3774 Windtree Dr
CtT1f OF,JEAOAN Permit No: l~Date:
3830 PUot K;nob Road Meter No: 53 ~ 3 D g1Ze; oc
P.OABox 21199 Reader No: D~ P 7 7~ -SD Date: /~-16- Y7
Eagan, MN 55121
Qwner. .Tae D?iller Const.
SiteAddress: 3774 kTindtree IIrive :,4 82 klfndtrpe Stli
Plumber pl;=U h P1 imhing
Conn. Chg: 525.00 d ~A I?A,~ Rl
Acct Dep: 15, O nits: 1
Permtt Fee: -_IQ - (Idh ng caPl 10c,71 utliities
Surcharge: ' E ~IWQot~c~ply wtth tha CHy of Eayan
Tr. Plant Q n nces. '
Meter. _ rs w .
Misc.: By
WATER SERVICE PERMIT
CITY OF EAQO PermR No: Datec Z 1-6-87
3830 Pllo~,~lCnob Road B/P No: - l n Det~ 11-3-87
PI~, atix 21199
Eagan, MN 55121
Owner joe ?i-iA1.i.er. i;onsC.
SiteAddress: 3774 Wincltr.ee nrive L4 B2 4?incitree °r'• Plumber. Pl.vmour.h P1Urnbin^ MWCC: 525.1 r, . YW~R[7~5~g• I.i
1.~~f? . ' r
( CityChg:
digiseR
I Aect TRICprfASoCd&nply wNh ihe Cfh? of Eapan
~ Permit Fee: 1; q~
' Surcharge:
~ Mlsc.:
, SEWER SERVICE PERMIT
_ _ . - - = . •.,~,~,~~t~r"""~'~"~~~
/ . . 11-6-87
~ CITY OF EA 3Ats, Permit Na 921~ Date: ,
3830.PN8f Knob Road Meter No: _ SiZec
P.O. Box 21199 Reader No: Dat&
Eagan, MN 55121
joe Z
Owner.
vy{natr 8tr.
5ite Address: 377
Plumber
Conn. Ghg: 525. 0{?nd Zoning: ry
1
Acct Dep: No. of Units:
Permit Fee: ja-on"d
Surcharge: SQid I agree lo eomply with 1he City ol Eaqan
Tr. Plant Ordinsne~.
Meter.
Misc.: ~y .I
WATER SERVICE PERMIT
- _ _ _ . - - -
,
CITY OF EAGAN Permit No: Date: lL -6-87
I1-3-..7
3830 p~iloi Knob Road B/P No: Date:
P.U box 21199 ,
Eagan, MN 55121
Owner. .Toc ?iiller Const- r~ Tr :~rtr~:_e ''th
3774 Windtree Prive I.~: .
Site Address:
P1ymoEttt? Pluxhi.nr
Plumber. '
c~i , `J~~nr.± Zoning•
MWCC: ~
No. of Units: .
Ciiy Chg:
Acct Dep: p~- I agree lo comply wNh the Cfty o1 Esgan
Permit Fee: I(, ''~q:)d - Ordinances.
. ~~l)(?
Surcharge:
Misc.: By ~
SEWER SERVICE PERMIT ;
. ~
CASH RECEIPT
CITY 4F EAGAN
3830 PILO'f KN08 ROAD
. t
, . EAGAN, MINNESOTA 55122
.
~ OATE v v 19 ~
wccovto " f ~ rROm
-Alml-ol
(O r~'
6 DOLLARS
? CASH ~CHECK
i ~ /
'`I f'%
rUND C006 AMOUNT
Thank You ~
B Y
White-Payera CoPY
Yallow-Poftinp CopY
Pink-Fils Copy
~ SLDG. PERMIT N0.1~,°~~E G J~~
01-3210 Bldg. Permit ~ r
01-3422 Plan Check
` 01-3445 Surch.lAdm,
01-3446 SAC/Adm.
' ' ~
,
:h01-2155 Surcharge ^
17-3860 Road Unit ~
r20-2275 SAC
~ 20-3865 Water Conn.
20-3868 Water Trmt. ~ O
20-3716 kater Meter
20-2252 Acct. Dep. v,.
~ 20-3713 Water Permit
~ 20-3743 Sewer Permit
C-0
79-3866 Sewer Conn. ' 6)
11-3855 Park Ded.
TOTAL
_ ~ . ~ . ~ .._.r.~., . .
CITY OF EAGAN 14375 ~
3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 i
PH ON E: 454-8100 ~
BUILDING PERMIT Receipt
To be used for sY nWG/GAR Est Value 3124' 00(1 Date NOV1iMBEb 2
SiteAddress 3774 VIhDTREE DRlYE OFFICE USE ONLY Lot 4 Block 2 Sec/Sub. WINDTRF.E 8TH on SRe 3ewape -Y_ Occupancy --T.T--~
MWCC Syatem Zoning
Parcel No. ~n _
On Site Well (Actual) COnst
a Name JO£ MILLEit CONST Citywater (Atlowawe) Vn
= Address M iA133 CEloAN AYk: SO PRV Required # of Stories
o City FAE'•';1NMh phane 431-2001 BoosterPump l.ength
Depth
, o Name ` SAtiE S.F. Total
z 1-
Address Footprint S.F.
City Phone APPROVALS FEE5
Engr./Assess. Permit ~ 575' 5Q ~
yVj W Name -~'pV
U~ Address Planner Surcharge '
Z Council Plan Review 73
" W Ciry • Phone l(!U.W
Bldg. Off. SAC, City
I hereby acknowledge tbat I have read this application and state that the Variance 3AC, MWCC 525'W
~25.~
information Is correct and agree to comply with all applicable State of Water Conn.
Minnesota 5tatutes and City of Eagan Ordinances. 67 ~~U
~ Water Meter
qignatureofPermittee - RoadUnit 305•00
AQwlding PermR is fssued to: JOE MILLF,R CON51' Treatment P1
onlhe expreas condition that all work shall be done in accordance with all
appllcable Stete of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL ~`'b ' 5
Building Official
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PN O N E: 454-8100
BUILDING PERMIT Receipt ~k
Tobeusedfor EStValue Dete
Site Address '774 W1ND'iREe DR1VB OFFICE USE ONLY
Lot BIoCk ` SeC/Sub. "~j 41'TRFf: 8TH On Site Sewage Occupancy
MWCC 3ystem Zoning '
Parcel No. On Site Well (Actual) Conet
: Name fu;'- MIL;'Ek {;Vir';'I Giy Water (Allowable)
= b:u.~K A~:,. PRV Required #tof Stories
Address
~ City Phone Booeter Pump Length .
Depth
, p Name S.F.Total
v ~ Address Footprinl S.F.
City Phone APPROVALS FEES
m
~ 7
W Engr./Assess. Permit
Name
r = Planner Surcharge
f = - Address r
~d Council Plan Review
~
WZ City Phone
81dg.Off. SAC,City
I hereby acknowledge that I have read this application and state that the VerianCe SAC, MWCC
J~ 3
informatfon is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and Ciry of Eagan Ordinances. L
Water Meter
.
Signature of Permittee Roed Unit S
A Building Permit is iasued ta- Treatment P1
on the express condition that all wo.k shall be done in accordance with all
applicable Sfate of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building OHicial _
ti Permit No. PrrmK Holder Date TNephone ~t
Plumbing C//
H.v.ac.
Elect?iC 7 . •~.t. ct-
Softener '
In.p.eHon osee ~nsp. Commenb
Footings I ~
Footir~ys II
Foundation
Frsminq ~
Roof ing
Rough Plbg. ~
Rough Htg, r1
Isul. _j ~ L O~ ~ -
Fireplace d,
Final Htg. 7 '
Final Plbg. J. Q_
Bldg. Final
Cert Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp
_^,"F'~"'~f-T~'~'• -.a-.++;a-.,.-~...: e ~ ,
.r PERMIT ll ql~' 9
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN / I~7
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~
CONTRACT PRIC • PHONE: I54-8100
. 5ite Addr s BLaG. TYPE WORK DESSR_ I~TfON
Lot Block Sec/ b Res. New
Mult. Add-on
~ Name ~ Comm. Repair
w Address Other
c City~~ Phone ' RES. PLBG. ONLY - COMPLETE TNE FOLLOWING:
FIXTURES TOT
ater Closet - $3.00
Name th Tubs - $3.00
; Addr ,~~/T~~~ vatory - $3.00
p City " PhoneT- "1!(a ~ ower -$3.Q0
T'tK
chen n Sink - $3.00
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00
APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50
TOWNHOUSE & CONDO - RES. RATE APPUES Water Heater -$1 50
MINIMUM - RESIDENTIAL FEE - $12.Q0 Whirlpool - $3.00
MINIMUM - COMM/IND FEE -$20.00 =Gas Piping Oudets -$1.50 , S a
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIT)
(ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00
- 41 =lRough Openings - $1.50
SIGNATURE OF PE MITTEE FEE • W
STATE S/C: ~ I.Sy
FOR: CITY OF EAGAN GRAND TOTAL• --5-0
~ . , . PERMIT #
MECHANICAL PERMIT RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DE3CRIPTION
Lot Block Sec/Sub Res. L~ New Lf"
i ~
Mult Add-on '
(D Name ~o Address Comm. Repair ~
c Other
City - Phone
E
FEES
Name - RES. HVAC 0-100 M BTU -124.00
3 Address 1? A ~ ADqITIONAL 50 M BTU - 6.00
p Gity - Phone _ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn 1.50 EA. :
- TYPE OF_W.ORK COMM /IND FEE - 1% OF CONTRACT FEE - -
Forced Air BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MiNIMUM COMMEACIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # .<2 ` ' BEYOND $1,000)
Other
FEE
; S/C: SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
.l
° - PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #t - L' ' -
3830 PILOT KNOB ROAD, EA(3AN, MN 55122 DATE
CONTRACT PRICE PHONE: 454-9100
Site Addre s BLDG. TYpE WORK DESCRIPTION
Lot , BI k SeclSub Res. ? New
Name ~ ~ " 1 ` • . 4 Mult Add-on Y
m Comm. Repair
Address ~ ~ ' ` ~ s Ciry Phone u ~ Other
FEES
Name
~ RES. HVAC 0-100 M BTU - a24.00
c Address •ADDITIONAL 50 M BTU - 6.00
p City Phone - 60 " (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMII) - 1.50 EA.
TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater ' M BTU _ - - _ - REMODELS - 12.00
Air Cond. ~ M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ~ STATE SURCHARGE PER PERMIT - ,50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outiets # BEYOND $1,000)
Othef
FEE
S/C: ~ SI _ ,
TOTAL•
FOR: CITY OF EAGAN"
INSPECTION RECORD ^
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 6$1-4675
SADDRESS: APPLICANT:
. .1 ~ Nn rP f F• O;; A t t.
. . ~ . , . ~ ,
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~
~ ~
Pormit No. Parmit HoMder Dafe TNophwm #
ELECTRIC
PLUMBING
HVAC
Impectlon Oeb Insp. Commanb
FOOTINGS
fOIiNU
FRAMING
ROOFlNCi
ROUGH
PLUMBING
PLBCi
AIR TEST
ROUGH
HEATINO
GAS SVC
TEST
INSUL
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FlNAI HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSAAT FINAL
~ DECK FTG R p y ZT ~'f
0 ~1 D
434
~ DECK FlNAL
~
CITY OF EAGAN N° 14 3 7 5
~ . 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
~
BUILDING PERMIT PHONE:454-8100 Aeceipt u 7972
Tobeusedtor SF DWG/GAR Est.Value $124,000 Date NOVEMBER 2 1987
Site Address 3774 WINDTREE DRIVE OFFICE USE ONLY
4 2 WINDTREE 8T11 On Sita Sewage Occupancy R3
LO~ BloCk SeC/Sub. MWCCSystem X Zoning Rl
ParCelNO. OnSiteWell (Actual)Const Vn
a Name JOE MILLER CONST Ciry Water X (Allowable) Vn
3 Address 18133 CEDAR AVE SO PRVRequvetl - #ofStories 56
o City FARMINGTON phone 431-2001 Booster Pump _ Length
Depth 50.3
, o Name SAME S.F.TOtal
~ a Address Footprint S.F.
: City Phone pppqOVALS FEES
~ a Engr./Assess. Permit ~ 575.50
wW Name 62.00
~ i Planner Surcharge
z~ Address Zg~.~S
City Phone Councii Pian Review
a w Bldg. Off. SAC, Crty 100.00
I hereby acknowledge that I have read this epplicahon antl state ihat Ihe Variance SAC, MWCC 525.00
information is correct and agree to comply with all applicable State of Waler Conn 52$.00
Minnesota Statutes antl City of Ea1ga/n ~Or,tl,i~n~an-cers. ~ Water Meter 67.00
Signa[ure of Permittee " i~"'~~~
ROad Umt _3-0-5_ 00
A Bwltling Permit is issued to- JOE MILLER CONST Treatment P1 180.00
on ihe express condition Ihat all work shal I be done in accordance with all
applicable State of Minn ota Statutes a~g City_of~agan Ordinances Parks
~
BuildingOfticial TOTAL ~2e627•25
~
.his FQ.ezt ~oid 8/CO 56
18 nwmhs /rom
D 71713
Requ,et Da1~ ~ Rre No. Fouph-in InsUer,tion
-?b ~ Re~wred~ eady Nuw 0 Wrll No,dy Insocc
o~ ?1'os ~~'(JO Wr When Feady
~Lit,ensed Electncal Contractor I hereby r quest mspacbon of above `
Owner elactncal work installed ab
Sveet Address, Box or Pou[e No. Ci1Y '
~ P ~
ecuon o. T wnship ame or No. Ranye o. C.unty Occo a I IPflINT Phone No.
t°.S ~ ?~o LJ. --C 0 . : ~ .
Power SuPPlier ' A s _ L 1=,:iTi: f:IG E~ EL~~IC C0. -
Eieclncal Contracmr ICom a y nmeY Gontracmr's License No.
55119 ~
Mailinp AtlJress IConvactor or Owner Makiny Instailauonl
Author¢etl n. mre IC~oMract Owner ng I allaLON Phune Numbcr
MINNESO TA-STATE BOAPD OF EL 1ACCEPTEDIBY TH~STATE BOAflDT
BE
G~~B9s-Midw Idp ~ 9~ UNLESS PHOPER INSPECTION FEE IS
1821 Univer
Phon ~ 642-OBQO St Paul. MN 5510G ~ ENCLOSED.
X
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
~ sae insitucrons io. Comoiarne this to.m on beck ol vellow ~oo~ ~ 8~(o J a7'
M ' 7"1711-, "X" Below Work Covered by lhis Requesl
waiAdtil ReO. TvPe ol Bwlaing Applmncna WireJ Enuiuenant WveA
Home Ranye Temporary Service
Duple.x Water Heater Liqhbny Fixiwes
AIn Apt. Buil din~7 Dryer Eleclnc Heaim
Commeraal Bldy. Fumace Silo Unl~idc+r
InAusirial Bldy. Air Conditioner Bulk Milk Tank
Farm "nr~ an.c. v .i"•r 1 n.r Succr y ther Oin~~
spectron Fee Below
p Fee Service Entrence5ize h Fee fyodors/5ubloetlers b Fre Circurts
U to 200 Am ps 0 to 30 Am s 0 tn 30 C.n ps
Above 200 qmps 31 to 100 Amps 31 to 100 Am s
Swinuning Pool Above 100_Amos Above 100_Amps
Trenstormers Irrigation Booir,5 Partial•'Other Fee
Signs Speciallnspeclion 5 '
TOTAL F
Aemarks D
RouBh-in D"1P' I, the Elac '
In5pBC10f, hBfOby
GBfl11V lhBl 1he nbOVB
Final • U;nu ~
• f 7 ~nspoction hes been
l / ~ moea.
Thn reQUest voiA 18 montla tro.
1 o d/~~ ~ l ~ ~
18 nwmhs from
D 72670zq .2 AL e'z:'
Request Ua~n Fire No. Rouph-in insuur,i~on
FeqvneA> OReaAy Now ll Nouiv InsPec-
~es ?No W~en ReaAY
XiLice (seA Iectnwl Contractor I hereby request inspecban ol ubova
? Owner elechical work instulleC aL
Slreet Atldress. Box or qoute No. Crty
ec'lon o. Township Namc o1 No. Ranye No. Cnun
Or.cupant (PRINT) Phone No.
Powee $upplier Atltlmss
ElecUical mractor ompany Name) Convxr,mr's License No.
u I /
Madinp A Jress ICOnuaclar or Owner Makind Insnilauonl
u 4
91d 7 55 3
Au~ need $ignamre ICoMraclodOwner Makiny Installationl P one Number
o- SGiI
NESOTA ATE BOAFD OF ELECTNICITV TMIS INSPECTION REQUEST WILL NOT
~9es-Mitlway Bltlg. - Noom N-191 BE ACCEPTED BV TNE STqTE BOAND
1021 Universitv Ava..St. Veul, MN 55104 UNLESS PNOPER INSPECTION FEE IS
ahn..., IFiII Fav-nwnn ENCLOSED.
06
17 REQUEST FOR ELECTRICAL INSPECTION ~ E ~ B-00001- ~s~
~ See ins4ucbens tor comoletinp this lorm on bock o1 yellaw cooV.
D y Q ~ f 2 6 7 0 "x Below Work Covered by lhis Request
add Rao. rv e ol Buiieing Aooloncee Wired Equtumenll wven
Home Ranye Temporary Service
Duplex Water Heater Lighbny Fixtuies
Apt. Bwlding Drye~ EleCtric Heaiin
Commercial Bldy. Fumace Silo Unlonder
InduStnal Bldy. 25, Air Condrtioner Bulk Milk Tank
Farm Oinei oeci v .~ner Itiueu~vl
t vr uc,ly tM, Oihi;,
ompute lnspeclion fee Below
p Fee ServiceEntranceSiza b Fee Fendens/5ubleadels a Fee Cvcwts
.00 0 Lo 200 Am ps 0 to 30 Am 5 0 tn 30 An >s
Above 0 qinps 31 to 100 Amps 31 to 100 Am s
Swimmin20g Poal Above 100_Amps Above 100_Arn>5
Transtormers Irrigation Boortis Par[ial. Other Fee
Signs Special Inspection
y ora~
Rertarks ~ .
HouBh-in : DI:iie /J I, the E cal
v Insoector, hareby
F~nal ~ certily thn, tM1e abovo
inspectioii hes been
made.
TMe request volA 18 mon[he tmm
~ For Oflice Use I 4b~
Clty of Eapn I Permit d (J ~ / ~
I ~
3830 Pilot Knob Road j Permn Fee:
Eagan MN 55122
I Dale Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 ~ Staft:
2008 RESIDENTIAL PLUMBING PERMIT PPLICATION
Datel,y`C/?lDU SiteAddress:?-~L7--)_ ]L,l VL)L, Y, -41Lu ' iL
Tenant: 1 D( ~ \f A } a -u Suiie
RESIDENT / OWNER Name:~ Phone: Lan~ ~om
Address / Ciry / Zip
CONTRACTOR Name: t-GV$ , l _C~~~i~.tt: L~l-
Address?t-1 ~ l-~ ~ ~t\
Cily:'--~t State`Qk)~ZiP:
Phone: ~~~~nl D(~((~LU~ Contact Person:
TYPE OF WORK _ New -Neplacement _ Repair _ Rebuild _ Modity Space _ Work in R.O W.
Descri tion of work:
PERMIT TYPE qESlDENTIAL
, _ Water Heater, . . ~Water Softener
Lawn Irrigation Add Plumbing Fixtures '
RPZ PVB) Main _ Lower Level)
_ Septic System Water Turnaround
Nnw
Abauidunmenl
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Waler Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 Stale Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Waler Turnaround' (includes $ 50 Slaie Surcharge)
'Water Turnaround (add $136.00 if a 518" meler is required)
$100.50 Septic System New ($10.00 per as builq (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed oul appliances, ductwork, etc.) (includes $.50 Stale Surcharge)
TOTAL FEES $
I hereby acknowledge Ihat ihis inlormaiion is complele and accura(e; thaf Ihe work wdl be in conbrmance with Ihe ordinances and codes of Ihe Cily of
Eagan; Ihat I undersland this is not a permil, 6ut only an applwation lor a permit, and work is not lo start wtlhoul a permit; Ihal Ihe work will be in
accordance wtlh ihe approved plan in Ihe case ol work which requires a review and appro . I o lans
X~ - f
Applicant's Printed Name ppl' anl's gnature
FOR OFFICE USE Revlewed By: Date:
Required Inspectlons: _Under Ground _Rough-In _Air Test _Gas Test _Final
,
a
~ja,~-, /~W 55/zy
~
31, MA
wiNDTrvK~ 0~
NY77 -0yu-o2
377~ W, .X~- - ,
c;a~.~ ~.JG:~.~..~ e~- 0.- v~.,~.~-~e~, p,~a.~{~,.s;
c.-e_
~
~
~
~--I~-
V~
14l/Z- .
w
/
a,, a.4?<- /~e
Sz..,~v"_"'
4Xe..U xg
-h„- 0~L~-~~
,
s,(~, ~ -
~79
~
e-V~ ~
~ .
Sue d Hale Meserow
r~ JI ~a~ N~~ _
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 031827
(612) 681-4675 Date Issued: 0 4 J 2 2/ 9 8
SITE ADDRESS:
3774 WINOTREE DR
LOT: 4 BLOCK: 2
WINDTREE 8TH
P.I.N.: 10-84477-040-02
DESCRIPTION:
Building„Permit Type DECK
Building Work Type NEW
Census Code ~ 434 ALT. RE9IDENTIAL
,
f~
~
j
J~ A i-
~ t~~'i~~
.
~
REMARKS:
PLAN REVIEWED BY MIKE BARCK
FEE SUMMARY:
Base Fee $50.00 COPZES $1.25
Surcharge $.50 Total Fee $51.75
Subtotal $50.50
.
CONTRACTOR: OWNER: - Applicant -
• ASTA MARSHALL
3774 WINDTREE DR
EAGAN MN 55123
(612)688-9296
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.
m~
APPLI A T/ ERMITEE SIGNATURE 'ISSUED BY: IGN UR
_
~ 998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
New Construction Reauirements RemodeVReoav Reauirements
? 3 registereC site survays ? 2 copies of plan
? 2 copies of plans (inGuda beam 8 window sizes; poured Md. design, etc.) ? 2 site surveys (exterior additions 6 decks)
? 1 energy caiculations ? 1 energy plculations for heated additions
? 3 copies ot tree preservation pian 'rf lot plattad after 717193
required: _Yes _ No
DATE: y" I7' 9S' CONSTRUCTION COST; /SnO o0
DESCRIPTION OF WORK: _r/eal~-
STREET ADDRESS: 3 7 7% ~a/f re.- .fIr
LOT: ~ BLOCK: SUBD./P.I.D. ~~~1UIJltt oa ~~~1 i
Name: Iq 5T4 1144n.51)fi6(- Phone#: c go '
PROPERTY Lwt Fist 8C7- SOQS -WI
O WNER
Street Address: 3~ W)i1jjjtP1' ~?City ~uq Gt/V''. State: kl~4G^ Zip:
Company: Phone
CONTRACTOR
Street Address: License k
Ciry State: Zip:
ARCH[TECT/
ENGINEER Company: Phone
Name: Registration
Sueet Address:
Ciry State: Zip:
Sewer 8 water licensed plumber (new construction oniy): Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is cortect and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant:
OFFICE USE ONLY D ~ @ [9
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
e Y ry ~ f ~
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition ? OS 8-plex O 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex )2r--15 Deck
WORK TYPE
~P-31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCNVS System ~
(Allowable) Main level sq. ft. City Water /
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code.
Depth Footprint sq. ft. SAC Code ~
Census Bldg 1
Census Unit O
APPROVALS
Planning Buiiding M& Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies i.2s ~S)
Total: - - - !1t t:i
~l~ % S~AC~ VLS6G
ONSTRK'T/oN
N.9SSOi
ENG.INEEAING COHSUITIl10 (I{61NEEA5
~ PlAlI11EAS ond LAHD iUf1VoK 8B
COMPflNY, INC. '46~ ze,Z9
c N422-300c)
100Q EAST 146tq STpEET, BUfifISVILLE, 111NHE:0TJ1 S:_37 PII C4e TI Z~Z
~~G~ ~*CT^~ 22art • LOT 4, BLOCK 2, WINOTREE 8TH ADDITION,
DAKOTA COUNTY, MINNESOTA.
3a - ~
~
a
,
S ?
Q c D 'RJ \ ~\/N9~f G ,SS.,
f l ~g NORTf•/ I
P(/ ~O(p 3o q\~0a0 c'\ 9i~s\ ~NT~, 1 SCALE: ='~,I
J I
9~ c p0 . oo ti P~'' \y (9z 3~
~Q\ j' e\ \ ~ •'9z3 p; I
\ f N ~ ~ ~ ~~9!~ ~
2, Q •.s ~
(9e' z~ ti OQOJy~ D ~ /O
/ 0 y~ I
ke\ ~ I
SETBACK L/NE
I
LOT 4
s I N
~ cc
. I
~S c_ l~~~:\ ~c~•. I.vv.FE,\
4¢ c_\ ~o rn
to
/ o
~z
~RA/NACE
` ;p I/T/L /TY EASEMENT! ~ ~
~
o )
/ O
O
~9?~06,DENOTES EXISTING ELEVqTION / R
(920.0) OENOTES PqOPOSEO ELEVATION
---t-~ INDICATES OIqECTION OF SURFpCE DRAINAGE
F/N/SNED LARAC f ~
E LOOR ECEV~qTiDN = 9 /7,8 3 '
S 88 23' ]8" W 62:26
. ~Y/R
I hereby certily that thia ie a t:ue and cornct repraeentation af a tract ot
ltnd ai ahoxn'and deecribed heraon.• AQ prapared by me on thii ZG "1 day ot
~CToBEJ2 ~ 19 187.
Ninn. Ars. No. 1461,f
<
APFLICATION FOR PERMIT iNOTE= PA'IMFNP OF OM pT TIME OF ;
. , ; neetacaasau oors nr7r corr ;
STI1OlE APPUOVAL OF PIIBCT. `
SEWER AND/OR WATER CONNECTIQN :INsrEmoN aemm ,NDioas,mTER :
; xNsrnccATTaas w¢r. eut se scmtu.m ~
. • ~ 1W1'IL PFRDIIT fViS BEFN AppRpVID. t
~ ' ~i1l4ff4i#illftt4f4iltiittt4YfMlYtfilt
l•
. . dty of e
(PLEASE PRINT
1) PROPII2TY ADDRFSS: 37741A)i //cfhcc 17r
T•FY;AT• bESCRIPTION;
(LOt B oc S ivision or Tax Parcel ID
IF EXISTING STRLCTI)RE, DATE OF ORIGINAL BUILDING PERMiT ISSL~ANCE:
Mont Year
PRESENT ZONING/PROPOSID LSE:
Q COM[IEEtCIAL/RETAIL/OFFICE I=L--'R-1 SINGLE FAMILY
Q INDTISTRIAL E'] R-2 DOPLEX (3tva Cnits)
Q INSTI7UTIONAL/GOVERNMENT Q R-3 TOWNHODSE (Three + Units) ( Units)
Q R-4 APARTMENT/CODIDOMINIUM ( Units)
2) NAME: -ju~ /y7r/l~t- Cok.s{-
ADDRESS: lg13-3 C~Qw. .4 v<- S'
CITY, STATE, ZIP: ~qrm:r~fti.-1 H7?
PHONE: ~c ~!-aoul
For City Dse
3) ' E :w NAME: 12 (c 2rc, Pl reI.~cense:
ADDRESS: lys~8 a3R~ ~4~~ ~JActive
ESipired
CITY, STATE, ZIP: .26715I'IAJ y-S yy/ Not recorded
PHONE: 3475- MASTIIt LICENSE #Sta Initi
4) ~ " •
N11N1E: 5~4... ~ /'~s (J-)
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ~ ~ • a • o .i
E11fONNECTION TO CITY SEWEE2 ~NNECTION TO CITY WATII2 UB~0PIIER
6)
~ ~ .v.o,..~~ ~ a-•~~-~ ~ ' " Uo v .5r8'7
**~****.**«**w******~***********.~*********~****~****~******,~***~***~****~********~***.*****~**~*~*~
* THE GOLD COPY OF 'iSIE PERNffT WILL BE SENr DIRF]CI'LY RO PUffi,IC WORKS TD FACILITATE MEPEEt PICK-OP.
*k PLEASE AISAW '1W0 WORKING DAYS FOR PROCFSSZNG. SOPMNE FROM TEIE CITY WILL CONPAGT YOL IF THERE *
* ARE ANY PROBLIIMS. ,~****,r**~****x****+*~******~~****~****,r**+***+***+****v~«*+*****+~*********+***,r***~~***:~*********:i
. F'OR CITY USE ONLY PERMIT # ISSUED
Pd w/Bldg, Permit FEES:
$ $ ~C5 -S-D SEWER PERMIT (INCLL~DE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ C~o ACCOLNT DEPOSIT - SEWER
$ $ 'O ~ ACCOL'NT DEPOSIT - WATER
$ ,~1 Z S O-o $ WAC
$ ~p Z $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ /gQ •r1~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I J'% 7$ TOTAL
- -7e 7 96 6 o
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
~ YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
~ NO DIVISION. LIST AS A CONDITION.
SUBJECT TO TAE FOLLOWING CONDITIONS:
APPROVED BY: ~LL
TITLE:
~
DATE : /z- Js
198~ BQILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SELS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOHNER MOST DESIGAATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSQED.
MULTIPLE DSiF.L,LINGS - RFSIDIIVTIAL RENTAL UidITS FOR SALE iTNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCI6L
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
t SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
~ dEC'0 OCT 2 9 1987
To Be Used For: Valuation:~J~~~ Date:
16
~ 7-
Site Address 3 77 OFFICE USE ONLY
1 4,000""
Lot ~ Block On Site Sewage_ Oecupancy R-,3
1 ~ MWCC System r/ Zoning R-I
Parcel/Sub 11'hz1„A2~ On Site Well Type of Const
City Water (Actual) V-N
Owner (Allowable) V- N
tori
Address ~(ycX K(~v,t,r.LQ,~ Lengthes 56 Do'
Depth 50.3 3'
City/Zip Code S.F. Total
Footprint S.F.
Phone APPROVAI.S FEES
Contractor Assessments Permit 59.$'S0
) Water/Sewer Surcharge 6 Z.OD
Address Police Plan Review 28'7.75
Fire SAC, City IDD,Do
City/Zip Code Engr SAC, MWCC SZS, OU
(9- Planner Water Conn 5 ZS, Do
Phone Council Water Meter 60.00
Bldg Off ~ 14J2 Road Unit S.oa
Arch./Engr. APC Treatment P1 IAO•DO
Variance Parks
Address Copies
a
City/Zip Code TOTAL 5 `
Phone I!
l-
GARA6t - " - .
, , > . ,r
,
a y x,2 y ^ s'?6 ,
Z x j2.~ au
r
600
X12 = ~ZC~t~
~ S-r Ltvt-L g srni'
514 X~C,= lHoy
$ X 11 = D)
Z y /o= ~?o)
4 58 = r16'? 9 P'
I 32 >4
2 u-p Lc- vEL
z z x 3u = 83G
2 K
888 x yy = 35~
123o6y
5'~5•5u+
~ 62•OU+
~ 28 7 '"r5*
625•UU+
525•OU+
67 • 0 u r
3U5•OUF
180•OUr
2G`L7•15:t
!
M/CCER CONSTRGrT/oN
ROB` [of{SULTI110 tH6IHEERS P.N.9SS.oi
ENGINEEAING PIANNEAS ond LAHU jURVEYOQS QpoK BS
COMPf~NY, INC. A6FS z8,Z9
~ I000 EAST 14691 STREET, BURN:VILLE, tIIIIt1E:0TA 5t237 pll 4:2-3000
Ce y-zz ZCcz ze c
~4aI 12e4CT'4P2 iart • LOT 4, BLOCK 2, WINDTREE 8TH ADDITION,
. DAKOTA COUNTY, MINNESOTA.
3Q , I
~ '
3_J i
Q
/
S
4•42'JrJr,
/VORTy
0
~~0~ 300 ~ ~p~~,• ,i i ~ ~9~3 ~ I
ytio'
R~
~ 6> I
~;9?~ ~ \o \
C9iy,,~ oo Dy I
(gao
iia ~ Q~~e~Jy a•°~ ~1~ \ lo
/\\O~
ryR. o (
'30'FRONT BU/~~NC ~v
SETBACK L/NE \\,~3~ ~9z? s~
\ LOT 9 ~ o
s N
Q
co
r)
/S 4¢ E.S,
o
~ z
' !/T/L /TY EASEMENr! ~ ~
• )
~ p
DENOTES EXISTING ELEVATION / R
(920.a) DENOTES PF70POSE0 ELEVATION /
INDICATES OIRECTION OF SUFFACE DRAINAGE
~
F/N/S:sED 6ARACE FCpoR ELEY.9T/ON =`f/7, B3
S 88 23' 18" W 62.26
I hereby certify that thia ie a t:ue and cornct repraeentition a[ a tract ot
ltnd as thoxn'and deecribed hereon.• Aa praparad by me on thii 'G6 "H'day ot
Q"ToBER ~ 19 8 7 .
}iinn. Rfis. No. /~ogf
. . CITY OF BUILDINU DEPAR'lI•ILHT
. k%XTEBIOR E1VVF,4,OPE AVE12ppE "U" C014PUTATION
, (To be eubmttted tivith building permit application)
one or Two Family Dwelling Owner
All Otlier 2'
, w/~~F5~ite Addrese
Contractor [~n~!'~'~ Date Pho ne
LINEAI, FECT OF
EXPOSED WALL fte above grade ~
TOTAL EXPOSED WAL p Q~', FT,
oPAQUE WALL CotIS'PRUCTION I "Ull Value x Area
Detail ifpn 1 D`LL-x SQ. FT. 167Z-111. •a1-rj (U)(A)
reference ' D'1L0 X SQ. FT. Lf -`-j `U)`A)
npn . o 40
attached npu x Sq. FT.= , ~U)(A)
tsliroeom te n~n x sQ. FT. _ U)~R)
. npn 8 SQ. FT. _ (U)(A)
x SQ. FT._ _ (A).
YlINb01YSI "Ull Value x Area {
Afexlce & TyPe
n x S. FT.'Zlo ,
ux se Il75=120 4 (u)(n)
n Q. F.L.
(U)(A) IIUII n u npn xJQ. FT. _ (U)(A)
x SQ. FT. - (U)(A)
DooRSS "Up' Value x Ares
I•(alce & Type flu11 ¢
e. FT. t
u ° ~II .~'~ani~ 1!-. nu x SQ. FT. A
U )
-~~t.~= ~ ~35 u
n a (U
n IIpu x SR. FT. = (U)(A)
' x Sq. FT. = (U)(A)
TOTAL9'g SQ. F'T. Ci ZI (U)(A)
TOTAL (U)(A) VAI,UEB AVERAQE IIUII
5.zi 23 ro
DIVIDED BY TOTAL {7A],L AREA ~
AVEl2AaL "U"~ ~~I~~~ •
•115 leoa for 1&2 fumily dwellinge
RoOF/CEILINa s ,5 I TOTAL AItEAs
Deta1l reference iiun ^ , 6 Zj
from ~ 31 ~ (U) (A)
cxttached stieete. Il~ll x SQ. FT. a
x (U)(A)
Deocribe openinge fouil 3Q. FT. _ (p)(A)
in roof. Iluil x SQ. FT. _ (U)(A)
x S@. FT.~ (U)(A)
ToTni. (u) (n) VALUES DIVIllLD $y 7 T-rAvS 1~EaL 23L
• 'TO'i'AL ROOF/C~EIL~ 0 AItEA 54•~T - ~ ' ( Cl~~>
AVERAQ~ ~ + p2 So ~ OZI
5 entilnEed roofe.
' ~ . .~r.-
5 X ( -~"'~Z-{~ 5'Z~~27, Sf 2~~ s) = /r~ ? ~
Z1~-2,Z- G 4of¢d) = I b~ 2
Z Z C.Q 11, 78
~--~9r---
~ t~ 1 X ~~i' =/o(~. 53
~~a_ .
, g3x Z ^ 2~q.,~ ~
2~ 45 = 22,t;7 K 4 = 9 0, o
i 4- zpx (0a = 44- x 44-,a
22
3~ x 1 - ~3, a
14,o
2--~-Zj(
4u;o _ ~ ~k 1 = 4i,zs
I z- Z4x3~
21~1 ~ 7S
~
Z ~z, = 2 I, o
42ra
'O~O r ~J
I~7 ~ 5~- " ?zvvv~ 2?s~, s9 I
~,oa " Z~ i, 7S' `
- Z~x Il = Z-7z5-
'12X
2~
I
. . . --waT.L sECTIOH--
't 'Determining "U" vsluee at Roofg Wall, Rimp and Conc. Block
ROOF/CEILINa „ R VALUE
1.) Interior Air r'i1m 0.61
z.) 5/81, (typ. sa. .56.
3.) Ineuletion 44,no
b.)
5.) Exterior Air Film .61
0 2 3 (BTILL)
6 . nU° = i/Rv r02.~ i'OTAL (R)=
l .
$ WALL R VALU
9 60 Interior Air Film 0,68
7.i aYp. ad. 45
8.) Inaulation M00
9.) $~IL-r-gIrE z.oQ-
10. ) Mctaonite Siding .67
l0 11.) Exterior Air Film .17
l
uuu = 1/R= .043 TOTAL (R)=Z3.Of
RIM R VALUE
120 Interior Air rilm 0.68
13.) Ineulation 19•00
~ 14 14.) 211 Fir Rim Joiat 1,88
15 15.) gvt~r-R'rTc 2,0916.) Masonite Siding .67
17:) Exterior Air Film .17
. o
, a• npn a IIRe ~040 TOTAL (R). z¢.g¢
U~ 0e ~
~ FOUNDATION R VALU
18.) Interior Air Film 0.68
19.)
zl . . la
L)e Zo. ) R'-,+f STRlPr~D 1/.c~
210 1211 Concrete Block 1.28
' e n 10 22.)
23.) Exterior Air Film .17
e
, 0° • d, • uUn n 1/R= 07(0 TOTAi. (R)=
~
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122 ~ 5'7 ZS
651-681-4675
New Constructlon Heaulrementa RemodeVReoeh Heauhemente
• 3 registered sHe surveys shawing sq. fl. ot bt, sq, ft. ol house; and all rooted ereas • 2 copias of Olan
(20%maximum bt coverage alWwed) . 1 set of Enargy Cakulatlons for heated add'A'pns
• 2 ODpies of pl2n showing beam 8 window Sizes; p0ur80 found de5ign, etc.) • 1 sRe Sunay for exlerbr atlUAions 8 deckS
• 7 set of Energy Celculalions • Indlcate M home ServeA by septic system for adAAbns
• 3 copies ot Tree Preservation Plan tl bt platted after 7/1/93
• Rim ,bist Detail Optlons sel ction sheet (Old s wtth 3 or less unAS)
DATE ~ d VALUATION 7 S'.~
SITE ADDRESS .377 yi?! N,t7 Tc 2_ MULTI-FAMILY BLDG _ Y &f-N
NPE OF WORK AL Ruc, 16 FIREPLACE(S) _ 0_ 1_ 2
,
APPLICANT A_COd- )ZcloFrn-'~ Z J/0/ 4J ~Y
STREET ADDRESS GSf'j 5 4DEIS YPL'tz R~VD CINJE • P. STqTE 11' f4i!P SS 3y
TELEPHONE # 22" Z7Y-205S'-CELL PHONE # FAX #
PROPERNOWNER A&,-erj It LC 45//i- TELEPHONE#6/a- /65-" F5(P~?,
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINVESOTA RUL.ES 7672
(J submission type) . Residential Ventilation Category 1 Worksheet Submitted • New D~ CL+)~e~i[VoL~ ~s t u mi, ed
Il~
• Energy Envelope Calculations Submitted ~ V
mav 2 4 2002 Plumbing Confractor: _ Phone #
Plumbing system includes: Water Softener _ LaKn Spiinl:ler By Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhactor: Phone #
Mechaziical system includes: Air Conditioning Fee: $70.00
Heat Recoverv Svstem
Sewer/Wafer Conhacfor: Phone A
I hereby acknowledge ihat I have read This application, state That the In~fo ~Tion '~a , nd agree to comply
with all applicable StaTe of Minnesota Statutes and CiTy of Eagan O at~i nces.
Signature of Applica
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4sea.) ? 33 Exl. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. O 42 Demolish (Foundalion) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicaM
Valuatfon 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 Canst W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Foo[ings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile O[her
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding S[ucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Ptan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
RESIDENT[AL BUILDING as
59611. Permit Applica[ion -7 I .
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 Fr1X # 651-675-5694
New Construcbon Reawremen4s RemodeVReoair Reauirements ORice Use OnN
3 registered site surveys shrnvirg sq. ft of bl sq. ft of house; and all rooled areas 2 wpies of Dlan Cert ol Survey Recd
(20°h maximum bt coverage atlowed) t set of Eneqy CaICUW6ons for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window srzes, poured found design, etc. 1 site survey for addifions ffi decks Tree Pres Not Reqd
1 set of Eneyy Cakula6ons Addifion - mdicafe il on-sde septic system _ On-site Sepfic Syslem
3 copies of Tree P2servation Plan if lot platted aRer 711193 `
Rim Joist Detail Optlons selection sheet (bldgs with 3 or less unAS 5 I q
Date SC/ Construction Cost 7s~ co
Site Address uUnit/Ste #
Description of Work
Multi-Family Bldg _ Y~/ Fireplace(s) _ 0 ~ 1 _ 2
Property Owner ~iCGi ~ G i.?/~,~(% Telephone #Q/S~ 7So~
o~
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Ener~~e~b9e'1Cf~~~ , Licensed Plumber D 9(1 3 ~ Telephone )
I n ~
Mechanical Coniractor Telephone ~
Sewer/Water Contractor g Telephone # ( )
I hereby apply for a Residential Building 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 the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to staR 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.
4Snatur
Applicant's Printed Name Applic,
' OFFICE USE ONLY
Sub Types
? 01 Foundation 0 07 OS-plex ? 13 16-plex ? 20 Pool 0 30 Accessory Bldg
? 02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OB-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_YOr_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demoiish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bidg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Enlire Bldg) - Give PCA handout to applicant
Valuation Occupancy i,> MC/ES System
Census Code y 3~ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Widih
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
Footings(deck) FinaWi o C:O.
_ Footings (addition) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice &Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ \Vindows (new/replacement)
_ Insula[ion _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review '
MC/ES SAC
City SAC
Utility Connection Charge
S8W Permit 8 Surcharge
Treatment Plant
License Search
Copies ~ as
Other
Total
~
Cities Di ital Quality Control
The following image represents the best ,
available image from the original page.
Every effort was made to capture the content
from the original page.
2005 RESIDENTIAL PLUMBING PERMIi' APPLICATION `
CITY OF EAGAN
3830 PILOT KNOBROAD,.EAGAN MN 55122 ;
651-675-5675 Please complete for modifications to existing residential dwellings. ~
Date 1 / Sr / ~
Site Street`Address I ~J1 1'1 W ~~'{'~.Q Vl~ Unit #
Property Owner •J l~.j e {~LR.L`~~~,~. ~ c~y~q Telephone # (to5~) (08$'';9a9~,
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contractor p~tJN~S WE'Q(~E Telephone# (6 la)$OI-6all.90
aadress __a{4 313-° AUC. ~W city ttv~C 4Ni v1S0M' scaiel~`i"%J zip 5~
The Applicant is: _ Owner ~ Contractor =0ther
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures:_(excludes_water softener andlor water"heater-=complete next v
,
section if installing these appliances),
_Septic System Abandonment i .
_ Water Turnaround (add $125.00 if a 5!8" meter is required)
_Other.
_ Water Softener _ Water Heater . $ 1'5.00
_ new replacement
? Lawn Irrigation _RPZ ?PVB few _repair rebuild - $ 30.00
. „
State Surcharge , $ .50
° ` -
Totaf $ ?~b,5o
I hereby apply for a Residential Plumbing PermiY and acknowledge 4hat tfie information is complete
and accurate; that the work will be~ in coniormance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work wili be in accordance with the approved plan in
the event a plan is required fo be reviewed and approved.
r ~
~ ~
f r Ci~_y
I
ApplicanYs Printed Name ApplicanYs Signature LAPR Y 2 Zp05 hY
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA147594
Date Issued:01/19/2018
Permit Category:ePermit
Site Address: 3774 Windtree Dr
Lot:004 Block: 002 Addition: Windtree 8th
PID:10-84477-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required 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 -
Marshall F Asta
3774 Windtree Dr
Eagan MN 55123
(612) 965-9562
Minnesota Rusco
5010 Hwy 169 N
Brooklyn Park MN 55428
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163336
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 3774 Windtree Dr
Lot:004 Block: 002 Addition: Windtree 8th
PID:10-84477-02-040
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 -
Marshall F Asta
3774 Windtree Dr
Eagan MN 55123
(612) 965-9562
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:Plumbing
Permit Number:EA175645
Date Issued:04/11/2022
Permit Category:ePermit
Site Address: 3774 Windtree Dr
Lot:004 Block: 002 Addition: Windtree 8th
PID:10-84477-02-040
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Michael Lavine
3774 Windtree Dr
Eagan MN 55123
Tony's Appliance Inc.
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177261
Date Issued:06/22/2022
Permit Category:ePermit
Site Address: 3774 Windtree Dr
Lot:004 Block: 002 Addition: Windtree 8th
PID:10-84477-02-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Michael Lavine
3774 Windtree Dr
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179108
Date Issued:09/19/2022
Permit Category:ePermit
Site Address: 3774 Windtree Dr
Lot:004 Block: 002 Addition: Windtree 8th
PID:10-84477-02-040
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Michael Lavine
3774 Windtree Dr
Eagan MN 55123
(651) 343-0252
Milbert Company (culligan)
1801 50th St E
Inver Grove Heights MN 55077
(651) 451-2241
Applicant/Permitee: Signature Issued By: Signature