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?
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. . . _ ; _ _ . 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