3738 Windtree Dr
RESIDENTIAL
. ' BUILDING PERMIT APPLICATION
CITY OF EAGAN ~ 7 O C) ~
3830 PILOT KNOB RD - 55122
651•6814675
Naw ComWCtbn Rwuinmmh RemdWbomir Rwuinenenti
• 3 rogialerod sqe sweye a1pwirp sq. Il d bl, sQ. II, of house: and $1 roofed areas • 2 copiea M qan
(20%mmcimim lat coverepe aYOwetl) • 1 set W Eneryy Cakrilatioru fa haded addiUas
• 2 capies of qan stqOrp beam d window skes; poured found design, elc.) . 1 site survey for exterior addifbns 6 decka
• 1 aet af Energy Calculations • IMbate'rf home sdved 6y septic syslem foradditiom
• 3 copiea of Tree Preeervatlon Plan'rf bl platted after 7/1193
. Rim Jaist Detai Oplbm sdad'an sheel (61dgs wiUi 3 a less units)
DATE VALUATION 2-. U v U, v~
JOB SITE ADDRESS 3738 WINDTREE DRIVE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER SUSAN & JAMES HAI!I!
TYPE OF WORK REPI!ACE (1) PATIO DOOR FIREPLACE(S) _ 0_ 1_ 2
APPLICANT MON-RAY, INC PHONE# 763-546-8625
ADDRESS A01 ROf1NF AVFNIIF Nf1RTN G(11'DFN VAI'j;FV. MN ZIPCODE 554?7
PAGER # CELL PHONE # FAX # 763-546-8977
BUSINESS PHONE: 763=546-8625
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
eneryy Code Cateyory _ MINNESOTA RUL,FS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Conhactor: Phone
Plumbing System Includes: ~ Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Badis
Mechanical Conlroctor: Phone #F
Mechanical System Includes: _ Air Conditioning Tee: $70.00
_ Heat Recovery Sys[em
Sewer/Water Conhacfor: Phone 1k E=
~
All above information must be submitted prior to processing of application.
By
I hereby acknowledge that I have read this application, state that the information is correc , a ly
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces.
Stgnature of Applicanf o 67 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Paol O 30 Accesaory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 E#. Att - Multi
O 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 PorchlAddn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex O 18 Deck O 23 Porch (screened) ? 36 Muld
? 05 03-plex ? 11 10-plex O 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement O 38 DemoUsh (Interior) O 44 Siding
? 32 Addition ? 36 AAove Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alteration O 37 Demolish (&dgp ? 43 Reroof O 46 WindowslDoors
? 34 ReplacemeM 'Demolttlon (Entln Bldq only) - Giw PCA handout to applltant
ValuaNon Occupancy MC/ES System
Census Code Zoning City Water
SAC Unils Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinkiered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
Footings (deck) _ FinaUNo C.O.
Footings (addition) _ P«inS
Foundatian _ HVAC
Drain Tile
Roef Ice Re Water _ Final Other
_ Framing _ Pool _ Ftgs _ Air/Gas Testt _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By . Building Inspector
Base Fee -_-~-~-aVV
Surcharge U ~
Plan Review
MGES SAC
City SAC
Water Supply & Stwage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total ~ ~ v ~
f
c
V.ktx#t#tra#e uf wrr~~aury
Citp of (eagari
1hpar#wetd n# %iLd'utg it"tr#irnc
77rtr C.utij"rcate issuecf pursuant lo the requiremexts ojSeclion 306 ajthe Unijarm Building
Cade aertifj~ing tlrat at the time of issuance [his sbuctune x+rrs in compliance with the v+arious
ardinanors of the CY1y regulatiag building consndion ar use. For 1he following.
u,e CkwT=tiD@ qrr nr', OR Z OW& Pamk Nm 18140
O=up-7 TM R'i/Mlt ~ouuia RI -Typecoar VN
o,~ ~r aaa•~ manflr1Tm IESIGi Add,.. 3786 WIN1= IJR.. Fl~('~AN
3738 {dIl+DIM I7ItIVE E-ak L13, B2, WIlaTiM 8IlI
SEFMMR 27. 1990
euadws offical
POST W A CONSPICJOIfS PIACE
JULY 30, 1990
g~ 4 DATE:
R~ 3738 WINDTREE DR -('M@IiTGOMERY DESIGN)
X YoursSewer & Water Permit for the above property has been completed. It will be hekl at the
,,Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
; reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
w
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
` 45ecretary, Building Inspections Dept.
f ~ -
~ INSPECTION RE~' (RIj
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: 1 N
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
SITE ADDRESS: ! t ~ „ ly t ~ s i , APPLICANT:
f)R ~;,i: i~ii~~ i i
. . ,i;~ ~ ~ , i i .
