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3638 Windtree Dr ~ ; CITY OF EAGAN SEWER sERVICE pERMR 1 3830 Pilot Knob Road 7289 ' P. Q. Box 21199 PERMIT NO.• , ~ Esgan, MN 55121 pATE; ! Zoninp: $1 No. of Units: 1 ; pN,rwr; Aspen Realty ~ ' Addross: i f Sit, kyross. 3638 Windiree DRive LS B1 Wisidtree 3 ~ illoen I Plumbe?: um ng ' 4-17-85 S 973 too.00 f I Mm H«wov? wkh Nn Ci1p of i.o.¦ ConrncNon i],arqs: 425 . 00 pd ; OrliMwew. Accpunt pepadr; • 10.00 ~ Peemit FN: Surcharpo: ( ey Mise. CF+orpm I Dote of In4p.: Totol: Dah Peid: ~ GlTY OF EAGAN WATER SERVICE PERNUT , 3830 Pilot Knob Road P. Q. Box Z1199. .x PERMIT NO.:`+, 2~-~ S Eagsn, MN 55121 D/1TE: - - Zoninp: R1 No. of Units: i Owner: A,g,nen Realty /lddrrss: Sth llddress: 3638 Windtree rive T.S R1 i,11ntirroA 3 Plurmber. Tho en P ltmtb In g Met~r No.: Connectlon Charge: ~00. [)0 d Size: /+ooour~t Deposit: - .00 Reodar No.: Permic Fee: 10.00 1aMw h eaaPiy wNb fiw CNT of E69sw Surchorye: XM 50 Oy„Ynomem Mlsc, Cho,nes: 132.00 pd Totol: 63 Gn. ;kd *n..,*er By Dch Pbid: Dete of Insp.: Irup.: CITY OF EAC`a',N WATER SERVICE PERNUT 3$30 Pi.ot Knob Road P. O. Box 31199 " PERMIT Nd.:. Eagan, MN 55121 .1 t Zoninp: °ho': Unfts: ' OwnK. A8P@A 1'ea.}t*m Addrosx yh Addnsc 3638 W,'n e Ptumber. Thaen P1z~+r L'`- ti Mater 35- L Connectlon Choroe: 500.OOpk1 Sixe: a Acaourit ~ posit: 10.00 Reode No.: P ' T.g%.50 1 Mm !o a~+o 11~ !iN G!p' oi Ee"¦ Surcharpe: O~iMwa~. Misc. Choroes. - 132.OO~d ~ Totol: 63_00 lari rniprer gy Dote Poid: Dote of InsP.: ~S 'Mp.: ~ CITY OF EAGAN ~ 3830 Pilot Knob Rosd. P.O. Box 21-199, Eaqsn. MN 55121 PHONE: 454-8100 OUILDINO rERMIT R.ceiat ~F T• M wW fa. ~t Est. Valw r; .t t i; C J Dote n~' Siu Addkea >~j(' p R I V r. Erect 12 Ocaaancv Lot Block ' ~/Sub. . ~ 3 Remodsl ? Zoning - ParcN No. Rp~ir ? Typa of Conrt. Enlarpe ? No. Storim Assc~czK~rGs o ~~n Name Dsmolish ? Depth ; i Addrns Gnde ? Sq. Ft. City 4hone 5 Irntall ? Nante S.'3M APMwoM iNa ~ Addren /1ss+ssment Pemnit Ciey phone Water a Sew. Surchorye ~ Poliu Plan Rsview W Nome Fin SAC W Addrea Erq. Woter Conn. CE City Phone Plonnwr Woter Meter Cotuw-il Rocd Unit ' ( Mreby otknowNel" thot I hovr [eod this epplitotion ond stob thof Bldq. Off. 4/ Z~,'' Ift'.. Hfe inlwmotia? is cared ond oprce to complY with oll oppllccWe p~ Total ~ Stah of Minnesota Statutes and Gty of Eoyon O?dimncas. Var. Ottt 5lpnotun of PennittM A Buildinp Ptnnit {s isswd to: on tM lxprap tqMitlon thor dl wort siall be dan in aoooidonoe with oU appliaoble StaDe of MirvMSOto Stotutta ord Gty of Eaqan Ordimncm ~ duildln0 Offlciol ~ - - - _ _ - - - pwmit No. tirmit Holdw Doa T 0 nwl-kil» 3 3 01- c- Vd 73 H.v,A.c. 5 g ~ 75 Sc y Electric a56 2, 1 z y ~ Impaction a» lnsiL otb. Foo*W ~ Fwundetion Fnmi~N Roollnp peuo Pft RouO HV 96 1 1on ~ Fiml /ft 1/-r Fiml HVAC Fw,.l ;3_ p7 c.rtrooe. x OMViM Lxniow: NMI Swwr h. OMp. Rowipt PIIJMBING PERMIT Pormk No. CITY 8F EAal4N FM ~ , Fill in numbered t,taacer S!C ' Typa or A?ini Jsy7iWy - ; Tot. ~ , 1. Date x. Installation Cost °`~'T' ~ ; 3. Job Address LotBik.'7ract j 4. Owner j b. Contractor•'~"~ Phone - R ~ 6. Addrei! 7. C'tty ~ State Zip ~ 8. Building Type: Residential ~ Commercial ? Institutional ? i 9. Work Description: New b Add ? Alter ? Repair 13 10. Descrihe 11. No. Fixtures No. Fixtures ' Water Closet Caapool/Drainfield < Bath tuba Septic Tank ~ Lavatory Softner ~ Shower Well r' Kitchen Sink Urinal/8idet Othgr ~ Laundry Tray ~ Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and 1 agree to comply with all ordiruinces and codes governiny this type of work. Siyned : ~r ` for Rouph Final Inspections: Dete Insp. Date Insp. This is your parmit when numbered and approved. Appravsd CITY OF EAOAN 46"700 Roaipt MECHANICAL PERMiT PKmit Na. CITY OF EACiAN , • FN , fill in rrumdfrned spmce: S/C Type w Prlrrt leylWY Tot 1. Date 2. Instsllation Cost ! 3. Job Addreu lat Blk. ~ Tract ~ J Barrc}r, Consrruitrtt~ o!? ~ 4. Owner ~ AJ`IC ~ 5. Contractor 'phone ` r, 7_5 04 11 ~ i 9. Addrou r`iy CC"',;: ~'•~~:c?S BIvd. ~ 7. ~ty IGOfI Zip K~4?' ~ I ~ S. Building Type: Hesidsntisl Cf X Con?meraal D Inttitutionsl ? ~ 9 f ~ 9. Work Dascription: New InX Add Alter ? fiepair ? ~ ~ 10. Daaibe I Fuel Typa. G d S ~ ~ 11. No• Ellujpmenz 9TU • M. Ee; No. EQUiament CFM ~ Forced Air Air Handiing: ~ Mfg. ' 8oflers Mech. Exhaust Mfg. bd t h ; 1-t: i ' Unit Heater ` ~ i Mfy. ' Othar ~ ~ ? I Air Cond. t 0 il ~ ; i r, Mfg. f' 1 C' 1" I Gas, Piping Outlets ~ *o furnac~; ~ 12. 1 hereby oertify that the above information is true and correct, and I ayree to corpply-uy0l, al ordinances and ~rotles governing this type of work, Signed / for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approvad. Approved CITY OF EAGAN 464-8100 CITY OF EAGAN Remarks Addition WINDTREE 3RD ADDITION Lot 5 plk 1 Parcel 10 84472 050 01 Owner street 3638 Windtree Drive State Improvement Amount Annual Years 'Payment Rec:eipt Date STREET SURF. 16.13 lO STREET RESTOR. tt 2315.25 463.05 5 GRADING 613.25 122.65 5 g6a,3o SAN SEW TRUNK / 1971 160.46 $,QZ 20 16 SEWERLATERAL 4 1983 3256.80 651.36 S Se er Lat Trk 983 188.16 37.63 5 ,a WATERMAIN 983 260.34 52.07 S / ,/i WATER LATERAL WATER AREA 1,5 7 1972 236.39 11.82 20 71,05 STORM 5EW TRK 67 1983 771 . 36 154.27 5 ,5~'r' STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. if it 6UILQING PER. n n sac 525.00 PARK I - .,NSPECTIUN RECURD l~~ntro~,~. . CITY OF EAGAN~- PERMIT TYPE: ~y+~l ~~?+Nf` 3830 Piloi Knob Road Permit Number. 000 9 4 f' Eagan, Mlnnesota 55123 Date lasued: • ~ ~ ~ ~ /9? ' ' (612) 681-4675 kAO4- SiTE ADDRESS: 1.011 1b ~l t GG K~ i APPI.ICANT: 3836. WIMOT11gE DR MAXA MICNkEL bItMOTRFE SRo (612y 888-9939 ~ PERqff,§ uPl(PFi~ TYPE OF WORK: ~ rk r r o~r i ~I F~A~itN~~ • INSUTAlit~lt ~ FINAL I , ; . F4 i L Pwnlt No. PNn" Haa.r ore. 7`i.p++oo. • S/IM1I I . PlUTA91NC FtVAC Ei.L-C'TRIC ELECTRIC Y"podko DeM r+ap. ConriMnb ~ I Four4mAian ~ RaalY Rao M4 I ?~ro- ~ WA. " ~.,vseo, ~ a~w ~a. I , oftm Ta I Anal PAg Pbp, rrp.cfor -Nor1y Ptxfim I I , Gbm. Mew EW~ I Skk~ Femd ~ o.a~ F?o~ I I Usa FMW I w,. 1 I . Pf. : 3 ~5 q 0 5 ,g OYeo Fea est Dale / Fire No Ro ~ R rt h-in InspecYon ~/S Setl' ? Reatly Now ill Nouty Inspector . Ves C No hen Faetlyi I~] licensed contractor /yowner hereby request inspection of above electrical work at: .bo ntltlress iSVaet Bon or R ) Ciry F ome No r,n01I r, Sectian No Townsinp Name or No Raiqe No. County OMI IPRINT) Phone No r a cZ Pawer SupDlier NtlEress EIKVi al onlraclor ICompany Name) Conlractor4lrzan5B No. ~f /1 I' Maibng Or SlGOmractor or Owner Making Inslallation) o J~- Atnorrz Si ture ICOnVacion n Makinq Installation) P1~ene NuaqBr f~G~l _D C-J 0 J ~ MINNE Tq STATE BOARD OF ELECTHI T THIS INSPECTION REOUEST WILL N ~ Grigqs-MlUway BIEg. - Room S-173 BE FCCEPTED BV THE STATE BOAR 1821 Univerelry Rve, St. Paul. MN 55101 UNLESS PROPEiV INSPECTION FEE IS , Plwne(61Y) 64]-0800 ENC~OSE~. REOUEST FOR ELECTRICAL INSPECTION eea~oooo~_og r n ? Sea rnsvucuons lor mmplelug this brm on back of yellow wpy ~°xl ~y/Q L ~,"j~'ct v K 090 ~"X" 8elow Work Covered by This Request ewAdo rlep. TypeofBUilding AppliancesWired EquipmenlWved Home Range Temporary Service Duplex Water Heater gE,,Iectric Heating Apt. Building Dryer er (Specity) Comm/Intlusirial Wmaca Farm Air Conditioner Otnar (syeory) Convaaw§ Remarks /)S~ 1 ~%J 7- Compute Inspection Fee Below: a Other Fee # ServiceEntranceSrze Fee # CircmislFeetlers Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Ab Amps Signs Inspecmr§ Use Onty. T0T91~ _ Irriqatlon Booms Special Inspectwn AIarMCommumcation TMIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTH I, the Electncal Inspector, hereby Ro.qn,o /d oa~~ q certil ihat ihe above ins echon has F QG < Y P nal , Da~e been made. OFFICE USE JNLY This re0uasl voitl 18 months Irom ;g~~~`~,oid 2 53 K ~ ~-z 4/9 z - 5,0 Request Date Fire No. Mugh-in Inspec1ion 7~/~ ~ Req ired? ~Rcatly Now 0 Wfll Noufy, InsDee- res ?No tar wMn neaar OLLicenS@tl Elecmcal Conlr.ncto, I hereG Y reOuest inspecGOn ot above ? Owner elacvical work in¢talled ac Strcet AdEress. Box or Xou~e No. CitV~~ ~J(o b~ G./ l<2C,~-bl'~.°-e /Ji" . cUw o. 7oatraship Name or No. ILirge No. Coumy oc~cIP,INTI ~v ~!S M~3.5 lx~ Pow4 SuPVI~ AJdress r J~ 117L. q~ Eleebfol Contracta IC ny Na 1 . Conlrar.tu,'s License No. .4~ s-- 3 Maili~q Address (Coovacmr or Owner M.iking Irc:taila~ion) 7~ 7 .S W ~3 - AuNwi , i remre (Con ract wner ikirp ~tallati ) J6Phon~JJ ~ ber 3~ Q O YINNESOTA STpiE BOARO OF ElECT1i1CITY TMIS IxSPECTION NEQUEST wllL NOT Gripps-YiTraY Bldg. - Rown N-191 BE ACCEPTED BV THE STATE BOARD UNLE55 PROPER INSPECTION FEE IS 1821 UnivorsilYAve..St. Peul. MN 55109 PM... 10 Z1 2972I 11 ENCLOSEU. 5~2 Q~ g REQUEST FOR ELECTRIlo~is form on CL N~ECTION s- EB-°°°°''°' e7 0E ' Seo i.¢4ucqons lor co~ boek of vellow copy. 642562 "X" Be/ow Work ered by This Request f u I Adtl Reo. Type o/ Buildine Appllancea Nired Equiument WireA Hwne Ranye Temporary Service Duplex Water H¢ater Lightiny Fiztures Apt 8uilding Dryer Electric Hefllin Commercial Bldg. Furnace Silo Unloader IrdusNial BIAg. Air Cwditioncr Bulk Milk Tank Farm omc, ceoiW m,:f lsm>ciWI 1 r ISUCCrIy Ot er Othc, ompute Inspeciion Fee Below 0 Fee SarvieeEntraMeSize # Fee Feaders/Subfeedcrs N Foa Circmts / 0 to 200 qmps 0 ro 30 Amps 0 tn 30 Am o Ahove 200 Amps 31 to 700 Amps i O 31 to 100 Amps Swinming Pool A6ove 700_Amps Above 100-AFTIPS Transtortners Inigation Boort.s Partial.'Other Fee Signs Special Inspec!ion TOiAL FEE J~ , RRR~~, ( u~-o i Ibtqltin ~1~~ I; tM1e_Electri<a~ ~ Ihsooctor, he~oby coriily the"M1e above Final inspeclion has baen medo. Tib ~epuast.oia 18 monun bom . CITY OF EAGAN (vo 10107 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt # 7 ~ . Te M uwd (er SF nW(,/rAR Est. Value R9 .(lnn Date AI1IiLi. 17 , 19~tS~ 3638 WINDTREE DRIVE Erect Occupencv R-3 Site Addreas 5 1 WINDTREE 3RD Remodel Zonin9 R-1 Lot Block ~eclSub. ReDair ? Type of Conrt. V Parcel No.; . Enlerge ? No. Storiet ~i$ ~ Name GUSTAFSON & ASSOCIATES Move ? Length HMS oemorsh ? Depth 6q~~~s 7200 O LANE rade ? Sq. Ft. City EDINPphone $93-1950 G Install ? Name SAME AOVrovals feea S` Assessment Pertnit 379 _ 00 oU Addrese u~ City Phone Water 8$ew. Surcharqa 41 . 00 Pollce Plan Rerew189 . 50 r,W Name Firo SAC 525 _ 00 uo Addraes Erp. WaterConn.500.00 w, W City Phone Plunner WaterMeter 63.00 councu Rood Unit 290 nn I hareby acknowladpe that I have read this aDVlication and state thaf 81d9. Off. 4/ 1?/R rj RgIgTP l 4 9_!1 fl fha {nlormofion is correct and ogree to comply with oll applicubla APC Total 2. 109.50 Stah of Minnesota Statules d'ry qan Ordirqnces. Var. Date $iprwfuro of PermiMa• A Buildinp Vermit h iu fo: 177I1STAFR(1N x. ARClIf TATRR on fhe exprea conditlon ihoi oll work sholl be done in accordanca f~~H h ,a/~ll a-pplim~bla Stafa of MlnnetoM Statutes ond Ciry of Eaqon Ordirances. Buildirp Oifidol -~A ~ fu&- o . . ALL CONTRACTORS MUSTBE'L'ICENSED WITH THE CITY OF EAGAN I 1 INCLUDE 0 SETS OF PLANS;~ CERTIFICATES OF SURViY Q SET OF ENERGY CALCULATIONS To Be Used For: Valuation: BZ ooo• ` Date: Site Address: 1,,,~&,,e ' • Lot: J`' Block•/ S ct/Sub: Erect: X_ Occupancy: ~-3 Parcel ~ Remodel: Zoning: ~-I Repair: Type Of Const: Owner: r~~ J~1e2lEnlarge: # Stories: t~ Move: Length: Address: 7a-00 ;<,.e Demolish: Depth: ~ City/Zip Code: Grade: Sq. Ft.: Phone 5E~ Contractor:~SZ`a w~A1cv ~y,tLcUyti-- ~ Address: 0 ~ 7a00 Assessments: Permit: ~j1`~•' City/Zip Code: Water/Sewer: Surcharge: 41 Police: Plan Rev.: ~Yfl.~ Phone Fire: SAC: -S~ Engr.: Water Conn: 5Op Arch./Eng: Planner: Water Meter-03- StT Address: Council: Road Unit: Z80 Bldg. Off.: EarVs-: 'rPG 1 City/Zip Code: APC: Phone#: Variance: ~ a~0 'SQ 2~x 4~- i344 x s4-° -7~ Sbo~ 2~ K 2Z ~ n I 33~ ~ • ' o•* ~ 379• + 41•+ 189•5+ 525 • + 500 • + 63• + 280• + 1320 + 23109•5* ? I 2004 RESIDENTIAL BIIILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reouirements RemodeVReoair Reouirements OY~ce Use Onlv 3 registered sde surveys shaving sq. fl. of lot sq. ft. of house; and all mofed areas 2 copies of pWn CeR of Survey Recd_ Y_ N (20%muimumbtcoveragealbxed) lsetotEnergyCaicuWtionsforheatedaddihons TreePresPmnRecd _Y _N, 2 copies of pWn showing beam 8 wiMOw sizes; poured fouiM tlesgn, etc. 1 sile survey for add'Aions & decks Tree Pres Required _ Y_ N 150totEnergyCalalations Addi6on-iMicatei/on-sifesepficsysfem On-siaSep6c5y@tem__._Y_N 3 copms of Tree P25ervaLOn Plan if lot platted after 711193 Rim Joist Detal Op6ons seleclion sheet (bldgs with 3 or less units ' Da[e ) C~_ /kC.)/ V-\ y Construction Cost CQ 0100 Site Address 3Ip3 U~~~ Unit/Ste # Description of Work ~ Q u--~ vo Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 %t U Property Owner 1.~t~ 1 1 1 Q~'A- _ Telephone )t(Jn' , 'RMA HOME SERVICES INC. ~ Contractor Home Depot Ins[alled Sales 3200 Cobb Galleria Pkwy., Ste. 9200 ~ Ci Address Atlanta, GA 30339 ~ State 763-542-8826 ne ) ,~BC-20268257 i COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Cotle Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculahons Submittetl Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ~ Mechanical Coniractor Telephone ~ Sewer/Water Contractor Telephone ) ~ I hereby apply for a Residential Building Permit and acknowledge that the information is Ilomp]'fe]and,%ccuiate; IJ that the work will be in conformance with the ordinances and codes of the City of Eagan ~and the State of W. Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work whicki requires-a=review=and=- appr v 1 of plans. A plicanYs Printed Name Ap icant's Signature OFFICE USE ONLY Sub Types ? Ot Foundation ? 07 OS-plex ? 13 16-plez ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 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 Exl. Alt - SF ? 04 02-plez ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Mulli Misc. O OS 03-plex ? 11 10-plex ? 79 Lower Level ? 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/DOOrs ? 34 ReplaC0m0nt 'Demolition (Entire Bldg) • Give PCA handout to appliwnt Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings(new bldg) _ FinaUC.O. _ Footings (deck) _ Final/ho C.O. Footings (addition) _ Plumbing Founda[ion _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace R.I. AirTest Final Windows Insulation _ Retaining Wall . Approved By: , Building Inspector - - - - - Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Pertnit & Surcharge Treatrnent Plant License Search Copies Other Tatal . . . • _ . ~ . 1 - . _ Installed p~ 5 1'es Siding and Windows ' LIMITED POWER.OF. ATTORNEY _ . , , , , . ~ COLFNTY OF COBB STATE OF GEORGIA KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("Principal"), and a licensed contractor of RMt1 Home Serviccs, Inc., DBA Home Depot Installed Saies loca+ed at 660 Mendelssohn Averue Nerth, Golder, Valley, r~T 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Ina ("AgenP') as my true and lawful attorney-in-fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit application, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and repair of windows and siding (the."Work"). - The powers conveyed to the Agent by this Limited Powei°uf Atterney are limi[ed solely to the express powers delineated herein and apply solely to the Wark. This Limi*ed Power of Attorney shall expire and automatically be revoked on the 21 st day of May, 2004, which date is one year from the execution liereo£ Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at aiiy time by express revocation and shall also be revoked by the Principal's death, disability, incapacity or incompetence. IN WI"TNESS WIIEREOF this Limited Po«rer efAttemey is e.xec,itcd this 21st day of May, 2003 David . Katz SWORN TO AND SUBSCRIBED BEFORE ME by David N. Katz on this 21 st day of May, 2003. u Notary POic in for the State o eorgia My Commission Expires: January 21, 2006 396816.0 Proudly sold, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT PERMIT# / I J 4q RECEIPTDATEEOOE MIDENTIAL PLUM$1NO PERM1T APPLICATION crrY oF F-a?sm 3930 PILOT 1{NOB RD F-4HAA, SilY 55122 651-6$1-4875 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 3 W~9 Lj i J ~r e e O>" OWNER NAME: : TELEPHONE IDsI `(nR3 ' 1 0 3q (AREA CODE) INSTALLERNAME: F_QfY~'li vt~II~l Tr~ rI"~q TELFPHONE#: 01,41a3--2914 p CJ ~'n (AREA CODE) STREETADDRESS: ~1C~3(-! ~t%pne~cPaIe Y~FvQ- CITY: STATE: ZIP: sqw.y _ SEPTIC SYSTEM, newlrefurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additlonal consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ~ Adding fixtures to low_ er I vpy els or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 Total $ ,j 0 . 5o I hereby acknowledge lhal I have read this application, stale ihat the intormation is wvect, and agree to complywilh all applicable City of Eagan ordinances. It is the applirant's responsibility to notify the property owner thal the City of Eagan assumes no liability for any ages caused by the City during its normal operational and maintenance aclivities to lhe facililies constructed under Mis permit wit~property/g n, -of y/ nt. SIGNATURE OF PERMITfEE 1/02 RESIDENTIAL ' • BUILDING PERMIT APPLICATION CITY OF EACAN ~ 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 r- New ConaUuctlon Reauiremenb RemodallReoair Reauiremenls • 3 registered site surveys showirg sq. ft of lot, sq. ft. of house, and all roofed areas • 2 coDies of plan (20% mauimum lot coverage allowed) . 1 set of Energy Calalations for heated addAions • 2 copies of plan showing beam 8 vrindow sizes; poured found design, etc.) . 1 site survey torexterior additions 8 decks • 1 set of Energy Calculations , . Indicate if home served by septic system for additions • 3 copies of Tree Preserva0on Plan it lot platted aRer 711/93 . Rim Joist Detail ODtions selection sheet (hldqs with 3 or less units) DATE VALUATION JOB SITE ADDRESS WLI UFi ~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK 1M0DV 1LJ 4-, TA6R'1n.6AA_T1~ FIREPLACE(S) _ 0_ 1_ 2 APPUCANT :~9i 'tiLY~x~Cc¢S5 PHONE# 95Z y32 12 tdo ADDRESS~LAWIO fo'L7'`Xl M~ti ScUT_ 1.Ic) ZIPCODE PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP ~-L~ ~ Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1 APR 1 2 2002 ~ (check one) - Residentiai Ventilation Category 1 Worksheet Su mi ed - Energy Envelope Calculations Submitted BY ~ _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plmnbing System Includcs: _ Walcr Softcncr _ Lawn Sprinklm- Fcc: $90.00 Watcr Hcatcr No. of R.I. 13alhs No. ol 13atlis Mechanical Contractor: Phone # Mcchanical Systctn Licludcs: Air C<>nditioiiing Pcc: $70.00 I-Ical Rccovcp, Syslcm Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Slgnature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updaled 2002 OFFICE USE ONLY ? 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing ? 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.) 0 33 Ext. Alt - SF 0 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi O 05 03-plex ? 11 10-plex "YN 19 Lower Level ? 24 Slorm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscelianeous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair V- 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy aa--H4 MC/ES System Census Code Zoning City Water SAC Units _421 Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const 114) Width REQUIRED INSPECTIONS Footings (new bldg) FinaVC.O. _ Footings(deck) ~ FinaVNo C.O. _ Foo[ings (addition) _ Plumbing Founda[ion H VAC Drain Tile Other ~ Roof _ Ice & Water _ Final = Pool _ Ftgs _ AidGas Tests _ Final Frartilng Siding Stucco Stone Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) Insulation _ Retaining Wall 7 Approved By T L.-- , Building Inspector Base Fee Surcharge a(9l?m Plan Review LL ~ ~y~rt r`, ~ ~ , ~Cd' ~ MCIES SAC jw ~ City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies . Other Total RESIDENTIAL B~iII,DING Permit Application City Of Eagan 3830 Pilot Kuob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constructlon Reouirements RemodelReoair Reuuirements OKce Use Onlv 3 regisfered site surveys showitg sq. (t of lot, sq, fl of house; and all mofed areas 2 copies of plan CeR of Survey Recd (20%maximum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd 2 copie.s of plan showing beam 8 window sizes; poured found design, etc t site survey foradditions 8 decks Tree Pres Not Reqd lsetofEnergyCalalaLOns Addifion - indicafei(on-srfesepficsysfem _ On-siteSepticSyslem 3 copies of Tree Preservalion Plan if lot platted after 711193 Rim Joist Detail Optlons selection sheet (hldgs wiN 3 or less units Date _S l)_ / 0 2) Construction Cost I I O SiteAddress UniUSte # Description of Work Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner yy\o, Telephone #Vos I>(0~3• ~ g 3 5 Contractor '3NmIN - t1.+e,y0Q'T' Address A ; City 'v~kQMcll,~ State G~ Zip Telephone #(-~(p5 -q Z^ p 0_ZXa COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 7 Worksheet . New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Licensed Plumber Telephone ) Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone J 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 noY 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 appro~ al of plans. L~kpplicant's Printed Name ApplicanPs Signature OFFICE USE ONLY i Sub Types ? Ot Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace D 21 Porch (3-sea.) ? 31 EM. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndalion) O 45 Fire Repair ? 33 Alteralion ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ Fina]No C.O. _ Footings (addition) _ Plumbing Founda[ion H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insula[ion _ Re[aining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total i I I ~ Installed Siding and Windows LIMITED POWER OF ATTORNEY . , ~ o COUNTY OF COBB I STATE OF GEORGIA ~ KNOW ALL PEOPLE BY THESE PRESENTS: THAT I, David N. Katz, a resident of Montgomery County, Pennsylvania ("PrincipaP'), and a licensed contractor of RMA Home Services, Inc., DBA Home Depot Installed Sales located at 660 Mendelssohn Avenue North, Golden Valley, MN 55427, having a license number of BC- 20268257, do hereby appoint, name and constitute Elder-Jones Building Permit Service, Inc. ("Agent") as my true and lawful attorney- in- fact and do authorize and grant said attorney-in-fact for me and in my name, place and stead the power to execute, acknowledge, sign and deliver (in such form as may be required by the municipality) a permit appiication, or any other instrument(s) which may be necessary and appropriate, in order to obtain the proper permit(s) from the City of Eagan, Minnesota for the installation, maintenance and ; repair of windows and siding (the "Work"). i The powers conveyed to the Agent by this Litnited Power of Attorney are limited solely to the express powers delineated herein and apPly solely to the Work. This Limited Power of Attomey shall expire and automatically be revol:ed on the 21st day of Ivfay, 2004, which date is one year from the executioii liereof. Further, the powers conveyed by this Limited Power of Attorney may be revoked by Principal at any time by express revocation and shall also be revoked by the PrincipaPs death, ~ disability, incapacity or incompetence. ~ I IN WITNESS WHEREOF this Limited Power ef Attorney is executcd this ~ 21st day of May, 2003 ; ' I David . Katz 1 SWORN TO AND SUBSCRIBED BEFORE ME by llavid N. Katz on this 21 st day of May, 2003. ' ~3. Notary PQNic in for the State o eorgia A4y Commission Expires: January 21, 2006 396815 v3 Proudly soid, furnished and installed by RMA Home Services, Inc., a Home Depot authorized contractor. 3200 Cobb Galleria Parkway, Suite 200 • Atlanta, GA 30339 • Phone (770) 779-1300 • Fax (770) 984-0709 • Toll free (800) 79-DEPOT so~m C A L V I N H. H E D L U N D 772e Mo.QO~ n~.~~05 Land Surva RlcAff*Id,M~nn~aota 5423 Yor CWII Enqineer phoae : 866-2523 surve~or`s G'ert~, f "~cate JOB NO. SURVEY FOR: Jack Baron DESCRIBED AS: Lot 5, Block 1, IYINDTRfiE 3RD ADDITIOn', City of Eagan, Dakota Coimty, D1innesota and reserving easements of record. Top of Foundations = 905, 5 Denotes Lot Corners O Garage Floor =905,/ Basement Floor Proposed Elevations p , Facisting Elevations- Drainage Directions~ 896.3 ~ •Z ~p(,"E - - /So.oD ~sa ~ ? 1 /lv ~ ~ w/o . o h 4 ~ M !olaS~S'I4K~ - N ~o e ? / Z ~ ' \ N 9a6. ~ N 9 'b 9 ~r \d. ~¢8 lo'~ St4Ke5 ~ 2 0 2 q, . c' M ' 90,8 ~90~3 0 900. 79 i 9e0.3 R' tt -4: - 00>~\ OB,~ / {~1= 7,~~ 9 ~L 4° \ CERTIFICATE OF SURVEY I hereby certify tAat on ¢//O /8S I surveyed the property described obove and thot tAe obove plot is a correct representafion of soid survey. Calvfn H. Hedlund, Minn. ReQ. No. 5942 . . ~ . - • EXTERIOR E:dVELOPE AVERAGE "U" COMPUT1lTI0N OWNER Co-kIST - siTe anDxass Vj1~,iD"fe4=-6 ~.Jwi=t7~ 4ONFir. CONTRACTOR DATE PHONE Determine working square footage of each. 1. Total exposed wall area ZZ(v s4. ft. X.1 I •o2(i 2, Total roof/ceiling area 141 ` sq. ft. X ~ - I ~'j(O. 'd ?j~ A. iota2 wall win.',o;o area 'LOO B. Total door area C. Total sliding glass door area ~f O D. Total fireplace wall area........................ R D E. Total wall framiny area (av_rage V. Total Rim joist area.. . G'. Total Net wall area abovefloor.•-•••••-••••••••~ Total exmsed f.oundation area - , H. Total foundation window area 1. Total r.et foundatioa area above grade........... ~1*2j Detezmine "U" value of each wall segment. a. ZOb X -„U„ 0 b. a78 x„U,- 131 c. ~0 x"v" i~% a. S'-' x.,U,. .=F 7 ~,v e. ~7X ,~u- ,''?~i - 7~P X'-U'- x ^o^ ~ h. X "U" . . ' I~~} X "U° ~ Q•- e - - 3 ............................:......TOta1 2 Z 7 . . . If item A3 is the same as, or less than item fll, you have met the intent oE SBC G006 (c) 2. . ' . . , . - . _ . - . . . , • - ' . ` . . . t. . , . ~A • • . r Total exposed roof/ceiling area = j. Total skyliaht area .k. Total roof/ceilir.g frami.ng area (average 10%)...... 1. Total nec insulaCed roof/ceiling area Determine "U" value for each roof/ceiling segm_nt. J. X "U" ~---~°~'..'a"' _ x. I 4~'~'d x^o.- ; oZ 1. I Z7~- x-U^ , o7-(o Iv ~ - ~ .....................................Tbtai if total oF ~4 is the same as, or less than H2, you have mat the intent of SEC 5006(C)1. Alternate Building Envelope Design To.u[ilize the total envzlope system method, the valuas e.~tablished ~'y sum of itens 93 a^_3 44 shall not be greater tha-n the sum of it~.:z ;,1 and a2. 1._ +2. R~. s. 247-,7v + a. r57•=7(.s ; . , - : , - _ . . _ . c. : _ - - . . • • - • dALL SECTZONS . _ . . . a ' • -J 15g of opaqua wa21 area £or • • ' ' frane cotistruction Construction R-Value l. Iitterior air film 0.63 2• 3. Z`i:incl:es sofr. wnod 4• !~.'.t T:-tFIL-Y9.4"L. ~O.OQ• Q~W GJ r Tl ) h~! ~ . r-r- BASIC 6. Exterior air film = 0.17 k7aLL . 7bta1 • . . v _ . o ~ . FIG. #l TOPVIEW OF ' FRAtiE taALL 1. Interior ais fi.lm 0.68 . ' . 2. I _41- . , . . ' , 3. • 4. J S. ~ ^)1JlAlL~ 1 ~/T 6. Exterior air film 0.17 FIG. #2 Total 2_ ^3•> 1 ' r, ~ -+1. Interior air iilm 0.68 2. i~r ~ { u=.u:.. Gp 3. L ~ wiL ' ~-1~r~.~ J ~ 5. e..v, ~ 94 ==r..e.a1 I .~in:~ o. Er.terior air rilm 0.17 r~• 1~-L`.__ • , Total r.. p l 7 -7.~ 1. Interior air film 0.68 ~ • n µ f . 2. L':.LI. n~ t1'• : • 3. y4-r9 C-O 1~. JJ ~ ' d' • p' - . 4. i._ .6. Exterior air film 0.17 Tctal , 1 + ~ SLA9 ON GRADE • u ~'0 . ~ . . . . ' ~ 6. . , . • ` b f ~ ~ I'ti' • . '~x • ~ ~ .~p ~ •1 ~~4,.-~' . • Yri~ 7~"/~_ i~~~.~ ~ . ~ , •6', . 1~, _ ~ u , • ' , ir~ k . t. . i~,%Irlti . F7G. fl4 93 tt ' ' t, ' ~ X Y '4 . • p , _ ii( ~ ~rr 'zi NOT£:, Indicate typc, "F." value, denth and . ` ; placenont of insulation. . . • ~ ' . : t. J . . . - _ . . . , • ~ . . • . v-' '-`RWF/CESLING , . ' . . • Con^.tructiotl (Use £or Item L) R-Va!tic ~ 1. Intcrior air film 0.61 2. 5;/ 3. ~ • ~ ( ~ ~'{I 4. Batcricr air fiim (still) 0.61 VET Total EZ: 45.75 . GT.G. FRAMING(IIse for Ztem K) Vented Heac flow 1. Interior Air film, 0.61 • . ~ up . 3. Inches soft wood 4, ~j,s FIG. #S 9. Inches insul above framinq ~ 7j2 5. Air Film . 0.61 - - - ...,.~..~.~~..t_~ • v x.O~r J.l/~'~.~HiT•~l'_~~i~~____ =~.~1. . _ ' ~ 1. Interior air film 0.61 Vii 2. i~~i 3' - 4. Exterior air film (sti11) 0.61 Total 1 ~ 3 4 • = _ ~ . . ~ Y.eat :low up . vented , .FIG.' #b . " • _ . . 3 ~ ' v u 1. Inside air film 0.61 ~t+~1GSi~~'eS=.t'''~•'"~ 3. • in..~".i.rY' ~ ~ . : , ~•y: ~ ••1".'i~0~~'=•~ ' ~ ~ ' S. Otitside air film 0.17 'rOt31 ? < 1 , . 2 ' • N0:1-PII."IED. Notc: Usc additionnl s5ects if morc- si•acc iS 'r,cedcd for dctails and calculations. , . . ' . Hcat ' . • , . , . ' flow up - , • ~ • • ' ~ Pir.. p7 . . . . PERMIT ' Control No. 0732 CITY OF EAGAN 3830 Pilot Kiiob Road PERMIT TYPE: a u i LDi N e Eagan, Minnesota 55123 Permit Number: 000946 (612) 681-4675 Date Issued: 0 6/ 3 0/ 9 2 SITE ADDRESS: 3638 WINOTREE DR . LOT: 5 BLOCK: 1 WINOTREE 3R0 DESCRIPTION: %Buildi'ng Permit Type BASEMENT FZNISH Building-,Work Type ALTERATZON ( ~ j . V~~_ ~ REMARKS: ce FEE SUMMARY: Base Fee $35.00 Surcharge $.50 Total Fee $35.50 CONTRACTOR: OWNER: - APPlicant - MAZA MICHAEL 3638 WINOTREE OR EAGAN MN 55123 (612)683-9839 I hereby acknowledge that I have read this a¢plication and state that the information is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L - PLICANT/PERMITEE SI ATURE ISSUED V: IGNAT RE t INSPECTION RECORD I C°n 0732 CITY OF EAGAN PERMIT TYPE: BurLoiNG a 3830 Pilot Knob Road Permit Number' 000946 Eagan, M in nesota 55123 Date Issued: 0 6/ 3 0/ 9 2 (612) 681-4675 SITEADDRESS: LoT: 5 BLOCK: 1 APPLICANT: 3638 WINDTREE DR MAZA MICHREL WINDTREE 3RD (612) 683-9839 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION D. . FRAMING ZNSULATION FINAL F - L PERMIT,.# , CITY OF EAGAN -~yn %'0 ~ REacTivaTE _ 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made or lot chan e is re uested once ermit is issued. Date .Toal.~ / ZS ~ lyqz Valuation of work Site Address: 1a39 }J2. ~,q-(~ 41J 11~n1 z ~ SiREET SUI7E k Tenant Name: (commercial only) ~ IAT ~ BIACK SUBD. P.I.D. 1t lX X.W Descri tion of work: F~Nisri 1,JEsT NqLF FLL-VeZ The applicant is: 0 Owner ? Contractor ? Other (Destribe) Name MA-?--A K(_iaAe-L S PhoneL.iz) 4:83-9839 Property LA5, F,RS, Owner Address L30 3'~ ~ 1Ji STNEET STE M City EA-E-A-tJ State MN Zip S~ /Z3 Company Phene COntfBCtOf Address License # Exp. City State Zip Company T Phone ArchitecU Engineer Name Registration N Address City State Zip Sewer 8 water licensed plumber ~114 Processing time for sewer 6 water permits is two days once area has een approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: 9~~- OFFICE USE ONLY ~ , ` ~ BUILDING PERMIT TYPE O 01 Foundation ? 06 Duplex O 11 Apt./Lodging 10 16 Basement Finish ? 02 SF Owg. 11 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck ? 20 Public Facility O 21 Miscellaneous WORK TYPE ' 0 31 New 13 33 Atterations O 35 Tenant Finish ? 37 Demolish 0 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater UBL Occupancy 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump 8 of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Lode y3 y Depth On-site sewage SAC Code APPROVALS Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ? Site ? Footing ID Framing ~ Insulation ? liallboard TL] Final ? Draintile ? Fireplace Permit fee veiwt;d,: g Surcharge Plan Review License MWCC SAC City SAC Hater Conn. Nater Meter . Acct. Deposit S/W Permit S/N Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies ' Other Total: SAC % SAC Units ~q 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) t tA~°` 1 cirv oF eacnri 3830 PILOT KNOB RD • 55122 851-881-4875 .V U •New CmshueMon Raaulremenls CQ~ Remotlel/Reoalr Reauiremenls D JraplslerAtl ffle Survsys shOwlny fq. ft. OI lot, iq. M. ol hOU59 2 cOplas OI plOrf aM Qjj roofea arept (4pX, maxlmum lol coveraae allowedt t tet ol eneryy odculaHans lor heotea atltllMOns a Z coples of plaru (atww beam & window sizas; vourea ma aesiyn; etc.) 1 site survey for exteAor addlHOna 8 decka D 1 wt d anerpy ccdcWallonf D S caples ol hea preservatlon plan H lof plottetl afler 7/1 /93 DATE: S' ZZ- aD CONSTRUCTION COST: DESCRIPTION OF WORK: pe. STREETADDRESS: LOT: 2 BLOCK: ~ SUBD./P.I.D.Y: 1AJ~,Y1(ll Y'2~P~ 3~ Name: 0`ct zct n Phone#:~oSr'(~PK3 - 91S J 9 PROPERTY Laaf flrsr OWNER Sheet Address: 6~_~ ciy state: n'l flf zip: S! Z Company: SELA ROOFING & 1tEMODELING, INC. phone Y: L~ Z S~Z3 -1~0 q(o (area code) CONfRACTOR ST. LOUIS PARK, MN 55416 SheeT Add?ess: ID#0001060 Ucense g! O S v Exp, 5-3 O` . CNy Stafe: Zip: ARCHITECT/ ENGINEER Company: Name: Telephone 0: ( ) Sfreef Address: ReglshaHon y: CHy Stafe: Lp: Sewer/water licensed plumber iif Instaliina sewer/waterl: Phone ( I hereby acknowledpe Ihaf I have read this applicafbn, date ttwt the Infortrwhon is cortect, and apree to eomply wIth atl appdcable Stafe of Minnesota Stalutea and Cify of Eapan Ordinonces. Siflnalure of Appficant: OFFICE USE ONLY Certificates of Survey Recefved _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OSplex ? 73 1Eplex ? 21 Porch(3sea.) O 31 Ext.Att - Mutti ? 02 SF Dweiling D 08 136-plex ? 17 Garage ? 22 PorohlAddn. (4-sea.) O 33 Ext. Att - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Mufti ? 04 02-plex ? 10 08-plex O 19 Lower Level ? 24 Stortn Damage ? OS 03plex ? 11 10-plex PIEg _V oi_ N? 25 Miscellaneous ? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory Bldg. WORK TYPE ? 31 New O 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair s ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors • Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ToWI: SAC Units % SAC :S C) .'S-U 1999 FIREPLACE PERMIT APPLICATION CITY OF EAGAN 3830 P1LOT KNOB ROAD - 55122 651 681-4675 Date: Description of Work: Construct new fireplace Gas Masonry Allerations to existing v Install gas insert onlv _ Install gas line oxly _ Other Iob addrrcc: klnJl' C 1rh,~ p~~,, Lot: ~ Block: ~ Subdrvision~P.I.D. ~.l)Zv.dlJl.l c n _ Applicant (circle one only): Owner CContractor Pernrit Fee: 560.50 Name:ft~Uk, Phone k: PROPERTY Last First 01\TER Street.4ddress. 6nOj_ 1/ \)LUd! 'Ct° ZV City State: ~ N Zip: Company,~ Phone n: r01")-~V taiea code) ~ FIREPLACP INSTALLER Street Address: V U ~ City <=i~A'--~i' State: _ r r r~ Z;p: 5~3 3`7 Company:~o Phone GAS LINE (area code) INSTALLER Street Address: City State: Zip: ~ I hereby acknowledge that I have read this applicatio d st e that th informati7s " correct and agree to comply with all applicable State of Mi esota Statute a d Ci of Ea an rdinanc RECEIVED S na re NOV 15 1999 BY:_ I OFFICE USE ONLY BUILDING PERDtIT TYPE ? 16 Fireplace WORI< TYPE ? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stoae ? 32 .4ddition ? 34 Repair ? 40 Gas Insert GENERAL InFOR11ATION Census Code 434 SAC Code 01 REAtARKS Chimney/(lue must be inspec[ed before concealing. , . . , _ . , e . . , . . , , . . . 'r , 1 I 1 2/a4 I CITY Ot^ EAGAN ~ 1 ` • j APPLICATIOPI FOR PERMIT SEWER AND/OR WATER CONNECTIODT (PLEASE PRIHi) 11 PP.OPER'I"! ADDPESS : :DR, r FraI. DFSCRIF'i ICN' 1 P D ~ r cl (LCt/Block/SutcLivisicn or Tax Parcel I.D. Y=:,er) ~ I'r' W:ZS':_:G STDUC^ME, DA'- 0_° ORIGi IAL uiII.DI::G :~_~ST ISS~?::C:: _ e_ , PDFSL-m- L'S: 5I..:GLE :RtiffLY - ? R-Z DliP= (T,-:O LTIITS) . ? i2-3 'iCi.:~L'rvicr ('?I-=- + L~IZTS) ( L~I_TC) . ? R-a ? CQ`-rERCLAI,/F2E^.'AII,/OFFICE ? MDL'S i?Su p rNsTZT[,-rroaU/ccvEp,,:•~:~ 2) ApPLIC..\T (PLEASE PR11if) rra:•E: 6LcX`rA '~-so v1 eUc ,,T n~ ADcREss: 22-on Odiwis cZT^!, STaT--, ziP: PxcNE: ~9 3 - IS~ a 3) PLd"ffiE'° NLME' en IkVy\ FOF CITY USE 04LY r~ L1~1 ~ PLU!!B 5 IICEYSE: Attive CITY. STATF.', ZIP: Expired Not Of Record PxaNE:g3.~_D"TOj PLU,9BER LILENSE N ZZ & dt; lni:id 4) OCCf.ro.kN1T/G?•:ilE' ~1 Q n~ (n PLEASE PR1N~ ~-A ~ NFuME: r? nv~ o n OT l.~~.-¢.it PJDRESS: CI'?"l, STAT'G, ZIP: E~ 1, ,10. /1144 PxoNE: s-i?~-a 5) INpIC11'I'E Wi-1ZCH PERi•LLT IS BEINC REOUESTID: Ey' CO,~iNECPION'IO CITY SLTr7r'm Ej~`COPRv'FCTZON 'il7 CITY SAATGft I ? diI'.II2 (PL.G,SE DESCFtIBE) D15L-aSE E?OLD APPP,(N"p PER.vLiT FOR PICi:-L'P BY ONE OF r1E(Z/E ? P--E+SE ',T'.-~IL APPROVfIm Pa,:,IIT 2YJ 1. 2. 3, 4 ABOVE 7) SZCZ-,TG°ZE: (Circle one) 1 _ DATE: ` ~J f L FOR C I T Y U SE ON:,Y PERMIT ZSStiED F°T'S: $ / O~67-Q ,S°::c.4 °~RMrT (Z`.iC'.T.uDZ SUP,C`.i?.RC,c) $ IO. _5- e {-JATFR pERDtIT (I::CLUDL JURCELAiZGL) $ WATER METER/COPPERHORN/OUTSIDE REnDER S WATER TAP (INCLUDE CORPORATIO,I STOP) $ SE:vEF T.y? ~ $ /.?C--- =f:0t,.:'T ..~:r.c7 $ ACCOUNT D.F,ppSIT - 4iAT_°R wac $ ~~~~~^d SP.C S TRG_dK WAT°R ASSESS2•tE2:T $ TRii:•iK SF.S'iER ASSESS:iEciT $ LATEP..^,L BE_itFZT/TRUPIK SE?•:EB $ LATERrlL BEVEFIT/TRU?IK f•7AT°_R --d OT?IER ' S TOTAL AM0[:::T PAID;'RECEI?m a- DOES UTZLZTY COhNECTION REQUIRE EXC:iVATZON IN PU&LIC RIGHT OF [JAY? ~ YES IF YES, THEP1 A"PERDIIT FOR SdORK WITHIiV PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGID]EERIPIG DIVISION. LIST AS A CONDI- TIOPI. SUBJECT TO TFiE FOLLOIdING CONDITIONS: ' APPROVED BY: ~G>>U TI:LE: DAT°_: so ~IWs • I PERMIT City of Eagan Permit Type:Building Permit Number:EA110312 Date Issued:05/03/2013 Permit Category:ePermit Site Address: 3638 Windtree Dr Lot:005 Block: 001 Addition: Windtree 3rd PID:10-84472-01-050 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are not acceptable in lieu of inspections. Carbon monoxide detectors are required by law in ALL single family homes . William Krech 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 - Karen M Maza 3638 Windtree Dr Eagan MN 55123--131 (612) 961-4010 Krech Exteriors Inc 5866 Blackshire Path Inver Grove Heights MN 55076 (651) 688-6368 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA141803 Date Issued:03/31/2017 Permit Category:ePermit Site Address: 3638 Windtree Dr Lot:005 Block: 001 Addition: Windtree 3rd PID:10-84472-01-050 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 or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 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 - Karen M Maza-racine 3638 Windtree Dr Eagan MN 55123--131 (612) 961-4010 Home Depot At Home Services 6224 Lakeland Avenue N, #102 Booklyn Park MN 55428 (763) 542-8826 Applicant/Permitee: Signature Issued By: Signature 0410512017 14:47 Comfort By Design AX 715 377 0447 P.0011001 Use BLUE or BLACK Ink I (-14[ For Office Use Permit 8: /4-71 QC 11'. of Eaau Permit Fee: 7er 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone:(851)6754875 Fax:(651)675-5084 Staff: 2017 RESIDENTIALIBUILDING PERMIT APPLICATION �I Date: —5'�bl,Z Site Address: Cr 3 (�Zn �Q c Ear 4"1\t`ua unit#: Name: 4.041L—Ig.m 0. Phone: 1—''l b(b Resident/ Owner Address/City I Zip: & Applicant Is: Owner V— Contractor Type of Work Description of work: k i K V- i t.41e0AZ Construction Cost: 4419 Multi-Family Building:(Yes I No. J Company: C.OVo.�``r�4Q Sas t14..) Conte( 3=4 t . Address:RQN ',►` , y City: t 4f.0 trih11� Contractor State: W r•ZIp: r-a' Vb Phone: 16—72 3=�Emali:s iw t#Z.h.e to kxkrLy tiQSZ i tsfilitq v ekr‘ Ca 1 License#: t'\1(e&4 fS Lead Certificate#: If the project is exempt from lead certification,please explain why: 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 documents that you submit are considered to be public information. Portions of the Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Cell Gopher State One Call at(651)4540002 for protection against underground utility damage. Cell 48 hours before you Intend to dig to receive locates of underground utilities, www,goeheratateonecalLgrq 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. 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. x `1 @ '41:, -Z x Ji Applicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA143333 Date Issued:06/12/2017 Permit Category:ePermit Site Address: 3638 Windtree Dr Lot:005 Block: 001 Addition: Windtree 3rd PID:10-84472-01-050 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Karen M Maza-racine 3638 Windtree Dr Eagan MN 55123--131 (612) 961-4010 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature