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3694 Windtree Dr I CITY OF EAGAN SEWER SERVICE PERMIT ~ 3830 P;bt Knob Road - j P. O. Box 21199 PERMIT NO.: Eagan, MW 55121 DATE: , Zanirp: ` - Na of Unih: ~ Owner `;ozst i Addreis: , ' n94 ~~`indtref 4 S~te Addre~a: ' ; ~ ' Plunber. :vF T n...,, r . , _ , , ~ ~ ! 1g!m h"0* wlb IW !il of iwn Conrnctlon Chaepr Onilpowee& Aooount Drpodt; , i Pam+M FM: , ~ Suniwr~: 5 gy Misc. Chomm ~ I Dafe of Imp.: Totol: . Insp,• Oate Paid; ~ CITY OF EAGAN WAl'O SERVICE PERlIAA1T ; 3830 Pilot Knob Rood ! P. O. Box 21199 PERMIT NO.: , Eagm, MM 55121, DATE: Zoning; - ` No. of Units: ` Owner: r ran c,o Addrow. ~RM. 1.~9~i ~t'~.C~dtTPE 1'•1' .:l:t?t .-Ca =i Plunber n`ave Derip8e9 F' 1.,n,, " • Conrnction Cl+arot: SOO.O~~c: Maftr No.: Sizs: /looou^t C°posit: ~ ibodw No.: Perrriit Fes: ~"im hsesn* vAO IV Ciq? oi VMw SuKhar4e: AAlsc. CFargm Tatal: gy Dotr Pold: I , Dab of lerp.: l^op: f CITY Or' EAGAN WqtER SERVICE POlMR 3820 Pi4ot Kno4 Road P. J. Box 2110 PERMIT NO.: ~ Eagan, MN 55111 DATE: ' - - ' Zonlrg: , Na af Units: Owr.r. arron ons,. . ( /lddress. ~Sift Addn, Zh94 W3ndtree `q-:ve L7 B3 ?•lin3tree i ujjjj ! Plun-ober Dave De ,3 50L. . „Oj,d i M~hr No.l1?o cfS Aidainil Ca `CG~i m~15 . 0 dpd . ~ Reoder No.a S j~ 'I r: ~ tj n`' Vrl • 1or" h esseply Wub -)`'Pkl ~ ~ I 5f . c?rlFc, ''I' ~ ~ I~C. Total: CMIQ~s: 3r ~ ~ 6.~. ~t)pd ^-etPr oae. P+atd: ' 7of 2 sp insp.: P /I 9-" 9(~ CASH RECEIPT ~ . CITY OF EAGAN , 3795 PILOT KNOB ROAD I EAGAN, MINNESOTA 55122 DATE 19,~1sL ~ wcciIvKn Fwaw . , ~ / : ~ i AMOUNT $ I S~ I ~ I ~ ~ DOI.LAR• 100 ~ CASH CHECK wow 4 1 1 L'i i , p ---ar~ ~o ~ PUISD CODB AMOUNT ~ v v 37/3 30 °J o 0 57y,3 340) yy~ D s~ Thank You BY 6 4 3 White-Peyers Copy Yellow-Posting Copy Pink-File Copy CITY OF EAGAN Remarks I Addition WINDTREE LTH ADDN. Lot 7 Blk 3 Pefcel 10 84473 070 0 :e Eagan, MN 55123 d,gWw^,.`-~4 State Owner Street 3 wt-m d Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 151 1971 42 . 15 20 SEWERLATERAL WATERMAIN WATER LATERAL WATER AREA 1972 ` (}O. 2Q 32.00 2O water area 1977 602.00 40.14 15 STORM SEW TRK STORM SEW LAT CURB & GUTTER ' SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK , CITY OF EAGAN ~Q~63 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 BUILDING P~RMIT PHONE: 454-8100 Receipt # 6 i To be used f r. US~~ ~NI5H Est. Value $1+ ~ Date ~T 1$ , 19 90 Site Address 3694 WtNDTREE DR Lot 7 Block 3 Sec/Sub. WINDTREE 4TH OFFICE USE ONLY . P3fC81 ND. dccupancy - FEES Zoning W Name JOHN & s~ ~'~RS~~ (Actual) Const - Bldg. Permit 3~•~ z 3694 IaTND'fREE DR ~ AddfBSS (Allowable) _ 1.00 Surcharqe ~ City EAGAN Phone 4 ld64 # of Stones - PAUL M D[l7CiiER length _ Plan Review a o Name oePtn - snc, cicy 3652 wIIdDTREE nR ~4 Address S.F. Total - 6 Cit Phone 688-0758 S.F. Footprints sAC, Mcwcc r y - On Site Sewage _ Water Conn ~ uu W Name On Site Well - Water Me1er Address MWCC System - q~l. Deposit i w City Phone ciry waie? - 16 PRV Required _ S/W Permit I hereby acknowlege that I have read Ihis application and state that the Booster Pump - SM Surcfiarge information is correct and agree to compty with all applicable State of Minnesota Statutes and City of Eayan prdi~cep. Treaiment PI Signature of Permitee APPROVALS Road Unit A euilding Permit is issued to: p''UL M dUTCHER Planner - Park Ded. on the express condition that all work shall be done in accordance with ali Courvcit applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg pry _ Copies Building Official Variance - TOTAL 3~ ~ Permk No. Pamit Holde? Date Telephone # WATER SEWER PLUM8ING ~ ~ ' GEG ` ~~07 y~ sw 7ECTRIC ,j~~, kupsction Date k1sp. Commenta Foplings I Foundation Framin9 G -9G Roofi9 Rough Plbg. Ragh FIt9. tsu1. Freplace Final Htg. Fina1 Plbg. ~ - _ ConSt. Meler Plbg. Inspector - Nolify Plumber Engr.lPlan Bk1g. Finel Detk Ftg. DeCk Final WeC Fr. pisp. CITY OF EAGAN ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 - / ~C1~ PHONE: 454-8100 BfiIILDiNG PERMIT Receipt M To be ussd for SF UW~~GAR Est Value $94,,000 Date rNP'R jL `3 . ~g u v 3ii'14 iNZiJ17'I'1~E~' L7il 1[.'