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA • .A
~ • ' ~ , , , ~ , , , . , i „
_ I
sEwE Pamit Hoidsr Dab Tikphor» • I
WATER
PLUMBING
HVAC I
w,.p.cuon wft k". comwoEa I
FoonnGs i
FOUND
FRAMING I
ROOFING
ROUGH I
PLUMBING I
PLBG I
AIR TEST
ROUGH
HEATIMG
GAS SVC ~
TEST I
INSUL ~
~
GYP BOARD I
FIREPLACE
FIREPLACE
AIH TEST
~
FlNAL PLBG I
FINAL HTG I
ORSAT
TEST I
BLDG FINAL I
DOMESTIC I
METER I
IRRIGATION I
METER -
FLUSH
MAINS
CANDUCTIVfTY i
TEST
HYDROSTATIC I
TEST I
BsMT R.I.
I
I
' BSMT FINAL I
DECK FTG ~
1
DECK FlNAL ~
~
z..-..--R•r~...a+:..F„~,.~ _ . . . . _ . . . .
CITY OF EAGAN
i"' '8' 40
; _ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
. ` ' PHONE: 454-6100
BUILDING PERMIT Receipt # •
To be used for SF DHG/CAit Est. Value $91.000 Date JULY 12 1990
,
Site Add ss 1738 iJINDTREE DR
STr OFFICE USE ONLY
LOt i~ BIOCk SeC/Sub.
R-3 M-1
Parcel No. Ocu+aancr --~_i FEES
!!ON'['GOl1BilY DSSTG!! zoning
W Name (ncn,ai) const ~ 8ldg. Permit 399.00
o Address _ (AlbwaWe) - Surcharge_ 4S. SO Ej=R City Phone # of scories 3~,pp
Length ~ Plan Review
SANE t~ Name DeGm SAC, City
Address S.F. Total - g,qC, MCWCC
Clty Phone S.F. Footprints - b2sr00
On Site Sewage _ Water Conn
W W Name on site weu y~ wa?er e,+ecer
Z
= Address Mwcc systeR, 30.00
02
i~ City PhO@ Ciry Wa1er _ ~it
PRV Required _ SNV Pe?mit ~
I hereby acknowlege that I have read Ihis lication and st e that the Booster Pum APPROVALS p _ ~~r~~ '
information is co?rect agr comply, ith all applicatjA State of ~
Minnesola Statutes end lty of E g r,(~fdina Treatment PI ~
Signalure of Pemnitee _ ' Road Unit
A Building Permit is issued to: NONrO(klEBY DE32CN Planner - Park Ded.
on Ihe express condition that all work shall be done in accordance with all Co+ncil
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Copies
Building pfticial ~ ' V~a^Ce - TOTAL
Pennit No. PermN Moldsr Oab TdNphwN At
WATER
SEWE$
a.uMeiNC
H.va.c. 0
ELECTRIC 1.O0 8'
top.ebon o.% wp. conwnwnts
Foolinp I
Founaaeon
Framirg ~ O -
RooFrg
Ra* Pbg.
Ro,* Hto. ~6 D wn e .
N,?.
FireQlace
Fnd Heg. -
FnW v". - 6 ~jD - c~ o
cona mMw Plbg. WW-W - Not;nr Pw,mb-
F.,,gr1P~e^
eag. Froal - z ~90 .DS
oock Feg. a6 ~
Deda final
VVell
Pr. pqp.
. , • :~'i^?'yti,-_: . ,;:-I.~ : , . . . '
PLUMBING pERMIT . ~
For ONi e U n ly
CITY OF EAGAN PERMR # 7 ~
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ~ ~ 3 7
PRICE PHONE 454-8100 DATE:
Site Address 3 ~ j t, -Or : Jc BLDG. PTY~E WORK QF3CRIPTION
Lot Bbck SeGSub Ree' NeW j~
Muh. Add-0n
Name 1A- ?w Comm. Repair
~
~ (Xho
Address t c • t
~ ~ ~ ~y~_ RES.PLBG.ONLY-COMPLETETHEFOLLOWING:
C~ Phone 1 NO FIXTURES TOTAI
3_ Water Closet - $3.00 s 16-
Name
4 ~ s . " I_ Befh Tubs - $3.00 3-
c Address 3~ Y l~ l? 1. « 'A_ Lavatory - $3.00 ' S-
City PFione "L SFmwer = 33.00 ~ - -.-r-~ . _-.J. _ _ _
_I Kitchen Sink - $3.00 3-
UrinaVBidet - $3.00 ,
FEES ~ Laundry'7ray - $3.00 3
COMM.AND. FEE -1% OF CONTRACT FEE ~ Floor Drains - $7.50 t i lu
APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater -$7.50 1.30
TOWNHOUSE & CONDO - RES. RATE APLUES Whirlpod - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 J_ Gas Piping Outlets -$1.50 1 14
: MINIMUM - COMM.IND./FEE $20.00 (MIINIMUWI -1 PER PERIIAIT)
STATE SURCHARGE PER PERMIT .50 Softener - $5.00
(ADD $•50 StC PER EACH $1,000 OF PERMIT FEE) WeN - $10.00
Private Disp. - $10.00
Rough Openings -$1.50 y.-
U. G. SprinWer System - $12.00
, SIGNATURE OF RMffTEE PERMIT FEE: 3(. '
STATES SJC: . 7 L~
~ FOR: CITI OF EAGAN GRAND TOTAL: ~
~
~ ~
'
I
I
9
I
i
l - - ~ ~ I
I
...~,..,t , , , : . , • . _ . .
PERMIT #i
' • • MECHANICAL PERMIT RECEIPT M
,•CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: I51-8100 For Office Use Oniy:
ini rc~
Site Addf
BLDG. TYPE WORK DESCRIP'TION
Lot ~ Block Sec/Sut
Res. New
Name Cc je1N/ G2 Mult Add-on
m J `I j Q-t e 5 v e. , p, Comm, Repair
~ Addres,. Other
c City ° Phone ' Z" E( 0
Name l"^~'` ` F r !.J e 5! 9, .;X FEES
RES. HVAC 0-100 M BTU - $24.00
c Addrega 'r rv t v~~ 1' i tii ~ ADDITIONAL 50 M BTU - 6.00
p City c~'~" N Phone ~~-I rl '7 _77 (RES. HVAC INCWDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER pERMM - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 146 OF CDNTRACT FEE
Forced Air cG 0 M BTU a 0 APT. BLDGS. - COMM. RATE APPUES
TOWNHOUSE 8 CONOOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. E#~ M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
BEYOND S/ OC~I; PERMIT PRICE GOES
Gas Piping OuUefs ~i
~
Ot119r 1-7
FEE
S/C: SIGNATURE OF PERMITTEE
TOTAL• ~ f'' j FOR: CITY OF EAGAN
SEWER A WATER -PERMIT: QFFlCE USE ONLY
CITY OF, EAGAN METER #~/3__ 70 -67 t- PERMIT DATE u 7~ 3 u/'~ CI
3830 Pilot Knob Rd. cHiP # 0/ 4"8,V4 /PERMIT # 11556
Eagan, MN 55422-1897
, METER SIZE J { B.P. RECEIPT # C 8844
DATE JULY 12 , 1990 ISSUE DATE - B.P. RECEIPT DATE 7 12 D
PRV _ BOOSTER PUMP
SITE ADDRESS 3733 w 1NDThEE DR PERMIT REGIUESTED
LOT 13 BLOCK 2 SEGSUB WINDTREE 8TH .X SEWER X WATER - TAPS
APPUCANT: w COMM/IND X RESIDENTIAL
ADDRESS:
40
CITY, STAT Z I P X NEW _ EXISTING
PHONE:
~~,...r~~ Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line_
ADDRESS: ~Credit WI NOT iven for Dedu Ceters.
CITY, ST • ZIP
PHONE: r 2-14-1
I AGREE TO COMPLY WITH CITY OF
OWNER: MONTGOMERY DESIGN EAGAN OR7"c
ADDRESS: 3786 WIKDTP.EE DR
CITY, STATE EAGAN, MN ZIP 55123
PHONE: - 681-1773 I NATURE WHEN METER ISSUED
. ~ • , ' .
PLEASE ALL"OW TWO WOpKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMRS, CONTAC7 ENGINEERING DEPT. _
SEWER & YYATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 07I i4/9(.-
383b Piloti{nob'Rd.
Eagan, MN.~5122-1897 CHIP # PERMIT # 1155b
METER SIZE B.P. RECEfPT # C 8844
DATE J11LY Z2+ 1990 ISSUE DATE B.P. RECEIPT DATE07 1,2 /0
- PRV _ BOOSTER PUMP
SITE ADDRESS 373S k I NCT :LE Dk PERMIT REOUESTED
LOT 13 BLOCK 2 SEC/SUB WINDTHLE 8TK :
r
APPUCANT: X SEWER x WATER _ TAPS ~
ADDRESS: 1 16 COMM/IND X RESIDENTIAL 4
CITY, STATi''~=' ~ ZlP NEW _ EXiSTING "
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
71 ADDRESS: ~\Credit WIy NOT be-aiven for Deduct Meters.
CITY, STA E ZIP
PHONE:
' 1 AGREE TO COMPLY WITH CITY OF ;j
OWNER: P~~TGOMERY DESIGN EAGAN ORDINANCES
ADDRESS: 3786 wI*tDTxEE DR
CITY, STATE MN Zlp 55123
PHONE: 681-1773 SIGNATURE WHEN METER ISSUED
I
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ~
SEWER PERMITS, CONTACT ENGINEERING DEPT.
:
;
CASH RECEIPT `t •
CMTY OF EAGAN ~
3830 PILOT KN08 ROAO
EAGAN, MINNESOTA 55122
oAre -7
•
~ . ,
OWCENEo
om m - iL- ~ i • ~1 ~ , / ` /
.I
AAAOUNT s ~
8 OOUARS
+m
O CASH J~CHECK
~
Mq /w
Funio OBJECT AMounrr
' Thank You
BY ~.t!(c 8844
wk-Fl. c,ooy .
/D~~~9~
~1 G1. ~ ~ ~ • ,F~ ~ ~ O O
~11~<~
Request Date Fire No. Rough-in Inspection
7Z~?- e ired? ? Ready Now ~Will Notify Inspector
- Yes ? No When Ready?
I licensed contractor p owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Rout No ) • City ~
Section No Township Name or No. Range No. County
Occup PRINT) ~ ~ 17 Phone No.
~
Po er Su I er dress '
~
A i
Electrica Contractor (Company Name) r Contractor' ense No.
Mading Addre '(Contractor or Owner Making InstallaUOn)
76 -;7--!57 /,.t/),
Author d Signature (Contractor/Owner Making I stallation) Pho N mber
,
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ~`~•~•°~b.'i \ Es-00001-07
44 .
? See instructions completing this form on back of yellow copy. ~~o~ ~
ffX1)
Below Work Covered by This Request
ew Ado_ Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks.
Compute Jnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transformers Above 200 Amps A oue_j00 Amps
Signs Inspector's Use Only: ~ TOTAL
Irrigation Booms 0_17~
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in • Date
certify that the above inspection has Final Dat ~ rFd
been made. F.
OFFICE USE ONLY
This request void 18 months from
4 ~
CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N D 18140
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $91, 000 Date JULY 12 , 19-qo--
Site Address 3738 WINDTREE DR
Lot 13 Block 2 Sec/Sub. WINDTREE 8TH OFFICE USE ONLY
Parcel No. occupar,cy R-3 M-1 FEFS
Zoning R-1
MONTGOMERY DESIGN (Actual) Const V-N Bldg. Permit 599.00
m Name
3 Address 3786 WINDTREE DR (Allowable) Surcharge 45.50
0 City EAGAN Phone 681-1773 # of Stories 389.00
Length Plan Review
, o Name SAME Depth 441 SAC, City 100 . 00
~Q Address S.F. Total 600.00
SAC, MCWCC
cr
Clty Phone S.F. Footprints
Water Conn 625.00
On Site Sewage
~
u 'W Name On Site Well
W Water Meter n- n0
~z. Address MWCC System XX
~
Acct. Deposit 30.00
a W City Phone cicy wacer xx
PRV Required S/W Permit 30 . ~0
I hereby acknowlege that I have read this application and state that the eooster Pump SiW Surcharge • 50
information is correct nd agre to compl ith all applicalft State of
Minnesota Statutes an 't of an in n es. Treatment PI 252.00
Signature of Permitee APPROVALS Road Unit 355.00
A Building Permit is issued to: MONTGOMERY DESIGN Planner Park Oed.
on the express condition that all work shall be done in accordance with all Council _
applicable State of Minnesota Statutes and City of Eagan Ordinances. B?dg. Off. Copies
Building Official Variance TOTAL 3,116.00
~ J..~ RESIDENTIAL _
J~ O
BUILDING PERMIT APPLICATION /'7 r 7s
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Requirements RemodellRepair Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site suroey for exterior additions & decks
• 1 set of Energy Calculations • Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE C) VALUATION OL Z `
SITE ADDRESS 3738 ~1 MULTI-FAMILY BLDG _ Y ~ N
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
.
APPLICANT L606pia L)f^'J
STREET ADDRESS (95815- 15b&1U V*IE- gL?D CITY69fAJ aigiQjif-STATE1uN ZIP~E3!~r_
TELEPHONE #F5a"9~q" ~v vS CELL PHONE # FAX #
PROPERTY OWNER 91 TELEPHONE #6SI~ (0% -05ytl
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULLS 7672
(~1 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: Water Softener Lawn Sprinkler ree: $90.00
Water Heater No. oI'R.I. 13aths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning ree: $70.00
Heat Recovery Syst:em
Sewer/Water Contractor: Phone #
-M~'-~-9-2~2
I hereby acknowledge that I have read this application, state that the information is rect, and agree to ply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
~ B
Signature of Applica
OrrICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY -
0 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool 0 30 AccessoryBldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
0 33 Alteration D 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System.
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footi.ngs (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au 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 & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit License Search
Copies
Other
Total
~
4
.
rt
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTUR.AL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUFL.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
T RM
To Be Used For :Valuation: Date :
-7 (/qO
Site Address OFFICE USE ONLY
Lot Block ~ FEES
-V2EEjE- 'Occupancy R-3 _/1r1
t~ P cW:-,>k
Zoning f
Parcel/Sub Actual Const Bldg. Permit 5,~L
Allowable (l/1/ Surcharge
Owner # of stories Plan Review ~
Length ..SZ SAC, C i ty /00
Addres s ~ ~ Depth L/ SAC, MWCC . Gc9Q
S. F. Total Water Conn A2S'
City/Zip Code Footprint S.F. Water Meter '90
Acct. Deposit 3a
Phone On site sewage S/W Permit 20
On site well S/W Surcharge ,,Sp
Contractor ~ MWCC System ? Treatment P1. ?s z
City water Road Unit 3SY
Address PRV Park Ded.
Booster Pump Copies ,
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner TOTAL
Council
44-tne~-17 12,Q L ~ Bldg. Off.
Address Variance
~
City/Zip Code ,
Phone # f364-
- ~
~
2 2
X _
~
.._.•-•a.~..:'
JJUL-02`90 MUN 24 : 39 I D: JAMES R H I LL I NC TEL N0: E12 884-9518 #156 P02
~
- SURVEYOR'S CERTIFICATE ~rOo~~r o~sioN~~ «o
l~ ~ . , ~ . : ~
` •.r,~i~ i~ , . ~';~i' ~ ~~,i:~:;~J ~~•ar..•
~ r:t' , . . , n; ~
~•r.' . . • • ~r,, ti~~'4~, Y:~,:
~ , S, ' . , «~'•':ti y
'~'M~. ~ f•• 1~w fL
~ ~ ~ . . , i . ~ 'Y('•,.
; ~ • ~ . f . : '^'ti
: • .
; . ~ .
, tb13.6 ~ ~L
~
<
a ~
: A 10
~
~
029 ~ .
.
~ r ~
V
L -0 °T" 13 • . L
U,~
{ i, ~ ` + ~ , ^ ~ ` 6~` ' /
/r ~
6 O
`Q
~ , O p `'C~N~ ' •'f _
ap 2 • g
; ~ Q \ \ ~ ' ~00 A~ °~s ~ ~ .
~o N , o?soa' gy ~ti ~ : ~ . C
~ . ~ N , v~ ~ ;
: ~ t,g ` ~ ~ ~ ~ . , ~ ~ ' _
Ic ~
~--0
; • ~
pFs ~ s.2 ~rcr~,"t fr' 1t ~
%0
~ . . t ` ~ " . ~ r'
4:,, ~ ; ~ • , ~ . ';,s^,~~, ~ . • ~ ~T~ 1~-; . q4.24 .
~r t~'l~. ',~4 ~ . .-f,~ 5 y~1,:.v~'•^.'' ^ , ~F-V.i~1 !
~ ~,e'~~~ ; ~ . . ~ r^ • _ .f?i / • • z.A:;='.,~~~;.,
~ i : _ ~:o. ~ ~ O (Me/ i:r, .
Z• a96•0 eti' I ' 41" pi .~u b... ` ` f t.
. HOUSt
~x~sT
; ~ • : , . s~,~ ~ ~m ~ ~V// .~a~ 30 ~r
~ • - ~ • ~ ~.1 c ti ; S (Y ~ ~ ---1, \J' . ; ~ :,aP~,?
~ , ; . ~ ~ 6 ~ 1 ~ ' ~ ' .
~ , , ' • Y ~ - - ~ - T , ~.t ~ ~FY
{5• t~ ~ ~ ~ 1
~1 5 ~ _ ^.r~~ • . ..;:?~t.`'i~•
f • . ' - ' • ~ ' m _ _ . . -sy
~ • ' ~ ' ' - - • , ' ~ ~~a••.
. ~ •
s v
; .
~ 1 • "~~it :.f ..'.y~ ' A i • . ' . t`..~1(!.
. ~ DENOTES PROPOStD SURFACE DRAINAGE
O DEN4TES IRON tv10NUMENT SET SCALE: 1 INCH = 30 :ET
• i DENOTES fRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 8Qq, 3 ;ET
X000.0 DENOTES EXISTING ELEVATION PROPUSED LOWEST FLC)OR - 641.46 :ET
(000.0) DENOTES PROP4SED ELEVATION PROPQSED T4P OF BLOCK -6 4~, y EET
1 ~ , i ~ y • ~ . , ~ f' •:~~•'t
~ . . . • , ,S , i~i
1IVE HEREBY CERTIFY TO MOI~TGOMERY DESIqd 8G Bl11L0 THAT THIS IS A TRUE AND CORRECT ~
. ~ REPRESENTATIQN OF A SURVEY OF THE BOUPVDARIES OF:
~ Loi 13, 6Eock 2, 1MNDTRF..E 8-H ADDITION, acoording to the recorded plat thereof ~
Dokofa County, N4innesata
IT DOES NOT PURPORT TO SH4V5/ IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHUWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 28 T'H DAY OF J UNE , 1990...
a,_, - : r~ ; . : •`i~. ;r'i~ . . : . . ; : , ;~£~~y~..ti••r.
,~=:~;~~~•~=1~~~'i~'~~ SIGNEID• ES R. 1-~ILL It~C.
~;.~~~~~i
'~'v e`c~.13, , '~J"yFw~, ,
-~PRO~SEO GRAbkS
BYH.;S~
,-.K~T~iC;,.;~T~;IE:GRAOIt~3.PLM1
. ADD~TiO~J
P*Et~11~p, bY RON ~CRUpQER 5 BY: .
b950C.; INC. LAST QA7ED 4 7-ST,
JOHN C. LARSON, LAND SUF't1%EYOR
. ,
MINNESOTA UCENSE NUMBER 19828
.
cn . .
~
m' t0 O W ~ ~
q ii ' . ~
ames R i nc.
~Q c..U1 O C p D ~
ul m~ ~ tnN D ~ .
~ m z
,
PLAN~IERS / ENGI~JEERS / SIJRVEY 1RS ~
o m o ~ ` a ° rn
, ~ • ZO~ m ~ZO ~ .
• 9401 ?AMES AVE. S. v BLOOMlNGTON, N4N. 554314 612-8b 3029
~
,
Ck/ , ~bD I-or
EX ."1'. ERIc:~ R EPJ VE:1... OF' E Ab' R(~ i ; f : C(.; ~ NI PU T(2•1T:T. (:J N
MONTCOIYiE:RY DESIGlU & BUII..CJ CC)
3786 WIh! DT F~ EE DF2
EA GAN„ MIl 55123
81--9230 !ICG:C NN
MODE i_ AREA U U X AREA
REQUSRED
.1. . T(;J TAIm. WAl... L AR EA 1856 1.1 204
2,. RC) OF AREA 1280 .026 33
At:rH T i::V ED
A W IN C W AF? EA i. 18.7 .3,3 39
8 DaaR AREA 4.0 .13 5
t:~ Stw x D:r. NG GIw Fa:~ ~ AREA 80 .6.5 52
D rIREPLAcE AREA 36 n2 r
E ~~ALl.... FRAr~ ~ ~ ~ ~ A 185.6 A 09S 18
F Nw. T WALL. AREA a. ~9-5.7 .038 Sw>
~ RIiI ,?uxS"r AREA .15"/," r0436 r
Fi FOi•,J N G.~ W.l ly DOW AREA 0 „5 0
1 FCa tJ ND A BCl VE GRAIJ E 35 CJ 68 6
3., -r o-r At.. «ALI.. ~ ~ EA J.. 8 7
J~ SKYL:,T. T E 8 5 4
K RCJt;)F FRAME 128 „032 4
L NET ROOF AREA 1:1. 52 .0227 26
4.. TOrAL. ROc7F AREA 34
S IJ M 0 F .t 2. 237
S tJ i'l 0 F 3„ 4- 4 22.1.
- ~ PERMIT
CITY OF EAGAN ~
3830 Pilot Knob Road PERMIT TYPE: gUI~- nING
Eagan, Minnesota 55122-1897 Permit Number:
(612) 681-4675 Date Issued: 07/17/98
SITE ADDRESS:
. 3738 WINqTREE-DR
LOTe 13 BLOCK< 2
WINDYREE 8TH
P eIe N e o 10-84477--130--02
DESCRIPTIQN:
PA-rxo DoaR
Byu~ i 1~d`h,P e r m it T y p e ~ SF ( M I 5 G<)
ui.~di:rtg `rt~,ark Type REPATR
~y'Census Ccic~434 ALTe RESIDENTIAL
~
~ N~ . . ~~;•w:~ n~
`'~t.?.£~^',`~,:A,.• b i~~``"~ , ,w h.,u~.xi'.:, '
~'~Fc3";?~rF"~ ~`%'~`y , • a ;~'M"
? ~ ~ • ftN
wTa
i3
~~~,E?
T.~,~ /~;4
~ x n ~ ~ • , -
t•,~~ { ~ ~ t~,~,~'~`. 3 ~"'•t~~`~> ~r„~
;'~y"`~~h,
» q ~a~ ~ h ~+~'AM~'~ ~ ~a~ S,•QO. 1g
~,~.x
...a
"
~
REMARKS:
REPLflCING 1 PATTO CJOOR e
FEE SUMMARY:
VALUATION $3,000
Base Fee .75
5urcharge 1e50
Total Fee $76025
CONTRACTOR: - APPlicant - ST ° LIC pWNER:
ODN-'FtAY WINDQW & qOClR 15468625 0005111 MAL.L JAMES
8224 @LSqN MEMORIAL HWY 3738 WINDTREE DR
GqLCIEN VALLEY MN 55427 EAGAN MN 55123
?(sa.2) 546--8625 (651)686-0394
: . , ~
. _
~ 1., hereby 'eacknowle'dge 'tha,t I h-'ave,._read,.-this appl.icatibn,arad~ sta~te that the
i nform~tian a.,s-. crrrec.t-, and "agr. ee,.to comply- wa,t h all apPJ.icable atate -of Mn a
~~~ut~~~a~rid, G'~._t~y ~ a,f E~gan-""0d i.n ance~s
S
~r
APPLICANT/PERMITEE SIGNATURE ~SSUED BY: SIGNATURE
r
.
cITY oF EAcAN
C7`1SH.I.ER°0 S TERM.RNt9L NOn f G~A
DP'1TEo L/ 7/17/.7Q 1 l l-1E°n ll 5o° 4`Y o54
g Lin
NC'9MEo Ml.lirl-RP"1 Y d NC
3210 9001 3738 WTNDTREE IJ 74.75
2155 9001. 3738 WI~!'DTFiEE D 1o50
~
Yota:l Receipt, Amount 4 76a 2;
CRa35055
US4r1 ? 0011A/ ?VY
~ t-
' f
19 BU1LDING PER
~ MIT APPLICATION (RESIDENTIAL)
CfTY OF EAGAN
3830 P1LOT KNOB RD - 55122 1~-9 0"
681 -4675 ,
New Construction Reauirements Remodef/Reoair Reaui?ements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fid. design; etc.) ? 2 site surveys (exterior additicns & decks)
? 1 energy calculations ? 1 energy calcutations for heated additions
? 3 copies of tree preservation plan if lot platted after 711I93
required: _ Yes _ No DATE: CONSTRUCTION COST: ~ $2 -9 ?dQ.. 00
DESCRIPTION OF WORK: REPI:ACE (1) PATIO DOOR
TREET ADDRESS: 3738 WINDTREE DRIVE
LOT 1'5 BLOCK ~ SUBD./P.I.O.
PROPERTY Name: JAMES & SUSAN HkI' Phone _ 686-0394
OWNER LAST FlRST
Street Address: 3738 WINDTREE DRIVE
EAGAN MN 55123
City: State: Zip:
CONTRACTOR Company: MON-RAY INC Phone 546-8625
Street Address: 8224 O1 son Memor i a 1 Hwy License 0005111
City: Go 1 den Va 11 ey State: MN Zip: 55427
,
ARCHITECT! Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip;
Sewer & water IicFr.-.ed plumber (new construction only): . Penalty applies when address change
and lot change arc i-equested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: 46441 XV,4d4
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
~
OFFICE USE ONLY '
BUILDING PERMIT TYPE
0 01 Foundation o 06 Dupiex ? 11 Apt./Lodging o 16 Basement Finish
o 02 SF Dwelling o 07 4-plex a 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o 08 8-plex o 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous
05 SF Misc. a 10 _-plex o 15 Deck
WORK TYPE
n 31 New o Alterations ? 36 Move
? 32 Addition 34 Repair o 37 Demolition
Z-, c~ ~ GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCIWS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning _ sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code
, Census Bldg
Census Unit
APPROVALS
Planning Building Engineering , Variance
;
Permit Fee ~ ' 7S Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit S/W Surcharge
Treatment P!.
Road Unit
Park Ded. Trails Ded.
Other
Copies
Total: % SAC
SAC Units
PERMIT
CITY OF EAGAN
~ 3830 Pilot Knob Road PERMIT TYPE: .
Eagan, Minnesota 55122-1897 Permit Number:
(651) 681-4675 Date Issued: 0":' f:1. C!
SITE ADDRESS:
37 3 8 W IN; 0 l" R E 0 1~
i. O1" 0 13 8 Cl K ~ 2
W :l' M C) T C~ c P k(3)' f H
i-~ ~ T 1`1 , 10 i;; A -0 l 7 3.3 0 0'
DESCRIPTION:
fj! ~ ~ ~ V
,
r rri), i, 'T" t; o:~ R V,.~ {a 1 A f: E
~ -
k 7 ti!~e A 1.-i F:i2A -i 7.0 Ni
R t.-: S :r 10 r~ H i" i
-
~
E
1
,~t_
1~~~ jD%~i„~ '~~~~i~ ~y°E.ll~:.i~'r-~-~ ~°(•--~1 1° y 4/ ~i m I, .
i;~ ~~i r~ ~ Y 1 . _ ~ ° <'i i ~ i ~ . , :
Y r ~ ~?r,~cS"_,--$ _
REMARKS:
fTI_tJI-H: ~~E IP+! SPEt;TELl BEi=QRE GUMCc:A l. s'N6o
FEE SUMMARY:
ttir~~ ~e~ C c:p $60o 00
1) r c 1h a r'c+c
~fC1i;ri 1. a6 0 o 5 0 ~
NTRACTOR: Ano-ticant - OWNER:
X , ;,I E~~:".)i- G~;S :~.~~~~~~.~C~ t~~~~_t.. ~ I r~
3 :-~l~' ~Al 1.11i1 k ~Vi S, ~iw 3738 w i i'l, 1) f' i?~~t~ :.7Y?
Pf2 rlJR LK E M M 55372 E::A (iA (V I'1"It1 .5~-~
S`-i (651)686-0394,
~ ~ ~ . . . . ' -
•
I t . f.; to i K ~ ! r jn L. 1 c'~ k ~ f_.,. ~
0 It 1
y ~ ~
v w, 1_
l.a' ..,r l . • i..~.l l.. . I 0
~ J
APPLICANT/PERMITEE SIGNATURE UED BY: SIGNATURE
I
~
~
CIT1f OF E~~AN
CP,SHIERa S TERMlNAL NQa 8iB
d.'A1Ea 02/11/99 P 1.Mi:=n d.4cpi23n59
1g1a
NAi 16rp STAT4.[ lIA'E GT11! bl0.eRVICL+V b{`(C p
320 9001 3738 WINDYRF_E D 60.00
2155 9001. 3738 HSNDTREE D 0.50
~ V
.,n
Ttl+. 71. Receipt. Antt]uni; u 60.50 CRiOC7 t 22
USER IDa NANCY
~ r
1999 FIREPLACE PERMIT APPLICAT[ON
CiTY OF EAGAN
~ D 3830 P[LOT KNOB RD - 55122
qc~ (651) 681-4675
Date: O j
Description of Work: Construct ieew fireplace Alterations to existinc,
Install Qas insert oiil Install ; as line onlY
~ Other r,,rl
Job address: ~7Y P"' G?rN.C~ T,~~:c~
Lot: Block: Subdivision/P.I.D.
Applicant (circle one only): Owner Pernrit Fee: $60.50
Name: Phone m: ~~f~ = O39y
PROPERTY Last First
OW,iVER
Street Address:
City State: ,i Zip:
Company: ~Phone
FIREPLACE
INSTALLER Street Address:
City State: 7 Zip: s5~7,-.4-
Company: Phone
GAS LINE
INSTALLER Street Address: ~
City State: Zip:
I hereby acknowledcye that I have read this application and state that the information is correct
and agree to comply with all applicable State of innesota Statutes and City of Eagan
Ordinances.
• _ ~ ~'a " ~ ,
. ,
Signature
~ pNr , .~.,...,..m~ ..r..'*""^~`°'~•e,.•-.-a - •
~ ~
OFFICE USE ONLY
BUTLDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
O 31 tiTew ? 33 Alterations ~
? 32 Addition 0 34 Repair
GENERAL INFORMATION
Census Code. 434
SAC Code 01
REVIARKS Chimney/flue must be inspected before concealing.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126272
Date Issued:08/19/2014
Permit Category:ePermit
Site Address: 3738 Windtree Dr
Lot:013 Block: 002 Addition: Windtree 8th
PID:10-84477-02-130
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John L Lauber Jr
3738 Windtree Dr
Eagan MN 55123
(651) 452-8052
Home Depot At Home Services
656 Mendelssohn Ave N
Golden Valley MN 55427
(763) 542-8826
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168192
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 3738 Windtree Dr
Lot:013 Block: 002 Addition: Windtree 8th
PID:10-84477-02-130
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John Louis Jr Lauber
3738 Windtree Dr
Eagan MN 55123
(612) 501-6449
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature