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1267 Windcrest Ave CITY OF EAGAN ~ ~~~~e 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 _ 7 BtJILDiNG PERMIT PHONE: 454-5100 Receipt # To be used for SY U+41;/GAk Est. Value $75,000 pa1e i[1laf: 6 ,19 S6 Site Address 120 WI Yv D(:R FS'I' AV E. Erect ~ Occupancy R3 Lot " Block 1 Sec/Sub. 13 IaCi; pAR`-~ Remodel ? Zoning RI Parcel No. Repair ? Type of Constyn Addition ? No. Stories 4 5 Move O Length W ORPOWI'I'£ CUVST%tUCTIOh+ Name L' Oemolish ? Depth p Address 4466 WEUiiW00~ Dtt Int Impr, ? Sq. Ft. City EAtiA~iPhone 454--0644 Install O =o Name APp?ovais Fess 0Q Address Assessment Permit ~ . 00 ~ City Phone Water 8 Sew. Surcharge 37.50 Police Plan Review 179.00 ~ W Name Fire SAC 575.00 0~ ,4ddress Eng. Water Conn. 504 . OU i W City Phone Planner Water Meter 63 . 50 Council RoadUnit 290-00 I hereby acknowledge that I have read this application and state that the Bldg. Off. b/V$ b Tr. PI. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City.offagan Ord' nces. APC Parks Var. Date Copies.~_ ~U Signature of Permittee t TOtal i1 ~ 1597 . A Building Permit is issued to: CORP04A`V'" CU'vSTKUCTII.):J on the express condltion that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ~ s Ra ~ Q 3 3 T 3 o g': g 8 8~ ~ s? v - ~ ~ ~ ~ ~ ° o n ~ 3 ~ a c 9 "q ~ ` Q $ ~ p 2 3 n n ~ w w el R1 ~ r ° _ P n g \ ~ - _ ~ ~ ~ 3 : I I . . . _ ; _ _ . PERMIT # ~ PLUMBING PERMIT RECEIPT # GTY OF EAGAN ~ 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE ' CONTRACT PRICE PHONE: 454-6100 Site Add ss ? %NDC t YF BLDG. TYPE WORK DESCRIPTION Lot Block SecJSu i. Res. New m Name ) F p Muit Add-on -S Address ~r s• Comm. Repair c City 1 d Phone Other ~O. FIXTURES TOTAL ~ Name v ON t l Water Closet -$3.00 $ c Address 4o 00 L. ~ Bath Tubs -$3.00 0464 ~ Lavatory -$3.00 ~ Ci~ EG q C, f1 Phone - i Shower - $3.00 _L_Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE ___Laundry Tray -$3.00 MINIMJM - RESIDENTIAL FEE -$10.00 Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•00 ! Water Heater -$1.50 STATE SURCHARGE PER PERMIT - .50 Whirlpool -$3.00 (ADD $.50 S/C IF PERMIT PRICE GOES I Gas Piping Outlets -$1.50 BEYOND $1,000.00) Sottener - $5.00 Well - $10.00 Private Disp. - $10.00 ;^r. - =Rough Openings - $1.50 ` .J SIGNATU E OF PERMITTEE FEE STATE S/C: FOR CITY OF EAGAN GRAND TOTAL• l ? • LV .10 . PERMIT # f 1 3 • MEGFiANr PERMIT RECEIPT # (a yti CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~ ~ CONTRACT PRICE PHONE: 454-8100 Site Address 267 w S BLDG. TYPE WORK DESCRIPTIQN LotQ Blxk Sec/Su 'Z Res. i' New ? ; m Name Kleve Heatin & Air Cond. Inc. Mult Add-on Address13075 Pioneer Tra.il c City Eden Prairie Phone 541-4''11 O~em' Repair 'M.'. MN 55344 Neme OorT)crate Construction FEES i c Address 4466 Wedqwiuod Drive RES. HVAC 0-100 M BTU - $24.00 J ! 0 City E:aaan.55I23 Phone 454-0644 ADDITIONAL 50 M BTU ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK #ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Forced Air ~ M BTU GOMM/IND FEE - 196 OF CONTRACT FEE Boiler M BTU 0.AINiMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 .50 Air Cond. M BTU STATE SURCHARGE P_E,~ PERMIT A (ADD $.50 S/C IF PERII~Y PRICE GOES ' Vent CFM gEyOND $1,000.00) Gas Piping Outlets # Other i, ; - ~ FEE S1C: SIGNATURE OF P MITTEE TOTAI: ~ FOR: CITY OF EAGAN r CITY OF EAGAN Remarksi)_ivisian #-1{'25-2---}0/$ 5 Addi±ionBi~~~ark l.ot 2 eik 1 Parcel_ 10-1 41 7 5-020-01 Owr,er Street 7267 Windcrest Ave State_ _Eagan MN 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRAOING 5AN SEW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT 1048 198 199.66 13-31 1 CURB & GUTTER ' 51DEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK 1NSYEC;'1'lUN KLt;UKl) CITY OF EAGAN PERMIT TYPE: 3$30 Pilot Knob Road Permit Number; Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS• 1 i 4 i APPLICANT: • ~ . ~ t r~u~r ? ~ i•~ ~ ~ ; , PERIIAIT SUBTYPE: TYPE OF INORK: INSPECTION TYPE DA • rA ~ . . . . . . . . ..~.J Pertnit Holder Date Telephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ~ ROOFlNG T ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS corvoucTiviTv TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL ~ CITY OF GAN WATEIt SERVICE PERMR 3830 Pi6•` Knob Road P. O. hox 21199 PERMIT NO.: E~~~ M'N 55121 DATE: - _ , . . r1 ; Z°ni"D' - Corporate Ca?tst, No. af Units: Own'r' _ / 01(0 1. I Addrom- CCrest Ave. IA i;l Eircii as~ ' Site Addr •-AonU 1?aeg ?ll_umhinry , Plurnbe No.. 37,0 12-3,317 ~ D; ~de. r~.: 3 5 pb ~n ,op~ I .,r.e to ea..k .rieM d. Orl1~aM. ~E~~~" 15 f.-,} J p" TP metc Br Doc. vaw: Dote of Insp.: Irap.: CITY OF EAGAN ~ 3830 Pilot Knob Road S~V~ P~R ; P. O. Box 21199 PERMIT NO.: ~ ~ Eagan, MN 55121 pATE- Zoni^g' No. of Units: OW11lr. : ^ddIESS: 51tR Afbfe3S: 1 7 1 T u ^ Plumber. F 17ae- r ~sMN N Minior MO!` !w cky of ypw COrMNctlOf1 ChOfge; ' S r:~.. OrJlMllp~. ' _ I Acco1Jnt Dlpowt. t rte1 Pef111it FN: ff SlJrd1GfQe: ' r f ; BY Misc. Chorqes; ~ Dote of Insp.: Totol: ~ Doh Paid: E CITY OF EAGAN WqUR SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55121 p^TE. . Zonirq: No. of Unin: • Ownsr. ::.e• t'~raa:: /4ddress: Sita Mdross: Plumber. Meftr No.: ConnscHon Qwrps: - Size: Acoount Deposit: Reodsr No.: Permit Fee: I Nrw ft eo~w0i-r wia !w i'Jep of !pp¦ Surdwrpt: AilMwas. Mlsc. Chorgm ' Totol: By Dote Pnid: Dote of Irap.: lrww; PERMIT# ~ CI C~~ RECEIPTDATE: 2002 RESIDENTIAL i'LUM$INf PEiiMIT APi'LICATION crrY oF EAGatx SSSO PILOT KNOB RD fr46ikN. MN 551EE 657-881-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, hmrkfinw nreventer for irriaation svstem KIPPLEY, ROGER SITEADDRESS: 1267 WINDCREST AVENUE - EAGAN, MN 55123 OWNER NAME: : (sst) 452-8184 TELEPHONE (AREA CODE) INSTALLERNAME: _t~OrIolbm Plu.+nnbiv\-q TELEPHONE(OIL'g2-7 " q0$3 d (AREA CODE) STREETADDRESS: ZRO°S C.~(•lV'fiGlcl /~y~„y~~,~,e. SObt-wl CITY: STATE: Mt~ Zip: SSL}O$ _ SEPTIC SYSTEM, new/refurbished (requires hvo sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existing dwelling unit 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ Iawn irrigation system ReplacemenUadditional: _ watersoftener X waterheater $ 15.00 State Surcharge $ 50 Total g I S .SO I hereby acknowledge lhat I have read this application, state that the information is correct, and agree to complywith all applicable Ciryof Eagan ordinance . It is the applicanCS responsibility to notiTy the property owner thal the City of Eagan assumes no liabilily tor any damages caused.by theGirydudn ~ils noral operatlonal and malnlenanca activities to the facilities constructed under this permit wilhin Cit pr erty/right-of-way/easement ~ I SIGNA OFPERMITTEE GvT 3 jjpz'.002 U IE , • CASH RECEIPT • . CITY- OF EAGAN 3795 PILO B ROAD EAGA , MINNES TA 55122 A E °`C7 19 ~ eecerveo / PROM MOUNT $ '5 & DOlLARS ? CASH Cryncx aa /~L 7 LP~ ~ ~ POR FUNO CODE qMOUNT a 7/ U G/ G rJ Thank You N_ 63988 White-Payers Copy Yellow-Posting Copy Pink-File Coov This reauest voia ~ . II 1 18 mpnths 1rOm 'C 24282 La Reque t Date Fire No. Roueh-in pection 1 r ~ \l 1 0 Re u r~s . ?No OPeadv Now torlWheo'qeady eL V ~•~,ensed Electrical Convxctor 1 hereby .equast insoec[ion of above ? Ownar aleetrical work installed at Sneet Adtlress, Box or Route No. City ecuon o. T nship Namn or No. Range No. County O ani IPpINTI Phone No. ~ 2 Co S - Power plier ACdress Elec1&.NMCK MvR1eTS?1C on ractor's License No. rr Mailin0 A!45A4QTEtJ?RQQK i ai 4alt APPLE VAMY, MN 55124 AuNorized SiBnaWre (COntracior/Owner Making Installation) Phone Numbe, MINNESOTA STATE aOAflD OF ELECTRICITY THIS INSPECTION qEQUEST WILL NOT GrigBe-Midwev Bldg. - Noom N-191 BE ACCEPTED BY THE STqTE BOAND 1827 University Ava., St. Paul, MN 66104 UNLESS PROPEN INSPECTION FEE IS vh..no 16121 297.2111 ENCLOSEO. _ REQUEST FOR ELECTRICAL INSPECTION E8-00001-04 ~J 1 See inslrvctions lor comple4ng this torm on back ot yellow copy. ~i /(_S~^. ~ 24282 ""X" Below Work Covered by This Request 7~U A tl Rep. Type ol BuilAinB Ap0linnms Wired. Equipmenl Wired Home Range T porary Service Duplex Water Heater Lightiny Fixtures Apt. Building Oryer EleCtriC Heahn Commercial Bldg. jefurnace Silo Unluader Industrial 81Ag. Air Conditioner Bulk Milk Tdnk Farm iner oac~ y incr i5unc;fv1 1 nr uccify Other Oiher ompute lnspection Fee Be/ow p Fee ServiceEntranceSixe M Fee Feeders/5ubfeeders % fee Circolts 0 to 200 qm 5 0 to 30 qm s Q. tn 30 Am s Above 200 qm py 31 [a 100 qmps 37 to 100 Am s Swimming Pool Ahove 100_Amps 47 Above 100_Am 5 Transformers Irngation Booms Partial-'Othe Signs Special Inspection S TOTAFE7, pemarks Nough-in AK Dr/ 1, the ecVicel Inspaca , e y certify that tha above Final D~~/ inspection has been d~ mede. TMa repueal voitl 18 months Irom . CITY OF EAGAN A'p 12009 3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121 'v PHONE:454-8100 BUILDING PERMIT Receipts T To be used Ior SF DWG/GAR Est Value $ 75,0 00 Date JUNE 6 19 86 SiteAddress 1267 WINDCREST AVE Erect Occupancy R3 Lot2_Block 1 Sec/Sub. RTR H P RK Remodal ? Zoning R1 Repair ? Type oi Const. Vn Parcel No. Addition ? No. Stories 45 z CORPORATE CONSTRUCTION Move ? Lengih z Neme Demolish ? Depth 3o Address 4466 WEDGWOOD DR Int.lmpr. ? Sq.Ft city EAGAN phone 454-0644 Install ? SAME APProvals P"' o Name $ a Address Assessment Permit - 00 Ciry Phone Water & Sew. Surcharge 37 . 50 13 ¢ Police Plan Review 179.00 _ = Name 575. 0 SAC 0 Fire ¢i Address Eng. WaterConn. 500.00 a W city Pnone Planner Water Meter 63 . 50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gld .Off. 6 S 86 Tr.PI. 156.00 information is corr ct and agree to comply with all applicable State of 9 Minnesota 5 tut and C" Eagan r' ances. APC Pafks ~ Signature of Pe ittee Var. Date Copies 2 159 . 00 To[al , A Building Permit i issued to: CORPORATE CONSTRUCTION on ihe express condition that all work shall be d ne in accordance with ail applicable Sta f nnesota Statut s and Ci oi agan Ordinences. Building Oflicial 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan NIlV 55122 L4y q) Telephone # 651-675-5675 FAX # 651-675-5694 ~ NewConsWdionReaui2menls RemodeVReoairReauirements (aificetJ Qn. 3 registe2d ate surveys showing sq. ft of bt sq. ft of house; and all mofed areas 2 copies of plan Cert ot Smey Recd _ Y_ N (20% maximum bt coverage allowed) 1 set of Energy Calculations for heated additions Tree P2s Pbn ReCd - Y ~`!t 2copiesofplanshowingheam8windaxsizes;pouredfourid deslgn,etc. 1silesurveyforadditions&decks Treth1pFf~~9Uired isetofEnergyCalculatlons Addition-indicatei(onsitesepticsysfem ~nsif~ de'System' YN 3 copies of Tree Preservation Plan if lot plafled after 7/1/93 Rim Joist Detall Options selection shcet (61dgs wRh 3 or leu unib Date -~7- / / -7 /e-( Construction Cost /5- 800 Site Address UniUSte ~ Description of Work h1(S (Js - k l(7 4c,(,J~ N L N Fireplace(s) _ 0 _ 1 _ 2 Multi-Family Bldg _ Y ~ Property Owner ~t Telephone #(4~S) ) yS;i l'elty Contracror V s,7- Address _57~- Fr- Piv),I:b City 4Gw State Zip !55/ 9-3 Telephone # y5L4 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Piumber Telephone # Mechanical Contractor Telephone # Sewer/Water Contractor Telephone # D LIU I hereby apply for a Residential Building Permit and acknowledge that the info "ggan curate; that the work will be in conformance with the ordinances and codes of the City the State of MN Statutes; I understand this is not a permit, but only an application for a pemut, 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. ApplicanYs Printed Name pplicanYs Signature OFFICE USE ONLY Sub Types ? Ot Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 01 of _ plex ? 09 07-plex , ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PIb%XY or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ~ 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair X 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDOOrs ? 34 ReplaCement •Demolition (EnHre Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System - Census Code '4'Zoning City Water SAC Units Stories ~ Booster Pump - # of Units ~ Sq. Ft. l PRV ~ # of Bldgs - Length ~ Fire Sprinklered Type of Const 7~2 Width ~ REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) Plumbing _ Foundation ~ HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing ~ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insula6on Retaining Wall Approved By: , Building Inspector - 12 - - - Base Fee ' ~S'M~ ~iiL3y ~OGG Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date5_// 7 / Site Street Address c'? Unit # Property Owner i ~ Telephone # ( ) Contractor ~ 0/1 14~ Telephone # (65/) `162- 05CS Address 7/v 41e.r 1 le/ City Es;z~ State,~~ Zip S,S/,2/ The Applicant is: _ Owner ! Contractor _Other Alterations to existing dweliing $ 50.00 _I/Add fixtures to rooms, excluding water softener and water heater _Septic System Abandonment _Water Turnaround add $121.00 if a 5l8" meter is required) Other: -lri Water Softener _ Water Heater $ 15.00 _ replacement _ additional Lawn Irrigation System RPZ_ new _ repair _rebuiid $ 30.00 State Surcharge $ 50 Total $ 5-8 -G1:) I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. M,rt G ~I~~!l~Xt.?iv 2_;/,.z Applicant's Printed Name ApplicanYs Signature D ~ y /A 0 0 / ( U 1986 BOILDIAIG PERHIT APPLICA7ZON - CITY OF EAG9N = NOTS: ALL CONTRACTORS MQST Bfi LICSNSED iiITH THE CITY OF EAGAN s~E SINGLE FAMIILY DNELLING3 INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SET OF ENERGY CALCULATIONS MUI.TIPLE DiiE[,LINGS - ESSIDfiNTIAL RENTAL QNITS FOR SALE IINITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHBCK iiITH BLDG. DEPT., 1 SET OF SNERGY CALCULATIONS COMMEHCIAI: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND t SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND • ~ ~ To Be Used For: ~ Valuationr'~ Date: 6'f-$4 Site Address 1267 E~I i-acrcst- ~Vd , OFFICE QSE ONLY Lot 2 Block I Ereet ~ Oceupancy '3 Remodel Zoning Parcel/Sub Repair _ Type of Const Addition # of Stories Owner a4eo,'~r Ca.it'y ,'c _ Move _ Length Demolish Depth ~ Address yL 6(> Int.Impr. _ Sq Ft Install City/Zip Code SSIZ"$ Phone _ L/ S K-O[ k N APPROVACS FeE.s Contractor ~Iv~r Assessments Permit 19 Water/Sewer Surcharge ,7, Address Police Plan Review Z:f!2 Fire SAC City/Zip Code Engr Water Conn OD Planner Water Meter ~1"~ Phone Council Road Unit 2 J Bldg Off f~- Treatment P1 /S Areh./Engr. APC Parks Varianee Copies Address TOTN. " ~ . City/Zip Code Phone # HOTE: ADDHESSES FOR CORNER LORS - CONTRACTOR/HOMEOWNER MDST DESIGNAYEiiflICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOHED ONCE BIJILDING PERM22 IS ISSDED. ~ SURVCYOR'S CERTIFICATC 'SIENNA CORPORA7ION I I ~ ~ N 3048'51 " W l )r\3 ~ 30 . ~30.00 _ 52.33 J~'4 . 3 6 i'.10.00 10.00-:')_----- - 10 50 ~ ~29.16 m ~DR I E W A Y \N ( j j 1a 33 o p 'o\ °c ov m c e. l~ mm ~ (8~3 io zs.as 3) sm IOAO~sz.sa -3 9. 70 'O S 3'48'51 " E I I ( L_ ll i ~ L xNOTE: THE LEGAL DESCRIPTION SHOWN HEREON' WILL BECOME VALID UPON FILING THE PLAT OF BIRCH PARK. DENOTES PROPOSED SURFACE DRAINAGE $CALE: 1 INCH = 30 FEET O DENOTES IRON MONUMENT 5ET • DENOTES IRON MONUMENT FOUND pROPOSED GARAGE FLOOR =~;&Z.3 FEET X000.0 DfNOTES EXISTINC ELEVATION PROPOSEfI LOWEST FLOOR = E79.5 FEET Sd2.~ FEET (000.0) DE!IOTES PROPOSED ELEVATION PROPOSED TOP OF 6LOCK = L1E HEREBY CERTIFY TO SIENNA CORPORATION THAT TH1S IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE [30UNDARIES OF: Lot Z, Block I , BiRCH PARK, according to the recorded plat thereof, Dakota Courty, P7innesota. IT DOES NOT PURPORT TO SHOId IMPROVEt1ENT5 OR ENCROACHMENTS, IF ANY. AS SURUEYED EiY ME OR UNDER P1Y OIRECT SUPERVISION THIS 237DDAY OF ocToSEe- . 1985. APPROVED FOR SIENNA SIGPIED: JAMES R. IIILL, iNC.. LORPORATIOtd ~ BY : DY : DATED TNIS DAY Of IIAROLb C. PETERSON, LAND SURVEYOR 19 M1NNL50TA.LICENSE NUh1DER 12294 REVISED 5-09-86 TO SHOW PROPoSED HOUSE - BY CORPORATE CONST. . PROJECT NO. DOOK / PAGE JAMES R. !-1[LL, INC. . 847E2 (86628) Planners / Engineers / Surveyors FILE NO. 0200 tlumboldt Avenu• South FOLDER otoomlnaton,Mti 65431 812-804-3020 i 04 f -TIM Nawg 'i . . _ . . . . . ~ PII01f@ ^zto y/Sew ~1te addnss :ontractor_, ~c~ o r~~ ~ Co c~~~c~c~ 'on2?+one . ~ tWiding Classification: Typa A1 (Stngte Family 6 Duplex) ? Typ~ A2 (Residentiai ~.(3 stories or es (Other) (Over 3 stories) ? 'sENEa14l [NFORMATION I. Buildtng Perimeter 1!~Jo ft. ` Yalt height (ground to eave) ft. 2 3. 1. x 2. .(above) 9ross wall argy 7,~C) S fr,. 9A .5 2 l. Building dimenslons (L) 40 x(N) 3CD ~ 1 R 4. ft. roof 5 flaor area • S. Squart fcot area of rim jolst - floor joist size (2 z Io ? ) l~ x Perimeter = Rim o St area •\~O ft2 , 6 . Ooors - Area Thit neu ° n. actor TYpe ot Constru~ S C~PeMmeter \5.9 8 ft Manufetturer e a s e ~ ` Total door's perimeter 3'Z a.'z> ft 8. W1ndw+s: lNeutacturer tNoa r c o State approved U facwr TYPE SIZE AREA (F:.2) :VUMBER OF TOTAL fEET Z EACH UNITS ~ _ ~ _ • q ~5..\r~~ .ri o•Qo _~3, • ~r ' ~o3C .59 l. _ _\_~.Sq 30 3o S_59 ~ S. 59 wY_ e ~,1c kV22 ~o n ~e . oc~ g, Total ft.Z 61ass » Ftreptacs area: Wdth x heiaht = ~--x 4Q.- Ft•Z 2 il . Expose4 foundaNOn: Height x Perimeter x Ft. WI£TIOM Of THjS FOAN IS REQtlIRED FOtI AlL NEY CONSTRUCTION. MAJOR REMDOELING AN0 $UIID14GS 1EI~ 0YE0"MMERE EkER&Y. OTHER THAN THE MINIMAL GODE AILONANLE. IS USED. - . . _ . . . . _ . . ,V`, - ,.1'~wv++tr+tq¢Fri!nrlkri`t:wasw--v..r.....~,,,. _ ....-.-v- _,-,-F^•rnnxe a .e-.+R-: ; . . . ~ PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: BuzLozNe E`dg2r°linnesota 55122-1897 Permit Number: @ 3 3 2 7 9 (612) 681-4675 Date Issued: 0 9/ 16 / 9 8 SITE ADDRESS: 1267 WINDCREST AVE LOT: 2 BLOCKc 1 BIRCH PARK P.I.N.: 10-14175-020-01 ' DESCRIPTION: REROOF Bg`ildiffg~ Permit Type STqRM DAMA6E PCuilding~U)grk TyPe REPAIR ~~AGensus Gode 439 ALT. RESIDENTIAL ~ ~':w '="a`. • ;i-~''~'s,. , m . Jm # nN' ` ' +rc a. <as 5 ~ a` V "10m e ~ic4~r'r ~ 3 vyY"€"-~'s@ N'~^ ' 3~ Pf `s& REMARKS: FEE SUMMARY: CONTRACTOR: OWNER: - Applicant - KIPPLEY ROGER 1267 WINDCRE57 AVE EAGAN MN 55123 (651)452-8184 T her~by.ack'nowl4dge, thO-t: i have read this appl.inatia.n ondi state~ that tltie knfp k'm~"tir~:t `is eorrect 8rre! mc~ree, Co aomply.uit.h gll applic4bl.e State Qf Kin, of Ea4aft tlydfnaric"Os,, . i I APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATUR~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EACiAN Q 3830 PII.OT KNOB RD - 55122 681-4675 ~ - I L New ConstruGion Reaui2ments RemodaVReoair Reauirements ? 3 registeretl sde surveys ? 2 copies of plan ? 2 copies of pWns (inGude beam & xrindow sizes; poureC fid. design; etc.) ? 2 site surveys (exterior addkions 6 dedcs) ? 1 energy ralalations ? 1 energy ralculations for heated atlditions ? 3 copiea of tree preservalion plan if lot platted after 7/1J93 required: _ Yes No DATE: /D - ~ ~ CONSTRUCTION COST; OF ORK: M (~4-~n.d~G E ~ I?OO r~~ PG~~-~~ C-N7' DESCRIPTI:REESS: ~ 7 C~ ( W DC ,i~i tSCJ~ STRE T I a ,AE LOT: BLOCK: I SUBD./P.I.D. ~J ~ C~ ~ ~C • Name: Phone il: T~~ -O I6 y PROPERTY 1.ast First OWNER ' r y~ ~ Street Address: 12l ~ W I N d ~ ~ ~ ~v'~/ E-7 City State: Zip: ~S( 23 Company: Phone CONTRACTOR Street Address: License # Ciry State: Zip: ARCHITECT/ ENGINEER Company: Phone Narne: Registration Street Address: City State: Zip: Sewer 8 water licensed plumber (new construction onty): . Penalty applies when address Chang and tot change is requested once peamit is issued. I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with all appbcabl State of MinnesoW Statutes and City of Eagan Ordinances. t Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes - Na _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dweiling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool ? 03 SF Addition O 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code Census Bidg Census Unit APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. _ Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units . ***~*****************f~f**#****##*** CITY OF EAGAiV * E°E~ - * APPROVAL OF PII2hIIT. APPLICATION FOR PERMIT ~ * IIIdSSPF7LTI0N oF SEWEI2 ArID/OR F7AM1t - T.TATZONS WBT+ Id0'P SE SC1'ED- ' SEWER AND/OR WATER CONNECTION ~ULED umn Pmm'T HAS UmN * APPROVID. * » . *~wt*i.,t,rir,t,tt+*s.*k*,t*****a*****+*ir,s*a P ease Print : 1) PROPERTY ADDRESS: f~ /a , LEGAI. DESCRIpTION: ° Lot Block Subdivision or Tax Parcel ID IF E7QSTING STRCG1L72E, DATE OF ORIGINAL HC'ILDING PERMIT ISSCANCE: PRFSEUi' ZONING/PROPOSID C'SE: Mon Year} ? CO+tiYERCZAL/REPAIL/OFFICE ~ R-1 SINGLE FAMILY ' Q INID'STRIAL Q R-2 DL'PLEX (7t,o Onits) ~ INSTI1i'TIONAL/GOVERNmETTp ~ R-3 MWDII-IO[ISE (Three + Units) ( C~nits) . ~ R-4 APARTMENT/COAIDOMINILfi1 ( Units) 2) ~ ruAM:_ ADDRESS: '79 Q /n Cf~lal~? . /~t/E o50 cizY, sraTE, zzP:_ rn n/ Sya3 PHorE: g!e ~ 0 9 3) • u NAME. For City Lse mnNd Na 9 ,P/b4 ,riUC Plumbers r.icense: ADDxFSS: '7a2 .,?lo ,OA,0 Au,6~ So Active Expired ; cITY, STATE, zIP:_ r, r-; e iei m tia 5L4 a s rot recoraea PxorE: a(,Lo-coo9a MASTER LICENSE# ~oZ{y/ ~at 4) o• • i~• ~ NAME: ~:CjR Pn ~2Ai-~ C nN s+ r~~ -h on) _ AwDRESs:- 44Lo(6 Lf%r ~ CZTY, STATE. ZIP: ~ PHorE:_ i5~1- D e y y •5) ~ ~i d• : ~ • a. • ~ CONNEX.TION TO CZTY SEWII2 ~ CONNfX.TZON 7n CITY WATIIt OTfM ' • 6) PLEASE HOLD APPROVID PERMIT FOR PICK-UP BY ONE OF ABOVE - ~ PLEASE MAIL APPROVID PERMIT TO 1, 2, 3. 4. ABOVE . (C' cle one) 7) ~J ~ 1 •~~L~lG i~1~ ~'C Z3 iTt~ s+r-ras ~~C Zsir'1l7C7~7aTTS~r-~ ~ ~ 5• 1 ~ • ~;r. 1 / : i M:P •.N?~ 1 0 1 q" • ;A' • ~1. TOR CITY USE ONLY . r • . PERMIT # ISSUED ;7"1G L 612s~ ~ Pd w/Bldg. Permit FEES: $ $ /CJ S-2) SEWER PERMIT (INCLUDE SLRCHARGE) $ $ WATER PERMIT (INCLUDE SL'RCHARGE) $ ~ J'j~o $ WATER METER/COPPERHORN/OOTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCODNT DEPOSIT - SEWER $ $ ACCOUNT DEPOSIT - WATER .