3746 Windtree Dr ~ ~li'~'A~~~R FLR$P'~...A~-03 18/~2 _ _.,c. _~.._,e.~,....-~~ . •
S(24ffT- ~~REPtA..,r'E--784-6205 CITY OF EAGAN
~MAAFQR52 -07 ~ 6/17~° t Knob Road, P.O. Box 21-199, Eagan, MN 55121 9"'
~ ?t~X DOF~F-(H)43Q(i+~~~5tu+ pHONE: 454-8100
BUILDING PERMIT - Receipt #
Tobeusedfor $P DWG/CAi! Est. Value ;114,000 Date gEp il
Site Address ~ 3746 VI.ND= Dit
lot -I I- Block _2 Sec/Sub. YIND"MSB ~ OFFICE USE ONLY
Parcel No. occupancy Ar-3 liel pEEs
2oning $.1
¢ Name ~~aY D~SICl1 i StiILD
~ (Actual) Consl X-M Bldg. Permit 689.00
Address 11350 ALSAYAit PA'[R (aiowabie) .IL-N City - IZiYER GROYIL Phone 457-4075 r ot storiea s~rcr,arye s7_m
~ Plan Rsview ~6A,LI~
Name 8~ oapm 3.L saC. citi ~m.en
Address S.F. Total _
~Q
City Phone S.F. FooWiints SAC, MCWCC 630,
~
-
pn $ite Servage Water Conn 660.
~ W Name or, sile weu wacer Mete? 93. ~O
t Z Address MvuCC system x
City Phone c~ywacer L ~~•~M
PRY Required _ SM! Permit +,w
I hereby acknowlege that I have read this application and state that the eooster Pump _ ~~rchazge _30
in(ormation is correct and agree to comply with all applicable 5tate of
Minnesota Statutes and ~ of Eagaa Ordinances. ~ Treatment PI 27b.~A
nature oi Pertnitee . ~t .r i' t~ i'• j APVROVALS
~ Road Unit 37Q.OA
,
A 8uilding Pemtit is issued to: ; Planner - park ped HUNTOWERY! on the express condition that all work shall be done in accordance wit7all CeunciI _
applicable State of Minnesota Statutes and City ot Eagan Ordinances. gldg_ pN _ Copies
8uilding Oflicial t'!v, V~ice - TOTAL 30405• 30
. Parmit No. Pamit Ho1dK Dole TNephom N
WATER l"A
SEYYVF
-
PWMBING
KvAc.
' ELEcrRIc
Mp~euon oGe ~p. c0014114r"s
Fooorqs 1 ~ 9/ S
Foundadon
Framing
Flo0fwlg
Fiai9h PIb9•
Rough Hig. 0 /
is„i. 4ff
FrepFece y 4 43 *2
Final Htg.
Orsta, Tes, 16 y/
Fins1 Plbp. PIb9• hapector - Nd* Pk+mber
Canst. Meter
EnprJPlan
ea9. Fma? ~ 27 B
oock Fro• l~ O -
oeak Finai
weli
Pt. oisp.
SEWER & WATER PERMIT ' OFFICE USE ONLY
CITY 6F EAGAN METER 7-3 0 1 PERMIT DATE 0 9/ 16 i` 91
3830 Pilot Knob Rd. eHiP ~.0 a a D 114 .3'~
Eagan, MN 55122-1897 PERM{T # 12285
METER SIZE Sr^J~ B.P. RECEIPT # - I
DATE _SE0 11, t~,! 1 ISSUE DATE B.P. RECEIPT DATE 09/12y i' I
_ PRV - BOOSTER PUMP ISITE ADDRESS 374E~,JT1bTRr k; Di: PERMR REOUESTED
LOT "BLOCK 2 SEC/SUB WINDTRf;E 8Tst
X SEWER x WATEfl _ TAPS
APPLICANT:
ADQRESS: -COMM/IND X RESIDENTIAL CITY. STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: '~U PL[Ri~tNG Ahead ot Domestic Meters on Water Line.
ADDRESS: 94I BQSTON HILL RD Credit WILL NOz be given for,Deduct Meters.
- ~
CITY, STATE EAGAh *SN Zip 55123
. PHONE: 688--9 Z of+
I A RE T CO PLY T CITI~-~F
OWNER: MGNT'G02iERY L1E51Gh ,g BtfILD EAGAN ORDINANCES
ADORESS: 11350 ALBAVAQ PATIt
CITY, STATE INVEX GROYE HTS Mt' Zlp 55075
PHONE: 457`1`075 SIGNATURE WHEN METER IS ED
PIEAgE ALLOW TONO WORKING DAYS FOR PROCESSING. CALL 454-52241~51NSPECTIONS. FOR STORM
SEWER PERMITS, qOMTACT ~NGINEERING. DEPT.
:
SEV1fER & WATER PERMIT OFFlCE USE ONLY
CITY Ole EAGAN METER # PERMIT DATE Ci9116191
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ PERMIT ~ 122$5
-
METER SIZE B.P. RECEIPT #
P 1_. 1691 ISSUE DATE B.P_ RECEIPT DATE 09 f 12/91
DATE
- PRV _ BOOSTER PUMP
SITE ADDRESS 17` 6 Vih,)TR41: DR
PERMIT REQUESTED
LOT i l BLOCK 2 SEC/SUB WINDTRBE BTti
Y SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND 7C RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: NEU PT,LfMBING Ahead of Domestic Meters on Water Line.
ADDRESS: 991130STON NILL KD Credit WILL NOT be given fo~.Deduct Meters.
CITY, STATE EAGAN CIN Zip 55123
PHONE: 688-91 W?
IiA6'FfE Tb CO PLY WIT CITy~OF
OWNER: ~Z~TGUI~BY DESiGN d~ BUI I.U EAGAN ORDINANCES `
L-
ADDRESS: 1135G ALEAYAR PATH
CITY, STATE INYER GItOVL lil'; MN Zip 55075
PHONE: 457-407 5 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT ~
.
CITY OF EAGAN ~
3830 PILOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
D,TE ,9
i1bM
AMOUNT S
8 DOILARS
~ ow
O CASH ~ CHECK
.I? 1/, ~ ~ - //~/j ~ . ` 1 ~
J;
~
,
J r
7
FUND 08JECT AMOl1NT
Thank You ~
! BY
C 15355 Ysk--4los6V~ ~
~ ?fnk-FYa copy
~ lQGL'TIVAII! RR FMOXMr09! 18TO2 ' : _ r..;a~_ " r
' =wT FImum-78i-67A5
~ -
~~e~r#t~tx~t~e uf (~rr~t~r~nx~
- titp of eagan
Wprwrhnrtd af luild'mg iWPrti.mi
nw czn*caze cmwt pur.=w aOw nV&&maw of secdon 306 ofdw vmfo,a au;rfing
code crdlyft rlrar m rhe bn,e vf &ua,rae Aissoucrune wrs in c+ovnplianue with rhe mROUs
arfiiranas of t1u Co negulaft buadin8 oonsuuadoa or uu For (he following.
ue a.nsmoa. n.r_ ir+Ao ewi. Pbm.i rto. 1966~-
OWM.K7T~Pt F_:{.c+ l 7oling Dikia R 1 Tjpe Gnmt ~
Ov.Q d Bul~
ad,5mAddm ioc&i L! I.rBZ , WDUM M
11i2vn 1
Bomigg -
POST pV A`CONSPJCUOUS PLJICE
> .
' - - - -'--'~-"'"a[ - J-'---
01018/Fr io3s s60*~
p 64125 81- 00
Repuest Oate Rre No Pough-in Inspeclion
O PeQwretl> ? Featly Now 7~YSIrNOtdy Inspector
H s [ No V/hen Reatly~
= licensed coniractor ? owner hereby request inspeciwn of above elecirical work at
Joo Aotlress (SVeeL Bo, or Route No I~ Ciry
SecUOn No Townsho Name or No Range No. Count
Occu aniIPRINT , &,t~,e No
~
ower ~p ier / Atlaress
a
5~~~
Elennca onvattor IGampany Namel ~ Conlract irense Na J~
~ S
Mahnq Aotlre55 Gomractor or pwner Making Installation)
AVIM1OrReO Si .aW,e IC~-dd4inq In5la.lalion) PM1On Jum~ ~
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Gtlqgs-MiOway Bltlg. - Room 5493 BE AGCEPTED BY THE STATE BOARp
1801 Unrverslty Ave. 51. Paul MN 55100 UNLESS P0.0PEF INSPEQION FEE IS
Phone(611) 642-OB00 ENGLOS[D
~0~~/C/ ? REQUESTFOR ELECTRICAL INSPECTION EB-00001~-O`B
7 See inSVUUions ltr compleling ihis form on back oi yellow copy •T 4i' /Q3s7 n~
y
I F;41 25_ "X" Below Work Covered 6y This Request ~o1v~
ew Add Rep TypeolBwlding AppliancesWiretl EquipmeniWued
Home Range Temporary Service
Dupiex Water Heater Electnc Heating
Apt Bmlding Dryer Other (Specdy)
Comm llndusirial Fumace
Farm Air Conditioner
O:hereyeotyl Gonvactors Remarks
Compute Inspection Fee Belaw:
a Other Fee u Service Entrance Size Fee , # Qrcmis'Feetlers Fee
Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ nmps
Signs Inspector'sUSeOnly.? L 16-0
Irrigatwn Booms TA ,
Special Inspection
larmrCommunicanon THIS INSTALLATION MAY BE ORDERE CONNECTED
IF NOT
T
ther Fee COMPLETED WITHIN 18 THS ~ (
I, the Electrical Inspecror, hereby Rough-in oaiee_~
certify that the above inspection has F,nai
been made. e _(iJitn7 ( ~
OfFICE USE ONLY
This reQUes: wiC 18 mon;FS trom
'DATE: SEP 16, 1991
• RE: 3746 NINDTREE DR (MONTGOt4ERY DESIGN & BUILD)
X Your Sewer & Water Permit for the above property has been completed. It will be held at the
Publi~ Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL'PUBLIC WORKS (454-5220) FOR VOUR PERMANENT WATER TURN ON.
_'AVour Sewer & Water Permit for the above property cannot 6e completed for the following
reasons:
_ Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept. ~
CITY OF EAGAN N~ 19663
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT I • F'riONE: 454-8100 Receipt u C I:a '3~
~
Tobeusedfor SF DWG/GAR Est.value $114,000 Date SEP 11
. is 91
SiteAddress 3746 WINDTREE DR
lot 11 Block Z Sec/Sub. WINDTREE STH OFFICE USE ONLV
Parcel No. occupancy R-3 -H-1 FEES
Zonmg R_1
w Name MONTGOMERY DESIGN & BUILD (AC1uapConst y-`I BItlg.Permil 689.00
0 AddrBSS 11350 ALBAVAR PATH (Allowable) V=N Surcharge 57_00
City INVER GROVE Phone 457-4075 kolStodes
Lengih 77' PianRewaw 448.00
fo Name S~ oepin ~
~ SAQ Cny 100_0
n
g¢ Address S.F. Total - SAC. MCWCC 650.00
` City Phone S F. Foolprints _
o
. OnSteSewage _ WaierConn 660.0
ww Name
ti On Stte Wen Waier Meter 95.00
Qz Address rnwccsysiem X
<w City Phone cirywater x_ Acci oeposn 30_00
PRV Required _ ShV Permit 30.00
I hereby acknowlege that I have read Ihis application and state thal ihe eooster Pump - SiW Surcnarge - Sn
information is correcl and agree to comply with all applicable Slate of
Minnesota Statutes and C y of Eaga Orqinances / 7reatmeM PI 976_ nn
SignaWre ol Permitea AVPROVALS
~ Road Unii 3 70 _ nn
A Builtling Permit is issued to: p Planner - park Ded
on tha ezpress condition that all work shall be done in a c ance with all Council
apphcable S[ate ol Minnesota StaWteIs andyC~iry of Eagan rdinances. Bldg. Ofl. Copies
Bmlding 011icial ~ D~~A. 1 y 11 Id Vanance - 70TA1 3, 405. SO
.•.AdBress: 3746 WIPIl7IREE D?2IVE Lot I I Blk Z Sec/Sub WINpTREE gTH ,
These items were/were not complete at the time of the final inspection.
11/27/91 Yes No
Final grade (6" from siding)
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway v/
Permanent gas ?
Sod/seeded grass ~
Trail/curb damage
Porch 7.~
Basement finish ~
Deck
Please veri£y with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lavn faucet before
freeze potential exists. 07-
n~aiEOnn~
White - City copy Yellow - Resident copy Pink - Contractor copy
1991 BUI~~ PERlI~LICATION .
CITY OF EAGAN
SING:.E FAMILY DWELLINGS MULTIPLE DWELLINGS COlMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 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 iiHEN: 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 ADDAESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation: ~ Date: -
Site Address OFFICE USE ONLY
Lot Block ~
" FEES
Occupancy R-3 M-I Bldg. Permit GS 9,00
Zoning Q-( Surcharge S`J,Oo
Parcel/Sub Actual Const V-N Plan Review 4 N 8,00
, Allowable V-N SAC, City 00 i 00
Owne= # of stories SAC, MWCC b SO,oo
~ Length 71 ~ Water Conn. 6('0,00
Address Depth 31 Water Meter 95~00
S.F. Total Acct. Deposit 30,Oo
City/Zip Code Footprint S.F. 5/w Permit 3o,pp
S/W Surcharge 15'b
Phone On site sewage_ Treatment P1. 96 bo
site well Road Unit r)a,oo
Contractor CC System ? Park Ded.
~y City water ? Trail Ded.
Address ~~J~ PRV _ Copies
Booste
City/Zip Code J r Pump
_ SUBTOTAL
APPROVALS Penalty
Phone ~7SPlanner _ Lot Change
Council TOTAL q 4~~
Arch./Engr. Bldg. Off. S-//- /D$ '
Variance
Address
City/Zip Code
Phone #
Sewer/Water icensed Contr.~Q(J,~
agrees that all work shall be done in accordance with
(Si nature of all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA U~f ~ ~ .
GARA~E' v
~~I1~t3~ SSZX/S= $Z~p
3SMT, ~
Zyk31~ `14k4
Zsx2-7_ GT5
12 x 3 = 3G
4/xL3= .92 -
~
~SU X
l4 = Z16S8
~S T F~o0y(l
35 M"r g(JI
2K12 ~ Zy
~ ?Sg~~ 53 % g38'44.
1!3 o?'~ IIK,ovo,
f
gaRVEYQRYS,`1.r.ERTIFIGATE MONTGOMERY DESiGN dBUILD
YiXCH MApK
TOr OF flpE
( LLLVJ90L.TD
\ ~
~ b
a° 146.94 N88°36b0"E
$ 30 3102 - L~
:9.0 9.90•:
t ti I to o} ~ 23,0 . m ~ 10 1
T ~ q~ d I ~J
s ~ -
Cli
4A
~ - ~ s
l+) f i o ti `
z
~ ~
a aRs ~l
F
~ A
d a 30 a ( 1
$ ri q; !p p-~ N ~
1 x ~ 3 31.0 w . Q1~ M
~
30 N n ~._I ~I0.58
CW7~j p (!l
~ 33.~ Cd
3418 c~ T
o[NCN MARK m
# q ~6 - ~ ~a N
I ev.ooeas g ~ 7 ~ 1 r
~ M ~ N~~OS~,~j If ~ ' L 1
s vv
~
W
! t:T
1 -
s``
~~E
By
Date
£AGAN EIVGIN~EERI~j~ D~uT
NOTE: 8U101NG DIMF?I$IOkS SHqMN ARE FDR lpRIZONTAL NOTE; li0 SPECFIC SOILS INVFSTGATION NAS BEEN CIXAPLETED
B VfRTICAL LOCATION OF STRUCTURE ONLY. 5@E ON THIS W7 BY TML SURI~EYOIt. TFE SUI7MILI7Y OF
ARpiITEC7UAL PLANS FGR BUI~qHG 8 FOUNOA7ICN gOILS TO SUPfORT THE SPECIFIC NOU9E PIbP09E0 IS
NO7 THE RESPONSIINLITY OF THE SuAVEYOR
~~g~~~
bENOTES PROPOSED SURFACE DRAINAGE .
~
Q DENOTES IRON MONUMENT SET SCALFz: 1 INCH - 30 FEET
~ DENOTES IRON MQNUMEMT FOUNb PROPOSED GARAGE FLQOR FEET
X000.0 DENOTfS EXISTING ELEVATION PROP05ED LOWEST FLOOR - BqV.[p FEET
(000.0) DENO7ES PROPC75E0 ELEVATION PROPOSED TOP OF BLOCK ~ 204,7 FEET
WE HEREBY CER7IFY TO MONTGOMERY DESIGN 5 E3UILD THAT THIS IS A 7RUE ANU CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot II , Block 2, YAIJDIREE BTN AUDITION, aopordiny to ihe rfCOrded plat thereot,
Ookota Cpunty, Minnaafa
fT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 4TN DAY OF SEPTEMBER, 1991.
°PROMSED OWFS 9HDVM*XW SIGNED M R. HfLL, INC. ~
r~uRNrratPRO fl! T~ ~~aar~ia~
wwql~ ~r ~ w~l~lt e g ~
AsAOC. INC. LAST C~T'!0 4 7-Q1'.
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19628
"~o~`o ~ rT~W ncn a
_A~ W~ James R. Hill, inc.
m *
0 *1 Z y 50 0 m 7C
o t ~
PLANNERS I ENGINEERS I SURVEYORS
0 N ~ z 11 ~ c~ z ~ {
O m
2500 W. CTY. Rb. 42 * eURNSVILLE, MN, 65337 9 612-890-6044
EXTERIOR ENVELOPE AVERACE "U" COMPUTATION
MONTCOMERY DESICN & BUILD CO
'11350 ALBAVAR PATH -
ICii, MN 55075
457-4075 CUSTOM 4 LEVEL
DORN AREA U X AREA
REQUIRED
1. TOTAL WALL AREA 2130 .11 241
2. ROOF AREA 1470 .026 38
ACHIEVED
A iPINDOW AREA 178 .33 59
B DOOR AREA 40 .13 5
C SLIDINC CLASS AREA 80 .65 52
D FIREPLACE AREA 24 .2 5
E WALL FRAME AREA 213 .095 21
F NET WALL AREA 1649 .038 63
C RIM JOIST AREA 116 .0436 5
H FOUND WINDOW AREA 0 .5 0
I FOUND ABOVE CRADE 58 .068 4
3. TOTAL WALL AREA 213
J SI{YLITE .5 0
K ROOF FRAME 147 .032 5
L, NET ftOOF AREA 1323 .0227 30
4. TOTAL ROOF AREA 35
SUM OF 1.+2. 27
SUM OF 3.+4.
t
~
t++ 10~"7~ CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
` EAGAN, MN 55122 PERMIT it
PHONE: (612) 454-8100 RECEIPT #
MECHANICAI,:~PE(thlIfi DATE: 7~TSl9i
WTDENTIAI.:: PLEASE COMPLETE UPPER PORTZON ONLY FOR SINGLE FAMILY DWELLINGS &
. .
TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WOR.K DESCRIPTION FEES
NEW CONST _X_ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL SO M ETU 6.00
GAS OUTLETS - MINIMUM 3.00
~ OF 1 PER PERMIT
OWNER NAME: ~I~l~YllOfl ;
1 I.C/~ ~i(lYl SUBTOTAL:
SITE ADDRESS: ~~-I~-I~n ~Y~: STATE SURCHARGE: .50
LOT: BLOCK oZ SUBD.~.t~/~ O~ TOTAL: $zon.~D
INSTALLER: FLARE HTri_ 8i A/Cp IN(!y
9303 Plymouth Ava No.
ADDRESS: Gold.,..naMN. `7 ~SIGNATURE O~PERMI TEE
r
CITY: ' ZIP:
PHONE 3t: ,~70c"II~L~
C0MMERCIAL/1NDIISTR3AL,'; PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
. _
APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMZTS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EA-11I $1,000 OF °ERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 16 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
" 3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEZPT # O
PLUHSZNG PERHIT DATE: U /S 9
ItESrD$NTIAL; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 ~l_
REPAIR WATER CLOSET 3.00 t._
~ BATH TUB 3.00 '3_
~ LAVATORY 3.00 L.
OWNER NAME: mc3 J~' azb I KITCHEN SINK 3.00 71
~ f LAUNDRY TRAY 3.00 Z
SITE ADDRESS: ~-I`1 > x~."~cl ~n., i ~n- HOT TUB/SPA 3.00
WATER HEATER 3.00
LOT:~ BLOCK ~ SUBD. L.i_). ~cI ln. Y t~ ~ FLOOR DRAIN 3.00 .j
~ GAS PIPING OUT.
INSTALLER: i ~ e. t (MINIMi7M - 1) 3.00 1
-~o- ~ ROUGH OPENINGS 1.50 ~1•i~
ADDRESS: lo~i> C<ti.~~ L- _ OTHER
WATER SOFTENER 5.00
CITY: ZIP: 3> PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~-I Ck~
SUBTOTAL $ r~„~_,{;~,L ST. SURCHARGE .50
S ATURE CFF PERMITTEE d o.~
TOTAL: $
3 S
COMMERGIALfiNDLJSTRIALY PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY SUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1$ $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
, PERMIT N 19(o(o3 CITY OF EAGAN R&X~l t42" IL"'°"
REKTIYATE ? 1992 BUILDING PERMIT. APPLICATION
. , 681-0675 i t~;v, 1~ RECo
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I capy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Zo rJ / ) / 92 Yaluation of work 800
Site Address: 374(0 WriAy-e- L,e
STREET SUIiE k
Tena t Name: (commercial only)
toT si.ocx Z susn. HrIVD77ZL~ p,i,p. *
iT/o~cl
. ~~scr~-c~o„ o~ B y
work: b E e(c 0_oo-4s7120c7-lv
The applicant is: Owner ? Contractor ? Other (Deacr(be)
Name FZ 1e-L P h o n e 1_S2_ -U739
Property LAsr FiRST (QS'7' (v58c{
vvlli'iei Address 37¢~ ~Nb ~2k~ ~12STREET STE N
c;ty state I`j'IN ZiP SS/Z3
Company Phone
COntfBCtOF Address License # Exp.
City State Zip
Architect/ Company Phone
Engtneer Name Registration #
Address
City State Zip
Sewer 8 water licensed plumber Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicabl State f Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
~
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish!
? 02 SF Owg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. fl615 Deck ? 20 Public facility
? 21 Miscellaneous
WORK TYPE
~L31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) ]st F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning 2--*? Sq. Ft. total Booster Pum
.u _c r~,,,.-,t~ Cco nrin4 C F4
n u. ~~v~ , Fjrp cnrink PY
Len th r 9 izxz~i On-site well Census Code
Depth itn~c On-site sewage SAC Lode
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site E2(- Footing ? Framing ? Insulation
? Wallboard IQ' Final ? Draintile ? Fireplace
Permit Fee v,imt;,,,: g
Surcharge Plan Review
License
MWCC SAC
City SAC
Water Conn.
Mater Meter .
Acct. Deposit
S/W Permit
S/w Surcharge "
7reatment P1.
Road Unit
Park Ded.
Trails Ded. Copies
Other
Total:
SAC % SAC Units •
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OF STR~XTURE ONlY, $EE NOTE:
t r.RC>il?£C~Uq;, ,~,~S ~BUI`p~ Q FU~~71Lyy ON ~~~~C SOII~ INVFST~ATIDN 11H;
Oltrw~'S,C%h'S. THIS LU7 6Y THL SURVEYOfi. TF£
C'CNCTES PRO°USEG SUAFACE DRAINAGE sotLs To SUpIORT THE 9PExIFtC iMs
NU7 THF RESPONSIOILITY OF THE Su
J oDENOrES iRov MoNuMENr sE-r •
~ 0 DENOTES IRUN MpNUMENT =pLNU SCALE Y INCH -
I ~~0'~~1 'ENpTFS Eii;STINU ELLVqiIpN ~~~~P~SED GARAGE FLOOR -
uEiJO'!"E:3 Pf=Cp;> PkONOSED LOWEST FLOQR -
; SEG ELEVATiGN PRpppyED TOP OF BLOCK
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! f~5(i„ .'-0;\iGR`( 1,\,F_31GN 'ra E3UILD TI-IAT THlfi IS A 7RUE ANL7 CORRE
Siif"VEl' 0;= ?i-iE HOUNDARIES OF,
i ~or i! , c;cc?~ 2,
GCOOrdlrg t0 ihe recotded plat 1hereof,
~ i; PL:•RpOR? 10 Sf i0\A; IMPROVEMENTS OR ENCHGACHMENTS, EXCEP7 AS SHOl
OR
T;>Ur'EHVISION T-IIS er'TN DAY OF 5EP7EMBER, 1!
iYl C HI
LL, INC. -
.
ttM1 ~ Li~ Wt:~
f JOHN C. LARSON, LAND SUR'dEYOR
tAINNE501"A LICENSG NUMBER 19828
I u:l' ~ lN vi I I+ r~- .
v = i ~ ~ ~ 1
~-,I.;,, ja1-ries R. Hil1 ir~c
IS~ '
6 " ~ ' { ~'l-ANNERS / ENGINEERS / SUF
2500 W. CT`(. AU. qp e BURNSVILLE, MN. 55337 <
,
PERMIT # ~13- CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
"14 U4~£- 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 3 / / Valuation of work
Site Location: ~-7`~6 w i'J
STREET \ STE /
Tenant Name: 1, c- V,
LOT I BIOCK SUBD. P.I.D. FT-] M
Descri tion of work: ~ r 14 c
The applicant is: ? Owner Contractor ? Other (Descr(be)
Name Phone
Property LAST FIRST
Owner pddress
STREET STE M
City State Zip
Company -S'0 Mnn i T Phone -7<P4(- C. z o&-
Contractor Address 16 /S g 3? License #ooaD3`r3c.~xP,
City State z;P SS 3~/3
Archttect/ Company Phone
Englneer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have r ' a plication and state that the information is
correct and agree to comply with all applica State of Minnesota Statutes and City of
Eagan Ordinances.
[!ignature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation O 06 Garage/Accessory O 11 Res. Add./Porch 0 16 Agricultural
? 02 SF Dwg. ? 07 Fireplace ? 12 Cortm./Ind. New ? 17 Building Move
? 03 Two family ? 08 Deck O 13 Comm./Ind. Add ? 18 Demolition
O 04 Multi-fam. T.H. ? 09 Basement Finish O 14 Comm./Ind. Rem. O 20 Miscellaneous
? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac.
WORK TYPE
? 31 New O 34 Remodel ? 37 Move
? 32 Addition ? 35 Repair ? 38 Demolish
? 33 Alterations ? 36 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy Basement sq. ft. MWCL System
Zoning lst F1. sq. ft. City Water
Const. (Actual) 2nd F1. sq. ft. PRV Required
(Allowable) Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing ? Framing O Insulation
? Wallboard ? Final ? Draintile '~Fireplace
Permit Fee v.iuac;a,: s
Surcharge Plan Review
license
MWCC SAC
Lity SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units