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4052 Deerwood PlRESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN I? r ( 3830 PILOT KNOB RD - 55122 - ?? 4? `P 651-681.4675 Now Construction Requireme • 3 registered site surveys showing sq. It of lot sq. It of house; anchll roofed areas (20% maximum lot coverage abwed) • 2 copies of plan showing beam & window sizes; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan ff lot platted after 711/93 • Rhn Joist Detail options selection sheet (bldgs with 3 or less units) RemodelfReoairReouirements - -1-? -v • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 she survey for exterior additions & decks • Indicate ff home served by septic system for additions DATE 1--? VALUXION 311 JOB SITE ADDRESS '465-- Fj?r-?KLA/UQV-9 P[- IF MULTI-FAMILY BUILDING, PROPERTY OWNER I TYPE OF WORK (? C 0L? APPLICANT ac) ADDRESS 76?? _ PAGER # MANY UNITS? CELL PHONE # -0-1 -2 NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor. Mechanical System Includes: Sewer/Water Contractor. Water Softener Water Heater _ No. of Baths Air Conditioning Heat Recovery System All above information must be submitted prior to processing of application. ,?SG _ Phone #: Iawn Sprinkler Fee: $90.00 No. of R.I. Baths Phone # I hereby acknowledge that I have read this application, state that with all applicable State of Minnesota Statutes and City of Eagan Signature of Applicant Phone # is )Fr?L u and agree to comply Certificates of Survey Received - Tree Preservation Plan Red _ Not Required Updated 1/01 = ate- Ilk CITY OF EAGAN Q 1 789 1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 Receipt # T S! DWG/"R $152,000 "Ai 17 ,n 90 o be use for Est. Value Da e 4052 MRWOOD PLACE Site AdgTss ENGSTRO ' S DBER M - Lot Block Sec/Sub. Parcel No. WOOD Occupancy Zoning X Name (Actual) Const Address fAhowab1e) G _ City Phone # of Stories Length Name Depth F u< Address S.F. Total City Phone S.F. Footprints On Site Sewage W ? Name On Site well w _= U O Address MWCC System W City Phone City Water PRV Required hereby acknowlege that I have read this application and state that the Booster Pump information is correct and agree to comply with all applicable State of * Minnesota Statutes and City of Eagan Or ? I Signature of Permitee APPROVALS R. A. MDT [OHO Planner l` A Building Permit is issued to: j on the express condition that all work shall be done in accordance with all Council I applicable State of Minnesota Stat s and City of Eagan Ordinances. Bldg, Oft. Building Official Variance a t d OFFICE USE ONLY R7-3 H- I Ytn Bldg. Permit : Surcharge 7r- Plan Review ir- SAC, City SAC, MCWCC Water Conn Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI Road Unit Park Ded. Copies TOTAL 600.00 ---3tF.-00 I Permit No. Permit Holder Date Telephone # WATER p! SO SEWER PLUMBING !? 7 9 10 7/f 9? Qyi f ¢: ?? ?J P c O ? $ 6i ? y ELECTRIC Inspection Date Insp. Comments Footings l Foundation Framing Rooting Rough Plbg. ° Rough Htg. // Y!! Gsrl K-? ?d QS Isul. O Fireplace 1,4 Final Htg. K Final Plbg. zO- Meter Const. Plbg. Inspector- Notify Plumber EngrJPlan Bldg. Final ?Q Deck Ftg. Deck Final Well Pr. Disp. 1 PERMIT # MECHANICAL PERMIT RECEIPT # CITY OF EAGAN DATE: 3830 PILOT KNOB ROAD, EAGAN, MN 55122 CONTRACT PRICE PHONE: 454-8100 For Office Use Only: Site Address BLDG. TYPE WORK DESCRIPTIO N Lot Block Sec/Sub New Res , Mult. Add-on ? Name Comm. Repair c Address Other City Phone FEES Name RES. HVAC 0-100 M BTU -$24.00 W Address ADDITIONAL 50 M BTU - 6.00 p City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1 50 EA TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE . . Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES B iler M BT TOWNHOUSE & CONDOS - RES. RATE APPLIES o U MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM $ (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE: SIGNATURE OF PERMITTEE S/C: TOTAL: FOR: CITY OF EAGAN MECHANICAL PERMIT DATE: 6/6/91 RECEIPT: 101688 SITE ADDRESS 4052 DEERWOOD PLACE Unit # Permit # 13804 L 33 B 3 Sect./Sub. EHGSTROM' S DEERWOOD CEDAR VALLEY HEATING-784-3643 ADD-ON A/C INSPECTION INSPECTOR DATE COMMENTS PRICE Site Addre CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN PHONE 454.8100 Phone Add City Phone FEES COMMAND. FEE - 1% OF CONTRACT FEE APT RI nr:? - r:nM\A RATP APPI IPQ TOWNHOUSE & CONDO - RES. RATE APLUES - 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) For PERMIT # 55122 RECEIPT DATE: _ BLDG. TYPE WORK DES CRIPTION Res. New X Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: FIXTURES TOTAL Water Closet - $3.00 $ ?-M Bath Tubs - $3.00 J Gb Lavatory - $3.00 49.00 Shower - $3.00 3 Lb - Kitchen Sink - $3.00 -7 0J Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 0,3 /- 'z Gas Piping Outlets - $1.50 !•:P (MINIMUM -1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 Rough Openings - $1.50 J? U. G. Sprinkler System - $12.00 PERMIT FEE: X15. w STATES S/C: GRAND TOTAL: V 5D CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTION RECORD PERMIT TYPE: Permit Number: Date Issued: SITE ADDRESS: L OT t 33 +1051 DE. t NW00D PL FN©STHON' `.1 DEERWOOD PERMIT SUBTYPE: rl c (: K HI.OCK z 3 OK APPLICANT: OAUE . OAN TE L (612) 452--229N TYPE OF WORK: Control No. 0049 11111 1 0 1I N G 00#01-10 0:3117192 ADD I r ION t J ! _ ??r`er '1r 10 - - - - - - - - - - - - - - Permit No. Permit Fielder Dole Telephone A S/W PLUMBING HVAC ELECTRIC ELECTRIC Inapeallon Date Insp, comments Footings I I Foundation Framing Roofing Rough PtQ- Rough Mg. Isul. Fireplace Final Mg. Orsat Test Final Pibg. Plbg. Inspector - N1otity Plumber Const. Meter EngriPlan Bldg. Final Deck Fig. 3 ZO t Deck Final ICL4P Wen Pr. Disp. NNORM SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE MAY 14, 1990 /OFFICE USE ONLY METER#?37JZ7PERMITDATE 05/29/90 CHIP # 616V 55-1-5-6- - PERMIT # 11424 METER SIZE ?ws 0 B.P. RECEIPT # 0 2 e] ISSUE DATE B.P. RECEIPT DATE05/29/90 - PRV _ BOOSTER PUMP SITE ADDRESS 4052 DEERWOOD PLACE LOT 33 BLOCK 3 SEC/SUB ENGSTROM' S DE'ERWOOD APPLICANT: ADDRESS: CITY, STATE ZIP PHONE: PLUMBER: r l I r` i ?? I ADDRESS: 15185 CAROUSEL WAY CITY, STATE t2 c t. f r u - `f zip 55068 PHONE: zt?z r• - 3 7 3 O OWNER: R.A. KOT HOMES Annor-cc. 15142 CHERRY LANE STATE ZIP 5533 PERMIT REQUESTED X SEWER X WATER TAPS COMM/IND 3 RESIDENTIAL- --&- NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be.9iven for Deduct Meters. 1 AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN M ER ISSUED ING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM ENGINEERING DEPT. EXTERIOR ENVELOPE AVERAGE -U" COMPUTATION OWNEf't------------- DON AND SUE GAGE PLAN NO. 9-041_)6-C) SITE ADDRESS CONTRACTOR _.._.._.__..._.__._.._....._-.___._..__.?._. -- ___._-_____.___.. R• A-k:GT HOMES, IlVCDATE -10--9c) PHQlVE _. ------------- DETERM I ME WORKING SQUARE FOOTAGE 579. 642 1. Total exposed wall area3637.3i4 sq. ft. .. .11 400. 1111 2. Total roof /cei 1 i rig area 1571 sq, ft x .026 40.946 3. Total floor cant. area 96 sq. ft . .. 0.026 2.496 (over unheated enclosed areas) 4. Total floor cant. area 21 sq.ft. x 0.08 1.68 (over unheated exposed areas) 5. Total exposed wall area above the floor. _248.982 a. Total wail window area ..............,......391.7718 b. Total door area ........................... 37.3189 c. Total sliding glass door area ............. 35.5511 d. Total fireplace area ...................... 0 e. Total wall framing area (ave. 10%) ........ 32f4. x8982 f. Total net wall area above the floor ....... 2458.942 g. Total rim joist area ...................... 329.66 TOTAL. EXPOSED FOUNDATION AREA ................ 58.7322 h. Total foundation window area .............. 0 i. Total net foundation area ................. 5B.7322 Determine "U" value of each wall segment.. a. x:91. 7718 ,. "U" 0.39 _. b. 37.8189 .. "U" 0.06 = C. 35. 551 1 x "U" 0.39 _... e. 324. X3982 "U" 0.090334 = f. 2458.94' ., "U" 0.043215 = g. 329.66 "U" 0.040683 _. h. 0 "U" 0.39 = i. 58.7322 .. "U" 0.076161 = 152.7910 2.269134 13.86492 0 '2'9. 34943 1 06. 2637 1:x.41171 C) 4.473130 6 .....................................Total 322.42:0 If item #6 is the same as or less than item #1 you have met the current energy codes. MCAR 1.16003 A AND Q. TOTAL. EXPOSED ROOF/CEILING AREA 1571 j. Total skylight area ....................... 0 k. Total flat roof/ceiling framing area...... 157.1 1. Total net flat roof /ceiling area.......... 1413.9 Determine "U" value for each roof/clq. segment j• 0 x IIUtt 0` u k . 157.1 ,. "U" 0.026925 = 4.229940 1 • ,• 1413.9 >; "UIt 0.022794 32. 22a.1 7 ...................................Total 6.45925 If item #7 is the same as or less than item #2 you have met the energy code., 2 MCAR 1. 16009 A AND '.ii CITY OF EAGAN N2 17891 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # 0???? Tn he used for SF DWG/GAR Est. Value $152,000 Date MAY 17 .19 90 Site Address 4052 DEERWOOD PLACE OFFICE USE ONLY Lot -33_ Block 3 Sec/Sub. ENGSTROM' S DEER- R-3 M-1 Parcel No. WOOD Occupancy FEES R- L W R.A. KOT HOMES Name Zoning (Actual) Const - - VD Bldg. Permit $ 822.00 Address 15142 CHERRY LANE (Allowable) Vn Surcharge 76.00 ° City B' VILLE Phone 892-6633 N of Stones 534.00 ?? Plan Review Length c Name same Depth 44 SAC, City 100.00 00 < Address S.F. Total AC MCWCC 600.00 n , S City Phone S.F. Footprints Water Conn 625.00 On Site Sewage W W Name On Site Well Water Meter 90. 00 Xa Address Mwcc System 30.00 Acs Depose OE W City Phone City Water S/W Permit 30.00 PRV Required I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge .50 information is correct and agree-to c pi ith all icle State of 252.00 ;? Minnesota Statutes and City agar rdin n e . ' Treatment PI Signature of Permitee C? - APPROVALS Road Unit 355.00 A Building Permit is issued to: R.A. KOT HOMES Planner Park Ded. on the express condition that all work shall be done in accordance with all Council \ applicable State of Minnesota Statu and City of Ea n Ordinances. Bldg. Off. Copies $ 3,514. 50 BtAkfi tg Official Variance TOTAL S Tertif irate of (Orrupanry f . Citp of (Cagan Inila umt of vidlding ?)n> rrz?ott This Cerliftcate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that al the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use Uemrrauoe SF ME/CAR Bldg. Permit No. 17891 Oamp-cy umType i R.A. KOT E S 7aaug Dism 15142 CH TVM CLAM E Owen of Bwldiua Address f EEMMM- &nlO g Addrm Lnuliry f f AXUSr 293 1990 ?B /. . POST IN A CONSPICUOUS PLACE 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. SAY 16 REG4 To Be Used For: 441-J J2n;14;gI Valuation: Date: S4/6 0 Site Address gQ5`2- b e`wgo fi Lot 33 Block 3 ft 0.Ce- Parcel/SubH9s7'?N^SywOcsc?l Owner dm??eS Address /5/SfZ C?ew?, [Apve- City/Zip Code 9144 S l?4 SS.1 Phone $? Z- cc 3 3 Contractor S R v.-c 0,f cr by Address City/Zip Code Phone Arch./Engr. -e r-4 ah Address JO©+^,??iy?n City/Zip Code Phone # 98 /' y?I(h OFFICE USE ONLY FEES Occupancy Zoning l 1 i Bld P C Actua C:,nst V4 g. erm t Allowable VIV Surcharge 211, # of stories Plan Review 53 / Length SAC, City /oo Depth S/ y SAC, MWCC 6,60 S.F. Total Water Conn 62?- Footprint S.F. Water Meter Acct. Deposit so On site sewage- S/W Permit 30 On site well _ S/W Surcharge ,So MWCC System G/ Treatment P1. 25? City water _? Road Unit 35-5 PRV Park Ded. Booster Pump Copies SUBTOTAL APPROVALS Penalty Planner TOTAL S S Council Bldg. Off. 5?7 Variance 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan $ 30 L'7 O 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date 0Y Site Address VoSLfru.loo / ?4 C? Unit # Property Owner +Uan Telephone#(6ZF/ )V-2-" ZL9S I /J Contractor Street Address L z S3 ??Gd /?t? "f'tJt' S' City 1 W State Zip Telephone # ( 954) 76 . / c Bond ft: /.37 9?y Expires: 9 LL o.Y' I i The Applicant is Owner Contractor Other Add-on or alteration to existing dwelling unit $ 3o 00 furnace -Additional X Replacement air exchanger _ air conditioner _New Replacement l other . -% ^ - C $ JO State Surcharge T l ota I hereby apply for a Residential Mechanical Permit and acknowledge that the inforrnation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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. Applic is Printed Name Applic nt's Signature RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window sizes: poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan ft lot platted after 7/1/93 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE 11115-10'a SITE ADC TYPE OF APPLICANT LILTI-FAMILY BLDG _Y -XN FIREPLACE(S) )< 0 _ 1 _ 2 STREET ADDRESS CITY STATEA4AAIP S"5123 TELEPHONE gy?!/oCELL PHONE # ?o?Z-8Ya -zy9? FAX *ZS/- YSY- 75/Og? PROPERTY OWNER A4J" a,..e(? cQ Ga.a??o TELEPHONE#4SI- VSL' ZZZ95- COMPLETE FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission type) • Residential ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: /yY?G ?r --phone # 46T1 -!YV-3-Plumbing system includes: _ Water Softener _ Iawn Sprirlkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: (a!2n (it.enp Mechanical system includes: - A hr Cn d itionmg _ Heat Recovery System Sewer/Water Contractor: Phone In Phone # v I hereby acknowledge that I have read this application, state that the information is correct,-and agreeTCTI omply with all applicable State of Minnesota Statutes and City of Eagan Or nces. Signature of Applicant LL: I%L%i'i ?lytn?? OFFICE USE ONLY 1 , C) r? ez RemodelfRegair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks \\ • Indicate if home served by septic system for additions VALLIATIO / -7 Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ ;k 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of- plex ? 09 07-plex ? 17 Garage ? 22 Parch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bl dg only) - Gi e PCA handout to applicant Valuation 000 Occupancy v r /lam MC/ES System Census Code L Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs / Length Fire Sprinklered Type of Const ; Width REQUIRED INSPECTIONS Footings (new bldg) Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof V Ice & Water F inal Pool _ Ftgs _ Air/Gas Tests -Final Framing _ - Siding _ Stucco _ Stone _ Fireplace - R.I. -Air Test - Final _ Windows (new/replacement) Insulation _ Retaining Wall Approved By T Building Inspector -------------- --------- --------------- - --------------------------------------- Base Fee v!? Surcharge/ 2/ 0 Plan Review 41 MC/ES SAC / '1 1100 1 " City SAC Water Supply & Storage (g" S&W Permit & Surcharge ? /}I ,. /! Treatment Plant 1 Plumbing Permit /f? YrY7l7 °7i /3 ('(? Mechanical Permit License Search Q,/ Copies 97? / ? Other 17JAPXAU04?, Total Ll 7, ??? TCO DESIGN 4 eck COMPLIANCE REPORT Rnesota Energy Code A1>1aeck Software Version 2.0 ?A Cnesota Department of Public Service 12-296-5175 1-800-657-3710 UWNTY: Ramsey 9Ta'i'E: Minnesota 7PNF: 2 eo>TSTRUCTION TYPE: Single Family WE: 11-8-2002 pATF OF PLANS: 11-6-2002 FIL,K: DAN and SUS GAGE PC0,7ECT INFORMATION: plan #tco22059 612 424.3676 F.01 Permit # Checked by/Date COMPLIANCE: PASSES pycguired UA = 163 ?;r. Home = 144 Area or Insul Sheath Glazing/Boor Perimeter R-Value R-Value U-Value - --- UA - ------------------------ LINGS ----------------- 581 --------- 44.0 ------- 0.0 - --------- - 16 wALLS: Wood Frame, 16" O.C. 912 19.0 2.0 47 GI.AZING: Windows or Doors 114 0.350 40 WORS 21 0.350 7 FLOORS: Over Outside Air 216 30.0 7 CRAWL: 4.0" ht/3.0" bg/4.0" ------------------------ insul. 316 ------------------ 10.0 -------- -------- ------------- 27 --- 4WLIANCE STATEMENT: The proposed building design represented in these alvcuments is consistent with the building plans, speci£iCations, and other calculations submitted with the permit application. The proposed building hers been designed to mee equir is the Minnesota Energy Code. &,tLLder/Designer Late `: P 2--- i TGO DESIGN 612 424 3676 P.02 NBW HOME FIELD INSPECTION FmRGY CHECKLIST LMUw X4WU1XXMENTS (CATEGORY 2) UNDATI ON,: 1 Exterior foundation wall insulation installed: R- 1 Slab-on-grade insulation installed; R- 1 Ducts in slabs have R-5 insulation bottom and sides INETRMONS: 1 Window and door frames sealed 1 Framed wall openings into attic sealed 1 Other joints in wall sealed 1 Dropped ceiling air-blocked OPTIONAL (CATEGORY 1) [ 7 Foundation rim joist sealed airtight [ ] Upper story band joists sealed airtight [ 1 Ceiling poly sealed to top of interior partition walls 1 Plumbing penetrations sealed 1 Exterior wails behind tub and shower sealed Plumbing vent stack sealed j Chimney flues sealed at ceiling 1 Perimeters of all grills and registers sealed to vapor barrier Electrical service sealed 14 Recessed light fixtures sealed 1 Wire penetrations into attic sealed Telephone, cable Tv Penetrations sealed 2 Parts sealed where vapor barrier penetrated [ ] Electrical boxes sealed to vapor barrier [ 1 Fan housings air sealed TCO DESIGN IF 612 424 3676 P.03 NEW HOME FIELD INSPECTION ENERGY CHECKLIST PAGE 2 MINIMUM REQUIREMENTS (CATEGORY 2) ,tiULATION: 1 Vapor barrier installed Interior foundation wall: ( 1 Vapor barrier installed ( ) Insulation installed: R- ( } Moisture barrier installed 1 Attic insulation installed: R- 1 Attic card posted with proof of bags installed ] Floor insulation installed: R- i wall insulation installed: ( )R-19 ( )R-21 ( ) R- _NZ WASH BARRIERS- I Wind wash barrier installed at attic edge 1 Overhangs (cantilevered floors and bay windows)have wind wash barriers HANXCAL: Ducts running outside conditioned space sealed and insulated with minimum of R-s Returns in same space as furnace sealed Ducts in unheated spaces Water heater has pipe insulation or heat traps installed Furnace AFUS: Central Air SEER; (CATEGORY 1) I 1 All exterior joints in building envelope sealed ( ] Residential mechanical ventilation system installed (Mandatory if one or more item in this column is checked) NOTES TO FIELD (Building Department Use Only)---------------------.---- DEERw00D PLACE 11 .. . Y OFD 9? A %0, -? ??c00 ?'s \ Co CERTIFICATE OF SURVEY For: ALTMAN and ASSOC. CENTER LINE 20 FT. WIDE 3?\\??s UTILITY EASEMENT PER DOCUMENT No. 546692 R9 O .00 I LA /1` II L.\/ 1 v 1?G! 1Q, s T 877 / 0 ?t?'1?' -1'---- -- 6 '--CENTER LINE 20 FT. WIDE SANITARY SEWER EASEMENT +? Y / p 8923 ?'. PER DOCUMENT No. 401262 00 - - p? - ----? / r<e oe k o 0 3 5 885 5 N ?? a `y Co s C0.9 / A? ?J \ F & \ J,O Se?F1 9 O pFR / s ?,Q. F Scale: 1"=30' ?n I? t0 U?iJ/ 'Z i? ? wE? L1NG 3 v' ??? 881 0 1^ 2. EXISTIN ° w DECK ° PROPOSED `028 ADDITION 78.5 0 215 \ r x 877.9 I 6 I .?A \ Jo cc_- 1 O L? ( I A?ily \ \ . /`, 87 Z ?-63`77 15 (0 N81°57'02"W LOT 33 X 0 ?'- 874.9 !': , 5 2 87 75.22 N88°36'19"E z I r\ T Page 2 of 2 c n l c James R. Hill, Inc. DEERWOOD PLACE CERTIFICATE OF SURVEY For. ALTMAN and ASSOC. PROPERTY DESCRIPTION: Lot 33, Block 3, ENGSTROMS DEERWOOD ADDITION, Dakota County, Minnesota. We hereby certify that this is a true and correct survey of the above described property and that it was performed by me or under my direct supervision and that I am a duly Licensed Surveyor under the laws of the State of Minnesota. That this survey does not purport to show all improvements, easements or encroachments, to the property except as shown thereon. Signed this 18th day of November 2002. Ja es R. Hill, Inc., By: E. Steven Wri*' t innesoto L.S. No. 41842 Notes: 1. Building dimensions shown are for horizontal & vertical placement of structure only. See architectural plans for building & foundation dimensions. 2. No specific soils investigation has been completed on this lot by James R. Hill, Inc. The suitability of soils to support the specific house proposed is not the responsibility of James R. Hill, Inc. or the surveyor. 3. No specific title search for existence or non- existence of recorded or un-recorded easements has been conducted by the surveyor as a part of this survey. Only easements per the recorded plat are shown. 4. Proposed grades shown were token from the grading &/or development plan prepared by BRW, INC. Bearings are on assumed datum Scale: 1'=30' 0 Denotes set spike o Denotes set iron monument • Denotes found iron monument x927.6 Denotes existing elevation (930.0) Denotes proposed elevation Denotes proposed drainage TC Denotes top of curb Bench Mark: 880.29 - TNH-lots 32&33. Block 3 Proposed Garage Floor= 8812 Proposed Garage Top of Block= 883.6 Proposed House Top of Block= 883.6 Proposed Lowest Floor= 875.5 HARD COVER SQ UARE FOOTAGE: Roof . . . . . . . . . .= 3344 S.F. Decks . . . . . . . . . .= 590 S. F. Driveway . . . . . . .= 994 S. F. Walk . . . . . . . = 174 S. F. Total Hord Cover . . . . . . . = 5102 S. F. Hard Cover = 32.6- % Open Space or Landscaping= 67.4 % LOT AREA= 15,625 Sq. Ft. or 0.359 Acres D n p C ° I ; Hill Inc James R I ` 0 N D r1 _ A , . . - °v ? r) " U m Z m PLANNERS / ENGINEERS / SURVEYORS 0 00 P o m N W 2500 W. Orr. RD. 42, SURE 120, &IR45i11F, MN 55337 W 00 PHONE (952)890-6044 FAX' (852 6244 PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: DESCRIPTION: 4052 DEERW00D PL LOT: 33 BLOCK: 3 ENGSTROM'S DEERWOOD PERMIT TYPE: Permit Number: Date Issued: Building Permit Type Building Work Type DECK ADDITION BUILDING 000050 03/17/92 REMARKS: E D 1710 - FEE SUMMARY Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - OWNER: GAGE, DANIEL 14522295 GAGE DANIEL 4052 DEERWOOD PL 4052 DEERWOOD PL EAGAN MN 55122 EAGAN MN 55122 (612) 452-2295 (612)452-2295 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 Mn. Statutes nd City of Eagan ordinances. J tiw E. APPLICANT/PERMITEE?i NATURE ISSUED Y: 1311ATT RE Control No. 0049 SD CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which request is made or lot change is requested once permit is issued. Date Ala.-ck / /S / 1? J Valuation of work Site Location:- 140?? STREET STE K Tenant Name: \ LOT 33 BLOCK ,:?A SUBD:Z6QYwc,G? P.I.D. # Description of work: 17/,' The applicant is: f?KOwner ? Contractor ? Other (Describe) Name Cav.r car '? / Phone I(S-)-2,09-5' Property LAS FIRST Owner " s 1 ?L ?' address /o . P,>u c9c ? STREET STE S City 'C', State Zip SS V Company s "s m Phone Contractor Address 0? Al??w`?, i, License #' City K?<u c State Mki Zip SS1? Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. I hereby acknowledge that I have rea this a plicatian and state that the information is correct and agree to comply with a applica le State of Minnesota Statutes and City of Eagan Ordinances. ' Signature of Applicant: BUILDING PERMIT TYPE ? 01 Foundation ? 02 Single Family ? 03 Two-family ? 04 Multi-fam. T.H ? 05 Apt. Bldg. WORK TYPE ? 90 New 91 Addition ? 92 Alterations OFFICE USE ONLY ? 11 Res. Add./Porch ? 12 Comm./Ind. New ? 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. ? 06 Garage/Accessory ? 07 Fireplace X 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish ? 96 Move ? 97 Demolish ? 99 Undefined GENERAL INFORMATION Occupancy Zoning Const. (Actual) (Allowable) # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance Footing ,,U Final ? Framing ? Draintile -572 -5e ? Insulation ? Fireplace A Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: Valuation: $ 2 '77-1 ,Y ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % SAC Units I ..: Frye.. rt_.,ju", l..a-Nt. HtY=H tsnc.losEd) . 9 6 o. Total floor cant. f raming area (five. 10%). 9.6 p. Total net insulated floor/cant . area....... 86.4 Determine "i vzaar.rea for each fl.r.»cir,'cart'h. segm ent. 0. 9.6 x "U" 0.056657 - 0.543909 p. 86.4 .. "U" 0.027708 _ 2.394014 ............................lot al 2.93792A . If item #8 o .r.=:: 'Y_Y'iF_:• same a or ]e.sra; thr::un item tt:iS yc)r..r have n;r;;•t f.he:• energy code.. 2 NCAR 1.16008 A AND 0. TOTAL i"'L... l_A.R/CANT. AREA (exposed) 21 q. Total floor/cant.. f raming area (ave. 10%i. 7.1 r. Total net insulated floor/cant. Determine "U" value for e ach floor/cant. segment. q- 2.1 x "U" 0.05743B - 0.120620 r.. 18.9 .. U" 0.027894 = 0.527196 9 .................,...................Total 0.6471316 If item 09 is the same as or less than item 04 you have met the energy code. 2 11CAR 1.16008 A AND 0. I HEREBY CERTIFY THAT I HAVE CALCULATED THE °U" FACTORS AND "R" VALUES HEREIN AND THAT THE F1UIL..DING'/HERE. DESCRIBED MEETS Ear: fi'::Xi_'A_.°.L ca THE STATE OF IHIiViJ(SOT'A (_"tdE=1•.(i'r" LUi`ISEEf'Jr1,lUN tltl signatu e) (date.) DETERMINE "U" VALUES" THRU STUD WITH SIDING & S.R. Interior Air....... 0.62 Sheet Rock ...... ,. Thermo--Break ...... 6 Stud....... ... 6.93 Sheathing......... 06 Siding............ 0.7@ Exterior- Air.. _ 0.17 Total "R" Value............ 11.0 I/R = "U" Value ..... ....... O.OgO3 04 THRU INSULATION WITH SIS.ING & S.R. Interior Air...... Sheet Rock::........ Thermo-Break ...... Insulati.on........ Pheathi.ng...... .. . Siding............ Exterior Ai.r...... 0.68 ii. l`, G 19 2 V6 0. 78 U.1: 0 36765Z 3s 23 . , Request Dale Fi No. Rough-in Inspection 5 2 5 90 Required? [Ell Ready Now Notify Inspector - 1 Yes ] No hen Ready? licensed contractor ] owner hereby request inspection of above electrical work at: JOD Address (Street. Box or Route No.) Qty 4052 Deerwood Place Eagan Section No. Township Name or No. Range No. County Dakota Occupant (PRINT( Phone No, R.A. Kot Homes Inc. 892-6633 Power Supplier Address Dakota Electric Farmington, MN 55024 Eln,m,al Contractor (Company Namej Contractor's License No. Midland Electric Inc, 041610 Mailing Adore- (Contractor or Owner Making Imirdhancn) 14055 Grand Ave So, Sui te E, Burnsville MN 55337 Autnon ( ContracmnOwner Making Installa Lonl Phone Number 892-6688 suraitbUTA MATE BOARD OF ELECTRICITY ` THIS INSPECTION REQUEST WILL NOT 1821 University Ave., Bldg. St SL Room 5 BE ACCEPTED BY THE STATE BOARD Phio nlverslty e, MN N 51 55106 UNLESS PROPER INSPECTION FEE IS Phone 1611) 642-0800 ENCLOSED. 9191 0 REQUEST FOR-ELECTRICAL INSPECTION NA EB-00001 07 Be. instructions for completing this form on back of yellow copy sj ? P ?f 9m?la 40 0 3 6 7 6 5 ,Xrr Below Work Covered by This Reauest I / ?c ew Add Ref. Typeol Building Appliances Wired Equipment Wired Home Range mporary Service Duplex Water Heater Electric Heating Apt. Buildin Dryer T her (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remarks' Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs Inspectors Use Only: TOTAL Irrigation Booms Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCO Other Fee NNECTED IF NOT COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Date Final '/ fe l?v OFFICE USE ONLY This request void 18 months from Total "R" Value............ 21.14 1:F. _ "U" Value ............ 0.043215 T1-AU CEILING MEMBER Interior Air...... 0.68 Sheet flock........ 0.58 Ceiling Member.... 4.35 Insulation........ 30.92 Still A:ir......... 0.61 Total ,R" ,alue............ 37.14 ifR = "U" Value- ......... 0.02692`5 THRU CEILING INSULATION Interior rir...... 0.6`2, Sheet Rock:........ 0.03 Insulation........ 42 Still Air......... 0.61 I otal. 'R" V,_.l ue......... ,... 43.87 1fR = "U" Value............ 0.02a794 THRU CDNCREIE 9LOt: K Interior Air...... conc. Blk:....... .. Insulation........ Sheet lit;. (opt..). Exterior Ai.r...... 0. hf.ij 1.23 l .4 t!. 0. 1 Total "R" Value.............. 13l:' I/R = "U' ..................0.07618.1 THRU RIM W IST Interior Fair...... 0.68 Insulation ........ 19 Rim Joist.......... i.8-3 Sheathing......... 2.06 Siding............ i.. 78 Exterior- Ai.r...... 0.17 Total "R" Value............ 24.58 I /R = "U ................. 0.04068-3 U" value for window........ 0.34 U" .male for doors........„ 0.06 U" value for Patio Drs..... 0.39 THRU CANT. to MEMBER tenclosed; Interior aiir...... 0.68 Finish Floorinq... 1.27, Sheathing....... 2.06 Plywood........... 0.4': lni .+ 11 ?. r- (p/o7 /SU 9 P& O l0 C? 36792 5 O l . i Request Date Fire No Rau h-in g Inspection 6 / 2 5 / 9 0 He uned? ? Ready Now Will Notify Inspector ves ? No hen Ready? licensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City 4052 Deerwood Place Eagan Section No. Township Name or No. Range No. County Dakota Occupanl(PfinkI R.A. Kot Homes Inc Phone No. . 892-6633 Power Supplier Dakota Electric Atldress Farmington MN 55024 , Electrical Conlraclor;Company Name) Midland Electric Inc Contractors License No. . 041610 Mailing Address (Contractor or Owner Making InslaUalion) 14055 Gr d A an ve So, Suite E, Burnsville, MN 55337 Aulhonze CcmlmctorrOwner Making Install ion) Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-MNEwey Bldg. - Room S411 BE ACCEPTED By THE STATE BOARD 1821 University Ave., St, Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone(612)642-0800 ENCLOSED. (p???/sp REQUEST FOR ELECTRICAL INSPECTION T EB-00001-gy -I ? See nstructions b: ,vmpeting tnis loan on back of yellow copy "?`?.b kl C ?9?1(vJIP 3 6 7 9 2 X" Below Work Covered by This Request ew Add R??p. { Type of 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 Other (specify) Contractor's Remarks Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps Y-f to 100 Amps Transformers Above 200 Amps ve Amps Signs Inspectors Use Only: /? U TOTAL Irrigation Booms O ( O Special Inspection Alarm/Communication THIS INSTALLATION MAY B ORDERS ISS;ONNECTED IF NOT Other Fee COMPLETED WITHIN 16 HS. I, the Electrical Inspector, hereby certify that the above ins ection has Hougn-in _ a '7 G p been made. te; Fmzl Date; ee ? d OFFICE USE ONLY This request void 18 months from Sheet Rock- ..., 0. °n`= _t ? Still Air......... .6:1 Total "R" Value............ 17.615 I/R = "U.....................0.05^6657 THRU CANT. @ INSULATION (enclosed) Interior Air-...... Finish Flooring ... Sheathing ........ . Plywood........... Insu.lation......... Sheet Rock........ Still Air-......... 0.6i 1. 23r 2.06 0. i''; 0 0. ;59 0.61 Total "R" Value............ 36.09 I/R =. "U"...- ............0.0'77t:)52 THRU CANT. @ MEMBER (exposed) Interior Air- ... 0.6B Finish Flooring... 1.2=" Underlayment...... C) Plywood.........., 0.91.: Joint- ........... 11.56 Sheat.hing......... 2.06 Soffit............ 0.76 Exterior- Ai.r,..... 0.17 Total "R" Value..... ....... 1:.41 I/R = "U"..,. THRU CANT. @ INSULATION Camposed) Interior Fair...... 0.68 Finish Flooring .•. 1.2.3 Underlayment...... C) Plywood........... 0.9:`; Insulati.on........ _,) Sheathing......... ,.06 Soffit............ 0.78 Exterior Air.,.... 0.17 Total "R" Value .... ........ 3:5.85 1/R "U' ..................0.0278'9.4 CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE (612) 454-8100 RECEIPT "M, DATE: IS!D?gTAI;; PLEASE COMPLETE UPPER PORTION ONLY FOR TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR -------- WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: _/. SITE ADDRESS LOT:y? BLOCK INSTALLER: ADDRESS ADD-ON ADDITIONAL GAS OF 1 PER PERMIT ??P?? SUBTOTAL: / STATE SURCHARGE: SUBD. Ate( TOTAL: 11 CITY: ??? / ZIP: y-C r PHONE `-SIGNATURE OF "/ZeM $?° 50 $ 5 CO -.IALJ IN P...?'.k, PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, z.XIIN APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE FOR: FOR CITY USE ONLY Ct SINGLE FAMILY DWELLINGS & EACH UNIT. FEES MINIMUM $15.00 0-100 M BTU 24.00 50 M BTU 6.00 OUTLETS - MINIMUM 3.00 FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING - $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 S STATE SURCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN PERMIT # 13 30 RECEIPT DATE: ) -1' ?1 - C) t --n Iti;SIDM IAL PLUMING EMIT APPLICATION crrYoF EAww 9830 PILOT KNOB RD EAGAN. MN 55122 651-681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backFlow preventer for irrigation system SITEADDRESS: gf3S k e«.On^r0 \ \0. OWNER NAME:: ? an ?Tp o Q TELEPHONE* Cn`:?k aeaAS- -------,. - (AREA CODE) INSTALLER NAME: STREET ADDRESS: CITY: Place a check mark next to the permit work tvoe STATE: ZIP: _ New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or alteration to existing dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • water turnaround \ Nature of work :--)?'4(1`QW, \t?/t pi/ f\fX11 Qf/ ef' `` _ Septic System, new/ re urbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license State Surcharge $ .50 Total $ Reminder: Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc. I hereby acknowledge that I have read this application, state that the information is rrect, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan mes no liabilit for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this oermi w hin Ci orooe i9ht-of-way/easement. OF ?•° r":e^,F } ?nI!S TELEPHONE* q5a 9 (AREA CODE) :(i Avenue South Updated 1/01 7 7 9,S / MECHANICAL (RESIDENTIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit ?,Wsz Date / -2,,2 l G3 Site Address cyOS Unit # Property Owner ?b/U S Ulm ?!q /` Telephone # (6 51 ) 952 - ;?,2 5P Contractor AtQ 19 e/ '/ Q ??/? Street Address ?[/ City ?/ State /77 11_1[/ Zip !/ Telephone The Applicant is - Owner ," Contractor Other Add-on, modification or alteration to existing dwelling unit $ 30.00 furnace replacement ?5 D1 (r? P n nn r J Lr _ air exchanger i A 1 N 2 8 2003 r cond a iti oner ? 7 other ?`fer-+r???T?iici? J Y Gror? t? ?.? csasf n ri State Surcharge $ .50 T t l $ 3z o a I hereby apply for a Residential Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit/;?? e work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. / / t1 Applicant's Printed Name Applic s i SP i v9-d3 PERMIT # RECEIPT DATE: J(5D --sz 2002 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF £AGAN 5830 PILOT KNOB RD EAEiAN, MN 55122 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITE ADDRESS: 40TZ Af" r rL. -&d) OWNER NAME:: L&4- AL"- \IiJl TELEPHONE #: G57 '/3 ^ 22%- Q (AREA CODE) INSTALLER NAME: y1 ?.? ir?(Or?J TELEPHONE#: 41r/ 7erJ 3'X90 /J (AREA CODE) STREET ADDRESS: /5830 C.l AkA.? ?L CITY: ?.? M A vV Aul J ^ STATE: WAD ZIP: 42OAff _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: V- k2 Y'X;t ) ?c.crtt.a?Q,t?? n.adcll . .Cal tid;. 'aut-;) ka u . . , - . - ? Adding fixtures to lower levels or room additions, a luding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: - RPZ: new installation/repair/rebuild $ 30.00 lawn irrigation system Replacement/additional: _ water softener _ water heat q a (S $ 15.00 JAN 0 S .9 2nnn LIU State Surcharge $ .50 B Y Total $ 62.5d I hereby acknowledge that I have read this application, statethatthe information is correct, and agree to complywith all applicable Cityof Eagan ordinances. It is the applicants responsibilityto notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the §cilities constructed under this permit vit in City pro erty/ g a /easement. SIGNAT RE OF PERMITTEE 1/02 z 2004 RESIDENTIAL BUILDING PERMIT APPLICATION (p3(Pa? City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 IV--70`a New Consi.rudon Requirements Remodel/Repair Requirements tan ' 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan G c A'! j 9 Imn-W ;x- (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Pre?P?(anERegd ! V N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 she survey for additions & decks I K Q p g `+Td Y,?? tset of Energy Calculations Addition - indicateffon-skeseptic system _ _. __- --?Y 3 copies of Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date 3 :,:I / 0l C t ti C t / ' ,-?7 ons ruc o A 1 S n os Site Address 7 1 6C Unit/Ste # Description of Work Multi-Family Bldg Y _ N Fireplace(s) _ 0 _ 2 Property Owner ?? N t S / C sf \V?y Telephone # (0) ) ?sL' ZZ9) 4' T / Contractor I'to Address W, City ? L-ll L L State Zip 337 Telephone # (9i L) 6`70-05-1y COMPLETE THIS AREA ONLY IF Enorgy Code Category - Minnesota Rules 7670 Cateeorv 1 (?r submission type) • Residential Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in fee applies. Licensed Plumber Mechanical Contractor Sewer/ Water Contractor elephone #( 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, d work is not to start without a permit; that the work will be in accordance with the approved plan in case of rk which requires a review and approval of plans. Applicant's Printed Name Applicant's ignature A NEW BUILDING _ Minnesota Rules 7672 New Energy Code Worksheet Submitted a similar plan? _ Y _ N If so, 25% plan review lephone #( `INlls 2006 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. 450.50 Date -q -I 2 -t IOU \ Site Street Address f? y o 5 a (. t? c Woo Q. Unit # ( P O S ? t roper y wner Q Telephone # ) Contractor Telephone# (1e51) 117-L1U0°j Address ?Cr, awn 5 < - K3. City C7 -Y- A-&&4 State 1 l ?{ Zip `)5l?q The Applicant is: _ Owner Contractor -Other Septic System - New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee $ 100.00 Per as-built $ 10.00 Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes instatlation of a water softener and/or water heater at the same time. If you are installing only a wafer softener and/or water heater, do not complete this section, move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $130.00 if a 5/8" meter is required) Other: - Water Softener _ Water Heater $ 15.00 _ new _ replacement _ Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30,00 State Surcharge $ 50 Total $ 50.S d I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be re ewed d app ved K VA-\V 1? i C S c. V? 1 T AS Applicant's Printed Name Applicant's Signature C)o 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Navy Construction Requirements 3 registered site surveys shoeing sq. R of lot, sq. t of house; and @II roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam 8 orrim sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan H lot pladed after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form ?-1o.00 RamodegReoair Requirements mi €U5e Only 2 copies of plan showing footings, beams, joists N6fSnN9y_12Wd l set of Energy calculations for heated additions Tree FMP.IeMROW LA l site survey for additions 8 decks Tree Ptd9iistpu(atl ,,,-,Y i;_H AddrCvn-lnciwteifm-aifempscsysfem Oq Seplic3ystam _Y:?_t Date -3 / 3/ / afo Construction Cost "T'/S a00• 0-ID Site Address 7uSZ _2)Q19`-a)00d Aace Unit/Ste # C C 4 CL v7 i1'J /l .S.S/2-y Description of Work Rg"IR10eAl lyelwe0/e Multi-Family Bldg _ Y /?N Fireplace(s) 0 _ 1 - 2 Property Owner S& 7--gone U4n ITQgG Telephone#(lPS-1) Contractor &dt ff.3"t7 Railalirs Address _ /: D .f30 a' //.3Z? City f&99n State y"12 Zip Telephone # (G ?/) 2 Gg- 6oca COMPLETE THIS AREA ONLY IF Energy Code Category - Minnesota Rules 7670 Cateeorv 1 (J submission type) Residentlal Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculations Submitted A NEW BUILDING _ Minnesota Rules 7672 • New Energy Code Worksheet Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/ Water Contractor 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 the approved plan in the case of work which requires a review and approval of plans. Applicants Printed Name cants gnature DO NOT WRITE BELOW THIS LINED Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ?0 32 Addition sp 33 Alteration ? 34 Replacement Description: Water Damage ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Aft - SF ? 36 Multi Misc. ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windowe/Doors 'Demolition (Entire Bldg) -Give PCA handout to applicant Yes Valuation :) c C, 0 Plan Review 100% or 25% Census Code f 3 SAC Units # of Units # of Bldgs Type of Const Occupancy YZ . s? MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) Footings (deck) Footings (addition) Foundation _ Drain Tile Roof Ice & Water Final Framing _ Fireplace _ R.I. _ Air Test - Final Insulation REQUIRED INSPECTIONS Sheetrock _ Final/C.O. y Finat/No C.O. HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco Lath _ Stone Lath -Brick _ Windows Retaining Wall Approved By: '7 P 4 3 ° ?', Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total V710 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 / New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) t Soils Report U proposed building is to be placed on disturbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Minnegasco mechanical ventilation form - RemodelR2eoair Requirements 2 copies of plan showing footings, beams, joists t set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate Hon-site septic system Office Use Onl Cert of Survey Recd _Y _N Soils Report _Y _N Tree Pres!Plan Recd _ Y - N. Tree Pres Required _Y _N On-site Septic System _ Y _ N Plans are considered public information unless you state the are trade secret and the reason. Date 5 / a / "':i t) Construction Cost 5 Sm ? rrrr ? i Site Address 1 o S Z 5tR w ad N( f Unit/Ste # Description of Work pt PX'6 ' ?,W iC i p C C-)v .gam, /s6 ?edC e , a y, Multi-Family Bldg _ Y - N Fireplace(s) _ 0 2 Property Owner cA6et- Telephone # ( ) k Serzx(UNO `zN S?. TTN Contractor ?1CiC / ? Address ZS/1 `^ONao%I caU2 , State I P / U Zip S S I Z.o City MF--,"L?sA ?sS Telephone # (GSl) Z(o i 4 4 `i o COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • 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? Y _ N If yes, date d address of master plan: D 1E Z[OMC Licensed Plumber M nn Telephone #( Mechanical Contractor MAY 0 9 2007 LU) Telephone #( Sewer/Water:Contractor C? Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the inform is complete and accurat 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 the approved plan in the case of work which requires a review and ap roval of plans. %1CK ] 1 4ZK(U, rn Applicant's Printed Name c? Applicant' Signatl DO NOT WRITE BELOW THIS LINE Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? ? 04 02-plex ? 10 08-plex 19 18 Deck ? 23 Porch (screen/gazebo/pergola) ? ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement 30 Accessory Bldg 31 Ext. Alt - Multi 33 Ext. Alt - SF 36 Multi Misc. ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Description: Water Damage _ Yes Valuation coo, cc-) Occupancy Plan Review - 100% or 25% Code Edition 1 Iz? zom Census Code L(3 4-1- Zoning SAC Units Stories # of Units Sq. Ft. # of Bldgs Length Type of Const Width Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. - Air Test - Final Insulation k r Approved By: Base Fee Surcharge Pran Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS Sheetrock _ Final/C.O. )Q Final/No C.O. _ HVAC Other Pool _ Ftgs _ Air/Gas Tests -Final Siding _ Stucco Lath _ Stone Lath -Brick Windows Retaining Wall Building Inspector sUAVEYOR'S CERTIFICATE RA. KOT HOMES OF 9,F OT 3 r 0 4 r1 tT? ?J 1 _ r I I tb ??95 s J M.H J ? =) PF ? rwf %o f6 r e"`;* i0aft o ?b ?' o new f bra z' t! w A 1/? G spy1?My / A AN REVIE`?IFD J ? BY D ATE L' -?620 t ? w pns f 2 n Laro,l FaWInO 1 E br.•ipbl ?J !e u .9) od- - t? E .1 8?8 Y) OTC 41 ?t O M C? 3 011 I-ry ppAINA66 P9ft j- AT ti l b739) EAgEIA r +OF-T5.22 NdAe36119"E ? r i i r !?r tr'? • DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000.0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION WE HEREBY CERTIFY TO R.A. KOT HOMES REPRESENTATION OF A SURVEY OF THE BOUNDARIES Lot33t Block 3, ENGSTROMS DEERWOOD AD thereof, Dakota County, Minnesota. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION SIGN . MES R. HILL, INC. B JOHN C. CARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 E 0 O T 0 , v D L ! j M Z 1m a ly N p < James R. Hill, inc. PLANNERS / ENGINEERS / SURVM S 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 s 812.884-I 19 SCALE: 1 INCH - 30 F PROPOSED GARAGE FLOOR - 8 83, Z F PROPOSED LOWEST FLOOR - a )S S F ' PROPOSED TOP OF BLOOK- 883 b F1 - L^ ,n r ep 4,, QA f; 1 vc ?. y1 r for + ?y o f4t1n to , /rFL r172 Y M. VTI1 po, r Pkp 63 SOT Se'`5'°=- ? Z A G A N 33 R-E?V I It, ?f-F D t3 . 1J 5 ' (8731) \ Bi?v nATE -75.22 L_ . I 44 DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET • DENOTES IRON MONUMENT FOUND X000,0 DENOTES EXISTING ELEVATION (000.0) DENOTES PROPOSED ELEVATION 0 M to C. r` / I I l_?) I 1 c_ SCALE: 1 INCH - 30 F PROPOSED GARAGE FLOOR - 8 83, t F PROPOSED LOWEST FLOOR - a )S S F PROPOSED TOP OF SLOOK - #a 3.4 F WE HEREBY CERTIFY TO R.A. KOT HOMES THAT III REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot33, Block 3, ENGSTROMS DEERWOOD ADDITION, thereof, Dakota County, Minnesota. , IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCR? 1MERTS-? SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS b't'114 tbxY &N ES R. HILL, INC. JOHN C. LARSON, LAND SURVEYOR MINNESOTA LICENSE NUMBER 19828 v, rn T Om ??pp 0 pm r 0 bBiC) ;p D o ` s z e0 v -) ? m O p m 0 . ? M Z y> Z m a) _ a O M N O < 9/0111, G f/ /) C he f/1 'f,V {[X7 1 v m M ?- -. X882 9) o dp; 9 ?a PR / 404 o ?I O, / s // Lams F wIng ROP OO? y l-- - 09WEPT James R. Hill, inc. PLANNERS / ENGINEERS / SURVEYO 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 B 812.884-I 2. ? 2 Z 'tl 7 ?pn.B ? \ 1 At 40 i . 78.2 p 4 A. 01 ";g? 0i p, ILF S tD PERMIT Permit Type: Building City of Eagan Permit Number: EA105393 Date Issued: 07/12/2012 Permit Category: ePermit Site Address: 4052 Deerwood Pl Lot: 33 Block: 3 Addition: Engstroms Deerwood PID: 10-23900-03-330 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 Suzanne M Gage 4100 Excelsior Blvd 4052 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:Building Permit Number:EA111398 Date Issued:06/21/2013 Permit Category:ePermit Site Address: 4052 Deerwood Pl Lot:33 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-330 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 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 - Suzanne M Gage 4052 Deerwood Pl Eagan MN 55122 (651) 452-2295 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 SAN 82014 Use BLUE or BLACK Ink 2013 RESIDENTIAL PLUMBING PERMIT APP Date: )� ---3.13-13 Site Address: 405a. Tenant: S VC./ C Name: For Office Use Permit#: l,L1cc7, Permit Fee: Date Received: Staff: CATION Suite #: Pho e: k51 1 Address / City / Zip: Name: ;MILBERT COMPANY INC dba CULLIGAN WATER License #: 063031 -WC Address: 1801 50m STREET EAST State: MN Zip: 55077 Phone: Contact BILL MILBERT Email: City: INVER GROVE HGTS 651-451-2241 New peplacement _ Repair _ Rebuild — Modify Space e Work in R.O.W. Description of work: RESIDENTIAL Water Heater Lawn Irrigation L RPZ / _ PVB) Septic System New Abandonment _ hater Softener Add Plumbing Fixtures L_ Main / _ Lower Level) Water Tumaround RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (Includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround" (includes $5.00 State Surcharge) 'Water Tumaround (add $200.00 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) TOTAL FEES $ CALL BEFORE YOU DIG. Cali 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.00pherstateonecall.oro 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 v! /lam. Jim,/I cY Applicant's.P,rinted Name Applicant's Signa re PERMIT City of Eagan Permit Type:Building Permit Number:EA121103 Date Issued:03/13/2014 Permit Category:ePermit Site Address: 4052 Deerwood Pl Lot:33 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-330 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 Valuation: 4,000.00 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 - Suzanne M Gage 4052 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:Mechanical Permit Number:EA177142 Date Issued:06/17/2022 Permit Category:ePermit Site Address: 4052 Deerwood Pl Lot:33 Block: 3 Addition: Engstroms Deerwood PID:10-23900-03-330 Use: Description: Sub Type:Air Conditioner Work Type:Replace Description: 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 - Suzanne M Gage 4052 Deerwood Pl Saint Paul MN 55122--183 Angell Aire Inc 12253 Nicollet Ave S Burnsville MN 55337 (952) 746-5200 Applicant/Permitee: Signature Issued By: Signature