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3836 Deercliff CtG Gity of EaQau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Ct455961-1 MAY 1a 2011 Use BLUE or BLACK Ink Permit #: CNWS Permit Fee: O. 00 Date Receivjd: 6-0 - Staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Dater–'(O t I Site Address: 3s 62 bed ICC C_..+, Unit #: RESIDENT / OWNER Name: J C t ` �j -S o r ` Y1 Phone:CO"J) (76 d/ Address / City / Zip: 353 3C0 G+ Applicant is: Owner Contractor TYPE OF WORK CONTRACTOR c -C Q -e n-I-rvi d o d r- In 0 Construction Cost: l CP l 9 • O Multi -Family Building: (Yes / No ) 1 '�j A—SO Company: I Yl � a � Co n C Q v 1 S Contact: � n- C Address: l l 0 O h� Cha k Vet s / / �/ City: �Q Q li State: /1/1. / U Zip: 65134 4 Phone: l Y 6 / �14--r o / r✓ License #: 0 / ( 1--/q Lead Certificate #: / V� / 3 ! ) — I Description of work: 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: 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.aooherstateonecall.orq 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. ancy SGA frnfeSin x Applicants Printed Name Applicants Signat Page 1 of 3 City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 scop L s RE0F":/ED 0 2011 RESIDENTIAL BUILDING PERMIT Date: Ve‘11 / / Site Address: 3 W 5 (d e e » c / J` , iS Cf(Z. 4,63 S6,4 2 CONTRACTOR Name: r Use BLUE or BLACK Ink For Office Use Permit #: /00 b U Permit Fee: 30 )6StaDate Received: to c)62- Staff: ff: �r APPLICATION CAC C� Address / City / Zip: Applicant is: Owner Contractor Description of work: e C 14 I Unit #: Phone: to,c/ 475 -0/R ce Cell �v61- (1/9-ti /-4 Construction Cost: Multi -Family Building: (Yes / No ) Company: -S 8 / Contact: 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: Mechanical Contractor: Sewer &Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information Portions o 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 CaII 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.orq 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 Minne to State Building Code must be completed within 180 d ys of permit issuance. j� l 1 (/ X JL / S c t .-s'j'. f'l Y'1-� p 1'1% ,�P,� C.Z�Q.�i( � � �j( S�'J Applicant's Printed Name Applicant's Signature Page 1 of 3 SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New I Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% X) Census Code # of Units # of Buildings Type of Construction C I DO NOT WRITE BELOW THIS LINE Fireplace Garage Deck Lower Level Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Interior Improvement Move Building Fire Repair Repair V� REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: _Rough In _Air Test Insulation Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Final %2. Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required XC Final / No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: Footings Backfill _ Final Radon Control Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL YK--- sovo Page 2 of 3 (SURVEY0R'S: CERTIFICATE MAGNAR TENOL4 :. t 0 17.86 9).• 40.33 ••-,+P 1 r17 - L._ lJ 1 !73.90; S 89°34'43"E ! J L_tJ 1 u) 8006X 882.0X. % 40.33 ,. O PROPOSED COMMON PARTY ON LINE 40.33 // eu1LD1NG 40. 3 883.6X (883 4) X882.8 0844 LOT !! 186.22 S 89°34'43"E t0 6883.2 O { X883 894. /9 t ' 31.511 xsaso r !--4'87.38 0 O • X000.0 (000.0) 15°44,54'/ pEERCLIFF DENOTES PROPOSED SURFACE DRAINAGE DENOTES IRON MONUMENT SET DENOTES IRON MONUMENT FOUND DENOTES EXISTING ELEVATION DENOTES PROPOSED ELEVATION R- 681.76 re. a82ax , 0 882.8 LANA /�f c7.9 711 4tb 4f12 . Sr Ue -SCALE: 1 INCH = PROPOSED GARAGE FLOOR = PROPOSED LOWEST FLOOR = 8: .2 PROPOSED TOP OF BLOCK = 884.5 FEET FEET FEET FEET I HEREBY CERTIFY TO MAGNAR TENOLD THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lots 11 and 12, Block 2, WINDCREST ADDITION, according to the recorded plat thereof, Dakota County, Minnesota. AND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED BY ME, OR UNDER MY DIRECT SUPERVISION, THIS'26TH DAY OF DECEMBER, 1984. SIGNED: A '. HILL, INC. BY: HAROLD C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 PROJECT NO. 8i/L/99 FILE NO. FOLDER BOOK / PAGE 105/8 JAMES R. HILL, INC. Planners / Engineers /Surveyors 8200 Humboldt Avenue South Bloomington,lMn. 55431 812-B84-3020 Jan. 26. 2012 2:44PM No. 4592 P. 1 Use BLUE or BLACK Ink For Office Use I 7-1 4— Nil .I 1 4i— 1 ?jl 7)l 4,0„_ Permit #: / Q tj of } aojjl /��,r�� Permit Fee: 6V - QC) 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 Staff: 2012 MECHANICAL2Q�jPERMIT AP Date; 1 ei / i Site • . • -ss: 0i�(phPyrliCel, " LICATION - ,7 Tenant: $ _ , , A 4 • , Suite #: RESIDENT I OWNER Name: 1' .. /, 1? LA ./ Phone: Address / City / Zip: 11 341 i l is / ` , /1/(, 4 i d. Name: �� /i G 'ekium Licen :e t.�nlc C CONTRACTOR Addresss/ _ , ) I - d / 1 '~ Ci : 7It,{gfj/ State: X 4 Zip: - . T AJO o Phone -WI Si Contact: Email: Lia Al • New Rep acement Addiitional�� Alteration Demolition TYPE OF WORK Description of work: . (P) (Milbe ) NOTE: Roof mounted and ground mounted mechanical Code. Please contact the Mechanical Inspector for inf equipment is required to be screened by City miation on permitted screening methods. s./ RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement PERMIT TYPE —Air Conditioner _ _ Install Piping Processed r, Air Exchanger _ _ _ Gas Exterior HVAC Unit Heat Pump Other _ _ Under / Abovf ground Tank (_ Install /_ Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ I,Ii1)_ (9�, /) TOTAL FEE COMMERCIAL FEES: $75.00 Underground tank installation/removal (includes $5.00 State Surcharge) oR Contract Value $ x 1% $60.00 Minimum (includes State Surcharge) = $ Permit Fee - If the a= Leg is less than $10,010, surcharge is $ 5-00 = g Surcharge - If the Egg2 is > $10,010, increases Fgg surcharge by $.50 for each $1,000 Permit Fee (i.e. a $10.010•$11,010 Permit Fee requires a $ 5.50 surcharge) _ $ TOTAL FEE CALL BEFORE YOU DIG. Call Gop r State One Call at (651) 454-0002 for protection against jnderground utility damage. Call 48 hours before you intend to dig to receive Ioca - .f underground utilities. www.aooherstateonecalLorg I hereby ac •wledg: that this ation is complete and accurate; that the work will be Eagan; th I enders : nd this _�' Iy an application for a permit, and work 's wi • ,,du vee ' • vires a review and approval of plans. x '1�iilmx in con •omtance with the ordinances and codes of the City of not to Start without a permit; that the work win be in accordance Ap' ic - -Nn • Name Appltcan s Sdgnature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-flogr Heat Final HVAC Screening _ _ 4— Nil .I 1 4i— 1 ?jl 7)l 4,0„_ r City of Eaaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: 2015 RESIDENTIAL�/B_UILDINGPERMIT APPLICATION Date: ~ O `C ---Site Address;, c, EVA ' C � j C C .-4C-C-a.4( ` idfy � O�ftfner Address / City / Zip: / / / c ►Jt-J(2j 0A) + LCA ut E: tiro) -s-o010 Unit #: Applicant is: Owner Contractor Description of work: _/)--ia_Ox k _z* 4 6), %N4 614/ 111 4 Construction Cost,`) Multi -Family Building: (Yes / No ) Company: Contact: Address: City: State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: 13004:r ,'y �r 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plan the Inform. pporfing documents that you sob a t are .considered tc be classified non;publlc if you provide specific re conclude that the are trade secr. onions otf ie City tto 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.orq 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 dais oFDermit issuance. x 1(/ l' Applicant's Printed Name x Disc ,e /1 L ioAvlsok) Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE 1-3)_&-s) SUB TYPES Foundation Single Family Multi 01 of gt Plex WORK TYPES New Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100% 1� ) Census Code #of Units # of Buildings Type of Construction X5310 (cL CJ Fireplace Garage Deck Lower Level Interior Improvement Move Building Fire Repair Repair 56?, 4/344 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) _ Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Fire Walls Braced Walls Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* _ Demolish Interior _ Demolish Foundation tWater Damage *Demolition of entire building - give PCA handout to applicant PD MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings _Air/Gas Tests _Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: Footings — Backfill _ Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: 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 Li° St - Page 2 of 3 City of Eagan PERMIT 411' CityofEaan Permit Type: Plumbing Permit Number: EA133763 Date Issued: 10/29/2015 Permit Category: ePermit Site Address: 3836 Deercliff Ct Lot: 012 Block: 002 Addition: Windcrest PID: 10-84460-02-120 Use: Description: Sub Type: Residential Work Type: Alteration Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments: Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary: PL - Permit Fee (miscellaneous) $59.00 Surcharge -Fixed $1.00 0801.4087 9001.2195 Total: $60.00 Contractor: Johnson Plumbing & Heating 7145 Oakland Ave. S Richfield MN 55423 (612) 243-3965 - Applicant - Owner: Priscilla Johnson 3836 Deercliff Ct Eagan MN 55122--143 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