1273 Windcrest Ave
SMPEESI Lr IMM DECK-11LAN REV:~7r16/8i CITY OF EAGAN p1 ~ A
; 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 - 12428
• PHONE: 454-8100
BUILDING PERMIT Receipt #
.
Tobeusedior SF DWG/GAR Est.Value $43,000 Date AUGUST 20 yg $6
SiteAddress 1273 WINDCREST AVE Erect )M Occupancy 3
Lot--3 siock 1_Secisub. BIRCH PARK Remodel ? Zoning ~I')
Parcel No. Repair ? Type of Const. VF
Addition ? No, Stories
W Name t=ORPORATE CONSTRUCTION INC Move ? Length Kn = 4466 WEDGWOOD DR Demolish ? Depth 48
o Address Int. Impr. ? Sq. Ft
City EAGAN Pnone 454-0644 Install ?
= o Name SAME Approvals Fees
Address Assessment Permit $ 412 . 00
City Phone Water & Sew. Surcharge 46 . 50
Police Plan Review 206.00
LU W Name Fire SAC 575.00
00 Aadress Eng. Water Conn. 500.00
~ W City Phone Planner Water Meter 63.50
Council Road Unit 290.00
I hereby acknowledge that I have read this application and state that the B~dg. Off. 8 1 S 8 6 Tr. PI. 156.00
informatfon is correct and agree to comply with all applicable State of
Minnesota Statutes and City.Qf Eagan Ordinances. APC Parks
Var. Date Copie
Signature of Permittee TOtsl 42,249.00
A Building Permit is issued to: CORPORATE CONSTRUCTIOId INC on the express condition that
all work shall be done in accordance with all applicabYe State oi Minnesota Statutes and City of Eagan Ordinances.
Buitding Official ~ `
PermB No. Pernnit Holdsr Daft Ta{piqne N
PlurtrplnQ
N.V.A.C. 7'70~
EI.ctr1°
Softener
Inspectbn Date lasp. Commmnts
FooNngs l LL P,
Footlnye11
Fouedsdoe
Frsminp ~
Roo(Mq E-2f Rouyh Plbp. Rouyh Htp.
Imul. Flreplece
Flnal Htp.
FkW Mp. O v?
iSidg. FInN 4~1
Cort. Occ. A2
~
Ooclc Ftp. 7-17-V
Dsck Frmy. -.G- ~ -
WNI
Pr. Dhp.
PERMIT #
~
. PLUMBING PERMR RECEIPT #
' CITY OF EAGAN
' 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ~
CONTRACT PRICE PHONE 454-8100
Site Addre LDC, TYPE WORK DESCRIPTION
Lot ock Sec/Sub ~-~L-- ~
-
• , • . Res. ~ New
m Name-- - Muft Add-on
~ Address T Comm. Repair
c City Phone V --Other
~ O. FIXTURES TOTAL
Name Water Closet - $3.00
c Addreyqs T-Bath Tubs -$3.00 ~
p City ~ne ` Lavatory - $3.00 La -
~Shower - $3.00 ~2
FEES T-Kitchen Sink - $3.00
COMM/IND FEE - 19'o OF CONTRACT FEE ~ Urinal/6idet -$3.00 3,
MINIMJM - RESIDENTIAL FEE _ $1p,pp ~ ~undry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20,00 ~ Floor Drains -$1.50 -
STATE SURCHARGE PER PERMIT _ .50 Water Heater -$1.50 >>T
Whirlpool
(ADD $.50 S/C IF PERMIT PRICE GOES - $3.00
Gas Piping Outlets - $1.50
BEYOND $7,000.00) _ Soitener - $5.00
Well - $10.00
Private Disp. - $10.00
~-Rough Openings - $1.50 ~
SIGNATI~RE OF PEFiMITTEE FEE
~
STATE S1C:
FOR CITY OF EAGAN CiRAND TOTAL• L
. ~ . PERMIT #
MEC"AIplCAL PERMIT 751
' . ' • pF RECEIPT #
' 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100 .
Site Address 1273 wi dcrest Avenue gLpG, npE WORK DESCRIPTION
Lot Block / Sec/Sub, ~
Res. ~ New xX
~ Name Kleve Heatin & A C Inc. Mult Add-on
q~~~ 13075 Pioneer Trail
~ Comm. Repair
c City rden Prairie phone 941-4211 Other
991-4211
Name Co orate Construction FEES
L
3 Address 4466 Wdd ewood Drive RES. HVAC 0-100 M BTU ~-$24.00 .
0 City Fagan, 55123 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 - J COMM/IND FEE - 1°r6 OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater , M BTU MINIMUM - COMMIIND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # BEYOND $1.000.00)
Other
~ ~
FEE:
~S/C• ' J ~GNATURE OF PERMITTEE
TOTAL• '
FOR: CITY OF EAGAN
w r Y OF EAGAN Remarks D i v i S i o t1 # 16 2 52 /e/-~j
Addition-$_1_rCh Park Loc 3 Rik 1 Parcel J- 0
-11~175-n3n_nt
owner sveet }273 Wi nd.cr-er-t Aue- 5tate_- Eagan MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF,
STREET RESTOR.
GRADING
SANSEWTRUNK 221 197162.96 8.15 20 Paid I'1. T t0 diV1S On
SEWER LATERALbn 931 198 132.70 8.85 15
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK 1018 198 750 . 48 50.03 15
STORM SEW LAT 1048 198 199.66 13 . 31 15
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PAR K
~ CITY OF EAGAN SEWER SERVECE PERM
3630 Pilot Knob Rwd ~~~T ~ :
P. O. Box 21199
~ Eagan, MN 55121 DATE: ,
~ing: ' No. of Unils: '
' Owner . C.or rate t:o«st: l~: L:
' ~ -
' Addrcss: ~ -z 7 r c h .
Site Address: 1?73 Windcrest ~`~~'~•.1'" 1..'
Plumber: ::••2 ~.d i18et Zr
i r . ~~p~
ri~i„~.
1 MM te e tlw CM1? rf 4N¦ Conr+ection Cho~~e ~ n(~nc~
I ew~hr ~?NI~ ~ r '
OrliMweM. Accax+t NpWt: '1 011d-----
~ Perrt* FM:
Surcharp:
I By Misc. Charyts:
i DaM of Irnp.: Totol: I
Inap.: Dote Pold: {
I .1
CITY OF EAGAN WATEIt SERVICE PHtMiT
3830 Pilot Krwb Road l
P. O. 3ox 3i i99 PERMIT NO.:
Eagan, MN 55121 D/1TE:
~ing; _ No. of Units: -
~
Qwnsr:
Addrosx .Te~r i,ir` . .ar:.
Sft Addreas: -7,;
Plumbr.
a.
Meter No.. 7 u~~.
Size: Ir pc/~ ~ t•
Reod.r No.. D t ..i~ • r.+_ I
1 qns te esO* vilh eUe CMr ~f W: Mlst. Choroas:
pote Poid:
e of Insp.: irnp.:
/U- t7,
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilox Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirq: _ No. of Units:
Owner. .
/1ddress:
Site Add?eax . . ~ t• `Ptunber.
Meter No.: Coruroction Cho?pe:
Size: AooouM Deposit:
Reader No.: Permit Fee:
~ ' . . . 1"rao fe qwoip wuh !m QIr oi lppw $Yrcharpr
Onsommaa. Misc. Chorpes:
Totol: -
By Date Pold:
Date of Intp.: Irop.:
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
T/ 3830 PILOT KNOB RD - 55122
851-881 -4675 y
New Construction Reauirements RemodeUReoair ReauitemeMs
• 3 registered sRe surveys showing sq. ft. of lat, sq, fl. o( house; aiM all raofed areas • 2 copies of plan
(20% matiimum Wt coverage allowed) . 1 set of Energy Caiculatlons Ior heafed additions
• 2 copies ot plan showing heam & window s¢es; poured found design, etc.) . 1 sria survey for artedw additbns 8 decks
• i set ot Energy Calculations . Indicate if Irome served hy septic system for addNans
. 3 copies af Tree Preservation Plan'rf bt platted after 7l1193
• Rim Joisl Detad Optians seleGian aheet (bldgs wkh 3 or less unils)
DATE 07/18/01 VALUATION 7,150.00
JOB SITE ADDRESS 1273 Windcrest Ave., EaQan, MN
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Steve Simon/Kathy Wilken
TYPE OF WORK RePlace rcgf FIREPLACE(S) _ 0_ 1_ 2
APPLICANT DTUIOR INNOVATIONS, INC. PHONE#(952) 884-0814
ADDRESS 9635 Humboldt Ave. S., Bloomington, NIIV ZIP CODE 55431
PAGER # CELL PHONE #Charlie Phillips pqX #(g52) 884-5769
612 490-5576
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residen6al Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: Water SoEtener _ Lawn Sprinkler Fee: $90.00
~ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor. Phone #
iblechanical5ystem Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor: Phone #
All above informaGon must 6e submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the i rm tion is carre t n gree to comply
with all applicable State of Minnesota Statutes and City of Eag r ice ~
Signature of Applica t l
Certificates of Survey Received _ Tree Preservation Plan ived _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwalling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. 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 (screened) ? 36 Multi
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)° ? 43 Reroot ? 46 WindowslDoors
? 34 Replacement •Demalitian (Entire Bldg anly) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinallC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows {new/replacement)
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search _
Copies
Other
Total
CITY OF EAGAN p
` 3830 PUot Knob Road, P.O. Box 21-199, Eagan, MN 55721 N_ 12428
BUILDING PERMIT PHONE:454-8100 Receiptp- 4~9A~
7obeusedtor SF DWG/GAR Est.value $93,000 Date AUGUST 20 19 86
SiteAddress 1273 WINDCREST AVE Erect ~ Occupancy R3
Lot 3 siock 1 secisun. BIRCH PARK Remodel ? zoning pn
Parcel No. Repair ? Type of Const. V14
Additi0n ? Na. Stories
a CORPORATE CONSTRUCTION INC Move ? Length Sn
= Name Demolish ? Depth48
o Address 4466 WEDGWOOD DR Int.lmpr. O so.Ft
Ciy EAGAN phone 454-0644 ~nstall ?
o Name SAME APProvals Fees
adaress Assessment Permit $ 412 . 0 C
~ Ciry phone Water & Sew. Surcharge 46 . 5(
Police PlanReview 206.OC
~w Name Fire SAC 575.OC
Address Eng. WaterConn. 500.0C
<W city Pnone Pianner WaterMeter 63.5C
Council RoadUnit 290.0f
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. 8~1H~S6 7r.Pl. 156.Q~
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci Eagan O inances. APC Pefks
Var. Date Copie
Signature of Permittee I Total • 2 9'0~
A Building Permit is issued to: CORPORATE CONSTRUCTION INC on the ezpress condition that
all work shall 6e done in accordance with all appUe.apf~ Stat~Mi eso . StatuteCity of Eagan Ordinances.
6uilding Otticial
rnis r«auest wla (--'"7 ) 3 5
18 mpn•F.. fmm
50243 00
Fepue Dale Fiie No. Hough-in InsOection
Aequire ~ OHeady Nuw 524ilitTrNoiily, Insoec-
es ?NO tor When Peady
censed Electrical Contractor I hereb
y ~eVUast ins0ec[ion ol eCova
? Owner elecVicel work instelled at: Street Ad ess,~ Br Noyte No. Ciiy-
i5- #-C
ection o. Township Name or No. Henge o. County .
v(/~~V
o~~b I!~ ao ~ s Phon$. to
-v
Pow upPlier Address
Ele ~ 14oRBq~la~py~~~ Co~trac e's License No.
ll L~1.$L t t{
MailinpA r w r b g 3fB'[]9tionl'
AFPLE V .r j~"'
Authorized SiOna[ure IContracmr wner a- 1 e ationl Phone Number
MINNESOTA STATE BOARD OF ELECTNICITY THIS INSPECTION qEQUEST WILL NOT
6rigpa-MiAway Bide• - Muom N•191 BE ACCEPTEO 9Y THE STATE BOAflD
UNLESS PBOPEA INSPECTION FEE IS
, 1821 Uniwrsitv Ave.. 8t. Peul, MN 65100
Phona (612) 842-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
0 See instrm[ions lar completim this fmm on beek of yallow coov. r7 /;35
"R" Be/ow - Work Covered by This Request
F' :lsv. Type of BuilOine APOliencea WireA Epuipmenl WIreO
qgd Home Range T mporary Service
Duplex Water Heater ightiny Fixrures
Apt. Buildinc~ Dryer Electric Heatin
Commercial 81dg. urn;ace Silo Unloader
InduStrial Bidg. Air Conditioner Bulk Milk Tenk
Farm Otner oeu v T,he. Isn,ilyl t er VecrtY t or Oth¢r
ompute nspection Fee Be1ow
M Pee ServiceEnhenceSixe N Fea Featlers/Subleeders M Fee Circoits
0 to 200 qm s 0 to 30 qm s 0 tn 30 Am
Above 2_Amps 31 to 100 qmps 1 to 700 A S
Swimmin Pool Above 100_Am s Above 100_Am -
_ia
Transiormers rngation Booms Pdrtia6'Other Fee
Signs Special Inspection
~y.
emarks T07AL FEE
7`1
NoupM1-in r D.tF~ I,the Electncal
Inspector, hereby
cerlilv uhet the above
Final 00 e), de spection has baen
~ s - .
mla repuest w1018 monlhs irom
1986 BOILDING PERMIT APPLICATIOH - CITY OF BAGAN
AiOYS: ALL COATRACTOHS MOST BE LICENSED IiITH THE CITY OF EAG6N
SINGLS FAMIILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SIIRVEY, 1 SET OE ENERGY CALCULATIONS
HOLTIPLfi DWELLINGS - RESIDENTIAL RENTAL 09ITS FOH SAGS QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORV6Y - CH6C[ BITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
C0M4ERCtsT.
INCLQDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Ne'^~ Valuation: Date: g-IZ-$6
Site Address ,Z7? tjI.rDerett aTX ~ OF'FICE IISE ONLY
Lot ~ Bloek Erect ~S Oecupaney ~
Remodel Zoning pp
Parcel/Sub 131-C.L1 /t4 Repair _ Type of Const ~
Addition tories
Owner ~prpyre~lt CpNjt; Move _ Length
- .:50
e Demolish Depth
Address ~t(` ( Uda~ Int.Impr. _ Sq Ft
City/Zip Code Install G~'M f 1 L~
Phone ZSq -04te4 APPROVALS FEFS
Contraetor 5-^s-4- Assessments Permit /Z
Water/Sewer Surcharge
Address Police Plan Review 20&
Fire SAC -5-7:5_
City/Zip Code Engr Water Conn -15cy
Planner Water Meter G3 ',~5-70-
Phone Council Road Unit 290
Bldg OfF - ~ Treatment P1
Arch./Engr. AYC Parks
Varianee Copies
Address ?OT9I. 7~ U 9
City/Zip Code
Phone ll
NOT6: ADDHESSSS FOR CORNER LOTS - CONTRACTOR/HOMfiOSiNER MQST DESIGNATfi AHICH ADDRfiSS
23 D65I9ED. NO CSANGFS iiILL BE ALLOiiED ONCE BOILDING PERMIT IS ISSITED.
~/v = /oyo 60 320
~z ~ z8 r 33~~ 58,_ l9-If&
~5 X 17- 8rX 'S-~3 =
Zz ZZ= 1/~r/~ = Sf3pf'a
Iz/ /z
~ y = 7Z ~c = 57G> ~
92Z7V, 0-0
0 A
3325•+
580•+
002
3905•*+
0•A
0•*
s412•+ '
46•5+ I
206•+ ~
5`z5•+
50U•+
63•5*
240•+
156•+
008
2, 249•*+
C
SURVEYOR'S CERTIFICATE SIENNA CORPORATION
.4_ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON 11ONUb1ENT.SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON M0NUMENT FOUND PROPOSED GARAGE FLOOR =!N3~5 FEET
X000.0 DENOTES EXISTING ELEVATION • PROP05ED LOWEST FLOOR e04•5 FEET !
(OOD.O) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 417.9 FEET
NOTE: THE LEGAL DESCRIPTION SHOWN HEREON WILL BECOME VALID
UPON F.ILING THE PLAT OF'BIRCH PARK. ,
I
WE HEREBY CERTIFY 70 SIENNA CORPORATION THAT THIS I5 A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES.OF:
Lot 3, Block I,BIRCH PAP.K, accorci^ to the
recorded plat thereof, bakota County, ~iinnesota. '
I7 DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS; IF ANY. AS SURVEYED BY ME
OR UNDER MY DIRECT SUPERVISION THIS 23 R9DAY OF oG?oBErt. 1985.
;
SIGNED: JAMES R. HILL, INC. '
BY:
HAROLD C. PETERSON, LAND SURUEYOR
MINNESOTA LICENSE NUMBER 12294
~ ' •
APPRDVED FOR SIENNA
CORPORATtON .
BY:
DATED THIS DAY OF
19_
SHEET 1 OF 2 SHEETS
PROJECT NO. BOOK / PAGE JAMES R. HILL, INC. -
84762
Planners / Engtneers / Surveyors
FILE NO. '
8200 Humboldt Avenue South
FOLDER. Bloomin9ton, Mn. 55431 e12-8e4-302e
f. J .
-SURVEYOR'S CERTIFICATE SIENNA CORPORATION
~nlI r j~~; i . ,n~~~~~~ ~ i~JIV
Vv I~V ~ N '29
81
J ~
- ~ 1
/
( I
65,00 ~
I O
0 ~
I
LOT_ 3- .
~DRA~NAGE 9 U71Lf7Y ~
5 EASEMENT PER P~r 5 W .
3 I =
h
•''N M•
O I I co
Q rn I s s ssas
440.0 nl _
° ~
PROP/OSED p I i .
N I--
I__ FIOUSE t~ O
~ C ` J
i1 p I I o
50 V -Ji
O
' o GAR. /1~4
; vi i / 0 ~ 17.33 I
22.33-
I ~'pyYr'a 5 ~
I O
o
p ' f`.>~~1 C
M
r O
~ramI,L ~ 6J'r.00 _~(8799)
S 86011'09" W ~
~
WINDCREST AVENUE _
REVI5ED 5/19/86 TO SHOW PROPOSmHOUSEFOR
CORPORATE CONSTRUCTION ' SHEET 2 OF 2 SHEETS
PROJECT NO., 800K / PAGE JAMES R. HILL, INC.
e4762 (Y667)1
Pianners / Engineers / Surveyors
FlLE N0. 8200 Humboldl Arenu• 6outh
F4L DER eloomlnaton, Mn. 65431 012-884-3020
1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
IIQCLQDE 2 SEfS OF PLANSp 3 CERTIFICATSS OF SOEVfiY, 1 SST OF ENERGY C9LCQLATIONS
NOTE: ADDRESSES FOH CORNER LOTS - COliTR9CTOR/HOMfiOiiNEF HQST DESIGHA2E WHICH ADDRESS
IS DFSIRED. NO CBANGES WILL HE 9LLOWED ONCS BQILDING PBRMZT IS ISSOED.
M[iLTIPLE DWELLINGS - RFSIDENTIAL RENT9L IINITS FOR SALE ITNIYS
INCLUDE 2 SETS OF PLANS, CERTIFIC9T6 OF SIIRVEY - CHECg iiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAERCIAL
~
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
v~
1 SET OF SPECIFICATIONS AND 1 SET OF ~
ENERGY CALCULATIONS, ~
~ $2,000 LANDSCAPE BOND
To Be Used For: (n t'_- Gk Valuation: Z~ • Date:
Site Address 10?7,3 Wmr1C+^e-St OFFICS USB ONLY ~
Lot ~ Block ~ On*~Site Sewage_ Oecupancy /
MWCC`System _ Zoning /
Pareel/Sub On Sibe Well Type of Const ~
City Water (Actual)
Owner (Allowable~
r 1.Ik of Stories
9ddress /,Z 7 3 ~I o?c: ~'f=5 I Length
Depth
City/Zip Code ry 4 r7 .>?S/„r ~ S.F. To al
Phone APPROV9I.S \Footpr/int FS.F.
So
Contractor Assessments Per.i~it 37 -
Water/Sewer Sure~arge I.
Address Police Plan Review
Fire / SAC, Aty
City/Zip Code Engr / SAC, MWNC Planner / Water Conn
Phone Council ' Water Meter\
Bldg Off Road Unit
Arch./Engr. APC ' Treatment P1
Variance Parks \ •
Address Copies \
TOT6I. 3 •
City/Zip Code ~
Phone Ik
xo x ~o
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~
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*****t****************3**#f***#**##*
~
. - ' CITY OF EAGAf~ ~ ~~E~ :
y*, APPRpVAL OF PERNIIT.
~ APPLICATION FOR PERMIT w
, INSPncriorr oF sF,wex arm/az MMM :
Tnicmnr.T.=NS WII,L NOT BE Smm- ;
SEWER AND/OR WATER CONNECTION ~ LMID UNTIL PER"ffT HAS $MN ;
~ APPRdVID- ;
~ * ~*x****#**~,r*+~~*~*~t*+*****~*****+*
P ease Print) ~
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: ;~j
. Lot Block Subdivision or Tax Parcel ID )
IF E}QSTING STRL'=RE, DATE OF ORIGINAL BUILDING PERMIT ISSCANCE:
~
i (Nbn Year
PRESET7f 7ANING/pROPOSID DSE:
Q C0PPERCIAL/f2ETAIL/OFFICE ~ R-1 SINGLE FAMILY
r7 IPIDCSTRIAL ~ R-2 DUPLEX (1t.v L~nits)
~ INSTIIL'TIONAL/GOVII2MAENr ~ R-3 'iOWNiOUSE (Three + Units) ( G~nits)
. ~ R-4 APAR'IMENT/CObIDOMINIUM ( Units )
2)
NA["lE:
ADDRESS:
CITY. STATE, ZIP:
PHONE:
• 3) • u w• NAt,]E. Far City Use
Plimibers License:
ADDxEss: RAYMOND E. HAEG PLBG. INQ, Act-'-"e
CITY, S''aTE, ziP: 7225 Cedar Ave. 50. EScpired Not recoraea
~ pxorE: N66e14 MWszRWfi&Nss# St~~tlat
q) ...4•_.i ...~,i~: l'~/~.Yi
NAME:
. ADDRESS: ~ .
CITY, STATE. ZIP:
PHONE: L
5) ~ r• . ~ ~ r: : a • as - a~
~CONNIDCT~`tO CITY SEWFI2 ION ZU CITY FIATER ~ OTFIER ' .
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6) PL£ASE fiOID APPROVID PERMIT F'UR PICK- ONE OF ABOVE
PLEASE MAIL APPROVID PERMIT TO 1 , 3 4, ABOVE
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7)
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. FOR CITY USE ONLY ~
PERMIT # ISSDED
7 . ~
Pd w/Bldg. Permit FEES:
$ $ ~D -S 6 SEWER PERMIT (INCLUDE SURCHARGE)
$ $ a S u WATER PERMIT (INCLODE SIIRCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
D D $ ACCOL'NT DEPOSIT - WATER
S cS~00 ~ OG' $ wAC
s S7,S~~ o o $ sr.c
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ S LATERAL BEN°FIT/TRL'NK WATER
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER: y
V. `J-6 $ Gl. O~ TOTAL ~
G~S~82_3 5 30
RECEIPT RECEIPT
, . ~
DOES OTILITY CONNECTION REQLIRE EXCAVATION IN PC'$LIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK SVITHIN PUBLIC
Q ROADWAY" MUST BE ISSDED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
Q
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1273 Windcrest Ave
Lot: 3 Block: 1 Addition: Birch Park
PID:10- 14175- 030 -01
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Kleve Heating & Air
13075 Pioneer Trail
Eden Prairie MN 55347
(952) 941 -4211
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Stephen L Simon
1273 Windcrest Ave
Eagan MN 55122
$50.00 0801.4088
$0.50 9001.2195
$50.50
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Mechanical
EA080798
10/31/2007
ePermit
Date:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Tenant
JAN 18 2012
2011 RESIDENTIAL PLUMBING P RMIT
Site Address: Y (J` 2 3 Li1M
t
Use BLUE or BLACK Ink
i
Date Received:
Staff:
PLICATION
RESIDENT / OWNER
CONTRACTOR
Name:
Address / City / Zip:
Suite #:
J
Phone: 57 -W! -Q J / 1
Name:. MILBERT COMPANY INC.dba CULLIGAN WATER
Address: 1801 50Th ST EAST City INVER GROVE HGTS
State: MN Zip: 55.077 Phone: 65.1 :.45.1-2241
Contact BILL.MILBEI 'I'
TYPE OF WORK
PERMIT TYPE
Email:
New A Replacement Repair Rebuild _ Modify Space Work In.R.O.W.
Description of work:..
RESIDENTIAL
Water Heater
Lawn Irrigation (RPZ /_ PVB)
Septic System
New
Abandonment
,Water Softener
Add Plumbing Fixtures (_ Main / _ Lower Level)
Water Tumaround
X IV/ MI Lit
Applicant's Printed Name
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater Rnd Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
1105.00 Septic System Nry. ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ � �_-
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Cali 48 hours before you intend to dig to receive locates of underground utilities.• www.000herstateonecall.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 riot a penult, but only an application for a permit, and work is not • start without a permit; that the work will be In
accordance with th approved plan in the se of work which requires a,review and approval of pl ns.
x
Applica
Slgnatu
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170904
Date Issued:07/21/2021
Permit Category:ePermit
Site Address: 1273 Windcrest Ave
Lot:3 Block: 1 Addition: Birch Park
PID:10-14175-01-030
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 -
Stephen L Simon
1273 Windcrest Ave
Saint Paul MN 55123--143
Superior Builders Inc
6361 Sunfish Lake Ct Ste 400
Anoka MN 55303
(651) 615-0065
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA179138
Date Issued:09/20/2022
Permit Category:ePermit
Site Address: 1273 Windcrest Ave
Lot:3 Block: 1 Addition: Birch Park
PID:10-14175-01-030
Use:
Description:
Sub Type:Air Exchanger
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Stephen L Simon
1273 Windcrest Ave
Saint Paul MN 55123--143
(651) 895-0175
Blue Ox Heating & Air Llc
5720 International Pkwy
New Hope MN 55428
(612) 238-9709
Applicant/Permitee: Signature Issued By: Signature