661 Windtree Knoll
Trr#i#ira#r of Mrruvanry
~
Citp of (tagari
.
~r~tti -ur- 1! xf luitdiag impertimi
This Cavi'aQte e.ssree~dprassrwrt b tJu mqrdrmmts ojSection 306 ojrhe unijonre Buildiv
Code catoft thct at tlu uiw of Luuance Ariswuclure ww in compliancc wilh llre mrious
Ordinm= ojthe C7ty ngrrbft bwr7ft cunsdurnioie or rrra I'ior !he fopowfiW
u.a..woso. ~M/W ea& n,.i N. _ 17996
O-W-7 TYR R1.411 - r,,i°s °iw~ R I Tya coma VN
o.=,cwjwm boT]T1aM rFs= vTvnZj6 3786 WDIDr1RFE IR., F,AGAN
D.Wm AA&w r,~ ~F, ~17[l. L..ayL 12, B I. WBIDrnM 8Ti
,
D„r_ gETMffit 25. 1990
POST RV A CONSPICUOUS PLACE
~
i
t
V `
DATE: JUNE 29, 1990
• RE: 661 YINDTREE IQIOLL (HONTGOMII:BY DSSIGN & BUILD)
X Your Sewer & Water Permit for the above property has been pompleted. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PJJBUC WORKS (454-5220) FOR YOUR PERMANEN7 WATER TURN ON.
W%
Your 3ewer & Water Permit for the above property cannot be completed for the following
retKons:
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 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.
- - REUUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
.
.
- ~ CITY OF EAGAN ~.~13 ~~ggg ;
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # -1 . - JI -I
To be used for 8~ Est. Value =137 Date ~
H1
Loe ~r~lock Sec/Sub. OFFICE USE ONLY
R-s, tI-1 - FEES
' 'p°"~'
Parcel No. ~
!lDNT00lM OEBI= 8 ~1tllAD zon1g pq = 769.00
c Name (Actual) Const _ Bldg. Permil
Address (Nbwable) Va 6S~S0
Sureherge
City ZAGM Phone - r ot swries sqp.pp
Length 69- Plan Review
~ Name DeP~ Zd SAC. City
t
~ Address S.F. Totai - saC, MCwCC '
~ Ciry Phone s.F.F°°IpriMs - wate?ca,n 625.00 .
On Site Sewage _
Name on sice weli ~
wate? Nteter
Address Mwccsystem n--- ncct.Deposit - 0.00
City Phone city w8w
PRV R9quired - SAN Permk
1 hereby acknowlege that I hav read this V
n and stat at the Boortar Pump _ ~~r~~ ~
infortnation is corre~t and agr W complepplicab
le S te of ~Mlnnaeota Statutes C of E a ~n~
q-~~ I Treatment PI
Si9nature o1 Pertnilee APPROVALS Road Uriit •
lDNTAONLRY DE81W1 b ~1I ~r A Building Permit is issued to: - Pa?k Ded.
on the expresS Condition that all work shall be done in acxordance with all Couxil -
applicable State of Minnesota S tes a~pd City M Esgan Ordinances. gby, pH, _ ~ ~
i`
Building OffiClel ysriance - TOTAL
, Pwmit No. Psrmit Holdx Date TgMphow
WATER ~Cf I ~y S~
SEW-R _
PLUMBING
H.Y.A.C. v . I 9Q
ELECTRIC
bmwoc*m Dah InsP. ConwM^ts
Fpdirgs I 11
-e4~ I
Framiny O
RoofM+9
Rd6gh PIbB_ ' '
aougn ?4. 7h7 d al~
Frep~ace S Sc li
Fwul H1p. 7
Final Pft. -
' Const_ Meter • I.spector - NWily Plumber
EnprJPlan
alk. FinW
oeak Ay.
qDp
I I
L ~
r7-" 74r^3 ~ _rirs• ,
T ~
• •
PLUMBINQ PERMIT For Offi ~,l,se~y
' CITY OF EA~iAN PEAMIT # a--
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT # -
PRICE PHONE 4548100 DATE: ~
Site Ads t° k "J'iAr` c ?Jo l? BLDG. TYV WORK DEIrRIPTION
Loty BIQ*~eclSub ~S• New
f; , Mult. Add-on
~ Narrle A 11 - Cornm. Repair '
~ lr 1 o C t c e k L.. Other -
Address
~ City °i d' Phone i"RES. PLBG. ONLY - COMPLETE THE FOILOWING:
NO. FIXTURES TOTAL
3 Waber Closet - $3.00 $ `i
Name ~ • ~ ~ ~ ° -T Bath Tubs -;3.00 L
~ Address w- r i rJ , -r Lavacoy _ $3.00 9
. ~ T Shower - $3.00 ~0-
~ City ti Phone T~~n Sink -$3.00
UrinaVBidet - $3.00
' FEES Laundry Tray - $3.00
COMMJIND. FEE -1% OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES ~ Water Heater - $7-50
TOWNHOUSE & CONDO - RES. HATE APLLIES Whirlpool - $3.00
MINIMUM - RESIDENTIAL FEE $12.00 -T Gas Piping Outiets -$1.50
MINIMUM - COMM.IND./FEE E20.00 (MINIMUM • 1 PER PERMt7)
STATE SURCHARGE PER PERMIT .50 Sottener -$5.00
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE) WeU - $10.00
Private Disp. - $10.00
-9 5 - -
Rough openings - S1.50
SIGNATURE OF PERMfTTEE PERMIT FEE: STATES S/C: S ~FOR: CITY OF EAGAN GRAND TOTAL: .
. , For Offica Use Only:
~
. ~ ' . MECHAMICAL PERMiT PERMIT #
cInr oF E?aAN RECEtPT #
9830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 434•e100 DATE: .
Site Addres,s - , - . ' ' . " , i- BLDG. TYPE WORK DESCRIPTION
Lot - Block - - - ' = - Ses/Sub Res. ~ New
~ ? . Muft Add-on
m Name K ' •
Address," .h'ho<•'~ e~;:~, 1,'~ ~ Comm. Repair
c Chy Phone OthBr
FEES
Name RES. HVAC 0-100 M BTU - $24.00
~
c Address qDDITIONAL SQMBTU - 6.00
p City Phone - (RES. HVAC MCLUDES A/C ON NEW
' CONSTRUCTION)
GAS OUTLETS (AAfNf1AUM -1 PER PEFtMI'~ - 1.50 EA.
TYPE OF WORK COMWiND FEE -1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPUES
BOiler M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Unit Heater M B7U YINIMUM RESIDENTIAL FEE - ALL ADaON &
REMODELS - 12.00
Air COnd. M BTU MINIMUM COMMERCIAL FEE • 20.00
Vent = SJ CFM STATE SUFiCHARGE PER PERMiT - .50
Gas Pipfng Outlets M (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other - -
~Mrr ~E:
. 51GNAT E QF PERMITTEE SfC:
~
TOTAL: FOR CITY OF EAGAN
~ _ . _ .
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN , MEfER 9 j3 PERMIT DATE 06/29~9C
3830 Pilot Knob Rd. CHIP # 0 '';2 9'0 PERMIT # 11491
Eagan, MN 55122-1897
METER SiZE ~ ~c B.P. RECEIPT # C8277
DATE JUNE 11, 1990 ISSUE DATE B.P. RECEIPT DATE ~6 / 12 9Q
A - PRV - BOQSTER PUMP
SITE ADDRFzSS 661 WINDTRFE KNOLL PERMIT REOUESTED
LOT L2 BLOGK 1 SEC/SUB WlKDTREE gTH
X SEWER ? WATER - TAPS
APPLICANT: ~NTGO?'4ERY DESTGN ~ BU~1LD
ADDRESS: 37$6 WINDTREG DR - COMMIIND X RESIDENTfAL
CITY, STATE rAG11N, MN ZiP 55123 x NEW _ EXISTWG
PHONE: 681k-9230
Lawn Sprinkler Meters are to be InstaUed PLUMBER: Ahead of Domestic Meters on Water Line.
ADDRESS: j~.~..(~ t~r e-k ~--z-~ Credit WILL NO~ begiven for Deduct Meters.
CITY, STATE ?o r ct -a-?'~_~.~ ~J S 2LiD
PHONE: [kt
' I AGREE COMPLY WI'L, CITI(
OWNER: ~a rn~ a S z O r~ I+~ a.~_f EAGAN O DINANCES ~
ADDAESS: ~
~ CITY, STATE ZIP
PHONE: . IGNATURE WHEN ME7ER 1OUED
~ /G :i % ~
PLEASE ~CLL011~1NORKING DAYS~FOR OROSSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
- SEWER PERMITS, CONTACT ENGINEERING DEPT.
Y
SEWER 4JIATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METtR # PERMIT DATE 06I29/90
3830 Pilot Knob Rd. 11491
Eagan, MN 55122-1897 CHIP # PERMIT #
METER SIZE B.P. RECEIPT # C 827T
DATE -~.W4$ 11, 1990 ISSUE DATE B.P. RECEIPT DATE Ob 12 90
PRV - BOOSTER PUMP
SITE ADDR49S' 661 W=NDTRF.E K':flLL PERMIT REQUESTED
LOT 12 BLOCK 1 SEC/SUB MHpTREE ATH
' X SEWER ~ WATER - TAPS
APPUCANT: tiONTC44ERY .'.1ES10N3 ?4 Bi3t1.D
ADDRESS: 3786 WINDTREE DR -COMM/IND x RESIDEN7IAL
CITY, STATE EAG11N, MN Zip 55123 x NEW - EXISTING
PHONE: 681k-9230
Lawn SSpriDomesnkler t Meters n Water t Linea
r ~ ~e ^
PLUMBER: Ahead of J
ADDRESS: I f1 ~_r ce k Credit WILL NOT be given for Deduct Meters. ,
CITY, STATE T ~ ~ , j1").~~ S ~ ~?rb
PHONE: ''f ri a ' A 1
1 AGREE Td COMPLY WITH CITY~
OWNER: t 1< i f EAGAN OF#DINANCES
~
/
ADORESS: '
CITY, STATE ZIP
PHONE: SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPEC710NS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
~
DATE 19(1U
FIKENEO
Arr+ourrr Is
& DoLuRs
O CASH ~CHECK
FM Lr - r~
d 4r~
FUND OBJECT AMOUkTr ~
.
Thank You
BY CL
C 8277 ~~k°~&V Copy
Pink-File coPy
a 60439
Request Dale Fre Na Rough-In Inspectian
Reqmretl9 M~ Reatly Now ill Notdy Inspeclor
~ Yas ? No ~ ~ / ~en ReatlI
Ix licensed contractor ? owner hereby request inspechon of above electrical work at:
Job Adar s(Stteet, 9ox or Rouia No ) . Giry ~
2
Secuon No Township Name or Na ,9ange No ~ Counly ~
Ocwpyy (P INT) ~ Phone No.
~
Pawe: Sup`plier Atltlress
v
EiecvK oneacfoe (COmpaery Name) ~ ConVactor5 Lnse No
S- 3
Maihng AtlOress ( onvaCtor or Ownar Mdking InstalldtiOn)
~ '
Aubronz" ignaWre (COn:ractonOwner 1 kmg Ins:allauon) 11one `Nmbar
Lc~n~~~ 0~2~n~ ZS `I'O - ~ 3la
MINNESOTA STATE BOARD OF ELECTflICITY THIS INSPECTION REQUEST WILL NOT
Grlggs-MlEway Bldg. - Room 5473 BE ACCEPTED BV THE STATE 60AR0
1821 l)nlverelty Ave.. St Vaul, 1111104 UNLESS PROPER INSPECTION FEE I$
PM1One (611) 643-0800 ENCLOSED
ci/~j REQUEST FOR;ELECTRICAL INSPECTION EB-00001-07
I
,t~ xts~
ll~ See mstmAOnsiorcorlpleling this lorm on back ol yellow mpy O~9
~
60439 "X" Below Work Covered by This Request Q~a.•~`
ew Atld. Rep. ~ TypeofButltling AppliancesWiretl EqwpmeniWued
Home Range Temporary Service
Duplez Water Heater Electnc Heahng
Apt Building Dryer Other (Specity)
Comm.llndustnal Furnace ~
Farm Au CondiLOner
Other Ispectly) Conlractors FemaBs
Compute Inspecfion Fee Below:
# Other Fee # ServiceEntrance5rze Fee # Circuits/Feeders Fee
Swimminq Pool 0 to 200 Amps ~ 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 Amps
Signs Inspeclar's Use Only TOTAL
Irnganon Booms -JD , U Q
Special Inspection ~
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT S. q,
I, the Elecincal Inspector, hereby R°°qn.n oa~e7
certify that the above inspection has
/
been made /Z W
~
OFFICE USE ONLV '
This repuesl voitl 18 mOnlh5lrom
CITY OF EAGAN Np 17996
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # CO~D ~ ~
~
Tobeusedbr SF DWG/GAR Est Value $137,000 pate JUNE 11 19 90
Site Address 661 WINDTREE KNOLL ~
Lot lZ Block 1 Sec/Sub. WINDTREE 8TH OFFiCE uSE ONLY
P8rC81 NO. Occupancy R-3. M-1 FEES
Zoning R'-1-- 769.00
m Name MONTGOMERY DESIGN & SOILD (AClual)Con51 Vn- Bldg Permn
; Address 3786 WINDTREE DR (Allowable) Vn- Sumharge 6$•50
° Cit EAGAN Phone 681-1773 :roiStones -
Y Langih Plan Review 500.00
, o Name SAME 681-9230 Deplh 28-- snc. aiy 100.00
0, a Address SF.Total - SAC,MCWCC 600.00
~ City Phone S.F. Footprmts -
On Site Sewage _ Water Conn 625. ~0
ww Name On Sile Well - Waler Mater 90.00
zMWCC S slem XX
AddrBSS Y ncct. Deposit 30.00
aw City PhOnO Grywater X7,~_
PRV Requued _ SiW Permit 30.00
I hereby acknowlege that I have reatl Ihis phcation and stat at the Boosier Pump - SM' Surcharge .50
information is corr t and agre to compl tlh all applicable ate of
Minnesota Statutes Crty ol an dina es. 7waiment PI 252.00
SignatureolPermitee APPROVALS qoadUnit 355.00
MONTGOMERY DESIGN & BUl D Planner - ParkDed.
A Building Permit is issued to:
on the ezpress condition that all work shall be done in accordance with all Councii
applicable State ol Minnesota St tes and City ol Eagan Ordinances. BIOg Olf CoDies
/J
Building Oflicial ~ ~C Variance - TOTAL $3,420.00
` n
S
7q3 r~
20w RESIDENTIAL PLUMBING PeRnnir aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
oete _U ,d, (P f 6 `I
Ske Street Address lDl wl?~~~ 1~1'~II Unk#
Property Owner 9wi`W L,F.IX 'vl .4C.! Telephone
Contractor VQ~S i llA1Mvi r1171 Telephone# 61a xU119'1110a
Address 2j'.~ S . SLeJkSYa. 6k P Vd CKy CSY'dCt.L? 5tate-UtL ZIP 5'5
35`~
The Applkant is: _ Owner $ Oceupant Licensed Plumbing Contractor
Septlc System _ New _ Refurbished Submit 2 sets of plans arxl MPC license Inciudes Courrty fee
i 100.00
Per asbuitt $ 10.00
Fire Repair (replace bumed out flxtures, ete.) $ 90.00
This fee a lies when extensive umbin re irs are made to a buildin .
Alteratlons to existlng dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee indudes
installation of a water, softener and/or water heater at the same time. H you are
insfalling on a water soltener and/or water heater, do not complete this section;
move to the next section and place a chedcmark next to the appliance(s) you are
insTalling.
_Septic System Abandonment
_Water Tumaround (add $738.00 ii a 5/8" meter is required)
anar:
_ Water Softener _ Water Heater $ 75.00
_ new _ replacemeM
Lawn IrrlgaUon _RPZ PVB ,new _repalr _rebuild $ 30.00
State Surcharge $ .50
Total $ 30 ~
I hereby appiy for a Resfdential Plumbing Permit and acknowledge Uiat the infortnation is complete and accurate; that the
work will be in confortnance with the ordinances and codea of the Cily of Eagan and the piumbing codes; that I
understand this is not a permR, but only an applicatian for a pertnit, work is nM to start without a permit and work will be in
accordance with the approved plan in the everd a plan is required to b iewed rfd approved.
ApptlcanYs Printed Name A pA nY~ nalure
%
q~
3D
V, .~lr ~V iiVll 1VYG ll•JfIIILJ 1[ fILLL l1Yl. IGL IYVVIG OVV JJ1V MVJ1 I VG
Y
S fIiiEYOR'S CEItT1FICATE "'°"T0°'"ER" °ESI u
~ l?
.
•
\ 5 :
-b bt
tp
.
LOT 12
~
~'~~'s ~6y • / _ , g f ~
3/" \
t~~~ ~ ~ 34.69 - (SSYi.j ~ z •
E~pp ~ 36.0 _
/•S ~ / m PROPOSED
N HO!!SE 9
~GARn7 0 0
5.0 0 7 ~ ` ~
~ 24.0 •
°o v jA97.3 '
~ \ (900.8) ~ ~ - - _ T6.83 +3)
pJfT J J? \ ,I DR~POSAD ~ D-
0 N
~
T 1.42 ,o N
o'4R 690111 49N
8 9\ 6X
~
~3 ~
E~GikN
~EVIEWED
N1 ~9
By - `
r
qATE
j EAaAIV EYdGI1VEERIYdG D,EPT
+ DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SEf SCALE: 1 INCH - 30 ~:T
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 90•i, I~FT
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOFi - gRg. 4 +:T
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - ROJ • S +=T
WE HEREBY CEFTIFY TO MONTOOMERY DESIGN THAT THIS IS A TRUE ANO CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 12, Block I, VNNDTREE 67}i ADDITION, aooording to ihe recorded plaf ihereof,
Dokota •County, Mlnnesala
IT DOES NOT PURPORT TO SHOW IMPFiOVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION 7HIS 31ST DAY OF MAY , 199Q
SIGN J MES R. HILL, INC.
PROPDSED ORADES SFIOWN YIQR£
TpKp) F1i0M TYE ORADING PIXi
FOR NMIDTREE 9TM AOOITION B '
PfiEF1UM BY FpN KRUETER B
assoc., iNC. Lnst anTeo7-2i-e7. JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
? ~o o w
~ James R. Hill, inc.
_{~-mp o
~ Z~ vW> m
o~i o m> Z' m ~ PLANNERS / ENGINEERS / SURVEYt iS
'i ~v m tn8 <
n~ - 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 o 612-8& 029
ti
e
~~~J~y? , /
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE 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 SPECIFIGATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY L.AST 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 WHIGH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOIdED ONCE SUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SE`w'ER & WATER PE[L^1ITS IS TWO DAYS ONCE A PERMIT HAS BEEN COhIPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
M 07 RECo
To Be Used For: 5:~~ Valuation: Date:
Site Address IQ~Q ` OFFICE USE ONLY
Lot ~ Block ~ FEES
Occvpancy ~-3 ItIN
, ~ Zoning
Parcel/Sub ~J...J"'AiL2Q ~ Actual Const ~ Bldg. Permit /h/q
~~Uri•~t9~~ Allowable Surcharge (o~,s0
O~.iner # of stories Plan Review SOO
u' Length (18 SAC, City //~D
Address Depth 22 SAC, MWCC (000
S.F. Total Water Conn ZS
City/Zip Code Footprint S.F. Water Meter ~
Acct. Deposit 30
Phone On site sewage_ S/W Permit 30
, n site well _ S/W Surcharge ,SD
Contractor MWCC System Treatment P1. Z5-'z
City water ~ Road Unit 3 SS
Address PRV _ Park Ded.
P Booster Pump Copies
City/Zip Code /r ~ SUBTOTAL
/ v c APPROVALS Penalty
Phone Planner TOTAL
Council
Arch./Engr. Bldg. Off. IALCJ to/1l /5
Variance v
Address
City/Zip Code
Phone #
r .
/s le- . .
~
300
ZS,~ Z ~ so
- /zo
Zti~
3 &k 7~ = 5~~
SO
/ 0
-Z zZ =52~ ,~~s % 3zv
City of Ezgan - Conversion I
Cash ReceipL
Receipt Date 10/3/00
I Tioe Printed 13:54:39
Receipt Nunber 1870
ROBERT L if8TT50N , I • 0-* I
. _ o
9Q21.2195 5o
BP 42391 769 • +
9001. 4093 60.08 68 • 5+
BP 42391 e J 500•+
,oo•+
600•+
625•+
so•+
so•+
30•+ i
i ~\7' 0•5+
252•+
355 • +
~ 3i420•*
~
~
Total keceipt kount 60.58
User fIHCGRRO .
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES •
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuRi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF
? 03 01 of _ plex O 09 07-plex ? 18 Deck ? 23 Porch (screeneu) ? 36 MuRi
? 04 02-plex ? 10 08-plex PP 19 Lower Level ? 24 Stortn Damage
? 05 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscelianeous
p 06 04-plex ? 12 12-plex ? 20 Pool ? 30 ' Accessory 6ldg.
WORK TYPE
p 31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair, ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code (91 # of Stories sq. ft.
No. of Units ~ Length sq. ft.
No. of Buildings Width Footprint sq. ft. -S ~
Const. (Actual) T~7 Basement sq. ft. ~ Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning =1 sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 1-4 Engineering Variance
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
q 23q ~ ciTV oF ~?cwN ~ ~O •~O
~ 3830 PILOT KNOB RD - 55122
651-881-4875 l ~ ~~2
(
New ConshucHan Reaulremenh RemoCel/Reoalr Reaulremenh
* J replatered tlte wrveys ahowlnp sq.8 of bf, aq. H. ol lwuse 2 coples of plan
antl pU roofetl areas (40% rtwximum bT eoveraae albwec) I se1 of eneryy calculaNOns for heated addlMOns lim
> 2 coples of plaru (flww beam a wlndow sixes; poured hx1. desfyn: etc.) 1 sife wrv6y tor 6xtedor CdtllNOns e decka . q. Mb
> 1 set OI enerpy tadcutaflons ~I O
a 3 coples ol hee p rvaflon plan If lof plaltetl aRer 7/1193
DATE: CONSTRUCTION C05i:
DESCRIPTION OF WORK: VAs EMe~E! ~ Fi N f S h
STREET ADDRESS: l0 6 I W r No 7l? t,5 A" /Ua I l
LOT: -IL BLOCK: I SUBD./P.I.D.WIhJi,jtQ WVl
Name: ZO-InE41P RfJ 0 y Phone
PROPERTY wsr Flrst
OWNER Sheet Address: 6G / w/N p InE EP-,4ja I/
CNy ~56 ~ f}Iti State: ztp:
Company: Ott rTc`aN 6A/'1420C7.n.t4CPhoneu: ~0' ;7r`
(area code)
CONTRACTOR Sheef Address/QL/0U--~9'f4 /'~U6 'UvLicenseko~~ /~a//O~Exp. 2 O U1
:
ari P/~ mbd1~ sro,e: 9iv . zip:
ARCHITECT/
ENGINEER Company: Name:
Telephoqe Y: ( )
Sheef Address: RegishaHon
City Stote: pp:
Sewer/water licensed plumber (if instalflna sewedwater#:
a0 appQeable StafE
IherebY acknowledye that I have read this appiicaHon, atate Hwt the Infortnatbn ee
of Minnesofa Stalutes and CHy of Eapan Ordinances. Sipnature ot Applfcanh OFFICE USE ONLY L7CEIVED
Certificates of Survey Received _ Yes _ No 6 1 8 2000
Tree Preservation Plan Received - Yes - No _ Not Required
LOT: ~ BLOCK: ~ SUPD./P.I.D0: wIha'fYto V-I~
, 2000 BUILDING PERMIT I4PPLICATION (RESIDENTIAL)
' CITY OF EAGAN 41i3.1K
3830 PILOT KNOB RD - 55122 ~
~ ~f3~y/ 651•681-4675 Cq1~~ 1j.zo-Q~
i
New Construction Requirements Remodel/Repafr Reauirements ~
? 3 regisiered sRe surveys showing sq. M. of lot, sq. R. of house 2 copies of plan
and all roo(ed areas (20% maxfmum lot coveraqe allowed) 1 set of energy calculations for heated additlons
? 2 copies of plans (show beam d window sizes; poured fnd. deslgn; etc.) 1 site survey for exterior addRlons R decks
? 1 set of energy calculations
? 3 coples of hee preservation plan If lot platfed after 7/1/93
? Rim Joist Detaii Options selectlon sheef (bulldinas wkh 3 or less unRs1
DATE: 0 CONSTRUCTION COST: DESCRIPTION OF WORK: 30 64'L a4?4qE /'fClf44nl~multi-familybldg.,howmanyunits?
STREETADDRESS: 'e/Va»
Name: 4"'U'2~ Phone O/ U'0
PROPERTY tast Flrst
OWNER /
StreetAddress: U/61 e,/~G6//
City ~~r! State: Zip:
Company: /~!f} ~14Zf) N 11)/y?liffle'~'/wli l~C• Phone
(area code)
CONTRACTOR Sheet A /UJ/ad 4~l/~.(~ ko License#~ 0/Iaaxp.
dndre s: ~ 7' °'l
City f~~ 1~ U J 1' ! State: ~ Zip: JS1~~" Z
ARCHRECT/
ENGINEER Company: Name:
Telephone ( )
Sfreet Address: Registratfon 1k:
Cryy State: Zlp:
Sewer/waterlicensedplumber(ifinstallinasewer/water): Phone#: L~
I hereby acknowledge that I have read this application, state that the info mation is correct, and agree to
comply with all applicable State of Minnesota Statutes and City of an rdi anc .
Slgnature o( Applicanf: ~ ~ ' ~ ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No '
Tree Preservation Plan Received _ Yes _ No _ Not Required (~ID~f 1•~ ZuCO
~ _
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessor§ Bldg .
? 02 SF Dwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3•sea.) ? 31 Ext. Att - Multi
O 03 01 of _ plex ? 09 07-plex ~ 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) O 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
P 32 Addition ? 36 Move Bldg. O 43 Reroof O 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
' Demolition (Entire Bldg only) permit - Give PCA handout to applicant
VALUATION .J~, O/j/') ~ Occupancy MCIES System
Census Code %j~ Zoning ~ City Water
SAC Units Stories Booster Pump
Nbr. of Units ~ Sq. Ft. a OOY PRV
Nbr. of Bldgs ~ Length Ci_ Fire Sprinklered
Type of Const J Width ~
INSPECTIONS REQUIRED
_ Footings: New Blde _ Insulation _ Windows - new/replacement
_ Footings: Deck _ Final/C.O. _ Siding
_ Footings: Addition _ Final/No C.O. _ Stucco/Stone
_ Foundation Fireplace: _ r.i. _ air test final RooL ice & wmter final
_ Framing Pool: _ ftgs _ aidgas tests _ final
APPROVALS
Planning Building ~ Engineering Variance
Base Fee Q-
Surcharge
Plan Review ~.L,e 1~ X~ mG
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit 8 Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Total:
u~r JJ IIV? lv.`~ aJ..l~.~ 1? ii~.~ lll. ~.L ~ ._r~ ~r~~ v r~~vl~
~
il-JAVEYOR'S CEATIFICATE 1N0N7'ODWR" °ESI 4
.
j " C Cc~+ ' \
° 3~ ~ Q a\~'Pt ~ u~
.
~ ~P5 1'~at e£
LOT 12 all,
I
eo.3 1 (qo
L o.gL
--F
0
N 37.y3-' ` 0 ?
p POSED ~ ~A
HOUSE ~ /Gq j
J' 25.0 0 I I4
2a,0
tp
_?s.es
x' ~ J J
N~~Jer J,, \ / DR~A~ N
I //d + y
J^ ~o \ / / o
• 2 I J~ -
~ 71.42 ~o N ~ •a~," ~
~t 68°JI'49'
a~a R060.QQ
~4L
EAG~U
REVt~WE D
NN ~ND ~ 'j`
k;,1101AN ENGINEERING D;EP1' _
DENOTES PROPOSED SURFACE DRAINAGE
O OENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 1 =T
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 90j. ) =T
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - gcte, 4 =T
(000.0) DENOTES PROPOSED ELEVATION PROPOSEO TOP OF BLOCK- 904.5 Z
WE HEREBY CERTIFY TO MONTOOMERY OESI(iN THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Loi 12; Block V0ICTREE pTH ApDITION, aouording fo ihe recur6ed ploi ihereof,
Dokota •County, Minneaata
IT DOES NOT PUFPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 31 ST DAY OF MAY .1990
SIGN : J MES R. HILL, INC.
PROFlD9ED OHADES SI/OWN HAEliE
TAKpI F1qM T?IE ORAOING RAN
iUN WMIDTMEE BTH AOptTION 8
PREMI~ BY IpN KRUlIfiER B
nssOC., iwC. LnsT DATEO :7-z7-s7. JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
~ o ~ o o W o !2~ o D)ames R. Hil I, inc.
or o m~` D Z~tp m m~ P:ANNERS / ENGINEERS / SURVEY( IS
T ~1 ~ OV m y0 <
n - i4.;01 JAMES AVE. S. * BLOOMINGTON, MN. 55431 & 612-88; '029
8
a
CITY USE ONLY
L ~ BL I RECEIPT#:
SUBD. Wihd trCt RECEIPTDATE:
PERMIT# 41I31
2000 PLUIyIDING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
651-661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES e Gt c, L EACH N TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - t 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laund tray 3.00 x = $
Lavatory 3.00 x = $
Septic System new/refurbished ' requires MPC Iic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installatioNrepairlrebuild 30.00 X = $
Rough o ening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under construction 3.00 x = $
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x j = $
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x $
State Surcharge 50 $ 50
rotal $ , e a
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------ation - is------- ----------------ithal ---l--app--- ---ble---City - ---of--Eagan------- -ordinance5-------
I hereby acknowladge that I have read this appliwtion, state that the infortn wrted, and agree to comply wlica
It is the applicant's responsibility to notify the propeRy owner that the City of Eagan assumes no liability for any damages caused by the Ciry during its
normal operational and maintenance actwities to the tacilities constructed under this permit within City propertylright-of-way/easement.
SITE ADDRESS:
OWNER NAME: TELEPHONE
61 (AREA CODE)
INSTALLER NAME: ~~~•F~ ~.~+.vnvG-~-+^!i TELEPHONE N S 33 --/3 f /
47 (AREA
STREET ADDRESS: G?09 ' CODE)
CI?Y: STAT ZIP: ~:~Wd"
SIGNATURE OF PERMITTEE
~I
City of Eaoan
Cash Receipt ~I
Receipt Date 10/4JN
- Tioe Printed 14:20:33 I
J Receipt Nucber I101
PLYNOIITH PLUIfBIkG dNC
9CO1.2195 .SO
P? 43139 '
9CO1.4087 30.02 ~
PP 43139
I
. I
~
Total Receipt Hoount 30.5Q
User Ki:tXi2f.9
CITY USE ONLY
LOT ~ a L ~C PERMIT ~?J ~ ~J \ a~~ I I~~ ~
SUBD. A RECEIPT t~: ~\~1\\ V 1
~ I
. RECE[PT DATE: Y e'~_U N 1 C1 ~
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN ~`~RVI
3830 PIIAT FQ70B RD
EAGAN D47 55122
651-681-4675
Date•
Complete this section onl if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner/occunied. ~
• HVAC: 0- l00 M B T U $ 30.00
ADDITIONAL 50 M BTU . ~ 6.00
• Gas outlets (minimum of one required @$3.00 ea.)
State Surchazge .50
T 6tal $
~
~
Complete this section onlv if you are remodeline, addina to,~\or reoairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration _ Repair _ Other
_ Furnace Air conditioning
_ Airexchanger _2~\ Other
' Fee ~ $ 30.00
State Suichazge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS: QW W`1~1['(~Q
OWNER NAME: I PHONE .
(AREA CODE)
INSTALLER NAME: PHONE 2~-
STREETADDRESS: (^RE^cooe)
CIT'Y: C~~\l1 l~~,U~ ~ STATE: ZIP:~
SIGNANRE O ERMITCEE
2~'1 ~1
CITY USE ONLY
L _ BL _ PERMIT
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECSANICAL PERMIT (C0MAERCIAL)
CITY OF EAGAN
3830 PILOT IINOB RD
EAGAN, AIIN 55122
651-681-4675
Please complete for: all commerciaUndustrial buildings
multi-famity buildings when separate permits are not required for each dwelling unit
DATE:
WORK'IYPE: _ New conswction _ Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, ca11 651-681-4675 jor inspection by fere marshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR 530.00 minimum fee, whichever is greater.
' Underground tank removaUinstallation = minimum fee
Contract price: $ x 1%= S (Baze Fee)
State surcharge calculate at 5.50 for each SI,000 Base Fee
TOTAL a
- - - - - - - - - -
' SIT'E ADDRESS:
OWNER NAME: PHONE -
(AREA CODE)
TENANT NAME (IMPROVENIEN'fS ONLl):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? _ Y_ N. NAME:
INSTALLER:
ADDRESS: PHONE k: -
(AAEA CODE)
CITY: STATE: ZIP:
SIGNA'C[IRE OF PERM(TTEE
LX1'GiI;TOR E=NV_F.Lf:IF''I_ (-dVl_F:AGF "L.i" C01'9F''UTAl10hd
h10MfGOhIERY UES'f.GIV I±USI...I) CfJ
1786 UJ1NI)7F:F.E I)R
EAGAIV, I'41'd 5512:'
6£31--9230 1990 I''tnkADE hIODEL_
M01)El_ AFif=A LJ U X AREA
REQUTkED
1. T(]"I'6-1L UJ(-1LL AREA 2749 .11 302
F'.'001= AREA 1158 .026
ACHI I EVED
A WIPIDOW (-1REF1 1:=4 • 44
B DOOR r-,rirA 40 .13 5
C SLID:I"NG GLAS; RFL"A 40 ,.65 <b
I) 1=1R[:PLACL AREA =:6 .:3 7
E WALL. F'RAME AREA 274.8 .095 26
f-' NE"f WCL_t_ AhiE!-1 2223.2 .038 34
G FiIIM JCI:fSl" AREA 157 .04=:6 7
I-I F'QUND WIIVDOW AF:_F.A 0 0
T FOUIVll ABOVE Gf?F1DE 85 .ObEi 6
3. 'f(7"I-l11.. WAI_I._ AREA 206
J Sk'YL.T'IE".
F:i F:OUI= FRAI°1f_ 115.8 .032 4
L IVET F:ODF AREA 1042.2 .0227 24
4. 'fDTAL F;00F AREA 27
SIJh1 0(" 1.+2. 332
iUM OF . +4. 233,
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 661 Windtree Knoll
Lot: 12 Block: 1 Addition: Windtree 8th
PID:10- 84477 - 120 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 2,000.00
Contractor:
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $2K
Surcharge - Based on Valuation $2K
Construction Type:
Occupancy:
$70.00
Owner:
Randy C Zarecki
661 Windtree Knoll
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA075386
10/06/2006
ePermit
Pictures are not acceptable in lieu of inspections. Randy Zarecki 661W ndtree Knoll Eagan, MN 55123 612 - 840 -8904
raz@chegnet.net
$69.00 0801.4085
$1.00 9001.2195
- Applicant -
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
h all applicable State
Issued By: Signature
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
AUG 0 8 2016
Use BLUE or BLACK Ink
For Office Use
Permit #: ' ) 1
Permit Fee: _2-22,-C '
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 8/3/2016 Site Address: 661 Windtree KnoII
Resideni
Owner
Type
of Work
Contractor.
Name: Nathan Lorentz
Unit #:
Phone: 651-452-3879
Col
Address / City / Zip: 661 Windtree KnoII
Applicant is: Owner Contractor
Description of work: Partial basement remodel
Construction Cost: $5000 Multi -Family Building: (Yes / No 1/ )
Company: self Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Phone:
Phone:
Fire Suppression Contractor: Phone:
Mechanical Contractor:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you
the information may be classified as non-public
conclude.tha
ukmtt are considered to be public` in formation Portions o
f you provide specific reasons that would permit thew:Crty t
the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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 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.
.Nathan Lorentz
Applicant's Printed Name
Applicant's Signature
(o(o\ LA) ; not r c \
DO NOT WRITE BELOW THIS LINE
ns6 ?Az,-
SUB
IZ
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 Plex �f Lower Level _ Pool _ Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% )()
Census Code
# of Units
# of Buildings
Type of Construction
Interior Improvement _ Siding _ Demolish Building*
Reroof _ Demolish Interior
Windows Demolish Foundation
Egress Window _ Water Damage
*Demolition of entire building — give PCA handout to applicant
Move Building
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Footings (Addition) 7 Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing J( 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick
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
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
LF0
3/1 2-0
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA139187
Date Issued:10/12/2016
Permit Category:ePermit
Site Address: 661 Windtree Knoll
Lot:012 Block: 001 Addition: Windtree 8th
PID:10-84477-01-120
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Remove existing laundry, relocate drain waste &
vent
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nathan D Lorentz
661 Windtree Knoll
Eagan MN 55123
Applicant/Permitee: Signature Issued By: Signature
Date:
City of Eaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
OCI 18 2t16
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: / -UP Date Received: lb -1 - l �P
Staff:
2016 RESIDENTIAL BUILDING PERMIT • APPLICATION
10/17/2016 site Address: 661 Windtree Knoll
Unit #:
::,. ::,;
1, 1 /I), J
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100% }( )
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
0 NOT WRITE BELOW THIS LINE
Interior Improvement
Move Building
Fire Repair
Repair
gtor'J
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 Foundation Before Backfill
Roof: Ice & Water Final
Framing 30 Minutes 1 Hour
Fireplace: _Rough In _Air Test
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Reviewed By:
Siding
Reroof
Windows
ic Egress Window())
39-0
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
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
Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
)C Windows(R i� LwL.
Retaining all: _ Footin Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
REcEwED LH
JUN 01 2018
Permit For Office Use� �J j I
fd1 W /(/Q / -7 �j
Permit Fee: / (6".
Date Received: 1.J l
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: A`'
buildinainspectionsCcD.cityofeagan.com
2018 RESIDENTIAL BUILDING. PERMIT,/ APPLICATION
Date: 5 71 Site Address: b&I (Nola wee,/ee g140 i' Unit#:
Mi IBJ A t I E L Lo re t f- _ 661 ?2 H L/6 2:
.1111100':
. Name: Phone:
RP.SIf�E't1i� / v /
Address/City/Zip: 6 6 i tiJ/�UJ free klion gayly) GC
I2-;
;
�� 4y,4001*, Applicant is: Y. Owner Contractor
11 G r
Description of work: 4bo'Jire)IA 5 w ISM i' i tti poo ►�G1�
. 'fjClCIC ( I GIC
Construction Cost: /coo Multi-Family Building: (Yes /No K )
do{omp i
Company: Contact:
Cotra , Address: City:
d, 40 State: Zip: Phone: Email:
; i '4`41PROW License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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: ,�¢
NOTE documents Itha"t you St1f)tftlf are c o�fnsidered' 1, /c a r e ` or ions oif ,2 fo matitnf maybe ` "5 e
,,.
4" k!(3ll�i/Ibil4'if you,pro4100-0061/kiwspOklhattpigg{�erlrl'#ft�
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.citvofeaaan.comisubscribe.
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.gooherstateonecall.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 o plan
x fJAIi/ h Lortwhy x G
Applicant's Printed Name App icant's Signatu
DO NOT WRITE BELOW THIS LINE &&/ W i ii-CT` '64° f I /101
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_Plex _ Lower Level ) , Pool _ Accessory Building
WORK 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 r
Valuation - Occupancy v�L�`(LMCES System
v "!t v
Plan Review Code Edition 71 5" SAC Units
(25%_100% %) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction \�O Width
REQUIRED INSPECTIONSVV
Footings (New Building) Meter Size:
Footings (Deck) Final I C.O. Required
Footings (Addition) Final I No C.O. Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final )( Pool: )(Footings ?Air/Gas Tests ,Final
Framing 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 PanOther:
Reviewed By: /\--t , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review y 'C) l,/
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant 9\3
9 0 QCopies ..
1
TOTAL \17A1/
Page 2 of 3
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: U/ t yidir l'tz li / Q77
q
Applicant Name: A10-14,0/ Z.Nr k..
N
I GENERAL INFORMATION
U
O• z
LI ❑ Applicant name and contact information
PI ❑ ❑ Property owner name
❑ ❑ Address of property
kr ❑ ❑ North arrow, scale (1" = 30' or 40')
zr ❑ ❑ Site Plan, drawn to scale showing location of house,pool, and other existing or proposed
structures, including retaining walls and fences.
fzl ❑ LI Location and name of all streets adjacent to property
1 ❑ LI Directional drainage arrows (existing and proposed)
❑ A ❑ Lot Square Footage
❑ ja ❑ Lot Coverage
ELEVATIONS
Existing
Ji ❑ ❑ House corners
Ji ❑ LI Property corners
❑ p ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ A ❑ Finished pool deck corners
❑ A LI Top of proposed retaining walls (if any) and at each different elevation(if it changes)
A ❑ ❑ Pool bottom(or max. depth)
DIMENSIONS
Existing
21 ❑ ❑ All property/lot lines
A LI ❑ All Easements on the property
Proposed
Ai ❑ ❑ Pool
❑ 21 ❑ Pool plus integrated deck/patio
❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
V
Reviewed: 1 ��' 67 :67
Nam- Date
G:FORMS/Pool Permit Checklist/11-20-12
........,A7.,=:...... .,_,
SURVEYOR 'S CERTIFICATE MONTGOMERY DE SI v
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he ft, y \ . (9ao.8) - -- -_ _ 76.83 _ _Y�" `4 l
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F ,. \ DRIVEWAY ' i� C.Cl• i
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EAGXNlifb.041
Er.-4 --- k. f 0-*: WI ... Tip
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�' By
pA'� r ,�!
EAGAN ENGINEERING DEPT .
- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 1 ST
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 90.i, J 1 ST
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 590.4 1 ET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - /0-1.6- ET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 12, Block I , 'MNDTREE 8TH ADDITION, ao:ording to the recorded plot thereof,
Dakota •County, Minnesota
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 31ST DAY OF MAY , 199Q
SIGN.* MES R. HILL, INC. e._ -.e,-..-���-.. —__.-
PRO POS ED GRAD ES SHOWN MARE V /
TAKE) MOW THE GRAD iNG RJ1N
FOR WINDTBEE 8TH ADDITION •
gSO�, II?'CY AN
DATED 7-2-87. JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
cn � - 8w8 � > 3JarnesR. Hi11, inc
- m . c..) iW m
z -i ,, z m z PLANNERS / ENGINEERS / SURVEY( 4s
—71 O ' -<
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r 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-881 029
1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152356
Date Issued:10/11/2018
Permit Category:ePermit
Site Address: 661 Windtree Knoll
Lot:012 Block: 001 Addition: Windtree 8th
PID:10-84477-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
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 -
Nathan D Lorentz
661 Windtree Knoll
Eagan MN 55123
Residential Heating & Air
1815 E 41st St
Suite A
Minneapolis MN 55407-3425
(612) 724-1899
Applicant/Permitee: Signature Issued By: Signature
EAGAN
ESTABLISHED 1860
June 6, 2019
Mr. Nathan Lorentz
661 Windtree Knoll
Eagan, MN 55123
Re: Fence encroachment
Dear Mr. Lorentz,
The purpose of this letter is to inform you that portions of the fence and retaining wall that
you constructed with your swimming pool project are encroaching into the platted
drainage and utility easement. At this time, we are NOT requiring you to remove them
from the easement. However, be aware, at any point in the future if the City or a private
utility company needs to access the easement they have a legal right to remove your wall
and fence and are not obligated to replace them. If you have any questions or wish to
discuss this issue further, I can be reached at dwestermaver(a�cityofeagan.com or 651-
675-5641.
Reg. .s,
it
Dave Westermayer
Engineering Technician
cc. 661 Windtree Knoll parcel file
MAYOR I MIKE MAGUIRE COUNCIL MEMBERS I PAUL BAKKEN,CYNDEE FIELDS,GARY HANSEN,MEG TILLEY CITYOFEAGAN.COM
CITY ADMINISTRATOR I DAVID M. OSBERG MUNICIPAL CENTER 3830 PILOT KNOB ROAD, EAGAN, MN 5 512 2-1810
MAIN: (651) 675-5000 HEARING IMPAIRED: (651) 454-8535 MAINTENANCE: (651) 657-5300 UTILITIES: (651) 675-5200
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 I TDD: (651) 454-8535 I FAX: (651) 675-5694
buildinginspectionstc'i.cityofeagan.com
REC y
JUL 16 2020
9
r For office Usq ,l /
oZ!
Permit #: 4 7 C fritirojti
Permit Fee: / 7. . 34, A'
Date Received: 6jr
Staff:
2020 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/16/2020 Site Address: 661 Windtree Knoll
Unit #:
Resident/
Owner
Name: Nathan Lorentz Phone:
661 Windtree Knoll
Address / City / Zip:
Applicant is: ✓ Owner Contractor n l f)t&kl Z a oll,-i-lnn
®d-` coCQ ill
Type of Work
Description of work: Replace deck
Construction Cost: self Multi -Family Building: (Yes / No ✓ )
Contractor
Company: self Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
In the last 12 months,
Yes No
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?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
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 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.citvofeanan.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 of plans.
ally igned
x Nathan Lorentz Nathan LorentzDigit�:�zso.o„6by,,:3Nathan,;�_050oLorentz
Applicant's Printed Name
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace
Garage
Single Family
Multi -.,L Deck
01 of _ Plex / Lower Level
wocifre-E K0011 /'‘4
_ Porch (3-Season) _
_ Porch (4-Season)
Porch (Screen/Gazebo/Pergola) _
Pool
WORK TYPES
New _ Interior Improvement
\(, Addition _ Move Building
Alteration _ Fire Repair
Replace _ Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%X )
Census Code
# of Units
# of Buildings
Type of Construction
c,2;0
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
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
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
1�-
-)c
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC _ Service Test Gas Line Air Test _ Hood
Pool: _Footings _Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick _ EFIS
Windows
Retaining Wall: _ Footings _ Backfill _ Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
, Building Inspector
1)
41W
/WYK 2-0
Page 2 of 3
/6 PO,-
_ RVEYOR'S CERTIFICATE
/Ja Ilan and /-/tA k e.,
bGt Windf/ef K4foI
69
4 a
;: \6�.
E 0)
EPGAt,N
REVIEWED
DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
By
410
MONT30MERY OE 8j
76.83�
Cw�7
EAGAN ENGINEERING DEPT
SCALE t INCH — 30 I; ET
PROPOSED GARAGE FLOOR — 9p.i.) I ET
PROPOSED LOWEST FLOOR — 616.'1 ET
PROPOSED TOP OF BLOCK — /04 . S ET
WE HEREBY CERTIFY TO MONTGOMERY DESIGN THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 12, Block I , WNDTREE 8TH ADDITION, 0000rdinq to the recorded plot thereof ,
Dakota .County, Minnesota
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168077
Date Issued:04/08/2021
Permit Category:ePermit
Site Address: 661 Windtree Knoll
Lot:012 Block: 001 Addition: Windtree 8th
PID:10-84477-01-120
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Nathan D & Heather M Lorentz
661 Windtree Knl
Eagan MN 55123
Tacheny Exteriors
49 S Owasso Blvd W
Little Canada MN 55117
(651) 481-1466
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA176699
Date Issued:05/27/2022
Permit Category:ePermit
Site Address: 661 Windtree Knoll
Lot:012 Block: 001 Addition: Windtree 8th
PID:10-84477-01-120
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nathan D & Heather M Lorentz
661 Windtree Knl
Eagan MN 55123
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature