3691 Windtree Dr
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pibt Knotr4kwd 6653
P. O. d'ox 21199 PERMIT NO.:
Eapan, MN 55121 OI~TE: `~-11-55
Zoninp: No. oi Units: 1
Qwnlr; ~ :1'7`"
Addrom I A
Site Addnss: 3134 4 ~
hit
Plumber.
Mater No.: 300. OQEx3 '
Sise: Depos~t: 15.00 d I
R~od~r No.• P~t 'Ie: ?'J.OOpd ~
1asm to «mrlr wNA NM CMy oi iwo Surohoroo: . 50pd ~
Mi,c. Chorpm 132.00iDd S/C
Totol: G3.OCl,A rreter ~
BY Dow Pald:
' Doro of Irnp.: Imp.:
Jd /(i/~'S
- - - -
- - _ _ ~
I
I
CITY OF EAGAN WA?ER SERYICE PERMIT ~ I
3830 Pilot Knol+ Road
P. O. Box 21199 PERMIT NO.: '
Eagan, MN $5121 DATE: 1 1 1. I
,
Zonir_' 7t , IVa. of Units: ~
Owrw: ~"!a31 'k "'c') ]i'3G~*, '^Cyl,c t + ~
Addhm {
Sl» Mdre= 3~•'1 '1in::~c~e ~r.. •:r, ~
Plu~riber.
Meftr No.: Connaction Qww: Q •
Sise: Aooount pepooit; "s. ; . 00pti
Reador No.: Pertnit Fee: 10. L'p,!
I Mm tiowMl! vft tlM Gtp oi fww $urrhoroo; .caPd
adhwonL Misc. CFarpss:
ToROI: ` J:'.•~.7 '.r~tc,._
BY Dot* Poid:
: Date of Intp.: lrm*,,;
~ - _~w
. . ~ . ~ . . . . _ . a, ~ . • ~~+..oaCi.Td.r~+v:+cv'~7..rIlRS.~w .w......~-•----~'~T--
cinr oF ~?~aN 12 Z 4 4~
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 A .
BUILDING PERMIT - PHONE: 454-8100 Receipt N ~~~2~ ~
7o b~ used for SWIM POOL Est. Value Date `NI'Y 9 , 19 $ 6
SiteAddress 3691 WINDTRSE DR Erect ? Occupancy
Lot 2 &ock 4 Secisub. wINDTREE 4TH Remodel ? Zoning
Parcel No. Repair ? Type of Const
Addition ? No. Stories
W GREG VASHRO Move ? Length
Name Demolish ? Depth
; Addre9s S~E Irrt. Impr. ? Sq. Ft
~ City Phone 454-2866 Install ~
o Name I'RESTIGE POOL 3 PATIO App?ovals r-ws
Address E ROS~~~ Assessment Permit S 98.50
~ ciryST YAUI' Phone 26 water 8 Sew. Surcharge 6. 50
Police Plan Review 49.25
F = Name Fire SAC
~ n Address Eng. Water Conn.
~ City Phone Planner Water Meter
Council Road Unit
I hereby acknowledge that I have read this application and state thatthe B~dg. Otf. 9 6 Tr. PI.
intormation is correct and agree to camply with all applicable State o1
Minnesota Stetutes and City o Eagan Ordinanc~s. APC PBrks
Signature of Permittee `~lr ~ r ~ Var. DBte Copi
T Total • 5
A Building Permit Is issued to: FRESTIGE POOL ,i~PATIO on the express conditlon that
all work shall be done in accordance with all applic le tate of innesota Stgtu~ s_and Ciry of Eagan Ordinances.
I Building Official " i w. ~ ~
i
. ~ I
PonMI Na Pormu Hddm DaM TNq1wN N
Ph+mbMY
H.V.A.C.
3r)-
se~
ImpMctlon DaM Inap. Commnonh
Ift~ i
IFoounp. n
Foundatlon
IFrnninq
JReoM*
Ruo ~a - l ~ W
IMUI.
FMoPWm
FNaI H1p.
IFYuI Plbq.
1lldp. final
GA. OCC.
Wek Ft~.
IDock Fnnp.
DNC~1~ Loearo~:
I 1A1NI
Pr. DNp.
CITY OF EAGAN ~ ~ ~ ~ ~
. , 3830 Pilot Knob Road, P.O. Box 21-199, Ea~ae, MN 55121 PHONE: 4548100 ,
evtLoINa PERMtT Recespt
To M rM/ fa ' Est. Value • ~ Date " 19 s,,a
Site Addrea ' Y Erect ~ Occupency
c~ : ?
Remodel Zoninq
Lot " Block Sec/Sub.
Repeir ? Type of Const.
Pwcel No. Addition ? No. Storias
t, . i.- ' Move ? L.ength ,4
st
Nohe , . Demolish ? Depth
Addros: Int Impc ? Sq. Ft.
Cky Phone - 4 _ Install ?
~ Name 8As AYP~ab ie~s
Addren Assessment Permit • 50
City Phone Wattr a Sew. Suroharqe 50
217 . 75
r!~Name DAN MANSFELDT F+n S~?c pemew ~5 00
~ 00
=3 Addrou Erq. Water Conn '
,W City Phone 894-3208 Plonnff WaterMeter W.O~
Council Road Unit '
1 hercby ocknowledpo thot 1 haw nod this applicotion and stots that Bldp. Off. 6/25/95 Tr. PI. 0 0
the inlormotion is cornct ond opres to comply with all applicable
A~
Swh of Minrnsoro Stotut*s ond City of Eo9an Ordinonu:. Parks
Vsr. Dete
Sipnoture of Permittw ` M203.75
MARR JOHNSO~1 COliST Total A Buiidinq Ptnnit is isswd to: on fM txpetri Oordition thot
dl woric sholl be dorw in aooordonr.e with all oppllmbJe Stabe of AAirnesota Statutes ond Gfy o} Eopon Ord{noncet
8uildinp Official ~ ' ' ,
Pwnnk No. IPM"it Ho1dM Dab TNfphone s
Plumbing
H.vA.c.
Ehetrfq p
sottww
InepWion Daa Imp. Othor
Foodnpa I
Footinys 11
Foundatlon
Framinp
Roofiny
nawh Plbg. l~
Rough Htq.
Imul.
Flnplaa
Flnal Ntp. X~
Flnsl Pibp.
Flnal a
Cwt/Occ. ~ V 7
Water Onwibe loeation:
WNI
S~rK
Pr. Dbp.
ReaiPt,gJ MECHANICAL•PERIAIT PffinitNo.
• CITY OF EAGAN
FM >
fill Jn numbwsd spsm S/C ~
TYpe or Print leplb/y TOL i
1. DM 2. InstsllailOn Cost • ' .S- v j - ?
~
3. Job Addrm • ' , ~ ; ~ j ~ Lot Blk. Tract
4. Ownsr
~
6. Conmctor ~ - Phona
ULU. SEUGVVICK PI ni Nu NDlTIC';:] CD. a
6. Address 1007 XEN(A AVF_ SnI I1-i-1 ~
MINNEAPOLIS, MN 55476
7. dsv ~ §"1wl zip ;
~
& Building Type: Residential 0 Commercial ? Institutional ?
9. Work Desaiption: New E Add ? Alter O Ra ~ ~
Psir ;
~
10. Dascribe Fuel Type
;
l
11. No Equippmmt BTU - M. Ea. No,_ EQUiament CFM j
~
: Forced Air Air Handliny: i
Mfg. ~
Boilers Mech. Exhaust ~
Mfp. ~
Unit Heater
Mfg. Other
Air Cond.
Mfg, ~
~
Gas, Piping Outlets
,
i
i
;
12. I hereby certify that the above information is true and correct, and I ayree to ~
comply with all ordinanoes and codes governing this type of work, i
~
Signed : ~ . 4 z ~.rfor Rouph Final a
Inspections: Date Insp. Date Insp. ~
This is your psrmit when numbered and approved. 1
,
Approved CITY OF EAGAN 4644100
a
J
Receipt PLUMBING PERMIT Psrmit No.
-CITY OF EAGAN
Fse 20.00
~ FiII rn numbered apaces S/C .50
Type or Prinr /egibly Tot. 20 . 50
1. Date ,Us3/85 2. Installation Cost 4100.00 •
3. Job Address 3691 (r:INDTitEE L~RLV~BIk~' I Tr act
4. Owner MARK JOFiA]SON COMTRpCPION ~
5. Contractor SCHUL_'IcS Prksi4BBDG Phone 786-4007
6. Address 8383 SUNSET RD. NE
7. City SPRIiVG LAKE PARK State MN Zip 55432
8. Building Type: Residential b] Cflmmercial 0 Institutional ?
9. Work Description: New 12 Add ? Alter ? Repair ?
10. Describe E'RAMF: UWF.I.LICIG
11. No. Fixtures No. Fixtures
1- Water Closet Cesspool/Orainfield
~ Bath tubs SepticTank
Lavatory Softner
5hower Well
~ Kitchen Sink
Urinal/Bidet Otfier
Leundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby oertify th,4t the a4ove information is true and correct, and I agree to
comply with all ofdinanA6s tl codes governing this type of work.
Signed : for
Rouph Final
Inspection's/: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
6-
= - - - - _i
_ _ `s+.n+•~TI^.dM;'i± nM1~.Mr°~4 ..TO.' W! 'N!na.)k .1 h
. . . . a_ . 'f° • . - S, , ::r_, • , i. . ..r -
PLUMBING PERMIT , 'For Office~ yae nly
CITY OF EAGAN PERMIT # z"l
7~~
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT. --C, I I
PRICE PHONE 454-8100 DATE: 9a
SiteAddrass-4671 W+^ « c~JC BLDG.TYfF WORK DESCRIPTION
Lot Block SeGSub ~s. New
~ ` ' Muh. Add-on el&___
Name b"Ce 91Vrb;A4 C4. Comm.~ Repair
` Other
~ Addre s-'`~ v
y RES. PLBG. ONLY - COIuiPLETE THE FOLLOWING:
~ City ~bb~~yhCe•~i'~ r`' Phone ' /J'1
- NO. FIXTURES TOTAL
r[~ V~ 1~r dwv Water Closet -$3.00 $
Name Bath Tubs - $3.00
c Address-~ Lavatory -$3.00
~ City Phone Shower - $3.00
Kitchen Sink - $3.00
UrinaVBidet - $3.00
FEES Laundry Tray .00
COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains - 1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater - 1.50
TOWNHOUSE 3 CONDO - RES. RATE APLLIES Whirlpool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping Oudets -$1.50
MINIMUM - COMM.IND./FEE $20.00 (MINIMUM • 1 PER PERMIT)
. STATE SURCHARGE PER PERMIT .50 Softener -$5.00
(A D$.50 S/C PER EACH $1,000 OF PERMIT FEE) Well -$10.00
Private Disp. -$7D.00
Rough Openings - $1.50
U. G. Sprinkler 5ystem - $12.00 JZ 00
w?T E OF PERMfTTEE PERMIT FEE:
STATES S/C:
FOR: CIN OF EAGAN / d-ay- j0 O1izel-n- GRANQ TOTAL: ie? •-520
~ O.k.
CITY OF EAGAN Remarks
Addition WINDTREE 1a.114 ADDDi.. Lot 2 -aik ~4 Parcel
Owner street 3691 Windtree Drive State Ea~an, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
A STREET SURF. ~Qoj 3 ~p0 /.O -5- Gj 0 _D Q / 6/ 31/D A
STREET RESTOR.
GRADING
SAN SEW TRUNK 1971 wo 42 , 1.5 20 147,60 ~16LV --w-erI
SEWER LATERAL
/9g6
INA7ERMA({V
WATER LATERAL
WATERAREA 1972 640-210 2.00 20 16D-DS! A)'tr'JZlDloZl ll-20- 5
water area 1977 602.00 0 .1 1 .2_eO• 70 6z/
STORM SEW TRK i
STORM SEW LAT
CURB & GUTTER '
, SIDEWALK
STREET LIGHT
Unit 280,00 53213 7 1 85
WATER CONN. 500.00 BUILDING PER. 10495 n n
sac 5 .00
PAR K
,
' GEO. SEDGWICK HTG. & AIR COND. CO. ~ p 3 S•C///
HOUSE HEATING TEST RECORD
ADDRESS L~~, n 1-, 1, L_i_ CITY
OCCUPANT OWNER
HEAT LOSS_ DATE TG. INST
SOLD BY INSTALLED BY
` ~ . r•'-. . ~
,
Electrical Work By G
as Line By. _ ?c:
TYPE OF HEAT GA_ FA ~ HW_ STEAM SPACE HTR. UNIT HTR.
GAS DESIGN C~
MAKE MAKE OF BURNER R E V I E W E D
Model _ 7-,/ Mode
Serial S9,f'S-G U`?') ~2 Max. BTU Ratin_g..
INPUT ; OD MAKE OF FURNACE
` Model
CONTROLS
THERMOSTAT J Heat Plug f Vent Size
Valve i - KIND OF LII;y,ER SIZE NONE
l.imit ~ v ne y w ~ 1 ~ Draft Hood -t _ ; . . Regulator
Limit Setting ~-s oFilters Size Number
Fan Setting ° Chimney Location Inside ~ Outside
Pilot Type f c 5 ° r Chimney Construction
Pilot Make ~G S
Pilot Model c7n Smoke Bomb Wiring •
Pilot Timing {7 f?"-~ 1 Draft Test Tag
L.W. Cut Off ^ Door Pressure Lighting Inst.
Pressure S ~ • e- Percent CD Date Tested
Input CFH c tJ Percent OZ Company Testing
Stack Temp. Percent C02 s~T Name of Tester
.
I Form 235 -
ThiS ~eq.ett void
18 nnnthslh>m J SL/
C 2 513 8 ~ C3 a -qi74
Fequest Uate Flre No. Rouph-i InsyecLon
Nepwred~ ~Ready Nuw ? Will Notity InsDec-
s~~~. 6 0yes ?No ior When Heatly
U licensed Elecbical ConUac[or I heraby reQUes, inspecM1On ol ebove
? Owner elecVical work instalied at
~Street Address. Boz or Rau[e No. Cny
3691 V7indtree Dr Eagan
ecuon o. Townshio Name or No. RanBe No. County
Dakota
Occupant (PRINT) Phone No.
Gregg Vahhro 454-2866
Power Supplier , Address
n/a
Elecvicai Convactor (Company Namel Contrerroe's License No.
IVormanDale Electric Co.
Mailmg AdJress (Con[rac[or or Owner MakinB Instailabon)
Au[hori iBnawre IConnac~or wner iny Inst atio one umber
„ 644-0655
MINNESOTq STqTE BOa1flD OF ELECTNICITV TMIS INSPECTION NEQUEST WILL NOT
Gnges-Midwav Bltlg. - Noom N-191 8E ACCEPTEO BY THE STqTE BOAND
1821 UniversitY Ave., St. Paul. MN 55106 UNLE55 PHOPEH INSPECTION FEE IS
PMnw 1612129].2111 ENCLOSED.
REQUEST FOH ELECTRICAL INSPECTION r EB-ODU01-Oa
~ See mshuctions lor completin0 this lorm on beck ol vallow co0v. J L-Y
C 25138 "X BeloW Work Covered by lhrs Request
FAd Reo. lvve ol 6mIEinB Aoalioncea WireE Equipment Wired
Home Range Temporary Service
Dupltl.x Water Heater Liqhnny Fixtures
Api. BwlAing Dryer Electric Heatin
Commercial Bldy. Fumace Silo UnWpider
Industnal Bidy. Air Conditmner Bulk Milk Tank
Farm nnri uec, v tn, ~snor,irv~
t, Suec' y thcr O, h¢,
ompute lnspectlon Fee Below
N Fee ServiceEntrancaSize b Fea faxders/5ubinnders N Fne Cucwts
U to 200 qm s 0 to 30 qm ps 0 tn 30 Am ps
Above 200 q~nps 31 to 100 Amps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_Amps
Transformer5 Irriga[ion 8oOm5 Partial.'Othcr Fee
SignS SpeCial InsUeClion _
rra~ks S~j0•50 TOTAI GEE
Re ~
wire swimmin ool ~ ~G•~'
RouBh-m ~ Date \ i'
In I, the-Elecvicnl
sPeclor, ~o~aby
certlly thet the above
Final ~ ~e inspection hes been
Tts r"ueal volE 18 moniha trom
ihis request vo,a 5 L/ p - ~5
BIs ~MS~~Ja ~~~La~`~ w%~,( ~~oU
Rea ues~ 6bta ~ Fi~e No. Rouph-in Ins ?Vection
Hequfr~d? ~RCaAY Now fll Nolify.lnspec-
0 •s No or When fleatly
LicensM ElecInwl Contn. ctor 1 hereby mquest inspoctian oi abova
Owner electncal work installed nL
Sveet Address, Box or Route No. C,IY
e
ecUOn o. Towns ip Name or Na. Nange No. Cnunty
Occu IRi1NT) Phnne No.
L¢ ~ y.vSO~v
Power Sup lier Address
~C
Electri I Con[racta ICoM50 1 Con:rar.tnr's License No.
c. 3S-b'
Iractor or Owrer MakinB lnstailatioN
Mu- - 0 s(C ,L
IloZb' sw
Authon Sia lure IContt ctodOwner MakinB ~~s~allatiml Phone Number
MINHESOTp STATE BOARD OF EIECiNICITY THIS INSPECTION HF.DUEST WILL NOT
Griggs-YidwoY Bldp. - Ibom N-191 BE ACCEPTEO BY THE STATE BOAflD
1821 UnivarsitV Ave., St. Paul. MN 55100 UNLESS PHOPEN INSPECTION FEE IS
Phmw I61212972111 ENCLOSED.
3 REQUEST FOR ELECTRICAL INSPECTION r EB-OU001-04
w:
~ 5 , See itatructions br completinp this fum on back oi Vellow coOY42350 "X" Below Work Covered by This Request
Adtl Reo. TyOe o} guilEfny Applioneea WiraA Equiomenl WireA
I Home Range 7emporary Service
Duplex Water Heater Lightiny Fiztwes
Apt. euflding Dryer Electric Heatin
Cortrnercial Bldy. Purnace Silo Unluader
Industrlal BIAg. Air Condi[ioner Bulk Milk Tank
Fartn Otheu, oeu y Other ISner,ilyl
~ v Socc~fy Ot e, 01hcr
ori+pute lnspection Fee Be/ow
p Fee SorvieeEnlmnceSiza k Fee Faedars/5ubtoetlers G Fno Circuits
0 ro 200 Am 5 0 to 30 qm 0 tn 30 Am p5
Above 200 p~llpxi 31 to 700 Amps 31 to 100 Am s
Swinming Pool qhove 100-Am s Above 100_nm
Transformers Irrigation Boon4 y'Z7 Partial:0[her Fee-
Signs Special Inspeclion S
p•~ TOTF.L FEE I
Nemirks r
~ i
flough-in 1. ~he Elecvi~l~
Insnacbr, M1ereby
ce~tity Ihet [he abovo
Rnal Oe pection hos Eeen
T rrmde.
Tlils fapuestvdEtBmonlRStrom '
CITY OF EAGAN N° 10 4 9 5
. ~ 3830 Pilot Knob Hoad, P.O. Box 21-799, Eagan, MN 55121
PHONE:4548100
BUILDING PERMIT e«<ior #
Te ye rated fa SF DWG/GAR Est. Value $101,000 pote JULY 2 1y $5
Site Add ran 3691 WINDTREE DR Erect 7Q Occupancy R3 Lot L Black Sec/Sub. WINDTREE 4TH Remodel ? Zonine RL
Repair ? Type of Const. V
Percel No.
Addition ? No.Stories
MARK JOHNSON CONST move ? Lengtn 64
~ Name Demolish ? Depth 36
Address 4149 STRAWBERRY LN Int. lmpr. ? sq. Ft.
Citv EAGAN phone 454-0623 mstall ?
.SO
Zo Neme SAME AVDrorals Fees
u Addreea Assetsment Permit
s1- City Phone Wufer 8 Sew. Surcharge s 0. 5 0
Polite Ptan Review 217.75
r'W Name DAN MANSFELDT Firo SAC 525.00
rz
Address Erq. waterConn. 500.00
Z. City Phone 894-3208 plonner weterMeler 63.00
Council Road Unit 2 a 0. 0 0
1 hereby acknowledge ihof I huw reod fhis applicohon ond stote thaf Bldg.Off. 6I2$/85 7r, pl. 132 . 00
fho information is correct and ogree to comply with oll opplicable APC Perka
State of Minnewte Statutas ond Ci E 9 Ordinences.
Var. Date Copies
SlpnMUrc o4 Permittee 4i 2 , 2 U 3 . 7 5
C JOHNSON CONST rotai
A Buildinq Pertriit Is iuued ro: on Ma aaprcss corditlon that
all wark shall be done in xcordance with all I' Is St of inne atutea ond City oF Eopen Ordironcea
Buildlrq Of/icful
CITY OF EAGAN '
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N0 12244
BUIL:pING PERMIT PHONE: 454-8100 Aeceiptp
~ 7o be used lor SWIM POOL Est Value Date JULY 9 19 86
SiteAddress 3691 WINDTREE DR Erect ? Occupancy
Lot 2 elock 4 Sec/Sub. WINDTREE 4TH Remodel ? Zoning
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
w Name GREG VASHRO nnove ? Length
~ S1~ME Demolish ? Depth
3 Address IntlmPr ? SQFt.
° ciry Phone 454-2866 Install ,I~
a PRESTIGE POOL & PATIO APProvals Fees
o Name
$Q nddress 245 E ROSELAWN Assessment Permit $ 98. 50
~ C;ryST PAUL phone 488-6726 Water 8 Sew. Surcharge 6. 50
u~ Police PlanReview 49.25
_ i Name Fire SAC
ox z Address Eng. Water Conn.
a W City Phone Planner Water Meter
Council Road Unit
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe B1dg.off. 7/9/86 Tr.PI.
information is correct and agree to comply wtlh all applicable State of
Minnesota Statutes and Ci )Eagan OrdinancAPC Parks
Var. Date Copies
Signamre ofPermitte ~ NO Total $154.25
A Bwlding Permit is is ued to: PRESTIGE POOL PATIO on the ezpress condition that
all work shall be done in accordance with all app ~n sota s and Ciry oi Eagan Ordinances.
Building OMicial
~
~8~00 4~30.56
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/mndos when permits are required for each unit
DateQS/Qc~ /aW's
Site Address e31 9/ L~~ • Unit #
Property Owner ~ r Telephone # ( (~6')
Contractor
StreetAddress C~~~ • ~ ' City
State m { V • Zip _S5_(D(O(YTelephone
Bond Expires:
The Applicaot is i Owner Conhactor _ Other
Add-on or aitera[ion [o existing dwelling unit $ 30.00
~ furnace _Additional kReplacement
air exchanger ~
air conditioner _ New -k-lTeplacement
- ~
other
State Surcharge $ .50
Total
1 hereby appty for a Residential Mechanical Permit and acknowledge that the i ation is complete and accura[e; tha[ the work will
be in conformance with the ordinances and codes of the City of Eagan a, with th Mechanical Codes; that I understand this is not a
1, u[ only an application for a permit, and work is not to star[ witho p rmit; that the wgx~ will in a ordance with the
app od plan in the ca wqrk wh' h r uires a review and approval plan~
/ ~
iv
pplicant's Printed Name pplica iPs Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildmgs
multi-famil}' buildings when separate permits are not required for each dwelling unit
Date ! 1
Site Street Address Unit #
Tenant IYame (if applicable) Previous Tenant IVame
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond Expires:
The Applican[ is _ Owner _ Con[racror _ O[her
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector
P¢rmlt F¢0S: $70.50 Underground IanA ins[allation/removal
550.50 Minimum (includes 5[a[e Surcharge)
or
ContractValue $ x I% _ $ PermitFee
• [f ep rmi[ fee is $1,000 or less, add S.SD $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 permit fee $ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowledge that the informa[ion is complete and accurate; Iha[ the work
will be in conformance with [he ordinances and codes of [he City of Eagan and with [he Mechanical Codes; that 1 understand this is
not a permit, but only an application for a permi[, and work is not [o star[ wi[hout a permit; [hat the work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applican['s Printed Name Applicant's Signature
Approved By: , Inspector Date:
f~ ~
, ~
~
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CZTY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
w
To Be Used For: Valuation: ~01,000, Date: -6,1V-41c9s-
Site Address: y ~OFFICE USE ONLY
w%~OT-0EE
Lot: ~ Block 41 Sect/Sub y-~4 ~ Erect ~ Occupancy ~-3
Remodel Zoning R -I
Parcel I/ Repair Type of Const 'S[
Enlarge fl of Stories
Owner ~.~~TAs4 OQMove _ Length (a4
~ Demolish _ Depth ~
Address _/D98 /6 Grade Sq Ft
cityizip Code 42 k. SSS'iy
Phone 4,~ ~ - 6 5I~-2, APPROVALS
Contractor /yJyK4 66f1A;son> roiusT TivC Assessments Permit 43rj so
Water/Sewer Surcharge Sp so
Address Police Plan Review 2i~.75
Fire SAC 525."
City/Zip Code Engr Water Conn 500
Planner lJater Meter fo3."
Phone 5y-0C, 2 Council Road Unit Zg,o.
Bldg Of~Parks
Arch./Engr. APC Treatment Pl ~32.~
Variance
Address TOTAL 3 , ~s-
City/Zip Code
Phone 11 8Sy_~~pg
~
\4x f7C8 j-39 z5¢ = 21 t (o b
.
1 c°~ 4~8 x 54- ` 2527z ~
1 4 x 23 ` 32Z x 41 ~1 -tl ZOZ
l 4 x 2€~ ~'3G2 x 4i = 162 0-72
I~ x Zc~ ° 4c~~ x 4(
23 ~22 = cbco n ~l = SSC~~c
1004(oa
SURVEYOR'S CERTIFICATE P^ARK JOHNSON CONSTRUCTION '
. . .W1/ NOr ? ~ 1 . . . :
9~a 7 CWNDE,p REE ~RI V
' coNS-reuk-rioN) ' 896.s
: A~~2/'46«
_ ~~,+,4029 'N.84047'23°W.
• ~ - _ ~1' 28.87
894t,o ~ ~
N . . .
on~ r ~R15J~
3 ~
~B99z
3 6 00
. N
~ ~ / P .50 / ;Gb GA
ROPOSED ~ ~ ~
HDUSE
' j ~ ry
a.oo; o rr~ 0 3 50 4q0~ o (V .
7~
-~lc"699:.'l - 4 3
1 (V
LO 1 2
DRAINAGE 9 UTILITY
EASEMENT PER PLA7 \ . ^
, ~ -
cqo6., loaoos.96°2512" W= ~ • .
. . , . _ . M1.
-r--- DENOTES PROPOSED SURFACE DRAINAGE
O. DENOTES IRON MONUMENT SET •SCALE: 1 INCH = Z=~ FEET
I. • DEPIOTES IRON MONUPIENT FOUND. PROPOSED GARAGE FLOOR = 904•0; , FEET
i X000.0 DEPIOTES..EI(ISTING ELEVATIOh1 • PROPOSED LOlJEST FLOOR•= gyZ'.•3-: . FEET
' •(000.0) DEtlOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = 900,~ 4, FEET
I HEREBY CERTIFY TO IMRK JOHNSON CONSTRUCTION, THAT THIS IS A TRUE AND CORRECT
; REPRESENTATION OF A SURVEY OF THE BUUNDARIES OF: ,
I Lot 2, Block 4, 4JIPJDTREE 4TH ADDITION, according to the recorded plat thereof, Dakota County, P1innesota.
AND OF TFIE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, ANO ALL VISIBLE ENCROACHPtENTS,
! IF ANY, FROM OR ON SAID LANO. AS SURYEYED BY ME THIS ZisT DAY OF JuNE 1985.
! - SIGNED: JAMES R. HIIL, INC.
' BY:
; HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE N0. 12294
PROJECT NO. sooK./ PAGE . JpMES R. HILL, INCi.
SS~°83 ~~~/yg Planners / Engineers / Surveyors
' FILE NO. 8200 Humboldt Avsnu• South
FOLDER etoomineton, Ma 55431 e12-884-302e
EXTERiOR FN'•;E'!.OP" "ll :•~it~i'U'i.A'l'IOP7
Ow NER
S'ITE ADDRESS ~ ~d~2 Q~ocK _
CONTRACTOR _~'J~,['K c~KWSa'v CoruST DATE~-~/i~ PHONE
' Determine working square footage of each.
1. Total exposed wall area sQ• ft. x,!/..?~9"=
2. Total roof/ceiling area O sq. ft. xf-~~
3. Total `loor/cant. area - sq. ft. x.10 = r
l-._ -
Total ex.posed Nal.l area above floor = ~ayl.Q
a. Total wali window area . . . . . . . . 171.lalo
b. Total dc,or area . . . . . . . . . . . •€~-aO.tJ
c. Total sliding glass door area [
d. Total fireplace wall area O
e. Total wall framing area (average 10%). . O
f. Total net wall area above floor
g. Total rim joist area . . . . . . . . . . oClo:~_f>
Total exposed foundation area = f 8p CD
h. Total foundation window area . . . . . - -
i. Total net foundation area above grade.
Determine "U" value of each wall segment.
a. 171 .1o.~ Y °U,l _3S3 = U0
b. lvts.o x ,~U" .31 ° G.f2
c. 36.0 X ~lU" .353 ° 1.i.7r
d. yg_p x "Ult
e. i 70. 0 X11 Ul, .09
f. 3 x"U" _ ov
8• ;P&S_Ca x"Ulf _ OL
h. X 'lU„ _
i. So,d x ~lu„ ./Y =
SUBTOTAL
4 , TOTAL = Co
If item N4 is the same as, or less than item ql, you have met the
intent of SBC 6006 (c) 2. ~
' Total exposed roof/ceiling arcn
j. Total skylipht area
k. Total flat roof/r.eilinr framinF clT'('a n7_&3
1. Total net insulateri flat roof/cci] ing arca..... /01t/.37
M. Total vault roof/ceiling framinr area ~
n. Total net insulated vault roof/cei)inr area....
Determine "u" valuc for each roof/ceiling se;;ment
X nUu ? I
x. 7_ x"u" n~l ° o
1. /c7l5<.37 x lilill
oa _ M. x
x "ll" =
n.
5. Toral
If total of N5 is the same as, or less than #2, you have met the
intent of SBC 6006(c)1.
Total exposed floor/cant. aren j
o. Total floor/cant. framing arca (avcrage .10;;) _
p. Total net inlsula':ed floor/cant. area i
, Determine "u" va.l.ue foi, each floo:•/cant. sep,ment
. ' o. a liuii _
p - x ~lU'll _
6. TOtal
If total of fl6 is the same as, or less than q3, you have met the I
intent of S?C 6006(c)3.
ALTERHA'CE 3UI1,PI1dG F:PIVI:LOPE DF.SIGN ~
To utilize the total envelope system method, the values establisr:ec?
by the sum of items H4, 115 and N6 shr:]1 not be p,reater than the suT
of items N1, H2 and 93.
2. a~~_' • _ ?'Y
4. '267 sLo 5. aa_ 05- 6.
Prepnred
Total expoeed wall area abwe floor
i
?otul wall rlrAar area ,
'foLal door nrea _
3. Total eltding glneadoor nrea
_
i, Total fSrap].ace wall 4rea
o. Total va11 ftdminB nrca (everago1W f z-~O
f, 1ota1 nwt xall area abcve floor
6•?otal rii ~olat aroa
'foLal ezpoeod fourriatlon aroa
h. Total foundation vlriiw area
grade.......... .
1, Tot.al aot faundatlon area abwe
1}etei-mine "U° valne of ench wall eegment.
o. ~ z "u" °
b•
d x a u. ~
.
pu-
a, x 0
-
y X ^II^ °
, _
~
x OU" ~
5ubtotal ~ ~S-
i
I '
I ~i ~ ,
. ~
Total ezooaed wall area abwo floor a C~~
n . Total wall a1rAw area . . . . . . . .
b. Total door orea _
a. Totnl eltding glaea door nrea
d. Totel f]roplace vall rrea _ 1~-
e. Total wall f1'aming aron (average•10%).......... -cr-1)
f. 1ota1 not wall area above floor
E;. 7ata1 rin joiat aroa
Total expoeed foundation orea = -
h, Total fotundatlon xiadcn+ nrea
i. Total nmt foturlatlon area abwo grnde..........
Determine "II" valno of ench wall eegment.
Q• ~/~V Y^U^ _O JJ
b. z "U° `
o. z "U" -353 ~ .7/ ,
Q• -l O,C> x »U- `_3 z
e. S~_S a •o„ .O ~ _ 75
f. y~.~. • a`Z x "U" -O~ _
6• X wUw
h. Z nUn ~
Y aUn ~ a
9ubtotal ~ 3(
. THRU .STUD In4. Ai>^' .68 '?'}TRU fN5. WALL Int. Air . Ft,
' 'w/ S.R. fi SIDING S~R• w/ S.R. 8 SIDING S.R.
' Stvd ~O.a7 Ins.
Stitg•; SNTG.
Siding
siding . qY
; Ext. Air .17 '
Fxt. Air
~ • ~
Total. "R" = II. 17
, Total "K" _
i/R=. nU~ =~7
, i/R = l'Uti
THRU CLG. Int. Air .61 THRU CL6. Int. Air .6;.
MEMBER S.R. (~Y') ' INSULATIOAI S.R. Clg. Memb. Ins. (j211)
Ins. (g 3~?_p Still Air _61
Still A,ir , .61 Total "R" = Ys-7e,
~
~ TOtal "R" = 32.. f3 1/R = "U" _
1/R
~
^
4
'"HRII CONC BLOCK . Iht. 'Air, .68 TliRil RIht Int. Air .68
C . B . (JZ~") JOIST Ins. 1 f.0
Opt. Ins. J,p l1s" Wood 1.811
Ext. Air. .17 Shtg. 0t
~ . • Opt. S.R. , Siding
Opt. Sid. - ~ Ext. Air .17
Total "R" 7-~3 Opt. Brick
, . ~
- - ' 1'/R - uUn"- F, Hl Toial nR"
1/rt
_ ~
. •STUn ' Int. Air .68 Tt?R11 IP?S. Int. Air .6,i
F.C. Stud 5/8" F.C. S.R. (Opt.) Shtg.
R. BOTH SIDES (Opt.) Shtg. ~ ROTu SIPFS Ins. (~.C7
5/8" S.R. .56 5/8" S.R. Sf
.-6f.9 ° S . R . ,YS-1r6 -S-fB" S . R . _ Yar'-~-ff
~ Ext. Air .17 Ext. Air .1":
' • Tota7. "R" - Total 'IR~~ _
i3
I 1/R - "U,t 1/R - °ll" _ .Qr
.
RU'STUD Int. Air .66 THRIi IAIS. WALL Int. Air.
o S.R. Stuct w/o S.R. Irs. '0
' SIDIA'G Shtg. w/ SSPIIJF Shtg. a.~~'
Siding .~L( Siding -q4'
, Ext. Air .17 F.xt. Air _17
r
Total "R" = l6 _72, ' Total "R"
, 1/R = llUe, _
I ' r
~ iiRU MrMRER Int. Air ` .92 ".'flRll INS, Int. Air .9^
T CA•,T. Carp.-Pad AT CAr'.T, ('arp.-Pad
Vinyl Vinyl
Und. lInd•
Plv. ply, '
Joist Depth Ins.
Pl.y. Ply.
F.xt. Air .3.7 ' F.xt. Air .17
Total "R" _ '?'otal "R" _ /
1/R = I_ B 1/R= ~~Litt l--.
. ~
1986 BIIILDING PEEtlM APPLICATI08 - CITY OF EAGAN
HOTE: ALL COATRACTOES MOST HH LICENSED IiITH THE CITY OE E6GAN
SINGLE FAlIILY DWELLIAGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiIELLIAGS - RESID6NTI6L REA?AL iJNITS FOR S6LS QNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIR9EY - CHECg iIITH BLDG. DEPT.,
1 SET OF SNERGY CALCULATIONS
COHI4ERCTAI"
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Valuation: Date: 7 7-84~
Site Address OFFICE OSE ONLY
Lot ~ Block 7- Erect Occupancy
It
Remodel Zoning
Parcel/Sub Repair _ Type of Const
Addition # of Stories
Owner CQee. rg$F/eO Move _ Length
Demoliph Depth
Address 3~/ eJhr,Qfi Int.Im r. _ Sq Ft
y~ Install
City/Zip Code Gp6,q,M/
Phone (p~o 9PPROV6LS FEES
Contractor iQE$T E~ ~~,~~TID Assessments Permit //Y-SD
Water/Sewer Surcharge ~
Address Police Plan Review 1
Fire SAC
City/Zip Code SS// Engr Water Conn
b Planner Water Meter
Phone a
'Yt- 1 l7. 7lp Council Road Unit
Hldg Off % /f(6 Treatment P1
Arch./Engr. APC / Parks
Variance Copies
Address TOTAL /S y•„Zf ~
City/Zip Code
Phone ll
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEONNER !lOST DESIGNATE WHICH 9DDRESS
IS DESIRED. NO CHANGFS WILL BE ALLOHED ONCE BDILDING PERMIT IS ISSUED.
Cities Di ital ualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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1 Copq: oltice
2 Cqoy: Cre~a Chief 0 %d&%do
' 3 Copy: MunlcipAllty Rf:
4 Gapy: Customer
• St. Paul Business Center
I 245 E. Roselawn Ave. • Suite 29
St. Paul, Minnesota 55117
J~
CREW CHIEF
EQuipment Needed ACCOUNT NUMBER POOL SIZE DATE
~ Back hoe O Bob Cat ''I lr~~ C t~~D ~E rrwnE G.
p ~t O Truck NAME
? Snow Fence ? ~ i /
STREET W011K /HONE
Inspections Contract cirr STATE zincooE ~
0 Walls
r-
anecT- icNa ?
O PlumbinG c'J
O Footinp
? Beforo Backfili
0 Other
Diagram pool site In relation to house, Qarape, property Ifne, and wires. (Allow 3" variance) ~
~
i
~
? Mark locatlon of fflter anlor heater by (#Z). D Elevation from location marked "A" in dfayram:
L7 Show type and locatlon of alide If appUcable:
• Indicate deep end by (X).
O Does Cuatomer wlsh to retain any or all dirt from pool ? Locatfon for disposal of dfrt:
excavation:
O Will any obatructions be encountered - such as trees, ? Prestiqs Pool b Patio recommenda thaf cuatomsr inatall
clothes poles or power/phone linea etc.: (As eoon as poasible lollowinp pool construction):
7. Rafn putters adjacenl to pool
2. Retalninp wall whsre dlaqramed
3. Run off control or dralnflsld
CUSTOMER ALSa UNOERSTANDS 3 ACKNOWLEDGES THE FOLLOWING
Some damaya may bs done to the yard andlor drlyeway entsrfnp and Isavln9 the yard durlnq construction: intlal .
Customer aasumea reaponalbillty for electrical wlrlny and proundinp of !hs pool (Includinq permit If requlroct): Inillal
Cusomter assumes reaponslbility for tha gaa Instellation of heater ft applicable (IncludinQ perml! If rsqufrsd): Inltial
If dsbris, atructures, or substance foreipn to normal soll should be encountersd whlle excavatinp whfch requlros abnormal
handlinp and/or diapoainp - Customer shall assume reaponslbllity If any sxtra costs us Incurred. Intlal
If you wlah to chanps: flltsr position, slops of land, or anythlng else statsd fn thls outllns, please call our office -488-8726.
Crsw chlsfa ua not authorizsd fo chanqe anythlng on ths Job or make any promlaes for work to be dons by them. Any Chanpm
that ars not authorizsd by ths office wlll be char9sd a a sfandard rate - no excsptlons.
,
Pratip iiepr*wrrtatiw Siprwtun Custortwr Sipnatun
~
2
Fit~ 'T~s ;aa
s J CI;Y Or EAGAiI
5J~
APPL7CATIOA] FOR PEP,~~1ZT
SE:•IER AND/OR WATER CONCIECTIODI
- (PLEdSE PP.INi)
1) PDCPyT;'!^% A.r,pRZc5: 3691 WINDTREE
Tr^`.i, D°...CR_T?":T_C`]_ C /
(Ipt/Blcck/St::civisicn or Ta:c :arcel I.D. Nt<. r)
na~ oc ozTc^7.~. 2Uz;~r:c 1m
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2) r??7-.C=_T (PL:;.SE 7Rltii)
Ida3-"F: MARK JOHNSON CONS UCTION
2%.CD2°_S5: !i ~~-ctJ G~-cil/~
C~:'=r S_^=.' ZIP: li-.? S`'-~/,- i
3) P7w-JER ~PL~.1SE ~Rltii) FOR CIT,Y USE O.4L'i
N;~='E: SCHULTIES PT.,UMBING ZNC.
PIU.°.ocRS lICctiSr:
P-L%.'' S5: 8383 SUNSET RD. NE
~ Ac[ive
CI'-'!' STA=n' ZIP: SPRING LAKE PARK, MN. 55432 CI Expire
'
Nat. Record
PHO`E= 786-4007 PLL'99ER LtCE;iSE ti 2658M9
4) CCa:?z_pp/Cr•.,,.?E7.~ NAi-SE (PLEASE PRltlf)
:
pnnnE cc;
ST:,'??', ZI?:
Pf :r`IE :
5) Ii:pICATE WTfICii P&TZ•tIT IS EEZ\C REC.UES'i'ED:
~ CL''\':IECTIOV 'IO CIT'-' SMIER
~ CQ:7~,c'^CrZCN 'IO CITY S•TP,'I'L:??
? d':r-ER (PLGSE D.SCRZ6E)
6) r :DiG,C:.:.: ~
??L`.',SE f:OL7 ?PPP.CJEJ PEF~+,_*T :'OR P_TGK-C? BY O.'E OF nEO:7E
~ F?.E.,S :•_-,IL APP??OlFEE) P~'.MlLT 'I`J 1. 2, (3,) 4 P.£~CJ'YE
(Ci:c1e ane)
7) S?~;-,_~-~,: C;'-.'!'E: 9/5/85
~ _
R R 4.+1-Yller~a :l~ i a ! ~g~ra f~ ~s'+t Ar sadY ~ ~ ~ ~ s ~ :t~ a ~t r ~tJ~-a+~:~ ^ f~ 1t ~ ~ ~~r FOR C ZTY U S E ODIY f
P'vmIT TSCLr*J
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S (~~oU 47r,TE a MC"I`FD/COppF?21-IORNIOUIJ:DE iZFZ.DL7
s wa:rR Thp (ZVCLODE coRPoRuTieN sTO?)
S S=i'iLR T.`.?
$ ~'•VU =r.~.~L::a ..-=.r.c - - _ ..-7
$ /SUG ACCOtiVT DFPOSIi - Fi-^:°_3
S SvG v-u ta:,C
SAC
$ T3G:.,~ r,;ATER ASS?SS:i°_:iT
$ T:ciii':1 SLW:LR ?,SSE:.j:!EiiT
$ LAiLP.nL BLi'1GF1?T/TRL"K SEi'TGH
S Lei1LRAL BENEFZT/mprr ~.I~„TV7 .
$ uc. OT: ED ~.wEot~ ~
$ TOT ;L
$ r,2•t *.~[,..i~+r. Pa T /!Ri,^' - ~ S~~r
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DOES UTILZTY CO\2:ECTIOD7 REQUIRE E`tG,VATI0:1 Ii] PU6LZC P.IG"r.T OF i1AY?
7- . YES IF YES, THcil A"OE3:eIT POR :•]03:: "II?.°.I?7
PUBLIC ROADWAY" ySUST Bc ISSGED BY TE?E
F-t h'O ENGTNE`P.T_PIG DZVT-SIGN_ LIST AS a COP:DI-
TZON.
SLBJECT TO THE FOLLOh7ItdG COP]DITIOi•:S: "
AP°ROVED BY: e.
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