780 Elrene CtReceipt MECHANICAL PERMIT Permit Na,
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Print /egibly Tot.
-r
1. Date 2. Installation Cost
13. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address 1206 Vincent P18.Ce
7. City ' State ?i . . Zip '
8. Building Type: Residential 0 Commercial ? Institutional O
9. Work Description: New 0 Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No. Epuioment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg, ? an
r
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg,
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
(nspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454$700
Receipt PLUMBING PERMIT Permit No. r
CITY OF EAGAN
- Fee
Fill in numbered spaces S/C
Type or Print /egibty Tot. '
1. Date /- 1-?j 2. Installation Cost i i t'3. Job Address CLej, Lot !: 1 Blk. ? Tract r
4. Owner
5. Contractor f)Jr1t e a ?pSPhone U Q 5 -
6. Address L ?
i 7. CitY (?/ Y?'1 v1rt (C , State j/Yl l, Zip S.S2<i- 3
8. Building Type: Residential ?
9. Work Description: New K
[ 10. Describe
{ 11.
I
Commercial 11 Institutional ?
Add ? Alter O Repair O
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs
Septic Tank
_ Lavatory Softner
? Shower Well
? Kitchen Sink
- Urinal/Bidet Other
7 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 ordinan?s and code?,governin this type ot work.
?'y,.J '
Signed : 1//lQ??G ,for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN
Addition Wi ndtree Add3 i on Lot 1 n Rik 1 Parcel # 1 Q 84470 1 nQ M
owner Street 78Q Elrene Court state EaAan NIlV 5512S
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF, aid
STREET RESTOR. Zq 1983 3030.42 606.08 S 1818.26 A014524 9-7-84
GRADING I 7 1973 247 85
% 24.79 10 aid
Gr g (Iqq- 1-982 • 24.78 5 55 . 38 A014524 9-7-84
SAN SEW TRUNK 15! 1971 327 7 16.35 2 98.17 A014524 9-7-84
* SEWER LATERAL 19$2 2978.21 59 64 5 1191.29
WATERMAIN
WA7ER LATERAL 1982
WATER AREA 'y
- -
* Sennoes 1982 5
STORM SEW TRK 2 .O 237.62 75.26 014 24 -]- 4
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN, 470.00 +i Vr
BUILDING PER, #9181 to
sAC 25.00 if
PARK 100.00 20141
- -
,?..... •
-4 ... ?
I -.?
?
CITY OF EAGAN j) "$62
7
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 .?
'
•
.
NG
PERMIT
B6WL6D1 ?
'?
?
Receipt #
ADDI=iON
$7'000 MAY i4 90
To be used for
Est. Value Date , 19
i? E?? ?
ress
Site Add
O
Lot ? BIOCk S2C/Sub. OFFICE USE ONLY
?"g FEE S
Parcel No. occuPancy
?? 6?Y N(?REHBEAr z.omng
90'00
W '
Name (Actual) Const Bldg. Permit
? ?
? Address (Al10Wable) S
h 3•50
° Z
G
N arge
urc
A
A
Clty
Phone # or stories
Pian Review
?ength
Y D?I? a??
?
o Name Oepth City
SAC
,
?? Address R S.F. Total -
RAGM SAC, MCwcC
? PhOne "t-1773
Clty S.F. Footprints -
Water Conn
On Site Sewage _
?
yVj W
Name
on site weli
-
wacer Meter
?? = Address MwcC system -
Acci. o epos;t
i W City PhOnB City water _
SAN Permil
PRV Required _
I hereby acknowlege that I have read this application and state that the eooster Pump - gryy Surcharge
iniormation js correct nd agr to compl wilh all applic le Slata of
Minnesota Statutes an ity of Ei? n fJrdina ces.
? 7reatment PI
Signature of Permitee
`' APPROVALS Road Unit
NONTGMRY MiGN Planner
A Building Permit is issued to: - park Ded.
on the express condition that all work shall be done in accordance with all Council
applicabie State o( Minnesota Statutes and City of Eagan Ordinances. gldg, pff. _ Gopies 93
30
Building Oflicial - Variance - TOTAL .
pe?mit No. PermM Hoider Date Tekphone #
WATEft
seinrea
PLUMBING
N.VA.C.
ELECTRIC
InspecHOn Date Insp_ Comments
FooGngsl f/
Fouridatio, s z 3-,9o n
F?aming ? ? Qa r.cJ
??irQ
Rotigh Plbs.
R.0 Ms.
?
. g
l,?
_/- G - a ?
FiwreqO)Ia--
Final Htg.
Final Plbg.
Const. Meter Plbg_ Inspector - NoGfy Plumber
Ergr./Plan
Bidg. Final '?11 qG1 &;4
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN ?r
3630 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 9
' PHONE: 454-8100
BUILDING PERMIT Receipt
Te b? wsd fer 5)'? DV'r/GAR F?, V,,,,,? $tSC, U00 „_,_ JUNF 18 $4
Site Address
Lot
Parcel No. _
m Name •' - , •???,: cr
i
? 508 tv' 64TH
Address
'r'ILLD
cicy
Pnone
zo Name 'Rb",E
Address
ss
??
?- City Phone
oc
W!!! Name
City
Stote of Minnesoto Stotutes ond Ci
Sipnature of Permiftea
s
A Building Permit Is issued to:
oll work sholl be done in ocoordonce
Bulidinp Officiol
this opplic
to tomply
of Eagon
Erect 15 Occuponcy H'1
/?Iter 0 Zoning R
Repoir p Flre Zote N A
Enlorge ? Type of Const. V
Move ? # Storie?
Demolish ? Length
Grode ? Depth 4 9 S(j. Ft.
Assessment _
Permit
_ Water 8 Sew.
? Police
- Fire
- Enq.
- Plonnar
?.
Council
that Bldg. Off. _
:abla
/1PC
Plan check t ci o.] u
sAC 525.00
Woter Conn. 470.00
Weter Meter 63• p 0
Rood Unit 260, 0 0
Total ? • 0
on the express condition thn+
Stotutes ond City of Eaqan Ordinances.
Permit No. Permit Holder Misc. Permit No. Holder
Plumbing
H.V.A.C. ei"}?K
w.u
water
Dicp.
Sower
Elactrie Q ? Z3
Inspection Date Insp. Other
Footinp
Foundation • g = 5'/ ,??
Framiny ?j
Rouph Plbp. ?
Rouyh HVAC
Inwlation
Finsl Plb?
Final HVAC . j..
Final
Wster Dfte?ibs Locatfon:
IlVeil
Sevwr
Pr. Disp.
CITY OF EAQAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
i PHONE• 454-8100
N° 9181
BUILDING PERMIT 2eceiot # ?
Te 6s wsd 4e. SF DWG/GAR Est. Value $$0,000 pate JUNE 18 19 84
'.7.80 ELRENE CT
Site Add
s
Y6
Erect
Occupancy
R3
Block 1 et:/Sub. WINDTREE
c
Lot 1 qlter ? Zoning
RZ
PercelNo. 10-84470-100-01 Repoir ? FlreZone N/A
V
Enlorge ? Type of Const.
z Name ?,u?. ar a?oavV
Z Address 508 W 64TH ST
? City RICHFIELD phone $61-1539
SAME
o Name
? Address
?
? City Phone
Name
i? Address
?W City Phone
1 hereby ocknowledge thot I hove read this opplication ond state that
the inbrmotion is correct and ogree to comply with all applicable
Stofe of Minnewta $tatutes and City of Eogon Ordirwnces.
$iBnuture of Permittee
A Building Petmit Iz iuued fo: BENTZEN & ASSOC
oll work sholl be done in occordorxe wjNrqKopDlicable $tao-0) Mii
Move ? # Stories
Demolish Q Length 38
6mde ? Depth 49 Sq. Ft.-
Avororala Fees
Assessment Permit S 373.00
Water & Sew. Surchorge 40 _ 00
Police Plon check ? SFi - ri0
Fira SAC 525-O0
Eng. Woter Conn. 470.`00
Planner Water Merer _Si3..00
Council Rood Unit 76n 00
Bldg. Off.
APC Totol !?e .5 0
on tha express condiHon Ihnt
$tafutes ond City of Eaqon Ordinonces.
8uilding Officiol
CITY OF EAGAN Np ? ?862
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454•8100 n.?
BUILDING PERMIT Receipt # 0?`
To be used tor ADDITION Est. Vaiue $7.000 Date MAY 14 ,1990
Site Address 780 ELRENE CT
Lot 10 Block 1 Sec/Sub. WINDTREE 15T
Parcel No.
IName TYLER & MARY NORENBERG
? Address 780 ELRENE CT
City EAGAN Phone 454-8230
o Name MONTGOMERY DESIGN & BIIILD
gQ Address 3786 WINDTREE DR
? City EAGAN Phone 687-7779
wW Name
E
=3 Address
iw City Phone
I hereby acknowlege ihal I have read ihis application and state that ihe
inlormation is correct and agree to comply with all applic ble Slate of
Minnesota ScaNtes anCity of ?]ganQ{dirQ?ces. R
Signature of Permitee 1.1
A Buildin9 Permit is issued to: MONTGOMERY DESIGN
on the axpress condition that all work shall be tlona in accordance with all
applicable State of M.i/n?nesota Staw1fes and City o( Eagan Ordinances.
Building Official ?' IdLl! ?:VJ.AA' 1 V
OFFICE USE ONIY
Occupancy FEES
Zoning
(ACtuapConst V-N BIdg.Permit 90-0
n
(nnowable) V'N
0
Surcharge 3.5
# ol Stones -
Length 11 ? Plarn Review
Depth SAG City
S.F.TOIaI - SAC,MCWCC
S.P. Foocprints -
On Sile Sewage _ Water Conn
On Site Well - Waler Meter
MWCC Syslem -
AccL Oeposil
City Water _
PRV Required _ S!W Permil
Booster Pump - g/yy Surcharge
Treatment PI
APPROVALS qpad Unit
Planner - park Ded.
Council -
BIdq.Ofl. _ Copies
Vanance - TOTAL 93.50
y,({ qjl?j REQUEST FOR ELECT.AFCAL fNSPECTION es-ooooi-oa
! ' Sae insiructbns for comoleting this form on back ot vollow copy.
"1{" Be/ow Work L'overed by Thrs Request
A nAni *1 A
PIw+AdAI Meo.1 TYPe of Buflding I Appliencee Wired ? Equipment Wired ?
Water Heater
umace
N Fea ServiceEntranceSixe p Fae , Faeders/SUbtaeders # Fee Circuits
Utu200qm s Oto30Am s
I
II
o30Am s
0
A6ove 200 qm • 31 to 700 qmps W 31 to 700 Amps
Swimmin Pool Abave 100_Amps Ahove 100_Am s
Transtormers Irrigation Booms Partial-'Other Fee
dp
ISig?s ? I I ISpecial Inspection Jg
merks ?? „?? TOT ?
I, tM1b.E}ee[Ficel
Inspector, hereby
certify <hat che above
inspection has bean
made.
.- reQUesl
mo wid ?
18 nNS from
A? 060136 L?o
uv-a?•. . ougn-?n msVecuan
nre ?ve R
/? ([ q iretl7 JoAeaCy Nuw Will Nolify, Inspec-
_ ?Yes ? No or Whan Fleady
Licensed Electrical Coniractor I hereby requescinspaction al ebove
?Owner ' eieetricel work installed et:
Street Atldrass, Box or Route No. C i ?
O
tion Towns ip ame or No, ange o.
OeeupantiPRINT) Phane No.
uPPlia Address
EI 1 ConlraCtor (COmpany Neme) Contractor'S License No.
? d 2.C?
il np Atltlress ( ontractor or Owner Makinp nstailationl
A Mwized Sip tu Cont to wner Makina f st Ilat
w Phone Number
YINNFSOTA $TpTE 9pqpD OF EIECTRICITY THIS INSPECTION REQUEST WILL NOT
Gripps-Yidway Bidg. - Poom N-191 BE ACCEPiED BY THE STATE BUAflD
7827 University Ave., St. Poal, MN 55109 UNLESS PflOPEN INSPECTION FEE IS
pbM (612) 297-2111 ENCLOSED.
`?w CITY OF EAGAN Include 2 sets of plans,
. 1 Certificate,of Survey &
S F. D W L?. P.R. BUILDING PERMIT APPLICATION 1 set of energy ca].culations.
1b Be Used For Valuation ? Date
Site Address: OFFICE USE ONII,Y
Lot r'` / Block / Sec. /Sub.(1(, ?,i ??rect x Occupancy ?- 3
Pascel `b r' ??Cil b O) Alter zoning R- I
Repair Fire Zone
??: Enlarge _ Type of Const. Z
Nbve # Stories
Psldress: Desmlish Front 38 ft.
City/Zip Code: 16C.jfF/ 64 .?o /,,Grade Depth 49 ft.
Phone # : Xk / -1,5, 5 `7 APPRDVAIS FEES
Contractor: ?ff'j1'J-
Assessments
Permit
/. 2?
3?
Acidress: ? Water/Sewer Surcharge 140 o0
Police Plan Check ? &ln
City/Zip Cocle: ? Fire SAC ?j25.
Phcne #: " Eng. Water Conn. 4`10. `-p
Planner Water .Meter (0 _5 . p°
Arch./En4•: ? Council Road Unit 2(PD. 10
Bldg. Off• '
Address:
? APC
City/Zip Code:
Phone #: r 7.UTAL l? f 7. S ?
2-7 = °I i
I? x I 3- 23 ? x?a-- - l 2 c? 3G
21 x 2? ._ ?f-4! ? I I =
v? 059
2004 RESIDENTTAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Coretruqbn ReautremenLR RemodeVReoa'v Reauiremenis sa:
3 reg'istered s(te surveys showing sq. R of bt, sq, ft of house; arM a0 roofed areas 2 copies of plan
(20% mazimum lot coverage albwed) 1 sel of Energy Calwlations far heated additians
2 copies af plan sFwwmp beam 8 window sizes; pcwred found design, etc. 1 site survey for additions fl decle
1 set of Eneigy CekwWtions Addition - indicate if oo-s@e sepGC system ?
3 copies of Tree Preservatbn Plan fl bt platted after 717133
Rim Joist Detail Options selectlon sheet (bldgs wifh 3 or less unils
Date 0 1 2?-( / b(1 ConstrucNon Cost
Site Address `
? ?? ( L??(3 C--r UniUSte #
Description of Work
Multi-Family Bldg _ Y ?N Fireplace(s) _ 0 2
Property Owner Telephone #((o?7 ) 6*1 l Z?S'
?
Contractor
Address -)8-?D Ld• City
State M?? Zip -55?33 7 Telephone #( pf?) ZWo'O75b
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• Energy Envelope CalculaBons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies. f
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge 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 pernut, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approve.41an inAhe cpaeS of wA which requires a review and
approval of plans ?C ' UX
? )ao
Applicant's Prin d Name Applic , t's 5ignature
RESIDENTIAL
5? / ? ? BUILDING PERMIT APPLICATION
l? CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Conatructlon Reauiremema
• 3 regis[ered s?e surveys showing sq. ft. of bt, sq. ft ol house; and all roofed areas
(20% maximum rot coverage albwed)
• 2 coples of pl2n showing beam & window sizes; poured fountl design, etc.)
. 1 set oi Energy Calculatbns
• 3 mDles of Tree Preservation Plan'rf bt platled atter 711/93
• Rim Jois[ Defsil Optlons selectbn sheet (bldgs with 3 or less unils)
DATE rP" l O- 4 a
SITE ADDRESS 7 oO & I?2DfLi a
_ C&T. MULTI-FAMILY BLDG _ Y _ N
,
TYPE OF WORK FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
STREET ADDRESS ?S_o (r-) 006 -Y7"
TELEPHONE #?J CELL PHONE # FAX #
39cra
PROPERTY OWNER
S-_1?3Sa
TELEPHONE# ???-CocP5"r?q7?
---------------------------- Y-----------------------------------r--- mm - - - - - - - - - - - - - - - - - - - - - - - - -
COMPLETE THIS SECTION FOR %%NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cata9orY _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(+l submission type) . Residential Ventilation Category 1 Workaheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submittetl
Plumbing Confractor:
Plumbing system includes:
Mechanfcal Contractor;
Mechanical system includes:
Sewer/Water Contracfor.
_ Air Conditioning
_ Heat Recovery System
Phone
Fee: $90.00
F?
n JUN 7_ 1 LU02
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 Ordinances.
Signature of Applicant j)?A:',O
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatetl 4/02
_ Water Softener
_ Water Heater
_ No. of Baths
RemotlaVReoeir ReouiremeMs
• 2 copies ot plan
• t setolEnergyCakulationsforheatedaddaWns
• 1soesurveyforexterioraddNOnsBdecks
• Indiqte il home served by sepilc system for additqns
VALUATION _L_,! 0
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Phone #
??0'?
NewConstructlon Reauiremeirts
• 3 registered sde surveys showing sq. ft. of lot, sq. ft. of fwuse; and all roofed areas
(20°h maximum lot coverage allowed)
• 2 copies ot plan ahowing beam 8 window sizes; poured tound design, etc.)
• 1 sel of Energy Calculations
• 3 cropies of Tree Preservation Plan'rf lot platted after 711193
• Rim Joist Detail Optiom selection sheel (bldgs with 3 or less units)
1-
/SUO. o0
DATE I7" 0Z- VALUATION 43??g
JOB SITE ADDRESS 7flD 4F1_1(2!!_/lI GT
IF MULTI-fAMILY BUILDING, HQ"ANY UNITS?
PROPERTY OWN
TYPE OF WORK_
APPUCANT /
ADDRESS
PAGER #
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
CELL PHONE #
P41EO' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) , Residential Ventilation Category 1 Worksheet Submitled
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumb(ng Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mechaiucal 5ystem Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Fee: $70.00
APR 18
Signature of Applicanf Water Softencr
I hereby acknowledge that I have read this application, state that the information is c f2ct, an e t co ly
with all applicable State of Minnesota St utes and City of Eagan Ordinances. .,, 113y -
Water Hcatcr
No. of Baths
RamodeURenair Reauirements
• 2 copies of plan l ?
• 1 set W Energy Calculations Por heated addilions
• 1 sAe survey Por extenor additions & decks
• Indicate "rf home served by septic system for additions
Phone #:
Lawn Sprinkler Pee: $90.00
No. of R.I. Baths
_?i_
t}"GIV' FIREPLACE(S) _ 0_ 1_ 2
PHONE#
ZIP CODE
FAX #
Phone #
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
OFFICE USE ONLY >
?
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 OS-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 OS-plex ? 18 Deck
? 11 10-plex ? 19 LowerLevel
? 12 12-plex Plbg_Y or_ N
? 31 New ?
,9 32 Addition ?
? 33 Alteration ?
? 34 Replacement
Valuation ?
Census Code u y3
SAC Units
Nbr. of Units ?
Nbr. of Bldgs ?
Type of Const
?
Footings (new bldg)
? Footings (der,k)
_ Footings (addition)
Foundation
Drain Tile
Roof ;t Ice & Water ? Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
------------ -
Base Fee
Surcharge
Plan Review
MGES SAG
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
rotal
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
X 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt- Multi
? 33 Ext. Alt - SF
? 36 Multi
35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
*Demolition (Entire Bldg only) - Give PCA Fiandout to applicant
a_5--o
D INSPECTIONS
FinallC.O.
? Final/P+o C.O.
_ Pluxnbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retavring Wall
Approved By
2 - ,
I I"3.-lcs-
Occupancy /Z`3 MC/ES System
Zoning City Water
Stories - 6oosfer Pump
Sq. Ft. - PRV
Length - Fire Sprinklered
Width -
Building Inspector
. . ., . ? ' . . ; .. _ .. ' -' ' .. T ? % '.?.?
. . . . . . . ? f . . . ? a.
. 1 •
. _t ,. . r3ha{
. . .. J. . . r . . . .
' ' / . . . .. .. .
A•
. ' ' • , . . ' ??•?? •
' ' . ...,h Ir
... . . ??? . , i L
. . . . , . . . _ . ' . : •:f'. .
' ? . . . ? ? . -. ?: ' . _ ? ? . iY t
EXTERIOR ENVELOPE?.
, . IVER kGE 'U' COMPtJTATtON
, ' • ROOF CEILING AREA .
? • , . int. air f,ilm .61
-
, . , sht. rk. 56
insul. .?.dc
.. . . . . - - . ° . . CXt. St1ll' 81f
, -?fl? U=. C)i2 X f1Sivi
?i .
int. efr film .61
lumber •' 4-'r,,4 ;.'ry:
lp"Lj _ insuF - - 35 :op ?._
' • ext. still air .61
37-a11= O2.'i'X l'?a r 3:51.:
- ? . . . . . ?s.
' '. . + • THRU f oorir.tilm •_ ....6?? ?, , . '
. 'FLOOR ; rnsul:
ext. air. "
. • . - U= R'
' ?. - • ; . TOTAL AREA, (JA _Xcode m?n.:A -' . ? '
_ LYPOSEQ WQLL ARE ; - ?
. • inf. air film-• .68 , ti
sht.rk. .4.5 • • ,:
- insul. . aC, . .
- sheathing Iy.?7
. 5iding
'ext: eir
.. ' ? ?'L8? ?.U='eQ,3 X 1csFs"1
int. aii fitm' : '. .68
`sht. rk. • .45
- ? Ibr. ta,8$
? shet thing . 2; o . ` ?
siding . lo . y
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F O R
PERti1IT - ISSUED
FEL'S : $ / p ,
$
$ $
$
N L Y
Drp\iT.,, (-I',.,-.-.-.
.• _, i ?_ ?_..;:.:? SiiRC'??itG?i
S9ATER PEI2P4IT (INC:.UDE SURCf:ARGE)
.
WATER METER/COPPERHORN/OUTSIC° RE.71uE3
WATE' T.aP (I.\;CLUDE COR?ORaTIC:i STC?)
SEiiE3 TP.P
$ _ _??_?? «-?> ACCOUNT GEPOSIT - SE:'icR
$ ACCOUNT D:?OSIT - WA:T'R
$ wac
$ .? ?v'?. 6-ctJ SAC
$ T?2U:IIi ?9ATE.°, ASSESS;IE:IT
$ TRGNF SE:vER ASSESS2•?EAiT
$ LA1E°.AL BENE°IT/TRUNK SE?sER
' $ LATERAL BENEFIT/TRUNri WAT°R
$ OTHER
$
C I T Y U S E
TOTaL
Ab10UNT PAID/RECEIPT i
DOES UTILIT'1 CONNECTION REQUIRE EXCAVATION ZN PUBLIC RIGHT OF WAY?
?i YES IF YES, THEN A"PERMIT FOR WORK 4VITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
r? NO ENGINEERIDIG DIVISION. LIST AS A CONDI-
TION.
SUIIJECT TO TFiE FOLiO:JIDIG CODIDITIONS:
APPROVED BY:
TZTLE:,?i7?
DATE: ? ?57-- p52
04 W?Ww A wim?fm
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11
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LELra
CITY OF EAGAN
e;itl ?
l- APPLICATION FOR PERi?lIT
-' - SEIdER AND/OR WATfiR CONNECTIO:i
(PLE.ISE P9IHT)
1) PF.O??z'TY ACDR°_SS: -?2
?. --t-
(6 ? C
& 0
r_Fr.,L DESG2I?TICJ7:
(Lot/Block/Subdivision or Tax Parcel I.D. Ntr-Lherl
r:rc-"-,-.l?
L .l._.
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,• ST".-:12C7M:.,
DrlT=.' G= CTGi_: - p-•,-?„ rc
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?L.?-i :.Ui??:C '_1..
?
u5z: ? R-1 SziGlz r?kmv.,ry •
' - _' -°
? R-2 DLTPLEr ('?S<0 UNITS)
? R-3 'ICf.%IIIiGY:SE (TI= + L?]I:S) ( iIPII'_"S)
? R-d ApAg'rr!Em/CC`xiLlr?:l ( L7,NI:-i
? CO:,1R%=,C2.=w/Rr.'TAII?0:'FICE
? ?.??s;?az
Q PiSTITUTIO_V1'yL/GGVE.R?-.?tE?;P
2) APPLIG-T (PLEA?E PRI9i)
rraME: I
e
ADDRESS: CI7 0
_b,r?xn
CTTY, ST?TE, ZI?: r1•y\ ,n?4s
J?? -
PHOVE: .
Ci
3) pi,"7-1BrR ?PL?ASE PHLNi) FQR CITY USE ONIY
ADDRESS: C?
PLf1H8 S lILE4SE:
Ac t i v e
CITY, STATE, ZIP: ? Ezpired
PHONE: A????
PLUMBER LICENSE t/ Q ot " A cord
Zrr int[i?
4) CX.L'JY.'?T/CT.'7PFm -.?J-?- NAhfE: drItAJtPH1N??/? q
ADDRESS: ?T-
CITY, STAT'E, Zip:
PHO`M :
5) INDIG,TG 4JHICII PEF,'?IIT IS BEI\G REQC,'ESTRM:
? CC:.?'?IEC:ION 'Ib CITY SEWER
CC:,'VFK:I'IC.I TO CITl LJATER
? GTfE2 (PLF.ASE 0ESC?SBE)
PI.:aSc f?OLD APPPC=) PERMIT FOR PIC:?-UP BY OLVE OF ABOl,lE
? PLEaSE ?rr'1IL APPRO\,"rD P??•lIT TO 1. 2, 3, 4 AE0'IE
/1 i1 /1 /1 (Circle one)
7) SI=E: ?N ?b DaTE: 7 - ? -
` I #I 4 at
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN ?
%
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHISECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIDNS (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 APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING ?AY
OF MONTH IN WHICH REQUEST IS MADE.
LOT 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 TIME FDR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
AIAY 0 9 ReCO
T-C -lFlLLE FA1Y11L',( (? n
? 'DLJCi_l_I NV
To Be Used For: Valuation: ?, Aate: 6 I
Site Address 7Q U L?(C g?:-,: C4 I ? l OFFICE USE ONLY
Lot ? Slock FEES
Parcel/Sub ur
Oc+ner
A-K y /(/o eeea,
Address /&o ??ezl/£
City/Zip Code L/}G AJIJ
Phone T 5 T 3(? ?
Contractor
Address ? ?dlo (111....?:
City/Zip Code ?G'-?iC••-•-?r-?
Phone
Arch./Engr.
Address
City/Zip Code
Occupancy R3
Zoning
Actual Const i/.??
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
OaAi,4e well _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
Bldg. Permit 00
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL 7 . S
Phone ik
V A L
z 7L ----
J24 x,s! _ (, 3z'-? °`? -7DCDcD
ciTY usE orrLY
PERMIT #: RECEIPT DATE: U
R,SID£PTIAL MECHAAICAI. PEibI1T APPLICATIOR
crrYoF EALsnx
S$SO fILOT KA06 itD
fr46RA MA SSI SE
651-6$1-4875
Please complete for. ? single family dwellings
townhomes and condos when permits are required for each unit
Date: O ? °? I I o ?
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY: ? C} `
TELEPHONE #:
V'`l?IV
TELEPHONE #: ?,e
iA
STATE: Y Y? v /
Plaee a check mark nnYt tn thp narmit wnrk tvnn
I - (dfr-2-97,L:-
?5U6?-o?S
ZIP:
New residential dwelling unit under constructionand not owner/occupied $ 70.00
_ Add-on, modification or al ' n to existin dwelling unit $ 50.00
• furnace reolace
• air exchanger
• air conditioner
• other
Nature of work:
State Surchar e $ .50
Total $
Reminder: Cal! for inspections.
-MIAi
' I
A
Updaced 1101
PERMIT# ! ? ?` S RECEIPTDATE:
MIDENTLAI. PLUI4IBINH PERM1T APPWCATION
crrY oF FAsM
3930 PILOT KNOB iiD
BAHAN, MlY 55122
651-6$I-4675
Please complete for: ? single family dwellings ?
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
e i rzne, '
SITEADDRESS:
OWNER NAME: : ?I,TELEPHONE #:
? (AREA CODE)
INSTALLER NA"AE: K`a,mM M? CY1rtn Xnt anj TELEPHOti= #:(q,?a1 ?qo - L1 Rlo 8
'?
STREETADDRESS: lay()Q '(n . RtA I I (AREA'CODE)
CiTV: ?? i rr?gv ?? Q STATE: MV3 ZIP: .5_t_-S35._
Place a check mark next to the ermit work t e
Add-on, modification or alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround '
Nature of work: Lmim" sa,On Snr? nk
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
_ Water turnaround - existing dwelling unit, including: $ 50.00
• 5/8" meter 115.00
$ 165.00
State Surcharge $ .50
ToWI $ ?n?SQ
I hereby acknovAedge that I have read this applica[ion, state that the information is wrrec[, and agree to complywith all applicable Cityof Eagan ordinances. It
is ihe applicanYs responsibility to noti(y the property owner that the City of Eagan assumes no liability for any damages caused by the City duri 'ts normal
operational and maintenance aclivities to the facilities constructed under Mis M?hi ty property/rig o-w y/ aent.
SIGNATURE OF P RMITTEE 1/02
2006 RESIDENTIAL PLUMBING PeRnniTaPaLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
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oateA 1l(o_
/ U? C-o'e^e
q
SiteStreetAddress l/i Unit#
Property Owner r Tei . n Telephone #(brli1) :;??''J'1`7 S.- I
i
' Contracto
r
Telephone# t l-
J
2
`
I Address CiN State Zip
II The Applicant is: _ Owner V_'Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Indudes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00 ?
_ Add plumbing fixtures. This fee includes installation of a water softener and/or 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 i
appliance(s) you are installing.
_Septic System Abandonment
_Water Turnaround (add $134A0 if a 518" meter is required) -?
Other:
-
I
! YWater Softener _ Water Heater
$ 15.00
i _ new eplacement
i
Lawn Irrigation _RPZ _PVB _new _repair _rebuild
-
I
$ 30.00
State Surchar9e
? $ 50
Total $ J?•5C
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 thls ls not a permit, but only an application for a permit, w rk is not to start without a.perriit and work w0! be in
accordan e with the approved plan in the event a plan is required tqjbq reviewed and approv?, i.
??0
Appiicanfs Printed Name Apphcan s Signature
? (f4o
?
YOR'S CERTIFICATE ' '9ENTZEN 13 ASSOCIATES
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`DRAINAGE a e ?
UTILlTY EASEMEN7 \ Ji I10 0
.PER PLAT-_,`
145.00 -??
N 2°46'!9"W 203.32
SCALE 1"= 50.
SHEET 2 OF 2 SHEETS
PROJECT NO. BOOK / PAOE ' JAMES R. HILL, INC.
84727 , Planners / Engineers / Surveyors
FiLE NO. 8200 Humboidt Avenus South
FOLDER 13toomtn9ton, N?n. 65431 812-884-3029
I ;
SU-RVEYOR'S CERTIFICATE ''BENtZEN 8 ASSOCIATES
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U77LITY EASEMENT \ J?
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SHEET 2 OF 2 SHEETS
PROJECT NO. BOOK / PAGE ' JAMES R. HILL9 INC.
84727
Planners / Engineers / Surveyors
FILE NO. 8200 Humboldt Avenus South
FOLOER Btoomtn9ton,Mn. 65431 612-884-3029
?
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URVEYOR'S CGRTIFICATE BENTZEN a ASSOCIATES
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SHEET 2 OF 2 SHEETS
PROJECT P10. BOOK / PAGE ' JAMES• R. HIL.Lg IN?S+e
84727
.
B'lanners / Engineers / Surveyors
FILE NO. 8200 Humbold4 Avenus South:
FOLDER Bbomington,Mn. 55431 812-884-3029
Use BLUE or BLACK Ink
1 For Office Use I
1 t
Permit /b 8 1
City of Eap I Permit Fee: 60- Ub
3830 Pilot Knob Road I
Eagan MN 55122 C - 4 , _ I Date Received: to-/ a -I
Phone: (651) 675-5675 ~ t t
Fax: (651) 675-5694 JUN 12 2012 ~ staff: t
2012 MECHANICAL PERMIT APPLICATION
Date: 6/6/12 Site Address: 780 Elrene Ct
Tenant: Mary Theisen Suite M
Name: Mary Theisen Phone: 612-636-9941
RESIDENT t OWNER
Address /Cityl Zip: 780 Elrene Ct, Eagan, MN 55123
Name: K&S Heating, Air Conditioning & Plumbing LL.C License 0153
Address: 4205 Hwy 14 W City: Rochester
,CONTRACTOR
State: MN Zip: 55901 Phone: (507) 282-4328
Contact: Heidi J Brown Email: hbrown@ksheating.com
New XX Replacement Additional Alteration Demolition
::TYPE OF WORK Description of work:
NOTE Root mounted. and round moun#etf mechanical aqu[pmeet is required to be screened bYCit
9.. . Y.
Code.' Please contact the Mechanical Inspector.for informatlan on. permitted screenliq methods.
RESIDENTIAL COMMERCIAL
XX Furnace New Construction - Interior Improvement
PERMIT TYPE Air Conditioner - Install Piping Processed
Air Exchanger Gas - Exterior HVAC Unit
- Heat Pump Under / Above ground Tank Install I _ Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$900.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank Installationtremoval (includes $5.00 State Surcharge) OR Contract Value $ X1%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Perm! Fee Is less than $10,010, surcharge Is $ 5.00
- If the Permit Fee is > $10,010, surcharge increases by $.50 for each $1,000 Permit Fee _ $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) = $ TOTAL FEE
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.gopherstateonecali.org
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.
Rick Keehn X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE:
Required Inspections:. Reviewed. By Date:
Underground : Rough In Air Test Gas Sery1ce Test . In-floor Heat.. Final HVAC.Screening
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: _
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, IVIN 55121 DATE:
Zoning:
- No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the City of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By Misc. Charges:
Date of Insp.: Total:
Insp.:.----,--_- Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115711
Date Issued:09/30/2013
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
Jack Clasen
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
%document Processing Treasurer-auditor
1590 Hwy 55
Hastings MN 55033
Clasen Home Services, Inc
5440 209th Lane NE
Wyoming MN 55092
(651) 462-4907
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
�-----------------,
I
For Office Us �
�l� Of�� aIl ��C�.I��.D ' ° '
� Permit#: �� � I
� � � `l U� I
3830 Pilot Knob Road ��N 12 �ti�� � Permit Fee: V �
Eagan MN 55122 I �
Phone:(651)675-5675 � Date Received: �
� I
Fax:(651)675-5694 � Staff: �
� -----------------�
;.,::;
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial appiications.
��ate: 6/9/14 s�te adaress: 780 Elrene Ct
`'Tenantc;_. Suite#:
��;�; '
���� ' �� Name: Mary Theisen Pr,one: 612-636-9941
�_�Residen�/Owner ������
� address i c�ty i z�p: Same Eagan, MN 55123
` Name: K&S Heating, Air Conditioning & Plbg LLC�icense#: MB5216
ContraCt�T Address: 4205 Hwy 14 W c�ty: Rochester
State: MN zip: 55901 Phone: 507-282-4328
contact: Heidi Brown Ema;i: hbrown@ksheating.com
New XX Replacement Additional Alteration Demolition
Type�Of WOt'k Description of work:ReplacP air r.nnditi�nPr_
NbT,E:4Roof mauntet#ancltground inountediiiecharticai equipmenf=is°requirecf�ta be screened by Ci#y ,
Code. Pleas�'conta�tthe Meehanical Inspectorf�rinfarma#ion crn��rmiited�c��ening;mi�thotls.
RES/DENTIAL COMMERCIAL
_Fumace New Construction _Interior Improvement
�@I'1'ril'�Tj/�J@ XX Air Conditioner _Install Piping _Processed
_Air Exchanger Gas Exterior HVAC Unit
' ' _Heat Pump _Under/Above ground Tank (_Install/_Remove)
Other
RES/DENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge*
**If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
"'*If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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 Rick Keehn �� f� �
��. x �i/ ,
ApplicanYs Printed Name -� ApplicanYs Signature
FQFt CIFFf�E U5�
�k�quired fnspe�tion�; Reuiewed,By:, Date:
Underground' �Rc�ugh Iri AirTestr= �as Serv�ceTest-�. (n floarHeat '_ F'irr�l� F1VAC��reer�rrig.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA123161
Date Issued:05/30/2014
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
%document Processing Treasurer-auditor
1590 Hwy 55
Hastings MN 55033
Hearth And Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
4 �
�
Use B�UE or BLACK Ink
�-----------------
� For OfFce Use �
�' j Permit#: � �'�v Y j
lt� Vl ����11 �,Lr����� � Permit Fee: � i• o�O �
3830 Pilot Knob Road T? � ' � �
Eagan MN 55122 ,���. � � ��1� � Date Received: �1O'��� j
Phone:(651)675-5675 1 t
Fax:(651)675-5694 I Staff: � I
I I
�--------------- �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION �
Date: Site Address: Unit#: �
r` Name: �-% � ! �� Phone: ������ °����
��SIE�t� ;, (��1 /�
�?W�` , Address/City/Zip` U'V �1���� L d l'f�i �
�'� Applicantis: Owner �Contractor
� .
�` ���� �` Description of work: r � �� '�/��� � � 1/�
��f���i�� ..
3;
y Constru�tion Gost: � Multi-Family Building: (Yes /No�
;: Company: .�iti j j'Y1���f2 f "�-Contact: , �r'C�'� t.�`��i'"
'` Address: ��/L/�J �6��`�[.,�(I'� City: //v
'�[i��`��t��'� �.
�,`�:� State: �I��Zip: ��� c�- Phone: �°7������Email:�Q� i sfYl(lt�i�l �
���� License#: �� Y�W'7��U 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 perqnit for a similar plan based on a master plan?
Yes _No If yes,date and address of master plan:
Licensed Ptumber: Phone:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
�1iff3/"L.�`Pl�s a�(�c��rrCr�d�lr��f����t�����t��±s�d�� ���+��r� �tarr��t�'
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CALL BEFORE YOU DIG. Call Gopher State One Ca1l at(651)454-0002 for protection against underground utility damage. Cal►48 hours
before you intend to dig to receive locates of underground utilities. www.aoqherstateonecall.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
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; thffi 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 Stat� uilding Code must be comple�d within 180
days of permit issuance.
x �� `-�'�✓L�� X ._
Applicant's Printed Name Appli ' nature
Page 1 of 3
, { . ,, • �� ��//� �
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DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family Garage _ Porch(4Season) _ Exterior Alteration(Multi)
_ Multi �Deck _ Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Levei _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair Windows Demolish Foundation
�Replace _ Repair _ Egress Window _ Water Damage
_ Retdining Wall •Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy � MCES System
Plan Review Code Edition � ;; :� ,��,,3,�,�� SAC Units
(Z5%_100%�} Zoning City Water
�
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction �� Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings Air/Gas Tests _Final
� Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee �
Surcharge ,� `
Plan Review � ���.. �
MCES SAC
City SAC �" � ��"�,.i � �j ,�i�
Utility Connection Charge �
✓
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
. . , . ��5`E' ��
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PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA144654
Date Issued:08/03/2017
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
%document Processing Treasurer-auditor
1590 Hwy 55
Hastings MN 55033
(612) 384-5198
Appliance Installers Of Mn
14105 Rutgers St NE
Prior Lake MN 55372
(952) 469-8341
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145898
Date Issued:09/28/2017
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert Kimbrel
780 Elrene Ct
Eagan MN 55123
(651) 457-5113
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149366
Date Issued:05/18/2018
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert Kimbrel
780 Elrene Ct
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149379
Date Issued:05/18/2018
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
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 -
Robert Kimbrel
780 Elrene Ct
Eagan MN 55123
(651) 457-5113
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
o
EA 11455 ,
Derek Qualle
From: Madsen, Brandy E <MadsenBE@PellaMN.com>
Sent: Wednesday,June 27, 2018 11:56 AM
To: - -Derek Qua#te
Subject: Permit @ 780 Elrene Ct.
Hi Derek,
This email is in regards to a permit we pulled at 780 Elrene Ct., Eagan, MN. In talking with you today,you questioned
the egress requirements for the casement window we installed. We installed a like for like casement window with a
single unit frame size of 28.5"x 40.75". Pella Corporation does not offer side pivot(egress) hardware on this size
unit. So the window was ordered with the largest clear opening possible.
We did install other windows last year in 2017 at this same residence. Those windows did have side pivot hardware
installed because the frame height of the units were 47.75"tall.
Pella Proline Casements—450 Series
Side Pivot Hardware is NOT available on unit sizes with the following size parameters.
- Width size between 25"to 28.75"AND the height is less than 41"
Please let me know if you have any additional questions. Please also confirm you received this written confirmation and
the permit will be closed and finaled.
Thank you,
Brandy Madsen
Project Manager
763-745-1498
MadsenBE@PellaMN.com
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA160510
Date Issued:03/13/2020
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
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 -
Robert Kimbrel
780 Elrene Ct
Eagan MN 55123
(651) 457-5113
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161196
Date Issued:05/11/2020
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
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 -
Robert Kimbrel
780 Elrene Ct
Eagan MN 55123
(651) 457-5113
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169754
Date Issued:06/08/2021
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
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 -
Robert & Sylvia Kimbrel
780 Elrene Ct
Eagan MN 55123
Elite Exteriors
14815 Energy Way
Apple Valley MN 55124
(651) 688-7808
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA170859
Date Issued:07/20/2021
Permit Category:ePermit
Site Address: 780 Elrene Ct
Lot:010 Block: 001 Addition: Windtree
PID:10-84470-01-100
Use:
Description:
Sub Type:Residential
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 -
Robert & Sylvia Kimbrel
780 Elrene Ct
Eagan MN 55123
(651) 457-5113
Sedgwick Heating & Air Conditioning
1240 Trapp Road, Suite A
Eagan MN 55121
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature