1324 Windcrest Ave . . , . , y. ,
.
~~erfifir~t~ uf C~rru~~nr~
~Citp of (tagan
arpulnmx a# widtd'" jwpr#inn
ThLs Certifuate issued pursuant w tlte requirements of Secaon 306 of the Uniform Building
Code eertifying tJrat at the ume of issuance this structure was in compliance wirh the various
ordinances of the City regulating building construction or use. For tlre foUowirtg.•
Ux qasifiauoo ,-`•f Y._e:.:.. Bldj. Ptrmit No. 1 14 t 0
Occup-Y TyPe R3 ZonM District IWJ Type CMSI j/f1
oww ateuDaivg `'mARD MTR= Add= 624 4-ai .`r: S, c`SYLS
a,umM nm~ Il97-FFSL AYr"?VtTf: LoWiry 1-31 w-, S•;~'Y Zh.".`.
NM 1Aa&In
emiaNg officW
POST IN A CONSPICUOUS PUCE I
CITY OF EAGAN
- ,
454-8100 • ~
DEPT. OF BUILDING INSPECTIONS
* *
Correction Notice `
Located at
I
I have this day inspected this structure and
these premises and have found the following !
violations of city codes governing same:
/
~
Wpi corr t i o have been made, please
call 454-8100 for inspection.
Date ~
In o y of Eagan
DO LREMOVE THIS TAG
„ .
? . ? A
(terttfiratit uf tOrrupanry
titp of (Eagan
Bt'pg1"bPtif Af IMMIA0 JWPr1Wri
Thrs Certifrcate issued pursuant to lhe requirements of Secdon 306 of the Uniforni Buildiag
Code cerrifying ihat aJ ihe time of issuarce thrs structure was in compliance with the various
ordinances of the City regulating btdlding construction or use. For the foUowing.•
`
v~ ca~;~aoo -L.`-` swa, ftvnil Mo. 12
j'
O-Var TYve R3 zooiog niurict ''r- lype coeet. lirt
oWwr orsWa,g 14MAM PFVPERML~ _ Am,m 624 4IH AVE; S, MPiS
am7dtiog naa= !'?r, l.owicy I.7, H3, *d[ta[Y'RRZF )n,
D,ic &/8q
POST IN A CONSPICUOUS PLACE
~
(Etrt 1f -tr^t1 ~f (OrruT ^nty
titp of Qlagan
lUrpartatrttt of lutid'mg JWrrlian
This Cerlijtcate rssued pursuant to the requiremenls of Secuon 346 of tlre Uniform Building
Code cenifying that at the time of (ssuance this structure was in compliance with the mrious
arclinances of the City regulating building construction or use. For the following.•
ux acMfnrion 1 o f 4 1'I117...`'r gwg. ptrmii No. 1; f3 i I
otcupaoc.y Type R3 Zonin6 Discrict PD _ TYvx Comt. l~
Owwr of BOdM TIFIBAl2D PROREf= Addm 624 41i AVE S, M'LS
aakbng aa&= 1328 WIrII)= AVIIVIIE Umlity L5, B3, WIIMST 21vD
D.te:
Bumrtg 0fficiat ' :
POST IN A CONSPICUOUS PLACE
i;
r < < i
(Ctr#i#iratt of (Orrupttnry
titp of (Eagan
lipvartmrnt of smld'aUg iwPrtim
Tliis Cerlificate issued pursuant w the requirements of Seetion 306 of the Unlform BuiJding
Code certifying that at the time of usuance thu smrcture was in compllance with the mrious
osdinances of the City regulating building conslraction or use. For the following:
vse clam;Gaaon 'BldS. Flmii Wo. ~
OocaWocY TYPe s~.7 ZminB DuMa ~'3 'ly'Pe Coal. '1~
o,.~ cr e~ae~~ `-'~4$ACiD IF~','~~:T-; 24 4V At.'' S
BUIdI(Ig Addtm 10=1itY b3, R L:P~•~~r ~l ~ ..~~n.
ate:_ 89
Rumn8 Offlad
POST IN A CONSPICUOUS PUCE
PERMIT # `
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE 454-8104 For Office Use Only:
Site Address gLpG, npE WORK DESCRIPTION
Lot Block "Sec/Sub Res. New
Y
Mult Add-on
m Name
Address Comm. Repair
~ Other
c City Phone
. FEES
~ Name RES. HVAC 0-100 M BTU - 524.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTfiiACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL AOD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # 9EYOND $1,000)
Other $
FEE
SIGN URE PER
~'6 y ~
S/C: 730
TOTAL• FOR: CITY OF EAGAN
~
CITY OF EAGAN 11~ ~ 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt#
Ta be used tar 1 O'' 4 Pt.Ex Est- Value $61,900 Date 8E
, 19
Site Address 1324 +JINDCRF;:.ry't' AVl: Erect ~ Occupancy R
Lot 3 Sec/Sub. cJi.~+ii)C:REST 2[di) Remodel ? Zoning
Block
Parcel No. Repair ? 7ype of Const. Vi]
Addition ? No. Stories a
W :JO~:BA:~1) PEZOPERTiES Move ? Length
Name Demolish ? Depth
_ 625 4''H 1~V~: SO
o Address Int Impr. ? Sq. Ff 44
City '4`p`=' P h o n e --ata--*2:5 o nstall ?
Z.o Name B~vir5~'RUC`'IC7~J T1VC Approvals • Fees
Q Address 65 3RD AVE Si: ~ Assessment Permit $ 316•00
r
~ C;N .d;:ia 8R~W0"DN 636--4Z64 Water& Sew. Surcharge 30.1J6
Police Plan Review 158.00
F W Name Fire SAC 575.00
Address Eng. Water Conn. 500.00
< W City Phone Planner Water Meter 63 . 50
Council Road Unit 290.00
4 hereby acknowledge that 4 Mav~e.r s appiiCation and state that the Bldg. Off. DP Tr. PI. 1.56. U()
information is correct and a e to co ply with all licable State of
Minnesota Statutes and Ci F~~ya Or 'na s. APC Parks
Signature of PermittVar. Date COpie
Total ~ 6- U U
A Building Permit is issued to: B•-E C0.3STRUCTION It.'C on the express condition that
all work shall be done in accordance with all applicable Stato of Minnesota Statutes and City of Eagan Ordinances-
Building Official
~
i' 7
- -
~
~ PermN No. Permk Halder Data T~one B
PlumWny~
H.V.A.C.
lEhpcfric (05
Soltener
Insptcflon Date Inep. Commenb
Footinqs I
FooHnga 11
Foundatlon
Framinp
Rooling
Rouyh Plbg.
Rouqh HtQ•
Inaul. ~ ~'1 „t
Flreplace
Final Ntg.
Finai Pibg. - 9-QT ~
Bidg. Final
Cort.Occ.
Deck Ftq.
Deck Frn?y.
Well
Pr. Disp.
~ ~ . . . ' • ,k . ~ . - • . ` . , . r . ' .
~ PERMIT #
PLUMBtNCa PEAMIT RECEIPT #
CITIf OF EAGAN
3830 PILOT KNOB ROAD, EA(3AN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
Res. New
m Name Mult Add-on
~ Address Comm. Repair
c City Phone Other
- NO. FlXTURES TOTAL
~ Name Water Closet - $3.00 $
CD
Address Bath Tubs - $3.00
p City Phone Lar+atory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet - $3.00
MINIMiJM - RESlDENTIAL FEE _ a1p.pp Laundry Tray -$3.00
MINIMUM - COMM/IND FEE _ 20,00 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ ,50 Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00
Gas Piping Oudets - $1.50
BEYOND ~1,OQ0.00) Softener - $5.00
Well - $10.00
Pnvate Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE
STATE S/C:
FOR CITY OF EAGAN GRANO TOTAL:
' . PERMIT #
. ' • • MECHANICAL PERMtT
: CITY OF EAGAN RECEIPT # ~C .`-3830 PILOT KNOB ROAD, EACAN, MN 55121 DATE: K~-
CONTRACT PRICE PHONE: 454-8100
Site Address BLD('. TYPE WORK DESCRIPTION
Lot Block 3 Sec/Sub6~
Res. K New ~
m Name M`'' 1 f I Mult Add-on
.5 Address Comm. Repair
c City _I,,, r s~ " Phone q 3 h Other
Name ~ ~ c,.,: t, 1' c c: FEES
~
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air 75 M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boller M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1
,000.00)
Gas Piping Outiets #
Other
FEE: o ~ itii~-Z~t'~ Y?~., ,
S1C: - -50 SIGNATURE OF PERMITTEE
_ cv
TOTAL• "
FOR: CITY OF EAGAN
FuR tiALL a•: • CITY OF EAGAN P~ n 1~.81.2
3830 Pilct Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ~
BUILDING PERMIT Receipt #
To be usad fo? 1 OF 4 P LEXEst. Value $ 61 , 9 00 Date ~~-r...r ~ 19 86
Site Address 1326 44INDCREST AVt: Erect C~ Occupancy A3
Lot_ _7Block 3 Sec/Sub. L+IADCR$ST 2ND Remodel ? Zoning pn
Parcel No. Repair ? Type of Const 17--
Addition ? No. Stories
W Name LOi~lE31~~D FROF'ER''IES Move ? Length
Demolish ? Depth
4TH AVE SO
o Address 625 Int. Impr. ? 5q. Fr 4 4
city ~'~'LS Phone 343-0250 Instan ?
Name B-E CON5TRUCTION INC Approvala Fees
Address 85 3i2D AVE SE Assessment Permit $ 316.00
~ Ciry NEW BR~~r~.TON 636-4164 Water 8~ Sew. Surcharge 30
Police Plan Review 158.00
~ W Name Fire SAC 575,00
Address Eng. Water Conn. 500 . 00
< W ciry Pnone Planner Water Meter 63 . 50
Council Road Unit 250.00
I hereby acknowledge that I have read this application and state that the gldg. Off. Dp Tr. PI. 156.00
information is correct and agree t¢ comply with all a licable State of
Minnesota Statutes and Ciry ga rdinances. APC Parks
Var. Date Copie
Signature of Permittee Total $2,089.00
B-E C4NSTRUCTION INC
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable ~tete of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official _
~ m o m e
CL.
I~
~ ~ ~ u?
~
rr
1 O
r~
1
U~
, x
~
. , .R . . . . . , . . . . , ~.~~',*J
PERMIT #
MECHANICAL PERMIT RECEIPT # L'
CIT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE k
CONTRACT PRICE PHONE: 454-8100
Site Add[~ss v r BLDC&TYPE WORK DESCRIPTION
Lot ~ Block Sec/Sub
Res. ~ New ~
m Name VC Mult Add-on
B Address Comm. Repair
c City h a rl i1 ca t S ro7 Phone i 3`~ ! Other
~ Name ruFEES
c Address RES. HVAC 0-100 M BTU - $24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR CONO. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 196 OF CONTRACT FEE
Bailer fiA BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
T CFM I'U (ADD $.50 S/C IF PERMIT PRICE GOES
Vent
BEYOND $1,000.00)
Gas Piping Outlets #
Other ~
,
FEE S/0. 50 SIGNATURE OF PERMITTEE
11
TOTAL: ~ . ~
FOR: CITY OF EAGAN
, PERMIT #
PLUMBING PERMIT RECEIPT #
qT1f OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: v ' -
CONTRACT PRICE PHONE: 454-8100
Site Address ` - BLOG. TYPE WORK DESCRIPTION
Lot Block ' Sec/Sub %
,
' Res. New
m Name Mult Add-on ,
~ Address - Comm. Repair
c City ' - ` `Phone Other
. , . NQ. FIXTURES TOTAL
~ Name - ' r . - Water Closet - $3.00 $
3 Address Bath Tubs - $3.00
p Ciry Phone Lavatory - $3.00
Shower - $3.00
FEES Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00
MINIMiJM - RESIDENTIAL FEE - $10.00 ~undry Tray - $3.00
MINIMUM - COMM/IND FEE _ 20_~ Flaor Drains -$1.5Q
STATE SURCHARGE PER PERMIT _ .50 Water Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES Whi~lpool -$3.00
Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE:
STATE S/C:
~
GRAND TOTAL: ~
FOR: CITY OF EAGAN
CITY OF EAGAN
118:~ 1
3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be ussd ia 1 Ur' 4 t? fl:Est Value a b Z~~~ ~ Date ~ 5 , 19 ;i 6
Site Address 1.32,11 ti'i INDCR)iST AVr: Erect 11: Occupancy 3
Lot Block •y Sec/Sub. EdINQCFtLS'r 2iVD Remodel ? Zoning
Parcel No. Repair ? Type of Const Ign
Addition ? No. Stories
W Name ,:•0i°ifid ;Or,•:;:'i'IF.S Move ? Length
24
625 ~1 i fiVr:: SO Demolish ? Depth
o Address ~~LS ~v1~~ Int Impr. ? Sq. Ft 44
City Phone 343 Instail ?
¢ B-F: C!):JSTRUCTION I;+C Approvab Fees
o Name
Address 35 3.Ri~ ~1VF SO Assessment Permit $ 316 u u
~ City Ai''.~, B`F~134PGN 6 3 6- 4164 Water & Sew. Surcharge 3 ~-~•,t"~
~ Q Police Plan Review 15 10
F W Name Fire - SAC S7 S- 0U
Address Eng. Water Conn. 5afl - U 0
i W City Phone Planner Water Meter 50
Council Road Unit 2qt% - OU
I hereby acknowledge that I have read this application and state that the ;)2
information is correct and agrea-to com ly with all applicable State of B~dg. Off. Tr_ PI. L`r-~ U
APC Parks
Minnesota Statutes and City df Eayan rdi e~7'
r
t~ ! ~l Var. Date Copies
Signature of Permittea,~d ~ f E
Total 069.00
A Building Permit is iSSUed to: 3-' • Ct)NS'i':il1CCTI0T] I t4C an the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official .
~
~ PWmlt No. PsrmM Floldw Daft Tilephom N
PlumhWp L
H.V.A.C.
EkcViC
Saflwer
Inapsctlon DaM Insp. Commenls
FooUngsI
Footlnys II
Foundatlon
Fnminy s6
Rooflny
Rougn Plbg. 3--Y L ~
Rouyh HIg.
Ifaul.
FI?eplaCe
Flnal Ntq.
Ffnal Plby. 4o
Y
&dy. Final
CM.Occ. 23 8g DS~ ~'I~ O~ ~hp.( y t~cfio
Deck FIg. ~ 2 ~rs i wa
DockFn119. t'lia~ f~iQ [ane~iy ~et ~+~•e - Can i.,i,
WON ~On fiic Lr,be %
Pr. Dlap.
