3766 Windtree Dr
SEWER Ao WATER PERMIT OFFtCE l1SE ONLY
CITY OF EAGAN i MEfEA 3~ ~ kLd PERMIT DATE 10/04/91
3830 Pilot Knob Rd. CHrP,# PERMIT # 12329
Eagan, MN 55122-1897
U
OETEP SIZE 5 S~tN S B.P. RECEIPT # C 1565
ISSUE DA7E B.P. RECEIPT DATE 10/031 y t
DATE 4CT 2 1113 `)1
- PRV BOOSTER PUMP
i SITE ADDRESS 3766, WI1dDTBEB DR ' PERMIT REGIUESTED
! LOT 6 BLOCK Z SE6/SU8 WINDTRLE 8TH
~ -1- SEWER __X_ WATER _ TAPS
APPLICAIVT: ~
; ADDRESS: COMM/IND RESIDENTIAL
i CITY, STATE ZIP ° NEW ~ EXISTING
PHONE: - ~
C " Lawn Sprinkler Meters are to be Installed
PLUMBER: HEU pLUMBINC,
Ahea'd of Domestic Meters on Water Line.
4 ADDRESS: 991 BOS'lON HILL RD ~ r it VIIILL NOT be giver),for Deduct Meters.
CITY, STATE EAGAN MN ZIP 55123
~ PHONE_ 68$-9104 j ~ I AGREE TO COMPLY WIT"ITY UF
~ OWNER: MONTGOMExY DESIGN & BtlIL.[) EAGAN ORDIN CE
~ ADDRESS: 11350 ALBAVAIt PATH
~ C1TY, STATE INVEFc GRaVE HTS MN ZIP 5507 5
~ PHO E: r 457-4075 QR 681-1773 SIGNTT E WMETER ISSUED
PCfA
~ 9i LLOW TWO 1N~9I~G pXYS F0R PROCESSING. CALL 454-5 2 `INSPECTIUNS. FOR STORM
~ SEWER PMITS, CONTACT ENGINEERING DEPT.
. n-rw. rsn.« ..rr..e..,.•r.^^+er~,.- . r.w -"rm, Yar.....-- . . . ; s.. , a•^--+s~
SEWER UsIVATER PERMIT OFFICE USE ONLY
CITY OF EAGAN MEfER # PERMIT DATE 10/44/91
3830 Pilot Kngb Rd.
Eagan, MN 5b'~~2-1897 CHIP # PERMIT # 12~Z9
9
~ METER SIZE B.P. RECEIPT # C 1565
DATE J*T 2, 1991 ISSUE DATE B.P. RECEIPT DATE 101031 q1
# _ PRV - BOOSTER PUMP
' SITE ADDRESS 3766 GiINDTREE Dit PERMIT REDUESTED
i LOT 6 BLOCK Z SEC/SUB WIh'DTREE 8'tH
~ JL SEWER -X- WATER - TAPS
F APPLICANT:
~ - COMM/IND -XL RESIDENTIAL
ADDRESS:
j CITY, STATE ZIP K NEW - EXISTING
i PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: NEl3 PLUHBING Ahead of Domestic Meters on Water Line.
~ ADDRESS: "1 BQ&TOdi HILL BD Qre.iit WILL NOT be given for Deduct Meters.
I
CITY, STATE EAGAN MN ZIP 55123
r
PHONE: 688-9104 ~R .-AY.
, I AGREE TO COMPLY WITH CITY OF `
I, OWNER: MONTGOMZRY DESIGN & BilILD EAGAN ORDINANCES
~ ADDRESS: 11350 AL$AYAB PATH
~ CITY, STATE IHVER GROV6 IiT6 !N ZIP 55074
~ PHONE: 457-4075 ait 6$1-1773 SIGNATURE WHEN METER ISSUED
~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
ti SEWER PERMITS, CONTACT ENGINEERING DEPT. '
~ CASH RECEIPT
CITY OF EAGAN ~
3830 PILOT KNOB ROAD ~
EAGAN, MINNESOTA 55122
DATE
u[GE+~rEO ~
FRO. ''t
nMOUNr s ~
4t ooLuM
too
p CASH HECK
,jc~1k~~~ I'~r
1
FUND OBJECT AMOUNT
Thank You
ev'-~~~~r
~
1565~ ~
Pw*--fft Copy
CITY OF EAGAN
{ _ 4 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDIIVG ,ERMIT PHONE: 454-8100 / _
Receipt # -il I~L; • ` 1
To be used tor SF d~/GAR Est. Value $136.000 Date OCT Z
'
Site Address 3 71i6 i12ND'titEE Dii
Lot 6- Biock Z Sec/Sub. WINKREE 8Tit OFFICE USE ONLY
Parcel No. occuvancy R-3 v FEES
2oning
W Name . ~~Y DZSIGN b WILD (Actual)Consl V4 BIdg.Permit 7"'00
o Address 11950 AL8AVAR PAZ'!1 (~~W~le) ~
Cit ..i~ER ~hone 457~~75 5urcharge
y ~ # ot stories 498.00
Lengfh Plan Review
o Name S~ t~tn ~ saC, Ciry 100.00
Address S.F. Totai _ SAC 650.00
C~ PhOfi6 S.F. Footprints ~ , MCWCC
F ~ Water Conn 60.~
On Site Sewage
W'W Name a, site weu ~ water Mater 95•00
Address . Mwcc system 30.00
AccL Deppgit
AW City Phone Cay water ` 30.00
PRV Required , S/VY Permit
I hereby acknowlege thai I have read this application and state that the Booscer Pump - S/yy gurcharge 030
information is correct and, agree to comply with all applicable State of 276
Minnesota Statutes and City of Eagan Or~Jinances, Treatment PI *00
;
Signdfure Of Permilee : ` 2 f!- APPROVALS Road Unit 370.00
A Building Permit is issued to: M0111"rGOMM` DESICN Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council ~
applicable State of Minnesota Statutes and City Of Eagan OrdinancQs. gidg, pff~ Copies
3,543.50
Building Official ' - yariance - TOTAI
w.mn No. vormic Hade. oaee ru.pwne r
WATER ~I
SEY*R
PLUM&t+IG y/
04 , 119,2-al-ay
f+.vAc. '//!a (v
ELEcrRIc
Ins"ction Date bap. Conwnenis
FootingS I
FourKishm AOIJ,
Qr ~
Framin9 l/ 1
Hooling
Rough Ptbs• ' -64I,,
Rough Htg.
ISUL ~ -
Fireplace Al
Final Htg.
orstat resc Z-/ -
Final PI6g. Plbg. InsPector - Notiy umber
Consl. Meter ~ ` - •
EnprlPlan
Bldp. Fnal
DeCk Ftg.
Dedc Finat
weu '
Pr. Disp.
~
~ INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
1011 , Ii t N6I k! 1 f?r;
I ; i~ tt~~ E trt ~ = r.1 1 flG'~ R7q7 ~
PERMIT SUBTYPE: TYPE OF WORK: ~
~ , , ~ :;i~til t t ~?N +
~I
INSPECTION • D.
, . , iil
I
• iir')t
I
I
I
I
~ I
I ~ ~ I
~ ~ J ~
Psrmn No. wrmR r+old.. D.a TN.p1,on. #
ELECTRIC
PLUMBING
HVAC
mspft*lfon oob NNp. comm.nu
FOOTiN(iS L 3/ lib~rs ty -t0
S M8
FOUND
FRAMING 1AXr l5
ROOFlIVG
ROUGH
PLUMBINCi
PLBG
AIR TEST
ROUGH
HEATING
1'EST VC
INSUL
CiYP BOARD
FIHEPLACE
FIREPLACE
AIR TEST
FlN/U. PLBG
FINAL HTG
ORSAT
TEST
BLOG FlNHI.
BSMT R.I.
BSAAT FlNAL
DECK FT(i
DECK FlNAL
~ INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
f.l l h~il I:; J 1 ii! •'rl('1 I i~ 1 I~~iEi
i i 1 h~i~ I i. I I !;I i~. I ~ : ~
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .A .
~ ~
asrmn No. Permn Hoider o.es Tekphona E
S/w
PIUMBING
HVAC
ELECTRIC
EIECTRIC
Inspectlon Date insp. Commsnts
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
FreplBCe
Fnal Htg.
Orsat Test
Final Plbg. Plbg. Inapector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg. S
Dock Final y 7 y f-P
wen ? 2L ~
Pr. oisp.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN % "10 , C) ~
3830 PILOT KNOB RD - 55122
651-681-4675
NawConsWNionReuuUeiMnb RxnodeURaoairRwuiremanfs CJ 1
• 3 repistereA sfte sweys sMOwiinp sq. fl. of lot, aQ. fl. W house; end gff roofetl arees . 2 copies M pan (
(ZO%maxmmm bt coverage a0ovred) . t set of Eneigy Caladatioris for heateu addiliorie
• 2 copies of qan shoxing beam & window sizes; poured found design, etc ) • 1 site survey forexterbraddHions 8 decks
• lsetofEnargyCalculetions • IndicafeNhomesarvedbyseplbsystemloradd'Aions
. 3 copies of Tree Preeervalion Plan'rf bl plaited after 711193
• Rin Joiffi Defai Optiona selecbon eheel (ddgs with 3 or lass units)
~d(
DATE ~a/ 1'`{/6 f
VALUATION '1
JOB SITE ADDRESS 37~6 Wih0.lrec- 'b1~
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER ~~^^es R~ Sc~rv~, i
TYPE OF WORK ~Baszm e. Ti 'llf-, FIREPLACE(S) 25J0 _ 1_ 2
APPLICANT ~ C. w~I PHONE# 651-64-8697
ADDRESS 3-76(:) Wirlk~'ze 'tC ZIPCODE S51023
PAGER# CELLPHONE# FAX#
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULFS 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone M:
Plumbing System Includes: _ Water Softener ~ Lawn Sprinkler Fee: $90.00
Water Heater ~ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heak Recovery System
Sewer/Water Contractor: Phone #
-i
All above information must be submitted prior to processing of application. +~V -2,O U`
I hereby acknowledge that I have read this application, stpte that the inform Q is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~
Signafure of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex O 13 16-plex O 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-ptex O 17 Garage 0 22 PorcNAddn. (4-sea.) O 33 Ext. Att - SF
? 04 02-plex ? 10 OB-plex O 18 Deck O 23 Porch (screened) 0 36 Multi
? 05 03-plex ? 11 10.plex Jr19 Lower Level O 24 Storm Damage
? 06 04-piex 0 12 12-plex PIbgYY or _ N O 25 Miscellaneous
0 31 New ? 35 Int Improvemant O 38 Demolish (Interior) O 44 Siding
O 32 Addition ? 36 Move Bldg. O 42 Demolish (FOUndation) O 45 Fire Repair
16 33 Alterabon ? 37 Demolish (Bldg)` O 43 Reroof O 46 Windows/Doors
? 34 Replacement 'Demolltlon (Entlre Bldp only) - Glva PCA handout to applicant
Valuation a-o ud Occupancy R- 3 MC/ES System
Census Code 11.3.(/ Zoning ~ City Water
SAC Units D~ Stories Booster Pump
Nbr. of Units O Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Fioal/C.O.
_ Footings (deck) ~ FinaVNo C.O.
_ Footings (addiNon) ~ Plumbing
Foundation 3{ HVAC
Drain Tile
Roof Ice & Waur Final OtLer
~ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fueplace _ R.I. _ Air Test _ Final _ Siding SWcco Stone
Insulation _ Windows (new/replacersnnt)
Approved By 'S P , Building Inspector
-
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Pertnit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENTIAL
BUILDING PERMIT APPLICATION
~"16 I Zy
3830 PILOT KNB RDN 55122 ~ q9~ Z5
'
651•681-4675 5130101
NewCOnctmctionReouinments RemodeYRew'xRoauinments ~
• 3 registered site surveys shaxing sq. R af Id, sq. tt W house; an~$Y mMeE xeas . 2 capies oi plan
(2094 maximum b1 coverage albwed) . 1 set ol Eneryy CakuWtions fa heated addNOns
• 2 copies M plan showing besm 8 wintlow sizes; poured found design, ek.) . 7 sfte swiey kr extedor additim d decYs
• 1 set of Eneigy CalcuWtions . Indxaie i4 home eerved by septic system toradditions
• 3apiesafTreePreservationPlan9 btpWttedafler711193
• Rim Joisi DefaiV Optbns selection shcet (bldgs WiGi 3 or less unils)
DATE ~ -/C0 VAWIfION
JOB SITE ADDRESS
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER 5'(A^ r/-
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
APPLICANT 4?i PHONE# qs 2' z1"6 1 ~ 3 zZZ
ADDRESS z 1 7(~ ` ~~I_a~-~?~~~~, ZIPCODE S S p 4-9
PAGER # CELL PHONE # FAX #15-Z-y~~-
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULFS 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet
- Energy Envelope Calculations Submitted IJ
_ MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
By -
Plumbiny Contraetor: Phone C ~
Plumbing System Inciudes: _ Water Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Bakhs
_ No. of Baths
Mechanical Contractor: Phone M
Mechanical System Includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
r Sower/Water Conhactor. Phone #
All above infortnation must be submitted prior to processing of applicatlon.
I hereby acknowledge thot I have read ihis application, state that the information is correct, and agromply
with all applicable S1ate of Minnesota Statutes and City of Eagan Ordinances.
~.y
Stynafure W Appllcaot `
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
- ' ° Updated 1/01
OFFICE USE ONLY
O 01 Foundation O 07 05-plex O 13 16-pfex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O OB 06-plex O 16 Fireplece O 21 Porch (3-see.) O 37 Ext. Alt - Multi
O 03 01 of _ plex ? 09 07-plex O 17 Garage 22 PorchfAddn. (4-sea.) 0 33 Ext. Alt - SF
O 04 02-plex O 10 OB-plex O 16 Deck O 23 Porch (screened) 0 36 Multi
? 05 03-plex O 17 10-pisx 'Q( 19 Lower Level O 24 S1ortn Damape
? 06 04-plex 0 72 12-piax Plbg_Y or_ N O 25 Miscellaneous
? 31 New O 35 Int Improvement O 38 Oemolish (Inierior) O 44 Siding
'K 32 Additian O 36 . Irbve &d0. O 42 Demolish (Foundafion) O 45 Fire Repair
0 33 Atleration 0 37 Dertwlish (@Idg)` O 43 Reroof 0 46 Windows/Doors
? 34 Replacement •Damolltion (EnUn Bldy only) • Give PCA handout to applicant
Valuation 0OocuPancY MC/ES System
Census Code Zonin9 City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg) FiaaVC.O.
Footings (deck) y Fioa]/No C.O.
~ Footrogs (addirion) _ Plumbiog
Foundarion - HVAC
~ Drain Tile -
Roof Ice & Water Fiual other
~ Flaming pool _ Ftgs _ AidGas Tests _ Final
Fireplace _ R.I. _ Air Tesf _ Final _ Sidiag Stucco _ Stone
Insulation _ Windaws (new/replacement)
Approved By 1 Z , Building Inspector
Base Fee ~
Surcharge Y)&
Plan Review . / ~ ~
MClES SAC ~ I S~ ~ ~ ~ `-7
City SAC
Water Supply & Storage
$&W Pertnit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies „
Other
C
Total
s/ 5;~2- , 671 i~ ~85
p 43429 _ 04 $40
Fa'uast Date )ff ~ Fre No RougMn Inspeclion
i//C C A ReQ iced' ? ReatlY Now /.C imtify
Vas CNO
I~ hcensed comractor kowner hereby request mspection of above elecincal work at.
Joo Adaress ISVeet Box or Rou;e No 1 Cily
3'I (e(~;
Section No Township Name or No Range No Counry
Oc<upam iPRIhTI p Phone No.
Si nm a'~1w~, i CYf
Power SupOler AtlOress
Elecvic~al Co~nIiracta (GOmOany Name) Comra<tors 4cense No
~r V~MEOw/1~
Mamnq nqoss (GOn:mctor or Owner Making InslellaLOni
boqf-
4mr.onzea tut~~tau0wne~ ld) Pnane Nu ber
'SS- ~697
M OTA STATE BOARO Oi ELECTPIQTV iH15"INSPECTION REOUEST WILL NOT
G gs-MlCway BIEg. - Room S173 = BE ACCEPTED BV THE STATE BOAPD -
1831 Uniaersity Ave.. SI Paul. MN 55104 UNLESS PFOPER INSPEGTION FEE IS
Phone(619) 662-0800 ENGlOSED
REOUEST FOR ELECTRICAL INSPECTION
1o eeooom-oe
? See m5rvclmns lor compleLng this lorm on back of yellow capy s ' x 3429
-"'X" Below Work Coveied by This Request v,.
ew Td ed--TypeofBuJding ApphancesWired EqmpmentWiretl
Home Range Temporary Service
Duplex Water Heater EleCtriC Heating
Apt 8mlding Dryer Other (Specdy)
Comm /Industrial Furnace
Farm Air Conditioner
J-Home, lsl ComracIDr's Remarks. ~ ) l
Compute Inspechon Fee Below:
Other Fee rr ServiceEniranceSize Fee # CircwisIFeetlers Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps
Transbrmers Above 200 _ Amps Above Amps
Signs inspecror's Use Oniy: TOTAL
Vriqation Booms ~
Special Inspecnon
AlarmiCommunicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Elecnical Inspector, hereby Rouqn-i„ oatq ceridy ihat the above inspection has F~„ai ~ oaie !
been made.
OFFICE USE ONLY
ih¢ repuest witl 18 momns trom
~ OFFICE USE ONLV This reqval wid 18 monihs Imm wlidalion dale pnnted tn thn bm
2 7 ~ 93~
~~5•RINT90 3 OR TYPE
kt~
~ a 8
Rea~as~ D t~ Rough-fn Gupecnon reqeiredY
~You ~'Yea 0 N. Impetlion Oiher Thon Rovgh-In[] Ready Now ~ Wdl Call
D` mast <oll Me inspecror whm ready) Da1e Ready.
I, ~ licensed confmctor 0 owner hereby requesf mspedion of the obove elechiml work oi:
bb Pddrus (ShM, Bm, or Rouk Not Gry Lp Code
~
Seciion No To+nship Name oi Ne. Range No. F4re N. Caonry
Ocapam PFwro No.
PowarSupPlier Address
Elennml C ado. (C pany Nam Contmtlor Licanze No. Moaier Lc Na. (Plom Elea. Only)
Moiling Fddre,s (Contmcbr or O.mar PeAa^rjm~j~iri-g Inakllohon)
J
Autlwnzed ,qnaWm erPe n Inemllonon) PhaneNo.
O -
E8-OWOlA-10 6/95 STATEBOMDCOPY-SEEINSTRUCTIONSONBACKOFVELLOWCOVY
~I/II, 1 BEQUE essB aro 1c8AIP
I~I IIIII II ~I I I I 111111111111111111 II ' ' Rm.- , St. Pau, MN 55104
* U 2 7 5 9 0 3 3* Pnone (s,z) 642-0e00 -01197
Home Duplex Apt. Bldg. .n ei New Addn
Remad Re air
Commercial Indusfrial Farm
- Air Cond. d. Hfg. Equip. Water Htr. Load Mgmt Other.
D er Ran e Elec. Heat Tem . Service
"X" above the work covered by this requesG Enter remarks m this space and on the back of the white copy only.
Calculate Inspection Fee - ihis Inspechon Requesf will not be accepfed without the mrrect lee:
Olher Fee N Service Enirance Siae Fee # Circuils/Feeders Fee
Mobile Home Pork Stall 0 to 200 Amps O l0 100 Amps
Street Ltg./Trotfic $ig. Above 200 Amps Above 100 Amps
Trans+ormer/Genemtor INSPECTOR'SUSEONLV ~j TOTAL
Sign/Oufline Ltg. XSma
Alorm/Remote Confrol
$wimming Pool I hen ceni ~hm 1 ma eae n dmaibed ham ~ on ~h<dex w
Irriga~ion Boom Rooqnd~ Dm~
$pecial Inspedion 1 finol Daro
Investigafive Fee
THIS INSTALLATION MAY BE ORDERE DI ON CTED IF T COMPLETED WITHIN B MONTHS.
Ui9/S/ , A , 103&65
p 64182 ~90 ReGUes~ ate Fre Na Rouqh-in Inspection
Reqmr ~ G Reatly Now dll Noulylnspector
- I _ es r- No When Reatly9
I= icensed contractor ] owner hereby request inspection ot above electncal work at:
Jo0 Aaaress SLee: Box ar Rowe N~ City )
3 ~ 2 e ~/~G~~?
Secuon No Township Name or No RanSe No Covnry
Occo nt (PRINT) ~ hone No
Pawe: Suooiie: nadress
E ecmwl onuacior ICOmpany Name~ Conlractors license No,
? G~'~~'~T,~/~ 5 _3
Maibng Atlamss iCOnvaclor o, Owner tAaning InsTallanon)
Au:non~omracioner lAakin stallat~onI Mrllu-bar
MINNESOTA STATE BOARD OF ELECTpICITV THIS INSPECTION REOUEST WILI NOT
Griggs-MlCway Bltlg. - floom 5-1]] BE FCCEPiED 9V THE STATE BONRD
1821 Unrversiry Ave, SL Paul. MN 55104 UNLE55 PROPER MSPECTIONIFEE IS
Pnonc(6tP) 642-0000 ENCLOSEO
/Q REQUEST FOR ELECTRICAL lNSPECTION "'r4 EB-0000q1-08/~
~ See instmcvons lor mmpleung tM1is brm on oac4 01 yellow coOY /Q 3 O ~P 5
~ -82_ "X" Below Work Covered by Thrs Request
ew Adtl Rep. TypeoiBwltling AppliancesWved EqwpmeniWiretl
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Butlding Dryer Other(Specify)
. Comm /lndustnal Furnace
Farm Air Conditioner
OiM1erlspenlyl GonVactors Remarrcs
Compute lnspechon Fee Below:
n Other Fee # SernceEntranceSrze Fee # CircwiS/Feeders Fee
~ Swimming Paol 0 to 200 Amps ~ a to 100 Amps
7ransbrmers Above 200_ Amps Above 100 _ Amps
SignS inspeccor's Use Oniy TOTAL L~
Irrigahon BoomS Q
Speaal Inspec[ion ~
AlarmiCommunicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I, the Electncal Inspector, hereby oaie /
.
certify that ihe above inspection has F,oai ata ,
been made. r
OFFICE USE ONLV . .
Tnis raquest voitl 18 manins from
DATE: OCT 4, 1991
•yi • -
RE: 3766 WINDTREE DR (MONTCOFIE&Y DESIGN 6 BUILD)
x Your Sewer & Water Permit for the above property has been completed. It will be held at the
PubliL'$Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAL'L 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.
_ 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) be(ore issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BV LAW.
CONTAC7 COMMUNITV DEVELOPMENT DEPARTMENT FOH WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN N~ 19765
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING P,ERMIT PHONE:454-8100 Receipt # 0
nl5L059
Tobeusedtor SF DWG/GAR EscValue $136,000 Date OCT 2 , 1941.-
SiteAddress 3766 WINDTREE DR
Lot 6 Block 2 Sec/Sub. FIINDTREE STH OFFICE uSE oNLv
P2fC01 NO. OccuOancy R-3 PL-t FEES
Zoning R=1
766.00
w Name MONTGOMERY DESIGN & BUILD (nctuapCOnst V=N BIdg.Permit
~ Address 11350 ALBAVAR PATH (Allowable) V=N
0 City INVER GROVE HTPhone 457-4075 +voBtones Surcharge 68.00
Lenglh 64' PlanRewew 498.00
iF Name SAMF. Deplh SAC, City 100.00
g~ Address s.P.rotal - SAC, MCWCC 650.00
C12Y Phone S.F. Footprints _
On Srte Sewage Waler Conn 660.00
r -
w W Name On Sile Well - Waler Meter 95. 00
i~ AddfeSS MWCCSYslem _x °i Acct Deposil 3~.~~
aw City Phone arywaier X
PRV Requiretl _ S/W Permit 30.00
I hereby acknowleg that have read Ihis application and state that the Booster Pump - SiW Surcnarga .50
information i5 Corr t d rea to comply wi all applicable State ol
Minnesota Statutes ntl y o agan dinanc
7reatment PI 276.00
Signalure ol Permitttee I-A pPPROVALs Road Unit 370.00
A Builtling Permil is issue0 to: MONTGOMER ESIGN Plenner - park Ded.
on Ihe express Condiuon Ihal all work shall 6e tlone in accortlance with all Counctl
apphcable State of Minnesota Statutes andCy~ity ol Eagan Ordinances. Bldg. OH Copies
Building Ofhcial ~.Ol I~IJ Variance _ TOTAL 3,543.50
6
{{7 e. a v. m
Trx#tfirxtr of (Orrupanrg
~ (Litp of (tagan
Erpurtnml af WuilDiug 3nsprctiurc
Thi.r CertiJtaale issued pursuant W(he reguiremmenLS oJSecGort 306 ojlhe Unijorm Bur(ding
Code ce,tijying tha1 al the 4me oJissuance thirsrrtrcarre nns in mmpliance wilh !he vwious
ardinantes oJthe Ciry regufaling 6uilding rnmYruclion or use For the foUawing:
u,e a,nrx~ SF IIv1G/GAR HW& P.~;,Ng 19765
000"„~y iype R3/MI zwig w,;, RI ryp. C~ VN
o. a Maai, *rNrcxrtM TWGr(N x Fum.nM.... 11350 BLBAVAR PAIlt. INVFdt aM HEI(iITS
B„b;,,s,we= 3766 WiND1RFE DRIVE Ly;hlb, B2, WIIID1lU 81H
\ i .'C/ D~ 1212Q/91
_ 6w7divjOSioai
PoST W A CONSPICUOUS PUCE
Addre,ss: 3766 WINDIREE D?2IVE Lot 6 Blk Z Sec/Sub WIIyp1REE gIlj
These items were/were not complete at the time of the £inal inspection.
12/20/91 Yes No
F'inal grade (6" from siding)
Permanent steps - gar¢ge
Permanent steps - main entry k-"
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 tha shut-off of water supply to the outside Lawn faucet before
freeze potential exists. r~
MCM1YtOnRP
White - City copy Yellow - Resident copy Pink - Contractor copy
1991 BUII~i LDING P 1VICATION
ERCITY OF EAGAN
SINGLE FAMILY DWELLINGS lNLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PI.ANS 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 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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESiRED, id0 CIIFiNGES WILL BE ALIAWED ONCE BL'II.DILIG PERMIT IS,ISSUED.
' PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A rFSE, PERMIT MUST SHOW A LICENSED PLUMBER.
2 715~ I
To Be Used For: C? ~ Valuation: ~3~Of000~ Date: I„/JI
Site Address OFFICE USE'ONTY
L/
Lot ~ Block Z FEES
Occupancy R3 M-I Bldg. Permit 76(.,00
/Q p Zoning 1'Z-I Surcharge 6$,00
Parcel/Sub (/tJiYIG("~}~'QL /J Actual Const V_N Plan Review Licl g. 00
A'd ~C~ Allowable V-N SAC, City 100,00
Owner d< vYi -i IVre.k n..~ # of stories SAC, MWCC SOAO
Length ~ Water Conn. GG0,00
Address Depth 3$' Water Meter ~/S' OJ
S.F. To[al Acct. Deposit 30.Oo
City/Zip Code Footprint S.F. S/w Permit 30,00
S/W Surcharge ,st)
Phone On site sewage_ Treatment P1. ;Mh;o~
site well Road Unit ,`jr70,fJ0
Con_-sc_or F'CC System ? Park Ded.
1 35 ~ n ~aAv~~-1z P~-T ~ City water ~ Trail Ded.
Addressi PRV _ Copies
ooster Pump _
City/Zip Code ~~w~~6K~ SUBTOTAL
APPROVALS Penalty
Phone -L(C375 / (flk ( - 1 -7 -j Planner Lot Change
Council TOTAL _g~~j,~
Arch./Engr. Bldg. Off. /D/pS
Variance
Address
City/Zip Code
Phone #
L agrees that all work shall be done in accordance with
('-g ature of Cohy ac or)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. M%w. o,
'
~-l A rZ A (r c
IZX20= .2yp
~x22-
~
6gox?S% IaZoa
~S ?titT,
14~yZaa
3zxa~ - eaZ
f x 13 = 13
liS3x IL4~ IS~~~z
IsT FL~r2
C~l
~1T= I ~ 33
~
I I l~o X 53= Y7SD
2n,o~'ioa2
~ h X 3 Z = ~G'-1
l~b: 4
z x
g~ 3= u7ya$
~ 35~ o3fl on I 3~,onfl '
Lo7 ~LOCk Z~ W IN'~TR[~ erH ADr-)tT/cDty
EXTERIOR ENVELOPE AVERACE "U" COMPUTATICN
MONTCOPIERY DESICN & EUILD CO
11350 ALBAVAft PATH
INVER CROVE HTS, MN 55075
457-4075 VAIL MODEL
R'EEER AREA U U X AREA
REQUI2ED
1. TOTAL WALL AREA 37110 .11 409
.026 35
2. , ROOF ;REA 133q
ACHIEVED
p WINDOW AREA 325 .33 107
E DOOR A2EA 40 .13 5
C SLIDINC CLASS AREA °O .65 57
D I'IREPLACE AREA 36 .2 7
E SdALL FRAMP AREA 371.8 .095 35
F NET [1ALL AREA 2857.2 .038 109
C RIM JOIST AREA 157 .0436 7
H FOUND h'IP1D0W AREA 0 .5 0
I FOUND AEOVE CRADE 05 .060S 6
3. TOTAL WALL AREA 333
J SY.YLITE • 5 0
K ROOF FRAD4E 133.9 .032 4
L NET ROOF AREA 1205.1 .0227 2?
4. TOTAL ROOF AREA 32
SUM OF 1.+2. 444
SUM OF 3.+4. 365
. , SEF-26-'91 THU 12:05 IU:SAMES R HILL INC TEL N0:512 390-6244 4274 FO1
SUFtVEYOR'S CERTIFICATE MONTGOMERY DESIGN & BUILD
rr
• ; T~,r~`.,~~Y~ M ~T INCa DEPT
NOTE: NO 57ECFIC SOILS INVESTGATION MaS BEEN COMPLETED
ON THI9 LOT 0Y THE SURVEYOR. TF[ SUITABILfTY OF
SOILS TO SUPWft7 THE SPF-CIFIC HOUSE PROPOSEp IS
NO7 THE RE9PONSIBI(,17Y OF THE SURVEYOR
NOTE: BULDING OIMENSIpVS SHOWN ARE FUR MpRII0NY4L
8 VERTICAL LOCqT10H OF STRUCTURE ONLY, SEE
ARp117ECfVAL PLANS FOR pVIL01NG 9 FOUNDA7ICN
DIMENSA7NS.
DENOTES PROPOSCD SURFACE pRAINAGE
O DEN07ES IRON MONUMENT SE7 SCALE: 1 INCH - 30 FEET
0 DENOTES IRdN MONUMENT FOUND PROPOSED GARADE FLOOR - 920.3 FEET
X000.0 DENOTES EX15TING ELEVATION PROPOSEp LOWEST FLOOR = qiZ.6 FE[T
(000.0) DENOTE5 PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 9Zp•7 FEET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN Q sUILD THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY pF THE BOUNDARIES OF;
Lot 6, Block 2, NOWT}+EE 8'?1-I ApDITION, oaoordirq to the recotqed plot iheraof,
,
Dakota Counry, Minnoxaa
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS dR ENCROACHMENTS, EXCEPT AS aHOWN. AS
SURVEYED BY ME OR i1NDER MY DIRECT SUP[RVISION THIS 25TH DAY OF SEPT. , 19a1 .
SIGNE : JA E R. HILL, INC.
PROfOSBA aRAOES S?1oM'?1 kM
IMKOI lp00A THE ORLONq iVW
F0R W04TW M ACOfTION
PR[/k11m RY IION IWlO6ot O BY;
AsW" LAST DArIED d?-.C' JOHN C. LARSON. LAND SURVEYOR
MINNESOTA LICENS[ NUMBER 19828
Q o
m Jarnes R
• HiI I, Inc•
n ~ 71 (n N D ~
Z ~ ~ m ~ W PLANNERS / ENGINEERS / SURVEYORS
O m ~ - -C
~ 2500 W. CTY. RD. 42 0 BURNSVILLE, MN. 55337 v 612-890-6044
F
N
~
SEF'-26-' S1 THLJ 12: 07 i L: JAhIES F' H I LL I NC TEL h10: 612 630-6244 q274 Pici^
.
SURYE~/
L O91'S CERTIFICIIa?1TE MONTGOMERY DESIGN Q BUILU
'A! ^'i C I I f I,' r; i J i 4 1...
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C~13Z 2) ) ~ o f93~o~
6RAINA(E Q UTIJT~ Y~
~ EASEMEN7 PER PLA7~~~ `
1
1 ~1
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p 1 {~117'S) ~_li i
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p ,
1 I ~~~QO~ _..-I V•
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SCALE; I INCH'30 FEET
2 0 ~ L o James R. HIlE~ InC.
N r m A n ~ ~ rv `d
0 ° `o ~ ~ n ° o' m 7 z PLANNERS / ENGINEERS / SURVEYORS
N o rn ' z <
~
~ I 2500 W. CTY. RD. 42 0 BURNSVILLG MN. 55337 • 612-890-6044
e
PERMIT
CITY Oi-w EAGAN
3830 Pilot Knob Road PERMIT TYPE: U I L D I N G
Eagan, Minnesota 55123 Permit Number: 0 2 3 7 2 8
(612) 681-4675 Date Issued: 0 5/ 2 6/ 9 4
SITE ADDRESS:
3766 WINOTREE OR
LOT: 6 BLOCK: 2
WINDTREE 8TH
P.I.N.: 10-84477-060-02
DESCRIPTION:
Building Permit Type DECK
Building Wo-rk Type NEW
~
\
~
. • V ~ , -
REMARKS: FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR: OWNER: - Applicant -
SCHMIDT JqMES
3766 WINDTREE DR
EAGAN MN 55123
(612)688-8697
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 Mn.
Statutes and City of Eagan Ordinances.
- J
APPLI /PERMITEE 5 URE ISSUED BY:A'IGN T R~~
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auzLozNs
3830 Pilot Knob Road Permit Number: 0 2 3 7 2 8
Eagan, Minnesota 55123 Date Issued: 0 5/ 2 6/ 9 4
(612) 681-4675
SITE ADDRESS: L0 7: 5 B L 0 C K: 2 APPLICANT:
3766 WINDTREE DR SCHMIDT JAMES
WINDTREE BTH (612) 688-8697
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D. .
FOOTINGS FINAL
L ~
' CITY OF EAGAN
1.3121 1994 BUILDING PERMIT APPLICATION
681-4675 A ~ `
SINGLE & MULTI-FAMILY 2 sets o , d site surveys, 1 copy of energy
calcs. Mpy ~ y 1994
COMMERCIAL 2 sets o architectural & s ructural plans, 1 set of
specific - - ergy calcs.
[~Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
[Oate MA'y /-2-3 / 9'4 Valuation of work
Site Address: 3~6b F_-a
STREET SUITE J!
Tenant Name: (commercial only)
LOT C, BLOCK ~ SUBD. W-INt,>Tf~EE_ P.I.D. 0 f0-$44-77-0bC)-0Z
Descri tion of work: PcWtion o~. 'DF-LK
The applicant is: 0 Owner ? Contractor ? Other (Describe)
Name Sc-(iMSDT 5WL-S Phone 688'-5697
Property LAST FIRST
Owner qddress W'inltYee_ ~r
STREET STE #
City State M~ Zip
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City Stat 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 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:
OFFICE USE ONLY • . ~
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. O 07 4-Plex 0 12 Multi. Misc. ? 17 Swim Pool
? 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
0 04 SF Porch 0 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'l. ~15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
,U 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual Basement sq. ft. MWCC System
(Allowable; lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
# of Staries Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code V 3 y
Depth On-site sewage SAC Code O/
APPROVALS Census Un~it ~
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? .Site ~ Footing ? Framing O Insulation
? Wallboard ~ Final ? Draintile 0 fireplace
Permit Fee vawec;a,: S
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
SEF-2'5-'91 THU 12:07 ID:SAt9E3 R HiLL IIJC TEL 1-I0:612 890-F^cqq q?^,q F'[jt ~
SU1'Y 6E1 O f! ~S CE R! IFICA'9TE MONTGOMERY UE51GN B BUILU
t j
~YYIL_.+ if r~IL~i_I. ijlinI~J C
C~~ L HL'~J~
6T.91 NI°26' "
(93~.L) ! o o ~ (q3~,o}
5DRAINAC£ ft UTIIJTY~ ~
~ EASEMfN7 PER PLAT 1
1
1 ~
~ LO-r 6 -tD
1
i
y, (917 S) L
m 1
r q riz1
,s y
/ w
3761o W2ND-rmE %eo 'o P~o~s~o `oo 0 Wo
Eft&ftN/ MN :517w3 o\
~ k ~ 1r Gp~AGE Q `~Zo•U)~ Y!l ~
LoT (o %pl$ .o o
?31.ocK'i= m , 0 ' N 1
WSNU'rR~,c H-"' (G! r
pplYE'!lA o ~ r~ a+2~''l~~'~ 1~
o
m 5 ~•o`, e~j J ~12.000
2pr} ~
~R¦Zgf'".
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #/O 3 73
MEGIiANTCAT. PERMIT DATE :
RESTbENTzAT,i PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
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
OF 1 PER PERMIT
OWNER NAME: ~1n1~TC IC~(YY/'R l, 1 ~(/`~I~~Y-1
7 ` SUBTOTAL: $ r~~ ~
SITE ADDRESS:~~IIj.. l. ~It'lcVP STATE SURCHARGE: .50
LOT: BLOCK 27 SUBD. ot'~~ TOTAL: $c_,_J0
INSTALLER: FLARE . r •
nDOxess : 9303 Piymouth Ava No. SIGNATUR F P ITTE
rioiden ai ey, . 5342-1
CITY: ZIP:
PHONE SY o- mn t~
COl4MERCIALjTNDDSTRIALt PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MITLTI-FAMILY BUILDINGS WI-IEN 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: SLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER; C6NTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN , FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #O 70
N~'.CI1&NICAI. PERMIT DATE : J° o'L
RESYDENI'IAL: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS fi
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: 7-1it! f~~~~~~?~ OF 1 PER PERMIT
, SUBTOTAL: $
SITE ADDRESS: T7(G ~.v?) ~?hFl /7ic. STATE SURCHARGE: .50
LOT:~ BLOCK c~- SUBD. (A/.L+^~ ~ TOTAL: $13 •5~
INSTALLER: _ wh4?Zfr.L Id-g D`Y~'1C 4A4
.U.. c. 7 ~
ADDRESS: /q•IZ ~Y~.~i~?,?frfa90, SIGNTU ff OF ERMITTEE
CITY: 69110/ ZIP: J37z-?- Z
PHONE S!TZ -Z 6/,
'lL
COM24ERCIALJINDDSTRI'ALt PLEASE COMPLETE THZS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT 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
SiiG ATJDRc..i: EACFI $1,000 OF PER*tIT FEE.
PROCESSED PIPING = $25.00 -
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
( S I GNANRE )
FOR:
CITY OF EAGAN
tFt[A N,. . , , .
CASHIEI:: JS 7F'ti~?kFL NOa 833
rATEa. 08/31./99 lIM'=: 1.5:42a03
L
T`'^ .
rmALCOVc RCOI=SNU SIYIING
I~j210 °C'Oi. 3061 F'INE FPG Ti 167.25
2155 ;00i 3061 F'T.NE 'ZDG U JO
139.25
2210 `~~Oai 3752 PF~~MRFK T~~ 3,50
9071 3752 I!ENMi%Rl; TFC ,81,25
3210 900: 3766 WINUTR~E D ~
J.OO
ZSJJ 9U01 3itfi 14.TPllYTRFF U ,
~.~U
321.0 :1001 3770 WIt~IITFEE D 203.2.,
90pl. JiiO WSNT'l I;V:E li 1J~3.2J
<.2,.o Woos 205: cor;aL ~ N a o~
2i.:,5 90D1 ZOJJ CO'.~Al L.1, %c'X CONTINI.IC
Ck'.L16240 CCINTINUF:
USER II'r JAN
CITY OF EAGFR .
CASF;IE.Re JS Tf:RM'NRL ND: 833
PATE: OB/3i./93 TIMr: *5^42'04
IUa
NPMEe OLCOVE kCCF7:\G E: ~IpInG
!11.25
3210 D071 3960 CINAbFlF Ufi 2.50
90O:1 3960 CINAxtrl; L:C~.
,
3210 9001 4253 !:RNL~STONE 13+?p
21I.JJ ~9DOi. 4253 SiFlN~~~STO'dE
I
I d
I Amourtit, : 1..1.2'3.75
1'o'ta]. heceiP+ ,
fRi.i.62A6
L',SG:F't Il!„ JAN
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
Gi CITY OF EAGAN
3830 PILOT KNOB RD - 55122 1 G
~ 651-681-4675
New Con ~ctloed6fremenis Remodel/Reualr Reauirertle`nts
? 3 reglstered sHe surveys showing sq. H. ot lot, sq. M. of house 2 copfes of plan
and all roofed areas (20% maximum lof coveraae ailowed) 1set of energy calculations lor heafetl addHlons
? 2 copies of plans (show beam 6 window sizes; poured fnd. design; etc.) 7 sHe survey for ezferior addHlons 3 decks
? 1 sef of energy calculaflons
? 3 copies of free presenation plan H lof plafted afler 7/1/93 OX
DATE: O~G CONSTRUC110N COST: /S~S d
DESCRIPTION OF WORK: - 7-
STREET ADDRESS: J 6 Wi,,~i/-'el
LOT: ~ BLOCK: SUBD./P.I.D. 1 R ~
Name: YkE ~Ul /h , C'~ ~i~,• ~ Phone si
PROPERTY Last First
OWNER n
Sheet Address: a,IV1.~'~'r- ~lQ--
City StaFe: Zip:
Company:~/////>/,r r Phone N:
(area code)
CONTRACTOR 2~
SheetAddress: J5n License#2G/3S'01y Exp.
City State:~ Zip: .5 S/ LL
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
. Street Address: Regisfration Ik:
~ City State: Zip:
Sewer 3 water Iicensed plumber (reauired for new conshucflon onlv):
Penalty applles when address change and lot change Is requested once permit is Issued.
I hereby acknowledge that I have read ihls appllcaHon, state thaf the InformaNon Is corr . nd agree to comply with all applicabl
Sfafe ot Minnesofa Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
: e Preservation Plan Received _ Yes - No _ Not Required
L T
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex 0 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 * Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging 0 20 Pool ? 25 Miscellaneous
WORK TYPE
0 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair 0 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee a C5 Valuation: $
Surcharge 10; U
Plan Review
License
MC/ES SAC
City SAC -
Water Conn. •
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
,
.
CITY OF EAGAN FOR CITY USE ONLY
3830 PZLOT KNOS ROAD
EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #
P1;ti~S9ING.:P,BRMIT DATE: /O o? 9/
RES3D8NTIALi; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMZTS 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
.
REPAIR _ 3 WATER CLOSET 3.00
I BATH TUB 3.00 3--
M/~ 3 LAVATORY 3.00 y-
OWNER NAME: l' \U•)f U~~ • ~ KITCHEN SINK 3.00 3-
1 LAUNDRY TRAY 3.00
SITE ADDRESS: 37(0(, Cnl:-c.~ 1R-c 1~r` _ HOT TUB/SPA 3.00
! WATER HEATER 3,00 3 '
LOT:BLOCK SUBD, wiwo(..~iY.ui r FLOOR DRAIN 3.00 DGAS PIPING OUT.
INSTALiER: PIS~ Co (MINIMUM - 1) 3.00 3'
3 ROUGH OPENINGS 1.50 -I.
ADDRES S: C R c L K L- _ OTHER
WATER SOFTENER 5.00
CITY: S.in 1In- ZIP: ~5-Sl PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE y~~- I
t
SUBTOTAL $ y 3 . ;
ST. SURCHARGE .50
SIGNATUR OF PERMITTEE
TOTAL: $ `-IV '
CbMMERCSALjINDOSTRIAI.:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRZAL SUILDINGS AND
MULTI-FAMILY 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.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
• : PERMIT
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
EBgan, Minnesota 55122-1897 Permit Number: 0 2 9 5 5 8
(612) 681-4675 Date Issued: 0 3/ 0 4 J 9 7.
SITE ADDRESS:
3766 WINDTREE DR
LOT: 6 BLOCK: 2 '
WINDTREE 8TM
P.I.N.: 10-84477-060-02
DESCRIPTION:
3 SEASON PORCH '
% .
Building--Permit Type SF PORCH
I Building Work Type ADDITION
Census Code ~ 434 ALT. RESIDENTIAL
J ~l
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REMARKS:
FEE SUMMARY:
VALUATION $11,000
. Base Fee $174.75
Plan Review $113.59
Surcharge $5.50
Total Fee $293.84
CONTRACTOR: - ppplicant - sT. Lxc dWNER:
fiAC DONALD HOME IMPR 1869$707 0004608 SCHMID7 JAMES
7024 15TH AVE 3766 WINDTREE DR
f2TCHFIELO MN 55423 EAGAN MN 55123
t612) 869-8707 (612)688-8697 I hereby acknowLedge that I have read this application and state thaC the
infiormation is correct and agree to comply with all applicable State of Mn.
~ Statutes a City of a an Ordinances. ~
APPLI ANT/PE E SIGNATURE ISSUED BY.NGNEKWE
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) e4~~ g~
. ~ CITY OF EAGAN ~~a ~
3830 PILOT KNOB RD - 55122
687 -4675
New Construdian Reouirements RemodellReoev Reauiroments
? 3 registAred ske surveys ? 2 copies of plan
• 2 copias of plans (inUude beam 8 wintlow s¢es; poured fitl. design; etc.) ? 2 stte surveys (eMerior addttions 8 Gecks)
? 1 energy calculations • 1 energy calwlations for heatetl addkions
• 3 copies of tree preservation plan if lot platted aRer 7I1/93
required: _Yas _ No -
DATE: NSTRUCTiON COST:
DESCRIPTION OF WORK: S~ Zxe- 1-7
STREET ADDRESS:
LOT <v BLOCK Z SUBD./P.I.D. J
PROPERTY Name: Phone
owNeR
Street Address: 376~
City: State: 40 Zip:
el~
CONTRACTOR companv: phone
Street Address: 7~'~~ L i c e s~3
City:X'AYO'' State: /
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address:
City: State: Zip:
Sewer 8 water licensed plumber (new consWcfion only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is c ct an gree o pl ith all applicable
State of Minnesota Statutes and Cily of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No FEB 2 5 1997
Tree Preservation Plan Received - Yes - No _ Not Required $Y;
OFFICE USE ONLY ~ { s°,
.
~ •
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pooi
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
;3-'~04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE 3- S ea sovn 31 New ? 33 Alterations ? 36 Move
p' 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS 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. .c1344
Depth Footprint sq. ft. SAC Code o 1
Census Bldg i
Census Unit U
APPROVALS
Planning Building iL113 Engineering Variance
Pertnit Fee Va{uation: $ o66„
Surcharge
Plan Review
License
MCNVSSAC ~tr~C~[, 256 0~ 4~ = i0~240. ~
City SAC
Water Conn.
Water Meter
Acct. Qeposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
,SU 1'i 9 4. 1 O lZ 'S Lr 6. R!IFP C9'9 1 E MONTGOMERY DESIGN Q BUILU
t )
tti^~I~-^ i r.:L,i_~.%~ li^tilJ (~~'1nnC/1r i
i ll4'II /'1tV`~
- 87.91 NI926'I " -
('1~~.L) 1 c o (93`,30)
5
I ~
DRAINA(E 6 UTIUTY~r
• EAS£MENT PER PLAT ,
1
1 LOT 6 - ~
~
CD 1
Sc H M? T}T
~ ~ ~ o ~Z Ep ~`o ~ 376b wxN~_ ~R, ~
HOU\
~
~o s , o 0
• ' ~ ~W ~.r GA~~'G~ p (~12~ U1„ Y'~ ~
La-r 6
3Lock~
WtNDTR£~ S~" ~ (97, o~ vo~~P,(
~
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r °
~.~.04
1FL 'Z kii
PERMIT # RECEIPT DATE:
USIDENTIAL PLUM$INfi PEiiMIT APPLICATION
crrY oF E,aeAiv
3830 eaor Kivo$ ftn
EAfiRN, MA 55122
651-6e1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITE ADDRESS: b~3 W 1 r\ itf ? 2 I{
OWNERNAME:: -Tavtie5 ScY~+~,~~ TELEPHONE#:
(AREA CODE)
INSTALLER NAME: Vq'rn¢S TELEPHONE
STREETADDRESS: (AREACODE)
CITY: En-qa r STATE: Y'`~ ZIP: '59 d-~
Place a check mark next to the ermit work type
X Add-on, modification or aiteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: AaW Tv-sQmenl P.4roorv-
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
Total $ 50 • ~
I herebyacknowledge that I have read this application, sWte Nat the infortnation is correct, and agree to comply with all applicable Ciryof Eagan oMinances. It
is the applicant's responsibility to nolify the property owner that the Cily of Eagan assumes no liability for any damages caused by lhe City during its nortnal
operational and maintenance activities to the facilities constructed under this permit within Cit property/rig~way/e e n
!Y"Q~ ~
SIG ATURE OF PERMITTEE iroz
•~p ~ ] cGJ PLUMBING (RESIDENTIAL) O'~
/l? / PermitApplication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please comple[e for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date 9 / /1~ / A~
Site Address 3 ~CO(p L'/ i nGi /4~~V NJG' Unit #
Property Owner /{/dm Telephone #
Contractor J7C`~IGC A/, /'7 ~Ji 52c1 p/// G/
Address City
State Zip SS~S~y Telephone 23~ gi2,2
The Applicant is _ Owner ~ Contrac[or _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installation _ repair _ rebuild $ 30.00
~ Lawn irrigation system _
ir
- - 11~~i ,
Water softener Water heater
$ 15.00
_ replacement _ additional I'fL '~I
I
1QY.-
State Surcharge $ 50
Total $ 3f)
1 hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand this is not a
permit, but only an application for a permit, and work is not ro start without a permit that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
~1C/A n ~'trR c6' Lx ~
Applicant's Printed Name plicant's Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143335
Date Issued:06/12/2017
Permit Category:ePermit
Site Address: 3766 Windtree Dr
Lot:006 Block: 002 Addition: Windtree 8th
PID:10-84477-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
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: 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 -
James Tstes R Schmidt
3766 Windtree Dr
Eagan MN 55123
(651) 285-3788
Benson Property Llc
6989 Washington Ave S
Minneapolis MN 55439
(612) 669-9000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144136
Date Issued:07/14/2017
Permit Category:ePermit
Site Address: 3766 Windtree Dr
Lot:006 Block: 002 Addition: Windtree 8th
PID:10-84477-02-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Overhead Garage Door
Description:
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James Tstes R Schmidt
3766 Windtree Dr
Eagan MN 55123
(651) 285-3788
Twin City Garage Door Co
5601 Boone Avenue North
Minneapolis MN 55428
(763) 533-3838
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163584
Date Issued:09/04/2020
Permit Category:ePermit
Site Address: 3766 Windtree Dr
Lot:006 Block: 002 Addition: Windtree 8th
PID:10-84477-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
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 -
David F Donarski
3766 Windtree Dr
Eagan MN 55123
All Around Roofing & Renovations
701 Decatur Ave N
Suite 201
Golden Valley MN 55427
(763) 447-3944
Applicant/Permitee: Signature Issued By: Signature