798 Elrene Ct
Use BLUE or BLACK Ink
rr% ~3. • I Pas: 3tfieeXse
City Of EAUG Vfi i Permit D ~
~ I Permit Fee: ~ I
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: cQ°1YQ_
Phone: (651) 675-5675 i staff: ~C I
Fax: (651) 675-5694 L----------------i
i
2010 RESIDENTIAL. PLUMBING PERMIT APPLICATION
Date: a7 %TAL -0 Site Address: O G~~PJ'1 e, C.. fi
Tenant: Suite
RESIDENT/ OWNER Name: DOI'1QsyY.a n Sk ( rl eu 1-IC~ lPhone: L51 .55-4. b b io
Address / City / Zip: 5512'5• ( 233
CONTRACTOR Name: _ RICHFIELD PLUMBING CO License
Address: 8640 HARRIET AV SO #100 _ City:
BLOOMINGTON MN 55420
State: _ TEL: 952.881.3355
Contact: LIC. # 58325-PM 5"ViCe, e~ YIc~,Cjeld I Ltm M
TYPE OF WORK New Z Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Neater Water Softener
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) MM
TOTAL FEES $ ~J. W
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www;gopherstateonecall_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 permfti that the work will be in
accordance with the approved plan in the case of work which requires a review and approval lans.
x x
Applicant's Printed Name Applicant's Signature
~
....FOR OPF[CE IJSE Revrewed fat `
}2eWired Inspections: Under Grour~ct_: F2ougi~ln
Air Test.. Gas Test Fina:
PERMIT
City of Eagan Permit Type: Plumbing
3830 Pilot Knob Rd Permit Number: EA088638
Eagan, MN 55122 . Date Issued: 04/03/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 798 Elrene Ct
Lot: 007 Block: 001 Addition: Windnee
PID 10-84470-070-01
Use
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Main Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
PAM ELDRIDGE
8640 HARRIET AV S
#100
Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Richfield Plumbing Donavon J Hess
8640 Harriet Ave S #100 798 Elrene Ct
Bloomington MN 55420 Eagan MN 55123
(952) 881-3355
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: Plumbing
3830 Pilot Knob Rd Permit Number: EA090889
Eagan, MN 55122 . Date Issued: 08/27/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 798 Elrene Ct
Lot: 007 Block: 001 Addition: Windtree
PID 10-84470-070-01
Use
Description:
Sub Type: e - Fixtures
Work Type: New
Description: Second Floor
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Alex Blaylock
13972 Ember Way
Apple Valley, MN 55124
Fee Summary: PL - Permit Fee (miscellaneous) $50.00 0801.4087
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: - Applicant - Owner:
Artisan Plumbing & Remodeling Donavon J Hess
13972 Ember Way 798 Elrene Ct
Apple Valley MN 55124 Eagan MN 55123
(612) 750-5892
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature
l_.-...-CAGAN Remarks
Addition {Q1PAtrae Ariditiq7l Lot 7 aIk I Parcel #10 R4470 070 fll
Owner Street 79$ Elrene COUTY State EaQan MN $$14
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1975 I17.08 11,71 lO
STREET RESTOR. 19$3 3030.42 606.08 S
GRADING 1973 247.$$ 24,79 10
Grading q°
SAN SEW TRUNK 1971 327.07 16.35 20 98.17 of It
irSEWER LATERAL („44?' 1982 of it
WATERMAIN
*WATERLATERAL 1982 5
WATER AREA . 1977 414.30 27.62 15
* Services 198
STORM SEW TRK 19$ 1-188.09 237.62
STORM SEW LAT
CURB & GUTTEF
SIDEWALK
STREET LIGHT
ROAD NIT 250.00 37357 7-21-83
WATER CONN. 450.00 it it
9UILDING PER.
SAC
n
?
PARK 500.00
Receipt :3? ? f PLUMBING PERMIT Permit No.
CITY OF EAGAN Fee
FAl in numbered spaces S/C
Type or Print /egibly Tot
1. Date 2. Installation Cost /- L•?--2 -?
3. Job Address i?L". Lot7 Blk. ? Trac
4, Ownec-I[ua
Phone 7 7f - S F _ t
6.
,
7. City Sta4&..-*'c? - 2ip ? ' -
$. Building Type: Residential ? Commercial ? Institutional 0
9. Work Description: New ? Add O Alter ? Repair ?
10. Describe ?
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
.? Lavatory
Softner
? Shower Welt -- - - --
?
Kitchen Sink i ?
Urinal/Bidet Ot
? Laundry Tray
Floor Drains `C
)
Drinking Ftn. -
Slop Sink ? --.--
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough , Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved <; Z, CITY OF EAGAN 454-6100
Receipt
t {
i
1. Date ? /
3. Job
Permit No. --
Fae -
S/C
Tot.
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered specess
Type or Print /egibly
9 Incrallarinn rner '
4. Owner ,
5.
? LotBik. / Tract' - '- a
Phone
B, Address ' - ? _-' ??N - ?
? .
„ - -
7. City ' - -_ ' State 2ip
8. Building Type: Residential La' Commercial ? Institutional ?
9. Work Description: New IEI-' Add O Alter ? Repair O
10. Describe Fuel Type
11.
No.
4-- Epuioment 8TU - M. Ea.
Forced Ai r No. Equipment CFM
Air Handli
:
Mfg. ' ng
Boilers
Mfg. Mech. Exhaust
. ' ' .
Unit Heater
Mfg. Other
Air Cand.
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 govern(ng this type of work.
5igned : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved ' CITY OF EA6AN 454-$100
CORRECTION NOTICE
Address
n..,..o.in.,o...
DATE:T?
Site Name
Telephone
? Ordinance Nos. and Corrections - Correct By
?
li:r ;?. ; h ! [ •?''! ;,.? ? Nt t ? ..
?
/ ? ss+Ll'?? ' ?:L?l '-c :?'-,'rll? :!f_" i? :?- ..q' ?ti?-?t/i s'j,-.?'? -'.?L/•.?y- xz2
.
Fpr reinspection
' Eagan Dept. of Inspection
I 37-35 Pilot Knob Rd_
Eagan, Minnesota 55122
I 454-8100
I
?
Inspec
pept.:
crrY oF EAGAN
• ?..•"•, , 3795 'llef Kwob Roed Eo4an, MN $512=
PHONE: 454-e100 -
BUILDING PERMIT . RecefPt
83
Site Addreu 798 Elrene C[. Erecr
? '''-'
?uPoncY ..
Lot ' Blotk 1 Set/Sub. windCree ? Alter p Zoning x-1
parcel # 10-Fi44'10-070-01 Rcpoir ? Flre Zore i4 A
Enlorye Q Type of Const. v
W Name ?'u3tafsOn & ASSOC. Const. Nlcve ? # 5tories
z Addron 4015 t•;' S 5 t'-i S t' Demolish p Length 61
G Edina Phone 927-1100 Grode ? Depth 34 Sq. Ft.
a Narnie Same Approvals Ftes
o
u
Address
Assessment
Permit 4
?
Woter 8? Sew.
Surcharpe 50 .
00
Ci phone Police Plon checkz 16 . QO
FZ Nome Firo SNC _ 525•00
?? Address Eny. Water Conn.4 0. 00
i W Ci Phone Plonner Water Meter 60. 00
Council Rood Unif ? 5?? •
I hereby acknowledge that I hove reod this opplicotion and stote that gldy. Off. 7"1 2-83
fhe information is correct and agree to comply with oll appliCCble
Stote af Minnesoto Statutes ond City of Eoqon Ordinances. ^PC Totol ?1984. 5v
Sipnoture of Perrr+ittee
A Bullding Pertnit Is ipf?
ol I work sholl be doo' r
Buildinp Officiol
oll opplicable
Statutes ond City
condition thnt
Permit No. Permit Holdar Misc. Parmit No. Holder
Ptumbing Sjuf "
H.V.A.C. .3q
'1- 1 41
Wetl
Water
Disp.
Sewer
Eleetrie AO(Iq
Intpection Date Insp. Other
FootinQs
Foundation
?,-
Frominy
F.,.. :
Rouph Plbp.
Rough HVAC
Inwlation
Final Plbg. - /- '
Final HVAC _ 6_ aj,40
Finat jj4-9
Wster Dstc?ibe Location:
Vllell .
Sevwr
Pr. Disp. .
7his requeSt voiA 2- 7i g ? ` C(f r/tc[fl`£
ie mnms r.om
A n SQG7
3a-'7S3
, clq, scl
Pequest Da e
` p( a3 Fira No. flauBh-in InsDection
p Omretl7
Yes ? No
[]Heatly Now Will Notify Inspeo-
IN tor WhPn ReatlY
?License0 ElecVical Conhaclor 1 hereby request iasoection ot ebove
Owner electrical work installed at:
Street AtlAress, Box or Route No. Citv
ectuon o. Township Name or No. qan9e No. County
OccuOa t (PRINT) Phune No.
Power Sunolier Atldress
Electr' I Contfactor IComOany Namel
? ConVacIDr's License Noj?
C?l?(ceo3
Mailine ?. ress (Contractor or ?Ow?ner Mak?inIg Ins ailauon) j$T" N //`-„ "' ' `•
Au[horrsed Sipnawre Conhactor/Owner aking luscallationl Ph Number
iMINNESOTA STATE BOARD OF ELECTIIIGTY THIS IfYSPECTION NEQUEST WIIL NOT
ilGriggs•Midway BId9• - poom N-791 BE ACCEPTED BY THE STATE BOANO
!I1821 UnlvarsitY Ave.. St. Paul, MN 55100 UNLESS PNOPER IN51'ECTION FEE IS
' 'Phone 18721 297-2171 ENCLOSED.
(gertifirttte nf (OrruvttnrJ
Citp 4f (Eagan
ioP}iEtrtJtlP1Lt !lf Bltilhiltg 3Y[S}iPLfiiiIt
Tbir Cntifiralc isteted purtuant to tbe requiremrnlr of Section 306 of tbe Uniform Building
Code capfyrng that at the timt of lrsHarae thir strurture war in compliana with tbr variour
adinanccs a f thc City rtgulsting brulding rorsrtruction or utt. For tht followinb:
uua.wn.u. SF DIC/C'AR 8267
BWB. Permii No.
0-? 'h? trwcoo.???? V FiR?. NIA zoW, oum« Rl
owM?are?aa:?8 GUSTAFSQV &ASSOC.pda. 4015 W. 65TH ST., IDDR
HuidinHAddeea 798 FTRFNF Cl' _L?Cr L 7. B l. WIIVDTREE 15T
By DecedDer 19, 1983
e?aa?a o? w{ n,ce:
d?
.o., ?. . cow..?<ow. .,...«
CITY OF EAGAN
7795 Mlof Knob Rood
Enqon, MN SSl'' p
lr ?T ? 8267
- ? PHONE: 454-8100
BUILDING PERMIT Receipt # ?
T. 6e utad For SF-DWG/GAR Est. Value $100,000 Date 7/ 83 19_
Site qddKU 798 Elrene Ct. Erect ?j pccuponcy R-3
Lot 7 Block 1 Sea/Sub. Windtreel Alter ? Zonirg R-1
Parcel # 10-84470-070-01 Repair ? Fire Zone NA
Enlorge ? Type of Canst. V
W Name GuStaEsott & ASSOC. Const. Move ? # Stories
z Addreu 4015 W 65th St Demolish ? Leng[h 61
Ci Edina Phom 927-1100 Gmde ? Depth 34 Sq. Ft._
N Cnmo ADVravala Faes
g ome _
gu Address
r- ru.,
Name _
Address
1 hereby ockrwwledge thot I have read this npPlicotion ond stote that
the informotion is corred ond ogree to wmply with all apDlicoble
Stote of Minnesota Statutes ond City of Euqan Ordinancet.
Sipnoture of Permittee
A Bullding Pertnif Is ijs
ali work shall be don6 i
Assessment
Wofer & Sew.
Polica
Fire
Enp.
Planner
Councll
Bidg. Off. 7-12-83
APC
Permit "jj•vv
Surchorge50. 00
Plon check2 16. 50
gpC 525.00
Water Conn.450.00
Water Meter 60. 00
Road Unit 250.00
Toral $1984.50
on tha expreas mndition thnt
Statutes and Ciry of Eapan Ordinances.
Building Officlal ?
REQUEST FOH ELECTRICAL INSPECTION Ee-vaooi-w
, See instruelians for comDletim this form an back af yellow copV-
?'r?? (n' a h"7 "X" Be/ow Work Covered by This Request 5g I?j 3
PiWA AAd Nep. Type of BuilEing Apoliancee Wired EquiOmentWiretl
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. Building Dryer Electnc Heatin
Commercial Bldg. Fumdce Silo Unloader
Industrial BIAg. Air C(onditioner Bulk Milk Tenk
Farm O h ? v . ther ISpecifvl
t er Suecify OMer
Compute lnsAection Fee Belaw -
q Fee Service EntrenceSize k Fee Feeders/Subfeeders k Fee Clrcuits
1,2 .6D 0 m 200 Am s 0 to 30 Am s ..3 -S 4 to 30 Am s
Above 200 qmps 31 to 100 Amps 31 to 100 Am
Swinvning Pool Above 100 _Amps Above 100_AmFn
Transiormers irrigation Booms Partial-'Other Fee
Signs Speciallnspection
S E
Remarks
F
? ?
/ -'A
floueh-in c cha Elac '
? ?'?? r?? ??s oq ?eraby
ca,tilv thet the above 'Final ?f`' ?Q spection has been .
// " ) f li?k?/v?Q> ? ?- T meda. .
fhis reoues[ voitl 18 montM Irom
E E ' i Ll ? t,
y?
? ?•
' ?TY OF EAGAN
UJ GCVt-
7b Be Used For ?• ,. Valuation :
I t-E/%E
site Address: R$ t
Lot 1- Block ? Sec./Sub. Gdebd QEt ,r
Parcel #: _?c) 34q-70 070 ot
Ovmer: ?0-.5 L,01So..d- ft55oC . ?Sr
APPLICATION
LJi?/l?i'wa/T "'^a7
Include 2 sets of,pj,an!5., ,
1 site plan w/elevati.or.3 &
1 set of en gy calculations.
nate 8 b'3
OFFICE USE ONLY
Erect Y\ OccuPancY
Alter Zoning /
Repair Fire Zone
Enlarge Type of Const.
Nbve # Stories '
Address: yD/5G-J 51-. Demolish Front / ft.
City/Zip Code: E?, h o4 .?5v? 5- Grade Depth ,3 ft.
Phone # : 9'Z / -/(o 0
Contractor: 5"42-I U-
Address: '
City/Zip Code:
Phone #:
Arch./FSzg.:
Address:
City/Zip Cacle:
Phone #:(-W a%f 9z// - 3 03 S?, ?
?-? ..'?
APPROVAI,S FEES
Assessments ?-
' Permit
Water/Sewer Surcharge SD °=
Polioe Plan Check ,?Z/(
Fire SAC
Ehg. Water Conn. 645'0
Planner ter Meter p C?a
Council ad Unit %26-O
Od-
Bldg. Off. , i ,..
APC J v
'IOI'AL
st qI-f 20117 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reouirements
3 registered site surveys showing sq. ft of b( sq. ft of hase; and all roofed emas
(20°6 mazimum bl coverege allpved)
1 Soils RepoA'rf proposed buildng is to be plxed on disWrhed sal
2 capies M qan shoxnng beam & wimbw saes: poured fouM design. etc.
1 set of Eneigy Calalatims
3 copies of Tree Presdvaalion Poan if Id pletled eflm 711193
Rim Joist OeGdlOptias selectim sheet (buitrlings xnM 3 or less un"rfs)
Mnnegasco mechanical ventiletim form
RemodeliReoair ReouiremenLs
2 copies of plan showing footiigs, bmms, jdsls
1 sat of Eirergy Cakulations for heated additions
1 s'rte survey fw edditiorx & decks
AddNon - indicafe if on-sile septic systen
'??b -Od
Ofiice Use Onlv
Cert ofSurveyRectl _Y _N
Shcs Repat _ Y _ N
TreePresPlenRecd _Y
Tree Pfes Required _ Y _ N
On-siteSepticSystern _ Y _N
Plans are considered public information unless aou state 4hey are trade secret and the reason.
Date 10 /7--7 Construction Cost j v, 3 a 7-
SiteAddress -7 cl `7S El C'Ckc.- G?- lq'v ?IZ5 UniUSte #
Description of Work Re -? ? C.J I ( BA.c D';:v- _
MuIH-Family Bldg _ Y_ N Ftireplace(s) _ 0 1 1 _ 2
Property Owoer =) D v\? ?'Yf'1 S Telep6one # (66 6? ? U
Contrector ? tr--
Address City
State /yA,) Zip Telephone#(YiZ) 7 `{6 - 36
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Enefgy COde Cetegory . Residential Ven6lation Category 1 Worksheet • New Energy Cotle Worksheet
(J submission rype) Submflted Submitted
• Energy Envelape Calculations Submitted
In the last 12 monihs, has the City of Eagan issued a pertniT for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Cicensed Plumber
Mechanicai Contractor
Sewer/ Water Confractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with ths approved plan in the case of work which requires a review and
approval of plans. ?
_???, ?? `? GC?
ApplicanYs Printed Name
A icanYs Signature
PERMIT #:
Ss?4Z
CITY USE ONLY
RECEIPT DATE:
43 /a Z
2002 RESIDEPTIlEL MECH"CAI. PM1T APPLICATIOft
crrY oP E?sax
3830 PILOT KAOB RD
ElkBAA bd1Y 55122
651-6$1-4678
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: q A pfq' 6-3r-
SITEADDRESS: 798 ELRENE CRT
OWNERNAME: ELIZABETH GRUBICH TELEPHONE#: 651-683-0343
INSTALLERNAME: RON"S MECHANICAL, INC. TELEPHONE#: 952-445-8585
STREETADDRESS: 12010 OLD BRICR YD RD
CITY: SHAKOPEE
STATE: MN ZIP: 55379
Place a check mark next to the permit work type
? Add-on, modification or alteration to existinq dwelling unit $ 30.00
• fumacs replacement n
• airexchanger
i T
• air conditioner L
• other .
Nature of work: !'IC . - - - " "
State Surchar e $ .50
TOt81 $?D
SIGNATCJRE OF PERMITTEE
1102
ENERGY{ REQUIREMENTS .
, This form to be completed and submitted with building.permit appTications
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
. ?.
OWNER (J_U 9-??Akr"0q
SITE
; . ?
- -.°- -_
CONTRACTOR DATE PHONE
Determine working square footage of each.
1. Total exposed walT area .... 2?I0?0 sq": ft. x .185 = 3-7.
2. Total roof/ceiling 4rea .. 0 sq: ft. x" .04 = 41 •$4
.
; , . _ . ,
_ . l' . .
Total exposed wall area above floor = _ i
'413k, .
. a. Total wall?window area .......................... ?? q0
-
b. Total door- area .. ..............:.......... ... ??
c. TotaT sliding:glass door area .................... gra
d. Total fireplace wall area ..................... ...
e. Total wa1T framing area (average 10%) ............. 24 (o
f. Total net wall area above floor ..................
?
g. Total rim joist area ........................... _
..
`?. 4, '
Totat exposed foundation area =
,_. h.
Total foundation window area ...........:......, ;•
... ?'-
i. Total net foundation area above grade ::........ ... I kD
,,,
Determine "U" value of'each wall segment:
a. 2?0 X .-U'l , Sp = 14+?',' 00
6• '?(o i :X
• Ru??
A V
C. v
Iti1
IIV
d. ? S X "U"
e: 'L4(o X IOU,,
f. 1717 x iiuil .?c. = lo3,oL
g. ??7o x „u„
-
h. ? X
„u„ _-
x llU° • 47 6/ig
3 ................................:...........rotal _ 434, 77
Total exposed roof/ceiling area =
j. Total skylisht area ............ :.......... ....
k. Total roof/ceiling framing area (average
1. Total net insulated roof/ceiling area ...:....:.: 'Z?
Determine "U" value for each roof/ceiling segment.
• . j . ' ? X tiuli
,
, k /05 x liuii .OL = Z, 10 -
,
I . x „ui, o? _ ?L8'•7-C. -.
4.. .......... .. .....................Total (e ..
If total of #4 is the same as, or less than #2, you have met the intent of
2 MCAR 1.6005^;(4.3.2.2) •
:?. Alternate Building Envelope Design
,
To utilize tht total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #l.and #2.
i. 537,L I + z.
3. 434- 7Z_+ a. 3?,3L = 4?5. 13
i.? .
T.>
?
' . ' .. . ? ' . .. f. . 'i. - . ,. - . ' `; i ,. . _. .. .. ...-.. .. . _ ' __.....-. .._ . . . .. . . . . . _.
-- .. ; . . _ . .
- . . \ ?, . . .
,. . . . ._ . . . .. . . ;..
?\ € ' - . . . . . . . . . . . -. _ . . .. ,
??' ' . . -. . .. ... . . . . . ... . .,
\.4• 41 ??'` a. °a'a I ?'??/,? ?
.q • u'?o' ?? /i
. ,
e4 ? •'4.•?,
? , ?•4 •4•• . .
\ FA,. y , . .
A? 6? G ,;? 4.•
. ? ,?? ?• '•?• 4 •.+ ?
?r -
;AHING SECTION:
dnterior air Pilm
'/Z 1,44-?--7R.Or.'4-
3Jl inches soft t•:ood
Z 3z? g«= -fttTi
? S sAe_
Exterior air film
Q.?hR .:. .
?
?. .? .. IV 1 AL K5Cp5
1/R = .IZ
CTIOt7 (fNSULATED) ?
Interior air film 'n.FR
A.'" 5F#?LCT ¢1JtIL
SLAB OtI GRADE
"+! 7i 17 L
s ? csomL. 94
Exterior air film • n_17
'sT SECTION:
Interior air film
IUTAL?R =
U = lIR = •o(?
1 ` -p rr?_= Z o fo
Exte n or air ilm 0_17
' I V tHL tt = lL.7b - ,
U = 1/R = . D(o
OtJ SECTIO14:. -
Interior air film
o?L, g
Exterior air film n,17
s.. . _
TOTAL R = 2.13
U=1/R= •47
4' -#4'?
?l,,, ? „ •,t1 `? ?' .d .p ` ? •, .Q:. . ' ?
`.??,? •`?, ??? .?1'• _
?4? ?,?•??.;?.;4,
44 ? Q
Q•,' ,Q,?
. . . ` . - "?
. . . . ' 'y;
. .
- VENTED
? LEILIt7f,-SECTIOt!'( INSULATED): -
q Irvterior air fiim f1,h1
:2 . 5
. 3 .`- _?l?
^.F1
G 'Exterior air film (still)
` TOTAL R.° 3 •7f
?
- U = 1/R = •03
?
CEILING_FRAMIMf,.;SECTION:
5D l interior air film O.bl
- 2 Ai ? ?Ta.r ia . SG
- 3 ?-38' ? ?iSC.oD
4•+interior air filn still 0. 1
` 5,'>3 ti inches soft wood 4,35
-rnrai a = a.&.14
U= 1/R= ,0?i
CEILIIIG'SEf,T10N (INSl1LATED):
T lnterior air film n.b1
.. 2 ..
4 Fxterior air film still D. 1
SOTAL R =
CEILING fP,AMtNf, SECTIOH: '
1- 'Interior air film 0.61
3.
k Exterior air filn sti11 n• 1
5 inEhes`- sof t ti•:ood
TOTAL R =
p= 1/R=
VENTED.
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
3 -I U -1 a 651-681-4675 ) -?- _ ( '-s , ? C
r
New ConshucHOn Reaulrem
? 3 reglAered sRe surveys showing sq. fl. of bt, sq. k. ol house
and all rooled areas (207, maximum lot coveraae allowed)
? 2 copies of plans (show beam 6 window sKes; poured ind. design; eTc.)
> 1 set of energy calculatlons
? 3 coples of free preservaNon plan B bt plaHed afler 7/1 /93
DATE: I a` -'? - `7/
DESCRIPTION OF WORK: ?ea6g`°(l ??'?OQ? ?7 oUS?' oo644 "3"d9,e-
STREET ADDRESS: 3 G¢? ?? U O°? ?'
LOT: BLOCK: ? SUBD./P.I.D. #:
Name: C o HO?
PROPERTY Last
OWNER
Sheet Address:
Ciiy
Remodel/Reoatr Reaulrements
2 coples W plan
7 set of energy calculaHons for heated addHions
1 sNe survey for exTafor addHlons 3 decb
CQNSTRUCTION COST: v `-5-0
State:
Zip:
Company: ., rnTr Phone #: 6'(?
5?????8?"????n??? (area code)
CONTRACTOR 4100 EXCELSIOR BLVD-
ST. LOUIS PARK, MN 65416 ? J 3? 8
? ExP. ? E
Sheet Address:1au009+9u0 License # pS-
Cily
State:
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Streei Address: RegistraHon #:
City State:
Sewer & wafer ticensed plumber (reaulred for new conshuction onlvl:
i PenaNy applies when address change and lot change is requested once permM is issued.
Zip:
Zip:
I hereby acknowledge ihat I have read lhis application, state fhat ihe tnformation is conecf, and agree to comply wBh all applicabl
Stafe of Minnesota Statufes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONIY
Phone
Flrsf
¢Sra " O /la-
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
? SU
City of Ea?a? W MAk 2? 2??9
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
- ------,
i Permit p: QQ U LJ'?? o j
?
? Permit Fee:
? Date Received:
I
? Staff:
-----------------?
2009 MECHANICAL PERMIT APPLICATION
Date: Site Address: 1-1 g E1 reheJ l.ow- ?
Sulte #:
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
CONTRACTOR Name: V?cf? hef&v/LniQL% oum fA LLC'Licensen:
?C
Address: ?7?ClIlV t]QV
(.FTI cnIAe.,
City: `'i. Wu,4J 0A State: w?Zip: V5+2(o
y(
Phone: 1-
0 ContactPerson: Irk& k°
TYPE OF WORK _ New _ Replacement _ Additional ? AI[eration _ Demolition
Description of work: Alier (I) SL Cj` r modd
NOTE: Both roof,mounted `and yround mounted mecfanica! equipment ls'iequlred !o, i
r. be Screenetl tiy,Cit}!vCode Please contact th8 Meohamcal !n`spector.o`r one ot the ?
?---PlannersforiniormationonWo"iFrriittedscreenln"iirethods?:
PERMIT TYPE RESIDENTIAL COMMERCIAL
Fumace - New Construction _ Intenor Improvement
Air Conditioner _ Install Piping _ Processed
Air Ezchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank L_ Install 1_ Hemove)
e? " When Installing/removing tank(s), call for inspedion by Fre
v
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge
$90.50 Fire Yepair (replace burned out a{.pliances, duclwork, etc.) (inciudes $.50 Stale Surcharg ?
50
, TOTAL FEE
COMMERCfAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x i%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- H Permit Fae is less than $1,000, surcharge is $.50.
- If Permit Fqq is > $7,000, surcharge increases by $.50 for each =$ State SUrChBrge
$1,000 Permit Fee (i.e. a$1,001-$2.000 Permit Fee requires a$7.00 surcharge).
$ TOTALFEE
I hereby acknovAedge that this information is complete and accurete; that [he vrork will be in contormanca with the ordinances and codes of the Ciry of Eagarr, that
I understand ihis is not a permit, bu[ only an application for a pertnit, and work is not to start wilhout a permi , that the vrork will be in accordance with ihe approved
plan in [he rase of work which requires a review antl approval of plans.
X Kah6 SCh'm.nk x Lkla C a.lAM
Applicant's Printed Name Ap II anYs S nature
k
-------- ---------
? ???
? Permit
? Pertnit Fee: a? ?
I
? Date Received: 4` ,P- j
I Staff: ?
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION C¢,Cecd. 4r;"
oate: 3'3J-O9 5iteAddress:-7/g' EaEA.?F671/P.%
Tenant:
Suite #:
RESIDENT I OWNER Name: aA/ -fi $AiRLEY flESS Phone:
Address I City / Zip: E[/QCNLt- CT EsaGA,rl AAI. 55/2 3- 12 33
Applicant is: _ Owner -X Coniractor
TYPE OF WORK /?/+1G?f
Description ofwork: I1Elf klt("NFN SOFFItT '4 EPR?K RYw9?.c?RcPi/1ct ?Wir+ltb?vs
x
Construction Cost: ?.SCC7.°E- Multi-Family Building: (Yes _/ No )
CONTRACTOR Name: JuHA/ RE26 GONSiRG/C i1 GN' IACG License #: 5tO6 0 ;?953
Address: IL7J eZ9 91 m 171Jc
City: &UCCwn,/E E/lHI State: 11/Zip: 5R77
Phone: i551-y?ES' o 73(7 Contact Person: 10?1ii,1 )9f &?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submi55ion type) • Energy Envelope Calcula[ions Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
MechanicalContractor: Phone:
Sewer 8 Water Contractor: Phone:
rind
`
12F
?
haf?he,ere.frade?eal?e#s?. ,??
fL.= ??«.•._h?,. 1?` ?;
- z? ?-conclUd
I hereby acknowledge that this information is complete and accurate; that [he work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a pertnit, but only an application for a permit, and xrork is noC to start without a pertnit; Ihat the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X .IONn/ Frlel:
Applicant'S Printed Name II
U E ? ? u ? IS II,I
'
: ; ?) 1 2009 ?
x C._JV / /? / &?,
Appli nPs Signature
Page 1 of 3
gS& 3j?
DO NOT WRITE BELOW THIS LINE 725L'lrz?t1P_ LT
SUB TYPES
Foundation
? Single Family
_ Multi
_ 01 of_Plex
Accessory euilding
WORK TYPES
New
Addition
Alteretion
_ Replace
Valuation
Plan Review
(25%_ 100% IC)
Census Code
# of Units
# of Buildings
Type of Construction
Fireplace Porch (3-Season) Storm Damage
_ Garage _ Porch (4-Season) _ Exterior Alteretian (Single Family)
_ Deck _ Porch (ScreenlGazebo/Pergola) _ Exterior Alteration (Multi)
_ LowerLevel _ Pool _ Miscellaneous
11 Interior Improvement
_ Move Buiiding
_ Fire Repair
_ Repair
_ Siding
Reroof
? Windows
Egress Window
_ Demolish Building"
Demolish Interior
Demolish Foundation
Water Damage
Temolition of entire building -give PCA handout to applicant
y Occupancy -'T p- C- I
Code Edition J4 00
Zoning ?
y 3y Stories
Square Feet
Length
W idth
REQUIRED INSPECTIONS
Footings (New Building)
_ Footings (Deck)
_ Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
_ Framing
Fireplace: _Rough In _Air Test _Final
? Insulation
Meter Size:
Reviewed By:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final I C.O. Required
? Final 1 No C.O. Required
HVAC
Other;
Pool: _Footings _Air/Gas Tests _Final
Siding: _Stucco Lath _Stone Lath _Brick
}0 Windows
Retaining Wall
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
5&W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
w;,Lp ow S 3, ooa , -
5''f,,C:t iJoRk-- TD21. o m
3 15 ?Oa.D°
Fcf OHfi,. Use -
I
n
Permit 2> (a I
City of Eap Permit Fee.
79.
I 3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I Gl G I
Fax: (651) 675-5694 1 Staff: ~I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION ~-'a-
Date: 3 - 31-001 Site Address:
Tenant: Suite
RESIDENT / OWNER Name: 49VA/ 4 5l11RI r ~/t 5S Phone: f SJr "
Address /City /Zip: FU46_itf,e T L~f1/L A , .5,:5Z 2 3-
Applicant is: Owner ~ Contractor I r(, fie IX r, &U i 17 6-* 5
TYPE OF WORK Description of work: fiezsze4l,~ k1 LNF•tl
Construction Cost: , Multi-Family Building: (Yes / No X )
CONTRACTOR Name: NjOi`IA/ 13,6-k6t C lCIV IAC,- License
Address:
City: State: MA/ Zip: 5 C'7`7
Phone: 6Q-,;195_-(2173q Contact Person: .k0A,) 96&%
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
(1~ 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 review and approval of plans.
r f~ '
rtGry~/l9&,j
x ~J x l
Applicant's Printed Name Appli nt's Signature
w-7 Page 1 of 3
12009
ICI
5~& 3j~
DO NOT WRITE BELOW THIS LINE 798 Llre,e
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 )0 Interior Improvement Siding _ Demolish Building*
Addition _ Move Building Reroof _ Demolish Interior
Alteration _ Fire Repair *70 Windows _ Demolish Foundation
_ Replace _ Repair Egress Window _ Water Damage
*Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation ft Occupancy (Z~_ f MCES System
Plan Review Code Edition #jtj DO SAC Units
(25%_ 100% 2C) Zoning City Water
Census Code q _?Y 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 Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough in Air Test -Final ~6 Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
W;~ow S Oao,._.._
VL 3,
Base Fee
Surcharge to oR~ SD~• fl
Plan Review
MCES SAC S pa , D
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
I
For Off~._ lJse
I
07
tyY "r# • ~ I
*t I Permit #:/1
C ly of EaEdR I 3.~~ ~
Permit Fee:
3830 Pilot Knob Road
Date Received
I
Eagan MN 55122 J I UN 10 2009- I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION A-i(c
Date: Site Address: 7r/SS' E4(6°67 C(1i'47-
Tenant: Suite M
66A
RESIDENT I OWNER Name: 0111A; V- 5oll'LLY Oe1' 'S Phone: ~S/- 1f5-11-;66A
Address/ City /Zip: E L-k E l- CC' u'07 lgee _ 5 11 23- p3,;
Applicant is: Owner _X Contractor"
TYPE OF WORK Description of work: L~LfjCC Lf j(11PdUt,,' 61v1)5 4 kt/11GPtL A13STEk M7j)
Construction Cost: /c1, 000 Multi-Family Building: (Yes / No )
C 01-1 _~J l~'t C J License
CONTRACTOR Name: J(1HA,! t /l (7
Address: 101,)5 Adlk flpC
City: 6.12cy G//" State: 14)Al Zip:
Phone: C / Contact Person: JL' f//~✓
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
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 maybe 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 review and approval of plans.
X W 1 t!~1~ lC l? X r ~Yd' i
Applicant's Printed Name Appl'" ant's Signa re
Page 1 of 3
` I For Office Use
~ /~f ~ ll LLPermit
Y O l
Cit Permit Fee: `
3830 Pilot Knob Road i r?
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: -
2009 MECHANICAL PERMIT APPLICATION
Date: Site Address: +~C Ike, C, aG r t
Tenant: Suite
RESIDENT / OWNER Name: Phone:
Address / City / Zip:
0i License
CONTRACTOR Name
Address: t )A it) i1tAez
City:"
State: Ii~V Zi P:
Phone:' Contact Person:
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: Ater I t ) (IOU r 1-till, r&y)LUft
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
_ Furnace _ New Construction Interior Improvement
Air Conditioner Install Piping Processed
_ Air Exchanger Gas _ Exterior HVAC Unit
_ Heat Pump Under/ Above ground Tank Install / _ Remove)
,r When installing/removing tank(s), call for inspection by Fire
Other Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)_,-~
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharg (5v a TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 permat the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
a
xr A xr~
Applicant's Printed Name Ap li ant's S' nature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground - Rough In -Air Test -Gas Service Test In-floor Heat -Final
Exterior HVAC Screening Inspection
? ( ~~J l For Office Use
1 j Permit V
City of Eap S F P 0 1 2009
l Permit Fee:
3830 Pilot Knob Road j I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: j
2009 MECHANICAL PERMIT APPLICATION
Date: Site Address: 7c~ Y C) rere, Cci- v t
Tenant: C Suite
RESIDENT / OWNER Name: 4 4A -A Phone: ~f" 7 1~7
k/1 V
Address / City / Zip:
CONTRACTOR Name. C AI FjU-Mhj`ffj LLicense
Address: ~ ~ 6hU AVEW-b
City: S~ . u.1 A(S State: MINI Zip: 5 -
Phone: Contact Person:
Additional Alteration Demolition
TYPE OF WORK New Replacement
Description of work: \;t()t7 C~V CA_U,
NOTE: Both roof mounted and ground mounted mechanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner Install Piping _ Processed
_ Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install / _ Remove)
F-, When installing/removing tank(s), call for inspection by Fire Az- OtherL'ci`i` l+~.:~1C.'1 Marshal and Plumbing Inspector
RESIDENTIAL FEES: \
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
_ $ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 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 6tb iC.'hr t k '~i I1~1~v
Applicant's Printed Name App icant's Si ature
FOR OFFICE USE
Reviewed By: Date:
Required Inspections: -Under Ground - Rough In -Air Test `Gas Service Test -In-floor Heat -Final
- Exterior HVAC Screening Inspection
90? `
4
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N
?
I
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JOB NO.
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?AND SURVEYOP ?NE
PRAIRIE. MINN. 55344
pir
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c.
/
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? _
rec- ~Ac- 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*
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 t Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100°/xZoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Nt b Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) f Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
_S Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
~j 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
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
li I Permit I
I
Ila City of Eallfl I
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: a" 0 Site Address: -7EY E t_2F1L,£ COURT
Tenant: Suite
RESIDENT / OWNER Name: UOA/ I JESS Phone: 6$~ ,Sy-~d 6'?
Address / City / Zip: -7 9 S C L lC ENS CoV Al
Applicant is: Owner Contractor
TYPE OF WORK Description of work: P09CC W10DOWN U)yITS
00
Construction Cost: $ 00 Multi-Family Building: (Yes / No X )
CONTRACTOR Name: k6d 961ZC LON5T-AVC7I tAN. /&C License ;206 Da953
Address: INN $L 4)p- k City: ~itJvrA GRo vE McE (5,}7S
Stater Zip:(~Ss O 7~ Phone: 4W r a 05- 0 7 3 9
Contact: Jour 1Jc&( Email GhNl c-bE' r!j 6D -dl , c
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 plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.popherstateonecall.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.
x ~6 UrJ 3~ 12G x !d'
Applicant's Printed Name App ant's Signature
Page _1 of 2
CITY OF EAGAN WATER SERVICE PERMIT
3530 Pilot Knob Road PERMIT NO.:
P. O. Box 21199
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner: -
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
i agree to comply with the City of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY r.EA „161 SEWER SERVICE PERMIT
A30 'Pilot Knob Road PERMIT NO.:
P. O. Box 21199 DATE:
Eagan, MN 55121
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
1 agree to comply with the City of Eagan Connection Charge:
Ordinances. $ Account Deposit:
Permit Fee:
Surcharge:
_ Misc. Charges:
Y
Date of Insp.: Total:
I nsp.: Date Paid:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA151162
Date Issued:08/13/2018
Permit Category:ePermit
Site Address: 798 Elrene Ct
Lot:007 Block: 001 Addition: Windtree
PID:10-84470-01-070
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)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Donavon J Hess
798 Elrene Ct
Eagan MN 55123
Sedgwick Heating & Air Conditioning
1408 Northland Drive, Suite 310
Mendota Heights MN 55120
(952) 881-9000
Applicant/Permitee: Signature Issued By: Signature