3785 Windtree Dr1,I1'
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 90-4e'•
g
Permit Fee: 5 6)6
Date Received:
Staff:
2011 RESIDENTIALPLUMBINGPERMIT APPLICATION
Date: L4 1 ( Site Address: 3 C �� 01vairge
Tenant: YV \i—gUktieJ"n-
J
Suite #:
RESIDENT / OWNER
Name: CV 6tVQls v1 Phone:
Address / City / Zip:
CONTRACTOR
j
Name: -P(kw�� i gel - License #: (O'
A// `L�-
/
Address: 5" 7 Y V � ITe�Q.in Veder C71" City: Set: del, <
DCISCState: N Zip: G --C---? 71-- Phone: ' S- L , a 3 7 --0/75---
Contact:
ontact: q d to L Email:
TYPE OF WORK
_ New Replacement Repair Rebuild Modify Space Work in R.O.W.
_
Description of work: f a- iv�C�i, r, \00-4-L w ok l 5
PERMIT TYPE
RESIDENTIAL
Water Softener
Water Heater
J� Add Plumbing Fixtures ( Main / Lower Level)
Lawn Irrigation ( RPZ / PVB)
_
Water Turnaround
Septic System
New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $
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.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in confomian - 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,¥d work is of t. .tart witho, t a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and a.. oval of pla
CioSOK._ C ot1
Applicant's Prin'fed Name
ant's Signature
Date:
City of Earn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
MAR 0 4 2011
Use BLUE or BLACK Ink
Permit #: I , /
Permit Fee: c�' '/
Date Received:
Staff:
2011 RESIDENTIAL BUILDING
G PERMIT APPLICATION
33 /4/ /1' Site Address: g5 (1.)1 vi.5� - OApa
Unit #:
r
RESIDENT /
OWNER
Name: C ply- `'r ' l:(\\C1T/LUCS"4•.- Phone: 00V, 6
Address / City / Zip: 3"7:1 5 �, ✓t = CC._ tJ�'(
Applicant is: Owner )( Contractor
TYPE OF WORK
CDescription of work: t c.2 cs t--- 41142>
Construction Cost: Multi -Family Building: (Yes / No )
CONTRACTOR
Company: Vt-C, n u 'v` o.esiettl I3 "" ontact: �j
Address: 13 6 deiktioaO� - 1 City: L� !)+l✓'i'
State: Mit) Zip: --<75-2-0611- Phone: 1'51 " zLS6 5
9 5
°"
Lead Certificate #: :7' `r1 cKo /2l)/ K`-64
License #: 2-0 5' 5 11 ? S'
Does this project require Lead Remediation? 0 Yes
If no, please explain:_ 0,0X PLA Li 4,,,,...f
No (see Page 3 for additional information)
l /
In the last 12 months,
Yes o If
.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
' 5+ 6,.. i iti,c/tl -4--- PLA jdvk(t._,/i? Phone: ! L -+ X e f l r
Phone:
Phone:
;NOTE: Plans and supporting documents that you submit are'considered to be public information -,Portions .of
the information may be classified as non-public if you provide spe ific reasons that would permit the City fo
conclude that they.,are„ trade secrets ,
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utilitydamage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www .o. herstateonecall.or
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with th- .''inances 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 r?'t 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. /
x
Applicant's Printed Ne
• wa i, s )'
Page 1 of 3
lefb
�!I
DO NOT WRITE BELOW THIS LINE
e *3?'
SUB TYPES
Foundation _ Fireplace
Single Family Garage
_ Multi Deck
01 of _ Plex Lower Level
Accessory Building
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
Al3Y
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
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:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Z/ -.2 MCES System
2,ao7 SAC Units
12-4 City Water
Booster Pump
9y PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC
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
02,9 it X P24
5✓fl
Page 2 of 3
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CITY OF EAGAN
* 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH O N E: 454-8100
BUILDING PERMIT Recefpt ~k
To be used for GEst. Value S 14~'.0K1( Date
Site Address ' 1 h~'71F t:; OFFICE USE ONLY
~ ~ On SRe 3ewaye Occupency ~ .
Lot Block ' Secl3ub. 1tti;liRT'E ATt.
MWCC Syetem ' Zoniny
Parcel No. On Site Well
(Actuel) Conat
a Name bl I l.G iCfty Water (AllowaWe)
= Address ''AFA2~! ' PRVRequired ~ofStories
~ City PhOne S`~Wz Booster Pump Length '
Depth ~
, p Name S.F. Total
~ i AddreSS Footprint S.F.
~ City Phone APPROVALS FEES
1- a Engr./Aasess. Permit j
W Name
?W- Z Planner Surcharge '
_ . Address
~ W C1ty Phone Council Plan Review ,
Bldg. Off. SAC, City
I heredy acknowledge that I have read this application and state that the Variance SAC, MWCC '
information is correct and agree to comply with all applicable State ot Water Conn. '
Minnesota Statutes and City of Eagan Ordinances. ,
Water Meter
Signature of Permittee Road Unit A Building Permit is issued to: UXH iLj` 1"6 Treatment P1
.
on the express condition that all work shall be done in accordance with all ~
appiicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
TOTAL
Building Official ~ ~
,
- Prrmit No. MrmR lioldir Date Telephone *
Ptumbing
H.V.AC. ~C g
Electric
~CC~~~~ ~ t
~vf[~7t~' Adzw
Inspectfon Date Inap. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. g 43 ft ~~~w AV
Isul. ~S
Fireplace
Final Htg.
~
Final Plbg. -ef.g'~ azi
Bidg. Final
Cert. Oca ~
Temp. LP
Deck Ftg. I,
Deck Final y S _ V L,q ,
Well
Pr. Disp.
• • . . ' PERMIT #
' MECHANICAL PERMIT RECEIPT #
, CITY OF EAGAN
• 3890 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE PHONE: +54-8100
Site Address 7 BLDG. TYP~ WORK RIPTION
Lot Z ~ Blo~~c Sec/Sub
~ . GY~ Res. ~ New ~
Name ` - ' C' Mutt Add-on
m Comm. R ir
~ Address Yf / v f ~ ~
c City. Phone ~ ~ c/.~t.
- ~
FEES
Name t
~ RES. HVAC 0-100 M BTU ~ - $24.00
-c Address z5a . ~ ADDITIONAL 50 M BTU - 6.00
Q_ City pbone. -Jjd ( (RES. HVAC INCLUDES A/C ON NEW
_:~QL3AISTRqCTION)
GaS OUTLETS (MINIMUM - 1 PEFt PERMIT) - 1,50 EA.'
TYPE OF WORK ~ COMM/IND FEE - 1% OF CONTRACT FEE
ForCed Alr L,M BTU 0 APT. BLDGS. - CQMM. RATE APPLIES `
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM REOIDENTIAL FEE - ALL ADDCON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. IPG0 8FAI M BTU MINIMUM COMMERCIAL FEE - 20.00
( 3) CFM ~Q • STATE SURCHARGE PER PERMIT - .50
Vent
(ADDI$.50 S/C IFr PERMIT PRICE S
' Gas Piping Outlets # ~ gEYO~D $1,000) Other ; ~ ~
FEE 1~~,~~~~ll"~,
S/C: 51GNATURE OF PERMtTTEE
TOTAL•
FOR: CITY OF EAGAN
~ PERMIT p
` • PLUMBING PERMfT ` RECEIPT #
CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~
CONTRACT PRICE PHONE: 454-8100 rj"
Site Address 37P5 Wi n d t r e e D r i v e gLDG. TYPE WORK DESCRIPTION
Lot / Bio~k ~ SeciSub Res. New
Mult. Add-on
? Name T omp8on um ng Comm. Repair
Address ta B v d Other
~ Mtka
c City Phone 933-2521
RES. PLBC3. ONLY - COMPLETE THE FOLLOWING:
NQ. FIXTURES TAL
Name Ba c h B u i I d e r s Water Closet -$3.00 ~
c Address 9810 Riner Hgta Way J# BathTubs-$3.00
3 Inver Gr H Lavatory -$3.00 ~S7, G'C'
O City gtsPhone 457-904 Shower - $3.00 e 0
tKitchen Sink - $3.00 ~s /7~6
FEES Urinal/Bidet - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE ~ Laundry Tray -$3.00 ~'0
APT. BLDGS - COMM RATE APPLIES ---7-Floor Drains -$1.50 ~
TOWNHOUSE & CONDO - RES. RATE APPUES -7-Water Heater -$1.50 fMINIMUM - RESIDENTIAL FEE -$12.00 -7-Whirlpool -$3.00
MINIMUM - COMM/IND FEE - $20.00 -7-Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .SO (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
Rough Openings - $1.50 L ^
SIGNATURE OF PERMITTEE FEE r r•
STATE S/C: ~ ~FOR: CITY OF EAGAN GRAND TOTAL"
. . . !i . . - ' +
CASH RECEIPT
. CITY OF EAGAN
• 3830 PILOT KNOB ROAD
~
EAGAN, MINNESOTA 55122
DATE
~ i~ _~~l , ` ( , ' ~ 1 ~ ti ? 1
A, MOUNT
7 ~ ~
& DOUARS
ioo
? CASH C~ CHECK
~
FUND OBJECT AMOUNT
Thank You . ~
ev
~
ax,k--Re copy
~
f :I BLDG. PERMI~T. NQ* / J
:
. 01-3210 Bldg. Permit 7 !
01-3422 Plan Check
01-3445 Surch./Adm. Lkk-y
01-3446 SAC/Adm.
,01-2155 Surcharge `
'7~'-i860 Road Unit ~ d O
`20-2275 SAC
20-3865 Water Conn. ,
~
~
20-3868 Water Trmt. 0 ~
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit I
I
20-3743 Sewer Permit I
79-3866 5ewer Conn. !
(3-3855 Park Ded. j
~
TOTAL
CITY OF EAGAN I so 3830 Pilot Knob Rosd, P.O. Box 21-189, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt
Tobeusedfor SP UWGIC" EstValue $1".000 Date APbtIL ZS ,~g 68
Site Address 375 VINOTRZIC flg OFFICE USE ONLY
uI!lDTRSK BTti on site sewaae oxupancy it-3 M-i'.
Lot 1 BIoCk 1 SeC/Sub.
MWCC Syatem X Zoning R-1
Parcel No. On Sne Well V~
(Actuai) Conet
a Name BACR EUILI?IlifG City Water (Ailowable) w"n
;.~dd?eSS 1962 $"~I ~ PRV Required * of 3toriea '
0 C~iry Phone ~?gZ-9s5Z ~~er Pump ~engtn 7_.
Depth 340
, a Name SAME S.F. Totel
o u Address Footprint S.F.
U<
?a- City Phone APPROVALS FEES
c
~ W Name Engr.lAsaess. Permit 71$.00
~ Address Planner Surcharge 72•00
cc W City Phone Councif Plsn Review 359:~
eid9. on. _ s,ac, city 1~ 00
I hereby acknowledye that I have read this epplication and atate that the Variance SAC, MWCC 550 •00
information ia correGt and agree to comply with all applicable State of Water Conn. 550•00
Mifnesota Statutes and City of Eagan Ordinaoces; Water Meter 7b .Od
Siggature of Permittee Road Unit 325•00
A Builtling Permit is issued to: AACHAUILA)jNG . Treatment P1 .204.oo
onlhe expWss condltion that all work shall be done in accordance with all
appliceble State of Minnesota Statutes and City of Eagen Ordinances. Parks 2 1-943. tu
Bullding Offlcial TOTAL
s + -
fgex#tftratp of COrrupanr~
Citp of eagan
lop}1wwPnI O# %llaim jttmPtYim
This Cerq ficate irsued prersuant w tlie requfremenu of Section 306 of the Unijorrn Building
Code certifying that at the time of issuance llris structure was in compliance with the various
ordinances of tlte City regulaling butldixg cottstsucrion or use. For the jollo?+dng.•
u,e akmrr.tion SF IXdG/GAR eWS. temmic no. 14880
O-up--y irvx IS/M1 Zoning Diw~ Rl T,pe Cma- VN
owna or Bww;al BACB &MDIlC Add,,,,1962 SAFARI E. F.9['~AN
, 378 M ,.mwy L t. B I, wnMIxR? M
, •,~c'{ ` n.,: SEPM4RM 27. 1%9
' auiki'°s
POST IN A CON3PICUOUS PU1GE
Thus req.nst void .J C
18 months / wm '~t'~'/~~ d/7'/L'jgv
~ J
E 1,`i 6 1
Requecst Oate Fire No. R~onph-i~~lnsper.~ion ~q`~tly Nuw Will Nolfiy InsOec-
Ves ?Nn When ReadV
Licunsed Elecufcal Convactor I M1e.eby request ms0eclion oi obove
? Owner elecVicel work iastalled et:
Street AdAress. Box or Poute No. Gtv
7 ` / /
ecUOn o. Townsnio Name or No. Ranye No. County ~
Oc pnni IINT) Phune No.
45~-
Powcr $upPiier Atltlress
,OR-KDTq 4• i-,"' r
Electncal Contmctor IComuanV Namel Convacme's l.iu, se No. ~
Mailinq Adaress ICOmrac ner M bnp Instai ionl
Auihorie i8natare IC c or~Owner Makin I Ilutiunl/ ~ Phnne Nu,nber
S~ U
MINNESOT STqTE BOAHD OF EIECTNICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midwev BIAB. - Roam N-191 eE ACCEPTED BV TNE STATE BOAND
1821 Univarsitv Ave.. St. Pxul. MN 55104 UNLESS PflOPEN INSPECTION FEE IS
Phone16121642-OB00 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION t-: EB-00001-06
4
~ Sae ins4uctmns lor completinB this torm on bnck ot vellow copy. ~ ~O C
E 1 5~j ~ Cp• "X" Below Work Covered by 7his Request
ew4Addj neo. Tvue oi etomina Applioncwa Wirod En.Wn,e.,t wb«d
Home Ranye Temporary Service
ghtinp Fix[mes
Duplex Waier Healer Li(
ApL Bwldinq Dryer Electnw Hentin
Commercial Bldu. Fumace Silo UnIUadP.r
InAustrial BIAy Air Conditioner Bulk Milk Tank
Farm or Olhcr (SUr,r.ity1
t . Svec~fy
ompute lnspecNon fee Below
p Fea ServmaEnfranceSize b Fee Fexde,s/Sublextlers b Frto Cucwt s
0 ro 200 qm p5 0 to 30 qm ps 0 to 30 1m os
Above 200 Amps 31 to 100 Amps 31 to 100 Am 5
Swimming Pool Above 100_AmpS AAove 700_Ampti
Transrormers Irrigation &,orc~s Par[ia6' er Fee
' Signs Specialinspection 5
Ne~rks T TA4 FF~
~~^O
Rough-.n ' ~ j I . Elec - I
~ Pec or, he~oby
~ er~iiv ~nnt the above
F.^al r ~ Q mspect~on hes Eeen
mnde.
Thb mquesl voltl 18 monllre Irom
,yy~ 71V
O - A - 5 8 5 0LI'a! y (l ~ '~~Q ~O
RaQUe t Date Fire No q!jghi L13ctmn Requlretl Ins ecDOn Other Than Fou h-In
_ ry~ G Q (VOU m?us~ can Inspector~hen reetly) a qeatly Now ill Nouty Inspeclw
L ( / Ves L$'•NO Dete Reetl
I L licensed contractor ? owner hereby request inspection of above electrical work at:
JoC Adtlress (Slreel, Box or Route No ) City
3-79 r 5 CU , c~v Ur,` ?-e
Seclion No Township Nama or No FanBe No, County
Occupant(PRINT~ Phone No.
L-~ L/ +23
Power Supplier Atltlress
Ou 14i F<< i' Ge~- ` 436c) 2 zo 5711il r '
Elecmcal Comraclor (COmpany Name) Contracrors License No
g. ,0293 Z
Mvlrty Atltlress (Conhacbr or Owner akiqq InsWlletian)
94-i z t7 ' S
Aulhori SignaNre (COnVaclorlOvmer Making Insl Ilation) Phone NumCer
MINNES STATE BOAPD O ELECTRICITY THIS INSPECTION REOUEST WILL NOT
Griggs- IEway BIAg. - Room 42e II II I I II II I I I I I I BE ACCEPTED BY THE STATE BOARD
1821 Universlly Ava., SL Peul, MN 55100 UNLESS PROPER INSPECTION FEE IS
P~one161216a2-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION EB-00001-0
~ See inshuclions br compleling Ihis lorm an back oi yellow copy,
9~_ "X" Below Work .^•overed by This Request Ne Add Rep Type of Builtling Appiiances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt fBuilding Dryer Load Management
Comm./Industrial Fumace Olher (Speafy)
Farm Air Conditioner
Olher(specdy) Conlraclor's Remarks:
Compute lnspection Fee Below. 2.0
k Other Fee # Service Entrance Size Fee # Ci cuitslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200-Amps 100 -Am s
$I OS Inspector's Use Only. TOTAL
Irrigahon Booms , . ~ -m 2,G~ `l G
Special Inspection
AIarMCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Eleclrical Inspector, hereby A0°qn-in Dale
cedify that the above inspection has F,nai nfild
Jr(
been made.
OFFICE USE ONLV
This requesi voitl 16 months irom
J~1,~87 So~y.
~700426/-/,a/
Pepuest Dete Fire Na Rough-in Inspeclwa
I-~/ I~ Reqmretl~ ? Reatly Now ~Will NoLly Inspector
?Y¢s o WhenReady>
I licensed contractor ? owner hereby request inspectwn of above electrical work at: -
Job Atltlress (SVeel. Box ar Roule No ) Ciry '
37~J~ //7 ~ Q
Secllon No Township Name or No. qange No ~ Coun
Occupant qINT) ph ne No
Power Supplier Atltlress
Elecir' I Contractor (Cwnpany Na e) ' Gontractor5 License No.
6 G2
Maihng Atltl ss (ConVacmr Q.vn aki 9 ~nsla atron)
Aulhorrz naNre (C V n r Maknrtj InsWlla Poone Number
7J~7~0
MINNE50 A STATE OAPU OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigge-Midway Bltlg. - Room 5-173 BE AGCEPTED BYTHE ST4TE BOAPD
10P1 UnWemily Ave., SL PaN, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(fil2)6G2-0800 ENClOSED
REQUEST FOR ELECTRICAL INSPECTION M eso0001-07
? See inslmclions for mmplebng this torm on back ol yellow wpy
F-V0 4 2 6 'X" Below Work Covered by This Request
ew Adcl~j Rep. TypeoiBwlding AppliancesWiretl EqwpmeniWUetl ,
Home Range Temporary Service
Duplex Water Hea[er EI¢ctric Heating
Apt. Bwlding Dryer Other (Specify)
- Comm.llndusirial Fumace
Farm Air Condilloner
Olher (spemfy) ConVaclo,S Remad¢
Compute lnspection Fee Below. ~
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders ' Fee
Swimming Pool D to 200 Amps o to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps SIJnS Inspeaar§ Use Only TOTAL
Irngation Booms /s~
Special Inspection
Alarm/Communicahon
Other Fee
I, the Electncal Inspector, hereby Aoo9n-m oaie
certify that the above inspection has Finai e
been made.
OFFICE USE ONLY
This request vaitl 18 momM1S fmm '
20254 ~ O o
Request Oale Fire No. Rough-in Inspeclion
Requiretl' ? fieatly Now Wtll Notity Inspoclor
? Ves No When Reatly?
Ilicensed contractor ? owner hereby request inspection of above electrical work at.
Job Atldms~ V~et, BOx or RaN~Nq~~~ J O~. CM1y~~
~
Sedion No. Township Name or No. Range No Cixmty
I I .L,L'
a~ t (PRI. / ~CC C~L s- C, Plwrre No ,(~C /
Powe,J u~~M1-~/lli~ Atltlress
l/
Electncal ConVaclor (COmpany Name) Contrectoh Lreense No
1,21 W, Me- 21 ./"J
Mell, ess (Conhacirn er Milaiding Installatnn)
~
ANhon e gnaWre (C tracl e Maki g In~ Phone Number
MINNES TA STATE BOAflD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grlgga-M dway Bldg. - Room &173 BE ACCEPTED BY THE STATE BOARO
18]t Univarslly Ave., SL Vaul, MN 55104 UNLESS PROPER INSPECTION FEE IS
ftom (612) 642-0800 ENClOSED.
RE(jiIESTTOR ELECTRICAL INSPECTION ~ EB-00001-W
/ /O 9 ? See instruclions lor mmpleliig Ihz lorm on back ol yellow wpy
2M5 4 •X" 8elaw Work Covered by This Request
e Atld ReF. TypeofBuiltling AppliancesWired EquipmeniWrted
Home Range Temporary Service
Duplez Water Heater Eleclric Heating
ApL Building Dryer Olher (Specity)
CommJlndustrial FumaCe
Farm Air Contlrtioner
Olher (specity) ConVactor5 RemaMS:
Compute /nspection Fee Below:
# Other Fee p ServiceEnirenceS¢e Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 1 Amps
$i9n5 Inspector5llse Only. ~ TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication ~
Other Fee
I, the Elecincal Inspector, hereby Rouqn-m oate
1
certify that the above inspection has Final • oate
been made. F
OFFICE USE ONLV
Thrs requesl wiE 18 monms Irom
CITY OF EAGAN rJo 1 4 8 8 0
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
'
BUI LDING PERMIT PHON E: 454-8100 Receipt # I LP /y~
To be used for SF DkTG I GAR Est. Value $144,000 Date APRIL 25 ,1988
Site Address 3785 WINDTREE DR OFFICE USE ONLY
Lot Block 1 Sec/Sub. WINDTREE STH On Site Sewage _ Occupancy R-3 M-1
1
MWCC System X Zoning R-1
Parcel No. On Site Well V-N
_ (AcWapConst
z Name BACH BUILDING Ciry Water X (Allowable) V-N
z Address 1962 SAFARI TR PRV Required _ n of Stories
o EAGAN phone 452-9552 Booster Pump _ Length 76'
City ~
Depth _3_
, p Name SA@7E 5 F 7otal
Oa AddfB55 FootprintS.F.
w~ City Phone APPROVALS FEES
1-z Engr /Assess. Permit 718.00
" Name
~Z w Address Planner Surcharge 72 • 00
~ z
Counal Plan Review 359.00
,w CitY Phone
a eldg. Off. SAC, City 100.00
I hereby acknowledge Ihat I have read this apphcation and state that the Variance SAC, MWCC $50.00
mformation is correct and a ee to compry with all applicable State ot Water Conn. _550.00
Minnesota Statutes antl C f Eagan Ordina es
Wa[er Meter 67.00
Signature ol Permittee . _ _
Road Unit 325.00
A Bwlding Permd is issuetl to BAC ILDING Treatment P7 _204...00_
on the express condition that all work shall be done in accordance with all
applicable State ot Minnesota Statutes and City of Eagan Ortlmances. Parks
~ TOTAL 2, 945.00
Building Official~A.J.dI ,
~
1988 BUILDING PEAMIT APPLICATIUN - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL QNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COP4MEACIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STAUCTURAL PLANS,
1 SET OF SPECIFICATZONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: 7i~ Valuation: Date:
Site Address 27$S Wiod7YC Pi vRwE 1414, ooo' OFFICE USE ONLY
Lot ~ Block ~ On site sewage_ Occupancy
MWCC system ? Zoning R-i
Parcel/Sub 1J/ndV1--ee Qf'A On site uell Actual Const v-N
/ City water ? Allowable V-N
Owner /~PAV required t! of stories
";,,~o,A~ ; 9 ~ . u,•, . ._;~,ti Booster Pump Length 76=0„
Address Depth 3L/'-4"
S.F. Total
City/Zip Code Footprint S.F.
Phone ~ APPROVALS FEES
Contractor Engr/Assess Permit r7 18, DO
Planner Surcharge - 7Z00
Address Jq60 6c?TC<e// ~ r Council Plan Review 359, b0
Hldg. Off. k-X~,VZZ SAC, City o o. Oo
City/Zip Code.a 54-) .0 ' Variance • SAC, MWCC -5-!i01Dp
Water Conn 550.0v
Phone '9$S a Water Meter (.17.00
/ Hoad Unit _325,W
Arch./Engr. y~Lni22TOn~t- ~l cA Treatment Pl D DD
r Parks
Address jd (a) zyzz Sf Copies
City/Zip Code TOTAL
~h~,~`j4ss~v~ SS3I7 I
Phone 1! q~~Z/ " 7WQ
Cities Di ig tal Quality Control
The following image represents the best '
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' Ron Kr6eger~S mwm,~
Assaeiates, inc_ 1133111011 ~ CERTIFICATE
. ~
8080 Wallace Foatl 1110101INEIIIIEW O F Engineering
eoen Prer.ie. Minnesola 55344 usumov~ Land Surveying
1111111111110~ S U RV EY Landscape Architecture
(612) 994 .4242 ~ .
Planning
Survey tor: BA-CH UI DERS Job No. SZ51 gk, VE py, yv
(E ~ P)
q~p.0
A~ ~~VzFD
By- - 2" K1027 K
L~ }C~ ~ /f ~JLALE'. I "3~
EAGr%-"'TGINLERING DEPT.
uYru-rJ t E~Em-fs
XXX r~l
~ ~ - OENoTES EX~ST/NG ELEVAYIo
PROPOSED ECEYA7/G
- ENOTE 5
OIb (Xyy) O
~0 61 5 Y- OENOTES D/N'~cCT/o/~ G~` FLOW
~ ~ oP .sURFAcE D2AlNAGE •
P,2oPO5E0 ELEV,47-/oN5
1 LpWEST FLCr~Z- . 9~3'~3 ~~~Fy
/ 3/ ~9~3~a ~ G~ARAG,E FLoo.e_ ..~JZIO
Tca oF FouNoft'rioN-
jy. UI
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91a9
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IHEREBYCERTIFYTHATTHISISAT,9UEANDCORRECTREPRESENTATIONOFTHcBOUNDARIESOF LoT I. 6LO~.~ I,
W~NOT2EE 261d QD0IT1an] ,'L)A~-,o-r couN v, i NESOTA.
SURVEYED BY ME THIS DAY OF 1953
,
~ RO ALD L. KR ER
- STATE RFCISTR>T~llu un eave
• <
Ran :rueger S ~ a~ A'sanciates, Inc. CE R I ~ T E -
8080 Wallace Road Englneering
eeen Na,m. M,onesoie ssaae ~S Land Surveying
U R " Landscape Architecture
(eix) e344242 Ff PV Planning
Survey tor: B/LC.H gUILDERS Job No. $Zr- I Bk. V~7 Pg,
(E ' o
9j0'
iJ02T l-L ,
' ~JLALE'.f1'3O
~
,n ?¢.0.~NP.eE Pwo ~srr~
~YIL11~1 EA]EMENYS ~1~N
~
~ - XXX - OENoTES EXl57/Nra 6LEVf1Y/o/~
OENOTE 5 PRoPOSEO ECEY<1770.
-.OENPTES D/RECT/orv ca` FLoW
op SuRFAcE D2AINAGrE .
P20PO5ED EL
F4l/3 3/3 vF1ii~
LoyVEST -
~3~ ~9~3e~ ~ ~aARAGE FCoo.e- 9zl 0
~q~b•l `^'Jo ql . ~ N TOP. OF FOUNOfIT/ON- 33
u~-------- a 3v.o 20:
~0.09~93 9iq) o , 1~ m ~11
38.0 ~RppDiED~ Q
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ygo;9
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I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF LcT I. BLOGL 1,
W1NOT(2EE 567[d aDDIT%onl , D.4e-o-r couN v, i NESOTA
P2 ~c
SS.
' SUR'JF_YEp BY ME THIS l9 j DAY OF ~ 19
(tEVIS60 S~Ib-b$ \
RO ALD L. 4KR ER<
, .
.
~ EXTERIOR ENVELOPE AVCRAGE "U" COMPIITAfION
OWNER: f1ATf
SITE ADDRESS: LOTI B'~ocK IW1NOYfa,Rm ~~'D9P~QF'~NE: `
CONTRACTOR: PLAN # 1 00 Z~ lD
Determine wor{:ing square footage of each
l. Total exposed wall area.:... z(c sq. ft. x.11 = Z 9 CO '4 ~
2. Total roof/ceiling area..... 1 ZS ~ sq. ft. x.026 = ~ Z~ J O
Total exposed wall area above.floor=_ZZ~6$
I Ff Co ~ p(0
a. Total wall window area s$
. , . _
b. Total door area .
c. Total sliding glass door area .
d. Total fireplace wall area y.R
)
e. Total wall framing area (avera9e 10%
. . Z .(o:.,. = . .
f. Total rim joist area
9. net wall area above floor . Zo ~ 2••.'~
...,,...;.~.r...:.
fl oor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
h. wal l area above
i. wall area above floor
J' frame wall area at =oundation . ............................:.:a . ,
Total zxposed foundation area= ~ 3 • ~ -
k. Total foundation window area ~
'
1. Total net foundation area above grade .
Determine "u" value of each wall segment
(e,g, wi'ndow, door, each separate wail section)
a. I~ 0~ X 11 u~7 _ F ,qS'
,
`b. x „ull
C. x 'lull
- _ . r:. . . .
d X „u~~ I'7,
Zz$ x '
e. ~ •f
zss~ X liuii
f.
9, X 'lull
~
h. X lluil
x liuij _ ' .
i.
j•. X u If item #3 is the sami
X„u„ = as, or less than'item
r • J1 , you have'met fFiey
X „u" Ll _ / p intent of SBC 6006 (c
. .
3 . Total = Zd 733
-
- P _
F,:tArior Envelopc Ieverage "U" ComputaLion Page 2 of 4
Total exnosed roof/ceiling area
m. Tbtal skylight area ~
n. Total roof/ceilin, framing area (average 10%)... I z$, Z
o. Total net ir.sulated roof/ceiling +_rea........... Determine "U" value for each roof/ceiling segmeiit
M. X "U" _
- n. a .'U,.
o. X "ul. L~Z = ZZ'SS
4 . . . . . . . . . . . . . . . . . . . . : . . . . . . Tot-al
'f total cf n4 is the same as, or less Lhan 42, you have met the intent of
SbC 5005 ic? 1. -
Alternate Building Enve].ope Desigz
To utiliza the total envelope system method, the values established by the s-.un of
items n3 and -t shall not be greater than the sum of items $1 and #2. •
- 1. z t G.~(Sr -r- 2. 3Z.sY, = 3Z9 ,03 3. _ Z. L"( '7 r c3 ~ + 4.
/
1
~
1
Wot1- SEC,TlzxS ,
t~e I ~ of opnque wat 1 orea fUr R_ VALiJE~-
. fYame Ct~s"truCE'%on CONSTRUCfION•- FRAMING .
1. INTERIOR AIR FILM 0.68
Q 2. 1/211 G ,
_
3. 5 1/211 SOFf WOOD 6.87
4. Ieyi 5. SIDI'NG :8 6+~5=C 6. EXITRIOR AIR FIIl4 l._ _ . 8
tAa i. U= ESG. CF NET
PiRAMf NALi I- -
- 1. IN'fEf2I0R AIR £ILM 0.68
~ R. a` Gl'PBD • .45
3.
~ 4. 2 32 SHEATHING 2.06
5. SIDING .6
rG. #z 3 6. OR R
~ U=_ .04
n '
--~.v
1. INTERIOR AIR FILM • 0.66
, CD 2. 6 INSUL. 1.
S~~L Sfk~R 3. ' x JO
4.
5. S G
6. ' OR AI FI .
~ o O U= .04
BIACK '
WkLL rp~. 'p` l. INfERIOR AIR FILM 0.66
e 0 ,o E 2. '
c 3. 0 5.00
4. PROTECfZVE BARRIER
r ~ 5. .
6. FILM
TOTAL R= .13
' U= .14
SLAB ON GRADE
r , +
. ~ r
.
Ill~'
Ll-.
4s
• ~11 ir~ =
L,-
' ~ `
- ~ r
~ NOTE: INDICATE TYPE, ~~R~~ VALIJE. DEPi~I ATID
~ ` PLACII04f Of' INSIJLATZOPi.
b
m r'/ _ ? -a' .
ROOF-CEILING
CONSTRUCTION ' R-VALiJE
.
INTERIOR AIR FIIM 0.6&
. .
2.
, .
3.
4•
VfNT U = .02
F.RA,E .
I 1. INTERIOR AIR FILM . 0.61
~ENTED ~ HEAT FIX)W 2.
- I-.I UP
3. '
4.
FIG. #5 U 0.024
• CONSTRUCTIOId
J 1, INSIDE AIR FZLM 0.61
rY • +W .,y,~.p.SiyI1J~~1-- ~f '
G•
- - - 3. .
4.
5 .
.TOTAL..
,
~ . FRAME
INSIDE AIR FILM 0.61
2. . . ,
f I NFAT FLOW UP VENTED 3 4' .
Ll 5. OUT
FIG. #E . U..:
1. INSIDE AIR FILM • , , 0.61
3 q r-- 5~ 2. _
~ 4• .
" ' . ? ~ • • •..a3 p ;'r:~ ` 1.:-~ ~ ~ 5 ' _TOT'4L
-
, - , • ° .G -t` /T U
-
ti: •
. ,
NON-VENT'ED ~ NOTE: USE ADDTTIONAL SHEEI'S IF' MRE SPACE IS
~
NEEDED FOR DETAILS AND CALL[JLATIONS.
HEAT FLOW
iJP
FIG. ~7
WALL SECTIONS BRICK Flxt. Y1.AUt
' NOT^: USE 10$ OF OPAQUE WALL AREA FOR
~ • FRAME CONSTRUCfION CONSTRUCTION R-VAIIJE
i
~ I~ '1. INTERIOR AIR FIIM 0.68
` -rz~ 2. RE ' I:OC .1
1• • 3.
4. AIR SPACE .68
.1
6. OR AIR FI .1
i ~ TOT.AL 2.75.
BASZC WALL j~ U = .36
~ 1. IN7'ERIOR AIR FILM 0.68
FIG. #1 TOPVIEW OF Z•
FftAME WALL 3
4.
5.
T 6. OR R F 0.17
~ ~ 'I'OTAL
}fI I
1. INPERIOR AIR FILM 0.68
FIG. #2 1 ~ 2.
f 3.
~ 4.
- ~--v 5 .
O 6. EX'PERIOR AIR FILM 0'.17
I S£AL._F'R (JD '
. i ~ 1. INTERIOR AIR FILM 0.68
2•
• V•, 0 3.
~l ) D 4'
5.
~y
~ d u•~~ 6. EXTERIOR AIR FILM 0.1
, 'IUTAL, '
O~n'• '
r ~1 • ~ 'a' ----Q .
• n .
, p
~ ---'I
SLAB ON GRADE
~ ~
~
11 ~ i 2 • ~ ~
: i l ~ ~ ~'•7$~, ~ b u ~ ~ ~ , ~ \
• a V ~
~ . ~ ~ `
•fr'~
h}•~ o ; ~,r~ _ , ~ „ . .
,
' ' ~ ytt v • , .1 ~
FIG. #3 FIG. #4 %
-
A Y ~ b t i f ~l
~~~j1 /
' NOTE: INDICATE TYPE ~~RT' VALIJE`, DEPT'H AND
t (k, ~ PLACIIMENT OF INSULATION
. ' . . - PLAN # I OOZ~}(o
^ LINFAL FE6Z' EXPOSID WALL
ar,ocx: 3~,-~3zt
KNEE:
w.o.:
FULL 1: 3Co~3Z+-341- Io,Si-StllSi-l~'~= I i SD
FnL 2: 3co +37 4- zl+z+i~ t3 Li - ~L{O
FIREPLACE: (o
xIM: Z g
~ SQvaxE FEEr EXPosID wALs. AREA
aLOCx: 14, (p X .s = -73
- Xs=
w.o.: - X a =
FULL 1: " $ - l ICo$ FULI. 2: x s= I ~ zc7 .
FIREPLACE : ~ x
R-12-1' ~~!v x 1 = ZFS~
T=AL
= L~17~ _
* SQUARE FEET EXPOSID CEILING I ZS-3
~ CN~DFIEWS ° DOORS
1- Cti+l3fe =-777 I~Za
tCLw Z4o 12,.9 1 3 = ZO
cLwiy~ _ 4,y~=~Z.9L ^PATIODOORS
~-1ccw55'~ ~ z4,I y
1\ ~ 3LLYl0!a = IL.~{ nyt{,°6
11 - 1 ~ z~ o H = 4, Z- i Z, rt BASIIMII4T- UNITS
4 0 Lb S rA :7. 7= 1 Si y
5~
II ~ ~7
1-KCKI~~o c~iS"S ~oCC7~0
~~~1'~LXZ~{~ =~7= 341
1, - zoz.g nN
zoz`{ STA ~ 3. 3
. i~ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
~~Q Fs a-
New Consiruction Reamrements RemodeVReoair Reouiremenis Off~ce lke 6nlv
3 registered site surveys showing sq fl. af tot, sq fl of house, and all roofed areas 2 copies oF plan Cert ofiSunrey Recd - YN
(20% mazimum lot coverage allowed) 1 set oF Energy Calculahons for heated addihons Tree Pres Pfan Recd ~ _Y' _ N
2 copies of plan showmg beam 8 window s¢es, poured found design, elc 1 sde survey for addtlions & decks Tree Pres Required - Y N
1 set of Enerqy Calculahons AddRion - mdreate rf on-sde sephe sysfem Oo-stle SephcSystemS _Y _N
3 copies of Tree Preservahon Plan d lot platted afler 711193 ~~\1,
Rim Joist Oetatl Options selechon sheel (bldgs wtlh 3 or less umts , I~ ~nv~ LJ
I V V /..,ICJ V
/
Date T / c~ / G'' n ConstructionCast . 4
Site Address 37-45 (J ~ n Unit/Ste #
_5/ ?
(~nn I. . . ~
Description of Work
Multi-Fantily Bldg _ Y~ N Fireplace(s) r 0 41 _ 2~
Property Owner lephone # (b51 ) ~lp
2
Contractor
Address .0 VK 2. 2 City
State ( oN Zip Telephonekil)
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
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 257o plan review
fee applies. '
n~
Licensed Plumber Telephone ~
Mechanical Contractor Telepho ~
Sewer/WaterContractor Telepho F u6
I hereby apply for a Residential Building Permit and acknowledge that the in *Of-- ation d accurate;
that the work will be in conformance with the ordinances and codes of the agan an the State of MN
Statutes; I understand this is not a permit, but only an application for a permit work is not to start without a
permit; that the work will be in accordance with the approved plan in the c o ork which requires a review and
approval of plans.
L UF _NI vY~ ~
ApplicanYs Printed Nan e pplican Si e
OFFICE USE ONLY
.
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
X 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea. ) ? 31 Ext. Alt - Multi
? 43 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Eut. 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 ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscelianeous
Work Types 2F?~'~ OLQ~leTl M N~0 17 0U1K t~7iQ, ) FffM r-y~[~17~1~1/ 0~1
N
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
A 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacerrment 'Demolition (Entire Bldg) -Give PCA handout to applicant
o
Valuation Occupancy IL~'~~iV MCESSystem
Census Code Zoning City Water
SAC Unds Stories Booster Pump
# of Untts Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
Footings (deck) ~ FinaUNo C.O.
~ Footings (addition) Plumbing
_ FoundaUOn _X HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
X Framing _ Siding _ Stucco _ S[one _ Brick
Fireplace _ R.I. _ AirTest _ Final _ Windows
Insulahon _ Retaining Wall
~
Approved By: Building Inspector
-
Base Fee L{'QI 2-. ~ S-
Surcharge `~;_O m aQrLo Lyy,,x
Plan Review 3a0 ~ °j ~p
MC/ES SAC
ciry sa,c FL
Utility Connection Charge
S&W Permit & Surcharge Treatment Plant
License Search
Copies
Other
Total ~36.
3`~ ~SS LJ "vA
Ct Permi[ Number
REScheck Compliauce Certificate Checked By/Date
1995 MEC
REScheckSoftware Version 3.5 Release Ib
Data filename: Untitled.rck
TITLE: MCGIVERN
CIT'Y: Eagan
STATE: Minnesota
HDD: 7981
CONSTRUCTION TYPE: Single Family
DATE: 08/18/04
DATE OF PLANS: 8/18/04
PROJECT INFORMATfON:
ADDIT[ON
COMPANY INFORMATION:
ROOMS TO GROW INC
COMPLIANCE: Passes
Maacimum UA = 17
Your Home UA = 11
353% Better Than Code (UA)
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Vslue R-Value U-Factor UA
Ceiling 1: Flat Ceiling or Scissor Truss 84 40.0 40.0 1
Wall 1: Wood Frame, 16" o.c. 120 19.0 19.0 3
Door 1: Solid 20 0310 6
Floor 1: All-Wood JoisVTruss:Over Outside Air 61 38.0 38.0 I
COMPLIANCE STATEMENT: The building design described here is consistent with the building plans, specificetions,
and other calculations submitted ' e permit application. The proposed building has been designed to meet the 1995 MEC
requ'vements in REScheckVer ' lease lb (formerly MECchec/q and to comply with the mandatory requirements IisteA in
the RESchecklnspection C
Builder/Design Date
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete foc single family dwellings & townhomes/condos when permits are required for each unit
Date
Site Address 31 w, ndfr.u Driot- Unit #
Property Owner -e-%Nt (A C (31VJ-'rn Telephone # ( (p81 ) (OS(o --(P31-I I
Contractor pMi~l'..S Pm4cltY`o i Qf\4q Y'TY
JI~U~
StreetAddress ~S gkohO1;A~ City
State Zip `J Telephone # (t0Sk ) Z[9 ~
Bond#: Expires: 1 bl us
The Applicant is _ Owner ~ Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
_V. furnace _Additional _Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .50
Total $ 30'So
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in wnformance with the ordinances and codes of [he Ciry of Eagan and with the Mechanical Codes; 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
approve plan in the case of work which requires a review and approval o
SRU CUQ Y-Q0. -
ApplicanYs Printed Name Applicant's Signature ~I ~ u~s
s L
J~ JAN 2 4 2005
J
FY----
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/industrial buildings
multi-family buildings when separate pertnits are not required for wch dwelling unit
Date
Site Street Address Unit #
Tenant Name (itapplicable) Previous Tenant Name
Property Owner Telephone k ( )
Contractor
Street Address City
State Zip Telephone # ( )
Band Expires:
The Applicant is _ Owner _ Contracror _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"When installing/removing underground tank, call for inspection by Fire Marshal and P/umbing Inspector
Permlt Fees: 570.50 Underground lank inslallaiion/removal
550.50 Minimum (includcs Statc Su¢hargc)
or
Contract Value S x 1% Permit Fee
• If eo rmit fee is $1,000 or less, add $.50 $ State Surcharge
If ep rmi[ fee is over $1,000, add $.50 for
every$I,000 Permit (ee $ Total Fee
I hereby apply for a Commercial Mechanical Permi[ and acknowledge that [he information is comple[e and acwrate; that the work
will be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that 1 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 wiil be in accordance with
[he approved plan in the case of work which requires a review and approval of plans.
Applicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
r ~
i SUBTERRANEAN ENGINEERING CORP.
~
' 6875 Highway No. 65 N. E. P.O. Box 32308 N DATE
, T J ia
MINNEAPOLIS, MINNESOTA 55432 Phone: 574-1242
' EARTH WORK OBSERVATION REPORT
OBSERVED
L yp ~1/ _C~ SEE9llily/EL~
! Job Neme w l~'(DT?EE 8~~~c~11~~~~ Job No. XCAVATION~ - ~
-
~ Job Locetlon 385 (,u,_r_v_llrRcE p:lUt G66AN, (f)N Lot - ~
j Earthwork p Block
; ControctorEY NC ~_Y,cnVRt'n1'Cllent 111C.~?Qf~5QA7 _ ~Yt7 ~LP.S
Q3x ~o / - Plat IAIIIJOIREE R"`AODjTiiW
j Arrlve Job IL[~(A Ir` Milea9e ~ ra)
s Total ~ FILL PLACEMENT:
i Dwert JobLN~ °1~Trevel Tlme INP, Chergeable 3~a 1+ Lot
~ Houra
~ Leb. Tlme ~Y Block
i Tolel Houre Eng'r P1e1
i On Job ~ Report Time ~ i Revlew Time - -
Summery o1 Technicel and /or Englnesring Ssrvlces psrformed Includlno Flsld Tstt Deta, Locatlons,
Elevatlons, end Deolhs ere eatlmated. THE LIMI7ATION OF LIABILITY STATEMENTS ON THE REVERSE
~ SIDE OF THE COMPACTION OUALITY CONTROL TEST REPORT CONSTITUTE AN INTEORAL PART HEREOF.
~ SEE/J77HCyE0 ~-?r~ ' ~ -7
Iset deep D fT feet desp
: 1. Excavation Is at end , grading to st and
~$9°Z Elevatlon (yausE) Elsvatlon G9.r~GE)
2. Slde Slooes are approx.: vert. ~ 1/2 horiz.: 1vert. ? 1 horiz.: t v Ct. ?
2 horiz: 1 vert. ? fletter than 2:1 ? othsr
; E 3. Conalructlon Staking Ie: adeauate NJ not available C7 ncomplete ?
Eq57 WtsT ~
X 4. Excavation la overolze/d 33 -~.Z, feet outelde o1 bullding Ilnes. °Zi UVEps12rv .vECo,e.vE2 /
' c S. Excavation Is: dry 29' wet ? OF Nn~is~ /
A Sa. Water Is eeeping from
~ V 5b. DeDth of water In sxaevaHon approx.
i
; A Sc. Dewatering Is: necessary ? not requlred N
` T 8. Excavation le with : dragllne ? beekhos ]K •crspe? ? doiar N
; 1 7. All uneultable aolla hare been excavated. YES NO ?
j 0 feet of_~~~C.~ 0 soll rsmalns to be rsmoved.
N S. Soll et excavatlon baes le:
i
6,''l ~ , G,n_Ey G,zEr-/3.zou~r~
Sllty Clay ? Sandy Clay ~ Cleysy Slit ~ Slity Sand O
i /fDUSr-?s al Cleyey Sand [J Clean Send ? Sandy Silt ?
; . A__ leet ol }III requlred to reach deslgn eu6grede(7-0 ~ofi~5 )
~ 10. Excavation le: Approved N Not Approved ? for fill and/or footing placement
i 11• FIII le (typs ol ~o
~ 11 e. Imported ? On-eite borrow ?
E 11b. Compactlon Is wlth sheepsfool roller ? manu/el t~m vlbratory ?
1 F smoolh drum roller ? -Dlt' ropelled ? non-rlbratory 0
} I 12• Performed fleld denslty teste. C~tlon Ouallty Control
~ L Ts~t Rsport No. ~
i L 13. feet o1 1111 re f to be placed.
i
~ 14. Denelly teete me ~npactlon epecl/icatlons. YES ? NO 0
} . Test No'e. dld not mest compactlon speelllestlons.
. dltlonal observatlone nd/o t sls are re ulred. ES NO WILLCALL ?
i
j ~ FROST ADJACENT WEATHER CONDITIONS:
j Q DEWATERING: PROTECTION: STRUCTURES:
~ P N well polnle ? etraw Hot ~ Dry ~
~ CD_deep Ile ? looae soll ? ~ Warm ? Reln ?
I T oyon i~h ? froet rlp6ing ? withln 20'fest ? Cool ? Snow ~
~ L 0 sump O temp.~ieat ? 20~0 feat ? > 32'F ?
, N
~ S ? b~nke ts ? ZO or more fsst ? bub-hsezin00
~ RECOMMENDATIONS/SUMMARY/vy,ORK PqOGRESS: ~ t L'~ 1~ndlree.. 8t` Aou"iI'ou
; Ffta-L ~rlUv ara.c~¢c~ i-r~r a h~ A~~ 4 loU~'e_e+ Z1.z NEw house
; b FQe~ 5C ' whicl. ex~leNds b¢vr~
rac~ii_ i~~rov¢A ~or ~il~ PLACernentf.
Y'
; c~mrns.adC-c~--- _~,--}enCc -n_to f1~ nr%_-_n_aliiLl. atthg, P St .tide
; 1he d Vol- evzr of
~ D 3TRIBUTION: h¢- I(1 C i1-L o¢
~1C(.L o
j cc: _Ke~ s~ocvE__ F-_XR&~- p5 A~ 1 e
cc: cc: _FPEiAN k3u)(,_Ilv51~_ bY ~1••~~Y.G[/~% i
~ _cc, Sranean Eng neering Corp.
i s-~U-3'8
- ec:
i
. , I11HY 10 ,I188
X~s pm
~MOCIC ON E , 6JIIv'DTREE" SV~ RPD'N
Lot 1
~
ro
scALE
~ 33~
~ ~i .~gqZ . yk 6H56 ELEVACIoN
90c) Fusrwv EGEVpTioN
/
1'1 Rot;nl~ ~ / ~ PROa~sEO Foott"J
GRRFlG E NOUSE i ~ ELEVATwN
~9zi ~ 89~
ii
.
' WIAIDTREE lRNE
1 -
,
i
~
t
1
,
a
;
i
„
~
~ SUBTERRANEAN ENGINEERING CORP.
~
~ 6875 Highway No.65 N. E. P.O. 8ox 32308 U)aD DATE r),
II
~ MINNEAPOLIS, MINNESOTA 55432 Phone: 574-1242 mp •O
~ EARTH WORK OBSERVATION REPORT ~ D
~ OBSERVED
i Job Name 9 ~"40 TREE Job No.1~8yZ~'~- EXCAVATION:
~ Job Locetlon ~1.LdDi`REE.PfZIVE- ~EAGFlN' (?7n/ LOt - -
-
i Eerthwork ~ Block _
~ Conlractor KEYST%iE EXC. __Cllent ~\/(~~~L4lr~SCN__~Ct7Per~LQS.__ pi
t~-l
~ Arrlve Job !I~L1_ 1Z3o .3zS 31'In,~; F~ rf" IPS~ T9~C~9i:
r?NU e a9 e
( ~ Totel FILL PLACEMENT: ES}'£N05y
Deoert Job~?b„ 3P°rprrevei nma /!-Ch Houes 1e ~ I 4 µ L~e _ l~~a ;oo
Lab. Time 3~NI2 Bloek
~ Total Houre En r
~ On Job 5 a Report Tlme Revlaw Time
I
~ Summery ot Technlcel end /or Englneering Servlces Derformed Includina Flsld Tsst Dale, Locatlons,
Elsvetlons, end Decthe are eetlmated. TNE LIMI7ATION OF LIABIIITV STATEMENTS ON THE REVERSE
SIDE OF THE COMPACTION OUALITY CONTROL TEST REPORT CONSTITUTE AN INTEORAL PART HEREOF.
_ leet deep - feet desp
; 1. Excaratlon le _ Elevation at end , grading to _ Elevatlon at _end
; 2. Side Slopes are epproz.: verl. O 1/2 horiz.: lvert. ? 1 horiz.: 1 v
' 2 horiz: 1 vert. ? flatler than 2:1 I] othsr
! E 3. Conslruetlon Staking le: adequate ? not available In plsts ?
' x 4. Excavetlon la overelzed feat outalde of bullding Iln .
' c 5. Excavatlon Is: dry ? wet ?
~ A 5a. Waler ie aeaping from
; v
Sb. Depth of water In excavalion appr
1 A Sc. Dewatering ie: neceesary ? not requlred
~ T B. Excavatlon Is wlth : dragllne backAoe ? •creper ? dozor O
7. All uneultable solls have been e avated. YES ? NO ?
~ 0
7a. fe of soll rsmelns to bs removsd,
N 8. Soll et axcavation b le:
i
' ty Clay p Sandy Clay O Clayey Sllt ~ Sllty Send ?
Clayey Sand ? Clean Sand ~ Sandy Silt ?
i 9. _ leet o} 1111 reQUlred to reach deelgn eubgrads.
xcavetlon Is: Approved ? Not Approved O for fill and/or footing placement
f
11. FIII Is o S~Li14_Ene.'}o m` (tYDS of solU
~ t ta. Imported ? On-slte borrow ~ L ftl-°• Qramol. ~
i 11b. Compactlon le wlth sheepetool roller ~ manuel temper ? vibreto?y g
~ F smoolh drum rollsr ? sNf-Dropstled 0 non-vibratory El
i 1 12. Psr/ormed ~f field denelty teete. Ses Compactlon Ouallty Control
L Tsst Report No. ~
i L 13. _-CJ leet of flll remalne to be plaeed.(Br1Gyu FCOfiNc..S)
~
~ 14. Denslty teste meel coJnpactlon speclfieatlons. YES 23 NO 0
14a. Teet No's. dld not mest eompaetlon spselflestlone.
15.Addlllonal obsarvatione nd/o tsete ers re ulred. YES NO WILL CALL ?
~ FROST ADJACENT t ~
~ 0 /DEWATERING: PROTECTION: STRUCTURESM~EATHER CONDITIONBP N straw Hot 9 Dry ~
~ ~loose soll ? Warm ? Rsln ?
1 T froat ri ng ? withln 2 eet ? Cool O Snow ?
~ 0 tsmeal ? 2 40 fest L7 > 32'F p
S b kets ? 40 or more feet ? hub-heezinp ?
~ RECOMMENDATIONS/SUMMARY/WORK PRO( RESS: I r~JSi14 Teds (T1FFT S-PECLF(CATID1vS.
i Ihe CwtmClx- cQuSirurtvd ) he 1
~r•1. IINCi EI.L a-i- 89ReLeva}io~ an~l '
-~--4-Le-vCL~.Qflz_. 0.~~14--euS~-~4~t^~t13~{~ a~ ~oh ,rg,e -}f~o eKas+i~~~ -~i~L sLo~ e_~s
At 1-3) Wev'e YaKeri lu 1hn~ w`~St" i'i,ntin~
~ e c rac a~ 0 517Fept„f51.1-~~LS-P Lue`~-khere_ anot- i-o vur arr~v«-Lw
~
DI TRIBUTION:
co:
I pEYS_TON_E_EXC:f~_VA71.f~1Cz
cc: _p;G~Qu f,CL~~~LeS__ ~
cc: or a.L
cc: Subterranean Engineering Corp.
~ - cc:
i' SUBTERRANEAN ENGINEERING CORP.
I 6875 Highway No. 65 N.E. P.O. Box 32371
~ MINNEAPOLIS, MINNESOTA 55432 574-1242
;
COMPACTION QUALITY CONTROL TESTS
Page 1 of 2
ProjeCt Windtree 3th Addition Report N0. 1
i 3785 Windtree Drive, Eagan, rtn, Job No. x-85269
I
~ Sand Cone Method ~ Indicated Percenf Compaction: ASTM
~ Nuclear ? ~ % Max. Modified Proctor Dry Density D-1557
i Other ? Max. Stondard Proctor Dry Density D-698
I IEV. AND/OR
I DE TH BELOW Wet Densit
i Y Dry Densily Moaimum
' Date Test 01 Total MOISTURE (
Foolin Laborolory % RECOMMEND4TION5 REMGRKS
j floor Grade ~ NO. Desi nGrade Sample CONTENT CorFa~Streconeted ) DryDensity Compaciion
~ Fill SurlaCe (IncludinqStore) °a pCf
irtay
' 1988 1 908 147.2 8.8 130.9 134.5 97 Meets` specs.
~ -9
~ " Z 912 140.1 4.1 124.9 124.9 97 'j
' (-5) ~ 't
3- 914 132.3 7,1 123.6 123.6 96
~ (-3)
4 917 137.0 7.1 125.1 125.1 97 "
Footin
5 894 120.6 5,0 112,2 115.5 97 "
i
6 896 144,2 7.3 129,3 134.5 96 "
7 898 132,6 7,1 118.6 121.0 98 "
ii
~ " 8 900 129.1 6.5 117.6 121.0 97 "
" 9. 9.02 144.8 7,4 124.8 128.3 97 "
" 10 904 139.0 6.8 125.5 128.3 98 "
NOTES I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLF.
-
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW.
BLCCK 1
~a~ N To 5' ~
0
#3 • "li~o 10
I ~rq 15
~ i
vE
Got'1
i ~
~
WT pTRL-E DP.ZUE
SUBTERRANEAN ENGINEERING CORP.
6875 Hfghway No. 65 N.E. P.O. 8ox 32371
MINNEAPOLIS, MINNESOTA 55432 574-1242
COMPACTION QUALITY CONTROL TESTS
Page 2 of 2
PrOjeCt Windtree 8th Addition Report No. 1
3765 Windtree Drive, Eagan, Mn. ,JOb NO. X-85269
Sand Cone Method 2 Indicated Percent Compaction: ASTM
Nuclear ? ~ % Max. Modified Proctor Dry Oensity D-1557
Other ? Max. Standard Proctor Dry Density D-698
LEV. AND/OR
H BELOW Wel Denslt
Y Dry Density Maximum
Da18 Test FOOIin 0! Tolal MOISTURE
Laboralory % RECOMMENDATIONS REMARKS
Floor Grode ( Corrected
NO. Desi nGrude 5°mple . CON7ENT p~ype~si~Y Compoclion
For Stone)
Fill Surloce i(including Stone) % pef
May 11,
1988 11 906 140.1 7.2 127.5 128.3 99 Meets specs.
" 12 908 130.7 8.2 116.3 121.0 96 "
" 13 910 137,7 7.5 125.1 128.3 97 "
't 14 912~ 137,8 7,5 126,0 128.3 98 "
i
NOTES I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLF.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BEI.OW.
~ I,
I
. APFLIC%~ATION FOR PERMIT iMM: pAYMENr OP FEE AT TIME OE
. ~ APPLICATION DOFS NOT CON- i
SfI1V1E 11PPRQJAL OF PERPIIT. ~
~ •
Fp1
SEWER AND/OR WATER CONNECTION + INsrB=c" oF mm mn/oa ~mTm ;
I[~SS'41LIAT7066 WII.L EAP BE SCID(ILFD '
~ l'Nl'IL PERKIT HAS BEFId ApPROVID. j
~ ~
~r;ittet~~ire~wi:ei~r~~tit~t~ffx+rf~+~*
~
ity oF eagan
(PLEASE PRINT
1) PROPERTY ADDRFSS:
T•E;AT. DESCRIPTION` . . . . . . . . . . .
Lot B ock S ivision or Tax Parcel ID
IF E}{ISTING STRC~CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSLANCE:
Nbn Year
PRESENT ZONING/PROPOSID L~SE:
Q CO[-M7ERCIAL/RETAIL/OFFICE 1,1j- R-1 SINGLE FAMILY
Q IND[!STRIAL ~ R-2 DL~PLEX (3WO L'nits)
a INSTI'ILTIONAL/GOVERt-Z'IENT ~ R-3 TOWNHOC~SE (Three + Units) ( Units)
Q R-4 APARTMENP/CODIDOMINIUM ( Units)
2) ~ NAME:
TISUMv Id ^ V I.IUIIJ U.. 16'i .
ADDRESS: 72201 MINNETONKA BLVD
CITY, STATE, ZIP: MINNETONKA,ABN 55343
PHONE:
For City Use
31 MAME= jypMASON PLUMBINO CO IMC Pl rums License:
ADDRESS: 12201 MINNETONKA BLVD. Active
Expired
CITY, STATE, ZIP: Not recorded
PHONE: MASTER LICENSE # Sta Initia
4) 07n~i Jet~a t~ .i~
NAh1E: /
ADDRESS: Q
CITY, STATE, ZIP:
PHONE:
5) ~ , y i .i a~
GXCONNECTIO[V 'Ib CITY SEWER E~S(CONNECTION TO CITY WATEEt O OTHER
6) C y -
* * 4ze
*k THE GOLD COPY OF THE pgtMlT WILL BE SED1P DIRECPLY '1C) PU9LIC WORKS 'i0 FACILITATE METII2 PIQC-UP.
PLE115E ALLOW ZSAU WORKIb7G DAYS FDR PROCFSSING. SOMEONE FROM TfM CITY WILL CONi'A(T YO[J IF T4E[2E *
* ARE ANY PROBLFNLS. *
~:r*+****~******+****~**+,r*****+******,r*+********~«**~**~*,r*+***~~~+********~+*,r+**+~~**~*+***,r~*+**3
. FOR CITY USE ONLY PERMIT # ISSUED
Pd w/Bldg. Permit FEES;
$ $ /i-s ~ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SORCHARGE)
$ (y 7 l'71 $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ _5 5(= G $ WAC
$ ./'7J $ SAC,;i_ ,.,•tST.de'1Ni'A
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ 1R1 t!Z r........ ;a u~+a~ge~nuj
T.A;~'y: F~LyFsEN ~.I~1~/Il~&UNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ ,-,Z C~ ~I • C" Z~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSCJED BY THE ENGINEERING
~ NO DIVZSION. LIST AS A CONDITIO[V.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
~ . .i
CITY OF EAGAN Permit Na Date: 5-1 8-gp
3830.PiotPokRoad g/p No: Date: " L'
P.O. Box 21199
; Eagan~NlN 55121
Owner. 'Iach'~OLfi6era
3755'.Wiudtrae IJrive T.! BZ Windtxee Rth I
Site Address: ~
Plumber. Thomvson I'luiabin2 ~
I' MWCC: 5 40, 00pd Zoning• Y i
City Chg: I00•~opd No, of Units:
Acct Dep: 15' flr~
Permit Fee: • OOT I agree to comply with the CRy of Eagan '
n~ , Ordinances. `
Surcharge:
MisC.: By !
SEWER SERYICE PERMIT ~
CITY OF EAGAN Permit No: 958F Date: S-I$ "Fa '
3830 P11bt K:aob"0Aosd Meter No: Size:
P.Q. Boz 21199 Reader No: Date: ~
Eayan, ?.'N 55121
Owner. '~,qch -%i1<lers ~
SiteAddress: 378;'»dCree Trive I:i '~I Nindtree th
P4umbec_ Thorarso~i
~ I
Conn. Chg: 550' ~~0pd Zoning:
Acct Dep: OOP No. of Units:
Permit Fee:
Surcharge: p~ 1 agree to comply with the CRy of Eagan
Tr. Plant '00pd Ordinances.
Meter. 67
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN Permit No: Date: 5' 1 F'`' ~
3830 fiMlot KnA Rosd Meter Na 0 5 d Sfze: G~
P,O. Box 27199 Reader No: Date: „ -20 ' 3/' ~
Eagan, MN 55121
Owner. Bach Builders
~ SiteAddress: 3785 Windtree Drive Ll B1 `~'indtree f>tt.
Plumber ThaTapson Plumbinn
Conn. Chg: 550• 0Opd Zoning: r1
Acct Dep: 15, OOpd No. of Units: -1 ,
Permit Fee: 10. 00pd
Surcharge: • 50pd I agree to comply with the City of Eagsn ~I
Tr. PIanC 204 , n0rd Ordinances.
Meter. 62 ^0--a ;
Misc.: B I
WATER SERVICE PER ~
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126684
Date Issued:09/05/2014
Permit Category:ePermit
Site Address: 3785 Windtree Dr
Lot:001 Block: 001 Addition: Windtree 8th
PID:10-84477-01-010
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Eugene J Mcgivern
3785 Windtree Dr
Eagan MN 55123
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
s
w �
Use BLUE or BLACK Ink
� For Office Use � I
C' j Permit#: � � j I
�6� 0� L���11 ��,��,.�X'��� � Permit Fee: � L lD��� � I
3830 Pilot Knob Road r1 �ttt� � ' � I!
'1 3 Lu�� � Date Received: '�� ��. '�� 'i
Eagan MN 55122 .��� i � I
Phone: (651 j 675-5675 i staff: /7`-/ i I
Fax: (651)675-5694 I ______ I ���
2011 RESIDENTIAL BUILDING PERMIT APPLICATION G-'�����
te C�� �,
Date: �iK� o� aoES"� Site Address: 37$S t,�:�et t`f�c �r Unit#: ��
Name: GcnL � �C�fp t�'�c C�r:a��r-e�; Phone:
RESIDENT!
OWNER Address/City/Zip: 3 rJ gS i�.3�nr��r c ��'"
Applicant is: Owner �Contractor �'�"f� ���� ���.``1�
� � �� �� ��� `
TYPE OF WORK Description of work: l�te� �e,c,� ��:••+ �+�' � �'�'
Construction Cost: ��,� '�'""` u - i g: es /No�
Company: C���c� E x�r��c� Contact: So.s �c.r.a.��..
CONTRACTOR Address: S��O�o �Ia������. ���� City: ����°' �-�sE ���4�,�3
State: l�1 t�} Zip: S���� Phone: ���'�E�'���
License#: ��- 5`�33�`7� Lead Certificate#:
' If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
�`c�-\
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING i�I��,ti�,ti-
1 ��
In the last 12 months,has the City of Eagan issued a permit for a simifar plan based on a master plan? `�� ,�'/���
, , �` �,.-" � �
Yes _No If yes,date and address of master plan: ' � ��i ��;�
Licensed Plumber: Phone: ��
�� - � ��
Mechanical Contractor:'° Phone:
,
Sewer&Water Contractor: Phone: ' - ir�'�''�r
NOTE:P/ans and supporting documents that you submit are considered to'be public information. Portions of
the information may be classified as non-public if you provide speci�c reasons that wou/d permit the City to
conclude that the`are trade secrets. `
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.ao�herstateonecall.or4
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 of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X Son �(�.C�a� x ��'► �- f�'�.,�a
ApplicanYs Prin ed Name Applicant's Signat�Yre
Page 1 of 3
� ' ,� ' tl � � J
" -"] Vl�� , ,�C�{,��-t� �/'
C
DO NOT WRITE BELOW THIS LINE �, � � �c�`'
SUB TYPES
Foundation Fireplace Porch(3-Season) Storm Damage
Single Family Garage Porch(4-Season) Exterior Alteration(Single Family)
_ Multi �'�[ Deck Porch(Screen/Gazebo/Pergola) Exterior Alteration(Multi)
01 of Plex �F Lower Level Pool Miscellaneous
_ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
`}C,, Addition _ Move Building _ Reroof _ Demolish Interior
� Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION r�1
Valuation ���-/ Occupancy ���� MCES System
Plan Review Code Edition 1,� ��,�,/-�_���SAC Units
��v�r—�
(25%_100%� Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction I� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
� Footings(Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
Framing Siding:_Stucco Lath _Stone Lath _Brick
Fireplace:_Rough In Air Test _Final Windows
Insulation Retaining Wall:_Footings_Backfill_Final
Sheathing Radon Control
Sheetrock ry Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES � � �� f��„�'�� 'I
Base Fee . � ����-�'`� ���"�,{/�`��' Q
� � ��� �
Surcharge ��1��
Plan Review ����-���
MCES SAC � ���
City SAC ��
Utility Connection Charge f �� �/ �
S&W Permit 8�Surchar e � � ( � �
9
Treatment Plant
Copies
TOTAL
Page 2 of 3
, • . �
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Eden Prau�e.M�nnesola 55344 �_ �
�� �� . Land Surveying
Landscape Architecture
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Survey for: BA�C.H �u1�oER5 Job No. gZ�f Bk. y'77 P� S�y
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W 1No T2E.E �a� Q1]U�1T1 o nl , DA�.o-r couN Y, i N�saYa
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3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-85351 FAX: (651) 675-56 ECEIVE
build inginspections@.cit oy fea-gan.corn
WV 19 20%
2018 RESIDENTIAL B I DING PER
Date: 11/20/2018 Site address: 3785 Wing ee -----
Barb & Gene Mcgivern
Name: Phone:
I ------------------
For Office Use I
o I
j Permit #: / S3 I L�
Permit Feer
I I 0
Date Received:
I I
I I
Staff:
L ---------------
APPLICATION
Resident/
Owner 1 Address / City / Zip:
Type of {Nark
3785 Windtree Dr
Applicant is: Owner Contractor
Description of work: remodel lower level
Unit #:
651-260-7674
Construction Cost: $45000Multi-Family Building (Yes / No x )
Company: Finished Basement Company Contact: Gene Kiecker
i 5600 Excelsior Blvd St. Louis Park
Contractor � Address: City:
ISN 55416 612-701-2959 gkiecker@finishedbasement.com
i State: Zip: Phone: Email:
BC -460771 NA
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
Home built later that 1978
t
l COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW 13119BL®ING
r 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:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be .
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets,
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacian.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.gopherstateonecal9.orn
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 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 n ttj case of work which requires a review and approval of plans.
x rlev--e Y_--ec t ev,
Applicant's Printed Name Applicant's Signature
DESCRIPTION j
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings _
Type of Construction —
OccupancyL� 1
Code Edition g/1 Z£%/5
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: '� Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
—6 Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control:
Other:
7— Ar(��(c�Reviewed By: ( , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
••o
EFTS
Page 2of3
3'� ) W
DO NOT WRITE BELOW
THIS LINE
SUB TYPES
Foundation
Fireplace
— Porch (3 -Season)
Exterior Alteration (Single Family)
Single Family
Garage
_ Porch (4 -Season)
Exterior Alteration (Multi)
Multi
Deck
Porch (Screen/Gazebo/Pergola)
Miscellaneous
01 of _ Pleu
Lower Level
Pool
Accessory Building
WORE( TYPES
New
Interior Improvement _ Siding
Demolish Building*
Addition
Move Building
Reroof
Demolish Interior
Alteration
_ Fire Repair
Windows
_ Demolish Foundation
Replace
— Repair
_ Egress Window
Water Damage
Retaining Wall
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION j
Valuation
Plan Review
(25% 100%)
Census Code
# of Units
# of Buildings _
Type of Construction —
OccupancyL� 1
Code Edition g/1 Z£%/5
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: '� Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: Footings Air/Gas Tests Final
Drain Tile
Siding: Stucco Lath Stone Lath Brick
—6 Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: Rough In Final
Erosion Control:
Other:
7— Ar(��(c�Reviewed By: ( , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
••o
EFTS
Page 2of3
r-----------------1
For Office Use r
t
3 I Permit #: 3 Z 2,
r
AGArtI Permit Fee:
OEC 0 3 2018 , '
l r
r
Date Received: I
3830 PILOT KNOB ROAD I SAGAN, MN 55122-1810 l r
(651) 675-5675 j TDD: (651) 454-8535 1 FAX: (651) 675-5694 1I
buildiminsertions(d)cityotgj g n.corn l Staff - - - - - - - - - - - - -
`_
2018 RESIDENTIAL PLUMBING PERMIT APPLICATION
r,
c
-h("T
Date:1. - Site Address:9F� �
Tenant: � I y k t
Resident/Owner
Contractor
Type of Work
Permit Type
RESIDENTIAL FEES:
Name:
Address / City / Zip:
Suite #:
Phone:
Name: License #.-
Address:
:Address: c n City:
State: tUU Zip: �� Phone: _ �'` �- 71
Contact: 1 i Email: 1
Sq - ftU,bDh,),h6),cyQci(M1,q7r
New Replacement Repair
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / PVB)
Septic System
New
Abandonment
Rebuild X Modify Space Work in R.O.W.
Water Softener
Add Plumbing Fixtures i;_, Main / Lower Level)
Water Turnaround
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge) TOTAL FEES $
CALL BEFORE YOU DIC. Call Gopher State One Call at (651) 454-0082 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. wwwjippherstatPgn(,!c all.ogj
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cilycfeaaan.com/subscribe.
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 with 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.
X 1 0x
Applicant's Printed Name Applic4n� iglgnature
FOR OFFICE USE
Required Inspections: Under Ground
Meter Related Items: Meter Size
Reviewed By:
Date:
Rough -In Air Test Gas Test Final
Radio Read Manometer Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA153207
Date Issued:11/30/2018
Permit Category:ePermit
Site Address: 3785 Windtree Dr
Lot:001 Block: 001 Addition: Windtree 8th
PID:10-84477-01-010
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Fireplace (new)
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 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 -
Eugene J Mcgivern
3785 Windtree Dr
Eagan MN 55123
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
4)\1
For Office Use t
Permit#:
EAGAN
Permit Fee: I
CEIVI Date Received: /— "
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 a
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-569 JAN 0 7 ago Staff:
buildinginspectionse.citvofeagan.com
2020 RESIDENTIAL BUILDING 1: IT APPLICATION
Date: [ 7-at 0 Site Address: 3/85 pc 0+(ee Dr, Unit#:
Name: 3q trb $ 0- ea-e_ / (G (7/it/Cr Phone:
Resident!
37-85- t(/'I. f r''a Jam„ Vi=a au 1A) /d-3
Owner Address/City/Zip:
r � i
Applicant is: t/Owner Contractor
� n /
Type of Work
Description of work: r�0'IOI� ° r�t
7 � (/�1z0`7 �IS''7 Ca(5/;S
Q � C.41'/7 �-
Construction Cost: g U r - Multi-Family Building: (Yes /No )
BEd
Company: 6C I`eLv1.(7G'Y� �Asc//''E'` Contact: � 7-(,//)/42eit g
Contractor Address:s�6 00 -C-"/ C1SI O( ','f. City: S , L0///A-S I Gc%vim
State: H Zip: 5-cPhone: 65/-3o9y -6600 il: int- I( `Ci ry- �c ✓E � �' ' �'
License#: Pi2VC L/60771 Lead Certificate#: /
If the project is exempt from lead certification, please explain why: g_
pa,i!A) ET' IN
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:
Fire Suppression Contractor: Phone:
NO'T E:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide specific reasons that would permit the City to concfbde that theyare trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaean.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.00pherstateonecall.orq
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 f ans.
x (/�C/ / h/ 64 x r! i et-
Applicant's Printed ame Applicant's Signature
I
�
DO NOT WRITE BELOW THIS LINE -5 ( 9I/ 5 W i J1d 42FF �i`'' / 0--f—0--
SUB
0'SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
ySingle Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level , Pool Accessory Building
WORK TYPES
_ New — Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
te Alteration _ Fire Repair _<Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation 4 . Occupancy .',,G -/ MCES System
Plan Review Code Edition 02.a/y SAC Units
(25%_ 100% 1/r Zoning ? -/ City Water —
Census Code y 3w Stories Booster Pump
#of Units / Square Feet PRV ^
#of Buildings " Length Fire Suppression Required
Type of Construction f$
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) tFinal I No C.O. Require.
Foundation Foundation Before Backfill to HVAC_Service Te- Cs Line Air Test_Hood
Roof:_Ice ater _Final Pool:_Footings :as Tests _Final
i Framing I, 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: / ,'� , Building Inspector
Or
RESIDENTIAL FEES 4-01- nwpRie,0 A
Base Fee
Surcharge
Plan Review 5?
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
Smoke and CO detectors affidavit for Building permit final fi•
APR 0 9 2020
I Kurtis Scholz have tested all the required smoke detectors and Carlin Monoxide detectors,
At 3785 Wir►dtree Dr ,on this date 4/8/20 They are correctly located as per the
manufacturer's installation instructions and operating.
There are working smoke detectors In every sleeping room,in every hallway leading to a sleeping room and on every
level of the house.
There are working Carbon Monoxide detectors outside of every sleeping room,within 10'
Permit# EA159832
' 7 -
4--,4
SignatureiZ
4
ry
` rx
i�ff F
,,,- 4tTt F
f '
J`P* 4
V0 tet�r" i 'f
`C� i xLT� sf'
;
#
For Office Use
' t PRr1711t#:/
(de 00
Permit Fee: `� 00 W'
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 i FAX: (651)675-5694 Staff:
buildinainsoections@citvofeaaan,com
2020 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 06-03-2020 Site Address: 3785 Wind Tree Drive
Tenant: McGivern Suite#:
Resident/Owner
Name: McGivern Phone:
Address/city/zip: 3785 Wind Tree Drive, Eagan, 55123
Name: Servin Plumbing and HeatingLicense#: PC645794
Address: 24752 705th Ave. City: Dassel
Contractor
State: MN Zip: 55325 Phone: 320-626-9224
Contact: Kirk Email: kirk.servinplumbing@yahoo.com
Type of Work —New Replacement —Repair —Rebuild V Modify Space —Work in R.O.W.
Description of work: Relocate washer/dryer water and drain and gas line 5 feet
Tankless Water Heater Lawn Irrigation( RPZ/ PVB)
Standard Water Heater
Description Add Plumbing Fixtures( Main/ Lower Level)
p Water Softener
Description:
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well* + $290 for Meter and $200 for Radio Read =$550
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0902 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aooherstateonecaliorg
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaoan.comisubscribe.
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 ofI plans. ,t
xTim Servin x f Lit`
Applicant's Printed Name Applicant's Signature
Page 1 of 2
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164281
Date Issued:09/24/2020
Permit Category:ePermit
Site Address: 3785 Windtree Dr
Lot:001 Block: 001 Addition: Windtree 8th
PID:10-84477-01-010
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 -
Eugene J Mcgivern
3785 Windtree Dr
Eagan MN 55123
(651) 260-7674
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature