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4001 Deerwood Tr
SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. P.O. Box 21199 Eagan, MN 55121 OFFICE USE ONLY PERMIT DATE f WATER PERMIT # SEWER PERMIT # METER # S A B.P. RECEIPT # ^ 2140 # Q L B.P. RECEIPT DATE 617 J L2 METER ISSUE I SITE ADDRESS LOT -BLOCK SEC/SUB APPLICANT: " ! ??',•.? ADDRESS: td aX CITYSTATE 4 } ZIP PHONE: Si r!'h PLUMBER: ADDRESS: Z is1,e'-' J CITY, STATE ?u t14 9+2. -i ` ZIP PHONE: OWNER: _ ADDRESS: PRV -BOOSTER PUMP PERMIT REQUESTED -SEWER -WATER -TAPS COMMAND - RESIDENTIAL ?EW EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: SIGNATURE WHEN METER ISSUED CITY, STATE ZIP PHONE: PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT To be used for b: i'T.?/C;el)? Site Address 4401 1;-E i1=D TR Lot I Block 1 Sec/Sub. F • TR+M Parcel No. DELYWOOD W Name A it OAK B lLPETLS, INC o Address ROX 21-•213 City Phone 452-2406 c Name =U OL)< Address City Phone WW Name Address Q W City 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: 6JRR OAK BUI LDEz',S. INC 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 Receipt # N%1 16584 . 1989 FICE USE ONLY Occupancy A-3 kir1 FEES Zoning 2?1 (Actual) Const y 11 Bldg. Permit F26.00 (Allowable) V-0 Surcharge 76,50 # of Stories ! Plan Review 41 • Length Depth SAC. City l"Q•O S.F. Total SAC, MCWCC --523.&W S.F. Footprints On Site Sewage Water Conn 580•0 On Site Well Water Meter ()0. 00 MWCC System USX 3 00 City Water Acct. Deposit . PRV Required S/W Permit .10* 00 Booster Pump S,W Surcharge 1 . 00 TreatmentPI ?L13•00 APPROVALS Road Unit 340. OC Planner il C Park Ded. ounc Bldg. Off. Copies 279.50 3 Variance TOTAL , Permit No. Permit Holder Date Telephone # WATER SE VERcf c? PLUMBING Al" ?C C?Jc t.'1?C-- f? C? ??? H.V.A.C. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing / ?? dry Roofing Rough Pibg. 7 Rough Htg. 7 Isul. g- P1 L, /4 Fireplace j?/ Y 9 Final Htg. ?/G !q a LIJp Final Plbg. Const. Meter Plbg. Inspector - Notify Plumber Engr./Plan Bldg. Final Deck Ftg. Deck Final Well Pr. Disp. - PERMIT # MECHANICAL PERMIT CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPT ION Lot Block ! Sec/Sub Res. New l Mult Add-on °-' e? Name Address Comm. Repair c City Phone Other FEES Name RES. HVAC 0-100 M BTU -$24.00 Address ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) MINIMUM 1 PER PERMIT GAS OUTLETS 1 50 EA - ) ( - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE Forced Air M BTU APT BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000) Other $ FEE '• = S/C: SIGNATURE OF PERMITTEE TOTAL FOR: CITY OF EAGAN 3830 PILOT KNOB Site Name W4jx i . a? m Address /al ! i. 4. C City Name _ 3 Address p City - FEES COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE -$12.00 MINIMUM - COMM/IND FEE -$20.00 STATEf SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # IG PERMIT RECEIPT # F EAGAN IAD, EAGAN, MN 55122 DATE: 7 ' /V - ^ 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 $ _LBath Tubs - $3.00 Lavatory - $3.00 L - _ / Shower - $3.00 ' -/ Kitchen Sink - $3.00 Urinal/Bidet - 53.00 ' Laundry Tray - $3.00 ' Floor Drains - $1.50 ! ' 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 _ 2 Rough Openings - $1.50 FEE: 311- STATE S/C: GRAND TOTAL: '? S . i CITY OF EAGAN ND 16584 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454.8100 /i - PERMIT `Receipt # l _ "f SF DWG/GAR Est. Value $153,000 Date JUNE 6 . 19 89 Site Address 40 01 DEERWOOD TR Lot 1 Block OFFICE USE ONLY 1 Sec/Sub. ENGSTROMS Parcel No. DEERWOOD Occupancy R-3 -M-1 FEES Zoning R-1 W Name BU RR OAK RUTi.DF.R? TNC: (Actual) Const V N Bldg. Permit 826.00 a Address _BO X 91-917 (Allowable) V-N Surcharge 76.50 City RA GAN Phone 459-2906 # of Stories 413 00 Length -4&' r . Plan Review =o Name SA ME Depth 46' SAC, city 100.00 O? Address S.F. Total 575_ SAC, MCWCC City Phone S.F. Footprints On On Site Sewage Water Conn 580- 00 F W Name On Site well water Meter 90.00 Address MWCC System XL 30 00 ICE W City Phone City Water XX . Acct. Deposit PRV Required S/W Permit 20.00 I 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 Minnesota Statutes and City of Eagan Ordinance s. Treatment PI 228.00 LC G Signature of Permitee APPROVALS Road Unit 340 - 00 A Building Permit is issued to: B Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and Ci of Eagan Ordinances. Bldg Ott Copies Building Official L?t? dLL??l C , Variance TOTAL 3,279.50 ?_?e.?"7??L^ ?? .T ... .,? . _ ., r-?? .,e,?..,.. .. ,^?i#"LYta:,y,ti#o?wP i•T•r't'P'Fr'?a¢z. n.' _ Tutif iratr of Mrruvanry Citp of (Cagan ?r r rtnce>ct of ?liuilhim 3wertimt This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure weal in compliance with the various ordinances of the City regulaAing builrconstruction or use. For the following.- ' Ux Q.s"mtkm SF 1X/GiR ewa. ftnnk No. 16584 R3/M1 RI VN type coos Zoning Doxict O-n--r Tyw? OAK BLDRS boot 21-211 . . AA?m owecr a,ildivt(^ - L ?B add i aw JAIL 16, 1940 OT- POST IN A CONSPICUOUS PLACE r 1989 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS i OF UNITS INCLUDE 2 SETS OF PLANS,- CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS lS 3 000 To Be Used For: Valuation: , Date: Site Address Oe ?/ LUd Dc? r Lot Block G/? SO 71 ,S Parcel/Sub 6e ?40d Owner Mode-L I0me Address City/Zip Code Phone Contractor 64-k i?i?Pf 5,. (iZC Address po. Zex Z/- City/Zip Code Inn 5S-/7-,/ Phone 4/52, -_ZyQ? Arch./Engr. Address ?ZS7 C 417hroo4 Ctd5Y1w 9 City/Zip Code DD?C?c.?l?2 Phone # 7 ' Z WAY 2 2 1989 S i:?-Xlq Occupancy FE10 Zoning Actual Const Bldg. Permit Allowable YN Surcharge # of stories Plan Review Length y? SAC, City Depth . --3'! SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage S/W Permit On site well S/W Surcharge MWCC System Treatment P1. City water Road Unit PRV required Park Ded. Booster Pump Copies TOTAL APPROVALS Planner Council rte Bldg. Off. Variance Council 5+ v) ,'? NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building permit fee. Processing time for sewer and crater permits is two days once a lioensed plumber has applied for a permit at City Hall. 22049 /i 4 Request D e Fito. 1 Rou -in insPeclbn fired? L7 Ready No Will only Inspector ? No en Ready? I contractor ? owner hereby request inspection of above electrical work at: Job /tlss (street, Box r Rome No.)Y'Vj? City tx'r Section No. Township Name or No. Range No. county Occupa INT) r?,// /11?Y) Phone No. Power ter f ? -111 - m Adtlress Ekddca dor (Company N a m)e \ Contr o . _ ;? i Maili r ss Contractor o nN a - Installation) - Auewriz gnature(Conhact /Ohm Making Installation) Ph N ber ? 1 MANESYOA ATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT GHggs-MITay BIEg. - R. Sire BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 602-0800 ENCLOSED. •?? r//? g REQUEST FOR ELECTRICAL INSPECTION Ea00001-7 ? see instructions for completing this form on back of yellow copy. y//f P 22049 X" Below Work Covered by This Request Add Rep. Type of Building Appliances Wired EquipmeniWired Home ge Temporary Service Duplex er Heater Electric Heatin Apt. Building Dry er Other (Specify) - CommAndustrial Furnace Farm Ddl ?Conditioner Other (speoity) ontraolor§ Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # CircuitsTe rs Fee Swimming Pool 0 to 200 Amps 0 fo 100 Amp Transformers Above 200 -Amps Abo _ Amps Signs Inspectors Use Only: TOT/1L _,x _ Irrigation Booms ?? i Special Inspection a Alarm/Communication Other Fee I, the Electrical Inspector, hereby Rough-in 7a 9, oate?./a , oT certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months from n d ate . Fire Nd 6 - 8 9 Rough-in Inspectio ??????////// Required? ? Ready Now yy Will Notify Inspector ` ?Yes ?NO , When Ready? sed contractor ? owner hereby request inspection of above electrical work at: s (Street, Box or Route No.) Deerwood trail CBy ot Township Name or No. Ea an Range No, Count Dakota RINT) - Oak Homes Phone No. 452-2906 lier ta Electric Address Farmington, MN 55024 Eleetdcal Contracor (Company Name) Midland Electric Inc Contractors License No. . 041610 Mailing Address (Contractor or Owner Making Iralallation) 14055 Grand Ave So, Suite E, Burnsville, MN 55337 AuMOb re (COntreclorlgvner Makin Installation) Phone Number 892-6688 MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Gdgga-Mlflway Bldg. - Room Sll3 BE ACCEPTED B THE STATE BOARD 1621 University Ave., SL PAUL MN 55104 Phone (612) 842-0800 UNLESS PROPER INSPECTION FEE IS ENCLOSED. /ff 9 REQUEST FOR ELECTRICAL INSPECTION EB-00001-07^ ,_4 17 il? See instructions for mmpletirg this form on back of yellow copy C/ 21L26 °X" Below Work Covered by This Request -#lo s/8o ew Add ilding Appliances Wired Equipment Wired Range Temporary Service Water Heater Electric Heating VApt.Building Dryer Other (Specify) ial Furnace Air Con ditioner contractors Remarks: Compute Inspection Fee Below. # Other Swimming Poll Fee # Service Entrance Size 0 to 200 Amps Fee # CircuitsrFeeders 0 to 100 Amps Fee Transformers Above 200 Amps Ab 0 Amps Signs Inspectors Use Only: TOTAL Irrigation Booms '1 e O / S i l I J pec a nspection Alarm/Communication Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Rough-in Pinal Date oat OFFICE USE ONLY This request void 18 months from CITl7 OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: PERMIT TYPE: BUILDING Permit Number: 031858 Date Issued: 04/24/98 4001 DEERWOOD TR LOT: 1 BLOCK: 1 ENGSTROMS DEERWOOD P.I.N.: 10-23900-010-01 DESCRIPTION: B'uildino,Permit Type DECK building 14ork Type NEW r Census Code -., 434 ALT. f. 1 F RESIDENTIAL 1. i f f f t` Q4 .I Ln e:.I REMARKS: FEE SUMMARY: Base Fee $50.00 Surcharge Total Fee $50.50 CONTRACTOR: I APPLICANT/PERMITEE SIGNATURE I hereby acknowledge that I have read this information is correct and agree` t- corifjaI Statutes and'-City of Eagan. Ordinances. PERMIT OWNER: - Applicant - WHITE THOMAS 4001 DEERWOOD TR EAGAN MN (612)681-3188 application and state that the` +. ith all appl:icabl.e State of,- Mn. ISSUED BV GNATURE I'd IC 1 UI4 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION M IS3 f OWNER: Q ??2dAKS -4 OMAUW DATE: S'?e v 1 SITE ADDRESS: PHONE: CONTRACTOR: Determine working square footage of each 1. Total exposed wall area..... Sk6"L sq. ft. x .11 = 39'7•bZ 2. Total roof/ceiling area..... lists sq. ft. x .026 = lat.I Total exposed wall area above floor= 3QU` a. Total wall window area..., ........................................ b. Total door area .... ........................................... AR- c. Total sliding glass door area .................................... d. Total fireplace wall area.......... ............... .......... e. Total wall framing area (average 10%) ...................... ... f. Total rim joist area .. .....................................'. 9. net wall area above floor ..................................... i h. wall area above floor ..................................... i. wall area above floor .................................. I J. frame wall area at foundation ................................ Total exposed foundation area= 1t+ ` k Total foundation window area ...................... 1 Total net foundation area above grade .............. ' i Determine "u" value of each wall segment / .(e.g. window, door, each separate wall section) a. 7.44 x ,.U.. = 10.07 - . . b. ISO .6-4 C. X IfUlt *I" d. 4$ X, ..U.. •47 = Zt. S(a r e. 3a8 •L X . U. f. 31 p• X „u„ •ott = l2• S1o h. X ".1). _ X It U., MO J. X "U" _ k. X •`..U.. _ X .ID..Ott = 6.23 3 . .................................Total = "o-Ap •17 If item @3 is the same as, or less than item 01, you have met the intent of SBC 6006 (c); Es Frior Envelope Average "U" Computation Page 2 of 41i 1. tt I .i Total exposed roof/ceiling area - m.. Totalskyli.ght area ............................ n. Total roof/ceiling' framing area (average 104)..._ 1. I i 'i' o. Total net insulated roof/ceiling area........... Determine "U" value for each roof/ceiling segment M. X ..U., ?Am •AA n X .,U., o. 1175. X ..U.. •CZ = Z;•S 1 4 ........................... Total = 3 0 •Sj I I 1 d I j;,• If total of ,#4 is the same as, or less than 102, you have met the intent of S13C 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope'system items 83 and #4 shall not be greater 1. 39j7.Pt. + 2. 3 ???d'•?7 + 4. method, the values established by the stun of than the stun of items $1 and 82. ?t• ?9 = .3$2• al .1 GO; I i 14 1! , PL.AW $9153 L w FAA L FT, FXposE D WALL 10 1=ULL I FULL Z ', V-r, sKPOSeb WALL ZEA Ssz . X Ito Ef- ^_`-w..0• x ,_.:10, X 8 = ?d _... uc.t 1 ' I Iva x a IL48 "4 r ,y. R?`M : ;--? K ! = 314 Toth L 31c?Z sQ t . ?KaaSf=D GEiLiuq X31; , . _ -- W DK15 i? Z44•• 3 a. D OORs r? :. w•?..w %JpPWIL g•Z 41r•3 1•fc ?ATlo Ito Z T e. t a -? . S V w ", s z116 I =:i TAP la t 13•;3 ':, "??+ V7ni.L Et:17TIONS 'P. Ullr 1+?1 of p1,+111ki wall nrQA t®r rrama conatructiun i a 1 con::tract ;c.n li-Va Iu•:. 1, 1!''1.?11l..?i,?rn ...... .. 1111t• ......_l)tl:!I . , , :ol,.•.....1 i n ?7 G n,: t . 6. Er.Leriur. sit' tiLu - U.17 10.85 U? ,O°I 1. Intrrlor air LOL& lil,a i N•lI 6. r Extcr,o. a - ---- 7bea1ve0 22gS U= •-O4 ), ]ntcriur al.r film- O: G!1 ?Z 6, l:xtcrl.or air - -TOtal 12,s 21, ?Z i'. - - j?4G1t j1^( 1, In enac-a1r lilia -- 4, -TToAecU%te- 5. G. l?xit:riur ?,ir •Cilw -_ -?---'ai?3 ?_,?,047 Suit oN 41tn11H u . • ?? lei irr • r :. 13 ? b T o • v • ' 't t u. it 111 /?r ? .. ? 1 ?1'---?- _ " Ili FIG. d4 1A IS. lit Indlcntc-ty''r, "i" valuer dePtit and No•r1:: placement of insulation• ' i FIG.•95• construction • j• •Interior air film 1 .0.61 2,?-F3t? , sR 3. Ih J'014 44.Oa 4• Exterior air film (still) 0.61 + Total IC- L?580 FKA-M 4 1. Interior air film 0.61 2. 'f3D _ 3. ' c..? `?ylr 38.36 4. Extcrio_ air film stT1T SST ? • Total P. I5 .. .. ...? -•.OZ4 .. Go?,sr?evcri mss tb`?G j 1• : Insida air film i 3. •?: d 4.. i 5. outside air film 0.17 Total-:, 1 II 0.61 1 z 3 4 _, inside air film ?A' •. . 2. • 3• i Lent flow up , • j vxated • 5. Outside air film 0.17 j gsG: 96.: • • .. .: Total .. 3 ?} rlhl • ?• t v v 1. Inside air film 0.61 J s.rl? 2. ~• • lest • flow •• ti up . BIG. !7 .? s• Heat flow up 4. 5. outside air film 0.17 Total Rote: Use additional sheets if more space is needed for details and calculations. ?s -2. SZ c 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?(g S CITY OF EAGAN 3830 PILOT KNOB RD - 55122 681-4675 New Construction Requirements Remodel/Reoair Requirements ? 3 registered site surveys ? 2 copies of plan ? 2 copies of plans (include beam & window saes; poured find. design; etc.) ? 2 site surveys (exterior additions & decks) • 1 energy calculations ? 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No DATE: CONSTRUCTION COST; -?f1PRe nezr? r ? DESCRIPTION OF WORK: -P C--IL -?-- STREET ADDRESS: '?/ ?WOO0 'rk 4tL ZTi4rl w, rYlAj 5$/2Z LOT: BLOCK: I SUBD./P.I.D. #: C FI- 3/?,? Name: lJr{lrE M,qS Phone #: &2-- 6,?9-962Z PROPERTY Last First OWNER Street Address: '116U / D/V(?) ?T / L City F>7 aAlu State: MN Zip: J??/o?ot Company: S67 1? ( ?4? 145 Aeov,;? Phone #: ? CONTRACTOR Street Address: License # City State: Zip: ARCHI'T'ECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ----- OFFICE USE ONLY Certificates of Survey Received - Yes No Tree Preservation Plan Received - Yes - No - Not Required 1710 . OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex X15 Deck WORK TYPE )2? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATI ON Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Depth Footprint sq. ft. SAC Code n / Census Bldg Census Unit v APPROVALS Planning Building L? Engineering Valuation: $ Variance Permit Fee Surcharge Plan Review License MCIWS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: b- % SAC SAC Units °' CLAIM VOUCHER - REFUND REQUEST CITY OF EAGAN CLAIMANT MIDLAND ELECTRIC INC. ADDRESS 14055 GRAND AVENUE SOUTH - SUITE E BURNSVILLE, MN 55337 Location Receipt No./Date Reason for Refund Type of Refund 4001 DEERWOOD TRAIT. L1. B1 N TROM'S D .RWOOD 91041-7/10/89 PER BLDG. CONTRACTOR'S REQUEST - HE IS USING A DIFFERENT ELECTRICIAN. Electrical Permit Plumbing Permit Mechanical Permit Surcharge _ Water Connection Permit Sewer Connection Permit Account Deposit Utility Account Over-Payment Other: 01-3211 $ 74.00 01-3212 $ 01-3213 $ 01-2155 $ 20-3713 $ 20-3743 $ 20-2252 $ 20-2250 $ TOTAL $ 74.00 I declare under the penalties of law that this account, claim or demand is just and that no part of it has been paid. ILY 24 1989 Signature Date RESIDENTIAL ~ ?? 7 BUILDING PERMIT APPLICATION CITY OF EAGAN 3630 PILOT KNOB RD, EAGAN MN 55122 651-681.4675 New Construction Reouhemerds • 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and gg roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan r lot platted attar 7/1/93 • Rim Joist Detail Options selection sheet (bkfgs with 3 or less units) DATE D? SITE ADDRESS TYPE OF APPLICANT STREET ADDRESS /o?`7t1 'Y/ VrIP.P l TELEPHONE # '993-,;?Q CELL PHONE # Air Conditioning Heat Recovery System PROPERTYOWNER Qm -4 XQ47IL..I 11?111'1? TELEPHONE# ?61 &PI'3/ f ---------------------------- ------------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (d submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted I _ I Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes Sewer/Water Contractor: --------------------------------------------------------------------------• I hereby acknowledge that I have read this application, state that the with all applicable State of Minnesota Statutes and City of Eagan Ord Signature of,Applicant OFFICE USE ONLY Certificates of Survey Received _ Water Softener Water Heater No. of Baths FIREPLACE(S) _ 0 _ 1 _ 2 Remaildgeuair Reaulrementa • 2 copies of plan • 1 set of Energy Calculations for heated additions . 1 site survey for exterior additions & decks Indicate r home served by septic system for additions VALUATION R Off/ Phone #, Lawn Sp itWer No. of R1. Baths FAX # Phone # Phone # ?I a5 mn ZIP - ss_,?,_47 -- - - -Fee:- $90.00 1!n ? LI lJ LS f I 9 2002 Fee: $70.00 Is correct and agree to comply Tree Preservation Plan Received 6Li(, MULTI-FAMILY BLDG -Y _N Not Required _ Updated 4102 71 It r. _- ^ r t p r1 SJ `,! ., M t tT t'it^d^1? J T r !?. i d a ice' r v 1 _ By I I i I ....a li X .I I i ^ .. P=;' POS-D E! EVA" fir r EAGAN ?t LLB s P04 REVISED 5.30.89 TO SHOW NEW HOUSE LOCATION. U&SO IY , V tiUA1 r I INCH ? 30 FEET PIICPOS 't) ARA6E FI..UOi;I m 985x9 FEET PROPOSED LO`AILST FLOOR ® 881,'L FEET PROPOSED TOP OF BLOCK- 381,3 FEET AYE F,EA _E, ' 1„ERTIFY TO WHITIIIY OR E 01111PLOPMe ,THAT THIS IS A TRUE AND CORRECT REPF EESEN ATION OF A SURVEY 01: THEWILMARIES OF Lot I , Stock I , ENOSTRaMS, DEERWOOD ADDITION, according to the recorded plat tRemoi, Dakota ,:aunty, Minnesota, I I DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS SURVE'= CR M'A- 1989L L, &GNED! JA tS ?tI-ILL, !NC. PtDE TAU 4 F01,W e YM WLI CiR$ A FOR ufda 4'PPDM THE E GR PLAN FOR Q,M DECRWX}D ADDITION PiREPAR?D BY &R.W. aY: _-- r -- L44T DATE) '.I- <s -$a. u PuTF.t?SON. LAND SURVEYOR ;.,TFa I.!'-ENSE NUMBER 12294 e - t 31 2 9y ce r I . ;I.. RVEYORS 8`2.884.3029 t Date: CityofEaau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use I - Permit #: l ItAL\ Permit Fee: 105.5 Date Received: Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Unit #: Name: TZKA uVt t Te Phone: 6S1, - 40 2- 9G j 2 - Address Address / City / Zip: 4-001 Ti'C�!e-uV 770 T(2 Art,( v✓Us) 2 Applicant is: Owner � ?C Contractor Description of work: 1rCi"7 j Q• �, -� Construction Cost: V) rb-o Multi -Family Buliding: (Yes / No ,� ('r c. sem) Company: ter- � : - Contact: Address: 7 s -vii City: ,C State I Zip: '.1 f zi Phone: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of m - = _er plan: censed Plumber: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage_ CaII 48 hours before you intend to dig to receive locates of underground utilities. www,gopherstateonecall,org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building C •� - must be completed within 180 days of permit issuance. x \'%tip S'Al"'" r"I Applicant's Printed Name Page 1 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA119868 Date Issued:12/30/2013 Permit Category:ePermit Site Address: 4001 Deerwood Tr Lot:1 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-010 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 - Thomas A White 4001 Deerwood Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA137970 Date Issued:08/02/2016 Permit Category:ePermit Site Address: 4001 Deerwood Tr Lot:1 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 - Thomas A White 4001 Deerwood Tr Eagan MN 55122 (651) 402-9612 Holmin Heating & Cooling Llc 3432 Denmark Avenue, #228 Eagan MN 55123 (651) 405-3853 Applicant/Permitee: Signature Issued By: Signature 1 For Office Use _ _ ,,�i ; ' a�,00 EAGAN1 ', 1 Date Received: 3830 PILOT KNOB ROAD ( EAGAN, MN 55122-1810 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 Staff: buildinninspections(a�cityofeagan.com L 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: I(© 'a,,) .1 /e Site Address: L/O`i/ /) , c17d 'Tr 6 i Tenant: Suite#: t Name. Phone: Resident/Owner i Address/City/Zip .,� .. I Name: 5-4= > p�(.�f"�6t litQ License#: 0 "7 I i J Contractor i Address: /0 Kr;L',7 / 6 G714 5-L 14-" City: L- q'/-e\,/ti //—)2_, State: M A' Zip: ___47c947 phone/9,42) -3 / 3( 70. ! Conth : eE / Email. VA-\7/.--/o `l f'� et) G 1.4-4-0;07; i'i II New r Replacement _Repair _Rebuild _Modify Space Work in R.O.W. Type of Work — — { y Description of work: RESIDENTIAL t Water Heater Water Softener Permit Type g Lawn Irrigation(_RPZ/_PVB) t Septic System Add Plumbing Fixtures(_Main/_Lower Level) ( New Water Turnaround Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge) $60.00 Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter is required) , $115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $ 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.aopherstateonecall.orq You may subscribe to receive,an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeacian.com/subscribe. 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 to without a peris't; that the work will be in accordance with •1,a..r. . .n in the case of work which requires a review and approval of plans. A nt's Printed Name Ap ••pt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final Meter Related Items: Meter Size Radio Read Manometer Staff: For Office Use I • ] I Permit#: /.3 ? i 1 % 1 { y7/ 31'31 `l.��' 'F,' Permit Fee: "...w4 E AGJAN Date Received: IC l f 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 EC I /E ', t Staff: (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675- lJf L buildinoinsoections L (o?citvofeadan.com 1B 2018 RESIDENTIAL B a LDJN.L PERq___ T APPLICATION 10/18/18 4001 deer °O�trail unit#: Date: site Address: 6514029612 Name: Tom White Phone: Resident/ 4001 deerfrail Eagan Mn 55122 Owner Address I City/zip: Applicant is: Owner X Contractor _ .iiila. Description of work: Kitchen cabinet replacement/ Sheetrock repair in easement Type of Work 12000 Construction Cost: Multi Family Building: (Yes !No ) ' Company: Strole and Company Contact: Olov Strole Address: 160 prospect Blvd St.paul Contractor City: State: MN Zip: 55117 Phone: 6126367056 Email: olov@swedishcraftsman.com Bc637442 Nat-5725-1 License#: Lead Certificate#: , If the project is exempt from lead certification, please explain why: House built in 80's 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: Fire Suppression Contractor: Phone: NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe i classified as non-.ublic if ou .rovide s..ecific reasons that would permit the Cit to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeagan.com/subscribe. 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. 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.gopherstateonecalIorq 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 n o sta. out a p it; that the work will be in accordance with the approved plan in the case of work which requires a review and approval o ns. , 1 Todd Messner ,x , -'f .mill xApp(ic t =ignature Applicant's Printed Name Ivo I 1)4v-woo d Tr iii . -7 DO NOT WRITE BELOW THIS LINE 'J/3c ? /5/ SUB TYPES _ Foundation _ Fireplace Porch (3-Season) _ Exterior Alteration(Single Family) it Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of Plex Lower Level Pool 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 11G90 Occupancy JAZ. –/ MCES System ^ Plan Review / Code Edition p,40,/i. SAC Units (25%_100% i!) Zoning p j,) City Water Census Code Ae 341 Stories -� Booster Pump '--"' #of Units I Square Feet PRV #of Buildings / Length Fire Suppression Required Type of Construction /CI Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) A'' Final I No C.O. Required Foundation Foundation Before Backfill ,, HVAC_Gas Service Test Gas Line Air Test - Roof:_Iceater _Final Pool: Footings Air/Gas Tests Final ' Framing $730 Minutes 1 Hour Drain Tile Fireplace: Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS iii Insulation Windows Sheathing Retaining Wall:_Footings Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression: Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: Art, , Building Inspector RESIDENTIAL FEES /5 ! 0 A0 3/ Base Fee JD 3 ti– Surcharge Plan Review 4? li MCES SAC City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Copies 4' " 4 TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Building Permit Number:EA164373 Date Issued:09/28/2020 Permit Category:ePermit Site Address: 4001 Deerwood Tr Lot:1 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-010 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Thomas A White 4001 Deerwood Tr Eagan MN 55122 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA173353 Date Issued:11/08/2021 Permit Category:ePermit Site Address: 4001 Deerwood Tr Lot:1 Block: 1 Addition: Engstroms Deerwood PID:10-23900-01-010 Use: Description: Sub Type:Residential Work Type:Replace Description:Standard Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Please call Building Inspections at (651) 675-5675 to schedule a final inspection. 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 - Christine Haselhun 4001 Deerwood Trl Eagan MN 55122 (612) 695-1412 One Hour Heating & Air 11825 Point Douglas Rd S Hastings MN 55033 (651) 437-4177 Applicant/Permitee: Signature Issued By: Signature