1261 Windcrest Ave CASH RECEIPT
;
~ CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
~
RECEIYED
FROM
AMOUDIT /
$ f \
1
~
S?(,~ l
& DOLLARfi
~oe
? CASH _ Q GFiECK
. ~iFOR
~
FUNO COOE AMOUNT
~ ~
. . J
~
r;
~ i
Thank You
r
BY ~ .
u311i ~ -
~ Wfilta-Payers Copy
Yellow-Posting Copy
Pink-File Copy
REACT,jVATE FOR DECK=PLAM REVIEWEDCITY OF EAGAN
5I26/$7 ~ I
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 !11999
tiAR3E S aMMF LEIER 452-8579 pHONE:454-8100
452$ULlDING PERMIT Receiptri f
Tobeused}or ''-j''jG/Gn:{ EstValue $74,UUU Oate '`LAY 12 106
SiteAddress - 1Lb1 rriiiJ[.':1.:32 AVE Erect (3 Occupancy
LotI -Block I Sec/Sub. BjRl:H PARK Remodel ? Zoning
Parcel No. Repair ? Type ot Const
Addition ? No. Stories
¢ ?vame CURi'OiZAZ'E CONSTRUCTION CO Move ? Length
57
a Address 4 46b ivr.ilG[JOOD Di2 Demolish ? Depth
=
Int. Impr. ? Sq. Ft S 2
City EAeaN phone 54 - 0 fi4 4 Install O
o Name SAME Approvals Fees
Address Assessment Permit 35 5•~~ 0
~ City Phone Wator & Sew. Surcharge .i 7. u U
Police Plan Review 177.51D
F W Name Fire SAC 575 . UO
Address Eng. Water Conn. 500.00
< W City Pnone Planner Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 5/22/86 Tr, pi. 156.00
information is correct and agree to comply with all applicable State ot
Minnesota StaWtes and Ci~yl}~Eagan Ordiliances. APC Parks
Var. Date Sf 21/86 CopieS
Signature of Permittee L=- Total ? L, 1.54 . 01)
A Building Permit is issued to: CORPOR.ATE CONSTRUCTI0:7 CO on the express condition that
all work shall be done in accordance with all applicable yState of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
~y
- PermN No. PertnR Molder DaM ToNphono M
IPlumbinp 3 ' a- L
~
H.V.A.C.. _
El.ca+c
Sollew
Inapectlon Dab Insp. Commenb
FooNnys l
1 Footlnps II
IFoundatbn
IFrsmfny
RooHny
Rouph Plby. k-osw
I Rouyh Htp.
Insul.
Fihplseo
I Finsl Htg. ~ f
Rnsl Pibq.
1 Bldy. Final
Cert. Oec.
IDeck Ftg. ~
1Dack Frmy.
IWo /Pr- .~Y
Pr.Okp. C~/C
s • - PERMIT #
MECHANICAL PERMIT RECEIPT #
- CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 53121 DATE 5-12-86
CONTRACT PRICE PHONE: 454-8100
Site Address 1261 Windcxest Avenue BLDG. TYPE WORK DESCRIPTION
Lot.~_ Block Sec/Sub
Res. New ?
~ Name ?~.~1.5] Fi i & Air Cond Inc. Mult Add-on
Address 13-075 rioneer Trai 1
c CiryFc~en Prairie , Phone 94 -421 Comm. Repair
_ Other
55344
Name CQrr?orate Consrruction FEES
~ c Address44156 Wec3. ewood Drive RES. HVAC 0-100 M BTU
~ City FacTar, 5`3123 phone 454-0644 ADDITIONAL 50 M BTU ---~00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
7~,0~(1R GAS OUTLETS - 1.50 EA.
Forced Air Lennox TM BTU COMM/iND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets # ~
Other
.
FEE ~ : a
S/C: SIGNATURE OF P MITTEE
TOTAL• ~ FOR: CITY OF EAGAN
~ PERMIT #
PLUMBING PERMIT RECEIPT #
' ClTY OF EAGAN
~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ~ d CONTRACT PRICE ~',o 00. • PHONE: 454-8100
Site Addre e p~ BLDG. TYPE WORK DESCRIPTION
Lot Block ~ S~c/Sub
` Res. ~ New ~
~ Name r Muit Add-on
m
~o AddresS~ Comm. Repair
c CityL R one LI Other
NO. FU(TURES TO~IL
Name 2lL ~ti .r Water Closet - $3•00 s .o
~ - -~Bath Tubs - $3.00
~ Address
p Ciry F one ~Lavatory -$3.00
v(v 4 Shower - $3.00 '
I Kitchen Sink - $3.00 ' U
FEES Urinal/Bidet - $100 J
COMM/IND FEE - 196 OF CONTRACT FEE ( Laundry Tray -$3.00 V v
MINIMJM - RESIDENTIAL FEE - $10.00 ~ Floor Drains - $1.50
MINIMUM - COMM/IND FEE • - 20.00 1 Water Heater -$1.54
STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
-W._Private Disp. - $10.00
1_Rough Openings - $1•50 ' 'U
SIGNAT OF PERMITTEE FEE
STATE S/C yv
FOR: CITY OF EAGAN GRAND TOTAL: ~1 ~ 00
• ~ • ~ ~
, r CITY OF EAGAN
f 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
.
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for FiREpWI' Est. Value il!+000 Date Y,&Y
Site Address 1261 WtNDCR~'.ST AVE
Lot I Block ~ SeGSub. B; t'~" OFFlCE USE ONLY
PBfC@I N0. Occupancy - FEES
2aning -
W Name 'v4NDALL i*rYER (Actual) Const - BIdg.Permit ~b•~
o Address 1261 ~Ili~DCRE:;T AYE (Albwable) - Surcharge u
•
City EACM Phone 1*52-6579 # of Staries -
Length _ Plan Review
, o Name ~'1~UL DC~GER~iA ~tn - s,ac, c+ry
Address 185 ARHJP.ETES?'', BLVG S.F. Total
= SAC, MCWCC
City CI'A5lCtZ Phone 4~+3-20b~ S.F. Footprints
On Site Sewage _ Water Conn
~
W W Name 0n Site Well - Water Meter
s? Address MWCC System -
Acct. Deposit
a W City Phone city waier -
PRV Required - S'W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - SM/ Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatrnent Pi
Signature of Permitee APPROVALS Road Unit
A Building Permit is issued to: NAU++ ~ORS?'A Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. g~j. pfi. - ~O~1e5
Variance - TOTAL 26 ' NO
Building Official
r •
PermN No. PermR Holder Date Telephone #
&TER
SEWER
PIUMBING
H.V.A.C.
ELECTRIC
Inspectlon Dete Insp. Comments
Footings I
Foundetion
Framing
RooNng
Rough Plbg.
Fiagh Hlg.
Isul.
Flreplace
Fnal Fitg.
Fnal Plbg.
Const. Meter Plbg. Inspeclor - Notify Plumber
Engr./Plan
Bldg. Fnal
Deck Ftg.
DeGc Final
WeII
Pr. Disp.
CITY OF EAGAN RemarksJ)jVjq_i.e1j u- + 61,10165
Addition Birch Park Lot 1 gik ~ Parcel 70-14175-010-01
Owner streec 196Y Windcrest Ave/ scate EaQan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 221 1973 162.96 8.15 20 Paid ri r to divis "on
SEWER LATERALbn 931 1985 132.70 8.85 15
WATEFiMAIN
WATER LATERAL
WATER AREA
STORMSEIMTRK 1018 1486 750.48 50.03 15
STORMSEW LAT 1048 1986 199.66 13.31 15
CURB & GUTTER
510EWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTIUN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: APPLICANT:
, ;,sNnrr:f.,r a<<r
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
. „ , ,
~ ~
- - - - - - - - - - - - - - - - - - - - - - - - - -
Pennit No. Permft Flolder Dats Telephone #
ELECTRIC
PLUMBING
HVAC ~
Inspection Qate Insp. Commenb I
FOOTINGS ~
FOUND I
FRAMING I
I
ROOFING j
ROUGH '
PLUMBING I
PLBG I~
AIR TEST ~i
ROUGH I
HEATING
GAS SVC ~
TEST I
INSUL
GYPBOARD I
FIREPLACE A ~ I
FIREPLACE
AIR TEST I
FINAL PLBCa I
FINAL HTO I
I
pRSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FlNAL
CITY OFEAGAN WATER SERVICE PERMR'
3830 Pilot-Knob Road PERMIT NO.:
P. O. 8ox ~i199 h_
pATE: ,
Eagan, MN 55121 . , O{ Units: 1
Zoni?q: Corporate OuS-ruction
QyyR[4:
^ddrosa: 1~51 l:in'?c-est ?:veiiui~ Ll "1 Birc`:
$ite I~1ddfQSS: T..~; :~.IOSl cs r :2 E~ 1'
Plumber: ` ~
13. 33 ~og~ QOpd
Meter N8:
Size: 50rd
Aender rlo.: N
I nlrM h aowpllr ~ lw Qt1? ~ urcha nd `;'p
r
a
RrEr-O~ ' 63 . 50. met er
Totai:
Date Paid:
8Y IMP.:
D,re of InsP•: 7- / 7-
CITY OF EAGAN SNWR SERVtCE pMtMff
3830 Pilot Knob Road pER1ulIT NO.:
P. d. Box 21199 DATE:
Eogan, MN 55721 No. of Units:
z0ning*
OYVfls/: '
AddfE55: . T;
~ • "7. . '
t * • i.
SItQ AddIESS: n ~ C-i, n c'
1-r ~ ..~t;. •fi
Plumber.
4. _;;r• , 7T:
1 NrM !o eemlly wlNi tM qti of, lI Con^°ctian C3wW. .
Aooount DaPoft ~y
Owkw°ceL
Permit Fye:
SuKi+ar9e.
Misc. Cho+'pe~
' By Total:
; pote of Insp.: ~ ~b:
i (n~p.:
~ ~ - `
GITY OF EAGAH WATER SERVICE PHtMR
3830 Pilot Knob Road PERMIT NO.: P. fl. Box 21199 DhTE: "
Esgan, MN 55121 No. of Unin:
Zonir+y: Co~ ~ , • ~ ' ,c
CaCi
OWI'Mr: I . L,
NddrESS: • n,I td1T1dCCeSt "v="'
Sfta Nddress: r,a K~ri , - • ; n;n n ~ ; ;
PlumbeT. [,onr,ection Choroe:
Meter No.: Aroour~t D~P~:
Siu: Pem+it Fee:
No.:
Reodsr ~ ~M Ck7 ~ l°9°° Surtharqe: ~ 5~ . •
1 ~s~ ~ ooMVh M1sc. Choro--
Odi~no~ Totat:
pate poid:
BY IruP•:
Oote of InsV•:
~
ThiKe4uBSt void
1fl npMhg from -F--
- C 24262
Naque Uate 2 / / Fire o. Rou-hp 'i Tspecbon Insoec-
Reqmr ? ~BeatlY Now ~11 No~ity.
es ?No ~or When Featly
7c.,
Licensed Electric Contractor I hereby request inspec[ion al above
?Owner lA (y. electrical work installedat:
Street Address. BoK or Route No. C ity
~ ~
ecuon o. Township Name or No. Ran e No. Coumy
uent "(~PqINT Phone No.
,V S S D
Power 5 plier~ Address
~
Elactrical Contraclor (Company Ndme) ontracmr' Li d cense No.
~r s~nT~
Mailin~r s o ~ Instaila[ioN
14540 PENNOCK LANE ordAuti
Authori R'STddaWle~li a tE7'l04vn qy
g~MpkiCJ (~TaT/~ionl ~jj Phone Number
rrl+t~ Y G 1 1~'lt7 ~.7 6+
MINNESOTA STATE eOANO OF ECECTqICITY BE IACCEPTEDIBY TME STAiE 80ANDT
Griggs-MidwaY Bldg. - Room N•19'I •
1821 Univarsity Ave.. Sf. Peul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Pho.. I6121297-2711 . . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
-7 V V/ L:
' See instruc[ions for completinq this fwm on Eeck ol vellow copy.
' C•2 4 2 6 Z "X" Below Work Covered by This Request
AAtl flep. Type ofBuiltlinB APOliances Wiretl Equiument WireA
ome Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bidy. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Butk Milk Tank
Farm otner pen v Mher Ispcr.ityl
t Uocify Ot er Ofh.r
ompufe lnspection Fee Below
p Fee ServiceEntranceSixe H Fee Fexders/5ubieatlers b Fen Circuits
M%j U ro 200 qm s 0 ta 30 qm s 0 tn 30 Am s
Above 200 qmps 37 to 100 Amps 37 to 100 qm s
inming Pool Above 100_Am s Above 700_Am y gg~g Transiormers Irngation Booms Partial-'Other Fee
Signs Speciallnspection ~
TOTAL F E ~
Remarks
Noueh-In ~ ~ I. the EI ctrica!
7 G Inspector, oby
, certily thet tha above
Final veetion has been
de.
t01c rBpuest vold 18 monlhn irom
~ 3830 Pilot Knob Ro dI P.O. Box 2G-A1 9, Eagan, MN 55121 N2 ~ 11999
PHONE: 454-8100 ~ ~,A.~~
`BUILDING PERMIT Receip[#
7obe uaedtor SF DWG/GAR EstValue $74,000 Date MAY zz ,116
SiteAddress 1261 WINDCREST AVE Erect ~ occupancy R3
Lot: 1 Block 1 Sec/Sub. BIRCH PARK Remodel ? Zaning R1
Parcel No. Repair ? Type of Const. yn
Addition ? No. Stories Name a CORPORATE CONSTRUCTION CO Move ? Length
3 Address 4466 WEDGWOOD DR Demolish ? oepth ~T
° EAGAN 454-0644 Int Impc ? sq. Ft. 52
Ciry Phone Install ?
o Name SAME Approvals Feea
~Q nddress Assessment Permit $ 355.00
~ Ciry Phone Water&Sew. Surcharge 37.00
Police Plan Review 177.50
~ W Name Fire SAC 575.00
s Address 500.00
~ ~ Eng. Water Conn.
g W ciry Pnone Planner Water Meter 63 . 50
Council Aoad Unit 290.00
Iherebyacknowledgethatihavereadthisapplicationandstatethatthe gldg.Off. 5/22/86 Tr.PI. 156.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and C Eage Or'nances. APC Parks
'.Signature ofPermittee Var.Date 5/21/86 Copies---,,,T-.00
Total
A Building Permit is issued to: CORPORATE CONSTRUCTION CO on the express condition that
all work shall be done in accordance with all applicable te of Minne tutes and City of Eagan Ordinances.
Building Official -~r `
CITY OF EAGAN N~ 16415
~ 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
4' PHONE: 454-8100 c
BUILDING PERMIT Receipt # C j
Tobeusedfor FIREPLACE Est.VaWe $1,000 Date MAY 5 , 1909
Site Address 1261 WINDCFtEST AVE
Lol 1 Block 1 Sec/Sub. $IRCH PARK OFFICE USE ONLY
P8fC21 NO. Oxupancy - FEES
Zoning
m Name WENDALL LEIER (Aduap Const - eldg. Permil 26.00
w
o Address 1261 WINDCREST AVE (Allowa6le) - Surcharge • SO
City EAGAN Phone 452-8579 xof srories -
Length _ Plan Review
~o Name PAUL BOORSMA oaPm - snC, ciiy
Addfess 185 ARBOf[ETI1M BLVD S.F.Tatal -
~ City CHASKA Phone 443-2068 s F. FoocPrincs _ snc, Mcwcc
On Site Sewage Water Conn
r
Fw Name On Site Well - Water Meter
ma AddfB55 MWCCSystem - qcd.Deosit
<W City Phone cirywetar - P
PRV Required _ S/W Permit
I hereby acknowlege that I ve read this applica W and state iha[ the Booster Pump - S!W Surcharge
inbrmalion is corcect a agre to witb4alf applica6le State of
Minnesota Statutes an aga n s. Treatment PI
Signature of Pertnite APPROVALS Road Unit
A Building Permit is is ed to: Planner - park oed.
on the express condition that all work shall 6e done in accordance with all Council -
applica6le State of Minnesota StaW[es and Cit~r ot Eagan Ordinances. gid9. pry. - Copies
8uilding Official - y1" n I I ,'A ,i rn~fi Variance TOTAL 26.50
, . .
,
1986 BDILDIAG PERlffT 9PPLICATI06 - CITY OF EAGAN
AOTE: ALL CONTRACTORS MQST BS LICENSSD 1iITH THE CITY OF EAG9N
3I8GLE F6MIILY DYELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DWELLINGS - E&SIDENTIAL Rh'NTAL ONITS FOR SALS ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQRVEY - CHEC% FiITH BLDG. DEPT.0
1 SET OF ENERGY CALCULATIONS
COAKERCIAL:
INCLUDE 2 SETS OF ARCHITECTURAL & STRIICTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: P~ICC., s•~%;~~,Ualuation: \Yy!Date:
Site Address I2G; OFFICE DSE ONLY
Lot ~ Bloek ~ Erect Occupancy
~ / Remodel Zoning j
Pareel/Sub`f Repair _ Type of Const
L / Addition # of Storiea r
Owner (0'/,JU'~y C ptist, ~ Move ~ Length
Demolish _ Depth
Address 7 6 ~i ~Int.Impr. _ Sq Ft
City/Zip Code ~2,dr, PA~t,/ 55'1Z"~ Install
Phone 9PPROVAL3 FSES
Contraetor Assessments Permit •
Water/Sewer Surcharge
Address Police Plan Review 1 j 7. SD
Fire SAC ~ ~•City/Zip Code Engr Water Conn Scsl.
Planner Water Meter •
Phone Couneil Road Unit i/a
Bldg Off Treatment Pl
Areh./Engr. APC Parks
Variance y.ah Copies
Address ' i0T9L
City/Zip Code
Phone N
i5
NOTE: ADDEESSES FOR CORAES LOTS - CONTRACTOR/ MEOVNB MDST DESIGNATH AHICH ADDRfiSS
IS DSSIRfiD. NO CHiNGES iiILL BE ALLOiIED OACE BUILDING PERMIT IS ISSIIED.
~ ~ ~ w ~.M4 u w INI? . ^ ~ 4~~~-~.
*~t A ~
009 . ~ l• .
x L,,,~o no ,PL icciv. IItre+ 'E3~'----
s, . y
. Phone ,rt
A+ner
:ite Address
' = ~ ~ r-o~~~. ~o c~~~4`~JC~,`o~`l'1?on~
:ontrattOr,
r:
~
9suilding L1assif1caLion: Type A1 (S1ngle Fa:nily b Duplex) ? Type A2 (3 (Resi storidenNes at or est '
,
t' •(Other) (Over 1 stories)
: ;ENER?l INFORMNTION
I. Buitdin9 Perimeter l SCD ft.
A Wall heiyht (ground to eave) •~~:cs ft.
p
3. 1. x 2. (above) gross wall arga 4~d g ft. C+9~.5
0. Buildfng dimenslons (L) 40 x(N) 3.0 • ~~94.5 ft•Z roof 5 floor area i. SQuare fcot area of rim joist - Floor jaisi si:e (2 z lo? ) ~~Q ft2
IO7 x Perimeter = Rim jo st area ~
-TT
-6• 9oars - Ar" 3 • ~ 3 :
ThiC nesi n. U factor
-~0 3z.-~- \5.9 8 ft
TYPe ot Construct on Feriwter
Manufacturer e s s 4 ~
7. Total door's perimeter 3~. Z$ ft
8. Yindows: qanufacturer ~ e r c o State spproved
U fattor 2
. TYPE SIZE AR`EALHt 2, NuUNITSOF TOTAL FEET
4 ~ a . k Z
• .~oCo 1,4. -74
<< g5,a3c-
Total ft.2 Glass Z\1 -~-4,
9. Ft.2
106 Ftreplace area: 1Ndth x heiaht ¦ '~-x
. f;
.2
ti. ExposeG foundatlon: Height x Perimeter , a
Y :)MPI£TION Of TH15 f01a4 IS R£CUIREO FOR All NEU COt15TRUCTION. MAJ4R REMOOELING AMO`.BUtlOInGS SE1
% 13YED MNERE ENEPAY. OTHER ?HAY TNE MINIMAL LODE ALLONANCE. IS USED.
- . . . .
dS k.'1T, . - .
:G/psf YN~I il' Z-?.~ f* 2
Window aroa A ft.2 C wlndows Sp U x A• ~
R1m 1o1st area A \30 , o ft.2 U rim joist ¦ '04 U x A=
.
poor area A ft.~ J door area • _ \7,r3 J x A • ~ .(e~
. Fireplace area A ft.Z U rireplace = f8- U x a• ~
Exposed foundation A ~'C'5 f!.- 0 foundation ¦ U x A~ 6:1.3E~
i'. .
Framing area A ft.4 J franing area =J o9 U x A=
Net wall area A o\ 'J watt = „p43u xA¦ C C~~
„-..L . . . . . . . . . . U x a
Gross watl area x 0.11 (A-1 single famil.y 5 duL;-x = allowable Ux d/Code
(13. above)
x 0.23 (a-2 other resiCentia';
x .23 !Other bufl3ings',
.c .28 (Over 3 stor•;e:.)
UH Must be larger than
. A Z Z o~j - x L' Ccde A g.~~ . 138 abeve
45. Ceiling framing area (Af) aquals 10°: of C_iling area \ - or the same as)
5,1. Gross ceiling area •(L) 40 x!'a} 30 • \Z~ Tt.2
.
s.3,8 Joist area (Af) - 10" Ce111ng area ft.2
~,,,SG. Net ceilina area (.4C) (15A - 158) O s ft.2
U ceiling x R ~y _ o Z~4D x 40
w U framing x A f- . oZ(e4 x_ \2~•'Q5= ~
: QTAL U x A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
!b, Ceilin9 area (15A) x 0.026 (A-1 single `amily S Cuplex - coCe a11owahle:U x A
x O:C33 (A-2 other reside.^.tial)
x 0.06 (other)
9aUH Must be larger than 150 (above),,,;.;
A (15A) ~ Z.`~ ~A/•~ x!L(codel= F (or the same as)
r,r
NOTE: Use U and a values oDtained f••om nps 1, 3 and 4.
y~
N~Y"~4~ 3 t¢d:~ Wu e:?( p ~,1.( l
u1
~ F
~Y`'y"~"~ M
Fa ~
i
A~i"' ~IM
` 3.~ .1 s t~#v~atton 4
I~
.iolsc X,r
. /
h' O.BI Air Fitm 0.61
» . I 3'7 .9 -tN rotaa R 41 ~ : R:,c,
I 1
.oZ~4 U -
~
~
F! AT ROOF OR CATHEM: g I;,~FNGi
E/V
'q'P'aTe k itMltg .
- ` M FR;+MINi £HIIIMa
a:
In${de air fi~ 0.$-~..^..,~
~ . ~ Ceiiing :
Jo i s t( s tu Insutatiaa
air space 7!
~ . Rcof tlacking .
~ Insul~Lion
8ui 1 t,wo roof
0. 7 Outs^la atr fi1m
,
TOtat R
~ R , U
ilndaw tnflltratics .5 cfm/lineal foot of crack
q 44tideniial door infiltrdtion 0.5 cfm/squa're foqt or dcor and minlnur code requiremRni
*n-rsstdential door infiltration 11.0 0,01ineai `oct of crack
,
~;lb 12" concrste block no insu'lation .47 R 2.1
12" concrete block insutated cores .26 R 3.8 •
12" ligliuafght block •.32 R 3.1
12" ti4ht.wei-g*t block trFsuldted cores i.12 9 3.1 -
'::J:siayle glass ~ 1.13: with storn window .54
. da,ble qiass • .56 ;
A trfple qlass • .41 `
Y,: • i'i
ill exterior wails and ceilings must have a vapor 5arrier (C.10 perm ir3x.).
;,#por barrilr aptst be on L,he lnzide (heated sfde) of wati.
:'AApor b?rrierY of`tA! p011'yetl+eltnat thin fiim hare na R valuc.
a
~
, . I a . •
~r.
y:}i
, . .
. SURVEYOR'S CERTIFICATC ' 'sIENNA CORPORATION
NOTE: TFIE LEGAL DESCRIPTION SHOWN
HEREON WILL BECOME VALID
UPON FILING THE PLA7 OF
BIRCH PARK.
RewsEO sisies ro sr+ow
I ~ PFDPOSED HIX1SE FOR .
CCRPORA7E GLONS TRUCTION
N 3048'51" W
` ($l8•'l 30.00 . . ' . . 52.33 . . . 9. 70 ~ /IIS)
N ~
.ls.oo-c•.:.. ~
N
2 O 30 f 23.17 1 .
50 .
T~'YV 29.16 Q M ~
•
140. m
W N
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^
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~ ~t
rn ~ ~ V c~oini . ^ ~
29.83 Y ~ ~
' h--- ~ ~ ~ ~ _ _ m
50
10
~ o I' 52.48 ' w 49. 83 ~(sao3)
so 137.16 ' -
2•p5'51„
(S770 ..30 .09 . . i LI
g 8 OB 5~~~ E Q- $ ; R=I361.07
I ~ -
A ~
. . ~
DENMARK AVENUE ~ -
_
~ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCAIE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT fOUND PROPOSED GARAf,E FLOOR =$80.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = S'77,5 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK =$90•"7 FEET
41E HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE DOUNDARIES OF:
Lot i, Block BiRCH PARK, according to the recorded plat thereof,
'YDakota County, Plinnesota.
1T DOES NOT PURPORT TO SHOId IMPROVEt9ENTS OR ENCROACHMENTS, IF ANY. AS SURVEYED [iY
ME OR UNDER h1Y DIRECT SUPERVISION THIS 2320pAY OF OcToBra¢,., 1985.
APPROVED FOR SIENNA SIGP7ED: JAMES R. H1LL, iNC.
CORPORATION
QY: dY:
DATED THIS DAY OF HAROLD C. PETERSON, LAND SURVEYOR
19 MINNESOTA LICENSE NUM4ER 12294
PROJECT fJO. DOOK / PAGE 84762 %L4'0 JqMCS R. H1LL9 INC.
.
Planners / Engineers / Surveyors
FILE NO.
~ 8200 Humboldl Avenu• Soulh
FOLDEFi ntoominflton, Mn. 55431 -H12-DU4-3020
~ CITY OF EAGAN PERMIT
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 9 3 9 5
(612) 681-4675 Date Issued: 01/e y/9 7
SITE ADDRESS:
1261 WINDCREST AVE
LOT: 1 BLOCK: 1
BIRCW PARK
P.I.N.: 10-14175-010-01
DESCRIPTION:
(CrAS INSERT & LINE)
Building'~P,ermit Type FIREPLACE
fbuiltlitrg Wark 7ype NEW
;;Census Code 434 ALT. RESIDENTIAL
l, A
,i
~
i t r
~
\
REMARKS:
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Tatal Fee $50.50
CONTRACTOR: - Flpplicant - OWNER:
87ATEWIOE GA5 SERVICES 14477185 LEIER MARIE
3342 BALSAM ST SW 1261 WINDCREST AVE
PRIOR LAKE MN 55372 EAGAN MN
(612) 447-7185 (612)452-8579
Z hereby acknowledge that S have read this applioatipn anai state that the
infiormation is correcC and agree to comply with all applicable State qf Mn.
5taCutes and City o'f Eagan OrdYnances> y
L ~
~~~n R~:.r~.l m1~
APPLICANT/PERMITEE SIGNATURE ISSUED Y: GNAT RE
CITY OF EAGAN
iq ~ 3830 PILOT KNOB RD - 55122 O.~ 0
1997 FIItEPLACE PERMI'P APPLICATION
681-4675
DATE: / 97 PERMITFEE:$50.50
DESCRIPTION OF WORK: _ CONSTRUCT NEW FIREPLACE _ ALTERATIONS TO EXISTING
~ INSTALL GAS INSERT ONLY
~ INSTALL GAS LINE ONLY
OT'fER:
STREETADDRESS: t''llqdl~''ls-,` /7'1/
LOT BLOCK SUBD./P.I.D. LnAt Ll
APPLICANT: (circle one only) OWNER CTOA
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.
PROPERTY Name: Phone
OWNER
Signature:
Street Address:
City: State: Zip:
FII2EPLACE Company: G-ras $-c,vl-e-s Phone e,197- 7181-
INSTALLER
Signature'
StreetAddress: 33y.2 Arz.... S;(-- 3.(,r/ License#:
City: P,-.or LaFe- State: 2~51 Zip: 53--?u
GAS LINE Company: ~G as Phone
INSTALLER
Name:
Signature:
Street Address:
City: State: Zip:
AN,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition o 34 Repa'v
GENERAL INFORMATION
Census Cade.
SAC Code
REMARKS
Chimney/flue must be inspected before concealing.
1989 HDILDIAG PE[tMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I 4 4 1 5
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, t SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACfOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLONED ONCE Bi1ILDING PERMIT I3 I330ED.
M[TLTIPLE DWEI.LINGS aENTAL UNITS FOR SALE ONIT3 i OF iJNIT3
ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: fire (7C ValuationA
~,6cj Date:
Site Address 10161 L(//~/'25t Aw- OFFICE USE ONLY
Lot ~ Bloek Oecupancy FEBS
Zoning ~
Parcel/Sub LUL Loh Actual Const Bldg. Permit ~(p
J/Allowable Surcharge
Owner W~da/( U of stories Plan Review
Length SAC, City
Address s~"'r Depth SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Aeet. Deposit
Phone 1-715 - 27 -?s79 On site sewage_ S/W Permit
On site well S/W Sureharge
Contractor AVL- ?~OQ$MO MWCC System _ Treatment Pl.
,p City water Road Unit
Address !U~ ~~~E ~M &vD PRV required _ Park Ded.
City/Zip Code C#1f5K4~1y1~ Sj~l~' BOOSter pump _ TOT9Lg S
APPROVAI.S
Phone y7
_ _ 3 'oc?o 6q Planner' _
Couneil
Areh./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
NOTE: Sewer & Nater Permit fees and aecount deposit fees srill be ineluded in the building
permit fee. Processing time for sever and vater permits is tvo days once a lioenaed
plumber kas applied for a permit at City Hall.
*
` C I TY O F E A A f~ pA~W OF k~ AT TIME OF ;
. * APPLICATION DOES WR` O0NSTIT[T1E -
APPROVAL OF PF•RNIIT. ~
APPLICATION FOR PERMIT
* INSPI~x.TION oF SEFIER ANID/OR F41ZER ;
* TwrnrramiONS WIIS, NC7f BE SCEIID- '
SEWER AND/OR WATER CONNECTION *~m Mwm PmIT HAS BEm ;
' . ~ APPROVID. ;
>
. ***~~*********~+****k****x********,r~
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
_ Lot Block Subdivision or Tax Parcel ID )
IF E7ffSTING SS'RCCZL'RE, DATE OF ORIGINAL BLILDING PERMIT ISStAN(E: . .
;
PRFSENf ZANING/PROPOSID C'SE: t-Jon ear
C0i61^'lE'RCIAL/REPAIL/OFFICE R-1 SINGLE FAhIILY '
~ IDIDOSTRIPy 0 R-2 DOPLEX (14,p IIl]].ts)
. n INSTITL'TIONAL/GO~T C] R-3 'IOWNEiOC~SE (Three + Units) ( Gtnits)
. ~ R-4 APARTMEN'P/CObIDOM2NIUM ( Units )
~
2' ~
NAPE:
ADDRESS:
CITY, SI'ATE, 2IP:
PHONE:
• 3) ~`E= RAYMOND E HAfG PLBG- erur For City Use
Plwnhers License:
ADDRFSS: 7226 Cedar Ave, So, Active
czTr, STATE, zzn: Richfield, MN, 55423 ~Expiz-ed
Not recorded
PHONE:~I MASTIIt LICQVSE# O44I Sta Inltial
5'- •
4) • • ~ ia~•
. NANIE: '
. ADDRESS: ~
CITY, STATE, ZIP:
PHONE: ~
5) ~ v i a• • :o • o~ - a~
~CONNECPION T0 CITY SEWII2 ~~NNEcpION m CITY WATER 0 aiYIER ' .
6) " • r El PLEASE HOI.D APPROVFD PERMIT FOR PICK-LtP BY ONE OF ABOVE
~vPLEASE MAIL APPROVID PERMIT TO 1, 2. p~
- (Circ e one)
7)
. ' ti- ~ ? :r w ~ ~ u • r • • ia• n i• u~• • ~ . ~
•a~
• r. 6046 1' 1 : iH:1.•,!f}~ I/ 1 ~I' G• • F h .
~
. FOR CITY USE ONLY PERMIT # ISSL'ED
75l ao
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SC'RCHARGE)
$ $ WATER PERMIT (INCLODE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATIO[d STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ $ wAC ~
$ $ sAC ,
$ $ TRC'NK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
I`a7 D' -d $ WATER TREATMENT PLANT SLRCAARGB
$ $ OTHERi
$ ~o~i / ~ cS~ $ q~/ • TOTAL
~G3/17
RECEIPT RECEIPT ~ ~ ~ ~~4 3,/U /
Y'
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PUSLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PDBLIC
Q ROADWAY" MLST BE ISSDED BY THE E[VGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ,c_tL.W-~ &w~
TITLE:
DATE :
z
i
6 )t~.~- ~
~ ~ •
00
-
- - - - '
ciPy
•
44
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- ~ , 5.~."`'..`R. ~t~ _ _ -
~ N
s'1C I'L7(/0 M. aO.G. ~~Xp D,C.
EAGAN
REViEWED •
~ - - a~-- -
' 8eforo digging cal? IocsI utM DATE 7 -
TELEPNONE • ELECTRIC • GAS E9t.
•
~ IZEpUIRED BY LA\`f
~ -
- ~ - - _
!
*dtV oF eagan
PATRICIA E. AWADA
Moyor
April 12, 2000 PAUI BAKKEN
8EA BLOMQUIST
Mr. Gerald Bisbee PEGGY A. CARLSON
1261 Windcrest Avenue SANDRA A. MASIN
Eagan, MN 55123 councn nnemoers
THOMAS HEDGES
RE: City Code - Driveway Access; Home Business Ciry Adminisirpior
E. J. VAN OVERBEKE
Dear Mr. Bisbee: Ciry Clefk
The City of Eagan continually monitors health, safety, and aesthetic standards by enforcing land
use requirements set by City Code. It has recently come to our attention that a condition of your
property may not be in conformance with the Eagan City Code. Specifically, it appears a second
driveway is being built, and a home business is being conducted which does not meet City Code
requirements. This letter is being sent to inform you because you may be unaware of these codes.
Requirements need to be met to obtain new access onto Denmark Avenue. Placement of
driveway in relation to the intersecting street and thickness of the sidewalk to avoid cracking and
damage are just two issues relating to this. It would be in your best interest to contact City
Engineer Russ Matthys at 651-6814637 before conducting further work or incurring additional
expenses regarding your project.
In addition, equipment stored on your property indicates there may be a lawn maintenance
business run out of the home. City Code Section 11.03 states "Home occupation means any
gainful occupation meeting all of the following requirements when engaged in only by persons
, residing in their dweUing, when that occupation is conducted within the principal structure,
when evidence of the occupation is not visible from the street, when no signs are present other
than those permitted in the R districts, no stock in trade is stored on the premises, over-the-
counter retail sales are not involved, and entrance to the home occupation is gained from
within the structure... No accessory buildings or attached garage shall be used for such
home occupations." Commercial equipment would need to be stored in a non-residential
location.
The City respectfully requests you contact the engineering department regarding the above matter
by April 14, 2000. We appreciate your cooperation in complying with this request. Please
contact me at 651-681-4690 should you have questions regarding the home occupation ordinance.
Sincerely,
.
M. Granley
Code Enforcement
Cc: Russ Matthys, City Engineer
MUNICIPAI CENiER THE LONE OAK TREE MAINTENANCE FACILITV
3830 PILOT KNOB ROAD 3501 COACHMAN POINi i
EAGAN. MINNESOiA 55122-1897 THE $VMBOL OF $TRENGTH AND GROWfH IN OUR COMMUNIN EAGAN, MINNESOiA 55122
PHONE'. (651) 6814600 PHONE: (651) 601 d300
F.4)(:(6,51)601-4512 EqualOppodunityEfflplOyBf fAX:(651)681-4360 i
TbD: (551) 45n-8535 www.dtyOfedgan,COm iDO: (651) 454-8535
i
i
Apill 14, 2000 ,
To: Russ Matthys
ln regards to the letter I received on April 13th in reference to a
home business and driveway access:
I am not in the lawn maintenance business. We are removing the
dirt birm at che back of the property to make a parking area for
my truck & trailers. A six foot privacy fence is being constructed
around the area. I have spoken with all of my neighbors and
have been assured that they do not have a problem with my trailers.
f am a one man home repair business. There are no business signs and
no retail sales on the premises. When the dirt has been removed, I will be
more than happy to put in the proper sidewalk and drive to code.
We can do additional plantings in and outside ofthe fence ifneeded.
There is no construction material storage on the property. Access to
the back yard and a fence would conform to the new proposed
parking ordinance currently being drafted. I don't anderstand why
we can't access our back yard off of Denmark.
We do not believe going in out of our backyard would impede traffic
or cause any kind of a hazard. There are weeks where the trailers
are not even moved.
"rhank you,
Gerald Bisbee
1261 Windcrest Ave.
Eagan, MN 55123 .
cc: M. Granley
Bea Blomquist
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DRIVEWAY REQUEST Mayto,2oo0
1261 WINDCREST AVE.
city of Eagan
t
(
April 14, 2000
7'0: [Luss Matthys
ln regards to the letter I received on April 13th in reference to a
home business and driveway access:
l am not in the lawn maintenance business. We are removing the
dirt binn at the back of the property to make a parking area for
my truck & trailers. A six foot privacy fence is being constructed
around the area. 1 have spoken with all of my neighbors and
have been assured that they do not have a problem with my trailers.
I am a one man home repair business. There are no business signs and
no retail sales on the premises. When the dirt has been removed, I will be
more than liappy to put in the proper sidewalk and drive to code.
We can do additional plantings in and outside ofthe fence ifneeded.
'I'here is no construction material storage on the property. Access to
die back yard and a fence would wnform to the new proposed
parking ordinance currently being drafted. 1 don't understand why
we can't access our back yard off of Demnark.
We do not believe going in out of our backyard would impede traffic
or cause any kind of a hazard. There are weeks where the trailers
are not even moved.
'1'hank you,
Gerald Bisbee
1261 Windcrest Ave.
Eagan, MN 55123
cc: M. Granley
Bea Blomquist
~ .
*dtV oF eagan
PATRICIA E. AWAOA
Moyor
ApTll 12, 2000 PAUL BAKKEN
BEA BLOMQUIST
MC. Gel'Hld B15UCB PEGGV A. CARLSON
SANDRA A MASIN
1261 W1riC1CI'CSL f'.vCnUO .
Council Members
Eagan, MN 55123
THOMAS HEDGES
CiN Admini5lrotor
RE: City Code - Driveway Access, Home Business
- ~ E J. VAN OVERBEKE
Ciiy Clerk
ney: M!' BIChPP:
I"he City of Eagan continually monitors health, safety, and aesthetic standards by enforcing land
use requirements set by City Code. It has recently come to our attention that a condition of your
property may not be in conformance with the Eagan City Code. Specifically, it appears a second
driveway is 6eing built, and a home business is being conducted which does not meet Ciry Code
requirements This letter is being sent to inform you because you may be unaware of these codes.
Requirements need to be met to obtain new access onto Denmark Avenue. Placement of
driveway in relation to the intersecting street and thickness of the sidewalk to avoid cracking and
damage arejust rivo issues relating to this. It would be in your best interest to contact City
Engincer Russ Matthys at 651-681-4637 before conducting further work or incurring additiona]
expenses regarding your project.
In addition, equipment stored on your property indicates there may be a lawn maintenance
business run out of ilie home. City Code Section 11.03 states "Home occupation means any
gainful occupation meeting all of the following requirements when engaged in only by persons
residing in their dwelling, when that occupation is conducted within the principal structure,
when evidence of the occupation is not visible from tlie street, when no signs are present other
than those permitted in the R districts, no stock in trade is stored on the premises, over-the-
counter retail sales are not involved, and entrance to the home occupation is gained from
witl:in the structure... No accessory buildings or attached garage shall be used for such
Fiome occupations." i.ommerciai equipment would need to oe sLoreJ in a uoi,-resid-c;,tisl
location.
The City respectfully requests you contact the engineering department regarding the above matter
by April 14, 2000. We appreciate your cooperation in complyinb with this request, Please
contact me at 651-681-4690 should you have questions regarding the home oceupation ordinance.
Sincerely,
M. Granley
Code Enforcement
Cc: Russ Malthys, City Engineer
MUNICIPAL CENTER THE LOh1E OAK TREE MAINTENANCE FACILITY
3830 aiL0i KNOB aOAD THE SYMBOL OF STRENGTH AND GROWiH IN OUR COMMUNIN 3501 COncHMnN aOwi
EAGAN. MINNESOTA 55122-I897 EAGAN. MINNESOTA 5522
PHONP. (651) 681-4600 PHONE: (651) 681-4300
FAX (651) 681-4612 Equal Opportunity Employer FAX, (551)681-4360
iDD'. (651) 454-8535 www.cityofeaqan.com iDD: (651) 454-8535
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116487
Date Issued:10/08/2013
Permit Category:ePermit
Site Address: 1261 Windcrest Ave
Lot:1 Block: 1 Addition: Birch Park
PID:10-14175-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Matt Pietruszewski
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 -
Ann Marie Johnson
1261 Windcrest Ave
Eagan MN 55123
(612) 600-6944
Rybak Brothers Construction Llc
2206 East 117th Street
Burnsville MN 55337
(952) 405-8871
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
l Z3'f '
I I
City Of EaEldfl I Permit I
aj I
~ Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received:
I ~
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: k~~7 Site Address:
_l~
Tenant: J , ~ Suite
~z
Name: fz~ Phone: 2 &00 6cl'T
Resident/Owner
K;~ u a Y Yr~.
"a Address /City /Zip:
" ? Name: License
F t f;
Address: City:
Contractor.
State: Phone:
.y ,
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
Type of Work Sump Pump Repair Repair
Other: Other:
Description Description of work:
C C, 'r v~1 u I'S CLIQC
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.aoi)herstateonecall.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 or 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 w i h r uires a review and approval of plans.
x 1 I► 6 Y I ~l V l!/~it V l' l x
Applicant's Printed Name Applicant' S gnature
i
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168643
Date Issued:04/28/2021
Permit Category:ePermit
Site Address: 1261 Windcrest Ave
Lot:1 Block: 1 Addition: Birch Park
PID:10-14175-01-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Mamadee Massaquoi
1261 Windcrest Ave
Eagan MN 55121
Superior Builders Inc
6361 Sunfish Lake Ct Ste 400
Anoka MN 55303
(651) 615-0065
Applicant/Permitee: Signature Issued By: Signature