756 Elrene CtReceipt„ MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C •?'
Type or Piini legib/y i J
Tot. - -
1. Date - 2. Installation Cost
3. Job Address Lot?Bik. r? Tracf '
4. Owner 5. Contractor Phone
6. Address
7. City State Zip '
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New t] Add ? Alier ? Repair ?
10. Describe ' -S • Fuel Type 11.
No. Egui ent 8TU - M. Ea.
.? , , .. _ .
Forced Air No.
- Equiament CFM
Mtg. Air Handling:
Boilers '
.
Mfg Mech. Exhaust
Unit Heater
Mfg. Oth
Air Cond. er
Mfg.
GBS, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-6100
cirY oF E?GAN
3795 Pilot Knob Rood Eeoon, MM 58112
PHONE: 454-8100
BUILDfNG PERMIT Receipt #
Sits Nddress / ?b tlI'ene (:OUrt Erect `Q Occupancy
Lot14 BlockI_ $ec/5„bWindtree 1.3t Alte? ? Zoning
Parcel # 10 84470 140 01 Repolr ? Fire Zone
EnlorQe D TYpe of Const. V
? Na,r,e
W Gustafson & Aseoc. Const.. Inc.
Move
?
# Stories
Z Addfeu
? 4015 W. 65th St. Demolish p Length 40
C; Ed ina 55435 py,ono 927-1127 Grade ? Depth 22 Sq. Ft.
? Name Owner Approrols Foes
z?
I u' ^ddress Assessment
f Cit Phone Woter 8 Sew.
Ruaseil Home Design Pol1Ce
F W NO^M Fire
???-, Address 4940 VikinR Drive Eng.
I? ?W Ci i:dina 55435 pFone 835-5970 Pionner
Councii
? 1 hereb acknowl
i y edge that I hcve read this npplitotion and state that Bldg. Off.
the inlormotion Is correct and agree to ' compiy with oll appliCable
State of Minnesoto Statutes ond City of Eu4on? Ordinonces. ^PC
?
Sipnoturc of Permittes
Gustafson & Aseoc Qnndt Inc
Permit 2fi5 • vY
Surchorpe 23 • QD
Plan check I31.50
SAC 525 . 0':
WOf@f COf111A5n _ (_
Woter AAeter n
Rood Unit -
I Total 51705.50
A Building Permit is issued to: on the exprcss conditlon Ihai
all work shall be done in accordance with all qpplicoble Stote of Minnesota Statutes and City of Eaqan Ordinances.
9ufld'inp Officiol
lz?-
Permit No. Permit Holder Misc. Psrmit No. Hoider
Plumbing 3?J5 sLA'
H.V.A.C. ? li'j ? o ro Y'2$$3
Well
Watsr
Disp.
S?war
electric We746ol Lcr :5-5 -8'3
tnapaction Date Inap. Other
Footinps
Foundation
Framing
RoughPlbg.
Rouyh HVA
Inwlation ?
Final Plbq.
Final HVAC
Final
j-
Water Deseribe Location:
Well
Sewer
Pr. D'Kp.
Receipt ?17 ? PLUMBING PERMIT Permit No.
p , ?CITY OF EAGAN Fee ?-
-' J~ Fill in numbered spaces S/C
Type or Prinr /egib/y -
Tot. 1. Date 2. Installation Cost
(`-4 . t ?
fYrti? Lot Blk. TracY -'
3. Job Address ?
?
4. Owner 1J /Q ! e- •-K u ti- 4 Z
5. Contractor Phone
6. Address
7. City
State
/lIA/ 2iP 6?v1i_
I $. Building Type: Residential (2/ Commercial ? Institutional O
9. Work Description: New O Add O Alter RR" Repair O
10. Describe L r? S?r! f Ier' 1.;,,?'+ N y ?.; -+ _I Tr-r, k?-'r
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory ( Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454,8100
CITY OF EAGAN Remarks -
Addition Vindtxee Addition Lot 14 Bik 1 Qa,cei #10 84470 140 01
Q,,,,,,8r street 756 Elrene Court State Eagan MIlV 55123
ImQrovement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1975 117.08 11.71 10 11.78 A012838 9-30-83
STREET RESTOR. 2 1983 3030.42 606.08 5 2424.34 to 't
GRADING 1973 247.85 24.79 10
Gradinci 9 2 138.39 24.78 5 83.05 A012838 9-30-83
SAN SEW TRUNK 5 1971 327.07 16.35 20 114.52 of It '
• SEWER LATERAL 1982 278.21 59 64 'rJ 1786.93 it to
WATERMAIN
* WATER LATERAL 1982 rj
WATER AREA 1977 414.30 27.62 15 220.96 A012838 9-30-83
* Sexviaes 1982 5
STORM 5EW TF1K (?q 1982 1188.09 237.62 5 71 ..87 A012838 9-30-83
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
ROAD LTNIT 250.00 3 905 3-23-83
WATER CONN. SO.OO It
BUILDING PER. 7856
SAC 525.00 rt +
PARK 300.00 20141 7 2 HO
Receipt.4 - -' ?
? -
PLUMBING PERMIT
CITY OF EAGAN
Fil1 in numbered spaces
Type or Print legibJy
3
Permit No.
Fee '
S/C ?
Tot. -
1. Date ? 2. Installation Cost
. ?; , .. t
3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address `
7. City State Zip
8. Building Type: Residential 0 Commercial O Institutional O
9. Work Description: New El Add O Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs $eptic Tank
? Lavatory Softner
? Shower Well
Kitchen Sink
Urinal/Bidet pther
% Laundry Tray '
Floor Drains •
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : , for
Rough Final
Inspections: Oate Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
t5 a?? ;?
REQUEST FOR ELECTRICAL INSPECTION
' See instructions tor completing this form on beck ot vellow capy.
? r07?O1??
""R" Below Work Covered by This Request
gft EB-00001-04
3 Stc,lp CD
Ne% Add Rep. Tyoe of Builtlin9 Aooliancxs Wired Equinmenl Wired
Home Range Temporary Service
Duplex Wa[er Heater Lightiny Fix ures
Apt. Buildinc? Dryer Electric Heatin
Commercial 81dy. Furnar,e Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tnnk
Farm tner ISUecifvl
t gr Sueufy O Other
Compute Mspection Fee Below N Fea ServiceEntrancaSiie k Fee Fexders/5ubfenders # Fee Ci'cuits
0 to 200 qm s 0 to 30 Am s
0 0 tn 30 Amos
Above 200Ampa 31 to 100 qmps (
31 to 100 Am s
Swimming Pool Above 100_Am s Above 700_Amps
Transiormers Irrigation Booms Pertial.'Other Fee
Signs SUecfa tion
T
?
flemerks Oyq
lie4fcal
oq heraby
thai the nbove
ion has been
7his requast void 5-5
18 months from
W074001
44 ? sc?
Request Date Fire No. Rouph-in Insper,[lon
Re red?
?Reatly Nuw Will Notify Insoec-
?es ?No lorWhenReatlY
? licensed Elec[rical ConVacror 1 hereby reqaest insonction of above
Owner elaetrical work installed at
Streat
ress, Boz or Route No.
Add Ci?t i
?
J
ecuon o. Township Name or No. Fenpe Na. Couut
Occupam (PflI
NTI Phone No.
/
/ l..! ?
Power $up0lier Atldress
ElecLical CnMractor tCompany Name) Convactor?s License Nn.
EAGLE EI,EC C 041
M»ilinp Addrass (COnhacmr or Owner Makinq Instailation)
V
AuNorized Sig
twe 1 [ractor/Owner ikiny ns lation one Number
/67L.,, ,Qlly1,J-) 636-8899
MINNESOTA STATE BOARD OF ELECTPICITY THIS INSPEGTION NEQUEST WILL NOT
Gri09s•Midwey BItlB. - Aaom N-791 BE ACCEPTED BY THE STATE BOARD
UNLESS PflOPER INSPECTION FEE IS
1821 University Ave., SL Paul, MN 55104
ENCLOSED.
CITY OF EAGAN ?a 7856
3795 Pilet Knob Road Eegen, MN SSI? •
i PHONE: 454-8 f 00 ?
BUILDING 'PERMIT Receipf #
Te 6a uted ior SF DWG/GAR E#, yalm $46,000 pO1e March 23 1 y 83
Sire Address 756 Elrene Court Erect MC Occuponcy R-3
Lor14 Blak 1 SK/Sub.Windtree lst qlter ? Zonin9 R-1
Parcel {k 10 84470 140 Ol Repoir ? Fire Zone NA
Enlorge ? Typa of Const. V
a Nome Gustafson & Assoc. Const., Inc.
t z Address 4015 W. 65th St.
r:.., Edina 55435 ?___ 927-1127
p Noma _
?
?? Address
f ru..
Owner
FW Name Russell Home Design
"Ho Address 4940 VikinQ Drive
:W ri... Edina 55435 el___ 835-5970
I hereby acknowledge thct 1 have reod this
fhe inlormation is cor=
? e?(ot
Stote of Minnezota St es Cit4/dF/I
SiBnature of PermiM A Building Permil Is issued ta:
Gusta e
all work sholl be dorre in xwrdoixe with oll
Buildinp Oificial '
and state that
& Assoc
Move ? # Stories
Demolish ? Length 40
Grade ? Depth 22 Sq. Ft.-
AOPrerals Fees
Assessment _
Water & Sew.
Police -
Fire
Enp.
Plonner _
Council _
Bidg. Off. _
APC
Permit L6J.UU
Surchorpe 23.00
Plan check 132.50
5qC 525.00
Water Conn.4 90 _ 00
Water Meter 60.00
Rood Unit 2$0.00
Total $1705.50
, InC. on the express conditlon Ihno
a Statufys and Cify of Eogan Ordinancea.
CITY OF EAGAN Include 2 sets of plans,
r5t 1 site plan w/elevations &
BUILDINC; PERNffT APPLICATION 1 set of energy calculations.
7b Be Used For 460-Valua!1tiorY' Date /ic? Z Z -3
Site Address: ?5L t-k r4v?L ?ou?T OFFICE USE ONLY
Lot ? Block ? Sec./Sub.?. ? ect ? OccupancY y?
l. U y7o l?(p p t Alter ? zoning -
Parcel #: g' y
Repair Fire Zone
Owner• Fnlarge _ Type of Const.
? Move # Stories
Address: ?j%i.S (1J• ?.?z'? CT Demolish Front ya 25R ` ft.
City/Zip Code:ed? yn,„, SS 4,'v(/ Grade Depth a9 ft.
Phone # :
Contractor:
Address:
City/Zip Code:
Phone #:
Arch./Fng.:
/ , a
Address: ?c yStb l,alti?
City/2ip Code: C l (?.3
Phone #: g3s S? 7 0
APPROUALS FEF,S
Assessments
Water/Sewer
POlice
Fire
Eng•
Planner
Council
Bldg. Off.
P.PC
Permit ' ;?s ?
Surcharge 23 ?
Plan Checlc / 3,2
SAC g.26-¢2
water conn. ysD =
water zKeter ja ?
Road Unit 2,1-o ?'-
mPAL I I O rj 1 . S-b
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?
651-681-4675
New Conatruction Renulremante
• 3 registered site surveys showing sq. ft of lol, sq. 8. of house; and all roofed areas
(20% mazimum lot coverege allmred)
. 2 copies of plan showing heam & windowsizes; poured (ound design, etC.)
• 1 set of Energy Calculations
. 3 copies of Tree Preservation Plan H IM platled a@er 711/93
. Rim Jaist Delail Oplions seledion sheet (61dgs with 3 or less uniLs)
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWN
TYPE OF WORK Iea ? (1? _'c ? CS Qbk FIREPLACE(S) _ 0_ 1_ 2
APPLICANT_Cp U61 r,L?n??G?0v1 kk 001, PHONE# 9RI' Z(?)'_)
ADDRESS ?-? ? • ?'`? sv. ?lear?n ?n?i?b'l ZIP CODE
PAGER # CELL PHONE # 9P,ue - (Q (Z.- 3L9- FrSLof FAX # W
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Plumbing Controctor: _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor.
Air Conclilioning
Heat Recovery Systeiu
Phone #
Phone #
Fee:
$70.00
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 compiy
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received Required
? , ? ? ???? Updated 2002
, L
_ Water 5oftener
_ Water Heater
_ No. of Baths
RemodellReoair Reauirements
. 2 copies af plan
• 1 set of Energy Calculations tor heated additions
• isitesurveyloreztenoradditions8decks
• Indicate if home served by septiC system for additions
VALUATION t 9 E 1Z1
Phone #:
Lawn Sprinkler Fee: $90.00
No. of R.I. Baths
_ . .. .. . . . . . . ?..y.? . ... ?
77
EXTfRIOR ENVIiI.nP1: 11VI:RAGE "U" COMPCTATIOH
. _.. ?. ?, _.
'ONNERs OATL ??J >
SIT& AbURESSt`` r PHONE:
mM%ic2ex: ZLa? /J?c?iq4.Or?r
/
Determine working square footage of each
,:. . . ,. _ ?
1. 7btal exposed wall area...... sq. £t. x .lor
. 014
= 2. 9ba1 roof/ceiling area ...... aq. [t. x _ b m
ibtal exposed wall area above floos ?
a. Total walt window nrea .................................
!-. ",-,:al daor Area .......................................
c. To`.al sliding gisms docix area .........................
d. '1bta1 fireplace Nali area .............................
e. Total wall framing area (avernge 101) ..................
f. 1bt41 sim joist area ................. ..............
g. kall lITEA ebove floor ..........................
h. wa71 axea above floor .......................... °-
i. wall area above floor .......................... _
j. wall area above floor ..........................
1bte1 expose3 foundation area
..?....
k. '.rotal fo•irdation window ar.ea .....................
1. Total net four.dation area above grade . ... . .. .. .. . . ... .
Determine °C" value of each wall se4ment
(e.g. wi.ndcw, door, each separate wall section)
a• ? J' •:?-`1 ? -'?i+.?-_? x ItUu
X ?Ull
X nU°
C.
a_ Y ?lull
g '.ull
e. i
????? ir
7 '
g. X -
h X l.u.,
1 ,?.. x l ury
---
X
wUn
-
a -
k. X .1u,:
1 -
?
,.
.l ? l r
1 . g
-. U
i
•
Tf item 83 ia thc sae- L
or less than i.tec+ 81, %
liavP met Yhe intent o'
513C 6605 (c) 2.
? ?.
T-. rior Envelope Average "U" Computation
..'
. ?+
y Total exPosed roof/ceiling area = j?? Z
Paqe 2 of 4
m. 7bta1 skylight area .........
A. Total toof/ceiling franing area.(averagc•106)... ?!?J 2
o. Rbtal net insulated root/cciling area........... CJ , _
/ :" „?
Determine'"U" value for each roof/ceiling segment
M. X I.1)n u
n. x -,U--
o. X „U'.
I
9 ........................... 7bta1
If total of #4 is the samc as, or less than y1 r'
SHC 6005 (c) ?. , You have met the intent of .
Aliernate Building Envelope Desiqn
7b utilize the total envelope system method, the valuea established by the s:un of .
items 13 and Mq sha21 not be qreater than the swn of items /1 and #2.
1.
? +
? 2. • •;
3' + 4.
lb
PERMIT # ? RECEIPT DATE: ? O -
U.SIDENTIAL PLUM$INfi P£fiMIT kPPLICATION
crrYoFEAsM
3930 PaoT Kxos Pn
£A6AN, MlY 55122
851-6$1-4675
Please complete for:
? single family dwellings
? townhomes and condos when pertnits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: `-1510 P.( reX,p_ O,E ,
OWNER NAME:
l-( LA
INSTALLER NAME:
STREET ADDRESS: IcAlltoq h
CITY: f)I_lXn-j%/ I11,2
Piace a check mark next to the Dermit work tvoe
TELEPHONE#: IoSI- grI-5431
(ARE4 CODE)
TELEPHONE #: Q5a-8qO - ma
* " (AREA COOE)
STATE: U 0 zIP: 553
_ New residential dwelling unit under construction and not owner/occupied $ 90.00
? Add-on, modification or alteration to existina dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigatio
n system?
-
• water turnarounT
Nature of work: IPLt aQQ
Septic System, rew/refu; bished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ .50
Total $ 5Je5O
Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowled9e lhat I have read this appiication, state that the information is correct, and agree to comply with all applica6le Ciryof Eagan ordinances. I[
is the applicant's responsibility to notify the propeRy owner that the City of Ea9an assumes no liability for any damages caused by the Ciry during its normal
operational and maintenance activities to the facilities constructed under this permit within City propeAy/right-of-wayleasement.
SIGNATURE OF PERMITTE ,
Updated 1101
?32z 1 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
?l? CITY OF EAGAN
? 3830 PILOT KNOB RD • 55122
851-881-4675
New C.onatnictbn ReaWremanri RemodeUReoalr Reaulrertienri
i? 3 reglaTereA aBe wrveys ahowing aq. R. W lot, aq. ft. ot hoLne
and ga rooled areas (20X maxtmum bf covemae allowem
Y 2 coples of plana (ahow bepm & wintlow alzes; paured Ind. design: etc.)
: 1 set of energy calwlodona
y 3 coplea ol hea PreaervaMon ptan.ll bT plaMed aRer 7/11/93
DATE: i O -,Y -
2 copies o1 plan
1 set ol energy cdcWatlan for healed atldNlons
t site wney tor extedor addNOrn & decka
CONSiRUCTION COSi:
DESCRIPTION OF WORK: G a? z- ys- L
STREET ADDRESS: 7 SG ? G r2 ? iv ?= C- t _
LOT: BLOCK: SUBD./P.I.D. Y: ??-\ 24Y-? /l t J-_
Name: L ??.., ?J ?h r_c.?_?,, y Phone ?:
PROPERTY RM
OWNER
Street Address: ?? ;?-7 ! r ,e
City State: 21p: 5? S ? z 2
Company: ?-.1- r- r r-? ?s c-L? Phone #: b I 1 7S/ -2 ? S S
(area code)
COMRACTOR
Sheef Addresa: ? 1?' O S?c u s e? 7r llcense # ? l Z 2 EXp, O/
Cify ??vvu-o +? zCa l Cs State: Zip: Y. s0 0 9
ARCHRECT/
ENGINEER Company: Name:
Telephone t: (
Sheei Address: Registratlon t:
City
State:
Lp:
Sewedwater Bcensed plumber (if installina sevrer/waterl: Phone #:
I herebY acknowledga ttwf I have read Ihis applicafbn, afate HwF Ihe
of Minnesota Staiufes and CNy of Eagan Ordinances.
Signalure of
Certiflcates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE
No
_ No
and agree to comply wiM al app6cable State
- Not Required
$1z8?z5
calitd io-Ii-op
vbm
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
WORK TYPE
& 31 New
? 32 Addition
? 33 Alteration
? 34 Repafr
? 73 16-plex ? 21 Porch (3-sea.)
CT 17 Garage ? 22 PorCh/Addn. (4sea.)
? 18 Deck ? 23 Poroh (screened)
? 19 Lower Level ? 24 Storm Damage
Plbg _YOt_N ? 25 Miscellaneous
? 20 Pool ? 30 Accessory Bldg.
? 36 Move Bidg. ? 43 Reroof
? 37 Demolish (Bldg)` ? 44 Siding
0 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
` Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code a' (
No. of Units
No. of Buildings /
Const. (Actual) ?
(Allowable) •S-K/
UBC Occupancy R--?
Zoning R - l
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
C`s ae sq. ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
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:
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building ? Engineering Variance
d?
Valuation: $ 611')6904
??GKC? ? S`? ?7?,oD
? 31 Ext. Alt - Mutti
O 33 Ext. AR - SF
? 36 Muki
?/Y8
SAC Units
% SAC
CITY USE ONLY
LOT Iq BL J_ •
sUBD. W;,n treel
PERMIT #: A, 4 3 5 ?
RECEIPT #:
RECEIPTDATE: ?I"'U OO
2000 MECHANICAL PERMIT (RESIDENTIAL)
cixsr os s.r.ca,x
3830 PIIAT IINOH RD -
EAGAN lIIa 55122
Dste: .3 '0 651-681-4675
Comptete this section onlv if you are insta(ling HVAC in a single family dwelling, townhome or condo under
con ction and not owner/occuriad. ?
• HVAC: 0.100 M B T U
ADDITIONAL 50 M BTU
• Gas ouUets (minimum of one required @ $3.00 ea.)
State Surcharge
Total
$ 30.00
6.00
$
.50
Complete this section onlv if you are remodeline, addine to, or reuairine an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteradon, or repair.
New ? Alteration
_ Repair _ Other
Furnace
_ Air exchanger
? Air conditioning
_ Other )zhLO!`.tb 4ap/7'r
Fee $ 30.00
5tate Surchazge .50
Total $ 30.50
Reminder: Call for inspections
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
PHONE #:
PI-IONE #: (nREn ConE)
(O E) ?
CI1'Y:
STATE: M ti
, 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
'CITY OF EACAN
? 2 ?? 3830 PILOT KNOB RD • 55122
,J) 651•881-4675
Remodel/Reoair Reaulremanh
> 3 repiaterecl Yte wrveYS sIwwinp eq. fL of bT, s9. ft. ot house
aftl gLI roofed ar6o8 (20% maximum bf covemae allowedl
a 2 caples oi pirnu (alww 6eam d wintlow sizea; pouretl fntl. desipn; eic.)
D 1 tet Of eneryy cdcWaNOns
D S eoplea W hee pretervaHOn p1aiM b1 pWtletl aRer 7/1/93
DATE:
51b.%
CAIW Ifl-J?-op
2 copies W plan ?
1 aef of energy CNCUIOHons for healed oddfHOru
1 dte aurvey lor exteAOr additloro 3 deeb
CONSTRUCTION COST:
DESCRIPTION Of WORK: - 4- O o _-
STREET ADDRESS: _7 -R'm
LOT: _AL_ BLOCK: v? SUBD./P.I.D. #: INi ht7 hPP i
I
PRoPErm
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 1\ c.. ---p .s.-, i S ? u Phone lf: ? ? 1 - °I `6 3 - G B o Z
Lasf Flrst
She6t Address: -7 ? C _47-\ 3- , y ?- czfT _
Cify C- State: zip:
Company: G-,•-?-y s'T _? Phone #: G 1? -:;, 3?/ -°L 9 sr ?_
(area code)
Sheef Address: `Z- 91 4 o S r- s?\ fi lr , Ucense #°I 1i `L Exp. Q, \
Cly c v ., ? - ? S .-S State: W? ? . ZiP: ??, V . q
Company: Name:
Telephone #: ( ' )
Sheef
Cly
RegishaHon M:
State:
Zlp:
Sewerlwater licensed plumDer !if installina sewerfwaterl: Phone #:
I hereby acknowledge lhaf I have read Mis appitcation, sfafe thot Ihe infomwlion ia cortect. and agrea to comply wHh atl applicable Sfate
of Minnesoto Stahiles and City o} Eapan Ordinances. -
Signature of AppliconY.
OFFICE U3E ONLY
^y A r?a'fl
?V.L/A i ?.a? _ / ?1ti(/
Certificates of Survey Received _ Yes _ No
ocr o a Zooo
Tree Preservation Plan Received Yes No Not Required ; __p n
- - - i •_v: ?J
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation 0 07 OS-plex
? 02 SF Dweiling O 08 06-plex
? 03 01 of _ pleu p 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex O 11 10-piex
? 06 04-plex O 12 12-plex
WORK TYPE
? 31 New 0 36
U 32 Addition 0 37
O 33 Alteration O 38
? 34 Repair O 42
GENERAL INFORMATION
SAC Code O /
No. of Units (
No. of Buildings
Const. (Actual) ?
(Allowable)
UBC Occupancy
Zoning
O 13 16-plex
? 17 Garage
? 18 Deck .
? 19 Lower Level
Plbg _Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
X 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
O 25 Misceilaneous
? 30 Accessary Bldg.
Move Bldg. ? 43 Reroof
Demolish (61dg)' ? 44 Siding
Demolish (Interior) ? 45 Fire Repair
Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to appiicant for demolition permit
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MI5CELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS ?
Planning Building
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
33 ? MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Engineering Variance
.?-, .
O 31 Ext. Alt - Muitl
? 33 Ext. Aft - SF
? 36 MuRi
Permit Fee
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:
Valuation:
33? kS?? =-
$ 1?-
l? 1 Y?f
SAC Units
% SAC
1-2 Family Residentia! Building
RESTDENTIAL "COOKBOOK" WORKSHEET
;'N, e- s-) ?? 7 (i -- `L
0?
i"PP"`8""1°u'V33 . 7'he proposed building design reprcsented in lheu
S? documents is comiskn[ with the building plen9,
specifications, end other celculations submitted
Building Addreu: with the permit application. The propoud
. building has bcen desigmd to mal the
- , ? ?ement?p\f the Minnesofa Energy Code.
A4INIA4U11T REOUIRF.MF.N7'S fnr ?C'nnlchnnk" (ln*:..n.
Entry Doors I-3/4" solid wood w/ storm Ceiling with energy truss R-38" Rim joist R_19
door br equivalent (Min. 7%:" top plate to sheathing)
Foundation Windows' Insulated Glass w/1/2" gap in Ceiling with law heel truss R-44*• Floor over R-24
wood or vinyl frame unconditioned space
'Include squere footage in calculation of Window/Door Area Ceiling-no attic R-38 w/ R-5 sheathing
ta detertnine above grade Window U-Value.
•?Yt?....1_•:__ n_`e'-_" _ _ . . .... . .? . .. ....
,
Window aod boor Aroa 100 x41 o + -? `6 `?
As Ye of Ezposed Wall Arca lbove Gnde Windoa and Crwa Wall Anaa
RaundationWlndoa/Door Area
.••••.......... a. .. ??..c? vc??gu a,vuuu?vns
WINDOW U-VALUE :
Window/Door Ara Soutce: NFRC or ASHRAE 1993 Handbook
?
y
_I. LRA ViLAtTwf aLt11T?v> fr ?. l..
CheCk Wsl{
WALL TYPE • ••+?u?+.?vi?a ?iu?a?v?? V-VHLVL'J
MAXIMUM WINDpW:ANiI DOOR AREA °/s OF EXPOSED WALL AREA
Type Uled i '•: 12% 14"/0 16% IS% 20%. . 22% 24°/s' 26% 2$% 30% 32% 34%
T1'PE A
' 2x4 framing, R-13 insulation, sheathing R-7 or greater. 0.55 0.47 0.41 036 033 0.30 0.27 0.25 0.23 0.22 0
20 0
19
7
YPE
' 2 4 framing, R-IS insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 0.26 0.24 0.22 OZl .
0
20 .
0
18
TYPE C
' 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 036 032 0.29 0.26 0.24 0.22 0.21 0.19 .
0
18 .
0
17
7
YPE D
' 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 034 0.31 0.28 0.26 0724 0.22 .
0
21 .
0
20
i
YPE E 2x6 framing, R-2l insulation, sheathing less than R-5. 0.51 0.43 038 0.34 0.30 0.28 0
25 0
23 22
0 0
20 .
0
19 .
0
18
TYPE F . . . . . .
2x6 framing, R-21 insuladon, sheathing R-5 or greater. 0.58 0.50 0,44 739 0.35 032 0.29 0.27 0.25 5Z3 0.22 0.21
?•••° •°°?? w??•a.... .^«. wlaiTw,s ui the vames m the nnergy toae, Yart /67U.0475, Subp. 2.
This is a summary only. Other requir«nrnts may apply. See the Minnesota Energy Codc.
Questions7 Call Department oCPublic Servia lnfottnetion Crnter at 612/296-5175 or 1-B00/657-3710.
2/5/96
??
' qON KRUEGEF! 6? ASSOCIATES? INC.
REGISTERED LAND SURVEVORS '
8140 FLVING CLOUD DR?VE. EDEN PhA1RIE. MINN. 5594? PHONE 012-9?1•?030
CERTIFICATE OF SURVEY
Survey for
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I? n? ?eby certify 1na1 this rs a true and correct representation ol a survey ol the bouneanes ol 4-OT 1¢i
l.v??/0-rZ,5EApp/T/D/?! O,4
. Couoty. Minnesota and ot tne loec?a1tion ol all hudtlings Ihereon, anO all
wsible encroechmenls. d any, Irom or on saia land. Surv¢yed Dy me lhis _?7171 day ol
?
UEGER & ASS`OCIATES, INC.
C7ATF RFf: Nn 14174
J ?
TRON KRUEGER & ASSOCIATES,
REGISTEHED L A N D SURVBVORS '
8146 FlY1NG CLOUO ORIVB, EDBN p1tA1RIE. MINN. SS744 PHONE
INC.
012-941•7030
iurvey for
JEFF 61-16TAF50nI
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1ny sDy CerlMy thsl IMe ia a Uua and caroct repressnlepon ol a survey ol the DounAaries of _.
a11NQT,PEEA00/T/DN _ O;fi??4Counry, titinnaaota ana of the ioeauon of au ouiminqs insraon, sna aii
,.riaibb MCroaehmanb. d eny, irom or On sei0 Iend. Surveyed Dy me INS 1-7X day o1 ,s 83 ,
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UECiER TW6SOCIATES, INC.
CTATF RFf; NCI? 14174
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091494
Eagan, MN 55122 . Date Issued: 10/07/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 756 Elrene Ct
Lot: 014 Block: 001 Addition: Windtree
PID 10-84470-140-01
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Automatic Garage Door Fireplaces Sondra J Lambert
8900 109th Ave N #100 756 Elrene Ct
Champlin MN 55316 Eagan MN 55123
(763) 571-2525
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.
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
r------------------
For Office Use
City of Ea , Permit
' l v. ZS
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff: 7 I
Fax: (651) 675-5694 i
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: U~1 r Phone:!
RESIDENT I
OWNER Address / City / Zip: cJ C/
Applicant is: Owner Contractor
)&10 ILI
TYPE OF WORK Description of work:
Construction Cost: v Multi-Family Building: (Yes / No )
Company: Contact:
Address: /'7 C-~'✓~ City:
CONTRACTOR
State:A/V/ Zip Phone: t
License #:'C 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:
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 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.gopherstateonecall.or-q
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 uildin de must a completed within 180
days of permit issuance.
XA
Applicant's Printed Name A plicant's Sig ature
Page 1 of 3
WATER SERVICE PERMIT
CITY OF EAGAN PERMIT NO.,
3795 Pilot Knob Road DATE:
Eago„n, MN 55122 No, of Units:
Zoning: _
Owner:
Address:
Site Address:
Plumber: Connection Charge:
Meter No.: - Account Deposit:
Size: Permit Fee:
Reader No.: Surcharge:
I agree to comely with the City of Eagan
Misc. Charges:
Ordinances. Total:
Date Paid:
BY ~ Insp.:
Dote of Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
PERMIT NO.:
3795 Pilot Knob Rood DATE:
Eagan, MN 55122 No. of Units:
Zoning: -
Owner:
Address: Site Address:
Plumber:
1 agree to comPiY with the CitY of Eagan Connection Charge:
Account Deposit:
Ordinances. Permit Fee:
Surcharge:
Misc. Charges:
By Total:
Date of Insp.: Date Paid:
Insp.:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA133109
Date Issued:09/23/2015
Permit Category:ePermit
Site Address: 756 Elrene Ct
Lot:014 Block: 001 Addition: Windtree
PID:10-84470-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Scott A Patet
756 Elrene Ct
Eagan MN 55123
(651) 285-7809
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163594
Date Issued:09/08/2020
Permit Category:ePermit
Site Address: 756 Elrene Ct
Lot:014 Block: 001 Addition: Windtree
PID:10-84470-01-140
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 -
Scott A Patet
756 Elrene Ct
Eagan MN 55123
Minnesota Roof Contractors
5500 W 25 1/2 St
Minneapolis MN 55416
(651) 206-7609
Applicant/Permitee: Signature Issued By: Signature