636 Welland Ct -...c~•r --;a..v,r.r.~,-•:...~~'„':.x"r„iyr^_r-~-::c.-.,-T R~y,~.. .~ypai~ .......~..~.~.r.._, -~.anawcrv~
' CITY OF EAGAN ~`+0 18663
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~ E 1
BUILDING PERMIT Receipt #
To be used fot' -19111' DWGJFCAR Est. Value $113,000 Date JAN 16 19 91
Site AIt ess 636 iTELLRM 'T
Lot Block SeclSub. OFFICE USE ONLY
Parcel No. occuPancy R-3 ~ FEES
HITTL?I.ET/~EDT BROTHBRSi zoniny Y1i 685.00
¢ Name (Actual) Const Bidg. Permit
~ AddrBSS (Allawable) ~
- rc~rge M. ~
CIty EAGAN Phone 456-9125 # of stories plan Review "5~00
S lu"M Length
t~ Name oeP?n ~ snc, cicy 1~~~ .
O" Address S.F. Total - 6SO.00
SAC, MCWCC
~ City Phone S.F. Footprints _ 660.00
On Site 5ewage _ Water Conn
W W Name On Site Welt Water Meter
=Z Address MwcC System ~ 30004
, Uo T acct. Deposit
~ W City Phone cicy waie? ~ 30.00
PRV Required _ S/W Permit
I hereby acknowlege lhat I have read this application and state that the Booster Pump - SMr Surcharge
informalion is correct and agree to comply with all applicable State of 276.00
Minnesota Statutes and City.ot Eagan Ordinances., ' Treatment PI
'r,
Signature af Permite~-`~~r APPROVALS Road Unit 370'00
A Building Permit is issued lo: HI?tELS?AEDT BROTHERB Planner - PaAc Ded.
on the express condilion that ali work shall be done in accordance with all Council
applicable State ol Minnesota Statutes and City of Eagan Ordinances. gldy. pry. _ Copies
f, 3.393.00
Building Official ~ Variance - TOTAL ~
~
~ Permit No. Pertnit Holder Date Tebphooe #
WATER Q ~ % /y 9I
SEWEFt
PLUMBING 13J~ -,3 33
H.v.ac.
ELECTRIC 335a 8
Inspeetion Oate Insp. Comments
Footings I
Foundation
Framing 3 / - g U$
Roo(ing b5i
a-10 PN. 2-14- l Q -31 Ro,sn ?+ts. - 3 _ tc° ua7XW.s.t G//t i ~
ISUI. 7~ ~ - ~
FireWace
Final Htg.
Fnal Plbg. Q
Const. Meter Plbg. Inspector - Noti(y Plumber
Engr.IPlan
~
Bidg. Fnal 3- 11 9/ ~J ~
Oeck Ftg.
Deqc Final
Well
Pr. Oisp.
1170- C/ ll.~
.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # 41y(, •1 ~ 8 ~ ~ PERMIT DATE 02 / ! 1 / : ~
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # 02/l lc A.PI PE(3jMIT} 11304
* METER SIZE B.fr-RE I ' +
r
DATE "JAJ 16, 1911 ISSUE DATE Z~"9t B.P. RECEIPT DATE f( 'i
PRV - BOOSTER PUMP
SITE ADDRESS 636 Wf:F.LAND CT PERMIT REQUESTED
LOT 16 BLOCK T SEClSUB ?'A5`> 2~!!-)
X SEWER ~ WATER - TAPS
APPLICANT:
ADDRESS: - COMM.+tND y RESIDENTIAL
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MCVu~iALU YT,LMIiiNG Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 KrN'WOUD TR Credit WILL NOT be given for Deduct Meters.
CITY, STATE T.A6:.EVII.Lt. f;N Zlp 55044
PHONE: 435-33'34
I AGREE TO COMPLY WITH CITY O
OWNER: Mr7r6LSTAELT BROTItLRS EAGAN ORDINAN
ADDRESS: 785 S11IvSF,T DR
CITY, STATE EA~~ liN ZIP 55123
PHONE: 456--9125 IGNATURE H METER IS
SE ALLOW TWO WORKING DAYS FOR PROCESS{NG. CALL 454-5220 FOR INSPECTIONS. FOR STORM
`PLa
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER.&JAIATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE 02J 11 %(-1
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT #
"METER SIZE B. .
~
DATE p.IA:'? 16. 1921 ISSUE DATE B.P. RECEIPT AX PRV _ BOOSTER PUMP
SITE ADDRESS 636 wEL-AN" cT PERMIT REGIUES7ED
LOT 16 BLOCK 2 SEC/SUB COVLMPRY FASS 2ND
X SEWER -XL WATER - TAPS
APPLICANT:
ADDRESS: - COMM/1ND X RESIDENTIAL
CITY, STATE ZIP _26_ NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: MCCDONALD PLLfMBIKG Ahead of Domestic Meters on Water Line.
ADDRESS: 18271 KF.T1kFO0D Tit Credit WILL NOT be given for Deduct Meters.
CITY, STATE LAKEYILLL Pg; Zip 55044
PHONE: 435-3334
I AGREE TO COMPLY 11VITH CITY OF
OWNER: KITTZLE'fAELT BROTAER5 EAGAN ORDINANCES
ADDRESS: 785 SUNSET Dt
CITY, STATE EAGAN Z[N ZIP 55123
' PHONE: 45G-9125 SIGNATURE WHEN METER ISSUED
'PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
. ; .
CASH RECEIPT ~
CITY OF EAGAN
3830 PILOT KNOB ROAD . '
EAGAN, MINNESOTA 55122 :
1~ C1
oATE j - 1 tG' ,9 < <
nEC~o j~ j ~ 1 y , .
rnoM
~
AMOUNT Is 3 ~ GO
~
~ i
- r
8 DOLLARS ~
p CASH CHECK
~
FUND OB.IECT AMOUNT
~
5
~
,
~
Thank You
BY
C/ 1 1 728 ~°-"PaY~ ~
Yspo--41bapn9 CAP1r
PirJc--FUs cmu ,
INSPECTI4N REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ti~~ .~~I n
Eagan, Minnesota 55123 Date Issued: ~eb /~e / v a .
(612) 681-4675
SITE ADDRESS: APPLICANT:
~,,;n i 1 11 1 iiri . i. iInV f 11
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION • .A
I ~
~ ~
Permit No. Permlt Holder Daie Telephone N
S/VV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Hlg.
Isul.
Fireplace
Final Htg.
Orsat Test
Fnai Plbg. Plbg. Inspector- Noti(y Plumber
Const. Meter
EngrJPlen
Bldg. Final
Dedc Ftg.
Deck Final ~ S _
i /
Well
Pr. Dlep.
r.. _
- CITY OF EAGAN Np ~$663
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
PHONE: 454-8100 0, 1' ~
BUIIDING PEflM1T Receipt #
Tobeusedfor Si' DWG/GAR EstVaWe $113,000 Date dAN 16 ,19-91_
Site Addresa 636 WELLAND CT OPFICE USE ONLY
Lot ib Block 2 Sec/Suh. COVENTRY PASS
Parcel No. ZNL) occuPancy R-3 I•L-1 FEES
Zaning R-1
w Name MITTELSTAEDT BROTHERS (nctuaq Const V-N eldg. Permit 6R 5_ 00
~ Address 785 SIJNSET DR (Allowable) V=N Surcharge 56.50
~ City EAGAN Phone 456-9125 +rof stories -
Length 66 L' Plan Review 445.00
fF Name SAME Depth 331 SAC,Ciry 100.00
g¢ Address S.f. Total - SAC, MCWCC 650.00
1- City Phone S.F. Footprints -
On Sile Sewage _ Watar Conn 660.00
~ W Name On Sile Well - Water Meter 90.00
Address n+wccsysiem -x q~t Deposit 30.00
w City Phone City Water -X-
PRV Pequired X S/VJ Permit 30• 00
I hereby acknowlege that I have read this application and state ihat Ihe Baosfer Pump - SNV Surcharge - 50
intormation is correct and agree lo comply wilh all applicable Slate of
Minnesota Statutes antl Cily of Eagan Ordinances. ~ 7reatment PI 276.00
Signature of Permitea APPROVALS
Road Unil 470 _ nn
MITTELSTAEDT BROTHERS Pianner - parkDed.
A Building Permit is issued to:
an the eapress condition that all work shall be done in accordance with all Council
applicable State of Minnesola Statutes and City of Eagan Ordinances. gld9, pff. _ Coples
M
Building Otficial Variance - TOTAL 3.393.00
Address: 636 WELi,AtID r..OU_RT Lot 16 Blk 2 Sec/Sub COVENIRY PASS
These items were/were not complete at the time of the final inspection.
Pate: 3(27 91 Yes No S'
Final grada (6" from siding) L/
Permanent steps - garage
Permanent steps - main entry
Permanent dcivaway ?
Permanent gas ?
Sod/seeded grass ?
Trail/curb damage ?
Poxch
Basement finish ~
?eck
Please verify vith the builder the removal of roof test caps from tha plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential axists. -0a
•ameo~~
White - City copy Yellow - Resident copy Pink - Contractor copy
PERMIT # 55iO ~ RECEIPT DATE:
200E M1DENTIAL PLUMBINH PEEiM1T APPLiCATtON
C11'Y OF E4fiAN
3$30 MOT KNO$ i{D
E48AN, M1V 551EE
651-681-4675
Please complete for: singie family dwellings, townhomes and condos when permits are required for each unit,
~h-~,~o.io„mr faairrinatlnnsvatem-
~
WESTLUND,GEORGE I
SITE ADDRESS: 636wELLAND COURT
EAGAN, MN 55123
OWNERNAME:: I (651) 454-0321 TELEPHONE
(AREA CODE)
INSTALLER NAME: NO r b lo'N1 ` tI.I.VV~~oI ~4 TELEPHONE (0 12.' g 2~' ~0 33
STREET ADDRESS: Z°~ O$ C~r~rf~~td Aye'h"e. SD l.t-1'tit (AREA CODE)
CITY: M(JLS. STATE: M~ Zlp; 5540$
~
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 Caunty fee
Note: Additional consultant fees may apply
• MODIFICATIONlALTERATION TO EXISTING DWELLING UNIT, INCLUDING` I
_ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5!8" meter if needed -$118)
Other:
_ RPZ: new installation/repaidrebuild $ 30.00
_ lawn irrigation system
St?
~
ReplacemenUadditional: ~ water softener X water heate By J~-~ $ 15.00
State Surcharge $ .50
Total $ lS.'`^JO
I hareby acknowledga that I have read lhis applicatlon, state lhat Ihe intormation Is correct, and agree to complywith all applirable City of Eagan ordinances. It
is the appllwnPs responsiblliry to nodfy the property owner that fhe City of Eagan assumes no liabilitytor any damages caused by the Ciry during ils normal
operational and maintenance activi6es to the facili6es wnstrvcted under this permit within City propertylrightof-wayleasement.
SIGNAT R OF PERMITTEE 1102
jj S '1- (,J L'<) YY\ c `baOr~
` 1991 IIILDING ZT APYLICATION
SINGLE FAMILY DWELLINGS MOIIA ~)X 3 COMMERCIAL
2 SETS OF PLANS 2 SETS OF YLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGI' CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 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 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 ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
~
To Be Used For: C'J[ot.. FM.Ls-r' Valuation: e'~~f?c,u Date: i LI iAI
Site Address 113 ~'/OF~FICE USE ONLY
Lot 1L Block , EES
Occupancy '3 M- 1
Zoning R- 1
Parcel/Sub C&uevTa- Actual Const V-N Bldg. Permit 685,00
Allowable V-N Surcharge S6,5
0
Owner # of stories Plan Review 11qT.
Length SAC, City /OD 100
Address Depth 53 SAC, MWCC bSD,D~
S.F. Total Water Conn ( 6
City/Zip Code Footprint S.F. Water Meter D,pp
Acct. Deposit D QD
Phone On site sewage_ S/W Permit ,DO
n On site well S/W Surcharge ,50
Contractor ~ rTTEc..STFl~L7l I4/IG~~. MWCC System Treatment Pl. Z ,L0
City water ~ Road Unit 99000
Address _'~~5 .r]..c.?ZE ~ lY[, PRV ~ Park Ded.
Booster Pump Copies
City/Zip Code rqt,/tAJ fnrt/, 5~5~1'23 SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change
Council TOTAL
Arch./Engr. Bldg. Off. Fr
Variance
Address
City/Zip Code
Yhone #
L `~~-t__ agrees that all work shall be done in accordance with
(Signature of Contractor)
1 applicable State of Minnesota Statutes and City of Eagan Ordinances.
~
VA L uAT101A ,
~ ARAGE
•
'10 k a;~ < <-I Ll L->
6 x 1 = (9)
,
~a32 x~~S-~9yr8o
,
13s ~-r
s '
31 X Z ~f = '7 4 L-I
I X I I = 11
zdx3z_ ~32
I~xiY~=
~ . J
isi y~ iy= z~ i q~.
J
~?~r = ~ s?y
I'~2 X 2~{ = 3 L
i iz ~ 3 3;~;= S b
QOvr
/
DATE
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
owxER `rN E Wa L 6 g„J A Lr. A.
SITE ADDRESS
CONTRACTOR M ,-r r& t- ST A E dr wJL
nnnxESS 7S5 SuiuSer bn ra&.4,J exorE 4 5G qi-2 5
DETERMINE WORRIftG SQUARE FOOTAGE OF E/1CH.
1. Total exposed wall area 2 '7 g17 aq: ft. x.11
2. Total roof/ceiling area ~(p 2~j aq. ft. x•026
Total exposed wall area above floor
. a. Total wall window area 2 y0.1-/
b. Total door area 40,17
c. Total sliding glass door area / D 4.tl
d. Total fireplace wall area O
e. Total wall framing area (average lOx) 2(s4,0
f. Total net wall area above floor
g. Total rim joist area 2 G.D
Total exposed foundation area m q ~
h. Total foundation window area O
- ' I. Total net foundation area above grade
Determine "U" value of each wall segment.
a. 2 N'o. y x„o„ 17 5 - !1 q. 2
b. L/0,0 g efU,t .07 ° 2.8
_ c. ~09,o a"v" , y2 - H5.9
a. o
A Y
e. 2L9,0 g Ifvll 24.G
f. ~7g1,t, x „Uff av~y - 7?. 3
s. 25~.o x "u" Dyy - 11,3
h. 0 R"U" O ~ O
I. CJf,b g nUn
3 . ...............................Total - 2 , -
If item 03 is the same as, or less [han it -A-1-*-poa have met the intent
of SBC 6006 (02.
. _1-
Page 2 of 2
Total exposed roof/ceiling area
J. Total skylight area ~
k. Total roof/ceiling framing area (average lOX).. I01 •4j4
1. Total net insulated roof/ceiling area 1523.y k
Determine "U" value for each raof/ceiling segment.
J. f1 x IlUll O a ~
k. ~Of,SI. R "U" , O2~i~ °
1. 152 -3,u-I 7[ ttUtl Z.~ O ° J.7 71
4
.Total
~ P=s~
If total of 04 is the same as, ar less than 02, you have met ehe intent
of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total enveloge syBtem method, the values established Cy
the sum of items 03 and iT4 shall not be greater than the sum of items ,
, 61 and U2. ,
1. + 2. . . '
3. + 4.. .
-2-
PERMIT A<
~YL 7~~
CITY af`FAGAN PERM~rTVPE: o ~ ~
3830 Pilot Knob Road
Eagan, Minnesota 55123 Permit Number: 0 2 4 e 2 4
(612) 681-4675 Date Issued: 0 6/ 3 6/ 9 4
SITE ADDRESS:
636 WELLAND CT
LO7: 16 BLOCK: 2
COVENTRY PASS 2N0
P.I.N.: 10-18401-160-02
DESCRIPTION:
B'"uilding-Permit Type DECK
;8uilding Work Type NEW
„
% i
/ D` ` [ (
Ll
REMARKS:
FEE SUMMARY
Base Fee $30.00 COPY $.50
Surcharge $.50 Total Fee $31.00
Subtotal $30.50
CONTRACTOR: - Applicant - sT. LIC. OWNER:
SCHWEICH CONST, DAVID 14498808 8003607 WESTLUND GEORGE
17160 NAMILTON DR 636 WELLAND CT
LAKEVILLE MN 55044 EAGAN MN
(612) 447-8808 (612)454-0321
I hereby acknowledge that I have read this application and state that the
information is correct and egree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L ~
r
APPLICAN7/PE ITEE SIGNATURE -IS D e: 51 NATU
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euiLorNG
3830 Pilot Knob Road Permit Number: 024024
Eagan, Minnesota 55123 Date Issued: 06 /30 J94
(612) 681-4675
SITEADDRESS: LoT: ie BLOCK: 2 APPLICANT:
636 WELLAND CT SCHWEICH CONST. DAVIO
COVENTRY PASS 2ND (612) 447-8808
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .
FOOTINGS FINAL
F
~
L
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
~r
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 capy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
T
Site Address: t- -3 ~ W C~L (_;T
STREET SUITE #
Tenant Name: (commercial only)
LOT ~ BLOCK Z SUBD. , P.I.D. #
C~~ ~QSS 7F1
Descri tion of work:
The applicant is: ? Owner ? Contractor ? Other (Describe)
Name W r
) '1-t 11D1/d C~ E"OGI~Cz Phone Y,c-v- b3 ~1
Property LAST FIRST
Owner qddress /9 3 G Wc«AA/0 /c:,r
STREET STE tf
City State /t? Zip
Company '04""'D S'c,l,(G?~'K.6s eawrT Phone yy~
Contractor Address /7(c 0 1?,4MIC.r~r~ O~ License # 003~02 Exp.
City 7AState ~ Zip 1"eayt1
Architect/ Company Phone
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State f Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
/
--74.55 NO°02'21"W,,
_ L 7 :
0 O
5 ~ DRAINAGE 9 UTILITY
EASEMENT PER RAT`
s \ ~?9
I sS
J I \
~ . LOT 16
o~
I /
ag,a.
e62 ~
I +
I ~
8726a I / / / I`3>e3, -=r~ 870.9 1
L.~~~
I ~
~ I ~ /sso(97c.z) /
070.0
Z/~ D I ~ ~n pl~p
o erz 7 M~~Sf 6.p /
iNING ~
_ Im I w 'O O O p~b
0 ~ ~ p G 13.Sio'(e~7 v.
.~`~1N/ QRACf ~ . e73.3 ~ .
74 7
gs~ o o e73.2
~ p~(DEX~ST~NG p' ~ ~1aT3 ~3
GCR4GE li :'.tx~ ~ 873i
f
e»a A.%~ m 5l ~1Y o\ c^
` o~ o \ Js o
-
l'~er~.z 31.87 u' i~ 28 8$_a3' i~ \TOPLOF rl~`
/ NO°22 18 W ~2'jo33b't ,~\J ELEV: 973.63
~Q OO ~ S
872.3 812.6 \
/ WELLAND ~
COURT PRI~~
`B'z' JAN 14
' ~r
/Q SU
7999 BUILDING PERWIlT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4875
New ConshucNon Reaulremenh Remodel/Reoa6 Reaulremenis
? 3 registered aHe surveys showing sq. N. of 101, sq. H. ol house 2 coptet of plan
and ~I roofed areas f20% maximum lot coveraae allowedj 1 sef of energy calculatlons lar heuted additlons
n 2 coples of plans (show becm a window sizes; poured 1nd. defign; etc.) 1 sBe survey lor exlerlor addRlons 3 decks
> 1 sel of energy calculatlons
> 3 copies ot hee preservaNon plan H IW plalled alfer 7/7 /93
( I ` Z CONSTRUCTION COST: f -7r
DATE:
DESCRIPTION OF WORK:
STREETADDRESS: ~ 3 b LVP,/(C<r/1Gi ~ J.
LOT: 1-- BLOCK: ~ SUBD./P.I.D.#:
Name: lv e.~jc,v~C1 G~lJr~c _ Phone#:
PROPERTY Lan Fan
OWNER C Z~ ~ f~v~ I~aNr~ 67-,
Stree} Address'
Ci1y State: Zip:
Company: !/k flt JGC(w-C ~G ~ G O~ts ~ Phone
(area code)
CONTRACTOR
0Y - License # 6 3 Q 7 Exp. 3` 3 f-zo4
Sheet Addreu: 1 7 t Q
Ciiy I/ ~e i1 r~~ f c State: Zfp: s5 Qlz~(
ARCHITECT/
ENGINEER Compa
Telephone area co-do~-} z 7 S
StreeT Address: RegisfraHon
City State: Zip:
,Sewer 8 water Ilcensed plumber (reauired for new construcHon onN
Penalfy applles when address change and Iot change Is requested once permN Is lssued.
~ I hereby acknowledge That I have read fhis appllcaHon, sfate that the IMormation is cortect, and agree to comply all applicabl
State of Mlnnesota SMtutes and Clfy of Eqgan Ordinances.
Slgnafure of Appllcant:
OFFICE USE ONLY
IQ( i1i
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes - No _ Not Required
OFFICE USE ONLY
BUILDING PERMiT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porr,hlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ?8 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments G9' 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
woRK nrPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
A 33 Alteration 0 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Oemolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. 5AC Code
UBC Occupancy sq. ft. No. of Units =
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire 5prinklered
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 .
S1W Surcharge Treatment PI:
Park Ded. ~
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
CITY USE ONLY
LOT BL Z xEcEIPr
SUBD. RECEIPT DATE:
MECHANICAL PERMIT #
1999 MECHANICAL PERMTP (ftESIDENTiAl.)
crrYoF E,aettx '
' 3930 PII.OT KAOB fiD
Ei4fiAN MN 55122
(681) 6$1-4675
Date•
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
. HvA~': p_tnp ivf g T iJ $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one requved @$3.00 ea.)
State Surcharge .50
Total $
~ Complete this secrion anlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
~ New _ Alteration Repair _ Other
Reminder: Catl 681-4675 for inspections.
_ Fumace _ Air conditioning
~ Air exchanger ~ Other
5 30.00
State Surcharge .50
Minimum Tota] Due $ 30.50
SITE ADDRESS: CP'3 ~c-'
OWNERNAME: gex-~2,u PHONE#: 67
' `(AREA ODE)
INSTALLERNAME: PHONE#:
(L ~itEA CODE)
STREET ADDRESS: `c31 (r/&/
CITY: ( ~ STAT'E:d~JZIP:SS:37~
P
SIGNAT'[JRE OF PERMITTEE
~d'/
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN, MN 55122 PERMIT # 02/
PHONE: (612tl) 454-8100 RECEIPT #
DATE: 9
j~XMO"M PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WIiEN PERMITS ARE REQIIIRED FOR EACH IINIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW WNST ~ ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00 ~3
REPAIR WATER CIASET 3.00
T-
L BATH TUB 3.00 ~
--.zz/~7~~ LAVATORY 3.00
OWNER NAME: / J Qiln.~ i1 //01~ / KITCHEN SINK 3.00 ~
~Q I ~ LAUNDRY TRAY 3.00 ~
SITE ADDRESS:fJ~ UU,((~.lA/I11% lrz- / HOT TUB/SPA 3.00 L
L WATER HEATER 3.00
LOT:IZ,_ BLOCK ~ SURD. o•0'Y / FLOOA DRP.I?? 3.00 ~
GAS PIPING OUT.
INSTALLER: ~ (MINIMUM - 1) 3.00 3 ~
Dh ~ ROUGH OPENINGS 1.50
ADDRESS: OTHER _
WATER SOFfENER 5.00
CITY:`-' ~ O ZIP: PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00 ~
PHONE
SUBTOTAL S ~
ST. SURCHARGE ~ .5.2
SIGNATURE F YERMITTEE s a
TOTAL: S ~
~bMMHRG~ALjSNDLTSTRIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNZT.
CONTRACT PRICE: FEES
OWNER NAME: 1$ CF CGPITP,ACT F°E.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIM[JM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZiP:
TOTAL: $
PHONE
( S IGNATITRE )
FOR:
CITY OF EAGAN
~0.~-°'e:~ • ~~r~'y CITY OF EAGAN FOR CZTY USE ONLY
3830 PIIAT RNOB ROAD
n4~1 EAGAN, MN 55122 PERMIT #
~ PHONE: (612) 454-8100 RECEIPT # fJ U
mmmqm~-,'~",~. DATE:
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST D~ ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.0O4(rS
REPAIR ADDITIONAL 50 M BTU 6.00 ~
GAS OUTLETS - MINIMUM 3.00Cl\
OF 1 PER PERMIT
OWNER NAME : Y1n ~rc~iS rw-E~ c ~ 2a; S. C e r~ ~T _ 2p o
SUBTOTAL:
SITE ADDRESS: STATE SURCHARGE: .50
:.vT: BLCClh 2i .iu.°.'J. '_DT.^.L: v~~l
INS TALLER :
Burnsviile Heating & A/C, Inc. '~'"I --?I, i• ~~l"`"x .~~°'~o-`^'r~
ADDRESS: 12481 RhOde Island Ave. So. SIG ATUR OF PE ITTE
Savage, MN 55378•1122
ciTY: 894-DO05
PHONE
~T5#~4ERCTAI.{~I7bOSlitm, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
I LOT: BIACK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
L I \D / 8L CITY USE ONLY RECEIPT 3 I a~ o y
SUBD. C Uu RECEIPT DATE: ^ 1 a- jS I
' PERMIT#
1999 PLUMB1N6 PEMIT (RESIDENTIlkL)
CfCY OF EAIfiAN
3830 Pll.OT KNOB RD
f.fkfiAN, MN 551 2E
~ (651)6$1-4675
Please complete for: ? single family dweflings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
eayh tuh W J.VV - 10
Floor drain 3.00 x = $
GeS i in Outlet ' minimum -1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x $ 3d, db
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationfre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ -
Watef SOftenef if dwelling under construction 5.00 X = $
Water softener if existin dwellin 3F.00 x = $
Water turnaround 30.00 x _ $
State Surchar e $ 50
36. SD
TOtel $
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
• - • - • -
I hereby acknowledge that 1 have read this applintion, state that the infortnation is corred, and agree to comply with all applicable Cily of Eagan ordinanoes.
It is the applicant's responsibiliry to notify the property owner that the City of Eagan assumes no Iiability for any damages caused by the Cily dunng its
normal operational and maintenance activities to the facilities constructed under thls permit within City property/right-oRway/easement.
SITE ADDRESS:
OWNER NAME: : TELEPHONE
(AREA CODE) .
INSTALLER NAME: TELEPHONE G/17
/G~~d UIG'7IJJ'7 ~ Efy~~~
STREET ADDRESS: (AR
C~- ~ ~
CITY: STATE: ZIP: SS~~Z
~~/JGc1~
-.r
SIGNATURE OF PERMITTEE
' / CITY USE ONLY
PERMIT#: 4/qo 6 I RECEIPTDATE:
2002 i{ESIAEIVTIAL 14IECHAIVICAL PEftMIT APPI.ICATION
crrY oF eneax
s$so PI.oT KNo$ RD
p ~ C~ ~ ~ ~ C~ ~
tAfiAN MN 55122
651-681-4675 FEB 1 9 2002
ap=
v
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: rQ-
SITE ADDRESS: (n scQ (,3,0_UCL1-\('v CJ,
OWNER NAME: ~ C_occe~ TELEPHONE ~ J J sL o`Z
INSTALLER NAME: r-kT( ~Q TELEPHONE mq(2Q(ZS
~ STREETADDRESS: 1,241I 1~'l[X1_S! LV1-n&L ~S
~
CITY: SO j~ STATE: PJ1) ZIP:
/
Place a check mark next to the permit work type
~ Add-on, modification or alteration to existina dwelling unit $ 30.00
e-,V furnace replacement
• air exchanger
• air conditioner
• other
Natureofwork:
State Surchar e $ .50
TOt81 $ ~•5~
SIGNATURR O PERNIlTTEE
I/02
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Date:
City of Eaaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
c/ Permit #: (i
Permit Fee: - (� 1
Date Received:
Staff: I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit #:
RESIDENT I
OWNER
Name: 6f 6-- 7ZUC #J Phone: - teR7--P4 1 /L
Address / City /Zip: '3
(4' .�,� [.—
Applicant is: Owner X Contractor
TYPE OF WORK
Description of work: _garjZCt- 5F"
Construction Cost: li4$ 7t5Z.) O r OZ) Multi -Family Building: (Yes / No X)
CONTRACTOR
Company: Q L--A'Kf e-1 +^-Ta4Contact: k'/fl-f,4f'J C- .403
Address: `777 E 777-/ City: ST< P -4--
State: Zip: 706 Phone: ("V-
License #: -ZDCo3 V 3 DC= Lead Certificate #:
Does this project require Lead Remediation? 0 YesNo (see Page 3 for additional information)
If no, please explain: ti -gobY--- CloL-y
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe classified as non-public if you provide specific reasons that would permit the City to
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.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.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.
x
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
. . �________________�.
I For Office Use �
I ��G� I
' � Permit#:� � I
Clty of ����� � ��— �
� Permit Fee: �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 i Staff: i
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � � ` �� Site Address: ��� W �C/� C � ��/i Unit#:
Name: (J(.'c���Q ���?�ratoi•t�( Phone:
Resident/
�
Owner address i c�ty i zp: � �� �� ���� C� �-✓��
Applicant is: Owner �ontractor
� d .,
' Description of work: ��'�/�
Type of Work
Construction Cost:J ��C�� Multi-Family Building: (Yes /No�
Com an �i���^S , ,,�/��
P Y� _ ��r��l'a � � "�'1�'a�Sz�� *�'�° Contact: cS.+�'�� �Q�,.�/'��°t �
— --T
Address: �/c�C�v�� �f�,S� �6��v�. City: Lr�.�_�..v'iCl�-
Contractor
' State�� Zip:�z� Phone:�,� '� �l l_�'— Email:
License#: ' 7 � Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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: I
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 fo
conclude that the are trade secrets:
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours �
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.ora
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 I
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 I,
days of permit issuance. I
I
x � c' ��l,r�t�.t,/� X � � II
ApplicanYs rinted Name icanYs Signature ',
Page 1 of 3 I
I
�i
,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149388
Date Issued:05/21/2018
Permit Category:ePermit
Site Address: 636 Welland Ct
Lot:16 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-160
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 -
George P Westlund
636 Welland Ct
Eagan MN 55122
Burnsville Heating & Air Conditioning
3451 West Burnsville Parkway, Ste. 120
Burnsville MN 55337
(952) 894-0005
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168210
Date Issued:04/13/2021
Permit Category:ePermit
Site Address: 636 Welland Ct
Lot:16 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-160
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
George P Westlund
636 Welland Ct
Saint Paul MN 55123--393
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(641) 264-4088
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174473
Date Issued:01/31/2022
Permit Category:ePermit
Site Address: 636 Welland Ct
Lot:16 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-160
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 -
George P Westlund
636 Welland Ct
Saint Paul MN 55123--393
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174644
Date Issued:02/09/2022
Permit Category:ePermit
Site Address: 636 Welland Ct
Lot:16 Block: 2 Addition: Coventry Pass 2nd
PID:10-18401-02-160
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
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.
All tiled shower bases require a water test.
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 -
George P Westlund
636 Welland Ct
Saint Paul MN 55123--393
(651) 602-9001
Rascher Plumbing & Heating Inc
712 Smith Avenue South
St. Paul MN 55107
(651) 224-4759
Applicant/Permitee: Signature Issued By: Signature