. Site Address Erect [J( Occupancy Lot 7 elock 3 Sec/Sub. 6lIi4DTgZ:E 4TH Remodel ? Zoning 1 Parcel No. Repair ? Type of Const t,/ Addition ? No. Stories _ ¢ (iilS'I.'Af.iUi,i & .iS$QC Move ? Length 54 Name i 400 i~1ETRC) $LVD Den+olish ? Depth ~ Address Int Impr. ? Sq. Ft City j',iljJA Phone 835'-1001 Install ? Z o Name SAP'E Approvab Fees ~ $ i Address Assessment Permit $ 41 S. 0 c Ciry Phone Water & Sew. Surcharge 47.00 Police Plan Review 207.50 ~ W Name Fire SAC ~ 575.00 _ a Address Eng. Water Conn. 500.00 : i W City Phone Planner Water Meter 63.50 Council Road Unit 290 • W I hereby acknowfedge that I have read this application and state thatthe Bldg. Off. 4/7 /8 6 Tr. PI. 15 6. C) 0~ information is correct and agree to comply with all applicable State of j Minnesota Statutes and City of Eagan Ordinances. APC Perks Signature ot Permittee . ~ Var. Dete CopieS Total $ 2, Z 54 . l? O A Building Permit is issued to: GUSTAFSUN & ASSfi~"-' on the express condiUon that all work shall be done in accordance with all applicable State of pulinnesota Statutes and City of Eagan Ordinances. Bullding Official Permft No. Pwmit Nolde? Dab TwNphow M Plumbiny H.V.A.C. ~ - - Electric ~ 5 6 II;- son.W Inspeefion DaM Imp. Commenfs FwWW 1 4 - /~,6 ~ ~t Foundstion ~ Framinq f RoWing ! Rou9h Plbp. ; Rw9h H!? i imd. ( FMOpla" ~ FN+aI MUp. ~ - - ~ Fx,W weo• I ekq. FkW . c.n. oa. , ' wak Ftg. - , co w* F?mg. wNi rr. oi.r. ~ _ PERMIT # • " PLUMBING PERMR RECEIPT # 3S ~ GTY OF EAGIW 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 4544100 Site A ess i y ~ BLD(i. TYPE WORK DESCRIPTION Lot~_ Block Sec/Su X ~ Res. New m Name Mult Add-on ~ Address ~ C ~ ~ ~ ~O Comm. Repair c City Phone Other FlXTU TQT L Name Water Closet - a3• ; c Address ~ Bath Tubs - $3. ` p City Phone ~Lavatory - $3 Shower - $ ,r a ~ . , FEFS ~ Kitchen Sink- 06 COMM/IND FEE - 196 OF CONTRACT FEE Urinal/Bidet - $3.00 1Laundry Tray -$3.00 `MINIMiJM - RESIDENTIAL FEE -$10.00 ~ Floor Drains -$1.50 MINIMUM - COMM/IND FEE - 20•00 _LH?ater Heater - $1.50 ! = STATE SURCHARGE PER PERMIT - •50 Whirlpool -$3.00 (ADD $•50 S/C IF PERMIT PRICE GOES Gas Piping Outlets - $1.50 BEYOND $1,000.00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 cj'_~ I ~tu L'1__ Z_Rough Openings - $1.50 SIGNATURE OF PERMITTEE FEE STATE S/C: ~ FOR CITY OF EAGAN GRAND TOTAL: a~ 5~~ ~ - . . _ e~-_....~. ~ • ~ ` PERMIT # ' MECHANICAL PERMIT RECEIPT M , • ' CITIf OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE PHONE 454-8100 Site Address 3 r, 07 `I 11 % , , ? ~ ~ BLDG. TYPE WORK DESCRIPTION Lot7 Block Sec/Su ` l Res. X New m Name?~ ~1 11 Mult Add-on to Add. ress~ r e Comm. Repair c City~_! • v~!~,fjrp, ) Phone `/6 - 7S Other Name FEES c Address RES. HVAC 0-100 M BTU -$24.00 p Cily PhOn@ ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 TYPE OF WORK ADDITIONAL 6 M BTU - 6.00 GAS OUTLETS - 1.50 EA. Foroed Ak 2 570 vU M BTU ? " GO COMM/IND FEE - 1% OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unlt Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Afr Cond. ~q 000 M BTU o e STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Vent CFM BEYOND $1,000.00) Gas Piping Outlats M ;tl s00 Other FEE 39 ~ ~ S/C. ~ SIGNATURE MRTEE TOTAL: FOR: CITY OF EAGAN .,e-1 ; . 1. i?s~jX;•. . • ;~a. PLUMBINO PERMIT For Otfice Use Only CITY OF EAGAN PERMIT f CONTRACT 3830 PILOT KNOB ROADl EAGAN, MN 55122 RECElPT #2qLL~ PRICE PHONE 4548100 DATE: Site Addre3s BLDG. TYPE WORK DESCRIPTION Lot lock SeGSub MuR. Add-0n Name Comm. Repair ~ Address Ei ~ Other I~"~,~,~ i~ vi r ~~1-,~-,r -=~•v~+~~, c City Phone _ RES. PLBG. ONLY • COMPLET T E OLLOWING: ~ - NO. FIXTURES TOTAL - ~ Na Water Closet - $3.00 $ 3 . Baa, Tubs - a3.00~ Address Lavatory - $3.00 :3 ~ City Phone shower - $3.00 :!3 Kitchen Sink - $3.00 UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 COMMJIND. FEE -196 OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50 TOWNHOUSE & CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping OuUets -$1.50 MINIMUM - COMM.IND./FEE $20.00 (MINIMUM -1 PER PERMIn STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE) Well -$10.00 Private Disp. - $10.00 Hough Openings - $1.50 SIG TURE OF PERMffTEE M 1 NIMUM PERMIT FEE: a)_ STATES S/C: . r-I Q FOR: CITY OF EAGAN GRAND TOTAL: 1 z. 5O CITY OF EAGAN N p - 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHONE: 454-8100 BUILDING PERMIT Receipt a v 7obeusedtor SF DWG/GAR EstValue $94,000 Date APRIL 9 1y86 SiteAdtlress 3694 WINDTREE DR Erect C~ Occupancy R3 Lot 7 Block 3 Sec/Sub. WINDTREE 4TH Remodel ? Zoning Rl Parcel No Repair ? Type of Const. U Addition ? No. Stories ~ Name GUSTAFSON & ASSOC n4ove ? length Sd 3 Address 7400 METRO BLVD Demolish ? Depih48. ° EDINA 835-1001 Int.lmpr. ? Sq.Ft City Phone Install ? a SAyE Approvala Pees o Name $a nddress Assessment Permit $ 415.00 ~ Ciry Pnone Water&Sew. Surcharge 47.00 ~Q Police PlanReview Z07.50 Fw Name Fire SAC 575.00 ~ Address .~J~~.O~ u ~ Eng. Water Conn. aw Ciry phone Planner WaterMeter 63.50 Council Foad Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe eid9.ot+4/7/86 Tr.PI. 156.00 in/ormation is correct and agre to comply with all applicable State of Minnesota Statutes and City a an dinances. APC Parks Si nature of Permittee Var. Date Copies 9 Total Z, z5 . 00 A Builtlinq Permrt is issue GUSTAFSON & ASSOC : on the express condition that all work shall be done in accortlance with all applicable State of nnes ta Sta tes n ity of Eagan Ordinances. Building Ofticial J ~ 7bis request void 18 nAOhs iRn ~06 a L. -7, 8 3, o. Fequest Date Fire No. RouPh-in Insuecuon ' / eq ^ ~ Rw ? ~Roady Now Nobly, InsVeo- ~T s No Wr When Ready Cj~~Msed ElecVmol Contnctor I herabY ~equest in50ection ot abova ? Owner eloctrical work installed at: Stredc Address, eox or Rame No. Cllvi '36 4- WI N.o 1~ Z- eclion o. lownshio Name or No. Nnngc No. Cow"Iy Occu ant IPRINTI Phone No. IJ ~-S . A-S 'e/ Pwt~/vtiS L/o2 ' ~35-/ oo l Power Supplier AAtl ess V~ on ElecUiwl Conva ~or ICompany Name) ConVactoi's License No. MailinB Ad iess ICunvnctosr ~or ner Makinp Instailationl ~6 .3 V o[ l..f,Sa~? %/y/1~ Authorize ignaw e(Con[mctor/Owner MakmB Inscallalmn) Phone Number fX' ~ \ ~ MINNESOTA STqTE BOAFD OF ELECTHICITY TMIS INSPECTION NEQUEST WILL NOT GrigOS-Midwxv Bldg. - Poom N•191 BE ACCEPTED BV THE STqTE BOAFD UNLESS PROPEH INSPECTION FEE IS 1821 University Ave., St. Paul, MN 5510E Phona 16121 297-2111 ENCLOSED. /j.~ °J REQUEST FOR ELECTRICAL INSPECTION M ea-ooooi-oa ~i ,D ' See instructions tor completing this form on Eeck ol vellow copy. o 682.99 "'1(" Below Work Covered 6y This Request C'~[/ ~ A flep. Type oi BuJCing Apolpincas Wired Equipment Wired Home e Temporary Service Water Heater Liqhtinp Fixtuies Apt. wldinq yer Elecinc Heaun Commercial Bldy. mace Silo Unloader -Ae Industrial Bldy. Air Conditioner Butk Milk Tank farm otnei oeci v 0111er Ist,ec,tyl t a.r SVeufy Other Oth~;r ompute lnspectron Fee Below pFee Service Entranca5ize 4 Fee Fexdars/5ub(eeders N F¢p Qmw[s U to 200 Am s e0 0 to 30 qmps 0 tn 30 Am s Above 200 qi»py~, ~ 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Above 100_Amps Transiormers Irrigation Booms Partial'Other Fee Signs Speciallnspection 5 2Ot1 Hemarks T A FEE ro Roueh-m , A Dp[e ne Elecvic ~G Insp ereby Final certily thet tM1e above r ~ inspection has been mada. ThIS reQUest voltl 18 months Irom /UjE95/5;0 99,221% a 29604/,7s i Repuest Oale Frte No. RouBh~in Inspeciwn Feqwred7 ? ReaCy Now tll N N eno C L y s No W / eatlY~ 1190 I i ensed contractor ? o ner hereby request inspectio(i of pbove elecVical work at Job AEtlress (Slreel. Box ar Route No Qry~ /L.G £ Secbon No. Townshi0 Name Or No Renge No Counry Qcupanll PINT) Pbone No. 7fA*4SNFl,c ~ Power Supvlier Atlaress E;¢LinC C r Campdny Ndm (]pnVdCtOf5 LtCBnSB NO Y ing atlres nUactor or er Mabng Inslallation, z Authonzetl Sign ConVe dp.vner Mekin Installetwi Pbone Nu/myper MINNESOTA STpTE BOARD OF ELEQPICITY THIS MSPECTION REOUEST WILL NOT Grlgga-Mitlwey BICg. - Room S-173 BE ACCEPTED 0Y THE STATE BOARD 1521 Unlvanlty Ave.. SL Paul. MN 55104 UNLESS PPOPER INSPECTION FEE IS Plrone(fi12) 6C2-0800 ENGLOSED REOUEST FOR ELECTRICAL INSPECTION ' a, eeooom-oe M ? Seansfruceons i.nr compleUng fiis lorm on Gack ol yeliow cnpy ~'{09.1 29604 "X" Below Work Covered by This Request g~•~~ ~ e Atltl Rep. TypeofBuiltling ApphancesWired EquiOmentWired Home Range Tamporary Service Duplez Water Heater Elecinc Heatmg ApL Buiiding Dryer Other (Specify) Comm./Indusirial 'Furnace Farm Air Condrtionar OtherlspecAy) Conuector5 Femarks. Compute Inspection Fee Below* /~P3 A Olher Fee # ServiceEniranceSize Fae # Circuits/Feeders Fee Swimming Pool O l0 200 Amps o to 100 Amps Translormers Above 200 _ Amps 100 _ Amps Signs Inspecwr's Use Only . TOTAL ~ Irrigation Booms ro o Special Ins eclwn U~ Alarm/Communicahon THI IION MAY BE RDERE DISCONNE D-IFNQVt Other Fee COMPLETED WITHIN 18 MONTHS. 0 'Via I, the Elecirical Inspector, hereby Rouqn-in a~e O~ G 7 ceridy Ihat the above inspection has F,,,a~ oata C been made. OFFICE USE ONLV Thas requast wi0 18 months Iram CITY OF EAGAN NO ~$463 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i0 107 J~('0 Z BUILDING PERMIT PHONE:454-8100 Receipt # To be used br BASEMENT FINISH Est. value $1,500 Date OCT 18 , 1990 Sile Addtess 3694 WINDTREE DR Lot 7 Block 3 Sec/Sub. WINDTREE 4TH oFFiCE uSE oNLv P2fC81 NO. OccuDancy - FEFS Zoning _ w Name JOHN & SUE MARSHALLA (ACtua1) Const _ BIdg.Perme 35.00 ; AddfeSS 3694 WINDTREE DR jAllowable) _ 0 Cit EAGAN Phone 454-1084 N ol Stones _ Surcharge 1.00 y Lenglh Plan Review o Name PAUL M DUTCHER Deplh - SAG City Address 3652 WINDTREE DR S.F.7otal U~ City EAGAN Phone 688-0758 SF.Foolprinls _ SAC,MCWCC On Si1e Sewage _ `Nater Conn r ww Name OnSileWell _ ~ w W ater Mater Address MWCCSysiem _ iw City Phone Ciry Water _ Acct. Deposit PRV Required _ SIW Permil I hereby acknowlege that I have read this application and slate that the Booster Pump - SiW Surcharge information is correcl and agree ro com ly with all apphcable State of Mmnesota Statutes and` rt f Ea~gan O i anc s. 7reaiment PI SignaWre ot PBrmiteeL2~"^~'~ APPROVALS Road Um1 A Bwiding Permit is issued ro: PAUL M DUTCHER Pianner - park Ded. on the express condtlion ihat all work shali be tlone in accordance with all Councd applicable State ol Minnesota StaWtes and City ol Eagan Ordinances. eldg. Olf _ Copies Building Official Vanance - 70TAL 36.00 ~ - 1986 BOILDING PERlIIT APPLICATION - CITY OF EAG9N NOTE: ALL COtTfRACTORS MQST BE LICENSED fiITB THE CITY OF EAGAN SIAGLE F9MILY DiIELLIAGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MQLTIPLE DTd6LLINGS - RFSIDENTI9L BENTAL Q6ITS FOH SALS QNITS ZNCLUDE 2 SETS OF PLANS, CERTIFICATE OF SDRVSY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCDLATIONS COMRSERCTAi: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND 94, Dcb ~ . ) To He Used For: 4 ~`--~`"o Valuation: ~ Date: /~0 ~ Site Address w(r n OFFICE OSE ONLY Lot 1 Block 3 Erect x Occupancy R•3 Remodel - Zoning TZ. ~ Parcel/Sub Repair Type of Const ~ Addition II of Stories Owner Move Length S4 Demolish - Depth Address Znt.Impr. Sq Ft City/Zip Code Install 5 5~3 Sl Phone APPROVAIS FEES Contractor ~ ~ <z Assessments Permit Water/Sewer Surcharge 4-1 Address Police Plan Review 'Lp-7. ° r Fire SAC 5?S, City/Zip Code Engr Water Conn Spp. {Planner Water Meter 103.$D Phone Council Road Unit Z90- Bldg Off -7 - Treatment Pl 15(0. Areh./Engr. APC Parks Varianee Copies Address ~ iOTAL City/Zip Code Phone ll NOTE: ADDRESSES FOR CORNER LOTS - CONTR6CTOR/HOPiEOANER liDST DESIGNATE HHICH ADDRESS IS DESIRED. HO CHANGFS fiILL HE ALLOiIED ONCE BOILDING PERMIT IS ISSIIED. 'L~o K~+c~Co ° ~ (~ICo 1~ S8 ` (o`~3cfl8 . l Z x 2~ ~C) K (o = ~no ~ 44 - q400 3Zy.24- - C~8 x f2 ` 92~ q 3594 , . ~ o•* ~ 31 •oo+ 36•00*+ rHecdlund Engineering Services 7714 Morqan Avenue SoutA RIchfIeId,Mlnnewta 00423 O Su4v~yors Clvll Enpineers Land Plonnere Phono: 666-2623 ~ Sine,#ors G'ert~f "~cate _ JOB N0. SURVEY FOR:Aspen Ridge Associates OESGRIBED AS: Lot 7, Block 3, {tiindtree 4th Addition, City of Eagan, Dakota County, P,finnesota, and reserving the easements of record. TOP OF FOUNDATION = yo/.6 GARAGE FLOOR = 90/. Z BASEMENT FLOOR = 898.¢ SEWER SERVICE ELEV. = N/A PROPOSED ELEVATIONS EXISTING ELEVATIONS : - DRAINAGE DIRECTIONS : DENOTES LOT CORNERS : O DENOTES OFFSET STA3iE: o c, 82°56'30..W e9B\ 105.95 In ~ ~ - m qo, 1o 7 ' L 1 998. ~ 1_- qp 1.6'OvQrl.c..y B. i, 1 pi --'-0 O . 1hW/o 46 "13 q9•~1 Q t_~ ~ ~n 1 - ` ~i Proposed ~ -p. 897.3 w lY~ L NWN om v. a SG 1---- 8 3 O a.l . W O P'ii'° ~v ~ 9' 3~y I 0~~ I 9oz. 6ora9e ' ~ m ~ •'s.6- - - - - - zo. 4 80-0 - ~ I ~ o ~ I y ~ - NZ 10 a h i 104.96 ' 7.3 N84°47'23"W NDTREE gqd q c,a. I CERTIFIGATE OF SllRVEY ~R~VE e96.5 I hereby certify fhat on 3/Zo/$G I iurveyed the property descriDed obove ond thot the obove plot is o correct repreientotion of sold iurvey~2~ Colvio H. Medlund. Minn. Roo N0. 5942 - ~l , . 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN ~CT 1 5 1990 SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COhIPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:, efS~,tvv-.0- &-~,Sh Valuation: Date: Site Address LylYlL4i1'L°L U/~ ~~D-- OFFICE USE ONLY Lot ~ Block FEES Occupancy ~i Zoning Parcel/Sub 11) U11 f1.{N-oliILAt Actual Const Bldg. Permit \\I (J?' Allowable Surcharge O~~mer ~J i ylr}-SLV- Wlt Y'4-VLA 1C` # of stories Plan Review { Length SAC, City A d d r e s s 1"),j~~¢ tr-e-G IN- Depth SAC, MWCC S.F. Total Water Conn City/Zip Code ~~~ti,~~ j~l~l • Footprint S.F. Water Meter Acct. Deposit Phone LE5¢-10~4- On site sewage_ S/W Permit On site well S/W Surcharge Contractor ?{9t1I MWCC System _ Treatment Pl. / City water Road Unit Address OY' PRV Park Ded. Booster Pump Copies City/Zip Code CC~cqGZ,'vl Y'1/1.-~ . SUSTOTAL APPROVALS Penalty Phone kk- b ( 5-9 planner TOTAL Council ~ Arch./Engr. Bldg. Off. ~~jD/rS- Variance Address City/Zip Code Phone R ****#*##**********i*tfii****##*t#**Y M CITY OF EAGAiV * ~F~ ,*t APPROVAL OF PERNIIT. APPLICATION FOR PERMIT * ~ . * INSPDC.TION OF SEWIII2 AtID/OR FIIUR ,*f rnZrar.raTIONS WIIL NCn SE SCHFD-D-- SEWER AND/aR WATER CONNECTION *UI UNTIL PERMIT HAS BEEN * APPR(JVID. * w r **f****###****k*ff**R***t*i*!f**f#*Y P ease Print) 1) PROPERTY ADDRESS: S ~ ~J y ~ /Jc{ f 2 - LEGAL DESCRIPTION: - Lot Block Subdivision or Tax Parcel ID ) IF EXISTING STRCCIS7RE, DATE OF ORIGINAL BC'ILDING PERMIT ISSL'ANCE: ' ' PRF_SENf 7ANING/PROPOSID L'SE: lMon Year) ~ M11MERCIAL/REPAIL/0FFICE to, R-1 SINGLE FAMILY ~ ZDIDCSTRIAI, r-I R-2 DL'PLEX (ltao Units) G INSTI2i'TIONAL/GOVII2n-4ENT ~ R-3 1OWNHOC~SE (Three + Units) ( Units) . ~ R-4 APARTN=/CObIDOMINIC'M ( Units) 2) ~ . 17rtve D ADDRESS. ° • -Z16 a,7 Pti;o~ N CITY. STATE. 2IP:s'T l~Lr`sJd Z PHONE:~/ I • 3) c~:"• NAME: For City Use . P1umUers License: ADDRFSS: Active CITY. STATE, ZIP: Expired ! Not recorded PHONE: MASTER LICE[VSE# ) ~ ~pd St~Intial 4) •k• • • , i~- NAME:ijrrGe WaA/ U5 VS T _ ADDRESS : 7~f Cra T~C' 0 1`3 / 1/h C2TY. STATE, ZIP: lz o~ ,`nf r9 0-~ 'A/ n/ PHONE: 'S) ~ ~ ' t r • : a • o~ :I. a~ EP CONNF.CTION TO CITY SES4II2 {aT CpNNECPION TO CITY WATER ~ OTFm . , Y~ 6) ~ r ~ PLFASE HOLD APPROVID PERMIT FC)R PICK-UP BY ONE OF ABOVE PLEASE MAIL APPROVID PERMIT TO 3. 4. ABOVE le one) 7) r. r. p. . IM2 7~~`- Y'I" M • 1 7 I:e• . i1 Y71' • 71'1 1 ' 71' • ' D~ • r. • 1>. 1• 1 : i M'I. •.!1?~ I 1 1-' JI" • :A• • Y 1 e•~. 4 ~ " . FOR CITY USE ONLY PERMIT # ISSC'ED 7 7 Pd w/Bldg. Permit FEES: $ $ l(j d SEWER PERMIT (INCLUDE SURCHARGE) $ $ /0•_57-0 WATER PERMIT (INCLODE SC'RCHARGE) $ 63' S'o S WATER METER/COPPERHORN/OI:•TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ /57'0 6 ACCOUNT DEPOSIT - SEWER $ $ 0-0 ACCOONT DEPOSIT - WATER $ e27D 0 , 0 O $ wAC $ $ sAc $ $ TRUNK WATER ASSESSMENT $ $ TRC'NK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL'NK SEWER $ $ LATERAL BENEFIT/TRC'NK WATER $ On $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: S 12- `j $ TOTAL 61.3 R~ 43(f 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWZNG CONDITIONS: APPROVED BY: TITLE: DATE : 7/7 /O 6 ~ Z RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New ConaWCtion Reauiremanb RemodallRenair Reauirements • 3 registered s@e surveys showing sq. R. af lot, sq. R. of house; and all roofed areas . 2 copies of plan (20°b mu'unum bt coverage allaxed) . i set of Energy Calculations lor heated addilions • 2 coDies at Plan sMwing beam 8 window s¢es; poured found design, etc.) . 1 sile survey for ezlenor addifions & decks • 1 set of Energy Calculations . Indicate if home served by septic system for additions • 3 copies of Tree P2servatbn Plan if lot platted after 711/93 • Rim Joist Detail Options selection sheet (bldgs wilh 3 arless units) ~ :1 DATE :71:- -7 ~ f G VALUATION ~ SITE ADDRESS ^ l(,C MULTI-FAMILY BLDG Y N TYPE OF WORK ellI ' i ' Q.-" FIREPLACE(S) _ 0_ 1_ 2 APPLICANT 4P/u Gk,4 Pif~'N. ,D STREET ADDRESS 9OO` .f/OYLl, 6110 111 CITY rOr STATE ZIP ?f~ TELEPHONE # CELL PHONE # FAX # PROPERTYOWNER P1Ciil.r SV/A/J'1I/~iI TELEPHONE# COMPLETE THIS SECTION FOR NNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ M WNLSO'I:A RULES 7670 CA711?GORY 1 J4INNLSO"I'A RULLS 7672 (J submission lype) • Residential Venlilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __Phone # Pluinbing syslcm includes: Water Soitcncr _ Lawn Sprinklcr Pee: ^p90.00 _ Watcr Heatcr No. of RI. 13aths No. of 13aths Mechanical Contractor: Phone # Mechanical system includes: Air Conditioning MT1_ Heal Recoveiy Sy stcm Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the informatio corre , and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordjci ~ Signature of Appllcanl ~ ~s •f~A ~ ° OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundalion ? 07 OSplex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) O 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alleralion ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings(deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation _ HVAC Drain Tilc Othcr Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tesa _ Final _ Framing _ Siding Stucw 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 S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total c~I t- Ik vn cnltLurc nlt NiU E "U" (;f:t7NUfAI107i ~ 9~sd~ .L~~ a3, Lirtl-. r r~ d7 .cc TRAcrcr.: ~ASPF,?J 146& r,nlNFZ, earF: 15 f~~ PNONE: DEiERNINE t+OP.Kit;; SOUARE F00T/1GE OF EACH: TGT;1L C'CIOSED UALL AREA. '10. 5q f t x"U" .I ~ = a,8~• (o TOT.AL Rr,GF/CEI:ING AREA • . • • • • • • • 1530 5q. ft X f,u" .02~ 3q.za TOT;'•.L E:(PO;cD tl;,Ll AREA'CALCULATIQ;t;: Toca1 exposed wall, area acove floor........ _ sq ft a) Total wa11 rrindoH area: ,&Ud(V,)- glazed...... - d~ sq ft. x'lull glazed,,,,.. sq ft x "U" - b) Torzl door area 36e sq fi x"U" c) Total slidinq (llass door area: • clazed...... sG ft x~~U" 9lazed...... sq ft x "U" - d) Toczil fireplace wall area sq ft x"U" ~j(p = c) Total wall fra-ming area • , (Avera,e 10") . . . . . sq f [ x ~,Un . ~qa.J - - ~~•T f) 7otal nec wall area above •floor (Insulited)...... I~pZ,O•~ 5q ft x "U" 73.99 Total rim jois[ arca..... sq ft x"U" = r/,!~1_. -t Total foundation • arca (Exposed)........... Sq pt . 1+) Total fcunrlacton tiindow arca............. sq ft x"U" ~j = • . 1) To;ai nct (ounc{j;ir,n arca -bove Sq ft x"U" •~o~.J =~~e~?-- • 70TAL a) thru I) = abq• a~-~ I( i ccn IIj i: thr as. nr lc;; th.in i•••a //I, ~ ,.r..f. yn? have me[ thc Intrn[ a. Soctfon !•i^OG / " . . , .F I L r.al.c!ILnTi Ta!;I exrnsed r.cbF/ceilinrl area...... • ' 5 9 f [ .1~ Totol skyliahC area... . . . . a 5 a f t x Tccal rcof/coilinn framinq . area. (Averane 1r,.`.),,, _s(, f[ x .02.q . ,(oS 0 Tctal r.et insulated ' L rccf/ceilinq arez...... _ 13~q.8 5Q ft x,.u„ ,022, ~ o.l T,37AL j) tfiru 11 ~jr(•`jq tOCcl et °1I iS [SC SZtr.e c5, Or lC55 thcn .C. Sec;icn F~;nF {c} • You have re: [5e intent of P.LTcR.'IATc PUiLDI;iG EtlV'cLCPE pESI ;1! eciliz= t`e tc,al envelope system nethod; the values esiablis`ed by t`e sun ~ it_ns and s,L,-11 ncc Ee creat-r t`en „ e scn cP i Le.:,s al and -2. • + 2. _ . . 4 . C E F T i F 1 C p, T 1 p ti ~ hP'e5Y certify tfiac I 6<-ve [zlcula[ed the U" fac,crs and "R" ns F.erein znd t5at [`e huilcinn F.<~re (escriaed m ~ ~;,~~~~~2 E~P - ce[s er ea.ceeds c,.e S;ate rny ConSn.rvaticn Act. • . • / • im 55e~~~ (Sicnature) ~ 2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. siogle (amily dwelliogs & townhomes/condos when permits are required for each unit Date C) ~ Site Address Onit # Property Owner Telephone # ( ) Contractor Street Address City 7 C~`~ r State Zip kr3Telephone# (~rj WrJa-o~ ZZ ~ Bond Expires: The Applicant is _ Owner N -4 Contractor _ Other Add-on or altera[ion to exis[ing dwelling unit $ 30.00 ~ furnace _Additional _Replacement air exchanger airconditioner _New _Replacement other State Surcharge $ .50 Total $ 3Q • I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; [ha[ I understand [his is not a permit, but only an application for a permit, and work is not to start with t a mit; t the w rk will be in accordance with the appr ved lan in the case of work which ruires a review and approval of la . C - ~ Applicant' Printe Name pp li p ant's gna re ~4U77-7 I ,F 7 ~3 ?005 ~~i ~~y • - 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/industrial buildings multi-family buildings when separatc pcrtnits are not requircd (or each dwelling unit Date Site Street Address Unit # Tenant Name (ifapplicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond N: Expires: The Applicant is _ OH'ner _ Contracror _ O[her Work Type New Construction _ Underground Tank _ Install _Remove "see 6elow Interior Improvement _ Install Piping _Processed _Gas Nature of Work: "When irtstalling/removing underground tank, call for inspection by Fire Marshal and P/umbing Inspector P2rmi[ Ff¢5: 370.50 Underground tank in5tallalion/rcmoval 550.50 M1firtimum (includes SUte Surcharge) or Con[ract Value $ x 1% = S Pennit Fee • If ep rmit fee is $1,000 or less, add 5.50 0 $ State Surcharge If eP rmit fee is over $1,000, add $.50 for every $1,000 eo rmi[ fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and acwrate; that the work will be in conformance with the ordinances and codes o(the City of Eaoan and with the Mechanical Codes; that 1 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 wi[h the approved plan in the case of work which requires a review and approval of plans. ApplicanCs Prinred Name Applican['s Signature Approved By: , Inspec[or Da[e: ed 11\\, i(‘ For Office Use Permit#:_i; 6, 7 2 Permit Fee: /OAL 7 - Date Received: -- 3830 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff: r� buildinginspectionstc7r cityofeagan.com L sEp 2018 RESIDENTIAL BUILDIN�C� PERMIT APPLICATION Date: Site Address: Unit#: Name: L Jt, .�a�t. �.G Phone: Resident/ r [ Owner. Address/City/Zip: 1 �`. 1, t1/4--t-* "t." Applicant is: 3K_Owner Contractor 77/A Type of Work Description of work: "" S' ice / Construction Cost: `" Multi-Family Building:(Yes /No ) Company: Contact: e Address: D3L,L �ct L - City: Contractor ` State: '.Zip: S Phone. S I-30 -32.email: License#: (Q. �1'j Z Lead Certificate#: If the project is exempt from lead certification, please explain why: 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 '1( No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.gopherstateonecall.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 -•t - of•'ans. �\1/4. Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE 7ill/ /Id� 4�E �-5 7 � ` LL f SUB TYPES Foundation Fireplace Porch(3-Season) _ Exterior Alteration (Single Family) Single Family Garage Porch(4-Season) _ Exterior Alteration (Multi) Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New /' Interior Improvement Siding _ Demolish Building* Addition Move Building Reroof Demolish Interior Alteration Fire Repair Windows Demolish Foundation °\ Replace Repair Egress Window Water Damage Retaining Wall *Demolition of entire building—give PCA handout to applicant DESCRIPTION /?1 ( Valuation Occupancy , MCES System Plan Review Code Edition011,010,0( SAC Units (25% 100% ) ZoningAY- City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )e Final/No C.O. Required Foundation Foundation Before Backfill X HVAC Service Test Gas Line Air Test Hood Roof: Ice &Water Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFIS Y Insulation Windows —t'' Sheathing Retaining Wall: Footings Backfill Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In Final Braced Walls Erosion Control yShower Pan Other: Reviewed By: / "2,- , Building Inspector RESIDENTIAL FEES Base Fee .„,„14 Surcharge ,,.611 ( rf Plan Review ,Z, , 0640# MCES SAC '� City SAC 1, Utility Connection Charge ( 0 V ) 0 , 1 S&W Permit &Surcharge Treatment Plant Copies / q 72y2 , 9 TOTAL '5/ S di;`age of 3 For Office Use k` # �o Permit#: ,, E AG AN 4, t, -� ere ,, 0 6.'-' Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections(a�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: 3()lc( LDC�.$)4.--`J,QJL 1Jc,`, Tenant: Suite#: Resident/Owner Name: Phone: I Address/City/Zip Name: --)c�VwN V " �l$2.1.5 ✓ License#: W__4-, lJ��j Contractor Address: .Lc O `�� City: Sc-LL C(i .'tib-- j q State: '(/\ Zip: .5-.-0v? Phone: �j (7,- X23 62 30 I Contact: Email, IAA- J2rS t\LCCIA--. Type of Work —New Replacement —Repair _Rebuild Modify Space WorkinR.O.W. { Description of work: ' G:u�t lKl l 1 "eC'e/ -� IL 4) i RESIDENTIAL �� i ) Water Heater i PWater Softener I Lawn Irrigation(—RPZ/—PVB) i Permit Type ; Septic System Add Plumbing Fixtures( Main/—Lower Level) New Water Turnaround i Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) ' $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) 4 *Water Turnaround(add$280.00 if a 3/4"meter is required) j $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ t. � _ CALL BEFORE YOU DIG.Call Gopher State One Cali 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.aooherstateonecall.orq You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaoan.com/subscribe. 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. xv/ Q./> x Applicant's Printed Nam Applicfi. FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: PERMIT City of Eagan Permit Type:Building Permit Number:EA164631 Date Issued:10/05/2020 Permit Category:ePermit Site Address: 3694 Windtree Dr Lot:007 Block: 003 Addition: Windtree 4th PID:10-84473-03-070 Use: Description: Sub Type:Reroof Work Type:Replace Description:Includes Skylight Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - David R & Vicky M Stanich 3694 Windtree Dr Saint Paul MN 55123--131 (612) 859-1641 Capital Construction Llc 416 Gateway Blvd Burnsville MN 55337 (952) 222-4004 Applicant/Permitee: Signature Issued By: Signature