1278 Windcrest Ave . _ , .f
f
~
r (9rxfttttatP of COxClipttltxy
Citp of Cagan
Erprtmmt of ludbtng JWrriinn
Thrs Certiftcate issued pursuant w 1he requiremenu of Section 306 of the Uniforrx Building
Code certljying that at the time of issuance this structure woas in compliance with the various
ordmances of the City regulattng building constraction or use. For the following.ux aasg&.tioo 1~0 1~2 gWg. Ptrmh No.
Oacupaocy Type - ZoomB piurict r7ype Cmq,
owxr or euaao,e . . ~-*u: ; k • i • ' Add~ 5985 121Y :
Bww~ Aaarae ~hry 7.10, 82 , 3
Dam: S" 1 Q?? 7
Bmlding 06cW
POST IN A CONSPICUOUS PLACE
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~
DATE, 19
?
RHCEtI V ED .
FROM
AMOUNT $ ~1 / I J
& OOLLARS
+oo
E]CASH [:]CHECK
FOR I ~ / ?l ~ y ^ / ~'.ci ~ .
v
FUND CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
~ .
BLDG. P~RMI'P. N4.
'
~ ~ 3 . , .~•r , ~
01-3220 Bldg. germit O1-f3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge S
~
17-3860 Road Unit 20-2275 SAC ~
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter 7 'j
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit 0
79-3866 Sewer Conn.
11-3855 Park Ded.
. ,
TOTAL
CITY OF EAGAN ' f537
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
~ PHON E: 454-8100
BUJL~O.N~G PERMIT Receipt #
To be used for Est Value 1, ;ich' Date ,19
Site Address OFFICE USE ONLY
Lot 81ock ~•Sec/Sub. On SRe Sewape Occupancy
MWCC System Zoning
Parcel No. On Site weli (Actual) Const
a Name ~ City Water (Allowable)
z Address i 7' PRV Required * of Stories
Booster Pump Length
° City -0 ;A: Phone ~
Depth
¢ O Name ' s S.F.7otal
Address - F~ Footprint S.F.
~ City Phone APPROVALS FEES
j W Name Engr./Assess. Permit
yV `
~ Z Planner Surcharge
x g Address
s W City Phone Council Plan Review
Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minrtesota Statutes and City ot Eagan Ordinances.
Water Meter
Signature of Permittee
Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that all work shatl be done in aCCOrdance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Building Off icial TOTAL '
Permit No. Psrmit Holdor Data Telsphone #
fumbing
H.V.A.C. '
Electric
Softener
Inspsction Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
, 3830 Pilot Knob R di P.O. Box~2G-A199, Eagan, MN 55121 N2 13224
,
BUILDINd PERMIT PHONE: 454-8100 aeceipt #
To be used tor SF US^''G/GA'~ Est Value $83' V0U Date F; $t2UrY 13 1937
Sife Address 1278 WII3DC;Ze` `I' AV'~; Erect ~ Occupancy R 3
Lot -10 Block 2 Sec/Sub. J3IRCH 'PAFtK Remodel ? Zoning R
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories 48
W Name SUNStI7°3E Ca:'iS'PRUC'I'ION Move ? Length
= H S1' Demolish ? Depth 46
o Addre ss _ Int Impr. ? Sq. Ft
City A' V ' Phane Install ?
o Name ~rApprovab Fess
0< Address Assessment Permit ~ 4~ 4. 0 G
City Phone Water 8 Sew. Surcharge 41. 50
~ Police Plan Review 222.00
va .fA,wE~:S P. HILL
Na"'e Fire SAC 625.40
Address 8200 ~iUhiAOLi?T P?VE SO 5257-.-00
0 n Eng. Water Conn.
< W Ciry ~'-r'G Phone 4"3 Q~ 9 ~ ~ 0
Planner Water Meter
Council Road Unit 3a5. t~A
I hereby acknowledge that I have read this application and state that the Bldg. Off. Tr. PI. 00
information is cor?ect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Signature of Permittee ~ VBr. Date Copie 2, .~0
SUN5kiINE COP1STRUCTIOtV Total
A Building Permit is issued to: an the express condition that
all work shall be done in accordance wiih all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Permlt No. Mn"it Ho1dN Ddo Tdphone M
~
Plulnbiny
~
ljq -3/G/~"'7
~ eWcMc - (i.,c J C-•-
SoMUier
Inspection Date Insp. CommerNs
frootlnys 1 J L
FooGngo11
Foundatbn
F?aminp
RooHny
Rouph Pibp. ~ ~ - ~ ' ~ L ?.f
Rough HW. rX/ (L)
Q
Insul' J- 4-7
Ffroplace
Ffnal Nty.
Finsl Plbp. p~Y [
Bldp. Flnsl 7- r 7 C. Q•
iced. Oee.
Deck Ft9.
Dock Frmy.
WeN
Pr. Dlsp.
• , " PERM17 #
MECHANICAL PERMIT RECEIPT # 2/ 3
CITY OF EAGAN
3830 PILOT KNOB RaAD, EAGAN, MN 35122 DATE: 3,~6&7
CONTRACT PRICE PHONE: 454-8100
Site Address fBLDG. TYPE WORK DESCRIPTION
Lot / Blo k Sec/Sub Res. New
~ Name Mult Add-on
Comm. Repair
Address Cft ?'lJObO eiC
c City ELLEJI/ ?X4 iit14' P h o n e -095 Other
FEES
Name
~ RES. H1/AC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.04
O Ciry <<P Phone CONSTRUCTION) INCLUDES A!C ON NEW
. GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
T1fPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~L0 6 M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # /iSo BEYOND $1,000)
Other $
FEE s
SIG
NATURE OF PERMITTEE
S/C: E'~19
TOTAL: d
FOR: CITY OF EAGAN
. _ . . . _ 1:~.RY~ .
• , PERMIT #
. . . PLIiMBING PERMIT RECEIPT #
' CITY OF EAGAN 11
~
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -i'v L~
CONTRACT PRICE: PHONE: 454•8100
Site Address ' r BLDG. TYPE WORK DESC PTION
Lot 81ock SeciSub Res. 7)1 New
~ . `Mult Add-on
m Name -ft t` Comm. Repair
~6 Address Other
c City - J~ Phone' RES. PLBG. ONLY - COMPLETE THE FOLLOWWG:
NO. FIXTURES TOTAL
Water Closet -$3 00 $
Name
` _L.Bath Tubs - $3.00 "
o Cddress Lavatory - $3A0
ty Phone ` 'q' 2
j-Shower - $3.00 ~
1 Ki!chen Sink - $3.00
FEES UrinallBidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00 %
APT. BLDGS - COMM RATE APPLIES ' Floor Drains - $1 50
TOWNHOUSE & CONDO - RES, RATE APPLIES ' Water Heater -$1.50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 ' Gas Piping Outiets -$1.50 -
STATE SURCHARGE PER PERMIT - .50 '(MINIMUM - 1 PER PERMII)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener - $5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
~
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
CITY OF EAGAN Remarks Di%gTRi~~~ 16252L!-0-r85 - -
Addition Ri rch Park Lot 1 n 131k 7 Parcel 10-1 4] 75-1 00-[}I
Owner street 1278 Windcrest Ave 5tate Eagan MN 55123
Improvement Date Amount Annual Vears Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 221 197 162.96 8.15 20 Paid pri r to divis on
SEWERLATERALbn 31 1 8 132.70 8.85 15 " " " " " " " "
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM SEW LAT 10 198 199-66 1 5
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road 9607
P.O. Box 21199 PERMIT NO.:
Eagan, MN 521 DATE: ~
Zoning: ` No. of Unita
Owner. Suttshlne CoASt.
Address:
Site Address: f Win cres t~~venue L10 ~Z L ircf~ Partc
Star P umbini',
Plumber.
2-1 7-0 707?1 100.00pd
I ayree to comply with the City of Eegan Connection Charge: 575_ 00pd
Ordlnances. Account Deposit: 15 OOTd_
Permit Fee: 10 QR"d
Surcharge: 5Q1~=j
BY Misc. Charges
, Date of Insp.: Total:
, Insp.: Date Paid:
I ~
{ CITY OF EAGAN WATER SERVICE PERMiT
i 3830 Pilot Knob Road 8456
P.O. Box 21199 PEfiMIT NO.; ~
Eagan, MN 55121 DATE: 2-18-87
~
Zoning: 1?1 No. of Units: 1
Owner. Sunsh{nQ .onat
i
Address:
SiteAddess: I23d XindcresL Avenue r10, S'2 I31rch iark
~ Plumber. Star Pl«r+htn~
Meter No.: Connection Charge: 575_ QC;pe-_
i
~ giZe; Account Deposit: ~ 5 - 00~a
! 1 (1 _
1 Reader No.: Permit Fee: {lDFd----
I I ayree fo comply wlth Ihe Cftyr of Eagan Surcharge: _ 5f1g-d_
~ Ordlnances. Misc. Charges: i f?C? _ 4[1nd 'i'p
Total: 67.00pd Meter
~ gy Date Paid:
Date of Insp.: Insp.:
I cin oF EAGaN WATER SERVICE PERMIT
~ 3830 pilot Kr.ob Road pERM1T NO,: $5~ ~1
P.O. Sox 21199
, Eagan, MN 55121 DATE ~
No. of Units: ~
I Zoning:
% Owner.
~ Address: ~
I Site Adde:.s: ,
Plumber.
~ Meter No SSD on,ne~co~n1 ~C~harge:
ISize: l2~,e.1G ~06tx.A?e~epas~~ • -
I Reader No.:
~ I agree to compty wlfh Ihe qt~4a 'p ~h~~`g •
' O~cas. C~a! h7 ~ ~tl *,..Pr~r
~ ~ Total:
BY J~ Date Paid:
Date of Insp., Insp'
7-
i . -
ihis rn4uest void .~jP-5'/S77 7
18 months (rom
c 7 7 6 4 3 io ~2 • '1, "
Re uest Date " Fire No. Hough-in InsVection
_Q~ AequireesC? ? Q ~ReatlY No ll Notitv InsPec-
;Q;Y N Ior When Peady
~Licensetl Elecirical Contrnctor 1 hereby raquest inspaction ol above
Owner electricel work inelalled
Street Address, or Route No.a C' •
a 7 7 GC)l,J
ettion o. Townshi0 Neme or No. flange o. County
C Pant IPRINT) „ Pho No.
5
r Suppliar Adaress
lc a7/Z)
e trical Coniractor o rrlp, ny Na ~ Co~ar,tor s Lic nse No.
-~-3
Mailinp Address (Contractor Owner MakinB lnstailationl
'767 ' c~ 3
Authori ignat e(Cohuact akinq Installation) Phona Number
MINNESOTA STATE BOARO OF ELECTqICITV THIS INSPECTION HEQUEST WILL NOT
Griqpa•Midway Bldp• - Roam N-781 ' BE ACCEPTEO BY THE STATE BOARD
UNLESS PflOPER INSPECTION FEE IS
1921 Universitv Ave.: S6 Paul, MN 55704
Phone181Z7842-OBOO ENCLOSED.
~ 91S 7 lIEQUEST FOH ELECTRICAL INSPECTION ee-ooooi os
~ See instructions lor comDleting [nia fwm on bBCk o} yellow copy. 717
"R" Below Work Covered by 7his Request
AAd Rsp. Type ol Buil0in9 APVliancas Wired Equiumenl Wired
Home Range Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt.Building Dryer ElectricHeatin
Commercial Bidg. Furnace Silo Uf1I0AdP,f
InduStrial Bldg. Air Conditioner Bulk Milk Tank
F2fm ther Peu v ther (S~oer,ify)
t nr pemlv [her Oihur
ompute nspectron Fee Below
p F Servlce EnVanceSiza H fee Faxdims/Subiaetlera k Fee Circuits
0 to 200 Am s 0 to 30 Am s Q 0 tn 30 Am s
Above 200 qmps31 to 100 Amps 37 to 100 Am s
Swimming Pool Above 100- Am s Above 700_Am s
Transiormers rngation Booms Partial.'0 e
F Signs Specialinspection a
TOT FE;
emerks
IV
flouph-in fhe Elecvieel
~ Inapectoq he.aby
~ certily thet above Final D„'paction tha has been
Thbrequeelroldl8maniMlrom "
CITYOFEAGAN N! 15537
3830 Pilot Knob Road, P.O. Box 21-189, Eagan, MN 55121
PH ONE: 454-8100 /_np~1
BUILDING PERMIT Receipt# d~'7l l
Tobeusedfor DECK Est.Value $1,000 Date AUGUST 30 ,1918
Site Address 1278 WINDCREST AVE OFFICE USE ONLY
Lot 10 elock 02 Sec/Sub. BIRCH PARK onStteSewage - Occupancy
MWCC System _ Zoning
Parcel No. On Site Well _ (ACtua1) Const
z Name LARRY KEOPKE Ciry Water _ (Allowable)
w PRV Required # of Stories
z Address 1278 WINDCREST AVE -
o Booster Pump _ Length
City EAGAN Phone 456-0584
Depih
~ Name AMRE. INC S.F.TOtal
,o
oa Address 1935 CO RD B-2 FootprlntS.F.
U: City RO EV7 . Phone 631-0450 pppROVALS FEES
6-w Name Engr./ASSess. Permit 24.00.
Address Planner Surcharge .50
i
aw City PhonC ' Council PlanReview
BIdg.Off. SAC, Ciry
I hereby acknowledge that I have read this application antl state Uiat he Variance SAC, MWCC
information is correct and agree o co ly with all appli 2~1e a of Water Conn.
Minnesota Stalutes and City ot g dinances.,I - C
dv~~ J Water Meter
Signature of Permittee Road Unit
A Building Permit is issuetl to:-L?~~E C TreatmeM P1
on 1 he express condition that all work shall be done in accordance with all
applicaDle State of Minnesota Statutesyayn~tlpCity of Eagan Ordinances. Parks
Builtling OHicial~_ I ll l. TOTAL 24. 50
CITY OF AGAN
- ~ 3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N 0 13224
PHONE:454-8100
BUILUING PERMIT Receipt# /
7abeusedfor SF DWG/GAR EstValue $83,000 Date FEBRUARY 13 1987
Sitenddress 1278 WINDCREST AVE Erect IN Occupancy R3
Lot10 Block 2 Sec/Sub. BIRCH PARK Remodel ? Zoning Rl
Parcel No. Hepair ? Type oi Const. {J
Addition ? No. Stories
~ Name SUNSHINE CONSTRUCTION Move ? Length 48
z 5985 125TH ST W oemolish ? oepth dF
o Address Int Impr. ? Sq. Ft.
Ciry A-V- Phone 431-2200 install ?
a $j~jyE APProvals Fees
i o Name
$a Address Assessment Permit $ 444.00
x
City phone Water R Sew. Surcharge 41.50
a Police Plan Review922-40
~ W Name JAMES R. HILL Fire SAC 62 S_ 00
Qi nddress 8200 HUMBOLDT AVE SO Eng. WaterConn. 525.00
aw City BLMGTN phone 884-3029 Planner WaterMeter 67.00
Council Road Unit 305.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off. Tr.PI. 180.00
information is correct and agree o comply with all applic ble State of
Minnesota Statutes and Ci of n Ordin es. APC ParkS
9 ry n f tc,...~,~ Var. Date Copies~~50
Si nature of Permittee
Total
A Building Permit is issued t SUNSHINE CONSTi2UCTION on the express condition that
all work shall be done in ac ordance with all applicable fate of Minnesot tutes and CiTy of Eagan Ordinances.
Building Otticial ~
~COD-a~
Cp 43 ~ RESIDEiVTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion ReauiremenLs RemotleVReoair Reauirements Offce Use Onlv
3 regislered sife surveys showing sq. ft of lot, sq, ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N
(20%maximum lotcoverege allowed) i set of Energy Calculations for heated additions Tree Pres Plan Real _Y _ N
2 apies of plan showiig beam & window sizes; poured tound design, etc. 7 sde suney for addlfions & dedcs Tree Pres Reqd _ Y_ N
lsetofEnefgyCakxilatians Add'AW -indicalei/on-sitesepficsystem On-site5epticSystem _Y _N
3 mpies of Trce Preservation Plan 'rf lot platted aker 711193
Rim Joisl DeWil Options selection sheei (bldgs wiN 3 or less units
Date Construction Cos[~ 0// 4f 2cI • ~
Site Address Unit/Ste #
' r
Description af Work ( x n ! (
.
Multi-Family Bldg _ Y _C N Fireplace(s) 0 _ 1 _ 2
Property Owner G6 i i f a- )-f' f] !5f'~ _ Telephone # ( i/ ) '`fCl
Contracto Renewal By Andersen
Addre 1920 Counry Road "C" West
, Roseville, MN 55113 C'~'
State 651-264-4777 Zip Telephone # ( )
LICENSE #20130983
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
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously conshucted q buiiding in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone -
~ sl~l~ u ~
Sewer/Water Contracfor Telephone ( ) ~
~ p~' 1. 7~p3 I
i ~
I hereby apply for a Residential Building Permit and acknowledge that the info ation is complete and ccurate;
that the work will be in conformance with the ordinances and codes of the Ci gan an -t e-~e of MN
Statutes; 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 lan in the case of work which requires a review and
ap oval of plans.
pplicant's Printed Name plicanYs Signature
OFFIC,k: USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 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. AIt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
? 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to appliwnt
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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ p]umbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ R.I. _ Aii Test _ Final _ Windows (new/replacemenY)
_ Insulafion _ Retaining Wall
Approved By , Building Inspector
Base Fee
5urcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Capies
Other
Total
.vi..e.4vi1 auv a~...~~ f~yy /OJ D71 qq6p Lt~y~n,kfa ~~~yy~.~~ . .
. ~Q7l14
re al SrANM
rund -t 200l . . city of Eam :
3836 PiIcrt gnob Road Esgan, MI+t 55122 To WFtom It Maq Coitcern: ,
Elder Jones is satho&
.ed 'o pC baikUng POrmits for Renecval by Andeisen. Please xllow.
F1der Jones to provide tflis &es"vitec for us in P.agan. `iTeis eutho;i2eticin
datc boyond 616101: untii a~e'wal by Andcrsett m~p~ ~P~IY ~ is vokes vatid ft ia for a any
to theGYty- nidng
I rcquest this authorization bc accepted-expe&dously. as ta not dela the '
oar buildinS P' rm'sti any fiazthcr. Plcasc cait mc if thctc arc en Y, m P?~s~ng of
contacbad at 763-SO?r47fl6. 3' Yncu[ona., i can txi
Your immGdiaAc attmttott to ShiS mal2er 9s & a , .
Sinceioly. . .
and R Rxu
ostallatton Managcr . .
Ranowal hy Andastn CorPvration . C'r.: FCs+rn-Fiftte;~ Tnne_c
Mirvieeft
Received Ti-me Jun. 7. 1:07P}d
PERMIT# 6 -7' 1 (e RECEIPT DATE:
2002 RESSIDEV'f1AL PLU14IBINfi PERMIT Af'PLICx4.T[ON
CITY OF Fa4fiAN
3$30 f'ILOT KNOB iiD
EA&AP, MN 55122
651-6$1-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: lUI--23 Py-e--
OWNERNAME::4dL1 TELEPHONE#:
(AREA CODE)
~~iTCy -~DID ~
INSTALLER NAME ~Jl P62t~,&LEPHONE -7/5
STREET ADDRESS: k '5-73 a7LZ/-?~a /9 . 6fe 1~1 (p'REA COIJE)
CITY: `z°?7,LC_GCSD STATE: I.P J~ ZIP: Z~
SEPTIC SYSTEM, newlrefurbished (requires two sets of pfans and MPC license) g 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment nf septic system.
Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installationlrepair/rebuild $ 30.00
_ lawn irrigation system
ReplacemenUadditional: ~ water softener _ water.hegt& 15.00
1
State Surcharge - $ 50
TOtal $ 15. 5z)
I hereby acknowledge that I have read this application, statethatthe information is correct, and agree to complywith all applicabla City of Eagan ordinances. It
is the applicanYs responsibilityto notity the property owner that the City of Eagan assumes no lia6ilityfor any damages caused by the City during its normal
operatlonai and maintenance activities to the ticilities constructed under this permlt wthin ~fty pmperty/n9ht t-~~avlea~s~mentl / O
SIGNATU E OF PERMITTEE 1/02
\
/34;cA
1986 BOILDIHG PER![IT APPLICATION - CITY OF EAGAN y -
HOTE: AI.L CONTRACfOHS M[TST BE LICSNSSD iIITH TH6 CITY OF EAGgN
SIHGLE F9lIILY DFIELLIBG3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DUiEELLIAGS - ESSIDENTIAL RENT9L IINITS FOR 3ALB ONITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SQR96Y - CHSCg iiITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COI+MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
ro se Used For: ~JEul 2~sro. vaiuation: 83, Date: 2-12-87
Site Address a`1F'j ki[LipCIZ.FSr OFFICE USH OtR.Y
Lot ~ Block Erect ? Occupaney R-3
Remodel Zoning R -I
Pareel/Sub Repair _ Type of Const ~L
Addition # of Stories
Owner ~UnLS(~IF.I,C Cc>nGSTk,i-eGiTO-l Move _ Length
Demolish Depth 4(o
Address S`_I S$ IZS*' Sr 4•.( - Int.Impr. _ Sq Ft
Install
City/Zip Code APQ(~ A$124
Phone APPROVAIS FEES
Contraetor SAME A p.80UC5 Assessments Permit
Water/Sewer Surcharge
Address Police Plan Review 222,
Fire SAC &Z City/Zip Code Engr Water Conn S Z S•
?lanner Water Meter b-],
Phone Council Road Unit 3051
Bldg Off Treatment Pl I?>o•
Arch./Engr. Jkmrz~ kiLt- APC Parks
Variance Copies
Address S2,Gt~> 14c..em _z1o(-pT Qc>f- S TO'rAL
City/Zip Code $LAr,-y»in~ 554.51
Phone # 8~ ~C7Z~
NOTE: ADDSESSES FOR CORHES LOTS - CONTRACTOR/HOHEOi1NER FtIIST DESIGNATS BHICH ADDRESS
I3 DESIHED. AO CHANGES BILL BE ALLOfiED ONCE BDILDIHG PERMIT IS ISSOED.
~
~ ZJ x~?`~~7 ~ 2Z x ZZ
SCJ _
~~~L ~ Z ~l - ~1 ~ 21
~ ~ ~s~~a ~ ~ ~~z~I = -bl X~J
. ,
r ~ ~ t.:. .
, ° ~ - - ~ g ~ ~ ~S ~ ~3 OC~ 1 - 2 b ~7 Z
~ -
SURVEYOR'S. CERTIFICATE ~ SIENNA CORPORATION
,
DENOTES PROPOSED SURFACE DRAINAGE : 1 1NCH = 30 FEET
O DENOTES IRON F10NUP1ENT, SET SCALE
•.DENOTES IRON MONUMENT fOUND PROPOSED GARAGE FLOOR aSB5-FEET
(000.0) DENOTES PROPOSEO ELEVATION • PROPOSED TOPEOF BLOCK =8885-7 FEET '
. NOTE: THE LEGAL DESCRIPTION SHOWN HEREON WILL BECOME VALID
UPON.F.ILING THE PLAT OF BIRCH PARK.
i
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES.OF:
Lot 10, Block BIRCIi FAP.K, accorcin, to the ;
recorded plat thereof, Dakota County, linnesota.
TT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR'ENCROACHMENTS; IF ANY. AS SURVEYEU BY ME
OR UNDER MY DIRECT SUPERVISION THIS 2150 DAY OF oCTO6a~v 19e5.
SIGNED: JAMES R. HILL, INC.
BY:
HA OLD C. PETERSON,.LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
APPROVED FOR SIENNA
CORPORATION •
BY:
DATED THIS DAY OF_._,
19_.
REVISED 2-10-87 TO SHOW PROPOSED HOUSEBY n
SUNSHINE CONST. ~Nf%Y
SHEET 1 OF 2 SHEETS ,
PROJECT NO. BOOK / PAGE
847e2 ) JAMES R. HILL, INC.
.
Pianners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenue South
FOLDER eloomineton,Mn. 55431 e12-8e4-3029
~
• ,
-SURVEYOR'S CERTIFICATE sIENNA CORPORATION
WINOCREST AVENUE
. o 0
' N 86'11 '09" E In
- ~z. - 65.00 ~ cs 8o,-
"
S
~ a.
a7 22.33 :
o
NGAR~N CSSS-O~ ' l .
~I
N IL3 14.33
A
M ~ 2 e~
PROPOSED
HOUSE N ~ Ip ~
`
' Mf j N
42.0 (O
8S2-Z
C` ,
i>> 3
cn
"y
~ N I
aD <
V' Q t~ Q~ I
J
.
m N G~QQ~R I5 ~
LOT 10 ~J
, i
\ 4 ~
~
1 )
\v`\``y
AQ 2 e
1 5 ~~G
i
/ 899
~0o
REVISED 2-10-87 FOR SUNSHINE CONST.
~ C,
~P~y \v ~ \
SHEET 2 OF 2 SHEETS
PROJECT NO., 800K / PAGE JAMES R. HILL, INC.
e4762(87065) planners / Engineers /.Surveyors
FILE N0. 8200 Humboklt Avenu• &outh ,
FOLDER eloomlnaton,td?n. 55431 ets-asa-aozo
CITY OF BUILDINd DEPARTMENT
EXTERIOR ENVII,OPE AVERA(iE IIUII COMPUTATION •
• (To be submitted,with building permit application)
One or Tvro Family Dwelling Owaer
All Other Site Address
Contractor 'f~,INar- l~l.th'C C~ot~~T. Date Phone
LIi-:EAL .•'BET OF
' E:?OSED l7ALL 15d6p'j" ft. 8bove grade = Zo9"9 •C)~
TOTAL EXPOSED WALL ARr^.k Sq. FT.
3_';,2UE COt25'PRUCTI01i: "U° Value x Area
rAgrnE flUit .b43 x S2. FT. 1547.70. .lo3(U)(A)
Detail Con9C~. ' "U" , -
:eFerence 140 x SQ. FT. 1oR.S4_ 15•19 (U) (A)
trom "UII .040 x Sq. FT. /34•9-&= 5.37 4U)(A)
attached "Ull x 3Q. FT. _ 0)(R)
itUlt x Sq. FT. _ (U)(A)
sheets nUn X SQ. FT. _ (U)(A)
::IIiDO'AS: "U~l Value x Area -
Na'.ce & Type I"10(" Cyre7 "Ulf .52... x Sq. FT. ~•30= 5•95(U)(A)
" " IIUII x Sq. FT. _ (U)(A)
" " IVUll x Sq. FT. _ (U)(A)
u n ~~Un x SQ. FT. = (0)(A)
AOORS: "Ull Value x Area
Ma::e & Type ~TL• IwsoL' fouti 14 x sq. FT. 47.oo = 6•$6 (U)(a)
94171 n ifUll ,47 x Sq. FT. .OD (U)(A)
n n uUn x Sq. FT. = (U)(A)
" " IIUII x SQ. FT. _ (U) (A)
TOTALS 204-9•00 SQ. !'T. 199•7~v (U)(A)
AVERA4E "U" '
TJT/.L (U)(A) vrLuEs 199•7(O = -7 DIVIDED BY TOTAL S~ALL AREA ZOq'9 •09 /
aViRAGz; "Ull e t5 or less for 1&2 family dwellinge
P.OOF/CEILING:
TOTAL AREA: I2PJ~
Detail reference itUto •O,Z3 x SQ. FT. z O = 9• (U)(A)
from IIUII x Sq. FT. . (U) (A)
rttacned sheete. liUlt ' x Sq. FT. - (U)(p)
Describe onenings "Ull x Sq. FT. - (U)(A) .
in roof. "UII x SQ. Pn. _ (U)(A)
.JTAL (U)(A) VALUES DIVIDtiD BY ~r9•4~ - TThy 512Efo-~'~
T0:'t;L R00?/CEILI1;G ,`.17,3A 1200
•o2dt
AVEkAGB "U .02$ or ventileted roofe. ~
e
OaRK . o-48FET,l
~Ro?s ~x~~ r,~,~cL
14•50 X~z6t 10+ 38+- 28) = 1,479. o0
9• 50 ~C ZZ~- 6+ zo 5 7a. co
,7, o4-q. oo~
•(a7X C 102-+' ~v0) ~OS•5`f ~
~Nl So/S -
L~lNDow .
/lox3(~ = 4.o x 2 = 8.00
106oo = 6-7 X 6•70
~ x 31~7 ~ S•o X 7- 35.00
Z49 36o= &•o X5= 30.00
1oX &o = 8•q- X 4= 33. &o
29- x 48 = S. o x(0= 48 . o0
x ~.oo
z4 x 74 = 1•0
39 j$ sl~• - zr.oo
~'ailo AR: = 4Z, o 0
PoET ~XPa~A wN,-C. oo •
CoRoss ~R~G. Z~ O4'9, oo ,~6X3f~ = 93 (p
108.5~{ ZX)! = 3Z
Rirr1 Im•4lv lnxzo ~ /zo
AoX/Z= /9Z ~
u YlAwi` /(05•30 `499•3o
~o0~-~r 91 • oD ~ 0,~, Z8p
,
--WALL SECTION--
' Determinin& "Ulf values at Roofg Wall, Rim, and Conc. Block
ROOF/CEILIN(3 R VALUE
S
1.) Interior Air r'ilm 0.61
z.) 5/811 ayp, sa. .56
3.) Inaulatioa
4.)
5•) Exterior Air Film .61
' (&TILL)
I 2 3
6 nUlt = 1/R= .023 'iOTAL (R)= 4I•79
l =
- $ WALL R VAI,UE
q 6.) Interior Air Film 0.68
7.) l" GYr. Bd. .45
8.) Insulation 19.00
9.) ~/3zn BvrL-T-91725' z. o¢
10.) Masonite Siding .67
- l0 11.) Exterior Air Film .17
1
"Un v //B= .043 TOTAL M=23.0l
~
n RIM (R) VALUE
12.) Interior Air Film o.68
13.) Insulation / q.vv
tq.) 211 Fir Rim Joist 1.88
15.) L zll 6VIL-~~T~ 2, o
15 16.) Ms~onite S~ding .6~
17.) Exterior Air Film .17
. o
oQ • . . "p" = 1/R= , p TOTAL (R)=4
-op .g
U .Do ~ ~
~ FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
Zi • ~g 19. )
oe 20.)
n ~ 21.) 12" Concrete Block 1.28
e ^ tu zz.) K161A IAASV(.. S.oo
23.) Exterior Air Film .17
e
(R)
D" (g~ . ~~pn = 1/R= r 140 TOTAI. = ~/3
e
1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I ~~f~ ~
INCLUDE 2 SETS OF PLMiS, 3 CERT2FICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WIiICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE SOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WZTH BLDG. DEPT.,
1 SET OF ENERCY CALCULATIONS
COPAIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: -3;LNIX yLS-F- Valuation: Date:
Site Address ql~;- OFFICE USE OVI.Y
/Ooo ~
Lot to Block U On site sewage_ Occupancy
n MWCC system Zoning
Parcel/Sub ~,jnr,~ On site well Actual Const
y~ City water A1lowable
Owner L.1q~(1-~ }-ucc,yy I<--~ PAV required _ IJ of stories
Hooster Pump _ Length 37.
Address Depth 72
S.F. Total
City/Zip Code Footprint S.F.
Phone 0 .3~ APPROVALS FEES
Contractor Engr/Assess Permit o~ ,DO
\ Planner Surcharge ,,sa
Address Council Plan Aeview
) ! y Bldg. Off. SAC, City
City/Zip Code Varianee SAC, MWCC
I Water Conn
Phone (031 5 6 Water Meter
Road Unit
Arch./Engr. Treatment P1
Parks
Address Copies
~ 2~..
City/Zip Code TOT9L -6 0
Phone ll
.
~ .
• '.i")T:J: ~ ti.
,tJRVEYOR'S CERTIFiCATE sIEruNA CORPORATION
WINDCREST AVENUE
N 86011 '09" E
_ • - 65.00 22.33 TI.
I rn/ ~a ~88f O~ ~ n ,
11.3 d14/.33~ °
I N I
~ .0 J 2. ~
Q /PROPOSED
HOUSE n ~ lo
o :
~ 1 N N ' p .
42.0 ~
<i
cn
~ ~ m I r _I I
!n cu cn r-
~y ~ I ~ r 1
N
i+~ N vE~a``P I, i=
i-- I P0!,E~
i.or so `J
~
,
y 6~,
/ n + ~ J
/ 2~ a3 0 ~
.2 y
AA ~o.
t
5
.
REVISED 2-10-87 FOR SUNSHINE CONST.
g" 04`~~~
~
SHEET 2 OF 2 SHEETS
PROJECT NO., BOOK / PAGE JAMES R. HILL, INC.
e4762(87065) planners / Engineers /_Surveyors
FILE N0. 0200 Humboldt Arenus South ,
FOLDER Bbotnlnslon, Mn. 55431 E12-884-3020
CITY USE ONLY ~
~ ~ g~ ~ RECEIPT#: D ,
A4~ RECEIPTDATE: 5 1
SUBD.2VA ) a
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT FQIOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: A single family dwellings
D townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
WaterCloset 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot TublSpa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum -1 3.00 x =
Rough Openings 1.50 x =
Water Softener "for dwetlings under wnstruction 5.00 x =
Water Softener ' for axisting dwelling 20.00 ' x =
U.G. Spfinkler ' Por dwelling under const. 3.00 =
U.G. Sprinkler ' For existing dwelling 20.00 =
AlteratlonS ' to axisting residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System ' MPC ne. 75.00 =
(new and returbishad systems)
Private Disposal Systems"nbanaonment 20.00 =
RPZ (new installation only) 20.00 =
STATE SURCHARGE .50
TOTAL 2 o• St)
rre-----• - •--------w--•I •
- Eagan - crdinances. -
- epplica6la C'rty o£ -
I hereby acknowledge that I have read this application, state that the information is coct, and agrae to mply - with - all -
It is the applicanPs responsibility to ^wmas no liabiliry for any damages caused by tha City during its
noRnal operetional and malntenanc KOEPKE, LARRY nit within City propertylrlghtof-wayleasement.
1278 WINDCREST AVENUE SITE ADORESS: I EAGAN, MN 55723 I
+ (651) 905-0971 ;
OWNER NAME:
INSTALLER NAME: Mu-zI.UNA - &UrngI/.IG TELEPHONE#: AZ]' 33
StREETADDRESS: Z~05&i~ -50
CITY: Mll i13t;z&POL.1 S STATE: Nlll~- ZIP: 6540IR
~
SIGNAT E F ERMITTEE
CD/PERMIT FORMSlRPLBG PERMIT (RES) - 1998
*.~.,.*****~*********~..x*#**.*...,.***,
CITY OF EAGAi~ * °F~ °
* r,prxovaL oF PrRrIx.
" APPLICATION FOR PERMIT rt
* iNsrncTxoN oF sEMM r,rm/ott MWM -
*F mpmramrONS WILL NDT BE SCm-- ~
SEWER AND/OR WATER CONNECTION ~MM UNM PBMT HAS EEEN >
• * APPxavM" >
~
~*****k.,.**.***.x**,~*k*:.:*kft**:#,:
P ease Print
1) PROPERTY ADDRESS : ~ 2, Q} W lPL b C.QES'1
LEGAL DESCRIPTION: _L (O ~ `L ~j( Qr pAP,~ ,
Lot Block Sub~ivision or Tax Parcel ID T
IF EXISTING SIRCCIL'RE, DATE OF ORIGINAL HLILDING PERMiT ISSL'ANCE: '
~ (Nbn Yearl
PRFSENf ZONING/PROPOSID L'SE:
~ COMP7ERCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY '
f-7 IMTISTRIAL Q R-2 DDPLEX (7WO Onits)
rl INSTIZSJTIONAL/GOVIItIENTP ~ R-3 ROWNKOUSE (Three + Units) ( Onits)
, Q R-4 APART'MENP/CObIDOM2IVILTI ( Units)
2) ~
NAM:AtcNlAt F, G c7-,e4c,rio i
AwDxESS: 5 9PS f) 12- 55r t..I •
ciTY, srAZE, zir:_APPL-E U,e.LLEL-r F{i.t SS l24
PHONE: ¢ 31- 22 b(~
• 3)' • i: NAME - For City Use .
' STQP_ p~uml~i~c(, plumbers License:
ADDRESS: ) C)1€' i`_A eKtD PEt~tl C TEE ~ Active
' bcpired
; crrsc, srATE, zIP: p~i..a,,v,~,v ->.r Milf. 5542U Notrecoraea
PHONE:_ fS 84 - Q I47 MASTER LI(ENSE# 9i 32 ~r hR Sta f-Initial
q) ••r • • 5• ~
NAME: ` ADDRFSS: '
CITY. STATE, 2IP:
PHONE: •
•5) ~ v- ~ a~• • : ~ • -
~ CON=ION 1q CITSC SEWII2 ~ CONNf7C.TI0N M CITY WATER ~ Oif1ER ' .
6) PLEASE HOLD APPROVID PII2MIT FOR PICK-C~P BY ONE OF ABOVE
vr•FncE APPROVID PEEtMIT TD 1a 3, 4, ABOVE
• (Circle one) 7) r n u.. ~ ~ 2-l2-87
' • `1: • Y' I: ~ . . ~ ~ • I" ' • ' D I~' . i~ Y~I' • ~1' 1 ' ~1• ~ ' 9~ • ~ 1
r. • ~ ~ t.. «:r. •,na~ ~ ~ i • •r a• . ~ .
~s
TOR CITY USE ONLY
PERMIT # ISSDED
~
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SC'RCHARGE)
o ~ $ WATER METER/COPPERHORN/OC'TSIDE READER
' $ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOL'NT DEPOSIT - WATER
$ $ WAC
$ 7 S `~n 0 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ ' LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRL'NK WATER
$ /g o'o U $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER: ,
$ TOTAL
RECEIPT RECEIPT
DOES DTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG CONDITIONS:
" I
APPROVED BY:
TITLE:
DATE :
C1TY USE ONLY
PERMIT 14 ~I RECEIPT DATE:
liESIDENTIAL bIECRANICAI. PERM1T APPLICATIOR
crrY oF EAenx
3$30 PII.OT KAOB RD
EABAA HlY SS1EE
651-881-4875
Please complete for. ? single family dwellings
townhomes and condos when pertnfts are required for each unit
Date: G 71 o \
SITEADDRESS: ~r--~l (~C~~~p'~' • ~`~^t-G~
OWNER NAME: Lc~~ TELEPHONE (o5 I_ 9CJ -G -I ~
(AREA COD
INSTALLER NAME: P~n~.LINC GIE~Z TELEPHONE Co
(AREA CODE~~
'J
;~~~1,,(~~ Y'~ ~~SO clO~
b~ -
STREET ADDRESS: l~Q~Q-S
CITY: STATE: ZIP:
Place a check mark next to the ermit work type
New residential dwelling unit under constructionand not owner/occupied $ 70.00
Add-on, modification or alteration to existin dwelling unit $ 50.00
• furnace replacement
=air c~hang er
ndition~
-
Nature of work:
r~ l~n~z
State Surchar e .50
rotai ~ JUL 3 i [uu1
~ V
BY - -
Reminder: Cal! for inspecteons. -
SIGN OF PERMITTEE
vpdatea vai
CITY USE ONLY
PERMIT RECEIPT DATE:
APPROVED BY: , INSPECTOR
COMMMCIi4I. MECELFIClkI. PERMIT APP11CATlOR
CiTY Oir EA&ikN
9$30 i'ILOT KROB fiD
EAHAA.INA 551 SE
651-6$1-4675 .
Please complete for: all commercial/indusVial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DAT'E:
SITE ADDRESS:
OWNER NAME: PHONE
(AREA CODE)
TENANT NAME (IIvIPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITl': STATE: ZIP:
W ORK 11'PE: _ New conshuction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
Specify Nature of Work:
R'hen installing/reraovfng underground tank, call 65I-681-4675 for inspection by Fire Marshal and
Plumbing linspector.
Fees: 1% oFcontact price OR $50.00 minimum fee, wluchever is greater.
Underground tank remavaUinstallation = minimum fee
Contract price: $ x 1% (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
Updated 1/01
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122407
Date Issued:05/07/2014
Permit Category:ePermit
Site Address: 1278 Windcrest Ave
Lot:10 Block: 2 Addition: Birch Park
PID:10-14175-02-100
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 .
Nathan Franta
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 -
Larry G Koepke
1278 Windcrest Ave
Eagan MN 55123
Reuter Walton Construction Inc
2919 Knox Ave S
Suite 200
Minneapolis MN 55408
(612) 823-3489
Applicant/Permitee: Signature Issued By: Signature