3658 Windtree Dr
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'ITY OF EyGAN WATER SERVICE PERMR
3830'Pilot Krwb Road
P. O. BoY 211~ PERMIT NO.:
Eapn, MN 55127 DATE:
Zoninp; 7~ 1 No. of Unlts: ~ .
Owner. Duane J. Iildrs
Aea,.m* r
$ih /lddrqs: 3658 'i t r 3
PIunbeG '~L 11 F'111~~ ' ' •ca or.al utjjj,iet
IK"
MMer No.: 9
Sisr. " W-~" t'
ReodN Na: .Q~-,u-1=-/ rm • ~ ' . . •J 0 ~ ~c.
of Ldwo Surdwrpr
MUc. Qwrpm i.3?•. Oi; ::"/C
(13.00. :netex
j Tatol:
~ By G oor. Fofd: ,
pcift of Imp.: IroP-:
CITY OF EAGAN WATER SERVICE PERMIT ;
3830 Pilot Knob Road
P. O. BvX 21109 PERMIT NO.:
Eapan, MN 55121 DATE: ,
Zoninp: Na of Unirs: 1
OwrNr:
/lddnsf:
~~r1 ik3Tl e tr<ai:. -5s' Q r~' •.•~~"~t]"«~ ; .
ift AWfessi L
Pl1XTIber
Moil No.: c,mvn.ctfoncha.o.: '00_ 0Qnd ~
size: Accou,t o.po,+t: is.aa,Y-l ;
Rweler No.: Prnnk Fea:
1arm hslowIy wNh 1V CMp oi l"ao Surd+orpr. ' S~
O,ri.w405. Mi,e. Chopm l 3 2. 0 0-P)d S j:'
roed: 6 • ond
By Doh ProW:
Oate of Irnp.: lerp.:
_ _ , _ . .1~ ~ - - "i:t~
CITY OF EAOAN SMR SRVKZ PERM
3830 Pilot Knob Road
P. O. 3o:c 21199 PERMIT NO.:
Eagan, MN 55121 p,,TE; -
Zonirq; No. of Unih: i ~
QwfNr
/lddrosx
si1f /1ddfw 3652 i171 f1 C? te'_ ? ~
Plurnber. rr Z(-)-:1-1
'~=21-52 100. U'J.')]
1 M"* Ie amIr WO Iiw C11p oi iqpm Cmvwctlpn C1wrpr _4 5_Q(1-~r'
OdiMoeN. Atoount p,epow;
Prrmit F+r
Su?charpr • r'~%' .
BY Mlsc. Charpm
Dofe of Irop,: Totd:
Irup.: Dote hold:
_ .
`
, CITY OF EAGAN ' 3830 Pilot Knob Rosd, P.O. Box 21-199, Eapan, MN 55127
PHONE: 4548100
euILoiNG PERMIT Re«ipt ~
T. be 10 sr nMC/r.&R w. „aiue 10120400 ~e MY si 19 as
Site Addrm 3658 WINOTRM DR Erect KI OcaiRancY A
Lot $ Black ~ SG'/Sub. WIIIDTMr' RD Remodsl ? Zoning Rl
VareM No Repair ? Type of Const. V
Enlsrye ? No. Stories
8 J. M°"" ? L°"gth 62
~ Nsme Oemoliah ? Dspth a`
Grede ? Sq. Ft.
City Phone Install ?
~ ApprO1'b ien
Name
/lsseaamwnt Permit • a
Addrs~t p
Woter 3 Sew. Surchorp~ •
City Pfwna
PoUu Plan ReviewI
Name MM8FSLDT DESIGN Fin SAC --s-is 0 0 0
1 =3 Addrau Enp. Wufer Conn. ' 0
~ W City Phone Planna Woter Meter a
Council ~d Unit ~'~0;
I hereby xknowlsdye thot I how road this cpplication ond stote thot Bldp. Off~ ~UU
the inlormofion is cotrect ond ogree to comply with oll opplicabb A~ Total / •
Stota of Minne~"Sfotutes ond 'Gty of Eoqan Ordinonus.
Var. Date
Sipnotun of Pennift"
*
8uildinp Prrmit Is istwd M: , on fh~ expem canditbn tho+
d1 work shoil be dorn In acaordonce with oll nppliaoble State of "nnssoto Statutts ond Cify ot Eopon Ordinanus.
eoAldino offida
I
r - ~
Pamit Mo. hrinit Holdw Doo To hono s
Plwnb*p 3 -
~ -
H.v.,A.c. 14 w; ~ I 5~l 5 r ~
EF~otric
Soitww
Impedion Dab Imp. Otha
Footinp
Foundation
Fnmina 7
Roofiny
Rwyh Pibo.
Rouyb HV
Imulatim (,v
Final
s.
S " Ir i2 .E cec
Fenal HVAC s• SE~L 64s,E oF ~ s
Final
c..vow. ve) B~
w.„r o.wib. Loeation:
IbII
SerMr
Pr. DiW.
Reaipt MECH/L'VIfAL'PERMIT Permit No.
CITY OF EAGAN
F~ ~
' FlA7» numbsredXscem
Type w Prin[ lepfbJy tot.
1. DM 2. Insisllation Cost
W r. ~ :3` ../.r ; „`-;T e : - • , i
3. Job AddrKS Lot - Bik. " Tract
4. Owner
5. Contraetor Phone
,
B. Addreu
ra I 3
7. City $tate Zlp ~
1
8. BuildingType: Rasidential Ef Commeraal D Institutional ?
~
9. Work Dsscription: New Ql Add ? Alter O Repeir ? ;j
10. Dascriha ,•.-,.r,:~ a~` (i:. Fuel Type
~,t ~ j>. i~ . s_ ~
i
11. No• FqLjpmepi BTU - M. Es. No. Ecuioment CFM
• Forced Air Air Handiinp: ~
Mfg. . , ~
Boilers Mech. Exhaust
Mfg. ~
Unit Heater
Mfg• " Other ~
Air Cond. ~
Mfy.
' Gas, Piping Outlets ~
~
12. I hereby certify that the above information is true and correct, and I agree to
aomply with all ordinanoes and codes governing this type of work.
Signed : _ :R' _ t yC,; ' for
Rouyh ' 7777 - Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and appraved,
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
- Fes
Fill rn numbened spaces S!C
TYpe or Prini legibly Tot
1. Date 2. Installation Cost
3. Job Addrei~ ( ! Lot~Blk. Tra
.
4. Owner t
5. Contractor • ~ - ' ~ `~i Phone ~
6, Address
7. City ~ State Zip
8. Building Type: Residential 79 Commercial ? Institutional ?
9. Work Description: New I~ Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
5hower Wel I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree ta
comply with all ordinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
. . , . . , ; . , . r PERMIT # ~ ~ . .
PLUMBING PERMR RECEIPT #
CITY OF EAGAN
9830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE i r. a D., PHONE: 454-e100
Site Addrm " ~ . - `J • BLQG. TYPE WOAK DE5CR1PTIdN
Lot - Blxk ~ ~ec/Sub
r - ~ Res. New
m Name Mult Add-on
0 Address Comm. Repair
c City f(hone ~ y Other -
- NO. FlXTURES TOTAL
Name ~ " - Water Closet - $3•00 $
~
c Addr~°~ ' , `l f--~ • Bath Tubs - $3.00
p City Phone 9 5z Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRAGT FEE Urinal/Bidet -$3.00
MINIMJM - RESIDENTIAL FEE _$10,00 Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20,00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ,50 Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00
I
BEYOND a1,000.00) , Gas Piping Outiets -$1.50
Softener - $5.00 - r
~
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
51GNATURE OF PERMITTEE FEE ~ C 6
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
7
~ CITY OF EAGAN Remarks
Addition WTNDTRF.E 3RD Tl T TON Lot 3 Blk 2 Parcel 10 84472 030 02
Owner Streec 3658 Windtree brive Scate
~
Improvement Date t23m, t Annual Ye ars y~Payment Receipt Oate
STREET SUR F. 16. 13 1
STREET RESTOR. 9H~F 25 463.05 5 GRADING 1983 25 122.65 5 ~ G
r
SAN SEW TRUNK ~ 19] 1 160, G6 8.02 20 4,~
SEWER LATERAL 19$3 3256.80 651.36 5 /~O2t. 2
Sewer Lat Trk 1983 188.16 37.63 5 t-4 7
WATERMAIN ai, 1983 260.34 52.07 5 j0V,
WATER LATERAL
WATER AREA 1972 236.39 11.82 20 71,05
STOFiM SEW TRK 762/1983 771.36 154.27 5 Jp~P, SS I
' STORM SEW LAT
CURB 8r GUTTER '
SIDEWALK '
STREET LIGHT
WATER CONN. n n
BUILDING PER. n n
SAC
PARK
GEO. SEDGWICK HTG. & AIR COND. CO.
HOUSE HEATING TEST RECORD
ADDRESS CITY ~
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. ~
SOLD BY I3 INSTALLED BY r-'' S We~~w ; c K
r'
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FA= HW_ STEAM SPACE HTR. UNIT HTR.
GAS DESIGN
477--.0, -
MAKE `MAKE OF BURNER
r4 / ~.%U
Model 6 11Aodet - - -
Serial 3 da ~ Max. BTU Rating _
INPUT ~C.`( ! ~-MAKE OF FURNACE ~ v -
Model ~
~ CONTROLS
THERMOSTAT Heat Plug - Vent Size
Valve KIND OF LINER SIZE NONE
Limit DraftHood !1<t:.;_~~/ Regulator O"'o ~ji.
Limit Setting ~5 o°f Filters Size Number
Fan Setting ~001f Chimney Location Inside Outside
Pilot Type 4'' n-~ X Chimney Construction
Pilot Make r'^5 e+'~ c',•~
Pilot Model ~CV - 4~'~~ Smoke Bomb Wiring
Pilot Timing Z~~ Draft - Test Tag
~ L.W. Cut Off Door Pressure Lightin Inst.
Pressure C Percent C02 Date Tested
Input CFH t N Percent 02 ~ Company Testing
Stack Temp. 1-~ ~r Percent CO Name of Tester -'Form 235
This reQUeSt voitl 81W/85
L6056134 L3 cJ~
A19•5D
7,139 Fre No. flouNh-in InsVecbon
~Req red~ QfleaAy Now~Wiil NoUty, Inspec-
V~5 ?NU .r Wh.n Rcatlv
Icensed Electrical ConUactor 1 hereAy reVUest inspection ot ebove
? Owner _ eloctncel work installad nc
Stree[ Address, 9oa or Rou[e No. Gty
ectmn o. Township Nnme or No. Fange No. Couniy
Oc antlPfllNT) Phone No.
.ULS • ~G~S.
Power $upVl/i~prAtltlre55 .
Eleyc ;cal Convacmr ICompany Name) Con~mr.tor's License^NO.
. YJ"-3
Mailin AAJress ICOntnctnr or Ownory+ akin Inst il tionl
~6 S Lc/
9
A. 1etl $iBnaWre (COntracm~yr~qm~mr Maki talla~mn) P/l - Number
G~e~ r+ %c~ ^~0~~
MINNESOTA STATE BDAND OF ELECTNICITY TMIS INSPEGTION flEQUEST WILL NOT
Griees-Midwey Bldg. - Room N-191 BE ACCEPTED BV THE STATE BOAND
- UNLE55 PROPEH INSPECTION FEE IS
1021 University Ave., SL Poul, MN 55104
Phone (612) 297-2111 ENCLOSED.
5L6V REQUEST FOR ELECTRICAL INSPECTION „ E&X0001-04
N:
' Seo instructians lor comple:ing this form on Gaek ol vellow copv.
~ '"R" Below Wark Covered by 7his Requesl
Add Hep. Tyoe ol BuiltlinB Aoolioncns WiroA Equiument Wired
Home Range Temporary Scrvice
Duplex Water Heater Lightiny Fixwies
Apt. 8uildmg Dryer Electric Heaun
Commercial Bldcg. Fumace Silo Unluader
' InAustnal BIAy. Air Conditioner Bulk Milk Tank
FBfm paci V ;her ISpecily~
1 r,r uccify Othcr Oih~;r
ompute lnspectlon Fee Below
p Fee Service EnVanceSiza b ~Fee Fenders/5ubinetlers a Fee Grcuits
0 to 200 qmps 0 to 30 Am ps - 0 tn 30 Am os
Flbove 200 q~»py 31 to 100 qmps S.Oa 31 to 700 qm s
Swimminy Pool Above 100_Amps Above 100_Amps
Tiansrormers Irriyation Boonns 5a Partial.'Other Fee
Signs SpeCial InSUection $ ~p!
Rem~rks TOTAL•FEE ~
RouBh-in ( D~te 1 /
Q , tM1e Elecvicel
Inspector:'horohy
• rt' ly that the above
Final ~ D` ~p 7,s- insoection has been
~/~~O• mede.
!
ThICrepuaslvoi018monihsirom "
CITY OF EAGAN N o 10Z 9 O
~ 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
~ PHONE:454-5100 ~~lsl
BUILDING PERMIT Receioe
Te be mW #a SF DWG/GAR Esr. Value $120, 000 pOfe MAY 29 I q 85
SiteAddrea 3658 WINDTREE DR Erect F{1 Occupency R3
Lot_3-el«k 2 Sec/Sub. WINDTREE 3RD Remodel ? Zoning R7
Pertel No. Aepeir ? Type of Comt. y
Eniarge ? No. Stories
DUANF J. BLnRS INC M°ve 11 L°"ath 62
W Nme Demolish ? Depth
~ Address 1900 ESTATES TR Grede ? 36
BURNSVILL 435-8712 S°• F~.
crcy ~no~a in:teu ?
~ Neme SAME APVroralf Foas
z? Assesvnmt Permit •0(
ou Address
u~ Citv Phone V?ofer 8 Sew. Surchorqe 60.0'
Police Plan Review 241.51
f'~„W W Nama ~NSFELDT DESIGN Firo SAC 525.01
Address Enp. Worer Cann. _ S 01
~W City EDINA Phone Plonnar WorerMerer6.3.-01
Council Road Unit 2R(1 _ 01
1 hereby oCknowledqe fhaf 1 Mw rcad this opDlicatiOn ond Sfote thaf BIdg.Otf. 5 Z0 85 T. R. 132.0(
tha inlormation is torrect and ogree to comply with oll opplicoble APC I Totel $2 r 284.5(
Slate of Minnewto Statutes and Ciry of Eaqun Ordinonces.
Var. Date
Sipraturo of Permittn
A Bulldinq Pmmir Is iuwd ro: DUANE J. BLDRS INC . on fM e:{ueo wrditlon tho,
dl work zlwll bs done in uccardonca with o a limble Sf e o Mlnnetoto Stmufef ard Cily ol Eopon Ordinancea
Bulldinp Ofilclol ~~"~~f?
~.:Y
2007 RESIDENTIAL BUILDING PERNIIT APPLICATION ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReouiremenfs RemodeVReoairReauiremeMS Office UseOnlv '
3 registered site suneys shaxing sq. R of lot, sq. ft of house; and all roofed areas 2 copies of plan showing footings, beams, joisLS CeR of Survey Recd _ Y_ N
(20% maximum lot coverage ailowed) 1 set ot Energy Calculations for heated add'N'ons Soils Repod _ Y_ N
1 SoiLs RepoR'rf proposed building is to be placed on disNrbed soil 1 sfle survey for add'Aions & decks Tree Pres Plan Recd _ Y_ N.
2 copies o( plan showirg beam & window sizes; poured found design, etc. Addifion -indicate ifon-sRe septic system Tree Pres Required _Y _ N
1 setofEnergyCalcula6ons On-si[eSepticSystem ' _Y _N
3 copies of Tree P2servatbn Plan if lot platted after 711A3
Rim Joist Detail Oplions selecGon sheet (buildings with 3 or less units)
Minnegasco mechaniplventilationlorm
c~e~d 10 5
Plans are considered ublic information unless ou state the are trade secret an he reason.
Date l~~l D~• Cons[ructionCost ~ .2S'~j'2o•
Site Address 36 S~S •WifYOrR E C DRI Ua I: AQfaf4r G~IN' SJ 12-3 , Unit/Ste #
L~ ~LS,~•~'o+-
Description of Work Un"<- h •r'-L~4'
Multi-Family Bldg _ Y_)c N Fireplace(s) _ 0 _ 1 _ 2
Property Owner (fPND3 f4 &N WOLF'('r Telephone # (SS I ) ,6g! - 0 44-9
„
Contractor NIGOO~'M~S l1ss/Si9 ucjtoN .JNc- (~R~Go/Z.Y ?N1co0!'cH~3 ~r1N
Address `0Z:1 Y%1LC-WFIi GO- AVrc.• City !27' CEAU~-•
State Zip SS i 19 . /elephone # S I) ~Z -9 57~ 2-
! 5
/
COMPLETE THIS AREA ONLY IF CON RUCTING A NEW BUILDING
- Minriesota Rules 7670 Cate~ Minnesota Rules 7672
Energy Code Category
, Residential Ventilation Category 1 Worksheet •
(d submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monihs, has ihe City of Eagan issued a permii for a similar plan based on a masfer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone # ( )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wor D c ~u~e~7a ~ D and
approval of plans.
2007
OCT 1 9
(.j/tE'CAo^7 ?A1fcop,EMVS ANn~• ~
Applicant's Printed Name Applicant's Signature ~
By 11
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
i' 02 SF Dwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Muiti
? 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/pergola) ? 36 Mul6 Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex ? 25 Miscellaneous
Work TVpes
? 31 New ? 35 Int Improvemenl ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundatlon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof 11~1 46 Windows/Doors
? 34 R0pl8cement 'Demolition (Entire Bldg) - Give PCA handout to applicant • •DeSCflptiOn: WaterDamage_Yes
Valuation 9 0~. ~ • Occupancy RC ~ MCES System
Plan Review 100% or 25% Code Edition 2O° V
Census Code 43 Y Zoning City W ater
SAC Units Stories Booster Pump ,
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings(new bldg) _ Sheetrock
Footings(deck) _ FinaUC.O.
_ Footings (addition) ' YC FinaUNo C.O.
Founda[ion _ HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool Ftgs Au/Gas Tests Final
~ Framing _ Siding _ Stucco L,ath _ Stone Lath _Brick
_ Fireplace R.I. Au Test Final Windows .
Insula[ion _ Retaining Wall
Approved By: ~Building Inspector
Base Fee
Surcharge
Plan Review
MCIES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Planl ,
License Search
Copies . . . .
Other .
Totat '
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for. Single Family Dwellings
Townhomes and Condos when permits aze required for each unit
DateLp / / l/..J
Site Address Unit #
~
Property Owner Telephone # uO) (lJp' - 6 q 7 ~
T
Contractor H P. RIPEW
3670 DOOD ROAD c;ty
Addresa
State (651 i Zip Telephone # ( )
The Applicant is _ Owner Con7actor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
InGudes County fee. Additlonal consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround 5/8" meter if needed -$121.00)
Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
_ Water softener ~ Water heater 15.00
~ replacement _ additional
State Surcharge $ .50
Total $ 1 ~ •
I hereby apply for a Residential Plumbing Pemnt and acknowledge that the information is complece and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an apphcation for a perrttit, 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.
_ r o_
ApplicanYs rinted N ne Applicant' i ature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reuuiraments RamodellReoav Reuuirements
• 7 regrsterea site surveys showing sq ll ot;oL sq k of house, and all roofe0 areas . 2 copies ol plan
(20°.5 maximum lot coverage altowetl) • 1 set of Energy Calcula6ons for heated aeditions
• ? cocies of plan showing beam 3 xindow sizes; poured found design, atc ) . 1 vte survey for extenor addi6ons 8 Cecks
• t;et of Eneryy Calcula[ions . InCicale if home served 6y seplic system for addinons
. 3 copies of Tree Preservatron Plan dlol platted aNer 711l93
• Rim Joist Detatl Options selection sheet (Cldgs with 3 or less uniLS)
DATE ~ d a VALUATION 6/Q() ce
SITE ADDRESS ,Oa t'w MULTI-FAMILY BLDG Y ~ N
TYPE OF WORK QobP 'C'~rAL Grr FIREPLACE(S) _ 0_ 1_ 2
APPLICANT S{X"+ib ri-
STREET ADDRESS (r-`A~/c /a u.e. CITY S fAcY STATE n'!N ZIP
TELEPHONE # CI)- 193 CELL PHONE # FAX #
PROPERTYOWNER ~6N ?(~~vii~ y kf UIFt' iELEPHONE# 65 f- C81
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NI[NVL•:50"I':A R[iLES 7670 C:YCL•:(;ORl' t MIN\L:.SQ'l'.A K1 'L1:5 7672
submission type) . Residential VenUiahon Category 1 Worksheet Submitted • New Energy Code'Norksheet SuomitteC
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbine system includes: _ 4Vater Softener LzwTi Spnukler ['ce: $90.00
Water Hcater No. of R.I. Baths
- \o. af Baths
Mechanical Contracfor: Phone #
Mcch.mic>il s}•stcm includes: _Air Condiuonin; Fcc SiU.OQ
E[cal Rccuccn5cstcm
Sewer/Water Conhactor: Phone #
I nereby acknowledge that I have read this application, state ihar the information i~e~ ~c~a~e~t mply
~Nith all applicable Stafe of Minnesofa Sfatutes and City of Eagen Ordinances.
Slgnature ot Appllcanf IPill 0 9 2002
u
' ' " " '
- - Y
OFFICE USE ONLY
CerUficates of Survey Recerved _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Pdiscellaneous
? 37 New 0 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (814g)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - 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 Sprinkiered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bfdg) _ FinaLC.O.
_ Footin,s (deck) _ Finab\`o C.O.
_ Footines (addition) _ Plumbing
_ Faundahon _ HVAC
Drain Tile Other
Roof Ice & Nater Final Pool Ftes Air~Gas TrsG Final
_ Framing _ Siding Stucco _ S[one
_ Fireplace _ R.I. _ Air Test _ Final _ W indows (new replacemenq
_ Insulation _ Re[aming Nall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Water Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
1985 BUILDING PERMIT APPLICATION - CIiY OF EAGAN
NOTE: ALL CO[R'RACTORS NU52 BE LICENSED 1{ITH TAE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
{?1~GL'~. ~
To Be Used For:4;;lU /719 , ~jValuation: ~ Date:
~
Site Address: pFFZCE USE OHLY
u9; r~dT2e
Lot: ,L Block Z_ Sect/Sub 3±_fi.4j,'T~c,)Erect x Occupancy R-3
Remodel 2oning Q-I
Parcel fl Repair _ Type of Const Q
Enlarge ll of Stories
Ouner Move _ Length 617-
Demolish Depth 3(0
Address Grade _ Sq Ft
City/Zip Code
Contractor,))U ~qwe- APPROVALS
Address 1/0O a5%r1TF5 l~yai'L Assessments Permit
Water/Sewer Surcharge 6o0.°°
City/Zip Code1i2Kls;OIlfP,n?~rU1Cl 5X'337 Police Plan Review Zq 1.
/1 Fire SAC 525
Phone U -7 ~$`J) 7 Engr Water Conn Soo.
p Planner Water Meter ~o3. =
Arch./Engr ~AAJ5-4~1J7- Council Road Unit Z`bo• =
Bldg Off -fZ1o Parks
Address rV cJL- - APC Treatment Pl 132•
Variance
Phone 1! TOiAL
14 ;rE\- ZsZ x 4 i t I o33Z
, .i
7I>Co K S4- Z¢ ~24 .
g x 4t~ - 144 x s~ Co
= 5~co ~ S 4° 3 I 10 ¢
l~x 3o
= 528x 1~ = 5808
Z¢Y,2Z
13x Z~ ^ 3c4x~1 ° 14~24-
I~ x 3F~ '(~og K Z411 z8
r- ~
A• A.i
0.
~
483•00+
60•00+ I
241 •50+ I
i
525•00+
s0o•oo+
63•00+
280•00+
132•00+
2j284•50* '
~ _
C A L V 1 N H. H E D L U N D 772e Moroan av.nu. sourn
• . RlcbfleId,Mlnnesota 66423
Land Surveyor Clvll EnQinesr Phom : 868-2623 Smme#ors eertilikute
JOB N0.
SURVEY FOR: Duane J. Builders
DESGRIBED AS: Lot 3, Block 2, WINDTREE 3RD ADDITION, City of Eagan, Dakota
County, Diinnesota and reserving easements of record.
Top of Foundations = 90~~ ~
Garage Ploor = 9o~~j 9`a
ti
Basement Floor =B99•~ ~ ~a °s~
Proposed Elevations 0 .p
Existing Elevations
Drainage Directions-"j' 9\
Denotes Lot Corners O
/o
Z \ \ \
\~S
~ o \
~
e~0~ Qa iV C ~ a 4 KeS
R / 0 4•+ r ~
0 ~
T 1 /
90
~
CERTIFICATE 7F SURVEY L~
M
I hereby certify fhat on 5/13/85- I surveyed the properly.deacribeE above and fhat
the above plat is o correct repreaentafion o} said surve
a.~.
Calvin H. Hedlund, Minn. Req. No. 5942
^
,
. EXTERIOR ENVELOPE AVERAGE "U" COMPUTATIOPJ
OWMER: ~UA4l)G J {~CA.1~de1Z LYjC.
SITE ADORESS: 3(D58 UJ`,~drZPe ~ziJe Lat~
f , aGoc..l1 Z, W.,,,d
CONTRACTOR: DU,y}tUe ldC12S LNOS OATE: {N~j~~~ 19gSPFiONE: y~,S 8rJ/z 3`
-T
DETERMINE 1dORKIHf, SQUARE FOOTAGE OF EACN:
1. TOTAL EXPOSED tIALL AREA,,,,.,. Z69 I d sq f[ x"U" 7
11 ~
2. TOTAL ROOF/CEILING AREA,,,,,,,, I( Q, 3 sq ft x"U"
_ .O '..G Z9. Z
3. TOTAL EXPOSED UALL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,,, ~ sq ft
a) Total wall window area:
9lazed...... sq ft x"U" 3-2-- z
- r ~
qlazed,,,,,, sq ft x"U" o
b) Total cloor area sq ft x"U" up
c) Total slldlnq qlass door area:
QldZBd...... Sq fI X iiU"
glazed...... sq ft x "U"
d) Total flreplace wall area - sq ft x"U" - e 1
e) Total wall framing area
(Average 109,)........... Z7 ~ sq ft x"U"
f) Total net wall area above
floor (Insulated)....... ~(.p sq ft x"U" ~ = 7 O D
9) Total rtm Joist area...... Z Sq sq ft x"U"
Total foundation
area (Exposed).......... I 4:7 sq ft
h) Total foundatlon
wlndow area........... d sq ft x"U"
1) Total net foundation
area above rirade....... I 3 Q sq ft x"U"
TOTAL a} thru I) = ZZg,~q
If item H3 is [he same as, or less than item N1, you have met the intent of
S.B.C. Sectfon 600A (c) 2.
4. TOTAL EXPOSED ROOF/CEILING CALLULATIONS:
Total exposed
roof/cefllng area......., sq ft
~ i
J) Tota) skyllaht area....... sq ft x"U"
k) Total roof/ceiling framinqAucT Z.047 (,I~
area (Average 109.,)...... N.ar U sq ft x"U" Ot5 = L.OZ
1) Total ne[ insulated V'°UL;r PZ7 oZ7 !p~(3
roof/cetllnq area...... KU+T 7Q~ sq ft x"U" tot~ ° IC,,JO
4• TOTAL .'I ) thru 1)
p a} ?j
If total of 04 is the same as, or less than N2, you have met the tntent of
S.B.C. seccton 60n6 (c) 1.
ALTERNATE BUILDING ENVELOPE OESIf,N
To utilize the total envelope sys[em me[hod, the values established by the sum
of i[ems N3 and N4 shall not be greater than [he sum of Items RI and N2.
l. Z~{ 7.~f ~ + 2. 2 CI , -JZ -3 1 7. 7C9
3. ZZR',44 + a. 3a.Q3 ZS~,9 Z
C E R T 1 F I f. A T 1 0 N
1 herehy cer[ffy tha[ I have caiculated [he "II" factors and "R"
values hereln and that the bu(Idinq here descrihed ea s or exceeds the State
of Minnesota Eneray f.onserva[lon Ac[.
~
~
SI nature
(Date)
. . ~ ~ C0NSTRUCTION R VALUE
IlALL FRAMING SECTION:
I Interior air film n,69
'Z z".DtZKliJAL~- .4~
3~//L inches soft wood ~7?
4
5 5ini~1G i. RD
~ Exterior ar Im (1.~
TOTAL R a 04
U a 1/R = ,G
NALL SECTION (INSULATED)
I Intertor alr film n,hA
z n ~wu,acc. 4 ~
3 S/z~ iu.~cic-. 19,aa
-~4 oel),
S -s ~.e~ i
f+ Exterlor atr film 0,117
TOTAL R= z3. P Co
U = 1/R
RIN JOIST SECTION:
1 Interior alr film 0.6R
2 ~.I2_" ILSSf)(_ ~G'.(yp
3 f•R'V
o
5 ~_1_3~~ w1l s'D
b Exterior air ilm 0,17
TOTAL R ~34.Sq
u I/R 4
`p' •A
FOUNDATION SECTION: _
1 Interlor air film n,F,R
• ~ ^ . • z zN .~,r.~ T~v.vsr~Fv~ts ~ cn
' a'•''•~ 3 z° 8 I, z
:o-_';°' 4 Exterlor alc.r ilm 7
°
(6
d• ••~A-JQ TOTAL R= 9.(n 3
U = I/R a
SLAB ON GRADE
5 Q v :a;°' ~"~~(•a• 4 u-, .c~`iQ•
~",a~ ~ a ~o• `1 d .V . ~.•4 , °•.'.a. .
,14 '4
Q~ , 1.41
a.a q , c~'- a.• , .rQ .
CONSTRUCTION R VAWE
CEILINf SECTION (INSULATED):
1 Interlor air film
2 2".DfLYCi9A-(.cr 4
3
3 4 4 Exterior air f11m still) 0.61
TOTAL R -4Lde2
U ° I/R ° ~0"
CEILINf, FRAMINf, SECTION:
( 2 5 1 Interlor alr ftlm n,bl
2 "DEVliJ ~,(r_ i 4
AIR VENTED 3 isoc. ~ vo
F LOW 4 Interior air film still 0.61
, 5 3 1 Zinches soft woo(1 4,35
TOTAL R =qq.0 L
u ¢ t/R = .oZ3
CEILING SEf;TION (INSULATED):
1' Interior ai r f i lm f1.61
2
3 .~o
4 F.xterior air film still 071
( "T C• 5T'f 2O . TaT'"'aO = ~ryp
"1GTWrf. 2
ll i~c+.eL.. ~7
r. •
~ 2 3 4 5 CEILINC FRAMIlIC, SECTIOTi:
1 Interlor alr fllm 0,61
VENTED 2
3 1" ,op
4 Exterlor air ilm stfll 0. I
5 10 2 fnches soft wood
TOTAL R =a~/+
u = I/R = ,047
3 4 5
...r=''.'•'=.~.•,;~" 1 Ins(Ae air film n.Fl
3
Z 5 Outside air film n.17
TOTAL R a _
~11 = 1/R-
GUIOELINE TO (R) FACTORS FROM ASIiRAE MANUAL
OF TYPICALLY USED PROOUCTS
(R) (R)
Interfor Air Film (Walls) O_.T8 Gypsum or plaster board 3/8" 0.32
Exterlor Alr Film (Walls) 0.17 Gypsum or plaster board 1/2" 0.45
Interfor Alr Film (Ven[ed Celling) 0.61 f,ypsum or plaster board 5/8" 0.56
Exterior Air Film (Vented Celltng) 0.61 Plywood 318" 0.47
Interlor Air Film (Non Vented) 0.61 Plywood 1/2" 0.62
Exterfor A(r Film (Non Vented) 0.17 Plywood 3/4" 0.93
Sheathing, reg. densi[y 1/2" 1.32
Alum(num Siding 0.61 Sheathfng, reg. density 25/32" 2.06
Aluminum with 8aeker 1.82 Nail-base sheath(nG 1/2" 1.14
Alumfnum wfth Backer s Foiled 2.96
1/2 x 8 Lap Siding (Wood) 0.81 Bu11t-up Roofs 0.33
7/16 x 12 Hardboard SIdln9 0.67 Asbestos-cement sh{ngles 0.21
Asbestos Sidings 1/4 Lapped 0.21 Asphalt roFl roofing 0.15
Stucco (Brown and Flnish Coat) Aspahl[ Shinglas 0.44
3/4" Wood Subfloor or Sheathing 0.94 Insulation: 2-2 3/4" Ffberglass 7.00
1/2" Plywood Sheathinq 0.62 Insulation: 3 1/2" flberglass 11.00
1/2" Particle Board 0.66 Insula[ton: 6" Ffberglass 19.00
WOODS: BLOWING WOOLS
Ffr, pfne G sfmllar soft Woods 1 I/2" 1.89 Approx. 3" 9•00
2 1/2" 3.12 Approx. 4 1/2" 13.00
3 I/2" 4.35 Approx. 6 I/4" 19•00
5 I/2" 6.87 Approx. 7 I/4" 24.00
Approx. 14" 30.00
Approx. 18" 40.00
AII other insulatlon materials must be
Filled verifted (R Factor)
(R) Vermfculite
8" Concrete Block (S E G Reg.) 1.11 1.93
12" Concrete 81ock (S E G Reg.) 1.28 3•15
8" light Welght 2.18 5.03
12" Llgh[ Welght 2.48 5.82
~rt~~o4ik*ic*~itoki:hrti~frf~A~t~~trtir~i~~~4
NOTE: (U) x Area Square Feet
(U )
AIl Windows
(w/Storms 1" to 4" Space) .56
Remova) Double Glazing (ROG) .55
Thermo or welded 3/16" air space .69
I/4" a(r apace .65
112" air space .58
(Other windows specificaliy tested can use.bet[er ratings)
1 3/4 Solld core door .46
w/storm, wood .31
w/storm, metal .26
Pease SteeiDtlor Insl/N/GL 7.45R •13
Sliding G1ass Door, Wood .65
Metal .715
y t ~
2/8 4
~ CITY OF EAGAN
APPLICATI0,1 FOR PERMIT
SEWER AND/OR WATER CONNECTIODI
(PLEASE PRIHi)
1) PF.OP= ACD'2ESS:
r.Fr-,L D:.c...~TtirTcv:
(Lot/Block/Su.tizivzsicn or Tac 2arcel I.D. VL.^nber)
Tr ST",i;'~".^„Tv°., DAT:: 0_° Qi2TGi^.AL `uUI'.DL^:G ==_ST ISSU;~\C.:
PDCC= P?•nSLY ? R-2 DLPT={ UD!ITS)
? R-3 'IC7.t-N-?r{JcE c*o^ - L~ .
(-m._.._... .TZTS) ! Wi 7'L'S)
? R-a r.;zTs)
? CCi-=,CLAL/FtE"AII,/OF_= IC::
? 7"NCCST?S~L
? I.~:STI:L'IIO.\AL/G.,~VE.."~:,n=-I' \
z,) A7p7`!,T (PLEASc PA1PiIJ
~
~M.• $ pTIN r
ACP+REC.7:
Cm"'. S:r:"E , ZIP: M.l,, SsH37 '
PFO`7E: J45'D
j) PU,:cEP, (PLEASE PRINi) FOR CITY USE 04LY
PDD?.c.SS; S~OO Litirnln PLUHBERS jeftESSE:
DR
cti e
CZiI, ST.1?~,', ZIP: ~''f~(J. 61.5~3 7 Ex red
Ha3 icr. / t of R cord
PfiOV'E: OcSOI PlUHOEF LICEASE N~',~
' .lt' tnt;ial
4) O=?pV;/Cr;~I~'u~ ~p (PLEASE PRlNf)
NIME: QIA3nE .1 lpfxl ~el ic- SnC
ADDRESS: /G0o S'/A ~P r R9 I
CITYr SiATE, ZIP:
PIiO`:E: 6 7/2
5) MTpIC.ic, :dHICH PERi~lIT IS BEING REOi.TESTID:
CG.INF.C.TIOV 'Io CITL Sa'ER
Q CbNN=ZC:I 'It7 CITY [•7ATER
? 0':[1ER (PL,PASE D.SC?SBE) 6)
• ? PI.raSE E?OLD APPRCNFD PER.MdT FOR PICiC-L~'t BY CNE OF AEOIE
Q°LZ7,5 '.17SL APP:?OVm PEF:•lIT TJ 1, Q 3, 4 ABOl7E
(Circle one)
7) SZC=R:: ~ftirr 9~ d~ DATE• gZ6 JcS
~ ~
MR w a.iaq~ r sa ~m~.a r: o a.aa w~ r sa~:~: .a :.r.f,~,fs~. r ~•i~a~-~~~. F O R C I T Y U S E O N L Y
PE°MIT ISSU°D
F°_ES: $ S=:i-R
$ lG'-s'v LdAT°R PEiL"tIT (IiiCL~DE Si:RCFARGE)
$ ~G~ov WATz'R METER/COPFE=:?0RN/CUTS:'JE RE;-,GER
$ SvATE.°. TAP (ZNCLCD° COBPORnTIQN STOP)
$ 5E:•i'cZ TA?
' $ 0S' -
$ _ /Suo AC^Oii?.'T D•`:POSIT - (•i;,T~3
$ ~aa u-u S4?,C
$
sa~o~ sAc
$ T?2U:•I:C lJAT°_R t1SJESS..Z:.?T
$ TRi;21K S=::cB NT
$ LATER=.L Bc.cic.c IT/T8Ci•1iC
$ L.',:'c2AL HEVE: IT/T4u:•:~ ....'_r ;
$ /7~A'~v ?JATER TREATPfEA'T PLAL\T SLRCNaRGE
$ OTHER:
$ TOTyL
$ /UeL.GV Ait,OL":T nrl='J/R....c•_c s
n
DCES UTILTTYION REQUZP.E EXCIV;yTION IN PUBLZC RIGriT Or WAy?
IF YES. THE:: n"PE3P7IT FOR :903fi SJIT??=?7
PUBLIC ROADLvAY" MUST BE ISSUED By muE
C] NO ENGI:IEERZrIG DIVISION. LZST AS rl COi:DZ-
TION.' '
SG2JECT TO THE FOLLONIDIG CONDZTIO":S: •
APPROVED BY:
TI.LE: '
DAT£: ~dS
I 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~r -~-o
City Of Eagan P~ ~ k, x+o J I
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reamremenis RemodellReoair Reamrements O(fice Use Onlv
3 regislered site surveys showing sq. ft. of lot sq. tt. of house; and all mofetl areas 2 copies of plan Ced of Survey Recd Y_ N
(20 k maximum lot coverage allowed) i set of Energy Calculations for heated additions Tree Pres Plan Recd Y N
2 copies of plan showing beam & window sizes, poured found desigq etc. 1 site survey toredditions 8 decks Tree Pres Requi2tl Y N
isetofEnergyCalcula6ons Addition - indicafeAon-sifesepticsysfem On-sAeSepticSystem _ Y _N
3 copies of Tree Preserva6on Plan if lot platted after 711193
Rim Joist Detail Options selecllon sheet (buildings with 3 or less units)
Date Construction Cost
Site Address 3(05~l 01-W-D Wl~c IV, Unit/Ste #
e k-i
Description of Work ~N),Z;
Multi-Family Bldg _ Y XN Fireplace(s) _ 0 k.l _ 2
a ~
Property Owner Telephane # (!lI
~ - - ~
Contractor I Fireside Hearth&Home
- 14399 Huntington Avenue
nadress ~ Savage, MN 55378 c;ty
State I 952J36.7761 Telephone # ( ) -
, License #20512060 i
~ - - - - l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cate¢orv 1 Minneso[a Rules 7672
Energy Code Category , Residential Ventilalion Category 1 Worksheet . New Energy Code Worksheef
(4 submission rype) Submitted Submilted
. Energy Envelope Calculations Submitted
In the last 12 monihs, has ihe City of Eagan issuetl a permit for a similar plan based on a master plan2
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone # ( J
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan the ase o rk which requires a review and
approval of plans.
V1j t~)
Applicant's Printed Name Applic t's Signature
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
O OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish FoundaUon ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
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) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation El V AC
Dram Tile O[her
Raaf _ Ice & Water _ Final _ Pool ` Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ S[one _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insula[ion _ Retaining 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
~
~ ForOffceUse---I------ ~
4il City of E~~a~ j Permrt# ? 45' j
I
'
I Permd Fee: ~ ~
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received:
Phone: (657) 675-5675 ~
Fax: (651) 675-5694 o~ • Q I Staff I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: '36 ~ U k rc c-
Tenant: I' O n, d" C~~~y W ~L Suite
RESIDENT / OWNER Name: [L tm C;- n d. 7OW 0 LF F- Phone: C)LI1 (
Address / City ! Zip: 3 v S<T~ wT r e e ~ r t vQ
Applicant is: _ Owner Contractor < e `L,h
P k n~.-)- G(, o
TYPE OF WORK Description of work: RG ~u ve Lv,Q.
Construction Cost: 3 S J UJ , 00 Mutti-Family Building: (Yes N~
CONTRACTOR Name:
Address: Q 6qa ALv~ r(Jo (--T
City: r (r- 1-1 State:/V-,-- Zip: ~ S-U -7 ~
Phone: L S I' " Da_y9" Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan9
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and supporting documenfs that you submif are considered to be public information. Porfions of
the information may be classified as non-public i/ you provide specific reasons thaf would permit fhe City to
conclude lhat the are trade secrets.
I hereby acknowledge that this information is complete and accurete; that the work will be in conformance with the ordinances and codes of the Ciry of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and work is not to start without a pertnit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval f plans.
X r hGt,L- CW3~'`, ISUV~~Wca Applicant's Printed Name Y s Signature
MAY 2 7 2008 Page 1 of 3
OW DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
0 Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 10-plex ~ Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
X Alteretion ? Fire Repair X Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Aw ~ Occupancy MCES System ~
Plan Review 11-22/~ Code Edition 9WG SAC Units
(25%_ 100%_) Zoning City Water ~
CensusCode ry.3k Stories ~ BoosterPump - ,
# of Units ~ Square Feet PRV -
# of Buildings - Length - Fire Sprinklers
Type of Const. ~ Width -
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings(deck) FinallC.O.
~ Footings (additlon) FinallNo C.O.
Foundation HVAC
Drain Tile Other:
Roof: Ice 8 Water Final Pool: Footings _Air/Gas Tests Final
~ Framing Siding: _Stucco Lath _Stone Lath _Brick
~ Pireplace:4_R.l. tAir Test ~Final ~ Windows
Insulation Retaining Wall
Reviewed By: , Building Inspector
RESIDENTIAL FEES:
Base Fee ~ 30 ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S8W Pertnit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
_ _ _ _ _ _ _ _ _ _
I For'Office Use ~
Clty of EapIl ; Permit#: Ov
, 1 Permit Fee: ~
3830 Pilot Knob Road ~ I
Eagan MN 55122 i oate Received~ ~J i
Phone: (651) 675-5675 ~ I
~Fax: (651) 675-5694 I Staff: ~
_ _ _
~
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
L~
Date:' 6/4/08 Site Address: 36$8 Windtree Drive
Suite
Tenant:
RESIDENT/OWNER Name: Ron & Cindy Wolff Phone: 651-681-0479
AddresslCirylZip: 3658 Windtree Drive, Eagan, MN 55122
CONTRACTOR Name: R C Plumbin.? License 5821 S-PM
Address: 5910 Chester Avenue
City: Northfield State: 141 Zip: 5505?
Phone: 952-652-2933 Contact Person: Rich Nybo
TYPE OF WORK _ New X Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: 314 basement bath and bar sirilc
PERMIT TYPE RESIDENTIAL
Water Heater _ Water Sokener
Lawn Irrigation X Add Plumbing Fixtures
RPZ / _ PVB) ~ Main _X_ Lower Level)
Septic System _ Water Turnaround
New
-Ab ndonment ~~~N i~ 5 7008
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener,-or WaterHeater and Softener (includes$.SO State Surcharge) -
$30.50 Lawn Irrigation (includes $.50 State Surcharge) .
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
'Water Turnaround (add $136.00 if a 5/8' meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appiiances, duclwork, etc.) (includes $.50 State Surcharge) 50.50
TOTAL FEES S
I hereby acknowledge that Ihis intormation is wmplete and accurale; that ihe vrork will be in conformance wilh the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an applicalion for a permit, and vrork is not to start withoul a permit; thal the work will be in
accordance wilh the approved plan in Na case of work which requires a review and approval of ans.
Richard Nybo X ~ ~
ApplicanYs Printed Name App icanYs Signaturo
_ . . . _ - '
R OFFICE USE
FO
Required InspecGons:; `_Unde~ Ground'~ ' Rough In Air~Test %r Gas Test, _Final " : = .t
~----------------i
~ For_Oifice Use
C14y Of LLLpn ~ Permit# OV~ I
~ I
I Permit Fee*
I I
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 i ~
Fax: (651) 675-5694 I Staff I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: SiteAddress3C' r~?,-
Tenant: Suite
, RESIDENT I OWNER Name: Phone: 6g ~ - V
Address / City f Zip:
Applicant is: _ Owner X Contredor
TYPE OF WORK Description of work: Yd e
Construdion Cost: .lg U`~ r ~J Multi-Family Building: (Yes No
CONTRACTOR Name: License / 6
Address: A L
City: 1,4- State.,~ N Zip: s~ ~-7 7
Phone: Li Contact Person. M (C C- C-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residenhal Ventilahon Calegory 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 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 8 Water Contractor: Phone:
NOTE: Plans and supporfing docuirients that you submifare considered to,be public infoimation. Portions of ,
the inforination may be classified as non-public if you p'rovide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this mformation is complete and accurate; that the work wtll be in conformance with the ordinances and codes of ihe City of
Eagaq that I understantl this is not a permit, but only an application for a permil, and woB is not to slart without a permit; ihat the work will be m
accordance with the approved plan in the case of work which requires a review and approvg of plans.
Ci~'.-~~ ~w~ C wJ~ L x
ApplicanPs Printed Name ApplicanYs Signature
Page 1 of 3
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3658 Windtree Dr
Lot: 3 Block: 2 Addition: Windtree 3rd
PID:10- 84472 - 030 -02
Use:
Description:
Sub Type:
Work Type: Gas Fireplace (new)
Description:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Fireside Hearth & Home
20802 Kensington Blvd
Lakeville MN 55044
(952) 985 -6675
Applicant/Permitee: Signature
PERMIT
City of Eaan
e- Fireplace Construction Type:
Census Code: 434 - Occupancy:
Chimney /flue must be inspected prior to concealing. Smoke detectors are required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
NICK WILDE
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
- Applicant -
Owner:
Ronald J Wolff
3658 Windtree Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
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.
Issued By: Signature
Building
EA083890
06/27/2008
ePermit
' Use BLUE or BLACK Ink
For Office Use
of 1/17 737
City � P:: e:
�� ;03,30?`4) 1
3830 Pilot Knob Road tit
Eagan MN 55122 RECEIVEDDate Received:
Phone: (651)675-5675 i
Fax: (651)675-5694 Staff:
AUG 032017
2017 RESIDENTIAL/ BUILDING PERMIT APPLICATION
Date: _3 Site Address: '31;7 J (`� ,�Vd.' L 1`r.-t- Or iv-c- Unit#:
Name: p_oPhone I.——70 3_ Cc/d53
Resident/
owner Address/City/Zip: 3 ' 5 tAiNolTr e-.cV-
c
Applicant is: Owner Contractor
F/�r`�
Description of work:4n 11-u t 10- LA.. n.� 2.r 1 r X r'S� -e , C w 0 co
Type of Work • w w�,, r
Construction Cost: '/ CZ 6 0 t A 0 d Multi-Family Building:(Yes /No )
Company\ T w vv-1/4)k,( Contact SLI(( , €kAr u h,
Contractor Address:q b I A L V 0.r O k u C-- City: 4�
StateM-/V Zip: 7 -7 Phone:C S)'(10)--1y`b Email.•/v‘ +e'`^'-6 k C A—co-r)-.
License#: 6 C 00 1 ('76 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
5 IV e,,er U J .
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 maybe classified as non-public if you provide specific reasons that would permit the City to
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.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minn- ota State Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name pplicant's Signature
Page 1 of 3
3< 5g ',dindire e_ 01/
• DO NOT WRITE BELOW THIS LINE lV7 3 S
r
SUB TYPES
Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family)
__Single Family Garage Porch (4-Season) Exterior Alteration (Multi)
Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building*
Addition Move Building Reroof Demolish Interior .
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation `. Occupancy ' MCES System
--
Plan Review Code Edition woo 1 sl SAC Units
(25%_ 100% ) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) _ Meter Size:
....4 Footings (Deck) Final I C.O. Required
i Footings (Addition) Nic Final I No C.O. Required
Foundation Foundation Before Backfill r HVAC_Gas Service Test Gas Line Air Test
Roof: Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
•, Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: Stucco Lath _Stone Lath Brick EFIS
Insulation f Windows
Sheathing Retaining Wall: _Footings_ Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee91 fi
Surcharge I €
Plan Review
rriNiv
MCES SAC
City SAC
Utility Connection Charge0 ,
S&W Permit&Surcharge ��
Treatment Plant )4 J ( ,. ,
Copies f
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146253
Date Issued:10/17/2017
Permit Category:ePermit
Site Address: 3658 Windtree Dr
Lot:003 Block: 002 Addition: Windtree 3rd
PID:10-84472-02-030
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Stove
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Ronald J Wolff
3658 Windtree Dr
Eagan MN 55123
Johnson Plumbing & Heating
9825 170th St E
Lakeville MN 55044
(612) 243-3965
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA153307
Date Issued:12/10/2018
Permit Category:ePermit
Site Address: 3658 Windtree Dr
Lot:003 Block: 002 Addition: Windtree 3rd
PID:10-84472-02-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Ronald J Wolff
3658 Windtree Dr
Eagan MN 55123
(612) 703-5908
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165051
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 3658 Windtree Dr
Lot:003 Block: 002 Addition: Windtree 3rd
PID:10-84472-02-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
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: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Ronald J & Cynthia J Wolff
3658 Windtree Dr
Saint Paul MN 55123--131
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171128
Date Issued:08/02/2021
Permit Category:ePermit
Site Address: 3658 Windtree Dr
Lot:003 Block: 002 Addition: Windtree 3rd
PID:10-84472-02-030
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Ronald J & Cynthia J Wolff
3658 Windtree Dr
Saint Paul MN 55123--131
(651) 681-0479
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature