3676 Windtree Dr•
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #:
Permit Fee:
Date Received:
Staff:
/c/ 7
00
1 1 2011
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: 3 676 f (1 di / b -Ca7.?
Tenant: Suite #:
RESIDENT/OWNER
Name: M4 -j-# grUie t Phone: eS/ae9 oty
N
Address I City / Zip: G-7 6 .�� � ANL. Ai rJ SfiZS
CONTRACTOR
Name: MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50Th ST EAST City, INUER GROVE HGTS.
State: MN Zip: 55077.Phone: 651 :.451.-2241
Contact: BILL MILBERT Email:
TYPE OF WORK_
New Space irf,R.O.W.
replacement _Repair _Rebuild _Modify _Work
Descri .tion o work:
PERMIT TYPE
•Septic
RESIDENTIAL
Water Softener
Water Heater
Add Plumbing Fixtures L__Main / _ Lower Level)
Lawn irrigation ( RPZ / PVB)
_
Water Turnaround
System
New
Abandonment
I
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
"Nater Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add. $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities.• www.000herstateonecall.org
•
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinanc= 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 w' a perm ; that the work will be in
a • • - - ; t a approved I in the case of work which requires a review and approval of plans.
.- //' *
t Age eLfAlefOrA
App i~ant'- Printed Na a Applicant's Signatur
CITY OF EAGAN SEWER SERVICF~PqMIT
3830 Pilot ICnob Road pE~IT NO.:
P. O. Box 2 v 199 ~
Eagan, MN 551 W1 D^TE:
~ Zoninp: 0o a e re No. of Units:
~ Owner:
' Address: 3616 n ree r ve n ree r
~ Site Addross: C u @s lmt ng D• 425
Plumber . p
I' 1g~ to eo~* wiM eiw Ci1r oi u~w Connection Cho?qe: .44 pd
p
/lccount Depo:if:
OralMna~.
, .
Permlt Faa:
Surchorpe:
BY Misc. CFwroas:
Dote of Insp.: Totol:
Date Poid:
F _ .
CITY OF EAGAN 11NATER SERVICE PERMIT
3830 Pilot Knob Road ' 7
PERMIT NO.: Y ~
P. O. Box 21199 D,,TE:
Eagan, MN 55121 1
Zoninfl: I`I No. af Units:
owror: Wooddale Aldre
Add`en' 3676 windtree Drive LS E2 Windtree 3rd
Site AMfew:
Schulties Flumbing ccl
Plumbar. 470.00 d
Meter No.: Connection Chwrye: r
Sizs: /ltaount Deposit: p
Permit Fee: r
R~~r No.: Surcharge: ~
' I yme !o aow?ply M'I& IM C*f? oflogO° 63 . 00 pri meter
Misc. Cl~aroes:
onaTotal:
Date Paid:
8y Insp.:
Date of Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road i
P. O. Box 21199 • PERMIT NO.: _ 7
Eagan, MN 55121 DATE:
~ ~
Zoninq: r~l No. of Units: 1 I
Owner. Wooddale pBl.drs
e :
/~1~rQSS. ~ 5lte Address, '`'xee x' ve L5 B2 Tr]indtree 3rd '
umber. o`~'"'aY .1~5tt'1~f ti'
' l.r'o . 47~.00 pd
Meter :b~~d~ ~ • Connectfon Charpe: 15 . 00
?d
Size: ,'.,'/ccount Depostt: l l) .00 pd
Reoder ..'t Permit Fee: .50 pd, I
1sorM to Oomolf? wilb tlw C•ity of EMqe¦ Surcharge: Ordiwa Misc. Charges: 63 • 00 d meter
~
2Y:4 p Total:
By Date Paid:
Date of I nsp.: I^sp^ I
77
CASH RECEIPT ~
• ~ CITY OF EAGAN
~ P. o. eox s,-,ss i
EAGAN, MINNESOTA 55121
~ DATE
ptC FI^~
AMOUNT
.
i
i
A DOLLARS
i~a !
~ E]CASH ~ CMECK
I
I
FVND CODt AMOUNT
i __`•/J
~
i'
Thank You
a Y . ~
VYhite-PaYe?s CoPY ~
Yellow-Postinp Copy ;
Pink-File Copy ~
- - - - - I
. ' . . . ! r . . , . . .
CITY OF EAGAN „
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 • • i- Q-
J
~
BUILDING PRMIT PHONE: 454-8100 Receipt #
Tobe used forJ 3-$SA.SON PGRCH Est. Value =7,000 Date MAY 199,_
Y
Site Address 2676 YI~tDTQR1t DQ
LOt 3- BIOCk 2_ SeCJSub. ~ 9oD OFFICE USE ONLY
Parcel No. Oaupancy J&--3 FEES
2°"'"g -
a Name RANDAILL JOlIBS . .r-
w lAcluaq Const _ 81dg. Permit
o Address 3676 1rI~~? DQ (aiowabie) - Surcnar~ 3.30
City ~h Phone +r oi swries
Length lki Plan Review
o Name LIlEStYI.t NOM oW?, 141 snc, ciry
Address 987 S?RA'!liQgD ap S.F. Total - SAC. Mcwcc
City 222100'rA M'!'S Phone 434-7a66 S.F. Footprints -
On Site Sewage - Water Conn
yVj W Name a, site wen - we?er n+eter
s Z Address Mwcc sysierT,
City Phone cirywacer _ AO`"' DeP°"'t
PRV Required _ S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump _ SIW Surcharge
intortnation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVALS Road Unit
A Building PeRnit is issued to: LIrZSTYLR HCM Plan"er - Park Ded.
on the express condition that all work shall be done in accordance with all Counal
applicable State of Minnesota Statutes and City o1 Eagan Ordinances. g~, pry. _ Copies i• ~
Building Official Vanarice - TOTAL 95'00
_ ,
Pa rn~N No. Pormit FbIdK Dtls TohphorK #
WATER
SEWER
PUlM9MKi ~
H.V.A.C.
E.LECTRIC
Iapeeqon Date kap. ComrtWes
Footings I
Foundation
F"wnwrig s /y l ~S
Roofny
Rouph Plbg.
FiaqA FIe9.
tsul.
Fueplaoe
Final Htg-
Of5ffiI Te51
Final Pmp. Plbg. Inspeda - No* Plumber
Const. Meler
ErgrJPlan (j) • -j( ;
Bldp. Finel 1001>
Deck Flp.
DeClt Final
WeN
Pr. Disp.
CITY OF EAGAN
, 3830 Pilot Knob Road, P.O. Box 21•199, Epan, MN 55121 Nd 967
PHONE: 454-8100
eUILDING PERMIT Receipt
; r• DW (~/GAR s103, 000 NAY 17 84
To M weA fa Est, Volus Date 19
SiteAd 3676 YdIId7TREF DF Eroct X R
? Occupancy
Lot Block.~SQGL,S_k~.S _ , , ` /11ter ? Zoninp
Percel No. 4~~ ~ Rtpolr ? Firo Zona
Enlor~ps p Type of Const.
aWc Name & RANDALL F~ Move ? # Storles
50
~ Address J CA("U JIZ/35B-46 . DemoRsh p Length_3T
City Phone Grode ? Depth Sq. : t.
E . APKoreb ENs
Name o . 5 0
~I_ Addre" BRTe Asseument Pennit ~ 51 - 50
u City,i ~ Phone Water b Sew. Surcharye ----7_~. 2,
Police Plon check
G„W Name Fin SAC C 0 -10
s~ Address Enp. Water Conn. • 0 0
u -677
c W City Phone plonnsr Wcter Meter ~ G
Council Road Unit
1 hereby ocknowledpe thot I haw rood this application ond stote that gl .Off.
the intormotion is correct end ogree to comply with oll opplicable Total , 6 3 (J. 75
Stntt of Minnesoto Stotutes and City of Eagon Ordinances. APC Sfynotum of Permittes 1A t, ~ ' I NC
A Buildirg Permit Is issued to: on the express tonditlon thai ,
oli work sholl be dons in acaor v#th 'pll opplioobl~ $tote oE~ Minnesota 5totutes ond City of Eoqon Ordinonces.
Bulldinq Offtcial .!E' t-~-'", -
. /
Pwmit No. Pwmk Holder Muc. Pamit No. HoIdK
Pwy~ 3 5 I(d
H.v.n.c. e C,
~ w.n
o+.~.
s.,~..
El io 05~So~- Giz~. ( ~Y 0.50
ito.e~on D.n in~. otn«
Footin~
Foundatlon
FnmWp
Rouyh Plh* ./g LJ
Rouyb HVA • ~ . '
Imulrtion - ~
FiMI PIAg.
Final HVAC "
~
Find ,1
.ec
YYatar Dav" Loeation:
IW11
Somr
Pr. Dhp.
Receipt oPLUMBING PERMIT Permit No. ~ I 7 3
CITY OF EAGAN Fee 20,00
" Fill in numbered spaces S/C .54
Typa or Print legiW y Tot. 20. 5 U f
1. Date o/7fti~ 2.InstallationCost_Ls000.ou I
tJ • ~ c c
3. Job Address _~7b WINDT:t;sc: Lpt ~ Blk. Tract
4. Owner wi30LL~11~ ulilLl3'r,;tiS
5. Contractar SC1iliLTIr.S PUjr1bLk Lri;.Phone 700-4(YJ7
6. Address t33,~~ Sur:~-,-:i iti,_ c;~y. SP.La. Pn_~ iiix_ ~2~,lL32
7. City State Zip
8. Building 7ype: Residential CI Commercial O Institutional El
9. Work DescriPtion: New M Add ? Alter ? Repair ?
10. Describe w001J !''tUl~lc
11. No, Fixtures No. Fixtures
- Water Closet Cesspool/Drainfield
Bath tubs Septic Tank
-Lavatory Softner
Shower Well
Kitchen Sink
UrinallBidet Other
1 Laundry Tray
Floor Orains
Drinking Ftn.
Slop Sink
~ Gas Piping Outlets
12. I hereby cenify that the above information is true and correct, and I agree to
comply with all.ordinances and codes~g vgrning this type of work.
Signed : for
Rough Final
Inspection4: Date Insp. Oate 1nsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fse ~
Fill in numbered spaces S/C ~
Type or Print /egibJy Tot. r'~•
1. Date 2, Installation Cost
3 C; 7H
3. Job Address.'JiNU TKEE /~i' Lot Tract
4. Owner
5. Contractor )11!17f-1 H/6 r/yC' Phone y71;? -i7o~v
6. Address / ( 3GX vi- S
~
7. Citv /)J ltj'1I14) State ~R/ V Zip J5 3~'y
8. Building Type: Residential ~ Commercial O Institutional ?
9. Work Description: New ~ Add O AltercC) Repair ?
10. Describe i 1` 1~ ~ Fuel TYpe 114
11. No, Equinment STU - M. Ea. No. Equiament CFM
~ Forced Air Air Handling:
Mfg.
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
, Air Cond.
' Mfg.
! Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all.,ojdinances and co ~,o ing this type of work.
Signed
. , for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
~ • CASH RECEIPT ~
CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 65121
DATE 19
`
REC<IVCO ' .
FROM
AMOUNT $ V~ ~ ~ ~I I ~ J
IO g (Y 7 Zd "UJ M ~ ec OpLLARB
ioo
? CASH D' ` CHEClC
2
~
FUND COOR RMOUNT
~
7
7J
Than. ou~
BY j
White-Peyers CaPY
Yellow-Posting Copy
Pink-File fApy
CITY OF EAGAN Remarks
Addition-_ WINDTREE 3RD ADDITION Lot 5 Rik 2 Parcel %Q '414r!7a 054 02
Qwner screet 3676 Windtree Drive scate
fmprovement Date Amount Annual Years a Payment Receipt Date
STREETSURF. 3 1975 161.30 16.13 10
STREET RESTOR. 1954 2315.25 463.05 5 09 06 8-13-84
GRADING 744 1983 613.25 122,65 5 367.95 C009306 8-13-84 SAN SEW TRUNK 1971 160.46 8.02 20 48.18 C009306 8-13-84
SEWERLATERAL gLy 1983 3256.80 651.36 5
8- -84
Sewer Lat Trk 1983 188.16 37.63 5 112.90 C009306 8-13-84
WATERMAIN qk6 1983 260.34 52.07 5 156.22 C009306 8-13-84
WATER LATERAL
WATER AREA 157 1972 236.39 11.82 20
8- 4
STORMSEW TRK 170 1983 771.36 154.27 5 462.82 C009306 8-13-84
STORM SEW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 260.00 #43338 5-17-84
WATER CONN. 470.00 11 r~
9UILDING PER. #9077 +i ~i
rr
SAC 525-00
PAR K
CITY OF EAGAN
- LPFICE' INFORMATION MEMO
TO DATE TIME
L4e4r4 ? lze~ S
FROM OF
J~K Lj
PHONE NO. RECEIVEDBV
Was here to sae you WIIl call agaln
PleaSe tall Returnetl youf <Ac4
ACTION REMARKS/MESSAGES
Review anA see me Ravlew anE comment I PraOare reply for my 5ig.
Reply anG SenE me copy
For your aPproval
For your Informa[lon .
FOr Signature
AS W8 tlI5CU55Btl
A5 You requestetl
Take aPCroprlate action s I
f
Notlfy staff ~
FILE 1:1 DISPOSE ~ OVERI I
PHOTOCOPV: '
ONE SIDE ONLV COLLATE
NO.OF COPIES H HEAD TO MEAD STAVLE
DATE NEEDED HEAD TO f00T (Other)
TVPING:
ROVGHDFAFT RUSM
DATENEEDED ~ SINGLESPACE FINALCOPV
DOUBLE SPACE CARBONS-
d /If/ 5/ io1~3a a'
~4 5222/_,~ p00
Reqoe9 Dale Fire No Rough-m Inspeclion
ReqmreG9 ? ReaOy Now L~1Mll Inspector
-13- p-Wr ? NO WM1en qaetlyi
I"ensed contractor ? owner hereby request inspection of above electrical work at:
Job AEtlress (Sireet. 6ox or Roule No ) Py
t-0-1 b ; ,d Gn
ISecakur No. Township Name or No. Range No Counry
Occ.panl(PRIIJr) Phone No.
' ~ ~ - `I lo
Power Supplier Mtlress 1~7T O~q
O J lVwr'm:
EIxV¢al Convactor (COmpany Name) taC) ctor5 LKense No.
L
MaAing AOtlress IConirector or Owner Making InslalleUOn1
, • rt M
nwnonz re iCO vactoriOwner a ianauon~ Pnone Number
MINNESOTA STATE BOARO OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlggs-MlEway BICp. - Room S17I BE AGCEPTED BY THE STATE BOARD
1821 Unlveraity Ave., SI. Pevl. MN 5510C UNLESS PFOPEF INSPECTION FEE IS
PMne (612) 6,12-0800 ENCLOSED
c~ REQUEST FOR ELECTRICAL INSPECTION ~;="°~q,
ur/8 ee-aoom-0e
/ ~ Sae inslmclions lor completinq IM1is lorm on back ol yellow copy ~ ~~J
~y -45 2 2 Z "X" Below Work Covered by This Request
ew Atld Rep-- -TypeofBwldmg AppOancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt Bwlding Dryer Other (Speafy)
Comm./Industnal Furnace
Farm Av Conditioner
Otner,~ (spea Comrl Remarks
« N po r~ ti
-Compute Inspecnon Fee Below:
A Other Fee M ServiceEntranceSize # CircwislFeeders Fee
Swimmmg Pool 0 t0 ZDO Amps- .0 0 to 100 Amps
Translormers Above 200 _ Amps Above 100 _ Amps
Slgns Inspxlors use only T,yO1TAL
Irriga4on Booms ~r(l
Speaal Inspecnon
Alarm/Communicanon THIS INSTALLATION MAY BE ORD DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecvical Inspector, hereby Rougn-in Date i ,r ct/
certdy that Ihe above inspection has F,oai oate
been made. L
OiFICE USE ONLV
This request va0 18 months fmm
E 67 11.~,.~ a
Reque9 Date I Q' ~ Fire No Rough-in InspoWOn
j O R~Yee' a ~eetlYN%+' ? W~en1ReatlN~lor
I~4-censed contrador ? owner hereby request inspection of above electrical work at:
Jo0 RGtlress (Street, Boa or Route No.) Cny
R6 Co bv1 .0 'iK(tQ, Drl~ l?Pf 6, l7
Seciqn No. TownsNp Nama or No Range No. Cqunry /C
Of} o-~
Occupant~PRINn Phone N.
J~14~1d
Power Supplier Mdress
Eleqncal Conlrectw (Compeny Neme) ConVxtorS Lianse No.
C,-/}C/ ixl6- CLuLC.-ilC~C /tiC. O`G7-.2(a)
Maihng Atltlress (Conlractor or Owner Making liula lion)
L/ 3 KiOC-k k,;l•vV !~w 2.2
Authorrzed ignal(COntra[br er ing I lalion) Ploneumber
N
MINNESOiA STATE BOAP OF ELECTHICIT' THIS INSPECTION REOUEST WILL NOT
Grlgga.Mltlway BIEg. - Raom S193 BE ACCEPTED BvTHE STATE BOARD
1B21 Unlvars0y Ava, St Poul, MN 55100 UNLESS PROPER INSPECTION FEE I$
Vhona (612) 662-08D0 ENCLOSED
l/3/gv REQUEST FOR ELECTRICAL INSPECTION ea-00001-07
1. See mslruclmns for complatinq this lorm on back ol yellow copy
E -6 7-5 11 • 'X° Below Work Covered by This Request
e Add Rep. TypeolBmlding AppliancesWued EqwpmentWired
Home Range Temporary Service
Duplez water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./InduS[rial Fumace
Farm ' Av Condihoner
Other (specty) Contrector5 Remarks
Campute Inspection Fee Below:
# Olher Fee k SernceEntranceSize Fee # Cimuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 1D0 _ Amps
Signs Inspector5 Use Onty TOTAL
Irngation Booms
Special Inspection
AIamUCommunication
O[her Fee
I, the Electrical Inspector, hereby RWgh-in oa~e
certify that the above inspection has Flnal oai
been made.
OFFICE USE ONLY
This request wi0 18 manths irom
This requast voitl M (40~ 51 ~(r
18 months irom
A ~ 53 8 0 2 Ls P~ p. ~,J , 3 '~f 5v ~
4e~ue~. Date Fire No. flouph-in Insoection y
RQq rteA, JoReatly Now VlWill Not ity, InsPec-
~ ~ - I--C~/ ~Yes ?No ~~tor When ReadY
Lice~sed Electncol Contrnctor I heresy request inspaction of above
Ownar alactricel work installed at:
Sveet Atldress, Box ar Houte No. Qrv I
_ 3 7~ ~/D %~'E .4
acLOn o. Township NamS or No. Range No. Cowity
OccYO ntIPFlINT~ Mone No.
Qs 63G- z3ss~
wer Su lie Atldress
e&- 2,0/)
Elect ical nvactor ICOmpany Na Comracmr's License No.
fiL
m0 dd (ConVacmr r Owner MakinB In ~eilauonl
z r ,a.lq .ia A~as 7/0 .ss- v3Z
Aut ed Si ature(C nVacmr Owner aking Ins[allation) hone Numbe=
2
MINNESOTq STATE BOAHD OF ELECTflICITY TMIS INSPECTION qEQUEST WILL NOT
GriBes•Midwev Bld9. - Noom N-191 BE ACCEPTED BY THE STA7f BOAND
1821 Univarsily Ave.. St. Peul, MN 56109 UNLE55 PNOPEN INSPECTION FEE IS
ENCLOSED.
o~,....o iatz1z9zztn
REQUEST FOR ELECTRICAL INSPECTION Es-ooaoi.oa
See instructions lor comDleti~q lhin ldm on Eeek of yellow copK
? ~ f ti Ig ~
A 056802 X" Below Work Caver;d by This Request
AAtl Rap. TyOe of BmlEine ACOtimcee WireO Eqmpment Wired
i Home Range Temporary Service
Duplex Water Heater Ligh[iny Fixtures
Apt. Building Dryer EIeC[ric HeaUn
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Condi[ioner Bulk Milk Tenk
Farm tnet oco y thm Isner.i1V1
t nr Sueci y ther Other
ompute lnspection Fee Belaw
p Fee ServiceEntrenceSiza N Fee Fexder5/5ubfeetlers • N Feo Circuils
L 0 to 200 Am s 0 to 30 Am s /51 L 0 tn 30 Am
Above 200 qin )s 31 to 100 qmps 37 [0 700 Am
inmin Pool Above 100_Am s ' Above 100_.4mps
Transformers lrrigation 8ooms sD Partial.'O e
Signs SVecial Inspection O
Rermrks $ ~ TO AL
(
Foueh-in 014 Okin
li~4 the l
specbr, he.nby
t fthet tM1e xbova
Final Dsoaetion taa been
Oo.
TIMs repunl vo1G 18 montM Iwm
. CITY OF EAGAN
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 9077
PHONE: 454-8100
BUILbING rPERMIT RecelDt #
Te ba uud 4er SF DWG/GAR Est. volue $103,000 Date MAY 17 , 19 84
SiteAddress 3676 WINDTREE DR EreCt R3
L(' Occupanty
Lot 5 elock Z Sec/Su6. WINDTREE 3RD qiter ? Zoning R1
Parcel No. Repolr ? Flre 2one N A
Enlarge Q Typa of Const. V
W Neme DIANE & RANDALL JONES Move ? ~ Stories
Z Address Demolish ? Length 50
~ City CHICAGO Phone 312/358-4875 Grode ? Depth 3$ Sq. Ft.-
a WOODDALE BLDRS INC Avvrorals Fees
o Name ~~50
o~ Address S9 - STH ST NW Assessment Permlt .S0
~itY NEW BRIGHT~ne 636-2355 WuterBSew. Surcharpe 51
Police Plan check 220.25
~w Name S~E Fira SAC 525.00
~
~ Address Enp. WaterConn. 470.00
,W City Phone plonner WaterMeter 63.00
<
Councll Road Unit 260.00
1 hereby acknowledge thot I hova read this opplicotion ond state thaf Bldg. Off.
fhe inlormotion is correct ond ogree to comply with all opplicoble ~25
Stala of Minnesota Statutes and City of Eagan Ordinonces. APC Total
Slpnature of Permittee
A Building Permll Iz istued to: WOODDATE BLDRS INC on the ezOress conditlon tha,
oll work sholl be done in accarda e v~llh all oppliw le Sta o Minnewta Statutes ond City of Eopon Ordinancea.
..0
Bufldinq Offlcial
CITY OF EAGAN ~0 19005
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILOWG PERMIT PHONE: 454-8100 Receipt a c- \
~
7o be used tor 3-SEASON PORCH Est. Value $7, 000 Date MAY 3 1991
Site Address 3676 WINDTREE DR
Lot 5 Block Z SeGSub. WINDTREE 3RD OFFICE uSE oNLv
Parcel No. oaupancy R-3 FEES
Zoning _
w Name RANDALL JONES (ACtual) Consl _ Bldg. Permit 90.00
3 Address 3676 WINDTREE DR (Allowable) _
° CjtEAGAN Phone x of Stories _ Surcnarge 3. 50
y Length 141 Plan Review
iF Name LIFESTYLE HOMES oevth 14~ snc.cn
v
ou Address 987 STRATFORD RD SF Total
U~ City ~NDOTA HTS Phone 454-7866 S F Footprints _ SAC, MCWCC
On Sile Sewage _ Waler Conn
ow Name on site wen
tw - WaterMeter
x' AddfeSS MWCCSystem
QAcct Deposit
147 W City PhOne CiryWaler _
PRV Reqwred _ SIVJ Permn
I hereby acknowlege Ihat I have read this application and state Ihat the Booster Pump - SNJ Surcharqa
iNOrmation is correct antl agree to comply with all applicable Sta1e ol
Minnesota Siatul85 and City ol Eagan Ordinances. Treatmenl PI
Siqnature ot Permitee APPROVALS Road Unit
A Bmlding Permit is issued to: LIFESTYLE HOMES Planner - Park Dae.
on the express conditron Ihal all work shall be dona in accordance with all Councd _
applicable State of Minnesota Statutas andCy~ity~ /ol Eagan Ortlinances. g~, pff. Copias 1.50
BuiltlinqOfhCial lrkulq 6 Qj(~ 1 ~ y IIIII Varianca - TO7AL 95.00
~o3a~
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete Cor: single family dwellings &[o%amhomes/condos when permits aze required for each unit
Date it,, / _o-9
Sitc Address 3&')~(3 W(„ +rCe. Dr- i0P Unit #
Propcrty Owner K)(] r- 1 8- C-)oYo Telephone #(Dg 1 )(D88 - 08 y3
~ Contractor 0-On "T rO f I e~ l
~
FC~ StreMAddress _aI d a+on f~ve .'!-1 cJJE /7 City F.O,8an
State rl') i n ne5o4n Zip 5riOa L4 Telephone# (l05/ )L-1!a(l-toOa&
Bond k: Expires:
Thc Applicant is _ Owncr ? Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional ZReplacement
air exchanger
air conditioner _New ZReplacement
? other Ht).,-„r{iJCsPrl A r CIrc,rncr
S[ate Surcharge $ 50
Total $ O
I hereby apply for a Residential Mechanical Permit and aclmowledge that the informauon is complete and accurate; lhat the work will
be in wnformance with the ordinances and codes of the Ciry o( Eagan and with the Mechanical Codes; that I understand Uiis is not a
pennit, but only an application for a peanit, and work is not lo start wiffiout a permit; ihat the work will be in accordance with Ihc
approved plan in the case of work which requires a review and approval of pla-
Cinr~u Li ~rnn-'l)o/ ns tnRci / S iLLno -
Applicant's finted Name App n ant's i na ure
~
~
2005 COMMERCIAL MECHAN[CAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commerciaUindustrial buildings
multi-famil}' buildings when separate permits arc not rzquired for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Propcrty Owncr Telcphonc # ( )
Contractor
Strcet Address Citv
State Zip Telephone # ( )
Bond Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Typc
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, call foi inspection by Fire Marshal and Plumbing Inspecfor
pCI'rt11S r'ff5: $70.50 Underground tank insIDllatioNremoval
550.50 ,llinimum (includes Siate Sumhuge)
or
Conuact Value $ x l% Permit Fee
• If aermit fee is S1,000 or less, add $50 State Surcharge
If DClIRII Cee is over 51,000, add $.50 for
every $1,000 nnit fee $ Total Fee
I hereby apply (or a Commercial Mechanical Pcmiit and :icknowledge tluat the infonnation is complele and accumle: lhat the work
will be in conformance with the ordinances and codes of lhe City o( Eagan and witli the Mechanical Codes; that I understand this is
not a pennit, but only an appiication for a permit, and «•ork is no[ to slan without a pennit; lhat Uic work will be in accordance with
ihe approved plan in the case o(work whicli rcquires a review and approval oCplans.
Applicant's Printed Name ApplicanCs Signature
Approved By: , Inspeclor Date:
r CITY OF EAGAN Include 2 sets of plans,
Arp Certificate of S•----:• ~
BUILDING PRMIT APPLICATZON 1 set of er.erc~, calculaticns.
~ l0 3, G1~0
To se usea For 5r.0.%4Er..»?yValuation Date _/'1'J A k /D TH, /gP%
Site Pddress: 367G. /IJzw.4?et£. .uoe OF'FICE USE ONLY
IAt ,,T- Block Sec./Sub. Erect X_ Occupancy
ter
Parcel Zoning
, w e ~ 1-pair Fire Zone
10 0- UOI-l Enlarge 'lype of Const.
Raner: l,~xu?wr. 4 IRww ..tV . .SowO -
I Nbve # Stories
Pddress: C kA zti. y 46. 3 Q L76 Demolish Front Sp ft.
--T Grade Depth 3fl' ft.
City/Zip Code: (.,'o 'TetF+c¢. F,eE.nod...T.
Phone # : Hnin 3 /.2 - 3 Sj3 - YR ? f APP.POVALs ~S
contractor: eooQL C ,&e', Assessments Permit 49 v sO
Pddress: _,~Ie.,/S2 -/S7HSTAJLU4 Water/Sewer Surcharge SI
Police Plan Check 2_7_p32
City/Zip Code: A)L W F&$ q t/7o w, Fire SAC S 2S
Phone -,V Eng. Water Conn. 4-70-
Planner Water Meter l03o0
-
Arch./Eh9•= cotu,oii Roaa onit z~o°~
Bldg. Off.
Address: APC
City/Zip Code: s~{ W1 e 6~}S 6911 ov c,
Phone ZC7PAL a, O~ 0- ai S
~r
;
. . • . . . . . r . . . ~
?.t:r:.,i'itc:nq}k i:;~eF~,..e~.:.. . . - . _ . ' , . .r.eJ.`._'c.. . .r . , .
.a~ .1. a', r.t ' ' ....:..:.e . . • L..e .~.A. ....c._~ . e .tr-. . i v . .
= 3~i3iz ,
~ ~ ~ ~ 5~~00 • ' ~
~ 13z3
5417. SC~
= Z 84 6
i1' ---.----~-_~-*-~T-= f o, lo I
, I o2, Z~ I. So
.
' t~ . ~ .
EXTERIOR ENVLIAPE AVSRAGE "U" C02'P[TfATION ,
OF7IiER
SIT'E ADDRESS '
COt.TP.AC:OR ~,.t;?~:,•.: t MTE PIiO:IE I_• ~J':.• j~ .
Determine vorking square footaqe of each.
1. ToWl exposed wall azea "~J ' sq. ft. X
2. Total zoof/ceiling azea sq. ft. R•
A. 7b[al wall win3ow area hS~ ~
8. Total door area y9 T
C. Total sliding qlass door area
D. Total fireplacc wall area Y,5
E. Total wall framing azea (average lOB)........... 0 . •
F. Tbtal Ran joist azea 1,17
G: 7bta1 Net wall azea above floor. 7bta1 er.posed foundation area - 0 •
.
H:'Total focndation window azea 't/A' •
I. Total net foundation area ahove grade........... C)n •
' Detez7cine "0" value of each wall segment.
d. 1 S3 X~D.
° b. NU -X U. • . , / _ "l U
c. y c- x"o" - J
. a. u`S • X -o^
e. 21B x ^o^. .~09 = 15.~i0
X ^U"
q.R "D' G = 7S'• ~'L '
~
X U. X mum a~lO s ~_/i y ' . . . •
s Towl ~ 9.~ ~ . . .
If item 03 is the same as, or less than item 41, you have net thc intent of
SSC 6006(c)2. '
~~i+..•...^v.s.%+k~ . . . . . .-'..::..'..':i.~~~..: k.' F~:...a'" • " 'y~y.~n "..+w...............,w_.`- .
f:; .
• .r • '
Total ex;xo:r.d rooL/cciling Lirca A i~j
j. Total ~};}•liciht arca _
k. :utal rcof/cciliciq franin<J arca (avcragc 102)......
1. Total net in:;ulatcd reuf/cciling arca
Detennine "U" valuc for cadi roof/ccilin9 seginent.
,
J. X "un ~
• k. g °On
X .lUlr
Q .....................................TOtal ~ ( If total of #4 is the sar.ie as, or less tlian 112, you have met the intcnt of
53C 6006(c)1. , , . •
Alternate Building Envelope Besign
To utilize the total envelope system method, the values established by the
sum of ite.;s N3 and #k4 shall not bc greater than thc sum of items itl and 1t2.
+ 2. °
. 3. ' + 4. a
.
rhV.T. S11rT:GNS . ,
Gen j 5'~ vL np:iquo Wa ll arca for . .
~ fr;troc cunctruction R-Valuc
!•~r=_ -
film 0.68
, . Z.
3, 'S/~- inchcti sofr. wnc,'i /..$ir .
3 4. 3-') 7
5. 5', 67
arisrc G. Exlcr.ior air film ~ 0.17
Y7nLL TOL'al ~J, %J•'~
/ t_w~
FIC. Ili TOPVIEI9 OF
rR,'U ti S1AI.L 1. 7nterior air Eilm _ 0.68 ~
. 2. i/i" ;:7
' 3. 5/f•'"
' • • ~ ~ 4. ~ rr3/3J
. ~ ' 5. 'c:: Y. ~~y~.;::,,,..:' ~ .
IixCCrior air film 0.17 .
FIG. Total ~ 3, aG
Intcrior.'air film 0.68
.•.~i l~-_•_U 2: 7'l1
3. A?ir:
/ '
4.
S~LL (•~iSFL:J( Jt~ ~i 3 5. .G7
Fc:i~~e.al .1`~-~_
6. ExCCrior air film 0. 33
.i~!'. _1, ~ O• ^•otal o ~,:/=J
. ..'U I , • . ~
. ~ ° " ~ • o. ~a
Intcrio. _ air °ilm
2. .7I~1' 7 SY
7GJI;D1TIC;1 ~ J • 3.
. ~
, -
"~LS' ' d' • ~p' . • 4.
I~` ~r~~~ A.~ ' G. Extcrior air :ilm 0.17
~ Total
,r.~'_%{ . . . , . •
r
. SI.AII O`I CFiAD!i ,
. . . e . , . . ,
. . ~~'A.~F-- • ' ~ f ~ ~ • ' l
. / I I ~ • • _ • s.
~ • ° ~ri ~ ` ~rrir~ ~ LX , ° ~ • ~
=
' • ' ~ /ll
FIG. 44 !(l k 't~• , ~ ' ~ ~ /N
FIG. fl]
. _ ~
• ; ti lrr/i( c: Icr -
• • 6 ~
ttoTE:~ Indicale tyoc, "3" value, denth and
• ' ~ placcne:nt oC insulation.
.
. .
. . ~
5~.~:..,.., ,>..{--.,,....._.ti~_._ ~t,..,.....-. _ . = - . _ - ' ' ' - ~ -
• .
1t001'/CGILLNG . •
Coz i~truction (Usc for Item L) x-V.zlae
~ intcrior air~film O.G1
2. 5-1 3 rYr /,<n 5 y
_`r
3.
q, Extcrior air filii (,-;t.iLl) 0.6
Total
VEitT .
-,4 ^ , `
1 2
• ~ . ~ C~!~L ~r~ ~ ~-i9 i~~-;iiJ.:-.
Cl.G. FP.Pj4I"IG (Use for Ztem K)
Ven[ed Heat flom
1. Intcrior lir film,
O.G1
up
2,, ~ / `r7 • a ~
' 3. Inches soft wcod 311~
FIG. #5 ~ 4, Inches ir.sul above frrmina
. 5. Air Film 0.61
„t..~.a ~6.P.•.rA:~c_re~uaaf.~l ~ - ..C ~
M._ri..+~i-r:y_taii+~y_ _---s~l""__'_"" : _ ~ • -
Y.
. . ~ 1. IriY.erior air film O.f,l
2. ri)a_ AF'IcK.. .4r .
s. Ga;,.;.,~
~i- M 4. Extcrior air film (still) 0.61
~L..J_.
~ , ~ . { /i s PA=- ~e- Tora3~ ? ~ -J .
' J 62) -3.y7
~ i • p (
~ . ~
Hcat flow up v ented
. • •
FIG.
3.^-. i. In5i.dc ai.r film O.G).
.t ~~._,•t-'~ 2.
4.
5. Oiitside air. Eil:n
C: ~.y~ ~ . •
1•
Total
• H0:2-VEttTF.D Hot:c: Usc i3ditioml slicct:s if morr. S,,,". <<.
• ncedc=d for detail:: and calcul,Li•ior!;.
~ lIQaL ' . •
flou up
, r •
xT.r., A7 • ' ~ . •
:."-;z.~';~*-Ty'.;:°~`~•`;~a:?f,~-,.;."`~:.~..,'--=
;
„w ~
„ '
s,F. a,l{a:. aym~$~ '1rW, SAj~",d~G:Y-'!'fy7 t..:r3dv.,5.n Jhv ~y~ ~.~":';:'K~rirA..V,~'.~r;LYi.,+.,;.s ar,;. •2„^„',`i,,~}?'"t,! ;.,vq1..~~~
~:1..._. ..lk,......,i~rJ:~l.I'rrYA,t... ~mS:.Sn!8r. ~cy1~Y`k'.'a ~ .;~?Y`,~t•'.:g5'<t.'et.~.i5f 4~~1Ni. ~x . . _.~_.u„~.p.. { <i,.)~~ihl"wi ~q
' _ _
Sl.~Rvf=YO~R"S CERTIFICATE 1J00D1)l1LC f)UILULRS . .
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(THIS IEGAL DESCRIPTION 41IL1
BE VALID UPON THE FILING
OF THE PLAT, 41INDTREE 3RD
lIDDIT[Ofl. )
UCrlOTES PROf'OSFD SURFIICE DRAINl1GE ~
o DENOTES iRON h'oriur:ENT S[T SCALE: 1 INCH 3o FEET
^ Drrio7r_s IROtI P10NUh+FNT FOUND PROPOSED G/1RAGE F100R =9o1,~FEET
XOOQ.O D1=N01"CS CXISTING fLFVATION PROPOSED L04JEST FLOOR = FEET
(000.0) Df'f0i[S PROPOS[D ELEVATIOt! PROPOSED TOP OF DLOCY, = FEET
1•!E flCf?Cf,Y If Y 10 4100DDl1LE QU[LDERS ili/1T TIIIS IS /1 TRUE l1ND CORR[CT
RE('kf_Sltll/11in~i OF l1 SURVEY OP TlIE (lOUtJDARI[S OF:
1.0; . , , lilnck -Z., ldiNDTRf_[ 3RD ADDITf0N, accordin(i t.n t.hc rccordcd plat
f.hf.rru; Cnunty, tlinnesoLa.
I1C(11.5 ;1q1 f'W+f'01;1 TO SfIObJ IMPROVEtff_IJTS OR [PICftOl1CIIP1EtlTS, IF ANY. AS SURVEYED f3Y
FiC Of? II,lI)f R M ;)IRLCI SUPERVISIOt! THIS IZT~s DAY OP
.
SlGt7FD; ,1A1fS R. IIII_I_, 11lC.
/ .
RY:-~ !;•.i"~!~~ /i`i~ .1~%)---J
~
NAROLD C. PETCRSON, b1fJD SURVEYOH
F11t7tIfS0T/1 I_1CCNSE NUI9f3CR 12294
fltpJECT Np nOOY / p/1GE ~
JA11/iES R. HILL, INC.
- Planncrs / Cnginccrs / Surveyors
ri~_r rlo.
0200 Humboldt /lvenue South:
FOLDER Dbominpton, Mn, 65431 012-884-3029
- - - - ~ . - . . .
~ i
} ~400.
1991 BUILDING PERMIT APP ZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS M[JLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
ii OF FOR SALE UNITS
PENALTY APPLIES WNEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
3 -5CAsolkd
/
To Be Used For
~ /~o/ch Valuation: 44ri ~ Date: 7f -2ql~/
Site Address ~G7~o W nclfiee DR 900&p~ OFFICE USE ONLY
Lot ~ B1ock Z FEES
3ap Aon~ p, Occupancy 1Z- 3 Bldg. Permit ~/u, op
W~NDTI2~E Zoning Surcharge 3,.sD
Parcel/Sub Actual Const Plan Review
Allowable SAC, City
Owner 49 '4// v oI9 eJ # of stories SAC, MWCC
Length Water Conn.
Address 3G-P6 !i?.'no~ f~CB Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code S7~i17 Footprint S.F. S/w Permit
S/W Surcharge
Phone On site sewage_ Treatment P1.
On site well Road Unit
Contractor Fcs 17~,y, ls MWCC System _ Park Ded.
q Q City water Trail Ded.
Address 7 Sftv'f y-ori h?~ PRV _ Copies SZJ
n Booster Pump
City/Zip Code /YI G~r~ dG~(~ .~tY SUBTOTAL
/h? S S//8 APPROVALS Penalty
Phone y sy- 6 6 Planner _ Lot Change
Council TOTAL ~
Arch. /Engr . Bldg. Off .,b~S-? -9/
- Variance
Address
City/Zip Code
Phone #
S~~
f//4~a^-~ ~~ees that all work shall be done in accordance with
(Signature of Contractor
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
VA l- l.l A'c~ l7 I'J ~
3 -SE~3oN ~1
~~XiV= ~c~~ x~yo-5~ =(~K(,D oK 7000
0•*
9 0' 0 0+
3 • 50+
1 ,50~ ;
95•U0+
~
Cities Di ital ualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CERTIFICAT~ wo0uunle uUlLOLUS ,
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v-`' (THIS LEFAL DESCRIPTION WILI
~ ' 0 ~ • [3E.VALID UPON THE FILIN6
71 'OF THE PLAT, 41INDTREE 3RD
AOD[T[ON.)
' . . ~E =~P,ROPOSED SURFACE' DRAiNAGE
, ~ .
j'RON MONUNENT.SET SCALE: 1 INCH 3o FEET
~(~ON MONUMENT FOUNO PROPOSED GARAGE FLOOR rFEET
' rX000.0 *EX-f,STING ELEVATION PROP05Eb LOWE57 FLOOR FEET
, (OOD.O)'` :h`libPbSEbELEVATION PROi'OSEbr fOh OF fiIbCK FEET
~e . - ~ . . . . . . . .
„ 4ir IIERf:13Y:, WOODDALE OUfIDERS TIIAT•'TII15' iS A TRUE flND CORRECT
kEhk(:tif.tfill --~,SURVEY OF TIIE UOUNOARiES OF:
~~f . . t . . ~
L.ot. ~ WfNDiREE 3RD;ADDiTION; accordincj ~to thc recordnd plat
tlir.rl • ~fi C~tittty, Minnesota. • ~
, = • . ~ .
~•,1T CnES u` P T0 SHOtJ- IMPROVEMENT$_ OR..ENCRO/ICIIFI[~~TS; iF ANY. A$ SURVEYED DY
P,C-Oh:'-UtJfl ~.G7 SUPEiiVIS10N TH[S 12Tt1'.Dl1Y. OF
Si
y'• . ~ SIGNCD: JAMFS R. HILL'; iNC. ,
DY
~ 1.•'rU~~fl'j'-i ~/~j'YY-~~
~ ` ::r `a::. - - = ="HAROL'D°,C:'PE'iERSONi,.1'AND"'SURVEY,OR
. T .*+..y; i • . ~ ' ` ~r ,
MINNESOTA•LiCENSE NUMDER 12294
a~~ DOOK / PAGE
f ?10JL:CON
~yJI~NiES .R-: HILL, INC.
• Planners % Enginecrs / Surveyors
ti-
,'~IIC 0200 Ilumboldt /lvenu• South:
FOLDbori+ti~ploi+, Mii, 65431 612-064-3020
. ~
. . . ~ y,'~I ,7 ~ ' ~ • ~ .
I.er ~
-T..~. 2 /8'l
CITY OF EAGAN
APPLICATION FOR PER`1IT
SEWER AND/OR WATER CONNECTIODi
(PLEdSE PSiHT)
1) PP.OPERTY ApDRESS: °I-~CI r e A--S •
r Fr.,L DESCitIPTICJI:
(LOt/Block/SUbclivision or Tax Parcei I.D. Nurber)
lc SI^2y'CT=E, DATi' GF ORIGi.iAL .=,i.iIL^L`.'G P=:.i•,•
PRZ=--:' XR-1 Su= ca}iiT.y ' • .
- 13 R-2 CUPLE{ ('?tnO Wi ITS)
0 R-3 TCtN1iIHCZ7SE (TIII2F" + WITS) ( Wi I':'c)
? R-4 ApaRrRi°`:T/CC:WA%LIIL:1 ( Wi ITS)
? CCNfitE.'?C7AL/RETAIL,/OFFICE
? nUL'STRial,
p I:VSTI'ILTIO.*lAL/GCVE.~~TIENT
2) APPLICANT . • (PIEASE PHf9i).
ruJ+IE: 1'0 ~ ° S
ADDREss: ~59 /5-/-~ &t lVO7 sc-4af -e G
ciz^r, srAxE, zra: AlebMnh M ~ 752/ ~
PHOiNE:
j) pLUMBEIR 'PLtASF)PR1NI) fOR CITY USE ONLY
NPa~lE: ~.P ,C }'~~L% YYl C/~~ GT/'1 C
PLUMBERS LICEYSE:
,TwDREsS: A( YNF E= active
CSTY, $TATE, ZIP: y~p~ '3~ Expired
ASSicA- Q Not oi Necord
PHONE: 7$~ PLUNBER LICEHSE N,~%'
' arr initia
4) OCCUpANP/(7•dhl~"~2 . NFN1E: (PLEASE PHINt)
.
ADDRESS: CZTY, SfATE, Z
PHO:IG: -
5) INDIG;TC WHIGIi PEP,hLIT IS HEII1G RpQ(JES=;
~CC:~."VE~i'ION M CZTY Sa]ER
~ CO:.,^1F7C.Z'IOLN 'M CITY WHTER
? OTfM (PLEASE DFSC'2IBE)
6) I2%DIG,::: C:E:
? Lr SE f?OID APPRWfD pgt,titIT FOR PICi:-UP BY ONE OF ABOVE
IE1SE +41IL APPR(7Vm PF3RILLT TO 1. 2. Q4 ABOf1E
(Circle one)
7) SIa.'aTL'2E: Dr1TE: ~c'~.5-/k
F O R C I T Y U S E O N L Y J
PERMIT ISS(lED
FEES: SEi':E? nEoMri
WATER PERftIT ( ID:CLUDE SURCY.aRGE)
$ ~3• WATER METER/COPPERHORN/OUTS= REaGER
$ WATE3 TA2 ( I.ICiUDE COBPORATaC:1 STC2 )
S SE:9ER Tao
ACCOUNT DEPOSIT - SEi•:ER
$ ACCOUNT DEPOS IT - tQA'; °_?t
$ -517' a • WAC
s sac
s zRoNh WATE.°, AssFss:aL:JT
5 TRCiNK SEWER ASSESSbtE:VT
. S LATERAL BENL•FIT/TRUNK SEtIER
$ ' LATERr1L BENEFIT/TRU:Iri WATER
$ OTHER
$ TOTAL
$ rd AiMOUNT PAID/RECEIPT 9 ~,.iq a <,L
DOES UTILZTY CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"'PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGZNEERZNG DIVISION. LIST AS A CONDI- TION.
SUIIJECT TO TftE FOLLO:JING CONDZTIONS:
APPROVED BY: d[~~p
TZTLE:
DATE:
Use BLUE or BLACK Ink
r----------------�
I For Office U$e �
I '�� �� I
Clt of �a �� ; Permit#: _ I
Y � � �-- �
� Permit Fee: �
3830 Pilot Knob Road � �
Eagan MN 55122 � i
� Date Received:
Phone: (651) 675-5675 � �
Fax: (651) 675-5694 I Staff: I
�-----------------�
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ������ ����Site Address: � �-= �� �"''�+;'��/�C!C,' �/J���
Tenant: Suite#:
Resident/Owner Name: ���i✓� J �'�'�'�'� � Phone: C b ' �`�D'�� ���-�3
Address/City/Zip: –� ��7� ��'� V���TY�e ��'�
� �ab y� � �
Name: ������ {/ /vvw'��il�' License#: �� �5
/' ,- � >_�� � �
Contractor Address: ���'�� G= �`�-� ��" city: �'�'�P�S e�
' State: l�l�'J Zip: ��� Phone: � � ���� 27 L�GJ
Contact: ��n�ti Email: C.ti d !� ��Q 1�j.�'}-vn��, l r L �/"�--�
Type Of WOPk —New _Replacement _Repair �Rebuild _Modify Space _Work in R.O.W.
Description of work: {�'�Q S�C,r' �4�
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation �RPZ/_PVB)
Permit Type'
Septic System Add Plumbing Fixtures�Main/_Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Seqtic Svstem Abandonment, Water Turnaround*(includes$5.00 State Surcharge)
"Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 SeptiC System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 s with ut a per � the work will be in
accordanc with the approved plan in the case of work which requires a review and approval of plans. r,i%'
X !�-����J �� `�) X
ApplicanYs Printed Name Applican s Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test ' Final
Meter Related Items: Meter Size ' Rad:io Read Manometer Staff:
Use BLUE or BLACK Ink
� For Office Use i /��
• ' l ��:��� � �_.
(���� 0� n� �� I Permit#: �Y DO
I
r. � l �
u j� � Permit Fee:
3830 Pilot Knob Road I �
Eagan MN 55122 I Date Received: �
Phone: (651)675-5675 � i
Staff:
Fax: (651)675-5694 i________________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: � l �P ''`YJ Site Address: �� �� l✓��� L ���' �y�
Tenant: Suite#:
� � �a�'� Name: Phone:
RBSic��l��v�rr��r.%
u ��
�
` Address/City/Zip:
� ���
��:
� Name: �{ C/"`� 1,4, ,r� i ,Y(.�(�,iL1�/ .�i License#: � l����
, 4—d��E � ��.�"�eL�-- �1
r ��on ��Q�` : Address: I� c.C// [r- ��S� `a i1 ciry: f.1�_��`�...ef�-
� �
� State��'�Zip: k,`���1���� Phone: � � /!�� �� '��
� �_ ���' � �� �
�
W�� � .' Contact: ' �� Email:
„. �.��N �.. �
r � � a
�.��t � .
`����u�s���rP r�`� ` '
` ��'� ' ��� ' New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
�`y��O��'Q1`� — —
�� � `�� Description of work: � � � � G�2- �O� �� � �-- ��
RESIDENTIAL
Water Heater
�_ �; � �� _ � Water Softener
�N � Lawn Irrigation�RPZ/_PVB)
��`����� Add Plumbing Fixtures�Main/_Lower Level)
� Septic System
� � Water Turnaround
?,s� �� � �rz New
, x ; a b-` 1`�:. —
�� � Abandonment � �
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 �awn If'rigati0n (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround"(includes$5.00 State Surcharge)
"Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.�opherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of '
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x r�,�� ,��V/,�_ (1 x _
Ap icanYs Printed Nam'� � � A can s Signa re
�,s r � �� ��a a � . a s�`C- �" e , : � 3 ` �,�� �� :�
�F+�i?F�J��IIS� �_ R�r�/�i�►��#�' � , �"������?� � �
, , , �, _ � v - �g'6"t,.r� _ : fl`�"�6�' ,; -`�y���� ._'`�
•����M ���iM*W�l�i �'}�Ff1 Y��� � `Jl�� �� _. 1t2: � `.��.�q. .a �� .� �. �1� � qSF,. �$ � -b'�T
5 V�,,�y ra
�r.� ^�"�r� .. � N �wn+T+ � 1 $ t '�5� F�t��� 2 t�f'� � � .
i = A �� _ � � , ��j'"^�'„� s ^�� '��� � K—"�� �"'` � �
H �° ,+�„ • F;.�t'�I1DI�'1G�£I' F �{�`u �s��a^� ��'�;��� :r�, �.
M�#er��e�ated tt�s� 1'�e#�r S�z� � � �o R+�art :� r � :��
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164727
Date Issued:10/06/2020
Permit Category:ePermit
Site Address: 3676 Windtree Dr
Lot:005 Block: 002 Addition: Windtree 3rd
PID:10-84472-02-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark A & Sarah L Twedt
3676 Windtree Dr
Eagan MN 55123--131
Specialty Work Services Llp
3320 Upper 147th St W
Rosemount MN 55068
(612) 978-5458
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166363
Date Issued:01/05/2021
Permit Category:ePermit
Site Address: 3676 Windtree Dr
Lot:005 Block: 002 Addition: Windtree 3rd
PID:10-84472-02-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
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 -
Mark A & Sarah L Twedt
3676 Windtree Dr
Eagan MN 55123--131
(612) 940-5265
Controlled Air
21210 Eaton Ave
Farmington MN 55024
(651) 460-6022 X253
Applicant/Permitee: Signature Issued By: Signature