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677 Windtree Knoll08/0312011 11:20 9527070334 MAY/18/2011/WED 11:21 AM City of Eagan 411"' City (1E411 3830 Pilot Knob Road Eagan MN 55122 Phj58i5 ". Fa`x: (651 -589 �l ACE GARAGE DOOR FAX No. 651-975-5694 1 PAGE 01101 P, 001/001 Use BLUE or BLACK Ink SWAIM Permit #:O 7 /=2 Permit Fee: Q •(_/o Nig Rwcelved& Staff;_ 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 3 I( Site Address:,(%;,,.rC.: 0 /! Name: RESIDENT / OWNER Address 1 City 1 Zip: TYPE OF WORK Applicant ls:^ _ Owner contractor Description of work: Construction Cost` Unit #: Phone:( r1 CONTRACTOR Muiti.Femily 13ulidlnp: (Yes Com an P Y: er(41:1'Jif4 Contact: Address:% o 9 e ,d «, City: State: 414zIp;._.S. . _ Phone: 9. 4 0 10 1 No ) ac Cleanse #: G Lead Cariiifoate #: (sae Page 3 for additional information) Does this project require Lead Remediation? ❑ Yes ❑ No If no, please explain; COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Cagan Issued a porrtrlt for a similar plan based on i master plan? _ Yes _No If yes, date and address Of master plan: Licensed Plumber: Mechanleat Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Pians and supporting doouments that you submit amconyidsred to be pubilo Information. Portions of the information may he classified as non-public if you provide specific ressons that would permit the Clty to Conclude that they pro trade secrets..' • CALL BEFORE YOU DIG. Cali Oophmr State One Call at (581) 4544002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locales of underground utilities., yay.QpmilgrstateonaCaU.orq I hereby aoknowledp that this information le complete and accurate: that the work will be In conformance with the orolneheea and codes or the City of eagan; that t understand this le not a permit, but only an application for a permit, and work is not to start without a permit; that the work will ba In accordance with the approved plan in the case of work which requires a review and approval of • arta. • x !✓tile Applicant's Printed Name x Applicant's Signa Page 1 of 3 City of kap 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 6754694 Use BLUE or BLACK Ink For.ti Permit*: 524 Permit Fee; Date Received: Staff: 2011 SEWER AND WATER REPAIR t1DISCONNECT PERMIT J Date: 4/ City Sewer City Water C/ Repair Disconnect Fee3• ss5.o0 Street Address for Proposed Work OWNER Phone;. / Name: 7, ►7 sr �'� ty, ' k?o2- !,/,/� Address / City / Zip: lfV�,i�1---- Applicant Is: Owner Cantracter Licensed Pipelayer Master Plumber Name: 1 4 clkk-%..- Address / City / Zip: 1-1-4.30 (Vag 4' L. Pipelayer Training Certification Card #: 4072 V Property Owner or Master Pim**, r License # 0 i12 61 (6 1, i acknowledge that the information Is complete and accurate and that the work ivill ba in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes. I understand this is not a p4rrnit, but only an application for a permit, and work is not to start without a permit. W4 is e_ Applicant (PON Name) APO oaf- e 4,4 (4 1 - CALL CALL BEF • RE Y • U DIG Call Gopher State One CaII at (651) 464-000k for protection against underground utility damage. CaII 48 hours before you intend to dig to receive locates of underground utilities. 1www.noPherstateonecall.orp E/e-- 411011b C!ty of Eaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit#: "--1,��� Permit Fee: Date Received: Staff: ((At"? 2010 RESIDENTIAL BUILDING/PERMIT APPLICATION Date: I )/a`i/aom Site Address: &71 W MlCP9i. , CAVA / Tenant: Suite #: RESIDENT / OWNER Name: hL 2/b)PY Phone: Cela—t'ai /OA? I Address / City / Zip: 1,211 W )Y!ll * kok.e. E.rV Applicant is: Owner 1,, --Contractor (t TYPE OF WORK Description of work: CIS2/IiPitt toped..1 Construction Cost: / � serc, — Multi -Family Building: (Yes / No i----7--- --'TCONTRACTOR CONTRACTOR Name: 1l l)flkL5 l iiiit Ti Oanii, az License #: c2.06 355 -82r Address: $iYO /9 VT e City: ,rier Ztth• State: RA Zip: 6-66-- a_ Phone: Nom'"' 0"' O15-4, Contact: lErdr l�%i dMe Email: 4MC 1/t,eOY1,/4 l/fGGf /.0 2z_ COMPLETE In the last 12 months, has Yes No If yes, THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan issued a permit for a similar plan based on a master plan? date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Port ►ns of the information may be classified as non-public if you provide specific reasons that would permit lite City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.org 1 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. Applicant's Printed Name Ap • ('cant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New Addition 1. Alteration Replace _ Retaining Wall DESCRIPTION Valuation Pian Review (25% 100% y; Census Code # of Units # of Buildings Type of Construction Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 1134i REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Roof: _Ice & Water _Final otir Framing Fireplace: _Rough In _Air Test _Final 0f. Insulation Meter Size: Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL iy7 89 — 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 1116- MCES System 2.CO7 SAC Units R-1 City Water Booster Pump ' 7 PRV Fire Sprinklers .11110 Sheetrock Final / C.O. Required jfr 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 "'✓ 337 $ M 1161 & - 6 N Page 2 of 3 pk)- SoLS City of Etan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: Permit Fee: - �U Date Received:�-�." Staff: 6.7 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1 1,9- (tom Site Address: Lein V3 ii [,"-- rI w Tenant: Cs 10'' v \ J Suite #: RESIDENT RESIDENT /OWNER •Ji) � tf Phone: ( l �"(0-1P ( OD - Name: , ltyr Address / City / Zip: Om Ace, 6A CONTRACTOR Name:f --t ---t, COI\ License #: Q1t t b�"Pv Address: V\' Vi City: U� V 1l,.L! State: \A R. Zip: 1Phone: q3h141 •• Contact:adbiThlekn'1/ mail: C� �iCili' 1 TYPE OF WORK New - Replacement Repair Rebuild Modify Space Work in R.O.W. _ _ (y Description of work: i 1 S Vvf p PERMIT TYPE RESIDENTIAL Water Softener Water Heater Add Plumbing Fixtures ( Main / Level) _Lower Lawn Irrigation (_ RPZ / PVB) _ Water Turnaround Septic System � _New Abandonment k `CL,jj'` aL � � _ 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 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 accor ance with the approved plan in the case of work which requires a review and approval of pla ti - eiocti cL.lap Applicant's Printed Name App ant's Si v+. ure 0 ~ r~ &rtifirate of (Vrrupanry. titp of eagan appl'$tttPitY Df iwbmg inapP['ttDl1 Thrs Certtficate issued pursuant 1o the requinements of Section 306 of !!re Uniform Burlding Code certifying lhat at dte tinie af issuance lhrs structare ww in compliance with ihe various ordinances af the City regu/ating building consrruclion or use. For 1Jce followeng: ti,e chnitnuoo SF M/GAR ews. nan rm. 18699 00-n•-r 1M R3/141 Zoning Db,,;a R1 .n,a Cow VN owwO(eUMwMPX"W IESZGN 6 BUIID,,,3772 RMZM DRZVE, EACAN 677 Wi~RFE KM Loom;n, L8, B 1, WDIDrlRPE 8Ili Dam 4/24/91 1-1 . POST IN A CONSWCUOUS PLACE . _ ~ FEa 7, 1991 ~ DATE: I w' 677 WINDTREE KNOLL (!lQNTGOMERY DESIGN & Si1ILD) • RE: X Your Sewer & Water Permit for the above property has been completed. It will be held at the Pubqs Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CkCL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer 8 Water Permit for the above property cannot be coFnpleted for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notlce. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. t o~fE~agan.{ij~rTAf ~ejW R~FPOLICY. 1991 ~ic~eBnsaingWwith~h~e lgi~y Secretary, Building Inspections Dept. . CITY OF EAGAN 18699 4 ~fr 3830 Pilot Knob Road, P.O. Bax 21-199, Eagan, MN 55121 ` PHONE: 454-8100 BUILOING PERMIT Receipt # Tobeusedfor fiF DWG/GAR Est.Value :102,000 Date FBa 7 , 19 91 877 WI~E IMLL Site Ad t ess OFFICE Lot Block Sec/Sub. USE ONLY Occupancy M ~ i Parcel No. FEES Zoning 6~~.~ W AddreSS Name ~AY D98Iqi 6 DIJILD ~t ~ Bldg. surcharge Permit ~IDCL~ii00D D!~ (a~owable) 51.00 0 - . City EAGAJI Phone r oi stories ~ 4~.00 Length ~ Plan Review o Name oev~ - sac, cri 1~'~ ~ Address S.F.Total - SAC,MCWCC 650.00 ~ City Phone S.F. Footpnnts - "0.~ On 5ite Sewege _ Water Conn ?.~w Name or, sne wen Water Meter ~I Address MWCC System -r Acd. peposit City Phone Cicy water - ~ ~ PRV Required - SNV Permit .I hereby acknowlege that I have read this application and state that tha Booster Pump _ ~~rcharge 150 hlormation is correct and agree to Comply with all applicable State of 76.00 - Minnesota Statutes and Gity ol Eagan 9lrdinances. Treatment PI ' Si9nature of Permitee,,4-L / ` : ~ f . ~ ~ } • APPROVALS qoad Unit 370•00 A Buildir?g Permit is issued ta 'MONTGOMERY DSSIqI Planner - Park Ded. on the express condition that all work shall be done in accordance with all Couricil applicaple State of Minnesota Statutes and City of Eagan Ordinances. gldg. pn. _ CoPiBS _ 8uifdirlg Official ~ ' Variante - TOTAL 3,324.5b PWmi! No. Pwmit Holdw DrM ToMphonw JF WATEA /O Od- SEWER J PL?,MBING q as o HMA.C. a s S~~-~a~s ELECTRic IJO,5 3 G 51 kap.o+?wi ate lnap. camrtmvts Foowg$ I Founda,io, F?a^M^s ! S E ess Rooke P-0 Pns. 1(44 aouen ?+tg_ FKeplace Final H~ FnW Plns. coosL Me+er Pws. insveaa - raoti+r Pawnbe? Engr.IPlan Bldg. Final Z l_ S Deck Ftg. Deck Final WeN P?. Disp. SEWER & WATER PERMIT . OFFICEySE ONLY CITY OF EAGAN METER #~y~za~3S PERMIT DATE 02/07/91 3830 Pilot Knob Rd. Q3 d 5 3a Eagan, MN 55122-1897 cHiP# PERMIT # 11803 METER SIZES ~C~- hQ-b.p. RECEIPT # C 12031 DATE A$ 7, 1991 ?SSUE DATE~" B.P. RECEIPT DATE 02/07/s1 _ PRV - BOOSTER PUMP I 677 WINDTRBE IQdOLL SITE ADDRESS PERMIT REQUESTED LOT 8 BLOCK 1 SEC/SUB WINDTREE $TH x SEWER A WATER - TAPS APPLICANT: ADDRESS: - COMM/IND X RESIDENTIAL CITY, STATE ZIP R NEW - EXISTING PHONE: NEU PLUMBING Lawn Sprinkler Meters are to be instalied PtUMBER: Ahead of Domestic Meters on Water Line. ADDRESS: 1372 W LARPENTEUx Credit WIL OT be giv n for Deduct Meters. CITY, STATE FALCON HEIGHTS MN Zip 55113 }`J PHONE: 644-9969 k ` AGREE O COMPLY,~ IT OF OWNER: MONTGOMERY DESIGN & $UILD EAG RDINANCE ' ADDRESS: 3772 RII3GEW00D Ax ClTY, STATE EAGAN MN ZIP 55123 PHO~IE: 681-1773 SIGNATURE WHEN METER ISSUED ~ PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOFi INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ,,r• ' SEIA(ER &WATER PERMIT OFFICE USE ONLY CITY OF EAGAN MEfER # PERMIT DATE 02107191 3830 Pjlot Knob Rd. Eagan, MN 55122-1897 CHIP # PERMIT # 118A3 { METER SIZE B.P_ RECEIPT # C 12031 • DATE i~ hl 7. 1991 ISSUE DATE B.P. RECEIPT DATE 021071 91 PRV _ BOOSTER PUMP y SITE ADDRESS 677 VINDTIYZ-M1-1- PERMIT REOUESTED LOT 8BLOCK I_SEC/SUB WIND7RES 8?N X SEWER X WATER - TAPS APPLICANT: ADDRESS: - COMM/IND _X__ RESIDENTIAL CITY, STATE ZIP Z NEW _ EXISTING PHONE: Lawn Sprinkler Meters are to be Installed PLUMBER: NEU PL1N$IliG Ahead of Domestic Meters on Water Line. ADDRESS: 1372 Y L4RFEtITS[1R Credit WILL NOT be gi ven for Deduct Meters_ CITY, STATE FALCON REIGII'1'S 191 ZIp 55113 PHONE: 644-9469 \ 4t t. t: L.- , 'I GR15E 10 COMPLY VITHC1f~ OF OWNER: MONT00NgY DYSipI 6 D1R1D EAGAN.ORDINANCE9' ADDRESS: 3773 EIDGVi00D BR CITY, STATE ILAGSN 1IIi ZIP SS1214 PHONE: 683-1773 SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALI 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. ~ r . ~ CASH RECEIPT ' . . CITY OF EAGAN y t 3830 f'IIOT KNOB ROAD E_AGAN MINNESOTA 55122 A.RN-)UNT _ ~----------~_~~J . ; C_ E J 0_ COl LARS ,m . ; CASH ~~CNECK Fw w • ~ - L~.c---~ - FUN[, ~ OWECT AAAOUNT I _ _ _ ~ _ - i Thank You B•r ~ 7~ /i£ _s.~ , L.. L' ¦ - 12031 1M~iie--PaYe~'s CaPY ~ v rsuow--Paeurg CoPy PMk-fde Capy ~35~r867 ~ • ~ ~ os~s ,C k' Repuest Date Fire No Rouqh-in Inspedion ~ _ / ReQmred, ? Reatly Now YJ W~II Notdy Inspector ~es ? No Wben Ready'+ I;2ficensed coniractor O owner hereby request ins ection of above electrical work at Jo0 Atltlress (Slreel, Box ar Faule No ) Qty SecOon No Township Name or No Range No Coun Occ 1(PqINT~ , y P e No Y' Power plier Atltlre55 • E ec omracror ~COmpeny Nama) / Contraator5 Licerts o S~ Ma~ling Atltlress ICOmracror or Owner Makmg Inslallation) ~j I / Cx Aulhoraetl & aWre ~COmracior/Owner Making Inslali Lonl Pbone Number ~i U'1O.3~o MINNESOTA STATE APD OF ELECTRICRY THIS INSPECTION REOUEST WILL NOT Grlggn-Mitlway BIEg. - Hoom 5473 8E AGCEPTED BV THE STATE BOARD I 1821 Univerepy Ave., SL Peul. MN 55106 UNLES$ PROPER INSPECTION FEE IS Vlw. (61]) 663-0800 ENCLOSEO 3 REQUES~R ELECTRICAL INSPECTION ee-ooom-oe I ~/yl s~ ~ Mp See iirsimaions lor wmpleung this torm on back ot yellow ropy c ? 57067 JYJ W "X" Below Work Covered by This Request e Ad5 Rep. " 7ypeofBmlding AppliancesWired EqmpmentWired Home Range Temporary Service Duplex Water Heater Electnc Heahng Apt. Building Dryer Other (Specdy) Comm /Industnal Furnace Farm Air Contlrtioner Other (specrly) Comractor's ilemarks Compute Inspection Fee Below # Other Fee # Servme Enirance Srze Fee # Grwns/Feeders Fee Swimming Pool 0 to 200 Amps ~ 0 to 100 Amps ~ Transformers Above 200 _ Amps Above, 7 0_ Amps SIgnS InspecrorSUSeOnly' TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONT .94 41 I, Ihe Electncal Inspector, hereby Ro~9n-~~ oa~ _-p certif that the above in5 eCtiOn has ~ Y P pinai oate been made. OFFICE USE ONLY TNS request voitl 18 monlhs imm CITY OF EAGAN No 18699 ~ a 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 PHONE: 459-8100 BUII,pING PERMIT ' Receipt p 7obeusedtor SF DWG/GAR Est.Value $102,000 Date FEB 7 , 79__4j-- SiteAddress 677 WINDTREE KNOLL Lot $ Block 1 Sec/Sub. WINDTREE 8TH OFFICE USE ONLV Parcel No. occuPancy R-3-iL-1 FEES Zoning R-1 a N2me MONTGOMERY DESIGN & RUII.D (ACtuaryConst V=N BIdg.Permil 647.00 w ; Address 3772 RIDGEWOOD DR (Allowable) V-N 51.00 0 Surcharge City EAGAN Phone 681-1773 xoistones - Length Plan Review ~+20 _ 00 . o Name SAME oevm 321 snc. ciry 7 no _ no ~a Address SF.TOtal - SAC,MCWCC 650.00 ~ City Phone S F. Foolprinl5 - ' On Site Sewage - Water Conn 660_ nn ~ w W N • ame 90On Sila Well Water Malar ti MWCCS stem X Address Y Acct. Deposit 30.00 aw City Phone cirywater X PRV Required _ S!W Parmil 30.00 I hereby acknowleqe ihat I have reatl this application and slate that the Booster Pump - S/W Surcharge • Sn information is correcl antl aqree to wmply with all applicabla State of Minnesota StaWtes an City of Eag n dinances. Treatmem PI 276.0 0 SignatureofPefmite / APPROVALS RoadUnil 370.00 A Building Permit is issued Planner - park Ded. on Ihe express condinon ihat all work shall be done in accordance wRh all Counal applicaDle Stale ol Min~nesota Statutes and Cny ol Eagan Ordinances. eldg Ofl. _ ~Pies 0 Building ONicial I Ictiq ~ei+ 1 * Variance - TOTAL 3,324.5 Address: 677 WINDTREE Id9pL,L Lot 8 Blk I Sec/Sub WITIDT_REE 8IH ~ These items were/were not complete at the time of the final inspection. D • 4/24/91 Yes No Tnqpector, Final grade (6" from siding) Permanent steps - garage ~ Permanent steps - main entry Permanent driveway Permanent gas L,~ Sod/seeded grass ?Trail/curb damage Porch I/ Basement finish ? Deck ~ Please verify vith the builder the removal of roof test caps from the plumbtng system and the shut-off of watar supply to the outside lawn faucet before freeze potential,exists. ~ White - City copy Yellow - Resident copy Pink - Contractor copy gb-7a0 (0 9-~ gs 2007 RESIDENTIAL BLTILDING PERMIT APPLICATION ClMa ~ City Of Eagan I ~Ff ~7~ES~ ~ 3830 Pilot Knob Road, Eagan MN 55122 ~ Telephone # 651-675-5675 FAX # 651-675-5694 New Construclion Reouirements RemodeVReoair Reuuirements Oifce Use OnN 3 regalered ste surveys showuiq sq. tL of lat, sq. N. of house; and all roofed areas 2 copies af plan showing footings, beams, joists CeA of Survey Recd _ Y_ N (20%maximumlotcoverageallvxeC) lsetolEnergyCalculaUonsfaheatedaddihons SoilsRepoA _Y _N 1 SoJs Report if proposed huilding is to be placed an disWrbed soil 1 site survey for addi6ons 8 decks Tree Pres Plan Recd Y_ N. 2 rqpies d plan showing beam 8 window sizes; poured found design, etc. AddAion - inrAcafe if orrsife sepfic sysiem Tree Pres RequireB Y_ N 1 set of Energy Calculations Oo-site Septic Syslem _ Y_ N 3 copies d Tree Preservation Plan d lot platled aRer 7/7193 Run Jdsl DMail ODtims selection shcet (buBcings wAh 3 a less units) Mnnegasco merhanical ventilafion form Plans are considered ublic information unless ou state the are trade secret and the reason. Da[e /Q / Q 1 Construction Cost (X ~h .5~0 .00 Site Address (n I~ ~.U (Wc~~l7LfLQ /C./UO C C UniUSte # ! ~QN1 Description of Work i oyyCTS 3 N 4.e.3 444,"-' Multi-FamilyBldg _ Y_XN Fireplace(s) x 0 _ 1 _ 2 Property Owner Uc ~ ! Cl'L~ WW-~ r'P 2~ OlA4.v Telephone # ( ~j ( ) Contractor ltwUr(~ ~tA-1 CO.-d c.~. F,Ii/~ez-L-L' Address al`~~(p A-lrk City State Zip~ Telephone # 't'o~i - 3D, D, Z Q, _ _2046s( 6 _ (a- 1- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672 Enefgy Code Calegory , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submission type) • Submitted Submitted . Energy Envelope Calculalions Submitted In the last 12 months, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber nFg 0 P H Telephone ) Mechanical Coniractor 11 I nr~2 A, " Telephone ~ ~ Sewer/WaterContractor Telephone ~ I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved pla 'n the case of work which requires a review and approval of plans. (kg ~~ApplicanYs Printed Name ~ Applica~ 's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 71 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. Alt - Multi ? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 ExtAlt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (saeenlgazebo/pergola) ? 36 Multi Misc. ? OS 03-plex ? 11 70-plex ? 79 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 19 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors ~ ? 34 ROplacem¢nl 'DOmolitlon (Entire Bldg) -Givu PCA handout lo applicant DOSCrIDtlOf1: Water Damage _ Yes ' Valuation Z.~a°0 .O c"~ Occupancy S-~.G 1 MCES System Plan Review 100'% or _ 25% Census Code y3 / `f Zoning Ciry Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinktered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Sheetrock _ Footings (deck) FinaUC.O. _ Footings (addition) ~ FinalMo C.O. Founda[ion _ HVAC Drain Tile Other Roof Ice & Water Final _ Pool Ftgs Air/Gu Tesu Final ~ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick Fireplace _ R.I. _ AirTest _ Final _ Windows ?0 insulation _ Retaining Wall Approved By: Building Inspector - - - - - - - - - - - - - - - - - - - - - - - - - - - - Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Piant License Search Copies Other ToWI ^ 2006 RESIDENTIAL MECHANICAL PERNIIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. single family dwellingc & townhomes/condos when permits me required for each wit Date I / lo_ / Q L9 Site Address b -77 wirjA4j~eL~F1 Unit # Proper[y Owner G~I~,..( Telephone LS/) 7,S~ I S7 Contracror VYIS i Street Address v_k-n v City &4,Vns 0'11( i State M n Zip ,SS.33-7 Telephooe# (qCA) 89~f-6Z~O5 Boad Expires: The Applicant is _ Owner ~ Contractor _ Other Add-on or alteratiao to eaistiog dwelling uni[ $ 30.00 ~ fumace _Additional V/Replacement _ New air exchanger ~ air conditioner _ heat pump , other ~~i~, IAN ' ° 2f~e ~ StateSurcharge 1~~ I $ .50 Totai $ 3b . ~D I hereby apply for a Residential Mechanical Pertnit and acknowledge that the information is complete and accurate; that the work will be in confocmance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that 1 understand this is not a pertni[, but only an appliption 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 plens. gt4_11_~1 I c, k-Ct'561-) &4-h iv i ekeKsal Applicant's Printed Name ApplicanYs Signature q 7(~qq RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EACAN 3830 PILOT KNOB RD - 55122 651-681-4675 New Conetruction Reouirementa Remodel(Reoair Requirements • 3 registered site surveys showirg sq. k. of IoL sq. ft. of house; and all mofed areas • 2 copies of plan (20%maximum lot coverage allowed) . 1 set of Energy Calculations (or heated additions • 2 copies of plan showirg 6eam & wiridow sizes; poured tound desgn, etc.) • 7 sile survey for e#erior additions & decks ~ • 1 sel of Energy Calculations . Indicate if hane served by septic syslem for additions • 3 copies of Tree Preservation Plan N lot platled after 711193 . Rim Joist Detail Options seledion sheet (bldgs wilh 3 or less unrLs) C~o DATE / I t'Z VALUATION g JOB SITE ADDRESS A4_-~.,;,P -7:~Z IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER TYPE OF WORK _ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT PHONE# 6 S"7-~a7-c7b'C•F ADDRESS (4 Cf7. Co4n, ~-!'CGccQ YYL.~ ZIPCODE =Z PAGER # CELL PHONE # FAX # ~s / -02 ~7 -vXa k NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP APR 1 5 2002 D Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Sub itted - Energy Envelope Calculations Submitted By _ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone PlmnUing Systcin Includes: VVater Soltencr I.awn Spriiikler Pec: $90.00 Watcr Hcater No. of R.I. 13allis No. ol'Batlis Mechanical Contractor: Phone # Mech.mic.il S}'stcm Includcs: Air Conditioning I'cc: $70.00 Hcat Rccovery Systcm Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan O/rd7inances. Signature of Applieant l-)-"b"-etn, Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ,9L02 SF Dweiling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi / ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ^0 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zonina Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco S[one _ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee 23~ Surcharge 3. ~o Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit 8 Surcharge Treatment Plan[ Plumbing Permit Mechanical Permit License Search Copies Other Total ~a~ aS 1 ~ ' ' • 1991 BUILDING PERMST PPLICATION CZTY OF EAGAN SINGLE FAMILY DWELLINGS M[JLTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLZES WF1EN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TZME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN CDMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For ~ ~ Valua ~ tion: / . Date: -(qF Site Address ~ QQ ~ LIti ? ) OFFICE USE ONLY ~.i`IC.iG~ i Lot 9!P Block FEES Occupancy 1Z 3M-1 Bldg. Permit yr/iaD Zoning R- I Surcharge 51,00 Parcel/Sub Ew-;P Actual Const V-N Plan Review q20,0o t Allowable V-N SAC, City /O1~J00 Owner~~$~~ # of stories SAC, MWCC ((J~O(7 Length '7,54o Water Conn. iD0 Address Depth - 3 ZT Water Meter ,DO S.F. Total Acct. Deposit 30,0V City/Zip Code Footprint S.F. S/w Permit 3Q Ao S/W Surcharge ,Sb Phone On site sewage_ Treatment P1. 2 6,JC~ Dn s'te well Road Unit D'00 Contractor System ~ Park Ded. City water Trail Ded. Address ~17Z fRV _ Copies ooster Pump _ City/Zip Code SUBTOTAL APPROVALS Penalty Phone ~Planner _ Lot Change ~ ~ Council TOTAL ,o Arch./Engr. • ` Bldg. Off. Variance Address City/Zip Code Phone # agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. T ~ a . i 1/A L U A'~ ' ~ AtL4G E 2zK21= 484X ~5; ~~U ~w4, S` _ /D li o[2 l01 000- mURYEYOR'S CERTIFIorI4TE MONTGOMERY DESIGN 8 BUILD + , eae.s t ~ 9,.~ 0 ~.e 0 ~ O ' ~ m w o f~ ~t0 Fj\ ~i ~ 0.0' ;'l g\ ~ ~a~~ ~ ~g ? o ` !p 1~1`~+'o~a / ib~ ~ % 4j~ ih• r.o a 1 a13 / , I ~11py,1 .:,Y~<' \N~O O O ' /9] N 0 b/ Z ~ (f N l\„fryry-PP' N p try~~Pi o 20 (Y' , ;`z : i eeHCx r,unx i~ 2o ror as irtoN \ ~ ~ m I ~ S ELCV.=90100 ' ~pr9pi,p 8 7HDUS ~ o 'T r 4q 1 A ~ i u. ` 291D9 _ oi.s 112.00 _-At'-' 10 1 ~ 40 N ~ / Te o-24 ~ - ~ F; e,~,141?3 ;I ws 3, ~ L.L~ 1 1 -NOTE: NO iftFIC SOILS INVFSTGATION HAS 8@EN COMPLETED ON Tltt LOT BY THE 9URVEYOR. TtE SUITABILITY OF rg~~~ ~~;GINE~RIP'sG ~l r,t7T SOILS Tb SUPPORT THE SPECIFIC HOV9E Pqppplg0 IS HOT THE FtE9POMS184LITY OF THE SURVEYOR. NOTE: BULDINQ DIMENSIONS SHOWN ARE FpR rqqQpN7qL 6k VERTICAL IOCATION OF ST'RMTURE O?dY. WE ° DENOTES PROPOSED SURFACE DRAINAGE oNS~ftg,~ OuiLrnroO !e rDl~lpprlcN O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET • DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - qp(.Q FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 8q4-,7 FEET (000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - q p,3.0 FEET WE HEREBY CERTIFY TO MONTGOMERY DESIGN 8 BUILD THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 8, Btock I, WINDTREE 87H ADDITION, accordinq to the recorded plat thereof, Dekoto County, Minnesota. IT DOES NOT PURPORT TO SHOW iMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 5TH DAY OF FEBRUARY , 1991, i+ROroseo GRADES sHOwN WERE SIG D: J MES R. HILL, INC. ~ WINOTIEE H TH 9 B MApDfT10N DATEDN7k~E87R 9ASSOC., B , JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 m ~1 c~ p W O ai <N m ~ J ~ O p~ A JamesR. , YIllI~:J3 ~ r°~ o~ Z W~ m~ m PLANNERS / ENGINEERS / So m N - [ 9401 J^"'rS AVE. S e BLOOMINGTON, MN. 554----- - - - - - i ~ EXTERIOR EhJVELOPE AVERAGE "U" COM!'UTATION MONTCOMERY DESIGN & EUILD CO 3772 RIDGEWOOD DF2IVE EAGAN, MM 55123 681-9230 NANTUCKET ZIBLEY AfdEA U U Y. AREA REBUIRED 1. TOTAL WALL AREA 2083 .11 230 2. ROOF AREA 816 .026 21 ACFiIEVED A WINDCW AREA 168.32 .33 56 B DOOR AREA 40 .23 5 C SLIDINC GLASS AREA 40 .65 26 D FIf.E^LACE AREA 0 .2 0 E 'rJALL FRAME AREA 208.8 .095 20 F NET WALL AREA 1630.88 .038 62 G RIM JOIST AREA 116 .0436 5 H FOUND WINDOW AREA 0 .5 0 I FOUND ABOVE GRADE 58 .068 3. TOTAL WALL AREA 178 J SKYLITE .5 0 K ROOF FRAME 81.6 .032 3 L NET ROOF AREA 734.4 .0227 17 4. TOTAL ROOF AREA 19 SUM OF 1.+2. °UM pF 3.+4. ~27~ ~ CITY OF EAGAN CASHIER: JS TERMINAL NO: 698 ~ DATE: 05/08/00 TIME: 14:35:43 i ID: NAME: M.J. MOSER CONSTRUCTION C3210 9001 677 WINDTREE KN 97.25 2155 9001 677 WINDTREE KN 2.00 I I Total Receipt Amount: 99.25 CR129444 USER ID: JAN **,t~*~+++~+,r+t+i......++++*****~**x*t_t~~*_I ~ I~Q 7~ ~ 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) l / CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-881-4875 ~ New Conshuctlon Reaulremenh RemodeUReoalr Reaulremenh > J repisteretl sIte wneys flwwlny aq. fl. d bt, sq. H. of house 2 coPies of plan and Qj roofed areas (20% mmcimum lol coveraae allowe~ 1 set of enerpy cdculatlons for tfeated addlMOns > 2 coples of plans (show beam d wlnOOw alzes; poured Ind. Oeslqn; etc.) 1 sife wney tor extedor addiNOns d tlecb + 1 sel of eneryy calculanona : 3 coplee of tree preaervaXon plan If lot platted otter 7/1/93 Oi DATE: S, d 0 CONSiRUCTION COST: q-S DESCRIPTION Of WORK: STREETADDRESS: ~ G1/'rOT2~j6 ~i•o~ L LOT: ~ BLOCK: SUBD./P.I.D.IY: Mhdf7'tt 7JTf~ Name: Z/ 13 Phone Y: PROPERTY Last Flrg OWNER Sfreef Address: Ciy Stafe: Zip: Company.A T/vOSf/Z Phone9: (area code) CoMrtnCrOR V6 r" Sheef Addreu: A Llcense # ~~cly stare: !f] r zip: ARCHITECT/ Name: ENGINEER Company: Telephone A: ( ) • Sheef Address: ReglshaNOn 9: CNy Sfate: UP: Sewerfwater licensed piumber (if tnstallina sewer/waterPhone 1 hereby aeknowledqe Ihat 1 have read Ihis applicatbn, afafe fhat the tnfortnatbn is conect, and agree fo comply wNh atl appqeable Sfate of Minnesota Statutea and City of Eapan Ordinances. ' Siynature of ApplicantG~~, OFFICE USE ONLY Certificates of Survey Received _ Yes _ No 14Ay - 8 Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 OS-plex 0 13 16-plex ? 21 Porch (3-sea.) ? 31 F_xt. Aft - Multi O 02 SF Dwelling ? OS 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF ? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Parch (screened) ? 36 Muki ? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10-plex Plbg _Y or_ N ? 25 Miscellaneous ? 06 04-plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bidg. 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 # of Stories sq. ft. No. of Units Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S!W Permit 'j S/W Surcharge Treatment PI. , Park Ded. Trails Ded. Other Copies Total: SAC Units % SAC CITY OF EAGAN FOR CITY USE ONLY 3U~'S 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # 1.12rY 5 PHONE: (612) 454-8100 RECEIPT # ~V~ M4`HA~1xL"j~,7, DATE : o~ 8 9 ~',S'TDE~1''TAL:. PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WFIEN PERMITS ARE REQUZRED FOR EACH UNIT. WORK DESCRIPTION FEES NEW CONST ~C ADD-ON MINIMUM $15.00 ADD ON ` HVAC 0-100 M BTU 24.OOC0~) REPAIR _ ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OF 1 PER PERMIT OWNER NAME: _ MO nl ~ C~o r~.~L'I \ U~3 i a rJ d- 4~jU~ ~-Q ~o (P 77 SUBTOTAL: $ a~ SITE ADDRESS:~ Wlnlf~"2-&L l^CrJoL_'l- STt1ia SUTcCiiAIcGE: .50 LOT:~ BLOCK ~ SUBD. W~ n1J~!INLe~E TOTAL: INSTALLER: ,/h~~~ f~~ I 1 ( / aD~xess: Burnsville Heating & A/C, If1C. SIG TURE OF PER2 EE Rtiode s an ve. o. cITY: Savage, MN 55378EIJ92 PHONE ~~OMMERCTA~,ITNDASTRIA7.:' PLEASE COMPLETE THIS PORTTON FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: FEES OWCIER NAME: 18 OF CONTRACT FEE. STATE SURCHPF.GF. - $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) FOR: CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # 9.~ PHONE: (612) 454-8100 RECEIPT # C ~'LUkCBI!?G T'~1~XT DATE: o'L RESTDENTTAL:, PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMZTS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3' REPAIR WATER CLOSET- 3.00 j ~ BATH TUB 3.00 3 LAVATORY 3.00 ~ OWNER NAME: I1~7s,/~ KITCHEN SINK 3.00 ~3 SITE ADDRESS: 6~77 I./L,,Ikee /livoll ~ HOTLAUNTUB/SPADRY 3.00 3 3.00 -3 LOT:~ BLOCK SUBD. Al~ FWATER LOOR DRAINR 3.00 L GAS PIPING OUT. INSTALLER: (MINIMUM - 1) 3.00 3 ROUGH OPENING ADDRESS: 9lc/ oslow OTHER S 1.50 ySD WATER SOFTENER 5.00 CITY: Ln~s1n! ,//!~y ZIP: 537.23 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE aW- !`lC2`F i SUBTOTAL $ 7l co. ST. SURCHARGE .50 SIGNATUR OF PERMITTEE ,W.0 O TOTAL: dOMMERCSALJ,INDIIST&IAI:: PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE; FEES OWNER NAME: lE OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR SITE ADDRESS: EACH $1,000 OF PERMIT FEE. LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 18 $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL: $ PHONE (SIGNATURE) . FOR: CITY OF EAGAN Zoos RESIDENTIAL PLUMBING PeRnniT APPLicArioN J CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date 0 1 1~J l Site Street Address (D~~ VI rd ,1 ~-Ce r~Y lJ~ I Unit # c Property Owner ?,be Telephone ) Contractor 6 ,`r)Z- R l~r) 'A T'elephone # 0~) 7~[J~- ~ I.IAJ Address~W Vv E3 City ~VI,~nUVj i I~i Statem/v Zip~ The Applicant is: _ Owner >f,ontractor _Other Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alteretions to existing dwelling $ 50.00 _ Add plumbing fixtures. This fee includes installation of a water softener andlor water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section, move to the next section and check the appliance(s) you are installing. _Septic System Abandonment L) J _Water Turnaround (add $130.00 if a 5/8" meter is required) Other: Water Softener AWater Heater $ 15.00 A new _ rzptacement Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00 State Surcharge $ 50 SU Total $ I I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in acc rda e with the approved plan in the event a plan is required to be reviewed and approved. ~ ApplicanPs Printed Name Appli nY Signature Peggy Fleck 7 7 ZJI'aii-r/-6-6 21r2e) )/ qe6 From: wayne opheim [wopheim@yahoo.comj Sent: Wednesday, May 25, 2011 9:32 AM To: Peggy Fleck Subject: Fw: permit 98526 Forwarded Message ---- From: wayne opheim <wopheimPyahoo.com> To: pfleck(citofeagan.com Sent: Fri, May 20, 2011 3:25:49 PM Subject: permit 98526 Igive permission to reissue permit to allied exc. for gary zibley 677 windtree knoll sewer repair jeff jewison po box 171 savage mn phone cell 6129783367. thanks wayne opheim able exc.shakopee cell 612 232 1484 PERMIT City of Eagan Permit Type:Building Permit Number:EA161178 Date Issued:05/11/2020 Permit Category:ePermit Site Address: 677 Windtree Knoll Lot:008 Block: 001 Addition: Windtree 8th PID:10-84477-01-080 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 - Gary O Zibley 677 Windtree Knoll Eagan MN 55123 (612) 618-1028 Thomas Schultz Construction 8480 195th St E Prior Lake MN 55372 (952) 440-4056 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA164227 Date Issued:09/23/2020 Permit Category:ePermit Site Address: 677 Windtree Knoll Lot:008 Block: 001 Addition: Windtree 8th PID:10-84477-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Softener 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 - Gary O Zibley 677 Windtree Knoll Eagan MN 55123 (612) 618-1028 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA168008 Date Issued:04/06/2021 Permit Category:ePermit Site Address: 677 Windtree Knoll Lot:008 Block: 001 Addition: Windtree 8th PID:10-84477-01-080 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 Surcharge-Fixed $1.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Kathleen & Gary Zibley 677 Windtree Knoll Saint Paul MN 55123--130 (612) 618-1028 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA175842 Date Issued:04/18/2022 Permit Category:ePermit Site Address: 677 Windtree Knoll Lot:008 Block: 001 Addition: Windtree 8th PID:10-84477-01-080 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 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 - Kathleen & Gary Zibley 677 Windtree Knoll Saint Paul MN 55123--130 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature