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