789 Elrene CtPERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA128961
Date Issued:12/18/2014
Permit Category:ePermit
Site Address: 789 Elrene Ct
Lot:004 Block: 001 Addition: Windtree
PID:10-84470-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Craig Angell
12253 Nicollet Ave. S.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jon F Mathson
789 Elrene Ct
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
= . .+?.• .... _.?.- .. . . ., . . . . .. _...-.s,. »c.°.l.... ...- .v.. e,n,. y,uwni -?y. n+. _ . . ..... . ..: - . .. . . - i3'J'4 Y.J' ,
CITY OF EAGAN a:$9 17$46
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
PHONE:454-8100
BUILDING PERMIT " / Aeceipt # L ? ?•-J ?
To be used for BASEMM Est. Value $1,500 Date. JAN 19 1990
Site Address 789 E1.REH2 CT
Lot 4 Block 1 SeGSub. HINDTREE 15T
OFFICE USE ONLY
P8fC2l N0. Occupancy ' - FEFS
ROBERT B PATTI E4ARASCUYLO Zoning - 35.00
s Name (AcWal) Const - Bldg. Permit
; AddfeSS 789 'eLRENE CT (Allowable) - Surchar e
9 1'?
° y
Cit B?? Phone 454-769I S ol stories _
Plan Review
Lengih _
Name ?DDAL6 BUILDSRS Depth - SAQ City
o
$a Address 410 COUNTHY ROAD D S.F. Total -
?
Cit W ?I?T?N Phone 636-2355
y ?
s,F. FootPrims SAC, MCWCC
-
Waler Conn
On Sile Sewage -
¢
W Name On Si1e Well
- Water Meler
?
s?
p AddfBSS MWCCSystem _
Acct. Deposit
i
aw City Phone Diywater -
W P
it
S
PRV Required erm
/
_
I hereby acknowlege ihat I have read this application and slate that ihe Booster Pump - SnN Surcharge
inbrmation is correct and agree ro comply with all applicable State of
Minnesota Statutes and CitEagan,Clydinances.?J,,, ` Trealmenl PI
SiqndtUre of Permilee APPHOVALS qoad Unif
A Building Permit is issued to: 'DD= BUILDER$ Planner - park Ded.
on Ihe express condition that all work shall be done in acwrdance with all Council
applicable Stata of Minnesota Statutes and City of Eagan Ordinances: Bidg. Oft. Copies
36.00
Building OHiciai - - Variance - TOTAL
Permit No. Permit Holtler Date Telephone #
WATER
SEWER
PLUMBING Xj` ?A ?/?J'3I5G
H.V.A.C. ...
ELECTRIC
Inspection Oate Insp. / Comments
Footingsl
Foundafron
Framing
Roofing
Rough Pibg.
Rough Htg.
isui. l•2a-9o ?f
Fireplace
Fnal Htg.
Final Plbg.
Const. Meler Plbg. Inspecbr - Nolify Plumber
Engr./Plan
Bldg. Final 7a? ?
Deck Ftg.
Deck Final
Well
Pr. Disp.
Y,;? .. . , . , . . . .
+,. ? .. . ,,
38301
BUILDING PERMIT
Ta be used for BASENUiL
Site Address 789 ELRENE
Lot 4 Block 1 Sec1E
Parcel No.
W Name ROBERT 6 PA
t - Address 789 EL&ENE
, o Name _
??c Address
cr
City ?
? W Name _
W W
_= Address
I hereby acknowlege that I have read I
information is correct and agree to co
Minnesota Statutes and ity ot Eagan Q
.4 .. `'C
Signature ot Permilee
' A Buildinq Permit is issued to: WO(
on 1he express condrtion that all work st
applicable State of Minnesota Statutes z
Building Offiaal _
•r,;?„'.' r ;o+,,.,e.....« ..:.-.n,.. :;f:al.xc','?:?sa',: t . .; ?-... , ..
CITY OF EAGAN 49 17446
Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Est. Value ;1 ,500 Date JMI 19 19 90
OFFICE USE ONLY
:ation and state that the
i all applicable State of
, . ., ., . ?;
be done in accordance with all
City ot Eagan Ordinances.
Occupancy - FEFS
Zoning - 35.00
(ACtual) Const - Bldg. Permit
(Allowable) - Surcharge 1000
# of Stories -
Lengih _ Plan Review
Depih - SAC. City
S.F. Total - SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Site Well - Wa[er Meter
MWCC System _
Ciry Water _ Acct. Oeposit
PRV Required S+W Permit
Booster Pump - SNV Surcharge
Treatment PI
APVROVALS Road Unit
Planner -
il
C park Ded.
ounc
?
Bldg. Oit.
Copies
36.00
Vanance - TOTAL
Permk No. Pennit Hoider Date Telephone #
WATER
SEWER
PLUMBING ?/,?.j1SC
H.V.A.C. .
ELECTRIC
Inspection Date insp. Comments
Footings I
Foundation
Freming
Rooting
Rough Plbg.
Rough Htg.
ls,l. l-zi 90 ??
Freplace
Final Hlg.
Final Plbg.
Const. Meter Plbg. Inspector - Nolify Plumber
EngrJPlan
81dg. Final
e2? /
`(f
Deck Ftg.
Deck Final
Well
Pr. Oigp.
CITY OF
CONTRACT - 3830 PILOT KNOB ROAD,
pRICE :,„ , ?A PHONE 454
FEES
GOMM.IIND. FEE -196 OF CONTRAC7 FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADp $.50 S/C PER EACH $1,000 OF PERMIT FEE)
MN 55122
DATE:
BLDG. 7YPE WORK DESCRIPTIC
Res. - New
Mult. Add-on N
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE F OLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
? Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - t PER PERMin
Sokener - $5.00
Well - $10.00
Private Disp. -$1Q.4fl
Rough Openings - $1.50
PERMIT FEE: ?
STATES SIC:
GRANQ TOTAL: ?I?-
? ..
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
BUILDING PERMIT Receipt #
To be used for ' Est. Value Date '
Site Address
Lot Block
Parcel No.
Cf
rc Name (Allowable)
W * of Stories
3 Address Length
0 City Phone Depth
S.F. Total
p NBmB Footprint S.F.
,
? i Address APPROVALS FEES
•? City PhOne Assessments _ Permit
Water/Sewer SurCharge
F W Neme Police _ Plan Review
_ ? Address Fire _ SAC. City
c) Z
? W
City
Phone Engc
Planner _ SAC, MWCC
_ WaterConn.
I hereby ecknowledge that I have read this
Slgnature of Permittee
A Building Permit is issued to:
all work shall be done in acco?
Building Official
and City of Eagan Or
? 12. -
1v
?
,19
On Site Sewage _ Occupancy
MWCC System _ Zoning
On Site Wel I _ Type of Const
Ciry Water _ (Actual)
Council _ Water Meter
and stete Bldg. Off. _ Road Unit
ipplicable APC _ Treatment P1
Varience _ Parks
Copies
TOTAL
on the express condition that
State of Minnesota Statutes and Ciry of Eagan Ordinancea
Permit No. Permit Holder Date Tslsphone ?
Plumbing
H.V.A.C.
E lectric
Softener
Inspection Date Insp Commanta
Footings I
Footings II
Foundation
Framing
Roofing ? ?
Rough Pibg.
41
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bidg. Final
Cert Occ. '
Temp. LP '
Deck Ftg. L pr?s Cw` J Cr?,t C?p+??
Deck Frmg. 4W
wen
Pr. Disp.
3830 Pilot Knob
dUILDING PERMIT
S F DW[=
N °_ 9976
Receipt #
Sha Address Erect U DccupanoY
Lot
81ock Sec/Sub Remodel ? Zoning
.
Repair
?
Type of Const.
Parcel No.
Enlarge
?
No. Storiet
Move ? Length -
W Name ' Demalish ? Depth
? Addre ss Grade ? Sq. Ft.
City Phone Install ?
A Name
?? Addreas
? Citv Phone
G? ? 1?
gW NEme
W
u? Address
W. W City Phone
I hereby acknowledya thnt I hcw reod this applicution ond state thot
the inlormotion is correct ond ugree to comply with oll applicoble
Stote of Minnesoto Statutes ond City of Eagan Ordinances.
Sipnnturo of Permittee
A Buildinq Permit is isswd to: pll work sFwll be dor?s in xto?donce with oll
Bufldinq Offidot
Y OF EAGAN
P.O. Box 21•199, Eagaa, MN 55121
DN E: 454-8100
c . \. _-..i
/lsseument
Woter b 5ew.
Pol ice
Fire
Eng.
Pla?ner
Council
Bldg. Off.
APC
Ver. Dete
Pertnit . l; • -L•
SurcFa?pe ' 1 . 50
Plan Review D0
4
SAG .-00
Woter Conn. 0
Woter N4tar • , ?
Rood Unit
Total - %
on th? txpros condiNon thol
Statutes ond City of Eapon Ordinances.
- PKmlt No. Pamit Holda Dab Telsphons it
?umbin0 5 a t S?.I?.? Y? ? a-g
H.vA.c. r ?'c c a•?- y? a a-g 5 4 _ c, ??
ENcMc I M5 L C L z I? - S ??, G?
L
Softeear
Irtspection Date Insp. Other
Footinps
Foundatbn
Frsminy
Rooti^g `'I I R w
Rouph Plkq. ??.
Rouyh HVA
in.ulation
Final Plba
Final HVAC ?
? ? ?
Fina
c..doa.
Water D?sc?i6+ Location:
YYeil
Sewer
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?IlN11{t i
I PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
...... I . . . , .
I (? I.' ? i_i:. , t' •
TYPE OF WORK:
tll I l 1? 1 N?i
4 1 it I,•?.
I H! l L /SlA
I it t+r?I I It ri
INSPECTION .A . .A
I i , '; 1??zk
FI'AflAfi Ilt fIP11 I'. !110 I;t 1? I1 Il;11i I+if, AN'.' I•I 11 MItiP4i i f I It' 1 I ii I R I I Ai W(1fiF
?
PermR No. Permk Holder Date Telephone N
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Comments
Footings I
Foundation
Framing O 9 '?`
Roofing
Rough Plbg.
Rough Htg.
Isul. n
? ??.
? •
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Ptan
81dg. Final
V
Deck Ftg.
Deck Final
Well
Pr. Disp.
C1TY OF EAGAN Remarks
Addition 1A'i nrltrP-P Aridi Yinn Lot 4 eik L Parcel # t fl 8447n 040 fl1
Owner street 789 Elrene Court stete Eagan MN 5514
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 303 197$ 117.08 11.71 10
STREET RESTOR. ?2I 1983 3030.42 606.08 5
GRADING 1973 247.85 24.79 10
Gr g ' q . at. ,/ G q-1q-gKs
SAN SEW TRUNK iS, 1971 327.07 16.35 20
SEWER LATERAL
WATERMAIN
WA7ER LATERAL
WATERAREA 'L 1977 414.30 27?62 15 a. 19 0 - -&
* Servioes 1982 - 5
STORM SEW TRK CP?I -j 1982 I.1$$.0 Z??I.EZ S
19
STORM SEW LAT -
CURB & GUTTER
SIDEWALK
S7REET LIGHT
WATER CONN. n n
UILDING PER.
6
SAC .25.00
PARK 300.00 20141
--?--
Receiat r-) 355 ? PLUMBING PERMIT Permit No_
CITY OF EAGAN .
Ka . --Fee ?- : -- Fi/1 in numbered spaces S/C r?-
Type or Print legibly Tot.
1. Date 2. Installation Cost
1 r
3. Job Address ?y?'Lot?Blk. l'?ract
- /
4. Owner I Y?, t?t ? I ?p ? iL) 3/1n
P?Qne
5. Contractor I ti
6. Address 102 ExCe13f0r Ave. E.
op ins, imraaata -55
7. City 930'kqjt? Zip
8. Building Type: Residential P Commercial O Institutional ?
Description: New ? Add ? Alter O Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cess
ool/Drainfield
Bath tubs p
Se
ti
T
k
Lavatory p
c
an
Softner
Shower Well
Kitchen Sink
Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certity that the above information is true and correct, and I agree to
oomply with all ordinances and codes governing this type of work.
Signed : i1-
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT oermitw.
CITY OF EAGAN Fee 2CJ.11?
? r
Fill rn numbered spaces S/C
Type or Prini legibly Tot. 2V`SV
1
1. Date 4/1W5 2. Installation Cost 27UV.lhu
3. Job Address 7&y „1 , Lot BIk. ? Tr?ct ? `4. Owner 'wJUpliALE DUI LUr;ii6
5. Contractor St;liul;llES PI.L?vlhL+l"i Lr V. Phone 766-4207
6. Address d383 SuxsET FJU• 1'tl-
7. City 3PItl16 I,Hr?r, PA-U State I'dr'l1'ir:SUYa Zip 55432
8. Building Type: Residential 12 Commercial ? Institutional ?
9. Work Description: New IM Add 0 Alter ? Repair ?
10. Describe FitAMF DW}iI,I.ING
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
_L Bath tubs Septic Tank
-_j Lavatory Softner
Shower Well
_L Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
_j_ Slop Sink
Gas Piping Outlets
?
12. I hereby certify t above i r e and correct, and I agree to
comply with I r' ances an o go ?, g this type of work.
Signed : - ??
for
Rough F inal
Inspectio s: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Reoeipt NIECHANICAL PERMIT Psrmit No.
CITY OF EAGAN
Fat '
fill in numbered spwces S/C
TYpe or Prinr legibJy Tot
---r-
1. Date 2. Installation Cost ? C
, -
3. Job Address Lot Bik.1 Tract 4. Owner • ' x d ° S. Contractor Phone
8. Address ' ? •
7. City ` State
8. Building Type: Residential ,13
9. Work Description: New;6
Zip .
Commercial O Institutional ?
Add ? Alter ? Repair ?
10. Describe ? ?{ f?,. Fuel Type
11.
No. Equipment BTU • M. Ea.
Forced Air No. Equiament CFM
Ai
H
Mfg. r
andling:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Othe
Air Cond. r
Mfg.
Gas, Piping Outlets
:
12. I hereby cenify that the above information is true and correct, and I agree to
comply with all ordinances and coc4es governing this type of work.
Signed : ! i :
for
Rough Final
Inspections: Date Insp. Date Inap.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
J
CITY OF EAGAN SEWER SERYICE PERMIT
3830 Pilot Knob Road ..
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zonirg: No. of Units: "
Owner• , - ? t <' ?: T' ,
Address:
Site Add,
PlurrVber:
1 agree to aowpl?r wiM !hs Cky ef tslas
Ordinanees.
By
Dote of Insp.:
ConnscNon aarge: 425.00 pd
AcaourM Deposit: i v P
Permit Fee: '
SuKhorpe:
Misc. Chorpss:
ToMI:
Insp.: Date Pcid:
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN ? 8qr qC
3830 PILOT KNOB RD - 55122 ?1?
851-881-4675
New ConsWCtion Reauirements RamodeVRsoairReauiremenls
• 3 regstered site surveys showiig sq. It o( W}, yq, p, of house; an?ll mofed e2es . 2 copies o( plan
(20%mazimum lot coverage aibwed) . 1 set of Energy Calculations for heated add'Nons
• 2 wpies of plan showing beem & window s¢es; poured found design, etc.) . 1 ske survey for exterbr additlons fl decks
• lsetofEnergyCalaWtions . Indicate'rfhomeservedbysepficsystemforaddltbns
• 3 coples o( Tree Preservation Plan if bl plaCed after 711193
. Rim Jast Dehail Options selectlon sheet (bldgs wilh 3 a less unils) ?? $ 9 L(Q ??2?
DATE / /:)7d/ VALUaION
JOB SITE ADDRESS / 94T C 7?
IF MULTI•FAMILY
PROPERTY OWNI
TYPE OF WORK
APPLICAN
ADDRESS
PAGER #
MANY UNITS?
NE#
ZIP CODE S??Y
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 n????
(check one) - Residential VenGlation Category 1 Worksheet Sub ?
- Energy Ernelope Calculations Submitted
? J uL z4 zm(
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: Phone #:
Plumbing System Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical CoMroctor. _
Mechazucal System Includes:
Sewe?/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
fIREPLACE(S) _ 0 _ 1 _ 2
Phone #
Fee: $70.00
Phone #
All above infortnation must be submitted prior to processing of appiication.
I hereby acknowledge that I have read this application, state that ihe information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan Qui??
Slgnature of Applicant
GU i /C)
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Uptlated 1101
CELL PHONE # FAX #
OFFICE USE ONLY
r
? 01 Foundation ? 07 05-plex ? 13 76-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Att- Multi
? 03 Ot of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex 13 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. O 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' 0 43 Reroof ? 46 Windows/Doors
? 34 ReplacemeM •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings(deck)
Footings(addition)
Foundation
Drain Tile
Roof Ice & Water Final Other
Frazning Pool _ Ftgs _ Air/Gas Tests _ Final
F'ueplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation _ Windows (new/replacement)
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Supply 8 Storage
S&W Permit 8 Surcharge
Treatment Plant
Piumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Final/C.O.
FineUNo C.O.
_ Plumbing
HVAC
Building Inspector
T
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan,`MN 55121
Zoning: R??
Ovvner: F7oodale Builderr
WATER SERVICE PERMIT
PERMIT NO.: 6000
DATE: 3/26/85
No. of Units:
Addrcss:
Stte Address: rene Court L4 B1 Windtree Addn
,f Plumber: Hokanson Plumt
Mere. No.:
S(ze: Rra.a,
rtaoae. No.: n `z z- -o n 3 7- ?
,n I agros M eweply whh !ha Ciry of Eagan
• ?Ordineew. ., . .
Connedion Chorge: 500.00 pd
Account Depostr: 15.00 pd
Permlt Fee: 10.00 nd _
Surcharge: 50 pd
Mlsc. Charoas: 63.00 pd mete3
tOLe,: isz oo na s/c
Paid:
io/ OV?
0 0 5 06 5A t4, l
.i??096
°°
Requast Da[e
O C Fire No. R ugWlmineperlion Required
IVOU must call Inepector when reatly)
Ves ? No Inspeclion Olher Than Roughln
0 Reetly Now ?Will Notliy Inspector
Date Reatl
I licensed contractor ?owner hereby request inspection of above electrical work at:
Jab Address (Slreet. Box or Route
)? 6^
?i -
l .y ? y
Cil ?
Saction Na Townsbip Name or No. Ranae No. County
Occupant RI T) Phone No.
Powar upplier Atldress
EleoMCai CoN (Company Name) Contracm's License No-
V
alling A dtho? Nracmr ov O iny Installa6on)
Aulhorize :ure ( irectodOVi er aking Instellalion) Phone Number
B ICITY I I T
rUnM ersilY AIVe. S[?PauS MN B 5510p 1"I III? ryl? IIIp IINI pl'I I1IN ??I I?? UNESS E PROPER INSPECTON BOARD
1821
IS
?? P? II ?? NII „ N II II lu
PhoneJ612)642-p800 . ENCIOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
00- See insimclions lor completing ihis form on back of yellow copy. CU0516
iJr 0 057 065 "X" 8elow Work Covered by This Request "siA
Ned Ad Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Industrial Furnace Other (Specify
Farm Air Conditioner
Other Ispecify) Coolraotor's Remarks:
Compute Inspecfion Fee Below: ?taG C"?
# Other Fee # Service Entrance Size Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100 -Am s
SIgI1S inspectors Use Only: ? 70TA1
Irrigation Booms
00
Special Inspection ?v
Alarm/Communication 7HIS INS7ALLATION MAY BE OR ED-DISCONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS. .-
I, the Elecirical Inspector, hereby
tif
th
h Ro.qmm
y
at t
e above inspection has
cer
been made.
Floal
oat
OFFICE USE ONLY o Cf "?? ?s
ThiS lBqll65tVOid 18 1110111h51lOll1
This repuest wiC 45 v /? O 4 j g' $5
??45'G8 ?q &( w c, 4: 60
Requesl Da1e ' Fire No. IiouBh-in Inspection [3Inspec -
p NeQ ?red? qeaAy N. W. Notify,
?? ?- Q ? Yes ?NO ?or When Ready
Licensed Elechical Conhacmr 1 harebY request inspectian ot ahove
Owner electriral wnrk imlalietl aL
Street Adtlress, Bot or Houre No.
??y ,?,?e,?z Ci1
,J
ection o. Township Name or No. PTnge No_ Cuunty
Occupa 1 NT) Phone No.
Power Su ia
?ee1w la Address
Eleclri?al tractor (Companv Name) Conhactor's License No.
Mai np Addfilit tCOn[rec or or Owner Making lnstailauonl
L(J ? ?/D
m ?Contractod wner MakinB Installation) Phone NumLer
I
« ?7Z
r
MINNESOTA STATE BOARD OF ELECTXICITY THIS INSPECTION REQUEST WILL NOT
Gripgs-Yidway Bidq, - Room N•191 BE ACCEPiED BY THE STqTE BOARO
7821 Universiry Ave., SL Peul, MN 65100 UNLESS PqOPER INSPECTION FEE IS
Phore 1g121 2972117 , ENClO5E0.
5O7Q g REQUEST FOR ELECTRICAL INSPECTION Jf% EB-00001'04
q ' See instructions for completi- this tnm on heek of yellow cooY. 1/1S[ I(? ?
? Z.?±?5 6 H ""X"" Below Work oveied 6y This Request VAV `t ? O
AAd ReO. Type ol BuiltlinB APOlianroa MirW EqoiOment Wired
Home Range Temporary Service
DuDlex Water Heater LighTiny Fiztures
Ap[. Buiiding Dryer Electnc Heatin
Commercial Bldg. Fumace Silo Unloader
InAustrial 61dg. Air Conditioner Bulk Milk Tank
Farm otner SpevW otner (sDecify)
t r Syeci y Othe, Other
Comnute lnsnection Fee Below
# Poe ServiceEnVanceSize p Fee Feade.s?Su6Teeders 4 Fee Grcwts
U to 200 qm s 0 to 30 qm s 0 to 30 Am s
Above 200 qinps 31 to 100 Amps 31 to 100 Arnps
Swimming Pool A6ove 100- Above 100_Amps
Transtormers Irrigation Baorns Partial:'Other Fee
I I I $igis ? I I$pecial Inspec!fon ' S "?0• `. ?
Remarks I TOTA F E ?
?. ( ?e
RouOh-in . ? a
te ?he EI iricel?
[
?? I?soecmqhemby
? c ity [het the wbova
Final Gr ?h ? 'reaeetion has been
pta? made.
Tliftesquest voM 18 mantle Iran
?j-
2119 2
Request Oale Fire No. Rough-in Inspection
R 'red?
Yes ? No
? Reedy Now ?Will NotiN Inspectar
W?en Rea0y4
I licensed contractor ? owner hereby request inspection of above electrical work at:
Jab Mtlress (SheeL Box or Ro e No) ?
iCC E?u <€- City 7
i9q/
Sedion No. Townshlp Name or No. Renge No. Counry
Occup/?/ t? RINT? /?::
?V(lV?6aL Phone Na.
Power Supplier Atlaress
Electncal Conv iCompany Na Coni License No.
Ma,hng ACOress iG aaor or Own r Making Installavon)
F3t?3 u,eJ-?? /gk A.C?
AuNOrizetl Si nature ICOnMa<lor/Owner Makmg Instaliation) PM1Ona Numbrer '
MINNESOTA STATE BOAHD OF ELECTRIdTV THIS INSPECTION REOUEST WILL NOT
Grlpge-Mltlway Bltlg. - Fopm 5173 BE AGCEPTED BV THE STATE BOARD
1821 Univenlty Ave., SI. ieul, MN 55100 UNLESS PROPER MSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED.
. rttCAL INSPECTION
....mpleting tbis lorm on back ol yellow copy
"X" Below Work Covered by This Request
ee.000014o7
??--
??,?;? 9
Typeo(Builtling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
OtM1er (specily) Gomracror5 Remarks?
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee
# Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Abo Amps
SignS Inspector5 Use Only. u TOTAL <-Tf
Irrigation Booms ?? ? ??
Speciai Inspection
Alarm/Communication THIS INSTqLLAT10N MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITNIN 18 MO ?
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. RO°9""'" ? one -1V_ ?
pare ?^ x6
OFFICE USE ONp '
Tnis requesi voitl 18 monihs lrom
.ortpnN)lrom , 7
'C 74627 /_s gi
1 (?
/? ,
?A ? iYFI' i / !„
'rG G S ?
'?jG. O o
Raquast Date Fire No. RouAh-in Inspeciion
Repuiretl?
&]Heatly Now Q WiII Notity InsPec-
11-14-&6 ?Ves ?No ror When PeadY
?X#ensed ElecVical Contractor I hereby request inapection of above
? Owner elaclricel work inatelletl et:
Sueet Atldress, Box or Route No. City
186 EkeiLene Ct. Ea an
acti o. Township N2me or No. enge o. Coun?y
Occupant(PilNT) Phone Nn.
Han-Mah,
Power Su001ier Atldress
Elacvical Contractor ICompanv Namel Convactor's License No.
EQA.tOVI EQ.QCth,i_C COY11Y_K[YL(/_ 0401779-4
Mailing Atldress (Contrector or O oer7.ta ink 8Instailation)
Au orized 5
naNre ( onvector wner a mB nstal ahon
? Phone Number
I
l
` 447-2440
MINNESOTA STATE BOARD OF ELECTqICiTV THIS INSPECTION NEUUEST WILI NOT
Grippa•Midway Bldq. - Room N-787 BE ACCEPTED BY THE STATE BOAPD
7821 UniveraitV Ave.. St. Peul, MN 65104 UNLESS PPOVEN INSPECTION FEE IS
oh- 19191 f.a9.Mno - ENCLOSED.
IIPW5 ?/??? ? REQUEST FOR ELECTRICAL INSPECTION 7c005-05
? See instructiona for com0leting this form on beck of yellow copv? 7 dR7 7 "X" Below Work Covered by This Request
PtowfAAdi Xep.l Tyoe ot BuilErno 1 Aooliancea WirsC 1 EquiVment Wired I
M Fee Sarvlce EnhanceSize p Pae Feeders/SUbieeders # Fee Circuits
U to 200 qm s 0 to 30 Am 5 0 tn 30 Am
Above 200 qmps 37 to 100 Amps 37 to 700 Am s
Swinvning Pool Above 700-Am s Above 100_A'n s
Transtormers Irngation Booms Partial: Other Fee
Signs Special Inspection $
TOTAL F
pemerks 10.50
/l
I tha EI trife
Inapeetor, eby
eerU(v thel the nbov
?.7 nspection haa haen
d .maa.
This repuest wid ? ?
?`? 56 3 6?
? q6,
tj; 'i-ty LR--?
4--? N/-) ( s??; (5-,
flequ¢s1 Detc Fire No. p
lnspection
eq? f?? ??atly Now ill Notify Insuec-
?
?es ?No or When ReadY
'Licensed Eleclrical Conlrac[or 1 hereb
y request insvection oi above
Owner electrical work irtcW Ilad at
Strre[ AAndres?s, jBox or ute No. //}
? GitV
e
)
/O ? 7?IF..ef. ? V l1"A.
ectmn Towirshi0 Name ar No. Range No. County ,
OccuO ? I??NTI Pharre No.
Power Su li ( /Jc
R+G7?iQ /?L?? Address
Electri C aclor ICOmpany Namel Contector's Licen3e No.
Ma ' p Addqg? IContro?c}°r or Ow?r Makin Instailauonl
/A
l
!
-
o Z s?rtu
AuMoriz ignatu IConhac[or ner Makine Installationl Phone Nu/m4/e?r{
/?r'C?/?
q -(-?5
YINtiESOTq gfpTE BOARD OF ELFCii11CITY THIS INSPEGTlON REQUEST WILL NOT
GriWS-Yidway BIAg. - Rown N•191 BE ACCEPfED BY THE STATE 80AND
1821 University Ave., St. Paul, MN 551D9 UNLESS PXOPER INSPECTION FEE 6
Pbre 1612) 297-2111 .ENCLOSED.
?b?C?3 REQUEST FOR ELECTRICAL INSPECTION ., EB'°°°m j
See insttuetions for comDleting this Iam on beck of Yellow coDV.
24563 "XBelow Work Cavered by This Request ??f o
N Pee ServiceEnhaneeSize k Fea Feetlers/5ubfeaders N Fee Clrcuits
? to 200 Amps 0 to 30 Am s 0 to 30 Am
Above 200_Amj? 31 to 100 qmps 31 to 100 Amps
Swimming Pool A6ove 100_Mips Above 00-A-Ps
Transiormers Irrlgation Boorrc Partial%Other Fpe
Signs Special Inspectfon $ ?^D
TOTRL F
flenarks Z J?
the Hec4iwl
Inspeebr. heFeby
n y that tM a4ave
ction has bean
.de.
Tltls iepumtYOid
CITY OF EAGAN
N_ 9976
` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
T. k. .?d b. SF DWG/GAR Est. Value $75,000 pnte NL7aRCH 18 , 19-&5
SieeAddren 789 ELRENF CT
Lot 4 Block 1 sec/sub. WINDTREE ADD
Paroel No.
W IN,rn, WOODDALE BLDRS INC
= Address 2459 15TH ST NW
? City NEE BRIGHTphone 636-2355
,o
=u
°ul
f
Name SAME
Name _
Address
City Phone
Erect 0 Occupancy
Remodel ? 2oning
Repeir ? TypeofConrt. V
EnlarBe ? No. Stories
Move ? L,ngtn 44
Damolish ? Depth ¢ $
Grade ? Sq. Ft.
Instatl ?
Avprorols iees
Assessment _
Woter & Sew.
Police
Fire
Enp.
Vlonnar
Council
Bldg. Off. 3/8/8 5
APC
Var. Date
I hereby ack'qwledqe tFwt 1 hava reod this npplicotion ond stare thaf
the inlormation is torrecf and oqree to comply with all applica6le
State of Minnewfo Statutes an cify of Eagan Ordinonces.
Sipnature of Permiftee
A Bulldlnp Permie Is issued to: WO DDAL BLDRS INC
all work sholl be doro in uccordonce with oll opRiicoble Sta%eF-MsnnPhone
DICK SCHSVZETFRS
Permit $ 358.00
Surchorgs 37. SC
Plan Review. 179.-OC
SAC 525_OC
Water Conn. 1Q0--0 c
Woter AAeter 63_ 0 C
Rood Unit ?Rn OC
:T.P. 132.0C
7aai $2 . 074 _ S(
on tha expren condition ihat
Statutes ond Ciry of Eaycn Ordinances.
Bufldinp Of(Iciol
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT -
To be used for BASEMENT
Value $1,500
Site Address 789 ELRENE CT
Lot 4 81ock 1 Sec/Sub. WINDTREE 1ST
Parcel No.
11 w Name ROBERT & PATTI MARASCUILO
? Address 789 ELRENE CT
0 City _ EAGAN Phone 454-7691
o Name wnnnnar F RIITi DFRS I
g¢ Address_41n coirnTTUV ROAD n
? QISyNRW ARTpHTON Phone 636-9455
ti
ww Name
?? Address
a W City Phone
I hereby acknowlege that I have read this application and state ihat Ihe
inlormalion is correcl and agree to comply wilh all applicable Sta[e of
Minnesota Statutes and Ciry ol Ea,g/anOrdinances.
Signature oi Permitee
A Buildin9 Permit is issued to: WOODDALE BUILDFRS
on the ezpress wndition that all work shall be done in accortlance with all
applicaCle State of Minnesota Statutes antl City gt Eagan Ortlinances.
Building Official
iV2 17446
Receipl # L,
OFFICE USE ONLV
Occupancy - FEES
Zoning _
(ACtuap Consl - Bldg. Permit 35.00
(Allowa6le) - Surcharge 1.00
F of srories -
Length _ Plan Review
Deplh - SAQ Cily'
S.F. Tolal -
SAC, MCWCC
S.F. Foolprints -
On Site Sewage _ Waler Conn
On Site Well - Water Meter
MWCC Syslem _
Accl. Deposit
City Water _
PRV Requirad - 5/W Permit
Booster Pump - S/VJ Surcharge
Trealment PI
APPqOVALS qoad Unil
Planner - park Ded.
CounGl
BIdg.OfL _ Copies
Variance - TOTAL 36.00
CITY OF EAGAN nJ° 13 4 2 6
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHO N E: 454-8100
BUILDINGPERMIT Receipt# ??S /?
To be used for DECK/FIREPLACE Est. Value $7.400 Date APRIL 7 ,1987
Site Address 789 ELRENE CT
Lot 4 Block 1 Sec/Sub. WINDTREE 1°
Parcel No.
Name ROBERT MARASCtiILD
Address ?AP'r-
Ciry Phone 454-7691
6 Neme ?RICK BLDRS INC
0
?i Address 200 W 88TH ST
i City BLMGTN phone 888-2929
Name
City
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCCSystem _ Zoning
On Site Well _ Type ol Const
Ciry Water _ (Actual)
(Allowable)
# of Stories
Lengih
Depth
S.F. Total
Footprint S.F.
APPflOVAL3 FEES
Assessments _ Permit $79.50
Water/Sewer _ Surcharge 4.Un
Police _ Plan Review
Fire _ SAGCity
Engr. _ SAC,MWCC
Planner _ WaterCOnn.
Council _ Water Meter
I hereby acknowledge that I heve read this apDlication and state Bltlg. Off. _ Road Unit
I
thattheinformationiscortectendagreetocomplywithallapplicable APC _ TreatmentPt
State of Minnesota Statutes and ' of Eagan Ordinances. Variance _ Parks
/ Copies
?
?
Sign9tUfBOfPBfmittee / /Y?Kfv TOTAL ?
A Buflding Permit is issued to: MARICK BIiILDERS INC on the express condition that
all work shall be done in accordance with all applicab{p)State Of Minppsota Statutes and City of Eagan Ordinances
Building Officiai ?
a
4011? City of Eap
?----------------
i
j Pertnit#:
?
I Permit Fee:
I
? Date R D vT? (???
? Staff:
L---_
2008 RESIDENTIAL PLUMBING PERMIT APPLtGA'FION
Date: Site Address:
Tenant:
Suite #:
RESIDENT I OWNER Name: A Lx) r& Phone: ?
N
'
1551Z3
5
Address/ City/Zip: ('
w.r I"!-
I
6Lrl
License#: 0 ' ?JA/71 ?
N
CONTRACTDR ame:
Address: Champion
651-365-1340
City: 3670 Dodd Rd #100 State: Zip:
Eagan, MN 55123-1339
kr; s, O; e k,-,
Contact Person:
Phone:
TYPE OF WORK _ New ? Replacement _ Repair Rebuild Modify Space _ Work in R.O.W.
Descri tion of work:
PERMIT TYPE RESlDENT/AL
ftener
V"W
t
S
a
H
o
a
er
W
ter
eater
Lawn Irrigafion Add Plumbing Fixtures
RPZ PVB) I Main _ Lower Level)
Septic System _ Water Tumaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30,50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (inciudes $.50 State Surcharge)
'Water Tumaround (add $136.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 1
50.5c)
TOTAL FEES $ N I hereby acknowledge that }his information is complete antl accurate; Ihat the worK will be in contormance wttn me oromances auu wues ui uie G4 ?;
Eagan; ihat I understand this is not a permit, but only an application for a permit, and work is not to start without a pertnik that the work wlll be in
accordance with the approved plan in the rase of work which requires a review and approval of plans.
x x
ApplicanYs Printed Name ;,? AppiicanYs$igi ???7 ....».?.;
?
? )?
?2i?s
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: LoT,
789 ELRENE CT
WINDTREE
PERMIT SUBTYPE:
easeMENr FzHxsH
INSPECTION RECORD
PERMITTYPE: gurLorreG
Permit Number: 024692
Date Issued: 10 / 11 / 9 4
4 B L 0 C K: 1 APPLICANT:
WOQDDALE BLDRS
(612) 636-2355
TYPE OF WORK:
ALTERATION
INSPECTION
FRAMING .. .
INSULATION ,.
ROUGN SN PL66 FINAL
REMARKS: SEPARATE PERMI7S ARE REQUIREO FOR ANY PLUMBStdG OR ELECTRICAL WORK
r-
L.
?
?
CJTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-84470-940-01
DESCRIPTION:
PERMIT
789 ELRENE C7
LOT: q BLOCK: 1
WINDTREE
Bv'ildi(tIj,)-permit 7ype
?ui1$ing Wd;rk Type
-?
? l
,
' J
r
?
PERMIT TYPE:
Permit Number:
Date Issued:
BA3EMENT FINI3H
AL7ERA7ION
cR321 G (.
BUILOTNG
024692
10/11J94
?
REMARKS:
SEPARA7E PERMI75 ARE REQUTREp FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Lic. Search Fee $5.00
Total Fee $49.50
CONTRACTOR: - Applicant - sT. LTC. OWNER:
WqtlDDALE BLDRS 16362355 0002928 MARASCOILO ROBERT
422 W COUNTY ROAD D 789 ELRENE C7
NEW BRIGHTON MN 55811 EAGAN MN
(612) 636-2355
I hsreby aokhowledge that X have read 'Chis applicatican and st:ata that the
informaCion i5 correct and agree to comply with aY2 appli;cable State of Mrt.
Statutes and City af Eagari prdinances.
? . ?
? ?- oa ? A? rn,
?APPLICANT/PERMITEE SIGNATURE ISSUED B: SIGI TURE
1401
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
???
-t 0 1 _111? O
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur energy
calcs. (,?, ?y ^ )U U 1 iJ U ?JJ`d
COMMERCIAL 2 sets of architectural & structu 4,1 plans, 1 set of
specifications, 1 copy of energy -
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 fs.n8o gG
5ite Address: ?__ ?2`?.= CM,/L7
STREEi SUITE #
Tenant Name: (commercial only)
LOT _4- BIACK ? SUBD. e. ? o I-?' ^
11.?J n1l?vcke, P.I.D. #
w-
Rd?l ?tx.?, Cc,?w?- ?aP K?Ta
Descri tion of work: N SI"E - ,
The applicant is: ? Owner ? Contractor ? Other (Descri6e)
Name ? ?44A°4 o( L O Phone
Property Lasr FIRST
Owner qddress ? ?2&X?F
STREET STE 0
CitY State /Z9&r- Zip _2K3a3
Company Phone G34 `2-35S
Contractor Address W-?ocr..l .D '?O? License # VL? Exp.
City J/JeU State AA1 • Zip 560
Company Phone
Architect/
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 St te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant!
dC
OFFICE USE ONLY
BUILDING PERMIT TYPE
? Oi Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessary ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Pu61ic Facility
? 21 Miscellaneous
WORK TYPE
? 31 New C13f33 Alterations ? 35 Tenant Finish ? 37 Deinolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd F1. sq. ft. PRY Required
Zoning 5q. Ft. total Booster PumP
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ? T
Depth On-site sewage SAC Code ai
e
Uni
APPROVALS ensus
t -?
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
Final
? Framing
0 Dralntile
0'_?Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuac;a,: $
SAC %
SAC Units
1985 Bl1ILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS XUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation: 15,000. z Date: 3- °J'- S'S`
Site Address : ' 7&-91 F1 .
,?67,IO?= C^ou?` OFFICE USE ONLY
Lot: 1-?- Block L Sect/Sub wg??Rj ? Erect X
Pareel 0 -
Owner &160017A14- A4i`L6'1-'ics' Til/C.
Address „?yS J /:S' ,WS %. If/ iv;
Remodel
Repair
Enlarge
Move
Demolish
Grade
City/Zip Code y??„?,??a,vre.v /l7.ri
Phone /0? ,3''G -„2 .7 S-S'
-
Occupancy
Zoning
Type of Const
ll of Stories
Length
Depth
Sq Ft
Contractor .?- s ,c,.i c Assessments Permit
Water/Sewer Surcharge
Address il/. W. Police Plan. Review
Fire SAC
City/Zip Code ,wrai rro.r? /JJR/• Engr Water Conn
Planner Water Meter
Phone ? G- e2 35-3 Council oad Unit
W?, ' ?f,sBldg Off,g Parks
Arch./Engr. ?l APC Treatment P
Variance
Address 2yS /!1? !n!. TOTAL
APPROYALS
City/Zip Code?'J?c,i•. If,/
M1' J
?-?
?
44-
+5
x-
5-°
525. °?
? m
(c3. ?s
260. ?
13Z.'
?a 7 S a
Phone # ( 7 (--Z "?
5` S'
Z(p x _9g8 x 54 lJ 533?2
I 2?r f?" 2
I co K o? 8 o x? Cl
22,? 2-2
_ q3 2 0
5?) ZA-
1•
14(,p & o
.?;_,:? .fi. .....;.vT?°Y :T.?.n Y`'F[3. eR"?^`?` v?`°y?M^ ? . 4 i .
_ . .... . .„; .._ . .
. . . . , .. . ...?" v
' - . ^?.:_'.vfr.. .. . . - . . ,
? ' ' f . .. .. . . . . .
' EXTERlOR EHYELOPE R!E2lL4L TRL45?1i7T?VCE - PAC'E I
.' _
STnNC?7'J l?'CrZ:CSi1E:T
. ? . ??
?
Site :iddress P:If,¢ C1+r-er ;7Ysc;e.
Contractor ...,.,_
3uilding Typ? (ch>Cc one) Me and Tae Family
nbly (?escribe tyo? frcm TaSle 3 or .arzi U x A
shoN ra1C?.ilaClons r;n Paoe ?; ? (S0?'1 ? ?
[nsutaLd arPa I ll?l= I ??
r--- -
Framin Ar^a ?
O
? f
J'('/1 1 Ilif$ ?'/nP I
I
I
^ I I I
. ?tha _(d°;Cr!h°) I -
?
v ?
? O[her describe
1 Torals I ,
!.I
I?';
ii:T:i4k
I
?
?L-?,?
2 Averaq2 U-;'alc?, (LxA)(rA) `rGm !ine 1 ? ? ? C ?'`? ?
?
3
Re uired LI-4alue (from text) 1 k'r?<:rr
I , ??? ?
_ p<i-F+t
insula[ed Area
I Framin Arad
W1ndrn+s Tv e
Ooors T. e y0 •`rd , U?
' Rim Jois[ Area
_
tpiace 41a17 .iv.t .. , .. .
?"
I - --
-
Foundation Wall (a?ove grade) - ? -`'?
o Foundation liindows. Type
?
fdesc.?.ribe
Other',,
Gther (describe)
_
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If Ltne 2 is 9rra[er [han Line ), or Line 5 greater than Line 6, ccmP1_te the
F?'lowin [n determine alt9rnntive U-Value for Cota1 exterior envelooe.
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13 41A
1987 BQILDING PERMIT gPPLIC6TI0N - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDE 2 SETS OF PLANS, 3 CSRTIFICATES OF StJRVEY, 1 SST OF ENERGY CALCQLATIONS
NOTE: ADDRESSES FOB CORNER LOTS - CONTRACTOR/HOMEOSiNER MUST DESIGNAYE WHICH ADDRESS
IS DFSIRED. NO CH9NGfiS WILL BE ALLOWSD ONCE SIIILDING PfiRM2T IS ISSDED.
MQLTIPLE DtiELLINGS - RESIDENTIAL RENTAL OAITS FOR SALE UHITS
INCL[1DE 2 SETS OF PLANS, CERTIFICATS OF SDRVSY - CfiECB WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
"14oo.
bv?4?- ?. F?K?unE. Aeac.e,
To Be Used For: Valuation: ?r
Site Address 7$9 6L-Ua4E WHK-'?
Lot ? Block /
Parcel/Sub Lw,?
Owner (ior,6x.T Iwn?-nsc.+I ?o
Address 1$4? &t.i? Lov-i,.t
City/Zip Code e-'?+e,-r-) 5SI'-3
Phone 4-S 4- - ? 6 ck ?
Contractor M 04?Z? c.« e7W,46V4 I,it,
Address 'Lo n W.$ 8Z S'C -
City/Zip Code ??ar1?N?2e?l S'?'c 'L O
Phone s
Arch./Engr. P&?iLtc.lt.._ i.j Z.
Address ST.
City/Zip Code (3woaA.4 wKon1 }'SrF'?-o
Phone # g$s- 2g tc(
Date:
On Site Sewage Occupancy
_
MWCC System Zoning
On Site Well Type of Const
_
City Water (Actual)
_ (Allowable)
U of Stories
Length
Depth
S.F. Total
Footprint S.F.
6PPROVALS FEFS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
Bldg Off
APC
Variance
Permit
Surcharge
Plan Review
SAC, City
SAC, MFJCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAI.
? 9 50
?
77-1 -F?
`
,
i 2/84
CITY Or EAGAN
APPLICATZON FOR PERMIT
`
SEWER AND/OR WATER CONNECTIODT
(PIEASE PRIHT)
1) PROPERTY ADDRESS:
r.Frar. DESGRI°TICN:
(Lot/Block/Subdivisicn or Tax Parcel I.D. Ntunber)
? ;r ST!?LCP? ?E, DAT' Ox' CRIG1ZIAL -r."uIi.^L"G :.?_•ST ZSS,;?.:C:::
P=x'SE-T C'S: 6--P-1 SlINGZE FPMffLY -
? R-2 GLPL...? (T;'0 UNITS)
Q R-3 ZCf,%-1\L?CUSE (TY°= ? L^TiTS) ( LNI^'S)
L] icw4 Ar^-.-`,n?:=iT/CO:ZCi•S_`IILti1 ( UAII.S)
? CG1iM??CL?I./F2?'AII,/OF:'I?
? 'DL'STRIrlL
? NSTI',TI02WGGV??L`R1?,'T
2) APPLIG7??'r (PLEASE PRl,.[.??T)
r
aDnREss: Y
,>;..?.
+
''?
i,?
?r??6 '
CITY, ST?, ZIP:°
?L??,i? )?r
?
?
(
1
J
?
f
1
-
PHONE: C/1-x- -
3) pi,CmggR (PLEA PPRINT) i
NAME: I?T( ? FOR CITY USE ONLY
PDDRESS: I?,S ?10
I PL'ERS ISCEtiSE:
CITY, ST?.1E, ZIP: 25?- Active
? Expired
PHOiVE: ??`'
.ac PLU,MBER LICENSE lfi???i r?! 1 Nat af Re[ord
<=:;?- ":g
di; initla
4) l.l.CU2ADfl'/C,?'1?"E.?2 bIF1P'fE: 1YlCA?t YHlNfJ
eu7uRESS: -
CITY, STATE, ZIP:
PHOiVE:
5) INDIG'1TE WFIZCEi PEF2MIT IS SEItiG REQUESTED:
f? IQN 'Io CITY SLS^IER fvS?:
r COC?rICN TO CITY wATE2
? 0".'1'FR (PLEFVSE DESCRIBE)
7) SZ?',ATLi^,:
?
PM'%.SE }?OID APPR(7VED PER."^_IT FY)R PICK-U'P BY ONE OF AFCti'E
?I.FASE : TAIL r1PP?20VED PERAIT TJ 1. 2. ; 4 AB(7VE
' (Circle one)
. j ' ?.
41(1?- . ., ? ? ? DATE: .?????
.• ..
F 0 R C I
U 5 E O N L Y
:
PER^1IT °- ISSUED
F°ES: $ /d'-wa`G
$ /O..S"-Q'
$
S
$
$
$
$ 5..2...5- .•-?
$
$
$
$
S
SEivEB PEBMT_T (I`.IC??D: SU°C?i?RGc)
WATER PERPIIT (IrICL'JDE SliRCHARGc.)
WATER METER/COPPEBHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE',9ER TAP
ACCOUNT D.F,POSIT - WATER
WAC
SAC
TRliVK 6aATER ASSESSb?EiIT
TRli:IK SEWER ASSESStilEHT
LATERaL BEiVEFIT/TRUNK SE:•:ER
LATERAL BENEFIT/TRUNK S4ATER
OTHER '
TOTAL
P.IylOL':VT PAID/RECEIPT ? ? ? 41 "
DOES UTILITY CONNECTZON REQUTRE EXCAVATZON IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN i1 "PERMIT FOR Y70RK WITHIN
PUSLIC ROADWAY" MUST BE ISSUED BY THE
NO ECIGINEERIidG DIVZSZCf1. iZST AS A COi1Di-
TION.
SUBSECT TO THE FOLL064ING CONDITIONS:
APPROVED SY:
TI:LE:
DATE : -2--
'? ??+ W? M=i+ W?W rE= w 0*?W wio Ot+ ?m MWWsa 05.fflw 6OL40 rtdM w s" w =
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHONIFS AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNiT.
----- - ---------------
STTE
NU. FIXT[JRES EACH rora?.
SHOWER 3.00
`t:ATER ^LCSET 3.07
BATH TUB 3.00
LAVATORY 3.00
KTI'CI-IEN SINK 3.00
_L LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUTLET •minimum - i . 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • nakay: i?: 20.00
U.G. SPR TNKT .RR • nom? ?couL 3.00
ALTERATIONS • to edsc;ug 20.00 ZO .00
`
WATER TCTRN AROUND 20.00
STATE SURCHARGE .50
TOT:4L: 2,0•50
DDRESS: 789 ?e!X/GP/11.2 ? 6???
,. SI NA RMITTEE
1994 PLUMBING PERMIT (RESIDENTIAI.)
CITY OF EAGAN
3830 PILOT KNUB RD
EAGAN MN 55122
(613) 681-4675
CITY: 156,e4?? STATE: ZIP CODE: Q2L4
PHONE #: ((,/a ) -7?6" Y6:2a
llqqG
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
?e
. Date: l"l6 ' q a
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED STTE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKE? UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWE? 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.
• JA N 1 8 Reco
To Be Used For
Site Address
Valuation
???{?,?'lr ?u??I
Lot 4 Block J_
Parcel/Sub __ l,?/@m?,1hp¢i I a,t
Ox.ner ?LC MaV14;1-04
Address
City/Zip Code
Phone
Contractor l`JuSUcrs
Address 4 ip UQj. ?,?
City/Zip Code 61 k "
?-
Phone 63(v - -2-3 sS
Arch./Engr. 5Z w C _
Address
City/Zip Code
1 Jp,?2 OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stoxies
Length
Depth
S.F. Total
Footprint S.F
COMMERCIAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. DeposiC
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
3;a, oa
1 ? t?0
?VnM
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. Z?w1/6
Variance
Phone u
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are requirad for each unit
lsISS-°
Date?/3 / 0 3
Site Address ei7? Unit #
Property Owner u i h) Telephone # ( ?sl ) ?Jr y 76- 7/
Contractor
Address o? a`I!i/(P LJ A fi? City
State D&2117 ?7 Zip ,560 V Telephone # ( f,s?1 Z/(v 5'- G 99 ?
The Applicant is _ Owner ntractor _ Other
Septic System New _ Refurbished Submit 2 seGs of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, [ncluding $ 50.00
_ Adding fiMures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 518" meter if needed -$121.OD)
Other:
_ RPZ _ new installation _ repair _ re6uild $ 30.00
_ Lawn irrigatian system
Water softener ater heater $ 15.00
_ replacement _ aaaitional 'u NQ!/ `? ?
? State Surcharge
?-• <-i $ 50
\\? SrSd
TOtBl $ /
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wiii
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that 1 understand this is not a
permit, but only an application for a permit, and work is not to start wiChout a permir, that the work will be in accordance with the
approved plan in the case of work which requires a review and approval of plans.
?C1Y12
Applicant's Printed Name T App nt's Signature
c Y I For Office Use i
I
City of Ea aI Permit#: r Ir
I Permit Fee:` \ N
3830 Pilot Knob Roadn i
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i staff:
"
2009 RESIDENTIAL BUILDING PERMIT APPLICATION d ,f r7
Date: :fl 1.7,(,{ C35 Site Address: -78S CLI2.6r4L= (-1
Tenant: Suite
RESIDENT / OWNER Name: v 11 la -es t U Phone: ~J( c) - (e
Address / City / Zip: -mot l k-AQAu 1a c-(- 10 13
Applicant is: Owner Contractor
TYPE OF WORK Description of work: %'Z-& N^ C- M~i~` y
Construction Cost: Multi-Family Building: (Yes /No
CONTRACTOR Name: ~ rn^ License `Tz~ 25
Address: CJ~'~ 1 L- • ` I~-i~
City: if, State: 1 Zip:: 5 z1
Phone: Contact Person: i" y ~-f (dam t) CJ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(11 submission type) • Energy Envelope Calculations Submitted
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.
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 r and approval of plans.
x
Applicant's Printed Name JUN 6 2009 Ap i an s Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
t~
` SUB TYPES
- Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
Single Family - Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
- 01 of _ Plex i Lower Level - Pool _ Miscellaneous
_ Accessory Building
WORK TYPES ~ I11 ` ~ ll,Ivvw( 6t.,
- New Interior Improvement _ Siding _ Demolish Building*
Addition - Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair Windows _ Demolish Foundation
_ Replace Repair _ Egress Window - Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation < OL)O Occupancy MCES System
Plan Review Code Edition ,ON 1 L;0'7 SAC Units
(25%_ 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) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile -T Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge V
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of3
- - - - - - - - - - - - - - - -
I For Office Used
# i Permit LJ qe~q I
City of EaRd I
I Permit Fee: "5-n
3830 Pilot Knob Road I _
Eagan MN 55122 I Date Received:' I
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
L -----------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: /05 Site Address: y~ LI_Z! ~l
Tenant: Suite M
RESIDENT / OWNER Name: I J~j i~~Z L t Phone: 1 Z `P t'~ 5 v
Address / City / Zip: CZt r?L Z ,roc` C i cry, E, /b troy
CONTRACTOR Name: License
Address: ~1 a
City: State: IMh Zip: Z,
Phone: 2'L:Contact Person: Itf-(A ZJc~t lin
TYPE OF WORK -New _Replacement -Repair _Rebuild - Modify Space ^ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / _ PVB)7 Main v~'Gower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
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 pl-a-n(s.
x i iC iaJa ~ f')-3 -=".V~ X
Applicant's Printed Name Ap ican 's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Air Test -Gas Test -Final
r ~
f or C)Hcu Use
~J . ~ P ern,~t ~ I
City of ~~~a~ ®9 ~ , t
WO Pilot Kpiob Road SEP 0 4 2D Perrtut~ee: 5~
Eagen MN SS122 0 at a Pee ei ved:
phone: (651) 67S•5675 ~
. ~ak:(65~)6?5-5594 iVStatM1V~_______ _ t
2Uog AESIDENT1AL PLUMBING PERMIT APPLICATION
Dale: Site Addre~5: t ~1- 1 t C
Tet+ant Suite t ,
RES11DE41'/OWNER Name: Phone
Address t City /Zip:
V-- AY
CONTRACTOR Name: tc
Address:
City: State: Zip:
Phone: Contact Person:
TYPE OF WORK New -Replacement -Repair Rebuild - Modify Space _Work i it R.O.W..
Description of work:
PERMIT TYPE R~ /ESJDFNTIAL
Y W ate r Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZI _ PVB) Main_ Lower Level)
Septic System Water Tumaroun6
_ New
Abandonment
RESIDENTIAL FEES:
50.50 inimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8' meter is required)
$700.50 Septic System New ($10.00 per as built) (includes County tee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge►
TOTAL FEES 3
I nerEpl]y acknowledge that this information is cornpime aria accurate: that the wvrx Nil de n contorrnance with the ordinances and cones of IheCity of
Eagan; that I understand Ihs is not a permit, but only an application for a permit, and work is not to stars mthout a perm[; that the work wdl t>8 in
acc anca ivitn the approved pion in the case of wont wit recquves a review and appr vat at plans. r
x X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Fle+riewt3d Sy: Date:
Required Inspections: „_lJnder Ground _ROtsgn•►n Air Test -Gas Test __Finai
S()R1IEYQR' S? CERTIFICATE ' Wooor,ni_e nuiLcF2s :
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DIfJOT[S PROPOSED SURFACE DRA:NAGE , .,
p DENOTf_5 IRON h10h1UM[NT S[T 1 SCALE: 1 INCfI =
0') OENO7FS IRON MONUt•tENT FOUND PROPOS[D G/1RAGE fL00R = I01•5
X000.0 DEhIOTf_S [XISTING ELEVATION PROPOSED LOtdEST FLOOR =
(000.0) Df_IJpT[S PROPOS[D ELEUAT]ON PROPOSED TOP OF aLOCY, _
I IIERFf3Y CERTIFY TO bIODDDALE QUILDE?S THAT THIS 15 A TRUF AND CORRECT.
REf'f?ESEIITATIO`! OF A SURVEY Of TN[ 4DUNDARIES OF:
Lnl. 4, Cloc? 1, IJINDTREE ADOITION, accordi^g tc the recorded plat
i:hr.reof, Dal:ota Cour,ty, Minnasota. fE[T
F[ET
FEET
Ff_[T;
______. _ IT.DOES NOT PURPORT TO SIIOl1 1FiPROVEMENTS
-- ---
OR F.IdCR011CIIF1EIJTS, IF ANY, TIlEREON. AS SURVEYED 6Y,hiE, OR UPlDF.R MY DIRGCT SUPERVISION,
TIII S 1Si f111Y OF FVIRCFI , 1965. SIGNED::.J
,A?q U. H1LL, ItdC.
BY:
IIAI?OLD C. PETER50IJ, L/1IID Sl1RVEY0R
MIN14ESOT/1 L1CE1q5[ 11D. 12294
rlnoJr_cr rao. noox / PncE JAMES R. HfLL,, INC.
Planners / Engineers / Surveyors
ri?t t4o. 8200 fiumboldt Avenue South
(=OLDCR Bbortilnplon,Mn. 65431 aiz-ona-aozfl
?
/
BU/LDERS, /NC.
1iv- ` s \ 200 West 88th Sneet
DBSignBis/Remode/ers Bloomingto» MN 55420
(612)888-2929
? t?loritN
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7$°I:. .??%?3F•:. GoL.cA-T
Custan Design Services.
Remode/ing NewHomas
AddBions Porches
Kitchens Custom0utdoorLiving
Family Ronrns 2nd Story Additions
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411,F?,y??a{V'
Members:
Netione/ASSxierion o/Home Builders
Minneswe Sfate Builders Associetion
St. PaulArea @urldersASSnciation
Twin Cdies Remode%rs Associafion
Remodelov
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA101177
Date Issued: 09/26/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 789 Elrene Ct
Lot: 004 Block: 001 Addition: Windtree
PID: 10-84470-01-040
Use:
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms. Chimney flue must be inspected prior to
concealin,.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Glowing Hearth and Home LLC Robert Nlarascuilo
100 Eldorado Dr. 789 Elrene Ct
Jordan NIN 55352 Eagan NIN 55123
(952) 492-9276
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
• Use BLUE or BLACK Ink
• r
For Office Use
Permit#: -2~
City of Ea
Ed~ I z
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I _LL
Fax: (651) 675-5694 I Staff: I
I~
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
' in a TTj3'9hone:
Name: fl&~X 6aC~/)F M
RESIDENT I
OWNER Address / City / Zip: / O l 1 f ,f L4
Applicant is: Owner A- Contractor
TYPE OF WORK Description of work: ~t12~4 !1t ^M 1G1 bCj
14
Construction Cost: C~ Multi-Family Building: (Yes / No 2r-)
Company: I udn CL nn an ✓ ) ?°.S Contact: -TCw1
CONTRACTOR Address: ~ ~j'2~7 S G 1C Y1A C e City:
State: 1, ~ Zip: 5e-) -5:7 2 Phone: L- - 38-t! z7
License #:2(-,-l 2 ZZ 3'9 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional formation)` I
q
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 Y
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.gopherstateoneGall.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x 12n C`~~/P1 x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES (O ~ /
oundation Fireplace - Porch (3-Season) - Storm Damage
Single Family Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building Reroof Demolish Interior
Alteration _ Fire Repair _ Windows Demolish Foundation
Replace _ Repair _ Egress Window (Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION a e" _
Valuation 3,6-60 Occupancy L C MCES System
Plan Review- Code Edition y aSG- SAC Units
(25%100% Zoning 124 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
Drain Tile Other:
/ Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final
,/Framing Siding: -Stucco Lath -Stone Lath -Brick
fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Sheathing Radon Control
Sheetrock JJ~ ) Erosion Control
Reviewed By: f Jci , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge,
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL / Page 2 of 3
M r .
Use BLUE or BLACK Ink
r----------------i
I For Office Use 1
~ City of Ea Permit . "1
I Permit Fee: Ot 1
3830 Pilot Knob Road 1 q 1
Eagan MN 55122 - I Date Received: 1
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 I Staff:
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ] / 5hr1c*v°- C6Nr a u,r N SS/a3 Unit
Name: 4 N [ h S a Phone: b /.2
Resident/ 791 r'l ~cr✓ c, Coc,r~- ~a a M AI
.SS /.23
Owner Address /City /Zip: S
Applicant is: Owner 'Contractor
Description of work:
Type of Work Construction Cost: - JZ <o
Multi-Family Building: (Yes I No x }
Company: Contact:
Contractor Address: City:
State: Zip: Phone:
License 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 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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X_ x~
Applicant's Printed Name Appli nt's Signature
Page 1 of 3
7 9 q e/ re~ C~
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace Porch (3-Season) Storm Damage
- Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of - Plex _ Lower Level _ Pool Miscellaneous
- Accessory Building
WORK TYPES
_ New Interior Improvement _ Siding Demolish Building*
ji-k Addition _ Move Building _ Reroof Demolish Interior
_ Alteration _ Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION ift Valuation _ Occupancy jQG'Y. MCES System -
Plan Review Code Edition ate-) SAC Units -
(25%_ 100°10 ~ Zoning -l City Water
Census Code yy Stories Booster Pump
# of Units / Square Feet 33 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
Drain Tile Other:
Roof: Ice & Water -Final Pool -Footings -Air/Gas Tests Final
Framing Siding: -Stucco Lath -Stone Lath `Brick
Fireplace: -Rough In -Air Test Final Windows
Insulation Retaining Wall: _ Footings Backfill Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: ,Building Inspector
RESIDENTIAL FEES 3 ox G'.e_ 411 01 Lo 90-
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2of3
1,ooocnL
SL SURVEYOR'S CERTIFICATE E i3UILC~2S
ION
tie CD
rog ('0
(Sl
o
CID
C) Ai ~o N
rr)
C) o~ o
c 00 ,d _ cJ cr
V) ~0 At
IODA~ h f ! 0 P~ ~ 1 r
LO
(7 /,Nz . FU - E2tV Sc~o QG 4' Q4'
c-~J-T h -rY`o 10`Q23`
00 Ile
i_~J f
n
--t DENOTES PROPOSED SURFACE DRA.NAGE
0 DENOTES IRON MONUMENT SET SCALE: 1 INCH = 40 FEET
on D(: NOTES IRON MONUMENT FOUND PROASED GARAGE FLOOR = Ic~i•5 FEET
Y,OOO.O DEIIOTr_S EXISTING ELEVATION -PROPOSED LOWEST FLOOR = FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK = FEET;
I HEREBY CERTIFY TO WOODDALE BUILDERS THAT THIS IS A TRUE ANO CORRECT.
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lnt. .1, Block 1, 14INDTREE ADDITION, according to the recorded plat
th(,reof, Dakota County, Minnesota.
IT. DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR FNCROACIPIENTS, IF ANY, THEREON. AS SURVEYED BYj1E, OR UNDER MY DIRECT SUPERVISION,
TI115 1 S ( D(1Y OF ["ARCH 19B5.
6G~ ~%~z~~ ~ff~llSTz cvuLlL~ti~,3 SIGNED,;%`. J HILL, INC-.
EAGAN
--n'~
ED
RE ~'~Y' HAROLD C. PETE SON, LARD SURVEYOR
MINNESOTA LICENSE 110. 12291
ATE:
DONS DIVIS10
!I PnoJr-cT rho. DOOK /PAGE JAMES R. HILL,, INC.
854 G7 Planners / Engineers / Surveyors
rII_r r{o.
0200 Ifumboldt Avenue sr>uth
BloomInflton, Nln. 55431 512-D84-3024
FOLDER
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124674
Date Issued:07/09/2014
Permit Category:ePermit
Site Address: 789 Elrene Ct
Lot:004 Block: 001 Addition: Windtree
PID:10-84470-01-040
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
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 by law in ALL single family homes .
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 -
Jon F Mathson
789 Elrene Ct
Eagan MN 55123
(651) 207-6227
Harmony Homes
1120 Winter St NE
Minneapolis MN 55413
(763) 413-1100
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA131504
Date Issued:06/23/2015
Permit Category:ePermit
Site Address: 789 Elrene Ct
Lot:004 Block: 001 Addition: Windtree
PID:10-84470-01-040
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Jon F Mathson
789 Elrene Ct
Eagan MN 55123
Angell Aire
12253 Nicollet Ave S
Burnsville MN 55337
(952) 746-5200
Applicant/Permitee: Signature Issued By: Signature
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
Permit Type: Building
Permit Number: EA138138
Date Issued: 08/11/2016
Cityof Permit Category: ePermit
Site Address: 789 Elrene Ct
Lot: 004 Block: 001 Addition: Windtree
PID: 10-84470-01-040
Use:
Description:
Sub Type: Windows/Doors
Work Type: Replace
Description: Two or More Windows/Doors
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
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
Fee Summary:
Valuation: 4,000.00
BL - Base Fee $4K
$103.25
Surcharge - Based on Valuation $4K $2.00
0801.4085
9001.2195
Total: $105.25
Contractor:
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
- Applicant -
Owner:
JON F MATHSON
789 Elrene Ct
Eagan MN 55123
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
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161462
Date Issued:05/28/2020
Permit Category:ePermit
Site Address: 789 Elrene Ct
Lot:004 Block: 001 Addition: Windtree
PID:10-84470-01-040
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
Jon F Mathson
789 Elrene Ct
Eagan MN 55123
(612) 201-3172
Voyager Siding Inc
10227 Ghia St NE
Circle Pines MN 55014
(612) 298-4319
Applicant/Permitee: Signature Issued By: Signature