date
Site Address ~ LJ / rvDT& L ei1? . Rn OFFICE USE ONLY
Lot ~ Block _~WSec./Sub. , , Erect X OccuPancY
Paroel # 4/a Alter Zoning
REpair Fire Zone
Owner: PrS '-T/v. Ehlarge 7ype of Const. ~
Address' Move # Stories '
3y/~ l.P)~~hil1~11~017 ~~c7~7
° Deiiolish Front ft.
City/Zip Code: pq /~r~ ,~-~,jrl c~o7 Grade Depth 5~(o ft.
Pnone
APPROVALS FEES
ContractAr: Assessnents _ Ppsrtut
Adciress: St:sc`:arae
Police Plan C7aeck
City/Zip Code: Fire SPG S
F~g. Water Conn. o
Phone Planner Water Meter -
Council Rnad Unit r2/, D
' Bldg. Off. "
P,cldress: APC
City/Zip Code:
Prwne a: 'mrAI. ~ ~ ~ 7 SU
~
71
6 ~
-SURVEYOR'S CERTIFICATE OAK-CHASE BUILDERS, INC. ,
l~_ r I ~J
!
904.9 904,5 ~ N88006'12"w //9.00
'
X X 47.40 903_94
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- 46.00 X900.7 XB98.2~i
,
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906.2 o° e `D 23.67 x " z - cp
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DENOTES PROPOSED SURfACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH 30 FEET
• DENOTES IRON MONUMENT FOUPdO PROPOSED GARAGE FLOOR = 909.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 906.2 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 9io.1 FEET
WE HEREBY CERTIFY TO OAK-CHASE BUILDERS, INC. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF;
Lot 1, Block WINDTREE 3RD ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOIJ IMPROVEMENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED BY
ME OR UNDER MY DIRECT SUPERVISION THIS 20THDAY OF APR-l~ , 1984.
~r
' NOTE SIGNED: JAMES R. HILL, INC.
THE LEGAL DESCRIPTION USED i/
ON THIS SURVEY WILL BECOME ~~A~
VALID UPON FILING THE PLAT gY; IlfiG~
OF WINDTREE 3RD ADDITION. HA OLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC.
~~59 -T ~ ~ -7 Z Planners / Engineers / Surveyors
FILE NO. 8200 HumDoldt Avenu• South:
FOLDER sboMingeon,Mti 55431 612-884-3029
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PERMIT
~ CITIOF EAGAN
3830.Pi t Knob Road PERMIT TYPE: B u I LOi N G
Eagan, Minnesota 55122-1897 Permit Number: 034327
(651) 681-4675 Date Issued: 01 / 0 5! 9 9
SITE ADDRESS:
3671 WINDTREE CIR
LOT: 1 BLOCK: 4
WINDTRFE 3RD
P.I.N.: 10-84472-010-04
DESCRIPTION:
Bni!dinrPei-mit Type FIREPLACE
H,uildinn wirk Type ALTERATION
434 ALT. RESIDFNTIAL
~ . , . _
~ . .
REMARKS:
CHIMMEY/FLUF MUST BF LNSPECTFb RFFORE CONCEALING.
FEE SUMMARY:
Base Fee $60.00
5urcharqe .50
Total Fee $60.50
CONTRACTOR: - Applicant - ST. LIC. OWNER: •
FIRESIDE CORNER INC 16331042 20090911 WARN LINDA
,1700 N PAZRVIEW AVE 3671 WINCITREE CIR
kOSEViLLE MN 55113 EAGAN MN 55123
J612) 633-1042 (651)454-6818
I hcrcbv acknuwledae tihdL I havc rvad this ..oplir.,.~.1011 .,nd ,t,n:o f:li,jt i.ho
iiiotm, i.iun i. (nri:(.L ~n,l ,nr., io aomnlv witli .,il ouI ichlr ot i•1o.
S~'dCutes ind Cit.v o7 f-„q~n Ordiri.snr,e,~
~2Q.
APPLICANT/PERMITEE SIGNATURE (JISSUED BV: SIGNATURE
1999 FIREPLACE PERMIT APPUCATION ~LD _
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 o,
(651) 681-4675
Ds<<:~)t, ~ /9~~
Descrip[ion of Work: _ Construct i+ew fireplace ~ Alterntions to existing
_ Install gns insert orrlv _ Install ;as liue oidv
Other
Jab uddress: 34 7/ /.t/~~1H<
Lar. Block: ~ Subdivision/P.I.D. ~7J cA A~C Q Q -?)C~
Applicant (circle one only): ~vner Contractor Pennit Fee: $60.50
Name: /y~/~~ Phone T: ~-Z& ~
PROPERTY Last First
OW\ ER
Street Address: /
(0 7/
City State: Zip: S/Z
Company:~-~'~~~~~~ Phone
FIREPL:\CE
INSTALLER StreetAddnss: O
City JlyG~LL/i~ State: 44~ Zip: cz~~
Company: Phone
GAS LINE
IP ISTALLER Street Address:
Ciry State: Zip:
l hereby acknowledge that I have read this application and state that the inforntation is correct
and agree ro comply with all applicabfe State oF Minnesota Statutes and City of Eagan
Ordinances. ~
Si.nat re
~
OFFICE USE 0NLY
BuIr,rnNc PeR:~nT,rvPe
~ Fireplxe
WoKK•rvNe
? il New 33 Alterations '
? 32 Addition ? 34 Repair
GE\ERAL 1\FOR~MaTION
Censu. Code. 434
SAC Code Ol
RENMARKS
Chimney/flue must be inspected bzfore concealing.
~_II
,t ; z/a4
CITY OF EAGAN
~ APPLICATION FOR PERi4IT
SEWER AND/OR S•]ATLR CONNECTIODT
(PLEASE PRINT)
1) Propgrr°! ADDREss: 7/ ~rf vl~TRFF CI R~~
r.FraL DESCtziarzcN: kv..,,0%rr~E 3~'O .s-DA Ti o
(Ir~t/Block/Subclivision or Tax Parcel I.D, vluciter)
l: ST.°.L:CPT:2E, DrIT G_° ORZGidAL BuIISJDiG P~_:!IT ISSZ~A::C.:
L'S=:
P?.=5~ ..^;II?F= -1 Si:tiCL: iPMiLY
? R-2 GUPLEY (?;%O UiNIITS)
0 R-3 TCI.^TIHG'U-SE (TfiRE" + []P1IT5) ( WITS)
? R-4 ApF,.RZt'z'`T/C0`EC'%,LidlU~
,l ( Wi ITS)
? ca4j=cIAL/RErazr?oFFTct
? L'MosTuAL
? rNSTZTrrzor:AL/cOVERr~,gsrr
2) APPLIG~ :'T (PLEasE PRINT)
aDnREss: y
crrY, STATF,', zrP:
PHOiNE:
3) PIIJi,SBE? (PLEASE PRllii) FOR CITY USE ONLY
NPNIE:
, CLiFF ~ p PLUMBERS LICE4SE:
ADDRESS: Q Active
CITY, STATE, ZIP: Expired
Not of Record
PHOLNE: ysy~~~c PLUMBER LICENSE 17 L-)Q
M rr ini[ta
4) OCCTJppl'~]'i`/(7,yiIM N (PLEASE PRINT)
7~P4E:
ADDRESS: CITY, STATG, ZIP:
PEIO^IE:
S) Itv'pZCl,TG WHIC'.{ PEPh1IT IS BEIP,'G REQUESTED:
.i1EC:'IO?Q 'It7 CITY SES9ER
acc`l.'NSCTION 'IY) CZTY WATER
? C=(PLLASE DESCRIBE)
6) ~:pIG;.:: O>W:
? PL.°i,SE E?OLD APP.ROlEp pg2;.LLT FOR PIC:{-UP BY ONE OF 71B(7VE
?°LFnSE 'F''rLiL r1PPROVID PII2MLIT 'IC) 1, 2, 3, 4 71EL7VE
. (Circle one)
7) SI~~TL.'2E: DATE:
OI;~l:Y~AJM
F O R C I T Y U S E 0 N L Y ~
PERMIT ° ISSUED `
F°ES: $ Sri,iE? nnaNTr~ (T„CL;;DE SliRC~:ARC.
$ IdATE2 PEI2PlIT (INCLUDE SURCF!ARGE)
$ WATER METEP./COPPERHORid/OUTSZD° RErluE3
$ SaATER `?'aP (INCiiiDE CORPORATSO:] STOP)
$ SF:'IEA TAD
$ ACCOUNT GEPOSIT - SE;IER
$ ACCOUNT DEPOSIT - WAT°R
$ caac
$ sac
$ TRUiJri ?4AT°.°, ASSESSi•lE\T
$ TRCic]Ii SEidER ASSESSi•?EVT
$ LrITERAL BGNEFIT/TRUNK SE?•:ER
$ LATERr1L BENEFIT/TRUNh SdATER
$ OTHER
$ TOTAL
$ AMOUNT PAID/RECEIPT 5
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RZGi{T OF LdAY?
YES IF YES, THEN A"PERb1IT FOR WORK WITHIN
PUBLIC ROADS4AY" h1UST BE ISSUED BY THE
~ NO ENGIDIEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO TEIE FOLLO!9IDIG CONDITIONS:
APPROVED BY:
T?TLE:
DaTE:
~
~
~z/sa
~ v I
CITY OF EAGAN
APPLICATION FOR PEILNIT
SESJER AND/OR WATGR CONNECTI0,1
(PLEASE PRINT)
1) PROPII7I'Y ADDRESS: s_Llc?._L
r.FraL DFSCRI°TIC;I:
(Lot/Bl0ck/Subdi41s1on or Tax Parcel I.D. vimiber)
Ti STRC'CP':2E, DelT~. 0F ORZGi 7AL :wiILL'ZTIG P---;-UT ISSa?\C''.:
• -
P?LSL,^_ 2.^.:1'i`ir/PPL1DCS:--) U-5?• R-1 S.'NGI.E rPMS:.Y •
4 R-2 DUPLE.Y (TN70 Wi ZTS)
? R-3 'IC7.vTII-ICUSE (THRE:^ + jJNITS) ( UNITS)
? R-4 ADAFYItE~:T/CJi:DGtiLPi]ILnl ( Wi ITS)
p CQm11E2CIAI./RETAII,/OFFICE
p L%ML'STRIAL
(3 INSTITUTI0.IAL/GGVE~~'P
Z) APPLICz~NT (PIEASE PNIN.T-)
t1*1E: /
Cl.~- ~E i!/ ~Q~/'S
rDnREss:
crrY, sraTE, zIP:
PHO~M:
j) PIJz1BER NAME: PLEASE PR1NT) FOR CITY USE OHLY
PLUHBERS LICENSE:
ADDRESS:
` Q Attive
CZTY, STATE, ZIP: Q Expired
PHQ~: CJ Not of Retord
PLUNBER LICENSE N
acr nitia
4) QCC[JPp,NT/('J,•ZIER NFN1E: (PLEASE PRINi)
ADDRESS:
CITY, STAT'E, ZIP:
PH(?NE:
5) INDSCA,TE WyICH PEP.MLT IS BEIh'G REQUF.STFD:
? CU.TQF.CI'ION 'IO CITY SEYIER
? CO^.~v'FX.Z'ZCV TCJ CITY WATER
C/i'E?EI2 (PLFASE DESCFtIBE) 6e12e~WL(f~IV
6) rUIG,.:: O`W:
? P:,FaSE E?OID APPRWEp PERMLLT FOR PZCi:-UP BY ONE OF 11BWE
r,-
°LF.aSE tiAIL APPROV'D PER.,LIT TO 1, 2, 3, 4AWJE
(Circle one)
7) SI(Zv'%TLnE:~ DATE:
~ I . . .
F O R C I T Y U S E O N L Y PERMIT ° ISSUED
F_~ •r
FEES• $ SEi•iE~ oroMTm (?:IC:.:iD: SiiRCR~.RC;?1
$ WATER PERftIT (IP.CLUDE SURCHARGE)
S WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TA? (INCiUDE COBPORATICN 5:02)
$ SEI'IED TL.P
$ ACCOUNT DEPOSIT - SE::ER
$ /S`•~~ ACCOUNT DEPOSIT - Wamrct
$ h47D wac '
$ sac
$ T?2UNK ?QAT°.°. ASS°_SSP•Ir.NIT
$ TRGNK SEWER ASSESSMENT
$ LATEP,AL BENEFZT/TRUNK SE?N:ER
$ LATERAL BENEFIT/TRUNF: WATER
$ OTHER
$ TOTAL
$ G~• ~ AMOUNT PAID/RECEIPT R 7L3_-3 7/
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIG;IT OF WAY?
~ YES IF YES, THEN A""PERMIT FOR WORK SOITHIN
/ PUBLZC ROADWAY" MUST BE ISSUED BY THE
~4f J NO E[VGZNEERING DIVISZON. LIST AS A CONDZ-
TION.
SUIIJECT TO TfIE FOLLO:•7ING COi`1DITIOIdS:
APPROVED BY:
TITLE:
DATE: 7-Y Z~
Mo W-wwum ==sm Ra+Mmma~.wltdww=ww_vv wi+w+"at+wm" WM aaI%= sn s" RaRm wwran..
r::r.rv c,= rnGaP
f;q~'hTi_I~r E fi`:F;r~'N4L N^.a 759
Tq'ri_.. 06/.,5/91 ..Ti4F4 07':,002
.ri..
~WE: LI'i.ICiA I•'hf
r._L.-:r
3~ gr ::i ~ I• ~c,~,: ~IKr~r,
. r ! J..25
2155 9n7:! 0679. I.ITNIi'i'i::`-- < 2.50
~
lO': . RF.Sc] r A:iipl,n5h,
'S 9. t i I
UPFri "Pa A!1Nr"
.....n..,..,°:4'",....;'9;y;i'. ~o
J` 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
~ 3830 PILOT KNOB RD - 55122
3 ~ ~ 651-681-4675 I(~I n~
New Consfructlon Reaulrements Remodel/Reoalr ReaulremenlS""
? 3 regisfered sHe surveys showing fq. N. of lot, sq. H. ol house 2 copies of plan
and gll roofed areas (20% maxlmum lot coveraae allowed) 1 eet of energy calculations foi heWed addlHoro
> 2 coplef of plans (show beam 3 wlndow sKes; poured fnd. design; etc.) 1 sHe suney for exderlor addHlons 3 decks
> 1 sel ot energy calculaHOns
> 3 coples ol hee preservatlon plan N l01 plaMed aMer 7/1/93
DATE: CONSTRUCTION COST: ~~0~ OOU s--
DESCRIPTION OF WORK: Ad~'~ ~u J;rl/ l/ Ay G~~LuZ~('i
STREET ADDRESS: 2~ 7/~l~~/
10T: BLOCK: ~ SUBD./P.I.D.
Name: If Phone elSV -i!~F/ ~
PROPERTY last Flrst
OWNER ~~.7/ ~7~~Z
Sheet Address:
Clty Z~~46KAv State: 129 /'J ZiP.
Company: Phone
(area code)
CONTRACTOR
Sheet Address: License 11 Exp.
Ci1y State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( ) ,
Sheet Address: Regishation N:
City State: ZiP:
Sewer 3 water Ilcensed plumber (reaulred tor new conshucflon onN
Ppnaly applles when address change and lot change Is requested once pertnR Is Issued.
I liereby acknowledge Mat I have read this appllcaflon, sfate that the Information Is cortec nd agree to comply wifh all applicabl
StAte of Minnesota Sfatutes and Cify of Eagan Ordinances.
Signature of Applicanf:
OFFICE USE ONLY ~
/ D.r-----
Certificates of Survey Received No Tree Preservation Plan Received - Yes _ No _ Not Required
~
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ,Q, 17 Garage 0 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 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 ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs /
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
, --r-t- 1
Surcharge
Plan Review
License ~ 2X .1C = - ~c~ 8•
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 Uniots dL
% SAC
I~HLIIVCa III LE PLAT DRAWING
*09 Cdo. S2474243 I13P Oato: 3i14197 Insp. Hr PCZ
°!npert~ Address 3F71 'JVINDTREE CIRCLE, EAGAhI
?uyor. W ARN • f,(
:aqa!: LOT 1, BLGCh 4, WINDTREE 3Rp ADDITION ~
Tnle Piat Drnwmq iE not cniendeu Io ba vaed ae e eurvoy ana shoulo nol oe re;latl auon u; suen.
The iot dlmenalonc ere lekan hom the rscardea plat or tAe ooun[y reeords eaQ ere '
oesnmed to be actprsle. ThY loeatlon al Ihe Improvamente ahown on tMs Erawing are
approMtmate enE are EaeeA upon a viaual inspeelion ol Ihu promlaea. A liesnsod
aurveyor ebotJE Os coniactea II an accurate surroy ic tlesiretl. Thia plut Urewlnp doos not constilul• a Iiabiiily of :ho company end ie intandeu lor uso Ey Ihu comDany only
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CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
~I;TJltEING;:P81tHIT DnTE: 0 9
RE33DEN2TPLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 5
TOWNHOMES/CONDOS WHEN PERHITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT: ~ BLOCK ~ SUBD. ~i.r.d~(/c,c,? ~l f~ _ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: _ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: OTHER
WATER SOFTENER 5.00
CITY: E~ ZIP: Sr1z3 _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ ST. SURCHARGE .SO
SIG AT RE OF YtRMIT/%E 7 Turai: 5 /,5' 50
COMMERCIAI.~iNDUSTRIALi: PLEASE COMPLETE THIS PORTZON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
~ . .
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE m $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
lqqql
1991 BIIILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PIANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
OF RENTAL UNITS
OF FOR SALE UNITS
PENALTY APPLIES S7fiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER liUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
-Fy N!b
To Be Used For 3~L~~ Valuation: Date: Z-`k 1
Site Address OFFICE OSE ONLY
Lot ~ Block ~ FEES
Occupancy Bldg. Permit c3~;-i 0v
I -f Zoning Surcharge
Parcel/Sub 1IlUfl'fAl(ef,I,m), Actual Const Plan Review
Allowable SAC, City
Owner # of stories SAC, MWCC
I.ength Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code 5-3-t 2- 3 Footprint S.F. S/w Permit
S/W Surcharge
Phone BSLM I On site sewage_ Treatment P1.
C5G \ 4\ or I ~p ~ On site well Road Unit
Contractor 1 P" MWCC System _ Park Ded.
City water Trail Ded.
Address PRV _ Copies ~
Booster Pump _
City/Zip Code - SDBTOTAL
APPROVALS Penalty
Phone - Planner _ Lot Change
Council TOTAL 31..nn
Arch./Engr. Bldg. Off. /p•3-9/ DS
Variance
Address -
City/Zip Code
Phone # -
Sewer ate: 1 d' o
agrees that all wotk shall be done in accordance with
( ign ture o Co ractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
UuM,dYCY,()% $;°o'c~,`Y,::. ; ;:o1aN,m
CTTY OF" EFlGRN
CASFI7LRr JS T'F_'RMLtv1L NU: 40
r^'rr.: 0q/"n,i'i37 1":I:~E: 1 352
N=tME: I;OLif.iRT !•IA4N
3210 9001 3671 NTNDTRCE C 137.25
205 9001 :3671 I•uNrrrr.Cr c 4.00
",01 Recei; I: Flinoim';a ^4±.2=
CRUs3p9?:.
UoEp TIi, 1AA~
~ CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030815
(612) 681-4675 Date Issued: 0 9/ 19 / 9 7
SITE ADDRESS:
3671 WINDTREE CIR
LOT: 1 BLOCK: 4
WINOTREE 3RD
P.I.N.: 10-84472-010-04
DESCRIPTION:
3-SEASON & DECK
Building Permit Type SF PORCH
Building Work Type ADDITION
Census Code 434 ALT. RESIDENTIAL
\
A
.
v=,. .
REMARKS:
FEE SUMMARY:
VALUATION $8,000
Base Fee $137.25
Surcharge $4.00 .
Total Fee $141.25
~
r
CONTRACTOR: OWNER: - Applicant -
' WARN ROBERT
3671 WINDTREE CIR
EAGAN MN
(612)454-6818
I hereby acknowledge that I have read this applicat3on and state that the
information is correct and agree to comply with all applicable State of Mn.
L Statutes a City of Eagan Ordinances. ~
m~
I A lPERMITEE SIGNATURE ISSUE Y: S N JRI~TT~~
~
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)~
~ ~ CITY OF EAGAN
Og
3830 PILOT KNOB RD - 55122
`J 681 -4675
New Constrvction Reouirements RemodeVReoair Reauvements
? 3 registered site surveys • 2 copies oi plan
? 2 copies of plans (inUUtle beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (aMenor additions 8 tlecks)
? 1 energy calculations ? 1 energy calculations for heatetl additions
? 3 copies of tree preservation plan H lot platted after 7/1/93
requved: _ Yes _ No -
DATE: 9112 f%7 CONSTRUCTION COST:
DESCRIPTION OF WORK: aJ/}f1,,L
STREETADDRESS: 3l ' Z
L-~ ~J
LOT BLOCK L SUBD./P.I.D.
L~~ %1 a - saa ~G
PROPERTY Name: 44Phone
OWNER
Street Address: 7 / ~i~i~~iNoT F~ C/k'GL~
State: ~7/lJ ZiP;
yo5 Sa~-f
CONTRACTOR Company: ~GI/j'Ytp/ Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address:
Ciry: State: Zip:
Sewer 8 water licer.^•ed plumber (new construction only): Penalry applies when address change
and lot change are, 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 Applicant:
OFFICE USE ONLY D
Certificates of Survey Received _ Yes _ No 1T 4N
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION J&y,4,uVC5 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 ~
Census Bldg ~
Census Unit
APPROVALS
Planning Building ~ 71 Engineering Variance
V
Permit Fee Valuation: $ 9`Q`ba
Surcharge
Plan Review
License 3 ~~J O0~
MCNVS SAC {
City SAC
Water Conn. g x~'Q - Lr720.c~
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit ELV-
Park Ded.
Trails Ded.
Other
Copies
1.
T~--
.
%
SAC Units
1.~.~:.~..~.,.a, .
51
~
~ ,
~N
V ~
U
DOUBLF
GARAGE
111 i pNE
30 STORY ~
FRAME 65.
2 WALKOUT ' rn
~
~ " llill ~ YO'
~
/ ~(~l, p ~
\ ~ ,65:
a
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Ai~ft
pLLiv
~ • .FM149THl~:$
I '
`
Vluy ,,,j 4-6-1J — rti5 cku_Q
' For Office Use (I 0'1..I
`�� i i : , Permit#: /1' 07-1 0 )01
„.., E AG A N
Permit Fee: 2L7 - C
x'fes, Date Received: /0 /
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 `
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694OCTZ tg L Staff:
(a.
buildinoinspectionscitvofeagan.com ___,
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 10/17/19 Site Address: 3671 Windtree Circle Unit#:
Name: Rick Lamers Phone: (651) 303-3823
ReSidntt. 3671 Windtree Circle Eagan MN 55123
owner - Address/City/Zip:
Applicant is: Owner ��JJ Contractor r'�-"/
Description of work: Installation of a flush roof mounted solar array
Type of Work ` ( tl
Construction Cost: (, v Multi-Family Building: (Yes /No 1 )
Company: All Energy Solar Contact: Isaac Lindstrom
Address: 1264 Energy Ln St.Paul
contractor City:
State: MN Zip: 55108 Phone: 651-842-9404 Email: isaac.lindstrom@allenergysolar.com
License#: BC665819 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
LESS THAN 6 SQFT DISTURBED
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting document*that you submit are considered to be public information. Portions of the Information may be
classified'as r►ipr-public If You provide specific reasons that would permit the City to-conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.comisubscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
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.aooherstateonecall.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 Isaac Lindstromx ca.�ta.G ,L..iscidtet.
Applicant's Printed Name Applicant's Signature
WrW71-266 e ( /--S-g 70
DO NOT WRITE BEL W THIS LINE
SUB TYPES
_ Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level _ Pool Accessory Building
_
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation to‘31) Occupancy - `/ " MCES System
Plan Review Code Edition '` SAC Units
Li ► c
(25%_100% ) Zoning f i City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction 41 Width
REQUIRED INSPECTIONS
Footings (New Bu Iding) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) +4 Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
t� Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
—
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: a , Building Inspector
RESIDENTIAL FEES
Base Fee b
ii, 'E��
Plan Review .-.::141/1.".
MCES SAC " !' ' ) `�
City SAC `If.-` \ l
Utility Connection Charge
S&W Permit&Surcharge lll
Treatment Plant
Copies
TOTAL
Page 2 of 3
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