3675 Windtree CirCity of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
It
Permit #:
Permit Fee:
55.OD
Date Received: tD i s1 t v
Staff: JX�
INFLOW & INFILTRATION/PERMIT APPLICATION
Plumbing / i/ Sewer & Water
Date: /0 '03 -/t, Site Address:
Tenant:7L.•&J,
36 7 _ k/ie,741-e et-xci/sz
J
Suite #:
RESIDENT / OWNER
Name: 7--/4/11///
5 2 (j E ,IR Phone: r" „5"/ - t - 9(...4-g
.,t
Address / City /Zip:,-7C'76`irs,44f€-e &7 I' Fg g
CONTRACTOR
Name: 0, j�.1'' V' License #:
Address:
City:
State: Zip:
Phone:
Contact:
Email:
TYPE OF WORK
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Sump Pump Repair ' Repair
Other:
�/
/Other: /��sv(✓'
DESCRIPTION
Description of work:
�,Q/1�-,/'✓'a, �l� / �/'s�s �/ ? --
LS t i
LS
(-24511.---
/f� � ��
— f /1' _ / e / SH J c -i
FEES
$55.00 / Each (includes $5.00 State Surcharge)
TOTAL FEE $ c- *
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit Ill repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeartan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call
48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and
codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans.
xf l-E%tr�t J��'� k
Applicant's Printed Name
Applicant's Signature
FOR OFFICE USE
Required Inspections.
der Ground
Rough -In
Final
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.: 6001
Eagan, MN 55121 p^TE: 3
Zontnp: Rl No. of Untts:
Own.r; Wooddale Bldrs
J "dd^m:
SNe Address: 675 Windtree Circle L2 B4 Windtree r
%umber.
~~r. ? No.: •3 Connection Cho.ye:
R • P
- ~.e ~
, Reod~r No.: /D L ~ ',COD"~ DQPO°~t: - 15.00 pd
, -7 Permit Fee: - 10 00 pd
~ "M ft °01PIY "'ft the Wh of [eve• Surcharye: _ 50 Dd
M1ic• Choroes: _132.00 vd
Totol: 611 nn nd mc+tE
BY Dab Pa1d:
DoM Insp.• Insp.:
CITY UF EAGAN SEINER SERVICE '14MIKIT ,
3830 Pifot Knob Road 71'3c~
P. O. Box T.1199 PERMIT NO.:
Eagan, MN 55VI pATE;
Zon+ng: oo a e =e No. of Units:
Owrnr.
Addr+ess: 3675 Sin Addmu: n tree rc e n tree r
plurnber. n r. Plu b n
_ - .Ou p
1 M.M te O.,.* wp61r. qh, of yv•¦ Cor„wetior, O+ongt: _ 425 . 00 pd
ordr..n.... Acmi,e apowt: 15 _ nQ .,ri
Pannit Fw; _ 1 tl nn Qa_
Surdwrpt: 50 PC!_
BY Miac. Charges:
Date of Insp.: ToMI:
Insp.: Dob Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilflt Knob Rosd
, P. O. Box 21199 PERMIT NO.:
' Eayan, MN 55121 D/1TE: "
Zoninp: =t1 No. of Units:
pN,ner. 'v:ooddaie 31dra
Addr.ss:
S1h 3675 Windtree Cirile L2 ~,4 Wincltree r
Plurnber.
i Mebr No.: Connsctian Chorpe: p
51ze: Aceourrt Deposit: 1 rt~
ReoEer No.. Permit Fee:
1 pm fo oees* rrl& iw Ciy of 14wo Surdhorpe: . 50 oralw..p.. N„m a,o,oa; 132. ao pa
TotCl: fi'~_Cftl ri riaror
By Daft Paid:
L Dwr of Insp.: Insp.:
F ' , .
CITY OF EAGAN
, . .
3830 Pilat Krab Rosd, P.O. Box 21-199, Espan, MN 55121
PHONE: 4648100
eU1LDING ~ERMIT Receia *
To N wd f« 8F DUG/G11R Est. Vclw 0,000 Dote Z.L.tinAbM 11'2
SiteAddress 3675 NIMDTREE L'Ia Erect Q OccuPeney g3
Lot 2- Block 4 Sec/Sub. WIMMRRit 3jn Remodel ~ Zoniny al
Repair ? Type of Const. ~
Parcel No. Enlerge ? No. Staiec
NOODDIILE BLDAS INC Mora ? Langth 40
ST NN Osmolish ? Depth 52
Address Grads ? Sq. FL
City GAPnone 636-2355 ,nsta„ p
g /?po.ovab i«s
Name ~ ft-3*00
~ Addren Assesunent Pertnit
~ City Phone Water & Sew. Surchor~p~ Q•
Poliu Plan Review 21
Name DZ~ ~=S'j'~g Fin 5/1C S~S•00 ~
=i Add~ 9 ~ sTe ar UN Eng. wate. co?,n. soo . o 0
,Ij
0
tW City pM BRIdB Phone Plonner Wotar Mefer 63.0
Cowrci) Rood Unit 210-0
1 hereby ockrowledye that 1 how rood this applicotion ond srot* 1Mt Bldg. Off. 1 7 S T. p 132.00
tM inlormotion is correct ond ogree to comply with oll opplitabls APC Total
State of Minnesoto Stotutes ond Gty of Eoflan O?dinonces.
Var. Oate
Sipraturo of Pern+itteis A Buildin9 Permit is issued to: ~~~s ~ I~ on fhe exprstat tandltlon Ihot
dl work shall be dorn in accordonu wlth oll applicabl• Stote of Minnssoto Stotutes ond Gty of Eaqon Ordinonus.
9uildlrq Offkial
' Pvmit No. Pwmit Holdw Dow Te1e Iwnie ~
w°"nbi"o
H.vA.c. ~ - I S - ~a ~
Ea chk 0 Lc t~r 3/~~ 8 ~
solt«w
In"etion Dm Insp. OtF?N
Footin¢
Famthtioe
F?wmina 3
Rooflnp _ Q' f r; l
Rough Plbo. ft . 3 -
/ 'i
Rough Hv ir-aS
l,mistion
FinN Mba ~
I
Final HVAC
Fiml
c.?vocc. l W t4 Co 11c
w.a. awia. Locatioe:
WNI
Sauer
Pr. Dhp.
s.
Reoeipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fee
J r J Fill rn numbered spaces S/C `
Type w Print legiWy Tot.
1. Date 3/ 13/85 2. Installation Cost 4OU. W
l '
3. Job Address 3675 14IIiiYTti&E Lot Blk. Tract
4. Owner WOODUALE tiU ILD&i.S ~
5. Contractor SCHULTI-t:;S PLU.•SLIPrG I,y(;.Phone 766-4W7
6. Addreu 6363 5Ub51sr rCU. !r.6
7. City Si'itlht; LM~; r`'pAf, State cLLwrr.,~uTA ZiP _')51?32
8. Building Type: Residential 13 Commercial ? Institutional O
9. Work Description: New P~ Add O Alter ? Repair ?
10. Describe p ILJL-ik, UW
~ 11. No. Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
i Bath tubs Septic Tank
~ Lavatory Sohner
~ Shower Well
Kitchen Sink
UrinaUBidet Other
Laundry Tray !
/ Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify the abov fpnat~' (~is true and correct, and I agree to
comply with I o ' ances ~g8v~rning this type of work.
Signed : ~v
for
+ Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4648100
Reaipt MECHANICAL PERMIT Pamit No.
CITY OF EAGAN
FM
Fill /n numbsisd sucat $IC -
TypeorPiinileyidfy Tot~T
1. Date 2. Installatt'on Cost -
3. Job Addresi ~ i t~~ ~+t r.. c- Lot Blk: Tnct
4. Owner
U IL
5. Contractor Phone
6. Addres:
7. City ` State . 4 . 2ip
8. Building Type: Residential ~ Commerciel O Institutional O
9. Work Description: New $1 Add 0 Alter O Repair O
10. Describe Fuel Type
11. No• Fpujpfmni BTU • M. Ea. No, Eauioment CFM
~ Forced Air Air Handlinq:
Mfg.
Boi len
Mech. Exhaust
Mfg.
Unit Heater
Mfy, Other
~ Air Cond.
Mfy.
Gas, Piping Outlets
f
~ 12. I hereby certify that the above infcrmation is true and oorrect, and I ayree to
oomply with all ordinances and codes governing this typa of work.
S'i9ned : , . for
Rouqh Final
Inspection:: Oate Insp. Date (nsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
CASH RECEIPT ~
~ CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
DATE 19
IKCC V tO
FIIOM '
AMOUNT $ ~
!e OOLLARS
~oo
? CASH ? CHECK
, • ~ ~
•OR-
FUNO COCE AMOUNT
.y~ ~ •
Thank You
l~. eY
vunice-Pavers Cocv
Yellow-Postinp CaPY
Pink-File Copy
CITY OF EAGAN Remarks
Addition_ WINDTREE 3RD ADDITION Lot 2 Blk 4 Parcel 10 841+72 020 04
owner street 3675 Windtree Circle or Dr.scace i
improvement Oate Amount Annual Years g.S Payment Receipt Date I
STREETSURF. - 1 16.13 10 -
-36
STREET RESTOR.
jq.L
IOD $4 2315.25 463.05 5
1389.15 1
GRADING
161 1983 613.25 122.65 5 245.30
A015151 2~~
SANSEWTRUNK _ cj
J , 7i _160.46 $.02 20
SEWERLATERAL Uq 1983 3256.80 651.36 5
Sewer Lat Trk - 1983 188.16 37.63 5
WATERMAIN 1983 260.34 52.4 5
WATER LATERAL - -
WATER AREA ` 1972 236.39 11.8k 20
STORMSEW TRK 983 771.36 154.27 5
STORM SEW LAT
CUFiB & GUTTER '
SIDEWALK
STREET LIGHT
Road Uni #49487 2-12-85
WATER CONN. 566:66 11
BUI LDING PER. #9892 n 1?
SAC
PAR K
~ T^^ ~ INSPECTI4N RECORD ~
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITEADDRESS: APPLICANT:
i i ~ , t+i ~
: I-1NI?'PRf F r. ra . . .
~<<r~i:tri ~ ; i~ , ,
PERMIT SUBTYPE: TYPE OF WORK:
.A .
t'1+'~ I
~ -----------'=---'----R------------------ - J
. Psrmn Ho. wnnic Mokl.r oaa rdepnorw 11
ELECTRIC
PLUMBING
HVAC
Inspactlon DOM Nmsp. Canm~nH
FOOTINGS
FOUND
FRAMIMO
ROOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FlNAI HTG
ORSAT
TEST
BLDG FINAL
~
BSMT R.I.
~
BSMT FlNAL
DECK FTG
DECK FlNAL
5 QZ 0 REQUEST FOR ELECTRICAL INSPECTION EB-°°°°i-°°
r~ CC ' See ituslructions for completiffg this trcm m bnck ol yellow copv. L!/~ i J 50 "X" Be/ow Wurk CoJered by 7his Request
aa nen. rv~ oi euiiains Applia~cea wi.se eninu~n, w;.en
Home flange Temporary Service
Duplex Water Heater Lightiny Fixtutes
Apt. BuilAing Dryer Elecvic Heaun
Comrercial Bldy. Furnace Silo Unluader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Olhu. pen v Other (SUer.ily)
1 ,r Sueufy Olher Olhc~
ompute InspecUon Fee 8elow
p Fee ServiceEnhenceSize n Gee Feeders/Subteeders N Fee Circuirs
^ a0 0 to 200 qm 0[0 30 A s ' 3° 0 in 30 Am ns
ae 200 qm~s 31 to 700 Amps 31 to 100 Am[ls
ming Pool Above 100_AmpS Above 100_Amps
Transiortners Irrigauon B~is s-G Partial:Olher Fee
Signs Special Inspec!ion S / \
Renmrks szoo TOTAL/FEE
I //0
Bough-in fL4.,ifv nte the Elev:al
above
Final Anr wce«ion s been
ede.
THS repuest vaiU 18 maitle fram
Thi~s oreQUesl wid I~
O Y/~ ~ . 3/~ g/g 5
Y' (..1 ~h~r~0 / / O V1-/ 1
NeqHest Dal.' Fire a. lbuph-in Inspec'ion y InsOec
c~J l4:puYCd~ J ~Reutl Nuw Wll Nolifv.
- y- p J es ?No or When R¢adY
Licensed Elecvical Cmvactor 1 hereb r
y eQUest inspectian ol nbove
Owner eleeViml vrork ie¢bllatl aC
5[ree[ Address. BoR Hou1e No. Cily
G~1T.U
ecuan o. T srip Name or No, flange o. Counry
Occapant (MINT) /6" Phone No.
dli~
Powe~ u0 i ~//Jy ACtliess
Electriral nhacmr ICompan Namel Contractor's License No.
H C/ ~ S~/ r/3S
A s(COnira tor or Owner MWkine Imtailationl ~j*'/ //.d'~- 55~5<<3 c ~
A Morized 5 ure f nVacto wocr Ma4ina ln~tallwionl Pho~ N~r
MINNESOTA STqTE BpARD OF EIECii11CITY THIS INSPECTION NC-0UEST WIIL NOT
Griyps-YidwaY eld9. - M. N491 BE ACGEPiED BY THE STATE BOAND
1821 UniversilV Ave.. SL Peul. NN 55104 UNLE55 PPOPEN INSPECTION FEE IS
Wva.w 16112129]21t1 ENCLOSED.
CITY OF EAGAN (va 9892
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ~
' PHONE: 454-8100
BUILDING PERMIT Receipt $
T. M w" }a, SF DVdG/GAR Est. Vulue $100, 000 pate FEBRUP.RY 12 ; iq-$5
SiteAddreaa 3675 WINDTRiE CIR Erect 19 Occupency R3
Lot Z Block n SedSub. WTNDTRFB 3RD Remodel ? Zoning R1
Repair ? Type of Const. V
Parcel No.
Enlerge ? No. Stories
WOODnALE BLDRS INC Move ? Length 4$
W Name Demolish ? Depth 52
~ Address 2459 15TY, $`j' NLQ Grade ? Sq. Ft.
City NF.W IIRIGHphone 636-2355 instau ?
SEMF.: Avvovals Fns
o Name
=u Asussment permit 433.00
o Address
u~ Cit Phone Wuter 8 Sew. $urcharpa 5 O . O 0
y Police Plan Review 2 16 . 50
Gw Neme nICK SCFIW.tF,T„RS Fira SAC 525.00
W
-00
4~ Address 2459 15TH ST LlSV Enq. WoterConn.S0 0
~W City t1^LV RR7.GII Phone Vlonner WaterMeter 63 _
<
Councll Rood Unit 280 !1 fl
I hercby ocknowledpe tFwf I hava read this opOlication~nd stote that Bldg. Off. 1~] 8 T. P. 132.00
the inlormation is correct ond ogree fo comvlK w' K all opplicable ~
$tata of Minnewta Stotutes and Ci E." n4rdrtwncez. rCDate Total S? _ 199
Ve 0
Sipnature of Pertniftee
A Building Permit Is issued to: WOODDl-.LE RLDRS IiVC on fhe expma cordltlon thol
oll work shcll be done in ocmrdonce oll oppliw o e of Minnewta Stafutes ond City of Eopen Ordinonces.
Buildirp Offlciol
~ . .
ALL CONTRACTORS M BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
Q CERTIFICATES OF SURVEY
Q SET OF ENERGY CALCULAT~ NS
To Be Used For: es) e(~~a~-~ Valuation: JC00pC).'P Date:
Site Address: 3(,75` WirtnTPEe CiLdC •
Lot: Blockv-!4Sect/Sub: 11pJfee 3-a Erect: ~ Occupancy: R-3
Parcel pQ~~Ti60 Remodel: Zoninq: R_I
Repair: Type Of Const: Owner: Enlarge: # Stories:
Move: Length: ~
Address: Demolish: Depth: 5z
City/Zip Code: j J'/~ ~-lei1, Grade: _ Sq. Ft.:
Phone # :
n
Contractor: I~~1 l~ n r'l'e/(Sr~~•~
Address: c2 ~4 V . /V-Assessments: Permit: 433.-
City/Zip Code: Water/Sewer: Surcharge:
Police: Plan Rev.: 'Z
Phone Fire: SAC:
Engr.: Water Conn:
Arch./Eng: Planner: Water Meter
Address: Council: Road Unit_ Z~D.=
Bldg. Off.: /_7_~f
City/Zip Code: APC:
Phnnafl- J ~S~/t~ Variance:
20 4 Y~ = f 344 x sq = ~ 25~c~
I Z-x I~- 21 e x s4 - I I~~4
14 x- c2 ~ Ico g =9 0 -7 2
22 x 2c~ - ~72 1c '(o 2T2
, ,
.1 .
t
r
i
r
°
~2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Esgan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/wndos when permits are required for each unit
Date L.Y / iU / 05
SiteAddress ,3u't5 Mn(CTfree- Unit#
Property Owner Telephone # ( (p5f ) Ul ~ - I ~
Contracror
Street Address ) ? 7 LJ Q/1 b(4 City q
State Zip ~ Telephonek ( ~~1 ) L - 4
Bond 1155 - 1 10 LIM Expires: D -7
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
~i furnace _Additional _Replacement
!
air exchanger
airconditioner _New Ik, Replacement
~ other
State Surcharge $ .50
To[al $ ~v
I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that 1 understand this is not a
permit, but only an application for a permit, and work is not [o start without a permit that the work will be in accordance with [he
approved plan in the case of work which requires a review and approval of pl s.
(c, T . L~??~e~ ~.~`~Uyl~"'~~'~
Applicant's Printed Name pplicant's Signature
]UN 2 3 7005
F.; _
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone ik ( )
Contractor
Street Address City
State Zip Telephone # ( )
Band Expires:
The Applicant is _ Owner _ Contracror _ O[her
Work Type
New Construction _ Underground Tank _ Install _ Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, caff for inspectlon by Fire Marshal and Pfumbing lnspector
Perrt11i F¢es: 570.50 Underground tank ins[allalion/removal
;;50.50 _M,inimum (ircludes Sta[e Sc:charge)
or
Contract Value $ x I% Permit Fee
• If pe rmit fee is $1,000 or less, add $.50 $ State Surcharge
If eo rmit fee is over $1,000, add $.50 for
every $1,000 pe rmit fee $ Total Fee
I hereby appty for a Commercial Mechanical Permi[ 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 with [he Mechanical Codes; tha[ 1 understand this is
not a permit, but onty 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.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
RESIDENTIAL
BUILDINC PERMIT APPLICATION
~j CITY OF EACAN
3830 PILOT 668RD, 1- 675 N MN 55122
651 l~ I•~'1 ~
d-
New Construction Reauiremenb RemodellReoair Reauirements
• 3 registered site suneys shawing sq. R. of lot, sq. tl. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 sel of Energy Calculations for heated additions
• 2 wpies ol plan showirg 6eam 8 window sizes; poured fourM design, elc.) . 1 site survey for extenor addiUons & decks
• 1 sel of Energy Calculations . Indicale if home served by septic system for additions
• 3 wpies ot Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Ophans selection sheel (61dgs wBh 3 or Iess units)
DATE lU ~2) -0 Z VALUATION v~'~ u'~?
SITE ADDRESS rc&~e '\Y U MULTI-FAMILY BLDG Y N
TYPE OF WO FIREPLACE(S) _ 0_ 1_ 2
Ceder Valley Exteria's, .
APPLICANT reet
STREET ADDRESS Coon fiepids, MN 55483 CITY STATE ZIP
TELEPHONE # CELL PHONE # FAX #-JD5-S39
PROPERTYOWNER~CLQ~ TELEPHONE#1(X~~~tOC'~~-CJIU~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNISOTA RULES 7670 CATLCOI2Y 1 `I~I~~1p~n 1 ~qf1~iil~Tif~S i~
(J submission lype) • Residentlal Ventilation Cate9ory 1 Worksheet Submitted • lv~rlefgAo2Te Works ubmitted
• Energy Envelope Calculations Submitted JUN 04 2002
Plumbing Contractor: Phonc # _
Plumbing system includcs: _ VVatcr Soflcner _ I.awn Sprinklcr rec: $90.00
Watcr Hcatcr No. of R.I. Bal}is
No. of Baths
Mechanical Contractor: Phone #
Mcchanical system includcs: Air Conditioning I'ec: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, state that ftft information i correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O inances.
Slgnature of Appllcant
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation O 07 OSplex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext. All - SF
? 04 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_Yor_N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) O 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndalion) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• 0 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Gfve PCA handout to applicant
Valuation Occupancy MCIES 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
_ Faotings (new bldg) _ FinaVC.O.
_ Foo[ings (dcck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Othcr
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Fina]
_ Framing _ Siding Stucco Stone
_ Fircplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.SURVEVOFi'S~ CER1'IFICATEwoooonLEBUILD[RS •
(7fII5 LEGAI. DESCRIPTION 41ILL 6E VALID UPON THE FILING OF !
THE PLFlT, WINDTREE 3RD ADDITIaN.) . . ;
0
0
30
61>°41•
F" \
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~
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O /p / ~ r I
~ ~ i F Hb, Yr'a, a //0 h N
o
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O(0 I 2F .Y, Q 2 rj.
~ t t O I ti e A~n ~ CF
O ~ i
N 88°06'12"W 119.00 ~
\
\
DENOTES PROPOSED SURFACE DRAINAGE ;
O DENOTES IRON M.ONUMENT SET SCALE: 1 INCH = 3o FEET i
A DENOTES IRON h10NUh!ENT FOUfJD PROPOSED GARAGE FLOOR = l03 5 FEET
X000.0 DEPIOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = FEET
(000.0) D[NOT[S PROPOSED ELEVATION PROPOSED TOP OF f3LOCK = FEET
l•JE HERE6Y C[RTIFY TO !d00DDl1LE QUILDERS THAT THIS IS A TRUE AND CORRECT
REPRESEPITATION OF A SURVEY OF THE BOUPlDARIES OF:
Lot Z, Dlock q., IJINDTREE 3RD ADDITION, accordinq to the recorded plat
thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOIJ IMPROVEMENTS OR ENCROACNh1ENTS, IF ANY. AS SURVEYED BY .
ME OR UPIDER I•tY DIRECT SUPERVISION THIS I'L1N DAY OF 1984.
. SIGNED: JAMES R. IiILL, ItIC.
BY:
HA OlD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUM6ER 12294
FROJECT N0. IIOOK / PAGE JAMES R. H1LL, INC.
Planners / Engineers / Surveyors
FILE NO, 0200 Humboldt Avenue South:
FOLDER pbomington, Mn, 65431 112-804-3020
. . . . . . . _ , ~ , ,
Cities Di ital Q_ uality 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.
EXTEAfOR ENYELOPE iHER11AL TtWISM1TTANCE , PAGE 1:
, STA7IDARD 1tOR1CSNEET p
S1te Address 6r/?- TP" ,~L/Ji?' p,mer Q'oUG
' Contractor GiOIDQA.~i~' LG?rli; Phone Date
Buildtng Type (check ane) L:f One and Tvo Fam11y Nelltn9 ~ Other
n!' r.ibly (Descrtbe [ype (ran Table J or Area (A) U-ValueU a A
show tal[ulatlons en Pa e 2 S Ft
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7 R uired U-Value (from text) '
• Insulated Area 6 7 •G `r .
Framfn 0.rea I~TJG •O
. W1 ndows Tv e 7m 6?71- y • 7t)
Ooors T e yG .°1G (".UU
. Rim Joist Area • Uy
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Foundation Wall aSove rade ° y'p ~
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u
~ o Foundatton Hindws, 7ype
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Other ldescribe 1,97-10 7~ri5
Gther describe -
~ Other ldtscribe
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4 Ta:als ~ 3
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6 Re ulred U-Value frau text **t+i*
If Llne 2 is qreater Chen Lfne 3, or U ne 5 grea[er than U ne 6, camVlete tN
f?!lwin tn determine altr.rnatlve U-Ya1ue for total eYtertar envelo e.
~ 7 Area (Line 1) + Are+ (Line 4), _ + _
~ 8 Uiu1 (Line 1) + UxA(L1ne 4), +
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2i84
~
CITY Oe EAGAN
APDLICATI0N FOR PERiMIT
SEWER AND/OR WATER COi9NECTIODi
(PLEASE PRINi)
1) PP.OPEE?TY ADDRESS :
LEG.aI. DE..~IPTICV: ~ -2~ -ti.C ~
(LotBlock/Su:aivision or Tax Parcel I.D. Ci=6er)
~ -:Zz='_:G S'?'RL'CTL':2E, DAi 0F Oi2TGi ItIL c,iiIL7I::G ISS~;-j,:C.:
PRESLT ~:"~X:/P?OPOS-`iJ C'~': e!' r~-1 SD;GL: FPNSLY '
? R-2 CUPL= ('IZiO LIN?ITS)
0 R-3 'IC?v1iLF?CuSE ('?'f'_°= + C"?Zi5) ( L'i1;"'c)
rJ P.--} (,ti'I?'
Q CCt%21EPCL-%I./F2E"PSL?C7F'I=
? MDL'ST?.LIL '
Q L\STIT[,'PIONAi./GGVnRN~•T=T
2) t1PPI,IC~\T (PLEASE 7NiNi)
~.1E:
r,nnREss:
cITZ, sra:r, zzP: IWA-) f--~'YI ~ vy)
PHOVE: ' S
3) Pu~IB-M• (Pf- E PI R; Nt)I..~d FOR CITY USE ONLY
ADDT2ES5: P~~LUPBERS lICE85E:
~-'~'1~ t.l'
I" I Active
CITY, STATE, ZIP: ~/y~
1 111SL, = Expared
I=" I Not o Record
PHONE= PLUMBEA IICENSE
arr tninal
4) 0^,jp?uy'p/C*,y~LTM NA (PLEASE PRINF)
AllDRESS•
CIT'!. ST;,TE, ZZP:
PIi(}:IE:
5) TNpIG,TE 59I3ICH PERf= IS BEINC; REQUESTM:
CL'`.INECPIOV 'IO CITI SLTr1ER
~ COCTNECrICV 'Ib CITY STATG.R
? dilm (PIT]1SE DFSCF2ZBE)
6) ItDIG,~ C.:e.:
? P?.E-ASE f?OID APPROVID PER+IIT FOR PZCK-li? BY ONE OF AECZIE
EP °I.EASE MAIL APPRWEp PEF.NIIT T'"J 1, 2, 304 ABOVE
/ (Circle one)
7) SIC7,,'IL:~.: lY-~.,,-,•'~ DATE: ~
~ w A.+L+w~?.a ~ i a l~:a~ s~ r+~ ~:a sa s~~sii:~ s~e ~a ~t1la ~s.~ a s~s s~t~aaa[a~ e
FOR C I T Y U S E ON:,Y PERHIT ISSUED
FEr'S: $ ' d...';7-d SEi•ic.R nr.aMT'r (I`ICL;:DE SURCS?RGc)
$ LJATFR DFRMTT (I1:CiuDL SURCHARGL)
$ WATER METER/COPPERHORN/OUTSID° REi,DER
$ WATER TAP (INCLUDE COP,PORATIOV STOP)
$ SEi•iE4 TA?
$ 1_6-•o--e =C~Qi;-•^ ~_?C•c_= - ~c..=3
$ ACCOliMT DrPOSIT - i•iAT_°R
$ s ~ wac
$ SP.C
$ TRGi•IK WATER ASJLSSME.;T
S TRuid'.i SEWER :,SSESS:iEciT
$ LrITE?.AL BEivEFIT/T4UTNiC SE?•.'ER
$ LATE.Tt.ai BEVEFIT/TRU:•7K [•7AT°R
$ ,L~~ a--~' OTHER '
$ TOTAL
Ap!OU.`:T PAID,'qgrrl?m O./1 / G
DOES UTILITY CONNECTICN REQUIRE EXC.aVATION IN PUBLIC RIG'riT OF WAY?
~ YES IF YES, THEi] n"PERh1IT FOR WORK IdITHIN
~ PUBLIC ROADSdAY" MUST BE ISSUED BY THE
NO ENGI:IEERIPiG ^uiVZJIOiV. L1S1 AJ A COh?DI-
TZON.
SGEJECT TO TtiE FOLLOSJING CONDITIONS: •
APPROVED BY:
TZ':Lc: DATE:
CITY OF EAGAN
CASHIER: S TEFiMINAL N0: 661
Iiq7E: 12/30/97 TINt': 14^22:46
IOe
NAME: GAI_F_ L Sf.IL+E.R
3210 3001 3875 WINDTREE 50.00
2155 3001 3875 WINDTfiEE 0.50
n
Tot,al keceip+, Amount; 50.50
CF085158
U>ER ID: NANCV
~c~CY~ ~Y#~k ~k A~ %~XcXc~C~CXcXc#%c%~%c~CX~XCXc%c%c~CXcXcm%~X~ ~k~%~k~k~X~%
PERMIT CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagfln, Mi~lesota 55122-1897 Permit Number: 031321
(612) 681-4675 Date Issued: 12 / 3 0/ 9 7
SITE ADDRESS:
3675 WINOTREE CZR
LOT: 2 BLOCK: 4
WINDTREE 3R0
P.I.N.: 10-84472-020-04
DESCRIPTION:
, (NO BEDROOMS)
Building Fermit Type BASEMENT FINISH
Building Work Type ALTERATION
~Census Code \434 ALT. RESIDENTIAL
.
r
~
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CANTRACTOR: OWNER: - Applicant -
SOBER TAAVI
3675 WINDTREE CIR
EA6AN MN 55123
(612)686-9152
I hereby acknowledge that I have read this application and state that the
inPormation is correct and agree to comply with all applicable 5tate of Mn.
L Statutes and City of Eagan Ordinances. ~
ZZ~L2 ~60
APPLICAN7/PERMITEE SIGNATURE ISSUED B 5
15 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) 4ZQ,ffD
CITY OF EAGAN
311 3830 PILOT KNOB RD 55122 coftd, u_30
681-4675
New Constrvelion Reauirements RemodellReoeir Reauiiements
? 3 registered site aurveys ? 2 copies o_f_p~la
• 2 eopies of plans (inGutle beam 8 winEOw sizes; poured fnd. design; elc.) ? 2 s e survR eys (eMerior additions & decks)
• 1 energy calculations ? 1 energy ealculations for heated adtlitions
? 3 wpies ot tree preservation plan H lot platteE aRer 7!1/93
required: _Yes _ No -
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: SaLI//Z? SZ~ a 9e are~ 3 p~~7~~/JO~k
T^-~-
STREETADDRESS:
I1 r~ ~ ?
LOT 2 BLOCK ~ SUBD./P.I.D. ~v Ulf~ ~)H. ,
SOG'C'
PROPERTY Name: ~ 7A?~ Phone l
OWNER
Street Address:
Ciry: ~ a -7 aO-! State: MAJ Zip: 5 S%a 3
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licer.^ed plumber (new construction only): penalty appiies when address chanoe
and lot change are. equested once permit is issued. "
I hereby acknowledge that I have read this application and state that the information is corcect and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: / ti~ • <
OFFICE USE ONLY D
DEC2407
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No _ Not Required
OFFICE USE ONLY
?BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging 210'*~16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? 08 S-plex ? 13 Garage/Accessory o 20 Public Facility
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? OS SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New CK"33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Oemolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System /
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~I3 y
Depth Footprint sq. ft. SAC Code O I
Census Bldg f
Census Unit ~
APPROVALS
Pianning Building OF> Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. DeFosit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
` i
Total: % SAC SAC Units
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119401
Date Issued:11/26/2013
Permit Category:ePermit
Site Address: 3675 Windtree Cir
Lot:002 Block: 004 Addition: Windtree 3rd
PID:10-84472-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. 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 -
Taavi Sober
3675 Windtree Cir
Eagan MN 55123
(651) 686-9152
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature