3750 Windtree Dr " ~ . . 1 . .
CITY OF EAGAN - ~
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~
BUILDfNG PERMIT PHONE: 454-8100 ~
j Receipt #
To be us d'for S!' DfiiOjGAR Est. value $129,000 Date .N!- 2% , 19QL_
Site Address 3730 YiN[ri'QER DQ
Lot -10--_ Block 2- SeciSub. vifrm~er_ a'nl OFFICE USE ONLY
- F
Parcel No. occupancy No.3 A.1 FEES
zoning ][--l
W Name ~M~~Ol~EQY DY.SIGN faduaq~nst 1=9 eidg.Pernm T41.00
~ Address 11330 ALIwV" PwtN (,vwwable) yrJ11 City hone iS7-~?OTS y ol Stories s~rcharge 61?~ SO
Length ~ Plan Review _"2.OW
Z~ Name A~ oW+ Zd~ snc, Ciry lAe_m
Address S.F. Tolal _
0
-City Phone S.F. Footprints _ ~C, Mcwcc bSe_m
On Site Sewage water Conn 660-m
~ W Name on site wen 9S.Od
~ u, ~ water Meler
~ = Address Mwcc Sys~m
City Phone caywater Accl'°epO81t 30•~
PRV Required _ SNV Permit 30•00
I hereby acknowlege Ihat I have read this application and state that the Booster Pump - S/yy Surcharge _.50
information is correct artd agree to comply with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances. Treamwnt PI Z76.00
~
Signafure of Permitee APPROVALS Road Unil j7Q+~
A Building Permil is issued to: MONTOOMM DUIG1 Pla""B1 - park ped.
on the express condition that all work shall be done in accordance with all Councfl ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry, _ Copies
9•499•0p
Building OHicial Variance Tora.
` P6111H No. Pannil Hoider Oo/e TMkphw» A~
I w~TER Z -7196/
I SEWER
~ PLuMBING
H.vAC.
ELEMIC
,,,OP"g„ o.ft conu,,."
FooWVs i
Famaali«, - 2- 9
F?ammg
~ing
Rough PN)g_
Rough Ht9.
FKeplace
Fina1 Htg. /O
Of5t8t TeSt a a
F,.al Plbg. d , - Nai umber •
Const. Meter
Enpr./P1an •
Bldy. Final
Dedc Ftq.
Dedc Final
Well
Pr. Disp-
L-
-17
SEWER & WATER PERMIT ~i OFFIC USE ONLY
CITY OF EAGAN METER (0q # . PERMIT DATE O 7/26/ 91 I
3830 Pilat Knob Rd.
Eagan, MN 55122-1897 ~!P ~ 3 PERMfT # 12182
~t~41E?ERSIZE g B.P. RECEIPT # LeAP
ISSUE DATE -~Q • B.P. RECEIPT DATE 07 26 91
DATE .K1L 25. 14~ 1 T
- PRV _ BOOSTER PUMP
, 5ITE ADDRESS 3750 wIhDTRBE DK PERMIT REQUESTED
LOT 1O BLOCK 2 SEC/SUB WINDTREE 8TIi
X SEWER x WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/INp x RESIDENTIAL
T
CITY, STATE ZIP x NEW ~ EXISTING
PHONE: %
NEU PLUMBING 1 Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 991 IiOSTON HILL Kll Credit WILL NOT be given for Deduct Meters.
CITY, STATE EAGAN :~Iti Zip _ 55123 -
PHONE: 688--9104 a
F
` I AGREE TO COMPLY WITH C1TY OF
OWNER: MONTGOHERY DESIGN EAGAN ORDINANCES
ADDRESS: 11350 ALSAVAR PATH
~
CITY, STATE INVER GROVE HTS MN ZIp 55075 Affl'm
PHONE: 457-4075 _ SIGNATURE EN METER ISSUED
1~ . . is. .L(_,i~~~~ i' - - ; /
PLF~1$E ALLOW TWO ~WORKING DAYS FOR PROCESSING. CALL d545220 FOR PECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. .
. . _Y ,9.. Y:.d..,:~....._ _
SEV~EER 8WATER PERMIT OFFICE USE ONLr ~
_ CITY OF EAGAN METER # PERMIT DATE 07r'[ 5/91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP ~ PERMIT #
, ' . METER SIZE B.P. RECEIPT #
~i ISSUE DATE B.P. RECEIPT DATE J7J2E/91
DATE F,fiUl. 25, 1991 ;
PRV _ BOOSTER PUMP i
SITE ADDRESS ~ ~'`C ~jTt~l`:TFEL u={ PERMIT REQUESTED ;
LQT tC BLOCK 2 SEC/SUB ?'%?`rD"'F1t; BT;i
x SEWER WATER - TAPS
APPLICANT:
ADDRESS: - COMM/IND RESIDENTIAL ~
CITY, STATE ZIP NEW _ EXISTING PHONE:
. Lawn Sprinkler Meters are to be Installed '
PLUMBER: ~EU P1ANRI NG Ahead of Domestic Meters on Water Line. ~
ADDRESS: V-1 BOSTON HILL RD Credit WILL NOT he given for Deduct Meters_ i
CITY, STATE FAGAN ?:N ZIP 5 S i23 ,
PHONE: :i~ti~91C34'? ~ "1 : ? ' , ' ` ~
I AGREE TO COMPLY WITH CITY OF
`,0+:TG014ERY DESIGN EAGAN ORDINANCES
OWNER:
ADDRESS: 11350 ALBAVAR PATTi
CITY, STATE T!!`~VVER GR(1VE 3iTS E!V ZIP 55075
PHONE: 4,'~'-4075 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
~ a?re -7 ,o~
, • •
iw?ounrr , -
~
a oa.uas '
O CASH CHECK ' I
I
POPP
. `
- - I t •
FUND OBJECT AMOUNT
Thank You
sY 'if L
: C 14674
r T
~
,
r Oler#i#ira#e of Orru~anro "
titp of Cagan
19PPwftte11# of s1taTtU3 jwP1'1tOY[
This Certificate issued pursuant to the requirements of Section 306 of the Unifor?n Building
Code certijying that at the time of rssuance this structure wYCS in compliance witk the various
ordinances of the Cuy regulating building construction or use. For the foUowing.•
uk ca.mfic,doo SF Q+1G/GAR lgeg. ttnu;c No. 19488
O-Unar'?Yve - R3/M1 zoo;ng aoia R! T~Pc CorA qN
o,Y„~ ofBum,,eMownum DESIN Addrm 11350 ALBAVAR PA1H. IlNVFlt (PMB HEICFUS
nL 10.B2.s _
; . mte: 1013 1 /q I .
Bwlding`
POST IN A CONSPICUOUS PLACE
• + " DATE: JUL 26, 1991
6'O' C? ~ I
3750 WINDTREE DR (*ONTGOMEBY DESIGIi) I
RE: '
x Your Sewer & Water Permit for the above property has been completed. It will be held at the I
' Pub4c Worlcs Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
C1#0l PU641C WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
6our Sewer & Water Permit for the above property cannot be completed for the following
reasons: I
II
Your Sewer 8 Water Permit for the above property has been completed, but the meter cannot I
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.
~
Request Date Fve No Roogh-in InspecUOn
/ Re ~{etl' ? R¢0tly Nowl wul NoOfy Inspecta,
~Yes [ No When Reatly'+
~censed contractor ~ owner hereby request inspection of above electncal work at:
Job Atlcress (SVeet 8ox or Route No I Cily
~ ~ v
Sec~ion No Towns~ip Name or No Range No Cou •
OccupantlPRINT, Phone No
z~IDr!'J~2~f c5/
Power Suoplier Atlarass ~
lect I Cori iGOmpany Name) Conlrectors Licensa No
g Atltlress ICOnVac;or or Owner Makmg Installation,
~ a~7& 7,6-
IAUtaoni Si naWreiConlracip~'OwnerM n9 Inslalla0 Phpn umber
~~~n~ ,~~l
MINNESOTA STATE BOAflD OF ELECTRICITY ~ THIS INSPECTION REOUEST WILL NOT -
Griggs-Miaway Bltlg - qoom S-173 - BE ACGEPTED BV THE STNTE BOARD •
18I1 Umversny Ave St Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Ppone (612) 661-p800 ENCLOSED
c REQUEST FOR ELECTRICAL lNSPECTION ee-aaom-oa I
? See mslmcUans :or complenng :M1is brm on beck al yellow copy
143909 "X" Below Work Covered by This Request ~~~4T
Ngli, Add Rep TypeoiBwltlmg _Appli~rCesWiretl EqmpmentWiretl
- Fome Range Temporary Service
Duplex Water Heater Elecinc Heatmg
Apt eutlding Dryer Other (Speaty)
Comm /Intlusirial Furnace
Farm Air Condmoner
Otherlsyecrfyl ConVaotor5 Re,marks
Compute Inspecnon Fee Below
x Olher Fee # SernceEMrsanceSize Fee # CrtcuitsiFeeders Fee
Swimming Pool 0 to 200 Amp 0 to 100 nmps
Transformers Above 200 Amps Above 100 _ Amps
Si(Jn5 Inspeclor's Use Only TOTAL SO
Irnganon eooms ~Q •
SpeCial InSpection
AlarmiCommunication THIS INSTALLATION MAV BE ORDE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, ihe Electrical Inspector, here6y Ro.qn,,, D.I. ~
•
certrfy that Ihe above inspection has Finai
been made
OFFICE USE ONLV ~
Thrs request wia t9 months Iram
CITY OF EAGAN N~ 19488
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
/
BUILDING PERMIT PHONE:454-8700 Receipt # I ~ / . y/l0
7obeusedfor SF DWG/GAR Est.Value $129,000 Date JUL 25 , 1991
SiteAddress 3750 WINDTREE DR
LOt 10 BIOCk 2 SeC/Sub. WINDTREE $TH OFFICE USE ONLY
Parcel No. occuvancy R-3 li-1 FEES
Zoning R=1
w Name MONTGOMERY DESIGN fAC1ua4 Const V=N eidg aermit 741.00
; Address 11350 ALBAVAR PATH jpnowable) V-N
° Cj(y INVER GROVE HTSphone 457-4075 solStones Surcharge 64_50
n
Length 581 Plan Review 492n
~o Name SAME Depth 28~ snc.cny 100.On
gF Address S.F.TOtal - SAC.MCWCC 650_00
CIIy PhOf18 S.F. Footprinis -
~ On Ste Sewage _ H'aler Conn 660- (1f1
gw Name onsneweii 95.00
~w X WaterMetei
s~ Addf@SS MWCCSsIam
¢i Y AccL Deposit 30.00
aw City Phone c,rywacef X
PRVRequired _ SIWPermil
I hereby acknowlege that I have read this application and state ihat ihe Booster Pump - S/W Surcharge 50
informaLOn is correct and agrea to comply with all applicable State of
Minnesota SlaWtes antl ~C%~i~t,y/ of Eag.a,n/OJrdi es. 7rea[ment PI 27f1.00
SignaWre ol Permilee - l~.l'n ;L IA 02!~ APPROYALS Road Unit 370.00
A Building Permtl is issued to: MONTGOMERY DESIGN Planner - park Ded
on the express condition ihat all work shall be done in accordance with ali Council
applicable State of Mmnesota StatNJes and Guty ot Eagan Ortlinances. Bltlg. Off Copies
Building Official -.Uf/N14/A I rnL Vanance - 7OTqL 3, 499, Un
Address: 3750 ~l,jp~~~ D~~ Lot ]p Blk 2 Sec/Sub[~rI[]p~~ g~
These items were/were not complete at the time of the final inspection.
10/31/91 Yes No
•Fina1 grade (6" from siding) ?
Permanent steps - garage i'
Permanent steps - main entry
Permanent driveway ~
Permanent gas
Sod/seeded grass ~
Trail/curb damage
Porch
Basement finish ~
Deck
Please verify vith the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
£reeze potential exists. 0~1
nECFI[ONRP
White - City copy Yellow - Resident copy Pink - Contractor copy
r ' 1991 BUILDINqTIPATION
CITY OF EAGAN
SINGLE FAMILY DFTELLINGS MJLTIPLE DWELLINGS CO?IIiERCZAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 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 IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. N0 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: g4-' ' Valuation: ~ Date:
~T
Site Address OFFICE USE ONLY
~2q,ODJ~'
Lot ~ Block Z FEES
Occupancy Bldg. Permit r74I-0J
Zoning j2-1 Surcharge (~y,
Parcel/Sub Actual Const V-N Plan Review '4t3Z.00
Allowable V- N SAC, City 00,10,0
Owner -t)-QPC.aVVnC,`- # of stories SAC, MWCC NO
Length 5 S, Water Conn. 460,00
Address Depth z pl Water Meter Ci ,OJ
S.F. Total Acct. Deposit 30,00
City/Zip Code Footprint S.F. S/w Permit 30,00
S/W Surcharge ,$O
Phone On site sewage_ Treatment P1. 2r)6,0
e On site well Road Unit D,oo
Contractor MWCC System _Z Park Ded.
l 1l~1n 1LCity water Trail Ded.
Address 1~sU - L~~`y R^ ~/~l T~ PRV _ Copies
Booster Pump
City/Zip Code~y{yLt.r~O~ S~U-I SUBTOTAL
~ ~ APPROVAI.S Yenalty
Phone Planner _ Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. S 7 Z5-9/
Variance
Address
City/Zip Code
Phone #
grees that all work shall be done in accordance with
(Signat e of Contrac~.o-r)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
.
' VA
,
.
GArta~~
2 2~c
FIbkSC
-Zt h36 y~DO~ X ~2a, 12VC~Gc
/28~220 on 12~,aoo~
P d 741'+
64•5+
482•+
z,211•5+
3,[F99•~
SURVEYQR'S CERTIFIC,ATE MONTGOMERY DESIGN & BUILD
L7
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so a- 160,74 N78024'23"W
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eos 3 ~ S".~ i I)
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w I wI ti
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M ° W W
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~ %C: 4-
.o/ 41E AO ~ A N(0 ~ti Z ~
W ~ - - .
o ~ N
~ o'I NN ~ REVI-EWED Q±
I N
~ 22.0
~
~ ~a vm. ~ BY
r~
~ r`
tO ~
07.4 901,2 YOE.B n 9093 1
907.9 Y1
9p ~ 30.00 _ - 28.00 _ .
182.38 N 78'2423"w
M
- ~l-,°,' i # ``f'.b~._ ~ " i r.( '
EXIST OOUSE _
D
EAGA]iT ERIGI:nTEERIILTG DEPT
NOT[! NO 9PE~c~IC So4,3 irryESTqAT10N I4A3 BEEN CpnrLETEp NOTE: DUiLDIfq OMAiMOMS tHOYYH ARE
ON THIg WT BY7NE ltMYEYOR. TIE SUITMtLfTY OF
Spls TO 9UPfORT T1!! froCfFlG FrovsE rnoroxo 15 ~Q~ f&w
~
H07 T11E IK111/ON3I1PI.fTY 0f 7HE lURYEYOR p"
ra»aa+?~~7 ~p1 Kplp
e ~ oaiwawn.
F DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FUUND PRUPOSED GARAqt FLUOR - 4u&3 FEET
X000.0 DENOTES PX15TING EIEVATION PROPqSEG LOWEST FLOOFi - Qas.i FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED rOP O,F BLOCK -901,7 FEET
WE HEREDY CERTIFY TO MONTGbMCRY UESIC?V p BUILD THAT THIS IS A TRUE AND CORHECT
REPAESEN7ATION OF A SURVEY OF THE BOUNOARIES OF:
Lot 108bck2, WINDT'REE 8'T'H ADbITION, occordlnq to ihe reaorded plbT thaeol,
pakota County, Mlnneaolo.
IT f?OES NOT PURPORT TO SHOVd INPRGVEMFNI'S OR ENCRpACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEU E3Y ME pf{ UNDER MY DIRECT SUPERVISION THIS 19T H DAY QF JUL.Y
PROFO G 7 5 S~no~NNp WERB SIGNu: J R. HILL, INC.
7~ 8 ~ftl^~ON9 ~ cp
aSSOC„ iNC. LASr OATEb 4•7-87 BY -
' JOHN C. LARSdN, LAtVD SURVEYOR
MINNESOTA LICFNSE NUMBER 18628
0 a) o James R. Hill, inc.
_ r- ni a m
o~`' ' D m x Z PLANNERS I ENGINEERS I SURVEYORS
T Z C, z_ m
O m Cl) {
„ - ' 2500 W. CTY pD. 42 • BURNSVILLE, MN. 55337 a 612•880•6044
~
:
~
c-.:TE^I;J^ EI`I':ELO;'.=. nV<<.,RG,t:E 'U' .=1:JMPUmATTOf!
{I I r•,~.1
~ M_~:S:'', r ~~cc _ u F.,~f~11_,
`uiii,U
3772 RiDGEbJO']C' I:I;S'l!_
EAGAhI. i°Ir! 1512:
,.-vt-9",:0 C;I!IGGI_P01'1
6dITTE r'lREA U r`;REr':
f'EQUI1;;=L
1. T"C1TAL 6J„LL ;=,RL,ti 2008 .11
RGOF Ftl'tEP. lons _i}_c _t.
;',CNIL`/L"D
„ Wli;Gu4J fREi,'~ :2302 _z.., ~
B DOUIt F9PCn 90 ...i
c sL:Dr;aG :i_;;s2 ^,RK, s_ 05 .,v
D Fir.EPi_F,cE Ar;Er; _ . .2
E bJALL FfuaME AR,=A 206_1 ~ Wc
Er ~ ~.r~, ,i_i -
i~ P; Hr~.E., iu,,.~."s
~
^IM ,)OIST ARE: , , n .043o 5
H FuUiVC; 1J7Hi;C;v4 F,F';_„ Q .5 U
I FOUi'ID 9BG`;L ;;f;,,D:= ' .C~~s 11
3. TDTAL WAI_L mf:EFI 19^
J Sr.'YLITE .5 G
h ROUF FRAME lUO.f .0i2 ~
I_ rlE7 I;uCF AR"=; 902.2 .0227 _cl
4. TOTAL (;OCtF Rf:E:':
;UM Of- l.0. ~
;UI'7 GF ; . +q .
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # U~1-~
~I~GBANICAI:,PERMiT. DATE: `y9 9
RESIDENTTAL': PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWEL
. .
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ~ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OWNER NAME: /0 D/JfiC10h'JEl-v ~J OF 1 PER PERMIT O
~CS~~ -?.7
SUBTOTAL:
SITE ADDRESS: ~7`i0 wl?Id fil'i°G Q/'ri/'e STATE SURCHARGE: .50
LOT:-,LO- BLOCK oZ SUBP. 8't~ T_(1TAL: $~u O
INSTALLER: FLnRE }{IG &A/C INC:_
9303 Plymouth Ave. No.
ADDRESS: SIGNATUR70F PERMITTEE Ouldeii CITY: ~ ZIP:
PHONE n:
COMMERCTAL/INDU,STRZATSi; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMZLY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
Vlll VC Lf\V. fVl~ V11? VJIY VILL
3830 PIIAT RNOB ROAD
EAGAN, Mti 55122 PER1iZT *
PHONE: (612) 454-8100 RECEZPT 1e '
B.ING:?ER2SIT.. DATE: /0 3 9/
. . m..
~BSIDENTIALi° PLEASE COHPLETE UPPER PORTION ONLY FOR SZNGLE FAMZLY DWELLZNCS b
m:.:..
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH iJNIT.
UORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMCiM 15.00
ADD ON SHOWER 3.00 ~
REPAIR WATER CIASET 3.00
~ BATH TUB 3.00 3
IAVATORY 3.00
OVNER NAME: KITCHEN SINK 3. 00 _T°O
IAUNDRY TRAY 3.00
SITE ADDRESS: 3'.5-C) l'~i~+lcY /TCee _ HOT TUB/SPA 3.00
p~ UATER HEATER 3.00
IAT:L0 BIACK ~ SUBD.(/~(/i~ FLAOR DRAIN 3.00 SS
GAS PIPING OUT.
INSTALLER: 7, (MINIMUM - 1) 3.00 16~
ROUGH OPENINGS 1.50 ~ 5~
ADDRESS : OTHER
WATER SOFTENER 5.00
CITY: ~vrJrv ZIP: ~J372~ _ PRIVATE DISP. 15.00
' U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ ~1C0• SD
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE ~
TOTAL: S
COMMEBCIALjiNDIISTR2AL'i: PLEASE COMPLETE THIS PORTION FOR ALL CO?MERCIAL/INDUSTRIAL BUILDINCS AND
.
TI[ILTI-FAMILY BUILDZNGS YHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OHNER HAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
£OR:
CITY OF EAGAN
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 3750 Windtree Dr
Lot: 10 Block: 2 Addition: Windtree 8th
PID:10- 84477 - 100 -02
Use:
Description:
Sub Type: e- Reroof
Work Type: New
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments: If there is no ice protection inspec
acceptable in lieu of inspections.
Fee Summary:
Valuation: 3,000.00
Contractor:
Patrick Tacheny Exteriors
127 East County Rd. C #7
Little Canada MN 55117
(651) 490 -0211
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Mark E Depalma
3750 Windtree Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
$88.50 0801.4085
$1.50 9001.2195
$90.00
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA080278
10/05/2007
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164630
Date Issued:10/05/2020
Permit Category:ePermit
Site Address: 3750 Windtree Dr
Lot:010 Block: 002 Addition: Windtree 8th
PID:10-84477-02-100
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mark E & Joellen D Depalma
3750 Windtree Dr
Saint Paul MN 55123--132
(651) 238-8179
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature