3761 Windtree Dr -NTFrW
~ - - - ~ REVIEWED 6/29 92
.R7W SORIINSON-827-0622 CITY OF EAGAN
; 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 v• ~
BUILDING PERMIT Receipt # _
To be use $r pKJGAR Est. Value ~-1$1461000 Date M&1f 29 ,1g 91--
Site Address 3761 YIltDSiHI DR
Lot _0 Block ~L_ SeGSub. - YI~iD?~EB SZl1 OFFICE USE ONLY
Parcel No. occuPancy &"3 'i FEES
Zoning 1
~ Ng[nb ~nY ~$I~ (Acfual) Consk Bldg. Permit sol
eY
~ Address 3772 RIDCRWOD DR (Niowable) I3i
0 City EA~~ Phone 457-4075 #n1 stories ~ surcnarge 73 •00
Length Plan Review ~eisC-lOl
Name SANE oepa+ 126 snc, city fOO.QO
~s Address S.F. Total _
~ SAC
Ciry Phone S.F. Footprints _ , Mcwcc 6~•~ _
F On Site Sewage _ Water Conn "0100
¢ Name 00
On Sile Well Water Meter 95,
Address MwCCS ism X
<9 City Phone c+tywaier$ L
PRV Required _ SNV Petmil 30•~
I hereby acknowlege thal I have read this app6cation and state that the 8ooster Pump - S/W Surcharge
information is correct ar agree to comply with all applicable State o(
Minnesota Statutes and ily of Eagan Ordinances. Treatment PI 276•~
Signature of Permitee ' ~"~iw^-•++~.!~ `'~_~C..;. I.a~ - APPRUVALS Rped Unit .~3,70Vp~
A Building Permit is i45ued to: MONTOMaY DZ8I GN Planner _ Park Ded
on the express condition that all work shall be done in accordance with all CD+nCil ~
applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg, pry. _ Copies
BuildingOfficial Variance - TOTAL 3s603•~
- ~ Pe?mit No. Permit tloldw Dal* TeNpIqM #
WATER j~
SEWEti
PLU*ABWG
H.V.A.C. 1- ~Azrlf / / I ~4"
ELEcrRIc
M+vvle+lo~ DMs Insp- C°""'»"ts
FooEirps I 'r ,e
Fa,r.bbon
Framing 7/~T ~j t.cJ
Rootmg
qou9h plbg.
Rai9h Ht9.
lsul.
Frepface
Flnal Htg. . ' ~
OrstBt Test
FmW a~. - ( ~y. i~. - ~r ati,mbe?
r
CiCft~. MBl@f
ErgrJPl~
aag. Fr,a~ ~
o~ Fog. 7 - _ pZ • ,
Dedc Fina~ f l.,'t~
Wed
Pr. Disp.
- '
~r ,K,,:• . r~ ,i.•... , ---•---r--`~- . , _ . . .
SE~lVER & WATER PERMIT OFFICE USE ONLY
CI~ OF EAGAN METER # 4~~ ~~g U5/30/91
PERMIT DATE
3830 Pilot Knob Rd_ CHiP # Q/ 6 S.!U 70 PERMIT # 12020
Eagan, MN 55122-1897
METER SIZE eAlSks B.P. RECEIPT # C 13659
DATE MAY129, 1991 ISSUE DATE B.P. RECEIPT DATE e5/29/9 i
_ PRV - BOOSTER PUMP
SITE ADDRESS 3761 h'ZNDTY.EL Uft PERMIT REQUESTED
LOT 4 BLOCK 1 SEC/SUB WtNnTgEL ETii
X SEWER x WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/tND RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING '
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: 991 BOSTON AI CrVdit WILL NOT be given for Deduct Meters.
CITY, STATE ZIP 55123
PHONE: 688-9104
1 AGREE TO COMPLY VIIitH CITY OF
OWNER: "!aNTGOMERY BES IGcJ MRDINANCES
ADdRESS: 3772 IZIDGEWOOD DR
CITY, STATE EAGAN NIIV Zlp 55123
PHQNE: 457-4075 OR 681-1773 SIGNATURE WHEN METER ISSUED
PLEAS~ ALLOW TWOf WORKING DAYS FOR pROCESSING. CALL 454-5220 FOR INSPECTIONS. F4R STORM
SEWER PERAAITS, CONTACT ENGINEERING DEPT.
l . f: r
SEWER &%iNATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 0500/91
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 12020
METER SIZE B.P. RECEIPT # C 1365f'
DATE ita 29 0} 991 ISSUE DATE B.P. RECEIPT DATE 05/29/91 I
- PRV _ BOOSTER PUMP
SITE ADDRESS 37C.1 V INUTkEL Ok PERMIT REQUESTED
LOT 4 BLOCK 1 SEC/SUB WINDTAEE 87H
x SEWER X WATER _ TAPS
APPLICANT:
ADDRESS: - COMM/IND X RESIDENTIAL .
CITY, STATE ZIP X NEW _ EXISTING
PHONE:
PLUMBER:'i. Ua'"f'Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
ADDRESS: 9(41 FrsWIh HiLt. In Credit WILL NOT be given for Deduct Meters.
CITY, STATE . r, -
44' j"` ZIP 55123 PHONE: 689-9104
I AGREE TO COMPLY WITH CITY OF
OWNER: ~NTGOMERY DBSICN EAGAN ORDINANCES
ADDRESS: 3772 RIDC'~'aW00D DP.
CITY, STATE EAGAN MN ZIP 55123
PHONE: 457--4075 0R 681-1773 SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPEC710NS. FOR STORM
SEWER PERMITS, CONTACT ENGIh1EERING DEPT.
~ CASH RECEIPT
CITY OF EAGAN ~
3830 PILOT KNOB ROAD 4
EAGAN, MINNESOTA 55122
oAre 10 1 j
/IECENEO 1~` ~y,~ ~
FIION
AMOUNT . s L L 1 ~ a ooLuAs
,m
O CASH ~CHECK
•
. ,
FUND OBJECT AMOUNT
Thank You .
BY - ~
C 13659 Y,~„ ~
Pk*-F*o Copy
8 049~8 ~ ~ • - ~ ~~s~
Oa
Recuest Date Fire No RougM1~in Inspecnan
Reqmred'+ G Reatly Now ? Will NoVly Inspector
= Yes ? No "en Reaay'
I,] licensed contracror I_7 owner hereby request inspection of above etectrical work at
Job Atltlress ISireeL Box ar Faute N. ) Qty
371vl iiiii Z,nareEE ,E. n
Secuon No iovrnship Name or No Range No Cou/n~ty
?/S G7'
OccupantlPRIN ' Pbone N.
D~r-c3o ~ ~ E51 621 ~9 1- T 3 O
Power Supp ~ Atltlrew
LL ~ rn r~
EleCncal r ICOmpany Neme) ConVactor's Licensa N.
ic~
7'~
MaNnq qtltlress IGonVactor or ner MaWng Instal~iwn;
113C,15 J 11~ LYl . l~tt&Y^ S,.J 1ZZ
Huthonzetl naWre iConlractov=) ~ Phane Number
(GJ~ -m
MINNESOTA STATE 60RRD OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOT
Griggs-MiEway BIEg. - Hoom 5-173 BE AGGEPTEO BY THE STATE BOARD
1821 Umversity Av¢ . SI Paul. MN 55104 UNLES$ PFOPER INSPECTION FEE IS
PM1One (612) 662-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION x''="-~ a ee-ooooi-oa
? See msirucuonsfar comple:og Ihis bnn on back nf yellow wpy /Q /3U}
04908 "X" Below Work Covered by This Request
~ /
e~Atltl ReFL TypeolBwltling ApplianresWiretl Equipmen~Wired
I ~ Home Range Temporary Serv¢e
Duplex Water Heater Elecinc Heating
Apt Bwldmg Dryer Other (Specity)
COmm/Intlustdal Furnace
Farm Air Condtlioner
Omer ~syecity~ Conlractor's Femarks
Compufe Inspectron Fee Belowf~ Other Fee # ServiceEntranceSze Fee # Circmis/Feeders Fee
Swimming Pool 0 t0 200 Amps 0 to 100 Amps bp
Transformers Above 200 _ Amps Above 100 _ Amps
SignS inspecwr's Use Oniy, (J~f OT~ ~O
Irrigation Booms ? Q
Special Inspection
AlarmiCommunicauon THIS INSTALLATION MAY BE ORD NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 _MQNTHS.
I, the Elecirical Inspector, hereby R°°9na ! oa~e~ /tj
cerUf ihat the above ms eciion has ~
Y P Finai Date
been made. •
OFFICE USE ONLV
This request vaitl 18 monlhs imm '
CITY OF EAGAN No _ ~ g 134
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i~
PHONE: 454-8100 G ~ 3~i S~
BUILDING PERMIT Receipt #
To be used ror tSF DWG/GAR Est. value $146 ~ 000 Date r1.4Y 29 ,~g 91
SiteAddress ~}761 WINDTREE DR ~
Lot 4~ Block 1 Sec/Sub. WINDTREE STH oFFICE uSE oNlv
Parcel No. occ~Pa~cy R-3 M=1 FEES ,
Zoning R=1
w Name MONTGOMERY DESIGN (actuapConst V-N Bldg.ae~mit 801.00
~ Address 3772 RIDGEWOOD DR ~nnowaoie~ V=N
° Cd EACAN Phone 457-4075 polSrones Surchar9e 73.00
Y
Length f18 ~ Plan Reviow 52~.
~F Name SAME oev~h 32 ~ snc, c~~y 100. 00
Address S.F. Totai
- SAC,MCWCC 65~.~~
" City PhOnO S F. Foolprints - '
On Sile Sewage _ Water Conn 660. 00
ww Name On Sile Well - Water Metar 95. 00
Address Mwcc sys~em X
aw Ci~ Ph000 Cay Water ~ Acct. Deposit 30.00
Y
PRV Raqmred _ S~W Parmit ~n _ nn
I hereby acknowlege h I have read this application and siate that the Boos~er Pump - SiW Surcharge ~ . 50
mformation is correctla d grea to comply with II applicable State of
Minneso~a StaWtes an~1 i o1,Eagan Ordinances. 7reaimem PI 2~6.00
~
SignaWre of Permitee APPROVALS Roatl Unit ~~n _ nn
A Building Permit is issued to: MONTGOMERY ESIGN Planner - park Ded.
on the ezpress contlition thal all work shall be done in accordance wrth all Counal "
applicable State ol Mi,n/~nesota Statutes and City of Eagan Ordinances. eldg. Olt Coples
(~(xjA R Oir~ I~ Variance _ TOTAL ~.OUJ.50
Building OHicial Y_,t. e~~ `
RF/iC1TVA3E Ot MYIC-P[AN MMiID 6/29/02 ~
JO'.y 9ftSON-827-0622 ~
-
~ (g.er#ifira#e n# (Orrixpttnry I
Citp of (Eagan
EPpNTtU1PttI of Elt[1DltT[„j 3tt6}1Pf1Q1tI
This Certifwale issued pursuant to !he reguiremenls of Section 306 ojfhe Urdform Buildirrg ~
Code cer[iINnB that atlhe rime ojissuance thisstrucrure was irt mmpliance wuh 1he vanorcr
ordinances oj(he City regukling bui(ding rnnshuc(ion or use Forlhe jo!lowing. ~
U. a,mr~ ASF DWG/GAR e~ ~ w 19134 I
M z~ VT-- `
0=.P..Y Tra Ml[VICMUff IA~Si(3V DioAa . tAAN
~
o~ otWum nem. UKLVE . ISI,
aaai.s Aaa. j ~cy ~
-~,,Sf o,k 8/28/91 '
POS71N A CONSPICUOVS PIACE I
I
Address: 3761 WIIdDTREE D?tIVE Lot q Blk j Sec/Sub WINpT-REE gTH
These items were/were not complete at the time of the final inspection.
8/28/91 Yes No
Fina1 grade (6" from siding) 11__~ Pefmanent steps - garage i/
Permanent steps - main entry ?
Permanent driveway
Permanent gas
Sod/seeded grass ~
Trail/curb damage
Porch ~
Basement finish
Deck
Please verify with the builder the removal of roof test caps fzom the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
xcmeownn
White - City copy Yellow - Resident copy Pink - Contractor copy
tlAY 30, 1991
q,~; ~ DATE:
RE: 3761 iIINDTREE DR (MONTGOMERY DESIGN) I~
X JYour Sewer & Water Permit for the above property has been completed. It will be hel'd at the
Pubha,,,Works Garage (3501 Coachman Road) untd the meter is picked up. BE SUIRE TO
. CALL RUBLIC WORKS (454-5220) FOR YOUR PERMANENT WpTER TURN ON. II
_ YSur Sewer & Water Permit tor the above property cannot be completed for the f i Ilowing
reasons I
Your Sewer & Water Permit for the above property has been completed, but the meterlcannot
be issued or occupancy allowed until further notice. I~
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confumed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY• II
Secretary, Building Inspections Dept. I
1~ ~ ~
PERMIT # .-~tll 1 ) RECEIPT DATE:
8008 ftESIDENTIAI. PLUM$IAfi PERMIT APPLICATION
crrY og Ea?sAx
3$30 PII.OT KROB RD
£AflAA, MF 55122
651-661-4675
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITE ADDRESS: LJr LACJ YG2 ec- DI2
OWNERNAME:: TELEPHONE#:
(AREA CODE)
INSTALLER NAME: TELEPHONE #:.~y/r'~I~- S~'lC -30.5 7
STREET ADDRESS: ~oCo P {AREA CODE)
3(y~ (J G SCO
CITY: STATE: !/LL v~ ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: AddiUonal consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
? Adding fiMures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ tawn irrigation system
ReplacemenUadditional: _ watersoftener _ waterheater 15.00
State Surcharge .50
Total $ 5 O • Sn
I herebyacknowledge that I have read this appliption, state that the information is correct, and agre co wiN a lipble City of Eagan ordinances. It
is the applicanPS responsibility to notify the property owner that the City of Egan assum4no b' f da used by Ne City dunng its normal
operational and maintenance activities to the facilities consVucted under thias permit witp ' t asement.
SIG PE I EE 1102
~ RESIDENTIAL
S.S.7 -
9 BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New ConsVUCtion Reauirementa RemodellReoalr Reauirements • 3 registered si[e surveys showing sq. R. of lot, sq. ft. of house; and all roofed areas • 2 co0ies of plan
(20%maximum bt wverage allowed) . 1 set of Energy Calculations tor heated adddions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for extenor additions 8 decks
• 1 set of Energy Calculalions . Indicate if home served by sephc system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE C2 VALUATION 2, (U"
SITEADDRESS wfNo MULTI-FAMILYBLDG Y N
TYPE OF WORK T'r CC:_F FIREPLACE(S) _ 0_ 1_ 2
APPUCANT L A\CL L~L'~~ C'~/~Srl L
STREETADDRESS IZe G I< CITYSNh4&PLC STATEI2-j ZIP'/iS i7~l
TEIEPHONE #'i 5 2- f7.~9 CELL PHONE # L•1 7- -7- FAX #'7S?_
PROPERTYOWNER__F?1M Pic, F`) 1/li-) TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINM?SO"I'A RULLS 7670 CA"1'1:GORY 1 MIN\'YSO'1'A RUI.LS 7672
(4 submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone
PlumUing systcm includcs: Watcr Solicncr Iawn Sprinklcr Pcc: $90.00
Watcr Hcater No. of R.I. 13atlis
No. ol BaUis
Mechanical Contractor: Phone #
Mcchwiical syslem includes: _ Air Conditioning P'ce: $70.00
Hcal Rccovery Syslcm
Sewer/Water Coniractor: Phone #
I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinanc/es:
SlgnatureofApplicant--
~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
O Oi Foundation ? 07 OS-plex ? 13 16-plex O 20 Pool ? 30 Accessory 81dg
? 02 SF Owelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt - Multi
a 05 07 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn, (4-sea.) ? 33 Ext. Alt - SF
? Oa 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage
? 06 Oa-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 AddiGon Cl 36 Move Btdg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitian (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 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaLla C.O.
_ Footings (addirion) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof _[ce & Wacer _ Final _ Pool _ F[gs _ A'v/Gas Tes[s _ Final
_ Ftaming _ Sidmg Stucco Stoae
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacemen[)
_ [nsulation _ Retaining Wall
Approved By , Building Inspectar
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Sy % 39 RESIDENTIAL aq
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New Construction Reouiremente RemodellReoair Reauirements ~
• 3 registered site surveys showing sq. ft. of lot, sq, ft. of house; and ail roofed areas • 2 copies of plan ~
(20% maximum lot coverage allowed) . 1 sel of Eneryy Calculations for heated additions . 2 copies of plan showing beam d window sizes; poured found design, etc.) . t site survey for extenoraddNOns & decks
• 1 set of Energy Calculatmns . Indicale if home served by septic system for additions . 3 copies of Tree Preservation Plan if lot platted after 711193 ,
• Rim Joist Detail Op6ons selection sheel (bldgs wilh 3 or less units) DATE VALUATION ~IU().0aCR
5'1 U)fNT)_V\ZEC- MULTI-FAMILY BLDG Y "N
SITE ADDRESS 3~(
TYPE OF WORK AQiJO~Z I ON _ Al-0i F\NAS4 C3As~t"U-' ~ FIREPLACE(S) _ 0, _ 2
wl D~ ~
APPLICANT 1--P~'~E+~'W n ~'GNS ~(ZV c^~ 1 ar/
STREETADDRESS 162`6 M4\LL CITYSl4'.4 6 eCE- STATEMN ZIPSS~_7
TELEPHONE #95-Z ''116'59$`I CELL PHONE # 7` 61(03 FAX # ~lSZ - LIO~- 63Z q
PROPERTYOWNERTW `k CI tiV) Y TELEPHONE# 65I`I~~IObS
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY "
-
Energy Code Category _ MINNESO'fA RUI,LS 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code Worksheet Submitted
. Enerqy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plmnbitig system includcs: Water Softener I.awi Sprui}:ler Tec: 890.00
_ Water Healcr No. oC R.I. I3aths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Condilioning Fec: $70.00
Hcat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowledge that I have read this application, 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 ~
OFFICE USE ONLY
AUG 13 2002
Certificates of Survey Received Tree Pr=servation Plan Received Not Required
- - 'n ~ :
v
OFFICE USE ONLY
Me-.
O 01 Foundation O 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
;K02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O. 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
0 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
q~ 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
/ '
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation S~_41_009 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) _ FinaVC.O.
Footings (deck) _ FinaUNo C.O.
~ Foo[ings (addihon) _ Plumbing
Founda[ion _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
~ Framing _ Siding Stucco Srone
~ Fireplace ~ R.I. _y Air Test Final _ Windows (new/replacemen[)
~ Insulation ~ _ Retaining Wall
Approved By , Building Inspector
Sur ha ge I"L Jq 0 0
Plan Review
MC/ES SAC 2- X
City SAC
Water Supply & Storage f /
I _o-~3 tf-
S&W Permit & Surcharge G
Treatment Plant 0
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
FROM : LAKEWOOD CONSTRUCTION FRX N0. : 952-402-0324 Ru9. 20 2002 08:57PM P2
•vvb ,V .46v Lnn noc 4q+ uuq~ C H CARP~NT~R LL7tAr."R .
LaRSWaun ~jaoi
MNChaCk COMPLIANCS
RE c0:: ~
Minr.eeota Enarqy Code 1 Yermit !F
MNCheck Soltwara Ve:sion 3.0 ~
i
I Crt- ecked by/Da:.e
~
CovNTY: Hennepir `
STATE: MiAnesota
ZqNE: 2
CONSTdDCTION TYPE: Single Famtly
DATEi 8-20-2002
COMPLIANCE: BASSES
Requized IIA = 563
Your Homo = 495
12.1% Better Than Ccde
Area or Cavity Cont. Glazing/_7)oo:
rerime[ez R-Value R-Value U-Value
_
CEILING6: Raised Tr1ss 4a1 36.0 0.0
CEILINGS 1196 3£.0 0.0
WALL3: WoOd Finme, 16" O.C. 1120 19.0 2.0
WALL3: Wood Frame, 16" O.C. 2072 13.0 2_0 _
B914T: Conc. 8.0' ht/7.31 Ag/3.5' insul 127 _G.C 0.0
G7,AZING= windows or poars, ADove Grade 331 0.350 _
GLAZING: Wir_do+:s or noors, A.pve Grnde 250 0.300
DOORS 40 0.350
DoORS 42 0.350
HVAC EpoIPMENT: Farraca, 90,0 AYGE
° ^ _ _
COMPLIANCE STATEV-"f)T: Th2 propo3sd building design ciescribed 'nere is
consistent Nith the building plans, specificaticns, and other calcu2ations
submitted With t?te eez:nit apgllcation. The proposed buil3inq has beEa
dcsi ned to mgoc ~th6 1Xe u7iz~ n./e~Iics cf thMinnesota Ene;gy Code.
Buiider/Designek~- /G4// Date_. „
7
3 7 C / ~~•r~ Tn.6rz on.,
.~4avEVOR's cEItTiFICATE .
_ MONT~ipMERY DESIGN & BUILD.
3WWTREE DR
GOP4 ~
O q~i' ~ 65 O
~-~~Jrl)0
R=346.04 ~
79.76 A~ 13° 12`21u
S~L.4Ji' o ' 1
~'N ~Ntl( M ~ _ I M
ELCV.. y~~ R70P0SED
DRIVEWAY 9E
M~PK
TOTOMwFA~
~
, ' - - _ _ - - - - 013.0 pEV: •tt.s2
( 4 20 O)
8~ f
m, ' 13 0
^ 30.0
0 p r~1
N GAR. P m
, ~
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; 2500 W. CTY RD q? s BURNSVIILE, MN. 55337 • 61~2-890-6044 I
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1991 BUILDING PERMIT APPLICATION ~
CITY OF EAGAN
~
SINGLE FAMILY DWELLINGS MTLTIPLE DWELLINGS COMMERCIAL ~
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL ~
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFPCATIONS
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 SY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT 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.
To Be Used For: S • Valuation: ~ Date: ~ ZL-91
Site Address OFFICE USE ONLY
37fv/ i,Jinolfr€e /41Co, aoo "
Lot A Block I D~ FEES
Occupancy T'3 M-~ Bldg. Permit 00/,O p
, t Zoning Surcharge 7,3,oa
Parcel/Sub ~~(,/1ILCAfY^G'e U Actual Const V-N Plan Review „520.00
ewo~- n A1lowable V-N SAC, City / O,OZJ
Owner ~ Ol'h yd r t~?4~ (y$D
# of stories SAC, MWCC , 00
Length Water Conn. ('010D
Address Depth 12 Water Meter 9S,v0
S.F. Total Acct. Deposit ,30.DC)
City/Zip Code Footprint S.F. S/w Permit 30,oa
S/W Surcharge , ,,SD
Phone On site sewage_ Treatment P1. 2 b.0 0
On site well Road Unit 370, 0'D
Contractor ~ -Ch MWCC System ~7 Park Ded.
~J City water ~ Trail Ded.
Address C~06d/ At PRV _ Copies
Booster Pump
City/Zip Code SUBTOTAL
~ APPROVALS Penalty
Phone y~j ~I^n73 Planner _ Lot Change
~ Council TOTAL -25LU-5 S(~
Arch./Engr. Bldg. Off. ~;S S-2SC9(
Variance
Address
City/Zip Code
Phone #
axrees that all work sha11 be done in accordance with
nature of C ractor ~
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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L07 SY TlE §URVEYOR. THE
SUITABRITY OF Spn,g Tp SUPPp7f NOTE: BULDlNG OIMFTlSIONS SHOWN ARE fDR HORIZ011TAL
T11E SPECIFIC HOUSE PRpPoSED 9 VERTICAL I.OCATION QF STiAlCTURE ONLY. S£E
13 NOT TME RESrONBiBLITY OF AHOiI7ECfUAL q,qlrg FOR gUiLqµ~ 8 FOUWATION
THE SURVEYOR. DIMENSpNS.
DENOTES PROPOSED SURFACE DRAINAGE
O DEIJOTES IRON MONU?v1ENT SET SCALE: 1 INCH a 30 FEET
6 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 92u.3 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR =
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -~/Z. t, FEET
~ z~.. 9aa7 FEET
WE I-IEREBY CERTIFY TO AAONTGOMERY DESIGMa 8UlLp.THAT THIS IS A TRUE AND CORRECT
- REPF2ESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot4,9lec4 WINDTREE 8TH ADDITION, occording to the recorded plot thereof,
} Dokota Counly, Mlnnesota.
~ IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY Iv1E OR UNDEA MY DIRECT SUPERVISION THIS 10 TH DAY OF MqY i991
; I~'aSIGNEO: JAMES R. HILL, INC. !
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6.8Y1141DITtoNS
PREH41lD BY RON KRUlQE1! 8 BY;
tissoc.; Wc, trsT oarEO 4a-e7. ,IOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
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4}.~1RYEYOR'S CERTIFitCAT'E MONTGOMERY DESIGN a BUILD.
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EY.TERIOR ENVELOFE AVERAGE "U" COM^UTATION
MONTGOMERY DESIGN & SUILD CO
3772 RIDGEWOOD CRIVE
EAGAN, MN 55123
6°µ~~'..r7T~ HARTFORG
{
AFtEA U U X AREA
REBUIRED
1. TOTAL WALL AREA 2860 .11 315
2. ROOF AREA 1152 .026 30
ACHIEVED
A WINDOW AREA 246.06 °1
2 DOOR AREA 40 .13 5
C SLIDING GLASS AREA °0 .65 52
D FIREPLACE AREA 48 .2 10
E WALL FRAME AREA 286 .095 27
F NET WALL AREA 2159.94 .038 82
G RIM JOIST AREA 212.40B .0436 9
H FOUND WINDOW AREA 0 .5 0
I FOUND AEDVE GRADE 74 .060, 5
3. TOTAL WALL AREA 272
J °Y.YLITE .5 0
K ROOF FRAME 115.2 .032 4
L NET ROOF AREA 1036.8 .0227 24
4. TOTAL ROOF AREA 27
SUM OF 1.+2. 3
°UM OF 8.+4. ~49
• CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # L'. I 14
PI:UHBINC..PBRMST DATE:
RESTDENTIAT:i; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS fi
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNZT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR _ 7 WATER CIASET 3.00
3 BATH TUB 3.00
LAVATORY 3.00 ~
OWNER NAME: KITCHEN SINK 3.00
LAU
~
SITE ADDRESS: i3`J~l Wt,vcYl~ee ,ap ~ NDRY TRAY 3.00
~ HOT TUB/SPA 3.00 ~
LOT:~ BLOCK ~ SUBD. WATER HEATER 3.00
J FLOOR DRAIN 3.00 T
~ GAS PIPING OUT.
INSTALLER: eu (MINIMIIM - 1) 3.00 ~
ROUGH
zz/ GXL( -~6/ y~U OTHER OPENINGS 1.50 ~
ADDRESS:
WATER SOFTENER 5.00
CITY:ZIP; ~5.31~3 PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE
SUBTOTAL $ ST. SURCHARGE .50
SIGNATURE OF PERMITTEE '
TOTAL: s 7//-o
CbMMERCIAL/INDUSTRIALi' PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
.
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNZT. ,
°
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 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP;
TOTAL: $
PHONE
( S I GNAT[JRE )
FOR:
CITY OF EAGAN ~
, CITY OF EAGAN FOR CITY USE ONLY
" 3830 PIIAT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # ~19 / O/
14~Ck11+h1ICAI:, PERfifIT DATE: 9
RE$IDENTIAI:,:; PLEASE COMPLETE QPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WNEN 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
1~ 1 Y~~ U 11e,Y e, . i C 1J OF 1 PER PERMIT
OWNER NAME:
) _ SUBTOTAL: $l_ilJ
SITE ADDRESS: ~ ~l~ STATE SURCHARGE: .SO
LOT ; BIACK ~ SUBD. TOTAL: s V
INSTALLER: FlARE HT&. & A/C, INC.
.ym u ~
ADDRESS : GOIdPfI V2IIBY, MN. SrJAZ7 SIGNATURE OF PERMITTEE
CITY: ZIP:
PHONE aQ10
COMMERCTAT./TNDUSTRIAL: PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDZNGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLZNG 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
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
PERMIT N y CITY OF EAGAN
REACTIYATE/ " 1992 BUILDING PERMIT APPLICATION
681-4675 u tt 21 RECD
SINGLE 3 MULTI-FAMILV 2 sets of plans, 3 registered site surveys, I copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, I copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last work'ing day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date 6 / Z</ / `Z Valuation of work
Site Address:_ `_rzZ/ "n/ F
STREET SU1TE X
Tenant Name: (commercial only) '
LOT I I BIACK SUBD. F.I.D. N
MOXI.vo
Descri tion of work: c_ L
The applicant is: 13 Owner .fa Contractor O Other (Deacribe)
Name Phone 9o~.r
Property LAST FIRST
Owner Address 77,5
STREET STE N
City State Zip 5 t`i Z?
.
Company Ael S;_11-sNFe I-r Phone Z_Z'7 dGZ Z.
Contractor Address 7/77 rrou So . License N Exp.
~
City 5tate T_ Zip .t'r
ArchitecU Company Phone
Engtneer Name Registration B
Address
CitY State Zip
Sewer 8 water licensed plumber Processing time for
sewer d Mater permits is two days once area as-been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all appiicable State of Minnesota Statutes and C'ity of
Eagan Ordinances.
Signature of Applicant: ~U
. >
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
O 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace O 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Bdsement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd Fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
~i 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
REGIUIRED INSPECTIONS
? Site El Footing O Framing ? Insulation
? Mallboard D Final O Draintile ? Fireplace
Permit Fee veimcid,: $
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Nater Meter -
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Oed. •
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
W463 P04
idAVEYOR~~ ~~~~~~ICATEw^N~~M MONTGOMERY DESIGN 6 BUILD. ~
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= 2500 W. CTY. RD. 42 • SURNSVILLE, MN. 55337 e 612-880-6044
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165061
Date Issued:10/15/2020
Permit Category:ePermit
Site Address: 3761 Windtree Dr
Lot:004 Block: 001 Addition: Windtree 8th
PID:10-84477-01-040
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 -
Thomas R & Cynthia L Hofstad
3761 Windtree Dr
Saint Paul MN 55123--133
North Construction & Restoration Llc
3300 Gorham Avenue
St. Louis Park MN 55426
(612) 314-4313
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA165314
Date Issued:10/27/2020
Permit Category:ePermit
Site Address: 3761 Windtree Dr
Lot:004 Block: 001 Addition: Windtree 8th
PID:10-84477-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Thomas R & Cynthia L Hofstad
3761 Windtree Dr
Saint Paul MN 55123--133
(952) 237-5619
K & S Heating, A/c & Plumbing Llc
4205 West Hwy 14
Rochester MN 55901
(507) 282-4328
Applicant/Permitee: Signature Issued By: Signature