1284 Windcrest AvePERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA111968
Date Issued:07/22/2013
Permit Category:ePermit
Site Address: 1284 Windcrest Ave
Lot:9 Block: 2 Addition: Birch Park
PID:10-14175-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Holly Flood
1408 Northland Dr #310
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lynette Sjoquist
1284 Windcrest Ave
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature
- . PERMIT # / C) L4 1 .
` MECHANICAL PERMR RECEIPT # (1-)r! :Q
' • CITY OF EAGAN /
3830 PIlOT KNOB ROAD, EACAN, MN 55121 DATE: ST g6
CONTRACT PRICE PHONE: 454-8100
Site Addr d / C R f S 7` BLDG. T1fPE WORK DESCRIPTION
Lot ~ Block -4-~ Sec/Sub ~ ~
'S ~S/TG Res. New
~ Name C/? r~ Mult Add-on
~v Address Comm. Repair
c C;tuU EN f RA i[, r Phon Other
Name =`~~~5~/ V~ L O ST FEES
L
c Address fk RES. HVAC 0-100 M BTU -$24.00
p City Phone 3'? Z C0 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK OD GAS OUTLETS - 1.50 EA.
Forced Air M BTU ~COMM/IND FEE - 1%OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTfAL FEE - 10.00
Unit Heater M BTtJ MINIMUM - COMM/IND FEE - 20.00
Air Cond, M BTU ~~00 STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.5a S/C IF PERMIT PRICE GOES
BEYON D $1,000.00) ,
Gas Piping Outlets # ~
Other
;FEE: • $ 0 .r.k -r'" ` -fl ~ -r'.G' r~
S/Q SIGNATURE OF PERMITTEE
~Q I
TOTAL•
FOR: CiTY OF EAGAN
PERMIT #
. ' • ' PLUMBING PERMIT
' • , CITY OF EA(iAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: T_
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ' Block Sec/5ub
Res. New
~ Name Mult Add-on
~ Address Comm. Repair
c Ciry Phone - Other
NO. FIXTURES TOTAL
~ Name Water Closet - $3.00 $
3 Address " - Bath Tubs - $3.00
p City ~ / Phone Lavatory - $3.00 ,c
~ Shower - S3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE _ g1p,pp Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _~00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ,50 ' Water Heater - $1.50
Whiripool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ~ Gas Piping Outlets -$1.50
BEYOND $1,000.00) SoRener - $5.00
Well - $10.00
~ Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C
FOR: CffY OF EAGAN GRAND TOTAL•
CITY OF EAGAN Remarks D i V i S i Dn # 1 b 2 5 2 10 / 8 S
Addition Bircr. Park Lot 9 Bik 2 Parcel 10-14175-090-02
Owner Street 1 284 iaL; nticTeSt Ave State F.agan MN 551 23
Improvement Date Amount Annual Years Payment Receipt Date
STREET SUFF.
STREET RESTOR.
GRADING
SAN SEW TRUNK
SEWER LATERAL
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK
STORM 5EW LAT
CURB & GUTTER '
SIDEWALK
STREET LIGHT
WATER CONN.
BU1LD1fVG PER.
SAC
PAR K
,REACTIVAft FOR DEC~Y CITY OF EAGAN
• " 3830 Pflot Kn~IS R d, P.O. Box 21-199, Eagan, MN 55121 J
+ ~.:Eii HILLEARY fl~A N'$ pHONE: 454-8100 - -
BUILDING PERMIT (08) 3 1.03 Cw) q5L/-da.096.,jeceipt* f-
RC
To be used for SF D`+iG/GAR Est Value $79,000 Date MARCH 10 19
SiteAddress 1285 WTNBCRFST AVE Erect C~ Occupancy
Lot 5 Block 1 Sec/Sub. $ZRCR PARIC Remodel ? Zoning
Parcel No. Repalr ? Type of Const
Addition ? No. Stories
C7R?ORATE CONST CO Move O Length
W Name
4466 611FDC~aW~D I~R Demolish ? Depth
o Address Int. Impr. ? 5q. Ft
City FA(iAN phone -0 6 4 Instali ?
= o Name StIL-k1E Approvals Fses
¢ Address Assessment Permit $ 370 . 00
City Phone Water & Sew. Surcharge 39 .50
Police Plan Review 185.00
~W Name Fire SAC 575.00
Address 5 0 0• 00
Eng. Water Conn.
i W city Pnone Planner Water Meter b3. 50
Council Road Unit 290.00
1 hereby acknowledge that I have read this application and state thatthe gldg. Off. 3 10 8 Tr. PI. 156.00
information is correct and agree to comply with all pplicable State oi
Minnesota Statutes and City gan Ordinar~c APC ParkS
Signature ot Permittee - 1~ Var. Date Copies ~ O
Total $2,179 .
CORPORATE CONSTEtUCTION CO
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
i
Building Otficial G~ • _
PNmN No. Mrmif Noldar Dale Tdaphone k
Plumbiny
N.V.A.C. -7
Eleeltlc k
Soltenw
Inspectlon DaU Insp. Comm"nb
Footlnps 1 ~ ~o1ql. L.T
Footlnps II
Foundatbn
Framirp
RaoNny
RouphPlbp.
Rouyh Ht9.
Finplacs
Ffnsl Htp.
FinN Plby. O ?5/
Bidy. Final
c.d. occ. -aa
Deck Fty.
Dock Frn19• ;Z-
Well
Pr. Dbp.
• . PERMIT #
MECHANICAL PERMIT RECEIPT # c
CfTY OF EAGAN
• 3830 PILOT KN08 RQAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE; 454-8100
Site Address 12R5 4]indcrest n.venue ' BLDG. TYPE WQRK DESCRIPTION
LotBlock ~ Sec/Sub
Kl.eve l;eatina & A c' =nc. ~ New fVame Mult Add-on
~ Address 13075 rioneer trail Comm. Repair
c City Eden ?'rairie, Phone 943-4211 Other
Name Cornorat Construction FEES
c Address 4466 Wedcrenaood Drive RES. HVAC 0-100 M BTU -$24.00
0 CrtyFanan, 55123 phone 454-0~44 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
LPnnar. 110,000, . GAS OUTLETS - 1.50 EA..
Forced Air M B7U COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIdENTIAL FEE - 10.00
Unit Heater M B7U MINIMUM - COMM/IND FEE - 20.00
Air Cond. M 87U STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C (F PERMiT PRfCE GOES
BEYOND $1,000.00)
Gas Piping Oudets # 1
Other ~
~
FEE
S/C: ~ SIGNATURE OF P MITTEE
TOTAL•
FOR: CITY OF EAGAIV
• . • . . . . . . . . . . . .r~
PERMIT CITY OF EAGAN FEE
PLUMBING PERMIT - - v
RECEIPT # 454-8100 S/C ~
MINIMUM RESIDENTIAL FEE -=10.00 + $.50 TOTAL
DATE MINIMUM COMMERCIAL FEE - $20.00 +:.50
1. Bldg. Type: Res Comm Inst 2. New Add Alter Repair
3. Total Bid Price i~ ~4 • ~ 4. Job Addresa ( Z~~ ' W ~ `-Q-~ r ~ ? ~
Lot Block Sec ~5. Owner ~ ~ a-)
6. Contractor Lj.t_a.71J,~_CL,' C, k~Ly`-r{-L'
(Na e) C?(Ol~ ~ L Z (Streeq (City) RIP)
7. Contractor Phone #
NO. FIXTURES NO. FIXTURES NO. FIXTURES
I-, Water Closet - $3.00 ~ Laundry Tray - $3,00 -Well - $10.00
TBath Tubs -$3.00 ~ Floor Drains -$1.50 Private Disp Syst -$10.00
Lavatory - $3.0~ ~ Water Heater - $1.50 T-Rough Openings w/o
=Shower - $3.00 -Whirlpooi - $3.00 Fixtures - $1.50
~ Kitchen Sink - $3.00 -Gas Piping Outlets - $1.50 '
:
-Urinal/Bidet - $3.00 -SoRener - $5.00
COMM.,liND. RATE - 1% OF TOTAL BID PRICE PLUS $.SO STATE SURCHARGE FOR EACH $1,000 OF FEE. :
~
Signed: for
~ ,
Approved inspections: Date Rough Insp. Date Final Insp.
. . . •~v~~...~- .t.~~rww.~~-.s
RZA?,"TIVAr, FOit DEM 5/ 13/37 CITY OF EAGAN =
RON '4JM1S 454-3153- ~,17 Jc2
. 3630 Pilot Knob Road, P.O. Boz 21•199, Eagan, MN 55121 -
PHONE: 454-8100
BUILDING PERMIT Receipt # '
To be used for il`Als/GP.R Est Value 462,000 Date PIRI" ' , 19 36
Site Address 1264 h' iNDC R L: S`1' r+V c; Erect 11 Occupancy
Lot~ Block 2 Sec/Sub. BiR`-~ ~A-AK Remodel ? Zoning ? 1
Parcel No. Repair ? Type oi Const
Addition ? No. Stories
W Name ~'1-q~`~jL`~E COi+IST1tUCTIG.V CeJ Move ? Length
= 1 Z STi-I ST W Demolish ? Depth
39 o Address 59ii~ Int. Impr. ? Sq. Ft.
City A• v• Phone 4 31- 2 2 0 a Instau O
a
Name Approvals Fems
o 0a Address Assessment Permit 19 • u 0
~ City Phone Water & Sew. Surcharge 31 . 0 4
Poiice Plan Review159.50
~W Name 'I~'~`~ES k i3I~~L Fire SAC ~75.UO
~ Z Address t; ~ 00 NUI•IRC)LDT AVi-' SU 500 . 00
~ c~ Eng. Water Conn._
<W C;ty aLi'1T`v Pnone A 8 4- 3 0 29 Planner WaterMeter 63.50
Council Road Unit 19() •130
I hereby acknowledge that I have read this application and state that the gldg. Off. 4/$l8 b Tr. PI. .150 • UG
information is correct and agree to comply with all epplicable State of
Minnesota Statutes and City of Eagan Ordinan ~i APC Perks
Var. Date Copies
Signature of Permittee ` Total $ 2 , 094 , 00
ABuildingPermitisissuedto: 5 NSHINa CUNSTt2UCTI0`: Co on the express condi6on that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
PormN No. PMmN HoIdK Dab TN"on* k
Plumbinlr
M.V.A:C.
El.ctric
sonenw
Inapectbn Date Imp. Con++vNnb
Footlnyal
Footlnqs II
Foundallon
Framinq 2 ~
Roolinq
Rouyh Plbp. - y
Rouyh Htp. ~
ln•ul.
Fkeplace
Flnel Htp.
Flnal Plby.
Bldy. Final
CoR. Occ. ~j~6 LlJ ~
Dsck Fty. Q
Dsek Frmq. /GlSyr ~,~,y y -
WNI
Pr. Dbp.
CITY OF EAGAN SEVNER SERYlCE PERMIT
3830 Pilot Knob Rosd p~~T NO.• P. O. Box 21199 '
Esgan, MN 55121 DATE:
Zonirq: No. of Units:
Owner. , -
Address: . J. , . . -
Site /1ddross:
Plumber.
1 yiw h aw~h wMb 1M CNf of iWpN CortnecNor+ Cha"; .'`-.~.l~'r.•'
OirllwnoM. ACOOUM DepOSif:
Permit FM: - - -
Sue+eFwrpe:
By Miac. Ooross:
Dote of Irnp.: Total:
Irop.: Date Peld:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagsn, MN 55121 DATE:
Zonirg: No. of Units:
Owner. - - st
Addr~esx
Sft Addreu: + W ir.u:.:
Plumber :-,n . i
MMer No.: C.orx+ection Charps:
Sise: /1ccount Depoat:
Rsader No.: Permit Fee:
1oerw ta esmobr wkM !M Ciy oF EpPw Surclwrpe:
Ornwesw. Mlsc. CFarpa:
Totol:
By Date Pcid: •
Dace of Insp.: Irap.•
CITY EAGAIIF ` WATER SERVICE PERMIT
3$30 Pilot Knob R71:7~ (1ll - P. O. Box 21199 ERMIT NO.:
E•~gan, MN 55121 DATE:
Zonlrg: No. of Units: '
Qwmr. "uLshine C.onst.
Addroaa: .
Sire /lddrea:
Plumber. • ` ~ - ~M
M0t*r No.• 37018 2~v 1
sr~: 5~' ~t Befnre ca11 Imoo,
d gg ~ .
Raoder No.: a3N ~f 7 LrEVH--NEm,t
1 Nm I+s M111p1p wft 1he
R`~~ME~~~,: ^TP--
Totol: r ,'j .Ytcr
oro 7AL111
8y Dot. Poid:
Date of Insp.: 7- LS' 9,6 Insp.-
;er~~ h~s,~`° y-~~• g~ ~ r 6b7
C 8963 L9 P,
Heques[ e Fire No. RouBh-in InsUection
Re uired? ~ReaAy Nu•y.~Will Notif Inspec-
,~,lg e-, ?NO ~br Wh¢n fleatly
,
~j.ce~sed ElecVlcal Contractor I heraby repuast inspection o} abova
? Owner elactrical work installad at
Street Address. Bo or Route No.,~
/q 8 h
ecUOn o. ownship Nama or No. Nanye o. County
O n~entlPqlNTI - Phane No.
