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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 . . ~ ini ~ A i r-i -i r> r- i - vv ~I V Li i I 1 L_ t_ ~E . . . ~NE~o l lJ L~ F 0 1F n rj r) ri t~ \ ~ 8 / F ~SFOqq~N \ \ T O~ \ . ~C'VT ACF \ 02, • ~ ,pT . " co `i v '~o ° i. ~J (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 , : _ - - ~ ~ ' ,~!5-: • - ~ . . - i n I i ri r - , . . . . • i n 'i _ r) vv I r V L/ I I t= i_ , j~~.;, . . n • . . , ; . r ri , . . . • ,.:fi,.: . NEj, / _.i J^'\o, sr~>gg,~ n,r~ r ; A, . , . \ : s•. / ~ ~fi , r~ L~ t/ r r!.i I J ' ,,n . w. . L / SE.A'Eq/ryAC • \ Q \ ' . 8 -,q ~Y:• '~y;•, . 'O . 'YT F . ~ t ~.4 i" ~ O I ' . . pFR~ GT ' ' 'f~ e' :9,!' •~4 ~ . -`-r ~ ! ~ J . ' . ' n•(t~h*.. {f y, -~N'~ ~ ~ . . . ~ ~ ~ C y . . • 'S In~ `~r ~ ' ' , . . , ~ 1/ ~ l ~p~`E • ^OO i. . . 'P,; • 'S'fi5 ~ /~1/.r ~O ' I'~f~ ' ^ . , <n 15 ° ~A `.'S'^, : • i ;F • , ~ NV • / ~ V ' / I . . ' ~y . iYn o ~ ~9• I~ « g., ~ . ~ ' ` / ~n/ . .~v ~ • ~r + 0 • ' . , ~ . J / \ J .r 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