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3782 Windtree DrCity of Eaafl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 r Use BLUE or BLACK Ink Permit#: qg �� 3 Permit Fee: 3c4, Date Received: Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit #: Fill rt �Ft L (1'/t RESIDENT / OWNER Name:sL `G & GJ (`tib q �• V c \ Address / City / Zip: 37gl. W -'c- .. % Applicant is: Owner Contractor Phone: �v\ ba 4P-86 -7 7 Sri 2,3 TYPE OF WORK Description of work: a5 e vN,e.,A. 4- Construction Cost: l •1 . 00O Multi -Family Building: (Yes / No ) CONTRACTOR Company:Ot'\e-v`• CernStvvc " Vs..C_ Contact: ‘)Ny•.,,,t\ Address: 13 ycd2C-Sem fal01\ CA- City: J4Qk y State:MN Zip: 6.S,2— J Phone: -2-7e-i-31l E, License #: Z©,5 gO5rZ 1 Lead Certificate #: 11)44' 6 r 7 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) e_ro cIv'v 7 eg COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.oro I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to 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 o plans. x\1 y4".seieI1 Applicant's Printed Name p cant's nature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building Fireplace Garage Deck j( Lower Level WORK TYPES ` New _ Interior Improvement _ Addition _ Move Building Alteration _ Fire Repair Replace _ Repair — Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%) Census Code #of Units # of Buildings Type of Construction Porch (3 -Season)_ Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) Pool _ Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water _Final Framing Fireplace: _Rough In Air Test _Final Insulation Sheathing Sheetrock Reviewed By: 1 _ Siding Reroof Windows Egress Window _ Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant vti1Na-•907 MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings _ Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 3-"LIN/ro Page 2 of 3 , • CITY OF EAGAN 17496 ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ~ PHONE: 454-8100 BUILDING PERMIT Receipt # _ Tobe use r- SF DWG/C.AR Est. value i136s000 Date FE8 6 1990 Site Address 3782 LiINDTREE DR Lot 2 Biock Z Sec/Sub. WiNUMB 8TH OFFICE USE ONLY Parcei No. occuPancy R-3 M-1 FEES 2oning ~-1 cc Name ~T~RY DBSItiN 8 BUIt,D - Z (Actual) Const V ii Bidg. Permit 7659~ ~ Address 3786 NINtriREE DR (nuoWabie) w=~ surcnarge 68.00 City EA(;AN Phone "1"1773 # ot stories Length ~1 Plan Review 698. o0 o Name S~ oe~m ~ SAC, City 100.00 AU Address S.F. Total City Phone S.F. Foptprints _ ~`C, MCWCC ; F~ On Site Sewage _ Water Conn ' 625.00 Name oo site weli Water Meler s- AddfeSS MWCC System ~ g~ City Phone Ciry water xX ~.~~t ~0.00 PRY Required _ S/W Permil 30•00 I hereby acknowlege that I have read this application and state that the Boosier Pump S/yy Surcharge 1•00 inlormation is correct and agree to comply with all applicable 51a1e of Minnesota Statutes and City o( Eagan Ordinances. Treaiment PI 252.00 Signature of Permitee APPR~~ALS Foad Unii 355•00 A Building Permil is issued to: MMGOMRY DESIGI'f Planner _ Perk Ded on the express condition that all work shall be done in accordance with aIl Council applicable State of Minnesota Statutes and City of Eagan Ordinances. gldg. pff. _ Copies L_Builcl.ng OffiCidl Variance TOTAL 3,415.00 PKmit No. Permit Holder Date Telephone # yJAiER SEWER PLUMBING ! .u • li/SCi H.V.A.C. %7 A. C' I U EIECTRIC Mspeetion Date Insp. Comments FoowW 1 Foundetion Aoorwg Ra* wbg. a«o Htg. 3 / o a~'a .C3~4 2 T . rv Rrepace s- doo Final HIg. 3-/1 ' 1 v Final Plbg. D .v Conqt. Mefer 6g. Inspector - NoUfy Piumber Engr./Plan ~ Bkfg. Final s ~f ~-7 a Deck F6g. Deck Final Well Pr. Oisp. . - ~.w~^T.-.f'-~3 ~•-,1~.:. _ s.we+'-+.-wo-,.. . . _ , VING PERMIT Fcr Office Use Oniy , , CITY OF EAGAN PERMIT# 11-5~9 CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# PRICE PHONE 454-8100 DATE: 3~ O Site Address Q BLDG. P7'Y E WORK DESC~1PT10N Lot B Sec/Sub Res..,_ New ~ Add-on i Name Vvy S , ~ Comm. Repair OtheAddress 6 r ~ :jpr c Cfty P ?ro V Phone ~ RES. PLBG. ONLY - COI~IPLETE THE FOLLOWING: - MO. FiXTURES TOTAL Name tInQf F, watBr Closet - $3.00 s QO ` Bath Tubs -;3.00 . ~ Address3 7 • Lavatory - $3.00 3 a ~ rti Plior?e Shower _ i?3.00 C]0 : o C~ -"-1 IGhcF~en Sink'- $9.00 601 UrinaVBidet - $3.00 FEES Laundry Tray - $3.00 3. (?O COMM./IND. FEE - 1% OF CONTRACT FEE Floor Drains - $1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater - $1•50 TOWNHOUSE & CONDO - RES. RATE APLIIES Whiripool -$3.00 MINIMUM - RESIDENTIAL FEE i12•00 Gas Piping Outlets - $1.50 MINIMUM - COMM.IND.IFEE $20.00 (IIAINIIiAUM -1 PER PERIiA1T) STATE SURCHARGE PER PERMIT .50 Softener - $5.00 (ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) Well - $10.00 Private Disp. - $10.00 ' ~ 1~ 7Rough Openings - $1.50 ~ SIGNATURE OF PERMITTEE U. G. Sprinkler System - $12-00 PERMIT FEE: STATES FOR: CITY OF EAGAN S/C: GRAND TOTAL: ! f ~ ` ;r n•F;a~;s h 7avi'~;•S`~k:;~;yl~':l~~""(,;.:.;..~. FOf OMes Vm Oflh/: , MECHAN{CAL PERMIT PERMIT # ~ CITY OF EAGAN RECEIPT # b~ 3530 PILOT KNOB ROAD, EAOAN. MN $5122 CONTRACT PRICE PHONE: 4S4-e100 DATE: Site Addrrs . " Pr BLpG. T1fPE WORK bESCRIPTION Lot I Block ~ Sec/Sub Res. Now -f . 7, = ~ Name o ~ . ~ . Mult Add-on Comm. Repafr ~g Addreas _ c Ciry FaA°GV f phone FEES Neme RES. HVAC 0-100 M BTU - $24.00 ~ c Addres8 0 "E' 1+ - CC ADDITIONAL 50 M BTU - 6.00 O City ,~**4 Phone . y~ 3 J (RES. HVAC INCLUDES A/C ON NEW CONSTRUC710N) GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. TYPE OF WORK COMMIINO FEE -1% OF CONTRACT FEE Foroed Air 194' M BTU APT. BLDGS_ - COMM. RATE APPLIES Boiler M BTU TOV1?NHOl1SE 8 CONDOS - RES. RATE APPLIES Unit Heater M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON A REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 VeM. CFM STATE SURCHARGE PER PERMIT - ,50 Ges Piping Oudeb (ADD C PER EACH $1000.00 OF PERMIT FEE) Other PERMIT FEE: RE O~PERMITTEE S/C: TOTAL: 971 FOR GTY OF EAGAN ~ • sEVMR a warER PERWr OFFICE USE ONLV CiTY OF EAGAN METER # ~437 7 dR~ PERMfT DATE 219190 3830 PIIOI K110b Rd. CHIP # o f Sfi' g-37 g PERMff # 11213 ESgen, MN 55122-1897 METER SIZE 6 B.P. RECEiPT # ~ 6160 DATE ~~f 5 r; 5~l ~1E DATE B.P. RECEIPT DATE 216 90 3787 T I N~ TREE DR1 V E - PRV 800STER PUMP SITE AODRESS PERMIT RECIUESTED LOT L--BLOCK _..i-SEC/SUB ' t \ /.,\'-''§EWER -4 WATER _ TAPS APPLICANT: U ADDRESS: ' ' A 0 f ~ ~ % r _ fK...~ - COMNVIND JRESIDENTIAL CfTY, STATE . r2(~3 Z iZIP NEW _ EXISTING PHONE: Y!- -7 3 i(crY 4 ~l) Lawn S PLUMBER: Aheadofr~Dome tic t t Meters on Water Line. AODRESS: Credit WILL NOT be given for Deduct Meters. CfTY, STATE ` -p- ZIP L3(i PHONE: .rn~L•I AGRE O COMPLY TX' OWNER: EAGAND NANCES ADDRESS: CITY, STATE ZIP pHONE; SidNATURE WH METER iSSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSINCi. CALL 4545220 FOR INSPECTION$. FOR STORM SEWER PERMRS, CONTACT ENGINEERING DEPT. • , , , SEWER & WATER PERMIT OFFICE USE ONLY CITY OF EAGAN METER # PERMIT DATE 219%20 3830 Pilot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT ~ t 1213 METER StZE B.P. RECEIPT # ; ~15n DATE r t.t~ 1 ISSUE DATE B. P. RECEIPT DATE 2 /6/9fl S ~ 3782 W1 N6TRF.f; I141VE - PRV _ B005TER PUMP SITE ADDRESS PERMIT REQUESTED LOT -~BLOCK SEC/SUB . I 1 ASEWER WATER _ TAPS APPLICAWT: ADDRESS: j' COMM/IND JRESIDENTIAL CITY, STiATE A-'' ZIP PHONE: XNEW _ EXISTING ~ r:-j Lawn Sprinkler Meters are to be Installed PLUMBE'R: • ~'t- ~ Ahead of Domestic Meters on Water Line. ADDRESS: ~ Credit WILL NOT be given for Deduct Meters. CITY, STATE ZIP PHONE: I AGREE TO COMPLY WITH CITY OF OWNER: ` EAGAN ORDINANCES ADDRESS: CITY, STATE ZIP PHONE: SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT EN(i1NEERINCa DEPT. CASH RECEIPT ~ CITY 01~-EAGAN 3830 PILOT KNOB ROAD ' EAGAN, MINNESOTA 55122 ~ DATE 1 ' r RECENE0 l- ) v/. G' AM«,NT : 5 G-~ a ooLuas O CASM ~CHECK / 3 7 ; FUND OBJECT AMOUNT ~ Thank You i tl. ~ C 6160 P`'"-Fl' C°°" _ ~ ' . ~ ^,9[7~Y ~ • i:;~ K,~~~e~,"~;~w-w- r,~.v,'~'~"c-_~" . PLUMBING PERMIT For Offlce Use Only _ , CITY OF EAGAN PERMIT#k %f';~ CONTFiACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT ~~~T ~ PRICE PHONE 454-8100 • DATE: ' 4 Site Address ~ BLDG. PT1f E WORK D CRIPTION Lot ~ BIQck ~ SeclSub ~8- New ~ Mult. Add-on Comm. Repair ~ Name ~ef ~ Address c City ~ Phone ~ RES. PLBG. ONLY - COMPLETE THE FOLLOWING: - NO. FIXTURES TOTAL Water Closet - $3.00 ~ ~ Name Ba~h Tubs - S3.0o ~ Address _ _ Lavatory - $3.00 _ ~ City ~ - Phone Sriawer - S9.oo - - Kitchen Sink - 53.00 UrinaVBidet - ~3.00 - FEES Laundry Tray - a3.00 COMMJIND. FEE - i% OF CONTRACT FEE Floor Drains -$1.50 APT. BLDGS. - COMM. RATE APPLIES Water Heater -~1.50 TOWNHOUSE d~ CONDO - RES. RATE APLLIES Whirlpool -$3.00 MINIMUM - RESIDENTIAL FEE 512.00 Gas Piping Outlets -$1.50 MINIMUM - COMM.IND./FEE S20•00 (MINIMUM -1 PER PERMIn ~ STATE SURCH GE PER PERMIT .50 ~ Sohener - 55.00 (ADD $.50 S/C EACH $1,00 OF IT FEE) Well -$10.00 Private Disp. - s10.00 Rough Openings - at •50 SIGNAT OF PER EE PERIII~T FEE: STATES S/C: FOR: CITY F EAGAN ~ GF~[~p TOTAL: A • r ~ + - ~ ' (gerfifirate uf Orrupanry titp of Cagan mrd a# Runtng 3,ppr2im This Certificate rssuedpursuant w the requiremenls of Section 306 of [he Unifonrs Building Code cem; jying that ot the liw ojissuance tliis structure was in conrplrance wirlr the ?nrious o?rluwrces of the City regulating bullding constructton or use. For the fo[lowing.• u,~ cwa..6. SF DWG/W ft.ftnna ,,o. 17496 0-wanr TYa R3l141 Zomiag nkr;a R~ TYM c- VN o.m of Wdies MNI~~1~F~i DESIGN & wm n.. 3786 WII+IDM IaRIVE, FACAN Budding 3782 IxtIVE L2, ffi, WII~IDIl~E 87~i L[ " 1 n.,~ MAY 18. 1990 P03T IN A CONSPICUOUS PLACE . . 1 ~ DATE: 2/9190 4E: 3782 HINDTREB DR1VB, L2, 112, W1ND'[REE 8tb I xx Your Sewer & Water Permit for the above property has been completed. It will be hetd at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO I CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. ' Your Sewer & Water Permit for the above property cannot be completed for the following ireasons: I, . I Your Sewer 8 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 Ciry Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. DATE: 2/9/90 3782 MINDTREE DR1VE. L2. S2, N1NDT88E 8th xx Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Raad) until the meter is picked up. BE SURE TO CALI PUBLIC WORKS (454-5220) FOFi YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the follorving ~ reasons: ' ' I Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REOUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, 8uilding Inspections Dept. c7 96r /a S 13002,~~ , iiequest Dale Fre No 1 RougM1-in Inspecuon 1/ 2^ ^ D` ~ e mretl~ ~i Ready Now ? Will Notity Inspector G Yes ? No When Reatly? Ix licensed contractor ? owner hereby request mspection of above electncal work at Job Atltlress (Street Box or Route Qry Secoon No Township Name or No Range N. Counry Occupa (PFINT, Phone No Power plier tlress ~ . C e Electncal Co ctor (Gompany Name) Conlrac(o: s Licen~sae N. 5-~- MeAinq Aedress IC' Vecror or Owner Meking InsWll Gon~ ~n 7~ LcJ /3 Aulh~actorlOwner Makmg Inslalletion) PM1One Numba 9 -C936 MINNESOTA STATE BOAND OF ELECTRICITY THIS INSPECTION REOUESTW1LL NOT Grlgga-MlCway Bltlg - Room S-173 BE ACCEPTEO BV THE STATE BOARD 1831 UnlversitY pve, St. Peul, MN 55104 UNLESS PROPER INSPECTION FEE (S Plwna161Y) 642-0800 ENCLOSED. REOUEST FOR ELECTRICAL INSPECTION ? See inslrucuons Ior comqetmg Ihis lorm on back ol yellow copy 1 N "X" Below Work Covered by Thrs Request ~ 13002 ewAtltl Hep. - TypeolBmldmg ApphancesWued EquipmeniWued Home Range Temporary Service Duplex Water Heater Electric Heating Apt. BuilOing Dryer Other (Specity) Comm./Intlusirial Furnace F. Av Conditioner Otner (specityl Conlraaor5 Remarks: Compute Inspecfion Fee 8elow: N Other Fee # Service Entrance Sae Fee Circwis/Feeders Fee Swimmmg Pool ~ 0[0 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SIgnS Inspector's Use Only TOTAL O O Irngation Booms b- Special Inspection ~ Alarm/Communication THIS INSTALLATION MAY BE'gRDE EB SCpNNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in cernfy that Ihe above inspection has F,,,ai ~ oace `~Q been made. ~ OFFICE USE ONLV Tn6 reQUest wb IB montns irom CITY OF EAGAN N2 17496 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ) ~ BUILDING PERMIT PHONE: 454-8100 Receipt # L /D _ f(0~~ Tobeusedtor SF DWG/GAR Est.Value $136,000 pate FEB 6 1990 Site Address 3782 WINDTREE DR Lot 2 Block z Sec/Sub. WINDTREE 8TH OFFICE USE ONLV Parcel No. ac„Pa„cy R-3 M-1 FEFs Zoning A=1 w Name MONTGOMERY DESIGN & BUILD (nctuapConst V-N BIdg.Permit 766.00 ~ Address 3786 WIN?TREE DR V-N O (Allowable) - Suroharge 68.00 Cj(y EAGAN Phone 681-1773 xatStones _ Lenglh 50, PlanRewew 498.00 ~F Name S~ oePCn 36' sac.cny 100.00 OU 04 Addfe55 SF Total _ City Phone s F FooiPtims _ snc, Mcwcc 600. 00 F¢ OnSiteSewage _ WaterConn 625.00 Fw Name On Sne Well - Water Meter 90.00 x1 Address rnwccs siem XX zi Y ncci oepost 30.00 aw City Phone cnywater X1L PRV Required _ SIVJ Permil 30.00 I hereby acknowlege that I have read this applicahon and state that the Booster pump - S/W Surcharge 1.00 mformauon is correct and agree to compty with all applicable Sta[e of Minnesota Sta[utes and City ol aga rdinance Treatment PI 252.00 Signature of Permitee APPROVALS Road Untl 355.00 /7 A Bwiding Permrt is issued toMONTGOMERY ,DESIGN Planner - park Dad an the express condnion thal all work shall be done in accordance with all Councn _ applicable State of Minn~esota Statutes ana City oJf Eagan Ordinances Bldg. Ofl Copies 8wlding Ofhcial I 1 19U~f m.,~f Variance _ 7p7qL 3,415.00 ~ zno,7[2.ESIDIENTIAL iN'IECHANtC?+L PFRMIT APPLICATIOrT Cit}° Of Eagaii 3830 Piiut linob Road, Gagan M[N 55122 Telep6one # 651-675-5675 I'Ic.iaccnnipluicfur. cinglu(ninilqdwcllines&lownhonlcslrnndos~,hcnpcimlIsamrcquircdlbrr.achwtit Uate _~G~_ ~ L _ I-------- \ . tiilr:~.il(I~css__~~'~~ !'ro~inr~vQA~,~~ne~-- I C4 m lrv, c(ur ~1~AZ't f'1-cFFi 1 Jul~, 'b ~ IC' .Llvc------- Q1~~L {ti_ Cily 7,ip ~ ISoud Gapires: ~ Ctw Applicnnt is Gwner Contractor _ Othcr-_--'-_-_-- I F~irc repnir (roplacc bw'ned out appliances, ducrivnrl:, etc.) 'F 90.!10 ~ This fee applies when er,tensive mechanical repairs are made to a building I I ~ Sd~l-an ur :Jteration tn chisting <hvellinfi intiY X fun:ace -Additional ~P.eplacement _ N°w I air exchanger airr.onditioner - heat puinp ~ nthar 07':10t7' Y`z.2 _ I ~ - ,r.,<<. 7_510 D i ~ - - - ncT o ~ ~om ~ror:a ~ I I:crehy aipply foi si Residentiel Mechrnicel Peima and ncl:nm;ledpe that the inio1I is oo;npfete and accurate: tliat ?Ite wor4 vill bc in cnillonnance wrth [he ordinences and code> of the Cit, of Ea'an and 'cith che Mechanwal Cades: tli:i( I un:lerstand ihit is not a hin 0111}' rm application foi T permit, ancl n'ork is not tn stari N"iihrnit a peiinit that the %vork~be in accoidance, ~vith dte qlpiavcd plan m the case of work which requues a ievie~x and 11)171nvq1 S l-i;D ,n - - - - ~~PI'~fc<int'.s Printed Name Ajiplicani's ~,i~,natu, r~- ~ MINNrSOTAOEp/.NTM1IENT[lf ' ri[SOT [YARIIi v ABOR R & INDUSTRY ~A80ft& INDUS7RY L Cnnstruc[ion Codes flnd LlcenSing Divislon Construclion Codes and Licensmg Drvivon Commis'}ioncr nf Labm' anJ InJusp'y Commissioner of Labor and Industry Ilas ReceiveA and FileA a$25,OU0 Surety Raid, Has Received and Filed a$25 000 Surety I3ond A+ RrquireA 6y A1S 326992, for \York Regnlated by ihe State Meclmnical Cnde As Required by MS 326992, for Work Regulated 'rp; Dnuglae 1)(11 ilialirll Iiand No: 55191401 by the State Mechanical Code Flare Ileating & Air NIN ID: 00225 CnnAilioning DouElas Dormanen Bond No: 55191401 ert'rcuve oace Expirntiun Dale TO: Flare Heating & Air Conditioning MB ID: 00225 8/I/2007 7/31/2008 9303 Plymouth Ave. N. Suife 104 Golden Valley MN 55427 Efl'ective Date Gxpiration Date 8/1/2007 7/3l/2008 MBFormRC 1 , -lILP1LP , I~ 5D 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date I ( l~pS Site Street Address 3~(~2 W,i?16k-r-Ce Dc ~ Unit# Property0wner Telephone# (&~o w0(p ~~~j H.P.PIPEWORKS Contractor 1't'~ dr~-S 3670 DODD ROAD Telephone #((pSI) 96 Address ~ 55123 StateZip 1Z The Applicant is: _ Owner ~ Contrector _Other I Alteretions to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If you are insta/linp onlv a water sokener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. _Septic System Abandonment _Water Turnaround (add $125.00 if a 5!8" meter is required) Other: WaterSoftener ~ WaterHeater $ 15.00 _ new ~ replacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 Total I 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 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 will be in accordance with the approved plan in the event a plan is required to be reviewed and a 7vedApplicanYs P ir nted Name licant's Sig ure 70.OD ' 2005 RESIDENTIAL BUILDING PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements RemodeVRaoalr Reauirements Otfce Use Onlv 3 registe2d site surveys showing sq. fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR af Survey Recd _Y _N (20% maxunum lot coverage allowed) 1 set of Energy Calculalions for heated additlons Tree P25 Plan Recd _Y _ N, 2 copies of plan showirg beam & window s¢es; poured (ourW design, etc. 1 site survey tor add'Aions 8 decks Tree P25 Requi2d _ Y_ N 1 set of Energy Calculatrons Addition • indkate if on-sde sepfic system On-site SepUc Syslem _ Y_ N 3 copies ol T2e Preservation Plan il lol platted after7/1193 Rim Joisl Detall Options selection sheet (buildings with 3 or less units) Date Construction Cost ' z~ Site Address Unit/Ste # Description of Work /"S 7l1t C. 645 /"~(.-t/ /~972 TN4i7~~ Muiti-Family Bldg _ YA N Fireplace(s) _ 0z 1 _ 2 ~ Property Owner 51*(l' Telephone # (6( 51 ) G% l(n ^ '7'2 5 Contractor Al4~~:A`~CL~ ~r171 ~i'~ t:i% City /J'/J/Gd Address State Zip 7563~7 Telephone #d`CJ " d7Z) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mincesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone # ( ~ Sewer/WaterContracTor 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 start without a permit; that the work will be in accordance with the app4Applic in t case f w rk hich requires a review and approval ofplans. h1111'7 I ~ ApplicanYs Printed Name s Signatu re ~urv y 7 c 5, L= OFFICE USE ONLY Sub Types ? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Stortn Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Atteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ROplaCemCnt 'Demolitlon (Entire Bldg) • Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Foo[ings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total fJov.1G. 2604 11:34AM Valley Puols 952-894-4934 No.4889 P. 2 ~7 °T6 VcaH 7- # GG F 3.t Vc~1~11'%9 3G8it u"y<) rA,271'; 0/t., j~~pl. r,vv,~o GCosrn, To flo Us r Scale: 1"=20' Note; pooc.x) denotes Revised 11/10/D4 proposed elevation. oCov ~ 10' Easemerd (902)-------- -20'4 (9D6.7) (906.8 Retainin WaEI 14 ivin Boar ~ 8'0 906.5 5'0 18~6 i (906.7) (906.6) 23'0 j i 1! Io-Wall Ladde ~ 5'0 I E ui me ~ - Parsons House I i 5' S~ GarBge i i ~ Drtveway i ~ 'I ------a IO'Easement Easement ~ CITY USE ONLY t I-l 10D L BL ~ RECEIPT SUBD. \lv ~~A ff PL RECEIPT DATE: 1999 PLUM$llVfi PERMIT (RESIDENTIAL) crrY oF Enenx 3$30 PILmT KNOB RD £AfiAN, RSN 55122 (651) 681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x = Water Cioset 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x = Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet ' minimum - 1 3.00 x = Rough Openings 1.50 x = Water Softener ' for dwellings under consVUCtion 5.00 x = Water Softener ' for ezisling dwelling 30.00 X = U.G. Sprinkler ' for dwelling under const. 3.00 = U.G. Sprinkler ' for ezisting dwelling 30.00 = AlterdtiOns ' to existing residence 30.00 Water Turn Around 30.00 Private Disposal System ' MPC iic. 75.00 = (new and refurbished systems) Private Disposal Systems ` Abandonment 30.00 = RPZ (new installation/repair) 30.00 = STATE SURCHARGE 50 Reminder: Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. _ TOTAL c3D ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I hereby adcnowledge lhat I have read this appliCation, state that the infortnaGon is cortect, and agree to mmply with all applipble City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner ihat the City of Eagan assumes no liability for any damages nused by ihe Ciry during its normal operabonal and maintenance activities [o the hacilities constructed under this permit within CiTy property/right-of-wayleasement. SITE ADDRESS: v~ 75~~ ~l 17 C1G 'TY-,~ L7- i ?`P OWNER NAME: L-e .SGh &722 S47lL INSTALLER NAME: ( SfJG[ ~--X 17'LGG h ~ K-.c c.C' TELEPHONE 4W -15~~3 / STREET ADDRESS: lCl.318 U%G -k rr -411 S~ ciTV: ~ias- La.,/Cc STATE: l/LLK ziP: ~37aZ SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 . i ~ 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTZPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 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 SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGI 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. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - 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: `J ~ Valuation: I3610CC^_Date: S l! (U Site Address 3-79Z~~(J(n,~ LJ2. OFFICE USE ONLY Lot C9- Block c>? FEES Occupancy R-3 M-t Zoning TZ-1 r~/ Parcel/Sub Actual Const y- N Bldg. Permit (F~6.00 Allowable Surcharge --28100 Oconer p~ICA-u1"5(Uh1~i..-~ # of stories Plan Review $,DD Length SL7 SAC, City 100.0 Address Depth 3(~ SAC, MWCC QQ' Q S.F. Total Water Conn Z 00 City/Zip Code Footprint S.F. Water Meter go,Op Acct. Deposit 3 O,OQ Phone On site sewage_ S/W Permit 30,oD O site well S/W Surcharge _100 Contractor~vu~('~t'iry~.ch CC System ? Treatment Pl. 2$Q„00 ~ City water Road Unit $i'h0 Address 37ty (p (aJJL PRV Park Ded. Booster Pump Copies City/Zip Code EU-C,z+-.._ ~ SUBTOTAL APPROVALS Penalty Phone / Planner _ TOTAL .OO Council Arch./Engr. Bldg. Off. .~If Variance )`6 U/ Address City/Zip Code Phone # r . . G'AQAC, ZZxZ2=Lt e4r 'IZ(, t~swtT zs x zq:~- 8 y Il2 x ; 2o !y Y, Z2 = 3011 J!!2 Xly= r5s68 °-A 766•00" 68•00+ 1112- 49 8• 0 0 r 2,083•00+ 3, 415•00*+ IIZ4 X ~.00= I124a~ 766•00+ 135) 68•00r i i 498•00+ 21 083•00+ 3,415•OU•T+ , cS U P`fl VE'X O R'v7 ~ 6e ERTI F NCATE MOHTGOMERY DEJ iN wINDTREE a, ~~IVE pbZq,~1 " { 2-% S 88° 2311 o.~ (9 iL o} ~ 6 Y ~g N~ eeNCH MnnK 100 OP IpON G[NCM YMN !llV..411.14 TOP 01 IIION euv..aie.ve ~ 016 q14 4 q`49 ~ i9A0• c / , 280 ' N I d' I~ /R. c-ig Q ol m~ 0 N . ~ ~ ~ FYiOPOSE w \ ~x'o ~ 1 3~ a ~%SE Ip \ . . ° - is:oo eo,o + ._zs_oo I • ; z g, t---~ f91&3) T 1\9 ~ I F- ~ L IF 1 ~ ` ~ ~ I b __I • . ~ . I .J 8 ~ l~O'~ 2 . ARAINAGE A UT1LlYY C I fASEMENT PER PLAT I _ (4~7.0 ~ g ~ g ' : 97o.a - 88.00 S $8° U ~ B - a S Date ~ ]~EgT EPsGAN ERIGIINEER~AIG WESCOTT _.-RoAD : 64 DENOTES PfiOPOSED SURFACE DRAINAGE O DENOTES IRON MUNUMEN7 SET SCALF: 1 INCH - 30 FEE A pENOTES IRON MONUMENT FOUND . PROPOSED GARAC3E FLOOR -zlte•(p FEE, X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 910.9 FEE (000.0) DENOTES PROPOSED ELEVATION PHOPOSED 1'OP OF BLOCK - y1 e~, p FEB WE HEREBY CERTIFY 70 MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF TFiE BOl1NDARIES OF; Lot 2, E31ack 2, WINDTREE 8"fM ADDITION, occordlrig to itta rocorded plat ihereof, Dokota Cauniy, M(nnesota. : IT DOES NOT PURPORT 70 SHOW IMPROV[MENTS UH tNCpOACHMENTS, EXCEPT AS SNOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERV{SION 7HIS 1 ST DAY OF FEBRI/QRY , 139C). SIGNC-D: ES R. HILL, INC. PROPOSEO GRADES SMOWN WERE tANEN FROM THE ORApNO PLAN fOR WINOTREE 7TH 6 eTH A001710N PREPAREO Br RON KRUEOER e A93oC., BY: iNC.ANDI.ASTDATED 7-27-87 ,10FIN C. LAR50N, LAND SURVEYUR MiNNESOTA LICENSE NUMBER 19828 ~av :/~G ~ J~~~ . ~1I~~e m z~ ~O ro G. > o2 Q`' Z~~ Zm~~ PL.~4NNERS INEERS / SURVEY4F 9401 JaME.S AVE. OMINC.TON, MN. ,5a37 • E72-8b4-3i B i - • ~ Cities Di ig tal Qualitv 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. , 32 Wi niDT2 l:.f;l~~F'i~~it.!I•: !.:.hi'.'F:I lQ~•:'. (1i:~_fit~P~~: 11" ~,ll!!I''I1l;=tilll{1 i•ICJI'.IlUl.iYllrl7•~ !'l!I!-'to t,1' l_'.i~tliid•i. ~'1,., '.s:il.::~~. ial~cl:_i'~ tJ i! i-41t1_:~1 I'tl::i?U ! 1= I'_:! l f,Cl l L E:~-t~ I; I iLO t;d ~;I't;:.;': i11Ji_.~ '•I' 1 .Ci'i+ Pi (=~i•.,::Fi , 1= I,,i,l_.i. I-Iir.~i-li= ~';~;I_;; , :~;11 i•~ i•11_~f' t;l~;l.l_ f'~I:E:~ .__`'sq.:1. :'~<t.<, I..~:_ - ~i ,;~1~.;c~. i J~.~ 1 FC1lIl`J1) I~Uti`:!_ 't^li~ii..i_ i'il•;!~:(i ' ~J :il~:'i I.. ~.'I'I-_ " • ~ ~ dil.= . 101 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 55122 -s7) 651-681-4675 New ConshucHon Reauhements Remodel/Reoair Reauhements ? 3 regisfered sHe surveys showing sq. tt. ot lot, sq. M. ol house 2 coptes of plan and all rooted mea3 (20% maximum lot eoveraae allowed) 7 sef of energy calculaNons lor heated addlNons ? 2 coples o( plans (show beam d, window shes; poured fnd. design; etc.) 1 sRe eurvey for exterlor addMlons 8 decW ? 1 set of energy calculaflons ? 3 coples of hee preservoflon plon M lof plaHed afler 7/1/93 DATE: CONSTRUCTION COST: DESCRIPTION OF WORK: STREETADDRESS: 3 7 /9 LOT: ~ BLOCK: SUBD./P.I.D. Name: 4a-t^& 6 Y0 Phone N: PROPERTY Lart Flrst OWNER Street Address: -37~ Z L? v"'a~' ~ e Ci1y State: Zip: 1 ~Co~rVSTRuor~ar? Compony: CAU1,") PhoneM: ~ly7 (area code) CONTRACTOR vl Sfreet Address: ~ 7/ L~ 1? ~ License 1k ,d -7 Exp, m'~R 9 City State: Zip: ARCHITECT/ ENGINEER Company: Name: Tefephone area code ( ) StreeT Address: Registration City State: Zip: SE:yver 3 water Iicensed plumber (reauired for new construcflon onlvl: Penaly applles when address change and lot change is requested once permR Is iasued. r 1 hereby acknowledge that I hme read fhis appltcotion, state that the Informatlon ia correct, and agree to comply wRh all applicabl Siafe of Minnesota Statutes and CMy ot Eagan Ordinances. Slgnature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preserva5on Pian Received _ Yes _ No _ Not Required . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 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 0 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-ptex ? 09 7-plex ? 14 Apartments tk 19 Lower Levef ? 24 Storm Damage ? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors x7" 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) 5' N Basement sq. ft. Census Code 47~ (Allowable) Ci • r-l Main level sq. ft. SAC Code ~ UBC Occupancy 9- ' 3 sq. ft. No. of Units I Zoning IL- l sq. ft. No. of Bldgs n # 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 u ~ Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC , 7'~•.,~, r i, 1. - Water Conn. Water Meter " Acct. Deposit . ~3v.*~ -~.~.,--iri~ ..c..E F•~"-: r.~. S/W Permit I , S/W Surcharge 0 Ir?'~' e w; ~anr! ' ;c r11 Treatment PI. ''722 I"Uii v? 1 :l " Park Ded. ~ Trails Ded. Other Copies Total: i SAC Units " • , ~9 `9 % SAC 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MPI 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Constmction Reauirements RemodeUReoair Reawrements OKce Use Onlv 3 registe2d site surveys showirg sq. R. o( lot, sq h. of house, and all roofed areas 2 copies of plan Cert of Survey Recd _Y _ N (20%maximum lot coverage allowed) 1 set of Energy Calculalions for heated addNOns Tree Pres Plan Recd Y _N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required Y N 1 set of Energy Calculations Addrfmn - irrdicate il on-sRe septic system Oo-site SepUC System _ Y_ N 3 wpies of Tree Preserva6on Plan d lot platted afler 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date / :3C) / os- / ConstructionCost Site Address 7F~ ~'~~7C't?ee bl-~ UniUS[e # Description of Work -7-Oar C 74;' eOO 7f Multi-Family Bldg _ Y~ N Fireplace(s) _ 0 _ 1 _ 2 Property Owner '6e46JOIj i> Telephone #(~.5~ 7 Con[ractor SU//(/~ G1Y1 f7dAP -L/H,DIUI/C~'NP?l~ Address 3F~ (e /C~7F' / City Z/ CGrrqd9 State ///-7 Zip S~ ~ Telephone # ( 6S c;23 FS_7b 7 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Mmnesota Rules 7670 Cate~rv l t Minnesota Rules 7672 Energy Code C2tegory . Residential Ven6lalion Category 1 Worksheet ' • New Energy Code Worksheet (dsubmissiontype) Submitted 'i Submilted • Energy Envelope Calculations Submitted , JIn ihe last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master, plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone`# Mechanical Contractor Telephone ) Sewer/Water Contractor Telephone J I hereby apply for a Residentia] 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 start without a permit; that the work will be in accordance with the appr ed plan in the case of work which requires a review and approval of plans. ~~l/~h Z2Gvtr.~ Applicant's Printed Name Applicafff Si ature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex O 13 16•plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Eut. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 42-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. O OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Slorm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building O 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # af Bldgs Length Fire Sprinklered Type of Const Width REQUIRED [NSPECTIONS _ Footings (new bldg) _ Fina]/C.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice 8: Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final _ Framing _ Siding _ Stucco _ Stone _ Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Re[aining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3782 Windtree Dr Lot: 2 Block: 2 Addition: Windtree 8th PID:10- 84477 - 020 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Shane Beaudin 3782 Windtree Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA079508 08/29/2007 ePermit City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 3782 Windtree Dr Lot: 2 Block: 2 Addition: Windtree 8th PID:10- 84477 - 020 -02 Use: Description: Sub Type: Work Type: Description: Census Code: Zoning: Square Feet: 0 Comments: Fee Summary: Valuation: 3,000.00 Contractor: Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264 -4777 e- Windows/Doors Windows/Doors-New/Replacement House 434- Applicant/Permitee: Signature PERMIT City of Eaan BL - Base Fee $3K Surcharge - Based on Valuation $3K - Applicant - Construction Type: Occupancy: Permit Type: Permit Number: Date Issued: Permit Category: A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are required in all sleeping rooms prior to final inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector. Total: $90.00 Owner: Shane Beaudin 3782 Windtree Dr Eagan MN 55123 $88.50 0801.4085 $1.50 9001.2195 I hereby acknowledge that I have read this application and state that the informa of Minnesota Statutes and City of Eagan Ordinances. on is correct and agree to comply with all applicable State Issued By: Signature Building EA083621 06/18/2008 ePermit PERMIT City of Eagan Permit Type:Building Permit Number:EA163969 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 3782 Windtree Dr Lot:002 Block: 002 Addition: Windtree 8th PID:10-84477-02-020 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 - Evan Skaar 3782 Windtree Dr Eagan MN 55123 (651) 343-2398 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:EA166848 Date Issued:02/09/2021 Permit Category:ePermit Site Address: 3782 Windtree Dr Lot:002 Block: 002 Addition: Windtree 8th PID:10-84477-02-020 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, Pete DeGrood at (507) 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 - Evan & Kaylee Skaar 3782 Windtree Dr Eagan MN 55123 Standard Heating & Air Conditioning 130 Plymouth Ave. N Minneapolis MN 55411 (612) 824-2656 Applicant/Permitee: Signature Issued By: Signature