~C
,RcMr Supplier Atldress
Lk~ ~67'~T-
eivical Cmvacmr IC a y nmel , CanVecme"5 Lice se No.
MjilinA AtlJress (COnvactor r Owner MakinB stallation)
S ~C~ • ~S~ CJ -Q 55.~7
Pho Number /
AuUoriz'~i nawre (Contractor/ wner Makiny isAllation)
MINNESOTA STATE 80ARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT
Griggs-Mitlwey Bldq. - Noom N-791 BE ACCEPTED BY THE STATE BOAPD
1821 UniversitV Ava., SL Paui, MN 65104 UNLESS PPOPEH INSPECTION FEE IS
o~....e ietn 297111 I ENCLOSED.
Y•dW,qb REQUEST FOR ELECTRICAL INSPECTION ee-oocot.oa
, See instructions lor completing lhis form on back of Vellow eopy.
8963 "X" Below Work Covered by This Request
Home Fange Temporary Service
F..,U,e Type ot 9uiltling Applinneea Wired Equipmenl Wired
Duplex Water Heater Lightin, Fixtures
Apt. Buildinc~ Dryer Electric HeaUn
Commercial Bldy. Fumace Silo Unloader,
Industrial Bldg. Air CorMitioner Bulk Milk Tenk
Farm Other oer.i v QtherlSneciiyl
t er ueufy ONe, . Olh.r
nspectron Fee Below
p Fee ServiceEnbenceSize b Pae Feeders/Subfeeders k Fna Circuils
~ U to 200 qm s 0 to 30 qm s ~ ° 0 tn 30 Antns
Above 200 qmps 31 to 100 Amps 31 to 700 A y
Swimming Pool Above 100_Am s Above 100_Am s
Transformer5 Irrigation Booms SG Partial•'Other Fee
Signs Special Inspection
Aemxrks TOTAL
~
flouph-in Oate I, ehe Electncal
• /f
InsDector, he,aby
441 certify that the above
Final ~e insoeclion hes been
. ~n mada.
Thie requeat voiE 1B montM from
CITY OF EAGAN N 0 11752
' 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
BUILDIIJG PERMIT PHONE: 454-8100 Receipt#
TObeuaedFor SF DWG/GAR Est.Value $62,000 oate APRIL 9 19 86
Site Address 1284 WINDCREST AVE Erect LY1 Occupancy R3
Loc 9 eiock 2 Sec/Sub. BIRCH PARK Remodel ? zoniny Rl
Aepair ? Type of Const V Addition ? No. Stories
Parcel No.
$ Name SUNSHINE CONSTRUCTION CO Move ? Length
5985 125TH ST W Demolish ? oepth
o Address Int Impr. ? Sq. Ft
ciry A• V• Phone 431-2200 ~nstall ?
a gA[~,]E APProvals Feea
o Name
Address Assessment Permit . 0 0
~ City Phone Water & Sew. Surcharg~r' 0 0
Police Plan Review 159.50
W w Name JAMES R HILL Fire SAC 575.00
¢z nddress $200 HUMBOLDT AVE SO Eng. WaterConn. 500.00
iw ciry BLMTN pnone 884-3029 Planner WaterMeter 63.50
Council Road Unit 290.00
•Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Bldg.Off. 4/8/86 rr.Pi. 156.00
information is correct and agr e to comply with all pplicabte State of
. Minnesota StaWtes and Ci of agan Ordinan APC Parks ,
Var. Date Copies~
' Signature of Permittee ~ Tofal Y` . 00
5 NSHINE CONSTRUCTION CO
A Building Permit is issued to: on the express condiNon that
all work shall be done in accordance with all appli te of Mi neso
Building S d Ciry of Eagan Ordinances.
OHicial ~
~
RESIDENTIAL j (13 ,75
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New ConaWction Reaulremenh RamodaUReoair Reauirementa
• 3 registered sde surveys showing sq. ft of lol, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 7 set of Enerqy Calculations for heffied addAions
. 2 wpies of plan showing heam 8 window sizes; poured found design, etc.) • 1 site survey for extenoredditions & decks
. 7 set o( Energy Calculatiaris • IMicate if home served by seplic syslem for additions
. 3 copies of Tree Preservation Plan if lot platted afler 717/93
. Rim Joisl Detail Optiom selection sheet (bldgs with 3 or less uniGs)
VALUATION S d~O ~ ~ D
DATE
SITE ADDRESS .~''l~DC~~ ~ Ir " c MULTI-FAMILY BLDG _ Y _ N
TYPE OP WORK~ /C-oD'F-n FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 1 ^ov
STREET ADDRE e ` T I/~ c CITY v~'~ 6~STATE r,~~zlP
TELEPHONE QjP -9 CELL PHONE # /p' p~'~70 '~y/ 2' FAX # (F~''~` ~O l1
rWte'f /
PROPERTYOWNER ~ Q U~5~- TELEPHONE# - "lSJ~ I7oo~
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RLJLES 7670 CATEGORY 1 _ MINNESOTA RLILES 7672
(4 submission qpe) • Resitlential Ventilation Categoryl Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener Lawn Sprinkler Tea $90.00
Water Hcater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning / Fee: $70•00
Heat Recovery System /
Sewer/Water Contractor. Phone #
° ° ° ° ° °
I hereby acknowledge that I have read this application, state that the information is corr ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or in ce .
Signature of Applica
- --jVF~1`- -~~8~~'
OFrICE USE ONLY ~I
Certificates of Survey Received _ Tree Preservation Plan Received _ Not R "
p a e 4l02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
O 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 4$ Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - 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) FinaUC.O.
_ Footings(deck) FinaUNo C.O.
_ Footings (addifion) _ Plumbing
_ Foundation IIVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding S[uwo Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new
_ /replacement)
Insulation _ Retaining Wall
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
Mechanicaf Permit
License Search
Copies I
Other
Total
. . `aq
1985 BUILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 611~ Date:
~T
Site Address: l /(/~e - OFFICE USE ONLY
Lot: ~ Block / Sect/Sub Erer c~ _ Occupancy
Remodel Zoning
Parcel D Repair Type of Const
' Enlarge # of Stories
Owner Move Length
molish Depth
Address' Grade S Ft
City/Zip Cod~ 9--°-------------
Phone J-3,J Q ~ APPROVALS
Contractor e Assessments Permit
`s-~`~'
Water/Sewer Surcharge
Address ~ Police Plan Review s
Fire SAC
City/Zip Code « Engr Water Conn °O
Planner Water Meter 6 3 ~
Phone Council.~~ Road Unit z-gEa3-
Bldg ~r Ofiy/~/g-y Parks
Arch./Engr. APC~ Treatment P1
~Variance q
Address " ~ e J- TOTAL
City/Zip Code v 4-:5/
Phone 0 ~ -
~
CITY OF BUILDIN(3 DEPARTMENT
EX'PERIOR F+PIVII,OPE AVERA(3E IWO COMPUTATION
(To be submitted with building permit application)
' I-
One or Two Family Dwelling Owner w~+~T~VSQ~
Al1 Other Site Addresa
Contractor ~v/(l,4i4-96 eOA>ST Date Phone
LINEAL FEET OF ~~I n
E}LpOSED 4';ALL ~J/~GG-T Yt. above grade - ZZO DO
TOTAL E7C.°OSED NALL AR'r'.A Sq. FT.
OP.;CIIr, :;IS,L COP:STF.U~MOP;: "Ull Va1ue x Area
Detail gtqrr167 ,IUII .043 x sQ. FT. 17.~.9~• 7G•~(u)(n)
aon~e, nUII x 5q. FT.~Ql.89~= 4~9b (U) (A)
re: erence „Ull , 040 x Sq. FT. 2(0. =~~U) (A)
from nUII x SQ. FT, - (U)(Q)
attacned ifUll x SQ. FT. _ (U) (A)
sheets npn x Sq. FT. _ (U)(A)
4JIIdDOWS: "U" Value x Area
Make & Type r~01-• ~Igy "U~~ x Sq. FT. I 32•10 6, (U)(A)
u n nUn x S@. FT. = (U)(A)
u n li1Jn x Sq. FT. _ (U) (A)
n u ttqI) x SQ. FT. _ (U)(A)
AOORS: "Ull Value x Area
:ialse & Tyoe tiTL/~t1ht1L flU'f • ~4 x SQ. FT. 49.0 ~ ~O•gl~ (U) (A)
° " P,4TIrr l'0" 1107 x Sq. FT. Z. -gfj.*(U)(A)
u n nUu X Sq. FT. _ (U)(A)
i' " flUll x Sa. FT. _ (U) (A)
ToTAL5 2Z7-r.oj~P SQ, FT. 192. 13- (U)(A)
AVERAQE "Ul"
ToTAu, (u)(a) vr.i.uES ~9z-13 = , p8~
DIVIDED BY TOTAL 17AI,L AR'r:li ZZLO.OO -
AVERACiE "Ut ~,115 r less for. 1&2 family dwellinga
ROOF/CEILIN(3 :
TOTAL AREA: _ IOSO t
Detail reference IIUII OZb x Sq. FT. 03 = 2;•$7(U)(A)
from IOU" x SQ. FT. _ (U)(A)
attached sheets. IIUII x SQ. FT. _ (U)(A)
Describe onenings "Ul' x Sq. FT. _ (U)(A)
in roof. "0it x Sq. FT. _ (U)(A)
Z3,S7 _ AC~~7 1035 ~Qff z3.87CUr~>
TOTAL M(A) VALUES DIVZDED BY
~
TOil.L R00:'/ °G Fi~:EA IO3Fj, ~ • OZ
AVERAG "
F fl .025 r ventileted roofa.
.
6XPa~ Fa L) Gv.4l~C.
9 5O X~ 38 t 38 t 38 t 38~ _ 1444, ,
S•Op X ( 38tZ4+Z4) = 4~0 ~
g.vo X 38 = 304. o0
3.00X C7-?7) = 4Z •oo
Corle.. Z, 220. oo-~
Ca7X ~ 38t3~3t38t~) = IoJ•
i.W .b6T
83X ( 3St38r38+38)=
WIl~Do~.•~ S
I(px Sz- 7. I
Z4 x 3Co = IZ.o x 2=
2oX 48 / 3. 3 X Z= Z~. ~
Zo x 4S 4~
Z4x48 = /!o•o x 3 = 48-0
JknRS
STL• W~fS.C. = Z8•oo ze ~TL• s~ = Z/.op
t'aTrv = 4z.oo
y~•~ ~
Zo X 38 = 7(00
~,ZZo.oo (vx /Z ~ 77-
xI&- 19 z
~,~~~n rz~l co 2x s= / o
Da7,e.' 7 91. oo z X Z - ~
l,768•YO~ f~v3g,ao
~
--WpLL SECTIOlE--
Determ3.ning "IIll values at Roof, Wall, Rim, and Conc. Block
ROOF/CEILIN(i , R VALUE
S
1.) Interior Air t'ilm 0.61
z.) 5i811 arn. sa. .56
3.) inaulation -167,00
4.J
5.) Exterior Air Film .61
(STILL)
~ 2 3
C 6 nU" = 1/R= .~Z3 iOTAL (R)= 7/79
l
n WALL (R) VALUE
l°J
q 6.) Interior Air Film 0.68
~ 7./ i" Gyy. Bd. .45
8.} Insulation Iq.cro
9. )%2'' ~ vlt T R, rE 01af-
10.) Masonite Siding .07
to 71.) Exterior Air Film .17
il
trUu = 1/R= .OQ'?j TOTAL (R)=z3•01
F
-
RIM (R) VALUE
12.) Iaterior Air Film 0,68 .
130 Insulation f9+n9
1 14 14.) 2" Fir Rim Joist 1.88
15 15. )%z~' E~vIe,'r- l:,rE l•a4
16.) Masonite Siding .67
170) Exterior Air Film .77
. o
. • . . frUn = t/R= TOSAL (R)= Zll•7T
~C
U .0o
~ FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
~g 19.)
2t ~o 20.)
0 9
n 21,) 12lt Coacrete Block 1.28
22.) 800
Z3 "p 23.) Exterior Air Film .17
e Lj° (g, .
nUn = 1/R= TOTAL (R)= fjq•/3
L
4
SURVEYOR'SCERTIFICATE SIENNA CORPORATION
DENOTES PROP05ED SURFACE DRAINAGE SCALE: 1 1NCH = 30 FEET
O DENOTES IRON ~10NU~1ENT.SET pROPOSED GARAGE fL00R =~~•3 FEET
• DENOTES IRON 140NUMENT FDUND pROPOSED LOWEST.FIDOR =,893.5 FEET
XOQ0.0 DENOTES E%ISTING ELEVATION •
(000.0) DENOTES PROPOSED ELEVATION • PROPOSED TOP OF BLOCK = 884.7 FEET
/
~
~
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CDRRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES.OF:
• Lot 9, Block Z,DIRCH PAP.K, accorcin. to the
recorded plat thereof, Dakota County,innesota.
IT DOES NOT PURPORT TO SHOW'IMPROVEMENTS OR ENCROACHMENTS; IF ANY. AS SURVEYED BY ME
OR UNDER MY D1REC7 SUPERVISION THIS t3 RD OAY OF oCTobFJy 1985.
SIGNEfI: JAMES R. HILL, INC.
REVISED 4-7-86 TO SHOW A
PROPOSED HOUSE FOR SUNSHINE f~
CONSTRUCTION BY: tIA OLD C. PETERSON, LAN SURUEYOR
MINNESOTA LICENSE NUMBER 12294
APPROVED FOR 51ENNA
CORPORATION •
BY:
DATED TNIS DAY OF!_~
19-
5HEE7 1 OF 2 SHEETS
PROJECT NO. BOOK t PAGE JAMES R. HILL, INC.
84762 .
C~649 Z Planners / Engineers / Surveyors
FILE NO. / 2y 8200 Humboldt Avenue South
FOLDER Bloomington,Mn. 55431 612-884-3029
.
-$UfiVEYOR'S CERTIFICATC SIENNA CORPORATION
: Z jf-
WINDCREST AVENUE 3
a o
a64-Z-~ N 6'11 '09" E ~sqz~.3
65.00
• C~sb~
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rI 0
( 5 I h°'-> ^i d-o I g
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~ 22.0
I Y 20.0 0 °
o dia 7 o 0
p 'O N/c9 ~6.0 a p "
• OI O ~ N
/O • I
, v 8.0 PROPOS
m ED M I v
o/HOUSE/ M
w ~ N 40.0
8§'~.l x r I- 3.2 i. j~ 882.7
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to OI W
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875. to M Q
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,
SHEET 2 OF 2 SHEETS
pnoJECr No., BooK i PnGE
JAMCS R. MILL, INC.
e4762 &6¢Vz Planners / Engineers / Surveyors
FILE N0.
0200 HumboWl Avenu• 6oulh ,
FOLDER ewominoton, Mn. 55431 812-884-3020
~ . . . .
CITY OF EAGAN FOR CITY USE ONLY
3830 YIIAT KNOB ROAD
EAGAN MN 55122 PERMIT # :
PHONE: (612) 454-8100 RECEIPT # /,~7
~'Lt1~8Ti+TG Y~w~ DATE: .3 ~
ti£Slp~k~T~; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
tt~~ N0. FIXTURES EA. TOTAL
NEW CONST ~ - ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
OWNER NAME: KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
SITE ADDRESS: C/~1 HOT TUB/SPA 3.00
p/ WATER HEATER 3.00
LOT: / BIACK ~ SUBD. l~i ' r _ FIAOR DRAIN 3.00
INSTALLER: / eO G(MINIMUMG-O1) 3.00
t f
ROUGH OPENINGS 1.50
ADDRESS:-/4g2~ /V,/,- _SO OTHER _
o iz WATER SOFTENER 5.00 S~ o
CITY: ZIP: fd 7~ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~ Z SUBTOTAL S
ST. SURCHARGE .50
S NATURE F ERMI E
TOTAL: S
~O~MERGIALjiNDUSTA~AL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRYCE: FEES
OWNER NAME: 19 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
~
2/84
l ~ wrj ~ CITY OF EAGAN
APPLZCATI0N F.OR PE4AIIT
t~t~r ti
SE;•IER AN R WATER CONNECTIOri
(PLE E PfllNi)
1) Pn^F TM"! AGDA: SS: "
T^r=.i. G.°...._TyrrcN: L-
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NAM£: V~e C ~
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3) lNl" "E ?NfYi) FOR CIiY C5E 09LY
NPME:
< PLU.°.ac7S LIC.tiSE:
pDc:zess: l0 ~ oU.r C~ accive
CZ7S,..ST1:E, ZIP: • 0 C Not1ofdRecord
w~~:r 3 3~9m~
, PHOVE: PLU4BER LICEVSE N
~ • Srarr ;nici~t
4) O(..•C,7r`li/C??,Ea NAME: (PLEASE PRINf .
ADDRESS-
CI'I"L. STnTE, ZIP:
PfiO`IE:
S) It]DIC:~i~ ::'f-lICH PERRIT IS BEI\G RECUES'I'ID:
~ CC.+IVECTI0:1 TO CITY SE.TrJER
~ CC:.NE.~fIC:I 'Iq CITY KATER
? CIiTER (PLPs'15E DFSCPSBE) '
6)
PI.EmE lIOLD APPPCM PII2+tLT FOR PIClt-UP @Y 0VE OF ABCt`€
. ? o*..: =Sc S'rlLL APPROVm PET_•iST 'PJ 1, (p 3, 4 r'1L04'E
(Circle one)
7) SIC.:,71L:R:: DA'IT:
~~l oliaRr?.aa s r~ ea. ~ as~ra a~ a r+p~aa +.s ~.~s~:s a.e r~:arary,~y,~ ~ rr.':
F O R C I T Y U S E O N L Y . ~
P^ o~IjT u TSSUT''J
rcES: $
5 c~•:
n?-R•.1TT (I`:C:.DE
, 'S_ WATr2 D ;?~tTy
~ (I1.~.CLUDL SiiBC:?,^yRGL)
WATER METEg/COPPEBHORN/OUTSID:. RLnu.;. -o
WATER TAP ( I.ICLCDE CORPORATI0N S^OP )
S SEi:E~ :A?
'S /=J'U U r.-..~i;.._ -.'•S_ _ ' _
~
AC^ :u :T p.:^.pn
SIT - WATER
S Z ~r 0 - a-t~ L4?,C
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. $ T3GNK WATER •,1r..
~ assEs..c..~.;z
$ THC2IS SE:-.'E3 ASSESS?iE9iT
$ LATE,^-,.yi BEivEr ZT/TRUNK SE:N:ER
$ L:y: cZyi BEVEFIT/TP,I7.~" K SdATra
$ WATER TREAT?tENT PLANT SURCHARGE
. $ OTHER:
$ TOT:;L
$ rl,yOL'::T ?
- AIDiR.^.CEI?T R 3
DOES UTILITY CONVECTION REQUIP,£ EXCaVATZON I,I pUSLIC RIGHT OF WAy?
YES IF YES. THE:I n"PEiMIT FOR 'rIORK WITHIN
P[]BLIC R0ADWAY" yUST BE ISSUED BY THE
E= NO ENGINEERID7G DIVISIOV. LIST AS A CONDI-
TION,
SliBJECT TO THE FOLL0.9I.1G CONDITIOiQS:
APPROVED BY:
t~,C <2L ~
TI:'Lc :
. ~ ,
DAT?':
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4,2-003 2000 FIREPLACE PERMIT APPLICATION
CITY OF EAGAN
3830 P1LOT KNOB ROAD - 55122
651 681-4675
Date:
Description of Work: _ Construct eew fireplace ?Gas _Masonry _ Alteralions to existing
_ Install aas insen onlv _ Install gas line onlv
Other !z~m CXI (.UOGP dcurTP,l v4 'N~
- A/,ew ~A5 c~h;
Job address: ~i77~C r~5"l~
Lot: I_ Block: ~ Subdivision/P.I.D.
Applicant (circle one only): Owner ontractor Permit Fee: 860.50
Name~o y'v Phone 6SI - y~47b2_
PROPERT'Y Last First
OWNER .
StreetAddress: r.q5j / (L,,(pWCYey- ~
City (~4 2e_O~A State: M v!. Zip:ssIa3
Company: P'l6,sr, c-Gi" e CGY1 Sf ' Phone ~rc) "'7ay S ~
(azea code)
FIREPLACE n~,l~.( V~~u
INSTALLER Street Address: "I
City f )klY1e state: ?d/1-1 Zip: 55(f3Y
Company: Phone 7~3--alo -00
' (area code)
GAS LINE INSTALLER Street Address:
. City State: Zip:
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.
ahue
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
? 32 Addition ? 34 Repa'v ? 40 Gas Insert
GENERAL INFORMATION
Census Code 434
SAC Code Ol
REMARKS
Chimney/flue must be inspected before concealing.
~ *~*************~r***********,~*****~*****
CITY OF EAGAN
CASHIER: JS TERMINAL N0: 695 DATE: 09/27/00 TIME: 13:44:30
ID: 0
NAME: JOAN L MCFARLAND
1 3210 9001 1284 WNDCRST AV
2155 9001 1284 WNDCRST AV 60.00
0.50
I Total Receipt Amount: 60.50 I
CR137923
I USER ID: JAN
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA157516
Date Issued:08/23/2019
Permit Category:ePermit
Site Address: 1284 Windcrest Ave
Lot:9 Block: 2 Addition: Birch Park
PID:10-14175-02-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
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.
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 -
Andrew J Stevens
1284 Windcrest Ave
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature