3643 Windtree Dr
~ CITY OFEAGANT ^ SEWR SERVICE PERMIT
3830 Pilot Knob Rwd 7024
f P. O. 3ox 21199 PERMIT NO.:
, Espan, MN 55121 DATE:
I Zon;np: Rl No. of Units:
' Owner. DaVrias Bldr• Iac
Addmu:
~ Site Addr,e7,; 3643 Windtrsa Driva L B3 in trea
~ plumber. Hoff P2umblng
10-10-84 46928 425.00 pd
~ 1 Miw h Nw* wM tV Cal oi Mwn CoewMerbn Chano: 5•
! Or/1Mane. Acaoun+t DepoNt:
j Ponrrr Fw: - 0.04 p
Surtlwrot: ' pd
i
~ By Mlm ChorpaG
~ Dot+ of Insp.: Total:
~ Insp,; Daft Piold:
~
CITY OF EAGAN WATER SERVICE PLtMIT ,
3830 Pilot Knob Road 5v'.
P. O. 6` 21199 PERMIT NO.: ;
Eapan, Mi: 55vi D^~~
Zoning; DeVries Bldra nc No. of Unita: I
Ownsr:
~ Add''°": 3643 ree
` Sk. llddre~: . o . urnr g ve
, Plurrber.
Metor No.: Connection Chorye: , 00 P
,j 51ze: Aooount Depoait: MOO P I
I Reader No.: Permit Fee: ~
I qrw h MrrRmf wNh !M C*v oi %OEw Surcho?0sc ~ IDC er uu-pd Misc. Charqes:
Totol:
I By Date Poid:
Date of Insp.: I^sp.: ~
I -
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 5835
P. O. Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE: 11 2-
Rl No. of Units:
y ~M~_an1np: DeVries Bldrs Inc
s l,ddrost:
i~Siti Addrom 3643 Windtree Drive LS B3 Windtree
? • ~~,~,~r Hoff Plumbin Co
AMter No.: 25`~.~ ~ 7 a- h/ ~f Conr+sction Charye: 470.UO pd
Siu: r.. Accour,t Deposir: 15. 0 p
!QO g O~ _ Partnit Fee: 10.00 p
. Reoder No.: D2 4
1.or.. fo ee.* wi1b th. Ctfp .f r.w¦ Surci,oroe: • P
Ord~~ Mim 3.0 pd metE
Total:
~ gy Date Patd:
Date of In . Irop.:
~ ~a~Fs
C1TY OF EAGAN 9 5 "4
3830 Pitat Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
QUILDING PERMIT Reteipt #
Te M wW ier S F DWG/GAR Est Value $ 61, 00 0 Da1e OCTOBER 10 19 84
- x
SiteA~idress 3643 WINDTREE DR Erect C7 Occupancy R3
Lot Block Sec/Sub. i Remodel ? Zoning
Pareel No. Repair ? Type of Const.
Enlarge ? No. Stories {
DEVRIES BLDRS INC Move ? ~.en9th 4
W Name
Z Addr Demolish ? Qepth 44
9 City Phone Grede ? 5q. Ft.
$AME AVVeovals fees
Z~ Name O
OU Address Assessment Permit 30.50
City Phane Water b$ew. SurchorQe
Police plan ~~k 158.00
?uame ~M E GAGE Firo SAC 525.00
i~ Address Enp. Woter Conn. 470.00
iW City BROOKLYN CMone 5
33 '6502 plonne? WaterMeter 63.00
Countil Road Unit 260.00
I hereby ocknowledgs that I hove read this application ond state that gld9, pff.], 0/9/84 *m( e0 ) 1.00
the informotion is torrect and ogree to tomply with oll epplic le APC Total $1•~3.5~
State of Minnesota Stotutes and City of Ea9an Ordinonces.
` ' . J~ Var. Date
Siynature of Permittee
A Building Pe?mit is issued to: JDEVRIES BLDRS I C tM express conditra, tho,
all work sholl be done in otco a ith oll opplico~e St of Mlnneaota Statutes ond City of Eayon Ordinances.
Buildirq Offlciol
,
_Pqrmit No. Pwmit Holde? Drts
~~~ing ~ L o' -13-% Y 5ZS-';a
H.v.a.c.
EMceic
~
5oftaar
Inspsction Dm Insp. Oth•r '
Footings
Foundation
Framiny a
Rouqh Plbp. 3 - y
Rouqh HVAC
Inwlation
e-Z
Final Plbp. ~ -
i
Final HVAC
Final
CKt/Oec.
Water Dewibe Location: ,
Well
Sever "
Pr. DisP.
Raceipt PLUMBING PERMIT • Permit No.
CITY OF EAGAN
, Fee
Fill in numbered s,paces SIC
Type or Prini legib/y Tot
~
1. Date 2. Installation Cost
3. Job Address ot Bik. Tract 4. Owner
5. Contractor t, Phone~
e
6. Addresa
7. Clty StaLe - Ztp
8. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New El Add O Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
- ' Water Closet Cesspool/Urainfield
~ Bath tubs Septic Tank
Lavatory Softner
' Shower Well
Kitchen Sink
Urinal/Bidet Other
T
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and cor?ect, and I agree to
comply with all ordinances and codes governing this type of wark.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
Rraipt MECHANICAL PERMIT Pontiit No.
CITY OF EAGAN
Fi1J irt numbered apeces S/C
Type w Prin[ Mgibly Tot c C,77)
~
1. D a t e 2. I n s t a l l a t i o n C o s t
f`
3. JobAddrauZ(-,'t -~V I1!~`,'~f~` Lot Blk. " Tract ~
4. Ownar L~ F_ •.1 F ° . ~ • ` ~
' - a
5. Contracta Phone
6. Addres: + ( ; : i ~ ;
7. City S~ tJi{f'`~l t State Zip
8. Building Type: Rtsidential 0 Commeraal ? Instltutional ?
9. Work Deuxiption: New Q Add O Alter O Repeir ?
10. Desaibs Fuel Typs
11. No' ~
EquliiMpL BTU - M. Ea. No. Eauioment CFM
Foroed Air ~ r Air Hendiing:
Mfg.
Boilen Mech. Exhaust ~
'
Mfg.
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, PipinQ Outlets
~ 12. I heroby certify that the above informetion ia true and oorrect.,nd I agree to
oomply with alt orclinanaes,pnd codes governiny this;type of work.
Siyned : for
Ro4 Final
Inspsctions: Oate Insp. Date Insp.
Thia is vour permit when numbered and approvsd.
Approved CITY OF EAGAN 464-8100
~ CASH RECEIPT ~
CITY OF EAGAN
P. 0, BOX 21-199
EAGAN, MINNESOTA 55121
DATE ~g
wccWJvcn
FROM '
AMOUNT $ I
a opLLwRs
1 oo
? CASN ? CHECK
I row
I
I
.
ii
FVND CODff AMOUNT
I
I
Thank Yott BY
White-Payert Copy
Yellow-Posting Copy
Pink-File Copy
Reoeipt C/ PLUMBING PERMIT Permit No. J ~
CITY OF EAGAN ,
Fee -
FiII in numbered spaces S/C J
Type or Print /egib/y
Tot
1. Date _ •t=T' , _ 2, Installation-Cost
3. Job Address Lot Blk. Tract ~
4. Owner
5. Contractor M
c., t1 . • 4@. _ . _ ~ ~s
6. Address ~U2 EXC01S!t'r Ave. E.
Op
7. citv sA" BF,J ZiP
8. Building Type: Residential Commercial O Institutional ?
9. Work Description: New I~ Add ? Alter O Repair O
10. Desa'ibe ~ 11. No. Fixtures No. Fixtures
Water Closet Cesspvol/Drainfield
Bath tubs r Septic Tank
Lavatory Softner
Shower ~
We I I
Kitchen 5ink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
i
comply with all ordinances and codes governing this type of work. ~
Signed : ~
for
Rough F insl ~
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
~
1
CITY OF EAGAN Remarks
Addition WINDTREE 3RD ADDITION Lot 5 Rlk 3 Parcel
Owner st,eet 3643 Windtree Drive State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, p 1975 161.30 16.13 10
-
STREET RESTOR. 1984 2315.25 463.05 5 1857.20 C009497 9-27-84
GRADING 1983 613.25 122.65 5 30-03 C009497 9-27-84
SAN SEW TRUNK 1971 160. 46 8.02 20 -
SEWERLATERAL 1983 3256.80 651.36 5
Sewer Lat Trk 1983 188.16 37.63 5
WATERMAIN 1983 260.34 52.07 5
WATER LATERAL
WATER AREA 5 1972 236.39 11.82 20 C009497 9-27-84 -89-86 STORM SEW TRK 1983 771.36 154.27 5.
5TORM SEW LAT
CURB & GUTTER '
SIDEWALK
5TREET LIGHT
Road Unit 260.00 #46928 10-10-84
WATER CONN. 470.00 11 "
BUILOING PER. #9579 11
sAC 525.00
PARK
IN5PECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
IslNit?i~i h Uli ir~,~ .~~f~ t iffi~ l 1 t4 4•
IfINnTaFf -mj
PERMIT SUBTYPE: TYPE OF WORK:
. , . . ' . 1; E i•
D•
• ~ i;~,
;
I ~
L - - - - _ _ - _ - ~
Permk Ho. PNmk HoldK Dift TN~phon~ E
ELECTRIC
PLUMBING
HVAC
Inspsedon Do% Nmp. CormtMnb
FOOTINGS
FOUNO
FRAMING
ROOFING
- 7-
RdUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLOG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE: i~'
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
?
Li, is i
PERMIT SUBTYPE: TYPE OF WORK:
a
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DA
` J
Pormk No. Perndt Holdor Dats TNephone# I
ELECTRIC I
I
PLUMBING I
HVAC I
Inspeedon DOM Mp. Cannrnb I
FOOTINGS
FOUND
FRAMING
ROOFINd
ROUCiFI
PLUMBINO
Pl8(i
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FiREPIACE
FiREPLACE
AIR TEST
FINAL PLBG
FINAL HTG I
ORSAT
TEST
BLD(3 FINAL
8SM(T R.I.
BSMT FlMAL
DECiC FTG
DECK FlNAL 7'3~,~
This reQ- est void
18 rvnth: ~•.om
A 0 S8 110 LS , I) b
Ree,y est Date Fne No. FoequuPh-in7Inspect~o~~ ~Reatly Nuw ? Wi Inspec-
FvedIINOWy.
12'^13"'g4 ~Yes ?NO hur When Ready
Licensed Eleclncal Convactor I hereby request insoecpon of ebove
?Orvner elecvical work m tell _ed er
Sireet Address, Box or Rou[e No. j~ Qty
3643 Windtree Drive Ea an
etmn o. Township Name or N0. Rin9e No. CoJmy
13 Eagan 23A :7-'Dakota
Occupant IPflINT) Phone No.
DeVries Construction 593-9415
Power Supplier Address
Dakota Electric Associatio 4300 220th St. W., Farmington, MN
EI¢clrical Contractor ICompany Name) Contraclor's License No.
Contem orar Electric 0419167
Mailine Address (Convactor or Owner Makmy Installatmn)
6000 Bass Lake Road, Crystal, h1N 55429
AuMorized Signa[ure (ContractodOwner Making Inslallavon) Phone Number
~ 535»8029
YI ESpT ST0.TE BOARD OF El ICITY THIS INSPECTION REQUEST. WILI NOT
Griggs-Mev Bldg. - Noom N- 1 BE 11CCEPTED BY THE STAiE BOAHD
1821 Unrvarsity Ave., SL Veul, MN 55104 UNLE55 PHOPEH INSPECTION FEE IS
Pb.in 16121 297 Z111 ENCLOSEO.
- IEB-00001.04
O~ REQUEST ELECTRICAL INSPECTION t -
~ Seu iCtr ~ lor compleling this form on beck ol Vellow cooV.
~ 1~85
A 0 9 8 11 ~ o X" Below Work Covered by This Request ~
PAw. Atltl Rep. Type oi BuilEine Apahr oncna Wired Equionient WireA
g Home Runge Temporary Service
Duplex Water Hea[er Lighting Fixtures ~
Apt. Bwlding Dryer Elec[ric HeaUn
Commeraal Bldy. Furnace Silo Unloader
Industrial 81dg. Air Conditioner Bulk Milk Tunk
Farm oeu v the, (Socr,ity)
M9, UDC11Y t C, Othg,
Compute Inspection fee 8elow
• Fae ServicaEntreneaSize M Fee FexCers/S.bfeaders d Fee Circuits
X U to 200 qm ps 0 to 30 Am s -~0.1T0 0 to 30 Am
Above 200 qmps 31 to 100 Amps , ot 37 to 100 Am
Swimming Pool Above 100_Am s Above 100_Am '
TransPOrmerS Irrigation 0ooms p Pdrtial'Oth
Signs Speaal Inspection "In
Pa~erks TOTA E[{{~
i 1 ' ' b/
117-
xouan-io ( oate 1 1. tne cej
InsPecbq heroby
er ilv tbet the above
1 1-7 F'~l ~ cnspectian hes been
~ r ~r~~ maaa.
tliamyumtvoM/8montMtmm V •
p 63 87
ReQuest Da;e Fne No, Rough-in InspecLOn
~ ~ ~ ~ Reamretl'+ ~eatly Now ?Will Notily Inspector
=Ves o When Ready?
IX licensed comracror owner hereby request inspection o1 ahove electrical work at:
JobI%tlress (Sireel Bon or RoWe NoQry
31~43 W ~ncQ,~trc~ DI' Erii- a.?~
Sec~mn No Tmvnsbip Name or No Range No Gounry y
ooru,(m~ iaawn cnone No o_ bvs -~viq
~}Ot1 ~7 C.~DO'~ H -~IS4 ~?54
Power Supplier Atl~ress
Eletlncal ConVac:or ICompany Namal ConVaciors license No
j'?i e.7-ts0.. Er~.+r I~. c.a o z7-4l
Mamng qmress iGOmractor or Owner Atabng Installatwnl
SGOS z-771.. A-._ 56 M,pDIS n't.nr 7SK)7
AuNOrrzeo SgnaWre IGanVac;onOxner Ma.mg Ins;alla.u~on? Pbone Numeer
~ ~Z~ , 6e? Gr.,
MINNESOTA STATE BOnHD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Criggs-MiOway BIEg. - Room S179 ~ BE NCCEPTED BV THE STATE 90AR0
1821 Unnersiry Ave.. St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Fhone(61Y) 6C2-0800 ENCLOSEO
Q REQUEST FOR ELECTRICAL lNSPECTION eaooom -oe
x- _ _:..~3 /~?`~O ~
? See insllECLOns lorcomplelmg Ihis formon back ol yellow COpy ±
~ "X" 8elow Work Covered by This Request
ewAdq Re j TypeofBmlding AppliancesWired EqmpmeniWired
Home Ranqe Temporary Service
Duplex ~Nater Heaier Eledric Heahng
Apt. Building Dryer Other (Specdy)
Comm /lndustrial Fumace
Farm Au Condihoner
~ O;her Isyeoryl Comracior's aemarts Ne~ A1.,^ C or~an~ j aRGr
Compute Mspecfion Fee 8elow.
x Other Fee # SerwceEntranceSize Fee # Circmeeders Fee
Swimming Pool 0 to 200 AmpS 0 to 100 Amps
Transtormers Above 200 _ Amps Above t00 _ Amps
SignS ' Inspeaors Use Onty. TOTAL
Irrigatwn Booms r~.) 15 , a
Special Inspectwn
Alarm/Communicauon THIS INSTALLATION MAY BE ORDE CONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Ro°9"-." oaie
certrfy that the above inspection has F,,,,i + oa~9 a F,c`
been made. ~
OFFICE USE ONLY ~
This request voitl 10 momns Imm
CITY OF EAGAN N~ 95'79
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING J~~ ~(n
PHONE:454-8100 Rece+pt l PERMIT
Te be uaad fo. SF DWG/GAR Est. Volue $61,000 pate OCTOBER 10 lq 84
Site Address 3643 WINDTREE DR Erect u pccupancy R3
Lot 5 Block 3 Sec/Sub. WINDTREE Remodel ? Zoning R 1:-
Percel No. Repair ? Type of Const.
Enlarge ? No. Stories
~ Nama DEVRIES BLDRS INC Move ? Lenytn 41
z Address 7564 MARINER DR Oemolish O Depth 44
~ City MAPLE GRV phone 420-46 5 Grade ? Sa. Ft.
$AME ADOrarals Feas
Zo Name . O
OU Address Assessment Permif
~ City Phone Woter &$ew. Surchorge 30. 50
~ Police Plon check 158.00
r'W Name WM E GAGE Fire SAC - 525.00
u~ Address 3 BOONE AVE En9• Water Conn. 474.90
W City BROOKLYN C7jk6ne 533=5026
< plunner WaterMeter 63 _ 00
Council Rood Unif 260n 0
1 hereby acknowledge fhat I have read this opplicotion ond state that gldg. Off. 10 /9 $4 7iwA ( COpy ) 1.0
~
the inlormotion is wrrect ond ogree to wmplY with all opplico le APC Total $1. $2,3. rjQ
State of Minnewta Statutes~wd Ci1y of'Eoga Ordirwn s.
Var. Date
Signoturc of Pertniftee
A Building Permif Is issued to: DEVRIES BLDRS C on the express cordiHon tha+
oll work shall be done in accor on[e ifhall ppli e Sfah o_ f Minr~esota $tatufes and City of Eapan Ordinances.
Buildinq Officlal v~T ~
r . . .
ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLODE Q SETS OF PLANS,
7 10 CERTIFICATES OF SURVEY
~P Df ./L~aR, I ~ SET OF ENERGY CALCULATIONS
To Be Used For: ,,w,=y_ Valuation: /pp0 Date:
Site Address:.,~~4 3-~f,~-
Lot: Z- Block: 3 Sect/Sub: 3 c.(!,t-• Erect: ~ Occupancy:
Parcel Remodel: Zoning: ~ I
Repair:' _ Type Of Const:
Owner: eASin VSS ZV -Vp„se Enlarge: _ # Stories:
Move: Length: ~
Address: Demolish: Depth: 4 4
City/Zip Code: Grade: Sg. Ft.:
Phone _
Contractor: !Dr figicS dLD2. )uc • ~
Address:_7z:-G4 MA RwrR b,Q Assessments: Permit:
City/Zip Code: (4AE 6£ate m,l ST369 Water/Sewer: Surcharge: 3p.?°
Police: Plan Rev.: tLj~}.~
Phone 4~a Z/bAx~- Fire: SAC: S'LS,d
Engr.: water Conn:
Arch./Eng: (,U, ~ 6a,bE Planner: Water Meter (p3.°`
Address: Council: Road Unit: 4.(00.!-
Bldg. Off.:tp~V Parks:
City/2ip Code: Aezecv,. Rl APC: ZGOP1E5 Phone#: ,s'33 S-oa~ Variance:
I~1 x Z4 = qd8 ~S~F ° Zzo3Z
,ZI' ~23 `~~3~ ql ~ I~So3
20 ~ 20 = 4oo 1
'
.
, L
316•+
30•5+
158 • +
525• +
470 • +
~ 63•+
i 260
1 . +
1Y823•5*
,
zoos RESIDENTIAL PLUMBING PERnnir aPaucaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifcations to existing residential dwellings.
' Date~l)13l,.0I(0
'f~t~.
Site Street Address VlC.ll 1e 1-~ - Unit #
Property Owner Telephone #ev(-)4 ?O I~(OI33
H.P. PIPE~NOHKZ~i
Contractor 3670 DODD ROAL) Telephone# ( ?
Address (651),365 1341) City State Zip
The Applicant is: _ Owner V~C'ontrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
I Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener andlor water
heater at the same time. /f you are installing onlv a water softener and/or water
heafer, do not complete this sedion; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener ~Water Heater $ 15.00
_ new (-~replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ L5~5Q
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
(..D
ApplicanYs Printed Name Ap lican's Signature
~
Sl1:RV'EYOR•S' CERT{FICATE DEVf2tES BUILDERS .
~ ,y0
N ~
N~ O 7~
3~ .,tD
seo o
20.0 pY. ~
<
R , A ;Q; ` ~
~ 240
~13 ~D,Za ~ m
F ~
_ A ~ f
" b ~N~p.O G ~ -
/ , ~ oo \ ~ , I
/O T ~
I r) -
I ~ LOT 5' 36 0 j\ 30
ea
UTILITYT
R PLA -1v ~402 ('0.
M pRAINAGN7 pE
~M 'EpSEME / ii ~ 4.58 N ~
~ 10 ~ I
oN ~ N 7 6* 10'.II E l; I N
2 ti _ I N
I L-
I~ - \ \ I
~
-i--- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 3D FEET
• DEPJOTES 1RON MONUPIENT FOUND PROPOSED GARAGE FLOOR =o~~ FEET
X000.0 DEP10TE5 EXISTING ELEVATIOt) PROPOSED LOIdEST FLOOR = oFEE7
(000.0) DEtlOTES FROPOSED ELEVATIDN PROPOSED TOP OF BLOCK = 910•1 FEET
I HEREBY CERTIFY TO DEVRIES BUIlDERS THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 5, Block 3, 4!INDTREE 3RD ADDITION, according to the recorded plat
thereof,.Dakota County, Minnesota.
AND OF 7HE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREOtl. AS SURVEYEp BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 8TH DAY OF OCTOBER 1994.
NOTE SIGNED: JAHES R. HIIL, INC.
PROPOSED ELEVATIONS SHOI•1N ARE AS
TAKEN FROM THE f,RADING PLAN FOR n •
4lINDTREE 3RD ADDITION BY JAMES R. BY: ~J
HILL, INC. HA OLD C. PETERSON, LAND SURYEYOR
MINtIESOTA LICENSE N0. 12294
PROJECT NO. BOOK / PAGE JqMES R. HiLL, INC.
84917
Planners / Engineers / Surveyors
FILE FlO, '
8200 Humboldt Avenu• SoutA
FOLDER 'aloornlnaton,rNr. 65431 612-884-3029
ti.
PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030515
0 7/ 2 5/ 9 7
(612) 681-4675 Datelssued:
SITE ADDRESS:
3693 WINDTREE DR
LOT: 5 BLOCK: 3
WINDTREE 3RD
P.I.N.: 10-84472-050-03
DESCRIPTION:
REROOF
Building_,Permit Type 3F (MISC.)
Building 4Jork Type REPAIR
~'Census Code, 434 RLT. RESIDENTIAL
~ t
ti
VA ti
_
REMARKS:
FEESUMMARY: vALuarroN $3,000
Base Fee $74.75
Surcharge $1.50
Total Fee $76.25
CONTRACTOR: - Applicant - s-r. L=c OWNER:
JAYSON IINDSAY ROOFING 17921857 2009826 WEDIN BOB
Er638 CLEARVIEW AVE 3643 WINDTREE DR
MOUNDSVIEW MN 55112 EAGAN MN
~,612) 792-1857
T hereby acknowledge that I have read this application and state that the
information is correct and agree to comply wi,th all applicable State o'F Mn.
StaCutes and City ot Eagan Ordinances.
L APPLI ANTlPERMIT IGNATIJFE ISSUE Y: SIGNATURE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
New Constnretion Reauirements ResodeVRaoeir Reauiremenh .
• 3 registered ske surveys ? 2 copies M plan ~
• 2 copies of plans (inGude beam 8 window sizes; poured fnd. design; etc.) i 2 ske aurvoys (euterior add'Rions 8 dedcs)
? 1 energy calculations • t energy plwletions tar heated atldRiona '
• 3 copies M tree proaervetion plan H IM platteA eRer 711/83
required: _Yes _ No 00 '
DATE: -7 ~ as CONSTRUCTION COST:
DESCRIPTION OF WORK: IC~ Qn~~
STREET ADDRESS: W I nl O 7JC i-'~- 12
r GV~.-?~~l.t'~ut- 3
LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: i,J4,-DiJ P) o C3 Phone#:
owNeR
Street Address: 36 `Al W1,J0 72L 1F- O 2
City: cuAAfJ State: 44nf Zip:
coN7w4croR Company: ",)i `rNschC " KW-Cf-n,~ Phone -7 9~ -7
Street Address: a~~9 CPa~v(.P~.~ nLre License ~ca 9~y6g
City: f`1~~c~s01 e~~J State: P ,J Zip: ~-S-(/a-
AttcHiTECrI Company: Phone
ENGINEER
. Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.ned plumber (new construction oniy): . Penaity applies when address change
and !ot change arc, equested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
1
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY ! r
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
? 02 SF Dwelling o 07 4-plex ? 12 Multi RepairlRem. ? 17 Swim Pool
? 03 SF Addition o OS 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Firepiace ? 21 Miscellaneous
0 05 SF Misc. ? 10 = plex o 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Aliowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Pertnit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CY2~' ,s~~~o ~
~ CI?Y CyF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, MinnBSOtB 55122-1897 Permit Number: 025791
(612) 681-4675 Date Issued: 0 6/ 13 / 9 5
SITE ADDRESS:
3643 WINOTREE OR
LOT: 5 BLOCK: 3
WIND'i'REE 3R0
P.I.N.: 10-84472-050-03
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
WTEDEN ROBERT
3643 WINDTREE DR
EAGAN MN 55123
(612)454-9354
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
~ J
. ~
APPLICAN ,PERMITEE SIGNATURE ISSUED EIY'61GNATYW
- - - 1N5YL+'C;'1'lUN 1Z1:C;UKll
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025791
Eagan, Minnesota 55122-1897 Date issued: 0 6/ 13 / 9 5
(612) 681-4675
SITEADDRESS: P•I•N.: 10-84472-e5e-e3 APPLICANT:
LOT: 5 BLOCK: 3
3643 WINDTREE DR WIEDEN ROBERT
WINDTREE 3RD (612) 454-9354
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOOTINGS FINAL
F ~
I- J
CITY OF EAGAN r l~r~
3830 PILOT KNOB RD - 55122
15 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construetion Reaulrements 6gmodel/Reoair Reouirements
? 3 registerod site survays ? 2 copies of plan
? 2 copies of plans (inGude beam 8 window aizes; poured fid. design; etc.) ? 2 aite surveys (ezlerior atlOkions 8 tledcs)
? t energy eelculations ? t enarpy wlculations for heated edditions
? 3 copies ol tree proservation pfan H lot Dlatted after 7/1/93
roquired: Yes No
Q dl Uo
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
WT~D'st(f'~z --iU~ AV'JS_
LO'r s BLOCK .3 SUBD./P.I.D. 8yy S Uo3
PROPERTY Name: l,c)!-~G JI1 ,eo P, El~:F Phone ysLl- 93S~L
owNeR w. M,.
Street Address- -_?6 Ll 3 w.~r:,bi 2LE_ ~->2 ,
City: EAC~-AN State: ~ zip:
CONYP2ACTOR Company: S 1_L-k= Phone
Street Address: License
City: State: Zip•
ARCHITECTI Company: Phone
ENGINEER
Name: Registration #Street Address•
Ciry: State: Zip:
Sewer 8 water licensed plumber. Penatty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY EC UQ~I"
Certificates of Survey Received _ Yes _ No J U N d 5 1995
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
a 02 SF Dweiling o 07 4-plex ? 12 Multi RepaidRem. 0 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex o 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ~ 15 Deck
WORK TYPE
* 31 New ? 33 Alterations ? 36 Move
0 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Ailowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~13 %
Depth Footprint sq. ft. SAC Code o/
Census Bldg ~
Census Unit ~
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acd. Deposit
S/W Pertnit
S/V1/ Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
27y
EM.:rrsE QKr.Y
.
tEcmn #
SiTBD f.i/ . . ........;:;:.s ,.m.,.. DA1'E1a,. . 11 1993 MECHANICAL PERMTT (RESIDENI7AL)
CTfY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
- - -
NEW CONSTRUCI'ION
)7- ADD-ON A/C
ADD-ON FURNACE
DATE 41
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLITLETS (MINIMUM 1 C' $3.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTRUCnoN) $ 15.00
STATE SURCHARGE .50
TOTAL
SITE ADDRESS: .76yJ l?i.'a ph~~ p~~.
OWNER NAME: ~~/d!~/~~.? TELEPHONE
INSTALLER: L?G.c.?~iiC /v~2p~i,~~
ADDRESS: _GAeS3-
CITY: T~~ STATE: ZIP CODE:
TELEPHONE
~ 3
SIG AT OF PERMITTEE
CITi'>iJSE "ONY:Y
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1993 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMNERCIAIJINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII,Y BUILDWGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE: _ CON7'RACT PRICE: $ -
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERIGIiT FEE.
k
TOTAL $
STfE ADURESS:
OWNER NAME: TELEPHONE
TENAIr'T NAME: (IMPROVEMENTS ONL1)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP CODE:
T'ELEPHOh'E
SIGNATURE OF PERMITTEE CITY INSPECTOR
2/84
i
CITY OF EAGA:]
APPLZCATION FOR PE?2MIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHT)
1) PROPER'I'Y ADDRESS: 3643 W1/Z1W7-4oe DA
r_Frar• DE..~uPrTcv:
(Lot/Block/Subdivisicn or Tati Parcel I.D. NuTu~,er)
~ rr' S'?'`.CCPTcE, DAT OF ORT.Gi IAI, aiJILD2`:G Fr_~ST ISS~~~:C.:
PR.F'SL'?' Z^:TIv$:/???OPOSEJ C'S: • lafo'R'-1 Sz;GL: F'~'MSLY
Q R-Z CUPLE{ ('ISiO UNITS)
? R-3 Mo:-IC{?sE (`?Z?n=-- + UNITS) ( UNITS)
? R-4 AFAR?A=P/CO_:UCi•17i`IILi2 ( UNITS)
Q CC1-1ySEF?CLAI,/RETAII,/CcFIC:;
? L~.'DCSTRI-m
? INSTIT'f,'PIONAL/GG%7E.4,NT-,,=.7
2) APPLIG~.JiT (PLEA5E PRIt1f)
M?h!E:
ADDRESS:
CTT`-', STc,'Iy, ZIP: -
PHOiNE:
3) pLUMBEv , PLE E PRiNT) FOR CITY USE OHLY
411711:t-G
ry~ PlUH6ER5 LICE45E:
ADIJ:2E$S: 4 //6 z-~A,-c 6~~/ C~ L-14A'2 Attive
CITY, STATE, ZIP: PLLI~(1~[J7-4 1~?A~- s~¢¢ f ~ Expired
F(T$itn ~2~77 Q Hot ec d
PHONE: PLUMBEN LICENSE N
a f nitia
4) OCL[TPANP/CI.vT1EFt "D_eU~ I_tgIf~ASE PRING'J7~! 17
NP.f4E: J ~l>
L~iP1t~
AnoREss:
cri^t, STA'I'E, zrP: 11,7 ,9'PLP 9'.~'OLC~ /V
PHONE: 4 2 0-4 6 8~
5} INpIG+~TE WHICH PE,~Fth/1IT~ IS BEING REQUESTID;
~J CONNECPION 'I`J CITY SET;)ER
-OcorNECrzey TO czT^r ;•azeR
? di[;F'R (PT„L'ASE DFSC:ftIBE)
6) Pi:DIC'~~. C:+E:
? PL.EaSE f?OLD APPROVID PER,'~LIT FOR PICF:-U'P BY ONE OF ABOtJE
FI-PLF1aSE DAIL APPRWID PEPMIT M 1. 2, CJ;~ 4 AL-,OVE
(Circle one)
7) SIG!...TV'RE: DATE:
U
~ Ra+lalatlAOkiei~ rr a~c~~ara! ~sr.~ts~a'aaia w~ ~ s~saa:~a ~e ielf~.~+~sira s ~~~se~y~-~ ~
F 0 R C I T Y U S E O N L Y '
PE2MIT ° ISSUED
F°ES: $ / O•v~ 'cl cJ`.'lt.R. n~n%IrT (INCT_."'.J~^ .J~
J... U~i~.CFA..J:A/'^
G )
$ //4• S~a WATER PERD4IT (Ii:CiJDc SliRCHARGE)
S ~v~'• f-~ WATER METER/COPPERHORN/OUTSZDE REe;DE?,
$ WATER TAP (INCLUDE COR?ORATION STOP)
$ SE;dEB TaP
$
$ ACCOliNT D.F,POSIT - PiATEn
$ WAC
$ S P C
$ TRUVK fPATER ASSESSb+.EN-T
$ TRuNK SES•IER ASS:SSi•tEciT
$ LATEF2AL BEi•iEFIT/TRUi]K SE?•?ER
$ LATERr1L BENEFIT/TRUNK S4AT°R
$ OTHER '
$ TOTAL
$ ~ -'s AItOUJ:T PAID/RECEI2T
DOES UTZLZTY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIV
PUBLIC ROADWAY" MUST BE ZSSUED BY THE
C727~ NO ENGINEERING DZV:SION. LIST AS A CONDI-
TION.
SUEJECT TO THE FOLLOWING CONDITIONS: '
APPROVED BY:
TITLE:
DAT°:
Cities Di i~tal Quality Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
7q7S(111 ~ 7(9, ~
2006 RESIDENTIAL BUILDING PExvriT APPLICATrorr
City Of Eagan
3330 Pi]ot Knob Road, Eagan NIN 55122
Telephone # 651-67-i-5675 FAX # 651-675-5694
flew Cor.s[ruction Reawre~e~~s
o registered site surveys showing sq. R. of lot, sq, N of house; and all roofed areas '~emcdeUReoav Reouiremenls Ofice Use Onlv
(20 o maainum lo[ coverdge allowetl) z copies of plan showmg foohngs, beams, joisis Czrt oi5urvey ReW Y N
2 cooi:s of plan ;howing beam 8 windaw srzes; poured found aesi n, etc. I set of Energy Calculations for heated addilions iree Pres Plan ReW
1 set of Eneqy Calculations 9 1 sde survey for additions & decks - - Y- N
~ coF~es of Tree Preservation Plan rf Iot platted afler 7l1; 93 Addilion - indicafe ilon-site septic s Tree Pres Requued . _ y_ N
~em On-site Sepfic System Y_ N
P,im Joist Deail Options selection sheet (huildings wilh 3 orless units)
Pdinnegasco mechanical vennlation form Date~apd ~
Construction Cost
Si[c Address
~..r~.
Unit/Ste #
7miDescriptjonn of Workly Bldg _ y~N Fireplace(s) p 1
- 2
- -
PPropertyOwner ~
~ f,vr i+a, i CT C.C[S7^-.
~ Telephone # ( (p~ )
Contrvetor
-
Address ci
ry
Sta[e
ZiP J~~674_ Telephone # (615/ ) D.~ 7r~$-
FpEnergyC:)de PLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
gory - Minnes
ota Rules7670 Cate~o~v ( Minnesota R~es ~6~2
) • Residenhal Ventilahon Category 1 Worksheet
Submitted • New Energy Code Worksheet
• Energy Envelope Calculahons Submitted Submitted '
In ?he last 12 months, has the Crty of Eagan issued a permit for a similar plan based on a mcster plan?
- Y _ N If yes, dqte and address of masfer plan:
Licensed Plumber
Telephone f
titechanical Contractor D
Telephone )
Sewer/Wat=rContrqctor SEP 2 2 2006
Telephone )
I hereby agp]y for a Residential Building Permit and acknowledge that the information is complete and accurate;
`bat the wcrk will be in conformance with the ordinances and codes of the Ciry of Easan and the State of MIV
S{~utes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
Fern1"- that the work will be in accordance with the approved plan in the case of work which requires a review and
aPprovai of plans.
/Z/,
=9pplicant's Printed Name
Apphcants SiQnature
City of Ea�ail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Date: if
35Ittb(0°2�
RECEIVED
FEB 14 2012
Use BLUE or BLACK Ink
For Office Use
/o31/9
2.06
Permit #:
Permit Fee:
Date Received:
Staff:
�d 2012 MECCA ICA\LPERMIT APPLICATION
Site Address: `J V 1/ vall.ff
time
Tenant: Suite #:
IDENT / OWNER'
rePhone: 6I� J ,(JnnN ^0� I 1
�av►517�
Address:
State:
Contact:
Phone:
Email:
Description of work:
NOTE: Roof mounte'tl.andg
Code. Please contact the.
Replacement Additional Alteration Demolition
Ve
RESIDENTIAL
J`Fumace
Air Conditioner
Air Exchanger
Heat Pump
Other
punted mechanical equip
cal Inspector for information, on perm(
New Construction
Install Piping
Gas
COMMERCIAL
Interior Improvement
Processed
Exterior HVAC Unit
Under / Above ground Tank ( Install /_ Remove)
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _
TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank installation/removal (includes $5.00 State Surcharge)
$60.00 Minimum (includes State Surcharge)
- If the Permit Fee is Tess than $10,010, surcharge is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge)
OR
Contract Value $ x 1%
_$
_$
=$
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
you intend to dig to receive locates of underground utilities. www.gopherstateonecali.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 isgnot to start without a permit; that the work will be in accordance
with the proved plan in the case of work which requires a review and approval of planfi.- 0
Permit Fee
Surcharge
TOTAL FEE
Call 48 hours before
Applica'nt's Print ep Name
x
Applicd.*s Sign>Itur
FOR OFFICE U
Required Inspec
Undergroun
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA162698
Date Issued:07/24/2020
Permit Category:ePermit
Site Address: 3643 Windtree Dr
Lot:005 Block: 003 Addition: Windtree 3rd
PID:10-84472-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Aaron Olson
3643 Windtree Dr
Eagan MN 55123
(651) 456-0511
One Hour Heating & Air
11825 Point Douglas Rd S
Hastings MN 55033
(651) 437-4177
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA166064
Date Issued:12/09/2020
Permit Category:ePermit
Site Address: 3643 Windtree Dr
Lot:005 Block: 003 Addition: Windtree 3rd
PID:10-84472-03-050
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 -
Aaron Olson
3643 Windtree Dr
Eagan MN 55123
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature