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3664 Windtree Dr CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: ~ Eagan, MN 55121 DATE: Zanlnp: R1 Na of Units: ~ Owner. Gustafsan b Aesoc Address: Stte Addresa: 3664 Wtndtree Drive L4 S2 Windtree 3rd Plumber. Loren Brown P bg 9-5-84 46014 • 1 Mn~ ta a~ ~ Nw qhr of ~e CorrNCNon Cho~: 425.00 pd o.Am.e... AacouM oeposlt: 15.00 pd pem,it Fee: 10.00 pd Surchame: .50 By Misc. CJhorpm Dote of Intp.: Totol: Intp.: Dote Paid: CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot K nab Rosd ; 7?; P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zanirg: .R1 No. of Units: 1 Owner: GustatsoII b Assoc Addnsa: 5i ~ 3664 Wi.ndtr*e Drive L4 B? Windtree 3rd Pl umber ren roan PIEg 70 Mst~r No.: Cannection Charoe: .00 pd 15.00 /lceount Deposit: p 10.00 ReodK No.: Permit Fee: p 1~~w to aawplp ~?Yi~ Nw CMy of E~e Surcha?pe: • P o.riw..o~s. Mlsc. Cho?oes: 63.00 pd mster Totoi: gy Dote Paid: Data of Irup.: ~ntp•' ;rv:~-+.9F`ft'"'.'a~x-r+r:vic~'~'r'+..- CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road 5722 P. O. Box 21199 PERMIT NO.: an, MN 55121 DATE: 9-18-84 irky; Rl No. of Unirs: 1 Gustafson Assoc tsr. Sit. Addross: 3664 Windtree D ive L4 B2 Windtree 3rd plumber Loren Brown Flbg NAeter No.: 3L(~ ~ g Connection Charys: 470.00 Ad ~Vs' " 8 -e•, Acoa,nc peposit: 15.00 pd 51ze: Reoder No.: 621- -2 Pe?mit Fee: 10.00 Ad 1.Iw. to oomrly wilh 60 Citr .i L.o.¦ Surcha.ye: .50 Pd pry~see., Misc. Ct,orqes: 63.00 pd mete Totol: r~~~~,r.,G~_ gy Dat. Paid: Dote of insp.: ~ Irap.: 0 0 CITY OF EAGAN X"',. 94"Y8 , 3830 Pilot Knob Rosd, P.O. Box 21-199, Espsn. MN 55121 PHONE: 4548100 eUILDING PERMIT Receia # To M wW fer SP DWG/GAR Est. Value 94,000 pate 5EPTEMBER 5,Iq 84 SiteAddresa 3664 WINDTREE DRIVE Erect FLI Oxupsncy R-3 Lot 4- Block 2 SeclSub. WINDTREE I II Remodel ? Zoning R-1 Percel No. Repsir ? Type of Const. v Enlarge ? No.Stwies ~c NunB G[JSTAFSON & ISSOC. CONST. Move ? Length 4 ~ Address STREET Demolish ? Depth 40 City CDINA Phone SSZ7~S Grade ? Sq. Ft. ~ Name SAME APp?ovals Fees Addres¦ /lssessment Permit t. l~ nn ~ City Phone Woter & Sew, Surchorge 47 -nQ Poliu Plon check 207 _ 50 ~W Neme Fin $/1C 525 _[ln Addreu Enp. Woter Cann.470 t W City Phone Plonner Water Meter 61 - nn Cow+cil rtooe Unir a 6n - r0 1 hereby acknowledqa that 1 haw reod this opplicotion ond stote tFtiqfN gldg. pf{. Perks ths information Is correct ond ogL" to tomply wNh oll applJcable 1 APC Total 1 987 . 50 Stofe of Minnesoto Stotutes ond Uty of gon Ordinonces. . ~ Var. Date Sipnatun oi Permittn ) _ v ' A Building Pen$it Is issued to: GU AFSON & ASSOC. CONST. ~~~W emdit~ that atl work sholl be dons iR accordance wyh olt oppilaoble Stote of Minnesoto Statutes ond City of Eogan Ordirances. Buildinp Officiol ' ~ ; { N"~ , 1,, -(6 , ..t c+- fu . Punkit No. =H Cab i , Plumbirq H.V A.C. Ebetrle g ~ I O. s -fP 1015119Y 4. Sb softw.r Irupaction Date Insp. Other Foo:inp tSl6+l J Foundstion Fnmkw Rough P16y. U- d• 1 - - - ~i Rouph HVAC c Inwlation Final PIb4 Final HVAC Final c.rt/00c. w.a. o.r~.ib. Lown«,: ~ b`yx...~a-t-.c~ So/dG / rwu _ s.w.. P.. oi@P. - Receipt PLUMBING PERMIT • Permit No. CITY OF EAGAN " Fes • fill in numbered spaces S/C Type or Print /egibly Tot. 1. Date 2. Insrallation Cost ~_7 fiJ r~ .s6oy ~ 3. Job Addres: :-?r ri , e:` Lot Blk..,~ Tra 4. Owner c: 1 5 f-clf5~~~-f G S~OG L h, c_ , ~ 5. Contractor f,' T"G 'ri ;,t' S i"~Gi J/14%si ivc" -Phone L tz ; 6. Address `'l ?7 U 'rfl ; V t /C P/i ?~L ~ ~ 4~71 7. City ~~trrrlsild/C' State A4411 2ip 8. Building Type: Residential K Commercial O Institutional O 9. Work Description: NewK Add O Alter ? Repair ? T ~ 10. Describe Lt W I iG%rr7E?' ~~~~m v! v~ ~I 1 !!v ~ 11. No. Fixtures No. Fixtures ~ Water Closet Cesspool/Qrainfield ~ Bath tubs Septic Tank SoftneLavatory r Shower Well Kitchen Sink Urinal/Bidet Other z Laundry Tray . Floor Drains Drinking Ftn. Slop Sink ~ Gas Piping Outleu 12. I hereby certify that the above information is true and correct, and 1 agree to I comply wi~k1 all ordnces an~odes g epyng this type of work. , Siyned : a "4• A/v for Rouyh Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. I Approved CITY OF EAGAN 464-8100 ; Racaipt ' MECHANICAL PERMIT Parmit Na. CITY OF EAGAN . Fee fill in numbered spaces S/C Type or Pr/nt legibly TOL r 1. Date 2, Installa$ion Cost 3. Job Address LotZ=j Blk. : ,...w.- r 4. Owner'`_..L..:;~;<~ 5. Contractor,~~ ' Phone , 6. Address J 7. City State - Zip - 8. Building Type: Residential Commercial O Institutional ~ , S. Work Description: fdew ~ Add EJ Alter O Repair O . ~t ~ f 10. Describe ,?-.._c., F ' u~ .t, ~.Jl ` ~F`uel Ty(ae ~r.ti! ` i 11. No. Equipment 8TU - M. Ea, No. Euuiament CFM Forced Air ' 7/ ;t Q rFl` ~D Air Handling: Mfg. . ~ Boi lers ~ Mech. Exhaust);• , Mfg. ~ Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets li ~ I 12. I hereby certify that the above information is true and correct, and 1 agree to I oomply with atl ordinanaea and codes governing this type of work. II Signed: - ' for I Rough Final ~i inspections: Date Insp. Date Insp. This +s your permii when rtumbered and approved, Approved CITY OF EAGAN 454-6100 ~ CASH RECEIPT ~ . CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE J f 19 RtCi1VtD . . { FRqN ' AMOUNT j Ce DOLLARS ~ee ? CASH ? CHECK C •t ) FOR j ) ' . . FUND CODi AMOUNT _ J / . _ ~ I' ' i Than ' - s v e 1Mhite-Payers Copy Yellow-Postiny Copy Pink-File Copy CASH RECEIPT ~ ~ • CITY OF EAGAN . P. O. BOX 21-199 I EAGAN, MINNESOTA 55121 DATE 19 wEcKIvm _ Rwom AMOUNT $ ~ d ooLLwws ,o. ? CASH ~ CHECK i /OR C. 4.. •~~C'~C.~_. ~.'~t,'L"..: ~ 1 v FUND COD6 AMOUNT , ~ y Thank Yau . ~ , gY= VYhite-Payerc CoPY I Yellow-Posting CoPY Pink-File CoPY i CITY OF EAGAN Remarks Addition WINDTREE 3RD ADDITION Lot 4 alk 2 Parcel 10 84472 040 02 Owner Street 3664 Windtree Drive State Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 16.13 1o • STREET RESTOR. 1984 2315.25 463.05 5 cl,"/,57 / r 01 f~~ -02 GRADING 1983 613.25 122.65 5 02 , 30 SAN SEW TRUNK ~ 1971 160.46 8.02 20 Q/ !S' SEWER LATERAL ~ 1983 3256.80 651.36 5 /ap a. a Sewer Lat Trk 1983 188.16 37.63 5 .a WATERMAIN 1983 260.34 $2.07 5 b ? r WATER LATERAL WATER AREA 1-57 1972 236.3I 11.82 ZO , OS rI L/ STORMSEWTRK 14$3 771.36 154.27 S U9,55 / ,F(n o25`R5- STORM SEw LAT CURB & GUTTER SIDEWALK STREET LIGHT Road Unit 260.00 WATER CONN. 470.00 91 " BUILDING PER. 49478 ~t IT SAC n tr PAR K RESIDENTIAL • ~ BUILDING PERMIT APPLICATION 1 3830 PIL0T KNOB RD • 55122 t 70, Q o ~ 651-681-4675 Ca6Ve4 (p-11-0I New ConsWellan Rwuirxmb RomoMlfReooir Rwuinments . 3 registerad sie surveys ahowaq a7. fl. M bt, a9. R. of house; and al rooted areas • 2 copies M Dlan ~ (20% macmun lot coverape aYrnved) . 1 aet M Energy Caleulations for healed additbm . z copies a dan snMng eew avAneow sizes; pmwea raM aesign, eu.) .I sb survey r« exud« aaaro" a aecks • 1 set of Eneryy Calculatbns . IMkate if hane served by septic syalem tar ed?tlaro • 3copie3 dTreeProservationPlen'rfblplattedafter711193 • Rin Joiet DelaB Opum aeleciion sAeel (bidgs wih 3 a bss m45) DATE II 3lAY1P,, ZOOI VALUATION JOB SITE ADDRESS 3IO (o LI W IV1d+Y2Pj1)Y1ICi ' 6~nQ,V? ~JS~ Z3 IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTYOWNER PO+Y60. ~ MIdIQCA NaUah TYPE OF WORK DPt,IC IU'iYY10GIPiI FIREPIACE(S) _ 0_ 1_ 2 APPLICANT PHONE# I0SI"40~'J-IBM ADDRE55 1 ZIPCODE 'rJ'rJI Z-23 PAGER ~ CELL PHONE # - S FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Eneryy Code Category MINNFSOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sub - - Energy Envebpe Calculations Submitted U D MINNFSOTA RULES 7672 - New Energy Code Worksheet Submitted 8 Plumbing Conhactor: Phone IF: Plumbing System Includes: Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mechanical Sys[em Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Contractor. Phone # All above information must be su6mitted prior to processing of application. I hereby acknowledge that I have read ihis application, state that the information is ec , d agree to comply with all applicable State of Minnesota Statutes ond City of Eaga ' an es. Slynolure of Appllcant Ceriificates of Survey Received _ Tree PreservaGon Plan Received _ N Required _ Updated 1/Ot OFFICE USE ONLY a„ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool 0 30 Accessory 81dg ? 02 SF Dwelling O OB 06-plex O 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. /Ut - Multi ? 03 01 of _ plex 0 09 07-plex O 17 Garage O 22 PorchlAddn. (4-sea.) O 33 Ext. Alt - SF ? 04 02-plex 0 10 08-plex dD18 Deck ? 23 Porch (screened) ? 36 MuIU ? 05 03-plex O 11 70-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N O 25 Miscellaneous ? 31 New O 35 Int Imqovement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bidg. ? 42 Dertwlish (FoundaUon) O 45 Fire Repair ir 33 Alteration O 37 pertalish (Bldgp 0 43 Rerooi ? 46 Windows/Doors 0 34 Replacement 'Demolitlon (Entlro Bldp only) - GNe PCA handout to appllant Valuation 0Dd~ Occupancy /C `3 MGES System Census Code y.~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered ~ Type of Const S'~i Width REQUIRED INSPECTIONS Footings (new bidg) Final/C.O. ~O Footings (deck) -P!~2 FinaVNo C.O. _ Footings (addition) _ Plumbiug Foundation HVAC Drain Tile Roof Ice & Water Final Other _ Framing _ Paol _ Ftgs _ AidGas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Sid'mg Swcco Stone _ Insulation _ Windows (new/replacemeat) Approved By(!C) , Building Inspector Base Fee Surcharge Plan Review MClES SAC City $F1C Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total 18~mo ths trom id `W Y g ~ d/ //O ~ A 083597 Lq Ba 0j~r.d-tYea--7TI- o.~ Pyquesl Dalc Rre No. Rouph-in Insper,tion fleq rted~ ~RCOdy Nuw .yVill Nmily. Inspem Yas ~No torWheny~ieaAY Licensed Elec[rical Contractor I herabY reGUest inspection ol eEovo ? Owner elechical work mstallotl ac ~ SUeet Atldress, Box or Noutf NCitv ~C-~ ectmn o. Township Name or No. RanBe No. Couuty Occ aM (PfliNTI Phonc No. ,SC~ -1` O C Q 7~' I Po Suppher Address ~,~oT Ele rical Contractor (COmpany Name) Contmrtor's License No. _ V Maili tlJr s(COnh. or Owner Makm0lnstailaUOnl .~S 0 ~ _ 12~71,,l Au rized ipnature (Contraclor er Makrr nslallatioN Phone Number MINNESOTA STATE BOAND Oi ELEG7RICITY 7MIS INSPECTION REQUEST WILL NOT Griggs-MitlweV Bldg. - floom Nd91 . BE AGCEViED BY THE STqTE BOAND UNLESS FNOPEH INSPECTION FEE IS 1821 Univereity Ave., 51. Paul, MN 55104 Phnnw IBt21 29'!_2111 ENCLOSED. -01 REQUEST FOR ELECTRICAL INSPECTION ~ ~oEB-~00001~~y ~ ' See ins4uctions lor camolatinW this form on back,af voilow coOV. A Yq ""X~' 8elow Work Covered by This Request Htld NeO. TVpe ot Builtling AOPIi..ces n,.ae EquiOmeqt Wired Home Range Temporary Service Duplex Water Hea[er Ligh[iny Fixtures Ap[ BuilAing Dryer EIeC[nC H¢atin ' Commercial Bldg. Fumace Silo Unloader Industrial Bldq. Air Conditioner Bulk Milk Tank Farm Oth«, oecHy iher (SUer.ity) , t. Syeci y Ot er 01her ompute lnspection Fee Below k fea ServicaEnhance5ize d Fee feedo•s/Sabfeeders M Fcc Grcurts 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am Above 200 qm py, 31 to 100 qinps 31 to 100 Am Swimming Pool Above 700_Am s Above 100_Am - Transtormers Irrigation 8oortis Partial'Other Fee Signs Special lnspecuon 5/D ~o Hemarks r TOT EE .~d flouph-in Daie I, ~h Elec ' I InSOec oq horeby rtily tM1al Iha above Final ~e ~nspection hae been • ~maa. TM6 repunt volA 18 monlln Irom r Q~ 5/Ql~ This rnquasl void L4 (f t 446 16 months Irom ~ V ~ A 2 9 L L! ,3 a. 0 1~ 9, Requcs[ Dale ~ Fire No. flnuPh-in Inspaction ~O ^ y] R~lu rad~ ~FOatlv Now Will NoulY Insaec- GJ ves ?No ~~1 M/han Ready Licnnsed Electncal Conlmcwr I herebv request inapaetion of abova , ? Owner electricel work nutnlled at: Slreot Address, Bon or Ry ute N~o. Citv ~~L~C.//,~ , G~1 C3 -AL,~l ee~mn o. iownshnp Name or No. ange o. County Occ n~ (PpINT) Phone Np. a~ POSupplier Address 7~'^~/ % Elecincal Contracior (COmpanY Name) Convacmr's License No. . Mailm tlJress (Contractor or Owner MakinB Instaila~ion J~'~/ ~ ,~'G .~,v. S~ -,--s~ a Autharized SiBnature (ConVa t OvYnor ~M9a'kinB Inslallation) Ph~o/ne/ N/um~ber Q MINNESOTA STATE BOAHO OF ELECTNICITY TMIS INSPECTION HEQUEST WILI NOT GriBBS•Midwoy Bltlg. - Noom N-191 BE ACCEPTED BV TME STATE 80AHD UNlE55 VflOPEN INSPECTION FEE IS 1821 Univeraity Ave., St. Paul, MN 55104 P1nm 18121291.2111 ENCLOSED. ~~gqt REQUEST fOR ELECTRICAL INSPECTION t: EB-90001-04 ' See inahuctians lor comple4.p this torm on back ol Vel low copR j V A • Below Work Covered by This Request Pt" AAtl Nap. Typeol " " 1! BmltlinB APOliunces Wvetl Equipment Wired Home Range Temporary Service Duplex Water Heater Ligh[iny Fixtures Apt. Building Dryer Electric HeaLn Commercial Bldg. Fumace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tenk Farm 1her Peci y 1herlSVecilyl t er uoci y t er Oth¢, ompute Inspectran Fee Below M Fee ServicaEntmnce5ize q Fee Feeders/Subleeders N Fee Circuits = 0 to 200 qm s 4P 0 to 30 Am s 0 tn 30 Am s- Above 2 0 qin ps 31 to 100 Amps 31 to 700 Am w Swimmin Pool Above 100-Am s Above 100_F+m s 7ransiormer5 Irtigation Booms _La, Partial.'Other Fee Signs Special Inspec[ion Remerks . S TOT E r -J0 RouBh-in ns ectoq hereby cer ily thet the aDOVe Final , S~Sr N y y~qtwn has be¢n ~ ~/i d ~~Ffed~ TMS repueet volC 18 montRS irom I CITY OF EAGAN No 947 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454•8100 / BUILDING PERMIT I Receivt # Te be uwd ior SF DWG/GAR ~ Est. Volue 94,000 Dote SEPTEMBER 5, 19 84 SiteAddress 3bA4 WTNIITRFE nRTVF Erect ~ Occupancy R-3 LotZ,_Block 2 SeclSub. WTN11TRFF T77 Remodel ? Zoning R_1 Percel No. Repair ? Type of Const. xi Enlarge ? No. Stories a Nem¢ [~`]J.$TdFCl)N A nCCl1!' f`(1NCT MOVe ? Length 45 x Address-4015 W 65TH STREET Demolish ? Depth 40 City Fi1TN4 Phone Q77-1 127 Grade ? Sq, Ft. o Name SAME AoDr°y°ls Fees Zu Address Assessmenf Permit 45 09 ~ City Phone Woter 8 Sew. Surcharge 47 (lfl GW Palice Plan check 207 _ Sfl Name Fira SAC 59 S_(1!1 10 Address Enq. Wofer Conn.470 fln 'W City Phone Plonner WaferMeter r+Z nn Council Road Unit ~~!~,..P~nn I hereby acknowledge ihaf I have read this apDlicotion ond state th Bldg. Off. Parks the inlormotion is correct and agr 1o comply ' h all opplita e Stote of M~nnemm Statute o ity of Eaga dinonces. APC Total 7~ 987 _ Sfl Var. Date Sipnofure of Permittee A Buildin9 Permil Is issued fo: U ~ on the exDress tondiHOn ifwl ali work sholl be done ~ acc rdonce ~IJ~ap~ble Stote of Minnesota Stotutes ond Ciry of Eagan Ordinances. Buildinq Officiol , ~ • • IALL CONTRACTORS MOST BE LICENSED WITH THE CITY OF EAGAN INCLODE Q SETS OF PLANS, CERTIFICATES OF SURVEY ~~J 0 SET OF ENERGY CALCULATIONS To Be Used For:~ G-r Valuation: Date: Site ~A/ddress: ~j(nlo 4 J'tiY2o qq',pr~~.-a • ~ - Lot: y Block:,~. Sect/Sub:(f-~,.,c%fRF~~ Erect: Occupancy: Parcel Remodel: Zoning: R-I Repair: Type Of Const: ~ Owner: ~1 (Sc>s~d,lSon Enlarge: _ # Stories: Move: Length: ~ Address:yo/S~ Demolish: _ Depth: CitY/ZiP Code: ~ Grade: Sq. Ft.: Phone # : Y.2 7 -//a 7 - Contractor: SR-~nE ~ Address: Assessments: Permit: 46,L City/Zip Code: water/Sewer: Surcharge: - Police: Plan Rev.: Phone Fire: SAC: 525 Engr.: Water Conn: Arch./Eng: Planner: Water Meter 103 Address: Council: Road Unit: Z-&o.°-° Bldg. Off.: Parks: City/Zip Code: APC: Phone#: Variance: ~ ~~~SQ 1~ x 38 - (o G (~q x sq- ' 3488¢ I(o ~C 2L1- ° 3S 4 x 54 22xZ~ °512x II - Co2`(Z 24x32 = ?~~3 x 4~ ' 314g~ ~ 3 ~oo ~ ~ ~ ~ . , ~ ~ FrOfticeUse ~ City of EapIl I Permit Fee I~ 3830 Pilot Knob Road ~ Eagan MN 55122 j Date Received: ~ Phone: (651) 675-5675 i ~ Fax: (651) 675-5694 i Stan: I I 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J/L7 16 9 Site Address: ~~(L [Y 7Z01 OdIrP t' J8 r Tenant: Suite RESIDENT/OWNER Name: Phone:C~S/-y05-/.P~~/ Address / City / Zip: c:;C( YI/l Q Applicant is: _ Owner _XContractor TYPE OF WORK Description of work: ~l'"',Q{^-pS GeV i ~oo"(1(/l Cons[ruction Cost: T~ 77 s•~ MWti-Family Building: (YesNo~ CONTRACTOR Name: J(.QlY1CA r License Address: Plaf? LJp Ciry: State: 1YAJ Zip: r=~ Phone: 79 Contact Person:/14 ~ ~ kte Ap ~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category submined Submined (l~ SubmissiOn type) • Energy Ernelope Calculations Submitted In the last 12 montM1s, 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 CoMractor: Phone: NOTE: Plans and supporting documents that you su6mit are considered to be public inlormation. Portions ol fhe information may be classified as non-public if you provide speclfic reasons fhat wou/d permit the City to conclude that the are trade secrets. I hereby acknowledge that this information is complete and accurate; that ihe work will be in conformance with the ordinances and codes oi the City of Eagan; ihat I understand this is not a permit, but only an apphcation for a permit, and work is not to start without a permit: Ihat the work will be in accortlance with the approved plan m the case of work which requires a review and approval of plans. x ~Jv~ P'L App anCs Printed Name Applican signatuFe' Page 1 013 ~ DO NOT WRITE BELOW THIS LINE SUB TYPES /Foundation Fireplace Porch (3-Season) Storm Damage v Single e Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/GazebolPergola) _ Exterior Alteration (Multi) 01 of Plex Lower Level Pool Miscellaneous Accessory Building WORK TYPES _ New _ Interior Improvement Siding Demolish Building• _ Addition Move Building Reroof Demolish Interior _ Alteration _ Fire Repair ~7 Windows Demolish Foundation _ Replace _ Repair _ Egress Window _ Water Damage IN'r, Dek-rr.rr(c..C- ~ 5SW foefr~WfMpbW)molitionofentire building -givePCAhandouttoapplicant DESCRIPTION Valuation 7j Ooa °'D Occupancy !KL - 1 MCES System Plan Review ? Code Edition 2007 W,&C SAC Units (25%_ 100% Zoning 'R.-- ( City Water Census Code Stories Booster Pump # of Units t) Square Feet PRV # of 9uildings I Length Fire Sprinklers Type of Construction V6 Width REQUIRED INSPECTIONS _ Footings (New Building) Sheetrock _ Footings (Deck) Final / C.O. Required _ Footings (Addition) -7 Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: _ICe 8 Water _Final Pool: _Footings _Air/Gas Tests _Final ~ Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace: _Rough In _Air Test Final Windows ,7' Insulation _ Retaining Wall Meter Size: Reviewed By: Building Inspector RESIDENTIAL FEES SO ease Fee 3 • YO Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Z ~ • g Y70 2004 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Consbuction Reauirements RemodeVReoair Reauiremenis OKice Use OnIV 3 registered site surveys showing sq. ft of IoL sq. ft. of house; and all roofed areas 2 copies of plan CeR af 3uney Reod N (20%maximumlolwverageallowed) lsetofEnergyCalcuWtionsforheatedadd'Nons TreePresPlanRecd`,-' _Y _N, 2 mpies of plan showing beam 8 vrindow sizes; poured found desgn, etc. 1 sRe survey for additions 8 decks Tree Pres RequQed _ Y_ N isetofEneigyCalaWtions Addifion - ind'aateifon-sitesepticsysfem OnsiteSepticSystem. 3 copies of Tree P2servaGon Plan if lot platted aher 711l93 Rim Joist Delail Options selection sheet (bidgs wAh 3 or leu units Date ~ l 2(o / O1 '\n Construction Cost Site Address ~3(0 (o l,t) j Unit/Ste # r.J / ~ Description of Work Viq I,~ c ~ CL' Multi-Family Bldg _ Y O Fireplace(s) _ 0 _ 2 PropertyOwner 'r~IW~ 1j,//v1541 Telephane#(4o'~) Contractor F I4 f' 14 Address ( City d State Zip ~ 3 7 Telephone #(~j COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category i Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calwlations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Coniractor Telephone # ( ~ Sewer/WaterContractor Telephone lUJ ~ ~VI ll li I U I hereby apply for a Residential Building Permit and acknowledge that the informat on is complete and acc rate; that the work will be in conformance with the ordinances and codes of the City o tate o MN Statutes; I understand this is not a pemut, but only an application for a permit, and work is not to start `wit out a pertnit; that the work wil] be in accordance with the appro ]an in e case of w r 'ch requires a review and approval of plans. 1 c. w W ~~V ~ C ApplicanYs Printed Name Applic Ys Sigtature 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.) ? 31 Exl. Afl - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OB-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitlon (Entlre Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation FIVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows Insulation _ 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 MECHANICAL (RESIDENTIAL) Permit Application City OfEagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 Please complute I'or. Single 1'amily Dwcllings 'Pownhomes and Condos when pcrmits are required tbr each unil Date ~ / _L~,_/ b3_ Si[eAddress 3C~,bY U Jyk]~~E= ?D {Z • Unit# Z Property Owner ~ i+ 6QL f q Telephone # ( L;57 ) Y71). p T-7 ! Contracror / t) LL ItClS 2 d--1 Street Address 2-1 ci3 ~ rLt? ~ City Statc ~ Z i p ,7J4J JTclephone # ) ~f S'~ • O q The Applicant is _ Owner <k~ Contractor _ Other Add-on, modification or alteration to existing dwelling unit $ 30A0 furnace replacement air exchanger air condit/io~ner / , ~other ~-1 '~t L- D I r 1- . I 1'_i ` I State Surcharge ry1AY O 1 2003 $ s~~ Total gy $5?~J~ 1 hereby apply for a Residential Mechanical Permit and acknowledge that the information is completc and accurate: that the woik N\rill be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I imderstand this is nod ;i permit, bu[ only an application for a permit, and work is not to start without a r it; that the work will be in accordance wiih ihc approved plan in the case of work which requires a review and approval of pla =n LJ Applicant's Printed Name , ' n s Ignature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Pleaze complete for: commercial/industrial buildings multi-family buildings when separate permits arc not requimd (or each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Previous Tenant Name ' Yroperty ilwner Teiepnone 9 ( ) Contractar Street Address , City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: ` Permit Fee $50.50 Minimum Fee (includes Smte Surcharge) ContraclValue $ x 1% _ $ Pemti[Fee • If pemtit fee is $1,000 or less, add $.50 ~ $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pemvt Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in wnformance with the ordinances and codes o( [he City of Eagan and with the Mechanical Codes; tha[ I understand this is not a pernvt, 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. Applicant's Printed Name Applicant's Signature Approved By: , Inspec[or Date: - - - - -------~'l SURVEYOR'S CERTIFICATE JEFF GUSTAFSON N67°47'44"W 87.00 ~ ;1 o) ~ , 5[ ORAINAGE 8 UrIUTY 1" ~ 5 EASEMfNT P£R PL47 O I ~ • I O , o LOT 4 I ~ J vi, 913.1, 9 yo1s19cs.>> _ 30.0 /~w op ~38.00 • \ ~9iir I v 1„ V \ ~.J (p 7.33 \PRO\ D ~ 'D ~ ~-1 O b O HOUSE N° - o~\ ~ N ~ o N p ~ GAR M 23.6 PV {I/ ~ ( ~s.7 N I 21.66 L' - 30.00 , ~1 .'6¢ ,9oeZ > n 3 O 5~ o¢ ~ 5 O o 899.8~- : ' N 67°47'44"W 87.00 - yD1A ~os.Y~~fr Mroa~aT m a99.? O M 9o1s WINDTREE DRIVE ' 899.3 -e-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET -SCALE: 1]NCH FEET • DEPIOTES IRON MONUPIENT fOUND PROPOSED GARAGE FLOOR =904•o FEET X000.0 DEPlOTES EXISTING ELEVAT]ON PROPOSED LOI+IEST FLOOR = 296.3 FEET (000.0) DEtlOTES PROPOSED ELEUATION PROPOSED TOP OF BLOCK = 9oq,3 FEET I HEREBY CERTIFY TO JEFF fI;STAFSON THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TNE BOUNDARIES OF: Lot 4, Block 2, WINDTREE 3RD ACDITION, accordina to the recorded plat thereof, Dakota County, F?innesota AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS 3RD DAY OF MAY 1984. SIGNED: JAHES R. HILL, INC. • i j ~ R. BY: ~i---- HAROLD C. PETERSON, LAND SURVEYOR MINPIESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE JqMES R. HILL, INC. 84693 79/ 27 Planners / Engineers / Surveyors FILE NO. 8200.Humboldt Arenu• 6oulA FOLDER Bbominplon,Mm. 55431 612-884-3029 . ~ : , , • rye. , - £XTEnInR E:dVELO?E AVx'R„Gc ^u^ ccHPurnTZON Ci.::ER Li 7~ L3= ~iGh) v /-~~90G, , l 7 cJ SITE tu7^•F_55 PPl 147 DATEgf:Ii~IQ PY.Otv?' - ~'7TRACTdR_ ~ Determine workina souaze footaqe o''each. 1. Total exxsed •»all area ......sa. ft. x~ _2. Total roof/ceiling area 3 4g[j FjCil~sq. ft. 53 T , 026 A. Total wa_1 •.:indcw area U B. Total door area J ~ C. Total sliding olass d;or area ....................40 D. Total fi:eolace wall area - E. Total w•ztl framiny area (avecac_ 125)_L Y......_.7-W-~j-~- ;otal Rim joist area -__-~-/`-~i~--- G. Total C7e* r•all area above :icor................. y Total ex*r,osed founda:ion ar=a - H. Total foundLtion c:irdo•a area I. Total r.e:. iounr,azion area above crade........... ~ . - . Deterriae "U" c-alue o: eacn :.a1i a,x °u,l , yrp = _~.~m b. x ^U" I'7~_= •2 . `'*0 x d. X "U" e. 40 0 X"U" o o f. X -U-, 04 = o~ g. h~,~ X . ~ 4 -fa~•¢p ' h. - x ^u" - i. x "u" ~ 3 ...................................Tota1 ? . If item 93 is the same as, or less than iteT. #1, you ha•:e :r.et the intent of ssc 6006(c)2. Total exgosed rooE/ceiling area j. Total skyliaht area k. Total roof/ceilir.g frsmi.nc a:ea (average 10e)...... 1. Total net insulated zoof/ceiling area D°ternine "U" value for each roof/ceilinc segment. j _ X U. X "U" , o L x ^o^ 4..................................... iotal = ~Fc~ Zv• T X If total of #4 is the sam= as, or less than #2, you have ret `iie intent of 53C 5005(c)i. Alternat_ Building Er.velope Design • To u`.i;_z_ the total errveloce system methoc, the -alvPS ^_~taulished sua oc 43 a^.d ,5 s.`ia11 not be greater than thz sum o_° -.1 and 42. + •=~T`r~z~---~--7f r 433.27 . 3. : ZSo. ZZ f 4. 2~. 4 8" = 2 ~ 8~. 7 O ~ , . . ilALl FRAHING SECTIOy: 1 Interior air film ~•F+~g -,~~,i > r.c,:! ^OG - - • 45, 12 ~ j inches SoFt wood p7 ~ 4 2si37 ' % G<(;:.»L : O Exterior air rilm 0.17 . ~ TOTnL R = ! ; 1-7 U = 1/R = . r n IIALL SECTION (INSULaTED) ~1 In.erior air `iim n.^.A I 2 _ G-- - (3 ~ ,'1 = ~ ~ i ~ T!^`,~ I J_ ~ I n t'XCBfIIOf dif 1-I iRt ' i/ TOiAL R U = 1/R = fx . ~ RIH JOIST SECTIOtI: ,I !nt=rior 2if fflr,l Z 31'- , ~y~, ;b c:<[erior air riil-I ~-~-~'~-1 ~ TQT:1l .2 u 1 ~i~' ,~~,~•1 ncr;eArict: sErricri: , a Incerior a i r 'i 1i-ii _ =3 ~~i.~'~ • ~Z ' _ s, • ~~e s - ~ . 3 ~IJf dlf :11~ _ ~.17 ~I'^~~ s• y.• ~3':~ ~ ~5 - - '~~.jS•~,_~I/. ~ t`' 7pTAl , U = I/R = • " 7 SLAR ON :;,3AOE ~ . 1,,-. ,'V,• ~L.. .~1 1 „-Q , a ,r, ~ , ~ S , ~ --~j_~G q a ~ ;l{- t ~ , , ' ; Q ' ; . - . ' ~ '.'Q • t ~ ~ . d a G d , ` -~;',,,q!//~~~',~~~,-,~,~~`,'~'~ ' cl ~.1 , d . ' ' ' ' " • . ' 4,j. , . ~ . ~ , -a ~ ~ . ' ' ' • . _S . .i ~ `,~4 . ~ • ~ . ~ ~ . Q . • . j~ , F~/~~ I~ ~ A ~ , ~ • J' ~ / • . V ' . ~ti } ~ . . . ' , - , ~ ~ ' . ~ ' • : ~ ~ . r-.'-r ~ , . . ~ : . ,J,,: ti t7 iLi;ir ilr;sUL,r,i=ol ' ~ - • . • ` ~ I Inter;or ?ir ~ i lr. f1.4'i ' \ z t 3 ~ It Cxtcrior air `it~~ ~tti111 n.^i ~ r~~`:J TOTAL P, = 7 / V U= 1/ P CEILING FA,AHI`!G SECi10"!: - 1 Interior air fiin l1.F1 2 AIR VENTED c; li Interior air `iln ,siill r,.,1. I FLOW S r i nches softweod TGTAL R = U = 1 / R = • CEILING SECT10„ (INSULP.TED): 1' In[efior zir `iln z - 3 - fi Fx.erior air film !<ti11~ ~ / ~ +OTAL f, ll = IIP, (DJ L02 L03 -^T 5 CE I L I „,I~ r S~ ~rTIoN: ~ FRA,.~„ _ 1 Interior air rilr., VENTED z 3 4 Exterior air riln Is;ill 1. 1 S i nches sor ; o-:oon TUTAL R = U = 1%° _ 3 4 5 r,~i. ' ' 1 Inside air film n.~l 2 5~~/k I j~ 5 OutSioe air (iln i 2 T07nL P. _ ~y~`- 1,- ,iP= ~ ~ . , CJ.V fJP 'rnCV . . CAS!-IIEF: 1$ TERi'IIPlAL NO^ 770 LATE.P 03/01/33 TLt1c: 12:33e18 IU; ; NANE; AZTEC FOOFInG C. CDNSTFCCTION 3210 9001 3932 STDKEPL'C U i8i..25 2155 9J01 3332 STONcbDG D 5,00 32i0 7001 4762 P'FIITE OA'"( 181.2.°i 2i55 91701 4762 XHTTE OAK 5.L'7 s210 9001 3664 wtNnrr,EE B 125.25 21:,5 2011 36t4 4lINP1'FfE: L 3.03 3210 300+_ 1546 RL':HwI4; LK 321.25 055 3J01. 15f-, RLI:;i,h, LI' 10.07 3210 9001 860 SUDRERRY LN 111.25 2155 9031 840 SUDIERF,Y '_N 2 50 c30037 42 r.or:-:NY use.e iL : aan r,;,z coNi *nvE C("NTIKUF CITV UF EAGAI' CACh'IER: 35 TS~IiItQf'_ N0: 770 DA'f':: 09/0033 T7V0 12:3903 ID: NP.^1E^ AZTEC FOOFIP!G C CONSTfiUCTTON 320 9001 732 SADL ;lU UF 0305 205 9001 732 5FlDL HTi DR 4.00 1 i Tutal Ficce:i.p~t Amnun+,: i.gD'3.00 CR'.I.1625i LISFR 7D: JAN I 00r<10*>X0*;k0001#0140 ,qqk OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation O 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-piex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) Q 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review ` License , MC/ES SAC . City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC 1999 BUILDING pMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN ~ J U 3830 PILOT KNOB RD - 55122 651-681-4675 New Consfruction Reaulremenh Remodet/Reoalr ReauIremeMs ? 3 regfstered sHe suneys showing sq. H. of lol, sq. R. of house 2 coples ot plcn and all rooled areas f20% maximum lof coveraae allowed) 7 set of energy calculalions for heafed addNlons ? 2 copfes of plans (show 6eam 3 window sizes; poured Ind. deslgn; efc.) 1 ske survey for ezterlor addHlons 6 decW ? 7 sef of energy calculaflons ? 3 copies o} hee preservafion plan B lot plaMed afler 7/1/93 DATE: ~n7,49F CONSTRUCTION COST: DESCRIPTION OF WORK: ~Y o SiREET ADDRE55: C36110 LOT: BLOCK: SUBD./P.I.D. Name: 9;~~ !'[r'(1'j Phone Ik: PROPERTY -kast Ftrst OWNER Streei Address: ~-3&~ City _C)' State: Zip: Company: ~ ~Z0 x Phone 4).~. 025 (area code) CONTRACTOR Street Address: L(cense #"a~Fxp' Zip: SS 33~ ciry r-J-,sState: zm. ARCHITECT/ ENGINEER Company: Name: ~ Telephone area code ( ) ~ Streel Address: Regishation M: City State: Zip: Sewer 3 water Ilcensed plumber (reaulred for new conshuctlon onlv): Penalty applles when address change and lot change is requested once permM Is Issued. I hereby acknowledge fhat I have read thls applicatlon, state thaf the informatlon Is correct, and agree to comply wRh all applicabl State of Minnesota Stotutes and Gffy of Eagan Ordinances. Signature of Applican"~~ V OFFICE USE ONLY Certificates of Survey Received _ Yes _ No r~ Tree Presenration Plan Received _ Yes _ No _ Not Required I CITY USE ONLY L ~ BL ~ RECEIPT ~ SUBD. DATE: . 1996 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD ZD1d0 EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit FIXTURES EACJi NQ, TOTAL Shower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot TubLSjaa 3.00 x = ater Heater 3.00 x = 3.00 x = Gas Piping Outlet ` minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener 5.00 x = Private Disposal * Dakota Cty, license 50.00 = (new and refurbished systems) U.G. Sprinkler' home under const. 3.00 = Alterations " to existing 20.00 = ~OO Water Turn Around 20.00 ~ STATE SURCHARGE .50 TOTAL SITE ADDRESS: RE i Tz sR i Rn ~ 3664 WINDTREE DRIVE EflGAN , 55123 OWNER NAME: H w 6e3-50e2 J INSTALLER NAME: ~ORBC PLUMBINO C0. (812~ 827-4033 STREET ADDRESS: 2605 oaRFi LD nve. sourH CITY: STATE: ZIP: PHONE ( ) 2LZ/ m7 OFFICE USE ONLY L BL RECEIPT SUBD. DATE: 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: w all commercial/industrial buildings. p multi-family buildings when separate permits are = required for each dweiling unit. ' naTF: CnNTRACT PRICE:-__.- WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING: WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NC. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of permit fee due on all pertnits. CONTRACT PRICE x 1% STATE SURCHARGE TGTi,L SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: C" " 'f" 't .J. 1 ~ ~ J•YI_lY 1V ~ . . ADDRESS: • ' " " CI7y; STATE: ZIP: PHONE SIGNATURE: APPLICANT OFFICE USE ONLY METER SIZE: " DATE: INSPECTOR: 1 ?/ac} CITY OF EAGAN / APPLICATIOPI FOR PEItMIT SES•Ic.R AND/OR WATER CONNECTIODi (PLE,ISE PRI4T) PROp~Y ADoPZSs: C~ i i`,J rFrAL DESCRIPT.cN: L 0 T. & Co GrC 2 Gu ,',)D 7_1(r F .3 ii.or~zlocx/SUxt~nsicn or Ta{ Parcei l.D. ~ilIIiz2r) / i: E;IE='_`:G S:^.-.L'=Tcc. Dh'I`.' G_° CRIG; :AL EiiIi.DL';G ?=.12:, ?ca:::~: ~r- • ~ F.~Ts',_ iSz: pf R--- S::,:G'iE iP?1.I?,Y ? R-2 GU?={ (?;:'p LNITS) ? R-3 TGtv7NHCt?SE ('I'~~2r:c, + U?IITS) ( t],Ir^c) ~ '-a Ap?.RT"-''•'"/CC`:i,C:,?''ilti.l ( U~iITSi ? CQ`.Tj=Crl,/RETr1ZL?/OF't'SCti ? ri~'DUSi?.L~i, ? INSTIZLTIO.'AL/Gv~'~:\ 2) tiPPLT_C_:T (PLE;.se Petsr) N~•E= TAFSa/J Q~L oCixl7lS PJDRESS: f/0 AS GJ CIT:, ZIi: 7-q5 PHoNE: 1/ ~.2- 3) pL".:.SE PRiNfJ rN•12: FOR CITY USE 091Y ADDaESs: ^J PLUMBERS LICE45E: ~ ~ A[tive CITY, STATE, ZIP; Expired ~ No ec d PHONE:/ 97~ --..~~~(7 PLUMBER IICENSE Il_ z2J - AIo2/ arr iSF--""ni[iai 4) OCCIJPpA7T/Or,$F_-R (PLEASE PR1Nf) ;~c o t•' V A S Sd c~ l~ T~ c AwoREss: yc o /s' c~ . 6 '5- TN ~ czr1r. STAT'E, ziP: /0/`,? S5`/a 3 PHoNE: 19- .2 7 5) INDIC,TG ldHlCii PEF.`•LiT IS HEI.:G REQUEST.r.D: ~ CC.^1ECPZON 'Io CITY SE;lER ~ CC`iV'ECTICN 'IC) CITY [Nr'1TER " ? GT= (PLE'15E DEyCi%SEE) 6) f:DZGl = C:LL,: ? c'I.: ,SE f:OLD i1P?.4Wp PER~LIT :'OR PICK-UP BY O.,'E OF ABOVE /~,S E ~E MAIL APPR(ri'D PEF-'LIT'Iq 1, 2,(D 4 ABO'JE (Circle cne) 7) SIC~. . D;,T'E: ~ EI:w~~A ~ i ! ~:t~s ~ ~ s:~s:a ~ O s r:~s:a ~ ! r ~:1~:~ s a s s s ssaa• e FOR C I T Y U S E ON LY PERMIT ' ISSUED FrES: $ C`:'rLL: ER. :r7) $ IdhTG? PcRf1T_T (Ii':CL'uDE SURCi::,?GE) $°-e) WATER METER/COPPERHORN/OUTSI;E Rc.ADE3 $ 4ti'r.T°3 TAP ( ItCi.iiDE COR?03AT=C\ SiC? ) $ SE:•iE3 _.=.P $ FCCOUi T DEPOSIT - Sc.':iE.°. $ ACCOUNT DE?OSTT - []nT~3 $ WAC $ SHC $ T.°.UD:K D:t1T°3 .1SS=S5[-lF.::'i' $ TFu?I?: SEi•IER ASSESS?+.Ei:T $ LNTE°aL BE:IEFIT/T.°.UVK SEi•:ER $ LATERAL BEP]EFIT/TDli:'-K Sd,?TER $ OT?-? E R $ TOTAL r-D S- $ P.MOU:1T PAID/RECEZPT DOES UTILITY CONP7ECTI0N REQUIRE EXC:;VATZON ZN PUBLIC RIG!3T OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROAD47AY" h1UST BE ISSUED BY THE F_;;l NO ENGINEERIPIG DIVISION. LIST AS A CONDI- TION. SUIIJECT TO TEIE FOLiO!dZNG CONDITIOidS: APPROVED BY: c:::Y e-!j TZTLE: .~l7 41557 e_ll~ DaTr: -9 - ~ 540 mm NE I I I I L C PLAT DRAWING f /11L•N . 06899 ~ Insp. Date: 4/3/00 Insp. By: PCT 'roperly Address: 3664 WINDTREE DRIVE, EAGAN , ~Buyer: HAUGH - N Legal: LOT 4, BLOCK 2, WINDTREE 3RD ADDITION This Plat Draring is not intended to be used as a survey entl shouid nof be relied upon as such. The lot Aimenslons flre taken from the recordad plet or the county records and flre assumed to be accurete. The location of the improvements shown on this drawinp are appro:imate end ere besed uDOn e visual inspectlon of the premises. A Iicensed surveyor ahould be contacted if en eccurete survey is desired. This plet drawinp does not constitute a IiaDllity of the company and is intended for use by the comDany only. 1" = 30' ^ rp. 8~00. \p / / l S T wQ l ~OU FRAM Y ?8 0 Gq~AGF ~ 3e O ~ /S• ~ BjOp• lp. I onlnep~ .oe V UIWry E~omenls / City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3664 Windtree Dr Lot: 4 Block: 2 Addition: Windtree 3rd PID:10- 84472 - 040 -02 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Fumace & Air Conditioner Comments: Questions regarding electrical perm 952- 445 -2840. Fee Summary: Contractor: Haley Comfort Systems 122 West 3rd St Hastings MN 55033 (651) 437 -0338 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - Permit Type: Permit Number: Date Issued: Permit Category: equirements should be directed to Mark Anderson, State Electrical Inspector, Owner: Michael J Haugh 3664 Windtree Dr Eagan MN 55123 $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 EA084103 07/09/2008 ePermit Use BLUE or BLACK Ink � r————————————————� . I For Office Use � ' � Permit#: ! � �� I Clty of �� -- � - �,�---- � � Permit Fee: �� 3830 Pilot Knob Road I I Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 � Staff: I I I -----------------� 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � 2'�C� Site Address: ��+ �i (✓�✓2��Z� 1��- Unit#: . �� k j� � / j . ' . ��R �� Name: •�P ` l7 v(d'►�� Phone: '�'�� / �dt _ -P�', l�-�� ` y�� ; �7�� W `"� y �� Address/City/Zip: ��s�� ; ��t �� ; Applicant is: Owner Contractor �,,. / (�/,� � � = Description of work: �ed'�(`�� / �L�'�+C�� T��'�� ; ��: �� ,: „ � Construction Cost: � �v Multi-Family Building: (Yes /No� � ,�� z j�j� /�/ •- � / --� �} ,�. -`r�� Company: / l�d�c�c �e.�d�p /r.-.� Contact: �6��C_��-- � � � ; �� ` /j�1 _/ / �'� � �� Address:� 2��i��v.,c/Vr�% City: f �f�(b�i`�'rli//� � �� ; � '�� State: /'hN Zip: �� Phone: 5"�S�C��J`'7 S Email:..�n�vQL��c��y^e.��.c/�y. , r � ��ti ; � �� License#: [�2��,��'S`�� Lead Certificate#: If the project is exempt from lead certification, please explain why: �:L f- �� g a 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 1f yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: l �� rad�r�,��ar�i�,� �r��s t� .: � b ��sia�`��a[t��rbC�c�a�o � ��rt�t�rt �t' # rr��t+�+��ss� c�t� �� nr��h��`�� i��e�� 3� �� .#L - a� �, � � � °:�°w �s : ` .�3 E � .� �,C��.. ��r`��_. ,,p �iil�r� i��.., �':y �: � �,,.,,� / ,. ., ,...n .�.. - . .. ... . ,. ...� - , -,r, , „� ,,.,.,,,,: - � � . ,. ... <,- , ......:.... �, „ ... . ..:... .... /,.., . �n�� 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 Minnesota State Building Code must be completed within 180 days of permit issuance. ,, x l��'�� x � � � ApplicanYs Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA141885 Date Issued:04/04/2017 Permit Category:ePermit Site Address: 3664 Windtree Dr Lot:004 Block: 002 Addition: Windtree 3rd PID:10-84472-02-040 Use: Description: Sub Type:Siding & Windows/Doors Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of house wrap and leave on site for final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 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 - Cory M Johnson 3664 Windtree Dr Eagan MN 55123 1st Choice Remodeling Llc 7482 Large Ave NE Albertville MN 55301 (763) 515-6095 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA151069 Date Issued:08/07/2018 Permit Category:ePermit Site Address: 3664 Windtree Dr Lot:004 Block: 002 Addition: Windtree 3rd PID:10-84472-02-040 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Cory M Johnson 3664 Windtree Dr Eagan MN 55123 (612) 234-2679 T. Dunham Construction 831 Ventnor Ave Eagan MN 55123 (612) 819-0480 Applicant/Permitee: Signature Issued By: Signature