PERMIT #
• • • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address f - LU rA/pC n' c 5 ~ gLpG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub /x ' ~-7-
Res. X New ,.X
m Name v~~ Mult Add-on
Address
y Ciiy~'ha„ha ss rr~ Phone ~ -O,2 ~ m. Repair
Name 61 c.-FEES
~
c Address ' RES. HVAC 0-100 M BTU -$24.00
p City Phone 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.
Forced Air ? M BTU COMM/IND FEE - 196 OF CONTRACT FEE -
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1
I I 5U .0OO.OU)
Gas Piping OuUets #
Other
FEE -~5'50
s/C. . ~ U SIGNATURE OF PERMITTEE
TOUL•
FOR: CITY OF EAGAN
PERMIT #
- • PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot -Block Sec/Sub
Res. New
m Name~ Mult Add-on
~ Address' Comm. Repair
c City ~L-L---i ~ Phone Other
L C. N9s FIXTURES TOTAL
Name Water Closet - $3.00 $
3 Address", ` _ - : ~ L-- T-Bath Tubs - $3.00
p City v Phon C 7-Lavatory -$3.00
Shower - $3.00
~ Kitchen Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/1ND FEE - 1% OF CONTRACT FEE Laundry Tray -$3.00
MINIMJM - RESIDENTIAL FEE -$10.00 / Floor Drains -$1.50
MINIMUM - COMM/iND FEE - 20•00 / Water 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
Pnvate Disp. - $10.00
Rough Openings - $1.50
S GNATURE OF PERMITTEE FEE: y v l
STATE S/C:
, .
FOR: CITY OF EAGAN GRAND TOTAL: V
' CITY OF EAGAN 11813
[ ~:t 'SI,.'. , ; ; .t ' ~ j ti
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILAING PERMIT Receipt #
Tobeusedfor Z U,? 4 YLEXEstva~ue $61,900 oate 7 ''i1% l~ J 19 g6
1330 y`y I`lt7CREST AVE Erect QK Occupancy
Site Address
Lot b Block 3 SeclSub. WINDCItEST 2ND Remodel ? Zoning a21
Parcel No. Repair ? Type of Const. vAl
Addition ? No. Stories
g Name 60hi3Aitil -,'ROPEI2TIE5 Move ? Length
Demolish ? Depth 24
bl5 4T:: AVE SO
; Address Int. Impr. ? Sq. Ft 44
° City atiiPLS phone 343-0250 Install ? ~
o Name B'E COiVSTRUCTIORi INC Approvab Fees
~i Address 85 THItZO AVE SE Assessment Permit a 316.00
cc ~~~y ~ Ei~J BZtdjj;~,N 636-4164 Water 8~ Sew. Surcharge 30•(0
~ Police Plan Review 15$.00
~Z Name S~t% Fire SAC 575.00
x o Address Eng. Water Conn. 500 . UO
i W city Pnone Planner Water Meter 63 . 50
Council Road Unit 290, d0
I hereby acknowledge that I have read this application and state thatthe Bldg. Off. . Dp Tr. PI. 156,00
information is correct and agree toz6r-Tip1y with all applicable State of
Minnesota Statutes and Ciry o€-~e an QFdi an s. APC Parks
Var. Date i Copie
Signature of Permfttee TO.~ . U U
A Buflding Permit is issued to: B-E CONS7'RUC7'ION on the express condition that
a11 work shall be done in accordance with all applicable $tate of Minnesota Statutes and Ciry ot Eagan Ordinances.
Building Official
PonnM No. PermN Holder Daw Telaphon* M
Plumbiny • ~ ~ - ~f
H.V.A.C. s
Eleebic
Son.nm
InspecHon Date Insp. CommeMs
FooNnys l
Footlnys II
Foundatlon
Framinp
44 C
Rooflny
I'Rough Plbp.
Rouyh Htp.
Inwl. t' /0 31- r4-
Finplam
Final Hlp. • ~Q. C/f ~ B.CM T,P.,~.
Flnal Plbp. O.3/~6 ~'114C. &-oh'Arexc s/ L1 L- /
Bldy. Finsl -S` ~
Cart. Oce.
Declc Fty.
Doek Frmp.
Well
Pr. Dkp.
~ V .
PERMIT # 7
~ ~
• MECHANICAL PERMR RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: CONTRACT PRICE: PHONE: 454-8100
Site Address ~~-22 r c Ki~ "i 7 Fi v E BLDG TMPE WORK DESCRIPTION
Lot rBlock 3 Sec/Sub
-
1-I F-' v c' Res. New
~ m Name ~ Muft Add-on
Address Comm. Repair
c Ciiy, ` ` •"h`' Phone '13 - D 326 Other
Name FEES
~
c Address RES. HVAC 0-100 M BTU -$24.00
p Ciiy Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
TYPE OF WORK GAS OUTLETS - 1.50 EA.
Forced Air ~ r M BTU COMM/IND FEE - 1% OF CbNTRACT FEE
Boller M BTU MINIMUM -fiESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1
I I _ 7 ,000.00)
Gas Piping Outlets #
Other -
FEE
SL? 51GMATURE OF PERMITTEE
src:
-
TOTAL:
FOR: CITY OF EAGAN
PERMIT #
• • • PLUMBIN(i PERMIT RECEIPT #
- C1TY OF EAGAN
3630 PiLOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIP710N
Lot ' Block Sec/Sub
Res. New
? Name Mult Add-on
~ Address Comm. Repair
c City Phone Other
N0. FIXTURES TOTAL
~ Name Water Closet - $3.00 $ -
3 Address Bath Tubs - $3.00
O CttY Phone ' Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
FEES
COMM/IND FEE - 196 OF CONTRACT FEE Unnal/Bidet -$3.00
MINIMUM - RESIDENTIAL FEE - $10.00 ~undry Tray - $3.00
MINIMUM - COMM/IND FEE _ 2000 Floor Drains -$1.50
STATE SURCHARGE PER PERMIT _ .50 ' ~Nater Heater -$1.50
(ADD $.50 S/C IF PERMIT PRICE GOES 1Nhihpool -$3.00
Gas Piping OuUets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNATURE OF PERMITTEE FEE STATE SfC:
FOR CITY OF EAGAN GRAND TOTAL• 1~ J~
~ ...r... Q~ ~T CITY OF EAGAN: . . . , ~ ~2
'1 @820
3830 Pflot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
_ BUIL~INaPERMIT Receipt #
' To be ed4or BASEFSENT 1?1NISi1 Est. value $1'500 Date MAR 28 , 19 91
Site A'd ress 1324 VIKDCR68T AVE Lot Btock SeclSub. OFFICE USE ONLY
Parcel No. ocouPancy -3 FEES
Zoning - - ~
W Name ~S (ACtu2l) Const - Bldg. Permit
; AddreSS (Alfowable) - Surcharge
0 Clty EArAN PhOn@ 456-0436-
# ot Stories -
length _ Plan Review
SAM , p Name Depth - $AC. City
ou t AddfBSS S.F. Total - $AC, MCWCC
Cc
City Phone S.F. Footprints -
on Site Sewage _ Water Conn
r
W W Name On Site Well - Water Meter
~ z MWCC S stem
, Address y - Acct. peposit
a W City Phone c~y wa~er -
PRV Required - S!W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - 5NV 5urcharge
information is correct and agree to comply with all applicable State ot
Minnesota Statutes and City ol Eagan Ordinances. , Treatment PI
Signature ot Permitee APPROVALS Road Unit
-
A Building Permit is issued to: WAM UM$ Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council .50
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pf}, _ Copies
36.50
Building 0lficial Variance - TOTAL
Parmit No. PermH Holder Date Telephone #
WATER
SEWEH
PLUMBING ~~q I
H.VA.C.
ELEcrAic 3 / ~ ~Q ao
kap.en«? wce Innp. commenta
footings I
Foundation Framing
c;oonny
Rough Plbg. 11`7 (J
Rough Htg.
Isul.
Fireplate ~ L
Final Htg.
Fnal Ptbg.
Const. Meter Plbg. Inspector - ify P umber
Engr./Plan
Bldg. Final
Deck Ftg.
Dedc Fnal
Well
Pr. Disp. UL~ C If ~ -
3 /7 3 -
CITY OF EAGIEN Remarks
,4ddicion WINDCREST 2NQ ADDN Loc 8 Bik 3 Pefcel 10-84461-0$0-03
.ow~e~ sc~~t 1324 Windcrest Ave State
Improvament Date Amount Annual Years Payment Receipt Date
STFiEET SURF. q
STREET RESTOR.
GRADING 1983 242.86 48.57 5
SAN SEW TRUNlK ti 1973 46.82 2.34 20
*SEWERLATERAL 1983 1460.43 292.09 5
WRTERMAIN
* WATER LATERAL 1983 S
WATER AREA 1983 97.78 19.56
*Services 1983 5
STORM SEW TRK 1983 258.87 51.77 5
* S70RM SEW LAT 1983 5
CURB & GUTTER SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition WINDCRE~T 2ND ADDN t 7 Bik 3 Parcel 10-84461-070-03
~in crest T-ve-
32 Owner Street State
Improvement Dats Amount Annual Years Payment Receipt Date
STREET SURF. 5 $ 131.82 S
STREET RESTOR.
GRADING 1W 1983 242.86 48.57 5
SAN SEW TRUNK 1973 46.82 2.34 20
*SEWER LATERAL
WATERMAIN
* WATER LATERAL 1983
WATER AREA
*
STORM SEW TRK
* STORM SEW LAT 1983 $
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUIlO1NG PER.
SAC
PARK
CITY OF EAGAN Remarks
Addition WINDCREST 2ND ADDI+1 Lo: 5 Bik 3 parcel I0-84461-050-03
Owner street 1328 Windcrest Ave smte
Improvement Date Amount Annuai Years Payment Receipt Date
STREE7SURF. 1984 659.08 131.82 5
STREET RESTOR.
GRADING 1983 242.86 48.57 5
SAN SEW TRUNK 1973 46.82 2.34 20
* SEWER LATERAL IhO 19$3 1460.43 292.09 S
WATERMAIN
* WATER LATERAL 1983 S
WATER AREA 71, 1983 97.78 19.56 5
*Services 1983 5
STORM SEW TRK 1983 258.87 51.77 S
* STORM SEW LAT 1983 5
CURB 8e GUTYER
SIDEWALK
STREET IIGHT
WATER CONN.
BUILDING PER.
SAC
PARfC
CITY OF EAGAN Remarks
Addition WINDCREST 2ND ADDN t 6 ik 3 Parcel 10-84461-060-03
3 0 V'in crest ve
Owner Street State
Improvament Date Amaunt Annual Years Payment Receipt Date
STREET SURF, 659.08 131.82 5
STREET RESTOR.
GRADING 1983 242-96 48.57 5
SAN SEW TRUNK 71 1973 46.82 2.34 20
* SEWER LATERAL 1983 1460-4-1 292-0-9 5
WATERMAIN
* WATER LATERAL
WATER AREA
*
STORM SEW TRK 1983 258.87 51.77 5
* STORM SEW LAT 1983 5
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
AUILDING PER.
SAC
PARK
CITY OF EAGAN
3830 Pilot Knob Road SEVYE/j SERveci PEnmR 1
P. O. Bax 21199 ~
Eegan, MN 55121 PERMIT NO.:
zonrny: o41TE:
~M'11i~: NO. Of Vr1if'f: ~^n7.
/,CId?lSS:
Stte Addmss: - ::1~:'crest
wumber h3T'.it
Sam i
ft 96 cky of yMn Con • i~ V ~'ii:
M~eN. Mctian Choego; ~ 16
Acaount ` ^ a
Deposih ~ -
P*„~r_y Fee: ~ .
By $UPC~IC1'pe'
DQF! Of trap,; NUfG. aprom
TOw:
QOh POb'
CITY OF EAGAN
3830 Pilot Knob Road WATER SBtVWE pEMff
P. O. Bax 21199
Ea9a.., MN 55721 PERMIT NO.: ,
DATE:
Ioninp: _ - 1 C~-8 E.
Owner, No. of UMts:
Addro&-
Site Addreas: ' IZ4
Pluniber. x r - • - r 'l
AAoor No.: ~
S)ze: Co?n+ecHon Chorgs;
Rscdsr No.: ACoount Depostr: -
~ONM t° eU/ll wNa HN Piermit Fee:
OFAwOw~~ °f ffiY°, Sw~d~orge:
AAlsc. G,crgm ~5. ilf)-.,d T'?
gy Total:
Date of Irprp.: ~'oh Poid:
Irrp,:
CITY OF EAGAN WATBt SERVICE PERMIT
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Ea§an, MN 55121 DATE:
Zoninp: - No. of Unlts: '
Ownor.
Mdross:
Sih Address:
Plumber.
Mehr No.: Connection Charps:
Size: Acooud Deposit: Reodsr Plo.: Pertnit Fee:
1opw to e=* wMr IIM Ciry of E"sw Sur+ctwrgs:
OrAMeew. lNlsc. Clargea:
Totoi: By Dar• Poid:
DaRe of Insp.: Insp.:
CITY OF EAGAN SEVM sUVICE PLWff
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagari, MN 55121 pATE; •
~
Zaninp: - No. of Units:
Owrnr.
/lddress:
$i[! AddIliS: -4-iISLCreS4 ~V-," _ . - •~~~C~P$'- ' ,
Plumber: A..
~ agm to em* N'kh tiw Cky of y/OA Cj01111lCfTOfI Q101 'RC 'i _ 1 : i i r.. , .
~ ~ Y~^
AooO~w+t DspOait:
Permit Fes:
Surdwrge:
ey Mise. Chargs:
DaRe of Insp.: Total:
Insp.: Doft Poid:
CITY QF EAGAN
3830 RUot Knob Rosd WATER SERVICE pEitlyllT
P. O. Box 21199 PERMIT Np.: t
EaW. MN 85121 DAl'E:
Zoninp::. - No. of Untts: -T'lex
Owner: ~ ~ s t
/14dross:
Si» Addross: ;-iaidcreat ~
Plu+iber:
Mehr No.:•376 loSS bcTcl.Cnnli -
Size: ot/
Readar No.:
10
~ Nnt h 40111001-F wNr Pd
Or~llw~~as. , L,p S~'
~ 1 S 6. ti'? n ~ 't'^ ~
l
Total: i3 SOpc! i• eter ~
By v
~i DaM Patd:
Dota of Insp.: ~
Insp.:
~7 i
CITY OF EAGAN SEINER SERVICE PERMIT
3830 Pilot Knob Road pE~~T N0.'
•
P. O. Box 21199
Eagan, MN 55721 DATE
Zoning. No. of Units:
OVYfllr: . . `.•:1Il B t . -
AddrESS:
Wixedcres*_ AcAnLL: ; , . : _
Site Addross:
~<,.:r ardt Plt~m r. ~
Plurnber.
1 NrM ba opI! with !Ir CK'? of ioww Corzoctb^ dwrpa' ` -
01ri.~.a~• Ac.oou+t Deposit:
Prrmit FM:
Surciwr
; 8y mlot. Charqss:
Date of Irap.: Tatol:
' Insp.: Dab Pa1d:
CITY OF EAGAN 1NATER SERVICE PERMIT
3630 Pelot Krab Roed pERMiT NO.:
P. Box 21199
Esgsn, MN 55121 D/1TE: , .
No. of Units: •pie?:
Zonirg: .
Owner. ;.onst.
~Addrom ~;indczes" 2
Plurriber. , < t ' '1, ,
NbMr ~/5.3~ 50(?.00 ; No.: ~ 15.00 p•i
in Size: L t0._~, ~
R der No.: ~L ~ •~P~rm~t F~t SJpd
1 NrM h anO'l wi1h !w G~ ' 4
- .3oPd TP
O?dhwn°r' !'`N e r x. cr,aroes:
tl~~ Q
Total: f'~ 50gd meter
By poft Poid:
Dote of Insp.: Intp.:
CITY oF EAGAN ~ SEIAIER SER1/ECE PERMIT
3830 Pi1d.lCnob RoBd pERMIT NO.:
P. b. Box 21199 DA~:
Eagaih, MN 55121 4-nPx
Na of Units:
laninp:
Owror t3 & E Con t _
Address: ~ ~
~ ~n I326 W e t I
Burkhardt lu
Plumber.
1 yt~~1t1ES 100 . OO r d
.
~ I pm to «0411 wm !M Cilv oi1~ 111~, C~
t; ~
OrdiM~. , e~4
- jE~EP~d~E-E1. ~
QU IR ~ 5 apd~
L •_~t. Y ~ ~ ,
ey Misc. Chotpss:
Tofol:
Darh Poid:
Irep.:
CITY OF EAGAN §EWER S"CE PERMR
3830 Pilot Knob Rosd
P. O. Box 21189 PERMIT NO.:
Eagan, MN 55121 DATE: .
Zanirg: No. of Units: ` -
Ownsr: - r
llddross: _
Stte Addross• '3'''
~ Plumber.
~ S ~ ' ! i %
.
' I Mm h eNpwMb !M CM1? of MMa Conrwctian C'home:
OnNMeas. At°°u^t Depalts ,
i - •
' Rrrml! Fes: -
I
SurcF+oroa: -
~
gy Misc. Chorpsr
Dcte of Insp.: Total:
Irnp.: Date Pald:
}
CITY OF EAGAN WATBt SERVICE PERl1W
3830 Pilot Knob Road 787-,
P. O. Box 21159 PERMIT NO.:
I Eagen, MN 5f721 DATE: 9-10-
Zoninp: No. of Units: -plex
Owner.
Addross:
5ift Mdfesc ',~inccrest Averrie 1,5 ' k'indcrest ? Plumber. -r' `;t~, "lu;;!b
Meftr N.• 7 .5 5~ o ~~500.00pd
~~1~'~ 1Qoe~ % ~ 15, 00pd
Stu: ~
,
I yme 1a eowe* lw *a ¦ . 5t~pc1
OeriMner. ~~p,o~; 156. f)Opd
Total: 63 . SQrd mptt:r ;
, BY Doh PaW:
! Date of I nsp.: I mp.:
03 - zo -f7
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Rosd
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
ZadnO: - No. of UMts: - n L eY.
OWflfF:
AddPRn:
~ Sk. Md?.m i 3'!8 `dindcrest , ~ .
Pluenber. R'1rv+,ardt
Maftr No.: Co.ir+ection Charge:
Siu: Aoaount Deposit:
Reader No.. Permit Fee:
1 Nno 1o awoigr wMh !M Citi oi Eow• 5urchorqe: •`~n~
OwiNseM. Misc. Chorpss:
Totol: - - - - ° L t r
By Doh Potd:
Date of insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilo3 "nob Road
.
P. O. Box 21199 ' PERMIT NO.: '
Eagan,. MN 55121 DATE: -
Zoning: • No. of Units: -?-nl
OwrNr,
Addmfr.
51» /?ddrcm ~ indc rif Ave-iuE- '.6 T`
Plumbar. ~'.ardt Plumri .
.ror N . 3 SOc?
AA
Slze; l~.i`J•,c-
1,6 Reader No.: OG9~J 1 g~ ~10.00nd
1.mw. Me eemolr whh th. Ciq~IG~ ~ .
~~Sf1j+d
o.~r..~o... 'L`` R~ 1s5.,-i.,a `T•n
E,Q~~ Totoi: ~~3 . SQpd me L ~r
BY Dote Paid:
DaM of Insp.: Insp,;
/ ~ ~i7 • ~~C'
, t
CITY OF EAGAN SEWEit gE1tVlGE- PERMR .
3830 PootJCnob Road
P. ,r
P. O. 8ox 21, 99 PERMITclVO,:. `
' Eegan,MflF-21 DATE- ~
z«ang: r 3 gf Unies:
Owrnr F~ i. !:ntist . /lddrcss: -
' Sin Addma: 1330 windc-eqt nAvenue LG E3 c-lind crest
Burkhardt
' Plumber: .
I p~w tieew~h? fl~ ~t~~' CF'or'0°: 4.2.51.0'?Pc:
~ ,~,;ip,eposit;
Pog
g , Mlsc. a,oroes:
~
Dote oE-tFwp~ ,
' Tatd:
pafA Pold:
-r----~
CITY OF EAGAN WATER SERVICE PERMIt
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zaninp: . No. of Units:
Owrwr:
Addnesa:
Stre Mdress: eSt
Plurnber:
AAeter No.: Connaction Cho?pe:
Size: Aooourrt Oeposit:
Rsader No.: Permit Fee;
1 ym 1o aovuplp wilb tM Cier oi Eew¦ Surchoroe: ,
OraMwar. Misc. Cho?flss:
Totol:
8r Daro Poid:
Dote of Irup.: Insp•;
X("C^ REQUEST FOR ELECTRICAL INSPECTION ee-oucwi-oa
IP Sae insiructions for comVletim this form on Mck of ~~~c
~ . vellow coov.
116 5 4 "x" BeloW Work Covered by Ihis Request
~ AAtl Heo. 7
Vue oi Builtling ApPliances Wiretl Enuiu.,ent Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Piztures
Apt. Building Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader.
Industrial 81Ag. Air Conditioner Bulk Milk Tank
Parm otne, oecr v .~hor ISneci~v~
tier Ueci Y ther ~ Other
ompuie lnspection Fee Below
p Fee Servim EnbenceSixe tl Fee Feeders/5ubtexders # Few Circuits
,00 0 to 200 qm s 0 to 30 Am s A.~~a Q l0 30 Am
- Above 200 Amps 37 to 700 qmps L' , 31 to 100 q y
Swimming Pool Above 100_Am s Above 100_Amps
Transformers Irngation 8ooms Partial,'O[her Fee
~ ~
Remarks Signs Special Inspec[ion SS~
TOTAL
E
Nough-in ~te
I, Me E al
InsOacbq heveby
erlily Ihet the nbove
Finel Dqe 7.~ 'nspection has been
, ~ meAe.
This reQuest volO 18 mon1M imm
J
This raquesl void C~
18 rtqnths.from 6-~'
-C I1654
Fequest Dale Fire No. RouNh-in Insoection
qurteA? OAcady Nuw l Notity InsPec-
~ Yes ?NO ~or When ReadY
KLiwnsed ElecVical Contractor I heraby requast inspection of ebove
? Owner electricel work instelled at:
Street Addres5. Box or floute No. City,
~ Ll ~ L
ecLOn o. ownshlD NBme or No. Nange No. Coumy
~i
OccuUanilPflINT1 1 Phone No.
~ S
Power Supplier Address
D~cd-~, E c~`+N~ ~S 3 0o rT- ,
Elec[rical ConVactor (CO Oany Namel.. I Conhactor's Liconse No.
0 6 1~ G., E~ a'~~
Mailine AdJress (CmVactor or Owner Making Inslailation)
o~T-- -Y S3 7 Co
Authorized SiB ture (Contractor/Ow r Making Ins[allation) Phone Number
-1-/ 7 7-2-? 7L
THIS INSPECTION qEQUEST WILL NOT
MINNESOTA STATE 80AHD OF ELECTNICITY
GrigBS•Midway 9ltlg. - Room N-191 BE ACCEPTEO 9Y THE STATE BOAND
1821 UniversitV Ava., St. Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
vti..oo 16121 2972111 ENCLOSEO.
9 33617 41- r3p
Requesl o te Flre Na. Raugh-In Inspectlon
Fequiretl? Ready N~II No[ity Inspaclor
?
Yes ? No hen Reatly4
I CI licensed coMractor Xowner hereby request inspection of above electrical work at:
Job Atltlra.,s (S e Box or Poute No.) ~ Ciry
Section No. Township Name or No. Range No. Caunry
OccoDant(PRINT) Phone No.
Power u00lier Atltlress
Eleclrical Conlac~or (COmpany Name) Conhac[or5 Lioense No.
O??'~~0wll
Mailing qdtlress (ConVactor or Owner Makinq Inslallation)
Authoriretl Signature IGOnVadovOwner Making Installation) Pnone Number .
lI V SZ: 6'(3t.
MINNESOTA STATE 80ARD OF ELECTFIdTY THIS INSPECTION REQUEST WILL NOT
Grlgga-MlOway BIEg. - Room 5193 BE AGGEPTED BY THE STATE 80AR0
1811 UniversNy Ave., SI. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee.00001-07
7 a
? See -nsW ctions lor completing ihi5 larm on back oi yellow mpg
(rv 33617 Befow Work Covered by This Request
ew A2~d Rep. TypeolBuiltling AppliancesWiretl EquipmentWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Conditioner
piner(speciry) ConVadorS Pemarks _Wsm-16.
Compute Inspection Fee Belaw:
# Other Fee # ServiceEmranceSize Fee # CircuBS/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
7ransformers Above 200 _ Amps ove 100 _ Amps
SignS Inspecmr§ Use Only TOTAL r~
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in oa~e J~
certify that the above inspection has oae
been made. ~
OFFICE lISE ONLY
TM1is request voitl 18 mon[hs irom
This request void C_ I_ L~ 5
16 mpnths f!om CS O lL <
C 1116,53 6,~3 w t ~ s 3-
Request Date Fire No. Re t. hfdn7InsVer.tion E:]qeadY Now WiII No~ify, Inspec-
~ es ?No [or When Peatly
~Licensed Elecvical ConVactor I hereby request inspaction of ebove
Owner / elecbical work installad ee:
5[reet Address, Box or Route No. Ciry
1 3 zto W; In d ~~sf E0. P.r
ecLOn o. Township Name or No. Ranee No. County 1
~ (J~.Y W TA/
OccupantlPfllNTI Phone No.
Power.5up01ier AA,dre ss ss~y Z y
Da.~~.v'-w E I ri c `7~30d ST - W, v~
Elecvical Comractor ICompanv Namel Contractor's License No.
~ 0{7 K t ~ low~ ~G ~ e c.'{r i c ~ ~ 4CU G
Mailing AtlJress ICOn[ractor ar Owner MakinB Insta08tion1
Z•-r _ (11 tC.f-L h ss3 -z C-
Authorized SiO~a ure (Convector wner MakinB Insl'dllation) 7hon¢ Number '
' ~47- z47~
MINNESOTA STpTE BOARDrOF ELECTRIGITY THIS INSPECTION NEQUEST WILL NOT
Grigge-Midwav Bldg. - Room N•197 BE ACCEPTED BY THE STATE BOAHD
1821 University Ave.. S[. Peul, MN 55104 UNLESS PNOPEfl INSPECTION FEE IS P6nne I6121 29]2111 ENCLOSE D .
S__ REQUEST FOR ELECTRICAL INSPECTION ee-ouuoi.aa
0 See instructions /or comoleting this form on back ol yellow copy.
•i 16 53 "X" Below Work Covered by 7his Request &J S/ C5
Ne4Addj flep. TVOe of 9uiltling ApOlianeea Wired Equiument Wired
Home Range Temporary Service
Duple.x Water Heater Liyh[in, Fixtwes
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader.
Industrial Bldg. Air Conditioner BLJk Milk Tnnk
Farm - 1n,, ve, v - me~ itine,_~rv)
mn., Syeci y O~her ~ Qtn.r
i
ompute lnspection Fee Be/ow
p Fea ServiceEntrenceSize n Fea Feedera/Subfeuders # Fen Circui's
12, QO 0 to 200 qm 5 0 to 30 Am s (a.QO 0 to 30 f1m s
A6ove 200 qm py 31 to 100 qrnps , pp 31 to 100 A s
Swimming Pool Above 100_Amps Above 100_Amps
Transformer5 Irrigation 6oortis o Partial'Other Fee
$igns Special Inspection
ToTAL S3
emsrks
r
Nough-in 1e~/ I.the E '
• - Inspector, hereby
~ cerUly thet the obova
Final Unle ~ inspeclion has Eean
l
U
mle repuast volG t8 monllre irom
980.2~
C~ 33398,G
Request Date Fire No. Rough-in Inspeclion
~ „ Requirea? Aeady Now ? Will Notity Inspeclor
U ~ Yay o Whan Reatly4
Ilicensed contrector ? owner hereby request inspection of above elecirical work at
Jo0 AOtlress (Stree6 8ox or Route No.) 1 Ciry
9
Seclion No. Township Name or No. RaNe No. Counry
Occupant(PRINT) Phone No.
-I
Power Supplier Atldress
Eleclrical Conhactor (Company Name) Comrecror5 License No.
Matling Atltlress ICOnVecror or Owner Making Installation)
u -m
Auhanzetl SignaWre ~GO~VacrorlOwner Making ins~alaiion) Phone Number
MINNESOTA STATE BOANU OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GtlggsMWway Bltlg. - Noom 5-173 BE ACGEPTED BY THE StATE BOARD
1821 University Ave.. St. Peul, MN 5510C UNLESS PROPER INSPECTION FEE IS
Plrone (612) 1P12-0800 ENCLOSED.
REQUEST FO ELErTRICAL INSPECTION ee.00001-07
ji~ See'msVUCtions for mpleting tYiis torm on back oi yellow copy. g
C~,7s 33398 'X" Below Work Covered by This Request
ew AAd Rap. TypeotBuilding AppliancesWiretl EquipmeniWired
IHome Range Temporary Service
Duplex Water Heater Electric Heating
Apt Buiidinq Dryer Other (Specify)
Comm./lndustrial Fumace
Farm Air Conditioner
Olherfspeclly) Co actor's Remarks:
Compute Inspection Fee Below:
# Olher Fee # ServiceEnlranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 2D0 _ Amps AGove 100 _ Amps
Signs Inspecrorg Use Only: 7'pTAL
Irrigation Booms l~~UO ~
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
Date
1, the E,leatrical Inspector, hereby "yn-d
(
certify ihat the above inspection has F;,,ai
been made.
OFFICE USE ONLY
This requesf voitl t8 monihs fmm
uest 181mpnths from'd , Vi" ~
5~-
-C3: 16 5 5 L S 6
FepuHSt Date Fire No. RouPh-in Insueotlon. ,~,p
RequireA? ~Ready Now ry[~ WiII NoIity lnspec-
es ?No ~ Stor When PeaAy
Licensed Electrical Conhactor 1 hereby reuuasI inspection oi abova
Owner electricel wark inslalled et:
Sveet Address, Boz or Flome No. Citv
a. i3 J'- E
ecuon o. Township Name or No. flange No~ County /
1.J Qi ~ ~i/' • IM1~
Occupant(PRINT) Phone Nn.
- ~ 1
Power Supplier Address
~C.el E`e-~ ` c eu 30d ' 7'7.0~ ST .W r.., " I
lecVical Contractor ICOmDany Namel Contractor's L.icensa No.
.II E l~+~; ~ G, o o~ zt~
MailinB Ad~d^ress ICOnhector or Owner Makiny Instailationl
Au ~e IConaactor/Owner Makin9 Installationl Phone Number
MINNESOTp STATE 90APD OF ELECTqICITY THIS INSPECTION REQUEST WILL NOT
Grig9"idwaY eld9• - Aoom N.197 BE ACCEPTED BY THESTATE BOAND
UNLESS PflOPEH INSPECTION FEE IS
1821 University Ave., St. Peul, MN 55106
Pn- 1$121 29]2111 ENC LOSED.
-FSCP REQUEST FOR ELECTRICAL INSPECTION ee-00001oa
~ See instmctions br eomoletieg this fwm on Ceck oi yellow eopy.
10 11655 "J(" Be/ow Work Covered by 7his Request
Nw4Addj Fep. TYPe of BuilEinB APPliancee Wired Equiumanc Wired
Home Range Temporary Service
Duplex Water Heater heO Lightiny Fixtures
Apt. BuilAing Dryer Electric Heatin
Commercial Bidy. Fumace Silo Unlonder.
Industrial BIAg. Air Conditioner 8ulk Milk Tank
Farm Oth., oeci y .tn(~r (Sn,:i1y)
t .r SVeci y [her ~ Other
ompute Inspection Fee Below ~
p Fee ServiceEnhence5ize tl Pee Feedefs/Subteeders N Fee Cirewts
0 to 200 qm s 0 to 30 qm s 42 dD 0 co 30 Am>s
Above 200 qmps 37 to 100 Amps s 00 31 to 100 A s
Swimming Pool Above 700_Am s Above 100_AmPs
Transformers Irrigation Boorr~s ~„j7y Pdrtial.'Olher Fee
Signs Speciallnspection
TOT FEE ~
Bemarks i~
Boueh-in ' D te the cal
nspecloq haroby
mrti~y thet the above
Final spection hes Deen
da.
tOis repueet volE 16 monlhs Irom
This re4c~st void C'
~s3
78 ~ti ,~652 L ~ , -
Inspection
pPnuest Data Fire No, pouph-in ~
Requued? Ready Npwl Nmify InsPec-
Q ~es ?No ~or When Ready
~Licensed Elec[rical Convacmr. I hareby reques[ inspaction of above
Owner electrical work installed ar.
Stree[~Address, Box or qoute No. City
1330 W'~ 1,1 4 Cr~s E w e,v.
ecLqn o. Township Name or No. Range No. County f/ ~~~L .
{~O~A/
Phone Nn.
OccupantlPPINTI
- p (''y, `.1tn^ S I
Pawer Supplier Address
n,-Kdta E[ i;`L' cc sso 1 y
~.3 00 •ST. W. F ar Y.. ,
Elec[rical Contractor ICompany Namel Cnntractor's License No.
~ o b ~C~~ l ~ a.,~,. e~ ' ~.u ! ~-c~
Mailing AtlOrass IContrector or Owner Makine InstailatioN
- ' [-L 0-4 (1'2 ' SS 3 7 Cv
orized Siq amre (Convactor/Owner Making Installationl Phone Number
~ `f 47--;.ei 7Co
MINNESOTA STATE BOApO OF EI.ECTNICITY THIS INSPECTION REQUEST WILL NOT
Grig9s-Midway elde. ^ Room N•191 BE ACCEPTEO BY THE STATE BOAHD
UNLESS PflOPEA INSPECTION FEE IS
- 1821 Univarsity Ave.. SL Paul, MN 65104
PM1..n.. (8121 297-2111 ENCLOSED.
> REQUEST FOR ELECTRICAL INSPECTION Es-oocoi.oa
) / / See instrvc[ions for completing this form on beck of yellow caov.
C.-1 ~1 O 52 R" Below Work Covered by lhis Request L-'s / S
Hdtl Reo. Type ol BuilCing Appliun<ae Wirad Eqaiument WireA
Home Range Teniporary Service
Duplex Water Heater Lightiq Fixtures
Apt. BuilAing Dryer Electric HeaUn
Commercial 81dg. Fumace Silo Unloader.
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm inr, ~.y iher Isnec,ty)
t ar Sueci(y ther ~ Othur
ompute Inspectron Fee Below
p Fee Service Enbanca5ize p Fee Feaders/5ublaeders k Fee Circuits
jyQp U to 200 qm s 0 to 30 Amps .7 O 0 to 30 Am>
Above 200 qmps, 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Ahove 160_Amps
Transiormers Irri tion Booms r Pdrtial-'Other Fee
pem3rks Signs Special lnspection S 9 0 T AL FEE
qough-in r `'1e7_w ~ I tha EI cfll
or. herehy
certify thet the abave
Final Di spection has bBen
T ~ de.
TMSrequeatvoltll8momhsirom - '
-FOR SALE UNITS CITY OF EAGAN
TOWNHOUSE 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 NO - 11810
PHONE:454-8700
~ i3lNL'[XNG PERMIT Receipt p 7
Tobeusedfor 1 OF 4 PLEX EstValue $61,900 Date JUiVE 16 86
S Lot ite Address 1324 WINDCREST AVE Erect ~`J Occupancy R3
8 Block 3 Sec/Sub. WINDCREST 2ND Remodel ? Zonin9 D
Paicel No. Repair ? Type of Const. Vn
Addition ? No. Stories a
~ LOMBARl) PROPERTIES Move ? Length .
= Name 625 4TH AVE SO Demolish ? Depth
3o Addr~SPLS -0250 Int.lmpr. ? Sq.Ft44-
Ciry Phone 343 Install ?
o Name B-E .^_OTvSTRUCTION INC Approvals Fees
Address 85 3RD AVE SE Assessment Permit $ 316.00
~ ciy-dLK-BRj0&kaWON 636-4164 Water&Sew. Surcharge ' •30•~
~Q Police PlanReview 1$8.00
Fw Name Fire SAC 575.00
z
Q~ a.ddress ~ Eng. WaterConn. 500.0~
a w Ciry Phone Planner Water Meter 63.50
Council Road Unit 290.00
Iherebyacknowledgethatlhave isapplicationandstatethatthe gldg.0if. DP Tr.PI. 156.00
iniormation is correct and a e to co ply with all a licable State ot
MinnesotaStatutesandCi fn Or in ces. APC Parks
Var. Date Copies
Signature of Permi e Total U89 . 00
n suildin. Permit is issued to: B-E CONSTRUCTION INC
9 on the express condition that
all work shall be done in accordance with all applic~pl ta of Minnes ta S e and C~iry of Eagan Ordinances.
8uilding OHicial
• FOR SALE UNITS CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, M 55121 N 0- 11812
PHONE:454-8100 ~37/~
BUILDING PERMIT Receiptp
' Tobeusedmr 1 OF 4 PLEX Est.value $61,900 pate _ JUNE 1 7986
SiteAddress 1326 WINDCREST AVE Erect occupancy R3
Lot 7 Block 3 Sec/Sub. WINDCREST 2ND Remodel ? Zoning P~
Parcel No. Repair ? Type of Const VS1
Addition ? No. Stories 2
w Name LOMBARD PROPERTIES Move ? Length~_
Demolish ? Depth
; Address 625 4TH AVE SO ~
° Ci MPLS 343-0250 Int.lmpr. ? Sq.Ft -
ry Phone Install ?
o Name B-E CONSTRUCTION INC Approvais Fees
Address $5 3RD AVE SE nssessment Permit $ 316.00
, Ciry NEW BRIPgWPN 636-4164 Water&Sew. Surcharge 30.50
Police Plan Review 158.00
~ W Name Fire SAC 575.00
Address 500.00
~'u Eng. Water Conn.
a W Ciry phone Planner Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe ~ 156.00
information is correct and agree o-e mply with all,p plicable State of Bldg. Off. Tr. PI.
. Minnesola Statutes and Ci Eag Ordinances. APC Parks
Si9nature of Permitte Var. Date Copies~ 'V6,7-' 0 0
B-E CONSTRUCTION ZNC Total
A Building Permit is issued to: on the express condition that
all,work shall be tlone in accordance with all ap ' I ate of Minn ot and City of Eagan Ordinances.
Buildin9 Oificial-
~~FOR-SALE OG~II~'HOUSEUNITS CITY OF EAGAN N 0 11811
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receiptu
Tobeusedfor 1 OF 4 PLEX EstValue $61,900 Date- -JUNE 16
SiteAddress 1328 WINDCREST AVE Erect ~ Occupancy R3
Lot' S Block 3 Sec/Sub. WINDCREST 2ND Remodel ? Zoning PD
Parcel No. Repair ? Type ot Consl Vn
Addition ? No. Slories 2
a Name LOMBARD PROPERTIES Move ? Length_24_
= 625 4TH AVE 50 Demolish ? Depth
o Address~LS -0250 intlmpr. ? Sq.Ft~~
City Phone 343 Install ?
o Name B-E CONSTRUCTION INC Approvals Fees
$a Address 85 3RD AVE SO Assessment Permit $ 316.00
~ ciry NEW BRWATON 636-4164 Water&Sew. Surcharge 30•5
o
Police PlanReview 158.00
Fi Name Fire SAC 575.00
address Eng. WaterConn. 500.00
a W ciry pnone Planner Water Meter 63 . 50
Council Road Unit 290.00
1Iherebyacknowledgethatlhaver ~y sapplicationandstatethatthe gldg.Off. DP Tr. PI. 156.00
intormation is corre ct and ato co ply with all applicable State of
Minnesota StaWtes and Ci E ga rd' a es ~ APC Parks
Var. Date Copies
Signature of Permitte Totel $ 2 08 9•00
A Building Permit is issued to: B-E CONSTRUCTION INC on the express condition that
all work shall be done in accordance with all applicable ~State/~of Minnesota atute nd Ciry of Eagan Ordinances.
Building Ofliciel a-
r
CITY OF EAGAN A'
' FOR SALE UNIT§830 Pflot Knob Road, P.O. Box 21-799, Eagan, MN 5512~ IvO / 11813
PHONE:454-8100
BUILDING PERMIT Receipt p
7o be used for 1 OF 4 PLEX Est value $ 61, 900 pate JUNE 16 19 86
siteAddress 1330 WINDCREST AVE Erect [9 Occupancy R3
Lot 6 Block 3 Sec/Sub. WINDCREST 2ND Remodel ? Zoning PD
Parcel No. Repair ? Type of Const 17F}
Addi[ion ? No. Stories
~ Name LOMBARD PROPERTIES Move ? Length-24_
~ 625 4TH AVE SO oemolish ? Dapth
; Address Inl ImPr? Sq. Ft 44
° pjty MPLS phone 343-0250 Install ?
o Name B-E CONSTRUCTION INC Approvals Fees
$a Address $5 THIRD AVE SE Assessment Permit $ 316.00
~ City NEW BRT~OTON 636-4164 WaterBSew. Surcharge 30.'58
Police Plan Review 158. 00
~=~Name-SAME Fire SAC 575.00
mi Address Eng. WaterConn. 500.00
a W Ciry Phone Planner Water Meter 63 . 50
Council Road Unit 290.00
Iherebyacknowledgethatlhaveread is application and state that the Bldg.Off. DP Tr. PI. 156.00
' infmmation is correct and agree ~ com ly with all applica6le State of
Minnesota Statutes and Ciry ga rn S. APC Parks
Var. Date Co ies.
Signature of Permittee To~L r ~ 0 7• ~ 0
A Building Permit is issued to: B-E CONSTRUCTION on the express condition that
all work shall be tlone in accordance with all ap ' a b tate ot Minne ta Stat te, iry of Eagan Ordinances.
Building Oflicial
_5C
!
r CITY OF EAGAN Na. 1 8820
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 a L 4~ /
BUILDING PERMIT Receipt # L.~ 0(o
Tobeusedfoi BASEMENT FINISH Est.Value $1,500 Date 11AR 28 , ~g 91
Site Afldress 1324 WINDCREST AVE
3 SedSub. WINDCREST 2ND OFFICE USE ONIY
Lot ~ Block
Parcel No. occuuancy R-3 FEES
Zoning
a Name WAYNE RONS (AcWai) Const _ Bldg. Permit 35.00
W 1324 WINDCREST AVE (Ailowable)
; AddfeSS - Surcharge 1. nn
° Cjty EAGAN Phone 456-0436 xoistodes -
Length _ Plan Review
, a Name SAME Deplh - SAq Ciry
g¢ Address S.F.ToWI - SAC,MCWCC
~ City Phone S.F. Footprints -
On Site Sewage - Water Conn
W w Name On Sita Well - Water Meter
W
z
MWCC S stem
Address Y - Acc1. Deposil
<W City Phone aywacar -
PRV RBquire0 _ SIW Permil
I hereby acknowlege that I have read ihis applicalion and state that the Boosiar Pump - SNJ Surcharge
informalion is correct and aqree to comply with all applicable State of
Minnesota Slatutes and City of Eagan Ordinances. Trealmem PI
Signalure of Permitee APPROVALS Road Unit
~ ~
A Building Permit is issued to: WAYNE RONS Plannar - park Ded.
on the ezpress condilion that all work shall be done in accordance with all Council 50
applicable State of Minnesota SptaWtes and C'i'ry of Eagan Ordinances. BIdg.Olf. _ Copies .
Building OfliCial 11 lfl iA d.'rnC Varience - TOTAL J6.50
-70C 7
207 RESIDENTIAL BLTILDING rExniiT arrLicaTrotv
City Of Eagan .
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenis RemodeUReoair Reouiremenis Office Use Onlv
3 registered sile surveys showing sq, R. W lot, sq. ft. ot house; and all roofed areas 2 copies of plan shuwing foo6ngs, heams, joists Cert of Survey Recd Y_ N
(20 % maeimum lot cwerage allowed) 1 set oi Energy Calculations fa heated additions Soils RepoA , _Y _ N
i SoBs Report if proposed 6uilding is to 6e placed on disWrbed sal 1 site survey for atldifions & decks Tree Pres Plan Recd Y_ N,
2 copies of plan showing 6eam 8 window sizes; paured found design, etc. Addifion - indicafe Aon-site septic sysfem Tree Pres Required Y_ N i set of Energy Calcula6ons Oo-sitg Septic 5yslem - _Y. _ N
3 copies oi Tree Preservation Plan if lot plztfed after 71U93 -
Flim Joist Detail Options selection sheet (buildirgs with 3 or lett units)
Minnegasco mechanical ventlla6on form Plans are considered public information unless ou state the are trade secret and the reason.
Date J ~ Construction Cost 1 O ~
Site Address J ~J~ Vv,~ Unit/Ste # did • %
~ag a
13&ej
DescriptionofWork Z;3r) ~),k u~~~ --4er%
Multi-Family Bldg \2/_Y _ N Fireplace(s) _ 0 _ 1 _ 2 ~
ProperKy Owner . Telephone # ( )
Contractor j4j T
Address Ilk/~,,~b~ City ~K b~'33 Z-
StateZip Telephone#((0l2) a"J
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 .
Energy Code Category
• Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(q submission type) Submitted Submiried
. Energy Envelope Calculations Submiried
In the IasT 12 months, has the City of Eagan issued a permit for a similar plon based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone ~
Mechanical Contracfor Telephone J
Sewer/Water Contractor Telephone ~
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 o work which requires a review and
approval of plans.
Applicant's Printed Name ApplicanYs Signature
~a~15 o1S.s°
zoos RESIDENTIAL PLUMBING PeRnmTaaPUCarioN
CITY OF EAGAN
• 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
~ Date 03_ / f(o I
SiteStreetAddress I~("'T 1.1J1~1ja~51 ~q f IV~' ' Unit# II
PropertyOwner-p XLli slYYIonSn Telephone#(45)I)IOaI-
Contractor P d S Telephone # 665t ) 0
Address City' State Zip 5!~L~
~ The Applicant is: _ Owner ntrector Other
Septic System _ New _ Refurbished Submit 2 sets of pians and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Aiterations to existing dwelling $ 50.00
i _ Add plumbing fixtures. This fee includes installation of a water softener andfor water
heater at the same time. !f you are insta/linq on/v a water sofrener and/or water
heafer, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_-Water Turnaround (add $130.00 if a 5/8" meter is required) ~
Other: -
~
- - ~ .
Water Softener Water Heater $ 15.00
_ new placement
FLawn Irri
gation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ Idq,~5__n
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permi rk is not to start without a.perrmit and work w+!! be in
accordEl ith the approved plan in the event a planl is required reviewed and approvid.
i; 01 e+'1 u
ApplicanYs Printed Name Appli ants Signature
1~.5v
~
!4-3-0, 00
4 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 0 651-675-5694
NewConslructionReauirements Re deVR elrR, ulremen OficeUs80nlv
3 registered site surveys showirg sq. fl. of lot, sq. R of house; and aU mofed areas 2 wpi? es of plan Cert M Survey Rerd _ Y_ N
(20% me)imum lol coverage allaxed) 7 sel of Eneyy Calculalians for healed addldons Tree Pres Plan Recd _ Y_ N,
2 copies of plan shmving beam & window s¢es; poured found design, etc. 1 site survey for additlons & decks Tree PRS Required ' _ Y_ N
lselo(EnergyCalculations Adddion-indiceteHoo-sitesepticsystem Oo-sileSepdcSystem . _Y _N
3 copies of Tree Preservation Plan H lot platted after 717/93
R'vn Joist Detail Optlons selectlon shcet (buildings witlh 3 or less unifs)
CO ~
Date 1 2- 6v, Construction Co t , O O O~' - 000
Site Address Wi~Y C~--'S'~ Unit/Ste #
Description of Work Y~Gmovc p3J'dj•~ I Cr/ivh -~wm J-J'wl~ 4 Shreimck iuc~(i5 ~ LC(~~szi .,T4 O~'~E r~l{~ior
WN $ c c~{- -6LbC- . jr~ [x vc~Yh, ~
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 ~1~-r2 ' St~Y ~
Tt'~ dc~Ce *~2
Property Owoer Telephone#(6)Z)7fD^W~£S
Contractor 6~~J -~I (Qu~n heZ ~ du
Address L;qS5 W~oAl~ City 10tPv1lk ~ u'Y5
State t Vl _ 6 f-D Zip ~ Telephone#(6)2 )7qG
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cazeeorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissionrype) Submitted Submitted
• Energy Envelope Calculations mitted
Have you previously constructed a building in gan wit, imilar plan? _ Y _ N if so, 25% plan review
fee appiies. V \
2\9~~ ~QpS J
Licensed Plumber Telephone ~
Mechanical Contractor Telephone # ( )
U` ~
Sewer/WaterContractor P Telephone#( )
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 approve an in the case of work which requires a review and
approval of plans. ~
~Uj~ M9E
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY f
i
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
O 03 Ot of _ plex ? 09 07-plex ? 17 Garage 0 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 DB-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex O 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Founda6on ? 45 Fire Repair
16 33 Aiteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolition (Entlre Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 1/6 Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) ~ Final/No C.O.
_ Footings (addition) Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_)5 Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
-Y Insulation _ Retaining Wall
Approved By: 2 , Building Inspector
- - -
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
nazi cu ua ii:uoa hn Structural Engineering (7151426-4930 p.l
.
nvxa... :
133 Caunty Road W Phane: (715) 426-4930
RiverFalls,WI53022 Fax_ (715)426-4899
Fax Traasmittal Forsn
TO Feun
Name: Joe Voeis Dave Wagner
Company:
Phone: (612) 812•1130 Phone: (715) 42&4930
Fax~ (763) 780-2597 Fax: (715) 426-4899
CC: File
~a Da[e sent: 20 May 2005
vr..comms,c Time sent 7:55 a.m.
Ptease FepY
F~ Y. u.r xx Nu mber of pages including cover page: 1
Message:(1469 Highview Avenue)
As you requesied, I am providing you with recommendations for a concrete sealer and concrete caulk at
the above referencetl projec[. The followin9 products are available from DeGussa Consirudion Chemi-
cats:
Concrete Caulk: Sonolaslic SL 7
Concrete Sealer Enviroseal 40
Please call me if you have any questions.
Sincerely,
David P. Wagner, P.E.
7 2004 RESIDENTIAI, BUILDING PERMIT APPLICATION ~7 0
City Of Eagan ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenis RemodeVReoair Reauiremenls Offce Use Onlv
3 registered sile suneys showing sq. ft. W lot, sq. R. of house; and all roofed areas 2 copies of plan CeR of Survey Reoi Y N
(20% mazimum lot coverage allowed) 1 set of Eneqy CalculaGons for heated additions Tree Pres Plan Recd Y _N
.
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Calculations AddRion - indicafe Honsife septlc sysfem Onsite SepGc Syslem _ Y_ N
3 copies of Tree P2servation Plan'rf lot platted aRer 711/93
Rim Joist Defail Options selecGOn sheet (bldgs with 3 or less uniGS -r•vv 1 Y~-~c_.Y~Y
Date 0 Li Construction Cost
Site Address N r` C.CY 'j 14'v E4°))4 N _M IU Unit/Ste # 3
~
Description of Work Ako 1`-AD (,.pr C-2 /e uo.Y A Cn. , L -~r G~'C C kN~ - r-0. +b i~ -t W" ~ N•
Multi-Family Bldg ~ Y _ N Fireplace(s) x 0 _ 1 _ 2
3
(J„M1fpFj fk.a.h.i N~ L~255 +ff~9N
Property Owuer `Td-C tTohe -C L~ 40 Q.iA IL Telephone #((pS)
)~PA I-~[ LZ S
Contrector L ~
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Buildi ermit anc7 ac-I"aio ge that the information is complete and accurate;
that the work will be in conformance ith the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a pe 'cat on for a permit, and work is not to start without a
permit; that the work will be in accordance with the approve p an in the case of work which requires a review and
approval of plans.
To -e L ~ a tt-ti4 K- L D'5'14
ApplicanYs Printed Name XpplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi
? 03 01 of_ plex ? 09 07-plex ? /17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Eut. Alt- SF
? 04 02-plex ? 10 08-plex LY 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25, Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? ~32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
19' 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation - Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings(deck) ? FinaUNo C.O.
_ Foorings (addirion) _ Plumbing
Foundarion HVAC
Dnin Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
~Framing _ Siding _ Stucco _ Stone _ Brick
_ Fueplace _ R.I. _ Air Test _ Final _ Windows
_ Insularion _ Retaining Wall
Approved By: Building Inspector
Base Fee 70
Surcharge
Plan Review
MC/ES SAC .
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total `7~ ~
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
, CITY OF EAGAN
651-681-4675 L~o
~ J
Foundation Onl New Construction Interior Im rovement
• SWCtural Plans (2) sets • Architectu2l Plans (2) sets • Architectural Plans (2) sets
• Clvil Plans (2) . StrucW21 Plans (2) • CodeAnalysis (7) "
• Certificale of Survey (1) . Clvil Plahs (2) • Projed Specs (1)
• CodeAnalysis (1)" • LandscapingPlans (2) • KeyPlan (1)
• Project Specs (1) • Code Malysis (1) • Master Exit Plan (t)
• Spec. Insp. & Tesdng Schetlule " • Certificate of Survey (1) • Energy Calwlations (1) not aN+ays"
• Soils Report (t) . Spec. Insp. & Testing Schedule (1) " • Elec. Power & Llghting Form (1)not always"
• Meter size must be established • Meter sixe musl be est2blished • Meter size must be established - if applirable
• ProjectSpecs (1)
1 • EnergyCalwlalions (t)'" d
d • ElecVic Power & Lighting Form (1) " d
1 • Master Exit Plan (1) 1
1 • Emergency Response Ske Plan (1)
J • SoilsRepoA (1) 1
• MC/ES SAC determination letter • MC/ES SAC determination letter • MClES SAC determination letter
call 651-602-1000 cal! 851-602-1000 call 651-602-1000
Food S beverage or lodging facilities - submit plan to MN DepaRment of Health. Call 657-215-0700 for details.
Contact Building Inspections for sample.
Permitfor new buildings oradditions will not be processed without E;MCDEL7i ncy Re' an. sk Building Inspe requirements.
DATE: WORK TYPE: _ NEW STRUCTIONCOS " • ~
SITEADDRESS: I 3 (n 1 I&S6 ~
Aue-
TENANT NAME: SUITE ~
tt
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTIONOFWORKq. \acPJ'asc a tffatti bmo-+rds ro4kce ~..v.t 1-wwdbenrej SA~N
Name: l7"GS~C'_~J coV'nrJa.,N Phone#: ) aZZ^ SS-A-
PROPERTY Last F' st
OWNER ` ~tn ~ 1 1~ 1 N
SheetAddress: ~2 3S 5 `C~2 ZcJ~
ciTy: &,Glinja stete: M.r3 z,p: S5 `135
coroPany: ~2 WaU ~S.uS4e mS Phoae#: (n( ~Z ) SZ~-~J~Io~
CONTRACTOR It `
SheetAddress: ~~0~4 l~nw~n_,~ew QUL /V
~ SS~fZ
City: ~~IJNC,q7p~~S State: Zip:
ARCHITECT/
ENGINEER Company: ll Phone ( )~u
Name: ~ I L ` Registration
SmeetAddress: c,cP 10 2002
Bv~
~ ~
Ciry: State: Zip: _
t7~-
Licensed plumber instaliing new sawer/water service: P
I hereby acknowledge that I have read this applicafion, state th ormation i rr greto comply wi all a te of
Minnesota Statutes and City of Eagan Ordinances.
'gnature of Applicant•
pda !02
OFFICE USE ONLY
SUBTYPE
i I O1 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
i~ 14 Apartments ? 27 CommerciaUlndustrial ? 32 Ext Alt-Apts.
I I 15 Lodging f I 28 Greenhouse ? 34 Ext Alt - Comm.
i I 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
u 37 Nail Salon
WORK TYPE
i I 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) Q 46 Windows/Doors
: I 32 Addition ? 36 Move Bldg ? 43 Reroof ? 47 Repair
I 33 Alterations 11 37 Demolish (Bldg) 44 Siding IJ 48 Authorization
I 34 Aeplacement ? 38 Demolish(Int) ? 45 FireRepair
GENERAL INFORMATION
Census Code Zoning Sq• ft.
SAC Code # of Stories sq• ft.
No. ofUnits Length Sq• ft.
No. of Bldgs. Width sq. fr.
Const. (Actual) BasemenY sq. R. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
I I Gas Service Test ? Heating ? InsulaYion f1 Plumbing C] Stucco/Stone
APPROVALS
Planning Building Engineering Variance
VALUATION $ S~a ~7
Permit Fee 40.gO
Surcharge •-570
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter Size
S/W Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total ~ (40, (90
~ . ,
WINDCREST 2ND 84461 PAGE 2 OF 2
PERMIT
DATE &
TYPF LS2T EI. nnnuFSS
9/91 4-PLEX 290 01 3808/ WINDCREST CT
300 01 3810/
310 01 3814/
320 O1 3812
3i91 4-PLEX 330 Ol 3820/ WINDCREST CT
340 01 3822/
350 01 3826/
360 01 3824
4i87 4-PLEX 370 Ol 3830/ WINDCREST CT
380 01 3832
390 01 1319/ DEERCLIFF LN
400 01 1321
8i85 4-PLEX 010 02 1310! DEERCLIFF LN
020 02 1308/
030 02 1312/
040 02 1314
2i86 4-PLEX 050 02 1318/ DEERCLIFF LN
060 02 1316/
070 02 1320/
080 02 1322
zise 4-PLEX 010 03 1336/ WINDCREST AVE
020 03 1338/
030 03 1334/
040 1332
L4/864-PLEX OS0 03 1328/ WINDCREST AVE
060 03 1330/
070 03 1326080 03 1324
34
~
Rem 9 I)escepuon nly !Jnh RAaterial tatf~or ratal
1328 Windcrest Ave. Base Climensions:
02,120.
=X'fERIOR TR7M
f" x 8" fascia removai 25.0 LF 0.00 16.50 76.50
02 Slte Prepa?atlon Uivlaion Fatai 0.00 16.50 16.50
10.000.01
Two p ece f~ia ce~3er prirned 1x2 25A LF 4225 87.00 128.25
~ ix6
10 F cterior TAm, Decks DIAialon 42.26 87.00 129•28
Total
1 1528 Winderest Ave. Phsse 42.25 103.80 146.76
Total
1330 Wieedcrast Ave. Base [)imensions:
02.120.
EXTERIOR TR1M (deGc partition
1" x 6" fascia remaval 16.0 LF 0.00 10.56 10.56
02.103.
EXTERIOR WALL CQVERING
REMOVAL
Waod SiWng removal 76.0 SF 0.00 9.12 9.12
02.104.
Plywood siding removal 32.0 SF 0.00 13.44 13.44
02 Ske Preparation Div(sion Total 0.00 33.12 53.12
10.cm0.01
Twopiecefacaacederpnmadlx'1 25.0 LF 4225 87.00 129.25
and 1x6
10.000.
FASClA QR FRIEZE
1 x 61`aspa 16.0 LF 1328 24.64 37.92
10 F.xtwlor 7rim, Decks Divlaian b6.63 111.84 187.17
Total
112Q5.
HARD60ARQ PANEL SlD!NG
(dedc Partitron)
Hardbnard partel siding, sawn 16.0 5F 30.40 47.38 77-76
texture
itam Cost and QuartttY - Page 1 of S
Yppy yVlndCrest: Bllding 08
- - ~_.._.....x...-s.,~
kem q ~ DascAption fkY Un6t Materla! Labor Total
11,2t37.
j Ha~ erd penel siding, ~tuxo 32.0 SF 69.4~C 126.72 196.18
~
11 ~ Sidings DMlaion Total 89.84 174.08 273.92
2 i 1330 NAetda40 Ame. Pfetqe 163.37 118.84 474.21
$ 7ota9
1326 Wodcrest Ave. Base Qimsnsions:
a
02.120, '
1 E?CTERIOR TRtM
1" x B" feaqa removal 16.0 l.F 0.00 10.56 10.58
02 ~$ita Preparatlon DIvINb)n Tdal 0,011 10.66 tQ.86
10.000.
! FASCIA QR FRlFg (grarge door
~ tNm)
i 1 x B tascia 16.0 LF 13.28 40.84 53.92
10 ~ F.a[terlor TAm, Dacks OMs9on 43.28 40.84 63.82
; Total
3 ~ T1326 aalVNrxlcrostAvs.Phese 18.28 61.20 64.48
i
i
1324 W~ndcrest Ave. Base Dimensions:
j
02120.
I
~ EXTERIQR TRIM
1" x 6" isecia removal 8.0 LF 0.00 5.28 5.28
02.103.
~ F>CTERIOR WALL COVI=RING
REMOVAI
VNood tqdirg rerrxyv91 32.0 SF 0.00 18.24 1824
02 Site Preparation 0ivladxl7ot&I 0.00 23.62 23.62
10.000. !
~ FASC,A OR FRlEZE (decic
Pertition)
1 x 8 f89Cie 8.0 LF 6.64 12.32 78.96
10 Eztalar Trhn, Decks Dvision 8.64 12.32 18.96
raa+
n.m coa nma+rmcy raae z a s
2002 YYnde : NMlag tOre
' i
~
Nam # DescdpHon f3ty uMt bladwla! Labor ~ 7ota1
11.205. E
HARDBOARD PANEL SIDING `
(dedc PertNian)
texiwed~~ ~ siding, sewn 32.0 SF 6ti.80 94.72 1155.52
11 Sidinga DIvlslon Total BV.80 84.72 f 166.52
4 1324 Windp'estAva. Plme 87'A4 130.68 1188.00
Totel
Grand Totaf 278.34 604.10 #8244
~
aem coa aa ausnney a.~ sor a
aM wmdcrese: Mkfing us
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
Now ConsWCtlon ReauiremenN RemodeOReoair ReauiremeMe
• 3 registered sile surveys shmring sq. fl. of lot sq. R. af hause; and all ioofed areas • 2 copies of plan
(20%maumum lot caveraqe allowed) . 1 sel o(Energy CalculaUons tarheated additions
• 2 coples of plan shawing beam 8 wiMOw s¢es; poured found design, etc.) • 1 site survey far exteNor addNOns & decks
• 7 set of Energy Calculations . InOkale i(hane serned by septlc systm for additions
• 3 cnpres of Tree Preservatlon Plan il lot platted afler 711/93
• Rim Joist Defail Opfeoris selection sheet (61dgs wilh 3 ar less unib)
DATE /D_)l - OZ VALUATION 5&0 , ~
SITE ADDRESS J32 7/~1/~G~pC'S3'~11~ AN MULTI-FAMILY BLDG z~ _ N
TYPE OF WORK D~F;C FIREPLACE(S) _ 0_ 1_ 2
APPLICANT :~f S96T- r ~cTOR ~
S'
STREET ADDRESS lutin T CrTY /_e7A G-A+? STATEAA k) ZIP S72
iELEPHONE #o~ I-'105'; /;0 CELL PHONE # S~I`3 7~~ 51 I FAX # G51-Sl~J "8~J ~
PROPERTYOWNERZ~RflV S/m v,ti1.SDA/ TELEPHONE451_121-"OVW
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RiJLES 7670 CA'CLGORY t MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumhing system includes: , Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditionuig Fee: $70.00
_ Heat Recovery 5ystem
n2~~0~]~
Sewer/Water Conhactor: Phone
~ ;u ocTG,'t tUCL
I hereby acknowledge that I have read this appiication, state that the information is correct, and agree_o comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. `By
SignatureofApptlcant , A&~sC_ _
.....------------_........r________
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY ! : 1
? 01 Foundation ? 07 OS-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-piex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex $118 Deck 0 23 Porch (screened) ? 36 MuIU
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move 81dg. ? 42 Demolish (Foundation) ? 45 Fire Repair
0 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroof ? 46 Windows/DOOrs
)p 34 Replacement "Demolition (EnHre Bldg only) • Give PCA handout to applicant
Valuation 2,_pC-5o Occupancy J` -3 MCJES System
Census Code y3~4 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const v ~ Width
REQUIRED INSPECTIONS
Footings(new bldg) FinallC.O.
~ Footings (deck) ~o FinallNo C.O.
_ Footings (addition) _ plumbing
Foundation HVAC
Drain Tile pther
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franung _ Siding Stucco 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
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
WINDCREST COMPANY
rWINDCREST OR'S. CERTIFICATE
AVENUE
Me]7.4 M BTL*,~~.
!V 8 T ° 36'12 " W '
- 55.00 e=e= 55.00
i, o
,
LOT L0
I
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eeo.ox'
24.0 24.0 U) ~ 5 W I4-J \ ~ R IlY!
^ ~p v
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( . O ~GAR \ GAR.
N I87036' ~12R W J,
n
e~s z x (x e79.4 ~6`6y, ta ~111
~
?r ak~55 00'',
GAR. ^ 1 GAR' \ ' W
~ J t 1~ . . ~
W
N
f~ I ~\yo irc0 ~ a 04 I M
N ~ ,Q~~ 8fi~~ . o N
i /N "7- o I ~ d"24.0 24.0
L ze~e.e
eaoA. z
_ l J 1 N ~p 819~b o(K79~la ~ I
Z C ~
: W
OD .
: tD ( N O ,
NZ
~ I LOT ~ LOT I
o
I N I rI-) . .
m
6 . ? ~
\ oRnrNncE a uncm
EASEM£NT PER PLAT 5
s
1 o I ti '
4.57 50.84 - ~ " 50.04 - -
~
~ •
S64°22'08"E N89°4913 W ~Y P W-_
vl
kHEET tiAvv I I F 2 SHEETS
~ao~~cr r,~. nooK rnce JP+MEINCU
(86456) 85988 143 / 28 Planners / urveyi~rs
FILE NO. 0200 liuou41l rOLpE~ plaolnbiglon, n0a-3029
~ RESIDENTIAL ~ U -
• BUILDING PERMIT APPLICATION
CITY OF EAGAN C~
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675 1 OI 10
New Conrtructian RwuiremeMe RamodellReoair Reauiremend ~
• 3 registered site surveys shrnring sq. ft. of bt sq. ft af house; and II roofed areas • 2 copies of plan
(20°,6 maximum lot coveiage allowed) . 7 aet of Erieyy CalaAations far heated addNons
• 2 copies of plan shawing beam 8 window sizes; poured found dasign, etc.) . 1 sde survey far exterar addiUons 8 decks
• 7 set of Energy Cakulations . Indicate if hame served by septic system for additbm
• 3 copies a( Trea Preservation Plan if lot plalted after 717193
. Rvn Joist DeWil Options selection sheel (bldgs wilh 3 ar less units)
DATE /0 r D/ - O2 VALUATION
SITE ADDRESS 13a. S LJINIOCRC'ST f}UL 6-Arx1A) r1M) MUITI-FAMILY BLDG ~l N
TYPE OF WORKDELK RtWLAta/naiu7- ' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT&~iaLO ~1S$~a / T/It I-~ous~ L~o~bR S
o Frc~
STREET ADDRESS 12 ln I V~71 NO cR EST uc ~ouc- F~+ CITY cA6-A,0 STATEMIJ ZIP 51723
TELEPHONE # r2SI'~~~ ~7s9 CELL PHONE # 6s~ 3~~` d~ `~I FAX #(rSJ ' 87ro
PROPERTYOWNER 6-b , f~t_tKSa~j TELEPHONE# 6 5I-'AZ-6767
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNN:SOTA RULFS 7690 CATF.GORY 1 MINNESOTA RULES 7672
(J submission type) • Residentlal Ventilafion Category 1 Worksheet Submitted • New Energy Code Worksheet Suhmitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Conhactor: Phone #
Mcchanical system includes: _ Air Conditioning Fee: $70.00
_ Hcat Recovery System r~ ~9
Sewer/Water Conhactor. Phone r ~
~ ^ UI
I hereby acknowledge that I have read this application, state that the information iscorrect, a d q ra ee to cpmply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~'r., '
~
Slgnature ofApplicant, ~ ~-e-
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4J02
OFFICE USE ONLY ~
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex O 10 08-plex 10 18 Deck O 23 Porch (screened) ? 36 Multl
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plhg_Y or _ N ? 25 Miscellaneous
? 31 New O 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteradon O 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/DOOrs
82> 34 Replacement 'Demolitfon (Entlre Bldg only) - Gtve PCA handout to applicant
Valuation 00 ~ Occupancy (Z 3 MC/ES System
Census Code y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. ot Bldgs t Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings(new bldg) _ FinaUC.O.
,LO Footings (deck) ~ FinaUNo C.O.
_ Footings (addirion) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco 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
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit •
License Search
Copies
Other
Total
7S0
WINDCREST COMPANY
SU.RVEYOR'S. 'CERT1FlCATE ' '
WINDCREST AVENUE
V 877.6 - 878.0
~ 877.9 ~
~ M 877.8
' N 87° 36'12" W .
55.00 e-8•? 55.00 -
-
~ a• ° $ ; i~~; o: ' ~
• j ~ O
~ LOT ° L0
~$ui I rl'?- ` a
eeo.ox 24.0 24.0 xeres IJ.~~6.
m
> '4 o
~ \a. N >i
8%, ui
^
8
N , 1
.~r
~\GAR.~ GAR.
N I a " N~
a1
eo~ 1300'.i~t~ ' " -
~d ~r15~'IO" n
X879.~
~ 55 00 9
GAR. 1~ G~AR \ W
W C` ,..+zan~ nm °a J \ \ '
ao 4i0 c~zl
. M I N a y0" ip`aa= ~ r~v ^•I N
N ~ ~ ~ Y63J ~ I ~
N I eeo.ox Q`24.0 24.0 xere.s z
e~y.b o (~~9•~ ~
Z ~ q
W I
03 .
V'
N
t0 ~
; M o O _
( N I tii ~i
I LOT U) LOT I
N
I m I .
, I 6 . 7 I
` 70RAINAGE 6 untm •
5 EASEMENT PER PLAT 5
~ ~
~ 50.84 50•04 ' -
~
.57
S 64422'08' E~ N 89 ° 49113 " W
1/1/In~r1~1~~= f`1- /-11JU1 I I~/IV
VVIIVIJ~I.~I_~.~ ~
SHEET 2 OF 2 SHEETS
rAOJECr 1+0. I300.K / PAGE JAMES R. MILL, INC.
(86456)
• 85988 143 / 28 planners / Cn9ineers / Surveyt~re
FiLE NO. 0200 lfumboldt Arenus Goulh , I
FOLDER Dloolnirigton, Mn. 6133431 012-B8473029
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
651-681-4675
Foundation Onl New Construction Interior Im rovement
• SWclurel Plans (2) sets . Architectural Plans (2) sels . ArchitecWral Plans (2) sels
• Civil Plans (2) • SWCtural Plans (2) • Code Analysis (1) "
• CertificateofSurvey (1) . CivilPians (2) • ProjedSpecs (1)
• CodeMalysis (1)" . LandsppingPlans (2) • KeyPlan (1)
• ProjectSpacs (7) . CodeMalysis (1) " . Master Exit Plan (1)
• Spec. Insp. & Testlng Schedule • Certifiqte of Survey (1) • Energy Calculations (1) not always"
• Soils Report (1) • Spec. Insp. & Testing Schedule (1) " • Elec. Power & Lighting Form (1) not always"
. Meter size must be established • Meter size must be established • Meter size must be established - if applicable
• ProjectSpecs (1)
1 • EnergyCalculations (1) " y
L • Electric Povrer & Lighting Fortn (1) " y
1 • Master Exit Plan (1) d
1 • Emargency Response Site Plan (1)
1 • Soils Report (1) 1
• MGES SAC determination letter . MGES SAC determinatlon letter • MC/ES SAC determination letter
call 651602-1000 call 651-602-1000 call 651E02-7000
Food & beverage or lodging facilities - su6mit plan to MN Department of Health. Call 651-275-0700 for details.
" Contact Building Inspections for sample.
Permit for new buildings or additions will not be processed without Emergency Response Site Plan. Ask Building Inspections for requirements.
~
DATE: D
7~ WORK TYPE: _ NEW _ EMODEL CONSTRUCTION COST: ~ ~jf 7
SITEADDRESS: ~za~~{/i%?~~/-~ST
TENANT NAME: ~j//'i%/Q~~d-es' T~S~i',L'i T~C/?1 SUITE
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK 7e¢/QFf
Name: ca efQ . Phone
PROPERT'Y Last First
OWNER
Street Address:V -75 M A/-
City: e L~,1+G State: Zip:
Company:zza7z? ah ~T Phone#: ( -767
CONTRACTOR
StreetAddress: d`4'0 ~ ZYee fl-t-Y iCb
City: State: /1 Zip:
ARCHI1'ECT/
ENGINEER Company: Phone
II U.,~ I~i
Name: Registrarion
1I~ EP 6 2002
Street Address:
City: State: IRyZip_ _
Licensed plumber Installing new sewer/water servlce: Phone
I hereby acknowledge that I have read this application, state that the information is correct, and agreo to co ly with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Applican
/ uPdetad noz
~
OFFICE USE ONLY -
SUBTYPE
I I 01 Foundation ? 26 Public Facility ? 30 Accessory Bldg.
II 14 Apartments ? 27 Commercial/Industrial l1 32 ExtAlt - Apts.
I 15 Lodging ? 28 Greenhouse fl 34 Ext Alt - Comm.
I I 25 Miscellaneous ? 29 Antennae ? 35 Ext Alt - PF
? 37 Nail Salon
WORK TYPE
I i 31 New ? 35 Tenant Impr ? 42 Demolish (Foundation) ? 46 Windows/Doors
11 32 Addition fl 36 Move Bldg 0 43 Reroof ? 47 Repair
I I 33 Alterations ? 37 Demolish (Bldg) ? 44 Siding ? 48 Authorization
11 34 Replacement ? 38 Demolish (Int) ? 45 Fire Repair
GENERAL INFORMATION
Census Code Zoning Sq. ft.
SAC Code # of Stories Sq• ft.
No. of Units Length Sq• ft.
No. ofBldgs. Width Sq• ft.
Const. (Actual) Basement sq. ft. MC/ES System
(Allowable) First Floor sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
MISCELLANEOUS INSPECTIONS
I I Gas Service Test fJ Heating ?[nsulation Q Plumbing Cl Stucco/Stone
APPROVALS
Planning Building Engineering Vaziance
VALUATION $
Permit Fee
Surcharge
Plan Review
MC/ES SAC % SAC
City SAC SAC Units
Water Supply & Storage Meter 5ize
SIW Permit
S/W Surcharge
Treatment Plant
Park Dedication
Trails Dedication
Water Quality
Other
Copies
Total
l '
WINDCREST 2ND 84461 PAGE 2 OF 2
PERMIT
DATE &
TVPF i,nT $j, ADDRF.CC
9/91 4-PLEX 290 01 3808/ WINDCREST CT
300 01 3810/
310 O1 3814/
320 01 3812
3/91 4-PLEX 330 Ol 3820/ WINDCREST CT
340 01 3822/
350 01 3826/ .
360 01 3824
4i87 a-aLSx 370 Ol 3830/ WINDCREST CT
380 01 3832
390 Ol 1319/ DEERCLIFF LN
400 01 1321
siss 4-PLEX 010 02 1310/ DEERCLIFF LN
020 02 1308/
030 02 1312/
040 02 1314
2i86 4-PLEX 050 02 1318/ DEERCLIFF LN
060 02 1316!
070 02 1320/
080 02 1322
2186 a-PLEx 010 03 1336/ WINDCREST AVE
020 03 1338/
030 03 1334/
040 03 1332
4i86 a-rLex 050 =1324
060 070 080 34
-SURVEYOR'S'. CERTIFICATE ' uINDCREST COMPANY
. .
,
DENOTES PROPOSEO SURFACE DRAINAGE
O DENOTES IRON NONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUNO PROPOSED GARAGE FLOOR =8-)q.9 FEET
X000,0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR ~ 883,9 , -EET
EET •
(000.0) DEPIOTES PROPOSED ELEVATION PROP05ED TOP OF BLOCK
14E FIEREBY CERTIFY TO WINDCREST COPIPANY THAT THIS I5 A TRUE ANO CORRI:T
REPRESENTATION OF A SURYEY Of THE BOUNDARIES OF: •
Lots 5,, 8, 7 and e, Block 3, WINDCREST 2ND ADDITION, according to
the recorded plat thereof, Dakota County, Plinnesota.
IT DOES NOT PURPDRT'TO SHOW IMPROVEMENTS OR ENCROACHMEN?S, IF ANY. AS SURVEYED BY
ME OR UNDER MY DIRECT SuPER'JIS10N THIS 17rIF DAY OF OEC&r?+BfR . 19BG
STGPJED: JAMES R. HILL, IIIC.
. ~ ~
REVISED 3-26-66 TO SHOW PROPOSED QY •
BUILDING BY B. d A. CONSTRUCTION. IIAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
SHEET I OF 2 SHEETS
PROJECT NO. BOOK / PAGE
(86456) JAMES R. HILL, INC.
85988 143 Planners / Engineers / Surveyors
FIIE NO. ,~28
8200 Hurtboidt Avanue Sou1h
'
FOLDER etoominston, Mn. 55431 .012-884-3029
. ~
WINDCREST COMPANY
SURVEYOA'S. CERTIFICATE
WINDCREST AVENUE
8'7T.6 ~ 878.0
c 877.4 0
M M 877.9
' N8T° 36'12" W .
- 55.00 8e: 55.00 -
• s--,~-
~ o o ~
. ~ : - " ,
. 0
0 ~
~ 5 ~LOT~ $ L
a ~
~ eso.ox ~ b T, `d9 .0 Xazae ¢ ;
24.0 24.0~ ~ ~
1^ ' o)~ \02 ~ ~R ~a~ ~ O
Y' W IFJ ~f~~{ .
. W v u°i3. 0J~ v 41, , ~
~I O
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e72 : x' n_
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4J +~+ra~~ u« y.,r~,v3 W
4 o yzrt~
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C~' y~ is~ 1 ,q f M
o I
N ~ Q~ ~rcaw v (V .
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Z
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w
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~ LOTI
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~
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\ -7. ORAlNAG£ 9 UTKlTY.
s EASEMENT PERPLAT w~g
, (°a ~a ~
4.51 5 c~.a~r
S64°22'08"E N89°49'13W ' ~Y.
. j&
1/1/I~~t1r`I~~- F~1 /n11JIJl I~I~IIV
V4 11VV
. SHEET 2 OF 2 SHEETS
PROJECr 140. I300K / PAGE JAMES R. HILL, INCa
(86456) „
• 85988 143 /28 planners / 1-ngineers / Surveyi?rs
FILE N0. 0200 liumboldt Arsnus Goutli ,
FOLDER etoomington,Mn. 55431 012-804-3029
1 /
1985 BUILDING PERNIT APPLICATION - CI1R OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED iIITH THE CITY OF EAGAN
COlQIERCIAL SINGLE FANILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS; 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS'
$2,000 LANDSCAPE BOND
I
To Be Used For: General Costruct.Valuation: $61„900.00 Date: 4/4/86
Site Address 1324 Windcrest Avenue OFFICE USE ON[.Y
J
Lot 8 Block 3 Erect Occupancy
^ Remodel ~ Zoning
Parcel/Sub windcrest 2nd Addition Repair _ Type of Const
- Addition ll of Stories
Owner Lombard Properties Move A Length
Demolish Depth
Address 625 4th Avenue South Int.Impr, _ Sq Ft
Install
City/Zip Code mpls., ±N.
Phone 343-0250 APPROVALS FEES
Contractor M-E construction, rnc. Assessments Permit
Water/Sewer ^ Surcharge 'ffn
Address 85 Third avenue sE Police ~ Plan Review 3
Fire SAC t °
City/2ip Code New Brighton, MN. 55112 Engr Water Cqnn
Planner Water Meter
Phone 636-4164 Council~ Road Unit p
Bldg Of Treatment P1
Arch./Engr. Does not apply APC Parks
Variance Copies
Address TOTAL 21I
City/Zip Code
Phone ll
/
1985 HUILDING PERlIIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED NITH THE CITY OF EAGAN
COlQIERCIAL SINGLE FANILY DWELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS -
$2,000 LANDSCAPE ~0~ ~ y P /e-~
To Be Used For: Yaluation: $61,900.00 Date: 4f4486
Site Address 1326 windcrest Avenue OFFICE USE ONLY
Lot 7 Block 3 Erect ~ Occupancy
Remodel Zoning
Parcel/Sub windcrest 2nd Addition Repair , Type of Const
Addition U of Stories
Owner Lombard Properties Move , Length
Demolish Depth
Address 625 4th Avenue South Int.Impr. " Sq Ft
Install ~
City/Zip Code rtpls., r1ta.
Phone 343-0250 APPROVALS FEES
Contractor B-E Construction, inc. Assessments Permit
Water/Sewer 1 Surcharge
Address 85 Third Avenue SE Police Plan Review
Fire SAC
City/Zip Code New ariqhton, iita. 55112 Engr Water Conn
Planner Water Meter
Phone 636-4164 Council Road Unit
Bldg Off Treatment P1
Arch./Engr. Does not aoplv APC Parks
Variance Copies
Address TOTAL
City/Zip Code
Phone l1
L
7985 BUILDING PERMIT APPLICATION - CIiY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
COlRIERCIAI. SINGLE FAMILY DjiELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 7 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1'SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS' -
$2,000 LANDSCAPE BOND
I o,~- 4l'l'e-x
To Be Used For:GPnarai r.,..=+,-,,,.r Valuation: $61,900.00 Date: 4/4/66
Site Address 1328 Windcrest Avenue OFFICE USE ONLY
Lot 5 Block 3 Erect _ Occupancy
Remodel Zoning
Pareel/Sub Windcrest 2nd Addition Repair ^ Type of Const
Addition # of Stories
Owner Lombard Properties Move ^ Length
Demolish Depth
Address 625 4th Avenue South Int.Impr. ~ Sq Ft
Install
City/Zip Code Mpls., MN.
Phone 343-0250 APPROVALS FEES
~
Contractor B-E construction, znc. Assessments Permit
Water/Sewer ' Surcharge
Address 85 Third Avenue sE Police Plan Review
Fire SAC
City/Zip Code New srighton, MN. 55112 Engr Water Conn
Planner Water Meter
Phone 636-4164 Council Road Unit
Bldg 0 f Treatment P1
Arch./Engr. Does not apply APC Parks
Variance Copies ~
Address TOTAL
City/Zip Code
Phone I/
1985 BUILDING PERyIT APPLICAYION - CITY OF EAGAN
NOTE: ALL CONTRACTORS TIUST BE LICENSED NITH THE CITY OF EAGAN
COt4MERCIAL SINGLE FAMILY DiIELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIF'ICATES OF SURVEY
SPECIFICATIONS AND 1 SET OF 1 SET OF ENERGY CALCULATIONS
ENERGY CALCULATIONS ~
$2,000 LANDSCAPE BOND
ibt- 4P1~-x
To Be Used For: Ga++Aral-conG+,- t,,,Valuation: $61,900.00 Date: 4/4/86
Site Address 1330 windcrest Avenue OFFICE USE ONLY
Lot 6 Block 3 Erect ~ Occupancy
Remodel Zoning
Parcel/Sub Windcrest 2nd Addition Repair T Type of Cpnst
Addition I! of Stories
Owner Lombard Properties Move , Length
Demolish Depth
'Address 625 4th Avenue South Int.Impr. , Sq Ft
Install
City/Zip Code Mpls. , MN.
Phone 343-0250 APPROYALS FEES
Contractor a-E construction. Inc. Assessments Permit
Water/Sewer Surcharge
Address 85 Third Avenue sE Police Plan Review
Fire SAC
City/Zip Code New sriqhtonf Mr7. 55112 Engr Water Conn
Planner Water Meter
PhOne 636-4164 CoUncil 1,2 ROad Unit
Hldg Of Treatment P1
Arch./Engr. Does not apply APC Parks
Variance Copies
Address TOTAL
~
City/Zip Code
Phone #
~ 1991 BIIILDING PERMIT APPLICATION
CZTY OF EAGAN
SINGLE FAMILY DWELLINGS MUI,TIPLE 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 CALCUTATIONS (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 IAST 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.
ncti
To Be Used For: Valuation: Date:
Site Address OFFICE USE ONLY
Lot ~ Block FEES
Occupancy Bldg. Permit Z5,o0
Zoning Surcharge ,v i)
Parcel/Sub (LWwAt ind,_ Actual Const Plan Review
'l Allowable SAC, City
Owner Qt~,Q # of stories SAC, MWCC
Length Water Conn.
Address ~Yti(1 a4ldY' fa-L~ Depth Water Meter
S.F. Total Acct. Deposit
City/Zip Code 0\ a-,. Yni`l SS«3 Footprint S.F. S/w Permit
S/W Surcharge
Phone `Z ~/j cu ~4 3(o On site sewage_ Treatment Pl.
On site well Road Unit
Contractor MWCC System _ Park Ded.
City water _ Trail Ded.
Address PRV _ Copies -So
Booster Pump _
City/Zip Code SIIBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL ~
Arch./Engr. Bldg. Off. S 3-20•1/
Variance
Address
City/Zip Code
Phone #
W Qv,.r., agrees that all work shall be done in accordance with
(Sign ture of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. ~*****##**f*x*****#*#****4#*+**#*#*1uf
• CITY OF EAGAN * °F~ *
*y APPROVAL OF PERNII'P. »
APPLICATION FOR PERMIT * *
~ INSPDGTION oF sE.SM ADID/OR i+7P,1Et ,+t
,*F amAr.r.ATTONS F7IId. NOT BE SCRED- *
*
SEWER AND/OR WATER CONNECTION *ULED UNTn. PERMET xas BEEv
' . * APPROVID. *
*
E4-)
w r
*a,e**r**,r*** *~****+~**,t+:***,rt+r+rt*t*
P e se Pri t)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION: p ~
(LotJBlock Subdivision or Tax Parce ID )
-
IF EXISTING STRCCIIIRE, DATE OF ORIGINAL BUZLDING PERMIT ISSL'ANCE;
i
PRESENr 7ANING/PROPOSID L'SE: - (Nbn earJ
? COI`q`JE2CIAI./Bb'I'AII,/OFFICE E R-1 SINGLE FAMILY .
0 IAIDUSTRLAI, Q R-2 DUPLEX (7wo L~nits)
~ INSTITL'TIONAL/GpVFdtIZMTr R-3 7UWNhiOL~SE (Three + Units) L~nits)
f°t
. ~ R-4 APARTmENP/CObIDOMINILTI ( Units)
NAME~~~
AwoREss:
CITY. STATE, ZIP:
• PHONE:_ r~
• 3) • u NAME• For City Use
Plumbers License:
ADDRESS: S a~-- f 3 zk4 O~~ t,4 C Active
i CITY. STATE, ZIP:~~c,,,,~ ExPired
Not recorded
PHONE:7 S 7 5 '7 a a MASTER LICENSE#
- _SE7F=mtial
4) • i~• y~ ~
NAME:
_ ADDRFSS:-
CITY. STATE, 2IP:~j,Q~w-
PHONE: C~ (O (I- I Cd ~
5) ~ ~ ~ a• • : ~ • ~ -
CONNEX.`rION T0 CITY SEVE2 NNF7C.TION TO CITY WATER ~ pTHER .
' 6) '1 . X7.11" pr PLFASE HOLD APPROVFD PEF2MIT FOR PICK-UP BY ONE OF ABOVE - • - - -
[3 PLF.ASE MASL ApPROVFD PIItMIT TO 1, 2, 3. 4, ABOVE .
(Circle one) '
7) ru•~;~~'raj K~
''1" • Y' L I" Y ~ ~ L~~~ U
~ r a~ • ~ ~ ~a• n r . ~ . ~ . a• • ~ ~
~.i:, •~1J~i~ 1~•1 ? Y•r....~.,
' - _ _ - - ~ 11 / V J • .
. FOR CITY USE ONLY 3~~~•d-~. ~
PERMIT # ISSUED
7J 71:
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLLDE SURCHARGE)
$ $ SZ) WATER PERMIT (INCLUDE SL'RCHARGE)
$ Ip 3 S~ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (ZNCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOLNT DEPOSIT - WATER
$ $ WAC
S 5 7 S-, o O $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRLNK SEWER
$ $ LATERAL BEN°FIT/TRONK WATER
$ I~S 7-D D $ WATER TREATMENT PLANT SPRCHARGE
$ $ OTHER:
$ IZI'/9, -S~ TOTAL
1~C32(:t
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PDBLIC
Q ROADWAY" MUST BE ISSOED BY THE ENGI[VEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : % ~i'
. ~tt**+*******~t*+*t~f**~*~****#*+*~r
C I TY O F E A A f~ *'-''F° PAYMFNC OF k'EE AT TIl~ pg ~
. y'~. APPLICATION DOFS NOT cana1[T1E *
* APPROVAL OF PSRNSIT. s
~
APPUCATION FOR PERMIT *
: INSPF]C.TION OF SEWNI2 ADID/OR W1'lER *
y~. INSi7)iS,ATIONS WIIZ NOT HE SQHED- *
SEWER AND/OR WATER CONNECTION ~ULED UNM PERMT HAS BEEN ~
• ~ AnPxovm. ~
~
w *
r *
. +~,t*rr***+****,.sr+xw***,r~*****:*******
` 1) PROPERTY ADDRESS: z,3~ ~p (Please ) _
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID )
IE' E7QSTING STRCCiLTAE, DATE pF ORIGINAL BIIILDINv PEF2MTT ISSL'ANCE: . ~
;
PRESENT ZONING/PROPOSID L'SE: (hbn Year
`
? COIIMERCIAL/RErAIL/OFFICE R-1 SINGLE FAMILY .
`
0 IPIDL'STRIAL M R-2 DLPLEX (Two Onits)
? INSTiTLTI0NAL/GpJERMqNr ~j R-3 TaWM0[ISE (Three + Units) ( Units)
. p R-4 APARTMEN'p/COAIDOMINIUT1 ( Units)
2) 1
NAPdE:
• ADDRESS:
CITY, SrATE. 22P:
PHONE: ~i
3) • u NAME_ ~ For City Use _
~ Plimibers License;
ADDRE55: c v~ fi^ / 3 ^-e~ v~Q Ll ~ R Active
CITY, STATE, 22P: u ExPiTed
Not remrded
PHONE: S~ G G MASTER J,ICENSE# ~ 3(o St-aff ETt-lal
4) • ~ ~ i~- ~
NpA]E;
_ aDDxESS:~S
CITY, STATE, ZIP: ALtAv- ~•ycL~ .
PHONE:~ T ~ I r0
~ r• ~ a• ' a~ u• yua~
N[~t.'TION SO CITY SEWER ~ION TO CITY WATER Q OT[-lER .
6) r ,,~"~5E HpI,p ppPROVID PII2MIT FOR PICK-L~P BY ONE OF AB09E
~ PLEASE MAIL APPRWID PEIZMIT TO 1, 2, 3, 4, ABOVE '
r (Circle one)
r u• • / 1'i ~ ~
'1' • V' 1'I: ~1 ~ " ~ ~ 1' • 7 161• u /Y71' . . • • P~
n • ~a ~ ~ ::r U.l. ,N?/ 1 1/" ~ :A' ' 1. J 4 .
. FOR CITY USE ONLY PERMIT # ISSDED
.f 7Z,
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLDDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SORCHARGE)
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ o' 0 ACCOONT DEPOSIT - SEWER
$ $ 0-0 ACCOLNT DEPOSIT - WATER
$ •e) C) $ WAC
$ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRL'NK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ 45 [v '6r-z) $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
q ' .$-p $ TOTAL
6,371/ ~~32
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQLIRE EXCAVATION IN POBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN PUBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ~-0-~
TITLE:
DATE: / / ~~P
. ~ *t*******1*********f~******#***t#Yµ
C I T Y O F E A A i~ ~*~F" ~'AYML'nTP OF k~E AT TIME OF ~
APPI.ICAIZON DOES N(7f aw-ri7TJ7E *
* ApPROVAL OF PE[2NIIT. *
~
~ APPUCATION FOR PERMIT *
~ . . . * INsnncrioN oa sEWER Arm/Ot MUmt *
TTz'PATT.ATTON$ WuL NdP BE Sam- *
SEWER AND/OR WATER CONNECTION ~ULED UNrIL PERruT HAs s~v *
• * APnxavED. *
» *
********************k********~,~*****
1 P ease pP~r~in,t
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:~
_ Lot Block Subdivision or Tax Parcel ID )
IF EXISTING STRL'Cti'RE, DATE OF ORIGINAL BL'ILDING PF32MIT ISSL'ANCE: - -
i
PRFSEpTP 7ANING/PROPOSID USE: Mon Year1
-
~ CObMEiC2AL/RETAIL/OFFICE - SINGLE FAMILY .
? IML'STRIAL ~ R-2 DL'PLEX (14.o L~nits)
~ INSTITUTIONAL/COVERNMENT ~ R-3 70WNHOOSE (Three + Units) ( Units)
. q R-4 APARTMEN'P/CpNJpMINIUM ( Units )
~ nAME: ¢~~Q
• laonREss: .
CI'py. STATE. ZZP:
PHONE:
3) • u i: Fbr City Use .
NAME' ^ - Pltunbers License:
p,DDRFSS: rj 6 ~ 3, lp-~ Active
Expired
i CI'PY. STATE, ZIP: ~dv-~ Not recorded
PHONE: S~ S 7 CJ o MASTER LICENSE# g-al
4) Ma• • • i~• ~
NAME: \
ADDRESS:
77 CITY, STATE, ZIP:
PHONE:_ c~p ~y 3
•5) ~ r• ~ a• • : o - y~ -
I-PI--CN[~CTION TO CITY SEWER-- A~CONN3CTION ZU CITY WATER ~ OniER
6) • r _--Ej-TrM-SE HOLD ppPROVID PERMIT FOR PICK-IIP BY ONE OF ABOVE
PLF.ASE MAIL pp ROVF9 PERMiT 10 1, 2, 3. 4, P.EpVE
nn (Circle one)
7) 1 9~ DC
_ • 'i: ~ Y' SI: M ~ ' ~ \ 1' • • ' ? 1~1• i~ P Y~I' . . ~ . T•
• 1. •1 ' 1 : i M:1• •.(ip~ 1 1 1 ~ • :A' I Y .
TOR CITY USE ONLY =
PERMIT # ISSL'ED
7L72
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SCRCHARGE )
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ~S~•O-a ACCOCNT DEPQSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ S D C? -L7 ~ $ WAC
$ S $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
S O $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
S ~ 2 $ TOTAL
~,3 7~/
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSDED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWI[VG COLVDITIONS:
APPROVED BY:
TITLE: .
DATE : _ 91c7 /X 6
C I T Y O F E A A i~ **~F' F'A~SENl' OF FEE AT TIME pF ~
?
. * APPI,ICATION DOFS b7C7P CONmTZST1E ~
APPROVAL OF PII2NffT. *
A
PPLICATION FOR PERMIT . INSPF]GTION OF SEFM APID/OR MU[ER
MEAn
~ ILZSTA?=ONS WILI, IVOT HE SQum- *
SEWER AND/OR WATER CONNECTION « mm Unu Pmltff T HAs mm ~
* mPttovID. *
.
~
»****~~****~****xx**.*~*****t*****k*
P ease Prin )
1) PROPERTY ADDRESS: f~ .3 6
LEGAL DESCRIPTION; ~ 3
Lot Block Subdivision or Tax Parcel ID )
g EXI3TIP7G SIRC'CIL'RE, DATE OF ORIGINAL BL~ILDING PERI•ffT ISSL'ANCE: -
~
PRFSENr ZONING/PROPOSID LSE: - lMon Yeary CD COMPNERCIAL/REI'AIL/OFFICE ~ SINGLE FAMILY
F-I IND'STRLAL Q R-2 DL'PLEX (Ztao Dnits)
n INSTI'IL'TIONAL/GOVERNME37'p ~ R-3 TOWNfi0U5E (Three + Units) ( C~nits)
. ~ R-4 APAR'ImaNT/CONIDOMINICT7 ( Units)
2, ~ NANIE:
ADDRESS:
CITY, STATE, ZIP: ~
PAONE:
3) • u c 7• _ NA&E. For City Ose
Plumbers License:
ADDRFSS: J GLA-Z G! (L-,. Active
~ CITY, STATE, ZIP: ncpired
Not recorded
PHorrs: ~575? vo MASTER LI(EIVSE# SL Sta ratlal
~ ia~•
4)
NAbiE;
_ ADDRE55: -sz ~
CITY. STATE, ZIP:
PHONE:
•5) ~ v i r. • a• : ~ • a~ -
ODNNECTION 1O CSTSC SEWII~~Q-99PBEeTION TC) CITY WATER ~ 0'IHER ' .
6) ° ' •7 'PLEFISE HOLD APPRpVFD PIItMIT E'OR PICK-UP BY ONE OF P,BOVE
0 PLEASE MAI PERMIT TO 1, 2, 3, 4, ABOVE .
. (Circle one)
7)
''7: • Y' 1: Y ~ ~ • i' D K~• i~ I• YDI' JI• 1 ']I• ~ •7~ 1'
IN20,0,11L •4
• 1:~ 1 ~ p i M7~• •,N?~ 1/ 1 ':A" :e' • 1. ~ ' r .
_ . . -1
. FOR CITY USE ONLY
PERMIT # ISSL'ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT ( INCLODE SURCHARGE )
$ $ WATER PERMIT (INCLLDE SL'RCHARGE) .
$ $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /SC+~ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ Ci~n n $ WAC
$ _ S 7S~-tD $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ " LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ o$ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ TOTAL
-741 .1 6 3z~
~
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MLST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWIIVG CbNDITIONS:
APPROVED BY: ~Lp-yr~J
TITLE:
DATE:
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOS ROAD
EAGAN, ?IN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # O /
~I 9
n:';U~~xmltm DATE: azz
~F,~°''.;;t,~s~'.<e : PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD ON i SHOWER 3.00 3•~
REPAIR _ _j WATER CLOSET 3.00 3, O0
BATH TUB 3.00
~ ) 1 LAVATORY 3.00 s.~
OWNER NAME: ItJGl/?nS _ KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT T[IB/SPA 3.00
/,~oZ~I /.?rnAC`vPCt _
SITE ADDRESS: A,.p
WATER 3 cQ CnLt~" o~ R 3.00
LOT:~ BLOCK _ SUBD. tdi n c~ FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: (/Q~ rL f (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
ADDRESS: _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE (D/~ yS7n 5• 0 0
D~/3(n SUBTOTAL $ / ~
Atp ST. SURCHARGE .50
SIGNATURE OF PERMITTEE / 5. sv
~Q•O~ 8e~ 9, TOTAL: S ~~'`s~'
7
~Q ;~,EftG7AL~~lDUS~T~TAL;: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WtIEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRZCE: 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 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Use or BLACK Ink
LL-" # -
ForOffirxUse
t t
City of Eakan ~ t}4?rrnt) .i'? . .I _ v! i
} Permit Fee
3830 Pilot Knob Road l
Eagan MN 55122 Date Received: '
Phone: (651) 675.5675 1 ;
Fax: (651) 675-5694 t Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 2®1 1 Site Address: I 21 - 26 •-Zf3 -3,o VJ %xi De
ye, A-w _Unit
Name: tl 1V1 ~r '5~~°iJ ~1CLLQhone: " ~{~Z -v4t3
Resident!
Owner Address; City; zip: FAKra &..3
Applicant is: 0 ,wrier
Contractor
Type of Work Description of work: RA aciF
Construction Cost: ~f r y Multi-Family Building: (Yes t No }
Company: b e lLr+ `fi yr AO U S Contact: uG R.Nppey4na)
Address: -l =L-u C + y ni 7V i l r city: EAG AN,
Contractor
State: Zip: L Phone: (a `
License C 6 8 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
/VOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide speck reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. call Gopher State One Call at (661) 454-0002 for protection against underground unity damage. Call 40 hours
belwe you =mend to dig to feceive locates of underground utilities
I hereby acknowledge that this inforrlat-on is complete and accurate: that the work Agll be in conformance with the ordinances and codes of the City of
I-a<}an, that I understand this is not a pernut, brat only an appl!catlon for a permtl, and %vork is not to start wilhoul d permit= thal the work wil be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Onnesota State Building Code must be completed within 180
days of permit issuance.
x Z-6-) C-2 A 1
Applicant's Printed Name Applicant's ignature