1303 Windcrest Ave`*
City of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
C
Use BLUE or BLACK Ink
Date Received:
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 'Site Address: Unit #:
RESIDENT /
OWNER
Name: Un Ni U A L I\ C. C Phone:
_
Address / City / Zip: (30 3 U--) ti-) 0 C V -t. s r V
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: 11 E ` R g Q ir-
Construction Cost: G aO 0 0-D Multi -Family Building: (Yes I No X )
CONTRACTOR
Company: //e u/ /J 1 EAJ SToAi Ext. Contact: 6/4RY
Address: 6 Z/ q5 EC(< MAP JLl/Z City: - (a 1i
State: Zip: 5507 2 Phone: b5/— 33® -Sly /
Jot/
License #: I)C - a. 03 110 7 &D Lead Certificate #:
Does this project require Lead Remediation? D Yes ktNo (see Page 3 for additional information)
If no, please explain: Roo F 0 tw LA(
In the last 12 months,
Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
CITY OF EAGAN ~
~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 f~ •i
- PHONE:454-8100
BUILDING PERMIT Receipt # ~ '
To be used for V''Y~*~~~ Est. Value $ 4~ ~ ~ ~ 0 Date T~IAY 8 , ~ g~~
SiteAddress 1303 4vIT~DCREST AVE Erect ~ X Occupancy j2 ~
Lot g Block 1 Sec~sub. BIRCH PARK Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
¢ Name SUNSHINE CONSTRUCTION Move ~ ~ength
z 5985 I25TH ST W oemo~ish ~ ~epth z
o Address Int Impr. ? Sq. Ft
city A• V• Pnone 4 31-2200 mstau ?
o Name S•`~"1~; Approvals Fees
~ i ,4ddress Assessment Permit $ l ~ 4• 0~
~ Ciry Phone Water & Sew. Surcharge 2'~ • a~
~ Police P~an Review 137.0(
~ W Name J~ES R HILL INC Fire SAC 575 .`~d
Address ~400 HUMBOLDT AV'E SO Eng. WaterConn. 500.0(
~ W ~;~y I3Li~:'i'id phone 8~4-3029 Planner Water Meter 63 . S(
Council Road Unit 290.0(
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. S/1 $6 Tr.PI. 156.~~
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. APC Parks
Var. Date Copies
Signature of Permittee Total '~Z' ' S~
A Building Permit is issued to: $U~SHINE COiVSTRi]CTiON on the express condition that
all work shall be done in accordar?ee with,ell applicable State of Minnesota Statutes and City of Eagan Ordinances.
I
Building OHicial ~rr l -
/ y
~I
, PrrmR No. PermN Molder DNe Tslephone N
Plumbiny ~ ~ ° '~•'ry ~ , -
H.V.A.C. ` / C/ ^ ~ ~
E~ecu~~ ~ 3 ~ _ ` ~
,Soltener
Inspectlon Dete Insp. Comm~r?b
Footlngsl
Foodngs II
Foundatfon
Framiny G
RooNny
Rough Plbg.
RoughHtg. (j
Insul. ~ 6
Flreplace
Flnal Hty.
Final Plbp. ~
Bldg. Finsl ~i ~
Cerl.Occ. ~ ~
Deck~ Fty.
D~ck Frmy.
Well
Pr. ~isp.
. , . , _ PERMIT / / v ~
MECHANICAL PERMIT RECEIPT # ~3`~' ~
• qTY OF EAGAN
38~ PILOT KNOB ROAD, EAGAN, MN 55121 DATE: 6~ 6~g 6
COGITRACT PRICE: PHONE: 454-8100
SiteAddr w~ ~RF~T ' LDG.TYPE WORK DESCRIPTION
Lot Block Sec/Sub
m [URoNfN'' ~/T6 • °i1 C /N/ Mult ? Add on ?
Name
~ Address `~~`0 C.KF~7CJQ^/~ 7ER Comm. Repair
c City c=~N ~'R~)~RrE Phone~~y-~ S9 Other
Name iy 'r//NE ~ /'i ~ FEES
~
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciry Phone Z Z~~ ADDITIONAL 50 M BTU - 6.00
ra ~r/ ~ j-/(lE ~ ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK _ ADDITIONAL 6 M BTU - 6.00
, ~,o GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 Of CONTRACT FEE
Boiler 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 , CFM (ADD $.50 S/C IF PERMIT PRICE GOES
~ ~ _ ~ BEYOND $1,000.00}
Gas Piping OuU~ts #
Other ~
FEE ~ ~ . 5~ ( ' ~ ~ ~ ' „J
S/C' • ~b SIGNATURE OF PERMITTEE
TOTAL• C O
FOR: CITY OF EAGAN
f, , . . . . , . ~ PERMIT ~k ~ C J~r~l x
• PLUMBING PERMIT RECEIPT # ~G' - ~
- CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Ad~Jress ' BLDG. TYPE WORK DESCRIPTION
Lot Block ~ Secl,Sub ~ ,
Res. f New
~ Name ~ Mult Add-on
~ Address ' Comm. Repair
c Ciry Phone Other
NO. FU(TURES TOTAL
~ Name Water Closet - $3.00 ~
c Address Bath Tubs - $3.00
p City Phone ' Lavatory - $3.00
' Shower - $3.00
FEES ` Kitchen Sink - $3.00
COMM/IND FEE - 19U OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE _$10,0p Laundry Tray -$3.00
MINIMUM - COMMlIND FEE _ 20,0p Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ .Sp Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES ~Nhirlpool -$3.00
Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Weil - 570.00
_ Pri~ate Disp. - $10.00
, ~ ~,c% ~ Rough Openings - $1.50
SIGNATURE OF PERMITTEF~ FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL:
.ay~
,;Yi*~as-~r ~r~~KR o--, .m,r-_vacsrx~~, . . . .
~ Y ~ ~ ~ 1
~ , ~
r~ : ; ~ 1'{, . : PERMIT #
PWMBING PERMIT RECEIPT # Q-~ ~ t'
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
CONTRACT PRICE PHONE: 454-8100
SiteAddr ss 1303 {~indrreat BLDG.TYPE WORKDESCRIPTION
Lot BloFlc Sec/Sub Res. New
` .+t ^r ~ ' Mult. Add-on
~ Name Thom Son Plumbin Comm. Repair
°1 12 201 Mtka B lvd Other
ro Address
c City -"'~t ka Phone 9 3 3- 2 5 21 RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Name ~unshlna CoaetruCtion ~Water Cioset -$3.00 5_=~~
` 2121 Cliff Driva BathTubs-~3.00
c Address ~ = , c C
3 E es a n 4 S 2- 0 9 g 5 -~-Lavatory -$3.00 ~
p Cily ~ Phone ~Shower - $3.00
Ki?chen Sink - $3.00
FEES Urinal/Bidet - ~3.00
COMM/IND FEE - 1°rb OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPLIES Water Heater - 5t 50
MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.OU
MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMII)
(ADD $.50 S/C IF PERMIT PRICE GOES SoRener -$5.00
BEYOND $1,000.00) Well - $10.00
~ , r Private Disp. - 510.00
r ` ~i ~ , S , y ~i f ~ Rough Openings - $1.50
SIGNATUAE OF PERMITTEE FEE:
STATE S/C: """'r ~
FOR: CITY OF EAGAN GRAND TOTAL•
CITY OF EAGAN Remarks n~ S i c~n # 16 2 S~ ~ AT-~ ~
Addi*..ion Birch Park Lot 8 Rlk 1 Percel 1n-14175_Q80-(~Z
Owner Street 1303 Windcrest Ave g~te Ea~an MN 55123
improvement Date Amount An~ual Years Payment Receipt Date
~TREET SURF.
STREET RESTOR.
GRADING
SANSEWTRUNK 197 8.15 20 Paid ri r to divis on
SEWER LATERAI bn 1 4 $ $ . $ 5 15
WATERMAIN
WATER LATERAL
WATER AREA
STOfiM SEW TRK 1018 198 7 50 . 48 50 . 03 15
STORM SEW LAT 1048 198 199 . 66 13 . 31 15
CURB & GUTTER ~
SIDEWALK
STREET LIGHT
WATER CONN.
~UILOING PER.
SAC
PARK
CITY OF EAGAN SEWER S~VK~ P~MR
3830 Pilot Knnb Ros~ pE~~T NO.:
P. O. Box 21199 -
Eegsn, MN 55121 ~TE~
Na of Units: -
O~ivrM . 5!~nRl~!~~~ 1~c:•3! .
r:
/lddrcss: 1. .inr~rr~3L ' sc-.::. . • ~rc:~ ?'r~Y:'~=
Site /lddross: !
~lNI1bQ~: L;._ r l~l:i cL~ i.r
t v .G rK
- 1S1 ~1~~~~1
I~N h MwN~/ wilr !iw Ci~1 ~f ~~M~ COnn~dlon Cha'Or i5 . 00,
O~iMaeM. /leoo«~t Deposit. ; n., Q~ c'
P~rtnlt FM: ~ il,-,:
Surcha~qe:
BY Mia. Chorpts:
DaM of Insp.: Tarol:
In~p.: DoN Pald:
F~.,. _
CITY OF EAGAN WATER SERVICE PERMfT
3830 Pilot Kn~b Rosd pERM1T NO.:
P. O. Box 21199 ' - . "
Esgan, MN 55121 DI~TE:
• No. of Units: '
~ Zoninp: - ; .
Owrnr: -
/~W~OiD. ~ . ( ;•4}; _ ~
• - ' "j.;tc~CTC'-St 3J~~;~.~
$it~ 11ddrc~I " '
Plumber a r ~ lumb in ;
M~t~r No.. Cor~nection Chorya: '~'~t' ` ~
Size: . /?ocount Deposit:
...i~1,
Reod~r No.: Pertnit Fee:
b eMlh wllr fM C~r ~ Surrhar0e:
OafM~or. Misc. Chor'pss. -
Total:
~ poh Peid:
Date of Ir?:p.: Irnp.:
CITY OF EAGAN WATER SERVICE PERMIT
~$30 Pilot K+wb Road pE~~T NO.: _
~ O. :ox 21199 DA'rE:
• Eagan, MN 55121 ~
Zon~ny: No. ot U?an:
S~:,:~~,ine ~anst .
pwrnr:
i T., - . , r'al'••
_ 'in~iCt'est Avr~~,te
P»umb
r ~ • - • ~ :nt,ir .r; . • .
AA~br ~ ~ ~ • ~ .
Sizs: ~ .
Reodsr No.: ~ 'n`'
~ ~ M~ !o e~Phi ~ . . ~~d
~ ooo~..~~f....~w~eee~~~... r:~ _
~ Taol:
~ By ,~...t Dot+ Poid:
' peRe of Insp•~ s ~ ~
This reques[ void ~ f// n 3 7/~
,H~~~h=~9032 ~ t3 I -
~
Request D te FIre No. Rouph-in Insoection
/D Nepu_red? ? ~HeatlY Nuw~~iil Notifv Inspec-
,~~~--.??n~~''' Ja~ES Nu ~o~ When Ready
~ensed Elec[rical Convxctor 1 hereb
V ~equest inspeciion of ebova
? Owner eiectrical work installad aC
Screet Atldress, Box or Rau[e No. C' y
~ ~ /n Q~ .5`~ 11
ectmn o. TownshiD Nama or No. flanBe No. CountY
O`=un~PflINT) / ` Phon_~/ _~~~Q
~
P w~~ P~~~er Adtlress
" I
le vical Contractor ICo pa Namel ~ ~ ~ Co rac~of's ~ e~ No._
T l ~f
f ~ ~
line P.tldress 1 oMracmr or Owner Making Instailationl
~<v~S~ u~ ~.c)Q ~ Ssl~~
Auth ' nature IContractor~ ner Making nst Ila~ionl Phone Number
v - ~3 ~
MINNESOTA STATE BOAPD OF ELECTIiICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Aldg. - Boom N-191 BE ACCEPTED BY THE STATE BOAHD
1821 Universitv ~1va., St. Peul, MN 5510A UNLESS PROPER INSPECTION FEE IS
Phone 1812/ 297-2171 ENCLOSEO.
J~~~~ REQUEST FOR ELECTRICAL INSPECTION EB-~U001-04
L G
~ See instructions for wmpleting this lorm on back ot Yellow co0v ~i I[J
g ~ 3 2 X" Below Work Covered by Ihis Requesf
Add ReD. TyDe ol8uilding Apo~~aocea Wiretl Equivmen~ WireJ
Home Range Temporary Service
Duplex'. Water Heater Liyhtiny Fixtures
Apt. Buiidinc~ Dryer Electrie Heatin
Commercial Bldy. fumace Silo Unloader.
Industrial 81dg. Air Conditinner Bulk Milk Tank
Farm Olher peci y _thflr ISnodfyl
~ r SVecify Ner Oth~r
nmpute lnspection Fee Belaw
p Fee ServiceEnbenceSize p Fee Faetlers~5ubieeders b Fea Cfrcuits
0 to 200 Am s 0 to 30 qm s (o~G' 0 tn 30 Am>s
A6ove 200 Amps 31 ta 700 qmps ~Q 31 to lU0 A s
Swinming Pool Above 700_Am s Above 100_AmUs
Trenstormers Irri ation Booms Par[ial.'Other fee
Signs Speciallnspection S / S~ pL FE
R¢mvrks ~ J
RouBh-in Dnte
the Elec~ '
~ spe m, hereby
certiiy that the above
Final ~ Q 7 ' apection hes been
r ~ f ee.
~hbmQuestvoi018mantMirom ~
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N~ 11910
PHONE: 454-8100 lp~~ ~
BUILD~NG PERMIT Aeceiptq
Tobeusetllor SF DWG/GAR EstValue $48~000 Date ~Y $ ,1g~5
SiteAddress 1303 WINDCREST AVE Erect C~ Occupancy R3
Lot $ Block 1 Sec/Sub. BIRCH PARK Remodel ? Zoning R~
Parcel No. Repair ? Type of Const y.A
Addition ? No. Stories
W Name SUNSHINE CONSTRUCTION Move ? Length 3R
; Address S98S IZSTH ST W Demolish ? Depth~~
° A.V. 431-2200 Int.impr. ? Sq.Ft
Ciry Phone Insiall ?
Z o Name S~ Approvals Fees
$Q nddress Assessment Permit $ 2~4.0(
~ City ahone Water&Sew. Surcharge 24.0(
Police Pian Review 137. O(
~ W Name JAMES R HILL INC Fire SAC 575.0(
Address 8400 HUMBOLDT AVE SO Eng. WaterConn. 500.0(
a W ~;ry BLMTN Pnone 884-3029 planner Water Meter 63. 5(
Council Road Unit 29
~ Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Off.s~l $6 Tr.PI. 156.0(
information is correct and agree to comply with all applica6le State of
Minnesota Statutes and City of Eagen Ordinances. APC Parks
Var. Date Copies
Signature of Permittee T~~~ S(
SUNSHINE CONSTRUCTION
A Building Permit is issued to: on the express condition that
all work shall be d cco ce ' II applic e of M'nne Sta s nd Ciry of Eagan Ordinances.
Building Otticial
1 ~ ~ ~ •
[
1985 BUILDING PERMIT APPLICATION - CITY OF EACAN
NOTE: ALL CONTRACTORS MUST 8E LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: ~n ,,~y-iat. Valuation: y~ Date: ~~21-g~o
Site Address: ~~G,3 W1an~2CSTA~c'. OFFICE USE ONLY
Lot: ~ Block ) Sect/Sub BiQC/1 q~ Erect ~ Occupancy 3
Remodel Zoning
Parcel 0 Repair _ Type of Const
Enlarge p of Stories
Owner ,sUniS,cli~(c ~on1sT Move _ Length ~
Demolish Depth
Address gyBL~ /25'~~ ST ~ Grade _ Sq Ft
Cit y/ Z ip Cod e~PL.E Ud LLc`1 /hAl 55 ~2~
~ Phone Q'3l - 22b~ APPROVALS
Contractor S,qM~ AS AQDV~, Assessments Permit ~
Water/Sewer Surcharge 2
Address Police Plan Review ~
Fire SAC S
City/Zip Code Engr Water Conn
Planner Water Meter ~e~iU
Phone Council Road Unit ~
81dg Off Parks
Arch./Engr. JA/hcS ,l.jiGL ~hCC. APC Treatment Pl ~
Variance
Address ~¢GO ~fumB~OT l4uc 5. TO2AL G ~ • ~
~ .
City/Zip Code /3toomi.v~-Ta,c,~ 5593/
Phone il ~84 302~
~ 2~~ ~ ~ ~~s~2
~ . ,
2~ ~ /~8 ~ 5 ~ =
2 2S= ~ ~ yu~ 2z`~
~~c ZZ- ~/~/v X IZ = 52~
~ = ~b .~C y~ d 2~~/U
IZ~ 2!~ X U~= ~iS~~/
~ z x S~~ ~o x`~`~
2 Zo , %a ~ " ~ 7~0
~/73~/-~
SURVEYOR~S CERTIFICATC ~ SIENNA CORPORATION
YY,IIVLi\.;;;::;; S 89'34'43" .E' . .
~ 65. 18 ~ "i;G1 i i:;;~
- 6 x z.~ ~ .
1
- $~l•5 I $4D~0 .
n ~ n I 331.5 .
~or a ~
i
DRA/NAC£ d UTlL1TY
~ ~ ~ 5 fq5£MENJ' PER PLAr~
~ g W
a
s
~J
! l!l ~ ~°n . °n ~ Q~ ~
j ^ .
I_
Q (~p ~ ~v8~'0~ ~ ~ d' V~'
~ ti ~ 8q7. Bg~.3x ~ • XY8"1.~.
~r5 x - - ae.o - a m
~ PROPO~SED ~ '
~ Z HOUSE
' . - M / M M ~ -
~ ml m . N . !'1
. 7 I~ /sf p, Y ? J
_J M ~ ~ ~ 1
Q Q ~J
~ ~ 12.0'~+ o ~4 I
891.0 " .0 gat.7f XYi9~s .
~40.2`k ; y v89L~) ~ ~r ~ ~
Q i
~ ~ . 4 5I ~ : ~~I~,W~~~ ~m .b o . .
M .,.D.:t
_ (~388'I.i ~ ~O- `rs~A~J~ Q ~l~~s~~
7.76 ~ ~ • 57.24 ~
Ll =O°l9'43_" ~~_J S 86 ' 11 ~09 " W on~v,4
R=1352.39 ~ ~ca~ ~
WINDCREST A VENUE~B.y ' .
- _
I DENOTES PROPOSED SURFACE DRAINAGE
O.OENOTES tRON MONUMENT SET SCAIE: 1 INCN ~ 30 FEET
• DEN07ES IROM MONUMEN7 FOUND PROPOSED GARAGE FLOQR ¦~'9~•3 FEE7
X000.0 ~ENOTES EXISTING ELEVATION PROP05ED LOWEST FLOOR =&b8.~ fEET
(000.0) ~EP10TE5 PROPOSED ELEVATION PROPOSED TOP OF BLOCK =$q1,! FEET
YJE HEREBY CERTIFY TO SIENNA CORPORA7ION ~ r~~~ 7HAT TH15 IS A TRUE AND CORRECT
REPRESENTATION OF A SURUEY OF THE DOUNDARIES OF:
Lot e, elock I, BIRCH PARK, according to the recorded plat thereof,
Dakota County, Plinnesota.
IT DOES NOT PURPORT TO SHOb! iMPROVEMENTS OR ENCROACNMENTS, IF ANY. AS SURUEYED tiY
ME OR UNDER MY DIRECT SUPERV1510N THIS 239-9 DAY OF oC'Tn6~ , 1985.
' APPROVE~ FOR SIENNA SIGPIED: JAMES R. HTLL, IWC.
CORPORATtON
f3Y: 6Y:
~ DATED 7HIS DAY OF IiAROLD C. PETERSON, LAND SURVEYDR
MINNESOTA LICENSE NUM4ER 12294
19_.. .
PflOJECT ~d0, DOOK / PAGE JAMES R. HILL~ INC.
. 84762 .
Planners / Engineers / Surveyors
FILE NO. 0200 tiumboldt Av~nu~ South
FOL DER nloominoton, Mn. 65431 812-UU4'3029
~ CITY OF SUILDIN4 DEPARTI•fENT
. ~ ~XTERIOR ENVII.OPE AVERA(iE ~~U~~ COMPUTATION
(To be submitted with building permit application)
Oae or Two Family Dwelling Owner
All Other Sfte Addreae .
Coniractor S(//V `Jj///~J~ L~V~j° Date ~p Phone
LINEAL FEET OF ~ ~r
EXPOSED WALL ~~/~/,()~I~~-1 , it. above grade =
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: ~~U~~ Value x Area '
Detail ~~u° ~D x SQ. FT. G . (U)(A)
reFerence '~U° x SQ. FT. . (U)(A)
from (GI~ i/ uUu x SQ. FT. _ ~U)(A)
attached ~~U~~ x BQ. FT. = U)
sheeta "U'~ x SQ. FT. _ (U)(A)
npu x Sq. FT. _ (U)(A)
WINDOWS: ~~U~~ Value x Area
Make & TyPe yyf ~.?dQ~~N'T~U~~ i~~i x SQ. FT.~,f.~=~~U)~A)
n n uUu _
n n x 34. FT. - ~U)~A)
"u" x 8 . FT, -
n u nUo e - ~U)~A)
x SQ. FT. _ (U)(A)
DOORSs ~~U~~ Value x Area
t•take & Type 5 ~~U~~ ( Q ~(U) (A)
x 3 . FT,
u u ~ np~~ x SQ. FT. ~ (U}(A)
u u
1t upn x SQ. FT. _ ~U)~A)
nUu x SQ. FT. _ ~U)~A)
TOTALS SQ. F'T. ~l~Z~(U) (A)
AVERA(3E ~~U~~ - -
TOTAL (U)(A) VALUES Za ~ _ ~ p~
DIVIDED BY TOTAL WALL AREA Z'(~
AVk;RAQE ~~U~~ 15 or lesa for i&2 family dwellinge
ROOF/CEILIN(3:
TOTAL AREA: "
Detaifromference ~;U~~_ ~/Z~_x gQ. .~Z =
~~~n (U)(A)
U x SQ. FT. • (U)(A)
attached sheeta. ~~U~~ x SQ. FT. - (U)(A)
Describe onenings ~~U~~ x 3Q, FT. _ (p~~p~
in roof. uUn x 5Q. F~T. _ ~U)~A)
TOTAL (U)(A) VALUES DIVIDED BY ~^Q.h TTAtL~7 ;r4.~_ZS~SOCUrA>
- "G1SL_° a~ ?J' ?
TOTAI, ROOF/CEILIIV(l AREA l~~L ~
AVERA4E ~~U~~ .025 for ventilated roofe.
-
' - ~g~~---
. ~ a a ~ e e°
~
, .
O ~
_
~
1
1
/
s s
s
~
~
r -
~
~
~
~
~
u
io
S .
. i~
ii ~ .
u
it
i~
~ u
,s
Z "
u
u ~
n ,
2 u
~ n
u ~
u
u
u
to
:
=i •
u
n -
ie
21 ~ :s
7T SI
!1 ,
I
I1 i~ ;
71 t~ .
r
]1 • f0
11 ~ ~ ~
1i
11 /i
~
ll
75 _ ~ ~
' ' ~
~ „ ~
» ~
u "j
ie
--WAI,L SECTION--
Determining ~~U~~ valuea at Roof~ Wall, Rim~ and Conc. Block
ROOF/CETLIN(i (R) VALUE
5
t.) Interior Air t'i1m 0.61
2.) 5/8~~ 4yp. Bd. .56
' 3.) Inaulatioa ~p,oo
4.1
5.) Exterior Air Film .61
(STILL)
I 2 3
6 ' ~tpu a IIR~'.~z7j i''OTAL ~R)= ~~.7g
~
y~,L = R VAI.U
8 f
6.) Ittterior Air Film o.68
q 7. ) c3Yt~. Bd. .45
8.) Inaulation f9,oo
9. ) ZS~~yy gu~~T-~~r~ Z.oQ-
10.) Masonite Siding . .6?
~p 11.) Exterior Air Film' .1?
• 1 u u TOTAL (R)=Z3.D~
u ~ ~~x= . 043
~
12 RIM (R) VALUE
~,y : 12.) Interior Air Nilm 0.68
~3.) Ineulation ~q.oo
' . 14 1k.) 2'~ Fir Rim Soiat 1.88
~ 15 15~) Z,S~3Zd $,u~~7~T~ Z•O4
. 16.) Masonita Siding _ .67
17:) Exterior Air Film .17
• c
. uUu o 1/g= ipc~p TOTAL ~R)=ZT.~
~j° ~
.po ~
' FOUNDATION R VALUE
18.) Interior Air Film 0.68
~ Ig . 19.)
Z0. )
21 ~ iuo'. q 2~.) 12" Concrete Block : 1.28
n . n 22. ) g.oo
e 1u ~iC~IA ~NSuL~
Z3 23.) Exterior Air Film .17
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~ j ~ CITY OF EAGAN
~
~~„~i,~~/ APPLZCATION FOR PERAIIT
\
SETPER AND/OR WATfiR CONNECTIODi
(PLEASE PRIN7)
1) P~F^'^_"! AC~?.FS~: 3 I!V lnrL~C Q-E5T k~ uC
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PDC3E55: ! O
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~ CIi_'~ .ST~':E, ZIP; D C Ezpired
H~~.~. ~ 3~ l,~ C Not oT Record
• Ph~~~ PLIIMBEA LtCEVSE Ji '1~~
. S'E~r-
:~i;;;i
Q) ~`C^~_p;/~;~?~ (PLEASE PRlf7f
NANIE: ~.'?'1'YI~['eLQJ
ADDRESS-
CT"_"_', ST;,T'~, ZIP:
p[i0.`IE:
5) I'r1pIG.in ;QHZCH PERi•lIT IS SEItiG REl[LJESTI:D:
~ CC;;:IEC.TIO~I 'IC~ CITY SEYiEi2
~ CC::1~'FX.TIC:I 'IC) CITY 67ATE?t
? U.'i'FR (PLT'1'1~£ D'~~,C?S~+E)
6) C`W: ' •
_G
. Q P?~`SE EALD r1PPP,WED pER~.IT FOR PICF:-GP BY 0:7E OF ABC:t'E '
or c:~ :~IL APPPDVID P~.•1IT TJ I. ~y? 3~ 4 r1£'~OVT y
(Circle one) ~
7) SI~.~:LnF.: DATE:
. ~OR -CITY USE ONLY s
PERMIT # ISSUED
~Cj'Cl S /3
Pd w/Bldg. Permit FEES:
S $ SEWER PERMIT (INCLUDE SURCHARGE)
S ~C''J~~ $ WATER PERMIT (INCLUDE SURCHARGE)
$ ~~,~'S~ $ WATER METER/COPPERHORN/OOTSIDE READER
S $ WATER TAP (INCLL'DE CORPORATION STOP1
S $ SEWER TAP
$ j~: bG~ $ ~ ACCOUNT DEPOSIT - SEWER
S /J~~ ~ $ ACCOONT DEPOSIT - WATER
$ ~.5 ~ ~ ~m s wac ,
$ ~'7 7S (n $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL~NK SEWER ASSESSMENT
S S LATERAL $ENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /,5~ ^f~ ~7 $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ ~S ~ S~ $ TOTAL
L__ai ~
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN PC?BLIC RIGHT OF WAY?
~ 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 FOLLOWING CONDITIONS:
AFi'ROVED BY: ,(Q~{~'j'L~
TITLE:
DATE : u ~ -3,a ~
~ 7s
s"~-
200~ RESIDENTIAL MECHANICAL PExmiT nPPLZCaTioN ~1~1~c ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for. single family dwellings & townhomes/condos when permits are required for each unit
Date ~ / eG lo / 0 ~ .
Site Address ~ ~ 03 ~j KC~C ~'~°J/ ~'f • Unit #
Property Owner, ~ Q h /-~~t{' ~j ~ e~, Telephone 9s'L ) yS 6~ 7 Z. 90
coot~~to~ ANGELL A1RE,INC.
co e venu
Street afldress BI1r11SVille~ MN 55337 C~Ty,
---~erepn one. 952-i"4~5280---
State F~C 952-746-5202 Zip Telephone )
Bood Q~~ $ 0 7 3 Expires: ~ L1 0 7
The Applicaot is ` Owner X Contractor Other
Fire repair (replace burned out applisnces, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit $ 50.00
V fumace _Additional ~Replacement _ New
air exchanger
~ air conditioner
heat pump
other
State Surcharge $ .50
Total $ ~
U• S"o
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is co~te~~~~ ork will
be in conformarice with ffie ordiria~ces and codes of the City of Eagan and with the Mechanical d u not a
permit, but only an application for a permit, and work is not to start without a permit; that the rk will be in accord with the
approved p]an in the c e of work which requires a review and approval of planc. JU N 2 7 2007
F7[~,einG~.. ~ 6~
I Applicant's Printed Name Applicant's Signature
~
401I
City of kali
Date:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
l) 12' Site Address: 130 5 w -itet} Unit #:
Name: 1 C L.•.AiL Phone:
Address / City / Zip: i 30 3 W Cj € ,
Applicant is: Owner ) Contractor
Description of work: R.
Construction Cost: Multi -Family Building: (Yes / No
Company: 1)4 DAE 9.t , \ Contact:
Address: (o4k5 6 Aix, City: .
State: PA,JJ Zip: j S 0 17 Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
CALL BEFORE YOU DIG. can Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x £ ,,/e, '471,9x') .A)
Applicant's Printed Name
ican s Si a re
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119561
Date Issued:12/05/2013
Permit Category:ePermit
Site Address: 1303 Windcrest Ave
Lot:8 Block: 1 Addition: Birch Park
PID:10-14175-01-080
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Ryan M Pepper
1303 Windcrest Ave
Eagan MN 55123
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA135750
Date Issued:04/01/2016
Permit Category:ePermit
Site Address: 1303 Windcrest Ave
Lot:8 Block: 1 Addition: Birch Park
PID:10-14175-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ryan M Pepper
1303 Windcrest Ave
Eagan MN 55123
(402) 202-7090
Benjamin Franklin Plumbing
5718 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature
41,11
C!tyofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
L3.T(*
Coot)
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
CG
Date: /6/161 `' Site Address: 3 L ; I� etc *)e
Tenant:
Suite #:
esic�erot/Owner
Name: Phone:
Address / City / Zip:
Name: 1\\c3 Way 1 `-) M� t 1 I iC License #: C' 9 3 9 (I
Address: 7C COL) L) (\t y RA /0 City: Chc,5).ce,
State: PA Zip: 55 3 1 Phone: l4)' - Gl 0 ` 115-3
Contact: Email:
e t� ork
}
_New Replacement Space in R.O.W.
_Repair _Rebuild _Modify _Work
Description of work: -'t..S 5 ,''\ k 0,1,d f -t� UCC: )- / S k 0.--)6.-- Urt / vC GA �r ;i''\
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation (_ RPZ / PVB)
Add Plumbing Fixtures ( Main / Lower Level)
_
Septic System
_
Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,
$60.00 Lawn Irrigation
$60.00 Add Plumbing
*Water Turnaround
$115.00 Septic System
Water Softener, or Water Heater and Softener
(includes State Surcharge)
Turnaround* (includes State Surcharge)
TOTAL FEES $
(includes State Surcharge)
Fixtures, Septic System Abandonment, Water
(add $280.00 if a 3/4" meter is required)
New (includes County fee and State Surcharge)
CALL BEFORE YOU DIG. Cali Gopher State One CaII at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Frit 146 19 e
Applicant's Printed Name
x
Applicant's Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA159539
Date Issued:12/27/2019
Permit Category:ePermit
Site Address: 1303 Windcrest Ave
Lot:8 Block: 1 Addition: Birch Park
PID:10-14175-01-080
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
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 -
Ryan M Pepper
1303 Windcrest Ave
Eagan MN 55123
Angell Aire Inc
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature