1286 Deercliff Lane
Use BLUE or BLACK Ink
For Office Use
j Permit -Z if
City of Eap I
Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 j Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff. 1
I 1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Z,a ( Site Address: Unit
~.\cS GCS to
Name: i4S,Shc, Any Phone: (06J t 2
Resident/
Owner Address / City I Zip: p O .&gl b 7¢fEi mN~ Z /
Applicant is: Owner Contractor
~~z : t A C ! r :S -h ,.i 60 o t
Type of Work Description of work:
x
- .r }Construction Cost: Z, f„ O Multi-Family Building: (Yes _y / No __J
9
Company: cn,4 fihsk Contact: g ®J 6 AE A
i
s Address: i? rrc ~'Lr.l1 City: A C' ~4
p Contractor
State: ~!M tJ Zip: _ 5 S (Phone: (~j Z 2-1 (O ~a
a License 13C S49~:~ `76,?, Lead Certificate N f w- I I cr? ~ l
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
C D 60 to
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:
p Sewer lit 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 theV are trade secrets.
..._..~....,~_._,..~...,.~,~.,~.,,...u.~....~,..,..M-,~...~.~...___,_aa.....~_.,~.x~..,.,o_.r._....m...._~.~~,.-.,,.. ~w....._..~...,,......~H......~.x..wN-.e.,..r_,,..~T..~.~~...~w~
. ~~.,e.a..,~~.,_ __~s
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.got)herstateonecall.org
I hereby acknowledge that this information is complete and accurate, that the work will be in conformance with the ordinances and odes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X "fl c c f XC
Ap rcant's Printed Name V Applican s ignaW
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 ~,w Occupancy MCES System
Plan Review Code Edition AV-2 SAC Units
(25%_ 100% -Z) Zoning AV City Water
Census Code h'3~( Stories - Booster Pump
# of Units j Square Feet PRV
# of Buildings j Length Fire Sprinklers
Type of Construction Width !~f
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Iv- Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee 73
Surcharge
Plan Review '41?
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
I-AI
for +`r T. 1a
of Ln7 GS i L~~ ~ j t•.. t.tA('d'[,..' ,,.:.tl~.l. ~
LukotL, L 'Ant} 9 ..`Felts ` Q'Cti!
E REVIEWED
L-p, N
a
r R- i 4-t
4NS DIVISION
~J M 's ib
V 0.7' 1iZ
L 0.7' p I C7U
- N
55.30 Jo.
~tto~
' A II ~ ro I` ~ ~ p rzrV~vfk`( f
i- 1 t
Zia o
pR,JewPY of c Ln
~ t ~ o stn
ro n~ o q i
OI ~ Z l 3 ~ t
d~ 23.3
! ~ fe.
a'
n
1
PIoPoJed Garayr S/a~Ffe% `885.0 I` ~tI ut
i°rovo.,ed rp of feu9rJa fmn 885 5 ~ i ~ _ _ _ ' ~ (a tp
71.d3~ Sl Z 1 ~~d
~.i,d r orr-. t , .r
t.. - _'1/ . ~~I. iL ..t~. L ~_~L.E ~ 1 t. ~ .tlt.. T
17
1! J: I Ion
Use - - or BLACK Ink
f
For Office Use
1
City oi g t1~rrr~Rt f _.t..1,~~ (r
I Permit Fee l C✓-7
3830 Pilot Knob Road l
Eagan MN 55122 Cate Received: ' r~ 3
Phone: (651) 675-5675
Fax: (651) 675-5694 staff: k
L
21013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (-j site Address: bee, 0L-M 4Nif-e. unit
[Name:
jAJI &10 TC#~i~YtJ 6aMf, a~-')rJ ,)Q_hone_ -46-Z. °c-ZI4U
Resident
Owner Address I City I Zip: I h ri (~s, ~P 2
Applicant is: 0-ner t Contractor
Type of Work Description of work: D~
Construction Cost: Multi-Family Building: (Yes ~ t No )
Company l l ea i T~ trt~ t C Contact u r R r o
Contractor Address: 9 Z-0 CU e rr~a s t L~ City: 4 A.NL
State: _W4 Zip: 23 Phone: Z - Z) d
License ( 5!4 1; b 8 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No if yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Gall Gopher State One Call at (651) 454-0002 for protection against underground utilty damage Cali 48 hours
belo,e you =mend to dig to receive: locates of underground utilities
I hereby acknowledge that this informaron is complete and accurate: that the work will be in conformance with the ordinances and codes of the CiRr of
Fagan. that I undwsland this is not a permit, but only an apphr:ation for a permit, and work is not to start without a permit. twat the work euilt be In
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x f fit'? c L l.el~ ~o h v-~n r-5 X_
~ Dn
Applicant's P ' ted Nathe Applicant's ignature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA148689
Date Issued:04/16/2018
Permit Category:ePermit
Site Address: 1286 Deercliff Lane
Lot:010 Block: 003 Addition: Windcrest
PID:10-84460-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Lois M Schauer
1286 Deercliff Lane
Eagan MN 55123
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA164980
Date Issued:10/13/2020
Permit Category:ePermit
Site Address: 1286 Deercliff Lane
Lot:010 Block: 003 Addition: Windcrest
PID:10-84460-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
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 -
Christopher D Smith
1286 Deercliff Ln
Eagan MN 55123
(952) 426-2095
Ron's Mechanical
2026 Colburn Dr
Shakopee MN 55379
(952) 445-8585
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA166201
Date Issued:12/18/2020
Permit Category:ePermit
Site Address: 1286 Deercliff Lane
Lot:010 Block: 003 Addition: Windcrest
PID:10-84460-03-100
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Christopher D Smith
1286 Deercliff Ln
Eagan MN 55123
(952) 426-2095
Heating & Cooling Consultants Llc
46001 Hardeggers Ln
Cleveland MN 56017
(952) 461-5100
Applicant/Permitee: Signature Issued By: Signature