1279 Windcrest Ave
.
.
(Sertifir~tit nf (IDrrupanry
titp of (Eagan
EnurbttenY nf ludbtng JWprli,mt
This Certifcate issued pursuant to the reguirementr of Section 306 of ihe Uniform Building
Code certifying that at the dme of rssuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For tlie following.•
'r
U!C clusi6pIlOI1 'r•;~ ' : i:~•~' BW$. PaIDll NO.
C.
0-W-Y Tyw zonin8 DOUIU ~ TYP~ OMSL ~
{ ti''~ . ~ • ~ r ;a ~ ~ ..m ~if+~l ~e~! i
Owoer d Bwlding ~
&,jd;,a,4aa,, i279 BAE. Lm;ty u?, 131, BIiO-.
n.te: "AvDi 27,
IMIchns Official
POST IN A CONSPICUQUS PIACE
CASH RECEIPT
.
CITY OF EAGAN ~
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
:
DA7E . • • ~ ~J ~ 19
RECSIVED
FROM
AMOUNT Is
:_..C«^
& DOLLARS
~oo
? CASH ~CHECK
ROR
~
j 'i? e
' i
M
FUND COD6 AMOUNT
J
~
/
-
. ~
Thank You
~
IBY
63397
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
EkT-1-VM 2,"u9 DECL 4/29/87 CITY OF EAGAN c
xJt7 &R.1AI~rT (1-7, 293--7497 3830 Pilot Knob Road, 9, Eagan, MN 55121 i=:.. C
.H) PHOE454-81p r^ 1~~ U
BUILC3{NG PERM{T Receipt #
To be used for SP 0~4(MGAl'- Est. Value $74 0000 Date '`'ARCH ln 19 86
SiteAddress 1279 WINDCREST AV5 Erect ?X Occupancy R 3
Lot I Block 1 Sec/Sub. BIIZCH DARK Remodel ? Zoning R1
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
W Name CORpnRATF' CONSTRUCTION INeVlove ? Length 42
z 4 466 WEW.;11i0a1) DR Demoiish ? Depth S 1
.3 Address Int. Impr. ? Sq. Ft
° City r'AGA'.V Phone 454-0644 Instau ?
o Name s A+~F ApProvals Fees
~u Address Assessment Permit 355. 0 0
~ City Phone Water & Sew. Surcharge 37. 00
Police Plan Review177.50
F= Name Fire SAC 575.00
~ Z Address Eng. Water Conn.~, 00
ew City phone Planner WaterMeter~63.50
Council~T~ RoadUnit 290-00
I hereby acknowledge that I have read this application and state that the Bldg. Off. ''/j"~ " Tr. PI. 15 6_ 00
information is correct and agree to comply with all applicabte 5tate oi
Minnesota Statutes and City ofEggan Ordinan e-4,- APC Parks
Signature of Permittee ?i~ t~L- Var.Date To~~ Copies . UO
A Buiiding Permit is issued to: CORPORATE CONSTRUCTIOAI CO on the express condition that
all work shall be done in accordance with all applicable St$te of Minnesota Statu~Ds and City of Eagan Ordinances.
Bu+lding Otficial - ~ f
' PermM Na. PwmWt Hddsr Dats Telaphone #
PlumbFnp
H.V.AX. ~O ~ IIld
IE~~c e)~ s ~ 3~ 7~ 1a _
c,sbs
Softener
Inspsctfon Date Insp. Commenis
Foofin9. 1
Footlnps II
Foundat{on
Fnming
Roofiny
Rouyh Plby. •IL,-g„ ~
Rouyh Hfp. li G[Id*'
Insul.
Fireplace
Flnal Htg.
Flnal Plbp. 13
Bldg. Flnal ~-Z
cod. occ.
Deck Fty.
Dack Frmp.
Well
Pr. Disp.
PERMIT #
. MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN 3830 PILOT KN08 ROAD, EAGAN, MN 55121 DATE: n-Aka C,
CONTRACT PRICE $2 1g5. (10 PHONE 454-8100
Site Address T'' ndcreat Avenue BIDG. TYPE WORK DESCRIPTION
LotBlock Sec/Sub
/
Res. New ~
m Name ?'leve F,eatir.r* & A C Ir.c Mult Add-on
~ Address 13075 Pioneer Trail Comm. Repair
c City rden Prairie Phone =1Q1-~'211.
5 5. 4 Other
Name Cornor.ate Constr.uc.tion FEES
~
c Address 44GG wedc~e%icx>A Drive RES. HVAC 0-100 M BTU -$24.00
~ Ci~ !'acan, 55123 Phone 454-0644 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
~ 9GAS OUTLETS - 1.50 EA.
Forced Air ` ~ M BTU ' ~ COMM/IND FEE - 1% OF CONTRACT FEE
Bailer M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent ~PIitina enlv CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
Gas Piping Outlets # Furnace only
Other /
FEE r > 1 ~ ; ~ '.Yn.~
S/C: F rj SIGNATURE OF PERM EE
TOTAL•
FOR: CITY OF EAGAN
. r
PERMIT #
. PLUMBING PERMIT RECEIPT #
CITY OF EAGAN p
• 3650 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
Site Addr ) ~,O BLDG. TYPE WORK DESCRIPTION
Lot_. Block ~ Sec/Sub v
~-~+E-- Res. New
Name `~Pr`' f `7 Mult Add-on
Address (/c `
~ / Comm. Repair
c City Z Phone Other
Nq. FIXTURES TOTAL
Name 0 c wS I Water Closet -$3.00 $
c Address o r r' ~ Bath Tubs -$3.00
p city ~r~~! ~s+ , ? Phone` Lavatory - $3.00
' Shower - $3.00
FEES ' Kitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE -UrinallBidet -$3.00
MINIMJM - RESIDENTIAL FEE _$10.00 Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20_00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ .50 Water Heater -$1.50
(ADD $50 S/C IF PERMIT PRICE GOES rNhirlpool -$3.00
Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50
SI TURE OF PERMITTEE FEE `
J
STATE S/C: ~
' ~
FOR: CITY OF EAGAN GRAND TOTAL: ~2
CITY OF EAGAN Remarks W-vi-g} pn # 16252 ~0/8=5
Addition Birch Park Loc 4 eik i Parceil0-14175-040-01
Owner streac_1279 S,Tindcrest v<- state Eagan MN 55123
improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWERLATERAL -
~e n n n n
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK DO~ n
STORM SEW LAT 1048 19 .199.66 ~
r
CURB & GUTTER
SIDEWALK
STFiEET L1GHT
WATER CONN.
BUILDING PER.
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ii,yll+-F>F`:T 141.?(' „v~ .
I . . , . , ~ ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION . DA
.
<< - ~
Permk No. Pertnit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspecdon Date Insp. Comments
FOOT14dGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATINQ
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
F1NAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTIDN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
ilii : q W i, t ,
, i : i rlt~} f~•f . 1 At,f. , . , , . , , .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. .
:
_ - -
:
s~
4" ~r.6~ ..~=~~T
.
Permit No. PermR Halder Date Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
T~
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
,
CITY OF EAGAN WATHt SERVICE PERM
3830 Pblot Knob Road ~IT NO.:
P. O. Box 21199 p£ ~
Eegan, MN 55121 DATE: .
zonirg: ~ No. of units:
Owr?ar, I ,u ra t _
Add~lfS: _ T L
Stib AddIlS' ~I 1T1 a C T P S t i1 l~ C: .
~ t~,-..i~~
Plumbe
AAeter No.:
twiv
R der No.r 0 OD ~t~,f~(w!~ C,AS iC• -,i',.,;~ -
I p.M to a+~vh? wM Nw CMS gf t~
RE~~~
Totai: -
By oon. raw:
oate of insp.: k"P.: /o -
CITY OF EAGAN WATER SERVICE PERM
3830 Pilot Knob Rosd pERMIT NO.:
P. O. Box 21199
Eagan, MN 55121 DATE:
Zoninp: No. of Units:
Owner.
Addrem: .,at •c ~ ~ ,
Site /?ddras:
PilNt1bRr: . ' ' Metl~ NO.. ~
Siu:
Reader No.: Pem?it Fee:
1 Nrw h aowoh wo tIN GfY Oi ave Surchar9s:
offall"Iness. Misc. CMrom
Totol:
By pah Poid:
.
Qcte of I nsp.: I"'p t
~ CITY OF EAGAN SEWER SERVlCE PERM
3830 Pilot Knob Road
P. O. Box 11199 PERMIT NO.: ~ .
~ Eag4n, MN 55121 DATE:
No. of Units:
Own~r. ''-•^rnte C:on.
/lddress: .42-~q _ t : i_o- • -
•r:_~: ' ~ ~
-,-r: ;'ZCZ'C'St
Site /lddross: -
~ Plumbw: Star i'iuiab iny -
r,^
~ -
i 1 MrM hsenlft wM& !iw Cily of tqpw Corrrction Charp: .
Criiawam Account DeDodt= - - -
I PermR Fee:
f SurcFwr'pe:
gy Misc. Chorom
Dote of Ir?sp.: Totol:
Insp,; Doh Pioid:
~
RESIDENTIAL
BUILDING PERMIT APPLICATION 1~1 I" L
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Canstruction Reoufrements RemodellReoair ReouiremeMS ~
• 3 regislered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20%maximum lol coverage allowed) . 1 sef of Energy Calculations for heated additions
• 2 wpies of plan showing beam &window sizes; poured found design, etc.) . 1 sile survey for exterior additions & decks
• 1 sel of Energy Calculations . Indicffie'rf home served by septic syslem for additions
• 3 copies of Tree Preserva6on Plan if lol platted after 717193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
G
DATE a-~ `O 1 VALUATION 0 oa ,
~
JOB SITE ADDRESS 4a 79 w/NOLiQ6"'ST /~V~ cpG-AN Yh1V S~ 1Z 3
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER I'N 19R Z 13 uM, m A N
~
TYPEOF WORK .3 5c?3501! PAfZcN %0X~Dc4C A446'A ' FIREPLACE(S) 0 _ 1_ 2
APPLICANT T/-k /-~*~sc Ao~roRs ,o~ao16 9ba 1 PHONE# 6 S/- ~os"-b'7S'o
ADDRESS ia(oJ W)UDcRe-Sr A-Uti 679 4-AIJ vnN ZIPCODE .S~r~a 3
PAGER # CELL PHONE #FAX #(0 5/'`'V05'-97~ a
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Cate9ory _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Wo
- - Energy Envelope Calculations Submitt ~ ~ !
MIIVNESOTA RULES 7672
- New Energy Code Worksheet Submitte I I^^^
[7Y"
Plumbing Contractor: Pho
Plumbing System Includcs: _ Water Softener _ I.awn Sprinkler Fee: $90.00
Watcr Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical Syslem Includes: _ Air Condilionuig Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ances.
Signature of Applicant ~ A-~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundatlon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex w 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
0 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
pv 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 *Demolitfon (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy le-3 MC/ES System
Census Code YYY Zoning ~ Ciry Water
SAC Units Stories ~ Booster Pump
Nbr. of Units ~ Sq. Ft. 10016 PRV
Nbr. of Bldgs ~ Length Fire Sprinklered
Type of Const .S- lf/ W idth `l S
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
~ Footings (deck) ~ FinaUNo C.O.
Footings (addition) Plumbing
~ Foundation HVAC
Drain Tile
Roof Ice & Water Final Other
~ FLaming _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. Air Test Final Siding Stucco Stone
20 Insularion _ Windows (new/replacement)
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
~ GC U
City SAC
Water Supply & Storage f a~~~
S&W Pertnit & Surcharge ~
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
CITY OF EAGAN
- 11586
~ 3630 Pflot Knob Ro PHONE: 494-8100 21-199, ~9an, MN 55121I N0
BUILDING PERMIT Receiptp Gf b 37/
7o be ueed ror SF DWG/GAR Est value $ 74,0 0 0 oate MARCH 10 19 86
SiteAddress 1279 WINDCREST AVE Erect C~ Occupancy R3
Lot 4 Block 1 secisub. BIRCH PARK Remodel ? Zoning
Parcel No. Repair ? Type of Const V
Addition ? No. Stories
w CORPORATE CONSTRUCTION IN(Tnove ? Length
Name
4466 WEDGWOOD DR Demolish ? Depth 51
o Address Int Impr. ? Sq. Ft.
Ciry EAGAN phone 454-0644 lnstall ?
x gA(a]E APProvals Feea
o Name
$a Address ASSeSSment Pefmit 5• ~
~ Ciry Phone water & Sew. Surcharge 37.00
Police Plan Review 177.50
~W Name Fire SAC $75.00
s Address '
~ a Eng. Water Conn. 500.00
a w Ciry Phone Planner Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off~S rr. ai. 156.00
information is correct and agree to comply with all ypliceble State of
Minnesota Statutes and Citypt$agan OrdicpB APC Perks
~~S ^ • Var. Date Copie
Signature of Permittee f/ Jr~`~'t, j/
Total ' ' o
A Building Permit is issued to: CORPORATE CONSTRUCTION CO on the ezpress condition that
all work shail be done in accordance with all applica le e of Minnes ta Stat tes and Ciry of Eagan Ordinances.
Building Official
Ixy y 7 OFFlGE USE ONLY This requesl wid 18 monlhs from wlidniim dote prinled in Ihis bax.
+ ~ 4 2 6 9 9 4 0* PLEASE PRINT OR TYPE
Neq.st Doie Roug6in inspecfion required2 ? Yas ~No Inapeclion Oihx Thon RougMn: ? ReadY Now ~Wili Call
- -q (You must call Ihe inspecror when ready~ Dote Ready:
I, jKicenud conhactor ? owner hereby request inspection of Ihe above elechical work at:
)ob Addreu (Sheet, Bon,/or. R•oute No j 1 Ciy Z~ip CyoD^de//
W I r
t~l C.Y`G4.,(B L'~ .7.2O
$ection No. Township Name or No. Ra~e No. Fne No. Cauny
DL't Fo 1~0.
Occupom Plwne No,
t4av r3 ur a.v++n (08 - CR(o
P. Supplier Address
Ekchical Conhocior (Compony Nomc) Canvactw licensa No. NnsMr lic. Na. (Plont EIM. Only)
L.u.)dtaw Ele`~,~, T~ cAc7A390
Moiling Address (Connocror or Owner Performing Inpolimion)
(C-a.~e. Pt,O rd oo~ ~ ~f 6J 5'S 3~
Amlwrized Si noNrc (Conhocro i or Owmr Pnfarml Inemllouan) Phme No.
W~'f), -tr3o
EBOOOOIA-11 8/96 STATE EOI1Nf1 COPY - SEE IN5(BUCT10N5 ON BACK OF YELLOW CAPY
//CP-/9~ REQUEST FOR ELECTRICAL INSPECTION
4 2 6- 9 9 4_~ ' MgZ7 Univeriry Ave. Rm. St 28, St. Paul, MN 55704
Phone (612) 642-0800
Home Du lex Apt. Bld . Filher:- New Addn
Form Remod Re air
~ommercial Indusfrial
41
Air Cond. Hig. E ui . Wafer Hh. load Mgml. OtherT 1
D er Range Elec. Heat Temp. Service t^~Ja 'al0.G~
"X° above Fhe work covered by this iequest. Enter remorks in this space and on Ilie 6ack of the whife copy only.
Colculate Inspection Fee - This Inspecfion Requesf will not be acceplad wifhouf the correct fee:
Other Fee # Scrvice Entrance Size Fee R Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 b 100 Amps
Sfreet Lig./Troffic Sig. A6ove 200_Am s A6ove 100 -Amps
Transformer/Genemtor INSPECTOH'S USE ONLY cz~ TOTAL
Sign/Outline Llg. Xfmr. y ~ Alarm/Remote Control ? V .
Swimming Pool i here ~em ~,o~ i m ied~ ~nsmlknan daxcri6ed here;n on Ihe dales sw*d
Irrigafion Boom Rough-In Dale
$pecial Inspeclion
Fiwl Doi
Investigalive Fee
THIS INSTALLATION MAY BE ORDERED D%abNNECTE01FWff-CbM*rETED WITHI 78 THS.
Tnis euoa: „oia 7- 8 (o p 5 73
O Va-Lmnths lrom
p 095283 ~y,8~~ /o-
Re ae:t D Fire Na. Rouph-in nspection
Requir ~Reatly Now ~{.~w.Ti Notity. Inspec-
es ?No tor When qeadY
f, censed EI¢cVical ConVactor I hereby requast insoecflon of above '
? Owner electricel work instelled at:
Siteet ddre s, 8ox or Hou No. . ~ Citv
ecu , o. Towns ip Name or o. Range No. Cnunty ~
Oc niIPRIN7 7- Ph ne
l
Powe pplier Address
Elec rical Conhactor ICompany Namel [racto'/s ~License No.
r ?T V
Mailing d ow 'mE Itihp stailation)
14540 PENNOCK LANE
Authorized ~ignylytYL~Qrytr~L'1 ~op~; A~IIRS 551M Phone Number
A~' V C+ 1 1'~lla
MINNESOTA STATE BOARO OF ELECTqICITY THIS INSPECTION pEQUEST WILL NOT
Grie9s-MiOway Bldg. - Noom N•191 BE ACCEPTED eV THE STATE BOANO
UNLESS PflOPEN INSPECTION FEE IS
1821 UniversitY Ave., St Peul, MN 56100
Phone (612) 297-2111 ENCLOSED.
3474 6 REQUEST FOR ELECTRICAC INSPECTION E~-~~3
' 10 Sae instmetions (or completin9 this torm on beek of vellow copy. b
~ "X" Below Work Covered by This Request
Ne4Addj Rap. Type ol Buileing AppliOntes WireA Equipment Wired
- Home Range Temporary Service
Duplex Water Heater Lightiny Fixmres
Apt. Building Dryer Electric He2tin
Commercial 81dg. Fumace Silo Unloader
~ Industrial Bldg. Air Conditioner Buik Milk Tenk
Farm otner peufv [her (5pcr.ify)
t er Sueci(y t er Oihe,
ompute Inspection Fee Below
M Fee Service Entrance&i:e q Fee gF,.d M/S.Heeder. Fee Oto2 00qm s Above 200 qmps Swimming Pool Tran brmers Si0, TOTAi/FEE,
No.gh-in O~te 1, the Eleehieal'/
Insoector, hereby
- ertity that tpe above
Final ~ ~e~ ' sOaction has been
~~~0~' ma0e.
ThIS repuest vold 18 montRa Iro.
This revoitl ~Io (p 1-2 7
18 nth m
~ ~654 L
Rnques Daie Fire No. RouOh-in I pection
y Re uira ~AeadY Nuw [~AMR~otity Inspev
~ Q s ?No [or When Peady
(Vicensed Eleclrical Convaclor I heraby requast insPection ot abova
? Ownet alectrical work installetl at
Sveet dtlress, Bo. or Rovte No. Ciry
J
ection o. Townshi0 Name or No. ambe No. ou~~ly
OcC. ant (PFiINT)
2 5 7 ~U
Pow SupDli Atltlrass
t
1¢C1~i.tyl CyrS(r~~to~~ ~+P~Namef Cn ~rac or's~e e No.
iadllH~CK i. RiC
MailSn°tJ~ll i~~1CiVVli11B~~M~1bSlfhs~xlla'ion)
1 Y I+
D L` T
AuCVor zE ig a uiv(C dt Citl e Installationl Phone Nomber
MINNESOTA STpTE BOAND OF ELECTHICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwey Bidg. - Naom N-191 BE ACCEPTED BY THE STATE BOAflD
UNLESS PROPEF INSPECTION FEE IS
1821 UniversitY Ave.. St Peul. MN 56704
Vn- 16121 297-2111 ENCLOSED.
e
REQUEST FOR ELECTRICAL INSPECTION e-ouooi.oa
lp Sea instructions for comDleting this+/orm on back of yellow coPV.
~ 654 X" Below Work Covered by 7his Request CO y
dd R dyDe of BuiltlinB Appliancea WinE Equiument Wired
Home Range Tem rary Service Duplex Water Heater ightiny Fixtures
Apt. BuflAing Dr r Electric NeaLn
Commercial Bldy. umace Silo Unlonder,
Industrial BIAg- Air Conditioner BWk Milk Tenk
farm O+her peci v ,her lspecoyl
[ er uecily Other Othor
ompuie lnspection Fee Below
p Fee ServicaEnbenceSize U Fea Fexders/5ubinnders N Fae Circuits
0 to 200 qm s 0 to 30 Am s 0 tn 30 An+>
Above 200 qmp s 31 to 100 Amps ~d 31 to 100 Am s
Swimming Pool Abave 100-Am s Above 100_Am~s
Transiormers Irrigation Flooms Pdrtial.'Other Fee
Signs Special Inspec[ion S
Nertmrks iOTAL
_d0
Roueh-in Dme 1, the lectric
qi)'a~ Inspact ereby
certily thet [he above
Fina~ r `e^ p insoeclion hes been
~?~~.~i matle.
Thia requeat wid 18 monltu Irom
. .
1986 HIIII.DING PERlIIT 9PPLICATIOH - CITY OF EAG9N
\
NOTS: 6LL CONTBAC?OHS lNST BE LICIIYSED WITH THE CITY OF EAGAN
CD14fERCIAL SINGLS F6lIILY DiIELI.INGS
INCLUDE 2 SETS OF ARCAITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF $NERGY CALCULATIONS
ENERGY CALCULATIONS~
$2,000 LANDSCAPE BOND
To Be Used For: SF~~!(~; ~(m6R, Valuation: 74 r(goc, Date:
Site Address rA,r4 A-t OFFICE USE OD1LY
Lot ~ Block ~ Erect X Oceupaney - ~3
D~/ Aemodel Zoning ~.f
Pareel/Sub 9,.a r~/~ Repair _ Type of Const ~
,y„ ~ Addition - li of Stories
Owner (..Ur aur.rY Move Length 42
Address _?_1_A6 WE~S~-o•~ ~r Demolish ~ SqpFt 51
t
~C~ J MN sr~3 Install
City/Zip Code
d
Phone Itsli- 06 K 4 APraovAr.s FSES
Contractor fo6~ Assessments Permit 355,
Water/Sewer Surcharge 3"7,
Address Police Plan Review 7-1^7,so
Fire SAC S'? S .
City/Zip Code Engr Water Conn Sop.
Planner Water Meter =5b
Phone Couneil Road Unit Zq D.
Bldg Off Treatment P1 f5cp,
Arch./Engr. APC Parks
Variance Copies
Address TpTgy -7/-- V
CitqlZip Code
Phoae #
NOT$: ADDRESSES FOR COEtAES LORS - CpNTggCTOR/HOMHOWNER MOST DFSZGNATS HHICH
ADDRES$ IS DESIRED. NO CHANGSS WILL BE ALLOV6D ONCE BOILDIHG PERMIT
IS ISSOfiD.
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BC
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SURVEYOR'S CERTIFICATE 'SIENNA CORPORATION
' . . N 81 *29 ~ 22 E \ !n\ ~ i ~i i 65 . 2G ~ -
I
Io
~
LOT 4 ~
ORAINAGE a T'Llry 5
5
~
EASEMENTPERPLAT LU
°n cV .
U~ ~ p? _ 0 to
Cf38s,5} 437,s) : • _ ~ ro
40.0
- 10:r
•
PROPOSED
j 1 I`fl / HOUSE W r^ i . ~ M I N/ 1 N M V, -J
• _ ~ ~ 20.0 ~ o
ZA 1 (BSSs ~
~ o
N GA~N I I
22.0
o ;'W = a 0
'
~
o .u~ r~3 0
~ 5 5 0
M K1'
¢ xrc,q;
..a4.y g
C8B3b~ 1 65.00 ~ C83L~
S 86011,098, W
• ~ m REViSE~ 2-17-85 To SNoW /4
PRopoSED r+oubE frAk
WINDCREST A VENUE CoFIPoRRrE.Ce.JSTR~Cy'io^~.
DENOTES PROPOSED SURfACE DRAINAGE
O DENOTES IRDN MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUPJD PROPOSEO GARAGE f100R = S8S_8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR = 893, C~ FEET
(000.0) DENOTES PROPOSED ELEVATION PRDPOSED TOP OF f3LOCK = R84,7-FEET
b1E HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRIJE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 60UNDARIES OF:
Lot 4, Block I > BiRCH PARK, according to the recorded plat thereof,
Dakota Courty, P1innesota.
IT DOES NOT PURPORT TO SHOId IMPROVEt4ENT5 OR ENCROACHMENTS, IF ANY. AS SURVEYED [3Y
ME OR UNDER MY DIRECT SUPERVISION THIS 23EvDAY OF oC'fogEV~- , 1985.
{iPPROVED FOR SIENNA SIGNED: JAMES R. H1LL, 1NC.
CORPORATION %
ov: aY:
DATED 7HI5 DAY OF FlAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA L1CEN5E NUM6ER 12294
19_.
PFlOJECT 140, flOOK / PAGE ,JAMES R. HILL3 INC.
. 84762
~637~ Planners / Engineers / Surveyors
FILE NO. 0200 fiumboldl Avsnu• Soulh
FOLQER Oloaminpton, Mn. 55431 812-80473020
R
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~1 ~ P~1't" ~~YC i~P~ ~~j~ .,Fli ~N ~11pM•#4+`..~'l~tr~~ i ir~"'+~'t~Y , ~:Yf:.
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' )ww~ ~ ,qS' O P a?~@. ~.Oe~S~' u ~"T ~ QA PhO~! ^~t~ ~flSK~
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z: ',i1tt Addflsf
.:ontrsCtor ?hone '
~
CT~sxf~4eiption: Type Al (Singta Faaity 8. Ouplex) T AZ
~3R`+esisto~idenllal
es vr eat ;
r . ;E~therl (Orer 3 stortes3
; r?~„'t~Al If~4RMATi~#1 '
:1. 8u11d1Aq PeritMter Z ft.
Wa11 hetqlit' (9r0uno tio eave) vcs-r: eS ft.
z
x 2.(~bio~ve) 4ross +~att araa ZZ~o rc.~} +
y, 2
BuiTdtng di~fsions (l) x(N) T¦~_.ft. roof 5 ftoor artit
5pwrt fCOt " Ot rina Jo:1;t - Floor joi:t size (2 x l03
' - " ?o? x Perimeter = Rim•
:t ' . . ' .
V . , ' . . . 1 • , t ~
r k
6 • O?ors Ar"~,,,,,_a~,`l `t ...--In-U-TActor
4 Tl~1 s3 +
01.1 Cf"tft
Oi~r
4:i:. . .
7 . Totat aoor's .periiwter 3~,,,a a fs
,4 . tftmtores IO~ufatturer (~orca Stite eqpr04ed ('t~4kJ_ 'E
U faetiDr
0
~ ` 2 VJeER oF roraL FEEY
TYPE SiZE AR.A (F'. )
<t EACH UHITS
1,
4%
Z \
-
~ . 4~ •
40
'7
-t-
2 --~--?`'`~'''--~-ir~.~- , ,
4) L-~"'j~" , ~wn.. • :3C5~.: r~r . < <
. r. -.n~ . _ , '~...a.~•i- As~c': 'r,{
" 9, taa1 ft.x s'Isss z
F1rcp#att of" : Midth x hs'ight • z. = ` ~ __-Ft
2
i ~ . Exppstd faatiiktlon: Mtght x Parlmeter .-,'r Ft. ~
% Y ,
1t~~~a~ pS REDjF.CR All NE1I'CQMSTRU{TIU~15 ~ REIARI~ BUILDC~E'iE
a>
t~t! S MIN~~tAI` COt#E AlLt~11~NCE..
~ , • . ,t
. • ~~4 t i '
ra.,~~ ~ Y ~s~ ,4 , t~~ i `A p~~y%~~ k z Y
+ Y a +~V& 1 r n ~t ! I~,~r`„~~ kc r f ~a `f t.r~ ~ ''f'.V~l n 3'M~S
FMI"Ft?d~lr?+~rla J~ _ 1Qn. ~l ft. L` NindoM! a ,~S..~p_ U x a•
,fO1sL 40ra A: t?~ oO lt.Z U rfm joiat 0 4 U x q•~
Ooor area A ~
ft. 'J door ar@a • \Z3_ U x p• 4•,~,~;
.r
Fireplace ar11e.A_ -p.- ft.z U iireplace ¦ U x A• ~
; -
, fxpose,d f,0urld6$1on A': S~. O f*.^ U foundatton ~ U x.A •
~ Framing arti A: zF, Z. O ft.~ :1 framfing draa •-p9 U x A=
r t~t watl "arst A` -`!Z`t. 9 wati = ~;,,043 u xA•
~~'3; ,:7..L . . U x a`
. 6ross raii dree x 0:11 (A-1 single famiTy S ailowapl.e:U .c A/Codq
(13. above)- . '
x 0.23 (A-2 oSher resiCentio'.;
° x .2~ ,Otiher, bu'ilding;`
.28 (~ver• ; sto~•;o;7
'NI ' Must be larger thp '
'A` Z~ 3Q X U CCdt 0 . ~38 3bOVE
S. GasT9ng framing:area (Ap) aquals 100; of <=iTing rea - ~ or'ihQ same,asj `J
~ $Z~
6A. 4rois ceilir?g ai^ea * -4Z x LWL. 2-
4Z • ft.2 :
dkB Jqist arN (A ) 10" cs,111n9 4xea• °
f
£NC. Net eei1ing area (AC) (15A - 158) • 1\ 3 z• Zo
U tei l i ng x F; , o, 1~ x-_~~.'5~....~
. U fcaming x p te pr, 6 Q x`~
6Q • 'OtAI U x A . . . . . . . . ^ . . . . . . . . . . . . . . . . . . . . . . . . . . ~~r-----
ieilinq area (15A) x 0.026 (A-1 sinyle `amily S Cuplex - code altor~bl; l~ x A
~ ~x. 6.03 (A-2 otAerresida'a:iat) ~ - x O,qO (other) .
~g, ~ 8aUH Must pe l®rr%
In thon 15D (ah+ov!)
,
z (e_~de)_. oz~O F' (ar tl~e. a~'~~b as) r
r -
, - • ,
}
rx . .~"rOtf: U,an4-A ralues abiaiAed f- ~m 4~5 1; 3 and`4.
, - . . n
r, i. . , _ . - . . . . . ,~i
k r ~
~
k ~ e. ~ k ~ z~~tt ~i ~ ~ p ~ ? h l~ t~ ~ ;t ~ ~ w ~ d. ~ .
wAt~. , ' ~ r,Ca intetiet "+?ai~ ~ ~ ' •A` tGsLl1 U % ~ . ~f*~
SEC4't4~1 ~
4~`• K:nsn:ae,tw+
MatAint
nPSid.tnq -7
1Juc;side alr 'tlm ' . _.17-'~
~ ~U
' F TOTAL Inatdr sir fi1T ..A
~f
ST't!D ;v C,, tocor f or +a i t
48C720N L
s ~ ud
~
(Fra~ntn$) U . . , ~heathin6
Siding
'"v
au .4,'7 H
,
taf~dik alr illn ~ .11
- 70?AL
m
Ins[ae qir film R• G8'
2MD,NALL Intector vail
S6CTI:Mi inauls tton `i.~o Gwall ) ~
~ Shsathtng
Excesioc valt :oveei0;
~ . , : • i r '
'
Ezeeelvr.;ir FiLa " ..l%
_
~ A TOTAL , lnctsiur ait fllT 12 .68
~ 9LM :nsula:.ion
'JOIST • 1~ ir,ch autt •.ruud 4=1.$8 (RiIR a If mi,
a ~ Joist
3v
~ G. '
r " "°r'n: f1,r~g ~ . o
Af
~ 61tstel ur rall covertpg (P-
BxCee~ior,atr tilm
R TOTAL }M1 ~lnte;lo[ sir C:ln q'
~tmi A"`-°Ekte`star air flln R* .17 t ~
Foundatiun
(fdn. I U • ~ .
lk,
F TOTAL r ' , I ~'f<pwfed 31 6tk
t',raee
M~ r
°
i l F
;
1
ti.~..._... .+4..i............_....~.'y • . .4._ . . . . . .v»r _ . ~.~v~n~m r...rv . r. ~ri a.nw v ~nH ~ r. ~ . . YJ, ~.C{ry!
Vts n 6V lri;~Ctq~a. - ~ i ~ i 1 ni~S7a>~jyF
, ~ra ~ ia ?a Q rd 3t m ° ' lra~i
A~ ~
~qp
M '
[nsuietion A-4
~4 ; :
i '
000, cb ,;otst
Y r
, ~F~ CBi11ng 5~
• ! t 3. ~
.
O.EI--- Air FiTm 0.61
. 1 ~
.3'i 9 3 Total R
u'°~
r . . . . . -
F:Ai ROOF OR C.1THE~L CEtI N~ R. YALUE
: ikTue FRAMING CEilIPt6
0.61 Inside air fi,111ol 0.61_
Cei i i n4 .
Joist tstua
;tnsulatton
dir space
Roof dRtking _
Inaulatlon .
Buitt-uV roof
• , 0. 7 OutsldR.eir tilm:C
Total. a~t " : rI ` R
~
. ~
infiltcaticn 5 cfm/lineal foot of crack
;esfdenzial door infiltrati'on 0.5 cfm/square foo: or dcor a~ ~iinfriuc° cade requireaent
&on•rexidential doo'r infiltration 11.0 Cfr/lineal `oot of crack
Y~,fp 12" concrete block no 1nsu9ation =.47 R 2.1
~T~::lb 12" concreee btock i~sulated cores ~.26 ~ 3.9
}z" lighttwei,ght blotk .32 R ,3,1
it" ,,':ty 12" tiqhtwight block trisutated cores =.12 Q 9:3 .
~;~..single glas; s 1 1.3: rr.tth,stc>i^n windox .54
~ j;doutrie,.4}asf: • 5"~. ; r ,
,,'triple 916s5 •,.41
r .
11`itl exterior wal,ls.and ceilings wAist haJe a vapor Darrier (C.TO perm r3x•)•
x, ;jpnbarr#er awlt be on the inslGe (heated siae) of walt.
r barriers qf ttT!,e Po'lyetheiene thin film have no R value.
_ :
f: . 1 . . . . . f "
. . ' . . .
v
1.'].yj . . . , . 1
F { ! r . _ _
.;sF .n ,
PERMIT
~ CITY OF EAGAN
~ 3830 Pilot Knob Road PERMIT TYPE:
Eagan; Minnesota 55122-1897 Permit Number: BUILDING
03102~
(612) 681-4675 Date Issued: 10 / 2 7/ 9 7
SITE ADDRESS:
1279 WINDCREST AVE
LOT: 4 BLOCK: 1
BIRCH PARK
P.I.N.: 10-14175-040-01
DESCRIPTION:
(SOFFIT/FASCIA/TRIM)
P~ermit Type SF (MTSC. )
Type ALTERATION f G6~Yts carYa: 434 A`LT. RESIDENTIAL
4 4!~
F . , .
~s • q,§'. i a a" •ia,c ; 1 iz~"ce'~
~
s sm ~ g~y~,~.
~ o
. .
.
REMARKS:
FEE SUMMARY:
VALUATION $4,000
Base Fes $87.25
Surcharge $2.00
Total Fee $89.25
i NTRACTOR: - qpplicant - sT. I.IC OWNER:
NDA U CtlNST CO'IMC 14478001 0007251 BURMANN MARY
85 BOUOIN ST 1279 WINOCRE57 AVE
TOR LAKE MN 55372 EAGAN MN 55122
12) 447-8001 (612)688-0963
I kn;s~W1~ds~e tk4 h~'~Ea;}=~~+~s~!'Vf~3i4, ''ar¢~?4~„~za~1.szn, '#t~d w~~~_' kh~~
irnyr#rrpr~l,~y.~~ry~j3sca*r~~oytr-y ~aa~r~ ~x~{rxes~ ~~y{ ~Mal~#~`~~' 4`,8*4ti6,zo*~.~14
~ :JL.~~M~P~ G7114! tj a~.n."'J
'.a e.,
~~k ~1, ~ttt~i R~v"t M 111.~
APP IC NTlPER IT E IGNA URE ISSUEDB SI TU E]~-
~ 1997 BUILDING PERMIT APPLICATION (RE5IDENTIAL) ~ ~j9, ,2.1~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681-4675
New Canstrudion Reavirements RemodeURaoair Reauiroments
? 9 registered site surveys ? 2 eopies of plan
• 2 eopies of olans (indude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterior addRiona & dacks)
? 1 energy wlwlatfons • 7 energy plculatians for heated additions
? 3 wpies of tree preservatlon plan 'rf lot platted aftar 7/1l93
required: _ Yes _ No DATE: Io CONSTRUCTION COST:
DE5CRIPTION OF WORK: ~
~
STREET ADDRESS:
LOT ~ BLOCK SUBD./P.I.D.
PROPERTY Name: &An{d" Phone
OWNER M~
Street Address:
City: State: Zip: ~5~~~
CONTRACTOR Company: Phone
StreetAddress: S~, N~ F-. License#: Z.~
City: P4 State: 94 Zip: ~S 7
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licer.~ed plumber (new construction onty): . Penaity applies when address change
and lot change are , equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is c ect and agree to compiy with all applicabie
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY
~ ~ .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt.lLodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-piex ? 13 Garage/Accessory ? 20 Public Faciiity
? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = piex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations o 36 Move
? 32 Addition o 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
2oning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
Census Bldg
Census Unit
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
r PERMIT
j; CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, MinneSOta 55122-1897 Permit Number: 029475
(612) 681-4675 Date Issued: @ 2/ 0 5 J 9 7
SITE ADDRESS:
1279 WINDCREST AVE
LDT: 4 BLOCK: 1
BIRCH PARK
p.I.N.: 10-14175-040-01
DESCRIPTION:
GA5 (TWO)
'.F',ermit Type FIREPLACE
~~u€3d~.nc~ l~lc' ~ Type NEW
Cer~S' U~ C~4de_ 434 ALT. RE5IDENTIAL
F ~
~
W tks
N
a.• 1 "
6 asa .,E 3„s h
'S
if - U :H 15
REMARKS:
FEE SUMMARY:
6ase Fee $49.59 '
Surcharge $.50
Tota1 Fee $50.90
ti
CONTRACTOR: - Applicant - 5T. LIC OWNER:
STOVE & FIREPI.flCE GALLERY 18981174 2003208 BURMANN MARY
1278 COUNTY ROAp 42 1279 WTNDCREST AVE
BURNSVTLLE MN 55337 EAGAN MN 55123
(612) 538-1174 ' (612)688-0963
i p}(a1,3cat3.dn wirY staCe that ths'
~Ln'~ormatiaq edrrd.&t„d~d a gr'ee' ~8 ,~s?rh~ir~+ f~~Gh ~11` ~pR,1S~eb1~ E?~a~e q'~ Ifir3.
5ta~utes and G3~y d'~ Ea,s~ar~ drdoWees.
,
~n ft~.r m~-
APPLICANTIPERMITEE SIGNATURE I Y: N UTiE~, -
Ci`:Y OF EAGAN
~ 3830 PILCIT KNOB RD - 55122 qS 1995 FIREPLACE PERMIT APPLICATION
681-4675
r . ~
DATE: ~ - v~- 97 \
~ j Cva
DESCRIPTION OF WORK: r/ INSTALL M?d( FIREPLACE: _ WOOD BURNING 1/GAS
_ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
_ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: 6,4002t A-~c~~~2_
STREET AQDRESS: -22-7-2" -&,,'<.Alv
LOT = BLOCK ~ SUBD./P.I.D.
T
APPLICANT: (circie one only) OWNER CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is correct and agree to
comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY Name: Phone
OWNER "
Signature:
Street Address• ~ ~ ~ 2 I/>INac.CE5-7
City: Statevv,,b~ Zip: 47s l
FIREFUICE Company: Phone 7y
INSTALLER
Signature:
Street Address: -1,2-_ 7.:Z License -2603 ~ a'S a
City:1~~~iz~s State: ~ Zip. S~3 3 7
GAS LINE Company: Phone
INSTALLER
Name:
Signature:
Street Address-
Ciry: State: Zip:
~
` ~
:t
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
0 31 New o 33 Alterations
0 32 Addition o 34 Repair
GENERAL 6NFORMATION
Census Code.
SAC Code
REMARKS: Chimneyfflue must be inspected before concealing.
FEES
r~Y~Y~I[ rc'C
5urcharge
Other
Copies
Total:
. ~****#*****4*~********3**#**#*!*#**x
- ' CITY OF EAGAi~ * ~ ~ ;
* arrxovAr. oF PERrsr.
APPLICATION FOR PERMIT *
. * INSPECTION oF SESM AND/Oit %kTII2 ;
. y~, TTL4I'ATSATTONS WILL NOT BE SQma>- SEWER AND/OR WATER CONNECTION *ULED UNTIL PERMIT HAS EM
* AePxovID. s
~
~
P easne Print
1) PROPERTY ADDRESS: ~
LEGAL DESCRIPTION: f
Lot Block Subdivision or Tax Parcel ID
IF EXISTING STRCCIS]RE, DATE OE ORIGINAL BLILDING PERMIT ISSL'ANCE: '
;
PRFSENP 7ANING/PROPOSID L'SE: (Mon Year
? C0.1MCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY '
r7 IAIDCSTRIAL Q R-2 DL'PLEX (RtVo Units)
~ INSTITL'TIONAL/GOVERNmEN'r ~ R-3 TCJWDII-IOL~SE (Three + Units) ( Units)
. R-4 APARTKa1T/COIIDOMINIUM ( Units )
2) ~
NAME:
ADDRESS: ~
.
CITY, STATE, ZIP: IY6 PHONE; -0
• 3) • u r,~• NAME- For City C~se
- Pltunbers License:
AADRFSS: Active
ExPired
i CITY. STATE, ZIP: Not recorded
PHONE: MASTIIt LICENSE# .3329 St Inita.al
4) • e ia~•
• NAME:
` ADDRESS: .
• CITY. $TATE, ZIP:
. PHONE: .
•5) ~ v ~ a: • : ~ • y~ -
CONNF.CTION TO CITY SEWII2 NNEGTION 1U CITY WATFR 0'i'fM ' .
6) ~ v i• ~ PIEME HOLD APPROVID PERMIT EC)R PICK-C'P BY ONE OF ABpVE
-f PLEASE MAIL APPROVID PERMIT TO 1, .2 :3' 4' pBpVE . .
( le one)
7> r • ~ ~ r'~,~
. • ti: ~ r ~ • • ~ ~ r ~ - a i~~ r~a~• • ~ • a~• • • 06
. ~ ~
~s. ~ e ~•r. •,na~ ~ ~ ~ ~ a~ a• • ~ } .
. FOR CITY USE ONLY PERMIT # ISSL'ED
r/S Z S la /0 6
Pd w/Bldg. Permit FEES:
$ $ /OrJ-b SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLCDE CORPORATION STOP)
$ $ SEWER TAP
$ O-Z) $ ACCOLNT DEPOSIT - SEWER
$ ACCOC'NT DEPOSIT - WATER
$ ~~Y77 r O ~ $ WAC
$ 5 73~ n $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRUNR SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $LATERAL BENEFIT/TRL'NK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
S_ -3 .3 J r' TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY? `
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PC~BLIC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY: Z)
TITLE:
DATE:
,
KNdX LUf18f}2~~ ~mv
~ t DA7E 05/01 l8?: ~ FST>IMAI'F.,D JR ~ r~~Y'+~'%fYY~•!4. ,
LOCaTION NE ` ~ 6 r fi0 DDN Bt#~J4ANN : ,`f ~ < : x~ CIERIC'liLt E~titOti5 tR '~.~s; SALESMRN EARI GHAPMAN t274 i3itiUCRESTj,RV£ [~.t k `J%`;7~ ~Arf`fi~ATfR°I'AC~ AR~ MOfr.
.
. >
r• " STRIICTURE: DECK LEVE! ' 01" ` :~OISTS.;.;ZXB" TREATED" :16' dC: ' 'FA5C1A;s -2X8` CEI3RR`:-``
aRas` SIZE: 16 X 16 " r a POST$, 4X4 TRERTED °~HANDRAIL' 4$'CEDAR 2X2 ~
~--~p.. DECKIN6: 2X6 CEDAR D1 A6 BEA~1S 32' 2X12 TREAT£,~ L BENCH. 0'
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118532
Date Issued:11/04/2013
Permit Category:ePermit
Site Address: 1279 Windcrest Ave
Lot:4 Block: 1 Addition: Birch Park
PID:10-14175-01-040
Use:
Description:
Sub Type:Reroof & Siding
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
William R Meyer
1279 Windcrest Ave
Eagan MN 55123
All Around Roofing & Renovations
720 Tower Drive
Hamel MN 55340
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119260
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 1279 Windcrest Ave
Lot:4 Block: 1 Addition: Birch Park
PID:10-14175-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
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 -
William R Meyer
1279 Windcrest Ave
Eagan MN 55123
Apex Energy Solutions
1509 Southcross Drive West
Burnsville MN 55306
(651) 688-2739
Applicant/Permitee: Signature Issued By: Signature