~D O • U`"~ $ WAC $ c~7,5-, O-v $ SAC $ $ TRONK WATER ASSESSMENT $ $ TRL'NK SEWER ASSESSMENT $ $ ' LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ $ WATER TREATMENT PLANT SORCHARGE $ $ OTHER: s l3~ s~c s TOTAL ~o RECEIPT ~ RECEI T lfll DOES UTILITY CONNECTION REQUIRE EXCAVATION IN P[]BLIC RIGHT OF WAY? YES IF YES, THEN A"PERMIT FOR WORK WITHIN POBLIC, \ Q ROADWAY" MUST BE ISSCED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITIO[V. ~ SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE : 4~~~~G RESIDENT / OWNER Name: 1 ot^, r.,w5_ Phone: CSi l - d ` vll y . / � Address / City / Zip: / 6 7 ,`,wdc 1 4,�. e�S /a 3 .5-5 Applicant is: Owner & Contractor TYPE OF WORK Description of work: Ale,...) , 4 Construction Cost: ` U Multi- Family Building: (Yes / No X.-) CONTRACTOR - Company: t.J ;it is wt) 4- .kr v5 C.," 5 to w4 6d, Contact: 117 )L/ 7_ JYo .3 it1 t`1Gt o f (�✓.%t...ns Address: 1 L i 711 -r H1 C4 City: 1e (/ / Y �� State: 1 '` Zip:: ay Phone: 6 )? -; v 7 -11(03 _5 License #: )10 �3 q6(.241 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes DC No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may classified as non- public if you provide specific reasons that would permit the City to conclude that they are trade secrets. *' City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 cie# /0/ x Applicanj Signature 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Use BLUE or BLACK Ink For Office Use Permit #: 1 00 7E'd- Permit Fee: 90 ao Date Received: Staff: Date: Site Address: Unit #: CALL BEFORE YOU DIG. Call Gopher State One CaII at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buil)ng Code must be completed within 180 days of permit issuance. x —J tft Applicant's Printed Name Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA108671 Date Issued:12/28/2012 Permit Category:ePermit Site Address: 1267 Windcrest Ave Lot:2 Block: 1 Addition: Birch Park PID:10-14175-01-020 Use: Description: Sub Type:e - Furnace & Air Conditioner Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector, (952) 445-2840 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Lorilee W Kippley 1267 Windcrest Ave Eagan MN 55123 Pronto Heating & Air Conditioning 7588 Washington Avenue South Eden Prairie MN 55344 (952) 835-7777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA166364 Date Issued:01/05/2021 Permit Category:ePermit Site Address: 1267 Windcrest Ave Lot:2 Block: 1 Addition: Birch Park PID:10-14175-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Lorilee Williams Kippley 1267 Windcrest Ave Saint Paul MN 55123 Haferman Water Conditioning 12142 12th Ave. Burnsville MN 55337 (952) 894-4040 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA171633 Date Issued:08/24/2021 Permit Category:ePermit Site Address: 1267 Windcrest Ave Lot:2 Block: 1 Addition: Birch Park PID:10-14175-01-020 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the water damage. 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 - Lorilee Williams Kippley 1267 Windcrest Ave Saint Paul MN 55123 New Life Contracting Inc. 814 Grand Avenue St. Paul MN 55105 (651) 336-9966 Applicant/Permitee: Signature Issued By: Signature