3710 Windtree Dr
MAY 8, 1991
~ - DATE:
RE: 3710 WINDTREE DB (MONTGOtlERY DESIGN 3 BUILD)
X YoLtr 5ewer & Water Permit for the above property has been completed. It will be held at the
5Vblic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
itALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
(ger#t#tra#r af (Orrupanry
.
Citp of tagatt
arfuhbrttt of luildittg Jttoperti.an
Tkls Ca~rJ'iaQlc issr~d ptrrstrant m the nqrarrmenlr oJSecxion 306 ojthe Unijorm BuUd'iKg
Code oailfjdisg llrat at !lu dw of imaxae 1lusshuutu+e wars in wmplianoe wttle Ilre Harious
a~f'uwnors ollhe aty neguhaft buildurg aomvucdon cr usa For the fo!lowuig:
tie ad.rraio. B14& in - tio.
0,,q a zm69DW- a t 7~w COUR
Oweet of Ad&M IIdA-
EWM
Dmld4 M"
Wiwm OBoiat / TTuT~
POST* A CONSPICUOIJS PU1CE
rd:"
-i - CITY OF EAGAN 19011
'
~ 3830 Pilot Knob Roed, P.O. Box 21-199, Eagan, MN 55121 a
PHONE: 454-8100
$UILDING PERMIT Receipt # ~ -
~
Tobeusgtlfor+ SF D'M1G/GAR Est. Value ;1299000 Date l~LY b . 1991_
Site Adr;1ress 3710 VINDPEitE DR
Lot 20 Block 2_ Sec/Sub. WI~~ a?lt OFFICE USE ONIY
Parcel No. occupancy R-3 i FEES
zoning JL!P-1
¢ Name MONTGUff RY DEtIGN b ~t1I1~]
~ (ACtual) Const - Bldg. Permit ~QQ
Address 3772 RID(`.EiiODD D4 (AUowable) _vav City Am Phone 6a1_17y3 M of Stories _ Surcharge b4. SO
~~~o _Me Plan Review 4111.0
~
~o Name AAM! oedu, -2A-# snC. Gry 190.00
Addf@SS S.F. Total - SAC. MCWCC 6%-W
Clty PhOfle S.F. footpriMS _ 6~•~
On Site Sewage Water Conn
yVj W Name It On Site Well - Waler Meter 95.00
~z Address Mwcc system x
City Phane ary waier I~ oepos't 30"m
PRV Required _ S!W Permil 30,
QQ
I hereby acknowlege that I have read this application and state that the Boosler Pump _ S/W Surcharge --A.W
iniormation is correct and agree to comply with all applicable State ot
Minnesota Statutes and City oi Eagan Ordinances.
rreatmentPt 27b.00
Sgnature of Permitee -h~if ' P ( ,,.t ROVAIS
~ ' Road Uni1 370•OQ
A Building Pertnit is issued to: M" RYTDnIQm' Pla^^ef - park ped,
on the express conditlon that all work shall be dOne in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ Copies
Building Official ' Vaziance - TOTAL 3¦ 4"• ~
Pa mk No. PKmit F1old~r Oab ToMphonw #
WATEH EZL 2 `S~ G rj
SEIW,R
PLULeING
AF _
H.vA.c.
aEC,Ric
r,.p.cum ate conwnwa
Footings 1 $ 71-7
Foundation S~
Frammg Roding
Fiai9h Plbp_ 6-
Rough Fltg.
Isul.
FM6PISC6 /
Final Htg. . L
Orstsit Test
Final PIb9• " Pb9. I^$Pecta - NotitY Plumber
COnst IAeter
ErWJPlan
Bldg. Final ~ z 2% S
Dedc F1p.
Dedc Final
Well
Pr. Dbp.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN ME7ER # 7~ 9#ZS PERMIT DATE 25/00 % 91
3830 Pilot Knob Rd. 11974
Eagan, MN 551 22-1 697 GHIP ~ S~ PERMIT ~
METER SIZE A S Su s B.P. RECEIPT # C 1326
DATE . Z'AY 6, 1991 ISSUE DATE ?-Z p- 9/ B.P. RECEIPT DATE ~ 5 Oi!~ 1
_ PRV - BOOSTER PUMP
SITE ADDRESS 37 ta wINDTREE. Dx PERMIT REOUESTED
LOT20 BLOCK 2 SEClSUB WINDTREF. f?Tfl
X SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL
CITY, STATE ZIP x NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: NEL' iPLUMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 991 BOSTON HILL RD Credit WILL NOT be given for Deduct Meters.
CITY, STATE EAGAN MN Zip 55123 1 ~ r
PHONE: 688-9104 ~ i!-~
AGREE O COMP! WI* CITY OF
OWNER: ttONTGOM.'RY DESIGN & BUILD EAGA INANCES
ADDRESS: 3772 RIDGEWOOD DR
CITY, STATE EAGAN MN Zip 55123 ~
PHONE: 681-1773 Oi 457-407 5 SIGNATURE WHEN METER ISSUED I
PLEASE ~A1.L~W 'TWO YIIORKING DAYS F6dPR~CESSING. CALL 454-5220 FOR INSPECTIONS. FOR STOR'
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SER & WATER PERMIT OFFICE USE ONLY
, CI F EAGAN METER # PERMIT DATE
' 3830 Pilot Knob Rd. ~ ~ r
Eagan, MN 5122-1897 CHIP # PERMIT #
J:' METER SIZE B.P. RECEIPT # C 11'' 2 L~
DATE MAY 6. 19; 1 ISSUE DATE B.P. RECEIPT DATE 7'-
_ PRV - BOOSTER PUMP
SITE ADDRESS 3710 N11r;DTREE DR PERMIT REQUESTED
LOT 1LBLOCK 2 SEClSUB WINUTRE:E STIi
SEWER x WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND y RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: NEII PL1itiBING Ahead of Domestic Meters on Water Line_
ADDRESS: 991 BOSTON flILL 1:D Credit WILL NOT be given for Deduct Meters.
CITY, STATE EAGAN MN ZIP 55123 PHONE: 6£f1-9104
I AGREE O COMPLY WITH CITY OF
OWNER: NUNTGCKERY UESI:;N b. BliILll EAGAN ORDINANCES ADDRESS: 3772 ~iDGEW0c7D 7Ii '
CITY, STATE EI?G40 'AN Zip 55123
PHONE: :'0E1- i 773 OR 457-4c~75 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMRS, CONTACT ENGINEERING DEPT.
CASH RECEIPT 0.
CITY OF EAGAN~
r
3830 PILOT KNOB ROAD `
EACAN, MINNESOTA 55122
DATE 19 J...~-
~u
AMOUNT
a ooLuas
O CASH '['I CHECK
~ ~ ~ ~ I i ~ I ,
,
' FUND OBJECT AMOUNT
!
f
~ Thank You
BY ,
C 13263
YMow--P-" Copy ~
PirYc--Fft Capy
Feques~ Date Fre No, Rou9nin Insoe<tion
Fequrt d+ ? Reatly Now ~ ill Notdy Inspeclor
- es = No W~en Reatlyv
licensed contractor ? owner hereby request inspection of above electncal work at:
Job Aatlress ISUeet Boi or Rowe N? Cny
~ D lNb
Sfcbon o TownsM1ip Name or Plo Fange NO CAUn n
Occ' aN IPRINT~ Pnone No
PSuOpiBr ~y AOtlress !
Eiecmcai Comracto~ iCOmpany N e) / Conlreclors i ense N.
~
Maihng Apores Conir ct~OwnPr 1.tabng IretaO Yon,
Aulb z gnaWre ~COnlraclo,;0 ner Makin Installalio Pno~l$NUmber
V
MINN OTA STATE BOARO OF ELECTRIQTY THIS INSPECTION REOl1EST WILL NOT
GriggS-Midwdy BIEg - Room 5479 BE ACGEPTED BY THE STATE BOARD
1821 Unrvereity Ave . St. Paul. MN 55104 ' UNLESS PROPER INSPECTION FEE IS
Phone (611) 603A800 ENClOSED
REDUEST FOR ELECTRICAL INSPECTION ee-ooom-oe~
? See insimciions ior compieimy inis brm on oack oi yenow copy s`~' ='3..• ' 14 ~ '."X" Below Work Covered by This Request
L'
ew Add ReIN( 7ypeofBuilding ApplianceSWired EquipmentWvetl
Home Range Temporary Service
Duplex Water Heater Elech¢ Heahng
Apt Builtling Dryer Other (Specify)
Comm./lndustnal Furnace
Farm Av Conditioner
4 Oiher(syentyl Canvacror's Remarks
Compute )nspecbon Fee Below:
> ~ Other Fee * ServmeEntrance Srze Fee N Qrcuits/Feeders Fee
Swimming Pool O to 200 Amps ~ to 100 Am s
Translormers Above 200 _ Amps Abovel00 Amps
SIg05 Inspecmr5 Use Only' 0" 0750
Irrigation Booms
Special Inspection
AlarmlCommunicaeon THIS INSTALLATION MAY 8E ORDER ~ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
1. Ihe Electrical Inspector, hereby Rouqn-m oate
ceruty ihat the above inspecnon has F,r,i
been made
OFFICE USE ONLY
Tbrs repuest voitl tB momhs Imm .
s/.f / /s/ /0/605/-
p 0 0 2 71 ,Cao >9,7000
Reduest Ogle Fire No. Roughin Inspection
S_ ^ Feduvatl'+ ? Reatly Now ^ ill Nality Inspector
No When ReatlyP
~ensed comracror ] owner hereby request inspecuon ot above electncal work ac
Joe ndtlress (SVeet eox or Rome ~ Q .
v
Sectton No Towni Name or No Range No Cou
OC<u nt(PRINT) ~ ~ M1one No
Po~r up0lier qddress `
~eclr al ConIIado~l onpany Namel / COnUactors nse No
Mauinq 4atlre ICOncractor or Owner Making Insialla on~ O /
r ~s_~, I 3 v~I~ ~
4ulnonzetl nalure IGOnvaUOnpnner Ma~inq In ~allaLOn~ Pbone Number
~ D- lo
MINNESOTA STATE B04RD OF ELECTRIGITV THIS INSPECTION REOUEST WILL NOT
Gnggs.MiEway Bltlg. - Poom S-173 BE ACCEPTED BY TME ST/TE BOFRD
1821 Unrversity Ave. SL Peul MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone(61]) 6d3-01100 ENCIOSED
REQUEST FOR ELECTRICAL INSPECTION ee-ooom-ae
? See instmclions lar comp:ating this lorrn on back ol yellow coOY ~z
( 'd,rV _f`ryY`
, :
~ nn-9 "X" Below Work Covered by This Requesf ,
e Atl4j~,Rep_ TypeoiBuilding App6ancesWired EquipmemWued
Home Range Temporary Service
Duplea Water Heater Elechic Heating
lApL Building lDryer Other (Specify)
Comm.Jlntlustnal Furnace
Farm Au Conditioner
Other (syealy) ConVactor's RemaBs
Campufe Inspechon Fee Below:
n. Other Fee d ServiceEntrence5ize Fee 0 Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps - 0 to 100 Amps -
Transformers Above 200 _ Amps _ Amps
, Signs ~ inspectors use Onry. OTAL ~O
Irngahon Booms ~
Special Inspecllon
Alarm/Communicalion THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee / COMPLETED WITHIN 18 MONTHS.
I, ihe Electncal Inspectoc hereby ROOqn'" 2 74f oat ,Q
certif that the above ins ection has ~
Y P Final b, t_'' . J r Date
been made
OFFICE USE ONLY
TM1iS rPQuPSi V0t0 1B TOnt115flOR1
CITY OF EAGAN 19 O~.1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT aeceipt x G) 3D b3
Tobeusedfor ' SF DWG/GAR Est.value $129,000 Date MAY 6 ,1991
Site Ad'aress 3710 WINDTREE DR
Lol 20 Block z Sec/Sub. WINDTREE STH oFFiCe uSE oNLY
Parcel No. acupancy R-3 M-1 FEES
zoning R-1
w Name MONTGOMERY DESIGN & BUILD (AClual)COnsl V-N BItlg.Permit 747.00
; Address 3772 RIDGEWOOD DR (Allowable) V-N
o Surcharge 64. SO
City EAGAN Phone 681-1773 kolStories
Lengih 58' Plan Review 482.00
io Name 4AMF. Depth 28' SAC,City 100.00
Address S.F.Toial _
City Phone SF Foolprmis _ SAC,MCWCC 650.00
On Site Sewage _ water Conn 660.00
ww Name onsaeweii 95.00
~w X Water Meter
~
r Addf@SS MWCCSystem
¢i Acct.Deposn 30-00
aW City Phone cnywater X
0
PRV ReqwreA _ S.NJ Parmit 30.0
I hereby acknowlege ihat I have read this application and state Ihat the Booster Pump - SNV Surcnarge .5
0
inlormatwn is correct antl agree lo comply wi all applica6le Siate of
Minnesota Statutes and 'ry of Ea n 0 Pianc /j /Treatmem PI 276.00
SignaNre of Permitee VALS
RoadUnit 370.00
I
A Buildmg Permit is issued to. MONTGOMER D SI Planner - Park Dad
on the express condition that all work shall be done in cco nce with all Counal
applicable State of Minnesota S/t~atutesJ antl Ciry1pol Eagan Ortlinances. gldy, pff, Copies
Building Of6cial ~~14 11 A 11'A Vanance - 7p7qL 3,499.0
0 11
Address: 3710 WLNDIREE DRIVE Lot Zp Blk 2 Sec/SubWMTREE gTH
These items were/were not complete at the time of the final inspection.
7/22/91 Yes No TnqpPrrnr,
Final grade (6" from siding) ?
Permanent steps - garage v
Permanent steps - main entry ?
Permanent driveway ?
Permanent gas t/
Sod/seeded grass ?
Trai1/curb damage
Porch ?
Basement finish
Deck ~
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of vater supply to the outside lavn faucet before
freeze potential exists. r~
aP
vcmmruin
White - City copy Yellow - Resident copy Pink - Contractor copy
g~Is 3
2007 RESIDENTIAL BUILDING rERMIT nrPr,IcnTIoN
City Of Eagan
r . 3830 Pilot Knob Road, Eagan MN 55122
'1'elephone # 651-675-5675 FAX # 651-675-5694
New Conshuclian Reauiremenis RematleVReoe'v Reauimmeils Offiw Use OnW
3 regstered srte surveys showing sq. R of lot sq. R of house; and all rmfed areas 2 mpies of plan showing foohngs, beams, joiM Cerf d Suney Recd _Y _ N
(20%maximumldcoveragealbwe0) 7setdEnttgyCaldlef'msbrAeatedaddltiam ShcsRepmt Y _N
1 Soils Repon'rf pmpmmd 6uBding's W be Dmced on disNrbeO soil 1 sAe survay for additioic 6 decks , Tree Pres Plan Rectl Y_ N,
2copiesafplanshowiigbeam8windavs¢es;pouredFOUnddesgn,etc. AddiGvn-indrafeilon-sdeseyicsyskm TreePresReputrad Y _N
7setolEnergyCalcWatlore en-\ OnsAeSepticSystem _Y _N
3 copies of Tree Preservahon Plan d lot platled after 711193 4~0
Rim Joat Dehail Optbnsselection sheet (buldmgswAh 3 ar less units)
Mmnegasco mechanical venlilafnn form
Plans are inrormation unless Vou state the are trade secret and the reason.
Date / / D ~(~/q n~s[rucUOn Cost
Site Address i(}~[J} . UniUSte #
\ GU?6
Description of Work L~
Multl-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1
Property Owner Telephune #(bQ) U I S' U lU~
Con[ractor
Address City_p~ (y~- P--_~
State Zip Telephone # qo) 7/,uh ~Z17,
COMPLETE THIS AREA ONLY IF CQNSTRUCTIN6 A NEW BUILDING
Energy Code Category - Minncsota Rulcs 7670 Catceorv 1 _ Minnesota Rules 7672
(J submission type) • Resitlenlial Ventilation Cate9ory 7 WoAcsheat • New Eneigy Code Worksheet
Submftled Submilted
• Energy Envelope Calculatiom Submitled
In ihe lort 12 months, has ihe City of Eagan issued a permiT for a similar plan based on a master plon2
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone # ( )
Mechanical Coniractor Telephone )
Sewer/Wafer Coniractor Telephone # ( )
I hereby apply for a Residential Building Pcrmit 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 the State of MN
Statutes; I understand this is not a perpiffl but only an application for a permit, and work is not to start without a
pe at the w in acc a e with the approved plan in the case of work which requires a review and
roval o plans.
~ / J Lu -
A nt's P' t N App]icanYs Si ture
~ 1LAA 0 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conslruclion Reouiremenis RemodellReoair Reouiremenis Otfice Use Onlv
3 regisfered site surveys showing sq ft ot lot, sq ft of house; and all roofed areas 2 copies of plan Cerlof Survey Recd _ Y;,~N
(20% maximum lot coverage allowO 1 set of Energy Calculahons for heated addtlions Tree:Bres Plen Recd Y_ N
2 copies of plan showing beam 8 wmdow sizes; poured tound design, elc. 1 site survey for adddions 8 decks Tree'Pr6s,Required ..i.'- Y-_ _ N
1 set of Energy Calculations Adddron - indicate don-srte septic syslem On-sile Seplic System':' _ Y..'_N
3 copies of Tree Preservation Plan if lot platled afler 7l1193
Rim Joist Detail Options seledion sheet (buildings wtlh 3 or less unils)
Date j/_ l -7_ I --r_J`- Constructian Cost
Site Address UniUSte #
Description of Work
i
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Cootractor
Aoaddz~
Address U4f 0 City
State 07,l2 , Zip .S'3_1!) q Telephone #(&_I ) 717- 7S`11
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Ca[e¢orv 1 _ Mmnesota Rules 7672
Ene~gy Code Category
• Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(dsubmissiontype) Submiried Submitted
• Energy Envelope Calculations Submitted
In The last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone
Mechanical Conhactor Telephone )
Sewer/Water Confractor Telephone J
I hereby apply for a Residential Building 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 the State of MN
Statutes; 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.
?2 F~ 6~O A16'17 Z_z- &~a,
ApplicanYs Printed Name ApplicanYs Signatu~
OFFICE USE ONLY
S u b Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex O 10 OB-plex ? 18 Deck ? 23 Porch (screen/gazebo) O 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 32 AddRion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Oemolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundauon HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fircplace _ R.I. _ AirTest _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Pertnit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ 2006 RESIDENTIAL MECHANICAL rERNuT nrrLicaTiorr
' City Of Eagan
_3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 DEC o 12W6
Please complete for: single family dwellings & rownhomes/condos whrn permits are required for each unit
Date 0~
Site Address 3'1 LQ (_.0 T(LQp D! Unit #
PropertyOwner TiY'1o pi-j" 6Or Telephone
v
Contractor ~,V&i-,QS PwvKk" ~ CcHNT~~(lto ~aYuck_ ,••~nRv
_ f~ -
StreetAddress a-)', V-(..ir)dOL A,-,C City 6T)
State Zip O-2-- Telephone j(JS~ )32i261lCjl I .
Bond y Expires: \*11cy
The Applicant is _ Owner ~ Contrac[or _ Other Add-an or alteretion to ezisting dwelling unit $ 30.00
~ fumace _Additional -4-Replacement _ New
air exchanger
air conditioner
heat pump
other
State Surcharge $ .50
Total $
I hereby apply for a Residential Mechanical Permi[ and acknowledge that the information is complete and accurate; that the work will
be in confortnance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an application for a pertnit, and work is not to start without a pennit; that the work will be in accordance with the
ap oved p(an in the case of work which requires a review and approval of plans.
r i
~Ialn i ,L C Jjwa) n~~ FXZ.' ~ Q
Applicant's Printed Name Applicant's Signature
. 1901I p~c~~oWE
~ 1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN M~ I I~I 11
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS
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 CALCUTATIONS 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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - 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 COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: J~ fl• b Valuation: ~ U U U Date : "7 -Z I- oIl
Site Address -5 rii o (~/I~G(~I^?~ s 129, OFFICE USE ONLY
~
Lot c+-~1 ~ Slock -,~2 FEES
Occupancy R'3 M!1 Bldg. Permit '74t-00
Zoning 1-'-I Surcharge 6y.50
Parcel/Sub Actual Const Y-N P1an Review 4P,2 ,DJ
Allowable V-N SAC, City 100,00
Owner 2ift m d8Q//}/ Whr44,~--'- # of stories SAC, MWCC Sb O,c7a
Length S Water Conn. ~,00
Address Depth Z$' Water Meter qS"OC
S.F. Total Acct. Deposit 30000
City/Zip Code Footprint S.F. S/w Permit 30/00
. S/W Surcharge , SO
Phone On site sewage_ Treatment P1. 2 76rou
On site well Road Unit 3 O a~
C o n t r a c t o r AGn~,Q~,.~~y "61,~ MWCC System Park Ded.
'~"~n ' T City water ? Trail Ded.
Address .~77Z /S~CX~4Woad (J~ PRV _ Copies
Booster Pump
City/Zip Code k,46-A-N Mi? SUBTOTAL
- APPROVALS Penalty
Phone ro&-t-/-7-73 y}']-'/U 2) Planner Lot Change
Council TOTAL ~Q
Arch./Engr. Bldg. Off. Sdo9/
Variance
Address
City/Zip Code
Phone #
(/!/(Ccz-~, agrees that all work shall be done in accordance with
r
(Si ature of Co t acto
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
vAI. ok.k~ _
.
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Hn~s~
~
z°6x3~~ lOO~ x~?~v L 12~aco
I 2~ Zz,~ d/2 1 Z~, ~ov
_
?47•+
64•5F
482•+
100•+
650•+
660•+
95•+
30-+
30•+
0•5+
2'16•+
370•+
3,499•*
I
~IJ-RV_GYOR'S CERTIFICATE MONTGOMERY DESIGN &BUIL.D
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o<cr 6329 SW 45
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O g O PROPOSED ~ G4R p O O
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95.00 Sv 8pW4T`23'xE (84 .o ..r
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W WQ~ID~EE DRO VE /G~7/-DEPI,
NOTE: NO SMF6C SOIIS iNVESTCATION rA3 BEFN CpMMIsTEo
ON TH1S LOT BY THE SURVEYOR. TiE SUTAlIIITY OF NOTE: BUfL01NG 04MfNS10N5 SNpWN qRE
SdL3 TO 9uPPOR7 THE 9plClflG HfklK fqpPMD IS POR "F'Z A4 ~~Tp~AI. LOC-
HQT TNE qElfppNgIgiLITY OF THE SURVfYOR. ATtON OR $ T O/R.Y. BHE
AqCH171lSfWAL PLA{y$ Mq BUIlDN1G
~ DENOTES PROPOSED SURFACE DRAINAGE 8 FarNDATiON DNAEtqtoN3.
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEE7
• DENOTES IROI+! MONUMENT FOUND PROPOSED GARAGE FLOOR - qpa, 0 fiEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - gqg, ~ FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TpP OF BLOCK - 4a~,y FEET
WE HEREBY CERTIFY TO MONTGbMERY DESIGN & BUILd THAT THIS i5 A TRUE AND CORRECT
REPRESENTATIpN OF A SURVEY OF 7HE 60UfVDAR1ES OF:
Lot 20 Bbck 2, WINp'IFtEE 8TH ADOITION,'according to the recorded plat thereai,
Dakoto Comnty, Mlnnesoto.
IT DOES NOT PURPORT TO SNOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR U!JDER MY D!RECT SU°ERVISION THIS ^c4Th DAY OF APR1L , 1991
PROFO GHAnE5 pSHOqw~Ng E SIGMED: JA ES R. kILL, INC,
t~ p~ON KRU~lG ~E, 91dV5 BY.
essflC., tNC, LA4T DATEO 4-7-67 ' ,lOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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W ~ o ~ ~arl~l~,`'S R. HIll, Ir1C.
~ m~ ~ Q' z c n i r ~n w W
° z " V ° ~ m 7 Z PLANNERS / ENGINEERS i SURVEYORS
- O m <
° 2500 W. CTY. RD. 42 a BURNSVILLE. MN. 55337 • 812-890-8044
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N
• • - LOT 20, BL-OGKZ W1Nz)7AtZ gTiAD&N%
~ E'CTERIOR EP;VELO^E AVERAi;E .U" COM^UTATT.0N
17Gh:T:;OPIEf:`' DESIGIV & SUl LD CU
3772 I:ZDCE6dCOL GI<I`!E
EACAhl. M"7 S5123
ti° 1-0230 BRIGCEF'01'1'
WITTE AREA U U X AREA
REBUIREU
1. TOTAL 6JaLL AREA 2088 .11 230
3. ROOF AREA 1003 .026 26
ACH?EVEU
R WIh;U04J AREA 128.32 .3„ 42
E UOOR AREA 40 .;3 5
C 3LIGIN:; .;LASS AREA 30 .65 52
D FIRtPLACE AREFi 24 .2 5
E WALI FRArIE AREA 208.8 .095 ','_O
r NET WALL HftEr, 1600.88 GZB 61
RIM JUIST AREA llc .0436 5
H FOUh1C WINDOVd AREA 0 .5 0
I FOUND A80VE UI:,aDE 58 .063 4
3. TG'fAL WALL AREA 194
J S;:YLITE .5 0
K I:DOF FRAI'1E 100.8 .032 3
L NET ROCF AREA 907.2 .0227 21
4_ TOTAL. ROOF AREA 24
SUh1 OF 1.+2. 256
:Uhl OF .,.+A. ~1
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CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT RNOB ROAD
EAGAN, MN 55122 PERMIT #
' PHONE: (612) 454-8100 RECEIPT # O Ci
34ECHANICAI. PERMTT DATE : 3 /
RESTDENTIAI.r PLEASE COMPLETE DPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
>
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST X ADD-ON MINIMUM $15.00
ADD ON _ IiVAC 0-100 M BTU 24.00
REPAIR _ ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
1 OF 1 PER PERMIT
OWNER NAME: ~~_1 ~G~C.I'U ~ ~IGo -7
, ` I SUBTOTAL: $a
1'O~
SITE ADDRESS:3~~bW~(~nA~(p.Q 1~fIV2. STATE SURCHARGE: .50
LOT: o~A BIACK ~ SUBD, w." wC~ d'~ TOTAL: $3] - 5 C)
INSTALLER:
rLAict . r iNC.
nnDRess : 9303 PI mouth Avs Na SIGNATURE OF PERMITTEE
Golden Yalfey, MN. 5927
CITY: ZIP:
PHONE 5~ 01',II.k1'
COHMEBbIAL/I1tD13STR1AL: PLEASE COMPLESE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00 ,
LOT:_.-_ BLOCK SUBD. _ $25.00 NiINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP;
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT
~,U3lBxNG ~~~C1' DATE:
RESIDEN'~IAL': PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
.
~ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES F.A. TOTAL
NEW CONST ADD-ON MINIMUM 15.00
ADD ON - ~ SHOWER 3.00
REPAIR WATER CLOSET 3.00 q_
BATH TUB 3.00 3
LAVATORY 3.00
OWNER NAME: O6 12 ES/ ,r KITCHEN SINK 3.00 :
LAUNDRY TRAY 3.00 3
SITE ADDRESS: ~~LO 1/~In[1d/6ee e HOT TOB/SPA 3.00
/ ~ WATER HEATER 3.00 3
LOT: ~ BIACK ~ SUBD. ~«+~!a? ~ FLOOR DRAIN 3.00 3
,/GAS PIPING OUT.
INSTALLER: Neu ~lb~ f (MINIMUM - 1) 3.00 3
ROUGH OPENINGS 1.50 ~1.5~`
ADDRESS: !(}oS~Oh' OTHER _
WATER SOFTENER 5.00
CITY:~ ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL
~
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: /~1t"I~-`- fV
S ^O
COMMERGIALjiNDUSTRIAL:i PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT. .
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 19 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149750
Date Issued:06/07/2018
Permit Category:ePermit
Site Address: 3710 Windtree Dr
Lot:020 Block: 002 Addition: Windtree 8th
PID:10-84477-02-200
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
John Mccomb
3710 Windtree Dr
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
bui Idinoinspectionsacityofeagan.com
Date:
r
FYr TECEIN
• ' `-P 2 PL9J
8Y:
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
For Office Use I .
Permit #:
Permit Fee:i O _l
Date Received:
Staff:
Site Address:
Unit #:
Resident/
Owner
-
-fSJt, 5403,
Name: -.fI 1 t,1 0.0_.(1,4;, Phone: �p 2- r1-
9
Address / City / Zip: 7 IS kik-00-r &o TZ 1 i.e...._ _
Applicant is: Owner Contractor
Type of Work
Description of work: a. s . _ 3 CA CO l .e , ! /
o
Construction Cost: On" ` Multi -Family Building: (Yes / No t/' )
Contractor
)
cr r jr
Company: .. ..... �:. i , E. . _._. . - I 12. ontact: lAcil C. t 1 v+.1..61(1-2--
Address: 4C, 13,,, "..-1 City: ?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
_ Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
_ Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%*)
Census Code
#of Units
# of Buildings
Type of Construction
_ Fireplace
_ Garage
Deck
1. Lower Level
7/0 -i 6
_ Porch (3 -Season) _
_ Porch (4 -Season)
Porch (Screen/Gazebo/Pergola) _
Pool
_ Interior Improvement
_ Move Building
_ Fire Repair
Repair
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing X30 Minutes 1 Hour
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
_ Siding
Reroof
Windows
_ Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
_ Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test — Hood
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Final Siding: Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: + Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
17,73uilding Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
GyrIklittw) 2000
� ii 0 O
0,000
Page 2 of 3
r For Office Use
�l/
�: i •i o, :::t:
E AG A N
ee: O
^1
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:
buildinginspectionst citvofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: (O(« Cq Site Address: 37./V nwr�6,'ee. Dr-t ve
Tenant: Suite#:
Resident/Owner Name: Phone:
Address/City/Zip:
Name: !/QQeCC<y /`i License#: 5l-'CI l��
Contractor
Address: 13 e (PO/t a G 1'`a City: /4eif�� (t
State:/4 h Zip: c179 0 Phone: t' c7 Cii-Z('--7 2--q7
Contact: 1.914"ve- Email: U'&vt �(4*QC J & ,T‘i C cilk
Type Of Work —New —Replacement —Repair�—Rebuild X Modify Space —Work in R.O.W.
Description of work: ags-em. ! � ‘‘-
Tankless Water Heater Lawn Irrigation( RPZ/—PVB)
Standard Water Heater VV
/(Add Plumbing Fixtures( Main/Z Lower Level)
Description Water Softener ����
Description: 7a Pa I- 6a` Cerl_
Septic System
New Abandonment Connection to City Water from Well
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 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
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
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.
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 pt.., s.
,lei
x
P1 "- -,< 1-i}-,1 'cog x
Applicant's Printed Name Applicant' ignature
Page 1 of 2