4006 Deerwood TrCITY OF EAGAN
"- 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ONE: 454-8100
BUILDING PERMIT
To be used for ?r .` r?;A?•
Est. Value $135, OM' Date
Receipt
.:G?.MSFR ISi
r 8i
19
Site Address ` ;' r• ?'? :,' 't 17.
Lot Block ' Sec/Sub. £ittl..: i.u '
Parcel No.
°C Name _
0
0 i Address
P City
Name_
Address
City
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.
Signature of Permittee
A Building Permit is issued to:zi _ ' COAST
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
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
t •.
On Site Well (Actual) Const
1/n
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth `
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharge
Council Plan Review ? 44. Ou
Bldg. Off. SAC, City 1 yo (1t)
Variance SAC, MWCC 5?' • ^G
Water Conn.
Water Meter
Road Unit
I
Treatment P1
Parks
TOTAL
J J i
Permit No. Permit Holder Date Telephone #
Plumbing t
^ 5( -?
/
i f -XL ? C
Electric a,[fy
Softener
Inspection Date Insp. Comments
Footings l
_
Footings II
Foundation
Framing
Roofing 4we
Rough Plbg _7 yy l
Rough Htg.
Isul. L y C
Fireplace 3
Final Htg. 40,W
Final Plbg.
16 111, `
Bldg. Final
Ciert Occ.
Temp. LP
Deck Fig.
Deck Final
Well
Pr. Disp.
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
f CONTRACT PRICE: PHONE: 454-8100 For Office Use Only:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub k.
Res. New %
`
Name
' c Muft. Add-on
Comm. Repair
Address
c
City '
Phone ' Other
Name
FEES
RES. HVAC 0-100 MBTU -$24.00
C Address I t' flfcil 1 ADDITIONAL 50 M BTU - 6.00
p City i Phone ., "r ?•` (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
TOWNHOUSE & 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 CF STATE SURCHARGE PER PERMIT - .50
M (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other $
'-
A
FEE :
SIGNATURE OF PERMITTEE
S/C:
TOTAL FOR: CITY OF EAGAN
PERMIT # /O -3& 7 fQJ,`
PLUMBING PERMIT RECEIPT # y'?J
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: 1'1 L
Address Cy
Cityj ..
Name L
Address
City
If-
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
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BLDG. TYPE WORK DESCRIPTION
Res. Y Nev.
X
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
__??_Water Closet - $3.00 $ `9, u
Bath Tubs - $3.00 ,
Lavatory - $3.00 Z • u
1 Shower - $3.00 3
ZKitchen Sink - $3.00 J
Urinal/Bidet - $3.00
--J--Laundry Tray - $3.00 310
/Floor Drains - $1.50 ?• ?'
_LWater Heater - $1.50 ?> >
4Whirlpool - $3.00
Gas Piping Outlets - $1.50 ?• ? ,.;
(MINIMUM - 1 PER PERMIT)
BEYOND $1,000.00) Well - $10.00
Private Disp. - $10.00 }
_Rough Openings - $1.50 y•
??' ?i'>?-.
SIGNATURE OF PERMITTEE FEE:
STATE SIC:
FOR: CITY OF EAGAN GRAND TOTAL:'
CITY OF EAGAN Permit No. 10189 Date: 12/20/88
3830 Pilot Knob Road Meter IN 9. 3 -,r3 y
9 Size:
P.O. Box 2119 ader No: Date: - g?
Eagan,4NN 551h 91 , 1;
Owner. SUNSHINE CONST
Site Address: 1 ?nnl, nF11 1 W1(1
1} 7 R •=??? a3- 2QSTROM' S DEER
Plumber.- Ot.-BFRG WOOD It} a t ??H
Conn. Chg: $,55n_nn od Zoning: -R1 004
Acct Dep: LI nn Id No. of Units:
Permit Fee: In-no Surcharge: I . -5n -p4L- I agree to comply with the City of Eagan
Tr. Plant- Ana nn 1 Ordi es.
;.. Meter. 57.00 Dd
a Misc.: By
r SO i WATER SERVI PERMIT
u
CITY OF EAGAN Permit No: r 11313 w 12/20 $8
Date: 1
.,?
3830 Not Knob Road gip-I ?` J 102 9. Date;, 12 19798
P.O. Box 21199 ; i
Eagan, MN 55121
r `-= SUNSHINE CONST w(xi
Owner.
4006 DEF..RWOOD L26 B3 ENGSTROM' S DEER-
Site Address:
,
Plumber. OT -RERG T, nOD
iMWCC: $550.00 pd Zoning R- = e 1?! @ " e >A f
City Chg: 100.00 pd No. of Units: 1
Acct Dep: 15.00 Pd
10.00 d I agree to comply 1mft the City of Eagan
Permit Fee: P
is 50 pd Ordinances.
- Surcharge: . ..yt
Misc.:
SEWER SERVICE PERMIT Z
December 20, 1988
SUNSHINE CONST 4t C? - 4,t
2121 CLIFF DR . , #224 y OCc,
EAGAN MN 55122
REs 674 BRIDLE RIDGE RD., L7, B1, BRI?L RIDGE 1ST
4006 DEERWOOD TR., L26, B3, ENGSTROM'S DEERWOOD ADD.
WARNINGs BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS,
ETC. - REQUIRED BY LAW
XX Your Sewer and Water Permit for the above property has been completed.
It will be held at the Public Works Garage (3501 Coachman Road) until
the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR
YOUR PERMANENT WATER TURN ON.
Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
Your Sewer and Water Permit for the above property has been completed,
however, the meter cannot be issued or occupancy allowed until further
notice.
Sincerely,
Jan Severson
Secretary
is
zI
CITY OF EAGAN ?T 15981
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 l?
BUILDING PERMIT PHONE::454-8100 Receipt C I --"?D 1C`
"
To be used for SF DWG/GAR Est. Value $135,000 Date DECEMBER 19 '19 88
Site Address 4006 DEERWOOD TRAIL
Lot 26 Block 3 Sec/Sub. ENGSTROM' S DEER-
Parcel No. WOOD
a Name SUNSHINE CONST
W Address 2121 CLIFF DR., #224
c City EAGAN Phone 452-0995
m
O Name SAME
0 < Address
P City Phone
W
z
u
z
W
Name _
Address
City -
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City o E gan Or inances.
Signature of Permittee -?
A Building Permit is issu to:_. CQ[?$--
on the express conditio that a works all be done in accordance with all
applicable State of Minnesgta -IS tatu sand C'tj of Eagan Ordinances.
V ,
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System X Zoning
On Site Well (Actual) Const
City Water X (Allowable)
PRV Required * of Stories
Booster Pump Length
De
th
p
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge
Plan Review
SAC. City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
Parks
TOTAL
(Ur#ifiro#r of Orrupaury
ititp of Cagan
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
u6e CleM&RIMon SF DWG/GAR Bldg. Permit No. 15981
0ocupaocy Type R3 Toning Dabia R1 Type coml. Vn
owner of Building SMSEW OCNST. Aadr«? 2121 CLIFF DRIVE, EAGAN
4006 DEElaM TRAIL Lonlity L26, B3, W.WM' S DEE1a+A MMMt 20, 1989
+ Date:
Building OB
POST IN A CONSPICUOUS PLACE
R3
R1
Vn
Vn
60
36
$ 688.00
67.50
344.00
100.00
550.00
550.00
F,7_ n0
_32-5-00
204.00
*2,895.50
t,.
,A
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
/S--" /
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 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuation:
Site Address 14"&,,AWQ JRrA,e
Loft J .2 6 Block .3
Am= qm
Owner Su njs 4 i /1 o? ?ON S T•
Address A12 I eA.I Pf- A A I Vk_ -# -7tq
City/Zip Code E-46A AJ, SS/ .z Z
Phone l's-.2 - 0 9 5,s,-
Contractor SA•y? AS 4dall.4-
Address
City/Zip Code
Phone
Arch. /Engr.RriES /Q• I?? ?L
Address 95/0 / ?4iYES Arm .So • yD
City/Zip Code _ caGtY4N6TOA/ .S'Sa13
Phone # &a y - 30.x- 9
;JEC 13 1988
3S4 000 Date:
On site sewage
MWCC system ?
On site well
City water ?
PRV required
Booster Pump
Occupancy V-.5 M -I
Zoning 2- L
Actual Const 1/- N
Allowable V- N
# of stories
Length d'
Depth
S.F. Total
Footprint S.F.
APPROVALS
FEES
Engr/Assess Permit
Planner Surcharge
Council
Bldg. Off. Plan Review
SAC, City 344,0o
00,00
Variance SAC, MWCC 550, co
Water Conn 560,00
Water Meter 61 Oa
Road Unit 3 Z6, Do
Treatment P1 204.00
Parks
Copies
TOTAL 2,n. h
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?-N 7O o0
'S V-7 0. C) io
New Construction Requirements RemodegReoair Requirements
3 registered site surreys showing sq. R of lot sq. ft of house; and p_U roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window saes; poured found design, air. 1 sde survey for additions & decks
l set of Energy Calculations AddNon - indicate if on-site septic sYNem _
3 copies of Tree Preservation Plana lot platted after 711/93
Rim Joist Detail Options selection sheet (bklgs with 3 or less units
Date _ff / 104Y
Site Address ?I'( lo / '7^ Construction Cost
cirrf / Unit/Ste #
Description of Work 45 d0 /[ COI ^O]AT
Multi-Family Bldg
- Y ?N Fireplace(s) - 0 - 1 - 2
nn
Property Owner 6:22 / l /
l7ll Telephone # ({e S? )
C-01
Contractor MMwof/C }a 6&e -f o.
Address Jy _? ,6- G -mad pdad
State A. J" City 1 (/ o sjl
Zip 6Y377 Telephone # (qs,-? ft 92 3G 6
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
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone #
I hereby apply for a Residential Building Permit and acknowledge that the
T
is complete and
that the work will be in conformance with the ordinances and codes of the City nandl "Iof MN
Statutes; I understand this is not a permit, but only an application for a permit, an 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.
A G! ( f/ SP/I
Applicant's Printed Name Applicant's Signature
PERMIT#D _o---]
RECEIPT DATE: - CJ
PsESIDENn AtL PLUM$INH PERMIT APPLICATION
CIITY OF tiAGM
8650 PILOT KNOB RD
EAEAN, MN 55122
651-661-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: /-/OO(o ,??2WDdl 5w I
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
80401 \ *
R0401
TELEPHONE #:
(AREA CODE) TELEPHONE #: ? -&&46
(AREA CODE)
CITY: STATE: ZIP: S-.rjZ
Place a check mark next to the permit work type
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
awn irri ation s ste
.-water turnaround
Nature of work:
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge i',=, $ .50
! a r? 17 iti7 1 -r
JI i
T
? SEP
t
l $
f
o
a
71001
'
Reminder. Be sure to schedule inspections of alterations, i`.e'uvater heaters, water softeners, etc.
tJ'
I hereby acknowledge that I have read this application, state that the inforination:iscomect, 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 a ss umes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit withi Cityproperty/right-of-way/ Bement.
t?
SIGNATURE OF PERMITTEE
Updated 1101
t
CITY OF _ E5A&gp/ BUILDING DEPARTMENT
EXTERIOR ENVELOPE AVERAGE "U" C014PUTATIO14
(To be submitted with building permit application)
One or Two Family
All Other
Site address f/BG'G A,4Ruvo,0
or 26 RAhe 3
Date Z4211.2 Phone _ysa-oFf,S'
Dwelling Owner
-u?#.1f.J15/ `?aivsT
Contractor _.es C:pt?sT,
# g5 - 3zZ
LINEAL FEET OF
EXPOSED WALL j1f(>p?)e,' E?711 ft. above grade = 2LP?g•$gj
TOTAL EXPOSED WALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "U" Value x Area
De tail me flu fl 043 x SQ,
reference - fluff . 14b x SQ,
from ?11Y) fluff .0+0 x SQ.
attached fluff x sq.
sheets flUfl x sq.
fluff x SQ.
FT. 2035,(0. 7.575 (U)(A)
FT. 115.12=-f (U)(A)
FT. L37.o0=-_ , j5 (U)(A)
FT. = U) (A)
FT. - (U) (A)
FT. - (U) (A)
,WINDOWS: "U" Value x Area
Make & Type -11?60L• ele..m r ."U'. .5Z x SQ. FT. 70 .00 = D7•ln (U) (A)
if ' _ flu" x SQ. FT. _ (U)(A)
If " fluff-x SQ. FT. - (U)(A)
n n uQfl x SQ. FT. _ M(A)
DOORS: "U" Value x Area
1.1ake & Type ?aTl?. JNSUL. fluff )?}
it _l?TRll ?rJ1 "U" 47 x SQ. FT. 35.00 = I fo• 45 (U) (A)
"
it fluff x SQ. FT. _ (U) (A)
fl (U) (A)
TOTALS -2P79.2,9 SQ. FT. 7-44.OB (U) (A)
AVERAGE "U"
...TOTAL (U) (A) VALUES Z44 0?
"DIVIDED BY TO TAL VULL AREA Z107B,$g ' ` ''
*AVERAGE "U" 1S r less for 1&Z family dwellings
;ROOF/CEILING: ??{{
,;TOTAL AREA: I :OD .
Detail reference fluff
from fluff
attached sheets, fluff
Describe openings fluff
in roof. flu'ii
TOTAL (U)(A) VALUES DIVIDED BY
TOTAL ROOF/CEI 1O AREA
AVERAGE flut 25 or ventilated
OZ? x SQ. FT. I. 1 9?} 77-Vp (U) (A)
x SQ. FT. (U)(A)
x SQ. FT. - (U)(A)
x SQ. FT. (U)(A)
x SQ. FT. = (U)(A)
2741v _? LS ??? g4•fr 27.4Co ???,???
1194.00 -r
roofs. -
C 85872 c
3
?
RequestI
rr?^ ?_
/
? Fire N . Rough-in Inspection
RInspector
Requiretl? Notify /`y;'' Ready Now ill
Wh
d
?
R
d
?
G
1 an
en
y
ea
y
es a
? NO ?
I ?(licensed contractor El owner hereby request inspection of above electrical work at:
Job Adddrresss/s((SSttreett,, Box or Route No.) City
Section No. Township Name or No. Range No. County
Occupant(PRINT)
?L Phone No.
Power Supplier/ Address
Electrical ]Contractor (Company Name) Co License No.
d / -z YlC - Cam(/7 4
Mailing Address (Contractor or Owner Making Installation)
Authorize Signature (Contractor/Owner n ?stallatlon) \ ' Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Roam S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION r . EB-ogoct-o,
w
? See instructions for completing this lam on back 01 yellow COPY.
2
I ? RSA-72 "X" Below Work Covered by This Request
ew Add Rep: 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 fz - ( O to 100 Amps ?(-
Transformers Above 200 _ Amps Abova 100 _ Amps
Signs Inspectors Use Only: OTAL ?. O
-
Irrigation Booms S 10 V ??
`-
Special Inspection
Alarm/Communication
Other Fee
I, the Electrical Inspector, hereby Bough in f Data w ?-7
certify that the above inspection has
been made. Fnal
OFFICE USE ONLY e
This request void 18 months from
??R1L sr?EET
18.33X
q-5o x
4•do x C4Z+4Z+Z&+z6,=
(.(?-h?o? _
I Z = 2492.8,8
! f 400
48. ov
Corte, 2 co78.88
4,oo Y, (a -- 24.00
??m ?o1sT 1ls.1Z 4'
I•Co7 x(4z?4Z+2(?-Z,(o?= ZZ7.IZ
-8?? x ((o+G) _ 9.Wo
1?1? rl?ow s_
l?X3(o = 4,o X ,Z =
ZoX3lo = •o Y,
24)(48 =
z4-x loo = 10. o x 3
Zo X CA0 = S•9• x 5' _
?j
Doe,
3° yYL. wjy.c.. _ 28.00
z8 STL. scp = Z1. op
5 °- A'r?21 vr» 3S, o0
84.oo?1F
Zfv X4-2 = 1 oq Z
X 17 = 1oZ
1?194.00?
Z w- O's c
9.00
15. op
Z4. oo
88.00
30.00
9z,00
ZO7, 00 "A'-
NeT EXpaw--?
PvK?? w.4L(_
Gas Code ,
,? vJnw'S
» ?oolL' S
WALL 6qL* -e.
2to7g.gg
Z37.og
115
ZoZoo - (o`F3. zn
$4 00 _
Zo35.rag?
--WALL SECTION--
Determining "Ulf values At Roof, Wall, Rim, and Conc. Block
ROOF/CEILING
1.) Interior Air rilm
2.) 5/811 Gyp. Bd..
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
R VALUE
o.61
.56
4o, oo
.61
uUn = 1/R= •OL3 TOTAL (R)=41,78
WALL
6.) Interior Air Film
7.) P Gyp. Bd.
8.) Insulation
9-) 5t)ILT- RITE
10.) Masonite Siding
11.) Exterior Air Film
(R VALUE
0.68
.45
19.00
2.0+
.67
-17
uUn = 1/R= .OQ TOTAL (R)= 73 .01
RIM (R) VALUE
12.) Interior Air Film 0.68
13.) Insulation 19,00
14.) 211 Fir Rim Joist 1.88
15.) Fv1LT-91TE Z.0
16.) Masonite Siding .67
170) Exterior Air Film .17
nUn = 1/R= ,Oc10 TOTAL (R)=24 94
FOUNDATION R VALUE
18.) Interior Air Film 0.68
19.)
20.) -
21.) 1211 Concrete Block 1.28
22.) ()t4D5P; 11 r," 50,4M 5.00
23.) Exterior Air Film .17
uUu = 1/R= . 14a TOTAL (R)= 7.13
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*
f NOTE: PAYMENT OF FEE AT TIME OF
* APPLICATION DOES NOT CON-
r
STITVIE APPROVAL OF PERMIT. ;
x
+ INSPECTION OF SEWER AND/OR WATER ,*..
t INSTALLATIONS WILL NDT BE SCID[R.ID
.*x IYNTIL PERMIT HAS BEEN APPROVED.
atV xxrxxxrrrrrr*xxrxxxxxxrrrrrxxxxxrr+xrr
of eaq. an
(PLEASE PRINT
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION;
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:
Q COMMERCIAL/RETAIL/OFFICE
Q INDUSTRIAL
a.INSTITUTIONAL/GOVERNMEENT
(month/Year)
I_i R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
Q R-3 TOWNHOUSE (Three + Units) ( Units)
Q R-4 APARTMENT/CONDOMINIUM ( Units)
2) C? NAME: 15&1iJH11n/& ?ny
f T
_
ADDRESS: ,
.212/ le.i" /fi tidG 'x-2.2
CITY, STATE, ZIP: .. Affd"dG.^l • f- c i? 2
PHONE:
//??? For City Use
3
•
) y?
NAME: Dt ' L3E P1 rumLicense:
ADDRESS: ep
!;T
- CT Active
- Expired
I
CITY, STATE, ZIP:
PHONE: A00004,LC .//I t t-El/
4/j.Z -,fo 7gr MAST , &V • r./,z ,31
ER LICENSE # _36 9 1 Not recorded
MS St Initial
• ?-
NAME: Silfl? /?S.Z
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) • a •?• ta• STORM SEWER PERMIT - CONTACT ENGINEERING
CONNECTION TO CITY SEWER ® CONNECTION TO CITY WATER F-1 TAPS
6) - LY 14A
* THE GOLD COPY OF THE PERMIT WILL BE SENT DIRECTLY TO PUBLIC FORKS TO FACILITATE METER PICK-UP.
*t PLEASE ALLOW TWO FORKING DAYS FOR PROCESSING. SOMEONE FROM 7112 CITY WILL CONTACT YOU IF THERE
* ARE ANY PROBLEMS. a'
FOR CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ J
0 S
$
SEWER
PERMIT (INCLUDE SURCHARGE)
d S?
$ I $ WATER PERMIT (INCLUDE SURCHARGE)
$ /0-) $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ $ WAC
$ S? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ o? o 1 $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ 14 c ? $ TOTAL
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RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
0 YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE: G
DATE: /-;/a o A
SURVEYOR'S CERTIFICATE
OATEN-- "".""_".-?
SUNSHINW CONSTRUCTION
=--- DENOTES PROPOSED SURFACE DRAINAGE
0 DENOTES IRON MONUMENT SET SCALE: 1.INCH - 30 FEET
Y DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 884,1 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 879.A4 FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED. TOP OF BLOCK - 887. C FEET
WE HEREBY CERTIFY TO SUNSHINE CONSTRUCTION THAT THIS IS A TRUE AND CORRECT
RktFRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
LOT 26, BLOCK 3, ENGSTROMS DEERWOOD ADDITIONjACCORDING TO
THE RECORDED PLAT THEREOF, DAKOTA COUNTY, MINNESOTA.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 7 TH DAY OF DECEMBER ,1988,
PROPOSED GRADES SHOWN WINE
TAKEN'MM TNE,DE fpPMENT PLAN
POII ENOSYMOMS DE WOOD ADDITION,
PREPA#Eo BY DOW W., LAST DATED
6-29-4&
EAGAN
REVIEW E D
BY
SIGNED: JA L, INC.
BY c
HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 812.884-3429
• I SURVEYOR'S CERTIFICATE
SUNSHINE CONSTRUCTION
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James ,R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. & • BLOOMINGTON, MN. 56431 •'612.864-3029
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126404
Date Issued:08/25/2014
Permit Category:ePermit
Site Address: 4006 Deerwood Tr
Lot:26 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-260
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 .
Lisa Nyberg
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 -
Paul R Tillman
4006 Deerwood Tr
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA129390
Date Issued:02/05/2015
Permit Category:ePermit
Site Address: 4006 Deerwood Tr
Lot:26 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-260
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 or installing Bay or Bow
windows, 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 -
Paul R Tillman
4006 Deerwood Tr
Eagan MN 55122
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138163
Date Issued:08/12/2016
Permit Category:ePermit
Site Address: 4006 Deerwood Tr
Lot:26 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (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 -
Rajesh M Appat
4006 Deerwood Tr
Eagan MN 55122
(952) 250-8929
Aeshliman Plumbing Inc.
307 Jackson Ave. Suite #4
Elk River MN 55330
(612) 290-8959
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168565
Date Issued:04/26/2021
Permit Category:ePermit
Site Address: 4006 Deerwood Tr
Lot:26 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-260
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 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 -
Rajesh M Appat
4006 Deerwood Trl
Eagan MN 55122
Roelson Plumbing Services Inc
10924 Pioneer Drive
Burnsville MN 55337
(952) 288-1486
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA170996
Date Issued:07/27/2021
Permit Category:ePermit
Site Address: 4006 Deerwood Tr
Lot:26 Block: 3 Addition: Engstroms Deerwood
PID:10-23900-03-260
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Rajesh M Appat
4006 Deerwood Trl
Eagan MN 55122
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature