3721 Windtree Dr
(ger#i#ira#P vf (Orrupanry
titp oi eagan
Mrpartmpnf af vwlaircg jnsPrr#inrc
r This Certificate issued pursuant to ihe requiremenu of Section 306 ojthe Unijorm Building 'I
Cade certifying lhat at che tinee of rssuance lhis structure wns in compliance witlc 1he various I
ordinances of the City regulaling buiJding rnr?struction or use. For the following.uM a.wfiMow Sp TW.lM ew- N-rit No. -I fA 16
Oc-pwrTYa R~M] - zoaual nim+cc R1 TyM VN
o~ Cl1IQQMffitY MTGN i BiD. Add,.. 4151 M DRiVE. EACAP1
B.Mq Add„. 3721 WIIUtIM MtIVE LO-;,YL 13, B I, WIIUM 87ti
. ,r
a,w MAY 26. 1989
~s
POST IN A CONSPICUOUS PLAGE
II
DATE: JANUARY 10, 1989
721 ii1NDTREE DB., L13, B1, Ii1NDTREL 8TR
XX You~Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works`Garage (35{01 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (0.5475220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer 8 Water Permit for the above properly cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been Completed, but tlhe 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.
- REOUIFiED BY LAW.
CONTAG'T COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
" .
Secre" Building Inspections Dept. ~
~ DATE: JANUARY 10, 1989
s~OPZt W1IiDT8EE DR1VB, L13, 81, SiINDTBLE 8TH
.t
XX You'r Sewer & Water Permit for the above property has been completed. It will be held at the
, Public Worka. Garage ,(3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBUC WORKS (4$4-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed fw 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.
C0IAMERCIAL PROJECTS ONLY: Piease pay for meter at Ciry Hall_ Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-6100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT 4EPARTMENT FOR WATER TURN ON POUCY.
Secretary, Buitding Inspections Dept. /
• _ . , ,PASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE I ~ 19 ~
RECEfYEO
FtbM
t _
AMOUNT
i
& DOILARS
p CASH CHECK
wn (
1
L
FUND OBJECT AMOUNT
Thank You .
BY jr't:y C rT"?K
~L\ j WhHq---Payere QOPY
Yelbw-POetInG GPY
PiNc-Fils C,Opy
CITY OF EAGAN
ti 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILQING PERMIT Receipt ~
To be used for 31- AitG/GAB Est. Value $129,000 Date
5ite Address 3721 WINUTiZEE GK OFFICE USE aNLY
Lot 13 Block 1 Sec/Sub. wIPMTRLE F=H On SRe Sewage Occupancy R-'3 M-i
MWCC System t- Zoniny R-1
Parcel No. On Site Wen
(Actual) Const V-N
a Name HONTGMRY DBSICrI & B11ILll Cibwater X (nllowable) v-H
W PRV Required * of 5tories
= Address 4151 K!1()y DR
o City EAGAI~I Phone 681-9230 ~~ter Pump Length ~
Depth 5G
, p Name SAP=S S.F. Total 46'_
~ i Address Footprint S.F.
~ City Phone APPROVALS FEES
~ u W Name Engr.lAssess. Permit 742.00
~ W Planner Surcharge 64.50
=Z Address
Cit 371.00
a z Council _ Plan Review
y Phone eleg. on. snc, acv 100.00
I hereby acknowledge that I have read this application and state that the Variance SAC. MWCC 575•00
~ informllion is correct and agree to comply with all applicable State of Water Conn. 550•00
i Minnesota Statutes and City of Eagan Ordinances. 9~~~
Water Meter
' Signatureof Permittee 325.00
Road Unit F A Building Permit is isaued to: rry~M'f DESIG' Treatment Pi 22$,00
( on the express condition that all work shall be done in accordancewith all pmaUt he r 51.010
applicable State of Minnesota Statutes and City ol Eagan Ordinances. 10 ',O
Building ONicial TOTAI
- - -
i
SEWER 6 WATER PERIIIIT OFFlCE USF ONLY
CITY OF EAaAN PERMIT DATE
3830 PIIOt KI10b Rd. WATER PERM - SEWER PERMR # 1061
P.O. BOX 21199 METER # B.P. RECEIPT #
9~'"Eagan, MN 55121 ,W.ADER # b~ S S B.P. RECEIPT DATE L
„
METER SIZE
I3SUE DA7E MIRI - PRV _ BOOSTER PUMP
SRE ADDRESS ' ~ ~ 1 111''')T?tEE DRIVE PERMR REDUESTED
LOT _ I ' RLOCK ' SEC/SUB W' ~TREE $TH
APPLICANT: SEWER y_ WATER _ TAPS
'+1 71. FNOB nF1 VE
ADDRESS: ~ACAi: 22 -COMM/IND x _ RESIDENTIAL
CITY, STATE ZIP 551
PHONE: 681-9260 y NEW - EXISTING
PLUMBER: V9LLEY Pi.Yi;
AODRESS: 690 `RF Ei! LN I AGREE TO C0111PLY WITH CI'TY OF
CfTY, STATE 30kDAN ZIP 55352 EA?G/?N ORDINANCES:
PHONE: 44 7- I? j
OWNER: HQNTGOMh;F'i ! (;N I
ADDRESS: 51GNATUR WHEN I~AETER ISSUED
CITY, STATE ZIP
PHONE: M
II PLEASE ALLOW TWO WORKIMG DAYS FOR PROCESSING. FOR STORM SE R PERMITS, CQNTACT
ENGINEERING DEPT. , - - , - - f-- _ ~ - J
. .
SEWER dJWATER PERMIT OFFIC
<f USg ONLY
CITY OF EAGAN
PERMIT DATE
3830 Pild Ki_ b Rd. ~ 1136i
WATER PERMIT#~ 10+22 SEWER PERMIT
P.O. BOX 211 METER # B.P. RECEIPT # 901
Eagan, MN 5 21 READER # B.P. RECEIPT DATE 1 6 89
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS -~721 WI:VD'CKf:E D21VB PERMIT REOUESTED
LOT 13 BLOCK iSEC/SUe WIN±•TI"E bTH
APPLICANT: MONTG024EN'i DESIGN X SEWER k WATER -TAPS
ADDRESS: 4151 KNOS DRIVE x_
- ~MM/IND RESIDENTIAL
55122
CITY, STATE EAG~ ZIP
PHONE: 681-9260 X NEW _ EXISTING
PLUMBER: VALLEY PLUC:
ADDRESS: 690 CREEK i.N 1 AGREE TO COMPLY WITH CI'TY OF
CITY, STATE ~GRDAN ZIP 5535? EAGAN ORDINANCES:
PHONE: 492-2121
OWNER: t4ON'IGOME111" Dc:ti1GN
ADDRESS: SIGNATURE WNEN METER ISSUED
CITY, STATE ZIP
PHOWE:
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
-wv
. CITY OF EAGAN 1q424
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for ~UGE AIWITIn~l Est. Value $s •ooo Date hAY 8 19 89
Site Address 3721 WIKpTRr-E Dt'.
Lot 13 Block I Sec/Sub. WY NMEE HTH OFFICE USE ONLY
Parcel No. 0-'pa"cv K`1 FEEs
Zornng R' 1
¢ Name 1T~{ (Adual) Const y--N Bldg. Permit 72•M-
o Address 3723 kINATkRfi (Albwable) 'h 2. S~
Surcharge
City FIAGMN Phone N of Stories
LengNi Plen Review
t F Name NOWi'GQKERY DZS I GN oepm 231 snc. ciry
00 ` Address 3786 W1hT1T2U S.F.Total _
~ City EkGAIN Phone 681-9230 S.F. Fooqxints _ SAC. MCWCC
On Site Sewage _ Water Conn
W W Name on Sice weli - water Meter
F W
Address MWCC System - Acct. De sit
City PhOne City Water - po
PRV Required _ SVPermit 10.00
I hereby ackriowlege that I have read this application and state that the 8ooster Pump ymsurcharge
infortnation is correct and agree to comply with all applicable State of '
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permitee APPROVaLS Road Unit
A Building Permd is issued to: HowTGotlEAY LES l GH Plan"ef - park ped,
on the express condition that all work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies
BuiWing OffiCial Va^ance - TOTAL $S • 00
Permit No. PormR HokNr Dats Telsphons #
WATER
SEWER
PLUMBING
H.V.AC.
ELECTRIC
InapacUon Date Insp. Comments
Footin9s I S~O
Foundation
Framing
P-fi^9
Rpugh Plbg.
Rqrgh Htg.
Isul.
Fireplace
I Final Htg.
Fnal Plbg.
Canst. Meter Plbg. Inspector - No6fy Plumber
Engr./Plan
Bldg. Fnal AI
Dedc Fig.
Deck Final
Well
Pr. Disp.
: '1 _ . . . . . ~ . s~
~CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-189, Eagan, MN 55121
PHO N E: 454-8100
BUILDING PERMIT Receipt it
To be used for Est. Value ~+~5•`~ Date
SiteAddress }]71 ~~NDVa.;z OFFICE USE ONLY
~ - On Site Sewaqe Occupancy R°3 t~:° i
Lot Block 1 Sec/Sub. e ~ i j l1TRF.E &78
MWCC System N Zoninq R-1
ParCel No. On Site Well (Actual) Conat Y-~
a Name ' i'_i-'c• iCi:Z l, B1,1Yj,iJ City Water x (AllowaWe)
u+ , - r PRV Required * of Stories
= Address ~E-
o Ciry Phone 681-9230 ~ster Pump Length
oeptn 501
, o Name S.F. Total 46'
~ ~ AddfesS Footprint S.F.
'19 City Phone APPROVALS FEES
~W Engr./Assess._-_- Permit 142'C'
Name S,
~ Z Planner Surcharge 6`~•
Address Council _ Plan Review •~`f
i W City Phone lCib.Gi
Bldg. Off. SAG City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC 5 7 s •CK
information is correct and agree to comply with all applicable State of Water Conn. _ 5:po• t;{
Minnesota 5talutes and City of Eagan Ordmances. ~f~!
Water Meter •
Signatureof Permittee Road Unit 325•(^
A Building Permit is issued to: _ t~~CMMRY DES) j'K Treatment P1 228•4`
on the express condition that all work shall he done in accordance with all PdMg(,, Lhor 51
~
applicable State of Minnesota Statutes'qnd City of Eagan Ordinances.
TOTAL
Building Official_
Permit No. Prrmit Holder Dste TNephone ~t
Plumbing
r?=` _ a ~-ti /~/~/~5
H.V:AC.
EI@CtfIC
Softener
Inspoetfon Date Insp. Comments
Footings I 149
Footin9s II
Foundation
Framing /J
Roofing
Rough Plbg. , , -a -
Rough Htg. , ,0_g
lsui.
Fireplace
Final Htg.
Final Pibg.
Bldg. Final ' A61"'
Cert Occ. i
Temp. LP
Deck Ftg.
Deck Final
Weli
Pr. Disp_
~
• • PERMIT # -
PLUMBING PERMIT - -
CITY OF EA(3AN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: `''~i~`I
CONTRACT PRICE: PFIONE: 454-8700
Site Address ' ! ~ ' k ~ BLDG. TYPE WORK DESCRIPTION
Lot Block ~ SeciSub Res. X New ~
Mult Add-on
m Name Comm. Repair
~ Address Other
c City Phone RES. PEBG. ONLY - COMPLETE THE FOLLOWINGl:
T~Lavatory FIXTURES TOTAL
Water Closet - $3.00 $ Name Bath Tubs -$3.00
Address b j - $100
p City ~ • • ' Phone 7-Shower - $3.00
1 Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES I Floor Orains -$1.50
TOWNHOUSE 8 CONDO - RES. RATE APPLIES 7-Water Heater -$1.50 ~
MINIMUM - RESIDENTIAL FEE - $12.00 ~ Whirlpool - $3.00 '
MINIMUM - COMM/IND FEE -$20.00 ~Gas Piping Outlets -$1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(AOD $50 S/C IF PERMIT PRICE GOES SoRener -$5.00
BEYOND $1,000.00) • Well - $10.00
Private Disp. - $10.00
~Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C: ~ L
FOR: CITY OF EAGAN GRAND TOTAI: '
r PERMIT #
, . . MECHANICAL PERMIT RECEIPT #
CITY OF EA(iAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: `i PHONE: 454-6100
Site Address ~ ^(A J'4- ` r BLDG. TYPE, WORK DESCJ~IPTION
Lot _Block Sec/Sub New
• , , . r
Mult Add-on
D N Comm. Repair
.S Addr43 Other
c ciy Gold@R-Valley, MN.~JPQ7b
FEES
Name RES. HVAC 0-100 M BTU - $24.00
c Address - ADDITIONAL 50 M BTU - 6.00
p City r- • L' Phone S -O (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMln - 1.50 EA.
TYPE OF WORK cc COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air ~-M BTU APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M 8TU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # Z ' BEYOND $1,000)
Other . ;
FEE ~ t' / ' %
S/C: SIGNATURE OF PERMITTEE
TOTAL• • '~Z-'
FOR: CITY OF EAGAN
-
INSPECTIaN RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knok1 Road Permit Number.
Eagan, Minnesota 55122-1897 „ Date Issued: +i % + ' '
(612) 681-4675
SITE ADDRESS: ' " ~ i' ~ " ~ APPLICANT:
3 1i r1r r: ~
~.c~t s t a
i wIrrOtRUc aR
'+rwnIaFF HtFi f:.~:Jt FHr<
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
J
LL
~
II PertnR No. Pomdt HoWw Dab ToNphom #
ELECTRIC
PLUMBING
HVAC
Inspwdon Wb Insp. Commwb
FOOTINGS
FOUND
FRAMING
ROOFlW(3
ROUGH
PLUM&N(3
PLBG
AIR TEST
ROUC,H
HEATING
CiAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FlREPLACE
/UR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BIDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECIC FINAL
BLDG. PERMIT NO. lUOI CE-
L~,?" I 3 (Nc.c-tc i I liE~dc- f~,-Ih
013210 Bldg. Permit fI~r C,
,01-3422 PtanCheck Oc;
~ ,01-3445 Surch./Adm.
01-3446 SAC/Adm. SI' ~S
01-2155 Surcharge
~ 75-3860 Road Unit ~•3 ~ C~
~
~
--t 20-2275 SAC J li'c QJ
20-3865 Water Conn. oC
20-3868 water rrmt. ~ r<-'
cl C
20-3716 Water Meter C C,
~ 20-2252 Acct. Dep. C'C~
~ 203713 Water Permit I~ C•O
ir 20-3743 Sewer Permit C-01
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
E 85888,C
Requesl O~a -Fre No Rough-in Inspeclion
QReqwra0~ I ? FeaEy Now II Notity Inspector
Q Ves ? No When Ready4
Ifk licensed contractor ? owner hereby request inspection of above electrical work at:
Job AdEra.,ss (Streel, Boz or Roule No ) Qry
37z / C.J i i&t^tf,42_ C~,--.
Secuon Na Tamship Namo or No. Ranga No County Z~-
Occupanl (PRINT) PMrre No.
~ ' .
Prnver,~plie~ /Wtlress _e
Eleclncel Conhactor (Company Name) ConVaqorS LiceryS No
E ~LY1 '2 d (4?
Mailing AdEress (COnUeclor or O.mar Making trtstellation)
s &7t~ co-c-, a ,
Aulhoriz SignaNre (CoM`raciorpWrier Mabrg In alion) Phone NumOer
MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPEGTION REOUEST WILL NOT
Grigga-Mitlwey Bitlg. - Foom 5-173 BE ACGEPTED BV THE SThTE BOARD
1821 Unlversity Ava., St. Paal, MN 55104 UNLE$$ PROPER INSPEGTION FEE IS
Phone(811) 602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee oooo~-o~
? Sae instmclions lor tomplaung tnis lorm on back ol yellow wpy QO /.~C
p l V /
~ g~~j~ p X" Below Work Covered by This Request
ew Atltl Rep. TypeofBuiltling AppliancesWrted EquipmeniWrred
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Ofher (Specify)
Comm./Indusirial Furnace
Farm ' Air Conditioner
Other (spepy) Conlractor5 RemeAS:
Compute Inspection Fee Below:
# Other Fee k ServiceEntranceSrze Fee # Crtcwts/Feedere Fee
Swimming Pool 0 to 200 Amps Z- 0 to 100 Amps ~
Transtormers Above 200 _ Amps Abo Amps
Signs Inspecmr§ Use Only. / TOTAL
Irrigation Booms
Special Inspection ~
Alartn/COmmunication
Other Fee LV f
I, the Electrical Inspector, hereby ROOen-'"
certdy that the above inspection has F,n,i - 1 ~
been made. c.i• ~
OFFlCE USE ONLY
This request void 18 months fmm
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~T 1~? 16016
. PHON E: 454•8100
BUILDING PERMIT Receipt# C-1 c'
To be used for SF DWG/GAR Est. Value $129,000 Date ~-t-, ,19 8~
Site Address 3721 WINDTREE DR OPFICE USE ONLY
Lot 13 Block 1 Sec/Sub. WINDTREE 8TH O^SiteSewage _ Occupancy R-3 M-1
MWCC System X Zoning R-1
Parcel No.
On Site Well _ (ACtual) Const V-N
a Name MONTGOMERY DESIGN 8 BUILD Cirywater X (Allowable) V-N
w PRV Required # of StOries
zAddress 4151 KNOB DR -
° City E(~~_ phone_~8.1-9230 Booster Pump _ Lengih
Depih 50'
, o Name SAME S.F.iotal 46'
o a Address Footprint S.F.
U
~ City Phone APPROVALS FEES
~w Name Engr./ASSess. Permit 742.00
~ i Planner Surcharge 64.50
i g Address
u Council Plan Revlew 371.00
aw City Phone
Bldg Off. SAC,Ciry 100•00
I hereby acknowledge ihat I have read this applmation antl slate that the Variance SAQ MWCC 575.00
information is correcl and a9ree to comply wrth all applicahle State of Water Conn. 550.00
Minnesota Statutes an ty of Eap OAinances. Water Meter 90.00
Signature of PermitteC_<Cfs~(..d,/~ Roatl Unit _3_25,_Q0
A euiltlinq Permit is issued le ~ MONTGOMER _DES GN _ Treatmem P1 228.00
ontneexpressconditiontnatallworkshallbedoneinaccor cewithall g~pppOther ~_~.00
applicahle State ol ylinnesota Statutes a1~~n,,,tl City of Eagan Ortlinances.
BuddingOfficial_~J„Q{,;(j_fT ~I1,~_1-r~yyy~'4 TOTAL 3,096.50
~ \
~ CITY OF EAGAN N~ 16424
r3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 /
PHONE: 454-8100 Y ~ ~
BUILDING PERMIT Receipt #
To be used tor CARAGE ADDITION Est Value $5,000 Date MAY 8 , 1989
Site Address 3721 WINDTREE DR
Lot 13 81ock 1 Sec/Sub. WINDTREE 8TH OFFICE uSE ONLY
Parcel No. occupanq M-1 FEES
Zoning R-1
w Name JIM OLSON" (qauat) Consi V-N Bldg Permit 72.00
; Address 3721 WINDTREE (qllowable) V-N 2.50
0 EAG~ Sumharga
City Phone ' aorstories
Length 1 Z~ Plan Review
iF Name MONTGOMERY DESIGN Deplh 23' Snc.Cny
0,Q Addfess 3786 WINDTREE S.F Total - SAC, MCWCC
~ Clty F.A(:AN Phone_f1$L-Q23O S,F.FOOiprints _
On Stle Sewage _ ~Nater Conn
~
ww Name On Site Well - Water Meter
Addfess MWCCSystem _
14a, Clty PhOnB Qry Water _ AccL Deposil
PRV Required - S*Mermit 10.00
I hereby acknowlege Ihat I have read Ihis applicanon and state that the Booster Pump - S.1EC6umharge _ 50
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinance 7realmenl PI
SignaWre of Permitee APPROVALS Road Umt
A Bwlding Permit is issued to' MONTCOd ERY D Pianner - park Ded.
on Ihe express condition ihat all work shall be done in accordance with all Council _
applicable State of .Minnesota StaNtIes vaWndyC~nyy~of Eagan Ordinances. gldg pry _ Copies
0I/A. 1 I ~ I~1 Vanance - TOTAL 85.00
Building Official
, - . :
, . 1989 BDILDING PEIMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY Dh1ELLINGS I T O I (to
INCLUDE 2 SETS OF PLANS, 3 CERTZFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRFSSFS FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MOST DESIGNATE WHZCA ADDRFSS
IS DFSIRED. NO CHANGES WILL BE ALLOHED ONCE BD II.DING PERlSIT IS ISSOED.
MULTIPLE DWELLINGS RENTAL ONITS FOH SALE UNITS # OF ONTTS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECB WITA BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COP4MERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: s.'~ ' Valuation: t)Z)r Date:
Site Address 3 J~ OFFICE USE ONLY
Lot 13 siock Occupaney R3 M-i Fess
~ Zoning R -I
Parcel/Sub Actual Const V-N Hldg. Permit 74Z00
~ n Allowable V- N Surcharge 64, D
0
Owner~n ,~.,~\,~~e~ d t~u,~// ~ ll of stories Plan Review 17I,.0
Length _ SAC, City b0l OL~
Address -7 (`j 1~,~i~.~ Depth SO' SAC, MWCC $'75•OD I
S.F. Total y57%¢T Water Conn ,'~,!;p,
City/Zip Code Footprint S.F. Water Meter ':?p, po I
Acet. Deposit ,-D. o
Phone (o b~ ~ ~ I 1.3 d On site sewage_ S/W Permit ZO.c~
On site well S/W Surcharge _L1XJ
Contractor MWCC System ? Treatment Pl. ~
City water ~ Road Unit 326,tao
Address PRV required _ Park Ded.
~ Booster Pump _ Copies .,$O
City/Zip Code TOTAL
APPHOVALS
Phone Planner
Couneil
Mch./Engr. Bldg. Off. `~115
Var ianc e
Address Council ~
City/Zip Code
Phone !i
NOTE: SeWer 6 Water Permit fees and aecount deposit fees xill be ineluded in the building
permit Pee. Processing time Por sever and vater permits is two days once a licensed
plumber has applied for a permit at City Hall.
% • VA LuATI O
.23 x z2
-N ausF
-2 7 x2 - r~34 x%l~= izs8~~r
~
132958
Gf~awL Sp&cS
a~-1 x~27 = 3r~X Xj3=
lz~soyy
7a2•uu+
64•50+
371•00+ .
1, 919•00+
3, 096•5U*
742•00+
64•5U+
371•OU+
1919•00+
3,096•50*
„ JHIY-U4-'67 Wtu 1sb1 in:.7aME5 R HILL INr TEL Nu:e"42 564-9518 41E5 F02
SURVEYQR'S CERTIFiCATE '~O~+roo+~=Rr;~~sraN#auu.~{t
N
~ lp
, • ~ ~o~
\ ~ ~o O~ r i ~ 'a•~
~
, • ' /
'O
i1 ~ ~ .
~0.6
~ $ L
o$ 1,ko'
' ~Z 7 e° oo • ~ ar N ` • '
Yl~~ r^ 1'o b ~ •
7~ / ~ ' 1"r? 1 r I
D ~ N r' i ` I
~
~ 10 ~
$•a. ~ i
Z @ Q~ ;r~~ a
To -r
s~a ,o
,
`o
\6
• rJ
.Q4 ,
. ~
/7~~-+
IJ%EV MV V 6~ ~
\ By
Date 1- S'-s9
' E.AGAAT ENGIIVEERIIVG DEPT
PENOTES PROPOSED SURFACE DRAINAGE
O DENQTES IRON MONUMEN7 SET SCALE: 7 1NCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAQE FIOOR 6983 FEET
X000.0 DENOTES EXIS7ING ELEVATION PROPOSED LOWES7 FLOOR - 844,6 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED tOP OF BLOCK- 8yb,7 FEET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN 9 BUILD. CO.THA7 THIS IS A TRUE ANp CORRECT
AEPRESENTATION OF A SURVEY OF THE BOUNDARIES OF-
LOT 13, BLOCK I, WINDTREE eTH ADDIl'ION ACCORDING TO THE
RECOROED PlAT THEREOF,DAKOTA COUNfY, MINNESOTA.
IT DOES NO7 PURPORT TO SHpW IMPAOVEMENTS OR ENCRC7ACHMENTS, EXCEPT A5 SHOWN. AS
SURVEYED BY ME OR UNDEfl MY DIRECT SUPERVISlON THIS 21 ST OAY OF pECEMBER , 1888.
PFiDPO5E0 IXiADE3 Sh{OWN WERL TAKEN FROM TME aRA01N6 PLAN rOR WINp7pEE SiGNED; JA LL, INC.
7Tfi 9 BTM AOOI7qN, PREPAR[D 9Y RON
KRLEGER d A890C. INC., LJIST DA1[p 4•7•87 C.
eY:
HAROLO C. Pr fERSON, LANq $171iyMR
MINNE50TA.LIC6II;MWlylBF,Fi,122 Q4 .
S b ~ ~
~ r ;n ~ Q $ ~ N o c- > James R iinc.
O!~1 p W~ D ~ N m m~
Z~, zW PLANNERS / ENGINEERS / SURVEYORS
- O m y ~ -t
9401 JAMES AVE. S. • BLOOMlNG70N, MN. 55431 • 612•894•3029
, °XTERTOFi ENVELDF'E AVERAGL "U" COIhFUI'ATION
MOIVTu01`ICI;Y DCSlGhI 8< I3LJI1_D CL1
4151 t:IVOLi DI=f
CAGAN, MN 55122
uE1-S'<:.'0
I`1QDEL C01='1='LR I°IOUNI"AIN AREA U U X(-1REA
IiEG!U I IiI=D
1. TOTAL WALL AREA 2455 .11 270
2. ROOF Af:f_?A 1174 .026
(;CI-II EVLD
A WINDOW AREA 137 .55 75
Lj D00R AREA $0 .13 i
C SLIPSnIG GLAaS AF.1=A 99 .65 64
D f= IREF'LACE AREA .2 7
E WALL FRAME AREA 245.5 .095 27
_ F NL""1" WALL AREA 1097.5 .030
G RII7 JOIST AREA 13B .0416 6
H FOUIVD WIIVDOW AREA 0 .5 i?
I FOUI'JD ABOVE GI=;ADE 69 ,060 5
Z. TQTAL WALL AREA • 258
J Sk::YLITE .5 i~
I<: RUOF FFAI`'IE 113.4 .032 4
L NET ROC1F AREA 1020.6 .02:7
4. TOTAL F;OOF AREA 27
SUM ?F 1 . +2. 300
SUI`I QF _ . +4. 285
- PERMIT
CITY*OF EAGAN '
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: e 2 9 8 2 0
(612) 681-4675 Date Issued: 0 4/ 2 4/ 9 7
SITE ADDRESS:
3721 WINDTREE DR
LOT: 13 BLOCK: 1
WINDTREE £3TH
P.I.N.: 10-84477-130-01
DESCRIPTION:
Buildin9.Permit Type DECK
,Building Wo[.k Type NEW
Census Code ~ 434 ALT. RESIDENTIAL
~
!1 ~ i ~11
U~
r~ L: J
REMARKS:
FEE SUMMARY:
Base Fee $50.00 COPIES $.75
Surcharge $.50 Total Fee $51.25
Subtotal $50.50
CONTRACTOR: OWNER: - Applicant -
OISON JAMES
~ 3721 WINDTREE DR
EA6AN MN 55123
~ (612)688-8310
Z hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all epplicable State oP Mn.
Statutes and City of Eagan Ordinance5.
L J
A~ IE
1\....,(/ A~AN~~I SIGNATURE ~ I~D )v FJ
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
9 iio 3630 PILI 6 K 4065 DN 55122
1
New Construction Reauirements SemodeVRaeeir Reauircments
? 3 mgiatered si[e surveys ? 2 copies W plan
? 2 coDies of plane (inGude beam & wirMOw saes; poured Ind. tlesign; etc.) ? 2 slte surveys (exterior atlCdions & Eedca)
? 1 energy calalations ? 1 energy celculetionb for heated addRions
? 3 eopies oitrae proaervetion plan if bt platted efter 7l1193
roquirad: _ Yes _ No •
DATE: CI 7 CONSTRUCTION COST.
DESCRIPTION OF WORK:
STREET ADDRESS: 4J i+•- D*i2~L
LOT BLOCK SUBD./P.I.D. ~I ~i~i~ 1 n4V ~ ~~1
PROPERTY Name: _ OGSan. _ _~r4ril,~S Phone 3
OWNER
Street Address: 32-Z I r. ~~,-a7~v~h~rr IJ 2
City: State: fi7 k- Zip: 15-s121-2 ^
CONTRACTOR Company: Phone
Street Address: License
City: State: Zip:
ARCHITECT! Company: Phone #:_~'~s Z 0 o
ENGINEER
Name: Registration
Street Address:
~
City: State: IM- Zip: SS/
Sewer & water licensed plumber (new construction onty): Penalty applies when address change
and lot change are requested once permft is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: o ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No RECEIVE
Tree Preservation Plan Received _ Yes _ No _ Not Required APR 18 1997
M'~
BY.
OFFICE USE ONLY I ~
BUILDING PERMIT TYPE cd e+ ~~w+~.
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch a 09 12-plex o 14 Fireplace o 21 Miscellaneous
o OS SF Misc. ? 10 _-plex 15 Deck
WORK TYPE
/31 New a 33 Alterations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System ~
(Allowable) Main level sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered ~
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq.ft. Census Code. y 3 y
Depth Footprint sq. ft. SAC Code ol
Census Bldg I
Census Unit D
APPROVALS
Planning Building PA8 Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies (s) .-76-
Total:
% SAC
SAC Units
~
. Jf.N-04-'89 WED 13:51 ID:JfaMES R HILL INC TEL IJ0:612 384-9513 9165 F02
! . . . . ' 6E3 f - 9 Z G; b
~~r-°Tz3v
SUFiVEYC)Ft'S CEFtY'1FICATE "~0~?l7'~4lA~RY.AHSfQN.~ 6ULL~Q„~,
N ~
~ 15P
. k.01
r F, ~~°NV1 '
A\
Ar60 0 r y ,`i j \ U+
~ N %0
IS.
`$la
~v RD1'~
2 > gO p~ / ` ~ • pRED N ~
c) t~0a DSktiVE A14 1
~ ti , y ob ~
~VO ~
~ e • J ~_.;7*
;
V J 1 ~ ~ ^ N ~ ~
165,p4
r~r
E C r? N
~v I F D "`6,~5-°•--_--_ '
Date
EAGAN ENGIl~, , ERING . DLPT
00 QENOTES PROPOSED SURFAC[ Df2AINAGE
O DENqTES IRON MONUMEN7 SEl' SCALE; 1 INCH - 30 F[E7
0. DENOTES IRON MONUMENT FOUND PROPOSED aApAGE FLOOR - 6q8,3 FEET
X000.0 DENOTES EXIS7ING ELEVATION PAOPOSED LOWES7 FLOOR - $q(j,(p FEET
(000.0) DENO7ES PROPOSED EL[VATION PROYOSED TOP OF BLOCK- 898,7 FEET
WE HEREBY CERTIFY TO MOfdTGOMERY pESIGN 9 BUILD. CO.THA7 7HIS 15 A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 13, BLOCK I, WINDTREE 8TH ADD1710N, ACCORDING TO THE
RECORDED Pt.,4T THFREOF, DP.KOTA GOUNT.Y, M!NNES0T4.
IT DpES NO7 PURPORT TO SHOW IMPROVEMENTS OR ENCRCJACHMENTS, EXC[PT AS SHOWN. AS
SURVEYED BY ME pR UNDER MY DIRECT SUPERVISION THIS 21 ST DAY qF DECEMBER , 7888.
PHOPOSED ORADES 9NOWN 1NERLr TAI(EN FROM 7HE OAAOINO PLAN POR WINpTREE SIGNED; JA LL, INC.
7TH'Q bTH AOOI710N, PREPAR[D BY HON
KRUEOER d A890C. INC., IJIST Oq?I[D 4•7•87
~
/Lia
RY:
HAROLD C. pETERSON, CAND SURVEYOR ~
MINNES~TA.LI~~N~E;NUhIBFR`.12Z$d . ,
. , . . . . .
9q+e¦ ti e
2(~ . b co
0 N N y m y James 'f lc•
o~ o W" > ° N m ~
" 1'LANNERS / ENGINEERS / SURVE`(ORS
~ m ~
r ~ 9401 JAMES AVE, S. e bL00MINGTON. MN. 56431 9 e12•xAa-3020
~
A 1969 BUILDING PERMIT APPLICATION - CTTY OF EAGAN
Wr/ 1 ~4 iq
S IIJGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRFSSFS FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE NHICH ADDRESS
IS DFSIRED. NO CHANGFS WILL BE 6LLOWED ONCE HUILDING PERMIT IS ISSOED.
M[TLTIPLE DWELLINGS RENT9L ONITS FOR SALE IINITS # OF ONIT3
INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SURVEY - CHECH WITH BLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS -
COP4fERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTUAAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
A 7TA"ED ~'sA R+4GE ADD~ lajy
To Be Used For: ~ Valuation: ,SODO ~ Date:
Site Address 3 72/ ~°°Z- OFFICE OSE ONLY
Lot _.La Block 'I Oecupancy A- 1 FEFS
Zoning R-1
Parcel/Sub Actual Const v-N Bldg. Permit 72.00
Allowable V• N Surcharge 2•50
Owner Il of stories Plan Review
Length jyT SAC, City
Address Depth 23 SAC, MWCC
S.F. Total Water Conn
City/Zip Code Footprint S.F. Water Meter
Acet. Deposit ~
Phone On site sewage_ S Permit /O.o o I
J- On site well S~F Surcharge . So
Contractor MWCC System _ Treatment Pl.
City water Road Unit
Address PRV required Park Ded.
Booster Pump _ Copies
City/Zip Code EACAti1 TOT9L
APPHOVALS ~
Phone (nC61_ cj Z 3 o Planner
Council
Arch./Engr. Bldg. Off. Z~a5/4
Variance
Address Council ~
City/Zip Code
Phone 0
NOTE: Seaer & Water Permit fees and aceount deposit fees xill be included in the building
permit fee. Processing time for seWer and water permits is two days onee a licensed
plumber has applied for a permit at City Hall.
v,4 LGc AM 0 iJ
~ . , .
t2~23 = a`?6 xis~ Si~ s-D vo
- .
- n:_L -.•h_ TT-~ I,;-,
. . ' - - -
'
;
~
. _ ..---~-.;,~:..,,..._.._A,...-.,:...,~,..m,.~».....~:..,,->..,,~....e....~....~........
I ll N\ \ r
; ` v\ '•r'
~ j .5~ F~. ~,4 ~l , _,~~,,r.:•` .,,.v;N
~ i ~ • r<, u ,e _ . o
~ r i~ , ~,4.;';. ~ ,~L?
I ~ yQ U~,
wt
It I I l I ~ n~
d r
i
'V~•J~/~~~~~Cn~~ O~U~
i~~~~~~
~,i
I `=Y ` i ~i ~ L~"~~! ~...~-r+• 1
t' o
,ti'' ~ tr. ~ • \ ~ ~ ;r1 t;.~
't~~ti', Q/~,. ~ 2~~`~...4...,--• .r.j.j.-~ , -<.'~"~-0 /
~ ~ .V , f : • , ~y. IQ~.'Q..%' . v- ^ L~ }~r
~ _ .t +:i]::1:~-"`^ G'
J
'q ' .~J • 1
~ ~ , • c~ - ' r::?C.`~.: ~ ~ v
4
~ •
~
t ~
I
S`T SCP.LE: i Ir7CH - 30 FEEi
i _ =i^C ~ c . ',O`; ~.iG;,:;.=i..~:•i. '=.,Ui~;:~ nPROPOSED uP,Ri,,GF FLO^R h`
- - "n r: F f
~ 3
Q _,._.'uJ`!i~!': LGY'~)~:Si I"IOVtI CC.LI
_ P R 0 PG'4'=J I rOP ~.~i vL'.7CiA- OIU.7 FrET
I
Jn n.~
I '{~7= i:._'C.; ~ ?i'::.:'r'1Ji_~.."~~i Jr'~ ~i i~ r~i.il~:i'! 'j~~IJ IC u, 'J'7~.~C L`!
Ma,~...•. 3~_.~~..,.. _ v .~vnRFCT
i ,~Cr•p~C:~L"!.,,,IIiJi'~ - 'r~V . 1'{1" G~ii~i~'i1;~\i~.~LS C.~i•
.:iL.~~. ii"~c
i , .._.,..li!..~ . i'.L , .
~.J!N. C Ui.1i'i I.i. Iitl k.
S Q I, .
0 sV
0 y :_j•~(.i ~i`:r=~~-i.~.'i, '_XCl:-T As S P(.'iVVbiN. N.~~i
~ ~.~;i1' :?i:? C`. .~.._'~i, 4.`:~~i. ii :t.. ~1~ J~~~I~Ci'.~:~ii.v~l I~~!S 1:.~~: D+Fv#
~ pyqp., ..~'r. C?u;o!^,~ ~~_...~.E,J~, -CiGI oi~`li`!G~ vh}~t'- ~1/ ' L IP1C. / .
. ~ ;
1
~i; : 7' ~ l ~ / •;.1~ `/~j
~ C;'H~'C' li;.i'.,~ fJ•;~ ^.y ~ 1 j)." e,.», l.
. . ~ i
.
: .
I/ ~f .
. ~..i - . : . ~1
-
~ :-;P„;:~!_L C. f"clE'~ t:~~P!LF,n ~i: aP,
rl~~, 5~~l;/~
I , IYI~I~~41~.i~J I.t9 '1~i'1 .
~ I . . I _ . . . _ - 1....._' , . - . ~:T.r n7.; ~"•7 r-':i-; ~:F"r -'_""-..^.a
~ ' I ~ :i ~ r,; ~ . ~ : ~ ~ v ~J ~i . './'f!"~ ~ j y ~ r .
;i _ . t p f'~• : ti i, ~,.3 * ty. 5. N
iU c-I
iilI~ =1 I ~ i y~ I 14 ~.i ~ ~
;,'~.:.=t~~~ l t=.;~IGif`,fF1-RS '
.~,URVE`!ORIC
.
~
~ .
.i.~i J. ;
.,v..: , S ~ S. C; ._...-.':~ri
I\;~:i'i::\~
o•n
72•OU+
2•50+
10•OU+
0•50+
85•00e
72•0U+
2•50+
10•OU+
0•5U+
85•00*
~ /oa a a . . .
APFLICATION FOR PERMIT iNpTE= PAYDR3TP OF FEE AT TIME OF ~
~ APPLICAMON ppFS Npf Cpry-
in SfIN1E APPRGJAL OF PFAF4T. SEWER AND/OR WATER CONNECTION INSPfLTION OF 56yff7t pPID/OR WA7FR IKSTAI.IATIONS WIIS. NC7P BE SCFDUI.ID l'Nl'IL PII74QT HAS EEEN ppPRWm. 0C
0,~ F C~C1 ~an
(PLEASE PRI
1) PROPERTY ADDRFSS: , I ~
T.FY;AT DFSCRIPTION, L
Lot B ock S ivision or Tax Parcel ID
IF EXISTING STRCCTIJRE, DATE OF ORIGINAL BUILDING PERMIT ISSCANCE:
Nnnt Year
PRESENT ZONING/PROPOSID LSE:
Q COMMERCIAL/RETAIL/OFFICE R-1 SINGLE FAMiLY
Q INDUSTRIAL ~ R-2 DOPLEX ('iwo L'nits)
Q INSTITUTIONAL/GOVERNMENT Q R-3 TOWNHOOSE (Three + Dnits) ( Lfiits)
Q R-4 APARTMENT/COPIDONIINIUM ( L~nits)
z) [vArE:
ADnxFSS: b u
crTY, STATE, zzP: Ep~',) N, ,Nl N
PxonE: (e s 1-cl zb C~
II( For City Ose
3) ~:a• NAME: vCt~l~1l ~lUh~J . \o t Pl ertur s License:
ADDRESS: 7
` ~C~U 'C r"p-L Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE: /-1 D~ Z 2 1 Z 1 MASTER LICE[VSE V0 z I n 7 rr, Ce
Sta Initia
4)
NAME: M CJ ~X
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) M , ,y . i • a'~~ . . i a~
~CONNECTION TO CITY SEWERR [~ECTION TO CITY WATII2 O OTHQ2
5)
~
*~*****+*+:r.*********~*:r*+ ~.**~*~~*~*+,r******~ *.**+.**************+***,r*„*+**~****~**++**++*+**
+
* THE GOID COPY OF 'I7IE PII2MiT WILL SE SENP DIRECI'LY TO PUBLIC WORKS TO FACILITATE MEPER PICK-UP.
PLEASE AId,OW 7WD WURKING DAYS FOR PROCFSSZNG. SOMEONE FROM T[jE CITY WILL CpNPACP YOU IF 74iQ2E
* ARE ANY PROSLE6IS. ~
~*****++r+*~~*+**+***r**~+*r~**~r**~**r+t*+*,~+.~***+**,t***r~*******~**r**++***,t**~r*w******+++***,t+i
FOR CITY USE ONLY ..PERMIT # ISSOED
Pd w/Bldg. Permit FEES:
$ / C SZ $ SEWER PERMIT (INCLC'DE SURCHARGE)
. ~
$ /c ~ $ WATER PERMIT (INCLUDE SL'RCHARGE)
$ C%C $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (ZNCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCO[iNT DEPOSIT - SEWER
i
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BEN°FIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
9c3~S
RECEIPT RECEIPT
DOES [)TILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MIiST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~
TITLE:
DATE :
C~(/iv12Q~C•t~°?i ~'~'--1b-Eir
".1
S'UIHI°IAf:Y FiEFf?F.'T
F'reparE=d F-cir-: F'v-r_par°ed Hy;
I"Innf..gcimery I)E'Ei1C.JCi R. Thies
3721 Wi.ndl:.rr-_.,e F1are I-Ity I A/C
. ,1o6 Plawe: ,7ub O:?;n;?;? MO 2 otc°y
pF=:SIGI'd COhJllT'f;.Ul'Jc3 S[n'
oUrrr.;aOF, J: r,iziOnr;
SUMV"IF_'F.' Wl:td'I'L.f', S3Uh7hlt_R 4d:LhJ"fE'E=;
L%rv En_i 1 G 95 J 72
wet rauib 75 67
iic-t'i'L'y Rrrige "r.'.::'. Dai.1y Swiflg _.t:)
Latitude 44 E:lcvation 822
SLi f t::•'l:'y 1= at:. t. c:; r )
l._at.eni_ f"ar_t.or ('7,) 27
:a i:%i"1 e' E? 1 e
Rooni Hcat.ing Heai_any Cooling Croling
hdamc: E+TUH CFM BTUH LFiI
C.I"'ctWl :.:pciC.ri c,[Ii'.. `io 314 17
ramiiy r,•uoR, =;610 ;a 3,405 172
L?i.ning haom 6,3536 89 ,692 136
K.i.'i.r:l-ien 15,41S 216 4.L300 242
F=oycr 4,024 67 ccbEa 44
L.3undrfiUti.l:i'ty 315 40 751 '_:ci
F3ed room 1 1,845 26 627, 31
L:L'vAlll) T--:CiL}ffj 2v 11R :Sil 1 a41'9 Jj.
Ma=_>tr:•r- L+e•dre,c;ii, ,5f3::, J, 1E31 6C.)
Mask.cr- Bath 2,334 2t 'r.',
F.;ath/ Gtairs 1,721 24 619 o1
B._dr oom = ,EaE.°,4 37 1,168 5 4
55,6II£i 779 L£3,601 97?
HE_fl l`[ NG 'u'E l_-I'Fi "I' E:>S.U [;OC]L.1 NG; T.?C:L..TA "f 18.0
IVOI'E:: *AK C,.'lc_u:Lal_ed Air F;.rw in haseiJ i.iEian I.oar.J rc_yuir-emcnt:es.
'Jer-i.fy t.hat a:irf.trw cal.r_ulazeu is compatit?le wi.tt)
SiE'lE?C'FEd cqi_iipmen't r'equir'ernen+..s„
. 7.
SJ1c fFi [I_f_SJ lil-(='ili-(l` FDf: L:Pd f.[Iil:: HOiJ;31=
I-"'r mF;ar e,r_I 1= np. Pi, ep«rod [3y:
MGllti_JfJiiir_I"';1 J,)t'r2gil R. Thl.L-i^3 <
3771 ini i nri i r-o-.,c. f 1 atr er I-i i..y niC le 0/., ~ - G~ftil ~'1
~rr,r.:, ra=,r~~k,a ,rr.._- _ _
~::k:n~%K~k:h"1f;k;r~'m'';~.'m4:tc*S~I,..I:mn:kM~nti:xX:'t.`~r':di%F$~;i~Ss`.k':h~'~;Y"'.~fi"~fi~n"•.m$~.~b.fin<,n~.'n~.k:'.'.~~~~~8~$•%t$?Y+'a':'m"ntim~~:~:i~~~~%~"T:rv
F: X F'Gf;(.:I %E.
Gt_P.Sf1 idlif-P'il-i SL.71.I'7"I-I Ei'i;i'f WCi3"f Pdk:'I'.IbJ '.iilc:.iliilal i-iC1P;7. TD-I-Ai_
ilFikc.E'i ~ r.I ..1 I 1;'.b I I 01 C; I ,'i':i I
f:;f=i(]L1;.1D , 1,197: 798: 1,2141 5,2011 :i1 nl :l 9,113;
iRKr:i.rdl.i? i _':'9I 1.:3r21 l.•`'-ii` 1 . i i n I r_ll .l'l v`'d`c171
}:t f-i' L L"{ l•1
Wf-1L.1._;5 P.{OR7Fl 13(7+_I"fli t'.-_iy`i"f 44l=;o'1' PdLeI•IW SE/:itnl GFifif?L: i'f.liF:l_
- - - - - - - - - - - - -
i-'il=il_.Fi 1 473: 5L21 7161 60Y2; 01 01 39i Z,0441
C'(-1O1,_J.N(a 1 4Z6! 470I 657" 1 5531 t, l C) ; u; 2,1 17 ;
Nf-.:('vll:l'dla 1 i.,i'aSI tq9:';:_'! 2,7iY2I 2.2721 O1 Cil 5,546I 11,2=661
I)01CIR':> I',IQf-il-H ^Ol.li'H kc('i;i'I' wLsI- I'dlc::; I'dii! Sfc:i5IA1 -fOl"iil_
- - - - - - - - - - - - - - - - -
fi(if_"t`i i 1 1 ;Z0 I 0 01 ~ . i
CUOL:I:I•1G? : 0! U ~ 270 ; ! „ D I ~ ._';°ti) l
Hf:F;T:I:I.1i:a ~ c->I 01 1.14;.-,1 0I : 0 1 L,s]40{
Fl_(.A(iR AI-!L:F9 f:Ot7i.Tr1G IIf-:(il':I:NGr
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
2770 1 2ir'.icirS i 16051
_ . i......
C'L=.:(i_II'di3 (-1IiE(-1 Ct7Cll...'[I'.IG liEtif [P7{i
2; y,7 1 1,113 , 2,4n4
- - - - - - - - - - - - - - - - - - - - - - - - -
I°I'i:ii;_i.=1._t_(ihdL6U',3 t.:0(lI...IhdG L..Cii'ii_Y.:i
-
. . ~ _ _
't:?I.i+:i..Ca :~r.x(i5,~. x~:. I_~i<n~_. 1. .~1:j I_al:r_I-it L..r1<:ti'a' :5y022
L1.6jhf:E n, r`l[)p7.. loz+il I u 19:i L..:i{1el'ii .-2ii='•Y.y i;i'ui1
tJk3ntt I.ri{_it:)ri LGEas.i 1,265
.i)urt I-ir'tcKl_ ci6.1i.11
iili'llti'a"I.::.li:Rl i_mr_n('j 471
,_enuiblr ,LCi4e{y z:i:or, v
I1.1Tl7L L_C1/iD iFi,60.1, Ti7I-F41.. L.i411ccN'T' I..C.lAIi
3~_ur~irrt::~r~ ~-~C41 tY.U;=i faarr~~~?,. .iw.-.ir-~~3 hh_~1±., '.t.00
la_rt?:il (':oui.7..fio I._o.:u{ 2.3r6'.'_'_ FiT141'{ (}p 1.,97 TL:;ns *%'f;n
k°r19S':1_L..f_FiP•.IIii01_!;3 V-II'FF=('f [I'JG; LOr=ii?^
_
..I`i' .1.~. ..f".-~_i(_~-i ..~~.F.r r9er:1. Vt'I1t:1.l.51'f_'i_i=iri i_I7etd ..;,..,.:_:.i
1=ur f. lioctf:. LCist.; i) Se:f,..ty I3Cuh
Wei.nCmi' (-4CI-I t? i J
%:.hrc Tn'l'a.l f'16?ni__i.nij I_riL1Cl 50.688 T;'flJi-I *4;F.
~ For Oitice Use I
~ Permit Ii 77 I
I
City of Ea~an ' ~
I Permit Fee. ~
3830 Piiot Knob Road
Eagan MN 55122 I Date Fecerved:
Phone:(651)675-5675 i
Fax: (651) 675-5694
2008 MECHANICAL PERMIT APPLICATION
Date: 1U -.)9-aY Site Address: 3 70~ ~ Gd: n d~~~r
Tenant: rt/'7 (0 1Sa /I Suite
RESIDENT / OWNER Name: Phone:
Address l City / Zip:
CONTRACTOR Name: tJ S Jleq [,n y fl~~ c^cxJ~„o LC < License
Address: retm,!/-'u- S~ So~~~ #
City: ~7~1S~~~S State. J'h k Zip-SSo
Phone Contact Person:
TYPEOFWORK -New I,/Replacement _Additional _Alteration Demolition
Description of work:
NOTE:'BofN'rool mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one oi the
Planners for informatlon on ermitted screenin methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
~ Furnace ' New Construcllon _ Intenor Improvement
Air Condilioner Install Piping _ Processed
Air Exchanger _ Gas _ Exterior HVAC Unii
' HVAC units must be screened
-X- Heat Pump Under / ACove ground Tank L Install I Remove)
Other " When mstalling/removing tank(s), call lor inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 FifB f0P8if (replace burned oul appliances, duciwork, elc.) (inCludes $.50 Slate SurCharge)
O TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- It Permit Fee is less than $7,000, surcharge is $.50.
- If Permit Fee is > $1,000, surcharge mcreases by $ 50 lor each State SurCharge
$1,000 Permil Fee (i e a$1,007-$2,000 Permit Fee requires a$1.00 surcharqe).
$ TOTALFEE
I hereby acknowledge Ihat Ihis infortnation is complete and accurate; [hat the work vnll be in conformance with the ordinances and codes of the Ciry of Eagan; Iha[
I understand this is not a permil, but only an application for a permit, antl work is not to start w[hout a permit; that the work will be in accordance vnih the approved
plan in the case oi work which reqwres a review and approval ol plans.
x/{'1fI R k r„i .~d h a S~~+ x iA~, t„
Applicant's Printed Name Applicignature
FOR OFFICE USE Reviewed By: Date:
Required Inspectlons: Under Ground Rough In Air Test Gas Service Test In-floor Heat Final
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3721 Windtree Dr
Lot: 013 Block: 001
PID:10- 84477 - 130 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823 -8046
Addition: Windtree 8th
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
$88.50
$1.50
Total: $90.00
Owner:
James L Olson
3721 Windtree Dr
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
0801
9001
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply
of Minnesota Statutes and City of Eagan Ordinances.
h all applicable State
Issued By: Signature
Building
EA090336
07/24/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA170873
Date Issued:07/21/2021
Permit Category:ePermit
Site Address: 3721 Windtree Dr
Lot:013 Block: 001 Addition: Windtree 8th
PID:10-84477-01-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
James L & Jacqueline Olson
3721 Windtree Dr
Saint Paul MN 55123--132
Roof Time, Inc.
18928 Katrine Ct
Lakeville MN 55044
(952) 447-7663
Applicant/Permitee: Signature Issued By: Signature