4048 Deerwood PlCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4048 Deerwood P1
Lot: 32 Block: 3 Addition: Engstroms Deerwood
PID:10- 23900 - 320 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
PERMIT
City of Eaan
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total: $90.00
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Owner:
Gary D Dyshaw
4048 Deerwood P1
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
$88.50 0801.4085
$1.50 9001.2195
Building
EA083031
05/13/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
OF EAGAN
BUILDING PERMIT
To be used for SF I*
Lot SZ Block
Parcel No.
cc I Name -j-1 w1maaswaavn
W 9601 XYLON 3
o Address
WT---- aZNI ft _. taw ..as"
;io Name aAr"L
00 OC Address
City Phone
Name
Address
Phone
I hereby acknowlege 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.
Signature of Permitee
A Building Permit is issued to: YBa68Y CON8TRWTION
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Sec/Sub.
Value
Eagan, MN 55121
Receipt #
OFFICE USE ONLY
Occupancy IM3 ? FEES
Zoning
(Actual) 6onst Y? Bldg. Permit 622.00
(Allowable) Y? Surcharge 76.00
# of Stories
66'
Plan Review
411.00
Length
Depth ?i SAC. City 100.00
S.F. Total - SAC. MCWCC 575.00
S.F. Footprints 560.00
On Site Sewage Water Conn
On Site Well Water Meter 40.00
M WCC System
-
Acct. Deposit
City Water 20.00
PRV Required S/W Permit
Booster Pump S'W Surchar 1.00
APPROVALS
Planner
Council
Bldg. Off.
Variance
W
jj
g
Treatment PI 226.00
Road Unit 310.00
Park Ded.
Copies
TOTAL e
3,273.00 ;
Permit No. PeFmit Holder Date Telephone #
"AIATER W
SEWER
PLUMBING
'
uc 41(-
V,'
--y2,hJ-6-L 6?? L
H.V.A.C. ?• g U
ELECTRIC ?O L o , `l
Inspection Date Insp. Comments
Footings I j% DS /S aS
Foundation
Framing G C{fr (?
Roofing
Rough Plbg.
Rough Htg. 74s
Isul.
Fireplace
Final Htg.
Final Plbg. (
Const. Meter Plbg. Inspector - Notify Plumber
EngrJPlan
Bldg. Final
Deck Fig.
, 7 rr
3 C IC ?-
Deck Final ?s Q rhe.- 3 5- z- o D
Well
Pr. Disp.
0 3830
rewrr 0010+0. ?;(!7
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
21LOT_KNOB ROAD, EAGAN, MN 55122 DATE:
PHONE: 454-8100 For Office l
Site Address " x ` " .'-t .
BLDG. TYPE WORK DESCRIPTION
Lot BIoFk Sec/Sub Res. New ?r
m Name C .'?ih Mult. Add-on
c Address - >
s-i G Comm. Repair
Other
City i e Phone .
• FEES
Name c'
" `? RES. HVAC 0-100 M BTU -$24.00
• c Address . -t? : ADDITIONAL 50 M BTU - 6.00
: City!' ' " " f shone L r " L (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
J
GAS OUTLETS
MINIMUM
1 PER PERMIT
50 E
1 A
(
-
) -
.
TYPE OF WORK COMM/IND FEE - I% OF CONTRACT FEE
Forced Air M BTU Q APT. BLDGS. - COMM. RATE APPLIES
US
Boiler
M BT TOWNHO
E & CONDOS - RES. RATE APPLIES
U MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS 12.00
Air Cond. ^'-hf
U MINIMUM COMMERCIAL FEE - 20.00 r
i
Vent .'<. -... _... M
$ STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF
PERMIT PRICE GOES
Gas Piping Outlets # , j BEYOND $,00j
Other $ s. E
FEE
SIGNATURE OF PERMITTEE
S/C: c
TOTAL F ?" FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 454-8100
Site Address -!?4'
Lot ?
.....
Add
c City
FEES
COMMAND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SIC PER EACH $1,000 OF PERMIT FEE)
PERMIT # 12,a
RECEIPT # C.
.
DATE: - .W
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $ ,
Bath Tubs - $3.00_
Lavatory - 00
? Shower - $3.00
i Kitchen Sink - $3.00
UrinaVBidet - $3.00
Laundry Tray -$3.00 71 -,.
i Floor Drains - $1.50 TT,
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
_ Rough Openings - $1.50
PERMIT FEE: 34
STATES SIC:
GRAND TOTAL: 34, :r-2
SEWER & WATER PIERMIT
CITY OF EAGAN '
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
RG
METER # J?f P 07 a 5 PERMIT DATE H / 17 1
CHIP # d O 73 3 -3 6 9 WATER PERMIT # 10813
METER SIZE 0 B.P. RECEIPT # 3445
ISSUE DATE 21-aml-k9 B.P. RECEIPT DATE 8117/89
- PRV - BOOSTER PUMP
SITE ADDRESS ?y .
LOT - r%f K s
PERMIT REQUESTED
SEC/SUB
APPLICANT: ?'? ?sI r'Y ?D AJ t
ADDRESS: go/ ?lv/0 ?.1 S
CITY, STATE /V? s if 2A' -zip 's I
PHONE: f D sA-7
PLUMBER: da '07
ADDRESS: S7
CITY, STATE ,y zip ,i S 1:214
PHONE: /,'IF I? fry S 0
OWNER: _
ADDRESS:-
CITY, STATE
ZIP
SEWER
-COMM/IND
!/L NEW
±WATER _ TAPS
RESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN,,O//RDINANCES:
SIGNATURE WHEN METER ISSUED
11Z
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER
SITE ADDRESS '
CONTRACTOR fSZf?,' itfr DATE f- PHONE S' ,7 SGr??' ADS A3
Determine working square footage of each.
1. Total exposed wall area ...... 2 3 O s q. X
q• --jL = C71
_3o.1
2. Total roof/ceiling area ...... 9'? sq. ft. X _026 =
Total exposed wall area above floor =
a. Total wall window area.........
••
b. Total door area
••?
,,?
c.
Total ..... ,,,,,
sliding glass door area
•• _-1
d.
Total ................
fireplace wall area. • ,-,,,,, -L? G
e. Total wall framing area (average 10%)...... ... S
f. Total net wall area above-floor .. G
?
g.
Total ...............
rim joist area ..•...,,,,, ,
L
_-
-
Total exposed foundation area = 9w
h. Total foundation window area....
i. Toal net foundation area above grade ............ ,?
V.-
Determine "U" value of each wall segment.
a . 1?2.23 X flu„
b. 37,11 X $pu,l , 123
C. 0 X fluff
If If
e. 2?/, 2p X fou,$
9 X
• ,l0ff
- -,
h. X „u„
3... ..................................Total p?
If item 03 is the same as, or less than item fl, you have met'the intent
of SBC 6006(c)2.
CITY OF EAGAN ND 16 9 3 9
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est. Value $152,000 Date AUG 15 , 198x_
Site Address 4048 DEERWOOD PL
Lot 32 Block _ 3 Sec/Sub. ENGSTROMS OFFICE USE ONLY
Parcel No. DEERWOOD Occupancy R-3 -HL-1 FEES
Zoning RR-1
W Name WESLEY CONSTRUCTION (Actual) Const N Bldg. Permit 822.00
o Address 9401 XYLON S (Allowable) V N Surcharge 76.00
City MINNEAPOLIS Phone 452-0587 # of Stories 411.00
661 Plan Review
Length
;io Name SAME Depth 461 SAC, City 100.00
O` Address S.F. Total SAC, MCWCC 575.00
City Phone S.F. Footprints -
Water Conn 580.00
On Site Sewage
W Name On Site Well Water Meter 90.00
_= Address MWCC System XX 30.00
M? Acct. Deposit
i W City Phone City Water X6
PRV Required S/W Permit 20.00
1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge 1.00
information is correct and agree to comply with all applicable State of 22$, 00
Minnesota Statutes and City of aga Ordina S. Treatment PI
Signature of Permitee 17 APPROVALS Road Unit 340.00
A Building Permit is issued to: WESLEY CONSTRUCTION Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council -
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off, Copies
Building Official I Variance TOTAL 3.273.00
L fi ?W-x J v d 3 w +? -- -
i; "4Y^rt{ d
(Serftfirafie of (Orrupaurg
e tp of eagan
Dirprartlumt of wilding . prrtinn
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
U. classifrcarion SF U'/ M Bldg. Nrmit No. 16919
Occupancy Type R3/MI Zoning District R I Type toner. VN
Owner of Building WN'Y OCBSTRUCPICK Address 9401 IMIN A- MTt?tE1lW tt•-N
Buildi? 4 I) Wa Locality L32. B3i rS MMM
Date: D_._ ?. , 1989
Building offi*
POST IN A CONSPICUOUS PLACE
;,w ! ..1. ?'- {.l -" ..-??.°/i •!." t r :.tea
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CILCS.
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
I(eq 59
MULTIPLE DWELLINGS
2 SETS OF PUNS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG DIV.)
1 SET OF ENERGY CALCS.
COMMERCIAL
2 SETS OF ARCHITECTURAL
A STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGI CALLS.
!MULTIPLE DWELLINGS RENTAL UNITS FOR SALE ARTS / OF UNITS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRAGTOR/BOMEOWNER MST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT 13 ISSUED..
SEWER i WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH TEE BUILDING
PERMIT FEE. PROCESSING TDM FOR SEWER AND WATER PERKITS IS TWO DAIS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
lug 0 E 1969
To Be Used For: jF D &A R-? Valuation: J 52 + 00J Date:
Site Address 110 quo O zft? /-? OFFICE USE
Lot 5 c;Z Block 3
Owner
Address
City/Zip
Phone
Contractor 01i -e
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Occupancy R-3 M - ) FEES
Zoning R-1
Actual Const y- N Bldg. Permit
Allowable V-N Surcharge
# of stories Plan Review
Lengths SAC, City
Depth t SAC, MWCC
S.F. Total Hater Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage S/V Permit
On site well S/V Surcharge
MWCC System Treatment Pl.
City water Road Unit
PRV required Park Ded.
Booster Pump Copies
SUBTOTAL
APPROVALS
Planner Penalty
TOTAL
Council 7??T
Bldg. Off. `tb/ i4
Variance
Phone 0
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY N
3830 PILOT KNOB KNOB RD RD • 55122
651-681-4675
New Construction Requirements Remodel/Repair Requirements
. 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
1 set of Energy Calculations
. 3 copies of Tree Preservation Plan if lot platted after VIM
Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE
JOB SITE AD
IF MULTI-FAMILY BUILDING, HOW
PROPERTY
TYPE OF WORK
FIREPLACE(S) _0 _1 _2 _3
APPLICANT SEi A AnOFING & REMODELING. INf. PHONE # (o IIZ -1903 -SOS(
ADDRESS 4100 EXCELSIOR BLVD.
ST 6011-1I9- PARK MN 55416 ZIP CODE
PAGER # dI20"At9ft # FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant 111AL9 /Z
Certificates of Survey Received _ Tree Preservation Plan eceived - Not Requ d _
MINNESOTA RULES 7670 CATEGORY I
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Phone #:
- Water Softener Lawn Sprinkler
Water Heater _ No. of R.I. Baths
No. of Baths
Air Conditioning
Heat Recovery System
VALRTION (EXCLUDING LAND) /V / ?V ?•
Updated 1101
RESIDENTIAL BUILDING
Permit Application
City Of Eagan
!?J + 3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
-1b `7 o C) 3
New Construction Requirements RemodeVReoalr Requirements Once Use Onlv
3 registered site surveys showing sq. ft. of lot, sq, tL of house; and L11 roofed areas 2 copies of plan _ Cart of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions -Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks _ Tree Pres Not Reqd
1 set of Energy Calculations I Addition -indicate ifonsffe septic system -Onsite Septic System
3 copies of Tree Preservation Plan ff lot platted after 711/93
Rim Joist Detail options selection sheet (bldgs with 3 or less units
Date Construction Cost C?
Site Address(fJ? ?Qpa/fA ( ?Gp (4 Unit/Ste #
Description of Work bX, .41 yl %,? D ?/v x
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 91 - 2
Property Owner f 6?r C? (I ?( y ?/?j? Telephone # ((751)
FIRSIDE HEARTH & HOME
Contractor
3850 W "NY
Address RRRes VIIIF MN 55337
City
State I I C #20090911 Zip Telephone #( )
'HONE 952-890-0758
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Licensed Plumber Telephone #( )
Mechanical Contractor Telephone #( )
Sewer/Water Contractor Telephon
SEP 2 2 2003
I hereby apply for a Residential Building Permit and acknowledge that the information is complete Id accurate;
that the work will be in conformance with the ordinances and codes of the CBv-of Easan -and-the?tiate 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 the approved plan in the case of work which requires a review and
approval of plans. -
?fSY'QXZSrGY1
Applicant's Printed Name pplicant's Signa e
* **
* PIOIN
engir
* y T * *
PI. PNNFRS•LP NO -MF LRCHI I FClS
cettificete of Survey for:
a•6 ep9
n' 0
^ w `
1'1?T?J O ? ? ws?
a 7 ZI • o *rrw
?'Firran D,cewo e?
TV-Q pcQ Rill j
00
dQy3?1-
i I fo
CIVIL ENGINEERS
6
reeTIa t-
ply{. O
.S
x'90
2422 Entetplise Dlive
Mendota Heights, MN 55120
(612) 681 1914
NORT'rl
a
j7„ ? -t ray N ,%, i - e
it o s e 6S_ \-
:I 1 10 1= ?, ?/0
1 -
I \ /
tR?6.5
(03.52
N Be ° 36'l 9 "E
soo.o Denotes exislij flevatfort
Uelmles propdt,ed Hevaliw)
-UenotoG UrabruItel L'litrl? Fcaserrrernl
- Denotes Pruinci e riowL/)rrows
l)erroles mortumerd
Beariois ./town are assuriiied
1
r
Ali!5[A ENGINEERING DER
,?[?O_EOSED YY LEVOIIQN5
10wesT1--1oor flevalrorT 30
Top o, Block flevatiorl?88jj?
Garo6e Slab flevatiori:: 8,3
$uJecl' to Casements of "Record
LOT 32, Rock -:3 , ENa'S oms DEEi ooo Am
O/AK0r,9 ccuNTr, MrNNSSOrA
1 hP.11" ranily that this "",v. plan m report was) P Pared by nr anI I my dilncl ,.I... visinn and Ihm 1 mn duly fingistrred Land $urveym
nmini thr laws at thn Srale nl Mi.."ma. nmed this. F T day n1 . ldq A.D. 19
k)(.0, A . 9- 89 Moved f/ot/se /
ocule: 4-01M.
n n.nt n. SlK.IUII nrn. IUI. InRn?------
99 012.0¢
WALL SL'(' T -EONS
a4KCTF:: Use 15% of oP'que wall area for
r. frame construction
WALL
FIG. Nl TOPVIFW OF
FR,ViE WALL
FIG. $2
S/ L L I.TrR C ,
?e:iphe al
I "T'
FOOND TICN
VJA LL
SLAB ON GRADE
a- , /O
t'
• r
FIG. M3
t•
O 4 . b
C I "' Total 23.03
? ` ~Q 1. Interior air film 0.68
2 G " iWtl/ eo
/3
. ,
fill -
k
3.
i fil 0
17
6. Exterior a
r m .
b. Total ?y yG
?, .l? v- •toy
--o
-
j i
i fil O
G8
-
-Qi 1. Inter
or a
r m .
i .. 2 rrr?
Lill, 3. 12' ra/sue ?ipC/C /, Zfi
t?. u •Q• -
C 5•
6. Exterior air film 0.17
-
i. 'total (? 3
Construction '.-Value
1. 7o r l i film
/ 0.6a
2 2
4 . LL7JL -------------
_ ?•OG
6. Exterior air film - 0.17
-----------JC,1
aZ- = .09
1. Interior air fil.m 0.68
2 . ! Z " Al _ fps
4 . 2L
5. 7//G { iz i G7
6. Exterior air film - 0.17
FIG. 04 !!1 6 • r ^,_. /!r
0
lit k x /r/
L/( ? ll! c N+
NOTE: Indicate type, ^." value, death and
placement of insulation.
Request Date - Fire No. Rehi in Inspecton
Required? ? Ready Now 19WIl Notry Inspector
op
Yes ?No When Ready?
I ?A licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) Gay
a ,,f
A! woa G/7G? E?If+fl?
No.
Section No. Township Name Range No. County
b/Ok'o 7li-
Occupant (PRINT) Phone No.
SL s ?,,,? Sa -os
Power Supplier Aouress
Electrical Contractor (Company Name) Contractors Loan. No.
qe?
Mailing Address (Contractor or Owner Making Installation)
4 & Ale
,
-
CContraotouCwner Making Installation)
Authorized Sgnatu
Phone Number
%
MINNESOTA STATE BOARD OF ELECTRI y THIS INSPECTION REQUEST WILL NOT
Grigga-Mitlway Bldg. - R.O. S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St Paul, MN 45106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION E13-00001-07
ti
? See instructions for completing this form on back of yellow, copy
X" Below Work Covered by This Request
ew Aad Rep. -' Typeof Building Appliances Wired EquipmernWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # ircuitslFeeders Fee
s 7
IWAm
-
Swimming Pool / 0 to 200 Amps p
0 to
;s
Transformers Above 200 -AMPS Amps }
Signs Inspectors use only. TOTAL d
?
O
Irrigation Booms
Special Inspection
Alarm/Communication -
Other Fee
Rough-in
Da
I, the Electrical Inspector, hereby
certify that the above inspection has Fine, Da
been made.
OFFICE USE ONLY
This request wid 18 months from
ROOF/CEILING
Page Three
construction R-Value
1. Interior air film 0.61
2 vrG 00, , `J
3. . O ee414COfe 4
4. Exterior air film (still 0.
VE14T _L-nIkI LLA.?, .
Vented Heat flow
up
FIG. #5
Total 39, V
1. Interior ai film 0.61
2.
3.
4. Exterior aire,?filnN(Itill)
Total
I Heat floe up vented
FIG. #6'
..
1.
2.
3.
4.
5.
Note:' use additional sheets if more space
needed for details and calculations.
._ PV{\?YIi1LL GY
Heat
flow up
FTr,. 07
Request Date Fire No. Rough in Inspection
15 r
S Re d? ? Ready Now ? Will Notify Inspector
o When Ready?
I licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street, Box or Route No.) Ciiy
O f¢/L?JOOD 6.4LG?
Section No. Township Name or No. Range No. County
e ?z Bum 3 S,40d 7
Occupant (PRINT)
Phone Na.
/
£SLe a 9 S? -O S?
Power Supplier Address
/ .
, ?
,
Electrical Con[racl Company Name) tract
o ? nse No.
Q
Mailing Address (Contractor or Owner Making Installation)
`C??,,
?Tv?
Authorized Signature (C Mra nuu/ oer Making Installation) ?. Phone Number
MINNESOTA STATE BOARD OF ELECTRICIT'? THIS INSPECTION REQUEST WILL NOT
Gri9ga-Midway Bldg. - Room S-1T3 BE ACCEPTED BYTHE STATE BOARD
1821 University Ave., SL Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone f512) 542-0500 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001-o7
? See'mstruchngs for compieling this form on back of yellow copy
X" Below Work Covered by This Request
ew Add Rep. Typeof Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Oiher (specify) Contractors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 Amps Above 100 Amps
Signs Inspectors Use Only: TOTAL
Irrigation Booms S.SIJ
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby
certif
that the above ins
e
ti
h Rough-m Date
y
p
c
on
as
been made.
e
m Final Dare
v1-/
OFFICE USE ONLY '
Tbi
eq
void 18 months from
1
G
Total exposed roof/ceiling area = 13®
J. Total skylight area............ ...
k. Total roof/ceiling framing area (average 10%)...
1. Total net insulated roof/ceiling area........... 3.
Determine "U" value for each roof/ceiling segment.
3. X OU,l
k. /34 [/ X Ifull a?G r 3.39
4 ..................................Total = 2.
If total of #4 is the same as. or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items 13 and #4 shall not be greater than the sum of items 01 and #?.
30 + 2. ?3-90 ? S 20
3. TSB, GS + 4. 3?. ?3 sag
'PI - '? ?2 (J f
?? iJ + I!i'if! ? ??
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS,ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: pL1 Valuation*i Date: l ?a \ b
Site Address 0
Lot i Block 3
Parcel//'Sub l?e??Wa??Q t
Owner Gr-iV-\-t'ri /r' S? • 115 YYr 4?
Address L10V n.urrQ ??C4
City/Zip Code ?c<?Gt? j51a
Phone &v 83-
Contractor
Address ?Cb .r `52~
City/Zip Code
Phone
Arch./Engr. Al
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
OFFICE USE ONLY
7(' 2-
:---, A
/ r-
On site sewage_
On site well _
MWCC System
City water
PRV _
Booster Pump
APPROVALS
Planner
Council
Bldg. Off.
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
* PIONEER "NO SURVEYORS.-CIVIL
Lengineering LANG PLANNF" - LANDSCAF
2422 Enterprise. Drive
Mendota Heights, MN 55120
ARCNITECT
(612) 681-1914
Certificate of Survey for: V\/ ES4-[ 6D IV 5 T,
Dam 4
Al/. GE NORTH
<F
?e 9
<.. ?1?.?a;62°yb $116 X183
4S'
?1anf,ol¢? ?I
? f°P Lb'? 1 9 --- @3
M ?
070.
- Z ^ S.
r49So.6S-
J ? a tB.O o ,?,.a
i
?Iq?1L'; y.5
ty
AN,ti?
h
(D3.SZ
N btu °36'19 "?
. sao.o Denotes exislinr Elevalion
r 9oo.o Denoles propel, eel Elevottiori
- Donol es Oraina??e ( Ulili? EUsemenl-
-- ?- Denotes Drain Flow Arrows
D Denotes monumerif
16
_PROPOSED N USE LLEVA77oN5
Lowes Floar E eva io $ 3o
Top o; elock Elevalion 183:33
Gar* S/ab Elevafion0s3"y
Bearinis shown ore assumed Su?ecl to Edsemenl5 of ' Retard
LOT 327 Rock S ,Emcmams Dapwooo Am
oAKoi'R coutvrr , M1Al"ESCITA
I hereby rectify that this survey, plan or repnrt wa?s1In//prtpared by . or and r my direct znneprrv/iijjsion and that I am truly Registered Land Snrveynr
under thn laws of the Stare of Minnesnra. Dated I"i'7x daV nr _ A.D. 191LL.
/bet/' 8. 9-81 M^VPd 1-16v3e
It 40fef
-- -- - -
69012.°¢ - ? P60" r n. SIH,ICII L,S. nFf;. cell), 74flA1
oil.6
''o
PERMIT
Permit Type: Building
City of Eagan
Permit Number: EA105719
Date Issued: 07/26/2012
Permit Category: ePermit
Site Address: 4048 Deerwood Pl
Lot: 32 Block: 3 Addition: Engstroms Deerwood
PID: 10-23900-03-320
Use:
Description:
Sub Type: e-Reroof
Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Occupancy:
Zoning:
Square Feet: 0
If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar. Pictures are
Comments:
not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $4K $103.25 0801.4085
Fee Summary:
Surcharge - Based on Valuation $4K $2.00 9001.2195
Valuation: 4,000.00
Total:
$105.25
Contractor: Owner:
- Applicant -
Sela Roofing Remodeling Gary D Dyshaw
4100 Excelsior Blvd 4048 Deerwood Pl
St. Louis Park MN 55416 Eagan MN 55122
(612) 823-8046
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
Permit Number:EA119907
Date Issued:01/02/2014
Permit Category:ePermit
Site Address: 4048 Deerwood Pl
Lot:32 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-320
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.
Kris Oien
3670 Dodd Rd
Eagan, MN 55123
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
Gary D Dyshaw
4048 Deerwood Pl
Eagan MN 55122
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA124548
Date Issued:07/07/2014
Permit Category:ePermit
Site Address: 4048 Deerwood Pl
Lot:32 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-320
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Elizabeth Hess
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Gary D Dyshaw
4048 Deerwood Pl
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177888
Date Issued:07/25/2022
Permit Category:ePermit
Site Address: 4048 Deerwood Pl
Lot:32 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-320
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Gary D Dyshaw
4048 Deerwood Pl
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature