3641 Windtree DrDate:
City of EaQau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JURY0Rev
r
Use BLUE or BLACK Ink
Permit #: /5*
Permit Fee: I / . 3 =
Date Received:
Staff:
[6w
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
-5- /0 Site Address: ,d 71'2. ed d „ MA) S 5 I —
Tenant:
Suite #:
RESIDENT / OWNER
"ii6 1 (Si 4/5 z- �26-6
Name: fit/1)4J � ��f � ' �"�-' Phone:y
Address / City / Zip: ;3) l,o 4p'i4"-CA— s� �� 61 n ,%i A) S -C I
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: i3 :/ d
Construction Cost% qJ 0
Multi -Family Building: (Yes / No}
CONTRACTOR
Name:
Address: /2-07 (7-i4/1
o1
State: /134 Zip: Sso S/ Phone:
License #: �-o y� c y 3
City: /1a�q ,3
Contact: Email:
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information :;Portions of
the`information may
classified as non-public if you provide specific reasons' that would permit the Cityto
conclude that they are trade secrets.
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.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinan
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to sta out a
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
nd codes of the City of
; that the work will be in
Page 1 of 2
• 06-15-2010 17:46 PAGE3
g241 (AW-1-1(z66-vt
SUS TYPES
Foundation Fireplace
SW. Fondly
PAWS
01 of Flex
- Accessory ibilding
WORK TYPES
- Replac- e
Retalidng Wail
DESCRIPTION
Valuation
Plan Review
(2511,___100964)
Census Code
# of Unite
If of Buntings
DO NOT WRITE BELOW THIS UNE
Garage
back
Loom- Level
Porch (341aation)
- Porch (*Season)
Porch (ecroon/Gazolto/Portiolh)
Pool
Interior Improvement
Nave Building
Fire Repair
Roma,'
Type of Construction cia
Storm Daraage
Ealiodor Nimrod= Pinola FinsiNy)
Exiatior Altmann (Muld)
Illisiodlaneous
Siding_ Deniollse Seeding*
Remo(
_ — Demalish hinder
Vandovis Demolish Foundation
_ _
Eamon Window Water Dourge
goonolloon at eating baking- give PCA handout to applicant
Occupancy „Ot/-
Code Edition
Zonbig
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (Mew Building)
y, Footings (Deck)
Footings (Addition)
Foundation
Maar Tie
Roof: _Ice & Water Final
)(,„ Franing
Fiffleplace: Rough In _Air Test Final
Insulation
Meter Size:
Reviewed Sy:
RESIDIEN114, FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
UtIIlty Conithen011 Charge
SAW Permit & Surdiarge
Tivainiant Plant
Copies
TOTAL
•••••••••••••••WITIMM.111.1••••••••
144r (A)-2
MCES System
SAC dolts
City Water
Booster Pump
PRY
FW. Spriniders
Sheetrock
Rawl 1 C.O. Required
?c, Final 1 No C.O. Required
HVAC
Other:
Pool: Footings _AWG as 'reds Final
Siding; _Stucco Lath _Stone Lath Bitch
Windows
Retaining _ Footings Saadi° Final
Radon Control
Erosion Control
, Building Inspector
Amomirmmaur••••••••ww.r......•
.06
Pogo 2 ot2
SURVEYOR'S: CERTIFICATE MARK JOHNSON
ftr
Fo
d 510223,54•'
1 i p 9Aea 6
Iti
V' 5
O
41
X000.0
(000.0)
DENOTES PROPOSED SURFACE DRAINAGE
DENOTES IRON MONUMENT SET
DENOTES IRON MONUMENT FOUND
DENOTES EXISTING ELEVATION
DENOTES PROPOSED ELEVATION
DCck /4)c/f -Cai4rPtc/
I HEREBY CERTIFY TO MARK JOHNSON
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
SCALE: 1 INCH =
PROPOSED GARAGE -FLOOR =
PROPOSED LOWEST FLOOR =
PROPOSED TOP OF BLOCK =
30
FEET
FEET
FEET
FEET
THAT THIS IS A TRUE AND CORRECT
Lot 4, Block 3, WINDTREE 3RD ADDITION, accordi g to the recorded plat
thereof, Dakota County, Minnesota.
AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME TIIIS 20TH DAY OF AUGUST, 1985.
REVISED 3-28-91 TO
SHOW EXISTING CONDITIONS
FOR MARK & SHEILA
SIEWERT
FFr'AROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NO. 12294
PROJECT NO.
(91112 )
FILE NO.
FOLDER
BOOK / PAGE
JAMES R. HILL, INC-.
Planners / Engineers / Surveyors
8200 Humboldt Avenue South
Bloomington, Mn. 65431 612-884-3'029
City of DO
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use
Permit #: / (� s06
Permit Fee: 6, .CO
Date Received:
Staff:
i
_ 2008/RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:)/7/r✓ Site Address: 36 LH (�V (f')� 1�/ � JJ%/. ?a_qa-- ) /�l /) Js`$/a
Tenant: phen iilCX�`f �3j
Suite #:
RESIDENT / OWNER
Name: St-1phe?/1 a / iL t s ( Phone: zic,S/ - 4/57,7 - 2/;
.�
Address / City / Zip:
CONTRACTOR
Name: to C /$ )c Vail 2 License #: low 99 7 GU
Address: 84AM Z /Q 2/c U4 ((ie'_-
City: CL Y L(Q/ iii State: td/ Zip: 5 44 (47
Phone: �/ - g t ' i"t76 7 Contact Person: &_j'3'ic)S SO bob e lib
TYPE OF WORK
New )( Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
,Water Heater - Water Softener } f
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 $136.00 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 $ S0 • 64
b
herey 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 workis not o 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 an
Applicant's Printed Name
App ant's Signature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: __Under Ground _Rough -In Air Test Gas Test _Final
CITY OF EAGAN wATER SERVICF~ ~ERMR
, 383Q ~lot Knob Road r, }5
' P. O..Box 21V99 PERMIT NO.: i-it-85
~ Lrpan. MN $5121 DATE: 1
i ZonIrg: 1 No. of Unib:
I Ow?~r: ;,:~~.rk 3ahnson '~trst .
Addrus. 3641 ;^;i .1 -'~r.
Sn. Adde.m B3 `4ind; z'ec 3rt1
' SMITTES ,
Plurr*er. . ' 54t~.0(1'~d
~Mtor No.: ~ Co~rwctl°^ C~'°rp~s
Sise: ~is lQa•~~ /looount Depotit: 15.00pd
9/ 7 7~ ~,r,,,,t lo.oopa
R.ad.? No.: ~ ~ m
1.~. t. «.rh? Wuh ~ ¦ 5i"c1O?ve: .50pd
- 132. Ov~~d 't'P
Misc. Choro~a:
TdoL h . 07k' iaeter
By Dat. Pnid:
~ Dat~ of Imp.: 114R'
~
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot xnob Road b 52'
P. O. Box 21999 PERMIT NO.:
Eapr,, 7YIN 55121 DATE:
Zanlew. - -q Z No. of Urats: ~
Owrwr: :'•ark 36'mvlt r'Otl S t
Addnm
Sft /1ddros: l I
~ Y11'Ibfr _Pti ~f • ~ l , r -
i Pi - - - -~1
' Meft? NO.: CORfIleE011 QIOfQl: 9:I0• i)Q~:-d
~ 51te: AOOOUnf Depont: 1 K.0") P'l
Roader No.: Pertnit Fee: 10. 0 U pd
I .,m h.M..h? wo !M. cihr oi surcho.p.: . s opa
OrIIMn"L Mist. Chorpa: '!~n
Totd:
By Doft Paid:
k?oM of Intp.: Imp.:
CITY OF EA(iAN SEWN fWICE PERMIT
3830 Pilot Knob Rwd
P. O. Box 21189 PERMIT NO.:
Eegan. MN 55121 DAl'E: • 1: "J
ZoninO: No. of UMes: '
OWMr:
^ddrof3: -
Siff Addron. . ~~i~{~ y'lfl 'ri•,~~ Qt" ~~1 Wi '•:.1Cvl=1'£i. 3rC'
Plumber F'l,ta in 1'•c
,
1sow h Mim* w11h IIw Cky o1 iowa Corr'Ndlan Chwrge:
poyb.on& Acaoiwnt Devatlt: 1 5 nn~t
Parmlf FN:
Surdorge: Sn.,A
gy lvum a,orgm
Dote of Insp.: Total:
( Irop.: Dah Pbid:
~ i
CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILD1Nl yPERMIT Receipt # U
To be usEd'for CARAGS Est. Value ;5,000 Date .1Ul1 20 , 19 91
Site Address ~641 MI11DME DR LOt 4 BIOCk _Z SBC/SUb. 3RD OFFICE USE ONLY
Parcel No. occupancy ~t FEES
zonirg
W Name ~R SIENERT (Actuaq Const _ Bidg. Permit 72.00
o Address 3641 I~iI11DtR8E Dlt (Albwable) _
City R~N Phone 4~-a14~ # of Siories suronarge Z• ~
I LeVh 12' Plan Review
to Name CtIBT CQ1lSTRllC?I01! oePm 3.L' snc, ciry
Oi Address 073 ATHUUI 1tAY S.F.Total - SAC,MCWCC
~ City I11VER GRON~ NT8~hone 4s~793 S.F. Foolprinls _
F On Site Sewage _ Water Cpnn
~ W Name
~ i On Sde Well - Water Meter
Address Muvcc System
i4c`"
i W Ciry Phone cny water _ ~ DepO$1t
PRV Requirgd - S/W Permit
1 hereby acknowlege that I have read this application and state that the Booster Pump - S/yy Surcharge
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permite6` 1?NROVALS
Road Unit
A 8uilding Permit is issued to: CRI S? CONSTRUCTION Ple^^ef - Park Ded.
on the express condition that all work shall be done in accordance with all Council ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. 0ry _ Copies
Building OffiCiat J Ve?iance _ TOTAI 74• ~
~
Pwrtdf No. PerwAt Holdu OM TdkphonK #
WATEii
SEWER
PLLWABINC
H.VAC.
ELECTAIC
khpOeUpn Deft kup- Conw"MMs
FooWV: I 6 y ~J
Foundafion 7.ZG Q
Framirg
Roofing
Raph Pbp.
Rough Htg.
Isul.
FKeplece
Final Htg.
Orstat Test
Final Pbp. Plbg. Inspector - NotilY Plumber
Const. Meter
EnprJPtan
BIdB. Final a s
Oadi Ftg.
Deck Finel
WeA
Pr. Disp.
.
CITY OF EAGAN C;; ;
3630 Pilot Knob Rosd, P.O. Box 21-199, Espan, MN 55121
` PHONE:4548100
sU1LDING rERMIT rteceipt ~t
To w usW 7YI , r 1 i Cst. VQlue Date 1 . . I 1 t, '
Site Add?esf 1'' 1 . Erect Q Occupancy
Lot BioCk - ec/Sub. rr' Re^odel ? Zoning
Repair ? Type of Const. c r
Pereel No. Addition ? No. Storiea
i .}L Move ? Length
~ Nsme Damolish ? Depth ,
Addren Int Impr. ? Sq. Ft.
Cky Phone Install ?
, Ayprovob FNs
~ Nsme
A~~ Assessrtxnt Permlt ~ City Phone Woter 3 Sew. Su?charpa
Police Plan Review
Neme _ Fin SAC
W
~1ddi'eas Enp. Wetar Cona '
~ Z. City Phone Pianner Water Meter
Council Road Unit
hercby ccknowladpe thot I how rcod this opplicotion ond stote thot gldg. Off. Tr. Pt %e iniormotion Is cof?ect ond agree to cumply with oll applicable A~
~e of Minnewto Srotutes and City of Eoyan Ordinonces. Parks
Var. Date C~i~
. ure of Permittet 7 5
c~t <1:::'~. ; " Total
Building Pem+1t Is issued to: on the oxpress Condition thoi
dl work sholl be dorn in accadonce with oll appliaoble State of Minnesofo Stotutes and Cify of Eopon Ordinonces.
Buildirg Official ;
Pwmit No. Pwmft Hoidw Dow TeIephone *
PI°nMbq ' c
H.V.A.C. • ;
v-~
6 V.
sotaw..
Irapection Dm Insp. Other
Footinpsl
Footlngs II
Foundatlon
Fhminp D.
RooHnp
Nough Plby. c-?7 ) C
Rouqh HLp. ~ sP ~
IMYi. ~
Firepiate5
Flnallftp. - ~
Final Plbg.
Flnal
CwR/Occ.
WatN Daaibe Loestion:
1AIN1
S~r~r
Pr. DisP.
RwWPt MECHANICAL PERMIT Patnk No.
, CITY OF EACAN
' FN
. Fill !n numbwrd iOoacMr S/C
7Yw or ArInt /ayiWy To` . .
~
1. Date 2. Installation Cost
3. Jcb Address Lot Blk. Tnct
4. OwnK
6. Contnctor Phone
8. Addrns
7. City Sts" Zip
~
8. Buildiny Type: Residential ? Commercial ? Institutional O :i
9. Work Description: New O Add ? Alter O Repair ? ~
10. Describe _ Fuel Type
11. No, Equ*p=nt 8TU - M. Ea. No. Eouipment CFM
Forced Air Air Handlinq:
Mfp. . . . r
Boilen Mech. Exhaust
Mfg. ~
Unit Fleater ~
Mf9. Other ,
Air Cond. ~
Mfg. . i
Gai, Piping Outleu
12. I hereby certify that the above information is true and correct, and 1 agree to j
comply with all ordinances and codes governing this type of work.
Signed' - for
Rouqh "Final
Inspections: Date Insp. Oate Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No. ~
CITY OF EAGAN
Fw <?C-.' ~
fill in numbered spaces S/C . 50
_
Type or Prin[ legiWy 7ot GC3.sJ
1. Date 10/7/A5 2. Installation Cost
3. Job Address ~~,,TDTRF.E Olot Blk. 7roct 4. Owner n'. \RiC 90HN" OONS'iRCJCl'ICXJ ,
Phone 7fsF-•4(~0
5. Contractor SCHUL' ISS PL[]MBIAk;
7
6. Address 8383 SbIlNSET Ro, uz ~
7. City :-)z'RYAIG L.AKE PAr?K State Zip 55432
8. 8uilding Type: Resideatial Commercial ? Institutiona4 ?
9. Work Description: New lC] Add ? Alter ? Repair ?
10. Describe .+10M FRAME:
11. No, Fixtures No. Fixtures
j Water Closet Cesspool/Qrainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
' Kitchen Sink
Urinal/Bidet Other
' Laundry Tray
1 Floor Drains
J
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of wark.
Signed : r , - for
Rouqh f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CiTY OF EAGAN 454-8100
,CASH RECEIPT ~
OF EAGAN •
P. 0. BOX 21-199
.
EAGAN, MiNNESOTA 56121
DATE - 19
AMOUNT $ ' I ~J
% )
tc DOILARf
1 so
? CASH -Q CHECK
~
~
_ i, : ~
, ~.~s! c L_ ~ ~ r
suNO cone AMOUNT
YF • S ~
Thank You''G ~
HY - ~
YVhite-Payert CoPY
Yellow-Postinp CoPY
Pink-File CoPY
PERMIT #
PLUM&NG PERMIT RECEIPT #
CITY OF EAGAN rn
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE C' 0• PHONE: 4544100
Site Ad r ~ ~ - -z~ J ' BI.DG. TYPE WORK DESCRIPTION ,
Lot~ Block f~l Sec/Sub ~
New
~ Name j 1 . :J` ` ' fNult Add-on
Address--' Comm. Repair
~
c Ciryrl-~-`~" Phone Other
, NO. FIXTURES TOTAL
Name. _ v ^r_~.. _ - ~ Water Closet - $3.00 $
77
B9th Tubs - $3.00
c Addr
p; City T,'~ Q c F~ J Phone~~ Lavatory - $3.00
~ Shower - $3.00
FEES Kitchen Sink - $3.00 ~
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMi1M - RESIDENTIAL FEE _$10,00 L.aundry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20,00 Floor Drains - $1.50
STATE SURCHARGE PER PERMtT _ ,50 Water Heater -$1.50
(ADD 550 S/C IF PERMIT PRICE GOES Whirlpool -$3.00
BEYOND $1.000.00) ~ Gas Piping Outlets -$1.50 ~ r 0
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
~ C ~V ~ ~ • ~ L7 ~ _Rough Openings - $1.50
SIGNATURE OF PERMITTEE ~ FEE;
STATE S/C:
i FOR CITY OF EAGAN GRAND TOTAL•
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS CITY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work By Gas Line By - ~ S Q f ~ w,~!~- ~
TYPE OF HEAT GA_ FA X HW_ STEAM SPACE HTR. UNIT HTR. OTHER ~
, GAS DESIGN E" CONVERSION ~
MAKE L C"l ikJFAKE--UF SURNER A 9,,.
Model Q `,f ~c.~o _ ~•~r-~.. ~ ti
Model - ' r-
Serial S c3 K-9 SKD S/- 618 G Max. BTI1 Ratinn
INPUT . c' J vU MAKE OF Fl1E3AlAIDL--=
~
.
CONTROLS
THERMOSTAT~I 6r`) Heat Plug Vent Size - ~ ~ ~~~F~
Valve Jd hr?san cu KIND OF LINER1 NONE
Limit Draft Hood 1 ^C7',.,(- <•cl !J~- ~ Regutator
Limit Setting Filters Size Number ~
Fan Setting Chimney Location Inside Outside
Pilot Type Chimney Construction '~-s -S
Pilot Make ah/' Sun Con`~ro/s
Pilot Mode! 1,-, 6 G-• CY/,1L -I Smoke Bomb - Wiring U.h.
PilotTiming Draft TestTag
L.W. Cut Off ~ Door Pressure Lighting Inst.
Pressure G- Percent CO2 r)~ r' Date Tested
Input CFH_ /00 cfW Percent 02 Company Testing
Stack Temp. Percent CO Name of Tester
Form 235
CITY OF EAGAN Remarks
Additlon WINDTREE 3RD ADDITION ~ot 4 aIk 3 pa?cel 10 84472 040 03
owner street 3641 Windtree Drive state
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 16.13 10
STREET RESTOR. 1984 2315.25 463.05 5 '
GRADING 7tgq 1983 613.25 122.65 S
SAN SEW TRUNK / 1971 160.46 8.02 20
SEWERLATERAL 1983 3256.80 651.36 5
Sewer Lat Trk 1 s 1983 188.16 37.63 5
WATERMAIN Et 1983 260.34 52.07 5
WATER LATERAL
WATER AREA 57 19-72- .236.39 11.82 20
STORMSEW TRK 1983 771.36 154.27 5
570RM 5EW LAT
CURB & GUTTER- -
SIDEWALK
STREET LIGHT
WATER CONN.
IIUILDING PER.
10864
SAC
PARK
RESIDENTIAL ~ U . A _ 0)
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 o ~
651-687-4675
lew Conatrucfbn Reauitemenla RemodeUReoair Reauirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan
(20% maecnum bt coverage albwed) . 7 set of Energy Calculations for heated additias
2 copies af plan stawing beam & window sizes; pouretl found design, Nc ) . i site survey (or ealeriw additions & decks
1 setof Energy Calculations . Indicate rf home served by sep6c system fa additbns
3 copies ofTree Preservation Plan if bf platted alter 111193
Pom Joist Detail OpCam selection sheet (61dgs with 3 or less uni4s)
JATE I D-Zq -a l VALUATION ~ 1560
106 SITE ADDRESS f_L~t'~ 11e~
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWNER a
'YPE OF WORK FIREPLACE(S) _0 ~ 2 -3
aPPUCANT
cts PHONE# 743-14-ill-6-1040
kDDRESS 910(o F.-ux1ekct St ~ Priar (.,a6ZIPCODE SS37a-
'AGER # CE!! PHONE # b+a-- y- ~ a43 FAX #
Pi c(<- j'I%.a. ( e r\
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Catculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: Phone
Plumbing System Includes: Water Softener Lawn Sprinller I'ee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Tee: $70.40
_ Heat Recovery System
Sewer/Water Contractor: Phone ik
\II above information must be submitted prior to processing of application. D~ I', ~ ~
~f
hereby acknowledge thaf I have read this application, state thqt the information is correct, agree to comply ith
~!I applicable State of Minnesota Sfatufes and City of Eagan Ordinances.
Signature of Applicant
R
;ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
] 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
] 02 SF Dwelling ? 08 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
] 03 01 of _ plex ? 09 07-piex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
] 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
] 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
7 06 04-plex ? 12 12-plex Plbg_Y pr _ N ? 25 Miscellaneous
] 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
] 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
] 34 Replacement •Demolition (En1lre Bldg only) - Give PCA handout to applieant
/aluation Occupancy MC/ES System
:ensus Code Zoning City Water
>AC Units Stories Booster Pump
Jbr, of Units Sq. Ft. PRV
Jbr. of Bldgs Length Fire Sprinktered
'ype of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addipon) _ Plutnbing
Foundation HVAC
Drain Tile
Roof Ice & Watec Final 4t6ei
_ Framing _ Pool _ Ftgs _ AidGas Tests _ Final
_ Fueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stoae
Insulation _ Windows (new/replacement)
Approved By , Building Inspector
-
iase Fee
iurcharge
'lan Review
AC/ES SAC
"ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
'realment Plant
'lumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
rotal
p 0 910 94.
Reauest Dace Poe No fi~uqb-m Inspecllon
6-17-91 Requvetl+ ]fReatly Now ? W~Ihen'FeatlyPecror
]Yes XNa
I K licensed contractor ? owner hereby request mspection of above elecincal work at:
Job Mdtlress ISreet eox or Route No I City
3641 Windtree Dr. Fagan
Secnon No I I Townsmp Name o, No Range N. Gounly
Dakota
Occupant(PRINT) Phpne N.
Mark Siewert 454-8948
1 Power Sup0~i9r Atlaress
DEA Farmington
Elecmcal ConlractoriCOmpany Name) Conlracmrs L¢ense No
Corrigan Electric Company 039549 8
Mailing Actlress iCOnUador or Owner fdakmg InstallaLOn)
P.0 Box 475, Rosemount, MN 55068
Aw r e SignawrP iGomrer.or Q.yner Ma. g ins s;allation) 0 Phone Number
423-1131
~
MINNESOTA STATE BOAHp ELECTRIQTY THIS WSPECTION flEOUEST'IJILL NOT
Grigqs,MiEway BIEg - Hoom 54)3 BE AGGEPTED 6YTHE STATE BOARD
1821 Unrversity Ave. St Paul MN 55104 VNLE55 PROPER INSPWTION FEE IS
Phone(612)fi6d-0900 ENCLOSEO
0660 REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oe
/ ? See instmctons lor comple0ng Ihis loim on Oaci o1 yellow copy /0/ O~~/
?"$'!~o~ o
5 04109 "X" Below Work Covered by This Request "'*~•,a•aD`
~
ew~iRep:.- 7ypeot8wldmg AppliancesWired EqwpmentWired
I~ Ix' 1HOme Range Temporary Service
Duplea Water Heater Electnc Hea[ing
ApL Building Dry er Other (Specity)
Comm.llndustnal Furnace
Farm Air Condrtioner
Omer (spemfy~ Cantractors Remerks
~
Compute Inspechon Fee Below:
# Other Fee # Service ENranceSze Fee # Qrcmis+Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above t0 Amps
SignS Insoecmr's Use Onty OTAL
Irrigauon Booms
J'
Special Inspectwn
AlarmiCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-in oaie
certitythatiheaboveinspecuonhas Faai ( oate
been made.
OFFICE USE ONLY ~
Tnis repuest voitl 18 montns irom
This request void t ~~a-TS3
~.i
18 nwnths (mm ~
06 1 I L (/Ji
Rem~est Date Frte No. Fooph-in Insuer.tion
Re ved? ~RCatly Nuw ~II Nnufy InsOee-
`4 ~ O es ?NO tor Wh~~n Ready
icensed Ele<incal Contractoe I hereby requestinspection of above
OwnNr electncal work inslalleA uc
Streut Address, Bov ar Foutj No. UtV
eclion o. Township Nvme ur No. Ranye No. Coumy
Occuod PINT) ( P~one No.
~iL,~ ~~B/1.uS nTJ
Power $up i r AAdress
4 'e-v, 1-->/~
ElPClncal vactor (Comuany N,imel Cnnlracmr's Lmense No.
~C. .~i~t, 59f3S~b'
M np~~s (Conve•mr or Owner Makinp Ins~allatioN ~
d~
Amhonn iPn we (COnva tor/ nor Makmg InsLillation) Phone. N mber
K Z
TMIS INSPECTION REQUEST WILL NOT
MINNESOTq STATE BOARD OF ELECTflICITY
Grigys-Midwey BIdO. - Room N-191 BE ACCEPTED BY THE STATE BOAflD
1821 University Ave., St. Paul, MN 55100 UNLESS PFlOPEN INSPECTION FEE IS
Phone f612) 297-2111 ENCLOSEO.
~'Zl..'l,~ REQUEST FOR ELECTfi!CAL IRISPECTION a-: ee-oooai_oa
' See instruclions lor comVletin9 this form on beck of Vellow copV. W'b-S-QC
c 62667 "~X" Be/ow Work Covered by 7his Request ~j~~
AAd R.P. Typd oi Builtltn9 ApPlianCes Wrted Equipmem Wved
Home Range Temporary Servlce
Duplex Water Heater Lighiiny Fiztwes
Apt BwlAinq Dryer Electnc HeaLn
Commerciai Bldg Furnace Silo Unluader
Industnal Bldg. Air Conditioner Bulk Milk Tani<
Fann Otlhei per.i y ~her ISp3r.~y1
tier ISUeci(y O[ncr Oihr;,
onipuie lnspection Fee Belaw
p Fee ServiceEMrance5ae b Fee Feeders/Subfaeders N Fee Cucurts
0 to 200 Am s D to 30 qmps 0 to 30 Am>s
Above 200 qmps 31 to 100 Amps ~ 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transtormer5 Irngation Booms Partial,'Other Fee
R Signs $Ueciallnspection S f~
TOTAL FEE
e3rks
RouBh-m th~'Electcicn I
, Inspectoq hereby
Final cgrfily tM1at tha above
` ~nspechon has been
made.
This reQUast voiE 18 months Irom O A
CITY OF EAGAN N2 .19291
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING'DERMIT PHONE:454-8100 Receipt # e )q(j gc)
To be used tor GARAGE Esc Value $5 ,000 Date JUN 20 ,19 91
e
Site Address 3641 WINDTREE DR
Lot 4 Block 3 Sec/Sub. WINDTREE 3RD OFFICE USE oNLY
PBfCBI NO. Oaupancy M-1 FEFS
Zonmg -
w Name MARK SIEWERT (ACtuapConst _ BIOg.Permit ~z•~~
o AddreSS 3641 WINDTREE DR Allowable) - Surcharge 2.50
City EAGAN Phone 454-8948 xorstodes -
Length 121 Plan Reviaw
o Name CRIST CONSTRUCTION Deplh 13' Sac.ciry
~a Addre55 6875 ATNENA WAY S.F.TOtal -
~ Ci[y INVER GROVE HTSphone 455-6793 S F Footprims _ SAC, MCWCC
On Site Sawage _ Waler Conn
~
ew Name On Site Well - Water Meter
x2- AddfBSS MWCCSyslem _
aw City PhOne Ciry Waier _ Acct. Deposit
PRV Required _ S/W Permil
I hereby acknowlege Ihat I have read Ihis application and state Ihat the Booster Pump - SM/ Sumharqe
inlormation is correct and agree to comply with all applicable State of
Minnesota Statutes and CR f Eaga¢n Ordinances. ~ L 7reatment PI
SignaNre 01 PBrmite LL v ~~eJ APPROVALS Road Untl
CRIST CONSTRUCTION Planner - ParkDed.
A Building Permit is issued lo:
on Ihe axpress condition that all work shall be done m acwrdance with all Councii
~ applicable State of Minn~esota Statutes and City ol Eagan Ordinances. Bldg Olf. = Copies
1 1(}iAl R p1 A. IV Vanance TOTAL /4• 5V
Building Oflicial J
CITY OF EAGAN N°_ 10 8 6 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ vf
BUILDING PERMIT Receipt #
Te M uaed !a SF DWG/GAR Est. Value $105,000 Date AUGUST 26 19 85
SiteAddreu 3641 WINDTREE DR Ereet R, Oceupancy R3
Lot 4 Block 3 Sec/Sub. WINDTREE RD RemoOel ? Zoning Rl
Repair ? Type of Const. V
Parcel No.
Addition ? No. Stories
MARK JOHNSON CONSTRUCTION Move ? Length 43
W Name Demolish ? Depth 4$
Z Address 4149 STRAWBERRY LN lnt.lmpr. ? Sq. Ft.
9 City EAGAN phone 454-0623 Install ?
m SAME Avvro.ab Fees
zo Name .50
~u Address Assessmenl Permit
u~ Ciiy Phone Wufer 8 5ew. Surcharge 52.50
Polke PlanReview 222•75
GZ Name DAN MANSFELDT Fire 5AC 525.00
i~ Address Erp. WaterConn. 500.00
~4~.Z. City BURNSVILLEphone $94-3208 plonmr WaterMeter 63.00
Council Road Unit 280.00
1 hereby ocknowlad9e lhat I hcve read this aODlicntion ond sfate fhat BIdg.Off. 8 23 85 ir. PI. 132 . OQ
the inlormation is correcf and ogree to comply w th oll npplicable
State of Minnewto Statutes and ity f ogoh rdirwnces. APC Parks
9 Var.Oate Copies
Si nature of PermiMee
JOHNSON CONSTRUCTION rotal
A 8uilding Permil Is issued to: MARLIZ on the exprcss condiflon Ihoi
all work shall be done in ocwrdance with /q11,J oppiiwble tate o innewta Statutes ond Ciry of Eaqan Ordinances.
BuIIdInp 0{ficial ( F'f~A"l 1 --,-In /
1.7s
' 1991 BUILDING PqAPPLICATION •
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MIILTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WNICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER 5 WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. tUR 17 RECD
v
To Be Used For: Valuation: ~ Date:
Site Address Dr2 ~ OFFICE USE ONLY
Lot ~ Block ~ FEES c7z 00
Occupancy M -1 Bldg. Permit
Zoning Surcharge 2"~TD
Parcel/Sub Actual Const Plan Review
f~~ A1lowable SAC, City
Owner I r~~..ey- # of stories SAC, MWCC
Length IZ- Water Conn.
Address Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code Footprint S.F. S/w Permit
i1~~ ~y r~~ S/W Surcharge
Phone *t On site sewage_ Treatment P1.
On site well Road Unit
Contractor J`k 5 I ~~NZ~ MWCC System _ Park Ded.
n r~ City water Trail Ded.
Address ~B2s ( I~NF}- PRV Copies
~ Booster Pump
City/Zip Code ` t- ~5o I~ SUBTOTAL
~r APPROVAIS Penalty
Phone y5 S' ry
~ C c7 ~ Planner _ I.ot Change
Council TOTAL hIL. F(~
Arch./Engr. Bldg. Off. (o 99/OS '
Variance
Address
City/Zip Code
P #
agrees that all work shall be done in accordance with
ignature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
r . ? ~~I / t I •
~ -e -
Q • w
,r• 72'00+ I
2•'rJo'} i
~7/}- S0*
I
I
~ ~ - ~
( ,
# SURVEYOR'S CEATIFICAT= ` HFRK JCHNSON
I\
g99.c D~
' ~ - o d=5/°23',Sg.~ RFF O,Q~
~
~
F.9~ e
tp
N \\a ~ ~~j?~i ~
~
/ j • \ )
ICjD1.
N 0 ,
~ ry~ q 4 3g qd~, .
OD
5
ro. ~O [4 P E~ 9094"
\
/g3 6~00
3 o~ryry , ,z~ b 60
~ ; o
5
y'~~V
2~9
1 Oa *qll'~ '
& ~Ry EXN~ E
e
o~P N~~,~ .
-f- . DEMOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCFI = 30 FEET
0 DEPlOTES IRON MONUPIENT FOUND PROPOSED GARAGE FLOOR = FEET
X000.0 DEPIOTES EXISTING ELEVATI01! PROPOSED LOIJ[5T FLOOR = FEET
(000.0) DEtlOTES PROPOSED ELEVATIOH PROPOSED TOP OF [ILOCK = FEET
I HEREI3Y CERTIFY TO h4ARK JOHNSCN THAT TIIIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF TIiE 130UNDARIES OF:
Lot 4, [31ock 3, 6'INDTREE 3kC ADDIT:OP!, ar;:ordin9 to the recorded nlat
thereof, Dakota County, hiinr.esota.
AND OF THE LOCATION OF ALL [3UILDINGS, IF ANY, TIIER[OPI, ANC ALL VIS;CLE EMCROACHPIENTS,
IF flNY, FR014 OR ON SAID LAND. AS SURVEYED [3Y M[ TIIIS 20TH DAY OF AUG.UST, 198s-.
IREVISED 3-28-91 ro ~ SIGNED: JAME' R. HILL, INC.
SHOW EXISTING CONDI710NS-
~ FOR MAR K 8 SHEILA
SIEWERT_
DY:
IAROLD C. PET[RSON, LAND SURVEYOR
MINPlESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JqMES R. HILL, ING.
8 S 8u :ti 11 `S 'o
(91112) J Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue Soulh
FO L D E R Blootnington, Mn. 65431 612-084-3029
RESIDENTIAL BUILDING
Permit Application
City Of Eagan I~ a•~
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construc6on Reaui2menGS RemodellReoairReouiremen4s OKce Use Onlv
3 registered site surveys showiig sq. ft of lot, sq ft of house; and all roofed areas 2 copies ot plan Cert of Survey ReW
(20% maximum lotcroverage allowed) 1 set of Energy Calculahons for heatetl addilions Tree Pres Plan Recd
2 copies of plan showing beam & windov, srzes; poured found desgn, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Energy Calculahons Add'rtion - mdicafe don-sife septic system _On-site 5epfic System
3 copies of Tree Preservalion Plan rf lot platted after 7l7193
Rim Joist Detail Op6ons seledion sheet (bldgs wiN 3 or less units
Date 9~ Construction Cost
Si[e Address 41V ,/(C~~~~12( Unit/Ste k
Description of Work
Multi-Family Bldg _'Y L_1V-~ Fireplace(s) _ 0 _ 1 _ 2
Property Owner Tetephone #(c~~~)
Contractor
CixY /.,22~W LF~
Address [p~. (Io~('/
State 114zL Zip Telephone #
? ~ '~7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Aules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/Water Contractor Telephone r-.
f~ I~ I I 1~ I L~ I ~ I
U MAY 12 2003 I~
I hereby apply for a Residential Building Permit and acknowledge that the info lition is complete and Iccurate;
that the work will be in conformance with the ordinances and codes of the City B~f Eagani _and the__StatA of MN
Statutes; I understand this is not a permit, but only an application for a permit, a d 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 pl .
/
Appli t's Pri e ame 'cant's Si ture -
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt - Multi
O 03 01 of _ pfex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
CJ 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire BldO) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code _ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIREDINSPECT[ONS
_ Foohngs(new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Foo[ings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Fina! _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco S[one
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
, Insulation _ Rctaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r
. ~ . .
i
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED IiITH ?HE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
105,r~oo.
To Be Used For: Valuation:Date: Site Address: OFFICE USE ONLY
,
(w~ • rudT~6E
Lot: Block ~ Sect/Sub3,r,1,o., Erect ~ Occupancy
Remodel Zoning 1
Parcel # Repair Type of Const
Addition !J of Stories
Owner Move _ Length q3
Demolish Depth 48
Address Int.impr. _ Sq Ft
Install
City/Zip Code
Phone APPROVALS FEES
Contractor /",q,eK Assessments Permit yy-t-rj,~-o
Water/Sewer Surcharge 5Z,5'
Address _/-//yq 4/,,,;,~,~„ police Plan Review
Fire SAC S'Z5. ILI
City/Zip Code -5SQ~ Engr Water Conn 7F00 1 !T
Planner Water Meter 6 3 =
Phone Council Road Unit Zoa.°'
Bldg Offyjrer atment Pl 13Z.=
Arch./Engr. s/P/dl APC parks
Variance Copies
Address TOTAL 6) 0, 7S
City/Zip Code &.-„s,,;114P
Phone X~7v -3ao~
2CoY "~c9 = ~f 3 c~ K 58 4 2~c~ , ,
~ x~'3 - 2cp x 44 ' I 1 4- 4. . .
22 x '12 `
I 2 n ' c~
! o;
e45•50+
.2•50+ '
222•75+
:,25 • 00 +
SCO•00+
63•00+
280 • 00 +
132•00+
.1.^20°75* '
SURVEYOR9S CkATIF1CAg= FiPRK JOHNSON • '
~i~~TRF
• m p , s 9~ `'~~i
N i
04
~
~ N w e k r9o
. , OD 0 ryry . 2 •
X A\ ry~ P100 FFp
~
. ~ ~q l9oy('> _ i4b' ' b 0 \rp .
i
r~ c yoy~ ti2° ~0
o i ~ ~`°V l
.
i' ~ ~ ,a yo R2 *~n.w T~N
G
\ N
G
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCAIE: 1 INCH = 30 FEET
• DEPIOTES IRON MONUPIENT FOUND. PROPOSED GARAGE FLOOR =~os•3 FEET
X000.0 DEPIOTES EXISTING ELEVATIOPt PROPOSED LOIJEST fL00R = S91•~, FEET
(000.0) DEtlOTES PROPOSED ELEVATION PROPOSED TOP OF QLOCK = 905•~ FEET
I HERE[3Y CERTIFY TO MAQK JOHNSON THAT THIS ISI A TRUE AND CORRECT
REPRESENTATION OF A SURVEY UF THE BUUNDARIES Of:
Lot 4, Block 3, 6!INDTREE 3RD ACDITIOM, according L-o the recorded olat
thereof, Dakota County, Piinr.esota.
AND Of TfiE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISII3LE ENCROACHPIENTS,
IF ANY, FR0M OR ON SAID IAND. AS SURYEYED BY PQE THIS 20TH DAY OF AUGUST, 1985.
SIGNED: JAMEe R. HILL, INC.
BY:
AROLD C. PETERSON, LAND SURVEYOR
MINP7ESOTA LICENSE N0. 12294
PROJECT NO.. BOOFC / PAGE . JAMES R. I"IILL, ING.
868oa
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER Bloomineton,Mri. 55431 e12-884-102e '
. . EXTERTOR ENV}:[.Oi`E AVCRAGE °U" kOF"fi)TATI011
GWNER
.
SITE ADDRES ~
CONTRACTOR DATE_, PHONE
` Determine uorking square footage of each.
1. Total exposed wall arca J62967k(_ /J sq. f t. x,!/..?-§'=
2. Total roof/ceiling area sq. ft. x-(.~ =
C-. - -
3. Total floor/cant. area sq. ft. x.10
Total er.posed wa] 1 area above floo: = --Z:~ ~//.4~>
a. Total Wall window area . . . . . . . . 17/.&L
b. Total door area . . . . . . . . . . . .
c. Tctal sliding glass door area ~c]
d. Total fireplace wall acea .
e. Total wall framing area (average 10%). (7(J,Q
f. Total net wall area above floor
g. Total rim joist area . . . . . . . . . .
Total exposed foundation area
h. Total foundation window area -
i. Total net foundation area above grade.
Determine "U" value of each wall segment.
a. 17/." x ,iUi, _3s3 - ~~.bc'~
b. o xliu,i .31 = G,~
c. 36.C7 x aJ~ _ I..~ ^~I
x
d. v8.o x „ull
- - ~ 0Q = Y3.,,
e. i70 .Q x "U11 .09
f . ~53~j_ ? x liUN
x U~~
S• ~6.^>_n
h. x "U" =
i • 18C~.c'~ x ,tuti ~---~}-s-
SUB'I'OTAL = /qG,,
4. T OTA L
If item N4 is the same as, or less than item #1, you have met the
intent of SBC 6006 (c) 2.
Total exposed roof/cniling arcri
j. Total skylip,ht arco
k. Total flat roof/ceilinr framing orra........... 7_!03
1. Total net insulate(l flat roof/cei].ing area..... /CU/~f"•37
M. Total vault roof/ceiling framinr, area
n. Total net insulaYed vault roof/cei)inr, area....
Determine "U" value for each roof/ceilinp, se;;me*it
x n lJ n _
o~;~ = L-7rn
x . 07_ 1,a3 X „u,l
i. x„ii"~
-
M. x "U" _
n. x titill
5. Total
If total of NS is the same as, or less than 52, you have met the
intent of SBC 6006(c)1.
Total exposed flcior/cant. aren _
o. Total floor/cant. framing arca (avcraEe .10;;).. _
p. Total net in-sula+:ed floor/cant. area
Determine "u" va).ue for each floor/cant. sesmont
o. x liuii _
x "U" _
P-
6. .............................................TOtal
If total of 116 is t-he same as, or le;., than N3, you have met the
intent of SBC 6006(c)3.
P.LTERiJA'CE 3UILPI1dG F.PIV}:LOPE DESIGN
To utilize the total envelope system mnr.hod, the values establisl:ee.
by the sum of items .N4, ;f5 and H6 shra].1 not be p,reater than the sum
of items N1, fl2 ancl '13.
2. 4. 26 7 a!v 5. onC~_ ~5 6.
P r e pa r c
nia, t0
• ~ Gt~'•~~ . ~d/~'~c~,~Y~
Total ezooeed wall area above floor
?otal wall wisd w area _
xotai door orea _ /f3•CU
Total ollding glaee door area
_
Total f5rep].ace wall u-en
Total wall fr4ming aroa (average 10%).......... I Z-6:,
2ota1 nat woll aren above floor 413.
?otal rla ~oiat sroa
Total ozpoead fourrtatlon nrea = -
~ Totnl fotmdatlon ulntwr •rea
Total net frnmdat7.on nrea above grarle.......... ~
Determine ^Q° velne of ench wall eegment.
y--_
z h U n
b. C) x
X MuM 6 - _
d. Y wUw v
o. zoo^
x °o^ -UV!~-3
g ~ X. au. o
.
h, x "D" °
1 x .U" .
.
Subtatal
~
' ~
. ~
~
Total ezooeed wall area above floor
n. ?otel wall rind w area
b. Total door cLrea
a. Total eltding glaea door aren
d. Total f]rep].ace wall area
e. Total wall frdming aroa (average 10)..........
~
f. ?otal rwt wall area abaco floor 75•~
Total r1a joiet aron
Total exposed foutxiatlon nrea = -
~
t), Total fotndatioa windw area
1. Total not foundatlon area abwe grade..........
Determine "p° valne of ench wall eegmcnt.
Y nU n
b. X 0 Tj n - ~
.7/.
"U" -353 a,_ /2
a. `Y~3 _o r 'o^
S, ~~.t3 X aIIn . Q~ c Y i 5
I "U"
f,w q
. z p~~
B •
h.
1 X. wUn
• 9ubtotal
'THRU STUD Int. Air'.68 T}1RU 2N5. WALL Int. Air .E~i .
' w/ S.R. b SIDING S~R• ,•YS w/ S.R. 6 SIDING S.R.
. ' Stvd ~-07 IQ.o
Ins.
Sritg.; ~.0~ SHTG.
Siding . .q~(
Siding,
; Ext. Air .17 '
- F..xt. Air '
~ Total. "R" = f~•~7 ~
; Total "K" = u<~.3
1/R=, flUff -L~ 1/R = ifull ~
_
"
THRU CLG. Int. Air .61 THRU CLG. Int. Air .61
MEMBER S.R. INSULATION S.R. (5/5")
Clg.. Memb. ~/-3`;- Ins. (12")
Ins. (g Still Air .61
Still A,ir , .61 Total "R" =ct27-7e,
i ?
Total 1/R = "U" -
i, R .o^~ _
,
~ .
'"HRU CONC BLOCK. Int. Air, .68 THRU RIM Int. Air .E8
C.B. ((Z~") JOIST Ins. IC(.O
Opt, Ins . S.C> 1Y" Wood .1 , 89
Ext.. Ain .17 Shtg.
% • Opt. S.R. , Siding •qq
Opt. Sid. -Ext. Air
'Total "R".= 7 13 Opt. Brick
- 1/R _ "Y' . Total "R" = 7q
' 1/R = ituil _
- - -
• _4 ~
ST,Un Int. Air .GP . TNRII INS. Int. Air ,6;?
" F.C. Stud S 7 5/8" F.C. S.R. (Opt.) Shtg.
. ROTN SInFS IOpt.) Shtg. _ ROTN SIPFS Ins.
5/8" S.R. .56 5/8" S.R. .55
--5-f-8 " S . R . `3-l-8" S . R.
Ext,. Air .17 Ext. Air
~ Tota?. "R" = S i3 Total "Rtl -
I . 1/R = Nill 1/R, _ .O4 -
U STUD Int. Air .68 THRU TAIS. WFlI.L Int. Air
S.R. Stucl 6,87 w/o S.R. Ins. ~ l'o
SIDIP'G , Shtg. po w/ SIPIidC Shtg. C9•06
Siding . ~iY Siding -q`%
Ext. Air .17 F.xt. Air .17
~ Total "R" = 10..727, ' Total "R"
•1/R = lull _
li MIMAT.;R Int. Air .92 "'f1R11 IP'S. Int. Air .9^
CH*'T. Carp.-i ad AT CA*'.T. Carp.-Pad .
Vinyl Vinyl
Und. r!.
Ply. Ply. •
Joist Depth Ins.
P).y. Ply.
~
F.xt. Air .3.7 ' F.xt. Air .1?
Total "R" _ Total "R"
,
1/R c I 1/R= [lull
1
~ u~lt I
2/84
CITY Or EAGAN
llhl AP°LICATION FOR PERMIT
SE;dER ANDIOR WATER CONNECTION
- (PLEASE PR[Ni)
1) PPOPER'?"! ADDRESS- 3641 WINDTREE DR.
iFf;=,L DV..~GRTD':ICV:
(I0t/Block/Su!Dasvisicn or Tat Parcel I.D. i =-~erl '
~ ~?•:Z~:'~:i, STRCCP`:~, DaTE 0° CiZTG^IAI, ciiI?.DD'G :=S,
P==SL:'_^ C'SE: R-1 Si•:GI.: r^P-%lTLY ? R-2 DLPL? (7,-:0 L'i?ITS )
? R-3 + 1:~IZTS} ( t~'~Il:'S)
? :-4 U~NZTSi
? CCi'-n1E°.CLAL,/RE^.',-i.?,/Oir
? ~'L::S-1 =.L
? l~'STI:L'TI0:7AL/GG~'&'~~_'~""P
2) A?=` (FL"cASG FR(i1lJ
N~e'•~: MARK JOHNSON CONSTRUCTION
P.DCRESS:
CIT'=, S'?'ATV', ZIP:
PIiGNE:
3) PI.L:-~"'t,E3 IPLEASE PRLYi) FOR CITY USE OAIY
NF1h1E: SCHULTIES PLOMBING INC.
` PDDZ.SS: 8383 SCiNSET RD. NE PLU°8ER5 lICE45E:
C kcEive
CITY, STI'-.TE, ZIP; SPRING LAKE PARK, M . 55432 Expir
Not of Record
PI:D.IE: 786-4007 PLI1.48ER LIC£NSE N 2658119
~
~nl'
4) OccCt?a,rrr/C*•-,t DU~ME (PLEase aei~ir)
:
ADDftESS -
CZ'P!, STA'I'E, ZIP:
PfiO^IE:
5} IIv'DZG,TE ;17I-IICEi PERUT IS BEZNC; REQUES=;
El CC.NECPZpV TO CITY Sa7ER
El COiv'=ICN 'IY) CZTY WATL?{
? 0-11ER (PITII-SE DFSCRIBE)
6) II:DIG,.:.. C.:c: .
? PMaSE HOID APpP.GVID PER,`^ST FOR PICii-L'c BY O,IE OF AFGVE
~ P'.E-+S' :~t'~IL APP?zOVED PEF:•LIT T`'J 1. 2, (3,) 4 A&7VE
(Circle cne)
7) SZC,;,'IL z: : Dl,TE: 9/5/85
~
F O R C 2 T Y U S E O P] L Y . P°J-mjT ISSUED
/L$7.77 R nr.n•.17T ~T„^i'"-~-• ~ or••;.~.--.
~J..........:c~
$ ~D•J"J WA'?TrD pFJ.P1T_T (I::CLUDL JURCEfARGc.)
$ WATER METER/COPPE4HORN/OUTSZDR REnD7R
$ wA""'D. 'I'Ap ( IyCLUDE CORPORATION STOP )
S SE.WER TA?
~
oU _r.••--..„ -r.c--
$ $ ACCOuJiT Dt:POSIT - i';;ymcR
$ W:,C
$ src
$ TRuid1F FIATz'R ASS--SS:17-:iT
$ TBu:d< SE:iER ;,SSESS_iENT
S L:,.ER=,L BEi•icFIT/TRli?'K SEi:EB
$ LATcR=;L SE`iEFI P.Li:'1x /;'IrT~'a
+S OT:I: R (/~-fi .n
$ TOTAL
u
$ %7C. U A:yOU:?T PAIDi'RE---°I?m
,
DOcS UTZLITY CONNECTION REQUIRE EXCAVATIOV ZN PU6LZC RIGriT OF WAY?
. YES IF YES, THEi1 n"PE3MZT FOR :40Ri: :dIT:iIN
PUBLIC ROADSJAY" MUST BE ZSSGED BY THE
~ NO EhGI:VEERIAIG DZVISZON. LIST AS A CONDI-
TION.
SliBJECT TO TfiE FOLLOS•7ING CONDITZ0::5: •
APPROVED SY;
TIiLL:
DATD:
i
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3641 Windtree Dr
Lot: 4 Block: 3 Addition: Windtree 3rd
PID:10- 84472 - 040 -03
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector, (952)
445 -2840
Fee Summary:
Contractor:
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746 -5200
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Stephen S Endrizzi
3641 Windtree Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Issued By: Signature
Mechanical
EA088558
03/25/2009
ePermit
1
For Office Use +I /9 („A 0
, Permit#:Ø :t : !'tea✓
EAGAN
Permit Fee:
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionscityofeagan.com L
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: S Site Address: is/ V,) IN) D Tc E D v Q ick
N
Tenant: J Suite#:
Resident/Owner Name:
5+ - LE� R�=� c Phone: 6 S( -2,7.2, 7 7 7 y
-i3 I W rro ,=E0( � SS,v'3
Addressy
Name. i �� r h r License#: L
' �( 1G , .,„,_,_ (...,:,,,„61CLf I City: ')2,< 6,-1?_- )11.-(2
Contractor Address.
State: m rJ Zip:5S " 3 Phone: 9 Si a^ SS {
—3
Contact!�G1 (LP )3.+2-od�e s- Email: G1 -U a 13 S Q YF'Lo -1 GG ►rN
NewX Replacement —Repair —Rebuild —Modify Space Work in R.O.W.
Type of Work — —
( Description of work:
7SIDENTIAL
\ Water Heater
Water Softener
Lawn Irrigation (.RPZ/-PVB)
Permit Type ? Septic System Add Plumbing Fixtures c__Main/—Lower Level)
New
— Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and 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
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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 startwithout 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 �/ _r .lZ- I r'.d / x / v
Appli ant's Printed Name Appli ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test -. Gas'Test _Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
a
.iLa)
E AGA
to
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspections aC�.cityofeagan.com
r For Office Usecfl"CAI
Permit#: /��/S .106
Permit Fee: '39 cz_
Date Received:
Staff.
2020 RESIDENTIAL BUILDING: PERMIT APPLICATION
Date: 6/.300AD Site Address: 3 (L IN t Unit #:
Resident!
Owner ,
Name: Ste C1 r-1,zz t Phone: 6,5(--12-1771
Address / City / Zip: 0C, 0 *e-
Applicant is: Owner Contractor
Type of Work Y;
y.;
Description of work: 1`e ot�l-tCa1l0,^. vJ a ¶E =�Tf f Ks4 A4
y v Ara)D NfW
Construction Cost .60 0 Multi -Family Building: (Yes / No x
Contractor,
Company: t w'.. I.- 6w u uy► .C_Contact: vi \h-ojAALe
Address: `.� CVe��tnr City: VW
Sk-4
`
State:( Zip: S8 LA" Phone: 0-locil'geG l Email: 1,rtcvTwv► _i0A§kitetrem• 1012_
License #: K Ld J 140a Lead Certificate #: t V - cSS 35
If the project is exempt from lead certification, please explain why: I
....\
„,..-r.Ut�•IN l48s
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor.
Fire Suppression Contractor
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documenfs that:you submit are considered to be public information, Portions of the Information maybe
classified as non-public if you provide speclflc reasons that Would permit the City to.conclude that they are trade Secretor
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the CIty's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.aooherstateonecall.orq
I hereby acknowledge that this information Is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
x .'t Lova- (tp'ti . Tot Lawtc es/sSlitettneal�—
Applicants Printed Name Applicant's Signature
-DOOR,--
DO NOT WRITE BELOW THIS LINE
36(11 Wiad-tiec_6
SUB TYPES
• Foundation
1 Single Family
Multi
01 of _ Plex
Fireplace
Garage
Deck
Lower Level
WORK TYPES
_ New _ Interior Improvement
Addition _ Move Building
1 Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% A )
Census Code ��r!'' ""
# of Units
# of Buildings
Type of Construction
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Porch (3-Season)
Porch (4-Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
Framing l
_ i 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
ft
_ Siding
Reroof
Windows
Egress Window
4-
4-
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows -t P Opta�
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
kibt-Do(A:fs
pp -To OW
161m,ifikivholioxiv4-
2-02 Y 2/0
( dwo
Soc,
/40(9
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162920
Date Issued:08/05/2020
Permit Category:ePermit
Site Address: 3641 Windtree Dr
Lot:004 Block: 003 Addition: Windtree 3rd
PID:10-84472-03-040
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
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 (miscellaneous)$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 -
Stephen S Endrizzi
3641 Windtree Dr
Eagan MN 55123
Rascher Plumbing & Heating
712 Smith Avenue South
St. Paul MN 55107
(651) 224-4759
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
bu ildinginspectionsnacityofeagan.com
ECEIVE
For Office Use 1(i)
Permit #: /36
Permit Fee: /C947 • (% ! I CC --
Date Received: t17.
�t-(
Staff:
P�
a9►
2020 RESIDENTIAL BUILD APPLICATION
Date: Site Address:
Unit #:
Resident/
Owner
Name: 571{3/Ark,h ��12 2 Phone: / p1 / / ,
Address / City / Zip:c4' W'/11 CG 7Y ram- hr
Applicant is: L Owner Contractor S en eirJ Z z i 42 Z`L(D coot C 4-S t I r1 e:-/.
Type of Work
Description of work: �7 5 /k J �d>1l S T GA->fri
66
U V "- )
Construction Cost: / Multi -Family Building: (Yes / No "
Contractor
v
Compan� Contact:
Address: A ✓ 1 t4ki
City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
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 they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.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 fans_
fl � 1
e/!2n S '! del Z-Z, x
Applicant's P inted Name Applic . nt' Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%/� )
Census Code l
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
7 Deck
Lower Level
_ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Porch (4-Season) Exterior Alteration (Multi)
Porch (Screen/Gazebo/Pergola) Miscellaneous
Pool _ Accessory Building
Interior Improvement
_ Move Building
Fire Repair
Repair
1%
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
�( Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water _Final
XFraming 30 Minutes 1 Hour
Fireplace: _Rough In Air Test _Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Demolish Building*
Demolish Interior
_ Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: Rough In _Final
Erosion Control
Other:
, Building Inspector
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164623
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 3641 Windtree Dr
Lot:004 Block: 003 Addition: Windtree 3rd
PID:10-84472-03-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Stephen S Endrizzi
3641 Windtree Dr
Saint Paul MN 55123--131
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature