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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 m N ? I I /53. o 86/ r WiNO A,9Y77177,f?i ASSOC/A7?s 7v-- {r/v qTES _- -? \ ? ? \ \ \ \ \ \ ? \ $N LoT 7 ? -? 0 ? qpN lCpUEGER REGISTERED $I'`FOFLVING CLOUD DRIVE, EDEN SCALE JOB NO. T. R. & ASSOCI I ?AND SURVEYOP ?NE PRAIRIE. MINN. 55344 pir ORA? By INC. 812_941-3030 F'.?LDATE ? 8p /ZO O 40 \\ \ ? ??94 t ? ?~ \ ? ? 913•4 =6.0 P?seo E? V,4T/on/s ?pu/E5T F??,? - . GA?I'ae P??lz _" TvP ?F FovNDf? T/oN - ?Zo, Z ?d i92n7 ? i / ? i 9/8.o V i L \ 1 ?I\. I i3 ? -? 0 ?- , o; 1 r.?. ? ?,•_;?,.. c. / / ? _ 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