3634 Windtree Dr
: CITY OF EAGAN ~ suvm 'ERM
' 3830 Pilot Knob Rwd
P. O. Box 21199 PERMIT NO.:
EaW. MN 55121 DATE:
Zonlrp; =~I No. of Urdts: -
Ownor, j~'•a--,~ ' ~t l ciZ•~ ' ~~C
Addrem -
stt. Add?e.s:3634 Winitree Dr. L3 31 windtrca 3
Plun+ber. 'ry1tu3F3inc
, `
-1.!>~ ~ ri ~ j.~-)•, ~._!'lo V.l~~
; 1 MM hso=* wNU Nr Cft of fypn CorinecHon Charpt:
MisenewL AccoLint Depasiti . .l . .
Prrmif FM:
r .
SIIfCh01'Qe:
~ By Mhc. CMrors:
Dotr of Irpp.: Tatal:
I?up.: Doq POid:
CITY OF EAGAN 1NATER SERVICE PERMIT
3830 Pilot Knob fiwd
P. O. BoK 21199 PERMIT NO.:
Epm, MN 65121 DATE: Zonirq: . No. of Unlts: .1
OwRwr: -hjr-ino T_ ?nt11!1w,-rs. r.~c•-
Adderm
Sih /1ddnm ^l IEflnA tr+*w Dr_ T . ;
Plunber. T.`:oE:Il 2h4't.)l.t7tt
AAebr PIo.: C,onrMttion (lOrQr.
Slu: Account Dapodt: -
i4ode? No.: Pem,it Fee: 1orm h==p1y vrMb !w GfY oi E"a Suerhaege:
Ormhawom Mlmt. Chorpes:
Total: -as., t e r
9y oote Paid:
Dote of Irop.:
CIT,~ OE EIiGAN wAIM SWICE PERMIT
3830 Pibt Knob Rwd
P. O. Box 211ft' PERMIT NO.: ~
Eapn, MN 55121 1 -)-1-5-35
Zoninp: . .71 No. "nlts: 1
pwrn,; Duane
llddnsr sne Addr•m 3634 Wintitree`'~: tfte 3
PluKnber. `mn Pti-lPtE t Y
µ.a. No.: S a;o.o.: 500. 0 d
5ia: " llooou„t pepostt; It), JU:DC
R.oa.. No, • n g/n 91,9 9' PrRnit Fee:
I OrM hOWN* !V Cihr of Vrw SuRt?arpr
Mlw, Cha,;= 132.00pd TF
! aol; 63.0)pd meter
B
tY Doti Poid:
: Defe of Irqp.: (nsp•
CITY OF EAGAN . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt ~ i
To be used for - Est Value % i• j'i' Date ,19 `
Site Address OFFICE USE ONLY
Lot BIoCk 1 Sec/Sub. On Site Sewage _ Occupancy I
MWCC Syatem _ Zoniny
Parcel N o. On SRe well _ Type of Conat ~
CiH Water (ActuaO
a Name "i01-, & 1tkkY .TOItR~ 7(?~~ (Allawable) I
W it of Storles
= Address SA~'E Lenqth
~ City Phone 4' 5~- DeptA
S.F. Total I~
o Name Footprint S.F.
Address APPROVALS FEES I
0- Ciry Phone assessments _ Permit
F a Water/Sewer _ Surcharge I
~ W Name Police _ Plan Review
W ~y
i o Addre88 Flre _ SAC, City I
vZ Enpr. _ SAC, MWCC
t W City Phone Planner _ Water Conn.
Council Water Meter
I hereby acknowledfle that I have read thls application and stete Bldg. Off. _ Roed UMt I
that the information is correct and agree to compy with al I appliceble APC _ Treatment P1
3tate of Minnesota Statutes and City of Eaflan Ordinances. Variance _ Parka
Copies
Signature of Permittee • TOTAL
A Building Permit is issued to: ~ on the ezpress condition that
all work shall be done in accordance with all applicable State of Minnesota Stetutes and City of Eagan Ordinancea ~
Bullding Official
1
Prrmlt No. Prrmit NoldK Dab TeIephone ~t
Plumbing
H.V.A.C.
~
II Electric
Sottener
Inspecdon Date Insp. Commenri
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg. •
Rough Htg.
Isul.
Fireplace
Final Htg.
Finai Pibg.
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg. ,
Deck Frmg.
Well
Pr. Disp.
CITY OF EAGAN 10966
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
eUILDINCs PERMIT RKeipt ~
To M red fa •;r' I j. ;;i? Est.Value ;!:1.. ~,ti i~ Date 19
~v r i~ , 1; Erect ~ Occupancy
Site Addrea ~ 34 ' -
Lot Blcek l SPC/Sub. i Remodel ? Zoning
Repair ? Type of Contt. `
Parcel No. Addition ? No. Stwies
Move ? Length T+
~ Name Demoliah ? Depth
Address r • -'i . " - Int Impr. ?
' Sq. Ft.
City ' ; Phone Install ?
~ Apoeovols Fees
~ Name
~ Address Asseument Permlt
Clty Phone Woter a Sew. Surcharye
Police Plan Review ~DQ
Name Fin 5AC 00
_q Address Erq. Water Conn _S 1) ClQ
u
'CW City Phone ~G ` - - ~ Z. % Wonnar Watar Mater _-63-100
Courxil Roed Unit ~0
1 hercby acknowledpa thot 1 how road this opplication ond stote ffiof Bldg. Off. ' Y F Tr. PL 4%
the inlormotion is correct ond agree to comply with oll opplicabls A~
Stob of Minnesotc Stotutes and Gty of Eoqan Ordinonces. Parks
Var. Date C~i~
Slpnotum of Pem+itta~ Total
h Buildinq Permit Is issutd fo: on ths exprcst condition thal
dl work sholl be done in oooordonu with oll oppliaoble Stota of AAlnnewto Stctutes ond City of Eopon Ordinonces.
Bulldinp pfflciol
~
Pwmk Nu. Pwmk Fioldw Dm TeI]*phoe
Pluaibfrq H.VA.~. ~ yEMete 'I
~
~ott~wr
Inspeetion Daee Insp. OthH
Footln9s 1 ~
Footlrys II
Foundation
Fnming
Roofing 31 ~
Rouph Plbp. ~J ll L
Rouyh Mt¢
Inwl. p .
Flerplsee
1
~
I
FIMI Htp.
Flnal Plbp. -
Final /s
wOcc.
wat« o.snib. Loenion:
WNI
Sew~r
Pr. DhQ.
~r
Reosipt PLUMBING PERMIT Permit No.
CITY OF EAGAN ;
~ FM , i
r) fill in numbered spaca S/C
Type or Wint legibly Tot
1. Date r[~2. Installation Cost,~
3. Job AddOess Lot Blk. L ~ Tract
4. Owner
6. Contractor ~ ~ • Phone
6. Address 4-, 3L,
7. City /j J State Zip
8. Building Type: Residential ~ Commercial ? Institutional O ~
9. Work Description: NewR Add O Alter ? Repair O ~
. '
10. Describe
11. No. Fixtures No. Fixtures ~
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
~ Lavatory Softner
Shower Well
Kitchen Sink
Urinel/Bidet Other
~ Laundry Tray
~ Floor Drains
Drinking Ftn.
Stop Sink
~ Gas Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
oomply with all ordinances and des overning this type of work. ~
Signed : ~ for
Rouqh f inal ~
Inspections: Date Insp. Date Insp. !
This is your permit when numbered and approved. ~
Approved CITY OF EAGAN 454-8100 ~
I
I 1
Reaipt ` MECHANICAL PERMIT Permit No.
CITY OF EAQ"
, Fw
' fill in nwnbard wrcrt S/C
Type w Prfnt /egiWy Tot I
1. Date ~ *2. Installation Cost
3. Job Addras Lot ' Blk. Tract
.
4. Ownwr : . .c
5. Conmctor L--. , Phont
6. Address
7. City State Zip
8. Buiidiny Type: Residentisl C3° Commercial O Institutional ?
9. Work Oesaiption: New ? Add ? Alter ? Repair ?
10. Describe , Fual TyW
11. No. EquiAmBIIt BTU - M. Ea. No. Equipment CFM
Forced Air ' Air Handliny: ~
Mfg. Boilers Mach. 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 ordinences and codes govern+ng this type of work.
Signed : ir, a+t v: for
Rouph - Final
InspeCtions: Date Insp. Date Insp.
This is your permit when numbe?ed and approved.
Approved CITY OF EAGAN 454$100
~ ~I
CITY OF EAGAN Remarks
Additfon FIINDTREE 3RD ADDITION Loc 3 Bik 1 percel_ 10 84472 030 01 '
Owner Street 3634 Windtree Drive state I
Improvement Oata Amount Annuat Years Payment Receipt Date
STREET SURF. 16.13 lO
STREETRESTOR. 19g(` '2315.25 463.05 5 ,i0 /,2
GRADING - 1983 613.25 122.65 5 1A2, IP6, C'O /3 F3 /i-y- s~ I
SAN SEW TRUNK 151 1971 160.46 8.02 20 C'O //3 3 1-f
SEWER LATERAL 1$3 3256.80 651.36 5 (p LC46 16 .3 /L~//-
Sewer L Trk S 1983 188.16 37.63 5 3 , /3 F3
WATERMAIN 6 1983 260.34 52 . 07 5 5. r o c~ 3 l2-- i/-cFs
WATER LATERAL
WATER AREA V 1972 236.39 11.82 ZO C~ 0113 e3 /a-// -.:FS ~
STORMSEWTRK ri(c ' 1983 771.36 154.27 5 155, , I eo1133 1-2-i/-~'S I
STORM SHW I.AT i
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00
WATER CONN. 500.00 1 °
BUILDING PER.
sAC 525.0
PAR K
GEQ. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD ~ ~ r
ADDRESS ;CITY G ~~'J ~IiU
-OCCUPANT ~ OWNER
HEAT LOSS DATE HTG. INST. 1- ~
SOLD BY L,A R1 l.AJ -I -tT~ INSTALLED BY
Electrical Work By " Gas Line By - - -
TYPE OF HEAT GA_ FA HW_ STEAM SPACE HTR. UNIT HTR. OT El\ -
~ GA5 DESIGN CONV~11~Q ~ MAKE MAKE OF BURNER
Model Madel
Serial Max. BTU Rating
INPUT : G G' c rY. MAKE OF FURNACE
Model
` r,.CONTROLS
THERMOSTAT Heat Plu~ Vent Size r~
Valve ~ - ~'r=o ^ ~ , ~ / KIND OF LINER IZE NONE
Limit =J .if Draft Hood - Regulator
Limit Setting ` Filters Size Number
Fan Setting n Chimney Location Inside Outside
Pilot Type Chimney Construction
Pilot Make ' , ^ ` , '
Pilot Model Smoke Bomb Wiring ~
Pilot Timing Draft Test Tag
L.W. Cut Off - Door Pressure Lighting InsL
Pressure Percent C02 ~Date Tested
Input CFH Percent O 7, Company Testing
Stack Temp. Percent C0 Name of Tester
2
_ Form 235 i
RESIDENTIAL
BUILDING PERMIT APPLICATION ,75
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681•4675
Now ConsWation Reauiramenh RamodeYRewirRwukomenh
. 3 ngWored 3b svrveYS gminD s9. Il d bt sQ. Il d Aouee: andlipl roobd maes . 2 oopies d PMo
(20% maximum bt coverape abwed) . 1 sel of Eneryy Cakuletions br Mabd addlbns
• 2capieso(planslawipbeamBwYWOwsizes;pouiadbunddesign,elc.J . 15ilesurveyfaezterioraddi6ons8decks
. 1 sel of Ene(gy CalaMtlons . Inacate M hane served by xptic eyalem (or addilNbns
• 3 apies otTiee Presenatlon Plen Ybt platlad aller 7I1A3
• Rim Joist Detail Options aeWtion sheat (WOgs wryh 3 a bes unils)
DATE 900 ZCX) l VALURIONv,
JOB SITE ADDRESS 316
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE I~~
TYPE OF WORK _7_e FIREPLACE(S) 01 2
APPLICANT _72AL . PHONE#
ADDRE55 7 J`- S.~E ZIPCODE
PAGER # CELL PHONE # K/?) - 685-8'r.5-R FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY 1
(check one) - ResidenGal Ventilation Category 1 Worksheet Submitted
- Energy Envebpe CalculaGons SubmiUed
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbiny Contracior. Phone
Plumbing System Includes: _ Wa[er Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heuer _ No. of R.I. Baths
_ No. of Baths
Mechanical Cootractor. Phone N
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
5ewer/Woter Conhactor: Phone *
All above information must be submiUed prior W processinp of application.
I hereby acknowledge ihat I have read this application, state lhat the info~?nation is correct, and agree to comply
wiTh all applicabie State of Minnesota 5latutes and City of Eagan Ordi fices.
Sipnalure of AppNeaM
Certificates of Survey Received _ Tree Preservation Plan R ed _ Not Requi ed _
upaataa Iroi
w~'
OFFICE USE ONLY
? 01 Foundation O 07 05-plex 0 13 166-pllex O 20 Pool O 30 Accessory &dg
? 02 SF Dwelling O OB OB-plex O 16 Fi?eplace O 21 Porch (3•sea.) O 37 Ext. Ak - Muiti
O 03 01 of _ plex O 09 07-plex 0 17 C,arape O 22 PorchlAddn. (4sea.) O 33 Ext. Alt - SF
O 04 02-plex O 10 08-plex O 18 Deck ? 23 Porch (screened) O 36 Multi
O OS 03-plex O 11 1 aplex O 19 Lower Level O 24 Stonn Damape
0 06 04-plex O 12 12-plex Plbp Y or _ N 0 25 Miscellaneous
O 31 New O 35 Int Improvement O 38 Denwlish (Inteiior) O 44 Siding
O 32 Addilion O 36 . Move Bldp. O 42 Demolish (Foundation) O 45 Fire Repair
O 33 Atteretion O 37 Denalish (Bldp)' O 43 Reroof O 46 WindowalDoors
O 34 Replacement •Damolitlon (Entln Bldp only) - Give PCA handout to applleant
Valuation Occupancy MCIES Systen
Census Code Zoning Cily Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Lenglh Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina]/C.O.
_ Fooriogs (declc) _ FroaVNo C.O.
_ Footings (additan) _ PlimbmB
Foundation HVAC
Drain Tile
Roof Ice 8c Water Final Other
_ Frazning _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Srone
_ Insulation _ Windows (DOw/replacement)
Approved By , Budding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Pertnit 8 Surcharge
Treatment Plant Plumbing Permit ~
Mechanical Permit
License Searcfi
Copies
Other ' 'Total
CITY OF EAGAN N 10 9 6 6
. ' 3830 Pilot Kno6 Road, P.O. Box 21•199, Eagan, MN 55721 /I
BUILDING PERMIT PHONE:454-8100 Receiot #
Te bs uwd 4er SF DWG/GAR Est. Value 83,000 Dote SEPTEMBER 13jq SS
SiteAddress 3634 WINDTREE DRIVE Ered [R Occupancy R-3
Lot -3- elock 1 Sec/Sub. WINDTREE 3 Ramodel ? Zoning R-1
Repair ? Type of Const. V
Percel No.
Addition ? Na. Stories
m Name DUANE J. BUILDERS. INC. Move ? Length 9 n
= Demolish ? Oepth
~ Address 1900 ESTATES TR lnt Impc ? Sy, Ft.
City BIJRNGVTI.I.F. phone 4 -871 Install ?
o Name SAME ADVrorols Fses
Address Azsessment Permit 382 _ OQ
~ City Phone ~Nuter 8 Sew. Surcharge 41 _ 50
Pafice Plan Review 1 9 1-(1 Q
UW Name PLANCO. INC. Fira SnC S9q_OQ
',Z-Zi Address '14"25 WARHTNf:TnN IlR Erp. WaterConn. 500 0
Z. City H-AGAN Phone 457-Q724 Plonner WaterMeter 61 !10
Coun[il RoadUnit 980 00
1 hereby acknowledge thof c e read this oD ation and state thol Bldg.Off. 9/I2I85 Tr. PI_19~2 !10
the in(ormahon is correc and ogree fo co I with al opplicoble
APC parks
51ote o4 Minnesoto Stot s a Ci1y of E g Ordi ces.
Var. Date Gopies
Sipnafure of PermiMee
Total 2.114.5~
A Building Permil Is issued ro: on the express conditlon thoi
oll work shall be done in tcordance wit I a licable Sta1e of Minnewta Stafutes ond Ciry of Eopnn Ordinonces.
Buildinp Olficiol ~.r- ~ ~
-7 "
CITY OF EAGAN N? 13 5 0 7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454•8100 -j~
BUILDING PERMIT Receiptn 2To be used for DECK Est. Value $1 , 800 Date APRIL 24 1y87
Site Address 3634 WINDTREE DR OFFICE USE ONLY
Lot 3 Block 1 Sec/Sub. WINDTREE 3RD OnSiteSewage _ Occupancy
MWCCSystem _ Zoning
ParCel No. On Site Well _ Type of Const
City Water _ (ACtueq
~ Name TOM & TERRY JOHNSTON (Allowable)
# of Stories
3 Address SAME Lengtn
° City Phone 456-5829 Depth S.F. Totel
oa Name SAME Pootprints.F.
.
ou qddress
~Q APPROVALS FEES
~ City PhOne Assessments _ Permit $34.10
t~ Water/Sewar _ Surcharpe 1_ pn
OW w Name Police PlanReview
~ i Fire
z- Address SAC, City
-
cr= Engc SAC,MWCC
aw CitY Phone Pianner _ WaterConn.
Council _ WaterMeter
I hereby acknowledge that I have read this application and state Bldg. Oif. _ Road Unit
that[heinformationiscorreclantlagreetocomplywithellapplicable APC _ TreatmentPl
State of Minnesota Statutes /a9~,d City of Eagan Ordinancas. Variance _ Perks
Copies
Signatwe of Permittee rO
rAl $35.60
A Building Permit is issued to: TERRY ,IOHN TON on the express condition that
all work shall be done in accordance with all applicaM State of Min sota Statutes and City of Eagan Ordinances
BuildingOfficial -
/-y
rhis runuest voie / Y; / ) (,1, / O
18 nwnths from
43 6l 9.
Riaques~ D:Fre No. Rnuuh-in InsU~'-clion
i~ Rea veeP 08entlv Nuw~ Will Nuufv.InsUec-
I'~J ?N„ -~~,r When Readv
IKLicensed Electiical Convacjor
I hereby request iasoeclion of abovo
? Owner elactncnl work instxllod nt:
Sveet AAdiess, Bo ar Route No. CiIv
Zk. ei7~/L/
nction o. 11Township Nnme or No. Rnnpe No. Coumy
O~ uuIt (PRINT) Phone; No.
~ U ~T. ~c~~~.r=
Po r SuoPlier Atldress
~Q
EI ~ `ical Cnntr;ictor (COmuany Name) Canu:ir,tor's Liccnsc No.
Malli p AdJ,es~s,_ICOntr t r o, Owner MaWn Instaila
L~ ~ ~ ~9~~6r J~.S~'7G
Authao e Signature (ConU.
0 ner Maki U In ;illabon) i~ONUmber -
MINNESOTA STATE BOAHD OF ELECTFICITY THIS INSPECTION PEQUES WILL NOT
Griggs-Mitlwev Blde, - Room N-191 BE ACCEPTED BV THE STATE BOARD
1821 University Ave., St. Pnul, MN 55104 VNLESS PflOPEH INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ,r ee-uuw,. a
' See insvuctions lor completinB this form on bnck oi vellow copy.
~
B "X" Below Work Covered by 7hrs Request j 85
I'jAtl NeP Type ai 8mltlim ApPliancns Wiretl EquinmOni Wvxd
Home Fanqe Tempoiaiy Service
Duplex Water Heatei Lic7h[uiy Fixtures
Apt Buildinq Oryer Eleciric H¢aLn
Commercial Bldy. Furnoce Silo Unluadur
Industnal BIAg. Air ConArtioner Bulk Milk Tank
Farm omHF Sotjn y (si>, "ry)
t ar (uecilv Ot ei Other
Poute=Ins-pecoon Fee Befow
p Fea Servieo EnhaneeSize h Fee F¢nders/SUbleeJers u Fee Ciecurts
U to 200 Am ps 3z,- 0 to 30 Am ps 0 tn 30 Am )s
Above 200 qmps ~ 31 to 100 Amps 31 [0 100 Am s
Swimming Pool Above 100_Ainps Ahove 100-Amps
Transtormers Irngation Booms Paitial.'Oiher Fee
Signs Specialinspection -
Remi~ks $S6. TOTACFEE
Roueh-in Dvrte
I, tha Electrtcal
C% - ~.y3.fr} ~~=oocto,. ne,ab,
certi(v lhnt the nbovo
Finai • V^° Insoection has boen
~v
fhia reQUes1 voiE 18 monlRa imm
t r" 2006 RESIDENTIAL BUILDING PERMIT APPL[CATION
~ City Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmchon Reouiremen(s RemodelJReoair Reauirements Office Use Oniv
3 regis[ered site surveys showing sq. fl of lot, sq fl of house; and all roofed areas 2 copies of plan showing footings, beams, joists Ced of Survey Recd Y_ N
(20 % maximum lot coverage allowed) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Racd Y_ N.
2 copies otplan showing beam & window srzes; poured found design, etc 1 site survey for additions 8 decks Tree Pres Required Y_ N
1se[ofEnercyCalculaUOns AddNOn - indicate'rfon-slesepticsyslem On-siteSep6cSystem _Y _N
3 copies of Tree Preservahon Plan rf lot platled after 717193
Rim Joist Detail Ophons selection sheet (bmldings with 3 or less umts)
Minnegasco mechanical ventilation fortn 1 ~t
/
Da[e1,2-/ , 1 /-axL I ConstructionCost
Si[eAddress 3(n ~lq W.,kr~VYec ~r Uni[/S[e JI
f ~v I a-~
Description of Work `ji) i~b~~~t
Multi-Family Bldg _ Y~ N Rireplace(s) _ 0/- 1 _ 2
Property Owner M A Q \C P&TZ-2541 Telephone # ( IeSI ) I~ _O(p _/-len,e
l~iJ, 1 55 " - CtI I
Contractor Ne-'h~
Address City
S[atc Zip Telephone#( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv I Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(N submission type) Submitted Submilled
• Energy Envelope Calculations Submitted
In ihe last 12 months, has ihe City of Eagon issued a permit for a similar plan based on a master plan6
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Coniractor ~u R _ _ Telephone # ( J
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 accordancc with the approved plan in the c of work which requires a review and
approval of plans. j
A &?< R--r6e6 a t, - -
Applicant's Printcd Name Ap nt's ignature
DO NOT WRITE BELOW THIS LINE
.f
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 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
? 06 04-plex ? 12 12-plex ZW ? 25 Miscellaneous
ork T es
31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
40 ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowsfDoors
? 34 ReplaCement 'Demolition (Entire Bidg) - Give PCA handout to applicant
DCSCfIptlOfl: Water Damage _ Yes
Valuation Z1 ve't~.- Bn Occupancy F• 3 MCES System
Plan Review 100% or 25%
Census Code ~ 3 Y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Y13 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings(deck) FinaVC.O.
_ Footings (addition) ZO Final/No C.O.
Foundation 29 HVAC
Drain Tile Other
Roof Ice & Wa[er Final Pool Ftgs Av/Gas Tes[s Final
~ Framing _ Siding _ Stucco Lath _ Stone La[h _Brick
Fireplace R.I. AirTest Final Windows
~ Insulation _ Retaining Wall
Approved By~~'W,~ , uilding Inspector
Base Fee
Surcharge 1,4T Fe e
Plan Review
MCIES SAC 'JZ mo rv~- n a-f- To 8 e a ste~ AS
Ciry SAC
13 e jZ,eO w-
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot ICnob Road, Eagan Mn 55122 \
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Smgle Family Dwellings
Townhomes and Condos when permits are required for each umt
Date-~--/~V /D--7) ~A-y~..~-
\ /VJ \
~
Site Address
~3` ~y1 . Unit #
Property Owner \7)' ` Y `CLJ) 1cTelephone # 651
Contractor ~T L,-~6u tx-~i~-
Address -:t) lail City
Sta[e \ Zip Telephone t:E)
The Applicant is _ Owner N Contractor _ Other
Septic Svstem New _ Refurbished Submit 2 seLS of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fxtures to lower levels or room additions, excluding water sokener and water heater
_ Abandonment of septic system
_ Water turnaround 5f8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
-V) Water softener _ Water heater $ 15.00
N replacement _ adtlitional
ra n f1
p I.~ kj!
State Surcharge 50
N 1 9, 9003
Total ' r s
BY ° -
1 hereby apply for a Residential Plumbing Permi[ and acknowledge that the mforma[ion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbmg Codes; that I understand this is not a
permit, but only an application for a permi[, and work is not to start without a permit [hat the work will be in acwrdance with the
approved plan in the case of work which requires a review and approval of p ns.
m
Applicant's Printed Name plicanYs ignature
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
\v NOTE: ALL CONTRACTORS MOST BE LICENSED ifITH THE CITY OF EAGAN
COl47ERCIAL SINGLE FANILY DNELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
6 STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS-
$2,000 LANDSCAPE BOND ~ E)3 pnp
To Be Used For: c e Yy Valuation: ~ Date: ":~Se / 1 8C
Site Address 363,y L0~~(J~1~zc-~ O~ OFFICE OSE ONLY
Lot _,3_ Block ~ Erect k Occupancy ~-3
I Remodel Zoning R-
Parcel/Sub /,1), Repair Type of Const SF
Addition ~ I1 of Stories
Owner Move ~ Length !50
Demolish ~ Depth .46
Address Int,Impr. _ Sq Ft
Install ~
City/Zip Code
Phone APPROVALS FEES
Contractor UVA,t7P kal{PpS ' Assessments Permit 3Y3Z.
r Water/Sewer ~ Surcharge
Address `q00 C.S(Prrc~S ,~ej/ C Police ' Plan Review 191.
VFire SAC 525.
City/Zip Code ~(,~,~IVS(~~ ~PEngr Water Conn 500.
Planner Water Meter 63.
Phone q'-~ 6- ~8712, Council Road Unit 1so.
voC O ~ c Bldg Off~ Treatment Pl 132.
Arch./Engr, L ~ APC Parks
.~~~5 variance Copies
Address ,lJi2 TOTAI,
City/Zip Code Epo} 9ligi, I/p1 ~to X). SS~ Z Z.
Phone !1 ~I.~2 - 0 7a y
= j72 x (o8Co4 ,
2 ~ n 2 -z
Q~ZZ~~S
C A L m I N'H . H E D L U N D 772e Morqan nv.nu. s«u+n
RICAfIeId,Minnesota 66423
Land Surveyor Civil Enqineor Phon* : 868-2623
survMvrd, G'ertlf "~cate
JOB N0.
SURVEY FOR: I)uane J. Buildcrs
QESGRIBED A5: Lot 3, Llock 1, IUINUT$F:E 3RD AIIDITION, City oP Eagan, Dakota
County, Ttinnesota and reserving easements oP record,
899.0 N88025'06"W
o/.OO - -
Top of Foundations = 9034 8970
Garage Floor = qo1,(
Basement Floor = 900.2
Z ~ -I Z
"
Proposed Elevations ~ it- N L4 ~
O ~ ti Iw e;
Existing Elevations- . N ~ ~ ~ ~ye'Zx m
Drainage Directions 02:7
D
Denotes Lot Corners O 11 ~
il ~j 6 `
.
-
oP, ZC IZ p
22 /Qr-, N I ~ v1
14
1 z _ , ~
OI•
> W N
1 Q N I
~ I 1
8y8$
V' 1 1
~ (00•`~5 4g 89d~~
~7S°~L g9~.
g96•¢ ~ 0 VRIVE _
o W~NDtRE ~
CERTIFICATE 7F SURVEY •
I hereby certify ihat o0 9/10 18 5 t survey roperty descriDed above and thot
ihe above ploi is o correct representation of said surve
~
GNiV~'~-'.` / I / • I~.C~1 L~
Calvin H. Hedlund. Minn. Rep. No. 5942
HLNttESOTA STATE EAERGY f:Or)E CALCULATIONS
• . BASED OV f,f1APTE-R 5 GF THE b
MO E:1ER,Y CODE - 19EDITiON '~~-ZZa
Adup[iun EEfective 1/1/84
iwner 10/71 214, .~~A)'7-rPhone ratP
~ite address •
:on[ractor ~~(~~}I~JF~- J 7~~-0~5• Phone
iuilding Classification: Type A1 (Single Faaily 8 Ouplex)__~/,_Type A2 (Residential~
(3 stories or ess
(Other) (Over 3 stories)
i'cNERAI I NFORFWT ION
1. Building Perimeter Xwe- /,(I(,K!r~V/-tit,
'dall height (ground to eave) 11 ft.
2
3. 1. x Z. (above) gross wall arga. ft.
3. Building dimensions (L) 2(/x(N) ~Q =~ft.2 roof S floor area
i. Square fcot area of rim ,joist - Floor joi:t size (2 x Z
A> x Perimeter = Rim joist area a~ZTft
6. Doors - drea S~
' Thickness n. U actor,~~_
Type of Canstruction Perimeter ft.
Manufacturer
7. Total door's perimeter . ft
8. Windows: Manufactyrer State approved
U factor_ ,
TYPE SI2E ARcA (ft.2) ."IUMEER 0F TO?AL FEET 2
EACH UtiITS
g. Total ft.z Glass
10t- Fireplace area: Width x heiaht = x = Ft.2
11 . Exposed foundation: Height :c Perimeter r4 x /SL = Ft.2
-T ~
;]PIPLETION Of THIS FaRM IS RcQUIRED FOR ALL t1EW COiISTRUCTIJN, MAJOR REM00ELING ANO BUILOiNGS BEING
1JVED 'dHERE ENIERGY, OTHER THAN THE 14INIMAL CODE ALLQWAtICE, IS USED.
. i
.12.. ,.Frum±ng,area • lOX oP gross Mall area. T"795--L7,a
13. Gross wall area ft.Z
Nindow area A ft.2 U Hindows U x A¦ 7. Z.
i
Rim joist area A (/I ft.Z U rim joist • i0 3:7 U x A
Door ar a A ft.2 U door area U x A a Z
F~i-ee e ar a) lA~l ft. Z U fireplace - '-f 7 U x A¦~
Exposed foundation A ft.2 U foundation ~ i ~"Z.- U x A=
Framing area A 77D ft.2 U framing area a~0& U x A
Net wall area A ft. U wal l= ~ ~L7 U x A~ ~Gb
(138) TOTAI . . . . . . . . . . U x A
14. Gross wall area x 0.11 (A-1 single family S duplex = allowable U x A/Code
(13. abave)
x 0.23 A-2 other residential)
x .23 ~Other buildings)
x .28 (Over 3 stories)
BTUH Must be larger tha;
A x U Code_ ° q i -°T. 136 above
15. Ceiling framing area (Af) equals lOi of ceiling area or the. same as)
iSA. Gross ceiling area •(L) ~6p x(Y) ¦ ~~/~D ft.2
I56 Joist area (Af) - 10% ceiling area - ft.2
15C. Net ceilSng area (Ac) (15A - 156) • ~117 v ft.2
U ceil ing x Aca ,ol9 x f J7/) ' 7, Z,Z3
U framing x A p= i/'Ti x I ~2 r a 7,~j,p
150. TOTAL U x A......... ,
16. Ceiling area (15A) x 0.026 (A-1 single family b duplex - code allowable U x A •
x 0.033 (A-2 other residential)
x 0.06 (other)
B UH Must be larger than 15D (above)
A(15A) ~~dd x U(code)= 33, 50 F (or the same as)
, OZ Co
NOTE: Use U and A values obtained from ops 1, 3 and 4.
57 - ZZ o
Y
` ~ z a a e e-
;
:
2
~
J
u
6..~ 0; L ~ Ae- ' \
Iz) / ri t
x
7 3
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7 7
~
10
11 11
11 ~ / "
. 3 12
12 13
11 ~ ? (7,o lJ I'lillIA .G 11
is ,s
le - z d to
Is 11
is is
:o S• ~ :o
21 F2 1,12 8 C. ~ :i
:x J
p'o
23 o
n
24 "J
zs
u
:e
n 111 Iff n
:1 a
:1
:a
: 30
~o
31 •
ai
32 32
» ,
»
14 14
35 -
lS
" I
, 71
71 .
71
71
3e '
4e
4e
1 1 11 ag I
O wiww iowo corPArrr e7ee00w.tw n00 ourr, a7009e <ov[eL[u rAOC 1w v.~.e.
u rMLUt I.NLI.ULNI IU"
• SNEATN INCt ALUE U VAWE
~ Inslde air film .68
YALL Interior Ya11
-tj (Wall) U . R .
SEC?ION Insula[Lon I
Sheathing
~ I• Siding
Outslde alr film .17
R TOTAL lj q 7
ri Inside atr film .68
S'1'CD In[eriar va11
SECTION " 4" scud R= 4M~,5'0 (Framing) U. R.
~ Sheathing 4j.pp
~ Siding 1 co'7 .46
Outstde air film .17
1 ~
8 TOTAL I 4, 47
Inside air film R= .68
2ND WALL Interior rall '
SECTION sula[ion (Wall ) U • 1 ~
^ R
Sheath
' Exterior vall co ng
Exterivt air film R ~
R TOTAL
Interior air film R= .68
R~ ~----5~ Insulation ~
~ I~.OD
JOIST lh ineh soft vood R=1.88 (RIm U
~JOist)
~
44 SheathLng
` Exterior wall covering (o~
Exterioc air ftlm Rz ,17
~ • R TOTAL Z8,¢j
Interior air film R= .68
` I Insulacior. Vm /b,OD
~ Founda[ion j,2g (Fdn. ¦
Esterior atr film Ru .17 ' U R
.
R TOYAL
1_
O~G
:cposed 9Lutk
T-7
c~
CEILING atTH VENT"cD ATTIC SPACE ABOVE
' , . R 'lAL!lE V LUE
FRAt4IMG CEILING
0.61 Air Film 0.61
~ tZ•0O InsuTation 50,60
,loist
.
Ceil9ng
0.E1 Air Film 0.61
4-3.1G Totai R 5(,7e~
I
~OZ U = R ,~~q
• -
FLAT RGOF OQ C.~THEORAI. CEILI'JG
~ R Va ue R YALUE
I I FR;,MIPl6 CEILING
0•61 Inside air film 0.61
Ceiiing -
I Jaist (stud
Insulation
~ Qir space
Roof deckinq
I. Insulation
I ~ Built-up roof
0.17 Outside air filn 0.17
Total R
I
R - U
lindow infiltration .5 cfm/lineal foot of crack
tesidential door infiltratien 0.5 cfm/squar2 foot or door and minimum code requirement
Icn-residential door infiltration 11.0 cfm/lineal ?oot of crack
1b 12" concr•ete block no insulation =.47 R 2.1 ~
!b 12" concrete block insulated cores =.26 R 3.8
1S 12" 1 iSlitweiahc block =,32 R 3.1 ;
:b 12" lign*.weight block insulated cores =.12 R 8.3 ~
J single glass = 1.13; with storm,window .54
J double glass = .55 1 triple glass = .41 ~
I
;il ex'terior walls and ceilinqs must have a vapor barrier (0.10 perm m3x.). '
;apor barrier must be on the inside (heatzd side) of wa',1. ~
iapor barriers of the polyethelene thin film hava no R value. I
i
i
~
1987 BIIILDING PERMIT 9PPLICATION - C OF EAGAN
SINGLE FAMILY DWELLINGS
INCLQDE 2 SEfS OF PLANS, 3 CERTIFICATES OE SORV6Y, 1 SET OF ENERGY CALCOLATIONS
HOTE: ADDRESSES FOR CORNER LOYS - COATAACTOR/HOMEOANER HQST DESIGHAiE WHICH ADDRESS
IS DESIRED. NO CHANGfiS NILL HE ALLOWED ONCE BDILDING PEAMIT IS ISSQED.
MOLTIPLE DiiELLINGS - RFSIDENTIAL RENTAL QAITS FOR SALE QHITS
INCLUDE 2 SETS OF PLANS, CERTIFIC6TE OF SQRVEY - CHECB iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CO[•MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: / do 0 Ik3te:
Site Address OFFICE OSE ONLY
Lot Block ~ On Site Sewage_ Occupancy
MWCC System Zoning
Parcel/Sub On Site Well _ Type of Const
~ City Water (Aetual)
Owner /111m~ a (Allowable)
F ,
S of Stories
Address Length
Depth
City/Zip Code S.F. Total
~ Footprint S.F.
Phone _L/Sa - j ya.9 9PPROVAIS FEFS
Contractor J14M ~ Assessments Permit
Water/Sewer Surcharge J.6'0
Address Police Plan Review
Fire SAC, City
City/Zip Code Engr SAC, MWCC
Planner Water Conn
Phone Council Water Meter
Bldg Off Road Unit
Arch./Engr. APC Treatment P1
Variance Parks
Address Copies . 5 a
ToTAL 3 S -I„ a
C1ty/Zip Code
Phone lf
o.~ti_So LJI
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E-i N 1 ark'sNymn
' CITY OF EAGAN
APPLICATION FOR PERNffT SEWER ArID/OR WATII2 CONNECTION
(Please Print)
1) PROPERTY ADDRESS:
7,FY;AT• DFSQ2IPTION:
(Lot Block Subdivision or Tax Parcel I.D. Number)
IF EXISTING STRi:C'IL~RE, DATE OF ORIGINAL BT-IILDING PERMIT ISSC'ANCE:
(Nbnth Year)
PRESENT ZONIAG/PROPOSID L~SE: R-1 SINGLE FAMILY
R-2 DCPLEX (TrO Units)
R-3 TOWNII-IOC~SE (Three + Units) ( Units)
R-4 APARTMENT/CONDOMINI[:M ( Units)
COM,IEE2C IAL/REPAI L/OFF I CE
IDIDCSTRIAL
INSTIIT)TIONAL/GOVERI,~
2) ~
NAME: asPen ~XcA~r,."F;~c~. T'nc.
rwDREss: S aya n r i "
d'
CIT'Y, STATE, ZIP: yY) ou .1 cA, ~ A/. S,S 3!,
PHONE: _~Il j). - I ~1 0 o
3) • For City Use
NAME= T he e np f u.-.. b1 n ~ Pluml~rs icense
ADDRFSS: SSoO L ~N~nl„ Active
CITY, STATE, ZIP: A1..U , L7 Expired
PHONE: 933' CqJ" j MASTII2 LICENSE #,3 a l,5- O Not Recorc
Staal
4) • i~•
rArE: iJkQhQ a. t~;.~,, IdCNS
ADDUESS: _i q c7Z) ~~Zj-r e s Tr •
CITY, STATE, ZIP: M V'
PxorE: 4 36-fs'7 i L
5) i~ i • • o•
~ CONNECT20N TO CITY SEWER CONNECTION 'IO CITY WATEEt
O OTHER (Please Describe)
6) i~ ' •i
~ PLEASE HOLD APPROVID PII2MIT FOR PICK-UP BY ONE OF ABJVE
? PLEASE MAIL APPROVID PERMiT 'IO 1, 2, 3, 4, ABOVE
7) (Circle one)
d ~ h zJ ~r
F 0 R C I T Y U S E O DI L Y
, PE°MIT ISSUED
. rrES: $ f V SE:i---R °EBMTTy / ~t-r•-;~~
~~__--r::vL..\
1~_.1,._.....~
JU......r1
$ /O, SZ WATE:Z PE~1ZT (Ii:CLLL7L JU7C :ARGL)
WATER METER/COPP°4HORN/OUTS= READE2
5 WATER TAP (INCLUD° COP.PORATI0N STOP)
$ S :WEY Ta?
vv
$ ACCOUNT DFPOSIT - piAT°_R
$ WaC -
$ SP.C
$ TRU?IK WAT°R ASSESS2?E;iT
$ TBG;dK SE:iER ASSESg::=ciT
$ LNTERIL BENEFIT/T3UNR SEi:E-
$ L;iTE.T2r1L BE\EFIT/TP.UViC S•IAT_°R
$
WATER TREATMENT PL.AI~TT SURCHARGE
$ OTHER:
$ TOT?.L
$ J/ at> Ah!0[::IT PAID; RD-EZ?T R $7,(v
DOES UTILZTY CONUECTION REQUIRE EXCAVATIOV IN ?UBLIC RZGHT OF WAy?
YES ZF YES, THEN H"PERh]IT FOR :90RK WITHZN
PUBLIC ROADWAY" MUST BE ISSUED BY TE?E
NO ENGINEERIr]G DIVISION. LZST AS A CONDI-
TION.
SGEJECT TO TESE FOLLO[JING CONDITIONS:
APPROVED BY:
n~ .c-c l
TZ:LE:
DAT°_ :
City of EaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
WAR 22201[
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3 - 1 , l 0 Site Address: 3t0 3 y (Ai Ln<.+ 11't
Tenant:
Suite #:
RESIDENT / OWNER
Name: �' r (< ,(O(\ Phone:60 -7o --7a1-7 7
Address / City / Zip: '.fi: i -1 (,,,l,,., l £ aii_ r
CONTRACTOR
Name: PLIO41 n /� f LLAT 1K,S License #: 6S- R9 71 pro
Address: t ( (111 i VC.Y Si City: ►`Qtom(
O
State: Mei S I O`'f Phone: 661 ' f -(4 r7/
`�n"Ziip:
Contact: c Email:
"
TYPE OF WORK
New (,Replacement Repair Rebuild Modify Space Work in R.O.W.
_
Description of work:
PERMIT TYPE
R SIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) (_ Main Lower Level)
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. 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.
x
Applicant's Pr i %ed N
Applicant's Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA081943
02/12/2008
ePermit
Site Address: 3634 Windtree Dr
Lot: 3 Block: 1 Addition: Windtree 3rd
PID:10-84472-030-01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
e-Windows/Doors
Windows/Doors-New/Replacement
House
434 -
Construction Type:
Occupancy:
Comments:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total: $90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Wendy H Peterson
3634 Windtree Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086302
09/23/2008
ePermit
Site Address: 3634 Windtree Dr
Lot: 3 Block: 1 Addition: Windtree 3rd
PID:10-84472-030-01
Use:
Description:
Sub Type: e -Fireplace
Work Type: Gas Fireplace (new)
Description:
Construction Type:
Census Code: 434 - Occupancy:
Zoning:
Square Feet: 0
Comments:
Chimney/flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Andrew Hoffman
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total: $90.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985-6675
- Applicant -
Owner:
Wendy H Peterson
3634 Windtree Dr
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA090911
08/28/2009
ePermit
Site Address: 3634 Windtree Dr
Lot: 003 Block: 001 Addition: Windtree 3rd
PID:10-84472-030-01
Use:
Description:
Sub Type: e -Siding
Work Type: Siding
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Capital Siding & Windows
9673 Wynstone Dr
Woodbury MN 55125
(651) 578-9205
- Applicant -
Owner:
Wendy H Peterson
3634 Windtree Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA091292
09/23/2009
ePermit
Site Address: 3634 Windtree Dr
Lot: 003 Block: 001 Addition: Windtree 3rd
PID:10-84472-030-01
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total:
$90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Wendy H Peterson
3634 Windtree Dr
Eagan MN 55122
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
Issued By: Signature
C!ty of EaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
1
Permit#: ` 706 (
Permit Fee: '66 (3 0
Date Received:
Staff:
r-� 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1 _ -t " )0t I Site Address: 36 v'i c)1 r1T r� £k't V C_
Tenant: M I�Y�k a \A) 6 IV 6‘1P61-6 (LS a�
20
J
Suite #:
RESIDENT / OWNER
Name: M AMC 4, 'J&nJbY 4-T E eSON Phone: L t'd ,'i-ov , (SSS S2
Address / City / Zip: 4 3L-1 ) vL CQ e bc , t.,cA. (I\ , (4 s S (a 6
CONTRACTOR
Name: %) /A License #:
Address: City:
State: Zip: Phone:
Contact: Email:
TYPE OF WORK
_ New Replacement Repair Rebuild Modify Space Work in R.O.W.
e.
_ _ _ _ _
Description of work: Luovr (4 S to CS2g..04. kJt ...bt
PERMIT TYPE
'
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Lower Level)
_
Lawn Irrigation ( RPZ / PVB)
—
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Tumaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www. • o
I hereby ctfftWedge atthis information is complete and accurate; that the work will be in
Eag + at l g p . .: i I.. is not a permit, but only an application for a permit and
�A• with the approve. • an in the case -f work which requires a review and a
c�
x
App ica 's Pn ed Nae
nances and codes of the City of
a permit; that the work will be in
c 9'61 -6 -sem
x
Applica ` is Sig •• re